What began in 1989 as a modest pilot program at Rainier Beach High School is now a model for an effective school-based health care system, serving over 10,000 elementary, middle and high school students each year across King County (and part of a larger Washington State network).

Funded initially by the Seattle Families and Education Levy, King County’s system of school-based health centers is now funded by the Families, Education, Preschool, and Promise Levy (managed by the City of Seattle Department of Education and Early Learning), the Best Starts for Kids Levy and King County General Funds. School-based health center services are coordinated by Public Health–Seattle & King County. Several community health care partners are part of a system that operates school-based health centers at over 30 elementary, middle and high schools, including Kaiser Permanente, Swedish Medical Center, Public Health–Seattle & King County, Neighborcare Health, HealthPoint, International Community Health Services, Country Doctor Community Health Centers and Odessa Brown Children’s Clinic (Seattle Children’s Hospital), providing nearly 50,000 health care visits annually.Clinic Picture

School-based health centers offer a comprehensive scope of services including asthma care, immunizations, family planning, and mental health counseling (learn more from the Washington State School-Based Health Alliance FAQ). In addition to addressing health care concerns, they also promote good health for a lifetime through good nutrition education, supportive relationships, and reinforcement of positive self-images.


All children and adolescents are healthy and ready to thrive in the classroom and in life


  • To promote evidence-based, community-informed, high quality, equitable, and culturally-relevant school-based health care to support all students to be healthy and academically engaged.
  • To accomplish our work through a systematic approach to partnerships and collaborative leadership between schools and school-based health centers.
  • To achieve measureable results for student health and academic
    outcomes so that students thrive in school and have a strong start to achieving lifelong success.


  1. Children, youth, and families bring strengths and resilience to our collective work.
  2. We support the health and academic engagement of the whole child/individual by promoting equity and by integrating medical, mental health, and oral health services for those seen in our clinics and in the school as a whole.
  3. Students and families are connected to school- and community-based services that actively address known health disparities and that are evidence-informed, culturally-informed and evidence-based.
  4. Work is prioritized through a public health perspective that works upstream on prevention and that considers social determinants of health in the distribution of resources.
  5. Decision-making is driven by program data, culturally-relevant research, and other key information to guide practice and distribution of resources to serve those with the highest need that can be met within our service framework.
  6. We value and support the contribution of everyone in the care team and how they work together on providing integrated medical and mental health care.
  7. We are collaborative and integrated with other services and resources within the school community that support and enhance our school-based health clinic efforts.
  8. We recognize that we are part of a larger healthcare system and that our goal is to link with community-based efforts when it is warranted.

Logic Model

Below is a logic model developed for Seattle and King County school-based health services (click link to enlarge):


Sponsoring Organizations

Country Doctor Community Health Centers:

  • Edmund S. Meany Middle School (Seattle Public Schools) **Opening September 2019**

HealthPoint Community Health Centers:

  • Evergreen High School (Highline School District)
  • Renton High School (Renton School District)
  • Tyee Campus (Highline School District)

International Community Health Services:

  • Highland Middle School (Bellevue School District)
  • Seattle World School (Seattle Public Schools)

Kaiser Permanente Washington:

  • Aki Kurose Middle School (Seattle Public Schools)
  • Franklin High School (Seattle Public Schools)
  • Interagency Academy (Seattle Public Schools)
  • Nathan Hale High School (Seattle Public Schools)
  • Washington Middle School (Seattle Public Schools)

Neighborcare Health:

  • Bailey Gatzert Elementary (Seattle Public Schools)
  • Chief Sealth High School (Seattle Public Schools)
  • Dearborn Park Elementary (Seattle Public Schools)
  • Denny International Middle School (Seattle Public Schools)
  • Highland Park Elementary (Seattle Public Schools)
  • Lincoln High School (Seattle Public Schools) **Opening September 2019**
  • Madison Middle School (Seattle Public Schools)
  • Mercer Middle School (Seattle Public Schools)
  • Robert Eagle Staff Middle School (Seattle Public Schools) **Opening September 2019**
  • Roosevelt High School (Seattle Public Schools)
  • Roxhill Elementary (Seattle Public Schools)
  • Van Asselt Elementary (Seattle Public Schools)
  • Vashon High School (also serving Chatauqua Elementary and McMurray Middle School; Vashon School District)
  • West Seattle Elementary (Seattle Public Schools)
  • West Seattle High School (Seattle Public Schools)

Odessa Brown Children’s Clinic (Seattle Children’s Hospital):

  • Beacon Hill International School (Seattle Public Schools)
  • Garfield High School (Seattle Public Schools)
  • Madrona Elementary (Seattle Public Schools)

Public Health–Seattle & King County:

  • Cleveland High School (Seattle Public Schools)
  • Ingraham High School (Seattle Public Schools)
  • Kent-Phoenix Academy (Kent School District)
  • Rainier Beach High School (Seattle Public Schools)

Swedish Medical Center:

  • Ballard High School (Seattle Public Schools)
  • Beaver Lake Middle School (mental health only) (Issaquah School District)
  • Gibson Ek Innovative High School (mental health only) (Issaquah School District)
  • Issaquah High School (mental health only) (Issaquah School District)
  • Issaquah Middle School (mental health only) (Issaquah School District)
  • Issaquah Valley Elementary (mental health only) (Issaquah School District)
  • Liberty High School (mental health only) (Issaquah School District)
  • Maple Hills Elementary (mental health only) (Issaquah School District)
  • Maywood Middle School (mental health only) (Issaquah School District)
  • Pacific Cascade Middle School (mental health only) (Issaquah School District)
  • Pine Lake Middle School (mental health only) (Issaquah School District)
  • Skyline High School (mental health only) (Issaquah School District)
  • Sunset Elementary (mental health only) (Issaquah School District)
  • Woodinville High School (mental health only) (Northshore School District)

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s