{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:09:37Z","timestamp":1789027777531,"version":"build-2803163510"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005251","name":"Office of Postsecondary Education, U.S. Department of Education","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100005251","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"abstract":"<jats:p>Since their inception in the 1990s, School-Based Health Centers (SBHCs) in Vermont have largely been conceived and sustained through the interest and investment of local communities. Vermont does not have a formal SBHC state policy, dedicated funding, or coordinated technical assistance. Recognizing the need to better understand and support SBHCs in our state, we conducted the first exploratory study of SBHC utilization in Vermont. Data were collected from six SBHCs operating in 16 different schools in Vermont over 2 weeks in the winter of 2025. We sought to determine reasons for seeking care as well as the time saved in learning. The main reasons for seeking care in SBHCs in Vermont were acute illnesses, followed by mental health concerns. However, a wide range of services were also provided, including physical therapy and ophthalmological exams. Over 80% of students returned to class after being seen in a Vermont SBHC, saving, on average, 3.67 hr of instructional time compared to seeking that service outside of the school setting. SBHC services thus were shown to reduce time away from school and minimize disruptions for caregivers who might otherwise need to take children to appointments. Findings from this study have the potential to inform future state policy development and underscore the role that SBHCs can play to promote access to care and to reduce school absenteeism.<\/jats:p>","DOI":"10.1177\/15248399261477747","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:30:00Z","timestamp":1788593400000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Supporting Student Health and Learning: Outcomes of Vermont School-Based Health Centers"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9076-0414","authenticated-orcid":false,"given":"Kathleen","family":"Bryant","sequence":"first","affiliation":[{"name":"University of Vermont, Burlington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Schumacher","sequence":"additional","affiliation":[{"name":"University of Vermont, Burlington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Matunas","sequence":"additional","affiliation":[{"name":"University of Vermont, Burlington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernice Raveche","family":"Garnett","sequence":"additional","affiliation":[{"name":"University of Vermont, Burlington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,5]]},"reference":[{"key":"e_1_3_3_2_1","first-page":"1","article-title":"The evidence on school-based health centers: A review","volume":"6","author":"Arensen M.","year":"2019","unstructured":"Arensen M., Hudson P. J., Lee N., Lai B. (2019). The evidence on school-based health centers: A review. Global Pediatric Health, 6, 1\u20138.","journal-title":"Global Pediatric Health"},{"issue":"3","key":"e_1_3_3_3_1","first-page":"1","article-title":"Measuring success: Evaluation designs and approaches to assessing the impact of school-based health centers","volume":"58","author":"Bersamin M.","year":"2016","unstructured":"Bersamin M., Garbers S., Gold M. A., Heitel J., Martin K., Fisher D. A., Santelli J. (2016). Measuring success: Evaluation designs and approaches to assessing the impact of school-based health centers. Journal of Adolescent Health, 58(3), 1\u20137.","journal-title":"Journal of Adolescent Health"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Cai C. Pan A. Smith B. M. Calderon G. Johnson S. B. Connor K. A. (2025). School-based health center use for mental and behavioral health disorders before and after the COVID-19 pandemic: A mixed-methods study. Journal of School Health 96(1) Article e70090. https:\/\/doi.org\/10.1111\/josh.70090","DOI":"10.1111\/josh.70090"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.185181"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.10083"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-053758"},{"key":"e_1_3_3_8_1","volume-title":"2016\u201317 national school-based health care census report","author":"Love H.","year":"2018","unstructured":"Love H., Soleimanpour S., Panchal N., Schlitt-Behr C., Even M. (2018). 2016\u201317 national school-based health care census report. School-Based Health Alliance."},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2023.06.006"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.01.017"},{"key":"e_1_3_3_11_1","unstructured":"School-Based Health Alliance. (2018). Documenting classroom seat time saved by school-based health centers: A guide for the field. https:\/\/tools.sbh4all.org\/wp-content\/uploads\/2018\/08\/SBHA-Seat-Time-Data-Collection-Guide-July-2018.pdf"},{"key":"e_1_3_3_12_1","volume-title":"Findings from the 2022 National Census of School-Based Health Centers","author":"Soleimanpour S.","year":"2023","unstructured":"Soleimanpour S., Cushing K., Christensen J., Ng S., Yang J., Saphir M., Geierstanger S., Even M., Brey L. (2023). Findings from the 2022 National Census of School-Based Health Centers. School-Based Health Alliance."},{"key":"e_1_3_3_13_1","doi-asserted-by":"crossref","unstructured":"Van Cura M. (2010). The relationship between school-based health centers rates of early dismissal from school and loss of seat time. Journal of School Health 80(8) 371\u2013377. https:\/\/doi.org\/10.1111\/j.1746-1561.2010.00516.x","DOI":"10.1111\/j.1746-1561.2010.00516.x"},{"key":"e_1_3_3_14_1","unstructured":"Vermont Agency of Education. (2023 August 23). Vermont education dashboard (Version 6) [Data dashboard]. https:\/\/education.vermont.gov\/data-and-reporting\/vermont-education-dashboard\/"},{"key":"e_1_3_3_15_1","author":"Vermont Department of Health","year":"2024","unstructured":"Vermont Department of Health. (2024). Vermont Department of Health School Liaison Assessment of SBHCs-SpringFY24. 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