3 Youth from the Portland Youth Advisory Council and 18 Adults representing School-Based Health Care in Maine will be participating in the National Assembly on School-Based Health Care Convention. This year there will be a rally that will be focused on the work of Health Care Reform. Our group from Maine have appointments with Rep. Pingree, Rep. Michaud, Senator Collins and Senator Snowe, to promote funding moving forward for School-Based Health Care here in Maine.

For more information on the Rally and the Convention go to: NASBHC.org

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School-Based Health Centers let Maine kids know they matter

In our last annual report, the Maine Assembly on School-Based Health Care (Maine Assembly) noted that School-based health centers (SBHCs) are here to stay! Why? Our state’s 27 school-based health centers, visited almost 15,000 times annually by Maine middle and secondary school youth, are an essential tool for staying healthy over a lifetime.

Providing accessible community and consumer-driven services, with an emphasis on quality, SBHCs are safety net providers who address our youth’s most pressing challenges—in the areas of healthy eating and exercise habits, stress management, alcohol, cigarette and drug use and reproductive health. Providing safe and easily accessible services, School-Based Health Centers (SBHCs) are there for young people.
In 2009, the Maine Assembly and its constituent SBHCs built on this identity to make significant contributions to both Maine and national health policy affecting school-age youth. Our report describes this essential work as we stand on the threshold of national health reform, which entails a powerful, sustainable role for school-based health centers.

Because in the end, it’s all about the health of our young people, our report also showcases the vibrant and diverse work of individual centers.

These two stories—of affecting policy and serving our students and their communities—are both critical to the future of the Maine Assembly, described in the last section of our report, “Moving Forward.”

Please review the full report: Maine Assembly 2009 Annual Report Final

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NASBHC Press Release

A new report released today from the National Assembly on School-Based Health Care (NASBHC) highlights the importance of SBHCs.

Key findings include:
 An increase in SBHCs have been in existence for more than 5 years
 A growing number of SBHCs see members of the community beyond the schools they serve
 More SBHCs are using health information technology (HIT) to support their work.
This is important news for SBHCs. The implications for Maine are …. For more in formation please review the report: NASBHC Census Report

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Outreach teams host a breakfast to emphasize the value of the 27 centers to gubernatorial hopefuls.
By Kelley Bouchard kbouchard@mainetoday.com
Staff Writer

PORTLAND – High school students urged gubernatorial candidates Tuesday to maintain and possibly increase state funding for 27 school-based health centers in 17 Maine districts.

Members of the student health center outreach teams at Deering and Portland high schools hosted a breakfast for gubernatorial candidates in the State of Maine Room at City Hall and provided a tour of the health center at Portland High.

Students said the health centers are a cost-effective, convenient way to provide health care to students. Services range from physical exams and dental cleanings to mental health counseling and birth control for sexually active students.

“We want more school health centers,” said Mandi Arnott, a Deering High senior.

Democratic candidates Pat McGowan, Libby Mitchell, John Richardson and Steve Rowe attended the breakfast, along with Republican candidate Peter Mills and Dr. Melanie Cutler, wife of independent candidate Eliot Cutler.

Nearly 14,300 students — about 7.5 percent of Maine’s public and private school population in kindergarten through high school — have access to school-based health centers, according to data provided by the Muskie School of Public Service at the University of Southern Maine.

About 94 percent of all visits to Maine’s school-based health centers last year were covered by public or private insurance. About half of those visits were made by students covered by MaineCare, a publicly funded health insurance option for low-income people.

Students and others at Tuesday’s breakfast said the centers help to reduce sick days, emergency room visits and hospital stays, as well as tobacco and marijuana use.

They described the centers as important community resources that should have dependable state funding.

Last year, the operating budgets of 20 school-based health centers were funded partially by the state, while the others were privately funded, according to the Muskie school.

This year, 18 centers are getting state funding.

After the breakfast, McGowan said he was impressed with the student outreach teams and the potential for peer-to-peer health education initiatives stemming from school-based health centers.

“There should be more of them,” McGowan said. “I’d like to learn more about it.”

Mitchell said she believes that all Maine students should have access to school-based health centers. “It’s a perfect example of something that works but isn’t available to all Maine students,” she said.

Richardson said he was especially impressed with the centers’ potential to reduce costs through preventive health care and educational outreach, including anti-smoking and alcohol prevention campaigns.

“It makes perfect sense,” he said. “This would be a high priority for a Richardson administration.”

