cies and other needed services during times the center is not open (i.e., after school hours, weekends, holidays, vacations).

  1. Ideally, the center staff would have privileges at the backup site(s) in order to enhance continuity of care for the target population.

  1. Staff should be sufficient to operate a full-time SBHC (as defined in part I of this section) and should include the following:

    1. A center coordinator or manager with training and experience in health or mental health systems management, supervision, and administration

    2. At least one nurse practitioner who must have experience serving the target population (including age and ethnicity), with M.D. backup

    3. At least one social worker (MSW) with expertise in working with the target population (including age and ethnicity), with clinical supervision or consultant backup

    4. Additional health and/or allied health professionals as needed (e.g., nutritionist, substance prevention specialist, health educator, outreach worker, parent aide, psychologist, dentist, dental hygienist)

    5. Clerical support

  1. Utilization of center services requires written parental permission. Minimum services to be provided include the following:

    1. Physical health services must be provided in accordance with nationally recognized standards, such as the American Academy 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. Primary health care, including:

        1. Physical exams, health assessments or screening for health problems



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