Why SBHCs?

Coordinated Care
Care coordination is the deliberate organization and alignment of healthcare activities to advance health outcomes for youth. School-based health centers strengthen existing healthcare connections by providing an infrastructure that facilitates communication among youth, schools, clinicians, and parents where youth spend the majority of their time: school.
This model brings together students, schools, and families to support youth health. SBHCs strengthen existing healthcare connections and provide care for students who may not have access otherwise. Each part of the system works together, with SBHCs playing a key role in keeping students healthy and ready to learn.

Benefits of SBHCs
Research has shown that school-based health centers (SBHCs) improve utilization of health care services, health outcomes, attendance, grades, and graduation rates. This in turn improves prospects for lifelong health, educational attainment and economic opportunity.
School-based health centers:
- Increase attendance by providing services on campus so students miss less class time for appointments and illness.
- Reduce barriers to learning by improving student health with preventive care, chronic care, and early interventions in students’ physical, mental and developmental health.
- Increase school connectedness by providing mental health services and coordinating with other student support services in the school.
- Engage parents and community by providing information and services for the physical and emotional development of their children.
- Save parents and employers time by allowing students to stay in school to get their health care needs met.
- Support teachers and school staff by coordinating to support individual students and helping with health promotion and education schoolwide.
- Lower health care costs by reducing emergency room visits and hospitalizations.
Notable Academic Mentions
Launching Lifelong Health by Improving Health Care for Children, Youth, and Families (2024)
In response to rising concerns about the adequacy of pediatric health care to meet evolving challenges and societal needs, the Committee on Improving the Health and Wellbeing of Children and Youth through Health Care System Transformation was assembled to identify key levers of change for improving the health care system for children and youth. The focus of this report and its recommendations is on the health care sector, defined broadly to include clinical and community care, along with public health investments in child and family health and school-based efforts in health care.
National Academies of Sciences, Engineering, and Medicine. 2024. Launching Lifelong Health by Improving Health Care for Children, Youth, and Families. Washington, DC: The National Academies Press. https://doi.org/10.17226/27835.
Expanding school-based health services, specifically centers, is a key piece of the report’s recommendations given the natural partnership opportunities between schools, families, and community organizations to achieve preventative healthcare and/or healthcare education.
Quick reads from the National Alliance.

School-Based Health Care Addresses Youth Based Mental Health
School-Based Health Alliance

School-Based Health Care works for Education
School-Based Health Alliance
Further Research
List of academic and professional research on the effects of SBHCs. Last updated 2/1/2025.
- Kjolhede, Chris, et al. (2021). School-Based Health Centers and Pediatric Practice”. Pediatrics (2021) 148 (4): e2021053758. https://doi.org/10.1542/peds.2021-053758
- Westbrook M, Martinez L, Mechergui S, Yeatman S. (2020). The influence of school-based health center access on high school graduation: Evidence from Colorado. J Adolescent Health 2020. The Influence of School-Based Health Center Access on High School Graduation: Evidence from Colorado (europepmc.org)
- Arenson, Michael, et al. (Jan. 2019). “The Evidence on School-Based Health Centers: A Review.” Global Pediatric Health, vol. 6. The Evidence on School-Based Health Centers: A Review (sagepub.com)
- Love, Hayley E., et al. (May 2019). “Twenty Years of School-Based Health Care Growth and Expansion.” Health Affairs, vol. 38, no. 5, Jan 2019. Twenty Years Of School-Based Health Care Growth And Expansion (healthaffairs.org)
- Bersamin, Melina, et al. (Dec 2018). “School-Based Health Centers and School Connectedness.” Journal of School Health, vol. 89, no. 1, 2 Dec. 2018. School based health centers and school connectedness (europepmc.org)
- Ijadi-Maghsoodi, Roya, et al. (Sept 2018). “Voices from Minority Youth on Help-Seeking and Barriers to Mental Health Services: Partnering with School-Based Health Centers.” Ethnicity & Disease, vol. 28, no. Supp, 6 Sept. 2018. ethndis-28-437.pdf (nih.gov)
- American Public Health Association. (Feb 2018) “School-Based Health Centers: Improving Health, Well-Being, and Educational Success”. well_being_in_schools.ashx (apha.org)
- Knopf JA, et al,. Community Preventive Services Task Force. (2016) School-based health centers to advance health equity: a Community Guide systematic review. American Journal of Preventive Medicine
- Community Preventive Services Task Force. (2016). School-based health centers to promote health equity: recommendation of the Community Preventive Services Task Force. American Journal of Preventive Medicine
- Brindis CD. (2016). The “State of the State” of school-based health centers: achieving health and educational outcomes. American Journal of Preventive Medicine
- Community Preventive Services Task Force. (2016). Social Determinants of Health: School Based Health Centers. CPSTF Finding and Rationale Statement – Social Determinants of Health: School-Based Health Centers (thecommunityguide.org)
- Keeton, V., Soleimanpour, S., and Brindis, C.D. Brindis. (2012). School-Based Health Centers in an Era of Health Care Reform: Building on History. Curr Probl Pediatr Adolesc Health Care 2012. 10.1016/j.cppeds.2012.03.002
- McNall MA, Lichty LF, & Mavis B. (2010). The Impact of School-Based Health Centers on the Health Outcomes of Middle School and High School Students. American Journal of Public Health. 100(9): 1604-1610. AJPH183590_McNall 1604..1610 (nih.gov)
- Walker SC, Kerns SE, Lyon AR, Bruns EJ, Cosgrove TJ. (Mar 2010). Impact of School-Based Health Center Use on Academic Outcomes. The Journal of adolescent health: official publication of the Society for Adolescent Medicine. Mar 2010;46(3):251-257. Impact of School-Based Health Center Use on Academic Outcomes (seattle.gov)
- Allison MA, Crane LA, Beaty BL, et al. (2007). School-Based Health Centers: Improving Access and Quality of Care for Low-Income Adolescents. Pediatrics. 120(4): e887-e894. SBHC Improving Access and Quality of Care Low Income Adolescents.pdf (nasbhc.org)
- Juszczak, L., Schlitt, J., Moore. (2007). School-based health centers: National census school year 2004 – 05. 2007. NASBHC National Census 2004-2005
- Juszczak, L., Melinkovich, P., & Kaplan, D. (2003). Use of health and mental health services by adolescents across multiple delivery sites. Journal of Adolescent Health, 2003; 32, 108–118. Use of health and mental health services by adolescents across multiple delivery sites.pdf
