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DEPARTMENT OF HUMAN SERVICES
SCHOOL HEALTH SERVICES
PROGRAM MISSION:
To prevent health related barriers to learning through prevention and early
intervention services. These services
are provided using a community-based public health approach.
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The goal of the School
Health Program is to provide students and their families prevention and
early intervention services, using a public health model, to enable the student
to learn to the best of his or her potential.
This is achieved through health education emphasizing public health
objectives such as injury and risk behavior prevention, communicable disease
prevention (for example, immunizations), care coordination/case management of
children with special health care needs, first aid and care of the sick child
in the school clinics, and the implementation of the full range of public
health services by public health nurses in the schools and community. The public health nurses in the schools also
serve as the first point of contact for services for many high-risk families
and provide linkages with other needed services.
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The goal of the Parent
Infant Education Program (PIE) is to reduce the impact of developmental
delays and disabilities on the growth and development of infants and toddlers,
birth through two years of age, by providing early intervention services. In compliance with Part C of the Individuals
with Disabilities Education Act, PIE helps families obtain an array of early
intervention services to address the needs of the child and family.
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The goal of the Child
Development Center (formerly Diagnostic and Evaluation Clinic) is to
provide comprehensive diagnostic evaluations, education and referrals for
children suspected of having developmental, learning, behavioral or emotional
problems to enable parents to make appropriate education and treatment decisions.
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Program Budget
Summary
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FY 2002
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FY 2003
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FY 2004
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% Change:
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Actual
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Adopted
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Proposed
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'03 to '04
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|
School Health
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$2,853,790
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$2,763,164
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$2,913,924
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5%
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Parent Infant
|
|
|
|
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Education (PIE)
|
714,471
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669,624
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695,081
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4%
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Child Development
Center
|
137,842
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174,106
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154,598
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-11%
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Total Expenditures
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3,706,103
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3,606,894
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3,763,603
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4%
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|
|
|
|
|
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Revenue
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598,857
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699,109
|
768,460
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10%
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Net Tax Support
|
$3,107,246
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$2,907,785
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$2,995,143
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3%
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School Health
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FY 2002
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FY 2003
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FY 2004
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% Change:
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Actual
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Adopted
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Proposed
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'03 to '04
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Personnel
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$3,691,877
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$3,542,558
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$3,688,516
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4%
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Non-Personnel
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165,146
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216,761
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275,022
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27%
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Sub total
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3,857,023
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3,759,319
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3,963,538
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5%
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Inter-Departmental
Credits
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(150,920)
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(152,425)
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(199,935)
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31%
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Total Expenditures
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3,706,103
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3,606,894
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3,763,603
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4%
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|
|
|
|
|
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Fees
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29,980
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8,500
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8,500
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-
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Medicaid
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28,442
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30,000
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37,500
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25%
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State Grants
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130,049
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168,820
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234,041
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39%
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Miscellaneous
Grants
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121,790
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121,790
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121,790
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-
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State Share
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288,596
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369,999
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366,629
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-1%
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Total Revenue
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598,857
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699,109
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768,460
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10%
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Net Tax Support
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$3,107,246
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$2,907,785
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$2,995,143
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3%
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Authorized FTEs
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64.0
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63.0
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65.3
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Funded FTEs
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64.0
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63.0
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65.3
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SIGNIFICANT BUDGET HIGHLIGHTS:
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Because of state budget cuts
affecting Public Health programs, a part time physician position in the Child
Development Center has been eliminated (0.1 FTE, $13,165). An increasing number of evaluations are
being performed by the program's full time physician, so minimal impact is
anticipated.
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The FY 2003 adopted budget does not include two
supplemental appropriations, fully supported with revenue, approved during FY
2003: Teens Against Tobacco grant
($65,749, 0.5 FTE), and an Arlington Schools grant for services to pregnant and
parenting teens ($46,656, 0.8 FTE).
These grants continue in FY 2004 and are reflected at their
projected funding and staffing levels in the FY 2004 proposed budget.
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Non-personnel costs increased along with state grant
revenue due to Teens Against Tobacco and Arlington Schools Grant.
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Medicaid increased $7,500 for reimbursement for school
health administrative costs.
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FTEs increased due to continuation of the grant funded
positions noted above, and the addition of a
School Health Clinic Aide (0.6
FTE) for the new elementary school scheduled to open in FY 2004 and a Public
Health Nurse (0.5 FTE) added to maintain the current nurse to school coverage
ratio. These increases are partially
offset by the 0.1 FTE eliminated due to state budget cuts.
