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State
Governor
10 states
Legislature
State Board of
Education
Chief State School Officer
26 states
State Education Agency Staff
School Board
Local District
Superintendent
Local
Government
Local System Staff
Principal
Local School
School
Improvement
Council
School Staff
Bogden, JF. How Schools work and How to Work with Schools (2003)
National Association of School Boards. http://www.nsba.org/site/docs/1200/1143.pdf (accessed 2007)
!   Administrative oversight/locus of
oversight
!   Funding
!   Resources
–
–
–
–
Staffing
Education agency
Other local and state
Federal
!   Legal and policy framework
Based on Lear, JG (2007)
Lear, JG (2007)
Staff/Program Number
Nurses
56,000
Avg. Unit
Cost ($)
40,201
Psychologists
30,000
65,000
1,950,000,000
Social workers 14,000
43,300
620,200,000
Counselors
52,303
5,177,997,000
99,000
School based 1,750
health centers
TOTAL
250,000
Total Cost ($)
2,251,256,000
437,500,000
10,436,953,000
Source: Lear, JG Health at School: A Hidden Health Care System Emerges from the
Shadows. Health Affairs 26 (2) 2007: 409-419
Jones. JSH 2008 78 (2)
No Child Left Behind Act of 2001
(Public Law 107–110)
Source: Martha Dewey Bergren, MD. HIPAA-FERPA Revisited. The Journal of School
Nursing. April 2004; 20 (2), 107-112
Source: Bergren, MD. HIPAA-FERPA Revisited. The Journal of School Nursing. April 2004; 20 (2), 107-112
Source: Bergren, MD. HIPAA-FERPA Revisited. The Journal of School
Nursing. April 2004; 20 (2), 107-112
Source: Bergren, MD. HIPAA-FERPA Revisited. The Journal
of School Nursing. April 2004; 20 (2), 107-112
Source: Bergren, MD. HIPAA-FERPA Revisited. The Journal of School
Nursing. April 2004; 20 (2), 107-112