School Health and Administration

In 1987 the Centers for Disease Control and Prevention (CDC), in collaboration with national health and educational organizations, developed the Coordinated School Health (CSH) model. The CSH approach has been the blueprint for integrating health-promoting practices in the school setting and has been the mainstay of school health in the United States.

In addition to the CDC, many national health and education organizations have supported the CSH approach. However, it has been viewed by educators as primarily a health initiative focused only on health outcomes and has consequently gained limited traction across the education sector at the school level.

In 2007 the Association for Supervision and Curriculum Development (ASCD) and the CDC in collaboration with key leaders from the fields of health, public health, education, and school health developed the Whole School, Whole Community, Whole Child (WSCC) model. The WSCC model combines and builds on elements of the traditional CSH approach and the whole child framework. However, the new model responds to the call for greater alignment, integration, and collaboration between education and health to improve each child’s cognitive, physical, social, and emotional development.

Whereas the traditional CSH approach contained eight components, the WSCC model contains 10, expanding the original components of Healthy and Safe School Environment and Family and Community Involvement into four distinct components. The expansion focuses additional attention on the effect of the Social and Emotional Climate in addition to the Physical Environment. 

The new model calls for a greater collaboration across the community, across the school, and across sectors to meet the needs and reach the potential of each child. Family and community involvement is divided into two separate components to emphasize the role of community agencies, businesses, and organizations as well as the critical role of Family Engagement. This change marks the need for greater emphasis on both the psychosocial and physical environments as well as the ever-expanding roles that community agencies and families must play. Finally, this new model also addresses the need to engage students as active participants in their learning and health. 

ASCD and the CDC encourage use of the model as a framework for improving students’ learning and health in our nation’s schools.

School Health Office

A student’s health status is directly related to his or her ability to learn.  Children with unmet health needs have a difficult time engaging in the educational process.  Attached are resources that the school nurse can use to help support student success by providing oral health care information to children within the school setting.


“Although dental problems don’t command the instant fears associated with low birth weight, fetal death or cholera, they do have the consequences of wearing down the stamina of children and defeating their ambition.  They go to sleep with it.  They go to school with it.  Sometimes their teachers are alarmed and try to get them to a clinic.  But it is all so slow and heavily encumbered with red tape and waiting lists that dental care is often long delayed.

Children live for months with pain that grown-ups would find unendurable.  The gradual attrition of accepted pain erodes their energy and aspirations…to me, most shocking is to see a child with an abscess that has been inflamed for weeks that he has simply lived with and accepts as part of the routine of life.”

-Jonathan Kozol, Savage Inequalities: Children in America’s Schools

Dental Office

Ensuring that your dental practice is optimally staffed can be a labor intensive and time consuming process. Mira has been providing permanent and temporary staffing solutions to private dental offices and public organizations throughout the state since 1996.

Nursing Homes

Neglect of oral health in the elderly may result in the deterioration of overall physical health. Lack of access to care for even routine dental cleanings and exams can exacerbate serious and complicated overall health problems that increase with age.