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Education Development Center, Inc. Volume 5, Number 2, May 2000
INSIDE FROM THE EDITOR
Unprecedented Resources and
From the Editor .............................................................. 1 Opportunity
Healthy People 2010 ..................................................... 3 Improving access to treatment, expanding health in-
Mental Health Report ..................................................... 3 surance coverage, and streamlining HMO administra-
Kolbe Comments ........................................................... 3 tion are thorny, pressing issues that command our at-
Federal Interagency Committee ....................................... 4
tention and are likely to persist over the coming years.
Equally compelling to public health practitioners is
ATOD Use Among Students ............................................ 5
the unprecedented opportunity to apply billions of
States Direct Settlement Funds ......................................... 6
dollars to health promotion and disease prevention,
Focus on Tobacco Settlements and CSHPs ........................ 7 thanks to the $206-billion tobacco settlement windfall.
Making Health Academic ............................................... 8
After School Programs ................................................... 9 This settlement, along with the new Healthy People
Surveys Examine Sex Education Policy ............................ 9
2010 initiative and the Surgeon General’s mental
health report, creates unequaled opportunities for
GLBTQ Youth of Color Work Group ................................ 10
CSHP advocates to change the face of student health
Prevention Research ....................................................... 10
across the nation.
CVD, Cancer, Diabetes Reduction ................................... 12
USDA Nutrition Grants .................................................. 12 Tobacco use is the single leading preventable cause of
Maryland Breakfast Program .......................................... 13 death in the United States. Yet despite a recent de-
Ohio Oral Health Initiative ............................................. 13
cline in the proportion of teens who smoke cigarettes,
tobacco use remains a serious problem. According to
Health in Education Network .......................................... 14
the CDC, each day more than 6,000 youth under age
AAP Guidelines ............................................................. 15
18 try their first cigarette and more than 3,000 become
Kentucky Evaluation Study .............................................. 15 daily smokers.
EPA Launches SunWise Program ..................................... 16
HIV/AIDS Among Minority Men ..................................... 16 The first payment of tobacco settlement revenues was
New York Academy of Medicine Establishes Council ........ 16
released to states in mid-December. As governors and
state legislatures explore proposals to distribute these
Coaching Association Established ................................... 17
funds, the task forces and committees they use for this
CHIP Outreach .............................................................. 17
purpose become forums in which CSHP advocates can
Resources ...................................................................... 18 promote disease prevention and health promotion.
Websites ....................................................................... 23
Conferences .................................................................. 24 The Surgeon General’s Healthy People 2010 initiative
Journals ........................................................................ 27
also provides leverage for promoting healthier lifestyles
among schoolchildren. Two of its 10 leading health
Glossary ....................................................................... 28
indicators set objectives for increasing the proportion
Special Insert: National Training Partnership
continued on page 2
School Health Program News
The publication of this newsletter is made possible by coop- of adolescents who engage in vigorous physical activity and
erative agreement number U87/CCU110236 and contract for reducing the proportion of children and adolescents
number 200-95-0937 from the U.S. Centers for Disease
who are overweight or obese.
Control and Prevention, National Center for Chronic Dis-
ease Prevention and Health Promotion, Division of Ado-
While poor nutrition, obesity, and lack of physical activity
lescent and School Health. Its contents are solely the re-
sponsibility of the authors and do not necessarily represent are increasingly problems not just for adults, but also for
the official views of the U.S. Centers for Disease Control toddlers, children, and adolescents, junk-food marketers
and Prevention. target schools to improve sales of their products. As more
young people are consuming fats, we see a 50-percent drop
in students’ daily participation in physical education.
Twenty-five percent of U.S. children are overweight or at
risk for it, increasing their risk for cardiovascular disease.
PROGRAM NEWS
Staff The publication of the Surgeon General’s mental health
report reenergizes us to focus on public health practices
Editor Evelyn Frankford
that seek to identify risk factors for mental health problems;
Associate Editor Melanie Adler to mount preventive interventions that may block the emer-
gence of severe illnesses; and to actively promote good
Technical Monitors Deborah Haber, mental health. This constitutes a prescription for school-
Tim Dunn based mental health.
School Health Program News
In this issue of the News, you will find information about
Education Development Center, Inc.
55 Chapel Street these initiatives. I look forward to hearing from you about
Newton, MA 02458-1060 your activities to embrace these opportunities for coordi-
(617) 969-7100 nated school health programs.
(800) 225-4276
Evelyn R. Frankford, Editor
These symbols indicate
resources that may interest you.
School Health Program News is published three
times per year: January, May, and September.
We invite organizational and resource informa-
tion and articles that discuss issues of general
interest. Deadlines for submission are Novem-
ber 24, March 24, and July 26.
2
May 2000
Surgeon General Launches Public Health Initiatives
HHS Secretary and Surgeon abuse, responsible sexual behavior, Dr. Kolbe Comments on New
General Launch Healthy mental health, injury and violence, Federal Initiatives
environmental quality, immuniza-
People 2010 School Health Program News Editor
tion, and access to health care. The
U.S. Department of Health and indicators will measure the nation’s Evelyn Frankford interviewed Dr.
Human Services (HHS) Secretary progress by monitoring 467 objec- Lloyd Kolbe about the implications
Donna Shalala and Surgeon General tives grouped into 28 focus areas. for coordinated school health pro-
David Satcher, M.D., Ph.D., have grams of recent federal initiatives.
launched Healthy People 2010, the To download the full report or for (See articles elsewhere in this issue.)
nation’s health promotion and dis- more information about how to par-
ease prevention goals for the de- ticipate in follow-up activities EF: Please talk about the implications
cade. The goals focus on two major around the country, visit the Healthy for CSHPs of Healthy People 2010
themes: increasing the quality and People website at http:// and the Surgeon General’s Report
years of healthy life and eliminating www.health.gov/healthypeople/ or on Mental Health.
racial and ethnic disparities in call (800) 367–4725.
health status. LK: Among the more than 400
Healthy People 2010 objectives, 14
Satcher and Shalala showcased the address various components of
goals at the January 2000 confer- school health programs. These ob-
ence, “Partnerships for Health in the Mental Health Report Issues jectives include: school health edu-
New Millennium.” Over the past 100 Challenge cation on six behaviors; proper nurse
years, the nation has seen remark- to student ratio; school health cen-
able improvements in the quality of The Surgeon General’s landmark ters with oral health; weapon carry-
life for many Americans, noted report on mental health, released in ing on school property; tobacco-free
Satcher. For most, life expectancy December 1999, issues a challenge school environments; disabled stu-
rose dramatically and infant mortal- to communities, health and social dents in regular classes; healthy
ity dropped. However, not all Ameri- service agencies, policymakers, em- school meals and snacks; physical
cans benefited equally from those ployers, and citizens to take action, activity; head, face, eye, mouth pro-
advances. Certain minority popula- urging people to educate themselves tection; daily physical education re-
tions have poorer general health and others about mental health and quired; students participate in daily
and reduced life expectancy due to mental illness and to confront their physical education; physical activity
elevated rates of infant mortality, dia- attitudes, fears, and misunderstand- in physical education; access to
betes, heart disease, HIV/AIDS, and ings. The 460-page report, which school physical activity facilities;
other health problems. These dis- asserts that mental illness is a criti- worksites offer employee health pro-
parities exist because of differences cal public health problem, describes motion; and, increase high school
in access to health care, different the relationship between mental and completion rates.
lifestyle behaviors that affect health, physical health, encourages indi-
the complex effects of poverty, and viduals to seek treatment for men- The Surgeon General’s Report on
many other factors. Healthy People tal distress, and notes the availabil- Mental Health is groundbreaking,
2010 focuses on risk factors for dis- ity of medications and psychosocial pulling together a wide range of sci-
ease and death that can be influ- interventions that effectively treat entific knowledge about mental
enced by individual choice, such as most mental disorders. The report health and mental illness. The fore-
physical activity, weight control, to- also describes obstacles that may most finding of the Report is that
bacco use, substance abuse, and im- limit the availability or accessibility most children in need of mental
munizations, among others. of mental health services, citing stig- health services do not get them. In
matization of people with mental ill- the Report, schools are identified as
To measure progress in achieving ness as the most formidable. a prominent place both for identify-
the two goals, HHS unveiled a new ing mental disorders and providing
national health assessment tool, One of the report’s eight chapters needed services. In fact, the largest
“Leading Health Indicators,” that is devoted to children and mental provider of mental health services
covers physical activity, overweight health. The chapter describes the for young people 9–17 years old is
and obesity, tobacco use, substance forces that maintain children’s and the school system.
continued on page 4 continued on page 4
3
School Health Program News
Mental Health Report Issues Dr. Kolbe Comments on New few within CDC. DASH is pushing
Challenge (cont.) Federal Initiatives (cont.) ahead on an initiative that recog-
nizes that the most serious adult ill-
adolescents’ mental health and keep EF: The Mental Health Report lays
nesses—cardiovascular disease, can-
them on course to become mentally out a comprehensive approach that
cer, and diabetes—not only con-
healthy adults. It identifies factors encompasses the full continuum
sume the great majority of health
that may place some children at risk from mental health through mental
disorders and illnesses. How can we care resources but have their origins
for mental illness and others that
build on this work to address chil- in behaviors that begin during child-
may protect children from risk. The
hood. That is, by the time they
chapter also describes common dren and adolescent mental health?
graduate from high school 40% of
mental disorders that affect children
LK: We all need to do more to ad- our nation’s students smoke ciga-
and adolescents, what can be done
dress the mental health of young rettes, 73% do not eat enough fruits
to prevent or treat these conditions,
people. We need to understand how and vegetables, 43% do not engage
and how services can be designed
young people feel about their lives regularly in vigorous physical activ-
and operated to best suit the needs
and how these feelings contribute ity, and 25% are overweight or at risk
of children.
both to their well-being as well as to of overweight.
Other chapters describe mental many health risk behaviors, includ-
DASH has acquired resources to pro-
health and mental illness across the ing violence, drug abuse, and sexual
vide support for five more states (we
lifespan, noting how gender and behaviors. However, no consensus
exists about how to measure mental currently support 16 states) to build
culture, in addition to age, influence
health, in contrast to mental illness. the infrastructures they need to help
the diagnosis, course, and treatment
schools prevent tobacco use, poor
of mental illness; the organization Importantly, a recent estimate of the
diets, inadequate physical activity,
and financing of mental health ser- global burden of disease suggested
and obesity—as part of a coordi-
vices; privacy concerns, beginning that the leading cause of Disability
nated school health program. In
with the importance of an assurance Adjusted Life Years (DALYs) for 15-
to 44-year-olds worldwide is depres- addition, DASH will be providing
of confidentiality in individual deci-
sion. support for national and model state
sions to seek mental health treat-
efforts to systematically help schools
ment; and strategies for overcoming
EF: In the recently enacted federal prevent two public health problems
barriers to treatment.
budget, what new initiatives are that are growing more widespread
there that address the eight CSHP and more serious–food borne ill-
The Surgeon General’s report is the
product of a collaboration between components? nesses and asthma attacks and ab-
the National Institutes of Health sences.
(NIH), which supports and con- LK: There are numerous budget ini-
tiatives across and within Cabinet For more information, see CDC/
ducts research on mental illness and
level departments; let me focus on a DASH’s website: <http://
mental health through its National
www.cdc.gov/nccdphp/dash/>.
Institute of Mental Health (NIMH),
and the Substance Abuse and Men-
tal Health Services Administration Federal Officials Convene Interagency
(SAMHSA). The full report is avail-
able on the Surgeon General’s Committee on School Health
website which can be found at
The recently released Healthy and Consumer Services at the U.S.
<http://www.surgeongeneral.gov>.
People 2010 objectives offer “a good Department of Agriculture.
To receive a copy of the executive
summary call (877) 9-MHEALTH template for moving forward on
school health,” according to Lloyd Speakers from national nonprofits
(964-3258).
