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Page 1: 2009-10 Annual Services Report - Louisiana Department of …...2012/04/12  · The SBHCs serve as a vital link between education and health care systems by bringing health care to
Page 2: 2009-10 Annual Services Report - Louisiana Department of …...2012/04/12  · The SBHCs serve as a vital link between education and health care systems by bringing health care to

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Louisiana Offi ce of Public Health Department of Health and Hospitals

SecretaryBruce Greenstein

Assistant SecretaryJT Lane

Adolescent School Health Program StaffMaxine Kimbrell, MSW, LCSW, BACS, Program ManagerChristine Armand-Perret, MPH, Program CoordinatorCassandra Bookman, MS, Program MonitorLakeisha Urquhart, MA, Program MonitorClaudia Washington, BA, Program MonitorTrina Evans-Williams, MPH, Program Monitor

Quality Assurance ConsultantVirginia Moore, RN, MN, FNP

Data Manager Chuck Truc T. Le, MIS

Maternal & Child Health AdministratorAmy Zapata, MPH

This document was published for the Louisiana Department of Health and Hospitals, Office of Public Health, with funding made possible by the Louisiana Department of Health and Hospitals’ Office of Public Health, Bureau of Primary Care and Rural Health, Adolescent School Health Program. This material is printed to provide information about the Adolescent School Health Program in accord with standards of printing established pursuant to R.S. 43:31. For more information about this project, contact the Adolescent School Health Program Office at (504) 568-8161.

ASHP/OPHP.O. Box 60630, New Orleans, Louisiana 70160(504) 568-8161http://www.dhh.louisiana.gov/offi ces/?ID=255

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Executive Summary

2009-2010 marks another successful year for Louisiana’s School–Based Health Centers (SBHCs). Four sites that were in the planning stage in 2008-2009 became operational this year, bringing the total number of SBHCs to 66 statewide. Two of the new sites (Albert Cammon/St. Rose and Morehouse Middle) brought SBHC services to previously unserved parishes.

The SBHCs serve as a vital link between education and health care systems by bringing health care to children at school, where they spend the majority of their time. The SBHCs are staffed by licensed medical and behavioral health professionals and offer comprehensive primary and preventive care to students who are underserved because of their geographical location in Health Professional Shortage Areas, their socioeconomic status, or other high risk characteristics. The SBHCs keep children in school, healthy and ready to learn. It should be noted that of the 141,414 visits to SBHCs in Louisiana, students were sent back to class 96% of the time. Parents and families benefi t, not only by having ready access to health care at school, but also economically by reduced time away from work to take children to a doctor’s offi ce.

The accomplishments and successes of the SBHCs are not achieved through staff alone, but also through community support and partnerships. The SBHCs work closely with school administrators, local social service agencies, health care providers, parents, students, and business and religious leaders to meet the needs of students. Together, these many pieces fi t together to form a unique healthcare system. The state fi nancial commitment is matched by local entities who contribute both monetarily, as well as through human and material resources. Through everyone’s commitment and dedication, SBHCs are able to continue to provide high quality and comprehensive services, despite economic diffi culties on both the national and state level.

The positive impact of the SBHCs on student’s health and attendance is explained in detail throughout this year’s annual report. The SBHC’s Highlights and Testimonials are just a few examples of the great need for SBHCs and the community’s appreciation for them.

Section One, Program Highlights & Overview; details the history of the program, current location of SBHCs; the year’s important events; standards governing program operations; the continuous quality improvement program; and SBHCs’ Best Practice Guidelines.

Section Two, Who Visits SBHCs and Why; graphically displays why students visit SBHCs, including the top 10 reasons for a clinic visit. It includes information on visits by grade, gender, and ethnicity.

Section Three, Louisiana SBHCs Profi les; contains descriptive information on each SBHC, including names of community partners and advisory committee members.

Appendices A-C include (A) examples of diagnoses regularly seen in the SBHC; (B) the text of the state law that created the program; (C) and the fi nancial statement for the Adolescent School Health Initiative/Offi ce of Public Health for state fi scal year 2009-2010.

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Table of Contents

16 Number of Conditions Seen at SBHCs, by Category17 Leading Reasons for Preventive Health, Observation, Exams, Visits17 Leading Reasons for Behavioral Health Visits18 Leading Conditions for Injury and Illness-Related Visits18 Leading Reasons for Health Counseling and Education Visits19 Total Visits by Grade, Sex, Race, and Disposition20 Total Visits by Provider Type20 Comparison of Rural vs. Urban Sites21 Total Student Visits by Site, 2009-201022 Type of SBHC Site, Funding, Insurance Status and Sponsor

Section One – Program Highlights and Overview2 Map of School-Based Health Center (SBHC) Sites3 SBHC Sites4 OPH Funded SBHCs5 Louisiana SBHCs Funded by Other Sources 6 Highlights8 Testimonials9 SBHC Funding History11 Louisiana Standards for SBHCs12 Continuous Quality Improvement Program13 Best Practices for Prevention in SBHCs

Section Two – Who Visits SBHCs and Why

Section Three – Louisiana SBHC Profi les, by Sponsoring Agency

Page

Allen Parish School Board26 Oakdale Middle SBHC CHRISTUS St. Frances Cabrini Hospital29 Avoyelles Charter and Mansura Midddle SBHCs30 Buckeye High SBHC31 Cloutierville Elementary SBHC32 Dry Prong Jr. High and Pollock Elementary SBHC33 Glenmora Elementary and High SBHC34 Jena Jr. High and Jena Sr. High SBHC35 Lakeview Jr. and Sr. High SBHC36 Marthaville Elementary SBHC37 Natchitoches Central High SBHC38 Northwood Elementary and High SBHC39 Pineville Jr. High and Lessie Moore Elementary SBHC40 Tioga Jr. High SBHC41 Tioga Sr. High SBHC CHRISTUS St. Patrick Hospital 44 Clifton Elementary SBHC 45 Combre-Fondel Elementary SBHC 46 Molo Middle SBHC47 South Cameron SBHC48 Washington-Marion High SBHC CHRISTUS Schumpert Health System51 Atkins Elementary SBHC52 Linwood Middle SBHC53 Woodlawn High SBHC St. Gabriel Health Clinic, Inc.55 East Iberville Elementary and High SBHC Health Care Centers In Schools 59 Capitol High SBHC

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Section Four – Appendices139 Appendix A Examples of Diagnoses within Each Category of Conditions140 Appendix B Adolescent School Health Initiative Act142 Appendix C Financial Statement

60 Glen Oaks Middle SBHC61 Glen Oaks High SBHC62 Istrouma High SBHC63 Northeast Elementary SBHC64 Northeast High SBHC65 Prescott Middle SBHC66 Westdale Middle SBHC Innis Community Health Center69 Point Coupee Central High SBHC Interim LSU Public Hospital/Medical Center of Louisiana at New Orleans (MCLNO)72 O. Perry Walker High SBHC72 McDonogh 35 High SBHC Jackson Parish Hospital75 Jonesboro Jr. and Sr. High SBHC Jefferson Parish Public School System78 Butler Elementary SBHC79 Ehret High SBHC81 Riverdale High SBHC83 West Jefferson High SBHC Lafayette Parish School System85 Carencro Middle SBHC Louisiana State University Medical Center88 McMain and Science and Math High SBHC LS UHSC/Washington/St. Tammany Regional Medical Center 91 Bogalusa Junior High SBHC92 Bogalusa High SBHC Madison Parish Hospital95 Madison High SBHC Methodist Health System Foundation98 Chalmette High SBHC Morehouse community Medical Center, Inc.101 Morehouse Jr. High SBHC Ouachita Parish School Board104 Riser Middle SBHC105 West Monroe High SBHC Our Lady of Lourdes Medical Center108 Northside High SBHC Primary Care Providers for a Healthy Feliciana111 Clinton High SBHC Richardson Medical Center114 Rayville High SBHC Richland Parish Hospital117 Delhi Jr. and Sr. High SBHC St. Charles Community Health Center, Inc.119 Albert Cammon Wellness Center SBHC St. Francis Medical Center122 Carroll Jr. High SBHC St. Martin Parish School Board125 Breaux Bridge SBHC126 Cecilia SBHC127 St. Martinville SBHC St. Helena Community Health Center 130 St. Helena Central Elementary SBHC131 St. Helena Central Middle SBHC Teche Action Board, Inc.134 West St. Mary High SBHC West Feliciana School Board

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Section One

Program Highlights

and Overview

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Shreveport Bastrop Delhi W. Monroe Monroe Rayville

Tallulah

Jonesboro

Natchitoches

Jena Dry Prong

Tioga Lena Pineville Deville Glenmora

Mansura Greensburg St. Francisville Jackson Bogalusa Clinton Morganza

Oakdale

Baton

Rouge Lake Charles St. Gabriel

Lafayette Cecilia New Orleans

Creole Carencro Breaux Bridge Kenner St. Martinville Metairie Chalmette St. Rose Baldwin Westwego, Marrero & Harvey

57 Full-time Operating Sites9 Part-time Operating Sites5 Privately Funded Sites1 Federally Funded Site3 Community Clinics on School Campuses2 2008-09 Planning Grant Sites Unfunded for Implementation Grant in 2009-10

School-Based Health Center Sites2009-2010

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Louisiana Adolescent School Health Program

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Alphabetic Listing of SBHCs by Parish

Allen ParishOakdale Oakdale Middle

Avoyelles ParishMansura Mansura MiddleAvoyelles Charter

Caddo ParishShreveport Atkins ElementaryLinwood MiddleWoodlawn High

Calcasieu ParishLake Charles Combre-Fondel ElementaryClifton ElementaryMolo MiddleWashington-Marion High

Cameron ParishCreole South Cameron High

E. Baton Rouge ParishBaton RougeCapitol HighGlen Oaks HighGlen Oaks MiddleIstrouma HighNortheast ElementaryNortheast HighPrescott MiddleWestdale MiddleBroadmoor High (Privately Funded)Glasgow Middle (Privately Funded)Scotlandville Middle (Privately Funded)

E. Feliciana ParishClinton Clinton High

Grant ParishDry Prong Dry Prong Jr. HighPollock Elementary

Iberville ParishSt. Gabriel East Iberville Elementary and High

JacksonJackson Complex (Privately Funded)

Jackson ParishJonesboro Jonesboro Jr. and Sr. High

Jefferson ParishHarveyWest Jefferson HighKennerBonnabel High (Privately Funded)MarreroJohn Ehret HighMetairieRiverdale High Westwego Butler Elementary

Lafayette ParishLafayette Northside HighCarencro Middle

LaSalle ParishJena Jena Jr. HighJena Sr. High

Madison ParishTallulah Madison High

Morehouse ParishBastropMorehouse Jr. High

Natchitoches ParishNatchitochesCloutierville Elementary Marthaville ElementaryLakeview Jr. and Sr. HighNatchitoches Central High

Orleans ParishNew Orleans O. Perry Walker HighMcDonogh 35 High (Closed Mid Year- No Data) McMain HighScience and Math High(Community Clinics)Douglass High (Privately Funded)Behrman Elem. (Privately Funded)Henderson Elem. (Privately Funded)

Ouachita ParishMonroe Carroll Jr. High Magnet W. Monroe Riser MiddleWest Monroe High

Point Coupee ParishMorganzaPointe Coupee Central High

Rapides ParishDeville Buckeye HighGlenmora Glenmora Elementary and HighLena Northwood PreK-12Pineville Pineville Jr. HighLessie Moore ElementaryTioga Tioga Jr. HighTioga Sr. High

Richland ParishDelhi Delhi Jr. and Sr. HighRayville Rayville High

St. Bernard ParishChalmetteChalmette High

St. Charles ParishSt. RoseAlbert Cammon MiddleSt. Rose Elementary

St. Helena ParishGreensburg St. Helena Central ElementarySt. Helena Central MiddleSt. Helena Central High (Federal Funding)

St. Martin ParishBreaux BridgeBreaux Bridge SchoolsCecilia Cecilia SchoolsSt. Martinville St. Martinville Schools

St. Mary ParishBaldwinWest St. Mary High

Washington ParishBogalusa Bogalusa HighBogalusa Jr. High

W. Feliciana ParishSt. Francisville Family Service Center

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Region Parish SBHC Location Grades Served

NumberSchools Served

Total Student Enrollment

Total SBHC Registration

% SBHC Students Enrolled

TotalPatients Served

I Jefferson Butler Elementary K-9 3 2,058 1,534 75% 572 Ehret High (New) 9-12 1 DNA DNA DNA DNA Riverdale High 6-12 2 1,231 900 73% 687 West Jefferson High 9-12 1 1,350 1,025 76% 541 Orleans McDonogh 35 High (Closed Mid-year) DNA DNA DNA DNA O. Perry Walker High 9-12 1 859 671 78% 418 Science & Math Charter * 7-12 2 1,086 1,086 100% 1,028 & McMain Secondary* St. Bernard Chalmette High 8-12 1 1,294 1,256 97% 1,226 II Iberville E. Iberville Elem & High (Closed Mid-year) DNA DNA DNA DNA E.B.R. Istrouma High 9-12 2 881 711 81% 425 Westdale Middle 6-8 1 911 817 90% 546 Glen Oaks High 9-12 1 746 601 81% 394 Glen Oaks Middle 6-8 1 308 281 91% 210 Prescott Middle 6-8 1 289 266 92% 250 Northeast Elementary K-6 1 458 458 100% 446 Northeast High 7-12 1 674 671 100% 422 Capitol High 9-12 1 402 340 85% 225 E. Felic. Clinton High 6-12 2 796 754 95% 556 W. Felic. Family Service Center PreK-12 5 2,317 2,107 91% 1,686

Pointe Coupee Pointe Coupee High PreK-12 2 935 833 89% 470 III St. Charles Albert Cammon Mid (New) PreK-8 2 DNA DNA DNA DNA St. Mary West St. Mary High 6-12 2 1,318 1,173 89% 453 IV Lafayette Northside High 9-12 1 960 789 82% 706 Carencro Middle (New) 6-8 1 DNA DNA DNA DNA St. Martin Cecilia PreK-12 4 2,643 2,391 90% 1,002 Breaux Bridge PreK-12 6 3,154 2,854 90% 770 St. Martinville PreK-12 4 2,361 1,926 82% 849 V Allen Oakdale Middle 5-12 3 698 655 94% 1,003 Calcasieu Washington-Marion 9-12 1 597 553 93% 440 Clifton Elementary PreK-5 1 253 242 96% 211 Molo Middle 6-8 1 597 553 93% 342 Combre-Fondel* PreK-5 1 368 365 99% 272 Cameron South Cameron PreK-12 1 320 315 98% 267 VI Avoyelles Avoyelles Charter* & K-12 2 1,439 1,315 91% 1,146 Mansura Middle Grant Dry Prong Jr. & PreK-8 3 1,054 1,014 96% 889 Pollock Elementary* LaSalle Jena Jr. & Sr. High* 7-12 2 617 602 98% 505 Rapides Buckeye High 6-12 1 940 940 100% 695 Glenmora PreK-12 2 608 608 100% 465 Northwood PreK-12 1 788 788 100% 644 Pineville & Lessie Moore* PreK-8 2 1,066 993 93% 799 Tioga Jr. High 7-8 1 515 503 98% 441 Tioga Sr. High 9-12 1 836 836 100% 583 VII Caddo Linwood Middle 6-8 1 655 467 71% 364 Atkins Elementary PreK-5 1 450 450 100% 347 Woodlawn High 9-12 1 659 659 100% 526 Natchitoches Lakeview Jr. & Sr. High 9-12 1 288 288 100% 348 Natchitoches Central High 9-12 1 1,284 1,163 91% 812 Marthaville Elementary* PreK-8 1 377 358 95% 269

Cloutierville Elem & Jr.* PreK-8 1 407 368 90% 302

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OPH Funded SBHCs 2009 - 2010Academic Year

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VIII Jackson Jonesboro Middle & Sr. 3-12 2 744 505 68% 304 Madison Madison High PreK-12 3 1,458 897 62% 587 Morehouse Morehouse Jr. High (New) 6-12 2 1,438 374 26% 281 Ouachita Riser Middle PreK3-8 5 1,939 1,143 59% 924 West Monroe High PreK4-12 3 2,305 1,623 70% 992 Carroll Jr. & Sr.High 7-12 2 909 865 65% 520 Richland Delhi Jr. & Sr. High PreK-12 4 1,283 1,123 88% 612 Rayville High PreK-12 5 1,894 1,174 62% 668 IX St. Helena Central Elementary PreK-4 1 534 475 89% 374 Central Middle 5-8 1 375 368 98% 306 Washington Bogalusa High 9-12 1 510 479 94% 427 Bogalusa Jr. High 7-8 1 524 498 95% 350 TOTAL 28 Parishes 66 SBHCs 107 58,091 47,404 82% 32,078

TotalPatients Served

% SBHC Students Enrolled

Total SBHC Registration

Total Student Enrollment

Number Schools Served

Grades Served SBHC Location Region

Jackson Complex SBHCJackson Complex SBHC opened in December 2005 through funding from Hurricane Katrina relief money from the W.K. Kellogg Foundation. The SBHC receives fi nancial assistance from the Primary Care Providers for a Healthy Feliciana Community Clinic and grants from various foundations including one from the National Association of Coordinated Health Centers (NACHC).

St. Helena Central High SBHC In 1999, the St. Helena Central High SBHC began serving students upon receiving funding from the Health Resources and Services Administration, Bureau of Primary Care.

Bonnabel High SBHCBonnabel High SBHC opened in March of 2009 and is operated by the Jefferson Parish School System. Medical services are provided by Ochsner Medical Foundation. Funding is from the Jefferson Parish School System, Ochsner Medical Foundation, and community donations.The school serves Ralph J. Bunche Academy as a feeder school with van transportation.

Scotlandville Elementary Broadmoor HighGlasgow MiddleScotlandville Elementary SBHC opened in January 2007 through funding from the W.K. Kellogg Foundation, as well as the East Baton Rouge Parish School System.

Broadmoor High and Glasgow Middle are alsoin East Baton Rouge Parish. Both SBHCs opened during the 2009-2010 school year and were established through collaborative efforts of Health Centers in Schools, the East Baton Rouge School System, and private funders.

* Part-time Satellite ClinicsDNA Data Not Available

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Louisiana SBHCs Funded by Other Sources

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Community Health Clinics Located on School CampusesThe Interim LSU Public Hospital received partial funding through a grant from the U. S. Department of Health and Human Services to operate three community health clinics, located

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Highlights

Initial Operating GrantsThe ASHP awarded six planning grants in FY 08-09 and all six successfully completed the planning process. In FY 09-10, ASHP obtained budget approval for increased dollars to issue a call for proposals for implementation grants. Applications for implementation dollars are subject to the same rigorous competitive review process as are planning grant applications. Although sponsors for all six planned sites submitted excellent proposals, OPH/ASHP could only fund four based on the funding available. The following four sponsors were awarded initial operating grants.

Jefferson Parish School System (JPSS)The JPPS opened its fourth SBHC at Ehret High School on the West Bank of Jefferson Parish. Ehret is the largest high school in the metropolitan New Orleans area with an enrollment of approximately 1800 students. JPSS partnered with Ochsner Health System as the medical provider for Ehret.

Lafayette Parish School System (LPSS)The LPSS partnered with Opelousas General Health Services as the medical provider for a

new SBHC at Carencro Middle School. Thisis the second SBHC in Lafayette Parish and the fi rst one sponsored by the school system.

Morehouse Community Medical Center (MCMC)The MCMC, a Federally Qualifi ed Health Center (FQHC), established a SBHC at Morehouse Junior High. The center will also serve Bastrop High School and the combined enrollment of the two schools is about 1400 students. This is the fi rst SBHC to open in Morehouse Parish.

St. Charles Community Health Center (SCCHC)The SCCHC opened the first SBHC in St. Charles Parish at Albert Cammon Middle School. The SBHC will also serve St. Rose Elementary School. This is only the second SBHC in all of Region 3, along with St. Mary Parish. SCCHC is a FQHC. Certifying non-OPH SBHCs for MedicaidThe ASHP office, as part of its technical assistance and monitoring function, certifi es non-OPH funded SBHCs as eligible to bill Medicaid as a SBHC provider type. To achieve this certifi cation, a SBHC must meet all of ASHP’s requirements, as detailed in the Principles,

Number % SBHC Total SBHC Grades Schools Total School Total SBHC Students PatientsRegion Parish Location Served Served Enrollment Registration Enrolled Served

I Jefferson Bonnabel High 9-12 2 1400 800 57% 516

II E. Feliciana Jackson Complex K-12 1 778 626 81% 581 II E. Baton Rouge Scotlandville Elem. PreK-5 1 448 332 74% 332 Broadmoor High 9-12 1 1036 490 47% 278 Glasgow Middle 6-8 1 570 485 85% 378 IX St. Helena Central High 9-12 1 319 245 77% 235

Total 4 Parishes 6 SBHCs 5 4,545 2,003 44% 1,664

on school campuses throughout the city of New Orleans. These clinics are staffed by hospital employees. The clinics provide services to the students, as well as the surrounding communities.

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Standards and Guidelines for SBHCs in Louisiana.This Medicaid certifi cation authorizes the SBHC to receive a waiver to meet the requirement of needing a primary care physician referral for children age 10 or older, in order to be reimbursed for services provided in the SBHC. In 2009-2010, ASHP certifi ed the following sites as eligible to apply as the SBHC provider type with Medicaid: Bonnabel High, sponsored by Jefferson Parish School System, Jefferson Parish

Glasgow Middle and Broadmoor High, sponsored by Health Centers in Schools, East Baton Rouge Parish

Electronic Medical Record (EMR)The SBHCs in the greater New Orleans area entered year three of a Robert Wood Johnson Foundation grant that enabled 10 SBHCs (both OPH and non-OPH funded) to adopt Electronic Medical Records (EMRs) and to receive technical assistance from the Louisiana Public Health Institute to ensure full usage and adaptation to the SBHC environment. Across the state, SBHCs are pursuing the adoption of EMRs and are being assisted through the efforts of the Louisiana Health Care Quality Forum and other initiatives dedicated to the use of EMRs as one tool in the pursuit of achieving better health outcomes.

Collaboration with Offi ce of Public Health’s (OPH) STD and HIV ProgramsThe ASHP continued its collaboration with OPH’s STD and HIV Programs through distribution of Starlims software and printers to newly opened SBHCs and providing SBHC staff with access to HIV training sessions. Starlims is a Web-based system used by OPH’s laboratory and the STD program that allows clinics to use computers to generate requisitions for lab tests and to print barcode labels for specimens. Starlims also allows a clinic to look up test results online.

Hypertension ProjectASHP received a $68,585 grant from Blue Cross/Blue Shield (BC/BS) Foundation of Louisiana to screen, diagnose, treat and manage hypertension in school age youth. The initial program focused on fi ve pilot sites. The dollar amount of the grant is the projected amount that it costs to provide a

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person with kidney dialysis for one year. Renalfailure is just one possible side effect of untreatedhypertension. As part of the project, ASHP staff and the SBHC field staff worked together to revise the ASHP Hypertension Best Practice to include the most current American Academy of Pediatrics (AAP) and Center for Disease Control and Prevention (CDC) guidelines; standardize coding and data collection across the fi ve sites; develop protocols for lab work, follow up, and referral; and add a lifestyle counseling component as part of follow up procedures. The results of the pilot were impressive.

Following the pilot, BC/BS granted a rollover of remaining funds that allowed ASHP staff to train personnel in the remaining 60 SBHCs in project protocols so that SBHCs statewide could continue this important program into the 2010-2011 school year.

Obesity2009-2010 is the third year that ASHP has provided the Louisiana Obesity Council with prevalence data on Body Mass Index (BMI) for students who visit Louisiana’s SBHCs. The BMIs are calculated using the CDC formula which is specifi cally designed to determine BMI in children. ASHP Best Practice guidelines require that height and weight measures be taken at least once per year on any child that visits the SBHC. SBHCs collected height and weight data on 16,057 students, consisting of 7,607 boys and 8,450 girls. The combined total for boys and girls showed that 295 students (1.84%) were underweight, 9,048 (56.35%) were within the normal weight range, 2,383 (14.84%) were overweight, and 4,331 (26.97%) fell into the obese category. For all categories, the percentage of girls was higher than the percentage of boys.

34 (1%)

44 (2%)

304 (11%)

StudentsConfirmed withHypertension

StudentsConfirmed with

Pre-Hypertension

Students Identifiedwith Elevated

Blood Pressure

Students Screened for Hypertension = 2,865

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The staff at the Allen Parish SBHC initiated a “Testimonial Campaign” as a type of “satisfaction survey” and advocacy effort for the SBHC. They received 225 testimonials from the students and over 20 from parents. The staff sent 156 of these testimonials to Governor Jindal and to various other offi cials within state government, especially administrators within the Department of Health and Hospitals. The idea caught on with other SBHCs around the state. Here are just a few of the “rave reviews” the SBHCs received.

From Students at the Allen Parish School-Based Health Center“The reason why I like going to the School- Based Health Center is because everyone in there is sweet and very caring. I feel safe, warmth and loved when I go in there. Everyone in there knows what they are doing and also knows how to make you feel better. Also, they make you feel important and I know whenever I need something, I can count on them!” “I like going to our School-Based Health Center because they are always friendly. Mrs. Phyllis Crawford is always there when you need her. Mrs. Sylvia Crawford always knows the right care each patient needs. The nurses always call in medicine for any treatment you may have. I know my family trusts them because they are always on top of things. The School-Based Health Center is the best place to go for any treatment.”

“I like going to our School-Based Health Center because if I’m sick, they give me the medicine required. I like going there for another reason: the kind nurses tell me what type of things I should and shouldn’t do and what I should and shouldn’t eat. When I go there, there’s no reason to be afraid because the nurses are nice and the treatments are quick.”

“I like going to our School-Based Health Centerbecause it allows us to learn what we need if

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Testimonials

we return to class. It allows us to get physicals in our school if we are going to participate in sports. The SBHC lets us learn about our bodies and what happens when we do drugs with their informative posters. When I have a problem they fi x my problem and let me go back to class.”

