Schools by themselves cannot, and should not be expected to, address the nation’s most serious health and social problems. Families, health care workers, the media, religious organizations, community organizations that serve youth, and young people themselves also must be systematically involved.

However, schools could provide a critical facility in which many agencies might work together to maintain the well-being of young people.

1. Health Education (pdf)

A planned, sequential, K-12 curriculum that addresses the physical, mental, emotional and social dimensions of health

The curriculum is designed to motivate and assist students to maintain and improve their health, prevent disease, and reduce health-related risk behaviors. It allows students to develop and demonstrate increasingly sophisticated health-related knowledge, attitudes, skills, and practices. The comprehensive health education curriculum includes a variety of topics such as personal health, family health, community health, consumer health, environmental health, sexuality education, mental and emotional health, injury prevention and safety, nutrition, prevention and control of disease, and substance use and abuse. Qualified, trained teachers provide health education.

School Health Programs Department:

• Health Advocates and Health Teams
• Health Awareness Events
• Open Airways program
• Policy mandates K-12 instruction

2. Physical Education (pdf)

A planned, sequential K-12 curriculum that provides cognitive content and learning experiences in a variety of activity areas such as basic movement skills; physical fitness; rhythm and dance; games; team, dual, and individual sports; tumbling and gymnastics; and aquatics

Quality physical education should promote, through a variety of planned physical activities, each student's optimum physical, mental, emotional, and social development, and should promote activities and sports that all students enjoy and can pursue throughout their lives. Qualified, trained teachers teach physical activity.

School Health Programs Department:

• PE policy requirements for K-12 students
• Physical Activity in after school programs
• Positive alternatives in secondary schools (ropes course, sailing, etc.)

3. Health Services (pdf)

Services provided for students to appraise, protect, and promote health

These services are designed to ensure access or referral to primary health care services or both, foster appropriate use of primary health care services, prevent and control communicable disease and other health problems, provide emergency care for illness or injury, promote and provide optimum sanitary conditions for a safe school facility and school environment, and provide educational and counseling opportunities for promoting and maintaining individual, family, and community health. Qualified professionals such as physicians, nurses, dentists, health educators, and other allied health personnel provide these services.

School Health Programs Department:

• Emergency Care Plans
• Mandates: Dental, Hearing, Scoliosis, Vision and Immunization Requirements
• Nurse of the Day (NOD) triage support
• School District Nurses at some ES and MS, and most high schools.

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4. Nutrition Services (pdf)

Access to a variety of nutritious and appealing meals that accommodate the health and nutrition needs of all students

School nutrition programs reflect the U.S. Dietary Guidelines for Americans and other criteria to achieve nutrition integrity. The school nutrition services offer students a learning laboratory for classroom nutrition and health education, and serve as a resource for linkages with nutrition-related community services. Qualified child nutrition professionals provide these services.

School Health Programs Department:

• Harvest of the Month campaign
• Nutrition Education Project
• SFUSD Wellness policy

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5. Health Promotion for Staff (pdf)

Opportunities for school staff to improve their health status through activities such as health assessments, health education and health-related fitness activities

These opportunities encourage school staff to pursue a healthy lifestyle that contributes to their improved health status, improved morale, and a greater personal commitment to the school's overall coordinated health program. This personal commitment often transfers into greater commitment to the health of students and creates positive role modeling. Health promotion activities have improved productivity, decreased absenteeism, and reduced health insurance costs.

• Modeling – healthy food and physical activity breaks
• Staff Wellness campaigns – Active for Life, American Cancer Society

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6. Counseling & Psychological Services (pdf)

Services provided to improve students' mental, emotional, and social health

These services include individual and group assessments, interventions, and referrals. Organizational assessment and consultation skills of counselors and psychologists contribute not only to the health of students but also to the health of the school environment. Professionals such as certified school counselors, psychologists, and social workers provide these services.

• High school Wellness program on-site mental health services
• Learning Support Professionals at elementary and middle school sites
• School Psychologists at school sites.

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7. Healthy School Environment (pdf)

The physical and aesthetic surroundings and the psychosocial climate and culture of the school

Factors that influence the physical environment include the school building and the area surrounding it, any biological or chemical agents that are detrimental to health, and physical conditions such as temperature, noise, and lighting. The psychological environment includes the physical, emotional, and social conditions that affect the well-being of students and staff.

• Anti-slur policy
• Crisis Response Team and Safe School Hotline
• Support Services for LGBTQ youth
• Indoor Air Quality & Asthma Education

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8. Parent/Community Involvement (pdf)

An integrated school, parent, and community approach for enhancing the health and well-being of students

School health advisory councils, coalitions, and broadly based constituencies for school health can build support for school health program efforts. Schools actively solicit parent involvement and engage community resources and services to respond more effectively to the health-related needs of students.

• CBO orientation and intake process
• ExCEL After School Programs – CBO partnerships
• Family Health Nights and newsletters
• Foster Youth Services
• SFUSD Family Guide

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