American School Health Association 89th Annual Conference, October 17, 2015

Whole School, Whole Community, Whole Child:

Next Steps to Advance Student Health

and Learning

Division of Population Health

National Center for Chronic Disease Prevention and Health Promotion

Wayne H. Giles, MD, MS

Director, Division of Population Health

Shared Priorities between health and education:

� Increase quantity and quality of physical education, health education and

physical activity

� Improve the nutritional quality of foods provided in school

� Improve the capacity of schools to manage chronic conditions

CDC’s Role:

� Quality of health education in schools

� Evidence-based guidelines and recommendations for school programs and

policy

� Tools and resources for educators and administrators

� Training and professional development

CDC’s Division of Population Health

Healthy Schools Program

� Support implementation of evidence-based practices for:

• Healthier nutrition environments in schools

• Comprehensive school physical activity programs

• Capacity to manage chronic disease

� Fund public health departments in all 50 states and District of

Columbia.

� Strengthen partnership between public health and education –

MOU/MOA

State Public Health Actions

to Prevent and Control Diabetes, Heart Disease, Obesity and

Associated Risk Factors and Promote School Health

(State Cooperative Agreement 1305)

Whole School

Whole Community

Whole Child

Whole Child Model • Embedded and centering the framework

• Tenets call for all students to:

� enter school healthy and learn about and

practices a healthy lifestyle;

� learn in an environment that is physically

and emotionally safe for students and

adults;

� be actively engaged in learning and

connected to the school and broader

community;

� have access to personalized learning and

supported by qualified, caring adults;

� challenged academically and prepared

for success in college or further study and

for employment and participation in a

global environment.

Youth as Focus and Engaged Partners

Improving Learning and Improving Health

The relationship between

health and academics

Physically active

Eating breakfast and

healthy foods

Managing their chronic

health conditions (e.g.,

asthma, diabetes)

• Have increased test scores

• Have increased grades

• Have increased school

attendance

• Have improved classroom

behavior

Students that are….

Healthy Students Do Better in School

Source: Michael et al. JOSH. 2015:10;740-58.

Health and Academics

www.cdc.gov/healthyyouth/health_and_academics/index.htm

Coordinating Policy, Process and Practice

CDC School –Based

Surveillance

School level Assessment

District and school level

Local Wellness Policy

CDC School –Based Surveillance

• School Health Policies

and Practices Study

• Youth Risk Behavior Survey

• School Health Profiles

http://www.cdc.gov/healthyyouth/data/index.htm

Policy and Practice: District and School level

School

Health

Council

School

Health Team

School

Health

Coordinator

Assess*

Develop and

Implement

Evaluate

* Using the School Health Index (www.cdc.gov/HealthySchools/SHI)

School level Assessment Tool: CDC’s School Health Index

www.cdc.gov/HealthySchools/SHI

Promoting Health through Local Wellness Policies

http://www.cdc.gov/healthyschools/npao/wellness.htm

Evolution of the Coordinated School Health

Model

http://www.cdc.gov/healthyschools/trainingtools.htm

Health Education

Physical Education &

Physical Activity

Comprehensive School Physical Activity Program

Nutrition

Environment

& Services

What is the School Nutrition Environment?

SHPPS 2014 Key Nutrition Findings

Health Services

Managing Chronic Conditions

Health

Services

Policies and

Practicies

Clinical

Linkages

Schools

ASSESS

MANAGE &

EDUCATE

REFER

� 10.6% of districts had a policy

specifying a maximum student-to-

school nurse ratio

� More than 75% of districts had

adopted a policy stating that schools

will provide:

� Administration of medications

� Case management for students with

disabilities

� CPR

� First aid

� Violence prevention

� 12.5% of districts had at least one

school-based health center that

provided both health services and

mental health and social services to

students

SHPPS 2012: District

Level Health Services

Policies

Physical

Environment

• Promoting factors: joint use

agreements, appealing nutrition

environments, physical activity

facilities

• Protective factors: prevent and

reduce physical threats (e.g., crime,

violence, traffic, and injuries) and

biological and chemical agents in the

air, water, or soil and school buildings

• Maintenance: ventilation, moisture,

temperature, noise, and natural and

artificial lighting

Employee Wellness

CDC Workplace Health Program

The CDC Workplace Health Program (WHP) offers model programs, training

and technical assistance, and tools and resources to help employers develop

effective workplace health programs.

� The CDC Worksite Health ScoreCard (HSC) is a tool designed to help

employers assess the extent to which they have implemented evidence-

based health promotion interventions in their worksites to prevent

chronic disease.

� The Florida State Health Department is coordinating the completion of

the CDC HSC with school sites as focus.

� Schools in 16 Florida counties will assess their health promotion

programs, and prioritize high-impact strategies for health promotion at

their worksites including: organizational supports, tobacco control,

nutrition, physical activity, weight management, stress management,

depression, high blood pressure, high cholesterol, and diabetes.

Family

Engagement

Parent Engagement

�Better student behavior.

�Better school attendance.

�Higher academic

performance.

�Higher school completion

rates.

�Enhanced social skills.

http://www.cdc.gov/hehttp://www.cdc.gov/healthyschools/parent_engagement

Partners and

Emerging

Opportunities

JOURNAL OF

SCHOOL

HEALTH

Official Journal of the American

School Health Association

Just released this week!

Special Issue:

The Whole School, Whole Community,

Whole Child Model

The Whole School, Whole Community, Whole Child Model: A New Approach for Improving

Educational Attainment and Healthy Development for Students

Critical Connections: Health and Academics

Lessons Learned From the Whole Child and Coordinated School Health Approaches

What Have We Learned From Collaborative Partnerships to Concomitantly Improve

Both Education and Health?

How the Whole School, Whole Community, Whole Child Model Works: Creating Greater

Alignment, Integration, and Collaboration Between Health and Education

Placing Students at the Center: The Whole School, Whole Community, Whole Child Model

Supporting the Whole Child Through Coordinated Policies, Processes, and Practices

A Whole School Approach: Collaborative Development of School Health Policies, Processes,

and Practices

Building Sustainable Health and Education Partnerships: Stories From Local Communities

Using the Whole School, Whole Community, Whole Child Model: Implications for Practice

� Launch of new Healthy Schools Website in 2016 with WSCC

content

CDC’s Healthy Schools Website &

Virtual Healthy School

�The Virtual Healthy School

(VHS) is an online interactive

school building that will

visualize how the ten

components of the WSCC

model are integrated into the

classroom, staff break room,

hallways, cafeteria,

gymnasium, recreational field,

community, and home

Why is a model supporting health

and learning important?

http://nelovesps.org/films/

https://nelovesps.wistia.com/medias/yi5b51fr85/

www.cdc.gov/healthyschools

Thank You!

Saving Lives. Protecting People. Saving Money through Prevention.

Office of the Director

Division of Population Health

For more information please contact Centers for Disease Control and Prevention

1600 Clifton Road NE, Atlanta, GA 30333

Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348

E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position

of the Centers for Disease Control and Prevention.