Coordinated School Health

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Coordinated School Health

• Leadership Team

Clara Cáceres Contreras Educational
Specialist School Health/Safe Drug-Free
Schools Region One ESC 956-984-6125 clara.contrer
as_at_esconett.org www.esc1.net
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Agenda
1. GOALS AND OBJECTIVES
2. WHAT IS COORDINATED SCHOOL HEALTH (CSH)?
3. WHY COORDINATED SCHOOL HEALTH
4. BEST PRACTICES COORDINATED SCHOOL HEALTH
5. TEA APPROVED PROGRAMS
6. STORIES FROM THE FIELD
7. WHAT NEXT- ACTION PLAN
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Goals and Objectives

• GOAL Provide information and resources
• to assist in development or support for CSH in
  each district.
• Objectives
• Help fully understand the value of CSH
• Give understanding of laws
• Provide you with practical information, resources
  and strategies to utilize in program planning and
  implementation
• Provide best practices in
• Assessment
• Recruitment of a CSH Leadership Team
• Organization and Planning based on SHAC
  recommendations
• Effective implementation and Evaluation

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Coordinated School HealthBingo Full Card!
EXPECTATIONS FOR TODAY
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Why Coordinated School Health?

• Tobacco Use http//www.cdc.gov/brfss
• Poor Food Choices and Inappropriate Portion Sizes
  http//www.cdc.gov/HealthyYouth/yrbs/slides/index.
  htm
• Inadequate Physical Activity http//www.dshs.stat
  e.tx.us/diabetes/pubstats.shtm
• Alcohol and Drug Use http//www.dshs.state.tx.us
  /sa/research/OnLinePresentations.shtm
• Sexual Behaviors - HIV and other STDs
  http//www.dshs.state.tx.us/hivstd/stats/dotmaps/a
  ids1986.shtm
• Unintended Pregnancy http//www.dshs.state.tx.us/
  CHS/VSTAT/latest/MAP6.shtm

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National Trends Adults
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National Trends in Child Overweight
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Rate of Childhood Overweight-Texas
 
 

• Table 2. Prevalence of overweight1 and at-risk-of
  overweight2 in Texas school-age children between
  2004 and 2005

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National Diabetes Trends
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National Diabetes Prevalence
1994
2004
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What is Coordinated School Health?

• Coordinated School Health is a systemic approach
  to promoting the physical, emotional and social
  health and well being of students. It includes an
  organized set of policies, procedures and
  activities designed to connect health with
  education to improve their capacity to learn
  through the support of families, communities, and
  schools working together.

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National Diabetes Ethnicity Trends
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Teaching Healthy Behaviors

• Health Knowledge Skills
• Social Skills
• Refusal Skills
• Decision Making Skills
• Goal Setting Skills
• Communication Skills
• Healthy Relationship Building Skills
• Interest in Alternative Healthy Activities

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Example of Uncoordinated System
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What is Coordinated School Health?
Group activitydiscuss the weakness in your
assigned component and how it contributes to the
obesity issue and the strength that component can
bring to the Coordinated School Health Leadership
Team to benefit children, staff and community.
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Effective Coordinated School Health Programs

• Increase Academic Achievement
• Decrease Absenteeism and Drop-out Rates
• Reduce the Risk of Premature Death
• Decrease Health Care Costs
• Improve Economic Productivity and National
  Security
• Increase School/Community Partnerships to Address
  the Health Needs in the Community

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Research Behind Coordinated School Health Programs

• Family Community Involvement
• Supportive parents increase the likelihood of
  better attendance, better grades and homework
  being completed.
• Teachers and parents working together support
  accountability necessary for student success.
• Students that participate in community activities
  show a reduction in school suspension rates, have
  a positive impact on academic achievement and
  improve school related behaviors.
• Students increased interest in co-curricular and
  after school community activities show a positive
  impact on students.
• CSH can enhance linkages to community programs
  that support rather

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Research Behind Coordinated School Health Programs

• School Health Education
• Increase students knowledge and their ability to
  make healthy decisions.
• Students that receive well researched curricula
  indicates its effectiveness to assist students in
  establishing and maintaining healthy behaviors.

