Health & Safety: A Look Back, Gallop Ahead
By
John E. (Jack) Roberts
MHSAA Executive Director, 1986-2018
August 7, 2015
We are just completing year six of eight during which we have been addressing the four important health and safety issues that, for ease of conversation, we call the “Four Hs.”
During the 2009-10 and 2010-11 school years, our focus was on Health Histories. We made enhancements in the pre-participation physical examination form, stressing the student’s health history, which we believe was and is the essential first step to participant health and safety.
During the 2011-12 and 2012-13 school years, our focus was on Heads. We were an early adopter of removal-from-play and return-to-play protocols, and our preseason rules/risk management meetings for coaches included information on concussion prevention, recognition and aftercare.
Without leaving that behind, during the 2013-14 and 2014-15 school years, our focus was on Heat – acclimatization. We adopted a policy to manage heat and humidity – it is recommended for regular season and it’s a requirement for MHSAA tournaments. The rules/risk management meetings for coaches during these years focused on heat and humidity management.
At the mid-point of this two-year period, the MHSAA adopted policies to enhance acclimatization at early season practices and to reduce head contact at football practices all season long.
Without leaving any of the three previous health and safety “H’s” behind, during the 2015-16 and 2016-17 school years, our focus will be on Hearts – sudden cardiac arrest and sudden cardiac death.
Coinciding with this emphasis is the requirement that all high school level, varsity level head coaches be CPR certified starting this fall. Our emphasis will be on AEDs and emergency action plans – having them and rehearsing them.
On Feb. 10, bills were introduced into both the U.S. Senate and House of Representatives, together called the “Safe Play Act (see below),” which addressed three of the four health and safety “H’s” just described: Heat, Hearts and Heads.
For each of these topics, the federal legislation would mandate that the director of the Centers for Disease Control develop educational material and that each state disseminate that material.
For the heat and humidity management topic, the legislation states that schools will be required to adopt policies very much like the “MHSAA Model Policy to Manage Heat and Humidity” which the MHSAA adopted in March of 2013.
For both the heart and heat topics, schools will be required to have and to practice emergency action plans like we have been promoting in the past and distributed to schools this summer.
For the head section, the legislation would amend Title IX of the 1972 Education Amendments and eliminate federal funding to states and schools which fail to educate their constituents or fail to support students who are recovering from concussions. This support would require multi-disciplinary concussion management teams that would include medical personnel, parents and others to provide academic accommodations for students recovering from concussions that are similar to the accommodations that are already required of schools for students with disabilities or handicaps.
This legislation would require return-to-play protocols similar to what we have in Michigan, and the legislation would also require reporting and recordkeeping that is beyond what occurs in most places.
This proposed federal legislation demonstrates two things. First, that we have been on target in Michigan with our four Hs – it’s like they read our playbook of priorities before drafting this federal legislation.
This proposed federal legislation also demonstrates that we still have some work to do.
And what will the following two years – 2017-18 and 2018-19 – bring? Here are some aspirations – some predictions, but not quite promises – of where we will be.
First, we will have circled back to the first “H” – Health Histories – and be well on our way to universal use of paperless pre-participation physical examination forms and records.
Second, we will have made the immediate reporting and permanent recordkeeping of all head injury events routine business in Michigan school sports, for both practices and contests, in all sports and at all levels.
Third, we will have added objectivity and backbone to removal from play decisions for suspected concussions at both practices and events where medical personnel are not present; and we could be a part of pioneering “telemedicine” technology to make trained medical personnel available at every venue for every sport where it is missing today.
Fourth, we will have provided a safety net for families who are unable to afford no-deductible, no exclusion concussion care insurance that insists upon and pays for complete recovery from head injury symptoms before return to activity is permitted.
We should be able to do this, and more, without judicial threat or legislative mandate. We won’t wait for others to set the standards or appropriate the funds, but be there to welcome the requirements and resources when they finally arrive.
Safe Play Act — H.R.829
114th Congress (2015-2016) Introduced in House (02/10/2015)
Supporting Athletes, Families and Educators to Protect the Lives of Athletic Youth Act or the SAFE PLAY Act
Amends the Public Health Service Act to require the Centers for Disease Control and Prevention (CDC) to develop public education and awareness materials and resources concerning cardiac health, including:
- information to increase education and awareness of high risk cardiac conditions and genetic heart rhythm abnormalities that may cause sudden cardiac arrest in children, adolescents, and young adults;
- sudden cardiac arrest and cardiomyopathy risk assessment worksheets to increase awareness of warning signs of, and increase the likelihood of early detection and treatment of, life-threatening cardiac conditions;
- training materials for emergency interventions and use of life-saving emergency equipment; and
- recommendations for how schools, childcare centers, and local youth athletic organizations can develop and implement cardiac emergency response plans.
