School-Health Partnerships

Kick-Off Meeting

The Maryland Perspective

Presenters

Donna Behrens, Health Policy Director

Governor’s Office for Children, Youth, and Families

Dr. Eric Fine, Chair, Maryland State School Health Council

Vicki Taliaferro, Health Services Specialist, Maryland State Department of Education

Dr. Cheryl DePinto, Chief, Adolescent and Child Health, Department of Health and Mental Hygiene

.

Healthy Kids MakeBetter Students.

Better Students MakeHealthy Communities.

Goal: To promote students’ optimal learning ability and maximize learning opportunities by supporting, maintaining and improving

their physical, emotional and mental health.

Queen Anne’s County, Maryland

School Health Services Program

Coordinated School Health Programs

Healthy Kids MakeBetter Students

School HealthServices

HealthEducation

School FoodServices

PhysicalEducation

Parent/Community Partnerships

SchoolEnvironment

CoordinatedPupil Services

Staff Wellness

Legislative Chronology

1950’s Pupil Services Regulation1960’s MSSHC Regulation1991 School Health Standards 1993 Creation of Healthy Schools

Coalition 1999 Health Education Regulations

State Partners

Department of Health and Mental Hygiene

Maryland State Department of Education

Governor’s Office for Children, Youth and

Families

MSSHC serves as an advisory to all three

state agencies

MARYLAND STATE SCHOOL HEALTH COUNCIL

MSSHC EXECUTIVE BOARD5 Executive Committee Members

12 Committee Chairmen12 General Body Representatives

2 MSDE Representatives2 DHMH Representatives1 OCYF Representative

26 Organizational Representatives(Total = 59)

MSSHC GENERAL BODY48 Local School System Appointees (2 per locality)

48 Local Health Department Appointees (2 per locality)(Total = 96)

STATE HEALTH ANDEDUCATION AGENCIES

EXECUTIVE BOARDMEMBER ORGANIZATIONS

a. The Maryland Chapter of the American Academy of Pediatricsb. The Maryland State Department of Human Resourcesc. The Maryland Association of Boards of Educationd. The Maryland Association of County Health Officerse. The Public Schools Superintendents Association of Marylandf. The Maryland Congress of Parents and Teachersg. The Maryland Nurses Associationh. The Maryland State Teachers Associationi. The Federation of Maryland Teachers and Public Employeesj. The Council of American Private Educationk. The Maryland State Dental Association1. The Maryland State Council of Community Health Nurse Directorsm. The Maryland Association of Secondary School Administratorsn. The Maryland Association of Elementary School Administratorso. The Maryland Conference of Local Environmental Health Directorsp. The Maryland Department of the Environmentq. The Maryland Association of School Health Nursesr. The Maryland Association for Counseling and Developments. The Maryland Association of Pupil Personnelt. The Maryland School Psychologists Associationu. The Maryland School Food Services Associationv. The Maryland Assn for Health, Phys.Ed., Recreation and Dancew. MedChi, The Maryland State Medical Societyx. The Governor's Office of Children, Youth, and Familiesy. The Maryland Healthy Schools Coalitionz. The Association of Independent Maryland Schools

Maryland State School Health Council’s Specific Goals

To improve the health of children through development of comprehensive school health programs

To review comprehensive school health program issues and make recommendations to the State Superintendent of Education, the State Secretary of Health and Mental Hygiene, and the Special Secretary of the Office of Children, Youth and Families, their designated representatives,or the Council membership

Maryland State School Health Council’s Specific Goals

To educate and disseminate information

regarding the development and improvement of

comprehensive school health programs

To aid in the development of local school health

councils in Maryland

To develop, review, and recommend to the

Department of Health and Mental Hygiene, the

Department of Education, the Office of Children,

Youth and Families, and local governments policy

and legislation regarding comprehensive school

health programs

Maryland State School Health Council’s School Year 2000-2001 Priorities

Capabilities of Local School Health Councils

School-based Tobacco Prevention/Cessation

Local and State Health and Education

Agency Collaboration

Health Education Outcomes/Indicators

Physical Education Content Standards

School Nurse Certification

Maryland State School Health Council’s School Year 2000-2001 Priorities

Comprehensive Local Environmental Health

Plans

Teen Pregnancy Prevention Blueprint

School Health Council Newsletter

Bylaws Review and Update

Role of Localities

Local School Health Councils

Each school is mandated to have a Pupil Services Team which includes health services, guidance psychological services,pupil personnel, and administration

