Coordinated School Health

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Coordinated School Health

• The Process of Change

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Goals and Objectives

• GOAL Provide information and resources
• to assist in development or support for CSH in
  each district by utilizing www.reinventingeducatio
  n.org
• Objectives
• Understand the foundations of the change process
• People and Structure
• Process versus Content
• Provide you with practical information, resources
  and strategies to utilize in program planning and
  implementation
• Utilize an example of implementing Fitnessgram in
  showing change in process and structure

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Agenda
1. WELCOME/INTRODUCTIONS
2. WHAT IS COORDINATED SCHOOL HEALTH (CSH)?
3. REVIEWING THE CHANGE PROCESS
4. UTILIZING REINVENTING EDUCATION TOOLKIT
5. A SAMPLE PROJECT EXERCISE
6. TAKING COORDINATION HOME
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Youth Risk Behaviors

• Tobacco Use
• Poor Food Choices and Inappropriate Portion Sizes
• Inadequate Physical Activity
• Alcohol and Drug Use
• Sexual Behaviors That Can Transmit HIV and other
  STDs
• Unintended Pregnancy
• Intentional and Unintentional Injuries, Often Due
  to Violence

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National Trends Adults
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National Trends in Child Overweight
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Texas Health Data 2000-2002
African American
Hispanics
White/ Other
Girls
Boys
All
Body Mass Index Above the 95 percentile for age
and sex (2000-2002 Span Data)
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Rate of Childhood Overweight-Texas
 
 

• Table 2. Prevalence of overweight1 and at-risk-of
  overweight2 in Texas school-age children between
  2004 and 2005

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National Diabetes Trends
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National Diabetes Prevalence
1994
2004
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National Diabetes Ethnicity Trends
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Promoting Healthy Behaviors

• Refusal Skills
• Decision Making
• Goal Setting
• Communication
• Healthy Relationship Building
• Interest in Alternative Health Promotion
  Activities

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What is Coordinated School Health?
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Introduction to CSH

• Effective CSH can
• Increase Academic Achievement
• Decrease Absenteeism and Drop-out Rates
• Reduce the Risk of Premature Death
• Decrease Health Care Costs
• Improve Economic Productivity and National
  Security
• Increase School/Community Partnerships to Address
  the Health Needs in the Community

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CSH and the SHAC in Texas

• Mandated by Law
• Focus on the Whole Child
• Involve Coordination and Collaboration
• Enhance the School Health Efforts
• Increases Communication Between the School and
  Community

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Why Coordinate?
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Comprehensive Health Education

• A planned, sequential, K-12 curriculum that
  addresses physical, mental, emotional and social
  dimensions of health.
• Curriculum motivates and assists students to
  maintain and improve health, prevent disease and
  be good health consumers.
• Incorporates the Texas Essential Knowledge in
  Skills
• Is taught by qualified and trained teachers.

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Physical Education

• Planned, sequential K-12 instruction that
  promotes lifelong physical activity utilizing the
  Texas Essential Knowledge and Skills
• Designed to develop basic movement skills,
  sports skills, and physical fitness as well as
  to enhance mental, social, and emotional
  abilities.
• Is taught by qualified and trained physical
  education teachers.

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Health Services

• Services provided to appraise, protect and
  promote health.
• Includes treatment of acute and chronic
  conditions as well as preventive services,
  referrals to primary health care providers and
  education to students and staff.
• Provided by a qualified and trained health care
  practitioner or other allied health personnel.

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Nutrition Services

• Integration of nutritious, affordable, and
  appealing meals nutrition education and an
  environment that promotes healthy eating
  behaviors for all children
• Follow the U.S.D.A. and Texas Dept. of
  Agriculture Guidelines
• Services are provided by qualified and trained
  child nutrition staff

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Counseling and Psychological Services

• Services provided to improve students mental,
  emotional and social health.
• May include individual and group activities that
  assess, intervene and refer to appropriate
  services.
• Services are provided by qualified, trained
  mental health professionals

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Healthy School Environment

• The physical and aesthetic surroundings and the
  psychosocial climate and culture of the school.
• The psychological environment that includes the
  emotional and social conditions that affect the
  well-being of students and staff.

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Health Promotion for Staff

• Assessment, education and fitness activities for
  school faculty and staff
• Designed to maintain and improve the health and
  well-being of school staff who serve as role
  models for children
• Health promotion activities have improved
  productivity, decreased absenteeism and better
  moral in the school

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Family/Community Involvement

• Partnerships among schools, families,community
  groups, and individuals
• School Health Advisory Councils
• Increases awareness and support for the school
  health program
• Development of community resources to address
  student health needs

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Best Practices In School Health
1
2
3
4
Active Leadership
Coordinated And Collaborative Approach
Safe and Nurturing Learning Environment
Commitment Of Time, Personnel, Resources
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Continuous Quality Improvement
The Journey Starts Here
Recruit
Organize
Evaluate
Assess
Plan
Implement
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The Challenge of Improvement

• Social, Economic and New Education Standards are
  impacting schools
• This requires
• Immediate and effective action and adjustment
• Schools need to be adaptive
• New leadership at every level
• More empowered people both internal and external
  to the school
• Ongoing innovation and change not simply a step
• A rich culture of creativity and initiative
• Difficult to achieve with traditional approaches,
  which were designed for a more static world.