Requires the CDC to: (1) provide for dissemination of such information to school personnel, coaches, and families; and (2) develop data collection methods to determine the degree to which such persons have an understanding of cardiac issues.
Directs the Department of Health and Human Services to award grants to enable eligible local educational agencies (LEAs) and schools served by such LEAs to purchase AEDs and implement nationally recognized CPR and AED training courses.
Amends the Elementary and Secondary Education Act of 1965 to require a state, as a condition of receiving funds under such Act, to certify that it requires: (1) LEAs to implement a standard plan for concussion safety and management for public schools; (2) public schools to post information on the symptoms of, the risks posed by, and the actions a student should take in response to, a concussion; (3) public school personnel who suspect a student has sustained a concussion in a school-sponsored activity to notify the parents and prohibit the student from participating in such activity until they receive a written release from a health care professional; and (4) a public school's concussion management team to ensure that a student who has sustained a concussion is receiving appropriate academic supports.
Directs the National Oceanic and Atmospheric Administration to develop public education and awareness materials and resources to be disseminated to schools regarding risks from exposure to excessive heat and humidity and recommendations for how to avoid heat-related illness. Requires public schools to develop excessive heat action plans for school-sponsored athletic activities.
Requires the CDC to develop guidelines for the development of emergency action plans for youth athletics.
Authorizes the Food and Drug Administration to develop information about the ingredients used in energy drinks and their potential side effects, and recommend guidelines for the safe use of such drinks by youth, for dissemination to public schools.
Requires the CDC to: (1) expand, intensify, and coordinate its activities regarding cardiac conditions, concussions, and heat-related illnesses among youth athletes; and (2) report on fatalities and catastrophic injuries among youths participating in athletic activities.
Serving a Balanced School Sports Diet
May 1, 2018
By John E. “Jack” Roberts
MHSAA Executive Director
If you really want to know what a person thinks is important, look at that person’s calendar and checkbook or credit card receipts. How a person spends his/her time and money tells you more than anything that person says.
The same can be said for organizations. How they spend their time and money identifies what they value.
So, an observer of the Michigan High School Athletic Association might notice that the only standing committee that meets more than once each year is the MHSAA’s Junior High/Middle School Committee, and the MHSAA’s longest-standing work group is the Task Force on Multi-Sport Participation, which has had six formal meetings during 2016 and 2017.
Promoting multi-sport participation, and doing so before students reach high school, is a documented MHSAA priority. We believe it’s good for students, schools and society.
By encouraging participation but not specialization, balanced multi-sport participation provides the sweet spot between two unhealthy extremes – on the one hand, inactivity that contributes to a childhood obesity epidemic or, on the other hand, year-round specialization that is too early, intense and prolonged, leading to an epidemic of overuse injuries in youth sports.
Within the pages of this issue of benchmarks are descriptions of initiatives to elevate the profile of school-sponsored sports programs for junior high/middle school age youth and to under-gird multi-sport participation as the means to maximize benefits for students and schools today, and for society in the future.
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The MHSAA is tailoring efforts to put the multi-sport athlete back in style. Among the initiatives is bolstering participation at the junior high/middle school ages.
By Rob Kaminski
MHSAA benchmarks editor
Saugatuck’s high school football season had just come to an end with a 21-0 loss to Pewamo-Westphalia in the MHSAA Division 7 Final last November when three key players were being led up the tunnel to represent the school for postgame media interviews.
When asked how many on the team would have a one-day break before joining the basketball team for practice on that Monday, one of the players replied, “We have about seven of us who begin basketball Monday.”
The response was comforting to hear in an age that has seen specialization and year-round, single-sport focus render the multi-sport student-athlete to minority status in many hallways across the nation’s high schools.
Granted, participation in multiple sports is necessary for programs to exist in smaller schools such as Saugatuck, but even those communities can benefit from a renewed emphasis and earlier introduction to school-based athletics.
As MHSAA Executive Director Jack Roberts points out above, there are just two groups that meet more than once each year at the offices in East Lansing: the Junior High/Middle School Committee, and – during the past two years – the Task Force on Multi-Sport Participation.
Each will continue to play pivotal roles in promoting increased participation, one by examining early introduction to school sports at the junior high/middle school level, and the other by evaluating education, cooperation and recognition of multi-sport numbers at the high school age.
