Children- Their Children- Their Future Depends on Future Depends on What We Do TodayWhat We Do Today

Coordinated SchoolCoordinated School

Health:Health:

A Model PlanA Model Plan

VisionVision – Within 3 years barriers to – Within 3 years barriers to learning will be reduced to allow learning will be reduced to allow students the opportunity to learnstudents the opportunity to learn

MissionMission – Service deliveries to – Service deliveries to students through school and students through school and community in order to improve community in order to improve student, staff, school and community student, staff, school and community performanceperformance

The Initial PlanThe Initial Plan

• Decrease Dropout Rates by 3%Decrease Dropout Rates by 3%• Increase graduation rates by 2%Increase graduation rates by 2%• Increase attendance to: Increase attendance to:

Elementary 97% Elementary 97% Middle and High to 95%Middle and High to 95%

• Decrease lost days by 3% to Health and Decrease lost days by 3% to Health and Behavior ProblemsBehavior Problems

• Improve equity of opportunities and Improve equity of opportunities and services by 50% for all studentsservices by 50% for all students

The Measurable GoalsThe Measurable Goals

Moving from a 2 to a 3 component Moving from a 2 to a 3 component model for school improvementmodel for school improvement

Instruction Enabling

Management

Student

School

FamilyCommunity

Our PopulationOur Population

Mobile County Public Mobile County Public SchoolsSchools• 65,000 students65,000 students

•43,485 or 67 % 43,485 or 67 %

are Title One Studentsare Title One Students

Enhancing School Effectiveness Enhancing School Effectiveness by Addressing by Addressing

Barriers to Student LearningBarriers to Student Learning Health ServicesHealth Services Transportation Transportation

ServicesServices

Enhancing School Effectiveness Enhancing School Effectiveness by Addressing by Addressing Barriers to Student LearningBarriers to Student Learning

Through Coordinated Through Coordinated EffortsEfforts

12 Registered Nursing Positions12 Registered Nursing Positions• TravelTravel-local, state and national-local, state and national• Staff DevelopmentStaff Development• Equipment and SuppliesEquipment and Supplies• Audio visual materials/ reference Audio visual materials/ reference

materialsmaterials

Health Services - $700,000Health Services - $700,000

Direct Student ServicesDirect Student Services

•Doctor, Dentist visitsDoctor, Dentist visits

•Counseling Counseling

•Medication and Medication and medical equipmentmedical equipment

Student Mental/Emotional NeedsStudent Mental/Emotional Needs

“ “School systems are not responsible School systems are not responsible for meeting every need of their for meeting every need of their students. But, when the need students. But, when the need directly affects learning, the school directly affects learning, the school must meet the challenge.”must meet the challenge.”

Carnegie Task Force on EducationCarnegie Task Force on Education

Support Team Referrals Support Team Referrals Transformed/Priority Schools Transformed/Priority Schools

FY 2005FY 2005

ReferralsReferrals MedicalMedical 157157 Academic Academic 48 48 Counseling/Mental Health Counseling/Mental Health 364364 Attendance Attendance 146146 Social Social 109109 Other Other 68 68

Impact of Health Services Impact of Health Services Interventions at all MCPSS SchoolsInterventions at all MCPSS Schools

Attendance Data:Attendance Data:Q2 04 – Q2 05Q2 04 – Q2 05

48% of the schools increased attendance from 04-0548% of the schools increased attendance from 04-05

Grade ComparisonGrade ComparisonQ1 05 - Q2 05Q1 05 - Q2 05

65% of students (with grades posted on DAISI) who 65% of students (with grades posted on DAISI) who were helped with medical care this school year were helped with medical care this school year

brought up their gradesbrought up their grades

Health ServicesHealth Services ““School nursing is a specialized practice of School nursing is a specialized practice of

professional nursing that advances the professional nursing that advances the well being, academic success, and life-long well being, academic success, and life-long achievements of students. To that end, achievements of students. To that end, school nurses facilitate positive student school nurses facilitate positive student responses to normal growth and responses to normal growth and development; promote health and safety; development; promote health and safety; intervene with actual and potential health intervene with actual and potential health problems; provide case management problems; provide case management services; and actively collaborate with services; and actively collaborate with others to build student and family capacity others to build student and family capacity for adaptation, self management, self for adaptation, self management, self advocacy and learning.”advocacy and learning.”

