School-Based Health Centers Michael Ralls Milwaukie High School Milwaukie, Oregon

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…

Thank you

QUESTIONS?

Michael Rallsrallsm@nclack.k12.or.us