Children with special healthcare needs (CSHCN), especially those with mental health needs, often receive services from multiple service sectors, including schools. Thus, care coordination may play a critical role in access to mental health care for these children. This cross-sectional study used multivariable logistic regression with pooled data from the National Survey of Children's Health (2020-2023), focusing on a subsample of children with caregiver-reported mental health problems and a [...]

CONCLUSION: SBTH appears feasible, acceptable, and capable of improving access to care; however, fragmented evaluation practices limit comparability and policy translation. The proposed framework provides a structured approach to guide comprehensive, longitudinal evaluation and support scalable, integrated telehealth implementation in school settings. [...]

CONCLUSIONS: Our results support the need to clearly define a realistic role for PCPs as generalists addressing nutrition. Clarified expectations in turn can inform nutrition training of physicians and guiding frameworks and strategies for giving practical, evidence-based nutrition guidance. PCPs also need increased support through access to resources, strategies to improve RD collaboration, and attention to system- and societal-level challenges influencing dietary interventions in primary care. [...]