12 Nurses caring for over 45,000 students 12 Nurses caring for over 45,000 students who have been identified eligible to receive who have been identified eligible to receive

Title I servicesTitle I services

Evaluation of Services FY 2004Evaluation of Services FY 2004

School VisitsSchool Visits 55065506Home VisitsHome Visits 230 230Other VisitsOther Visits 398 398

(MD visits, hospitals, community agencies, etc.)(MD visits, hospitals, community agencies, etc.)ConferencesConferences 24939 24939Nursing InvestigationsNursing Investigations Communicable DiseaseCommunicable Disease

Title ITitle I 29272927 HeadliceHeadlice 1389 1389ProcessedProcessed 42724272 Impetigo 26Impetigo 26

ReferralsReferrals Ringworm 161Ringworm 161ScoliosisScoliosis 348 348 Scabies 4Scabies 4Dental Dental 25202520 MiscellaneousMiscellaneousHearingHearing 733 733 Medical Medical 1564 1564Vision Vision 18491849 ADHDADHD 779 779Abuse Abuse 247 247SuicideSuicide 29 29

USATODAY.com - Nurse shortage puts school kids at risk

USATODAY.com - In Mass. district, nurses take proactive role in kids' health

USATODAY.com - Utah mom on mission in state with few nurses

USATODAY.com - Instead of a nurse, a locked door

USATODAY.com - Breathing complications leave girl brain damaged

USATODAY.com - School blamed in boy's death

The Problem Addressed

In The Media

The McComb Healthy Schools Project2003

The Safety Net:The McComb Nine Component

Coordinated School Health, Wellness and Safety Model

McComb School DistrictDr. Pat Cooper, Superintendent

695 Minnesota AvenueP.O. Box 868

McComb, MS 39649(601) 684-4661

Msd1

The McComb Healthy Schools The McComb Healthy Schools ProjectProject

The Safety Net: The McComb The Safety Net: The McComb Nine ComponentNine Component

Coordinated School Health, Coordinated School Health, Wellness and Safety ModelWellness and Safety Model

What is the What is the Safety NetSafety Net??

The Safety Net is a coordinated school health and wellness The Safety Net is a coordinated school health and wellness model developed by the McComb School District in 1996 to model developed by the McComb School District in 1996 to improve the health, social and academic outcomes and improve the health, social and academic outcomes and experiences for children in the district’s schools. experiences for children in the district’s schools.

The nine program components that make up the Safety Net The nine program components that make up the Safety Net are:are:

Academic OpportunityAcademic Opportunity Community and Parent InvolvementCommunity and Parent Involvement Counseling and Psychological ServicesCounseling and Psychological Services Health InstructionHealth Instruction Health ServicesHealth Services Healthy NutritionHealthy Nutrition Physical EducationPhysical Education Safe and Healthy School EnvironmentSafe and Healthy School Environment Staff Health and WellnessStaff Health and Wellness

What are the results of the What are the results of the Safety Safety NetNet??

Significant increases in reading, language and Significant increases in reading, language and math math test scorestest scores on the MCT and Terra Nova. on the MCT and Terra Nova. Overall, one group of children moved from the Overall, one group of children moved from the 30th percentile to the 47th percentile on the 30th percentile to the 47th percentile on the Terra Nova test within four years. In 2000, these Terra Nova test within four years. In 2000, these 46.5% of these children were in the bottom 46.5% of these children were in the bottom quarter, four years later only 22.6% of them quarter, four years later only 22.6% of them were. MCT scores for 2nd – 8th grade reading, were. MCT scores for 2nd – 8th grade reading, language and math increased by 32.8 to 80.4 language and math increased by 32.8 to 80.4 points. points.

