Résumé :
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[BDSP. Notice produite par INIST-CNRS 7DlGJR0x. Diffusion soumise à autorisation]. Objectives. We describe the impact of school health centers in Alameda County, California, on adolescents'access to care and their mental and physical health outcomes. Methods. We used a multimethod evaluation of 12 school health centers to track data on clients (n=7410), services, and provider-reported outcomes ; client pre-post surveys (n=286) ; and student focus groups (n=105 participants). Results. School health centers were the most commonly reported source of medical (30%), family planning (63%), and counseling (31%) services for clients. Mental health providers reported significant improvements (P<. from baseline to follow-up in clients concerns and resiliency factors. medical providers also reported general improvements reproductive health particularly the use of birth control other than condoms. student focus group participants noted that school centers helped improve access services students might not seek out otherwise counseling family planning services. furthermore they liked because their confidentiality free convenience youth-friendly staff. conclusions. increase care mental contraceptive use.>
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