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Coordinated School Health

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American. Body Mass Index Above the 95 percentile for age and sex (2000-2002 Span Data) ... School Health Advisory Council. Coordinated School Health Leadership ... – PowerPoint PPT presentation

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Title: Coordinated School Health


1
Coordinated School Health
  • The Process of Change

2
Goals and Objectives
  • GOAL Provide information and resources
  • to assist in development or support for CSH in
    each district by utilizing www.reinventingeducatio
    n.org
  • Objectives
  • Understand the foundations of the change process
  • People and Structure
  • Process versus Content
  • Provide you with practical information, resources
    and strategies to utilize in program planning and
    implementation
  • Utilize an example of implementing Fitnessgram in
    showing change in process and structure

3
Agenda
1. WELCOME/INTRODUCTIONS
2. WHAT IS COORDINATED SCHOOL HEALTH (CSH)?
3. REVIEWING THE CHANGE PROCESS
4. UTILIZING REINVENTING EDUCATION TOOLKIT
5. A SAMPLE PROJECT EXERCISE
6. TAKING COORDINATION HOME
4
Youth Risk Behaviors
  • Tobacco Use
  • Poor Food Choices and Inappropriate Portion Sizes
  • Inadequate Physical Activity
  • Alcohol and Drug Use
  • Sexual Behaviors That Can Transmit HIV and other
    STDs
  • Unintended Pregnancy
  • Intentional and Unintentional Injuries, Often Due
    to Violence

5
National Trends Adults
6
National Trends in Child Overweight
7
Texas Health Data 2000-2002
African American
Hispanics
White/ Other
Girls
Boys
All
Body Mass Index Above the 95 percentile for age
and sex (2000-2002 Span Data)
8
Rate of Childhood Overweight-Texas
 
 
  • Table 2. Prevalence of overweight1 and at-risk-of
    overweight2 in Texas school-age children between
    2004 and 2005

9
National Diabetes Trends
10
National Diabetes Prevalence
1994
2004
11
National Diabetes Ethnicity Trends
12
Promoting Healthy Behaviors
  • Refusal Skills
  • Decision Making
  • Goal Setting
  • Communication
  • Healthy Relationship Building
  • Interest in Alternative Health Promotion
    Activities

13
What is Coordinated School Health?
14
Introduction to CSH
  • Effective CSH can
  • 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

15
CSH and the 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

16
Why Coordinate?
17
Comprehensive Health Education
  • A planned, sequential, K-12 curriculum that
    addresses physical, mental, emotional and social
    dimensions of health.
  • Curriculum motivates and assists students to
    maintain and improve health, prevent disease and
    be good health consumers.
  • Incorporates the Texas Essential Knowledge in
    Skills
  • Is taught by qualified and trained teachers.

18
Physical Education
  • Planned, sequential K-12 instruction that
    promotes lifelong physical activity utilizing the
    Texas Essential Knowledge and Skills
  • Designed to develop basic movement skills,
    sports skills, and physical fitness as well as
    to enhance mental, social, and emotional
    abilities.
  • Is taught by qualified and trained physical
    education teachers.

19
Health Services
  • Services provided to appraise, protect and
    promote health.
  • Includes treatment of acute and chronic
    conditions as well as preventive services,
    referrals to primary health care providers and
    education to students and staff.
  • Provided by a qualified and trained health care
    practitioner or other allied health personnel.

20
Nutrition Services
  • Integration of nutritious, affordable, and
    appealing meals nutrition education and an
    environment that promotes healthy eating
    behaviors for all children
  • Follow the U.S.D.A. and Texas Dept. of
    Agriculture Guidelines
  • Services are provided by qualified and trained
    child nutrition staff

21
Counseling and Psychological Services
  • Services provided to improve students mental,
    emotional and social health.
  • May include individual and group activities that
    assess, intervene and refer to appropriate
    services.
  • Services are provided by qualified, trained
    mental health professionals

22
Healthy School Environment
  • The physical and aesthetic surroundings and the
    psychosocial climate and culture of the school.
  • The psychological environment that includes the
    emotional and social conditions that affect the
    well-being of students and staff.

23
Health Promotion for Staff
  • Assessment, education and fitness activities for
    school faculty and staff
  • Designed to maintain and improve the health and
    well-being of school staff who serve as role
    models for children
  • Health promotion activities have improved
    productivity, decreased absenteeism and better
    moral in the school

24
Family/Community Involvement
  • Partnerships among schools, families,community
    groups, and individuals
  • School Health Advisory Councils
  • Increases awareness and support for the school
    health program
  • Development of community resources to address
    student health needs

25
Best Practices In School Health
1
2
3
4
Active Leadership
Coordinated And Collaborative Approach
Safe and Nurturing Learning Environment
Commitment Of Time, Personnel, Resources
26
Continuous Quality Improvement
The Journey Starts Here
Recruit
Organize
Evaluate
Assess
Plan
Implement
27
The Challenge of Improvement
  • Social, Economic and New Education Standards are
    impacting schools
  • This requires
  • Immediate and effective action and adjustment
  • Schools need to be adaptive
  • New leadership at every level
  • More empowered people both internal and external
    to the school
  • Ongoing innovation and change not simply a step
  • A rich culture of creativity and initiative
  • Difficult to achieve with traditional approaches,
    which were designed for a more static world.

