AFHK Field Report Michigan

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							Local
Wellness
Policy
Implementation
Strategies
and Successes    Field Report Fall 2007
in Michigan
State Board of Education
Kathleen N. Straus, President
John C. Austin, Vice President
Carolyn L. Curtin, Secretary
Marianne Yared McGuire, Treasurer
Nancy Danhof, NASBE Delegate
Elizabeth W. Bauer
Reginald M. Turner
Casandra E. Ulbrich

Ex-Officio
Jennifer M. Granholm, Governor
Michael P. Flanagan, Superintendent of Public Education




The publishing of this report is funded, at least in part, with federal funds from the U.S. Department
of Agriculture, Food and Nutrition Service. The contents of this publication do not necessarily reflect
the view or policies of the U.S. Department of Agriculture, nor does mention of trade names,
commercial products, or organizations imply endorsement by the U.S. Government.
                       Michigan Action for Healthy Kids Field Report Fall 2007


Local Wellness Policy
Implementation: Strategies
and Successes in Michigan
This field report spotlights the Michigan Action for Healthy
Kids Team’s development and implementation of Local
Wellness Policies by school districts across the state. These
activities were a result of the passage of the Child Nutrition
and Reauthorization Act of 2004, signed by President George
W. Bush on June 30 of that year, requiring every school dis-
trict in the U.S. to have developed and put in place a policy
by July 1, 2006. The Michigan Team’s efforts in this regard
were notably thorough and well-coordinated. Looked at in
retrospect, they make Michigan an ideal case-study example
of how states and regions might go about tackling the                               ABOUT MICHIGAN ACTION
numerous and sometimes daunting tasks involved in assisting,                        FOR HEALTHY KIDS
measuring, and effecting statewide implementation of,                               Michigan Action for Healthy
adherence to, and compliance with Local Wellness Policies.                          Kids began in December of
                                                                                    2002, and now has more than
                                                                                    2,000 members including
                                                                                    Michigan educators, health
A FOUR-PRONGED APPROACH                                                             advocates, and leading health
                                                                                    organizations. It was formed
The Michigan Action for Healthy Kids Team, the Michigan Department of
                                                                                    as part of Action for Healthy
Education (MDE) and the Michigan Department of Community Health                     Kids, a national nonprofit
(MDCH) approached the challenge of Local Wellness Policy implementation             organization that is dedicated
in the state from four strategic perspectives. It is perhaps this clearly defined   to improving children’s nutrition
four-pronged approach that most contributed a sense of up-front organization        and physical activity in school.
to the Team’s efforts to be of genuine help to schools and districts in comply-     Action for Healthy Kids was
                                                                                    established to further the goals
ing with the federal mandate. The four areas of focus were:
                                                                                    of the 2002 Healthy Schools
       Creating a coherent data-collection system by which to assemble accurate     Summit by engaging schools
       information at the outset on which districts did, and did not, have a        in positive dietary and lifestyle
       Local Wellness Policy in place, as well as compiling information on what     behaviors and practices
       the various hurdles to development and/or implementation of policies         (www.ActionForHealthyKids.org).
       might have been;                                                             The efforts of Michigan Action
                                                                                    for Healthy Kids support the U.S.
       Providing technical assistance to districts still struggling to put
                                                                                    Surgeon General’s “Call to
       Local Wellness Policies in place;                                            Action to Prevent and Decrease
       Creating incentives, encouragement, and training with which to engage        Overweight and Obesity” and
       the crucial constituency represented by parents, and getting them            the Michigan Surgeon General’s
       involved in Local Wellness Policy creation and implementation; and           “Michigan Steps Up” campaign.



