School Based Health Centers
than 10 years, Stephens Memorial Hospital has
been providing high-quality health services in the SAD
#17 schools at School Based Health Centers, augmenting
the school nurses services.
Pediatric Nurse Practitioner, provides care for students
20 hours a week at the Oxford Hills Middle School and 20
hours a week at Oxford Hills Comprehensive High
School. A physician from Western Maine Pediatrics
is the program's Medical Advisor.
The SBHC provides care
for students while keeping them in school and
learning. As a result of the SBHC ER visits are
reduced as is absenteeism and the burden on parents to
miss work to seek care for children.
Services provided include not only diagnosis and
treatment of injuries and illness but also chronic
illness management for diseases such as diabetes and
asthma. The SBHC provides routine physical exams
and immunizations, prescriptions and laboratory
The Pediatric Nurse Practitioner
communicates with the student's primary care physician
and parents. In addition the SBHC collaborates
with the school nurses, oral health professionals,
dieticians, counselors, local health agencies, faculty,
and community boards.
Currently 50% of the
students at both middle and high school are enrolled in
the SBHC. Five years ago the rate was 6% at the
high school and 15% at the middle school. The SBHC
is not a medical 'home' for students, but acts in
conjunction with their PCP. In the state of Maine,
86% of students have their own PCP. At the Oxford
Hills SBHCs 95% of students have a PCP. We are all
working together to improve the health of our youth in
the Oxford Hills.