A coordinated school health program (CSHP) model consists of eight interactive components. Schools by themselves cannot, and should not be expected to, address the nation’s most serious health and social problems. Families, health care workers, the media, religious organizations, community organizations that serve youth, and young people themselves also must be systematically involved. However, schools could provide a critical facility in which many agencies might work together to maintain the well-being of young people.

Coordinated School Health Model: Health Education; Physical Education; Health Services; Nutrition Services; Counseling, Psychological, and Social Services; Healthy School Environment; Health Promotion for Staff; Family and Community Involvement.

  1. Health Education: Classroom instruction that addresses the physical, emotional, mental and social aspects of health – designed to help students improve their health, prevent illness, and reduce risky behaviors. 
  2. Physical Education: A planned, sequential K-12 curriculum that promotes life long physical activity develops basic movement skills and sports skills. Physical education shall be the environment in which students learn, practice, and are assessed on developmentally appropriate motor skills, social skills, and knowledge. 
  3. Health Services: Preventive services, education, emergency care, referrals, and management of acute and chronic health problems – designed to prevent health problems and injuries and ensure care for students. Can include school nursing as well as dental services and school based/school linked health centers.
  4. Nutrition Services: Integration of nutritious, affordable and appealing meals; nutrition education, and an environment that promotes healthy eating. 
  5. Health Promotion for Staff: Opportunities that encourage school staff to pursue a healthy lifestyle that contributes to their improved health status, improved morale, and a greater personal commitment to the school’s overall coordinated health program. This personal commitment often transfers into greater commitment to the health of students and creates positive role modeling. Health promotion activities have improved productivity, decreased absenteeism, and reduced health insurance costs.
  6. Counseling and Psychological Services: Services that include individual and group assessments, interventions, and referrals – designed to prevent problems early and enhance healthy development. 
  7. Healthy School Environment: The physical and aesthetic surroundings and the psychosocial climate and culture of the school. Factors that influence the physical environment include the school building and the area surrounding it, any biological or chemical agents that are detrimental to health, and physical conditions such as temperature, noise, and lighting. The psychological environment includes the physical, emotional, and social conditions that affect the well-being of students and staff.
  8. Parent/Community Involvement: An integrated school, parent, and community approach for enhancing the health and well-being of students. School health advisory councils, coalitions, and broadly based constituencies for school health can build support for school health program efforts.

Adapted from: Healthy Youth: An Investment in Our Nation’s Future, 2004, Department of Health and Human Services, Centers of Disease Control and Prevention



Goal: Support a healthy school through programs and services that value the social and emotional well-being of students, families and staff.
The services should improve students’ mental, emotional, and social health. These services include individual and group assessments, interventions, and referrals. Organizational assessment and consultation skills of counselors and psychologists contribute not only to the health of students but also to the health of the school environment. Professionals such as certified school counselors, psychologists, and social workers provide these services. School and Community Staff can use the NC Standard of Course of Study for Counselor Education ( as a resource for classroom instruction.
School counseling programs in North Carolina assist all students in pre-K through 12 with educational, personal, social, and career development goals. While some specific activities and services may differ as counseling programs progress from the primary to the secondary levels, these essentials of school counseling programs are consistent throughout all grades. The purpose of a comprehensive school-counseling program is threefold: providing developmental, preventive, and remedial services to students, parents, and teachers with the intent of helping people reach their potential.

• NC School Counselor Web page on the web at


School Mental Health Project:
Due to the significant need for mental health services in our state, the Eastern Area Health Education Center (AHEC) provides in-depth training to school nurses and other school personnel on child and adolescent mental health topics. The training curriculum will address suicide, crisis intervention, eating disorders, anxiety/panic disorders, substance abuse and emotional effects caused by trauma, child abuse, neglect, or sexual abuse. For more information

Child Abuse Prevention:
Child abuse and neglect rarely stop without help from outside the immediate family. Law mandates North Carolina citizens to report suspected child abuse and neglect to the Department of Social Services in the county where the child lives. You can make a report without giving your name. To learn about the signs of child abuse, visit the Prevent Child Abuse NC website. You can make a report of child abuse by calling, writing, or visiting your county Department of Social Services, the Child Protective Services Division. The address and phone number can be found in the front of your local phone book in the county government section, or by calling 1-800-354-KIDS or 1-919-733-2580. A social worker will listen to you and take down all the information you give.



