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With plan to focus on teen health, Adams 12 school district opens new clinic

PHOTO: Jasleen_kaur/Creative Commons

The Adams 12 school district, Colorado’s sixth-largest, will open its first school-based health clinic this fall at Thornton High School.

The new clinic will offer routine physicals, sick care and mental health counseling to the 1,675 students at Thornton High as well as another 1,000 students who take classes at the district’s career and technical education center on the same campus.

By providing a convenient source of health care, particularly for low-income students, advocates say school-based health centers help prevent and address health problems that can impede learning.

Statewide, the number of school-based health centers has grown over the last decade — from 40 in 2007 to 59 this fall.

Despite the overall upward trend, not all school-based health centers survive. For example, the clinic at Jefferson Junior-Senior High School, a high poverty school in the Jeffco district, closed its doors last spring.

A district official there said the nonprofit organization providing the health services, which were available to Jefferson students and other local residents, decided to depart because district security logistics made it difficult to keep the clinic open during evening and weekend hours.

In Adams 12, planning for the new clinic began in 2015. A district committee chose Thornton High to house the health center because of the high level of poverty in that area and because the campus, which also houses the Bollman Technical Education Center, serves the largest number of high school students in the district.

District spokesman Kevin Denke said the decision to focus on a teenage population stems from the fact that adolescents tend to see doctors less often than younger students and may be starting to engage in risky behaviors, such as sexual activity, alcohol use or drug use.

The neighboring Boulder Valley school district also has a school-based health clinic in the works, though it’s not expected to open until the fall of 2019. That clinic, the district’s first, will be located at the Arapahoe Campus, which houses Arapahoe Ridge High School and the district’s career and technical education center.

District officials said the clinic was originally slated to open earlier, but the launch was pushed back to align with a planned remodel of the career and technical education space.

In the meantime, the district will expand a dental care program that’s gradually ramped up at the Arapahoe Campus. Begun four years ago as a basic screening program that referred kids with cavities and other problems to area dentists, the program last year provided cleanings, fluoride treatments and sealants to 42 students at Arapahoe Ridge and two other district high schools.

This year, the program will offer the same services, plus treatment for minor cavities, to students from all district high schools. The goal is to serve 250 students by the end of the year.

Poverty in America

Woman’s tragic death prompts reflection. Could vacant Memphis schools help in the fight against homelessness?

PHOTO: Laura Faith Kebede
Graves Elementary School in South Memphis has been boarded up since its closure in 2014. It's one of 10 vacant school buildings in the city.

The death of a Memphis woman sleeping on a bench across from City Hall in frigid temperatures unleashed a furor of frustration this week across social media.

As Memphians speculated how someone could freeze to death in such a public place, some pointed to limited public transportation, one of the nation’s highest poverty rates, and entry fees to homeless shelters. The discussion yielded one intriguing suggestion:

About 860 Memphis students were considered homeless in 2016, meaning their families either were on the streets, living in cars or motels, or doubling up with friends and relatives.

At the same time, Shelby County Schools has an adequate supply of buildings. The district had 10 vacant structures last fall after shuttering more than 20 schools since 2012, with more closures expected in the next few years.

But what would need to happen for schools to become a tool against homelessness? Some cities already have already begun to tap that inventory.

Shelby County Schools has been eager to get out of the real estate business, though it’s not exactly giving away its aging buildings. In 2016, Superintendent Dorsey Hopson said the school system should “repurpose some of these buildings and … anchor some of these communities and rebuild and refurbish these communities instead of tearing stuff down.” The conversation was part of Memphis 3.0, the city’s first strategic plan since 1981 to guide growth for years to come.

District policy allows for “adaptive reuse” to lease vacant buildings for community development including affordable housing, community centers, libraries, community gardens, or businesses. A change requires a community needs assessment and input from neighborhood leaders and organizations before the school board can vote on a recommendation.

But proposals to transform schools into housing haven’t emerged in Memphis.

