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Biomedical subjects

J G Dryfoos

Publications and source records attributed to J G Dryfoos.

At least 19 recordsLinked to original sources

The role of the school in children's out-of-school time.

As the primary community institution in the lives of children, schools have much to contribute to plans for addressing the needs of today's youngsters during the time when classes are not being held. In recent years, demands have escalated for after-school child care, educational enrichment, and safe havens that also foster positive youth development. Many programs that respond to these needs are housed in school buildings. Some are operated by the schools, some by community-based organizations, and others by partnerships between schools and outside groups. New public funding for after-school programs often flows through the school system. This article reports the prevalence of school-based programs and discusses extracurricular activities, child care and extended-day programs, enrichment programs, and ambitious efforts to transform the schools into full-time community hubs offering something for residents of all ages. Implementation challenges accompany program expansion, and this article also examines major issues that arise in school-based programs: governance, space, program quality, funding, and accountability. If these programs fulfill their promise, the school of the future may, indeed, be open extended hours for the enrichment of the children and the sustenance of the family.

Adolescent↗

School-based health centers in the context of education reform.

The rapid proliferation of school-based health centers is taking place at the same time that school systems are seeking to improve their educational practices. Many different school reform models are being promulgated with modest success. Absence of connections between school reorganization and the provision of human services may lead to failure. The emerging community school model integrates quality education with effective health, mental health, and social services in "one stop" school centers that become student, parent, and community hubs.

Adolescent↗

Medical clinics in junior high school: changing the model to meet demands.

PURPOSE: To document the development of an initiative undertaken by the Columbia University School of Public Health to provide medical, mental health, and social services in inner city junior high school-based clinics. METHODS: Review of records, reports, and foundation proposals from 1984-1993. Site visits, interviews with clinic staff, school personnel, and students. RESULTS: Years of planning and community development produced four clinics in the Washington Heights area of New York City, the first school-based clinics located in junior high schools in the country. After seven years, the program has the capacity to serve over 4,000 students who present an overwhelming array of physical, psychological, social, and family problems. Almost 23,000 visits were made to the clinics this year: 49% for medical services, 38% for social services, and 13% for health education. As the demand multiplied, a form of triage was implemented that tracked the highest risk students into intensive individual and group interventions. Primary health screening, mental health services, and pregnancy prevention were identified among the critical needs in this deprived community. CONCLUSIONS: Over the years, the clinics have become integrated into the fabric of the schools. Strategies for working in urban junior high schools must be broad, encompassing medical and mental health services, group counseling, life planning and career orientation, along with enhancement of the total school and learning environment.

Adolescent↗

School-based clinics: their role in helping students meet the 1990 objectives.

Service statistics and observations from site visits across the country indicate that school-based clinics (SBCs) may be having an impact on several of the problems targeted in the 1990 health objectives, including unplanned pregnancy and substance abuse. At least 120 junior and senior high schools in 61 communities are currently operating or developing clinics. Growth is attributed to increasing concern about high-risk youth, especially among educators in their roles of "surrogate parents"; to disillusion with categorical interventions and a movement toward more comprehensive services; and to student, parent, school, and community approval of the new programs. This article describes the comprehensive school-based clinic model, including its history, organizational strategies, school/community partnerships, and services.

Adolescent↗

The United States National Family Planning Program, 1968-74.

In the United States, there are currently an estimated 30 million women at risk of unwanted pregnancy; of these, more than 12 million low-and marginal-income women aged 20-44 and adolescents of all incomes appear to be in need of subsidized family planning services. A family planning delivery system capable of serving approximately one-half of these women has been rapidly organized: the clinic program has grown from 900,000 clients in 1968 to 3.4 million in 1974, and the private sector is assumed to be providing care for 3 million more. The allocation of federal funds, the enactment of supportive policies and laws, and the organization of a specialized and centralized agency in the federal government have been factors in the initiation and expansion of family planning services.

Family Planning Services↗