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ED 464 721 PS 030 321

TITLE Louisiana School-Based Health Centers Annual Services Report, 2000-2001. INSTITUTION Louisiana State Office of Public Health, New Orleans. Dept. of Health and Hospitals. PUB DATE 2002-00-00 NOTE 108p.; For the 1999-2000 Annual Service Report, see ED 453 967. AVAILABLE FROM AHSI, P.O. Box 60630, New Orleans, LA 70160. Tel: 504-568-6068; Fax: 504-568-6185. For full text: http://www.oph.dhh.state.la.us/schoolbased/reports.html. PUB TYPE Numerical/Quantitative Data (110) Reports Descriptive (141) EDRS PRICE MF01/PC05 Plus Postage. DESCRIPTORS *Adolescents; Annual Reports; *Child Health; Children; Comprehensive School Health Education; Elementary Secondary Education; Health Programs; *Health Promotion; Program Descriptions; Program Evaluation; *School Health Services; *State Programs IDENTIFIERS *Louisiana; Program Characteristics; *School Based Health Clinics

ABSTRACT Louisiana's initiative to assist local communities to develop and operate school-based health centers (SBHCs), in place for 10 years, is a nationally-recognized model. This annual report illustrates the vital work being done in Louisiana's SBHCs over the past 10 years to assist families in ensuring their children's health and well-being. Section 1 of the report details the continuous expansion of school-based health care that has occurred since the passage of the Adolescent School Health Initiative Act in 1991. This section also highlights programs and partnerships contributing to Louisiana's success, including the Continuous Quality Improvement program. Section 2 summarizes the leading reasons children visit SBHCs, demonstrates the wide variety of services available, and highlights the critical role that health centers fill in the lives of the students and schools they serve. Section 3 features profiles of each of the operating school health centers, illustrating the strong links between the SBHCs and the communities they serve. Three appendices include sample diagnoses for each of the categories of conditions by which SBHC data are coded, the text of the state law that created the program, and the 2000-2001 financial statement.(KB)

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U.S. DEPARTMENT OF EDUCATION ffice of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION dklikkilt CENTER (ERIC) 114 /This document has been reproduced as received from the person or organization originating it. 0 Minor changes have been made to improve reproduction quality. -20\ Points of view or opinions stated in this document do not necessarily represent official OERI position or policy. Services PERMISSION TO REPRODUCE AND DISSEMINATE THIS MATERIAL HAS BEEN GRANTED BY 6yilfitx 64LErnte_

Adolescent School TO THE EDUCATIONAL RESOURCES er, INFORMATION CENTER (ERIC) 0Health Initiative 1 Louisiana's Office of Public Health Department of Health and Hospitals State of Louisiana 2 BEST COPY AVAILABLE 2000-2001 Annual Report of the Adolescent School Health Initiative Louisiana Office of Public Health Department of Health and Hospitals

Secretary David W Hood

Assistant Secretary Madeline W McAndrew

Deputy Assistant Secretary Sharon Howard, MSW

Maternal & Child Health Administrator Joan Wightkin, MPH

Adolescent School Health Initiative Medical Director/Administrator Maureen Daly, MD, MPH

Adolescent School Health Initiative Staff Christine Armand-Perret, MPH, Program Coordinator Ray Beyer, MA, Program Specialist Connie Christoffer, Administrative Secretary Gerrelda Davis, BA, Program Specialist Danelle Thompson, MA, Program Specialist

Quality Assurance Consultant Virginia Moore, RN, MN, FNP

Data Coordinator and Evaluator Chuck True T Le, MIS

ASHI P.O. Box 60630, New Orleans, Louisiana 70160 For more information contact (504) 568-6068

1235 copies of this public document were printed at a cost of $10,000.00. This document was published for the Louisiana Office of Public Health, Departmentof Health and Hospitals, by the Louisiana State University Medical Center, Auxiliary Enterprises, Duplicating, Printing, & Graphics, 1542 Tulane Ave., Room 109E, NewOrleans, Louisiana 70112, with funding made possible by the Louisiana Department of Health and Hospital's Office of Public Health Adolescent and School Health Program. This material is printed toprovide information about the Adolescent School Health Initiative in accord with standards of printing established pursuant to R.S. 43:31. For more information about this project, contactthe Adolescent School Health Initiative Program Office at (504) 568-6068.

3 2000-2001 Annual Report of the Adolescent School Health Initiative

LOUISIANA STATE OF LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

Department of HEALTH and HOSPITALS M.J. "Mike" Foster, Jr. David W. Hood Governor Secretary January, 2002

Dear Citizens of Louisiana: It is with great pleasure that I present the 2000-2001 Louisiana School-Based Health Centers' Annual Services Report. This year marks the 10th anniversary of the passage of the Adolescent School Health Initiative (ASHI) Act in Louisiana. The 1991 ASHI Act authorized the Office of Public Health to establish school-based health centers (SBHCs) in public schools throughout the state. The passage of the ASHI Act stemmed from growing concern about the health of Louisiana's youth and the desire to provide easy access to needed physical and mental health services to this hard to reach group.

Over the past 10 years, the SBHC movement has gained immense popularity and seen rapid growth. In 1991, there were only four SBHCs. Today we are proud of the 47 state-funded school-based health centers throughout the state, which provide access to care to nearly 46,000 of Louisiana's children. The commitment of policymakers to the health of Louisiana's children is apparent ten years later in the continued expansion and funding of the SBHC program. Six new sites are scheduled to open in 2001-2002.

The public can be assured that our children are receiving high quality care at the SBHCs in accordance with best medical practices. All state-funded SBHCs are required to comply with the Principles, Standards and Guidelines for School-Based Health Centers in Louisiana. All centers must undergo an arduous continuous quality improvement on-site review by a team of specialists in adolescent care.

Louisiana is recognized as a national leader in school-based health care and we should take pride in our many accomplishments. I extend a heartfelt thanks to all the administrators, health professionals, principals, school staff, community leaders, parents and students whose hard work and dedication over the past ten years have made this program such a success.

Since,rel

David W. Ho Seciet

DWH:blg

OFFICE OF THE SECRETARY 1201 CAPITOL ACCESS ROAD.P.0. BOX 629 BATON ROUGE, LOUISIANA 70821-0629 PHONE #: 225/342-9509 FAX #: 225/342-5568 "AN EQUAL OPPORTUNITY EMPLOYER"

4 2000-2001 Annual Report of the Adolescent School Health Initiative

state 6Siana Wt.p. 0, 9 7d4reit, pt. Wovetozo2

WHEREAS, physical and mental health care is immeasurably important to the overall well-being of the youth in Louisiana; and

WHEREAS, optimal physical ana Mental health of our students leads to optimal academic achievement; and

WHEREAS, all youth in Louisiana deserve access to comprehensive health care; and

WHEREAS, school based and school linked health centers provide a vital, necessary, and important link in a health care network within many communities across the state of Louisiana; and

WHEREAS, school based and School linked health centers provide accessible, affordable, quality health care and health education that improves the lives of young people and their families; and

WHEREAS, school based and school linked health centers are supported in many communities by parents, teachers, school administrators, and other concerned citizens.

NOW, THEREFORE, I, M.J. "Mike" Foster, Jr., Governor of the state of Louisiana, do hereby proclaim January 22-26, 2001, as

LOUISIANA ASSEMBLY ON SCHOOL BASED HEALTH CARE WEEK

in the state of Louisiana, and urge all our citizens to recognize the role of local school based and school linked health centers in improving the health and well-being of all youth in the state.

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44. I flth day Innuary 4.2. 2001

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5 2000-2001 Annual Report of the Adolescent School Health Initiative

This year marks the 10th anniversary of the passage of the Adolescent School Health Initiative. In the late 1980s, policy makers became increasingly concerned about the health status of Louisiana's adolescents. This was the only age group for which morbidity and mortality rates were increasing. As a result, during the 1990 Regular Session of the Louisiana Legislature, a study request was passed to look into the feasibility of establishing School-Based Health Centers (SBHCs) in Louisiana. Subsequently, in 1991, the Adolescent School Health Initiative was enacted under Governor Buddy Roemer. SBHCs in Louisiana follow a comprehensive model in order to address the main threats to adolescents' health and their academic success which are not diseases, but the risky behaviors they engage in and the choices they make.

Louisiana has seen the impressive growth of SBHCs from 4 sites in 1991 to 47 SBHCs in 2000-2001 and 6 additional sites to open in 2001-2002. SBHCs provide access to medical and mental health care that many Louisiana students would not otherwise be able to obtain. Many policy makers and community leaders echo United States Senator John Breaux's sentiment when he said, "My fight for continued funding and expansion of School-Based Health Centers rests on the overwhelming success of these centers in providing accessible and affordable health care for Louisiana students."

Several of these policy makers from the departments of education, social services, and health and hospitals sit on the Intergovernmental Coordinating Council (ICC) which is committed to integrating common school- based health care objectives; progressively coordinating school-based medical, mental and addictive disorder services with community-based primary care services; and expanding existing school-based services into a seamless statewide network of comprehensive child health care. The members of the ICC assist in implementation, oversightand funding assistance for school-based health centers.

The 2000-2001 Annual Services Report illustrates the vital work being done by SBHCs in Louisiana to assist families in assuring their children's health and well being.

Section One - Program Highlights & Overview details the continuous expansion of school-based health care that has occurred since the passage of the ASHI Act in 1991. On pages 8-10, the reader is provided a glimpse of some of the successes of Louisiana SBHCs. This section also highlights programs and partnerships that have made SBHCs a success including the Continuous Quality Improvement program. It is through these efforts and partnerships that recognition and strong support have been built for school-based health care in Louisiana.

Section Two - Who Visits SBHCs and Why summarizes the leading reasons children visit SBHCs. It demonstrates the wide variety of services available at the health centers including primary and preventive health care, psychosocial services and health education. The data reveals the critical role that health centers fill in the lives of the students and the schools they serve.

Section Three - Louisiana SBHC Profiles features each of Louisiana's SBHCs. The community's involvement and commitment are integral to the operation and mission of SBHCs. Review of the community advisory boards and partner organizations evinces the strong link between the communities and the health centers.

AppendicesA-C include (A) sample diagnoses for each of the categories of conditions by which SBHC data are coded, (B) the text of the state law that created the program, and (C) the 2000 2001 financial statement. iv 2000-2001 Annual Report of the Adolescent School Health Initiative

° edeee.4 6.s*

Page Section One Program Highlights & Overview School-Based Health Center (SBHC) Sites 2 Operating Centers for 2000-2001 3 Operating Centers for 2000-2001 & Operating Grants to be Awarded in 01-02. 4 Louisiana SBHC Highlights: 1991-2001 5 A Look at Louisiana's Children & Youth 7 Prescriptions for Success 8 SBHC Funding History 11 Louisiana Standards for School-Based Health Centers 12 Continuous Quality Improvement Program 13

Section Two Who Visits SBHCs and Why Number of Conditions Seen at SBHCs, by Category 15 Leading Reasons for General Preventive Medicine Visits 16 Leading Mental & Behavioral Health Issues Addressed, by Category 16 Leading Conditions for Injury & Illness Related Visits 17 Leading Reasons for Health Counseling and Education Visits. 17 Total Visits by Sex, Race & Grade 18 Comparison View of Rural vs. Urban Sites 19 Total Student Visits by Site, 2000-2001 20 Type of SBHC Site, Sponsor, Insurance Status and Funding 21 Gynecological & Reproductive Health Visits 22

Section ThreeLouisiana SBHC Profiles, by Sponsoring Agency Bogalusa High SBHC 26 Bogalusa Junior High SBHC 27 Capitol High SBHC 31 Glen Oaks Middle SBHC 32 Glen Oaks High SBHC 33 Istrouma High SBHC 34 Northeast Elementary SBHC 35 2000-2001 Annual Report of the Adolescent School Health Initiative Page

Northeast High SBHC 36 Prescott Middle SBHC 37 Westdale Middle SBHC 38 G. W. Carver High SBHC 40 B. T. Washington High SBHC 42 Breaux Bridge SBHC 46 Cecilia SBHC 47 St. Martinville SBHC 48 Avoyelles SBHC 50 Buckeye High SBHC 51 Glenmora SBHC 52 Dry Prong Jr. SBHC 53 LaSalle SBHC 54 Northwood SBHC 55 Pineville & Slocum SBHC 56 Tioga Jr. High SBHC 57 Tioga Sr. High SBHC 58 Lakeview Jr. & Sr. SBHC 59 St. Helena Central Middle SBHC 61 St. Helena Central Elementary SBHC 62 Molo Middle SBHC 65 J. D. Clifton Elementary SBHC 66 WashingtonMarion High SBHC 67 Atkins/Fairfield Elementary SBHC 70 Linwood Middle SBHC 71 Bunche Middle SBHC 74 Butler Elementary SBHC 76 Clinton Middle SBHC 78 East Iberville SBHC 80 Lawless High SBHC 82 John McDonogh High SBHC 84 Northside High SBHC 86 West Feliciana Family Service Center 88 Reuben McCall SBHC 90 Delhi SBHC 92

Section Four - Appendices Appendix A Examples of Diagnoses within Each Category of Conditions.. 95 Appendix BAdolescent School Health Initiative Act 96 Appendix CFinancial Statement 98 vi 2000-2001 Annual Report of the Adolescent School Health Initiative

9 2000-2001 Annual Report of the Adolescent School Health Initiative Louisiana Adolesceng School Health Inigiagive

Shreveport School-Based Health Tallulah W. Monroe G Jackson 0 Delhi Center Sites Natchitoches 2000-2001.

Jcna 42 Full-time Operating Sites Dry Prong Tioga Lena Pineville A5 Part-time Operating Sites Deville Glenmora 06 Sites to Become Operational in 2001-2002 *1 Federally Funded Site

Mansura Clinton Bogalusa St. Francisville * Allen BatonGreensburg Lake Charles Rouge CceiliaSt. Gabriel 0 Cameron Lafayette Breaux BridgeMetair. St. Martinville &Westwego

New Orleans Campti (Natchitoches Parish) Lakeview Jr. & Sr. High Oakdale (Allen Parish) Oakdale High New Orleans (Orleans Parish) Marion Abramson High Baton Rouge Greensburg (St. Helena Parish) George W. Carver Sr. High (E. Baton Rouge Parish) St. Helena Central Elementary Alfred Lawless Sr. High Capitol High St. Helena Central Middle John McDonogh Sr. High Glen Oaks High St. Helena Central High (Federal Funding) Booker T. Washington High Glen Oaks Middle Istrouma High Jonesboro (Jackson Parish) Pineville (Rapides Parish) Northeast Elementary Jonesboro Jr. & Sr. High Pineville Jr. High Northeast High Slocum Elementary Prescott Middle Jena (LaSalle Parish) Tioga Jr. High Westdale Middle Jena Jr. High Tioga Sr. High Jena Sr. High Bogalusa (Washington Parish) St. Francisville (W. Feliciana Parish) Bogalusa High Metairie & Westwego Family Service Center Bogalusa Jr. High (Jefferson Parish) Bunche Middle St. Gabriel (lberville Parish) Clinton (E. Feliciana Parish) Butler Elementary East lberville Elementary & High Clinton Middle lberville Elementary Lafayette (Lafayette Parish) Creole (Cameron Parish) Northside High St. Martin Parish South Cameron High Breaux Bridge Schools Lake Charles (Calcasieu Parish) Cecilia Schools Delhi (Richland Parish) Clifton Elementary St. Martinville Schools Delhi Jr. & Sr. High Molo Middle Washington-Marion High Shreveport (Caddo Parish) Deville (Rapides Parish) (also serving Combre/Fondel & Wilson) Atkins Elementary Buckeye High Fairfield Elementary Lena (Rapides Parish) Linwood Middle Dry Prong (Grant Parish) Northwood PreK-12 Dry Prong Jr. High Tallulah (Madison Parish) Pollock Elementary Mansura (Avoyelles Parish) McCall Jr. & Sr. High Mansura Middle Glenmora (Rapides Parish) Avoyelles Charter W. Monroe (Ouachita Parish) Glenmora Elementary & High 2 Riser Middle

1 0 2000-2001 Annual Report of the Adolescent School Health Initiative

-Arf&Woo hit tie E00 0- 2001 rfeademie llea4

% SBHC Total Grades # Schools Total StudentTotal SBHC Students Patients RegionParish SBHC Location ServedServed Enrollment Registration Enrolled Served

I Orleans George W. Carver PreK-12 2 1,886 1,356 72% 805 Alfred Lawless 7-12 2 974 622 64% 559

Booker T. Washington 7-12 1 598 545 91% 369

John McDonogh 9-12 1 1,109 1,017 92% 535

Marion Abranison+ 9-12 1 1,715 140 8% A Jefferson Bunche Middle+ PreK-5 1 740 275 37% 160 Butler Elementary+ K-9 4 2.313 518 22% 342

II E. Felic. Clinton Middle 6-8 1 308 274 89% 227 W.Felic. Family Service Center PreK-12 4 2,423 1,351 56% 1,221 E.B.R. Istrouma High 9-12 2 978 845 86% 555

Westdale Middle 6-8 1 706 706 100% 430

Glen Oaks High 9-12 1 910 693 76% 531 91% Glen Oaks Middle 6-8 1 642 587 399

Prescott Middle 6-8 1 842 758 90% 537

Northeast Elementary K-6 1 667 634 95% 516

Northeast High 7-12 1 465 441 95% 316 Capitol High+ PreK-5, 9-122 1,507 269 18% 137

Iberville E. Iberville Elem & High PreK-12 1 593 560 94% 436

IV St. Martin Cecilia PreK-12 4 2,325 2,153 93% 1,564 Breaux Bridge PreK-12 6 3,231 2,632 81% 1,451 St. Martinville PreK-12 6 2,951 2,738 93% 1,772

Lafayette Northside High 9-12 1 986 773 78% 664

V Calcasieu Washington-Marion 9-12 3 1,229 1,090 89% 864

Clifton Elementary PreK-5 1 541 515 95% 431

Molo Middle 6-8 1 561 529 94% 411

VI Rapides Buckeye High 7-12 1 494 494 100% 494 Glenmora PreK-12 2 674 596 88% 511

Northwood PreK-12 1 850 842 99% 700 Pineville & Slocum* PreK-8 2 901 809 90% 690

Tioga Junior High . 7-8 1 501 446 89% 380

Tioga Senior High 9-12 1 1.011 524 57% 381 Grant Dry Prong Jr. High PreK-8 2 1,044 968 93% 584 Avoyelles Mansura Middle & K-8 2 760 679 89% 629 voyelles Charter* LaSalle Jena Sr. High & Jr. High*7-12 2 790 639 81% 511

VII Caddo Linwood Middle 6-8 1 651 633 97% 561 Atkins Elementary* & PreK-5 2 912 716 79% 508 Fairfield Elementary*

Natchitoches Lakeview jr. & Sr. High 7-12 1 593 417 70% 341

VIII Madison McCall Jr. & Sr. High 6-12 2 1,478 1,319 89% 993 Richland Delhi Jr. & Sr. High 6-11 2 949 688 72% 430 2000-2001 Annual Report of the Adolescent School Health Initiative

% SBHC Total Grades # Schools Total StudentTotal SBHC Students Patients Region Parish SBHC Location ServedServed Enrollment Registration Enrolled Served

IX Washington Bogalusa High 9-12 I 808 777 96% 491

Bogalusa Jr. High 7-8 1 480 451 94% 439

St. Helena Central Elementary PreK-4 I 672 520 77% 347

Central Middle 5-8 1 435 373 86% 310

TOTALS 19 Parishes 47 SBHCs 73 45,203 33,912 75% 24,532

*Part-time Satellite Clinics

A Data is not available for 2000-2001 school year.

+ These sites initially began operating late in the school year.

Schools in Red became operational in 2000-2001 school year.

WillION MI.0 MPUPI" WO

If 11 4 g Grants to be Awarded in200-20,02 for Initiatingor Expanding Services

Grades # Schools Total School Scheduled Region Parish SBHC Location Served Served Enrollment Opening

2 Iberville Iberville Elementary PreK-3 1 722 Fall 2001

5 Allen Oakdale High 5-12 2 789 Spr 2002 Cameron South Cameron High 9-12 3 900 Fall 2001

6 Grant Pollock Elementary PreK-6 1 572 Fall 2001

8 Jackson Jonesboro Jr. & Sr. High 5-12 2 760 Fall 2001 8 Ouachita Riser Middle PreK-8 2 760 Spr 2002

TOTAL 5 Parishes 6 New SBHCs 11 4,503

4 2000-2001 Annual Report of the Adolescent School Health Initiative

Louisiana SBHC Highlights: 1991-2001

1991 Governor Buddy Roemer signs the Louisiana Adolescent School Health Initiative (ASHI) Act into law (R.S.40:31.3) authorizing the Office of Public Health (OPH) to facilitate the development of School-Based Health Centers (SBHCs) in public schools.

The Bush Administration recommends SBHCs in elementary schools nationwide.

1992 The Louisiana SBHC Intergovernmental Coordinating Council is established to assist in implementation, oversight, and funding assistance for health centers in schools.

1993 Maternal & Child Health Block Grant (Title V) funding establishes an affiliation with Louisiana SBHCs.

1994 The Louisiana Assembly on School-Based Health Care (LASBHC) is formed. Its mission is to serve as the State Chapter of the National Assembly on School-Based Health Care; provide advocacy, support and coordinate activities set by the state membership; and seek support for expansion of SBHCs.

"Healthy Schools, Healthy Communities," the first federal SBHC program, is born.

"I am convinced that a lot of our children who come from such difficult family circumstances are going to have to continue to get health care information and some basic health care services in the schools. That's why I've always been a strong supporter of the school-based health clinics." -Former President Bill Clinton

1995 The Louisiana Legislature allocates $1.6 million in one-time state funds for SBHC expansion. The ASHI Program of OPH is the recipient of a Robert Wood Johnson (RWJ) Making the Grade Planning Grant for SBHCs.

1996 The ASHI Program of OPH launches a collaborative agreement with the State Department of Education to fund Southeastern Louisiana University's Excellence in Health and Education Project. The goal of the Project is to provide leadership and advocacy to guarantee quality health and educational learning opportunities.

"In my professional lifetime the health of every group of American society has improved except for teenagers. Isn't school the best place for a primary health care facility?" -C. Everett Koop, former U.S. Surgeon General

1997 The Louisiana State Legislature appropriates recurring line item budget for SBHCs. The ASHI Program of OPH is awarded a RWJ Making the Grade Implementation Grant.

The Governor's Task Force on SBHCs concludes that Louisiana SBHCs are meeting the comprehensive health needs of underserved children and youth and are in compliance with the law.

1 3 2000-2001 Annual Report of the Adolescent School Health Initiative

"The presence of a health center within a school is of overwhelming value to students." -Robert Wood Johnson Foundation Study

1998 The ASHI Program of OPH implements a Continuous Quality Improvement Program for Louisiana SBHCs.

1999 The Governor's Children's Cabinet recommends increasing the number of SBHCs by 50% by the year 2000.

Sue Catchings, Director of Health Care Centers in Schools of Baton Rouge, becomes President-Elect of the National Assembly on School-Based Health Care.

Central High SBHC in St. Helena Parish becomes the first federally funded SBHC in Louisiana.

"I previously was against the idea of a school health center, but after seeing first hand what they are all about, I made a 180 degree turnaround, and now am a strong advocate for school-based health centers." Cecil J. Picard, Superintendent of Education, Louisiana.

2000 Tobacco Settlement dollars are used to fund SBHCs in Louisiana.

The Louisiana Medical Society Journal devotes its entire December issue to School-Based Health Care in Louisiana.

The Council for a Better Louisiana publishes The People's Agenda: Report Care 2000 endorsing SBHCs and recommending that at least one SBHC be in each parish by 2010.

2001 The LASBHC is represented on the Children's Cabinet Advisory Board.

Governor M. J. "Mike" Foster, Jr. proclaims January 22-26, 2001 as LA Assembly on School-Based Health Care Week.

"My fight for continued funding and expansion of school-based health centers rests on the overwhelming success of these centers in providing accessible and affordable health care for Louisiana students." -U.S. Senator John Breaux, Louisiana. 60-'7

50 35 40 30 Number of SBHCs in Louisiana 23 16 20 10

10 13 19911992 1993 1994 1995 19961997 1998 1999 2000 2001 2002 Fiscal Year (Projected)

14 2000-2001 Annual Report of the Adolescent School Health Initiative \ Aoo olLotisiana culla, d Tollth

About 3 I % of Louisiana's population are youth, School-Based Health Center Scope below the age of 19. -U.S.Census, 2000 0,7' 4.9% of the public schools are served Kids & School by the SBHCs throughout Louisiana.

Crt:7' 737,223 children and youth 6.2% of the students attending public (pre-k through twelfth grade) schools have access to SBHCs. attend public school. e-V-'4.6% of the students attending public 6,7' 1,483 public schools are schools are enrolled in SBHCs. established in LA. 3.4% of the students attending public 11% of teens (ages 16-19) drop schools in Louisiana are receiving services out of high school. from SBHCs.

