Oregon Standards for Certification
SECTION E: SERVICES
Comprehensive Services
E.1 Comprehensive Services Requirements:
a. The following includes services that must be available either:
- On-site at the school-based health center (On)
- By direct referral (Ref) from the center (see definition H.1.a)
- Some services are considered recommended (Rec), either on-site
or by referral but are not mandatory
| b. Primary Care |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
| Comprehensive
medical& psychosocial histories |
On |
On |
On |
On |
On |
On |
|
Comprehensive
physical
exams per EPSDT |
On |
On |
On |
On |
On |
On |
|
| Immunizations1
|
On |
On |
On |
On |
On |
On |
|
Developmental
assessments |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref |
|
| Pre-assessment
of educational, achievement & attendance problems |
On |
On |
On |
On |
On |
On
|
|
| Evaluation
and treatment of: |
|
|
|
|
|
|
|
non-urgent problems
|
On |
On |
On |
On |
On |
On |
|
acute problems
|
On |
On |
On |
On |
On |
On |
|
chronic problems
|
On |
On |
On |
On |
On |
On |
|
| Triage
of medical emergencies |
On |
On |
On |
On |
On |
On
|
|
| Medical
case management |
Ref |
On |
Ref |
On
|
Ref |
On
|
|
| Medical
specialty services |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref |
| c. Screening |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
| Height/weight/body mass index (BMI) |
On |
On |
On |
On |
On |
On |
|
| Blood pressure |
On |
On |
On |
On |
On |
On |
|
| Vision
screening |
On |
On |
On |
On |
On |
On |
|
| Hearing screening |
Ref |
Ref2 |
Ref2 |
Ref2 |
Ref2 |
Ref2 |
|
| Scoliosis screening |
On |
On |
On |
On |
On |
On
|
1includes all
required vaccines for school attendance excluding Varicella which may be
provided by referral given its unique storage requirements
2recommended
on site
| d. Dental |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
Visual
inspection of
teeth & gums |
On |
On |
On |
On |
On |
On |
|
Preventative
dental treatment
(Fluoride available by prescription) |
On |
On |
On |
On |
On |
On |
|
| Comprehensive
dental evaluation & treatment |
Rec |
Rec |
Rec |
Rec |
Rec |
Rec |
| e Pharmacy |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
Capacity
to write prescriptions for
non-urgent, acute & chronic problems |
On |
On |
On |
On |
On |
On |
|
Administration
of OTC &
prescription medication |
On |
On |
On |
On |
On |
On |
| f. Reproductive Health Services |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
Reproductive
health exam
(inclusive of pap, pelvic, testicular exam) |
Ref |
Ref |
On |
On |
On |
On |
|
Prescriptions
for contraceptives
(hormonal, diaphragm, IUD) |
|
|
Ref |
Ref |
Ref |
Ref |
|
| Condom
availability; |
|
|
|
|
|
|
| for
treatment of documented or presumptive STD |
|
|
Ref3
|
Ref3 |
Ref3 |
Ref3 |
| for STD/ pregnancy prevention use
|
|
|
Ref3
|
Ref3 |
Ref3 |
Ref3 |
|
| Pregnancy testing and counseling |
Ref |
Ref |
On |
On |
On |
On |
|
| Prenatal care |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref
|
|
| STD/STI treatment |
Ref |
Ref |
On |
On |
On |
On
|
|
| HIV pre- & post-test counseling |
Ref |
Ref |
Ref |
On
|
Ref |
On
|
|
| HIV/AIDS treatment |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref |
3recommended
on site
| g. Preventive Health Services |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
| Provision
of age-appropriate anticipatory guidance |
On |
On |
On |
On |
On |
On |
|
| Risk
factor assessment |
On |
On |
On |
On |
On |
On |
|
| Targeted
patient education; |
|
|
|
|
|
|
Individual (one-on-one) |
On |
On |
On |
On |
On |
On |
| Group
|
On |
On |
On |
On |
On |
On
|
| h. Mental Health Services |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
| Individual
mental health assessment, counseling and treatment |
Ref |
On |
Ref |
On |
Ref |
On |
|
| Alcohol
and other drug pre-assessment |
On |
On |
On |
On |
On |
On |
|
| Alcohol
and other drug counseling & treatment |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref |
|
| Group
counseling |
Ref |
On |
Ref |
On |
Ref |
On |
|
| Family
counseling |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref |
|
| Crisis
intervention (coordinated with school plan) |
On |
On |
On |
On |
On |
On |
| i. Social Services |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
| Assessment & management |
Ref |
Ref |
Ref |
Ref |
Ref |
Ref |
| j.Other |
Elem (K-5) |
Middle(6-8) |
High 9-12 |
| |
Core |
EXP |
Core |
EXP |
Core |
EXP |
| Outreach activities(e.g. classroom, school, community health promotion/
health education activities) |
Rec |
Rec |
Rec |
Rec |
Rec |
Rec |
E.2 Equipment Requirements:
- Center must have equipment necessary to provide all required services.
- Equipment must be checked regularly and maintained in good working order.
- Center must have appropriate emergency medical equipment (e.g. first aid
kit) which is inspected regularly for items that need to be replaced or replenished.
E.3 Medications Guidance:
- Recommend on-site availability of OTC and other medications that
can be administered with standing orders or by the primary care provider
as allowable by law, including ORS/OAR, OHD protocols, nurse practice act
and board of pharmacy regulations.
- When medications are to be administered on site, a written policy
must be in place with clear designation of staff roles and responsibilities
as well as documentation procedures.
- A system must be in place to assure follow-up of medication compliance.
E.4 Preventive Health Services Guidance:
- See OMAP guidelines for counseling interventions for general and
high-risk populations ages birth-10 and ages 11-24.
E.5
Social Services Guidance:
- SBHC staff should have knowledge of local social service referral
sources and documentation of standard referral protocols. A memo of understanding
between the SBHC and community social service agencies is recommended to
facilitate referrals and social service case management.
