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Developing Meaningful Partnerships within your School Community


Developing Meaningful Partnerships within your School Community Advancing Access to Quality Health Care for Youth 2154 NE Broadway, Suite 100, Portland, OR 97232 – PowerPoint PPT presentation

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Title: Developing Meaningful Partnerships within your School Community

Developing Meaningful Partnerships within your
School Community
Advancing Access to Quality Health Care for Youth
2154 NE Broadway, Suite 100, Portland, OR
97232 503.595.8423
Find an Appointment!
Kids bring their whole life to school with them
and it doesnt fit in a locker.
  • Every student faces life challenges that impact
    his or her ability to learn.
  • Supporting kids and addressing health issues such
    as hunger, stress, harassment, substance use and
    unintended pregnancy can greatly improve their
    ability to learn.

There is a research-based link between students
physical, social and emotional health and their
ability to learn
(No Transcript)
Building Bridges Between SBHCs and Schools
Why Partner?
  • SBHCs And Other Health Professionals Partnering
    With Schools
  • Our world and our nation have changed so too
    have our schools. Today, more than ever, school
    health programs could become one of the most
    efficient means available to improve the health
    of our children and their educational
    achievement (Kolbe,2005 p.226)
  • Schools Partnering With SBHCs
  • The best of teaching cannot always compete
    successfully with the challenges many students
    face outside of school (Lee-Bayha Harrison,
    2002 p.1)

What We Know The health-academic outcomes
Graduation GPA Standardized test scores
Health Risk Behaviors
Educational Outcomes
Substance use Mental health Poor diet
Intentional injuries Physical illness
Self-esteem Sexual behaviors
Attendance Dropout Rates Behavioral
Educational Behaviors
Stressors to Child Health and Learning Readiness
  • In 2005, 9 of U.S. children had no health
  • 5 of U.S. children had no usual place of health
  • 6.5 million children have diagnosed asthma
  • One in five children have a diagnosable mental
  • 35 of uninsured children had no dental contact
    in two years
  • 7 of children had ADHD
  • Children with fair or poor health status were six
    times as likely to have learning disability and
    be absent 11 or more days from school
  • Over 4 million children (7) has a learning
  • In 2005, 19 of 4th graders and 20 of 8th
    graders missed three or more days of school the
    previous month
  • 14 total school enrollment receive IDEA services

(Federal Interagency Forum on Child and Family
Statistics, 2007 National Center for Children in
Poverty, 2007 U.S. Department of Education -
National Center for Education Statistics, 2006)
The Terri Story Asthma
Terri has asthma. It is not under control and she
misses many days of school because of it. She
doesnt really know what triggers her asthma, but
she hardly ever participates in physical
activity. Her grades are getting worse because of
her absenteeism.
Physical Health
Implications on Learning
Emotional Health
Social Health
Connecting Professional Communities For Children
Childhood Asthma
Nearly 73,000 Oregon children 18 and under
currently have asthma. Asthma prevalence in
Oregon continues to rise and is higher than the
U.S. average. _______ Countys asthma prevalence
rate is __, compared to Oregons rate of 9.9
and the US rate of 7.9
Learning Implications
Health Implications
  • About 14 of 8th graders and 9 of 11th graders
    with asthma reported missing at least one day of
    school because of asthma in the past month
  • Children in fair or poor health such as those
    with uncontrolled asthma were six times more
    likely to have a learning disability and be
    absent 11 or more days from school (Nationally)
  • Disrupted sleep caused by asthma contributes to
    poor school performance (Nationally)
  • Asthmatic children have higher rates of grade
    failure than non-asthmatics (Nationally)
  • Asthma is more common in low-income and minority
    populations. These groups are also at risk for
    higher rates of fatalities, hospital admissions
    and emergency room visits. (Oregon)
  • Oregon children were hospitalized for asthma more
    than 550 times in 2006. Children ages 0-5 have
    the highest rate of asthma hospitalizations.

