“The Role of SBHCs through the Eyes of Educators”
National Assembly on School-Based Health Care
June 30, 2007 Washington D.C.
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.
Illinois Coalitionfor School Health Centers
Inclusion of education objectives in strategic plan
SuccessesIllinois State Board of EducationProfessional organizations and
publicationsLocal partnerships and policies
Engagement in policy efforts
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…
What’s 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
Five major areas that are vital to closing the achievement gap:
1.Greater Income Stability and Equality—supporting incomes of low-wage parents
2.Stable Housing—national policy to reduce mobility of low-income families may do more to boost test scores than many instructional reforms
3.Early Childhood Education4.Summer/After School Programs
5. School-Community Clinics that provide comprehensive programs for school communities especially for those with high numbers of disadvantaged children.
Marketing messages that appeal to school communities
1.Close the Achievement Gap2.Lower Student Absences3.Lower Teacher Absences4.No significant costs to the district5.Completely separate…no administrative oversight
6.Parents Don’t Have to Leave Work
7.Medications delivered
Another Reason Educators Should Consider SBHCs(Illinois’ Illini Plan)
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 annuallyWhich is 2/3 of the average annual
tax cuts approved since 2001 & less than ½ amount spent in IRAQ
to date
1. INFORM OUR VARIOUS AUDIENCES ABOUT THE MANY VARIABLES THAT CONTRIBUTE TO THE ACHIEVEMENT GAP
2. ADVOCATE FOR POLICY CHANGES THAT WILL ADDRESS THESE NEEDS.
3. IN PARTICULAR TO THIS DISUCSSION—WE NEED TO LOOK FOR PARTNERSHIPS/INNOVATIVE WAYS TO ADDRESS STUDENT HEALTH NEEDS.
What can/should we do to close the achievement gap?
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
Chicago Public Schools
Coordinated School Health @ CPS: Organization and Function
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–Quality Assurance
• Crisis Intervention
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
CPS School Health Centers
21 currently operating+1 Mental Health Only
2 to open in 2007-20085 funded to open in 2008-20094 closed due to County budget
3 will re-open in 2007-2008Project # of Centers in 2007-2008=26
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 University’s 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
School Health Centers and CPS Successes
Development of Site License Agreement
Development of Formal School Health Center Establishment Process
Cook County Health SystemClinic closuresChicago Mobilization
Tips for Success
Believe in the ModelDevelop Strong relationships
With State Funder/CertifierWith Illinois Coalition of School
Health CentersWithin the School SystemWith the Community Health System
Persistence and Responsiveness
Challenges
Big Systems=Lots of hands
Education Systems don’t embrace Health
Time
Marion, IL - Community ProfileLocation: Rural southern IllinoisPopulation: 17,100Demographics:
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
Marion Unit #2 District Profile
Student Enrollment – 4065 Faculty: 240Support Staff: 300Eight Buildings
5 Elementary1 Middle School1 High School
Healthcare Provider & Wellness Center Partner
Shawnee Health ServiceNot-for-profit 501(c)(3)Federally Qualified Health CenterServes the lower 13 counties of
southern Illinois10 service centers (Including Unit #2
Wellness Center) Designed to ensure that income or lack
of insurance is not a barrier to quality health care
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 $
Marion Unit # 2 Wellness CenterHoused at Marion High SchoolConverted classroom
Approximately 900 square feetStaff
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
Wellness Center Survey1. If so, how many times have you used the clinic?
21% Once52% 2-5 times21% 6-10 times6% More than 10
2. Has the clinic reduced your absenteeism from work?50% Yes50% No
3. If yes, what % best describes your reduction?54% 0-20% Reduction26% 25-50% Reduction10% 55-75% Reduction10% More than 75%
4. Do you see this as a benefit to working at Unit #2?82% Yes
5. What is your perception of the impact the clinic has had on student attendance in your classroom?
89% Increased attendance11% No change
Serving Patients (Students & Staff)Academic Year – 2004-2005Academic Year – 2004-2005– High School – 335High School – 335– Jr. High- 93Jr. High- 93– Elementary – 217Elementary – 217– Staff – 400Staff – 400
Academic Year – 2005-2006Academic Year – 2005-2006– High School – 419High School – 419– Jr. High – 158Jr. High – 158– Elementary – 340Elementary – 340– Staff - 608Staff - 608
Academic Year – 2006-2007Academic Year – 2006-2007– High School – 584High School – 584– Jr. High – 221Jr. High – 221– Elementary – 434Elementary – 434– Staff - 709Staff - 709
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)
Advantages to School and Community (i.e. Marketing
Message)
Lower student absencesLower teacher absencesNo cost to the districtNo administrative oversightParents don’t leave work to get child treated
Medication delivered on site
Contact Information Stephen C. Smith, Principal
Marion High School Marion, IL 62959
618-993-8196 [email protected]
QUESTIONS
BibliographyRothstein, R. (2006) Reforms that could help narrow the achievement gap. WestEd. Retrieved September 15, 2006, from WestEd database, at http://www.wested.org/online_pubs/pp-06 -02.pdfRothstein 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.