Health is Academic

2. IS Health is Academic Shane McNeill Office of Healthy Schools

3. Why? If schools do not deal with children’s health by design, they deal with it by default. Health is Academic, 1997

4. FIT HEALTHY READY TO SUCCEED

5. Every day in Mississippi, we have an opportunity to reach… • 494, 038 public school students • 152 School Districts • 618 Elementary Schools/225 Secondary Schools • Over 68,000 adults work as teachers, school building staff, or school district staff

6. It is difficult for students to be successful in school if they are: Depressed Tired Being bullied Stressed Sick Using alcohol or other drugs Hungry Abused Why Coordinated School Health?

7. MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Health Education Motivated and Learning Physical Education Health Services Nutrition Services Sense of Positive Self-Esteem Counseling, Psychological and Social Services Sense of Belonging and Importance Sense of Being Loved and Appreciated Healthy School Environment Health Promotion for Staff Family/Community Involvement Free of Fear and In A Safe place Physical Health

8. The relationship makes sense Maslow’s Hierarchy Self-Actualization Aesthetic Needs Growth Needs Cognitive Needs Esteem Needs Deficiency Needs Barriers to Learning Belonging and Love Needs Safety Needs Biological and Physical Needs

9. Tobacco Use Abuse of alcohol and other drug use Unintentional injuries and violence Sexual Behaviors resulting in HIV, sexually transmitted diseases or teenage pregnancy Poor eating habits Inadequate physical activity Why Coordinated School Health?Six behaviors account for most of the serious illness and premature deaths in the U.S.

10. Health Education Reading and math scores of third and fourth grade students who received comprehensive health education were significantly higher than those who did not receive comprehensive health education Schoener, Guerrero, and Whitney, 1988

11. Physical Education Intensive physical activity programs for students led to an improvement in students’ scores in mathematics, reading, and writing and to a reduction in disruptive behaviors in the classroom. Sallis, 1999

12. Health Services Early childhood and school aged intervention programs that provide parental support and health services are associated with improved school performance and academic achievement. Early intervention may also improve high school completion rates and lower juvenile crime. Reynolds, Temple, Robertson, and Mann, 2001

13. Healthy School Environment The physical condition of a school is statistically related to student academic achievement. An improvement in the school’s condition by one category, say from poor to fair, is associated with a 5.5 point improvement in average achievement scores. Berner, 1993

14. Health Promotion for Staff Teachers who participated in a health promotion program focusing on exercise, stress management, and nutrition reported: • Increased participation in exercise and lower weight • Better ability to handle job stress • A higher level of general well-being Blair, Collingwood, Reynolds, Smith, Hagan and Sterling, 1984

15. Family/Community Involvement Community activities that link to the classroom: • Positively impact academic achievement • Reduce school suspension rates • Improve school-related behaviors Nettles, 1991 Allen, Philliber, Herring, and Kupermine, 1997

16. Research Substantiates the Effort • Physical Activity appears to boost students’ ability to concentrate and to reduce disruptive behaviors, which has a considerable positive impact on their academic achievement (Symons, 1997). • Intensive physical activity programs for students led to an improvement in students’ scores in mathematics, reading, and writing and to a reduction in disruptive behaviors in the classroom (Sallis, 1999).

17. Fitness is anACADEMICissue.

18. Research supports fitness

19. Research supports fitness

20. Research supports fitness

21. Bringing Academics and Health Together Response to Intervention Three-Tier Model Academics All Students Effective Classroom Instruction Approximately20-30% Supplemental Instruction Intensive Instructional Interventions Approximately 5-10%

22. Bringing Academics and Health Together Response to Intervention Three-Tier Model Healthy Behavior School and Classroom Systems of Prevention and Support Specialized Group Interventions Intensive, Individual Interventions

23. Bringing Academics and Health Together RtI Academics Healthy Behavior

24. Essential Elements of RtI for Promoting Healthy Behavior and Student Achievement • School and Classroom Behavior Management • Rules, routines, and physical arrangements that are developed and taught by school staff to prevent initial occurrences of problem behavior • Examples • Rule: Be respectful of self, others, and property • Routine: Stationing staff in hallways during transitions • Arrangements: Set up of the cafeteria

25. Hidden Costs to Schools Measurable Costs to State Measurable Costs to Schools Why Coordinated School Health?The alternative is costly

26. The Hidden Costs • Extra staff time needed for students with low academic performance or behavior problems caused by poor nutrition and physical inactivity. • Costs associated with time and staff needed to administer medications needed by students with associated health problems. • Healthcare costs, absenteeism, and lower productivity due to the effects of poor nutrition, inactivity and overweight among school employees.

