Table 1 Division of labor in school health services in primary school grades 1–6 in Finland^a

Extensive health examinations in grades 1 and 5

x

x

Collection of background information for the extensive health examinations

x

 Well Child Clinic (pregnancy and birth, biopsychosocial development)

 Statements from the student welfare group

Evaluation: growth, vision, hearing, blood pressure, posture

x

Complementation of background information

x

Evaluation of growth, somatic, psychiatric and neurologic status

x

Diagnostics and differential diagnostics

x

Vaccinations

x

Referrals to physiotherapist, speech therapist, nutritionist

x

x

Referrals to secondary care

x

Guidance to or contact of specialized workers/other units

x

x

Referrals to laboratory tests

x

x

Referrals to medical imaging

x

Annual health checks (the general wellbeing, growth, eating, exercise and sleeping habits, friendships and hobbies)

x

Prescriptions

x

Health education and support

x

x

Evaluation of special needs in all grades

x

x

Control visits

x

x

Participation in student welfare groups^c

x

x