Kolbe, Ph.D., director of CDC’s Di- discussed ways their organizations’
vision of Adolescent and School partnerships with government could
Health. Kolbe and others discussed respond to the objectives. John
the objectives and their implications Seffrin, CEO of the American Can-
for school health at the February cer Society (ACS), stated that “to
meeting of the Interagency Commit- impact cancer, we need to advance
tee on School Health. The meeting the agenda for comprehensive
was chaired by Shirley Watkins, Un- school health education.” Sixty per-
der Secretary for Food, Nutrition, cent of cancers are preventable; ACS
4
May 2000
is devoting half of its research bud- Julie Bosland, Special Assistant to ATOD Use Among Students (cont.)
get to prevention and is partnering the Commissioner of the Adminis-
with CDC to implement local pre- tration on Children, Youth, and • The percentage of high school
vention marketing campaigns. Families (ACYF), told the group that students who currently smoke
the president has directed that bidis and kreteks (two new
George Hardy, new CEO of the As- agency to devise new CHIP outreach types of imported cigarettes) is
sociation of State and Territorial strategies using school-based pro- almost as high as the propor-
Health Officers (ASTHO), empha- grams. In addition, ACYF is imple- tion who use smokeless to-
sized that schools must take a strong menting a positive youth develop- bacco. These unfiltered brands
role in the key years when young ment initiative. Philip L. Smith, Ma- are harmful because they
people are forming health habits. ternal and Child Health Coordina- require deeper inhalation that
He also highlighted the importance tor for the Indian Health Service, damages the lungs more than
of partnerships with the federal gov- urged health professionals to find filtered American cigarettes.
ernment in infrastructure develop- lessons in success, such as learning
Findings from the school-based
ment. what children who are not obese are
NYTS are based on a nationally rep-
doing right.
resentative sample of students in
grades 6–12. A full report of the
NYTS is described in the article “To-
bacco Use Among Middle and High
School Students” appearing in the
Januar y edition of Morbidity and
Mortality Weekly Report (Volume 49,
Number 3). It also appears on the
Web at <http://www.cdc.gov/epo/
m m w r / p r e v i e w / m m w rh t m l /
mm4903a1.htm>.
Monitoring the Future
The 1999 Monitoring the Future
(MTF) study of American secondary
school students showed that, with a
L to r: John Seffrin, Lloyd Kolbe, Ph.D., David Satcher, M.D.,
few notable exceptions, adolescent
Shirley Watkins drug use in 1999 held steady, follow-
ing a slight decrease from the peak
levels reached in 1996 and 1997.
Reports Describe ATOD Use Among Students Little change was noted in the use
of marijuana, amphetamines, hallu-
National Youth Tobacco • 12.8 percent of middle school cinogens, tranquilizers, and heroin.
Survey students and 34.8 percent of Some decline was evident in stu-
high school students use some dents’ reports of inhalant use, and
The first national survey on smok- form of tobacco, including both eighth and tenth graders
ing among children ages 11 to 13 chewing tobacco, pipes, and showed a significant drop in the use
found that one of every eight had cigars. of crack cocaine. Finally, MTF data
used tobacco in some form, includ- indicate that the proportion of teens
• The low prevalence of current
ing unfiltered Asian cigarettes that who are current cigarette smokers
cigarette smoking observed
are considered more hazardous continues to decline. The study also
among black high school
than American brands. Data from showed that MDMA (“ecstasy”) use
students throughout the 1990s
the National Youth Tobacco Survey rose among older teens, as did the
is not found among middle
(NYTS), conducted during the fall use of anabolic steroids by males in
school students: blacks, whites,
of 1999 by the American Legacy their early to mid-teens. Data show-
and Hispanics all seem to be
Foundation, in collaboration with ing an unusual and distinct drop in
smoking at the same rates.
the CDC Foundation, showed the perceived risk and disapproval of
following: steroid use suggest that a historical
continued on page 8
5
School Health Program News
States Direct Tobacco Settlement Funds
The nation’s governors and legisla- For summary information on state participate in decisionmaking on
tors are now deciding how to spend tobacco settlement initiatives, visit tobacco funds, go to your state’s
tobacco settlement funds, which to- the NGA website (http:// website and enter “Tobacco Settle-
tal $206 billion nationally. Forty-four www.nga.org) or the NCSL website ment” in the Search box, or contact
states have opted to direct them to (http://www.ncsl.org). For informa- your school health coordinator in
school health, health education, and tion about your own state’s activities the State Education Agency.
other prevention initiatives. Gover- on settlement initiatives and how to
nors’ top priority for these revenues
is health initiatives, with education Total Payments to Each State Through 2025
a close second, according to the Na-
tional Governors’ Association Alabama $3,166,302,118.81 Nevada $1,194,976,854.76
(NGA). Because of the complexity Alaska $668,903,056.50 New Hampshire $1,304,689,150.27
of the settlement agreement, gover-
Arizona $2,887,614,909.02 New Jersey $7,576,167,918.47
nors in many states have convened
task forces to manage the decision- Arkansas $1,622,336,125.69 New Mexico $1,168,438,809.05
making process. States will have to New York $25,003,202,243.12
California $25,006,972,510.74
make plans to adjust to unpredict-
North Carolina $4,569,381,898.24
able payment schedules and levels, Colorado $2,685,773,548.89
decreased funds if cigarette sales fal- Connecticut $3,637,303,381.55
North Dakota $717,089,369.09
ter, and adjustments for inflation.
Ohio $9,869,422,448.51
Delaware $774,798,676.89
State legislatures, too, favor tobacco D.C. $1,189,458,105.56
Oklahoma $2,029,985,862.29
use prevention and health care ser- Oregon $2,248,476,833.11
Florida $0.00
vices, according to a National Con-
Pennsylvania $11,259,169,603.46
ference of State Legislatures (NCSL) Georgia $4,808,740,668.60
survey. More than 400 bills aimed at Rhode Island $1,408,469,747.28
Hawaii $1,179,165,923.07
allocating state tobacco settlement South Carolina $2,304,693,119.82
funds have been filed in state legis- Idaho $711,700,479.23
latures across the country, in addi- South Dakota $683,650,008.54
Illinois $9,118,539,559.10
tion to more than 300 related bills Tennessee $4,782,168,127.09
that address tobacco and youth. Indiana $3,996,355,551.01
Texas $0.00
Iowa $1,703,839,985.56
Maine’s treasurer has a website en- Utah $871,616,513.42
titled “What Should Maine Do with Kansas $1,633,317,646.19
Vermont $805,588,329.25
1.5 Billion Dollars: An Overview of Kentucky $3,450,438,586.10
Maine’s Tobacco Settlement” (http:/ Virginia $4,006,037,550.26
Louisiana $4,418,657,915.22
/ w w w. s t a t e . m e . u s . t r e a s u r e r / Washington $4,022,716,266.79
newsletter.htm) that outlines three Maine $1,507,301,275.81
West Virginia $1,736,741,427.33
basic options. Maine’s CSHP Key
Maryland $4,428,657,383.58
Advisory Committee, composed of Wisconsin $4,059,511,421.32
state-level non-governmental organi- Massachusetts $7,913,114,212.77
Wyoming $486,553,976.10
zations, will work with the executive Michigan $8,526,278,033.60
American Samoa $29,812,955.31
branch and legislators to educate
them about school health initiatives. Minnesota $0.00
N. Mariana Islands $16,530,900.80
Mississippi $0.00 Guam $42,978,803.27
States with proposals and legislation
Missouri $4,456,368,286.30
to direct tobacco settlement rev- U.S. Virgin Islands $34,010,102.11
enues to children’s health and wel- Montana $832,182,430.63 Puerto Rico $2,196,791,813.07
fare, including providing for the
Nebraska $1,165,683,457.48 Total Payments $195,918,675,920.00
uninsured, include Indiana, Ne-
braska, Alaska, Florida, Kansas, Ar-
Source: Master Settlement Agreement, National Association of Attorneys Gen-
kansas, and Montana. eral Website (http://www.naag.org)
6
May 2000
Focus: Tobacco Settlement & CSHPs
Four tobacco companies recently clinics, family planning, and SCHIP State CSHP infrastructure staff
settled out of court to compensate expansion. worked with schools, universities, and
46 states for the cost of treating health agencies to develop the
smoking-related illnesses of Medic- The Maine CSHP Key Advisor y funded school health proposal,
aid patients. The payments total Committee and the Maine School which builds on CSHP-related pro-
$206 billion over 25 years (which will Health Education Coalition, as well grams and initiatives, including
increase or decrease, depending on as many of their member organiza- school health education, safe and
the amount of cigarettes sold in each tions, testified in March before the drug-free schools, and after-school
state) and represent the largest Committee on Appropriations and programs, which are also funded in
chunk of money ever available for Financial Affairs about the impor- part through 21st Century Commu-
health promotion and tobacco pre- tance of directing tobacco settle- nity Learning Center grants. Strate-
vention initiatives (please see the ment funds to CSHPs. The various gies will include curriculum develop-
chart of payment levels for each state state partnerships expect to work ment, media literacy activities, smok-
on page 6). According to the agree- with state officials, the legislature, ing cessation groups, and after-school
ment, the four additional states and the media to ensure that CSHPs programs, led by youth, on tobacco
settled separately for $40 billion. participate fully in tobacco preven- media literacy and other life skills.
tion funding.
While many states are opting to ap- For more information contact:
ply the funds to anti-smoking initia- For more information on Maine’s
tives, there are no rules to restrict activities regarding tobacco settle- David F. Gunderson
the way the money is spent. In each ment funds and CSHPs contact: Interim Executive Director
issue of School Health Program News, Wisconsin Tobacco Control
this column will highlight state part- Bill Primmerman or DeEtte Hall Board
nerships that are working with gov- CSHP Coordinators E-mail: gundeedf@dhfs.wi.us
ernors, state legislatures, businesses, E-mail: Website: http://
government agencies, and nonprofit bill.primmerman@state.me.us www.dpi.state.us/dpi/dlsea/
organizations to direct this funding or deette.hall@state.me.us sspw
to CSHPs. We start this month with
Wisconsin Douglas White
Maine and Wisconsin.
Team Leader
Wisconsin is scheduled to receive Prevention and Wellness
Maine
$132.8 million in June, the first in- Team
stallment of its $4.06 billion over 25 Wisconsin Department of
Maine will receive $1.5 billion over
years. The funds will be adminis- Public Instruction
the next 25 years, and the governor
tered by a Tobacco Control Board E-mail:
and the legislature are considering
attached to the Department of douglas.white@dpi.state.wi.us
proposals and making decisions
about the use of the $50-million Health and Family Services and will
become part of the general revenues We at School Health Program News so-
share for 2000. licit reports about activities in your
of the state budget, subject to allo-
cation based on legislative action. state to invest tobacco settlement
Both the governor’s and the funds in CSHPs and create effective
legislature’s bills contain allocations coalitions of non-governmental orga-
to support school-community health The board solicits proposals and has
earmarked the funds for cessation nizations able to focus elected offi-
and youth tobacco prevention initia- cials on funding school health. Please
tives. The governor’s bill provides a and prevention, including school-
based programs, partnerships send summaries of your actions and
more comprehensive approach, au- strategic plans to:
thorizing funding to school districts among statewide organizations,
for CSHPs and CSHE, school-based marketing, and community-based
Melanie Adler
health centers, and university-based programs. One million dollars of
Associate Editor
pre-ser vice education on CSHP/ Wisconsin’s FY 2001 tobacco settle-
Phone: (617) 618-2309
CSHE. Both bills provide funding ment funding is budgeted for school
Fax: (617) 244-3436
for a state school nurse consultant, health, supplementing $1 million in
E-mail: Madler@edc.org
home visiting for children, dental an existing state-funded tobacco
control program started in 1999.
7
School Health Program News
ATOD Use Among Students (cont.) training. Chaired by Peter Doran, School, Family, and Community
Ph.D., president of the American Partnerships, have convened two
event—such as Mark McGwire’s re-
Lung Association of Maine, the com- interagency meetings to identify
ported use of steroids during the
mittee has met three times to spell next steps to advance local CSHPs.
year he set a new home run out its vision, mission, roles, and
record—may have given young boys responsibilities and to carry out ini- At the first meeting, participants
the impression that steroid use was produced a list of 77 existing state
tial tasks. The vision: All Maine stu-
safe and sanctioned. initiatives related to CSHPs. At the
dents will be actively engaged in a
coordinated school health program subsequent meeting, committee
Each spring, the MTF study, funded
throughout their academic career. members analyzed the list and con-
under a grant from the NIDA, sur-
cluded that expenditures need to be
veys nationally representative In consultation with EDC, the Com- attached to the initiatives.
samples of students in grades 8, 10, mittee has identified roles and re-
and 12. In 1999, a total of nearly Responding to the bureau chief’s
sponsibilities that include commu-
45,000 students in 433 public and request, EDC staff arranged for Con-
nicating with the State Children’s
private secondary schools partici- necticut officials to visit a Port
Cabinet; informing and educating
pated in the study. For further in- Chester, N.Y. middle school that has
the Legislature and the public about
formation on the MTF study con- the importance of CSHPs and re- been evolving a CSHP over a period
tact: lated services; and assisting the In- of years.
