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Children- Their Future Depends on What We Do Today. Coordinated School Health: A Model Plan. The Initial Plan. Vision – Within 3 years barriers to learning will be reduced to allow students the opportunity to learn

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Children their future depends on what we do today l.jpg

Children- Their Future Depends on What We Do Today

Coordinated School

Health:

A Model Plan


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The Initial Plan

  • Vision – Within 3 years barriers to learning will be reduced to allow students the opportunity to learn

  • Mission – Service deliveries to students through school and community in order to improve student, staff, school and community performance


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The Measurable Goals

  • Decrease Dropout Rates by 3%

  • Increase graduation rates by 2%

  • Increase attendance to: Elementary 97%

    Middle and High to 95%

  • Decrease lost days by 3% to Health and Behavior Problems

  • Improve equity of opportunities and services by 50% for all students


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Moving from a 2 to a 3 component model for school improvement

Instruction

Enabling

School

Student

Family

Community

Management


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Our Population improvement

  • Mobile County Public Schools

    • 65,000 students

  • 43,485 or 67 %

  • are Title One Students


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Enhancing School Effectiveness improvementby Addressing Barriers to Student Learning

Enhancing School Effectiveness by Addressing Barriers to Student Learning

  • Health Services

  • Transportation Services

Through Coordinated Efforts


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Health Services - $700,000 improvement

  • 12 Registered Nursing Positions

    • Travel-local, state and national

    • Staff Development

    • Equipment and Supplies

    • Audio visual materials/ reference materials


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Direct Student Services improvement

  • Doctor, Dentist visits

    • Counseling

    • Medication and medical equipment


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Student Mental/Emotional Needs improvement

“School systems are not responsible for meeting every need of their students. But, when the need directly affects learning, the school must meet the challenge.”

  • Carnegie Task Force on Education


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Support Team Referrals Transformed/Priority Schools improvementFY 2005

Referrals

  • Medical 157

  • Academic 48

  • Counseling/Mental Health 364

  • Attendance 146

  • Social 109

  • Other 68


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Impact of Health Services Interventions at all MCPSS Schools improvement

  • Attendance Data:

    Q2 04 – Q2 05

    48% of the schools increased attendance from 04-05

  • Grade Comparison

    Q1 05 - Q2 05

    65% of students (with grades posted on DAISI) who were helped with medical care this school year brought up their grades


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Health Services improvement

  • “School nursing is a specialized practice of professional nursing that advances the well being, academic success, and life-long achievements of students. To that end, school nurses facilitate positive student responses to normal growth and development; promote health and safety; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build student and family capacity for adaptation, self management, self advocacy and learning.”


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12 Nurses caring for over 45,000 students who have been identified eligible to receive Title I services

Evaluation of Services FY 2004

School Visits 5506

Home Visits 230

Other Visits 398

(MD visits, hospitals, community agencies, etc.)

Conferences 24939

Nursing InvestigationsCommunicable Disease

Title I 2927 Headlice 1389

Processed 4272 Impetigo 26

Referrals Ringworm 161

Scoliosis 348 Scabies 4

Dental 2520 Miscellaneous

Hearing 733 Medical 1564

Vision 1849 ADHD 779

Abuse 247

Suicide 29


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The Problem Addressed identified eligible to receive Title I services

In The Media

USATODAY.com - Nurse shortage puts school kids at risk

USATODAY.com - In Mass. district, nurses take proactive role in kids' health

USATODAY.com - Utah mom on mission in state with few nurses

USATODAY.com - Instead of a nurse, a locked door

USATODAY.com - Breathing complications leave girl brain damaged

USATODAY.com - School blamed in boy's death


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The McComb Healthy Schools Project identified eligible to receive Title I services

2003

The Safety Net:

The McComb Nine Component

Coordinated School

Health, Wellness and Safety Model

McComb School District

Dr. Pat Cooper, Superintendent

695 Minnesota Avenue

P.O. Box 868

McComb, MS 39649

(601) 684-4661

Msd1


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The McComb Healthy Schools Project identified eligible to receive Title I servicesThe Safety Net: The McComb Nine ComponentCoordinated School Health, Wellness and Safety Model


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What is the identified eligible to receive Title I servicesSafety Net?

