2. 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

3. Every day in Mississippi, we have an opportunity to reach…
494, 038 public school students
152 School Districts
618 Elementary Schools/225 Secondary Schools
Over 68,000 adults work as teachers, school building staff, or school district staff

4. Why Coordinated School Health?
It is difficult for students to be successful in school if they are:
Depressed
Tired
Being bullied
Stressed
Sick
Using alcohol or other drugs
Hungry
Abused

5. Why Coordinated School Health
Why Coordinated School Health? Six behaviors account for most of the serious illness and premature deaths in the U.S.
Tobacco Use
Abuse of alcohol and other drug use
Unintentional injuries and violence
Sexual Behaviors resulting in HIV, sexually transmitted diseases or teenage pregnancy
Poor eating habits
Inadequate physical activity

6. Tobacco Use Youth Risk Behavior Survey Grades 9-12

7. Alcohol Abuse Youth Risk Behavior Survey Grades 9-12

8. Juvenile Crime Rate Arrest rate of persons under age 18 (per 100,000 persons age 10 to 17) in Mississippi, US FBI Arrest Statistics

9. Results of Poor Eating Habits and Physical Inactivity

10. Injury Youth Risk Behavior Survey Grades 9-12

11. Poor Eating Habits and Physical Inactivity 2003 Youth Risk Behavior Survey Grades 9-12
38.2%
54.1%
>3 hrs TV/school day
28.4%
23.4%
Daily PE Class
80%
89%
82% MS
YRBSS
82.9%
<3 glasses milk/day
78%
<5 daily servings fruit/vegetables
75%
Insufficient Physical Activity US
Behavior

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

13. 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

14. Health Education
Reading and math scores of third and fourth grade students who received comprehensive health education were significantly higher than those who did not receive comprehensive health education
Schoener, Guerrero, and Whitney, 1988

15. Physical Education
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

16. Health Services
Early childhood and school aged intervention programs that provide parental support and health services are associated with improved school performance and academic achievement.
Early intervention may also improve high school completion rates and lower juvenile crime.
Reynolds, Temple, Robertson, and Mann, 2001

17. Healthy School Environment
The physical condition of a school is statistically related to student academic achievement.
An improvement in the school’s condition by one category, say from poor to fair, is associated with a 5.5 point improvement in average achievement scores.
Berner, 1993

18. Health Promotion for Staff
Teachers who participated in a health promotion program focusing on exercise, stress management, and nutrition reported:
Increased participation in exercise and lower weight
Better ability to handle job stress
A higher level of general well-being
Blair, Collingwood, Reynolds,
Smith, Hagan and Sterling, 1984

19. Family/Community Involvement
Community activities that link to the classroom:
Positively impact academic achievement
Reduce school suspension rates
Improve school-related behaviors
Nettles, 1991
Allen, Philliber, Herring,
and Kupermine, 1997

20. Why Coordinated School Health? The alternative is costly
Hidden Costs to Schools
Measurable Costs to State
Measurable Costs to Schools

21. The Hidden Costs
Extra staff time needed for students with low academic performance or behavior problems caused by poor nutrition and physical inactivity.
Costs associated with time and staff needed to administer medications needed by students with associated health problems.
Healthcare costs, absenteeism, and lower productivity due to the effects of poor nutrition, inactivity and overweight among school employees.

22. Measurable Costs to State (2004-2005)
Statewide Enrollment: 494,590
ADA Statewide: 472,577
Statewide Attendance: 95%
$4,193 per student based on fully funded MAEP ( )
Statewide schools leaving $92,300,509 on table (not taking into consideration local contribution)

23. Measurable Cost to Schools (Example)
School District: 3,000 Students
Each 1% attendance improvement =
$125,790

24. Community Costs “State of Health” in Mississippi
Obesity
$757,000,000 cost per year in MS; $444,000,000 paid by Medicare and Medicaid
Diabetes
# 2 state in the nation in Type II diabetes
Cardiovascular Disease
# 1 state in the nation in heart disease related deaths
# 3 state in the nation in stroke related deaths
Cancer
# 5 state in the nation in cancer related deaths
Asthma
# 1 reason for school absenteeism in MS

