Thursday, April 21, 2016

| Day 1
11:00 AM – 12:00 PM

 #1 This Is What Keeps Me up at Night:  Keeping Our Schools Safe

Lisa Hecker, MS, Safe Schools Program Coordinator, NM Public Education Department

Not one student has died in a school fire in the U.S. in more than 50 years. Now we worry about active shooters, suicides, pandemics and bombs. Without a safe school environment, teachers cannot teach and students cannot learn. Writing a Safe Schools Plan (SSP) for your school is not an arduous task. As school health professionals, you play a vital role in developing your school’s SSP; you are already experts on the physical environment and climate/culture of your school. You are authorities on student behavioral health patterns, and sensitive to potential hazards and vulnerabilities. Learn about New Mexico’s SSP process, so you can benefit your school’s Safety Committee. Gain insight into best practices, collaborating with community partners, emergency preparedness, and obtaining student, teacher administration and staff buy-in for your plan.

 #2 Vision for the Future: NM Lions Operation KidSight Program

Brenda Dunn, Bryson McCool

Annual screening of children is critical to ensure that their vision development is not being impaired by any condition impacting their ability to read and learn. One of those vision problems is amblyopia, which can affect young children and eventually result in serious degradation of sight, and possibly blindness, if not identified and treated. This session presents a comprehensive description of the NM Lions Operation KidSight Program and how it is working with NMDOH to conduct annual vision screening for NM children ages 3-7 years old. Eye exams and glasses are also provided for students from ages 3-19 if they are covered by Medicaid or other insurance. Learn about procedures currently used to assist school nurses with vision screening and follow-up for referred students, and our future goals to enhance our program’s effectiveness and expand coverage.

 #3 What’s New with Immunizations?

Winona StoltzfusHealth Systems Bureau Medical Director, School Health Officer & Acting SE Regional Health Officer, New Mexico Department of Health

In the past year, several new formulations of previous vaccines have appeared. This presentation provides an update on immunizations, especially new immunizations and new formulations of previous immunizations. Receive information to help sort through the bewildering maze of childhood immunizations, and the requirements for immunizations for the 2016-2017 school year.

 #4 Is It Just Asthma or Should We Know More?

Karen Kiburz, Director of Clinical Applications, Thayer Medical

Asthma, the number one chronic childhood illness affects about seven million children. It is a lifelong disease with no cure, so it is vital that school health providers anticipate the occurrence of asthma in their schools and be prepared to identify and effectively manage it. We explore the “What, Why and How” in management of the acute asthma episode. Our focus includes the definition of the disease including epidemiology, the anatomy of the upper and lower airway, the physiologic changes that occur in the lungs, and the variety and proper administration of emergency aerosolized medication treatment.

 #5 QPR Suicide Prevention Gatekeeper Training

Sabrina StrongExecutive Director, Waking Up Alive and the New Mexico Suicide Prevention Coalition

QPR stands for Question, Persuade and Refer: three simple steps anyone can learn to help save a life from suicide. Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR become Gatekeepers, learning how to recognize the warning signs of a suicide crisis and how to question, persuade and refer someone to help. Each year thousands of Americans like you say “yes” to saving lives – Gatekeepers include parents, friends, neighbors, teachers, doctors and nurses, advisors, caseworkers, and many others who are strategically positioned to recognize and refer someone at risk of suicide.

 #6 Beyond (and Better Than) Google

Patricia BradleyNative and Distance Services Librarian, University of New Mexico Health Sciences Library and Informatics Center; Gale Hannigan

Where can you find commercial-free, authoritative health information online, in English and Spanish, written for health professionals and students of all ages? A recent study of rural New Mexico health care providers indicated the need for easy-to-access information that can be used when counseling patients of various ages, ethnicities and levels of health literacy. In response, the UNM Health Sciences Library and Informatics Center developed an online course (with optional CME credit) highlighting quality, user friendly websites, designed with an emphasis on New Mexicans and their health. Course modules include links to information valuable in decision making processes, life stage issues and medications. View the course in real time during this session on your laptop or tablet.

