1. The only state with a legislative mandate and state funding to implement CSH in all school systems statewide: TENNESSEE

2. The state where school health coordinators have secured $50 million in grants and in-kind gifts for their schools: TENNESSEE

3. The state that in two years went from having one of the worst school nutrition environments in the Nation to having one of the best: TENNESSEE

4. The state where districts implementing CSH have consistently outperformed state averages in high school graduation and drop-out rates: TENNESSEE

5. Overview A Missing Link in School Reform A Coordinated Approach to School Health The Need for Coordinated School Health in Tennessee The Future of Our Nation

6. Strategies to Close the Educational Achievement Gap Standards and assessments Data systems Effective teachers and principals Charter schools Reducing educationally relevant health disparities

7. “No matter how well teachers are prepared to teach, no matter what accountability measures are put in place, no matter what governing structures are established for schools, educational progress will be profoundly limited if students are not motivated and able to learn. Health related problems play a major role in limiting the motivation and ability to learn...”

8. Health is Academic Because… School health programs can help improve students’ educational outcomes Helping young people stay healthy is a fundamental part of the mission of our schools

9. Percentage of U.S. High School Students Getting Mostly A’s, Mostly B’s, Mostly C’s, or Mostly D/F’s* Who Engage in Selected Health Risk Behaviors Source: CDC, National Youth Risk Behavior Survey, 2009 *As reported by students

10. Percentage of U.S. High School Students Getting Mostly A’s, Mostly B’s, Mostly C’s, or Mostly D/F’s* Who Engage in Selected Health Risk Behaviors Source: CDC, National Youth Risk Behavior Survey, 2009 *As reported by students

11. www.cdc.gov/HealthyYouth/health_ and_academics/pdf/pa-pe_paper.pdf Physical Activity Contexts Physical education Recess Classroom-based Extracurricular Academic Outcomes Achievement (grades, test scores) Behavior (time on-task, attendance, conduct) Cognitive skills and attitudes (concentration, memory, mood)