NASBHC 1998-99 School-Based Health Care Census

School-Based Health Centers: National Census School Year 2001-02

SCHOOL-BASED HEALTH CENTER/SCHOOL DEMOGRAPHICS
Location of SBHC (n=1165)
		%
	In school building	90
	On school property	10
	Total	100

Type of agency that serves as administrator and sponsor (n=1057)
		%
	Hospital/Medical Center	32
	Health Department	17
	Community Health Center	17
	School System	15
	Private Nonprofit Organization	12
	University/Medical School	5
	Other	1
	Mental Health Agency	1
	Total	100


Community characteristic of the SBHC (n=1136)
		%
	Urban	62
	Rural	27
	Suburban	11
	Total	100

Primary reason for selecting the school (n=1115)
		%
	Community Needs Assessment	68
	Request of the School	66
	Age Group is a Priority	43
	School had Space and Resources	33
	Prior Relationship with the School	25
	Other	17
	Community Acceptance	13
	Revenue Opportunities	3

Total school enrollment (n=1059)
		%
	<500 students	20
	500-999 students	37
	1000-1499 students	23
	1500-1999 students	11
	2000+ students	9
	Total	100


Race/Ethnicity of student population at the school in which health center is located (n=963)
		%
	African American	33
	White	32
	Hispanic	29
	Asian	4
	Native American	1
	Other	1

Distribution of centers by school setting (n=1046)
		%
	K-12 Combined School	4
	Middle-High School	7
	Elementary-Middle School	9
	Middle School	18
	Elementary School	23
	High School	39


SCHOOL-BASED HEALTH CENTER OPERATIONS
Length of time the SBHC has been open (n=1132)
		%
	2 years or less (since 2001)	8
	2- 4 years (2000-1998)	21
	5-9 years (1997-1993)	45
	10 years or more (1979-1992)	26
	Total	100

Hours per week the SBHC is open (n=1132)
		%
	0-8 hours	20
	9-30 hours	22
	31 or more	58
	Total	100

When SBHC is open (n=1132)
		%
	During school	95
	After school	58
	Before school	45
	During the summer	38
	During weekends	1


SBHC makes arrangements for after hours care (n=1135)
		%
	Yes	61
	No	39
	Total	100

SBHC provides information about emergency services when closed (n=1133)
		%
	Yes	78
	No	22
	Total	100


SCHOOL-BASED HEALTH CENTER TEAM
Staffing at SBHC (n=1071)
		%
	Primary care	96
	Mental health	61
	Ancillary	69
	Nursing	53
	Dental	9
	Health education	15
	Nutrition	10

Role of School Nurse and SBHC (n=934)
		%
	Not in school	22
	In school and separate	36
	In school and co located	42
	Total	100

Degree of coordination with School Nurse (n=792)
		%
	No coordination 1	6
	2	7
	3	10
	4	23
	Full coordination 5	53
	Total	100

Role of School Psychologist and SBHC (n=827)
		%
	Not in school	29
	In school and separate	68
	In school and co located	4
	Total	100

Degree of coordination with School Psychologist (n=672)
		%
	No coordination 1	20
	2	22
	3	27
	4	16
	Full coordination 5	15
	Total	100

SBHC relationship with Children with Special Health Care Needs (n=628)
		%
	Monitoring medication	65
	Serve on IEP* committee	54
	Review medical records	50
	Drafting IEP	39
	* IEP = individualized education plan


SCHOOL-BASED HEALTH CENTER SERVICES
Services provided by SBHCs (n=1067)
		%
	Treatment of Acute Illness	96
	Screenings (vision, hearing, scoliosis)	93
	Asthma Treatment	92
	Prescriptions for Medications	91
	Comprehensive Health Assessment	90
	Sports Physicals	89
	Immunizations	86
	Treatment of Chronic Illness	86
	Nutrition Counseling	85
	Laboratory tests	84
	Anticipatory Guidance	81
	Meds Administered in the Health Center	81
	Behavioral Risk Assessment	63
	Meds Dispensed to be Taken at Home	57
	Assess Psychological Development	51
	Dental Screenings	46
	Care for Infants of Students	23
	Dental Sealant Program	12
	Dental Care	9

Immunizations (n=1067)
		%
	Hepatitis B	95
	MMR	94
	DT/Td	83
	IPV	68
	Influenzae	59
	DTP or DtaP	57
	Varicella	56
	Hib	39
	TT	32
	Hepatitis A	27
	Pneumococcal	23
	OPV	21
	Other	6


SBHC Reproductive and Sexual Health Services; On-site, Off-site by Referral, Not at All (SBHCs serving middle or high school students only) (n=835)
		On-Site	Off Site by Referral	Not Provided
	Prenatal care	10	72	13
	HIV Testing	43	44	10
	Follow-up of Contraceptive Users	55	29	12
	Papanicolaou (Pap) Smear	55	33	9
	Gynecological Examinations	56	32	9
	Chlamydia Screening	59	29	9
	Sexual Orientation Counseling	60	20	15
	STI Diagnosis and Treatment	60	29	8
	HIV/AIDS Counseling	62	25	9
	Counseling for Birth Control	64	23	11
	Pregnancy Testing	76	15	8

Contraceptive methods provided onsite, offsite by referral or not at all (n=835)
		On-Site	Off Site by Referral	Not Provided
	Norplant Insertions	3	67	31
	Birth Control Pills	23	62	15
	Condoms	26	59	16
	Depo-Provera Injections	22	61	17
	Other	27	36	37

Is dispensing of contraceptives prohibited in the health centers? (n=796)
		%
	Yes	76
	No	23
	Total	100

If yes, by whom? (n=608)
		%
	Health Center Policy	76
	State Law	54
	School District Policy	50
	Other	40
	State Policy	25
	School Policy	11

Mental Health Services Provided on Site (n=1004)
		%
	Referrals	89
	Assessment	80
	Crisis Intervention	78
	Screening	77
	Grief and Loss Therapy	67
	Brief Therapy	67
	Conflict Resolution/Mediation	64
	Tobacco Use Counseling	62
	Skill-Building	60
	Case Management	55
	Substance Use Counseling	55
	Mental Health Diagnosis	51
	Psycho-education	40
	Medication Management/Admin	36
	Long Term Therapy	34
	Other	8

Prevention, early intervention and risk reduction in SBHCs (n=1019)
		Individual Screening/ Assessment	Small Group	Classroom Presentations	School-wide Promotion
	Tobacco Prevention/Cessation	74	30	36	37
	Alcohol/Other Drug Use Prevention	72	22	32	27
	Violence/Conflict resolution	68	34	32	25
	Injury Prevention	67	11	21	18
	HIV/STI Prevention	67	18	35	20
	Pregnancy Prevention	71	21	31	13


SCHOOL-BASED HEALTH CENTER POLICIES
SBHCs that use a computer based encounter system (n=1046)
		%
	Yes	75
	No	25
	Total	100

The SBHC collects patient revenue from the following sources (n=1081)
		%
	Medicaid	68
	Private insurance	45
	SCHIP	43
	Self-Pay	23
	Do Not Bill	31

Quality assurance components used by SBHCs (n=1053)
		%
	Staff Credentials and Training	92
	Chart Audits	91
	Policies and Procedures	89
	Measures of Patient Satisfaction	74
	Standards for the Physical Environment	70
	CLIA certification	69
	Measures of Patient Knowledge	31

Evaluation tools used by SBHCs (n=944)
		%
	Student Health Assessment in SBHC	65
	Parent Survey	50
	Teacher Survey	45
	Student Questionnaire in Classroom	33
	Computer-based Assessment in SBHC	22