 #7 NM Nurse Practice Act: Implications for School Nurse Practice

Laura Case

The Nurse Practice Act is legislation that defines the legal scope of practice and protects the public. Understanding it is the key to successful, safe school nurse practice. The roles of the school nurse are very different from nursing in a hospital or clinic setting. The risk of harm to the public is inherent in nursing practice, and yet school nurses must delegate tasks to unlicensed staff to ensure health needs are met in the school setting. Learn how to meet the needs of students and work within the practice standards outlined by the NM Board of Nursing and the NM Nurse Practice Act. Discover areas of school nurse practice that create challenges, and how to protect yourself through improved delegation training and documentation.

 #8 I Am Me: Understanding the Intersections of Gender, Sexuality and Identity

Jenn Jevertson, Owner, Prevention at Play, LLC; Suzanne PearlmanCommunity Outreach, Communications and Training Manager, Children’s Behavioral Health Division, CYFD

Our youth come to us with not just one identity, but layers or intersections of identities as they seek to find themselves and become confident with their place in the world. Some layers, like gender and sexual orientation, come with additional challenges due to societal discrimination, harassment and bias. “I Am Me: Understanding the Intersections of Gender, Sexuality and Identity” is a training film produced by the NM Children Youth and Families Department. It explores concepts, terminology and the challenges that our lesbian, gay, bisexual, transgender and queer (LGBTQ+) young people face. After viewing the film, we engage in a meaningful discussion of tangible ways in which adults can be supportive and welcoming to the LGBTQ+ young people they serve. Learn how to host a showing of this video in your own community or organization.

 #9 Sexual Violence and  New Mexico’s Youth

Danielle ReedSexual Violence Prevention Evaluator and Sexual Violence Epidemiologist, NM Department of Health

Research consistently demonstrates a relationship between a history of forced sex and poor behavioral health outcomes. Using data from the 2013 Youth Risk and Resiliency Survey, we examine the relationship between sexual violence, mental health and substance abuse among New Mexico high school students, and consider how the school environment may impact these outcomes. Discover differences in sexual violence victimization among various demographic groups of students, and learn about best practices, activities and prevention efforts underway across NM, to help you generate ideas for sexual violence prevention in your school.

 #10 School Health Initiatives in Community Schools: Elev8’s Lessons Learned

Arnold Ontiveros, Ruth WilliamsYDI-Elev8 Public Policy Director, Youth Development, Inc

This session is for those in school-based health centers in community schools, in schools considering launching community school initiatives or in schools wanting to undertake an integrated services approach to improve student learning. Learn how Elev8 works, in typical and creative ways, to improve academics, discipline and attendance. The Early Warning Indicators Pilot at Albuquerque’s Grant Middle School is featured, as experienced by the principal, community engagement coordinator and a parent. The integrated efforts of this project changed the learning dynamic for students who were experiencing academic, discipline and/or attendance issues.

1:05 – 2:20 PM

 #11 Eating Disorders: Making Schools Part of the Solution

Brenda WolfeClinical Psychologist, Certified Eating Disorders Specialist, and President, Eating Disorders Institute of New Mexico

Although Eating Disorders (EDs) affect only about 10% of the population, they are among the most lethal of mental disorders. The impairment they cause interferes with physical development, cognitive function and social maturation — essentially every aspect of growth. Discover how to recognize school- and population-based risk factors for EDs, modify school-based risk factors, identify and refer afflicted students, and support recovery as students work through their treatment. The school setting places you in a prime position to create a protective environment for students with ED.

 #12 Understanding and Preventing Bullying

Jenn Jevertson, Owner, Prevention at Play

Nearly every child experiences bullying at some time, whether they attend urban or rural schools. Bullying can be a sign of other serious antisocial or violent behavior; it creates a climate of fear and disrespect in schools and negatively impacts student learning. Children who are bullied are more likely to be depressed and anxious, and even witnesses feel effects. How well do you understand when a situation is bullying and when it’s not? Discover fun and easy experiential activities to prevent bullying and build community through the 10 Steps to Address Bullying. We’ll cover the basics of bullying and cyberbullying, prevention and intervention techniques, bystanders and upstanders, and provoke thoughtful conversation.

 #13 Regulating the Classroom Nervous System:  Managing Trauma’s Impact

Penny Holland, School on Wheels School-Based Health Center

We deal with the impact of traumatic stress in our schools, where education and health professionals find themselves assisting with feeding and clothing children, addressing health needs, caring for them before and after school and, of course, providing them with quality learning opportunities. Interpersonal Neurobiology effectively helps manage the physiological, behavioral, emotional, social and intellectual effects of trauma that can interfere with a person’s ability to function well in daily life. Co-regulation and the role of classroom culture are emphasized, enabling learning states that are both calm and actively engaged. Learn specific practices along with the science of nervous system regulation, and gain ideas for extending this school-wide.

