Students Seeking Mental Health Services at School‐Based Health Centers: Characteristics and Utilization Patterns

2019 ◽  
Vol 89 (10) ◽  
pp. 839-846 ◽  
Author(s):  
Hilary Stempel ◽  
Matthew G. Cox‐Martin ◽  
Sonja O'Leary ◽  
Rachel Stein ◽  
Mandy A Allison
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Centers ◽  
School Based ◽  
Utilization Patterns ◽  
School Based Health Centers ◽  
Characteristics And Utilization

scholarly journals Mental health services in Louisiana school-based health centers post-Hurricanes Katrina and Rita.

2008 ◽  
Vol 39 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Paula A. Madrid ◽  
Richard Garfield ◽  
Parham Jaberi ◽  
Maureen Daly ◽  
Georgina Richard ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Centers ◽  
School Based ◽  
School Based Health Centers ◽  
Hurricanes Katrina And Rita

Utilization of Mental Health Services in School-Based Health Centers

2017 ◽  
Vol 87 (8) ◽  
pp. 584-592 ◽  
Author(s):  
Ranbir M. Bains ◽  
Regina Cusson ◽  
Jesse White-Frese ◽  
Stephen Walsh
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Centers ◽  
School Based ◽  
School Based Health Centers

scholarly journals Voices from Minority Youth on Help-Seeking and Barriers to Mental Health Services: Partnering with School-Based Health Centers

2018 ◽  
Vol 28 (Supp) ◽  
pp. 437-444 ◽  
Author(s):  
Roya Ijadi-Maghsoodi ◽  
Kacy Bonnet ◽  
Sophie Feller ◽  
Kathleen Nagaran ◽  
Maryjane Puffer ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Minority Youth ◽  
Health Centers ◽  
Health Issues ◽  
School Based ◽  
Mental Health Issues ◽  
School Based Health Centers

Objective: Schools and school-based health centers (SBHCs) play an important role in reducing disparities in access to mental health treatment. However, there is a need to increase student engagement in school mental health services. This study sought to understand the perceptions of low-income minority youth on help-seeking and barriers to mental health services at SBHC sites.Design: Descriptive, qualitative study.Setting: A network of SBHCs, called Well­ness Centers, developed as part of a strate­gic plan to serve students and community members in under-resourced areas of a large urban school district.Participants and Procedures: We conduct­ed focus groups with 76 middle and high school students at nine SBHC sites through a community-academic partnered approach from January to May 2014. The focus groups were audio-recorded, transcribed, and major themes coded with Atlas.ti.5.1.Results: Students identified teachers as a primary source of support for mental health issues, followed by peers and mental health counselors. Students felt that trust and con­nection were vital for help-seeking. Barriers to using SBHCs included: embarrassment; fear of judgment; concerns about confiden­tiality; a sense that they should keep things inside; and lack of awareness.Conclusions: Despite the resources avail­able at SBHCs, students face barriers to help-seeking. SBHCs can help teachers and school staff gain awareness of mental health issues and services available to students. The students’ recommendations—making SBHCs more comfortable, raising mental health awareness, and bolstering connec­tions with school and SBHC staff—may improve engagement in mental health services at schools with SBHCs. Ethn Dis. 2018;28(Suppl 2):437-444; doi:10.18865/ed.28.S2.437

scholarly journals Access and Utilization Patterns of School-Based Health Centers at Urban and Rural Elementary and Middle Schools

2008 ◽  
Vol 123 (6) ◽  
pp. 739-750 ◽  
Author(s):  
Terrance J. Wade ◽  
Mona E. Mansour ◽  
Jeff J. Guo ◽  
Tracy Huentelman ◽  
Kristin Line ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Insurance ◽  
Attention Deficit Disorder ◽  
Safety Net ◽  
School Enrollment ◽  
Health Centers ◽  
Acute Type ◽  
School Based ◽  
Utilization Patterns ◽  
School Based Health Centers

Objective. We examined patterns of enrollment, use, and frequency of use in school-based health centers (SBHCs), as well as the referral, diagnosis, and disposition of SBHC visits among newly implemented SBHCs. Methods. Four rural and four urban school districts implementing SBHCs were examined from 2000 to 2003. Total school enrollment for students was 13,046. SBHC enrollment and medical encounter data were tracked using a Web-based medical database. Descriptive analyses were conducted to evaluate primary care access and utilization patterns. Results. A total of 7,460 (57.2%) students were enrolled in their SBHCs, of which 4,426 used the SBHC at least once for a total of 14,050 visits. SBHC enrollment was greater in urban districts but rate of utilization was higher in rural districts. Black students, students with public or no health insurance, and students with asthma or attention deficit disorder had higher enrollment and utilization. Rural parents referred more children to SBHCs than urban parents. Teachers referred more students who were black, had asthma, had no public or health insurance, or had acute-type health issues. Total visits increased during the three years, with the largest increase in mental health services. Students who were younger, white, attended rural schools, had public or health insurance, or had infections were more likely to be sent home. Those with chronic conditions and visits for mental health were more likely to be returned to class. Conclusion. Utilization patterns suggest improved access to needed health care for disadvantaged children. SBHCs are an important part of the safety net for the populations they are intended to serve.

scholarly journals Impact of School-Based Health Centers on Students with Mental Health Problems

2008 ◽  
Vol 123 (6) ◽  
pp. 768-780 ◽  
Author(s):  
Jeff J. Guo ◽  
Terrance J. Wade ◽  
Kathryn N. Keller
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Care Services ◽  
School Based ◽  
School Based Health Centers

Objectives. School-based health centers (SBHCs) play an increasingly major role in providing mental health services for students. This study evaluated the impact of SBHCs on mental health-care services and psychosocial health-related quality of life (HRQOL). Methods. Four SBHC intervention and two matched non-SBHC school districts were examined from 1997 to 2003. The SBHC intervention began in 2000. Data included child and parent pediatric HRQOL and Ohio Medicaid claims. A longitudinal quasi-experimental time-series repeated measures design was used for this study, involving analysis of covariance to assess health costs and regression analyses for HRQOL scores. Results. After the SBHC program, proportions of students accessing mental health-care services for urban and rural SBHC intervention schools increased 5.6% (χ2=39.361, p<0.0001) and 5.9% (χ2=5.545, p<0.0001), respectively, compared with increases of 2.6% (χ2=2.670, p=0.1023) and 0.2% (χ2=0.006, p=0.9361) for urban and rural non-SBHC schools, respectively. Using data from 109 students with mental health problems based on Medicaid claims, the study found SBHC students had significantly lower total health-care costs (F=5.524, p=0.005) and lower costs of mental health services (F=4.820, p=0.010) compared with non-SBHC students. While improvements over time in HRQOL for SBHC students compared with non-SBHC students and students from non-SBHC schools were observed, only some were statistically significant. Conclusions. SBHC programs increase the proportion of students who receive mental health services and may improve pediatric HRQOL. SBHC students with mental health problems had lower total Medicaid reimbursements compared with non-SBHC students.

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