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Schools and Health: Our Nation's Investment (1997)

Chapter: Appendix F

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Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

APPENDIX F
Federal Funding Streams for Comprehensive School Health Programs

Provided by Kristine McCoy

Interagency Committee on School Health, Office of Disease Prevention and Health Promotion, U.S. Public Health Service, December 1995

Federal Programs Providing Funds Available to School Health Programs

Compiled by the Health Services Subcommittee of the Interagency Committee on School Health

This table offers basic descriptive information on federal programs providing funds for school-based or school-linked health programs. Available funding sources for training of school health professionals are also listed on this chart. In general, information on the dollar amount specifically targeted for school health programs was not available. The fixed year (FY) 1993 budget reported is for the entire program and not exclusively for the school health component.

NATIONAL COORDINATING COMMITTEE ON SCHOOL HEALTH

Member Organizations

American Academy of Family Physicians

American Academy of Pediatrics

American Alliance for Health, Physical Education, Recreation and Dance

American Association of Colleges for Teacher Education

American Association of School Administrators

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

American Cancer Society

American College Health Association

American Dental Association

American Federation of School Administrators

American Federation of Teachers

American Heart Association

American Indian Health Care Association

American Lung Association

American Medical Association

American Nurses Association

American Psychological Association

American Public Health Association

American Public Welfare Association

American School Counselor Association

American School Food Service Association

American School Health Association

Association of Maternal and Child Health Programs

Association of State and Territorial Health Officials

Council of Chief State School Officers

The Council of the Great City Schools

National Alliance of Black School Educators

National Association for Asian and Pacific American Education

National Association of City and County Health Officials

National Association of Community Health Centers

National Association of Elementary School Principals

National Association of School Nurses

National Association of Secondary School Principals

National Association of School Psychologists

National Association of Social Workers

National Association of State Boards of Education

National Coalition of Hispanic Health and Human Services Organizations

National Conference of State Legislators

National Education Association

National Governors Association

National Mental Health Association

National Parents/Teachers Association

National School Boards Association

National School Health Education Coalition

Society for Nutrition Education

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Title of Program

Lead Agency

Medicaid (Title XIX), including Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT)

DHHS, HCFA, MB

Family Planning Program (Title X)

DHHS, OASH, OPA

Adolescent Family Life (Title XX)

DHHS, OASH, OPA

Indian Health Service Clinical Services

DHHS, IHS

Critical Populations Program Adolescent Track

DHHS, SAMHSA, CSAT

Community Partnership Demonstration Grant Program

DHHS, SAMHSA, CSAP

High Risk Youth Demonstration Grant Program

DHHS, SAMHSA, CSAP

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Brief Description

Medicaid pays for health services provided to low-income individuals who meet eligibility criteria. There is a defined list of clinical services provided, including general health screenings, vision, dental, and hearing services and other medically necessary health services

EPSDT is a comprehensive preventive health program for Medicaid-eligible children under age 21. Through EPSDT, Medicaid-eligible children receive periodic health screenings, as well as medically necessary diagnostic and treatment services for conditions found through the screenings

FY 1994 expenditures: $979,836,854 (total Medicaid state and federal spending for children under age 21) (FY 1995 expenditures expected in May 1996)

Family planning services, personnel training, and service delivery research are all supported by this program. The health services include health education, some clinical services, and family planning counseling

FY 1995 Budget: $193,000,000

Provides communities with useful models of pregnancy prevention programs that promote abstinence for unmarried adolescents and deliver comprehensive care for pregnant adolescents to reduce negative outcomes. Counseling, health education, and clinical services are provided

FY 1995 Budget: $6,700,000

Comprehensive health services for Native Americans in areas serviced by the Indian Health Service. Services include counseling, health education, and clinical services

FY 1995 Budget: $1,800,000,000

Services for youth that use drugs. Services include counseling, health education, and limited clinical services

FY 1995 Budget: $23,600,000 (for all critical populations)

This program encourages the formation of community-based, public and private sector partnerships involving schools, business, industry, professional organizations, and others who will jointly sponsor long-term, comprehensive substance abuse prevention programs

FY 1995 Budget: $105,000,000

Demonstration grants for innovative and effective models to prevent substance abuse. The program targets most age groups as well as parents, health education is the major health service provided

FY 1995 Budget: $49,000,000

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Title of Program

Lead Agency

Youth Violence Prevention Demonstration Grant Program

DHHS, SAMHSA, CSAP

Adolescent Females

DHHS, SAMHSA, CSAP

Child/Adolescent Planning and System Development Program (formerly the Child and Adolescent Service System Program [CASSP]