 #14 Grandparents Raising Grandchildren: Guardianship Workshop

Elizabeth McGrath, Director, Kinship Guardianship Project at Pegasus Legal Services for Children

Have you ever been confronted by a situation where you find yourself working with the issues that arise when grandparents are raising their grandchildren? There are tools you can use to support these families. Review what guardianship is, and the legal needs, processes and requirements for guardianship in New Mexico. Learn about the rights and duties of the guardian, and alternatives to guardianship as well as children’s rights regarding guardianship and access to school. We approach these issues with a view of healing the family and providing a safe, stable home for the children, with the hope of reducing the stress for all involved.

 #15 Combating Chronic Absenteeism Through School Attendance Teams

Carrie Castro, Library Media Specialist, Bernalillo High School; Lorilei Chavez, Native American Liaison, Bernalillo High School; Angelo Gonzales, PhD, Executive Director, Mission: Graduate at United Way of Central New Mexico and Associate Director, Center for Education Policy Research at the University of New Mexico; Deborah Good, Data and Research Manager, Mission: Graduate; Teri Wimborne, Director of Collective Impact, Mission: Graduate

Research demonstrates that missing as few as two days of school a month can set a child back academically. Yet most schools only consider unexcused absences when developing strategies to improve school attendance. Find out how to work with school and district leaders to better understand chronic absence data, and how to build school attendance teams to take action on locally-designed tactics and approaches. We share national research and best practices, and the experience of Bernalillo High School’s (BHS) partnership with Mission: Graduate. BHS convened a school attendance team in 2015 to develop school and community-based strategies for improving attendance through preventive solutions, and intensive interventions for students in need of greater support.

 #16 Youth Health Literacy: Cultivating a New Generation of Wellness Workshop

Patty O’Sullivan, PhD, Director, Envision Your Future

Youth Health Literacy (YHL) encourages adolescents to be pro-active and responsible for their health by gaining and understanding information about their concerns: managing what happens before, during and after medical appointments; gaining confidence in asking questions and talking with a doctor; making informed decisions about accessing help for their physical, mental and emotional needs, and learning about their rights and responsibilities as minors. This experiential session provides information, activities and skills to promote independence and empowerment for youth. Topics include: The Six Areas of Health, The Health Drum, making one commitment to improve health, The HEADS Models, A Minute to Lit It (a game for remembering what happens before, during and after doctors’ appointments), and the importance of confidentiality.

 #17 Dating Violence: When Romance Becomes Abuse

Heather SandovalTeen Dating Violence Resource Coordinator, Office of the New Mexico Attorney General

Our youth are at risk in their relationships; in New Mexico approximately one in nine high school students report being hit or hurt by their boyfriends or girlfriends. This creates the potential for the cycle to continue into their adult lives, and the lives of their children. In some situations outcomes can be tragic. We can begin the process of breaking the cycle today by educating ourselves about the warning signs and red flags of dating violence, and shining a light on what healthy relationships should look like for our youth.

 #18 The Mindful Revolution

Michelle DuvalDirector, The Mindful Center

In the first year that a meditation program was implemented at one of San Francisco’s toughest middle schools, suspensions at the school were reduced by 45%. By 2009-10, attendance rates were over 98% and today 20% of their graduates are admitted to an academically advanced high school; previously it was rare for one student to be accepted. Last year’s California Healthy Kids Survey from the state’s education department found that students at this particular middle school were the happiest in the whole of San Francisco. These kinds of results are being duplicated across the nation in what is being called The Mindful Revolution. Examine the evidence and learn about easy-to-integrate practices, and to bring mindfulness into your personal and professional worlds for lasting and dramatic benefits.

 #19 Managing Head Lice: Current Issues

Kenneth McPhersonRegional Coordinator, Pesticide Safety & IPM in Schools, US EPA Region 6

Explore the epidemiology, public health significance, diagnosis, treatment and control of head lice, including so called “super lice,”  and discover integrated pest management (IPM) based strategies that assist in mitigating infestations.

