Table of Contents 
EXECUTIVE SUMMARY 
Background 
Findings, Conclusions, and Recommendations 
Moving School Health Programs into the Future 
1 INTRODUCTION 
Background of the Study 
The Current Context for School Health Programs 
The Comprehensive School Health Program 
Major Issues and Questions Considered by 
the Committee 
Organization of the Remainder of This Report 
2 EVOLUTION OF SCHOOL HEALTH PROGRAMS 
Historical Overview 
The Comprehensive School Health Program 
Summary 
3 EDUCATION 
The Role of Physical Education in 
Comprehensive School Health Programs 
The Role of Health Education in 
Comprehensive School Health Programs 
Summary of Findings and Conclusions 
Recommendations 
4 SCHOOL HEALTH SERVICES 
Introduction 
Overview of Basic School Services 
Extended Services 
Research on School Health Services 
Matching Level of Services to Needs 
Confidentiality of Students' Health and Education Records 
Financing of School Health Services 
First Steps for a Community in Establishing School Services 
Summary of Findings and Conclusions 
Recommendations 
5 BUILDING THE INFRASTRUCTURE FOR 
COMPREHENSIVE SCHOOL HEALTH PROGRAMS 
The National Infrastructure 
The State and Local Infrastructure 
Summary of Findings and Conclusions 
Recommendations 
6 CHALLENGES IN SCHOOL HEALTH RESEARCH AND EVALUATION 
Overview of Research and Evaluation 
Methodological Challenges 
Challenges and Future Directions for School Health Education Research 
Summary of Findings and Conclusions 
Recommendations 
7 THE PATH TO THE FUTURE 
The Unique Position of the School 
Moving School Health Programs into the Future 
An Investment in the Future 
Concluding Remarks 
APPENDIXES 
A THE SCHOOL-COMMUNITY INTERFACE IN COMPREHENSIVE SCHOOL HEALTH EDUCATION 
B GUIDELINES FOR COMPREHENSIVE SCHOOL HEALTH PROGRAMS 
C MODELS OF HEALTH BEHAVIOR CHANGE USED IN HEALTH EDUCATION PROGRAMS 
D NEW APPROACHES TO THE ORGANIZATION OF HEALTH 
AND SOCIAL SERVICES IN SCHOOLS 
E GUIDELINES FOR ADOLESCENT PREVENTIVE SERVICES 
F FEDERAL FUNDING STREAMS FOR COMPREHENSIVE SCHOOL HEALTH PROGRAMS 
G-1 A VISION OF INTEGRATED SERVICES FOR CHILDREN AND FAMILIES 
G-2 THE WEST VIRGINA EXPERIENCE AN 
INFRASTRUCTURE MODEL 
G-3 CONNECTICUT SCHOOL HEALTH SERVICES MODELS 
ACRONYMS AND ABBREVIATIONS 
INDEX