ParnershipsandStudentSurveyResults S c h o o l B o a r d & C i t y C o u n c i l W o r k S e s s i o n N o v e m b e r 9, 2 0 1 0 Background TheHopkinsSchoolBoardandHopkinsCityCouncilwillconvenefora combinedworksessiontodiscussworkandpartnershipsthathave occurredoverthepastyear.cityemergencymanagementofficialsand HopkinsPublicSchoolHealthandSafetypersonnelwillprovideasummary oftheaugust,2010emergencydrillateisenhowerelementaryschooland CommunityCenter.Themajorityofthemeetingwillspendtimediscussing thestatusofstudenthealthandwellness.highlightsofthehopkinsdata fromthe2010minnesotastudentsurveywillbepresented.severalofour communityhealthpartnerswillbepresenttojoininthediscussion. Purpose ToprovideasummaryoftheNationalIncidentManagementDrill conductedateisenhowercommunitycenterinaugust2010. Tocreateawarenessofhealthandwellnessissuesandtheexisting partnershipsandresourcesavailableintheschools,thecityofhopkinsand surroundingcommunity. Recommendation DiscussionOnly Presenter(s)/Contact(s) Dr.JohnSchultzandRickGetschow Overview HopkinsPublicSchoolsandHopkinsCityCouncilhavemadeittheirpractice tomeetinrecentyearstoshareworkbetweenthetwoorganizations.for thisyear smeeting,wewillsharetheworkcompletedasaresultofthe Excellence. Every School. Every Student. Every Day
2 StatusofStudentHealthandWellness BoardWorkshop,November9,2010 nationalincidentmanagementeventconductedateisenhowerelementary School. Asallofusareleadersofyouthandproductivecitizens,thismeetingwill alsofocusonthehealthofouryouthinourschools.currentenrollment anddemographicsofthehopkinspublicschoolsinclude Enrollment 7,678 Elementary (K-6) 3,721 Junior High (7-9) 1,850 High School (10-12) 2,107 Demographics * Students of color 30% * Free/reduced-priced lunch 18% * English Language Learners 6% The2010MinnesotaStudentSurvey(MSS)wasadministeredinthelate winterandspringof2010tominnesotapublicschoolstudentsingrades6, 9,and12.Studentparticipationinthesurveywasvoluntaryand anonymous.themssisavalidandreliableinstrumentdevelopedbythe MinnesotaDepartmentofEducationandhasbeenimplementedevery threeyearsbeginningin1989. Updatefor2010...From2007:HopkinsstudentscompletingtheMSShad closerepresentationofdistrictgenderandrace/ethnicity.approximately, 523sixthgradestudents(94%ofthoseenrolled),512ninthgradestudents (81%ofthoseenrolled),and351twelfthgradestudents(49%ofthose enrolled)participatedinthesurvey.acrossthestate,approximately81%of publicschool6 th gradestudents,76%ofpublicschool9 th gradestudents, and58%ofpublicschool12 th gradestudentsparticipatedinthemss. PrimaryIssuestoConsider City/SchoolDistrictPartnerships ResultsofMinnesotaStudentSurvey SupportingDocuments MinnesotaStudentSurveyPowerpointSlides EmergencyLargeScaleExercisePowerPoint 2009 10HopkinsSchools NursesReport Excellence. Every School. Every Student. Every Day
11/3/10 Successful D.O.E. Grant Application (REMS GRANT) Become knowledgeable in the four recognized emergency management principles; prevention, preparedness, response, and recovery Focus efforts on improving employee training (Incident Command System ICS), plan development, strengthening crisis teams, and enhanced life safety drills/exercises Construct an All Hazard Crisis Management Plan Provide schools/facilities with emergency Go-Kits, improve surveillance, and update communication methods Conduct vulnerabilities assessments Strengthen partnership with our public safety officers 1
11/3/10 Incident Command Public Information Officer Safety Officer Liaison Officer Command Staff: The Command Staff provide Information, Safety, and Liaison services for the entire organization. Operations Section Planning Section Logistics Section Finance/ Administration Section General Staff: The General Staff are assigned functional authority for Operations, Planning, Logistics, and Finance/ Administration. 2
