Transcript SHC School Based Health Center

Rockingham County Student
Health Centers
Cathy DeMason, RN BSN
Director, Rockingham County Student Health Centers
Improving the health and school performance of our students
About Rockingham County
 A Tier One rural county-economically-
distressed
 Shortage of primary care providers
 Almost forty percent of residents live with
incomes below 200% of the Federal Poverty
Level
 The child poverty rate has increased from
23% in 2007 to 28% in 2012
Student Health Centers’ History
 Morehead Memorial Hospital identified a need to
increase access to care for adolescents
 Community partners came together
 Conducted a needs assessment
 Defined services based on needs assessment
 Opened in the fall of 1994 in each of the 4 high
schools in Rockingham County
Community Partners
 Develop goals and objectives
 Understand each others roles in the process
 Foster cooperation and collaboration
 Important to share information and resources
 Conduct the needs assessment
RCSHC’s Community Partners
 Annie Penn Hospital
 Morehead Memorial Hospital
 Rockingham County Schools
 Rockingham County Department of Public
Health
 Rockingham Pregnancy Care Center
Purpose of the Needs Assessment
 Important step in order to determine the current
status of health for your population
 Gather data from a wide array of sources- surveys,
focus groups, public forums
 Determine your community's strengths, weaknesses,
gaps and needs
 Use the needs assessment to garner both local support
and funder support
 Analyze data to determine next steps
Mission Statement
Improving the health and school performance of
Rockingham County students by providing comprehensive
health care through education, prevention, treatment, and
referral
Why is a SBHC Needed?
 Close gaps in adolescent health care
 Provide care for uninsured & underinsured
 Teens feel ignored by traditional health care
systems
 Eliminate the transportation barrier to obtaining
health care
 1 in 5 youth has at least one serious health problem
Goals
 Increase access to care
 Gather data on health
status of teens
 Reduce behaviors that
pose health risks
 Improve mental health
status
Increased Access to Care
 Parental consent required
 85% of students have parental consent
 72% of students that used the health centers in
2013-2014 reported missing less school
Services Provided
 Diagnosis & treatment of
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minor injuries & illnesses
Immunizations
Simple lab tests
Social work assistance
Abuse/violence
interventions & referrals
Dental screens & referrals
Physical exams
Services Provided
 Vision & hearing screens
 OTC & prescription
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medications
Mental health assessments,
counseling & referrals
Nutrition counseling
Health education programs
& support groups
Sports physicals
STI testing, pregnancy
testing and prenatal care
referral
Services Provided
 Multidisciplinary team
 Embedded in school
system-work closely with
School Nurses, school
staff and SHAC
 Provide an integrated
system of care
 Use Evidence-based
tools and methods
Staffing
 Nurse Practitioner, Physician Assistant or RN on
site daily
 LCSW-20 hours each week
 Registered Dietitian- one-two days/month
 Social Worker- one day a week
 Health Educator- one day every other week
 Pregnancy/Parenting Educator- one-two
days/month
 Medical Clerk/Secretary on site daily
Evidence-based Screening Tool
 Rapid Assessment for Adolescent Preventive Services
(RAAPS) is a web-based risk assessment
 Initiated this program in January 2013
 Replaced our paper and pencil risk assessment
 The majority of students prefer the on-line format
 Improved data collection-data from individual risk
assessments automatically entered into data base
allowing for easy retrieval
 Students receive educational material targeted to their
specific risks
Programs to Target Risky Behaviors
 Parent/Teen Education
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on Cyber Safety
Texting & Driving Video
Bullying and Sexting
Video
Buckle up campaign
Health bulletin boards
Videos & Brochures
Promote AbstinenceBaby Think it Over
Dolls, Empathy Belly
Yearly Data
 Gathered to assess current health status of adolescents
 Data gathered from: parent & student surveys, Parent
Strength and Difficulties Questionnaire, utilization of
services, & RAAPS
 Used to track health risk behaviors
 Used to provide educational programs
 Measures the impact of what we are doing
Improved Mental Health- Daily Crisis
Intervention on Site
 Surveys have
documented decreases
in:
• attempted suicides
• the number of students
considering suicide
• dating abuse
• depression and/or stress
Sustainability
 Important to diversify funding
 Critical to continue to maintain and build new
partnerships
 Prevent duplicating services and programs-share
resources with other agencies
 Evaluation component
 Update strategic plan on a regular basis
 Communicate, collaborate and cooperate
Funding Sources
Past recipient of HRSA
grant
NC offers competitive
grants each year that
SBHC’s can apply for,
currently receiving
Federal Public
Grants
State Public
Grants
Foundations
Local
Funding
Community
Partners
Patient revenue
Reidsville Area
Foundation
Kate B. Reynolds
Charitable Trust,
Morehead Memorial Hospital,
Annie Penn Hospital,
Rockingham County Schools all
provide $ and in kind support
United Way of Rockingham
County Agency
Duke Endowment
Donations and fundraisers
March of Dimes
NC Health Choice
Medicaid
Private insurance
Patient fees
Other sources of in kind support
Rockingham County Health
Department, Rockingham County
Pregnancy Care Center
Advisory Board
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Parents
Students
Clergy
Principals
School board member,
teachers & other school
personnel
 Annie Penn Hospital
 Morehead Memorial
Hospital
 Physicians
 Representatives from the
health department &
social services
 Community and
business representatives
Community Benefits
 Attend to unmet
health needs
 Easy access to health
care
 Screen to prevent &
treat diseases
 Provide safe place for
teens to talk about
troubling issues
 Compliment existing
health care system
Community Benefits
 Represent wise
investments:
 Help to keep teens out of the
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hospital and ER
Increase attendance-keep
teens in school
Reduce parental work
absences
Detect illness early
Manage chronic diseases
Linking health care with
schools boosts academic
success
Investing in our students now will benefit
our community far into the future
Questions