Healthy Schools
Contact us with corrections or additions,RachelleC at nasbe dot org?subject=Correction: Kentucky Kentucky Last Updated: 2/18/2013
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Curriculum and Instruction
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Health Education
     Last Updated: 11/21/2011

Mandate: Kentucky schools must follow the Program of Studies for Kentucky Schools Grades P-12 (2006), which outlines minimum state education requirements and provides curriculum guidelines. They require health education for students in primary, intermediate, and middle school, although amounts of instruction at times are not specified. In addition, high school students must complete a unit of both health and physical education in order to graduate. 

KRS 158.301 (2006) encourages each public school to include age-appropriate education on the risks associated with exposure to ultraviolet rays within the existing health curriculum.

Curriculum Content: The Kentucky Board of Education's Learning Goals and Academic Expectations detail the state's standards for health, which are imbedded within the Practical Living" content area.

KRS 158.301 (2006) encourages each public school to provide age-appropriate education to all students on the risks associated with exposure to ultraviolet rays from natural sunlight and artificial sources.  The education should be included within the existing health curriculum as required by KRS 156.160(1)(a) (2005).  The curriculum should include the facts, statistics, cause and impact of skin cancer and strategies and behaviors to reduce individual risks for skin cancer.

State Assessment Requirement: Currently under revision.

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Physical Education
     Last Updated: 11/21/2011

Mandate: Kentucky schools must follow the Program of Studies for Kentucky Schools Grades P-12 (2006), which outlines minimum state education requirements and provides curriculum guidelines. They require health education for students in primary, intermediate, and middle school, although amounts of instruction at times are not specified. In addition, high school students must complete a unit of both health and physical education in order to graduate. 

Curriculum Content: The State Board of Education's Learning Goals and Academic Expectations detail the state's standards for health and physical education, which are imbedded within the Practical Living content area.

State Assessment Requirement: Currently under revision.

Asthma Awareness Education
     Last Updated: 1/16/2006
Not specifically required.
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Emotional, Social, and Mental Health Education
     Last Updated: 7/19/2009

The Program of Studies (2006) require that mental wellness and individual well-being be taught in grades K-12 as part of the general health curriculum. Primary students are required to be taught about the various types of emotions and how to express them appropriately. Students in grades 4 and 6-7 are required to learn how to recognize the physical, emotional, and social changes associated with growth and development. Students in grades 4-6 & 8-12 are required to be taught about stress and stress management skills. Students in grades 6-8 are required to be taught social coping skills, including how to handle peer pressure. Students in grades 7-12 are required to be taught the symptoms and nature of mental illness. Students in grades 7 & 9-12 are required to be taught the causes and effects of emotional disorders. Students in grade 8 are required to be taught about health habits and behaviors that affect emotional wellness.

Expectation 2.32 of Kentucky's Learning Goals & Academic Expectations (2004) also requires students in grades K-12 to learn strategies for remaining mentally and emotionally healthy. Sample activities and demonstrators are specified in goals.

Character Education: No state policy.

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HIV, STD, and Pregnancy Prevention Education
     Last Updated: 11/21/2011

Mandate: The Program of Studies (2006) requires instruction for students in grades 6-8 and high school that focuses on abstinence as the only sure means of avoiding pregnancy and sexually transmitted diseases.

Curriculum Content: No state policy.

Parental Approval: No state policy.

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Nutrition Education
     Last Updated: 2/18/2013

The Kentucky Core Academic Standards (2010) includes instruction for students in nutrition education. The State Education department provides guidance on how the Core Academic Standards align with the National Health Education Standards.

KRS 158.856 (2005) requires each local district to annually assess school nutrition and physical activity environment and provide recommendations on how the school nutrition environment may be improved. Each district must submit their summary findings and recommendations to the state board of education.

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Alcohol, Tobacco, and Drug Use Education
     Last Updated: 7/19/2009

Alcohol: The Program of Studies (2006) requires instruction for students in grades 6-8 that focuses on consequences and risks of drinking. Students are required to research substance abuse in high school.

Tobacco: The Program of Studies (2006) requires instruction for students in grades 6-8 that focuses on consequences and risks of tobacco use. Students are required to research substance abuse in high school.

