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

Guo, Jeff J.; Wade, Terrance J.; Keller, Kathryn N.

doi:10.1177/003335490812300613

Cited by 52 publications

(58 citation statements)

References 32 publications

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“…Users of SBHC were also often described as exhibiting more high risk behaviors including unprotected sexual intercourse, substance usage, and suicidal behavior than non-users of services [12,15,17,29,38,41,43,47]. Adolescents exposed to SBHC received more mental health services compared with those in schools without SBHC and there appeared to be a cost efficiency saving comparing them to those not exposed [35,46]. It appears therefore, that SBHC can reach adolescents with the greatest level of need.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health

et al. 2012

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BackgroundAccessible sexual, reproductive, and mental healthcare services are crucial for adolescent health and wellbeing. It has been reported that school-based healthcare (SBHC) has the potential to improve the availability of services particularly for young people who are normally underserved. Locating health services in schools has the potential to reduce transport costs, increase accessibility and provide links between schools and communities.MethodsA systematic review of the literature was undertaken. Pubmed, Psychinfo, Psychnet, Cochrane CENTRAL, and Web of Science were searched for English language papers published between January 1990 and March 2012ResultsTwenty-seven studies were found which fitted the criteria, of which, all but one were from North America. Only three measured adolescent sexual, reproductive, or mental health outcomes related to SBHC and none of the studies were randomized controlled trials. The remaining studies explored accessibility of services and clinic utilization or described pertinent contextual factors.ConclusionsThere is a paucity of high quality research which evaluates SBHC and its effects on adolescent sexual, reproductive, and mental health. However, there is evidence that SBHC is popular with young people, and provides important mental and reproductive health services. Services also appear to have cost benefits in terms of adolescent health and society as a whole by reducing health disparities and attendance at secondary care facilities. However, clearer definitions of what constitutes SBHC and more high quality research is urgently needed.

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Section: Discussionmentioning

confidence: 99%

A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health

et al. 2012

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“…3 Students from disadvantaged backgrounds in schools with an SBHC are frequently found to have increased access to health care, including mental health services. 36,46–48 Across all age-groups, general health examinations are among the most common reason for visiting an SBHC. 5,9,34,47,49 …”

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

School-Based Health Centers in an Era of Health Care Reform: Building on History

Keeton¹,

Soleimanpour²,

Brindis³

2012

Current Problems in Pediatric and Adolescent Health Care

180

232

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School-based health centers (SBHCs) provide a variety of health care services to youth in a convenient and accessible environment. Over the past 40 years, the growth of SBHCs evolved from various public health needs to the development of a specific collaborative model of care that is sensitive to the unique needs of children and youth, as well as to vulnerable populations facing significant barriers to access. The SBHC model of health care comprises of on-school site health care delivery by an interdisciplinary team of health professionals, which can include primary care and mental health clinicians. Research has demonstrated the SBHCs’ impacts on delivering preventive care, such as immunizations; managing chronic illnesses, such as asthma, obesity, and mental health conditions; providing reproductive health services for adolescents; and even improving youths’ academic performance. Although evaluation of the SBHC model of care has been complicated, results have thus far demonstrated increased access to care, improved health and education outcomes, and high levels of satisfaction. Despite their proven success, SBHCs have consistently faced challenges in securing adequate funding for operations and developing effective financial systems for billing and reimbursement. Implementation of health care reform (The Patient Protection and Affordable Care Act [P.L. 111-148]) will profoundly affect the health care access and outcomes of children and youth, particularly vulnerable populations. The inclusion of funding for SBHCs in this legislation is momentous, as there continues to be increased demand and limited funding for affordable services. To better understand how this model of care has and could further help promote the health of our nation’s youth, a review is presented of the history and growth of SBHCs and the literature demonstrating their impacts. It may not be feasible for SBHCs to be established in every school campus in the country. However, the lessons learned from the synergy of the health and school settings have major implications for the delivery of care for all providers concerned with improving the health and well-being of children and adolescents.

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“…Other evaluations of SBHCs’ behavioral health impact have reported lower rates of suicidality and depression, increased physical activity, increased hormonal contraception use, increased likelihood of having been screened for a STI including HIV, lower pregnancy rates and, among teen parents who used SBHCs, higher newborn birth weights [[12], [13], [14], [15], [16], [17], [18], [19], [20], [21]]. Some studies have also found that access to SBHCs is associated with positive academic outcomes, including increased attendance and grade point average and reduced rate of dropout [[22], [23], [24]].…”

Section: Sbhc Research: Scope Of the Evidence Basementioning

confidence: 99%

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

Bersamin

Garbers

Gold

et al. 2016

Journal of Adolescent Health

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Since the founding of the first School-Based Health Centers (SBHCs) over 45 years ago, researchers have attempted to measure their impact on child and adolescent physical and mental health and academic outcomes. A review of the literature finds that SBHC evaluation studies have been diverse, encompassing different outcomes and varying target populations, study periods, methodological designs, and scales. A complex picture emerges of the impact of SBHCs on health outcomes, which may be a function of the specific health outcomes examined, the health needs of specific communities and schools, the characteristics of the individuals assessed, and/or the specific constellation of SBHC services. SBHC evaluations face numerous challenges that affect the interpretation of evaluation findings, including maturation, self-selection, low statistical power, and displacement effects. Utilizing novel approaches such as implementing a multipronged approach to maximize participation, entering-class proxy baseline design, propensity score methods, dataset linkage, and multisite collaboration may mitigate documented challenges in SBHC evaluation.

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

Cited by 52 publications

References 32 publications

A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health

A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health

School-Based Health Centers in an Era of Health Care Reform: Building on History

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

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