Rapid proliferation of school-based health centers is occurring during the time that school systems are seeking to improve educational practice. Absence of connection between school reorganization and provision of human services may lead to failure. The emerging community school model integrates quality education with effective health, mental…

Discusses partnerships between school-based health centers and school nurses, clarifying the role of school nurses and school-based health centers in the areas of collaboration, communication, and cooperation and examining obstacles to partnerships. Elements for successful collaboration are reviewed (clarifying roles, sharing leadership and…

Interdisciplinary training and education for school-based health professionals is important, but few such programs exist. This paper describes the California State University Interprofessional Collaboration Training Project and the Catholic University of America School Nurse Practitioner Program, offering suggestions for expanding…

Collaboration of mental-health professionals from different disciplines with each other and with health and educational staff is essential for school health-service delivery. The paper discusses each profession's role in providing school-based mental-health services, noting training requirements within each discipline related to school mental…

Expanded school mental-health (ESMH) programs address the limitations of traditional mental-health agencies in meeting childrens' needs by offering a full range of services in school. Family involvement in ESMHs can enhance their effectiveness. This paper describes challenges of involving families, guidelines for determining program goals for…

School-based health centers need to form partnerships with organizations in the community in order to remain viable. This article delineates recommendations from two sessions at a meeting of the National Assembly on School-Based Health Care that addressed the issue, focusing on strategies for forming partnerships with communities of faith and the…

Managed care organizations (MCOs) and school health programs share some common goals and some competing, conflicting priorities. Partnerships between the two are important for the effective coordination and delivery of comprehensive adolescent health services. This paper discusses adolescent clinical preventive services, school health services,…

In 1998, the Making the Grade National Program Office and the National Assembly on School-Based Health Care sponsored a workshop on the relationship between the State Child Health Insurance Program (SCHIP) and school-based health centers. This paper presents information from the workshop and uses experiences from Colorado and Connecticut as case…

Summarizes results from the 1997 Youth Risk Behavior Surveillance System and trends from 1991 to 1997 in selected risk behaviors. Results indicate that many high school students still practice behaviors that place them at risk for serious health problems, with some behaviors more likely among particular subgroups. Some behaviors vary considerably…

Examined adolescent sexuality-education curricula for information on coercion (date rape, stranger rape, pressure, incest, sexual harassment, unwanted/inappropriate touch, and exploitation/victimization). Exploitation/victimization and pressure received the greatest attention. Sexual harassment was not covered in any of the curricula. Results…

Examined the relationship between smoking and participation in unhealthy behaviors among Mexican-American adolescents. Analysis of data from the 1993 Teenage Attitudes and Practices Survey indicated that Mexican-American adolescents who smoke may be at higher risk for engaging in behaviors that could compromise their health and safety and for not…

Surveys of Native-American students in grades six through eight examined their attitudes toward and knowledge of fetal-alcohol-syndrome risk factors and prevention strategies. Results revealed that there were limited prevention programs in middle schools, though students considered it an important topic. Families and peers were the most important…

Examined demographic characteristics of high school tobacco-users across gender and ethnicity using data from the 1991-1995 Youth Risk Behavior Survey. Current smoking increased, with one-third of 9th and 12th graders currently smoking in 1995 and 11% of all students using smokeless tobacco. Many students used tobacco before high school. Tobacco…

Surveys of students attending Seventh-Day Adventist (SDA) high schools assessed sexual and drug-use behaviors that placed them at risk for contracting or transmitting HIV. Comparison of the results with data from the Youth Risk Behavior Survey indicated that SDA students had lower rates of sexual intercourse and substance use. Parental…

Discusses the five major concerns that govern a school nurse's thinking in managing head louse infestations, including dispelling misconceptions about head lice; ensuring that infestations are not missed; ensuring that parents understand instructions for effective treatment; educating the community about the correct use of pediculicides; and…