25. Wellness Policy Mandate by USDA School year 2006-07
A document - approved by the local school board - that promotes a healthy school environment. By focusing on nutrition and physical activity standards, a wellness policy seeks to improve children’s health, classroom behaviors, and academic performance.
The Wellness Policy was mandated by the US Congress in 2004

26. School Health Council Mandate by MS Leg. November 1, 2006
A School Health Council (SHC) is an advisory group composed of committed individuals from both the school and the community. The group works together to provide guidance and leadership to the school on all aspects of the school health program.
School Health Councils were mandated by the MS Legislature - and required beginning in 2006

27. School Health Council Members
Parents
Teachers
Students
School staff
Health care providers (MD, PA, RN, NP, DDS, RD)
Business/industry representatives
Community leaders
Government officials
Extension staff
Social service agencies
Attorneys and law enforcement officials
Clergy
College/university personnel
Media

28. Mississippi BEVERAGE and SNACK REGULATIONS
Mandate by MS Leg.
Phased in Timeline
Mississippi BEVERAGE and SNACK REGULATIONS
are now one of the minimum requirements for all Local Wellness Policies in Mississippi.
I apologize for leaving this slides out of your handout.
Another piece of the puzzle for improving the health of MS student are the Beverage and Snack guidelines approved by the State Board in October 2006 … with a phased timeline

29. TIMELINES When do these regulations need to be implemented?
Both beverage and snack regulations have a phased timelines to allow schools and vendors to make necessary adjustments in programs and products.
Beverages regulations apply in TWO phases - beginning with school year.
Snack regulations apply in THREE phases - beginning with school year.
TIMELINES
When do these regulations need to be implemented?
As you can see here:
Both beverage and snack regulations have a phased timelines to allow schools and vendors to make necessary adjustments in programs, contracts, and products.
Beverages regulations apply in TWO phases - beginning with school year.
Snack regulations apply in THREE phases - beginning with school year.

30. Times of day
Regulations apply to all Mississippi school campuses during the regular and extended school day - the hours between 7:00 am and 4:00 pm.
Extended school day includes activities such as clubs, yearbook, band and choir practice, student government, drama and childcare/latchkey programs
Policy does not apply to school-related events, such as interscholastic sporting events, school plays, and band concerts; where parents and other adults are a significant portion of the audience or are selling beverages and foods as boosters.
Times of day
Naturally, many schools have questions about WHEN these regulations apply to beverage and snack sales. The Mississippi Board of Education clearly established the times of day when the regulations are in force:
Regulations apply to all Mississippi school campuses during the regular and extended school day - the hours between 7:00 am and 4:00 pm.
Extended school day includes activities such as clubs, yearbook, band and choir practice, student government, drama and childcare/latchkey programs
Policy does not apply to school-related events, such as interscholastic sporting events, school plays, and band concerts; where parents and other adults are a significant portion of the audience or are selling beverages and foods as boosters.

31. BEVERAGE REGULATIONS Specific products - Phase 1
As of the 2007 – 2008 school year, all full calorie, sugared carbonated soft drinks shall no longer be sold to students in Mississippi schools during the school day.
BEVERAGE REGULATIONS
SPECIFIC PRODUCTS - PHASE 1
The beverage regulations have two simple stages. The first applies to the school year:
As of the 2007 – 2008 school year, all full calorie, sugared carbonated soft drinks shall no longer be sold to students in Mississippi schools during the school day.
During this year, there are no other standards for the types of beverages or portion sizes that can be sold during the school day.
Of course, schools are encouraged to implement the second phase of the beverage regulations as soon as they can - in partnership with their local vendors and beverage companies.

32. BEVERAGE REGULATIONS Specific products - Phase 2
As of the 2008 – 2009 school year, only specific beverages MAY be available for vending during the school day the types of beverages and portions sizes vary for elementary, middle and high school students.
BEVERAGE REGULATIONS
SPECIFIC PRODUCTS - PHASE 2
The second phase of the Beverage Regulations applies to the school year. Beginning with this school year, only specific types of beverages in specific serving sizes may be sold during the school day.
The types of beverages - and the serving size - vary for elementary, middle, and high school students. These differences recognize the changing caloric and nutrient needs of children as they get older. They also recognize that adolescents should have the opportunity to choose among a wider variety of beverage options.

