Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth

1. Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent and School Health National Association of County and City Health Officials August 18, 2005

2. overweight Six Key Health Risk Behaviors for Young People • Behaviors that may result in unintentional injuries and violence • Sexual risk behaviors • Alcohol and other drug use • Tobacco use • Unhealthy dietary behaviors • Inadequate physical activity

3. Trends in Leading Causes of DeathRates per 100,000 10 to 19 Year Olds1981—2001

4. 100 80 80 70 80 60 54 Pregnancy 50 60 63 Ever sex 40 54 Rate Percent 40 46 47 30 Condom use among sexually active students 20 20 10 0 0 1991 1993 1995 1997 1999 2001 2003 • 15-17 year-old females • High school students Sexual Risk Behavior and Pregnancy Trends Among Youth

5. Percentage of High School Students Who Reported Current Alcohol, Marijuana, and Cocaine Use,* 1991 – 2003 Alcohol Marijuana Cocaine * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p < .05 * Used marijuana  1 times during the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p < .05 * Used cocaine  1 times during the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p < .05 National Youth Risk Behavior Surveys, 1991 - 2003

6. Percentage of High School StudentsWho Reported Current Cigarette Use* *Smoked cigarettes on > 1 of the 30 days preceding the survey. Significant linear increase, p < .01; significant quadratic change, p < .001. National Youth Risk Behavior Survey, 1991-2003.

7. 16 16 Percentage of U.S. Children and Adolescents Who Were Overweight* 18 16 14 12 10 Ages 12-19 8 6 5 4 4 Ages 6-11 2 0 1963- 1971-74 1976-80 1988-94 1999- 70** 2002 * >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts **Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of age Source: National Center for Health Statistics

8. Relationship Between Health and Education “No educational tool is more essential than good health.” Council of Chief State School Officers “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

9. www.thesociety.org/pdf/connections.pdf

10. Components of a Coordinated School Health Program Physical Education Health Education Family and Community Involvement Health Services Health Promotion for Staff Nutrition Services Healthy School Environment Counseling, Psychological and Social Services

11. Characteristics of a Quality Coordinated School Health Program (1) • Secures administrative support and commitment • Establishes a School Health Council • Identifies a school health coordinator • Develops an annual plan • Uses multiple strategies • Addresses priority health-enhancing and health-risk behaviors • Involves youth • Provides professional development for staff

12. Roles of School Health Coordinator • Integrate school health council priorities into overall program • Facilitate development and implementation of effective policies and programs • Facilitate communication among components • Build collaboration between school and community • Secure resources • Coordinate evaluation and maintain accountability

13. Resources for School Health Councils and Coordinators

14. Coordinated School Health Program Resources www2.edc.org/MakingHealthAcademic

15. CDC Promising Practices in Chronic Disease Prevention and Control for State Agencies Building a Healthier Future through School Health Programs Priority Actions • Monitoring • Infrastructure • Partnerships • Policies • Technical assistance • Health communication • Professional development • Evaluation www.cdc.gov/healthyyouth/publications/promisingpractices.htm

16. VERB Opportunities for Schools • Materials on Web • Promotions • Contests • VERB Online for tweens • www.cdc.gov/youthcampaign

17. KidsWalk-to-School http://www.cdc.gov/nccdphp/dnpa/kidswalk/

18. CDC Data Sources School Health Profiles Youth Risk Behavior Survey 2005 2006 School Health Policies and Programs Study 2006

19. National Initiative to Improve Adolescent Health • Co-facilitated by CDC/DASH and HRSA/MCHB/OAH • Key partners include: • Professional membership associations • University-based grantees • State Adolescent Health Coordinator Network

20. Uses CSHP approach to address: Physical activity Nutrition Tobacco-use prevention Safety Asthma (summer 2005)

21. Model Policies Address: • Physical activity • Nutrition • Tobacco use • Skin cancer prevention • Asthma • School Health Services • Healthy Environments • To be added Injury and violence prevention; Sexual risk behaviors • www.nasbe.org

22. School Nutrition Improvement Strategies • Establish nutrition standards • Influence food and beverage contracts • Make more healthful foods and beverages available • Adopt marketing techniques to promote healthful choices • Limit student access to competitive foods • Use fundraising activities and rewards that support student health

23. Curriculum Analysis Tools Health Education and Physical Education

24. Staff Health Promotion Resources

25. www.cdc.gov/healthyyouth

26. Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent and School Health National Association of County and City Health Officials August 18, 2005