health, education, and school-based health centers - voices for ga's children presentation
TRANSCRIPT
School-Based Health Centers(SBHCs)
House Study Committee on Health, Education and School Based Health Centers
2015Voices for Georgia’s Children
Overview of SBHCs
3
SBHCs are primary care centers within schools that blend medical care with behavioral health and psychosocial services in order to promote the health and educational success of school-aged children and adolescents
Definition
Overview of SBHCs
4
• Diagnosis and treatment of acute and chronic illness and minor injuries
• Asthma treatment and monitoring• Wellness checks and routine physicals• Health screenings (Early Periodic Screening Diagnosis
& Treatment)• Immunization and flu vaccines• Mental and behavioral health counseling• Parent and family counseling• Specialist and community referrals
Preventative, Routine, Acute and Monitoring Services
5
Current Scope: National and Georgia
2,000 SBHCs in 44 states and the District of Columbia
9 SBHCs in Georgia serving 5,000 students, staff and families; 63 tele-health sites (GPTH)
Whitefoord Community Program (2 SBHCs)Berrien County Med ClinicWare County School SystemTiger Creek ElementaryTurner ElementaryLake Forest ElementaryJohnson County ElementaryNorth Clayton County High School
Overview of SBHCs
6
0%20%40%60% 50.7%
37.4% 37.1% 33.1%18.9%
Students, Families and the Community Benefit
Overview of SBHCs
7
• 85% of SBHCs bill for visits nationally• Medicaid, CHIP, private insurance, self-
pay• Associated administrative costs are
billable
Service Revenue
• 33% by community health organizations (Federally Qualified Health Centers)
• Most in Georgia are FQHC sponsoredSponsorships
• In-Kind support for operations from schools and hospitals
• State and National Foundations Partner
Contributions• 18 states have dedicated funds in their
budget• State, federal, and local grants
State Funds & Government
Grants
Start Up and Sustainable Funding Opportunities
Overview of SBHCs
8
• Georgia ranks 42nd nationally in child well-being• 52% have a medical home• 65% had a medical or dental preventive care visit• 53% with emotional, behavioral, or
developmental problems received mental health care
Child Health in GeorgiaNeed for SBHCs
9
• Nearly 200,000 children are uninsured in Georgia
44th in rate of uninsured children
• 63 counties have no pediatrician• 6 have no family medicine physician• 31 have no internal medicine physician• 79 have no OB/GYN
39th in Doctors per 100,00
• 1:1,440 ratio of mental health worker to citizen
• 750 School Psychologists – ratio of 1:2,475 (1:1,000)
• 620 School Social Workers – ratio of 1:2,742(1:250)
45th in access to mental health
care
Access to Healthcare in GeorgiaNeed for SBHCs
10
• Approximately 320,000 students miss 10 days each year due to illness in Georgia– For many children with a mental illness, that
number can be as high as 18 to 22 days missed• Asthma and Oral Health are the leading causes of
absenteeism– Absenteeism linked to being retained in 3rd grade– Being retained in 3rd grade linked to not graduating
• Negative health effects are amplified for children living in poverty
Health Impacts Education OutcomesNeed for SBHCs
11
• Decreased:– Hospitalization due to asthma– Inappropriate use of emergency departments– Prescription Drug Use
• Increased:– Use of primary care– Use of peak flow meters and inhalers (for
asthma)– Use of mental health services– Access to healthcare
HealthOutcomes of SBHCs
12
Educational • Decreased:– Tardiness– Loss of seat time
• Increased:– Attendance– Lake Forest Site – 50% of students referred to
SBHC returned to class – Perception of school engagement, expectations,
and safety– Grade Point Average
Outcomes of SBHCs
13
Cost-Savings
• Reduction of Medicaid expenditures attributed to:– Inpatient hospitalization, prescription drug, and
emergency department use• Whitefoord Site – 50% reduction in Medicaid cost
per child for those with access to SBHC• Atlanta, GA – Medicaid enrolled students had lower:– Drug and emergency department expenses– $898.98 vs. $2,360.46 in yearly expenses
Outcomes of SBHCs
Linking School-Based Access to the Larger Whole
14
Academic Success
Access to Healthcare
Improved Health
SBHCs Provide a Natural Link for Sustaining Child Health and Academic Outcomes
Thank You! For more info:Erica Fener Sitkoff – Policy & Outreach
Polly McKinney – Advocacy [email protected]
www.georgiavoices.org