Healthy Campus Mid-Atlantic College Health Association Lancaster, Pennsylvania October 2004

Healthy Campus Healthy Campus 2010: Putting Concepts into Practice National Health Objectives in Higher Education Task Force members and presenters Alan J. Barnes, MDCM – University of Florida Karen A. Gordon, MPH –The College of New Jersey Sandra Samuels, MD-Rutgers University/Newark Lynne Logatto, FNP- Rutgers University/Newark Beth Poore-Bowman, FNP-Longwood University, Va.

Healthy Campus Blueprints for Healthier Educational Experiences in Higher Education

Healthy Campus Putting Concepts into Practice : Outline Describe the linkages- Healthy People 2010 & Healthy Campus 2010 Outline- what to assess, how to use Healthy Campus 2010 to develop strategies and interventions Develop data-based objectives with measurable outcomes Access and use data sources and national standards Illustrate concepts and practices

Healthy Campus Health Campus 2010: Healthy People 2010 A basis for: Defining health priorities of students, faculty and staff Curriculum guides for degree- oriented or continuing education programs Planning tool for development of services, facilities and funding Fostering campus/ community partnerships

Healthy Campus What is Healthy Campus 2010? A document based on a national plan A program and planning guide A collaborative process A systematic approach

Healthy Campus What are Healthy People 2010 and Healthy Campus 2010? Healthy People 2010 A national effort and prevention “blueprint” with two goals, 467 health objectives and ten leading health indicators to improve the health of all individuals and communities. Two National Goals: Increase quality and years of healthy life Eliminate health disparities Healthy Campus 2010 An adaptation of the HP2010 that addresses higher education communities. The 178 health objectives selected are relevant for student populations and people working in campus settings. Goals for Higher Education:

Healthy Campus Healthy People 2010 – A Brief History 1979 – Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention 1980 – Promoting Health/Preventing Disease: Objectives for the Nation 226 targeted health objectives for the decade, 1980 to – The 1990 Health Objectives for the Nation: A Mid-course Review Half of objectives likely to be achieved, problems and disparities persist

Healthy Campus Healthy People 2010 – A Brief History 1990 – Healthy People 2000: National Health Promotion and Disease Prevention Objectives 2000 – Healthy People 2010:Understanding and Improving Health Objectives for Improving Health 3 goals, 4 domains, 22 health priority areas, 319 objectives Tracking Healthy People goals, 10 leading health indicators, 28 focus areas, 467 objectives

Healthy Campus Healthy People 2010 Key Elements 1. Goals Provide general focus and direction 2. Objectives Specify desired measurable changes 3. Determinants of Health 4. Health Status

Healthy Campus A Systematic Approach to Health Improvement

National Center for Health Statistics Health Status: I. Leading Causes of Death A. Overall – Heart Disease 2. Malignant Neoplasm 3. Cerebrovascular 4. Chronic Respiratory 5. Unintentional Injury 6. Diabetes 7. Pneumonia/Influenza 8. Alzheimer’s 9. Nephritis 10. Septicemia A. 15 to Unintentional Injury 2. Homicide 3. Suicide 4. Malignant Neoplasm 5. Heart Disease 6. Congenital Anomalies 7. Chronic Respiratory 8. HIV 9. Cerebrovascular 10. Pneumonia/Influenza

Healthy Campus Health Status: II. Leading Causes of Death Tobacco use435, Poor diet and physical inactivity400, Alcohol Consumption 85, Microbial Agents 75, Toxic Agents 55, Motor vehicle accidents 43, Firearm use 29, Sexual behavior 20, Illicit drug use 17,000

Healthy Campus Why Healthy Campus 2010? What influences student educational experience and campus health? List four situations, problems, or events that influence a student’s campus experience, academic participation or ability to stay in school Action Step 1 : Check which relate to HP2010 goals, leading health indicators or focus areas?

Healthy Campus Leading Health Indicators Ten Major Public Health Issues 1.Physical activity 2.Overweight and obesity 3.Tobacco use 4.Substance abuse 5.Responsible sexual behavior 6.Mental health 7.Injury and violence 8.Environmental quality 9.Immunization 10.Access to health care

*(HP/HC/Baseline Data) From Healthy People 2010 to Healthy Campus Focus Areas 1. Access to Quality Health Services (16/6/1)* 2. Arthritis, Osteoporosis & Chronic Back Conditions (11/0/0) 3. Cancer (15/3/2) 4. Chronic Kidney Disease (8/0/0) 5. Diabetes (17/4/3) 6. Disability & Secondary Conditions (13/2/1) 7. Educational & Community-Based Programs (12/5/1) 8.Environmental Health (30/8/0) 9.Family Planning (13/6/5) 10.Food Safety (7/3/0) 11.Health Communication (6/3/0) 12.Heart Disease & Stroke (16/6/2) 13.HIV (17/4/3) 14. Injury and Violence Prevention (39/20/13)