PERFORMANCE MEASURES:
School Health Program Objective #1: To identify health problems
and document referrals within established time frames.
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FY
2001
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FY2
002
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FY
2003
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FY
2004
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FY 2004
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Actual
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Actual
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Estimate
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Estimate
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Target
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Mission Outcome Measures
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Number of student problems
identified and referrals made for other services
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2,825
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3,108
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3,200
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3,500
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3,500
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Number/percent of children
referred obtaining follow-up within established time-frames for each type of
referral
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2,249/80%
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2,222/71%
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2,560/80%
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2,975/85%
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2,97/85%
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School Health Program
Objective #2: To increase the number of at-risk pre-adolescents and
adolescents participating in educational programs to promote health and prevent
risky behavior.
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FY
2001
Actual
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FY
2002
Actual
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FY
2003
Estimate
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FY
2004
Estimate
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FY
2004
Target
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Mission Outcome Measures
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School enrollment as of
September 30th:
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Total number of students
enrolled
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18,882
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19,097
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18,469
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19,000
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19,000
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Number of 4th
and 5th graders
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2,875
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2,861
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2,795
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2,800
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2,800
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Number of adolescents
(middle and high school)
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9,162
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9,307
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9,406
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9,500
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9,500
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Number/percent of
adolescent students participating in educational programs to prevent risky
behavior
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N/A
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1,652/18%
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1,800/19%
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2,000/21%
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2,200/23%
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Number/percent
of preadolescent students (4th and 5th graders)
participating in risk-prevention education sessions (begin 2004)
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N/A
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N/A
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N/A
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500/18%
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600/21%
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Number/percent of students participating in
health education sessions promoting healthy lifestyle choices (other than
risky behaviors).
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N/A
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6,593/35%
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7,000/38%
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7,500/39%
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7,500/39%
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Number/percent of students
participating in health promotion campaign activities each year.
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N/A
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N/A
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2,000/11%
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2,200/12%
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2,420/13%
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Number/percent of 4th and 5th
graders participating in tobacco prevention education
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N/A
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N/A
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300/11%
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600/21%
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600/21%
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Number of education
programs for conducted for adolescents to reduce or prevent risky behavior
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78
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109
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120
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132
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145
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Programs
for adolescents on risk-reduction topics are defined as programs related to
substance abuse, eating disorders, violence, and sexual behavior provided to
middle school and high school students (grades 6-12). This does not include the many individual risk-reduction
counseling sessions with students.
Parent Infant Education Program Objective: To ensure that children and families
referred to the PIE program receive a timely evaluation and Individualized
Family Service Plan; begin services quickly; and receive support until
discharged.
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FY
2001
Actual
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FY
2002
Actual
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FY
2003
Estimate
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FY
2004
Estimate
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FY
2004
Target
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Mission Outcome Measures
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Number and percent of children who received an
Infant and Family Service Plan (IFSP) within 45 days of referral (families
who request a delay are not included in data)
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N/A
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N/A
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163/95%
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163/95%
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100%
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Number/percent of children who began a service
within 3 weeks of inclusion on the IFSP
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N/A
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N/A
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137/80%
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137/80%
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100%
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Number/percent of children who have a completed
discharge plan before transition from the PIE program
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N/A
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N/A
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64/80%
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64/80%
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100%
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Workload Measures
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Number of children
receiving intake services
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184
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195
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210
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210
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210
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Number of children receiving either
occupational therapy, physical therapy, speech therapy, special instruction
and/or service coordination
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214
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274
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285
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285
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285
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Child
Development Center (formerly D&E) Objective: To provide
comprehensive diagnostic evaluations, education and referrals to children
suspected of having developmental, learning, behavioral, or emotional problems
to enable parents to make appropriate education and treatment decisions..
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FY
2001
Actual
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FY
2002
Actual
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FY
2003
Estimate
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FY
2004
Estimate
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FY
2004
Target
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Mission Outcome Measures
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Number and percent of
evaluations completed within 60 days of the initial face-to-face meeting with
the client
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N/A
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N/A
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56/80%
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56/80%
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100%
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Number and percent of
evaluation reports mailed to the family within 14 days of the interpretive
conference
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N/A
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N/A
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56/80%
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56/80%
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100%
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Number of children
recommended for a child study and the percent of these children that actually
have the meeting
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N/A
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N/A
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28/80%
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28/80%
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100%
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Number and percent of
families who reported receiving follow-up case management within 6 months of
the evaluation
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N/A
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N/A
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60/85%
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60/85%
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100%
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Workload Measures
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Number
of children assessed
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47
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45
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70
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70
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70
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