11/3/10 Wednesday, August 4 th Prevention & preparedness Scenario: Two verbal threats made by parent to staff member Eisenhower Elem. Crisis Team & District Crisis Team Outcome: Threat assessment, Police involvement, changes in security, and communication Monday, August 9 th Full scale response Scenario: Parent comes to Eisenhower Elementary, targets staff member, and begins shooting Police/Fire/EMS/School Outcome: Lockdown of building(s), Police & SWAT involvement, transport victims to local hospitals, search and capture of gunman, controlled evacuation of Elementary and Community Center, and press conference. Tuesday, August 10 th Recovery tabletop exercise Scenario: One student died and others recovering at local hospitals. District Officials/Police/Fire Outcome: resuming school instruction, continuing communications, social/ emotional/behavioral effects. 3
11/3/10 Police Fire EMS School Principal (School Incident Commander) escorted out to Command Post Stakeholders Parents (ConnectED and website) Students and Staff (PA announcements and emails) Other Member Schools Community Members (website) Local Heads of Authority (phone calls) Regular communication to internal and external stake holders is important! Moving from a lockdown to evacuation Slow, methodical search and release Pre-planned secondary facilities Coordination for transport At the reunification site: Assistance in security and perimeter control will be needed by public safety. 4
11/3/10 Victims Rescued by Police SWAT team Triaged in rapid evacuation by armored police vehicles Transferred at staging to EMS and ambulances School requests to be a liaison in EMS process to provide update on injured to District Keeping District officials with up-to-date information regarding victims will be an important and challenging task based on varying emergencies. 5
11/3/10 Unified Command Press Conference City Public Information Officer District Public Information Officer District Superintendent Role Playing Media Key Messages & Provide Facts Coordination and Joint Effort with Public Safety Determine Next Media Conference After Action Report Plan listing all objectives and evaluated aspects of the Large Scale Exercise Provides District and public safety partners with highlights and areas to improve Conclusion Large Scale Exercise was a great success for Hopkins ISD #270 and our local first responders. Managed a crisis situation through four specific phases of prevention, preparedness, response, and recovery. Collaborated and strengthen school and first responder relationships at all levels. 6
11/3/10 Summaryofwhatweknowaboutourstudents socialandmentalwell being BrendaBadger,CPP ProgramCoordinator,HopkinsCommunityCoaliBon:OneVoice November9,2010 HopkinsMSS2010 SampleSize 2007HopkinsPar/cipants Grade 6th 9th 12th % # % # % # Females 48 253 53 271 54 191 Males 52 270 47 241 46 160 Total 90 523 77 512 50 351 2010HopkinsPar/cipants Grade 6th 9th 12th % # % # % # Females 46 215 49 257 52 265 Males 54 248 51 266 48 249 Total 89 463 85 523 78 514 Increasedsamplesizeof12 th gradersin2010, morerepresentabveofpopulabon.timeofday inwhichsurveywasadministeredchanged. StudentsatSchool Likeschool Posthighschoolplans Feelsafe Carriedweapontoschool Beenoffered,sold,orgivendrugsonschool property 1
11/3/10 Likeschool:verymuch,quiteabit Posthighschoolplans:collegeor collegeandgradschool Feelsafeatschool:stronglyagree/ agree 2
11/3/10 Feelsafeinmyneighborhood: stronglyagree/agree CarriedaGunonSchoolProperty:2007&2010 QuesBon:Onhowmanyofthelast30daysdidyoucarryagunonschool property? CarriedaWeapon(otherthanagun)onSchoolProperty:2007&2010 QuesBon:Onhowmanyofthelast30daysdidyoucarryaweapon(otherthana gun)onschoolproperty? 3
11/3/10 PastYear:Beenoffered,soldorgivenan illegaldrugonschoolproperty StudentsasRiskTakers TrendLines Past30DayUseofSubstances HighFrequencyUsers Bingedrinking ImpairedDrivingBehaviors PercepBonsofRisk/Harm Ecstasy,CocaineandMethUse PrescripBonDrugAbuse Timeofdayofchemicaluse PercepBonofParentalDisapproval 60 1995 2010HopkinsStudentDrugUseTrends:Past30DayUse Grades9and12 50 40 PercentofStudent 30 20 10 0 1995 1998 2001 2004 2007 2010 Grade9Tobacco 17 22 14 11.5 6.5 5 Grade9Alcohol 11 30 22 20.5 15.5 16 Grade9Marijuana 12 13 13 10.5 12 10.5 Grade12Tobacco 31 43 27 17 25.4 21 Grade12Alcohol 24 54 39 38.5 49 42 Grade12Marijuana 22 34 26 20.5 31 32 4
