Health Promotion Schools of Excellence

1. Health Promotion Schools of Excellence A Model for Coordinated School Health

2. Discussion Objectives Health data and statistics What is Coordinated School Health? Health Promotion Schools of Excellence Program Coordinated School Health Programs at HPSE schools

3. Health Data & Statistics Health risk behaviors and Academic Achievement Injury and Violence Alcohol and Drug Use Tobacco Use Sexual Risk Behaviors Dietary Behaviors Physical Activity

4. Health-related factors, such as hunger, chronic illness, or physical and emotional abuse, can lead to poor school performance. • Health-risk behaviors such as substance use, violence, and physical inactivity are consistently linked to academic failure and often affect students' school attendance, grades, test scores, and ability to pay attention in class. • -Center’s for Disease Control and Prevention Why is health important? Unhealthy kids become unhealthy adults Unhealthy kids: Have an increase in number of school absences Exhibit more behavior problems Have poor classroom performance Unhealthy adults: Poor quality of life (morbidity) Premature death (mortality)

5. CSH is a systematic approach to improving the health and well-being of all students so they can fully participate and be successful in school. The process involves bringing together school administrators, teachers, other staff, students, families, and community members to assess health needs; set priorities; and plan, implement, and evaluate all health-related activities. CSH typically integrates health promotion efforts across eight interrelated components that already exist to some extent in most schools. These components include health education, physical education, health services, nutrition services, counseling, psychological and social services, healthy and safe school environments, staff wellness, and family and community involvement. (CDC. School Health Programs: Improving the Health of Our Nation's Youth—At A Glance 2011, Atlanta: CDC; 2011.) What is coordinated school health?

6. Reduces school absenteeism • Contributes to fewer behavior problems in the classroom • Improves student performance • Provides new levels of cooperation among parents, teachers, and organizations • Allows for a more positive spirit between education and students • Students are more prepared to become productive members of society because health awareness is made a part of their daily lives and education Benefits of coordinated school health

7. Nutrition Services Health Services Family and Community Involvement Healthy Children Are Prepared To Learn Healthy and Safe School Environment Health Promotion for Staff Physical Education and Other Physical Activity Components of coordinated school health Health Education Counseling, Psychological and Social Services

8. Mission: • To implement a CSH approach • Put programs and practices in place that promote and maintain healthy lifestyles. • To improve health knowledge, attitudes, skills and behaviors of students, staff, and parents. • To reduce health risk behaviors and eliminate health barriers to education Health promotion schools of excellence

9. Schools agree to implement CSH at their school • Convene an HPSE committee that meets monthly • Attend Summer Health Institute • Schools apply in the spring for the upcoming school year • Schools are selected by the Standards and Selection Committee • 37 schools were selected for this school year (2014-2015) • 31 elementary • 2 middle • 2 high • 1 special or alternative • 1 Head Start What is an hpse school?

10. The following slides reflect the required HPSE Programs being implemented for each of the eight components of CSH. The programs may be in collaboration with other JCPS departments, community agencies, HPSE sponsors, and/or funding partners. • Each program is aligned (when applicable) with the Kentucky Department of Education Practical Living/Career Studies Program Review. HPSE CSH COMPONENTS

11. These services are designed to: • ensure access or referral to primary health care services or both, • foster appropriate use of primary health care services, • prevent and control communicable disease and other health problems, • provide emergency care for illness or injury, • promote and provide optimum sanitary conditions for a safe school facility and school environment, • and provide educational and counseling opportunities for promoting and maintaining individual, family, and community health. • Qualified professionals such as physicians, nurses, dentists, health educators, and other allied health personnel provide these services HEALTH SERVICES

12. 1) To increase compliance rates: • Follow the applicable Health Services Flow Chart for: • • Physical Exams for Initial Entry and 6th grade • • Immunization Certificate for required vaccinations • • Dental Exams for 5 or 6 year olds. • Contact your assigned JCPS Nurse Practitioner to discuss available resources for : • • Vision Exams for 3, 4, 5 or 6 year olds upon initial entry. • 2) Conduct hand washing lessons in each K-2 classroom to prevent the spread of communicable diseases. HPSE REQUIRMENT FOR HEALTH SERVICES

