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Armbruster, Paula; Gerstein, Stephanie H.; Fallon, Theodore

doi:10.1023/a:1025033326743

Cited by 55 publications

(3 citation statements)

References 19 publications

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“…The SBHC’s medical and nursing staff also establish a unique sense of trust with students that allow greater opportunities for the disclosure of psychosocial issues, which might otherwise be missed in traditional health care delivery sites. 36,94,96 …”

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

“…Mutual respect and cooperation between school personnel and mental health staff is essential for the success of this type of collaboration, as in the end, it contributes to a more holistic and comprehensive approach to care. 6,96,114 Stationing mental health providers on site also creates an opportunity for school staff education regarding the mental health needs of students, which can further facilitate collaborative efforts toward the identification and treatment of those in need of care. 6,115 …”

Section: Supporting the Larger School Environmentmentioning

confidence: 99%

See 1 more Smart Citation

School-Based Health Centers in an Era of Health Care Reform: Building on History

Keeton¹,

Soleimanpour²,

Brindis³

2012

Current Problems in Pediatric and Adolescent Health Care

170

221

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School-based health centers (SBHCs) provide a variety of health care services to youth in a convenient and accessible environment. Over the past 40 years, the growth of SBHCs evolved from various public health needs to the development of a specific collaborative model of care that is sensitive to the unique needs of children and youth, as well as to vulnerable populations facing significant barriers to access. The SBHC model of health care comprises of on-school site health care delivery by an interdisciplinary team of health professionals, which can include primary care and mental health clinicians. Research has demonstrated the SBHCs’ impacts on delivering preventive care, such as immunizations; managing chronic illnesses, such as asthma, obesity, and mental health conditions; providing reproductive health services for adolescents; and even improving youths’ academic performance. Although evaluation of the SBHC model of care has been complicated, results have thus far demonstrated increased access to care, improved health and education outcomes, and high levels of satisfaction. Despite their proven success, SBHCs have consistently faced challenges in securing adequate funding for operations and developing effective financial systems for billing and reimbursement. Implementation of health care reform (The Patient Protection and Affordable Care Act [P.L. 111-148]) will profoundly affect the health care access and outcomes of children and youth, particularly vulnerable populations. The inclusion of funding for SBHCs in this legislation is momentous, as there continues to be increased demand and limited funding for affordable services. To better understand how this model of care has and could further help promote the health of our nation’s youth, a review is presented of the history and growth of SBHCs and the literature demonstrating their impacts. It may not be feasible for SBHCs to be established in every school campus in the country. However, the lessons learned from the synergy of the health and school settings have major implications for the delivery of care for all providers concerned with improving the health and well-being of children and adolescents.

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Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

Section: Supporting the Larger School Environmentmentioning

confidence: 99%

School-Based Health Centers in an Era of Health Care Reform: Building on History

Keeton¹,

Soleimanpour²,

Brindis³

2012

Current Problems in Pediatric and Adolescent Health Care

170

221

View full text Add to dashboard Cite

show abstract

“…Young people may not want or may not be able to involve key adults in the process of referral or treatment [ 9 , 18 ], such as their parents, and may be concerned about how their difficulties might be perceived by other professionals [ 9 ]; furthermore, they might not appreciate that their symptoms have a psychological origin. Research suggests the ability for young people to self-refer could help overcome these barriers [ 19 – 22 ].…”

Section: Introductionmentioning

confidence: 99%

Introducing a single point of access (SPA) to child and adolescent mental health services in England: a mixed-methods observational study

Rocks

Glogowska

Stepney

et al. 2020

BMC Health Serv Res

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Background: In many high-income countries, primary care practitioners are the main point of referral for specialist mental health services. In England, Child and Adolescent Mental Health Services (CAMHS) are increasingly adopting a Single Point of Access (SPA) to streamline referrals and introduce self and parent/carer-referrals. This involves a significant shift of responsibility from primary care towards CAMHS who adopt a more active role as gatekeeper for their service. This study evaluates the adoption of a SPA in CAMHS across a large region in England. Methods: We conducted an observational mixed methods study in two CAMHS from January 2018 to March 2019 to evaluate the adoption of a SPA. We collected quantitative data from electronic patient records and qualitative data through ethnographic observation and in-depth interviews of staff and stakeholders with experience of using CAMHS. Additional data on volumes was shared directly from the SPAs and a further snapshot of 1 week's users was collected. Results: A similar SPA model emerged across the two services. Staff were positive about what the model could achieve and access rates grew quickly following awareness-raising activities. Despite the initial focus being on a telephone line, online referrals became the more regularly used referral method. Increased access brought challenges in terms of resourcing, including identifying the right staff for the role of call handlers. A further challenge was to impose consistency on triage decisions, which required structured information collection during the assessment process. Similar to GP referrals, those self-referring via the SPA were mainly from the least deprived areas.

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Mental health services in independent secondary boarding schools: The need for a model

Hoof

Hansen

1999

Psychol. Schs.

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Untitled

Cited by 55 publications

References 19 publications

School-Based Health Centers in an Era of Health Care Reform: Building on History

School-Based Health Centers in an Era of Health Care Reform: Building on History

Introducing a single point of access (SPA) to child and adolescent mental health services in England: a mixed-methods observational study

Mental health services in independent secondary boarding schools: The need for a model

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