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Case Management for Social Needs of Youth and Families in School‐Based Health Centers

Bibliographic Data

ID21354681
AuthorsVictoria F Keeton (0000-0002-6707-6611, Department of Obstetrics, Gynecology, and Reproductive Sciences, CA Preterm Birth Initiative University of California, San Francisco San Francisco CA, corresponding author), Samira Soleimanpour (0000-0002-0436-4173, Philip R. Lee Institute for Health Policy Studies University of California, San Francisco San Francisco CA), Sara Geierstanger (0000-0003-4065-7843, Philip R. Lee Institute for Health Policy Studies University of California, San Francisco San Francisco CA), Naomi A Schapiro (0000-0002-1093-9906, Department of Family Health Care Nursing University of California, San Francisco San Francisco CA)
Year2024
Volume94
Issue5
Pages462-468
Publication date2024-05-01
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13432
PMID38234257
OpenAlexW4390978190
LanguageEN
References cited15

BACKGROUND: School-based health centers (SBHCs) are ideal settings to address social needs of youth and families. Case managers can play a vital role in social care interventions. METHODS: We piloted a program to incorporate a Case Manager into the care team of 1 SBHC serving 2 local schools with over 900 students and their surrounding communities. This project's purpose was to evaluate program feasibility, utilization, and acceptability. Our mixed-methods evaluation included analyses of data from electronic health records, client satisfaction surveys, and staff interviews. RESULTS: During the 6-month pilot, the Case Manager served 133 clients (about one third of all SBHC clients served) through 593 contacts. Most contacts included referrals to support services (90%) and 37% addressed newcomer immigrant adjustment. All 37 respondents to the satisfaction survey during the 3-month administration period (44% response rate) reported that the Case Manager made them feel comfortable asking for help; 95% reported getting the help they needed. The 7 SBHC staff interviewed shared many program benefits, including increased time for clinical services. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Inequities in children's health and educational achievement are influenced by structural factors. Results from our pilot program demonstrate that SBHCs may be well-positioned to deliver social care interventions and that case managers enhance the ability to deliver quality care. CONCLUSIONS: School-based programs to address unmet social needs are critical to supporting learning and wellness for all youth. Robust studies are needed to further test the impacts of case management in SBHCs.

Business · Case management · Health care · Medical education · Program evaluation · Psychological intervention · Quality management · Adolescent Sexual and Reproductive Health · Marketing · Medicine · Nursing · Pediatric health and respiratory diseases · Psychology · School Health and Nursing Education

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