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
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
Teachers• Heavy responsibility in making sure the CSHP works• Often spend more waking hours with children than parents
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
Foundations of the School Health Program• School administration that supports the effort• A well-organized school health council• Written school health policies
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
Policy Development• Should be executed by the school health council• Should cover all facets of the school health program• Gain approval from key stakeholders
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
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
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
Administration and Organization• A CSHP should be administered by a School Health Coordinator • Multiple responsibilities • Often not a position required by states
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
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
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
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
Issues and Concerns of the School Health Program• Lack of support for CSHP• School health curriculum challenges• School-based health centers• Violence in schools
Lack of Support for CSHP• Limited success in getting CSHP implemented across the country• Need supportive legislation
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
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
Violence in Schools• High profile incidents of violence in schools• Bullying• Electronic aggression• Recommendations for improving school climate as it relates to violence
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?
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