A school-based clinic for elementary schools in Phoenix, Arizona

The Relationship Between the Use of Health Clinics in Rural Mississippi Schools and the CHIP-AE Adolescent Health Profile

School health clinics are one way to meet the objectives in Healthy People 2010 for adolescent health. To determine the relationship between adolescent health status and use of the school health clinics in four Mississippi high schools, the Child Health and Illness Profile–Adolescent Edition (CHIP-AE) was used. The CHIP-AE identifies health status, giving scores on resilience, comfort, risks, and satisfaction, resulting in health profiles. One hundred seventy-one 9th-graders participated in this descriptive study. Students with the highest discomfort and risk scores had no use of the school health clinic. Students with fair health profiles were the highest users of the school health clinic when compared to all other profiles. Of those students with very poor health status, 60% reported the school health clinic was their only source of health care. In this study, the term school health clinic refers to the health office staffed by a nurse without an advanced degree.

Delivering health care to children on their turf: an elementary school-based wellness center

The main focus of school nurses is keeping children healthy by stressing health maintenance, wellness education, and injury prevention. Through the joint effort of numerous interested parties, a school-based wellness center was started in a 397-student, ethnically diverse elementary school. Various consultants including a social worker, dietician, psychologist, psychiatrist, and local dentist are available to help children in high-risk categories. The Wellness Center collaborates with the children's primary care provider in coordinating health care. Local nurse practitioner students use the Wellness Center as part of their clinical rotations, allowing them to integrate and apply their pediatric theoretical and medical/nursing knowledge. Outcome measures include higher academic performance, increased school attendance, increased student registration and participation in the Wellness Center, and increased compliance with immunizations.