what’s happening with school-based health centers? brenda barron, director of field operations...
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What’s Happening with School-Based What’s Happening with School-Based Health Centers?Health Centers?
Brenda Barron,Brenda Barron, Director of Field OperationsDirector of Field Operations
School Health Initiatives Midwestern Regional ConferenceSchool Health Initiatives Midwestern Regional ConferenceJuly 23, 2008July 23, 2008
National Assembly on School-Based National Assembly on School-Based Health Care Health Care
National advocacy voice for over 1,700 SBHCs
Training and technical assistance Evaluation and quality Funded by cooperative agreements with
MCHB, BPHC, and CDC; foundation grants; donors, and members
NASBHC PrinciplesNASBHC Principles
Supports the School Responds to the Community Advances Health Promotion Activities Implements Effective Systems Focuses on the Student Delivers Comprehensive Care Provides Leadership in Adolescent and
Child Health
4N = 1709N = 1709
Where are SBHCs Located?Where are SBHCs Located?
Growing State Support Growing State Support
Michigan: $1million budget increase & mental health services reimbursement
Illinois: 3% cost of doing business Ohio: Legislative site visits Arizona: $200,000 budget increase Washington: Establishing state program
office
Mental health servicesMental health services
Fastest growing component of SBHCs First priority for program funding Mental Health Planning and Evaluation
Template (MHPET) School Mental Health Capacity Building
Partnership State policies
7
0 10 20 30 40 50 60 70 80 90 100
*Mental Health Diagnosis
*Grief and Loss Therapy
*Crisis Intervention
*Assessment
*Referrals
*Screening
*Skill-Building
*Conflict Res/Mediation
*Tobacco Use Counseling
*Brief Therapy
*Substance Use Counseling
*Case Management
*Psycho-education
*Long Term Therapy
*Medication Mngt/Admin With MH Staff
Without MH Provider
* P<.01* P<.01
8community typecommunity type
0 10 20 30 40 50 60 70 80 90
Pregnancy testing
Abstinence Counseling
HIV AIDS Counseling
Counseling for Birth Control
STD Diagnosis and Treatment
Chlamydia Screening
Gyn Exams
Sexual Orientation Counseling
Urine Based Chlamydia Screening
Follow- up of Contraceptive Users
HIV testing
Pap Smears
Prenatal Care
Reproductive health servicesReproductive health services
Origins “Under the radar” strategy Response: services reflect the community
needs Revised national policy statement Message development and Congressional
education Expertise and training on state adolescent
health care laws
The School-Based Health Clinic The School-Based Health Clinic Establishment ActEstablishment Act
Introduced in the Senate on February 14, 2007 Introduced in the House on November 17
Authorize a federal SBHC program Provide competitive grants to SBHCs
Outcomes Senate: Resulted in a SBHC cost effectiveness
study by the General Accounting Office (GAO) in the CHC reauthorization
House: Received a hearing on December 4, 2007
Healthy Schools Act of 2007 Healthy Schools Act of 2007
Ensure procedures for payment under Medicaid and SCHIP for services provided by SBHCs
Define primary health services
Outcomes SBHCs included in final SCHIP bill with language
that did not prohibit states from reimbursing SBHCs. President vetoed twice
Primary reasons for successPrimary reasons for success
State leadershipState leadership
Member action Member action
&&
What to look for in 2008-2009?What to look for in 2008-2009?
SCHIP: SBHC inclusion at national and state level
Reintroduce SBHC authorization Integrate SBHCs in federal and state health
care reform efforts/dialogue Address health inequities and quality of care
Contact Information Contact Information
Brenda BarronDirector of Field Operations666 11th St NW, Suite 735Washington, DC 20001202-638-5872 ext [email protected]