Priester National Extension Health Conference

2. Priester National Extension Health Conference

6. The relationship makes sense

7. 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

8. 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

9. 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

10. Every day in Mississippi, we have an opportunity to reach… 493,302 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

11. Coordinated Approach

12. CSHP Program Provides framework for promoting positive health and educational outcomes through collaboration Eight components Brings stakeholders together Focuses on programs and policies Based on a team approach

13. 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

14. “Must Have” Partnerships Commitment Coordinated infrastructure/resources Win/Win

15. Partnerships by Component Physical Education/Activity MS Beverage Association Local Fitness Centers Institutes of Higher Learning The Bower Foundation American Heart Association- JRFH MS AHPERD MS Dept of Wildlife Fisheries and Parks

16. Partnerships by Component Nutrition Services/Education MS State Extension- OrganWise Guys USDA MS State Department of Health Community Programs- Summer Feeding Health Education MS State Extension- SNAP ED Junior League of Jackson MS Department of Human Services Abstinence Education

17. Partnerships by Component Staff Wellness MS State Extension- Mississippi in Motion MS State Department of Health Healthy School Environment MS Department of Environmental Quality American Lung Association MS State Extension- Master Gardner

18. Partnerships by Component Counseling, Psychological Services Regional Mental Health Centers MS Division of Medicaid Health Services School/Hospital Partnerships MS Division of Medicaid- Cool Kids (EPSDT)

19. Partnerships by Component Family/Community Involvement MS State Extension Family Fitness Night School Health Council Meeting Facilitator MS State Department of Health MS PTA Parents for Public Schools

20. School Health Policy Development We are so excited about the many successes that have come out of the many grant funding opportunities that the Office fo Healthy Schools has initiated. Today, we will talk about many of those successes. I am very pleased to show you that we have successes throughout the state. We are so excited about the many successes that have come out of the many grant funding opportunities that the Office fo Healthy Schools has initiated. Today, we will talk about many of those successes. I am very pleased to show you that we have successes throughout the state.

21. 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. The Wellness Policy was mandated by the US Congress in 2004 The Wellness Policy was mandated by the US Congress in 2004

22. 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 Councils were mandated by the MS Legislature - and required beginning in 2006School Health Councils were mandated by the MS Legislature - and required beginning in 2006

23. SCHOOL HEALTH COUNCIL MUST be an active functioning group meet regularly have a set agenda give schools support/permission be cohesive identify resources

24. Mississippi Public School Accountability Standards 37.2 Each school has on file a school wellness policy developed by a local school health council that addresses the eight components of a coordinated approach to school health and that has been approved by the local school board.

25. Guidelines for Mississippi School Health Councils School Health Councils must meet a minimum of three times per year. School Health Councils must maintain minutes for each meeting for documentation. A minimum of one presentation per year must be made to the local school board for approval of all school wellness policies.

26. are now one of the minimum requirements for all Local Wellness Policies in Mississippi. Mississippi BEVERAGE and SNACK REGULATIONS I apologize for leaving this slides out of your handout. Another piece of the puzzle for improving the health of MS student are the Beverage and Snack guidelines approved by the State Board in October 2006 … with a phased timelineI apologize for leaving this slides out of your handout. Another piece of the puzzle for improving the health of MS student are the Beverage and Snack guidelines approved by the State Board in October 2006 … with a phased timeline

