School Health Index Facilitation Training

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WELCOME
2
MAFHK GOALS

• Ensure that healthy snacks and foods are provided
  in vending machines, school stores and other
  venues within the schools control.
• Provide all children, from pre-kindergarten
  through grade 12, with quality daily physical
  education that helps develop the knowledge,
  attitudes, skills, behaviors and confidence
  needed to be physically active for life.

3
Housekeeping

• Restrooms
• Phones, Phone Calls-on site number
• Cell Phones to vibrate
• Parking Lot
• Name Tag

4
Agenda

• Todays Purpose Facilitation
• Introductions
• State of the State
• Healthy Weight Paper
• Coordinated School Health Team
• School Health Policies
• Healthy School Action Tool (HSAT)
• HSAT Online
• HSAT Success and Results
• Resources

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State of the State
6

• Alarming Unhealthy Weight Trends
• (Obese at or above 95th percentile BMI for age)

Ogden C, Flegal K, Carroll M, Johnson C.
Prevalence and Trends in Overweight Among U.S.
Children and Adolescents, 1999-20000. Journal
of the American Medical Association 2002 Vol.
288, no.14, pp.1728-1732
7
Consequences of childhood obesity

• Physical Health
• Type 2 diabetes
• Cardiovascular disease risks
• Orthopedic problems

Institute of Medicine of the National Academies,
Preventing Childhood Obesity Health in the
Balance. 2005 Fact Sheet. Preventing Childhood
Obesity Facts and Figures (http//www.iom.edu/vi
ew.asp?id22606)
8
Consequences of childhood obesity

• Emotional Health
• Low self-esteem
• Negative body image
• Depression

Institute of Medicine of the National Academies,
Preventing Childhood Obesity Health in the
Balance. 2005 Fact Sheet. Preventing Childhood
Obesity Facts and Figures (http//www.iom.edu/vi
ew.asp?id22606)
9
Consequences of childhood obesity

• Social Health
• Stigma
• Negative stereotyping
• Discrimination
• Teasing and bullying
• Social marginalization

• Institute of Medicine of the National Academies,
  Preventing Childhood Obesity Health in the
  Balance. 2005 Fact Sheet. Preventing Childhood
  Obesity Facts and Figures (http//www.iom.edu/vi
  ew.asp?id22606)

10
Nutrition-Related Causesof Overweight and Obesity

• Snack calories are increasing
• Kids who drink soft drinks consume more calories
  than kids who dont drink soft drinks
• Only 1 in 5 Michigan high school students ate 5
  servings of fruits/veggies per day
• Only 1 in 6 Michigan high school students drank
  3 glasses of milk daily (females less likely than
  males)

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Physical Activity-Related Causesof Overweight
and Obesity

• 62 of kids 9-13 dont participate in organized
  physical activity during non-school hours
• 23 of kids 9-13 dont engage in any free time
  physical activity
• Daily participation in physical education class
  dropped from 42 in 1991 to 25 in 1995MI YRBS
  2001
• Screen time is increasing

Institute of Medicine of the National Academies,
Preventing Childhood Obesity Health in the
Balance. 2005 Fact Sheet. Preventing Childhood
Obesity The Role of Industry http//www.iom.edu/
report.asp?id22596
12
Parents and TeachersSupport School Policies

• More than 90 want healthy food in school vending
  machines
• 80 support daily physical education
• (Robert Wood Johnson Foundation, December
  2003)

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Research Shows That...

• Increased physical, social and emotional
  well-being can improve academic performance.
  Health Academics Making the Link
  Massachusetts Department of Education, 2000
• In three out of four reading and math tests, Fast
  Break to Learning schools improved academic
  achievement more than the control group of
  schools. University of Minnesota Research Results

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School Based Breakfast Lunch Programs
showed...

• Increased School Attendance
• 8 decline in tardiness
• Greater Class Participation
• 73 of staff surveyed in the first-year MMFA
  schools reported an improvement in student
  attentiveness following the start of the program.
• Improved Emotional Behaviors
• Suspensions were down from an average of 4.4 days
  per month to 2.8per month
• Increased Academic Achievement
• MMFA schools saw a five-point increase in
  students who scored at or above the satisfactory
  level.
• Maryland State Department of Education , School
  and Community Nutrition Programs, Maryland Meals
  for Achievement (MMFA)

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School Based Physical Activity Programs

• Increased concentration
• Improved Mathematics, Reading Writing Scores
• Reduced Disruptive Behaviors
• Maintenance of Positive Interpersonal
  Relationships
• Reduced Anxiety, Depression Fatigue
• Bridging Student Health Risks and Academic
  Achievement Through Comprehensive School Health
  Programs Journal of School Health, August 1997

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Discussion Time
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Statewide Response to this Crisis

The Role of Michigan Schools In Promoting Healthy
Weight
Healthy Weight Paper
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Healthy Weight Paper Philosophy

• Goal Healthy students of all shapes and sizes
• The primary role of schools is prevention.
• Schools should go beyond prevention only if
  safeguards are in place.

