School Health Education and Services
Dear SHES Members:
Throughout the time I have served as chair of the School Health Education and Services Section, I have tried to stress involvement, particularly for the “newer” members of the Section. Prior to the Philadelphia meeting I stated “NOW IS THE TIME FOR ALL GOOD PERSONS…” In that message I stressed the importance of getting involved in the Section. Following that message, many of you “stepped up to the plate” and became reviewers for our program for the Annual Meeting. Again this year prior to the Denver meeting your program planners called upon over 80 members of the Section (some 30 percent of our total Section membership) to serve as reviewers. I am happy to report that some 70 members responsed and served the Section well. I know many of you will soon be called upon again to serve the Section as we move forward for the Washington, D.C., meeting this coming October/November. I sincerely hope you have marked this important meeting on your respective calendars.
In Denver, more than 100 of our section members attended the Annual Meeting, thus approximately 40 percent of our section membership attended that meeting. Those who attended were able to select from more than 20 sessions sponsored by the Section, and the feedback we received was extremely positive. I am confident that we will again be sponsoring wonderful scientific sessions in Washington, D.C., thanks to all those, both within and outside our section, who submit abstracts for possible consideration as oral, poster or roundtable presentations, as well as the conscientious job contributed by each of you who serves as an abstract reviewer for the Section. You do a very conscientious and important job for the Section. The section was also recognized as having all of our Sessions approved for continuing education credit for the Annual Meeting in Denver. I know we will continue in that tradition for the Washington, D.C., meeting.
I want to thank those members who took the time from their busy schedules, and sleep, to attend the three business meetings we held in Denver. We also were fortunate to have Ms. Terri Wright, formerly of the W.K. Kellogg Foundation, address those in attendance about the new APHA initiative related to school health. At that time we learned that APHA had established a
Center for School, Health, and Education, and Terri is heading that particular Center. This Center is being supported by the W. K. Kellogg Foundation as an outgrowth of W.K. Kellogg Foundation’s School Based Health Care Policy Program initiative. During the meeting in Denver we discussed with Terri how our Section might become much more involved with the Center. I subsequently contacted Dr. Georges Benjamin and he assured me that our Section would be involved, both in the Center’s Advisory Committee as well as the activities of the Center.
I would suggest you go to
and on the right hand side, at the top, click on the Programs and Resources tab and at the bottom when that menu opens is another tab "School Health." Click on that and you will see the initiative as you scroll toward the bottom. I urge you to review that material so we can discuss what we, as a Section, might do to “move the agenda” for the Center.
I want to thank Terry Wessel for doing an outstanding job working with the Public Health Education and Health Promotion Section and the Physical Activities Special Interest Group for planning an outstanding social for the three groups in Denver. Terry has agreed to again head this planning group, and I sincerely hope those of you who attend the Washington, D.C., meeting will plan to attend this year’s joint social to mingle with existing friends and make new friends who are in other sections and SPIGs of APHA.
At present we have approximately 260 members in the Section. We are gaining a bit in having our Section designated as a second section by APHA members, but we are continuing to lose primary Section members. I have asked each of the officers to work to get at least one new member prior to the annual meeting in Washington, D.C., and I sincerely hope that at least 50 percent of our Section membership will recruit at least one new member for the Section. It is the Section membership that determines our budget, and it is the budget that determines, in large measure, what we can and cannot do.
At this year’s Annual Meeting, the “new look” for the APHA section booths was “rolled out.” We had a wonderful placement for our Section booth, right next to the area where the poster presentations were held. We had a lot of “traffic” at our booth, but it will be important that in Washington, D.C., we get volunteers to “staff” the booth to explain our Section to those who stop by for information. If any of you are interested in helping with the design and layout of the booth, please contact me and I will get you in touch with Nancy Edtl who is coordinating our booth again this year. I know she would appreciate the input.
I would be remiss if I didn’t thank the outgoing officers of the Section. They worked hard to help us be successful this past year. The outgoing officers included Governing Councilor Anthony Parrillo, Section Councilors Eric Buhi and Christopher Ledingham, and Action Board Representative James Bogden. Thanks for a job well done.