6t-7' 12% of teens are not attending -Department of Education and Office of school and not working. Public Health, 2000-2001

-LA Department of Education, 2000- The three leading causes of death for Louisiana kids ages10- 19 are motor vehicle accidents, homicides, and suicide, all of 2001 and Kids Count Data Book, 2001 which are preventable. -Office ofPublic Health, 2001 Poverty Status Comparison with other U.S. States 66/'26% of LA's children Health Indicator National Rank live in poverty. Health insurance coverage for kids 47 6c7' 21.9% of LA's youth (ages 0 -19) Children living in poverty 49 are still uninsured. High school dropouts 36 ,rft:,/ 58.6% of preK12th grade students in public schools receive free/ Comparison with U.S. Trends reduced lunch. Health indicator LA stat. U.S. stat Child Death Rate (ages I -14)*32 24 -Kids Count Data Book, 2001, Children's Rate of teen deaths by 71 54 DefenseFund, 2001 and Department of accident, homicide, and Education,2000-2001 suicide (age 15- I 9)* Teen birth rate (ages I 5-17)**40 30 Only half of the mothers under the age of 15 started prenatal care in the first trimester of pregnancy. -Louisiana Health Report Card, 2001 *Rates per 100,000 youth **Rates per 1,000 females -Kids Count Data Book, 2001 7

15 2000-2001 Annual Report of the Adolescent School Health Initiative

"Schools could do more than perhaps any other single institution in society to help young people, and the adults they will become, to live healthier, longer, more satisfying, and more productive lives." Carnegie Council Adolescent Development

Health Education

Family/Community Physical Education

Eight Components of Health Promotion a Coordinated Health Services for Staff School Health Program

Healthy School Nutrition Services Environment

Counseling, Psychological &Social Services

Preventive health services provided through schools, In early 2000, 16.1 percent of the U.S. civilian coupled withhealtheducation and counseling that noninstitutionalized population (44 million people) promote healthy lifestyles and self-sufficiency, can help had no health insurance coverage. contain health care costs. 2000 Medical Expediture Panel Survey of the (U.S. Department of Health and Human Services, 1991) Agency for Healthcare Research and Quality

Christus St. Frances Cabrini School-Based Health Centers

By the end of the 1997-98 school year, there was an overall 25% reduction of check-outs for the schools served by the Christus St. Frances Cabrini SBHCs.

The Christus St. Frances Cabrini SBHCs instituted an Anger Managernent/Conflict Resolution Program to decrease the number of suspensions in the schools they serve. As a result, suspension rates decreased by approximately 15%.

16 2000-2001 Annual Report ofthe Adolescent School Health Initiative

Four Basic Assumptions of Comprehensive School Health Institute of Medicine, 1997

I. The primary goal of schools is education. 2. Education and health are linked. Educational outcomes are related to health status, and health outcomes are related to education. 3. There are certain basic health needs of children and young people. These include: nurturing and support; timely and relevant health information; knowledge and skills necessary to adopt healthful behavior; and access to health care. 4.The school has the potential to be a crucial part of the system to provide these basic health needs. Schools are where children and youth spend a significant amount of their time, and schools can reach entire families. However, the school is only part of the broader community system; the responsibility does not and should not fall only on the schools.

Linwood School-Based Health Center Northeast Elementary & Northeast High School-Based Health Centers The 1996-97 school year was the first year of operation for the Linwood SBHC. During that year, there was a 45% (782) reduction in the check-out 21300 rate from the previous school year 1995-96 (1413). Year 2 (1997-98) there was a 48% (747) reduction; Year 3 1600 (1998-99) a 54% (644) reduction in check-outs. 1400 1200 1000 /300 600 400 200 200 0 150 Oct Nov Dec 100 96-97 099-00

50 Absentee Rates

Aug Sep Oct Nov Dec Jan Feb Mar Apr May From the 1996-97 school year to the 1999-2000 school year, there was a steady reduction in absen- 95-96 96-97 97-98 _ 98-99 tee rates for Northeast Elementary & Northeast High SBHCs.

Bogalusa High School-Based Health Center Delhi Jr. High School-Based Health Center

The students in the graduating class of 1999 were fresh- The 2000-2001 school year was the first year of men when the center first opened its doors in 1995. operation for Delhi SBHC. There was a 30% (439) They utilized the various services offered through the reduction in the check-out rate from August to De- health center during their entire high school careers. In cember 2000, when compared to the previous year 1999, 100% of this class (220 seniors) passed the LEAP (623). examination required for graduation. 9

17 2000-2001 Annual Report of the Adolescent School Health Initiative

Adolescents with access to a SBHC nationally were Medicaid-enrolled elementary students using a 10 times more likely to make a mental health or sub- school-based health center had statistically stance abuse visit. signicficant lower emergency department expenditures compared to a similar population (Kaplan, Calonge, Guernsey, Hanraham, 1998) without access to a school-based health center.

Adams, Johnson, 2000

FAI3unche Middle School-Based Health Center 20002001

Bunche piloted the first Baby Think It Over Program, a pregnancy prevention and parenting education program, in Jefferson Parish Schools. Ten infant simulators were bought and used for the program that ran three times during the school year. Students were responsible for the "infants" for a week ftIO and met with trained staff (teachers, counselors, and nurses) daily to discuss topics such as self-esteem, relationships, abstinence, STDs, domestic violence, and budgeting. In the beginning of the week, the students were excited about getting troo° the "infants," but by Friday, they were ready to turn them in. The results from the pre-tests and post-tests showed that the median age that students wanted to have children rose significantly after the program ended. Many had said 18-20 before the program, but by the end of the program, many were 4g1saying 27-30, and some said never.

Bogalusa School-Based Health Centers Bogalusa School-Based Health Centers Emergency Room Visits serve a population of approximately 1400 students in two schools. Over 90% of these students are registered with the health 1080 1060 centers. The majority of students do not 1040 have primary care physicians and 1020 historically have used thc emergency 1000 services of the local hospitals for their 980 960 primary care. With more and more primary 940 care services being provided through the 920 school health centers, utilization of at least 900 one area hospital emergency department 880 860 has been reduced, resulting in a decrease in 1997-1998 1999-2000 lost revenues for the hospital. This reduction influences the bottom line for 0 Total Patients Seen in ER SBHC Students Seen in ER overall health care costs.

18 2000-2001 Annual Report of the Adolescent School Health Initiative e c,/,(01e qedeciftv Fiscal Year Funding Source Number of SBHCs 1987788 RWJ grant 2 in Baton Rouge 1989=90 Louisiana Legislature asks OPH 1 in New Orleans . , - , to studySBHC expansion

1990-91 Adolescent School Health Initiative Act passes, authorizing OPH to develop SBHCs

1992-93 Maternal and Child Health (MCH) Block Grant Affiliation established with 1 SBHC in W. Feliciana & the 3 RWJ SBHCs

1993-94 MCH Block Grant 5 new SBHCs open in rural & inner city urban areas

1994-95 MCH Block Grant; $1.6 million in one-time state funds; 1 new SBHC opens; Child Care & Development Block Grant for day-care 14 in planning stages; activities; RWJ Making the Grade Planning Grant 10 supportive projects

1995-96 MCH Block Grant; $2.5 million in state budget (unfunded); 5 new SBHCs open; RWJ Making the Grade Planning Grant 8 continue planning

1996-97 MCH Block Grant; $1.6 million RWJ Foundation 23 operational SBHCs Implementation Grant; $2.65 million State Legislative 8 planning for 1997-98 Appropriation operation

1997-98 MCH Block Grant; Continuation of RWJ Foundation grant; 30 operational SBHCs Continuation of State Legislative Appropriation 7 planning for 1998-99 operation

1998-99 Continuation of existing funding sources; additional 35 operational SBHCs $600,000 in State Legislative Appropriation

1999-00 Last year of RWJ Foundation Grant; Continuation of MCH Block 40 operational SBHCs Grant & State Legislative Appropriation; Additional $1,018,176 in State Legislative Appropriation

2000-01 Continuation of MCH Block Grant & State Legislative Appropriation;47 operational SBHCs Additional $1,618,588 in State Legislative Appropriation 6 planning SBHCs

2001-02 Continuation of MCH Block Grant & State Legislative 53 operational sites Appropriation; Additional $820,000 in State Legislative projected Appropriation 19 2000-2001 Annual Report of the Adolescent School Health Initiative ogideawa Staprze0 j-en Scitoot-Eadedqedia eepteerd

rimary Goal Operating Policies a To provide convenient access to primary and The hours of operation should ensure that students have preventive health services for students who might easy access to the center's services. In general, a SBHC otherwise have limited or no access to health care should have both before-and after-school hours and a To meet the physical and emotional health needs of should operate for some period of time during the summer. adolescents at their school sites Community Participation Every school-based health center is required to promote abstinence. Centers are prohibited by State law from All health centers must originate as a community initiative. distributing contraceptives or abortifacient drugs or State funding is dependent upon evidence of broad com- devices, and from counseling or advocating abortion, or munity participation. referring any student to an organization for counseling or Sponsoring Agency advocating abortion. The sponsoring agency must be either a public or a pri- Staffing vate non-profit institution locally suited and fiscally viable to administer and operate a health center serving the needs Services at the school health centers are provided by a of adolescents (i.e., health center, hospital, medical school, multi-disciplinary team including a physician and/or nurse health department, youth serving agency, school or school practitioner with a collaborating physician, a registered system). nurse, and a licensed mental/behavioral health profes- School and School!strict sional. In addition, the SBHC is staffed with a medical office assistant and an administrator. The host school should agree to work cooperatively with its health center, particularly in developing and implementing Selection Criteria a full-scale coordinated school health program. School board approval is a prerequisite for a grant of state funds The ASHI seeks to provide services to young people with for planning or operation. limited or no access to health care providers. Grants are Services made through a competitive call for proposals process A SBHC must offer comprehensive primary and with decisions based upon the socioeconomic and health preventive health services that address the physical, needs of the student population to be served, the health emotional, and educational needs of its student population. services available in the communities, the level of com- Services provided should include medical screenings; munity support, the likelihood of success in developing treatment for common illnesses and minor injuries; referral and operating SBHCs that will fulfill its service objec- and follow-up for serious illnesses and emergencies; on- tives, and the working relationship between the schools site care, consultation, referral and follow-up for and health care communities. pregnancy, chronic diseases and disorders, and emotional and mental problems; comprehensive physicals; Continuwn of Care immunizations; laboratory testing; and preventive services Centers must execute cooperative agreements with corn- to reduce high risk behaviors. munity health care providers to link students to support Parental Consent and specialty services not provided at the school site. A parent or guardian must sign a consent form, approved Centers must arrange 24-hour coverage ensuring that stu- by school authorities, for a student to receive health center dents have access to services during non-operating hours, services. Parents may indicate which services they do including nights, weekends, holidays, and summer vaca- not wish their children to receive at the centers. tion. 12 2000-2001 Annual Report of the Adolescent School Health Initiative

ettotte;tetema:Stariteilotfrizegiemeat Prareim

The Adolescent School Health Initiative's (ASHI) Continuous Quality Improvement (CQI) Program is designed to assure that quality medical, psychosocial, and educational health services are delivered in accordance with current best practices to children seen at Louisiana School-Based Health Centers (SBHCs). The CQI Program is built around the principles of:

Recornmendin,! inteiventions and colup4oceith improverncnv, ogrim utndard,.,

Id cut ifying pnitdcrii . and cilsurirg that they me adcciui.cly (,:orrccatt

Identifyin Vera.) ng sontintiow. practiccin s,:hool-ha,Cil high quality can. health carc

The CQI Program consists offour steps:

4. Ongoing Monitoring z, z, 3. Quality Improvement z-Recommendations On-Site Review

Self-Evaluation

13 21 2000-2001 Annual Report of the Adolescent School Health Initiative

44-'2 2000-2001 Annual Report of the Adolescent School Health Initiative

kutrisilana Schooll-Based Hea th Culen Number of (Conditions Seen at Stila, by category

31,024 General Preventive Medicine 18,477 Ear, Nose & Throat 17,484 Mental Health 14,824 Head & Central Nervous System 11,486 Musculoskeletal & Trauma 10,783 Gastrointestinal 10,269 Skin & Subcutaneous 7,690 Pulmonary & Respiratory 14==17 3,827 Eyes 6=1/ 3,062 Metabolic & nutrition 2,956 Dental & Oral 2,867 Gynecology & Breast 2,427 Health Counseling & Education (A=12,195 Cardiovascular & Blood 1,888 Miscellaneous 1,043 Genitourinary 01 203 Sexually Transmitted Diseases 168 Pregnancy & Related Issues 0)-13 Drug Abuse & Dependence ( 0 5.000 10.000 15.000 20.000 25.000 30.000 35.000 Number of Visits

2 3 2000-2001 Annual Report of the Adolescent School Health Initiative

Leadi g easo s br General Preventive Medicine Visits

VisionExami 4,780 2,828 Viral Hepatitis Vaccination 2,801 Follow-up Exam 2,781 Sports, Camp & Job Physical Exam Combined Vaccination 2,671 2,711 Hearing Exam 2,227 General Medical Exam/KIDMED Screen 827 Lab Exam 727 Other Special Screenings 215 Counselingf9

1000 2000 3000 4000 5000

Number of Visits

Leadi g Mental & tehi vioral Health Issues Addressed, y Category

Other Mental & Behavioral Health Problem 3,568 5,100 Environmental & Situational Problem 1,783 Emotion & Moods Problem 1,378 Academic, Competency & Developmental Problem 773 Impulsive, Hyperactive Or Inattentive Problem 711 Atypical Behavior ProblemEFF50 479 Negative & Antisocial Problem Sexual Behavior ProblemFP 306 E3132 Feeding, Eating & Elimination Problem 19_103_ Illness-Related Behavior Problem

0 1,000 2,000 3,000 4,000 5,000

Number of Visits

24 2000-2001 Annual Report of the Adolescent School Health Initiative

Leiidiig Conditions for injury & illness Related Visits

Headache 2,721 10,434 Abdominal Pain 2,573 Upset Stomach

Asthma6==, 2,059 1,854 Throat Pain 1,787 Painful M enstruat ion 1,333 Upper Respiratory Infection f==9 1,292 Other Disease of Nasal Cavity & Sinuses

i=3 1209, Unspecified Injury 1,104 Sp rain & Strain

2,000 4,000 6,000 8,000 10,000 Number of Visits

Le ding I easons fir Health Counseling and Education Visits

Nutritional Health Education 735 385 HIV/AIDS and Other STDs

Injury and Violence Prevention 349 Education

Substance Use and Abuse 202 Education

Environmental Health 151 Education

Prevention & Control of 5 Disease & Disorders

Growth, Development & 1 Personal Health

200 400 600 Number of Visits

25 2000-2001 Annual Report of the Adolescent School Health Initiative

Total Visits, by Sex, 2000-2001

Total Visits, by Race, 2000-2001 Other* 1% 1,197 Caucasian 37% African American 42,79 62%

, 73,192 * '

*includes Native American, Asian and Hispanic

Total Visits by Grade for all SHCs

20000 18,885 18,917 6=7 4=7

15000 11,576 10,947

10000 8,795 7,641 6,056 5,447 4,315 5270 4,530 5,005 5000 4,049 3,951

908 111 123 125 100 539 0filar71111PdE9' [1 .c .5 `.A 00 .0 -5 CC 0 vv) 'LB

1 8

2 8 2000-2001 Annual Report of the Adolescent School Health Initiative

Comparison View of Rural Versus Urban Sites The Adolescent School Health Initiative began in urban schools with high concentrations of economically disadvantaged and uninsured students. Immediately afier its inception, however, rural communities recognized the value of health centers in their schools, which could provide services to adolescents lacking access to health care. While adolescents experience similar physical and mental health challenges, both the obvious and subtle differences can be addressed by the local school-based health center because it remains a community-based initiative. The following information and the SBHC profiles in Section Three illustrate both the similarities and differences among the centers.

Total Visits by Rural & Urban ShiHC Sites, 2000-2001

Urban Rural 37% 63% 42,869 74,319

Urban SBHCs include any SBHC located in a city identified by the Metropolitan Statistical Areas (MSA) as being metropolitan. These cities include Alexandria, Baton Rouge, Houma, Lafayette, Lake Charles, Monroe, New Orleans, and Shreveport-Bossier City. Rural SBHCs include any SBHC that is located in a city that has not been identified hs metropolitan by the MSA. Compariso anking of Top 10 Conditions, Urban verusural Urban Rural 1.General Preventive Medicine 1.General Preventive Medicine 2.Ear, Nose & Throat 2.Mental & Behavioral Health 3.Mental & Behavioral Health 3.Ear, Nose & Throat 4.Head & Central Nervous System 4.Head & Central Nervous System 5.Musculoskeletal & Trauma 5.Musculoskeletal & Trauma 6.Skin & Subcutaneous 6.Gastrointestinal 7.Gastrointestinal 7.5kin & Subcutaneous 8.Pulmonary & Respiratory 8.Pulmonary & Respiratory 9.Gynecology & Breast 9.Eyes 10.Eyes 10.Dental & Oral The examples of diagnosis within each category of these conditions can he found in Appendix A.

2 7 2000-2001 Annual Report of the Adolescent School Health Initiative

4 ;t4tiWk

Total Student VNits by Mte, 2000-2002 N = 1179288

Westdale M iddle 1,989 4,071 -Family Service Center Washington-M anon 3,956 -Tioga Jr. ligh 2,933 -Tioga Sr. ligh 1,494 4,861 "St. M artinville 2 008 **St. Helena Central M id 1,783 St. Helena Central Bern 1209 Socum Elementary **Reuben M cCall Figh 2,703 Molo Middle 2,169 2,506 Prescott M id d le -PinevilleJr. high 3,300 "Northwood light 4,498 Northside 2,855 **Northeast ligh 1,756 *Northeast Elermntary 2,525 M ansura M iddle 2,980 Unwood M iddle 3,474 2,414 Lawless Sr. HO **Lakeview Jr/Sr 1,509 2,209 John M cDonogh Sr. Fight 2,570 **Jena Jr. ligh "Jena Sr.ligh 2,203 4,363 J.D. Clifton Elementary 2,595 Istrourre Figh 4,302 aw.Carver Sr. Fig h "Glenrrora high 3,631 Glen Oaks M iddle 2,118 Glen Oaks Figh 2,249 *East lb erville 2,171 "Dry Prong Jr. high 3,032 **Delhi Jr. high 3,031 -Clinton M iddle 1,183 5,089 -Cecilia Capitol ligh 359 Butler Elerrentary 1,319 Bunche M iddler 552 2,828 "Buckeye Figh 3,717 -Breaux Bridge 4,402 "Bog alusa Jr. ligh **Bogalusa high 1962 B.T. Washington 1,657 893 **Avoyelles Charter Atkins 8 Fairfield Elenentary --1,781

0 1,000 2,000 3,000 4,000 5,000 6,000 Number of Visits

Data from Abramson SBHC is not available. SBHCs with ** are considered rural sites.

; v 20

28 2000-2001 Annual Report of the Adolescent School Health Initiative

Type of School That Houses the SBHC Although the program is mandated to serve middle and high school students, children in primary and elementary 20-/ grades at "feeder" schools are also served (see Visits by Grade on page 18). In some areas, centers were located on primary or elementary school campuses when no spaces were available at nearby middle or high schools (left).

The primary reasons OPH funds centers are demonstrated need for and lack of access to care. Student insurance status, as reported by the centers from parental consent forms, indicates that almost half of patients served are either uninsured, have not declared or do not know their status (below). Insurance Status of Sources of SBHC Funding Those Using the SBHC LA OPH** Local Match Unknown Medicaid 69% 27% Uninsured 10% 33% 32%

M edicald 4%

S 377,023 Private Insurance *Includes State General Fund, MCH Block Grant, & RWJ 25% Foundation Grant

While the local match requirement Type of Sponsorship for each SBHC is 20% of the OPH grant, communities have exceeded this figure, indicating that for every dollar in Hospital/Medical Center 27 state funds, communities provide another 39 cents in local support Non-profit Organization 8 (above). Medicaid does not reim- School District 6 burse for all services provided at Community Health Center 4 SBHCs (particularly mental health 2 services). This potential funding Local Health Department source, therefore, remains limited, 0 10 20 30 despite expansion of eligibility under LaCHIP (above). Number of SBHCs

21 29 2000-2001 Annual Report of the Adolescent School Health Initiative aft% Reinedideriveqedavederd

Le ding Gynecological and Pregnancy Related Visits

Dysmenorrhea

Absence of Menstruation

Vaginitis & Vulvovaginitis

Premenstrual Syndrome

Irregular Menstrual Cycle

Mittelschmerz

Breast Pain

Breast Mass or Lump

Hypertrophy of the Breast

Dysfunctional Uterine Bleeding

500 1000 1500 2000 2500 Number of Visits Of 117,188 visits in 2000-2001, 3,035 (less than 3%) were for conditions related to gynecological and reproductive health issues. These visits were associated with routine gynecological health, treatment for sexually transmitted diseases and pregnancy care in centers that provide prenatal care. It is the policy of SBHCs in Louisiana, in compliance with the laws of the State on sexuality education, counseling, services and referral, to promote and encourage abstinence from premarital sexual activity. SBHCs serve to reinforce lessons and messages embodied in the school's health education curriculum that abstinence is the most effective way to prevent pregnancy and sexually transmitted diseases. Abstinence is also emphasized for teens seeking treatment for diseases resulting from sexual activity. Leading Sexually Transmitted Disease Related Visits

Genital Wart Gonorrhea Exposure to STD T richomon iasis Chlamydia Other STD Gen ital Herpes Syp hilis Nongonococcal Urethritis

10 20 30 40

Number of Visits

30 2000-2001 Annual Report of the Adolescent School Health Initiative

31 2000-2001 Annual Report of the Adolescent School Health Initiative

Bogalusa High School Bogalusa Junior High School

24 2000-2001 Annual Report of the Adolescent School Health Initiative Advisory Board and Community Partners Bogalusa High and Junior High School-Based Health Center Alicia Applewhite Teacher, Bogalusa High School Janice Augustine Grandparent Bobby Black Judge, City of Bogalusa Rupert Breland Grandparent, Bogalusa School Board Rodney Brown Assistant Principal, Bogalusa High School Anna Busby Parent Dr. Roger Casama Washington Parish Coroner Charlotte Fornea Washington Parish Rape Crisis Celia Cutrer Parent Brenda Herring, RN Bogalusa School Board Venice Hughes Assistant Director/Data Coordinator, Bogalusa High School Health Center Mary Alice Klein Bogalusa High School Guidance Counselor Michelle Knight Parent Susan Magee, RN Director, Bogalusa High School Health Centers Alva Martin Principal, Bogalusa Jr. High School Karen McGhee Teacher, Bogalusa High School Misti Miley, LPN Director of Student Services, Bogalusa High School Health Center Dorothy Miller Board Member, Seven Acres Substance Abuse Center Dee Dee McCullough Bogalusa School Board Rhonda Penton, LPN Bogalusa School Based Health Center David Pittman Washington Parish Sheriff's Office Charles Purvis Social Services Manager, Bogalusa School Health Centers Jo Purvis Literacy Council James Raborn Principal, Bogalusa High School Mary Lou Revere Teacher, Bogalusa Jr. High School Lisa Tanner Teacher, Bogalusa High School Jay Varnado Counselor, Bogalusa High School +American Cancer Society Bogalusa High & JuniorHigh SBHC Staff +American Heart Association Susan Magee, RN +American Red Cross Tammy Stewart, RN* Program Director +DARE Venice Hughes Site Supervisor, BJHS +4-H Charles Purvis, Jr. Assistant Director/Data Coordinator +Bogalusa City Police Rhonda Penton, LPN* Social Services Manager +Bogalusa Heart Study Misti Miley, LPN** LPN, BJHS +Bogalusa Mental Health Michelle Knight* Manager Student Services +Children's Trust Fund Beverly Sheridan, RN BJHS Center Coordinator +"Just Say No" International Administrative Liaison, Bogalusa +Juvenile Probation/Parole Richard Hortman, MD Community Medical Center (BCMC) +Northshore Psychiatric Anna Busby, NP Physician/Medical Director +DHH's Office for Addictive Ruth Seal Nurse Practitioner Disorders Glenda Hopper Accounting, BCMC +Southeast LA Legal Services Quality Improvement, BCMC +Southeast Spouse Abuse +Therapeutic Counseling +Washington Parish Health Unit *Bogalusa Junior High Staff Only +WIC **Bogalusa High Staff Only +YMCA/YWCA