DHHS, SAMHSA, CMHS

Center for Mental Health Services Research Project

DHHS, SAMHSA, CMHS

Community and Migrant Health Centers

DHHS, HRSA, BPHC

Healthy Schools Healthy Communities

DHHS, HRSA, BPHC and MCHB

Maternal and Child Health State Block Grants

DHHS, HRSA, MCHB

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Brief Description

Demonstration grants for innovative and effective models to prevent youth violence. The program targets most age groups as well as parents, health education is the major health service provided

FY 1995 Budget: $2,000,000

Demonstration grants for innovative and effective models to prevent alcohol, tobacco, and other drug use and gang activity among adolescent females. The program targets most age groups as well as parents, health education is the major health service provided

FY 1995 Budget: $8,200,000

Helps states and communities develop the infrastructure to provide comprehensive addressing physical, emotional, social, and educational needs), coordinated, (community-based services to children and adolescents with serious emotional disturbances

FY 1995 Budget: $12,100,000

Funds treatment services for children with serious emotional disturbances where there is an infrastructure to support coordinated and comprehensive service delivery for them and their families

FY 1995 Budget: $60,000,000

Comprehensive health services are provided to low-income children through community-based primary care providers. Many programs have a school-based or school-linked component. Services include counseling, health education, and clinical services

FY 1995 Budget: Section 329 $65,000,000; Section 330 $616,555,000; Section 340 $5,272,000

Funds school-based health services programs, health education or promotion programs, and school health staff development programs for extremely disadvantaged communities

FY 1995 Budget: $6,166,293

Ensures access to health care services for children, promotes the health of children by providing preventive and primary care services, and facilitates the development of community-based systems of services for children with special health care needs

FY 1995 Budget: $572,000,000

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Title of Program

Lead Agency

Advanced Nurse Education

DHHS, HRSA, BHP

Nurse Practitioner/Nurse-Midwifery

DHHS, HRSA, BHP

Nursing Special Projects Grant Program

DHHS, HRSA, BHP

HIV Education Program

DHHS, CDC, DASH

Comprehensive School Health Program

DHHS, CDC, DASH

Food Labeling Education Program

DHHS, FDA, FSIS

Drug-Free Schools and Communities Act

DOEd, OESE

Elementary and Secondary Education Act (Chapter 1)

DOEd, OESE

Individuals with Disabilities Education Act

DOEd, OSERS

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Brief Description

Supports the development and expansion of graduate programs in nursing. Programs that have a school health focus are eligible

FY 1995 Budget: $12,253,000

Provides support for educational programs that prepare nurse practitioners and nurse-midwives

FY 1995 Budget: $16,943,000

Supports continuing education for nursing, including nurses that work in school health. This program also provides funds for nurse managed clinics. These funds may be used for salary, support staff, equipment, and facilities

FY 1995 Budget: $10,410,000

Provides funding for all state departments of education, as well as for 18 large city departments of education, 25 national organizations, 4 city health departments, and 5 universities to help improve HIV education programs

FY 1995 Budget: $38,000,000

Funds demonstration programs in 10 states to implement comprehensive school health programs

FY 1995 Budget: $10,500,000

A major education campaign to help consumers use the new food label in planning a healthy diet. The federal government and public and private sector groups are producing educational materials and conducting research to help consumers understand the new food label

FY 1995 Budget: school health portion not reported

Provides state, local, and discretionary grants for drug abuse prevention, education, counseling, and referral services

FY 1995 Budget: $502,000,000

Provides formula grants to states for compensatory education programs. Many programs support integrated service delivery, including health education and services

FY 1995 Budget: $7,200,000,000

Provides health and education services at school to children with disabilities

FY 1995 Budget: $3,300,000,000

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Title of Program

Lead Agency

Nutrition Education and Training

USDA, FNS, NTSD

Special Supplemental Food Program for Women, Infants and Children (WIC)

USDA, FNS

School Breakfast Program

USDA, FNS

National School Lunch Program

USDA, FNS

NOTE: BHP = Board of Health Promotion; BPHC = Board of Primary Health Care; CDC = Centers for Disease Control and Prevention; CMHS = Center for Mental Health Services; CSAT = Center for Substance Abuse Treatment; DASH = Division of Adolescent and School Health; DHHS = U.S. Department of U.S. Health and Human Services; DOEd = U.S. Department of Education; FDA = Food and Drug Administration; FNS = Food and Nutrition Services; FSIS = Food Safety and Inspection Service; HCFA = Health Care Financing Administration; HIV = human immunodeficiency virus; HRSA = Health Resources and Services Administration; IHS = Indian Health Service; MCHB = Maternal and Child Health Bureau; NTSD = Nutrition Technical Services Division; OASH = Office of the Assistant Secretary for Health; OESE = Office of Elementary and Secondary Education; OPA = Office of Population Affairs; OSERS = Office of Special Education and Rehabilitative Services; SAMHSA = Substance Abuse and Mental Health Services Administration; USDA = U.S. Department of Agriculture.

