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Physical Education Curriculum Analysis Training Health IS Academic is Shane Mc. Neill, Director Office Physical Education Curriculum Analysis Training Health IS Academic is Shane Mc. Neill, Director Office of Healthy Schools

Why? If schools do not deal with children’s health by design, they deal with Why? If schools do not deal with children’s health by design, they deal with it by default. Health is Academic, 1997

Every day in Mississippi, we have an opportunity to reach… 494, 038 public school Every day in Mississippi, we have an opportunity to reach… 494, 038 public school students 152 School Districts 618 Elementary Schools/225 Secondary Schools Over 68, 000 adults work as teachers, school building staff, or school district staff

Why Coordinated School Health? It is difficult for students to be successful in school Why Coordinated School Health? It is difficult for students to be successful in school if they are: Depressed Tired Being bullied Stressed Sick Using alcohol or other drugs Hungry Abused

Mississippi High School Survey Percentage of students who were physically active for a total Mississippi High School Survey Percentage of students who were physically active for a total of at least 60 minutes per day on five or more of the past seven days 100 80 60 40 49. 2 37. 4 36. 1 37. 7 35. 6 39. 3 31. 5 32. 5 23. 5 20 0 Total Male Female QN 80 - Weighted Data *Non-Hispanic. Missing bars indicate less than 100 students in the subgroup. 9 th 10 th 11 th 12 th Black* Hispanic/ Latino White*

Mississippi High School Survey Percentage of students who attended physical education (PE) classes on Mississippi High School Survey Percentage of students who attended physical education (PE) classes on one or more days in an average week when they were in school 100 80 60 47. 5 45. 7 42. 8 35. 9 33. 2 28. 0 40 25. 1 20 0 Total Male Female QN 83 - Weighted Data *Non-Hispanic. Missing bars indicate less than 100 students in the subgroup. 9 th 10 th 11 th 12 th Black* Hispanic/ Latino White*

Mississippi High School Survey Percentage of students who were overweight (i. e. , at Mississippi High School Survey Percentage of students who were overweight (i. e. , at or above the 95 th percentile for body mass index, by age and sex)** 100 80 60 40 17. 9 19. 9 20. 7 21. 2 19. 7 16. 1 14. 7 20 16. 1 13. 2 0 Total Male Female 9 th 10 th 11 th **QNOVWGT - Weighted Data - Based on reference data from the 2000 CDC Growth Charts. *Non-Hispanic. Missing bars indicate less than 100 students in the subgroup. 12 th Black* Hispanic/ Latino White*

Mississippi High School Survey Percentage of students who watched three or more hours per Mississippi High School Survey Percentage of students who watched three or more hours per day of TV on an average school day 100 80 66. 0 51. 6 60 47. 4 48. 3 46. 6 46. 8 47. 8 41. 4 40 28. 2 20 0 Total Male Female QN 81 - Weighted Data *Non-Hispanic. Missing bars indicate less than 100 students in the subgroup. 9 th 10 th 11 th 12 th Black* Hispanic/ Latino White*

Mississippi High School Survey Percentage of students who had ever been told by a Mississippi High School Survey Percentage of students who had ever been told by a doctor or nurse that they had asthma 100 80 60 40 20 17. 2 18. 9 Total Male 15. 7 17. 2 20. 6 16. 9 16. 5 18. 1 13. 1 0 Female QN 86 - Weighted Data *Non-Hispanic. Missing bars indicate less than 100 students in the subgroup. 9 th 10 th 11 th 12 th Black* Hispanic/ Latino White*

Bringing Academics and Health Together Academics Effective Classroom Instruction Supplemental Instruction Intensive Instructional Interventions Bringing Academics and Health Together Academics Effective Classroom Instruction Supplemental Instruction Intensive Instructional Interventions Response to Intervention Three-Tier Model All Students Approximately 20 -30% Approximately 5 -10%

Bringing Academics and Health Response to Intervention Together Healthy Behavior School and Classroom Systems Bringing Academics and Health Response to Intervention Together Healthy Behavior School and Classroom Systems of Prevention and Support Specialized Group Interventions Intensive, Individual Interventions Three-Tier Model

Bringing Academics and Health Together Rt. I Academics Healthy Behavior Bringing Academics and Health Together Rt. I Academics Healthy Behavior