“One of the challenges we currently face is that in some cases students enter high school never having experienced school sports,” said MHSAA Assistant Director Cody Inglis, who oversees the Junior High/Middle School Committee. “Now they go cold-turkey into high school sports and we have to introduce them to rules and regulations that aren’t a fabric of non-school sports which they may play. The earlier we can expose them to our programs, the better off we’ll be at the high school level.”
Inglis outlined three main topics in front of the Junior High/Middle School Committee currently: 1) how to introduce school sports to students earlier; 2) the effect more games – not length of season – would have on JH/MS participation, and 3) whether the MHSAA should sponsor Regional tournaments in select sports prior to high school age.
The Task Force on Multi-Sport Participation, meanwhile, has turned its focus on the following: 1) educating groups on the benefits of variety in participation and the perils inherent in specialization, 2) preparing tools for administrators, and 3) creating recognition programs for multi-sport student-athletes.
The following are results from a fall 2017 survey on junior high/middle school programs and explanations of tools created by the multi-sport task force to encourage participation for all seasons.
Start in the middle ... or even before
The prevailing sentiment among athletic administrators, coaches and student-athletes themselves is that early introduction to a variety of sports will foster a culture of future participation and the tendency to continue in more than one sport.
“Students at the JH/MS level need to experience sports sampling so that they can be physically literate; to gain competence and confidence to move their bodies in a variety of movements so that they can achieve lifelong health and wellness and stay injury-free,” said Scott Przystas, teacher and coach at Grand Haven Area Public Schools and member of the MHSAA Task Force on Multi-Sport Participation.
The overriding question is how to strike a delicate balance between opportunity and excess at the target age group.
The good news is that MHSAA JH/MS membership has increased by more than 100 schools during the last two years, bringing the total to nearly 800. The MHSAA is exploring means to ensure the trend continues, surveying the schools last fall on matters such as modifying the Limited Team Membership rule to allow student- athletes at the JH/MS to compete in up to two outside events in the same sport in the same season, having the MHSAA sponsor regional or even state competitions in certain sports and expanding the number of JH/MS games and contests allowed during the 13-week season.
“The survey attempted to answer several questions,” Inglis said. “Would opening up options to participate in a couple non-school events during the same season draw athletes to our JH/MS programs or keep them in non-school sports? Would statewide or regional tournaments be attractive?”
Survey results reveal the current climate pertaining to several topics.
Of the 616 completing the survey, 436 were athletic directors and 166 were principals, with the remainder consisting of other positions within the schools, ranging from coaches to superintendents. The grades served by the schools were 6th-8th, with about 36 percent indicating that 5th-graders were also in their buildings.
“The survey response has shown there’s a definite hesitation for state tournaments at the JH/MS level, but there is some favorable feeling toward regional tournaments,” Inglis said.
For example, when asked about the possibility of regional tournaments in track & field and/or cross country, the results were about 50/50 for and against.
Yet, when it comes to the idea of statewide tournaments in those sports, the attitude changes significantly, with roughly 30 percent in favor. Further, when the question of JH/MS state championships for any other sports is posed, the response is an overwhelming “No,” from 84 percent of those surveyed.
Following is a sampling of comments regarding postseason tournaments at the JH/MS level:
• “Middle school athletics should be a time to expose students to the sport and develop their skills. Increasing the competitiveness of it would change the focus.”
• “Logistically, it would create more challenges to have regional and state tournaments at the middle school level. However, we are at the point where we are in a struggle competing with club sports such as basketball and soccer, to name two. At a minimum, a regional championship would create additional buzz and competitive atmosphere at the school setting. A state championship is not as critical. However, if we do this for one sport, we will have to consider doing this for all sports.”
• “I think we are headed down a dangerous path of too much too quick for junior high kids. They can play for championships in high school and beyond if they are good enough. More games mean less practice, more expense and less of a focus on the things that are important.”
• “I think middle school sports is a great opportunity to expose students to sports. We need to keep it pure with learning each day without the pressure of trying to win trophies and medals.”
• “State championships at a younger age will just start the clock earlier of recruiting and illegal transfers. Add more games to be competitive with the non-school sports.”
That last sentence hits a couple hot buttons. Can more games be added while maintaining an appropriate amount of competition? Can an environment be created to pull students from, or co-exist, with non-school options at the JH/MS level?
“Overall, our JH/MS constituents do not want to lengthen athletic seasons, but there is some opinion to increase the number of contests within the current seasons, particularly on days not followed by school days,” Inglis said.
