{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T14:59:43Z","timestamp":1777474783879,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,13]],"date-time":"2019-01-13T00:00:00Z","timestamp":1547337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>With recent recommendations from professional organizations, long\u2010acting reversible contraception (LARC) methods are considered appropriate first\u2010line contraception for adolescents. Many school\u2010based 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Semistructured qualitative interviews were conducted with 19 providers and staff at 7 SBHCs in high schools in the Bronx and analyzed using Dedoose.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Support and leadership from administration; comprehensive onsite training of providers and staff; developing an effective staffing model for procedure sessions; and patient\u2010centered contraceptive counseling were 4 key themes named by respondents as crucial to the program implementation process.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12732","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T05:38:23Z","timestamp":1547444303000},"page":"226-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Integration of Onsite Long\u2010Acting Reversible Contraception Services Into School\u2010Based Health Centers"],"prefix":"10.1111","volume":"89","author":[{"given":"Aleza K.","family":"Summit","sequence":"first","affiliation":[{"name":"Department of Family and Social Medicine, 3544 Jerome Ave, Bronx, NY 10467"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmeline","family":"Friedman","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mt. Sinai, 1468 Madison Ave, New York, NY 10029"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara B.","family":"Stein","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, School Health Program, 3380 Reservoir Oval E, Bronx, NY 10467"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marji","family":"Gold","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Department of Family and Social Medicine, 1300 Morris Park Ave, Bronx, NY 10461"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182723b7d"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2299"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2012.10.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31821c47c9"},{"issue":"86","key":"e_1_2_6_6_1","first-page":"1","article-title":"Current contraceptive use and variation by selected characteristics among women aged 15\u201344: United States, 2011\u20132013","volume":"10","author":"Daniels K","year":"2015","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.03.039"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.10.276"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2012.03.002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2010.00572.x"},{"key":"e_1_2_6_11_1","unstructured":"LofinkH SchelarE TaylorK et al. 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