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Program Description

  School Health Services

This program provides health services to students in Montgomery County Public Schools (MCPS). These services include: first aid and emergency care; health appraisal; medication and treatment administration; health counseling, consultation, and education; referral for medical, psychological, and behavioral problems; case management for students with acute and chronic health conditions, and pregnant and parenting teens; and hearing, vision, and lead certification screenings. Immunizations and tuberculosis screenings are administered at School Health Services Immunization Centers, primarily to international students enrolling in MCPS. Primary health care, provided by nurse practitioners and physicians, is provided to students enrolled at one of the County's School Based Health and Wellness Centers (SBHWC) or High School Wellness Centers. Head Start/Pre-K provides federally mandated health services to eligible three and four-year old children and is a collaborative effort of HHS, Office of Community Affairs, School Health Services, and MCPS.

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Program Contacts

Contact Nina Ashford, DrPH, MPH of the HHS - Public Health Services at 240-777-4253 or Grace Pedersen of the Office of Management and Budget at 240-773-1088 for more information regarding this department's operating budget.

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Program Performance Measures

Program Performance MeasuresActual FY24Actual FY25Estimated FY26Target FY27Target FY28
Number of children in full-day Head Start program 1563600450450450
Percent of 3-year olds with demonstrated school readiness72%90%85%85%85%
Percent of 4-year olds with demonstrated school readiness 281%75%85%85%85%
Number of client visits to school health services 3717,967762,970763,000763,000763,000
Number of immunizations administered to students at SHS Immunization Center and SBHWCs 420,44216,15316,15016,15016,150
Percent of students that return to class and are ready to learn after a health room visit 584%80%82%82%82%
1  The maximum full-time capacity for the program is 540, but FY25 data is higher due to attrition throughout the year. In FY26, the Head Start program model changed to include 75 children 0-3 years of age to be served in a community-based model. MCPS will continue to serve 450 children.
2  Fluctuations in percentages due to changes in MCPS mathematics curriculum for more rigorous instruction.
3  Self-care visits are included in the total. The program anticipates the number of visits to remain stable going forward.
4  Despite a decrease in FY25, the program anticipates the number of immunizations to remain stable going forward.
5  The percent of students sent home has remained stable year-to-year regardless of the number of students enrolled or who visit the health room. The program strives to provide students with the care they need to minimize time out of class.
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Program Budget Changes

FY27 Recommended ChangesExpendituresFTEs
FY26 Approved51096945369.36
Enhance: Reduce Nurse Management Staffing Ratios (Assumes January 2027 Start)3400555.00
Enhance: Continue Head Start Contractual Nurse Staffing to Annualize FY26 Supplemental Appropriation2611030.00
Reduce: Two School Based Health Centers Somatic Services to Three Days Per Week-3491210.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.13905790.00
FY27 Recommended52739561374.36