For example, respondents indicated just 45 percent were in favor of increasing the number of basketball games in a season from 12 to 15, while only 39 percent would support the same increase in soccer schedules.
However, support resonated with the notion of allowing multi-contest events on days not followed by school days.
The group in favor of the above scenario was also 83 percent in favor of limiting such doubleheader dates to four per season.
In soccer, a similar scenario also was approached in the survey.
Basketball and soccer are two sports in which non-school entities offer plenty of competition for participants, even at ages prior to JH/MS.
For youth already involved in such programs prior to reaching local junior highs and middle schools, the challenge is to display the benefits of school-based sports.
Justin DiSanti is a doctoral student and research assistant at Michigan State University with a concentration in sport psychology who also serves on the multi-sport task force for the MHSAA. His research interests include talent development and sport specialization, particularly in youth and high school sports.
DiSanti points to a model that is frequently used in the world of youth sport, the Developmental Model of Sport Participation (DMSP).
“This model has three stages providing approximate age guidelines and associated recommendations for shaping youth athletes’ schedules,” DiSanti said. “I believe that this model is highly-applicable to today’s world of youth sport, but the proper interpretation of the model is critical. When looking at specialization through the lens of the DMSP, we can begin to answer the question, ‘Is an athlete specializing too early?’”
The first stage, “The Sampling Years,” affects children from 6 to 12 years old, during which time participation in a wide range of athletic endeavors is encouraged. By this model, many youngsters are already thinking about specializing, or at least narrowing their focus by the time they arrive at junior highs and middle schools.
Przystas, the 2016 Michigan Physical Education Teacher of the Year by the state’s chapter of Society of Health and Physical Educators, concurs that this is a key time for future student-athletes.
“I think the multi-sport message needs to start from the ground up, with elementary physical education teachers, continuing to middle school PE and middle school sports and then into high school,” Przystas said.
In an effort to ease the transition from community and club teams, or to introduce students to sports in a school setting, JH/MS programs are critical. Leaders were asked whether allowing some non-school participation in the same sport during the same season would create a viable bridge leading to school sports participation.
The vote was nearly split when considering the allowance of two non-school events for team and individual sports per season for current MHSAA JH/MS student-athletes, with 54 percent of respondents in favor.
Yet, 63 percent believe that scenario would create conflict between the two options, and the feeling was again split as to whether such an allowance would increase or decrease participation in either the school or non-school setting.
With the degree of uncertainty as to the effect of non-school allowances, some think it best to focus on the many unique benefits offered through school sports which are lacking in alternative settings.
“I think it is important for student-athletes at this level to understand what having school pride means,” Przystas said. “When they are playing with their school logo on the front of their jersey they are representing something bigger than themselves. It is important for the coach/teacher/administrator to emphasize the importance of history and tradition not only in sports, but in other endeavors such as Science Olympiad or Spelling Bee.”
Following is a sampling of comments regarding non-school relationships at the JH/MS level:
• “Junior high is a great time for kids to increase their skill, and for many kids who don't have parents to tote them to clubs and travel teams to try the sport.”
• “It is understood that in many areas, getting kids back from travel teams is important, but in our area finding gym time, etc., is very tough.”
• “I'm uncomfortable with allowing just two non-school sporting events; I have no idea how that will be monitored. I would rather allow it or not.”
• “My biggest concern for a middle school student to play on multiple teams during the season is safety. Their bodies are still growing and I see injury being the biggest concern.”
• “School-sponsored, MHSAA sports being offered by any particular school, should take precedent over any non-school sponsored sport being offered at the same time.
• “We have a lot of football players choose to play with area little league teams instead of our school team. The non-school teams have the opportunity to play more games than our school team and they also have the opportunity for playoffs. We are limited to six games and we have academic requirements that non-school teams don't have.”
• “In my opinion, kids are going to play for either the school or play outside. Many parents are of the mindset that their child is a star and playing travel sports will get them noticed. MS sports can't compete with this mindset and I believe we should not compete with it. Those who stay and play for schools are the ones we should be focusing on. Let's make it (a) better situation for them.”
The MHSAA also carries with it something else that other organizations lack: a brand. That much came through in the spring of 2017 when a pilot program on “Presenting Sponsorship of JH/MS events” was completed.
MHSAA staff visited five areas of the state and joined in presenting pre-existing track & field league or conference meets with branding presence and financial support.
“One of the big takeaways was the power of the MHSAA brand,” Inglis said. “Student-athletes flocked to get pictures with the MHSAA banner behind them and with their trophies or medals won. The power and positivity of the MHSAA brand is something that will be used to get additional JH/MS programs into school membership.”
