142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Meeting the Social-Emotional Needs of Students: Creating Alternatives to the School-to-Prison-Pipeline

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 5:10 PM - 5:30 PM

Mary Kreger, Dr PH , Philip R. Lee Institute for Health Policy Studies, UCSF, University of California, San Francisco, San Francisco, CA
Katherine Sargent Cairoli, MA , Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
James Thrasher, EdD , Human Rights and Community Outreach, California Teachers Association, Burlingame, CA
Patricia Rucker , California Teachers Association, Sacramento, CA
Castle Redmond, JD , The California Endowment, Sacramento, CA
Claire Brindis, DrPH , Bixby Center for Global Reproductive Health & Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
Background and Purpose:  This presentation details outcomes of specific school interventions to improve student socio-emotional health and the policy development process to establish linkages between health, education, and school disciplinary policies. In California, more than 400,000 students are suspended from school annually, contributing to increases in school dropout, substance abuse, violence, and incarceration. Forty percent of suspensions are for “willful defiance,” a loosely-defined, subjective designation, which is often influenced by school personnel’s bias.  High school dropouts cost California $19.5 billion each year. African American and Latino male students are disproportionately affected by these policies.

Significance and Methodology:  Several California school districts have implemented evidence-based approaches to improve social-emotional health, while changing school disciplinary policies. Using pre- and post-data, these approaches have been evaluated by the funder, The California Endowment, the California Teachers Association, and UCSF.  The partnership uses these data to educate policymakers on statewide disciplinary policies.

Results and Conclusion:Schools that changed their focus to a social-emotional supportive approach implemented strategies including: restorative justice, Positive Behavioral Intervention Supports, Trauma-informed care, and the Good Behavior Game. Employing these techniques, schools have reduced suspensions and increased Academic Performance Index (API) scores for all students. For example, over a 4-year period, one school reduced suspensions from 375 to 45 and improved API for all students by 65%, (81% for Latinos, 75% for low-income students, and 85% for English-language learners). Data from multiple schools are presented. These data provide guidance for local and state policies related to social-emotional health and disciplinary policies.

Learning Areas:

Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Evaluate approaches that support student social-emotional health to maintain youth in school versus those that “push students out.” Additionally, session participants will be able to identify and discuss at least three approaches that support social-emotional student health, and at least two expected outcomes related to these approaches.

Keyword(s): School-Based Health, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a co-Principle Investigator and Project Director of multiple federal-, state-, and foundation-funded projects related to health, education, health disparities, community health, and policy over the last 15 years. Among my scientific interests is the connection of health and education evidence-based interventions and policy.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.