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American School Health Association 89th Annual Conference, October 17, 2015
Whole School, Whole Community, Whole Child:
Next Steps to Advance Student Health
and Learning
Division of Population Health
National Center for Chronic Disease Prevention and Health Promotion
Wayne H. Giles, MD, MS
Director, Division of Population Health
Shared Priorities between health and education:
� Increase quantity and quality of physical education, health education and
physical activity
� Improve the nutritional quality of foods provided in school
� Improve the capacity of schools to manage chronic conditions
CDC’s Role:
� Quality of health education in schools
� Evidence-based guidelines and recommendations for school programs and
policy
� Tools and resources for educators and administrators
� Training and professional development
CDC’s Division of Population Health
Healthy Schools Program
� Support implementation of evidence-based practices for:
• Healthier nutrition environments in schools
• Comprehensive school physical activity programs
• Capacity to manage chronic disease
� Fund public health departments in all 50 states and District of
Columbia.
� Strengthen partnership between public health and education –
MOU/MOA
State Public Health Actions
to Prevent and Control Diabetes, Heart Disease, Obesity and
Associated Risk Factors and Promote School Health
(State Cooperative Agreement 1305)
Whole School
Whole Community
Whole Child
Whole Child Model • Embedded and centering the framework
• Tenets call for all students to:
� enter school healthy and learn about and
practices a healthy lifestyle;
� learn in an environment that is physically
and emotionally safe for students and
adults;
� be actively engaged in learning and
connected to the school and broader
community;
� have access to personalized learning and
supported by qualified, caring adults;
� challenged academically and prepared
for success in college or further study and
for employment and participation in a
global environment.
Youth as Focus and Engaged Partners
Improving Learning and Improving Health
The relationship between
health and academics
Physically active
Eating breakfast and
healthy foods
Managing their chronic
health conditions (e.g.,
asthma, diabetes)
• Have increased test scores
• Have increased grades
• Have increased school
attendance
• Have improved classroom
behavior
Students that are….
Healthy Students Do Better in School
Source: Michael et al. JOSH. 2015:10;740-58.
Health and Academics
www.cdc.gov/healthyyouth/health_and_academics/index.htm
Coordinating Policy, Process and Practice
CDC School –Based
Surveillance
School level Assessment
District and school level
Local Wellness Policy
CDC School –Based Surveillance
• School Health Policies
and Practices Study
• Youth Risk Behavior Survey
• School Health Profiles
http://www.cdc.gov/healthyyouth/data/index.htm
Policy and Practice: District and School level
School
Health
Council
School
Health Team
School
Health
Coordinator
Assess*
Develop and
Implement
Evaluate
* Using the School Health Index (www.cdc.gov/HealthySchools/SHI)
School level Assessment Tool: CDC’s School Health Index
www.cdc.gov/HealthySchools/SHI
Promoting Health through Local Wellness Policies
http://www.cdc.gov/healthyschools/npao/wellness.htm
Evolution of the Coordinated School Health
Model
http://www.cdc.gov/healthyschools/trainingtools.htm
Health Education
Physical Education &
Physical Activity
Comprehensive School Physical Activity Program
Nutrition
Environment
& Services
What is the School Nutrition Environment?
SHPPS 2014 Key Nutrition Findings
Health Services
Managing Chronic Conditions
Health
Services
Policies and
Practicies
Clinical
Linkages
Schools
ASSESS
MANAGE &
EDUCATE
REFER
� 10.6% of districts had a policy
specifying a maximum student-to-
school nurse ratio
� More than 75% of districts had
adopted a policy stating that schools
will provide:
� Administration of medications
� Case management for students with
disabilities
� CPR
� First aid
� Violence prevention
� 12.5% of districts had at least one
school-based health center that
provided both health services and
mental health and social services to
students
SHPPS 2012: District
Level Health Services
Policies
Physical
Environment
• Promoting factors: joint use
agreements, appealing nutrition
environments, physical activity
facilities
• Protective factors: prevent and
reduce physical threats (e.g., crime,
violence, traffic, and injuries) and
biological and chemical agents in the
air, water, or soil and school buildings
• Maintenance: ventilation, moisture,
temperature, noise, and natural and
artificial lighting
Employee Wellness
CDC Workplace Health Program
The CDC Workplace Health Program (WHP) offers model programs, training
and technical assistance, and tools and resources to help employers develop
effective workplace health programs.
� The CDC Worksite Health ScoreCard (HSC) is a tool designed to help
employers assess the extent to which they have implemented evidence-
based health promotion interventions in their worksites to prevent
chronic disease.
� The Florida State Health Department is coordinating the completion of
the CDC HSC with school sites as focus.
� Schools in 16 Florida counties will assess their health promotion
programs, and prioritize high-impact strategies for health promotion at
their worksites including: organizational supports, tobacco control,
nutrition, physical activity, weight management, stress management,
depression, high blood pressure, high cholesterol, and diabetes.
Family
Engagement
Parent Engagement
�Better student behavior.
�Better school attendance.
�Higher academic
performance.
�Higher school completion
rates.
�Enhanced social skills.
http://www.cdc.gov/hehttp://www.cdc.gov/healthyschools/parent_engagement
Partners and
Emerging
Opportunities
JOURNAL OF
SCHOOL
HEALTH
Official Journal of the American
School Health Association
Just released this week!
Special Issue:
The Whole School, Whole Community,
Whole Child Model
The Whole School, Whole Community, Whole Child Model: A New Approach for Improving
Educational Attainment and Healthy Development for Students
Critical Connections: Health and Academics
Lessons Learned From the Whole Child and Coordinated School Health Approaches
What Have We Learned From Collaborative Partnerships to Concomitantly Improve
Both Education and Health?
How the Whole School, Whole Community, Whole Child Model Works: Creating Greater
Alignment, Integration, and Collaboration Between Health and Education
Placing Students at the Center: The Whole School, Whole Community, Whole Child Model
Supporting the Whole Child Through Coordinated Policies, Processes, and Practices
A Whole School Approach: Collaborative Development of School Health Policies, Processes,
and Practices
Building Sustainable Health and Education Partnerships: Stories From Local Communities
Using the Whole School, Whole Community, Whole Child Model: Implications for Practice
� Launch of new Healthy Schools Website in 2016 with WSCC
content
CDC’s Healthy Schools Website &
Virtual Healthy School
�The Virtual Healthy School
(VHS) is an online interactive
school building that will
visualize how the ten
components of the WSCC
model are integrated into the
classroom, staff break room,
hallways, cafeteria,
gymnasium, recreational field,
community, and home
Why is a model supporting health
and learning important?
http://nelovesps.org/films/
https://nelovesps.wistia.com/medias/yi5b51fr85/
www.cdc.gov/healthyschools
Thank You!
Saving Lives. Protecting People. Saving Money through Prevention.
Office of the Director
Division of Population Health
For more information please contact Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA 30333
Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348
E-mail: [email protected] Web: http://www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position
of the Centers for Disease Control and Prevention.