The The graduationgraduation rate has increased from 77.03% rate has increased from 77.03% in 1996-97 to 90.97% in 2002-03. This is nearly in 1996-97 to 90.97% in 2002-03. This is nearly 10% higher than the state average.10% higher than the state average.

Prior to 2001-02, an average of 39.4 children Prior to 2001-02, an average of 39.4 children were were dropping outdropping out of school. After the of school. After the implementation of a positive discipline program, implementation of a positive discipline program, only 14.5 children were dropping out.only 14.5 children were dropping out.

The McComb School District’s The McComb School District’s special educationspecial education inclusion rate is double that of the state of inclusion rate is double that of the state of Mississippi. We ranked 1st in providing special Mississippi. We ranked 1st in providing special education services within general education education services within general education classrooms. Also the total number of special classrooms. Also the total number of special education students has decreased from education students has decreased from 443, 443, 1997 to 1997 to 375,375, 2004. 2004.

Only 3% of teens in our Teen Parent Only 3% of teens in our Teen Parent Program had a repeat Program had a repeat teen pregnancyteen pregnancy before the age of 20, compared to 23.5% before the age of 20, compared to 23.5% for Mississippi and 20.9% for the United for Mississippi and 20.9% for the United States. None of our students had a repeat States. None of our students had a repeat pregnancy while still in the McComb pregnancy while still in the McComb School District.School District.

A decrease of 59% was seen in juvenile A decrease of 59% was seen in juvenile crime arcrime arrests out of school.rests out of school.

Decreases of more than 42% in Decreases of more than 42% in suspensions/detentionssuspensions/detentions and 33% in and 33% in expulsions have occurred since the Safe expulsions have occurred since the Safe Schools component was initiated.Schools component was initiated.

The McComb Healthy Schools The McComb Healthy Schools Project has provided this safety net Project has provided this safety net for all levels of students through: for all levels of students through:

A strong core academic curriculum that A strong core academic curriculum that includes Advanced Placement and gifted includes Advanced Placement and gifted classes, a strong vocational-technical classes, a strong vocational-technical component and an effective special component and an effective special education inclusion program. education inclusion program.

A health clinic with at least one school A health clinic with at least one school nurse and therapist at every school. nurse and therapist at every school.

Student Assistance Teams (SAT) at each Student Assistance Teams (SAT) at each school to address individual student needs school to address individual student needs using a pro-active preventive approach, using a pro-active preventive approach, coordinated services and an effective coordinated services and an effective referral system for services not provided referral system for services not provided by the school district. by the school district.

A safe learning environment conducive to A safe learning environment conducive to learning with landscaped and renovated learning with landscaped and renovated facilities, security officers on-site and a facilities, security officers on-site and a customer friendly staff with a motivating customer friendly staff with a motivating attitude. attitude.

Access to on-site child-care and a Access to on-site child-care and a wellness program for employees. wellness program for employees.

Parent training in literacy, parenting, Parent training in literacy, parenting,

and family violence prevention.and family violence prevention.

A program that encourages and A program that encourages and supports teen parents to stay in supports teen parents to stay in school and provides childcare for school and provides childcare for their infants.their infants.

Their MissionTheir Mission

“… “… committed and nurturing committed and nurturing community taking responsibility community taking responsibility every day for positively impacting every day for positively impacting the physical, social and academic the physical, social and academic well-being of every child and well-being of every child and challenging him to become an challenging him to become an extraordinary individual empowered extraordinary individual empowered to change the world.”to change the world.”

The Brutal FactsThe Brutal Facts McComb is a small rural community in Pike McComb is a small rural community in Pike

County, Mississippi. It is a close knit community County, Mississippi. It is a close knit community with many strengths and more than a few with many strengths and more than a few challenges. Many of our children live in high challenges. Many of our children live in high poverty neighborhoods and, because so many poverty neighborhoods and, because so many children qualified for free or reduced meals, all children qualified for free or reduced meals, all schools except the high school now provide all schools except the high school now provide all children with free meals. At the high school, 75% children with free meals. At the high school, 75% of the students qualify for free or reduced meals. of the students qualify for free or reduced meals. The following data describes some of the The following data describes some of the challenges facing the children in our community challenges facing the children in our community and in surrounding Pike County.and in surrounding Pike County.