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    KEY ELEMENTS OF MICHIGAN’S                  Encouraging students themselves to become involved in the overall
    HEALTHY SCHOOL TOOLKIT                      Local Wellness Policy process.
    • Special introduction for school         The value of the “big picture” comprehensiveness of this approach to the
      personnel at a variety of levels.   issue — and its pivotal role in the success of the Michigan Team’s efforts to
                                          date — cannot be overemphasized.
    • Background information on
      Action for Healthy Kids.
    • “Making the Case for School         RIGHT UP-FRONT: JUMP-STARTING POLICY IMPLEMENTATION
      Wellness” DVD.                      WITH A MODEL POLICY AND HELPFUL TOOLKIT
    • “Getting Started” guidance          In response to the federal Local Wellness Policy requirement, on October 11,
      on developing, adopting, and        2005, the Michigan State Board of Education adopted its own “Model Local
      implementing healthy school
                                          Wellness Policy.” The model policy was developed by MDE — in consultation
      environment policies.
                                          and collaboration with other state and local agencies, organizations, educators,
    • Model, Michigan-specific            and concerned citizens — to assist districts in Michigan with the development
      Local Wellness Policy template.
                                          of their own policies.
    • Up-front assessment device,              In addition, the Michigan Team and MDE promoted the adoption of the
      the “Healthy School Action          Model Local Wellness Policy by developing the Healthy School Toolkit: Your
      Tool.”                              Guide to Action. The toolkit provided the information, resources, and tools
    • Complete action plan for            needed to assist schools in providing an environment that supports the healthy
      implementing healthy eating         eating and physical activity habits of students, their families, school staff, and
      policies.                           community.
    • Detailed instructions for                Larry Merx, co-chair of the Michigan Team and senior program coordina-
      implementing a physical             tor at the National Kidney Foundation of Michigan, says, “The toolkit was
      education and physical activity     meant to be an all-in-one-place reference and solution for putting a Wellness
      action plan.                        Policy in place — it contained files, spiral-bound booklets, single sheets of
    • Guidance on how to “get             advice and instruction, and multimedia CD-ROMs and DVDs.” (The kit can
      the message out” and                be downloaded at no cost — see sidebar — and the toolkit initiative is detailed
      “communicate your success.”         in the Action for Healthy Kids field report released in Spring 2007, “Ideas,
    • Resource list for further           Commitment, Action, Results: Model Projects Advancing the Cause of School
      information.                        Wellness,” available at www.ActionForHealthyKids.org.)
    The complete Michigan                      The Healthy School Toolkit was rolled out in December 2005, and the
    Healthy School Toolkit may            Team estimates that the kit has so far directly affected almost 427,000 students,
    be accessed online at                 from the Upper Peninsula to urban Detroit. In the words of Michigan Team
    www.tn.fcs.msue.msu.edu/              co-chair and MDE consultant, Nick Drzal, Larry Merx’s colleague, “The tool-
    HealthySchoolToolkit.html.            kit really set the stage for us, in that it provided our districts with the guidance
                                          they needed right out of the gate. Before we even started collecting data on
                                          whether or not districts were complying, or reaching out to parents and stu-
                                          dents to get them involved in implementation, we had this kit we could point
                                          to and say, ‘Okay, here’s step one — this is really all you need to get started.’”


                                          1. GETTING A HANDLE ON THE NUMBERS:
                                             DATA COLLECTION & ANALYSIS
                                          MDE employed an existing online data-collection system to collect district
                                          Local Wellness Policy information. Since this tool was integrated into MDE’s
                                          school meals data collection system, it provided a seamless means of collect-
                                          ing policy data. The online “survey” asked the following questions:


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        Has your district established a Local Wellness Policy?
        Who is the person designated to measure implementation of your policy?
        What is your plan for measuring implementation?
        What are the barriers your district is experiencing, if any, in implementing
        your Local Wellness Policy throughout the district?
        What positive changes can you report since implementing your policy
        district-wide?
        If technical assistance could be provided to your district to assist with
        policy implementation, what type of assistance would you request?
        (This sixth question was asked to those contacted by telephone.)
     The goal of the online data collection survey was simply to get an accurate
picture of what was happening across the state in the wake of (1) the federal
mandate; (2) the subsequent circulation of Michigan’s model policy for dis-
tricts to use as an example; and (3) the wide availability of the Healthy School
Toolkit, with which districts could, in Team co-chair Nick Drzal’s words,
“get started.”
     Most important, though, the survey revealed that, of a total of 1,022
Michigan educational agencies legally required to create a Local Wellness
Policy, 677 of them, or 66%, already had policies in place as of December
2006. The remaining 345 districts, or 34%, were without policies.
     Meanwhile, in order to bring all Michigan educational agencies in compli-
ance with the federal mandate to have a policy on the books, Michigan,
through a grant from the USDA, hired a consultant to contact, by telephone,
every single educational agency without a policy in place. This involved
contacting public school districts, public academies, private schools, and
residential child-care institutions (RCCIs).
     The results of this data are published in the MDE publication “Status of
Local Wellness Policy Adoption and Implementation among Michigan Local
Education Agencies,” available at www.michigan.gov/cshsp. That report


  BY THE NUMBERS
  Michigan’s comprehensive survey of districts statewide revealed a wealth of statistical and qualitative data regarding
  state awareness and adoption of Local Wellness Policies. Sample findings:
  • Public school districts were more aware of the policy,        • Of the 872 districts with policies in place, 23% (201districts)
    the federal law, and its requirements than the public           indicated that their district is not experiencing any
    school academies, private school districts, and residen-        barriers related to the implementation of their policy.
    tial child care institutions.
                                                                  • Of the 872 districts with policies in place, 86% (753 districts)
  • Many private school districts and residential child care        reported that it was too early to know if any positive
    institutions were under the impression that the policy          changes have resulted from the implementation of their
    did not apply to them or they were covered under the            policy or that there are no positive changes yet.
    public school district’s policy.
                                                                  • Telephone contacts resulted in 66 districts requesting
  • The majority of agencies without a policy are working on        the State Board of Education’s Model Local Wellness
    one and plan to have it in place before December 31, 2007.      Policy template, or other technical assistance, to help
                                                                    them in completing their policy.
  • Of the 872 districts with Local Wellness Policies in place,
    58% (505 districts) have a strategy in place to measure       The report entitled “Status of Local Wellness Policy Adoption and
    the implementation of their policy.                           Implementation among Michigan Local Education Agencies” is available
                                                                  from the Michigan Department of Education at www.michigan.gov/cshsp.



