A conversation with: •Marty Blank, President ,Institute for Educational Leadership, Director, Coalition for Community Schools•Joshua Rovner, Director of Policy and Advocacy, National Assembly on School-Based Health Care•Marilyn Crumpton, MD, MPH Director, Growing Well Cincinnati

December 16, 2010

www.communityschools.org 1

Vision: The Coalition for Community Schools believes that strong communities require strong schools and strong schools require strong communities. We envision a future in which schools are centers of thriving communities where everyone belongs, works together, and succeeds.

Mission: The Coalition advances opportunities for the success of children, families and communities by promoting the development of more, and more effective, community schools.  

www.communityschools.org 2

A community school is both a place and a set of partnerships between the school and other community resources. It provides academics, health and social services, youth and community development, and community engagement, and brings together many partners to offer a range of support and opportunities for children, youth, families, and communities. The school is generally open for extended hours for everyone in the community. Community schools may operate in all or a subset of schools in an LEA.  (Title I Guidelines, U.S. Department of Education, Sept. 2, 2009)

Foster strong partnerships Share accountability for results  Align school and community assets and expertise Set high expectations for all  Build on the community's strengths  Embrace diversity 

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Low birth-weight and non-genetic prenatal influences on children;

Inadequate medical, dental, and vision care;Asthma;Physical activity; Teen pregnancy;Aggression and violence

Sources: Berliner, David C. (2009). Poverty and Potential: Out-of-School Factors and School Success. Boulder and Tempe: Education and the Public 

Interest Center & Education Policy Research Unit. Retrieved [date] from http://epicpolicy.org/publication/poverty-and-potential

Charles Basch, Healthier Students are Better Learners. AS Research Initiative of the Campaign for Educational Equity. Teachers College, 2009

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Early Chronic Absenteeism Tardiness Safety School discipline referrals

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Engaging Academic Instruction Comprehensive services: health, mental health, prevention services 

and family support  Community-based learning (service, civic, experiential) Adult education and workforce classes Community building Early child development Increased learning time and enriched learning opportunities Family and community engagement

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Vision care Mental health counseling (for students and families) Dental care Immunizations Health education & programming (dance classes, health 

eating, etc.) Community gardens Peer health promotion

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Results driven Joint planning Coordination among partners

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• Tulsa, OK• Evansville, IN• Montgomery County, MD• Cincinnati, OH

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Josh Rovner, Director of Policy and Advocacy, National Assembly on School-Based Health Care

1. Supports the school2. Responds to the community3. Focuses on the student4. Delivers comprehensive care5. Advances health promotion activities6. Implements effective systems7. Provides leadership in adolescent and child health

Provide a comprehensive range of services Nearly all are open during school hours◦ 60% are open after the school day ends◦ 49% open before the school day begins◦ 36% are open during summer months

Every SBHC is different◦ 25% provide primary care only◦ 75% have mental health counselors◦ Other providers: health educators (19%), nutritionists (14%), dental 

(12%)

Resources ◦ NASBHC’s website: “SBHC Roadmap”◦ NASBHC’s state affiliates

The basics (1 of 2)◦ Collaboration and community engagement

• Local health department • Community or rural health center• Community and/or teaching hospital(s) • Mental health, substance abuse

and social service agencies• Private physicians• University faculty 

•Elected officials•Business and community leaders•Faith community •School superintendent or school board•School administration and faculty •Students•Parents

The basics (2 of 2)◦ Needs assessment and evaluation

Identify needs and resources in a community Determine gaps: What is, and what should be Establish priorities

◦ Funding and other resources Federal grants State grants Local funding Community partnership contributions Foundations Patient Revenue Mixing several or all funding sources

FOUNDATIONS

FEDERAL PUBLIC GRANTS

LOCAL FUNDING/COMMUNITY PARTNERS

STATE PUBLIC GRANTS

SCHIPMedicaidPrivate insurancePatient fees

Federal entitlement programs administered at the state level MCHB/Title VCDC HIV/AIDS PreventionSAMHSA/Title XIX (substance abuse and mental health screening and early intervention)Title XX/ Soc Services Block Grant (TANF, daycare, child neglect and abuse) State FundingState General RevenueTobacco Tax/SettlementEducationNCLB /ESEA (Title I improving academic achievement of the disadvantaged and Title IV safe and drug free schools) IDEA (health-related special education services)