+ Indicates Community Partners 25

3 3 2000-2001 Annual Report of the Adolescent Sclzool Health Initiative

Seen at the SBHC or General Preventive , byCategory uring 2000-2001

498 I Head/Central Nervous System Sport, Camp &Job Physical Exam 391 Ear/Nose/Throat 244 Follow-up Exam General Preventive Medicine 12 184 Hepatit is Vaccine '13 M us cubs keletal/Trouina f_el_TEMIP 176 Routine Exam, General M edical/K1DM ED Screen Gastrointestinal Pregnancy Exam/Teste910 M vital Health 137 Measles, Mumps &Rubella Vaccine 9 Skin &Subcutaneous 98 tiffing, 72 Gynecology/Breast Tetanus-Diphtheria Vaccine 7

Dent al'Ora 53 Vision/I/ye Exa to 5

Pulino nary/R es p irate ry Ea r/limr ing Exam

0 200 400 0 50 100

Bogalusa High School-Based Health Center Center Opened: Bogalusa High SBHC August 15, 1995 100 M.J. Israel Drive School Served: Bogalusa, La 70427 Bogalusa High School Susan Magee, RN Director Total Enrollment in School: (504) 735-8695 808 (504) 735-8879 Fax Total Enrollment in SBHC: 777 Staff TotalVisits to SBHC: See Page 25 for Bogalusa Bogalusa Community Medical Center 1,962 High School-Based Health Beverly Sheridan, Grades Served: Center staff Director. Support Services Street 9-12,special education Bogalusa, La 70427 r havioral Health/ASues 0 Conditions for Injury & Illness 0-2001,by Category ed Vi .1During 2000-2001

Headache ifiMfij 118 470 65 Diseases of Nasal Cavit y &S Moses Environmental & Sit tiat 'anal Problem Nausea & Vomiting 73 47 Other Mental &Behavioral Health Problem Dysmenorrhea I Me nxt ma I Cramps IImp 69

Acute Nasopharyng it i(ColdNM 66 Emotion & hi oo d s Problem Dyspepsia (Upset Stomach/NM 63 Academic, Competency &Developmental top 43 Problem Sore Throat

Tooth Pain 38 Sexual Behavior Problem go 32 Sprain &Strain Substance Use &Abuse 29_ Abdominal Pain

50 0 200 400 26

3 4 2000-2001 Annual Report of the Adolescent School Health Initiative

s Seen at the SBHC or General Preventive 001, by C'ategory During 2000-2001

98 Head/ Central Nervous System Sport, Camp &Job Physical Exam 659 969 88 Par/ Nose/Throat Hepatitis Vacc inn Musculoskeletal/ Trauma 630 611 Routine Exam, General Med ical/KIDM ED 22 Gastrointestinal Screen 11 General Preventive Medicine 386 Ear/Hearing Exam69

Skin &Sub< utnneous 378 Vision/Eye Exam Menial HealthdElM188 Tetanus-Diphtheria Vaccine 8 Gynecology/ lir ea v 1 .10122 0 2 Eyes Pregnancy Exant,I est _ Dental/ Or al Hypertension ScreeningIV 1 0 200 400 600 800 1000 50 100 150

Bogalusa Junior High SBHC Bogalusa Jr. High School-Based I 403 North Avenue Health Center Center Opened: Bogalusa, La 70427 August I 5, 1997 School Served: Susan Magee, RN Director Bogalusa Junior High School (504) 735-8695 Total Enrollment in School: (504) 735-8879 Fax Tammy Stewart, RN Site Supervisor 480 (504) 735-9980 Total Enrollment in SBHC: (504) 735-7323 Fax 451 Bogalusa Community Total Visits to SBHC: Staff Medical (,einer 4,402 See page 25 for Bogalusa Beverly Sheridan, Grades Served: Junior High School-Based Director. Support Services 433 Plaza Street 7-8, special education Health Center Staff Boolusa, La 70427

avioral Health LS u es ondlit'Ons for Injury & Illness 000-2001, by Category gala r,isits During 2000-2001

/4 Headache Other Mental &Behavioral Walt h Problem 941 Dyspepsia (Also stoinach)MEM 317 Environmental &Sit Ws io na I Problem 5779 Throat Pammaw 187 Acad emic. Comp et ency &Developmental SERF 147 Problem Diseases of Nasal Cavity &Sinuses Emotion &Moods Problem Joint PainMa 141 Sexual Behavior Problem Abdominal PainIMIP 137

Sleep &Somatic Problem Dysmenorrheaimp 126

Feeding, Eating &Elimination Problem Acute Nasopharynge: t Cold)NO 89

Negative & Antisocial Problem Open Woundgig 81

Impulsive, Hyperactive or Inattentive Problem 1 Sprain &Straingg 7_1

0 50 0 200 400 600 800 1000

27 " %I 2000-2001 Annual Report of the Adolescent School Health Initiative

qeda eivie geeteid Sdaa6 a-904 4,:eid code/tad awee Aaleeta at

Capitol High School Glen Oaks Middle School Glen Oaks High School Istrouma High School Northeast Elementary School Northeast High School Prescott MIddle School Westdale Middle School 28

E3 2000-2001 Annual Report of the Adolescent School Health Initiative

Health Care Centers in Schools Board of Directors, 2000-2001

Cindy Bishop Marilyn Reynaud, MD, MPH John Howe, MD Checkmate Strategies Office of Public Health, Region II LSUMC, Family Practice P.O. Box 80053 1772 Woodalc Blvd. 5825 Airline Highway Baton Rouge, LA 70898 Baton Rouge, LA 70806 Baton Rouge, LA70805 (225) 923-1599 Voice / 929-3993 pager(225) 925-3842 / 925-7245 (225) 358-1210 / 358-1211 fax (225) 923-3630 fax [email protected] (225) 237-3933 pager [email protected] Holley Galland, MD Stan Shelton Pat Robinson Earl K. Long Hospital Woman's Hospital Blue Cross/Blue Shield 5825 Airline Highway P.O. Box 95009 5155 Jackson Avenue Baton Rouge, LA 70805 Baton Rouge, LA 70895-9009 Baton Rouge, LA 70806 (225) 358-1215 / 358-1211 fax (225) 924-8645 / 924-8646 fax (225) 295-2206 / 297-2623 Fax [email protected] [email protected] [email protected] Lillian Grossley Thomas Cocke, JD Gwendolyn Miller, RN Hibernia Bank Adams & Reese East Baton Rouge School System 440 Third Street 451 Florida Street, 19th Floor 1584 North 43rd Parish Baton Rouge, LA70801 Baton Rouge, LA70801 Baton Rouge, LA 70802 (225) 381-2301 / 381-2008 fax (225) 336-5200 / 336-5220 fax (225) 226-4727 / 226-4610 fax [email protected] [email protected] Kirk Wilson Gwynn Shamblin, PhD. OLOL Regional Medical Center Virginia Pearson East Baton Rouge Parish School System 5000 Hennessy Blvd. Greater Baton Rouge Health Forum 1584 North 43rd Street Baton Rouge, LA70808 7777 Hennessy Blvd. Suite 1004-134 Baton Rouge, LA 70802 (225) 765-8902 / 765-8305 fax Baton Rouge, LA 70810 (225) 226-4727 / 226-4610 fax [email protected] (225) 765-7708 / 766-0218 fax [email protected] [email protected] J. Phillip Woodland Cynthia Prestholdt, RN, PhD. Greater Baton Rouge Federation of Southeastern Louisiana University Churches and Synagogues School of Nursing 1936 Myrtledale Avenue 933 W. Lakeview Drive Baton Rouge, LA70808 Baton Rouge, LA 70810 (225) 356-98901 / 334-0503 fax (225) 765-2324 / 765-2315 fax [email protected] [email protected]

Eight Baton Rouge sites are operated under one governing body. Support and other funding sources are listed below. LSU Health Sciences Division YWCA of Greater Baton Rouge Southern University School of Nursing Earl K. Long Memorial Hospital Louisiana Children's Trust Fund Blue Cross/Blue Shield Our Lady of the Lake Nursing SchoolWoman's Hospital Academic Distinction Fund Capital Area United Way Public Education Network Junior League of Baton Rouge Frost Foundation Greater Baton Rouge Fair FoundationIstrouma Early Head Start Center Our Lady of the Lake Regional East Baton Rouge Parish School System Medical Center Glen Oaks Early Head Start Program Baton Rouge Area Foundation 29 2000-2001 Annual Report of the Adolescent School Health Initiative

Glen Oaks Middle School Level Westdale Middle School Level Istrouma High School Level Advisory Committee Advisory Committee AdvisoryCommittee Leroy Carter, Principal Sherry Brock, Principal Elisha Jackson, Principal Clara Chambers, Chairperson Dwain Desseu, Community Moses Williams, Business, Exxon Tanya Hamlin, Teacher Melvin "Kip" Holden, Community Terry Robbillard, Business, UPS/Parent Clara Brooks, Teacher Linda Bray, Teacher Cora Collins, Teacher Isaiah Meyers, Teacher Dolores Marshall, Teacher Gwen Freenman, Teacher Doris Bell, Parent Clare Rochester, Teacher Janet Cundiff, Teacher Anthony Morgan, Parent Shirley Williams, Teacher Denita Judson, Support Staff Cheryl Jones, Parent Mary Mikell, Support Staff Charlotte Provenza, Support Staff Lee McCaleb, Parent Diane Knobloch, Support Staff Carolyn Rushing, Parent Deidre Gondron, Support Staff Linda J. Jackson, Parent Marlon Cousin, Teacher Kelly Johannessen, Business Pamela Riley, Parent Anne Plaisance, Asst. Principal Maureen Harbourt, Business Rosemary Gunning, Parent Margaret Miller, Teacher Connie Robertson, Parent Dianne Pizzalotto, Support Staff Eula Henry, Parent Mary Gray, Support Staff Darryl Foster, Student Charisma Ramsey, Student Northeast Elementary School Level Northeast High School Level Advisory Committee Advisory Committee Mary Nell Dominique, Principal Ulysses Joseph, Principal Cindy Jones, Assistant Principal Vera London, Chairperson, School Randy Lamana, Co-Chair, School Improvement Team Improvement Team (Parent) Tammy Lamana, Co-Chair, School Improvement Team Sandra Davis, Teacher Cindy Blanchard, Teacher Marilyn Sanders, Teacher Fredda Lamonte, Teacher Madis Titus, Teacher Jerrie Booker, Teacher Genevieve Ross, Teacher Rocky Peel, Parent Wayne Jackson, Support Staff Alma Knighten, Community Leader Jolene Croft, Parent Eugene Lockhart, Community Leader Katherine Lemelle Joan Jones, Community Paula Pourciau Mrs. Yaun, Parent Ruth Frost Mrs. Whitmore, Parent Laurence Carter, Business Alma Knighten, Business De'Etra Young, Student Vincenet Perry, Student Capitol High School Level Glen Oaks High School Level Advisory Committee Prescott Middle School Level Advisory Committee Mr. Elton Blunt, Principal Advisory Committee Mrs. M. Henry, Principal LTC Lawrence Hurst, Chair, Teacher Armond Brown, Principal Mr. C. Boggan, Teacher Ms. Joan Arrington, Teacher Gussie Trahan Mrs. Guillot, Teacher Mrs. Carolyn Deer, Teacher Lynda Smith, Support Staff Mr. London, Business, Exxon Mrs. Judy Rice, Teacher Pat Sziber, Support Staff Mrs. M. Anthony, Parent Mrs. Loran Termine, Teacher Ronda Bankston Mr. Stout, Parent (Security Dad) Mr. Grelyn Thomas, Teacher Tammy Johnson Mrs. V. Huggins-Simmons, MSW Mrs. Leigh Harris, Community/Business Pearl Porter, Parent Kimberly Singleton, Student Mrs. Valarie Jones, Community/Business Beth Waltner Roderik Royal, Student Mr. Herman Lee Gray, Parent Lana Kent Catina Guerin, Support Staff Mrs. Sonya Bookter, Parent Allen Smith Mrs. Julie Jacob, Parent Sampson Carrell, Teacher Brandi Carter, Student Dr. Wymez Tareka Chube, Student Ms. Estes Courtney Pitts, Student Mrs. Nora McCarstle, RN (Health Center), Support Staff Ms. Allyn Goff, FNP (Health Center), Support Staff Ms. Latondra Crear, MSW (Health Center), Support Staff Ms. Cassandra Richard, Clinic Coordinator (Health Center), Support Staff Mrs. Flora Fullwood, Support Staff Mrs. Eloise James, Support Staff 30 2 0 0 0-2 0 0 I Annual Report of the Adolescent School Health Initiative

Seen at the SBHC or General Preventive 1 by Category '4*4uring 2000-2001

General Preventive Medicine 48 Follow-up Exam Skin &Subcutaneous 43 79 40 Mental Health Sport, Camp &lob 21 36 Physical Exam Gastrointestinal 31 Head/Central Nervous Systcm Hepatitis Vaccine 30 M us culo s 'oleo I/Traurna Measles. M umps & Ear/Nose Thro atMMEMP 22 Rubella Vaccine 17 Gynecology/Breast Neu 113 trey SxamiTcst 3 EycsMM. 16 STD Screendi Pulmonary/RespiratoryM. 9

0 20 40 60 80 0 20 40 60

Capitol High School-Based Center Opened: Capitol HiQh School-Based Health Center Health Center 2001 2550 Bogan Walk Schools Served: Baton Rouge, LA 70802 Capitol High School (225)338-9371 (225) 343-7375 Fax Park Elementary School Total Enrollment in Schools: Staff 1,507 Nora McCarstle, RN Total Enrollment in SBHC: Latondra Crear, MSW Health Care Centers in Schools 269 Cassandra Richard, Clinic Coordinator 6650 Cedar Grove Dr. Total Visits to SBHC: Mobile Staff Baton Rouge, LA 70812 359 Allyn Goff, NP Sue Catchings, MA, CBES Executive Director Grades Served: Dorothy Woods, Community Health Outreach Worker Geiri Brewer, BA PreK-1 2 Operations Administrator

tavioral Health Issues ,1117:1p "eolatitTolsil4forInjury & Illness 000-2001, by Category 414'tk'elated VisitsDuring 2000-2001

30 17 I kadache Other Mental £ Behasioral I kcah h Problen ASS oariaiii pain 30

Emotion &NI nods Problem 15 In505.1:nspe, Su, 10 Sexual Bolutvknr Problem Ring worm

Absence of M ensttnal AIM 9 Academic, Competency &Developmental Problem 7 Rush &Other Skin Eruption I/ceding. Eating &Elimination Problem Co Muncy wit isEEO 7

Negative &Amis.:ill Problem Other Disease of Nasal Cavity &S musesNEN 6

10 20 0 20 40

31 2000-2001 Annual Report of the Adolescent School Health Initiative

een at the SBHC General Preventive by Category During 2000-2001

General Preventive Medicine Follow-up Exam Nlental Health 347 597 241 231 Vision(Eye Eva in 117 M motto s ke kt aliTra unut 101 Spy n.Camp &lob Physittal Psain Ea riNos e/Thro a t 184 diimmp60 Skin &Subcutaneous 174 IIcral,tis vaccine 46 IkadiCentral Nervous 138 Rout ine Evain. Gene la I NI ed icaltKIDM ED Screendiem System dip12 112 Nle,sslco. Stumpy &Rubella Vat:eine 10 Gastrointestinal111MP 97 Teranirt.thplitlIVIVace lac 4 Pulmonary/RespiratoryMP 85 Combined Vaccine

Demo kOraMr 52 Counseling0 4

0 200 400 600 0 50 100 150 200

Glen Oaks Middle School-Based Glen Oaks Middle SBI-1C Health Center Center Opened: 5300 Monarch Dr. 1993 Baton Rouge, LA 70811 School Served: (225) 357-6119 Glen Oaks Middle School 1225)357-1841 Fax Total Enrollment in School: 642 Staff Total Enrollment in SBHC: Christy Atchison, RN 587 Deidre Gondron, BCSW Yihone Zheng, MD Health Care Centers in Schools Total Visits to SBHC: 6650 Cedar Grove Dr. 2118 Malinda Brown, Clinic Coordinator Baton Rouge. LA 70812 Mobile Staff Sue Catchings, MA, CHES Grades Served: Beth Edwards, NP Executive Director 6-8 Gerri Brewer, BA "Operations Administrator nnomrnan T."',11rva 0.1177 avioral HealthIssues Top 10 conditions for Injury & Illness 00-2001, by Category '4161ated,Vis' uring 2000-2001

/1 Bead ache Other Mental &Behavioral I kakis Problem 113 172 A bd o mina I Pain 52 Academic. Con-Timmy &Developmental411111M1 76 Problem Sup mile iaInjury to Eyelids & Perin cub r ArcaNEM= 55 tippet Ru. p ira tory Infect ion 40 Emotion &Moods ProblemWM 55 Injury. I/nnpna SiloelliMINNO 48 Environmental &Situational Problemijimp 38 Throat Pa inMEN35 Illness-Related Behavior P rob kmI7 NI Yale ia & NI yo s it isMN= 34 Injury. Knee. Leg . Ankle. FootMIMI31 Feed ing , Eat ing &Elisninalion P to b lent0 1 A Ilerp ic R hint, isAMP 28 0§611P 26 Atypical Behavior Problem Chet: t Pain

0 50 100 150 0 50 100

4 0 2000-2001Annual Report of the Adolescent School Health Initiative

,Seen at the SBHC nr, General Preventive 1, by Category During 2000-2001

General Preventive 188 M edicine 601 Sport, Camp &Job Physical Exam M enta I Health 352 164 275 Hepatitis Vaccine MusculoskeletaETrautna rnllow-up EvainMIMI/ 84 Ear/Nose/Throat411111111. 220 44 Head; Central Nervous 188 Rout ito Exam, General M SerconGail System Measles, Mumps &Rubella VaccineMEP 44 Skin &SubcutaneousdMIMP 126 1110 25 Gastrointestinaldlip 126 Ter anus.Diplahetia Vaccine dump 84 VS io at Eye Exam20 Gynecolog yl Breast ap 18 Dent a liOraimp 62 PPD

EyesM-6-3 Pregnancy Esainqest

0 200 400 600 100 200 300

Glen Oaks High School-Based Ulen Oaks High SBHC Center Opened: 6650 Cedar Grove Dr. Health Center 1997 Baton Rouge, LA 70812 School Served: (225)355-9759 Glen Oaks High School (225) 355-8650 Fax Total Enrollment in School: Staff 910 Dorothy Pate, RN Total Enro.11ment in SBHC: Veronica Huggins-Simrnons,M SW 693 Catina Guerin., Clinic Coordinator Icalth Care Centers in Schools Total Visits to SBHC: Jule Assercq, MD 6650 Cedar Grove Dr. Baton Rouuc, LA 70512 2,249 Mobile Staff Sue Catehings, MA, CHES Grades Served: Beth Edwards, NP Executive Director 9-12 Dorothy Woods, CHOW Gerri Brewer, B A Operations Administrator

avioral Health IsAues for Injury & Illness 000-2001, by Category During 2000-2001

133 M cola) &Behavioral Health Problem Ileadaoly 107 126 169 Environmental &Situational Problem Injury. Cnspec Sits 82 Other Diseases of Nasal Cavity &Sinuses Atyp ical Behavior ProblemMEN 43 Dys Mello It boa 70 Emotion & Moods ProblemMEN 36 Tbioal Pain 61 Academie, Competency &Developmentalalla 25 Problem Abdominal Pain11111111111111111 47 dp 4 Sexual Behavior Problem Dyspepsia (Upset Stomach)1111P 38

01. 2 Paw in Jo intSEM 32 Negative &Antisocial Problem 111; 2 Tooth PainMID 32 Feeding. Eating &Elimination Problem ffigig 25 Rash &Other Skin Eruptia n

50 100 150 0 50 100 150

41 2000-2001 Annual Report of the Adolescent School Health Initiative

een at the SBHC roGeneral Preventive 1 by Category During 2000-2001

General Preventive Medicine o lie tv.alt Evil Ili Mental Health=111'ailiMP830 Epat it n. Vaccine Ear/Nose/Throat 248 Sport . Carry &Job Phys.:al Eva 111 M us ulo s kelet al/TraumaMN= 216 Healt h 188 C000elimsg Counseling/Education lab avant Skin &Subcutaneous 168 Measles. Mumps &Rubella Vaccine Pulmonary/RespiratoryOM 109 GastrointestinalMI 98 Rout inc Eva M. tiiinoral M ed icall

Dent aVOralIN 70 Root ine Infant or Child I cabS Cheek 0 200 400 600 800 50 100 150 200

Istrouma High School-Based Istrourna High SBI-IC Center Opened: 3730 Winbourne Ave. Health Center 1987 Baton Rouge, LA 70805 Schools Served: (225) 355-6084 or 355-6085 (225) 355-8650 Fax Istrouma High School Istrouma Early Head Start Center Staff Total Enrollment in Schools: Denita Judson, RN 978 Trinicial Johnson, MSW Total Enrollment in SBHC: Eliza Davis, (CHOW) 845 John Howe, MD Health Care Centers in Schools 6650 Cedar Ofoye Dr. Total Visits to SBHC: Istrouma Early Head Start Center Baton Rouge. LA 70812 2,595 Martha Pope, MD Sue Calchings. MA. CBES Grades Served: Mobile Staff Executive Director 9-12 Tracy, Parker, NP Gerri Brewer. BA Operations Administrator lavioral Health Issues 'Top I In orulnyons for Injury & Illness 000-2001, by Categog eThftd ,:liV1;;During 2000-200.1

kadaehe 77 81 Other Mental &Behavioral Health Problem Allergic Rhinit is 150 70 Environmental &Situat ional Problem 84 Dys arena I rhea 53 Academic, Competency & Developmental 56 Upper Respiratoty lnfeetion Problem knory. Um pee SiteEMEND 5° 55 Atypical Behavior Problem Acme Nasop hasyng (Cold)IEMEN 39

Emotion & Moods Problem Pain Ot 1E611OMB 38

Dy, peps a (Upset Stomach) TJ36 Sexual Behavior Problem Ohm Diseases of Nasal Cavity &SinuseseiMa 33 Feeding. Eating &Elimination Problem Abdominal Pam 27

50 100 50 100 150

4 2 2000-2001 Annual Report of the Adolescent School Health Initiative

een at the SBHC or General Preventive by Category During 2000-2001

Genera l Prevent ive Medicine io n/ Esam 95 193 Far/Nose/Throat Fo no ivup Esamism 44 .InncaIllnnlcIt Routine Exam, Deneral Med icaVKIDM Screen

S k in &S nbc ut aneous Emil [eating ExamIMP 23

Gast rointst ina I Dip t het iasTet a nos Vaccine11. 17 dig16 Head/Cent ra I Mervin. Syst ern I 11 Muse 000,1H:11/Trauma Sport. Camp &Itch Physical Exam1 Pulmonary/Respiratory General Med ical Exam 6 Measles. Slumps &Rubella V ace mc Eyes 4 Dental/Oral 200 400 50 100 150 200

Northeast Elementary School-Based Health Center Center Opened: Northeast Elementary SBHC 1997 16477 Pride-Port Hudson Rd. School Served: Thde, LA 70770 Northeast Elementaty School (225) 654-4830 Total Enrollment in School: Staff 667 Laura Whittington, RN Total Enrollment in SBHC: Raegan Carter, MSW 634 Anne Nelson, MD Health Care Centers in Schools Total Visits to SBHC: 6650 Cedar Grove Dr. Kim Boyd, Clinic Coordinator Baton Rouge, LA 70812 2,525 Mobile Staff Sue Catchings. MA. CBES Grades Served: Tracy Parker, NP Executive Director K-6 -Gerri Brewer. BA Operations Administrator havioral Health Issues 9 ,onOions forinjury & Illness 00-2001, by Category Daring 2000-2001

203 IL:attache Negative & Antisocial Problem 162 66 140 Abdominal Pain Environmental &Situational Problem 64 108 Academic, Competency &Developmental Probkm Allergic Rluouiun 01111. 27 100 Negative &Antisocial l'rohlnin finoal Pain Emotion &Moods ProblemMai 25 9 (halve, (Eamelic IIMO 58 Mental Disoldets Myalgia &MyositisMin 55 Atypkal Behavior Prob km 9 8 Feeding. Eating &Elimination Problem WoundNM 43 0 1 impulsive, Hypoactive ni Inattentive Prohlom Insect lineMD 38 Sexual Behavior Problem Other Diseases of Nasal Cavity & SinusesMg 36 0 50 100 150 100 200

4 3 2000-200 I Annual Report of the Adolescent School Health Initiative

Seen at the SBHC General Preventive 01, by Category During 2000-2001

General Preventive 532 Med icine /71 141 Mental Walt h 278 bpatit is Vaccine 243 131 M c ulo s ke let a PTrauma Fo an wap Exam !lead /Cent ral Nervous 95 157 Vis ion' tiye Exam System 75 Skin &SubcutaneousMEW 116 Sport. t amp &Joh Physical Exam Pulmonary/Rasp irutoryMir 97 Rout ine Exam General Medical:K.1DM ED ScreenIBM 32 Ear/Nosc/ThroatMg 82 Tot anus.Diptheria VaccineGIN 23 21 Cas t ro int cs t inaldig 53 Measles, Mumps & R sheila Vaccine 49 9 Gynecology/Breast Ear/I 'caring Exam .10_46 2 Eyes STD Screen

