Transcript No Slide Title

Developing a school health promotion
charter for South Australia:
Intersectoral and interagency collaboration
Janine Phillips
Health Promoting Schools Coordinator
Centre for Health Promotion
June 2007
Acknowledgement of Country
I would like to acknowledge the traditional
custodians of this land and pay my respects to
the Elders both past, present and future for
they hold the memories, the traditions, the
culture and hopes of their people.
Adelaide, South Australia
The Centre for Health Promotion
• The CHP is part of the Community Health Division of the
Population and Primary Health Directorate of the Children
Youth and Women’s Health Service.
• Total budget of 1.4m, 20 staff.
• We support:
- internal health promotion
- the health and education sectors
- ATSI people.
• In the areas of:
- infant and maternal health
- parenting
- healthy weight.
• Key principles are equity, capacity building, working in
partnership and settings.
An overview
The context
Health
• Both state and federal responsibility for health
• In 2002 Generational Health Review commissioned
• Divided state into 4 health regions
• State Strategic Plan: Improving wellbeing
− decrease levels of smoking,
− increase levels of healthy weight,
− increase life expectancy and improve quality of life
− decrease chronic disease
− improve mental health and
− reduce low birth-weight babies
The context
Education
State governments have responsibility for education but
Federal Governments provide the funding.
There are 3 education sectors in South Australia:
• Government (Department of Education and Children’s
Services)
• Catholic Education
• Independent Schools
Total sites 1181
Government sector divided into 18 Districts each with
regional management responsibility
The history of health and education working together
Education
Progression of health promotion collaboration in SA schools
Executive
Middle management
School staff
COMMUNITY
1980
Schools deliver
curriculum.
Health delivers
information and
clinical services
in schools.
1995
Schools recognise the
benefits of safe,
supportive
environments for
learning.
2000
Education sector
promotes whole
school approaches.
Health sector support
provided to schools.
Health introduces the
HPS concept. School
based collaboration.
Health support
planning discussions
begin.
Health
Health service staff
Middle management
Executive
2005
The health and
education
collaboratively
develop a
health
promotion best
practice
resource.
2006
A strategic
partnership to
develop a
health
promotion
‘Statement of
Collaborative
Intent’.
2007-2008
Health and education
jointly implement
workforce development.
Joint development of
models of effective
practice.
Joint health promotion
planning.
The 1980s
During this time, the health sector
provided services directly to school
Executive
Middle management
School staff
such as:
Health service staff
• clinical services
Middle management
• vaccination and dental care
• health information to inform
curriculum
• health ‘expert’ sessions to
students
• staff health and fitness
programs.
Executive
The 1990s
• The introduction of the Health
Promoting Schools (HPS) concept in
Executive
Middle management
School staff
the mid 1990s
• Safe, supportive, holistic learning
environments
• Health Education Interagency
Advisory Committee
• School Development in Health
Education
• Not structured or systemic
Health service staff
Middle management
Executive
The early 2000s
Executive
•
Middle management
By the early 2000s, the education
sector had begun to promote the
use of whole school approaches
School staff
− ‘The Drug Strategy’
Health service staff
− relationships and sexual health
Middle management
•
School sites implementing the Drug
Strategy were encouraged to form
partnerships with relevant health
agencies.
•
Health Support Planning
− DECS driven
− dedicated position established to
coordinate work
Executive
The formation of the child health and education
support services (chess)
• Chief Executive sign off
• Alliance: nominees from
Executive
Middle management
School staff
− health
− education
− childcare
Health service staff
Middle management
Executive
− welfare
− disability
− Aboriginal health
• Reference groups and working parties
• The Statement of Collaborative Intent was developed.
• The Interagency Action Plan puts the commitment
into action.
• There are 6 target areas:
− policy
− information
− training
− research
− service pathways
− hospital education services.
The mid 2000s
• Getting health and education
working together often posed
problems. These included:
− different ‘language and culture’
− different desired outcomes of
the two sectors
− different perceptions of the
responsibilities of the two
sectors
− health initiatives funded as
short term ‘projects’ in
− lack of a strategic focus on
collaboration across sectors.
Executive
Middle management
School staff
Health service staff
Middle management
Executive
• The ‘Health Promotion: Better Health, Better
Learning’ guidelines developed
− evidence based
− practical information
− web-based
− checklist
http://www.chdf.org.au/hpg/
The Health promotion:
better health, better
learning guidelines
outline how health
services can work with
educators in a planned
and coordinated way,
building on goodwill,
good ideas - and good
practice principles.
Deb Kay, Manager
Interagency Health, DECS
Developing the ‘Statement of Collaborative Intent:
Health Promotion in Education and Children’s
Services’
• chess Health Promotion Taskforce
• Needs assessment
Executive
Middle management
School staff
− mental health key issues
− more systemic approach to
collaboration
− single point of access to health
support
• The ‘Statement of Collaborative Intent;
Health Promotion in Education and
Children’s Services’
- systemic approach
- capacity building
- healthy weight
Health service staff
Middle management
Executive
‘chess provides an excellent
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lifestyle
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Health
SA
Director Southern Child and Adolescent
Mental Health Service
The history of health and education working together
Education
Progression of health promotion collaboration in SA schools
Executive
Middle management
School staff
COMMUNITY
1980
Schools deliver
curriculum.
Health
Health delivers
information and
clinical services
in schools.
1995
Schools recognise the
benefits of safe,
supportive
environments for
learning.
2000
Education sector
promotes whole
school approaches.
Health sector support
provided to schools.
Health introduces the
HPS concept. School
based collaboration.
Health support
planning discussions
begin.
Health service staff
Middle management
Executive
2005
The health and
education
collaboratively
develop a
health
promotion best
practice
resource.
2006
A strategic
partnership to
develop a
health
promotion
‘Statement of
Collaborative
Intent’.
2007-2008
Health and education
jointly implement
workforce development.
Joint development of
models of effective
practice.
Joint health promotion
planning.
Key factors for success
At a macro level:
• formation of health regions
• health support planning
• formation of chess
• having the Better Health, Better Learning Guidelines
At a micro level:
• Right people on the Taskforce (level of power and
influence)
• Sorting our agendas over a one year time period
• Truly collaborative within existing resources
Operationalising
• Working party
• Strategic plan
• Action plan
• Awareness raising
• Joint planning
• Conference April 2008
• Workforce development sessions on BHBL
What now?
SA Health Promoting Settings Network
?
Acknowledgements
• Alberta Collation of Healthy School Communities
• Ever Active Schools
• Lori Baugh Littlejohns
• Doug Gleddie
• Donna Thompson
• Dr Alison Smith
• Deb Kay
• Staff of the Centre for Health Promotion