Health Issue and Related Items of Interest The Call to Action: Creating a Healthy School Nutrition Environment (March 2004; http://www.osnpph.on.ca/pdfs/call_to_actio n.pdf) produced by the Ontario Society of Nutrition Professionals in Public Health outlines a comprehensive approach to School based nutrition promotion efforts. The (US) Centers for Disease Control has Guidelines for School Health Programs to Promote Lifelong Healthy Eating (2006; . They note that “school-based nutrition education programs are most likely to be effective when they: help young people learn skills (not just facts); give students repeated chances to practice healthy eating; make nutrition education activities fun and participatory; involve teachers, administrators, families community leaders and students in delivering strong, consistent messages about healthy eating as part of a coordinated, comprehensive program; are part of a coordinated nutrition policy.” In addition, the guidelines state that “local school systems need to assess the nutrition needs and issues particular to their communities, and they need to work with key school- and community-based constituents, including students, to develop the most effective and relevant nutrition education plans for their communities. Vigorous, coordinated, and sustained support from communities, local and state education and health agencies, institutions of higher education, and national organizations also is necessary to ensure success.” Teaching and Learning A formal sequential, comprehensive health and physical education curriculum for grades K through 12 is a cornerstone of a CSH approach to health. Such education should help students to establish skills (e.g. how to plan a healthy meal; physical literacy skills and how to incorporate physical activity in to their daily lives, etc.), be culturally relevant and age appropriate. Curriculum efforts should also include learning general health skills such as assessing health habits, setting goals for improvement and resisting social pressures to make unhealthy choices. Involve family and community in supporting and reinforcing healthy living. Teacher training focused on teaching strategies for promoting healthy eating habits is key. In addition, teachers and school communities should be aware of ongoing support services and resources offered in the community (e.g. by Public Health, voluntary organizations, etc.) that can help support teaching efforts. Canada's Food Guide to Healthy Eating has recently been updated and is now available. My Food Guide is an associated interactive tool that can help personalize the information found in Canada's Food Guide. Region of Peel Health Department, Toronto Public Health and York Region Health Services have updated “Discover Healthy Eating! A Teacher’s Resource for Grades 1-8, 2000”. Materials are available at http://www.toronto.ca/health/dhe_index.htm Health and other Support Services School Health Committees provide opportunities to establish needs, set visions and to work towards engaging the full range of school community stakeholders including outside organizations/partners. Outside facilitators, such as those from the NB Healthy Learners Program (http://www.gnb.ca/0053/program s/healthylearners-e.asp) and other Public Health staff allocated to work directly with schools may significantly enhance schools’ efforts to work with assessment tools (e.g. the CDC School Health Index) and influence the organizational strategies they use to implement health promotion initiatives. (“Facilitating Change in School Health: A Qualitative Study of Schools’ Experiences Using the School Health Index” www.cdc.gov/pcd/issues/2006/apr /05_0116.htm ). Support the development and sustainability of school nourishment programs, including breakfast, lunch and snack programs and a key element of a CSH approach to healthy eating. Breakfast for Learning has developed nutrition education resources to help communities operate effective nutrition Supportive Social Environment Encourage and support school staff in promoting and modeling healthy eating behaviours while at school. Discourage teachers from using food to discipline or as rewards. The Connecticut State Dept. of Education has a teacher-friendly document directed at this. See: http://www.sde.ct.gov/sde/lib/sde/ PDF/DEPS/Student/NutritionEd/F ood_As_Reward_HO1.pdf Ensure a safe food environment with sufficient time to eat where all students are comfortable and can enjoy eating. The HeartSmart Family Fun Pack™ incorporates games, tips and information for families on how to adopt a heart healthy lifestyle, including physical activity, proper nutrition and a tobacco-free environment. The tri-Territory Drop the Pop campaign is geared to promoting healthier choices for beverages. “Not Gonna Kill You”is a campaign that speaks directly to young people aged 12-15 about the importance of healthy eating and active living. See www.notgonnakillyou.ca Healthy Physical Environment The development and adoption of food and nutrition policies that create and support healthy eating environments in schools and integral to supporting healthy eating. The Food and Nutrition Policy for Nova Scotia Public Schools, introduced last September, gives the province's 430 schools three years to phase out foods and beverages of minimum nutrition and replace them with healthier fare. The MB School Nutrition Handbook handbook is designed to help school communities develop nutrition policies