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Coordinated School Health Initiatives . Nick Drzal, MPH, RD Michigan Department of Education Grants Coordination & School Support Office Coordinated School Health & Safety Programs Lisa Grost, MHSA Michigan Department of Community Health Cardiovascular Health Nutrition and Physical Activity.

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coordinated school health initiatives

Coordinated School Health Initiatives

Nick Drzal, MPH, RD

Michigan Department of Education

Grants Coordination & School Support Office

Coordinated School Health & Safety Programs

Lisa Grost, MHSA

Michigan Department of Community Health

Cardiovascular Health Nutrition and Physical Activity

vision statement
Vision Statement
  • School-aged children are socially, emotionally and physically healthy and engaging in behaviors that promote lifelong health and academic achievement within a supportive family, school and community environment.
state school health vision priorities
State School HealthVision Priorities
  • Teach healthy behaviors and skills to all students.
  • Ensure that social, emotional and physical health services available to all students.
  • Create environments that support health behaviors.
mde role function
MDE Role & Function
  • Provide leadership, technical assistance and support for efforts designed to promote student health
key health problems
Intentional and unintentional injuries

Sexual risk behaviors

Alcohol/drug use

Tobacco use

Physical inactivity

Poor eating habits

Special Projects: Asthma, Sun Safety

Key Health Problems
Content Standards and Benchmarks

Model State Curriculum

Grade Level Content Expectations

State Board Policies

Assessment and Evaluation


Resources and Tools

Key Education Focus

presentation objectives

Presentation Objectives

Provide an overview of Coordinated School Health Initiatives and how they can change school systems.

Share research on links between health status and academic achievement

Share success stories and resources

Encourage you to become a coordinated school health advocate.

making the connection health and student achievement

Making the Connection: Health and Student Achievement

Through Coordinated School Health Programs

© 2002 Association of State and Territorial Health Officials (ASTHO) and the Society of State Directors of Health, Physical Education and Recreation (SSDHPER)

coordinate health initiatives

Coordinate Health Initiatives…



coordinated school health initiatives21
Coordinated School Health Initiatives:
  • Empowers students with the knowledge, skills, and judgment to help them make smart choices in life.
  • Engages parents, families and communities
  • Helps keep kids healthy over time by reinforcing positive behaviors
  • Supports learning and school success
cshi are

Centered on the Needs of Our Children

  • Increase connectedness
  • Identify and build upon youth assets
  • Develop life skills and sense of competence
cshi are23

Systematic in its Approach

  • Assess needs and resources
  • Prioritize
  • Plan
  • Implement
  • Monitor, evaluate, and refine
cshi are24

Built on a Team Effort

  • Coordination between School Health Councils and School Health Teams
  • Partnerships
  • Involvement of students, families, and communities
  • Link to School Improvement Plan, School-Based Site Management
cshi are25


  • Builds on accurate data
  • Utilizes sound science
  • Aims to eliminate gaps and redundancies
coordinated school health team










for Staff










& Social


Coordinated School Health Team
good health is necessary for academic success31
It is difficult for students to be successful in school if they are:


Using alcohol

or other drugs





Being bullied


Good Health IS Necessary for Academic Success
family community component
Family & Community Component
  • Students with greater parent involvement show:
    • Higher grades
    • Higher test scores
    • Better attendance
    • More consistently completed homework
      • Henderson, 1987

Family & Community Component

  • Schools with strong community activity programs report:
    • Increased student academic achievement
    • Reduced school suspension rates
    • Improved student behaviors
      • Nettles, 1991; Allen, Philliber, Herring, and Kupermine 1997
comprehensive school health education component
Comprehensive School Health Education Component
  • Students participating in health education show:
    • Increased knowledge, skills and health practices
      • Connell, Turner, and Mason, 1985
    • Decreased risky behaviors
      • Botvin, Baker, Dusenbury, Tortu, and Botvin, 1990
      • Dent, Sussman, Stacy, Craig, Burton, and Flay, 1995
school health services component
School Health ServicesComponent
  • Schools with school-based health centers report:
    • Increased school attendance
    • Decreased drop-outs and suspensions
    • Fewer teen pregnancies
    • Higher graduation rates
      • McCord, Klein, Foy, and Fothergill, 1993
      • Walters, 1996
school nutrition services component
School Nutrition ServicesComponent
  • Schools with school breakfast programs show:
    • Increased academic achievement
    • Improved student attention
    • Reduced school nurse visits
    • Decreased behavior problems
      • Murphy, Pagano, Nachmani,
      • Sperling, Kane, and Kleinman, 1998
counseling psychological and social services component
Counseling, Psychological and Social Services Component
  • School intervention combining teacher training with parent education showed:
    • Increased student attachment to school
    • Less school misbehavior
    • Better academic achievement
      • Hawkins, Catalano, Kosterman, Abbott, and Hill, 1999
counseling psychological and social services component38
Counseling, Psychological and Social Services Component
  • Parent-child and parent-teacher communication intervention resulted in
    • improved student academic performance

