Programmatic and Organizational Outcomes

The relationship between health status and educational achievement will be evident in the policies and programs of the school. The school's health emphasis will be integrated across all activities. Linkages among program components, disciplines, and participating agencies will be clearly defined and regularly evaluated. Individual and group health problems will be identified and managed with appropriate prevention, assessment, intervention or referral, and follow-up measures. Services will be organized to provide appropriate and timely responses to emergency, acute, and chronic health problems. The school's education and health programs will be continually reexamined and reformed as necessary to enhance student health, performance, and achievement.

Community Outcomes

The community will be actively involved in determining the design of a school health program and in supporting and reinforcing the goals of the program. This design will include assurance that schools are safe, with an environment conducive to learning and health promotion, and that policies and procedures are in place to enhance the use of schools as a community resource for health. All health-related programs delivered by the school and by community members through the schools will enhance the health status of the students and result in an improvement of the health and quality of life of the community.

The Need for a Definition

Early in its study, the committee encountered a variety of terminologies to describe school health programs and realized that there was not a single universally adopted model or definition for the term comprehensive school health program. According to recent common usage, a CSHP refers to an overall school health program, of which school health education and school health services are each components. However, some use the term ''comprehensive school health education" to refer to an overall program and consider school health services to be a component of comprehensive school health education. (For example, the commissioned paper by Mary Ann Pentz in Appendix A.) Others use the term "school health services" to describe an overall program and consider health education to be a component of school health services. (For example, see the list of Maine integrated services in Appendix G-1 and Solloway et al., 1995).

For the sake of consistency, the committee determined that it was necessary to establish its own working definition of the term comprehen-



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