142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Increasing Access to Comprehensive Care for Youth in Schools: How One Community-Academic Partnership is Accomplishing It

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Kelly Washburn, MPH , Institute for Community Health, Cambridge Health Alliance, Cambridge, MA
Renee Cammarata Hamilton, MSW, MPA , Tufts University Family Medicine Residency, Malden, MA
Honor Macnaughton, MD , Tufts University Family Medicine Residency, Malden, MA
Sara Martin , Harvard University, Allston, MA
Kelly Warner, MPH , Family Planning Department, Cambridge Health Alliance, Somerville, MA
Joanna Gattuso , Family Planning Department, Cambridge Health Alliance, Somerville, MA
Nathan Cardoos, MD , Family Medicine Residency, Cambridge Health Alliance, Malden, MA
In Spring 2013, an interdisciplinary team of community and academic stakeholders from Harvard University, Cambridge Health Alliance, Tufts University Family Medicine Residency, Institute for Community Health, Malden Public Schools, and the greater Malden community, formed a collaborative partnership with a mission to provide increased access to comprehensive care for youth at Malden High School (MHS).  To accomplish this, an inventive model for delivering comprehensive, teen-centered primary care services at MHS was developed.  A school clinic was established, offering group education visits with a health counselor and individual visits with a resident physician for primary care, and a referral process was developed for when health needs go beyond the capacity of the clinical services at the clinic.

The two biggest challenges were: 1. Earning trust from the school administration and greater community and 2. Gaining support from the school committee to approve a policy allowing reproductive health services to be offered within the school environment. In December 2013, approval from the policy school sub-committee was received to implement full-spectrum services.  Additional accomplishments to-date include: performing a needs assessment and evaluation of student health priorities, development of a clinical structure, and creating a referral system to link students to other needed services in the community. 

This presentation will describe the process of how multiple stakeholders collaborated to develop and build the components of the school clinic, how the project team gained support from the school stakeholders, how barriers were overcame, and the lessons learned from this partnership.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the process of how multiple stakeholders can collaborate to develop and build components of a school clinic.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been an evaluator at the Institute for Community Health (ICH) for over 2 years and our approach within the organization is utilizing a participatory approach. Throughout my time at ICH, I have been an evaluator on multiple youth-focused programs, centered around reproductive health issues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.