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Concussion Concerns

May 29, 2012

The MHSAA has been concerned for many years with the need for heightened awareness of concussions.  For example:  

  • In 2000 the laminated card “Head Injury Guide for Trainers and Coaches,” provided by St. Johns Health Systems, was distributed in quantities to every MHSAA member school.
  • The following fall, 20,000 laminated “Management of Concussions in Sports” cards, a joint project of the American Academy of Neurology and the Brain Injury Association of Michigan, were distributed to schools.
  • In the summer of 2005 the video “Concussions and Second Impact Syndrome” was provided at no cost to every MHSAA member high school.
  • In the fall of 2007 the DVD “Sports Head Injury,” a project of Henry Ford Health Systems, was provided to every MHSAA member junior high/middle school and high school.

All of this and many other efforts have been provided at no cost to our member schools, and continue to be provided at no cost to these cash-strapped institutions.

In 2010, the MHSAA adopted strong return-to-play protocols for students with concussions and suspected of being concussed.  Under our rule, any athlete who exhibits signs, symptoms or behaviors consistent with a concussion must be removed from competition.  Furthermore, our rule clearly states that if a student is removed from play due to a suspected concussion, that student cannot return to play that day and must be cleared in writing by an MD or DO prior to returning on any later day.  And the rule has a strong enforcement mechanism:  if a school allows a concussed student to return to play without the written authorization of an MD or DO, that is the same as playing an ineligible athlete and results in forfeiture of the contest.    

The MHSAA’s website posts training tools for athletes, parents and coaches, including those of the Centers for Disease Control, and three free online courses – one from CDC, one from the National Federation of State High School Associations and the third from Michigan NeuroSport at the University of Michigan.  The “Parent’s Guide to Concussion in Sports” has been widely distributed to school administrators, coaches, students and parents.

During this school year alone, nearly 20,000 high school coaches and officials will complete a rules meeting requirement that, beyond basic playing rules, is dominated by information regarding head trauma prevention, recognition and after care.  

We welcome help in this effort from professional sports organizations.  However, if professional sport leagues want to make a meaningful contribution to this topic in this state and other states, they must do more to change the culture of their programs.  All of our collective efforts on this topic are undermined when a professional player gets his “bell rung” in a nationally-televised game and returns later to that game, or is carried off the field or court one day and returns to play the next.  These nationally-televised tragedies-in-waiting may send the message to our youngest athletes and their parents and coaches that concussions are not serious.

This is not merely a football issue.  For us, it’s also an issue for soccer, ice hockey, wrestling, lacrosse and almost every sport we serve.  Furthermore, this issue is but one of several compelling health and safety issues in school sports that deserve our attention and must receive it every year to help local schools whose resources have been so severely reduced in recent years.  

Less Means More

June 4, 2013

About a decade ago a trend began that is nearly a tidal wave today.  An exceptionally drastic act a decade ago is now an expected rite of each spring and summer.  Beginning in April and extending to September, trained and experienced athletic directors leave their jobs, and no one really replaces them.

Casualties of burnout and buyouts – in either case caused by a reduction of discretionary resources for local schools – full-time athletic directors retire or resign or are reassigned.  Replaced by part-time personnel or a school district employee with more hyphens in the job title than digits in the take-home pay.

The natural first reaction of the MHSAA was to think about ways to simplify and reduce the responsibilities it asks athletic directors to handle.  To dumb-down the expectations, if you will.

But lately, we’ve realized that first reaction is the wrong response to the cutbacks at the local level.  The better response – the necessary response – is for the MHSAA to both demand more and do more, in each case, to assure schools are maintaining a program worthy of the label “educational athletics.”

Here’s just some of what’s been happening as the MHSAA attempts to plug the holes that school districts have been opening in interscholastic athletic programs as they reallocate their precious resources:

  • First-year athletic directors are required to attend an in-person orientation at the MHSAA.  For other athletic directors, the MHSAA conducts league-based programs each August and six regional Athletic Director In-Service programs in September and October.  For athletic department secretaries the MHSAA began a separate in-service program in 2012.
  • Beginning in 2012-13, the MHSAA has provided athletic department management software to member high schools free of charge, and two dozen face-to-face training sessions have been conducted.  The software is progressively integrating local tasks with MHSAA policies and procedures, both to reduce the workload and improve rules compliance at the local level.
  • While frequent coaches meetings and meaningful mentoring were once the expectation of athletic directors, their lack of time and experience has resulted in less effective supervision of coaches.  This led a decade ago to a retooling of the MHSAA’s coaching education program – the Coaches Advancement Program – which the MHSAA delivers anytime to school districts anywhere they can assemble their coaches.  Currently, the MHSAA is advancing three enhancements to the preparation of coaches in the critical area of participant health and safety.

o On May 5, 2013, the Representative Council adopted the requirement beginning in 2014-15 that all assistant and subvarsity coaches complete the same online rules meeting as varsity head coaches or, in the alternative, one of the free online health and safety courses posted on MHSAA.com.

o The next two enhancements to be considered are (1) the requirement that all varsity head coaches hold current CPR certification (as of 2015-16); and (2) that all varsity head coaches hired on or after July 1, 2016 have completed CAP Level 1 or 2.

  • The MHSAA’s adoption of a “Model Policy for Managing Heat & Humidity” is another example of pushing forward on critical issues of school sports and not assuming that under-resourced and understaffed school athletic departments will have the time to develop and adopt their own policies and procedures that are appropriate for school-based, student-centered sports.

As schools find they must do less, the MHSAA sees it must do more.  That wasn’t the design for school sports in Michigan, but now the times demand it.