An Ecological Model of the Coordinated School Health Program: A Commentary

2010 ◽  
Vol 80 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Joyce V. Fetro
2008 ◽  
Vol 123 (6) ◽  
pp. 695-703 ◽  
Author(s):  
David K. Lohrmann

A complementary ecological model of the coordinated school health program (CSHP) reflecting 20 years of evolved changes is proposed. Ecology refers to the complex interrelationship among intrapersonal factors, interpersonal processes and primary groups, institutional factors, community factors, and public policy. Public health and child development theories that incorporate the influence of personal and social environments on health behavior, along with models that incorporate the influence of ecology, were consulted. Concepts from several models were combined with the eight components of CSHP to formulate an ecological model involving six program and services components in an inner circle surrounded by four concentric rings representing the healthy school environment, essential structures of CSHP, local school district governance, and family and community involvement. This complementary ecological model is intended to serve as an additional conceptual approach to CSHP practice, evaluation, and research, and should prove especially useful to practitioners and researchers who already have a fundamental understanding of CSHP.


2000 ◽  
Vol 16 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Sylvia Illuzzi ◽  
Bethann Cinelli

Obesity has become one of this country's most significant nutritional diseases. The prevalence of childhood and adolescent obesity has steadily increased over the past 20 years. The risk of developing health problems increases as the obese child becomes an obese adolescent and adult. The 1997 Youth Risk Behavior Survey reports adolescents participate in behaviors that put them at risk for obesity. The recognition of these unhealthy behaviors among our youth has led to the need for early intervention. The Coodinated School Health Program is a mechanism to address adolescent obesity at the school-age level. This program includes an organized set of policies, procedures, and activities intended to protect and promote the health and well-being of students and staff. The eight components of a Coordinated School Health Program (CSHP) include school health services, a healthy school environment, comprehensive school health education, counseling and guidance, physical education, food service, worksite health promotion, and the integration of school and community. This paper describes integration of prevention and treatment strategies for adolescent obesity for each of the eight components of a CSHP.


2001 ◽  
Vol 17 (3) ◽  
pp. 126-130 ◽  
Author(s):  
Jane C. Romano

There is growing awareness of the important link between health and education in our society. Children need to be healthy to learn, and they must learn to be healthy. The 8-component coordinated school health program, developed in the early 1980s, rests on the premise that everybody in a child’s environment can contribute something, although no one can address a child’s health problems effectively by working alone ( Tyson, 1999 ). There is, however, one essential component missing from the coordinated plan: program management. Many of the components of a comprehensive school health program exist in some aspects in our schools. What is lacking is the coordination of these services. School nurses possess the experience, skills, and knowledge necessary to provide the missing link of a comprehensive school health program and must become leaders in this essential effort to care for children and their families.


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