Drugs: The Program of Studies (2006) requires instruction for students in grades 4-8 that focuses on identifying drugs, the consequences and risks of drug use, and finding resources and treatments for drug addiction. Students are required to research substance abuse in high school.

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Injury and Violence Prevention Education
     Last Updated: 4/26/2010

The Program of Studies (2006) requires students in grade 8-12 to learn how to practice strategies for preventing violence.

Bullying/Harassment: Not specifically required.

Fighting/Gangs: The Program of Studies (2006) requires students in grades K-12 be taught conflict and anger resolution strategies. Students in high school are required to be taught the different definitions of abuse and strategies for prevention.

Suicide and Other Self-Abuse Prevention: The Program of Studies (2006) requires students in grades 6-8 to be taught how to identify the causes and effects of and how to prevent eating disorders. Students in grades 7 & 9-12 are also required learn the causes and effects of emotional disorders. HB51 (2010) requires every public middle and high school administrator to disseminate suicide prevention awareness to all middle and high school students. The materials may be obtained from the Cabinet for Health and Family Services or a commercially developed suicide prevention training program.

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Staff
Requirements for All Educators Regarding Health Education
     Last Updated: 4/26/2010

Professional Development: KRS 158.445 (2000) requires each local school to review the training need for instructional staff to engage students and minimize disruptive behavior.

SB65 (2010) requires all high school and middle school principals, guidance counselors and teachers to complete a minimum of two hours of self-study review of suicide prevention materials each school year. Provides that if a local board offers suicide prevention training, it may be completed through self-study review of suicide prevention materials.

 

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Requirements for Health Educators
     Last Updated: 6/9/2008

Pre-service requirement: The minimum requirement for prospective health teachers in elementary, middle, and high school grades prior to licensure is a bachelor's degree, successful completion of the applicable assessment, a recommendation from an approved preparation program, and no additional coursework requirements in health. The specific details of initial licensure are outlined in 16 KAR 2:010 (2003).

Professional Development: None specified.

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Requirements for Physical Educators
     Last Updated: 6/10/2008

Pre-service Requirement: The minimum requirement for prospective physical education teachers in elementary, middle, and high school grades prior to licensure is a bachelor's degree, successful completion of the applicable assessment, a recommendation from an approved preparation program, and no additional coursework in physical education. The specific details of initial licensure are outlined in 16 KAR 2:010 (2003).

Professional Development: None specified.

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Requirements for School Nurses
     Last Updated: 7/19/2009

Pre-service Requirement: State Board of Nursing 201 KAR 20:070 (2003) requires the completion of an approved nursing education program and licensure as a registered nurse in the state. KRS 314.041 (2000) requires the completion of and graduation from an approved school of nursing and fulfillment of KRS 214.615 (2002), which requires all applicants to complete an educational course on the transmission, control, treatment, and prevention of HIV and AIDS.

16 KAR 2:060 (2002) requires the completion of 15 semester hours of curriculum for school nurses to obtain a provisional certificate for school nurse and to be working towards completion of a bachelor's degree.

Professional Development: Per 201 KAR 20:215 (2005), the Kentucky Board of Nursing requires 14 approved contact hours for annual renewal of licensure for both RN's and LPN's.

Student-to-Nurse Ratio: None specified.

Requirements for Non-Certified Personnel to Administer Medication
     Last Updated: 6/18/2008

Pre-service Requirement: KRS 156.502 (2002) allows for the delegation of school health services by a physician or advanced registered nurse or registered nurse (service must be one that could be delegated by the physician or nurse within his/her scope of practice).  The school employee who is delegated by the physician or nurse to perform the health service must be trained and receive written approval by the delegating health professional.  Such employees who have been properly delegated and trained will be granted liability protection. Statute 156.501 (2002) requires the Department of Education to establish standardized protocols and guidelines for training said designated, non-medical school personnel.

Professional Development: None specified.

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Requirements for School Counselors
     Last Updated: 7/19/2009

Pre-service Requirement: 16 KAR 3:060 (2002) requires a minimum of a provisional certificate for guidance counselors, which requires a Kentucky teaching certificate for the appropriate grades being serviced and one year of successful full-time teaching experience.

