Students with disabilities (SWDs) face challenges in following rules and expectations. The problem addressed by this study was that SWDs experience disproportionate levels of exclusionary discipline when compared to their non-disabled peers. This quantitative causal-comparative study examined the impact of different levels of positive behavior…

This qualitative study examines equity in the Central City School District's (CCSD) AHSEP Youth HSE program referral process. Through an equity audit and interviews with educational leaders, the research identifies systemic barriers, including inconsistent referral practices, limited communication, and inequitable access to support services. These…

Teachers are at the forefront of identifying internalizing and externalizing behavioral symptoms in children; however, there are disparities in how these behaviors are addressed in the classroom, particularly in relation to disciplinary disparities. This study examined whether teacher education students, when presented with differing behaviors,…

Purpose: Early detection of language delays is essential, as language is key for academic outcomes, well-being, and societal participation. Previous studies have focused on undetected delays in young children. Much less is known about referrals at older ages. In this study, we aimed to (a) establish how many children are referred at toddler age…

Background: Videofluoroscopic swallow studies (VFSS) are integral to diagnosing and supporting dysphagia management. However, in many countries, only doctors are authorized to complete medical imaging request forms, in accordance with radiation safety regulations. This can impact workflow and timely access to VFSS. Enhanced scope of practice (ESP)…

Background: Speech and language therapists (SLTs) use videofluoroscopic swallow study (VFSS) results to manage dysphagia. Yet, in some services only doctors can directly request a VFSS, potentially creating workflow inefficiencies and delaying patient access to VFSS. An alternative model, where SLTs directly refer patients for VFSS, is used in…

The effects of imposing accountability pressures on public school teachers are empirically indeterminate. In this paper, we study the effects of accountability in the context of teacher responses to student behavioral infractions in the aftermath of teacher evaluation reforms. We leverage cross-state variation in the timing of state policy…

The Early Intervention Parenting Partnerships (EIPP) program is a home visiting program that provides home visits, group services, assessments and screenings, and referrals delivered by a multidisciplinary team to expectant parents and families with infants who experience socioeconomic barriers, emotional and behavioral health challenges, or other…

Background: General practitioners (GP) report multiple challenges when treating individuals with intellectual disabilities which may influence referral rates. The study aimed to establish factors that influence GP's decision-making when referring a child with intellectual disabilities to the emergency department. Method: Discrete choice…

Tutors in higher education are receiving and responding to student disclosures that include racism, anxiety, loneliness, legal disputes, family upheavals, physical, emotional, and mental health, bereavement, legal battles, and harassment. In many cases, this caring aspect of the tutor role is not acknowledged, allocated time in job descriptions,…

The purpose of this quantitative ex post facto study was to examine if a significant difference exists between the number of rural K-3rd grade student referrals to Evidence Based Instruction, EBI, prior to and post leaders' implementation of reading legislation bill in the Mid-Western United States. There is an increased awareness of the…

In this study, the researcher used the quantitative descriptive methodology to explore and more clearly describe teachers' knowledge of dyslexia to improve dyslexia referral and evaluation practices for students on at-risk campuses. The purpose of this quantitative study was to determine what English-language arts teachers who teach kindergarten,…

Introduction: Leadership support has been identified as a key facilitator to successful implementation of school-based initiatives. School leadership contributions to student academic success and school reform have been documented, but less work has focused on the effects of leadership on school mental health initiatives such as social, emotional,…

Examining self-reported problems of students receiving school mental health (SMH) services holds promise for informing strategies across all tiers of school support. However, no prior research has investigated students' self-reported needs. The current study coded open-ended youth problem statements (N = 1212) from a diverse sample of 455 students…

Childhood homelessness is increasing and is associated with negative health and academic outcomes. The goal of this quality improvement project was to improve access to healthcare and health outcomes for students experiencing homelessness through a school nurse-led comprehensive health assessment. The multilevel intervention included identifying…