Lenoir City Schools Coordinated School Health

Coordinated School Health: The Components Health Education Physical Education Family and Community Involvement Health Services Health Promotion for Staff Nutrition Services Healthy and Safe School Environment Counseling, Psychological, and Social Services

Coordinated School Health: The Process Priorities determined through a systematic assessment and planning process that Is evidence-based and data- driven Includes extensive input from the school community use assessment to develop, implement, and monitor plans for improvement

Framework for Coordinating School Health Health Department, HEAL, TPPTF, UT Extension, law enforcement, etc Community level: School Health Advisory Council Programming Reps from HST, CO, Nutrition, Health Services, FRC, CSH District level: Staff Coordinating Council School Health Index, school level services & P3 activities School level: Healthy School Teams

A Coordinated Approach Addresses Many Critical Health Issues Affecting Students, Including: Asthma and other chronic health conditions Mental health Immunizations Infectious diseases Oral health Emergency preparedness Physical activity, nutrition, and obesity Tobacco use Sexual health, including pregnancy, HIV, and other STD Safety and violence Alcohol and other drug use

Tennessee Youth Risk Behavior Survey, 2009 Number of students in a high school class of 30 who: Attempted suicide1 (7%) Used marijuana2 (20%) Smoked cigarettes2 (21%) Had been in a physical fight1 (32%) Had at least one drink of alcohol2 (34%) Had ever had sexual intercourse (53%) Did not get enough physical activity3 (76%) Did not eat enough fruits and vegetables3 (82%) 2 6 6 10 10 16 23 25 1 - During the past 12 months; 2 – During the past 30 days; 3 – During the past week Source: Youth Risk Behavior Survey

Strategies to Close the Educational Achievement Gap Standards and accountability Revising school financing Teacher preparation Rigorous curricula Reducing educationally relevant health disparities Source: Dr. Charles E. Bausch

7 Priority, Educationally Relevant Health Factors for Intervention 1) Vision 2) Asthma 3) Teen pregnancy 4) Aggression and violence 5) Physical activity 6) Breakfast 7) ADHD Source: Dr. Charles E. Bausch

Teen Pregnancy in Loudon County Number of pregnancies with rates per 1,000 females aged 15-17

Health Screenings (PreK, K, 2, 4, 6, 8, 9) 2010/11: 772 students screened for vision, hearing, blood pressure, body mass index (BMI) Referrals: 88 vision (11.4%) 16 hearing (3.4%) 53 blood pressure (6.8%) 343 BMI (85 percentile and over) (44.4%)

Coordinated School Health: The Components Health Education Physical Education Family and Community Involvement Health Services Health Promotion for Staff Nutrition Services Healthy and Safe School Environment Counseling, Psychological, and Social Services

Physical Education ~ Physical Activity SmHeart Moves Pilot Program Physical Activity event before school for 2nd and 3rd Graders Girls on the Run Evidence based Self-esteem running club at LCIS for 4th and 5th graders UT Research Project on physical Activity Researching the link between academics and physical activity at LCES.

Student Health Services Past year: Dental Sealants (LCMS) 471 students participated in sealant education/screening 167 students received sealants 17% were referred for treatment $40,380 worth of SEALANTS ONLY Well Child (yearly physical) (LCES/LCI/MS) 64 students $4,080 (billed to insurance) ? Savings for parents who did not have to take off work, transportation, missed school Flu Mist: (all schools) 627 students (34% of total student population) $12,540 Health Screenings 772 students screened for vision, hearing, BP and BMI

Nutrition Services Go, Slow, Whoa Food Choices Program LCES Fresh Fruit and Vegetable Sampling LCHS Diabetes Education Team Nutrition ~ Healthier US School Challenge

Counseling, Psychological and Social Services Bullying prevention Bullying Hotline Mean Girls Conference LCMS P3 Teens and Technology Bullying work group

Healthy and Safe School Environment School-Wide Positive Behavior Support LCES and LCI/MS Be respectful, responsible and ready P3 (Positive Peer Pressure Groups) LCHS and LCI/MS focus on healthy relationships and cyberbullying Sidewalk Grant to connect LCES to walking trail.

Health Promotion for Staff Biggest Loser and Staff Wellness Plans Staff Flu Shots Lunch and Learns Staff Health Fairs

Health Education Michigan Model Health Curriculum K-5 “What’s the Rush?” teen pregnancy prevention program (Judicial District 9) Safe Dates Curriculum and training for middle and high school guidance counselors Health education supplies and equipment

Funding/Partnerships CSH is state mandated and state funded, local match is BEP driven In-kind and grants = $375,000 over 5.5 years. Thirty-two partnerships with local businesses, coalitions and organizations during the 2010-11 school year.