Rowe said he’s an advocate for providing a stable funding source for school-based health centers.

“The centers provide health services for many students who might not otherwise have access to comprehensive health care,” he said.

“And having healthy citizens is critical to having a healthy economy.”

Mills said he has been a fan of school-based health centers for years.

“You don’t have to persuade me of their value,” he said, noting that some companies are offering health care services in the workplace because it reduces employees’ time off the job for illness or medical appointments.

Cutler, who is a child psychiatrist, said the centers would factor into her husband’s plan to review how health care is delivered across Maine.

She said the centers’ approach jibes with her husband’s desire to address health care issues before they become health care problems.

Several students representing the health center at Lewiston High School also attended the breakfast.

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Portland High School Student Health Center Advisory GroupHigh school students urged gubernatorial candidates this morning to maintain and possibly increase funding for the 27 school-based health centers in 17 Maine school districts.

Members of the student health center outreach teams at Deering and Portland high schools hosted a breakfast for gubernatorial candidates in the State of Maine Room at City Hall and provided a tour of the health center at Portland High.

Democratic candidates Pat McGowan, Libby Mitchell, John Richardson and Steve Rowe attended the breakfast, along with Republican candidate Peter Mills and Dr. Melanie Cutler, wife of independent candidate Eliot Cutler.

Students said the health centers are a cost-effective, convenient way to provide health care to students. Services range from physical exams and dental cleanings to mental health counseling and birth control for sexually active students.

“We want more school health centers,” said Mandi Arnott, a Deering High senior.

About 94 percent of all visits to Maine’s school-based health centers last year were covered by public or private insurance. About half of all visits were made by students covered by MaineCare, a publicly funded health insurance option for low-income people.

Several students representing the health center at Lewiston High School also attended the breakfast.

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Picture of NASBHC enewsletter

NASBHC March 2010 Newsletter

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Maranacook Student Advisory Committee  DC Trip March 2010We traveled to DC with eleven teenagers: sophomores, juniors and seniors. They are a very diverse group in many ways. One had never flown before, three had never been to Washington, DC, two have been advisory group members for four years, we had representation from all four communities, and four students were new to the committee this year. Their views are also diverse. More than once we overheard them debate healthcare reform, acknowledge the many homeless people we encountered and debate the toll of homelessness on society, discuss past and present American Leaders and educate each other through their own lenses. We walked miles and miles, managed to squeeze into a variety of different sized elevators and took many modes of transportation…….car, metro, plane, Amtrak, escalator, elevator, wheelchair, foot.
Please see the attached for more information on the trip to DC: Maranacook returns from DC

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Students Testify to Increase Tobacco TaxOn March 23, 2010, a Video was released supporting a Tobacco Increase in the State of Maine by Students of the Maranacook Student Advisory, three of the students spoke as well as Superintendant Richard Abramson and one of our parents/physicians.

To view the video please follow this link..or go to the right of this site and click onto the video under Youth Advocacy.

http://www.youtube.com/watch?v=DHhx_UZECRA

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Students and Parents to Call for Tobacco Tax Increase

Maranacook Students Will Unveil Video Asking Lawmakers to Help Prevent Youth Smoking

Members of the Maranacook Student Health Center Advisory Committee want lawmakers to take action on youth smoking, starting by increasing Maine’s tobacco taxes right away.

On Tuesday, March 23rd, students from the Committee will travel to the State House to unveil their new video calling on lawmakers to raise the tax on cigarettes in order to help prevent youth smoking, and equalize the tax on other tobacco products to keep kids from finding cheaper alternatives, like “little cigars” and chewing tobacco.

Parents and school administrators will also be in attendance. They will express their concern for Maine’s rising smoking rates and the Legislature’s lack of action in raising the price of tobacco products, despite the proven link between higher prices and reduced youth smoking.

WHAT: Press Conference Calling for a Tobacco Tax Increase

WHEN: Tuesday, March 23, 2010 at 10:30am

WHERE: Taxation Committee Room #127, State House, Augusta

WHO: Chuck Hays, Maranacook High School student
Justin Greeley, Maranacook High School student
Emily Allen, Maranacook High School student
Dr. John Barnes, Maranacook parent and Readfield physician
Rich Abramson, Superintendent of Maranacook Area Schools

CONTACT: Carol Kelly (207) 210-0789

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Maine School Management Association Annual Conference October 2009 – Participants include Maine School Superintendents, School Board Members and other administrators.

