November 2018 Newsletter
NMASBHC SBHC of the Month
Ruidoso SBHC
Many thanks to the staff of the Ruidoso High SBHC and sponsor Region IX for welcoming NMASBHC at a visit to their SBHC on October 3rd. One of the many innovations that the team shared with NMASBHC was their 9th grade outreach and education toolkit (see photo below). This free bag filled with fun and helpful health resources is a regular partnership with their county’s health council, the council’s other members and community businesses and partners. If you would like to do something similar, reach out to your county’s health council. Visit the state’s Alliance of Health Councils to learn more and find contact information:  http://www.nmhealthcouncils.org/.
A Note from the Executive Director
This is a month when we take time to focus on being thankful, and those of us at NMASBHC are embracing an attitude of gratitude. Most of all, we are grateful that there is a group of New Mexicans so interested in improving the health and academic outcomes of children that they dedicate at least some part of their work to this cause. Additionally, we want to support school-based health centers in their efforts to thank their partners. In that effort, this month NMASBHC will be sending out more than 500 thank you cards to SBHCs, their sponsoring organizations, our partners, principals and superintendents with SBHCs, and every state and federal legislator. We want everyone to know that school-based health is important and that every individual and organization that contributes to the movement is equally important. Additionally, we want to encourage SBHCs to reach out to your partners (teachers, donors, school janitors, whomever helps your clinics) to communicate your gratitude. To help, we have five special thank you gifts. The first five SBHCs that email me will get a package mailed to them to pass on to your favorite supporter (please let me know in your email to whom you’ll give the gift). And to all of you, we pass on a message of thankfulness.

Wishing you all a month filled with gratitude,

Nancy Rodriguez

NMASBHC Updates
We have two days for getting deals – Black Friday and Cyber Monday. On #GivingTuesday, we have a day for giving back. Together, people are creating a new ritual for our annual calendar. #GivingTuesday is the opening day of the giving season.

Please support the school-based health care movement in New Mexico on #GivingTuesday and throughout the year by donating to NMASBHC or hosting a Facebook donation event for NMASBHC on November 27, 2018. You can find New Mexico Alliance for School-Based Health Care in he non-profit fundraising directory on Facebook. Visit our Facebook page at www.facebook.com/nmasbhc.
2019 SBHC Photo Calendar Contest!
It is that time of year again when we open up our SBHC Calendar Photo Contest for submissions. This will be our third year producing an SBHC calendar and it has been well received and anticipated across the community. These calendars are sent to all New Mexico legislators (state and federal), every SBHC across the state, stakeholders, funders, school administrators, community partner organizations, and others. 

Submit your best photo for the chance to be featured in the 2019 calendar. The top 13 photos will be included in the calendar and one SBHC will be featured on the 2019 cover! 

Contest Rules:
  • Photos must be landscape orientation.
  • Please submit images that are at least 1536 x 1024 pixels in order to be considered for the calendar.
  • Photos with applicable minor photo release forms must be submitted to kimstanek.nmasbhc@gmail.com no later than 11:59pm on November 15, 2018.
  • All individuals in the photograph who are under the age of 18 MUST have a completed NMASBHC minor photo release form submitted (attached).
  • Photo releases are not required for adults in the photo. We infer adult consent by submission. 
  • Please provide the names of all individuals in the photo. Order them from left to right, top to bottom. We must have names of everyone in the photo for it to be considered for the calendar. 
  • Photos can include staff, students, school administration, parents, etc. but must represent the SBHC in some way.
  • The SBHC may indicate their preference to be featured for a particular month in the calendar. However, we cannot guarantee it will be used for that month.

Looking forward to seeing all of your great photos this year!

Photos due to kimstanek.nmasbhc@gmail.com no later than 11:59pm on November 15, 2018.
Thank you to Schlenker & Cantwell, P.A.
We want to express our gratitude and appreciation to Schlenker and Cantwell, P.A. ( http://www.cpasch.com/ ) for their generous personal hygiene supply donation to Albuquerque SBHCs. Many students utilizing the SBHCs have an incredible need for personal hygiene supplies and businesses like Schlenker and Cantwell, P.A. can help fill that need! Thank you from the bottom of our hearts for supporting the young people in our community.

