Health is Academic

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IS
Health is Academic
Shane McNeill Office of Healthy Schools
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Why?

• If schools do not deal
• with childrens health
• by design, they deal
• with it by default.
• Health is Academic, 1997

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FIT
HEALTHY
READY TO SUCCEED
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Every day in Mississippi, we have an opportunity
to reach

• 494, 038 public school students
• 152 School Districts
• 618 Elementary Schools/225 Secondary Schools
• Over 68,000 adults work as teachers, school
  building staff, or school district staff

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Why Coordinated School Health?

• It is difficult for students to be successful in
  school if they are

• Depressed
• Tired
• Being bullied
• Stressed
• Sick
• Using alcohol or other drugs
• Hungry
• Abused

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MASLOWS HEIRARCHY AND COORDINATED SCHOOL HEALTH
Health Education
Motivated and Learning
Physical Education
Health Services
Nutrition Services
Sense of Positive Self-Esteem
Counseling, Psychological and Social Services
Sense of Belonging and Importance Sense of Being
Loved and Appreciated
Healthy School Environment
Health Promotion for Staff
Family/Community Involvement
Free of Fear and In A Safe place
Physical Health
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The relationship makes sense
Self-Actualization
Maslows Hierarchy
Aesthetic Needs
Growth Needs
Cognitive Needs
Esteem Needs
Deficiency Needs
Barriers to Learning
Belonging and Love Needs
Safety Needs
Biological and Physical Needs
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Why Coordinated School Health?Six behaviors
account for most of the serious illness and
premature deaths in the U.S.

• Tobacco Use
• Abuse of alcohol and other drug use
• Unintentional injuries and violence
• Sexual Behaviors resulting in HIV, sexually
  transmitted diseases or teenage pregnancy
• Poor eating habits
• Inadequate physical activity

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Health Education

• Reading and math scores of third and fourth
  grade students who received comprehensive health
  education were significantly higher than those
  who did not receive comprehensive health
  education
• Schoener, Guerrero, and Whitney, 1988

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Physical Education

• Intensive physical activity programs for
  students led to an improvement in students
  scores in mathematics, reading, and writing and
  to a reduction in disruptive behaviors in the
  classroom. Sallis,
  1999

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Health Services

• Early childhood and school aged intervention
  programs that provide parental support and health
  services are associated with improved school
  performance and academic achievement.
• Early intervention may also improve high school
  completion rates and lower juvenile crime.
• Reynolds, Temple, Robertson, and Mann, 2001

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Healthy School Environment

• The physical condition of a school is
  statistically related to student academic
  achievement.
• An improvement in the schools condition by one
  category, say from poor to fair, is associated
  with a 5.5 point improvement in average
  achievement scores.
• Berner, 1993

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Health Promotion for Staff

• Teachers who participated in a health promotion
  program focusing on exercise, stress management,
  and nutrition reported
• Increased participation in exercise and lower
  weight
• Better ability to handle job stress
• A higher level of general well-being
• Blair, Collingwood, Reynolds,
• Smith, Hagan and Sterling, 1984

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Family/Community Involvement

• Community activities that link to the
  classroom
• Positively impact academic achievement
• Reduce school suspension rates
• Improve school-related behaviors
• Nettles, 1991
• Allen, Philliber, Herring,
• and Kupermine, 1997

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Research Substantiates the Effort

• Physical Activity appears to boost students
  ability to concentrate and to reduce disruptive
  behaviors, which has a considerable positive
  impact on their academic achievement (Symons,
  1997).
• Intensive physical activity programs for students
  led to an improvement in students scores in
  mathematics, reading, and writing and to a
  reduction in disruptive behaviors in the
  classroom (Sallis, 1999).

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Fitness is an ACADEMIC issue.
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Research supports fitness
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Research supports fitness
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Research supports fitness
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Bringing Academics and Health Together
Response to Intervention Three-Tier Model
Academics
All Students
Effective Classroom Instruction
Approximately20-30
Supplemental Instruction
Intensive Instructional Interventions
Approximately 5-10
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Bringing Academics and Health Together
Response to Intervention Three-Tier Model
Healthy Behavior
School and Classroom Systems of Prevention and
Support
Specialized Group Interventions
Intensive, Individual Interventions
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Bringing Academics and Health Together
RtI
Academics
Healthy Behavior
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Essential Elements of RtI for Promoting Healthy
Behavior and Student Achievement

• School and Classroom Behavior Management
• Rules, routines, and physical arrangements that
  are developed and taught by school staff to
  prevent initial occurrences of problem behavior
• Examples
• Rule Be respectful of self, others, and property
• Routine Stationing staff in hallways during
  transitions
• Arrangements Set up of the cafeteria

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Why Coordinated School Health?The alternative is
costly

• Hidden Costs to Schools
• Measurable Costs to State
• Measurable Costs to Schools

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The Hidden Costs

• Extra staff time needed for students with low
  academic performance or behavior problems caused
  by poor nutrition and physical inactivity.
• Costs associated with time and staff needed to
  administer medications needed by students with
  associated health problems.
• Healthcare costs, absenteeism, and lower
  productivity due to the effects of poor
  nutrition, inactivity and overweight among school
  employees.

