Category Archives: School-based health centers
Every two weeks the Agency for Health Care Research and Quality (AHRQ) releases an Innovations Exchange newsletter in order to share innovative health practices from around the country that can be adapted by other communities. The Innovations Exchange supports the Agency's mission to improve the quality of health care and reduce disparities.
The current issue focuses on school-based programs for youth at risk. According to AHRQ, many adolescents—particularly those in minority and low-income communities—lack access to health information, preventive care, and clinical services, leaving them at risk for untreated physical and mental health issues. School-based health care delivery, according to AHRQ, can improve access to care and address the needs of this vulnerable population.
The featured innovations for at risk youth include:
- A school-based program to reduce type 2 diabetes risk factors for children and young adults;
- An inner city school district's reproductive health services model;
- A school-based health center that improved access to mental health services, particularly for minorities.
The newsletter also features quality tools that schools can use to support HIV and STD prevention programs in schools and to facilitate school-based preventive, mental health, nutrition, and oral health services.
>>Read the latest issue of the AHRQ Innovations Exchange.
The use of school-based health services has gained momentum and recognition across the United States as a unique tool in the fight to prevent poor outcomes in both health and education, especially among vulnerable populations. When last surveyed in 2008, the number of school-based or school-linked health clinics in the U.S. had surpassed 1,900. Recently, the federal government has acknowledged their potential, too, creating a distinct grant program for school-based health centers as part of ACA and recognizing them as providers in the Children’s Health Insurance Program Reauthorization Act. [Read more on school-based health center policy developments.]
The typical school-based health center (SBHC) provides free or low-cost basic physical and mental health services, and sometimes oral and vision care. They’ve been shown to reduce asthma-related ER visits and hospitalization costs; reach greater numbers of racial minorities, especially young men; and increase the likelihood by 10 to 20 times that a student uses mental health services. But, the conversation at the American Public Health Association annual meetings was focused on the unique effects these centers are having on students and communities beyond the clinic walls.
Youth Successfully Influencing Their Peers
One session on youth as public health champions covered how receiving services directly on campus involves youth in their own health and the health of their peers in a powerful way. Kathleen Gutierrez from the California School Health Centers Association highlighted innovative ways in which California’s SBHCs are utilizing youth as messengers.
A group of professionally-attired policy-makers, influencers and public health professionals in Washington started their day this morning the way students at Namaste Charter School in Chicago do every day—doing upper and lower body exercises and stretches to make physical activity the first learning component of their school day. The Washingtonians—and some key education and health officials from around the country—were at the launch of “Health in Mind,” a project of the Healthy Schools Campaign and Trust for America’s Health (TFAH) that has released actionable recommendations focused on improving student learning and achievement through healthier schools. The recommendations were presented at today’s event to U.S. Department of Education Secretary Arne Duncan and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius.
“Unless we address health and wellness in schools, our nation’s efforts to close the achievement gap will be compromised,” said Rochelle Davis, president and CEO of the Healthy Schools Campaign, a national group that has focused on improving food and fitness in Chicago public schools.
Health in Mind aligns with the National Prevention Strategy introduced two years ago by the National Prevention and Health Promotion Council, which brings together 17 federal cabinet offices and agencies. The Strategy commits the entire federal government, not just the health agencies, to integrate health into their work and make a healthier nation a priority across sectors.
“The Strategy and these recommendations represent a major culture shift in how the nation views health—health will no longer be separated from education, transportation, housing and other clearly connected policies,” said Jeff Levi, executive director of TFAH and chair of the Advisory Group on Prevention, Health Promotion and Integrative and Public Health. “Health in Mind’s focus on students and schools promises to have a long-term payoff by improving education and quality of life for today’s kids as they grow up—they will do better in school and be healthier.”