From Parents and Students at St. Martin Parish School-Based Health Centers “The School-Based Health Center was and has been wonderful to my son. They have helped him to cope and deal with problems and with school. It is also great to have the center to call or bring my child to, when I am not able to get a doctor’s appointment the day he is ill. In addition, some schools are able to have a bus come to school to pick-up students who don’t have transportation to the health center. That is very much needed for the parents who work and are not able to leave work or those parents on foot during the day.”

Catahoula Elementary Parent and School Employee

“The nurses are friendly and helpful. The counselor is very good at helping my child with his problem with test fear, anger and not wanting to stay in school.”

Catahoula Elementary Parent

“They give a lot of help to parents and kids. It is very good for the system.”

Catahoula Elementary Student

“I like that it is quiet and not too loud. Also everyone is very nice and caring, and also how they are very calm.”

St. Martinville High Student

“I think the SBHC is very nice. The students get to come to the health center while they are attending school. It is just a few minutes of school to be missed for any sickness. They get to be treated here or sent home if need be. The children are very well taken care of with a wonderful staff.”

St. Martinville Parent

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Fiscal Year Funding Source Number of SBHCs

1987-88 Robert Wood Johnson (RWJ) Foundation grant 2 in Baton Rouge1989-90 Louisiana Legislature asks OPH 1 in New Orleans to study SBHC expansion

1990-91 Adolescent School Health Initiative Act passes, authorizing OPH to develop SBHCs

1992-93 Maternal and Child Health (MCH) Block Grant Affi liation established with 1 SBHC in W. Feliciana & the 3 RWJ SBHCs

From Students at the O. Perry Walker School-Based Health Center“O. Perry Walker School-Based Health Clinic has an excellent staff that is always generous, kind, loving, and helpful. Every time I come in the clinic I feel like I am at home because the staff treats me like family.”

“The SBHC has helped me not miss days and stay in school. The treatment was nice and helped whenever I had a headache.”

“The SBHC has helped me stay in school and not miss days. The treatment was nice and now my bones feel 100% better since Dr. King helped me. Thanks for the help! ”

“The SBHC has had a huge impact on my health by me not being able to see a doctor. I can always come to the clinic, return to class and get my lesson without missing school.”

“SBHC has had a pretty big impact on my life as far as confi dence, acceptance and guidance. The team members are an absolute joy to hang around! They’re very serious about their work and they do it well. No child is left behind-ever! I enjoyed and cherished my times with them and will always keep their kind words and helpful advice at heart. I am utterly grateful for them.”

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SBHC Funding History

“The impact the SBHC has had on my healthwas and still is that they are always there when you need them. They would never not have what you need and plus they help you with other things other than what they’re paid to do. For example, they help you with problems to help you understand them better. Also they help to keep students in school by not turning their backs to them and most of all they always are able to answer any question that you throw at them. They just have loving and warming attitudes towards everyone at all times.”

“They are loving people. They care for the kids and they are positive role models. They are women who combine working for us with fun. They love their job and the kids. They care for us like their own.”

“The clinic is very helpful for our school because sometimes students will go home because they are not feeling good. Now all they have to do is go to the clinic. There are some students who do not have medical insurance so this is easy access for them when they are at school.”

“My comment on the social worker is that she is kind and sweet and always very supportive. The nurses and doctors took care of me very good. The nurses always have anything that I need. The doctors treated me with excellent care.”

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1993-94 MCH Block Grant 5 new SBHCs open in rural & inner city urban areas

1994-95 MCH Block Grant; $1.6 million in one-time state funds; 1 new SBHC opens; Child Care & Development Block Grant for day-care 14 in planning stages; activities; RWJ Making the Grade Planning Grant 10 supportive projects

1995-96 MCH Block Grant; $2.5 million in state budget; 5 new SBHCs open; RWJ Making the Grade Planning Grant 8 continue planning

1996-97 MCH Block Grant; $1.6 million RWJ Foundation 23 operational SBHCs Implementation Grant; $2.65 million state legislative 8 planning for 1997-98 appropriation operation

1997-98 MCH Block Grant; continuation of RWJ Foundation grant; 30 operational SBHCs continuation of state legislative appropriation 7 planning for 1998-99 operation

1998-99 Continuation of existing funding sources; additional 35 operational SBHCs $600,000 in state legislative appropriation

1999-00 Last year of RWJ Foundation Grant; continuation of MCH Block 40 operational SBHCs Grant & state legislative appropriation; additional $1,018,176 in state legislative appropriation

2000-01 Continuation of MCH Block Grant & state legislative appropriation; 47 operational SBHCs additional $1,618,588 in state legislative appropriation 6 planning SBHCs

2001-02 Continuation of MCH Block Grant & state legislative appropriation; 53 operational SBHCs additional $820,000 in state legislative appropriation

2002-03 Continuation of MCH Block Grant & state legislative 51 operational SBHCs appropriation. $100,000 in Prevention Block Grant to implement the Best Practices for Prevention in SBHCs Initiative

2003-04 Continuation of MCH Block Grant, Prevention Block 53 operational SBHCs Grant, & state legislative appropriation. additional $264,800 in state legislative appropriation

2004-05 Continuation of MCH Block Grant & state legislative 54 operational SBHCs appropriation.

2005-06 Continuation of MCH Block Grant & state legislative 47 operational SBHCs appropriation.

2006-07 Continuation of MCH Block Grant; additional $1.6 million 52 operational SBHCs in state legislative appropriation 9 planning grantees projected 2007-08 Continuation of MCH Block Grant; additional $855,284 in 62 operational SBHCs state legislative appropriation.

2008-09 Increase in MCH Block Grant; additional $325,000 in state 62 operational SBHCs, 6 legislative appropriation; 2.5% mid-year across the board increase planning grants projected to SBHC contracts 2009-10 4% across the board cut to existing SBHC contracts due to decrease in MCH 66 operational SBHCs Block Grant funding and state legislative appropriation; additional allocation for implementation grants led to four out of six planning grantees becoming operational; two sites received one time legislative line item appropriation

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Louisiana Standards for School-Based Health Centers

Primary GoalTo provide convenient access to preventive and primary health services for students who might otherwise have limited or no access to health care.

To meet the physical and emotional health needs of adolescents at their school sites.

Community ParticipationAll health centers must originate as a community initiative. State funding is dependent upon evidence of broad community participation.

Sponsoring AgencyThe sponsoring agency must be either a public or a private non-profi t institution (i.e., health center, hospital, medical school, health department, youth serving agency, school or school system) locally suited and fi scally viable to administer and operate a health center serving the needs of school age youth.

School and School DistrictThe host school should agree to work cooperatively with its health center, particularly in developing and implementing a full-scale coordinated school health program. School board approval is a prerequisite for a grant of state funds for planning or operation.

ServicesSBHCs must offer comprehensive preventive and primary health services that address the physical, emotional, and educational needs of its student population. Services provided should include medical screenings; treatment for common illnesses and minor injuries; referral and follow-up for serious illnesses and emergencies; on-site care, consultation, referral and follow-up for pregnancy; chronic diseases and disorders; and emotional and mental/behavioral health problems; comprehensive physicals; immunizations; laboratory testing; and preventive services to reduce high-risk behaviors.

Parental ConsentA parent or guardian must sign a consent form, approved by school authorities, for a student to receive health center services. Parents may indicate which services they do not wish their

children to receive by submitting a written statement of exclusion.

Operating PoliciesThe hours of operation should ensure that students have easy access to the center’s services. In general, SBHCs should have both before and after-school hours and should operate for some period of time during the summer.

Every School-Based Health Center is required to promote abstinence. Centers are prohibited by state law from distributing contraceptives or abortifacient drugs or devices, and from counseling or advocating abortion, or referring any student to an organization for counseling or advocating abortion.

Staffi ngServices at the school health centers are provided by multi-disciplinary teams including physicians, nurse practitioners, registered nurses, and licensed behavioral health professionals. In addition, the SBHC is staffed with an offi ce assistant and an administrator.

Selection CriteriaThe ASHP seeks to provide services to young people with limited or no access to health care providers. Grants are made through a competitive call for proposals process with decisions based upon the socioeconomic and health needs of the student population to be served, the health services available in the communities, the level of community support, the likelihood of success in developing and operating SBHCs that will fulfi ll its service objectives, fi nancial stability, sustainability and the working relationship between the schools and health care communities.

Continuum of CareCenters must execute cooperative agreements with community health care providers to link students to support and specialty services not provided at the school site. Centers must arrange 24-hour coverage, ensuring that students have access to services during non-operating hours, including nights, weekends, holidays and summer vacation.

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Continuous Quality Improvement Tools

Purpose of CQI On-Site Reviews

Results of Continuous Quality Improvement ASHP uses the Louisiana Performance Effectiveness Review Tools I and II (LaPERT I & II) to conduct quality assurance reviews. LaPERT I was adapted from the New York quality assurance tool and LaPERT II was based on the National Assembly on School-Based Health Care’s protocol. LaPERT I evaluates a SBHC’s adherence to overall standards and LaPERT II focuses on sentinel conditions, such as comprehensive physical exams, immunization rates, asthma management, data management, academic achievement, and health insurance enrollment. Nine SBHCs were reviewed in 2009-10 as part of the rigorous continuous quality improvement program. Improvements continue to be measured. Overall immunization rates improved during the year. When randomly selected charts were audited,

the number of students with up-to-date immunizations increased from 62% in the fi rst quarter, to 87% in the fourth quarter. For students receiving a comprehensive exam, 100% of charts audited had documentation of a

tobacco screening and, if necessary, counseling to address tobacco use. Of random charts audited during site visits, 100% had a

yearly height, weight, blood pressure and body mass index documented. In addition, all random charts audited were up-to-date with immunizations. SBHC staff work closely with school personnel and have

been able to document improved grades for students who were previously struggling. SBHCs continue to make an impact on keeping rates of

uninsured students low (see chart at right).

13%

9%8%

7%8% 8%

2004-05

2005-06

2006-07

2007-08

2008-09

2009-10

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Continuous Quality Improvement (CQI) Program

Identify best practices

Assess quality of

services & data

Verify compliance

Identify barriers to

quality services

Recommendimprovements

CertifySBHC

throughOPH

LAPERT Ifocuses on verifying the SBHC’sself-reported performance in 3 areas: administrative, medical,

and behavioral health.

LAPERT IIfocuses on core sentinel conditions and consists

primarily of patientchart audits and data.

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injury, educational circumstance, substance use/abuse, family circumstances, high-risk sexual behavior, behavioral and interpersonal problems, family disruption, dietary issues, bereavement, and other concerns. Once issues are identified, providers counsel students regarding specific risks and engage them in adopting alternate behaviors that prevent these risks from becoming bad health habits. This may be done in individual counseling sessions or through group sessions whereby students support one another to adopt healthy behaviors. By identifying risky behaviors early and providing health education counseling, SBHCs can prevent students from developing bad habits that contribute to poor health outcomes in adulthood.

Screening for Sexually Transmitted Disease (STD) and Human Immunodefi ciency Virus (HIV)STDs can cause serious illness, including chronic pain, infertility, infections in the unborn child, and potentially fatal ectopic pregnancies. Persons with STDs are more susceptible to contracting HIV/AIDS. National data indicate that HIV infection and AIDS remain a leading cause of mortality and morbidity in the United States. A large percentage of people are diagnosed with AIDS in early adulthood. This means that they contracted HIV as adolescents, or earlier. Survival decreased as age at diagnosis increased among persons at least 35 years old at diagnosis and in comparison with persons younger than 35. Early detection and treatment of STDs/HIV can prevent chronic disease and deaths, thus saving lives, improving a person’s quality of life and productivity, and reducing health care costs.

ASHP has a Best Practice for both STD and HIV screening/prevention. Based on the Center for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP)

The Adolescent School Health Program (ASHP) launched the Best Practices for Prevention in SBHCs Initiative in 2001-2002. The Best Practices are a set of clinical guidelines for SBHC preventive services based on national recommendations. SBHC staff participates in ongoing educational workshops where the guidelines are highlighted. As the SBHCs implement the Best Practices, they also measure success by collecting outcome data. The Best Practices have been incorporated into the ASHP Continuous Quality Improvement (CQI) Program and correspond to the core measures of quality that are evaluated on site visits.

To date the following Best Practices have been developed: Type 2 Diabetes Screening, Hypertension Screening, Immunization Administration, Cervical Cancer Screening, Sexually Transmitted Diseases (STD) Screening, Tobacco Cessation, and Resource Tool for Comprehensive Physical Exams.

Comprehensive Physical Exams Including Risky Behavior AssessmentPromoting positive, long term health outcomes through prevention and wellness programming is the cornerstone of the SBHC model of physical and behavioral health care. Adult health habits, both good and bad, are often established during adolescence. Some adolescents engage in risky behaviors that can jeopardize their current health and lead to poor health later in life. Therefore, it is important to identify these risky behaviors in youth and attempt to change these behaviors to more positive habits. As standard procedure, SBHCs administer an assessment of risky behaviors to all students who receive comprehensive physical exams. During the 2009-10 school year, students completed 8,383 risk assessments. Providers identifi ed the following risky behaviors:

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Best Practices for Prevention in SBHCs

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guidelines, ASHP’s Best Practice recommends STD screening for any student who is sexually active or has symptoms that may indicate the existence of an STD. The CDC guideline for HIV is that all patients aged 13-64 be screened routinely for HIV infection, regardless of risk. Currently SBHCs are encouraged, but not required, to implement rapid HIV testing for students within the CDC recommended age range. In conjunction with the OPH STD/HIV Program, ASHP coordinates training for SBHC staff in STD/HIV screening, treatment, referral and counseling protocols and procedures.

In 2009-2010, SBHCs performed 751 STD screenings, a 9% increase over 2008-2009. There were 3,396 HIV screenings, representing a 46% increase over the previous year total. Students who test positive for STDs are either treated within the SBHCs, or referred out. Students who test positive for HIV are referred to appropriate resources. SBHCs provide health education and counseling for all students with concerns related to STDs and HIV, whether or not a student is found positive for these conditions. For information on STDs and HIV from CDC, click on the following links:

http://www.cdc.gov/std/http://www.cdc.gov/hiv/

Screening for Hypertension & Type 2 DiabetesObesity is a major risk factor for the development of hypertension and type 2 diabetes in youth. SBHCs continue to identify at risk youth with hypertension and type 2 diabetes. During the 2009-2010 school year, 808 students at risk were screened for type 2 diabetes at SBHCs across the state. Twelve, or 1.5%, of the students screened tested positive for type 2 diabetes and were referred to their primary care physician for follow up. The SBHCs are available to assist in monitoring and management of the disease. Weight reduction, along with an exercise program, is an important step in the management of both hypertension and type 2 diabetes. The school setting provides an excellent opportunity for education on lifestyle changes and the implementation

of policies and programs that can address obesity. The ASHP preceived a grant from Blue Cross Blue Shield of Louisiana to further refi ne procedures and protocols related to screening for hypertension. The program will be piloted in fi ve SBHCs in FY 2009-2010 and will include lifestyle counseling on nutrition and physical activity as a component.

ImmunizationsAs part of their mission to provide preventive services to school-aged children in Louisiana, SBHCs provided 42,306 immunizations for their students throughout the year. In response to the H1N1 pandemic of the 2009-2010 school year, many SBHCs were integral partners in immunization drives, as well as providing education on how to prevent the spread of the disease.

Another example is the pivotal role the three SBHCs in St. Martin Parish played in the efforts of the school district to assist the community with preventive measures against infl uenza. The medical staff of the SBHCs teamed up with the school nurses to provide presentations to each of the schools on proper hand washing, which included using a black light, a video, handouts, and posters to remind students and staff of the importance of proper hygiene. In December, the coordinator of the three SBHCs organized and coordinated a collaborative effort between the SBHCs, the school nurse program, the Louisiana Department of Education, and the Offi ce of Public Health to bring H1N1 vaccinations to the students and communities in St. Martin Parish. Three separate vaccination clinics were held on Saturdays and 1209 vaccinations were given. SBHC staff, school nurse staff, and Offi ce of Public Health staff assisted in various capacities, including: registering patients; administering the vaccines; and crowd control. The vaccination clinic held at Breaux Bridge Junior High School, the location of one of the St. Martin SBHCs, had the highest turnout for all of Region IV. The school district would not have been able to provide this service if not for the SBHC staff.

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Section Two

Who Visits SBHCs

and Why

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Number of Conditions Seen at SBHCs, by Category

Number of Visits

47,133 Students Registered at SBHCs32,151 Students Received Services at SBHCs141,414 Total Individual Visits Made to SBHCs4.4 Average Number of Visits Per Student5,257 Total Visits For Group Counseling

A Glance at 2009-2010Utilization

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Louisiana School-Based Health Centers

1723401814731,796

2,4433,2844,5104,6174,7935,9566,2956,584

10,81514,255

18,38528,793

35,96059,818

NeoplasmsComplications of Pregnancy, Childbirth

Congenital AnomaliesEnvironmental Event as Cause of Injury

Circulatory SystemBlood

Infectious & Parasitic DiseasesSkin & Subcutaneous Tissue

MiscellaneousEndocrine, Metabolic Immunity

Genitourinary SystemNervous System & Sense Organs

Musculoskeletal SystemDigestive System

Injury & PoisoningHealth Education

Respiratory SystemBehavioral Health

* Symptoms, Signs & Ill-Defined ConditionsPreventive Health, Observation, Exams

* OPH-ASHP categories were changed 2008-2009 to refl ect the ICD-9 code book categories. The Symptoms, Signs & Ill-Defi ned Conditions Category includes, but is not limited to the following conditions: abdominal pain, cough, headache and nausea.

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Leading Reasons for Preventive Health, Observation, Exams, Visits

Number of Visits

Leading Reasons for Behavioral Health Visits

Number of Visits

2,238

2,393

3,276

3,661

3,838

3,980

4,550

4,915

5,247

8,448

Diphtheria, Tetanus, Pertussis Vaccine

Varicella Vaccine

Lab Exam

Follow-Up Exam

Sports/Job/Camp Physical Exam

Special Screening for Hypertension

Hearing Exam

Routine Medical Exam

Eye Exam

Influenza Vaccine

217

259

539

1,165

1,807

3,497

4,170

4,915

5,789

6,012

Counseling, Victim of Child Abuse

Psychoses

Screening for Mental, Developmental Problem

Bereavement, Uncomplicated

Educational Circumstance

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Other Mental Disorders

Interpersonal Problems

Family-Related Problems

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Leading Conditions for Injury and Illness Related Visits

Leading Reasons for Health Counseling and Educational Visits

Number of Visits

Number of Visits

40

414

519

1,028

1,798

1,958

2,392

2,442

3,664

Person Feigning Illness

HIV Counseling

Exercise Counseling

Counseling on Substance Use & Abuse

Dietary Surveillance & Counseling

Counseling for Other STDs

Counseling on Injury Prevention

Counseling, Not Otherwise Specified

Counseling, Other Specified

2,599

2,921

2,992

3,156

3,614

3,654

3,876

4,201

4,793

13,636

Dyspepsia

Throat Pain

Cough

Dysmenorrhea

Allergic Rhinitis

Diabetes

Cold

Injury

Abdominal Pain

Headache

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Total Visits by Grade for All SBHCs

Total Visits by Sex, 2009-2010 Total Visits by Race, 2009-2010

Female 56%79,174

Male 44%62,240

African American 60%85,235

White 37%52,232

Other 3%3,947

Total Visits by Disposition, 2009-2010

233

304

5,086 135,791

Call 911/ER referral via parent

Other urgent referral

Sent home

Sent back to class

242134

1,719

3,1473,891

4,0685,155

5,5956,028

12,204

17,30317,418

19,000

17,654

14,824

11,632

383 129542 346

Early Headstart

Headstart

Pre-Kindergarten

Kindergarten

FirstSecond

ThirdFourth

FifthSixth

Seventh

Eighth

NinthTenth

Eleventh

Twelfth

Graduate

GEDNot In School

Other

Of the 141,414 visits to Louisiana SBHCs, students were sent back to class 96% of the time, thereby reducing time students are out of school.

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The Adolescent School Health Program began in urban schools with high concentrations of economically disadvantaged and uninsured students. However, immediately after its inception, rural communities recognized the immense value SBHCs have toward providing health care services to school-age youth otherwise lacking access to health care. While all young people experience similar needs, both the obvious and subtle differences can be addressed by the local SBHC, because it remains a community-based initiative.

Comparison Ranking of Top 10 Conditions, Rural versus Urban

Total Visits by Provider Type, 2009-2010

Total Visits by Rural and Urban SBHC Sites, 2009-2010

98

162

326

478

487

7,716

28,787

48,304

55,056

Dentist

Dietician

Dental Hygienist

Psychiatrist

Prevention Specialist

MD

SW/LPC

NP

RN

Urban 52%73,702

Rural 48%67,712

Services in SBHCs are provided by a multidisciplinary team of professionals who work together to address all aspects of the students’ well being: physical, mental, and emotional. (See chart on the left.) All SBHCs are staffed with nurses, primary care providers (nurse practitioners and physicians) and licensed behavioral health professionals. Some SBHCs also have psychiatrists and psychologists. A few SBHCs are able to offer dental services onsite.

Rural Urban1. Preventive Health, Observation, Exams 1. Preventive Health, Observation, Exams2. Symptoms, Signs & Ill-Defi ned Conditions 2. Symptoms, Signs & Ill-Defi ned Conditions3. Psychosocial & Economic Circumstances 3. Respiratory System4. Respiratory System 4. Health Education5. Injury & Poisoning 5. Psychosocial & Economic Circumstances6. Health Education 6. Mental Disorders7. Mental Disorders 7. Injury & Poisoning8. Digestive System 8. Digestive System9. Nervous System & Sense Organs 9. Musculoskeletal System10. Musculoskeletal System 10. Nervous System & Sense Organs

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Rural Sites

Urban SitesNumber of Visits

Number of Visits

1,3432,219

2,1422,2981,335

1,7511,724 2,675

2,1812,666

1,0502,387

1,9611,197

2,8602,248

6,5184,290

2,8741,264

2,8983,044128

2,3823,063

2,5721,626

5,017

West St. Mary HighTioga Jr. High

Tioga HighSt. Martinville

St. Helena Central MiddleSt. Helena Central Elem

Pointe Coupee Centeral HighNorthwood High

Northeast HighNortheast Elementary

Marthaville ElementaryMadison Senior High

Lakeview Jr/SrJonesboro

Jena Jr & High.Glenmora Elem&HighFamily Services Center

Dry Prong Jr/Pollock.Delhi Elem, Jr. & High

Cloutierville Elem/Jr HighClinton Middle

CeciliaCarencro

Buckeye HighBreaux Bridge

Bogalusa Sr. HighBogalusa Jr.

Avoyelles Charter-Mansura

3,4162,944

2,6952,118

1,9911,413 3,443

3,6192,0772,123

3,2533,642

9453,900

4,2201,0402,850

4,6691,658

1821,821

1,6151,562965

1,1246,606

2,0011,836

2,5101,463

Woodlawn HighWestdale Middle

West Monroe HighWest Jefferson

Washington-MarionSouth Cameron High

Riverdale HighRiser

Rayville HighPrescott Middle

Pineville-Lessie MooreOakdale

O. Perry WalkerNorthside High

Natchitoches Central HighMorehouse Jr. High

Molo MiddleMcMain and Science &

Linwood MiddleJohn Ehret

Istrouma HighGlen Oaks Middle

Glen Oaks HighCombre-Fondel

Clifton ElementaryChalmette High

Carroll Jr High MagnetCapitol

Butler ElementaryAtkins

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Total Student Visits by Site, 2009-2010 (This includes 5,257 visits for treatment intervention groups)

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Insurance Status of SBHC Patients

Although SBHCs are mandated to serve middle and high school students, primary/elementary schools serve as “feeder” locations, so that younger students also have access to SBHC services. In some areas, SBHCs are located on primary/elementary school campuses when no space is available at nearby middle or high schools.

The primary reasons OPH funds SBHCs are demonstrated need and lack of access to care.

For every dollar the state invests in SBHCs, anadditional 61 cents is provided by other sources,including local communities, federal and private grants, and Medicaid. The local match of 20% is a requirement of the OPH grant, which these communities consistently exceed.

Recognizing that adolescents often delay or avoid seeking needed health services in traditional settings, the Louisiana Medicaid Program designated SBHCs as a unique provider type in Louisiana’s Community CARE Program in 2004-05.