11/3/10 Past30DayTobaccoUse ByGrade&Gender,2007&2010 Past30DayAlcoholUse Grade&Gender,2007&2010 5ormoredrinksinarow, bingedrinking inpast2weeks:hopkins2007 2010 5
11/3/10 StudentSubstanceUseandDriving: Hopkins2007&2010 AlcoholUse HighFrequency DuringPast12Months,NumberofOccasionsin whichhad1ormorealcoholicbeverages: 8%of12 th GradeMales2010 reported40+bmes (Upfrom6%of12 th GradeMalesin2007) 5%of12 th GradeFemales2010 reported40+bmes (Downfrom11%of12 th GradeFemalesin2007) Past30DayMarijuanaUse Grade&Gender,2007&2010 6
11/3/10 MarijuanaUse HighFrequency DuringPast12Months,NumberofOccasionsin whichusedmarijuana: 22%of12 th GradeMalesin2010 reported40+bmes (**Upfrom15%of12 th GradeMalesin2007) 7%of12 th GradeFemalesin2010 reported40+bmes (**Downfrom12%of12 th GradeFemalesin2007) PercepBonofRisk/Harm(GreattoModerateRisk/Weekly Use) HopkinsMales2007&2010 PercepBonofRisk/Harm(GreattoModerateRisk/Weekly Use) HopkinsFemales2007&2010 7
11/3/10 30 25 PerceivedRiskofHarmFromMarijuanaUse: NoRisktosmoking1or2X/Week 2007 2010 25 PercentofResponses 20 15 10 8 8 15 8 13 5 5 3 3 4 5 5 0 males Females males females males females 6thGrade 9thgrade 12thGrade Ecstasy,CocaineandMethuse Hopkins Males2007&2010 Ecstasy,CocaineandMethuse Hopkins Females2007&2010 8
11/3/10 PrescripBonDrugAbuse,HopkinsMales 2007&2010 PrescripBonDrugAbuse,HopkinsFemales: 2007&2010 Timeofdayof drug/alcoholuse:hopkins2010 9
11/3/10 ParentsTalkedAboutSubstanceUseDangers inpast12months SexualBehavior Reportedintercourse Knownpregnancies 60 Hopkins:StudentsHavingSexualIntercourse 2004 2007 2010 54 50 47 50 46 40 32 34 30 20 20 21 13 12 12 15 10 0 males females males females 9thgrade 12thGrade 10
11/3/10 KnownPregnancies QuesBon:HowmanyBmeshaveyoubeenpregnantorgopensomeonepregnant? (OneBmeormoreresponses) 8%12 th grademales=20,12 th grademales 4%of12 th gradefemales=11,12 th gradefemales StudentsandMentalHealth Bullying SuicideideaBon Suicideapempt Stress Orenunhappy,depressedortearful BullyingBehavior Hopkins2010 11
11/3/10 MentalHealth SuicideideaBon Suicide Actualapempts ever 9 th GradeFemales:9%=23studentsoutof257 HopkinsStudents:Stress (Morethanusual,quiteabit, almostmorethanicouldtake) 12
11/3/10 30 25 Emo/onalWell Being O[enUnhappy,DepressedorTearful:Agree/MostlyAgree 2007 2010 23 26 PercentofReponses 20 15 10 14 10 16 21 12 13 12 20 17 17 5 0 males Females males females males females 6thGrade 9thgrade 12thGrade KeyFindings GoodNews MajorityofourstudentsareNOTusingsubstancesandhavea posi/vesocialwell being normisnottouseandstayinschool. TobaccoUsehasreachedrecordlowamong9 th graders,decreaseswithall grades 61%of12 th grademalesand55%of12 th gradefemaleschosenottouse alcoholinthepast30days 62%of12 th grademalesand71%of12 th gradefemaleschosenottouse marijuanainthepast30days 92%orgreaterof9 th and12 th gradersreportedplanstogoontocollege 52%orgreaterof6 th,9 th,and12 th gradersreportedlikingschool Concernsregardingsubstanceuse: KeyFindings Whilealcoholusetrendsaredownorunchanged,femaledrinkers conbnuetooutnumbermales. Past30DayAlcoholUse Femaledrinkersoutnumbermales Malesreporthigherratesofbingedrinkingandfrequencythanfemales MarijuanaUse ReasonsforConcern Past30Day Marijuanausehasincreasedslightlyamong12 th graders PercepBonsofrisk/harmformarijuanausehasdecreased,especiallyamongmales Of12 th gradesmaleswhodousemarijuana,22%reportweeklyuse 13
11/3/10 KeyFindings MentalHealth: Studentsreportedlessstressthan2007,yetmorehavereported beingunhappy/depressed 9 th gradefemales,reportedincreaseofsuicidalthoughts/acbons NextSteps. 2010Statedataanalysis BoardreportinFebruary2011 PresentaBontoHCCOneVoicecoaliBonmembers CommunityForumTBD SustainabilityofHCCOneVoice? Thankyou! Brenda Badger and Katie Williams 14
