The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011-2023

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Title: The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011-2023
Language: English
Authors: Katherine M. Rancaño (ORCID 0000-0001-7151-287X), Ashley M. Kranz, Jessica Richard, Catria Gadwah-Meaden, Christine Mulhern, Laura J. Faherty (ORCID 0000-0002-8953-8856)
Source: Journal of School Health. 2026 96(4).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 9
Publication Date: 2026
Sponsoring Agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
Contract Number: 01HD10919003
Document Type: Journal Articles
Reports - Research
Education Level: Elementary Education
Junior High Schools
Middle Schools
Secondary Education
High Schools
Descriptors: School Health Services, Clinics, Access to Health Care, Disadvantaged Youth, Institutional Characteristics, Public Schools, Racial Differences, English Learners, Socioeconomic Status, Ethnicity, Elementary Schools, Middle Schools, High Schools, Geographic Location
Geographic Terms: California
DOI: 10.1111/josh.70126
ISSN: 0022-4391
1746-1561
Abstract: Background: School-based health centers (SBHCs) and other school-based clinics (OSBCs) reduce health care access barriers and support positive outcomes in disadvantaged children by providing primary medical care and other services, respectively. This study describes California SBHCs and OSBCs and identifies school characteristics associated with access. Methods: Databases on California SBHCs, OSBCs, and schools were compiled. Descriptive statistics characterize the number of clinics and services offered from 2011 to 2023. Multivariable logistic regression models estimate associations between school characteristics and SBHC/OSBC access in 2023. Results: Between 2011and 2023, the SBHCs increased from 124 to 186, and services became more comprehensive. OSBCs increased from 18 to 104, with most offering mental health services. SBHC access was more likely in schools with a larger share of students who were English Learners and "other" as their race and ethnicity; high schools; and in large cities. OSBC access was more likely in schools with a larger share of English Learner students and in cities. Conclusions: SBHCs and OSBCs expanded and largely served disadvantaged schools, which may promote health and academic equity.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1501506
Database: ERIC
FullText Text:
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  Data: The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011-2023
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  Data: English
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Katherine+M%2E+Rancaño%22">Katherine M. Rancaño</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-7151-287X">0000-0001-7151-287X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Ashley+M%2E+Kranz%22">Ashley M. Kranz</searchLink><br /><searchLink fieldCode="AR" term="%22Jessica+Richard%22">Jessica Richard</searchLink><br /><searchLink fieldCode="AR" term="%22Catria+Gadwah-Meaden%22">Catria Gadwah-Meaden</searchLink><br /><searchLink fieldCode="AR" term="%22Christine+Mulhern%22">Christine Mulhern</searchLink><br /><searchLink fieldCode="AR" term="%22Laura+J%2E+Faherty%22">Laura J. Faherty</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8953-8856">0000-0002-8953-8856</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Health%22"><i>Journal of School Health</i></searchLink>. 2026 96(4).
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  Label: Availability
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 9
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2026
– Name: SourceSuprt
  Label: Sponsoring Agency
  Group: SrcSuprt
  Data: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
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  Label: Contract Number
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  Data: 01HD10919003
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  Data: Journal Articles<br />Reports - Research
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  Label: Education Level
  Group: Audnce
  Data: <searchLink fieldCode="EL" term="%22Elementary+Education%22">Elementary Education</searchLink><br /><searchLink fieldCode="EL" term="%22Junior+High+Schools%22">Junior High Schools</searchLink><br /><searchLink fieldCode="EL" term="%22Middle+Schools%22">Middle Schools</searchLink><br /><searchLink fieldCode="EL" term="%22Secondary+Education%22">Secondary Education</searchLink><br /><searchLink fieldCode="EL" term="%22High+Schools%22">High Schools</searchLink>
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22School+Health+Services%22">School Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Clinics%22">Clinics</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Disadvantaged+Youth%22">Disadvantaged Youth</searchLink><br /><searchLink fieldCode="DE" term="%22Institutional+Characteristics%22">Institutional Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Public+Schools%22">Public Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+Differences%22">Racial Differences</searchLink><br /><searchLink fieldCode="DE" term="%22English+Learners%22">English Learners</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+Status%22">Socioeconomic Status</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink><br /><searchLink fieldCode="DE" term="%22Elementary+Schools%22">Elementary Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+Schools%22">Middle Schools</searchLink><br /><searchLink fieldCode="DE" term="%22High+Schools%22">High Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Geographic+Location%22">Geographic Location</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22California%22">California</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1111/josh.70126
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0022-4391<br />1746-1561
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: School-based health centers (SBHCs) and other school-based clinics (OSBCs) reduce health care access barriers and support positive outcomes in disadvantaged children by providing primary medical care and other services, respectively. This study describes California SBHCs and OSBCs and identifies school characteristics associated with access. Methods: Databases on California SBHCs, OSBCs, and schools were compiled. Descriptive statistics characterize the number of clinics and services offered from 2011 to 2023. Multivariable logistic regression models estimate associations between school characteristics and SBHC/OSBC access in 2023. Results: Between 2011and 2023, the SBHCs increased from 124 to 186, and services became more comprehensive. OSBCs increased from 18 to 104, with most offering mental health services. SBHC access was more likely in schools with a larger share of students who were English Learners and "other" as their race and ethnicity; high schools; and in large cities. OSBC access was more likely in schools with a larger share of English Learner students and in cities. Conclusions: SBHCs and OSBCs expanded and largely served disadvantaged schools, which may promote health and academic equity.
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  Label: Abstractor
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  Data: As Provided
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  Label: Entry Date
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  Data: 2026
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  Label: Accession Number
  Group: ID
  Data: EJ1501506
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        Value: 10.1111/josh.70126
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
    Subjects:
      – SubjectFull: School Health Services
        Type: general
      – SubjectFull: Clinics
        Type: general
      – SubjectFull: Access to Health Care
        Type: general
      – SubjectFull: Disadvantaged Youth
        Type: general
      – SubjectFull: Institutional Characteristics
        Type: general
      – SubjectFull: Public Schools
        Type: general
      – SubjectFull: Racial Differences
        Type: general
      – SubjectFull: English Learners
        Type: general
      – SubjectFull: Socioeconomic Status
        Type: general
      – SubjectFull: Ethnicity
        Type: general
      – SubjectFull: Elementary Schools
        Type: general
      – SubjectFull: Middle Schools
        Type: general
      – SubjectFull: High Schools
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      – SubjectFull: Geographic Location
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      – SubjectFull: California
        Type: general
    Titles:
      – TitleFull: The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011-2023
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            NameFull: Katherine M. Rancaño
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              Y: 2026
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