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2025

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Advancing Children's Mental Health In Nevada, Kelliann Beavers, Christopher Kearney Nov 2025

Advancing Children's Mental Health In Nevada, Kelliann Beavers, Christopher Kearney

Lincy Institute Events

Nevada ranks 51st nationally in youth mental health access and services, underscoring persistent shortages and disparities across the state. Nearly one in four youths aged 12–17 (23.5%) experienced a major depressive episode in the past year, and 73% did not receive treatment. Approximately 34,000 Nevada youths have reported suicidal thoughts—an urgent call for prevention and coordinated support.

During the 2024–2025 school year, 31.3% of Clark County School District students were chronically absent (missing 10% or more of school days), a challenge closely linked to mental health struggles and socioeconomic barriers.

This community forum provided an opportunity to generate dialogue and …


Intimate Partner Violence, Covid, Bullying, The K-12 Connection: A Collaborative 21st Century Call For Action!, Irma Gibson Nov 2025

Intimate Partner Violence, Covid, Bullying, The K-12 Connection: A Collaborative 21st Century Call For Action!, Irma Gibson

National Youth Advocacy & Resilience Journal

No abstract provided.


What Are Equine-Assisted Services? A Practical Guide For Families And Communities, Makenna L. Pahlke Nov 2025

What Are Equine-Assisted Services? A Practical Guide For Families And Communities, Makenna L. Pahlke

All Current Publications

Horses are very present animals, meaning they provide immediate, nonjudgmental feedback. Their nature and size can often encourage confidence, responsibility, and self-regulation. Families and communities considering equine-assisted services (EAS) for themselves or a loved one need to understand terms, as they will help guide them to the type of program best suited to meet their expected needs, as well as help them find quality programs.


Policy Analytic Approach To Overcoming Barriers In Transitional Support For Autistic Racial And Ethnic Minority Youth, Rosaline Owusu Dnp, Mph, Fnp-Bc, Crnp Nov 2025

Policy Analytic Approach To Overcoming Barriers In Transitional Support For Autistic Racial And Ethnic Minority Youth, Rosaline Owusu Dnp, Mph, Fnp-Bc, Crnp

Department of Family Medicine

No abstract provided.


Prenatal Cocaine Exposure, Perinatal Risks, And Mediators To Preadolescent Attention Deficit Hyperactivity Disorder (Adhd), Thitinart Sithisarn, Carla M. Bann, Barry Lester, Seetha Shankaran, Toni Whitaker, Rosemary D. Higgins, Henrietta Bada Nov 2025

Prenatal Cocaine Exposure, Perinatal Risks, And Mediators To Preadolescent Attention Deficit Hyperactivity Disorder (Adhd), Thitinart Sithisarn, Carla M. Bann, Barry Lester, Seetha Shankaran, Toni Whitaker, Rosemary D. Higgins, Henrietta Bada

Epidemiology and Environmental Health Faculty Publications

Highlights: What are the main findings? Prenatal cocaine exposure increases the risk of ADHD in preadolescence, with effects largely mediated through attention problems and impulsivity at 4–5 years of age. Male sex is an independent risk factor with a direct path to the ADHD diagnosis. What is the implication of the main finding? Screening for behavioral problems before 4 years of age in prenatal cocaine exposure would make possible early intervention to mitigate later diagnosis or severity of ADHD. Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral problem in children. Multiple risk factors, including prenatal substance exposure, have been associated …


Preventable Emergency Department Utilization Among Patients With Foster Care History Compared To Patients Without Foster Care History, Lauren Malthaner, Jill Mcleigh, Gregory Knell, Katelyn Jetelina, Folefac Atem, Sarah Messiah Nov 2025

Preventable Emergency Department Utilization Among Patients With Foster Care History Compared To Patients Without Foster Care History, Lauren Malthaner, Jill Mcleigh, Gregory Knell, Katelyn Jetelina, Folefac Atem, Sarah Messiah

Health Status, Outcomes, and Literacy and Healthcare Utilization

Emergency department (ED) utilization for preventable reasons by patients with foster care history is unexplored. Medical records of ED encounters from primary care patients were pulled from a southwestern children's hospital system. Necessity of ED encounter was categorized using the New York University- ED Algorithm into emergent, intermediate, or non-emergent. Associations were explored at the encounter- and patient-level. Partial proportional logistic models generated odds of preventable (i.e., intermediate or nonemergent) ED utilization among encounters, and Poisson models determined incidence of preventable ED use at the patient level. Findings suggested that when a patient with history in foster care used the …


