Partnership Learnings

2. Partnership Learnings • Partnering is a complex and time-consuming process that may achieve outcomes that single entities may not be able to achieve independently. • “Collaboration is an unnatural process among non-consenting individuals” • Relationships are key to success • Partnerships develop in stages similar to building a house

4. Roles of CSHP ICC & Key Advisory Committees since 1998 • CSHP links to categorical programs • Communication/networking among programs • Coordination and cooperation, for example: • Education about CSHP, resource development • Guidelines for Coordinating School Health Programs • Creation of a series of CSHP diagrams • Annual work plan • Set stage for higher level partnering

5. Fund for Healthy Maine • Multiple partners negotiated use of tobacco settlement money starting in 2000 • CSHP Key Advisory Committee played important role advocating for funding of CSHP/school health coordinators in local partnerships • Funding for health issues went beyond tobacco: (PANT) • Emphasis was on prevention

6. 31 community and school partnerships statewide (HMP) 54 part and full-time school health coordinators 2001-2006

7. Multiple levels of partnering:within HMP • Intradepartmental (DHHS): CVH, PTM, CH and CSHP • Interdepartmental: DOE & DHHS • State and Local • Between local communities and schools

8. Partnersin systemic change • Policy and environmental change • Funding • CSHP Implementation and evaluation • Professional development and technical assistance • Communication • Resources

9. Results at the local level: Extension of Infrastructure National • USDHHS (CDC/DASH) • National Coordinating Committee on School Health and Safety Maine • MDOE and MDHS • CSHP Interdepartmental Coordinating Committee (ICC) • CSHP Key Advisory Committee Local • Community Partnerships withLocal Education Agency (LEAs) • School Leadership Teams (within LEAs) • School Health Advisory Councils (with communities)

10. Results at the local level: • Infrastructure: • More than half of SHCs on administrative team • Two thirds have active Health Leadership Teams and/or Councils • Policy changes • More than 90% have passed tobacco free campus policy • Majority have implemented policies to improve food choices • Environmental changes • Half have increased time for PA for students and have offered programs for staff • Funding • Leveraged more than $3,200,000 in 4 yrs • Additional staff • Almost 1 in 5 have hired additional teachers or added hours for nurses, PE teachers and mental health.

11. Results at the state level: • Local education policy makers and school health coordinator leaders speak about their impact at state level conferences and public meetings • DOE Commissioner invites local education policy makers interested in school health to join a leadership network. Group has been meeting 3x/yr for 2 years

12. Results at the state level: • CSHP ICC and Key Advisory Committees meet annually with school health coordinators (SHCs) • SHCs share CSHP successes • State agencies and organizations provide information on resources and trainings • Many HMP Project Officers understand CSHP and appreciate contributions of schools to HMP outcomes

13. Results at the state level • Members of the Coalition active in securing and maintaining funding for HMP became aware about impact of school health coordinators • Some members were also CSHP Key Advisory Committee members • Proposal for increase in Tobacco Excise Tax included funding for school health coordinators statewide • Increase used to address budget deficit instead

14. Results of a comprehensive approach and multi-level partnering including HMP:Youth Smoking reductions(1997-2005) Current High School Smokers a 59% drop Current Middle School Smokers a 64% drop

15. Current partnering activities • Another level of partnering within HMP • Development of strategic plan and RFP for next 5 years • Four new programs: • Substance abuse • Diabetes • Asthma • Comprehensive cancer • New relationships, new priorities and broadening of scope secondary prevention and self-management of chronic conditions

16. Current partnering activities • Renegotiation of funding • Very little new funding • HMP funding is available with some cuts • Expansion of expectations • Challenges for schools • Identify our role regarding chronic disease • Educate new group of health professionals • Frame CSHP as public health in the school setting- new perspective • Develop materials to bridge language and culture gaps between health and education sectors

17. Current partnering activities New resources drafted by CSHP DHHS work group and ICC • School Health and Education Connections to 10 Essential Public Health Services • Public School Roles in Secondary Prevention and Self-Management of Chronic Conditions (Care Model)

18. Current partnering activities • Preparation of new HMP RFP is intertwined with discussion about Maine’s new statewide health plan • Involvement of education and school perspectives in discussion • Participation on Public Health Work Group • Testimony at public hearings

19. Future plans • Continued funding for existing SHCs with local match required • Funding for 6-8 new SHCs • CSHP Key Advisory working on strategic plan that extends beyond end of CDC cooperative agreement and includes looking for funding for more SHCs • By using a comprehensive and coordinated approach to overweight our goal is to achieve substantial changes in health behaviors similar to tobacco use reductions.

20. For more information on Maine MDOE/MDHHS partnership contact: Jacqueline Ellis, Director CSHP Maine Center for Disease Control and Prevention (207) 287-3856 Jaki.ellis@maine.gov Kathy Wilbur Maine Department of Education (207) 624-6696 Kathy.wilbur@maine.gov