{"id":273112,"date":"2017-10-10T13:20:44","date_gmt":"2017-10-10T17:20:44","guid":{"rendered":"http:\/\/www.rochester.edu\/newscenter\/?p=273112"},"modified":"2017-11-14T16:40:10","modified_gmt":"2017-11-14T21:40:10","slug":"east-high-primary-care-facility","status":"publish","type":"post","link":"https:\/\/www.rochester.edu\/newscenter\/east-high-primary-care-facility\/","title":{"rendered":"School of Nursing staffs health care facility at East High"},"content":{"rendered":"

Annan Lamin and La\u2019Niiya Johnson leave their classes, head down an unadorned hallway of muted greens and yellows, and sit among a row of mismatched chairs opposite the entrance of East\u2019s School-Based Health Center. While they wait to see one of the center\u2019s nurse practitioners, another student arrives and takes a seat.<\/p>\n

\"Community<\/a>For many students at East, set in one of the poorest school districts in the nation, the barriers they face to getting an education may seem impenetrable. They may lack consistent support at home, or have witnessed violence in their home or community. They may be homeless. But, with a full-service clinic that provides free comprehensive physical and mental health services on-site at their school, getting access to quality health care is significantly less challenging than it might be otherwise.<\/p>\n

Staffed and supported by nurse practitioners from the University of Rochester School of Nursing<\/a>, the School-Based Health Center at East<\/a> not only helps students manage chronic conditions such as diabetes and asthma, but diagnoses and treats acute illness and injuries, offers physical and mental health assessments and mental health therapy, provides birth control services, and has an on-site laboratory and medication dispensary. University physicians are also available for collaboration and consultation.<\/p>\n

With more comprehensive services than offered by the school nurse, the clinic functions as a satellite primary care office. With parent or guardian permission to enroll in the program, students can visit the clinic at any time for any service. The clinic treats students regardless of their ability to pay or health insurance status, and no out-of-pocket expenses are incurred, while allowing students to stay in school.<\/p>\n

\u201cI come here a lot. It\u2019s convenient,\u201d says Lamin.<\/p>\n

\u201cSome students do have primary care they access, but it means parents have to miss work,\u201d says Kim Urbach \u201998N (MS), director of the school-based health center program<\/a> and an assistant professor of clinical nursing at Rochester. \u201cIt\u2019s not just a benefit for the child. It\u2019s a benefit for the parent and financial stability of the family.\u201d<\/p>\n

And that may help students meet their academic goals. Health disparities mirror gaps in educational achievement. But research on school-based health centers shows that they can not only improve health outcomes by reducing emergency visits and hospitalizations, but they may also lead to better attendance and academic outcomes.<\/p>\n

In the 2016-17 school year, more than 1,100 students at East were enrolled in the program and made more than 3,100 visits. The most frequent reason for visits to the center\u2014cited in 34 percent of all visits\u2014was mental health or behavioral issues.<\/p>\n

The clinic\u2019s psychiatric nurse practitioners can dispense medication, but also are educated in individual and family psychotherapy, which is critical in supporting a population of students who may be experiencing trauma from a recent violent event or the chronic stresses associated with living in poverty.<\/p>\n

\u201cThe mental health services are incredibly important. The population has experienced a lot of trauma both personally and secondhand,\u201d says Urbach, noting that the clinic uses questionnaires in its physical exams to help uncover signs of potential behavioral concerns. \u201cThe physical health services act as a \u2018back door\u2019 into the mental health services.\u201d<\/p>\n

There are more than 2,300 school-based health clinics across the United States. The center at East, a partnership between the Rochester City School District and the University of Rochester, was established in 1995 with funding from a New York State Department of Health grant. The School of Nursing gets reimbursed for care to students covered under some insurance plans, but because the clinic is a state-funded entity, all surplus revenue is poured right back into it in the form of supplies, equipments upgrades, or the hiring of new staff\u2014though some is used to help support a second University school-based health center<\/a> at the Frederick Douglass Campus.<\/p>\n

\u201cWe don\u2019t make any money on this,\u201d says Kathy Rideout<\/a> \u201995W (EdD), dean of the School of Nursing and vice president of the Medical Center. \u201cThis is a service we\u2019re providing to keep our kids healthy.<\/p>\n

\u201cThe healthier our kids are, the healthier they\u2019ll be as adults. If we are able to maintain not just their physical health, but their mental health, we\u2019re creating the next generation that is going to need to use fewer resources, and enter adulthood more physically and mentally healthy, which makes them more productive citizens. Even at the most basic level, we\u2019re succession planning for the next generation of adults. Many of these \u00a0individuals are living in abject poverty. They need to have the proper health care so that they can think better, learn more, and really be able to succeed in that kind of environment.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

More than 1,100 students at East enrolled in the free program in the 2016-17 school year, accessing comprehensive physical and mental health services on the school campus.<\/p>\n","protected":false},"author":1032,"featured_media":274372,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[456],"tags":[9436,10026],"class_list":["post-273112","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-society-culture","tag-community","tag-school-of-nursing"],"acf":[],"yoast_head":"\nSchool of Nursing staffs health care facility at East High<\/title>\n<meta name=\"description\" content=\"The full-service clinic provides free comprehensive physical and mental health services on-site at the school.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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