(Diette, 2000 Fowler, Davenport Garg,
2001 Halterman,et. al, 2001 Oregon Asthma
Surveillance Report (2007)
Coordinated School Health Web Activity
The Coordinated School Health Model
Policies as Partnership Possibilities
School Health Programs and SBHCs
  • Grab a post-it
  • Individually, write down what comes to mind
  • when you hear the words
  • School Health Programs
  • AND
  • School-Based Health Centers

Oregon Educational Governance
Quality Education Commission (11 appointed
members confirmed by the Senate)
State Board of Education (7 appointed members
confirmed by the Senate)
Superintendent of Public Instruction (elected)
School Districts
No Child Left Behind A Synopsis
Title I Improving the Academic Achievement of the Disadvantaged Programs include Student reading programs, Education of migratory children, Preventions and intervention for neglected, delinquent , or at-risk children, Comprehensive school reform, Advanced placement programs, School dropout prevention, Title I assessment and other general provisions.
Title IV 21st Century Schools These programs primarily deal with providing safe and drug-free schools and communities, learning centers and tobacco smoke prevention
Title VII Indian, Native Hawaiian, and Alaska Native Education Providing for Indian, Native Hawaiian and Alaska Native education
SBHC Contribution Immunizations, and health
records of migrant children served are required
to be supplied to the national database. As SBHCs
treat clients data could be provided to the
schools to input. Prevention intervention
services, information, screening, and treatment
of affected students could be performed at SBHC
sites. Drug and alcohol prevention education,
testing, screening, counseling and treatment
options might already being provided in
SBHCs Health-related services for students with
physiological needs can be supplied on site
NCLB Criteria Title I Part C Education of
Migratory Children Title I Part D Prevention
and Intervention Programs for Children and Youth
who are Neglected, Delinquent, or At-Risk Title
IV 21st Century Schools IDEA Criteria Least
Restrictive Environment
Local Wellness Policy RequirementsChild
Nutrition ReauthorizationPUBLIC LAW 108-265-JUNE
30, 2004
  • Goals for nutrition education, physical activity
    and other school-based activities designed to
    promote student wellness
  • Nutrition guidelines selected by the local
    educational agency
  • Guidelines for reimbursable school meals
  • A plan for measuring implementation of the local
    wellness policy
  • Community involvement
  • Oregon Link http//
  • http//

Other School Health Requirements
  • State Content Standards and Benchmarks (what a
    student should know and be able to do)
  • Law/Policies related to health and physical
  • Assessments, Tests
  • CIM Endorsements
  • Oregon Healthy Teens

Health Education State Content Standards
  • Concepts (Alcohol, Tobacco, and Other Drug
    Prevention, Prevention and Control of Diseases,
    Promotion of Environmental Health, Promotion of
    Healthy Eating, Promotion of Mental, Social and
    Emotional Health, Promotion of Physical Activity,
    Promotion of Sexual Health, Unintentional Injury
    Prevention, Violence and Suicide Prevention)
  • Accessing Information
  • Self Management
  • Analyzing Influences
  • Interpersonal Communication
  • Decision Making
  • Goal Setting
  • Advocacy

Oregon Laws Related to Health Education
A K-12 Plan of Instruction Based on the Common
Curriculum Goals OAR 581-022-1210 AOD
Prevention Annually OAR 581-22-413 and ORS
336.222 Human Sexuality Education, HIV/STD,
Hepatitis B/C Prevention Education OAR
581-022-1440 and ORS 336.455-475 Emergency
Drills and Instruction ORS
336.071 Anabolic Steroids and Performance-enhanci
ng Substances SB 517 Child Abuse Reporting
and Training SB 379
Oregon Laws RelatedTo School Health and Safety
Harassment, Bullying and Intimidation ORS
339.351 to 364 Tobacco Free Schools OAR
581-021-0110 Emergency Plans Safety Programs
OAR 581-022-1420 Physical Education
HB 3141
SBHC Certification Standards
  • Centers are certified biannually by the State
    SBHC Program Office within DHS
  • Two levels of certification Core and Expanded
  • Certification is voluntary, however only
    certified centers receive State funding
  • Included in certification standards are
    guidelines for facilities, operations/staffing,
    laboratory and clinical services, data collection
    and reporting, quality assurance activities and
    administrative procedures for certification.

SBHC Funding
  • While the SBHC model of care is consistent,
    funding streams, medical sponsorship and
    management differ from site to site.
  • The funding is fragile and resources are scarce.
  • Sources of revenue for SBHCs under FQHCs (23
  • Billing fees 43
  • County/city government 26
  • Federal funding 13
  • State funding 7
  • Grants 5
  • In-kind donations 3
  • Other 2
  • Fundraising 1
  • Sources of revenue for SBHCs NOT under FQHCs (19
  • Other 45
  • State funding 25
  • Grants 12
  • In-kind donations 7
  • Billing fees 5
  • County/city government 5
  • Fundraising 1

Data Department of Human Services/Office of
Family Health/Adolescent Health/SBHC
Visioning Activity
  • Education stakeholders ask
  • Do school health programs detract from, or
    complement the academic and social mission of
  • Advocates of school-related health programs ask
  • If our programs are unable to demonstrate their
    educational value, will they be able to sustain
    and expand their current place in the health care
    safety net?

