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每所学校都健康：一个城市学校案例研究。

Every School Healthy: An Urban School Case Study.

机构信息

Buffalo Public Schools, Office of Whole Child Initiatives, 58 Lantern Ln., Amherst, NY, 14211, USA.

Buffalo Public Schools, 84 Lorraine Avenue, Buffalo, NY, 14220, USA.

出版信息

J Sch Health. 2020 Dec;90(12):1045-1055. doi: 10.1111/josh.12965.

DOI:10.1111/josh.12965
PMID:33184881
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7702147/
Abstract

BACKGROUND

In this case study, multiple participants in a large urban school district used the Whole School, Whole Community, Whole Child (WSCC) model to guide development of a district wellness policy. The model's health education component is highlighted, focusing on concerns for special needs students and ones speaking English as a New Language (ENL).

METHODS

Organizational structure was developed around the WSCC model and district wellness policy implementation through coordination, collaboration, and communication (3Cs) of programs, policies, and processes/practices (3Ps).

RESULTS

The WSCC approach guided the creation of a district wellness policy that influenced programming for students with special needs and required Youth Risk Behavior Survey (YRBS) data collection. Using YRBS and School Health Index (SHI) data in planning sexual health education illustrated improvements over time. Formation of the School Health and Wellness Collaborative under WSCC improved family engagement in sexual health education programs and practices. Relationships were established with community partners to impact student's sexual risk behaviors. Finally, the district co-created and implemented an evidenced-based sexual health curriculum, modifying it for special education and ENL students.

CONCLUSIONS

The WSCC approach is system changing. It takes time to develop the relationships vital to improve the 3Cs and 3Ps. Success is enhanced with a district wellness coordinator, the right people at the table, valid health data, and administrative and board support.

摘要

背景

在这个案例研究中，一个大型城市学区的多名参与者使用“学校-社区-儿童全人健康模式”（WSCC）来指导制定区健康政策。突出了该模式的健康教育部分，重点关注特殊需求学生和英语作为新语言（ENL）学生的问题。

方法

组织结构围绕 WSCC 模式和区健康政策的实施而建立，通过协调、合作和沟通（3Cs）的计划、政策和流程/实践（3Ps）。

结果

WSCC 方法指导制定了区健康政策，该政策影响了特殊需求学生的计划，并要求收集青少年风险行为调查（YRBS）数据。使用 YRBS 和学校健康指数（SHI）数据进行性健康教育规划，随着时间的推移取得了改进。在 WSCC 下成立学校健康与健康协作组织，改善了家庭对性健康教育计划和实践的参与度。与社区合作伙伴建立了关系，以影响学生的性风险行为。最后，该地区共同制定和实施了一项基于证据的性健康教育课程，为特殊教育和 ENL 学生进行了修改。

结论

WSCC 方法是系统变革。发展关系需要时间，这对于改善 3Cs 和 3Ps 至关重要。有了区健康协调员、合适的人员、有效的健康数据以及行政和董事会的支持，成功的可能性就会增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/880720a247a3/JOSH-90-1045-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/b157be439b3d/JOSH-90-1045-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/bac308cd3fe8/JOSH-90-1045-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/880720a247a3/JOSH-90-1045-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/b157be439b3d/JOSH-90-1045-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/bac308cd3fe8/JOSH-90-1045-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82dc/7702147/880720a247a3/JOSH-90-1045-g003.jpg

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J Sch Health. 2020 Jun;90(6):465-473. doi: 10.1111/josh.12896. Epub 2020 Mar 27.
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Births: Final Data for 2015.出生情况：2015年最终数据。
Natl Vital Stat Rep. 2017 Jan;66(1):1.
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Supporting the whole child through coordinated policies, processes, and practices.通过协调一致的政策、流程和实践来支持儿童的全面发展。
J Sch Health. 2015 Nov;85(11):795-801. doi: 10.1111/josh.12306.
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Strength and comprehensiveness of district school wellness policies predict policy implementation at the school level.学区健康政策的力度和全面性可预测学校层面的政策执行情况。
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Healthier students are better learners: a missing link in school reforms to close the achievement gap.健康的学生是更好的学习者：弥合学业成绩差距的学校改革中的缺失环节。
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