Strategies to Close the Educational Achievement Gap

Standards and accountability

Revising school financing

Teacher preparation

Rigorous curricula

Reducing educationally relevant health disparities

7 Priority, Educationally Relevant Health Factors

1) Vision

2) Asthma

3) Teen pregnancy

4) Aggression and violence

5) Physical activity

6) Breakfast

7) ADHD

National High Prevalence

• Visual problems: ~20% of youth

• Asthma: ~14% of youth <18

• Teen pregnancy: 1 in 3 teens

• Violence: 28% of adolescents bullied at school

• Physical activity: ~2 in 3 don’t get enough

• Breakfast: ~20% of youth skip it

• Hyperactivity: ~8% of youth 6-17 diagnosed

Lenoir City Schools2011-12

854 Students screened (PreK, K, 2, 4, 6, 8 and freshmen)

102 vision referrals (12%) 119 blood pressure referrals (14%) 374 BMI referrals (44%) (overweight and obese) (Physical Activity) 10 hearing referrals (5%)

Lenoir City Schools• Asthma - 91 students have Asthma IHP’s (4%)• Teen Pregnancy

– 52% of all HS students have had sex (YRBS)– Loudon County teen pregnancy rates:

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

Lenoir City Schools• Violence

– 171 Skyward entries for fights and violence (7% of total student population)

– 4.5% of HS students brought a weapon to school at least once in the last 30 days. (YRBS)

– 17% of HS have been bullied at school. (YRBS)– 5.5% of HS students missed school because of fear of

being bullied. (YRBS)– 7% of HS students have been threatened with a weapon

while on school property (YRBS)– 10% of HS students have been physically hurt

(intentionally) by their boyfriend or girlfriend. (YRBS)

Lenoir City Schools

• Physical Activity: – 18% of HS students got 60 minutes or more physical

activity in the past 7 days. (YRBS)

• Breakfast:– 60% of LCS is eligible for free or reduced lunch/breakfast

• 85% at LCES • 73% at LCMS• 43% at LCHS

• ADHD– 176 students (7.5%) have IHP (medication at school)

Lenoir City Schools

• 12% of HS students have seriously considered suicide in the past 12 months. (YRBS)

• 7% of HS students have attempted suicide in the past 12 months. (YRBS)

• 19% of HS students have engaged in binge drinking within the last 30 days. (YRBS)

• 19% of HS students have been offered illegal drugs while on school campus. (YRBS)

Number of students in a class of 30 who:

• Visual problems (4)

• Asthma (1)

• Teen pregnancy (.5) 0.5

• Violence* (2)

• Physical activity (14)

• Breakfast (18)

• Hyperactivity (2) *(Skyward for fighting or violence)

Number of students in a high school class of 30 who:Tennessee Youth Risk Behavior Survey, 2011

Source: Youth Risk Behavior Survey

Contemplated suicide (12%)

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 (52%)

Did not get enough physical activity3 (76%)

1 - During the past 12 months; 2 – During the past 30 days; 3 – During the past week

2

6

6

10

10

16

23

4

Physical Education

and Physical Activity

Nutrition

CSH Counseling Services

Parent and Community Involvement

Healthy School

Environment

Health Education

Staff Wellness

Health Services

What are we doing to address these issues?

Coordination of Interventions, Programs and Services

CSHGeneral Interventions

Targeted Interventions, i.e. Guidance, FRC, SRO,

Health Services