Online Program

Partnering with an urban school district through a community wraparound model to improve community outcomes

Tuesday, November 3, 2015

Jesse Honsky, MPH, MSN, RN, APHN-BC, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH
Kathleen Davis, MSN, RN, APHN-BC, Department of Family Medicine, The MetroHealth System, Cleveland, OH
Deborah Aloshen, M.Ed., RN, Department of Nursing and Health Services, Cleveland Metropolitan School District, Cleveland, OH
The MetroHealth School Health Program (MHSHP) partners with the Cleveland Metropolitan School District (CMSD) to bring health care and health education to public schools as part of CMSD’s development of community wraparound schools.  Schools adopting the community wraparound model work with many community partners to provide a variety of services for the school community. 

The MHSHP focuses on creating healthy students, schools, and communities based on input and planning from a variety of community stakeholders. The program pilot focused on bringing primary care services into two schools, with one in-school clinic and a mobile unit clinic and has since expanded to offer primary care to 11 schools. MHSHP partnered with other clinics in Cleveland to bring health care services to two additional CMSD schools and other districts in the county.

The MHSHP program has expanded to provide health education and training to the CMSD community.  MHSHP has leveraged internal resources to bring physical activity and nutrition activities to schools, provide continuing education for school nurses, and initiate training for teachers on how to manage difficult student behavior. 

MHSHP and CMSD are beginning to examine data to evaluate the partnership’s impact on both health and education. The findings highlight ways to bring health care out of the clinic and into the classroom to aid in both positive health and educational outcomes. Also examined are challenges and barriers with proposed ideas for continued program expansion within the community wraparound model to improve the health of students and make the school environment healthier.

Learning Areas:

Assessment of individual and community needs for health education
Clinical medicine applied in public health
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Assess benefits and challenges of a school based health care program within the community wraparound model. Discuss the process for assessing the health status of students and the surrounding community. Describe data collection and evaluation methods used in a comprehensive, multi-site School Health Center evaluation.

Keyword(s): School-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a strong advocate for SBHCs for over 25 years as they are known to address major inequities of healthcare in an urban setting especially among children. Children are at the whims of political, socio-economic firestorms in that they do not control much of their lives, but with access to healthcare available in school, they can control some of their basic private needs (ex: birth control) and learn the healthcare system.
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.