Professional Development: Standard 5 of the Standards of Professional Development (2004) and KRS 158.070 (2004) require school counselors, who are considered administrative staff, to undergo four days of professional development each year based on individual professional growth plans. 16 KAR 3:060 (2002) requires a minimum of nine semester graduate credits every five years from the program leading to the standard certificate for guidance counselors.

Student-to-Counselor Ratio: None specified.

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Requirements for School Psychologists
     Last Updated: 7/19/2009

Pre-service Requirement: 16 KAR 2:090 (2003) requires a minimum of a provisional certificate for school psychologists, which requires the recommendation of the approval preparing institution, 48 semester hours of graduate credit towards the standard certificate for school psychologists from an approved program, and a score of 630 or higher on the NTE Specialty Area Examination in school psychology.

Professional Development: Standard 5 of the Standards of Professional Development (2004) and KRS 158.070 (2004) require school psychologists, who are considered administrative staff, to undergo four days of professional development each year based on individual professional growth plans. 16 KAR 2:090 (2003) requires 3 years of experience as a school psychologist and 72 hours of continuing professional development activities for renewal of a standard certificate. However, if any portion of the renewal experience is not completed, 6 semester hours of additional graduate credit may be used for renewal.

Student-to-Psychologist Ratio: None specified.

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Requirements for School Social Workers
     Last Updated: 7/19/2009

Pre-service Requirement: 16 KAR 2:070 (2003) requires a minimum of a master's of social work with either a cumulative GPA of 2.50 on a 4.00 scale or a GPA of 3.00 on a 4.00 scale on the last 60 undergraduate and graduate credits completed. Accreditation by the Council on Social Work Education and completion of an approved program of preparation for school social are also required.

Professional Development: Standard 5 of the Standards of Professional Development (2004) and KRS 158.070 (2004) require school social workers, who are considered administrative staff, to undergo four days of professional development each year based on individual professional growth plans.

Student-to-Social Worker Ratio: None specified.

Requirements for Food Service Personnel
     Last Updated: 9/2/2009

Pre-service Requirement: The minimum requirements for a person working in the school kitchen is completion of the beginning school food service personnel training course prescribed by the State Board for Elementary and Secondary Education and the issuance of a school food service employee certificate by the chief state school officer. Details of the requirement are found in State Board of Education Regulation 702 KAR 6:045 (1991). KRS 158.852 (2005) requires each school district to appoint a food service director. If their current director has 3 years of service has 3 years to obtain the school food service and nutrition specialist credential or the Level 2 certificate issued by the School Nutrition Association within 3 years. 

Professional Development: State Board of Education Regulation 702 KAR 6:045 requires all certificate holds to complete 4 hours of in-service training for certification renewal. ). KRS 158.852 specifically requires school food service directors to complete 10 hours of continuing education to maintain the credential. Continuing education applies to both the credential and the certificate. Of the required continuing education, 8 hours of it has to be related to applied nutrition and healthy meal planning and preparation.

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Requirements for Athletic Coaches
     Last Updated: 6/13/2012

Pre-service Requirement: Code 160.445 (2009) requires each high school coach to complete a sports safety course, including concussions.  At least one person who has completed a sports safety course to be at every high school athletic practice and competition. It also requires the state board of education to require each interscholastic coach to complete training on how to recognize the symptoms of concussion and how to seek proper medical treatment for a person suspected of having a concussion.

Professional Development: None specified.

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Health Promoting Environment
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Wellness Policies
     Last Updated: 11/20/2011

Additional accountability requirements: Revised Statute 158.856 (2005) requires each school food service director to annually assess and prepare a written report for local school board members, council members, and parents that addresses compliance with federal meals program requirements, availability of contracted fast foods, access to foods and beverages sold through vending machines and school stores, a list of foods and beverage available to students with nutritional values for each item, and recommendations for improving the nutritional environment.

Local school boards must then discuss the findings of the report and seek public comment. Local boards of education must finally hold an advertised public forum to present a plan to improve school nutrition and physical activities in the school district. Each school district is then required to annually compile and submit a summary of findings and recommendations from a mandated assessment of school physical activity and nutrition environments to the State Board of Education.

Additional content requirements: Revised Statute 160.345 (2005) requires local wellness policies to be developed only for LEAs containing grades K-5. The policy must include moderate to vigorous physical activity each day and encourage healthy choices among students. The policy may permit physical activity to be considered part of the instructional day, not to exceed 30 minutes per day, or 150 minutes per week. LEAs must also adopt an assessment tool to determine each child's level of physical activity on an annual basis.

