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Implementing and Sustaining Rural School-Based Integrated Health Services Through University-Community Partnerships.

Laura M Hopson1, Catherine Carlson1, M Blake Berryhill2

  • 1The University of Alabama School of Social Work, Tuscaloosa, AL, USA.

Journal of Evidence-Based Social Work (2019)
|November 28, 2025
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Summary
This summary is machine-generated.

Rural school-based health clinics can effectively provide integrated care using behavioral health interns. Students receiving at least three sessions showed improved wellbeing, demonstrating a feasible model for addressing rural health disparities.

Keywords:
Integrated health carebehavioral healthgraduate internsrural schoolsuniversity community partnership

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Area of Science:

  • Public Health
  • Behavioral Health
  • Rural Health

Background:

  • Rural communities face significant health disparities and limited access to care.
  • Integrated care models are crucial for addressing complex medical and behavioral health needs.

Purpose of the Study:

  • To describe a model for school-based integrated health services in rural areas.
  • To evaluate the services provided by graduate interns in these clinics.

Main Methods:

  • Graduate interns tracked services using session checklists.
  • Students receiving behavioral health services completed the Outcome Rating Scale (ORS) post-session.
  • Repeated measures MANOVAs analyzed changes in wellbeing over time.

Main Results:

  • Interns frequently provided assessment, engagement, positive reinforcement, coping skills, goal setting, and clinical intervention.
  • Students attending at least three sessions demonstrated significant improvements in self-reported wellbeing.
  • The model proved feasible for delivering integrated health care.

Conclusions:

  • School-based clinics utilizing graduate internships offer a viable solution for rural integrated care.
  • University-community partnerships are vital for successful implementation and sustainability.
  • This approach addresses critical gaps in rural medical and behavioral health services.