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  • 1. The School Health Program: A Component ofCommunity 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. Foundations of the School Health Program• School administration that supports the effort• A well-organized school health council• Written school health policies
  • 10. 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
  • 11. Policy Development• Should be executed by the school health council• Should cover all facets of the school health program• Gain approval from key stakeholders
  • 12. 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
  • 13. 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
  • 14. 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
  • 15. Administration and Organization• A CSHP should be administered by a School Health Coordinator • Multiple responsibilities • Often not a position required by states
  • 16. 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
  • 17. 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
  • 18. 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
  • 19. 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
  • 20. Issues and Concerns of the School Health Program• Lack of support for CSHP• School health curriculum challenges• School-based health centers• Violence in schools
  • 21. Lack of Support for CSHP• Limited success in getting CSHP implemented across the country• Need supportive legislation
  • 22. 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
  • 23. 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
  • 24. Violence in Schools• High profile incidents of violence in schools• Bullying• Electronic aggression• Recommendations for improving school climate as it relates to violence
  • 25. 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?