Lloyd D. Johnston terdepartmental Coordinating
Committee in the development of Wisconsin
Principal Investigator
a collaborative model that promotes
University of Michigan
school health. EDC provided technical assistance
Institute for Social Research
to staff at the Wisconsin Department
Phone: (734) 763-5043
A highlight of the Committee’s work of Public Instruction as they sought
Website: http://
thus far has been presenting testi- to strengthen their School Health
www.isr.umich.edu/src/mtf
mony supporting school health at Coalition’s capabilities and func-
the Legislature’s March hearings on tioning. With the tobacco settle-
tobacco settlement funding. The ment providing the state $170 mil-
Making Health Committee has also arranged for a lion this year, the Coalition seeks to
Academic Pursues special program on school health to actively advocate that some money
be broadcast on Maine’s public tele- be used for CSHPs (see article else-
Partnerships vision channel in May. where in this issue on tobacco settle-
ment issues). EDC worked with state
Through the Making Health Aca- EDC project staff are working with staff on building capacity to ensure
demic project, HHD/EDC is work- Maine CSHP staff to customize a effective NGO leadership of the
ing with Maine, Connecticut, and training program for the spring and Coalition and on developing strate-
Wisconsin to advance state-level summer to build capacity in mem- gies for engaging NGOs to coalesce
partnerships among government ber organizations and create a cadre around a common position state-
agencies, non-governmental organi- of volunteers who can present the ment even while they advance their
zations, universities, and school dis- CSHP message at the many fall state- own institutions’ mission.
tricts to promote and implement wide educational conferences.
coordinated school health programs We are actively seeking news about
at the state level and in local districts. Connecticut effective NGO-led state school
The project is funded by a CDC/ health coalitions in both infrastruc-
DASH cooperative agreement and HHD/EDC, in collaboration with ture and non-infrastructure states.
builds on the book Health Is Aca- SSDHPER, continues to assist Con- To provide us with this information
demic. necticut state agencies as they work and to obtain more information
together and plan for partnerships about the Making Health Academic
Maine with non-governmental organiza- project contact:
tions. Leslie Averna, associate com-
missioner for the Division of School Evelyn R. Frankford
EDC is helping to build Maine’s
Improvement in the Connecticut Project Director
CSHP Key Advisory Committee and
Department of Education, and Phone: (617) 618-2421
to develop capacity in its member or-
Eddie Davis, the bureau chief for E-mail: Efrankford@edc.org
ganizations through customized
8
May 2000
Mott Foundation, revealed that 92
After-School percent of Americans believe that
National Surveys
Programs Receive there should be some type of orga- Examine Sex
nized activity or after-school pro-
Funding gram for children and teens every Education Policy and
day. The poll showed that adults
Nearly $452 million will be infused want to see after-school programs Practices
into “community learning centers” provide children with a safe environ-
across the country as part of the U.S. ment; teach children respect for Two recent surveys of public school
Department of Education’s 21st Cen- people different from themselves; district principals and superinten-
tury Community Learning Centers provide structured adult supervi- dents provide insight into the varia-
program. The school-based centers sion, tutoring, and homework help; tions and nuances of sex education
provide enriched learning opportu- and teach ways to resolve conflict policy and curricula. The Kaiser
nities to children outside of the regu- with other young people. Studies by Family Foundation conducted a na-
lar school hours and during the sum- the FBI and youth advocacy groups tional telephone survey of 313 pub-
mer. “These funds will help keep kids have found that peak hours for ju- lic secondary school principals and
off the streets, out of trouble, and venile crime and victimization are found that most junior and senior
give many the extra help they need from 2 p.m. to 8 p.m.—when youth high schools took a comprehensive
to realize their full potential,” said are most often without supervision. approach to sex education that in-
Vice President Al Gore. The awards cludes information about contracep-
include $252 million in new grants A list of grantees and program con- tion and safer sex. Almost all sex
and $200 million to fund ongoing tacts is available on the USED education materials included mes-
programs. website at <http://www.ed.gov/ sages about abstinence, but only
PressReleases/12-1999/wh- one-third of schools promoted an
The 21st Century program, autho- 1220a.html>. Descriptions of each abstinence-only message.
rized under Title X, Part I, of the project are also available on the
Elementary and Secondary Educa- department’s website at <http:// However, the meaning of “compre-
tion Act (ESEA), enables schools to w w w. e d . g o v / 2 1 s t c c l c / hensive sex education” varied greatly
stay open longer to provide learning newawards.html>. For more infor- across schools. Fewer than half the
opportunities for children and mation contact: schools that reported taking a com-
adults. Schools offer youth tutoring prehensive educational approach
USED provided information about where
and homework help; academic en-
Phone: (800) USA-LEARN to get and how to use contraception
richment, technology education,
E-mail: 21stCCLC@ed.gov and condoms, and as many as one
drug and violence prevention coun-
seling, supervised recreational op- in two schools did not address more
portunities, and services for youth controversial topics, such as abor-
with disabilities. About 1,600 rural tion and sexual orientation.
and inner-city public schools in 468
communities currently participate in In a separate study, the Alan
the program. Guttmacher Institute (AGI) con-
ducted a nationwide assessment to
During his final State of the Union determine the extent to which sexu-
Address, President Clinton urged ality education policy focuses on
Congress to increase funding levels abstinence promotion. Among the
to $1 billion to help local communi- 7 in 10 public school districts report-
ties start or expand their afterschool ing a district-wide policy to teach
and summer school programs. This sexuality education, most required
appropriation would triple the num- that abstinence be promoted, either
ber of children served by after-school as the preferred option for teenag-
programs from 850,000 to 2.5 mil- ers or as the only option outside of
lion. marriage. Just 14 percent had a com-
prehensive policy that addressed
A 1999 national poll, funded by abstinence as one option in a
JCPenney in partnership with the broader educational program. Two-
thirds of district policies permitted
9
School Health Program News
discussion of the benefits of contra- with comprehensive and targeted LaRaza and COSSMHO. For more
ception. However, in the one-third prevention programs. The GLBTQ information contact:
of districts with an abstinence-only Youth of Color (YOC) subcommit-
policy, information about contra- tee will support schools and youth- Kathleen Somers
ception was either prohibited en- serving community-based organiza- Program Analyst
tirely or limited to discussion of its tions in the following ways: Division of Adolescent and
ineffectiveness in protecting against School Health
unplanned pregnancy and sexually • identifying and disseminating Phone: (770) 488-4477
transmitted diseases. information about prevention E-mail: KKS4@cdc.gov
strategies and services that
Results from the AGI study appear have been shown to work with
in the journal Family Planning Per- GLBTQ youth of color
spectives (November/December • providing information about Prevention Research
1999, Vol. 31, No. 6). For more in- the comparative health risk
formation contact: behaviors and resilience of Promotes Children’s
GLBTQ youth
Amy Weitz Health
• encouraging collaboration
Kaiser Family Foundation
among organizations working
2400 Sand Hill Road Researchers have launched Healthy
with GLBTQ youth of color
Menlo Park, California 94025 Futures, a new longitudinal study of
Phone: (650) 854-9400 One of the subcommittee’s primary 9,000 subjects ages 8–20. The study
Fax: (650) 854-4800 goals will be to help both educators is being conducted by CDC/DASH
Website: http://www.kff.org/ and researchers recognize the in partnership with Prevention Re-
content/1999/1560 unique needs of GLBTQ youth of search Centers (PRC) at the Univer-
color and understand the impor- sities of Alabama at Birmingham,
Susan Tew or Chris Kirchgaessner California at Los Angeles/RAND,
tance of developing targeted, cultur-
The Alan Guttmacher and Texas Health Sciences Center
ally specific prevention programs.
Institute at Houston. PRCs are academic in-
12 Wall Street stitutions funded through the CDC-
The subcommittee will develop a
New York, NY 10005 administered Health Promotion
GLBTQ youth of color issues infor-
Phone: (212) 248-1111, x2203 and Disease Prevention Research
mation packet for SEAs and LEAs,
Fax: (212) 248-1952 Center Program to conduct commu-
highlighting effective prevention
Website: http://www.agi- nity-based prevention research. The
and outreach programs, as well as
usa.org study is designed to provide the de-
innovative strategies organizations
use to reach and support GLBTQ tailed information families, health
youth of color. The committee is also care providers, schools, and commu-
CDC Work Group investigating future training oppor- nities need to develop effective
tunities. health-promoting policies and pro-
Focuses on GLBTQ grams for youth.
Youth of Color The GLBTQ Work Group currently
consists of seven CDC-funded orga- The 14-year study will include sub-
nizations: Advocates for Youth jects from a variety of races,
In an effort to stem the spread of
(AFY), American College Health ethnicities, geographic regions, and
HIV in racial and ethnic communi-
Association, American Psychological economic backgrounds. Study sub-
ties, DASH’s Gay, Lesbian, Bisexual,
Association, National Association of jects will be assessed annually to help
Transgender, and Questioning
People with AIDS (NAPWA), Na- researchers identify several things:
(GLBTQ) Work Group has formed
tional Network for Youth, National
a subcommittee to focus on the HIV • factors that predict the initia-
Youth Advocacy Coalition (NYAC),
prevention needs of GLBTQ youth tion of health behaviors and
and the National Alliance of State
of color. As HIV/AIDS continues to adverse health outcomes
and Territorial AIDS Directors
take a disproportionate toll within
(NASTAD). The YOC subcommittee • how health behaviors develop
communities of color, it becomes
includes representatives from AFY, and change over time
increasingly important that pro-
NAPWA, NYAC, and NASTAD, as • what age and developmental
grams reach men and women from
well as the National Council of periods predict health behav-
these communities at an early age
10
May 2000
iors and adverse health out- education, health, and social service tion among educators and health
comes agencies to improve school health care and social service professionals.
• how families and communities programs. Under the leadership of Activities include sponsoring a state-
can help prevent adverse the University of Texas (UT), the wide higher education workgroup
health outcomes Centers will develop an evidence- on school health; developing pre-
based advocacy document to pro- service programs for educational ad-
Healthy Futures promises to produce mote the benefits of CSHPs. ministrator students; creating a
essential information. The diversity UNM intra-university workgroup to
of the study sample will allow re- Each center will also develop its own develop a system for “cross-training”
searchers to make inferences about pre-service training program. UT’s students in education, health care,
how different demographic factors program, designed to increase over- and social services; and offering
influence a range of health behav- all staff capacity to adopt and imple- technical support to faculty in other
iors and health, educational, and ment CSHPs, will use the Child and New Mexico IHEs to develop pre-
social outcomes. Also, the extended Adolescent Trial for Cardiovascular service training programs.
follow-up period will allow research- Health (CATCH) as a model for pro-
ers to examine the onset of high-risk gram implementation. Activities at Each center will also convene an
behavior, as well as track and under- this center include development and advisory panel to guide program
stand patterns of change. For more delivery of pre-service curriculum development and link its projects to
information about the study contact: modules on CSHPs for school ad- other state efforts. For more infor-
ministrators and health and physical mation contact:
Jo Anne Grunbaum education teachers, elementar y
Project Officer school teachers, and nutritionists; David Poehler
DASH/CDC continuing education “mini-courses” Project Officer
Phone: (770) 488-3203 on CSHPs for school administrators; DASH/CDC
E-mail: jpg9@cdc.gov and evaluation tools for school and Phone: (770) 488-3194
district-level program implementa- E-mail: dop1@cdc.gov
Michael Windle
tion.
Principal Investigator Nancy Murray
University of Alabama at Scientific Coordinator
At the University of North Carolina’s
Birmingham Texas Prevention Research
Center for Health Promotion and
Phone: (205) 975-9463 Center
Disease Prevention, researchers will
E-mail: windle@uab.edu Phone: (713) 500-9629
develop a program designed to in-
E-mail:
Mark Schuster crease awareness of CSHPs among
nmurray@utsph.sph.uth.tmc.edu
Principal Investigator school principals. Program activities,
University of California at Los designed in collaboration with the Alan W. Cross
Angeles/RAND university’s Center for School Lead- Principal Investigator
Phone: (310) 794-2163 ership Development (CSLD) and Phone: (919) 966-6035
E-mail: schuster@rand.org Masters in School Administration E-mail: across@UNC.edu
(MSA) Programs, the North Caro-
Guy Parcel lina Department of Health and Hu- Sally Davis
Principal Investigator man Services, and the North Caro- Principal Investigator
University of Texas, Houston lina Department of Public Instruc- Peg Allen
Phone: (713) 500-9622 tion, include developing a continu- Coordinator
E-mail: ing education course on CSHPs for University of New Mexico
guy@utsph.sph.uth.tme.edu CSLD’s Principals’ Executive Pro- Phone: (505) 272–4462
gram; creating a coordinated school E-mail: smdavis@unm.edu
Promoting CSHPs
health component for a statewide
To learn more about the Health Pro-
mentoring program for aspiring
CDC/DASH is providing up to four motion and Disease Prevention Re-
principals; and incorporating ques-
years of funding to PRCs at the Uni- search Center Program, visit the CDC
tions on coordinated school health
versities of Texas at Houston, North website at <http://www.cdc.gov/
into North Carolina’s Principals’ Li-
Carolina at Chapel Hill, and New nccdphp/cdwin99.pdf>.
censing Exam.