13. Schools can provide opportunities for school staff members to improve their health status through activities such as: • Health Assessments • Health Education Classes • Health Related Fitness Activities • WHY should schools promote staff wellness? • Improved health status • Improved morale • Greater personal commitment to the school’s overall CSH program • Decreased absenteeism • Positive role modeling • Improved productivity • Reduced health insurance costs HEALTH PROMOTION FOR STAFF

14. Conduct the HPSE Staff Wellness survey and participate in at least one of the following to address wants/needs of staff: • Humana/Summit Health Screening • Humana Vitality • Cooper/Clayton Smoking Cessation • American Cancer Society’s Active for Life • Fitness Classes (walking clubs, etc.) • Stress Reduction HPSE REQUIREMENTS FOR HEALTH PROMOTION FOR STAFF

15. An integrated school, parent, and community approach can enhance the health and well-being of students • Build support • Parent involvement • Engage community resources and services FAMILY/COMMUNITY INVOLVEMENT

16. 1. Conduct at least one event outside the school day that incorporates a variety of interactive health topics and has community involvement. • 2. Plan for Dress in Blue Day (typically the first Friday in March) to promote colon cancer awareness and prevention. Program Specialists will provide the program materials. • 3. Middle/High Schools ONLY: Conduct at least one event that educates students on cancer and cancer prevention HPSE REQUIREMENTS FOR FAMILY/COMMUNITY INVOLVEMENT

17. A healthy and safe school environment includes the physical and aesthetic surroundings and the psychosocial climate and culture of the school. • Factors that influence the physical environment include the school building and the area surrounding it, any biological or chemical agents that are detrimental to health, and physical conditions such as temperature, noise, and lighting. • The psychosocial environment includes the physical, emotional, and social conditions that affect the well-being of students and staff. HEALTHY AND SAFE SCHOOL ENVIRONMENT

18. Participate in at least one of the following programs or events: • Elementary Schools: • Walk This Way Kosair/KOHL’s High Five • Operation Brightside Bike Rodeo • Earth Day Celebration Red Ribbon Week • Middle/High Schools: • Operation Brightside • Earth Day Celebration • Red Ribbon Week • AND promote at least one of the following programs: • Drug/Alcohol awareness program (including Fatal Vision) • Distracted Driving Simulator • Smoking prevention or cessation HPSE REQUIREMENTS FOR HEALTHY AND SAFE SCHOOL ENVIRONMENT

19. These services are provided to improve students’ mental, emotional, and social health and include individual and group assessments, interventions, and referrals. • Organizational assessment and consultation skills of counselors and psychologists contribute not only to the health of students but also to the health of the school environment. • Professionals such as certified school counselors, psychologists, and social workers provide these services. COUNSELING, PSYCHOLOGICAL, AND SOCIAL SERVICES

20. Elementary Schools: • Provide at least one of the following programs focusing on: • Gang Violence • Trauma • Evidence-based bullying prevention   • Middle and High Schools: • Promote at least one of the following programs: • Prom Promise • Program that addresses dating violence • Trauma • Gang Violence • Evidence-based bullying prevention HPSE REQUIREMENTS FOR COUNSELING, PSYCHOLOGICAL, AND SOCIAL SERVIES

21. Physical education is a school-based instructional opportunity for students to gain the necessary skills and knowledge for lifelong participation in physical activity. • Physical education is characterized by a planned, sequential K-12 curriculum (course of study) that provides cognitive content and learning experiences in a variety of activity areas. • The outcome of a quality physical education program is a physically educated person who has the knowledge, skills, and confidence to enjoy a lifetime of healthful physical activity. Qualified, trained teachers teach physical education. PHYSICAL EDUCATION/PHYSICAL ACTIVITY

22. 1.Collect and report Walk/Run four times a year and BMI two times a year on all K-5 students AND all middle and high school students enrolled in a health and/or PE class. • 2.Elementary Schools ONLY: Have at least 3 classrooms apply to and successfully implement the Y5210 program • 3.Offer opportunities for extracurricular programs, clubs, etc. to provide physical activity for students HPSE REQUIREMENTS FOR PHYSICAL EDUCATION/PHYSICAL ACTIVITY