NOTE :: Various file formats are used on this page that may require download. If larger than 1mb, it will take longer to download. For instructions or more information, please visit our download page.



February 20, 2005 – Holiday Inn Asheville Biltmore East
February 21, 2005 – Holiday Inn Express Greensboro East
February 22. 2005 – Holiday Inn Express-East in Greenville
Registration Fee – $25 per person
Conference is limited to 60 participants per site.

Workshop Agenda
(pdf, 52kb)

Please submit one registration form per participant. NCDPI must receive your registration form and payment by February 10, 2005. The registration fee is non-refundable. No on-site registration will be accepted. After completing the information you will need to send a check payable to NCDPI. For questions about registration, please call Sarah Langer at 919.807.3867.

For internal use only: budget code 0801-435600-160028850300

Hotel Information:
For more information and directions, please contact the hotel directly at 828.298.5611 (Asheville), 336.697.4000 (Greensboro), and 252.754.8300 (Greenville). These hotels have a state rate, however, rooms are limited so please call early.

The primary target audience for these workshops are staff that teach abstinence education in the schools. These staff may include but are not limited to health and physical education teachers, school nurses and guidance counselors, health department and other community based educators.

LEAs may use their Title V Abstinence Until Marriage Funds to support substitute teacher pay, travel and accommodations.



North Carolina School Health Training Center
North Carolina Healthy Schools is committed to creating, promoting, and supporting best practices to improve health and educational outcomes for our state’s youth. We partner with the North Carolina School Health Training Center, located at Appalachian State University, to provide professional development for teachers and other school staff on topics including nutrition, substance use prevention, and reproductive health and safety.



CONTACT :: Ellen Essick, Ph.D., Section Chief

School Health Advisory Council is an advisory group composed of individuals selected primarily from the health and education segments of the community. The group acts collectively in providing advice to the school system on aspects of the school health programs. The members of the council are appointed by the school system to advise the school system.

“Schools could do more than perhaps any other single institution in society to help young people, and the adults they will become, to live healthier, longer, more satisfying, and more productive lives.”
– Carnegie Council on Adolescent Development

Influencing students to lead healthy and productive lives is likely to be most effective when schools, the community, and parents work together. Each has unique resources, each can access students in ways the other can not, and each has different means of influencing the behaviors of young people. But the coordination of these efforts requires planning.

Local school health advisory councils are one means of planning consistent and focused action. Councils, comprised of representatives from the eight components of school health (Health education, physical education, nutrition services, family and community, mental and social health, staff wellness, school environment and health services) can objectively assess the needs of young people and identify the required resources. Councils can also serve as a communication link among the three groups to help prevent misunderstanding and clarify roles and responsibilities.

The health of young people is directly tied to academic achievement and their potential for school success and overall quality of life. The schools alone cannot solve or prevent health related problems. However, the schools’ ability to have a positive impact on students’ health behavior and academic gains is enhanced with the help of community resources.


NOTE :: Various file formats are used on this page that may require download. If larger than 1mb, it will take longer to download. For instructions or more information, please visit our download page.


Abstinence Until Marraige

In 1995, North Carolina passed G.S. 115C-81 (e1)1 that requires public schools to offer an abstinence until marriage program. The legislation contains general guidelines2 for instruction regarding abstinence until marriage and sexually transmitted diseases, including HIV/AIDS. Federal Title V abstinence funds are available to school systems in North Carolina to enhance abstinence education programs through planning and implementation. In addition to the state law, school systems that accept these funds must comply with the federal A-H Criteria3 for abstinence education. To be eligible for Title V, schools systems and charter schools must provide instruction to at least one of grades 7 through 12. School allotments4 are determined by the number of grades 7 through 12 and the number of students in these grades.

Contact Sarah Langer, Abstinence and Evaluation Consultant if you have any questions.