0 200 400 600 50 100 150

Northeast High School-Based Health Center Center Opened: Northeast High SBI-1C 1997 12828 Jackson Rd. School Served: Zachary, LA 70791 Northeast High School (225) 658-0293 Total Enrollment in School: Staff 465 Gail Lamb, RN Total Enrollment in SBHC: Deanna Wall, MSW 441 Tikita Jenkins, Clinic Coordinator Health Care Centers in Schools Total Visits to SBHC: 6650 Cedar Grove Dr. Anne Nelson, MD Baton Rouge, LA 70812 1,756 Mobile Staff Sue Catchings, MA, CHES Grades Served: Beth Edwards,NP Executive Director 7-12 Gerri Brewer, BA Operations Administrator

thavioral Health Issues roondiUons far Injuly & Illness 000-2001, by Category eta7id1;isit;4During 2000-2001

1 k ad ache 91 I 136 Environmental &Situational Problem 77 roper R es p ir a try infection Other Mental &Behavioral I kalth Problem 71 55 33 Kyp ho s co s isIS co s Academic. Competency &Developmental Problem Pain in Joint 46 Emotion &M oods ProblemMEP 23 1111111111123 Injury. Uns pee doegOIP 40 Atypical Behavior Prohlon 41.0 14 DysincnortheaMEM 37 SC Sea I Behavior Problem digiEp 26 Feeding , Eat Mp &Elittiitr.ttinn ProblemIMP 13 All tgiv Rhimiti

hnpulsive. Hyperactive or Inattentive Problem 5 Throat Pain 23 2 Sleep &Somatic Problem Other 23 Ellneas-R elated Behavior Problemg)_1 Alt rasksn o r Trier ion Burnpia; 20 0 50 100 0 50 100 150 36

4 4 2000-2001 Annual Report of the Adolescent School Health Initiative

een at the SBHC General Preventive by Category uring 2000-2001

General Preventive/1 338 Medicine 450 714 Follow-up Exam MusculoskeletaVTrauma 156 411 Vision/Eyc Exam Mental Health 60 Head/Central NervousdEEE:0 245 Routine Exam, General Med ical/KlDM ED Screen System 148 Sport. Camp &Job Phvs bid ExamMEP 47 Ear/Nose/Throat fiN ao mom 115 Ter anus-Diphtlxrria Vaccine Skin &Subcutaneous mg 34 Inpat itix Vaecie Gastrointestinal loo Earil baring Exam0 7 EyesIMP 78 Prenatal Care# 6 Dental/OralI= 78 Counseling0 3- Gynecology/Breast/OW 73

0 200 400 600 0 100 200 300 400

Prescott Middle School-Based Prescott Middle SBHC Center Opened: 4055 Prescott Rd. Health Center 1993 Baton Rouge, LA 70805 (225) 357-6085 School Served: (225) 355-2672 Prescott Middle School Total Enrollment in School: Staff 842 Lynda Smith, RN Total Enrollment in SBHC: Charles Martin, BCSW 758 Venisha Judson, Clinic Coordinator lealth Care Centers in Schools Total Visits to SBHC: Anne Nelson, Mll 6650 Cedar Grove Dr. Baton Rouge. LA 70812 2,506 Lila Luke, MD Sue Catchings, MA. CHES Grades Served: Mobile Staff Executive Director 6-8 Tracy Parker, NP Gerri Brewer, BA Operations Administrator rImr+Tr avioral Health Issues Top '9'Conditions for Injury & Illness 000-2001, by Category Related Visits During 2000-2001

139 Other Mental &Behavioral health Problem Injury. Unspm: Site 134 231 295 Atypical Behavior Problem Headache 84 Academic, Competency &Developmental Problem lisp hexer, hosts:S.1E, is 189 gip21 71 Environmental S.: Situat io nal Problemam 21 Dys ow no 11 Ilea Emotion &Moods Problem Tooth PainAIM 54

Negative &Antisocial ProblemIP 9 Throat PainAMP 89 amp 42 Sexual Behavior Problem 3 Abdominal Pain

Feeding, Eating &Elimination Problem0 3 then Diseases o S Nasal Cavity A:SinusesMill 36

Ulness-Related Behavior Problem Dyspepsu Wps et Stomach)/ED 28

0 50 100 150 too 200 300

4 5 2 0 0 0- 2 0 0 I Annual Report of the Adolescent School Health Initiative

een at the SBHC or4General Preventive / by Category uring 2000-2001

302 Mental Health 300 General Preventive Medicine Follow-up Exam 257 Ear/Nose/Throat 0=1:=F19 61 235 Routine Exam, General M ed ical/KIDM ED Screen M us culo a ke Iota VTrauma Vision,Eye Exam 47 222 Head/Cent ral Nervous System dig 19 211 Combined Vaccine (lastrointestinal 10 Epat it is Vaccine Skin &Subeutoneous 180 Sport , Camp &J ob PhyNical Exam10 Dent a Ii OralA1111111173 Ear? I Paring Exam0 5 Eyes 69 1 4 Gynceo log yAireastMO 69 Counseling

100 200 300 50 100 150

Westdale Middle SBHC Westdale Middle School-Based Center Opened: 565Utlaycut Rd. Health Center 1987 Baton Rouge, LA 70806 School Served: (225) 922-2843 Westdale Middle School (225) 922-2845 Fax Total Enrollment in School: Staff 706 Glenda Peeler, RN Mtal Enrollment in SBHC: Mary Mikell, BCSW 706 Andria Soletc, Clinic Coordinator Total Visits to SBHC: Sharon Werner, MD Health Care Centers in Schools 6650 Cedar Grove Dr. 1,989 fohn Hoppc, MD, Volunteer Baton Rouge, LA 70812 Grades Served: Mobile Staff Sue Catchings. MA, COES 6-8 Allyn Goff, NP Executive Director Dorothy Woods, CHOW Gerri Brewer. BA Operations Adnlinistrator uvioral Health Issues conoipons for Injury & Illness 000-2001, by Category tRela*I. VAitiDuring 2000-2001

170 Other Mental & Behavioral lkahh Problem 203 ISM 40 l bad an he Environmental &Situational Problent Abdominal Past 89 Academie. Co mp etertey &Developmentaldir 36 Dysperria (Upset Stomach)EERag 73 Problern 111.1, 34 Sprain/MI-dm 60 Atypical Behavior Problem MEM 50 dip 11 Throat Pain Impulsive. Hyperactive or lnal tern ive Problem Atlergiar RhinirucMEMO 46 41 Etnot ion &Moods Problem 7 1.imb Pain Tooth PainMN 39 Negative &Antisocial Problem0', 3 ill HysmcnorrhesAMP 38 Feeding. Eating & Eliminat ion Problem Ntrralhix &M) ni.iSEE9 33

100 200 0 50 100 150 200 250

4 6 2000-2001 Annual Report of the Adolescent School Health Initiative

George Washington Carver High School Booker T. Washington High School

4 7 2000-2001 Annual Report ofthe Adolescent School Health Initiative

Seen at the SBHC or ,General Preventive 1 by Categmy tying 2000-200l

General Prevent ise Medicine Combined Vaccine (hnomnizto ion) Health Counse Educa ion 655 980 221 295 Sport, Gaol, &doh Physical Esam Nieman-Babb 501 142 R,F-Ye NILINI,Iloske less lacatinuaffiliffia 324 114 310 Ravi leaning Exam Skin &Subcutaneous Lab Exam 77 tlead/CentralNervousSysi einMEM= 258 Follow-td, ExamEMS 62 Ga struinte in ins I/MEN 255 31 243 STD Seincll Ear% NosriThroat 0 6 146 Pregnancy Exam/Te Gynecology/Breamdim 4 scrn(Any,,,pi0 made) hc011111_94 0 100 200 300 0 200 400 600 800 1000

GW Carver SBHC 3059 Higgins Blvd. GW. Carver High School-Based Center Opened: New Orleans, LA 70126 Health Center March 1988 Schools Served: Joan Thomas, MSW, Director (504) 940-2657 GW. Carver Jr./Sr. High (504) 940-2675 Fax and Helen S. Edwards Elementary School Total Enrollment in Schools: Staff 1,886 Joan C thomas, Proaram Director Beverly Bernard, RN Total Enrollment in SBHC: Clint Ball, Public Health Educator 1,356 Phyllis Carter, Social Worker City of New Orleans Total Visits to SBHC: Rosemary Armor, Medical Attendant Health Department 4,302 Shelia Webb, Director Dr. Mark Del Carso, MD Grades Served: Dr. Edward Madison, MD 1300 Perdido St.. Suite 8E13 New Orleans, LA 70112 Dr. Ken Gautier, MD 1-12 Harry Anthony Wilson, Data Entry/Administrative Assistant ehavioral Health Issues onditions for Injury & Illness 000-2001, by Category dated Visits During 2000-2001

Aead enRe. Co ingot silty & Developmental Pro b lern IL:adds:1v 121 236 Environmental & S dual io nal Problem Sprain:Strain

Other NI ent al & Behavioral Ileall h Problem Abdominal Pain 111

Emotion &M roods Problem Upper Respiratory Wes:lion 110 103 Fred ing, Eating & Etirninalion Problem Dys monohea Illness-Related Behavior Problem Dy- p p (Up I St hifiiP 72 Alypinrlbohisvior Problem Pharyng its 59

impulsive. I lyperact ive or Inattentive Pro b loin Wo undINEEMP 56

Sleep &Somatic Problem Allergic Rhiniti,gi;P? 43

Semial Behavior Problem AstlamNEMO 43

0 100 200 300 100 200

4 8 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

Theresa Nash Supervisor, OPS Medical Department Carol Jefferson St. Marks Community Center Ronald McClain Children's Bureau Dominique Wheeler St. Phillip Social Service Center Viola Francois Welfare Rights Organization Morris F. X. Jeff, Jr. Director, City Human Services Department Clyde Robertson Director, African Studies Department, New Orleans Public Schools Linda Richard, RN Registered Nurse, G.W. Carver School Nurse Vernon Shorty Director, Desire Narcotics Rehabilitation Percie Ann Rodney Counselor, G.W. Carver School Reverend Jerry Darby Religious Leader Johnny Jackson, Jr. Alumni, G.W. Carver School Gail Glapion Director, YWCA Jacquline Harvey State Office of Family Planning Naomi White-Warren Louisiana State Representative Frankie Daniels Parent, G.W. Carver School Sadie Esco Parent, G.W. Carver School Andria Polk Parent, G.W. Carver School John Mosley African-American Male Institute, Inc. Margret McMillian Parent Student Teacher Association Dot Wilson Director, Desire Florida Area Community Council Randolph Howard Infinity Program Lillie B. Jefferson PSTA President/Edwards Elementary Ms. Peters Desire Residence Council Ms. Desiree Williams Williams President, Florida Residence Council Ms. Deborah Davis Desire Residence Council Katherine Florent Director, St. Phillip Parish Council Ellen Hazure-Distance Councilperson District E Sallete Berryhill PTSA Vice President/Edwards Elementary Jennifer Turner Community Book Center Kenneth Boyd Principal, Helen Sylvania Edwards Elementary School Dr. Susan Berry Medical Director, LSUHSC Mr. Theodore Jackson Principal, George Washington Carver Jr./Sr. High School

New Orleans Health Department St. Phillip Social Service Center New Orleans Public School Medical Dept. LSUHSC Stanley Scott Cancer Center Children's Bureau Tulane School of Public Health African-American Male Institute Great Expectations Mountain Climbers Unlimited Inc. Second Harvest Food Bank YWCA Xavier University Family Life Center United Medical Center NO AIDS Task Force Community Book Center Sankofa Communiversity Revlon Run/Walk DNRC Desire Florida Area Council Dillard University Southern University Greater New Orleans Foundation LSU Medical School Kids In Distressed Situations Louis Armstrong Manhood Development Program LSU Pediatric Associates German Protestants Orphan Fund New Orleans Police Dept.-Crime Prevention Unit New Orleans City Dept. of Human Services Daughters of Charity-Neighborhood Health Partnership 41 4 9 2000-2001 Annual Report of the Adolescent School Health Initiative

Seen at the SBHC or General Preventive 01, by Category uring 2000-2001

446 219 General PreveM ive Med kir. Combined Voce Mat ton 307 61 Menial Health rollo sv-up liAamgm. M us cub s keleial,Trauma .11111110 132 Sport Camp .001 Physical ExamMEP 54 121 Bead/Central Nervous System Iierms'ral bled ical Exam020 Skin &SubcutaneousWM/ 114 Routine Exam, General hI ed ical,KIDNI ED Screen0 18 Dental/OralMEP 99 Dental Examill 14 Oastroiniest inalMEP 88 13 Ear/Nose/ThroatMID 88 Pregnancy Exam 56 Oynceology/Breastmg STI) S creel; 9 op36 0 1 Pulmonary/Respiratory IRV Screen I Asympi omatic I

0 200 400 100 200

B.T. Washington High School-Based Center Opened: B.T.Washington High SBHC Health Center September 14, 1994 1201 S. Roman Street School Served: New Orleans, LA 70125 (504) 565-7567 Booker T. Washington High (504) 592-8369 Fax Total Enrollment in School: 598 Mary Little-Green, M.N., R.N.C. City of New Orleans Total Enrollment in SBHC: Director Health Department 545 Shelia Webb, Director Susan Berry, MD, Medical Director 1300 Perdido St., Suite 8E13 Total Visits to SBHC: New Orleans. LA 70112 1,634 Staff Grades Served: See page 43 Excelth, Inc. Mike Andry 8.5-12 1515 Poydras St., Suite 1070 New Orleans, LA 70112 avioral Health Issues tqllis for Injury & Illness 000-2001, by Category its During 2000-2001

115 I kadaehe Environmental& Situational Problem Denial Corks 78

190 Pain in Joint 60 Other Mental& Dyspepsta I Upset Stomach) 57 Behavioral Health Problem m no rEna 51EM 44

Sprain &Strain 35 Sexual Behavior gam26 Problem Wound Upper Respiratory Infection 23 mg20 Suboanee Use & Abrasion or Friction Burn Abuse Probkm Abdominal Paul fSEP 17

50 100 150 100 200

42 50 2000-2001 Annual Report of the Adolescent School Health Initiative

Staff

Mary B. Little-Green Administrative Director Valerie Dobbins, RN Registered Nurse Ellis Lindsey, BCSW Mental Health Counselor Fabiola Tally Administrative Assistant/Data Entry Clerk Angela Johnson-Thomas Medical Assistant Mark DalCorso Physician Kenneth Gautier Physician Edward Madison Physician Rayfield Lotten, DDS Dentist Joseph McDaniels Dental Assistant

Advisory Board and Community Partners

Michael Andry CEO, Excelth, Inc. Diana Bajoie Louisiana State Senator Cheron Brylski Public Relations, Brylski, Inc. Gloria Calway President, Booker T. Washington PTA Carolyn Green-Ford President, New Orleans School Board Paulette Irons Louisiana State Senator Jeffery Jackson Ret. Major, U.S. Army Beverly Johnson Principal, Walter L. Cohen Sr. High School Barbara Lacen Administrator, Central City Health Clinic Arthemease Bloxson-Melancon President, Eldercall, Inc. Renee Gill Pratt Louisiana State Representative Ronald Taylor Principal, Booker T. Washington High School Oliver M. Thomas Council Member, District B, New Orleans City Council Jim Singleton Councilman-At-Large, New Orleans City Council

American Heart Association DARE La. Children's Trust Fund DHH Office for Addictive Disorders DHH Office of Mental Health, Region I Delgado University Dillard University YMCA/YWCA Southern University at New Orleans Xavier/Tulane Collaborative for Women's Health LSU Health Sciences Center Children's Hospital Council on Alcohol and Drug Abuse New Orleans Substance Abuse Clinic New Orleans Adolescent Hospital 2000-2001 Annual Report of the Adolescent School Health Initiative

St. Martin !Parish Scheol 113card

P.C. Ilex 1,154 St. Martirnifle. I ouhlana 103S2

Breaux Bridge Cecilia St. Martinville 2000-2001 Annual Report of the Adolescent School Health Initiative

The three St. Martin Parish School Board sites operate under one Advisory Board and have parish-wide community partners. The following pages provide information on each of the sites.

Advisory Board Members & Community Partnerships

Roland J. Chevalier Superintendent, St. Martin Parish School System Dianne F. Olivier Director of Curriculum and Instruction, St. Martin Parish School System Sheila Robson Research Analyst, Lafayette Health Ventures Billy Guidty Financial Director, St. Martin Parish School System Angela McFaul Title I Supervisor, St. Martin Parish School System Nadine Cain Child Welfare and Attendance Supervisor, St. Martin Parish School System Edmee Dejean Coordinator, Safe and Drug Free Schools and Communities Sharon Johnson Teacher Facilitator, St. Martin Parish School System Burton Dupuis Director, Gary Memorial Hospital Roy Hawkins Principal, Breaux Bridge Junior High School Eddie Cormier Principal, St. Martinville Primary School Mary Lynn Thibodeaux Director, Housing Project Joe Gregory Director, Parent & Housing Project Joseph Jarreau Principal, Cecilia Junior High School Gloria Kern Director, Breaux Bridge Freedom Recovery Center Karen Hebert Coordinator, The Extra Mile Cheryl Benoit School Nurse, St. Martin Parish School System Captain Kervin Fontenette Sheriff's Department Juvenile Division, St. Martin Parish Juliette Dressel Nursing Supervisor, St. Martin Parish Health Unit Brenda Jones Parent & SMILE Member Junelle Segura Parenting Trainer, St. Martin Parish School System Christina Bulliard Coordinator, St. Martin Parish School-Based Health Centers

LGMC/La Health Ventures LSUE School of Nursing University Medical Center St. Martin Hospital Vermilion Hospital ULL School of Nursing LSU School of Social Work Grambling State University Pediatric Associates of Lafayette St. Martin Parish Health Unit American Cancer Society American Heart Association DARE Safe & Drug Free Schools Office of Community Services WIC The Extra Mile Dr. Henry Joseph Tyler Mental Health, Federation ofFamilies SMILE Region IV Women's Foundation Inc. St. Martin Parish Sheriff's Department Lafayette Addictive DisordersClinic - Region IV Louisiana Technical College, St. Martinville Region IV Addictive DisordersClinic Breaux Bridge Freedom Recovery Center 2000-2001 Annual Report of the Adolescent School Health Initiative

Seen at the SBHC r. General Preventive 01, by Category 'During 2000-2001

Vit Eye Esam General Preventive Medicinedim. 325 769 Mental licaith 2003 Ear/kat-kg Exam SEMEN 227 636 Eat/Nose/ThroatdP 315 Soccid Se ree not or Other Condition 1011 199 204 Skin &Subcutaneous Soon. Camp &lob Phy.'ical EN: m=El 157 Cardiovascular/Wood RI 82 1111 152 P re-Emp loymont Emn hiuseukskektarrrauma 0 20 MP142 I lyp cut enaion Screening Eyes 0 15 [tad/Central Nervous System80 r,v1low-up Exam dp 74 11 Gastrointest hut_73 ipecial Screening for Diahetcs M oaholic/Nwrition/ Special Screening for Skin Condition,0-7 o 500 1000 1500 2000 200 400 600 800

Breaux Bridge SBHC Breaux Bridge School-Based Center Opened: P.O. Box 1344-328 N. Main St. August, 1996 Breaux Brid2e, LA 70517 Health Center Schools Served: Breaux Bridge Primary, Breaux Bridge Elem., Christina Bulliard, LPC Breaux Bridge Jr. High, Breaux Bridge HS, Coordinator Parks Primary, Park Middle (337) 332-5360 Total Enrollment in Schools: 1337) 332-5458 Fax 3,231 Staff Total Enrollment in SBHC: Dawn Christian, LCSW St. Martin Parish 2,632 Teresa Margaglio, NP School Board Brenda Guidry, RN Mr. Roland J. Chevalier. Total Visits to SBFIC: Superintendent 3,717 Lenora Joseph, Clerical Specialist 305 Washington Street judy Blanchard, Bus Driver St. Martinville, LA 70582 Grades Served: Cheryl Benoit, RN (School Nurse) PreK-12

(moral Health Issues iO anniowns for Injury & Illness 000-2001, by Category V1itte4 kisit; During 2000-2001

Anemia Other Mental & Behavioral I kah h Prob lem 101 67 45 224 I Ladache Enviro ntne nt al & Suits t to na I Problem 49 Obesit y 39 Emotion &M ood s Pro ft lent Abdo nunal Pain 42 Other Diaea,es Of Nasal1711= 31 Impulsive, Hyperactive or inattentive Problem°I 6 Cavity &Sinuses Kyphoscoliosis/Scolio,is MIMP 29 Academk, Competency &Devebpmental Pro h km01 5 Open Would 29

Nog alive & Antisocial Problem01 3 Pharynn n is 28 fiEWZgeRgi91 28 .ciye,2 SpramtStram Substance Use &Abuse Problem Upper RespiratoryfFRO 24 Infection 100 200 0 50 100 46

5 4 2000-2001 Annual Report of the Adolescent School HealthInitiative

een at the SBIIC for GeneralPreventive 111111111Uk___by Categoly uring 2000-2001

General Preventive NI ed icinc VisiornEye Exam 696 1982 762 usculo s kelet a I/Trauma Earll Laram Exam 715 Skin &Subcutaneous IP 439 Pre.Employmem ExamME I IN 164 ME Ir 400 imp 104 Castrointes final Sport. Camp &Job Physical Exam Mental I healthMN 347 Slteost Screening for Other ConditionsMO 78 47 Dead/Central Nervous SysternI I= P 277 Rout ine Infant or Child Health Check 9.11 220 Eyes Follow-up ExamIN 46 9 16 Pulmonary/Respiratory91.1 207 lab Exam 91. IP 192 14 Melabo lic/Nut Fit in n Special Screening for Dkrbetes hlclhrres

M iscellaneous 72 Spec/il Set oening for 5km 1:00/is tons0 5 500 1000 1500 2000 0 200 400 600 800

Cecilia SBHC PO. Box 24Cecilia, LA 70521 Cecilia School-Based Center Opened: Christina Bulliard, LPC, Coordinator Health Center August, 1993 Schools Served: (337) 667-7227 & (337) 667-7228 Fax Cecilia Primary, Teehe Elern., Cecilia Jr., Cecilia Sr. High Staff Total Enrollment in Schools: Teresa Margaglio, NP 2,325 Renella Auzenne, LPN Total Enrollment in SBHC: Deirdre Arnaud, Medicaid Specialist 2,153 Karen Harvey, Medicaid Clerk St. Martin Parish School Board Patsy Calais, Bus Driver Total Visits to SBHC: Mr. Roland 3. Chevalier, 5,089 Christina Bulliard, LPC Superintendent joni Thomas, RN 305 Washington Street Grades Served: Jody West, GSW St. Martinville, LA 70552 PreK-12 Nina Menard, RN(School Nurse) havioral Ilealth Issues "lap 10 corufraonsfor Injury &Illness Q0-2001, by Category elated risa uring 2000-2001

AT Headache 261 175 Environtnental &Situational Problem Injury 84 225 132 ("Rho. Mental &Behavioral I Rah h Problem Pat dar 'rend mil 1. 110 P.rnutiutt & N nods Pioblont111/2 77 Es op kt g nix 25 Academic. Cotopetency &Developmental Problem los h &Oth t S{: r Etta ti Negative &Antisocial Problem91 12 Di. I 13i ig 96 Sexual Behavior Prob tem0 10 79 0 8 Upper Respiratory Infection hnpuls ive. Hyperactive or Inattentive Problem ()bosky191 68 RhtessRelated Behavior Problem0 4 0. 2 Pain in JoinsOEM 65 Feeding. Eating &Elimination Problem AMIN ". V ( 0 100 200 300 47 2000-2001 Annual Report of the Adolescent School Health Initiative

ems Seen at the SBHC Top 70 Reasons fOr General Preventive ,12001:iV'Category Medicine lisits During 2000-2001

General Preventive Medicine Vision/Eye Exam , (4111WM 438 2479 Mental HealthOM/361 Ear/I 'caring Exam , Ear/Nose/Throat Follow-up Exam Head/Central Nervousgo227 Special Screening for other Conditions , Systern MusculoskeletaVTraumaON 224 Pre-Employment Exam 111099 GastrointestinalMP 208 Sport, Camp &lob Physical Exam 69 49 Skin &SubcutaneousIMP 206 Lab Exam 190 42 Eyesmy Routine Infant or Child Health Check 109 137 29 Metabolic/Nutrition Hypertension Screening (9 116 22 Pulmonary/Respiratory Special Screening for Diabetes Mellitus

