USA

Abstract

Schools provide an incredible opportunity to improve the current and future health and well-being of young people. A captive audience of young people in our nation's schools awaits health knowledge and guidance from trusted adults. Schools are the best places to promote healthy lifestyles and to provide the primary and secondary prevention needed to avoid and detect diseases that are the predictors of future health. The construct of school systems is conducive to a holistic or coordinated approach to school health. In Michigan, as in other states, health in the school setting is a challenge as schools undergo continued pressure to focus on learning and greater academic achievement. While schools often see the need, it does not always equate to making health a core mission. Yet, optimism for a healthier future is not based on desire or hope, but on more than two decades of collaborative work among Michigan's school health champions. They speak with conviction that the future health status of Michigan's children is positive. However, no one would say that he or she is completely satisfied with school health in Michigan. The concept of continuous improvement and being “a work in progress” is deeply embedded and has contributed to many school health successes. This case study follows Michigan's development of school health from its early stages to the important work of building an infrastructure and the events and innovations that became powerful forces for change. The case concludes with insights and lessons learned.