{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T03:39:12Z","timestamp":1792381152837,"version":"4.4.0"},"reference-count":63,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children's health and educational outcomes are interconnected, and unmet health needs affect youths' readiness to learn. Comprehensive school health (CSH) systems are designed to promote academic success and well\u2010being for all youth. State and local health and education leaders benefit from guidance on how to build, fund, and sustain effective CSH systems to support the whole child.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Theory<\/jats:title>\n                    <jats:p>In this article, we offer core areas for CSH policy development with recommendations for enhancing the quality and scale of CSH systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Several key policy opportunities and strategies aligned with core features of a CSH are identified, including (1) adoption of a CSH framework, (2) enhancement of cross\u2010sector coordination and collaboration, (3) use of standardized metrics to enhance CSH system quality, (4) engagement of youth and families in system building, (5) use of innovative strategies to enhance workforce capacity and development, and (6) establishment of a strategic funding plan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>State and local health and education departments are challenged to act upon key policy opportunities to build, fund, and sustain CSH systems to promote student success, health, and well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70249","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:09:55Z","timestamp":1791274195000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["School Health Policy Opportunities to Nurture Healthier Students Who Are Ready to Learn"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6751-5071","authenticated-orcid":false,"given":"Tiffany","family":"Beason","sequence":"first","affiliation":[{"name":"National Center for School Mental Health (NCSMH), Division of Child and Adolescent Psychiatry (DCAP) University of Maryland School of Medicine (UMSOM)  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8207-2260","authenticated-orcid":false,"given":"Zahra","family":"Ladhani","sequence":"additional","affiliation":[{"name":"National Center for School Mental Health (NCSMH), Division of Child and Adolescent Psychiatry (DCAP) University of Maryland School of Medicine (UMSOM)  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina M.","family":"Arag\u00f3n","sequence":"additional","affiliation":[{"name":"Veterans Administration Maryland Health Care System\/UMSOM Psychology Internship Consortium  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5921-2601","authenticated-orcid":false,"given":"Nancy","family":"Lever","sequence":"additional","affiliation":[{"name":"National Center for School Mental Health (NCSMH), Division of Child and Adolescent Psychiatry (DCAP) University of Maryland School of Medicine (UMSOM)  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11145\u2010022\u201010345\u20108"},{"key":"e_1_2_14_3_1","unstructured":"National Center for Education Statistics \u201cNAEP Long\u2010Term Trend Assessment Results: Reading and Mathematics \u201dThe Nation's Report Card accessed October 26 2025 https:\/\/www.nationsreportcard.gov\/ltt\/?age=13."},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2011.00640.x"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.95951"},{"key":"e_1_2_14_6_1","unstructured":"Centers for Disease Control and Prevention.\u201cWhy is Addressing Social Determinants of Health Important? 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