Hallways to Health

About the Hallways to Health National Initiative

Hallways to Health

Launched in 2013 with support from Kaiser Permanente’s Thriving Schools, Hallways to Health (H2H) looks at delivering services and building partnerships beyond the physical walls of a school-based health center to include integrating health into classrooms, teachers’ lounges, and neighborhoods.

The goal of this initiative is to empower school-based health care (SBHC) leaders to be agents of change within their schools and communities, creating policy and systems change in three focus areas: healthy eating/active living, social-emotional health, and school employee wellness.

Project Description

The School-Based Health Alliance will establish a H2H Learning Collaborative to facilitate trainings and technical assistance on how to expand SBHC services beyond the traditional individual level of clinical care to include population health. Specifically, the Alliance will help H2H sites: identify their population health needs; develop wellness teams to implement action plans to address these needs; facilitate the sharing of challenges, solutions, and ideas among the H2H sites; and create sustainability plans to continue H2H innovations beyond the initiative.


Project Updates

Alliance Develops Training to Help H2H Sites Continue Post Funding (Spring 2017)

As the end of the Hallways to Health (H2H) initiative draws near, the School-Based Health Alliance is developing a sustainability training series to help sites continue to advance population health needs in and beyond the three focused areas of the originally funded initiative. The training series features tools to: identify crucial stakeholders and partners, share the H2H approach and impact (success stories), and develop vision statements and action plans.

Read more about the training.

Two of the five modules are complete and have been distributed to each H2H site. The remaining three modules will be available by Summer 2017.


H2H Site Visits Reveal Lessons Learned (Winter 2016/2017)

Throughout 2016, the School-Based Health Alliance conducted site visits to each of its Hallways to Health (H2H) cohorts. The visits featured presentations from school, district, and clinic leaders alongside clinicians, health educators, and behavioral health professionals. Each visit helped to identify H2H successes, needs, and potential for growth and innovation.

Read more about the site visits.

The following themes represent a summary of these visits and the best practices to move beyond the clinic walls:

  • The most successful H2H sites were able to integrate with their schools and districts.
  • The use of interdisciplinary wellness teams increase H2H effectiveness and reach.
  • Training and resources on development and communications/marketing is vital for H2H success.
  • Data is essential to show need for and benefit of population health efforts.
  • SBH providers can serve as care coordinators to improve population health.

H2H Sites Expand Population Health Approaches, Work to Make them Sustainable (Spring 2016)

After piloting innovative population health interventions in 2014 and 2015, the School-Based Health Alliance challenged Hallways to Health (H2H) sites to make a long-term mark on their schools by ensuring innovations became part of regular school operations and/or aligned with a system wide policy or change.

Read more about the approaches.

For example, in addition to distributing snacks, having smoothie demonstrations, and offering nutrition education sessions, H2H sites instituted clinic policies to screen all patients for food insecurity, expanded the scope and reach of alternative breakfast and food distribution programs, and replaced junk food vending machines with machines offering healthier options.

In addition to fun runs and health fairs, H2H sites drafted and advocated for district-wide policies to increase mandatory recess time and limit the sale of unhealthy foods.  They piloted restorative justice and alternatives to suspension policies, established professional development days focused on supporting student emotional needs, mandated health education and mindfulness across schools, and designated school employee wellness spaces as well as reflective areas for students within classrooms. These changes will outlast H2H and will have long-term impacts on improving school health and climate.


H2H Sites to Conduct Assessment Identifying and Prioritizing Population Health Needs (Fall 2015)

In collaboration with the American Public Health Association’s (APHA) Center for School Health, the School-Based Health Alliance is providing a semester-long training series encouraging its Hallways to Health (H2H) sites to consider social determinants of health for their populations.

Read more about the assessment.

Each H2H site is using the training to conduct school-wide assessments to identify psychosocial and health issues and priorities for their students and school employees. Assessments include the Youth-Risk Behavior Surveillance System, the Oregon Health Teens Survey, the California Healthy Kids Survey, and the Rapid Assessment for Adolescent Preventive Services. Sites will use the data to create action plans to identify and prioritize population health needs.


H2H Sites Begin Implementing Population-level Health Interventions (Fall 2013)

Hallways to Health (H2H) sites and state affiliate organizations are identifying, prioritizing, and implementing population-level health interventions in their schools, communities, and states. The interventions, expected to last two years or more, address population health needs within three focus areas: healthy eating/active living, social-emotional health, and school employee wellness.

Read more about the interventions.
In Oregon and Washington, for example, students are participating in annual school-wide health fairs and four mini “health days” that offer martial arts, yoga, hands-on dance instruction, meditation, healthy youth relationships, healthy foods cooking class, and nutrition education. Several other H2H sites are equipping students with mindfulness techniques to reduce stress and avoid triggers of conflict.

In California, a youth wellness team is helping to educate students about healthy eating and to start a school breakfast program. Other H2H sites are tackling food insecurity through screening and referrals, Supplemental Nutrition Assistance Program enrollment assistance, and expanding free and reduced meals and snacks.

School employee wellness is also a focus area for H2H sites. In Maryland, school-based health staff are developing and distributing a staff wellness resource manual at its new teacher orientation. In Georgia, school staff are establishing an employee wellness committee that organized a walking club, a 30 Days Ab and Squat Fitness Challenge, and a wellness night for the entire school population.


15 SBHC Sites, Four State Affiliates Selected to Participate in the H2H Cohort! (Spring 2013)

The School-Based Health Alliance is excited to announce that four School-Based Health Alliance state affiliate organizations and 15 school-based health care (SBHC) sites have been selected to participate in the Hallways to Health (H2H) Learning Collaborative.

Read more about the cohort.
The Alliance will work with each state affiliate on guiding the 15 sites in how to plan and implement activities to drive improvements in three focus areas: healthy eating/active living, social-emotional health, and school employee wellness.

The H2H Learning Collaborative participants include:

Maryland Assembly on School-Based Health Care

  • Northwood High School, Silver Spring, MD
  • Coppin Clinic at St. Frances Academy, Baltimore, MD
  • Bladensburg Academy, Bladensburg, MD

Georgia School-Based Health Alliance

  • Lake Forest Elementary School, Sandy Springs, GA
  • Turner Elementary School, Albany, GA
  • Whitefoord Elementary School, Atlanta, GA

California School-Based Health Alliance

  • John F. Kennedy High School, Richmond, CA
  • Rice Elementary School, San Diego, CA
  • Rea Elementary School, Costa Mesa, CA
  • Roosevelt Middle School, Oakland, CA
  • San Fernando High School, San Fernando, CA

Oregon and Washington School-Based Health Alliances

  • Century High School, Hillsboro, OR
  • Merlo Station High School, Portland, OR
  • Milwaukie High School, Milwaukie, OR
  • Washington Middle School, Seattle, WA

Read about Hallways to Health on our blog!
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