Type of Sponsorship for Each SBHC

Sources of SBHC Funding

Type of Schools That House SBHCs

4

12

19

6

21

K-12

Primary

/Elem

entar

y

Middle

/Jr. H

igh

Jr. &

Sr. High

Sr. High

State Funding 59%

MCH Block Grant3% Medicaid

6% Local Match 32%

37

810

6

1

Hospita

l/Med

ical C

enter

Non-prof

it Organ

izatio

n

Schoo

l Dist

rict

Communit

y Health

Cen

ter

Founda

tion

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Private 22%31,311

Uninsured 6%8,983

Unknown 3%3,323Medicaid 69%

97,797

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Section Three

Louisiana SBHCs Profi les

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Oakdale Middle School

Allen Parish School BoardMichael K. Doucet, Superintendent

P.O. Drawer C417 West Court St.Oberlin, LA 70655

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Advisory Committee and Community PartnersOakdale Middle School-Based Health Center

Brian Manuel Families in Need of Services (FINS)Michael K. Doucet Superintendent, Allen Parish School BoardBarbara Lavan Supervisor, Allen Parish School BoardJohn W. Stigall CEO, Oakdale Community HospitalDeena Reed, RN Allen Parish School Nurse, Oakdale Elementary SchoolScott LeJeune Counselor, Oakdale Elementary SchoolCraig Cole, LPC Pupil Appraisal, Allen Parish School BoardJane Anders Counselor, Oakdale High SchoolNancy Willis Principal, Oakdale High SchoolKaren Maricle Assistant Principal, Oakdale High SchoolLinda Thompson Principal, Oakdale Middle SchoolLinda Brown Principal, Allen Alternative SchoolRachelle Fontenot Counselor, Oakdale Middle SchoolCathy Farris Allen Parish School Board MemberAlma Johnson Allen Parish School Board MemberBobby Odom Allen Parish School Board MemberPaula Karam, DDS Dentist, Oakdale, LABecky Monk Parent of StudentKim Ware Parent of StudentJudy Welch Parent of StudentMelinda Harrington Parent of StudentCaitlin Chenevert Student-Oakdale High SchoolAdrienne Murphy Student-Oakdale High SchoolSteve Jones, PT LA Physical Therapy Center of Oakdale, LLCDonna Newton The Health Enrichment Network, Oakdale, LALydia Greer, LPN The Health Enrichment Network, Oakdale, LAAnnette Hatsfelt, RN Director of Nurses, Oakdale Community HospitalBecky Johnson, RN Education Coordinator, Oakdale Community HospitalMarilyn Pickles Prevention Coordinator, Region V Offi ce of Addictive DisordersCharmaine Landry Prevention Coordinator, Region V Offi ce of Addictive DisordersDianne Flowers, RN Allen Parish Health Unit, Nursing SupervisorAnnette Kelly Community Member/Former FINS Offi cerDonna Stockwell Louisiana Medicaid/LaCHIP Program, Oberlin, LAThe Honorable Judy Abrusley Judge, City Court of OakdaleDr. Herbert A. Nesom, Jr. Allen Parish CoronerDr. M. R. Ghanta Oakdale School-Based Health Center Medical Director

Community Partners

Oakdale Community Hospital Allen Parish Health UnitAllen Mental Health Center FINSAllen Parish Outreach The Health Enrichment Network (THEN)Allen Parish Head Start Region V Offi ce of Addictive Disorders

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Six Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

114207209

276298

399478

835945

1,097

Genitourinary SystemDigestive System

Infectious & Parasitic DiseasesMental Disorders

Nervous System & Sense OrgansHealth Education

Injury & PoisoningSymptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, ExamsRespiratory System

404345

7580838788

89230

Special Screening for Diabetes MellitusRoutine Medical Exam

Influenza VaccineSpecial Screening for Hypertension

Tetanus-Diphtheria VaccineOther Specified Single Disease Vaccine

Other Specified Bacterial Disease VaccineObservation for Suspected Condition Exam

Varicella VaccineSports/Job/Camp Physical Exam

1

18

20

24

34

223

Psychoses

Bereavement, Uncomplicated

Stress/Anxiety-Related

Family-Related Problems

Emotion, Conduct Disorder, Hyperkinetic

Other Mental disorders

78109119121

143150157

191207

571

DysmenorrheaSprain/Strain

DyspepsiaNausea and Vomiting

InjuryViral Infection

Other Diseases of Nasal Cavity and SinusesAllergic Rhinitis

HeadacheCold

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m26

Oakdale Middle School-Based Health Center

Center Opened: May 2002

Schools Served:Oakdale Middle

Oakdale HighTotal Enrollment in schools:

698Total Enrollment in SBHC:

655Total visits to SBHC:

3,642Grades Served:

PreK-12

Oakdale Middle SBHC124 S. 13th Street, Bldg. 2P.O. Box 1122Oakdale, LA 71463(318) 215-1413(318) 215-1415 Fax

Sharon Rush, SBHC Director

StaffSylvia S. Crawford, FNPDaniel Estopinal, GSWPhyllis Crawford, RNDeanna Stalsby, Receptionist/Data Clerk

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CHRISTUS St. Frances Cabrini Hospital

Stephen Wright, CEO3330 Masonic Drive

Alexandria, LA 71201

Avoyelles Charter/Mansura MiddleBuckeye High

Cloutierville Elementary/Jr. HighDry Prong Jr. High/Pollock Elementary

Glenmora Elementary & HighJena Jr. High/Jena Sr. High

Lakeview Sr. HighMarthaville Elementary

Natchitoches Central HighNorthwood Elementary/High

Pineville Jr. High/Lessie Moore Elementary Tioga Jr. HighTioga Sr. High

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Community Partners for CHRISTUSSt. Frances Cabrini Hospital

Huey P. Long HospitalParish Substance Abuse ClinicWICPrevent Child Abuse LADSS Offi ce of Community ServicesAHECParish School BoardsNatchitoches Regional Medical CenterCapital OneTunica Biloxi Tribe of Louisiana

Mental Health Center of Central Louisiana American Red CrossCollege Work Study ProgramLocal Parish Sheriff’s Dept.Crossroads HospitalAmerican Heart AssociationLocal Parish Health UnitVolunteers of AmericaRapides Children’s Advocacy CenterDARE

28 2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

98

125

148

153

193

257

311

750

1,578

Digestive System

Nervous System & Sense Organs

Health Education

Mental Disorders

Musculoskeletal System

Respiratory System

Injury & Poisoning

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

69

7387

104125150153

336355

927

Varicella VaccineOther Specified Conditions Screening

Sports/Job/Camp Physical ExamOther Viral Diseases Vaccine

Other Specified Single Disease VaccineHealth Exam of Defined Subpopulations

Diphtheria, Tetanus, Pertussis VaccineEye ExamEar Exam

Influenza Vaccine

1

14

739

66107

140231

307

PsychosesLegal Circumstances

Educational CircumstanceCounseling, Victim of Child Abuse

Emotion, Conduct Disorder, HyperkineticBereavement, Uncomplicated

Other Mental DisordersFamily Problems

Interpersonal Problems Stress/Anxiety-Related

6669

81

113160163

175

186

284

545

Earache

Pain in Joint

Dysmenorrhea

Cough

Throat Pain

Other Diseases of Nasal Cavity and Sinuses

Injury

Nausea & Vomiting

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m29

Avoyelles and MansuraSchool-Based Health Centers

Center Opened: August 1996

Schools Served:Mansura Middle

Avoyelles Public CharterTotal Enrollment in

Schools:1,439

Total Enrollment in SBHC:1,315

Total Visits to SBHC:5,017

Grades Served:K-12

Mansura Middle SBHC Avoyelles Charter SBHC1869 St. Jean St. 201 Longfellow Rd.Mansura, LA 71350 Mansura, LA 71350(318) 964-2492 (318) 253-4785(318) 964-2494 (318) 253-8172 Fax JoAnn Derbonne, RN, DirectorCindy Boney, Business ManagerMansura Middle StaffSusan Loyacano, RNCarol Demars, SecretaryAlfred Krake, MD, Medical DirectorJennifer McDowell, LPCSue Lemoine, PNPCarole Holton, MDAvoyelles Charter StaffBeth Laborde, SecretaryDonna Lacour, RNRegina Ervin, LPC

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Top 10 Conditions for Injury & Illness- Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

50

52

52

80

96

120

122

360

746

Miscellaneous

Injury & Poisoning

Nervous System & Sense Organs

Mental Disorders

Health Education

Musculoskeletal System

Respiratory System

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

11

1722

2340

103135

152227

354

Observation for Suspected Condition, UnspecSpecial Screening for Hypertension

Routine Medical ExamFollup-Up Exam

Other Viral Diseases VaccineSports/Job/Camp Physical Exam

Diphtheria, Tetanus, Pertussis VaccineVaricella Vaccine

Other Specified Single Disease VaccineInfluenza Vaccine

2

4

18

21

28

40

96

103

128

Inadequate Material Resources

Legal Circumstances

Counseling, Victim Of Child Abuse

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

Stress/Anxiety-Related

Interpersonal Problems

Family-Related Problems

2429

32

506567

69

82

106

338

Teeth and Supporting Structures

Hx of Physical Abuse

Dysmenorrhea

Cough

Pain in Joint

Nausea and Vomiting

Other Diseases of Nasal Cavity and Sinuses

Postnasal Drip

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m30

Buckeye High School-Based Health Center

Center Opened: February 2000

School Served:Buckeye High

Total Enrollment in School:940

Total Enrollment in SBHC:940

Total Visits to SBHC:2,382

Grades Served:6-12

Buckeye High SBHC715 Hwy. 1207Deville, LA 71328(318) 466-8335(318) 466-8338 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business Manager

StaffPatricia Dauzat, RNKathy Nugent, SecretaryAngie Gore, PNPAlfred Krake, MD, Medical DirectorTambra Malone, LCSW

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Top 10 Conditions for Injury & Illness -Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Eight Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

45

47

52

54

5560

78

227

301

458

Digestive System

Musculoskeletal System

Mental Disorders

Nervous System & Sense Organs

Respiratory System

Injury & Poisoning

Health Education

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

3

4

6

7

11

12

16

32

38

323

Eye Exam

Routine Medical Exam

Observation for Suspected Condition

Follow-Up Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Other Specified Single Disease Vaccine

Special Screening for Diabetes Mellitus

Sports/Camp/Job Physical Exam

Varicella Vaccine

Influenza Vaccine

3

6

9

18

20

20

89

114

Educational Circumstance

Bereavement, Uncomplicated

Counseling, Victim Of Child Abuse

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

Family Circumstances

Interpersonal Problems

15

15

15

16

22

28

35

35

46

119

Allergic Rhinitis

Open Wound

Teeth and Supporting Structures

Injury & Illness-Related Visits

Earache

Throat Pain

Nausea and Vomiting

Pain in Joint

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m31

Center Opened: March 2008

Schools Served:Cloutierville Elementary

Cloutierville Jr. HighTotal Enrollment in

Schools:407

Total Enrollment in SBHC:

368Total Visits to

SBHC:1,264

Grades Served:PreK-8

Cloutierville School-Based Health Center

Cloutierville SBHC155 School House RoadCloutierville, LA 71416(318) 379-1703(318) 376-1716 Fax

JoAnn Derbonne, RN, DirectorCindy Boney, Business Manager

StaffRobyn Roberts, RNApril Matt, LPCKristy Jordan, SecretarySue Lemoine, PNPKenneth Darcy, MD, Medical Director

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Top 10 Conditions for Injury & Illness- Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

75

141

168

180

182192

282567

1,192

1,401

Skin & Subcutaneous Tissue

Nervous System & Sense Organs

Miscellaneous

Injury & Poisoning

Mental Disorders

Health Education

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

6

7

11

45

59

68

69

77167

873

Measles, Mumps & Rubella

Lab Exam

Pediatric BMI, 5th to < 85th Percentile

Diphtheria, Tetanus, Pertussis Vaccine

Other Specified Single Disease Vaccine

Varicella Vaccine

Routine Medical Exam

Sports/Job/Camp Physical Exam

Other Viral Diseases Vaccine

Influenza Vaccine

1

3

4

2060

82

129

191

279

604

Legal Circumstances

Educational Circumstances

Psychoses

Counseling, Victim Of Child Abuse

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Other Mental Disorders

Family-Related Problems

Interpersonal Problems

4043

51

78

88

88

89

103

118

218

Earache

Diabetes

Dysmenorrhea

Chronic Sinusitis

Injury

Nausea and Vomiting

Cold

Inappropriate Diet & Eating Habits

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m32

Grant School-Based Health Centers

Center Opened: August 1996

Schools Served:Pollock ElementaryDry Prong Jr. High

Total Enrollment in Schools:1,054

Total Enrollment in SBHC:1,014

Total Visits to SBHC:4,290

Grades Served:PreK-8

Dry Prong Jr. High SBHC Pollock Elem. SBHC 800 Grove St. 4001 Hwy 8Dry Prong, LA 71423 Pollock, LA 71467(318) 899-5276 (318) 765-6778(318) 899-5932 Fax (318) 765-3674 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business ManagerDry Prong Jr. High/Pollock Elementary StaffMarilyn Drewett, RNLeigh Collins, LCSWTonya Smith, SecretaryLinda Ray, PNPAlfred Krake, MD, Medical DirectorRobin Broadnax, RNKim Roberts, LPCBeth Clark, SecretaryCarol Hirchak, FNP

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Six Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

105

111

125

130

138

168

176311

663681

Musculoskeletal System

Digestive System

Skin & Subcutaneous Tissue

Endocrine, Metabolic, Immunity

Health Education

Injury & Poisoning

Nervous System & Sense Organs

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

9

11

20

31

37

43

45

53

106

256

Eye Exam

Lab Exam

Special Screening for Hypertension

Other Viral Diseases Vaccine

Varicella Vaccine

Other Specified Single Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Follow-Up Exam

Sports/Job/Camp Physical Exam

Influenza Vaccine

1

3

3

6

9

24

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

Interpersonal Problems

Stress/Anxiety-Related

Family-Related Problems

55

77

80

84

8686

9096

126155

Earache

Other Diseases of Nasal Cavity and Sinuses

Nausea and Vomiting

Cough

Cold

Throat Pain

Injury

Abdominal Pain

Diabetes

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m33

Glenmora School-Based Health Center

Center Opened: November 1999

Schools Served:Glenmora Elementary

Glenmora HighTotal Enrollment in Schools:

608Total Enrollment in SBHC:

608Total Visits to SBHC:

2,248Grades Served:

PreK-12

Glenmora SBHC1414 7th Ave.Glenmora, LA 71433(318) 748-8974(318) 748-8986 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business Manager

StaffDenise Laborde, RNJohnnie Hart, RN-ReliefStephanie Dufour, LPCAmanda Fox, SecretaryAlfred Krake, MD, Medical DirectorCarol Hirchak, FNP

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

79

128

135

141

198342

462505

870

1,053

Health Education

Miscellaneous

Musculoskeletal System

Digestive System

Mental Disorders

Endocrine, Metabolic, Immunity

Psychosocial & Economic Circumstances

Respiratory System

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

3

79

3647

85

103

126158

289

Measles, Mumps & Rubella Vaccine

Observation for Suspected Mental Condition

Routine Medical Exam

Follow-Up Exam

Varicella Vaccine

Other Viral Diseases Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Sports/Job/Camp Physical Exam

Other Specified Single Disease Vaccine

Influenza Vaccine

2

3

4

21

28

75

85

168

274

Psychoses

Educational Circumstance

Legal Circumstances

Bereavement, Uncomplicated

Other Mental Disorders

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

Family-Related Problems

Stress/Anxiety-Related

63

93

93

94

137157

217265

295

416

Dysmenorrhea

Dyspepsia

Nausea and Vomiting

Allergic Rhinitis

Cold

Throat Pain

Other Diseases of Nasal Cavity and Sinuses

Cough

Diabetes

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m34

Jena Jr./Jena Sr. High School-Based Health Centers

Center Opened: August 1997

School Served:Jena Sr. HighJena Jr. High

Total Enrollment in School:617

Total Enrollment in SBHC:602

Total Visits to SBHC:2,860

Grades Served:7-12

Jena Jr. High Jena Sr. High114 E. Southern Ave. 243 E. High School Rd.Jena, LA 71342 Jena, LA 71342(318) 992-2732 (318) 992-7774(318) 992-2777 Fax (318) 992-0201 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business ManagerJena Jr. High StaffLorie Burlew, RNHelen Monk, ReceptionistJena Sr. High StaffTraci Gray, RNJudy McClure, LCSWLisa Ray, SecretaryLinda Ray, PNPAlfred Krake, MD, Medical Director

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

56

87

124

129

162167

182521

539

551

Genitourinary System

Digestive System

Musculoskeletal System

Mental Disorders

Health Education

Miscellaneous

Respiratory System

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

12

1319

3740

50

50

58

84

Other and Unspecified Respiratory ConditionsExam

Other Viral Diseases Vaccine

Special Screening for Diabetes Mellitus

Varicella Vaccine

Routine Medical Exam

Diphtheria, Tentanus, Pertussis Vaccine

Other Specified Single Disease Vaccine

Follow-Up Exam

Influenza Vaccine

4

4

10

11

34

47

112

121

129

Counseling, Victim of Child Abuse

Legal Circumstances

Educational Circumstances

Inadequate Material Resources

Emotion, Conduct Disorder, Hyperkinetic

Bereavement, Uncomplicated

Interpersonal Problems

Stress/Anxiety-Related

Family-Related Problems

22

28

44

48

56

57

76

93

163

237

Myalgia and Myositis

Limb Pain

Pain in Joint

Dysmenorrhea

Abdominal Pain

Dyspepsia

Cough

Throat Pain

Cold

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m35

Lakeview Sr. High School-Based Health Center

Center Opened: February 2001

Schools Served:Lakeview Sr. High

Total Enrollment in Schools:

288Total Enrollment in

SBHC:288

Total Visits to SBHC:

1,961Grades Served:

9-12

Lakeview Sr. High SBHCP.O. Box 200/7305 Hwy 9 Campti, LA 71411 (318) 476-2205(318) 476-2206 Fax

JoAnn Derbonne, RN, DirectorCindy Boney, Business Manager

StaffRobin Guillory, LPCMelanie Johnson, FNPKenneth Darcy, MD, Medical DirectorDebby Dupree, RNDebbie Thomas, Secretary

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Seven Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

15

17

18

39

4160

103

168

226

460

Miscellaneous

Mental Disorders

Nervous System & Sense Organs

Respiratory System

Musculoskeletal System

Injury & Poisoning

Health Education

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

23

8

13151617

2338

316

Observation for Suspected Condition Routine Medical Exam

Pediatric BMI ≥ 95th PercentileSpecial Screening for Diabetes Mellitus

Diphtheria, Tetanus, Pertussis VaccineOther Specified Single Disease Vaccine

Follow-Up ExamVaricella Vaccine

Sports/Job/Camp Physical ExamInfluenza Vaccine

2

5

12

19

27

74

104

Educational Circumstances

Other Mental Disorders

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Bereavement, Uncomplicated

Family-Related Problems

Interpersonal Problems

12

14

14

15

15

16

16

23

33

53

Open Wound

Abdominal Pain

Insect Bite

Asthma

Elevated BP w/o Hypertension Diagnosis

Cough

Injury

Throat Pain

Pain in Joint

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m36

Center Opened: March 2008

Schools Served:Marthaville Elementary

Marthaville Jr. HighTotal Enrollment in

Schools:377

Total Enrollment in SBHC:

358Total Visits to

SBHC:1,050

Grades Served:PreK-8

Marthaville School-Based Health Center

Marthaville SBHC10800 Hwy 120Marthaville, LA 71450(318) 472-5235(318) 472-5066 Fax

JoAnn Derbonne, RN, DirectorCindy Boney, Business Manager

StaffRobyn Roberts, RNApril Matt, LPCKristy Jordan, SecretaryKenneth Darcy, MD, Medical Director

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

183

191

205

207

220246

308

502

1,316

1,744

Injury & Poisoning

Musculoskeletal System

Health Education

Miscellaneous

Digestive System

Genitourinary System

Psychosocial & Economic Circumstances

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

42

59

97

102

118

129

200

213

220

443

Routine Medical Exam

Special Screening for Hypertension

Viral Hepatitis Vaccine

Sports/Job/Camp Physical Exam

Varicella Vaccine

Other Viral Diseases Vaccine

Follow-Up Exam

Other Specified Single Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Influenza Vaccine

5

910

121820

29

3799

115

Family-Related ProblemsInterpersonal Problems

Educational CircumstancesUnavailability of Med. Facility, Unspec. Reason

Emotion, Conduct Disorder, HyperkineticBereavement, Uncomplicated

Inadequate Material ResourcesOther Mental DisordersFamily Circumstances Stress/Anxiety-Related

70

72

74

89

106

143

171

187

342

654

Pain in Joint

Diabetes

Injury

Abdominal Pain

Nausea and Vomiting

Dyspepsia

Throat Pain

Dysmenorrhea

Cold

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m37

Nachitoches Central HighSchool-Based Health Center

Center Opened: August 2003

Schools Served:Nachitoches Central High

Total Enrollment in Schools:1,284

Total Enrollment in SBHC:1,163

Total Visits to SBHC:

4,220Grades Served:

9-12

Nachitoches Central High SBHC200 Hwy 3110 Natchitoches, LA 71457 (318) 354-1393(318) 354-1591 Fax

JoAnn Derbonne, RN, DirectorCindy Boney, Business Manager

StaffMary Chambliss, RNEdwina Hayward, MSWBrenda Riggs, SecretaryMelanie Johnson, FNPKenneth Darcy, MDAlexis Isbell, RN, Part-time

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

50

54

55

111

150177

305428

485

1,010

Digestive System

Nervous System & Sense Organs

Health Education

Injury & Poisoning

Mental Disorders

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Endocrine, Metabolic, Immunity

Preventive Health, Observation, Exams

4

8

21

39

56

57

64

78

85

592

Poliomyelitis Vaccine

Measles, Mumps & Rubella Vaccine

Routine Medical Exam

Observation for Suspected Condition

Varicella Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Other Specified Single Disease Vaccine

Other Viral Diseases Vaccine

Sports/Job/Camp Physical Exam

Influenza Vaccine

1

15

15

27

43

96

108

133

140

Psychoses

Counseling, Victim of Child Abuse

Educational Circumstances

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Other Mental Disorders

Interpersonal Problems

Family-Related Problems

1921252734

47

62102

137480

EaracheAsthma

Wheezing (excludes asthma)Cough

DyspepsiaChild Abuse and Neglect

FeverCold

HeadacheDiabetes

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m38

Northwood School-Based Health Center

Center Opened: August 1995

School Served:Northwood

Total Enrollment in School:788

Total Enrollment in SBHC:788

Total Visits to SBHC:2,675

Grades Served:PreK-12

Northwood SBHC8830 Hwy. 1 NLena, LA 71447(318) 793-5336(318) 793-4948 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business Manager

StaffStephanie Chamberlain, RNLena Kayal, MSWMichea Ingraham, SecretaryCarol Hirchak, FNPAlfred Krake, MD, Medical DirectorCarole Holton, MD

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

80

92

102

114

188248

331382

712

1,464

Nervous System & Sense Organs

Digestive System

Musculoskeletal System

Injury & Poisoning

Mental Disorders

Endocrine, Metabolic, Immunity

Psychosocial & Economic Circumstances

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

13

13

24

46

76

85

88

89

99

910

Poliomyelitis Vaccine

Measles, Mumps & Rubella Vaccine

Sports/Job/Camp Physical Exam

Observation for Suspected Condition

Routine Medical Exam

Other Specified Single Disease Vaccine

Diphtheria, Tentanus, Pertussis Vaccine

Other Viral Diseases Vaccine

Varicella Vaccine

Influenza Vaccine

1

1

4

1126

52

52

75

112

185

Adverse Effects of Work Environment

Legal Circumstances

Counseling, Victim of Child Abuse

Educational Circumstances

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

Stress/Anxiety-Related

Other Mental disorders

Family-Related Problems

53

57

64

78

8990

129146

238

289

Injury

Dysmenorrhea

Throat Pain

Acute Pharyngitis

Cold

Abdominal Pain

Cough

Other Diseases of Nasal Cavity and Sinuses

Diabetes

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m39

Pineville & Lessie Moore School-Based Health Centers

Center Opened: August 1996

Schools Served:Lessie Moore Elementary

Pineville Jr.HighTotal Enrollment in Schools:

1,066Total Enrollment in SBHC:

993Total Visits to SBHC:

3,253Grades Served:

PreK-8

Pineville Jr. SBHC Lessie Moore SBHC501 Edgewood St. 207 Griffi th St.Pineville, LA 71360 Pineville, LA 71360(318) 640-1359 (318) 487-9648(318) 640-1420 Fax (318) 442-0769 Fax JoAnn Derbonne, RN, DirectorCindy Boney, Business ManagerPineville Jr. HIgh StaffLadonna Wampler, RNSue Lemoine, PNPRobin Meynard, SecretaryAlfred Krake, MD, Medical DirectorKaren Pharis, LCSWCarole Holton, MDLessie Moore StaffAllison Nash, RNFrances Coke, SecretaryRegina Ervine, LPCLeah Gray-Winfrey, FNP

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

70

72

91

97

112134

134333

646

745

Health Education

Genitourinary System

Mental Disorders

Musculoskeletal System

Injury & Poisoning

Endocrine, Metabolic, Immunity

Respiratory System

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

816

23

5036

75

79

91125

222

Other and Unspecified Respiratory Conditions Special Screening for Hypertension

Observation for Suspected Condition

Routine Medical ExamSports/Job/Camp Physical Exam

Varicella VaccineDiphtheria, Tetanus, Pertussis Vaccine

Other Specified Single Disease VaccineOther Viral Diseases Vaccine

Influenza Vaccine

1

2

8

10

13

40

95

100

155

Legal Circumstances

Alcohol & Drug Dependence

Suicidal Ideation

Bereavement, Uncomplicated

Emotion, Conduct Disorders, Hyperkinetic

Family-Related Problems

Other Mental Disorders

Stress/Anxiety-Related

Interpersonal Problems

36

39

42

66

7378

80111

131

285

Cold

Nausea and Vomiting

Pain in Joint

Dysmenorrhea

Injury

Other Diseases of Nasal Cavity and Sinuses

Throat Pain

Abdominal Pain

Diabetes

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m40

Tioga Jr. High School-Based Health Center

Center Opened: August 1998

School Served:Tioga Jr. High

Total Enrollment in School:515

Total Enrollment in SBHC:503

Total Visits to SBHC:2,219

Grades Served:7-8

Tioga Jr. High SBHC1150 Junior High Rd.Pineville, LA 71360(318) 640-6942(318) 640-6978 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business Manager

StaffKathy Cascio, RNPat Harris, LPCLaina Chicola, SecretaryAngie Gore, PNPAlfred Krake, MD, Medical DirectorCarole Holton, MD

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

54

70

76

82

85

168

250

350

549

972

Nervous System & Sense Organs

Preventive Health, Oberservation, Exams

Miscellaneous

Musculoskeletal System

Health Education

Respiratory System

Endocrine, Metabolic, Immunity

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

28

31

32

32

40

58

75

88 187

Routine Medical Exam

Diphtheria, Tetanus, Pertussis Vaccine

Varicella Vaccine

Viral Hepatitis Vaccine

Other Specified Single Disease Vaccine

Follow-Up Exam

Other Viral Diseases Vaccine

Sports/Job/Camp Physical Exam

Special Screening for Hypertension

1

1

2

4

11

15

44

135

152

Counseling, Victim of Child Abuse

Emotion, Conduct Disorder, Hyperkinetic

Suicidal Ideation

Legal Circumstances

Other Mental Disorders

Bereavement, Uncomplicated

Interpersonal Problems

Family-Related Problems

Stress/Anxiety-Related

35

36

37

38

42

61

105116

144

245

Cough

Abdominal Pain

Essential Hypertension, Benign

Pain in Joint

Nausea and Vomiting

Throat Pain

Elevated BP w/o Hypertension Diagnosis

Cold

Headache

Diabetes

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m41

Tioga Sr. High School-Based Health Center

Center Opened: January 2001

School Served:Tioga High

Total Enrollment in School:836

Total Enrollment in SBHC:836

Total Visits to SBHC:2,142

Grades Served:9-12

Tioga Sr. High SBHC1207 Tioga RoadPineville, LA 71360(318) 640-2298(318) 640-3383 Fax

