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SAMPLE, DESIGN, & INTERVENTIONACHIEVEMENTMEASUREOUTCOMEIn the epilepsy sample, sex was a significant predictor for the Composite,Reading, Language, and Vocabulary. There was also a strong trend (p =0.051) for sex to be predictive in the area of mathematics, with malesfaring worse than females. Condition severity was also significant forcomposite and language. Child attitude toward epilepsy was significantlyassociated with composite, language, and vocabulary and was close tosignificant (p = 0.06) for Reading. Finally, total adaptive functioning wassignificantly associated with composite, mathematics, and language scores.Fastenau (2004)Sample: N = 173 8 to 15 year-old children with epilepsywho were recruited from outpatient pediatric neurologyclinics, private pediatric neurology practices, and schoolnurses in Indiana and neighboring areasEpilepsy Measures: Seizure variables (seizure status,seizure type, duration of disorder, and age at onset)Study Design: Cross-sectionalWJR Broad ReadingIndex, Broad MathIndex, Broad WrittenLanguage IndexWJR PictureVocabulary, Token Testfor Children, StroopColor-Word Test,Children’s CategoryTest, Kaufman BriefIntelligence Test, WideRange Assessment ofMemory and Learning,Conners’ ContinuousPerformance Test,Attentional CapacityTest, Trail MakingTest, GroovedPegboardThree groups of moderating variables examined: demographic, seizure,and psychosocial variablesSEM analysis identified a 3-factor measurement model ofneuropsychological function: Verbal/Memory/Executive (VME), RapidNaming/Working Memory (RN/WM), and Psychomotor (PM).VME and RN/WM were strongly related to reading, math, and writing.PM predicted writing only.Family environment moderated the impact of neuropsychological deficitson writing (p
SAMPLE, DESIGN, & INTERVENTIONACHIEVEMENTMEASUREimpact of the healthcondition on the child’sschool functioningOUTCOMEStudy Design: Cross-sectionalThree groups that appeared at particular risk for academic difficulties:children with epilepsy, sickle cell disease, or spina bifida, were the mostlikely to receive special services, repeat a grade, or score more poorly onachievement test, compared with other clinic groups.The variable log of days absent was related to sex, number of clinic visits,physician rating of activity limitation, and acquired cardiac disease orsickle cell disease conditions (R 2 = 0.17, p = 0.001). National achievementscores were mainly related to SES factors and arthritis, cystic fibrosis,diabetes, epilepsy, or hemophilia chronic health conditions (R 2 = 0.44, p =0.001), but were unrelated to school absence.Huberty(2000)*Sample: N = 227 children (117 with epilepsy, 110 withasthma) drawn from four outpatient clinics in two largeMidwestern medical facilities and from the privatepractices of neurologists and pediatricians who werefollowed for 4 yearsEpilepsy Measure: Severity Score (sum of type ofseizure, frequency of seizures, and the number ofantiepileptic medications and the presence of sideeffects)Asthma Measure: Severity Score (sum of yearlyfrequency of episodes, side effects of medication,hospitalizations for asthma, emergency room visits forasthma attacks, and school absences)Study Design: LongitudinalTeacher Report Form(TRF) of the ChildBehavior Checklist(academic performance,working hard, happy,behaving appropriately,and learning)Piers-Harris Self-Concept Scale forChildrenControlled for baseline TRF score and age at onsetOn average, the asthma sample improved more than the epilepsy samplefor each of the TRF scores, with the exception of the change in BehavingAppropriately.At follow-up, the epilepsy sample was performing at the 28 th percentile onAcademic performance and at the 39 th percentile on Total AdaptiveFunctioning. The asthma sample was performing slightly above thepopulation mean on both of these TRF scales.Among the epilepsy sample, there was no effect of gender for any of thechange scores. Change in condition severity was significantly related tochange in mean Academic performance.Among the asthma sample, change in condition severity was related tochanges in Academic performance, happy, learning, and total adaptivefunctioning.Mitchell (1991)Sample: N = 78 children with epilepsy between 5 and13 years-old who visited the Children’s Hospital LosAngeles Neurology ServiceEpilepsy Measures: Seizure severity; Duration ofseizure disorder; Total medicationsStudy Design: Cross-sectionalCognitive Measures:•Children 7 years-old:Wechsler IntelligenceScale for Children-Revised (WISC-R)•Spanish-speakingchildren: EscelaIn the group as a whole, academic achievement was poor, if not adjustedfor IQ. For example, 55% were below the 25 th percentile and 40% werebelow the 10 th percentile for reading comprehension.Median IQ was 95, with a range of 80 to 114.After adjusting expected achievement for IQ, 16% to 50% of the subjectswere underachieving for each subscale of the PIAT, using criteria of a ½standard deviation difference between the PIAT and IQ.Achievement versus underachievement in reading recognition, readingcomprehension, general knowledge, and spelling was unrelated to seizureE-80
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Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
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• Nurse-midwife services;• Fede
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Disproportionate Share Hospital Pro