Unl Emeriti And Retirees Association Newsletter, November 2025 Nov 2025

Unl Emeriti And Retirees Association Newsletter, November 2025

UNL Emeriti and Retirees Association: Newsletters and Other Materials

University of Nebraska-Lincoln Emeriti and Retirees Association Newsletter, November 2025

Message from the ERA President Pam Edwards

Welcome to new members

Give to the ERA scholarship fund

Wake up to well-being

Book review, The Intentional Life

Medicare open enrollment

Announcements and notices

Upcoming programming

Programming recap

Connecting through recipes

Memory moments


2025 Georgia Library Association Library Staff Division Grant Recipients, Rhonda Boozer Nov 2025

2025 Georgia Library Association Library Staff Division Grant Recipients, Rhonda Boozer

Georgia Library Quarterly

No abstract provided.


Critical Approaches To Jurisdiction: The Struggle For Control Of Indigenous Lands And Resources, Dayna Scott Nov 2025

Critical Approaches To Jurisdiction: The Struggle For Control Of Indigenous Lands And Resources, Dayna Scott

Articles & Book Chapters

This chapter questions the starting assumptions in thinking through questions of “jurisdiction” in public law, specifically in relation to assertions of inherent Indigenous territorial governing authority. It reviews the common conceptual images of jurisdiction we employ in law schools and offers resources from critical interdisciplinary theory for new conceptions. In highlighting examples of the present exercise of Indigenous territorial jurisdiction, such as the Kunst'aa guu— Kunst'aayah Reconciliation Protocol and the Tsleil-Waututh Sacred Trust Assessment of the Trans Mountain Expansion (TMX) project, the chapter urges public law scholars to adopt an orientation of prefiguration in order to bring into being conceptualizations …


“Justice Of Our Own”: Defining Success At The Red Hook Community Justice Center, Hadar Dancig-Rosenberg, Peter Dixon Nov 2025

“Justice Of Our Own”: Defining Success At The Red Hook Community Justice Center, Hadar Dancig-Rosenberg, Peter Dixon

Vanderbilt Law Review

This study examines how success is defined at the Red Hook Community Justice Center in Brooklyn, NYC, through a participatory, community centered lens. Moving beyond standard metrics, it articulates a locally grounded vision of success centered on empowerment, support, systemic accountability, and community trust. Drawing on the Everyday Peace Indicators approach, we convened nine focus groups and two public voting sessions with neighborhood residents, justice professionals, youth, former defendants, and family members. Participants generated and ranked 72 indicators, which we thematically clustered into six key categories reflecting the diverse contexts in which participants perceived the Center's impact: (1) rehabilitation and …


Unaccompanied Migrant Minors: A Psychiatric Case Series Review, Cecilia De Vargas, Eden Hernandez Robles, Fernando Doval Perez, Leslie Salazar-Hinojosa, Danielle Parker, Javier Segovia, Aleli Campbell, Deborah J. Clegg Oct 2025

Unaccompanied Migrant Minors: A Psychiatric Case Series Review, Cecilia De Vargas, Eden Hernandez Robles, Fernando Doval Perez, Leslie Salazar-Hinojosa, Danielle Parker, Javier Segovia, Aleli Campbell, Deborah J. Clegg

International Journal on Responsibility

Unaccompanied children and adolescents who migrate from Central America and Mexico into the United States (U.S.) are exposed to and experience trauma throughout the process of migration. These traumatic experiences result in an increasing prevalence of psychiatric illnesses and challenges to treatment. This study presents a psychiatric patient record review of minors and their complex trauma. Unaccompanied migrant minors (UMM) ages 12-17 (28 males and 22 females; n = 50) received comprehensive psychiatric assessments at the El Paso Texas Tech Child and Adolescent Psychiatry outpatient clinic. Their charts were reviewed for psychiatric diagnosis, treatment progress, and trauma experiences before, during, …


Overcrowding The System: Rethinking Juvenile Justice In Washington State, Mckenna White Oct 2025

Overcrowding The System: Rethinking Juvenile Justice In Washington State, Mckenna White

