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Welcome to the Voices

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in School health series.

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This series is designed

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to help Virginia schools

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and community partners

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learn from successful, school

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based health programs

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and practices.

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I'm Ericca Facetti,

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the executive director

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and co-founder of the school

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based Health

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Alliance of Virginia.

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Today, I will discuss

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what a school link program is.

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School linked health models

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provide medical,

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mental health

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and dental services

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to students

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by partnering schools

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with community

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health providers.

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These collaborations often

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help bridge

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gaps in access,

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particularly in rural

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or underserved areas.

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Now, keep in mind

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that each program is unique

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and each will look different

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from the next

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based on the community

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needs, the school

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linked program workforce

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and the capabilities.

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Key approaches could include

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mobile health

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units, vehicles

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that are equipped

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to deliver clinical services

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that regularly visit

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the school sites

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or telehealth services.

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Digital, remote

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or virtual connections

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that enable students

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in school settings

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to consult with off

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site providers,

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often allowing access

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to specialists,

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particularly in

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behavioral health

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and the use of

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portable equipment.

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Bringing in necessary equipment

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and temporarily

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setting up in the school

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where space is available.

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It can be difficult to

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find space within the school,

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but some of these programs

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will operate in the gym

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or even in the janitor's

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office.

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Making sure that students

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have easy access to health care

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services on site, school

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linked programs provide

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comprehensive services.

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These models can offer

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a wide range of services

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including primary care,

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preventive chronic care,

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illness management,

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mental health counseling,

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and dental care.

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Care provided by a school Link

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program is designed

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to be responsive

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to the community

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and to meet the cultural

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and linguistic needs

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of the population served.

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Some of these services

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may include

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well child and preventive

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care, things

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like physical screenings

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and checkups

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to identify problems

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early and keep school

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and sports physical forms

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up to date.

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Immunizations, Routine

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childhood and adolescence.

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Vaccines

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administered on schedule.

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Eliminating the need

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for a separate clinic visit.

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Acute care

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treatment for common illnesses

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and minor injuries

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that occur

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during the school day.

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Chronic disease management

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ongoing support for conditions

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such as asthma and diabetes

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to help students

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remain in class.

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Mental health screening,

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counseling and connections

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to further care.

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Ensuring that integration

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of mental health

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with physical health

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and also oral health care,

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things like dental screenings

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and treatments.

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A school linked program

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focuses on increasing access

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to high quality

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health care services

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to improve health

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and educational outcomes,

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as well as reduce disparities.

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These programs align health

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care and education systems

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to support a student's success,

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both inside

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and outside of the school.

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The care provided by a school

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linked entity

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complements and supports,

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but does not replace

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or duplicate

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existing health services

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offered by the school,

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such as the school

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nurse's office.

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These programs should include

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bidirectional communication

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between providers.

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For example,

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how do we connect

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chronic disease issues

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and oral health

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and also

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bidirectional communication

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with the school staff,

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school nurses

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and the community?

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It's important

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to demonstrate

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the value of these programs.

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These responsibilities

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with the school linked program

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should be identified

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in advance

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of setting up the programs.

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The school,

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patients, parents

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or guardians, and health

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care providers

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should have

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a good understanding

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of what the following tests

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look like.

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Appointment referrals

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what does that process

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look like

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and how a referral sent back

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and forth.

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Obtaining

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and documenting consent.

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Consent can be

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one of the hardest things

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that a school based

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health center will face.

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So it's important to understand

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what works within that school

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to get parent

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and guardian consent.

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And how are you tracking

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that information?

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Registration, including health

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insurance information

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if it's available.

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Conducting the appointment

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- appointments

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should have

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a written out workflow

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with decision points

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that everyone understands,

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including the school staff

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and the school nurse.

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Also follow up

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after the appointment.

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If the student has an emergent

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or urgent need,

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or they need a referral

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to a specialist.

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That program should also

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be documented out

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so decisions are easily made

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and that student does not wait

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to get the care that they need.

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School-linked programs are created

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through

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a collaborative partnership

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between the community,

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the school,

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and an entity

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that operates and administers

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the school linked program,

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often referred to

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as the operator.

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Students and families

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are central

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to this partnership.

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An operator

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can be a federally qualified

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health center,

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community health center

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or look alike, a hospital,

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a public health

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department,

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and nonprofit health

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or human services agency,

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or any other qualified entity

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capable of operating health

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care services.

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By reducing barriers

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like transportation issues,

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the need for parents

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to take time off

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work, and missed appointments.

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These models

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significantly enhance access

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to health care.

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Many school linked models

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emphasize onsite

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mental health services

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to better support

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student well-being.

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These health care services

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are integrated

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into the school system,

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fostering better communication

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among health providers,

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teachers, and school nurses.

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Schools typically collaborate

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with federally qualified

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Health Centers

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on these programs,

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as well as local

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health departments

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and hospitals

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to implement

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these health

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care services effectively.

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Onsite care

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positively affects

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both health

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and school performance

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by eliminating barriers

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that might prevent children

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from receiving

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medical attention

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and attending costs.

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When students can receive

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care on campus,

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routine checkups

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or sick

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visits can happen

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without the need

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to leave school.

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This approach

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helps keeps children healthy

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and present in the classroom.

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Thank you for watching.

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I encourage you

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to explore other sessions

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in the voices

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for school health series

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to support school

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based health

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efforts in Virginia.