Appendix E
Coordinated School Health

Coordinated School Health
Coordinated School Health (CSH) assures that children are healthy and ready to learn by integrating health across eight components of school life.

The CSH model, developed by the Centers for Disease Control and Prevention (CDC), recognizes that schools, families, health care workers, the media, religious organizations, community organizations that serve youth and young people themselves, must be systematically involved in addressing social and health issues that can act as barriers to student learning.

Coordinated School Health Programs are a solution. 

They work toward long-term results by:

  • Helping students develop knowledge and skills to make smart choices
  • Reinforcing positive behaviors throughout the day
  • Keeping students healthy over time
  • Engaging parents, teachers, students, families and communities
  • Supporting learning and school success

The eight components of CSH are:

Health Education:  A planned, sequential, K-12 curriculum that addresses the physical, mental, emotional and social dimensions of health

Physical Education:  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.

Health Services: Services provided for students to appraise, protect, and promote health.

Nutrition Services:  Access to a variety of nutritious and appealing meals that accommodate the health and nutrition needs of all students.

Counseling & Support Services:  Services provided to improve students' mental, emotional, and social health

Healthy School Environment:  The physical and aesthetic surroundings and the psychosocial climate and culture of the school.

Health Promotion for Staff:  Opportunities for school staff to improve their health status through activities such as health assessments, health education and health-related fitness activities.

Family/Community Involvement:  An integrated school, parent, and community approach for enhancing the health and well-being of students.



Ways that nutrition and physical activity are integrated across Coordinated School Health


Physical Activity

Health Education

  • Evidence-based curriculum that supports healthy nutrition behaviors
  • Evidence-based curriculum that supports physical activity and an active lifestyle

Physical Education

  • Evidence-based nutrition lessons incorporated into physical education curriculum
  • Provide a sequential K-12 evidence-based curriculum that promotes an ongoing active lifestyle

Health Services

  • Address nutrition-related health concerns like diabetes
  • Address physical concerns that are barriers to physical activity

Nutrition Services

  • Provide access to healthy foods through school meals and throughout school
  • Provide recess before lunch, thus encouraging healthier eating habits

Counseling & Support Services

  • Counsel students with disordered eating or weight concerns
  • Counsel students with concerns about ability or body-image that interfere with enjoyment of physical activity

Healthy School Environment

  • Ensure that the nutrition environment provides consistent nutrition messages
  • Ensure that school playgrounds and facilities are safe, clean and accessible

Health Promotion for Staff

  • Offer worksite wellness programs that encourage staff to adopt and model healthy eating behaviors
  • Offer worksite wellness programs that encourage staff to adopt and model active lifestyles

Family/Community Involvement

  • Involve parents and community members in setting school nutrition policies
  • Allow after-school access for communities to use playgrounds, tracks and fields and/or gymnasiums