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90110 pp tx_ch06


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  • 1. The School Health Program: A Component of Community Health Chapter 6
  • 2. Introduction
    • The school health program has great potential for affecting health of the community
  • 3. Coordinated School Health Program
    • An organized set of policies, procedures, and activities designed to protect, promote, and improve the health and well-being of students and staff
  • 4. CSHP
  • 5. The School Health Council
    • Individuals from a school or school district and its community who work together to provide advice and aspects of the school health program
      • Should include diverse representation
    • Primary role – provide coordination of the CSHP components
  • 6. The School Nurse
    • Can provide great leadership for the CSHP
    • Has medical knowledge and formal training
    • Has multiple responsibilities
    • Often districts do not have resources to hire full-time nurses
  • 7. Teachers
    • Heavy responsibility in making sure the CSHP works
    • Often spend more waking hours with children than parents
  • 8. The Need for School Health
    • An unhealthy child has a difficult time learning
    • Health and success in schools are interrelated
    • A CSHP provides the integration of education and health
  • 9.  
  • 10. Foundations of the School Health Program
    • School administration that supports the effort
    • A well-organized school health council
    • Written school health policies
  • 11.  
  • 12.  
  • 13.  
  • 14. School Health Policies
    • Steps for creating local health-related policies include
        • Identify the policy development team
        • Assess the district’s needs
        • Prioritize needs and develop an action plan
        • Draft a policy
        • Build awareness and support
        • Adopt and implement the policy
        • Maintain, measure, and evaluate
  • 15. Policy Development
    • Should be executed by the school health council
    • Should cover all facets of the school health program
    • Gain approval from key stakeholders
  • 16. Policy Implementation
    • Policies only effective if implemented
      • Distribute policies to those affected
        • Distribute with a memorandum of explanation
        • Place in faculty, staff, and student handbooks
        • Present them at group meetings (PTO)
        • Hold a special meeting for explaining policies
        • Place them in the school district newsletter
  • 17. Monitoring Policy Status
    • National survey conducted by CDC every 6 years
    • Assesses:
      • School health policies
      • School health practices at the state, district, school, and classroom levels
  • 18. Components of a CSHP
    • Administration and organization
    • School health services
    • Healthy school environment
    • School health education
    • Counseling, psychological, and social services
    • Physical education
    • School nutrition services
    • Family/community involvement
    • School-site health promotion for staff
  • 19. Administration and Organization
    • A CSHP should be administered by a School Health Coordinator
      • Multiple responsibilities
      • Often not a position required by states
  • 20. School Health Services
    • Health services provided by school health workers to appraise, protect, and promote health
        • Health screenings, emergency care for injury and sudden illness, chronic disease management, communicable disease prevention and control, health counseling
    • Advantages: equitability, confidentiality, breadth of coverage, user friendliness, convenience
  • 21. Healthy School Environment
    • By law, school districts are required to provide a safe school environment
    • Physical environment
      • Buildings and structures, and the behaviors of those using them
      • Location, age, air quality, food service, temperature, etc.
    • Psychosocial environment
      • Attitudes, values, feelings of students and staff
  • 22. School Health Education
    • The development, delivery, and evaluation of a planned curriculum
      • Priority health content:
        • Alcohol and other drugs, healthy eating, mental and emotional health, personal health and wellness, physical activity, safety/unintentional injury prevention, sexual health (abstinence and risk avoidance), tobacco, violence prevention
  • 23. Development of and Sources of Health Education Curricula
    • Many available from national specialists
    • Approved curricula from state departments of education or health
    • Health agencies and associations
    • Commercially produced curricula
  • 24.  
  • 25. Issues and Concerns of the School Health Program
    • Lack of support for CSHP
    • School health curriculum challenges
    • School-based health centers
    • Violence in schools
  • 26. Lack of Support for CSHP
    • Limited success in getting CSHP implemented across the country
    • Need supportive legislation
  • 27. School Health Curriculum Challenges
    • Controversy
      • Strong opinions on various topics
    • Improper implementation
      • Often provided by individuals other than health education specialists
      • Barriers to school health education
  • 28. School-Based Health Centers or School-Linked Health Centers
    • Rapidly growing concept
    • Provided in different ways; most common is in school building
    • Common features among various centers
    • “ Cultural wars”
    • Funding challenges
  • 29.  
  • 30. Violence in Schools
    • High profile incidents of violence in schools
    • Bullying
    • Electronic aggression
    • Recommendations for improving school climate as it relates to violence
  • 31. Discussion Questions
    • Why is a CSHP so challenging to implement in every school district?
    • How can schools have more effective health programs with limited funding?