School-Based Health Centers:
Where Health and Education Meet
Access to quality health care to improve
academic outcomes
December 2014
Arkansas Department of Education
Define SBHC
Mental Health
Physical Health
Optional Services
Sustainability
Getting Started
Arkansas Department of Education
Quality health and mental health
services on school campus
Current Problems in Pediatric and Adolescent Health Care
Volume 42, Issue 6 , Pages 132-156, July 2012
Arkansas Department of Education
.youtube.com/watch?v=wj4zwhxYYFY&feature=youtu.be
40/40 Gina Gomez
"You cannot educate a child who is not healthy, and
you cannot keep a child healthy who is not
educated."
- Dr. Jocelyn Elders
Arkansas Department of Education
History of SBHC
Multidisciplinary approach to meet students
needs where they are
Nurs Clin North Am. 2005 Dec;40(4):595-606, vii
Arkansas Department of Education
Arkansas Department of Education
Effective
• School nurse, administration and school
board support
• Need
• Well done communication
• Awesome grant writers
• Tenacious Coordinator
• Caring, competent provider: must like
young people
Arkansas Department of Education
Not Effective
• Individual goals/not team effort
• Lack of communication especially with
medical community and parents
• Lack of student focus
• Giving up
Arkansas Department of Education
Mental Health Services
• SBMH across the country/ AR SBMH
• FTE therapist per 500 students
• Active Caseload 20-30
• 70% Direct Services/30% Indirect Services
• SBMH Manual (Page 7-8)
• Assessment Tool: MHPET & SMHQAQ for
practitioners
Arkansas Department of Education
SBHC Funding
• Tobacco Excise Tax: $2 million Annually
• Arkansas Department of Education
• Grantee Awards
– $150,000 year one, sliding scale for 5 years
– Allowable Expenditures-Renovation, SD
Coordinator, clinical supplies, MH supplies, CSH
outreach activities, staff travel, PD
– Not allowable- Provider salaries, legal fees, offsite services; transportation
Arkansas Department of Education
Sustainability Planning
• From beginning, plan for sustainability
• Identify all costs district will absorb at end of grant
cycle
• Identify and analyze funds from sources for
sustainability of health center (sources can include:
Medicaid, ARMAC, NSLA, Title I, grants, partnerships)
• Communication with partners is essential for
sustainability
Arkansas Department of Education
Getting started
• Determine need
• Garner partnerships
• Establish plan
– Advisory board
– Policies and procedures
• Seek funding
• Prepare facility
Arkansas Department of Education
Resources
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•
•
•
www.sbhc4all.org
http://www.arkansased.org/
http://www.arkansascsh.org/
http://www.arkansascsh.org/track-theresults/youth-risk-behavior-survey-yrbs.php
• www.healthyarkansas.gov
• http://developingchild.harvard.edu/
Arkansas Department of Education
Contact
Elizabeth.kindall@arkansas.gov
Jerri.clark@arkansas.gov
Tracy@armits.org
Tamara.baker@arkansas.gov