Oregons Children
In Oregon, 12 or over 110,000 children are
uninsured. 68 of SBHC clients reported that
they would not have received health care without
their SBHC School-based health centers are
staffed by licensed health professionals, and do
not replace the important work of school nurses.
A Snapshot of Oregons Children
  • In 2006 18 of Oregons children live in poverty,
    40 are low-income
  • In 2005, 13 of Oregon children ages 0 - 17 had
    been diagnosed with asthma
  • 21 of students changed school districts in
    school year 2005 2006
  • 42.6 of public school students are eligible for
    free/reduced price lunches
  • 24 of Oregon children ages 6 8 have untreated
    tooth decay
  • 13 out of 1000 children are victims of abuse or
  • Last year, 27 of 9 - 12th graders were
    overweight or at risk for overweight.

(OHT 2007, BRFSS 2005, Children First for Oregon
County Data Book 2006)
Lake Research Partners Oregon Results
  • The majority of voters consider all tested
    services with the exception of prescribing
    medication important.
  • Health education around eating right and
    exercising, and counseling for kids with obesity
    and other eating problems, and mental health
    services, including grief therapy, peer pressure,
    bullying, and suicide prevention.
  • Support also based on the belief that SBHCs would
    provide care to uninsured and underinsured
    children who would otherwise not receive services
  • Support for mental health services is also high,
    with 80 percent of voters saying these are
    important services to provide
  • Voters look with roughly equal numbers for stable
    funding from the federal government, insurance
    companies, and paying more in federal taxes to
    pay for these centers.
  • Strongest messages Provide Care, Smart
    Investment, Studies, and Disaster Support

How can SBHCs aid in creating a continuum of care
for Oregons youth?
  • Provide a solution to access barriers such as
    transportation, distance, and clinic hours
    inconvenient to parents
  • Bring community resources to the student
  • Support students, teachers, parents,
    administrators, and other health professionals by
    keeping children healthy and in school
  • Aid in identifying health issues early in a safe

Team Action Planning
Closure and Evaluation
Contact Information
Jess Bogli, Jessica Bogli Consulting jess_at_jessicab, 503.784.2932
Dr. Jeanita Richardson, Turpeau Consulting
Group, LLC, 804.674.1976
Maesie Speer, Oregon School-Based Health Care
Network, 503.595.8423 www.osbhcn
Selected References
Diette, G. B., Markson, L., Skinner, E. A.,
Nguyen, T. T., Algatt-Bergstrom, P., Wu, A. W.
(2000). Nocturnal Asthma in children affects
school attendance, school performance, and
parents' work attendance. Archives of Pediatrics
Adolescent Medicine, 154(9), 923-928. Federal
Interagency Forum on Child and Family Statistics.
(2007). America's Children Key National
Indicators of Well-Being 2007. In Federal
Interagency Forum on Child and Family Statistics
(Ed.). Washington, D.C. U.S. Government Printing
Office. Fowler, M. G., Davenport, M. G., Garg,
R. (1992). School Functioning of US Children With
Asthma. Pediatrics, 90(6), 939-944. Geierstanger,
S. P., Amaral, G., Mansour, M., Walters, S. R.
(2004). School-based Health Centers and Academic
Performance Research, Challenges, and
Recommendations. The Journal of School Health,
74(9), 347-353. Halterman, J. S., Montes, G.,
Aligne, A., Kaczorowski, J. M., Hightower, A. D.,
Szilagyi, P. G. (2001). School Readiness Among
Urban Children With Asthma. Ambulatory
Pediatrics, 1(4), 201-205. Kolbe, L. J. (2005). A
Framework for School Health Programs in the 21st
Century. The Journal of School Health, 75(6),
226. Lee-Bayha, J., Harrison, T. (2002). Using
school-community partnerships to bolster student
learning (Policy Brief). San Francisco
WestEd. National Center for Children in Poverty.
(2006). Children's Mental Health Facts for
Policymakers. New York Columbia University
Mailman School of Public Health. Richardson, J.
W. (2006a). Public K-12 Federal Educational
Policy Battlecreek The W.K. Kellogg
Foundation. Richardson, J. W. (2006b). SBHC
Policy Program Public K-12 Grantee State
Educational Policy Battlecreek The W. K.
Kellogg Foundation. Richardson, J. W. (2007).
Building Bridges Between School-Based Health
Clinics and Schools. Journal of School Health,
77(7), 337-343. U.S. Department of Education -
National Center for Education Statistics. (2006).
The Condition of Education 2006 (Vol. NCES
2006-071). Washington, D.C. U.S. Government
Printing Office.