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Research Behind Coordinated School Health Programs

• Physical Education
• Mental health and physical health improve
• Classroom behaviors improve
• Research has demonstrated a connection with
  physical activity and brain function

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Research Behind Coordinated School Health Programs

• Health Services
• be preventive in nature and include education,
  first aid, screenings, medication administration,
  emergency care, and appropriate management of
  students with special health care needs
• on-site health services programs report increased
  classroom attendance, decreased drop out and
  suspension rates, and higher graduation rates
• school-based health centers are not the norm,
  this study illustrates that regular access to
  health services can have a positive impact on
  student success

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Research Behind Coordinated School Health Programs

• Counseling, Psychological Social Services
• prevention, address problems, facilitate positive
  learning and health behavior and enhance healthy
  student development
• targeting students in high-risk situations can be
  an effective strategy to prevent drop-outs

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Research Behind Coordinated School Health Programs

• School Nutrition Services
• provides an attractive meal program
• includes nutrition education and a food
  environment that promotes healthy eating.
• ensures that schools offer nutritious, appealing
  choices whenever and wherever food and beverages
  are available on campus
• offers a school breakfast programs that provides
  a healthy start for the day that may not
  otherwise be available

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Research Behind Coordinated School Health Programs

• A Safe Healthy School Environment
• the physical environment can be either a support
  of a hurdle to student achievement
• as with adults in their workplaces, students
  perform better in facilities that are attractive,
  functional, safe and secure
• students must feel support from administrators,
  teachers and peers to reach their full potential
  
• students who develop a positive affiliation with
  school are also more likely to remain
  academically engaged and less likely to be
  involved in misconduct at school.

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Research Behind Coordinated School Health Programs

• Staff Wellness Health Promotion
• administrators, teachers and other staff enhance
  their well-being
• staff also become role models for the students in
  their care
• reinforcement is critical to sustaining healthy
  behaviors in both the adults and students.
• health benefits of regular physical activity are
  well documented and include stress reduction,
  maintenance of healthy weight and improved sense
  of well-being

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Best Practices In School Health
1
2
3
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Active Leadership
Coordinated And Collaborative Approach
Safe and Nurturing Learning Environment
Commitment Of Time, Personnel, Resources
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Active Leadership

• Key decision makers in school administration
  support school health.
• Policies, programs and facilities promote clear,
  high expectations for positive academic
  achievement and positive health choices.
• The SHAC meets regularly and offers guidance.
• A trained employee has sufficient resources to
  coordinate the school health program.
• Priorities are set based on information about
  youth health risks in the community.

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Coordinated and Collaborative Programs

• The SHAC has input into all aspects of school
  health including health services the school
  lunch and drug-free schools program and, the
  health education program.
• Health enhancing messages from multiple sources
  are consistent and coordinated across all
  disciplines. (e.g., nutrition education is
  reinforced by lunchroom offerings safety
  messages are underscored by seat belt
  availability and use on school buses, etc.).
• Priorities, roles and tasks are identified and
  established based on an understanding of
  community values and culture as well as student,
  family and school staff needs.

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Coordinated and Collaborative Programs

• The SHAC and Coordinated School Health Leadership
  Team (CSH Leadership Team) provides a forum for
  open communication.
• The SHAC works with the CSH Leadership Team to
  refine the health program regularly based on
  changing needs and resources.
• The coordinated school health program addresses
  the needs of all students, families and school
  staff.
• The coordinated school health program links with
  health and social service providers as well as
  programs and other resources in the community.
• The school has set up CSH Leadership Team to work
  with the SHAC.

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Safe and Nurturing Environment

• Facilities are hazard-free and policies and
  practices promote positive academic achievement
  and healthy choices.
• Staff is nurturing, open and supportive of a
  coordinated approach to learning.

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Commitment of Time, Personnel and Resources

• Time, personnel and resources are coordinated and
  well managed.
• Students, families and school employees have
  access to appropriate resources.
• School staff has adequate time to plan and
  deliver health instruction, support services and
  foster collaborative activities with community
  partners.
• Time and resources are available to seek funding
  for efforts that address student and school needs.

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Coordinated School Health in Texas

• Mandated by Law
• Focus on the Whole Child
• Involve Coordination and Collaboration
• Enhance the School Health Efforts
• Increases Communication Between the School and
  Community

• Texas Dept. of Ag Nutrition Policy/vending
  machines
• Mandatory requirement to have a School Health
  Advisory Council (SHAC) in every school district
• Legislative mandates (SB42) to
• promote physical activity through 8th grade
• Expanding coordinated school health thru middle
  school
• Establishment of state-level SHAC
• Defining accountability for each district

• CSH and SHAC in Texas
• Mandated by Law
• Focus on the Whole Child
• Involve Coordination and Collaboration
• Enhance the School Health Efforts
• Increases Communication Between the School and
  Community

• Mandated by Law
• Focus on the Whole Child
• Involve Coordination and Collaboration
• Enhance the School Health Efforts
• Increases Communication Between the School and
  Community

• Mandated by Law
• Focus on the Whole Child
• Involve Coordination and Collaboration
• Enhance the School Health Efforts
• Increases Communication Between the School and
  Community

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Coordinated Health Program Requirements for Texas

• SECTION 3. COORDINATED HEALTH PROGRAM FOR
  ELEMENTARY And JH SCHOOL STUDENTS.
• (a) The agency shall make available to each
  school district a coordinated health program
  designed to prevent obesity, cardiovascular
  disease, and Type II diabetes in elementary
  school students. The program must provide for
  coordinating
• (1) health education
• (2) physical education and physical activity
• (3) nutrition services and
• (4) parental involvement.
• (b) The agency shall notify each school district
  of the availability of the program.

