HEALTH FRAMEWORK FOR . CALIFORNIA PUBLIC SCHOOLS The Vision: Health Literacy Healthy Schools Healthy People. THE VISION.
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We need to make a national commitment to health education that is far greater then the routine and merely ceremonial attention we usually give it. We need to teach youngsters that they must take charge of their health...all of their lives...and we must do more than teach; we must set an example in the way we live. C Everett Koop, MD
Health education in the schools must be supported by a comprehensive schoolwide system to promote children's health and must be developed and sustained by collaborative efforts of school personnel, parents, school board members community leaders and health and social services agencies and providers.Emphasis must be placed on developing lifelong, postitive health-related attitudes
Health Literacy comprehensive schoolwide system to promote children's health and must be developed and sustained by collaborative efforts of school personnel, parents, school board members community leaders and health and social services agencies and providers.
The capacity of an individual to obtain interpret and understand basic health information and services ant the competence to use such information and services in ways which are health enhancing.
A health literate person understands scientifically based principles of health promotion and disease prevention, incorporates that knowledge into personal health related attitudes and behaviors and makes good health a personal priority.Health Framework for California Public Schools
Describe health education and schoolwide health promotion strategies that will help children and youths become health literate individuals with a lifelong commitment to healthy living.Goal of this framework
The best approach to managing complex student health challenges rests in organizing all appropriate resources and expertise and activities into a model representing best practices.A PROGRAM MODEL FOR BEST PRACTICES
Health Education – development, delivery, and evaluation of a planned, sequential curriculum for students in kindergarden through grade twelve and for parents and school staff and is designed to influence positively people's knowledge, attitudes,skills and behaviors related to health.
Psychological and counseling services
A safe and healthy school environment
Health promotionCoordinated School Health SystemComponents
Health - State of complete physical, mental, and social well-being, not merely the absence of disease and infirmity
Coordinated School health system - An organized set of policies procedures, and activities developed and implemented through a collaborative effort that includes parents, the school and the community. Designed to protect and promote the health and well being of students and staff.Commonly used terms
Provides the formal model around which the talents and efforts of many disciplines are coordinated to promote student health and school success
Consistent health promoting messages are delivered and reinforced across multiple communication channels in the school and throughout the community.
Rather than competing for limited resources the CSHP puts student health and achievement at the heart of the matter and provides an efficient and effective way to improve, protect and promote the wellbeing of students, families, and professionals in the education systemA COORDINATED SCHOOL HEALTH PROGRAM
Maximize the impact of all available expertise and resources directed toward risk reduction and health promotion
Conserve taxpayer dollars by reducing duplication of efforts
Maximize use of public facilities in the school and community to promote health
Enhance communication and collaboration across health promotion professionals in the schools and community
Address student health risks in the context of rather than in competition with the academic mission of the schoolCSHP Model
“the period prior to high school is the most crucial for shaping attitudes and behaviors”.
By the time students reach high school many already are engaging in risky behaviors or may at least have formed accepting attitudes toward these behaviors.Documented Research
Declining access to healthcare: shaping attitudes and behaviors”.
Increase risk of contracting infectious diseases and developing physical and mental disabilities.
Preventable – mumps, measles, rubella
CDC – reports alarming levels use of alcohol and other drugs
Early sexual activity and suicide.Trends in California are consistent with disturbing national findings.
Children must be healthy in order to be educated and children must be educated in order to stay healthy
Given the needs
Schools must make health a priority in the curriculum and overall school program
Basic patterns of healthy living are formed in childhood and adolescence,Schools Role
But where the need directly affects learning, the school must meet the challenge.
So it is with health
For Health education to be made meaningful, systems must be in place that support effective health education and make health an important priority in schoolSchools cannot be resonsible for meeting every need
Supported by all adults in the school must meet the challenge.
