Evolution of Health Services in Schools
This introduction presents an overview of key concepts discussed in the subsequent chapters of this book. The book looks at the most serious problems and barriers confronted by school-based health centers (SBHCs), and why some SBHCs have closed. It also explores in detail the factors that have enabled some SBHCs to grow, develop, and flourish. The book looks at how health clinics in schools get started, and how they maintain themselves, dealing successfully with funding, controversy, and other issues. It also discusses the politics of reproductive services, the most controversial element of school health centers. Teenagers in the United States have the highest pregnancy rates and birthrates of any such age group in the Western industrialized world. The book focuses on the political opposition to reproductive health care, especially to contraception availability. It also explores the nature of the opposition, their political tactics, and why they are often successful in limiting or, in some cases, prohibiting sexuality-related services.