The Craven County Board of Education will provide health services to students as required by law.  State law authorizes school employees to administer drugs or medication prescribed by a health care practitioner upon the written request of the parents; give emergency health care when reasonably apparent circumstances indicate that any delay would seriously worsen the physical condition or endanger the life of the student; and perform any other first aid or lifesaving technique in which training has been provided to school employees.  A registered nurse will be available to provide assessment, care planning and ongoing evaluation of students with special health care service needs in the school setting.

The superintendent may develop procedures or delegate the development of procedures to each principal for providing these health services and meeting the board requirements listed below.

1. The principal shall determine at the beginning of each school year prior to the beginning of classes, and thereafter as circumstances require, which employees will be selected to participate in the health services program.  The principal shall inform his or her staff about which health services duties are delegated to which employees.

2. Any employee designated to provide health care services must receive appropriate training.

3. The principal shall inform all employees that if an employee suspects that a student is a high risk for suicide, is threatening suicide, or has attempted suicide that the employee should notify the principal or designee immediately. The principal or designee shall refer such students and their parents to trained professionals for assistance.

4. Health manuals prepared by the governing state agencies must be followed in developing appropriate procedures and for determining which tasks must be performed by registered nurses.

5. Procedures must be consistent with all related board policies, including policy 4230, Communicable Diseases – Students, and policy 6125, Administering Medicines to Students.

6. Procedures must be consistent with state and federal law for students with disabilities, including the Individuals with Disabilities Education Act, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act.  The Policies Governing Services for Children with Disabilities will be followed, as applicable.

7. Procedures must be consistent with guidelines adopted by the State Board of Education under G.S. 115C-12(31) to serve students with diabetes, including developing and implementing individual diabetes care plans for such students and providing information and training to school personnel to appropriately support and assist such students, in accordance with their individual diabetes care plans.

8. Written information maintained by the school or school personnel regarding a student's medicinal and health needs is confidential.  Parents and students must be accorded all rights provided by the Family Educational Rights and Privacy Act (FERPA) and state confidentiality laws.  Any employee who violates the confidentiality of the records may be subject to disciplinary action.

9. School personnel must obtain parental consent for medical services as required by law.  Parents will be notified of their rights in accordance with policy 1310/4002, Parental Involvement.

10. Health professionals will be consulted in the development of health services.  Opportunities also will be provided for input from staff, parents and students on the health services provided.

A comprehensive health education program must be taught to students from kindergarten through ninth grade. As required by law, the health education program must include age-appropriate instruction on bicycle safety, nutrition, dental health, environmental health, family living, consumer health, disease control, growth and development, first aid and emergency care, mental and emotional health, drug and alcohol abuse prevention, and reproductive health and safety education.

Instruction on gender identity, sexual activity, or sexuality will not be included in the health education program in kindergarten through fourth grade (see also policy 1310/4002, Parental Involvement).  As required by law and beginning in seventh grade, reproductive health and safety education will include age-appropriate instruction on sexual abstinence until marriage, STDs, the human reproductive system, preventable risks for preterm birth in subsequent pregnancies, the effectiveness of contraceptive methods in preventing pregnancy, awareness of sexual assault and sexual abuse, and sex trafficking prevention and awareness.

In high school, the Healthy Living curriculum is part of the Health/PE course typically taken in ninth grade. In some instances, students take this course after ninth grade, generally because of scheduling issues.

• Reproductive Health and Safety Education Curriculum
  The Reproductive Health and Safety Education curriculum shall be taught to students beginning in fifth grade and shall include the following topics*:
  *language taken directly from NCGS § 115C-81.30

  (1) Teach that abstinence from sexual activity outside of marriage is the expected standard for all school-age children.

  (2) Present techniques and strategies to deal with peer pressure and offering positive reinforcement.

  (3) Present reasons, skills, and strategies for remaining or becoming abstinent from sexual activity.

  (4) Teach that abstinence from sexual activity is the only certain means of avoiding out-of-wedlock pregnancy, sexually transmitted diseases when transmitted through sexual contact, including HIV/AIDS, and other associated health and emotional problems. As used in this section, "HIV/AIDS" means Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome.

  (5) Teach that a mutually faithful monogamous heterosexual relationship in the context of marriage is the best lifelong means of avoiding sexually transmitted diseases, including HIV/AIDS.

  (6) Teach the positive benefits of abstinence until marriage and the risks of premarital sexual activity.

  (7) Provide opportunities that allow for interaction between the parent or legal guardian and the student.

  (8) Provide factually accurate biological or pathological information that is related to the human reproductive system.

  (9) Teach about the preventable risks for preterm birth in subsequent pregnancies, including induced abortion, smoking, alcohol consumption, the use of illegal drugs, and inadequate prenatal care.

  (10) Teach about sexually transmitted diseases. Instruction shall include how sexually transmitted diseases are and are not transmitted, the effectiveness and safety of all federal Food and Drug Administration (FDA)-approved methods of reducing the risk of contracting sexually transmitted diseases, and information on local resources for testing and medical care for sexually transmitted diseases. Instruction shall include the rates of infection among pre-teen and teens of each known sexually transmitted disease and the effects of contracting each sexually transmitted disease. In particular, the instruction shall include information about the effects of contracting the Human Papilloma Virus, including sterility and cervical cancer.

  (11) Teach about the effectiveness and safety of all FDA-approved contraceptive methods in preventing pregnancy.

  (12) Teach awareness of sexual assault, sexual abuse, and risk reduction. The instruction and materials shall:

  a. Focus on healthy relationships.

  b. Teach students what constitutes sexual assault and sexual abuse, the causes of those behaviors, and risk reduction.

  c. Inform students about resources and reporting procedures if they experience sexual assault or sexual abuse.

  d. Examine common misconceptions and stereotypes about sexual assault and sexual abuse.