Seattle University Law Review

The recent crisis at Green Hill School highlights the detrimental consequences of severe overcrowding in Washington State’s Juvenile Rehabilitation system—a problem exacerbated by the implementation of the JR to 25 legislation. This Note argues that the juvenile rehabilitation system, which is currently struggling to manage a wide age range of offenders, necessitates a fundamental rethinking of juvenile justice practices. By examining neurological research indicating continued brain development into the mid-twenties, along with the high prevalence of trauma among justice-involved youth, this Note proposes the creation of a dedicated third system of care within the Department of Children, Youth, and Families …


Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake Oct 2025

Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake

Walden Dissertations and Doctoral Studies

The main goals of restorative justice and community-based intervention programs include reducing reoffending behavior, successful reintegration, and yielding greater satisfaction among participants. Although clinicians play a vital role in conducting rehabilitation methods for youth offenders, the problem was a lack of literature that explored clinicians’ perceptions of implementing more effective alternatives such as restorative justice and community-based intervention programs. The purpose of this generic qualitative study was to explore clinicians’ perceptions of administering rehabilitative interventions for youth offenders, specifically in reducing recidivism, adequately addressing mental health concerns, and evaluating overall program effectiveness. The risk-need responsivity model and the good lives …


Women In Ministry In The Churches Of Christ: A Comparative View, Jennifer Reinsch Schroeder Oct 2025

Women In Ministry In The Churches Of Christ: A Comparative View, Jennifer Reinsch Schroeder

Discernment: Theology and the Practice of Ministry

This article examines the experiences of women serving as full-time ministers in the Churches of Christ. Analysis of the Siburt Institute’s 2025 Salary Survey shows a large gender pay gap that speaks to concerns regarding support and sustainability in ministry. To better understand mechanisms that impact both support and sustainability, a separate qualitative study was performed that analyzed the interviews of twenty-one full-time, female ministers. The study revealed recurring features of unhealthy systems and the impact of unhealthy systems on women in ministry. Conversely, the interviews illuminated hallmarks of healthy systems and the results that emerge out of such systems. …


Improving Screening Of Social Drivers Of Health In A Subspecialty Pediatric Cardiology Clinic, Gloria Mlewa Okorley Oct 2025

Improving Screening Of Social Drivers Of Health In A Subspecialty Pediatric Cardiology Clinic, Gloria Mlewa Okorley

Walden Dissertations and Doctoral Studies

N/A


Identifying Motivators For Retention Of Service Workers In Youth Group Care Programs, Michelle Lynn Briegel Oct 2025

Identifying Motivators For Retention Of Service Workers In Youth Group Care Programs, Michelle Lynn Briegel

Walden Dissertations and Doctoral Studies

Residential group care programs in Calgary, Alberta, Canada face challenges in recruiting and retaining qualified human service workers. This workforce retention issue affects the quality of care provided to vulnerable children and youth, as well as the overall stability of residential group care. The purpose of this qualitative action research study was to explore why service workers in front-line jobs choose to stay in their positions in youth-serving residential group care programs, guided by Herzberg’s two-factor theory of motivation. Nine participants were recruited through purposeful sampling via social media and email, with the criterion that they had been employed at …


School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito Oct 2025

School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito

Walden Dissertations and Doctoral Studies

Minority students are often omitted from social, economic, cultural, and political life due to ethnicity or poverty, which increases their risk of adverse childhood experiences, such as abuse or neglect, and increases their likelihood of discrimination that can obstruct their normal childhood development, including academic performance. Child-centered play therapy (CCPT) is a multiculturally appropriate approach that creates a safe and nonjudgmental environment, supporting adjustment and coping. However, many school counselors are not using CCPT. The research question was as follows: What are the lived experiences of school counselors who use CCPT in their work at high-diversity elementary schools? This study …


Impact Of Trauma-Informed Care On The Restorative Justice Ecosystem, Amy Kight Oct 2025

