1. The New York Academy of Medicine Office of School Health Programs Promoting the Health of New York City Public School Students and Families through a Public-Private Partnership American Public Health Association November 7, 2007

2. History…

3. Office of School Health Programs John V. Waller, MD with Pia Lindstrom of NBC News

4. Office of School Health Programs 1978 Committee on Medicine and Society creates Subcommittee 1978 Committee on Medicine and Society creates Subcommittee on Health Education. on Health Education. 1979 Private-public sector coalition is established 1979 Private-public sector coalition is established to start a demonstration project in NYC to start a demonstration project in NYC public schools. public schools. 1983 City Council provides $1.3 million for the 1983 City Council provides $1.3 million for the Growing Healthy in New York City Growing Healthy in New York City program. program. 1984 Growing Healthy in New York City is designated 1984 Growing Healthy in New York City is designated the official health curriculum for the public schools. the official health curriculum for the public schools.

5. Corporations and Foundations NYC Department of Education FederalGovernment Health and Mental Hygiene Community-Based Organizations NYC Department of Education Regions NYS Department of Education Coalition for School Health Education Health Agencies

6. Office of School Health Programs Mission To provide children in the New York City public schools with the knowledge and skills needed to make informed decisions about good health practices over a lifetime.

7. Curriculum for students, grades K-6 Curriculum for students, grades K-6 Providing training for elementary Providing training for elementary school classroom teachers school classroom teachers Monitoring implementation Monitoring implementation How was this done?

8. The New York Academy of Medicine Office of School Health Programs Private Sector Support Department of Education Support 1979 - 2007

9. The New York Academy of Medicine Office of School Health Programs

10. The New York Academy of Medicine Office of School Health Programs

11. The New York Academy of Medicine Office of School Health Programs

12. Comprehensive Health Education Curriculum NutritionNutrition Personal Health & FitnessPersonal Health & Fitness Mental and Emotional HealthMental and Emotional Health Family Life EducationFamily Life Education Substance Use & Abuse PreventionSubstance Use & Abuse Prevention Injury & Violence PreventionInjury & Violence Prevention Disease Prevention & ControlDisease Prevention & Control Consumer HealthConsumer Health Community HealthCommunity Health Environmental HealthEnvironmental Health Content Areas

13. Managing Stress Managing Stress and Emotions and Emotions Finding Resources Finding Resources Managing Health Managing Health over a Lifetime over a Lifetime Assessing InformationAssessing Information Analyzing InfluencesAnalyzing Influences InterpersonalInterpersonal Communication Communication Setting and AchievingSetting and Achieving Goals Goals Making DecisionsMaking Decisions Self AssessmentSelf Assessment Risk AssessmentRisk Assessment Advocating for HealthAdvocating for Health Health and Life Skills Comprehensive Health Education Curriculum

14. Teacher Training Workshops Interactive Interactive Based on adult learning theory Based on adult learning theory Designed to prepare teachers Designed to prepare teachers to help students learn health to help students learn health information and skills information and skills Focus on teaching strategies to actively engage students, Focus on teaching strategies to actively engage students, for example: for example: -role-playing -case studies -cooperative learning -role-playing -case studies -cooperative learning -simulations -experiments -action planning -simulations -experiments -action planning Include modeling, practice and feedback Include modeling, practice and feedback

15. Office of School Health Programs Today…

16. Programs for Teachers

17. For Teachers… Skills-based Comprehensive Health Education, K-12 Skills-based Comprehensive Health Education, K-12 - Managing Stress - Managing Stress - Handling Sensitive Issues in the Classroom - Handling Sensitive Issues in the Classroom Online Health Education Curriculum Resource Center, Online Health Education Curriculum Resource Center, in collaboration with the Library in collaboration with the Library The Wonders of Skin: Looking Good, Being Healthy The Wonders of Skin: Looking Good, Being Healthy

18. The Wonders of Skin: Looking Good, Being Healthy Skin Health Education Program  Multi-cultural, skills-based education  Topics include sun-safety, tattooing and body piercing, acne, herpes, skin disorders and disease, skin care, etc.  Program includes:  Professional development training workshops for  Professional development training workshops for teachers and other school-based health professionals teachers and other school-based health professionals conducted by Academy staff and local dermatologists conducted by Academy staff and local dermatologists  Curriculum modules, 4 levels, K-12  Curriculum modules, 4 levels, K-12  Educational materials for students, parents and families  Educational materials for students, parents and families  National dissemination

19. The Wonders of Skin: Looking Good, Being Healthy Skin Health Education Program National Dissemination  San Francisco  Minneapolis  St. Paul Philadelphia   New York City  State of Maine  Atlanta   Miami-Dade County  Westchester, NY   San Antonio  Houston  Current Sites  Confirmed Sites 2007  Boston   State of Delaware  Austin  New Brunswick, NJ  Macon, GA - Bibb County  Austin Baltimore   Las Vegas   Costa Mesa, CA

20. The Wonders of Skin: Looking Good, Being Healthy Skin Health Education Program Implementation Process  American Skin Association identifies a local dermatologist.  Academy staff works with the dermatologist to establish a relationship with the local school district.  Academy staff works with school district or city government leadership to introduce the Wonders of Skin: Looking Good, Being Healthy for schools, K-12.  Based on local needs, the Academy staff arranges professional development training workshops for teachers, nurses and school staff.  Academy staff and the local dermatologist conduct and assess the training workshops.  The dermatologist continues to work with the school district as needed.