27. FOOD REGULATIONS General Guidance Competitive Foods- Board Policy # 2002. Beverage Regulations- Board Policy # 4003 Snack regulations- Board Policy # 4004 SNACK REGULATIONS - GENERAL GUIDANCE Before we discuss the specific standards of the new Snack regulations, it is important to make two general points: First, Mississippi schools must continue to follow the Competitive Food policy EEH. This existing policy, one of the strongest in the nation, was designed to ensure that children do not have to choose between the School Lunch/Breakfast programs and vended items of lower nutritional quality. Secondly, food sales outside of Child Nutrition Programs are available in Mississippi schools at the discretion of the school district. This means that any district can decide to have no snack vending at school. In fact, a significant number of Mississippi districts have made this decision with children’s health in mind.SNACK REGULATIONS - GENERAL GUIDANCE Before we discuss the specific standards of the new Snack regulations, it is important to make two general points: First, Mississippi schools must continue to follow the Competitive Food policy EEH. This existing policy, one of the strongest in the nation, was designed to ensure that children do not have to choose between the School Lunch/Breakfast programs and vended items of lower nutritional quality. Secondly, food sales outside of Child Nutrition Programs are available in Mississippi schools at the discretion of the school district. This means that any district can decide to have no snack vending at school. In fact, a significant number of Mississippi districts have made this decision with children’s health in mind.

28. 2007 School Health Policy Development Healthy Students Act (Section 37-13-134) Mandates 150 minutes per week of activity based instruction, 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

29. 2007 School Health Policy Development MS Healthy Students Act 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

30. Comprehensive Health and Physical Education Rules and Regulations 50 minutes of the 150 minutes of activity based instruction for K-8 must be based on physical education standards- Board Policy 4012 Standard 33 of the MS Public Schools Accountability Standards requires physical education to be a part of the basic curriculum in any configuration for grades K-8. Recommends class sizes for grades K-12. Requires fitness testing for students in grade 5 and for students in the year they are to receive their ½ Carnegie Unit for graduation- Board Policy 4012

31. NUTRITION STANDARDSState Board Policy # 4011 Extra Food Sales Methods to Increase Participation Healthy Food and Beverage Choices Minimum/Maximum Time Allotted for Lunch and Breakfast Food Preparation Ingredients and Products Marketing of Healthy Food Choices

32. Like schools across MS - and around the nation - you have a Wellness Policy and a School Health CouncilLike schools across MS - and around the nation - you have a Wellness Policy and a School Health Council

33. Expanding CSHP Data driven decisions Assessment- prioritize local need Action Plan Community Meetings Highlight local successes Job Alike Presentations Readiness for other grants Partnerships

34. Committed to Move

35. 5 ***** Star Food

36. Nutrition Integrity

38. John D. Bower, M.D. School Health Network 1 Ten Schools- 2005-2008 $100,000 each 3 year grant Implement Coordinated School Health 2008-2011 funding of $91,000 Develop Action Plan Community Meetings Marketing Strategies Sustainability

39. John D. Bower, M.D. School Health Network 2 Three year grant $161,000 Implement Coordinated School Health Requires 7 team members Partnership with MSDH for implementation of staff wellness

40. Initiatives Health is Academic Start Up Grants The Bower Foundation Vending Machine Case Study NASPE Summer Conference Curriculum Analysis Trainings from CDC Water Hydration Communicable Disease Policy Guide for Development Communicable Disease Prevention Grants Health and Physical Education Framework Training Mississippi School Health Successes

41. MS POWER PROJECTPreventing Obesity With Every Resource MS was awarded a $110,000 Grant through the National Governor’s Association and Robert Wood Johnson Foundation Key representation on Governor’s Task Force Environmental Scan Stakeholders Meeting Awarded 20 grants (Community Gardens, Cooking School, BMI Data Collection) 2008 Mississippi Health Summit Strategic Policy Planning Development of Report and Dissemination

43. School Nurse Program 420, RN’s, LPN’s, and Nurse Practitioners SCOPE Training EPSDT, School Nurse Intervention Program, Federal Funds, District Funds, School/Hospital Partnerships EPSDT (Cool Kids)- Approximately 60 nurses School Nurse Intervention- 68 grants- 3.4 million dollars 25 Percent of time required for tobacco prevention education 75 Percent of nurses participating in data collection School Nurse Protocol and Standards for Care Legislator’s currently support additional funding

44. Data Collection Youth Risk Behavior Survey School Nurse Data Collection School Health Profiles Smartrack Successes MSDH Monitoring Visits