Impact Of Trauma-Informed Care On The Restorative Justice Ecosystem, Amy Kight

Doctoral Dissertations and Projects

Created and titled as the ARTIC Project (Activating Restoration through Trauma-Informed Courts), this research addresses the gap between industrial/structural realities and relationship/nurturing realities within Substance Use Disorder (SUD) recovery and restorative justice paradigms. Grounded in Trust-Based Relational Intervention (TBRI), the project emphasized that sustainable behavioral change requires balancing connection with correction (KPICD, 2022). Through a biblical lens, the researcher posits complete healing only comes from our Heavenly Father and occurs on an individual level. With this in mind, TBRI research affirms that organizations do not change people - people change people (KPICD, 2022). This intentional relationship between God, Creation, Others, …


Building Swimming Skills In A Community Based Program For Black Youth: An Evaluation, Tyler Lennon Md, Mph, Ashley Hayes Mph, Leonardo Barrera Mph, Amy Hill Ms, Mph, Andy Miner, Michelle Macy Md, Ms Oct 2025

Building Swimming Skills In A Community Based Program For Black Youth: An Evaluation, Tyler Lennon Md, Mph, Ashley Hayes Mph, Leonardo Barrera Mph, Amy Hill Ms, Mph, Andy Miner, Michelle Macy Md, Ms

International Journal of Aquatic Research and Education

Black youth in the United States disproportionately experience fatal drowning at rates up to five times higher than their white peers. Eliminating these inequities requires new approaches that address historical and structural barriers of learning to swim. The objective of this study was to evaluate the three-week long swimming component of a community-based discovery program to empower Black youth in Evanston, IL. Participants were Black youth ages 8-10 years enrolled in summer 2023 and 2024. Swim skills were assessed by instructors using the Pictorial Scale of Perceived Water Competence (PSPWC). Caregiver surveys, collected post-intervention, also assessed perceived changes in swim …


College For All And The Postsecondary Experiences Of Rural First-Generation College Students: Patterns Of Alignment With A Predominant Master Narrative, Andrew D. Coppens, Sarah Jusseaume, Jayson O. Seaman, Cindy L. Hartman, Erin H. Sharp Oct 2025

College For All And The Postsecondary Experiences Of Rural First-Generation College Students: Patterns Of Alignment With A Predominant Master Narrative, Andrew D. Coppens, Sarah Jusseaume, Jayson O. Seaman, Cindy L. Hartman, Erin H. Sharp

Faculty Publications

The aim of this study was to understand the experiences of rural, first-generation college (RFGC) students in relation to dominant culturally normative expectations about postsecondary educational and workforce trajectories. The study adopted patterns of engagement with a master narrative as both a conceptual framework and unit of analysis, examining both biography and cultural ecologies as well as highlighting agency in the lives and choices of study participants. Evidence is drawn from 4 in-depth narrative interviews with each of 14 RFGC students, conducted both at school and students’ homes, from rural and small-town communities. Results show that a master narrative of …


The Model Of The Formation Of Adolescent Sexual Orientation In Indonesia: Case-Control Study, Putri Azzahroh, Arni Amir, Adang Bachtiar, Firdawati Firdawati Oct 2025

The Model Of The Formation Of Adolescent Sexual Orientation In Indonesia: Case-Control Study, Putri Azzahroh, Arni Amir, Adang Bachtiar, Firdawati Firdawati

Journal of Health Research

Background: This study examines the social construction of sexual orientation among adolescents, particularly non-heterosexual, in Daerah Khusus Ibukota (DKI) Jakarta, Indonesia. Currently, non-heterosexual adolescents tend to recognize their sexual attraction earlier than previous generations.

Methods: A mixed methods approach was used. We conducted in-depth interviews with foundations focused on HIV/AIDS management and groups with non-heterosexual orientations. For the quantitative portion, 267 adolescents (89 non-heterosexual and 178 heterosexual) completed a validated questionnaire. We conducted univariate and bivariate analyses examining gender distribution as well as the association between social construction factors and the formation of sexual orientation.

