JHCAA - School Based Health Center

Code:  JHCAA
Adopted:  9/13/17
 

The School District recognizes the direct link between healthy children and their ability to learn better and in turn become more productive members of society.  It is the intent of Douglas County School District 4 to promote student health and help enable access to adequate health care.  Umpqua Community Health Center at Roseburg High School is among the tools that should be available to all District students in order that they may achieve good health and reach their educational goals.

  1. Services Offered

Comprehensive health services will be offered, including, but not limited to:

  • Evaluation and treatment of non-urgent, acute and chronic health conditions
  • Comprehensive physical exams
  • Pre-assessment of educational, achievement and attendance issues
  • Triage of medical emergencies
  • Screening, including height/weight/Body Mass Index (BMI), blood pressure, vision, dental and scoliosis
  • Immunizations
  • Prescriptions for non-urgent, acute, chronic issues, including administration of over the counter (OTC) and prescription medication
  • Laboratory tests for diagnostic purposes

Mental Health Services:

Mental health services can be an essential service for children and adolescents.  Services include:

  • Individual mental health screening
  • Alcohol and drug pre-assessment
  • Crisis intervention
  • Mental health treatment referrals

Preventive Health Services:

Preventative health services are an essential part of comprehensive health care for children and adolescents.  Services include:

  • Provision of age-appropriate anticipatory guidance
  • Risk factor assessment
  • Targeted patient education: group and individual
  • Outreach activities including classroom, school and community health promotion/heath education

Reproductive Health Services:

Reproductive health services are an essential part of comprehensive health care for adolescents.  Services include:

  • Counseling on normal development, pregnancy, sexually transmitted infection (STI) prevention and the health benefits of abstinence.
  • Reproductive health exam inclusive of pap, pelvic, testicular exam.
  • Pregnancy, STI testing, and counseling regarding pregnancy test results and treatment of STIs.
  • In some cases, the Umpqua Community Health Center may prescribe and/or dispense contraceptives. This service shall be discreet and confidential provided within the exam room with the nurse practitioner or other properly licensed professional in order to comply with federal patient privacy law.  Any prescription contraceptive kept on site in the Umpqua Community Health Center shall be locked in a medication cabinet.  Oregon law states that minors of any age are allowed to access birth control-related information and services as well as testing and treatment for STIs including HIV, without parental consent (ORS 109.610, ORS 109.640).  Minors are generally encouraged to include their parent(s) or guardian(s) regarding their health treatment needs.
  • Students requesting the following reproductive health services will be referred to other agencies:
    • HIV/AIDS treatment
    • Prenatal care
    • Abortion counseling
  1. Eligibility of Services

Any Roseburg Public Schools student, children of students, Roseburg Head Start students, youth residing within District boundaries, and Roseburg School District employees and their dependents who are in need of medical care may receive medical treatment.  Umpqua Community Health Center may provide contracted services with other school districts if space allows.  Roseburg students shall have first priority for appointments.  Clients shall not be denied access to services based on insurance status or ability to pay.  Clients shall not be denied services based on race, color, national origin, religion, immigration status, sexual orientation, disability or gender.  Clients who have regular health care will be encouraged to see their provider.

  1. Permission to Access and Obtain Services

Umpqua Community Health Center access and treatment policies align with state law.  All minors are encouraged to include their parent(s) or guardian(s) in their use of the Umpqua Community Health Center and their overall medical, dental, and mental health treatment needs.  Minors 14 years and younger must have parent or guardian consent to obtain medical and dental services.  Minors 13 years and younger must have parent or guardian consent to obtain mental health services.  While all minors are encouraged to include their parent or guardian in their health, Oregon law states:

  • A minor 15 years or older may self-consent to access medical and dental services without parent or guardian consent (ORS 109.640).
  • A minor 14 years or older may self-consent to access outpatient mental health services without parent or guardian consent (ORS 109.675).

When a minor self-consents for health care services, providers are to use their best clinical judgment and may – without the minor’s consent – advise the minor’s parent or legal guardian about the care, diagnosis, treatment, or the need for treatment of the minor.  The provider is not liable for advising the parent or legal guardian without the consent of the minor. (ORS 109.650)


Legal Reference(s)

ORS 109.640
ORS 109.650
ORS 109.675
ORS 109.610