Infections and vasculitis]

Recent interest in case management by elementary and secondary schools has arisen out of a growing recognition that schools alone are not prepared to address the myriad of health, education, and social service needs of a large number of students, particularly children living in poverty. Boys and girls entering classrooms hungry, sick, homeless, or otherwise distracted are not ready to learn. Improving readiness to learn is a major agenda among educators. Case management is one approach many schools are beginning to use to collaboratively engage parents, community service agencies, the private sector, and communities at large in pursuit of the goal. A promising school-based case management model has been developed and successfully field tested by the University of Washington. The model operationally defines case management, delineates a delivery structure, and includes an evaluation design. Results from a five-year study sponsored by the U. S. Department of Education are encouraging. Although several challenges persist, the future for school case management use is optimistic. Several enhanced variations of the Center for the Study and Teaching of At-Risk Students (C-STARS) case management model are now being demonstrated across the country.