State initiatives to support school-based health centers: A national survey

Schlitt, John; Rickett, Kamala D.; Montgomery, Lisa L.; Lear, Julia Graham

doi:10.1016/1054-139x(95)00060-6

Cited by 30 publications

(14 citation statements)

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“…This broadening in the implementation of the Individual Disability Education Act may have helped to increase recognition of ADHD within schools. Together with the growth of school-based health clinics (31), the reform of special education eligibility may have increased the flow of children into treatment. In one economically disadvantaged community, more than three-fourths of the children receiving mental health services received care exclusively in the education health sector (32).…”

Section: Discussionmentioning

confidence: 99%

National Trends in the Treatment of Attention Deficit Hyperactivity Disorder

Olfson¹,

Gameroff²,

Marcus³

et al. 2003

AJP

345

188

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Section: Discussionmentioning

confidence: 99%

National Trends in the Treatment of Attention Deficit Hyperactivity Disorder

Olfson¹,

Gameroff²,

Marcus³

et al. 2003

AJP

345

188

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show abstract

“…National Survey Data published in 1994 revealed that out of 17,000 randomly selected children under the age of 18, 20% had experienced delays in growth and development, learning disabilities, or emotional or behavioral problems that lasted for at least three months or required psychological help. This proportion rises to almost 25% for adolescents between the ages of 12 to 18 (20). Another study revealed that 6.2% of all adolescents experience a chronic illness (21).…”

Section: Examining the Unique Nature Of Adolescent Healthmentioning

confidence: 99%

“…From two school-based clinics in 1970, to 20 in 1980, there were over 700 school-based health centers in 1995 in 41 states (12,19). Up to the recent past, the majority of SBCs and SLSs were established in secondary schools and only in the last few years have elementary school programs emerged.…”

Section: Introductionmentioning

confidence: 99%

School-Based Health Clinics: Remaining Viable in a Changing Health Care Delivery System

Brindis

Sanghvi

1997

Annu. Rev. Public Health

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Adolescents are often vulnerable to particular health risks and face multiple barriers to accessing health care. School-based clinics and school-linked services represent an alternative model of care that has responded to the unique health issues of adolescents by offering preventive, comprehensive services, including mental health and other sensitive services. The current restructuring of the American health care delivery system presents a serious challenge to the continued existence of these services, which must link successfully with managed care organizations and adapt to significant changes in federal and state funding streams to remain viable. The continued success of school-based health services in improving adolescent health will largely depend on how well they can capitalize on their strategic position to reach adolescents, respond to their health needs, and reduce barriers to care, and how effectively they can integrate themselves into a rapidly evolving US health care delivery system.

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“…Of the 15 child and adolescent health-care quality measures we listed in the survey, those most commonly used by the state program offices were: physical examination (13 states), risk assessment (10 states), immunizations (eight states), and mental health (eight states). We also asked how the SBHC data were used by the state; the most common responses were for quality improvement (14 states), production of an annual report on the state initiative (14), and advocacy (13).…”

Section: Data Collectionmentioning

confidence: 99%

Current Status of State Policies That Support School-Based Health Centers

2008

Self Cite

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SYNOPSISObjectives. This study explored the current status of the role of state schoolbased health center (SBHC) initiatives, their evolution over the last two decades, and their expected impact on SBHCs' long-term sustainability.Methods. A national survey of states was conducted to determine (1) the amount and source of funding dedicated by the state directly for SBHCs, (2) criteria for funding distribution, (3) designation of staff/office to administer the program, (4) provision of technical assistance by the state program office, (5) types of performance data collected by the program office, (6) state perspective on future outlook for long-term sustainability, and (7) Medicaid and the State Children's Health Insurance Program (SCHIP) policies for reimbursement to SBHCs.Results. Nineteen states reported allocating a total of $55.7 million to 612 SBHCs in school year [2004][2005]. The two most common sources of statedirected funding for SBHCs were state general revenue ($27 million) and Title V of the Social Security Act ($7 million). All but one of the 19 states have a program office dedicated to administering and overseeing the grants, and all mandate data reporting by their SBHCs. Sixteen states have established operating standards for SBHCs. Eleven states define SBHCs as a unique provider type for Medicaid; only six do so for SCHIP.Conclusions. In 20 years, the number of state SBHC initiatives has increased from five to 19. Over time, these initiatives have played a significant role in the expansion of SBHCs by earmarking state and federal public health funding for SBHCS, setting program standards, collecting evaluation data to demonstrate impact, and advocating for long-term sustainable resources.

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State initiatives to support school-based health centers: A national survey

Cited by 30 publications

References 0 publications

National Trends in the Treatment of Attention Deficit Hyperactivity Disorder

National Trends in the Treatment of Attention Deficit Hyperactivity Disorder

School-Based Health Clinics: Remaining Viable in a Changing Health Care Delivery System

Current Status of State Policies That Support School-Based Health Centers

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