Journal of Adolescent Health
Volume 46, Issue 3 , Pages 251-257, March 2010

Impact of School-Based Health Center Use on Academic Outcomes

  • Sarah Cusworth Walker, Ph.D.

      Affiliations

    • School of Medicine, University of Washington, Seattle, Washington
    • Corresponding Author InformationAddress correspondence to: Sarah Cusworth Walker, Ph.D., Division of Public Behavioral Health & Justice Policy, University of Washington, 2815 Eastlake Avenue, Ste 200, Seattle, WA 98102.
    • ,
  • Suzanne E.U. Kerns, Ph.D.

      Affiliations

    • School of Medicine, University of Washington, Seattle, Washington
    • ,
  • Aaron R. Lyon, Ph.D.

      Affiliations

    • School of Medicine, University of Washington, Seattle, Washington
    • ,
  • Eric J. Bruns, Ph.D.

      Affiliations

    • School of Medicine, University of Washington, Seattle, Washington
    • ,
  • T.J. Cosgrove, M.S.W.

      Affiliations

    • Public Health—Seattle and King County, Seattle, Washington

Received 10 April 2009; accepted 1 July 2009. published online 28 August 2009.

Abstract 

Purpose

The purpose of this study was twofold: (1) to examine the effects of School-Based Health Center (SBHC) use on academic outcomes for high school students, using a well-controlled, longitudinal model, and (2) to examine whether SBHC medical and mental health service use differentially impacts academic outcomes.

Methods

Analyses used a latent variable growth curve modeling approach to examine longitudinal outcomes over five school semesters for ninth grade SBHC users and nonusers from Fall 2005 to Fall 2007 (n = 2,306). Propensity score analysis was used to control for self-selection factors in the SBHC user and nonuser groups.

Results

Results indicated a significant increase in attendance for SBHC medical users compared to nonusers. Grade point average increases over time were observed for mental health users compared to nonusers. Discipline incidents were not found to be associated with SBHC use.

Conclusions

SBHC use was associated with academic improvements over time for a high-risk group of users. The moderating effect of type of use (medical and mental health) reinforces the importance of looking at subgroups when determining the impact of SBHC use on outcomes.

Keywords: School-Based Health Center (SBHC), Academic, High risk, Youth, Longitudinal, Mental health, Medical, Attendance, GPA, Discipline, Propensity score

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PII: S1054-139X(09)00264-X

doi:10.1016/j.jadohealth.2009.07.002

Journal of Adolescent Health
Volume 46, Issue 3 , Pages 251-257, March 2010

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