Rethinking school-based health centers as complex adaptive systems: maximizing opportunities for the prevention of teen pregnancy and sexually transmitted infections

ANS. Advances in Nursing Science
Alison Moriarty Daley

Abstract

This article examines school-based health centers (SBHCs) as complex adaptive systems, the current gaps that exist in contraceptive access, and the potential to maximize this community resource in teen pregnancy and sexually transmitted infection (STI) prevention efforts. Adolescent pregnancy is a major public health challenge for the United States. Existing community resources need to be considered for their potential to impact teen pregnancy and STI prevention efforts. SBHCs are one such community resource to be leveraged in these efforts. They offer adolescent-friendly primary care services and are responsive to the diverse needs of the adolescents utilizing them. However, current restrictions on contraceptive availability limit the ability of SBHCs to maximize opportunities for comprehensive reproductive care and create missed opportunities for pregnancy and STI prevention. A clinical case explores the current models of health care services related to contraceptive care provided in SBHCs and the ability to meet or miss the needs of an adolescent seeking reproductive care in a SBHC.

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Citations

May 25, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kelly GilmoreAnn Vander Stoep
Oct 22, 2016·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Francisco Soto Mas, Andrew L Sussman
Nov 8, 2014·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Sarika Rane Parasuraman, Leiyu Shi
Nov 21, 2017·Journal of Evaluation in Clinical Practice·Jessica WilkinsonRobert Chad Swanson
May 26, 2017·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Alison Moriarty Daley, E Carol Polifroni
Apr 18, 2016·Delaware Journal of Public Health·Kay McLean-GrantMary Stephens

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