services, such as counseling and health services, for conditions that interfere with learning. Title IV of ESEA, Safe and Drug-Free Schools, provides funds for drug and violence prevention that can be used for school health education. Title XI of ESEA, Coordinated Services Projects, allows local education agencies to use up to 5 percent of their ESEA funding to plan, develop, and implement coordinated health and human services for students and families. The Individuals with Disabilities Education Act (IDEA) provides funding for schools to provide health, counseling, and related services to students with disabilities. DOEd also provides assistance to local curriculum developers by reviewing and disseminating exemplary health education curricula through its National Diffusion Network.
Since 1992, the Division of Adolescent and School Health (DASH) of the Centers for Disease Control and Prevention (CDC) has funded 12 states and the District of Columbia to develop their own infrastructure to strengthen comprehensive school health programs and student educational achievement.3 The goal of this initiative is not only to build programs and increase understanding about the process but also to have states serve as models for and provide technical assistance to other states. In each of these states, funding has been provided to hire a senior staff member in the state department of education and department of health and human services in order to ensure program coordination between these agencies and efficient utilization of health and education resources. These comprehensive school health programs are emphasizing the prevention of the priority health-risk behaviors identified by CDC: sexual behaviors that result in HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancy; alcohol and other drug use; behaviors that result in unintentional and intentional injuries; tobacco use; dietary patterns that result in disease; and sedentary lifestyle. In addition to supporting infrastructure development in these states, DASH/CDC also provides funds for HIV/AIDS education in all states and territories.
CDC/DASH supports the Adolescent and School Health Initiative, a cooperative agreement with the National Association of Community Health Centers. This initiative provides information, training, and technical assistance to help federally qualified health centers and state and regional primary care associations in establishing and strengthening health center partnerships with schools. A database on health center school-based and school-linked programs is being developed, and information about effective programs is being showcased and disseminated.