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You are here: Wiki-Summaries >> School-based & School-Linked Services >> Overview
This Section: School-based & School-Linked Services

School-based & School-Linked Services - Overview

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School-based and School-Linked Services are a core component of comprehensive approaches and multi-intervention programs. There are a number of effective health, social, law enforcement, humanitarian and relief aid, child protection, food, youth employment and other services that can be delivered through schools to support learning, health, safety and social development. Coordinated or integrated student services in packages that wrap-around the students and their individual needs is vital, increasing their effect, reach and ease of use in the school setting. Providing these student support services in a timely, accessible and youth friendly manner is critical. Delivering health and other services in or near schools can also offer cost savings and increased reach/effectiveness. School-based services can be funded or delivered by health, social or other ministries or agencies or donors as well as by education ministries when they are focused on learning. School-based services include in-school clinics, offices, full-time, part-time, itinerant and emergency staffing and the provision/delivery of supplies and materials. School-linked services are defined and coordinated through partnerships with local clinics, hospitals, youth centres, physicians’ offices, police services, youth courts, agricultural organizations, youth employment services and others.
Sources:
  • Edwards, A. & Downes, P. (2013). Alliances for Inclusion: Developing Cross-sector Synergies and Inter-Professional Collaboration in and around Education. Commissioned Research Report for EU Commission NESET (Network of Experts on Social Aspects of Education and Training). Foreword to report by Jan Truszczynski, Director-General of the European Commission’s Directorate General for Education and Culture
  • Anne-Emmanuelle Ambresin, Kristina Bennett, George C. Patton, Lena A. Sanci, Susan M. Sawyer (2013) Assessment of Youth-Friendly Health Care: A Systematic Review of Indicators Drawn From Young People's Perspectives, June 2013, Volume 52, Issue 6, Pages670–681
  • World Health Organization (European Office) 2015 Health 2020: Education and Early Development. Synergy between sectors: Fostering better education and health outcomes, Copenhagen, Denmark
  • CDC Community Task Force on Preventive Services (2015) Promoting Health Equity Through Education Programs and Policies: Effectiveness of School-Based Health Centers in Improving Educational and Health Outcomes, US Government, Atlant
This summary was first posted in December 2015. Currently it is posted as  "first edition" version. The following individuals or organizations have contributed to the development of this topic, Philippa Hurrell Jones & Teresa Rezansoff. We encourage readers to submit comments or suggested edits by posting a comment on the Mini-blog & Discussion Page for this section or posting a comment below:
School-based and School-Linked Services are a core component of comprehensive approaches and multi-intervention programs. There are a number of effective health, social, law enforcement, humanitarian and relief aid, child protection, food, youth employment and other services that can be delivered through schools to support learning, health, safety and social development. Coordinated or integrated student services in packages that wrap-around the students and their individual needs is vital, increasing their effect, reach and ease of use in the school setting. Providing these student support services in a timely, accessible and youth friendly manner is critical. Delivering health and other services in or near schools can also offer cost savings and increased reach/effectiveness. School-based services can be funded or delivered by health, social or other ministries or agencies or donors as well as by education ministries when they are focused on learning. School-based services include in-school clinics, offices, full-time, part-time, itinerant and emergency staffing and the provision/delivery of supplies and materials. School-linked services are defined and coordinated through partnerships with local clinics, hospitals, youth centres, physicians’ offices, police services, youth courts, agricultural organizations, youth employment services and others.
The treatment standards for such services to individuals should be similar to those for child and adolescent services provided in other venues such as clinics, hospitals and elsewhere. However, the scope, duration and intensity will need to be adjusted to fit with or within the school context. An important, over-arching tenet should be that the services are “youth-friendly”, - i.e. provided in a manner that is respectful of the concerns, convenience, preferences and needs of young people.  In addition to providing the services, an over-arching goal of school-based and school-linked services should about also be to promote the basic literacy of students about their health, safety & security. This essential knowledge and skills will enable them to use primary and preventive health services over the life course, to understand safety procedures and regulations and to access various emergency and security protections and precautions.
Sharing information and coordinated case management among education, health and other professionals about individual student health & other cases/problems is a complex policy/procedure issue. Informing parents about student health and social, developmental problems can be done but can also generate controversy or conflict. Treating or informing adolescents without the knowledge of their parents is also a complex policy/practical challenge. Coordination of professionals and services on individual cases is also complex. Coordination between workers in the education, protection, shelter, water and sanitation, health and psycho-social sectors is important in establishing learner-friendly, safe spaces in low resource and conflict/disaster affected areas, so donor organizations should require and support such joint actions and services rather than just narrowly focused single-issue services.   
 Accurate student health, education, developmental and other records can also be a source of data for program assessments and monitoring student health & development on a population basis as well as monitoring/recognizing health promoting, safe, community, green or other multi-component approaches.
Sources:
  • Edwards, A. & Downes, P. (2013). Alliances for Inclusion: Developing Cross-sector Synergies and Inter-Professional Collaboration in and around Education. Commissioned Research Report for EU Commission NESET (Network of Experts on Social Aspects of Education and Training). Foreword to report by Jan Truszczynski, Director-General of the European Commission’s Directorate General for Education and Culture
  • Anne-Emmanuelle Ambresin, Kristina Bennett, George C. Patton, Lena A. Sanci, Susan M. Sawyer (2013) Assessment of Youth-Friendly Health Care: A Systematic Review of Indicators Drawn From Young People's Perspectives, June 2013, Volume 52, Issue 6, Pages670–681
  • World Health Organization (European Office) 2015 Health 2020: Education and Early Development. Synergy between sectors: Fostering better education and health outcomes, Copenhagen, Denmark
  • CDC Community Task Force on Preventive Services (2015) Promoting Health Equity Through Education Programs and Policies: Effectiveness of School-Based Health Centers in Improving Educational and Health Outcomes, US Government, Atlant


