NASBE Asthma Policies

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Information about NASBE Asthma Policies
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Published on August 7, 2007

Author: Haggrid

Source: authorstream.com

Establishing School Asthma Policies: Content and Process:  James F. Bogden, MPH Safe and Healthy Schools Project Director National Association of State Boards of Education July 12, 2005 Establishing School Asthma Policies: Content and Process Objectives:  Objectives Review major school asthma policy points Learn 'who’s who' in education decision making Understand how to engage education leaders Become oriented to key resources Become personally empowered as policy advocates Overcoming Education’s Robust Immune System Defenses Against Foreign Invaders:  Overcoming Education’s Robust Immune System Defenses Against Foreign Invaders Fit, Healthy, and Ready to Learn: A School Health Policy Guide:  Fit, Healthy, and Ready to Learn: A School Health Policy Guide Part III: Policies on Asthma, School Health Services, and Healthy Environments Sample policy language, online at www.nasbe.org/HealthySchools Full explanations Research findings; notable quotes; excerpts of actual policies Resource lists Major Policy Areas:  Major Policy Areas Requirement for school asthma plans Education and staff development about chronic health conditions Individual student plans School health services Healthy school environments Policy to Require School Asthma Plans:  Policy to Require School Asthma Plans The state education agency / Each school district / Each school shall prepare, adopt, and implement a comprehensive plan for the prevention and management of asthma that is based on current research and best practices. The plan shall be developed in partnership with families, health care providers, and community agencies; implemented within the context of a coordinated school health program; and include the following provisions… Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Asthma awareness education for students is integrated within health education, science, and physical education curricula at appropriate levels and is taught by well-prepared and well-supported teachers. Student Academic Standards:  Student Academic Standards 44 states have state health education standards Only 11 states specifically require or recommend education about asthma or chronic diseases Asthma or chronic disease education required or recommended (11) Has health education standards, but vague (33) www.nasbe.org/HealthySchools:  www.nasbe.org/HealthySchools Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. All school personnel are required to participate in professional development programs that include basic information about asthma, asthma management practices, and emergency response procedures. Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Procedures are established to identify students with significant asthma morbidity, that is, students whose health, education, or quality of life is negatively impacted by their asthma. Implementation: Requirements for physical exams Health assessment forms filled out by parents Review of health room visit logs; school attendance records; staff observations Systematic screening for asthma is not recommended Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. The prevention, health care, and emergency needs for each student with asthma are documented in individualized asthma action plans, which are developed in consultation with the student’s parents/guardians, primary health care provider(s), and school health personnel. Don’t overlook: Confidentiality protections Educational reinforcement for students with asthma 'Adapted physical education' programs Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Appropriate school health services are provided to students with asthma action plans by qualified personnel. Consider: Staffing and organization Licensure requirements Who has authority to deliver services Coordination with health care providers Cost recovery Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Students’ prescribed medications are securely stored and correctly administered by adequately prepared and supported school personnel, in accordance with state law and the written approvals of a parent or guardian and the prescribing health care provider(s). Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. [If permitted by state law:] Students deemed competent by a school nurse are allowed to possess and self-administer prescribed medications on school grounds, with the written approval of a parent or guardian and the student’s prescribing health care provider(s). Self-Administration of Medications:  Self-Administration of Medications 47 states now have a law or policy 38 states narrowly allow asthma or anaphylaxis medications 9 broadly allow medications for any life-threatening condition Only inhalers allowed (11) Only inhalers and epinephrine (13) 'Asthma medications' or similar wording (14) All medications (9) Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Tobacco possession and use is prohibited in all school buildings, on grounds and vehicles, and at school-sponsored events at all times. 38 states go beyond the minimal federal law Hawaii, Arizona, West Virginia, and Delaware have the most comprehensive tobacco-free schools policies Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Procedures are established to systematically identify and minimize other asthma triggers (respiratory allergens and irritants) in school buildings and on school grounds. Address: Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. Each component of the plan is evaluated in an ongoing manner so as to improve policies, procedures, and services. Policy to Require School Asthma Plans, cont.:  Policy to Require School Asthma Plans, cont. PROGRAM ADMINISTRATION. State / district / school administrators shall designate a staff person / the school health team to: implement the school asthma plan; facilitate communication among school health program staff and collaborating agencies; periodically provide program improvement information to personnel implementing the school asthma plan; conduct evaluation activities; and submit annual progress reports and recommendations for program improvement to the state / district board of education and the school health advisory council. But Always Remember…:  But Always Remember… The process of developing a policy is as important as the policy itself ! Slide22:  YOUTH How Schools Work and How to Work with Schools:  How Schools Work and How to Work with Schools How the education system works at the school, district, state, and national levels Practical tips for working with educators, administrators, and policymakers Updated and expanded 2003 Order at www.nasbe.org A Complex Cast of Thousands:  State level School district level School level Principal School board Superintendent School improvement council Central office staff Chief state school officer State education agency staff Local government State board of education Legislature Governor School staff A Complex Cast of Thousands Highly Diffuse, Radically Decentralized Decision Making:  Highly Diffuse, Radically Decentralized Decision Making 50+ distinct education systems Tradition of 'local control' —limited federal and state roles Individual superintendents and principals have broad authority Everyone is an expert Change must often occur district by district and school by school The No Child Left Behind Act:  The No Child Left Behind Act Positive focusing efforts on the achievement of all students emphasis on data-driven decision making and research-based programs Challenges health and physical education not included problematic testing and enforcement provisions unrealistic expectations for student achievement unfunded mandate keeping policymakers very busy More Challenges:  More Challenges Students enter with different levels of readiness Non-academic barriers to learning School funding problems Many other legal mandates and demands Sustaining support for public schools Fewer voters with school-age children Ideological crusade to dismantle the public education system Who’s Who at the School Level:  Who’s Who at the School Level The Principal is the key gatekeeper Entry points School health council School improvement team Parent organizations Health and mental health services staff Classroom teachers Student organizations School Health Advisory Council:  School Health Advisory Council Tool for identifying priorities and strategies Broad-based representation School personnel Community professionals Parents Students Others? School-level to advise principal District-wide to advise school board How to Engage School District Leaders:  How to Engage School District Leaders Formal approaches Service on board and administration advisory committees Testimony at meetings and public hearings Written communications Informal approaches: Enlist support from business and other community leaders Direct contact with board members and administrators Enlist influential 'key communicators' Persuading Education Leaders:  Persuading Education Leaders Link to existing policies, programs, and goals Use current terminology (‘education reform’, ‘ready to learn’, ‘academic achievement’) Note serious problems/needs, but emphasize solutions Identify policy options Be honest about costs and potential implementation problems Highlight school health as an emerging trend Persistence Pays:  Persistence Pays Respect the hierarchy Stay focused on the ultimate goal Don’t expect quick or easy success Sustain the effort Be willing to compromise…but know your bottom line Don’t burn your bridges Thank You:  Thank You James F. Bogden, MPH Project Director Safe and Healthy Schools Project (703) 684-4000 ext. 108 jimb@nasbe.org www.nasbe.org/HealthySchools

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