Presentation by the Regional Alliance for Health Schools at the Co

1. University of Michigan
Regional Alliance for Healthy
Schools (RAHS)
Contributing to the Health and
Success of Youth

2. Health Disparities
Contributing Factors:
 Poverty
 Environmental threats
 Access to health care
 Individual and behavioral factors
 Educational inequalities

3. The Interrelationship of
Health and Academics
 Higher levels of education = More years of life
Increased likelihood of obtaining or
understanding basic health information and
services
 Less education = Less years of life
Higher levels of health risks, such as obesity,
substance abuse, and violence.

4. The Interrelationship of
Health and Academics
Health-related Factors Health Risk Behaviors
 Hunger  Poor Dietary Choices
 Physical and  Substance Use
Emotional Abuse  Violence
 Teen Pregnancy  Unsafe Sexual Activities
 Chronic Illness  Physical Inactivity

5. The Interrelationship of
Health and Academics
 Students with higher grades and socio-
economic status are less likely to engage
in health-risk behaviors than their
classmates with lower grades and SES.

6. Michigan Adolescent Risk Data
In 2010, 2653 surveys were
completed by adolescents
seeking care in Michigan

7. 2. Do you eat some fruits and vegetables
everyday?
65% Higher

8. 3. Do you exercise (run, dance, swim, bike,
play basketball, etc) for at least 60
minutes, 3 or more days a week?
33% Higher

9. 6. During the past month, have you been
threatened, teased, or hurt by someone (on the
internet, by text or in person) or has anyone
made you feel sad, unsafe or afraid?
40% Higher
82% Higher

10. 9. In the past 3 months, have you smoked
cigarettes or any other form of tobacco (black
and mild, hookah, etc) or chewed/used
smokeless tobacco?
84% Higher

11. 14. Have you ever had any type of sex
(vaginal, anal or oral sex)?
77% Higher

12. 20. Have you ever seriously thought about killing
yourself, tried to kill yourself, or have you
purposely cut, burned or otherwise hurt
yourself?
50% Higher

13. Youth Risk Behavior Survey
• Through the national Health Risk Behaviors
Youth Risk Behavior Monitored:
Survey (YRBS), CDC – Alcohol and other
monitors student health- drug use
risk behaviors and the – Physical Inactivity and
extent to which these Unhealthy Diet
behaviors are associated
with academic – Sexual Risk Behavior
achievement. – Tobacco use
– Unintentional Injury
and Violence

14. Percentage of High School Students Who Currently Used Alcohol,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Had at least one drink of alcohol on at least 1 day during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

15. Percentage of High School Students Who Reported Current Binge Drinking,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

16. Percentage of High School Students Who Drank Alcohol for the First Time Before Age
13 Years,* by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Other than a few sips.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

17. Percentage of High School Students Who Currently Used Marijuana,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Used marijuana one or more times during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

18. Percentage of High School Students Who Tried Marijuana for the First Time Before
Age 13 Years, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*
*p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

19. Percentage of High School Students Who Currently Smoked Cigarettes,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Smoked cigarettes on at least 1 day during the 30 days before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

20. Percentage of High School Students Who Ever Smoked Cigarettes Daily*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Ever smoked at least one cigarette every day for 30 days.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

21. Percentage of High School Students Who Did Not Play on at Least One Sports Team,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Run by their school or community groups during the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

22. Percentage of High School Students Who Ever Had Sexual Intercourse,
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*
*p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

23. Percentage of High School Students Who Had Sexual Intercourse With Four or More
Persons During Their Life, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009*
*p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

24. Percentage of High School Students Who Felt Sad or Hopeless,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*Almost every day for 2 or more weeks in a row so that they stopped doing usual activities during the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

25. Percentage of High School Students Who Seriously Considered Attempting Suicide,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*During the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

26. Percentage of High School Students Who Attempted Suicide,*
by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s), 2009**
*One or more times during the 12 months before the survey.
**p<.0001 after controlling for sex, race/ethnicity, and grade level.
United States, Youth Risk Behavior Survey, 2009

27. Supports Health and Academic Success!
WILLOW RUN COMMUNITY
SCARLETT MIDDLE SCHOOL
SCHOOLS
STONE ALTERNATIVE HIGH
YPSILANTI MIDDLE SCHOOL
SCHOOL
YPSILANTI HIGH SCHOOL

28. The MISSION of RAHS is to provide school-based health
programs and clinical services that improve the well-being of
students, their families, and communities.
VISION of RAHS
Youth will receive high quality physical, emotional, and
preventive healthcare:
• in an easily accessible, supportive, and youth-friendly
environment
• employing professional staff who are responsive to the needs
of a diverse population in Washtenaw County.

29. University of Michigan – RAHS:
Need for SBHC services
determined by:
 Free and reduced lunch rates
 Size and demographic make up of schools
 Community needs assessment
 Youth risk behavior surveys
 Requests from schools and desire to
partner in improving the health of their
students

30. RAHS PHYSICAL AND MENTAL
HEALTH SERVICES:
Physical examinations
Acute and chronic illness
management
Immunizations
Dental screenings and services
Individual and family counseling
Group counseling
Referrals to community resources
Health education
RAHS PREVENTION & INTERVENTION PROGRAMS:
Project Success
Nutrition and Physical Activity Program
Comprehensive Asthma Program

31. RAHS Users & Visits: 2009-2010
Unduplicated Users: 1175
Average 66% of school
populations served
Physical Health Visits: 2991
Mental Health Visits: 1163

32. Risk and Strength Assessments
“What is RIGHT with you is
RAAPS is a 21 question more powerful than what is
youth risk survey used to wrong.” The SOS is used to
identify multiple facilitate a focus on youth
behaviors that increase strengths.
risk of injury or premature
death.
www.raaps.org

33. Referrals and Community Stakeholders
Community Referrals:
2009-2010: 577 referrals
• Tangibles (ie: food, clothing,
housing, eye glasses)
• Medical Specialists
• Nutrition/Overweight
• Intensive Psychotherapy
Insurance Enrollment:
2009-2010
• 133 families, 67 youth
now with insurance

34. Youth Leadership

35. RAHS Current Funding Sources
UMHS MDCH CAHC
Community Funds
Outreach Funds
MDHC Mental WCHO
Fostering
Health Mini- Prevention
Innovations
Grants Grant
Grant
Gift Account
Coordinated
Revenue from Billing
Funding
UW Designation Funds
Program
Donations
03/09