School-Based Health Centers

Possibilities for Change is helping SBHC overcome barriers and create positive change.

We know that School-Based Health Centers have unique needs and challenges:

  • Working with a predominantly at-risk youth population
  • Limited resources and uncertain funding—largely dependent on grants and fluctuating state budgets
  • Ongoing need for risk data (individual and population level) to show need, track outcomes and prove program effectiveness
  • Provide expert care across diverse topics with limited colleague collaboration
  • Limited time

That’s where we can step in. SBHC across the United States are using RAAPS to successfully identify and reduce risk behaviors for their students. In addition to effective risk reduction, RAAPS provides SBHC with critical real-time access to individual and population level data. This data enables SBHC to:

  • Meet state-level reporting requirements
  • Track outcomes and identify risk trends
  • Make more informed decisions and direct programming to areas of most need
  • Justify additional funding and more easily complete grant requests

RAAPS also offers unique benefits at the state-level by providing dashboard reporting and insight into the unique risks and trends across a state’s youth population. This reporting can be viewed at the “overall” state level, be broken down by socio-demographic variables, geographic region and/or by individual centers.

Identifying and Reducing Adolescent Risk Behaviors Statewide

With funding and support from Michigan’s Child and Adolescent Health Center Program, School-Based and Linked Health Centers (SBLHCs) across Michigan have implemented standardized risk screening using the RAAPS cloud-based system to identify these risky behaviors and provide risk reduction counseling using effective, evidence-based methods – including motivational interviewing.

This state-wide initiative was launched in 2011, and to-date over 100,000 youth across 97 Michigan SBLHCs have been screened and provide risk reduction counseling using effective, evidence-based methods – including motivational interviewing.

SBLHC Outcomes infographic

Learn more about the risks and trends identified as a result of this collaborative effort.

Case Studies

School Health Alliance - North Carolina

"It has definitely been worth the investment. We're using RAAPS data to better and more precisely inform program development. That's really helping us fulfill our mission: improving the health, safety, and academic success of our students."

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Michigan Department of Community Health

"Data is the lifeblood of any state-funded program. We wanted to know: are we directing programming to the highest risks and are we able, through identification and risk reduction counseling, to change those risks over time. With RAAPS we can identify trends and tailor our programs to real needs. And - with the right data we can make the case for new funds. RAAPS was a great investment for the State of Michigan."

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Henry Ford Health System, Detroit, Michigan

"RAAPS' electronic features make it a 'must have.' Teens complete RAAPS faster, more thoroughly and more honestly than they did the former, longer, paper assessment. Health providers supporting a given teen can access that teen's results, review results more efficiently, and there's consistent information across the entire patient population."

View Case Study

A few SBHC we partner with


  • Lessons Learned-integrating Adolescent Risk Assessment in SBHC's Part 1

  • Lessons Learned-integrating Adolescent Risk Assessment in SBHC's Part 2