In view of the increased prevalence of overweight and obesity in American youths, the Arizona Department of Education’s Health and Nutrition Services has taken the initiative to evaluate the nutritional content of competitive foods and beverages sold on school campuses in Arizona. This study also intends to evaluate the financial implications to schools when replacing foods and beverages found to be less nutritious with healthier choices.

The Team Nutrition Grant Project began in 2003 with the goal to guide and assist schools to create and maintain a coordinated, comprehensive school health program. Such a program integrates a school’s child nutrition programs, with the classroom, the community, and entire school environment. A coordinated, comprehensive school health program (CSHP) can be implemented to create a healthy school environment through a “model” nutrition policy. Using the USDA’s Food and Nutrition Service Team Nutrition’s Changing the Scene, A Guide to Local Action, the project proposed to implement the model at a state level by forming a state level coalition of key decision makers within the school environment.

The purpose of the Asthma Guidelines for Schools is to provide information that will ensure that school administrators, school health personnel, teachers and support staff understand how to monitor asthma control in the school setting. This can be accomplished if every student with asthma has a care plan and an emergency plan on file and it is updated annually. Additionally, we hope that these guidelines will help to identify students with poorly controlled asthma, so that parents can be encouraged to follow-up with the student’s primary care physician or other health care provider.

During 1993-94, the Morrison Institute for Public Policy at Arizona State University conducted a study on behalf of the Arizona Department of Education. This document presents findings of that study, which examined linkages between health services and schools for a comprehensive service delivery to students. Following the introduction, chapter 1 provides a national overview on children's health and the public schools, presenting national and legislative initiatives and a framework for linking health services and schools. Chapter 2 reviews what is known about the major issues in child health in Arizona and its schools, synthesizing health data from several sources.

Survey results from 531 Arizona school principals about school-based/school-linked health and social services are also analyzed. A discussion of the Arizona perspective follows in chapter 3, which examines the philosophy guiding state initiatives, key players, the processes that support school-based/school-linked health services, and a sample of current state activities. The fourth chapter provides a view of how some Arizona schools are attempting to address these issues through the provision of student health services at or near school sites. The last chapter reviews action necessary to facilitate linkages between schools and health services, and the status of Arizona efforts. It concludes with some considerations for the future. A conclusion is that the state is making significant progress toward promoting and, in some schools, implementing such services. Eight tables and seven figures are included.