This Program information provided by the Adolescent Health Section of the Office of Family Health Services.

School-Based Health Centers Publications

School-Based Health Centers

Frequently Asked Questions

Fast Facts

Certification Standards

Funding and Operations

Planning for a New SBHC

Reports and Publications

State/National Partners

Webinar Documents

The School-Based Health Center (SBHC) State Program has developed publications and reports to provide information on the status of SBHCs and related issues.

Reports:

2009 report: A Home For Health Equality

NEW!!Oregon School-Based Health Centers 2009 Factsheets

2008 report: Health Care Counts: Healthier Youth, Stronger Communities

Planning and Sustaining a School-Based Health Center: Cost and Revenue Findings from Oregon.

Article published in the Public Health Reports: November-December 2008 issue

School-Based Health Center Funding Workgroup - 2004.

SBHC data from the 2007 Patient Satisfaction Survey and the 2005 Oregon Statewide Opinion Survey.

NEW!! SBHC Mental Health Needs Assessment Report

New School-Based Health Centers (SBHC) Cost Modeling

SBHC Cost Modeling Executive Summary           SBHC Cost and Revenue Full Report

2007 Report: Quality Health Care for Kids

• 44 Centers in 17 Counties
  • 28 High Schools
  • 8 Middle Schools
  • 7 Elementary Schools
  • 1 K-12 School
• 3 new counties received state funds to plan new SBHCs.
• Oregon SBHCs served 20,177 clients in 63,863 visits.
• 42% of SBHC clients were uninsured.
• 68% of students reported their health was better because of the SBHC

School Health Services Brochure

• Oregon Students have clear health care needs:
  • In 2005, nearly half of Oregon's 8th graders reported having an unmet health care need
  • 17% of high school girls reported seriously considering suicide in 2005
• School Nurses & School-Based Health Centers provide distinct yet complementary health services to Oregon students.
• School Nurses:
  • Provide oversight of school health programs
  • Create & implement school health management plans for specific students
  • Are employed by the school district
• School-Based Health Centers:
  • Diagnose and treat acute & chronic illness
  • Prescribe medications
  • Are usually affiliated with a community health care agency

2006 Report: Accessible Health Care for Youth

• 45 Centers in 17 Counties
  • 28 High Schools
  • 8 Middle Schools
  • 8 Elementary Schools
  • 1 K-12 School
• 3 new counties received state funds to plan new SBHCs.
• Oregon SBHCs served 17,702 clients in 56,633 visits.
• In Oregon, 12% or 113,000 children are uninsured.
• 71% of surveyed SBHC clients reported they would not have received health services that day without the center

2005 Report: Sustaining Access to Care for Oregon's Youth

School-Based Health Centers in Oregon

• 43 Centers in 14 Counties
  • 26 High Schools 
  • 9 Middle Schools
  • 8 Elementary Schools
• 3 new counties received state funds to start new SBHCs.
• In School Years 2002-2004, Oregon SBHCs served 34,904 clients in 148,312 visits.
• In Oregon, 12% or 113,000 children are uninsured.
• 71% of surveyed SBHC clients reported they would not have received health services that day without the center. 

2003 Report: A Safety Net for Oregon's Youth 
School-Based Health Centers in Oregon

• In School Year 2001-2002, Oregon SBHCs served 24,274 clients who made 86,939 visits.
• Two-thirds of students reported their health had improved because of an SBHC.
• One-third of SBHC clients in Oregon reported having no health insurance.
• In SY 2001 - 2002, the State of Oregon contributed $1,250,000 to SBHCs, which supported the delivery of over $2,300,00 in health care services, including nearly $1,000,000 in health care services to uninsured students.

 2002 Report: Face to Face: Caring for Youth 

• In School Year 2000-2001, Oregon SBHCs served 25,193 clients in 89,627 visits.
• Two-thirds of students reported their health had improved because of an SBHC. 
• One-third of SBHC clients in Oregon reported having no health insurance. 

2001 Report: Oregon School-Based Health Centers 

Statewide during the last school year -

• 21,610 clients made 70,089 visits 
• 95% of students reported a high rate of satisfaction
• 33% of SBHC clients reported having no insurance
• 14,576 immunizations were administered
• 1 in 6 SBHC diagnoses showed a mental health condition

• 98% of students rate the health care as good or excellent.
• 99% are comfortable receiving health care at the SBHC.
• 98% find it easy to talk to SBHC staff.
• 94% say they are likely to follow the advice given to them at the SBHC.
• 67% say that their health has improved because of the SBHC.
• 72% report receiving at least one prevention message during their visit.
• Those who could and would have sought health care elsewhere report that it would have taken three times more class time to have their health care need(s) addressed elsewhere.

Value of Services
2001-2002

The cost effectiveness of these services is documented. The value of services provided far exceeds the number of state dollars spent in support of SBHCs. In SY 2001-2002, the State of Oregon contributed $1,250,000 to SBHCs, which supported the delivery of over $2,300,000 in health care services, including nearly $1,000,000 in health care sercies to uninsured students.

• In SY 2000-2001, Oregon SBHCs recorded 89,627 visits to health centers.
• Sixty-four percent of clients visited the clinic three or fewer times.
• Visits to SBHCs were made predominantly by clients who were Caucasian (74%) and female (64%).
• Ninety-eight percent of visits were made by school-aged children (5-19 years old).
• Transitional students (i.e., inactive, dropout, not in school) made 393 (0.4%) visits to health centers.
• Children of students accounted for 0.5% (457) of visits

Forum, Making The Grade: An Issues Forum (pdf)

A School-Based Health Care Issues Forum was held on October 25, 2000 and addressed several important issues relating to SBHCs including: Financing and Reimbursement; Reproductive Health; and Mental Health Needs. The goal in producing this printed report was to make a concise record of the issues forum for those who attended and, even more important, to provide those who were not able to attend with a picture of the event.

Certification standards

Oregon SBHC Standards for Certification (pdf)

Oregon's Certification process was implemented on July 1, 2000. The goals of standardization are to increase emphasis on Best Practices, reduce site-to-site variability, increase the ability to study clinical outcomes, and increase the potential for insurance reimbursement, the latter of which has remained a relatively untapped funding source to date. Currently, 45 Oregon SBHCs are Certified as either Core (meeting minimum standards for staffing, operations, etc.), or Expanded (increasing primary care services and adding on-site mental health services).

Certification Revisions

The following revisions were approved in April 2005 by the Conference of Local Health Officials for immediate implementation. Please use these revisions in addition to the certification standards booklet.

Approved Certification Standards Revision April 2005                                    

Publications

Oregon School-Based Health Centers Map

This is a map reflecting the locations of Oregon School-Based Health Centers 2009.

Oregon School-Based Health Centers: Descriptive Anaylsis of a Patient Satisfaction Survey 

This is a research article investigating Oregon school-based health center patients' satisfaction with services, access, receipt of prevention messages, and number of classes missed.