- Bowen, 1999

healthy school environment component
Healthy School Environment Component
  • Students who felt a strong social bond to their school were:
    • More attentive in class.
    • Less likely to misbehave.
      • Simons-Morton, Crump, Haynie, and Saylor, 1999
physical education component
Physical Education Component
  • Physical activity is positively associated with academic performance
        • Dwyer, Blizzard, and Dean, 1996
  • Student physical education involvement did not negatively impact student test scores.
      • Sallis, McKenzie, Kolody, Lewis,Marshall, and Rosengard, 1999
      • Shephard, 1996
      • Dwyer, Coonan, Leitch, Hetzel, and Baghurst, 1983
staff wellness component
Staff Wellness Component
  • Teachers participating in a health promotion program focusing on exercise, stress management, and nutrition reported:
    • Lower body weight
    • Lower stress levels
    • Higher exercise participation
    • Higher well-being levels
        • Blair, Collingwood, Reynolds, Smith,
        • Hagan, and Sterling, 1984

Staff Wellness Component

  • “Healthy” teachers were:
    • Less absent
    • More energetic
    • More optimistic
      • Symons, Cummings, and Olds, 1994
what s your districts story and who will help you tell it
What’s Your Districts Story and Who Will Help You Tell It?
  • Systems Change Dynamics
    • Behavior is affected by multiple levels of influence
    • Examples:
      • Seat belt usage (20 years ago) and 2004 Click It or Ticket Campaign
      • Drinking and Driving
    • Science-based,
    • Public identifies a need for change, and
    • People enact behavior or environmental change agents
the tipping point malcolm gladwell how little things can make a big difference
The Tipping Point –Malcolm GladwellHow Little Things Can Make a Big Difference
  • Ideas (or P/policy) behave like epidemics
  • Ideas can be tipped by:
    • Who transmits it;
    • The nature of the idea itself; and
    • The environment or context of the idea
      • Ex: Teen alcohol related accidents at Prom = after prom all night parties led by parents and educators trying to prevent further incidents
the tipping point
The Tipping Point
  • Cultivate Connectors, Mavens and Salesmen
    • Connectors – Social Butterflies i.e. networkers
    • Mavens – Just the Facts i.e. researchers
    • Salesmen - Persuasion i.e. media
  • Who are or could be the Connectors, Mavens and Salesmen for your team to spread your message?
sphere of influence
Sphere of Influence


National, State

  • Big “P” Policy
    • Society: Advocacy, Science
  • Small “p” policy
    • Community: Schools
    • Organizational: Hospitals, Churches, Corporations, Providers
  • Interpersonal/ Individual – Media, Patient Education


County, Municipality, Coalitions


Organizations, Social Institutions


Family, Friends, Social Networks


Knowledge, Skills, Attitudes, and Behaviors

policies and procedures
Policies and Procedures
  • Policies
    • Typically express what should be done, why it should be done, and who should do it.
  • Regulations and Procedural Guidelines
    • Outline the details of how to accomplish the policy’s goals.
a good policy is your best defense
A Good Policy is YourBest Defense
  • Clearly written policies that reflect thorough research, sound judgment, and careful planning stave off the maiming accusations of uninformed critics…
  • It is surprising how much thoughtful policy work gets done if the board will routinely set aside part of every meeting to discuss policy issues rather than immediate needs.
    • National School Boards Association
a policy is only effective when it is
A Policy Is Only Effective When It Is…
  • Shared
  • Responsive to a need
  • Consistently voiced
  • Clear how to turn the policyinto practice
  • Consistently implemented
  • Consistently enforced
michigan state board of education policies on school health
Coordinated School Health Programs 9/2003