28
Reasons for Change Fatigue
  • Details Matter General principles are not enough
    to guide effective action.
  • Balancing alignment (common direction) and local
    flexibility is necessary and difficult.
  • Leaders typically act on bold strokes (strategic
    moves) instead of long marches (broad
    implementation)
  • Success takes time initiatives are dropped too
    soon

29
Reasons for Change Fatigue, Cont.
  • Too much focus on content, too little on process
  • Too little effort is devoted to systems design
    and structure

30
Understanding Resistance to Change
  • Myths about change
  • Change will always be met with resistance.
  • It is hard to change peoples behavior.
  • Truths about change
  • Change that inspires fear often also inspires
    resistance.
  • Steps are rarely taken that make it easier for
    people to behave in a more productive way.

31
Why Resistance is Often Rational
  • It is often rational to resist change because
  • Too much is done to people instead of done by
    them.
  • People dont know the purpose or goal of the
    change.
  • People are concerned about future competence.
  • Extra work and time are required.

32
What is needed for change.
33
Coordination is a Process
  • Leaders are working on organizational change to
    make people more effective, innovative and
    productive.
  • Change happens over time by having leaders that
    are more process oriented and less content
    focused.
  • The CSH Leadership Team is key to providing input
    in planning, implementation and sustainability.

34
CSH Leadership Team Process
Phase 1
Phase 2
Phase 4
Phase 3
Update and Evaluate
Identify
Recruit
Orient
35
CSH Leadership Team Members
  • Representative of a Component or
  • Administration
  • Committed to Improving School Health
  • Willingness to Work on All Health Issues
  • Demonstrates Leadership
  • Willingness to Devote Time and Expertise

36
Assessment
  • Formal
  • School Health Index
  • On-Line
  • Downloadable
  • 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
  • Youth Risk Behavior Survey
  • Downloadable from CDC
  • Texas participates and data is available for state

37
Change Takes a Planned Approach or Process
  • The Reinventing Education Change Toolkit is a Web
    site created by IBM to help education
    professionals be more effective at leading and
    implementing change.
  • The content focuses on leadership and change
    management and will be most useful for people
    working on some sort of change or improvement
    effort.

38
Each area has clear directions for new users.
39
Simple step by step guides throughout the website
40
Examples of topics included in the Web site.
41
Different ways to search for information
42
These are some of the ways to keep folks informed
and engaged.
43
This section gives an overview and guided tours
as well as PowerPoint Presentations.
44
Many tools to assist in planning and managing a
project, including to do lists, communication
tools and a place for lessons learned.
45
The How to section includes strategies to
implement the change and build in community
buy-in.
46
Tools are developed to meet a wide array of needs.
47
Topics and tools located in the change wheel
section.
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64
Assessment
  • Formal-cont.
  • Local Information
  • Health Department
  • County Statistics
  • Local Law Enforcement Statistics
  • Alcohol and Drug Abuse Council Data
  • Other Local and Regional Data

65
Assessment-Cont.
  • Informal
  • Student Surveys (with parental permission)
  • Focus Groups
  • Parent Surveys
  • Trends seen in the medical and law enforcement
    community
  • Other community or regional resource information

66
Our School Districts Results
67
Key Strategies for Success
  • Develop mission and goals in collaboration with
    the SHAC
  • Facilitate the CSH Leadership Team
  • Communicate with the SHAC and Administration
  • Keep everyone updated and celebrate success
  • Formal reporting to SHAC and administration

68
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)

69
Complimentary Actions
  • Actions
  • Assign representative from each dept. to project
    team
  • Distributes survey to faculty
  • Summarize results and draft report
  • Actions
  • Assign member to project team
  • Get PTA to survey parents
  • Analyze results
  • Present report to school board

70
Where Do We Go From Here?
  • Identify top priorities based on
  • assessment and teachable moments
  • Utilize the Reinventing Education and SMART
  • strategies for developing goals, objectives
    and
  • activities
  • Keep communication open with both
  • SHAC and administration
  • Celebrate success and tell your story to
  • the community and other districts

71
Coordinated School Health
  • Thank You For Coming
  • and
  • Best Wishes on Coordinating School Health
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