Results: Logistic regression identified key …


Determining If Trauma-Informed Practices Improve Behavioral, Academic, And Social-Emotional Outcomes For Students, Paige M.K. Newman Oct 2025

Determining If Trauma-Informed Practices Improve Behavioral, Academic, And Social-Emotional Outcomes For Students, Paige M.K. Newman

Master's Theses & Capstone Projects

This capstone project explores the impact of trauma-informed practices (TIP) on middle school students’ academic achievement, social-emotional development, and behavioral growth. Grounded in the understanding that adverse childhood experiences can significantly shape learning and behavior, the study investigates how intentional, school-wide trauma-responsive strategies support student success. Using a mixed-methods design, data were collected through classroom observations, academic performance measures, and social-emotional/behavioral screening tools, complemented by teacher and student surveys. Findings highlight positive correlations between consistent implementation of TIP and improvements in student engagement, emotional regulation, and on-task behavior, as well as modest but meaningful gains in academic outcomes. The project …


Book Review: Evangelism In An Age Of Despair: Hope Beyond The Failed Promise Of Happiness By Andrew Root, Mark R. Teasdale Oct 2025

Book Review: Evangelism In An Age Of Despair: Hope Beyond The Failed Promise Of Happiness By Andrew Root, Mark R. Teasdale

Great Commission Research Journal

No abstract provided.


Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples Oct 2025

Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples

Theses and Dissertations

Over the past decade, youth have shown a consistent rise in stress, major depression, anxiety, and suicide, with underserved youth (low-income, minoritized communities) at greatest risk of exposure to chronic stress, related outcomes, and less access to health services (APA, 2017). Afterschool programs (ASPs), which serve as important resources in underserved communities, can be a critical support for youth health and well-being (Afterschool Alliance, 2019). However, few studies have examined ways in which ASPs address the challenges underserved youth face across their ecosystem to promote youth resilience (Jones & Deutsch, 2011). Using qualitative interview data from staff and youth across …


Adolescent Executive Function As A Resilience Factor In The Family Stress Model Among Mexican-Origin Families, Su Yeong Kim, Yayu Du, Tianlu Zhang, Jingyi Shen, Kiera M. Coulter, Lester Sim, Wen Wen, Belem G. Lopez, Maria M. Arredondo, Shen Yishan, Hou Yang Oct 2025

Adolescent Executive Function As A Resilience Factor In The Family Stress Model Among Mexican-Origin Families, Su Yeong Kim, Yayu Du, Tianlu Zhang, Jingyi Shen, Kiera M. Coulter, Lester Sim, Wen Wen, Belem G. Lopez, Maria M. Arredondo, Shen Yishan, Hou Yang

Research Collection School of Social Sciences

Mexican-origin families often face economic hardship due to systemic oppression, increasing the likelihood of adolescent marijuana use. While the family stress model provides insight into the mechanism of the association between family economic hardship and adolescent marijuana use, resilience factors are relatively unknown. The present study uses a three-wave longitudinal data set of Mexican immigrant families in the United States (Wave 1—adolescents: Mage = 12.29, SD = 0.93; mothers: Mage = 38.57, SD = 5.71) to investigate the mechanism underlying the association between family income and adolescents’ likelihood of marijuana use, guided by the family stress model. The protective role …


Strategic Leadership In Security Media: Enhancing Community Safety Against Drug Abuse In Oman, Raed Awashreh, Saif Alshuhoomi,, Viola Gjylbegaj Oct 2025

Strategic Leadership In Security Media: Enhancing Community Safety Against Drug Abuse In Oman, Raed Awashreh, Saif Alshuhoomi,, Viola Gjylbegaj

Journal of Strategic Security

Rapid global development has led to increased security challenges, particularly regarding drug-related crimes. This study examines the role of strategic leadership in security media to enhance community security, focusing on drug abuse in Oman. Despite ongoing efforts to combat drug-related offenses, these crimes remain a significant threat to societal stability. The qualitative research involved in-depth interviews with 14 decision-makers, including 7 experts from Oman’s security media, police, and related institutions. It explores the effectiveness of security media campaigns in raising awareness and reducing drug use. Thematic analysis of the data revealed key challenges, including limited resources, outdated technologies, and insufficient …


Using Latent Patient-Centered Fear Extinction Profiles To Guide Treatment In Pediatric Ocd, Katherine M Ingram, Eric A Storch, Daniel A Geller, Brent J Small, Sabine Wilhelm, Joseph F Mcguire Oct 2025

Using Latent Patient-Centered Fear Extinction Profiles To Guide Treatment In Pediatric Ocd, Katherine M Ingram, Eric A Storch, Daniel A Geller, Brent J Small, Sabine Wilhelm, Joseph F Mcguire

Faculty, Staff and Students Publications

Background: While exposure with response prevention (ERP) is the frontline treatment for pediatric obsessive-compulsive disorder (OCD), not all patients benefit. Impairments in extinction learning are implicated in pediatric OCD's etiology and treatment, with impaired pre-treatment extinction learning associated with worse ERP outcomes. However, available methods for assessing patients' difficulties with fear extinction are costly and underdeveloped. In response, we used person-centered profiles to characterize latent fear extinction patterns among youth with OCD, and investigated the degree to which scores on common rating scales correspond to profile membership.