Presentation Title : Improving the Health & Well-being of Young People While Addressing Barriers to Learning – The Benefits of a Comprehensive School-Based Health Center (SBHC)

Superintendent Rich Abramson and Health Center Coordinator Cindy Flye provided an overview of Maranacook’s Student Health Center and general information about school-based health centers and the role they play in supporting student success and achievement. They shared how Maranacook’s Student Health Center has evolved over the past 16 years; how acute medical services and behavioral health services are funded; and the benefits of a SBHC.

The informational packet provided to the participants included the Academic Outcome fact sheet from the National Assembly on School-based Health Care – an excellent resource if you need a brief one pager to share with your school administrators and/or school board. (PDF on the Download Page)

Submitted by: Cindy Flye, SBHC Coordinator, Maranacook and President of the Maine Assembly

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Here’s the news – flu, flu, flu.

Currently in the thick of Portland school flu clinics, both public and private. Larger than anticipated sign-up rate at ~ 70% vs expected 50%. During the first round, we expect to immunize about 5,000 kids. Lots of volunteers assisting with the effort. Lots of coordination on the part of Amanda Rowe, Nurse Coordinator for Portland Public Schools. Schools beginning to experience more wide-spread absenteeism rates due to the outbreak.

Lisa Belanger MSN, NP
Family Health Program Manager

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I am heading to Nashville tomorrow. 11/4 to present at a conference that focuses on Teen Health Promotion. In the AM, I am to present on the work that is being done in our multicultural community to address teen pregnancy and STD prevention with a special focus on the work our youth are doing in the schools and the value of youth/adult partnerships. In the evening, I will be doing a re-cap of the King Middle School contraception proposal 2 years after the controversy.

On 10/29 and 10/30, I traveled to Washington, DC as part of the RWJ-funded Caring Across Communities project lead by the the Portland School’s Multicultural Program. As part of the 2 day mtg, we met with staffers from Senator Snowe and Congresswoman Pingree’s office to stress the importance of school-based health services for multicultural populations. We also thanked Senator Snowe again for her courage in moving forward on the health care reform legislation and urged her support of a public option.

Submitted by:
Lisa Belanger MSN, NP
Family Health Program Manager
Public Health Division/H&HS Dept
City of Portland @
Reiche Health Station

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Finish the Work on Health Care

Letter to the Editor: (Fosters Daily Democrat, December 9, 2009)
http://www.fosters.com/apps/pbcs.dll/article?AID=/20091209/GJOPINION_01/712099979/-1/fosopinion

To the editor: The passage of health care reform in the House of Representatives was an important and exciting moment for all those dedicated to the idea that all Americans need and deserve access to high quality, affordable health care. Maine’s two representatives, Mike Michaud and Chellie Pingree, deserve a vote of thanks from all of us for being part of the majority that made this happen.

The Affordable Health Care for America Act is a large and complex piece of legislation, with many important provisions. One of them of particular interest to families and children concerns school-based health centers (SBHC’s). SBHC’s provide a vital link in delivering health care to kids who need it most. The health reform bill creates a new program that will support SBHC’s at many locations in Maine and around the country.

I am the coordinator for the Noble Health Center at Noble High School and a member of the Maine Assembly on School-Based Health Care. MSAD #60 has the only SBHC in York County. We are thrilled that the House saw the wisdom of incorporating this successful program into a national vision for health care. Now, we must get on with the equally important job of passing a Senate bill, that ensures access to high quality, affordable health care.

To make the important investments in our children that we know are needed, and will pay big dividends in the future, we must finish the work that has been so successfully begun. Please call Senators Olympia Snowe and Susan Collins and ask them to support health care reform that will meet the needs of all our children.

Cynthia Dolben, RNBS

South Berwick, Maine

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Letter to the Editor: (Kennebec Journal December 10, 2010)
http://kennebecjournal.mainetoday.com/view/letters/7153729.html#

The passage of health-care reform in the House of Representatives was an important and exciting moment for all those dedicated to the idea that all Americans need and deserve access to high quality, affordable health care.

Maine’s two representatives, Mike Michaud and Chellie Pingree, deserve a vote of thanks from all of us for being part of the majority that made this happen.

The Affordable Health Care for America Act is a large and complex piece of legislation, with many important provisions. One of them of particular interest to families and children concerns school-based health centers (SBHCs).

