Win the Space Race Embrace the Whole Child. Mary Jane Akerman Patrice Faison, Ed.D. Ellen Essick, Ph.D.

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Win the Space Race Embrace the Whole Child Mary Jane Akerman Patrice Faison, Ed.D. Ellen Essick, Ph.D.

NC State Board Goal: Every Student is Healthy, Safe and Responsible Healthy Responsible Students North Carolina State Board of Education

State Board Objectives 1. Create and maintain a safe and respectful school environment 2. Promote healthy, active lifestyles for students 3. Decrease the number of students who are chronically absent, dropout, or suspended out of school 4. Decrease violence and crime in schools

NC Students by the Numbers

Health Data Collection HAC Progress Report Youth Risk Behavior Survey School Health Profiles School Health Services Report NC Teacher Working Conditions

Why Schools? 73 literature reviews supporting the association between health behaviors and academic achievement Over 100 studies showing school health programs positively impact health behaviors, health outcomes, and academic achievement

Health and Academics 2015 HS 80 Mostly A's Mostly B's 60 40 49 44 32 39 35 25 31 30 48 35 47 55 56 Mostly C's Mostly D/F's 20 8 12 19 7 9 16 8 0 Meet physical activity guidelines Cigarette use (current) Alcohol use (current) Sexual intercourse (ever) Needed medical treatment for a suicide attempt in past 12 months

Healthy Children Learn Better!

Healthy Active Children Policy Policy Updated December, 2016 30 minutes of Physical Activity Daily Physical Activity may not be used as punishment Recess may not be withheld as a form of punishment or for making-up missed work School Health Advisory Council (SHAC)

Whole Child NC Established 9/3/2015 as an advisory committee to the State Board of Education. Identifies and reviews the challenges of at-risk school-aged population such as poverty, safety, health and other nonacademic barriers. Makes recommendations to the State Board of Education, other state agencies and education stakeholder groups as to how best to facilitate access for all public school children to receive the opportunity for a sound basic education.

Whole School, Whole Community, Whole Child Resolution

Whole School, Whole Community, Whole Child Association for Supervision and Curriculum Development Centers for Disease Control

Percentage of High School Students Who Ever Took Prescription Drugs Without a Doctor's Prescription 18%

Percentage of High School Students Who Ate Vegetables One or More Times Per Day 59%

Percentage of Kindergarten Students Suspended for Lacking Immunizations 3%

Percentage of heterosexual students that seriously considered attempting suicide during past 12 months Percentage of gay, lesbian, or bisexual students that seriously considered attempting suicide during past 12 months 12% 47%

Percentage of High School Students Who Have Been 16% Bullied on School Property During the Past 12 Months Percentage of High School Students Who Have Seen Other Students Being Bullied in Their School During the Past 12 Months 53%

Percentage of LEAs that provide staff wellness programs in all schools 30%

Percentage of schools that provided parents and families with information on preventing student bullying and cyber-bullying High Schools 51% Middle Schools 68%

Percentage of 6-12 schools that have linked parents and families to health services and programs in the community: 63%

WSCC Where Will CIS Land? Spin the student at the center of the Whole School, Whole Community, Whole Child Model Brainstorm ways that CIS can support the component the spinner landed on in schools

Moving Forward

NC WSCC Pilot Districts Anson County Schools Bladen County Schools Chatham County Schools Halifax County Schools Hoke County Schools Iredell-Statesville Schools Scotland County Schools Surry County Schools Thomasville City Schools Wilkes County Schools Winston-Salem/Forsyth County Schools

NC WSCC Pilot Districts Graham Cherokee Clay Swain Macon Haywood Jackson Madison Buncombe Henderson Transylvania Yancey Mitchell McDowell Polk Avery Rutherford Watauga Burke Ashe Caldwell Alleghany * Wilkes Anson * Caswell *Forsyth Guilford Orange Alexander Davie Durham * * Iredell Davidson Wake Randolph * Catawba Rowan Chatham Lincoln * Surry Yadkin Gaston Cleveland Mecklenburg Cabarrus Union Stokes Stanly Rockingham Montgomery Alamance Moore Lee Person Harnett Vance Granville Warren Franklin Johnston Cumberland *Richmond *Hoke Sampson * Scotland Robeson * Bladen Nash Wilson Wayne Duplin Pender Halifax * Greene Lenoir Northampton Edgecombe Pitt Jones Onslow Craven Hertford Bertie Martin Beaufort Carteret Gates Tyrrell *Washington Pamlico Hyde Currituck Dare Columbus Brunswick New Hanover Note: Thomasville City Schools is LEA for WSCC Pilots, not all of Davidson.

Nutrition Environment and Services Percentage of students who ate breakfast on all 7 days (during the 7 days before the survey) 35.5% Percentage of students who ate fruit or drank 100% fruit juices one or more times per day (during the 7 days before the survey) 58% Percentage of students who did not eat fruit (one or more times during the 7 days before the survey) 15.3% Can students purchase snack foods or beverages from one or more vending machines at the school or at a school store, canteen, or snack bar? (Mark one response.) 63% (2014) Health Services School Nurse-to-Student Ratio; 1:750 (or 1 per school) 1:1,112 Suspensions for immunizations Counseling, Psychological, and Social Services School Counselor-to-Student Ratio; 1:400 1:384 (2013) Percentage of students who disagree or strongly disagree that they feel alone in their life 60.6% Percentage of students who attempted suicide that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse (during the 12 months before the survey) 9.3% Percentage of students who made a plan about how they would attempt suicide (during the 12 months before the survey) 14.1% Percentage of students who seriously considered attempting suicide (during the 12 months before the survey) 15.9%

Percentage of students who currently used electronic vapor products NC 29.6% LEA 1 27.7% LEA 2 24.4%

Percentage of students who did not eat fruit (one or more times during the 7 days before the survey) NC 15.3% LEA 1 8.3% LEA 2 15.4%

School Nurse-to-Student Ratio NC 1:1,112 LEA 1 1:616 LEA 2 1:743 School Counselor-to-Student Ratio NC 1:400 LEA 1 1:416 LEA 2 1:249

Percentage of students who did not go to school because they felt unsafe at school or on their way to or from school (on at least 1 day during the 30 days before the survey) NC 6.2% LEA 1 15.4% LEA 2 8.1%

Percentage of kindergarten students suspended for lacking immunizations NC 2.7% LEA 1 1.0% LEA 2 3.3%

NC LEA 1 LEA 2 E-Vapor Products Use 29.6% 27.7% 24.4% No Fruit (1x/week) 15.3% 8.3% 15.4% Nurse-to-Student Ratio 1:1,112 1:616 1:743 Counselor-to-Student Ratio Skipped School/Felt Unsafe Suspension/Lacking Immunization 1:400 1:416 1:249 6.2% 15.4% 8.1% 2.7% 1.0% 3.3%

Resources Assessment Tool Quarterly Webinars Action Planning Tools Technical Assistance http://hlnces.ncdpi.wikispaces.net/wscc

Data Driven Prevention + Data Responsive Problem Solving = Healthy School Environment

CIS of Thomasville Nutrition Environment Health Services Social/Emotional (case management) Family Engagement Community Involvement

It is time to truly align the sectors and place the child at the center. Both public health and education serve the same students, often in the same settings. We must do more to work together and collaborate. -Wayne H. Giles, Director, Division of Population Health, CDC, 2014

An Apple a Day

For too long entities have talked about collaboration without taking the necessary steps. This model puts the process into action. -Gene R. Carter, Emeritus Exec Director, ASCD, 2014