Frequent school-based clinic utilization: A comparative profile of problems and service needs

Wolk, Larry; Kaplan, Deborah Abrams

doi:10.1016/1054-139x(93)90118-9

Cited by 39 publications

(37 citation statements)

References 11 publications

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“…The significance of these preliminary data appears to be in the findings that indicate that these SBHC patients were receiving treatment with substance abuse problems at a relatively high rate (15%) when compared to national data. This finding would also support research that has demonstrated that the SBHCs are providing access to students who are in the most serious need of mental health services (Dryfoos, 1994;Harold & Harold, 1993;Lear et al, 1991;Wolk & Kaplan, 1993).…”

Section: Evaluation Of the Mental Health Training Program Within The supporting

confidence: 66%

“…For example, students who are most at risk for substance abuse, engage in high-risk sexual behavior, or have serious mental disorders, are the most frequent users of SBHCs (Dryfoos, 1994;Harold & Harold, 1993;Lear et al, 1991;Wolk & Kaplan, 1993). SBHCs have also reduced access barriers to health care that confront many underserved children and adolescents, such as low income and ethnic minority youth.…”

Section: The Purpose Of School-based Health Clinicsmentioning

confidence: 99%

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Clinical Mental Health Training Within a Multidisciplinary School-Based Health Clinic

Mason

Wood

2000

Journal of Health & Social Policy

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A model is presented to illustrate a clinical mental health training program within a multidisciplinary School-Based Health Clinic (SBHC). In collaboration with schools of education, medicine, nursing, and social work, a multidisciplinary training and treatment program was established that provided unique opportunities for clinical training. An ecological/public health model was utilized as the conceptual framework for clinical mental health training, treatment, and research. Preliminary clinical outcome data suggest that out of a sample of 381 patients, 15% of those utilizing the SBHC's mental health services were being treated for substance abuse disorders. This finding supports current research that has demonstrated that the SBHCs are providing access to students who are in the most serious need to mental health services. Process data suggest that the SBHC is an effective site for multidisciplinary clinical mental health training.

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Section: Evaluation Of the Mental Health Training Program Within The supporting

confidence: 66%

Section: The Purpose Of School-based Health Clinicsmentioning

confidence: 99%

Clinical Mental Health Training Within a Multidisciplinary School-Based Health Clinic

Mason

Wood

2000

Journal of Health & Social Policy

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“…Thus, adolescent clinics serve large numbers of adolescents who otherwise might not come into contact with health care providers. Consistent with adolescent health care utilization patterns, the majority of clients served in these adolescent clinics are female [35, 36]. …”

Section: Introductionmentioning

confidence: 99%

Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics

Miller

Decker

Raj

et al. 2009

Matern Child Health J

100

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To assess the prevalence of intimate partner violence (IPV) and associations with health care-seeking patterns among female patients of adolescent clinics, and to examine screening for IPV and IPV disclosure patterns within these clinics. A self-administered, anonymous, computerized survey was administered to female clients ages 14–20 years (N = 448) seeking care in five urban adolescent clinics, inquiring about IPV history, reasons for seeking care, and IPV screening by and IPV disclosure to providers. Two in five (40%) female urban adolescent clinic patients had experienced IPV, with 32% reporting physical and 21% reporting sexual victimization. Among IPV survivors, 45% reported abuse in their current or most recent relationship. IPV prevalence was equally high among those visiting clinics for reproductive health concerns as among those seeking care for other reasons. IPV victimization was associated with both poor current health status (AOR 1.57, 95% CI 1.03–2.40) and having foregone care in the past year (AOR 2.59, 95% CI 1.20–5.58). Recent IPV victimization was associated only with past 12 month foregone care (AOR 2.02, 95% CI 1.18–3.46). A minority (30%) reported ever being screened for IPV in a clinical setting. IPV victimization is pervasive among female adolescent clinic attendees regardless of visit type, yet IPV screening by providers appears low. Patients reporting poor health status and foregone care are more likely to have experienced IPV. IPV screening and interventions tailored for female patients of adolescent clinics are needed.

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“…Students who utilize an SBHC when it is offered at their school site differ in terms of their health status and behavioral characteristics from nonusers. Students who enroll in SBHCs have been characterized in studies by more frequent experiences of depression, anxiety, and suicide ideation; higher rates of sexual activity, pregnancy, alcohol and drug use; poorer self‐reported health status; greater exposure to violence; and poorer academic outcomes, such as dropping out, failing a class, and earning lower grade point averages 13–16 . However, 1 study found that nonusers, average users, and even the most frequent users of an urban SBHC did not differ on depression, suicide ideation, alcohol use, exposure to violence, or grades earned 17 suggesting that further research was needed to clarify this issue.…”

mentioning

confidence: 99%

Mental Health Characteristics and Health-Seeking Behaviors of Adolescent School-Based Health Center Users and Nonusers*

Amaral

Geierstanger²,

Soleimanpour³

et al. 2011

Journal of School Health

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Frequent school-based clinic utilization: A comparative profile of problems and service needs

Cited by 39 publications

References 11 publications

Clinical Mental Health Training Within a Multidisciplinary School-Based Health Clinic

Clinical Mental Health Training Within a Multidisciplinary School-Based Health Clinic

Intimate Partner Violence and Health Care-Seeking Patterns Among Female Users of Urban Adolescent Clinics

Mental Health Characteristics and Health-Seeking Behaviors of Adolescent School-Based Health Center Users and Nonusers*

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