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• The only state with a legislative mandate
and state funding to implement CSH in
all school systems statewide:
TENNESSEE
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• The state where school health
coordinators have secured $50 million in
grants and in-kind gifts for their schools:
TENNESSEE
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• The state that in two years went from
having one of the worst school nutrition
environments in the Nation to having one
of the best:
TENNESSEE
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• The state where districts implementing
CSH have consistently outperformed state
averages in high school graduation and
drop-out rates:
TENNESSEE
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Overview
• A Missing Link in School Reform
• A Coordinated Approach to School Health
• The Need for Coordinated School Health in Tennessee
• The Future of Our Nation
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Strategies to Close the Educational Achievement Gap
• Standards and assessments
• Data systems
• Effective teachers and principals
• Charter schools
• Reducing educationally relevant health
disparities
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“No matter how well teachers are
prepared to teach, no matter what
accountability measures are put in
place, no matter what governing
structures are established for schools,
educational progress will be
profoundly limited if students are not
motivated and able to learn. Health
related problems play a major role in
limiting the motivation and ability to
learn...”
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Health is Academic Because…
• School health programs can help improve students’ educational outcomes• Helping young
people stay healthy is a fundamental part of the mission of our schools
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Percentage of U.S. High School Students Getting Mostly A’s, Mostly B’s, Mostly C’s, or Mostly D/F’s* Who Engage in Selected Health Risk
Behaviors
Source: CDC, National Youth Risk Behavior Survey, 2009
*As reported by students
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Percentage of U.S. High School Students Getting Mostly A’s, Mostly B’s, Mostly C’s, or Mostly D/F’s* Who Engage in Selected Health Risk
Behaviors
24 22
32 29
39 36
49 47
0
25
50
75
100
Watched TV 3 or more hours/day Drank soda or pop at least 1 time/day
% o
f stu
dent
s
Mostly A's Mostly B's Mostly C's Mostly D/F's
Source: CDC, National Youth Risk Behavior Survey, 2009*As reported by students
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www.cdc.gov/HealthyYouth/health_ and_academics/pdf/pa-
pe_paper.pdf
Physical Activity Contexts
• Physical education
• Recess
• Classroom-based
• Extracurricular
Academic Outcomes
• Achievement (grades, test scores)
• Behavior (time on-task, attendance, conduct)
• Cognitive skills and attitudes (concentration, memory, mood)