Karen Berg

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The Role of SBHCs through the Eyes of
EducatorsNational Assembly on School-Based
Health Care June 30, 2007 Washington D.C.

• Karen Berg
• Policy DirectorIllinois Maternal and Child
  Health Coalitionand Illinois Coalition for
  School Health Centers
• kberg_at_ilmaternal.org
• John Dively
• Eastern Illinois University
• jdively_at_eiu.edu
• JAIME DIRCKSEN
• Manager of Family and Community Partnerships
• CHICAGO PUBLIC SCHOOLS
• jcdircksen_at_cps.k12.il.us
• STEVE SMITH
• Principal
• MARION HIGH SCHOOL
• ssmith_at_marionunit2.org

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Objectives

• Participants will gain an understanding of
  educational policies related to academic success
  and intersections with the mission of SBHCs.
• Participants will gain an understanding of
  professional educators perceptions of the
  relationship between educational goals and
  health, mental health and social service
  providers in the context of SBHCs.
• Participants will gain an understanding of common
  purposes, positive messages and effective
  strategies that can create and develop long-term
  relationships between education entities and
  health providers consistent with the goals of the
  SBHC movement.

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Illinois Coalitionfor School Health Centers

• Inclusion of education objectives in strategic
  plan
• Successes
• Illinois State Board of Education
• Professional organizations and publications
• Local partnerships and policies
• Engagement in policy efforts

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• Many conclude that persistent achievement gaps
  must result from wrongly designed school policies
  either expectations that are too low, teachers
  who are insufficiently qualified, curricula that
  are badly designed, classes that are too large,
  school climates that are too undisciplined,
  leadership that is too unfocused, or a
  combination of these. In some cases they may be
  right. However

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• Whats needed
• highly qualified teachers
• effective school leadership
• well designed curricula
• supportive school communities
• smaller class sizes
• school environments that are conducive to
  learning
• programs to address educational needs of entire
  school populations

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• Five major areas that are vital to closing the
  achievement gap
• Greater Income Stability and Equalitysupporting
  incomes of low-wage parents
• Stable Housingnational policy to reduce mobility
  of low-income families may do more to boost test
  scores than many instructional reforms
• Early Childhood Education
• Summer/After School Programs

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• School-Community Clinics that provide
  comprehensive programs for school communities
  especially for those with high numbers of
  disadvantaged children.

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• Marketing messages that appeal to school
  communities
• Close the Achievement Gap
• Lower Student Absences
• Lower Teacher Absences
• No significant costs to the district
• Completely separateno administrative oversight
• Parents Dont Have to Leave Work
• Medications delivered

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• Another Reason Educators Should Consider SBHCs
• (Illinois Illini Plan)

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WHAT WOULD ALL THIS COST? To close the
achievement gap, it will cost an additional
12,500 per pupil over and above the 8,000
average to provide these programs to low-income
students. A total of 156 billion annually Which
is 2/3 of the average annual tax cuts approved
since 2001 less than ½ amount spent in IRAQ to
date
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What can/should we do to close the achievement
gap?

• INFORM OUR VARIOUS AUDIENCES ABOUT THE MANY
  VARIABLES THAT CONTRIBUTE TO THE ACHIEVEMENT GAP
• ADVOCATE FOR POLICY CHANGES THAT WILL ADDRESS
  THESE NEEDS.
• IN PARTICULAR TO THIS DISUCSSIONWE NEED TO LOOK
  FOR PARTNERSHIPS/INNOVATIVE WAYS TO ADDRESS
  STUDENT HEALTH NEEDS.

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Chicago Public Schools
Schools - Total 623 (FY2006-07) Students - Total 420,982 (FY2005-06)
Elementary Schools (481) 409 traditional elementary schools 39 magnet schools 16 middle schools 8 gifted centers 9 special ed schools Student Enrollment 19,471 Pre-School 1,734 Pre-School special education 29,502 kindergarten 261,143 elementary (1-8) 109,982 secondary
High Schools (115) 37 general/technical 12 vocational/career schools 12 magnet schools 8 math science academy 4 military academy 21 small schools 9 achievement academy 3 alternative school 9 special ed schools Charter Schools (27) 31 Elementary campuses 16 High School campuses Student Racial Breakdown 48.6 African-American 37.6 Latino 8.1 White 3.2 Asian/Pacific Islander 2.4 Multi-Racial 0.1 Native American Additional Student Information 85.6 of students from low-income families 13.7 are limited-English-proficient 92.1 citywide attendance rate
 
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Coordinated School Health _at_ CPS Organization and
Function

• Physical Health Requirements
• Dental/Oral Health Examinations
• Immunizations
• Physical Health Examinations
• Vision and Hearing Screenings
• IEP/504 Related Services
• Social/Emotional Learning Competencies
• Self-awareness
• Social Awareness
• Self-management
• Relationship Skills
• Responsible Decision Making
• Priority Health Behavior Areas
• Alcohol and Other Drug Use
• Injuries and Violence
• Sexual Health Behaviors
• Tobacco Use
• Dietary Behaviors
• Physical Activity

• Office of Specialized Services- Coordinated
  School Health
• Physical Development Health
• Comprehensive Health Education
• Family and Community Partnerships
• HIV/AIDS Prevention
• Occupational Therapy/Physical Therapy
• School Nursing
• Vision and Hearing Program
• Mental Health Services
• Avenues for Success
• Local Area Network (LAN)
• ICARE/Behavior Interventions
• Safe and Drug-Free/Title IV Programs
• School Psychology
• School Social Work
• Social Emotional Learning
• Elementary Counseling
• Positive Behavior Interventions and Supports
  (PBIS)
• School Based Problem Solving

