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Why?. If schools do not deal with children’s health by design, they deal with it by default. Health is Academic, 1997. Every day in Mississippi, we have an opportunity to reach…. 494, 038 public school students 152 School Districts 618 Elementary Schools/225 Secondary Schools
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Why? If schools do not deal with children’s health by design, they deal with it by default. Health is Academic, 1997
Every day in Mississippi, we have an opportunity to reach… • 494, 038 public school students • 152 School Districts • 618 Elementary Schools/225 Secondary Schools • Over 68,000 adults work as teachers, school building staff, or school district staff
It is difficult for students to be successful in school if they are: Depressed Tired Being bullied Stressed Sick Using alcohol or other drugs Hungry Abused Why Coordinated School Health?
Tobacco Use Abuse of alcohol and other drug use Unintentional injuries and violence Sexual Behaviors resulting in HIV, sexually transmitted diseases or teenage pregnancy Poor eating habits Inadequate physical activity Why Coordinated School Health?Six behaviors account for most of the serious illness and premature deaths in the U.S.
Juvenile Crime RateArrest rate of persons under age 18 (per 100,000 persons age 10 to 17) in Mississippi, USFBI Arrest Statistics
Behavior MS YRBSS US YRBSS Insufficient Physical Activity 82% 75% Daily PE Class 23.4% 28.4% >3 hrs TV/school day 54.1% 38.2% <3 glasses milk/day 89% 82.9% <5 daily servings fruit/vegetables 80% 78% Poor Eating Habits and Physical Inactivity2003 Youth Risk Behavior Survey Grades 9-12
Coordinated School Health Program Physical Education Health Education Family and Community Involvement Health Services Health Promotion for Staff Nutrition Services Healthy School Environment Counseling, Psychological Services
MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Health Education Motivated and Learning Physical Education Health Services Nutrition Services Sense of Positive Self-Esteem Counseling, Psychological and Social Services Sense of Belonging and Importance Sense of Being Loved and Appreciated Healthy School Environment Health Promotion for Staff Family/Community Involvement Free of Fear and In A Safe place Physical Health
Health Education Reading and math scores of third and fourth grade students who received comprehensive health education were significantly higher than those who did not receive comprehensive health education Schoener, Guerrero, and Whitney, 1988
Physical Education Intensive physical activity programs for students led to an improvement in students’ scores in mathematics, reading, and writing and to a reduction in disruptive behaviors in the classroom. Sallis, 1999
Health Services Early childhood and school aged intervention programs that provide parental support and health services are associated with improved school performance and academic achievement. Early intervention may also improve high school completion rates and lower juvenile crime. Reynolds, Temple, Robertson, and Mann, 2001
Healthy School Environment The physical condition of a school is statistically related to student academic achievement. An improvement in the school’s condition by one category, say from poor to fair, is associated with a 5.5 point improvement in average achievement scores. Berner, 1993
Health Promotion for Staff Teachers who participated in a health promotion program focusing on exercise, stress management, and nutrition reported: • Increased participation in exercise and lower weight • Better ability to handle job stress • A higher level of general well-being Blair, Collingwood, Reynolds, Smith, Hagan and Sterling, 1984
Family/Community Involvement Community activities that link to the classroom: • Positively impact academic achievement • Reduce school suspension rates • Improve school-related behaviors Nettles, 1991 Allen, Philliber, Herring, and Kupermine, 1997
Hidden Costs to Schools Measurable Costs to State Measurable Costs to Schools Why Coordinated School Health?The alternative is costly
The Hidden Costs • Extra staff time needed for students with low academic performance or behavior problems caused by poor nutrition and physical inactivity. • Costs associated with time and staff needed to administer medications needed by students with associated health problems. • Healthcare costs, absenteeism, and lower productivity due to the effects of poor nutrition, inactivity and overweight among school employees.