*(HP/HC/Baseline Data) From Healthy People 2010 to Healthy Campus Focus Areas 15. Maternal, Infant, & Child Health (23/3/0) 16. Immunization & Infectious Diseases (31/8/1) 17. Medical Product Safety (6/6/0) 18. Mental Health & Mental Disorders (14/6/2) 19. Nutrition & Overweight (18/15/4) 20. Occupational Safety & Health (11/6/0) 21. Oral Health (17/3/1) 22. Physical Activity & Fitness (15/11/3) 23. Public Health Infrastructure (17/11/0) 24. Respiratory Diseases (17/4/1) 25. Sexually Transmitted Diseases (19/9/6) 26. Substance Abuse (25/17/5) 27. Tobacco Use (21/8/1) 28. Vision and Hearing (18/3/0)

Healthy Campus Why Healthy Campus 2010 ? The Campus as a Community Students, Faculty, Staff Residences Health Care Facilities Recreational and Cultural Facilities Social Centers Employers Research and Production Facilities The Students 2/3 of high school graduates More than 15 million students Annual turnover Lives in transition Future leaders, policymakers, role models International students

Healthy Campus What do you Have? Student’s Campus Experience: Assets Inventory Action Step2: Individual assets How do YOU influence or affect students’ educational experience? List two ways : What professional skills, talents or resources to do you contribute to a student’s educational experience? List two skills: Action Step 3: Organizational assets How does your office, department or service contribute to a healthy educational experience or campus environment? List two contributions:

Healthy Campus Develop Campus-Specific Goals and Objectives 1. Review mission in the institution 2. Review objectives in Healthy Campus Select focus areas and objectives relevant to your campus 4. Conduct needs assessment for target populations; use valid data sources 5. Connect objectives with priority campus health problems, institutional mission

Healthy Campus From Healthy People 2010 to Healthy Campus 2010 Review selected Objectives from Healthy Campus 2010 Identify which health risk areas and objectives are relevant to your campus, because of… –Student academic performance –Campus atmosphere –Image of school –Safety concerns –Patterns of use for health services –Insurance claims

Healthy Campus Examples of HP2010 Objectives for Higher Education 7-3b2. Increase the proportion of college students who have received information on alcohol and other drug use prevention. –Baseline 47.5%, 2010 Target 55% 26-11b. Reduce the proportion of college students engage in episodic high risk (binge) drinking of alcoholic beverages in the past two weeks. –Baseline 39%, 2010 Target 20%

Healthy Campus From Healthy People 2010 to Healthy Campus 2010 Assessing Relevance and Priority Example: HP2010 Focus Area 1 Access to Quality Health Services Goal: Improve access to comprehensive, high-quality health care services Objective- Clinical Preventive Care 1-1:Increase the proportion of persons (and college students) with health insurance. -Primary Care 1-4: Increase the proportion of persons )and college students) who have a specific source of ongoing care 1- 4c: adults aged 18 years and older

Healthy Campus Identify target population for each objective: Students What data do you have? 1. Gender 2. Age 3. School Status: Undergraduate/ Graduate 4. Academic Program 5. Housing: On campus/Off campus 6.Ethnicity 7.Race 8.Religion 9.Fraternities/ Sororities 10. Athletes 11. High Risk

Healthy Campus

Healthy Campus Healthy Campus 2010: Priorities 1. Social and emotional health 2. Coping with stress 3. Psychological relationship to food 4. Sexual health 5. Nutrition 6. Unintentional and Intentional Injury 7. Alcohol and other drugs 8. Tobacco 9. Health services cost 10. Insurance availability 11. Institutional links

Healthy Campus From Healthy People 2010 to Healthy Campus 2010 Sample objectives: 1-1,1-4, 7-3, 26-11b, 27 1/2 Action Step 4: How do they apply to your campus? For whom is… 7.3 a priority? For whom is…. 27 1/2 a priority? What data from your campus do you have to support or describe these objectives?

Healthy Campus From Healthy People 2010 to Healthy Campus 2010 Action Step 5: Who is aware of health priorities? What data from your campus do you have to support or describe these objectives? Who is ready for action?

Healthy Campus Establishing awareness, priorities and action Action Step 6: List and connect to identified health priorities Existing structures: college council, student government, faculty senate, student life, health services, academic affairs, athletics, president’s office New structures: staff working committees, student organizations, student/faculty committee, special interest groups

Healthy Campus Generate Campus Interest and Involvement 1. Establish Healthy Campus 2010 Task Force 2. Initiate future-oriented dialogue across departments 3. Offer a course on National Health Objectives 4. Recommend Healthy People 2010 as a textbook for a course 5. Promote awareness of health priorities through news media 6. Administer National College Health Assessment or other established instrument

Healthy Campus Summary Data needed? Conduct more detailed analyses; use health problems worksheet. Describe most important health problems to be addressed in the short term (this year) and long term (over the next two to five years.) Develop a working team or committee to address the problems selected. Identify goals and write health objectives that are relevant to your institution.

Healthy Campus HP2010 Campus examples Longwood University-Rural campus –Tobacco –Sexual Assault Rutgers University/Newark-Urban campus -HP2010 as a basis for planning interventions

Healthy Campus Resources Office of Disease Prevention and Health Promotion & ACHA U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 738G 200 Independence Avenue, S.W. Washington, DC Healthy People WONDER provides a single point of access to a wide variety of reports and numeric public health data. American College Health Association P.O. Box Baltimore, MD Healthy Campus

Healthy Campus Your next steps…. Purchase a manual Establish a health committee Collect data Assess influences Determine available resources Determine campus health priorities Set objectives Develop action plan Implement Measure your success