If you are interested in sponsoring a similar project in your community or statewide, please contact kimstanek.nmasbhc@gmail.com to hear about ways you can help meet the needs of kids in New Mexico.
New Website Launching!
NMASBHC is excited to announce that we will be launching a new website this year! We hope this overhaul will make it easier to access resources, request support, and understand the reach and impact SBHCs have across our state. Stay tuned for our official announcement when the new website goes live! Thank you to our funders, Blue Cross Blue Shield of New Mexico and New Mexico Department of Health, for making this transformation possible.
SBHC Updates
Congressman Ben Ray Lujan includes SBHCs in Legislation to Leverage Telehealth to Combat the Opioid Crisis
The New Mexico Alliance for School-Based Health Care is grateful for Congressman Ben Ray Luján's recognition of the value of school-based health centers and telehealth in the battle to treat substance abuse. The trauma that New Mexican children are experiencing as a result of the opioid crisis is overwhelming, but school-based health centers and the experts they can access via telehealth are the most efficient healthcare delivery system to support families with the treatment they need. Medicaid reimbursement is essential to school-based health centers' ability to provide these critical services.

Congressman Lujan introduced SUPPORT for Patients and Communities Act to increase the country's opioid epidemic response efforts and the president signed it on October 24, 2018.
SBHC Advocates Introduce Legislation in Senate to Reauthorize SBHC Program
WASHINGTON, DC (October 17, 2018) – In a bipartisan show of support for school-based health care, Senator Debbie Stabenow (D-MI) and Senator Shelley Moore Capito (R-WV) have introduced legislation in Congress that amends the Public Health Service Act to reauthorize the School-Based Health Centers (SBHC) program. The bill (S.3602) would extend the School-Based Health Centers program authorization through 2023. The program’s statutory authorization expired in 2014.

The reauthorization of school-based health centers is a critical step forward for children. At the heart of the SBHC model is the incontestable fact that healthy students are better learners. SBHCs represent a key strategy for ensuring our children and adolescents receive high-quality primary and mental health care services in a location that’s safe, convenient, and accessible. In this critical time, SBHCs are also meeting the increased mental health needs of the lesser known victims of the national opioid epidemic – children who are affected by their parents’ or families’ struggles with addiction.

Visit the School-Based Health Alliance Advocacy Center for up-to-date information on national legislation related to SBHCs and to find out how you can be involved.
Referring Adolescent Patients to Dental Services Webinar
When: November 15, 2018 at 11am (1pm Eastern)

Routine professional dental care and oral hygiene during adolescence can reduce the occurrence of oral health diseases and prevent irreversible damage. Good oral health also contributes to improved school attendance among adolescents. As oral health needs increase during adolescence, however, utilization of services has been found to decrease. Less than half (48%) of adolescents aged 13-20 received dental care in 2004 compared to 59% of children aged 6-12. As such, it is important for primary care providers to be equipped with resources and strategies for effectively referring adolescent patients for dental services. To address this need, the University of Michigan's Adolescent Health Initiative will lead participants through an engaging, replicable training on Referring Adolescent Patients for Dental Services. Participants will receive training resources, health center materials, and strategies for helping young people assess the youth-friendliness of dental practices in their community.
Last Call to Present at the 2019 School-Based Health Alliance National School-Based Health Care Convention
SBHA is looking for bold and innovative ideas in a variety of school-health topics: primary care clinical skills; accountability and quality improvement; population health and education outcomes; business and systems; oral health; systematically targeted groups; advocacy and policy; and youth development.

They are also excited to announce a new category: Everybody Has a Role. Abstracts in this category will explore how we all work together in our individual roles towards students’ health—bus drivers, school principals, teachers, health providers, front desk staff. They encourage abstracts that address essential skills such as de-escalating, motivational interviewing, staff self-care; and strategic communication.

