A Summary Report on School Health Services in Indiana May 2009

A Summary Report on School Health Services in Indiana May 2009

Indiana School Health Network Survey Report May 2009 The purpose of the Indiana School Health Network survey was to gain better insight into the array of school health services being delivered to students across Indiana through either a school-based, school-linked health care service model and/or a Coordinated School Health Program model. Survey consisted of four sections: I. Basic Demographic Information School Corporation Name, counties served, staffing information, including RN information II. School-Based, School-Linked Health Care Services School-based health center locations, school buildings served, services provided, hours of operation, scope of school-linked services III. Coordinated School Health Program model Active Coordinated School Health Advisory Council, leadership information, components implemented, Point of Contact IV. Technical Assistance Needs Select areas of interest for more information, interest in attending a conference in Fall 2009 Definitions for School-Based, School-Linked Health Care and Coordinated School Health Program were provided at the beginning of each section. The survey was sent to 336 individuals, representing 317 school systems. 43 email addresses were returned as being invalid. I. Basic Demographic Information About the Respondents: 77 Schools/Corporations completed the Survey, representing 63 counties across the state (indicated on map by red dots on Page 2). 29 counties were not represented in the survey (blue dots on map). American Quality Schools Lake Avon Community School Corporation Hendricks Barr-Reeve School Corporation Daviess Bartholomew Consolidated School Corp. Bartholomew Batesville Community School Corporation - Ripley and Franklin Counties Burris Laboratory School - Any county in the state * Central Noble Noble, only part Clark Pleasant Johnson Community Schools of Frankfort Clinton Consolidated School Town of New Harmony and Harmony Township Posey Crawford Community School Corp. Crawford Crawfordsville Community Schools Montgomery Daleville Community Schools Delaware Delaware Community Schools Delaware Edinburgh School Corp Johnson Evansville Christian School Vanderburgh Evansville Vanderburgh School Corporation Vanderburgh Frankfort Community Schools Clinton Franklin Township Community School Corporation Marion Galileo Charter School Wayne Greater Jasper Consolidated Schools Dubois Greencastle Community Schools Putnam Heartland Career Center - Miami, Wabash, Huntington Counties Joshua Academy Charter School Vanderburgh Kokomo Center School - Howard, Tipton, Miami Counties Lafayette School Corporation Tippecanoe Lawrenceburg Comm School Corp Dearborn Lebanon Community Schools Boone M.S.D. of Mt. Vernon Posey Middlebury Community Schools Elkhart 1

Mississinewa Community Schools Grant Mitchell Community Schools Lawrence Monroe Community School Corp Monroe Monroe-Gregg Morgan MSD of Martinsville Morgan MSD of Shakamak Greene and Clay Counties MSD Of Steuben Steuben MSD Perry Township Marion MSD Wayne Township Marion Nineveh Hensley Jackson Johnson and Morgan Counties Noblesville Schools Hamilton North Daviess Community School Daviess North Adams Community Adams North Judson-San Pierre Starke and Pulaski Counties North Knox Knox North Miami Community Schools Miami North White White Northeast Sullivan Sullivan Northern Wells Com Schools Wells Penn Harris Madison St. Joseph Peru Community Schools Miami Randolph Eastern Randolph Region 8 Education Service Center (serving 33 public school corporations and 12 private/parochial schools in northeastern Indiana in NE Indiana Adams, Allen, Blackford, DeKalb, Grant, Huntington, Jay, Kosciusko, Madison, Miami, Noble, Steuben, Wabash, Wells, Whitley) RISING SUN Ohio Rochester Community Schools Fulton Rockville Community School Corporation Parke Rossville Consolidated Clinton and Carroll Counties Rush Schools Rush School City of East Chicago Lake School City of Hobart Lake School Town of Highland Lake Scott School District Scott Sheridan Community Schools Boone and Hamilton Counties Shoals Community School Martin Signature School Inc. Vanderburgh, Posey, Spencer and Warwick Counties South Newton School Corp Newton Southwest Dubois Schools Dubois Speedway Marion Taylor Community Schools Howard Tippecanoe Valley School Corp. Fulton and Kosciusko Turkey Run Community School Corporation Parke Twin Lakes School Corp White Union-North United Marshall and St. Joseph WaNee Community Schools Elkhart and Kosciusko Counties Warrick Schools Warrick Westfield Washington Hamilton Whitley Consolidated Whitley 85 individuals responded (25%), representing 79 of the 317 school systems. Respondents identified themselves as holding the following positions within the corporations: Assistant to Superintendent (1) Assistant Superintendent (2) Business Manager (1) Coordinator of Health & Social Services (3) Corporation Nurse (6) Curriculum Director (5) Director of Student & Support Services (3) Director of Coordinated School Health (1) Director of Health Services & High School Nurse (1) Director of Programs (1) Director of Secondary Ed (1) Director of Special Programs (1) Executive Director of Operations (1) Food Service Directors (3) Health & Wellness Coordinator (4) Healthy Schools Coordinator (1) Lead Nurse (3) Medical Careers Instructor (1) Nurse Coordinator (2) Physical Education teacher (1) Principal/Executive Director (2) RN (7) School Nurse (21) School Nurse Coordinator (7) Superintendent (4) Wellness Chairperson (1) Anonymous (1) 2