Components must be mutually supportive
consistent with the overall goal of promoting and enhancing children's health literacySchools plan must be well planned, coherent, must be implemented consistently
Eight Components of a Coordinated School Health Program must meet the challenge.Health EducationPhysical EducationHealth ServicesNutrition ServicesPsychological and counseling servicesSafe and Healthy School environmentHealth Promotion for the staffParent and Community Involvement
California State program established 1991 (education code section 8800 et seq)
Facilitate partnerships among local educational agencies, families and communities to benefit children and youths to reach their full potentialCalifornia's Healthy Start Initiative
Philosophy section 8800 et seq)
Belief that educational success, physical health, emotional support and family and community strengths are inseparable
Each school community has its own combination of assets and needs.
Mix of support and services vary.California's Healthy Start Initiative
Joint Committee on Health Education clarifies section 8800 et seq)Health is an integrated method of functioning which is oriented towards maximizing the potential of which the individual is capable.
It requires that the individual maintain a continuum of balance and purposeful direction with the environment where he (she) is functioning.Need balance among Physical, emotional, social spiritual and vocational domains of health.Health
Emotional domain balance and purposeful direction with the environment where he (she) is functioning.strong coping skills and express a full range feelings in socially acceptable ways.Communicate self-control and self acceptance
Social Domain balance and purposeful direction with the environment where he (she) is functioning.Comfortable intimancy and connections with and communicating respect and tolerance for othersview themselves and making meaningful contributions to family and community
Spiritual Domain balance and purposeful direction with the environment where he (she) is functioning.Not just sacred termsComfort withourselves and othersStrength of our personal value systemCapacity to integrate positive ethical and moral standards, such as integrity, honesty and trust, into their interactions.Pursue meaningful purpose for our life
Vocational Domain balance and purposeful direction with the environment where he (she) is functioning.Collaborate with others on family community or professional projectsManifested in the degree to which one's work makes a positive impact on others or on the community.
Evaluate the quality of health balance and purposeful direction with the environment where he (she) is functioning.the key is balance among the domains. As educators in our elementary and middle level schools it is important that you reflect on your own health across the five domains
Healthy People balance and purposeful direction with the environment where he (she) is functioning.1979 – report on health promotion and disease promotionValidated Americans were living longer and healthier lives than their counterparts who had lived 100 years earlierDespite the achievements the report documented that we still had premature death50% due to factors beyond personal control50% due to activities over which each of us could exercise significant personal control
As a result of Healthy People '79 balance and purposeful direction with the environment where he (she) is functioning.Local, State and Federal have been committed to an ongoing broad and collaborative initiative focused on improving the health of all americansOriginal objectives targeted for achievement by 1990Again some goals were met, some not; others surpassed.
Then Came Healthy People 2000 balance and purposeful direction with the environment where he (she) is functioning.Several objectives specified a role for American SchoolsIntegration of planned sequential school health education was targeted for at least 75% of the nations schools in Kindergarden through twelfth gradeAgain objectives not achieved and now Healthy people 2010
Specific 2010 agenda balance and purposeful direction with the environment where he (she) is functioning.Increase the quality availability and effectiveness of educational and community based programs designed to prevent disease and improve quality of life
To reach these goals a systematic approach to promoting and protecting the nations health has been establishedFormal structure forIndividual, organizations communities, state and federal collaboration, efficiency and effectiveness Eliminate duplication, reduce costs
Health in the Academic Environment protecting the nations health has been establishedThe Co-ordinated health School programYour job will be to plan, coordinate and implement health promotion programming for individuals in the school community
Comprehensive School Health Education protecting the nations health has been establishedThe starting point: table 1.6Quality education is grounded in activities that bridge domains of learningCognitive, affective and psychomotormust reflect current accurate knowledge and incorporate developmentally appropriate learning materials and technological resources
More hours are needed to produce changes in the affective domain than in either of the other two domains40-50 hours of formal health education is necessary to produce stable improvements across all three domains in knowledge, attitude and skills
CDC 6 Problem priority areas domain than in either of the other two domainsTobacco usePoor eating habitsAlcohol and other drug risksBehaviors tht result in intentinal and unintentional injuriesPhysical activitySexual behaviors that result in HIV & other sexually transmitted diseases or unintended pregnancy
Health Services statePolicies and Programs designed to assess the health status of childrenSchool Nursesupport student health and learning by acting as a liaison among school, home and the medical communityNurses assume primary leadership for providing health servies the teacher is in the important postion to participate in initial observation and referral of any conditions evident in students
Require periodic health examinations stateVision and Hearing(elementary school years measure height and wt.Coordinate measures to prevent communicable diseasehealth protection via compliance with immunization mandates
Elements of Successful stateHealth EducationGoal: Help students develop the knowledge, skills, attitudes and behaviors needed for lifelong commitment to health.