HIV/STD and Sex Education 9/2003

Physical Education 9/2003

Healthy Food Environment 12/2003

Safe Schools 4/2003

Character Education 6/2004

Health Education 6/2004

Tobacco Free 24/7 6/2005

Local Wellness Policy 11/2005

Michigan State Board of Education Policies on School Health
take home messages
Take Home Messages
  • Policies can be extremely powerful tool in supporting school health initiatives
  • The policy development process is critical in:
    • Building support
    • Expanding critical partnerships
  • Don’t recreate the wheel.
  • Start with existing school health policies.
success stories and initiatives working dr pat cooper mccomb mississippi
Success Stories and Initiatives WorkingDr. Pat Cooper, McComb, Mississippi
  • Issues:
    • High teen pregnancy;
    • Low graduation rate;
    • Low test scores;
    • High special education rates;
    • High juvenile arrest rates;
    • High suspension, expulsions, and delinquency rates
dr pat cooper mccomb mississippi
Dr. Pat Cooper, McComb, Mississippi
  • Results:
    • Significant increases in reading, language, and math test scores on the MTC and Terra Nova
      • One group moved from 30th% to 47th% on the Terra Nova within 4 years. In 2000, 46.5% of children were in the bottom quarter, 4 years later only 22.6% were.
      • MCT scores for 2nd – 8th grade reading, language and math increased by 32.8 to 80.4 points.
    • Graduation rates have increased from 77.03% in 1996-1997 to 90.97% in 2002-2003; 10% higher than the state average
dr pat cooper mccomb mississippi55
Dr. Pat Cooper, McComb, Mississippi
  • Results:
    • Prior to 2002-2003, 39.4% children were dropping out of school; 14.5% after the implementation of a positive discipline program
    • Special education inclusion rate is double that of the state of Mississippi; ranked #1 in providing special education services within general education classrooms – student enrolled in 1997 was 443 and has decreased to 375 in 2004
dr pat cooper mccomb mississippi56
Dr. Pat Cooper, McComb, Mississippi
  • Results:
    • 3% teens in Teen Parent Program has a repeat pregnancy before the age of 20, compared to 23.5% for Mississippi and 20.9% for the US
    • A decrease of 59% was seen in juvenile crime arrests out of school
    • More than 42% decrease in suspensions and detentions
    • 33% reduction in expulsions since the Safe Schools component was initiated
dr pat cooper mccomb mississippi57
Dr. Pat Cooper, McComb, Mississippi
  • HOW…???
    • Collaboration between school and community – forum held – good discussions
    • Collected all “money pots” and reprioritized to meet the needs of the students, teachers and community
    • Long term plan
    • Consistent policies
    • Collection of Data
success stories and initiatives working in michigan
Success Stories and Initiatives Workingin Michigan!
  • Michiana Coordinated School Health Leadership Institute replication
    • 3 year intensive leadership training
    • 3 team members; 2 school and 1 community
    • Meet 2 times per year in person
  • Coordinated School Health Leadership Training for Priority Schools
    • Kick off March 2004 with Pat Cooper, Brighton
    • Follow-up trainings Winter 2005
    • Replicate Leadership Institute program at a slower pace

“A health promoting school is characterized as a school constantly strengthening it’s capacity as a healthy setting for learning and working.”WORLD HEALTH ORGANIZATION

contact information on michigan state board of education policies
Contact Information on Michigan State Board of Education Policies

MI Department of Education,

Educational Materials Center,

contact information michigan department of community health
Contact Information Michigan Department of Community Health

Lisa Grost, Email: , Phone: 517-335-9781

cool quotes
Cool Quotes

“Education and health are inextricably linked.”

- Carnegie Council on Adolescent Development

cool quotes65
Cool Quotes

“No educational tool is more essential than good health.”

- Council of Chief State School Officers

cool quotes66
Cool Quotes

“Health and success in school are

interrelated. Schools cannot achieve their primary mission of education if students and staff are not healthy and fit physically, mentally, and socially.”

- National Association of State Boards of Education

carnegie foundation

Carnegie Foundation

“Clearly, no knowledge is more crucial than knowledge about health. Without it, no other life goal can be successfully achieved.”

- Boyer, E.L., The Carnegie Foundation for the Advancement of Teaching, 1983

u s department of education

U.S. Department of Education

“Too many of our children start school unready to meet the challenges of learning, and are adversely influenced by… drug use and alcohol abuse, random violence, adolescent pregnancy, AIDS, and the rest.”

  • - U.S. Department of Education. America 2000, An Education Strategy Sourcebook
  • - Department of Education, 1991
former surgeon general dr antonia novello

Former Surgeon GeneralDr. Antonia Novello

“Health and education go hand in hand: one cannot exist without the other. To believe any differently is to hamper progress. Just as our children have a right to receive the best education available, they have a right to be healthy. As parents, legislators, and educators, it is up to us to see that this becomes a reality.”

- Healthy Children Ready to Learn: An Essential Collaboration Between Health and Education, 1992

american cancer society

American Cancer Society

“[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. 1992

  • Healthy School Action Tool (HSAT)
  • Healthy Kids, Healthy Weight: Tips for Families with Kids of all Shapes and Sizes
  • The Role of Michigan Schools in Promoting Healthy Weight: A Consensus Paper
  • Team Nutrition Resources and Grants
  • State Board of Education Health Policies
  • Exemplary Physical Education Curriculum
  • Reverse the Trends: Create a Healthy School Nutrition Environment for Students
  • Stories From the Field: Lessons Learned About Building Coordinated School Health Programs
  • Promoting Healthy Youth, Schools, and Communities: A Guide to Community-School Health Councils
  • Fit, Healthy, and Ready to Learn: A School Health Policy Guide
  • Getting it Started and Keeping it Going
  • Fruits & Vegetables Galore: Helping Kids Eat More
  • USDA’s School Meals Initiative
  • Action for Healthy Kids