1. Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent and School Health National Association of County and City Health Officials August 18, 2005

2. Six Key Health Risk Behaviors for Young People Behaviors that may result in unintentional injuries and violence Sexual risk behaviors Alcohol and other drug use Tobacco use Unhealthy dietary behaviors Inadequate physical activity overweight

3. Trends in Leading Causes of Death Rates per 100,000 10 to 19 Year Olds 1981—2001

4. Sexual Risk Behavior and Pregnancy Trends Among Youth

5. Percentage of High School Students Who Reported Current Alcohol, Marijuana, and Cocaine Use,* 1991 – 2003 * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 * Used marijuana  1 times during the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p <.05 National Youth Risk Behavior Surveys, 1991 - 2003 * Used cocaine  1 times during the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p <.05 Cocaine Marijuana Alcohol

6. Percentage of High School Students Who Reported Current Cigarette Use* *Smoked cigarettes on > 1 of the 30 days preceding the survey. Significant linear increase, p <.01; significant quadratic change, p <.001. National Youth Risk Behavior Survey, 1991-2003.

7. Percentage of U.S. Children and Adolescents Who Were Overweight* * >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts **Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of age Source: National Center for Health Statistics Ages 12-19 Ages 6-11 5 4 16 0 2 4 6 8 10 12 14 16 18 1963- 70** 1971-741976-801988-941999- 2002

8. Relationship Between Health and Education “No educational tool is more essential than good health.” Council of Chief State School Officers “Health and success in school are interrelated. Schools cannot achieve their primary mission of education if students and staff are not healthy and fit physically, mentally, and socially.” National Association of State Boards of Education

9. www.thesociety.org/pdf/connections.pdf

10. Components of a Coordinated School Health Program Physical Education Health Education Health Services Nutrition Services Counseling, Psychological and Social Services Healthy School Environment Health Promotion for Staff Family and Community Involvement

11. Characteristics of a Quality Coordinated School Health Program (1) Secures administrative support and commitment Establishes a School Health Council Identifies a school health coordinator Develops an annual plan Uses multiple strategies Addresses priority health-enhancing and health-risk behaviors Involves youth Provides professional development for staff

12. Roles of School Health Coordinator Integrate school health council priorities into overall program Facilitate development and implementation of effective policies and programs Facilitate communication among components Build collaboration between school and community Secure resources Coordinate evaluation and maintain accountability

13. Resources for School Health Councils and Coordinators

14. www2.edc.org/MakingHealthAcademic Coordinated School Health Program Resources

15. CDC Promising Practices in Chronic Disease Prevention and Control for State Agencies Building a Healthier Future through School Health Programs Priority Actions –Monitoring –Infrastructure –Partnerships –Policies –Technical assistance –Health communication –Professional development –Evaluation www.cdc.gov/healthyyouth/publications/promisingpractices.htm

16. VERB Opportunities for Schools Materials on Web Promotions Contests VERB Online for tweens www.cdc.gov/youthcampaign

17. http://www.cdc.gov/nccdphp/dnpa/kidswalk/KidsWalk-to-School

18. Youth Risk Behavior 2005 Survey 2005 School Health Profiles 2006 School Health Policies and Programs Study 2006 CDC Data Sources 2006

19. Co-facilitated by CDC/DASH and HRSA/MCHB/OAH Key partners include: –Professional membership associations –University-based grantees –State Adolescent Health Coordinator Network National Initiative to Improve Adolescent Health

20. Uses CSHP approach to address: Physical activity Nutrition Tobacco-use prevention Safety Asthma (summer 2005)

21. Model Policies Address: Physical activity Nutrition Tobacco use Skin cancer prevention Asthma School Health Services Healthy Environments To be added Injury and violence prevention; Sexual risk behaviors www.nasbe.org

22. School Nutrition Improvement Strategies Establish nutrition standards Influence food and beverage contracts Make more healthful foods and beverages available Adopt marketing techniques to promote healthful choices Limit student access to competitive foods Use fundraising activities and rewards that support student health

23. Curriculum Analysis Tools Health Education and Physical Education

24. Staff Health Promotion Resources

25. www.cdc.gov/healthyyouth

26. Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent and School Health National Association of County and City Health Officials August 18, 2005