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.
CAP Begins 2014-15 on Record Pace
By
Geoff Kimmerly
MHSAA.com senior editor
August 22, 2014
Gretchen Mohney has come to recognize coaches who think they already know it all.
Then she begins a Coaches Advancement Program lesson by describing an orange banging around inside a fishbowl – a metaphor to explain the brain inside an athlete’s skull when he or she suffers a concussion.
Her most powerful lessons have moved pupils to tears. And it’s always gratifying to witness the “Aha” moments that make the CAP educational experience so powerful.
“My favorite is when they admit that they’ve done something wrong, and they want to know how to do something better,” said Mohney, a highly-respected trainer and strength and conditioning coach who also serves as an instructor for the athletic training program at Western Michigan University. “It’s a pretty awesome moment when they realize there’s more to learn.”
More current and aspiring coaches than ever before are taking advantage of that opportunity as the 2014-15 school year kicks off.
Since this training year began July 25 at Battle Creek Lakeview, 273 current or aspiring coaches have completed CAP sessions – nearly twice as many coaches as this point a year ago and with the last session of August planned for Saturday at New Buffalo. That makes this the busiest start in CAP history, according to MHSAA assistant director Kathy Vruggink Westdorp, who joined the MHSAA staff in 2004, developed CAP for the 2004-05 school year and continues to oversee the program.
This first month’s total attendance also represents 33 percent of the 818 total CAP units completed at high schools and the MHSAA office during all of 2013-14.
“I think the big thing continues to be word of mouth that this is a quality program,” said Hamilton athletic director Jerry Haggerty, a CAP instructor for nine years. “It’s good for all coaches of all experience levels.”
Setting a standard
Since the program’s inception, nearly 6,300 coaches have completed at least the first-level unit. More than 1,000 have advanced through CAP 4.
The CAP program is broken into six levels, each addressing a set of topics:
- CAP 1: Coaches Make the Difference, The Coach as Teacher, Sports Medicine and First Aid.
- CAP 2: Effective Communication, Legal Responsibilities, Psychology of Coaching.
- CAP 3: Additional Coaching Responsibilities, Effectively Working with Parents, The Coach as Performer.
- CAP 4: Understanding Athletic Development, Strength and Conditioning, Preparing for Success.
- CAP 5: Healthy Living, Teaching Emotional Toughness, Resolving Conflicts in Athletics.
- CAP 6: Current Issues and Topics in Educational Athletics.
“Individuals who go through this have a better understanding of their philosophy, their school’s philosophy, their role and responsibility as well as the meaning behind MHSAA rules,” said Westdorp, a former principal, athletic director, teacher and coach in the Grand Rapids area who was named 2013 Coach Educator of the Year by the National Federation of State High School Associations (NFHS) for her work with the program.
She trains and evaluates all presenters and instructors, including those who last school year administered 1,238 CAP sessions at seven universities and colleges across both peninsulas.
The non-college CAP sessions are taught by 20 instructors who pride themselves on being available anywhere there’s interest. CAP has been presented at 10 Lower Peninsula schools over the last month, with Upper Peninsula sessions planned for this fall. August 9 was particularly busy – units were taught at Jonesville, Pontiac Notre Dame Prep and Riverview Gabriel Richard – but Westdorp sees the possibility of presenting at up to five sites on the same day.
Flexibility also is an option; a group of mostly non-school coaches took CAP 2 last week in Baldwin, and were able to complete the course over two days instead of one so they could do so without interrupting their fulltime jobs. For coaches working in schools, CAP units can qualify as continuing education credits with the State Department of Education.
Colleges and universities in Michigan are licensed to present up to five levels through their undergraduate or graduate studies, and the list of those who completed courses the last few years is filled with recognizable names of former high achievers on MHSAA courts and fields. Southwestern Michigan College in Dowagiac will offer courses for the first time this fall.
Certification in the program occurs after completion of CAP 1 and 2, and then after each subsequent unit, with those completing CAP 6 earning Masters Elite Certification.
The topics of CAP sessions “bleed” into each other, Mohney said, and come with plenty of first-person examples to make them relevant to coaches who then realize they aren’t alone facing issues most encounter.
“I talk to them because I’ve been there. … (I say,) ‘Now, let’s talk real.’ I place them in a real situation,” Mohney said. “’The biggest thing is you guys don’t have to know everything. You just need to coach, be aware of this, this and that. And these are some ideas to go about your plan so you can decrease your stress.’
“Any time a coach hears that, it’s a beautiful thing. Because I’m not sure what coach in high school is in coaching for the money.”
Raising the bar
Certainly, some of this month’s heightened CAP participation can be attributed to an MHSAA Representative Council action in March. Beginning Aug. 1, 2016, varsity head coaches hired for the first time at an MHSAA member school must have completed CAP 1 or CAP 2. Westdorp said some who wish to become head coaches in that near future are getting a jump by completing CAP courses now.
But that’s only a slice of the success story.
Haggerty has directed Hamilton’s athletic department for 15 years and said all of his coaches have taken either CAP 1 or 2. Many coaches take the courses on their own; others are required to do so by their athletic directors.
The Capital Area Activities Conference will offer CAP 1 three times this school year, with 100-150 coaches from their 20 member schools expected for each session. Others leagues and conferences are designing similar arrangements.
Michael Roy coached boys basketball at Lawton and girls hoops at Vicksburg and was certified under the predecessor to CAP – the MHSAA’s former Program for Athletic Coaches’ Education (PACE). He’s beginning his 13th year as Vicksburg’s athletic director, and after hosting several CAP classes over the years decided to begin the program himself this month.
“The need for knowledgeable and experienced coaches is greater than ever before. I thought if I was going to make it mandatory for my coaches to become CAP certified, that I needed to get CAP certified and lead by example,” Roy said. “The heart of any athletic team or program is its coaching staff. CAP is the surest way for coaches to access everything they need to know how to be a good coach. They learn the art of effective coaching through one of the best-designed coaches education programs in the country. CAP is second to none.”
Haggerty has spoken with athletic directors who have completed the program and then recognize when their coaches employ strategies learned at CAP sessions. An increasing pool of coaching candidates are heading into interviews with CAP certification in hand, and Westdorp has seen coaches bringing their CAP binders to practices to have those lessons available for quick reference. She’s also watched many CAP graduates using their skills at the highest level – the MHSAA Finals.
A comment by Duke men’s basketball coach Mike Krzyzewski sits at the front of those CAP binders: “A common mistake among those who work in sport is spending a disproportional amount of time on x’s and o’s as compared to time spent learning about people.”
Haggerty starts each session telling his pupils, “I do this for two reasons; one because I think it’s important to look at the non-x and o coaching realms; and two, because this is great fun for me.’”
And those coaches who come into CAP thinking they know enough? Mohney said most finish the first unit looking forward to beginning the next.
“CAP has a lot to do with understanding what you’re about, understanding your role and responsibility in athletics and your leadership role,” Westdorp said. “When I start programs, I talk about my work roles in life, and then (I tell coaches), ‘I want to tell you where I felt I was more influential, and that was as a coach.
“’And don’t ever forget it..’”
Click for more on the Coaches Advancement Program.
PHOTOS: These coaches, counter-clockwise from top left, all have completed at least one CAP unit: Bay City Western softball coach Rick Garlinghouse, St. Ignace girls basketball coach Dorene Ingalls, Ypsilanti Community boys basketball coach Steve Brooks, Beal City baseball coach Brad Antcliff and Mattawan softball coach Alicia Smith.