Get HIP to Your SBHC A Healthy Innovative

Get HIP to Your SBHC: A Healthy Innovative Partnership for the Population Jennifer Duvall, MSN, MPH Principle Marco Harris Zachary Bosshardt Ali Moore, LMSW

Objectives �Understand various ways in which the UNM SBHC interdisciplinary team works together to meet the needs of the students, families, school and community. �Identify different strategies for fostering collaborative relationships with school staff, administration and other assets on campus in order to positively influence school climate. �Assist in critically thinking about potential new community partnerships your school could benefit from and how to solidify those partnerships.

UNM School-Based Health Center Vision and Framework � Schools are welcoming communities where partnerships ensure that every student, family and school staff member are healthy, engaged, empowered, resilient and successful. � By embedding full-time, interdisciplinary primary and behavioral health care clinics into Albuquerque high schools, we will be able to nurture healthy, engaged, empowered, resilient and successful students. � This will directly lower their risk for HIV, improve school performance, as well as impact other preventable health concerns.

Structure Truman Health Services (THS) partnership offers HIV testing, Health Education, Case Management and Behavioral Health. UNM HSC provides oversight and assistance with Electronic Medical Records. Division of Adolescent Medicine provides medical direction, health care and administrative support. APS provides space, utilities and custodial services for SBHCs. Collaboration with staff is key in making an impact at the individual and school-wide level. THE PARTNERSHI PS OF SBHCs UNM Medical Group integrates SBHC into clinical practice operations and provides staffing and IT structure. NM DOH funds SBHCs in four year cycles. SBHCs meet the NMDOH Standards and Benchmarks for SBHCs. UNM Dental Program provides dental exams, cleaning and sealants on site to students.

UNM SBHC Collaborative Model Intensive Care – Acute care and crisis intervention Early Intervention and Prevention – Targeted Interventions Healthy School Environment – Students benefit from positive physical, social and emotional school climate. Increase protective factors. Adapted from the Alameda County School Health Services Coalition (Warhuus & Poynor, 2014)

What services are offered? § Medical § Annual wellness checks and sports physicals, reproductive health and STI testing, acute care for illness and injury. § Behavioral Health § Therapy and Psychiatry § Case Management § Referrals, family engagement, home visits, coordination of care § Health Education § 1: 1 sessions, presentations, HIV testing, facilitate groups § Dental

Case Example: Sara 17 years old Was living with mother who is abusing substances Seizure disorder: “Grand Mal could be fatal” Seizure medication ineffective Medical neglect resulted in CYFD call Initially resistant to therapy Seizures were resulting in truancy issues Intergenerational poverty at home Sexually active Academically motivated Lives with foster family = no seizures, & excellent grades “I’m so happy I’ve been able to get up early, get to school, and I haven’t had a seizure. I can’t believe I’ve been able to go to all my classes since I saw the doctor. ”

Highland High School An APS Community School UNM SBHC Model Community School Model

Highland High School’s Vision Students graduate ready for college, career and life Short Term : • Children are ready to enter school • Students are actively involved in learning and in their community • Families are actively involved in their children’s education • • Long Term: Students are physically, socially and emotionally healthy Students live and learn in stable and supportive environments Students succeed academically Communities are desirable places to live

In-School Collaboration and Partnership Addressing Early Intervention, Prevention and a Healthy School Environment Intensive Care Group interventions Youth SHAC LGBTQ* Group All Staff Trainings Classroom presentations HAWT meetings ABC Community School nights

Community Collaboration and Partnerships Strategies for identifying community assets and areas of integration and collaboration to meet the needs of students and their families What issues/barriers prevent students from succeeding in your school? • YRRS data, focus groups, interviews with support staff, SBHC risk assessments Identification of student/family needs/barriers. • Prioritize predominant concerns What type of health/youth/family assets exist in your community that mitigate these issues? • Participatory Asset Mapping- helps visualize community assets, facilitates networking and collaboration, builds off community strengths, and serves as an organizing tool.

Resources �Working Together: School, Family and Community Partnerships A Toolkit for New Mexico School Communities: http: //www. cesdp. nmhu. edu/toolkit/collaborating-withthe-community/resources. asp �Advancement Project- Health City Community Research Lab: Participatory Asset Mapping http: //www. communityscience. com/knowledge 4 equity/A sset. Mapping. Toolkit. pdf