OFFICE OF THE DEPUTY SUPERINTENDENT Summary of State Board of Education July 14-15, 2005

OFFICE OF THE DEPUTY SUPERINTENDENT Summary of State Board of Education July 14-15, 2005 OFFICE OF HEALTHY SCHOOLS 02. Approval of grant renewal for School Health Pilot Programs. $150,000 ($50,000 per district for 3 districts) (subject to availability of funds). 7/01/05 6/30/06. State Funds. Appropriated by the MS Legislature The 2005 Mississippi Legislature appropriated funds in House Bill 64, for the implementation of the following three pilot school health programs: Nettleton School District (northern region) Jackson Public School District (central region) McComb School District (southern region) These projects provide a variety of coordinated/comprehensive school health programs in an elementary school setting. The legislation requires the grantees to develop an evaluation plan to determine the programs effect on dropout rates, suspensions, expulsions, attendance and test scores. Backup material attached. Recommendation: Approval

Mississippi Department of Education OFFICE OF HEALTHY SCHOOLS School Based Clinic Overview Clinics Funded Jackson Public School District School-Based Health Clinic (Central) McComb School District School-Based Health Clinic (Southern) Nettleton School District School-Based Health Clinic (Northern) Amount Awarded Each School-Based Health Clinic Year 1: 1998-99 $150,000.00 Year 2: 1999-00 $150, 000.00 Year 3: 2000-01 $144,866.00 Year 4: 2001-02 $123,136.00 Year 5: 2002-03 $130,379.00 Year 6: 2003-04 $130,379.00 Year 7: 2004-05 $ 50,000.00 Year 8: 2005 06 $ 50,000.00 Additional Funding Sources Federal program funds Title I, II, IV, V, VI (disadvantaged, Eisenhower, school improvement, Safe and Drug Free Schools, Educate America Act, Goals 2000) Special education Impact Aid Private Foundations Medicaid (administrative claiming available) Hospital and Community Health Associations, and Private Partnerships Interagency Agreements with public health and social service agencies (day treatment, mental health, etc.) University medical, dental and nursing schools partnerships Partnership for a Healthy Mississippi Components of Comprehensive School Health Model Health Services Health Education Instruction Mental Health and Counseling Nutrition Education Physical Education Staff Wellness Parent and Community Involvement Safe School Environment

2 Common Goals To provide accessible, comprehensive, quality health care and education to children K-12 needing care due to poverty or other access barriers. Health care provided to children focus on prevention/wellness, education, and treatment of acute and chronic illnesses; To establish a School Health Advisory Committee composed of SBHC nurses, teachers, staff, parents and community leaders, to provide participatory guidance and suggestions for improved school health services; To have healthier school populations in the area served by the School-Based Health Clinics (SBHC) and to educate in health care self-management and responsibility for lifetime health and well being; To form partnerships with schools, community organizations/agencies and parents to effectively create a healthier environment; To screen for physical health, dental, and mental health problems; To provide an organized physical education and nutrition education program in grades K-l2 with treatment of health problems; To develop into a fully functioning clinic with administrative claiming ability which renders the clinic self sufficient; and To measure the program's effect on dropout rates, suspensions, expulsions, attendance, teen pregnancy and improved test scores. Grant Related Activities enrollment of chronically ill and exceptional education students; enrollment of staff/faculty to identify and prevent further illness states by providing health education for life long living; establishment of a system for medical, laboratory and diagnostic services; negotiation with school administration for the creation of systems to facilitate access to educational data to be used in the evaluation plan; a physical examination with vision and hearing screening, for all incoming kindergarten students aiding in early preventive school failure; annual child health screenings were done for those in need; provisions for appropriate immunizations for students on campus, eliminating need for students to be taken to off-site facility for compliance;

3 M. D. support with sports physicals for student athletes before activity with referrals available; evaluations for diagnoses of attention deficit disorder/attention deficit hyperactive disorder (ADD/ADHD) was possible due to qualified personnel affiliated with the SBHC; NPs at the SBHC worked closely with the school and Department of Human Services (DHS) to identify and report incidences of suspected child abuse/neglect and educated staff on laws governing reports of abuse and neglect; NPs worked with a few extremely obese students for weight control and adoption of healthy lifestyles; NPs at the SBHC made several referrals to the Child Developmental Clinic (CDC) at UMMC for developmental testing, evaluations and treating of developmental disorders; periodic in-service education of health topics presented to teachers during faculty meetings/staff development; extended primary health care services to staff/faculty; on-site consultation with state and nationally known experts in school health from the University of Southern Mississippi, Jackson State University, Johns Hopkins University and the University of Colorado; expansion of the facility to meet the needs of the district as the programs grows; establishment of a Nurturing Center where children of students attend daycare and students receive parenting skills training through programs implemented in the Center; advanced practice nurses associated with the SBHC are available for consultation with students, parents and teachers, and are available to participate in Individual Education Plan (IEP) conferences. Health services, provided to the students and staff at all SBHC, is reported to have been welcomed by all in their communities, with the districts making expansion of services daily. Students with various health care needs now have an opportunity to receive health care during school hours where none existed prior to the clinics existence. Collaboration with other community service providers has been reported to be positive in all districts. Additional SBHCs have been developed throughout the state by hospitals, community health clinics, and private foundations totaling approximately 45. As a result approximately 71 school nurses have also been added and are stationed in the SBHCs. Other Local Education Agencies continue to request that similar services be implemented in their districts.