Guidance materials: The Department of Education provides assessment instruments for physical activity and nutrition tailored to elementary and middle and high school. There are also performance descriptors and indicators for school nutrition programs based on Kentucky's standards.

The Department has also published guidance materials, including Alternatives to Using Food as Reward and a Guidance Memorandum on the State Boards of Education's Guidelines for Competitive Food and Beverage Sales and on state mandated assessment and reporting on the school nutrition and physical activity environment.

Other: None

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School Meals Program
     Last Updated: 2/12/2010

Food Services: 702 KAR 6:050 (1991) requires all schools participating in the national school lunch and breakfast programs to serve a complete hot or cold breakfast and a hot or cold lunch of serving sizes at least 1/3 to of the daily nutritive requirements of the school age child being served. Further, lunch is to be made available to all children attending each school and for those predetermined by school authorities, meals shall be served at without cost or at reduced cost.

KRS 158.850 (2005) limits access to retail fast foods in the cafeteria to one day a week.  KRS 158.854(3) (2005) prohibits the sale of competitive foods or beverages from the time of arrival of the first student at the school building until thirty minutes after the last lunch period. Competitive food" is defined as any food or beverage item sold in competition with the National School Lunch and School Breakfast program.  KRS  158.854(4) (2005)  restricts the sale of beverages in elementary schools to school-day-approved beverages."  These include water, 100% fruit juice, low-fat milk and any beverage that contains no more than 10 grams of sugar per serving.  This limitation applies to vending machines, school stores, canteens, or fundraisers that sell beverages to students, teachers or groups.

State Board of Education 702 KAR 6:090 (2006) restricts food and beverages sold during the time period beginning 30 minutes after the last lunch period to the end of the instructional period. Beverage or food items offered a la carte on the serving lines must meet the standards laid out in Section 1 and Section 2 of State Board of Education Regulation 702 KAR 6:090 (2006).

KRS 158.854(1) (2005) requires the Kentucky Board of Education to promulgate an administrative regulation to specify the minimal nutritional standards for all foods and beverages that are sold outside of the National School Breakfast and School Lunch Programs. 

Adequate Time to Eat: No state policy.

School Breakfast: Statute 158.070 (2005) requires school districts to arrange bus schedules so that all buses arrive in sufficient time for schools to serve breakfast prior to the instructional day.

Food Allergies: No state policy.

Farm-to-School: No state policy.

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School Food Environment
     Last Updated: 9/2/2009
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Vending Machines/School Stores: KRS 158.854 (2005) restricts the sale of beverages to school-day-approved beverages."  These include water, 100% fruit juice, low-fat milk and any beverage that contains no more than 10 grams of sugar per serving.  This limitation applies to vending machines, school stores, canteens, or fundraisers that sell beverages to students, teachers or groups.

State Board of Education Regulation 702 KAR 6:090 (Section 1) (2006) restricts the sale of beverages beginning thirty minutes after the last lunch period until the end of the last instructional period.  Beverages offered for sale, whether through vending machines, school stores, canteen or fundraisers on school property must be: (1) flavored or unflavored 1% or less milk, (2) flavored or unflavored, non-caloric, non-carbonated water, (3) 100% fruit or vegetable juice, (4) any beverage which does not contain more than 10 grams of sugar per serving (with the exception of fruit juice), (5) 17 ounces or less (excluding flavored, non-caloric or non-carbonated water) for elementary school and 20 ounces or less for middle and high school.

State Board of Education Regulation 702 KAR 6:090 (2006) restricts the sale of food items beginning thirty minutes after the last lunch period until the end of the last instructional period.  This includes the sale of food items in vending machines, school stores, canteen, and fundraiser on school property.  The complete list of restrictions which include calories, portion size, fat, sugar and sodium content can be found in Section 2 of State Board of Education 702 KAR 6:090 (2006).

Other Food Sales: State Board of Education 702 KAR 6:090 (2006) restricts sales of a la carte items in the cafeteria line during the serving of breakfast or lunch.  All items must meet the food item and beverage standards established in Section 1 and 2 of the policy.