CDC 6 Problem priority areas state1. Tobacco use 2. Poor eating habits 3. Alcohol and other drug risks 4. Behaviors tht result in intentinal and unintentional injuries 5. Physical activity 6. Sexual behaviors that result in HIV & other sexually transmitted diseases or unintended pregnancy
Creating a Positive Learning Climate stateLearning Centers have climates..something you feel, something in the air.You sense it in the way people interact with each other, in how they listen and what they sayThe environment in which you offer the program can determine how effective you are as a teacher and leader of childrenIs it a nice place?Do kids feel safe there?Do they know what is expected of them?
The Dimensions of Climate – creating an image that people recognize and trust (in business they call it branding) Values – Core concepts you want the kids to learn.Environment – physical aspects of your classroom Patterns of Action – expectations for interacting with each otherPeople – what it is all about. A lot of people can help you do your job (Guest Speakers, parents other staff can provide a positive influence )
Culturally appropriate people recognize and trust (in business they call it branding) – attitudes, beliefs and values regarding health related topics may vary according to the ethnic and cultural makeup of the community. Effective health education should be based on awareness of the culture, background of the students within each classroom and the influence of culture on the information and skills to be taught.Make the curriculum accessible – not all students learn the same way, nor are they motivated by the same factors. Use a variety of strategies to provide the student with a common experimental base.
Take advantage of opportunities for active learning people recognize and trust (in business they call it branding) – every aspect of health education focuses on behaviors or choices and every topic presents opportunities for engagement and motivation. Provide students with opportunities to to be engaged in creating and construction what they learn rather than passively receiving factual information.Focus on mental and emotional health throughout – mental and emotional health are not separate content areas. Both are considered crucial to an individual’s motivation to act on health-related knowledge and use health-related skills.
Emphasize character development people recognize and trust (in business they call it branding) – Through the health education curriculum students learn strategies for making positive, healthy decisions based on such ethical principles as integrity, courage, responsibility and commitmentThroughout the health education curriculum, moreover, the development of positive commitments to one’s own health and the health of the broader community and society is emphasized.
Use technology to embrace learning people recognize and trust (in business they call it branding) – in theclassroom use technology based resources to practice skillsexample: develop personal health profile with a variety of health indicators – encourage them to set goals for improvement and monitor progress.Connect concepts in health education with other learning experiences. Children learn best when the curriculum is focused on meaning and thinkingie – growth and development influenced by nutritionPersonal health habits play a role in spread of communicable disease.Use of alcohol, drugs tobacco increases risk of disease and injury.
Effective Implementation: Foster Health Literacy people recognize and trust (in business they call it branding) Present current and accurate content: All health related education is based on up-to-date scientific information.Recognize similarities and differences among students – many people face similar health-related issues and choices. Differences should be discussed, but care should be taken not to emphasize them to the point of divisivenessEmphasize not just health related information but importance of behavior – view the school as a safe laboratory for practicing and reinforcing new behaviors.
The Health Realization Services Division seeks to enhance the life fo the individual by teaching the understanding of the psychological Principles of Mind, Thought and Consciousness, and how these principles function to create our life experience. Through this educational process, individuals will realize their innate wisdom, and resiliency which will enable them to live healthier and more productive lives so that the community becomes a model of health and wellness.
Enhance the life of the individual by teaching the understanding of the psychological Principles of the mind thought and consciousness and how these principles function to create our life experience.Health Realization
Individuals realize their innate wisdom and resiliency which will enable them to live healthier and more productive lives.
