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Adolescent clinic provides 'safety net'

March 27, 2008|MICHAEL BROIHIER

Health care for students in Lincoln County Schools received a booster last year from the University of Kentucky Adolescent Medicine Clinic in the form of a program called School Based Health Center.

The program is run by Dr. Hatim Omar of UK. Eva Stone, nurse practitioner for the schools, had heard Dr. Omar speak at seminars and turned to him with questions about working with teens. Ms. Stone said, "In the two years prior to Dr. Omar starting we had four teen deaths, all of which were preventable. We wanted to be better prepared to know how to talk to kids and how to help prevent these things. Dr. Omar specializes in helping address risk-taking behavior in teens. We went to him to ask how to help. The more we talked, the more the possibility of a school-based health clinic developed. He was willing to come to Lincoln County and we are thrilled to have him and Dr. (Kim) McClanahan."

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According to the National Assembly of School Based Health Care, students perform better when they show up for class healthy and ready to learn. School-based health centers (SBHCs) bring the doctor's office to the school so students avoid health-related absences and get support to succeed in the classroom. SBHCs may vary based on community need and resources. For instance, some communities rely on mobile health centers, a type of SBHC with a traveling health-care team that rotates from school to school. But they also share common characteristics: They are are located in schools or on school grounds, work cooperatively within the school to become an integral part of the school, provide a comprehensive range of services that meet the specific physical and behavioral health needs of the young people in the community. The program also uses multidisciplinary teams of providers to care for the students: nurse practitioners, registered nurses, physician assistants, social workers, physicians, alcohol and drug counselors, and other health professionals.

In Lincoln County Dr. Omar's team works with kids in sixth through 12th grade with their parents' permission, and they have been busy since they took up work in the county. In the last year and a half, the pair has seen more than 180 students The emphasis is providing guidance and information for kids who are participating in risky behaviors. Dr. Omar also treats students for depression, attention deficit disorder, substance abuse, eating disorders, anxiety, behavioral problems and learning disorders. As Dr. Omar's partner, Dr. McLanahan provides psychological services for those children as well if needed.

The attention to students' mental health is probably the most important service the pair provide, Dr. Omar said. In Kentucky, suicide is the number-two killer of teenagers, and Drs. Omar and McLanahan reject any notion that that is acceptable. Their caring, holistic treatment of students has had a moving impact. Dr. Omar received a testimonial from a 17-year-old Lincoln County High School student who had experienced many problems since starting high school: abusive relationships, drugs, and anorexia. She attributes the turnaround in her life to the care she got from the SBHC.

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