Defining a Comprehensive School Health Program An Interim Statement (1995) / Chapter Skim
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1 INTRODUCTION
1 INTRODUCTION
Pages 3-7
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From page 3... ...
These programs propose to combine health education, health promotion and disease prevention, and access to health and social services, at the school site. While earlier generations of school health programs were predominantly concerned with stemming the threat of infectious disease, such problems have now to a large extent been superseded by the "new morbidities" injuries, violence, substance abuse, risky sexual behaviors, psychological and emotional disorders, problems due to poverty and by concerns about many students' lack of access to reliable health information and health care (Dryfoos, 19943.
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The committee believes that its definition and the elaboration of key terms in its definition-will further clarify the nature and essential elements of these programs. Through this interim statement, the committee is also attempting to generate discussion in the education, health, and social services fields and to suggest a common language that might facilitate interactions across these fields.
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Although the prospects for future federal health care legislation are uncertain, the reform of the health care delivery system is a topic receiving intense attention. Many states are passing their own legislation to reform health care at the state level; this legislation will affect the quality and equity of care for children as access to care is beginning to differ from state to state.
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Comprehensive school health programs are intended to take advantage of the pivotal position of the school by making the school the location of a set of integrated programs and services to enhance the education, health, and welfare of children and their families. These programs may not only improve health and educational outcomes for students but also reduce overall health care costs by emphasizing prevention and early identification of health problems and by providing easy access to care.
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ORGANIZATION OF THE REMAINDER OF THE INTERIM STATEMENT Chapter 2 describes the historical background and evolution of health programming in the schools, proposes goals and optimal outcomes for comprehensive school health programs, and reviews previous definitions and models of school health programs. Chapter 3 gives the committee's provisional definition of a comprehensive school health program, with an explanation of terms.
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