1. Strategies to Close the Educational Achievement Gap  Standards and accountability  Revising school financing  Teacher preparation  Rigorous curricula  Reducing educationally relevant health disparities

2. 7 Priority, Educationally Relevant Health Factors 1) Vision 2) Asthma 3) Teen pregnancy 4) Aggression and violence 5) Physical activity 6) Breakfast 7) ADHD

3. National High Prevalence Visual problems: ~20% of youth Asthma: ~14% of youth <18 Teen pregnancy: 1 in 3 teens Violence: 28% of adolescents bullied at school Physical activity: ~2 in 3 don’t get enough Breakfast: ~20% of youth skip it Hyperactivity: ~8% of youth 6-17 diagnosed

4. Lenoir City Schools 2011-12 854 Students screened (PreK, K, 2, 4, 6, 8 and freshmen)  102 vision referrals (12%)  119 blood pressure referrals (14%)  374 BMI referrals (44%) (overweight and obese) (Physical Activity)  10 hearing referrals (5%)

5. Lenoir City Schools Asthma - 91 students have Asthma IHP’s (4%) Teen Pregnancy – 52% of all HS students have had sex (YRBS) – Loudon County teen pregnancy rates: Number of pregnancies with rates per 1,000 females aged 15-17

6. Lenoir City Schools Violence – 171 Skyward entries for fights and violence (7% of total student population) – 4.5% of HS students brought a weapon to school at least once in the last 30 days. (YRBS) – 17% of HS have been bullied at school. (YRBS) – 5.5% of HS students missed school because of fear of being bullied. (YRBS) – 7% of HS students have been threatened with a weapon while on school property (YRBS) – 10% of HS students have been physically hurt (intentionally) by their boyfriend or girlfriend. (YRBS)

7. Lenoir City Schools Physical Activity: – 18% of HS students got 60 minutes or more physical activity in the past 7 days. (YRBS) Breakfast: – 60% of LCS is eligible for free or reduced lunch/breakfast 85% at LCES 73% at LCMS 43% at LCHS ADHD – 176 students (7.5%) have IHP (medication at school)

8. Lenoir City Schools 12% of HS students have seriously considered suicide in the past 12 months. (YRBS) 7% of HS students have attempted suicide in the past 12 months. (YRBS) 19% of HS students have engaged in binge drinking within the last 30 days. (YRBS) 19% of HS students have been offered illegal drugs while on school campus. (YRBS)

9. Number of students in a class of 30 who: Visual problems (4) Asthma (1) Teen pregnancy (.5) 0.5 Violence* (2) Physical activity (14) Breakfast (18) Hyperactivity (2) * (Skyward for fighting or violence)

10. Number of students in a high school class of 30 who: Tennessee Youth Risk Behavior Survey, 2011 Source: Youth Risk Behavior Survey Contemplated suicide (12%) Attempted suicide 1 (7%) Used marijuana 2 (20%) Smoked cigarettes 2 (21%) Had been in a physical fight 1 (32%) Had at least one drink of alcohol 2 (34%) Had ever had sexual intercourse (52%) Did not get enough physical activity 3 (76%) 1 - During the past 12 months; 2 – During the past 30 days; 3 – During the past week 2 6 6 10 16 23 4

11. Physical Education and Physical Activity Nutrition CSH Counseling Services Parent and Community Involvement Healthy School Environment Health Education Staff Wellness Health Services What are we doing to address these issues?

12. Coordination of Interventions, Programs and Services CSH General Interventions Targeted Interventions, i.e. Guidance, FRC, SRO, Health Services