The Student Health Clinic supports the mission of the college by prioritizing goals such as resolving health, life and safety issues and promoting wellness for students. These priorities support the college standards of retention, completion and transfer. The Student Health Clinic (SHC) provides medical and mental health services for eligible students of all cultural backgrounds, learning abilities and socioeconomic levels. The SHC promotes self responsibility, knowledge and skills necessary, for students to work at their optimal level of mental, physical, and emotional wellness. This, in turn, aids them in achieving their academic and personal goals This responsibility includes being responsible for one’s own health. We use a humanistic approach that promotes self-care and self-actualization. An individual’s health status is greatly influenced by knowledge and personal choice. The emphasis of control and wellness is shifted from health care provider to the individual. This positive action effects health, life and safety issues for the student while at Butte College and within the community. The SHC will continue to integrate student learning outcomes into our teaching while providing medical and mental health care needs. The SHC will also continue to contribute to the campus culture of sustainability provided by a solid, consistent,well respected, competent health care team that provides excellent quality medical and mental health care. The SHC will continue to assess the scheduling needs of students and provide as much flexibility as possible. The strategic direction plan emphasizes the value of a learning culture. The SHC achieves this goal with daily professional patient education on health, illness, treatment, and disease prevention. We focus on instilling personal responsibility by focusing on responsibility for one’s own health. This goal indirectly assists coordination and integration of general education across the life span. The SHC is proactive regarding a safe campus environment and seeks collaborative resolutions. SHC is budgeted through categorical funds that are supported by the Health fee (AB982) with the District funding costs not met by that fee.
The SHC is located in a rural area. Our philosophy to provide primary care services to all of our students, and especially students without resources and transportation, makes our clinic, our successes, and our challenges unique. The SHC consists of a wonderful team of health care providers who work well together and collaborate effectively with the Campus and community.The SHC remained open during the summer allowing us to see more students. Our overall patient census continues to climb each year in spite of reduced college student numbers. The Student Health Clinic, per the Butte College Health Service Plan, operates as an immediate care and primary care facility available to students enrolled in credit classes offered by Butte College. Medical services are available during the fall, winter, spring and summer semesters. The clinic is open Monday through Friday and is staffed by Nurse Practitioners and a Physician. Our Medical Director is on site Friday's during the fall and spring semesters. He is available to us by phone during holiday and summer hours. Medical conditions are assessed, diagnosed and treated by the Nurse Practitioners or the Physician. Problems for which students are commonly seen include dermatology, upper respiratory infections, allergies, reproductive health, respiratory problems, campus injuries, Tuberculosis testing, preventative care, physical examinations, immunizations, and medication consultation or prescription. Both medical and therapy staff members work closely with the Safe Place located on campus. Our Mental Health Specialist is a licensed Marriage and Family Therapist. She provides brief individual and couple therapy to registered students. Common issues include depression, anxiety, alcohol and drug issues, relationship problems, grieving, and Attention Problems. Mental health services are provided to students during fall and spring sessions. A minimal number of appointments are available during the winter and summer. She also presents to students on mental health and stress-related topics. Maureen Hernandez, LMFT provides these services. Maureen is a precious resource. Almost every day her already impacted schedule is interrupted with mental health crises; often more than once daily. Her services not only aid the health of many of our students, but also aid the safety of the campus by identifying individuals that may not be mentally healthy enough to participate in college life at this time. Maureen also works closely with Campus Police to provide safety presentations to faculty and staff. The purpose is to prepare them to deal with difficult or threatening students and also to identify how to contact community and campus police. We are an isolated clinic on the Main Campus located off Parking Lot 3-C. This location provides a sense of confidentiality to the students, but mainly assures easy access to emergency service vehicles and personnel. The staff of the SHC provide emergency care to students until other resources arrive. Due to the wide variety of services offered at SHC, specialized equipment and additional emergency care training for staff is important. As expected, our equipment and education costs are significant. The Nurse Practitioners obtain Advanced Cardiac Life Support (ACLS) training every two years. Our therapist stays current on the required educational training and education required for her license. Currently, patient census for both medical and mental health services has exceeded our expectations and resources. The phenomenal growth and popularity of the Student Health Clinic is a direct reflection of our students' trust and dependence on these critical health care services. Triage is a reality and some students with non emergent health care complaints may be redirected to other facilities. A third part-time mid level provider and additional medical staff is needed to assist those students with restricted access.
