Integration of Onsite Long-Acting Reversible Contraception Services into School-Based Health Centers

Autor/inn/en	Summit, Aleza K.; Friedman, Emmeline; Stein, Tara B.; Gold, Marji
Titel	Integration of Onsite Long-Acting Reversible Contraception Services into School-Based Health Centers
Quelle	In: Journal of School Health, 89 (2019) 3, S.226-231 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12732
Schlagwörter	Contraception; Educational Environment; Health Services; Program Implementation; Counseling Services; Patients; High School Students; Counselor Attitudes; School Administration; Staff Development; Faculty Development; Program Descriptions; Sex Education; New York (New York) + Suchen Sie Ihr Suchwort? Empfängnisverhütung; Lernumgebung; Pädagogische Umwelt; Schulumwelt; Health service; Gesundheitsdienst; Gesundheitswesen; Patient; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Personnel development; Personalentwicklung; Sex instruction; Sexualaufklärung; Sexualerziehung; Sexualkunde
Abstract	Background: With recent recommendations from professional organizations, long-acting reversible contraception (LARC) methods are considered appropriate first-line contraception for adolescents. Many school-based health centers (SBHCs) in New York City (NYC) have recently added onsite LARC insertion and management to their contraceptive options. We aimed to explore key elements needed to implement LARC training and services into the SBHC setting and to identify successful factors for program implementation. Methods: Semistructured qualitative interviews were conducted with 19 providers and staff at 7 SBHCs in high schools in the Bronx and analyzed using Dedoose. Results: Support and leadership from administration; comprehensive onsite training of providers and staff; developing an effective staffing model for procedure sessions; and patient-centered contraceptive counseling were 4 key themes named by respondents as crucial to the program implementation process. Conclusions: Integrating LARC services onsite at SBHCs is feasible and positively received by providers and staff. With good leadership, staffing, training, and appropriate contraceptive counseling, both SBHCs and other primary clinics that serve adolescents can integrate LARC insertion, removal, and management into routine contraceptive care. This in turn can increase youth access to these methods. (As Provided).
Anmerkungen	Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01