Background: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). Methods: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and…

Objective: Describe a model for incorporating campus-based Sexual Assault Nurse Examiner (SANE) services. Describe differences in patient satisfaction and utilization of follow-up resources between patients seeking SANE services at a university health center (UHC) compared to an emergency department (ED). Participants: Patients seeking SANE…

School-based mental health programs (SBMHP) are vital to providing youth access to mental health services. This study aims to characterize changes in therapy encounters and psychotropic medication prescriptions in an urban SBMHP during the COVID-19 pandemic. We used electronic medical records to extract demographic, clinical, and utilization data…

Chronic school absenteeism directly affects educational outcomes while reducing school funding and reimbursement. Asthma is a prevalent disease associated with chronic absenteeism. This quality improvement project demonstrated classroom seat time preserved through use of school-based health centers (SBHC). The project also highlights the…

Background: From a range of perspectives, scholars have demonstrated the value of school-based health centers (SBHCs) in recent decades, but few studies have examined the logistics of establishing SBHCs. Methods: Semi-structured interviews were conducted with 9 hospital and 6 school employees involved in a network of SBHCs. After common themes…

Background: Previous studies of urban school-based health centers (SBHCs) have shown that SBHCs decrease emergency department (ED) utilization. This study seeks to evaluate the effect of SBHCs on ED utilization in a rural setting. Methods: This retrospective, controlled, quasi-experimental study used an ED patient data set from the Bassett…

Background: From the perspective of schools, children's mental health is essential to academic success. Multitiered systems of support (MTSS) that provide prevention/promotion, early identification/intervention, and clinical treatment services have been embraced as a promising means to deliver mental health services in the school setting. Methods:…

Patient identification (ID) errors occurring during the medication administration process can be fatal. The aim of this study is to determine whether differences in nurses' behaviors and visual scanning patterns during the medication administration process influence their capacities to identify patient ID errors. Nurse participants (n = 20)…

Reporting lines for directors of student health centers (SHCs) at colleges and universities are a matter of continuing interest for those of us who must follow them. SHC directors at institutions with academic medical centers face a greater number of reporting choices that also have the potential of being more politically charged. The author…

Describes the successful public-private partnership between the Austin Independent School District and the Children's Hospital of Austin to provide student health services. (EV)

An innovative health program arrangement between the University of Maine at Presque Isle and a local hospital is described. The program served to provide cost effective health services for the university and outpatient clinic space for the hospital. (DS)

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive and integrated approach to the delivery of early intervention and treatment services through universal screening for persons with substance use disorders and those at risk. This paper describes research on the components of SBIRT conducted during the past 25 years,…

This issue is dedicated to exploring the nature of health promotion through the views and experiences of selected authors representing a variety of professional organizations, settings, programs, and activities within the profession. The articles are as follows: "Looking Back Over the Last Twenty Years" (Larry S. Chapman); "Views…

A survey of pregnant inner-city adolescents at school-based and public hospitals examined relationships between demographics, psychosocial and behavioral characteristics, and tobacco and alcohol behaviors. Results highlighted the heterogeneity of pregnant adolescents served in different clinical settings and indicated a need to tailor educational…

During the fiscal year that ended June 30, 1913, the field force of the Alaska school service consisted of 5 superintendents, 109 teachers, 11 physicians (1 of whom also filled another position), 9 nurses, and 3 hospital attendants. Seventy-seven schools were maintained, with an enrollment of 3,563, and an average attendance of 1.797. This…