Measurable Costs to State(2004-2005) • Statewide Enrollment: 494,590 • ADA Statewide: 472,577 • Statewide Attendance: 95% • $4,193 per student based on fully funded MAEP (2004-2005) • Statewide schools leaving $92,300,509 on table (not taking into consideration local contribution)
Measurable Cost to Schools(Example) • School District: 3,000 Students • Each 1% attendance improvement = $125,790
Community Costs“State of Health” in Mississippi • Obesity • $757,000,000 cost per year in MS; $444,000,000 paid by Medicare and Medicaid • Diabetes • # 2 state in the nation in Type II diabetes • Cardiovascular Disease • # 1 state in the nation in heart disease related deaths • # 3 state in the nation in stroke related deaths • Cancer • # 5 state in the nation in cancer related deaths • Asthma • # 1 reason for school absenteeism in MS
Mandate by USDA School year 2006-07 Wellness Policy A document - approved by the local school board - that promotes a healthy school environment. By focusing on nutrition and physical activity standards, a wellness policy seeks to improve children’s health, classroom behaviors, and academic performance.
Mandate by MS Leg. November 1, 2006 School Health Council A School Health Council (SHC) is an advisory group composed of committed individuals from both the school and the community. The group works together to provide guidance and leadership to the school on all aspects of the school health program.
School Health Council Members Parents Teachers Students School staff Health care providers (MD, PA, RN, NP, DDS, RD) Business/industry representatives Community leaders Government officials Extension staff Social service agencies Attorneys and law enforcement officials Clergy College/university personnel Media
Mandate by MS Leg. Phased in Timeline Mississippi BEVERAGE and SNACK REGULATIONS are now one of the minimum requirements for all Local Wellness Policies in Mississippi.
TIMELINESWhen do these regulations need to be implemented? • Both beverage and snack regulations have a phased timelines to allow schools and vendors to make necessary adjustments in programs and products. • Beverages regulations apply in TWO phases - beginning with 2007-08 school year. • Snack regulations apply in THREE phases - beginning with 2006-07 school year.
Times of day • Regulations apply to all Mississippi school campuses during the regular and extended school day - the hours between 7:00 am and 4:00 pm. • Extended school day includes activities such as clubs, yearbook, band and choir practice, student government, drama and childcare/latchkey programs • Policy does not apply to school-related events, such as interscholastic sporting events, school plays, and band concerts; where parents and other adults are a significant portion of the audience or are selling beverages and foods as boosters.
BEVERAGE REGULATIONSSpecific products - Phase 1 As of the 2007 – 2008 school year, all full calorie, sugared carbonated soft drinks shall no longer be sold to students in Mississippi schools during the school day.
BEVERAGE REGULATIONSSpecific products - Phase 2 As of the 2008 – 2009 school year,only specific beverages MAY be available for vending during the school day - the types of beverages and portions sizes vary for elementary, middle and high school students.
BEVERAGE REGULATIONSSpecific products - Phase 2 All the phase 2 products are designed to meet the hydration/nutrient needs of children, with age-appropriate amounts of calories, sugar, and fat. They include: • Bottled water • Low fat and non fat regular and flavored milk • 100% juice with no added sweeteners • No/low calorie beverages (up to 10 cals/8 ozs.) • Light juices/sports drinks (up to 66 cals/8 ozs.)
SNACK REGULATIONSGeneral Guidance • To ensure that children do not have to choose between the School Breakfast or programs and vended items, schools shall follow the Competitive Food policy EEH. • Food sales outside of Child Nutrition Programs are available in Mississippi schools at the discretion of the school district.
SNACK REGULATIONSOverall Goals • Minimize excessive intake of calories,especially empty calories from fat and sugar. • Increase intake of nutrients for optimal growth, development, and brain functioning,from nutrient-rich, minimally processed foods like whole grains, fruits, vegetables, nuts, seeds, lean meats, and dairy foods. • Promote healthful options to all students, families, and school staff.
SNACK REGULATIONSSpecific products • Standards (for calories, fat, sugar, sodium, etc.) vary by the type of snack product (dessert, bar, dairy food, fruit, vegetable, nuts, etc.) • Office of Child Nutrition will maintain a listing of products that meet the specific standards for all types of snack items. • To determine if a product can be placed on the approved list, school districts and vendors can use the Evaluation Tool (in WORD or EXCEL) available from the Office of Child Nutrition.
