Charles E. Basch
Strategies to Close the Educational 
         Achievement Gap
Standards and accountability
Revising school financing
Teach...
Reciprocal Relationships

Health             Education




         Poverty
Our Children Are Ill Served 
   by the Silo Approach




                   N




                                L
      ...
Limited Returns on Investments 
             of Social Resources 

• Insufficient financial investments

• Efforts are not...
Overview
• What “Should” Collaboration Achieve? 
    – Strategically planned, high quality, and effectively coordinated ef...
What “Should” Collaboration Achieve?

• Efficient use of scarce resources ($ and time)

• Strategically planned efforts

•...
Strategically Planned
• Maximize yield from investments

• School-specific priorities

• Ongoing process

• Community invo...
Criteria for Selecting Strategic Priorities

– Extent of health disparities

– Causal effects on educational outcomes

– F...
Examples of School Health Priorities  
Warranting Consideration as Priorities 
             in the U.S.
7 Priority, Educationally Relevant 
          Health Factors
1) Vision

2) Asthma

3) Teen pregnancy

4) Aggression and vi...
High Prevalence
• Visual problems: ~20% of youth

• Asthma: ~14% of youth <18

• Teen pregnancy: 1 in 3 teens

• Violence:...
Synergistic Effects 
Reducing multiple impediments to motivation and 
ability to learn (e.g., breakfast, physical activity...
High Quality, Evidence‐Based
High Quality, Evidence‐Based
High Quality, Evidence‐Based
Effective Coordination 
             (Collaboration)
• Different people

• Playing different roles

• Working toward a com...
A Coordinated School Health Program
      Health Education
      Health Education                   Physical
             ...
Elements of Effective 
  Coordination and Collaboration
• School health coordinator

• School health council

• Community ...
Elements of Effective 
  Coordination and Collaboration
• School health coordinator -- Conductor
  – What is the “big pict...
Elements of Effective 
  Coordination and Collaboration
• School health coordinator

• School health council – A leadershi...
Elements of Effective 
  Coordination and Collaboration
• School health coordinator

• School health council

• Community ...
Elements of Effective 
  Coordination and Collaboration
• School health coordinator

• School health council

• Community ...
Elements of Effective 
  Coordination and Collaboration
• School health coordinator

• School health council

• Community ...
Leadership from 
              National Education Agencies

•   A national school health strategic plan
Leadership from 
              National Education Agencies

•   A national school health strategic plan

•   Incentives fo...
Leadership from 
              National Education Agencies

•   A national school health strategic plan

•   Incentives fo...
Leadership from 
              National Education Agencies

•   A national school health strategic plan

•   Incentives fo...
Leadership from 
              National Education Agencies

•   A national school health strategic plan

•   Incentives fo...
Leadership from 
              National Education Agencies

•   A national school health strategic plan

•   Incentives fo...
Leadership from 
              National Education Agencies

•   A national school health strategic plan

•   Incentives fo...
Strategies for Supporting Collaborative School 
                  Health Efforts

• Communication
• Policy mandates and ac...
Strategies for Supporting Collaborative School 
                  Health Efforts

• Communication
  – School health is par...
Strategies for Supporting Collaborative School 
                  Health Efforts

• Communication
• Policy mandates and ac...
Strategies for Supporting Collaborative School 
                  Health Efforts

• Communication
• Policy mandates and ac...
Guidance, Technical Assistance, and 
    Professional Development
• Intensive efforts to disseminate up-to-date,
  evidenc...
Data Collection and Research
•   Develop and implement a national research agenda to put
    what we already know into pra...
Role for Colleges of Education
• Integrate health topics and evidence-based school
  health strategies into professional p...
Healthier Students are Better 
              Learners:  
        Concept to Practice
What Can School Health Programs do to...
What Can Schools Do?
• Visual Problems:
  – Vision screening
  – Outreach to parents and teachers
  – On-site provision of...
What Can Schools Do?
• Teen Pregnancy:
  – Effective, skills-based sex education

  – Social and emotional learning

  – C...
What Can Schools Do?