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Measurable Costs to State(2004-2005)

• Statewide Enrollment 493,302
• ADA Statewide 470, 879
• Statewide Attendance 95
• 4,574 per student based on fully funded MAEP
• Statewide schools leaving 102,562,802 on table
  (not taking into consideration local
  contribution)

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Measurable Cost to SchoolsReduced Absenteeism
Means

• School District 3,000 Students
• Each 1 attendance improvement
• 137,220

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Community CostsState of Health in Mississippi

• Obesity
• 757,000,000 cost per year in MS 444,000,000
  paid by Medicare and Medicaid
• Spending increase from 9 enrolled in 1987 to 25
  in 2002
• Diabetes
• 2 state in the nation in Type II diabetes
• Cardiovascular Disease
• 1 state in the nation in heart disease related
  deaths
• 3 state in the nation in stroke related deaths
• Cancer
• 5 state in the nation in cancer related deaths
• Asthma
• 1 reason for school absenteeism in MS

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Communities

• Increase in Referrals
• Decrease in Juvenile Crime Rate
• Economic Development
• Placement of Intern/Student Teachers
• Decrease in Prison Costs
• Decrease in Health Care Costs
• Public Relations/Marketing

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Reduce the drop out rate by 50in 5-7 years

• Early intervention of Health Services
• Increase student and staff attendance
• Decrease disruptive behaviors
• Opportunities for engagement

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Increase NAEP Scores to National Average in 5-7
years

• Teacher Quality
• Recruitment/Retention
• Effective instruction
• Family Involvement
• Reduced Discipline Referrals
• Increased Attendance- Students and Staff
• Academic Achievement

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Coordinated Approach
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Systems Change

• Paradigm Change
• A system is a group of key individuals or
  organizations that interact to produce a benefit
• In this case the benefit is healthy, educated,
  productive, members of a democratic society

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He did each thing as if he would do nothing
else spoken of Charles Dickens.
Passion

• Am I doing everything possible to unleash
  opportunities for all children to be successful?

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SURVIVAL Moving from silos to circles in our
thinking, planning, funding, implementing
Non-communicative Restrictive Close
Minded Possessive Anti-children Traditional Positi
ons and Authority
Brainstorming Inclusive Visionary Nurturing Our
Childrens Out of the Box Jobs and duty
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Coordinated Approach
Leadership Matters
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Coordinated Approach
Collaboration Matters
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The Collaboration Continuum

• Networking
• Cooperation
• Coordination
• Collaboration
• Coalition

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Coordinated Approach
Partnerships Matter
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Must Have Partnerships

• Commitment
• Coordinated infrastructure/resources

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CHAMPIONS

• Everyone - from the
  superintendent to students of all ages
  - can be champions for health and wellness.

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Wellness Policy
Mandate by USDA School year 2006-07

• A document - approved by the local school board -
  that promotes a healthy school environment. By
  focusing on nutrition and physical activity
  standards, a wellness policy seeks to improve
  childrens health, classroom behaviors, and
  academic performance.

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School Health Council
Mandate by MS Leg. November 1, 2006

• A School Health Council (SHC) is an advisory
  group composed of committed individuals from both
  the school and the community. The group works
  together to provide guidance and leadership to
  the school on all aspects of the school health
  program.

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School Health Council Members

• Parents
• Teachers
• School Attendance Officers
• Food Service Staff
• Custodial Staff
• Students
• School staff
• Health care providers (MD, PA, RN, NP, DDS, RD)
• Business/industry representatives
• Community leaders
• Government officials
• Extension staff
• Social service agencies
• Attorneys and law enforcement officials
• Clergy
• College/university personnel
• Media

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Mississippi BEVERAGE and SNACK
REGULATIONS
Mandate by MS Leg. Phased in Timeline

• are now one of the minimum requirements for all
  Local Wellness Policies
  in Mississippi.

