Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher,...
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![Page 1: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/1.jpg)
Promoting a Promoting a
Coordinated Approach for the Health Coordinated Approach for the Health
and Well-Being of Children and Youthand Well-Being of Children and Youth
Carolyn Fisher, Ed.D., CHES
Elizabeth Haller, M.Ed.
Division of Adolescent and School Health
National Association of County and City Health Officials
August 18, 2005
![Page 2: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/2.jpg)
Six Key Health Risk Behaviors Six Key Health Risk Behaviors for Young Peoplefor Young People
• Behaviors that may result in unintentional injuries
and violence
• Sexual risk behaviors
• Alcohol and other drug use
• Tobacco use
• Unhealthy dietary behaviors
• Inadequate physical activityoverweight
![Page 3: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/3.jpg)
Trends in Leading Causes of DeathTrends in Leading Causes of DeathRates per 100,000 10 to 19 Year OldsRates per 100,000 10 to 19 Year Olds
1981—20011981—2001
0
2
4
6
8
10
12
14
16
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
Motor VehicleHomicideSuicide
![Page 4: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/4.jpg)
Sexual Risk Behavior and Pregnancy Sexual Risk Behavior and Pregnancy Trends Among YouthTrends Among Youth
Pregnancy
80
Condom use among sexually active students46
Ever sex
54
0
20
40
60
80
100
1991 1993 1995 1997 1999 2001
Per
cen
t
15-17 year-old females High school students
54
2003
0
10
20
30
40
50
60
70
80
Rat
e
63
47
![Page 5: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/5.jpg)
Percentage of High School Students Who Reported Percentage of High School Students Who Reported Current Alcohol, Marijuana, and Cocaine Use,* 1991 – Current Alcohol, Marijuana, and Cocaine Use,* 1991 –
20032003
* Drank ≥ 1 drinks of alcohol on 1 of the 30 days preceding the survey1 Significant linear decrease and quadratic effect, p < .05
* Used marijuana 1 times during the 30 days preceding the survey1 Significant linear increase and quadratic effect, p < .05
National Youth Risk Behavior Surveys, 1991 - 2003
51 505152
4845147
2224
272625
1815
4443322
0
20
40
60
1991 1993 1995 1997 1999 2001 2003
Pe
rce
nt
* Used cocaine 1 times during the 30 days preceding the survey1 Significant linear increase and quadratic effect, p < .05
Cocaine
Marijuana
Alcohol
![Page 6: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/6.jpg)
Percentage of High School StudentsPercentage of High School StudentsWho Reported Current Cigarette Use*Who Reported Current Cigarette Use*
2831
35 36 35
29
22
0
10
20
30
40
50
1991 1993 1995 1997 1999 2001 2003
Pe
rce
nt
*Smoked cigarettes on > 1 of the 30 days preceding the survey.Significant linear increase, p < .01; significant quadratic change, p < .001.National Youth Risk Behavior Survey, 1991-2003.
