Coordinated School What?

1. Coordinated School What? Annual School Based Health Center Training Center for Urban Horticulture August 30, 2012 Presentedby: Carolyn Kramer, MPH Washington Whole Schools wawholeschools@gmail.com

2. Today We Will: • Learn about the Coordinated School Health Model (CSH) • Apply CSH to address student health concerns • Identify 3 action steps to take in the coming year to begin implementing CSH • Explore local opportunities and resources to support CSH in schools

3. Remind you of anyone?

4. 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 NEED: Getting Kids Ready for Learning

5. Pregnancy Prevention After-school Programs Special Education Clinic HIV/STD Prevention Health Services Physical Education Psychological Testing Immunizations Health Education Drug Prevention Juvenile Court Pupil Services School Food Services Crime Prevention Nutrition Education School Safety SCHOOL Drug Services Mental Health Services Environmental Health Counseling Social Services Community Organizations Smoking Cessation Staff Wellness Child Protective Services Typical school

6. What is ‘IT?’ How do you define Coordinated School Health?

7. CSH Common Definition- part 1 • A focus on the priority behaviors affecting health and learning; • The development of an environment which nurtures positive health behavior; • The utilization of multiple components of the school health program; • The coordination of school and community programming Adapted from: Allensworth, D.D., Improving the Health of Youth Through a Coordinated School Health Program. HealthMPowers

8. CSH Common Definition- part 2 • Providing multiple interventions; • Soliciting active student and family involvement; • Providing staff development programs; and  • Using the program planning process to achieve health promotion goals. Adapted from: Allensworth, D.D., Improving the Health of Youth Through a Coordinated School Health Program. HealthMPowers

9. WHAT IS Coordinated School Health Model- SIMPLE • Health agencies, the community, families, and schools working in partnership to create a seamless system of support focused on addressing the barriers to learning • Allows for teachers to focus on teaching and students to focus on learning

10. Coordinated School Health School Health Services Health Education Healthy School Envirnmn’t ACADEMIC OPPORTUNITY Counseling & social services Nutrition Services Staff (work site) Wellness Physical Education Family & Community Involvement Model adapted from McComb Public Schools, MS, Coordinated School Health Model. www.mccomb.k12.ms.edu Citation: Allensworth DD, Kolbe LJ. The comprehensive school health program: exploring an expanded concept. Journal of School Health 1987;57(10): 409–12.

11. If schools do not deal with children’s health by design, they deal with it by default. -Marx and Wooley, 1998

12. Coordinated School Health Model in actionCarousel Activity

13. The random family has moved into your school. They are new to the area. Their oldest daughter ‘A’ is in 8th grade. She is quiet, withdrawn, is absent from school regularly, and has a boyfriend who dropped out of high school several years ago. Their son, ‘B’ is a 4th grader who is grossly overweight. B had frequent fights at his former school due to teasing. Their oldest son, ‘J’, is a freshman in high school. J tends to arrive to school late, is frequently disruptive in class, and is a smoker. He has confided to his health teacher that he is unsure about his sexuality. The youngest of the children are five year old twins who were born prematurely and have some developmental delays. Dad has been out of work since a back injury he incurred while working in the shipping industry. Mom has not been able to help out financially due to limited education and the many needs of her family. Both parents quit school before graduating , are limited in their language skills and find dealing with people in their children’s school intimidating.

14. Question How can you support this family in your school using the Coordinated School Health Model?  Your ultimate goal is to improve attendance and completion of courses CONSIDER: Strategies within each module How you can work across modules (i.e. PE teacher incorporates nutrition into a PE lesson)

15. Share out • Take 10 minutes to review each poster sheet around the room • As a school based team, what are three things from this activity that YOU will do in your school in the coming year?

16. BREAK!

17. CSH Implementation The nitty gritty

18. WHAT IS Coordinated School Health Model- SIMPLE • Health agencies, the community, families, and schools working in partnership to create a seamless system of support focused on addressing the barriers to learning • Allows for teachers to focus on teaching and students to focus on learning

19. Steps to apply Coordinated School Health Engage stakeholders/ Form your team Evaluate Identify issues- needs assessment, inventory of services, map needs with services to ID unmet needs Implement Prioritize Develop ActionPlan align services with needs, COORDINATE

20. Getting started • Identify your teammates • Join existing ‘group’ that addresses barriers to learning OR start new School Health Council • Review data • Identify other community partners working at your school. Host bi-monthly regular meetings. • Based on the data, with your team, identify a small number of action steps for the coming year

21. Resources Mariner Model: Charting the course for Health Promoting School Communities- available at the American School Health Association Store Step by Step to Health Promoting Schools (ETR Associates, www.etr.org ) Healthy School Builder (Alliance for a Healthier Generation)- http://www.healthiergeneration.org/schools.aspx?id=3471 Healthy School Report Card- (ASCD)($) http://www.healthyschoolcommunities.org/HSRC/pages/reportcard/index.aspx School Health Index (CDC)-a self assessment and planning guide- http://www.cdc.gov/healthyyouth/shi/Stories from the Field: Lessons Learned about Building Coordinated School Health Programs (CDC-DASH) OSPI Office of Coordinated School Health- Sarah Butzine DOH Office of Coordinated School Health- Margaret Hansen

22. The Power of Framing

23. WHAT IS Coordinated School Health Model- SIMPLE • Health agencies, the community, families, and schools working in partnership to create a seamless system of support focused on addressing the barriers to learning • Allows for teachers to focus on teaching and students to focus on learning

24. Question • What are the most significant barriers to learning impacting students today?

25. Lack of school health education No Clinic Poor diet No full-time nurse No full-time counselor Lack of parental involvement Physical Inactivity Physical, mental, sexual abuse Alcohol, tobacco, other drug use Bullying Unmanaged health conditions (asthma, diabetes, etc…) Typical Public Health Professionals Responses

26. Typical Principal/Teacher Responses • Curricula is not relevant to a student experiences • Teaching to the test • Bias and low expectations of staff • Poor teacher training • Student misbehavior • Unwelcoming school environment (old buildings, trash, unkempt ground) • Lack of parent involvement • Education not a funding priority • Lacking early childhood education

27. Reframing Coordinated School Health- part 1 Use language that works: • Barriers to learning • Readiness to learn • Whole Child • Safety Net • Learning Supports • Social and Emotional Health

28. Reframing Coordinated School Health- part 2 Consider how health presents itself in schools, and use that language • Behavioral problems • Absenteeism • Drop out • Truancy • Others?

29. Take Home Messages • Frame your CSH message in an educationally appealing language. • Schools are already invested in education reform. Find a way to make your work fit what’s already happening in the school. • Small steps taken repeatedly over time create great results. • Celebrate success.

30. Coming together is a beginning, keeping together is progress; working together is success. –Henry Ford