If you think we are having a hard time here in America, just think of the difficulties being faced by children and adults alike other countries. If you submitted an abstract for consideration at this year’s meeting, thanks; those reviews will be completed over the next few weeks. For those of you who will work hard and actively recruit a new member within the next three months, thanks a lot. For those of you who will volunteer your services and be considered for an elective position, thanks a lot. For those of you who will become involved in the Section in some other capacity, thanks a lot. For those of you who are going to make a commitment to take one more action steps on behalf of the nation’s children, thanks a lot.
In closing this first message of 2011, I again reiterate a slogan that I often use when I make presentations at professional meetings and in classes, “Get Involved, Stay Involved, Make a Difference.” It is time for all of us to look at what we can do to make things move forward, particularly in the school setting, to promote coordinated school health programs. We need to make our voices heard. We need to become proactive. We need to be on the lookout for action alerts and reply to those alerts based upon your view of how to support school health. We need to volunteer for the various activities that our Section is undertaking this year. In a nutshell, we all need to become more and more involved.
Thanks for all you do for the children of the nation.
Chair, SHES Section
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APHA Annual Meeting News
The 2010 meeting has come and gone. Fortunately, if you could not make it or even just make it to everything you desired, information about the sessions is available online. On the APHA website,
you can find program abstract as well as audio recordings of the sessions (recordings for a fee).
One event that you will not be able to find online that we would like to highlight is the passage of Resolution A-1: Public Health and Education: Working Collaboratively Across Sectors to Improve High School Graduation Rates as a Means to Eliminate Health Disparities that was sponsored by SHES. This resolution calls for collaboration between the education and public health communities to improve high school graduation rates as a means to improve students’ health. Many thanks to Diane Allensworth for her work on this resolution. Look for the announcement in The Nation’s Health about when this resolution will be publicly available.
Each year, the occurrence of the Annual Meeting also marks the beginning of new roles for SHES members. This year we would like to welcome Joe Drake, Deitra Wengert, and Susan Wooley to Section leadership. If you are interested in becoming a part of the SHES leadership team, please see the Member News Section below for information about nominating yourself (or a friend) for a position.
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What's New in School Health Services
School based health care and school nursing: What is the difference?…..
By: Martha Dewey Bergren, DNS, RN, NCSN, FNASN, FASHA
The amount of confusion by the public and even by health care providers over the difference between school nurses and school based health centers is surprising. School nurses are often in the position of trying to explain to stakeholders that putting a school based health center in the school will not replace the need for the school nurse. There are many fundamental differences between the services provided by school nurses and school based health centers:
- School based health centers are almost always not managed by a school district. School nurses are almost always school district employees.
- School based health centers operate as fee for service clinics and bill students’ health insurance. Most school nurse services are not reimbursable through health insurance policies.
- School based health centers provide primary care, the care one receives from their personal health care provider, their own physician or nurse practitioner – such as immunizations, need for a diagnosis or to have medication prescribed, lab tests and physical exams. In addition to many other activities, school nurses provide episodic care to children with health issues that do not warrant a trip to the emergency room or physician. The school nurse will refer parents of students who need more care than a nurse can provide to the child’s primary health provider or the emergency room.
- School based health centers provide care only to the students who enroll in the clinic. The school nurse provides care to the entire school population, and often the faculty and staff.
- School nurses provide school-wide state mandated screening activities and comply with the school’s state mandates for immunization reporting and infectious disease surveillance. School based health centers may provide recommended screenings for individual students as part of the physical exam, such as scoliosis screening.
- School based health centers diagnose, treat and prescribe for students enrolled in the center who have chronic health conditions. School nurses administer medications and manage care for all students in the school who have chronic illness (e.g. asthma, anaphylactic food allergies, diabetes, tube feedings) for all students in the school.
Both school based health centers and school nurses, along with other school health educators and providers may provide many of the same health benefits such as:
o Health promotion programs such as handwashing, smoking cessation, and seat belt use.
o Parent and community education programs.
o Enroll students in state health insurance programs.
o Organize school located vaccine clinics.
