Applying a Global Perspective to School-Based Health Centers in New York City

Background: Since the 1960s, school-based health centers (SBHC) in the United States have emerged and grown with the mission of providing primary medical, reproductive, and mental health services, as well as comprehensive health education, to all students who are enrolled in the participating school...

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Autores principales:	Janet B. Lee, Grisselle DeFrank, John Gaipa, Martha Arden
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	adolescent health community engagement community health worker peer education school-based health center Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/971dc060017a4bbfbaa9573da4951b93
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spelling	oai:doaj.org-article:971dc060017a4bbfbaa9573da4951b932021-12-02T02:58:26ZApplying a Global Perspective to School-Based Health Centers in New York City2214-999610.1016/j.aogh.2017.10.020https://doaj.org/article/971dc060017a4bbfbaa9573da4951b932017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/150https://doaj.org/toc/2214-9996Background: Since the 1960s, school-based health centers (SBHC) in the United States have emerged and grown with the mission of providing primary medical, reproductive, and mental health services, as well as comprehensive health education, to all students who are enrolled in the participating school. SBHCs have demonstrated a unique ability to reduce barriers to medical care for <a title="Learn more about Underserved Population" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/underserved-population">underserved populations</a> in New York City, including undocumented immigrants and those who are of lower income status. Methods: The Mount Sinai <a title="Learn more about Adolescent Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/adolescent-health">Adolescent Health</a> Center School-Based Health Program (MSAHC SBHP) was established in 1985 in order to increase access to care for New York City teens. After a change of physical location, one particular site of the MSAHC SBHP had a significant decrease in clinic visits and enrollment. Traditional outreach strategies were utilized, but the results of the efforts were disappointing. Applying the Community Health Worker model, as defined by the World Health Organization (WHO), the MSAHC SBHP developed the Student Ambassador Program, a student-organized community-engagement initiative. The program is based on the premise that youth can be effective at outreach and serving as community liaisons to increase awareness and use of the SBHC. The SBH staff provided recruitment, training, and support. The student ambassadors initiated peer-informed outreach projects to appeal to the student body. Upon completion of the Student Ambassador projects, clinic enrollment increased 4.3% and visits increased 32% over the prior year. Conclusions</h3>School-based health centers in the United States have helped to provide comprehensive, multidisciplinary care to many children who would otherwise not be able to access care, but community engagement is critical to their success. Applying the WHO Community Health Worker Model to utilize school students for outreach to their school community is an effective way to increase utilization.Janet B. LeeGrisselle DeFrankJohn GaipaMartha ArdenUbiquity Pressarticleadolescent healthcommunity engagementcommunity health workerpeer educationschool-based health centerInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 5-6, Pp 803-807 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescent health community engagement community health worker peer education school-based health center Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	adolescent health community engagement community health worker peer education school-based health center Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Janet B. Lee Grisselle DeFrank John Gaipa Martha Arden Applying a Global Perspective to School-Based Health Centers in New York City
description	Background: Since the 1960s, school-based health centers (SBHC) in the United States have emerged and grown with the mission of providing primary medical, reproductive, and mental health services, as well as comprehensive health education, to all students who are enrolled in the participating school. SBHCs have demonstrated a unique ability to reduce barriers to medical care for <a title="Learn more about Underserved Population" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/underserved-population">underserved populations</a> in New York City, including undocumented immigrants and those who are of lower income status. Methods: The Mount Sinai <a title="Learn more about Adolescent Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/adolescent-health">Adolescent Health</a> Center School-Based Health Program (MSAHC SBHP) was established in 1985 in order to increase access to care for New York City teens. After a change of physical location, one particular site of the MSAHC SBHP had a significant decrease in clinic visits and enrollment. Traditional outreach strategies were utilized, but the results of the efforts were disappointing. Applying the Community Health Worker model, as defined by the World Health Organization (WHO), the MSAHC SBHP developed the Student Ambassador Program, a student-organized community-engagement initiative. The program is based on the premise that youth can be effective at outreach and serving as community liaisons to increase awareness and use of the SBHC. The SBH staff provided recruitment, training, and support. The student ambassadors initiated peer-informed outreach projects to appeal to the student body. Upon completion of the Student Ambassador projects, clinic enrollment increased 4.3% and visits increased 32% over the prior year. Conclusions</h3>School-based health centers in the United States have helped to provide comprehensive, multidisciplinary care to many children who would otherwise not be able to access care, but community engagement is critical to their success. Applying the WHO Community Health Worker Model to utilize school students for outreach to their school community is an effective way to increase utilization.
format	article
author	Janet B. Lee Grisselle DeFrank John Gaipa Martha Arden
author_facet	Janet B. Lee Grisselle DeFrank John Gaipa Martha Arden
author_sort	Janet B. Lee
title	Applying a Global Perspective to School-Based Health Centers in New York City
title_short	Applying a Global Perspective to School-Based Health Centers in New York City
title_full	Applying a Global Perspective to School-Based Health Centers in New York City
title_fullStr	Applying a Global Perspective to School-Based Health Centers in New York City
title_full_unstemmed	Applying a Global Perspective to School-Based Health Centers in New York City
title_sort	applying a global perspective to school-based health centers in new york city
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/971dc060017a4bbfbaa9573da4951b93
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Applying a Global Perspective to School-Based Health Centers in New York City

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