23. Health education provides students with opportunities to acquire the knowledge, attitudes, and skills necessary for making health-promoting decisions, achieving health literacy, adopting health-enhancing behaviors, and promoting the health of others. • Comprehensive school health education includes courses of study (curricula) for students in pre-K through grade 12 that address a variety of topics such as alcohol and other drug use and abuse, healthy eating/nutrition, mental and emotional health, personal health and wellness, physical activity, safety and injury prevention, sexual health, tobacco use, and violence prevention. • Health education curricula should address the National Health Education Standards (NHES) and incorporate the characteristics of an effective health education curriculum. Health education assists students in living healthier lives. • Qualified, trained teachers teach health education. HEALTH EDUCATION

24. Identify the Practical Living/Career Studies Program Review Status for Standard 1: Curriculum and Instruction, Demonstrator 1- Health Education is covered in classrooms. HPSE REQUIREMENTS FOR HEALTH EDUCATION

25. Schools should provide access to a variety of nutritious and appealing meals that accommodate the health and nutrition needs of all students. • School nutrition programs reflect the U.S. Dietary Guidelines for Americans and other criteria to achieve nutrition integrity. • The school nutrition services offer students a learning laboratory for classroom nutrition and health education, and serve as a resource for linkages with nutrition-related community services. • Qualified child nutrition professionals provide these services NUTRITION SERVICES

26. Elementary Schools: • 1) Focus on a Healthy Celebration (school-wide). Create an idea and implement a plan for a Healthy Celebration at least one time during the school year. • 2) Send home literature to parents about Healthy Celebrations. • Middle/High Schools: • 1) Incorporate a healthy activity (e.g. physical activity, healthy snack, etc.) into at least one school-wide celebration. • 2) Send home literature to parents about Healthy Celebrations. HPSE REQUIREMENT FOR NUTRITION SERVICES

27. • Requires that USDA establish nutrition standards for all • foods and beverages sold in school. • • Applies to all foods sold: • • Outside the school meal programs; • • A la carte in the cafeteria • • In school stores • • Snack bars • • Vending machines • • Other venues • • On the school campus; and • • At any time during the school day HEALTHY HUNGER-FREE KIDS ACT

28. School campus: all areas of the property under the jurisdiction of the school that are accessible to students during the school day. DEFINITIONS

29. WINDOW 1: • First window is from midnight the night before until 30 minutes after the last lunch period. While this window is open, NO sale of food or beverage may take place except as part of the school breakfast or school lunch program. • WINDOW 2: • The second window opens 30 minutes after the last lunch period and closes 30 minutes after the end of the official school day. While this window is open, any food that is sold must meet all nutrition standards and regulations (KY or Federal) • WINDOW 3: • The third window opens 30 minutes after the end of the official school day and closes at midnight. During this window, there is no nutrient standards restricting what may be sold. SCHOOL DAY

30. There will be no exemptions given for fundraisers. No foods or beverages may be sold on the school campus during the school day that do not meet the new standards. FUNDRAISER EXEMPTIONS

31. All foods that meet the regulatory standards may be sold on the school campus until 30 minutes after the school day. • The standards would not apply to items sold during non-school hours, weekends, or off-campus fundraising events. FUNDRAISERS

32. Applies to ALL grade levels • Includes General and Specific Nutrient Standards • Provides exemptions to Nutrient Standards for specific foods • Allows broader exemptions for fruits and vegetables and some NSLP/SBP foods • Will see stricter restrictions sometimes at State Level and sometimes at Federal Level. STANDARDS FOR FOODS

33. To be allowable, a food item must meet all of the competitive food nutrient standards • AND • Be a whole grain rich product; OR • Have as the first ingredient a fruit, vegetable, dairy product or protein food (meat, beans, poultry, etc.); OR • Be a “combination food” with at least ¼ cup fruit and/or vegetable; OR • Contain 10% of the Daily Value on one nutrient of public health concern (only through June 30, 2016) • Calcium, potassium, Vitamin D, dietary fiber GENERAL STANDARDS FOR FOOD

34. Coordinated School Health: • Nikki Boyd • Nikki.boyd-westen@Jefferson.kyschools.us • 485-3387 • Nutrition Services: • Andrea Wright • Andrea.wright@Jefferson.kyschools.us • 485-3199 Contact information