SchoolBoardExecutiveSummary LicensedSchoolNursesReportfor2009 10 N o v e m b e r 9, 2 0 1 0 Background EachyearMaryJoMartin,NurseLead,compilesanannualYearEndReport onthenursingservicesforstudentswithinthedistrict.thisreportis providedtotheschoolboardfortheirreviewandknowledgeofthe changingmedicalneedsofourstudentsandtheirfamilies. Purpose Thepurposeofthisreportistoreviewthe2009 2010HealthServices Reportandidentifypartnershipstostrengthenthehealthinour community. Recommendation Tobuildstrongpartnershipsinourcommunitiesinordertoserveour studentsandtheirfamiliesinmeetingtheirhealthcareneeds. Presenter(s)/Contact(s) MaryJoMartin,NurseLead,andJanOrmasa,DirectorofSpecialServices Overview ALicensedSchoolNursewhocollaborateswithstudents,families,staff,and communitypartnerstopromotestudenthealthforacademicsuccessstaffs eachhopkinspublicschool.inaddition,thereisonenursewhoservesthe non publicschoolslocatedwithinhopkins boundaries.ournursingmodel ensuresthehealthandsafetyofallstudentsandstaff.itisprofessional, efficientandcosteffective. Excellence. Every School. Every Student. Every Day
2 SchoolBoardExecutiveSummary LicensedSchoolNursesReportfor2009 10 November9,2010 2009 2010SchoolYearReview: H1N1Influenza NovelH1N1influenzaemergedfromMexicoandthefirstcasesinthe UnitedStateswereCaliforniaresidentsinthespringof2009.Shortly thereafter,caseswereidentifiedthroughouttheunitedstates,including Minnesota.TheemergenceofnovelH1N1influenzabecamethefirst influenzapandemicsince1968. InJune2009MinnesotaDepartmentofHealth(MDH)released recommendationsforschools.inaugustthetopicsofinfectiousdisease prevention,symptomsandcarewerecommunicatedtoourstaff,parents andcommunityatlargethroughthewebsite,connectedandschool bulletins. TheLicensedSchoolNursestaughtandreinforcedgoodhandhygiene. ParentsandStaffwereaskedtoreportany influenza like illness(fever, cough).thenursesrecordedthedataandreportedweeklytomdh.itwas estimatedthat5 20%ofourschoolpopulationcontractedH1N1.Hennepin CountyhelditsfirstH1N1fluvaccineclinicforchildrenages6months through9yearsathopkinshighschoolonnovember18,2009.over600 vaccinationsweregiven. StudentContact EducationalImpact: Appropriatenursingreferralsandinterventionstominimizelost educationaltime Followupcareprovidedinschool,reducedabsences 42,126contactsweremadewithstudentsforcomplaintsofinjury,illnessor emotional/personalneedsinthehealthoffices.3090studentsweresent homeafterassessment.onaverage94%ofthestudentsreturnedtoclass. SelectedHealthConditionsandInterventions EducationalImpact: Reducedpotentialhealthemergencies Excellence. Every School. Every Student. Every Day
SchoolBoardExecutiveSummary LicensedSchoolNursesReportfor2009 10 November9,2010 Reducedpotentialforabsences Reducedpotentialforlossoflife Reducedpotentialfordistrictliability Percentageofstudentswithchronicconditionsincreased1 2%.Chronic conditionsincludeadhd,asthma,life threateningallergies,seasonal allergies,diabetesandmentalhealthdiagnoses. StudentsreceivedmedicationsintheHealthOffice25,674timesduringthe schoolyear.thisisa67%increasefrom2008 09.PossiblyduetotheH1N1 virusandstudentsneedingmoreanalgesicstoremaininschool. SpecialEducationActivities EducationalImpact: Reducedpotentialhealthemergencies Reducedpotentialforabsences Reducedpotentialfordistrictliability Increaseingeneratedrevenue Theaverageportionofeachdaynursesspentprovidingspecialeducation services,knownasrelatednursingservices,tostudentswas54%,which wasanincreaseinmostschools.thiscanmostlybecontributedtothe increaseofhealthassessmentandplans,medicationadministrationto students,gastrostomytubefeedingsandanincreasednumberofhealth assessmentsneededforspecialeducationevaluations.thedistrict receivesreimbursementfromthestatefortheserelatedspecialservices. CommunityPartnershipsandReferralSources EducationalImpact: Student shealthandacademicachievementbeingbenefitedby communitypartnerships TheHopkinsSchoolDistrictLicensedSchoolNursesbelieveinadvancing school,familyandcommunitypartnershipsthatpromotetheneedsof studentsinourdistrict.everyyearmanyneedsareidentifiedthatcannot bemetbyschoolstaffalone.thefollowingcommunityresourcesand partnershipsareusedforreferrals: Children sdentalhealthservices 3 Excellence. Every School. Every Student. Every Day
