‘School-Based Health Centers 101’ :‘School-Based Health Centers 101’ Cindy Flye School-Based Health Center Coordinator Rich Abramson, Superintendent of Schools Maranacook Community Schools


What is a SBHC? :What is a SBHC? A school-based health center (SBHC) is a high quality, professionally staffed health center located on school grounds. SBHCs are NOT Primary Care Providers or Medical Homes. The Maranacook SBHC serves approximately 750 students from Mt.Vernon, Manchester, Readfield, and Wayne in grades 6-12.


Maine School-Based Health Centers :Maine School-Based Health Centers There are currently 25 SBHCs serving over 15,000 children statewide.


How are SBHC services decided? :How are SBHC services decided? The services offered at the SBHC are decided by the local community, based on the health needs of students and values of the community. SBHC’s only provide care to students whose parents have signed a consent form allowing their child to be treated at the SBHC. SBHC’s serve both insured and uninsured students and provide care regardless of ability to pay.


SBHC Services may include: :SBHC Services may include: Annual risk assessments Annual physical exams or sports physicicals Diagnosis and treatment of acute injuries and illnesses Prescription services and laboratory testing Reproductive health services Behavioral Health Services including individual counseling, consults with families and school staff, and educational programs for staff, students and community. Dental services


A SBHC Patient: :A SBHC Patient: Is in High School, Middle School or Elementary School May or May Not Be Insured Needs Access to High Quality Health Care Has An Acute Health Care Need Needs Regular Health Care Maintenance Needs Preventative Health Care


SBHC staff may include: :SBHC staff may include: Nurse practitioners, Physicians assistants, Physicians and/or resident physicians Registered nurses, Mental health professionals, Dental health professionals And other health personnel.


SBHC’s Collaborate with: :SBHC’s Collaborate with:


School-Based Health Centers Are Funded Through Multiple Sources, including: :School-Based Health Centers Are Funded Through Multiple Sources, including: Maine Centers of Disease Control Teen and Young Adult Health Program SBHC grants Foundation Funding (e.g. Kellogg Foundation) Reimbursement from Billing Health Plans for services provided Community Agencies Support/Funding (e.g. Family Planning Association of Maine, National Alliance of Mental Illness of Maine) Direct and/or In-kind Support from Local School System


Why School-Based Health Centers? :Why School-Based Health Centers? A healthy child is a teachable child Poor health has a direct and negative impact on student success SBHCs address physical, emotional and behavioral health issues and foster learning readiness and academic achievement. Research has shown that SBHCs’: Improve children’s health status Reduce ER visits Increase access to mental health care Keeps students in school and learning School-based health centers reduce absenteeism Keep parents from missing work


On the Horizon…. :On the Horizon…. Health Care Reform bills being considered by congress currently include provisions for School-Based Health Center Funding. This would be the first federal legislation to pass into law to support establishing new school-based health centers and supporting existing health centers.


Slide 12:“School-based health centers bring a wide range of health care services to students in the place where they spend most of their days—the school building.  These clinics play an important role, particularly in the lives of young of medically underserved children and youth, because of their convenient location and because students feel more comfortable seeking health care advice—especially mental health counseling—from people there.  It is for this reason that I am a co-sponsor of the School-Based Health Clinic Act, which provides federal funds to establish new centers and improving existing centers in Maine and across the country.” -- Senator Susan Collins


‘Resources for Exploring more about SBHCs’ :‘Resources for Exploring more about SBHCs’


Maine Assembly on School-Based Health Care :Maine Assembly on School-Based Health Care Mission Statement The Mission of the Maine Assembly is to ensure that all Maine Students have access to healthcare through advocacy, promotion, support and sustainability of school-based health centers at the local, state and national levels.


Maine Assembly Board of Directors :Maine Assembly Board of Directors www.measbhc.org Cindy Flye, President Health Center Coordinator, Maranacook Kini-Ana Tinkham, RN, Vice President Dir. Clinical Service and QA Family Planning Association of Maine Deb Curtis, Treasurer Assoc. Dir, Maine Equal Justice Partners Cindy Dolben, RN Health Center Coordinator, N. Berwick Lisa Belanger, MSN, NP Health Center Coordinator, Portland Public Schools Kevin Lewis, MPP Ex. Dir. Maine Primary Care Assoc. Deb Nichols, RN, CPNP Medical Provider, Oxford Hills Colleen Luchowicz, LCSW Dir. of School-Based Behavioral Health Program, Kennebec Behavioral Health Ann Skriletz, RN Health Center Coordinator, Calais George Shaler Research Associate, Muskie School Public Service Beth Yvonne Program manager, Maine Youth Action Network, (MYAN)


National Assembly on School-Based Health Care :National Assembly on School-Based Health Care Vision All children and adolescents are healthy and achieving at their fullest potential Mission To improve the health status of children and youth by advancing and advocating for school-based health care


NASBHC believes that: :NASBHC believes that: Children and adolescents need high quality, accessible, culturally competent, comprehensive health care. The school setting is a sensible and appropriate place to deliver health care because that is where the students are. Ideally, the full scope of services is provided directly in a SBHC; alternative models may be dictated by resources and the needs of the community. SBHCs reduce health inequities and improve health outcomes for underserved youth. SBHCs should be fairly reimbursed for the high-quality health services they provide. http://www.nasbhc.org


Maine CDC, Teen and Young Adult Health Program :Maine CDC, Teen and Young Adult Health Program Shannon King, Assistant Director Teen and Young Adult Health Program11 State House StationAugusta, Maine 04333-0011Phone: 1-207-287-3312Toll-free in Maine: 1-800-698-3624TTY: 1-800-606-0215 Mission Working with communities and state agencies to assure that all adolescents have skills and access to services, information, and the supports that promote healthy life choices.


Maranacook Community School Contacts :Maranacook Community School Contacts Cindy Flye, School-Based Health Center Coordinator Maranacook Community High School 2250 Millard Harrison Drive Readfield, ME 04355 207-685-4923 ext. 318 Cindy_flye@maranacook.org Rich Abramson, Superintendent of Schools RSU #38 45 Millard Harrison Drive Readfield, Me 04355 207-685-3336 Rich_Abramson@maranacook.org