0 1000 2000 0 200 400 600 800 1000

St. Martinville SBHC St. Martinville School-Based Center Opened: P.O. Box 1065-720 N. Main St. August, 1996 St. Martinville, LA 70582 Health Center Schools Served: Early Learning Center, Catahoula Elem., Christina Bulliard, LPC, Coordinator St. Martinville Prirnaiy, St. Martinville Elem., (337) 394-6333 St. Martinville Jr. High, St. Martinville High (337) 394-7002 Fax Total Enrollment in Schools: 2,951 Staff Total Enrollment in SBHC: Angel Huval, MSW, LCSW St. Martin Parish 2,738 Teresa Margaglio, NP School Board Kayla Sonnier, RN Mr. Roland J. Chevalier, Total Visits to SBHC: Superintendent 4,861 Christine Cyr, Clerical Specialist 305 Washington Street Virginia Olivier, Bus Driver St. Martinville, LA 70582 Grades Served: Candy Walker, RN(School Nurse) PreK-12

Behavioil Health Issues Top 9 Condition s. Injury & Illness g 2000-2001, by Category Related Iisits During 2000-2001

Headache 220 Other Mental &Behavioral Health Problem 181 Abdominal Pain Illness-Related Behavior Problem 108 Pharyngitis Academic, Competency & Developmental Problem Injury 105 Negative &Antisocial Problem 51 Cough Sexual Behavior P roblem ffiliM 42 Rash &Other Skin Eruption Impulsive. Hyperactive or Inattentive Problem Otalgia (Earache)6099 37

Atyp lea! Behavior Problem Other Diseases of NasalCaxity &Sinuses 34 6E9_32 Fccd ing , Eat ing &Elimination Problem Anemia ( 20 40 60 80 0 100 200 300

48 2000-2001 Annual Report of the Adolescent School Health Initiative

Community Partners for CHRISTUS St. Frances Cabrini Hospital American Red Cross College Work Study Program Avoyelles Parish Sheriff's Dept. Mansura Middle/Avoyelles Charter Crossroads Hospital American Heart Association Buckeye High Parish Health Unit Volunteers of America Glenmora Elementary & High Grant Parish Sheriff's Dept. Rapides Children's Advocacy Center Dry Prong Jr. High DARE Huey P. Long Hospital Jena Jr. & Sr. High (LaSalle) Alexandria/Pineville Substance Abuse Clinic WIC Northwood Prevent Child Abuse LA DSS Office of Community Services Pineville Jr. High & Slocum Elementary AHEC Bunkie General Hospital Tioga Jr. High LaSalle Substance Abuse Clinic LaSalle General Hospital Tioga Sr. High LaSalle Parish Sheriff's Dept. Rapides Parish Sheriff's Dept. Lakeview Jr. & Sr. High Natchitoches Parish Hospital Natchitoches Parish Sheriff's Dept. 49 2000-2001 Annual Report of the Adolescent School Health Initiative

millions Seen at the SBHC Thp 9 Reasons fir General Preventive 111.21.'A4-.:-.'D.1:1302212y; Category Medicine lisits During 2000-2001

705 General Preventive M edicine 242 612 Hepatitis Vaccine Gastrointestinal 197 535 Ear, Nose& Throat Vision/Eyc Exam 519 EF; 100 Head/Central Nervous System Routine Exam, General Med icaVICOMED Screen 383 M usculoskelet al/Trauma Tetanus-Diphtheria VaccineF=9 62 378 e§ 21 Mental Health Health Exam of Defined Subpopulations Ey 17 Genitourinary,EFE! 323 Ear/I tearing Exam OMM 130 60 16 Eyes Follow-up Exam 011:=4, 89 13 Gynecology/Breast Sport, Camp &lob Physical Exam 75 Pulmonary/Respiratory IRO 5 7 Counseling 0 200 400 600 100 200 300

Mansura Middle SBHC Avoyelles Charter School-Based 1869 St. Jean 201 LongfellowRd.Avoyelles Center Opened: Mansura, LA 71350 Mansura, LA 71350 Health Centers August 19, 1996 (318) 964-2492 (318) 253-4785 Schools Served: (318) 964-2494 (318) 253-8172 Fax Mansura Middle School JoAnn Derbonne, RN, Coordinator Avoyelles Public Charter Total Enrollment in Schools: Mansura Middle Staff 764 Susan Loyacano, RN Total Enrollment in SBHC: Carol Dernars, Secretary CHRISTUS 690 Sue Lemoine, PNP St. Frances Cabrini Hospital Total Visits to SBHC: Alfred Krake, MD, Medical Director Stephen Wright, CEO 3,873 Lisa Broussard, LCSW 3330 Masonic Drive Avoyelles Charter Staff Alexandria, LA 71301 Grades Served: Beth Laborde, Receptionist K-8 Donna Lacour, RN .np7-m JO Mental & Behavioral Health Issues Thp 10 Conditions for ,Injury & Illness ares*d During- 2000-2001, by Category Related Visits During 2000-2001

130 Environmental &Situational Problem Headache Other Mental &Behavioral Health Problem 68 226 Dyspepsia (Upset Stomach) 489 Emotion &Moods ProblemOnnnEE959 111I1 Abdominal Pain,ESO 223 Atypical Behavior Problem 49 Acute Nas o pharyngitis (Cold) 195 Academie, Competency &Developmental(7=934 0711=1:11 137 Problem 17 Throat P ain Negative &Antisocial Problem 116 Nausea and Vomitingv7=9 Illness-related Behavior Problemg 7 Otalgia (Earache) 78 Impulsive, Hyperactive or Inattentive Problem 7 6 Dysmenorrhea (Menstrual cramps)6FFE, 78 72 Sexual Behavior Problem Injury, Knee, Leg,Ankle,Foot0=X; 92 56 Feeding, Eating &Elimination Problem Eye P ainrzzug

0 50 100 150 200 400

5 8 2000-2001 Annual Report of the Adolescent School Health Initiative

Sien* the SBHC Tip 9 Reasons fOr General Preventive 0-2001 b5 Category Medicine 1- HtsDuring 2000-2001

General Preventive Medicine p===10 125 M ental Health Follnui-up Exam 329 Ear/Nose/Throat F;;91 lead/Central Nervous System 1=9 70 Sport.Cannp &.1 oh I' hysica I Exam Metabolic/Nutrition 6=1=365 Tetanus-Diphtheria VuLcinv Musculoskeletal/Trauma 48 Me asks. Mumps &Rubella Vuccine Gastro intestinal F!!!!130 Pulmonary/Respiratory Routine Exotn,Geners I MedicalIKIDMEDS ereen 6 Skin &Subcutaneous Ear/Hearing Exam 6 Miscellaneous Vision/Eye Exam

200 400 600 800 100 200 300

Buckeye High SBHC Buckeye High School-Based 715 Hwy. 1207 Center Opened: Deville, LA 71328 Health Center February 2000 (318) 466-8335 School Served: (318)466-8338 Fax Buckeye High Total Enrollment in School: JoAnn Dcrbonne, RN, 494 Coordinator Total Enrollment in SBHC: 494 Staff CHRISTUS Total Visits to SBHC: Susan Fowler, RN St. Frances Cabrini Hospital Kathy Nugent, Secretary Stephen Wright, CEO 2,828 Linda Ray, PNP 3330 Masonic Drive Grades Served: Alexandria, LA 71301 Alfred Krake, MD, Medical Director 7-12 Joni Oates, MSW

havioral Health Issues Top 9 Conditions for Injury & Illness 4thiressi4 During 2000-2001, by Category Related Visits During 2000-2001

217 Headache , Other Mental &Behavioral Health Problem 191 Acute Nasopharyngitis (Cold) Environmental &Situational Problem 159 Diabetes Academic, Competency &Developmental Problem 78 Pharyngitis

Ernotion &Moods Problem Upper Respiratory Infection1fF61 11=1, 46 Feeding, Eating &Elimination Problem Nausea and Vomiting 14==p 45 Sinusitis hnp ulsive, Hyperactive Or Inattentive Problem f=91 36 Other Diseases of Nasal Cavity &Sinuses Sexual Behavior Problem0 3 33 Dyspepsia (Upset Stomach)

100 200 300 100 200 300

5 9 2000-2001 Annual Report of the Adolescent School Health Initiative , itditions Seetrat the SBHC lap 9 Reasons far General Preventive BOO-2001, by Category Medicine Pisits During 2000-2001

590 Hepatitis Vaccine Ear/Nose/Throat 572 Fo»ow-up Exam 72 Mental Health 64 563 Sport, Camp &Job Physical Exam General Preventive Medicine 558 56 Head/Central Nervous System Combined Vaccine (Immunization) 321 Skin &Subcutaneous Vision/Eye Exam

Musculo kelet VT maAINERIENESP 288 Routine Exam, General Medical/KIDMED Screen Gastrointestinal 248 Lab Exam Pulmonary/Respiratory 174 # 6 Ear/Hearing Exam , EyesMEV92 1611=91 74 General Medical Examgj3 DentaVO I

0 200 400 600 100 200 300

Glenmora SBHC Glenmora School-Based 1414 7th Avenue Center Opened: Glenmora, LA 71433 Health Center November 1999 (318) 748-8974 Schools Served: (318) 748-8986 Glenmora Elementary Glenmora High JoAnn Derbonne, RN, Total Enrollment in Schools: Coordinator 674 Staff Total Enrollment in SBHC: CHRISTUS 596 Denise Laborde, RN St. Frances Cabrini Hospital Susan Hargis, LPC Stephen Wright, CEO Total Visits to SBHC: Garrah Peters, Secretary 3330 Masonic Drive 3,631 Sue Lemoine, PNP Alexandria, LA 71301 Grades Served: Alfred Krake, MD, Medical Director PreK-12

I Tu , Afenial & BehaviOral Health Issues Tap 9 Cm'Iitionc for Injuty & Illness ed During 2000-2001, by Category RelatedVisits During 2000-2001

Environmental &Situational Problem Headache 96 289 f===f 126 491 Other Mental &Behavioral Health Problem1 55 Throat Pain 122 Atypical Behavior Problem Dyspepsia (Upset Stomach)f====f

Emotion &M oods Problem Otherf^==? 120

Sexual Behavior Problem Acute Nasopharyngitis (Cold)15Ell 119 ez=z1 82 Academic, Competency &Developmental Problem Pediculus Cop it is (Itad Lice)

Negative &Antisocial Problem Other Diseases of Nasal Cavity &Sinuses 79

Impulsive, Hyperactive Or Inattentive Problem0 8 Dysmenorrhea#!53 64 . Feeding, Eating &Elitnination Problem Otalgia (Earache)F55

100 200 300 0 100 200 300 400 500

52 6 0 2000-2001 Annual Report of the Adolescent School Health Initiative

qIiiions Seen ai the SBHC Top 9 Reasons Gineral Preventive tg 2000-2004 by Category Medicine l'isits Dufing 2000-2001

708 Mental Health 4,======g Hepatitis Vaccine General Preventive 624 Medicine Sport, Comp &lob Physical Exam51RE51 139 318 404 63 Ear/Nose/Throat Lab Ex Head/Central Nervo us 334 t17:=I 61 System Tetanus-Diphtheria Vaccine 281 Gastrointestinal 22 Routine Exam, General MedicoVKIDMED Screen M ascslotkeletatllraumaeiliMEEEP 213 Counseling0 6 Pulmonary/Respiratory,n1 104 0 6 Follow-up Exam Skin &Subcuianeous=V., 91 Pregnancy Exam/Test0 5 DentaVOralI. 76 2 Health Measles, Mumps &Rubella Vaccine Counseling/Education / 200 300 200 400 600 100

Dry Prong Jr. High SBHC Dry Prong Jr. High School-Based Center Opened: 800 Grove Health Center August 1996 Dry Prong, LA 71423 Schools Served: (318) 899-5276 Pollock Elementary (318) 899-5932 Fax Dry Prong Jr. High JoAnn Derbonne, RN Total Enrollment in Schools: Coordinator 1,044 Total Enrollment in SBHC: Staff CHRISTUS 968 Marilyn Drewett, RN St. Frances Cabrini Hospital Total Visits to SBHC: Charlotte Speir, LCSW Stephen Wright, CEO 3,032 Carol Moloney, Secretary 3330 Masonic Drive Alexandria, LA 71301 Grades Served: Linda Ray, PNP PreK-8 Alfred Krake, MD, Medical Director

Behavioral Health Issues Top 10 Conditions for Injury & Illness During 2000-2001, by Categoty Related Pisits Dunn 2000-2001

!lead ache Other Mental &Behavioral Health Problem 313 Throat Pam 113 Environmental &Situational Problem 95 Nausea Emotion &Moods Problem Abdominal Pain6==3/92 Academic, Competency &Developmental Problem SinusitistE 63 010:1=1 62 Atypical Behavior Problem Dysmenorrhea

Otalgia (Earache)tli=91 56 Impulsive, Hyperactive Or Inattentive Problem P harynt it isf7==; 53 Sexual Behavior Problem elgg=9 48 Upper Respiratory Infection Negative &Antisocial Problem Tooth Pail1=i/ 37 100 200 300 100 200 300

61 2000-2001 Annual Report of the Adolescent School Health Initiative

0/10 Conditions Seen 'at the SBHC bp 10 Reasons Pr Gene& Preventive aring 2000-2004 by Categoty ileilkinelisits Daring 2000-2001

Head/Central Nervous 966 Hepatitis Vaccine System 863 Ear/Nose/Throat Tetanus-Diphtheria Vaccine 693 M ental Health Sport, Camp &Job Physical Exam General Preventive 547 Routine Exam, General MedicaVKIDMED Sc re Medicine 469 M us culos ke bta VIraurna Follow-up Exam 395 Gastrotntestmal Measles, Mumps &Rubelb Vaccine

Skin &SubcutaneousAREinP, 286 General Co tills e ing 184 Gyneco log y/Breast , Ear/I-karing Exam eil=1;117 Pulmonary/Respiratory Prenatal Care 000:9)1 0 4 DentaVOral Lab Exam

0 200 400 600 800 1000

Jena Jr. High Jena Sr. High LaSalle School-Based Southern Avenue Southern Avenue Center Opened: Jena, LA 71342 Jena, LA 71342 Health Centers September 2, 1997 (318) 992-2732 (318) 992-7774 Schools Served: (318) 992-2777 Fax(318) 992-0201 Jena Jr. High Jena High JoAnn Derbonne, RN, Coordinator Total Enrollment in Schools: Jena Sr. High Staff 790 Traci Gray, RN Total Enrollment in SBHC:

Sue Colburn, LCSW CHRISTUS 639 Lisa Ray, Secretary St. Frances Cabrini Hospital Total Visits to SBHC: Sue Lemoine, PNP Stephen Wright, CEO 4,773 Alfred Krake, MD, Medical Director 3330 Masonic Drive Jena Jr. High Staff Alexandria, LA 71301 Grades Served: Debbie Young, RN 7-12 Lisa Knapp, Receptionist

8 Mental & Behavioral Health Issues Top Conditions for Injury & Illness essed During 2000-2001, by Category disits During2000-2001 _

Headache Other Mental &Behavioral Health Problem Sinusitis ?FEj0 221 949 Environmental &Situational Problem 164 Dysmenorrheaf===zip

Emotion &Moods Problem Abdominal PainfF9 146 Pain in Joint0==P 126 Sexual Behavior Problem #1=1118 Throat Pain Atypical Behavior Problem i==p 116 Dyspepsia (Upset Stomach) Negative &Antisocial Problem 114 Other Diseases of Nasal Cavity &Sinusesf==j Academic, Competency &Developmental Problem fc=i)94 P ha ryng it is

Sleep &Somatic Problem Cough6366

200 400 0 200 400 600 800

82 2000-2001 Annual Report of the Adolescent School Health Initiative

ts Seen at the SBHC Top 9 Reasons firr General Preventive 2001,4by Category Jledkine VisiA Miring 2000-2001

Ear/Nose/Throat 619 Mental Health llepatitts Vaccine 570 Pulmonary/Respiratory Routine Exam, General M ed ica I/KIDM ED Screen 508 Follow up Exam Skin &Subcutaneous 37 General Preventive 443 Sport, Camp &Job Physical Exam Medicine 31 Head/Central Nervous 428 Combined Vaccine (Immunization) System Lab Exam M us culo s ke letal/Trauma 427 ild11=1=1111=15 304 Measles, Mumps &Rubella VaccMe Gastrointestinal 011=p 121 Genera l Co uns cling Metabolic/Nutrition 90 Vaccination DPT Plus Polio Eye 0 100 200 0 200 400 600 800

Northwood SBHC 8830 Hwy. 1 N. Northwood School-Based Center Opened: Lena, LA 71447 Health Center August 1995 (318)793-5336 School Served: (318) 793-4948 Fax Northwood High School JoAnn Derbonne, RN, Total Enrollment in School: Coordinator 850 Total Enrollment in SBHC: Staff 842 Tammye Brown, RN CHR1STUS Total Visits to SBHC: St. Frances Cabrini Hospital Tarnbra Malone, MSW Stephen Wright, CEO 4,498 Lisa Lachney, Sccrctary 3330 Masonic Drive Grades Served: Melanie Johnson, FNP Alexandria, LA 71301 PreK-12 Alfred Krake, MD, Medical Director Michelle Hunt, RN ft0 Mid al & Behavioral Health Issues Thp 1(1 Gondit,mz,snJorinjury & Illness Addressed During 2000-2001, by Category Related Visits During 2000-2001

Other M ental &Behavioral Health Problem Asthma 319 Environmental &Situational Problem eirTni152 Headache tlEIP42 Emotion &Moods Problem Acute Nasopharyng his (Cold)

Atypical Behavior Problem 15 Pha rynbit is

Impulsive, Hyperactive Or Inattentive Problems 13 Diabetes Mellitus

Negative &Antisocial Problemdill 9 Dials ia (Earache)

Sexual Behavior Problem 7 Other Diseases o f Nasal Cavity &Sinuses

Sleep &Somatic Problem 1 Rash &Other Skin Eropi io n

Blness-related Behavior Problem0 1 Pediculus Cap itis (Head Lice)

Feeding, Eating &Elimination Problem Pain in lo int

100 200 300 200 400

6 3 2000-2001 Annual Report of the Adolescent School Health Initiative

ceilditions Seen at the SBHC TOp 9 Reasons fOr Getral Preventive 10-2001, by Category Medicine Pi,sits Dining' 2000-2001

667 Ear/Nose/Throat 594 Head/Central Nervous System Ikpatitis Vaccine 560 80 Mental Health Routine Exam, General Medical/IGDM ED Screen1P 527 80 General Preventive Medicine Tetanus-Diphtheria Vaccinc 486 50 Metabolic/Nutrition Follow-up Exam er7-9 430 40 Musculoskeletal/Trauma Sport, Camp &Job Physical Examtf-10 359 10 Gastrointestinal Measles, Mumps &Rubella Vaccine0 344 Skin &Subcutaneous Combined Vaccine (Immunization)ef 9 taFg==p 194 5 Pulmonary/Respiratory Lab Exam 4 DentaVOralOgg 87 General Counsehng

200 400 600 800 100 200 300

Slocum Elementary Pineville Jr. High 901 Crepe Myrtle 501 Edgewood Pineville&Slocum School-Based Center Opened: Pineville, LA 71360 Pineville, LA 71360 Health Centers August 1996 (318) 487-9648 (318) 640-1359 Schools Served: (318) 442-0769 Fax(318) 640-1420 fax Slocum Elementary JoAnn Derbonne, RN, Pineville Jr.High Coordinator Total Enrollment in Schools: 901 Pineville Jr. High Staff Stephanie Bartow Total Enrollment in SBHC: Robin Meynard, Secretary CHRISTUS 809 Melanie Johnson, FNP St. Frances Cabrini Hospital Total Visits to SBHC: Alfred Krake, MD, Medical Director Stephen Wright, CEO 4,509 3330 Masonic Drive Karen Pharis, LCSW Grades Served: Slocum Staff Alexandria, LA 71301 Deborah Bouchie, RN PreK-8 Mary Joiner, Receptionist Top JO Mental & Behavioral Health Issues TOp 10 Conditions for Injury & Illness Addressed During 2000-2001, by Category Related Visits During 2000-2001 _

Headache Other Mental &Behavioral Health Problem 533 Environmental &Situational Problem 152 319 Diabetes 186 430 Emotion &Moods Problem10711 42 Acute Nosopharyng itis (Cold) 175 Atypical Behavior ProblemI 15 Abdominal Pain 102 Impulsive, Hyperactive Or Inattentive Problem 1 3 Pharyeitis 9 99 Negative &Antisocial Problem Dyspepsia (Upset Stomach) 74 82 Sexual Behavior Problemdi 7 Coukh 0 1 76 IllnessRelated Behavior Problem Injury, Unspec Siteff0 73 Sleep &Somatic Problem 1 Ot a lg ia (Earache)til43.41 Itt=964 Feeding, Eating &Elimination Problem 1 Other Diseases of Nasal Cavity &Sinuses

100 200 300 400 200 400 60C

6 4 2000-2001 Annual Report of the Adolescent School Health Initiative

lop p,,canditions ?den at the SBHC lOp 10 Reasons for General Preventive p' 2000-2001, by Category Medieim' VisiA During 2000-2001 _L.