Mexico to enhance collaboration
between institutions of higher edu-
The University of New Mexico
cation (IHEs) and state and local
(UNM) program fosters collabora-
11
School Health Program News
Collaboration Initiative Promotes CVD, Cancer, USDA Awards Four
Diabetes Reduction Team Nutrition Grants
Six CDC divisions are implementing ated with cardiovascular disease
The USDA has awarded Team Nu-
a new initiative to reduce cardiovas- • expand the Health/Literacy trition Demonstration Project
cular disease, cancer, and diabetes. Institute, a citywide K–12 grants to Idaho, Iowa, Kansas and
The program will support national, program for low-performing Michigan to develop implementa-
state, and local health and education schools with high levels of tion models and establish commu-
agencies to collaboratively enable poverty and racial/ethnic nity partnerships. Team Nutrition is
schools to institutionalize effective minority populations a nationwide school-based program
disease prevention policies and pro-
• increase the competency of that builds skills and motivates chil-
grams. A joint effort of the Divisions dren to make healthy food choices
of Adolescent and School Health, school staff to deliver effective
skills-based coordinated health by encouraging children to eat a va-
Adult and Community Health, Can-
programs riety of foods; more fruits, veg-
cer Prevention and Control, Diabe-
etables, and grains; lower-fat foods
tes Translation, and Nutrition and • build the capacity of selected
more often; and be physically active.
Physical Activity, and the Office on schools to collaborate with
Smoking and Health, the initiative community-based organizations
The two-year demonstration project
focuses on reducing the four pri- to implement CSHPs is based on a pilot study that showed
mary risk factors for these chronic that students participating in the
CDC also has provided support to
diseases: tobacco use, excessive con- Team Nutrition program made
sumption of fat and calories, inad- each of the 16 CDC Coordinated
School Health Program Infrastruc- healthier food choices. Beginning in
equate physical activity, and obesity. September 2000, demonstration
ture States and to Milwaukee to
Strategies will include monitoring project schools will use multiple
implement this initiative. For more
and disseminating information communication channels to deliver
information contact:
about changing trends in disease the Team Nutrition message. These
prevalence, mortality, and risk fac- include:
Grace E. Stevens
tors; identifying new policies and
New York State Education
programs that have been shown to • classroom activities for grades
Department
be effective in reducing each of the Washington Avenue pre-K–8 that provide science-
four risk factors; and enabling CDC Room 318M based, behavior-focused
constituents to implement these nutrition education
Albany, NY 12234
policies and programs effectively. • food service initiatives, such as
E-mail:
gstevens@mail.mysed.gov developing school menus that
Under this initiative, CDC has pro- are consistent with the Dietary
vided up to five years of funding to Effie Bynum, Ph.D. Guidelines for Americans,
New York’s State Education and New York City Board of providing at least 10 hours of
Health Departments and the New Education training to food service staff,
York City Board of Education to ad- 110 Livingston Street and implementing two nutri-
dress cardiovascular disease preven- Room 510 tion promotion events in the
tion as part of a CSHP. These agen- Brooklyn, NY 11201 cafeteria
cies will work closely with commu-
nity-based organizations, profes- • schoolwide events that convey
sional organizations, the New York the Team Nutrition messages,
City Department of Health, HMOs, such as hallway art displays, PA
and local hospitals to do the follow- announcements, and special
ing: assemblies
• home activities designed to
• establish an effective state-level promote interaction between
management system to lead students and parents
and coordinate the develop-
ment of guidelines that will • community events, such as
outline ways that CSHPs can community fairs, chef demon-
prevent risk behaviors associ-
12
May 2000
strations, tasting events, and complaints of tiredness, aches, schools; (2) linking schoolchildren
community gardens and pains with local dental care providers; and
• media events and coverage of • fewer visits to the school nurse (3) encouraging families to enroll
school and community Team in CHIP to obtain necessary ser-
Nutrition events The program is open to any elemen- vices. The group will also develop a
tary, middle, or high school where plan to publicize the relationship be-
More information on these demon- at least 40 percent of the students are tween dental health and improved
stration projects is available on the eligible for free or reduced-price attendance, readiness to learn, and
Team Nutrition website, <http:// meals. For more information con- the potential to improve test scores.
w w w. f n s . g o v / t n / G r a n t s / tact:
99projgrants.html>. For additional The initiative is based on a survey
information contact: Sheila G. Terry of school nurses in 667 high-risk el-
Director for Child Nutrition ementary schools (defined as urban
Clare Miller Programs schools in which at least half the stu-
Senior Nutritionist Maryland State Department dents are eligible for free/reduced-
USDA Food and Nutrition of Education cost meals, or rural schools in which
Services Phone: (410) 767-0199 the median family income is up to
Phone: (703) 305-2135 E-mail: sterry@qis.net 150 percent of the federal poverty
E-mail: level). Seventy-two percent of the
Clare.Miller@fns.usda.gov schools responded. Results from the
Ohio Emphasizes sur vey, which focused on how
schools identify and deal with chil-
Breakfast Program School-Based/Linked dren who need dental care, in-
Improves Student and Oral Health cluded the following:
• 80 percent of high-risk schools
School Performance In response to the dental disease provide dental health educa-
crisis among low-income children, tion
Students who eat breakfast in their the Ohio Departments of Education
• 53 percent of these schools
classrooms each morning perform and Health are developing model
screen and refer students for
better in school than students who plans and recommendations to in-
necessary care
do not eat in the classroom, accord- tegrate oral health into existing co-
ing to a new study released by the ordinated school health programs. • 53 percent of these schools
Maryland Department of Education. Results of a recent oral health sur- participate in school-based
The evaluation of Maryland Meals vey indicate that Ohio children from dental-sealant programs
for Achievement (MMFA), a project low-income families or families with- • 10 percent of students have
launched in 1998 to explore the re- out dental insurance experience dental problems serious
lationship between free classroom more dental problems and have less enough to affect their atten-
breakfasts, student nutrition, and access to dental care than the gen- dance and ability to learn
academic achievement, included 12 eral population. Third graders with
elementary schools serving a diverse low-income parents are four times The survey also revealed that 9 out
population of children. more likely than their peers to have of 10 schools try to help students
not had the dental care they needed obtain care, but only 50 percent of
Compared to students in non-partici- in the last 12 months. students actually receive needed
pating schools, students who ate dental treatment. Financial barriers
breakfast at school had: A steering committee composed of and the low priority of dental health
dental professionals, health educa- were the major obstacles to obtain-
• greater gains in state perfor- ing dental care. For more informa-
tors, school nurses, and school ad-
mance assessment scores tion contact:
ministrators will develop a plan to
• better school attendance improve access to dental disease pre-
vention and treatment. The commit- Kathleen D. Heiden
• less tardiness
Division of Oral Health
tee is examining existing service
• fewer behavior problems CDC
delivery systems and will make rec-
• longer attention spans Phone: (770) 488-6059
ommendations on (1) providing
Fax: (770) 488-6080
• reduced hunger and fewer some oral health services through
E-Mail: kih9@cdc.gov
13
School Health Program News
Health in Education Network
Affiliated with the
Association for Supervision and Curriculum Development
The Health in Education Network based public health organizations.
of the Association for Supervision Awards were granted to programs
and Curriculum Development
ascdnetworks in Cambridge, Massachusetts;
(ASCD) continues to increase Itasca County, Minnesota; McLean
awareness of the relationship be- The purpose of the Health County, Kentucky; Philadelphia,
tween public health and public in Education Network is to: Pennsylvania; Pawtucket, Rhode Is-
education initiatives in school and • increase understanding of land; Belmont, California; Ritchie
community settings. This relation- and support for school County, West Virginia; Seattle,
ship was the focus of the March health education among Washington; Cache County, Utah;
issue of ASCD’s leading journal, school administrators and and the Bronx, New York. Descrip-
Educational Leadership (see the educators tions of program activities appear
journal section of this newsletter for • promote networking on the ASCD website, <http://
a full description of this issue). among health and educa- www.ascd.org>. For more infor-
tion practitioners working mation about the initiative contact:
in school health
The Fifty-fifth Annual Conference
of the ASCD was held in New Or- Health in Education Initiative
leans on March 25–27, 2000. Sev- Phone: (703) 575-5622
eral key health education presen- During the conference, the asso- E-mail: HEALTH@ascd.org
tations were made to principals, su- ciation also awarded 10 grants
perintendents, policymakers, and through its Health in Education
teachers, including “Policymakers Initiative, designed to address
Can Merge Education and Health specific public health issues affect-
Agendas: Have You Tried This?”, ing students within their commu-
“From Challenges to Partnership, nities, educate school communi-
Developing Relationships with ties about those issues, and cre-
Communities of Faith: What Will It ate awareness of professions
Take?”, and “Creating a Safe within the public health arena.
Place: Districtwide Professional De- Funded by the Robert Wood
velopment, Meeting the Needs of Johnson Foundation, the grants
Sexual Minority Youth and Fami- encourage model partnerships
lies.” between school- and community-
14
May 2000
confidentiality and parental consent,
AAP Guidelines and servicing children with special
Evaluation Study
Project Plans for health care needs. Provides Program
Review Phase Fourteen expert panels have begun Direction to Kentucky
reviewing literature and existing
The American Academy of Pediatrics guidelines, consolidating existing rec- District-level policies on HIV/AIDS
(AAP), in collaboration with the Na- ommendations, and creating new rec- improve school efforts and prac-
tional Association of School Nurses, ommendations (see sidebar for a list tices, according to results of a state-
is soliciting volunteer reviewers as it of panel areas). Drafts of the compen- wide evaluation in Kentucky. The
develops a compendium of guide- dium will be available for public re- evaluation, conducted by the Evalu-
lines and recommendations for the view by late fall 2000. Health and edu- ation Consultation Center at the
health, mental health, and safety of cation professionals who want to par- Academy for Educational Develop-
students and staff in elementary, ticipate in the review process can send ment (AED) and the Kentucky De-
middle/junior, and high schools. contact information, indicating partment of Education, was de-
Funded by the Maternal and Child which panel areas[s] they would like signed to examine the technical as-
Health Bureau, Health Resources to review, to: sistance and training needs of
and Services Administration, this ini- school districts and schools regard-
tiative aims to provide school admin- HMHSS Project ing HIV/AIDS policy adoption, staff
istrators, educators, nurses, physi- American Academy of training, and student education.
Pediatrics
cians, board members, other health The data emerge from a survey of
141 Northwest Point Blvd.
and education professionals, and the state’s HIV/AIDS school district
Elk Grove Village, IL 60007
community groups with information coordinators. A total of 86 percent
Fax: (847) 228-5097
on such issues as keeping children responded.
and schools safe, best practices for ad- E-mail: hmhss@aap.org
ministering medication to students, Highlights of the study include the
following:
Expert Panel Areas New Name:
• Many districts had not adopted
Staff Roles, and Responsibilities and The Violence Prevention Coordinat- policies and had no plans to do
Staff Health Promotion ing Center has been renamed the so.
Safe Schools/Healthy Students Ac-
Health and Mental Health Services • Districts that had adopted HIV/
tion Center. For more information
Mental Health in Schools and Coun- AIDS education policies were
contact:
seling, Psychology, and Social more likely to have adopted an
Service Programs HIV/AIDS curriculum.
Sandra McElhaney
Oral Health and Dental Services NMHA • Gaps in HIV/STD content
Phone: (703) 684-7722 coverage were identified at both
Emergency Management and Care/
the high and middle school
Crisis Management
levels.
Children with Special Health Care
• Districts that had adopted
Needs
policies regarding school staff
Health Education training in HIV education were
Tobacco, Alcohol, and Substance more likely to train large
Abuse numbers of staff.
Sexuality and Reproductive Health • General education students
were more likely to have
Physical Activity and Physical Educa-
received HIV/AIDS education
tion
than their special education
Injury Prevention peers.
Healthy School Environment • Districts indicated substantial
Nutrition technical assistance needs,
especially regarding policy and
Family and Community Involvement
legal issues, curriculum materi-
als, and staff training.
