School Based

Health Centers in Los Angeles

County

Presented by Sang Leng Trieu Central Valley School Health Coalition

November 14, 2014 Fresno County Office of Education

Bringing vital health resources & solutions to the students, families, & communities of Los Angeles since 1991.

Mission: To increase student health & readiness to learn through access, advocacy and programs.

THE L.A. TRUST FOR CHILDREN’S HEALTH

STUDENT HEALTH = STUDENT SUCCESS

SBHCS IN LOS ANGELES COUNTY

73 In the county

14 School Districts

25 Cities

6 start-ups

a growing movement

5

29

11

28

5

0

5

10

15

20

25

30

35

Elementary Middle High Mobile

Number of SBHCs in L.A. County by grade level

SBHCS IN 14 SCHOOL DISTRICTS

• Who are we serving? • How many are we serving? • What services are we providing?

1. Compton Unified School District 2. Culver City Unified School District 3. East Whittier City School District 4. El Monte City School District 5. Rowland Unified 6. Lennox School District 7. Long Beach Unified School District 8. Los Angeles Unified School District 9. Norwalk-La Mirada Unified School District 10. Pasadena Unified School District 11. Pomona Unified School District 12. Rowland Unified School District 13. Santa Monica-Malibu Unified School District 14. Torrance Unified School District

SBHCS IN 25 CITIES THROUGHOUT THE COUNTY

• Who are we serving? • How many are we serving? • What services are we providing?

1. Altadena 2. Canoga Park 3. Carson 4. Chatsworth 5. Compton 6. Cudahy 7. Culver City 8. El Monte 9. Gardena 10. Granada Hills 11. Huntington Park 12. La Puente 13. Lennox

14. Long Beach 15. Norwalk 16. Pacoima 17. Pasadena 18. Pomona 19. Reseda 20. San Fernando 21. Santa Monica 22. South Gate 23. Sun Valley 24. Torrance 25. Whittier

LAUSD WELLNESS NETWORK

Community

School staff

Families

LAUSD Students

WHO ARE WE SERVING?

Over 680,000 students 1,081 schools Largest employer in L.A.

2nd Largest School District in U.S.A.

Uninsured

27% 49%

Medi-Cal

76%

Free/Reduced lunch

90%

Racial/Ethnic Minority

LAUSD STUDENT POPULATION AT A GLANCE

Wellness Centers are expanded, maximized and include the network of schools

All students are career and college ready (qualify for A-G and in line with District goals)

Improve population health over 2008 baseline*

Decrease overweight and obesity rates Increase Medi-Cal enrollment rates Decrease teenage pregnancy rates Decrease chlamydia rates Decrease rates of exposure to violence Improved asthma management

*Based on 2008 Health Indicators Analysis in Strategic Health Plan for the Establishment of School Health

WELLNESS NETWORK 5-7 YEAR GOALS

ESC-N Monroe High School (1) ESC-W Hollywood High School (2) ESC-W Crenshaw High School (3) ESC-E Belmont High School (4) ESC-E Garfield High School (5) ESC-E Jefferson High School (6) ESC-S Gage Middle School (7) ESC-S Fremont High School (8) ESC-S Jordan High School (9) ESC-S Locke Early Ed Center (10) ESC-W Manual Art High School (11) ESC-W Washington Prep (12) ESC-S Elizabeth Learning Center (13) ESC-S Carson High School (14)

1

3

2 4

5 6 7 8

9 10

11

12 13

14

WHERE ARE THE WELLNESS CENTERS?

WHAT DO WELLNESS CENTERS LOOK LIKE?

$36.3M

$11.3M

$1.8M $1M $0

$5

$10

$15

$20

$25

$30

$35

$40

LAUSD LA Trust & Providers

Federal Govt LA County PEI

Investment in Millions

Total invested $50,324,751 over the next three years

WHAT HAS BEEN INVESTED?

LAUSD WELLNESS NETWORK – THE DATA

• Who are we serving? • How many are we serving? • What services are we providing?

Show me the data.

Who? How many?

What services? How many students?

