This report provides results from the School Health Policies and Practices Study (SHPPS) conducted in 2016. Following a detailed Methods section, 2016 results are presented in a series of 90 tables organized around the components of the Whole School, Whole Community, Whole Child (WSCC) model. Tables 1.1 through 6.9 provide the percentage of districts with certain policies and practices in place. Results are shown separately by school level (elementary school, middle school, and high school) if the questions were asked separately by school level. For each variable, the prevalence estimate is shown along with a 95% confidence interval. Tables 7.1 through 7.6 then provide the results of trend analyses examining changes over time in selected school health policies and practices. Table 8.1 provides results for the 7 Healthy People 2020 objectives and sub-objectives monitored by SHPPS 2016. Following the Results section is a Discussion section that highlights the key findings of the report.