North Carolina Legislation G.S. 115C-81 (e1) guidelines

Present factually accurate biological or pathological information that is related to the human reproductive system;
Focus on the benefits of abstinence until marriage and the risks of premarital sexual intercourse;
Establish abstinence from sexual intercourse outside of marriage as the expected standard for all school-age children;
Offer positive reinforcement for abstinence;
Provide opportunities that allow for interaction between the parent or legal guardian and the student;
Assure that students are aware of the difference between risk reduction through use of contraceptives and/or condoms and risk elimination through abstinence;
For any instruction concerning contraceptives or prophylactics, provide accurate statistical information on their effectiveness and failure rates for preventing pregnancy and sexually-transmitted diseases, including HIV/AIDS, in actual use among adolescent populations;
Inform students of the current legal status of those homosexual acts that are a significant means of transmitting diseases, including HIV/AIDS;
Assure that students understand that a mutually faithful, monogamous, heterosexual relationship in the context of marriage is the best lifelong means of avoiding diseases transmitted by sexual contact, including HIV/AIDS;

A has as its exclusive purpose, teaching the social, psychological, and health  gains to be realized by abstaining from sexual activity;
B teaches abstinence from sexual activity outside of marriage  as the expected standard for all school age children;
C teaches that abstinence from sexual activity is the only certain way to avoid

out-of-wedlock pregnancy, sexually transmitted diseases, and other associated health problems;

D teaches that a mutually faithful monogamous relationship in the context of   marriage is the expected standard of human sexual activity;
E teaches that sexual activity outside of marriage is likely to have harmful psychological and physical effects;
F teaches that bearing children out-of-wedlock is likely to have harmful consequences for the child, the child’s parents, and society;
G teaches young children how to reject sexual advances and how alcohol and  

drug use increases vulnerability to sexual advances; and

H teaches the importance of attaining self-sufficiency before engaging in sexual activity.


*It is not necessary to place equal emphasis on each element of the definition; however, a project may not be inconsistent with any aspect of the abstinence education definition. 

Visit the following websites for more information about abstinence

2004-2005 Abstinence Notice of Grant Award

2005 Abstinence Supplemental Grant RFA

Not Me, Not Now:

National Abstinence Clearinghouse:

NC Department of Health and Human Services

Youth Development

Truth for Youth

Say No Way

The Medical Institute




CSHP Will Be Back By the Sea!! CSHP By the Sea 2006

With a great agenda focused on Coordinated School Health and Personal Wellness on campus at UNC-W!

Make plans NOW to join us – participation will be limited to 250 people! Bring your team representing the eight areas of a Coordinated School Health Program and hear national speakers as well as presenters from all parts of North Carolina. In addition to keynote and breakout sessions, CSHP By The Sea will feature opportunities for you to experience best practices sessions, improve your own personal wellness, and participate in a variety of activities! School Health Advisory Councils will have the opportunity to apply for possible funding as well as submit the Healthy Active Children Progress Report.

For more information contact:
Anne Marie Jenks
Physical Activity, Nutrition, and Tobacco Consultant
NC Healthy Schools
(919) 807-3909 / [email protected]

Certificates of attendance for 24 contact hours (2.4 CEUs) may be earned.


JULY 10-13, 2006
Begins on Monday, July 10 at 1:00 p.m.
Ends on Thursday, July 13 at 12:00 noon

$250 total cost per person for early registration by June 1, 2006 (double occupancy)*
$300 total cost per person for late registration after June 1, 2006 (double occupancy)*
* Single occupancy rooms require an additional $100 surcharge.

ONE FEE, per participant, includes all sessions, lodging in UNC-W dorms, souvenirs, breaks, breakfast and lunch each day, and Monday night’s dinner.

