interrelationship of health and academics

University of Michigan

Regional Alliance for Healthy Schools (RAHS)

Contributing to the Health and Success of Youth

Health Disparities

Contributing Factors:

Poverty

Environmental threats

Access to health care

Individual and behavioral factors

Educational inequalities

Higher levels of education = More years of life

Increased likelihood of obtaining or understanding basic health information and services

Less education = Less years of life

Higher levels of health risks, such as obesity, substance abuse, and violence.

The Interrelationship of Health and Academics

The Interrelationship of Health and Academics

Health-related Factors

Hunger

Physical and Emotional Abuse

Teen Pregnancy

Chronic Illness

Health Risk Behaviors

Poor Dietary Choices

Substance Use

Violence

Unsafe Sexual Activities

Physical Inactivity

Students with higher grades and socio-economic status are less likely to engage in health-risk behaviors than their classmates with lower grades and SES.

The Interrelationship of Health and Academics

Michigan Adolescent Risk Data In 2010, 2653 surveys were completed by adolescents seeking care in Michigan

2. Do you eat some fruits and vegetables everyday?

65% Higher

33% Higher

3. Do you exercise (run, dance, swim, bike, play basketball, etc) for at least 60 minutes, 3 or more days a week?

40% Higher

82% Higher

6. During the past month, have you been threatened, teased, or hurt by someone (on the

internet, by text or in person) or has anyone made you feel sad, unsafe or afraid?

84% Higher

9. In the past 3 months, have you smoked cigarettes or any other form of tobacco (black

and mild, hookah, etc) or chewed/used

smokeless tobacco?

77% Higher

14. Have you ever had any type of sex

(vaginal, anal or oral sex)?

50% Higher

20. Have you ever seriously thought about killing yourself, tried to kill yourself, or have you purposely cut, burned or otherwise hurt

yourself?

Youth Risk Behavior Survey

• Through the national Youth Risk Behavior Survey (YRBS), CDC monitors student health-risk behaviors and the extent to which these behaviors are associated with academic achievement.

Health Risk Behaviors Monitored:

– Alcohol and other drug use

– Physical Inactivity and Unhealthy Diet

– Sexual Risk Behavior

– Tobacco use

– Unintentional Injury and Violence

Percentage of High School Students Who Currently Used Alcohol,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Had at least one drink of alcohol on at least 1 day during the 30 days before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Reported Current Binge Drinking,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Drank Alcohol for the First Time Before Age

13 Years,* by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Other than a few sips.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Currently Used Marijuana,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Used marijuana one or more times during the 30 days before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Tried Marijuana for the First Time Before

Age 13 Years, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*

*p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Currently Smoked Cigarettes,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Smoked cigarettes on at least 1 day during the 30 days before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Ever Smoked Cigarettes Daily*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Ever smoked at least one cigarette every day for 30 days.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Did Not Play on at Least One Sports Team,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Run by their school or community groups during the 12 months before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Ever Had Sexual Intercourse,

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*

*p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Had Sexual Intercourse With Four or More

Persons During Their Life, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*

*p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Felt Sad or Hopeless,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*Almost every day for 2 or more weeks in a row so that they stopped doing usual activities during the 12 months before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Seriously Considered Attempting Suicide,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*During the 12 months before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

Percentage of High School Students Who Attempted Suicide,*

by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**

*One or more times during the 12 months before the survey.

**p<.0001 after controlling for sex, race/ethnicity, and grade level.

United States, Youth Risk Behavior Survey, 2009

SCARLETT MIDDLE SCHOOL STONE ALTERNATIVE HIGH SCHOOL

WILLOW RUN COMMUNITY SCHOOLS YPSILANTI MIDDLE SCHOOL YPSILANTI HIGH SCHOOL

Supports Health and Academic Success!

The MISSION of RAHS is to provide school-based health programs and clinical services that improve the well-being of students, their families, and communities.

VISION of RAHS Youth will receive high quality physical, emotional, and preventive healthcare: • in an easily accessible, supportive, and youth-friendly environment • employing professional staff who are responsive to the needs of a diverse population in Washtenaw County.

University of Michigan – RAHS:

Need for SBHC services

determined by:

Free and reduced lunch rates

Size and demographic make up of schools

Community needs assessment

Youth risk behavior surveys

Requests from schools and desire to partner in improving the health of their students

RAHS PHYSICAL AND MENTAL HEALTH SERVICES:

Physical examinations Acute and chronic illness

management Immunizations Dental screenings and services Individual and family counseling Group counseling Referrals to community resources Health education

RAHS PREVENTION & INTERVENTION PROGRAMS:

Project Success Nutrition and Physical Activity Program Comprehensive Asthma Program

RAHS Users & Visits: 2009-2010

Unduplicated Users: 1175

Average 66% of school populations served

Physical Health Visits: 2991

Mental Health Visits: 1163

Risk and Strength Assessments

“What is RIGHT with you is more powerful than what is wrong.” The SOS is used to facilitate a focus on youth strengths.

RAAPS is a 21 question youth risk survey used to identify multiple behaviors that increase risk of injury or premature death.

www.raaps.org

Referrals and Community Stakeholders

Community Referrals:

2009-2010: 577 referrals

• Tangibles (ie: food, clothing,

housing, eye glasses)

• Medical Specialists

• Nutrition/Overweight

• Intensive Psychotherapy

Insurance Enrollment:

2009-2010

• 133 families, 67 youth now with insurance

Youth Leadership

RAHS Current Funding Sources

UMHS

Community

Outreach Funds

MDCH CAHC

Funds

Gift Account

Revenue from Billing

UW Designation Funds

Donations

Fostering

Innovations

Grant

Coordinated

Funding

Program

WCHO

Prevention

Grant

MDHC Mental

Health Mini-

Grants

03/09