  (13) Teach about sex trafficking prevention and awareness. Each local school administrative unit shall:

  a. Collaborate with a diverse group of outside consultants where practical, including law enforcement with expertise in sex-trafficking prevention education, to address the threats of sex trafficking.

  b. Collaborate with a diverse group of outside consultants, including law enforcement with expertise in sex trafficking, on a referral protocol for high-risk pupils and minors.

  B. Parental Opportunity to Review Materials and Consent or Withhold Consent for Student Participation

  1. Opportunity for Parent Review of Materials

  A copy of all objectives and instructional materials in the reproductive health and safety curriculum must be available for review in each school where these subjects will be taught for at least sixty (60) days prior to instruction. Before a student may participate in the reproductive health and safety education program, the principal or designee shall notify the student’s parents/guardians of the opportunity to review the instructional materials and objectives that will be used.

  2. Parent/guardian Consent for Student Participation

  Pursuant to N.C.G.S. § 115C-76.35 (b) (5) and N.C.G.S. § 115C-81.30, the Board directs the Superintendent to establish procedures for the principal or principal’s designee to notify a student’s parents of the right to review materials and consent or withhold consent from the student’s participation in all or specified portions of the reproductive health and safety education curriculum, as follows:

  a. the entire Reproductive Health And Safety Education curriculum, described above in Section IIA, 1 – 13; or

  b. the instruction on topics described in Section IIA, 1 – 7; or

  c. the instruction on topics described in Section IIA, 8 - 13.

  The principal or principal’s designee shall not allow any student to participate in a reproductive health and safety education program unless parental consent is given.

  C. Standards for Instruction

  In teaching the Reproductive Health and Safety Education curriculum, teachers shall follow the instructional objectives and only use the age-appropriate materials that have been made available to parents for review in accordance with this policy. Information conveyed during instruction will be objective and based upon scientific research that is peer reviewed and accepted by professionals and credentialed experts in the field of sexual health education.

  In all grades and throughout the program of instruction, the curriculum shall provide opportunities that allow for interaction between the parent or legal guardian and the student. NC Licensed Health Teachers will provide instruction for the Comprehensive Health Education Program. Teachers will be provided professional development that will keep them abreast of current trends, statistics, instructional materials and resources.

  A determination of what is an appropriate education for any student with identified exceptionalities must be made in accordance with the student's individualized education program, following all procedures as provided in North Carolina law and State Board of Education policies.

• Legal Reference: N.C.G.S. § 115C art. 9; § 115C-36, -81(e1); §115C-76.35; 143 art. 33C; SBE Policy SCOS-0073233

A. Student Health Services 

The Craven County Board of Education will provide health services to students as required by law.  State law authorizes school employees to administer drugs or medication prescribed by a health care practitioner upon the written request of the parents; give emergency health care when reasonably apparent circumstances indicate that any delay would seriously worsen the physical condition or endanger the life of the student; and perform any other first aid or lifesaving technique in which training has been provided to school employees.  A registered nurse will be available to provide assessment, care planning and ongoing evaluation of students with special health care service needs in the school setting.

The superintendent may develop procedures or delegate the development of procedures to each principal for providing these health services and meeting the board requirements listed below.

1. The principal shall determine at the beginning of each school year prior to the beginning of classes, and thereafter as circumstances require, which employees will be selected to participate in the health services program.  The principal shall inform his or her staff about which health services duties are delegated to which employees.

2. Any employee designated to provide health care services must receive appropriate training.

3. The principal shall inform all employees that if an employee suspects that a student is a high risk for suicide, is threatening suicide, or has attempted suicide that the employee should notify the principal or designee immediately. The principal or designee shall refer such students and their parents to trained professionals for assistance.

4. Health manuals prepared by the governing state agencies must be followed in developing appropriate procedures and for determining which tasks must be performed by registered nurses.

5. Procedures must be consistent with all related board policies, including policy 4230, Communicable Diseases – Students, and policy 6125, Administering Medicines to Students.

6. Procedures must be consistent with state and federal law for students with disabilities, including the Individuals with Disabilities Education Act, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act.  The Policies Governing Services for Children with Disabilities will be followed, as applicable.

7. Procedures must be consistent with guidelines adopted by the State Board of Education under G.S. 115C-12(31) to serve students with diabetes, including developing and implementing individual diabetes care plans for such students and providing information and training to school personnel to appropriately support and assist such students, in accordance with their individual diabetes care plans.

8. Written information maintained by the school or school personnel regarding a student's medicinal and health needs is confidential.  Parents and students must be accorded all rights provided by the Family Educational Rights and Privacy Act (FERPA) and state confidentiality laws.  Any employee who violates the confidentiality of the records may be subject to disciplinary action.

9. School personnel must obtain parental consent for medical services as required by law.  Parents will be notified of their rights in accordance with policy 1310/4002, Parental Involvement.

10. Health professionals will be consulted in the development of health services.  Opportunities also will be provided for input from staff, parents and students on the health services provided.

B. School System Mental Health Plan

The superintendent shall develop a school-based mental health plan that includes a mental health training program and suicide risk referral protocol that satisfies the requirements of State Board of Education Policy SHLT-003.  The superintendent shall submit the plan to the board for approval and direct implementation of the plan within all applicable deadlines. 

By September 15 of each year, the superintendent shall report to the Department of Public Instruction on (1) the content of the school system’s mental health plan, including the mental health training program and suicide risk referral protocol, and (2) the school system’s prior school year compliance with the requirements of State Board of Education Policy SHLT-003.  The board will review the components of the school system’s mental health plan at least every five years, starting August 1, 2025, and will update the mental health plan in accordance with any updated requirements provided by the State Board of Education.