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March 13, 2001, that limited the am
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year from FFY 2002-2004, $4.05 bill
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Medicaid beneficiaries. Section 191
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started in 2001 and 2002 to curb in
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urban and with fewer than 250,000 p
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Protection Act of 2000 and the Medi
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orientation). Recipients of Supplem
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enrollee is assigned a primary care
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Table 7. Texas Medicaid Policy Chan
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Table 8. Texas SCHIP Policy Changes
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families (through the employer’s
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share of the match must come from t
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Reinstating the Medically Needy Spe
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Endnotes1 Texas Health and Human Se
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35 Powers, Pyles, Sutter, and Vervi
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73 Office of Management and Budget,
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113 TexCare, Children’s Health In
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150 Lyndon B. Johnson School of Pub
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States by Groupings with Current El
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Medicaid and the State Children’s
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Graduate Medical Education ProgramA
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needs, however, there is a shortage
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15 Texas Association of Counties,
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ecording and evaluation; physical e
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Medicaid and the State Children’s
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ReferencesAmerican Academy of Pedia
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downloads/bipa.pdf#search='Medicare
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Texas Health and Human Services Com
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Appendix CAn Analysis of Reform Opt
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Encouraged by these low rates, Cong
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Establishing state-only tax incenti
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New York passed the Health Care Ref
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Hospital Cost Containment — Maryl
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dollar spent. 237 Texas spent almos
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Another option for small businesses
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• Medical equipment and supplies,
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pay the premiums for Medicaid benef
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Medicaid to children born after Sep
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Bill of Rights or “TABOR”; and
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The federal share for CHP+ is 65 pe
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SCHIP: increased eligibility in CHP
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• Medical equipment and supplies
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6. Funds obtained through the recov
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Status ReportMaineCare Program Expa
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the federal poverty level. 404 Sinc
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need their jobs as a source of empl
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Endnotes191 Deborah Chollet, Issue
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225 Ibid.226 Maryland Health Care C
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259 Kaiser Family Foundation, State
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SCHIP&subcategory=Medicaid+Spending
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325 Kaiser Family Foundation, State
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361 State Coverage Initiatives, Sta
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SCHIP&subcategory=SCHIP&topic=Feder
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An Analysis of Reform Options Devel
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ReferencesAdvantage Insurance and F
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Donnell-Kay Foundation. “Amendmen
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Kaiser Family Foundation. Demograph
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State Coverage Initiatives. Profile
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Appendix DLocal Initiatives to Expa
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with more coordinated services that
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FinancingSources of revenue include
