This page contains the "first edition" of a Encyclopedia Entry that defines and discusses Ecological and Systems-based Approaches to School Health, Safey and Social Development Programs. Visitors to and members of this wiki-based web site are welcome to post comments on this summary using the "thread"" tool found at the bottom of this page. As noted above, this "first edition" has now been completed and "locked" to prevent further edits until an online consultation/discussion leading to a "second edition" is started. Ecological, Systems-based Understanding and Approaches to
School Health, Safety, Equity, Social & Sustainable Development
This summary presents an overview of ecological and systems-based understandings and emerging approaches to school-based and school-linked human development. The interplay between individual, family, neighbourhood, community and other contexts has long been recognized in behavioural research. However, a variety of researchers are defining and describing the ecological approach more clearly. In this paper, we also suggest that public service 'systems' are a major factor, so we have used that word in the title. Since 2005, there has been considerable effort made to explain how we need to modify our planning and implementation of programs to use this new understanding. There are a number of recent applications to school-based work published in a variety of journals, primarily in providing descriptions of the various layers and influences on specific health or social issues. This summary presents a rudimentary attempt to shift our traditional linear thinking about logic models underlying prevention programs and also starts to list and discuss the implications of several specific characteristics of the multiple systems and levels within those systems that open, adaptive, complex, and bureaucratic. If we are to make this paradigm shift, we better understand its components and get dow to the nuts and bolts if we are to make a difference in everyday practice.
An emerging understanding
Several prominent researchers have developed ecological and systems-based frameworks to guide health promotion, social development and educational programming. These include researchers such as Flay, Stokols, Green, Fullan and others. The Encyclopedia of Public Health in a summary Health Promotion and Education by Mark Daniel & Lawrence Green provides this description of ecological approaches is: Ecological approaches in health promotion view health as a product of the interdependence between the individual and subsystems of the ecosystem (e.g., family, community, culture, and the physical and social environment). To promote health, an ecosystem must offer economic and social conditions conducive to health and healthful lifestyles. These environments must also provide information and life skills that enable individuals to engage in healthful behaviors. Finally, healthful options among goods and services must be available. In an ecological context, all such elements are viewed as determinants of health. They also provide support in helping individuals modify their behaviors and reduce their exposure to risk factors.
The ecological view of behavior holds that the functioning of an organism is mediated by behavior-environment interactions. This concept of reciprocal determinism suggests that the environment controls or sets limits on behaviors that occur in it, and that changing environmental variables result in the modification of behaviors. The inference is that health promotion can achieve its best results by way of individuals, groups, and organizations exercising control over their environment. The reciprocal side of this equation, however, holds that the behavior of individuals, groups, and organizations also influences their environments. This leads to the credo that health promotion seeks to enable the empowerment of people by allowing them greater control over the determinants of their health, whether these are behavioral or environmental. In taking greater control themselves, rather than depending on health professionals to exercise the control for them, people should be better able to adjust their behavior to changing environmental conditions, or to adjust their environments to changing behaviors.
Reflecting its accent on the multiple interdependencies of the elements making up a social web, an ecological approach suggests the need for interventions directed at several levels within a community and at multiple sectors of a social system (e.g., health, education, welfare, commerce, and transportation). The specification and application of such a sweeping, holistic conceptual framework challenges the capabilities and time of practitioners. The specificity with which ecological guidelines can identify the particular levels and sectors in need of attention is inherently constrained by the infinite variety of interactions that can apply in each idiosyncratic organization, community, or other social system. As the effectiveness of any health promotion strategy depends on its appropriate fit with the people involved, the health issue of concern, and the environment in which it is to be applied, any practical application of the ecological approach must target specific levels and sectors of a complex system. A realistic strategy, therefore, is to intervene where one can, with reasonable certainty, match actions with needs and where one can be accountable for unexpected side effects. Careful, systematic planning and practice are essential.
While the theory of ecological models has evolved over a long period of time, the application for health promotion programming has been a recent development. The ecological perspective, according to Stokols (1992), is distinguished by four assumptions: (1) The health status of individuals and groups "is influenced not only by environmental factors but also by a variety of personal attributes,. Consequently, health promotion should focus on the dynamic interplay among diverse environmental and personal factors as opposed to a framework that focuses "exclusively on environmental, biological, or behavioral factors. (2) The relative scale and complexity of environments may be characterized in terms of a number of components such as, physical and social components, objective (actual) or subjective (perceived) qualities, and scale or immediacy to individuals and groups. (3) The effectiveness of an intervention can be enhanced significantly through the coordination of individuals and groups acting at different levels.(4) The interdependencies that exist among immediate and more distant environments, and the dynamic interrelations between people and their environments need to be recognized.