15
School Health Program News
Study results also provided state- and materials and a variety of program MSM may become infected at
district-level staff with useful data to activities. younger ages than white MSM.
target specific programmatic im-
provements, such as increasing dis- For more information or to become The full report of “HIV/AIDS
trict adoption of policies and edu- a SunWise participant contact: Among Racial/Ethnic Minority Men
cation requirements, enhancing Who Have Sex with Men—United
specific HIV content coverage, in- Linda Rutsch States, 1989–1998” appears in Mor-
creasing provision of education to Phone: (202) 564-2261 bidity and Mortality Weekly Report (Vol-
all students, and providing techni- E-mail: rutsch.linda@epa.gov ume 49, Number 1). It also appears
cal assistance on district-identified Website: http://www.epa.gov/ on the Web at <http://
priorities. For more information sunwise www.cdc.gov/epo/mmwr/preview/
contact: mmwrhtml/mm4901a2.htm>.
Richard Sawyer HIV/AIDS Among
Senior Research and
Evaluation Officer Racial/Ethnic Minority New York Academy of
AED
Men Who Have Sex Medicine Establishes
Phone: (202) 884-8868
E-mail: rsawyer@aed.org
with Men Coordinating Council
The New York Academy of
Among men who have sex with men
EPA to Launch (MSM), more men of color have
Medicine’s (NYAM) School Health
Program has established the New
SunWise School AIDS than white men. Based on an
York City School Health Coordinat-
examination of U.S. AIDS cases over
ing Council. Council participants
Program the past decade, a CDC study found
include representatives from the
an increasing proportion of AIDS
New York City Board of Education
The U.S. Environmental Protection cases among racial/ethnic minority
and Department of Health; local
Agency (EPA) will officially launch MSM, rising from 31 percent in 1989
and national leaders in health and
its SunWise School Program this to 52 percent in 1998. Non-Hispanic
education policy, public health, so-
spring, following more than a year black men comprised one-third of
cial services, research, and govern-
of successful pilot testing. The na- AIDS cases among MSM, while His-
ment; and a number of foundations
tional education program, designed panic men represented 18 percent
and corporations. The council will
to foster awareness among young stu- of cases. White men accounted for
establish and institutionalize a city-
dents of the risks posed by overex- 48 percent of AIDS cases among
level infrastructure to help New
posure to ultraviolet (UV) radiation, MSM in 1998, a decrease from 69
York City public schools create and
has been piloted in almost 170 el- percent in 1989.
strengthen CSHPs. It will also pro-
ementary schools nationwide. vide policy-level coordination and
The report also suggests that the
collaboration, and will facilitate the
Through the use of classroom-, stigma of homosexuality may play a
interaction of health, education,
school-, and community-based com- key role in the disease’s spread
and government agencies; academic
ponents, SunWise seeks to comple- within this group. Men of color who
institutions; and related agencies
ment regular instruction with hands- have sex with men may not identify
and organizations.
on, cross-curricular activities. It in- themselves as “gay” or “bisexual,”
cludes an evaluation component to which may prevent them from seek-
For more information contact:
ensure that its messages, educational ing or receiving HIV prevention and
approaches, and activities are effec- treatment services. In addition, they Leslie Goldman
tive. may put their female partners and Executive Director
children at risk. School Health Programs
SunWise will sponsor a media kick- NYAM
off event in May and SunWise activ- The study also points to the early age 1216 Fifth Avenue
ity kits will be available free of charge at which MSM are becoming in- New York, NY 10029
by the beginning of the 2000–2001 fected. Data on HIV diagnoses Phone: (212) 822-7265
school year. Kits include educational among 13–24 year olds suggests that E-mail: lgoldman@nyam.org
non-Hispanic black and Hispanic
16
May 2000
each state’s CHIP. The report
New Coaching Resources Support describes the status of each
Association CHIP Outreach program in a concise two-to-
four page format. The 1999
Established Resources for schools can help the
Annual Report appears on the
NGA website at <http://
five million American children who
The new National Council for Ac- www.nga.org/MCH/Annual/
still lack health insurance receive the
creditation of Coaching Education Index.asp>.
coverage they need, as the following
(NCACE) is recruiting members. examples demonstrate: • The Children’s Defense Fund
The nonprofit organization will be has developed the CHIP
dedicated to improving the quality • The USDA, which oversees the Toolkit: A Community Guide to
of coaching and coaching educa- National School Lunch and Enrolling Children in Free and
tion. The council was formed to pro- School Breakfast Programs, has Low-Cost Health Insurance
vide clear and consistent guidelines issued a sample school lunch Programs, providing step-by-
for coaching education that are enrollment form, including an step information on how to
based on a consensus of scientific insurance check-off box that involve schools, the child care
and practical knowledge. The coun- can be used for CHIP and community, religious organiza-
cil will endorse national standards Medicaid outreach. The form tions, local businesses, and
for coaching certification, evalua- and other school lunch and individuals in outreach efforts.
tion, and selection; oversee the de- CHIP information can be The 12-chapter guide includes
velopment of coaching education viewed online at <http:// outreach materials, such as
guidelines; and review coaching www.fns.usda.gov/fns/menu/ state-by-state income eligibility
education/certification programs whatsnew/chip/chip.htm>. tables, flyers, and contact
that seek national accreditation. • The Health Resources and information for state officials
NCACE seeks to recruit member or- Services Administration and local advocates working on
ganizations from single-sport or (HRSA) and the Health Care CHIP and Medicaid. The CHIP
multi-sport coaching education pro- Financing Administration Toolkit can be downloaded at
grams, science/medical/educa- (HCFA) have launched a new no cost from the CDF website
tional organizations that have website at http://www.uic.edu/ at <http://
coaching education programs or sph/cade/chip/chip www.childrensdefense.org/
elements, and other organizations outreach.htm to provide ideas, publications/
looking to certify coaches at all lev- advice, and technical assistance healthtoolkit.html>. Print
els of sport. For more information for groups working to increase copies can be ordered for $2
contact: enrollment in state CHIPs and apiece (fewer than five copies
Medicaid. The site includes are free) by contacting:
Christine Bolger
recommendations for strength- Desmond Brown
National Association for Sport
ening federal-state partner- Children’s Defense Fund
and Physical Education ships; federal actions taken in
(NASPE) Phone: (202) 662-3561
response to these recommen- E-mail:
1900 Association Drive
dations; descriptions of state dbrown@childrensdefense.org
Reston, VA 20191
achievements in enrolling
Phone: (800) 213-7193, x417
children; and contact names
Fax: (703) 476-8316
and phone numbers of indi-
E-mail: cbolger@aahperd.org viduals working in specific
Website: http:// areas.
www.aahperd.org/naspe/
naspe-main.html • The NGA Health Policy Studies
Division, in collaboration with
the NCSL, released its 1999
State Children’s Health Insurance
Program (SCHIP) Annual Report,
a resource for policymakers,
state agency officials, research-
ers, and advocates detailing
17
School Health Program News
Resources Resources Resources Resources
health. Currently, five states are working
Implementing School with CCSSO and ASTHO to pilot-test the
WEEA Curriculum
Health Guidelines materials in a variety of settings. The re- Addresses Diversity
sults of this testing will be distributed by
CDC has funded the Academy for Edu- CCSSO and ASTHO in 2000. The Women’s Educational Equity Act
cational Development (AED) to pro- (WEEA) Resource Center at EDC has
duce the newsletter Update: Tips for Imple- CCSSO and ASTHO developed the kit published Raising the Grade, a collection
menting CDC School Health Guidelines! in response to requests for (1) common of practical tools for sixth through
Written for school administrators, language to describe the benefits of a twelfth graders. The materials examine
policymakers, and advocates, Update sup- coordinated approach to school health, gender bias and the role media plays in
ports state and local efforts to imple- (2) clear, jargon-free messages that reso- defining gender roles, and identify steps
ment CDC’s school and community nate with target audiences, e.g., parents, students can take to improve gender
guidelines for promoting lifelong physi- teachers, and others who work in schools equity at their schools. Each section of
cal activity and healthy eating, and pre- and school administration, and (3) ef- the four-part program includes lecture
venting tobacco use and addiction. fective tools to enable action. notes, discussion points, and interactive
activities. Materials can be used as part
Each issue will focus on a specific guide- The School Health Starter Kit contains:
of a thematic unit, across the curricu-
line topic. The first issue, released in De- • tools and materials to educate and lum, or on their own.
cember 1999, examined an approach to motivate the public about school
physical education that focuses on mo- health issues The curriculum, which costs $17 (plus
tivating young people to become inter- shipping), can be ordered by contacting:
• a booklet for policymakers and
ested and involved in physical activity.
opinion leaders EDC, Inc.
The newsletter will also include sections
• resources to increase community P.O. Box 1020
on the latest research findings, new tech-
awareness about the importance of Sewickley, PA 15143-1020
nical assistance resources, tips for imple-
school health Phone: (800) 793-5076
menting key guidelines, and profiles of
Fax: (412) 741-0609
successful programs in the areas of nu- • a CD-ROM containing all the E-mail: edcorders@abdintl.com
trition, physical activity, and tobacco use materials, graphics files, and text Website: http://www.edc.org/
prevention. that were used to create the kit WomensEquity
Newsletter subscribers will be contacted For more information about the Kit or
by e-mail as new editions of Update are other CCSSO school health projects con-
released. To subscribe online, go to the tact: Financing School-
Update website at <http://eta.aed.org>.
Nora Howley Based Health Care
Project Director
Resource Center on Educational The long-term sustainability of school-
CCSSO/ASTHO Receive Equity based health centers is discussed in a
CCSSO new publication from the National As-
Award For School One Massachusetts Ave, NW, sembly on School-Based Health Care
Health Starter Kit Suite 700 (NASBHC). In collaboration with the
Washington, DC 20001 Kellogg Foundation, NASBHC con-
The School Health Starter Kit, produced by Phone: (202) 336-7033 vened a series of regional meetings in-
the Council of Chief State School Offic- E-mail: norah@ccsso.org. volving more than 125 school-based
ers (CCSSO) and the Association of State health care providers, administrators,
and Territorial Health Officials and state policymakers from 18 states.
(ASTHO), recently received an honor- The resulting six-page report, Critical
able mention award from the Commu- Issues in Financing School-Based Health
nications Section of the American Soci- Care, summarizes discussions in three
ety of Association Executives in the 1998 realms: (1) identifying mechanisms for
Gold Circle Awards competition. The kit financing school-based health care, (2)
was designed for use by chief state school exploring challenges in utilizing these
officers, state health officials, and their resources as long-term funding sources,
staffs to help build support in commu- and (3) outlining future opportunities
nities and schools for coordinated school
18
May 2000
Resources Resources Resources Resources
for creating a sustainable national net-
work of school-based health centers.
The State of Hispanic HIV Prevention for
Girls Young Teens
The report is available on the NASBHC
website at <http://www.nasbhc.org> COSSMHO has published The State of EveryBody: Preventing HIV and Other Sexu-
(click on Critical Issues Report). For Hispanic Girls, an 81-page report describ- ally Transmitted Diseases Among Young
more information contact: ing trends in health risk behaviors Teens™, is a research-based curriculum
NASBHC among Hispanic girls. The document, developed by RAD Educational Pro-
666 11th Street, NW which analyzes current research, pre- grams for students in grades 5–9. The
Suite 735 sents findings from focus groups with curriculum consists of 24 sequential, stu-
Washington, DC 20001 girls, and offers recommendations for dent-centered activities focusing on
Phone: (888) 286-8727 preventing high-risk behavior in this both risk elimination (abstinence) and
population, includes these key findings: reduction strategies. Materials include
guiding questions, step-by-step direc-
• Overall, immigrant Hispanic girls
tions, assessment measures, lesson ex-
Federal Grants Manual are less likely to engage in high-
tensions, a facilitator’s guide, and infor-
risk behaviors than their Hispanic
for Youth Programs peers born in the United States.
mation on HIV/STDs and related top-
ics. The program’s flexible format can
• Hispanic girls lead girls nationwide be adapted for use in school, home, and
CDC/DASH, in partnership with the
in many high-risk behaviors, clinical settings.