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Reasons for Change Fatigue

• Details Matter General principles are not enough
  to guide effective action.
• Balancing alignment (common direction) and local
  flexibility is necessary and difficult.
• Leaders typically act on bold strokes (strategic
  moves) instead of long marches (broad
  implementation)
• Success takes time initiatives are dropped too
  soon

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Reasons for Change Fatigue, Cont.

• Too much focus on content, too little on process
• Too little effort is devoted to systems design
  and structure

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Understanding Resistance to Change

• Myths about change
• Change will always be met with resistance.
• It is hard to change peoples behavior.
• Truths about change
• Change that inspires fear often also inspires
  resistance.
• Steps are rarely taken that make it easier for
  people to behave in a more productive way.

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Why Resistance is Often Rational

• It is often rational to resist change because
• Too much is done to people instead of done by
  them.
• People dont know the purpose or goal of the
  change.
• People are concerned about future competence.
• Extra work and time are required.

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What is needed for change.
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Coordination is a Process

• Leaders are working on organizational change to
  make people more effective, innovative and
  productive.
• Change happens over time by having leaders that
  are more process oriented and less content
  focused.
• The CSH Leadership Team is key to providing input
  in planning, implementation and sustainability.

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CSH Leadership Team Process
Phase 1
Phase 2
Phase 4
Phase 3
Update and Evaluate
Identify
Recruit
Orient
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CSH Leadership Team Members

• Representative of a Component or
• Administration
• Committed to Improving School Health
• Willingness to Work on All Health Issues
• Demonstrates Leadership
• Willingness to Devote Time and Expertise

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Assessment

• Formal
• School Health Index
• On-Line
• Downloadable
• Hard Copy by Request from CDC
• School Health Policies and Practices
• Conducted Nationally
• Texas participates in the survey
• Downloadable questions to use in local districts
• Youth Risk Behavior Survey
• Downloadable from CDC
• Texas participates and data is available for state

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Change Takes a Planned Approach or Process

• The Reinventing Education Change Toolkit is a Web
  site created by IBM to help education
  professionals be more effective at leading and
  implementing change.
• The content focuses on leadership and change
  management and will be most useful for people
  working on some sort of change or improvement
  effort.

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Each area has clear directions for new users.
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Simple step by step guides throughout the website
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Examples of topics included in the Web site.
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Different ways to search for information
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These are some of the ways to keep folks informed
and engaged.
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This section gives an overview and guided tours
as well as PowerPoint Presentations.
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Many tools to assist in planning and managing a
project, including to do lists, communication
tools and a place for lessons learned.
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The How to section includes strategies to
implement the change and build in community
buy-in.
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Tools are developed to meet a wide array of needs.
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Topics and tools located in the change wheel
section.
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Assessment

• Formal-cont.
• Local Information
• Health Department
• County Statistics
• Local Law Enforcement Statistics
• Alcohol and Drug Abuse Council Data
• Other Local and Regional Data

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Assessment-Cont.

• Informal
• Student Surveys (with parental permission)
• Focus Groups
• Parent Surveys
• Trends seen in the medical and law enforcement
  community
• Other community or regional resource information

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Our School Districts Results
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Key Strategies for Success

• Develop mission and goals in collaboration with
  the SHAC
• Facilitate the CSH Leadership Team
• Communicate with the SHAC and Administration
• Keep everyone updated and celebrate success
• Formal reporting to SHAC and administration

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TEA Approved Programs

• Currently there are 4 programs that have been
  approved by TEA
• Bienstar
• CATCH
• Great Body Shop
• Healthy and Wise
• Others will be reviewed for approval
• School districts can submit their locally
  developed CSH program for approval (it must meet
  the criteria set out by TEA)

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Complimentary Actions

• Actions
• Assign representative from each dept. to project
  team
• Distributes survey to faculty
• Summarize results and draft report

• Actions
• Assign member to project team
• Get PTA to survey parents
• Analyze results
• Present report to school board

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Where Do We Go From Here?

• Identify top priorities based on
• assessment and teachable moments
• Utilize the Reinventing Education and SMART
• strategies for developing goals, objectives
  and
• activities
• Keep communication open with both
• SHAC and administration
• Celebrate success and tell your story to
• the community and other districts

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Coordinated School Health

• Thank You For Coming
• and
• Best Wishes on Coordinating School Health