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2007 School Health Policy Development
Mandate by MS Leg. 2008-2009 school year

• Healthy Students Act (House Bill 732/Senate Bill
  2369 - Section 37-13-134)
• Mandates 150 minutes per week of physical
  education, K-8
• Mandates 45 minutes per week of health education,
  K-8
• Requires ½ Carnegie Unit of physical education
  for graduation, 9-12
• Appropriates funds for a physical education
  coordinator to be housed at MDE

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2007 School Health Policy Development
Mandate by MS Leg. 2008-2009 school year

• Healthy Students Act (House Bill 732/Senate Bill
  2369 - Section 37-13-134)
• Requires the State Board of Education to
  establish regulations for child nutrition school
  breakfast and lunch programs to include how food
  items are prepared, time allotted for the
  consumption of breakfast and lunch, extra food
  sales, marketing and retail fast foods.
• Defines the duties of the School Health Councils
  to include a coordinated approach to school health

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HEALTH SERVICES Hire RN Hire Certified
Nurse Assistant to work with RN Clinic
Equipment Speech Therapist Clinic Supplies
Clinic Space
FOOD SERVICE Buy fresh fruits and vegetables
Provide healthy snacks Hire Registered
Dietitian Purchase ovens to replace fryers

• STAFF WELLNESS
• Walking Track
• School RN Health Screening
• Staff Fitness Room
• After school health/fitness

• SOURCES
• Administrative Claiming
• Invest in School Health
• Improve Student Heath 
• Improve ADA
•  

PHYSICAL EDUCATION Hire PE Teacher Hire PE
Assistant Fitness Room Walking Track
Purchase curriculum
SAFE AND HEALTHY SCHOOL ENVIRONMENT Hire
District Safety Officer Random drug testing
Security cameras
COUNSELING Hire Mental Health Therapist Hire
Social Worker Hire Guidance Counselor Speech
Therapist Depression Screening Tool
FAMILY AND COMMUNITY Health Fairs Parenting
Classes Faith Based Partnerships
HEALTH EDUCATION Hire Health Education
Teacher Purchase curriculum
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Must Have Successes
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GOAL
ACCURATE
POSITIVE

• Media Coverage
• Newspaper articles
• TV coverage
• Excellent
• Effective

CONSISTENT
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Overall Messages
1. Nutrition and physical activity at school help
Mississippi children be fit, healthy, and ready
to succeed. 2. When children are well-nourished
and physically fit, they do better in school. 3.
Our school is taking important steps to meet the
standards of Healthy Students Act passed by the
2007 Legislature.
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Committed to Move Quality PE Program

• District must have certified PE Instructor
• Project components
• PhysicalBest Training and Materials
• Fitnessgram Software and Training
• Required Training Participants
• School Principal
• Certified District PE Instructor
• Responsible staff for Physical Education at
  selected school(s)

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Committed to Move
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5 Star Food Grant

• Strategy Improve preparation and presentation
  of fruits and vegetables in school meals Goal
  Increase fruit and vegetable consumption
• How
• Equipment sectionizer and slicer
• Training with chef and at school site with MSU
  agents
• Pre and Post Consumption pattern assessments

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Nutrition Integrity Grant

• Strategy Replace fryers with combination-oven
  steamers
• Goal Decrease fat and calorie consumption in
  food served in schools
• How
• Equipment Combi-Oven
• Training at school site
• Installation Checklist

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Nutrition Integrity
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What is EPSDT?

• A FREE health care program for Mississippis
  children ages birth through 21 who are eligible
  for Medicaid
• Early Assessing health care early in life so
  that potential disease and disabilities can be
  prevented or detected in their preliminary
  states, when they are most effectively treated
• Periodic Assessing a childs health at regular,
  recommended intervals in the childs life to
  assure continued healthy development
• Screening The use of tests and procedures to
  determine if children being examined have
  conditions warranting closer medical or dental
  attention
• Diagnosis The determination of the nature or
  cause of conditions identified by the screening
• Treatment The provision of services needed to
  control, correct or lessen health problems

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What is EPSDT?

• A key component of the Coordinated School Health
  Program through Health Services

• Mandatory periodic screening services include
• Comprehensive physical exam
• Developmental assessment
• Vision and hearing screens
• Adolescent counseling
• Referral if necessary

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EPSDT

• Mississippi is leading the way as the first state
  to offer EPSDT services through school nurses!
• That means that with a Registered Nurse (RN) in a
  school-based clinic, a school can become a
  Medicaid Provider for EPSDT services, and file
  for reimbursement from Medicaid for each approved
  screening. Eligible population would determine
  level of sustainability.

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Mandated requirements for the EPSDT School Nurse
Program

• School building capacity to add or renovate a
  school clinic
• School administrative support
• Letter of support and agreement from local
  medical providers to accept referral of children
  from the school-based clinic
• Student population must fall within K-8 grade
  levels
• Nurse must be an RN
• Sustainability

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Who benefits?AdministratorsTeachersSchools
Families
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Who benefits?
STUDENTS
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ITS ALL ABOUT YOU
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ITS EASIER THAN YOU THINK
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Resources for Success

• For more information
• 601-359-1737
• www.healthyschoolsms.org
• Mississippi Department of Education
• Office of Healthy Schools
• P.O. Box 771
• Jackson, MS 39205

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THANK YOU