Institute for Youth Development (IYD),
including substance abuse, suicide,
has published the first of a two-part vol-
dropping out of school, teen EveryBody ™ can be purchased for $35
ume, The Federal Grants Manual for Youth
pregnancy, and gun possession. (plus shipping and sales tax, where ap-
Programs: A Guide to Youth Risk Behavior
plicable) through the RAD/EveryBody
Prevention Funding. The 378-page “how • National support is needed for
website at http://www.preventaids.net
to” manual provides a comprehensive culturally specific, community-
or by calling (800) 936-4443. To request
listing of DHHS grants available to states, based programs designed to
an order form for mail or fax use con-
organizations, and individuals to help strengthen Hispanic families and
tact:
youth avoid unhealthy behaviors. It also reinforce protective factors.
includes basic information on proposal RAD Educational Programs
The State of Hispanic Girls can be down-
development, including grant require- P.O. Box 1433
loaded at no cost from the COSSMHO
ments, contact and regulatory informa- Carbondale, CO 81623
website, <http://www.cossmho.org>.
tion, congressional intent, and grant Phone: (970) 963-1727
The report (order #3310), can also be
recipient history.
purchased for $18 (plus $1.50 for ship-
ping) by mailing or faxing an online
Sample sections from the manual appear
purchasing form to:
on the IYD website at <http:// Just the Facts
w w w. y o u t h d e v e l o p m e n t . o r g / COSSMHO Publications Office
grantsman.htm>. Single copies of The 1501 Sixteenth Street, NW Just the Facts About Sexual Orientation and
Federal Grants Manual can be purchased Washington, DC 20036 Youth: A Primer for Principals, Educators,
for $49 (including shipping and han- Phone: (202) 797-4324 and School Personnel is now available. De-
dling) from: Fax: (202) 265-8027 veloped by the Gay, Lesbian, and Straight
E-mail: Education Network (GLSEN), in col-
Institute for Youth Development
publications@cossmho.org laboration with several national educa-
P.O. Box 16560
Washington, DC 20041 tion, health, mental health, and religious
Phone: (703) 471-7350 organizations, the primer was mailed to
15,000 public school superintendents
across the country. The coalition pro-
duced the publication in response to
concerns that school personnel were
receiving inaccurate information on the
issue of sexual orientation and how best
to address it with students. The docu-
ment addresses sexual orientation devel-
opment, reparative therapy (psychologi-
19
School Health Program News
Resources Resources Resources Resources
cal therapy to eliminate individuals’
sexual desires for members of their own
Expedition to Antarctica NEA Network Addresses
gender), transformational ministry (the
The adventures of two female explorers,
School Violence
use of religion to eliminate those de-
Ann Bancroft (United States) and Liv
sires), and relevant legal principles, and Original television broadcasts produced
Arnesen (Norway), as they attempt next
encourages the creation of safe and by the National Education Association
fall to become the first women to ski
healthy school environments in which all (NEA) are now available to school dis-
across Antarctica, will be a media sensa-
students can thrive. The publication also tricts around the country. NEA—in col-
tion. The National Center for Health
includes a substantial resource list for laboration with EchoStar Communica-
Education (NCHE) and Base Camp Pro-
educators who desire to learn more on tions Corporation, a direct broadcast
motions, L.L.C., are making plans for
these topics. satellite TV company, and its partner,
them to be a classroom sensation as well.
To maximize the expedition’s educa- FutureView—has created the NEA Safe
Just the Facts appears on the GLSEN Schools Now Network. Dedicated to pro-
website at <http://www.glsen.org/sec- tional impact, the partners have devel-
oped an interdisciplinary, health-based moting school safety, the network broad-
tions/news/alerts/rep.pdf/>. To obtain casts programs that highlight effective re-
a copy of the 13-page publication con- classroom curriculum for K–6 students.
It employs a variety of instructional strat- search-based strategies and information
tact: on how to prevent school violence. Pro-
egies and features hands-on lessons that
Clinton Anderson teach about health by having students grams are broadcast to school districts
American Psychological compare their health needs to the ex- around the country, either through vid-
Association plorers’. Lessons address the nutritional eotape or via satellite. EchoStar and Fu-
750 First Street, NE needs of the skiers; the health risks as- ture View have donated 1,000 free satel-
Washington, DC 20002-4242 sociated with exploration, such as frost- lite television dishes and air time to
Phone: (202) 336-5977 bite, hypothermia, sunburn, and wind- school districts nationwide.
E-mail: canderson@apa.org burn; and how the explorers prepared
NEA is working with a number of orga-
for the physical, mental, and emotional
nizations to design and distribute the
challenges of the expedition. The cur-
shows, including the U.S. Departments
riculum also promotes the development
NASBE Publishes Policy of life skills development, including goal
of Education, Justice, and Health and
Human Services, and the Learning First
Guide setting, decision making, and critical
Alliance, a coalition of 12 education or-
thinking.
ganizations. Programs are designed to
Fit, Healthy, and Ready to Learn: A School assist teachers, administrators, counse-
Health Policy Guide, published by the Na- The curriculum will be available on the
Bancroft Arnesen Expedition website at lors, parents, and law enforcement offic-
tional Association of State Boards of Edu- ers in identifying early warning signs of
cation (NASBE), is designed to help state http:// www.yourexpedition.com and
from NCHE. For more information con- potentially violent behavior in students.
and local decision makers develop
school health policy frameworks and tact:
The network has broadcast four epi-
specific policies to promote physical ac- Teresa Stahl sodes, focusing on topics ranging from
tivity and healthy eating and discourage NCHE components needed for a nurturing and
tobacco use. Phone: (212) 334-9470, x26 safe school climate to effective school-
E-mail: teresa@nche.org community collaborations for school
The guide is distributed as a set of binder safety. Additional programs, airing in the
contents and includes practical guidance fall of 2000 and spring of 2001, will ad-
on controversial topics, such as the role dress anger management, policymaking
of schools in promoting good health, for safe schools, the role of discrimina-
physical education requirements, food tion and harassment in school violence,
vending machines, and tobacco enforce- peer mediation, and the influence of the
ment measures. media on young people.
The guide can be purchased for $22 plus The TV broadcasts are provided at no
$4 shipping and handling (volume dis- cost. School districts interested in apply-
counts are available) by calling: ing for a free satellite dish or in down-
NASBE loading a discussion or list of resource
Phone: (800) 220-5183 materials can visit the NEA website at
<http://www.safeschoolsnow.org>. Epi-
sodes will also be cybercast on Apple
20
May 2000
Resources Resources Resources Resources
Computer Inc.’s website, <http:// document also includes tools that states To access this series online, go to the
www.apple.com/ali>. For more informa- can use to design or tailor ELO pro- Policy Matters homepage (http://
tion contact: grams to their students’ academic and www.policymatters.org/), click the
health needs. “Pubs” button on the top menu bar, then
NEA Communications
select the “Proposition 10” hyperlink. To
1201 16th Street, NW This new brief is available on the NGA receive a print copy of the series at no
Washington, DC 20036 website at <http://www.nga.org/Pubs/ cost contact:
Phone: (202) 822-7200 IssueBriefs/2000/Sum000125ELO.asp>.
Additional information on ELOs appears California Center for Health
at <http://www.nga.org/CBP/Activities/ Improvement
NGA Briefs Address ExtraLearning.asp>. For more informa- 1321 Garden Highway, Suite 210
tion contact: Sacramento, CA 95833
Teen Pregnancy, Phone: (916) 646-2149
Mark Ouellette Fax: (916) 646-2151
Healthy Lifestyles NGA E-mail: policymatters@cchi.org
444 N. Capitol Street, Suite 267 Website: www.policymatters.org
A new issue brief, State Role in Preventing Washington, DC 20001
Teen Pregnancy, from the National Gov- Phone: (202) 624-5359
ernors’ Association’s (NGA) Health
Policy Studies Division, describes the fi- NPTA Resource Builds
nancial and social costs of teen preg-
nancy; the role of governors in reduc-
School-Community
ing teen pregnancy; and current state
CCHI Series Addresses Partnerships
and federal funding partnerships.
The entire report appears on the NGA
Smoking Prevention Building Successful Partnerships: A Guide
for Developing Parent and Family Involve-
Center for Best Practices website at
The California Center for Health Im- ment Programs is a new book authored
< h t t p : / / w w w. n g a . o r g / P u b s /
provement (CCHI) has released the by the National Congress of Parents and
I s s u e B r i e f s / 2 0 0 0 /
publication Smoke-Free Childhood: A Prop. Teachers (NPTA) to help schools de-
Sum0000111Pregnancy.asp>.
10 Opportunity. Developed in collabora- velop quality parent-involvement pro-
tion with national experts in the field of grams. Created for parents, administra-
NGA’s Education Policy Studies Division
tobacco control, the series outlines to- tors, teachers, parent involvement pro-
has also issued the brief Extra Learning
bacco control research and programs fessionals, Title 1 coordinators, and lead-
Opportunities that Encourage Healthy
targeting pregnant women and young ers of PTAs and other parent groups, the
Lifestyles, which examines eight extra
children. 256-page guide offers field-tested strat-
learning opportunities (ELOs) that en-
egies for overcoming barriers to effec-
courage healthy lifestyles for youth.
The first publication in the series, Mil- tive collaboration, reaching out to key
ELOs provide school-age children (ages
lions of California Children Still Exposed to participants, and improving student
5 through 18) with recreational, aca-
Tobacco Smoke; Harms to Health, Higher achievement.
demic, and development opportunities
Costs Result, highlights the problem of
that supplement the education provided
continued exposure of pregnant women A preview of the text of the book can be
during a typical school day. Examples
and children to tobacco smoke. The sec- found at <http://www.nesonline.com/
include organized sports, dance, or art
ond publication, Trained Healthcare Pro- partners/>. The guide can be ordered
activities; tutoring or homework help;
viders + Brief Counseling Sessions + Support for $18.95 (plus 5% shipping) by con-
mentoring; optional or mandatory full-
Systems = Effective Smoking Cessation Pro- tacting:
day kindergarten; community service;
grams details health care system changes
and youth development activities. Re- National Educational Service
that will be critical to the success of smok-
search indicates that ELOs improve the Phone: (800) 733-6786
ing cessation strategies for pregnant
health of students and their ability to E-mail: nes@nesonline.com
women and members of their families.
learn. Website: www.nesonline.com
The third publication, What Works? Com-
The brief includes a summary of CDC’s munity-based Support Ser vices Enhance
eight-component model for CSHPs, fol- Smoking Cessation Programs, highlights
lowed by descriptions and contact infor- local and statewide California-based or-
mation for eight programs that support ganizations that are working together to
one or more CSHP components. The reduce harm to children from exposure
to tobacco smoke.
21
School Health Program News
Resources Resources Resources Resources
Bulletin Focuses on Financing Out-of- Violence Prevention
Teen Fathers School Time Initiatives Broadcast
Teenage Fatherhood and Delinquent Behav- The Finance Project has published Us- “Bringing the Elements Together: End-
ior, a new OJJDP publication, focuses on ing TANF to Finance Out-of-School Time ing the Cycle of Violence,” a satellite
the problems faced by teenage fathers Initiatives, a 12-page strategy brief that broadcast scheduled for October 20, will
and their children. The eight-page bul- explores how policymakers, program examine how different types of violence
letin describes OJJDP’s Rochester Youth developers, and community leaders can are interrelated and the ways that fam-
Development Study and Pittsburgh use Temporar y Assistance to Needy ily dynamics can perpetuate a cycle of
Youth Study, which have examined risk Families (TANF), the block grant cre- violence. The broadcast will identify risk
factors for teenage paternity. Both stud- ated by the 1996 welfare reform legisla- and resiliency factors that exist at the in-
ies concluded that early delinquency is tion, to generate funding to maintain, dividual, family, community, and societal
a highly significant risk factor for becom- improve, and expand out-of-school time levels and the roles they can play in re-
ing a teen father. In addition, the Roch- and community school initiatives. The ducing violence. Intended audiences
ester study reported that the possibility publication presents general consider- include educators, health officials, law
of teen paternity rises dramatically as risk ations for using TANF to support initia- enforcement officers, community
factors accumulate, and the Pittsburgh tives; describes three strategies for using agency representatives, youth, and fam-
study found that teen fatherhood may funding; discusses considerations for the ily members. The series hopes to stimu-
be followed by greater involvement in use of each strategy; and provides ex- late broader school/community partner-
delinquency. amples of innovative state approaches. ships by providing examples of evaluated
Copies of the brief are available for $3 programs for making schools and com-
This bulletin, one of a series on youth from: munities safe.
development being published by OJJDP,
is available online at <http:// Barbara Langford This will be the last of six broadcasts
ojjdp.ncjrs.org/pubs/ The Finance Project sponsored by Partnerships for Prevent-
delinqsum.html#178899>. You can also 10000 Vermont Avenue, NW ing Violence, a three-year project sup-
order print copies at no cost by contact- Suite 600 ported by funding from USED’s Safe and
ing: Washington, DC 20005 Drug-Free Schools Program, in conjunc-
Phone: (202) 628-4200 tion with DHHS, HRSA, MCHB, CDC,
Juvenile Justice Clearinghouse E-mail: USDOJ, and OJJDP.
