Transcript Document
Health IS is Academic Shane McNeill Office of Healthy Schools 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 MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Health Education Motivated and Learning Physical Education Health Services Nutrition Services Sense of Positive Self-Esteem Sense of Belonging and Counseling, Psychological and Social Services Healthy School Environment Importance Sense of Being Loved and Appreciated Free of Fear and In A Safe place Physical Health Health Promotion for Staff Family/Community Involvement The relationship makes sense Maslow’s Hierarchy Self-Actualization Aesthetic Needs Cognitive Needs Deficiency Needs Esteem Needs Belonging and Love Needs Safety Needs Biological and Physical Needs Growth Needs Barriers to Learning 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 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 wellbeing 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 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). Fitness is an ACADEMIC issue. Research supports fitness SAT 9 Percentile 2001 Grade 5 SAT 9 and Physical Fitness Scores 80 70 60 50 40 30 20 10 0 71 36 29 40 32 45 36 50 40 1 2 3 4 58 46 5 Number of Fitness Standards Achieved Reading Mathematics 55 6 Research supports fitness SAT 9 Percentile 2001 Grade 7 SAT 9 and Physical Fitness Scores 70 60 50 40 30 20 10 0 2628 1 3132 3436 2 3 4144 4 54 50 66 60 5 Number of Fitness Standards Achieved Reading Mathematics 6 Research supports fitness SAT 9 Percentile Grade 9 SAT 9 and Physical Fitness Scores 80 70 60 50 40 30 20 10 0 67 51 35 38 21 24 1 2 43 28 31 3 4 58 45 37 5 6 Number of Fitness Standards Achieved Reading Mathematics Bringing Academics and Health Together Academics Effective Classroom Instruction Supplemental Instruction Intensive Instructional Interventions Response to Intervention Three-Tier Model All Students Approximately 20-30% Approximately 5-10% Bringing Academics and Health Response to Intervention Together Healthy Behavior School and Classroom Systems of Prevention and Support Specialized Group Interventions Intensive, Individual Interventions Three-Tier Model Bringing Academics and Health Together RtI Academics Healthy Behavior 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 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: 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) Measurable Cost to Schools Reduced Absenteeism Means… School District: 3,000 Students Each 1% attendance improvement = $137,220 Community Costs “State 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 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 Reduce the drop out rate by 50% in 5-7 years Early intervention of Health Services Increase student and staff attendance Decrease disruptive behaviors Opportunities for engagement 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 Student Achievement Student Health Effective Instruction Coordinated Approach 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 “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? SURVIVAL: Moving from silos to circles… in our thinking, planning, funding, implementing Non-communicative Brainstorming Restrictive Inclusive Close Minded Visionary Possessive Nurturing Anti-children Our Children’s Traditional Out of the Box Positions and Authority Jobs and duty Coordinated Approach Leadership Matters Coordinated Approach Collaboration Matters The Collaboration Continuum Networking Cooperation Coordination Collaboration Coalition Coordinated Approach Partnerships Matter “Must Have” Partnerships Commitment Coordinated infrastructure/resources CHAMPIONS Everyone from the superintendent to students of all ages - can be champions for health and wellness. 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 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 Mississippi BEVERAGE and SNACK REGULATIONS are now one of the minimum requirements for all Local Wellness Policies in Mississippi. 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 FOOD SERVICE • Buy fresh fruits and vegetables • Provide healthy snacks • Hire Registered Dietitian • Purchase ovens to replace fryers SAFE AND HEALTHY SCHOOL ENVIRONMENT • Hire District Safety Officer • Random drug testing • Security cameras FAMILY AND COMMUNITY • Health Fairs • Parenting Classes • Faith Based Partnerships HEALTH SERVICES • Hire RN • Hire Certified Nurse Assistant to work with RN • Clinic Equipment Speech Therapist • Clinic Supplies • Clinic Space SOURCES •Administrative Claiming •Invest in School Health •Improve Student Heath •Improve ADA 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 “Must Have” Successes GOAL Media Coverage Newspaper articles TV coverage Excellent Effective 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. 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) Committed to Move 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 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 Nutrition Integrity What is EPSDT? A FREE health care program for Mississippi’s 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 child’s health at regular, recommended intervals in the child’s 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 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 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. 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 Who benefits? Administrators Teachers Schools Families Who benefits? IT’S ALL ABOUT YOU IT’S EASIER THAN YOU THINK 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 QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture.