NFHS Voice: Emphasis on Education

January 20, 2020

By Karissa Niehoff
NFHS Executive Director

Sometimes, numbers or statistics in sports can be misleading or perhaps even meaningless. Often, they simply do not tell the whole story. 

Such was not the case, however, with the massive number of 10,000,000 announced last week by the NFHS. As in 10 million online education courses that have been taken by high school coaches, administrators, officials, students, parents, performing arts educators and others since the inception of the NFHS Learning Center in 2007. 

When we talk about the difference between education-based sports within our nation’s high schools versus out-of-school club sports, this says it all. And the quest for more continues to rise each year.

After starting with 15,000 courses in 2007, more and more people have utilized the Learning Center (www.NFHSLearn.com) on computers, tablets and smartphones. The number of courses jumped to 200,000 by 2010 and 1,071,000 by 2015 and almost two million (1,975,000) last year. 

While there are now more than 70 courses available through the NFHS Learning Center, including more than 35 that are offered at no cost, the runaway success story has been the free Concussion in Sports course that was launched in 2010 and updated in 2018.

With more than five million Concussion in Sports courses delivered in almost 10 years, the NFHS has been the leader in concussion recognition and management. This course teaches how to recognize a suspected concussion. It provides protocols to manage a suspected concussion. It provides steps to help players return to play safely after a concussion.

As a result of educational initiatives such as the Concussion in Sports course, and NFHS playing rules in all high school sports that contain guidelines for management of an athlete who exhibits signs and symptoms of a concussion, to the creation of concussion laws in every state, there are positive trends in concussion rates. 

And that leads to some more meaningful numbers.

Data from the National High School Sports-Related Injury Surveillance Study released late last year indicated that concussion rates during football practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures between the 2013-14 and 2017-18 seasons. Repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.

The annual increase in the number of individuals taking education courses on the Learning Center, which also includes the popular free courses Heat Illness Prevention and Sudden Cardiac Arrest, indicates – at least in part – the insatiable desire on the part of parents to determine the actual risk of playing contact sports.

And more and more when it comes to football – this country’s most popular contact sport – we believe the inherent risk has never been lower.

From the youth level where USA Football has created the Football Development Model to reduce contact and teach fundamentals in a progressive manner, to the educational initiatives of the NFHS to reduce injury risk in high school sports, the focus on player safety has never been higher.

And one more important number. We believe this continual rise in the number of people taking online education courses will have an additional benefit – a growing number of high school students competing in education-based sports and activity programs.

Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.

Expert Teammates Fill Health Roster

January 2, 2020

By Rob Kaminski
MHSAA benchmarks editor

Teamwork is a necessity in athletics. The MHSAA has put together the beginnings of a solid roster to combat mental health ailments throughout schools in the state.

Among the experts listed on the MHSAA Mental Health Speakers Bureau are Christy Buck, executive director, and Cat Lanting, program coordinator at the Mental Health Foundation of West Michigan; and Brooke Buys, mental and behavioral health specialist and founder of BLND Health. They already are serving MHSAA schools in various capacities.

Through personal appearances, promotional videos and staff availability, both organizations emphasize the same strategy when tackling mental health issues: recognition and treatment from within the school buildings and districts.

“We wanted to create self-starting kits that anyone in the district can implement,” said Lanting. “We have in-person trainings and opportunities for students to get together – students talking to students – for high schools and for middle schools.”

Lanting coordinates the be nice.® Action Plan, founded by Buck. The plan calls for people to “notice, invite, challenge and empower” when recognizing changes in those close to them.

“It’s an attractive statement, but the key to the action plan is that it’s transferable. It can work from the pre-K level to senior citizens,” she said. “We want people to notice change, invite people into the conversation, challenge stigmas, and empower themselves with knowledge surrounding mental health.”

Buys, meanwhile, is one of a team of behavioral health specialists delivering messages to student-athletes around the state. Many of her associates in BLND (pronounced “blend”) not only talk the talk, but have walked the walk as collegiate athletes.

“The best course of action for administrators, teachers, coaches is to strive to build and maintain trust with the student-athlete; have genuine, non-judgmental conversations to include open-ended questions and authentic concern,” said Buys, who played soccer at Kalamazoo College.

Both be nice.® and BLND staff members made appearances at schools this year to assist in promoting recognition. A 90-second video produced by be nice.® was included in all MHSAA online rules meetings this year, featuring endorsements from University of Michigan coaches Jim Harbaugh and Carol Hutchins and Michigan State University coaches Mark Dantonio and Tom Izzo.

“When our team met with Mark (Uyl) and some athletic directors in Spring 2019, the room was filled with people who have just started to recognize mental health as an issue. The challenge was to deliver a 90-second video promoting the be nice.® Action Plan with a quick turnaround so it was ready for the fall rules meetings,” said Lanting.

She encourages people to visit be nice.org and “take the be nice.® pledge.”

“be nice.® started in 2010, and when people first see it they think, ‘bullying prevention,’ but really it is an action plan that is evidence-based,” Lanting said. “The be nice.® Action Plan can be used anywhere – in the workplace, community organizations – but schools is where we started and where we are currently having the most impact.”

Connecting with the most people possible is the goal across the board. Buys encourages schools to utilize the “one-stop shopping method” in the BLND programming.

“An external referral service that is qualified, efficient, dynamic, and integrated in nature – like BLND – helps provide a one-stop shop for student-athletes and parents to receive the support they need,” said Buys.

Lanting agrees, stating, “The more students and parents become familiar with some of the signs and symptoms, the better. Coaches and teammates might be the first to notice a change in someone’s behavior whether through daily interaction or social media activity.”

Buys and company have noticed a few recent trends leading to school-aged anxiety and stress, and have people in place to visit groups and lead discussions.

“The signs and symptoms can be very individualized, but some general factors may include isolation, irritability, drastic changes to an individual’s common mood or behavior,” noted Buys. “Students can also be affected by major life changes such as parent divorce, break-up with significant other, changing schools, things of that nature.”

When Lanting receives inquiries from individual coaches regarding the be nice.® program, she encourages them to get entire teams or districts involved, because, “it’s a K-12 initiative, and sports is really a great place to start.”

Sport participation offers a different set of variables. Student-athletes enjoy additional support and guidance, but there is a flip side.

“Student-athletes do have access to more adult guidance through coaches, and certainly enjoy inclusion as part of a team, but they also tend to be more at risk for anxiety,” Lanting said.

Buys points out several reasons for this, including added expectations – whether from within or from peers, parents and coaches. They are also busier than many others.

“Time management is an issue for all of us, but student-athletes can have difficulties finding that rhythm,” Buys said. “This can cause a lot of anxiety if an area of the athlete’s life that they value is perceived as not getting the attention it needs.”

Another source of stress more likely to affect athletes is injuries.

“One of the biggest challenges in the athlete population dealing with stress and anxiety is the strong relationship between stress and injury,” said Buys. “Susceptibility to injury as well as the length of time for recovery are affected by stress.”

Identifying physical conditions is much simpler than recognizing behavioral ailments. That’s why it’s important for groups like BLND and be nice.® to teach the school population to self-diagnose.

Lanting coordinated a be nice.® football game between Holland/Zeeland-area high schools last fall, and is planning a similar event during a Fennville-Saugatuck boys basketball game this winter.

“We see all the ‘pink-out’ games and events for other causes, and that’s great,” Lanting said. “But a person in high school is so much more likely to be affected by mental health than suffer a physical ailment. That’s why the student-led part of this is so important; they tell us when things happen that might trigger certain behaviors.”

PHOTOS: (Top) be nice. founder Christy Buck (left) and program coordinator Cat Lanting pose with MSU men’s basketball coach Tom Izzo during production of a promotional video this summer. (Middle) The BLND Health Detroit Metro Team, including founder Brooke Buys (seated middle, second row from bottom.)