A comparison of users and nonusers of a school-based health and mental health clinic

Measuring Success: Evaluation Designs and Approaches to Assessing the Impact of School-Based Health Centers

“…They may also reflect methodological and logistical challenges inherent in conducting research in schools. The challenges of evaluating SBHCs are well documented [[1], [28], [33], [34], [35], [36]] and include, but are not limited to, the following:…”

“…Selection bias operates on multiple levels: the processes by which students enroll in particular schools (often a function of neighborhood segregation by race/ethnicity and socioeconomic status), systematic differences between students who do and do not use SBHC services, differential attrition (e.g., school dropout, transfer), and factors that influence parental permission (both for SBHC enrollment and participation in evaluations) [[33], [37], [38], [39]]. SBHCs are, frequently by design, implemented in schools and communities where health care needs are greatest; thus, students attending a school with an SBHC may differ systematically from students in a school selected by researchers to serve as a control or comparison school.…”

Police Reporting and Professional Help Seeking for Child Crime Victims: A Review

“…For older children, their own resistance, concerns about stigma, or their personal autonomy may be more salient Research has found that many teens find it intrusive to have to get parental permission and may forgo medical o r mental health care visits for problems relating to sexuality, substance abuse, or emotional upset if they are required to tell their parents (Marks, Malizio: Hoch, Brody, & Fisher, 1983). Adolescent5 who have access to age-appropriate, confidential services through school-based clinics are more likely to get help for psp chological problems than other teens (Balassone, Bell, & Peterfreund, 1991;Kaplan, Calonge, Guernsey, & Hanrahan, 1998).…”

Impact of School-Based Health Centers on Students with Mental Health Problems

“…13,14 Numerous studies have documented that SBHCs can effectively reduce health-care access barriers, hospitalizations, and emergency room (ER) visits among youth. [15][16][17][18][19][20][21][22] A study conducted in Georgia reported that there was a significant decrease in Medicaid expenses for inpatient, non-emergency department transportation, drug, and ER visits for students enrolled in the SBHC program compared with students not enrolled in the SBHC program. 16 These in-school services can also address barriers such as stigma, noncompliance, and inadequate access to mental health services for youth.…”