School Based
Health Centers in Los Angeles
County
Presented by Sang Leng Trieu Central Valley School Health Coalition
November 14, 2014 Fresno County Office of Education
Bringing vital health resources & solutions to the students, families, & communities of Los Angeles since 1991.
Mission: To increase student health & readiness to learn through access, advocacy and programs.
THE L.A. TRUST FOR CHILDREN’S HEALTH
STUDENT HEALTH = STUDENT SUCCESS
SBHCS IN LOS ANGELES COUNTY
73 In the county
14 School Districts
25 Cities
6 start-ups
a growing movement
5
29
11
28
5
0
5
10
15
20
25
30
35
Elementary Middle High Mobile
Number of SBHCs in L.A. County by grade level
SBHCS IN 14 SCHOOL DISTRICTS
• Who are we serving? • How many are we serving? • What services are we providing?
1. Compton Unified School District 2. Culver City Unified School District 3. East Whittier City School District 4. El Monte City School District 5. Rowland Unified 6. Lennox School District 7. Long Beach Unified School District 8. Los Angeles Unified School District 9. Norwalk-La Mirada Unified School District 10. Pasadena Unified School District 11. Pomona Unified School District 12. Rowland Unified School District 13. Santa Monica-Malibu Unified School District 14. Torrance Unified School District
SBHCS IN 25 CITIES THROUGHOUT THE COUNTY
• Who are we serving? • How many are we serving? • What services are we providing?
1. Altadena 2. Canoga Park 3. Carson 4. Chatsworth 5. Compton 6. Cudahy 7. Culver City 8. El Monte 9. Gardena 10. Granada Hills 11. Huntington Park 12. La Puente 13. Lennox
14. Long Beach 15. Norwalk 16. Pacoima 17. Pasadena 18. Pomona 19. Reseda 20. San Fernando 21. Santa Monica 22. South Gate 23. Sun Valley 24. Torrance 25. Whittier
Over 680,000 students 1,081 schools Largest employer in L.A.
2nd Largest School District in U.S.A.
Uninsured
27% 49%
Medi-Cal
76%
Free/Reduced lunch
90%
Racial/Ethnic Minority
LAUSD STUDENT POPULATION AT A GLANCE
Wellness Centers are expanded, maximized and include the network of schools
All students are career and college ready (qualify for A-G and in line with District goals)
Improve population health over 2008 baseline*
Decrease overweight and obesity rates Increase Medi-Cal enrollment rates Decrease teenage pregnancy rates Decrease chlamydia rates Decrease rates of exposure to violence Improved asthma management
*Based on 2008 Health Indicators Analysis in Strategic Health Plan for the Establishment of School Health
WELLNESS NETWORK 5-7 YEAR GOALS
ESC-N Monroe High School (1) ESC-W Hollywood High School (2) ESC-W Crenshaw High School (3) ESC-E Belmont High School (4) ESC-E Garfield High School (5) ESC-E Jefferson High School (6) ESC-S Gage Middle School (7) ESC-S Fremont High School (8) ESC-S Jordan High School (9) ESC-S Locke Early Ed Center (10) ESC-W Manual Art High School (11) ESC-W Washington Prep (12) ESC-S Elizabeth Learning Center (13) ESC-S Carson High School (14)
1
3
2 4
5 6 7 8
9 10
11
12 13
14
WHERE ARE THE WELLNESS CENTERS?
$36.3M
$11.3M
$1.8M $1M $0
$5
$10
$15
$20
$25
$30
$35
$40
LAUSD LA Trust & Providers
Federal Govt LA County PEI
Investment in Millions
Total invested $50,324,751 over the next three years
WHAT HAS BEEN INVESTED?
LAUSD WELLNESS NETWORK – THE DATA
• Who are we serving? • How many are we serving? • What services are we providing?
Show me the data.
Who? How many?
What services? How many students?
