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APHA Scientific Session and Event Listing

Karen Colucci, School of Public Health, Dept. of Health Behavior and Health Education, University of Michigan, 109 Observatory St., 3537 SPH I, Ann Arbor, MI 48109, 734-255-7344, kcolucci@umich.edu

This poster will summarize a research project that is currently being conducted by the Henry Ford Health System and the University of Michigan to compare the health disparities between students attending schools with school-based health centers (SBHCs) to those attending schools without the centers in the Detroit Public Schools. The differences being evaluated are: (1) the health status of students and (2) the number of students enrolled in Medicaid and the SCHIP. The significance of this project is to determine if SBHCs have a positive impact on the health and well-being of urban, medically underserved children. In addition, it will research if a targeted Medicaid outreach effort through this project will increase the enrollment and potentially improve the health status of children in a Detroit community.

The participants are second grade students and their parent/guardians in two Detroit elementary schools (grades k-5). Researchers will administer the Child Health and Illness Profile (CHIP-CE) health assessment tool at the baseline and after the intervention phase. The two sets of results will then be compared to determine if and how Medicaid/SCHIP enrollment impacts students' health status, and if and how attending a school with a SBHC impacts students' health status. The expected results from this project are that students enrolled at schools with SBHCs are more likely to be enrolled in Medicaid/SCHIP, will be more likely to remain enrolled in an insurance program, and have better health over time than students attending schools without SBHCs.

Learning Objectives:

• To determine if Medicaid or State Children’s Health Insurance Program (SCHIP) eligible children attending a school with a school-based health center are more likely to be enrolled, and stay enrolled, in an insurance program compared to children attending a school without a school-based health center.
• To compare the health status of children attending a school with a school-based health center and a school without a school-based health center, before and after implementing a targeted Medicaid enrollment program at each site.

Keywords: Child Health, Access and Services

Presenting author's disclosure statement:

Not Answered