This qualitative instrumental case study was designed to examine secondary teachers' perspectives of North Carolina's school-based mental health policy, known as SHLT003, which mandates all educators be trained in identifying, referring, and supporting, students showing signs of mental health issues, drug use, suicidal ideation, and sex…

Asheville City Schools and Buncombe County Schools in Asheville, N.C., have partnered with the United Way of Asheville and Buncombe County to develop strategies for responding to the emotional and mental health needs of middle school students in those districts. More than 40 community partners have joined their efforts, which include a focus on…

It is widely estimated that approximately 25% of school age youth face mental and behavioral health challenges. The vast majority of these youth are insufficiently treated, leaving them vulnerable to negative school outcomes such as attendance, behavioral, and academic problems. One common barrier to treatment is a lack of access to appropriate…

Providing access to high-quality health services for all people is a national problem further compounded when the focus is mental health. Long-term primary prevention strategies and solutions, foundational to best practices in public health, are often considered at odds with short-term profit-driven private sector approaches within the…

This article presents results from an innovative social work field education program, which prepares BSW and MSW students to work in interdisciplinary teams with congregational nurses as they serve persons age 55+ or older. The Congregational Social Work Education Initiative is a field education project based on an applied interdisciplinary model,…

Community colleges across the country are plagued with tight budgets--caused in part by state disinvestment and chronic federal underfunding. For rural community colleges, these challenges are even more acute, as their needs are greater and the costs of providing services higher. The COVID-19 pandemic has only deepened the prosperity gap between…

Mail-in pilot-tested questionnaires were sent to a stratified random sample of 1,500 families from the North Carolina Autism Registry. Multivariate logistic regression analysis was used to determine the significance of unmet dental needs and other predictors. Of 568 surveys returned (Response Rate = 38%), 555 were complete and usable. Sixty-five…

Background: Little is known about access to medicine among immigrant Latinos in the United States (US). This study explored access to, and use of, prescription drugs obtained from nonmedical sources among recently arrived, Spanish-speaking immigrant Latinos in rural North Carolina (NC). Methods: Our community-based participatory research…

Objective: The purpose of this study is to assess the reliability and validity of the North Carolina Family Assessment Scale (NCFAS) among families involved with youth mental health services. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and…

Young adolescents, age 10-15 years, have increasing psychosocial and biomedical health care needs, yet are some of the lowest users of conventional health services. In eastern North Carolina, school-based health centers (SBHCs) provide primary health care to thousands of school-age children in the most rural, medically underserved areas. SBHCs…

Although there is a considerable body of knowledge about domestic violence, a limited proportion focuses on domestic violence in rural settings. Using a nonprobability purposive sampling technique, 93 providers of domestic violence services from rural and urban localities in North Carolina and Virginia were located and asked to complete a…

This report presents data analyzed by county and multicounty planning region which indicate that North Carolina's infant mortality rate has declined by 59 percent since 1940. (In 1940, approximately 58 infants for every 1,000 live births died in North Carolina before their first birthday.) This reduction in infant deaths is comparable to that…

Public schools must provide an appropriate education for students with complex health needs. Chronic illnesses such as asthma and diabetes, social morbidities, injuries, and conditions that limit learning such as poor vision commonly affect school-aged children. School nurses often assume a leadership role in providing services for these children.…

Presents results of a 1982 descriptive study of female farmworkers receiving prenatal care at Tri-County Community Health Center in North Carolina. Recommends patient advocacy, minimum wage ensurance, improved housing, access to tax-supported public assistance, and social service programs to improve health status. (SA)

A 1991 survey of 135 school districts and 6 specialty schools in North Carolina obtained data on the performance of specific health-related procedures in the school setting. Results indicated a patchwork approach to meeting students' special health care needs, with school personnel, parents, and health professionals all coordinating and performing…