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Presentation by the Regional Alliance for Health Schools at the Co
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University of Michigan
Regional Alliance for Healthy Schools (RAHS)
Contributing to the Health and Success of Youth
Health Disparities
Contributing Factors:
Poverty
Environmental threats
Access to health care
Individual and behavioral factors
Educational inequalities
Higher levels of education = More years of life
Increased likelihood of obtaining or understanding basic health information and services
Less education = Less years of life
Higher levels of health risks, such as obesity, substance abuse, and violence.
The Interrelationship of Health and Academics
The Interrelationship of Health and Academics
Health-related Factors
Hunger
Physical and Emotional Abuse
Teen Pregnancy
Chronic Illness
Health Risk Behaviors
Poor Dietary Choices
Substance Use
Violence
Unsafe Sexual Activities
Physical Inactivity
Students with higher grades and socio-economic status are less likely to engage in health-risk behaviors than their classmates with lower grades and SES.
The Interrelationship of Health and Academics
Michigan Adolescent Risk Data In 2010, 2653 surveys were completed by adolescents seeking care in Michigan
2. Do you eat some fruits and vegetables everyday?
65% Higher
33% Higher
3. Do you exercise (run, dance, swim, bike, play basketball, etc) for at least 60 minutes, 3 or more days a week?
40% Higher
82% Higher
6. During the past month, have you been threatened, teased, or hurt by someone (on the
internet, by text or in person) or has anyone made you feel sad, unsafe or afraid?
84% Higher
9. In the past 3 months, have you smoked cigarettes or any other form of tobacco (black
and mild, hookah, etc) or chewed/used
smokeless tobacco?
77% Higher
14. Have you ever had any type of sex
(vaginal, anal or oral sex)?
50% Higher
20. Have you ever seriously thought about killing yourself, tried to kill yourself, or have you purposely cut, burned or otherwise hurt
yourself?
Youth Risk Behavior Survey
• Through the national Youth Risk Behavior Survey (YRBS), CDC monitors student health-risk behaviors and the extent to which these behaviors are associated with academic achievement.
Health Risk Behaviors Monitored:
– Alcohol and other drug use
– Physical Inactivity and Unhealthy Diet
– Sexual Risk Behavior
– Tobacco use
– Unintentional Injury and Violence
Percentage of High School Students Who Currently Used Alcohol,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Had at least one drink of alcohol on at least 1 day during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Reported Current Binge Drinking,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Drank Alcohol for the First Time Before Age
13 Years,* by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Other than a few sips.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Currently Used Marijuana,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Used marijuana one or more times during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Tried Marijuana for the First Time Before
Age 13 Years, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*
*p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Currently Smoked Cigarettes,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Smoked cigarettes on at least 1 day during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Ever Smoked Cigarettes Daily*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Ever smoked at least one cigarette every day for 30 days.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Did Not Play on at Least One Sports Team,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Run by their school or community groups during the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Ever Had Sexual Intercourse,
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*
*p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Had Sexual Intercourse With Four or More
Persons During Their Life, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*
*p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Felt Sad or Hopeless,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Almost every day for 2 or more weeks in a row so that they stopped doing usual activities during the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Seriously Considered Attempting Suicide,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*During the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
Percentage of High School Students Who Attempted Suicide,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*One or more times during the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009
SCARLETT MIDDLE SCHOOL STONE ALTERNATIVE HIGH SCHOOL
WILLOW RUN COMMUNITY SCHOOLS YPSILANTI MIDDLE SCHOOL YPSILANTI HIGH SCHOOL
Supports Health and Academic Success!
The MISSION of RAHS is to provide school-based health programs and clinical services that improve the well-being of students, their families, and communities.
VISION of RAHS Youth will receive high quality physical, emotional, and preventive healthcare: • in an easily accessible, supportive, and youth-friendly environment • employing professional staff who are responsive to the needs of a diverse population in Washtenaw County.
University of Michigan – RAHS:
Need for SBHC services
determined by:
Free and reduced lunch rates
Size and demographic make up of schools
Community needs assessment
Youth risk behavior surveys
Requests from schools and desire to partner in improving the health of their students
RAHS PHYSICAL AND MENTAL HEALTH SERVICES:
Physical examinations Acute and chronic illness
management Immunizations Dental screenings and services Individual and family counseling Group counseling Referrals to community resources Health education
RAHS PREVENTION & INTERVENTION PROGRAMS:
Project Success Nutrition and Physical Activity Program Comprehensive Asthma Program
RAHS Users & Visits: 2009-2010
Unduplicated Users: 1175
Average 66% of school populations served
Physical Health Visits: 2991
Mental Health Visits: 1163
Risk and Strength Assessments
“What is RIGHT with you is more powerful than what is wrong.” The SOS is used to facilitate a focus on youth strengths.
RAAPS is a 21 question youth risk survey used to identify multiple behaviors that increase risk of injury or premature death.
www.raaps.org
Referrals and Community Stakeholders
Community Referrals:
2009-2010: 577 referrals
• Tangibles (ie: food, clothing,
housing, eye glasses)
• Medical Specialists
• Nutrition/Overweight
• Intensive Psychotherapy
Insurance Enrollment:
2009-2010
• 133 families, 67 youth now with insurance
Youth Leadership
RAHS Current Funding Sources
UMHS
Community
Outreach Funds
MDCH CAHC
Funds
Gift Account
Revenue from Billing
UW Designation Funds
Donations
Fostering
Innovations
Grant
Coordinated
Funding
Program
WCHO
Prevention
Grant
MDHC Mental
Health Mini-
Grants
03/09