This is part 2 of our first-hand look at reproductive health access for teen girls in our home state of Washington. Read our introduction to the series here.

Chief Sealth International is a Seattle public school in the diverse neighborhood of Delridge, on the southwest end of the city. It’s a modern building, airy and light-filled, and the surprisingly buoyant mood set by gleefully yelling teenagers almost makes you forget how awful high school actually is. Unassumingly perched over the atrium is the school-based health center, where the students can get treatment for sore throats (both feigned and not), bandages for sprained ankles, and IUDs.

At the end of 2009, the American College of Obstetricians and Gynecologists formally recommended long-acting reversible contraceptives (LARCs) — IUDs and hormonal implants — as the most effective ways for teen girls to avoid unintended pregnancy, and Seattle’s public health department quickly decided that they should be available in school-based clinics. (These clinics, which have also provided other forms of birth control to students since the mid 1990s, are funded by a city-wide Families and Education Levy, which voters have supported since 1991.)