Having a school based health center improves health care accessibility for students who are enrolled, but does not take the place of a school nurse. Having a school nurse does not take the place of the student needing a primary health care provider. Students who are enrolled benefit a great deal from school based health centers. Schools are fortunate when primary care services are provided on the school property, increasing the access to health care for families with young school aged children and adolescents. Students who are enrolled in a school based health center can have their primary health care needs addressed without missing school days to travel to an off site clinic, and their parents do not need to miss work. School enrollment and athletic requirements such as immunizations and physical exams are conveniently accessed at school for enrolled students. School nurses care for the entire school population, coordinate meeting the state mandates for the school district, and coordinate and provide federally mandated nursing care for students in special education. School based health centers and school nurses work together to enhance the medical and health services offered by schools and improve child health and education outcomes.
See NASSHC and NASN’s SBHC School Nurses = Student Success!http://www.nasn.org/portals/0/legislation/SBHCS_and_nurses.pdf
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What's New in School Health Education
Healthy People 2020
Healthy People 2020 has been released and contains many topics and objectives relevant to schools! Check out http://www.healthypeople.gov/2020 and begin to think about how you could use these to improve the lives of students. The website has been redesigned to making searching for specific topics and objectives easier.
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Outstanding Student Abstracts
Congratulations to John Trainor, Laura Esch, Eddy Tera, Clare Lenhart, and Samantha Johansen whose work was highlighted in our Student Abstract Award session. Clare Lenhart, a doctoral student at Temple, was this year’s recipient of the SHES student abstract award. Her paper was titled “Does Accuracy of Perceived Weight Status Impact Weight Loss Behaviors Among Ethnically Diverse Urban Adolescents: Implications for School Health Screening Programs”. In recognition for her work, Julia received an engraved plaque and a check from the Section in the amount of $200.
From Left to Right: Eddy Jara, Laura Esch, Clare Lenhard, Samatha Johnson, John Trainor
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Call for Nominations
This year we will be electing a new chair-elect, secretary-elect, a Section Governing Councilor, and two Section Councilors. Please nominate yourself or a friend for one of these leadership positions by e-mailing Dan Adame at firstname.lastname@example.org. If you are nominated to run for office, don’t shy away from that opportunity to enter into a leadership role. Elections will occur in the spring, so please look for the e-mail announcing Section voting. Last year only about 11 percent of our Section members voted. Even though we had a “low turnout,” that was better than most of the sections in the organization and was considerably better than the overall percentage of APHA members who voted in this past year’s election. But we can always do better!
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Coalition of National Health Education Organizations Update
Code of Ethics for the Health Education Profession
In 2008, the Coalition of National Health Education Organizations began the task of revising the Code of Ethics for the Health Education Profession. Under the leadership of Dr. Mal Goldsmith, the code of ethics has been revised and approved by all Coalition member organizations. This process began with first looking at the existing code and assessing each of the articles and sections to determine what was relevant in our profession in the 21st century and what was outdated. The task force then examined other professional codes of ethics related to health education to determine how they have changed to fit the times. The revised Code of Ethics represents a new era in the professional practice of health educators across the United States and serves as the key document guiding that practice.
The task force members included our own Terry Wessel (past Section chair) along with representatives from each of the other Coalition member organizations. The task force members were Michael Ballard, Brian Colwell, Suzanne Crouch, Mal Goldsmith (chairperson), Marc Hiller, Adrian Lyde, Lori Phillips, Catherine Rasberry, Raymond Rodriquez, and Terry Wessel.
The preamble and main articles of the Code follow. The complete Code of Ethics will be posted on CNHEO website at http://www.cnheo.org/ethics.htm
The Health Education profession is dedicated to excellence in the practice of promoting individual, family, group, organizational, and community health. Guided by common goals to improve the human condition, Health Educators are responsible for upholding the integrity and ethics of the profession as they face the daily challenges of making decisions. Health Educators value diversity in society and embrace a multiplicity of approaches in their work to support the worth, dignity, potential, and uniqueness of all people.
The Code of Ethics provides a framework of shared values within the professions in which Health Education is practiced. The Code of Ethics is grounded in fundamental ethical principles including: promoting justice, doing good, and avoidance of harm. The responsibility of each health educator is to aspire to the highest possible standards of conduct and to encourage the ethical behavior of all those with whom they work.
