Background: This study describes the experience of implementing a screening, monitoring, and referral to treatment (SMARTT) initiative at an urban middle school school-based health center. Methods: Retrospective data were collected for adolescents screened with the Pediatric Symptom Checklist-17-Y. At-risk adolescents having unmet health needs…

Background: Uptake of human papillomavirus (HPV) vaccine remains low among adolescents in the United States. We sought to assess barriers to HPV vaccine provision in school health centers to inform subsequent interventions. Methods: We conducted structured interviews in the fall of 2010 with staff from all 33 school health centers in North…

Background: School-based health centers (SBHC) can provide equitable and comprehensive care for adolescents; yet, few studies have described how patterns of health service utilization differ among groups. The purpose of this study was to investigate differences in utilization and perceptions of SBHC care among adolescents. Methods: This study…

Background: Telemedicine, the provision of healthcare at a distance via telecommunication technology, has been used to address a wide range of health concerns in a variety of settings. Given the challenges schools face in keeping students healthy, telemedicine could be viewed as a mechanism to provide healthcare services directly to students in…

A vacation provided the author with the opportunity to meet with school nurses in Australia. (MM)

Information regarding critical factors in drug therapy is presented with the hope that it will enable individuals to better monitor the effects of prescribed medication. (MM)

The evaluation methods, the characteristics of the study population, and some preliminary results of the first year of a three-year study of a demonstration school health program are reported. The principal measures of health care used are episodes if care and the Health Guarded Child Index. (JMF)

A study determined the levels of treatment satisfaction among community mental health services recipients and if perceptions of treatment satisfaction were the same for both the recipients and the providers. The recipients, mothers of children treated at the unit, were satisfied with the treatment, but the providers perceived their satisfaction as…

A study was done to determine how school nurse practitioners apply skills learned in training programs to their daily activities and to provide a greater understanding of their relationship to consulting physicians. Results indicate that the nurses' perceptions provide useful data on time allocation but do not give a good estimate of patient care…

A case history exemplifies a situation in which a combination of interpretive medical services available in the school and primary health care service from community physicians provided effective care for a multiply handicapped child in a preschool program. (MM)

To make medical care more available to high school students through increased contact among the physician and students, a project was developed to increase students' willingness to seek help. Results demonstrated that students are more likely to seek help when they believe the physician cares about and understands them. (JN)