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TEA Approved Programs

• Currently there are 4 programs that have been
  approved by TEA
• Bienstar
• CATCH
• Great Body Shop
• Healthy and Wise
• Others will be reviewed for approval
• School districts can submit their locally
  developed CSH program for approval (it must meet
  the criteria set out by TEA)

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CSH Leadership Team Members

• District Health Representatives
• Committed to Improving School Health
• Willingness to Work on All Health Issues
• Demonstrates Leadership
• Willingness to Devote Time and Expertise

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Complimentary Actions

• Actions
• Assign representative from each dept. to project
  team
• Distributes CSH initial assessment or SHI survey
  to staff
• Summarize results and draft report

• Actions
• Selected and approved by superintendent
• Assign member to project team
• Get PTA to survey parents
• Analyze results
• Present report to school board

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CSH Leadership Team Process
Phase 1
Phase 2
Phase 4
Phase 3
Evaluate Improve
Identify
Recruit
Orient Update
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Continuous Quality Improvement
The Journey Starts Here
Recruit
Organize
Evaluate
Assess
Plan
Implement
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Formal Assessment

• School Health Index
• On-Line or Downloadable
• http//www.cdc.gov/nccdphp/dash/SHI/index.htm
• Hard Copy by Request from CDC
• School Health Policies and Practices
• Conducted Nationally
• Texas participates in the survey
• Downloadable questions to use in local districts
• http//www.cdc.gov/HealthyYouth/shpps/ind
  ex.htm
• Youth Risk Behavior Survey
• Downloadable from CDC
• Texas participates and data is available for
  state
• http//www.cdc.gov/HealthyYouth/yrbs/index.h
  tm
• Local Statistics
• Health Department
• County Statistics
• Local Law Enforcement Statistics
• Alcohol and Drug Abuse Council Data
• Other Local and Regional Data

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Informal Assessment

• Student Surveys (with parental permission)
• Focus Groups
• Parent Surveys
• Trends seen in the medical and law enforcement
  community
• Other community or regional resource information

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School Health Index Orientation Power Point

• School Health Index Knowledge Handout

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Key Strategies for Success

• Facilitate the CSH Leadership Team
• Develop mission and goals in collaboration with
  the SHAC
• Communicate with the SHAC and Administration
• Formal reporting to SHAC and administration
• Keep everyone updated and celebrate success

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Where Do We Go From Here?

• Identify top priorities based on assessment and
  teachable moments
• Utilize the SMART strategies for developing
  goals, objectives and activities
• Keep communication open with both SHAC and
  administration
• Use evaluation findings to plan program
  improvements.
• Develop reports and presentations to inform
  program staff and key stakeholders at the local,
  state, and federal levels about your program.
• Celebrate success and tell your story to the
  community and other districts.

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Develop SMART objectives

• Specific objectives include who will be targeted
  and what will be accomplished.
• Measurable objectives include how much change is
  expected specifically enough that achievement of
  the objective can be measured through counting or
  documenting change.
• Achievable objectives can be realistically
  accomplished given your programs existing
  resources and constraints.
• Realistic objectives address the scope of the
  health problem and propose reasonable
  programmatic steps.
• Time-phased objectives provide a timeline
  indicating when the objective will be met.

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What happens when critical pieces are missing?
WHATS NEEDED FOR CHANGE TO OCCUR?
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Teambuilding Lessons We Can Learn from Geese

• FACT 1
• As each goose flaps its wings it creates an
  uplift for the birds that follow.
• By flying in a V formation, the whole flock
  adds 71 greater flying range.
• Than if each bird flew alone.
• LESSON
• People who share a common direction and sense of
  community can get where they are going quicker
  and easier because they are traveling on the
  thrust of one another.
• FACT 2
• When a goose falls out of formation, it suddenly
  feels the drag and resistance of flying alone.
  It quickly moves back into formation to take
  advantage of the lifting power of the bird
  immediately in front of it.
• LESSON
• If we have as much sense as a goose we stay in
  formation with those headed where we want to go.
  We are willing to accept their help and give our
  help to others.
• FACT 3
• When the lead goose tires, it rotates back into
  formation and another goose flies to the point
  position.
• LESSON
• It pays to take turns doing the hard tasks and
  sharing leadership. As with geese, people are
  interdependent on each others skills,
  capabilities and unique arrangements of gifts,
  talents or resources.
• FACT 4
• The geese flying in formation honk to encourage
  those up front to keep up their speed.
• LESSON
• We need to make sure our honking is encouraging.
  In groups where there is encouragement, the
  production is much greater. The power of
  encouragement (to stand by ones heart or core
  values and encourage the heart and core of
  others) is the quality of honking we seek.
• FACT 5