DATA DASHBOARD – WELLNESS CENTER ENCOUNTERS
LAUSD Wellness Network Scorecard, January 2013 - July 2014 (19 months) (94% reporting)
Total encounters: 34,593 Year School
Patients Non-School
Patients Female Male 0 - 5 6 thru 9 10 thru 14 15 - 19 20+ Mental Medical Dental Other
2013 8739 9155 10826 7068 819 939 2238 6878 7020 4107 13238 259 290
2014 7283 9416 9962 6737 967 878 1463 5984 7407 5407 9932 317 1043
Total 16022 18571 20788 13805 1786 1817 3701 12862 14427 9514 23170 576 1333
46% 54% 60% 40% 5% 5% 11% 37% 42% 28% 67% 2% 4%
STUDENT ENGAGEMENT
“To Improve student health and increase the ability to learn…”
Excerpt of The L.A. Trust mission statement
ENGAGING & LISTENING TO OUR TARGET AUDIENCE
School Name
Carson High School Jeffrey Roxas Matthew de Leon
Elizabeth Learning Center
Elvia Torres Jennifer Diaz
Garfield High School Paul Ceron Carolina Albino
Fremont High School Katherine Perez Brian Rodriguez
Hollywood High School
Chelsea Roman Wendy Siguenza
Jefferson High School
Elizabeth Dominguez Mayra Velasquez
Washington Prep High School
Jocelyn Mendez Katherine Lawrence
YOUTH ADVISORY BOARD Purpose: The L.A. Trust YAB informs The L.A. Trust and its Board of Directors of popular perceptions of the Wellness Centers and other programs, identifies issues affecting their peers, and gives recommendations on how to respond to the needs and requests of students.
ENGAGING & LISTENING TO OUR TARGET AUDIENCE
• Youth Advisory Board Kick-Off & Training -- March 2014
• Joint Board Meeting -- June 2014
• YAB presented recommendations for 5K fund usage at Wellness Center campuses
• Y2Y Conference -- October 2014
• Teen Town Hall – September 2014
• Y2 Y Conference -- April 2015
• Career Pathways – Ongoing
Convening Structure: • Quarterly meetings
• Approx. 60 – 80 in attendance
• District-wide participation (e.g. clinic providers,
wellness center coordinators, school nurses,
evaluators, etc.
• Interactive format & sharing or best practices
• Student Advisory Group presentations
Content Topics • Student career pathway programs
• Data collection
• Quality improvement using PDSA cycles
• Mental health integration
• Early childhood linkages to wellness programs
• Community resources
DEDICATED TO WELLNESS CENTER EXCELLENCE
WELLNESS NETWORK LEARNING COLLABORATIVE
L.A. COALITION OF SCHOOL HEALTH CENTERS
Convening Structure • Quarterly meetings
• Approx. 50 – 60 in attendance
• County-wide participation (e.g. reps of gov’t
agencies, various school districts., clinic providers,
wellness center coordinators, school nurses,
evaluators, etc.
• Interactive format & sharing or best practices
Content Topics Referral Process
Billing practices
Outreach & Student Engagement
COUNTYWIDE CONVENING FOR SCHOOL HEALTH CENTERS’ PRACTITIONERS & PARTNERS
L.A. COUNTY SCHOOL HEALTH POLICY ROUNDTABLE
Convening Structure Quarterly meetings
Approx. 10-20 in attendance
County-wide participation (e.g. reps of gov’t agencies,
various school districts., insurance providers, evaluators,
etc.
Interactive format & sharing or best practices
Content Topics
L..A County MOU
Electronic Medical Records
State Funding
COUNTYWIDE CONVENING OF LEADERS AND POLICY MAKERS FOCUSED ON IMPROVING SCHOOL HEALTH POLICY AND SHARED ADVOCACY
Sang Leng Trieu Program Director The L.A. Trust for Children’s Health [email protected] www.thelatrust.org
QUESTIONS ?
Thank you!