• Aggression and Violence:
  – Supportive social climate

  – Safe physical environment

  – Effecti...
What Can Schools Do?
• Physical Activity:
   – Standards-based physical education
   – Recess and in-class movement
   – I...
What Can Schools Do?
• Inattention and Hyperactivity
  – Assessment, evaluation, diagnosing, and monitoring

  – Organize ...
Charles Basch Healthier Students are Better Learners
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Charles Basch Healthier Students are Better Learners

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Workshop at international symposium, Geneva, July 2010

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Charles Basch Healthier Students are Better Learners

  1. 1. Charles E. Basch
  2. 2. Strategies to Close the Educational  Achievement Gap Standards and accountability Revising school financing Teacher preparation Rigorous curricula Charter schools Reducing educationally relevant health disparities
  3. 3. Reciprocal Relationships Health Education Poverty
  4. 4. Our Children Are Ill Served  by the Silo Approach N L IO ES TH SE CIA AT IC AL RV SO UC HE ED
  5. 5. Limited Returns on Investments  of Social Resources  • Insufficient financial investments • Efforts are not strategically planned • Poor quality programs • Efforts are not effectively coordinated
  6. 6. Overview • What “Should” Collaboration Achieve?  – Strategically planned, high quality, and effectively coordinated efforts – Synergistic and multiplicative effects • Elements of Effective Coordination and Collaboration • Leadership from National Education Agencies • Strategies for Supporting Collaborative School Health Efforts • Role for Colleges of Education
  7. 7. What “Should” Collaboration Achieve? • Efficient use of scarce resources ($ and time) • Strategically planned efforts • High quality programs • Efforts are effectively coordinated (collaborative)
  8. 8. Strategically Planned • Maximize yield from investments • School-specific priorities • Ongoing process • Community involvement
  9. 9. Criteria for Selecting Strategic Priorities – Extent of health disparities – Causal effects on educational outcomes – Feasibility of school‐based programs and policies
  10. 10. Examples of School Health Priorities   Warranting Consideration as Priorities  in the U.S.
  11. 11. 7 Priority, Educationally Relevant  Health Factors 1) Vision 2) Asthma 3) Teen pregnancy 4) Aggression and violence 5) Physical activity 6) Breakfast 7) ADHD
  12. 12. High Prevalence • Visual problems: ~20% of youth • Asthma: ~14% of youth <18 • Teen pregnancy: 1 in 3 teens • Violence: 28% of adolescents bullied at school • Physical activity: ~2 in 3 don’t get enough • Breakfast: ~20% of youth skip it • Hyperactivity: ~8% of youth 6-17 diagnosed
  13. 13. Synergistic Effects  Reducing multiple impediments to motivation and  ability to learn (e.g., breakfast, physical activity,  sleep) would be not only additive but also synergistic School health programs must focus on multiple educationally relevant health disparities
  14. 14. High Quality, Evidence‐Based
  15. 15. High Quality, Evidence‐Based
  16. 16. High Quality, Evidence‐Based
  17. 17. Effective Coordination  (Collaboration) • Different people • Playing different roles • Working toward a common set of priorities using high quality (evidence-based) programs
  18. 18. A Coordinated School Health Program Health Education Health Education Physical Physical Education Education Family and Family and Community Community Health Services Health Services Involvement Involvement Health Health Nutrition Nutrition Promotion Promotion Services Services for Staff for Staff Healthy and Safe Healthy and Safe Counseling, Counseling, School Psychological, Psychological, School and Social and Social Environment Environment Services Services
  19. 19. Elements of Effective  Coordination and Collaboration • School health coordinator • School health council • Community involvement and support • Program integration • Coordinated services for individual students – Without follow up services are often ineffective
  20. 20. Elements of Effective  Coordination and Collaboration • School health coordinator -- Conductor – What is the “big picture” – What are all the elements of the overall program? – How do these elements fit together? – What are the opportunities for • Collaboration? • Linkage with community resources? • Opportunities for reinforcing activities?
  21. 21. Elements of Effective  Coordination and Collaboration • School health coordinator • School health council – A leadership TEAM – Establishing priorities is a political process based on • Epidemiology, but also based on • Resources available and • Local preferences and values
  22. 22. Elements of Effective  Coordination and Collaboration • School health coordinator • School health council • Community involvement and support – One of the best ways to help ensure that programs will be implemented and maintained
  23. 23. Elements of Effective  Coordination and Collaboration • School health coordinator • School health council • Community involvement and support • Program integration – Health topics can be integrate into the academic curriculum in ways that will engage students in both
  24. 24. Elements of Effective  Coordination and Collaboration • School health coordinator • School health council • Community involvement and support • Program integration • Coordinated services for individual students – Without follow up services are often ineffective
  25. 25. Leadership from  National Education Agencies • A national school health strategic plan