45. OHS Communication Plan

46. Get the Word Out MS Association School Superintendents MS Dietetic Association MS School Counselors Association MS Association of School Administrators Teacher Renewal Institute Effective Classroom Regional Training School Convocations MS Rising Summer Conference Pediatricians MS Elementary Principals Association Video Streaming Educators Statewide MS Professional Educators Workshop MS Counseling Association Minority Administrators MS Association of School Superintendents Parents for Public Schools Public Relations Directors

47. Health is Academic2008 Presentations 91 venues (national, state and local conferences, training and school convocations) 8,695 teachers, students, principals, superintendents, parents, school nurses, federal and state agency staff 11 of 12 monthly MS Board of Education Meetings 

48. Mississippi Obesity Prevention Efforts MS State Department of Health- BodyWorks Training Draft Daycare/Childcare Standards Safe Routes to School John D. Bower School Health Network Staff Wellness Healthier US Schools Challenge Community Awareness Marketing Data Collection

49. Mississippi Obesity Prevention Efforts Alliance for a Healthier Generation MS Delta- Priority Schools School Health Planning/Resources Physical Education Training Recognition Program Nutrition Policy Review Approximately 10 MS Delta schools have achieved atleast the Bronze level (Seven are members of the John D. Bower School health Network) Highlighting Successful Partnership between OHS and AHG

50. Mississippi Obesity Prevention Efforts MS Health Policy Center Issue Briefs What do Mississippians think about childhood obesity Mississippi initiatives to address childhood obesity School Nurse MS Healthy Students Evaluation Project funded through Robert Wood Johnson Community Foundation of Northwest MS Get A Life- Robert Wood Johnson Funded Grant GIS Mapping of churches and schools Efforts to engage schools, communities and churches Greenway Project

51. Mississippi Obesity Prevention Efforts Save the Children Change Study University of Mississippi Medical Center TEAM MS- Johnson and Johnson Funded Project MS Family Physician’s Ready, Set, Fit Curriculum Mississippi Alliance for School Health Presentation MS Department of Agriculture Farm to School Program

52. Mississippi Obesity Prevention Efforts MS Department of Education Board Policy for Beverage and Snacks Nutrition Standards Board Policy 37.2 requiring Coordinated School Health Physical education/Comprehensive Health Rules and Regulations School Nurse Program Data Collection

53. Mississippi Obesity Prevention Efforts The Bower Foundation Health is Academic Start up Grants Five Star Food Grants Nutrition Integrity Grants John D. Bower, M.D. School Health Network Vending Machine Case Study Health in Action

55. Other Collaborative efforts Birth to Five Independent Childcare Centers- 663 sites Independent Adult Daycare Centers- 20 sites Family Daycare Homes- 502 sites Summer Feeding Program- 308 sites School Foodservice- 951 sites Immunizations Joint Presentations Teen Pregnancy Prevention Safe Routes to School Emergency Preparedness/Response

56. LOCAL SCHOOL WELLNESS POLICY PRINCIPAL SURVEY 2006 AND 2008 Jerome R. Kolbo, The University of Southern Mississippi Elaine Molaison, The University of Southern Mississippi Keith Rushing, The University of Southern Mississippi Lei Zhang, State Department of Health Ashley Green, The University of Southern Mississippi

57. THE 2008 SURVEY The survey consists of seven sections: General demographics of the school (3 questions) 11 commitments to implementing a coordinated approach school health (70 questions) Knowledge of the policy (1 question) Overall implementation and perception of quality (2 questions) Health status of students (3 questions) Characteristics of school (4 questions) Future directions (1 question)

58. 2008 KEY FINDINGS Large increases since 2006 in: Implementing the School Health Policy (96% vs. 76%) Establishing a School Health Council (84% vs. 65%) Knowledge of the Policy (93% vs. 82%) Students receiving nutrition education (80% vs. 51%) Students receiving physical education (89% vs. 69%) Students receiving health education (82% vs. 51%) Those teaching health ed were certified (59% vs. 48%)

