Advancing Equity Through Comprehensive School Health and Wellness Assessment: A WSCC-Aligned Approach
Description
In response to the unknown impacts of the COVID-19 pandemic, Health Services of Indianapolis Public Schools (IPS), conducted a districtwide health needs assessment in partnership with Indiana University Bloomington’s Center for Survey Research and Artois Mae Consulting. Guided by the NASN Framework for 21st Century School Nursing Practice, school nurses led a population-focused, equity-centered approach to support evidence-based practice, care coordination, and systems-level leadership. The assessment aimed to identify student needs, address inequities, and guide district improvements.Using the Whole School, Whole Child, Whole Community (WSCC) model, the assessment examined ten components of student wellness while centering social drivers of health, including access to healthcare, food security, and transportation. Parent-reported data revealed significant disparities: 30% of students lacked health insurance for the full past 12 months, and 27% of students needing prescription medication or equipment could not obtain it. Student survey responses highlighted mental health needs, with 27% scoring 3+ on the PHQ-2 (depression screening) and 27% scoring 3+ on the GAD-2 (anxiety screening). Additionally, 63% of parents reported their child was bullied, picked on, or excluded in the past year, underscoring critical social and emotional risks affecting student well-being and school connectedness.Data collection included surveys of students (grades 6–12), staff, and parents, along with qualitative interviews to elevate lived experiences and community priorities. An equity-centered approach guided survey design, implementation, and analysis to ensure representation of diverse voices, especially those most affected by the pandemic. This session will describe the assessment methodology, key findings, and resulting action steps. Presenters will highlight how school nurses operationalized the NASN Framework through leadership, population health management, quality improvement, and community/public health partnerships to translate data into practice. Attendees will gain strategies for leveraging needs assessment data to advocate for comprehensive, student-centered health services and address social drivers of health.