Lenoir City SchoolsCoordinated School Health

Coordinated School Health: The Components

Healthy and Safe School

Environment

HealthPromotionfor Staff

Physical Education

Health Education

Health Services

Counseling, Psychological,

and Social Services

NutritionServices

Family and Community Involvement

Coordinated School Health:The Process

• Priorities determined through a systematic assessment and planning process that

– Is evidence-based and data-driven

– Includes extensive input from the school community

– use assessment to develop, implement, and monitor plans for improvement

Framework for Coordinating School

Health

School level: Healthy School Teams

District level:Staff Coordinating

Council

Community level: School

Health Advisory Council

School Health Index, school level services &P3 activities

Reps from HST, CO, Nutrition, Health Services, FRC, CSH

Health Department, HEAL, TPPTF, UT Extension, law enforcement, etc

Pro

gra

mm

ing

A Coordinated Approach Addresses Many Critical Health Issues Affecting Students,

Including:• Physical activity,

nutrition, and obesity

• Tobacco use

• Sexual health, including pregnancy, HIV, and other STD

• Safety and violence

• Alcohol and other drug use

• Asthma and other chronic health conditions

• Mental health

• Immunizations

• Infectious diseases

• Oral health

• Emergency preparedness

Number of students in a high school class of 30 who:

Tennessee Youth Risk Behavior Survey, 2009

Source: Youth Risk Behavior Survey

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 (53%)

Did not get enough physical activity3 (76%)

Did not eat enough fruits and vegetables3

(82%)

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

2

6

6

10

10

16

23

25

Strategies to Close the Educational Achievement Gap

Standards and accountability

Revising school financing

Teacher preparation

Rigorous curricula

Reducing educationally relevant

health disparities

Source: Dr. Charles E. Bausch

7 Priority, Educationally Relevant Health Factors for Intervention

1) Vision

2) Asthma

3) Teen pregnancy

4) Aggression and violence

5) Physical activity

6) Breakfast

7) ADHDSource: Dr. Charles E. Bausch

Teen Pregnancy in Loudon County

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

Health Screenings (PreK, K, 2, 4, 6, 8, 9)

2010/11:

772 students screened for vision, hearing, blood pressure, body mass index (BMI)

• Referrals:• 88 vision (11.4%)• 16 hearing (3.4%)• 53 blood pressure (6.8%)• 343 BMI (85 percentile and over)

(44.4%)

2007-09 2008-10

46.4%47.0%

43.5%

44.4%

Lenoir City SchoolsOverweight/Obese Rates

Coordinated School Health: The Components

Healthy and Safe School

Environment

HealthPromotionfor Staff

Physical Education

Health Education

Health Services

Counseling, Psychological,

and Social Services

NutritionServices

Family and Community Involvement

Physical Education ~ Physical Activity• SmHeart Moves Pilot Program

• Physical Activity event before school for 2nd and 3rd Graders

• Girls on the Run• Evidence based Self-esteem running

club at LCIS for 4th and 5th graders• UT Research Project on physical

Activity• Researching the link between

academics and physical activity at LCES.

Student Health ServicesPast year:

Dental Sealants (LCMS) • 471 students participated in sealant

education/screening• 167 students received sealants• 17% were referred for treatment• $40,380 worth of SEALANTS ONLY

Well Child (yearly physical) (LCES/LCI/MS)• 64 students• $4,080 (billed to insurance)• ? Savings for parents who did not have to take

off work, transportation, missed school

Flu Mist: (all schools)• 627 students (34% of total student population)• $12,540

• Health Screenings• 772 students screened for vision, hearing, BP and

BMI

Nutrition Services

• Go, Slow, Whoa Food Choices Program• LCES

• Fresh Fruit and Vegetable Sampling • LCHS

• Diabetes Education• LCHS

• Team Nutrition ~ Healthier US School Challenge • LCES

Counseling, Psychological and Social Services

• Bullying prevention• Bullying Hotline• Mean Girls Conference• LCMS P3 Teens and Technology• Bullying work group

Healthy and Safe School Environment

• School-Wide Positive Behavior Support• LCES and LCI/MS• Be respectful, responsible and ready

• P3 (Positive Peer Pressure Groups)• LCHS and LCI/MS focus on healthy

relationships and cyberbullying• Sidewalk Grant to connect LCES to

walking trail.

Health Promotion for Staff

• Biggest Loser and Staff Wellness Plans

• Staff Flu Shots• Lunch and Learns• Staff Health Fairs

Health Education

• Michigan Model Health Curriculum K-5• “What’s the Rush?” teen pregnancy

prevention program (Judicial District 9)• Safe Dates Curriculum and training for

middle and high school guidance counselors

• Health education supplies and equipment

Funding/Partnerships• CSH is state mandated and state

funded, local match is BEP driven

• In-kind and grants = $375,000 over 5.5 years.

• Thirty-two partnerships with local businesses, coalitions and organizations during the 2010-11 school year.