  • The Safety Net is a coordinated school health and wellness model developed by the McComb School District in 1996 to improve the health, social and academic outcomes and experiences for children in the district’s schools.

  • The nine program components that make up the Safety Net are:

  • Academic Opportunity

  • Community and Parent Involvement

  • Counseling and Psychological Services

  • Health Instruction

  • Health Services

  • Healthy Nutrition

  • Physical Education

  • Safe and Healthy School Environment

  • Staff Health and Wellness


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What are the results of the identified eligible to receive Title I servicesSafety Net?

  • Significant increases in reading, language and math test scores on the MCT and Terra Nova. Overall, one group of children moved from the 30th percentile to the 47th percentile on the Terra Nova test within four years. In 2000, these 46.5% of these children were in the bottom quarter, four years later only 22.6% of them were. MCT scores for 2nd – 8th grade reading, language and math increased by 32.8 to 80.4 points.

  • The graduation rate has increased from 77.03% in 1996-97 to 90.97% in 2002-03. This is nearly 10% higher than the state average.


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  • Prior to 2001-02, an average of 39.4 children were identified eligible to receive Title I servicesdropping out of school. After the implementation of a positive discipline program, only 14.5 children were dropping out.

  • The McComb School District’s special education inclusion rate is double that of the state of Mississippi. We ranked 1st in providing special education services within general education classrooms. Also the total number of special education students has decreased from 443, 1997 to 375, 2004.


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  • Only 3% of teens in our Teen Parent Program had a repeat identified eligible to receive Title I servicesteen pregnancy before the age of 20, compared to 23.5% for Mississippi and 20.9% for the United States. None of our students had a repeat pregnancy while still in the McComb School District.

  • A decrease of 59% was seen in juvenile crime arrests out of school.

  • Decreases of more than 42% in suspensions/detentions and 33% in expulsions have occurred since the Safe Schools component was initiated.


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The McComb Healthy Schools Project has provided this safety net for all levels of students through:

  • A strong core academic curriculum that includes Advanced Placement and gifted classes, a strong vocational-technical component and an effective special education inclusion program.

  • A health clinic with at least one school nurse and therapist at every school.


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  • Student Assistance Teams (SAT) at each school to address individual student needs using a pro-active preventive approach, coordinated services and an effective referral system for services not provided by the school district.

  • A safe learning environment conducive to learning with landscaped and renovated facilities, security officers on-site and a customer friendly staff with a motivating attitude.


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Their Mission employees.

“… committed and nurturing community taking responsibility every day for positively impacting the physical, social and academic well-being of every child and challenging him to become an extraordinary individual empowered to change the world.”


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The Brutal Facts employees.

  • McComb is a small rural community in Pike County, Mississippi. It is a close knit community with many strengths and more than a few challenges. Many of our children live in high poverty neighborhoods and, because so many children qualified for free or reduced meals, all schools except the high school now provide all children with free meals. At the high school, 75% of the students qualify for free or reduced meals. The following data describes some of the challenges facing the children in our community and in surrounding Pike County.


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  • Research indicates that children today are not as healthy as the generation before them and are developing lifelong addictions to drugs, alcohol, cigarettes and other forms of tobacco in increasing numbers. They are not as physically active, have poor diets and are exposed daily to dangers in their environments. One negative consequence leads to another and, before long, too many of our children are on a Wheel of Misfortune that only swallows up more and more of our citizenry each generation.


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“[Children]… who face violence, hunger, substance abuse, unintended pregnancy, and despair cannot possibly focus on academic excellence. There is no curriculum brilliant enough to compensate for a hungry stomach or a distracted mind.

National Action Plan for Comprehensive School Health Education, American Cancer Society, 1992


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“73% of adults from a nationally representative sample felt that health education in schools was definitely necessary.”