6/20/05 COMPREHENSIVE SCHOOL HEALTH CLINIC PILOT PROGRAM DATA 4 CLINICS HEALTH SERVICES ACTIVITIES UNIQUE FEATURES CLINIC VISITS PARTNERSHIPS BENEFITS UMC SCHOOL OF NURSING JOHNSON ELEMENTARY SCHOOL-BASED HEALTH CENTER (SBHC) 2 Family Nurse Practitioners 1 Pediatric Nurse Practitioner 1 RN Dietitian, Psychiatrist, Medical Physicians Counselor, Licensed Social Worker Speech Pathologist Health screenings Height and weight of students obtained Vaccines for Children (VFC) provider Completion of missing immunizations Influenza injections for exceptional education students and chronically ill students Consultation with students, parents and teachers Asthma Camp Sib Shop Complimentary physical examinations with enrollment for all incoming 4-yr old kindergarten students and new 5-year old kindergarten students Johnson Health Committee Provide care to adult clients Nurse practitioner manage SBHC Access to University Medical Center and private Physicians for referrals Student nurses conduct vision, hearing screening of students and blood pressure screen of staff 4,082 visits since August 2004-June 2005 100 students discharged home, 10 medical referrals, 1,489 injuries, 2,593 illnesses @25 personal staff and staff for students consultative contacts University of Mississippi Medical Center School of Nursing UMC School of Nursing Graduate Students and Professors University of Mississippi Medical Center Mississippi Alliance for School Health (MASH) Mississippi State Department of Health Mississippi Division of Medicaid Partnership for a Healthy Mississippi Improved immunization rates Conduct general hygiene/dental/mental health care education and services Reduction of accidents, (school/home) & in absenteeism/tardiness 93% of students assessed and treated completed the school day McCOMB SCHOOL DISTRICT 7 RNs (1Health Service Director/Supervisor, 1 EPSDT/Medicaid Nurse) Mental Health Counselor/Interventionist Contract Psychiatrist/Psychometrist Licensed/Board Certified Social Worker Speech Therapist, P. E. Coordinator, Dietitian Primary health care provided by full-time RN Diagnosis and management of acute/chronic conditions Preventive health in the form of vision, hearing, dental, scoliosis screenings and height, weight acute care and physical assessments Provide nutritious meals and nutrition education Health education classes Immunization program Master s level services provided by mental health therapist, school psychologist and social worker Prevention activities provided by police officers Universal precautions training Student Assistance Program (SAP) Fluoride rinse program Assisted with all athletics sports physicals Health and Wellness Student Assistance Team (at each school site to address student needs)with pro-active preventative approach Model program implementation "'Success-for-all", "Second Step", "Quest", "Imagine U", "Character Counts", and previous program Prevention training and interventions implemented to address behavior issues Direct services provided for students experiencing emotional difficulties @ 3,200 students enrolled, 20,018 clinic visits since August 2003-June 2004 750 injuries (650 treated and sent back to class); 8,800 illnesses (7,200 cared for at school and returned to class/ 200 rec d medical care); @5,900 medication encounters, 350 EPSDT; 70 6 th graders Hep B immunized; 350 Sports Physicals 416 personal staff and staff for students consultative contacts Pike County Mental Health Charter Behavioral Health Pike Attendance Counselor Assistant District Attorney Pike County Youth Court Family and Children Services McComb Police Department Southwest MS Public Health and Vocational Rehabilitation Services Formed School Health Task Force, Parents for Public Schools and Teen Pregnancy Prevention/parenting Program for parents and children in community Quality health promotion programs implemented (Blood pressure, cholesterol and cancer screening, fitness, tobacco cessation, weight management and appraisals Alt-academic/behavioral placement & in/out-of-school suspension/expulsion down NETTLETON SCHOOL DISTRICT 2 Registered Nurses Speech Therapist Physical Education (P.E.) Instructor (full time) / Dietitian Counselor/Social Worker / 1 Mental Health Worker Medical Resident Student assistance program Counseling for troubled students and their families Pre-K screening and early prevention of school failure by AmeriCorps workers Physical education program/play ground much improved Uses cafeteria as a Nutritional learning laboratory/fruit and vegetables Coordinate health services and incorporate the teaching phase of the program into the classroom setting Provide referral, screening and follow-up treatment in health, dental, and mental health problems Arranges transportation for students when needed Utilizes the state electronic classroom network Provide staff development Offer interactive seminars via electronic classroom network Educate teachers, children and parents on healthier lives Provide medical treatment Serves K-12 students elementary and middle schools from Monroe and Lee Counties Availability and cost effectiveness of an arrangement with the physicians from North MS Medical Center Family Practice Residency Provide physicians and clinic coverage at a greatly reduced cost Lions Club Vision Screen/Hearing Aide 1,379 students enrolled 9,266 student visits in 2004-2005 school year, 1,474 injuries, 1,416 illnesses 757 referred home or to physician 4,156 Medication encounters 161 Personal staff and staff for students consultative contacts Family Practice Residency CATCH kids (medical/professional needs, equipment and prescription services) North MS Medical Center Medical Residency Program MS University for Women Graduate Nurse/Ittawamba College SON Program Dental Hygiene Program/Reach Out Health Care America Region III Mental Health Center MS State Department of Health Region II Americorps Workers and Head Start Program Student Assistant program developed Improved immunization rates(hep B, Flu Vac for Staff and High Risk Students) Conduct general hygiene/dental/mental health care education and services Reduction of accidents at school/home and in absenteeism/tardiness

6/20/05 COMPREHENSIVE SCHOOL HEALTH CLINIC PILOT PROGRAM DATA 4