     Last Updated: 5/22/2008

School Gardening: No state policy.

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Physical Activity Other Than Physical Education
     Last Updated: 12/20/2010

General Physical Activity Requirement: No state policy.

Recess or Physical Activity Breaks
: No state policy.

Recess Before Lunch: No state policy.

Walking/Biking to School: No state policy.

Organized Sports
     Last Updated: 6/13/2012

Interscholastic Athletics: State Board of Education Regulation 702 KAR 7:065 (2004) designates the KY High School Athletic Association as the agent to manage interscholastic athletics at the high school level.

Concussion and Sports-Related Head Injury:

Automated External Defibrillator (AED): No state policy.

Safe and Drug-Free Schools
     Last Updated: 7/19/2009

KRS 158.445 (2000) requires each board of education to adopt a plan for immediate and long-term strategies to address school safety and discipline. KRS 158.148 (2008) requires the department of education to develop statewide student discipline guidelines ensuring safe schools, recommendations that improve the learning environment and school climate and a model policy. Each board of education is to then adopt a code of acceptable behavior and discipline for students, which stresses the maintenance of a safe learning environment where orderly learning is possible and encouraged. 158.148 (2008) requires each local board of education to formulate a code of acceptable behavior and discipline. The code shall contain the type of behavior expected from each students, consequences of failure to obey the standards, and the importance of the standards to the maintenance of a safe learning environment. A list of the specific requirements of the code is outlined in the statute. A copy of the code of behavior and discipline shall be provided to all school employees, parents and legal guardians.

Fighting/Gangs: KRS 158.150 (2001) considers assault or battery or abuse of school personnel or students as cause for suspension of expulsion from school and requires local boards of education to adopt a policy requiring disciplinary action for such a violation.

Weapons: KRS 527.070 (1996) states that it is unlawful, a class D felony, for a person to possess a weapon on school property and requires chief administrators of a public school to post stating this policy. KRS 158.150 considers the carrying or use of weapons or dangerous instruments on school property as cause for suspension of expulsion from school and requires local boards of education to adopt a policy requiring expulsion for at least one year for a student who is determined to have brought a weapon to school.

KRS 161.195 (1992) requires notification to a teacher in writing that a student has a documented history of physical abuse of a school employee or of carrying a concealed weapon on school property before the teacher is assigned to work directly with or come into close contact with the student.

Drugs and Alcohol: KRS 158.150 considers the use or possession of alcohol or drugs on school property as cause for suspension of expulsion from school and requires local boards of education to adopt a policy requiring disciplinary action for such a violation.

Collaboration with Law Enforcement: No state policy.

Bullying, Harassment and Hazing
     Last Updated: 1/5/2011

Bullying/Harassment: KRS 525.070 (2008) states that a person is guilty of harassment when, with the intent to intimidate, harass, annoy or alarm another person, he or she, being enrolled as a student in a local school district, and while on school premises, on school -sponsored transportation, or at a school-sponsored event, a student does one of the following: (1) Damages or commits a theft of the property of another student, (2) substantially disrupts the operation of the school, or (3) Creates a hostile environment by means of any gestures, written communications, oral statements, or physical acts that a reasonable person under the circumstances should know would cause another student to suffer fear of physical harm, intimidation, humiliation, or embarassment. KRS 525.080 (2008) states that a person is guilty of harassing communications when he or she communicates, while enrolled as a student in a local school district, with or about another school student, anonymously or otherwise, by telephone, the Internet, telegraph, mail, or any other form of electronic or written communication in a manner which a reasonable person under the circumstances should know would cause the other student to suffer fear of physical harm, intimidation, humiliation, or embarassment and which serves no purpose of legitimate communication.

KRS 158.156 (2008) states that any employee of a school or local board of education who knows or has reasonable cause to believe that a school student has been the victim of a violation of any felony offense sepcified in KRS 508 committed by another student on school premises, at a school-sponsored event or transportation must immediately make an oral or written report to the principal of the school attended by the victim. The statute includes additional requirements for reporting. It also provides immunity from liability for those reporting.