BPHC/FQHC (Section 330 of the Public Health Service Act)Title X of the Public Health Service Act: Family Planning

School-Based Health Center Funding Models

PATIENT REVENUE

Foundations that supportschool-based health careRobert Wood Johnson FoundationKB Reynolds Charitable TrustWKKF Kellogg FoundationWelborn FoundationMcKesson FoundationDuke EndowmentHealth Foundation of Greater CincinnatiVisit the Grantsmanship Center at http://www.tgci.com/ and the Foundation Center at http://fdncenter.org for other foundation funding opportunities

Local FundingPublic and private grants (e.g., universities, United Way)City/county fundsLocal businesses (e.g., banks, insurance companies)

Community PartnersIn-Kind Contributions from schools, hospitals, health departments, community health departments, and community agencies (e.g., staff, facilities, supplies)Examples of PartnersParents’ employersParents’ health insurance agenciesLocal businessesSchool districtsUniversities

Poor health has a direct and negative impact on student success

Health and education are inexorably linkedSBHCs decrease school absencesSBHCs keep kids in their seats

In Massachusetts, SBHC users had a 50% decrease in absenteeism and 25% decrease in tardiness two months after receiving school-based mental health and counseling

In North Carolina, African-American male SBHC users were three times more likely to stay in school than their peers who did not use the clinic.

A Dallas SBHC demonstrated that medical services helped decrease absences by 50% among students who had three or more absences in a six-week period◦ Students who received mental health services had an 85% decline in 

school discipline referrals

“We are thrilled that part of the [health reform] legislation calls for an expanded footprint of school-based health clinics … I can’t think of a better way to deliver primary care and preventive care to not only students but their families than through school-based clinics. So the Secretary of Education and I have already talked about how we’re going to leverage that money, how widely we can expand that foot print, and how quickly we can get it done.” 

--HHS Secretary Kathleen Sebelius, 2010 National Forum on Community Schools, April 7, 2010. 

I. Regulates private health insuranceII. Investments in prevention, wellness, primary careIII. Expands access to coverage through: 

a. Subsidiesb. Expansion of public insurancec. Creation of health insurance exchanges

IV. Cost containment strategies◦ Improving quality/cost effectiveness

Marilyn Crumpton, MD, MPH Director, Growing Well Cincinnati

24

Nationally (n=1096)

Cincinnati, OH

•Cincinnati Health Dept.•Health Foundation of Greater Cincinnati•Neighborhood Health Care•Winton Hill Health & Medical Center

Combination model: ◦Health Foundation Center of Greater Cincinnati Give start up funding

◦Federally Qualified Health Center/Community Health Center Provide sustainability in funding

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Schools receive health support in 2 ways:◦SBHCs◦Public health nurse from the Department of Health

This year:◦ 12 schools will lose funding for public health nurse

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SBHCs participation in school-wide SBHCs participation in school-wide teamsteams

Nationally (N=1096)

Community Schools Learning Laboratory, Seattle, WA. March 31-April 2, 2011. Click here for more info.

2011 National School-Based Health Care Convention. June 26-29, 2011. Click here for more info.

Community School Advocacy Day. May 2011. Stay tuned for more info!

WEBINAR:  A Deeper Look into Ohio’s SBHC & Community School System…Winter 2011

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Martin J. Blank, President, Institute for Educational Leadership, Director, Coalition for Community Schools, blankm@iel.org [www.communityschools.org] 

Joshua Rovner, Director of Policy and Advocacy, National Assembly on School-Based Health Care, jrovner@nasbhc.org [www.nasbhc.org] 

Marilyn Crumpton, MD, MPH Director, Growing Well Cincinnati, mcrumpton@healthfoundation.org [www.healthfoundation.org]

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