JoAnn Derbonne, RN, Director Cindy Boney, Business Manager

StaffDena Hicks, RNDarleen Colon, SecretaryAngie Gore, PNPAlfred Krake, MD, Medical DirectorJoy Taylor, LCSWCarole Holton, MD

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CHRISTUSSt. Patrick Hospital

Ellen Jones, CEO524 Dr. Michael DeBakey Drive

P.O. Box 3401Lake Charles, LA 70601

Clifton Elementary SchoolCombre-Fondel Elementary School

Molo Middle SchoolSouth Cameron School

Washington-Marion High School

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Advisory CommitteeCHRISTUS St. Patrick Hospital

Willie King Business Owner, Chairperson Jeannine Babineaux FNP, Washington - Marion High School James Wilson Principal, Ray D. Molo Middle Magnet School Elcie Guillory Member Fred Hardy School Board Member James Mayo City of Lake Charles Merculus Chretien Principal, Washington - Marion High School Gwen Harris Parent, J.D. Clifton Elementary Henry Hicks Principal, J.D. Clifton Elementary Harold Winey Principal, Combre/Fondel Elementary James Spruel Attorney, District Attorney’s Offi ce Ronald Joseph Teacher, Ray D. Molo Middle Marianne Allee Teacher, J.D. Clifton Eligha Guillory SWLA Center for Health Services Julio Galan Family and Youth Counseling Dr. Leonard Breda III Dentist A.B. Franklin State Representative

American Cancer Society LA Childeren’s Trust Fund American Red Cross DHH Offi ce of Mental Health American Heart Association DHH Offi ce for Addictive Disorders Parish Health Unit Louisiana Council on Child Abuse Entergy Corporation Drug Free Schools Families in Need of Services Children’s Miracle Network - St. Patrick Calcasieu Parish Sheriff’s Offi ce Calcasieu Community Health Council Calcasieu Parish School Nurses

Community Partners for CHRISTUSSt. Patrick Hospital

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Eight Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

31

38

41

55

5860

91

121

477

513

Digestive System

Nervous System & Sense Organs

Musculoskeletal System

Injury & Poisoning

Health Education

Respiratory System

Mental Disorders

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

4

6

9

11

57

61

65

83

84

93

Special Screening for Diabetes Mellitus

Lab Exam

Special Screening for Hypertension

Combined Vaccine

Dental Exam

Eye Exam

Ear Exam

Influenza Vaccine

Observation for Suspected Condition

Routine Medical Exam

1

2

3

4

16

31

77

78

Screening for Mental, Development Problem

Counseling, Victim of Child Abuse

Stress/Anxiety-Related

Interpersonal Problems

Family-Related Problems

Educational Circumstances

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

15

19

21

22

22

53

66

73

138

143

Teeth and supporting Structures

Allergy

Limb Pain

Fever

Nausea and Vomiting

Allergic Rhinitis

Throat Pain

Cough

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m44

Clifton Elementary School-BasedHealth Center

Center Opened: September 1997School Served:

J.D. Clifton ElementaryTotal Enrollment in School:

253Total Enrollment in SBHC:

242Total Visits to SBHC:

1,124Grades Served:

PreK-5

Clifton Elementary SBHC100 N. Prater St. Lake Charles, LA 70601(337) 439-0880(337) 439-0886 Fax

Sandra Semien, RN, MSN, Administrator Director of Community Health Services

StaffKathy Roan, NPDanielle McLurkin, MDPercival Kane, MD, Medical DirectorHazel Kennedy, RNJackie Doyle, SWLisa Franklin, Data Coordinator

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Seven Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

26

30

32

38

4267

99

160

389401

Musculoskeletal System

Skin & Subcutaneous Tissue

Mental Disorders

Digestive System

Nervous System & Sense Organs

Injury & Poisoning

Respiratory System

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

5

66

7

3248

49

5566

104

Varicella Vaccine

Lab Exam

Tetanus-Diphtheria Vaccine

Vaccine for Other Specified Bacterial Disease

Special Screening for Hypertension

Eye Exam

Ear Exam

Observation for Suspected Condition

Influenza Vaccine

Routine Medical Exam

1

1

1

3

19

30

137

Stress/Anxiety-Related

Other Mental Disorders

Counseling, Victim of Child Abuse

Family-Related Problems

Educational Circumstances

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

17

18

21

34

3745

64

84

9292

Allergic Rhinitis

Teeth and Supporting Structures

Rash and Other Nonspecific Skin Eruption

Abrasion

Fever

Throat Pain

Other Diseases of Nasal Cavity and Sinuses

Headache

Abdominal Pain

Cough

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m45

Combre-Fondel Elementary School-Based Health Center

Center Opened: September 1998School Served:

Combre-Fondel ElementaryTotal Enrollment in School:

368Total Enrollment in SBHC:

365Total Visits to SBHC:

965Grades Served:

PreK-5

Combre-Fondel SBHC 2115 Fitzenreiter St. Lake Charles, LA 70601 (337) 217-4890 School (337) 217-4890 Ex. 2213(337) 217-4891 Fax Sandra Semien, RN, MSN, AdministratorDirector of Community Health Services

StaffKathy Roan, NPDanielle McLurkin, MDPercival Kane, MD, Medical DirectorDenise Lemelle, RNTheresa Williams, SWMelissa Conrad, Data Coordinator

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

102

192

206

215

286307

465

572

804

839

Nervous System & Sense Organs

Psychosocial & Economic Circumstances

Mental Disorders

Digestive system

Musculoskeletal System

Injury & Poisoning

Respiratory System

Endocrine, Metabolic, Immunity

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

47

58

59

61

6264

66

77

77

83

Routine Medical Exam

Varicella Vaccine

Eye Exam

Diphtheria, Tetanus, Pertussis Vaccine

Hearing Exam

Lab Exam

Dental Exam

Influenza Vaccine

Other Specified Bacterial Disease Vaccine

Observation For Suspected Condition

2

5

10

12

15

47

56

Legal Circumstances

Bereavement, Uncomplicated

Educational Circumstances

Counseling, Victim of Child Abuse

Stress/Anxiety-Related

Family-Related Problems

Emotion, Conduct Disorder, Hyperkinetic

69

73

83

112

121

165

171

188

458

572

Abdominal Pain

Nausea and Vomiting

Pain in Joint

Limb Pain

Dyspepsia

Injury

Acute Pharyngitis

Cold

Headache

Diabetes

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m46

Center Opened: September 1997School Served:

Molo Middle Total Enrollment in School:

597Total Enrollment in SBHC:

553Total Visits to SBHC:

2,850Grades Served:

6-8

Molo Middle SBHC2300 Medora Street Lake Charles, LA 70601 (337) 437-3977(337) 439-5029 Fax

Sandra Semien, RN, MSN, AdministratorDirector of Community Health Services

StaffRuth Hall, NPDanielle McLurkin, MDPercival Kane, MD, Medical DirectorRhonda Treme, RNLaura Breaux, LCSWRachel Ceasar, Data CoordinatorMelissa Conrad, Clerical

Molo Middle School-Based Health Center

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Eight Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

28

42

55

73

108110

114

116

505

727

Skin & Subcutaneous Tissue

Digestive System

Health Education

Musculoskeletal System

Nervous System & Sense Organs

Injury & Poisoning

Respiratory System

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

32

33

42

52

5758

62

87

105

127

Varicella Vaccine

Other Specified Bacterial Disease Vaccine

Special Screening for Diabetes Mellitus

Dental Exam

Eye Exam

Lab Exam

Routine Medical Exam

Hearing Exam

Influenza Vaccine

Observation for Suspected Condition

2

2

2

3

4

7

31

79

Bereavement, Uncomplicated

Educational Circumstances

Personality & Gender Identity Disorders

Screening for Mental, Developmental Problem

Other Mental Disorders

Stress/Anxiety-Related

Family-Related Problems

Interpersonal Problems

30

30

30

33

41

45

45

64

117

192

Allergic Rhinitis

Otitis Media

Pain in Joint

Cold

Injury

Cough

Nausea and Vomiting

Throat Pain

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m47

South Cameron School-Based Health Center

Center Opened: January 2002

School Served:South Cameron

Total Enrollment in School:320

Total Enrollment in SBHC:315

Total Visits to SBHC:1,413

Grades Served:PreK-12

South Cameron SBHC 753 Oak Grove HwyGrand Chenier, LA 70603 (337) 542-4441 (337) 542-4588 fax Sandra Semien, RN, MSN, AdministratorDirector of Community Health Services

StaffTroy Fletcher, NPRichard Sanders, MDPercival Kane, MD, Medical DirectorTheresa Savant, RNTracy McNeely SWJoanette Savoie, Data CoordinatorPatient Escort, Jill Thibodeaux

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

38

39

43

72

114150

210

420

617

1,167

Skin & Subcutaneous Tissue

Nervous System & Sense Organs

Injury & Poisoning

Respiratory System

Musculoskeletal System

Health Education

Psychosocial & Economic Circumstances

Endocrine, Metabolic, Immunity

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

56

60

61

62

74102

111

121

122

151

Other Specified Bacterial Disease Vaccine

Special Screening for Hypertension

Observation for Suspected Condition

Routine Medical Exam

Tetanus-Diphtheria Vaccine

Sports/Job/Camp Physical Exam

Dental Exam

Hearing Exam

Lab Exam

Eye Exam

2

3

3

5

7

7

39

74

Personality & Gender Identity Disorders

Bereavement, Uncomplicated

Legal Circumstances

Other Mental Disorders

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Family-Related Problems

Educational Circumstances

30

3636

41

4862

71

93

186402

Other Diseases of Nasal Cavity and Sinuses

Nausea and Vomiting

RXN to Tuberculin Skin Test w/o Active TB

Elevated BP w/o Hypertension Diagnosis

Pain in Joint

Cough

Throat Pain

Abdominal Pain

Headache

Diabetes

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m48

Washington - Marion High School-Based Health Center

Center Opened: April 1995

School Served:Washington-Marion High

Total Enrollment in School:597

Total Enrollment in SBHC:553

Total Visits to SBHC:1,991

Grades Served:9-12

Washington-Marion High SBHC2802 Pineview StreetLake Charles, LA 70601(337) 497-0233(337) 439-5029 Fax

Sandra Semien, RN, MSN, AdministratorDirector of Community Health Services

StaffJeannine Babineaux, NPPercival Kane, MD, Medical DirectorCheryl Winey, RNPearl Nelson, LPCCindy Clostio, Data CoordinatorZabrina Epps, Biller

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CHRISTUSSchumpert Health System

P.O. Box 21976Shreveport, LA 71120

Atkins Technology Elementary SchoolLinwood Public Charter School

Woodlawn Leadership Academy

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Community PartnersCHRISTUS Schumpert Health System

Alberta Davis Christus Schumpert Care Center Jerelene Craig Retired, Bossier Parish School Teacher Burnadine Anderson Retired, Caddo Parish School Board Marketing Director Carolyn Belton PTA President, Linwood Public Charter Corinee Tanner Retired, Bossier Parish School Coordinator Bridget Causey Caddo Parish School Nurse Martha Whyte, MD DHH Offi ce of Public Health, Regional Medical Director Trudie Abner DHH Offi ce for Addictive Disorders Wendy Goad DHH Offi ce of Mental Health Donna Cavanaugh Think First Dr. Joseph Bocchini Chair, LSUHSC-Shreveport Department of Pediatrics Dr. Ann Springer LSUHSC-Shreveport Department of Pediatrics Dr. Jennifer Rodriquez LSUHSC-Shreveport Department of Pediatrics Vickie Carroll Director, Linwood Public Charter School Mia Cooper Principal, Atkins Technology Elementary School Anthony Risdale Principal, Woodlawn Leadership Academy Linda J. Hartwell, Ph.D. Psychologist

Northwestern State University of Nursing Louisiana State University AgCenter

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

68

70

80

88

126156

205

217

252

401

Mental Disorders

Nervous System & Sense Organs

Health Education

Psychosocial & Economic Circumstances

Injury & Poisoning

Digestive System

Symptoms, Signs & Ill-Defined Conditions

Respiratory System

Endocrine, Metabolic, Immunity

Preventive Health, Observation, Exams

5

5

6

11

11

15

20

4595

176

Eye Exam

Follow-Up Exam

Measles, Mumps & Rubella Vaccine

Poliomyelitis Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Other Specified Single Disease Vaccine

Tetanus-Diphtheria Vaccine

Influenza Vaccine

Varicella Vaccine

Routine Medical Exam

1

11

36

17

18

2428

56

Educational Circumstances

Screening for Mental, Development Problem

Legal Circumstances

Interpersonal Problems

Inadequate Housing

Emotion, Conduct Disorder, Hyperkinetic

Bereavement, Uncomplicated

Other Mental Disorders

Stress/Anxiety-Related

Family-Related Problems

24263132

4245

48

62108

251

Abrasion

Acute Pharyngitis

Injury

Dental Caries

Teeth and Supporting Structures

Cough

Cold

Dyspepsia

Allergic Rhinitis

Diabetes

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m51

Atkins Technology Elementary School-Based Health Center

Center Opened: September 1998School Served:

Atkins ElementaryTotal Enrollment in Schools:

450Total Enrollment in SBHC:

450Total Visits to SBHC:

1,463Grades Served:

PreK-5

Atkins Technology Elem. SBHC7611 St. Vincent Ave.Shreveport, LA 71106(318) 861-1671

Sr. Sharon Rambin, Manager(318) 681-7113(318) 681-4667 Fax

StaffAnn Springer, MD, Medical DirectorJennifer Rodriquez, MD, PediatricianCelia Boswell, RN, MSN, FNPKatrina Sibley, Offi ce CoordinatorKaren Rice, LPC-InternLisa LaRosee, RN

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Seven Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

61

69

71

105

169173

193

224

284

474

Mental Disorders

Musculoskeletal System

Genitourinary System

Health Education

Respiratory System

Digestive system

Psychosocial & Economic Circumstances

Injury & Poisoning

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

5

5

8

11

11

39

48

59

83

191

Viral Hepatitis Vaccine

Special Screening for Hypertension

Poliomyelitis Vaccine

Lab Exam

Special Screening for Diabetes Mellitus

Tetanus-Diphtheria Vaccine

Varicella Vaccine

Other Specified Single Disease Vaccine

Influenza Vaccine

Routine Medical Exam

2

7

31

38

45

50

81

Psychoses

Educational Circumstances

Bereavement, Uncomplicated

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

Family-Related Problems

2326

314751

65

89

90119

156

Teeth and Supporting Structures

Sprain/Strain

Pain in Joint

Throat Pain

Cold

Dysmenorrhea

Allergic Rhinitis

Injury

Dyspepsia

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m52

Linwood Public Charter School-Based Health Center

Center Opened: March 1996

School Served:Linwood Public Charter

Total Enrollment in School:655

Total Enrollment in SBHC:467

Total Visits to SBHC:1,658

Grades Served:6-8

Linwood Public Charter SBHC401 W. 70th StreetShreveport, LA 71106(318) 868-4552

Sr. Sharon Rambin, Manager(318) 681-7113(318) 681-4667 Fax

StaffAnn Springer, MD, Medical DirectorJennifer Rodriquez, MD, PediatricianCelia Boswell, RN, MSN, FNPYolanda Green, RNLauren Polsen, LCSWAnnette Antwine, Offi ce Coordinator

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

158

175

192

196

260298

409

661

674

752

Nervous System & Sense Organs

Miscellaneous

Endocrine, Metabolic, Immunity

Genitourinary System

Musculoskeletal System

Digestive System

Injury & Poisoning

Symptoms, Signs & Ill-Defined Conditions

Respiratory System

Preventive Health, Observation, Exams

17

25

28

32

46

53

54

80134

219

Tetanus-Diphtheria Vaccine

Special Screening for Venereal Disease

Other Specified Single Disease Vaccine

Sports/Job/Camp Physical Exam

Pregnancy Exam

Other Viral Diseases Vaccine

Varicella Vaccine

Lab Exam

Influenza Vaccine

Routine Medical Exam

2

7

31

38

45

50

81

Psychoses

Educational Circumstances

Bereavement, Uncomplicated

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

Family-Related Problems

6979

9499

139141

167

176295

373

Teeth and Supporting Structures

Dyspepsia

Injury

Contusion

Dysmenorrhea

Abdominal Pain

Diabetes

Allergic Rhinitis

Acute URI

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m53

Woodlawn Leadership AcademySchool-Based Health Center

Center Opened: September 2007School Served:Woodlawn High

Total Enrollment in School:659

Total Enrollment in SBHC:659

Total Visits to SBHC:3,416

Grades Served:9-12

Woodlawn Leadership Academy SBHC7340 Wyngate BlvdShreveport, LA 71106(318) 687-4812

Sr. Sharon Rambin, Manager(318) 681-7113(318) 681-4667 Fax

StaffAnn Springer, MD, Medical DirectorJennifer Rodriquez, MD, PediatricianPeggy Raish, RN, MSN, FNPDavid Lopez, LCSWPamel Burries, PCTAngel Kimmel, Offi ce Coordinator

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Eastside Community Health Center/St. Gabriel Health Center

5760 Monticello DriveSt. Gabriel, LA 70776

East Iberville Elementary and High

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Advisory Committee and Community Partners East Iberville School-Based Health Center

Victor C. Kirk M. Ed., St. Gabriel Health Clinic, Inc. - CEOMaria Delouise East Iberville Elementary & High School - PrincipalLakeidria Pollard RN, St. Gabriel Health Clinic, Inc. - RN Clinic ManagerMary Kember East Iberville Elementary School TeacherJanet Hammond East Iberville High School TeacherDouglas Schultz East Iberville Elementary & High School Athletic DirectorLinda Hebert Iberville Parish Head Start RepresentativeAlva Hebert East Iberville PTA RepresentativeAndrea Reddix Parent

East Iberville SBHC closed mid-year, 2009-2010. No data was captured.

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HealthCenters in Schools

4336 North BoulevardP.O. Box 64749

Baton Rouge, LA 70806Stewart Gordon, MD, Medical DirectorJada Armstrong, MD, Medical Director

Sue Catchings, MA, CHES, CEOGerri Brewer, BA, VP Operations & Support

Capitol High SchoolGlen Oaks Middle SchoolGlen Oaks High SchoolIstrouma High School

Northeast Elementary SchoolNortheast High SchoolPrescott Middle SchoolWestdale Middle School

Healthier Children ~ HealthierSchools ~ Healthier Communities

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--The date following the board member’sname is the date they joined the HCCS Board. The non-profi t organization, incorporated in 1999, allows each boardmember to serve two three-year terms of offi ce. If the member is an offi cer, thenthey serve until they have completed their duties as an offi cer. The medical director is a member for the duration of tenure as medical director.

Baton Rouge General School of Nursing St. Helena Community Health Center Pennington Foundation101 Individual or Family Donors YWCA Greater Baton Rouge Earl K. Long Memorial Hospital LSU Health Sciences Division Southern University School of Nursing Amedysis/The Christen Foundation Wilson Foundation Baton Rouge Area Foundation Adams & Reese, Attorney at LawRemington College Cajun Constructors Blue Cross/Blue Shield Of LA Capital One Bank Checkmate Strategies Southeastern LA University CollegeBaton Rouge Community College Our Lady of the Lake Regional of NursingBaton Rouge Parish School System Medical Center

Eight Baton Rouge sites are operated under one governing body. Support and other funding sources are listed below.

Sandra Adams (2010)Community Volunteer

Rita Baillie (2006)Nursing SupervisorEast Baton Rouge Parish Health Unit

Kredenna L. Beverly, DDS (2009)DentistSmile Stars Pediatric Dentistry

Herman Brister (2006)Chief Academic Offi cerEast Baton Rouge Parish School System

M. Aminthe Broussard (2005)AttorneyTaylor, Porter, Brooks & Phillips, LLP

Errol Domingue (2008)PastorElm Grove Baptist Church

John Paul Funes (2007)Chief Executive Offi cerOLOL Foundation

Stewart Gordon, MD (2007)/Jada Armstrong (2010)Chief of PediatricsLSU Health Sciences CenterAnd HCCS Medical Director

Wanda Hughes, RN, MSN (2006)Administrative Director of NursingBaton Rouge General Medical Center

Paul Kirk (2010)VP of Information SystemsWoman’s Hospital

Susan Pryor, DNS, RN, CNE (2007)Professor and Director of Baton Rouge CenterSoutheastern Louisiana University College of Nursing and Health Sciences

Christina Stephens (2007)Press SecretaryLouisiana Recovery Authority

Genny Nadler Thomas (2007) Executive DirectorLouisiana Association of Museums

Adren WilsonNational DirectorEquity & Inclusion Campaign

Ann Marie Zima (2006)Vice President, Commercial BankingCapital One

2009 Offi cers:Anne Marie Zima, ChairGenny Nadler-Thomas, Planning & Development ChairJohn Paul Funes, Finance & Personnel ChairMargaret-Mary Sulentic Dowell, Past-Chair

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Health Care Centers in Schools Board of Directors, 2008-2009

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Glen Oaks Middle School Level Advisory CommitteeAvril Sanders-Jr., PrincipalKimberly Ringgold -Asst. PrincipalStephanie Williams-TeacherLaree Taylor-CommunityChandra Collins-ParentPaulette Gautreau, RN-SBHC

Westdale Middle School LevelAdvisory CommitteeSherry Brock-PrincipalDale Davidson-TeacherMargaret Anton-ParentBarbara Lyn-TeacherSheryl Miller, LCSW-SBHCRobin Gregoire-ParentTerrance Peoples-AdministrationLinda Sullivan-TeacherDianne Pizzalato-Support Staff Debra Williams-TeacherClare Rochester-Support StaffJonn Winslow-TeacherNikki Milton-Support StaffJeremy Courillion-Asst. Principal

Istrouma High School Level Advisory CommitteeLinda Lewis- PrincipalTora Chrisentery-AdministrationTommy Holiday-AdministrationLucila Ovino-AdministrationWanda Crump-LiaisonMargie Miller-TeacherAntiqua Smart, NP-SBHCYvonne Williams-Community

Northeast Elementary School Level Advisory CommitteeJanet Boles-PrincipalMonique Mathis-Asst. PrincipalJohn Stoop-TeacherAnita Green-TeacherKatherine Kirby- TeacherDaisy Paul-TeacherTammy Smith, NP-SBHCChristi Servario, RN-SBHC

Prescott Middle School Level Advisory Committee

Dr. Perry Daniel-PrincipalReginald Douglas-Asst. PrincipalJandel Crutchfi eld-Guidance Counselor/SWLeslie Birdon-Master TeacherThomas Bell-TeacherBianca Edwards-TeacherArdessia Hawkins-TeacherNancy Lamell-TeacherTara Franklin, LCSW-SBHCMuriel Miller, RN-SBHCEra Stevens Little, C.C.-SBHC

Glen Oaks High School Level Advisory CommitteeCarolyn Deer-TeacherGlinda Lewis-Executive SecretaryJeffery Milner-TeacherLillian Young-TeacherPamela Morgan-FontenotPierson Holden-TeacherPatricia Gilbert-Guidance CounselorRomonti McCray-ParentThomas Jordan-TeacherTommy Stout-Security, DadLeonard Spencer, Adm.B. Williams, Teacher S. Harris, TeacherNicholas Duncan, StudentW. Whitfi eld, TeacherB. Johnson, TeacherL. Young, TeacherMiriam Steward, LCSWMelana, Sutherland, NP

Capitol High School LevelAdvisory CommitteeDonald R. Green-PrincipalEdwine Johnson-Muse-Academy DirectorKaren Stevens-CounselorTisha Walker-CounselorLakesha Johnson-Moses-Data ManagerKimberly D. Hall-SBHC CoordinatorDeven Forbes-Richard, SW-SBHC Sarah Hooper, NP-SBHC Jessica Potts, Reading InstructorSgt. Willie Thomas, JROTC InstructorSamantha David-LibrarianMrs. M. Garner-ParentMrs. Middlebrook-Parent

Funding sources continued...Partners for Quality Foundation SSA Consultants The Elegant NeedlePrestige Home Care Louisiana Hydro Relief Fund Credit Bureau of Baton Rouge, Inc.The Robert Wood Johnson Foundation Copies Too First United Methodist Church Bell South

Northeast High School LevelAdvisory CommitteeMr. Leblanc-PrincipalMrs. Hughes-Support Mr. Jordan-AdministrationMrs. Williams-SupportMr. Huggins-AdministrationMrs. Lamb, RN-SBHCMrs. McHugh-AdministrationMrs. Sanders-Administration Dennis Richarson-StudentDanielle Hamilton-StudentMrs. Wilson-Rogers-TeacherMrs. Compton-TeacherMr. Concienne-TeacherMrs. Stalsby-TeacherMrs. Price-TeacherMrs. Titus-TeacherMrs. Mosley-ParentMrs. Hamilton-ParentMrs. Cage- ParentMs. Jenkins-Parent & SBHCMr. Fagot-Parent

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Eight Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

117118142157

281

293368

381510

1,688

Digestive System

Musculoskeletal System

Genitourinary System

Injury & Poisoning

Miscellaneous

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Health Education

Preventive Health, Observation, Exams

507578

89102

150148151164

439

Sports/Camp/Job Physical ExamSpecial Screening for Hypertension

Special Screening for Iron Deficiency AnemiaOther Viral Diseases Vaccine

Ear ExamPregnancy-Related

Eye ExamScreening for Venereal Disease Vaccine

Lab ExamFollow-Up Exam

1

13

14

35

39

40

40

256

Other Mental Disorders

Psychoses

Emotion, Conduct Disorder, Hyperkinetic

Educational Circumstances

Bereavement, Uncomplicated

Stress/Anxiety-Related

Family-Related Problems

Interpersonal Problems

44

45

46

50

59

75

75

86105

124

Acute URI

Abdominal Pain

Problems w/Hearing

Injury

Elevated BP w/o Hypertension Diagnosis

Anemia

Asthma

Allergic Rhinitis

Headache

Problems w/Sight

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m59

Capitol High School-Based Health Center

Center Opened: 2001

Schools Served:Capitol High

Total Enrollment in Schools:

402Total Enrollment in SBHC:

340Total Visits to

SBHC:1,836

Grades Served:9-12

Capitol High SBHC1300 North 23rd Street J-BuildingBaton Rouge, LA 70802(225) 346-8518(225) 383-3738 Fax

StaffSarah Hopper, NPDeven Richard, GSWKimberly Hall, Clinic CoordinatorMarta Fechete, MD

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

53

60

68

133

136

225

246

431

508

1124

Musculoskeletal System

Nervous System & Sense Organs

Digestive System

Respiratory System

Injury & Poisoning

Psychosocial & Economic Circumstances

Miscellaneous

Symptoms, Signs & Ill-Defined Conditions

Health Education

Preventive Health, Observation, Exams

31

33

34

92

95

100

118

129

154

172

Other Viral Diseases

Other Specified Bacterial Diseases

Sports/Job/Camp Physical Exam

Special Screening for Endo/Nutritn/Metab/Imm

Routine Medical Exam

Lab Exam

Follow-Up Exam

Special Screening for Hypertension

Eye Exam

Hearing Exam

1

4

5

11

18

25

28

75

93

Counseling, Victim of Child Abuse

Stress/Anxiety-Related

Other Mental Disorders

Emotion, Conduct Disorder, Hyperkinetic

Screening for Mental, Developmental Problem

Bereavement, Uncomplicated

Family-Related Problems

Interpersonal Problems

Educational Circumstances

32

3239

4545

56

71

7792

159

Asthma

Dysmenorrhea

Injury

Cough

Lack of Physical Exercise

Throat Pain

Problems w/Sight

Inappropriate Diet & Eating Habits

Abdominal Pain

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m60

Glen Oaks Middle School-Based Health Center

Center Opened: 1993

School Served:Glen Oaks Middle

Total Enrollment in School:

308Total Enrollment in

SBHC:281

Total Visits to SBHC:

1,615Grades Served:

6-8

Glen Oaks Middle SBHC5300 Monarch Dr. Baton Rouge, LA 70811(225) 357-6119 Tel & Fax

StaffNancy Walls, NPCrystal Stewart, RNDana Thomas, GSWDion Tucker, Clinic CoordinatorYihong Zheng, MD

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

36535481110126

212

340499

1,396

Skin & Subcutaneous Tissue

Musculoskeletal System

Genitourinary System

Injury & Poisoning

Respiratory System

Miscellaneous

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Health Education

Preventive Health, Observation, Exams

52

55

58

59

99

119

210

300

303

314

Special Screening for Endo/Nutritn/Metab/Imm

Routine Medical Exam

Diphtheria, Tetanus, Pertussis Vaccine

Varicella Vaccine

Lab Exam

Special Screening for Hypertension

Follow-Up Exam

Hearing Exam

Influenza Vaccine

Eye Exam

1

1

3

3

5

21

82

92

139

Psychoses

Unemployed

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

Bereavement, Uncomplicated

Family-Related Problems

Educational Circumstances

Stress/Anxiety-Related

Interpersonal Problems

23

2424

2730

34

37

3854

78

Inappropriate Diet & Eating Habits

Allergic Rhinitis

Other Diseases of Nasal Cavity and Sinuses

Abdominal Pain

Elevated BP w/o Hypertension Diagnosis

Asthma

Problems w/Sight

Dysmenorrhea

Injury

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m61

Glen Oaks High School-Based Health Center

Center Opened: 1997

School Served:Glen Oaks High

Total Enrollment in School:

746Total Enrollment in

SBHC:601

Total Visits to SBHC:

1,562Grades Served:

9-12

Glen Oaks High SBHC6650 Cedar Grove Dr.Baton Rouge, LA 70812(225) 355-9759(225) 355-8650 Fax

StaffMalana Sutherland, NPMiriam Steward, GSWCassandra Richard, Clinic CoordinatorJule Assercq, MD

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

82

109

111

133

306

325

381

382

525

1,286

Digestive System

Genitourinary System

Miscellaneous

Injury & Poisoning

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Mental Disorders

Psychosocial & Economic Circumstances

Health Education

Preventive Health, Observation, Exams

58

61

67

76

80

82

96

101152

230

Other Viral Diseases Vaccine

Influenza Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Routine Medical Exam

Pregnant State

Special Screening for Hypertension

Sports/Job/Camp Physical Exam

Follow-Up Exam

Special Screening for Venereal Disease

Lab Exam

6

911

2242

5564

123150

274

Legal CircumstancesBereavement, Uncomplicated

Inadequate Material ResourcesCounseling, Victim of Child Abuse

PsychosesInterpersonal Problems

Screening For Mental, Developmental ProblemEmotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-RelatedFamily-Related Problems

35

46

54

60

65

66

75

76

107

116

Chlamydia Trachomatis

Injury

Asthma

Dysmenorrhea

Iron Deficiency Anemia

Problems w/Sight

Acute URI

Abdominal Pain

Allergic Rhinitis

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m62

Istrouma High School-Based Health Center

Center Opened: 1987

Schools Served:Istrouma High

Istrouma Early Head Start CenterTotal Enrollment in

Schools:881

Total Enrollment in SBHC:

711Total Visits to

SBHC:1,821

Grades Served:9-12

Istrouma High SBHC3730 Winbourne Ave.Baton Rouge, LA 70805(225) 355-6084(225) 355-6085 Fax

StaffAntiqua Smart, NPSheron Wetherford, LCSWYvonne Williams, Clinic CoordinatorJule Assercq, MD

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

73

96

127

244

246

271

302440

575

1,649

Musculoskeletal System

Digestive System

Nervous System & Sense Organs

Injury & Poisoning

Mental Disorders

Respiratory System

Health Education

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

52

55

58

59

99

119

210

300

303

314

Special Screening for Endo/Nutritn/Metab/Imm

Routine Medical Exam

Diphtheria, Tetanus, Pertussis Vaccine

Varicella Vaccine

Lab Exam

Special Screening for Hypertension

Follow-Up Exam

Hearing Exam

Influenza Vaccine

Eye Exam

2

2

32

59

80

123

149

151

223

Counseling, Victim of Child Abuse

Suicidal Ideation

Bereavement, Uncomplicated

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Family-Related Problems

Other Mental Disorders

Educational Circumstances

Interpersonal Problems

40

42

45

49

50

58

7274

76

210

Throat Pain

Cough

Asthma

Other Diseases of Nasal Cavity and Sinuses

Abrasion

Problems w/Sight

Injury

Allergic Rhinitis

Acute URI

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m63

Northeast Elementary School-Based Health Center

Center Opened: 1997

School Served:Northeast Elementary

Total Enrollment in School:

458Total Enrollment in

SBHC:458

Total Visits to SBHC:2,666

Grades Served:K-6

Northeast Elementary SBHC13801 Pride-Port Hudson Rd.Pride, LA 70770(225) 654-4830(225) 654-6538 Fax

StaffNancy Walls, NPChristi Sevario, RNLauren Thompson, GSWKim Jackson, Clinic CoordinatorHolley Galland, MDRuby Davis, Community Outreach Worker

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Eight Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

77

89

90

96

154

205

359456

487

1,944

Digestive System

Genitourinary System

Injury & Poisoning

Musculoskeletal System

Miscellaneous

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Health Education

Preventive Health, Observation, Exams

79

8092

105124

138

194

237297

303

Other Specified Bacterial Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Special Screening for Hypertension

Routine Medical Exam

Influenza Vaccine

Sports/Job/Camp Physical Exam

Hearing Exam

Lab Exam

Follow-Up Exam

Eye Exam

1

3

3

23

33

36

126

271

Alcohol & Drug Dependence

Other Mental Disorders

Family-Related Problems

Stress/Anxiety-Related

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Educational Circumstances

Interpersonal Problems

31

34

35

36

40

47

68

6884

145

Abnormal Urine

Pain in Joint

Acute URI

Injury

Anemia

Asthma

Allergic Rhinitis

Dysmenorrhea

Problems w/Sight

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m64

Northeast High School-Based Health Center

Center Opened: 1997

School Served:Northeast High

Total Enrollment in School:

674Total Enrollment in

SBHC:671

Total Visits to SBHC:

2,181Grades Served:

7-12

Northeast High SBHC13700 Pride-Port Hudson RoadPride, LA 70770(225) 658-0293(225) 658-9368 Fax

StaffLaura Jones, NPGail Lamb, RNLeslie Johnson-Simmons, GSWTikita Jenkins, Clinic CoordinatorHolley Galland, MDRuby Davis, Community Outreach Worker

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

104

122

149

211

229

310

429498

577

774

Nervous System & Sense Organs

Digestive System

Injury & Poisoning

Miscellaneous

Mental Disorders

Health Education

Symptoms, Signs & Ill-Defined Conditions

Respiratory System

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

18

1829

2937

59

71

99139

218

Diphtheria, Tetanus, Pertussis Vaccine

Other Specified Bacterial Disease Vaccine

Special Screening for Venereal Disease

Sports/Job/Camp Physical Exam

Routine Medical Exam

Special Screening for Hypertension

Lab Exam

Eye Exam

Hearing Exam

Follow-Up Exam

3

45

1698104

117

136151

167

Screening for Mental, Developmental ProblemPsychoses

Inadequate Material ResourcesBereavement, Uncomplicated

Educational CircumstancesStress/Anxiety-Related

Emotion, Conduct Disorder, HyperkineticFamily-Related Problems

Interpersonal Problems Other Mental Disorders

33

38

46

57

68

74

79

141

158

313

Abnormal Urine

Limb Pain

Dysmenorrhea

Asthma

Injury

Abdominal Pain

Acute URI

Problems w/Sight

Headache

Allergic Rhinitis

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m65

Prescott Middle School-Based Health Center

Center Opened: 1993

School Served:Prescott Middle

Total Enrollment in School:

289Total Enrollment in

SBHC:266

Total Visits to SBHC:

2123Grades Served:

6-8

Prescott Middle SBHC4055 Prescott Rd.Baton Rouge, LA 70805(225) 357-6085 Tel & Fax

StaffNancy Walls, NPMuriel Miller, RNTara Franklin, LCSWEra Little, Clinic CoordinatorLeela Luke, MD

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

77

92

177

201

251

267

533543

1,335

1,389

Genitourinary System

Nervous System & Sense Organs

Injury & Poisoning

Miscellaneous

Respiratory System

Mental Disorders

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Health Education

Preventive Health, Observation, Exams

48

5154

100123

125

148

160224

254

Sports/Job/Camp Physical Exam

Other Specified Bacterial Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Routine Medical Exam

Lab Exam

Follow-Up Exam

Influenza Vaccine

Special Screening for Hypertension

Eye Exam

Hearing Exam

4

10

11

2784

113

110

126131

183

Suicidal Ideation

Psychoses

Counseling, Victim of Child Abuse

Bereavement, Uncomplicated

Other Mental Disorders

Family-Related Problems

Interpersonal Problems

Educational Circumstances

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

34

49

54

57

74

95

95

103106

221

Teeth and Supporting

Asthma

Throat Pain

Abdominal Pain

Dysmenorrhea

Acute URI

Allergic Rhinitis

Problems w/Sight

Injury

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m66

Westdale Middle School-Based Health Center

Center Opened: 1987

School Served:Westdale Middle

Total Enrollment in School:

911Total Enrollment in

SBHC:817

Total Visits to SBHC:

2,944Grades Served:

6-8

Westdale Middle SBHC5650 Claycut Rd. Baton Rouge, LA 70806(225) 922-2843(225) 922-2845 Fax

StaffNancy Walls, NPDiane Hall, RNSheryl Miller, LCSWRhonell Williams, Clinic CoordinatorSharon Werner, MD

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Innis Community Health Center (A Federally Qualifi ed Health Center, FQHC)

Linda Matessino, Executive Director6450 LA Hwy 1

Suite BInnis, LA 70747

Pointe Coupee Central High

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Community Advisory Board Members and Partners Innis Community Health Center, Inc. (ICHC)

Laverne Aguillard Supervisor, Regional Offi ce of Public HealthJoanna Wurtele Local PhilanthropistGale Roy Retired School Principal, Pointe Coupee Parish Schools (PCPS)Mary Wells Special Education Supervisor, PCPSLynn David Executive Director, Better Access Community HealthLinda D’Amico Superintendent, PCPSKarla Jack Principal, Rosenwald Elementary SchoolBeulah Epps Secretary, ICHC Board of DirectorsAnnie Morrison Director of Community Relations, Advance Baton RougeKaren Davis, RN School Nurse, PCPSJessica Spears, RN Asst. Director SBHCAmy Gauthier Campus Dean, LA Technical College, Jumonville CampusLinda Matessino, RN, MPH Executive Director, Innis Community Health Center

Community Partners

Pointe Coupee Parish School BoardPointe Coupee Parish Health UnitCapital Area Human Services AuthorityPointe Coupee General HospitalPointe Coupee Central High SchoolRosenwald Elementary SchoolUpper Pointe Coupee Elementary School

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

64

65

74

108

135

145207

234

348

1,424

Genitourinary System

Blood

Musculoskeletal System

Injury & Poisoning

Endocrine, Metabolic, Immunity

Psychosocial & Economic Circumstances

Respiratory System

Mental Disorders

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

326161

8699

127175

181228230

Pediatric BMI, 85th to < 95th PercentileSpecial Screening for Chlamydia Disease Vaccine

Sports/Job/Camp Physical ExamPediatric BMI ≥ 95th Percentile

Lab ExamPediatric BMI, 5th to < 85th Percentile

Routine Medical ExamHearing Exam

Influenza VaccineEye Exam

22

9

16

34

45

57

59

155

Bereavement, Uncomplicated

Procedure Not Carried Out For Other Reasons

Educational Circumstances

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Other Mental Disorders

Interpersonal Problems

Family-Related Problems

Screening For Mental, Developmental Problem

3132

40

4041

5868

7982

148

InjuryCough

DysmenorrheaOverweight

Acute PharyngitisIron Deficiency Anemia

Abdominal Pain Allergic Rhinitis

DiabetesHeadache

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Point Coupee Central High School-Based Health Center

Center Opened: January 2008

Schools Served:Pointe Coupee Central High School

Rosenwald Elementary Total Enrollment in schools:

935Total Enrollment in SBHC:

833Total visits to SBHC:

1,724Grades Served:

PreK-12

Pointe Coupee Central High SBHC8434 Pointe Coupee RdMorganza, LA 70759(225) 638-3767(225) 638-4058 Fax

Linda Matessino, RN, MPH, Director

StaffJessica Spears, RN, Assistant DirectorLeon Williams, MD, Medical DirectorMargaret Aubin, FNP-BCEmily Graser, FNP-BCJessica Langlois, MSW/GSWCatina Stelly, Data EntryPatty Gongwer, CMA

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O. Perry Walker High SchoolMcDonogh 35 High School

Interim LSU Public Hospital/Medical Center of Louisiana at New Orleans (MCLNO)

5625 Loyola Ave.New Orleans, LA 70115

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Community Advisory Board MembersO. Perry Walker High School-Based Health Center

Cassandra Youmans, MD Medical Director Ambulatory Services MCLNODebra D. Brown, APRN Assistant Nursing Administrator MCLNOLuis E. Aviles-Lopez, MD Interim LSU Hospital Community and School Clinics CoordinatorWendy Beron, RN Consultant, Baptist Community MinisteriesMary Laurie PrincipalJoe Ann Mason, RN School NurseTarence Davis Positive Behavioral Support Specialist, Athletic Director Mark Bailey AdministratorFran Purcell Social WorkerCheryl Lobdell Social WorkerMichaela King, MD Physician SBHCCollen Kudla Louisiana Public Health InstituteA. Michelle Jean-Pierre, MSPH, CHES Institute of Woman & Ethnic StudiesAntoine Walker Senior Student

McDonogh 35 SBHC closed mid-year, 2009-2010. No data was captured.

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Four Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

25262829

5888

129185

275387

Musculoskeletal SystemDigestive System

Infectious & Parasitic DiseasesSkin & Subcutaneous Tissue

Genitourinary SystemMental Disorders

Symptoms, Signs & Ill-Defined ConditionsRespiratory System

Health EducationPreventive Health, Observation, Exams

5

5

6

8

12

12

33

84

86

127

Follow-up Exam

Special Screening for Diabetes Mellitus

Encounters for Administrative Purpose

Suspected Pregnancy

Lab Exam

Special Screening for Chlamydia Disease

Special Screening for Venereal Disease

Routine Medical Exam

Sports/Job/Camp Physical Exam

Combined Vaccine

8

17

23

40

Alcohol & Drug Dependence

Stress/Anxiety-Related

Psychoses

Emotion, Conduct Disorder,Hyperkinetic

14

15

19

20

20

21

22

30

45

59

Constipation

Acne

Fever

Influenza

Urinary Tract Infection

Headache

Abdominal Pain

Allergic Rhinitis

Asthma

Acute URI

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m72

O. Perry Walker High School-Based Health Center

Center Opened: October 2007

Schools Served:O. Perry Walker High School

Total Enrollment in schools:859

Total Enrollment in SBHC:671

Total visits to SBHC:945

Grades Served:9-12

O. Perry Walker High SBHC2832 General Meyer AvenueNew Orleans, LA 70114(504) 361-6360 (504) 361-6377 Fax

Cassandra Youmans, MD, Medical Director

StaffMichaela King, MDElizabeth Perrilloux, RNCheryl Charles, LPNStacey Wilson, GSWDebra Brown, FNP

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Jackson Parish Hospital165 Beech Springs Rd.Jonesboro, LA 71251

Jonesboro Jr. & Sr. High

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Advisory Committee and Community Partners Jackson Parish Hospital School-Based Health Center

Brenda Atkins Jackson Parish Beautifi cation Board School Bus Driver for Jackson Parish and Quitman DistrictLinda Beasley Social Service Counselor and Clinic Coordinator Jackson Parish Mental Health CenterJames Bradford Manager of Government Affairs/Public Relations Smurfi t Stone Container, Hodge, LA Member of Governor’s School Finance Committee Executive of Committee for Public Affairs Research Council National President of Grambling State University Alumni Association Board of Directors for American Red Cross MemberMaureen Cottingham PineBelt HeadStart Health Advisory Committee Community Coordinator NAACPCindy Grappe Registered NurseBarbara Johnson Secretary, Quitman SchoolAlphonse Lee, Jr. Pastor of Greater Jonesboro Church of God In Christ Vice Chairman of the Eldest Council of the Church Of God In Christ of First Jurisdiction of Louisiana Sunday School President and Chair of the Ruston, LA Districts of COGICOren Leonard Alderman of Town of East Hodge Deacon for Galilee Baptist Church Vice President of Hodge Fire District Board Patient Accounts Coordinator Charlotte Nelson Home Economist (4H) Extension Educator Lousisiana State University Agricultural Center Louisiana Cooperative Extension ServiceDebra Paggett Athletic Director and Physical Education Teacher for Jonesboro-Hodge Middle SchoolLinda Peevy President, American Cancer Society, Jackson Parish Health UnitTerry Wiley Alderman for District D Town of Jonesboro, LABrenda Williams PineBelt Head Start Health Coordinator in JonesboroFannie Williams Jackson Parish Hospital Board MemberWendy Calahan President of Jackson Parish Branch of NAACP, Jackson Parish Alumni Association Jackson Parish Council on Aging Board MemberZettie Moore Family Service Coordinator for PineBelt Head Start Louisiana Cooperative Extension Board for Winn, Bienville, and Jackson Parish Tri-Parish Ministerial Alliance memeber

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

415256

7994

157220227

414707

Genitourinary SystemMiscellaneous

Nervous System & Sense OrgansMusculoskeletal System

Injury & PoisoningRespiratory System

Symptoms, Signs & Ill-Defined ConditionsHealth Education

Psychosocial & Economic CircumstancesPreventive Health, Observation, Exams

1616

2021

434450

70109

241

Tetanus-Diphtheria VaccineLab Exam

Influenza VaccineVaricella Vaccine

Routine Medical ExamHearing Exam

Eye ExamSpecial Screening for Chlamydia Disease

Sports/Job/Camp Physical ExamSpecial Screening for Hypertension

12

2

3913

23

34128

221

Adverse Effects of Work Environment

Legal Circumstances

Occupational Circumstance or Maladjustment

Screening for Mental, Developmental Problem

Bereavement, Uncomplicated

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

Family-Related Problems

Other Mental Disorders

20

21

24

24

29

44

4649

62

125

Nausea and Vomiting

Eye Disorder

Asthma

Essential Hypertension

Dysmenorrhea

Allergic Rhinitis

Cold

Injury

Pain in Joint

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m75

Jonesboro Jr. & Sr. HighSchool-Based Health Center

Center Opened: August 2002

Schools Served:Jonesboro-Hodge High

Jonesboro-Hodge MiddleTotal Enrollment in schools:

744Total Enrollment in SBHC:

505Total visits to SBHC:

1,197Grades Served:

3-12

Jackson Parish Hospital SBHC225 Pershing HighwayJonesboro, LA 71251(318) 395-0049(318) 395-0061 Fax

Tim Paige, MSW, Administrator(318) 259-4435

StaffDr. John Overby, Medical DirectorDr. Gordon White, Medical DirectorStephanie Moore, Data ClerkMarianne Shows, LCSWAngela Hardy, APRN

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Jefferson Parish Public School System

Diane M. Roussel, PhD, Superintendent501 Manhattan Blvd. Harvey, LA 70058

Butler Elementary SchoolEhret High School

Riverdale High SchoolWest Jefferson High School

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Advisory Committee Members and Community PartnershipsJoshua Butler Elementary SBHC

Diane Roussel, PhD Superintendent, Jefferson Parish Public School SystemCarol Mancuso Director, School Safety and DisciplineRayLynn Stevens CPA, Jefferson Parish School SystemDawn Palermo Administrator, Jefferson Parish Juvenile CourtDenise Rehm Principal, Butler Elementary SchoolRev. Woodrow Hayden Shiloh Baptist ChurchStephen Weimer, MD Tulane UniversityElliott Duffoure President, Westwego Lions ClubCarolyn M. Davis, MPH Administrator, Jefferson Parish Health UnitYvonne Lagasse Community LeaderJudge Anne Keller Juvenile CourtJoan Smith Community LeaderMisty Bourgeois Secretary, Butler SBHCRay St. Pierre Jefferson Parish School Board MemberPam Voleck Paraprofessional, Butler Elementary SchoolRobert E. Billiot State RepresentativeJulie Flagman Principal, Vic Pitre Elementary SchoolAngie Ruiz Coordinator, Jefferson Parish SBHCTanya Delaune Social Worker, Jefferson Parish SBHCShannon Cummings Prevention Specialist, Jefferson Parish SBHCBelinda Schouest Data Coordinator, Jefferson Parish SBHCBelinda Alombro Parent, Staff at Butler Elementary SchoolWillie Harris Shiloh Baptist ChurchAngela Henry Director, Children & Family Services, JPHSAMeredith Lagasse Asst. Principal, Butler Elementary School

Tulane Medical CenterJuvenile ServicesJefferson Parish Human Services Authority (JPHSA)

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

135

144

161

172

173223

248

307

343

737

Psychosocial & Economic Circumstances

Digestive System

Musculoskeletal System

Mental Disorders

Nervous System & Sense Organs

Injury & Poisoning

Health Education

Respiratory System

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

4

4

8

10

16

22

43

69

77

83

Diphtheria, Tetanus, Pertussis Vaccine

Unspecified Single Disease Vaccine

Lab Exam

Varicella Vaccine

Influenza Vaccine

Ear Exam

Eye Exam

Follow-Up Exam

Routine Medical Exam

Observation for Suspected Condition

1

3

8

17

19

28

46

80

105

Counseling, Victim of Child Abuse

Screening for Mental, Development Problem

Psychoses

Interpersonal Problems

Bereavement, Uncomplicated

Stress/Anxiety-Related

Other Mental Disorders

Family Problems

Emotion, Conduct Disorders, Hyperkinetic

61

61

67

78

79

99

108

108

139

151

Abrasion

Pediculus Capitis

Ill-defined Eye Disorders

Cold

Cough

Nausea and Vomiting

Allergic Rhinitis

Limb Pain

Headache

Abdominal Pain

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m78

Butler Elementary School-Based Health Center

Center Opened: January 2001

Schools Served:Joshua Butler Elementary

Vic Pitre ElementaryWestwego Elementary

Stella Worley Junior HighTotal Enrollment in Schools:

2,058Total Enrollment in SBHC:

1,534Total Visits to SBHC:

2,510Grades Served:

K-9

Joshua Butler Elem. SBHC300 Fourth St.Westwego, LA 70094(504) 341-0645

Angie Ruiz, LCSW, Director(504) 737-5523(504)737-1679 FaxElementary

StaffTina Peterson, NPKim Vu, RNMisty Bourgeois, Receptionist/Data EntryShannon Cummings, Prevention SpecialistStephen Weimer, MD, Medical DirectorTanya Delaune, LCSWMonica Perry, Medical Assistant

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Ehret High SBHC

Staff

Karen Adams Secretary Dr. Wanday Robinson MD Karen Lambousey NP Heather Palma RN Cassandra Smith SW

Ehret High SBHC opened in late spring 2010. No data was captured.