Cyberbullying: KRS 525.080 (2008) includes communication via the Internet or other form of electronic communication in its definition of harassing communication. A student is guilty of harassing communications when he or she communicates while enrolled as a student in a local school district, with or about another student, another or otherwise, in a manner which a reasonable person under the circumstances should know would cause the other student to suffer fear of physical harm, intimidation, humiliation, or embarassment and which serves no purpose of legitimate communication.

Hazing: No state policy addressing elementary or secondary schools.

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Crisis Management/Emergency Response
     Last Updated: 7/19/2009

Response and Management Plans: KRS 158.445 (2000) requires each board of education to adopt a plan for immediate and long-term strategies to address school safety and discipline.

Reporting Incidents of Violence: KRS 158.445 requires each local school to begin assessing the school safety and student discipline plans and to review the reports of school incidents related to disruptive behavior. KRS 158.150 (2001) requires the superintendent, principal, assistant principal, or head teacher of any school to report any suspensions of a pupil in writing to the superintendent and to the parent/guardian of the pupil.

Tobacco Use
     Last Updated: 1/16/2006

KRS 438.050 (1988) places of fine between $1 to $5 on a person who smokes tobacco products in any school building or on school property when children are present. The principal or superintendent may, however, designate smoking areas for school employees, if outside of facilities where children are educated.

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Air Quality
     Last Updated: 9/2/2009

State Board of Education Regulation 704 KAR 4:020, Section 4 requires the local school board of education to establish adequate ventilation and control of air pollutants in all school buildings.

Pesticide Use
     Last Updated: 1/16/2006

302 KAR 29:050, Section 12 (2002) requires each school district to implement an integrated pest management program which shall include: 24-hour advance notification of pesticide use to all staff members, health professionals, and parents and guardians of children; and maintain a registry of those requesting advance notification.

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Playground/Facility Safety
     Last Updated: 1/16/2006

KRS 161.180 (1990) allows principals to use teachers’ aides in supervisory capacities such as playground supervisor to hold pupils in strict account for their conduct on school premises.

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Student Services
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Screening for Health Conditions
     Last Updated: 2/17/2012

Vision and Hearing: Each local board of education is to require a preventative health care examination one year prior to a child seeking admission to school according to State Board of Education Regulation 704 KAR 4:020 (2000). The examination shall include a physical assessment, including hearing and vision screening and a local spinal screening program for scoliosis.

KRS 156.160 (2004) requires a vision examination by an optometrist or ophthalmologist to be submitted to the school no later than January 1 of the first year that a three, four, five, or six year-old child is enrolled in public school, public preschool, or Head Start Program. 

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: State Board of Education Regulation KAR 1:160 (2012) requires a BMI calculation to be included on the Preventitve Health Care Exam Form for each year pre-k through five, and then once in middle school and in high school. There is not an opt-out provision for parents.

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Administration of Medications
     Last Updated: 9/2/2009

Staff Administration: KRS 156.502 (2002) requires health services to be provided in a school setting by a licensed physician, registered nurse or a delegated school employee who has been trained by a physician or nurse. Health services are defined in the statute as providing direct health care, including the administration of medication. The statute further protects a school employee who has been properly delegated responsibility for performing a medical procedure shall be granted liability protection unless clear and convincing evidence of negligence or misconduct has resulted in individual harm.

Self-Administration of Asthma Medication: KRS 158.834 (2002) authorizes the board of a school district to permit students with asthma to self-administer medication provided that written authorization is received from the student's health practitioner, that includes the name and purpose of the medication, the prescribed dosage, time the medication is to be administered, and the length of time of the prescription. Parents and guardians are to be given notification that the school will incur no liability against any claims regarding the self-administration of asthma medications by the student. KRS 158.836 (2004) allows students with asthma to possess and use their medication at school and at school-sponsored activities located on school property, provided that written authorization from a parent or guardian and a healthcare practitioner is provided.

Self-Administration of Anaphylaxis Medication:  KRS 158.834 (2002) authorizes the board of a school district to permit students at risk of anaphylaxis to self-administer medication provided that written authorization is received from the student's health practitioner, that includes the name and purpose of the medication, the prescribed dosage, time the medication is to be administered, and the length of time of the prescription. Parents and guardians are to be given notification that the school will incur no liability against any claims regarding the self-administration of asthma medications by the student. KRS 158.836 (2004) allows students at risk for anaphylaxis to possess and use their medication at school and at school-sponsored activities located on school property, provided that written authorization from a parent or guardian and a healthcare practitioner is provided.