and implement changes to promote healthier eating options; providing practical guidelines that can be adapted to reflect local priorities. The PEI Healthy Eating Alliance (http://www.gov.pe.ca/peihea/) supports implementation of school nutrition policies by providing all elementary schools with School Healthy Eating Toolkits, a newsletter called Healthy EatS Newsbites;a comprehensive web site includes: Information 1 Health Issue and Related Items of Interest Ophea’s School Nutrition Initiative (www.ophea.net) is a comprehensive framework designed to address the individual and environmental influences on the healthy eating behaviours of Ontario’s children and youth from kindergarten to grade 12. Making it Happen – Healthy Eating at Schools is a BC-based online how-to resource to help parents, policymakers, teachers and the entire school community to review current school nutrition policy and make plans for healthy changes. In addition it offers a series of helpful information resources. http://www.bced.gov.bc.ca/health/health_pu blications.htm houses a variety of information documents geared to informing schools about healthy eating. The Action Schools! BC Healthy Eating Program is a comprehensive school program targeted to grades K-9. The goal of AS! BC is to provide schools with a framework for action as well as tools and supports to enhance opportunities to promote healthy eating at school. Making It Happen—School Nutrition Success Stories (MIH) http://www.cdc.gov/healthyyouth/nu trition/Making-It-Happen/pdf/exec.pdf illustrates a wide variety of approaches that schools have taken in the US to improve student nutrition. The Coordinated Approach To Child Health Teaching and Learning The NWT Food Guide and the Nunavut Food Guilde are excellent examples of adapting resources to ensure they are culturally relevant. (http://www.hlthss.gov.nt.ca and http://www.gov.nu.ca/hsssite). The Nutrition in the Classroom: Teacher Resources section from the PEI Healthy Eating Alliance’s School Healthy Eating Toolkit Provides a great line-up of current and teacherfriendly instructional related nutrition resources. Mission Nutrition* (www.missionnutrition.ca) is a joint initiative of Dietitians of Canada and Kellogg Canada and is designed for teachers of grades K-8. Its focus includes healthy eating, physical activity and positive self-esteem. Planet Health (US) aims to improve activity and dietary behaviors among gr.6-8 students. http://www.hsph.harvard.edu/prc/proj_planet.ht ml Supersize Me: A Discussion Guide for Educators [PDF, 8.8MB] (December 2005) is a discussion guide developed in response to educators requesting a tool to help with the use of the movie Super Size Me in the classroom. OSNPPH does not encourage the use of, or endorse this movie and we recommend that Super Size Me only be shown in classrooms with guided discussion around the sensitive and controversial subjects presented. Health and other Support Services programs that feed kids nutritious meals and help them learn about healthy eating including Eat Right to Survive and Thrive and Eat Right Be Bright. The BC School Fruit and Vegetable Program (http://www.aitc.ca/bc/snacks/) and Ontario’s Northern Fruit and Vegetable Pilot Program (www.mhp.gov.on.ca) are two related measures aimed at supporting healthy eating through schools. Presentations to parents, ready to use materials for school newsletters, Public Health staff consultation with schools to support implementation are part of Take Action Towards Healthy Eating (www.toronto.ca/health). in Schools, an initiative to support schools in promoting healthy eating from Toronto Public Health. Public Health Dietitians offering support to schools is another example of support services deemed to be helpful for supporting progress. Supportive Social Environment The NFLD Provincial Youth summit (2005) was a start to engaging the province’s youth in living an active and healthy lifestyle and support them in taking the concepts learned from the summit back into their communities, schools and families and to take a leadership role in promoting the benefits of eating healthy, staying active and being smoke free. Healthy Physical Environment for Parents; Healthy Eating Tips; Information for Students and Information for Teachers. Feeding the Minds and Bodies of BC Students - Healthy Students are Better Learners (www.dietitians.ca/resources/di strict_tool_2006.pdf) raises awareness to support healthy eating at school. Eat Smart! School Cafeteria Program (http://eatsmart.web.ca/) from Ontario is an award of excellence for schools that promote food safety and healthy food choices in their cafeterias. ”Healthy Active School Communities” is a made in Alberta resource which can be used throughout the year to assist in creating a school environment supportive of healthy, active choices. Produced in collaboration with a variety of healthy living partners, the resource identifies the home, school and community as essential stakeholders in addressing three key elements: Active Living, Healthy Eating and Tobacco Reduction. This resource is also available in French. 