An Implementation and Preliminary Outcome Evaluation of School Health Teams as a Component of a Coordinated School Health Program

This implementation and preliminary outcome evaluation assessed the progress of School Health Team (SHT) development as part of one large urban school district's Coordinated School Health Program (CSHP). Results from electronic surveys of principals indicated that 25% (n = 40) of schools had a SHT as of May, 2007. Nearly half of SHTs (47.5%, n = 19) initiated or completed health needs assessments. SHT training and membership of a school administrator were significantly related to completion of health assessments (p < .05). Other preliminary indicators of SHT effectiveness included: monthly meetings, having a team coordinator, and membership of a nurse. This study also included focus groups to explore further the formation and function of SHTs. Twelve SHT members participated in focus groups addressing the advantages and barriers of SHTs. The primary advantage cited was support by school staff, parents, and community partners. Barriers included limited resources (e.g., membership, scheduling), member turnover (e.g., changes in school staff), and the breadth of student health issues. Participants provided suggestions for team development and effectiveness: continue recruiting efforts (i.e., of CSHP representatives and health-educated volunteers); use resources available, even if limited; focus on one or two workable health themes; and remember that schools and SHTs are unique throughout the district. This modest initial effort demonstrates the value of this qualitative approach that can be expanded in scope for future evaluations. Overall, this model for evaluation may serve as a valuable tool as school districts develop SHTs as part of a Coordinated School Health Program.