Slide VII-1

Healthy Children and Youth 2000

  • See, Hear, and Learn
  • Fully Immunized
  • Graduate (On Time)
  • Using Safety Belts and Helmets
  • Choosing Substance-Free Lifestyles
  • Living Violence-Free Lives
  • Healthy Sexuality Development
Slide VII-2

Assessing Community Needs

  • What are we assessing?
  • What data and information can we use?
  • 10 steps of community needs assessment
  • Tools for community needs assessments
  • Recommendations for school health services
  • School-based or school-linked health services
Slide VII-3

What Does a Community
Needs Assessment Assess?

  • Access to care
  • Coordination of care
  • Outcomes and indicators
  • Positive youth development
Slide VII-4

Data for a Community Needs Assessment

  • YRBS
  • Health department statistics
  • Education department Òreport cardÓ
  • Individual school statistics
  • Community surveys
  • Interviews and focus groups
Slide VII-5

10 Steps of Community Needs Assessments

  • Organize a community coalition.
  • Identify the community.
  • Establish broad support.
  • Involve key groups.
  • Identify data.
Slide VII-6

10 Steps of Community
Needs Assessments (con't)

  • Outline the process.
  • Complete a Òresources and servicesÓ inventory.
  • Analyze and evaluate the data.
  • Develop an action plan.
  • Inform the community.
Slide VII-7

Tools for a Community Needs Assessment

  • Community resources survey
  • Parent survey
  • Student survey
Slide VII-8

Recommendations for School Health Services

  • Core services only
  • Core plus expanded services
  • School-linked health centers
  • School-based health centers
SlideVZ VII-9

Core Services Only

  • Employs nurse
  • Provides special health services (speech or physical therapy)
  • Employs counselors and psychologists for academic advising and testing
  • Refers students to community resources
Slide VII-10

Core Plus Expanded Services

  • Includes additional support for substance abuse and behavioral and mental health
  • Increases efforts to identify problems and make referrals
  • Hires nurses skilled in EPSDT
  • Contracts with community agencies for additional services
Slide VII-11

School-Linked Health Centers

  • Located beyond school property
  • Serve one or more schools
  • Provide primary health care
  • Have formal or informal ties with school
Slide VII-12

School-based Health Centers

  • Located in school or on school grounds
  • Provide primary and preventive care
  • May be part of larger organizational units
Slide VII-13

History of School-based or
School-Linked Health Services

  • First appeared around 1970
  • Slow growth in the 1980s
  • State support began in mid 1990s
  • Making the Grade Program and NASBHC established to provide support
Slide VII-14

Need for School-Based Health Services

  • Children and families face
    • Financial barrier to health care
    • Inadequacy of insurance coverage
    • Limitations of Medicaid
    • Lack of insurance and confidentiality for adolescents
Slide VII-15

State of School-Based Health Services

  • Popular with parents
  • Popular with students
  • Increase access for children without regular health providers
  • Provide range of services
  • Beginning to participate in managed care networks
Slide VII-16

Why Is the Managed Care Community
Interested in School-Based Health Services?

  • Can be cost-effective to provide service in school
  • Can increase health care quality
  • Convenience increases patient satisfaction
Slide VII-17

Principles of School District
and HMO Collaboration

  • Respect and recognize each other's institutional goals.
  • Regard student's designated health provider as primary home.
  • Maintain confidentiality, parental support, and preventive care.
  • Make replicable to student population and sound for all parties.