Current challenges in school-based health center care: COVID, mental health care, immigrant youth, expansion of telemedicine

IF 3 4区 医学 Q1 PEDIATRICS
Linda Carmine MD
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引用次数: 0

Abstract

School based health centers (SBHCs) have been providing preventive, acute and chronic care in schools across the United States (US) for the past 40 years. A discussion of that care is provided in a companion article to this one. Several major societal issues of the 2020s, affecting the care provided in SBHCs, have taken place over the past 4 years. These issues, which will be discussed in this article, include the following: 1. The COVID pandemic had a major impact on utilization and services required at SBHCs, both at the peak of the pandemic, when schools were closed and since the peak of the pandemic, when schools reopened. 2. The transformation of mental health services, due both to increasing mental health needs of youth, as well as progression to new therapeutic modalities, has required expansion of services provided at SBHCs. 3. New immigrant health care needs and services have required a response by SBHCs to the substantial increase of new immigrants, most of whom are impacted by significant trauma, entering public schools nationally. 4. Telehealth integration into SBHC medical and mental health services, and its expansion to incorporate new technologies, have provided avenues for increased provision of services by SBHCs.

学校保健中心目前面临的挑战:COVID、心理保健、移民青年、远程医疗的扩展。
在过去的 40 年里,校本医疗中心(SBHC)一直在美国各地的学校提供预防性、急性和慢性病医疗服务。有关该医疗服务的讨论见本文的配套文章。在过去的 4 年中,发生了 2020 年代的几个重大社会问题,这些问题影响了 SBHC 所提供的医疗服务。本文将讨论的这些问题包括以下几个方面:1.COVID 大流行对 SBHC 的利用率和所需服务产生了重大影响,无论是在大流行高峰期(当时学校关闭),还是在大流行高峰期之后(当时学校重新开放)。2.2. 由于青少年心理健康需求的增加以及新治疗模式的发展,心理健康服务发生了转变,这就要求扩大 SBHC 所提供的服务。3.3. 新移民的医疗保健需求和服务要求 SBHC 对进入全国公立学校的新移民人数的大幅增加做出反应,这些新移民中的大多数都受到了严重的心理创伤。4.4. 将远程保健纳入 SBHC 医疗和心理健康服务,并将其扩展到新技术中,这为 SBHC 提供更多的服务提供了途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
61
审稿时长
5 days
期刊介绍: Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.
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