with children’s health Why? If schools do not deal with children’s health by design, they deal with it by default. Health is Academic, 1997

Every day in Mississippi, we have an opportunity to reach… 494,590 public school students 152 School Districts 618 Elementary Schools/225 Secondary Schools Over 64,300 adults work as teachers, school building staff, or school district staff

MS Youth Risk Behavior 2003 Youth Risk Behavior Survey Grades 9-12 YRBSS MS/Kolbo 2003 (Grades 1-8) US Insufficient Physical Activity 82% 75% Daily PE Class 23.4% 28.4% <3 glasses milk/day 89% 82.9% <5 daily servings fruit/vegetables 80% 78% >3 hrs TV/school day 54.1% 38.2% Overweight 15.7% 24% 13.5% At risk for being Overweight 14.7% 15.4%

Tobacco Use Youth Risk Behavior Survey Grades 9-12

Alcohol Abuse Youth Risk Behavior Survey Grades 9-12

Coordinated School Health Program Health Education Physical Education Family and Community Involvement Health Services Health Promotion for Staff Nutrition Services Healthy School Environment Counseling, Psychological Services

Is school health the missing link to school improvement?

MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Health Education Motivated and Learning Physical Education Health Services Nutrition Services Sense of Positive Self-Esteem Counseling, Psychological and Social Services Sense of Belonging and Importance Sense of Being Loved and Appreciated Healthy School Environment Health Promotion for Staff Family/Community Involvement Free of Fear and In A Safe place Physical Health

Research Substantiates the Effort Physical Activity appear to boost students’ ability to concentrate and to reduce disruptive behaviors, which has a considerable positive impact on their academic achievement (Symons, 1997). Students who regularly attend school breakfast programs perform better in school, exhibit less hyperactivity in the classroom, and show better daily attendance (Alaimo, 2001; Kennedy and Davis, 1998; Murphy, 1998; Powell, 1998).

Research Substantiates the Effort Schools that have eliminated competitive foods and substituted them with nutritious choices report that students’ concentration and behavior improve (Anderson, 2002). Intensive physical activity programs for students led to an improvement in students’ scores in mathematics, reading, and writing and to a reduction in disruptive behaviors in the classroom (Sallis, 1999).

MDE Commitment Through acquisition of funding through The Bower Foundation, created the Office of Healthy Schools to: coordinate efforts avoid duplication of services maximize resources

Six Priority Health Risk Behaviors account for most of the serious illness and premature deaths in the U.S. Tobacco use Unhealthy dietary behaviors Inadequate physical activity Alcohol and other drug use Sexual behaviors Unintentional injuries and violence

Initiatives Local School Wellness Policy Start Up Grants John D. Bower, M.D. School Health Network The Bower Foundation Vending Machine Case Study Vending Regulations HIV/AIDS Policy Guide for Development HIV/AIDS Prevention Grants Comprehensive Health/P.E.Framework Training Mississippi School Health Successes

Local School Wellness Policy Guide for Development Three step Approach Gather Input and Assess Develop Local Wellness Policy Implement and Evaluate Policy

Health is Academic Start-Up Grants Funds allocated for 140 schools to receive $3,000 each to: Establish a School Health Council Conduct Needs Assessment Select one sustainable intervention

Start Up Grants List of Interventions Not eliminating physical activity as a punishment Power walks with the Principal as a reward Healthy choices at school parties No food fundraisers Staff wellness opportunities Homework opportunities that involve physical activity Elimination of Vending Sales Recess provided before lunch

John D. Bower, M.D. School Health Network Purpose: To implement the eight components of the Coordinated School Health Program Model in one school in a district and to be prepared to implement the Coordinated School Health Program Model district-wide Total Amount Awarded: $1,000,000.00  Funding Source: The Bower Foundation  Basis for awarding the grants: Competitive All Mississippi school districts to include the state special schools administered by the State Board of Education were eligible to apply for “Health is Academic” John D. Bower, M.D. School Health Network.  

John D. Bower, M.D. School Health Network Corinth School District Desoto County School District Hollandale School District George County School District Grenada School District Lamar County School District Petal School District Starkville School District Sunflower County School District West Bolivar School District

Coordinated Approach Over the next few slides we will discuss the action plan for the John D. Bower School health Network. Throughout this action plan you will see the importance these broad and ongoing strategies that are essential to the functioning of a CSHP. Coordination involves the organization of multiple elements. Partnerships area necessity in order to allow other members to contribute their distinctive assets. To create an effective CSHP it is essential for stakeholders in key positions to provide public an consistent support.

The Bower Foundation Vending Machine Case Study Purpose: To assess the financial impact of changing beverage vending machine operations. Process: Two beverage vending interventions: Healthier beverage choices Differential pricing Benchmarks: (1) Offer healthier beverages at a lower price throughout the school year (2) Complete surveys of beverage and snack vending machines (3) obtain historical data from beverage vendor(s) (4) Change advertising on front of vending machine to promote healthy beverages (5) implement differential pricing for water, 100% fruit juice and sports drinks at a lower price (6) Provide monthly report on sales, revenue and meals served (7) identify a project coordinator and (8) Agree to a Memorandum of Understanding outlining the responsibilities of the district

HIV/AIDS Prevention Grants Available to 34 districts in high risk regions Training and technical assistance on prevention curricula Health and Physical Education Teachers Nurses Regular Education Teachers K-8 Evaluation of prevention program

Comprehensive Health Framework Training 7 Regional Training Sessions Trained Approximately 700 Nurses, Health Educators, Food Service Staff, Principals, Federal Program Coordinators, Curriculum Coordinators, K-12 teachers Emphasis On Nutrition and Disease Prevention

Mississippi School Health Successes

Mississippi Successes Commitment of State Board of Education and Mississippi Department of Education Leadership Partnership with The Bower Foundation Passing of House Bill 319 Passing of Senate Bill 2602 Section 18 107 schools representing 80% of School Superintendents committed to school health through the grant application process 10 School Districts committed to implementing a Coordinated Approach to School Health

Office of Healthy Schools Regina Ginn Shane McNeill Phone:601-359-1737 Fax: 601-576-1417 rginn@mde.k12.ms.us psmcneill@mde.k12.ms.us www.mde.k12.ms.us/HealthySchools