Larson Satu, Spetz Joanne, Brindis Claire D, Chapman Susan
J Pediatr Health Care. 2017 Jul-Aug;31(4):484-492. doi: 10.1016/j.pedhc.2016.12.007. Epub 2017 Feb 8.
Minority racial/ethnic pediatric populations and those living in poverty are at greater risk of exposure to trauma, development of mental health disorders, and school failure yet are less likely to have access to mental health services (MHS). School-based health centers (SBHCs) staffed with mental health providers may be one strategy for decreasing health care disparities.
Secondary analysis of the cross-sectional School-Based Health Alliance Census School Year 2010-2011 Report was conducted. Descriptive statistics and chi-square analysis were used to describe differences between SBHCs with and without onsite MHS.
A total of 70% of SBHCs offered MHS. SBHCs with more resources, more students, a longer history, and state funding were more likely to offer MHS, and geographic location had no impact on service availability.
Reviewing SBHC characteristics that enable inclusion of MHS may help stakeholders expand this model of care to address exposure to chronic childhood trauma.
少数族裔儿童群体以及生活贫困的儿童遭受创伤、出现心理健康障碍和学业失败的风险更高，但获得心理健康服务（MHS）的可能性较小。配备心理健康服务提供者的校内健康中心（SBHC）可能是减少医疗保健差距的一种策略。
对2010 - 2011学年基于学校的健康联盟普查的横断面报告进行二次分析。使用描述性统计和卡方分析来描述有无现场心理健康服务的校内健康中心之间的差异。
共有70%的校内健康中心提供心理健康服务。资源更多、学生更多、历史更长且有州政府资金支持的校内健康中心更有可能提供心理健康服务，地理位置对服务可及性没有影响。
审视有助于纳入心理健康服务的校内健康中心特征，可能有助于利益相关者扩展这种护理模式，以应对儿童长期遭受的创伤。
