1. Lenoir City Schools Coordinated School Health

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

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

10. 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%)

12. 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

13. 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.

14. 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

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

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

17. 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.

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

19. 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

20. 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 school year.