BRIGHAM_Tangerine_SBHCs_and_Philanthropi

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Published on December 3, 2008

Author: aSGuest5057

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How School Health Centers Help Achieve Health and Education Philanthropic Priorities : How School Health Centers Help Achieve Health and Education Philanthropic Priorities California School Health Centers Association 2005 Annual Meeting April 11 and 12, 2005 – Sacramento, CA What Happens When a Student’s Health is Compromised? : 2 What Happens When a Student’s Health is Compromised? Students are not ready and able to learn at school -- emotional, physical and social health conditions affect school readiness and student ability (both directly and indirectly) Some health conditions that can impact school performance ADHD Allergies Asthma Dental Caries (tooth decay) Ear Infections Lead poisoning Mental health Poor nutrition Risk-taking behavior (e.g., alcohol, tobacco, other drugs, sexual behavior, diet, gang participation, etc.) Why School Based Health Centers? : 3 Why School Based Health Centers? Many SBHCs are in medically underserved communities (health access, immunization rates, risk-taking behavior) SBHCs provide culturally-competent health services Components of model: Services are onsite (easy to access) Free of charge (no economic barrier) Confidential Teen-friendly (staff experience) Inclusive (peer health education programs) SBHCs are an investment in prevention – maintaining physical and emotional health needs Outcome is improved health status National education reform requires schools to document improvements in student achievement Intersection between Education and Health : 4 Intersection between Education and Health Instinctively know that good health facilitates learning while poor health hinders it Academic performance is due to a number of factors (i.e., individual, social, environmental, educational behaviors, school setting, health status & behaviors) Extremely difficult to link SBHCs and educational performance Population Data constraints -- privacy Research and evaluation limitations Program differences Even so, SBHCs can have a indirect impact General concept: SBHCs  health status  educational behaviors  educational outcomes The San Francisco Foundation’s Framework : 5 The San Francisco Foundation’s Framework Goals: Neighborhood/Community Development: Promote safe, affordable and sustainable livelihoods for individuals and families Education: Support families and communities to help children and youth succeed in school and provide opportunities for them to become confident, caring and contributing adults Health: Strive to promote the health of communities, particularly underserved populations, by expanding access, promoting prevention to reduce illness and advancing health policy reform Physical health, educational performance, emotional support, and family strength and support are interconnected and interdependent Recognize that health status impacts a school readiness and that education attainment (as a marker for socio-economic status) impacts access to health services Community and individual quality of life are affected by health status and educational attainment levels What TSFF has Supported : 6 What TSFF has Supported Capacity building, evaluation and program support for SBHCs in Alameda, Contra Costa and San Mateo counties The Regional Asthma Management & Prevention network whose work includes a school initiative (asthma management and emergency response, environmental controls) Collaborated with other foundations on a funder’s forum on the SBHC model Participated in development of McClymonds Youth and Family Center in West Oakland McClymonds Youth and Family Center in West Oakland : 7 McClymonds Youth and Family Center in West Oakland Provides comprehensive clinical and social services Part of a neighborhood improvement initiative for West Oakland that is anchored in the schools Collaboration between the William and Flora Hewlett Foundation, TSFF, local government and other philanthropic entities Envisioned results: Improvements in student health Promotion of a safe and nurturing school environment Improvements in students’ academic achievement Investments to date have totaled $1.8 million for capital and program Why is TSFF Participating? : 8 Why is TSFF Participating? TSFF views schools as an engine for community-wide revitalization – a catalyst to improve the life chances of children and youth, to support families and to help build strong communities TSFF wants lasting neighborhood improvement in West Oakland to address: Socio-economic Condition: One of the most impoverished communities in the Bay Area – higher rates of poverty and CalWORKS participation Health Status: Striking health disparities in such conditions as asthma, higher rates of teen births, higher rates of abuse and neglect Academic Performance: McClymonds High is below California high school averages for API, CAHSEE and graduation rates. It is one of the lowest performing schools in the State. McClymonds Youth and Family Center : 9 McClymonds Youth and Family Center On campus of McClymonds High School Programs Health and wellness Academic support and attainment Youth leadership, advocacy and service learning Culture and expression Violence prevention and physical arts Life options Family services Chappell Hayes Health Center : 10 Chappell Hayes Health Center MYFC includes the Chappell Hayes Health Center as a anchor program Federally-qualified health center Middle and high school students Opened January 2005 with the support of 14 partners Focuses on the delivery of on-site and school-linked services Chappell Hayes Health Center Services Model : 11 Chappell Hayes Health Center Services Model An outpatient treatment center of Children’s Hospital and Research Center in Oakland Comprehensive services Medical (exams, health screenings, immunizations) Health education (nutrition, prevention) Counseling/therapy (crisis, stress mgmt., AOD use) Youth development (peer educators, health fairs) Interdisciplinary team Chappell Hayes Health Center Evaluation : 12 Chappell Hayes Health Center Evaluation Univ. of California at San Francisco will conduct evaluation Combination of inventions Level of involvement (dosage) Swipe card technology to track student program attendance Data collection strategies Centralized evaluation database Student, school staff, parent and service provider surveys Access to Oakland Unified School District student-level data Tech. assistance to identify and integrate best practices Difficult to attribute changes in student indicators strictly to the Center -- will assess whether differences exist between students who use and those don’t use the Center Avenues to Improve Student Health Beyond SBHCs : 13 Avenues to Improve Student Health Beyond SBHCs Access to health care coverage Nutrition programs within schools Physical education programs within schools Health education and promotion curriculum in schools Health messages from parents, media, peers, community and other key influencers How the Philanthropic Community Can Advance Health/Education Connection : 14 How the Philanthropic Community Can Advance Health/Education Connection Enhance public awareness about health and student achievement Encourage and/or fund research on link between health and academic achievement Support advocacy and policy activities through local or state coalitions and advocacy organizations Help support development and capacity building of SBHCs Promote interagency collaboration on local community level Increase collaboration between education and health funders Address sustainability in policy and permanent financing

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