2. Partnership Learnings Partnering is a complex and time- consuming process that may achieve outcomes that single entities may not be able to achieve independently. –“Collaboration is an unnatural process among non- consenting individuals” Relationships are key to success Partnerships develop in stages similar to building a house

4. Roles of CSHP ICC & Key Advisory Committees since 1998 CSHP links to categorical programs Communication/networking among programs Coordination and cooperation, for example: Education about CSHP, resource development Guidelines for Coordinating School Health Programs Creation of a series of CSHP diagrams Annual work plan Set stage for higher level partnering

5. Fund for Healthy Maine Multiple partners negotiated use of tobacco settlement money starting in 2000 CSHP Key Advisory Committee played important role advocating for funding of CSHP/school health coordinators in local partnerships Funding for health issues went beyond tobacco: (PANT) Emphasis was on prevention

6. 31 community and school partnerships statewide (HMP) 54 part and full-time school health coordinators 2001-2006

7. Multiple levels of partnering: within HMP Intradepartmental (DHHS) : CVH, PTM, CH and CSHP Interdepartmental: DOE & DHHS State and Local Between local communities and schools

8. Partners in systemic change Policy and environmental change Funding CSHP Implementation and evaluation Professional development and technical assistance Communication Resources

9. Results at the local level: Extension of Infrastructure National 1.USDHHS (CDC/DASH) 2.National Coordinating Committee on School Health and Safety Maine 1.MDOE and MDHS 2.CSHP Interdepartmental Coordinating Committee (ICC) 3.CSHP Key Advisory Committee Local 1.Community Partnerships withLocal Education Agency (LEAs) 2.School Leadership Teams (within LEAs) 3.School Health Advisory Councils (with communities)

10. Results at the local level: Infrastructure: –More than half of SHCs on administrative team –Two thirds have active Health Leadership Teams and/or Councils Policy changes –More than 90% have passed tobacco free campus policy –Majority have implemented policies to improve food choices Environmental changes –Half have increased time for PA for students and have offered programs for staff Funding – Leveraged more than $3,200,000 in 4 yrs Additional staff –Almost 1 in 5 have hired additional teachers or added hours for nurses, PE teachers and mental health.

11. Results at the state level : Local education policy makers and school health coordinator leaders speak about their impact at state level conferences and public meetings DOE Commissioner invites local education policy makers interested in school health to join a leadership network. Group has been meeting 3x/yr for 2 years

12. Results at the state level : CSHP ICC and Key Advisory Committees meet annually with school health coordinators (SHCs) SHCs share CSHP successes State agencies and organizations provide information on resources and trainings Many HMP Project Officers understand CSHP and appreciate contributions of schools to HMP outcomes

13. Results at the state level Members of the Coalition active in securing and maintaining funding for HMP became aware about impact of school health coordinators Some members were also CSHP Key Advisory Committee members Proposal for increase in Tobacco Excise Tax included funding for school health coordinators statewide Increase used to address budget deficit instead

14. Results of a comprehensive approach and multi-level partnering including HMP: Youth Smoking reductions (1997-2005) Current High School Smokers a 59% drop Current Middle School Smokers a 64% drop

15. Current partnering activities Another level of partnering within HMP Development of strategic plan and RFP for next 5 years Four new programs: Substance abuse Diabetes Asthma Comprehensive cancer New relationships, new priorities and broadening of scope secondary prevention and self-management of chronic conditions

16. Current partnering activities Renegotiation of funding Very little new funding HMP funding is available with some cuts Expansion of expectations Challenges for schools Identify our role regarding chronic disease Educate new group of health professionals Frame CSHP as public health in the school setting- new perspective Develop materials to bridge language and culture gaps between health and education sectors

17. Current partnering activities New resources drafted by CSHP DHHS work group and ICC –School Health and Education Connections to 10 Essential Public Health Services –Public School Roles in Secondary Prevention and Self-Management of Chronic Conditions (Care Model)

18. Current partnering activities Preparation of new HMP RFP is intertwined with discussion about Maine’s new statewide health plan Involvement of education and school perspectives in discussion –Participation on Public Health Work Group –Testimony at public hearings

19. Future plans Continued funding for existing SHCs with local match required Funding for 6-8 new SHCs CSHP Key Advisory working on strategic plan that extends beyond end of CDC cooperative agreement and includes looking for funding for more SHCs By using a comprehensive and coordinated approach to overweight our goal is to achieve substantial changes in health behaviors similar to tobacco use reductions.

20. For more information on Maine MDOE/MDHHS partnership contact: Jacqueline Ellis, Director CSHP Maine Center for Disease Control and Prevention (207) 287-3856 Jaki.ellis@maine.gov Kathy Wilbur Maine Department of Education (207) 624-6696 Kathy.wilbur@maine.gov