Assessing the Effect of School-Based Health Centers on Achievement of National Performance Measures

Details

• Alternative Title:
  J Sch Health
• Personal Author:
  Hussaini, Khaleel S. ; Offutt-Powell, Tabatha ; James, Gloria ; Koumans, Emilia H.
• Description:
  BACKGROUND:
  
  We assess the impact of School-Based Health Centers (SBHCs) on National Performance Measures (NPMs) related to health care access and utilization among Medicaid-insured youth in Delaware.
  
  METHODS:
  
  Our retrospective analysis of Delaware’s SBHC program data linked with Medicaid claims during 2014–2016 for 13 to 18-year-olds assessed achievement of NPMs and use of mental health services using propensity scores. We estimated crude and adjusted prevalence ratios (APR) for SBHC-enrolled compared with non-enrolled youth.
  
  RESULTS:
  
  Students enrolled in SBHCs had more health care visits (M = 8.7; 95% CI: 7.9–9.5) compared with non-SBHC-enrolled youth (M = 4.5; 95% CI: 4.3–4.7). Compared with non-SBHC, those enrolled in SBHCs were more likely to receive: well-child visits (APR = 1.2; 95% CI: 1.1–1.3); annual risk assessment (APR = 11.0; 95% CI: 6.9–17.5); BMI screening (APR = 5.6; 95% CI: 3.3–9.4); nutrition counseling (APR = 4.1; 95% CI: 2.8–6.0); physical activity counseling (APR = 6.3; 95% CI: 4.2–9.4); STIs and chlamydia screening (APR = 1.9; 95% CI: 1.3–2.8); mental health visits (APR = 2.6; 95% CI: 2.2–3.1).
  
  CONCLUSIONS:
  
  We found that among Medicaid-insured youth, those enrolled in SBHCs vs not enrolled in SBHCs had greater health care utilization as evident from NPMs and mental health services.
  
  
• Subjects:
  Adolescent Health Services Accessibility Humans Mental Health Services Retrospective Studies School Health Services Schools United States
• Keywords:
  Child And Adolescent Health Evaluation Mental Health Public Health School Health Services
• Source:
  J Sch Health. 91(9):714-721
• Pubmed ID:
  34254315
• Pubmed Central ID:
  PMC10949088
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  91
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3627f5decaacd48f67a4ff7695b0b273caf18a0a942debeecf48a1f1b538ffb3
• Download URL:
  https://stacks.cdc.gov/view/cdc/151766/cdc_151766_DS1.pdf
• File Type:
  [PDF - 240.81 KB ]