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Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Toolkit
This guide is designed to help district leaders understand and respond to the specific teacher staffing gaps they’re facing, focusing on time-tested strategies that will make an immediate impact: ideas for covering absences, filling existing vacancies, and addressing chronic shortages exacerbated by the pandemic in key subject areas and in schools serving historically marginalized communities. It also offers advice on how districts can plan—in partnership with stakeholders inside and outside education—for longer-term changes to teacher pipelines, the employee value proposition for teachers, and the teacher role itself that will bring many more talented professionals into the classroom to support students in the critical years ahead.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Summary Report/Recommendations
We recommend that lead agencies, in partnership with other state agencies, implement the following provisions in support of the early care and education workforce: (1) Ensuring federal child care relief funds reach individual early care and education staff in the form of direct cash payments. (2) Ensuring health coverage and guaranteed paid leave of at least two weeks for all staff working in regulated early care and education programs. (3) Adjusting eligibility requirements for public safety net programs utilized by early childhood personnel until the period when all state ARPA funds related to child care are liquidated. (4) Prioritizing equitable distribution of funding to programs located in communities with the most need, which have been impacted most acutely by this pandemic. (5) Improving systems administration and technical assistance to facilitate accessible, simple application processes. (6) Establishing essential, yet simple data collection protocols to examine the utilization and impact of ARPA funding in order to inform future policies and resource allocation. (7) Prohibiting the use of quality ratings as a determining factor for eligibility to receive ARPA funds or to condition levels of payment.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Toolkit
This guide is designed to help district leaders understand and respond to the specific teacher staffing gaps they’re facing, focusing on time-tested strategies that will make an immediate impact: ideas for covering absences, filling existing vacancies, and addressing chronic shortages exacerbated by the pandemic in key subject areas and in schools serving historically marginalized communities. It also offers advice on how districts can plan—in partnership with stakeholders inside and outside education—for longer-term changes to teacher pipelines, the employee value proposition for teachers, and the teacher role itself that will bring many more talented professionals into the classroom to support students in the critical years ahead.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
A retrospective registry-based chart review examined the various demographic and clinical risk factors associated with COVID-19 severity among patients aged 18-29. The study was done within a metropolitan health care system in Houston, TX. In the cohort of 1,853 young adult patients diagnosed with COVID-19 infection at a hospital encounter, including 226 pregnant women, 1,438 (78%) scored 0 on the Charlson Comorbidity Index, and 833 (45%) were obese (≥30 kg/m2). Within 30 days of their diagnostic encounter, 316 (17%) patients were diagnosed with pneumonia, 148 (8%) received other severe disease diagnoses, and 268 (14%) returned to the hospital after being discharged home. In multivariate logistic regression analyses, increasing age, male gender, Hispanic ethnicity, obesity, asthma history, congestive heart failure, cerebrovascular disease, and diabetes were predictive of severe disease diagnoses within 30 days. Non-Hispanic Black race, obesity, asthma history, myocardial infarction history, and household exposure were predictive of 30-day readmission.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
Youth nationwide face new intensified stressors like illness, death, social isolation, economic stress, food insecurity, family hardship, and increase domestic violence risk. These stressors are associated with outcomes like depression, behavioral problems, anxiety disorders, and worsened existing mental health conditions. School-based health centers (SBHCs) are a cost-effective health care delivery model that increases mental and behavioral health access and use. SBHC patients live in underserved communities and are at a greater risk for mental health issues. The qualitative data from this study highlight increased demand for mental health services and a lack of resources to meet this demand, resources to ensure universal telehealth technology access are needed to improve health care access for youth, and parental buy-in and support are crucial component of sustained care.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article describes the rapid scale-up of adolescent telehealth services at the Children’s Hospital of Philadelphia (CHOP) Division of Adolescent Medicine. While the scale-up was partially effective in reaching some underserved populations (e.g., people living with HIV, people with substance use disorder, people living with mental illness), racial disparities in visit completion rates are concerning and would need to be addressed by sites replicating this intervention to avoid exacerbating health disparities. The practice strategy this article is focused on is adolescent telehealth services.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
The article presents a mental health intervention for LGBTQ+ youth delivered by telehealth. This article describes the application of a Cognitive Behavioral Therapy (CBT) approach through an online telehealth program called AFFIRM. The affirm approach covered 8 group sessions focusing on youth LGBTQ+ populations and included a brief case study highlighting the approach and feedback from one individual. Though the case study discussed in this article is brief, the Affirmative CBT model has been addressed in other studies and was found to reduce depression, mental health risks, and increase coping skills.The intervention may be useful to bridge access gaps presented by COVID-19.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Case Study
The Packed Promise intervention sent monthly food boxes and food vouchers to families with children eligible for free school meals in Chickasaw Nation territory in rural Oklahoma. The deliveries themselves were successful and led to modest improvements in children’s fruit, vegetable, and whole-grain consumption, but the intervention did not result in statistically significant reductions in children’s food insecurity. Adult food insecurity was reduced initially, but the reduction was not sustained after 18 months. 2 articles were written to assess Packed Promise’s impacts on food insecurity (Briefel et al.) and fruit/veg consumption (Cabili et al.).
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Systematic Review/Meta-Analysis
This source reviews how the COVID-19 pandemic has affected children and families, and gives recommendations on how these families and surrounding stakeholders can better support them. This includes ensuring age-appropriate information is available for parents and children, supporting childcare needs, collaborating with schools or trusted community institutions, and creating policies that support overall health, safety, and wellbeing as the pandemic continues on.