Mental Health Hepatitis Vaccine General Preventive 199 513 801 Sport,Camp &Job PhysiLalExam Medicine tf'!9 67 312 Musculoskelctal/Trauma Influenza Vaccine1, 52 225 Routine Exam, General MedicaVKIDM ED Az7=4 50 Ear/Nose/Throatfion=mp Screen rlTu 196 Skin &Subcutaneous Tetanus-Diphtheria Vaccineil=1146 Metabolic/Nutrition Follow-up Exam1=1 42

GastrointestinalEffiffE9159 Ear/Hearing exam63 20 Head/Central NervousIEFEE9155 #9 16 System Lab Exam 111=19 97 12 Pulmonary/Respiratory Vision/Er Exam9 Eycs Meas les , M amps &Rubella Vaccine

0 200 400 600 800 50 100 150 200 250

Tioga Jr. High SBHC Tioga Jr. High School-Based 1150 Junior High Rd. Health Center Center Opened: Pineville, LA 71360 October 5, 1998 (318) 640-6942 School Served: (318) 640-6978 Fax Tioga Jr. High JoAnn Derbonne, RN, Total Enrollment in School: Coordinator 501 Total Enrollment in SBHC:

Staff CHRISTUS 446 Renee Shamblin, RN St. Frances Cabrini Hospital Total Visits to SBHC: Mistie Smith, MSW Stephen Wright, CEO 2,933 Shani Dobernig, Secretary 3330 Masonic Drive Alexandria, LA 71301 Grades Served: Carol Hirchak, FNP 7-8 Alfred Krake, MD, Medical Director

tavioral Health Issues bp 10 Conditioi Injury & Illness tg 2000-2001, by Category Related I isits rink 2000-2001

Diabetes Other Mental &Behavioral Health P roblem Headache Enviro nmental &Situatio nal P ro blewiff!fO180 412 Sprain &Strain Atypical Behavior P ruble m917965 Pharyngitb Emotion &Moods Problem1.751961 Pain tn.!au S exua I Behavio r P roblem 57 Academ ic, Co mpetency &Develo pmental 19 P roblem AI A Abdominal Pain Feeding, Eating &Elimination P roblem Upper Respiratory Infection Negative &AntisocialProblemøi 2 , Eye pain Illness-Related Behavior P roblem ' Dyspepsia (Upset Stomach)

0 100 200 300 0 100 200

6 5 2000-2001 Annual Report of the Adolescent School Health Initiative

(mditions Seen at the SBHC Thp 10 Reasons Or General Preventive g 2000-2001, by Category Medicine I.icits During 2000-2001

260 Mental Health General Preventive 248 Combined Vaccination Medicine 194 Measles, Mumps &Rubella Vaccine Eyes Head/Central Nervous 172 Sport, Camp &lob Physical Exam System 135 Routine Exam, General MedicaVKIDMED Screen M usculo skeletal/Trauma 135 Hepatitis Vaccine Ear/Nose/Throat 101 Lab Exam Skin &Subcutcuss , ; ;14 80 Follow-up Examination Metabolic/Nutrition 1!!!EP 66 Tetanus-Diphtheria Vaccine Gastrointestinal PPD

M iscellaneouseE55--43 Vision/Eyc Exam

100 200 300 50 100

Tioga Sr. High School-Based Tioga Sr. High School 1207 Tioga Road Health Center Center Opened: Pineville, LA 71360 February 1, 2001 (318) 640-2298 School Served: (318) 640-3383 Fax Tioga High Total Enrollment in School: JoAnn Derbonne, RN, 1,011 Coordinator Total Enrollment in SBHC: CHRISTUS 524 Staff St. Frances Cabrini Hospital Dena Hicks, RN Stephen Wright, CEO Total Visits to SBHC: Patti Doucet, Secretary 3330 Masonic Drive 1,494 Carol Hirchak, FNP Alexandria, LA 71301 Grades Served: Alfred Krake, MD, Medical Director 9-12 Regina Ervin, LPC 119 Meistul C, Beluivioral Health Issues 70p, I 0 Conditions for Injury & Illness Addressed During 2000-2001, by Category Related Iisits During 2000-2001

100 Environmental &Situational Problem Headache 157 77 66 Other Mental &Behavioral Health Problem Diabetes 24 Emotion &Moods Problem10111 Pain in Joint 38 17 Throat Pain 36 Feeding, Eating &Elimination Problem679 10 Dysmenorthea13135 Sexual Behavior Problem 28 Sprain &Strait11::=9 Impulsive, Hyperactive Or Inattentive Problemei 9 Abdominal Pain1411=1=p 26 Academic/Learning Disorder81 Fg=424 .0 2 Other Diseases of Nasal Cavity &Sinuses Sleep &So matic Problem Eye PainF=P18 it.0113 Negative &Antisocial Problem0--2 Coukh

50 100 50 100 150

66 2000-2001 Annual Report of the Adolescent School Health Initiative

Top: 9 Condition Seen atihe SBHC Top 9 I?easons fins General Preventive 2000-200l,xby Category Medicine Visits During 2000-2001

General Preventive 302 104 Medicine Hepatitis Vaccine Ilead/Central Nervous 259 86 Combined Vaccine System 210 Ear/Nose/Throat Sport, Comp &Job Physical Examf-i60 156 28 Musculoskeletal/Trauma Routine Exam, General M ed ical/KIDM ED Screen 115 010 Skin &Subcutaneous , Follow-up Exam

Gastrointestinalt7i=P so Lab Exam6,7 7 3 Gynecology/Breast11.1.9 75 Vision/Eye Exam 64 Measles, Mumps &Rubella Vaccine Metabolic/Nutrition Ear/11.ring Exam ' M ental Healthr==$_59_ 100 150 100 200 300 0 50

Lakeview Jr. & Sr. High School Lakeview Jr. & Sr. High School- P.O. Box 200 Center Opened: Campti, LA 71411 Based Health Centers February 1, 2001 (318)476-2205 Schools Served: (318)476-2206 Fax Lakeview Jr/Sr High JoAnn Derbonne, RN, Total Enrollment in Schools: Coordinator 593 Total Enrollment in SBHC: Staff 417 Mary Chambliss, RN CHRISTUS Total Visits to SBHC: Peggy Deen, Secretary St. Frances Cabrini Hospital Stephen Wright, CEO 1,509 Melanie Johnson, FNP 3330 Masonic Drive Grades Served: Alfred Krake, MD, Medical Director Alexandria, LA 71301 7-12 Kenneth Darcy, MD Delores Deason, RN TOp '6 Mental & Behayioral Health Issues Top /0 Conditions forinfury &Illness -Addressed Paring 20004001, by Category Related lisits Daring 2000-2001

Headache 253 Environmental &Situational Problem " Throat Paint5^; 74 f=;. 18 Nasopharyngitis (Cold) 64 Atypical Behavior Problem Dysmenorrhea629 61

Emotion &Moods Problem Dyspepsia (Upset Stomach)e!3 50 017=1FP 50 2 Abdominal Pain Other Mental &Behavioral Health Problem Other Diseases of Nasal Cavity &SinusesOFFR 39

1 AsthrnaeERI 31 Negative &Antisocial Problem 691 21 Eye pain

Feeding, Eating &Elimination Problem PaM in Joint6E129 0 100 200 300 20 40

67 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Committee Gail Hollins, RN, C, Executive Director,St. Helena Community Health Center Willie Johnson Barbara Fontenot, RN Carmen Overton, MSW Mary Faucheux, RN Charlise Taylor Kay Singleton Georgia Butler Georgette Cutrer, RN Frank Chalona Cheryl Ballard-Chadwick, MD Geraldine Hitchens Willie Banks L. Darwin Brecheen Catrina Camarbo Lavar Martin Henrietta Spears Gwendolyn Peters Carl Kelley Shirley McCray

St. Helena Central Middle School St. Helena Central Elementary School

6 8 2000-2001 Annual Report of the Adolescent School Health Initiative

ions Seen at the SBHC Thp V Reas.ons for General Preventive 0-2001, byCategory Medicine Visits During 2000-2001

General Preventive Hepatitis Vaccine Medicine Routine Exam, General MedicaVKlDM ED MentalHeahh Screen Skin &Subcutaneous Lib Exlm Head/Central Ne rvo us Ear/Hearing Exam Sys tem Gas tro intes final Vision/Eye Exam Ear/Nose/Throat Health Counseling & Follow-up Exam Education Sport,Camp &Job P hys ical Exam M us culo s ke letal/Traum a

M is cella neo us Tetanus-Diphtheria Vaccine

Dental &Oral Counseling

0 200 400 600

St. Helena Central Middle School-Based Health Center Center Opened: St. Helena Central Middle SBHC September 17, 1998 P.O. Box 1207 School Served: Greensburg, LA 70441 Central Middle School (225) 222-6059 Total Enrollment in School: (225) 222-6543 Fax 435 Total Enrollment in SBHC: Staff 373 Lisa Burns, RN Carl Kelley, Counselor St. Helena Community Total Visits to SBHC: Sadie Cannon, Secretaiy Health Center 2,008 P.O. Box 1207 Greensburg, LA 70441 Grades Served: Gail Hollins, RN-C 5-8 Executive Director r.; Thp 9 Mental & Behav7oral Health Issues Thp 10 Conditiom for injury & Illness 4ddresed During 2000-2001, by Category Related Visits During 2000-2001

Other Mental &Behavioral Health Problem Headache 94 Academic, Competency &Developmental Problem Dyspepsia (Upset Stomach) Abrasion or Friction Burnet3, 70 Environmental &Situational Problem Wound 58 Emotion &Moods Problem Throat Pain 37 Feeding, Eating &Elimination Problem 36 Obesity (5553134 Negative &Antisocial Problem Tooth Pain Illness-Related Behavior Problem Dysmenorrheat=i133 Pain in Joint 0=1i24 Impulsive, Hyperactive Or Inattentive Problem 23 Insect Bite Atypical Behavior Problem 0 50 100 150 200 50 100 150

6 9 2000-2001 Annual Report of the Adolescent School Health Initiative

Condition, Seen at the SBHC Thp 9 Reasmrs firr Geheid Preventive 2000-2001, by Category Medicine Pisits Oniing 2000-2001 , 4 4

General P reventive e!!TTr77rI T. .4259 Medicine 246 Gastrointestinal 76 202 Ear/I tearing Exam Skin &Subcutaneous 58 Lab Exam 199 Ear/Nose/Throat 57 Vision/Eye Exam Head/CentralNervo ox 192 45 System Rout ine Exam, General M ed icaVKIDM ED Screen 189 P11-11.10 M enta I Hea Ith Special Screening Exam 101 Dental &Oral0===, 6 Folio w-up Exam u-± 4 M us cult) s ke le ta I/Tra umaoj=;;;;;R 101 Counseling if ito=v69 M is cella neo us General Medical Examif 2 Health Counseling & A Combined VaccinationF Educatio n 100 200 300 50 100

St. Helena Central Elementary School-Based Health Center Center Opened: St. Helena Central February 7, 2000 Elementary SBHC School Served: P.O. Box 1207 St. Helena Elementary Greensburg, LA 70441 Total Enrollment in School: (225) 222-6059 672 (225) 222-6543 Fax Total Enrollment in SBHC: 520 Staff Total Visits to SBHC: Jennifer Pittman, RN St. Helena Community Gwendolyn Peters, GSW Health Center 1,783 Natasha Melton, Secretary P.O. Box 1207 Grades Served: Greensburg, LA 70441 PreK-4 Gail Hollins, RN-C Executive Director nial dl Behavioral Health Issues lOp 10 coi,dition.wfor Injury & Illness il Dwing 2000-2001, by Category Related Visits During 2000-2001

219 Dyspepsia (Upset Stomach) 115 184 Other Mental &Behavioral Health Problem Headache

Throat Pain 100 Environmental &Situational Problem14144W, " Tooth Paint!Ell 68 eg 17 52 Emotion &Moods Problem Abrasion or Friction Burn 9 45 Otalgia (Earache) Academic, Competency &Developmental ej 14 0111=9 39 Problem Fever of Unknown Org in 31 Feeding, Eating &Elimination Problem Chest Pain Contact Dermatitisft=q 22 E3 20 Impulsive, Hyperactive Or Inattentive Problem Cough

0 50 100 150 0 100 200 300

7 0 2000-2001 Annual Report of the Adolescent School Health Initiative

Molo Middle School Clifton Elementary School Washington-Marion High School (Also Serving Combre/Fondel & Wilson)

71 2000-2001 Annual Report of the Adolescent School Health Initiative

Staff

Pam J. Beal Community Health Director Jamal Sager Physician Jeanine Babineaux C-FNP Kathy Roan C-FNP Twila Sterling C-FNP Sandra Semien RN Willie Y. Thomas RN Sherry Marshall RN Hazel Kenndey RN Regina Papillion RN Laura Breaux LCSW Brenda Garrick MSW Connie Jackson Patient Acct/Office Coordinator Shawntell Walker Office Tech/Data Rachel Ceasar Office Tech/Data Lily Coffman Office Tech/Data Samantha Savoy Registered Dietitian Iwona Johnson Office Tech/Data Cindy Clostio Office Tech/Data Matilda Miller Office Tech/Data Erin Landry LCSW George Matewere Physician AdvisoryBoard and Community Partners

Willie King Business Owner Dohn Alexander Regional 5 OPH Director Connie Green Parent Jeanine Babineaux C-FNP Linda I3ecton Teacher, Washington-Marion High School Mary L. Covington Supervisor, Calcasieu Parish School Board Johnny Mouton Principal, Ray D. Molo Middle Magnet School B. J. Foch Region 5 OPH Medical Director Elcie Guillory State Representative Sheral Lavergne School Board Member James Mayo City of Lake Charles Madelyn Miller Principal, Washington-Marion High School Gwen Harris Parent, J.D. Clifton Elementary Laura Richardson Teacher, Washington-Marion High School Dr. Betty Washington Principal, J. D. Clifton Elementary Harold Winey Principal, Combre/Fondel Elementary Ester Vincent Principal, Ralph Wilson Elementary James Spruel Attorney, District Attorney's Office Reverend Frank Fondel Fondel's Funeral Home & Flower Shop Ronald Joseph Teacher, Ray D. Molo Middle Marianne Allee Teacher, J.D. Clifton Poddy Champeaux St. Patrick Hospital Children's Miracle Network

American Cancer Society American Heart Association Families in Need of Services American Red Cross LA Children's Trust Fund Children's Miracle Network-St. Patrick DHH Office for Addictive DisordersDHH Office of Mental Health Calcasieu Community Health Council Parish Health Unit Louisiana Council on Child Abuse Calcasieu Parish Sheriff's Office Calcasieu Parish School Nurses Drug Free Schools Entergy Corporation 64 72 2000-2001 Annual Report of the Adolescent School Health Initiative

tditions Seen at the SB.HC Top 6 Reawns jOr General Preventive 200-2001'by Category Medicine Visits DuOng 2000-2001

Head/Centro !Nervous S yet ern Combined Vaccine 391 General Preventive Medicine 309 273 Routine Exam,General Medical/KR/MED Ear/Nose/Throat 192 Screen Gastrointestinal 189 Follow-up Exam Skin &Subcutaneous 164 Musculoske lei a I/Trauma P regnancy Exam/Test Menial Health 150 129 Pulmonary/RespiratoryIffgE1 General Medical Exam Gynecology/BreastINESS9 88 ORMINWINIF 67 Spa H, Ctitnp &Job P hys ical Exam

0 200 400 100 200 300

Molo Middle School-Based Center Opened: Health Center September, 1997 Molo Middle SBHC School Served: 2300 Medora Strect Molo Middle School Lake Charles, LA 70601 (337) 437-3977 Total Enrollment in School: (337) 439-5029 Fax 561 Total Enrollment in SBHC: Pam J. Beal, BS, Director of 529 Community Health Services CHRISTUS Total Visits to SBHC: Staff St. Patrick Hospital 2,169 See page 64 for Molo Middle Ellen Jones, CEO Grades Served: 524 S. Ryan Street School-Based Health Center 6-8 staff P.O. Box 3401 Lake Charles, LA 70601

top 8 Mental & Reliavioral Health Issues Thp 10 Comlnions. or Injury & Illness Addressed During 2000-2001, by Category Related Visiis Owing 2000-2001

Headache Other Mental &Behavioral Heahh Problem iii 374 Dyspepsia (Upset Stomach) Emotion &Moods Problem f" Dye menur r hen69 8 5 Negative &Antisocial Problem (=I 81 Abdominal Pain F:=:=0 7 5 impulsive, Hyperactive Or Inattentive Problem Sprain &Strainf=:=P 7 4 Feeding, Eating &Elimination Problem Upper Respiratory lnlection tc:=3; 6 3 Environmental &Situational Problem Throat Pa'n(:=P 6 3 Sexual Behavior Problem Aller gic Rhinitis 5 2 Substance Use &Abuse Problems Wound e==94 8 Cough 0 1 00 0 200 400

73 2000-2001 Annual Report of the Adolescent School Health Initiative

10 Conditions Seen at the SBHC Thp 3 ReliNMIA filr General Preventive Wring 2000-2001, by Category iAits During 2000-2001

Pulmonary/Respiratory 589 1403 Ear/Nose/Throat 167 eimpummpip454 Co mbined Vaccine Gastrointestinal 380 Skin &SubcutaneousOpmsof 346 Metabolic/Nutrition Routine Exam, General Head/Central Nervous 29 011==:, 323 cd ical/KIDM ED System Screen Mental Health"RR 210 General Preventive 199 Medicine 101:R 177 2 MusculoskeletaTrauma Vis in n/Eye Exam 91 Dental &Oral

500 1000 1500 0 100 200

Clifton Elementary School-Based Center Opened: Health Center September, 1997 Clifton Elementary SBHC School Served: 100 N. Prater Lake Charles, LA 70601 J.D. Clifton Elementary (337)439-0880 Total Enrollment in School: (337)439-5029 Fax 541 Total Enrollment in SBHC: Pam J. Beal, BS, Director of 515

Community Health Services CHRISTUS Total Visits to SBHC: Staff St. Patrick Hospital 4,363 Sec page 64 for Clifton Ellen Jones, CEO Grades Served: Elementary School-Based 524 S. Ryan Street P.O. Box 3401 PreK-5 Health Center staff Lake Charles, LA 70601

F 7 8 Mental & Behavioral Health Issues Top 10 Conditions for Injury & Illness aresse During 2000-2001, by Category Related Visits During 2000-2001

Other Mental &l3ehavio ra I Health P roblem Asthma 1167 puls ive, Hyperactive Or Inattentive Dyspepsia (Upset Stomach)t!=a7 379 P roblem Headache 295 Emotion &Moods P roblem 248 Diabetest7EF!, 01=9 132 Environmental&Situatio nal Pro blem Upper Respiratory Infection iLAS1 104 Illness-Rebted Behavior P roblem Abrasion or Friction Burn Egp103 Academic, Co mpetency& Develo pmental Throat Pain P roblem Sinus it isf=1 99 Atypica I B ehavio r P roblem p;:1192 Cough

Negative &Antisocial Problem Cerumen, ImpactedF411 89

0 50 1 00 150 0 500 1 000

66 74 2000-2001 Annual Report of the Adolescent School Health Initiative

ditions Seen.at the SBHC Thp 10 Reasons ftir General Preventive 2000-2001, by,Sategory Medicine t isits During 2000-2001

General Preventive Co mbined Vaccine Medicine Head/Central Nervous Lab Exam System Ro utine Exam, General M edicaVKIDM ED Ear/Nose/Throat 1111,====9/ 262 Screen Gastrointestinal Fo llow-up Exam Musculoskeletal/Trauma0.1 256 Routine InFant or Child Health Check Mental HealtheffiEFES/ 248 P regnancy Exam/Test fg 14 Metabolic/NutritiontIF0 205 Gene ra I M edica I Exam 13 (f===, 177 11 Skin &Subcutaneousf===:1 140 Vision/Eye Exam Gynecology/Breast Sport,Camp &lob P hys teal Exam10j 1 78 Eyes Ear/Hearing Exam

0 200 400 600 800 100 200 300

Washington-Marion High School-Based Health Center Center Opened: Washington-Marion High SBHC April 7, 1995 2802 Pineview Street School Served: Lake Charles, LA 70601 Washington-Marion H.S. (337) 497-0233 (337) 439-5029 Fax Total Enrollment in School: 854 Pam J. Beal, BS, Director of Total Enrollment in SBHC: Community Health Services 769 Staff CHRISTUS Total Visits to SBHC: St. Patrick Hospital See page 64 for Washington-Marion Ellen Jones, CEO 3,233 High School-Based 524 S. Ryan Street Grades Served: Health Center staff P.O. Box 3401 9-12 Lake Charles, LA 70601

p 6 Mental & Behavioral Health Issues Thp 10 Conditiofo, Injuty & Illness ddressed During 21100-2001, by Category Related I/isitA During 2000-2001

Other Mental &Behavioral Health Problen Headache 527 itggil 50 136 Dyspepsia (Upset Stomach)iFFEIP 195 Environmental &Situational Problem DiabetesffE54551 189 Dysmeno rrhea Academic, Competency &Developmental 43 l!!!!9 133 Problem Sinusitis1=91 98 #=4; 94 Throat P ain Emotion &Moods Problem 0=9 81 Other Diseases o Nas al Cavity&Sinuses

Feeding, Eating &Elimination Problem P a in in .1 a int 75 Allergic Rhinitist=1 64 Sexual Behavior Problem 659 43 Umb Pin

50 100 150 0 200 400 600

67 2000-2001 Annual Report of the Adolescent School Health Initiative

Atkins Technology Elementary School Fairfield Elementary School Linwood Middle School

7 6 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

Robert Alford St. Catherine's Community Center Connie Arnold LSU Health Sciences Center Dept. of Pediatrics Shirley Cashio NSU School of Nursing, Pediatric Faculty Ernest Baylor Louisiana State Representative Dr. Joseph Bocchini LSU Health Sciences Center Dr. Debbie Brown Principal, Fairfield Elementary Rosalind Bryant Counselor, Linwood Middle School Iva Burks DHH Office for Addictive Disorders Terry Davis LSU Health Sciences Center Dept. of Pediatrics Aim Fraser Counselor, Linwood Middle School Al Graham Assistant Principal, Linwood Middle School Patti Harper Advocacy, CHRISTUS Health Nobe Harris Community Resident Jinny Hebert Community Resident Racheal James Parent, Linwood Middle School Monica Jenkins-Moore API, Linwood Middle School Patricia Jackson Parent, Linwood Middle School Steve Jackson Parent, Linwood Middle School Jonathan Jackson Student, Linwood Middle School Kathy Maiming API, Atkins Elementary Pat Johnson Principal, Atkins Elementary Reese Middleton La. Assoc. on Compulsive Gambling Alvin Mirns Caddo Parish School Board Member Sharon Roberson Parent, Linwood Middle School Donald Roberson Student, Linwood Middle School Marcia Rozeman Caddo Parish School Nurse Eileen Shoup DHH Office of Public Health Laverne Smith Retired Secretary, Linwood Middle School Trudie Abner DHH Office for Addictive Disorders Ann Springer LSU Health Sciences Center Dept. of Pediatrics Roy Thomas Director of Middle Schools, Caddo Parish School Board Tammy Weaver Public Relations, CHRISTUS Schumpert Health System Jimmy Windham Principal, Linwood Middle School

Staff of SBHC Linwood SBHC staff Dr. Ann Springer Medical Director Peggy Raish, RN, MSN, NP-C Denise Washburn Manager Anita Samuals, MSW Sue Dossey, RN Health Educator, Brenda Houston, Office Coordinator QA Coordinator, Relief Nurse Atkins/Fairfield SBHC staff Mary Jones, BA, MSN, NP-C Teresa Taylor, LCSW, MSW Denise Wallace, Office Coordinator 69 2 0 0 0-2 0 0 1 Annual Report of the Adolescent School Health Initiative

C'onditions Seen at the SBHC Top 3 i?easuns for General Preventive ing 2000-2001, bytategory ,Vedkhie (is ts bitting 2000-2001

417 Mental HealthIF12111°E°619 Routine Exam, SU n &S.thcutaneous 261 General Gener al Preventive 252 M edical/KIDM ED Screen Medicine 185 232 Pulmonary/ Respirator y 161 Ear/ Nose/Throat 15 Follow-up Exam Gast r °intestinalE0 155 Eyeserill=9 107 Musculoskeletal/ Tr aurregEnp 82 Head/ Centr al Ner vous 4 0=0 78 Vision/Eye Exam Sistem mg.A. 7 Dental/ Or al

0 100 200 300 400 500 0 100 200

Atkins Technology ElementaryAtkins/Fairfield Elementary School-Based Center Opened: 7611 St. Vincent Ave. September 1999 Shreveport, LA 71106 Health Center Schools Served: Fairfield Elementary Atkins Elementary 6215 Fairfield Ave. Fairfield Elementary Shreveport, LA 71106 Total Enrollment in Schools: 912 Denise Washburn, Manager Total Enrollment in SBHC: 716 (318)681-6501 Total Visits to SBHC: CHRISTUS (318) 681-4667 Fax 1,781 Schumpert Health System P.O. Box 21976 Grades Served: Staff Shreveport, LA 71120 PreK-5 Sec page 69

elipv*al Health Issues Top 10 ConditiwIs for Injury & Illness During 2000-2001, by Category Rehired Visits During 2000-2001

62 Other M ental & Behavioral Health Problem tJ Asthma 231 Upper Respiratory Infection 61 Impulsive, Hyperactive or Inattentive ProblemORIPMF9 go 61 Conjunctivitis 61 Headache Environmental & Situational ProblemMI 37 59 Gastritis Academic, Competency & Developmental 51 MI 27 Abrasion or Friction Burn Problem 51 Abdominal Pain Emotion & M oods Problem 26 Cough 47 Allergic Rhinitis 46 Atypical Behavior Problemri 11 41 Wound

100 200 50 100

70 2000-2001 Annual Report of the Adolescent School Health Initiative

Top 10 Conditions Seen at the SBHC lap 7 Reasom for'General Preventive Pqing 2000-2001, by Category Medkine :Visits During 2000-2001

General Preventive 768 399 Combined Vaccination Medicine 719 Ear/Nose/Throat Routine Emm, General Medico VKIDM EDF=IP' 205 Musculoskeletal/Trauma Screen t!P 3394 323 Gastrointestinal Follow-up Exam Skin &SubcutaneousfE,5E5155=9 308 49 Head/Central Nervous 254 Sport,Camp &Job P hysical Exam System LiL.1* 919 Mental Health 211 Vision/Eye Exam Pulmonary/Respiratoryfliffg 163 17 Lab Exam Eyesragg 116

Gynecology/BreastOPlig7-11 0 General Medical Exam

0 300 600 900 260 400

Linwood Middle School-Based Center Opened: Health Center March 25, 1996 Linwood Middle SBHC School Served: 401 W. 70th Street Linwood Middle Shreveport, LA 71106 Total Enrollment in School: (318)681-6501 651 (318) 681-4667 Fax Total Enrollment in SBHC: Denise Washburn, Manager 633 CHRISTUS Total Visits to SBHC: Staff Schumpert Health System 3,474 See page 69 P.O. Box 21976 Grades Served: Shreveport, LA 71120 6-8

op 8 MenwlBehavioral Health Issues Thp 10 Cm for Injury & Illness Addressed During 2000-2001, by Category Related tisits During 2000-2001

Other Mental &Behavioral Health Problem 76 Sinusitis 440 Emotion &Moods Problem 43 Headache 238 Academic, Competency &Developmental 25 Abdominal Pain 171 Problem Sprain &Strain 123 Atypical Behavior ProblemefT1 20 Asthmat=3198 14 0=9 95 Sleep &Somatic Problem Dysmenorrhea 79 Contusion Environmental &Situational Problemtt;;;91 14 63 10 Pain in Jointv=068 62 Impulsive, Hyperactive Or Inattentive Problem Conjunctival Degenerationf==p Negative &Antisocial Problem 9 ( Allerg ic R hinit is 200 400 600 0 100

79 2000-2001 Annual Report of the Adolescent School Health Initiative

Bunche Middle School Butler Elementary School

8 0 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board Members and Community Partnerships Ralph J. Bunche Middle School