The Memphis Housing Authority, which oversees federal dollars for housing development, has a two-year exclusive right to purchase two former schools near downtown. But talk has focused on using that space for an early childhood center, not housing, according to High Ground News.

Under state law, districts must give charter schools, which are privately managed but publicly funded, serious consideration to take over a closed building.

That has happened for some Memphis schools, but high maintenance costs for the old buildings are a major deterrent. They also present a significant challenge for any entity looking to convert a structure into a homeless shelter or affordable housing.

Of the district’s 10 empty school buildings, most have a relatively low “facility condition index,” or FCI rate, which measures the maintenance and repair costs against the current replacement cost. The higher the number, the less cost-effective.


*as of October 2017

The idea to turn vacant school buildings into livable space is not new. Across the nation, some communities have found workable solutions to address the excess real estate.

In Philadelphia, a nonprofit organization transformed an empty four-story elementary school that was frequented by trespassers and drug users into housing for 37 homeless veterans and low-income seniors. The $14 million project, led by Help USA, took advantage of federal dollars set aside to house homeless veterans.

Last summer, leaders in Daytona Beach, Florida, pitched in $3.5 million in public funds to help a local nonprofit convert an elementary school into a homeless shelter. Despite pushback from neighborhood residents, the plan secured a unanimous vote from its county council.

In Denver, school officials proposed turning an elementary school into affordable housing for teachers to combat expensive living costs and rapid gentrification. That idea is still up in the air, with some residents lobbying to reopen the building as a school.

Detroit is riddled with empty school buildings. Developers there are buying up properties to repurpose for residential use as they wait to see what the market will bear. The city’s private Catholic schools have seen more success in transforming old buildings into apartments, luxury condominiums, or a boutique office building because they are smaller, easier to renovate, and don’t have the same deed restrictions as public schools.

The same appears to be true in Baltimore, where a nonprofit group converted a 25,000-square-foot Catholic school into housing for women and children. The $6 million project, completed last month, uses federal housing vouchers to subsidize rent.

In Memphis, the community is still assessing what resources need to be tapped in response to this week’s tragic death.

“Simply dismissing this as a tragedy will only allow us to continue to absolve ourselves from the apathy and selfishness that allow people to go unseen,” said the Rev. Lisa Anderson, a Cumberland Presbyterian pastor who is executive director of the city’s Room in the Inn ministry.

academic insurance

Children’s Health Insurance Program is on the brink. Here’s why that matters for education

The fate of the Children’s Health Insurance Program is in Congress’s hands — and children’s education, not just their health, may be at stake.

Congress passed a temporary extension of funding for of CHIP in December, through some states will run out of money shortly. The end of the program would come with obvious potential consequences, as CHIP, which covers approximately 9 million children, gives participants more access to health and dental care.

There may also be a less obvious result: Research has found that access to health insurance helps kids perform better on tests and stay in school longer.

A 2016 study, published in the peer-reviewed Journal of Human Resources, found that expanding Medicaid in the 1980s and 1990s increased students’ likelihood of completing high school and college.

“Our results indicate that the long-run benefits of public health insurance are substantial,” the researchers wrote.

Similarly, an earlier paper shows that broadening access to Medicaid or CHIP led to increases in student achievement.

“We find evidence that test scores in reading, but not math, increased for those children affected at birth by the increase in health insurance eligibility,” researchers Phillip Levine and Diane Whitmore Schanzenbach wrote.

In short, research suggests that when kids are healthier, they do better in school. That’s in line with common sense, as well as studies showing that children benefit academically when their families have access to direct anti-poverty programs like the earned income tax credit or cash benefits.

(Even if CHIP ends, affected children might still have access to subsidized insurance through the Affordable Care Act or other means. The Congressional Budget Office estimates that will be more costly in the long run.)

Congress appears likely to vote on a bill this week that includes a six-year CHIP extension, as as well as a temporary spending measure to avoid a federal government shutdown.