Case Management for Social Needs of Youth and Families in School-Based Health Centers.
Victoria F Keeton, Samira Soleimanpour, Sara Geierstanger and 1 others
PMID 38234257WHAT IT FOUND
Survey respondents reported help with insurance, food, and legal needs, and staff said the role freed clinical time.
This pilot did not test health, school, or social outcomes.
Key findings
01The Case Manager served 133 clients through 593 contacts.
02Among 37 survey respondents, 89% reported help with health insurance, 84% with food, and 62% with legal services.
03Seven interviewed staff reported that case management allowed providers to focus on clinical services.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a single-site pilot with no comparison group and no tested health, school, or social outcomes. Only 37 of 85 clients served during the survey window completed surveys (44%), and the paper did not compare respondents with nonrespondents. Seven of nine contacted staff were interviewed; two did not respond. The Case Manager worked alongside usual medical and behavioral health services, so the study cannot separate the effect of case management from other care. The pilot was funded by an anonymous grant, and the paper notes funding limits for non-clinical services in similar settings.
Declared interests
Funding came from an anonymous donor grant; authors declared no conflicts of interest.
The easy way to misread this
Do not read the positive satisfaction and staff reports as evidence that case management improved health, school attendance, or social needs. This was a six-month pilot with no comparison group, no formal outcome testing, and survey responses from 37 of 85 clients.