Community Costs “State of Health” in Mississippi Obesity l $757, 000 cost per year Community Costs “State of Health” in Mississippi Obesity l $757, 000 cost per year in MS; $444, 000 paid by Medicare and Medicaid l Spending increase from 9% enrolled in 1987 to 25% in 2002 Diabetes l # 2 state in the nation in Type II diabetes Cardiovascular Disease l # 1 state in the nation in heart disease related deaths l # 3 state in the nation in stroke related deaths Cancer l # 5 state in the nation in cancer related deaths Asthma l # 1 reason for school absenteeism in MS

Communities Increase in Referrals Decrease in Juvenile Crime Rate Economic Development Placement of Intern/Student Communities Increase in Referrals Decrease in Juvenile Crime Rate Economic Development Placement of Intern/Student Teachers Decrease in Prison Costs Decrease in Health Care Costs Public Relations/Marketing

Reduce the drop out rate by 50% in 5 -7 years Early intervention of Reduce the drop out rate by 50% in 5 -7 years Early intervention of Health Services Increase student and staff attendance Decrease disruptive behaviors Opportunities for engagement

Increase NAEP Scores to National Average in 5 -7 years Teacher Quality l l Increase NAEP Scores to National Average in 5 -7 years Teacher Quality l l Recruitment/Retention Effective instruction Family Involvement Reduced Discipline Referrals Increased Attendance- Students and Staff Academic Achievement

MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Health Education Motivated and Learning Physical Education Health MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH Health Education Motivated and Learning Physical Education Health Services Sense of Positive Self-Esteem Sense of Belonging and Nutrition Services Counseling, Psychological and Social Services Healthy School Environment Importance Sense of Being Loved and Appreciated Free of Fear and In A Safe place Physical Health Promotion for Staff Family/Community Involvement

The relationship makes sense Maslow’s Hierarchy Self-Actualization Aesthetic Needs Cognitive Needs Deficiency Needs Esteem The relationship makes sense Maslow’s Hierarchy Self-Actualization Aesthetic Needs Cognitive Needs Deficiency Needs Esteem Needs Belonging and Love Needs Safety Needs Biological and Physical Needs Growth Needs Barriers to Learning

Why Coordinated School Health? Six behaviors account for most of the serious illness and Why Coordinated School Health? Six behaviors account for most of the serious illness and premature deaths in the U. S. Tobacco Use Abuse of alcohol and other drug use Unintentional injuries and violence Sexual Behaviors resulting in HIV, sexually transmitted diseases or teenage pregnancy Poor eating habits Inadequate physical activity

Measurable Costs to State (2005 -2006) Statewide Enrollment: 493, 302 ADA Statewide: 470, 879 Measurable Costs to State (2005 -2006) Statewide Enrollment: 493, 302 ADA Statewide: 470, 879 Statewide Attendance: 95% $4, 574 per student based on fully funded MAEP Statewide schools leaving $102, 562, 802 on table (not taking into consideration local contribution)

Measurable Cost to Schools Reduced Absenteeism Means… School District: 3, 000 Students Each 1% Measurable Cost to Schools Reduced Absenteeism Means… School District: 3, 000 Students Each 1% attendance improvement = $137, 220

Student Achievement Student Health Effective Instruction Student Achievement Student Health Effective Instruction

Coordinated Approach Coordinated Approach

Systems Change Paradigm Change A system is a group of key individuals or organizations Systems Change Paradigm Change A system is a group of key individuals or organizations that interact to produce a benefit In this case the benefit is healthy, educated, productive, members of a democratic society

“He did each thing as if he would do nothing else” spoken of Charles “He did each thing as if he would do nothing else” spoken of Charles Dickens. Passion Matters Am I doing everything possible to unleash opportunities for all children to be successful?