P.O. Box 6000 blangford@financeproject.org
Rockville, MD 208949-6000 Pre- and post-broadcast activities and
Phone: (800) 638-8736 Using TANF to Finance Out-of-School Time
facilitated discussions are available at
E-mail: puborder@ncjrs.org Initiatives also appears on the Finance
more than 80 sites. Broadcasts are also
Website: http://ojjdp.ncjrs.org Project website at <http://
available free of charge to any individual
www.financeproject.org/osthome.htm>.
or organization with the capacity to re-
ceive the satellite transmission. For in-
formation about registering with a facili-
tated core site or registering your own
site contact:
Phone: (877) 778-4774
Website: http://
www.walcoff.com/partnerships
Videotapes of previous broadcasts are
available by calling:
Harvard School of Public Health
Phone: (617) 495-7777
22
May 2000
Websites Websites Websites Websites
2010 Tool Library Food Safety Health Observance
Available On-line The USDA website contains updated in-
Days
formation on food safety on their Healthy
An online resource that allows users to School Meals Resource System, at <http:/ Several websites now offer schedules and
view and download available Healthy /schoolmeals.nal.usda.gov:8001/Safety/ materials for health observances, the
People 2010 materials has been devel- index.html>. New items include the fol- days, weeks, or months devoted to pro-
oped by the Public Health Foundation lowing: moting particular health concerns.
(PHF), through a cooperative agree- Health professionals, teachers, commu-
ment with DHHS’s Office of Disease • “School Meal Programs: Few nity groups, and others can use these
Prevention and Health Promotion. The Outbreaks of Foodborne Illness designated times to sponsor health pro-
State Healthy People 2010 Tool Library Reported,” the February 2000 U.S. motion events, stimulate awareness of
( h t t p : / / w w w. p h f . o r g / H P t o o l s / General Accounting Office’s food health risks, or focus on disease preven-
state.htm) features seven sections: safety report tion.
• Building the Foundation: Leader- • the revised training package
The following websites provide informa-
ship and Structure Serving It Safe: A Manager’s Tool Kit,
tion on nationally recognized health ob-
featuring a trainer’s manual,
• Identifying and Securing Re- servance days:
poster, CD-ROM interactive
sources software, and handouts, as well as Office of Disease Prevention and
• Identifying and Engaging Commu- updated pages that can be inserted Health Promotion
nity Partners into the kit’s 1996 manual odphp.osophs.dhhs.gov/
• Setting Health Priorities and • an updated USDA/FDA default.htm
Establishing Objectives foodborne illness training materi-
This calendar lists selected health obser-
• Obtaining Baseline Measures, als database, including descrip-
vances for 2000 in three ways: A calen-
Setting Targets, and Measuring tions and ordering information for
dar shows days and weeks, and text list-
Progress food safety training materials, such
ings and an“At-a-Glance” sheet show
as games and teaching guides for
• Managing and Sustaining the monthly health observances. To access,
school children, materials for food
Process click on the “2000 National Health Ob-
service providers, audiovisual
servances” hyperlink in the Online Pub-
• Communicating Health Goals and materials, and posters
lications section.
Objectives (Marketing) • an updated link to the Food Safety
and Inspection Service’s Recall National Wellness Institute
These action areas are described in
Information Center, offering a www.wellnessnwi.org/
PHF’s Healthy People 2010 Toolkit: A Field
Guide to Health Planning, available at complete listing of both current This calendar offers a comprehensive list
<http://www.health.gov/ and completed product recalls of health observances for 2000 and con-
healthypeople/state/toolkit>. Copying tact information. To access, click on
and adaptation of materials found on “Health Calendar (pdf),” located on the
the website is encouraged, but users are menu bar on the left side of the page.
asked to credit the state initiative listed
Food and Health Communications,
to the right of each document name.
Inc.
www.foodandhealth.com/
healthcalendar.htm
Search Engine Targets
This site includes specific food obser-
Education vance days, such as National Soup Month
(January) and Fresh Fruit and Vegetable
The new search engine EduHound.com Month (July).
is designed to help K–12 educators, stu-
dents, and their families access up-to- In addition, the book Chase’s Calendar of
date information about educational pro- Events 2000 (Contemporary Books, Oc-
grams and news. The site also includes tober 1999), available in most bookstores
links to lesson plans, news bulletins, and libraries, lists all state-specific recog-
Internet tutorials, and USED sites. nition days, including locally observed
food days.
23
School Health Program News
Websites Websites Websites Conferences
Pregnancy Prevention Websites Help Teachers Conference on Children
and Oral Health
Website Find Learning “The Face of a Child: The Surgeon
ETR Associates has launched the Resource
Resources General’s Conference on Children and
Oral Health” is scheduled for June 12–
Center for Adolescent Pregnancy Prevention
USED has launched two websites de- 13, 2000, at the Hyatt Regency Hotel on
(ReCAPP), a website for health educators
signed to help teachers, parents, and ad- Capitol Hill, Washington, D.C. Focus
and program coordinators. Located at
ministrators identify teaching and learn- areas will include the following:
<http://www.etr.org/recapp>, the site
provides practical tools and information ing resources quickly and easily. The • oral health as an indicator of
on reducing sexual risk-taking behaviors Gateway to Educational Materials (GEM) at children’s health status and access
among teens, includes the following: http://www.thegateway.org provides ac-
cess to lesson plans, teacher guides, in- • maximizing children’s potential by
• best practices in pregnancy structional units, and other free educa- integrating oral health into overall
prevention education, skill- tional materials from more than 140 fed- health
building activities, and education eral, state, university, nonprofit, and • ethics, law, and health policy as
and facilitation tips commercial organizations. These mate- tools to eliminate disparities in
• information on evidence-based rials may be browsed by subject area or children’s health outcomes
programs that change sexual risk- keyword. Currently, more than 7,000 • creating effective partnerships to
taking behavior items are included in GEM, with hun- promote children’s health and
dreds of new resources added each well-being
• statistics, abstracts, news summa-
month. GEM is a project of USED’s Na-
ries, and papers on current For more information on the confer-
tional Library of Education and is a spe-
research in the field of teen ence, visit the website at <http://
cial project of the ERIC Clearinghouse
pregnancy prevention www.nidcr.nih.gov/sgr/children/
on Information and Technology.
• a resource database of educational children.htm>.
resource materials USED, in collaboration with more than
40 federal organizations, has also cre-
• a calendar of current events in the International Character
ated the Federal Resources for Educational
field of pregnancy prevention
Excellence (FREE) website at <http:// Education Conference
Visitors to the site can also join ReCAPP’s www.ed.gov/free/>. While teaching and “The Four Pillars of Democracy: Home,
electronic mailing list by clicking on learning resources are the aim of both School, Church, Community,” the Sec-
“ReCAPPNotes” on the website’s sites, FREE focuses on materials created ond international conference on char-
homepage. Subscribers will receive with federal support, while GEM in- acter education, is scheduled for June
monthly e-mails about updates made to cludes mostly materials created with no 25–27, 2000, at the University of San
the site. federal support. Diego. Conference objectives include
increasing student achievement, reduc-
ing violence, and increasing peaceful
PBS’s “Teacher Source” conflict resolution. A “Character Edu-
cation Academy” (June 27–29), for prin-
PBS has created a “Teacher Source” cipals and teachers, will include three
website containing resources and articles days of intensive immersion in the study
for K–12 educators. The site is divided of best practices and a curriculum fair.
into disciplines, with the health and fit- For information contact:
ness section found at <http://
International Center for
www.pbs.org/teachersource/health>.
Character Education
This section includes grade-specific les-
University of San Diego
sons and activities, feature articles (re-
Phone: (619) 260-5980
cent topics include interdisciplinary ap-
Website: http://teachvalues.org
proaches to teaching health, and essen-
tial elements of prevention programs),
and links to recommended books,
websites, and grants and conference list-
ings.
24
May 2000
Conferences Conferences Conferences Conferences
Healthy Schools, Healthy cus on strategies to establish and facili- of After-School Programs.” For more in-
Communities tate the connection between school formation visit the NCSL website (http:/
health services and educational out- /www.ncsl.org) or contact:
The HRSA’s Bureau of Primary Health
comes. Workshops will address counsel-
Care’s Healthy Schools, Healthy Com- NCSL
ing skills, mental health issues, substance
munities (HSHC) program plans to con- 1560 Broadway, Suite 700
abuse and violence prevention, and
vene its annual technical assistance Denver, CO 80202
managing chronic illness. For registra-
meeting June 25–27, in conjunction Phone: (303) 830-2200
tion information contact:
with the National Assembly for School- Fax: (303) 863-8003
based Health Care’s annual conference. NASN
The meeting will include workshops on P.O. Box 1300
National Prevention
mental health, prevention, research and Scarborough, ME 04070–1300
Institute
evaluation, and clinical issues. For infor- Phone: (207) 883-2117
mation contact: E-mail: nasn@nasn.org “Passion for Prevention” is the theme of
Website: http://www.nasn.org the Comprehensive Health Education
Judy Oliver Foundation’s (CHEF®) Year 2000 Na-
HSHC tional Prevention Institute, scheduled
Phone: (301) 594-4470 NCACE National Coaching
for July 19–21 at the Hyatt Mission Bay
Congress in San Diego, California. This year’s in-
National Assembly on The newly formed National Council for stitute focuses on the following:
School-Based Health Care Accreditation of Coaching Education
• state-of-the-art prevention strate-
(NCACE) will sponsor the first-ever Na-
“Fulfilling Prevention’s Promise” is the gies and activities to reduce youth
tional Congress on July 14–16, 2000, at
theme of the National Assembly’s an- risk behaviors in the areas of
the Grand Casino Hotel in Gulfport,
nual meeting, scheduled for June 25– violence, sexuality, suicide and
Mississippi. The purpose of the congress
27, 2000, at the Dearborn Hyatt in De- other injuries, drug abuse, school
is to describe recent coaching education
troit, Michigan. Workshops will high- dropout, and delinquency
initiatives, proposed guidelines for pro-
light the role of prevention in school- • strategies for implementing and
gram review, and NCACE’s organiza-
based health care with emphasis on tech- merging program models
tional structure. Participants will also
nical skills development, applied re-
elect NCACE’s first Board of Directors. • evaluation strategies
search, program descriptions, and policy
For more information contact:
discussions on clinical, curricular, and • resources to boost prevention
counseling strategies. James Gabarino, Christine Bolger efforts
author of Lost Boys: Why our Sons Turn NASPE
For information go to http://
Violent and How We Can Save Them, will 1900 Association Drive
www.chef.org or call (800) 323-2433 for
give the keynote address. Information Reston, VA 20191
a conference brochure.
on registration, workshop sessions, spe- Phone: (800) 213-7193, x417
cial events, and accommodations is avail- Fax: (703) 476-8316
able from: E-mail: cbolger@aahperd.org National Conference for
Website: http:// K–12 Physical Educators
Michael Ambrose
www.aahperd.org/naspe/naspe-
National Assembly on School The Council on Physical Education for
main.html
based Health Care Children and the Middle and Second-
Phone: (888) 286-8727 ary School Physical Education Council
E-mail: mambrose@nasbhc.org National Conference of are cosponsoring the conference “Link-
Website: http://www.nasbhc.org State Legislatures ing Fitness and Physical Activity,” sched-
The twenty-sixth annual meeting of the uled for July 20–22, 2000, at Towson
National Association of National Conference of State Legisla- University and the Sheraton Baltimore
School Nurses tures (NCSL) is scheduled for July 16– North Hotel in Baltimore, Maryland.
20, 2000, at the Sheraton Chicago and The conference will focus on NASPE’s
“Building Bridges to Link Health and national physical education standards.
Navy Pier Convention Center in Chi-
Education,” is the theme of the National Leaders in fitness and physical activity
cago, Illinois. Informational sessions in-
Association of School Nurses’ (NASN) will present keynote, activity, and drop-
clude “Turning Schools Around,” “Cre-
thirty-second annual conference, sched- in sessions; participate in roundtable
ative Solutions for Children at Risk,” and
uled for June 28–July 1, 2000, in Milwau- discussions; and share curricula ideas,
“When Schools Let Out: State Support
kee, Wisconsin. The conference will fo- innovative assessment techniques, and
25
School Health Program News
Conferences Conferences Conferences Conferences
information on using technology to en- Achievement, and Responsible Behav- Pennsylvania. The conference will in-
hance teaching. Physical Best Specialist ior” by Jacqueline Sowers, “Tell Your clude sessions on student advocacy, cur-
and Instructor certification workshops Administrators: Health Risks Do riculum integration, creating caring
will be offered as a pre-conference ses- Threaten School Success” by Cindy communities, opportunities for moral
sion. For more information visit the Wolford-Symons, and “Now that I Have action, and assessment and evaluation.
