New Resources - Supplemental Learning: School Health


School Health 

Section Contributor: Mary K. Rogers, MD 

Online resources 

  1. Center for Health and Health Care in Schools .  


The Center for Health and Health Care in Schools (CHHCS) is a nonpartisan policy, resource and technical assistance center created to promote childrens health and school success by advancing school connected programs, policies and systems. CHHCS is located at The George Washington University School of Public Health and Health Services and applies its expertise in childrens health and education policy to build and sustain services and programs grounded in evidence-based research. (SBP 2) 


  1. AAP Council on School Health.  


The AAP Council on School Health (COSH) provides technical assistance and relevant resources for clinicians with an interest in school health, whether as a practicing clinician involved in the intersection of health and education or as a school consultant responsible for school or district school health issues. (PC 4, SBP 2, 3)  


  1. Carlson, SA, et al. Physical Education and Academic Achievement in Elementary School: Data From the Early Childhood Longitudinal Study. American Journal of Public Health. April 2008, Vol. 98,No.4,pp.721-727.doi:10.2105/AJPH.2007.117176 :  

The association between time spent in physical education and academic achievement was examined in a longitudinal study of students in kindergarten through fifth grade. A small but significant benefit for academic was observed for girls enrolled in higher amounts (70300 minutes per week) of physical education and higher amounts of physical education were not positively or negatively associated with academic achievement among boys. The conclusion of the study was that girls may benefit academically from higher amounts of physical education and therefore concerns about adverse effects on achievement may not be legitimate reasons to limit physical education in schools. (PC 1) 

  1. Oetzel KB, Scott AA, McGrath J. B. School-based health centers and obesity prevention: changing practice through quality improvement. Pediatrics. /Vol. 123/No. Supplement 5/June 1, 2009, pp. S267 -S271.(doi:10.1542/peds.2008-2780D)  

 A quality improvement initiative aimed at medical providers in school-based health centers was examined to see if it would improve the recognition and management of pediatric obesity. Thirteen school-based health centers used quality improvement measures and best medical practices for assessing and treating pediatric obesity. Measures included documentation of (1) a BMI percentile, (2) a corresponding weight-category diagnosis, (3) assessing readiness to change, (4) assessing readiness to change for patients with a BMI at e85th percentile, and (5) addressing 4 key messages that enhance a healthy lifestyle. Results of all 5 variables significantly increased from baseline to the midpoint data collection. From midpoint to the final data collection, there was less change in the variables. This study offers promising evidence that school-based health center providers trained in a quality improvement initiative demonstrate consistent improvement in implementing the guidelines for treatment of pediatric overweight. (PBLI 3) 

  1. Basch CE. Healthier students are better learners: high-quality, strategically planned, and effectively coordinated school health programs must be a fundamental mission of schools to help close the achievement gap.  Journal of School Health.  Volume 81,/Issue 10,/pages 650662,/October 2011 DOI:/10.1111/j.1746-1561.2011.00640.x.  

This article discusses implications for educational policy and practice relevant to closing the achievement gap based on the literature review and synthesis presented in 7 articles of the October 2011 special issue of the Journal of School Health. Findings revealed that educationally relevant health disparities influence students' motivation and ability to learn, but reducing these disparities has been largely overlooked as an element of an overall strategy for closing the achievement gap. If these health problems are not addressed, the educational benefits of other school reform efforts will be jeopardized. (IPCS 1. PROF 2) 

  1. Forrest CB, Bevans KB, Riley AW, Crespo R, Louis TA.  School outcomes of children with special health care needs. Pediatrics Vol. 128/No. 2/August 1, 2011/(doi: 10.1542/peds.2010-3347d)  

This article examines the associations between having a special health care need and school outcomes measured as attendance, student engagement, behavioral threats to achievement, and academic achievement. Findings revealed that specific subgroups of children with special health care needs are at increased risk for poor school outcomes. Health and school professionals will need to collaborate to identify these children early, intervene with appropriate medical and educational services, and monitor long-term outcomes. (SBP 2, 3) 

e.Wheeler L, Buckley R, et al.  Working With Schools to Improve Pediatric Asthma Management.  Pediatric Asthma, Allergy & Immunology.  Volume 22, Number 4, 2009 DOI: 10.1089/pai.2009.0023:  

Asthma morbidity in pediatric patients can be significantly reduced through the coordinated efforts of asthma care clinicians, families, and schools. The efforts of asthma care clinicians and schools should address the medical and psychosocial needs of the patient and school-based asthma management programs can help achieve good asthma control for school-aged patients. This article also reviews recent research findings and provides guidance for asthma care clinicians on how to enhance a full range of school-based asthma management for their patients. (PC1, 4, 5; SBP 2, 3)