 #20 School Wellness Policy: The Basics and Beyond

Danielle BissDietitian, Coordinated School Health and Wellness Bureau, NM Public Education Department; Rita Condon, Program Manager, Healthy Kids NM, NM Department of Health

Are you part of the team responsible for the implementation of your local school wellness policy? These policies embody a coordinated approach to student health and wellness, including the involvement of food service directors, principals, athletic directors, teachers, nurses, school health or wellness council members, parents, students and community members. Explore a best practice model and the minimum federal and state components that must be included in each wellness policy. Examine how to develop a successful implementation plan, build awareness and support and effectively monitor and assess goals. Receive a customizable template and evaluation tools and actionable items to take back to your districts for policy enhancement. You may bring a copy of your current school wellness policy.

2:40 – 3:40 PM

 #21 Screening and Assessment for Suicide in Health Care Settings

Francisco ChavezBehavioral Health Consultant, NM Department of Health, Office of School and Adolescent Health; Nancy KirkpatrickYouth Suicide Prevention Program Coordinator, NM Department of Health, Office of School and Adolescent Health

 #22 Whole School, Whole Community, Whole Child and Oral Health

Rudy Blea

 #23 Secure Your Mask First: Mindfulness Techniques to Relieve Stress

Tabatha Bennett, Instructor, Yoga by Julia

You hear it every time you board a plane: “in the event of an emergency, secure your oxygen mask first, and then assist the other person.” This should be followed in our day-to-day work as well. As public servants, it is common to place others’ needs above our own, leading to increased stress and burnout. Learn to combat stress through breathing and movement exercises you can easily assimilate into your daily life, and utilize these effective self-care techniques to get you through those tough days. These skills can be shared with students in a variety of settings to resolve difficult situations and encourage peaceful interactions. Take this opportunity to practice stress relieving techniques, ending with a refreshing and relaxing guided meditation.

 #24 SBIRT: Substance Abuse Prevention and Intervention for the SBHC 

Timothy Condon, Professor; Mary M. Ramos, Assistant Professor, University of New Mexico; Daisy Rosero

A survey of SBHC providers and subsequent focus groups reveals that providers need additional tools and training to deliver substance abuse care. In 2015 the NM Department of Health adopted SBIRT (Screening, Brief Intervention and Referral to Treatment), an evidence-based approach to substance abuse, as a Standard and Benchmark to address this problem. Learn about its implementation receive an introduction to the enhanced electronic School Health Questionnaire (eSHQ) with CHISPA (Cocaine, Heroin, IV drugs, Synthetic Pot, Pot, Alcohol) brief assessment tool, and explore the tool on an iPad. Sites across NM are currently being enrolled; they will receive iPads containing the enhanced eSHQ with CHISPA, SBIRT training, motivational interviewing training as needed, and ongoing technical assistance.

 #25 Environmental Asthma Triggers in the School

Matthew Baca, RuthAnn Goradia, MSN, MPH, RN, AE-C, Chronic Health Needs Resource Nurse, Albuquerque Public Schools, Kathy Moseley

Most people are aware that outdoor air pollution can have negative effects on their health, but poor indoor air quality can also be harmful. Indoor environmental exposure to common school allergens such as dust mites, pests and molds can trigger asthma symptoms – the leading chronic illness among youth, the chief cause of school absenteeism, and third major cause of hospitalization among children. School nurses are invited to explore a range of asthma triggers, management recommendations, and best practices for measuring and ensuring good indoor air quality. Receive resources and tools to help with air quality assessment and the implementation of improvement measures.

 #26 Welcome to America! Promoting Academic Success Among Refugee Students

Bill Ancker, Michelle Esquibel, Lia Greever, Karen GonzalesRefugee Health Program Manager, NM Department of Health; Linda Hellyer

Explore the various programs and resources available in New Mexico to help refugee students and their families thrive in their new community.

 #27 The Healing Power of Story

Anthony Fleg, Family Physician, Native Health Initiative

A well known tradition in many indigenous, ethnic and cultural communities, the healing power of story is often kept out of the classroom. Story can be used to reach youth in unique ways that conventional teaching and knowledge transmission fail to achieve. Examine the ways story gives meaning and purpose to youth; serving as an approach to discussing stigmatized issues, and leading to deeper learning across topic areas. Gain strategies for creating lessons and explore your own stories, and those of your schools and communities.

