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Article| Volume 35, ISSUE 3, P304-309, May 2021

The Future of Telehealth in School-Based Health Centers: Lessons from COVID-19

Published:January 29, 2021DOI:https://doi.org/10.1016/j.pedhc.2020.11.008

      Introduction

      In response to COVID-19, schools rapidly transitioned to virtual learning. School-based health centers (SBHCs) required immediate shifts from in-person to telehealth services to continue supporting students.

      Method

      A qualitative analysis of nationally-led “Listening and Learning” sessions by the School-Based Health Alliance revealed substantial innovation and expansion of telehealth services.

      Results

      Providers and sponsoring organizations shared challenges and mechanisms for troubleshooting barriers during online webinars to provide support, education, and resources to SBHCs.

      Discussion

      Lessons learned during the COVID-19 pandemic demonstrate the value of SBHCs, which continue to target barriers to health care access, protect the most vulnerable, and decrease the spread of disease. Telehealth implementation by SBHCs can support schools and communities, mitigate future strain on the health care system by continuing to keep youth from over-burdened emergency departments and provide needed mental health care. State and federal policy changes can ensure the continued provision of telehealth by SBHCs for disadvantaged youth.

      KEY WORDS

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      References

        • American Academy of Pediatrics
        In-person school during COVID-19.
        2020 (Retrieved from)
      1. Apple Store. (2020 Dec 14). FaceTime. https://apps.apple.com/us/app/facetime/id1110145091. Accessed January 7, 2021.

        • Community Preventive Services Task Force
        School-based health centers to promote health equity: Recommendation of the Community Preventive Services Task Force.
        American Journal of Preventive Medicine. 2016; 51: 127-128
      2. Doxy.me. (2020 Dec 14). Doxy.me.https://doxy.me/en/. Accessed January 7, 2021.

      3. Google. (2020 Dec 14). Google for education.https://edu.google.com/products/classroom/. Accessed January 7, 2021.

      4. Google. (2020 Dec 14). Google voice. https://voice.google.com/u/0/about. Accessed January 7, 2021.

        • Keeton V.
        • Soleimanpour S.
        • Brindis C.D.
        School-based health centers in an era of health care reform: Building on history.
        Current Problems in Pediatric and Adolescent Health Care. 2012; 42 (discussion 157-158): 132-156
        • Kirby D.
        School-based health clinics: An emerging approach to improving adolescent health and addressing teenage pregnancy.
        Center for Population Options, Washington, DC1985
        • Knopf J.A.
        • Finnie R.K.C.
        • Peng Y.
        • Hahn R.A.
        • Truman B.I.
        • Vernon-Smiley M.
        • Community Preventive Services Task Force
        School-based health centers to advance health equity: A community guide systematic review.
        American Journal of Preventive Medicine. 2016; 51: 114-126
        • Lee N.
        • Karsten J.
        • Roberts J.
        Removing regulatory barriers to telehealth before and after COVID-19.
        Brookings, Washington, DC2020
        • Lin C.C.
        • Dievler A.
        • Robbins C.
        • Sripipatana A.
        • Quinn M.
        • Nair S.
        Telehealth in health centers: Key adoption factors, barriers, and opportunities.
        Health Affairs. 2018; 37: 1967-1974
        • Love H.E.
        • Schlitt J.
        • Soleimanpour S.
        • Panchal N.
        • Behr C.
        Twenty years of school-based health care growth and expansion.
        Health Affairs. 2019; 38: 755-764
        • Love H.
        • Soleimanpour S.
        • Panchal N.
        • Schlitt J.
        • Behr C.
        • Even M.
        2016-17 National school-based health care census.
        School-Based Health Alliance, Washington, DC2017
      5. Microsoft (2020 Dec 14). Skype.https://www.skype.com/en/. Accessed January 7, 2021.

        • National Committee for Quality Assurance
        Taskforce on Telehealth Policy (TTP): Findings and recommendations.
        2020 (Retrieved from)
        • Ran T.
        • Chattopadhyay S.K.
        • Hahn R.A.
        • Community Preventive Services Task Force
        Economic evaluation of school-based health centers: a community guide systematic review.
        American Journal of Preventive Medicine. 2016; 51: 129-138
        • School-Based Health Alliance
        About us.
        2020 (Retrieved from)
        • School-Based Health Alliance
        Quality counts: About the National Quality Initiative.
        2020 (Retrieved from)
        • Santoli J.M.
        • Lindley M.C.
        • DeSilva M.B.
        • Kharbanda E.O.
        • Daley M.F.
        • Galloway L.
        • Weintraub E.
        Effects of the COVID-19 pandemic on routine pediatric vaccine ordering and administration - United States, 2020.
        MMWR Morbidity and Mortality Weekly Report. 2020; 69: 591-593
      6. swyMed. (2020 Dec 14). SwyMed.http://swymed.com/. Accessed January 7, 2021

        • U.S. Department of Health and Human Services
        Task force recommends school-based health centers to promote health equity.
        2020 (Retrieved from)
        • World Health Organization
        Mental health and psychosocial considerations during the COVID-19 outbreak.
        2020 (Retrieved from)
      7. Zoom (2020 Dec 14). Zoom.https://zoom.us/. Accessed January 7, 2021.

      Biography

      Anna Goddard, Assistant Professor, Sacred Heart University, Davis & Henley College of Nursing, Fairfield, CT.

      Biography

      Erin Sullivan, Senior Program Manager of Research and Evaluation, School-Based Health Alliance, Washington, DC.

      Biography

      Paula Fields, Director of Programs and Consulting, School-Based Health Alliance, Washington, DC.

      Biography

      Suzanne Mackey, Director, Policy, School-Based Health Alliance, Washington, DC.