DATA DASHBOARD – WELLNESS CENTER ENCOUNTERS

LAUSD Wellness Network Scorecard, January 2013 - July 2014 (19 months) (94% reporting)

Total encounters: 34,593 Year School

Patients Non-School

Patients Female Male 0 - 5 6 thru 9 10 thru 14 15 - 19 20+ Mental Medical Dental Other

2013 8739 9155 10826 7068 819 939 2238 6878 7020 4107 13238 259 290

2014 7283 9416 9962 6737 967 878 1463 5984 7407 5407 9932 317 1043

Total 16022 18571 20788 13805 1786 1817 3701 12862 14427 9514 23170 576 1333

46% 54% 60% 40% 5% 5% 11% 37% 42% 28% 67% 2% 4%

STUDENT ENGAGEMENT

“To Improve student health and increase the ability to learn…”

Excerpt of The L.A. Trust mission statement

ENGAGING & LISTENING TO OUR TARGET AUDIENCE

School Name

Carson High School Jeffrey Roxas Matthew de Leon

Elizabeth Learning Center

Elvia Torres Jennifer Diaz

Garfield High School Paul Ceron Carolina Albino

Fremont High School Katherine Perez Brian Rodriguez

Hollywood High School

Chelsea Roman Wendy Siguenza

Jefferson High School

Elizabeth Dominguez Mayra Velasquez

Washington Prep High School

Jocelyn Mendez Katherine Lawrence

YOUTH ADVISORY BOARD Purpose: The L.A. Trust YAB informs The L.A. Trust and its Board of Directors of popular perceptions of the Wellness Centers and other programs, identifies issues affecting their peers, and gives recommendations on how to respond to the needs and requests of students.

ENGAGING & LISTENING TO OUR TARGET AUDIENCE

• Youth Advisory Board Kick-Off & Training -- March 2014

• Joint Board Meeting -- June 2014

• YAB presented recommendations for 5K fund usage at Wellness Center campuses

• Y2Y Conference -- October 2014

• Teen Town Hall – September 2014

• Y2 Y Conference -- April 2015

• Career Pathways – Ongoing

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THE TRUST AS A BACKBONE – MAJOR CONVENINGS

3 major convenings in L.A. County

Convening Structure: • Quarterly meetings

• Approx. 60 – 80 in attendance

• District-wide participation (e.g. clinic providers,

wellness center coordinators, school nurses,

evaluators, etc.

• Interactive format & sharing or best practices

• Student Advisory Group presentations

Content Topics • Student career pathway programs

• Data collection

• Quality improvement using PDSA cycles

• Mental health integration

• Early childhood linkages to wellness programs

• Community resources

DEDICATED TO WELLNESS CENTER EXCELLENCE

WELLNESS NETWORK LEARNING COLLABORATIVE

L.A. COALITION OF SCHOOL HEALTH CENTERS

Convening Structure • Quarterly meetings

• Approx. 50 – 60 in attendance

• County-wide participation (e.g. reps of gov’t

agencies, various school districts., clinic providers,

wellness center coordinators, school nurses,

evaluators, etc.

• Interactive format & sharing or best practices

Content Topics Referral Process

Billing practices

Outreach & Student Engagement

COUNTYWIDE CONVENING FOR SCHOOL HEALTH CENTERS’ PRACTITIONERS & PARTNERS

L.A. COUNTY SCHOOL HEALTH POLICY ROUNDTABLE

Convening Structure Quarterly meetings

Approx. 10-20 in attendance

County-wide participation (e.g. reps of gov’t agencies,

various school districts., insurance providers, evaluators,

etc.

Interactive format & sharing or best practices

Content Topics

L..A County MOU

Electronic Medical Records

State Funding

COUNTYWIDE CONVENING OF LEADERS AND POLICY MAKERS FOCUSED ON IMPROVING SCHOOL HEALTH POLICY AND SHARED ADVOCACY

Sang Leng Trieu Program Director The L.A. Trust for Children’s Health sang@thelatrust.org www.thelatrust.org

QUESTIONS ?

Thank you!