Open system theory, another expression of ecology-based thinking, suggests that all systems have the same common characteristics. These common characteristics are structure, shared generalizations of reality, functions, functional as well as structural relationships between the units, flow and transfer of some material, exchange energy and matter internally and with their surrounding environment through various processes of input and output. Within its defined boundary the system has three kinds of properties: Elements that may be atoms or molecules, plants, or cows
- Attributes - quantity, size, color, volume, temperature, and mass.
- Relationships - are the associations that exist between elements and attributes based on cause and effect. The state or vitality of the system is defined when each of its properties has a defined value and are working together well.
- Stasis: All systems will seek stability, homeostasis and equilibrium. All systems will seek to survive and reproduce themselves.
Systems thinking implies: - A shift in attention from the parts to the whole: The part cannot be understood in isolation from the whole. Essential, systemic properties are properties of the whole, which none of the parts have.
- Attention shifts back and forth between systems levels; systems are nested within other systems. Each level represents differing levels of complexity, but similar concepts may be applied to understand different levels. Systems thinking holds that the properties of the parts are not intrinsic to them, but can only be understood in the context of the whole; you will not understand the reactions of doctors unless you study their behaviour in the context of the health care reforms.
- Knowledge is a network of ideas; ideas are a network or a juxtaposition of concepts, and so on... In systems thinking, knowledge is no longer seen as a building ("the structure of knowledge"), but as a network. Physics is no longer seen as a fundamental science – it just concerns a different systems level. While Cartesian thinkers held science to be objective, the systems approach holds that epistemology forms an integral part of natural phenomena. All knowledge is approximate, and is viewed from a particular perspective. Science can never provide any complete and definitive understanding.
School-focused Uses of Ecological Theories
The members of the Canadian School Health Research Network (McCall & Doherty, 2004) have articulated an ecological and systems-based approach to school health promotion that captures much of this thinking. (Note: A research review (McCall, 2006) was undertaken for the Canadian Council on Learning that has added to this SHRN work. This review can be accessed here.
The diagram below is not a model or tested paradigm, but it does depict the multiple, daily and different interactions between the students who leave home every day and navigate a series of micro-environments within and on the way to school.
Understanding Human and Professional Behaviours in an Ecological Context
These ecological approaches have recognized that health, learning and social behaviours are a result of the complex, daily interactions between the characteristics of the individual (genetics, intelligence, traits etc), the risk/protective factors or determinants (economic status, gender, culture etc) that exist within social and physical environments (families, schools, neighbourhoods) that surround the individual. Health and social problems often cluster together within and among children. For example, smoking, drug use and riskier sexual behaviours are associated with each other. Therefore a whole child approach is more effective and efficient than trying to address single health issues separately. Similarly, protective factors often provide protection from more than one disease, problem or disorder.
Brian Flay (2002) is one of the early proponents of ecological thinking. Flay (2002) presents the thesis that all behaviors have common causes. Generally agreed-upon categories consist of individual (biological, personality, character traits, prior behaviors), social (including family, school, peers, and neighborhood) and broader social environmental influences (economic, political, religious, etc). Thus, reviews of the predictors of tobacco use, substance use more generally, violence, sexual behavior, and mental health all propose similar categories of causes of these behaviors.
Flay argues that it is commonly accepted that levels of involvement in risk behaviors vary by age. For example, risk behaviors are rare among preadolescents, peak in mid- or late adolescence, and decline in young adulthood. However, there are clear variations across behaviors in the age of peak behavior and the age and extent of decline. Some studies have also reported variations in the relationships between risk behaviors and demographic factors such as race/ethnicity and age.
Flay also notes that many theories of youth risky behaviors have been proposed over the years. Some of these theories are very focused on proximal cognitive-affective factors such as the Theory of Reasoned Action and the Theory Planned Behavior. Many theories focus on social factors such as the social learning theories of Akers and Bandura and broader versions of them such as social cognitive theory, the multistage social learning model, social control theory, the social development model, and the social ecology model. Other theories have attempted to be more comprehensive. Some of these such as the domain model of Huba and Bentler are quite theoretical, attempting just to accommodate the many predictors of behavior. Some are more theoretical, the most influential example being Jessor and Jessor’s problem behavior theory. Flay asserts that "if research on youth problem and positive behavior is to advance, our theories need to be integrated with each other. Fortunately, a rapprochement among multivariate theories is possible because they are largely complementary, and where one theory is weak, another is usually strong. For instance, bonding theories can describe why adolescents become involved with deviant peers, social learning theories can describe how involvement with deviant peers affects an adolescent’s beliefs about a particular behavior, and the cognitive theories describe how attitudes toward the specific behavior can affect the likelihood of the behavior. The one theory that comes closest to integrating all of the above theories, and that comprehensively accounts for the multiple empirical findings reviewed above, is the theory of triadic influence".