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Advisory Committee Members and Community PartnershipsRiverdale High SBHC

Peggy Roth Teacher, Riverdale High School Jackie Tonglet Teacher Asst., Riverdale High School Colleen Boudreaux RN, Riverdale Jr. & Sr. High School Angie Ruiz Coordinator, Jefferson Parish SBHC Marie Riviere Social Worker (SW), Riverdale SBHC Judy Bayer RN, Riverdale SBHC Jessica Barnett SW, Jefferson Parish Human Srvice Authority (JPHSA) Janis Neill Teacher, Riverdale High School Evelyn Collins Secretary, Riverdale High School Dontrell Williams Student, Riverdale High School Dr. Gerald Martin Dentist Randy Bennet Principal, Riverdale Jr. High School Amy Schayot Teacher, Riverdale High School Christina Lochbrunner Parent, Riverdale High School Stacey Hunter Secretary, Riverdale High School Rebecca Smith Secretary, Riverdale SBHC Chris Naumann Park Manager, Jefferson Parish Parks Loran Graham, DDS Dentist Chad Comeaux Student, Riverdale Middle School Brittney Lee Student, Riverdale Middle School Trevor Taylor Student, Riverdale Middle School Anthony Gautreaux Student, Riverdale Middle School

LSU Family Medicine

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

207

216

254

260

274305

335

578

742

908

Miscellaneous

Health Education

Psychosocial & Economic Circumstances

Musculoskeletal System

Genitourinary System

Injury & Poisoning

Mental Disorders

Respiratory System

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

18

24

31

42

4546

73

74

129

148

Speical Screening for Diabetes Mellitus

Other Specified Single Disease Vaccine

Varicella Vaccine

Other Specified Bacterial Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Lab Exam

Special Screening for Chlamydia Disease

Special Screening for Venereal Disease

Sports/Job/Camp Physical Exam

Routine Medical Exam

1

3

25

31

51

55

82

165

176

Alcohol & Drug Dependence

Unemployed

Screening for Mental, Developmental Problem

Other Mental Disorders

Interpersonal Problems

Bereavement, Uncomplicated

Family-Related Problems

Stress/Anxiety-Related

Emotion, Conduct Disorders, Hyperkinetic

64

67

68

77

79

109

151

182

224

519

Joint Pain

Limb Pain

Injury

Nausea and Vomiting

Abdominal Pain

Acute Pharyngitis

Allergic Rhinitis

Cold

Dysmenorrhea

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m81

Riverdale High School-Based Health Center

Center Opened: February 2007

Schools Served:Riverdale High School

Riverdale Middle SchoolTotal Enrollment in Schools:

1,231Total Enrollment in SBHC:

900Total Visits to SBHC:

3,443Grades Served:

6-12

Riverdale High SBHC240 Riverdale DriveJefferson, LA 70121(504) 834-5026(504) 834-3854 fax

Angie Ruiz, LCSW, Director (504) 737-5523(504) 737-2649 FaxStaffJudy Bayer, RNTina Peterson, NPRebecca Smith, SecretaryMarie Riviere, LCSWErin Valls, Prevention SpecialistJames Campell, MD, Medical DirectorMarin Dawson-Caswell, MD

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Advisory Committee Members and Community PartnershipsWest Jefferson High SBHC

Theresa Anderson Sr. Vice President/Chief Nurse ExecutiveSallye Raymond Delgado Westbank CampusRalph Savarese Communtiy LeaderJennifer Steel West Bank Rotary ClubDiane Roussell Superintendent, Jefferson Parish Public School System (JPPSS)Margie Carmadell Community LeaderCarol Mancuso Director, Safe & Drug Free Schools, Jefferson Parish (JP)Erin Valls SDFSCAAlida Wyler Coordinator of Nurses, JPPSSRita Foster Principal, Cullier Career CenterAngela Henry Director Children & Family Services, JPHSACarolyn Davis Director, JP Health UnitsElton Lagasse JP Councilman, District 2Ronnie Slone Education Chair, Jefferson Chamber of CommerceSteve Lachute JP Sheriff’s Offi ceDawn Palermo Judicial Administrator, JP CourtsAngie Ruiz Coordinator, JP SBHCsAllyson Johns Project Manager, West Jeff (WJ) SBHCFreddie Landry Development Director, Healing H. MinistryBelinda Schouest Data Coordinator, SBHCPam Wiseman, MD Medical Director, WJ SBHCAmy Hebert RN, WJ SBHCSandy Boudreaux Secretary, WJ SBHCHolly Coghrain StudentVeida Payano StudentMagda Hernandez StudentShawane Allen StaffTim Bracy WJ Medical Center

Tulane Department of Family Medicine

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

141

165

192

245

262471

508

566

602

853

Genitourinary System

Musculoskeletal System

Injury & Poisoning

Respiratory System

Miscellaneous

Symptoms, Signs & Ill-Defined Conditions

Health Education

Psychosocial & Economic Circumstances

Mental Disorders

Preventive Health, Observation, Exams

24

34

37

49

57

58

102

105

106

Viral Hepatitis Vaccine

Varicella Vaccine

Other Specified Bacterial Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Sports/Job/Camp Physical Exam

Suspected Pregnancy Exam

Observation for Suspected Condition

Routine Medical Exam

Follow-Up Exam

10

12

22

34

34

37

124

127

324

411

Suicidal Ideation

Legal Circumstances

Counseling, Victim of Child Abuse

Bereavement, Uncomplicated

Educational Circumstances

Interpersonal Problems

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

Family-Related Problems

Stress/Anxiety-Related

31

34

36

52

56

63

70

80

87

188

Acute Pharyngitis

Elevated BP w/o Hypertension Diagnosis

Limb Pain

Injury

Asthma

Pain in Joint

Abdominal Pain

Cold

Dysmenorrhea

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m83

West Jefferson High School-Based Health Center

Center Opened: November 2007

Schools Served:St. Ville Academy

Total Enrollment in Schools:1,350

Total Enrollment in SBHC:1,025

Total Visits to SBHC:2,118

Grades Served:6-12

West Jefferson High SBHC2200 Eighth St. Harvey, LA 70058(504) 367-4407(504) 367-4327

Angie Ruiz, LCSW, Director (504) 737-5523(504) 737-2649 FaxStaffAmy Hebert, RNLiz Jackel, NPSandy Boudreaux, SecretarySusan Glapion, LSCWShannon Cummings, Prevention SpecialistPam Wiseman, MD, Medical DirectorMonica Perry, Medical Assistant, MD

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Lafayette Parish School SystemOpelousas General Hospital4301 North University Ave.

Carencro, LA 70520

Carencro Middle School

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Community Advisory Board Members and PartnersCarencro Middle

School-Based Health Center

Matt Harmon CMS principalMonique Richard CMS Teacher/ParentGlenn Brasseaux Mayor of CarencroTommy Angelle LPSS Board MemberEmily Graser NPDr. Lisa Broussard University of Louisiana, LafayetteMelinda Oberlitner University of Louisiana, LafayetteGabe Rodriguez Cecil Picard CenterAmanda Fontentot OGH Foundation DirectorBarbara Friedrichs LPSS Coordinated School Health CoordinatorAmber Littlefi eld LPSS Nsg. SupervisorJodi West St. Martin SBHC AdministratorShannon Mclaughlin Northside High School SBHC Adminstrator

Carencro Middle SBHC opened in late spring 2010. No data was captured.

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LSU Health Sciences Center

5625 Loyola Ave.New Orleans, LA 70115

McMain and Science & Math

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Advisory CommitteeMcMain Secondary School and Science & Math High SBHCs

Ryan Pasternak, MD, MPH Adolescent Medicine Program Director, LSUHSCMelissa Nass, MD, MPH Pediatrician/Medical Director of SBHC, LSUHSCAlice Farley, MD Pediatrician, LSUHSCMorgan Feibelman, MD Child Psychiatrist, Metropolitan Human Services District (MHSD)Vonda Gaitor-Stampley, FNP Family Nurse Practitioner, LSUHSCColleen Frantz Bodet, FNP Family Nurse Practitioner, LSUHSC Gwendolyn Collins, RN Registered Nurse, LSUHSC Nikki Hunter, RN Registered Nurse, LSUHSCFanya Gedalia, RN Registered Nurse, LSUHSCPatricia St. Ann, LPN Licensed Practical Nurse, LSUHSCMary Pendleton Data Analyst, LSUHSC Sam McKay, GSW Behavioral Health Counselor, MHSDJanice Rabb, GSW Substance Abuse Counselor, MHSDBridget Frick Principal, McMainLakeysha London Assistant Principal, McMainTerry Marquez, RN School Nurse, McMainCatina Stewart Physical Education Teacher, McMainEmile Hall Dean of Students, McMainDebrah Lowe Parent LiaisonLeah McCraw Senior Student, McMainEkebnta Okorn Sophomore Student, McMainJohn Solet Dean of Students, Science and MathJo Ann Moinet Academic Interventionist, Science and MathAlnita Porca Interim Principal, Science and MathErnest Lumpkins CFO, Science and MathKodi Trahan Social Worker, Science and Math

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

245247292

412473480628

9891,177

3,841

MiscellaneousPsychosocial & Economic Circumstances

Musculoskeletal SystemInjury & Poisoning

Genitourinary SystemMental Disorders

Respiratory SystemHealth Education

Symptoms, Signs & Ill-Defined ConditionsPreventive Health, Observation, Exams

140153154

206221223229

285335

869

Special Screening for Venereal DiseaseSpecial Screening for Diabetes MellitusDiphtheria, Tetanus, Pertussis Vaccine

Hearing Exam

Eye ExamUnspecified Single Disease Vaccine

Influenza VaccinePediatric BMI ≥ 95th Percentile

Routine Medical ExamPediatric BMI, 5th to < 85th Percentile

15

16

19

21

29

29

40

110

152

277

Suicidal Ideation

Bereavement, Uncomplicated

Interpersonal Problems

Inadequate Material Resources

Alcohol & Drug Dependence

Psychoses

Other Mental Disorders

Stress/Anxiety-Related

Family-Related Problems

Emotion, Conduct Disorder, Hyperkinetic

92

95

100

110

123

124

141

241

321

457

Acute sinusitis

Diabetes

Contusion

Pain in Joint

Abdominal Pain

Throat Pain

Allergic Rhinitis

Cold

Dysmenorrhea

Headache

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McMain and Science & Math High

School-Based Health Center

Eleanor McMain Secondary SBHC5712 South Claiborne AvenueNew Orleans, LA 70125(504) 359-11210Science & Mathematics Charter High SBHC5625 Loyola AvenueNew Orleans, LA 70115(504) 359-1131Ryan Pasternak, MD, MPH, SBHC DirectorMelissa Nass, MD, MPHAlice Farley, MDStaffVonda Gaitor-Stampley, FNP Mary Pendleton, Data ManagerColleen Frantz Bodet, FNP Patricia St. Ann, LPNJanice Rabb, GSWSam McKay, GSWGwendolyn Collins, RNNikki Hunter, RNFanya Gedalia, RN

Center Opened: March 2006

Schools Served:Eleanor McMain Secondary

Science and Mathematics Charter High Total Enrollment in schools:

1,086Total Enrollment in SBHC:

1,086Total visits to SBHC:

4,669Grades Served:

7-12

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LSUHSC/Washington/St. Tammany Regional

Medical Center433 Plaza Street

Bogalusa, LA 70427

Bogalusa Middle SchoolBogalusa High School

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Advisory Committee and Community Partners Bogalusa High and Bogalusa Middle School-Based Health Centers

Marilyn Crews Bogalusa City CouncilRobert Black Judge, City of BogalusaPete Underwood Pastor, Emmanuel Baptist ChurchLena Culpepper Retired, Bogalusa City SchoolsStephanie Walker, RN Instructor, Louisiana Technical CollegeDonna Trooskin LSU-BMC Medical Auxillary VolunteerMark Kellar, RN LSU-BMC Director of NursingSheila Seals, RN LSU-BMC Outpatient SupervisorRodney Brown BHS-PrincipalTeresa King BHS-Assistant PrincipalSherry Breland BHS-TeacherHeaven Holland BMS-StudentAlicida Fritz ParentDr. Allen Singleton Retired OB/GYNSue Williams Retired, Bogalusa City SchoolsKathy Adams, RN School Nurse, Bogalusa City SchoolsMerlin Duke LSU-BMC Patient AdvocatePatsy Welch, RN Manager, LSU-BMC Labor and DeliveryMarsha Culpepper, RN Director, LSU-BMC Bogalusa Health CentersVenice Hughes Assistant Director/Data Coordinator LSU-BMC BHS Health CenterAnna Busby, FNPC Nurse Practitioner, LSU-BMC Bogalusa Health CentersKathy Warner Social Worker, LSU-BMC BMS Health CenterStacie Glenn Data Coordinator, LSU-BMC BMS Health CenterCarrilyn Duplantis RN, LSU-BMC BHS Health CenterWanda Saucier Site Supervisor, LSU-BMC BMS Health Center

Community Partners

American Cancer SocietyAmerican Heart AssociationAmerican Red CrossDAREFirst Steps ProgramBogalusa City PoliceBogalusa Heart StudyBogalusa Mental HealthChildren’s Trust FundJuvenile Probation/Parole LA. Spirit/VOA Southeast Spouse Abuse Therapeutic CounselingWashington Parish Health UnitWICYMCA/YWCALouisiana Technical CollegeLSUHSC Pediatric CenterChildren’s HosiptalLouisiana Chapter American Academy of Pediatrics

ADAPT DSS/Offi ce of Family Support Medicaid Washington Parish Rape Crisis Washington Parish Sheriff Dept. Washington Parish Addictive Disorders Clinic

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

7383959999

203473

507556

710

Genitourinary System

Digestive System

Respiratory System

Musculoskeletal System

Miscellaneous

Injury & Poisoning

Health Education

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

3

5

6

48

59

63

65

76

78

102

Follow-Up Exam

Exposure to Veneral Disease Screening

Sports/Job/Camp Physical Exam

Influenza Vaccine

Routine Medical Exam

Eye Exam

Ear Exam

Lab Exam

Other Specified Single Disease Vaccine

Special Screening for Hypertension

12

7

92929

42

57212

358

Unemployed

Screening for Mental, Developmental Problem

Other Mental Disorders

Legal Circumstances

Stress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

Bereavement, Uncomplicated

Interpersonal Problems

Educational Circumstances

Family-Related Problems

3034

45

48

50

5167

68

139267

Teeth And Supporting Structures

Elevated BP w/o Hypertension Diagnosis

Problems Related To Lifestyle

Dyspepsia

Abdominal Pain

Throat Pain

Nausea & Vomiting

Dysmenorrhea

Injury

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m91

Bogalusa Middle School-Based Health Center

Center Opened: August 1997

School Served:Bogalusa Middle School

Total Enrollment in School:524

Total Enrollment in SBHC:498

Total Visits to SBHC:1,626

Grades Served:6-8, special education

Bogalusa Middle School SBHC1403 North AvenueBogalusa, LA 70427

Marsha Culpepper, RN, Program Director(985) 732-6654(985) 732-6650 Fax

StaffRaghubir Mangot, MD, Medical DirectorAnna Busby, FNPKathy Warner, GSWWanda Saucier, Site SupervisorStacie Glenn, Data Coordinator

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Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

808291134

184

245401

599900

1,394

Miscellaneous

Nervous System & Sense Organs

Musculoskeletal System

Genitourinary System

Respiratory System

Injury & Poisoning

Health Education

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

38

40

46

49

50

91110

111

194

540

Varicella Vaccine

Other Specified Single Disease Vaccine

Special Screening for Obesity

Diphtheria, Tetanus, Pertussis Vaccine

Follow-up Exam

Routine Medical Exam

Eye Exam

Ear Exam

Lab Exam

Special Screening for Hypertension

3869

798084

101107

134138

347

Elevated BP w/o Hypertension Diagnosis

Cough

Cold

Nausea and Vomiting

Other Diseases of Nasal Cavity and Sinuses

Throat Pain

Dysmenorrhea

Abdominal Pain

Injury

Headache

1

2

15

15

18

27

37

38

168

331

Alcohol & Drug Dependence

Screening For Mental, Developmental Problem

Emotion, Conduct Disorders, Hyperkinetic

Legal Circumstances

Other Mental Disorders

Bereavement, Uncomplicated

Interpersonal Problems

Stress/Anxiety-Related

Educational Circumstances

Family-Related Problems

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m92

Bogalusa High School-BasedHealth Center

Bogalusa High SBHC100 M.J. Israel DriveBogalusa, LA 70427

Marsha Culpepper, RN, Program Director(985) 732-6657(985) 732-6658 Fax

Staff Raghubir Mangot, MD, Medical Director Anna Busby, FNP Carrilyn Duplantis, RN Kathy Warner, GSW Venice Hughes, Assistant Director/Data Coordinator

Center Opened: August 1995

School Served:Bogalusa High

Total Enrollment in School:510

Total Enrollment in SBHC:479

Total Visits to SBHC:2,572

Grades Served:9-12, special education

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Madison Parish HospitalWendell Alford, Administrator

900 Johnson St.Tallulah, LA 71282

Madison Middle & High

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Advisory Committee and Community PartnersMadison High School-Based Health Center

Wendell Alford Madison Parish HospitalRosie Armstrong Principal, Middle SchoolKay Ashley Offi ce of Mental HealthLaura Bailey Nutrition TechnicianAnthony Bridgewater USDADr. Wade Brown PhysicianDr. Lawrence Chenier PhysicianAndrew Claxton Madison Parish School Board (MPSB)Vera Davis MPSBSamuel Dixon Superintendent, MPSBShirley Fountain LPNDetra Griffi n Secondary Supervisor, MPSBSarah Wyatt Secretary, Middle SchoolAltricia Hutto Madison Parish Health UnitGloria Watkins Principal, Elementary SchoolJoseph Candler MPSBGloria Henderson Elementary Supervisor, MPSB

Ruthie Magee Principal, High SchoolBeverly McGowan ParentKarol Osborne Extension Offi ceDr. Donald Perry PhysicianEarl Pinkney Offi cer, Sheriff’s Offi ceDr. Raymond Poliquit PhysicianCarla Puckett ParentTiffany Reece RelativeCorean Riggs Drug CounselorAgnes Robertson ParentBerteal Rogers Extension Offi ceSarah Sims Extension Offi ceHazel Suluki Past SBHC DirectorCarl Walk Delta Head StartJoe Walk MPSBGlenn Kline Principal, Elementary School

Agencies/Organizations

Amerian Red Cross Madison Parish Health UnitCub/Girl Scouts of America Madison Parish HospitalDrug Free Schools Madison Parish Sheriff’s DeptartmentDelta Recovery Center Tallulah Fire Deptartment4-H Club Tallulah Mental Health ClinicJuvenile Probation/Parole Tallulah Police DeptartmentFINS USDA-Rural DevelopmentGirl PowerLA State Police

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Six Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

91100

109

124

174

263

280

358

591

1,410

Mental Disorders

Health Education

Nervous System & Sense Organ

Musculoskeletal System

Digestive System

Respiratory System

Psychosocial & Economic Circumstances

Injury & Poisoning

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

2330

3760

85105

139

140199

525

Special Screening for Pulmonary TuberculosisSuspected Pregnancy

Encounters for Administrative Purpose Sports/Job/Camp Physical Exam

Immunotherapy Vaccine

Follow-Up ExamHearing Exam

Routine Medical Exam

Eye ExamSpecial Screening for Hypertension

1

1

8

31

72

258

Bereavement, Uncomplicated

Interpersonal Problems

Family-Related Problems

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Educational Circumstances

48

48

49

49

51

85

102

152

187

236

Abrasion

Teeth and Supporting Structures

Abdominal Pain

Injury

Limb Pain

Contusion of Eyeball

Dyspepsia

Allergic Rhinitis

Elevated BP w/o Hypertension Diagnosis

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m95

Madison Middle & High School-Based Health Center

Center Opened: October 1995

Schools Served:Madison High

Madison Middle Wright Elementary

Total Enrollment in Schools:1,458

Total Enrollment in SBHC:897

Total Visits to SBHC:2,387

Grades Served:PreK-12

Madison High SBHCP.O. Box 1620 1234 Madison High DriveTallulah, LA 71282

Rodger Puckett, RN, Director(318) 574-5371(318) 574-2309 Fax

StaffLawrence Chenier, MDSylvia Redd, NPRodger T. Puckett, RNMalcolm Gayfi eld, GSWBetty Clark, School NurseShelly Banks, Receptionist/Data Entry

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Methodist Health System Foundation360 Oak Harbor Blvd.

Slidell, LA 70458

Chalmette High School

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Community Advisory Board Members and PartnersChalmette High School-Based Health Center

Charolette Murla ParentAmy Haase Teacher, Chalmette High School (CHS)Wayne Warner Principal, CHSChristie Frey, ATC Athletic Trainer, CHSCarol Mundt Assistant Principal, CHSSharon Cooper School Secretary, CHSMyra Faust School Secretary, CHSSophie Boudreaux Student, CHS Advisory CommitteeLarurie McInnis, RN St. Bernard Parish School Board (SBPSB)/School Nurse, CHSEmily Boackle Assistant Principal, CHSPaul Porter, LCSW Social Worker, CHSSherry Wolfe SBPSBBeverly Lawrason Assistant Superintendent, SBPSBKeith Wilkinson Pharmacist, Chalmette WalgreensCharles Cassar Drug Free Schools Coordinator, SBPSBSusan Andry, LCSW Special Education, CHS, Social Worker

St. Bernard Parish Fire DepartmentAcadian Ambulance ServiceSt. Bernard Health ClinicSt. Bernard Parish Health UnitOffi ce of Public HealthSt. Bernard Parish SchoolsMetropolitan Human Services DistrictMethodist Health Systems Foundation

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

400419

421

447

648

771

871

1,070

1,830

2,234

Musculoskeletal System

Digestive System

Genitourinary System

Injury & Poisoning

Psychosocial & Economic Circumstances

Mental Disorders

Health Education

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

79

12

2634

99

399

509552

563

Special Screening for Pulmonary TuberculosisExposure to Veneral Disease

Pregnancy-Related IssuesSpecial Screening for Diabetes Mellitus

Special Screening for venereal Disease

Normal Blood PressureSports/Camp/Job Physical Exam

Follow-Up Exam

Routine Medical ExamSpecial Screening for Hypertension

415

16

6063

87

110

241

370

442

Screening for Mental, Development Problem

Educational Circumstances

Alcohol & Drug Dependence

Psychoses

Bereavement, Uncomplicated

Other Mental Disorders

Interpersonal Problems

Stress/Anxiety-Related

Family-Related Problems

Emotion, Conduct Disorder, Hyperkinetic

139158161

174182191

219221238

569

Abdominal PainDysmenorrhea

Pain in Joint Allergic Rhinitis

DyspepsiaAcute Sinusitis

ColdElevated BP w/o Hypertension Diagnosis

Acute PharyngitisHeadache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m98

Chalmette High School-Based Health Center

Center Opened: August 2007

Schools Served:Chalmette High School

Total Enrollment in schools:1,294

Total Enrollment in SBHC:1,256

Total visits to SBHC:6,606

Grades Served:9-12

Chalmette High SBHC1100 E. Judge Perez Dr.Chalmette, LA 70043(504) 333-6988 (504) 342-2184 Fax

Heather Surcouf, FNP-BC, SBHC DirectorJoseph Labat, MD, Medical Director

StaffGlenda London, FNP-BCMae Juan, RNHolly Bradley, MAMichelle Jaunet, LCSWCarol F. Caudill, Center CoordinatorMorgan Feibelman, MD, PsychiatristPattie Jarrell, FNP-BC

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Morehouse Community Medical Center, Inc.Katie Parnell, CEO518 Durham StreetBastrop, LA 71220

Morehouse Jr. High School

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Community Advisory Board Members and Partners Morehouse Jr. HighSchool-Based Health Center

Katie Parnell Morehouse Community Medical Centers, Inc.Sharon Ray, RN Morehouse Jr. High SBHCShahzad Malik, MD Morehouse Community Medical Centers, Inc. PediatricianRay Owens Morehouse Parish School BoardRalph Davenport Morehouse Parish School BoardDavid Nordman Morehouse Parish School BoardRene Fonte MJHS PrincipalBarbara Gombossy MJHS TeacherDonna Stevenson MCMC Board MemberLindsey Murry Children’s CoalitionKathy Watts BHS ParentSusan Coston Morehouse Parish Health UnitDorthy Ford Chamber of CommerceAkeisha Kennedy ParentEric Brown Offi ce of Addictive Disorders, Bastrop Addictive Disorders ClinicDarlene Blackard School NurseJohnnye Girtmon MJHS LibrarianLester Lee StudentRaven Garrison StudentHamp Lenoire Morehouse Parish School BoardSandy Mills School Social WorkerAudrey Rayford School NurseApril Chafford School NurseCynthia Atlas BHS PrincipalLoria Pearce Offi ce of Mental HealthSusan Gallien, FNP Morehouse Jr. High SBHCKatrenia Parker Morehouse Jr. High SBHCKacey Solomon Morehosue Jr. High SBHC Eric Buler Offi ce of Addictive Disorders

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

7273

82

82

99

101

159

165

167

386

Endocrine, Metabolic, Immunity

Digestive System

Health Education

Mental Disorders

Injury & Poisoning

Musculoskeletal System

Respiratory System

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

919

20

23

23

25

52

56

56

70

Special Screening for Diabetes Mellitus

Special Screening for Hypertension

Follow-Up Vaccine

Varicella Vaccine

Other Specified Bacterial Disease Vaccine

Combined Vaccine

Hearing Exam

Eye Exam

Routine Medical Exam

Sports/Job/Camp Physical Exam

11

2

310

27

29

36

45

92

Educational Circumstances

Legal Circumstances

Counseling, Victim Of Child Abuse

Screening for Mental, Development Problem

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Family-Related Problems

Interpersonal Problems

Other Mental Disorders

26

29

32

39

39

39

52

52

54

67

Problems w/Sight

Dysmenorrhea

Acute Pharyngitis

Allergic Rhinitis

Dyspepsia

Obesity

Injury

Limb Pain

Acute URI

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m101

Center Opened: December 2009

Schools Served:Morehouse Jr. High School

Bastrop High SchoolTotal Enrollment in schools:

1,438Total Enrollment in SBHC:

374Total visits to SBHC:

1,040Grades Served:

7-12

Morehouse Jr. High SBHC1001 West Madison Ave.Bastrop, LA 71220(318) 281-8422(318) 281-2325 Fax

Sharon Ray, RN, Director

StaffSusan Gallien, APRN, FNP-CKacey Solomon, NCC, RSWKatrenia Parker, Receptionist

Morehouse Jr. High School-Based Health Center

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Ouachita Parish School Board

P.O. Box 2573West Monroe, LA 71294-2573

Riser Elementary & Middle SchoolWest Monroe High School

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Advisory CommitteeRiser & West Monroe School-Based Health Center