Based on fundamental principles that offer a simple explanation about how and why people function and behave as they do.Health Realization
We all have lots of excuses for not consistently participating in physical activity – despite research and even what we instinctly know of the benefits that are gained for all ages.
Your challenge is to organize a range of developmentally appropriate and well designed strategies to instill a sound foundation for maintaining health and promoting school success.Physical Activity
The way in which fitness activities are taught and reinforced contribute to student attitudes about the value of being active for a lifetime.Research has demonstrated
Reduces feelings of depression and anxiety.
Promotes psychological well being.
Helps control weight.
Builds lean muscle mass.
Reduces body fat.Research has documented that participation in a pattern of consistent activity results in:
1996 Surgeon General report on physical activity and health concluded: Regular participation in moderate physical activity is an essential element of a healthy lifestyle for all americans.
However, the following specific benefits have been identified for school age children and youth who participate in regular physicial activity.
Improved aerobic endurance & muscular strength
Reduced risk for cardiovascular disease (decrease B/P and body mass index)
Decrease body weight among obese youths
Improved self esteem & self concept. Decrease anxiety and manifestations of stress.
Increased bone mass density as a result of participation in weight bearing exercise.More research needed........
We have millions of americans suffering chronic illness that can be prevented or improved by participation in regular Physical activity: 61% of the population between 20-74 are obese.
12.6 million have Coronary heart disease
1.1 million have heart attacks in any given year
17 million have diabetes (90-95 % of type 2 diabetes is associated with obesity and physical activity)
50 million have hypertensionSo why if we know this do so many adults remain inactive?
Activity levels start to decline as children approach adolesence and continue their decline throughout the teen years.
Among stludents 9 -12
1 in 3 do not participate in regular PA
Nearly one half do not participate in team sports
Nearly one half are not enrolled in PA classes
Participation starts to decline at age 10.While children and youth are more physically active than adults
Walking and bicycling in ages 5-15 dropped 40% adolesence and continue their decline throughout the teen years.
More than 1/3 of all trips made to school are made from a distance of 1 mile or less....students walk less than 1/3 of those trips to school.
Young people ages 2 – 18 spend on average over 4 hours per day watching TV or videos, or playing video games or using a computer.
- the majority of the time is watching TV
1/3 watch over 3 hours, 1/5 watch over 5 hours.In younger children the picture is not much better..........
1999 California study revealed only 1 in 5 students grade 5 & 7 met the minimum standards for all of the components of health related fitness and 2 in 5 did not meet the standard for cardio-respiratory fitness.
Physical Inactivity has become not only a health, but an economic issue as well.
It impacts every segment of society including the health care industry, american workforce and even the militaryPhysical inactivity has made a major contribution in the prevalence of childhood obesity in the US since 1980.
- % of costly obesity – diabetes doubled & 7 met the minimum standards for all of the components of health related fitness and 2 in 5 did not meet the standard for cardio-respiratory fitness.
- % of obesity related gallbladder disease tripled
- Sleep apnea among young people increased 5-fold.
These pose severe economic burden in our society....
Cost of hospitalization = $1500 average per dayAmong youths 6 -17 yrs the number of hospital admissions for obesity-related illness tripled in the past 20 years
The international consenses conference on physical activity guidelines for adolesence has suggested:
All adolescents be physically active daily, or nearly every day as part of play, games, sports, work, transportation, recreation and physical education or planned exercise in the context of family, school and community activities.
Experts encourage – 3 or more sessions/week of activities that last 20 minutes at a time that require moderate to vigorous levels of exertion.So what are we doing about this and what are healthy levels of physicial activity for young people?
participation in PA is associated with improved academic outcomes for students
-better scores on math, reading and writing skills tests
-reduced disruptive behaviors
-improved attitudes towards self & schoolGrowing body of literature confirms –
Every student in California should have a quality physical education experiences from kindergarden to high school.
Given the national focus on improving proficiency test outcomes for students I don't believe a change in schools programming and policy are going to happen in the near futureStatement by California State superintendent of public instruction>......
As classroom teachers you are encouraged to: education experiences from kindergarden to high school.
