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School-Based Health Centers
Michael Ralls
Milwaukie High SchoolMilwaukie, Oregon
Could someone please help me with these?
I’m late for Math class.
Maslow’s Hierarchy
Kids struggle to “do school” if they…
have an empty stomach
are homeless
have little sleep
feel unsafe at home or at school
are sick
have aching teeth
have battling parents
are rejected by peers or being bullied
There is a research-based link between students’ physical, social, and emotional health and their ability to learn.
In addition to educating students, schools need to take care of students.
Take it to the students…
where students are
when students are there
DATA
Oregon Wellness Surveyor
Oregon Health Teens Survey
Spring of 11th grade year
Used Tobacco in the last 30 days
12.9%OWS DATA Spring, 2014
Drank Alcohol in the last 30 days
31%OWS DATA Spring, 2014
Used Marijuana in the last 30
days
25.3%OWS DATA Spring, 2014
Considered Suicide in the last
12 months
20.7%OWS DATA Spring, 2014
Been Harassed at school
in the last 30 days
37.4%OWS DATA Spring, 2014
Ever had Sex
48.8%OHT DATA Spring, 2013
Are trying to Lose Weight
Females 58%Males 30.1%
OWS DATA Spring, 2014
Ate Breakfast everyday for the
past 7 Days
37%OWS DATA Spring, 2014
School-Based Health Centers
SBHC 101
What is a School-Based Health
Center?
Just like a regular Doctor’s office
Physician or Nurse Practitioner
68 Statewide
9 more in planning process
1900 Nationwide
The ModelThe model of SBHCs
Not trying to take business away from PCPs.To include parents when possible.
CertificationOregon Standards are the most rigorous.Definition of a SBHC
On School GroundsPartners:
Medical SponsorSchool DistrictCounty
Medical Sponsor
Provides staff
Carries Medical Liability
Funding
Medical Oversight
Ownership of Medical Records
Designates a Medical Director
Mission: to help homeless youth and other marginalized people move towards improved health and self-sufficiencyBegan in 1968.Homeless Youth Services and Medical Services
We are...Service providers and advocates.Experts in understanding adolescents.A Federally Qualified Health Center.A licensed Mental Health Agency.
MHS’s School-Based Health Center
From Donuts to Doctors
Eliminating Barriers to an
Education
Our Vision
3 Exam Rooms
Nurse Practitioner
Mental Health Therapist
Drug & Alcohol Counselor
Mental Health Interns (OHSU, PSU, GFU)
Dental Exam Room
Conference room
Laboratory
Our StoryCreated a Planning Committee
Met every Friday w/Donuts and Coffee
Selected LocationOutside AccessCenter of SchoolThe SBHC will be here in 40 yearsAccess to PlumbingAdequate Square FootageITADA
Our Story
Hired Architect
Hired Graphic Designer
Created a Student Advisory Council
Created a Community Advisory Board
4 year project
Raised $600,000+
Outside In received grant for $500,000/yr
Guiding Principles
“Make it big, do it right, give it class.” Louis B. Mayer
“If it's not worth doing right, it's not worth doing at all.”
“It’s better to do it right, than fast.”
name
slogan
logo image
Preliminary StepMedical Van and Staff
One day a week
Full-Time Mental Health Therapist
38 feet long Office
2 Exam Rooms Private Bathroom
Laboratory Wheelchair Accessible
Parent Notification
Oregon Law - Parent Consent
Good Medical Practice - Abstinence First Model
School Based Health Center Model - include parents
Including Parents is the Best Practice
Transparent Communication to Parents about Services
Age-Appropriate Reproductive Health
services
HIPAA / FERPA
MHS SBHC
What you will see…
