emy of Pediatrics school health manual, School Health: Policy and Practice (American Academy of Pediatrics Committee on School Health, 1993), or those of the National Association of School Nurses. The standards to be used must be clearly identified in the project application.

  1. Mental health services must be provided in accordance with a nationally recognized and accepted standard, such as the National Association of Social Workers Guidelines for School Settings. The standards to be used must be clearly identified in the project application.

  2. Examples of possible increased or additional services include the following:

  1. Health maintenance and promotion

  2. Nursing assessments, nursing diagnosis, and EPSDT screenings

  3. Support or educational groups for students with chronic conditions (e.g., asthma, diabetes)

  4. Consultation with school staff and parents

  5. Referral and follow-up for specialty services that are beyond the scope of mandated school health services

  6. Crisis intervention

  7. Individual, family, and group counseling and referral

  8. Outreach to students at risk, including those in jeopardy of dropping out or who have recently dropped out

  9. Support and/or psychoeducational groups focusing on topics of importance to the target population (pregnancy prevention, grief, conflict resolution skills, etc.)

  10. Training for school health services staff (through regular consultation, clinical supervision, or additional education)

  11. Individual and group health education

  12. Home visits or early intervention

  1. Linkages with the community; Establishing linkages with medical, mental health, social service providers, and other relevant groups is encouraged. These may include the local health department, community health center, medical schools and hospitals, and schools of public health, mental health and family service agencies, youth service bureaus, and recreational agencies.

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