SNACK REGULATIONSPhases To allow for improved availability of food products, the snack regulations will be phased-in on the following schedule - with the percentages applying to each vending location: School year 2006-07 • At least 50% of all vended foods must meet standards School year 2007-08 • At least 75% of all vended foods must meet standards School year 2008-09 • All vended foods offered must meet standards.
2007 School Health Policy Development • Healthy Students Act (House Bill 732/Senate Bill 2369 - Section 37-13-134) • Mandates 150 minutes per week of physical education, K-8 • Mandates 45 minutes per week of health education, K-8 • Requires ½ Carnegie Unit of physical education for graduation, 9-12 • Appropriates funds for a physical education coordinator to be housed at MDE
2007 School Health Policy Development • Healthy Students Act (House Bill 732/Senate Bill 2369 - Section 37-13-134) • Requires the State Board of Education to establish regulations for child nutrition school breakfast and lunch programs to include how food items are prepared, time allotted for the consumption of breakfast and lunch, extra food sales, marketing and retail fast foods. • Defines the duties of the School Health Councils to include a coordinated approach to school health
So, we have a Wellness Policy and a Health Council … Office of Healthy Schools
Web Based Health Education and Physical Activity Resources • Weekly web based lesson plans • Linked to web based resources, classroom materials and videos • Classroom teachers and PE Teachers • Use in classrooms, gyms, playground • Link school health education with core subjects • Based on state standards
Committed to Move –Quality PE Program • One grant per district • District must have certified PE Instructor • District must match grant for equipment 1:1 • Project components: • Physical Best Training and Materials • Fitnessgram Software • Incentive payments to schools for data submission • Required Training Participants: • School Principal • Certified PE Instructor
5 ***** Star Food Grant • Strategy: Improve preparation and presentation of fruits and vegetables in school meals in 100 schools • Goal: Increase fruit and vegetable consumption • How: • Equipment – sectionizer and slicer • Training with chef and at school site with MSU agents • Pre and Post Consumption pattern assessments • Benchmark payments
Nutrition Integrity Grant • Strategy: Replace frying with combi-oven in 20 school sites with large number of weekly servings of fried foods • Goal: Decrease fat and calorie consumption in food served in schools • How: • Equipment – Combi-Oven • Require 1/3 school match for equipment • Training at school site
2007 School Health Policy Development • House Bill 1132 • Provides for a $2.55M school nurse program to be administered by the Office of Healthy Schools
School Nurse Legislation Presents Opportunities • MDE mandate data collection • Data Collection (Part 1) • Web based approach to monthly report nursing tasks • Electronic Medical Record (Part 2) • For 66 MDE/legislature funded nurses decentralized electronic medical record • Consolidate statewide reporting
HEALTH SERVICES • Hire RN • Hire Certified Nurse Assistant to work with RN • Clinic Equipment Speech Therapist • Clinic Supplies • Clinic Space FOOD SERVICE • Buy fresh fruits and vegetables • Provide healthy snacks • Hire Registered Dietitian • Purchase ovens to replace fryers • STAFF WELLNESS • • Walking Track • • School RN Health Screening • • Staff Fitness Room • After school health/fitness • SOURCES • Administrative Claiming • Invest in School Health • Improve Student Heath • Improve ADA PHYSICAL EDUCATION • Hire PE Teacher • Hire PE Assistant • Fitness Room • Walking Track • Purchase curriculum SAFE AND HEALTHY SCHOOL ENVIRONMENT • Hire District Safety Officer • Random drug testing • Security cameras COUNSELING • Hire Mental Health Therapist • Hire Social Worker • Hire Guidance Counselor Speech Therapist • Depression Screening Tool FAMILY AND COMMUNITY • Health Fairs • Parenting Classes • Faith Based Partnerships HEALTH EDUCATION • Hire Health Education Teacher • Purchase curriculum