55% of the respondents identified themselves as school nurses. 59% of the respondents are assigned to a particular school building. Staffing Information: Respondents were asked to indicate if their school building had the following staff employed on a full-time and/or part-time basis and to check all that apply. Position Status Number of Responses Full-Time 28 Health Educator or Part-Time 3 Wellness Coordinator None 17 Don t Know 1 Full-Time 40 Physical Educator Part-Time 7 None 3 Don t Know 1 Full-Time 42 Counselor Part-Time 5 None 3 Don t Know 0 Full-Time 10 Social Worker Part-Time 10 None 28 Don t Know 0 School Nurses: When asked if there is a Registered Nurse (RN) present in the school building, 37 (44%) respondents said that they have a full-time RN in place. 14% indicated that the RN is present in the school on a part-time basis, while 2% indicated that they did not have an RN in the building. Two respondents stated that the Health Coordinator or the School Safety Coordinator provided health services. Only one respondent indicated that in addition to the part-time RN, they also had a Licensed Practical Nurse on staff providing health services. Respondents were asked to identify who provided RNs for the schools. 92% replied that the School Corporation provides the RNs. One also replied that the Local Health Department provides assistance in this area, while another indicated that they also received assistance from the local hospital system. Two respondents stated that their RNs are solely provided by the local hospital system. In addition, 14% of the respondents indicated that the following school personnel also provide health services: First aid trained staff: secretary Health Coordinator School office staff/secretary School safety coordinator Staff trained in CPR/First Aid and secretaries trained to give meds and do first aid Unlicensed staff 3

Food & Nutrition Services: When asked if the school corporation has a Food & Nutrition Director, 72% indicated they have a full-time director. 5% have a part-time FN director, 14% do not have a director, and 6% did not know. Wellness Coordinator or Director: In comparison to other staffing categories, a greater number indicated that the school corporation did not have a Wellness Coordinator or Director. However, 48% of the respondents said that their corporation had either a full-time or part-time position. II. School-Based, School-Linked Health Care Services School-Based Health Care Services: 70 (82%) respondents indicated their school corporation does not have at least one school-based health centers. 4 respondents provided no information. The following 11 respondents indicated they have school-based health care services in place: School City of East Chicago Whitley Consolidated Heartland Career Center North Judson-San Pierre Penn Harris Madison Barr-Reeve School Corp. Galileo Charter School Southwest Dubois Schools Lafayette School Corporation Central Noble Evansville Vanderburgh School Corp When asked what services were provided: 9 provide First Aid 8 offer General Health Assessments and Patient Education 7 offer Immunizations 6 offer Chronic Disease management and Prescription Drug distribution and management 4 offer Laboratory and Diagnostic Services, Family planning and counseling, Prenatal and Postpartum care and Behavioral Services 3 offer Drug/Alcohol Abuse Counseling 1 offers supplemental care for Prenatal and postpartum care. Primary care is provided by the student s physician. 1 offers a dietitian to address nutritional needs. 0 offer Dental Services These school-based health centers primary serve students and staff. One also serves parents and family members, while two others will serve staff dependents. None indicated that they provide services to the general community. Hours of operation vary, as well. Five offer services only during the school day/hours. Three provide services before, during, and after school hours. Of these three, two are open year-round. 4

School-Linked Health Care Services: When asked if the school corporation provides school-linked health services in collaboration with outside health care organizations and/or providers, 47% of the respondents said, Yes, while 46% said, No. 7% did not reply. Respondents indicated that the services primarily provided through school-linked partnerships fall in the following areas: Dental (29%) Immunizations (26%) Behavioral Services (24%) General Health Services (19%) Patient Education (18%) First Aid (16%) Drug/Alcohol Abuse Counseling (16%) III. Coordinated School Health Program Does your school corporation have an ACTIVE Coordinated School Health Advisory Council? 49% of the respondents indicated an active Coordinated School Health Advisory Council exists in their school corporation. Corporations with Active School Health Advisory Councils 16% 49% Yes No Don't Know/No Response 35% 5

