Impact of School-Based Health Center Use on Academic Outcomes |
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| Authors: | Sarah Cusworth Walker Suzanne E.U. Kerns Aaron R. Lyon Eric J. Bruns T.J. Cosgrove |
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| Affiliation: | 1. School of Medicine, University of Washington, Seattle, Washington;2. Public Health—Seattle and King County, Seattle, Washington;1. Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York;2. Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York;3. Center for Community Health and Education, New York Presbyterian Hospital, New York, New York;4. San Diego Antiviral Research Center, University of California, San Diego, California;1. Department of Health Services, School of Public Health, University of Washington, Seattle, Washington;2. Department of Pediatrics, University of Washington, Seattle, Washington;3. Neighborcare Health, Seattle, Washington;4. Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington;5. Department of Psychiatry and Behavioral Sciences and Department of Epidemiology, University or Washington, Seattle, Washington;1. School of Social Welfare, University of California at Berkeley, Berkeley, California;2. ETR Associates, Oakland, California;3. School of Social Work, University of Denver, Denver, Colorado;1. Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia;2. Department of Paediatrics, The University of Melbourne, Melbourne, Australia;3. Murdoch Childrens Research Institute, Royal Children''s Hospital, Melbourne, Australia;4. Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Melbourne, Australia;5. Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne & Melbourne Health, Melbourne, Australia;6. Department of Psychology, University of Oregon, Eugene, USA;7. Faculty of Medicine, Monash University, Melbourne, Australia |
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| Abstract: | PurposeThe purpose of this study was twofold: (1) to examine the effects of School-Based Health Center (SBHC) use on academic outcomes for high school students, using a well-controlled, longitudinal model, and (2) to examine whether SBHC medical and mental health service use differentially impacts academic outcomes.MethodsAnalyses used a latent variable growth curve modeling approach to examine longitudinal outcomes over five school semesters for ninth grade SBHC users and nonusers from Fall 2005 to Fall 2007 (n = 2,306). Propensity score analysis was used to control for self-selection factors in the SBHC user and nonuser groups.ResultsResults indicated a significant increase in attendance for SBHC medical users compared to nonusers. Grade point average increases over time were observed for mental health users compared to nonusers. Discipline incidents were not found to be associated with SBHC use.ConclusionsSBHC use was associated with academic improvements over time for a high-risk group of users. The moderating effect of type of use (medical and mental health) reinforces the importance of looking at subgroups when determining the impact of SBHC use on outcomes. |
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