2 Health Issue and Related Items of Interest (CATCH) is a (US) coordinated school health program which builds an alliance of parents, teachers, child nutrition personnel, school staff, and community partners to teach children and their families how to be healthy for a lifetime. The four CATCH components - Go For Health Classroom Curriculum, CATCH Physical Education, Eat Smart School Nutrition Guide, and family Home Team activities - reinforce positive healthy behaviors throughout a child's day and make it clear that good health and learning go hand in hand. From Health Canada and the Canadian Association for School Health: Schools and Nutrition: Food for Thought http://www.safehealthyschools.org/healthye ating/Food%20for%20ThoughtPDFVersion .pdf Physical Activity For a more comprehensive scan on key school based physical education and physical activity initiatives ongoing across Canada see: www.cahperd.ca The CDC’s Guidelines for Schools to Promote Lifelong Physical Activity serve as a basis for guiding a CSH approach to promoting physical activity in young people. See: http://www.cdc.gov/healthyyouth/physicala ctivity/guidelines/summary.htm Exposing children to a wide variety of physical activities and sports at school, and seeking their input on activities they would like to try, are an excellent way to encourage participation. Schools can do this Teaching and Learning Health and other Support Services Supportive Social Environment Physical education curricula and instruction in grades K–12 should: emphasize enjoyable participation in lifetime physical activities such as walking and dancing, not just competitive sports; help students develop the knowledge, attitudes, and skills they need to adopt and maintain a physically active lifestyle and keep students active for most of class time. Active and Safe Routes to School (www.goforgreen.ca) is a national program that encourages the use of active modes of transportation to and from school. Many fun and easy to use tools are provided for teachers, students, parents and community partners. Encourage parents and guardians to support their children’s participation in physical activity, to be physically active role models, and to include physical activity in family events. Health and Physical Education Curriculum, Grades 1-8 has been updated to reflect Ontario’s recent policy change related to 20 minutes of Quality Daily Physical Activity each day to ensure that elementary students have a minimum of 20 minutes of sustained moderate to vigorous physical activity each school day. Find out more and see teaching resources at: http://www.edu.gov.on.ca/eng/healthyschools/dp CAHPERD’s Quality School Intramural Recreation (QSIR) programs and initiatives help to enhance intramural and recreation programs in schools by providing resources and leadership skill development for students and teachers to lead intramural and recreation programs. See http://www.cahperd.ca/eng/intram Discourage the use or withholding of physical activity as punishment. Action Schools! BC helps schools promote healthy living, including integrating physical activity throughout the day. See www.actionschoolsbc.ca Everactive Schools Healthy Physical Environment Provide access to safe spaces and facilities and implement measures to prevent activityrelated injuries and illnesses. Provide school time, such as recess, for unstructured physical activity, such as jumping rope. Provide health promotion programs for school faculty and staff. Schools should be community hubs where all people can gather to learn, participate in community-based organizations and stay active. 3 Health Issue and Related Items of Interest through daily physical education programming, structured physical activity programs at lunch periods, intramural and inter-school sport program and other extracurriculum physical activities. Some examples of such initiatives are included here. Key Strategies to Prevent Obesity (CDC): Make a Difference at Your School!. The research-based strategies outlined in Make a Difference at Your School! are described in: The Role of Schools in Preventing Childhood Obesity The State Education Standard 2004;5(2):412. See also Childhood Overweight for more facts, resources, and links. The Canadian Fitness and Lifestyle Research Institute (CFLRI) recently released the first set of topics from their 2006 Capacity Study. The study examines physical activity policies, programs, facilities, and opportunities available in Canadian schools. See www.cflri.ca. The Coordinated Approach To Child Health (CATCH) is a (US) coordinated school health program which builds an alliance of parents, teachers, child nutrition personnel, school staff, and community partners to teach children and their families how to be healthy for a lifetime. The four CATCH components - Go For Health Classroom Curriculum, CATCH Physical Education, Eat Smart School Nutrition Guide, and family Home Team activities - reinforce Teaching and Learning a.html As of Sept. 2005, Alberta Education is implementing a requirement for 30 minutes of Daily Physical Activity (DPA) for all students in grades 1-9 Implementation information for teachers is available in the resource handbooks. See http://www.education.gov.ab.ca/k_12/curriculum /bysubject/dpa.asp. The Minister of Education, Leisure and Sport has mandated an additional 90 minutes of instructional time per week in Québec schools. Read more at: http://www.cahperd.ca/eng/story_detail.cfm?id= 185. The new Newfoundland physical education curriculum promotes life-long, healthy living, from kindergarten to senior high. It reinforces for students the importance of being active and physically fit for life. CAHPERD’s Quality Daily Physical Education (QDPE) Recognition Award Program (RAP) identifies, recognizes and encourages excellence in school physical