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    SUCCESS ON MANY LEVELS               summarizes, in some statistical detail, answers to the survey’s questions and
    In the data-collection phase of      provides revealing breakdowns in terms of public versus private schools,
    Michigan’s Local Wellness            as well as numerous encouraging and inspiring “success story” narratives.
    Policy implementation project,            Findings from the telephone calls and online data collection system
    it was revealed that a variety       included the discovery that the staff person designated to measure policy
    of specific action steps had         implementation varied greatly among districts — ranging from superintend-
    been or were being taken,
                                         ents and assistant superintendents to food service directors, principals, teach-
    representing successes on a
    variety of levels.                   ers, and school nurses. The survey also revealed that barriers to policy imple-
                                         mentation included such things as a dearth of funding to implement changes; a
    • The most likely healthy eating     shortage of staff time; the lack of a system in place by which to track imple-
      and/or nutrition successes
                                         mentation; and the frank and not altogether surprising admission that, to some
      were: providing healthier food
      and snacks including, switch-      districts, health and wellness were simply not priorities.
      ing from white to whole                 Deb Grischke, MDE’s consultant who followed up with districts, reported
      wheat products, serving more       that, “more than anything else, the survey gave us a very good workable
      fresh fruits and vegetables,       snapshot of what we were dealing with in terms of compliance. To some of us,
      offering a made-to-order fresh     the 66% figure — the fact that fully two-thirds of our districts had taken the
      sandwich line, offering healthy
                                         bull by the horns and developed and implemented a Local Wellness Policy —
      choices in vending machines
      or removing vending machines,      was great news. And frankly, it was higher than I thought it would be at this
      healthy fundraisers, and work-     time. But to others, the fact that one-third of our districts were still technically
      ing with parents to encourage      in violation of a federal mandate was troubling. At least we knew exactly the
      them to send healthy snacks        challenges we were facing, and, after all, that was the whole point of the
      to school for their children       survey. In all modesty, I would venture to say that there are few states at that
      and provide healthy food
                                         juncture that had as firm a handle on those numbers — compliance vs.
      choices at classroom parties.
                                         non-compliance — as we did in Michigan.”
    • The most likely physical                Grischke is most likely correct on that. It was as the survey was being
      activity and/or physical
                                         conducted, however, that the project began to evolve into its second phase.
      education success was
      improving or implementing a             “When the Michigan Team originally asked me to work on this project,”
      physical education program.        remembers Grischke, “I thought it was simply to gather information about who
      This was followed by imple-        was, and wasn’t, complying; I’d summarize the findings, and that would be it.
      mentation of a variety of other    In my mind, the districts that were not in compliance and that needed assistance
      programs including Jump            would be provided with a Healthy School Toolkit or other instructional tool.”
      Rope for Heart, Mileage Club,
                                              But that wasn’t quite what happened.
      ACES (All Children Exercising
      Simultaneously), and Recess
      Before Lunch.
    • “Other” successes shared
                                         2. LENDING A HELPING HAND: TECHNICAL ASSISTANCE
      were increased awareness           Deb Grischke explains, “It was when I was questioning districts over the
      among students, staff, and         phone that the conversations with districts without policies in place turned
      parents (including students
                                         immediately into help sessions. There was an urgency, a need, that came
      asking more health related
      questions), better communica-      through in those phone calls. So many of the districts that weren’t in compli-
      tion with parents, and positive    ance were grateful that someone — anyone — was calling them who could
      partnerships.                      conceivably give them some assistance, some more detailed information,
                                         some support. Occasionally, there were audible sighs of relief.”
                                             Michigan Team’s Nick Drzal points out that, even among districts that had
                                         developed good policies, there were requests for advice about the actual
                                         implementation part of the puzzle, on which they were frequently stuck. It was
                                         obvious to the Team that “technical assistance” hadn’t ended with the produc-
                                         tion and distribution of the Healthy School Toolkit — and that there were


