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Health services: results from the School Health Policies and Programs Study 2006.
Nancy D Brener1, Lani Wheeler, Linda C Wolfe
1Division of Adolescent and School Health, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop K-33, Atlanta, GA 30341, USA. nad1@cdc.gov
The Journal of School Health
|October 3, 2007
Summary
Most US schools offer basic health services, but few provide specialized care. Improving school health services requires policy support and more school nurses to meet students' health and academic needs.
Area of Science:
- Public Health
- Health Services Research
- Education Policy
Background:
- School health services and delivery models vary significantly across the United States.
- This study examines the characteristics of school health services, including policies and practices at state and district levels.
Purpose of the Study:
- To describe the current state of school health services in the US.
- To identify policy and practice variations in school health service delivery.
Main Methods:
- Utilized data from the 2006 School Health Policies and Programs Study (SHPPS).
- Employed computer-assisted telephone interviews and mail questionnaires for state agencies and districts (n=449).
- Conducted computer-assisted personal interviews in a national sample of schools (n=1029).
Main Results:
- The majority of US schools provided basic student health services, with limited provision of prevention or specialized services.
- While policies mandating school nurses or specific ratios were uncommon, 86.3% of schools had a part-time nurse.
- 45.1% of all schools reported a nurse-to-student ratio of at least 1:750.
Conclusions:
- The scope of school health services needs improvement, requiring policy, legislative, and financial support for school districts.
- Increasing the number of school nurses is crucial for expanding services.
- Enhanced collaboration with community resources is essential to address students' comprehensive health and academic needs.
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