Comprehensive School-based Health Care: High School Students' Use of Medical, Mental Health, and Substance Abuse Services

摘要: Objectives. To explore adolescent students9 use of school-based health and medical care mental substance abuse counseling services to compare adolescents9 patterns medical, health, located in traditional settings. Design. Retrospective analysis computer-stored, standardized data for all student visits during a 4-year period. Setting. Three high centers. Subjects. A total 3818 students who used provided by the centers (SBHCs). Outcome Measures. Frequencies providers counselors frequencies diagnostic assignments. Results. During 38-month period, attending senior school made 27 886 three SBHCs. They represented 63% enrolled SBHCs approximately 42% population. There were no significant demographic differences between overall body. However, compared with but did not them, users more likely be female Hispanic. Ninety-four percent using had providers; 25% counselors; 8% counselors. The annual mean number was 4.7, numbers following were: 3.3; 5.8; abuse, 6.8. An average 1.4 diagnoses per visit. most common major categories emotional problems (29% diagnoses), supervision (13%), respiratory (11%), reproductive (8%). Almost one fourth contact than service provider. Visit frequency increased significantly two provider (13 15 4 5 just category provider) escalated 32 if used. Conclusions. Adolescents higher rates adolescents sources care. proportions SBHC commensurate estimated prevalences these this country9s In addition, favorably visit other Too little information is available about non-school-based settings make similar comparisons. summary, seemed have probably general These findings are consistent interpretation that do enhance access problems.