A Study of a School-Based Clinic: Who Uses It and Who Doesn't?

Abstract
Reported data on school-based clinic utilization and reasons for use or nonuse. Nearly half the sample indicated clinic use and satisfaction. Almost all used medical services; over one fourth received psychological counseling. Factors influencing use were ease of access and perceptions that services were helpful and confidential Frequent users scored highest on measures of psychological distress. Most nonusers indicated they were healthy and didn't need help, but over one fourth did acknowledge not wanting others to know about their problems. Less than one fifth indicated parental objections as a factor. In contrast to clinic nonusers, clients reported less availability and satisfaction with help and support from family members.