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Lenoir City SchoolsCoordinated School Health
Coordinated School Health: The Components
Healthy and Safe School
Environment
HealthPromotionfor Staff
Physical Education
Health Education
Health Services
Counseling, Psychological,
and Social Services
NutritionServices
Family and Community Involvement
Coordinated School Health:The Process
• Priorities determined through a systematic assessment and planning process that
– Is evidence-based and data-driven
– Includes extensive input from the school community
– use assessment to develop, implement, and monitor plans for improvement
Framework for Coordinating School
Health
School level: Healthy School Teams
District level:Staff Coordinating
Council
Community level: School
Health Advisory Council
School Health Index, school level services &P3 activities
Reps from HST, CO, Nutrition, Health Services, FRC, CSH
Health Department, HEAL, TPPTF, UT Extension, law enforcement, etc
Pro
gra
mm
ing
A Coordinated Approach Addresses Many Critical Health Issues Affecting Students,
Including:• Physical activity,
nutrition, and obesity
• Tobacco use
• Sexual health, including pregnancy, HIV, and other STD
• Safety and violence
• Alcohol and other drug use
• Asthma and other chronic health conditions
• Mental health
• Immunizations
• Infectious diseases
• Oral health
• Emergency preparedness
Number of students in a high school class of 30 who:
Tennessee Youth Risk Behavior Survey, 2009
Source: Youth Risk Behavior Survey
Attempted suicide1 (7%)
Used marijuana2 (20%)
Smoked cigarettes2 (21%)
Had been in a physical fight1 (32%)
Had at least one drink of alcohol2 (34%)
Had ever had sexual intercourse (53%)
Did not get enough physical activity3 (76%)
Did not eat enough fruits and vegetables3
(82%)
1 - During the past 12 months; 2 – During the past 30 days; 3 – During the past week
2
6
6
10
10
16
23
25
Strategies to Close the Educational Achievement Gap
Standards and accountability
Revising school financing
Teacher preparation
Rigorous curricula
Reducing educationally relevant
health disparities
Source: Dr. Charles E. Bausch
7 Priority, Educationally Relevant Health Factors for Intervention
1) Vision
2) Asthma
3) Teen pregnancy
4) Aggression and violence
5) Physical activity
6) Breakfast
7) ADHDSource: Dr. Charles E. Bausch
Teen Pregnancy in Loudon County
2006 2007 2008 2009 20100
10
20
30
40
50
60
35 34.3 33.629.6
24.8
47.8
31.626
21.517.6
StateLoudon
Number of pregnancies with rates per 1,000 females aged 15-17
Health Screenings (PreK, K, 2, 4, 6, 8, 9)
2010/11:
772 students screened for vision, hearing, blood pressure, body mass index (BMI)
• Referrals:• 88 vision (11.4%)• 16 hearing (3.4%)• 53 blood pressure (6.8%)• 343 BMI (85 percentile and over)
(44.4%)
2007-09 2008-10
46.4%47.0%
43.5%
44.4%
Lenoir City SchoolsOverweight/Obese Rates
Coordinated School Health: The Components
Healthy and Safe School
Environment
HealthPromotionfor Staff
Physical Education
Health Education
Health Services
Counseling, Psychological,
and Social Services
NutritionServices
Family and Community Involvement
Physical Education ~ Physical Activity• SmHeart Moves Pilot Program
• Physical Activity event before school for 2nd and 3rd Graders
• Girls on the Run• Evidence based Self-esteem running
club at LCIS for 4th and 5th graders• UT Research Project on physical
Activity• Researching the link between
academics and physical activity at LCES.
Student Health ServicesPast year:
Dental Sealants (LCMS) • 471 students participated in sealant
education/screening• 167 students received sealants• 17% were referred for treatment• $40,380 worth of SEALANTS ONLY
Well Child (yearly physical) (LCES/LCI/MS)• 64 students• $4,080 (billed to insurance)• ? Savings for parents who did not have to take
off work, transportation, missed school
Flu Mist: (all schools)• 627 students (34% of total student population)• $12,540
• Health Screenings• 772 students screened for vision, hearing, BP and
BMI
Nutrition Services
• Go, Slow, Whoa Food Choices Program• LCES
• Fresh Fruit and Vegetable Sampling • LCHS
• Diabetes Education• LCHS
• Team Nutrition ~ Healthier US School Challenge • LCES
Counseling, Psychological and Social Services
• Bullying prevention• Bullying Hotline• Mean Girls Conference• LCMS P3 Teens and Technology• Bullying work group
Healthy and Safe School Environment
• School-Wide Positive Behavior Support• LCES and LCI/MS• Be respectful, responsible and ready
• P3 (Positive Peer Pressure Groups)• LCHS and LCI/MS focus on healthy
relationships and cyberbullying• Sidewalk Grant to connect LCES to
walking trail.
Health Promotion for Staff
• Biggest Loser and Staff Wellness Plans
• Staff Flu Shots• Lunch and Learns• Staff Health Fairs
Health Education
• Michigan Model Health Curriculum K-5• “What’s the Rush?” teen pregnancy
prevention program (Judicial District 9)• Safe Dates Curriculum and training for
middle and high school guidance counselors
• Health education supplies and equipment
Funding/Partnerships• CSH is state mandated and state
funded, local match is BEP driven
• In-kind and grants = $375,000 over 5.5 years.
• Thirty-two partnerships with local businesses, coalitions and organizations during the 2010-11 school year.