Research indicates that children today are Research indicates that children today are not as healthy as the generation before not as healthy as the generation before them and are developing lifelong them and are developing lifelong addictions to drugs, alcohol, cigarettes and addictions to drugs, alcohol, cigarettes and other forms of tobacco in increasing other forms of tobacco in increasing numbers. They are not as physically numbers. They are not as physically active, have poor diets and are exposed active, have poor diets and are exposed daily to dangers in their environments. daily to dangers in their environments. One negative consequence leads to One negative consequence leads to another and, before long, too many of our another and, before long, too many of our children are on a Wheel of Misfortune that children are on a Wheel of Misfortune that only swallows up more and more of our only swallows up more and more of our citizenry each generation. citizenry each generation.

““[Children]… who face violence, [Children]… who face violence, hunger, substance abuse, hunger, substance abuse, unintended pregnancy, and despair unintended pregnancy, and despair cannot possibly focus on academic cannot possibly focus on academic excellence. There is no curriculum excellence. There is no curriculum brilliant enough to compensate for a brilliant enough to compensate for a hungry stomach or a distracted mind.hungry stomach or a distracted mind.

National Action Plan for National Action Plan for Comprehensive School Health Comprehensive School Health Education, American Cancer Society, Education, American Cancer Society, 19921992

““73% of adults from a nationally 73% of adults from a nationally representative sample felt that representative sample felt that health education in schools was health education in schools was definitely necessary.”definitely necessary.”

Mid-Continent Research for Education Mid-Continent Research for Education & Learning Survey, 1998& Learning Survey, 1998

Establishing the InfrastructureEstablishing the Infrastructure

The heart of the plan The heart of the plan concentrated on the health of our concentrated on the health of our students and families. students and families. Maslow’s Maslow’s Hierarchy of NeedsHierarchy of Needs served as the served as the basis of our infrastructure and school basis of our infrastructure and school health as the mechanism for attaining health as the mechanism for attaining results and successful reform. School results and successful reform. School programs were specifically designed programs were specifically designed to address each need: to address each need:

Maslow’s Hierarchy of NeedsMaslow’s Hierarchy of Needs

Maslow’s Hierarchy of Needs Maslow’s Hierarchy of Needs Coordinated School Health Coordinated School Health

ProgramProgram1. Physical Health-Health Services, Physical 1. Physical Health-Health Services, Physical

Education, Staff Wellness, Food and NutritionEducation, Staff Wellness, Food and Nutrition

2. Safety and Free of Fear-Safe and Healthy 2. Safety and Free of Fear-Safe and Healthy EnvironmentEnvironment

3. Sense of Belonging & Being Loved-Counseling, 3. Sense of Belonging & Being Loved-Counseling, Integrated Community/School HealthIntegrated Community/School Health

4. Positive Self-Esteem- Counseling/Achievement4. Positive Self-Esteem- Counseling/Achievement

5. Motivated and Learning- Academic Opportunities5. Motivated and Learning- Academic Opportunities

McComb Nine Component CoordinatedMcComb Nine Component CoordinatedSchool Health, Wellness and Safety ModelSchool Health, Wellness and Safety Model

Academic Opportunity- Early Academic Opportunity- Early identification and individualized identification and individualized strategies ensure children are strategies ensure children are prepared for success. Teachers have prepared for success. Teachers have sufficient time to teach and students sufficient time to teach and students have sufficient time to learn.have sufficient time to learn.

Community & Parent Involvement- Community & Parent Involvement- An integrated school, parent and An integrated school, parent and community approach that community approach that establishes a dynamic partnership to establishes a dynamic partnership to enhance the health and well-being of enhance the health and well-being of students.students.

Counseling & Psychological Services-Counseling & Psychological Services-Services provided include broad-Services provided include broad-based individual and group based individual and group assessments, interventions, assessments, interventions, counseling and referrals that attend counseling and referrals that attend to the emotional and social health of to the emotional and social health of students.students.

