Bringing parents into school clinics: Parent attitudes toward school clinics and contraception1

Santelli, John; Alexander, Miriam; Farmer, Mychelle; Papa, Pat; Johnson, Tonya; Rosenthal, Bernice; Hotra, Dana

doi:10.1016/1054-139x(92)90158-8

Cited by 33 publications

(16 citation statements)

References 12 publications

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“…This will mean addressing political and cultural barriers to providing such care. Improving access to contraceptives through SHCs will require the support of school officials, health care providers, community leaders, students, and parents [1,10,13,14].…”

Section: Discussionmentioning

confidence: 99%

Reproductive Health Impact of a School Health Center

Minguez

Santelli

Gibson

et al. 2015

Journal of Adolescent Health

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Section: Discussionmentioning

confidence: 99%

Reproductive Health Impact of a School Health Center

Minguez

Santelli

Gibson

et al. 2015

Journal of Adolescent Health

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“…42 Although the literature documenting parental support is limited, one study found that the majority of parents supported the provision of comprehensive primary health care services at their children’s schools through SBHCs, including counseling for emotional problems, drug and alcohol abuse, and family planning services for sexually active teens. 99 Recent media attention on SBHCs has also demonstrated that parents support them. For example, in 2009, a new SBHC was opened in Forest Grove, Oregon, as a result of significant parent and youth engagement and advocacy.…”

Section: Sbhcs and Health And Social Outcomesmentioning

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

173

232

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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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“…4,6 These conflicting guidelines present a challenge for clinicians. 12 Given the importance of confidentiality and parent involvement in adolescent health, it is surprising that little is known about parental knowledge and attitudes toward adolescent confidential health services 13-18 , especially among different racial/ethnic groups. To date, there is only one study of Latino mothers which qualitatively found mothers misunderstood that confidentiality promotes risky behaviors and undermines their efforts to protect their daughters.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Attitudes of Latino Parents Toward Confidential Health Services for Teens

Tebb

Hernandez

Shafer

et al. 2012

Journal of Adolescent Health

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Objectives To explore the knowledge and attitudes that Latino parents have about confidential health services for their teens and identify factors that may influence those attitudes. Methods Latino parents of teens (12-17 years old) were randomly selected from a large health maintenance organization and a community-based hospital to participate in one-hour focus groups. We conducted eight focus groups in the parent's preferred language. Spanish and English transcripts were translated and coded with inter-coder reliability > 80%. Results There were 52 participants (30 mothers, 22 fathers). There is a wide range of parental knowledge and attitudes about confidential health services for teens. Parents felt they had the right to know about their teens’ health but were uncomfortable discussing sexual topics and thought confidential teen-clinician discussions would be helpful. Factors that influence parental acceptability of confidential health services include: parental trust in the clinician, clinician's interpersonal skills; clinical competencies, ability to partner with parents and teens and clinician-teen gender concordance. Most parents preferred teens’ access to confidential services than having their teens forego needed care. Conclusions This study identifies several underlying issues that may influence Latino youth's access to confidential health services. Implications for clinical application and future research are discussed.

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Bringing parents into school clinics: Parent attitudes toward school clinics and contraception1

Cited by 33 publications

References 12 publications

Reproductive Health Impact of a School Health Center

Reproductive Health Impact of a School Health Center

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

Understanding the Attitudes of Latino Parents Toward Confidential Health Services for Teens

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