Based on a Healthy Minds Survey distributed to students at 21 Kentucky colleges and universities, 40% struggle with depression, 37% report experiencing anxiety, and 80% reported some level of academic impairment due to mental or emotional difficulties in the four weeks prior to being surveyed (ranging from one day to six or more days). Increasing…

Background: Handwriting improvements have been found to improve foundational academic literacy skills. As telehealth usage has increased, the effectiveness of delivering handwriting interventions using telehealth has not been researched. The additional literacy benefits of handwriting interventions delivered via telehealth have also not been…

Objective: Examine factors contributing to high rates of Appalachian female cancer incidences and mortalities by examining cancer literacy and associated sociological influences among Appalachian university students. Participants: This study evaluated Appalachian and non-Appalachian undergraduate students in Eastern Kentucky. Methods: A Qualtrics…

The digital divide presents a significant challenge in rural Eastern Kentucky, where the absence of broadband internet access has hindered economic development, education, health care, and overall quality of life. Broadband, characterized by high-speed internet access that is always on and faster than traditional dial-up, is a convenience and a…

Research shows that access to school health services improves health and academic outcomes, particularly for students with chronic health issues. Finding sustainable funding has been an ongoing struggle. This policy brief presents opportunities to expand access to--and resources for--school health services using available Medicaid funds. In…

Developing and sustaining comprehensive school mental health systems should be a shared endeavor between schools and community partners; the task should not rest solely on the shoulders of the K-12 education sector. Community partners, including health and behavioral health providers, can augment the continuum of services available to students and…

Background Little is known about risk factors associated with poor health among employees with COPD [chronic obstructive pulmonary disease] living in Central Appalachia. Purpose: Determine variability in health distress based on risk factors, including race and income, among employees with COPD from Central Appalachian U.S. States. Methods:…

The increase in the prevalence of individuals diagnosed with autism spectrum disorder (ASD) has increased dramatically over the last few decades, causing an increase in the exposure of dental professionals to patients with the disorder in a clinical setting. The purpose of this study is to understand the influence of the licensed dental…

You do not have to look far to see the impacts that the pandemic has had on schools and communities over the past two years. Recognizing this, the National School Boards Association (NSBA) is proud to be working with the National Alliance for Hispanic Health (NAHH) in support of the Vacunas CVN Network, a national network for community-based…

In this dissertation, I examine how two major social programs in Kentucky--state-funded preK and Family Resource and Youth Service Centers--impact children's outcomes across the state, including racial, ethnic, and economic equity through elementary school. In each chapter, I will analyze how early childhood opportunities relate to outcomes…

Community colleges are mission-driven institutions committed to access and community needs. They serve a diverse population: The majority of students are employed, so they have to balance work with school; about one-third are first-generation, so they are navigating an unfamiliar system for the first time in their families; and 15% are single…

This manual was designed primarily for use by people with disabilities. The hope is that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with disabilities. The focus of this manual is to provide easy-to-read information about available resources, and to provide immediate…

Kentucky has been focused upon improving outcomes for individuals receiving Supports for Community Living (SCL) Waiver services. SCL is the state's residential Medicaid developmental disabilities waiver; the SCL waiver provides a broad array of services for waiver recipients (residential, supported employment, transportation, community access,…

Health disparities in minorities and those of low socioeconomic status persist despite efforts to eliminate potential causes. Differences in the delivery of services can result in different healthcare outcomes and therefore, a health disparity. Some of this difference in care may attribute to discrimination resulting from clinical biases and…

This manual was designed primarily for use by individuals with developmental disabilities and related conditions. It is hoped that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with developmental disabilities. The focus of this manual is to provide easy-to-read…