Elton Lagasse Superintendent, Jefferson Parish School System Freddie Landry Coordinator, Title IV, Safe & Drug Free Schools & Communities Act RayLyn Stevens CPA, Jefferson Parish School System Nancy Haslett, M.D. Medical Director JPHSA Jennie Fowler, R.N. Jefferson Parish School Nurses Dawn Palermo, Adm. Jefferson Parish Juvenile Court Jennifer Kopke Coordinator, JPHSA Prevention/Education Pamela G. Billiot Principal, Butler Elementary School Drue Dumas Principal, Bunche Middle School Mary Burrows Community Leader Rita M. Grayson Parent Advisor, Bunche Village Civic Association Joy Haynes Parent Advisor Fred Hamilton Parent Advisor, St. John Baptist Church Angela Tyrone Bunche Middle School Social Worker Marie Young Bunche Middle School Nurse Rev. Terry Lewis Providence Baptist Church Paul R. Cutting Community Leader Pauline Wright-Morgan Bunche Village Civic Association Maureen Hambacher Washington Elementary School, Social Worker Darlene Santana American Cancer Society Florence Cotham Community Leader Dorothy Carter Community Leader Dorothy Monroe Community Leader Myrna C. Jones Community Leader Arleeta Terrell Office of Parish President Debbie Villio Agency Director, Jeff. Parish Community Justice Carol Sydney Nineveh Baptist Church Joseph E. Prater Bunche Village Civic Assn. Karen Barnes Jefferson Parish School Board Member Sheryl Levy Community Leader Adele Ippolilto Community Leader Apostle Tony A. Westley Community Leader Emma J. Westley Community Leader Pam Edwards Principal, Washington Elementary School Roger Zoorab, M.D. LSU Family Practice Mohammed Sidani, M.D LSU Family Practice James S. Campbell, M.D. LSU Family Practice Angie Ruiz Coordinator School-Based Health Center Michelle Flaig, R.N. School-Based Health Center Marie Riviere,LCSW Social Worker School-Based Health Center Lovie Brooks Preventive Specialist, School-Based Health Center

Juvenile Services Jefferson Parish Human Services Authority Truancy Center Child Protection Agency

73 Si 2000-2001 Annual Report of the Adolescent School Health Initiative p 10 tOrkitions Seen at the SBHC Top 9 Reasons fOr ,General Preventive During 2000-2001, by Category Medicine ilsits During 1000-2001

145 Gastrointestinal General Preventive 122 Routine Exam, General Medical/KIDM ED Screen M edicine 112 Vision/Eye Exam M usculoskeletal/Traurna 109 Combined Vaccine (Immunization) M ental Health Ear/Hearing Exam Skin & Subcutaneous 39 Prenatal Care Head/Central NervousOfE939 System Sport, Camp & Job Physical Exam Ear/Nose/ThroatMEE,38 24 Measles, M umps & Rubella Vaccine Eyes General Counseling Pulrmnary/Respiratorymy 22 Hepatitis Vaccine Cardiovascular/Bloodepy 17 7 20 40 60 0 100 200

Bunche School-Based Health Center 8101 Simon Street Bunche School-Based Center Opened: Metairie, Louisiana 70003 Health Center January, 2001 Schools Served: Angie Ruiz, LCSW Ralph. J. Bunchc Middle, Coordinator Washington Elementary (504) 737-5523 Total Enrollment in Schools: 740 Staff Total Enrollment in SBHC: Michelle Flaig, RN, Nurse 275 Annette Berfect, Receptionist Jefferson Parish Public School System Total Visits to SBHC: Data Entry Clerk Elton Lagasse, Superintendent 552 501 Manhattan Blvd. Marie Riviere, LCSW, Social Worker Grades Served: Lovie Brooks, Prevention Specialist Harvey, LA. 70058 PreK-8 Dr. Mohammad Sidani, Medical Director Dr. Carmen Ramos, Psychiatrist 9 MentalRehtvioral Health Issues op 8Conditiwts'forinjtny ct Illness Addresed During 2000-2001, by Category Related Visits During 2000-2001

35 I Environmental & Situational Problem Headache 17 Other M ental & Behavioral Health Problem Dyspepsia (Upset Stomach) Academic, Competency & Developmental 15 Problem Abdoninal Pain Feeding, Eating & Elimination ProblemFFIO 11 Throat Pain Impulsive, Hwemctive Or Inattentive Problemtf49 9 Pain in Joint, Lower Leg Sexual Behavior Problemelf!!!9 9 Emotion & Moods Problem(#5F3 7 Asthma 41 Negative & Antisocial Problem Eye Pain Substance Use & Abuse Tooth Pain , 0 20 40 0 20

74 82 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board Members and Community Partnerships Joshua Butler Elementaty

Elton Lagasse Superintendent, Jefferson Parish Public School System Freddie Landry Coordinator, Title IV, Safe & Drug Free Schools & Communities Act RayLynn Stevens CPA, Jefferson Parish School System Nancy Haslett, M.D. Medical Director, JPHSA Jennie Fowler, R.N. Jefferson Parish School Nurses Dawn Palermo, Adm. Jefferson Parish Juvenile Court Jennifer Kopke Coordinator, JPHSA Prevention/Education Pamela G Billiot Principal, Butler Elementary School Delores Smith Assist. Principal, Butler Elementary School Rev. Woodrow Hayden Shiloh Baptist Church Pam Wiseman, M.D. Tulane University Bob Bermudez Tulane University Juliette Aimes Butler School Social Worker Elliott Duffoure President, Westwego Lions Club Carolyn M. Davis, M.P.H. Adm., Jefferson Parish Health Unit Brenda Chighizola Alton Ochsner Medical Foundation Keith Bouvier Community Leader Ms. Yvonne, Lagasse Community Leader Judge Anne Keller Juvenile Court Ms. Joan Smith Community Leader Sandra Thibodeaux Butler PTO Ray Sandras Community Leader Gina Collura Butler Elementary School PTO President Christopher Trosclair Community Leader Kenneth Bouvier Community Leader Greg Guidry Community Leader Ray St. Pierre Jefferson Parish School Board Member Deidra B. Decay Parent Advisor, Butler Elementary School Mayor Robert E. Billiot Mayor of Westwego Cindy Brown Principal, Vic Pitre Elementary School Phil Alima Westwego Emergency Medical Service Joseph Fonseca Principal, Worley Jr. High School Joan Francis, Ed.D Regional Chamber of Commerce Earline Bridges Principal, Westwego Elementary School Angie Ruiz Coordinator, School-Based Health Center Monique DeMatteo, R.N. School-Based Health Center Marie Riviere Social Worker, School-Based Health Center Lovie Brooks Preventive Specialist, School-Based Health Center Belinda Schouest Secretary/Data Entry/Billing Specialist

West Jefferson Medical Jefferson Parish Human Services Authority Center Truancy Center Juvenile Services Child Protection Agency 75

63 2 0 0 0-2 0 0 1 Annual Report of the Adolescent School Health Initiative

Candithntv Seen at the SBHC np 6 Reasolls for General Preventive ing 2000-2001, by Category Medicine.i.gts Paring 2000-2001

223 Skin & Subcut aneo us Head/central Nervous 218 Roidine Exam Gaeta M edical/K1DM ED Screen System 159 M ent al Healt h 146 VisiorrEye Exam Gast ro int est inal 133 Ear/Nose/Throat Ea/Fearing Exam 111 M usculoskelet al/Trauma Genera Medical Exam rinresu 102 Puhhonary/Respiratory General Prevent ivefg=" 56 Confined Vaciare(lrmunization) M edicine M iseellaneousOEFil53 Sport, Carp &Job Physical Exam Eyes"Mill 37. 20 40 0 100 290 300

Center Opened: Butler School-Based Health Center Butler School-Based January, 2001 300 Fourth Street Schools Served: Westwego, LA 70094 Health Center Joshua Butler Elementary, Vic Pitre Elementary, Angie Ruiz, LCSW Coordinator Westwego Elementary, (504) 737-5523 Stella Worley Junior High Total Enrollment in Schools: Staff 2,313 Monique DeMatteo, RN, Nurse Total Enrollment in SBHC: Belinda Schoucst, Receptionist/Data Entry Clerk 518 Lovie Brooks, Prevention Specialist Total Visits to SBHC: Dr. Pam Wisernan, Medical Director Jefferson Parish Public School System 1,319 Dr. Carmen Ramos, Psychiatrist Elton Lagasse, Superintendent Grades Served: Marie Riviere, LCSW, Social Worker 501 Manhattan Blvd. Harvey, LA. 70058 PreK-9 uthl & Behavioral Health Issues Thp 100 /Mot 'orJnjury & Illness Addresxed During 2000-2001, by Category Relate yiNitsDaring 2000-2001

Headache 56 Academic, Competency &Developmadal Problem Abdominal Pain 55 Other Mental &BeWoral Health Problem Asthma 19 Neg alive & Ant isocial Problem Limb P ain 57 LW:F:1 19 lrrpulsive, Hyperactive Or lretterdive Problem Throat Pain 52 0E9 16 48 Erwirorrrental &Situational Problem Head injury 0=114 45 Emotion & M oods Problem Fever of Unknown Orgin Pediculus Capitis (Head Lice) 40 Substaace Use & Abuse83 29 Pain in Joint Feeding, &rim & Elininat ion Problem83 ( Epistaxis (Nose B leed) 0 40 80 0 100 200

76 54 2000-2001 Annual Report of the Adolescent School Health Initiative

Tedive414114 Sftaadoled Sekot Faded qeaer% eearezd

Clinton Middle School East Iberville High School Lawless High School John McDonogh High School Northside High School West Feliciana Family Service Center Rueben McCall Jr. & Sr. High Delhi Jr. & Sr. High

S 2000-2001 Annual Report of the Adolescent Scho.ol Health Initiative

s Seen at the SBHC Thp 5 Reasons jig.enezal Preventive -2001, by Category Medkine lisits During 2000-2001

Routine Exam, General 124 General Preventive 213 M edical/MDM ED M edicine Screen M ent al Health 208 176 Sport, Camp &Job M usculo skelet al/Trauma 84 Head/Central Nervous 131 Physical Exam System 118 Ear/Nose/Throat General M edical Exam Skin & Subcutaneous los GastrointestinaleMEME, 79 Counseling Eyes 36

Pulmonary/Respiratoryeag 32 Dental/Orale3-15 Pregnancy ExarNTest 100 200 300 100

Clinton Middle SBHC Clinton Middle School-Based 12126 Liberty St. Center Opened: Clinton, LA 70722 Health Center November 1999 Ginger A. Hunt, FNP-C, Director School Served: (225) 683-8877 Clinton Middle School (225) 683-9385 Fax Total Enrollment in School: 308 Staff Total Enrollment in SBHC: Ginger A. Hunt, Program Director 274 Lisa Ashton, Family Nurse Practitioner Total Visits to SBHC: Betty Blackmon, Registered Nurse 12126 Liberty St. Clinton, LA 70722 1,183 Darie Gilliam, Family Nurse Practitioner Grades Served: Zelma Randall, Family Nurse Practitioner 6-8 Dr. Dewitt Bickham, Physician Beth Fudge, Data Entry/Administration Assistant & Behavioral Health Issues Top 10 Conditions or Injury & Illness ring 2000-2001, by Category Related l'isits During 2000-2001

Headache1======9128 Impulsive, Hyperactive Or Inattentive Problem Sprain &StrainF=====1119 69 Academic, Competency & Developmental Problem 0=1=9 66 A Ilc rg ic R hinit is 52 Environmental & Situational Problem Pain in Joint Abdo mina! Pain 40 Other M ental & Behavioral Health Problem Gastroenteritis 30 17 Emotions & M oods Problem Conjunctivitis 16 Atypical Behavior Problem Wound 13 Injury Negative & Ardisocial Problem Abrasion or Friction Burn 13 150 0 50 100 50 100 150

6 2000-2001 Annual Report of the Adolescent School Health Initiati»e

Advisory Board and Community Partners

Ginger Hunt Executive Director Sonja Travis President Georgia Johnson Secretary Lanie Phares, RN DHH Office of Mental Health Cheryl Ewing, RN DHH Office of Public Health Lillie Goodman School Nurse Francis Hunt Police Jury/School Board Preston Kennedy Businessman Dr. Fred Malone Clergy Trudy Steinbeck Retired RN John Travis State Representative Dianne L. Williams Parent/Clinton Middle Sherry Smith Parent/Clinton Middle Josie Shropshire Parent/Clinton Middle Donald Taylor PTO/Clinton Middle Darrell Williams Student Justin Marshall Student Natasha Cheatham Student Michael Cheatham Teacher/Clinton Middle

79 2000-2001 Annual Report of the Adolescent School Health Initiative

it/on Seen at the SBHC o Reasons Or General Preventive -2001, by Category ;lledkine Visits During 2000-2001

200 Mental Health Follow-up Exam tXCIl1=11 75 General Preventive 621 Combined Vaccination Med icine Skin &Subcutaneous 163 530 Routine Infant or Child I Icalth Chcckf.Lf 54 Head/Central Nervous 162 Lab Exame146 System 156 Ear/Nose/Throat Routine Exam, General MedicaVKIDMED ScreenF9 42 M usculoskeletal/Traumaeil=lagj 124 Ear/11.ring Exam 39

GastrointestinalgPiggij 112 Sport, Camp &lob Physical Exam 38 1#59 20 Pulmonary/Respiratorygig 69 Vision/Eye Exam 7 Eycsrig 49 09_43 STD Screen Gynecology/Breast Pregnancy Evan-Crest;2 200 400 600 0 100 200 300

East Iberville SBHC 3285 Hwy. 75 East therville School-Based Center Opened: St. Gabriel, LA 70776 December 2, 1996 Health Center Schools Served: Phyllis J. Adams, Executive Director East lberville Elementary (225) 642-9911 and High schools (225) 642-9912 Fax Total Enrollment in Schools: 593 Staff Total Enrollment in SBHC: Phyllis J. Adams, Administrator Shelly Dubriel, RN, On-Site Manager 560 Marian Jackson, Office Coordinator/ St. Gabriel Community Total Visits to SBHC: Health Center, Inc. 2,171 Data Entry Clerk Phyllis J. Adams, ExecutiveDirector Jonathon Roberts, MD 5760 Monticello Drive Grades Served: Donna Freeman, Mental Health Counselor St. Gabriel, LA 70776 K-12 Molly Jones, Family Nurse Practitioner lttnthI& Behavioral Health Issues Thp Conditions,or Injury & Illness !Enid Daring 2000-2001, by Category Related l'isits Durifig 2000-2001

Other M ental & Ileadache 122 Behavioral Health Problem Abdominal Pa'n 44 Sprain &StraintFEFP 41 Environmental & Dyspepsia (Upset Stomach)PFP 41 Situational Problem Uppe Respto y If et' 37 ift=1:==lip 37 Other Diseases of Nasal Cavity &Sinuses Academic, ti==p30 Competency & Insect Bite Developmental td=4141, 28 Pha rynt, it is Problem Dysmenorrhea10=9 22

Emotion &Moods Viral infectionf ==i; 2:1 Problem ( 100 150

80 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

Shelly Dubriel On-site Manager/Registered Nurse, E. Iberville SBHC Karen Love Teacher, East Iberville High School Mary Romano Teacher, East Iberville Elementary School Lydia Haydel Parent, East Iberville High School Marian Jackson Office Coordinator/East Iberville School-Based Health Center Theresa Roy Parent Delores Pointer Teacher, East Iberville High School Liz Kember Teacher, East Iberville Elementary School

American Cancer Society DARE Juvenile Probation/Parole Parish Public Health Unit SLU School of Nursing American Lung Association Iberville Parish School Board - Drug Abuse/Homeless Program Woman's Hospital - Education Department

81 89 2000-2001 Annual Report of the Adolescent School Health Initiative

nditions Seen at the SBHC Thp 10 licavons far General Preventive 2000-2001, by#Category Medicine Visits During 400-2001

184 508 Combined Vaccination Mental Health 153 General Preventive Routine Infant or Child Health Check 468 Routine Exam,GenemlMedicaVKlDMEDf;=;)42 Medicine 242 Ear/Nose/Throat Screen 63 24 Head/Ccntral Nervousf!!!!E3 210 Soo rt,Camp &J ob P hys ica l Exam System 202 L.ab Exam0 16 Pulmonary/Respiratory el10 MusculoskeletaVTraumaifOREHeFEgi 191 Follow-up Exam 0 8 Skin &SubcutaneousNEMO 126 STD Screen 7 Gynecology/BreastAWN 123 P regnancy Exam/Test 01 2 Gastrointestinaleill=9 122 Gene ml M edic alExa m 15911_1=L4 Eyes Eye Exam f"2

0 200 400 600 1010 200 300

Allison Chapital-Lawless SBHC Center Opened: 5300 Law Street Lawless High School-Based New Orleans, LA 70117 January 1994 Health Center Schools Served: Dawn Williams, MPH, Program Director Lawless High School (504) 944-8864 MLK Elementary (504) 949-6620 Fax MLK Middle Staff Medical Center of Total Enrollment in schools: Sue Abdalian, MD Louisiana Foundation 974 Jerry Romig, Director Betty Muller, MD 2021 Perdido St. Total Enrollment in SBHC: James Farrow, MD New Orleans, LA 70112 622 Stephen Weimar, MD Enid Broyard, Nurse Practitioner Lower 9th Ward Coalition Total visits to SBHC: Michelle Crowley, Data Entry Tulane Medical Center, Dept of Pediatrics 2,414 Ellis Lindsey, MSW, BSW Grades Served: * 592 Visits could not be reported in the graphs Delann Williams, Receptionist 1-12 Jerry Romig, Hospital Administration because of technical difficulties. ihavioral Health Issues Top 10 Conditions for Injury & Illness 2000-2001, by Category Related Visits Datink 2000-2001

201 Emotion &Moods Problem 470 Headache 156 Allergic R !lutists Negative &Antisocial Problemdi 13 Upper Respiratory infection 114 Other Mental &Behavioral Health Problem07 Dysmenorrhea 100 7 Environmental &Situational Problem0 Asthmaf==i1 81 6 eth=ip 53 Sleep &Somatic Problem0 Myalgia &Myoaisis 3 /1=1) 42 Growth, Development And Personal Health0 Sprain &Strain Pharynbit iseg=p 42 Sexual Behavior Problem0 40 Abdominal Pain Academic, Competency &Developmental0 0==4 39 Problem [WY /

200 400 600 0 100 200 300

82 90 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

Vivenne Blair Holy Cross Neighbor Association Effie Simms Great Expectations Viola Watson Lower 9th Ward Community Center Shirley Taylor Principal, Lawless Jr/Sr High School Sterling Henry Pharmacist, H & W Pharmacy Theresa Nash Medical Services, Orleans Public Schools Irvin Henry Parent, Lower 9th Ward Coalition Barbara Herman New Orleans Council for Young Children Willie Calhoun Vice-President, Lower 9th Ward Coalition Kathry Alveris PTA President, Lawless Jr/Sr High School Isabelle Moore Vice-President, LISC Irma Magee Parent, Lower 9th Ward Coalition Mildred Rocket Grandparent, Lower 9th Ward Coalition Jackie James Treasurer, Lower 9th Ward Coalition & N.O. Health Corp. Carol Stewart Lower 9th Ward Coalition Sister Theresa Rene Principal, St. David Catholic School Doris Hicks Principal, Martin Luther King Elementary School James Pittman Dentist, Lower 9th Ward Coalition Celest Terry Dental Hygienist, Lower 9th Ward Coalition Rev. Leonard Lucas Representative, District 99 Don Carter Physician Debra Reimonieq Principal, MLK Middle School

Carla Mclin Dillard University Charlotte Hurst Dillard University School of Nursing Susan P. Hinton Xavier University School of Pharmacy Gilda Armstrong-Butler Office of Mental Health Region I New Orleans Mental Health Center Dewain Belgard DHH Office for Addictive Disorders Cleveland Moore Earnest N. Morial Asthma Center Katherine Miller-Harris Entergy Charitable Foundation Second Harvest Food Bank Dr. Gwen Jones New Orleans Public School Medical Dept. David Ward Daughters of Charity Health Care Foundation Nancy Aranson Institute of Mental Hygiene

91 2000-2001 Annual Report of the Adolescent School Health Initiative

0 Conditions Seen at the SBHC 7Op9 Reaons fOr general Preventive im2000-2001, by Category Medicine I isils During 2000-2001

/4 General Preventive 334 Medicine 318 Ear/Nose/Throat 112 Head/Central Nervous 269 Ear Exam 79 System 206 Eye Exam Skin &Subcutaneous Combined Vaccination Gynecology/Breast 196 Pregnancy Exam/Test 173 Musculoskeletal/Trauma Sport, Camp &Job Physical Exam 17 166 12 Gastrointestinal Lab Exam 151 Mental flealth General Counseling Pulmonary/RespiratoryfOOMP=RI 120 STD Screen Health Counseling & _107_ RoutMe Exam, General Med ical/KIDM ED Screen Education 200 400 0 50 100 150

John McDonogh High SBHC 2426 Esplanade Ave., Room 113 John McDonogh High School-Based Center Opened: New Orleans, LA 70119 Health Center April 3, 1997 (504) 827-4662 School Served: (504) 827-4664 Fax John McDonogh High Total Enrollment in School: Kenneth Gautier, MD 1,109 Medical Director Total Enrollment in SBHC: 1,017 Staff Total Visits to SBHC: Owen Allen, Fiscal Administrator LSU Medical Center Tresa Evans, Program Administrator Dept. of Pediatrics 2,209 Sharlene Sterling, RN 1542 Tulane Ave. Grades Served: Petrie Baker, Receptionist New Orleans, LA 70112 9-12 Katie Galarza, Nurse Practitioner

8 ifental tt Behavioral Health Issues Thy 10 Ctiidiiiotsfrr Injury & Illness uring 2000-2001, by Category Related risks During 2.000-2001

Headache 253 Emotion &Moods Problem 187 Sinusitis Environmental &Situational P roblem 177 Dysmenorrhea

Semis I Behavio r P roblem Dyspepsia (Upset Stomach) 117 Other Mental &B ehavio ra l Health P roblem Upper Respiratory Infection 100 44 Academic,Co m petency & Developmental Chronic Allergic Conju etitis P roblem = 4 4 Sleep &Somatic P roblem Myalgia &Myositis 40 Sprain &Strainp==p Negative &Antisocial P roblem Throat Pain1=0 39 Illness-Related Behavio r P roblem Abrasion or Friction Burn 33

0 20 40 60 0 100 200 300

84 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

Ken Gautier, MD Department of Pediatrics, LSU Health Sciences Center Sam Scarnato Chairman, New Orleans Schools Leadership Collaborative Morris Davis Principal, John McDonogh High School Clinton Smith Principal, Waters Elementary School Joseph Taylor Principal, Nelson Elementary School Walter Goodwin Principal, Phillips Junior High School Deborah Chapman Parent, John McDonogh High School Germaine Arnold Parent, Nelson Elementary School

85 2000-2001 Annual Report of the Adolescent Selzool Health Initiative

p 10 (onditions Seen at the SBIIC MI) 10 Reasons fir General Preventive tiring 2000-2001, by Category Medicine tisits During 2000-2001

304 General Pre ventive Medicine Comb incd Vaccine 442 750 282 Head/CentralNervous System Sport, Camp &Job Physical Exam#E9 43 310 Follow-up Exam Musculuske let al/Trauma 307 Lab Exam 25 11r/Nuse/Throat t1920 Routine Exam, General MedicnVKiDM ED Screen Health Counseling &Educationf*FEEP 212 01!1=11419 197 General Counseling6 13 Skin &Subcutaneous Vision/Eye Exam44

G at I i Ieiff5g§ 151 2 Pregnancy Exam/Test pl1=19133 I, 2 Gynecology/Bre st Hypertension Screening Mental HeelthfEEP 99 Tetanus-Diphtheria Vaccine EP _66 Eyes 0 100 200 300 400 0 200 400 600 800

Northside High SBHC 301 Dunand Street Northside High School-Based Center Opened: Lafayette, LA 70501 (318)261-6995 Health Center January 16, 1996 (318)231-0022 Fax School Served: Northside High School Kim Bare, RN,.BSN, Program Director Total Enrollment in School: 986 Staff Total Enrollment in SBHC: Randy Sam, Secretary 773 Gwen Hollinger, Social Worker Our Lady of Lourdes Total Visits to SBHC: Donna Tolbert, RN Regional Medical Center 2,855 Alfredo LeBron-Berges, Medical Director Geralyn Shelvin, RN Grades Served: Judy Robichaux, Pediatrics Nurse Practitioner 611 St. Landry St. Lafayette, LA 70506 9-12 Susan Miedecke, K1DMED Nurse

Top # Mentot & Behavioral Health Issues Top10 Con ons or Injuly & Illness Addressed .During 2000-2001, by Category Related 1its During 2000-2001

