Académique Documents
Professionnel Documents
Culture Documents
M ay 12, 2005
3
A B r ief H istory of School H ealth:
Important T hemes
6
The Present: School Health Services in 2005
7
C ur r ent School H ealth Staff
A vailable for 95,000 public schools
8
Facilities and Equipment Available
for Health Services
9
Snapshot of T wo C ity School Districts and
T heir School Nursing Programs
School system backgrounds
Austin TX Boston MA
City population 680,000 589,141
No. of schools 103 130
No. of students 78,000 63,024
Limited English Proficiency 22% 16%
Special education 12.3% 20%
Percent of uninsured children note 6.3%*
Students eligible for free and reduced-
price lunch 53% 71%
Students with IHCPs 2.3% 3.8%
Note: Statewide, Texas children ages 6 - 12 have a 25% uninsured
rate; teens ages 13-18 have an uninsured rate of 37% 10
Snapshot of T wo C ity School Districts and
T heir School Nursing Programs
11
Student School Health Encounters,
2001-2002
Austin Boston
# % # %
12
C ur r ent M odels of School H ealth
Services
School nursing
– Service provision
School nurses only, eg. Boston, MA, Seattle, WA
School nurse-UAP combinations, eg. Austin, TX
– Sponsorship
School system, eg Seattle
Health department, eg. Montgomery Cty MD;
Community-based organization, eg. Children’s
Hospital in Austin, TX
13
C ur r ent M odels of School H ealth
Services
14
C ur r ent M odels of School H ealth
Services
15
T hings to Note
17
Parent Poll R esults
C H H C S F eb 2003 survey
Austin Boston
# % # %
18
Parent Poll R esults
Services Strongly Somewhat Strongly or
support support Somewhat
oppose
Providing immediate care in
case of emergencies 88% 8% 4%
19
The Future: Moving School
Health Services Forward
20
Moving School Health Services
Forward: Can We Use the CDC-
DASH Four Strategies?
• Monitoring health behaviors and school
policies and programs related to those
behaviors
• Synthesizing & applying research to improve
school policies and programs
• Enabling constituents to help schools
implement effective policies and programs
• Evaluating programs to improve school health
policies and services
21
Can We Use the CDC-DASH Four
Strategies to Strengthen School
Health Services?
• Monitoring function - YRBSS,
SP HPPS have worked well.
• Synthesizing research
• Assisting schools in implementing
effective policies & programs -- may
need more research to action
research
22
C ontact Information
The Center for Health and Health Care in Schools
2121 K Street, N W Suite 250
W ashington, D C 2 0 0 3 7
202-466-3396
202-466-3467 fax
www.healthinschools.org