SBHCs provide a vital link in delivering health care to kids who need it most. The health reform bill creates a new program that will support SBHCs at many locations in Maine and around the country.
I am the coordinator of Maranacook Community School’s Student Health Center and a member of the Maine Assembly on School-Based Health Care.

We are thrilled that the House saw the wisdom of incorporating this successful program into a national vision for health care.
Now, we must get on with the equally important job of passing a Senate bill, that ensures access to high quality, affordable health care. To make the important investments in our children that we know are needed, and will pay big dividends in the future, we must finish the work that has been so successfully begun.

Sens. Olympia Snowe and Susan Collins must support health-care reform that will meet the needs of all our children.

Cindy Flye
Manchester

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Update from Noble SBHC

Last week 7 students for the Noble Student Health Advisory Group attended a Partnering for Change traininig facilitated by the Maine Youth Action Network. Five of the students are underclassmen who are new members of the student group. The students and adults each reported a most positive experience with the way we could collaborate, communicate, and work together. As one of the student advisors I came away from the experience more motivated than ever to work with these students to recruit more students and ensure a diverse group of youth advisors for our school based health center. The students are very interested in being part of changing some school policies and said they felt strengthened by the experience to talk to school administrators and board members. They brain stromed a wealth of ideas including partnering with middle school students for a health panel to promote healthy relationships and prevent teen pregnancy, to being part of a community forum to create an after school teen center.
Big thanks to Chris and Corie and Jay from MYAN.

Cindy Dolben RN
Noble Health Center
388 Somersworth Rd
North Berwick, Maine 03906
Phone 207-676-2175
Fax 207-676-2204
cdolben@sad60.k12.me.us

“You cannot educate a child who is not healthy, and you cannot be healthy if you are not educated.”

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Press ConferenceJust before the holiday break, two of the young men from the Maranacook Youth Advisory traveled with Cindy Flye to the state house for a Press Conference on raising the Tobacco tax. See article from the Kennebec Journal http://kennebecjournal.mainetoday.com/news/local/7251642.html.

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student adv 09-10The advisory group’s mission is to educate decision makers about student health center services at the local, state and national level – representing the voice of youth around important health issues. The students will meet with each of our Maine members of Congress to thank our Senators and Representatives for their support of school-based health care (SBHC) funding. The students also look forward to visiting the National Assembly on School-Based Health Care.

Student advisors this year include Justin Greeley, Chuck Hays, Tyler Whitman, Kate Laliberte, Ben Johnson, Emily Allen, Jackson Pineau, Ben Barnes, Adrienne Nel, Isabel Smith and Emma Olson. All 11 students are able to go – Cindy Flye and Kini Tinkham, along with Randy Schwartz, Kini’s husband, will join the students.

On the morning of March 18th we will visit the National Assembly on School-Based Health Care – staff will review the current status of health care reform and and will share additional talking points for us to use at our visits with Senator Snowe and Collins and Representatives Michaud and Pingree. The National Assembly’s Communication Director is hoping to arrange having NPR follow us for the day – will keep you posted :)

On Thursday afternoon we will be touring the Capitol and have meetings scheduled with Senators Collins and Senator Snowe as well as a health policy staff member of Senator Snowe.

On Friday, 3/19/10, we have an early morning White House tour followed by scheduled meetings with both Rep Pingree and Rep Michaud.

Friday evening we will have a tour of the monuments and Saturday morning will visit the Holocaust Museum.

We continue to do fundraising for our trip – in addition to the $4500 set aside in the Kellogg Foundation Grant, the students have needed to raise another $4000. We have done really well selling note cards of the health center wall mural – if anyone is interested in buying a box for $10 just let us know. Parents, community members, and local organizations have also donated funds!!

We are very excited and will look forward to sharing our adventures with you upon our return!

Cindy T. Flye
Health Center Coordinator

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Position Available at Maranacook

Opening for Part-time SBHC Provider!!

The Maranacook Student Health Center, a school-based health center in Readfield, has a part-time opening for a Nurse Practitioner/Physician Assistant for 10-12 hours per week during the school year – beginning late August 2010. MaineGeneral Health Associates provides medical oversight and support to the student health center. Experience with adolescents is preferred as well as experience using an electronic medical record.

Maranacook Community School’s Student Health Center, the longest running school-based health center in Maine, serves students in grades 6-12. Services provided complement those of a student’s primary care provider and include acute medical care and reproductive health services.

If interested in applying please contact Cindy Flye,Health Center Coordinator, at cindy_flye@maranacook.org

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