21. Teacher training workshop on skin health and sun safety. The Wonders of Skin: Looking Good, Being Healthy Skin Health Education Program

22. A teacher consulting with a dermatologist at a training workshop about his exposure to UV light. The Wonders of Skin: Looking Good, Being Healthy Skin Health Education Program

23. Promoting Mental and Emotional Health for Promoting Mental and Emotional Health for Parents, Caregivers, and Families Parents, Caregivers, and Families Handling Stress at Home Handling Stress at Home Managing Anger in the Family Managing Anger in the Family Talking about Sensitive Issues Talking about Sensitive Issues Partnering with English and Spanish Speaking Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes Parents to Prevent Obesity and Diabetes Programs for Parents and Families

24. Program Goals  To build the capacity of the Parent Coordinators and school staff to implement school-wide health promotion school staff to implement school-wide health promotion activities using promising evidence-based obesity activities using promising evidence-based obesity prevention strategies. prevention strategies.  To build the capacity of parents and caregivers to help them make better food choices and increase physical them make better food choices and increase physical activity for themselves and their families. activity for themselves and their families. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

25. Program Components  Professional Development  Interdisciplinary School-Community Team  Teachers and School Staff  Workshop Series for Parents and Families  School-wide Health Promotion Activities  Ongoing Consultation and Technical Assistance  Evaluation Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

26.  Training workshops for the Interdisciplinary School- Community Team to make policy and environmental changes and conduct school-wide obesity prevention activities.  Administrators  Teachers  Counselors  School Staff  Parent Coordinator  Food Service Workers  School Nurse  Parents and Family Members  Community members who can assist in creating a healthier school  Training workshops for teachers to integrate obesity prevention information and skills into the curriculum. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes Professional Development

27. Interactive Workshop Series for Parents and Families 1. Overview of Nutrition, Obesity, and Diabetes 2. Disease Prevention and Creating a Healthy Lifestyle 3. Cultural Perspectives in Health and Stress Management 4. Shopping, Cooking, and Eating Together 5. Asthma and Obesity 6. Using the Internet as a Health Resource Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

28. Bi-lingual Curriculum & Resources Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

29. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes Interdisciplinary team developing action plan for obesity prevention policies at school.

30. Using interactive strategies to help administrators and interdisciplinary team build communication and teamwork. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

31. Parents estimating how many packets of sugar are in various sizes of soda beverages to understand the link between beverage consumption and obesity and diabetes. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

32. A mother and daughter differentiating between a portion and a serving size. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

33. Parents learning about incorporating physical activity into daily routines and practicing strength resistant exercises using Dynabands. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

34. Sample Ideas of School-wide Health Promotion Activities  School and Community Health Resource Fair  Healthy Mentoring Program  Older students mentoring younger students in healthy nutrition and physical activity  Untraditional Physical Activities After-School  Hip Hop, Tango, Salsa, etc.  Active games such as “Dance Dance Revolution”  Recess for All Ages  Family walks, family sport days, hikes, races, a gym class routine, etc.  If You Grow It, They Will Eat It!  Community gardening to improve access to fresh fruits and vegetables.  Healthy Families Cook Together  Families cooking nutritious meals and eating as a group. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

35. Ongoing Consultation and Technical Assistance  Provide information and resources through various methods including:  Site visits  Classroom visits  Meetings  E-mail/Internet  Phone contact Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

36. Evaluation  Formative evaluation on program development.  Process evaluation on implementation, level of involvement in locally developed school wide activities, and policy and environmental changes. Partnering with English and Spanish Speaking Parents to Prevent Obesity and Diabetes

37. Programs for Students  The Junior Fellows Program  The Scholars Program

38. Partnerships New York City Department of Education Academic Medical Centers The New York Academy of Medicine Office of School Health Programs The Library

39. The Junior Fellows Program Partnership with Academic Medical CenterPartnership with Academic Medical Center Online community (Resources on Health Careers and Networking)Online community (Resources on Health Careers and Networking) Research Poster SessionResearch Poster Session Culmination CeremonyCulmination Ceremony Induction Induction Library Research Skills Instruction Library Research Skills Instruction Hospital & Laboratory Visits Hospital & Laboratory Visits Health Careers Days Health Careers Days Science Enrichment Seminars Science Enrichment Seminars Course Outline

40. Junior Fellows participating in a Science Enrichment Seminar on Epidemiology at the Academy. The Junior Fellows Program

41. A Junior Fellow discussing her research summary with Dr. Boufford. The Junior Fellows Program

42. Scholars learning about issues in immigrant health care. The Scholars Program

43. A Scholar using a microscope at Weill Medical College of Cornell University. The Scholars Program

44. Curriculum Development

45. Contact Information Leslie Goldman, MAPHONE: (212) 822-7265 Director FAX: (212) 348-2238 Office of School Health ProgramsE-MAIL lgoldman@nyam.org The New York Academy of Medicine 1216 Fifth Avenue New York, NY 10029 Edward Diller, MPHPHONE: (212) 822-7267 Senior Project Director FAX: (212) 348-2238 Office of School Health ProgramsE-MAIL:ediller@nyam.org The New York Academy of Medicine 1216 Fifth Avenue New York, NY 10029