The majority of these Advisory Councils focus primarily on Nutrition and Physical Education. At the time of the survey, a few of these councils were in the beginning/ formation phase, while others were in the process of completing assessments, including the Healthy Schools Report Card. Only two of the councils indicated that they focus upon all eight of the Coordinated School Health Program components. A range of school personnel provides leadership for the Advisory Councils, including: Superintendent Asst Superintendent Elementary Principal School Nurse Director of Health Services Health Services Coordinator Wellness Coordinator Health & Social Services Coordinator Food Service Director PE Teacher Athletic Director Director of Student Services Director of Curriculum Director of Special Programs One respondent indicated that a Community Private Practice Business provides leadership for the Advisory Council. Thirteen (13) also indicated that the leadership is a shared responsibility among key school personnel. 70% of those with active Advisory Councils indicated that the school corporation is implementing at least 5 of the 8 Coordinated School Health Program components. IV. Technical Assistance Needs Respondents indicated a desire to learn more about the following areas: Coordinated School Health Program 52% respondents Becoming a Member of the Indiana School Health Network 40% respondents School-Based School Linked Health Care Services 36% respondents Other: Community Services available in our area Funding full time health coordinator Recently completed MSN-FNP degree and interested in School-based clinics. Networking to see what other school corporations are doing Nutrition guidelines for food services Staff Wellness programs We do professional development for schools. All areas are of interest for learning. 68% of the respondents would be interest in attending a conference on School Health. Possible conference topics included: Classroom activities and exercise activities, Activity for the students throughout the school day, How to get students moving, Fun teaching methods and activities Simple nutritious meals, Better nutrition decisions, Nutrition for students, Food service guidelines to health Adolescent alcohol use, drug avoidance education 6

Increased physical activity for kids, Increasing exercise and physical fitness for middle school and high school students, Fitness for staff- Employee Wellness ideas to implement Integrating fitness into the core curriculum - Brain-based research Child obesity Childhood immunizations Combating Absenteeism School Connectiveness Successful Health Fairs that attract parents, Health Promotions Coordinated Health/Wellness Programs - within in the community and the school system Coordinated School Health - particularly getting parents involved Include an update in the state school nurse conference. An interest would be what other schools have found successful. Diabetes Aids Education for elementary and high school Effective integration of all aspects of student health issues in schools Enhancing our school health program Family and Community involvement Fund raisers and class celebration guidelines Finding Funding for CSHP programs, School Health Coordinator, Grant writing, Wellness initiatives. How to increase attention in CSHP areas other than fitness and nutrition. Promising Practices - personal stories on how coordinated school health services were started in other districts; Networking with other school corporations and exchange of information in regards to Indiana school health issues How to: o Accomplish these things while being faced with State education budget cuts with the exception for funding direct classroom time o Collaborate with other services in the county to provide our students with all that's available o Engage people to participate in CSH throughout the township. o Increase parent involvement o Enlist other school employees in CSH initiatives o Successfully implement a district wide program.- Developing and implementing SBHC Laws related to school health; medically fragile students; management of chronic diseases; health care plans Organizational tips to encourage active participation in the Corporation health / Wellness Committee. Better communication of specific goals and activities to improve wellness. Recourses for school nurses Making School Health Advisory Boards workable with staff, students, community and independent food services. School Health Programs for small schools. Other observations: Hold conference before school starts to allow school nurses to attend. Consider holding in different regions. 7

For those interested in earning Continuing Education Units, possible topics to consider included: Adolescent alcohol use Increased physical activity for kids Better nutrition decisions Advocating for programs Any health or nutrition related topic for School Nutrition Certification/Credentials Anything health related Effective health programs for students Follow-up procedures How to improve social/emotional climate one student at a time. Overview and specifics of Coordinated School Health Program Psychological problems with students pseudo seizures and how to keep students in classroom without disturbing the other students School health (student, Staff) Absences School Nursing Student obesity, asthma, diabetes Wellness coordination with community services One offers CRU's through the Service Center as CEU's don't apply to license renewal for educators. CEU's are for other kinds of licensing. The Indiana School Health Network extends its gratitude to all who responded to the survey. Special thanks go to the team of wonderful school health partners who helped develop and implement this survey instrument. Results of the survey will be used by the Indiana School Health Network to further promote School Health initiatives across Indiana and to provide additional information to all school health partners. The Indiana School Health Network is an initiative of Covering Kids & Families of Indiana, Inc., a statewide not-for-profit organization. For more information about the Network, please visit the CKF-IN website at www.ckfindiana.org. 8