Promoting a Coordinated Approach for the Health and Well-Being of Children and YouthCarolyn Fisher, Ed.D., CHESElizabeth Haller, M.Ed.Division of Adolescent and School HealthNational Association of County and City Health OfficialsAugust 18, 2005

Six Key Health Risk Behaviors for Young PeopleBehaviors that may result in unintentional injuries and violenceSexual risk behaviorsAlcohol and other drug use

Tobacco useUnhealthy dietary behaviorsInadequate physical activity

Howell Wechsler - would like it to enter with heading only, then first 3 bullets enter on click, then bottom 3 plus arrows on additional click

Trends in Leading Causes of DeathRates per 100,000 10 to 19 Year Olds19812001

Sexual Risk Behavior and Pregnancy Trends Among Youth

Percentage of High School Students Who Reported Current Alcohol, Marijuana, and Cocaine Use,* 1991 2003

* Drank 1 drinks of alcohol on 1 of the 30 days preceding the survey1 Significant linear decrease and quadratic effect, p < .05

* Used marijuana 1 times during the 30 days preceding the survey1 Significant linear increase and quadratic effect, p < .05National Youth Risk Behavior Surveys, 1991 - 2003* Used cocaine 1 times during the 30 days preceding the survey1 Significant linear increase and quadratic effect, p < .05CocaineMarijuanaAlcohol

Percentage of High School StudentsWho Reported Current Cigarette Use**Smoked cigarettes on > 1 of the 30 days preceding the survey.Significant linear increase, p < .01; significant quadratic change, p < .001.National Youth Risk Behavior Survey, 1991-2003.

Percentage of U.S. Children and Adolescents Who Were Overweight** >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts**Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of ageSource: National Center for Health Statistics

Ages 12-19Ages 6-11540246810121416181963-70**1971-741976-801988-941999-2002

Relationship Between Health and Education

No educational tool is more essential than good health. Council of Chief State School Officers

Health and success in school are interrelated. Schools cannot achieve their primary mission of education if students and staff are not healthy and fit physically, mentally, and socially.National Association of State Boards of Education

www.thesociety.org/pdf/connections.pdf

Components of a Coordinated School Health ProgramPhysical EducationHealth EducationHealth ServicesNutritionServicesCounseling, Psychological and Social ServicesHealthy School EnvironmentHealthPromotionfor StaffFamily and Community Involvement

Characteristics of a Quality Coordinated School Health Program (1)Secures administrative support and commitmentEstablishes a School Health Council Identifies a school health coordinatorDevelops an annual plan Uses multiple strategiesAddresses priority health-enhancing and health-risk behaviorsInvolves youthProvides professional development for staff

Roles of School Health CoordinatorIntegrate school health council priorities into overall programFacilitate development and implementation of effective policies and programsFacilitate communication among componentsBuild collaboration between school and communitySecure resourcesCoordinate evaluation and maintain accountability

Resources for School Health Councils and Coordinators

Coordinated School Health Program Resourceswww2.edc.org/MakingHealthAcademic

CDC Promising Practices in Chronic Disease Prevention and Control for State AgenciesBuilding a Healthier Future through School Health ProgramsPriority ActionsMonitoringInfrastructurePartnershipsPoliciesTechnical assistanceHealth communicationProfessional developmentEvaluation

www.cdc.gov/healthyyouth/publications/promisingpractices.htm

VERB Opportunities for Schools Materials on WebPromotionsContestsVERB Online for tweenswww.cdc.gov/youthcampaign

KidsWalk-to-School http://www.cdc.gov/nccdphp/dnpa/kidswalk/

Youth Risk Behavior Survey 2005School Health ProfilesSchool Health Policies and Programs Study 2006CDC Data Sources2006

Co-facilitated by CDC/DASH and HRSA/MCHB/OAHKey partners include: Professional membership associations University-based granteesState Adolescent Health Coordinator Network

National Initiative to Improve Adolescent Health

Uses CSHP approach to address:Physical activityNutritionTobacco-use preventionSafetyAsthma (summer 2005)

Model Policies Address:Physical activityNutritionTobacco useSkin cancer preventionAsthmaSchool Health ServicesHealthy EnvironmentsTo be added Injury and violence prevention; Sexual risk behaviorswww.nasbe.org

School Nutrition Improvement StrategiesEstablish nutrition standardsInfluence food and beverage contracts Make more healthful foods and beverages available Adopt marketing techniques to promote healthful choicesLimit student access to competitive foodsUse fundraising activities and rewards that support student health

Curriculum Analysis Tools Health Education and Physical Education

Staff Health Promotion Resources

www.cdc.gov/healthyyouth

Promoting a Coordinated Approach for the Health and Well-Being of Children and YouthCarolyn Fisher, Ed.D., CHESElizabeth Haller, M.Ed.Division of Adolescent and School HealthNational Association of County and City Health OfficialsAugust 18, 2005

Diet and PA directly contribute to Americas latest epidemic obesity which we also measure through assessment of self-reported height and weightSignificant linear increase, p < .01; significant quadratic change, p < .001.

Good afternoon!

Thank you all for coming.

SHPPS 2000 is the largest and most comprehensive assessment of school health policies and programs ever undertaken. The National Initiative is co-facilitated by CDC-DASH and the Health Resources and Services Administration (HRSAs) Maternal and Child Health Bureau's Office of Adolescent Health.

Multiple federal agencies and private partners serve in an advisory capacity for the Initiative.

Key partners includeProfessional membership associations (e.g., American Academy of Pediatrics, American Bar Association, American School Health Assn, American Dietetic Assn, American Academy of Pediatric Dentistry)

This is the beginningwe are seeking additional partners.