This paper examines key steps in the integration of school-based health centers in Massachusetts into managed care and describes the administrative and clinical impact of these relationships. Strategies include enhancing communication between SBHCs and health maintenance organizations, standardizing school-based care, and mandating integration of…

Presents five principles to help communities establish school-based primary care centers linking community health and social services with educational systems. The principles encompass community participation; early assessment of community needs; integration of health and human services with educational services through an interdisciplinary,…

Evaluated the need for school-based health centers in rural New York state. Examination of existing data, community organizational activities, parent telephone surveys, school staff surveys, and focus groups with community members, school staff, and 6th- to 12th-grade students indicated that respondents had varying opinions about school-based…

As school health services are broadening, the role and scope of school nursing is changing. The paper describes challenges facing today's school nurses and nurses' roles in new health service delivery models, offering recommendations for improving and expanding school nursing services. Descriptions of several cases and model programs are included.…