SURVIVAL: Moving from silos to circles… in our thinking, planning, funding, implementing Non-communicative Brainstorming SURVIVAL: Moving from silos to circles… in our thinking, planning, funding, implementing Non-communicative Brainstorming Restrictive Inclusive Close Minded Visionary Possessive Nurturing Anti-children Our Children’s Traditional Out of the Box Positions and Authority Jobs and duty

Coordinated Approach Hope Matters Coordinated Approach Hope Matters

Mississippi High School Survey Percentage of students who felt so sad or hopeless almost Mississippi High School Survey Percentage of students who felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months 100 80 60 36. 8 40 31. 2 26. 4 28. 2 28. 1 10 th 11 th 25. 3 28. 6 27. 0 19. 1 20 0 Total Male Female QN 23 - Weighted Data *Non-Hispanic. Missing bars indicate less than 100 students in the subgroup. 9 th 12 th Black* Hispanic/ Latino White*

Coordinated Approach Leadership Matters Coordinated Approach Leadership Matters

Coordinated Approach Collaboration Matters Coordinated Approach Collaboration Matters

The Collaboration Continuum Networking Cooperation Coordination Collaboration Coalition The Collaboration Continuum Networking Cooperation Coordination Collaboration Coalition

Coordinated Approach Partnerships Matter Coordinated Approach Partnerships Matter

“Must Have” Partnerships Commitment Coordinated infrastructure/resources “Must Have” Partnerships Commitment Coordinated infrastructure/resources

Coordinated Approach Professional Development Matters Coordinated Approach Professional Development Matters

Opportunities NASPE Pipeline Training l PECAT l Curriculum Analysis Health Education Institute l Quality Opportunities NASPE Pipeline Training l PECAT l Curriculum Analysis Health Education Institute l Quality Instruction Quality Teachers Physical Education Regional Trainings l Quality Instruction

Coordinated Approach Champions Matter Coordinated Approach Champions Matter

CHAMPIONS Everyone from the superintendent to students of all ages - can be champions CHAMPIONS Everyone from the superintendent to students of all ages - can be champions for health and wellness.

Wellness Policy A document - approved by the local school board - that promotes Wellness Policy A document - approved by the local school board - that promotes a healthy school environment. By focusing on nutrition and physical activity standards, a wellness policy seeks to improve children’s health, classroom behaviors, and academic performance.

School Health Council A School Health Council (SHC) is an advisory group composed of School Health Council A School Health Council (SHC) is an advisory group composed of committed individuals from both the school and the community. The group works together to provide guidance and leadership to the school on all aspects of the school health program.

Mississippi Public School Accountability Standards 37. 2 Each school has on file a school Mississippi Public School Accountability Standards 37. 2 Each school has on file a school wellness policy developed by a local school health council that addresses the eight components of a coordinated approach to school health and that has been approved by the local school board.

Guidelines for Mississippi School Health Councils must meet a minimum of three times per Guidelines for Mississippi School Health Councils must meet a minimum of three times per year. School Health Councils must maintain minutes for each meeting for documentation. A minimum of one presentation per year must be made to the local school board for approval of all school wellness policies.

School Health Council Members Parents Teachers School Attendance Officers Food Service Staff Custodial Staff School Health Council Members Parents Teachers School Attendance Officers Food Service Staff Custodial Staff Students School staff Health care providers (MD, PA, RN, NP, DDS, RD) Business/industry representatives Community leaders Government officials Extension staff Social service agencies Attorneys and law enforcement officials Clergy College/university personnel Media

Mississippi BEVERAGE and SNACK REGULATIONS are now one of the minimum requirements for all Mississippi BEVERAGE and SNACK REGULATIONS are now one of the minimum requirements for all Local Wellness Policies in Mississippi.

2007 School Health Policy Development Healthy Students Act (House Bill 732/Senate Bill 2369 - 2007 School Health Policy Development Healthy Students Act (House Bill 732/Senate Bill 2369 - Section 37 -13 -134) l l Mandates 150 minutes per week of physical education, K-8 Mandates 45 minutes per week of health education, K-8 Requires ½ Carnegie Unit of physical education for graduation, 9 -12 Appropriates funds for a physical education coordinator to be housed at MDE

2007 School Health Policy Development Healthy Students Act (House Bill 732/Senate Bill 2369 - 2007 School Health Policy Development Healthy Students Act (House Bill 732/Senate Bill 2369 - Section 37 -13 -134) l l Requires the State Board of Education to establish regulations for child nutrition school breakfast and lunch programs to include how food items are prepared, time allotted for the consumption of breakfast and lunch, extra food sales, marketing and retail fast foods. Defines the duties of the School Health Councils to include a coordinated approach to school health

