Rapid proliferation of school-based health centers is occurring during the time that school systems are seeking to improve educational practice. Absence of connection between school reorganization and provision of human services may lead to failure. The emerging community school model integrates quality education with effective health, mental…

School nurses trained as nurse practitioners can help resolve the problems of ready access to and appropriate use of primary care, early detection of medical problems, and efficient use of school staff. This paper describes a project in which Denver's school nurses received training as nurse practitioners, suggesting ways to solve problems in role…

Consent for treatment and confidentiality are legal issues in adolescent health care. Discussed in conjunction with consent is the concept of emancipation, the legally defined age at which the adolescent is considered to have reached majority. Also discussed are the adolescent's right to confidentiality, the role of the school nurse, and the…

School-based health centers need to form partnerships with organizations in the community in order to remain viable. This article delineates recommendations from two sessions at a meeting of the National Assembly on School-Based Health Care that addressed the issue, focusing on strategies for forming partnerships with communities of faith and the…

Parental attitudes toward the health services provided at their children's school were assessed. Results showed that parents surveyed did accept school health services as part of their child's total health care. No relationship was found between parental expectations and family characteristics. (Author/PP)

A case history exemplifies a situation in which a combination of interpretive medical services available in the school and primary health care service from community physicians provided effective care for a multiply handicapped child in a preschool program. (MM)

The major objectives of child health strategy are the improvement of the health status of mothers, children, and adolescents, and the maintenance of coordinated, effective, and accessible systems of health care delivery, combining the resources of the Public Health Service and the states in cooperative undertakings. (JD)

Today's school health services are made complex by multiple laws and regulatory bodies. Three fundamental movements are revealed by an examination of decades of legislative actions: concern over basic health care, the special needs of the handicapped, and the involvement of many specialized disciplines. (JD)

A case study reports on a community-wide effort to reduce fragmentation and duplication of child health services. Existing resources were assessed and a decision made as to where service would be performed. This plan offers a way to maximize school health services as funding declines. (Author/DF)

School based health care systems are a viable alternative to existing health care delivery methods because they can improve the health of all children, especially those that are indigent and living in medically underserved areas. (JD)

Researchers examined willingness to use a school-based health center's (SBHC) primary care services. Rural 7th through 12th graders completed a survey. Results indicated that, although most were initially unwilling to change their primary care site to an SBHC, many were willing to use a variety of the offered services. (SM)

Assessed the cost and effectiveness of contacting parents through schools, educating them about health insurance programs and preventive care, and helping them with insurance applications. Data analysis indicated that accumulative cost per enrolled child was $75. Schools located and assisted large numbers of uninsured children who had failed other…

Three professional associations (American Nurses Association, American School Health Association, and Department of School Nurses/NEA) endorse an expanded role for the traditional school nurses--that of school nurse practioners--and define guidelines for their educational preparation, expanded roles, and functions. (MM)

Results of a study concerning 21 children undergoing pediatric-based assessment indicate that the majority of recommendations evolving from the combined, interdisciplinary assessment are implemented and approved by parents and school personnel. Study results support pediatric-based assessments for school problems and demonstrate the advantages of…

Summarizes 25 reports addressing the interconnectedness of children's health and education and incorporating a comprehensive health approach, detailing 5 themes: education and health are interrelated; social morbidities threaten public health; a comprehensive, integrated approach is needed; health promotion and education should center around…