4 SchoolBoardExecutiveSummary LicensedSchoolNursesReportfor2009 10 November9,2010 GiveKidsaSmile HennepinCountyEpidemiology HopkinsEyeClinic HopkinsLionsClub MinnesotaDepartmentofEducation MinnesotaDepartmentofHealth ParkNicolletFoundation CaringClinics CaringForHealthlyMinds CommunityClinics GrowingThroughGrief NoShotsNoSchoolProgram ResourceWest WestSuburbanTeenClinic PrimaryIssuestoConsider Insummary,therearesignificantfactstodemonstratethegrowingmedical andhealthcareneedsforstudentswithinthehopkinspublicschools. Thereisastrongcommitmenttobuildcommunity basedpartnershipsto servetheneedsofthestudentsandtheirfamilies.itiscriticaltohelp studentsandtheirfamiliesbuildrelationshipswithcommunitybased resourcesthatcanbeaccessedfortheirhealthcareneedswhennotin school.theschoolnurseshelptobuildtheschool linkedresourcesforthe studentsandtheirfamilies.theschoolnursesworkinstrongpartnerships withcommunity basedagenciesandhelpfamiliestobuildthese relationshipswiththeseresources. Insummary,thestrongcommitmentfromtheSchoolBoardformaintaining licensedschoolnursesdemonstratestheimportanceforhavinghealthyand successfullearnersinclass.thenurses roleisparamounttoassessingand facilitatingthestudentshavingtheirneedsmetsothattheycanreturnto theirlearning. SupportingDocuments TrendsinHopkinsHealthServices.ppt Excellence. Every School. Every Student. Every Day
Keeping Children Healthy, In School and Ready to Learn Hopkins School District 270 Health Services Program Review and Trends October 2010
What School Nurses Do Manage chronic conditions Handle life-threatening allergy and asthma events Act as sentinels when epidemics strike Respond to students physical and emotional concerns Connect students with substance abuse treatment and mental, behavioral, and reproductive health services Refer families to care providers and insurance programs Screen for conditions that impair learning, such as poor vision Educate children about healthy lifestyles Ensure immunization compliance Assess and develop health plan for students with disabilities in accordance with IDEA law. Prepare for school wide and community emergencies Administer medication and provide first aid Document services for data collection and reimbursement
Complex Student Needs Increased prevalence of chronic health conditions Asthma Allergies Behavior/Learning disabilities Obesity Changing demographics Low income children are more likely to face health risks such as Poor nutrition Exposure to environmental toxins Domestic abuse Poor access to health care
Student Contact Educational Impact: Appropriate nursing referrals and interventions to minimize lost educational time Follow up care provided in school, reduced absences Reduced spread of contagious illnesses, fewer sick days for other students and staff 25000 20000 15000 10000 5000 First Aid Contacts Illness Contacts Personal / Emotional Contacts Students Sent Home/Referred: 0 02-03 03-04 04-05 05-06 06-07 08-09 09-10
Selected Health Conditions Educational Impact: Reduced potential health emergencies Reduced potential for absences Reduced potential for loss of life Reduced potential for district liability 25 20 15 10 5 1995-1996 2002-2003 2006-2007 2010-2011 0 ADHD Asthma LT Allergies Other Allergies Diabetes Mental Health Dx
Medication Administration Educational Impact: Reduced potential health emergencies Reduced potential for absences Increased instructional time 50000 45000 40000 35000 30000 25000 20000 15000 10000 5000 0 Total number of administrations per year 00-01 01-02 02-03 03-04 04-05 05-06 06-07 08-09 09-10
Special Education Activities Educational Impact: Reduced potential health emergencies Reduced potential for absences Reduced potential for district liability Increase in generated revenue Average portion of days spent providing special ed. services 0.44 0.43 0.42 0.41 0.4 0.39 0.38 0.37 0.36 0.35 0.34 07-08 08-09 09-10
Community Partnerships Foundation! HOPKINS EYE CLINIC Caring Clinics Caring for Healthy Minds Community Clinics Growing Through Grief No Shots No School County Hennepin Epidemiology