Minnesota Community Care

School Clinic-Based Youth Participation in Health Education

by Dat Nguyen

Background

I had been working at Minnesota Community Care since Fall 2019 as a Health Advocate Intern in their HealthStart Clinics division. These are school based clinics chartered out by Saint Paul Public Schools to employ healthcare providers from Minnesota Community Care such as health educators, dietitians, medical assistants, and therapists. I worked at Highland Park High School clinic alongside a health educator to work with students around topics surrounding adolescent health from sex education, food, to medical resources. Health education at the high school level is crucial to healthy adolescent development and discussing relevant topics of youth well-being in a responsible and safe manner (Auld et al., 2020)


The school based clinics, including Highland Park, carried out free-of-charge medical services to students that are more comprehensive than just having a school nurse. We also ran health promotion campaigns to raise awareness for topics pertinent to teenagers and connect them to resources that are available on and off campus. Health education is key in helping students understand their changing bodies and minds in a holistic way that does not shame or stigmatize them. This work was directly related to public health in promoting safe choices, implementing public health campaigns, and ensuring that the overall student population are connected to health resources.

About Minnesota Community Care

Minnesota Community Care (MCC) provides affordable to free of charge healthcare services to communities within the Twin Cities across multiple locations. There are many divisions within the MCC umbrella such as the HealthStart Clinic and SoLaHmo Partnerships. The HealthStart Clinics are clinics they have set up at various Saint Paul Public schools to provide comprehensive medical services to public school students at no charge to them. MCC provides a broad range of services from medical to dental to all people regardless of income, insurance, or immigration status. This work is done through the Bonner Community Scholars Program at Macalester College.

My Role

On a day to day basis, I help in administrative and health education tasks for the clinic. I conduct research and create informative material about relevant topics as supplements to our health curriculum. I also conduct classroom outreach and health education relating to risk prevention and positive youth development.

In addition to my usual tasks, a long-term project that I have been working on is creating and facilitating a district-wide youth health advisory board for all the HealthStart Clinics across Saint Paul Public Schools. I helped coordinate youth board activities and meetings, making sure that students know where and when to show up. We envisioned having a group of high school students, one to two representatives from each high school, to act as a body for clinic staff members to be in conversation with and to help guide the work of the clinic. We were able to establish the board with five high schools starting in the February of 2020 before the pandemic abruptly halted all activities. The Youth Advisory Board was able to resume its activity again in October of 2020, though meetings were conducted virtually. The Youth Health Advisory Board serves as a body and space for representative students to voice their feedback about their respective clinics. We want to know how we are doing as a clinic, what problems students are facing in accessing the clinics' resources, and how we are able to better serve students. It is a way for clinic staff to identify problems that might go unnoticed, but are apparent among the student body. One example is that students talked about how shameful it can be to visit the clinics because of the stigma surrounding sex and the thought that students only go there to get free condoms and contraceptives, which can be true. Through students’ direct input and participation, we were able to come up with a few campaign ideas to raise awareness about the many resources that the clinics provide aside from contraceptives, such as nutrition planning and therapy while addressing some of the hesitancy that students might have in interacting with the clinic. Community participation in healthcare and health education are ways that my project directly connects to public health.

Lessons Learned

My position gave me a chance to see first hand how healthcare and services are delivered to students within a public education setting. I was able to interact with a variety of healthcare providers and a diverse student population. I saw the problems and the many roles that clinic staff took on. The clinic was extremely short-staffed due to the high demand of students wanting to be seen, especially by our therapist. This meant that many of our other providers had to take on additional roles and responsibilities, or connect students with outside resources to address their needs. Working with youths and a public school was extremely rewarding and I hope to work in adolescent health as part of my professional career later on. I find that students are very capable and have an intimate understanding of the social context and political space in which they are being nurtured/educated in.

References

Auld, M. E., M. P. Allen, C. Hampton, J. H. Montes, C. Sherry, A. D. Mickalide, R. Logan, W. Alvarado-Little, and K. Parson. 2020. Health Literacy and Health Education in Schools: Collaboration for Action. NAM Perspectives. Discussion Paper. National Academy of Medicine. Washington, DC. https//doi.org/10.31478/202007b

Dat Nguyen

Hello! I am an Environmental Studies - Community and Global Health Emphasis Senior with a minor in Biology. I am from Wichita, Kansas and Vung Tau, Viet Nam. My interests are in pediatric health, environmental justice, and social medicine, contextualizing them within oppressive systems that impede human health. I love sitting inside the house, scrolling on my phone, and playing volleyball. After Macalester, I will be working at a health clinic to gain more clinical experience before applying to medical school.

Image Credits:

Header Photo: Pioneer Press

Minnesota Community Care logo: Minnesota Community Care

Youth Advisory Council Cover Page: Adolescent Health Initiative