59. MORE 2008 FINDINGS Of the 11 components, highest percentages of full implementation were among: Food Safe Schools (87%) Counseling, Psychological, and Social Services (84%) Nutrition (81%) Lowest percentages of full implementation were among: Quality Staff Wellness Program Marketing a Healthy School Environment Principals most interested in: Additional funding for PE (38%) Mandate certified PE/Health teachers (18%) Provide more school nurses (12%)

60. EVEN MORE 2008 FINDINGS 78% of the principals believed there was a correlation between implementation of the Local Wellness Policy and the academic performance of students Principals believe the School Health Council has been most effective at: Generating parental involvement (22%) Facilitating implementation of CSHP (22%) Helping in new policy development (12%)

61. AVAILABLE CAYPOS DATA Prevalence among children and youth in grades 1 – 8 (2003) Differences in findings by method data gathered (self-report and anthropometric) Prevalence among all public school students in grades K – 12 (2005 and 2007) Differences in 2003, 2005, and 2007 findings Prevalence among Head Start population (2005)

62. 2003 CAYPOS FINDINGS Nearly 4 in 10 overweight or obese More than 1 in 4 (27%) overweight or obese in First Grade More than 40% in 3rd, 4th, 5th, 7th, & 8th Highest rates among non-white females Approximately 1/3 obese by age 9

63. 2003 CAYPOS: PERCENT BY GRADE

64. COMPARISON OF THE2003 YRBSS AND 2003 CAYPOS

65. 2005 CAYPOS FINDINGS Approximately 44% overweight or obese Public school students heavy at an early age Highest among middle school students Highest among African-American females Overall rates and prevalence of obesity higher than 2003

66. 2005 CAYPOS BY GRADE

67. 2003 AND 2005 COMPARISON

68. 2005 HEAD START FINDINGS Nearly 4 in 10 three and four year-old children in Head Start overweight or obese Nearly 1 in 2 five year-olds overweight or obese Over 20% of pre-school children are already obese Rates are similar for Kindergarten in K-12 study

69. 2005 HEAD START DATA BY AGE

70. 2007 CAYPOS FINDINGS 23.5% were obese 42.1% at-risk or overweight Obesity lower among females (22.9%) vs. males (24.2%) Obesity lower among white (21%) vs. nonwhite students (25.7%) Obesity lower among middle (22.8%) and high school students (20.8%), than among elementary students (25.3%)

71. 2007 CAYPOS: COMPARISON OF RACE BY GRADE

72. GENDER COMPARISON: 2005 AND 2007

73. RACE COMPARISON: 2005 AND 2007

74. GRADE LEVEL COMPARISON:2005 AND 2007

75. SO WHAT DOES THE DATA TELL US? Obesity rates dropped in 2007most among: Middle school students Middle school males Middle school white students High school females High school nonwhite students Highest rates of obesity in 2007are among: Younger students Males Nonwhite students

76. CONTACT INFORMATION Jerome R. Kolbo, PhD, ACSW The University of Southern Mississippi 118 College Drive #5114 Hattiesburg, MS 39406 Office - 601-266-5913 jerome.kolbo@usm.edu Home - 601-408-8108 j.kolbo@comcast.net

77. Next Steps Award Child Nutrition portion of ARRA (1.7 Million) 80 Combination Oven Steamers ($17,000 grants) 11 grants 10 address food safety (up to $30,000) TEAM Nutrition Grants for Nutrition and Physical Education 25- $400 grants to purchase physical education equipment Eligibility based on participation in regional trainings School Health Report Card Online data collection for fitness data (MSIS) Comparison with other student data Attendance Drop out Academic Achievement

78. Who benefits?

80. CHAMPIONS Everyone - from YOU to children of all ages - can be champions for health and wellness. Although everyone can be a champion, YOUR leadership and support for school wellness makes ALL the difference in the world.Although everyone can be a champion, YOUR leadership and support for school wellness makes ALL the difference in the world.

81. THANK YOU for your time and attentionTHANK YOU for your time and attention

82. 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