Facilitation Training

1. Facilitation Training

2. Facilitation of the Healthy School Action Tools (HSAT) • First review HSAT overview to become familiar with the HSAT process • How do you as a facilitator fit into the HSAT process?

4. Health Education Family/ Community Involvement Physical Education Health Promotion for Staff Health Services Healthy School Environment Nutrition Services Counseling, Psychological & Social Services Team Leader vs. Facilitator Outside Facilitator

5. Your Role As Facilitator • Helps team stay on task • Ensures that everyone is being heard • Encourages team members to reach consensus • Stays neutral • Encourages team leader to assume responsibility and take the lead

6. Role of Team Leader in Cooperation with Facilitator • Help recruit team members • Set up meeting times and locations • Communicate with team members • Complete HSAT online • Monitor HSAT Action Plan time lines • Facilitate updates of the HSAT Action Plan • Report to school board on HSAT process and successes • Promote CSHT efforts with school and community

7. Next Steps

8. Facilitator Checklist for Initial School Meeting • Contact school leader to determine meeting date and secure a meeting site. • Make sure an LCD projector, computer, screen and ability to connect online is available. • Decide on meals if needed, i.e. brown bag or break for lunch. • Ask school leader to have team members bring calendars to schedule next team meeting.

9. Checklist for initial meeting continued • Go to the HSAT website at www.mihealthtools.org/hsat and register the school you will be working with. • Visit the meeting site if possible to see if you will be able to access the website live; if you cannot you will need to do a paper version and enter the data later.

10. Materials to take to meeting • Markers and paper for opening activity. • Enough copies of dragon activity for all team members. • If you are completing the HSAT on paper you will need enough copies for all team members.

11. Facilitating the HSAT

12. Making a difference in your school’s health policies &environment!

13. Overview • Opening Activity • Health Status of Youth • Policy & Environmental Change • Building Consensus • Healthy School Action Tools (HSAT): • HSAT Assessment • HSAT Action Plan

14. Opening Activity

15. Your role in making a difference at this school

16. Health Status of Youth

17. Alarming Weight Trends(Overweight = at or above 95th percentile BMI for age) Percent Ogden C, Flegal K, Carroll M, Johnson C. “Prevalence and Trends in Overweight Among U.S. Children and Adolescents, 1999-2000.“ Journal of the American Medical Association 2002 Vol. 288, no.14, pp.1728-1732

18. Percentage of Overweight Children and Youth who Become Obese Adults Percent Preschool School-age Adolescent Age Group National Institute for Health Care Management

19. Why do you think this is happening? Put your school logo or name here

20. Unhealthy Eating Habits • Increases in salty snacks, soft drinks, and pizza. • Association between obesity and regular/diet soft drinks. • Less than 1/5 of MI high school students ate five fruits and vegetables a day. • Less than 1/6 of MI high school students drank three glasses of milk daily.

21. Beverage Consumption Patterns

22. Physical Activity-Related Causes of Overweight and Obesity • 23% of kids (9-13 years old) don’t engage in any free time physical activity • Only 28% of MI high school students attended physical education class daily. • The average school child spends over 1,000 hours per year in front of the TV.

23. Asthma Management • Asthma is the leading cause of school absenteeism among all chronic diseases • Children with asthma account for 14 Million missed school days each year • For every Michigan classroom with 30 children, 2-3 may have asthma

24. Asthma Management • Most common chronic disorder in children • Asthma is the 3rd leading cause of hospitalization in children under 15 years of age • Each year asthma in children accounts for 570,000 ED visits

25. Tobacco-Free Lifestyles • Tobacco use is the leading cause of preventable disease and death in the U.S. • Students who use tobacco are more likely to use other drugs, such as alcohol and marijuana. • Youth who smoke may suffer from more respiratory problems, such as reduced lung function and more asthma attacks, resulting in increased absenteeism from school and poorer athletic performance.

26. Tobacco-Free Lifestyles • In addition to being hazardous to students’ health, exposure to tobacco can have negative effects on academic performance. • Students who are low performing in school are twice as likely to use tobacco, and ten times more likely to smoke heavily, than high performing students.

27. Consequences of Childhood Overweight • Physical Health • Type 2 diabetes • High blood pressure • High cholesterol • Orthopedic problems • Asthma • Sleep apnea

28. Consequences of Childhood Overweight • Emotional Health • Low self-esteem • Negative body image • Depression

29. Consequences of Childhood Overweight • Social Health • Negative stereotyping • Discrimination • Teasing and bullying

30. Academic Impact Research shows that increased physical, social and emotional well-being can improve academic performance. “Health & Academics: Making the Link” Massachusetts Department of Education, 2000

31. Academic Impact • In three out of four reading and math tests, Fast Break to Learning schools improved academic achievement more than the control group of schools.

32. School-Based Breakfast & Lunch Programs Showed... • Increased School Attendance • 8% decline in tardiness • Greater Class Participation • 73% of staff reported an improvement in student attentiveness • Improved Emotional Behaviors • Suspensions decreased from from 4.4 days per month to 2.8 • Increased Academic Achievement • Five point increase in percent of students at or above satisfactory score on state test.

33. School-Based Physical Activity Programs Showed … • Increased Concentration • Improved Math, Reading & Writing Scores • Reduced Disruptive Behaviors • Maintenance of Positive Interpersonal Relationships • Reduced Anxiety, Depression & Fatigue

34. Healthy School Policies & Environment

35. Take Action & Make Changes • ENVIRONMENT • On-going • Repeated • Policy / Curriculum Level • Long-term • Sustaining EVENT • One time • Unique • Individual • Short-term • Non-sustaining

36. Policy and Environmental Change Examples EventExamples

37. Local Wellness Policy Requirements • WHO: All school districts with a federally funded school meals program • WHAT: Local Wellness Policy • WHEN: By the 2006-2007 school year • WHY: Required by the Child Nutrition and WIC Reauthorization Act of 2004 • WOW: MAFHK has developed a Healthy School Toolkit Your Guide to Action for MI schools at www.tn.fcs.msue.msu.edu

38. Michigan Schools Are Making a Difference! • Healthier vending and a la carte • Eliminating soda campus wide • Student walking clubs • Physical activity classroom breaks • Addition of school nurse • Addition of gym period

39. Consensus Building The Dragon Activity

40. Completing HSAT • Process Driven by CSHT • Your Bright Ideas • Identify Challenges • Develop an Action Plan • Make Policy and Environmental Changes

41. Using the HSAT Assessment • Let your team leader read questions and get response from group. • Keep team on task. • Set up your next meeting.

42. HSAT Action Plan • Must be completed by the whole team. • Be sure to complete all items asked for on the plan. • Be sure to set up routine future team meetings to ensure components of the Action Plan are implemented.

43. Have Fun!!