The debate about mental illness and the importance of good mental health especially in the classroom has surged. Promoting child mental health is a global priority, and educators have an important role to play in mitigating this public health crisis. Early identification, accurate diagnosis, and effective treatment of mental health disorders can…

Background: Long-term care planning (LTCP) is critical for individuals with intellectual/developmental disabilities. Objectives of this study were to investigate progression through LTCP, and associations between social support and: (1) LTCP and (2) burden among family caregivers. Methods: A cross-sectional survey was distributed to caregivers of…

Background: Long-term care services are funded primarily by Medicaid long-term services and support in the United States, where eligibility is based on care needs of the individual with intellectual and developmental disability alone. Impact of Medicaid waiver services on self-reported caregiver needs is not well understood. Method: Caregivers (n…

Over the past 4 years, the Region 14 Comprehensive Center (R14CC) has provided capacity-building support to the state education agencies (SEAs) in Arkansas, Louisiana, and Texas via technical assistance (TA), a process through which R14CC designs and implements projects that build SEA capacity to carry out evidence-based policies and programs. In…

Digital transformation--which goes well beyond adopting new technology--requires a comprehensive approach that addresses organizational change, strategic alignment, and employee engagement. The Region 14 Comprehensive Center (R14CC) and its partners are at the forefront of this transformation for state education agencies (SEAs). The goal is to…

Critical thinking skills remain one of the top requirements for nurses in order to adequately deal with patients diagnosed with growing comorbidities, all to improve quality of care. Critical thinking skills are now considered a core competency for all educational nursing programs in the United States. The purpose of this qualitative descriptive…

Obesity is leading cause of death worldwide. Childhood obesity has jumped to 22.4% in 2020 from 19.3% in 2019. One-third of children are overweight and obese, with an approximately 66% chance of becoming an obese adult. The costs of obesity are to overall health: financial, physical, social, and emotional. Obesity affects students at school, a…

Background: Before the COVID-19 pandemic, telemedicine for healthcare delivery was uncommon. Medicare restricted routine fee-for-service reimbursements for rural patients, with payments made under restricted circumstances. In response to the pandemic, the Department of HHS amended the Coronavirus Preparedness and Response Supplemental…

The United States continues to grow in both population and diversity. The trigger for this project was the dramatic increase in patient diversity in Texas and the lack of adequate cultural competency training for providers at a Texas oncology clinic network. Clinicians must increase their self-awareness and knowledge to provide culturally…

Background: Primary care providers are qualified to treat, diagnose, and manage common mental health issues like anxiety and depression. Anxiety and depression are common among college age students, with the average age of onset occurring in one's late teens to early 20s. Screening tools are commonly used to recognize patients who may be at risk…

Much attention has been focused on the importance of providing physical and mental health services to students in educational environments in recent years. Millions of students receive school-based health services, and for many students, schools are their first and only option to receive health care. State policymakers have a lot to consider in…

Objective: To investigate influenza vaccination rates and perceptions underlying vaccine noncompliance. Participants: Participants included undergraduate students (N = 365) at a rural, medium-sized university in Texas. Methods: Students were anonymously surveyed in the spring of 2018 on demographics, insurance status, perceived barriers of…

Autism spectrum disorder (ASD) is a neurodevelopmental disability affecting 1 in 44 children nationally. Timely referral to intervention and support services for ASD has consistently demonstrated significant long-term positive effects on symptoms and subsequent skills and family outcomes. This paper highlights a novel and innovative approach of…

Background: The dissemination and implementation (D&I) of evidence-based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I of school-health EBIs. Methods: The pilot study was conducted…

College students at a large south Texas university have proven consistently that they have a higher-than-average Body Mass Index (BMI), spend less time per week engaged in physical activity, and in general feel that they are less healthy than students in a national cross-sectional survey of college students by the American College Health…