Psychotropic Medications: No state policy.

Storage and Record-keeping: KRS 156.501 (2002) requires the Department of Education to establish standardized protocols and guidelines for the appropriate documentation and recordkeeping of health services by a school employee.

Medical Emergencies: State Board of Education 704 KAR 4:020 (2001) requires schools to have emergency care procedures in place, which include maintaining first aid facilities, having at least one adult present with children during school hours with standard first aid and CPR for infants and children training, keeping vital contact information such as the parent's telephone number and the name of the family physician, and having a means of transportation.

KRS 158.836 (2004) further allows students with asthma to possess and use their medication at school and at school-sponsored activities located on school property, provided that written authorization from a parent or guardian and a healthcare practitioner is provided. The written statement by the healthcare practitioner must contain the name and purpose of the medications, the prescribed dosage, the time the medications are to be regularly administered and under what special circumstances, and the length of time for which the medications are prescribed. The statute further requires school districts to inform the parent or guardian of the student that the school and its employees are not liable from any injury sustained by the student from the self-administration of the asthma medications. The parent or guardian is required to sign a statement acknowledging that the school is not liable to any claims relating to the self-administration of asthma medications.

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Counseling and Mental Health Services
     Last Updated: 8/13/2008

Requirement to Provide Services: 907 KAR 1:715 (2004) requires mental health services to be provided to address medical and mental disabilities in accordance with any individualized education program.

Identification of Students with Mental or Emotional Disorders: No state policy.

Substance Abuse: No state policy.

Suicide Prevention: No state policy.

HIV, STD, and Pregnancy Testing and Counseling: No state policy.

Immunity of Liability: No state policy.

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Immunization
     Last Updated: 5/18/2011

Detailed, current information about immunization requirements by state is maintained by the National Network for Immunization Information.  Select your state from the drop down box under Search for State Vaccine Requirements for School Entry."

Exemptions: KRS 214.036 (2005) allows exemption from immunization requirements under the following circumstances: (1) When in the written opinion of an attending physician, immunization would be injurious to the child's health, or (2) The parents present a sworn statement objecting to the immunizations on religious grounds.  In the case of an epidemic, the Cabinet for Health Services may require the immunization of all persons in an affected area for the specific disease.

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Accommodation
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Staff with HIV
     Last Updated: 1/16/2006

No state policy.

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Students with HIV
     Last Updated: 1/16/2006

No state policy.

Pregnant or Parenting Students
     Last Updated: 1/16/2006

No state policy.

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Individual Health Plan for Students
     Last Updated: 9/2/2009

The state does not have a policy regarding individualized health plans for students in need of health services. State Board of Education Regulation 704 KAR 4:020, Section 3 (2001) does require the each school to initiate a cumulative health record for each student that contains screening tests and findings and recommendations of a physician.

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Coordination/ Implementation
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Coordinating or Advisory Councils
     Last Updated: 7/19/2009

State-level: KRS 148.590 (2005)  establishes the Council on Sports, Physical Activity and Wellness to serve as a resource to the Governor and General Assembly, to increase awareness and develop physical fitness and activity goals for all citizens of the state, encourage intergenerational activities to strengthen the family unit, and support the National Association of Governor's Council on Physical Fitness and Sports and the President's Council on Physical Fitness and Sports.

Local-level: No state policy.

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School Health Program Coordinators
     Last Updated: 9/2/2009

State-level: No state policy.

Local-level: State Board of Education Regulation 704 KAR 4:020, Section 5 requires each local superintendent to designate a school health coordinator who will work in cooperation with all school personnel, the local board of education, the State Dept of Education, the local health dept, family resource & youth services centers, and parents in planning, promoting, and implementing a school health services program.

Confidentiality
     Last Updated: 8/18/2008

Student Health-Related Records: KRS 160.705 (1994) deems educational records of students as confidential and may not be disclosed except for circumstances described in KRS 160.720 (1994) which does not permit educational institutions to release records, including health records, or other identifiable information on students to third parties without the consent of the parent or student.

Student Health-Related Services: No state policy.

Limitations on Student Surveys
     Last Updated: 1/16/2006

No state policy.

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