An "exploratory instrumental case study" design was used to study interactions between leaders and employees at a large faith-based nonprofit healthcare organization. The study used a four-part intervention to infuse humility into leaders' language, verbal expressions, and non-verbal behaviors, as well as the physical settings in which…

Guided by Knoster's (1991) Model for Managing Complex Change, this qualitative study explored implementing mental health focused MTSS and addressing mental health support within schools. This study focused on the experiences and perspectives of five principals and six school counselors implementing mental health MTSS within a rural Central…

Insufficient referral and participation in Part C Early Intervention (EI) services are common among children aged birth to 3 years, including those automatically eligible due to diagnosed medical conditions. States have established lists of diagnosed medical conditions to streamline eligibility determination for these children. However, there is…

The informed consent process is integral to medical procedures, including skin biopsies, which are the definitive method for diagnosing challenging skin lesions. Educational videos are recognized for effective delivery of information for informed consent. This study aimed to evaluate the efficacy of an informed consent process using educational…

The AIM process is a strategic planning process for school districts to create Comprehensive Health and Wellness Plans (CHWPs) aligned with the Whole School, Whole Community, Whole Child model. The purpose of this study is to describe results of this process as it was implemented with 21 rural school districts. An 81-item survey was completed by…

The purpose of this proposed research study was to examine and analyze the perceptions of Human Resource directors in the Healthcare field regarding hiring with college degrees or work experience, specifically, those in clinical vs. non-clinical positions. This study sought to uncover if employer demand for skills and education influence hiring…

Objective: Community college students engage in more risky sexual behavior compared to their four-year counterparts, yet have access to fewer reproductive health services. The study's purpose was to examine whether California Community College student health centers' participation in Family PACT, a state publicly-funded family planning program,…

University of Maryland, Baltimore CURE Connections (UMB CURE) connects West Baltimore high school students with STEM enrichment including hands-on research and community outreach. This study's purpose was to describe successes and challenges of implementing the virtual Community Health Worker curriculum during the summer programming for UMB CURE…

Background: Adults with traumatic brain injuries (TBI) frequently experience cognitive, emotional, physical and communication deficits that require long-term rehabilitation and community support. Although access to rehabilitation services is linked to positive outcomes, there can be barriers to accessing community rehabilitation related to system…

This study's aim was to examine the impact of pandemic emergency Home- and Community-Based Services (HCBS) payments on the continuity and security of people with intellectual and developmental disabilities (IDD). Using a multilevel logistic regression, we analyzed secondary Personal Outcome Measures interviews from 738 people with IDD (March 2020…

Medicaid is a major insurer of autistic people. However, during the transition to adulthood, autistic individuals are more likely than people with intellectual disability to lose their Medicaid benefits. Individuals with intellectual disability may have greater success maintaining Medicaid coverage during this time because most states provide…

Diagnostic uncertainty is prevalent throughout medicine and significantly impacts patient care, especially when it goes unrecognized. However, we lack a reliable clinical means of identifying uncertainty. This study evaluates the narrative discourse within clinical notes in the Electronic Health Record as a means of identifying diagnostic…

This manuscript offers an approach to secure needed SBMHS for students with disabilities through unique applications within the IEP development process, informed by an analysis of recent case law. We will discuss six components of this approach. First, the need for SBMHS must be established through evaluation data. Data sources to confirm the need…

To date, little research has focused on transgender and gender diverse (TGD) college students' experiences with health services; most of the literature around TGD health focuses on barriers to care. During the 2021-22 academic year, a collective of researchers, university health service providers, and transgender/gender diverse community members…

Using data from 1,401 university students, we examined differences between gender and ethnic groups in public stigma, self-stigma, negative attitudes toward mental health services, and reasons for seeking mental health services. Male students reported more negative attitudes toward mental health treatment, more self-stigma, and lower likelihood of…