Measure Status: Active
Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Bottom level: public health services and systems
Service Recipient: Activities related to systems-building
Goal: To increase preventive health visits to adolescents at SBHCs
Numerator: Number of annual completed visits at all SBHCs
Denominator: Number of annual projected visits at all SBHCs
Significance: The following studies have shown that SBHCs increase access to care and quality of care for underserved adolescents:
- Allison, Mandy A., et al. "School-based health centers: improving access and quality of care for low-income adolescents." Pediatrics 120.4 (2007): e887-e894.
- McNall, Miles A., Lauren F. Lichty, and Brian Mavis. "The impact of school-based health centers on the health outcomes of middle school and high school students." American Journal of Public Health 100.9 (2010): 1604-1610.
SBHCs offer both comprehensive primary care and behavioral health services within schools where children and adolescents spend most of their time. SBHC clinicians are skilled in motivational interviewing with children and adolescents. They have extensive knowledge of critical issues impacting the students they serve. Each visit to a SBHC, regardless of the reason, serves as an opportunity for clinicians to build a therapeutic relationship with students, aimed at fostering their strengths. At each visit, students are regularly assessed for risk and protective factors to intervene as early as possible. SBHC clinicians are well integrated within their schools and are knowledgeable about appropriate services/resources within their communities ensuring that students are well-connected, including with a medical home.
It is an explicit goal of the SBHC Program that all children/adolescents attain health insurance and be connected with a Primary Care Provider. In addition, every effort is made by SBHC staff to help students develop the skills they will need to navigate the health care system upon graduation from high school.
Data Sources and Data Issues: The visit numbers are collected from each SBHC at the end of the fiscal year. Limitations include possible delays in reporting and variations in the quality of the documentation provided by clinicians.
Unit Type: Percentage, Unit Number: 100