 #28 A Safe Place: Grounding and Centering to Relieve Emotional Pain

Avron Kriechman, Assistant Professor of Psychiatry, University of New Mexico

Do you know students who are agitated, have impulses towards anger or self-harm, crave drugs, who may find themselves losing touch with their selves, their bodies, and the real world around them? Seeking Safety offers simple and effective mental and physical grounding and centering techniques you can use to help these troubled students find a safe place from emotional pain. Demonstration and practice help you understand how to introduce these techniques, deal with barriers and challenges, and create methods of grounding uniquely tailored to your students’ strengths and interests.

 #29 The PED’s New Early Warning System

Elaine Perea, Deputy Director,  College and Career Readiness Bureau, New Mexico Public Education Department

Dropping out of school is a gradual process that typically begins years before a student formally stops attending. Early warning systems identify students who are at-risk of missing key educational milestones, and then help school personnel create the conditions for students to succeed.

Many pathways students take leading to school dropout or delayed graduation can be readily identified. Having predictive data is critical to school Response to Intervention (RtI) implementation efforts. In this presentation, attendees will learn about New Mexico’s new Early Warning System Initiative. Accessing data for problem solving within an RtI framework is a promising approach for counselors, social workers, and teachers to help students succeed.

 #30 Training for Emergency Medications in Schools (Part A)

Cindy Greenberg, School Nurse Consultant, NM Department of Health; Winona StoltzfusHealth Systems Bureau Medical Director, School Health Officer & Acting SE Regional Health Officer, New Mexico Department of Health

This is the required training to implement the Emergency Medications in Schools program. It covers all aspects needed to provide stock albuterol and epinephrine. Stock medications can be used for students experiencing respiratory distress or severe allergic reactions who are undiagnosed or who don’t have medication available at school. Attendees must attend Part A and Part B to receive certificate for training.

4:00 – 5:00 PM

 #30 Training for Emergency Medications in Schools (Part B)

Cindy Greenberg, School Nurse Consultant, NM Department of Health; Winona StoltzfusHealth Systems Bureau Medical Director, School Health Officer & Acting SE Regional Health Officer, New Mexico Department of Health

This is the required training to implement the Emergency Medications in Schools program. It covers all aspects needed to provide stock albuterol and epinephrine. Stock medications can be used for students experiencing respiratory distress or severe allergic reactions who are undiagnosed or who don’t have medication available at school. Attendees must attend Part A and Part B to receive certificate for training.

 #31 Compassion Fatigue and Burnout: Are You at Risk?

Bob Phillips, D.BH, LADAC, LMSW, Coordinator of Human Services and Addiction Studies, Eastern New Mexico University-Roswell

Every professional in a health or helping profession hits a wall now and then. The demands of these occupations require us to be attentive, available and caring, but constantly tending to others can tax our resources. What is your personal vulnerability to compassion fatigue and burn out? What health risks are you and your other helping professional peers commonly experiencing? Examine the risk and how to cultivate protective factors for these stresses for individuals and organizations. Acquire intervention protocols for addressing these issues, and how “strength-based” workplaces contribute to protection and revitalization.

 #32 How Can School Health Services Be More Responsive to Needs of LGBT Youth in NM?

Mary M. Ramos, MD, MPH, Assistant Professor, Department of Pediatrics at UNM School of Medicine; Cathleen Willging, PhD, Senior Research Scientist, the Pacific Institute for Research and Evaluation

Reducing youth suicide in the U.S. is a national public health priority. Lesbian, gay, bisexual and transgender (LGBT) youth are at elevated risk for suicide. Safer school environments significantly decrease this risk. This presentation summarizes current efforts by researchers in New Mexico to better understand how to make schools and school health services more responsive to the needs of LGBT youth. Recent NM data on health disparities and differences in school experiences between LGBT youth and peers is emphasized, with reference to evidence-based practices identified by the Centers for Disease Control and Prevention. Pending research projects examine how to enhance NM school supports for our LGBT population.