(pdf, 33kb)

Registration Form
(pdf, 63kb)



Paula Hudson Collins, NC Department of Public Instruction
Michael Sanderson, NC Department of Health and Human Services / Division of Public Health


DIVISION MISSION :: The goal of North Carolina Healthy Schools is to create a working infrastructure between education and health to enable schools and communities to create a Coordinated School Health Program. A model school health program includes all eight components:

  • Comprehensive School Health Education
  • School Health Services
  • A Safe Physical Environment
  • School Counseling, Psychological and Social Servies
  • Physical Education
  • Nutrition Services
  • School-Site Health Promotion for Staff
  • Family and Community Involvement in Schools

NC Healthy Schools focuses on improving the health of students and staff by providing coordination and resources in eight component areas of school health.With all of these components in place and working together, students will be healthier in school, in class, and ready to learn. In healthy schools, children are more alert, more focused on learning, and miss less school. They not only learn better, but also learn lifelong healthy behaviors to prevent the leading causes of death in North Carolina: heart disease, stroke, and cancer. Healthier schools lead to healthier students which lead to healthier communities. It just makes sense.

Current News

Request for application to fund sun safety school based projects Flu Questions and Answers: Information for Schools (pdf, 963kb)

New! Energizers
Classroom Based Physical Activities!
The way teachers integrate physical activity with academic concepts.
Check out these short, about 10-minute, activities that classroom teachers can use to provide activity to children.

NOTE :: Various file formats are used on this page that may require download. If larger than 1mb, it will take longer to download. For instructions or more information, please visit our download page.

End of Current News

Sun Safety HIV / STD Prevention School Health Advisory Council Teen Pregnancy Prevention Abstinence Until Marriage


Goal: To provide each student with the knowledge, skills, confidence and motivation to engage in a healthy active lifestyle and to create a supportive environment that is conducive to enjoyable life long physical activity opportunities for students, families, staff and community.

A planned, sequential K-12 curriculum that provides cognitive content and learning experiences in a variety of activity areas such as basic movement skills; physical fitness; rhythms and dance; games; team, dual, and individual sports; tumbling and gymnastics; and aquatics. Quality physical education should promote, through a variety of planned physical activities, each student’s optimum physical, mental, emotional, and social development, and should promote activities and sports that all students enjoy and can pursue throughout their lives. Qualified, trained teachers teach physical activity.

(You can join the DPI Physical Education / Athletics listserve by contacting Kymm Ballard at [email protected])


New! Energizers
Classroom Based Physical Activities!
The way teachers integrate physical activity with academic concepts.
Check out these short, about 10-minute, activities that classroom teachers can use to provide activity to children.

State Board of Education Policy: Healthy Active Children

Jean Blaydes Madigan – Brain Based research for physical education

Station PE – Action based learning for physical education teachers
addressing the national and state standards through cultural diversity,
character education, literacy development and more.

Everyone, including people with disabilities, can enjoy the numerous physical, psychological, and social benefits of increased physical activity.According to the 1996 surgeon general’s report, people with disabilities are less likely to engage in regular moderate physical activity than people without disabilities, yet they have a similar, and sometimes greater, need for health promotion and disease prevention opportunities. The NCODH has implemented 2 projects that are designed to enhance the number of opportunities that persons with disabilities have to engage in physical activity.

BAM! is brought to you by The Centers for Disease Control and Prevention (CDC), an agency of the U.S. Department of Health and Human Services (DHHS). BAM! was created to answer kids’ questions on health issues and recommend ways to make their bodies and minds healthier, stronger, and safer. BAM! also serves as an aid to teachers, providing them with interactive activities to support their health and science curriculums that are educational
and fun.

Be Active Kids:
Be Active Kids is an early childhood (ages 4-5) physical activity and nutrition curriculum and kit for child care centers. The program focuses on establishing an early, positive relationship with one’s body through participation in fun physical activities and education about healthy eating concepts. The overall goal of the kit is to promote positive attitudes towards physical activity and healthy eating.

Eat Smart, Move More NC
Eat Smart, Move More NC is a statewide initiative that promotes increased opportunities for physical activity and healthy eating through policy and environmental change. Increasing public awareness of the need for such changes to support increased physical activity and healthy eating opportunities is an integral aspect of the initiative. The ultimate goal of the initiative is to promote healthy behaviors that reduce risks and prevent disease related to inactivity and unhealthy eating behaviors.