Extension of Nurse Practitioner to 12 month position was completed with a reorganization of the clinic. Our new Director, William "Nip" Boyes now works a full 12 month permanently extending our summer hours. The sumer health servicaes directly correlates with recommendations from our Program Review validation team.
Summer Connection students, Academy cadets, welding students and early football training session students will have access to medical care throughout the summer. Also, the required physicals and immunizations prior to the program start date for the Allied Health programs. The SHC is instrumental in keeping costs down for all students and student success retention.
Purchased and installed a Front door for ADA compliance. This actuator door was funded by the DSPS department. The door now gives access to students with physical limiatations as well as a panic door that locks down with the switch in the office.
We are now ADA compliant and in an emergency situation the door can be locked down from inside the clinic with the flip of a switch protecting students and staff.
GE Dash 4000 Vitals Monitor
Donation by Brandon Brown, Biomedical Electronics Technician through Enloe Medical Center.
We now have adequate vitals monitors in all exam rooms.
Welch Allyn Propaq CS Patient Monitor
Donation by Brandon Brown, Biomedical Electronics Technician through Enloe Medical Center.
The Propaq CS Patient Monitor features a bright, full-color touchscreen display for continuous vital signs monitoring in hospital environments, during conscious sedation, and pre- and post-operative care.
The Student Health Clinic has placed a strong focus on the group of students who seek our help with problems related to ADHD. Students can receive information, have a thorough assessment, obtain a diagnosis and engage in a treatment plan. Adults with ADHD experience anxiety, depression and often ungrounded fears that they are not capable of attaining a college education. Referrals to the Disabled Students Programs and Services (DSPS) help students gain access to services that support their diagnosis. The Medical-Psychotherapeutic staff of the SHC provides enormous help to students with ADHD and combined with the services of DSPS improve the probability of educational success to our students. Motivational support and continued medication are important for improved outcomes in adults with ADHD.
The Student Health Clinic supports the college in meeting its student achievement standards by: Maintaining the health of our students and campus community.
Many Butte College students cannot afford to be treated for non-emergent health issues at local walk-in clinics or hospital ERs. Most Butte College students cannot afford to be seen or treated by a mental health specialist. The SHC treats all students who seek our care but for uninsured students, the SHC is often their only option and lifeline for healthcare. Healthy students are academically productive students. The health clinic plays a vital role in supporting Butte College's efforts to support student retention and achievement. The clinic treats all medical and mental health issues; whether providing IV therapy to a severely dehydrated athlete, suturing a lacerated leg or draining an abscess amd startojmg the student on antibiotics. The clinic staff are dedicated and focused on helping students maintain their health. Other areas of support include:
* Provide state of the art emergent care to all students, faculty and staff.
* Treating the students with ADHD testing, counseling and treatment.
* Testing, diagnosing and treating infectious communicable diseases.
* Preventing infectious disease through in classroom PowerPoing educational lectures.
* Educating students about maintaining mental health through classroom PowerPoint lectures.
* Responding with advanced life support supplies and equipment to an on campus medical emergency.
* Collaborating with county and State Public Health agencies.
* Advocating for students with substance abuse issues seeking to "get clean."
* Collaborating with Sports Medicine and the Athletic Department to provide physical exams and emergent care for our athletes.
* Providing medical standby for major events for Fire/Law Enforcement training.
* Provide needed support to transferring students to maintain continuity of care.
* Providing educational PowerPoint lectures to faculty and staff regarding safety and dealing with difficult students.
* Collaborate with community medical and mental health providers for referral and medical/mental health follow-up.
