School-based health promotion: the physician as advocate

 

Table 1: Elements of the Comprehensive School Health (CSH) approach
Instruction
Comprehensive health curriculum
Lifestyle-focused physical education
Integration of health into other subjects
Effective teacher inservice
Preservice teacher training
Adequate teaching and learning materials
Appropriate instructional methods
Opportunities for informal learning
Learning with parents and peers
Support services
Appraisals
Screening services
Early identification
Child protection services
Referral procedures
Health services
Guidance services
Social services for students and families
Special education and student services
Treatment services where appropriate
Support during rehabilitation
Preservice and inservice training for school nurses, guidance counsellors, school social workers and school psychologists
Social support
Role models
Peer support
Adult mentoring
Positive school climate
Staff wellness
Effective schooling
Media cooperation
Family involvement
Community involvement
Healthy public policy
Physicial environment
Safety and accident prevention
Food services
Ban on tobacco use
Restrictions on alcohol use
Hygiene, lighting, sanitation and other environmental health standards

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| CMAJ May 1, 1997 (vol 156, no 9) / JAMC le 1er mai 1997 (vol 156, no 9) |

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