Community health chapter 6
Monitoring status of school health policy in the US
CDC has periodically conducted a national survey to assess school health policies and practices School health policy and practices study Assess School health policies School health practices at the state district school and classroom levels
School nurse
Can provide great leadership for the school health program Has medical knowledge and formal training Has multiple responsibilities Often districts do not have resources to hire full time nurses
School health curriculum challenges
Controversy Strong opinions on various topics Improper implementation Often provided by individuals other than health education specialists Barriers to school health education
Other WSCC components
Counseling psychological and social service Physical education and physical activity Nutrition environment and services Community involvement Family engagement Employee wellness
Issues and concerns facing school health
Lack of support for school health initiatives: we haven't supported legislation that shows that we believe everyone has a write to a WSCC model School health curriculum challenges 1. Controversy: Sex and mental health issues aren't fun topics. 2. Improper implementation: health isn't in the core curriculum
Issues and Concerns of the School Health Program
Lacks of support for WSCC School health curriculum challenges School based health centers Violence in school
Lack of support for WSCC
Limited success in getting WSCC implemented across the country Need supportive legislation
Heath school environment
By law school districts are required to provide a safe school environment Physical environment School building and its contents the land in which the school is located and the area surrounding it Psychosocial environment Attitudes values feelings of students and staff
School health education
Development delivery and evaluation of a planned curriculum Priority health content School and other drugs m, healthy eating, mental and emotional health personal health and wellness, physical activity, safer unintentional injury prevention sexual health tobacco violence prevention
Need for school health
Unhealthy child has a difficult time learning Health and success in schools are interrelated A school health program provides the integration of education and health
Curriculum
written plan for instruction. outline the scope, what will be taught, and the sequence, when it will be taught. Also provides 1. Learning objectives 2. Standards 3. learning experiences 4. possible instructional resources 5. methods fro assessment to determine the extent to which the standards are met.
School Nurse key responsibilities
1. Develop the individual health care plans 2. Providing infectious disease information 3. Providing infectious information 4. Providing care for medical fragile students 5. Utilize technology 6. Supporting efforts to decrease absenteeism
WSCC model
1. health education 2. community involvement 3. family engagement 4. employee wellness 5. Physical environment 6. social and emotional climate 7. counseling, psychological, and social services 8. Health services 9. Nutrition environment and services 10. physical education and activity
Policy development resources
Action for healthy kids School health index
School health services
Health services provided by school health workers to appraise, protect and promote health Framework for the 21st century school nursing practice calls for student centered nursing care focused in the key principles of care coordination leadership quality improvement and community public health with standards of practice as the foundation
Teacher's role
Heavy responsibility in making sure the WSCC model works Often spend more waking hours with children than parents do
Violence in schools
High profile incidents of violence in schools Bullying Electronic aggression Recommendations for improving school climate as it relates to violence
School health advisory council
Individuals from a school or school district and its community who work together to provide advice and aspects of the school health program. Should include diverse representation Primary role: provide coordination of WSCC components
Whole School, Whole Community, Whole Child (WSCC)
Model focused in addressing the educational and health needs of children within the context the school setting Community strength can boost the role of the school in addressing child health abd learning needs, but also can be reflection of areas of need in the community Provides a shared framework and approach for schools and the community to work together to provide a systematic, integrated, and collaborative approach to health and learning
Policy Inplementation
Policies only effective if implemented Distribute policies to those affected Distribute with a memorandum of explanation Place in faculty staff and student handbooks Present them at group meetings Hold a special meeting for explaining policies Place them in the school district newsletter
School based health centers
Provided in different ways most common on school property Seven core competencies used to guide the delivery of health care in a school setting Cultural wars Funding challenges
Foundations of school health program
School administration that supports the effort A well organized school health advisory council Written school health policies
Policy development
Should be executed by the school health council Should cover all facets of the school health program Gain approval from key stakeholders
Development of and sources of health education curricula
Sources Many available from national specialists Approved curricula from state departments of education or health Health agencies and associations Commercially produced curricula National health education standards
Administration and organization
WSCC model should be administered by a school health coordinator Trained professional at the state district or school level who is responsible for managing coordinating planning implementing and evaluating school health policies programs and resources Often not a position required by states
School health policies
Written health statements that describe the nature and procedures of a school health program. Steps for creating local health related policies include Build a policy development team Asses the environment Draft the policy Adopt the policy Implement the policy Measure and evaluate Community the results
School Health Coordinator
a trained professional at the state, district, or school level who is responsible for managing, coordinating, planning, implementing, and evaluating school health policies, programs, and resources
School health services
health services provided by school health worker to appraise , protect, and promote the health of students. students are less likely to visit the emergency room students are more likely to visit health care provider if they had a not from the nurse Students are less likely to miss school to an illness achievement gap that students with chronic health conditions faces can be reduced.