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AdministrationThe Health and Hospit
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Until 1993, Denver Health (DH) was
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different benefit plans are offered
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Cost SharingPatient cost-sharing is
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management programs. I-Care promote
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the county indigent care plan. Bene
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Firstplan xxvi,12Moore County, Mich
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Benefits and ServicesEnrollees can
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EligibilityAs of 2005, enrollment i
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etween $23 and $120 per month. Ther
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Healthcare Accountability Act xxxvi
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Coordination - When health care age
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subsidized initiatives offer exposu
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arriers, two health plans attempted
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xxi Simmons, Sandy Coe, Gionfriddo,
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Table 1 (Continued). Local Care Ini
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Table 2 (Continued). Local Coverage
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Appendix EEducation and Health:A Re
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The human capital approach suggests
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etween standardized test scores (St
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INTRODUCTIONEducation plays a wide
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of children with chronic health con
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Implications. Given the current pre
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DiabetesPrevalence. Diabetes in chi
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Limitations. The cross-sectional de
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chronic lung disease, cystic fibros
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significant differences between tho
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Table 1. Prevalence of Selected Chr
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findings of lower test scores are b
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al (McKewen et al., 1998) report a
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Section 3. School-Based Interventio
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mathematics, science and oral expre
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Table 4. Summary of Research Findin
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etween SES and health is a dose-res
Page 214 and 215: Self-Rated Health. Evidence accumul
Page 216 and 217: economic hardship. One of the skill
Page 218 and 219: Education also improves the stabili
Page 220 and 221: sex in the expectation of a more pr
Page 222 and 223: TABLE 6. SUMMARY OF EXPLANATIONS FO
Page 224 and 225: According to the Census 2000 data,
Page 226 and 227: Policy Reports Recommendations (Tot
Page 228 and 229: Section 2. Recommendations on Schoo
Page 230 and 231: Childhood ConditionsSchool-based Pr
Page 232 and 233: Childhood ConditionsDiabetes (n=11)
Page 234 and 235: eduction in reading test scores com
Page 236 and 237: Table 10. Estimates of the Cost of
Page 238 and 239: National Asthma Education and Preve
Page 240 and 241: REFERENCESAck, M., Miller, I., & We
Page 242 and 243: Elo, I. T., & Preston, S. H. (1996)
Page 244 and 245: Kaemingk, K. L., Pasvogel, A. E., G
Page 246 and 247: Miller, D. S., & Miller, T. Q. (199
Page 248 and 249: Ross, C. E., & Wu, C. L. (1996). Ed
Page 250 and 251: Williams, D. R. (1990). Socioeconom
Page 252 and 253: SAMPLE, DESIGN, & INTERVENTIONACHIE
Page 254 and 255: SAMPLE, DESIGN, & INTERVENTIONStudy
Page 268 and 269: SICKLE CELL ANEMIAArmstrong(1996)SA
Page 272 and 273: SAMPLE, DESIGN, & INTERVENTIONSickl
Page 274 and 275: SAMPLE, DESIGN, & INTERVENTIONhemog
Page 278 and 279: SAMPLE, DESIGN, & INTERVENTIONStudy
Page 280 and 281: Curriculum Content: Statute §28.00
Page 282 and 283: • HEALTH PROMOTING ENVIRONMENTSch
Page 284 and 285: • COORDINATION/IMPLEMENTATIONCoor
Page 286 and 287: Education and Health: A Review and
Page 288 and 289: Appendix FState Regulation of Healt
Page 290 and 291: coverage they offer. 14 By 2004 onl
Page 292 and 293: poor health may make coverage more
Page 294 and 295: account for most, or even much, of
Page 296 and 297: More active state intervention in t
Page 298 and 299: Table 3 (GAO Appendix IV) shows whi
Page 300 and 301: Appendix GEmergency and Trauma Care
Page 302 and 303: The treatment of shock prior to sur
Page 304 and 305: the EMS needs in rural areas of the
Page 306 and 307: Level IV trauma centers should be a
Page 308 and 309: Table 2. Trends in Trauma Severity,
Page 310 and 311: the hospitals were on diversion or
Page 312 and 313: Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
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Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char
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