![Page 7: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/7.jpg)
Percentage of U.S. Children and Percentage of U.S. Children and Adolescents Who Were OverweightAdolescents Who Were Overweight**
* >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts**Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of ageSource: National Center for Health Statistics
Ages 12-19
Ages 6-11
54
1616
0
2
4
6
8
10
12
14
16
18
1963-70**
1971-74 1976-80 1988-94 1999-2002
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Relationship Between Relationship Between Health and EducationHealth and Education
“No educational tool is more essential than good health.” Council of Chief State School Officers
“Health and success in school are interrelated. Schools cannot achieve their primary mission of education if students and staff are not healthy and fit physically, mentally, and socially.”National Association of State Boards of Education
![Page 9: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/9.jpg)
www.thesociety.org/pdf/connections.pdf
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Components of a Coordinated School Health Program
Components of a Coordinated School Health Program
Physical Education
Health Education
Health Services
NutritionServices
Counseling, Psychological
and Social Services
Healthy School Environment
HealthPromotionfor Staff
Family and Community Involvement
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Characteristics of a Quality Characteristics of a Quality Coordinated School Health Program (1)Coordinated School Health Program (1)• Secures administrative support and commitment
• Establishes a School Health Council
• Identifies a school health coordinator
• Develops an annual plan
• Uses multiple strategies
• Addresses priority health-enhancing and health-risk behaviors
• Involves youth
• Provides professional development for staff
![Page 12: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/12.jpg)
Roles of School Health CoordinatorRoles of School Health Coordinator
• Integrate school health council priorities into overall program
• Facilitate development and implementation of effective policies and programs
• Facilitate communication among components
• Build collaboration between school and community
• Secure resources
• Coordinate evaluation and maintain accountability
![Page 13: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/13.jpg)
Resources for School Health Councils Resources for School Health Councils and Coordinatorsand Coordinators
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www2.edc.org/MakingHealthAcademic
Coordinated School Health Program ResourcesCoordinated School Health Program Resources
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CDC Promising Practices in Chronic Disease CDC Promising Practices in Chronic Disease Prevention and Control for State AgenciesPrevention and Control for State Agencies
Building a Healthier Future through School Health ProgramsPriority Actions
– Monitoring– Infrastructure– Partnerships– Policies– Technical assistance– Health communication– Professional development– Evaluation
www.cdc.gov/healthyyouth/publications/promisingpractices.htm
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VERB VERB Opportunities Opportunities
for Schoolsfor Schools
• Materials on Web
• Promotions
• Contests
• VERB Online for tweens
www.cdc.gov/youthcampaign
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http://www.cdc.gov/nccdphp/dnpa/kidswalk/
KidsWalk-to-School KidsWalk-to-School
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Youth Risk Behavior Survey 20052005
School Health Profiles
School Health Policies and Programs Study 20062006
CDC Data SourcesCDC Data Sources
20062006
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• Co-facilitated by CDC/DASH and HRSA/MCHB/OAH
• Key partners include:
– Professional membership associations
– University-based grantees
– State Adolescent Health Coordinator Network
National Initiative to Improve National Initiative to Improve Adolescent HealthAdolescent Health
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Uses CSHP approach to address:
• Physical activity
• Nutrition
• Tobacco-use prevention
• Safety
• Asthma (summer 2005)
![Page 21: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/21.jpg)
Model Policies Address:
•Physical activity
•Nutrition
•Tobacco use
•Skin cancer prevention
•Asthma
•School Health Services
•Healthy Environments
To be added Injury and violence prevention; Sexual risk behaviors
www.nasbe.org
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School Nutrition Improvement StrategiesSchool Nutrition Improvement Strategies
• Establish nutrition standards• Influence food and beverage
contracts • Make more healthful foods and
beverages available • Adopt marketing techniques to
promote healthful choices• Limit student access to competitive
foods• Use fundraising activities and
rewards that support student health
![Page 23: Promoting a Coordinated Approach for the Health and Well-Being of Children and Youth Carolyn Fisher, Ed.D., CHES Elizabeth Haller, M.Ed. Division of Adolescent.](https://reader036.fdocuments.net/reader036/viewer/2022081520/5697bf841a28abf838c86d92/html5/thumbnails/23.jpg)
Curriculum Analysis Tools Curriculum Analysis Tools Health Education and Physical EducationHealth Education and Physical Education
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Staff Health Promotion ResourcesStaff Health Promotion Resources
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www.cdc.gov/healthyyouth
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Promoting a Promoting a
Coordinated Approach for the Health Coordinated Approach for the Health
and Well-Being of Children and Youthand Well-Being of Children and Youth
Carolyn Fisher, Ed.D., CHES
Elizabeth Haller, M.Ed.
Division of Adolescent and School Health
National Association of County and City Health Officials
August 18, 2005