Suggestions for Improving Asthma Management in Schools: A Two-State Exploration of School-Based Asthma Policy

One in 12 children in the United States is diagnosed with asthma, making it a leading chronic health condition among school-aged youth. Poorly controlled symptoms can negatively impact children’s social, emotional, and academic functioning. Given the central role of schools in children’s daily lives, school-based supports and policies are critical for asthma management. This study surveyed 574 elementary and middle school teachers in Georgia and Kentucky regarding their perceptions of asthma-related medication policies, support plans (e.g., AAPs, 504 plans, IEPs), and student outcomes. Most teachers believed students were medically supported and had well-controlled symptoms, though many were unsure whether students had individualized plans. Teacher awareness of medication self-carry laws was linked with more positive perceptions of student academic performance. Findings highlight the need for greater teacher awareness and transparency to better support students with asthma in schools. Further, school psychologists can assist in supporting asthma management by facilitating interprofessional communication about individualized asthma plans and strengthening opportunities for medication administration in schools to better support symptom control to prompt better academic outcomes for youth with asthma.