Education support services and health promoting schools Dr Trish Struthers Physiotherapy Department, UWC The health promoti ng schools framewo rk Health Promoting Schools Conference 2006
Dec 24, 2015
Education support services and health promoting schools
Dr Trish Struthers
Physiotherapy Department, UWC
The healthpromoting schools frameworkHealth Promoting Schools Conference 2006
Overview
Educationsupportservices
Healthpromoting schools
framework
Inclusive education
system
Inclusive education
system
Health Promoting Schools Conference 2006
Inclusive education policy
Vision of an inclusiveeducation system
Principles of human rights and social justice
Access to a single inclusive education system
Equity and redress for learners excluded in the past
NCSNET/NCESS Report (Department of Education, 1997)Education White Paper 6 (Department of Education, 2001)
Health Promoting Schools Conference 2006
Education White Paper 6 (Department of Education, 2001)
All children and youth can learn& all children and youth need support
All learners are different & have different learning needs
Change attitudes, behaviour,teaching methodologies, curricula & environment to meet the needs of all learners
Uncover & minimize barriers to learning
Education White Paper 6
Health Promoting Schools Conference 2006
Is there a crisis in education?
Challenges toimplementing
inclusiveeducation
Inequities in education
Teachers are overburdened
Poverty & socio-economic problems
Difficult to adapt curriculum
Additional roles & responsibilities
Opposition to inclusive education
Feel unsupported
Health Promoting Schools Conference 2006
How do we implement IE?
The question is:How do we bridge the gap between
policy and reality, bearing in mind the significant challenges to the implementation of an inclusive education system?
Health Promoting Schools Conference 2006
Policy:Vision of an inclusive
education system
The gap between policy and implementation
Implementation of an inclusive
education system
Challenges to implementinginclusive education
GAP
Health Promoting Schools Conference 2006
Policy:Vision of an inclusive
education system
Using the health promoting schools framework
Health promoting schools
framework
Implementation of an inclusive
education system
Challenges to implementinginclusive education
GAP
Health Promoting Schools Conference 2006
Health promoting schools framework
Based on WHO health promotion framework from the Ottawa Charter
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Health promoting schools framework
Developing healthyschool policies
Developing healthyschool environment
Developing healthypersonal skills
Developing healthyschool –community network
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Health promoting schools framework
Developing healthyschool policies
Developing healthyschool environment
Developing healthypersonal skills
Developing healthyschool –community network
Reorienting the education support services
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Education support services
learning support teachers
occupational therapists
physiotherapistsspeech & language
therapistspsychologistsnursesdoctorssocial workers
community-based support systems
Parents & grandparents
NGOs traditional healers community-based
rehabilitation workers
Health Promoting Schools Conference 2006
The healthpromoting schools framework
What does ‘reorientation’ mean
for the educationsupport services?
Preventive & developmental approach to the provision of support includingthe development of health promoting schools
The healthpromoting schools frameworkBuild district-based support teams
Healthy policy
Developing school policy that supports and promotes well-being including:Access to schoolAccess to education support servicesAccess to assistive devices Involvement of all learners in physical
activityPrevention of sports injuriesAccessible grounds, classrooms, toilets
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Healthy environment
Creating a safe & supportive teaching & learning environmentphysical environment of the schoolclassroom environment psychosocial environment
Discrimination: disability, social class, race, gender
Self-esteem
Health Promoting Schools Conference 2006
The healthpromoting schools framework
School – Community network
Strengthening community action & building the network between the school & the community
Developing school – parents relationship Partnership Advocacy groups (DICAG)
Identifying social determinants of health in community
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Personal skills
Developing personal skills of all in the school communityLearnersTeachersNon-teaching staffParents
self-esteem & empowerment
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Education support services
Inclusive education system
Whole schooldevelopment
Inclusive & health promoting
schools framework
Support from district-based support team
The healthpromoting schools framework
Medical model Health promoting model
Medical model
Focus: normalise the individual learner
Direct support Focus on individuals
Health promoting model
Focus: adapt environment to enable learner to participate in school & society
Indirect support teachers & parents
Focus on groups/population
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Shift from direct indirect support
support services need to move from a focus on individual learners
to support for teachers and the system
so teachers can respond to the needs of learners
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Education support service is inequitable
Public vs. private sectorRural vs. urban areasProvincial differencesSupport from tertiary institutions
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Therapists working with children in Western Cape per education district
72
33
7086
26
26
34 7 Central Metropole EMDC (20%)East Metropole EMDC (9%)North Metropole EMDC (20%)South Metropole EMDC (25%)Breede River/Overberg EMDC (7%)South Cape/Karoo EMDC (7%)Westcoast/Wineland EMDC (10%)Unknown (2%)
350 Occupational therapists, physiotherapists and speech & language therapists
74% of therapists are in Cape Metropole (urban areas)
EMDC=Education, Management and Development Centre
75% of therapists work in private practice
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Way forward: Teamwork
Within each education district District-based support team
Multidisciplinary Multisectoral
Education sector Health sector Social Development Community people & organisations
Collaborative & partnerships
Health Promoting Schools Conference 2006
The healthpromoting schools framework
New health promoting role of district-based support team
Consultant-mentor for learner, teacher and parent
Understand purpose of support Balance direct & indirect support Part of interdisciplinary, intersectoral team
Healthy self-esteem Team to support one another A health promoting team
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Measuring effective support?
Indicators?What is the impact on learning?Is the outcome empowering for the
learners, teachers, parents?Has the support been health promoting?
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Health promoting schools framework
The health promoting schools framework is an appropriate comprehensive approach to providing appropriate support to the school system, to the teachers, learners, and their parents
All in the district-based support team need competencies to provide support using this framework
Health Promoting Schools Conference 2006
The healthpromoting schools framework
I am a learner with a disabilityI am a learner who is HIV+
I also have the right to support which will enable me to learn
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Health Promoting Schools Conference 2006
The healthpromoting schools framework
I am asking you, the district-based support team, to provide me with support to enable me to learn at school
I need you to develop healthy policies & the inclusion of the health promoting schools framework in the policy documents of the Departments of Education, Health and Social Development
I need you to use the health promoting schools framework
I am asking you …
Health Promoting Schools Conference 2006
The healthpromoting schools framework
I need your support …
I need you to help build a healthy physical and psychosocial environment at my school and in my local community
I need you to support me so I can learn and develop my knowledge and skills
I need you to support teachers, developing the links between the school and my parents and my community to enable me to be included in society
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Health Promoting Schools Conference 2006
The healthpromoting schools framework
Health Promoting Schools Conference 2006
Health Promoting Schools Conference 2006
The healthpromoting schools framework