4. What is a School-Based Health
Clinic?
• Are located in schools or on school grounds.
• Work cooperatively within the school to become an integral part of the
school.
• Provide a comprehensive range of services that meet the specific physical
and behavioral health needs of the young people in the community.
• Employ a multidisciplinary team of providers to care for the students: nurse
practitioners, registered nurses, physician assistants, social workers,
physicians, alcohol and drug counselors, and other health professionals.
• Provide clinical services through a qualified health provider such as a
hospital, health department, or medical practice.
• Require parents to sign written consents for their children to receive the full
scope of services provided at the SBHC.
• Have an advisory board consisting of community representatives, parents,
youth, and family organizations, to provide planning and oversight.
(http://www.nasbhc.org)
+ =
5. Why Establish A SBHC?
• Healthy students perform better
• A collaborative health model connects the dots
between medical professionals, academic
professionals, the family, and the student
• Makes health care more accessible to students
• Reduces Medicaid expenses1
• 1. Adams EK, Johnson V. An elementary SBHC: Can it reduce Medicaid costs? Pediatrics 2000 Apr; 105(4 Pt 1):780-8
6. How To Establish A SBHC?
• Board of Education Support
• Community Needs Assessment
• Focus Groups
• Medical Professional Support
7. Funding
Grants
• Systems of Care
• Urban Health Initiative
• Georgia Partnership for Telehealth
Billing
• Mental Health Services
• Case Management
• Presenting Site
9. Bridging the Gap
Educati
• Boys and Girls Club After School
on Program
• Academic Support Services
Student
And
Family
Mental Health Physical
• On staff LCSW Health
• Primary Care Physicians
• Partnership with local university • Specialty Services
• Behavioral Health Services of South • Face-to-face and
Georgia telehealth
• Telepsychiatry • On site RN
11. … A Collaborative Healthcare
Model
Collaborative care
combines medical
and behavioral
health services to
more fully address
the spectrum that
defines the
patient.
In the Berrien County SBHC mental health
professionals work closely with primary care
physicians so that all aspects of the patient are
addressed.
12. Making the Tele-Connection
• The use of
telemedicine opens
the doors to
specialties that
students in rural
areas may not have
access to
• Increases access to
specialty services,
such as psychiatry,
dermatology, and
nephrology
13. Process of Providing Care
• Parent fills out consent forms and health
questionnaire
• Child is triaged by school nurse
• Parent is contacted
• Student sees physician via telemed or
face-to-face visit
• Follow-up with parent