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schools and districts that wanted and needed more one-on-one help.
     Drzal reports that technical assistance to districts at this stage — six
months past the federal policy’s mandate deadline — in many cases added
up merely to being supportive.
     “It’s really all about hand-holding,” Drzal says in the matter-of-fact tone
of one accustomed to doing just that. “Of the districts that hadn’t dealt with
the Local Wellness Policy issue yet, most of them simply didn’t know where
to begin. In some cases, it was a matter of talking to them on the phone and
just reviewing the requirements one by one — explaining the fine points of the
policy mandate and reviewing with districts what their responsibility was.
In other cases, it was a matter of emailing district staff the language in the
federal law so they could get a better handle on it — many of them had never
even read the legislation. In still other cases, the best technical assistance we
could provide was to get them MDE’s Local Wellness Policy template —
or overnight them the entire Healthy School Toolkit, if they hadn’t seen it
yet — which for many districts was, and remains, the best place to start.”
     Was there any commonality among the districts that hadn’t complied?
     “Not really,” answers Drzal, “other than the fact that they were all variously
confused, intimidated, or overwhelmed by what they had to do.”
     So there was hand-holding — but not too much. In fact, Drzal points out
that many school districts declined technical assistance, insisting that they
knew what had to be done policy-wise even though they hadn’t gotten around
to it yet. Of the initial 345 districts in the survey that had not developed and


  LESSONS LEARNED IN PROVIDING TECHNICAL ASSISTANCE TO DISTRICTS IN DEVELOPING LOCAL WELLNESS POLICIES
  SIMPLE SUPPORT. Hand-holding, while staff familiarize          TEMPLATES ARE CRUCIAL. Michigan’s “model” Wellness
  themselves with Local Wellness Policy requirements, is con-    Policy served as an easy template upon which districts
  structive and occasionally necessary when districts are con-   could construct their policies, saving time and effort by
  fused, uncertain of their responsibilities, or overwhelmed.    streamlining the policy process and allowing them to
                                                                 work “by example.”
  PROVIDING BASIC INFORMATION. Just reviewing policy
  requirements on the phone with districts can go a long         DON’T WAIT FOR DISTRICTS TO ASK. Many districts in
  way to getting them “over the hump,” and lessening the         need of technical assistance in Local Wellness Policy
  intimidation factor.                                           implementation don’t know help is available. Reaching
                                                                 out to districts on the part of Action for Healthy Kids
  GETTING TO KNOW THE FEDERAL LAW. Many district                 Teams and regional/ state departments of education is
  staff haven’t actually read, or even seen, the wording of      almost always welcomed by districts.
  the federal mandate. Getting the legislation in front of
  them is step one.                                              DON’T MISTAKE INERTIA FOR LACK OF
                                                                 UNDERSTANDING. Districts that are slow in implementing
  TOOLS, TOOLS, TOOLS. Michigan’s Healthy School Toolkit         policies aren’t necessarily in need of technical assistance
  is an all-in-one-place Michigan-specific resource for          — they may simply not have gotten around to dealing
  tackling development and implementation of a Local             with Local Wellness Policy requirements yet.
  Wellness Policy. Other states, regions, and locales should
  consider similar “tailored” toolkits.                          THE DISTRICTS ARE NOT DONE. Many districts have
                                                                 made great strides but there is still a lot of work that
  COORDINATED SCHOOL HEALTH TEAMS AND
                                                                 needs to be done to improve the lifestyles of students.
  COMMUNICATION. Staff at all levels need to be educated
                                                                 The districts and leading state agencies and organiza-
  and involved to implement the policy from the before/after
                                                                 tions must continue to work together diligently.
  school programs to the classrooms to the cafeterias to
  the open houses to the district level.