VERB. It’s what you do.
In December 2001, Congress charged the Department of Health and Human
Services’ Centers for Disease Control and Prevention (CDC) with creating a
healthy movement among youth through a paid media campaign. Starting in
June 2002—with your help—we will do just that. The campaign itself, which
was fully launch October 2002, encourages positive activity—both physical
and prosocial activity—among youth ages 9-13. VERB. It’s what you do



Policy Manual

Policy Identification
Priority: High Student Performance
Category: Student Health Issues
Policy ID Number: HSP-S-000

Policy Title: Policy regarding physical education in the public schools

Current Policy Date: 01/09/2003 – Amended 04/07/2005
Other Historical Information: 
Statutory Reference: 
Administrative Procedures Act (APA) Reference Number and Category: 



(a) Each school district shall establish and maintain a local School Health Advisory Council to help plan, implement, and monitor this policy as well as other health issues as part of the coordinated school health plan.

(b) The local School Health Advisory Council shall be composed of community and school representatives from the eight areas of a coordinated school health program mentioned in Section 4 (a), representatives from the local health department and school administration.


(a) To address issues such as overweight, obesity, cardiovascular disease, and Type II diabetes, students enrolled in kindergarten through eighth grades are to participate in physical activity as part of the district’s physical education curriculum. Elementary schools should consider the benefits of and move toward having 150 minutes per week with a certified physical education teacher throughout the 180-day school year. Middle schools should consider the benefits of and move toward having 225 minutes per week of Healthful Living Education with certified health and physical education teachers throughout the 180-day school year.

(b) The physical education course shall be the environment in which students learn, practice and receive assessment on developmentally appropriate motor skills, social skills, and knowledge as defined in the North Carolina Healthful Living Standard Course of Study and foster support and guidance for being physically active. In order to meet enhanced goals, these classes should be the same class size as other regular classes.


(a) Structured/unstructured recess and other physical activity (such as, but not limited to, physical activity time, physical education or intramurals) shall not be taken away from students as a form of punishment. In addition, severe and/or inappropriate exercise may not be used as a form of punishment for students.

(b) A minimum of 30 minutes of moderate to vigorous physical activity shall be provided by schools for all K-8 students daily. This requirement can be achieved through a regular physical education class and/or through activities such as recess, dance, classroom energizers, or other curriculum based physical education activity programs. However, such use of this time should complement and not substitute for the physical education program.

(c) The physical activity required by this section must involve physical exertion of at least a moderate to vigorous intensity level and for a duration sufficient to provide a significant health benefit to students.


(a) The State Board of Education shall make available to each school district a coordinated school health model designed to address health issues of children. The program must provide for coordinating the following eight components:

(1) safe environment;

(2) physical education;

(3) health education;

(4) staff wellness;

(5) health services;

(6) mental and social health;

(7) nutrition services; and

(8) parental/family involvement.

(b) The North Carolina Department of Public Instruction shall notify each school district of the availability of professional development opportunities and provide technical assistance in implementing coordinated school health programs at the local level.


(a) Each local school district shall develop an action plan prepared in collaboration with the local School Health Advisory Council to assist in the implementation of the policy. This action plan shall identify steps that need to be taken each year to fully implement the policy by the 2006-2007 school year and shall include a review and appropriate modification of existing physical education and health curricula.

(b) Action plans shall be submitted to the North Carolina Department of Public Instruction by July 15, 2004.

(c) Progress reports shall be submitted to the North Carolina Department of Public Instruction by July 15, 2005 and 2006.

(d) Beginning July 15, 2007, each local school district in collaboration with the local School Health Advisory Council shall prepare a report annually which will include the minutes of physical education and/or healthful living, physical activity received by students in each school within the district. Indicators that will mark successful implementation and evidences of completion shall be a part of the plan.

(e) This report shall be completed by July 15th each year and remain on file for a period of 12 months to be provided upon request of the North Carolina Department of Public Instruction and local boards of education.

(f) Progress reports and the annual reports shall also include any other information that may be recommended from the State Board of Education’s Ad Hoc Committee studying implementation of the physical education and Healthful Living programs in kindergarten through eighth grades.