Local school adds nurse practitioner in-house to help students with health care needs

School-based clinics are sometimes more accessible for communities who lack health care.
Alicia Napier, Northridge's nurse practitioner, poses in her clinic at Northridge schools. Courtesy of Northridge Schools.

Alicia Napier, Northridge's nurse practitioner, poses in her clinic at Northridge schools. Courtesy of Northridge Schools.

A local school district is trying to remove the barriers from students getting adequate health care and mental health help.

A program this school year is helping students in the Northridge School District get access to health care as they attend school. A pediatric nurse practitioner works in one of the district’s building to serve all students and administrators said it’s helping them focus better in school.

Northridge is close to Dayton Children’s, but a district spokeswoman said few pediatricians practice in the Northridge district. Because so many students in the district receive Medicaid assistance, it also makes it harder to find a pediatrician, since some doctors don’t accept the program.

“Medical and behavioral concerns can interfere with a student’s learning,” said Alicia Napier, the nurse practitioner working at Northridge. “Early detection of medical needs with prompt intervention can increase academic success.”

Napier started with the district in August.

Research has shown that students have a harder time focusing and learning when their basic needs aren’t met, such as when they are hungry or when they aren’t feeling well.

Northridge Schools now have a clinic for students to complete check-ups and diagnose common problems. Courtesy of Northridge Schools.

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Andrea Townsend, the district’s spokeswoman, said the district is working with Primary Health Solutions, which is designed to work with underserved populations on Medicaid, to share the costs of having an NP in the building.

Shane Allison, Student Health Services and Community STEM Instructor, said about 71% of Northridge students are enrolled in Medicaid. Allison noted Northridge is the sixth poorest district in the state, with a median household income of $27,000, and all students are eligible for free breakfast and lunch.

Napier can do basic physicals for kids, prescribe medications, and diagnose common illnesses. She’s also on-site, so students are missing fewer classes and have a convenient place for them to go when they do need assistance.

“Without the availability of the nurse practitioner on site at Northridge, our students would not be able to access onsite physicals, well-child checks, or diagnosis and treatment of common illnesses,” Townsend said. “This allows for time savings for families as well as fewer missed school days which leads to better outcomes for students. "

Northridge began working with Primary Health Solutions in 2019, when the district got three school-based counselors who were employed by PHS. Allison said getting a nurse practitioner was the next logical step.

The district also built an entire clinic for Napier to use with students, connected to a conference room that was converted to a mental health services office. Napier works closely with the mental health counselors, so it makes sense to combine care spaces, Northridge officials said.

Dayton Public Schools also offers health services at one of its school building. The district has a clinic at Roosevelt Elementary on West Third Street, which the local community can use, not just students. The clinic has its own, separate entrance to the clinic. The district works with Five Rivers to provide dental, vision, behavioral and medical health care.

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