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    PARENTS TAKING ACTION                implemented a Local Wellness Policy, a total of 66, or 19%, were provided
    There’s so much for parents          direct technical assistance — a function that clearly needs to be ramped up
    to do when they assume a role        by the Michigan Team.
    in Local Wellness Policy
    development and implementation.
    They can:
                                         3. BRINGING PARENTS INTO THE EQUATION
    • Get up to speed on the federal
      legislation.                       The involvement of parents was a crucial component in Michigan’s commit-
    • Join their school’s wellness       ment to successful implementation of Local Wellness Policies — and was
      committee.                         the basis of the Team’s “Parent Champions for School Wellness Initiative.”
    • Approach administrators with       Underwritten by U.S. Department of Agriculture’s Local Wellness State
      ideas about everything from        Agency Grant funds, the goal of this “parent intervention” component
      improved snack-vending to
                                         was to provide Local Wellness Policy training and technical assistance to
      increasing the time allotted
      for lunch and breaks.              parents, in an effort not only to inform them of the policy legislation, but
    • Prepare and make presenta-         also to enlist their support and help for campus-wide implementation.
      tions to superintendents and       Specifically, this goal was to be accomplished by increasing parental
      school boards.                     awareness regarding the policy requirement; by organizing parent-friendly
    • Get together with other            workshops; by providing follow-up help and guidance to parents once they
      parents and brainstorm
                                         got involved; and then by collecting and circulating parents’ Local Wellness
      approaches to sometimes
      resistant school and district      Policy implementation success stories.
      “upper management.”                     Details of Michigan’s parent initiative are provided in MDE’s publication
    • Spend time on websites             “Parent Champions for School Wellness Initiative/Local Wellness Policy
      educating themselves about         Implementation Grant, 2006-2007,” available at www.michigan.gov/cshsp. But
      what other schools, districts,     briefly, a total of 18 parent workshops were held across the state. More than 340
      and states are doing about
                                         attendees were reached through these workshops, of which 213 were parents.
      wellness.
    • Organize walkathons and                 “I’m a huge parent advocate,” says Michigan Action for Healthy Kids
      wellness-themed fundraisers.       Team member and MDE Parent Consultant Barb Flis who designed the parent
    • Advocate healthier lunch           intervention component. “I often observe that there’s a disconnect between
      options, and/or improved           parents and schools in our society, and nowhere is this disconnect more
      playground facilities.             dangerous than in the nutrition and wellness arena. So everything I do is
    • Familiarize themselves with
                                         aimed at bridging that gap — but doing it in a non-blaming, non-threatening,
      the wellness/academic
      achievement link.                  non-burdening way. That was how our parent outreach, and especially our
    • Reinforce the wellness             workshops, was designed.”
      message by getting kids                 Workshop sessions were 90 minutes in length, reports Flis, and the
      more active at home.               cohesive messages throughout the workshops were (1) “No Blame” and (2)
                                         “When We Know Better, We Do Better.” By providing a historic perspective
                                         on how, as a society, unhealthy eating and physical inactivity have evolved,
                                         participants were reminded that there is no one person or institution at fault
                                         for the childhood obesity crisis. Parents were taught that, in order to improve
                                         nutrition and physical activity, we must all work collaboratively.
                                              In addition to parents, workshop participants included principals, health
                                         teachers, food service staff, health department and hospital personnel, and
                                         school district health coordinators. The workshops were promoted through the
                                         creation and publication of a parent-friendly Local Wellness Policy newspaper
                                         article distributed through existing listservs for parent organizations; in the
                                         widely circulated, state-based EduGuide magazine; and via Michigan state
                                         partner organizations with large audiences of parents.
                                              At the end of each workshop, parent participants were asked to complete


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an eight-point questionnaire. Overall, evaluation results were highly positive,
reflecting that the workshops were well received: 87% of participating parents
indicated that the workshop presentations met their informational needs; 86%
indicated that the presentation enhanced their knowledge in some way about
using Local Wellness Policies to improve school wellness. Overall, 97% said
they would recommend the workshop to other parents, and 96% of participants
said the workshop motivated them, personally, to take at least one action step.
     “Our ultimate goal for the workshops,” says Flis, “was to make parents
see their own role — to make them see a place for themselves — in the school
wellness discussion. I have a series of principles I follow when working with
parents. I always try to view them as a blessing. I keep in mind that building
relationships with parents, soliciting their thoughts, is key — and that the rela-
tionships take time. And I also bear in mind that parents, for the most part, are
genuinely hungry for information. Most are passionate about their kids’ well-
being, and for the most part they want to be informed, and to help.”


  LESSONS LEARNED IN WORKING WITH PARENTS
  The following are ten important lessons learned in Michigan about working with parents to empower them to implement
  Local Wellness Policies.
  Lesson #1: View parents as a blessing.                         realized. It was important to have success stories ready to
  Administrators and others can become defensive or              tell about schools that had highly profitable fundraisers that
  annoyed at well-meaning parents’ interest and input,           involved physical activity and less time and volunteer effort.
  feeling their authority is being challenged and their
  workload increased. However, positive outcomes almost          Lesson #7: Approach school board members as parents.
  always result from parental involvement.                       Many Michigan parent workshop participants were also
                                                                 school board members, and vice versa. Many had approved
  Lesson #2: Build bridges between parents                       a Local Wellness Policy but were not aware of its potential
  and school personnel.                                          to improve health and academic success for students.
  Nearly every Michigan parent workshop had at least one
                                                                 Lesson #8: It’s important to have the right resources.
  person from the school district present. Often it was the
                                                                 Designing a parents’ workshop and reaching and
  principal or school nutrition director.
                                                                 motivating parents would have been a bigger challenge
  Lesson #3: Less is more.                                       had Michigan not had the right tools for the job. Without
  It is better to have fewer parents at a workshop than          a doubt the Healthy School Toolkit was invaluable for
  more. The chances of motivating parents into action are        providing parents with on the spot information, helping
  greater when you are working with a small group.               them to think differently about how schools operate,
                                                                 and giving them ideas to take back and implement.
  Lesson #4: Ask parents for what you need.
  The first thing a salesman learns is to “ask for the order.”   Lesson #9: Parents are thirsty for information.
  Asking for a commitment by participants, no matter how         Many parents have lots of nutrition-related questions.
  small, gives credibility and value to the initiative.          Most of these questions were answered at the work-
                                                                 shops, especially when a school nutrition director was
  Lesson #5: Building relationships with parents takes time.     in attendance. Questions ranged from what to do with
  Parents, like administrators, have busy schedules, and not     a “picky” eater to help on planning a balanced meal
  all parents are regularly on the school campus. Follow up      and reading labels.
  to the action plans and providing coaching/mentoring is
  critically important, but a slow process.                      Lesson #10: Have something for parents to do!
                                                                 It is counterproductive to excite parents’ enthusiasm
  Lesson #6: Know how changes will impact the bottom line.       about their involvement in policy implementation if
  In a few Michigan parent workshops it became apparent          districts haven’t thought through exactly what those
  that there was a concern among administrators of changing      parents’ role will be. Don’t waste parents’ time.
  to healthy fundraising for fear that less profit would be