 #33 Get HIP to your SBHC: A Healthy Innovative Partnership

Zachary Bosshardt, Jen Duvall, Marco Harris, Ali Moore

How can your school based health center (SBHC) have a greater positive effect in your school setting? How can you identify new potential partners for collaboration to serve students in school and in the community? The University of New Mexico SBHC Program’s partnership with Truman Health Services, a university and federally funded Ryan White HIV prevention and treatment initiative, is able to reach more students beyond the traditional SBHC practice. Come learn more about an innovative, interdisciplinary partnership that is increasing its reach to impact student success, school climate and the surrounding neighborhoods.

 #34 Santa Fe County’s Mobile Crisis Response Team & Same-Day Suicide Intervention Program

Mark Boschelli, LPCC, LADAC, Terry Sine

New Mexico is 5th in the nation in suicides, and it is of epidemic proportions throughout our state. Gain knowledge as well as action steps to identify, intervene and implement a successful proactive crisis and suicide prevention program for your school and community. Learn about crisis and suicide interventions utilizing a mobile response team partnered with law enforcement and first responders, and a walk-in assessment system. Identification of youth at-risk for suicide is addressed through highlighting services implemented by the Santa Fe Public Schools and Santa Fe County with Presbyterian Medical Services.

 #35 Truancy Prevention: A Proactive Approach

Ron Lucero, Truancy Manager, Albuquerque Public Schools; Velinda Pearson, Tony Watkins

Truancy is often an indicator of other issues facing a student. This session provides tools to help with the early identification of students needing support, preventive techniques, and a collaborative approach for supporting students. Learn about the truancy prevention program at Albuquerque Public Schools and how to use data to identify students at risk of meeting the criteria for chronic truancy (10 or more absences). A proactive, strengths-based model helps you develop an early intervention plan and give you tools you can implement. Consider the importance of collaboration with students, families and school staff members and the concept of a “truancy team”.

 #36 Type 1 Diabetes: A Unique Perspective

Tania Harris, Elementary School Nurse

Ideas about how to treat type 1 diabetes have changed considerably in recent years. Today, diabetes treatment plans are geared toward the needs of the individual child and their family. Efforts to maintain blood sugar levels in a target range involve balancing insulin, food intake and exercise. Hear from the unique perspective of a school nurse and a parent of a child with Type 1 diabetes about the challenges faced within the school day, and at home and how to manage the variables of this 24/7 chronic illness with empathy.

 #37 Youth Engagement: It’s Not a Project, It’s a Practice!

Caitlin Adams, Health Education Consultant, UNM Department of Pediatrics

Youth engagement is one component of an evidence-based public health strategy which focuses on increasing protective factors and decreasing risk factors. It ensures a safe, non-judgmental space for youth to share their voices and utilize their skills in partnership with adults to create change and maximize positive outcomes. Youth engagement is an empowering practice to integrate into programs and activities, valuing youth as experts and resources. Explore how to provide young people with meaningful participation in the programs, policies, and decisions that seek to impact them, especially those relating to health. Learn about successful models implemented in New Mexico through cross-sector collaborations between schools, healthcare, and community agencies.

 #38 The Beasts of the Internet and How to Tame Them

Erica Davis-Crump, Special Projects Coordinator for the Office of the Attorney General; Shaylyn Roy

News reports feature yet another story on a local high school engulfed in a sexting scandal. Your child is caught up in the hashtag frenzy on Instagram, posting everything they do with their friends. Your daughter is the target of a bully. Your son is making friends online through the games he plays, and lets you know he’ll be meeting up with one of them. Often the internet seems like an untamable beast. We fear that no one is safe online, and some people feel invincible as they anonymously post offensive or inappropriate content on social media. There is a way to create a more positive space online, and there is a way to protect yourself and your loved ones. A few basic actions and common awareness tips can make all the difference in the dealing with the darker aspects of our online world.

 #39 Movement, Not Medication: Reducing ADHD-Type Behavior

Marcia LeeEducational Trainer, Reading Specialist, ADD/ADHD Consultant, Founder, Kids Focus™; Greg Unnever

This dynamic presentation enables you to experience a variety of specially designed movements that help children quickly focus, feel calmer, concentrate, and learn to self-regulate. Learn how movement affects the brain to help improve student behavior, academic success and emotional well-being, as well as reducing ADHD-type behavior. Learn practical ways to use movement instead of medication with children in the classroom and at home. Handouts describe the steps for each movement and the brain research that supports movement as an essential tool for childhood brain and behavioral development.