Future plans include sponsorship at conference events that already exist in numerous other sports.
Multiple choice is the best answer
The meeting room where the MHSAA Task Force on Multi-Sport Participation gathered for its sixth meeting over a two-year span last November was plenty big enough for the group.
But, it would never contain all of those involved in school sports to whom the task force wishes to convey its message.
Therein lies the purpose and challenge of this most important group of individuals: how to get the attention of the desired audiences, and how to best deliver the virtues and benefits of multi-sport participation.
One task force member equated it to so many parent-teacher conferences; the parents that need to attend, do not. While it is universally accepted that specialization leads to burnout and detracts from the full school sports experience, all too often the two groups with the most influence – parents and coaches – are fine with that notion as long as it’s someone else’s kid, or someone else’s player.
“One obstacle to multi-sport participation are parents. They need to understand that by having their student-athlete play one sport year-round does not guarantee a full athletic scholarship,” Przystas said. “The benefits of exposing their student athlete to a variety of sports needs to be reiterated by coaches and ADs.”
Athletic directors can further assist in the movement by coordinating coaches within their schools.
“The high school coaches need to be on board with encouraging their athletes to play multiple sports and must understand the benefits they will receive from it in the long run; athletes will not be burned out, will still have another level to at which to compete, will be willing to learn, healthy and uninjured,” Przystas said. “I think the message should be advertised in middle school events that the MHSAA sponsors as well as throughout communities and at youth level leagues.”
And, the younger the better in terms of sampling a wide variety of activities, thus preparing students for the opportunities that await them as they move through the school system.
“I believe the message needs to be heard at the elementary and middle school levels,” St. Joseph athletic director and task force member Kevin Guzzo said. “Any type of informative flyers or public service announcements touting the benefits of multi-sport participation would help educate parents on this message.”
That is the task of the group, which is currently considering numerous methods to apply the force.
Prior to the November meeting, a brochure entitled “Coaching Our Coaches” was produced and disseminated statewide, and posted to the Multi-Sport Participation page of MHSAA.com.
An accompanying PowerPoint presentation was presented by Przystas at a state conference for physical education professionals in October. Feedback from the presentation led to modifications in the PowerPoint. Among the modifications were slides less directed at the audience and more toward what the audience can do to help promote the initiative.
“The feedback from that first presentation showed us that we need to acknowledge the very many aspects of the problem, establish a positive tone, set realistic expectations and goals for the session, and identify target audiences – perhaps parents and coaches,” said MHSAA Executive Director Jack Roberts. “We might ask audiences how they can put the right people in place and what methods they use to promote the multi-sport experience to athletes, parents and coaches.”
Further educational tools and settings also have been discussed. Any time gatherings of MHSAA constituents take place, the time is ripe for delivering the message – including sportsmanship summits and coaches association meetings.
The medium for delivery must reach far beyond print and personal interaction. Social media will play a key role in advancing multi-sport participation initiatives with great frequency,
Ultimately, the task force concluded that the best way to influence and shape the culture of school sports moving forward is to recognize those schools and individuals who are living the multi-sport life and reaping the benefits.
"Recognizing Our Best" has been created and will be fluid in its content, periodically updated and delivered electronically to recognize exemplary efforts.
Some discussion took place regarding the creation of MHSAA or MIAAA awards to recognize efforts in promoting multi-sport participation, but the consensus was that local efforts and existing success stories will get greater results.
“We have implemented a program called the Iron Bear Club at our school that rewards those who are three-sport athletes,” Guzzo said. “Numbers have slightly increased over the last few years and we are hoping to continue to see an increase. Students who are three-sport athletes receive an ‘Iron Bear’ shirt, and we celebrate them on social media.”
Local efforts serve to strengthen relationships within school buildings and school systems.
“Coaches – both of in-house school-sponsored sports and private club coaches – need to be on the same page as to what is best for the athlete long-term and what advice they are giving their athletes once their season is over,” Przystas said. “This is a big obstacle that needs attention because some coaches are selfish and want what’s best for themselves and will do whatever they can do to win.
"Coaches – especially middle school and subvarsity coaches – need to understand that no one cares what their record is, but rather whether the student-athletes are having fun and continuing with school-sponsored athletics after their season is over.”
PHOTOS: (Top and top middle) Letter jackets from Owosso and Fenton, respectively, display recognition for high school athletic careers with plenty of variety. (Middle) Davison athletes pose with an MHSAA banner at a junior high event. (Below) East Grand Rapids lacrosse players high five before a game.