Headache

Other Mental &Behavioral Health Problem Dysmcnorrhca 125 420 Other 0/senses of Nasal Cavity &Sinuses 102 Environmental &Situational Problem Injury65E31 86 A7=11 82 Emotion &Moods Problem Throat Pain Abdominal Pain=gip 82 Sexual Behavior Problem 11==. 70 Pain in Joint Aced emic, Comp etency &Developmental Problem Backacheg!ggf 45 Tooth Painv=9 44 Illness-Related Behavior Problem 43 Allergic Rhinitis ( 20 40 60 0 200 400

86 54 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

Betty Alfred Lafayette Parish School Board Fr. J.B. Aubespine Immaculate Heart of Mary Kim Bare Northside High School Health Center Louis Benjamin Lafayette Parish School Board Ann Broussard University of Louisiana at Lafayette Louella Cook Northside High School Joe Cotton Diocese of Lafayette Larry Dorsey University Medical Center Maxine Hamilton Lafayette Parish School Board Rev. Bruce Head ly First Assembly of God Carl Lacombe Lafayette Parish School Board Bernell Lemoine Lafayette Parish School Board Sr. Betty Lyons Our Lady of Lourdes Regional Medical Center Susan Miedecke Our Lady of Lourdes Regional Medical Center Wilfred Pierre Louisiana State Representative Verna Ruffin-Wiggins Northside High School Edward Sam State Representative Geralyn Shelvin Our Lady of Lourdes Regional Medical Center Norma Stewart Our Lady of Lourdes Regional Medical Center Lynn Stelly Our Lady of Lourdes Regional Medical Center

Community Partners

Lafayette Parish Public Health Unit Partnership for a Healthier Lafayette Women's & Children's Hospital Southwest Louisiana Area Health Education Center Louisiana Violence Prevention Task Force Office of Public Health Acadiana Mental Health LSU Medical Center

95 2000-2001 Annual Report of the Adolescent School Health Initiative

traditions Seen at the SBHC 10 Reasons pr General Preventive lig 2000-2001, by Category Medicineisits During 2000-2001

General Preventive 1634 Medicine Mental licalth 831 Vision/Eye Exam 325 739 Skin &SubcutaneousfeffE9 301 Lice Sc cc Fill=g1191 0119 275 Special Screening, Unspecified Condition Ear/Nose/Throat 173 11719 213 Combined Vaccination MusculoskeletaVTrauma eg 71 Health Counseling &dpe 155 Routine Exam, General Medical/KIDM ED Screen Ed in 63 Head /CHturcaqdvo 152 Sport, Camp &Job Physical Exam System Ear/Hearing Exama 48 Gastrointestinalegp 120 21 gsp 119 Routine Infant or Child Health Chcck Eyes uo Pregnancy Exam/Test0 2 Pulmonary/Respiratory General Medical Exam0 1 ( 500 1000 1500 2000 0 200 400 600 800

Center Opened: West Feliciana Family Fall 1990 Schools Served: West Feliciana Family Service Center Service Center West Feliciana Middle & High, P.O. Box 2130 Bains Elementary, St. Francisville, LA 70775 (225) 635-5299 Bains Lower Elementary and (225) 635-5699 Fax Tunica Elementary Schools Total Enrollment in Schools: Eileen Sonnier, Director 2,423 Total Enrollment in SBHC: Staff West Feliciana Parish 1,351 See Page 89 for West Feliciana School Board Total Visits to SBHC: Family Service Center Staff Lloyd Lindscy, Superintendent P.O. Box 1910 4,071 St. Francisville, LA 70775 Grades Served: PreK-12, including infants and adults Behavioral Health Issues bp 6 Conditionsfor >Injury & Illness ssed During 2000-2001, by Category Rdated I isits During 2000-2001

Impulsive, Hyperactive Or Inattentive Problem hrjsry 160 f!,=Tp 155 372 Emotion &Moods Problem 108 Headache Negative &Antisocial Problemef)135 75 90 Environmental &Situational Problem Contusion .09P65 Other Mental &Behavioral Health Problem 88 Abdominal Pain Academic, Competency &Developmental Problem09 26 63 01 2 Throat Pain Sleep &Somatic Problem 61 Sexual Behavior Problem Otalgia (Earache)

200 400 100 200

Sf3 2000-2001 Annual Report of the Adolescent School Health Initiative

Family Service Center Staff

Eileen Sonnier Family Service Center Director Winona Mullen Early Head Start Coordinator Virginia Arceneaux Receptionist Shonshalla Hills Early Head Start Teacher Glinda Jenkins Registered Nurse Lynn Rexrode Early Head Start Teacher Sheila Solomon Registered Nurse Debra King Early Head Start Teacher Martha Pope Physician, Medical Director Karen Harris Early Head Start Teacher Twiggy Harris Physician Bonnie Cleveland Early Head Start Teacher N. Nwabueze Physician Kisize Burell Early Head Start Teacher Frank Vine Psychologist/Counselor Judy Lee Rogers Early Head Start Assistant Louise Dukes Family Literacy/Adult Services Coordinator Mary Henderson Health Education Coordinator/Homeless Liaison Pam Wall Mental Health Counselor/Health Services Coordinator Carol Crankshaw Quality Assurance Coordinator/Administrative Assistant Rosa Cannon Home Visitor Glenda Jackson Home Visitor Nolan Sullivan Janitor Challie Daniel Physician Gina Abbott Counselor

Advisory Board and Community Partners

4-H E.J. Arceneaux Student Floria Henderson Guidance Counselor, West Feliciana High Johnny Arceneaux Parent/Businessman School Reverend Harold Babin Methodist Church Mary Henderson Homeless and Health Education BellSouth Foundation Coordinator, W. Feliciana Schools Stella Bourgeois Nurse, W. Feliciana Parish Health Unit Thelma Jones Director, Head Start Reverend Randy Butler Religious Leader Anne Klein Parent, W. Feliciana High School Sue Catchings Board Member, United Way Carter Leake President, Bank of St. Francisville Children's Trust Fund Al Lemoine Principal, W. Feliciana High School Steven Comfort Director of Data Systems/Staff Marsha Lindsey Teacher, Grace Episcopal Day Care Co-Chair Development Jerome Matherne Technology Supervisor, W. Feliciana Schools Billy D'Aquilla Mayor, St. Francisville Kim Maxwell Entergy Nuclear Power Company Katherine Dandridge Child Nutrition Supervisor, W.Feliciana Joyce Mullen Director, Quad Area Action Agency Schools Pam Myers Home Economist, Cooperative Extension Susan Davis Owner, Grandmother's Buttons Service Alice Dawson Director, First Steps Day Care Shannon Nixon Student Ken Dawson Dawson Foundation Jesse Perkins Supervisor, Elementary, W. Feliciana Schools Abby Deschapelles Special Education Sup., W. Feliciana Lula Pride Audubon Regional Library Schools Daryl Powell Principal, Tunica Elementary School Shemeka Dunbar Parent Ethel Rucker Manager, Hardwood Apartments Joyce Edwards Principal, Bains Lower Elementary Barbara Sterling Parent, Bains Elementary School Ann Felice Fourrier Transition Coordinator, W. Feliciana Dorothy Temple Principal, Bains Elementary School Schools Co-Chair Henry Triplett Supervisor, Secondary and Adult Education Patricia Gilmore Director, Council on Aging Joe Wells Supervisor, Ancillary Services Liddie Glasper Parent, Even Start, Bains, WFHS Mary Williams Parent/Teacher, Bains Elementary School John Green Director, West Feliciana Hospital Sara Mae Williams President, Community Volunteer Agency Robyn Hardy Parent Woman's Hospital Leah Willis Student Donna Yancey Families Helping Families Marie Yarbrough Parish Manager, Office of Family Support Vaccination Program, LSU Med. YWCA of Greater Baton Rouge West Feliciana Parish Hospital

89 2000-2001 Annual Report of the Adolescent School Health Initiative

ns Seen at the SBHC Top 10 Reasons,fiir Ggneral Preventive 006-2061, by Category Medicine Visits During 2000-2001

General Preventive Hypertension Screening Head /Cgtiliftvous 292 System 265 Routine Exam, General Medical/KIDM ED Screen Gastrointestinal Sport, Camp &Job Physical Exam Mental HealthdEEE9 236 edERE=7 201 Routinc Want or Child Health Check MusculoskeletaVTrauma Eye Exam F=111=11g9 168 Ear/Nose/Throat Follow-up Exam

Skin &Subcutaneous 136 Pregnancy Exam/Test

Cardiovascular &Blood General Medical Exam

Dental &Oral Lab Exam Other Specified Counseling, Couseling NEC Eyes

0 200 400 600 0 100 200

McCall Sr. High School-Based Health CeUcr Center Opened: P.O. Box 1620 _Reuben McCall School-Based October 13, 1995 900 Wyche St. Health Center Schools Served: Tallulah, LA 71282 McCall Sr. High School McCall Jr. High School Hazel Suluki, Director (318) 574-5371 Wright Elementary (318) 574-5345 Fax Total Enrollment in Schools: 1,479 Staff Total Enrollment in SBHC: Shelly Banks, Receptionist/Data Entry 1,319 Lawrence Chenier, MD Madison Parish Hospital Wendell Alford, Administrator Total Visits to SBHC: Betty Clark, School Nurse 900 Johnson St. 2,703 Malcolm Gayfield, Social Worker Tallulah, LA 71282 Rodger T. Puckett, RN Grades Served: Sylvia Redd, Nurse Practitioner PreK-12 - ental f Behavioral Health Issues Thp10 Conditions for Injury & Illness 4ufreed During 2000-2001, by Category Related Visits During 2000-2001

Headache Atypical Behavior Problem 104 Abdominal Pain

Emotion &Moods Problem ii/F j 45 Lamb Pain 139 Other 104 Impulsive, Hyperactive Or Inattentive Problem14ME9 29 Throat Pain/1/ 82 Environmental &Situational Problemfligg, 21 e====9p73 Wound (Z=9 57 Negative &Antisocial Problem 0,11:11/17 Tooth Pain 01=19 53 Academic, Competency &Developmental ep 15 Chest Pain Problem f==if 36 Otalgia (Earache) Sexual Behavior Problem 6111-5 31 Eyc Pain

50 100 150 0 200 400

oe-, 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board Community Partners

Wendell Alford Madison Parish Hospital American Red Cross Kay Ashley Office of Mental Health Drug Free Schools Rosie Bailey Parent DARE Anthony Bridgewater USDA Delta Recovery Center Joseph Candler Madison Parish School Board Juvenile Probation/Parole Patricia Candler Elementary Supervisor LA Cooperative Extension, LSU Lawrence Chenier Private Practice, Physician LA Cooperative, SU Dan Cleveland McCall Senior High School, Student LA Security Family Support Enf. Lany Cox Madison Parish Sheriff LA State Police, Troop F Hazel K. Dixon Entrepreneur, Boutique Madison Parish Health Unit Samuel Dixon Madison Parish Schools, Supt. Madison Parish Sheriff's Dept. Johnny Ford Tallulah Senior High School Tallulah Fire Department D'Wayne Fountain American Red Cross Tallulah Mental Health Clinic Shirley Fountain Registered Nurse Tallulah Police Department Donald Frazier Madison Parish Schools, Asst. Supt. USDA Rural Development Thelma Goods Community Member Office for Addictive Disorders Detra Griffin Secondary Supervisor 4-H Club Alberta J. Hamilton Drug Free Schools, Madison Parish Northeast Louisiana Delta Community Oscar Hamilton, Jr. Wright Elementary, Principal Development Corporation Gloria Hayden Tallulah Senior High School, Staff KBYO-Radio Station Jack Head Madison Parish School Board Altricia Hutto Madison Parish Health Unit Iree Jackson Delta Recovery, Mgr./Director Leon Jackson Tallulah Senior High School, Student Harold Johnson McCall Senior High School, Student Norwyn Johnson Madison Parish School Board Sue Johnson Tallulah Elementary School, Principal Theodore Lindsey City of Tallulah, Mayor Percy Livingston Madison Parish School Board Virginia J. McCree Special Services Madison Parish School Board, Supervisor Alice McDaniel Retiree Beverly McGowan Wright Elementary School, Parent Rhondie Morris Madison Parish School Board C. J. Oney Madison Parish School Board Karol Osborne LA Extension Office Donald Perry Outpatient Medical Center, Physician Earl Pinkney City of Tallulah Chief Raymond Poliquit Outpatient Medical Center, Physician Gregory Puckett Tallulah Senior High School, Student Dennis J. Redden, Sr. McCall Junior High School, Principal Mitchell Riggs McCall Senior High School, Adm. Assist. Berteal Rogers LA Extension Office Will Rogers, Sr. McCall Senior High School, Principal Sarah Sims Extension Programs / SU Dorothy Singleton Madison Parish Hospital, RN Sherry Smith Madison Parish Health Unit, RN Samuel Thomas City of Tallulah, Attorney Willie Turner DARE - Community Carl Walk Delta Head Start Rosa Walk Title I Programs, Coordinator Gloria Watkins Tallulah Senior High School, Principal Cecil Watts Special Services Madison Parish School Board, BCSW Adell Williams Madison Parish School Board James Williams Madison Parish School Board, President Moses Williams, Jr. Northeast Louisiana Delta Community Development Corporation-CEO Thomas J. Williams Realty / Insurance Almarie Wright DSS Office of Family Support 91 99 2000-2001 Annual Report of the Adolescent School Health Initiative

ditions Seen at the SBHC Thp 10 Reasons fOr General Preventive 00-2001, by Category Afrdicine Visits During 2000-2001

General Prevent ve Sports, Job & Camp Physical Exam M edidne 731 Ear/Nose/Throat 393 Eye Exam I-bad/Central Nervous 374 Special Screening for Skin Conditions System 321 M suculoskelet al/Trauma Routine Infant or Child Health Check Skin/Stbcutaneo usAO. 251 g!!!3 244 Pregnancy Exam/Test Gastrointestinal Follow-up Exam M ental Health1!!!! 215 Ear/Hearing Exam 93 Rdrno nary/Respiratory Combined Vaccine (Immunization) Gynecology/Breastmg 80 Lab Exam Eyes 76 General M edical Exam/KIDM ED Exam 0 200 400 600 800 0 100 200 300

Center Opened: Richland Parish School-Based HealthCenter Delhi School-Based August 28, 2000 509 Main Street Delhi, LA 71232 Health Center Schools Served: (318) 878-8965 Delhi Elementary Delhi Jr. High Janice Britton, RN Delhi High Director Total Enrollment in Schools: (318) 878-9933 949 Staff Total Enrollment in SBHC: Theresa Williams, Office Manager Richland Parish Hospital 688 Charmaine Winters, Social Worker 407 Cincinnati St. Total Visits to SBHC: Belinda Morgan, NP Delhi, LA 71232 3,031 Deborah Richardson, RN Grades Served: Dr. Jose Enriquez, Medical Director PreK-12

Tap 9 Mental & Behavioral Health Issues Thp 10 Conditionor Injury & Illness d essed Durii2000-2001, by Category Related I 'hiA Miring 2000-2001

Fbad ache Other M ental 8, Behavior Health Problem 115 Abdominal Pain 368 Environmental and Situational Problem 140 Other Disease of Nasal Cavity & Sinuses t9 Academic, Competency & Developmental Problem 86 Sprain & Strain Emotion & Mood Problem Dymenorrhea it7EFg 73 Feeding, Eating & Elinination Problem 64 PharyngitisEFF-7-9 Negative & Antisocial Problem 53 Pediculus Capit is (Head Uce) Sexual Behavior Problem Pain in Joint 6FFO 49 Sleep & Somatic Problem Upper Respiratory Infection (=R/ 47 Atypical Behavior Problem 42 Acute Nasopharyngitis (Cold)#91

0 50 100 150 0 200 400

92 100 2000-2001 Annual Report of the Adolescent School Health Initiative

Advisory Board and Community Partners

James Hopson Mayor of Delhi Francis Thompson State Representative Albert Christman Richland Parish School Board Member Larry Sanches Principal, Delhi High Debbie Dulaney RN, OPH Caroline Franks Principal, Delhi Elementary Carrice Cummins Supervisor Richland Parish School Board Lillian Brantly Retired Teacher Gladys Nash Retired Teacher Fred Eubanks Tifton Personnel Director Steve Britton Police Jury Member Debbie Blaylock Parent Cheryl Jones Assistant Principal, Delhi Elementary Bennie Mckay Supervisor, Richland Parish School Board Tanya Rawls KIDMED Sherry Banks RN, Lifecare Director Michael Carroll Administrator, Richland Parish Hospital Steve Polly M.inister and Parent Robert Johnson Parent Dorothy Reece DON, Richland Parish Hospital Theresa Williams Office Manager Janice Britton Richland Parish SBHC Project Coordinator

Best Program, OPH Richland Parish Office of Mental Health ULM School of Nursing Tallulah Technical LPN Nursing DARE TAPP

93 101 2000-2001 Annual Report of the Adolescent School Health Initiative

94 102 2000-2001 Annual Report of the Adolescent School Health Initiative

Examples of Diagnoses within Each Category of Conditions Seen at Louisiana SBHCs International Classification of Disease, Version 9 (ICD-9) codes are grouped into general categories. Examples of diagnoses within each category follow:

Cardiovascular & Blood: hypertension, hypotension, and blood disorders Central Nervous System & Head: concussions, headaches, seizure disorder, cerebral palsy, and syncope Dental & Oral: dental caries and other diseases of teeth and gums Drug Abuse & Dependence: diagnoses related to alcohol abuse, cannabis abuse, and tobacco use Ear, Nose & Throat: diagnoses related to conditions of the ear, such as ear infections and wax build-up; the nose, such as nose bleeds and diseases of the nasal cavity and sinuses; and the throat, such as pharyngitis and strep throat Eyes: diagnoses related to eyes and vision such as vision problems, conjunctivitis, injury to the eye, and near- sightedness Gastrointestinal: diarrhea, irritable bowel syndrome, constipation, gastroenteritis, and other digestive disorders General Preventive Medicine: immunizations, comprehensive physical examination with risk assessment, and special screenings Genitourinary: urinary tract infection Gynecology & Breast: dysmenorrhea (painful menstruation), irregular menses , and other gynecological disorders Health Counseling & Education: not limited to, but includes dissemination of information on personal health, consumer health, nutritional health, substance use and abuse, HIV/AIDS, and injury prevention and safety Mental & Behavioral Health: includes all mental health service provisions such as individual counseling; case management; and diagnoses such as adjustment disorder with depressed mood, conduct disorder, parent- child problem, academic problem, bereavement, and attention deficit disorders. This category includes treatment intervention groups. Metabolic & Nutrition: obesity and dehydration Miscellaneous: reported conditions not related to a specific diagnosis category such as abnormal results of blood tests, malaise and fatigue, and administrative procedures Musculoskeletal & Trauma: joint pain, joint swelling, tendonitis, scoliosis, and any bone, cartilage, or muscle disorders; includes injuries Pregnancy & Related Issues: suspected pregnancy, pregnancy counseling, prenatal care, postpartum care, and bleeding in pregnancy Pulmonary & Respiratory: acute lower respiratory infections, asthma, and other respiratory disorders Sexually Transmitted Diseases: chlamydia, gonorrhea, syphilis, genital warts, and genital herpes Skin & Subcutaneous: diagnoses related to skin disorders such as acne, warts, psoriasis, scabies, head lice, ringworm, athlete's foot, contact dermatitis, and ingrown nail

95 3 1 o 2000-2001 Annual Report of the Adolescent School Health Initiative

Aftwiez

ADOLESCENT SCHOOL HEALTH INITIATIVE ACT R.S. 40:31.3

To enact R.S. 40:31.3, relative to adolescent school health; to require the Office of Public

Health, Department of Health and Hospitals, to establish an adolescent school health ini-

tiative; and to provide for related matters.

Be it enacted by the Legislature of Louisiana:

Section 1. R.S. 40:31.3 is hereby enacted to read as follows:

31.3. Adolescent school health initiative; health centers in schools

A. The Office of Public Health, Department of Health and Hospitals, shall establish

an adolescent school health initiative to facilitate and encourage development

of comprehensive health centers in public middle and secondary schools in

Louisiana which shall provide preventive health services, counseling, acute

health services, and appropriate referral for acute health services. Such initiative

shall be subject to the approval of the local school systems.

B. The Office of Public Health shall:

(1) Coordinate efforts to facilitate and encourage establishment of health centers

in schools by providing information, technical assistance, direction, and, to

the extent appropriate, funds to locally based entities for the establishment and

operation of health centers in middle and secondary schools.

(2) Convene and participate in an intergovernmental coordinating council which

shall be composed of representatives from the department of education, social

services, health and hospitals, and other governmental entities or programs 96

104 2000-2001 Annual Report of the Adolescent School Health Initiative

related to health services to assist in implementation, oversight, and funding

assistance for health centers in schools.

(3) Apply for and assist local efforts to apply for all available public and private

funds to establish and operate health centers in schools.

(4) Establish procedures for allocation of funds appropriated or otherwise available

to the program in a manner which prioritizes funding according to the urgency

and degree of health care needs among the various middle and secondary school

populations.

(5) Establish criteria to be considered in selection of locations or placement of

health centers in schools.

C. Health centers in schools are prohibited from:

(1) Counseling or advocating abortion in any way or referring any student to any

organization for counseling or advocating abortion.

(2) Distributing at any public school any contraceptive or abortifacient drug,

device, or other similar product.

D. The provisions of this Section shall be applicable only to the extent that funds

are made available for this purpose from public or private sources.

Section 2. This Act shall become effective upon signature by the governor or, if not

signed by the governor, upon expiration of the time for bills to become law without signature

by the governor, as provided in Article III, Section 18 of the Constitution of

Louisiana.

Signed by Governor Buddy Roemer

July 29, 1991. 9 7

4 r U 2000-2001 Annual Report of the Adolescent School Health Initiative ,iimeadex e

Statement of Cash Flow Fiscal Year 20002001

Revenue Maternal and Child Health Block Grant & State Appropriation Funds 6,280,000.00 Robert Wood Johnson Making the Grade Grant 21,653.00

Total Revenues 6,301,653.00

Expenditures Maternal and Child Health Block Grant Funds & State Appropriation Funds

Grants Awarded to School-Based Health Centers

Bogalusa Community Medical Center (2 Sites) 259,826.00 City of New Orleans Health Department (2 Sites) 158,657.00 Pendelton Memorial Methodist Hospital (1 Site) 17,638.00 Excelth, Inc., New Orleans 49,657.00 Health Care Centers in Schools (8 Sites) 996,083.00 Jackson Parish Hospital (Planning) 28,000.00 Jefferson Parish School Board (2 Sites) 246,664.00 LSUHSC - New OrleansPediatric Department (1 Site) 143,902.00 Madison Parish Hospital (1 Site) 97,945.00 Medical Center of LA Foundation ( 1 Site) 132,000.00 Our Lady of Lourdes Regional Medical Center (1 Site) 120,000.00 Primary Care Providers for A Healthy Feliciana (1 Site) 124,596.00 Richland Parish Hospital (1 Site) 124,713.00 CHRISTUS St. Frances Cabrini Hospital (13 Sites/1 Planning) 1,175,123.00 St. Gabriel Health Center (1 Site/1 Planning) 132,659.00 St. Helena Community Health Center (2 Sites) 235,540.00 St. Martin Parish School Board (3 Sites) 410,000.00 CHRISTUS St. Patrick Hospital (3 Sites/1 Planning) 429,613.00 CHRISTUS Schumpert Medical Center (3 Sites) 220,000.00 West Feliciana Parish School Board (1 Site) 132,289.00

Subtotal School Based Health Center Awards $ 5,234,905.00

98 166 2000-2001 Annual Report of the Adolescent School Health Initiative

OPH Infrastructure - Administration

Dues/Subscriptions 250.00 Operating Services (printing, postage, telephone, etc.) 61,076.00 Salaries 333,788.00 Fringe Benefits 115,797.00 Interagency Transfers 92,913.00 Supplies 5,029.00 Technical Assistance Consultants 31,087.00 Travel 2,083.00 Acquisitions 933.00

Subtotal OPH Infrastructure 642,956.00

Total Maternal and Child Health Block Grant & State Appropriation Funds $ 5,877,861.00

Expenditures

Robert Wood Johnson Making the Grade Grant

Robert Wood Johnson Infrastructure - Administration

Operating Services (Supplies) 1,517.00 Miscellaneous 40.00 Interagency Transfers 5,026.00 Acquisitions 6,337.00 Travel 1,409.00 Professional Services 502.00

Subtotal Robert Wood Johnson Infrastructure 14,831.00

Total Expenditures $ 5,892,692.00

Figures based on unaudited records maintained at the Adolescent School Health Initiative headquarters.

99 107 Adolescent School 0Health Initiative Louisiana's Office of Public Health

Department of Health and Hospitals State of Louisiana dEST COPY AULABLE 1 68 U.S. Department of Education Officeof Educational Research and Improvement (OERI) National Library of Education (NLE) IC Educational Resources Information Center (ERIC)

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