The SHC supports the college in meeting it's Strategic Direction and Priorities by Enhancing a Culture of Completion and Academic Achievement (Strategic Initiative 1.a.5)
The SHC provides a nurturing and supportive staff to assist students who are experiencing adversity. The collaboration among providers, both medical and mentah health, provides the optimal treatment environment and is a considerable factor in student success. Just as important is the role of the instructors and academic counselors who also collaborate with us in addressing the student's issues. Most often the academic counselor or instructor is the first to identify a student with a learning, emotional or medical issue. We might encourage the newly diagnosed student with ADHD to take a lighter load for the first semester as they may be re-learning the basics they missed in grade school. The patient with depression or anxiety might be encouraged to see our mental health and medical provider weekly until their symptoms have become manageable. The clinic works with the students to help them develop a more productive learning plan.
Enhancing a Culture of Inclusiveness (Strategic Initiative 6.3) - Improving access, success and completion of targeted student populations through the implementation for the Student Equity Plan.
The SHC has an effective outreach program. We work closely with Safe Place when our students need specialized knowledge and resources to handle sexual, domestic or partner violence.
Overall, the clinic has reached out across the campus. We offer classroom involvement, taking the clinic to groups such as fire, law enforcement, nursing and athletics with physical exams and vaccinations. Access to the clinic has been improved for some groups largely through collaborative verbal agreements. It is widely understood and appreciated that if any instructor or academic counselor feels a student is in need of medical ormental health assistance, the Early Alert referral process can streamline a student into our care.
The top recommendation from the 2012 program review was to expand professional and administrative staff to meet the increasing student need. Implementing an additional Nurse Practitioner along with our two full-time positions has been in the Unit Plan for several years. This will allow for better coverage and hours for students to be seen. Some expansion of the clinical Assistant hours has been implemented, however we still administrative staff orver the summer hours and it is currenly being done with one-time funding through the P-1 process. We need this to be established permanently.
Another recommendation was to develop an instrument to assess Student Learning Outcomes. This instrument has been developed to measure the outcomes of our ADHD diagnosis, testing and treatment program. The effort is directed at helping students to better understand their condition and learning disability in order to play a more proactive role in their own treatment and learning outcomes.
The primary goal of the Student Health Clinic is to meet the immediate health care needs of our students. Our goal is to maintain the ability to provide quality care and services for medical and mental health needs. In order to meet the increasing level of students needs, it is imperative that we provide adequate staffing and support within the SHC.
Strategy 1 - High-touch Services to result in Retention and Completion
Strategic Direction 1.a.2
Providing the appropriate high-touch services.
Strategic Direction 1.c.4
Establishing structures that result in a culture of retention and completion that is reinforced through SHC services.
In order for the SHC to operate at full capacity, additional coverage is needed to relieve the work burden and stress to the current staff. The clinic census has grown to the point that the current providers are unable to support the needs of all students coming to the clinic.
Strategy 2 - Mental Health Services
Strategis Direction 1.c.3
Expanding availability of mental health services.
The demands of mental health services are continually growing. Adding mental health interns and a full-time Mental Health Specialist is necessary.
Strategy 3 - Additional Office space
Strategic Direction 1.h.4
With the addition of FNPs, Mental Health Specialist, and future mental health interns that will be seeing patients for brief therapy, the clinic will need to expand. Our previous facilities director, Mike Miller envisioned this need and in doing so he left a large parcel of land on the east side of the SHC building, which is perfect for extending the clinic out with several additional exam, therapy, and treatment rooms.
SHC services and demands for services are continually growing. Additonal office space provides the opportunity to provide additional services to students. Our ADHD testing, therapy sessions and additonal medical staff can utilize additonal space without compromising the daily office operations and patient visits.
None.
SHC is budgeted through categorical-like funds that are supported by the Health fee (AB982) with the District bearing the costs not met by that fee.