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Brief Description

Promotes healthy eating habits for children in schools and child care facilities. Projects include in-service training and development of nutrition curricula guides

FY 1995 Budget: $10,200,000

Provides supplemental foods, nutrition education, and health care referrals at no cost to low-income pregnant women, non-breastfeeding postpartum women, infants and children up to 5 years old

FY 1995 Budget: $3,600,000,000

Provides low-cost and free breakfast to children in grades K-12

FY 1995 Budget: $1,000,000,000

Provides low-cost and free lunches to children in grades K-12

FY 1995 Budget: 4,500,000,000

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

TABLE F-1 Target Population, Provided Services, and FY 1995 Budget Data of Federal Programs Providing Funds Available to School Health Programs

Program Title

Title XIX

Title X

Title XX

Clinical Svcs

Critical Poplns

Cmnty Ptnsp

Hi-Risk Yth

Yth Violence

Adlst Female

CASSP

CMHS Svcs

C/MHC

Agency

HCFA/MB

OASH/OPA

OASH/OPA

IHS/OHP

SAM-HSA/CSAT

SAM-HSA/CSAP

SAM-HSA/CSAP

SAM-HSA/CSAP

SAM-HSA/CSAP

SAM-HSA/CMHS

SAM-HSA/CMHS

HRSA/BPHC

Target Pop.

preschool

X

 

 

X

 

X

X

 

 

X

 

X

elem. schl

X

 

 

X

 

X

X

X

 

X

X

X

junior high

X

 

X

X

X

X

X

X

 

X

 

X

high schl

X

X

X

X

X

X

X

 

X

X

 

X

college stud.

X

X

 

X

 

X

X

 

 

X

 

 

stud.w/sp.nds

X

X

 

X

 

 

 

 

 

 

 

X

high risk yth

X

X

X

X

X

X

X

X

X

X

X

X

out of schl yth

X

X

X

X

X

 

X

 

 

 

 

X

faculty/staff

 

X

 

 

X

 

 

 

 

 

 

X

parents

 

X

X

X

X

 

 

 

 

 

 

X

community

 

X

 

X

X

 

 

 

 

 

 

X

other

X

X

 

 

X

 

 

X

X

X

X

 

Hith Svcs.

Counseling

X

X

X

X

X

X

X

X

X

X

X

X

Hith Guidance

X

X

X

X

X

X

X

X

X

X

 

X

Screening

X

 

 

X

 

 

 

 

 

 

 

X

Immunizations

X

 

 

X

 

 

 

 

 

 

 

X

First Aid

X

 

 

X

 

 

 

 

 

 

 

X

Physical Exam

X

X

X

X

 

 

 

 

 

 

 

X

Diag and Refer

X

X

X

X

X

X

X

X

X

X

X

X

Diag, Trtmnt, F/u

X

X

X

X

X

X

X

X

X

X

X

X

Dental

X

 

 

X

 

 

 

 

 

 

 

X

Other

X

X

 

 

 

 

X

 

X

X

 

X

Health Ed.

small group

 

X

X

 

X

 

 

 

 

 

 

X

classroom

 

X

X

X

X

 

 

 

 

 

 

X

Training

faculty/staff

 

 

 

 

 

 

 

 

 

 

 

X

Funding

FY 95 Budget

 

 

 

 

 

 

 

 

 

 

 

 

In dollars ($)

980 M*

193 M

6.7 M

1.8 B

23 M

105.0 M

49.0 M

2.0 M

8.2 M

12.1 M

60.0M

N/A

* Denotes FY 94 expenditures; FY 95 expenditures expected May 1996.

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Program Title

HSHC

MCH Bik Grts

Adv. Nurse Ed.

NP/Mid-wifery

Nursing Proj.

HIV Ed.

