Characteristics Associated With School Health Services for the Management of Chronic Health Conditions

2019 ◽  
pp. 105984051988462 ◽  
Author(s):  
Georgianne F. Tiu ◽  
Zanie C. Leroy ◽  
Sarah M. Lee ◽  
Erin D. Maughan ◽  
Nancy D. Brener

It is unknown how health services staff (school nurse or school physician) or school characteristics are associated with the number of services provided for chronic health conditions in schools. Using data from the 2014 School Health Policies and Practices Study, four services (identification or school-based management, tracking, case management, and referrals) were analyzed using a multivariable ordered logistic regression. Approximately 57.2% of schools provided all four, 17.5% provided three, 10.1% provided two, 5.8% provided one, and 9.4% did not provide any such services. Schools with a school nurse were 51.5% ( p < .001) more likely to provide all four, and schools with access to consult with a school physician were 15.4% ( p < .05) more likely, compared to schools without one. Schools comprised of mostly racial/ethnic minority students (less than or equal to 50% non-Hispanic White) were 14.7% ( p < .05) less likely to provide all four, compared to schools with greater than 50% White students.

2016 ◽  
Vol 33 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Zanie C. Leroy ◽  
Robin Wallin ◽  
Sarah Lee

Children and adolescents in the United States spend many hours in school. Students with chronic health conditions (CHCs) may face lower academic achievement, increased disability, fewer job opportunities, and limited community interactions as they enter adulthood. School health services provide safe and effective management of CHCs, often for students with limited access to health care. A systematic review to assess the role of school health services in addressing CHCs among students in Grades K–12 was completed using primary, peer-reviewed literature published from 2000 to 2015, on selected conditions: asthma, food allergies, diabetes, seizure disorders, and poor oral health. Thirty-nine articles met the inclusion criteria and results were synthesized; however, 38 were on asthma. Direct access to school nursing and other health services, as well as disease-specific education, improved health and academic outcomes among students with CHCs. Future research needs to include standardized definitions and data collection methods for students with CHCs.


Author(s):  
Christy M. Walcott ◽  
Sayward E. Harrison

Children with chronic health conditions may experience academic challenges for a multitude of reasons. This chapter provides an overview of the educational difficulties encountered by children with pediatric health conditions. It also provides a summary of the causes of some of the difficulties, such as the neurodevelopmental effects of a medical condition or treatment, school absenteeism, and school refusal. The chapter includes a table summarizing the neurocognitive effects of common pediatric health conditions. Information about school-based strategies for students with chronic health conditions is presented. The strategies include individual health plans, individualized accommodations, and individualized interventions to address factors that may affect educational outcomes. Finally, the chapter includes a problem-solving framework for school-based professionals to use when engaging in educational planning for a student with a pediatric health condition.


Rates of chronic health conditions in childhood are increasing, and school-based professionals regularly encounter children with chronic health conditions in the school setting. Students with chronic health conditions often require accommodations, assessment, intervention, and close collaboration with medical providers and families. However, most school-based clinicians (school psychologists, counselors, social workers) who are charged with addressing the special needs of these children have not had coursework or experience related to common pediatric conditions. This book is a practical guide for school-based clinicians working with children with chronic health conditions. Section I provides a broad overview of school-related issues for children with chronic health conditions. This includes a review of common medical conditions and terminology and cross-cutting issues related to social and emotional and academic functioning, as well as the role of the school-based professional in collaborating across systems of care. The section also reviews legal and policy issues and alternative educational settings for students with chronic health needs. Section II focuses on prevention, assessment, intervention, and consultation strategies for individual students and entire school systems. Finally, Section III addresses common groups of medical conditions. Each chapter provides an overview of the condition(s), common school-related concerns, risk and protective factors, and cultural considerations, as well as practical strategies, resources, and handouts for the school-based professional. Case examples are used throughout the book to illustrate key concepts and implications for the school setting.


Author(s):  
Milena A. Keller-Margulis ◽  
Sarah Ochs ◽  
Kerri P. Nowell ◽  
Sarah S. Mire

School-based providers serve an important role in connecting the various systems of care with which children with chronic health conditions and their families interact. The systems include schools and medical care organizations. This chapter presents a theoretical framework and reviews models of system collaboration to guide the professional in this role. Additionally, it presents information to facilitate optimal collaboration with medical care providers, families, and schools through communication and management of information dissemination. Guidelines for sharing health-related information in schools are outlined. Finally, the chapter concludes with a review of the strengths and challenges of school-based integrated care clinics. Information in this chapter will allow the school-based professional to establish a system of collaboration with key stakeholders within and outside the school system to meet the needs of children with chronic health conditions in schools.


2020 ◽  
Vol 34 (4) ◽  
pp. 353-358
Author(s):  
Behnam Farhoudi ◽  
SeyedAhmad SeyedAlinaghi ◽  
Omid Dadras ◽  
Mehrzad Tashakoriyan ◽  
Mohammad Nazari Pouya ◽  
...  

PurposeThe aim of present study was to integrate vital noncommunicable diseases (coronary artery disease, hypertension, diabetes mellitus and mental health disorders) into Prison-Based Active Health Services Provision (PAHSP).Design/methodology/approachOn Jan 1, 2018, there were 230,000 prisoners in Iran. Timely and systematic detection and diagnosis of chronic health conditions among this population are imperative. The collaboration between healthcare providers in prison and members of the multidisciplinary team of the healthcare community outside prison initiated an active health service provision approach for HIV and tuberculosis (TB). Guidelines for the control of HIV and TB in prison were piloted, and the finalized version was named “Prison-based Active Health Services Provision” (PAHSP), which has been scaled up in 16 of 260 Iranian prisons.FindingThe PAHSP approach emphasizes the importance of early identification of key symptoms and risk factors. This approach provides an opportunity for improved prevention and treatment, enabling prisoners identified at risk or those who have been diagnosed with a target disease to be followed up and receive the appropriate health care.Originality/valueInitiatives such as screening for chronic health conditions coupled with treatment will reduce the burden of chronic illness among prisoners and the broader community, thereby saving on healthcare costs and lives.


2017 ◽  
Vol 3 (3) ◽  
pp. 171-181 ◽  
Author(s):  
Vasoontara Yiengprugsawan ◽  
Judith Healy ◽  
Hal Kendig ◽  
Malinee Neelamegam ◽  
Palitha Karunapema ◽  
...  

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