How School-Based Health Centers Work
What services are offered in an SBHC?
- The centers provide quality primary health care, including routine physical exams, diagnosis and treatment of acute and chronic illness, treatment of minor injuries, and vision and dental screenings.
- They provide prevention messages and health education such as obesity counseling and tobacco prevention.
- They provide or connect students with mental health services, including grief therapy, help with peer pressure, bullying and suicide prevention.
- Most SBHCs offer services to all students within their district and some offer expanded after-school hours.
- Many SBHCs engage students, parents and community members in advisory councils that provide support for the center and opportunities for community service.
How are SBHC services decided?
The decision about which services to offer at an SBHC is a local-level decision in compliance with state certification standards.
Who provides care in an SBHC?
SBHCs are staffed like a local pediatrician or family practice office with a receptionist, nurse, clinical provider (nurse practitioner, physician assistant, or physician), and at some sites, qualified mental health professionals.
How are SBHCs funded?
Funding mixes vary by site but include state dollars sent to each county with an SBHC. In 2007-2009, state funding for SBHCs is approximately $5 million. Local dollars may come through school districts, county health departments, hospitals, community providers, local businesses and individuals, grants and other fundraising.
More information
Our Model of Care paper provides a concise description of certification standards, services, funding and efficacy of school-based health centers.
To learn more about Oregon's SBHCs, download the 2008 Status Report, School-Based Health Centers - Health Care Counts: Healthier Youth, Stronger Communities, which includes history, center locations, services, assessment, funding, challenges, growth, and expansion.