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    MOVING PARENTS TO                         So what did the 96% of participants who claimed the workshops motivat-
    ACTION: THE PARENTS’                 ed them to take action… actually do?
    MINI ACTION PLAN                          They got up to speed on policy legislation. They joined their school’s well-
    • To encourage Michigan              ness committee and the Michigan Team. They approached administrators with
      parents to take action, partici-   ideas about everything from improving snack-vending to increasing the time
      pants in Michigan’s parent-        allotted for lunch and breaks. They prepared and made presentations to superin-
      outreach workshops were            tendents. They got together with other parents and brainstormed approaches to
      asked to fill out a Mini Action
                                         sometimes resistant school and district “upper management.” They spent time
      Plan stating one to three small
      action steps they might take       reading websites to educate themselves about what other schools, districts, and
      as a result of the workshop.       states were doing about wellness. They organized walkathons and wellness-
                                         themed fundraisers. They advocated for healthier lunch options, or for
    • The Mini Action Plan was a
                                         improved playground facilities. They familiarized themselves with the link
      document allowing them to
      leave one copy with the            between wellness and academic achievement. And they reinforced the wellness
      workshop facilitator and keep      message by getting kids more active at home — encouraging healthier choices
      the other copy as a reminder       not only about food, but about activities, such as suggesting swimming or
      of their commitment to their       tumbling as an alternative to computer games or TV reruns.
      action plan.                            Flis is quick to remind us that one of the biggest issues in involving parents
    • The Mini Action Plan was           in the Local Wellness Policy discussion is deciding, up front, what parents —
      mentioned at the beginning         who want to be involved — are actually going to do, and giving them a menu
      of the workshop so that            of options to choose from. It does no good to excite parents about wellness if
      parents could be aware and
                                         you don’t tell them where to go with that excitement, and how to put it to use.
      consider during the workshop
      things that they might want             “There has to be a reality check about parents’ involvement,” Flis main-
      to take action on.                 tains. “You can’t just enlist parents’ help willy-nilly, and then have nothing
                                         for them to dig into. If a district says it welcomes a parent’s participation in
    • The Mini Action Plan was
                                         the wellness dialogue, the district has to know exactly what it’s going to ask
      offered as optional, not
      required.                          that parent to do. Parents’ time is valuable, too.”

    • 116 Mini Action Plans were
      received containing a total        4. INVOLVING STUDENTS: BECAUSE IT’S ALL ABOUT THEM!
      of 261 intended actions.
      Approximately 30% of the           It would seem only logical to involve students themselves in wellness efforts
      intended actions were for          aimed at them — a fact not lost on the Michigan Team, which viewed students
      nutrition (school parties,         as an important constituency in the Local Wellness Policy implementation
      snacks, food service), 30%         effort. With that in mind, 47 diverse Michigan schools were each awarded a
      personal (family walks, less
                                         $500 grant from MDE and MDCH; the United States Department of
      soda pop at home), 11% for
      physical activity (recess          Agriculture; and the Centers for Disease Control and Prevention during the
      before lunch, hold a walk-         2006-07 school year. The funding was earmarked for helping students take part
      athon, denying recess as           in implementing Local Wellness Policies. All of the schools selected served
      punishment), and 35% in the        high school students; twelve schools served middle school students as well;
      “other” category (follow-up        and six schools also served elementary students.
      with administrator about Local
                                             Required of the grantees was (1) the creation of School Wellness Teams
      Wellness Policy, meet with
      school nutrition director,         consisting of at least four students; (2) the completion of the Healthy Schools
      hold a workshop for parents).      Action Tool (HSAT, www.mihealthtools.org), an assessment tool developed
                                         to help schools assess whether — and to what extent — their school environ-
                                         ment offers consistent messages about the importance of healthy eating and
                                         physical activity; and (3) formal implementation of specific action steps.
                                         Teams were required to identify and implement at least one school health envi-
                                         ronmental change related to implementing the school district’s Local Wellness



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                                                                L O C A L W E L L N E S S P O L I C Y I M P L E M E N TAT I O N


