Type I diabetes (T1D) is one of the most common childhood diseases and Type 2 diabetes (T2D) is increasing at alarming rates. Given that children spend a great percentage of their time in school, this setting is a critical environment for models of care that lead to better management of this and other health conditions. The School Nurses Managing…

Asthma imposes tremendous burden on children, families, and society. Successful management requires coordinated care among children, families, health providers, and schools. Building Bridges for Asthma Care Program, a school-centered program to coordinate care for successful asthma management, was developed, implemented, and evaluated. The program…

Students with diabetes deserve a school nurse who can effectively manage the disease. Tensions between the school and families sometimes emerge when a child with diabetes goes to school. To resolve these tensions in Colorado, stakeholders collaborated to implement a statewide program to meet the needs of students with diabetes. Colorado school…

Background: School-located vaccination (SLV) offers an opportunity to deliver vaccines to students, particularly those without a primary care provider. Methods: This SLV program offered 2 clinics at each of 20 elementary schools (influenza vaccine) and 3 clinics at each of 7 middle/preschool-eighth-grade schools (adolescent platform plus catch-up…

This bnef document describes research and evaluations that have demonstrated that school-based health centers represent cost-effective investments of public resources.

One of today's most pressing public health problems is the rise in childhood overweight and obesity. School-based health centers (SBHCs)--the convergence of public health, primary care, and mental health in schools--represent an important element in the public health toolbox for combating the challenging epidemic. When working side-by-side in a…

Background: There has been much educational verbosity over the past decade related to building capacity for effective schools. However, there seems to be a scarcity of clarification about what is meant by school capacity building or how to accomplish and sustain this process. This article describes the preexisting conditions and ongoing processes…

The "Colorado Children's Budget" presents and analyzes investments and spending trends during the past five state fiscal years on services that benefit children. The "Children's Budget" focuses mainly on state investment and spending, with some analysis of federal investments and spending to provide broader context of state…

Increasing numbers of students must be given medications at school, with a variety of staff assisting these children. In order to standardized the format for instructing personnel in medication administration procedures, an instructional program was developed for those in schools and out-of-home child care settings who are giving medications that…

In 1998, the Making the Grade National Program Office and the National Assembly on School-Based Health Care sponsored a workshop on the relationship between the State Child Health Insurance Program (SCHIP) and school-based health centers. This paper presents information from the workshop and uses experiences from Colorado and Connecticut as case…

Under the State Child Health Insurance Program, states receive funds to purchase health insurance for low-income, uninsured children. Noting that partnering with managed care will be essential if school-based health centers are to receive reimbursement for serving the publicly insured portion of their clientele, this paper examines the…

Colorado traditionally has ranked as one of the healthiest states in the nation, a claim that reinforces a culture of activity, community and well-being. Though Colorado is ahead of the curve in this area, Coloradans aren't immune to the growing trends that threaten the health of people across the nation. One of the most concerning elements of…

During the years 1991-1995, through planning efforts in local communities, a successful model has been created for the implementation of the Colorado Comprehensive Health Education Act (1990). Three key components of the Colorado model are: (1) the establishment of local health advisory committees; (2) the administration of local needs…

The Children's Budget is a comprehensive report on funding for children's services in Colorado. This report provides a six- year funding history for more than 50 programs funded with state, local, and federal dollars. The Colorado Children's Budget analyzes reductions in programs and services during the economic downturn. The data in the…