Flay and others have reviewed existing theories and showed how these theories could be arranged into a two-dimensional matrix. The first dimension represents three types of influence: (a) cultural/attitudinal factors (eg, media depictions of behavior), (b) interpersonal factors (eg parental warmth), and (c) intrapersonal factors (eg, low self-concept). The second dimension represents different levels of influence: (a) ultimate factors that, although beyond the easy control of adolescents, indirectly put adolescents at risk for problem behavior; (b) distal factors that are one or more steps from causing problem behavior; and (c) proximal factors that affect problem behavior fairly directly. He then used this matrix to develop the theory of triadic influence (TTI). In its simplest form, TTI asserts that the various causes of problem behavior fall into 3 distinct "streams" of influence: sociocultural factors that affect attitudes toward problem behavior, interpersonal factors that affect the social pressure adolescents feel to engage in problem behavior, and intra-personal factors that affect problem behavior-related self-efficacy or related avoidance skills
Flay also further posits that each instance of a behavior has a feedback influence on its predictors. Thus, an adolescent’s experimentation with smoking might change her relationships with peers and family, her own perceptions of the physiological effects of smoking, and her "knowledge" about the personal and social effects of use. These changes might occur toward the top of streams of influence and then filter down just as original causes did. However, they might also occur at the proximal level — that is, smoking alters one’s expectancies about and attitudes toward smoking, one’s expectations of reinforcement from others, and one’s self-efficacy for refusing offers to smoke. In its more complete form, This three level model provides a single, unifying framework that organizes the constructs from many other theories, including theories of social control and social bonding, social development, peer clustering, personality, cognitive-affective predictors, social/cognitive learning, biological vulnerability, and other integrative theories. Further, TTI also provides dozens of testable hypotheses about causal processes, including mediation, moderation, and reciprocal effects. Consequently, this summary used that tri-level idea in a diagram describing the ecology of the individual-school-home/community found below.
The Implications of Ecological Understandings for Issue Identification, Program Development and Health/Social Development Assessments
One key point derived from this emerging understanding about the complex ecologies depicted above is that multiple, coordinated interventions aimed at making the various components of the school-home-neighbourhood ecology healthier and helping them to work together more effectively for the health and social development of their occupants are required. These comprehensive and coordinated models is that their coordinated, multiple interventions are best if they are aimed at influencing a number of factors, behaviours or conditions rather than just one or two targets. The diagram below depicts these different interventions and how they can influence health and social development at multiple levels in multiple systems.

Building Capacity
A second key understanding of these ecological theories leads us to recognize that we must gradually build the capacity of these environments to support young people as they mature and grow and achieve at school. These theories and ecological approaches also help us to think more clearly about and plan more carefully for systems change in education, public health and other systems.
Context Matters
A third essential conclusion derived from ecological and systems-based theories is that the local context matters immensely. The issues that are more pressing, the capacity and willingness to act on those issues, the resources, strengths and weaknesses in each country, region, community, neighbourhood and school will influence the long term outcomes of any endeavour. Education systems recognize this and do not expect that the strengths and needs of rural schools, urban schools, schools in disadvantaged comm unities, schools serving indigenous communities, religious schools and ;private affluent schools will be the same. Consequently, educators have developed a variety of strategies and models to address the needs of the different types of schools noted above. Health promotion and social development advocates have rarely organized their work around these different contexts, although they have adapted their disease oriented programs in some cases. What is required to respect these local school-neighbourhood contexts effectively is to allow and enable them to identify the cluster of issues that are most relevant to them and then have the various school-related movements (healthy schools, community schools, SEL, safe schools etc) cooperate in putting together a synergistic set of coordinated programs to address those issues.
A New Logic for Program Planning, Implementation and Evaluation
Finally, the use of ecological theories and approaches requires that we reconsider the logic of the linear, issue and program-specific thinking that has dominated health promotion planning for decades. The following excerpt from a wide-ranging review of school health promotion research and practice suggests that we need to re-think our standard "logic models". The black arrows depict our traditional, linear, issue/program focused approach to program planning, implementation and evaluation. The red arrows depict our use of comprehensive approaches, coordinated programs and whole school strategies. The blue arrows reflect a capacity-building approach and the green arrows reflect an approach that starts with an analysis of the ecology and systems.
(Note: Click on the page controls at the top of the embedded chart to see a more complete explanation. If you cannot see the whole chart in your browser, use the navigation slide bars on the side of this Docstoc document to see the whole diagram.