>Integrate a blend of sitting and moving into daily class room practice
>Engage students in greater variety of postures and movement during classroom instructions
>Encourage students to use their bodies to learn
>Incorporate role play as a way to dramatize key concepts
>Take stand and stretch breaks every 20 minutes to energize the class.But we do know active learning has advantages over sedentary learning
>Patterns of housing have centered in the use of the automobile rather than walking and bicycling
>Concerns for safety
>Appealing Technology (video games) enable a sedentary lifestyle among children
>Schools have cut recess programs and reduced requirements for participation in PE.
>In some districts unreasonable teacher student ratios
>Budget constraints for development and maintenance of facilities (parks & rec centers close to homes)So what are the Barriers?
PA = movement produced by skeletal muscles resulting in expenditure of energy.
Exercise is a subset of PA that is planned, structured, repetitive and is done with the purpose of improving or maintaining physical fitness
For teachers – recognition of the issues is critical as is the understanding of the scientific literature to understand the terminology of PA and fitness.
Health related elements of physical fitness expenditure of energy.
>Cardio-respiratory (aerobic) endurance, muscular strength and endurance, flexibility and body composition
>Motor skills = balance, agility, power, reaction time, speed and co-ordination.Physical fitness includes a set of attributes that are either health related or motor skill related
>Walking expenditure of energy.
>Unstructured play activities
>Physicial tasks associated with after school jobsSpecific forms of PA & Exercise
Level 1 =Daily lifestyle activities require involvement of large muscles of the body
Do most days of the week
Accumulate 30 + minutesPA Pyramid
Aerobic exercise = 3-5 days/week, 20 – 60 minutes large muscles of the body
Flexibility exercise = 2-3 days/week,hold each pose for 10-20 seconds
Strength exercise – 2-3 days/week, 8-10 exercises, 1 set 8 – 12 repsLevel 2
Recreational Activities – 2-3 days/week large muscles of the bodyLevel 3
Do sparingly large muscles of the body
Has some benefits in stress reduction and relaxation
Not necessary to abstain if it does not interfere with other physicial activitiesLevel 4
Schools and communities have the potential to improve the health of school age children and students by providing instruction programming and servies to promote life long PA
Since students spend a large percent of their waking hours at school....a formalized physical education curriculium, planned recess and short activity periods supplemented by a range of opportunities for activity throughout the school is essentialAs a fromalized part of the co-ordinated School Health Education Program
Children need frequent periods of rest following bursts of activity
Feelings of success and accomplishment are an important foundation for an ongoing commitment to participation in PA
Exercising with parents and other family members can reinforce a commitment to exercise participationIn recent years research has confirmed the health benefits of a lifelong commitment to physical activity
Using Table 11.2 (p 270) children
The CDC recommendations (p 272/73)
NHES Learning and assessment strategies
develop a program of fitness evaluation for children in an elementary class.Class Activity
Health Education Mandates: children
EC 51201.5 (a & b), EC 51554 (a), EC 51820
Teacher Prep requirements:
EC 51202.5 (a & b), EC 51240, 51555, EC 51820Sexuality Education
Family Life/Sex Education children
EC 51553 (a), EC 51554 (a)
EC 51240, EC 51550, EC 51555,
EC 51220.5 (c), EC 8910-11
Is the process of acquiring information and forming attitudes and beliefs about sex, sexual identity, relationships and intimacy. It is also developing young peoples skills so they make informed choices about their behavior and feel confident and competent about acting on these choices.Sex Education (sometimes called sexuality education or sex and relationship education
To be effective it needs to include opportunities for young people to develop skills that are linked to general life-skills.
(able to communicate, listen, negotiate, ask for and identify sources of help and advice.
Being able to recognize pressures and resist them, deal with and challenge prejudice, seek help from adults.
Be equiped with skills to differentiate between accurate and inaccurate information.Sex Education seeks to both reduce the risks of potentialy negative outcomes from sexual behavior (ie unwanted pregnancies and std)
You must be comfortable with your beliefs and not let them influence negatively the messages you provide.Forming attitudes and beliefs