2. Healthcare + Education = Healthy Communities: Why Schools Fit the Equation Kate Keller, MPA Senior Program Officer The Health Foundation of Greater Cincinnati

3. National Picture of SBHCs Over 1700 SBHCs in 2005 87% located in the school building 30% high schools; 80% serving at least one adolescent grade 34% Hispanic; 30% Black; 30% White 59% in urban areas Midwest region: 275 SBHCs

4. Who we serve 12 School-Based Health Centers 31 Schools Served 8,050 students enrolled (76% of student population) 52% Medicaid; 16% uninsured 16,791 encounters

5. What we learned Improved Health Status

6. Child-Reported Total HRQL (N=588)

7. What we learned Improved mental health status

8. Child-Reported Psychosocial HRQL (N=588)

9. What we learned Attendance success varied

10. SBHC Visit Outcome N=3707N=5080N=6354

11. Yearly Absences among Those Reporting ADHD across SBHC Users, Nonusers and Comparison Note: Statistical 3-way interaction

12. What we learned Improved access to healthcare

13. Percent of Parents Reporting Perceived Problems getting Health Care (N=581)

14. What we learned Medicaid costs did not increase

15. Trend of Total Medicaid Costs by SBHC per 100 Students for 22 quarters(N=2153) SBHC

16. What we learned Medicaid savings for a rural SBHC

17. Total Quarterly Medicaid Costs for Rural Schools per 100 Students (N=725) SBHC

18. What we learned Closed the gap of healthcare services for African-American students

19. Growth Trend of Quarterly Total Costs by Race (N=5056) Racial Disparity: African Americans with low costs at the initial point, then, overcame the difference with SBHC.

20. What we learned Significant Medicaid savings for students with asthma

21. Numbers of Hospitalization and ER Visits for Children with Asthma in SBHC Schools (N=196) and Non-SBHC Schools (N=77) With SBHC, hospitalizations decreased 3-fold.

22. Hospitalization Costs Before and After SBHC for Students with Asthma (N=273) Hospitalizati on costs decreased $970 per student. SBHC

23. What we learned Increased use of mental health services

24. Medicaid Mental Health Service Costs before and after the SBHC Program for Students with Mental Health Problems (N=551) Students with mental health illnesses had more mental service costs. SBHC

25. For full study results see: http://www.healthfoundation.org/sbhcstudy.html Contact: Kate Keller kkeller@healthfoundation.org