Comprehensive Health Education, including tobacco prevention content, can support students with skill development at all grade levels. According to the Centers for Disease Control and Prevention, effective health education curricula emphasizes: Teaching functional health information (essential knowledge); Addressing norms and and beliefs that support and value healthy behaviors; Developing the essential health skills necessary to adopt, practice, and maintain health-enhancing behaviors.
Health education content is designed to motivate and assist students to maintain and improve their health, enabling students to develop the skills necessary for health-related problem solving and informed decision-making.
Continue on to learn more about Health Education requirements in the state of Colorado and available tobacco and nicotine educational resources.
Comprehensive Health Education is a planned, sequential approach intended to address not only the physical, but also the social and emotional dimensions of health. Content addresses substance use prevention and skill development.
Research shows that students who participate in health education curricula in combination with other interventions (i.e., physical activity, improved nutrition, and/or family engagement) have improved health-promoting behaviors.
School-based health education has been shown to prevent tobacco and alcohol use and prevent dating aggression and violence.
Teaching social and emotional skills has been shown to improve academic behaviors of students, increase motivation to do well in school, enhance performance on achievement tests and grades, and improve high school graduation rates.
State law requires districts to teach about the effects of alcohol and controlled substances through age-appropriate, developmentally based drug, tobacco/nicotine, marijuana and alcohol education and prevention programs from pre-K-12.
Per state law, this content shall be studied and taught, as thoroughly and in the same manner as other like-required branches are taught.
NOTE: Districts interpret how to implement laws.
During the Spring of 2018, the State Board of Education approved revisions to the Colorado Academic Standards (CAS), as required by statute. This resulted in the updated 2020 Comprehensive Health Education Standards that underscore important skills for navigating today’s society with its complex and often confusing messages around health, beauty, and happiness.
The overarching guidance to districts related to CAS is “All Students, All Standards" linked here, meaning all students should have education on the content and topics outlined in the state’s Comprehensive Health Education Standards. However, how this is implemented varies by school district.
Currently, Comprehensive Health and Physical Education Standards or content are not included in required state assessments.
Colorado does not require any specific content or classes for graduation but instead has Graduation Guidelines linked here. Districts determine course-specific graduation requirements for all content areas, including whether or not a student is required to take Comprehensive Health or Physical Education credits to graduate.
Many school districts have a board level policy covering Health Education, often coded as IHAM.
This policy outlines the value the district holds in offering Comprehensive Health Education for all students.
Many school districts also have a board level policy covering “Teaching About Drugs, Alcohol and Tobacco”, often coded as IHAMA.
This policy outlines the state law that the district will provide age-appropriate, developmentally based drug, alcohol and tobacco education and prevention programs pre-kindergarten through grade 12.
This policy may be integrated into the IHAM policy, and/or be cross referenced in the Tobacco-Free Schools Policy (often coded as ADC) and the Drug and Alcohol Use by Students Policy (often coded as JICH).
All students should be receiving viable, guaranteed, comprehensive, factual and skills-based health education as part of the Colorado Academic Standards for Comprehensive Health Education. The Standards include foundational behavioral health and social, emotional skills, as well as substance misuse prevention.
Schools can offer health education as a stand alone course or as lessons/units integrated into advisement classes or other relevant content areas such as Biology, Social Sciences, Family and Consumer Sciences, etc. Health education can be taught by a variety of staff depending on the school and resources available, including:
Classroom teachers
PE/health teachers
School health professionals (nurses, counselors, social emotional learning specialists, etc.)
Approved community partners
Due to limited resources, time and staff, even with state law and district policies, consistent, standards-based health education is still not truly required or measured. Implementation often depends on the school, teacher, and the time and resources they have available.
Schools can aim to fully implement a developmentally appropriate, multi-lesson, comprehensive health education curriculum that:
Includes instruction about the short-term and long-term negative physical health, mental health, and social consequences of tobacco/nicotine use; social influences on tobacco use; and peer norms regarding tobacco use;
Contains content that is culturally relevant to the student population;
Involves peer leaders rather than relying totally on adult instructors;
Provides students training and practice in the use of refusal and other life skills;
Uses interactive delivery methods;
Addresses prevalent tobacco/nicotine products based on data (e.g., vaping, Zyn);
Aligns with Colorado Academic Standards for Comprehensive Health Education.
To support implementation, schools can consider the following:
In-person training for school staff on Comprehensive Health Education curricula, including a review of the content, modeling of lessons and activities by skilled trainers, and opportunities for teacher practice.
In-person training for school staff on youth substance misuse and prevention, including overview of classroom resources that may be utilized.
Classroom assessments tailored directly to instruction and to health education standards.
Comprehensive Health Education is added to the grade book as well as the school schedule.
Colorado Academic Standards for Comprehensive Health Education
Link to information regarding the Comprehensive Health Education Standards focus on personal decision-making around emotional and social well-being, positive communication, healthy eating, physical activity, tobacco, drug, and alcohol abuse prevention, and violence prevention.
Article: Health Literacy and Health Education in Schools: Collaboration for Action
This paper provides an overview of health education in schools and challenges encountered in enacting evidence-based health education.
Curriculum available in classroom and virtual modules.
Reducing Vaping Among Youth and Young Adults Toolkit
Resources from the U.S. Department of Health and Human Services Assistant Secretary and the Substance Abuse and Mental Health Services Administration.
Stanford Medicine Tobacco Prevention Toolkit
Free lessons and assessments for elementary, middle and high school grade levels.
Stanford Medicine Cannabis Awareness and Prevention Toolkit
Free lessons and assessments for elementary, middle and high school grade levels.
Colorado Cannabis Educational Resources
Resources from from the Colorado Department of Public Health and Environment and the Colorado Department of Education.