NASPE website at http:// It . . . What Do I Do with It?” by JoAnne For more information contact:
www.aahperd.org/naspe or call: Owens-Nauslar.
Character Education Partnership
Phone: (800) 213-7193, x410 Registration forms are available by con- 1600 K Street, NW, Suite 501
tacting: Washington, DC 20006
Phone: (800) 988-8081
School Nurse Institute Mary Bamer Ramsier Fax: (202) 296-7779
Program ASHA E-mail: geninfo@character.org
“Promoting Healthy Schools: Defining P.O. Box 708 Website: http://
the School Nurse Role” is the theme of Kent, OH 44240 www.character.org/forum
this summer’s School Nurse Institute Phone: (330) 678-1601, x127
Program, sponsored by the Center for E-mail: mbramsi@ashaweb.org
Website: http://
California Center for
School Mental Health Assistance
(CSMHA). The Institute, scheduled for www.ashaweb.org/conferences Childhood Injury
July 31–August 4, 2000, at the Sheraton Prevention
Baltimore North Hotel in Towson, Mary- CSMHA The fourteenth annual California Con-
land, will address mental health issues, ference on Childhood Injury Control
the role of the school nurse in crisis plan- “Advancing School-Based Mental is scheduled for October 22–25, 2000,
ning, health and mental health connec- Health Programs” is the theme of the at the Radisson Hotel in Sacramento,
tions, the new IDEA/504, and manage- fifth national CSMHA conference, California. The conference is designed
ment and delegation strategies; and will scheduled for September 21–23, 2000, to update public health and public
include facilitation and assessment work- at the Sheraton Atlanta Hotel in Geor- safety professionals, nurses, physicians,
shops. For more information contact: gia. The meeting will include work- and injury prevention advocates on cur-
shops on mental health service deliv- rent issues and future directions in in-
CSMHA ery models, legal and ethical issues, jury epidemiology, public policy, and
University of Maryland research in school mental health, cul- injury prevention strategies. The meet-
680 W. Lexington St., 10th Floor tural competency, funding options, and ing will focus on state and national in-
Baltimore, MD 21201-1570 working with partners. For more infor- jury control priorities, new research on
Phone: (888) 706-0980 mation, or to order audiocassettes of child and adolescent injuries, and injury
Fax: (410) 706-0984 sessions of CSMHA’s fourth annual prevention program models and lessons
E-mail: conference held September 16–19 in learned. Continuing education credits
csmha@umpsy.umaryland.edu Denver, contact: will be available for physicians, regis-
Website: http://
CSMHA tered nurses, and health educators. For
csmha.umaryland.edu
University of Maryland information contact:
680 W. Lexington St., 10th Floor California Center for Childhood
ASHA Summer Institute Baltimore, MD 21201-1570 Injury Prevention
The American School Health Phone: (888) 706-0980 San Diego State University
Association’s (ASHA) seventh annual Fax: (410) 706-0984 6505 Alvarado Road
summer institute, “Weaving the Vines of E-mail: Suite 208
Collaboration: Our Common Purpose,” csmha@umpsy.umaryland.edu San Diego, CA 92120
is scheduled for August 2–4, 2000, at Website: http:// Phone: (619) 594-3691
Ithaca College in Ithaca, New York. The csmha.umaryland.edu Website: http://www.cccip.org
institute will focus on the eight compo-
nents of the coordinated school health Character Education
model and provide in-depth informa- National School Boards
Partnership Association
tion and skill-building to achieve stan-
dards-based success. Keynote addresses Character Education Partnership’s sev- The National School Boards
include, “Health Education in 2000 and enth national forum is scheduled for Association’s (NSBA) thirteenth annual
Beyond: Making the Links Between October 19–21 at the Wyndham Technology and Learning Conference
Health, Brain Function, Academic Franklin Plaza Hotel in Philadelphia, will be held on October 25–28, 2000, in
26
May 2000
Conferences Conferences Conferences Journals
Denver, Colorado. The conference, the mailing list. The registration form ior, health resource funding, after-school
hosted by NSBA’s Institute for the Trans- will be available on-line in May at http:/ programs, new approaches to teaching
fer of Technology to Education and co- /www.apha.org. physical education, substance abuse pre-
sponsored by more than 30 education vention, nutrition, and child safety.
organizations, will address the use of (March 2000, Vol. 57, No. 6)
technology to educate and support stu- International Union for
dents and increase understanding of why Health Promotion and ASCD members can access the electronic
health is a priority for schools. Partici- Education version of this issue through ASCD’s
pants include superintendents, technol- WebPages at <http://www.ascd.org>.
“Health: An Investment for Society,” the
ogy coordinators, library/media special- Non-members can order single copies of
17th World Conference on Health Pro-
ists, teachers, school board members, Education Leadership for $6 from:
motion and Health Education, is sched-
and district and building administrators. uled for July 15–20, 2001, in Paris, ASCD Service Center
For more information contact: France. Conference themes will focus on P.O. Box 79760
Brenda Z. Greene evidence of effective health promotion Baltimore, MD 21279
School Health Programs at local, regional, and international lev- Phone: (800) 933-2723 (press 2)
NSBA els; investment in promoting health; ad-
Phone: (703) 838-6756 vocacy for health; and ethics. A call for
The Future of Children
E-mail: bgreene@nsba.org abstracts was issued in April 2000. Infor-
Website: http://www.nsba.org mation is available from: “When School Is Out” is the theme of
the Fall issue of The Future of Children.
International Union for Health Articles focus on after-school programs
ASHA National Conference Promotion and Education and the potential effects of different af-
2 Rue Auguste Comte ter-school options on children’s develop-
ASHA’s seventy-fourth National School
92170 Vanves ment. Topics include the following:
Health Conference, “Schools and Com-
Phone: 01 46 45 00 59
munities: Partners for Children’s
Fax: 01 46 45 00 45 • the importance of public invest-
Health” is scheduled for October 25–29,
E-mail: iuhpemcl@worldnet.fr ment, community-level planning,
2000, at the Radisson Hotel in New Or-
and increased knowledge to meet
leans, Louisiana. For information con-
the growing demand for out-of-
tact: Journals school programs and activities
Mary Bamer Ramsier Readers are invited to submit reviews of ar- • characteristics of after-school
ASHA ticles, especially from publications/journals programs that serve low-income
P.O. Box 708 that may not come to the attention of the edi- children
Kent, OH 44240 tor of School Health Program News.
• community strategies for keeping
Phone: (330) 678-1601, x127
children safe during after-school
E-mail: mbramsi@ashaweb.org
Educational Leadership hours
Website: http://
www.ashaweb.org/conferences “Healthy Bodies, Minds, and Buildings” In addition, four essays by policy analysts
is the theme of the March issue of Edu- offer perspectives on key forces that may
APHA cational Leadership, the journal of the influence the future of after-school pro-
Association for Supervision and Curricu- gramming. (Fall 1999, Vol. 9, No.2)
APHA’s 128th annual meeting, “Elimi- lum Development (ASCD). The issue
nating Health Disparities,” is scheduled looks at what schools can do to ensure The executive summary and electronic
for November 12–16, 2000, in Boston, that their students prosper physically, version of this issue appear online at
Massachusetts. With more than 1,000 mentally, and socially in a safe environ- <http://www.futureofchildren.org>.
sessions and 12,000 attendees, the APHA ment. More than a dozen articles de- Print copies are available at no cost by
annual meeting is the largest public scribe strategies for linking school health contacting:
health conference in the world. Advance with school reform, models for creating
registration forms will be available in the Circulation Department
partnerships between schools and com- The David and Lucile Packard
spring and will be mailed to all mem- munity agencies, and examples of how
bers, along with the May issue of The Foundation
school staff can work collaboratively with 300 Second Street, Suite 200
Nation’s Health. Non-APHA members one another to improve the welfare and
who want to receive information about Los Altos, CA 94022
academic achievement of students. The Fax: (650) 948-6498
the annual meeting should provide a issue also examines how school facilities
complete mailing address to E-mail:
affect student achievement and behav- circulation@futureofchildren.org
edward.shipley@apha.org to be added to
27
Glossary
AAP: American Academy of Pediatrics; ACS: American Cancer Society; ACYF: Administration on Children, Youth, and Families; AED:
Academy for Educational Development; AFY: Advocates for Youth; AGI: Alan Guttmacher Institute; ASTHO: Association of State and
Territorial Health Officials; APHA: American Public Health Association; ASCD: Association for Supervision and Curriculum Develop-
ment; ASHA: American School Health Association; CCHI: California Center for Health Improvement; CCSSO: Council of Chief State
School Officers; CDC/DASH: U.S. Centers for Disease Control and Prevention’s Division of Adolescent and School Health; CHEF:
Comprehensive Health Education Foundation; CHIP: Children’s Health Insurance Program; CSLD: Center for School Leadership
Development; CSMHA: Center for School Mental Health Assistance; CSHE: Comprehensive School Health Education; CSHP: Coordi-
nated School Health Program; DALYs: Disability Adjusted Life Years; DHHS: U.S. Department of Health and Human Services; DOJ:
U.S. Department of Justice; ELOs: extra learning opportunities; EPA: U.S. Environmental Protection Agency; ESEA: Elementary and
Secondary Education Act; FDA: U.S. Food and Drug Administration; FREE: Federal Resources for Educational Excellence website;
GEM: Gateway to Educational Materials website; GLBTQ: Gay, Lesbian, Bisexual, Transgender and Questioning; GLSEN: Gay, Lesbian,
and Straight Education Network; HCFA: Health Care Finance Administration; HHD/EDC: Health and Human Development Pro-
grams at Education Development Center, Inc.; HIV: Human Immunodeficiency Virus; HMOs: health maintenance organizations;
HRSA: Health Resources and Services Administration; HSHC: Healthy Schools, Healthy Communities; IHEs: Institutions of Higher
Education; IYD: Institute for Youth Development; LEAs: Local education agencies; MCH: Maternal and Child Health; MCHB: Mater-
nal and Child Health Bureau; MHA: Making Health Academic; MMFA: Maryland Meals for Achievement; MSA: Masters in School
Administration; MSM: men who sleep with men; MTF: Monitoring the Future program; NAPWA: National Association of People With
AIDS; NASBE: National Association of State Boards of Education; NASBHC: National Assembly on School-Based Health Care; NASN:
National Association of School Nurses; NASPE: National Association for Sport and Physical Education; NASTAD: National Alliance of
State and Territorial AIDS Directors; NCACE: National Council for Accreditation of Coaching Education; NCHA: National Center for
Health Statistics; NCHE: National Center for Health Education; NCHL: National Coalition of State Legislators; National Conference of
State Legislators; NCLR: National Council of La Raza; NCSL: National Conference of State Legislatures; NEA: National Education
Association; NGA: National Governors’ Association; NGOs: Nongovernmental organizations; NIDA: National Institute on Drug Abuse;
NIH: National Institutes of Health; NIMH: National Institute of Mental Health; NMSA: National Middle School Association; NSBA:
National School Boards Association; NTP: National Training Partnership; NYAC: National Youth Advocacy Coalition; NYAM: New York
Academy of Medicine; NYTS: National Youth Tobacco Survey; OJJDP: Office of Juvenile Justice and Delinquency Prevention; PA:
Public Announcement; PHF: Public Health Foundation; PRC: Prevention Research Centers; ReCAPP: Resource Center for Adolescent
Pregnancy Prevention website; SAMHSA: Substance Abuse and Mental Health Services Administration; SCHIP: State Children’s Health
Insurance Program; SEA: State education agency; SSDHPER: Society of State Directors of Health, Physical Education and Recreation;
SSRE: Social Science Research and Evaluation, Inc.; STD: Sexually transmitted disease; TANF: Temporary Assistance to Needy Families;
TDC: Training and Development Consortium; UNM: University of New Mexico; USDA: U.S. Department of Agriculture; USED, ED:
U.S. Department of Education; UV: ultraviolet; WEEA: The Women’s Educational Equity Act Resource Center at Educational Develop-
ment Center, Inc.; YOC: Youth of Color
Non-profit Organization
U.S. Postage
Education Development Center, Inc.
PAID
55 Chapel Street Boston, Massachusetts
Permit No. 58241
Newton, Massachusetts 02458-1060