Policy (one related to physical activity/education and/or one related to                  CHANGE IS GOOD
nutrition); to present their accomplishments to the school board; to submit a             Among the changes made by
success story; and to complete an end-of-year evaluation. The Michigan Team               Michigan Student Wellness
calculated that the actions of these Student Wellness Teams had the potential             Teams as a result of receiving
to reach over 37,000 students.                                                            a Local Wellness Policy
     As it happened, schools used their funds in a variety of ways to implement           Implementation Grant:
Local Wellness Policies. Those that focused on nutrition standards and healthy            • Providing more healthy food
eating tackled such activities as taste-test challenges, posters and bulletin               choices in concessions,
board materials about nutrition, encouraging healthy snacks and healthy                     vending, school stores, and
potluck eating, selecting up-to-date nutrition curriculum materials, organizing             the cafeteria.
multicultural food days, and instituting mobile salad bar carts and even                  • Opening communication
portable, traveling mini-kitchens to support nutrition education.                           between food services and
     Schools that focused on physical activity and physical education                       students.
researched and invested in new exercise equipment; dance instruction videos               • Placing wellness-themed
for use at lunchtime; pedometers for walking programs; heart-rate monitors;                 posters around the school.
and blood pressure kits and physicians’ scales. One school even created a                 • Increasing time for after-
school wellness lounge — a destination dedicated to nutritional and physical                school and lunchtime physical
self-improvement discussions and information sharing.                                       activities.
     The point was for the School Wellness Teams to use their district’s newly
                                                                                          • Starting “Health Tip of the
developed Local Wellness Policy as a reference and guideline in brainstorming,              Day” on daily announcements.
creating, and enacting all these wellness-enhancing options. More than 76%
                                                                                          • Implementing “Health Spirit
of the teams, in post-grant follow up, reported that they did use their policies
                                                                                            Week,” a sort of “wellness-
to implement their change(s). They were also encouraged to consult school                   themed homecoming.”
and district food service and physical education staff, to do original research
of their own if they desired, and to avail themselves of the “grab bag” of                • Encouraging more students
                                                                                            to eat breakfast.
multimedia informational materials supplied in their district’s copy of
Michigan’s Healthy School Toolkit.
     Nick Drzal of MDE emphasizes, “Look, students are the target of every-
thing we do. They’re the center, and the point, of this whole initiative. If we’re
trying to change student behavior, it only makes sense to ask them what
they’re willing to do.”
     Drzal points out that enlisting students themselves in the Local Wellness
Policy discussion was “a whole new direction for us. The idea of working
with a ‘student health team’ was a new and exciting one, because it was a
fascinating exploration of how to get students to change their own behavior.
As an education professional, to me that’s the most interesting thing of all.”
     Change behavior they did. Post-grant, students reported that their greatest
challenges in improving the school health environment were finding cost-
friendly items that would encourage high school students to eat in a healthier
manner; steering fellow students away from empty calories; successfully
communicating the facts of food choices and offering tasty options; and
simply finding time during the school week for their School Wellness Team
to meet. Impressively, students surmounted each of these hurdles, respectively,
by implementing salad bars with more and varied selections; offering
vegetable and fruit smoothies; scheduling regular taste-testing opportunities
and running student-produced monthly videos on the school’s closed-circuit
cable channel; and meeting during lunch and in the evenings.



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                                             Overall, students claimed that the two most notable improvements at school
                                         as a result of their district’s Local Wellness Policy being adopted were (1)
                                         increased awareness of the importance of good nutrition and physical activity in
                                         general and (2) changes in food served in the cafeteria and in vending machines.
                                             These and other student reflections on the initiative are detailed, and the



     MICHIGAN’S LOCAL WELLNESS POLICY IMPLEMENTATION TIMETABLE
                    June 30, 2004     President George W. Bush signs the federal Child Nutrition and Reauthorization Act,
                                      requiring school districts to implement Local Wellness Policies by July 1, 2006.

                     July 25, 2005    MDE releases Administrative Policy Number 3, targeting school food authorities and
                                      detailing the requirements of the law for Michigan school districts specifically.

                 October 11, 2005     The Michigan State Board of Education adopts a Model Local Wellness Policy.
                                      The model policy is developed by the MDE in collaboration with other state and local
                                      agencies, organizations, educators, and concerned citizens to assist local educational
                                      agencies in Michigan with the development of their policies.
                 October 12, 2005     MDE puts out a statewide press release describing the Michigan State Board of
                                      Education’s adoption of the Model Local Wellness Policy and encouraging districts
                                      to create their own policy “reflecting local needs and priorities.”

                 October 14, 2005     The Michigan Association of School Boards emails their members and encourages
                                      them to adopt the Local Wellness Policy as written by the State Board of Education.

                  December 2005       Utilizing their existing networks, MDE in collaboration with Michigan Action for
                                      Healthy Kids promotes the adoption and implementation of Michigan’s Model Local
                                      Wellness Policy. As a result, the Michigan Team develops the Healthy School Toolkit:
                                      Your Guide to Action.

                        May 2006      Ten Student Wellness Teams awarded grants by MDCH and MDE. These grants
                                      were to pilot students leading changes identified from completing the Healthy Schools
                                      Action Tool related to their Local Wellness Policy.