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The Healthy Weight Concept Model
Respect for Self
Healthy Students of All Shapes
Sizes
Healthy Eating
Physical Activity
Respect for Others
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Three problems for MI students

• Excessive Weight and Weight Gain
• Social Pressure for Excessive Slenderness
  Weight Discrimination
• Unsafe Weight Loss Practices

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Six Building/District LevelGoals

• Create a Safe and Supportive Learning Environment
• Create an Environment Where Students Can Be
  Physical Activity
• Create a Healthy Nutrition Environment

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Six Building/District LevelGoals

• Increase Student Participation in Physical
  Education
• Strengthen Nutrition Education
• Work With Families to Promote Physical Activity
  Healthy Eating

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Recommended Steps to Meet Goals

• Create a Coordinated School Health Team (CSHT)
• Conduct an assessment Michigans Healthy School
  Action Tool (HSAT)
• Develop Action Plan Policy and Environment
  changes

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What Is aCoordinated School Health Team How It
Can Help
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Coordinated School Health Teams (CSHT)
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Components of CSHTs

• Family and Community Involvement
• Comprehensive School Health Education
• Physical Education
• School Health Services

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Components of CSHTs

• Counseling, Psychological, Social Services
• School Nutrition Services
• Healthy School Environment
• School-site Health Promotion for Staff

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Coordinated School Health Teams
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Coordinated School Health TeamsCan Lead To

• Students being better nourished
• Students who eat Breakfast
• Are better prepared for learning activities
• Improve academic achievement attention span
• Decrease tardiness absences
• Are less likely to overeat or binge eat

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Coordinated School Health Teams Goals

• Provide infrastructure for planning
• Advise on all aspects of school health
• Deliver consistent messages
• Give recommendations on policies and improvements

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Coordinated School Health Teams Goals

• Engage students, parents, families, staff and
  communities
• Utilize Fit, Healthy and Ready to Learn
• Improve the learning environment and student
  achievement
• Bring about more positive student behaviors

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Why Coordinate?

• Addressing students well-being and ability to
  learn in a less fragmented way, schools and
  communities can avoid gaps, collaborate on
  overlapping functions, and eliminate unnecessary
  duplication of efforts. (Allensworth, 1995)

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SETTING THE STAGEFOR A HEALTHYSCHOOLENVIRONMEN
T
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Policies

• One step toward a
• healthy school environment

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• A healthy school environment depends on
  policies. Schools that want to minimize hazards
  and distractions to teaching and learning, create
  a climate in which students and school staff can
  do their best work, and expect that all students
  can succeed will ensure that the necessary
  policies are in place. (Health Is Academic)

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Smoking
Lessons Learned Smoking rates began to decline
when public health professionals realized the
impact of policy and environmental changes.
Broadcast advertising ban Clean Indoor Air
Act Increase in cigarette taxes

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NEW MICHIGAN STATE BOARD OF EDUCATION POLICIES

• Making Environmental Change Easy
• Coordinated School Health Programs To Support
  Academic Achievement and Healthy Schools
• www.michigan.gov/documents/CSHP_Policy_77375_7.pdf
  

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NEW MICHIGAN STATE BOARD OF EDUCATION POLICIES

• Making Environmental Change Easy
• Policy on Quality Physical Education
• www.michigan.gov/documents/HealthPolicyPE_77380_7.
  pdf
• Policy on Offering Healthy Food and Beverages In
  Venues Outside of the Federally Regulated Child
  Nutrition Programs
• www.michigan.gov/documents/Healthy_Foods_AttchmtA_
  7.pdf

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Impact of Policies

• Events
• One time
• Unique
• Individual
• Short-term
• Non-sustaining

• Environment
• On-going
• Repeated
• Policy-level
• Long-term
• Sustaining

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TEAM BUILDING EXERCISE

• The Dragon Activity

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CHARACTERISTICS OF TEAMS

• Team Members
• Have shared goals or a reason for working
  together.
• Are interdependent. (Perceive they need one
  anothers experience, abilities, and commitment.)
• Are committed to the idea that working together
  leads to more effective decisions than working in
  isolation.
• Are accountable as a functioning unit within a
  larger organizational contest. (Report regularly
  to a higher authority i.e. principal,
  superintendent, etc.)

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WHAT IS FACILITATION?

• Provides leadership without taking the reins
• Gets others to assume responsibility and take the
  lead
• Helps team stay on task
• Ensures that everyone is being heard

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WHAT IS FACILITATION?

• Stays out of the discussion to focus on how the
  meeting is being run
• Encourages others to reach their own conclusion
• Stays neutral
• Keeps the meeting moving and on schedule

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Coordinated School Health Teams
District CSH Council Formed
Directs and advises School Board and
Superintendent
Directs, advises, and responds to building level
CSHTs
Completes Healthy School Report Card Action
Plan (Available 2006)
Building Level District Level Infrastructure
Funding/ Operational Changes
Building Level CSHT selects assessment tool to
start
Building Level CSHT selects assessment tool to
start
Building Level CSHT selects assessment tool to
start
School Building Surveys
Risk/protector factor survey
Quality Leadership
Asset surveys
SHEP
HSAT
School Climate Surveys
Substance abuse and violence survey
Effective Instruction
YRBS
SCASS
Building Level Survey Results
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Mtg 1
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Steps to Completing HSAT

• Form a coordinated school health team (CSHT)
• Visit
• www.mihealthtools.org/schools
• Download PDF files
• Put HSAT document together
• Complete HSAT
• Implement Action Plan
• Complete HSAT 2 and HSAT 3

49
Options After Completing HSAT

• Schedule next meeting dates
• Monthly (?) Meetings
• Communication methods ?
• HSAT 2 date?
• HSAT 3 date?
• Record questions about your experience and report
  out to large group when finished.
• Share with school board, PTA, staff . . .

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Options After Completing HSAT

• A schools action plan will be online for two
  years and be accessible to the school during that
  time.
• The action plan can be updated, revised, and
  changed as a coordinating health team wishes to
  change it for the school.

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HSATRole Play Mtg 1
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HSAT Mtg 1

• Form a CSHT
• (5-10 people per group)
• Discuss if any new members need to be recruited
  before Meeting 2
• Review CSH model

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HSAT Mtg 1

• Need aN on-site coordinator
• Tell the group their expectations for the year
  and the next HSAT meeting.
• Set the length of time for the team future
  meetings
• Meeting 2 ( may be 6 hours)
• Regular scheduled CSHT meetings (monthly meetings)

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HSAT Mtg 1

• Homework
• Distribute/Reveiw The Role of Promoting Healthy
  Weight in Michigan Schools
• Distribute modules
• Assign a lead to each module
• Discuss completing entire HSAT or ?
• Decide how/when the data will be entered online
• Schedule next HSAT meeting

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www.mihealthtools.org/schools
Web Based Tool
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• One tool for all schools
• Team driven
• Determine strengths
• Determine weaknesses
• Develop action plan

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Homework

• Distribute/Reveiw The Role of Promoting Healthy
  Weight in Michigan Schools
• Distribute modules 1, 7, 8
• Assign a lead to each module

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HSAT Role Play Mtg 2
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Role Play Mtg 2Instructions

• Identify on-site coordinator and/or facilitator,
  Time keeper, Note taker
• Introduce CSHT members
• Sell the purpose of completing HSAT today

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Role Play Mtg 2Instructions

• Complete HSAT modules 5-8 using the paper version
• Answer questions in modules
• come to consensus for each question
• Answer score cards for each module
• 5. Write strengths and recommended actions on
  flip chart

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Role Play Mtg 2Instructions

• 6. Once modules 5-8 are complete, transfer group
  recommended action steps onto the Action Plan
• Rate Action Steps as either High or Low priority
• 8. Complete Action Plan
• Write steps needed to complete a recommended
  action steps for all HIGH priority action steps
• Complete name and expected due date

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HSAT Online
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www.mihealthtools.org/schools
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Assemble downloaded documents

• To create a complete HSAT you will need to
  assemble the downloaded documents.
• Ready
• Set
• Assemble!

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8 HSAT Modules

• 1. School Health Policies and Environment
• 2. Health Education
• 3. Physical Education Other Physical Activity
  Programs
• 4. Nutrition Services

• 5. School Health Services
• 6. School Counseling, Psychological and Social
  Services
• 7. Health Promotion for Staff
• 8. Family and Community Involvement

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Register online
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Tips to remember when registering

• Each school building needs a unique email and
  password.
• Note
• If you manage more than one building HSAT you
  will require you to provide a unique email for
  each school.
• The username for each building can be the same.