Maryland’s School Health Services

In 1957, Maryland enacted Education Article 7-401 -”Local school systems, with the assistance of local health departments, are responsible for providing school health services, health education, and healthful environment to all public schools.”

In May 1991, the State Board of Education adopted the “School Health Services Standards” (COMAR 13A.05.05.05-.15);

Two basic models of school health services staffing:

RN in every school

RN is assigned to 1-4 schools with a paraprofessional in every school under an RN’s supervision.

Local Funding of School Health Services

Programs

0

2

4

6

8

10

12

LSS LHD Shared

# of jurisdictions

Who Employs School Health Services Staff In Maryland?

1091

737

100200300400500600700800900

100011001200

LHD LSS

# of RNs and other health

services staff

Which Agency Primarily ManagesSchool Health Services Programs

in Maryland?

0

2

4

6

8

10

12

LHD LSS Shared

# of jurisdictions

Accomplishments

Joint declarationAnnual meeting of Superintendents

and Health OfficersLocal School Health CouncilsMaryland Healthy Schools CoalitionSchool-based wellness centers in 64

schools

Accomplishments

Training: School Health Institute Coordinated School Health Team

training MSSHC semi-annual conferences Positive Behavioral Intervention

Training

AccomplishmentsTechnical Assistance:

School Health Services onsites

3 SBHC administrative meetings/yr

School Health Services/School

Psychology Services, Guidance

Counselors periodic inservices

Pupil Services onsites

AccomplishmentsHealth Services Guidelines

Health Education Curricula

Physical Education Standard

ADHD Advisory Committee

Medication Administration Training

Asthma Partnerships

Partnerships require enthusiastic but careful dancing

“What is very clear, is that education and health for children are inextricably entwined. A student who is not healthy, who suffers from an undetected vision or hearing deficit, or who is hungry, or who is impaired by drugs or alcohol, is not a student who will profit optimally from the educational process.”

J. Michael McGinnis, Director

Disease Prevention and Health Promotion

U.S. Public Health Service

School-based Health Centers:Critical Caring on the Front Line

Comp. health assessment 95% Anticipatory guidance 95% Screenings (vision, hearing) 94% Treatment of acute illness 94% Nutrition counseling 91% Asthma treatment 91% Prescriptions for medication 90% Sports physicals 90% Lab tests 89% Meds administered in SBHC 86% Treatment of chronic illness 84% Psychosocial assessment 73% Medications dispensed 62% Dental screenings 52%

159

116

102

80

70

59

56

44

44

43

0 20 40 60 80 100 120 140 160

New York

Arizona

California

Florida

Texas

Maryland

Connecticut

Massachusetts

Oregon

Illinois

Note: The survey was conducted by the Making the Grade National Program Office in the summer of 2000. In February 2001, Making the Grade became The Center for Health and Health Care in Schools. The Center remains at The George Washington University and is co-sponsored by the School of Public Health and Health Services and the Graduate School of Education and Human Development.

Top Ten States with School-Based Health Centers

Location of Maryland School-Based Health Centers

Urban/Suburb

28%

Rural22% Urban

36%

Suburb14%

UrbanUrban SuburbanSuburbanRural

2001 Currently 64 SBHCs Located in 11 of the 24 jurisdictions Distribution:

• 29 Elementary Schools• 14 Middle Schools• 18 High Schools• 1 K-8 School• 2 Middle/High Schools

41 4355

62 64

-10

10

30

50

70

1996-97 1997-98 1998-99 1999-00 2000-01

Growth of School-Based Health Centers in Maryland

Questions?