27. Measurable Costs to State(2004-2005) • Statewide Enrollment: 493,302 • ADA Statewide: 470, 879 • Statewide Attendance: 95% • $4,574 per student based on fully funded MAEP • Statewide schools leaving $102,562,802 on table (not taking into consideration local contribution)

28. Measurable Cost to SchoolsReduced Absenteeism Means… • School District: 3,000 Students • Each 1% attendance improvement = $137,220

29. Community Costs“State of Health” in Mississippi • Obesity • $757,000,000 cost per year in MS; $444,000,000 paid by Medicare and Medicaid • Spending increase from 9% enrolled in 1987 to 25% in 2002 • Diabetes • # 2 state in the nation in Type II diabetes • Cardiovascular Disease • # 1 state in the nation in heart disease related deaths • # 3 state in the nation in stroke related deaths • Cancer • # 5 state in the nation in cancer related deaths • Asthma • # 1 reason for school absenteeism in MS

30. Communities • Increase in Referrals • Decrease in Juvenile Crime Rate • Economic Development • Placement of Intern/Student Teachers • Decrease in Prison Costs • Decrease in Health Care Costs • Public Relations/Marketing

31. Reduce the drop out rate by 50%in 5-7 years • Early intervention of Health Services • Increase student and staff attendance • Decrease disruptive behaviors • Opportunities for engagement

32. Increase NAEP Scores to National Average in 5-7 years • Teacher Quality • Recruitment/Retention • Effective instruction • Family Involvement • Reduced Discipline Referrals • Increased Attendance- Students and Staff • Academic Achievement

33. Student Achievement Effective Instruction Student Health

34. Coordinated Approach

35. Systems Change • Paradigm Change • A system is a group of key individuals or organizations that interact to produce a benefit • In this case the benefit is healthy, educated, productive, members of a democratic society

37. “He did each thing as if he would do nothing else” spoken of Charles Dickens. Passion Am I doing everything possible to unleash opportunities for all children to be successful?

38. SURVIVAL: Moving from silos to circles… in our thinking, planning, funding, implementing Non-communicative Restrictive Close Minded Possessive Anti-children Traditional Positions and Authority Brainstorming Inclusive Visionary Nurturing Our Children’s Out of the Box Jobs and duty

39. Coordinated Approach Leadership Matters

40. Coordinated Approach Collaboration Matters

41. The Collaboration Continuum • Networking • Cooperation • Coordination • Collaboration • Coalition

42. Coordinated Approach Partnerships Matter

43. “Must Have” Partnerships • Commitment • Coordinated infrastructure/resources

44. CHAMPIONS Everyone - from the superintendent to students of all ages - can be champions for health and wellness.

45. Mandate by USDA School year 2006-07 Wellness Policy A document - approved by the local school board - that promotes a healthy school environment. By focusing on nutrition and physical activity standards, a wellness policy seeks to improve children’s health, classroom behaviors, and academic performance.

46. Mandate by MS Leg. November 1, 2006 School Health Council A School Health Council (SHC) is an advisory group composed of committed individuals from both the school and the community. The group works together to provide guidance and leadership to the school on all aspects of the school health program.

47. School Health Council Members Parents Teachers School Attendance Officers Food Service Staff Custodial Staff Students School staff Health care providers (MD, PA, RN, NP, DDS, RD) Business/industry representatives Community leaders Government officials Extension staff Social service agencies Attorneys and law enforcement officials Clergy College/university personnel Media

48. Mandate by MS Leg. Phased in Timeline Mississippi BEVERAGE and SNACK REGULATIONS are now one of the minimum requirements for all Local Wellness Policies in Mississippi.

49. Mandate by MS Leg. 2008-2009 school year 2007 School Health Policy Development • Healthy Students Act (House Bill 732/Senate Bill 2369 - Section 37-13-134) • Mandates 150 minutes per week of physical education, K-8 • Mandates 45 minutes per week of health education, K-8 • Requires ½ Carnegie Unit of physical education for graduation, 9-12 • Appropriates funds for a physical education coordinator to be housed at MDE

50. Mandate by MS Leg. 2008-2009 school year 2007 School Health Policy Development • Healthy Students Act (House Bill 732/Senate Bill 2369 - Section 37-13-134) • Requires the State Board of Education to establish regulations for child nutrition school breakfast and lunch programs to include how food items are prepared, time allotted for the consumption of breakfast and lunch, extra food sales, marketing and retail fast foods. • Defines the duties of the School Health Councils to include a coordinated approach to school health