33. BEVERAGE REGULATIONS Specific products - Phase 2
All the phase 2 products are designed to meet the hydration/nutrient needs of children, with age- appropriate amounts of calories, sugar, and fat.
They include:
Bottled water
Low fat and non fat regular and flavored milk
100% juice with no added sweeteners
No/low calorie beverages (up to 10 cals/8 ozs.)
Light juices/sports drinks (up to 66 cals/8 ozs.)
BEVERAGE REGULATIONS
SPECIFIC PRODUCTS - PHASE 2
All the phase 2 products are designed to meet the hydration and nutrient needs of young - with age- appropriate amounts of calories, sugar, and fat.
They include the following beverages in specific portions for elementary, middle, and high school students:
Bottled water
Low fat and non fat regular and flavored milk
100% juice with no added sweeteners
No/low calorie beverages (up to 10 cals/8 ozs..)
Light juices/sports drinks (up to 66 cals/8 ozs.)

34. SNACK REGULATIONS General Guidance
To ensure that children do not have to choose between the School Breakfast or programs and vended items, schools shall follow the Competitive Food policy EEH.
Food sales outside of Child Nutrition Programs are available in Mississippi schools at the discretion of the school district.
SNACK REGULATIONS - GENERAL GUIDANCE
Before we discuss the specific standards of the new Snack regulations, it is important to make two general points:
First, Mississippi schools must continue to follow the Competitive Food policy EEH. This existing policy, one of the strongest in the nation, was designed to ensure that children do not have to choose between the School Lunch/Breakfast programs and vended items of lower nutritional quality.
Secondly, food sales outside of Child Nutrition Programs are available in Mississippi schools at the discretion of the school district. This means that any district can decide to have no snack vending at school. In fact, a significant number of Mississippi districts have made this decision with children’s health in mind.

35. SNACK REGULATIONS Overall Goals
Minimize excessive intake of calories, especially empty calories from fat and sugar.
Increase intake of nutrients for optimal growth, development, and brain functioning, from nutrient-rich, minimally processed foods like whole grains, fruits, vegetables, nuts, seeds, lean meats, and dairy foods.
Promote healthful options to all students, families, and school staff.
SNACK REGULATIONS - OVERALL GOALS
The overall goals of Snack Regulations for Mississippi School were also designed with the health of child in mind. They are to:
Minimize excessive intake of calories, especially empty calories from fat and sugar.
Increase intake of nutrients for optimal growth, development, and brain functioning, from nutrient-rich, minimally processed foods like whole grains, fruits, vegetables, nuts, seeds, lean meats, and dairy foods.
Promote healthful options to all students, families, and school staff.

36. SNACK REGULATIONS Specific products
Standards (for calories, fat, sugar, sodium, etc.) vary by the type of snack product (dessert, bar, dairy food, fruit, vegetable, nuts, etc.)
Office of Child Nutrition will maintain a listing of products that meet the specific standards for all types of snack items.
To determine if a product can be placed on the approved list, school districts and vendors can use the Evaluation Tool (in WORD or EXCEL) available from the Office of Child Nutrition.
SNACK REGULATIONS - SPECIFIC PRODUCTS
The standards for snack products include calories, fat, sugar, sodium, and several key nutrients, like iron. The standards vary by the type of snack product (dessert, bar, dairy food, fruit, vegetable, nuts, etc.).
To make it easy for schools to determine if a snack meets the regulations, the Office of Child Nutrition will maintain a listing of products that meet the specific standards for all types of snack items.
Schools and vendors can use the Evaluation Tool (in WORD or EXCEL) available from the Office of Child Nutrition to determine if a product can be placed on the approved list.

37. SNACK REGULATIONS Phases SNACK REGULATIONS - PHASED TIMELINE
To allow for improved availability of food products, the snack regulations will be phased-in on the following schedule - with the percentages applying to each vending location:
School year
At least 50% of all vended foods must meet standards
School year
At least 75% of all vended foods must meet standards
School year
All vended foods offered must meet standards.
SNACK REGULATIONS - PHASED TIMELINE
Like the Beverage Regulations, the Snack Regulations have a phased timeline for implementation. This was created to allow for improved availability of food products that meet the standards. There are three phases:
School year : For each vending location, at least 50% of all vended foods offered must meet the standards listed above.
School year : For each vending location, at least 75% of all vended foods offered must meet the standards listed above.
School year : All vended foods offered must meet the standards listed above.