Health Fee revenue Allocated $475,000
Supply and Services revenue Allocated $ 25,000
Allied Health Immunization service Projected $ 9,750
| Original Priority | Program, Unit, Area | Resource Type | Account Number | Object Code | One Time Augment | Ongoing Augment |
| Description | Supporting Rationale | Potential Alternative Funding Sources | Prioritization Criteria | |||
| 1 | Student Health Clinic | Personnel | 52390 | $0.00 | $65,800.00 | |
| Salary support for Mental Health Specialist | We are asking the District to fund $65,800 to cover the Mental Health Specialist salary as the SHC can no longer support it. |
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| 2 | Student Health Clinic | Personnel | 12-342-710-1-644000 | 52390 | $0.00 | $72,902.00 |
| 70% Nurse Practitioner 10 month position | Due to resignation and reorganization of the clinic. A second Nurse Practitioner is desperately needed to reduce the overload of the current Nurse Practitioner and Director so that he may work on Administrative needs of SHC. The NP/Director currently sees on average 130 students per week. And the wait time to see him is two weeks. In order for the SHC to operate at full capacity, at least one full-time Nurse Practitioner is needed. The clinic census has grown to the point that the current providers are unable to support the needs of all students coming to the clinic. |
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| 3 | Student Health Clinic | Personnel | 123427101644000 | 52120 | $0.00 | $6,500.00 |
| Expand Back Office Medical Assistant Position, 10 month to 12 month. | Critical need to expand Back Office Medical Assistant from 10 month to 12 month due to increase of students accessing clinic for health and wellness needs. Increase in academies and Allied Health programs, as well as the addition of the Child Development classes requirements result in physicals and immunizations needed for program participation. Continuity of care critical. |
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| 4 | Student Health Clinic | Operating Expenses | 12-000 | 55630/6411 | $0.00 | $11,500.00 |
| Medicat Hosted Electronic Medical Records | Medicat’s hosted system avoids the cost of purchasing the software, the servers and the IT staff . It provides support required to maintain the servers, provide redundant backups, coordinate software updates and upgrades and monitor database security. Our Student Learning outcomes are based on the data received from students on specific health care topics. We gauge how effective we are in educating students. Our Medicat system is a critical component of data collection and analysis, as well as the providing quality medical charting and documentation. |
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| 5 | Student Health Clinic | Personnel | 12-342-710-1-644000 | 52390 | $0.00 | $40,000.00 |
| Part-time Nurse Practitioner (Professional Expert) | In order for the SHC to operate at full capacity, a part-time Nurse Practitioner is needed to cover when a care provider needs time off for illness or vacation. One Nurse Practitioner is not capable of seeing the number of patients the clinic sees alone. Those times when additional coverage is needed creates an extra work burden and stress to the remaining staff, and significantly decreases the ability to see the number of students that need care. The clinic census has grown to the point that the current providers are unable to support the needs of all students coming to the clinic. |
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| 6 | Student Health Clinic | Personnel | $0.00 | $0.00 | ||
| Mental Health Interns under advisory of Mental Health Specialist | To be covered under Student Equity funding. |
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| 7 | Student Health Clinic | Personnel | 52100 | $0.00 | $105,000.00 | |
| Full-time Mental Health Therapist | The student demand exceeds our ability to help the numbers of students seeking help. We would like the District to fund the hiring of a second therapist for the campus, because the need is so great. Maureen can only work twenty eight (28) hours per week as a Professional Expert,or 960 hours for the fiscal year. We propose that the District hire a second therapist full time to help fill the needs of our 14,000 students. The Chancellor’s office has established a commission to address this problem. |
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| 8 | Student Health Clinic | Personnel | 12-342-710-1-644000 | 52120 | $0.00 | $21,000.00 |
| Part-time Clerk II- Medical Records Clerk | Currently there are only 2 permanent staff members in the front office area while our patient census has increased over 350%. The handling of confidential medical records is currently completed by a trained Student Assistant. It is important to maintain consistency and efficiency when working with confidential materials and should be held by a classified employee.The Union is aware of this, the board is aware of this and due to inadequate staff we are forced to use our Student Assistants in a non-authorized manner. Having this Medical Record Clerk will provide needed staff power in the front office and maintain HIPAA regulations. |
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| 9 | Student Health Clinic | Equipment | $0.00 | $0.00 | ||
| Ergonomic Desk Sets for Staff |
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| 10 | Student Health Clinic | Facilities | $0.00 | $0.00 | ||
| Additional or new office space | Additional or new office space is needed to coordinate new providers and mental health interns that will be seeing patients for brief therapy. Our previous facilities director, Mike Miller envisioned this need and in doing so he left a large parcel of land on the east side of the SHC building, which is perfect for extending the clinic out with several additional exam, therapy, and treatment rooms. |
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