1. 1 Coordinated School Health Train The Trainer Workshop

2. 2 Goals and Objectives GOAL: Provide information and resources to assist in development or support for CSH in each district.  Objectives Help fully understand the value of CSH Give understanding of laws Provide you with practical information, resources and strategies to utilize in program planning and implementation Provide best practices in: Assessment Recruitment of a CSH Leadership Team Organization and Planning based on SHAC recommendations Effective implementation and Evaluation

3. 3 Agenda 1. WELCOME/INTRODUCTIONS 2. WHAT IS COORDINATED SCHOOL HEALTH (CSH)? 3. WHAT IS CURRENTLY GOING ON? 4. HOW DO YOU “DO” CSH? 5. TEA APPROVED PROGRAMS 6. WHAT’S NEXT? ACTION PLAN 7. TAKING COORDINATION HOME

4. 4 Youth Risk Behaviors Tobacco Use Poor Food Choices and Inappropriate Portion Sizes Inadequate Physical Activity Alcohol and Drug Use Sexual Behaviors That Can Transmit HIV and other STD’s Unintended Pregnancy Intentional and Unintentional Injuries, Often Due to Violence

5. 5 National Trends Adults

6. 6 National Trends in Child Overweight

7. 7 4 th 25.6%29.4%21.5%24.9%32.2%18.9% 8 th 18.8%21.0%16.1%18.2%25.0%13.6% 11 th 14.5%17.0%11.4%16.6%23.0%10.6% White/ Other Boys All Hispanics Girls African American Body Mass Index Above the 95 percentile for age and sex (2000-2002 Span Data) Texas Health Data 2000-2002

8. 8 Rate of Childhood Overweight-Texas Table 2. Prevalence of overweight 1 and at-risk-of overweight 2 in Texas school-age children between 2004 and 2005 OverweightAt Risk for Overweight 4th Grade 23%19% 8th Grade 20%19% 11th Grade 19%17%

9. 9 National Diabetes Trends

10. 10 National Diabetes Prevalence 1994 2004

11. 11 National Diabetes Ethnicity Trends

12. 12 Promoting Healthy Behaviors Refusal Skills Decision Making Goal Setting Communication Healthy Relationship Building Interest in Alternative Health Promotion Activities

13. 13 What is Coordinated School Health?

14. 14 Introduction to CSH Effective CSH can: Increase Academic Achievement Decrease Absenteeism and Drop-out Rates Reduce the Risk of Premature Death Decrease Health Care Costs Improve Economic Productivity and National Security Increase School/Community Partnerships to Address the Health Needs in the Community

15. 15 CSH and the SHAC in Texas Mandated by Law Focus on the Whole Child Involve Coordination and Collaboration Enhance the School Health Efforts Increases Communication Between the School and Community

16. 16 Why Coordinate?

17. 17 Comprehensive Health Education l A planned, sequential, K-12 curriculum that addresses physical, mental, emotional and social dimensions of health. l Curriculum motivates and assists students to maintain and improve health, prevent disease and be good health consumers. l Incorporates the Texas Essential Knowledge in Skills l Is taught by qualified and trained teachers.

18. 18 Physical Education l Planned, sequential K-12 instruction that promotes lifelong physical activity utilizing the Texas Essential Knowledge and Skills l Designed to develop basic movement skills, sports skills, and physical fitness as well as to enhance mental, social, and emotional abilities. l Is taught by qualified and trained physical education teachers.

19. 19 Health Services l Services provided to appraise, protect and promote health. l Includes treatment of acute and chronic conditions as well as preventive services, referrals to primary health care providers and education to students and staff. l Provided by a qualified and trained health care practitioner or other allied health personnel.

20. 20 Nutrition Services l Integration of nutritious, affordable, and appealing meals; nutrition education; and an environment that promotes healthy eating behaviors for all children l Follow the U.S.D.A. and Texas Dept. of Agriculture Guidelines l Services are provided by qualified and trained child nutrition staff

21. 21 Counseling and Psychological Services l Services provided to improve students mental, emotional and social health. l May include individual and group activities that assess, intervene and refer to appropriate services. l Services are provided by qualified, trained mental health professionals

22. 22 Healthy School Environment l The physical and aesthetic surroundings and the psychosocial climate and culture of the school. l The psychological environment that includes the emotional and social conditions that affect the well-being of students and staff.

23. 23 Health Promotion for Staff l Assessment, education and fitness activities for school faculty and staff l Designed to maintain and improve the health and well-being of school staff who serve as role models for children l Health promotion activities have improved productivity, decreased absenteeism and better moral in the school

24. 24 Family/Community Involvement l Partnerships among schools, families,community groups, and individuals l School Health Advisory Councils l Increases awareness and support for the school health program l Development of community resources to address student health needs

25. 25 “Best Practices” In School Health 1234 Active Leadership Coordinated And Collaborative Approach Safe and Nurturing Learning Environment Commitment Of Time, Personnel, Resources

26. 26 Continuous Quality Improvement Evaluate RecruitOrganize Assess Plan The Journey Starts Here Implement

27. 27 CSH Leadership Team Process Phase 1 Phase 2 Phase 4 Identify RecruitOrient Phase 3 Update and Evaluate

28. 28 CSH Leadership Team Members Representative of a Component or Administration Committed to Improving School Health Willingness to Work on All Health Issues Demonstrates Leadership Willingness to Devote Time and Expertise

29. 29 Assessment Formal School Health Index On-Line Downloadable Hard Copy by Request from CDC School Health Policies and Practices Conducted Nationally Texas participates in the survey Downloadable questions to use in local districts Youth Risk Behavior Survey Downloadable from CDC Texas participates and data is available for state

30. 30 Assessment Formal-cont. Local Information Health Department County Statistics Local Law Enforcement Statistics Alcohol and Drug Abuse Council Data Other Local and Regional Data

31. 31 Assessment-Cont. Informal Student Surveys (with parental permission) Focus Groups Parent Surveys Trends seen in the medical and law enforcement community Other community or regional resource information

32. 32 Our School District’s Results

33. 33 Key Strategies for Success Develop mission and goals in collaboration with the SHAC Facilitate the CSH Leadership Team Communicate with the SHAC and Administration Keep everyone updated and celebrate success Formal reporting to SHAC and administration

34. 34 TEA Approved Programs Currently there are 4 programs that have been approved by TEA Bienstar CATCH Great Body Shop Healthy and Wise Others will be reviewed for approval School districts can submit their locally developed CSH program for approval (it must meet the criteria set out by TEA)

35. 35 Complimentary Actions School Board and School Superintendent School Health Advisory Council Internal School Health Action Team Issue Do an assessment using the School Health Index Actions: Assign representative from each dept. to project team Distributes survey to faculty Summarize results and draft report Actions: Assign member to project team Get PTA to survey parents Analyze results Present report to school board

36. 36 Where Do We Go From Here? Identify top priorities based on assessment and teachable moments Utilize the SMART strategies for developing goals, objectives and activities Keep communication open with both SHAC and administration Celebrate success and tell your story to the community and other districts

37. 37 Coordinated School Health Thank You For Coming and Best Wishes on Coordinating School Health