Nine State Strategies to Support School-Based Health Centers: a Making the Grade Monograph. INSTITUTION George Washington Univ., Washington, DC
DOCUMENT RESUME ED 425 828 PS 027 131 AUTHOR Asay, Marilyn; Behrens, Donna; Guernsey, Bruce P.; Koppelman, Jane; Lear, Julia Graham; Malone, Claire; Noyes, Lynn; Nystrom, Robert J.; Reilly-Chammat, Rosemary; Rosenberg, Steve; Schaedel, Garry; Simpson, Sara; Sterne, Sylvia TITLE Nine State Strategies To Support School-Based Health Centers: A Making the Grade Monograph. INSTITUTION George Washington Univ., Washington, DC. School of Public Health and Health Services. SPONS AGENCY Robert Wood Johnson Foundation, Princeton, NJ. PUB DATE 1998-10-00 NOTE 52p.; Paper presented at the Annual Conference of the National Association on School-Based Health Care (Los Angeles, CA, June 25, 1998). PUB TYPE Reports Descriptive (141) Speeches/Meeting Papers (150) EDRS PRICE MF01/PC03 Plus Postage. DESCRIPTORS *Adolescents; Change Strategies; *Child Health; *Children; *Comprehensive School Health Education; Elementary Secondary Education; Research Needs; *School Health Services; State Action; State Programs IDENTIFIERS *School Based Health Clinics ABSTRACT In 1993, nine states were awarded Making the Grade grants to develop financial and other strategies to foster replication of school-based health centers (SBHCs) .This report details the financial strategies used by Vermont, Rhode Island, Oregon, North Carolina, New York, Maryland, Louisiana, Connecticut, and Colorado, as reported in a meeting of grant recipients in 1998. Following an executive summary, the report describes the strategies taken by each state. The report notes that with the exception of Louisiana, these states directed their attention to linking SBHCs to Medicaid managed care arrangements, reflecting the belief that SBHCs had to align themselves with mainstream health care. In addition, the report indicates that the key to a successful state strategy is in clarifying the public purpose of SBHCs, and that the basic models for SBHCs (medical home, public health, and an add-on model) reflect the centers' purposes.
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