Why?

If schools do not deal with children’s health by design, they deal with it by default.

Health is Academic, 1997

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

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

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

Tobacco Use

Youth Risk Behavior Survey Grades 9-12 100.0

90.0

80.0

70.0

60.0

50.0

40.0

30.0

20.0

10.0

0.0

1993

% Students Smoked Cigarettes in the Past 30 days

1995 1997

Year

1999 2001 2003 MS US

Alcohol Abuse

Youth Risk Behavior Survey Grades 9-12

Students had at least one drink of alcohol during the past 30 days

100.0

90.0

80.0

70.0

60.0

50.0

40.0

30.0

20.0

10.0

0.0

1993 1995 1997

Year

1999 2001 2003 MS US

Juvenile Crime Rate

Arrest rate of persons under age 18 (per 100,000 persons age 10 to 17) in Mississippi, US FBI Arrest Statistics 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 1998 1999 2000

Years

2001 2002 MS US

Results of Poor Eating Habits and Physical Inactivity

6-11 yrs 12-19 yrs

% of US Students Who Are Overweight (Gender and age specific BMI> the 95th percentile)

50 40 30 20 10 0 6-11 yrs 12-19 yrs 1963-70 1971-74 1976-80 1988-94 1999-02 2003 MS 2005 MS 4 5 4 6 7 5 11 11 16 16 24 45

1963-2002 NHANES STUDIES (US); 2003 CAYPOS (MS)

Injury

Youth Risk Behavior Survey Grades 9-12 100.0

90.0

80.0

70.0

60.0

50.0

40.0

30.0

20.0

10.0

0.0

1993

% Students Rarely or Never Wore Seat Belts

1995 1997

Year

1999 2001 2003 MS US

Poor Eating Habits and Physical Inactivity

2003 Youth Risk Behavior Survey Grades 9-12

Behavior

Insufficient Physical Activity Daily PE Class

MS YRBSS

82%

US YRBSS

75% 23.4% 28.4% >3 hrs TV/school day <3 glasses milk/day <5 daily servings fruit/vegetables 54.1% 89% 80% 38.2% 82.9% 78%

Coordinated School Health Program Family and Community Involvement Health Education Physical Education Health Services Health Promotion for Staff Healthy School Environment Nutrition Services Counseling, Psychological Services

MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Motivated and Learning Sense of Positive Self-Esteem Sense of Belonging and Importance Sense of Being Loved and Appreciated Free of Fear and In A Safe place Physical Health Health Education Physical Education Health Services Nutrition Services Counseling, Psychological and Social Services Healthy School Environment Health Promotion for Staff Family/Community Involvement

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

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

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

Healthy School Environment The physical condition of a school is statistically related to student academic achievement.

An improvement in the school’s condition by one category, say from poor to fair, is associated with a 5.5 point improvement in average achievement scores.

Berner, 1993

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

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

Why Coordinated School Health?

The alternative is costly  Hidden Costs to Schools  Measurable Costs to State  Measurable Costs to Schools

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.

Measurable Costs to State

(2004-2005)  Statewide Enrollment: 494,590  ADA Statewide: 472,577  Statewide Attendance: 95%  $4,193 per student based on fully funded MAEP (2004-2005)  Statewide schools leaving $92,300,509 on table (not taking into consideration local contribution)

Measurable Cost to Schools

(Example)  School District: 3,000 Students  Each 1% attendance improvement =

$125,790

Community Costs “State of Health” in Mississippi

     Obesity  $757,000,000 cost per year in MS; $444,000,000 paid by Medicare and Medicaid 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

Wellness Policy

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 children’s health, classroom behaviors, and academic performance.

School Health Council

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.

School Health Council Members

Parents Teachers 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

Mississippi BEVERAGE and SNACK REGULATIONS

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

TIMELINES When do these regulations need to be implemented?



Both beverage and snack regulations have a phased timelines to allow schools and vendors to make necessary adjustments in programs and products.



Beverages regulations apply in TWO phases - beginning with 2007-08 school year.



Snack regulations apply in THREE phases beginning with 2006-07 school year.

-

Times of day

  

Regulations apply to all Mississippi school campuses during the regular and extended school day - the hours between 7:00 am and 4:00 pm.

Extended school day includes activities such as clubs, yearbook, band and choir practice, student government, drama and childcare/latchkey programs

Policy does not apply to school-related events,

such as interscholastic sporting events, school plays, and band concerts; where parents and other adults are a significant portion of the audience or are selling beverages and foods as boosters.

BEVERAGE REGULATIONS

Specific products - Phase 1

As of the 2007 – 2008 school year, all full calorie, sugared carbonated soft drinks shall no longer be sold to students in Mississippi schools during the school day.