FOOD SERVICE • Buy fresh fruits and vegetables • Provide healthy snacks • Hire FOOD SERVICE • Buy fresh fruits and vegetables • Provide healthy snacks • Hire Registered Dietitian • Purchase ovens to replace fryers SAFE AND HEALTHY SCHOOL ENVIRONMENT • Hire District Safety Officer • Random drug testing • Security cameras FAMILY AND COMMUNITY • Health Fairs • Parenting Classes • Faith Based Partnerships HEALTH SERVICES • Hire RN • Hire Certified Nurse Assistant to work with RN • Clinic Equipment Speech Therapist • Clinic Supplies • Clinic Space SOURCES • Administrative Claiming • Invest in School Health • Improve Student Heath • Improve ADA HEALTH EDUCATION • Hire Health Education Teacher • Purchase curriculum STAFF WELLNESS • Walking Track • School RN Health Screening • Staff Fitness Room • After school health/fitness PHYSICAL EDUCATION • Hire PE Teacher • Hire PE Assistant • Fitness Room • Walking Track • Purchase curriculum COUNSELING • Hire Mental Health Therapist • Hire Social Worker • Hire Guidance Counselor Speech Therapist • Depression Screening Tool

Coordinated Approach Marketing Matters Coordinated Approach Marketing Matters

GOAL Media Coverage Newspaper articles TV coverage Excellent Effective GOAL Media Coverage Newspaper articles TV coverage Excellent Effective

Overall Messages 1. Nutrition and physical activity at school help Mississippi children be fit, Overall Messages 1. Nutrition and physical activity at school help Mississippi children be fit, healthy, and ready to succeed. 2. When children are well-nourished and physically fit, they do better in school. 3. Our school is taking important steps to meet the standards of Healthy Students Act passed by the 2007 Legislature.

Committed to Move Committed to Move

5 ***** Star Food 5 ***** Star Food

Nutrition Integrity Nutrition Integrity

John D. Bower, M. D. School Health Network 1 Ten Schools- 2005 -2008 $100, John D. Bower, M. D. School Health Network 1 Ten Schools- 2005 -2008 $100, 000 each 3 year grant Implement Coordinated School Health 2008 -2011 funding of $91, 000 Develop Action Plan Community Meetings Marketing Strategies Sustainability

John D. Bower, M. D. School Health Network 2 Three year grant $161, 000 John D. Bower, M. D. School Health Network 2 Three year grant $161, 000 Implement Coordinated School Health Requires 7 team members Partnership with MSDH for implementation of staff wellness

 Corinth School District Desoto County School District Grenada School District George County School Corinth School District Desoto County School District Grenada School District George County School District Hollandale School District Lamar County School District Petal School District Starkville School District Sunflower County School District West Bolivar School District Canton Public School District Coahoma County School District Hinds County School District Lauderdale County Public Schools Moss Point School District New Albany School District Pontotoc School District South Panola School District South Pike School District Yazoo City School District Committment Matters

What is EPSDT? A FREE health care program for Mississippi’s children ages birth through What is EPSDT? A FREE health care program for Mississippi’s children ages birth through 21 who are eligible for Medicaid l l l Early – Assessing health care early in life so that potential disease and disabilities can be prevented or detected in their preliminary states, when they are most effectively treated Periodic – Assessing a child’s health at regular, recommended intervals in the child’s life to assure continued healthy development Screening – The use of tests and procedures to determine if children being examined have conditions warranting closer medical or dental attention Diagnosis – The determination of the nature or cause of conditions identified by the screening Treatment – The provision of services needed to control, correct or lessen health problems

FOOD SERVICE • Buy fresh fruits and vegetables • Provide healthy snacks • Hire FOOD SERVICE • Buy fresh fruits and vegetables • Provide healthy snacks • Hire Registered Dietitian • Purchase ovens to replace fryers HEALTH SERVICES • Hire RN • Hire Certified Nurse Assistant to work with RN • Clinic Equipment Speech Therapist • Clinic Supplies • Clinic Space STAFF WELLNESS • Walking Track • School RN Health Screening • Staff Fitness Room • After school health/fitness Funding Priorities Matter SAFE AND HEALTHY SCHOOL ENVIRONMENT • Hire District Safety Officer • Random drug testing • Security cameras FAMILY AND COMMUNITY • Health Fairs • Parenting Classes • Faith Based Partnerships SOURCES • Administrative Claiming • Invest in School Health • Improve Student Heath • Improve ADA HEALTH EDUCATION • Hire Health Education Teacher • Purchase curriculum PHYSICAL EDUCATION • Hire PE Teacher • Hire PE Assistant • Fitness Room • Walking Track • Purchase curriculum COUNSELING • Hire Mental Health Therapist • Hire Social Worker • Hire Guidance Counselor Speech Therapist • Depression Screening Tool

