Rockingham County Student Health Centers

Cathy DeMason, RN BSNDirector, Rockingham County Student Health

Centers

Improving the health and school performance of our students

About Rockingham County A Tier One rural county-

economically-distressed Shortage of primary care providersAlmost forty percent of residents

live with incomes below 200% of the Federal Poverty Level

The child poverty rate has increased from 23% in 2007 to 28% in 2012

Student Health Centers’ History Morehead Memorial Hospital identified a

need to increase access to care for adolescents

Community partners came togetherConducted a needs assessment Defined services based on needs

assessment Opened in the fall of 1994 in each of the 4

high schools in Rockingham County

Community PartnersDevelop goals and objectives Understand each others roles in the processFoster cooperation and collaboration Important to share information and resources Conduct the needs assessment

RCSHC’s Community Partners

Annie Penn HospitalMorehead Memorial HospitalRockingham County SchoolsRockingham County Department of

Public HealthRockingham Pregnancy Care Center

Purpose of the Needs AssessmentImportant step in order to determine the

current status of health for your populationGather data from a wide array of sources-

surveys, focus groups, public forums Determine your community's strengths,

weaknesses, gaps and needsUse the needs assessment to garner both

local support and funder support Analyze data to determine next steps

Mission StatementImproving the health and school performance of

Rockingham County students by providing comprehensive health care through education,

prevention, treatment, and referral

Why is a SBHC Needed?

Close gaps in adolescent health careProvide care for uninsured &

underinsuredTeens feel ignored by traditional health

care systemsEliminate the transportation barrier to

obtaining health care1 in 5 youth has at least one serious

health problem

Goals

Increase access to care

Gather data on health status of teens

Reduce behaviors that pose health risks

Improve mental health status

Increased Access to CareParental consent required85% of students have parental consent72% of students that used the health

centers in 2013-2014 reported missing less school

Services ProvidedDiagnosis & treatment

of minor injuries & illnesses

ImmunizationsSimple lab testsSocial work assistanceAbuse/violence

interventions & referrals

Dental screens & referrals

Physical exams

Services ProvidedVision & hearing screensOTC & prescription

medicationsMental health

assessments, counseling & referrals

Nutrition counseling Health education programs

& support groupsSports physicalsSTI testing, pregnancy

testing and prenatal care referral

Services Provided Multidisciplinary team Embedded in school

system-work closely with School Nurses, school staff and SHAC

Provide an integrated system of care

Use Evidence-based tools and methods

StaffingNurse Practitioner, Physician Assistant or

RN on site dailyLCSW-20 hours each weekRegistered Dietitian- one-two days/monthSocial Worker- one day a weekHealth Educator- one day every other

weekPregnancy/Parenting Educator- one-two

days/month Medical Clerk/Secretary on site daily

Evidence-based Screening Tool Rapid Assessment for Adolescent Preventive

Services (RAAPS) is a web-based risk assessment Initiated this program in January 2013Replaced our paper and pencil risk assessment The majority of students prefer the on-line

formatImproved data collection-data from individual

risk assessments automatically entered into data base allowing for easy retrieval

Students receive educational material targeted to their specific risks

Programs to Target Risky BehaviorsParent/Teen Education

on Cyber SafetyTexting & Driving

VideoBullying and Sexting

VideoBuckle up campaignHealth bulletin boardsVideos & Brochures Promote Abstinence-

Baby Think it Over Dolls, Empathy Belly

Yearly DataGathered to assess current health status of

adolescentsData gathered from: parent & student

surveys, Parent Strength and Difficulties Questionnaire, utilization of services, & RAAPS

Used to track health risk behaviorsUsed to provide educational programs Measures the impact of what we are doing

Improved Mental Health- Daily Crisis Intervention on Site

Surveys have documented decreases in:• attempted suicides• the number of

students considering suicide

• dating abuse• depression and/or

stress

Sustainability Important to diversify fundingCritical to continue to maintain and build

new partnershipsPrevent duplicating services and programs-

share resources with other agenciesEvaluation component Update strategic plan on a regular basisCommunicate, collaborate and cooperate

Foundations

Federal Public Grants

Local FundingCommunity Partners

State Public Grants

NC Health ChoiceMedicaidPrivate insurancePatient fees

NC offers competitive grants each year that SBHC’s can apply for, currently receiving

Past recipient of HRSA grant

Funding Sources

Patient revenueReidsville Area Foundation

Kate B. Reynolds Charitable Trust,

Duke Endowment

March of Dimes

Morehead Memorial Hospital, Annie Penn Hospital, Rockingham County Schools all provide $ and in kind support

United Way of Rockingham County Agency

Donations and fundraisers

Other sources of in kind support Rockingham County Health Department, Rockingham County Pregnancy Care Center

Advisory BoardParentsStudentsClergyPrincipalsSchool board

member, teachers & other school personnel

Annie Penn HospitalMorehead Memorial

HospitalPhysiciansRepresentatives

from the health department & social services

Community and business representatives

Community BenefitsAttend to unmet

health needsEasy access to

health careScreen to prevent &

treat diseasesProvide safe place

for teens to talk about troubling issues

Compliment existing health care system

Community BenefitsRepresent wise

investments: Help to keep teens out

of the hospital and ERIncrease attendance-

keep teens in schoolReduce parental work

absencesDetect illness earlyManage chronic

diseases Linking health care with

schools boosts academic success

Investing in our students now will benefit our community far into the future

Questions

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