5159.0: Wednesday, November 15, 2000 - 1:30 PM

Abstract #10278

School-based rural case management: A multidimensional health assessment model for service integration to prevent and reduce risk

Sally J. Reel, PhD, RN, CFNP, College of Nursing and Health Professions, Marshall University, Appalachian Rural Outreach Primary Care Nursing Center, P.O. Box 364, Comfort, WV 25049, 304-837-3100`, sjreel@aol.com

The Multidimensional Assessment Model for Service Integration to Prevent and Reduce Risk provides a method of assessing the needs of rural children and their families and helps to coordinate, monitor, evaluate, and advocate for services to meet health needs. The model is designed to coordinate care at the lowest level of cost while increasing quality of life and health functioning for rural children and their families. The model physically resembles a three-layered pregnancy wheel because it is multidimensional and has fluid entry points for assessment and care coordination. Direct entry points for assessing child health may come from the school, the family, or the community. Prevention, risk and disease management needs are then individually assessed on six core fundtional areas: physiological, psychosocial, sociocultural, economic, lifestyle and behavioral, and spiritual. Although these core functional areas are tailored to rural popopulations, similar characteristics allow modification for other populations. This model also includes indirect assessment including risk reduction planning, outcome evaluation, and consultation, collaboration, and coordination of health care through school-based health settings.

Learning Objectives: 1. At the end of this session the participant will describe an assessment procedure for assessing multidimensional aspects of adolescent health in rural school settings. 2. After this session the participant will be able to identify levels of assessment to promote individual, family, and school health in rural settings

Keywords: Health Assessment, Case Management

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA