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The School Health Program: A component of community health

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... vaccines have largely addressed the ravages once wrought by infectious diseases. ... research shows programs work - however they are not in place in all schools ... – PowerPoint PPT presentation

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Title: The School Health Program: A component of community health


1
Chapter 6
The School Health Program A
Component of Community
Health
2
Introduction
  • The school health program is an important
    component of community health because every
    citizen must pass through this institution.

3
Health Challenges of Youth
The health challenges facing youth today are
vastly different from those of past decades.
Advances in medications and vaccines have largely
addressed the ravages once wrought by infectious
diseases. Today, the health of young people, and
the adults they will become, is critically linked
to the health-related behaviors they choose to
adopt.
CDC, 1996
4
Health Challenges of Youth
In the 1990s, . . . by age 15, about a
quarter of all young adolescents are engaged in
behaviors that are harmful or dangerous to
themselves others. Of 28 million adolescents
between the ages of 10 18, approximately 7
million are at serious risk of being harmed by
health even life-threatening activities. Only
half of the adolescents in this age group, or
about 14 million, appear to be growing up
basically healthy. Even these young people are
not immune to risk, since most of them at the
very least lack adequate decision-making skills.
Fateful Choices, 1990
5
Why School Health?
Our Nations Schools---A Unique
Opportunity-- Every school day, 50 million young
people attend over 100,000 schools staffed by
over 5 million employees across our nation (1/5
of USA pop). Given the size and accessibility of
this population, our schools could make an
enormous, positive impact on the health of the
nation.
CDC, 1996
6
Ripple Effect of Behavioral Choices
  • SELF
  • Immediate - Short Term Health
  • Future - Long Term Health
  • FAMILY
  • Spouse or partner
  • Children
  • Grandchildren
  • COMMUNITY
  • Environmental Policies
  • Volunteer work
  • Elections and laws

7
Definition
  • Coordinated School Health Program
  • An organized set of policies, procedures, and
    activities designed to protect, promote, and
    improve the health and well-being of students and
    staff, thus improving the students ability to
    learn.

8
Components
  • school health education
  • health services
  • school environment
  • Counseling and psychological and social services
  • Health promotion
  • Physical education
  • School nutrition
  • Family and community

9
Coordinated School Health Program
Health Education
Parent/ Community Involvement
Physical Education
Health Services
Health Promotion for Staff
Nutrition Services
Healthy School Environment
Counseling, Psychological, and Social Services
10
Comprehensive School Health Components
  • School health services
  • comprise health appraisals, emergency services,
    prevention control of communicable diseases,
    provision for handicapped students, health
    advising remediation of detected health
    problems.
  • Healthful school environment
  • provides for a safe health learning environment
    (includes both physical social)
  • Health Education
  • includes all health education in the schools

11
School Health Team
Parents
Students
Teachers
Administrators
Medical personnel
Maintenance workers
Social workers
Food service workers
Personnel
Counseling
12
Administrator or School Health Coodinators role
  • Organize supervise all aspects of school health
    program,
  • Organize supervise those on the school health
    team,
  • Insure that the school district has an
    appropriate health record-keeping system
  • Coordinate the activities of the program with
    those in the community,
  • Insure that written school health policies are in
    place understood,
  • Serve as a consultant to professional and
    nonteaching personnel on health activities

Schaller, 1981
13
School Health Team
  • School nurse - Primary Leadership
  • (Lacking in many school districts)
  • maintain and review birth records
  • dispense medications
  • train others
  • conduct health follow-ups
  • help develop school health policies
  • identify students with medical problems
  • identify community health resources

14
School Health Team
  • Teachers role
  • instruction
  • services
  • school living
  • coordination

15
Why School Health?
Clearly, no knowledge is more crucial than
knowledge about health. Without it, no other
life goal can be successfully achieved.
Therefore, we recommend that all students study
health, learning about the human body, how it
changes over the life cycle, what nourishes it
and diminishes it, and how a healthy body
contributes to emotional well being.
Ernest L. Boyer, 1983
16
Need for School Health
  • Health of children and their learning are
    reciprocally related.
  • Unhealthy child has a difficult time learning
  • unhealthy child can be disruptive to others
  • school programs included in Health People 2010
  • not a panacea

17
Link Between Health and Learning
  • Health lt------------------gt Learning
  • SBP (1966) ------gtIncrease in test scores
  • Decrease in tardiness and absenteeism
    rates
  • Cardiovascular healthlt------ Education about
    diet and exercise

18
Foundations of SH Programs
  • Administrative Support
  • Leadership
  • Resource Allocation
  • Qualified and Motivated Team
  • Written School Health Policies

19
School Health Services
  • Basic Health
  • Health Screening
  • Detect problems and refer
  • Expanded Health
  • Care for medically underserved
  • Increased health promotion
  • Comprehensive Health
  • School -based Clinic

20
Healthful School Environment
  • Safe and wholesome
  • Physical environment
  • Physical Plant and Grounds
  • Behaviors
  • Social/Emotional
  • Respectful, civil, cooperative, and courteous

21
School Health Education/ Instruction
  • a planned, sequential, pre-kindergarten to grade
    12 curriculum based on students needs societal
    issues,
  • to motivate health maintenance promote wellness
    not merely to prevent disease,
  • to develop decision-making making skills
    individual responsibility for ones health,
  • to develop and demonstrate health related
    knowledge, attitudes, practices,
  • to integrate of physical, mental, emotional,
    social dimensions,

National Professional School Health
Organizations, 1984
22
Relationship of school health instruction
health education
Education through athletics
Education with screenings
Education with fire tornado drills
Health fair
HEALTH EDUCATION
Health instruction
Education with food service
Education with courses other than health
23
School Health Instruction Content
  • Community health
  • Consumer health
  • Environmental health
  • Family life
  • Mental emotional health
  • Injury prevention safety
  • Nutrition
  • Personal health
  • Prevention control of disease
  • Substance use abuse

Joint Committee on School Health Education, 1990
24
Instructional Approaches
  • Direct
  • health is taught as a separate discipline
  • Correlated
  • health is taught as part of other disciplines,
    i.e., science, home economics or physical
    education
  • Integrated
  • health is the vehicle through which other
    disciplines are taught

25
Science
Math
Home Economics
Language Arts
HEALTH
Social Studies
Physical Education
Music
Art
Integrated Instructional Approach
26
Concerns Issues
  • Comprehensive school health programs
  • research shows programs work - however they are
    not in place in all schools although the need is
    strong
  • Controversy
  • based on differing values religious teachings
    over the proper implementing of the curriculum
  • School-based clinics/School linked clinics
  • offer comprehensive health services, have met
    with resistance in certain communities
  • Violence in Schools
  • risk factors need to be identified

27
Chapter 6
The School Health Program A Component of
Community Health
28
Introduction
  • The school health program is an important
    component of community health because every
    citizen must pass through this institution.
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