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CPS School Health Centers

• 21 currently operating
• 1 Mental Health Only
• 2 to open in 2007-2008
• 5 funded to open in 2008-2009
• 4 closed due to County budget
• 3 will re-open in 2007-2008
• Project of Centers in 2007-200826

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Healthy Children are Healthy Learners

• One child in four -- fully 10 million -- is at
  risk of failure in school because of social,
  emotional, and health handicaps.1
• data from Harvard Universitys School of Public
  Health Found a strong correlation between poor
  nutrition and health and low achievement. 2
• Poor children have twice the average rate of
  severe vision impairment. 3
• Untreated cavities are nearly 3 times as
  prevalent among poor children than among
  middle-class. 4
• Low income students, particularly those living in
  densely populated urban areas have substantially
  higher asthma rates. 5
• Low income students have dangerously high blood
  lead levels. 6

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School Health Centers and CPS Successes

• Development of Site License Agreement
• Development of Formal School Health Center
  Establishment Process
• Cook County Health System
• Clinic closures
• Chicago Mobilization

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Tips for Success

• Believe in the Model
• Develop Strong relationships
• With State Funder/Certifier
• With Illinois Coalition of School Health Centers
• Within the School System
• With the Community Health System
• Persistence and Responsiveness

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Challenges

• Big SystemsLots of hands
• Education Systems dont embrace Health
• Time

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Marion, IL - Community Profile

• Location Rural southern Illinois
• Population 17,100
• Demographics
• White non-Hispanic 92
• Black 4.3
• Additional Minority 3.4
• Employment Opportunity Public Administration
  and Healthcare
• College Educated 23.1 (Bachelor degree or
  higher)
• Median Income 30,364
• 14.9 below poverty rate
• Median Age 40 years old

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Marion Unit 2 District Profile

• Student Enrollment 4065
• Faculty 240
• Support Staff 300
• Eight Buildings
• 5 Elementary
• 1 Middle School
• 1 High School

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Healthcare Provider Wellness Center Partner

• Shawnee Health Service
• Not-for-profit 501(c)(3)
• Federally Qualified Health Center
• Serves the lower 13 counties of southern Illinois
• 10 service centers (Including Unit 2 Wellness
  Center)
• Designed to ensure that income or lack of
  insurance is not a barrier to quality health care

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Idea To Implementation

• During the 2003-2004 school year, talks began
  between school administration and Shawnee Health
  professionals
• Opposition was met from both community health
  providers and high school administration
• Timeline for start date did not allow sufficient
  time for grant writing and funding
• Start up funds and facility work all provided by
  Marion Unit 2 and Shawnee Health
• Resulted in the only school based health center
  in Illinois that is not supported by federal or
  state grant

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Marion Unit 2 Wellness Center

• Housed at Marion High School
• Converted classroom
• Approximately 900 square feet
• Staff
• 1 PA
• 1 LPN
• 1 Dentist
• 1 Receptionist
• Services
• Chronic and acute illness
• Minor injuries
• Routine physicals
• Health education
• Disease prevention
• Dental Services
• Serves Marion Unit 2 student, faculty, staff,
  and their immediate families

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Wellness Center Survey

• If so, how many times have you used the clinic?
• 21 Once
• 52 2-5 times
• 21 6-10 times
• 6 More than 10
• Has the clinic reduced your absenteeism from
  work?
• 50 Yes
• 50 No
• If yes, what best describes your reduction?
• 54 0-20 Reduction
• 26 25-50 Reduction
• 10 55-75 Reduction
• 10 More than 75
• Do you see this as a benefit to working at Unit
  2?
• 82 Yes
• What is your perception of the impact the clinic
  has had on student attendance in your classroom?
• 89 Increased attendance
• 11 No change

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Serving Patients (Students Staff)

• Academic Year 2004-2005
• High School 335
• Jr. High- 93
• Elementary 217
• Staff 400
• Academic Year 2005-2006
• High School 419
• Jr. High 158
• Elementary 340
• Staff - 608
• Academic Year 2006-2007
• High School 584
• Jr. High 221
• Elementary 434
• Staff - 709

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Faculty Staff Attendance Record (Sick Days)

• Academic Year 2004-2005
• Average Sick Days 11.3 per employee
• Academic Year 2005 2006
• Average Sick Days 10 per employee
• Academic Year 2006 2007
• Average Sick Days 8 per employee
• Note Reduction of 3.3 sick days per year per
  employee saves the district 119,000 per year
  (3 New Teachers)

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Advantages to School and Community (i.e.
Marketing Message)

• Lower student absences
• Lower teacher absences
• No cost to the district
• No administrative oversight
• Parents dont leave work to get child treated
• Medication delivered on site

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Contact Information

• Stephen C. Smith, Principal
• Marion High School Marion, IL
  62959 618-993-8196
  ssmith_at_marionunit2.org

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• Questions

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Bibliography Rothstein, R. (2006) Reforms that
could help narrow the achievement gap.
WestEd. Retrieved September 15, 2006, from
WestEd database, at http//www.wested.org/onlin
e_pubs/pp-06 -02.pdf Rothstein R. (2004) The
achievement gap A broader picture. Educational
Leadership. 62, 3, 40-43. Rothstein, R.
(2004). Using social, economic, and education
reform to close the black-white achievement
gap. New York Teachers College Press.