Successes Matter Successes Matter

RWJF Childhood Obesity Update— 2008 Risa Lavizzo-Mourey, RWJF President and CEO May 14, 2008 RWJF Childhood Obesity Update— 2008 Risa Lavizzo-Mourey, RWJF President and CEO May 14, 2008 The Robert Wood Johnson Foundation | www. rwjf. org RWJF catalyzes efforts to prevent childhood obesity. Through the NGA’s Healthy Kids, Healthy America program, governors in 15 states are creating and implementing plans to tackle the epidemic. While each participating state is working hard, we’re especially excited about what’s happening in Mississippi. State leaders have embraced the cause of obesity prevention with a passion, despite a myriad of economic and social challenges, including restoring the Gulf Coast region battered by Hurricane Katrina. The Mississippi obesity-prevention effort may be the most integrated and collaborative in the nation, with education leaders, the public health community and philanthropies working hand in hand with government officials. Mississippi’s decision to include private foundations as an equal partner isunique, and I believe it’s a very smart approach.

 Mississippi’s Coordinated School Health Program (CHSP) is a collaborative effort between the Mississippi Mississippi’s Coordinated School Health Program (CHSP) is a collaborative effort between the Mississippi Department of Education Office of Healthy Schools and the Mississippi Department of Health. Mississippi receives funding from CDC’s Division of Adolescent and School Health to promote coordinated school health, provide HIV prevention education, and conduct the Youth Risk Behavior Survey (YRBS).

School Success Stories School Success Stories

Amory School District Amory Middle School tied for second place as the healthiest school Amory School District Amory Middle School tied for second place as the healthiest school in the United States and the Principal was selected as Administrator of the Year in MS!

Grenada School District Grenada Upper Elementary started a staff wellness program and staff lost Grenada School District Grenada Upper Elementary started a staff wellness program and staff lost over 1000 lbs.

Starkville School District All schools have completely removed deep fryers as part of their Starkville School District All schools have completely removed deep fryers as part of their overall commitment toward healthier food preparation.

Gulfport School District Pass Road Elementary students have daily FANtastic Movement Moments - 5 Gulfport School District Pass Road Elementary students have daily FANtastic Movement Moments - 5 minutes of physical activity to help them be more alert and able to focus in class.

De. Soto County Schools Hernando Elementary introduced a snack program where apples, oranges, and De. Soto County Schools Hernando Elementary introduced a snack program where apples, oranges, and bananas are sold to students for just 25 cents.

Petal School District W. L. Smith Elementary teachers worked with students to set personal Petal School District W. L. Smith Elementary teachers worked with students to set personal goals for a healthier lifestyle and helped them monitor their weekly progress.

Madison Station Elementary Increased participation in school breakfast program by 50 percent which reduced Madison Station Elementary Increased participation in school breakfast program by 50 percent which reduced referrals to to the school nurse by 40 percent

Jackson Public Schools Pecan Park Elementary School implemented quality school health programs and received Jackson Public Schools Pecan Park Elementary School implemented quality school health programs and received the Healthy Youth for a Healthy Future.

De. Soto County Schools Shadow Oaks Elementary offers 30 minutes of physical activity for De. Soto County Schools Shadow Oaks Elementary offers 30 minutes of physical activity for every student - with special recognition for those who walk with principal at recess.

Who benefits? Administrators Teachers Schools Families Who benefits? Administrators Teachers Schools Families

Who benefits? Who benefits?

Let’s Keep the Momentum Mississippi!!!! Let’s Keep the Momentum Mississippi!!!!

Resources for Success For more information 601 -359 -1737 www. healthyschoolsms. org Mississippi Department Resources for Success For more information 601 -359 -1737 www. healthyschoolsms. org Mississippi Department of Education Office of Healthy Schools P. O. Box 771 Jackson, MS 39205