The Bureau of School Health (BSH) is the provider of record for school health services in Baltimore City public schools. The BSH delivers and coordinates health services in health suites and School-Based Health Centers (SBHCs). Services are provided to more than 84,000 students in more than 200 schools. Priorities include early nursing intervention in elementary schools; skilled nursing management for children with special health needs; mandated screening for hearing and vision impairments; mandated immunizations; health case management; and coordination with other services including primary care, mental health and substance abuse services. BSH also operates several School-Based Health Centers (SBHCs). which are primary care health centers offering preventive, primary, chronic and mental health care services to students who have a broad range of medical needs.