SchoolHealth Partnerships KickOff Meeting

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School-Health PartnershipsKick-Off Meeting

• The Maryland Perspective

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• Presenters
• Donna Behrens, Health Policy Director
• Governors Office for Children, Youth, and
  Families
• Dr. Eric Fine, Chair, Maryland State School
  Health Council
• Vicki Taliaferro, Health Services Specialist,
  Maryland State Department of Education
• Dr. Cheryl DePinto, Chief, Adolescent and Child
  Health, Department of Health and Mental Hygiene

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Healthy Kids MakeBetter Students.Better
Students MakeHealthy Communities.
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Goal To promote students optimal learning
ability and maximize learning opportunities by
supporting, maintaining and improving their
physical, emotional and mental health.

• Queen Annes County, Maryland
• School Health Services Program

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Coordinated School Health Programs
Coordinated Pupil Services
School Environment
Health Education
School Food Services
Healthy Kids Make Better Students
School Health Services
Physical Education
Staff Wellness
Parent/Community Partnerships
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Legislative Chronology

• 1950s Pupil Services Regulation
• 1960s MSSHC Regulation
• 1991 School Health Standards
• 1993 Creation of Healthy Schools Coalition
• 1999 Health Education Regulations

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State Partners

• Department of Health and Mental Hygiene
• Maryland State Department of Education
• Governors Office for Children, Youth and
  Families
• MSSHC serves as an advisory to all three state
  agencies

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Maryland State School Health Councils Specific
Goals

• To improve the health of children through
  development of comprehensive school health
  programs
• To review comprehensive school health program
  issues and make recommendations to the State
  Superintendent of Education, the State Secretary
  of Health and Mental Hygiene, and the Special
  Secretary of the Office of Children, Youth and
  Families, their designated representatives,or the
  Council membership

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Maryland State School Health Councils Specific
Goals

• To educate and disseminate information regarding
  the development and improvement of comprehensive
  school health programs
• To aid in the development of local school health
  councils in Maryland
• To develop, review, and recommend to the
  Department of Health and Mental Hygiene, the
  Department of Education, the Office of Children,
  Youth and Families, and local governments policy
  and legislation regarding comprehensive school
  health programs

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Maryland State School Health Councils School
Year 2000-2001 Priorities

• Capabilities of Local School Health Councils
• School-based Tobacco Prevention/Cessation
• Local and State Health and Education Agency
  Collaboration
• Health Education Outcomes/Indicators
• Physical Education Content Standards
• School Nurse Certification

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Maryland State School Health Councils School
Year 2000-2001 Priorities

• Comprehensive Local Environmental Health Plans
• Teen Pregnancy Prevention Blueprint
• School Health Council Newsletter
• Bylaws Review and Update

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Role of Localities

• Local School Health Councils
• Each school is mandated to have a Pupil Services
  Team which includes health services, guidance
  psychological services,pupil personnel, and
  administration

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Marylands School Health Services

• In 1957, Maryland enacted Education Article 7-401
  -Local school systems, with the assistance of
  local health departments, are responsible for
  providing school health services, health
  education, and healthful environment to all
  public schools.
• In May 1991, the State Board of Education adopted
  the School Health Services Standards (COMAR
  13A.05.05.05-.15)

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Two basic models of school health services
staffing

• RN in every school
• RN is assigned to 1-4 schools with a
  paraprofessional in every school under an RNs
  supervision.

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Local Funding of School Health Services Programs
of jurisdictions
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Who Employs School Health Services Staff In
Maryland?
of RNs and other health services staff
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Which Agency Primarily ManagesSchool Health
Services Programs in Maryland?
of jurisdictions
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Accomplishments

• Joint declaration
• Annual meeting of Superintendents and Health
  Officers
• Local School Health Councils
• Maryland Healthy Schools Coalition
• School-based wellness centers in 64 schools

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Accomplishments

• Training
• School Health Institute
• Coordinated School Health Team training
• MSSHC semi-annual conferences
• Positive Behavioral Intervention Training

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Accomplishments

• Technical Assistance
• School Health Services onsites
• 3 SBHC administrative meetings/yr
• School Health Services/School Psychology
  Services, Guidance Counselors periodic inservices
• Pupil Services onsites

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Accomplishments

• Health Services Guidelines
• Health Education Curricula
• Physical Education Standard
• ADHD Advisory Committee
• Medication Administration Training
• Asthma Partnerships

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Partnerships require enthusiastic but careful
dancing
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What is very clear, is that education and health
for children are inextricably entwined. A
student who is not healthy, who suffers from an
undetected vision or hearing deficit, or who is
hungry, or who is impaired by drugs or alcohol,
is not a student who will profit optimally from
the educational process.

• J. Michael McGinnis, Director
• Disease Prevention and Health Promotion
• U.S. Public Health Service

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School-based Health CentersCritical Caring on
the Front Line

• Comp. health assessment 95
• Anticipatory guidance 95
• Screenings (vision, hearing) 94
• Treatment of acute illness 94
• Nutrition counseling 91
• Asthma treatment 91
• Prescriptions for medication 90
• Sports physicals 90
• Lab tests 89
• Meds administered in SBHC 86
• Treatment of chronic illness 84
• Psychosocial assessment 73
• Medications dispensed 62
• Dental screenings 52

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Top Ten States with School-Based Health Centers
Note The survey was conducted by the Making the
Grade National Program Office in the summer of
2000. In February 2001, Making the Grade became
The Center for Health and Health Care in Schools.
The Center remains at The George Washington
University and is co-sponsored by the School of
Public Health and Health Services and the
Graduate School of Education and Human
Development.
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• 2001
• Currently 64 SBHCs
• Located in 11 of the 24 jurisdictions
• Distribution
• 29 Elementary Schools
• 14 Middle Schools
• 18 High Schools
• 1 K-8 School
• 2 Middle/High Schools

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Questions?