Mid-Continent Research for Education & Learning Survey, 1998


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Establishing the Infrastructure felt that health education in schools was definitely necessary.”

  • The heart of the plan concentrated on the health of our students and families. Maslow’s Hierarchy of Needs served as the basis of our infrastructure and school health as the mechanism for attaining results and successful reform. School programs were specifically designed to address each need:


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Maslow’s Hierarchy of Needs felt that health education in schools was definitely necessary.”


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Maslow’s Hierarchy of Needs Coordinated School Health Program

1. Physical Health-Health Services, Physical Education, Staff Wellness, Food and Nutrition

2. Safety and Free of Fear-Safe and Healthy Environment

3. Sense of Belonging & Being Loved-Counseling, Integrated Community/School Health

4. Positive Self-Esteem- Counseling/Achievement

5. Motivated and Learning- Academic Opportunities


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McComb Nine Component Coordinated ProgramSchool Health, Wellness and Safety Model

  • Academic Opportunity- Early identification and individualized strategies ensure children are prepared for success. Teachers have sufficient time to teach and students have sufficient time to learn.


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  • Community & Parent Involvement- An integrated school, parent and community approach that establishes a dynamic partnership to enhance the health and well-being of students.

  • Counseling & Psychological Services-Services provided include broad-based individual and group assessments, interventions, counseling and referrals that attend to the emotional and social health of students.


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  • Health Instruction-A planned, sequential, PreK-12th grade curriculum is provided that addresses all dimensions of health where the focus is on health literacy to enhance each student’s independent thinking skills and decision making.

  • Healthy Nutrition-Healthy, nutritious and appealing snacks and meals are provided for staff and students.


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  • Health Services-Services are provided for students in a clinic setting to assess, protect and promote health.

  • Physical Education-A planned, sequential, PreK-12th grade curriculum that provides cognitive content and learning experiences in physical fitness and individual, dual and team sports.


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  • Safe & Healthy School Environment-Physical and aesthetic surroundings and psychosocial climate and culture in schools that maximizes the health of students and staff. A safe and attractive learning environment where self-esteem, effective communication and respectful interpersonal relationships is promoted.


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The Beginning health assessments, education and fitness activities and mirrors the district’s commitment to healthy lifestyles.

  • He had proactive leadership

  • He implemented the program step by step

  • He focused on program supports


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He did lots of health assessments, education and fitness activities and mirrors the district’s commitment to healthy lifestyles.Research and Evaluation to gain funding sources.

  • For example, when the McComb School District’s nurses wanted to screen elementary school children for hypertension, there were no models for doing this so they created one. The results of the screenings were published in cooperation with the National Association of School Nurses in February 2001.


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Staff Resources health assessments, education and fitness activities and mirrors the district’s commitment to healthy lifestyles.

  • – Never underestimate the power of having the right staff in the right positions. It is a critical factor in implementing such a comprehensive school health initiative. Once you have the right staff on board, cultivate their leadership skills and give them the freedom to act in the best interests of the community’s vision. Applaud results and discuss problems as they appear, and they will appear. Insist on accountability as displayed by data results.


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  • Technology health assessments, education and fitness activities and mirrors the district’s commitment to healthy lifestyles.

  • Coordination

  • They support health and wellness for everyone in the school environment.

  • They recognize and support the potential of every student.

  • They keep their eyes on the prize


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The Road Ahead health assessments, education and fitness activities and mirrors the district’s commitment to healthy lifestyles.

  • McComb’s Nine Component Coordinated School Health program creates that foundation for our children, teachers and staff. Caring teachers, unique methods of instruction, and non-traditional time frames are the bridges that students can use to become healthy and productive citizens in our community.


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  • Coordinated School Health health assessments, education and fitness activities and mirrors the district’s commitment to healthy lifestyles.

    (http://mnschoolhealth.com/article.html?z=6373&b=index2&articleID=060125094500-137417)


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“Our challenge is to continue to build the bridge while walking across it to a healthier tomorrow for our children.”


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