A Nurse‐Led Model of Care to Address Social and Behavioral Determinants of Health at a School‐Based Health Center

Parke, Kathryn A.; Meireles, Christiane; Sickora, Cindy

doi:10.1111/josh.12748

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…This study confirms recent recommendations that comprehensive mental health services for foreign‐born students include efforts to create a positive school climate; classroom and small‐group activities to help with cultural adaptation; partnerships with community organizations to help parents access basic needs, language skills, and medical care; and culturally appropriate trauma‐informed therapy …”

Section: Discussionsupporting

confidence: 86%

“…Comprehensive school mental health services are school‐community partnerships that provide a continuum of mental health services to support students, families and the school community. Common components include prevention, outreach, and alternative therapies to clinical mental health services . In addition to clinical services, these models offer an array of mental health education and promotion activities designed to promote wellness as well as reduce morbidity.…”

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confidence: 99%

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Identifying Essential Components of School‐Linked Mental Health Services for Refugee and Immigrant Children: A Comparative Case Study

McNeely

Sprecher²,

Bates-Fredi

et al. 2019

Journal of School Health

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BACKGROUND: Foreign-born children rarely use traditional school mental health services. Comprehensive programs that combine mental health services with academic, economic, and socioemotional supports reach more foreign-born children and improve wellbeing. However, little practical guidance exists regarding how to best combine these diverse services. METHODS:To identify essential service components and their organization, we interviewed 92 parents, school staff, mental health providers, and community agency staff from 5 school-linked mental health programs designed specifically to serve immigrant and refugee youth. RESULTS:Foreign-born parents did not distinguish between academic, behavioral, and emotional help for their children; these western categorizations of functioning were not meaningful to them. Consequently, programs needed to combine 4 components, organized in a pyramid: family engagement, assistance with basic needs, assistance with adaptation to a new culture, and emotional and behavioral supports. Family engagement was the foundation upon which all other services depended. Assistance with economic and cultural stressors directly promoted emotional wellbeing and helped parents trust clinical mental health interventions. CONCLUSIONS:Specific strategies to implement the 4 essential components include home visits by program staff, a one-stop parent center located in the school to help with basic needs, working with cultural brokers, and informed consent procedures that clearly explain recommended care without requiring immigrant and refugee parents to internalize western conceptualizations of psychopathology. Future evaluations should assess the cost and effectiveness of these strategies. These data are essential to advocate payment for these nonclinical services by traditional funding mechanisms. Citation:McNeely CA, Sprecher K, Bates-Fredi D, Price OA, Allen CD. Identifying essential components of school-linked mental health services for refugee and immigrant children: a comparative case study.A pproximately 2.2 million school-aged children in the United States are foreign born 1 and an additional 11.8 million have at least one foreign-born parent. 2 Foreign-born children comprise a diverse group, including immigrants, asylum seekers, and refugees. Arriving from dozens of nations, some have no prior formal education or exposure to English a Research Professor, (cmcneely@utk.edu), College

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Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

Identifying Essential Components of School‐Linked Mental Health Services for Refugee and Immigrant Children: A Comparative Case Study

McNeely

Sprecher²,

Bates-Fredi

et al. 2019

Journal of School Health

View full text Add to dashboard Cite

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Exploring Innovative U.S. School Health Delivery Models: A Narrative Review

Bennett,

Maughan,

DeCato

et al. 2024

The Journal of School Nursing

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School health services have been described as the “hidden healthcare” system because of their isolation within schools and from other healthcare providers. This isolation may inhibit innovations in school healthcare delivery. Hence, there is a need to identify and characterize various delivery models. This review examines models to identify innovative approaches and formulate suggestions for public health departments, local and state educational agencies, and policymakers. Toward this goal, published and gray literature were studied and synthesized, identifying three delivery models: the traditional model of school-based nursing and two alternative models: school-based health centers and community partnerships. Mechanisms of delivery included telehealth, mobile clinics, and system-level care. Although no innovative, comprehensive approaches to school health services models were found, innovation generally focused on improving equitable delivery to vulnerable populations. Policies must be formulated and funded to integrate such innovations into a comprehensive, preventative approach, including improved care coordination and data sharing.

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A Nurse‐Led Model of Care to Address Social and Behavioral Determinants of Health at a School‐Based Health Center

Abstract: Citation: Parke KA, Meireles CL, Sickora C. A nurse-led model of care to address social and behavioral determinants of health at a school-based health center.

Cited by 2 publications

References 17 publications

Identifying Essential Components of School‐Linked Mental Health Services for Refugee and Immigrant Children: A Comparative Case Study

Identifying Essential Components of School‐Linked Mental Health Services for Refugee and Immigrant Children: A Comparative Case Study

Exploring Innovative U.S. School Health Delivery Models: A Narrative Review

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