“building the case for coordinated school health”: the cuyahoga county board of health...
TRANSCRIPT
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“Building the Case for Coordinated School Health”:
The Cuyahoga County Board of Health Coordinated School Health Initiative
Presented by:Martha Halko, MS, RD, LD
Carol Inniss, BSN, RN
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Cuyahoga County Demographics
• The population in the health district served by the Cuyahoga County Board of Health (CCBH), is the largest in the state of Ohio.
• The City of Cleveland, Shaker Heights and Lakewood have their own health departments.
• The county population is ~1.3 million.• It is a diverse, multi-cultured, urban
county.• There are 31 Public School
districts in Cuyahoga County & 343 school buildings.
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CCBH at a Glance
Our Mission…Prevent Disease and Injury, Promote Positive Health Outcomes and Provide Critical Services to Improve the Health
Status of the Community.
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Health Commissioner
Terrance Allan, R.S., M.P.H
The 4 service areas are:Community Health
Nursing
Environmental Health
Epidemiology and Surveillance
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Building the Case for Coordinated School Health
• The CCBH identified the need for a Coordinated School Health (CSH) initiative.
• The CCBH programs which address the needs of schools and school districts include:– School health services– Tobacco avoidance & cessation– Teen pregnancy prevention– School environmental health services– Cardiovascular Health – Child & Family Health Services – Wellness Policy Technical Assistance Program
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CSH Strategic Priority
• The CCBH programs which provide interventions in the schools were not coordinated.
• To better serve the local school districts: – CCBH set a strategic priority to “Broaden the
Scope of the Comprehensive School Health Program.”
– The CCBH Performance Goals are: 1. Establish a School Health Council 2. Host a Comprehensive School Health Conference.
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CSH Best Practices• Utilize the Eight Component
Coordinated School Health Model (Allensworth and Kolbe, 1987)
• Utilize a Best Practices Model
• Institute policy and environmental changes to enable the use of a population-based approach.
• Healthy People 2010 objectives
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CSH Resources
• “School Health Index for Physical Activity, Healthy Eating & a Tobacco-Free Lifestyle”; A self assessment & planning Guide.– February 2000, U.S. Department of Health &
Human Services, Centers for Disease Control & Prevention.
• Healthy Ohioans- Buckeye Best Healthy School Awards Program– Goal: To achieve positive school-based
environmental and policy changes.– Focuses on tobacco, nutrition
and physical activity.
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Identifying the Foundations for Coordinated School Health
• The CCBH School Health Program:– Contracts with 10 public school districts – Contracts with14 private school system– Serves more than 60,000 students
annually.
• The School Health Nurses play an integral role in the development & implementation of a (CSH) program.
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Existing Support for CSH
• The CCBH Cardiovascular Health Grant– Administered by the Ohio Department of
Health– Focus on Coordinated School Health.
• The CCBH Child & Family Health Services Grant has a focus on wellness policy.
• Community Partners supported the need for a Coordinated School Health Initiative.
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Supporting Data
Local childhood obesity rates and tobacco usage data provided a strong basis for promoting a healthy school environment.– Local survey revealed that 35%, or 1 in 3 of
the children enrolled in kindergarten were overweight or obese.
– A 2004 Youth tobacco Survey revealed that 28% of students report current use of some type of tobacco product. More students report current use of cigars, cigarillos, and little cigars, than cigarettes.
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Fostering Collaboration
• Coordination & collaboration among CCBH service areas and programs.
• Utilize the Ohio Department of Health CVH project consultant as a resource and a “team member.”
• Build on existing partnerships with Cleveland Department of Public Health, Children’s Hunger Alliance, American Cancer Society & other’s.
• Coordinate with Ohio Action For Healthy Kids.• Form new partnerships to assure that there is
representation on the council from all branches of the coordinated school health model.
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Steps in the Planning Process
• CCBH school advisory committee formed.
• A county-wide AFHK advisory council formed.
• American Cancer Society recommended merging the two committees.
• The new Coordinated School Health Council formed a planning committee to plan & present a CSH conference.
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Steps in the Planning Process• During the conference planning
process the CSH council was expanded.
• The council met for the first time on May 3rd prior to the May 25th CSH conference.
• Both the council meeting & conference were used to introduce coordinated school health to the county.
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CSH Funding Sources
• CCBH in-kind contributions• Cardiovascular Health Grant
– 4 year cycle, began Jan. 05
• United Parcel Service Mini-Grant, administered by Children’s Hunger Alliance
• American Cancer Society • Child & Family Health Services Grant
– 5 year cycle, began July 05
• Seeking additional funding
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Coordinated School Health Implementation Plan
Mission:The Cuyahoga County Coordinated School Health Council will work in partnership with the school districts of Cuyahoga County to
promote healthy lifestyle choices in a healthy school environment.
Goal:To assist school districts with creating a healthy
school environment which gives students & staff consistent, reliable health information and ample opportunity to use it.
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Implementation Plan• Develop communications plan
which will include:– Developing a countywide newsletter
and brochure.– CSH speakers bureau to present the
CSH model.
• Partner with the Youth Tobacco Survey to gather baseline data.
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Academics + Health = A Winning Combination
• May 25th, 2005Conference objectives:– To develop an action plan to improve student
health, leading to increased academic proficiency.
– To develop an action plan to create wellness policies & environmental conditions in the school & community
• Providing technical assistance to school districts represented at the CSH conference.
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Outcomes/Successes
• CSH conference was successful! – 84 attendees – 16 school districts represented.
• Great collaboration with ODH and community partners.
• The CSH council has grown from ~15 members to 32 since its inception.
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Challenges
• Serving all public and private schools in the county.
• Incorporating the school districts which are not in the CCBH health jurisdiction.
• Short and long term funding.• Forming relationships with school
administrators.• Coordinating programs and services
within CCBH & within a large urban community.
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Next Steps…..
• Next CSH meeting scheduled for September.– Establishing council overall goals and
objectives.– Creating active subcommittees for
newsletter/brochure development, wellness policy implementation and marketing.
– Create a CSH link on the CCBH web site.
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Contact Information
Deborah Weisbarth, BSN, RNSupervisor, School Health Program
Chair, Coordinated School Health Program(216) 201-2001 [email protected]
Martha Halko, MS, RD, LDProgram Manager, Cardiovascular Health Grant
(216) 201-2001 [email protected]
Carol Inniss, BSN, RNProgram Manager, School Health Program
(216) 201-2001 [email protected]