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210 Philosophical Foundations of Health Education

for health education should address, therefore, a wide array of topics, every year, that

developmentally built the skills and habits of mind needed to cope with divergent

needs and evolving circumstances related to health and well - being. Health education,

like other subjects offered in school, should prepare young people to be lifelong,

autonomous, and responsible learners and as such represent an important area of study

related to human development.

Later, Comprehensive Health Programs sought to include health services and

school environments — hallways, playgrounds, cafeterias — that were considered

equally important for children ’ s and youths ’ health. Perhaps the classic example of

incongruence between health education and school environments has been the tension

between nutrition education aimed at promoting healthy food choices and the sale of

junk food in vending machines and school fund - raising campaigns. Unless the “ school ”

is committed to healthy eating the effects of the health education program are

undermined.

In the United States, the Journal of School Health (1987) dedicated a special issue

to comprehensive school health programs featuring an article by Allensworth and

Kolbe, which proposed eight components of a comprehensive program:

Health education

Physical education

Health services

Nutrition services

Counseling, psychological, and social services

Healthy school environment

Health promotion for staff

■ Parent/community involvement

Clearly, the responsibility for health promotion has been broadened and enriched

to involve a wide spectrum of services and supports. With strong support from the

Centers for Disease Control and Prevention, this model, like the Canadian model has

endured. In 1995 the word coordinated replaced comprehensive because people tended

to confuse comprehensive school health programs with comprehensive school Health

Education (instruction) and felt that the term comprehensive might discourage an

overburdened education system from implementing the model.

The Term “ Coordinated School Health ” Now Predominates

in the United States

At the heart of each school health promotion model are a number of principles which

serve as a moral compass for decisions about the purpose, structure, and engagement

of people within organizations, institutions, and programs of study. These principles

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