education programs. See www.cahperd.ca. Schools Come Alive Project Coordinated by the Health and Physical Education Council of the Alberta’s Teachers’ Association and provides support, resources and workshops related to healthy living and physical education. http://www.schoolscomealive.org/ Health and other Support Services urals/about_qsir.cfm In Nova Scotia, sport animators work as a liaison between schools and communities to enhance opportunities for kids and their families to participate in sport. The PEI Active Living Alliance and the PEI Healthy Eating Alliance are have developed a new healthy living CD and DVD for use by elementary schools, kindergartens, family resource centres, recreation leaders and early childhood educators to help promote healthy living to children ages 4 – 8 years old. They also have rolled out a pedometer program for elementary students called “PEI Stepping Out” and a “Healthy Active Homerooms’ initiative. See: http://www.peiactiveliving.com/g etactive.htm Everybody gets to play, an initiative of the Canadian Parks and Recreation Association (www.cpra.ca) is designed to help recreation practitioners and others, such as educators, mobilize the resources already available in their community to help increase opportunities for physical activity for children and their families. Supportive Social Environment (www.everactive.org) is a provincial program in AB that includes Energizer workshops for teachers and student leadership opportunities all aimed at helping school communities be healthier and more active. Active Yukon Schools A program based on the Alberta EverActive program whereby participating schools commit to the integration of daily physical activity and healthy living.” www.rpay.org Live Outside the Box is an initiative in AB geared to promoting fun, active alternatives to screen time. Central Western Ontario TVTurnoff Week Leader-Teacher Package (http://www.lin.ca/resource/html/ noTVWeek/ac781.pdf) is a related initiative that is being adapted and used throughout Ontario Saskatchewan in Motion targets children and youth in their school and home setting It aims to improve their ability to access a wide variety of physical activities, their ability to support a physically active lifestyle within their learning, living and play environments and improve their Healthy Physical Environment Ontario’s new “community use of school” initiative supports this. Read more: http://www.edu.gov.on.ca/eng/ general/elemsec/community/ Alberta Education as of Sept/05 is implementing a requirement for 30 minutes of Daily Physical Activity (DPA) for all students in grades 1-9. The DPA Initiative is part of a broader Wellness Framework, which is currently under development to help Alberta students adopt healthy lifestyles. Programmed for Success: Making DPA Work www.centre4activeliving.ca/pu blications/wellspring.html is a June/06 issue of WellSpring, a publication of the Alberta Centre for Active Living includes articles of interest that focus on how to make daily physical activity in schools work, including suggestions for fitting DPA into timetables and ways to adapt activities for children at different developmental levels. Ontario’s Policy/Program Memorandum No. 138: Daily Physical Activity in Elementary Schools, Grades 18 is a good start to promoting physical activity in schools. 4 Health Issue and Related Items of Interest positive healthy behaviors throughout a child's day and make it clear that good health and learning go hand in hand. Teaching and Learning Health and other Support Services Supportive Social Environment skills, confidence and knowledge to access community based physical activity opportunities. http://www.saskatchewaninmotio n.ca/ Healthy Physical Environment See www.edu.gov.on.ca. Active Schools (ON) program for K-8 is designed to motivate and recognize schools for getting up, moving and making the commitment to leading active, healthy lives. See http://www.ophea.net/activesch ools.cfm. Active Recess programs, such as the one produced by the City of Hamilton Public Health Services (ON) are geared to helping maximize the amount of physical activity at recess. Active Recess Manual REVISED November 2006.pdf Tobacco-Free Living CDC’s Guidelines for School Health Programs to Prevent Tobacco Use and Addiction state that “school programs to prevent tobacco use and addiction will be most effective if they: prohibit tobacco use at all school facilities and events encourage and help students and staff to quit using tobacco provide developmentally appropriate instruction in grades K–12 that addresses the social and psychological causes of tobacco use are part of a coordinated school health program through which teachers, bc.tobaccofacts: Ministry of Health partnered with the Ministry of Education to consult with teachers and health experts across the province to create bc.tobaccofacts - A Tobacco Prevention Resource for Teachers, Grades 4-12. Lungs are for Life is from the Ontario Lung Association and the Ontario Physical and Health Education Association. This resource for grades K – 12 includes facts and information about tobacco use along with activities and Web links. The Lung Association offers a variety of materials on on-line games. See: http://www.lung.ca/lung101-renseignez/teachersenseignants_e.php Quit 4 Life (Q4L)/Vie 100 Fumer youth cessation program (Health Canada) is a minimal contact, self-help program for teens who smoke cigarettes on a daily basis. Click