Health Instruction-A planned, Health Instruction-A planned, sequential, PreK-12th grade sequential, PreK-12th grade curriculum is provided that curriculum is provided that addresses all dimensions of health addresses all dimensions of health where the focus is on health literacy where the focus is on health literacy to enhance each student’s to enhance each student’s independent thinking skills and independent thinking skills and decision making.decision making.

Healthy Nutrition-Healthy, nutritious Healthy Nutrition-Healthy, nutritious and appealing snacks and meals are and appealing snacks and meals are provided for staff and students.provided for staff and students.

Health Services-Services are Health Services-Services are provided for students in a clinic provided for students in a clinic setting to assess, protect and setting to assess, protect and promote health.promote health.

Physical Education-A planned, Physical Education-A planned, sequential, PreK-12th grade sequential, PreK-12th grade curriculum that provides cognitive curriculum that provides cognitive content and learning experiences in content and learning experiences in physical fitness and individual, dual physical fitness and individual, dual and team sports.and team sports.

Safe & Healthy School Environment-Safe & Healthy School Environment-Physical and aesthetic surroundings Physical and aesthetic surroundings and psychosocial climate and culture and psychosocial climate and culture in schools that maximizes the health in schools that maximizes the health of students and staff. A safe and of students and staff. A safe and attractive learning environment attractive learning environment where self-esteem, effective where self-esteem, effective communication and respectful communication and respectful interpersonal relationships is interpersonal relationships is promoted.promoted.

Staff Health & Wellness-Programming Staff Health & Wellness-Programming for staff that provides health for staff that provides health assessments, education and fitness assessments, education and fitness activities and mirrors the district’s activities and mirrors the district’s commitment to healthy lifestyles.commitment to healthy lifestyles.

The BeginningThe Beginning

He had proactive leadershipHe had proactive leadership

He implemented the program He implemented the program step by stepstep by step

He focused on program supportsHe focused on program supports

He did lots of He did lots of Research and Research and EvaluationEvaluation to gain funding sources. to gain funding sources.

For example, when the McComb For example, when the McComb School District’s nurses wanted to School District’s nurses wanted to screen elementary school children screen elementary school children for hypertension, there were no for hypertension, there were no models for doing this so they created models for doing this so they created one. The results of the screenings one. The results of the screenings were published in cooperation with were published in cooperation with the National Association of School the National Association of School Nurses in February 2001.Nurses in February 2001.

Staff ResourcesStaff Resources – – Never underestimate the power of Never underestimate the power of

having the right staff in the right positions. having the right staff in the right positions. It is a critical factor in implementing such It is a critical factor in implementing such a comprehensive school health initiative. a comprehensive school health initiative. Once you have the right staff on board, Once you have the right staff on board, cultivate their leadership skills and give cultivate their leadership skills and give them the freedom to act in the best them the freedom to act in the best interests of the community’s vision. interests of the community’s vision. Applaud results and discuss problems as Applaud results and discuss problems as they appear, and they they appear, and they willwill appear. Insist appear. Insist on accountability as displayed by data on accountability as displayed by data results.results.

TechnologyTechnology CoordinationCoordination 1.1. They support health and They support health and

wellness for everyone in the wellness for everyone in the school environment.school environment.

2.2. They recognize and support the They recognize and support the potential of every student.potential of every student.

3.3. They keep their eyes on the They keep their eyes on the prizeprize

The Road AheadThe Road Ahead

McComb’s Nine Component McComb’s Nine Component Coordinated School Health program Coordinated School Health program creates that foundation for our creates that foundation for our children, teachers and staff. Caring children, teachers and staff. Caring teachers, unique methods of teachers, unique methods of instruction, and non-traditional time instruction, and non-traditional time frames are the bridges that students frames are the bridges that students can use to become healthy and can use to become healthy and productive citizens in our community. productive citizens in our community.

Coordinated School HealthCoordinated School Health

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““Our challenge is to continue to Our challenge is to continue to build the bridge while walking build the bridge while walking across it to a healthier tomorrow across it to a healthier tomorrow for our children.”for our children.”