38. New Legislation in 2007
And new important legislation is already in progress during this session of the MS Legislature

39. 2007 School Health Policy Development
Healthy Students Act (House Bill 732/Senate Bill Section )
Mandates 150 minutes per week of physical education, K-8
Mandates 45 minutes per week of health education, K-8
Requires ½ Carnegie Unit of physical education for graduation, 9-12
Appropriates funds for a physical education coordinator to be housed at MDE

40. 2007 School Health Policy Development
Healthy Students Act (House Bill 732/Senate Bill Section )
Requires the State Board of Education to establish regulations for child nutrition school breakfast and lunch programs to include how food items are prepared, time allotted for the consumption of breakfast and lunch, extra food sales, marketing and retail fast foods.
Defines the duties of the School Health Councils to include a coordinated approach to school health

41. So, we have a Wellness Policy and a Health Council …
Like schools across MS - and around the nation - you have a Wellness Policy and a School Health Council
Office of Healthy Schools

42. Web Based Health Education and Physical Activity Resources
Weekly web based lesson plans
Linked to web based resources, classroom materials and videos
Classroom teachers and PE Teachers
Use in classrooms, gyms, playground
Link school health education with core subjects
Based on state standards

43. Committed to Move – Quality PE Program
One grant per district
District must have certified PE Instructor
District must match grant for equipment 1:1
Project components:
Physical Best Training and Materials
Fitnessgram Software
Incentive payments to schools for data submission
Required Training Participants:
School Principal
Certified PE Instructor

44. 5 ***** Star Food Grant
Strategy: Improve preparation and presentation of fruits and vegetables in school meals in 100 schools
Goal: Increase fruit and vegetable consumption
How:
Equipment – sectionizer and slicer
Training with chef and at school site with MSU agents
Pre and Post Consumption pattern assessments
Benchmark payments

45. 5 ***** Star Food Grant

46. Nutrition Integrity Grant
Strategy: Replace frying with combi-oven in 20 school sites with large number of weekly servings of fried foods
Goal: Decrease fat and calorie consumption in food served in schools
How:
Equipment – Combi-Oven
Require 1/3 school match for equipment
Training at school site

47. 2007 School Health Policy Development
House Bill 1132
Provides for a $2.55M school nurse program to be administered by the Office of Healthy Schools

48. School Nurse Legislation Presents Opportunities
MDE mandate data collection
Data Collection (Part 1)
Web based approach to monthly report nursing tasks
Electronic Medical Record (Part 2)
For 66 MDE/legislature funded nurses decentralized electronic medical record
Consolidate statewide reporting

49. HEALTH SERVICES SCHOOL ENVIRONMENT HEALTH
• Hire RN
• Hire Certified Nurse
Assistant to work with RN
• Clinic Equipment
Speech Therapist
• Clinic Supplies
• Clinic Space
FOOD SERVICE
• Buy fresh fruits and vegetables
• Provide healthy snacks
• Hire Registered Dietitian
• Purchase ovens to
replace fryers
STAFF WELLNESS
• Walking Track
• School RN Health Screening
• Staff Fitness Room
After school health/fitness
SOURCES
Administrative Claiming
Invest in School Health
Improve Student Heath 
Improve ADA
PHYSICAL EDUCATION
• Hire PE Teacher
• Hire PE Assistant
• Fitness Room
• Walking Track
• Purchase curriculum
SAFE AND HEALTHY
SCHOOL ENVIRONMENT
• Hire District Safety Officer
• Random drug testing
• Security cameras
COUNSELING
• Hire Mental Health Therapist
• Hire Social Worker
• Hire Guidance
Counselor
Speech Therapist
• Depression Screening Tool
FAMILY AND COMMUNITY
• Health Fairs
• Parenting Classes
• Faith Based Partnerships
HEALTH
EDUCATION
• Hire Health
Education Teacher
• Purchase curriculum

50. Who benefits? Administrators Teachers Schools Families

51. Who benefits?
STUDENTS

52. Mississippi Department of Education Office of Healthy Schools
Resources for Success
For more information
Mississippi Department of Education
Office of Healthy Schools
P.O. Box 771
Jackson, MS

53. THANK YOU
THANK YOU for your time and attention