  26. 26. Leadership from  National Education Agencies • A national school health strategic plan • Incentives for involvement
  27. 27. Leadership from  National Education Agencies • A national school health strategic plan • Incentives for involvement • Human capital grant programs
  28. 28. Leadership from  National Education Agencies • A national school health strategic plan • Incentives for involvement • Human capital grant programs • Identify and integrate overlapping efforts (policies and funding)
  29. 29. Leadership from  National Education Agencies • A national school health strategic plan • Incentives for involvement • Human capital grant programs • Identify and integrate overlapping efforts • Adopt specific policies to promote collaboration
  30. 30. Leadership from  National Education Agencies • A national school health strategic plan • Incentives for involvement • Human capital grant programs • Identify and integrate overlapping efforts • Adopt specific policies to promote collaboration • Develop a research agenda to improve understanding about cultivating collaboration
  31. 31. Leadership from  National Education Agencies • A national school health strategic plan • Incentives for involvement • Human capital grant programs • Identify and integrate overlapping efforts • Adopt specific policies to promote collaboration • Develop a research agenda to improve understanding about cultivating collaboration • Ensure that scare curricular time is devoted to health education in ways that addresses multiple problems efficiently
  32. 32. Strategies for Supporting Collaborative School  Health Efforts • Communication • Policy mandates and accountability • Financial support and incentives • Guidance, technical assistance, and professional development • Data collection and implementation research
  33. 33. Strategies for Supporting Collaborative School  Health Efforts • Communication – School health is part of the fundamental mission – Leading agencies support school health as a priority – Parents want schools to address health needs of youth
  34. 34. Strategies for Supporting Collaborative School  Health Efforts • Communication • Policy mandates and accountability – Are collaboratively established health goals part of annual mandated school improvement plans?
  35. 35. Strategies for Supporting Collaborative School  Health Efforts • Communication • Policy mandates and accountability • Financial support and incentives – What are the incentives for stakeholders to collaborate versus compete for scarce resources? – Current approaches to funding, policy, program, training and evaluation focus on a categorical versus youth development orientation
  36. 36. Guidance, Technical Assistance, and  Professional Development • Intensive efforts to disseminate up-to-date, evidence-based guidance to teachers, administrators, and policy makers • Provide ongoing follow-up consultation and support • Support school health learning communities • Train school health coordinators for schools serving populations with greatest needs
  37. 37. Data Collection and Research • Develop and implement a national research agenda to put what we already know into practice and demonstrate its value for improving educational outcomes • Conduct research on: – motivations and skills of school leaders and teachers – the kinds of evidence valued by legislators • Include educational outcomes as key measures in evaluations of school health interventions for young people • Document the extent and nature of current investments in support of school health programs
  38. 38. Role for Colleges of Education • Integrate health topics and evidence-based school health strategies into professional preparation programs for teachers and administrators • Form school—university partnerships to facilitate implementation of school health programs and policies • Lead efforts to develop and implement a national research and development agenda on the impact of high quality, strategically planned, and effectively coordinated school health programs
  39. 39. Healthier Students are Better  Learners:   Concept to Practice What Can School Health Programs do to Address Top Priority Problems?
  40. 40. What Can Schools Do? • Visual Problems: – Vision screening – Outreach to parents and teachers – On-site provision of services • Asthma – Case management – Elimination of environmental triggers – Education for students with asthma – Safe opportunities for physical activity
  41. 41. What Can Schools Do? • Teen Pregnancy: – Effective, skills-based sex education – Social and emotional learning – Contraceptive services for sexually active youth – Health and social services for teen moms
  42. 42. What Can Schools Do? • Aggression and Violence: – Supportive social climate – Safe physical environment – Effective, skills-based health education – Social and emotional learning – Counseling, psychological, and social services
  43. 43. What Can Schools Do? • Physical Activity: – Standards-based physical education – Recess and in-class movement – Intramural and after-school programs – Support for walking and biking to school • Breakfast – Universal school breakfast program – Allowing students to eat in classroom
  44. 44. What Can Schools Do? • Inattention and Hyperactivity – Assessment, evaluation, diagnosing, and monitoring – Organize classrooms to minimize distractions – Improving teacher-student relationship – Behavioral interventions – Academic interventions – Outreach and partnership with parents

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