Dr. W.G. Beauregard Pediatrician/Medical DirectorDr. Cindy Bimle Pediatrician/Medical DirectorLyndsey Breard Life ChoicesBecky Brown Offi ce of Public HealthJulia Cagle West Monroe (WM) Community Center Mack Calhoun Ouachita Parish Police JuryAvius Carroll Offi ce of Addictive DisordersDr. Don Coker Ouachita Parish School Board (OPSB)Dr. Jan Corder Living Well FoundationDr. Judy Crow Medthodist Children’s HomeDonnie Dampier Principal, Riser Middle SchoolEdwin Davis Principal, Lenwil ElementaryAnthony Killian Principal, OPACRichie Garrett OPSBLynda Gavioli Children’s CoalitionJean Hartzog Offi ce of Addictive DisordersJerry Hicks OPSBDr. Frank Hoffmann State RepresentativeBeverly Jarrell University of Louisiana at Monroe (ULM) Dental Hygiene ClinicDr. Shelley Jones Offi ce of Public HealthDan Lane Assistant Principal, WMHSShere May Principal, WMHSAnthony Moore Principal, Riverbend ElementaryTom Morris Boys and Girls ClubLindsay Murry Children’s CoalitionMary Ann Newton WM/WO Chamber of CommerceJerri Parks Offi ce of Addictive DisordersCurtis Pate Principal, Boley Elementary SchoolLoria Pierce Monroe Mental Health ClinicGeniece Piercy Medicaid Area ManagerScott Robinson OPSBJohn Russell OPSBKen Slusher OPSBSusan Spence OPSBCarey Walker OPSBBarry Wall Kiwanis ClubMike Walsworth State SenatorJan Wawryzniak United WayDr. Bob Webber Superintendent, OPSBBlake Wheelis Living Well FoundationJack White President, OPSBSue Wilson WMHS School NurseNicole Zordan Principal, Riser Elementary SchoolWendy Bailes ULM School of Nursing

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Seven Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

101124130140

195

215232

1,0761,165

1,259

Genitourinary SystemSkin & Subcutaneous Tissue

Musculoskeletal SystemHealth EducationDigestive System

Nervous System & Sense OrgansInfectious & Parasitic Diseases

Symptoms, Signs & Ill-Defined ConditionsRespiratory System

Preventive Health, Observation, Exams

3771

74

80

83

85

85

97

205

311

Follow-Up Vaccine

Eye Exam

Diphtheria, Tetanus, Pertussis Vaccine

Other Specified Bacterial Disease Vaccine

Routine Medical Exam

Hearing Exam

Special Screening for Hypertension

Varicella Vaccine

Influenza Vaccine

Dental Exam

1

4

5

5

13

14

25

Emotion, Conduct Disorder, Hyperkinetic

Person Living In Residential Institution

Stress/Anxiety-Related

Other Mental Disorders

Educational Circumstances

Family-Related Problems

Interpersonal Problems

80112

155157160

214225

265312

428

Pediculus CapitisStreptococcal Sore throat

Nausea and VomitingThroat Pain

Abdominal Pain Allergic Rhinitis

Other Diseases of Nasal Cavity and SinusesAcute Sinusitis

Acute PharyngitisHeadache

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Riser Elementary School-Based Health Center

Center Opened: January 2002

Schools Served:Riser Elementary, Riverbend Elementary

Riser Middle, Lenwil ElementaryCrosley Elementary

Total Enrollment in Schools:1,939

Total Enrollment in SBHC:1,143

Total Visits to SBHC:3,619

Grades Served:PreK3-8

Riser SBHC100 Price St. West Monroe, LA 71292(318) 325-0973

Wendy Cranford, RN, Program Director

StaffW. G. Beauregard, MDCindy Bimle, MDTammy Parker, FNP-C, NPSumer Wade, LPNCandy Johns, RNEsther Townsend, M.Ed., LPCLori Gregory, M.R./Billing SupervisorSharon Grant, Clinic/Data Coordinator

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Eight Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

4888125

265

276369

475591

1,0051,865

Musculoskeletal SystemGenitourinary System

Skin & Subcutaneous TissuePsychosocial & Economic Circumstances

Infectious & Parasitic DiseasesHealth Education

Nervous System & Sense OrgansSymptoms, Signs & Ill-Defined Conditions

Respiratory SystemPreventive Health, Observation, Exams

4477

114169

170170183

198272

377

Other Specified Single Disease VaccineVaricella VaccineInfluenza Vaccine

Hearing ExamEye Exam

Routine Medical ExamOther Specified Bacterial Disease Vaccine

Diphtheria, Tetanus, Pertussis VaccineViral Hepatitis Vaccine

Special Screening for Hypertension

1

2

7

8

13

14

39

203

Alcohol & Drug Dependence

Other Mental Disorders

Stress/Anxiety-Related

Bereavement, Uncomplicated

Family-Related Problems

Screening for Mental, Developmental Problem

Educational Circumstances

Interpersonal Problems

94103

117133

137142

191226

348

355

Acute Bronchitis

Headache

Acute Tonsilitis

Nausea and Vomiting

Allergic Rhiniti

Cough

Streptococcal Sore Throat

Acute Pharyngitis

Otitis Media

Acute Sinusitis

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West Monroe High School-Based Health Center

Center Opened: October 2007

Schools Served:West Monroe High School

Ouachita Parish Alternative CenterBoley Elementary School

Total Enrollment in Schools:2,305

Total Enrollment in SBHC:1,623

Total Visits to SBHC:2,695

Grades Served:PreK4-12

West Monroe SBHC201 Riggs St. West Monroe, LA 71291(318) 387-8420

Wendy Cranford, RN, Program Director

StaffW. G. Beauregard, MDCindy Bimle, MDLaurie Hamilton, FNP-C, NPSharon Ponthieux, LPNCandy Johns, RNBeth Fuller, M.Ed., LPCLori Gregory, M.R./Billing SupervisorSheila Keyes, Clinic/Data Coordinator

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Our Lady of LourdesRegional Medical Center

611 St. Landry St. Lafayette, LA 70506

Northside High School

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Advisory Committee and Community PartnersNorthside High School-Based Health Center

Shanon McLaughlin Northside High School Based Health CenterBrandi Gonzales Lafayette Parish School BoardCharles Richard Northside High SchoolLarry Dorsey University Medical CenterMaxine Hamilton Lafayette Parish School BoardRev. Bruce Headly First Assembly of GodCarl Lacombe Lafayette Parish School BoardBurnell Lemoine Lafayette Parish School BoardSr. Betty Lyons Our Lady of Lourdes Regional Medical CenterWilfred Pierre Louisiana State RepresentativeCarlton Handy Northside High SchoolEdward Sam State Representative

Community Partners

Lafayette Parish Health UnitPartnership for a Healthier LafayetteWomen’s & Children’s HospitalSouthwest Louisiana Area Health Education CenterLouisiana Violence Prevention Task ForceOffi ce of Public HealthAcadiana Mental HealthLSU Medical CenterGovernor’s Abstinence Program

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

4

6

14

19

211

220

228

234

381

425

Exposure to Veneral Disease

Observation for Suspected Condition

Suspected Pregnancy

Special Screening for Diabetes Mellitus

Eye Exam

Hearing Exam

Follow-Up Exam

Routine Medical Exam

Lab Exam

Combined Vaccine

34

5

9

20

27

45

109

136

189

Person Living In Residential Institution

Suicidal Ideation

Educational Circumstances

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Other Mental Disorders

Stress/Anxiety-Related

Interpersonal Problems

Family-Related Problems

Screening For Mental, DevelopmentalProblem

63

70

80

91

97

112

193

210

309

524

Pain in Joint

Throat Pain

Sprain/Strain

Injury

Allergic Rhinitis

Limb Pain

Dysmenorrhea

Dyspepsia

Acute URI

Headache

240252

297

298

300

389

494

563

910

1,748

Genitourinary System

Mental Disorders

Injury & Poisoning

Musculoskeletal System

Psychosocial & Economic Circumstances

Digestive system

Health Education

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

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Northside High School-Based Health Center

Center Opened: January 1996

School Served:Northside High

Total Enrollment in School:960

Total Enrollment in SBHC:789

Total Visits to SBHC:3,900

Grades Served:9-12

Northside High SBHC301 Dunand StreetLafayette, LA 70501(337) 261-6995(337) 231-0022 Fax

Shanon McLaughlin, RN, BSN, Supervisor

StaffBeverly Coleman, Secretary/Data Entry ClerkLynda Carmouche, LCSWIris Malone, FNP-CEarl Washington, MD, Community Service Medical Director

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Primary Care Providersfor a Healthy Feliciana

12126 Liberty St.Clinton, LA 70722

Clinton High School

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Anita Bergman Substance Abuse Counselor, Feliciana Center for Addictive DisordersMary Ann McCutcheon RN, East Feliciana Parish Health UnitMichael Cheatham Teacher/Coach, Clinton Middle SchoolCarolyn Joseph Community RepresentativeTaronda Blount Parent of Student, Clinton MiddleRachael Williams RN, Parent of Student, Clinton MiddleTom McVea Louisiana State RepresentativeDelsia Marshall School Principal, Clinton Middle SchoolTrina Brown-Allen Guidance Counselor, Clinton Middle SchoolCarlette Dawson Business Owner, Community RepresentativeMark Branch Community RepresentativeArlyn Munson Administrative Secretary, Primary Care Providers for A Healthy Feliciana (PCPHC)Dawn Taylor Chief Information Offi cer, PCPHCDarie Gilliam Family Nurse Practitioner (FNP-C), Clinical Director, PCPHCBeth Fudge Chief Operations Offi cer, School Health, PCPHCBettie Blackmon FNP-C, Clinton Middle Health Center, PCPHCGinger Hunt FNP-C, Executive Director, PCPHCRev. Cherless Miller MinisterAnn Obrien Retired School TeacherShannon Schmidt Landmark BankLouis Kent, Jr. Bus Driver/Local MerchantRev. Richard Holton PastorGarland Bryant CPACaster Brown Business Owner, Finance

Advisory Committee and Community PartnersClinton High School-Based Health Center

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

136

153

154

158

217261

339

447

646

907

Genitourinary System

Mental Disorders

Endocrine, Metabolic, Immunity

Psychosocial & Economic Circumstances

Injury & Poisoning

Musculoskeletal System

Health Education

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

1730

47

52

65

73

73

97

106

246

Follow-Up Vaccine

Viral Hepatitis Vaccine

Sports/Camp/Job Physical Exam

Diphtheria, Tetanus, Pertussis Vaccine

Influenza Vaccine

Dental Exam

Other Specified Bacterial Disease Vaccine

Varicella Vaccine

Routine Medical Exam

Eye Exam

1

1

1

3

3

4

9

144

145

Psychoses

Inadequate Material Resources

Suicidal Ideation

Other Mental Disorders

Educational Circumstances

Bereavement, Uncomplicated

Stress/Anxiety-Related

Interpersonal Problems

Emotion, Conduct Disorder, Hyperkinetic

55

58

71

98

104114

115

120

165

223

Allergic Rhinitis

Cough

Dysmenorrhea

Limb Pain

Pain in Joint

Diabetes

Abdominal Pain

Asthma

Other Diseases of Nasal Cavity and Sinuses

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m111

Clinton High School-Based Health Center

Center Opened: November 1999School Served:

Clinton High Total Enrollment in School:

796Total Enrollment in SBHC:

754Total Visits to SBHC:

2,898Grades Served:

6-8

Clinton High SBHC12126 Liberty St.Clinton, LA 70722(225) 683-8877(225) 683-9385 Fax

Ginger A. Hunt, FNP-C, Director

StaffGinger A. Hunt, Program DirectorBeth Fudge, Administrative AssistantBettie Blackmon, FNP-CYolanda Cockerham, FNP-CCharles Dear, GSWKhadine Preddie, GSWRhonda Blount, Reception/BillingAlicia Johnson, CNA

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Richardson Medical CenterP.O. Box 388

Rayville, LA 71269

Rayville High School

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Community Advisory Board Members and PartnersRichardson Medical Center School-Based Health Center

Jennifer Bennett Nurse Practitioner, Richardson Medical CenterTerri Sylvestri Parent, Rayville High SchoolDr. Georgia Ineichen Principal, Rayville High SchoolBob Adams President, School BoardSharon Nobles Parent, Rayville High SchoolLee McDonald Hospital Board Member, Richardson Medical CenterDr. Cathy Stockton Superintendent, School BoardDr. David Thompson Medical Director, Richardson Medical Center SBHCEvelyn Branch Nurse Practitioner, Planning CoordinatorRev. Smith Community LeaderKerry Goff CEO, Richardson Medical CenterMoses Wilkins Parent, Hospital Board Member, Richardson Medical CenterThelma Peller Community ActivistKay Goodman Director, Richardson Medical Center SBHCSheldon Jones Supervisor, School BoardJim Burnett PTO, Rayville High SchoolTony Guirlando Principal, Rayville Junior High SchoolJoe Bruyninckx AttorneyShirley Jones Region 8 Medical Director

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Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Three Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

52

67

100

102

109

112

370

430

491

994

Digestive System

Genitourinary System

Nervous System & Sense Organs

Musculoskeletal System

Injury & Poisoning

Psychosocial & Economic Circumstances

Respiratory System

Mental Disorders

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

35

55

56

57

63

84

118

123

139

169

Viral Hepatitis Vaccine

Hearing Exam

Routine Medical Exam

Eye Exam

Suspected Pregnancy

Special Screening for Venereal Disease

Varicella Vaccine

Combined Vaccine

Other Specified Bacterial Disease Vaccine

Sports/Job/Camp Physical Exam

34

84

424

Family-RelatedProblems

Stress/Anxiety-Related

Other Mental Disorders

42

48

54

59

59

64

71

72

166

205

Cough

Acute Pharyngitis

Otitis Media

Injury

Pain in Joint

Nausea and Vomiting

Abdominal Pain

Allergic Rhinitis

Acute URI

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m114

Rayville High School-Based Health Center

Center Opened: January 2008

Schools Served:Rayville Elem, Jr. & High Schools

Start Elementary SchoolHolly Ridge Elementary School

Riverfi eld Academy Total Enrollment in schools:

1,894Total Enrollment in SBHC:

1174Total visits to SBHC:

2,077Grades Served:

7-12

Richardson Medical Center SBHC155 Hwy. 3048Rayville, LA 71269(318) 728-4252(318) 728-4150 Fax

Kay Goodman, Director

StaffEvelyn Branch, NPCHaley Haught, RNRachel Gandy, LCSWLisa Hampton, Administration Assistant

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Richland Parish Hospital407 Cincinnati St.Delhi, LA 71232

Delhi Jr. & Sr. High

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Lynn Lewis Mayor of DelhiFrancis Thompson State RepresentativeDebbie Dulaney RN, OPHShelly Crawford Principal, Delhi ElementaryJanice Britton RNJinger Greer ParentTanya Rawls KIDMEDMichael Carroll Administrator, Richland Parish HospitalAlisha McVay Director of Nursing, Richland Parish HospitalTheresa Williams Offi ce ManagerDebbie Sparks Richland Parish SBHC Project CoordinatorCathy Stockton Superintendent, Richland Parish School BoardSteve Gaharan Principal, Delhi Charter SchoolPam Gates ParentPauline Stewart Richland Parish Health UnitChristopher Broussard Principal, Delhi High SchoolMeredith Gray ParentLinda Goode Assistant Administrator, Richland Parish HospitalKelly Presley Licensed Professional Counselor Best Program, OPHRichland Parish Offi ce of Mental HealthULM School of NursingDARETAPPSafe SitterBaby Think It Over

Advisory Committee and Community PartnersRichland Parish School-Based Health Center

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Six Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

83

134

182

199

274

288

493

650

754

Miscellaneous

Nervous System & Sense Organs

Health Education

Mental Disorders

Digestive system

Injury & Poisoning

Respiratory System

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

41

51

55

57

58

72

86

173

216

Follow-Up Exam

Special Screening for Venereal Disease

Special Screening for Chlamydia Disease

Routine Medical Exam

Special Screening for Hypertension

Influenza Vaccine

Combined Vaccine

Sports/Job/Camp Physical Exam

Ear Exam

1

11

36

189

269

343

Screening for Mental, DevelopmentProblem

Stress/Anxiety-Related

Bereavement, Uncomplicated

Interpersonal Problems

Family-Related Problems

Other Mental Disorders

5660

849597

108120

132

144

221

Dental Caries Allergic Rhinitis Abnormal Urine

CoughAbdominal Pain

InjuryDyspepsia

Other Diseases of Nasal Cavity and SinusesCold

Headache

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m117

Delhi Jr. & Sr. High School-Based Health Center

Center Opened: August 2000

Schools Served:Delhi Elementary, Delhi Jr. High

Delhi High, Delhi CharterTotal Enrollment in Schools:

1,283Total Enrollment in SBHC:

1,123Total Visits to SBHC:

2,874Grades Served:

PreK-12

Richland Parish SBHC509 Main St.Delhi, LA 71232 (318) 878-8965

Debbie Sparks, FNP, Coordinator

StaffTheresa Williams, Offi ce ManagerTyrone Tucker, MD, Medical DirectorSara Crowe, LPNKelly Presley, LPC

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St. Charles Community Health Center, Inc.

A Federally Qualifi ed Health Center (FQHC)

Albert Cammon Wellness Center

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Community Advisory Board Members and PartnersAlbert Cammon Middle School-Based Health Center

Amie Falgout Nurse Practitioner, Albert Cammon Wellness CenterAngie Peraza Risk Manager, St. Charles Parish Public SchoolsAunga Fenroy Destrehan High StudentDaniel Songy Community Member, Retired From Business ane IndustryDarla Rebowe Nurse Coordinator, St. Charles Parish SchoolsDeborah Smith Parent, St. Rose Elementary StudentGary Smith Louisiana State RepresentativeJames Comeaux Chief Operating Offi cer St. Charles Community Health CenterJamie Treuting Administrative Assistant, St. Rose ElementaryJohn Smith School Board Member-District 5 St. Charles parish Public SchoolsJoyce Humphrey Teacher, Albert Cammon MiddleJulia Bodden Community Outreach Coordinator/St. Charles Community Health CenterKim Bailey Medical Assistant/Data Entry, Albert Cammon Wellness CenterLarry Cochran District 5 Councilman, St. Charles ParishLeigh Rizzo Parent, St. Rose StudentMarilyn Harris Prevention Specialist, DHH, Region 3Mary Lamartiniere Offi ce Specialist, Albert Cammon Middle SchoolMary Lou Sumrall Director of Special Programs, St. Charles Parish Public SchoolsMaurya Glaude Licensed Clinical Social Worker (LCSW), Albert Cammon Wellness CenterMelissa Bird School Nurse, Albert Cammon Middle and St. Rose Elementary SchoolsMelyna Adams Principal, St. Rose ElementaryPatricia Smith Curriculum Specialist K-12, St. Charles Parish Public SchoolsReverend Isiah Franklin Jr. Pastor, Mt. Zion Baptist ChurchRomona Eusea Former Community Liaison/St. Charles Community Health CenterSandra Washington Resident of St. Rose & Offi ce Specialist, St. Charles Parish Public SchoolsTamika Green Principal, Albert Cammon MiddleYvonne Gaspard Director, Albert Cammon Wellness Center

St. Charles Community Health Center (FQHC)St. Charles Parish Public School BoardAdolescent School Health Program/Offi ce of Public Health

Albert Cammon Middle SBHC opened in late spring 2010. No data captured.

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St.Francis Medical Center309 Jackson St.

Monroe, LA 71201

Carroll Jr. High School

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Community Advisory Board Members and PartnersSt. Francis School-Based Health Center

Jennifer Clowers Finance, St. Francis Medical CenterGene Hartzog Prevention Specialist, Offi ce for Addictive DisordersSue Nicholson Monroe City Chamber of CommerceLynda Gavioli Children’s Coalition for Norteast LouisianaSherilynn Wiggins School of Nursing, University of Louisiana at Monroe (ULM)Dr. Angela Manning Principal, Carroll Jr. HighDr. Beverly Jarrell Department Head, ULM Dental Hygiene ProgramDr. Shelley Jones Regional Medical Director, OPHLoria Pierce Children’s Program Coordinator, Monroe Mental HealthYvonne Boudreau St. Francis Medical Center Mission IntegrationAlcid Baker PTO President, Carroll Jr. HighBobby Williams Secondary Education Supervisor, Monroe City SchoolsJanet Durden United Way of Northeast LouisianaDorth Blade Police Juror, District D, Ouachita ParishTiana Howard Nurse Family Partnership Program, OPHJeannette Taylor LA DSS, Offi ce of Community Services Program CoordinatorJessie Handy District Representative, Monroe City School BoardRebecca Mixon Community Benefi t, St. Francis Medical CenterTim Cotita Diabetes Clinic, St. Francis Medical CenterGary Senn Sheriff Fewell Offi ce RepresentativeJane Brandon Big Brothers/Big SistersRev. Roosevelt Wright NewTabernacle Baptist ChurchThea Burrell School Nursing Coordinator, Monroe City SchoolsDr. Mitra Green Medical Director, St. Francis Medical Center SBHCLindsey Murry Children’s Coalition for Northeast LA

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

77

92

108

113

124

143234

403

559

847

Nervous System & Sense Organs

Musculoskeletal System

Injury & Poisoning

Digestive System

Genitourinary System

Health Education

Respiratory System

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

3044

46

59

69

70

88

111

115

119

Follow-Up Exam

Sports/Camp /Job Physical Exam

Viral Hepatitis Vaccine

Influenza Vaccine

Varicella Vaccine

Other Specified Bacterial Disease Vaccine

Diphtheria, Tetanus, Pertussis Vaccine

Special Screening for Venereal Disease

Routine Medical Exam

Other specified Single Disease Vaccine

1

3

3

4

5

6

15

51

193

286

Interpersonal Problems

Stress/Anxiety-Related

Suicidal Ideation

Legal Circumstances

Counseling, Victim Of Child Abuse

Emotion, Conduct Disorder, Hyperkinetic

Educational Circumstances

Bereavement, Uncomplicated

Family-Related Problems

Other Mental Disorders

37

42

42

48

51

51

51

64

67

86

Abdominal Pain

Cough

Elevated BP w/o Hypertension Diagnosis

Dyspepsia

Acute Sinusitis

Nausea and Vomiting

Pain in Joint

Dysmenorrhea

Headache

Cold

2 0 0 9 - 2 0 1 0 A n n u a l R e p o r t o f t h e A d o l e s c e n t S c h o o l H e a l t h P r o g r a m122

Carroll Jr. High School-Based Health Center

Center Opened: October 2007

Schools Served:Carroll Jr. High School

Carroll High School Total Enrollment in schools:

909Total Enrollment in SBHC:

865Total visits to SBHC:

2,001Grades Served:

7-12

St. Francis SBHC2913 Renwick St.Monroe, LA 71201(318) 966-6625(318) 966-6630 Fax

Mitra Green, MD, Medical DirectorStalanda Butcher, MPH, Program ManagerLori Smart, Program Coordinator

StaffDorothy Minor, FNP, PNP-BCDebbie Wooley, BSN, RNLori Brown, MABrenda Mason, Front Offi ce Coordinator

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Breaux BridgeCecilia

St. Martinville

St. Martin ParishSchool Board

Richard Levergne, Superintendent305 Washington Street

St. Martinville, LA 70582

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Richard Lavergne Emile Soulier Mozella Gonsoulin Kristy Hulin Denise Frederick Dianetta YoungCheryl Benoit Stacey Savoy Jody West, MSW, LCSWTerri LeBlanc Tiffany DoreCheree TheriotHenry DerouselleJoe RiserRachel LouvierreFloyd KnottRodney Ledoux Angel HuvalEva PotierAngela McFaulTrish OlivierGabe RodriguezGlenda RaderDenise Brito Janet Wininger

Superintendent, St. Martin Parish School System (April 07 to present)Financial Director, St. Martin Parish School SystemChild Welfare and Attendance Supervisor, St. Martin Parish School SystemCoordinator, Safe and Drug Free Schools and CommunitiesPrincipal, Breaux Bridge Junior High SchoolPrincipal, Cecilia Junior High SchoolSchool Nurse, St. Martin Parish School SystemNursing Supervisor, St. Martin Parish Health UnitCoordinator, St. Martin Parish School-Based Health CentersCPA, St. Martin Parish School SystemFinance Dept., St. Martin Parish School SystemPrincipal, St. Martinville Primary SchoolPrincipal, Parks Middle schoolEarly Childhood Support ServicesParent, Parks Middle SchoolSchool Board MemberSchool Board MemberSupervisor of Kids in CareTruancy Offi cerEarly Childhood/Pre-K SupervisorIberia Comprehensive Community Health CenterUL Picard CenterLafayette Addictive Disorders Clinic, Region IVDr. Henry Joseph Tyler Mental Health, Region IVDistrict Attorney’s Offi ce, 16th Judicial District

The three St. Martin Parish School Board sites operate under oneAdvisory Committee and have parish-wide community partners. The

following pages provide information on each of the sites.