             2006-07 School Year      Parent workshops held in 18 sites statewide, and 47 Student Wellness Team grants
                                      disbursed.

                  December 2006       Data collection survey reveals that of the 1,022 Michigan educational agencies
                                      required to create a Local Wellness Policy, 677 (66%) have policies in place.

                    January 2007      The number of Michigan Healthy School Toolkits distributed in hard-copy form
                                      passes the 4,000 mark.

                 September 2007       Post survey follow-up with educational agencies reveals that a total of 872 (85%)
                                      Michigan districts have adopted a Local Wellness Policy.
                         Fall 2007    Publication of three reports: (1) “Status of Local Wellness Policy Adoption and
                                      Implementation among Michigan Local Education Agencies,” MDE; (2) “Parent
                                      Champions for School Wellness Initiative Local Wellness Policy Implementation
                                       Grant Final Report 2006-2007,” MDE; (3) “Student Wellness Team Local Wellness
                                      Policy Implementation Grant Report: How Students Can Drive Local Wellness
                                      Policy Changes in Districts,” MDE.

     September 2007 and Beyond        Ongoing monitoring of newly developed and implemented policies by MDE, and
                                      continued follow-up with, and technical assistance to, remaining districts still not
                                      in compliance.



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                                                               L O C A L W E L L N E S S P O L I C Y I M P L E M E N TAT I O N


scope and level of students’ contributions described, in the white paper “Student
Wellness Team LWP Implementation Grant Report: How Students Can Drive Local
Wellness Policy Changes in Districts,” available at www.michigan.gov/cshsp.


LOOKING AHEAD
As of September 2007, phone calls confirmed an additional 195 districts with
a Local Wellness Policy, which means 872 Michigan districts have adopted a
policy, representing a compliance level of 85%. To capture the remaining 15%,
or 150 districts, Michigan Team members acknowledge that it will be impera-
tive for the Team’s direct communication and support to continue — as well
as, to use Nick Drzal’s term, hand-holding.
     In the meantime, bona fide success stories are legion.
     In Michigan’s Manistee Area Public Schools, new soda machines are on
timers and are turned off until 3:30 p.m.; water is the only vended beverage
offered during the school day. The vended snack machine was removed and
a refrigerated vending machine is being installed that will offer healthy items
including string cheese, wrap sandwiches, and yogurt.
     At St. Gerard’s School in Lansing, a special team reviewed the research
on Recess Before Lunch. The research indicated that this approach was more
beneficial for students both nutritionally and physical activity-wise, and the
decision was made to implement Recess Before Lunch in August 2006.
     Baby steps? Of course. But in districts across the state of Michigan,
regular health education to students, staff, and community is taking place;
zero-trans-fat soybean oils are being used in cafeteria kitchens; baked chips
and fruit snacks are popping up on the menu; fryers are being replaced; the
“New Look of School Milk” is infiltrating dairy cases, with milk in updated
plastic containers; and made-to-order sandwich bars are offering fresh sliced
turkey, turkey ham, and turkey pastrami on whole-grain buns and rolls.
And 25 schools in Michigan are participating in the U.S. Department of
Agriculture/MDE Fresh Fruit and Vegetable Program, in which students
receive fresh fruit and/or vegetable snacks during the school day.
     The next phase of Local Wellness Policy implementation in Michigan will
be a thorough review of each policy to determine if established criteria set
forth are being met. In Michigan, it turns out, Local Wellness Policy imple-             Since 2006, Michigan Action
mentation isn’t just a complex and well-managed process. It is an ongoing                for Healthy Kids, MDCH,
one — involving the continued participation and input of all the constituencies          and Office of Michigan’s
represented on Action for Healthy Kids’ dedicated Michigan Team.                         Surgeon General have
                                                                                         recognized schools that
                                                                                         have made changes to their
                                                                                         policies and environments
                                                                                         to support healthy lifestyles.
                                                                                         Over 88 schools have been
                                                                                         recognized for leading the
                                                                                         way in making changes in
                                                                                         Michigan in 2006-2007.
                                                                                         Successes can be found at
                                                                                         www.mihealthtools.org/hsat
                                                                                         under Success Stories and
                                                                                         Recognition Programs.


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                                         SINCERE APPRECIATION FOR CRITICAL FEEDBACK
                                         Melanie Brummeler, Michigan Department of Education
                                         Barbara Campbell, Michigan Department of Education
                                         Melissa Fahrenbruch, Centers for Disease Control and Prevention
                                         Barbara Flis, Parent Action for Healthy Kids
                                         Deb Grischke, Nutrition Consultant
                                         Lisa Grost, Michigan Department of Community Health
                                         Kyle Guerrant, Michigan Department of Education
                                         Kandi Lannen, Priority Health
                                         Renate Myler, Action for Healthy Kids
                                         Dru Szczerba, American Cancer Society
                                         Sarah Titzer, Action for Healthy Kids




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