Health Education Settings
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Transcript of Health Education Settings
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Health Education
Practice Settings
(Excerpted from Chapter 15 of Introduction to Health Education and Health Promotion by Bruce G. Simons -Morton,Water H. Greene, and Nell H. Gottlieb, Waveland Press, Inc. 1995)
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Introduction
Health education occurs in a variety of places, these include:
Schools
WorksitesHealth care organizationsHealth departments
Voluntary health agenciesCommunity settings
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Comparison of SettingsSetting Primary Mission Who is Served?
School Education Children/adolescents
Worksite Produce goods and services;Make a profit (if applicable)
Consumers of products andservices
Hospitals Treat illness and trauma Patients
Community primary caresetting
Prevent, detect, and treatillness and trauma
Patients
Health Department Chronic and infectious
disease prevention andcontrol
Public
Voluntary health agencies Prevention and controltargeted disease/condition
Public
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Objectives for Educational and Community-Based Programsby Settings
Setting Objectives
School Increase to at least 75% the proportion of the nation's elementary andsecondary schools that provide planned and sequential kindergartenthrough twelfth-grade quality school health education.
Worksite Increase to at least 50% the proportion of postsecondary institutionswith institution-wide health promotion programs for students, facultyand staff.
Health care provider Increase to at least 90% the proportion of hospitals, and healthmaintenance organizations, that provide patient education programs,and to at least 90% the proportion of community hospitals that offer community health promotion programs addressing the priority healthneeds of their communities.
Community Increase to at least 50% the proportion of counties that haveestablished culturally and linguistically appropriate community healthpromotion programs for racial and ethnic minority populations.
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School Health Education Themes
1. Education and health are interrelated.2. The biggest threats to health are social
morbidities.
3. A more comprehensive, integratedapproach is needed.4. Health promotion and education efforts
should be centered in and around school.
5. Prevention efforts are cost-effective; thesocial and economic costs of inaction aretoo high and still escalating.
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Quality Classroom Instruction Goals
Students embrace health as a valueStudents be provided with the knowledge,skills, and empowerment needed to choose
and maintain healthful personal behaviors As a lifetime learner, students be able toobtain, evaluate, and use new information for future health-related decisions.
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Health Education
A planned, sequential, K-12 curriculum that addresses thephysical, mental, emotional and social dimensions of health.
The curriculum is designed to motivate and assiststudents to maintain and improve their health, preventdisease, and reduce health-related risk behaviors.It allows students to develop and demonstrate
increasingly sophisticated health-related knowledge,attitudes, skills, and practices.The comprehensive health education curriculum includesa variety of topics.
http://www.cdc.gov/HealthyYouth/CSHP/comprehensive_ed.htmhttp://www.cdc.gov/HealthyYouth/CSHP/comprehensive_ed.htm -
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Physical Education
A planned, sequential K-12 curriculum thatprovides cognitive content and learningexperiences in a variety of activity areas.
Quality physical education should promote,through a variety of planned physicalactivities, each student's optimum physical,mental, emotional, and social development,and should promote activities and sports thatall students enjoy and can pursue throughouttheir lives.
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Health Services
Services provided for students to appraise,protect, and promote health.Qualified professionals such as physicians,
nurses, dentists, health educators, and other allied health personnel provide theseservices.
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Nutrition Services
Access to a variety of nutritious andappealing meals that accommodate thehealth and nutrition needs of all students.
The school nutrition services offer students alearning laboratory for classroom nutritionand health education, and serve as aresource for linkages with nutrition-relatedcommunity services.
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Counseling and PsychologicalServices
Services provided to improve students'mental, emotional, and social health. Theseservices include individual and group
assessments, interventions, and referrals.Organizational assessment and consultationskills of counselors and psychologistscontribute not only to the health of studentsbut also to the health of the schoolenvironment.
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Healthy School Environment
The physical and aesthetic surroundings andthe psychosocial climate and culture of theschool.
The psychological environment includes thephysical, emotional, and social conditions thataffect the well-being of students and staff.
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Health Promotion for Staff
Opportunities for school staff to improve their health status through activities such as healthassessments, health education and health-related fitness activities.This personal commitment often transfers intogreater commitment to the health of studentsand creates positive role modeling.
Health promotion activities have improvedproductivity, decreased absenteeism, andreduced health insurance costs.
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Family/Community Involvement
An integrated school, parent, and communityapproach for enhancing the health and well-being of students.School health advisory councils, coalitions, andbroadly based constituencies for school health canbuild support for school health program efforts.Schools actively solicit parent involvement andengage community resources and services torespond more effectively to the health-related needsof students.
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Worksite Health Education Programs
Physical activity and fitnessNutrition and weight controlStress reductionWorker safety and healthBlood pressure and/or cholesterol educationand control
Alcohol, smoking and drugs
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Motivations for Employers
Reduces medical care costsEnhances productivityEnhances the image of the company
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An Example of a Worksite HealthEducation Program - Nutrition
Level Program Strategy
Individual Nutrition information available through newsletters, booksand video; Nutrition behavior-change program.
Interpersonal Healthful food cooking contests; Nutrition classes for families; Buddy programs for weight loss; Competitions for weight loss.
Organizational Cafeteria offers low-fat and low-calorie choices; Labeling of nutritional content of foods in cafeteria; Subsidized healthfulfoods; Vending machines with healthful foods.
Community Institutional food service vendors offer low-fat and low-caloriefoods; Nearby restaurants offer low-fat and low-calorie foods;
A community campaign focuses on good nutrition.
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An Example of Health Education in Health CareSettings Cystic Fibrosis (CF)
Level StrategiesIndividual Educational modules including feature stories,
information about the disease process, skills, and self-monitoring.
Interpersonal Interaction with health care team members aboutpatient concerns related to CF and goals for self-management; Family discussion and practice of self-management behaviors and symptom monitoring.
Organizational Primary care physician refers family to program; CFFamily Education Program provided by CF Center
Community School nurses and teachers assist child and family inself-management of CF
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Federal Community Health Settings
Public tax-supported health agenciesDepartment of Health and Human Services
The National Institutes of Health
The Centers for Disease Control and PreventionThe Food and Drug AdministrationThe Indian Health ServiceThe Alcohol, Drug Abuse and Mental Health
AdministrationThe Health Care Finance Administration
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Local and State Health Departments
Direct health services are offered by the localhealth departments.Planning, Consultation, vital statistics,
laboratory services, regulation, andcoordination functions occur at the state aswell as the local levels.Health educators work in family planning,
nutrition, dental health, tobacco control,chronic disease, AIDS, immunizations, andcommunicable diseases,
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Example of Local and State Health DepartmentHealth Education Strategies
Level Program Strategy
Individual Mass media campaigns to increase knowledge of the risks of breast cancer, the benefits of screening, and how to obtainscreening services.
Interpersonal Use of community volunteers to alert women to theimportance of breast cancer screening and how to obtain
information; Encourage discussion of breast cancer screening and benefits through small group educationalprograms and through feature stores in media.
Organizational Provider referral of women already enrolled in healthdepartment programs; Outreach activities directed toworksites, senior centers and churches to alert women aboutthe program.
Community Create coalitions of providers to offer coordinated screening,referral, diagnostic, and treatment services.