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Click Here to get to Module 1-8 Specific
Score Cards
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Score Cards M1-8

• Score cards for each module
• Highlight school strengths
• Capture teams recommended actions

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Steps Before Completing Action Plan
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Results Successes
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2000-01

• SHI (4 schools)
• Cass City
• Mayville
• Birch Run
• St. Louis

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2002-03
Changing The Scene (12 schools) SHI (20
schools)
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2003-04

• SHI (35 schools)
• 6 continuation

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2004-05

• 44 HSAT schools
• 35 continuation ?

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Most Significant Changes 03-04

• All schools developed a coordinated school health
  team,
• Two schools implemented a policy to make their
  school tobacco free 24 hours a day 7 days a week,
• One school altered their physical education
  credit policy to eliminate alternative
  recreations, such as band or other sports
  activities, to meet their physical education
  requirement. All students must take physical
  education classes to meet the schools
  requirements,

101
Most Significant Changes 03-04

• Schools purchased equipment and resources to
  enhance physical activity during recess time,
• Schools increased the opportunities for physical
  activity with students and staff,
• Healthy food options were added to the cafeteria
  offerings, vending machines and school
  activities,
• One school implemented nutrition lessons in K-5
  classes.

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Most Significant Changes 03-04

• Participating in the international day of All
  Children Exercise Simultaneously in May 2004,
• Participating in the international day of Walk
  Your Child to School Day in October 2003,
• Incorporating healthy meals and snacks for staff
  events,
• Enrolling in Team Nutrition

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Most Significant Changes 03-04

• Promoting physical activity opportunities
  throughout the community, such as aerobic or
  swimming opportunities,
• Educating staff, families and students on healthy
  eating, physical activity and tobacco-free
  lifestyles,
• Incorporating the opportunity for students to
  wash their hands,
• Changing food options to be healthier in the
  cafeteria and vending machines,
• Obtaining student input for programs, activities,
  and classes,
• Providing non-food items as rewards.

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In a Nutshell

• Questions?
• Who can summarizehow HSAT is completed?
• Any foreseen problems completing HSAT?

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Next Steps

• Next Steps

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Next Steps

• Set up meeting in your target schools?
• Think of on site coordinators to approach whos
  ready?
• Take on only one building!
• Begin networking
• Stay in touch
• Talk to them
• Support them

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Benefits of Today

• Network of professionals working on healthy
  school environments
• Knowledge of HSAT and Healthy Weight Paper
• Facilitation Team Building Skills
• New resources
• You can be an HSAT advocate to improve schools
  health policies and environments.

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Frequently Asked Questions

• Why should our school complete the HSAT? What are
  the benefits?
• Who is eligible to complete the HSAT?
• What type of school is the HSAT designed for?
• Our school is small and does not have many of the
  amenities that larger schools do. Is it still
  worth it for us to complete the HSAT?
• What is the rationale for including the
  particular modules and questions in the HSAT?
• Who should be involved in completing the HSAT?
• How do we get started? What is the best way to go
  about completing the HSAT?
• Can more than one person work on the HSAT at one
  time?

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Resources

• The Role of Michigan Schools in Promoting Healthy
  Weight http//www.emc.cmich.edu
• Fit Healthy and Ready to Learn
• Health is Academic
• Super Size Me, available on DVD at most local
  video stores.

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Resources

• Fit Healthy and Ready to Learn
• Health is Academic
• http//www.mihealthtools.org Healthy Schools
  Action Tool (HSAT), School Resources, Community
  Resources
• http//www.udim.org United Dairy Industry of
  Michigan nutrition education resources
• http//www.emc.cmich.edu MI Model Coordinators,
  Healthy Weight Paper, Healthy Kids Healthy Weight
  resource for families.
• http//www.michiganfitness.org Walk to School
  Day, EPEC, physical activity resources

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Resources

• http//www.cdc.gov school health index,
  obesity, coordinated school health programs,
  school health resources . . .
• http//www.tn.fcs.msue.msu.edu Michigan Team
  Nutrition, grant opportunities
• http//www.fns.usda.gov/tn Team Nutrition,
  USDAs Changing The Scene kit
• www.actionforhealthykids.org Michigan Action
  For Healthy Kids

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Resources

• Pat Cooper, Superintendent of McComb, MISS
• http//www.aasa.org/publications/sa/2003_01/Cooper
  _ninefacets.htm

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MAFHK GOALS

• Ensure that healthy snacks and foods are provided
  in vending machines, school stores and other
  venues within the schools control.
• Provide all children, from pre-kindergarten
  through grade 12, with quality daily physical
  education that helps develop the knowledge,
  attitudes, skills, behaviors and confidence
  needed to be physically active for life.

116
TODAYS PRESENTERS

• Donna Hensey, United Dairy Industry of Michigan,
  dhensey_at_udim.org
• Nick Drzal, Michigan Department of Education,
  drzaln_at_michigan.gov

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• Break