Methods: Youth with OCD (n=98) completed a diagnostic clinical battery followed by a …


The Level Of Awareness Of County Services In Maryland Offered By A Local Care Team To Youth With Developmental Disabilities And Mental Illness, Wanna Nedgie Dare Sep 2025

The Level Of Awareness Of County Services In Maryland Offered By A Local Care Team To Youth With Developmental Disabilities And Mental Illness, Wanna Nedgie Dare

Walden Dissertations and Doctoral Studies

Mental and developmental health challenges remained a significant concern in one Maryland county. The Maryland Governor’s Office for Children (GOC) funds and supports the Local Care Team (LCT). Participation remains low, indicating a lack of community awareness. The purpose of this study was to explore the awareness of LCT services and strategies to improve outreach, interagency coordination, and communication to increase service use. The research question was: What is the Level of Awareness of County Services in Maryland Offered by a Local Care Team to Youth with Developmental Disabilities and Mental Illness? Guided by the person-centered care (PCC) model, evidence …


Abolition And Social Work: Dismantling Carceral Logics To Build Systems Of Care, Durrell M. Washington, Brittany Ribeiro Brown, Diana Ballesteros, Rebecca Lynn Davis Sep 2025

Abolition And Social Work: Dismantling Carceral Logics To Build Systems Of Care, Durrell M. Washington, Brittany Ribeiro Brown, Diana Ballesteros, Rebecca Lynn Davis

School of Social Work Faculty Publications and Presentations

Social work has historically operated as an extension of the carceral state, embedding policing, surveillance, and punishment into youth-serving institutions under the guise of care. This paper examines carceral seepage—the infiltration of punitive logics into social work practice—across child welfare, education, and juvenile legal, revealing how these systems function as interconnected circuits of criminalization rather than support. Using abolitionist frameworks, we critique social work’s complicity in punitive interventions and address common concerns about safety, scalability, and sustainability. Instead of reforming oppressive institutions, we argue for a fundamental transformation of social work, advocating for non-carceral models such as community-led crisis response, …


Toward A Clinically Actionable, Electronic Health Record-Based Machine Learning Model To Forecast 90-Day Change In Hemoglobin A1c In Youth With Type 1 Diabetes: Feasibility And Model Development Study, Erin M. Tallon, David D. Williams, Cintya Schweisberger, Colin Mullaney, Brent Lockee, Diana Ferro, Craig Vandervelden, Mitchell S. Barnes, Angelica Cristello Sarteau, Anna R. Kahkoska, Susana R. Patton, Sanjeev Mehta, Ryan Mcdonough, Marcus Lind, Leonard D'Avolio, Mark A. Clements Sep 2025

Toward A Clinically Actionable, Electronic Health Record-Based Machine Learning Model To Forecast 90-Day Change In Hemoglobin A1c In Youth With Type 1 Diabetes: Feasibility And Model Development Study, Erin M. Tallon, David D. Williams, Cintya Schweisberger, Colin Mullaney, Brent Lockee, Diana Ferro, Craig Vandervelden, Mitchell S. Barnes, Angelica Cristello Sarteau, Anna R. Kahkoska, Susana R. Patton, Sanjeev Mehta, Ryan Mcdonough, Marcus Lind, Leonard D'Avolio, Mark A. Clements

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Clinicians currently lack an effective means for identifying youth with type 1 diabetes (T1D) who are at risk for experiencing glycemic deterioration between diabetes clinic visits. As a result, their ability to identify youth who may optimally benefit from targeted interventions designed to address rising glycemic levels is limited. Although electronic health records (EHR)-based risk predictions have been used to forecast health outcomes in T1D, no study has investigated the potential for using EHR data to identify youth with T1D who will experience a clinically significant rise in glycated hemoglobin (HbA1c) ≥0.3% (approximately 3 mmol/mol) between diabetes clinic visits. …