Regardless of job title, professional affiliation, work setting, or population served, Health Educators should promote and abide by these guidelines when making professional decisions.
Article I: Responsibility to the Public
A Health Educator's responsibilities are to educate, promote, maintain, and improve the health of individuals, families, groups and communities. When a conflict of issues arises among individuals, groups, organizations, agencies, or institutions, health educators must consider all issues and give priority to those that promote the health and well-being of individuals and the public while respecting both the principles of individual autonomy, human rights and equality.
Article II: Responsibility to the Profession
Health Educators are responsible for their professional behavior, for the reputation of their profession, and for promoting ethical conduct among their colleagues.
Article III: Responsibility to Employers
Health Educators recognize the boundaries of their professional competence and are accountable for their professional activities and actions.
Article IV: Responsibility in the Delivery of Health Education
Health Educators deliver health education with integrity. They respect the rights, dignity, confidentiality, and worth of all people by adapting strategies and methods to the needs of diverse populations and communities.
Article V: Responsibility in Research and Evaluation Health Educators contribute to the health of the population and to the profession through research and evaluation activities. When planning and conducting research or evaluation, health educators do so in accordance with federal and state laws and regulations, organizational and institutional policies, and professional standards.
Article VI: Responsibility in Professional Preparation Those involved in the preparation and training of Health Educators have an obligation to accord learners the same respect and treatment given other groups by providing quality education that benefits the profession and the public.
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Health Materials Contest Announcement
TWENTY-FIRST Annual APHA Public Health Materials Contest
The APHA Public Health Education and Health Promotion Section is soliciting your best health education, promotion and communication materials for the 21st annual competition. The contest provides a forum to showcase public health materials during the APHA Annual Meeting and recognizes professionals for their hard work.
All winners will be selected by panels of expert judges prior to the 139th APHA Annual Meeting in Washington, D.C. A session will be held at the Annual Meeting to recognize winners, during which one representative from the top materials selected in each category will give a presentation about the winning material.
Entries will be accepted in three categories; printed materials, electronic materials, and other materials. Entries for the contest are due by March 25, 2011. Please contact Stephanie Parsons at email@example.com for additional contest entry information.
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Conferences and Publications
Registration Now Open for APHA Midyear Meeting — "Implementing Health Reform: A Public Health Approach"
Registration is now open for APHA’s Midyear Meeting: Implementing Health Reform — A Public Health Approach. Join public health colleagues and partners in Chicago, June 23-25, to better understand the health reform law and its implications from a public health perspective. Gain the tools needed for implementing the provisions of the Affordable Care Act and for improving health outcomes in communities across the country. The early-bird registration deadline is April 15. To register or for more information, visit http://www.apha.org/midyear
National Association of School Nurses Annual Conference
Marriott Wardman Hotel, Washington, D.C.
Conference dates: June 30 - July 3, 2011 (pre-conference June 29)
The highlight of NASN 2011 will be a “Trip to the Hill” to meet with legislators and discuss school nursing. As always, the Endowment Fund and Annual Banquet will enable you to renew friendships and exchange experiences, and the Exhibitors’ Reception provide an opportunity to talk with NASN exhibitors and sponsors.
Society for Prevention Research
Prevention Scientists Promoting Global Health: Emerging Visions for Today and Tomorrow
Hyatt Regency Hotel, Washington, D.C.
Conference dates: May 31-June 3, 2011
The Society for Prevention Research envisions a wellness-oriented society in which evidenced-based programs and policies are continuously applied to improve the health and well being of its citizens, fostering positive human development and citizens who lead productive lives, in caring relationships with others.
14th Annual Health Education Advocacy Summit
Sponsored by the National Health Education Organizations (CNHEO)
Washington Court Hotel, Washington D.C.
Conference dates: March 5-7, 2011
The National Health Education Advocacy Summit and Congressional Briefings comprise two- to three-day meetings during which participants receive either basic or advanced-level advocacy training, briefings on specific legislative issues by experienced professionals from the government relations staffs of key public health organizations, and arrange and conduct visits, either individually or in state delegations, with members of Congressional representatives or other Federal officials in Washington, D.C.
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School Health Education and Services Newsletter Archives