BEVERAGE REGULATIONS

Specific products - Phase 2 As of the 2008 – 2009 school year, only specific beverages MAY be available for vending during the school day the types of beverages and portions sizes vary for elementary, middle and high school students.

BEVERAGE REGULATIONS

Specific products - Phase 2

All the phase 2 products are designed to meet the hydration/nutrient needs of children, with age appropriate amounts of calories, sugar, and fat.

They include:



Bottled water



Low fat and non fat regular and flavored milk



100% juice with no added sweeteners



No/low calorie beverages

(up to 10 cals/8 ozs.) 

Light juices/sports drinks

(up to 66 cals/8 ozs.)

SNACK REGULATIONS

General Guidance

1.

2.

To ensure that children do not have to choose between the School Breakfast or programs and vended items, schools shall follow the Competitive Food policy EEH.

Food sales outside of Child Nutrition Programs are available in Mississippi schools at the discretion of the school district.

SNACK REGULATIONS

Overall Goals



Minimize excessive intake of calories,

especially empty calories from fat and sugar.



Increase intake of nutrients for optimal growth, development, and brain functioning,

from nutrient-rich, minimally processed foods like whole grains, fruits, vegetables, nuts, seeds, lean meats, and dairy foods.



Promote healthful options to all students, families, and school staff.

SNACK REGULATIONS

Specific products

  

Standards

(for calories, fat, sugar, sodium, etc.)

vary by the type of snack product

(dessert, bar, dairy food, fruit, vegetable, nuts, etc.)

Office of Child Nutrition will maintain a listing of products that meet the specific standards for all types of snack items. To determine if a product can be placed on the approved list, school districts and vendors can use the Evaluation Tool (in WORD or EXCEL) available from the Office of Child Nutrition.

SNACK REGULATIONS

Phases

To allow for improved availability of food products, the snack regulations will be phased-in on the following schedule with the percentages applying to each vending location: School year 2006-07



At least 50% of all vended foods must meet standards School year 2007-08



At least 75% of all vended foods must meet standards School year 2008-09



All vended foods offered must meet standards.

New Legislation in 2007

2007 School Health Policy Development  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

2007 School Health Policy Development  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

So, we have a Wellness Policy and a Health Council

… Office of Healthy Schools

Web Based Health Education and Physical Activity Resources  Weekly web based lesson plans  Linked to web based resources, classroom materials and videos  Classroom teachers and PE Teachers  Use in classrooms, gyms, playground  Link school health education with core subjects  Based on state standards

Committed to Move – Quality PE Program      One grant per district District must have certified PE Instructor District must match grant for equipment 1:1 Project components:   Physical Best Training and Materials Fitnessgram Software  Incentive payments to schools for data submission Required Training Participants:   School Principal Certified PE Instructor

5 ***** Star Food Grant

   Strategy: Improve preparation and presentation of fruits and vegetables in school meals in 100 schools 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 Benchmark payments

5 ***** Star Food Grant

Nutrition Integrity Grant

 Strategy: Replace frying with combi-oven in 20 school sites with large number of weekly servings of fried foods  Goal: Decrease fat and calorie consumption in food served in schools  How:  Equipment – Combi-Oven • Require 1/3 school match for equipment  Training at school site

2007 School Health Policy Development  House Bill 1132  Provides for a $2.55M school nurse program to be administered by the Office of Healthy Schools

School Nurse Legislation Presents Opportunities  MDE mandate data collection  Data Collection (Part 1) • Web based approach to monthly report nursing tasks  Electronic Medical Record (Part 2) • For 66 MDE/legislature funded nurses decentralized electronic medical record • Consolidate statewide reporting

FOOD SERVICE

• Buy fresh fruits and vegetables • Provide healthy snacks • Hire Registered Dietitian • Purchase ovens to replace fryers

HEALTH SERVICES

• Hire RN • Hire Certified Nurse Assistant to work with RN • Clinic Equipment Speech Therapist • Clinic Supplies • Clinic Space

SAFE AND HEALTHY SCHOOL ENVIRONMENT

• Hire District Safety Officer • Random drug testing • Security cameras

SOURCES

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

FAMILY AND COMMUNITY

• Health Fairs • Parenting Classes • Faith Based Partnerships

HEALTH EDUCATION

• Hire Health Education Teacher • Purchase curriculum

STAFF WELLNESS

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

PHYSICAL EDUCATION

• Hire PE Teacher • Hire PE Assistant • Fitness Room • Walking Track • Purchase curriculum

COUNSELING

• Hire Mental Health Therapist • Hire Social Worker • Hire Guidance Counselor Speech Therapist • Depression Screening Tool

Who benefits?

Administrators Teachers Schools Families

Who benefits?

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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