Advisory Committee Members & Community Partnerships

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Community Partners for St. Martin Parish School Board

LGMC/LA Health Ventures St. Martin Hospital LSU School of Social Work St. Martin Parish Health Unit DARE WIC KIDMED LSU-E School of Nursing Acadia-Vermilion Hospital Grambling State University American Cancer Society Safe & Drug Free SchoolsUL Picard CenterIberia Comprehensive Community Health CenterTobacco Free Living

Lafayette Addictive Disorders Clinic-Region IV St. Martin Parish Adolescent Drug CourtThe Extra MileSMILEUniversity Medical Center ULL School of NursingPediatric Associated of Lafayette American Heart Association Offi ce of Community Services Dr. Henry Joseph Tyler Mental Health, Region IVSt. Martin Parish Sheriff’s DepartmentLouisiana Technical College, St. MartinvilleBreaux Bridge Freedom Recovery CenterParks Community Support Services

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

103

119

148

164

396

401

429488

518

1,128

Endocrine, Metabolic, Immunity

Health Education

Musculoskeletal System

Nervous System & Sense Organs

Preventive Health, Observation, Exams

Injury & Poisoning

Psychosocial & Economic Circumstances

Respiratory System

Mental Disorders

Symptoms, Signs & Ill-Defined Conditions

5

5

6

11

12

44

48

53

58

151

Tetanus-Diphtheria Vaccine

Influenza Vaccine

Other Specified Single Disease Vaccine

Routine Medical Exam

Varicella Vaccine

Special Screening for Diabetes Mellitus

Sports/Job/Camp Physical Exam

Eye Exam

Ear Exam

Lab Exam

11

2

754

100

129

176

179

297

Psychoses

Educational Circumstances

Screening for Mental, Development Problem

Legal Circumstances

Bereavement, Uncomplicated

Stress/Anxiety-Related

Family Problems

Emotion, Conduct Disorder, Hyperkinetic

Interpersonal Problems

Other Mental Disorders

65

68

74

99

151

167

207284

289

439

Earache

Dysmenorrhea

Acute URI

Obesity

Cough

Other Diseases of Nasal Cavity and Sinuses

Acute Pharyngitis

Abdominal Pain

Injury

Headache

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Breaux Bridge School-Based Health Center

Center Opened: August 1996

Schools Served:Breaux Bridge Primary, Breaux Bridge Elem.Breaux Bridge Jr. High, Breaux Bridge High

Parks Primary, Parks MiddleTotal Enrollment in Schools:

3,154Total Enrollment in

SBHC:2,854

Total Visits to SBHC:

3,063Grades Served:

PreK-12

Breaux Bridge SBHCP.O. Box 1344/328 N. Main St.Breaux Bridge, LA 70517

Jody West, MSW, LCSW, Coordinator(337) 332-2844 ext 1264(337) 332-5458 Fax

StaffRichard Howes, MD, Medical DirectorJavella Raheem, MSW, GSWJoni Thomas, RNCarolyn Boudreaux, Clerical SpecialistMary Semere, Bus DriverRuby Smith, Bus Driver

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

6775

114

236

385

430

450

474

504

1,220

Digestive System

Musculoskeletal System

Skin & Subcutaneous Tissue

Nervous System & Sense Organs

Injury & Poisoning

Psychosocial & Economic Circumstances

Preventive Health, Observation, Exams

Respiratory System

Mental Disorders

Symptoms, Signs & Ill-Defined Conditions

1

2

2

5

15

32

78

86

88

137

Tetanus-Diphtheria Vaccine

Dental Exam

Observation for Suspected Conditions

Routine Medical Exam

Follow-Up Exam

Special Screening for Diabetes Mellitus

Eye Exam

Sports/Camp/Job Physical Exam

Ear Exam

Lab Exam

1

1

1

16

20

42

180

211

462

Stress/Anxiety-Related

Counseling, Victim of Child Abuse

Legal Circumstances

Bereavement, Uncomplicated

Inadequate Material resources

Emotion, Conduct Disorder, Hyperkinetic

Family-Related Problems

Interpersonal Problems

Other Mental Disorders

63

69

74

82

121

150

214

222

295

301

Skin Disorder

Allergic Rhinitis

Otitis Media

Acute Pharyngitis

Acute Sinusitis

Cough

Abdominal Pain

Throat Pain

Headache

Injury

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Cecilia School-Based Health Center

Center Opened: August 1993

Schools Served:Cecilia Primary, Teche Elementary

Cecilia Jr., Cecilia Sr. HighTotal Enrollment in Schools:

2,643Total Enrollment in SBHC:

2,391Total Visits to SBHC:

3,044Grades Served:

PreK-12

Cecilia SBHCP.O. Box 24/1021 School St. Cecilia, LA 70521

Jody West, MSW, LCSW, Coordinator(337) 667-6226 Ext 50(337) 667-7228 Fax

StaffRichard Howes, MD, Medical DirectorAnn Berard, Clerical SpecialistKaren Harvey, Medicaid ClerkTiffany Bertrand, RNKatie Valentour, MSW, GSWLucy Courville, Bus DriverEddie Broussard, Bus DriverRuby Smith, Bus Driver

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Seven Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

83125

132

172

178

255

283

337

748

827

Digestive System

Health Education

Skin & Subcutaneous Tissue

Mental Disorders

Nervous System & Sense Organs

Injury & Poisoning

Respiratory System

Psychosocial & Economic Circumstances

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

79

13

35

45

56

109

142

161

224

Other Specified Bacterial Disease Vaccine

Other Specified Single disease Vaccine

Varicella Vaccine

Special Screening for Diabetes Mellitus

Follow-Up Exam

Routine Medical Exam

Sports/Job/Camp Physical Exam

Eye Exam

Hearing Exam

Lab Exam

1

6

35

45

84

159

179

Counseling, Victim of Child Abuse

Stress/Anxiety-Related

Bereavement, Uncomplicated

Emotion, Conduct Disorder, Hyperkinetic

Family-Related Problems

Interpersonal Problems

Other Mental Disorders

50

52

55

60

67

83

87

93

160

175

Cough

Chest Pain

Nausea and Vomiting

Problems w/Hearing

Cold

Skin Disorder

Abdominal Pain

Throat Pain

Injury

Headache

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St. Martinville School-Based Health Center

Center Opened: August 1996

Schools Served:Early Learning Center, Catahoula ElementarySt. Martinville Primary, St. Martinville Jr. High

St. Martinville High, Stephensville Elementary JCEP Program

Total Enrollment in Schools:2,361

Total Enrollment in SBHC:1,926

Total Visits to SBHC:2,298

Grades Served:PreK-12

St. Martinville SBHCP.O. Box 1065-720 N. Main St.St. Martinville, LA 70582

Jody West, MSW, LCSW, Coordinator(337) 394-6333 Ext 50(337) 394-7002 Fax

StaffRichard Howes, MD, Medical DirectorJessica Donaho, MSW, GSWDebra Green, RNChristine Cyr, Clerical SpecialistAngel Boutte, Bus DriverAshley Braad Broussard, Bus Driver

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St. Helena Central Elementary SchoolSt. Helena Central Middle School

St. HelenaCommunity

Health CenterP.O. Box 1207

Greensburg, LA 70441Selina Senegal, CEO

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Advisory CommitteeSt. Helena Community Health Center

Jacob Johnson, Executive DirectorCarmen Overton, GSWDaisy SlanGeorgette Cutrer,RNCindy Martens, LCSWMirando WatsonChristy Denicola, GSWKeatha Franklin, MSWGary PorterKatherine RandolphMarjorie JenkinsTracey BrownCynthia LeeBobbie BakerByron HurstSally RobertsonGary PorterCarla LoweRobert Cleveland, MDIrwin Cohen, MDLinda SaucierWillie Lee

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

51

51

133

175

177243

252

284

424

450

Nervous System & Sense Organs

Respiratory System

Mental Disorders

Psychosocial & Economic Circumstances

Injury & Poisoning

Endocrine, Metabolic, Immunity

Health Education

Digestive System

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

3

3

4

6

7

12

29

32

109

213

Diphtheria, Tetanus, Pertussis Vaccine

Measles, Mumps & Rubella Vaccine

Poliomyelitis Vaccine

Varicella Vaccine

Observation for Suspected Condition

Follow-Up Exam

Hearing Exam

Routine Medical Exam

Eye Exam

Lab Exam

11

2

4

7

8

25

37

103

120

Unemployed

Bereavement, Uncomplicated

Stress/Anxiety-Related

Screening for Mental, Developmental Problem

Educational Circumstances

Suicidal Ideation

Emotion, Conduct Disorder, Hyperkinetic

Family-Related Problems

Other Mental Disorders

Interpersonal Problems

36

37

40

43

47

56

57

195

220

243

Abdominal Pain

Cough

Nausea and Vomiting

Abrasion

Throat Pain

Teeth and Supporting Structures

Injury

Dyspepsia

Headache

Diabetes

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St. Helena Central Elementary School-Based Health Center

Center Opened: February 2000

School Served:St. Helena Elementary

Total Enrollment in School:534

Total Enrollment in SBHC:475

Total Visits to SBHC:1,751

Grades Served:PreK-4

St. Helena CentralElementary SBHCP.O. Box 1207/1798 Hwy 1042Greensburg, LA 70441(225) 222-3240(225) 222-3234 Fax

StaffTonya Mayer, RNMargaret Cohen, RNKeatha Franklin, MSWKaren Baiamonte, Secretary/Data CoordinatorIrwin Cohen, MD, Pediatrician

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

4656

83

123

146

201

203

215

306

316

Nervous System & Sense Organs

Miscellaneous

Musculoskeletal System

Psychosocial & Economic Circumstances

Digestive System

Health Education

Mental Disorders

Injury & Poisoning

Preventive Health, Observation, Exams

Symptoms, Signs & Ill-Defined Conditions

5

6

10

11

15

22

47

51

67

68

Sports/Job/Camp Physical Exam

Special Screening for Diabetes Mellitus

Follow-Up Exam

Combined Vaccine

Other Specified Single Disease Vaccine

Varicella Vaccine

Routine Medical Exam

Hearing Exam

Lab Exam

Eye Exam

15

6

789

10

1083

187

Family-Related Problems

Counseling, Victim of Child Abuse

Screening for Mental, Developmental Problem

Emotion, Conduct Disorder, Hyperkinetic

Bereavement, Uncomplicated

Stress/Anxiety-Related

Educational Circumstances

Suicidal Ideation

Family Circumstances

Other Mental disorders

2727

31

34

39

40

50

85

107

157

Contusion of Eyeball

Nausea and Vomiting

Abdominal Pain

Throat Pain

Inappropriate Diet & Eating Habits

Insect Bite

Pain in Joint

Abrasion

Dyspepsia

Headache

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St. Helena Central Middle School-Based Health Center

Center Opened: September 1998School Served:

Central Middle Total Enrollment in School:

375Total Enrollment in SBHC:

368Total Visits to SBHC:

1,335Grades Served:

5-8

St. Helena Central Middle SBHCP.O. Box 1207/1590 Hwy 1042Greensburg, LA 70441(225) 222-6292(225) 222-6299 Fax

StaffLisa Burns, RNDale Haase, GSWSadie Cannon, Secretary/Data CoordinatorIrwin Cohen, MD, Pediatrician

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Teche Action Board, Inc.1115 Weber St.

Franklin, LA 70538

West St. Mary High School

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Community Advisory Board Members and PartnersTeche Action Board

St. Mary Parish School-Based Health Center

Dr. Gary Wiltz CEO, Medical DirectorLyndia Duval Nurse Supervisor, St. Mary Parish SchoolsRep. Sam Jones State Representative, St. Mary ParishPatricia Goutirez Parent, School Nurse, West St. Mary High SchoolKarla Vappie Innovative Home Health Services, Inc.Brenda Paul Innovative Home Helath Services, Inc.Donald W. Aguillard, Ph.D. Superintendent, St. Mary Parish SchoolsPaulette Lofton Chief Operating Offi cer, Teche Action ClinicTarsha White Social Worker, St. Mary Parish SchoolsDebbie Triggs Offi ce of Mental HealthKent St. Germain Offi ce of Addictive DisorderCaroyln Francis Retired, Community Offi ce of Child ServicesIris Tillman MedicaidDr. Derrick White Principal, West St. Mary High SchoolBenny J. Druilhet, Sr. MinisterLeroy Willis Retired Principal, Member of Teche Action Board of DirectorsNaomi Harding Principal, B.E. Boudreaux Middle SchoolCharlene Borne Principal, Raintree Elementary

Teche Action ClinicSt. Mary Parish School Board

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top 10 Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

7182

89

105

114

161

190

210

444

620

Skin & Subcutaneous Tissue

Injury & Poisoning

Nervous System & Sense Organs

Blood

Symptoms, Signs & Ill-Defined Conditions

Psychosocial & Economic Circumstances

Mental Disorders

Respiratory System

Health Education

Preventive Health, Observation, Exams

10

10

11

29

32

47

61

77

109

155

Viral Hepatitis Vaccine

Measles, Mumps & Rubella Vaccine

Special Screening for Venereal Disease

Exposure to Veneral Disease Exam

Diphtheria, Tetanus, Pertussis Vaccine

Follow-Up Exam

Varicella Vaccine

Unspecified Single Disease Vaccine

Sports/Job/Camp Physical Exam

Routine Medical Exam

713

16

1822

32

35

5462

91

Screening for Mental, Development Problem

Psychoses

Occupational Circumstance or Maladjustment

Other Mental Disorders

Family-Related Problems

Interpersonal Problems

Bereavement, Uncomplicated

Educational CircumstancesStress/Anxiety-Related

Emotion, Conduct Disorder, Hyperkinetic

21

23

24

26

27

31

36

45

85

95

Otitis Externa, Infective

Proteinuria

Allergic Rhinitis

Injury

Cerumen

Hx of Psychological Trauma

Asthma

Obesity

Acute URI

Iron Deficiency Anemia

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West St. Mary HighSchool-Based Health Center

Center Opened: May 2008

Schools Served:West St. Mary Parish School

BE Boudreaux Middle Total Enrollment in schools:

1,318Total Enrollment in SBHC:

1,173Total visits to SBHC:

1,343Grades Served:

6-12

West St. Mary High SBHC18331 Hwy 182 WBaldwin, LA 70514(337) 924-9646(337) 924-9165 Fax

Melissa Lee, DirectorPaulette Lofton, COO

StaffJennifer Fabre, NPLatarsha Spain, MAKedra Bowie, Clinical CoordinatorJane Chassot, LCSW

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West Feliciana Parish School Board

Lloyd Lindsey, SuperintendentJesse Perkins, Superintendent

P.O. Box 1910St. Francisville, LA 70775

West Feliciana Family Service Center

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Family Service Center Staff Virginia Arceneaux Receptionist/Data Manager Shonshalla Hills Early Head Start TeacherGlinda Jenkins, RN Registered Nurse Linda Moncriffe Early Head Start TeacherAlicia Corlew, RN Registered Nurse Lajuana Scales Early Head Start TeacherMartha Pope, MD Physician, Medical Director Traci Hayes Early Head Start TeacherJudy Lee Rogers Early Head Start Aid Jerry Harris CustodianTim Lindsey, MD Physician Lisa Reed Custodian Louise Dukes Adult Services Coordinator Contessia Brooks Early Head Start/Head Start DirectorPam Wall, LCSW Mental Health Counselor/Health Services Cynthia Whitaker Social Services/Health Coordinator Coordinator Jessica Bradyden, GSW Mental Health CounselorAnita King Secretary/Bookkeeper Ebony Williams Head Start TeacherCarol Crankshaw Administrative Assistant Lashonda Ferguson Head Start Teacher Beverly Grant Family Service Center Supervisor Clarencia Grimes Head Start TeacherChaillie Daniel, MD Physician Brenda Collier Head Start ParaprofessionalAdriane Hargrove Family Literacy/Adult Ed Teacher Brittany Bartholomew Early Head Start Teacher Lashonda Carmenia Head Start Paraprofessional Laura Milton Head Start ParaprofessionalNicole Pinson, LPC Mental Health Counselor Urlecia Jackson Early Head Start Teacher Judith Holt 3rd Party Evaluator Latrista Mallard Early Head Start TeacherPatricia Schneider, MD Physician Augustine Kelly Early Head Start Teacher Lisa Kirk Early Childhood Consultant Kisize Burrell Early Head Start Teacher

Johnny Arceneaux Dean Louisina Tech. CollegeReverend Danny Gleason Methodist ChurchLynn Wood Owner, Birdman CafeSherry Ewing Nurse, W. Feliciana Parish Health UnitJoyce Mullen Director, Quad Area Action AgencyPam Myers Home Economist, Cooperative Extension ServiceBen Bell West Feliciana Parish LibraryDarryl Powell Principal, W.F. Middle SchoolTrish Robinson Transition CoordinatorDorothy Temple Principal, Bains Elementary SchoolMike Clark Supervisor, Secondary and Adult EducationAl Lemoine Supervisor, Ancillary Services Patricia Gilmore Director, Council on AgingKathleen Ford Director of Nursing, WF HospitalConville Lemoine Vice President, Bank of St. FrancisvilleMike Thornhill Principal, W. Feliciana High SchoolJerome Matherne Technology Supervisor, W. Feliciana Schools, ParentSteven Comfort Supervisor of Data Systems/Staff DevelopmentOscar Robertson Town Council, St. FrancisvilleCarla Greggs Child Nutrition Supervisor, W. Feliciana SchoolsAmy Betts Special Education Superintendent, W. Feliciana SchoolsJoyce Edwards Principal, Bains Lower ElementarySusan Davis Owner, Grandmother’s Billons, ParentBarbara Dawson Director, First Steps Day CareCraig Andrews Offi ce of Community Services Pam Jones ParentAnn Andries Parent & ChildcareMarsha Lindsey Community Member

Advisory Committee and Community Partners West Feliciana Family Service Center

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Top 10 Conditions for Injury & Illness-Related Visits During 2009-2010

Top 10 Conditions Seen at the SBHC During 2009-2010, by Category

Top 10 Reasons for Preventive Health, Observation, Exams Visits During 2009-2010

Top Nine Reasons for Behavioral Health Issues Addressed During 2009-2010, by Category

6069

175

220

314

630

666

9761,922

2,188

Skin & Subcutaneous Tissue

Genitourinary System

Nervous System & Sense Organs

Digestive system

Respiratory System

Mental Disorders

Psychosocial & Economic Circumstances

Injury & Poisoning

Symptoms, Signs & Ill-Defined Conditions

Preventive Health, Observation, Exams

2429

35

4687

93

124

489527

635

Special Screening For Other Specified ParasiticInfections

Sports/Job/Camp Physical Exam

Follow-Up Exam

Dental Exam

Special Screening for Other Specified Conditions

Routine Medical Exam

Observation for Suspected Condition

Ear Exam

Combined Vaccine

Eye Exam

1017

17

26

36

155

327

335

373

Screening For Mental, Developmental Problem

Bereavement, Uncomplicated

Educational Circumstances

Psychoses

Counseling, Victim Of Child Abuse

Family-Related Problems

Emotion, Conduct Disorder, Hyperkinetic

Stress/Anxiety-Related

Interpersonal Problems

91

109

109

114

120

192

237

411

455

791

Rash and Other Nonspecific Skin Eruption

Fever

Earache

Abrasion

Contusion

Throat Pain

Cold

Abdominal Pain

Sprain/Strain

Headache

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West Feliciana Family Service Center

Center Opened: Fall 1990

Schools Served:West Feliciana Middle & High

Bains ElementaryBains Lower Elementary

Tunica ElementaryTotal Enrollment in Schools:

2,317Total Enrollment in SBHC:

2,107Total Visits to SBHC:

6,518Grades Served:

PreK-12, including infants and adults

West Feliciana Family Service CenterP.O. Box 2820/9794 Bains Rd. St. Francisville, LA 70775(225) 635-5299(225) 635-3387 Fax

Beverly Grant, Supervisor

StaffSee Page 83 for West Feliciana Family Service Center Staff

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Section Four

Appendices

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Cardiovascular & Blood: hypertension, hypotension, and blood disordersCentral Nervous System & Head: concussions, headaches, seizure disorders, cerebral palsy, and syncopeDental & Oral: dental caries and other diseases of teeth and gumsDrug Abuse & Dependence: diagnoses related to alcohol abuse, cannabis abuse, and tobacco useEar, Nose & Throat: diagnoses related to conditions of: the ear, such as ear infections and wax build-up; the nose, such as nose bleeds and diseases of the nasal cavity and sinuses; and the throat, such as pharyngitis and strep throatEyes: diagnoses related to eyes and vision such as vision problems, conjunctivitis, injury to the eye, and near-sightednessGastrointestinal: diarrhea, irritable bowel syndrome, constipation, gastroenteritis, and other digestivedisordersGeneral Preventive Medicine: immunizations, comprehensive physical examinations with risk assessment, and special screeningsGenitourinary: urinary tract infectionsGynecology & Breast: dysmenorrhea (painful menstruation), irregular menses , and other gynecological disordersHealth Counseling & Education: not limited to, but includes dissemination of information on personal health, consumer health, nutritional health, substance use and abuse, HIV/AIDS, and injury prevention and safetyMental & Behavioral Health: includes all mental health service provisions such as individual counseling, treatment intervention groups, and case management. Reasons for behavioral health visits are grouped into subcategories such as mental health disorders, academic problems, substance use/abuse problems, and illness-related problems. Metabolic & Nutrition: obesity and dehydrationMiscellaneous: reported conditions not related to a specifi c diagnosis category such as abnormal results of blood tests, malaise and fatigue.Musculoskeletal & Trauma: joint pain, joint swelling, tendonitis, scoliosis, and any bone, cartilage, or muscle disorders; includes injuriesPregnancy & Related Issues: suspected pregnancy, pregnancy counseling, prenatal care, postpartum care, and bleeding in pregnancyPulmonary & Respiratory: acute lower & upper respiratory infections, asthma, and other respiratory disordersSexually Transmitted Diseases: chlamydia, gonorrhea, syphilis, genital warts, genital herpes and HIV/AIDSSkin & Subcutaneous: diagnoses related to skin disorders such as acne, warts, psoriasis, scabies, head lice, ringworm, athlete’s foot, contact dermatitis, and ingrown nails

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Appendix A

EXAMPLES OF DIAGNOSES WITHIN EACH CATEGORY OF CONDITIONS SEEN AT LOUISIANA SBHCs

International Classifi cation of Disease, Version 9 (ICD-9) codes are grouped into general categories. Examples of diagnoses within each category follow:

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To enact R.S. 40:31.3, relative to adolescent school health; to require the Department of Health

and Hospitals, Offi ce of Public Health, to establish an adolescent school health initiative;

and to provide for related matters.

Be it enacted by the Legislature of Louisiana:

Section 1. R.S. 40:31.3 is hereby enacted to read as follows:

31.3. Adolescent school health initiative; health centers in schools

A. The Department of Health and Hospitals, Offi ce of Public Health, shall establish

an adolescent school health initiative to facilitate and encourage development

of comprehensive health centers in public middle and secondary schools in

Louisiana which shall provide preventive health services, counseling, acute

health services, and appropriate referral for acute health services. Such initiative

shall be subject to the approval of the local school systems.

B. The Offi ce of Public Health shall:

(1) Coordinate efforts to facilitate and encourage establishment of health centers

in schools by providing information, technical assistance, direction, and, to

the extent appropriate, funds to locally based entities for the establishment and

operation of health centers in middle and secondary schools.

(2) Convene and participate in an intergovernmental coordinating council which

shall be composed of representatives from the department of education, social

services, health and hospitals, and other governmental entities or programs

ADOLESCENT SCHOOL HEALTH INITIATIVE ACTR.S. 40:31.3

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Appendix B

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related to health services to assist in implementation, oversight, and funding

assistance for health centers in schools.

(3) Apply for and assist local efforts to apply for all available public and private

funds to establish and operate health centers in schools.

(4) Establish procedures for allocation of funds appropriated or otherwise available

to the program in a manner which prioritizes funding according to the urgency

and degree of health care needs among the various middle and secondary school

populations.

(5) Establish criteria to be considered in selection of locations or placement of

health centers in schools.

C. Health centers in schools are prohibited from:

(1) Counseling or advocating abortion in any way or referring any student to any

organization for counseling or advocating abortion.

(2) Distributing at any public school any contraceptive or abortifacient drug,

device, or other similar product.

D. The provisions of this Section shall be applicable only to the extent that funds

are made available for this purpose from public or private sources.

Section 2. This Act shall become effective upon signature by the governor or, if not

signed by the governor, upon expiration of the time for bills to become law without signature

by the governor, as provided in Article III, Section 18 of the Constitution of Louisiana.

Signed by Governor Buddy Roemer

July 29, 1991.

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Revenue

Maternal and Child Health Block Grant & State Appropriation Funds $ 10,249,813.00 Total Revenues $ 10,249,813.00

Expenditures Maternal and Child Health Block Grant Funds & State Appropriation Funds

Grants Awarded to School-Based Health Centers

Allen Parish School Board (1 Site) $ 139,132.00CHRISTUS St. Frances Cabrini Hospital (17 Sites) 1,719,920.00CHRISTUS St. Patrick Hospital (5 Sites) 543,087.00CHRISTUS Schumpert Medical Center (3 Sites) 413,280.00Eastside Community Health Center/St. Gabriel Health Center (1 Sites) 146,616.00Health Centers in Schools (8 Sites) 1,115,094.00Innis Community Health Center (1 Site) 137,760.00Jackson Parish Hospital (1 Site) 144,445.00Jefferson Parish Public School System (4 Sites) 536,024.00Lafayette Parish School System (1 Site) 140,000.00LSUHSC - New Orleans - Pediatric Department (2 Sites) 119,042.00LSUHSC- Wash/St Tammany Regional Medical Center (2 Sites) 288,890.00Madison Parish Hospital (1 Site) 146,616.00Interm LSU Public Hospital/MCLNO (2 Site) 232,795.00Methodist Health System Foundation (1 Site) 98,400.00Morehouse Community Medical Center (1 Site) 140,000.00Ouachita Parish School Board (2 Site) 282,205.00Our Lady of Lourdes Hospital (1 Site) 139,132.00Primary Care Providers for A Healthy Feliciana (1 Site) 139,131.00Richardson Medical Center (1 Site) 137,760.00Richland Parish Hospital (1 Site) 139,132.00Southeast Community Health Center (2 Site) 278,264.00St. Charles Community Health Center (2 Site) 85,000.00

STATEMENT OF CASH FLOWFISCAL YEAR 2009-2010

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Appendix C

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St. Francis Medical Center (1 Site) 137,760.00St. Martin Parish School Board (3 Sites) 433,783.00Teche Action Board, Inc. (1 Site) 134,400.00West Feliciana Parish School Board (1 Site) 144,445.00

Subtotal School Based Health Center Awards $ 8,112,113.00

OPH Infrastructure - Administration Operating Services (Printing, Postage, Telephone, etc.) $ 3,643.00 Salaries 373,539.00 Fringe Benefi ts 98,241.00 Interagency Transfers 112,112.00 Supplies 6,750.00 Equipment 5,487.00 Technical Assistance - Consultants 43,000.00 Travel 6,000.00 Subtotal OPH Infrastructure $ 648,772.00

OPH Indirect Costs $ 1,488,928.00 Total Expenditures Maternal and Child Health Block Grant & State $ 10,249,813.00 Appropriation Funds

These fi gures are based on records kept by the Adolescent School Health Program and are not offi cially audited.

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