School based health centers (SBHCs) have been providing preventive, acute and chronic care in schools across the United States (US) for the past 40 years. A discussion of that care is provided in a companion article to this one. Several major societal issues of the 2020s, affecting the care provided in SBHCs, have taken place over the past 4 years. These issues, which will be discussed in this article, include the following: 1. The COVID pandemic had a major impact on utilization and services required at SBHCs, both at the peak of the pandemic, when schools were closed and since the peak of the pandemic, when schools reopened. 2. The transformation of mental health services, due both to increasing mental health needs of youth, as well as progression to new therapeutic modalities, has required expansion of services provided at SBHCs. 3. New immigrant health care needs and services have required a response by SBHCs to the substantial increase of new immigrants, most of whom are impacted by significant trauma, entering public schools nationally. 4. Telehealth integration into SBHC medical and mental health services, and its expansion to incorporate new technologies, have provided avenues for increased provision of services by SBHCs.

中文翻译：

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学校健康中心护理当前面临的挑战：新冠肺炎、心理健康护理、移民青年、远程医疗的扩展

过去 40 年来，学校健康中心 (SBHC) 一直在美国 (US) 各地的学校提供​​预防性、急性和慢性护理。本文的配套文章中对此护理进行了讨论。过去 4 年中发生了 2020 年代的几个重大社会问题，影响了 SBHC 提供的护理。本文将讨论的这些问题包括以下内容： 1. 新冠疫情大流行对 SBHC 的利用和所需服务产生了重大影响，无论是在大流行高峰期、学校关闭时还是自疫情高峰期以来。疫情爆发，学校重新开学。 2. 由于青年心理健康需求的增加以及新治疗方式的发展，心理健康服务发生了转变，需要扩大 SBHC 提供的服务。 3. 新移民的医疗保健需求和服务要求 SBHC 对进入全国公立学校的新移民大量增加做出反应，其中大多数人受到严重创伤的影响。 4. 将远程医疗纳入 SBHC 医疗和心理健康服务，并扩展到纳入新技术，为 SBHC 增加提供服务提供了途径。