Share your experience, evidence-based practices, resources, and tools with your colleagues from the school-based health care field. The call for abstracts closes on November 6, 2018.
OSAH Updates
YRRS Road Show
You are invited to an upcoming series of school/community meetings to discuss state and county results of the 2017 New Mexico Middle School and High School New Mexico Youth Risk and Resiliency Surveys (NM-YRRS). Participants will receive data from their county and will learn how to access additional county, state and national data for the health topics most important to them.
 
These meetings are designed for anyone interested in the health of students in New Mexico, including school staff, students, health professionals and community members.

Remaining presentations will be held in the following communities:

  • Alamogordo
  • Roswell
  • Las Cruces
  • Silver City
  • Rio Rancho
  • Santa Rosa
  • Clovis

See flyer below for more details. Please note that they request you register for the presentations in advance. To register (and to request a copy of the county reports you are most interested in), please visit: www.youthrisk.org.
HSD/Medicaid Updates
Open Comment Periods for Multiple Policy Changes
The Medical Assistance Division of the NM Human Services Department has published a number of opportunities for written and in-person public comment on regulatory and policy changes slated. To view the opportunities for public comment, www.hsd.state.nm.us/2017-comment-period-open.aspx and see draft documents and utilize the online comment option. 

For in-person opportunity to comment on Centennial Care, attend the Centennial Care Public Forum being held November 5th. The Centennial Care Public Forum will be part of the Medicaid Advisory Committee, which is taking place from 1-4pm at the Garrey Carruthers State Library in Santa Fe. Providers, members, advocacy groups and other parties interested in discussing the Centennial Care program are welcome to attend. For more information, visit www.hsd.state.nm.us/Meetings.aspx or contact 505 827-3102.
Clinic Resources, Training Opportunities, and Community Announcements
Job Openings
La Clinica del Pueblo de Rio Arriba is seeking healthcare providers, including some who will support operations of their SBHC in Tierra Amarilla. Openings include full-time RN/LPN, EMS Director, and Paramedic/EMT positions. Please call Paula Gurule (575) 588-7252 for full job description and salary information.
ACEs & Toxic Stress Infographic
New LGBTQ+ Opportunity for Clinics
Fierce Pride New Mexico is the state’s LGBTQ Health Advocacy Organization, and NMASBHC encourages you to check out the many great resources they offer:  www.fiercepride.org/. One of the newest is Bright Spaces, Welcome Places, which involves creating a directory of mental and behavioral health agencies that have LGBTQ+ affirming policies. Agencies that adopt two or more recommended policies will be included in the directory. Community members looking for mental health services can use this list to find a provider. Agencies included in the directory will receive a framed art print for their agency (see image above). It was inspired by themes from the LGBTQ+ youth community conversation and designed by Havens Aragon. By displaying art by and for LGBTQ+ youth, agencies make their physical environments more welcoming and supportive of LGBTQ+ youth. If your agency has a commitment to LGBTQ+ health and inclusion, contact Alex Ross-Reed to learn more and become a champion in Bright Spaces, Welcome Places at www.fiercepride.org/contact
Flu Season - Get Your Patients Vaccinated

Patients have numerous reasons for not wanting an influenza vaccination. To help them overcome their reluctance, Colleen Fogarty, MD, uses the “ask-tell-ask” technique:
 
1. Ask. Greet the patient, confirm the patient’s decision not to get a flu shot based on the nurse’s rooming notes, and then ask the patient for more information on why he or she does not want one, listening carefully to the patient’s response.

2. Tell. With the patient’s permission, briefly provide information specific to the patient’s belief or fear. For example, if the patient is worried about getting sick from the flu shot because a family member once developed a cough shortly after getting a flu shot, explain that the flu vaccine is made of killed virus, not live, and cannot make the patient sick. Carefully watch for nonverbal cues of understanding, doubt, or other reactions.

3. Ask. After discussing the information, ask what the patient now thinks about getting a flu shot. Some patients may change their mind and want one, while others will continue to say “no.” Provide a clear medical recommendation for the vaccine, but respect the patient’s autonomy to choose. Invite patients who remain reluctant to let you know if they ever change their mind or want additional information, leaving the door open for conversation in the future.

Community Reinforcement Approach Training
www.nmasbhc.org | (505) 404-8059 | info.nmasbhc@gmail.com