School-Based Health Centers Salina Mendoza Program Manager - Central Valley California School-Based Health Alliance

About US California School-Based Health Alliance We are the statewide nonprofit organization helping to put more health services in schools. We were formerly known as the California School Health Centers Association (CSHC) until January Our mission is to improve the health and academic success of children and youth by advancing health services in schools.

What Is a School-Based Health Center? Delivers primary health care and other health services in collaboration with a school Located on campus or near a school site May also provide after school programs, clubs, nutrition programs, parent groups, and more Serve students and sometimes siblings, family members and the community

School-Based Health Models School-based health centers (on school campus) School-linked health centers (off campus but with a strong relationship with the school) or telehealth programs Mobile health vans Comprehensive school nursing Oral health programs

California’s 231 School-Based Health Centers

What Services Are Provided? Service% of Centers Medical Services87% Health Education61% Mental Health Services64% Reproductive Health – Screening & Education70% Reproductive Health – Clinical Care55% Nutrition & Fitness Programs33% Dental Services – Prevention42% Dental Services – Treatment23% Youth Engagement Programs38%

Who Runs School-Based Health Centers? School Districts Federally Qualified Health Centers County health departments Mental health providers Community-based organizations Hospitals

School-Based Health Centers Improve Student Behavior Mental health, low self-esteem and resiliency Poor diet Injuries and illness Risky sexual behavior Appropriate health care utilization They also reduce emergency room and hospital utilization

Research Shows a Positive Impact on Student learning: Reduced absences and tardiness Increased promotion to the next grade Decreased dropout rates Reduced disciplinary problems

School-Based Health Centers Redefine Health Care for Kids and Teens They provide: Convenient access to targeted pediatric and adolescent health care Expanded preventative services Trusted, neutral source for referrals and resources Improved chronic disease management Increased immunization rates Earlier detection, intervention for STIs Reproductive education and care

How Is School-Based Health Care Financed? Space and utilities are typically contributed by the school Third-party reimbursement: Child Health and Disability Program Family PACT Medi-Cal Healthy Families Public and private grants

Considerations for Developing Sustainable School-Based Health Care Programs School-based health centers usually serve all students at a school even if they are: Uninsured Enrolled in a managed care plan that does not reimburse the school health center. Reimbursement rates do not cover actual costs. A significant portion of staff time is spent conducting education, outreach, and case management that is not generally reimbursable.

HRSA SBHC Grants In California: $30 million in grants were given for building and expanding SBHCs 70 HRSA grants 57 organizations (school districts, health care entities, etc. ) received funding 44 new SBHCs will be opened as a result of the grants 15 SBHCs will offer dental services as a result of the grants

Population, Access Outreach & Education (stepping stone) SBHCs – opened new patient base Enrollment Entities Navigators Special Enrollment The Role of SBHCs

Spotlight: RHC-Sponsored SBHC in Fresno County Adventist Health Jefferson Partnership – Adventist Health & Kings Canyon School District Medical, Health Education, and Youth Engagement Services in: 15 Elementary Schools 4 Middle Schools 2 High Schools Open to the Community HRSA capital grant funding

Advancing Equity in Education & Health Care, School Health Conference - May 1, 2015 Network with other children’s advocates, learn, and get resources to advance our collective mission to give all children an opportunity to succeed. The conference will feature workshops on timely school health topics, exhibits, networking, and a keynote address by California Assemblymember Shirley Weber. Learn more us/conference/2015-conference/

Vision to Reality: How to Build a School-Based Health Center From the Ground Up Chapter 1: Overview Chapter 2: Community Planning Chapter 3: Youth Engagement Chapter 4: SBHC Structure and Staffing Chapter 5: Funding Chapter 6: Licensing and Regulations Chapter 7: Operations Chapter 8: Facilities Chapter 9: Evaluation and Data Collection Get Help!

What You Can Do Now Learn more and see resources at Contact Salina Mendoza