A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health
Open accessAbstract
BACKGROUND: Accessible sexual, reproductive, and mental healthcare services are crucial for adolescent health and wellbeing. It has been reported that school-based healthcare (SBHC) has the potential to improve the availability of services particularly for young people who are normally underserved. Locating health services in schools has the potential to reduce transport costs, increase accessibility and provide links between schools and communities. METHODS: A systematic review of the literature was undertaken. Pubmed, Psychinfo, Psychnet, Cochrane CENTRAL, and Web of Science were searched for English language papers published between January 1990 and March 2012 RESULTS: Twenty-seven studies were found which fitted the criteria, of which, all but one were from North America. Only three measured adolescent sexual, reproductive, or mental health outcomes related to SBHC and none of the studies were randomized controlled trials. The remaining studies explored accessibility of services and clinic utilization or described pertinent contextual factors. CONCLUSIONS: There is a paucity of high quality research which evaluates SBHC and its effects on adolescent sexual, reproductive, and mental health. However, there is evidence that SBHC is popular with young people, and provides important mental and reproductive health services. Services also appear to have cost benefits in terms of adolescent health and society as a whole by reducing health disparities and attendance at secondary care facilities. However, clearer definitions of what constitutes SBHC and more high quality research is urgently needed.
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Previous reviews have found limited evidence of SBHC effectiveness in improving healthcare utilization and academic outcomes.
“Previous reviews have found limited evidence of SBHC effectiveness in improving healthcare utilization and academic outcomes.19,37–41”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [37]
Community-based mental health delivery programs specifically targeting mental health promotion of young people in LMICs have positive impacts on mental health outcomes, but pooled analysis could not be conducted.
“Evidence from community-based mental health delivery programs specifically targeting mental health promotion of young people in LMICs suggests positive impacts on mental health outcomes; however, pooled analysis could not be conducted [19].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [19]
Meta-analysis was not done in the school-based preventive health care review due to study quality.
“However, meta-analysis was not done due to study quality.”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [19]
School-based preventive health care is popular with young people and provides important mental health services.
“Another review reported from 27 studies that school-based preventive health care is popular with young people and provides important mental health services [19].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [19]
School-based life skills and resilience programs in LMICs had mixed results, including differential effects for gender and age groups, and effect estimates could not be pooled.
“However, there were mixed results, including differential effects for gender and age groups [19], and effect estimates could not be pooled.”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [19]
The majority of school-based life skills and resilience programs in LMICs indicated positive effects on students' self-esteem, motivation, and self-efficacy.
“School-based mental health interventions specifically focusing on low- and middle-income countries (LMICs) suggest that the majority of the school-based life skills and resilience programs indicated positive effects on students' self-esteem, motivation, and self-efficacy.”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [19]
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- Authors
- Mason-Jones, A. J., Crisp, C., Momberg, M., Koech, J., De Koker, P., & Mathews, C.
- Affiliations
- Brown University (US)
- University of Cape Town (ZA)
- ORCID
- Crisp, Carolyn
- Venue
- Systematic Reviews
- Published
- 2012-10-26
- Volume
- 1
- Issue
- 1
- Pages
- 49-49
- ISSN
- 2046-4053 (ISSN-L)
- PMC
- PMC3621403
- OpenAlex
- W2151176650
- Cited by
- 145
- References
- 47
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 8 · 2023: 9 · 2022: 14 · 2021: 17 · 2020: 11 · 2019: 11 · 2018: 12 · 2017: 14 · 2016: 15 · 2015: 13 · 2014: 8 · 2013: 2
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Systematic Reviews (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Open University of Cape Town (University of Cape Town) (submittedVersion, cc-by)
- Funders
- Brown University
- University of Exeter
- Universiteit Maastricht
- Universitetet i Bergen
- Universitetet i Oslo
- University of Cape Town
- Medical Research Council
- Topics
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- adolescent sexual health, adolescent reproductive health, adolescent mental health, health care access, clinic utilization, health disparities, cost-benefit analysis
- MeSH terms
- Adolescent, Cost-Benefit Analysis, Health Services Accessibility, Humans, Mental Health, Mental Health Services, North America, School Health Services, Patient Satisfaction, Outcome Assessment, Health Care, Reproductive Health Services, Reproductive Health
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