This summary was first posted in December 2015. Currently it has been posted as  an "excerpt/adaptation", "first draft" or "revised draft" and "first or revised edition" version. The following individuals or organizations have contributed to the development of this topic; Philippa Hurrell Jones, Teresa Rezansoff   We encourage readers to submit comments or suggested edits by posting a comment on the Mini-blog & Discussion Page for this section or posting a comment below:
Text

This summary was first posted in June 2012. Currently it has been posted as  an "excerpt/adaptation", "first draft" or "revised draft" and "first or revised edition" version. The following individuals or organizations have contributed to the development of this topic.
We encourage readers to submit comments or suggested edits by posting a comment on the Mini-blog & Discussion Page for this section or posting a comment below:

Due to the length of Handbook Sections (similar to a book chapter) prepared for this web site and knowledge exchange program, we post these documents as separate documents. Click on this web link to access the draft or completed version on this topic. Come back to this page to post any comments or suggestions. 


 Bibliography/Toolbox on
Key research, reports and resources on this topic are highlighted below.  Many of the topics in this web site also have extensive bibliographies/toolboxes (BTs) published as separate documents. Click on this web link to access the full version of our Bibliography/Toolbox on this topic. These lists use our outline for these collections that we have developed over several years of curating these materials.
Research
Reports, Resources


Understand the Approach/ Program & Its Effectiveness in Different Contexts on Different Aspects of HPSD, Populations


How to Implement, Maintain, Scale Up, Sustain, Build Capacity, Leverage to Support Core Components.


How to integrate within Education Systems

Use of Ecological/ Systems Approach



Research Questions/
KDE Agenda




Understand the Approach/ Program & Its Effectiveness in Different Contexts on Different Aspects of HPSD, Populations


How to Implement, Maintain, Scale Up, Sustain, Build Capacity, Leverage to Support Core Components.


How to integrate within Education Systems

Use of Ecological/ Systems Approach



Research Questions/
KDE Agenda
The following additional resources are posted on this web site or published by other credible sources. Please send any suggested additions to info@internationalschoolhealth.org


For updates and reader comments on this section, go to our Mini-Blog on School-based & School-linked Services

The number of summaries completed or drafted in this section are listed below)

- Overview
  • Evidence, Reports & Data
  • Examples & Models
- Key Definitions/Descriptions
  • School-based or School-Linked
  • Integrated/Wrap-Around Services
  • Role of Educators in Early Identification, Referral and Re-Integration
  • Access to and Reach of SB & SL Services
- Types of Services from Different Sectors
  • Development Aid
           - Vision Screening
           - Hearing
           - Dental
           - De-worming
           - School Feeding
           - Menstrual Health & Hygiene
  • Relief/Emergency Aid
           - Civil Protection/Security
           - Refugees & Displaced Students
           - Emergency Trauma Services
  • Education & Learning
          - Student Counseling
          - Support for Students with Disabilities
          - Tutoring/After School - Summer School
  • School Health Services
           - School-based Clinics
          - School-Linked Clinics/Physicians'
          - School Nurses
          - School-based Physicians
          - Allied Health Services Professionals
          - Vaccinations & Immunizations
          - Education for Hospitalized Students
          - Administering Medications in Schools
          - Services for Pregnant Students
  • School Social Services
           - Child Protection (Abuse & Neglect)
           - Family Violence/Sexual Abuse
           - Child Exploitation/Trafficking
           - Services for Incarcerated Students
           - Services for Students in Group/Care
  • Mental Health Services
           - Post Trauma Counseling & Support
           - School Psychology & Psychologists
           - Informal Supports in the Community
  • Police Services/Youth Protection
    - Youth Courts/Youth Justice

    - Crime/Community Policing
    - School Resource Officers
  • Civil Protection/Security Services
    - Security Guards
  • Purchasing/Procuring Food
    - Local Agriculture Agencies/Organizations

- Key Concepts/Insights/Issues
  • Youth Friendliness
  • Timeliness/Wait Times
  • Coordinating Case Management with Education Professionals
  • Informing Parents/Student Patient Confidentiality
  • Restorative Justice

- How to Implement, Maintain, Scale Up, Sustain, Build Capacity, Adapt to Different Contexts, Leverage to Support Core Components.
  • Early Identification & Referral
  • School Support during Treatment/Incarceration
  • School Support to Re-Integrate after Treatment
  • Maintaining Student Records
  • Services in Low Resource Countries
  • Services in Countries Affected by Conflict, Disasters, Pandemics
  • Services in Indigenous Communities
How to integrate within Education Systems
  • Student Services Coordination
  • Linkages with Early Childhood Education
  • Linkages with Family Resource Centres

- Implications of Ecological/ Systems Approach
  • Paradoxes in Implementing Medical & Other Services in Loosely-Coupled Systems
- Research Questions/Knowledge Development
  • Research Programs/Knowledge Centres
  • Impact on Student Learning
  • Cost Effectiveness, Cost Benefits
  • Research Methods & Data Collection Issues


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