CSHP

Food Label

Drug-Free Schls

Chap 1

IDEA

Agency

HRSA

HRSA/MCHB

HRSA/BHP

HRSA/BHP

HRSA/BHP

CDC/DASH

CDC/DASH

FDA/FSIS

DOEd/OESE

DOEd/OEsE

DOEd/OSERS

Target Pop

preschool

 

X

 

 

 

 

 

 

 

X

 

elem. schl

X

X

 

 

 

X

X

X

X

X

X

junior high

X

X

 

 

 

X

X

X

X

X

X

high schl

X

X

 

 

 

X

X

X

X

X

X

college stud.

 

 

 

 

 

X

 

 

 

 

 

stud.w/sp.nds

 

X

 

 

 

X

X

 

X

X

X

high risk yth

X

X

 

 

 

X

X

 

X

X

 

out of schl yth

 

X

 

 

 

X

X

 

 

 

 

faculty/staff

 

 

 

 

 

X

X

 

 

 

 

parents

 

 

 

 

 

X

X

X

 

 

 

community

 

 

 

 

 

X

X

 

 

 

 

other

X

 

 

 

 

 

 

 

 

 

 

Hith Svcs

Counseling

X

X

 

 

 

 

 

 

X

 

 

Hith Guidance

X

X

 

 

 

 

 

 

 

X

 

Screening

X

X

 

 

 

 

 

 

 

 

 

Immunizations

X

X

 

 

 

 

 

 

 

 

 

First Aid

X

X

 

 

 

 

 

 

 

 

 

Physical Exam

X

X

 

 

 

 

 

 

 

 

 

Diag./Ref.

X

X

 

 

 

 

 

 

X

 

 

Diag/Trt/FU

X

X

 

 

 

 

 

 

 

 

 

Dental

X

X

 

 

 

 

 

 

 

 

 

other

X

X

 

 

 

 

 

 

 

 

 

Health Ed.

small group

X

 

 

 

 

 

 

 

 

 

 

classroom

X

 

 

 

 

X

X

 

X

 

 

Training

faculty/staff

X

X

X

X

X

X

X

 

X

X

 

Funding

FY 95 Budget

 

 

 

 

 

 

 

 

 

 

 

in dollars ($)

6.2 M

572 M

12.3 M

16.9 M

10.4 M

38 M

10.5 M

N/A

502.0 M

7.2 B

3.3 B

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×

Program Title

NET

WIC

Schl Break

Schl Lunch

Agency

USDA/FNS

USDA/FNS

USDA/FNS

USDA/FNS

Target Pop

preschool

X

X

 

 

elem. schl

X

 

X

X

junior high

X

X

X

X

high schl

X

X

X

X

college stud.

 

X

 

 

stud.w/sp.nds

 

X

X

X

high risk yth

 

 

 

 

out of schl yth

 

 

 

 

faculty/staff

X

 

 

 

parents

 

X

 

 

community

 

 

 

 

other

 

 

 

 

Hith Svcs

Counseling

 

 

 

 

Hith Guidance

 

X

 

 

Screening

 

 

 

 

Immunizations

 

 

 

 

First Aid

 

 

 

 

Physical Exam

 

 

 

 

Diag./Ref.

 

 

 

 

Diag/Trt/FU

 

 

 

 

Dental

 

 

 

 

other

 

 

 

 

Health Ed.

small group

 

X

 

 

classroom

X

 

 

 

Training

faculty/staff

 

 

 

 

Funding

FY 95 Budget

 

 

 

 

in dollars ($)

10.2 M

3.6 B

1.0 B

4.5 B

Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×
Page 430
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Page 431
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Page 434
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Page 435
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Page 436
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Page 438
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
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Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×
Page 441
Suggested Citation:"Appendix F." Institute of Medicine. 1997. Schools and Health: Our Nation's Investment. Washington, DC: The National Academies Press. doi: 10.17226/5153.
×
Page 442
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 Schools and Health: Our Nation's Investment
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Schools and Health is a readable and well-organized book on comprehensive school health programs (CSHPs) for children in grades K-12. The book explores the needs of today's students and how those needs can be met through CSHP design and development.

The committee provides broad recommendations for CSHPs, with suggestions and guidelines for national, state, and local actions. The volume examines how communities can become involved, explores models for CSHPs, and identifies elements of successful programs. Topics include:

  • The history of and precedents for health programs in schools.
  • The state of the art in physical education, health education, health services, mental health and pupil services, and nutrition and food services.
  • Policies, finances, and other elements of CSHP infrastructure.
  • Research and evaluation challenges.

Schools and Health will be important to policymakers in health and education, school administrators, school physicians and nurses, health educators, social scientists, child advocates, teachers, and parents.

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