here for a 20 page Lessons Learned summary of this intervention. Kick the Nic school-based peer support cessation program is offered by local health authorities and the BC Centre for Addiction Research (BC-CAR). This program is also run in Alberta through the Alberta Alcohol and Youth-led anti tobacco initiatives seem to show promise. Some examples include: Teens Against Tobacco Use (TATU) is a NB based initiative geared to supporting youth leadership on school-based tobacco prevention related activities. See: www.tobaccofreeschools.ca The Smokefree Spaces Activist Toolkit (Health Canada) supports Canadian youth in taking action against second- Smoke-free schools and school property are key to supporting tobacco-free lifestyles in youth. The Ontario government has comprehensive smoke-free legislation that prohibits smoking in schools and on school property and recently (May 2006) release updated legislation to make it more comprehensive. Find out more about the new Smoke-Free Ontario legislation. Smoking is prohibited in all NB school buildings, on all 5 Health Issue and Related Items of Interest students, families, administrators, and community leaders deliver consistent messages about tobacco use are reinforced by communitywide efforts to prevent tobacco use and addiction. “ The Program Training and Consultation Centre Better Practices Toolkit is designed to help community workers in Ontario make the best use of limited resources. It is a database of tobacco control interventions that experts have assessed as either ‘recommended’ or ‘promising’. It provides a menu of recommended practices and promising practices based on the Ontario context and experience. (note that only ON residents can order materials from PTCC though many resources are available in PDF versions). Investigating a School-Based Approach to Tobacco Control: The Hampton High School Initiative (Health Canada) offers lessons learned arising from the initial implementation of the Hampton High School project which may provide valuable insights for other educational jurisdictions that plan to undertake similar school-based tobacco control policies or activities. Teaching and Learning Smoke Free For Life is a tobacco prevention curriculum learning resource for grades primary to nine. The learning resource was developed by the Nova Scotia Department of Health and meets criteria for effective school smoking prevention programming. Copies of the supplement can be ordered through the NS Book Bureau. Teaming Up for Tobacco-Free Kids is an Alberta based prevention program aimed at grades 4-6 that a resource section for teachers and great activities and information for gr.4-6 children. http://www.tobaccostinks.com Campaign for Tobacco-Free Kids (US) A resource and partner for more than 130 health, civic, corporate, youth and religious groups dedicated to reducing tobacco use among children. It is the largest non-government initiative ever launched to protect children from tobacco addiction and exposure to second-hand smoke. It is a good place to find a lot of articles and research on the fight against tobacco companies. Health and other Support Services Drug Abuse Commission and in PEI. A Program Checklist for Selecting Smoking Cessation Resources for Youth featured on the web site for the Ontario-based Program Training and Consultation Centre (http://www.ptcccfc.on.ca/index.cfm) can help you select programs and strategies for smoking cessation for youth. It extracts key principles as well as lists programs that represent "better practices" for smoking cessation in youth. Supportive Social Environment hand smoke. The Youth Tobacco Vortal Project (ON) was designed to reach youth with tobacco control messages and news of local tobacco-related activities, via the Internet. The Project consists of a network of inter-related websites. See www.smoke-fx.com. No More Butts!: Buddy Handbook; No More Butts!: Program Implementation Guide ; No More Butts!: Peer Leader's Guide are materials related to a secondary school-based tobacco cessation program for youth, produced by Nova Scotia Health Promotion. BLAST (Building Leadership for Action in Schools Today): a program that encourages tobacco prevention through leadership and skill development for students in grades 7-9. http://www.blastonline.com.PEI has a similar initiative called PEI, Students Working in Tobacco Can Help (SWITCH) Ontario based www.Stupid.ca and its related media campaign is intended to raise awareness about the dangers of smoking. The campaign includes TV, cinema and print advertising targeted to youth 12 to 15 years old. Healthy Physical Environment school grounds at all times, as per the Smoke-free Places Act. Furthermore Policy 702 from the NB Department of Education has been updated to reflect the new legislation and go a step further to also address smokeless (chew) tobacco use at schools. Tobacco Free Sport Challenge is a BC initiative that helps provide young people with a healthy, smoke-free environment in which to play. Tobacco Free Sports is a related joint initiative of Canadian Cancer Society and the Heart and Stroke Foundation of Canada. NOT TO KIDS! is a community-wide campaign developed by public health agencies and their community partners. This program encourages the community, tobacco retailers, youth and schools to take action to keep cigarettes away from anyone under 19. The overall goal of NOT TO KIDS! is to decrease the selling and supplying of tobacco to youth. 6 7