Featured

• Alexander, S. C., Fortenberry, J. D., Pollak, K. I., Bravender, T., Davis, J. K., Ostbye, T., . . . Shields, C. G. (2014). Sexuality talk during adolescent health maintenance visits. JAMA Pediatrics, 168(2): 163-169. (Abstract).
• American Academy of Child and Adolescent Psychiatry. (2018). Suicide in Children and Teens.
• American Academy of Child and Adolescent Psychiatry. (2019). Self-Injury in Adolescents.
• American Academy of Child and Adolescent Psychiatry. (2014). TV Violence and Children.
• American Academy of Child and Adolescent Psychiatry. (2011). Prevention of Bullying Related Morbidity and Mortality Policy Statement.
• American Academy of Pediatrics. (2018). AAP News: Athletic environments can create opportunities for abuse.
• American Academy of Pediatrics. (2017). Policy Statement: Global Human Trafficking and Child Victimization. Pediatrics, 147(3), e20173138.
• American Academy of Pediatrics. (2016). Policy Statement: Media Use in School-Aged Children and Adolescents. Pediatrics, 138(5), e20162592.
• American Academy of Pediatrics. (2016). Policy Statement: Media and Young Minds. Pediatrics, 138(5), e20162591.
• American Academy of Pediatrics. (2015). Child Sex Trafficking and Commercial Sexual Exploitation: Health Care Needs of Victims. Pediatrics, 135(3): 566-574.
• American Academy of Pediatrics, Committee on Adolescence and Society for Adolescent Health and Medicine. (2014). Policy Statement: Screening for Nonviral Sexually Transmitted Infections in Adolescents and Young Adults. Pediatrics, 134(1): e302-3311.
• American Academy of Pediatrics. (2014). Policy Statement: 2014 Recommendations for Pediatric Health Care. Pediatrics, 133(3):S68-S70.
• American Academy of Pediatrics. (2019). Policy Statement – Role of the Pediatrician in Youth Violence Prevention. Pediatrics, 103(1):173-181.
• American Academy of Pediatrics. (2013). Achieving Quality Health Services for Adolescents. Pediatrics, 132(1):e281.
• American Academy of Pediatrics. Connected Kids and Connected Kids Clinical Guide and Handouts.
• American Academy of Pediatrics. The Injury Prevention Program’s Guide to Safety Counseling in Office Practice.
• American Association of Suicidology.
• American Psychological Association. (2021). Trauma.
• Anderson, C. A., Bushman, B. J., Donnerstein, E., Hummer, T. A., & Warburton, W. (2015). SPSSI Research Summary on Media Violence. (Fee required.)
• Attorney General of Texas. (n.d.). Human Trafficking.
• Beckett, M. K., Elliott, M. N., Martino, S., Kanouse, D. E., Corona, R., Klein, D. J., & Schuster, M. A. (2010). Timing of parent and child communication about sexuality relative to children's sexual behaviors. Pediatrics, 125(1):34-42. [Abstract]
• Bennett, G. H., Shiels, W. E., II, Young, A. S., Lofthouse, N., & Mihalov, L. (2011). Self-embedding behavior: A new primary care challenge. Pediatrics, 127(6):2010-2877.
• Beresin, E. V. (2014). Media Violence and Youth. Academic Psychiatry, 23, 111-114.
• Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920.
• Centers for Disease Control and Prevention. (2021). Teen Dating Violence Fact Sheet.
• Centers for Disease Control and Prevention. (2020). COVID-19: Social Distancing.
• Centers for Disease Control and Prevention. (2020). The 2019 High School Youth Risk Behavior Survey: Texas 2019 and United States 2019 Data.
• Centers for Disease Control and Prevention. (2020). Violence Prevention: Fast Facts. What are child abuse and neglect?
• Centers for Disease Control and Prevention. (2020). Violence Prevention: Fast Facts. What is youth violence?
• Centers for Disease Control and Prevention. (2020). HIV: Youth.
• Centers for Disease Control and Prevention. (2020). Increased Risk for Family Violence During the COVID-19 Pandemic. Morbidity and Mortality Weekly Report (MMWR), 69(49);1841–1847.
• Centers for Disease Control and Prevention. (2020). Sexual Activity and Contraceptive Use Among Teenagers Aged 15-19 in the United States, 2015-2017.
• Centers for Disease Control and Prevention. (2020). Trends in U.S. Emergency Department Visits Related to Suspected or Confirmed Child Abuse and Neglect Among Children and Adolescents Aged < 18 Years Before and During the COVID-19 Pandemic—United States, January 2019-September, 2020. Morbidity and Mortality Weekly Report (MMWR), 69(49), 1841–1847.
• Centers for Disease Control and Prevention. (2019).
• Injury Prevention and Control: #Stopbullying.
• Centers for Disease Control and Prevention. (2019). Safety and Children with Disabilities: Self Injury.
• Centers for Disease Control and Prevention. (2019). Sexually Transmitted Disease Surveillance 2018: Chlamydia.
• Centers for Disease Control and Prevention. (2019). Clinical Report: Organized Sports for Children, Preadolescents, and Adolescents.
• Centers for Disease Control and Prevention. (2019). Preventing Bullying.
• Centers for Disease Control and Prevention. (2018). HIV Surveillance Report 2018.
• Centers for Disease Control and Prevention. (2016). HIV Among U.S. Youth, 2016.
• Centers for Disease Control and Prevention. (2016). LGBT Youth.
• Centers for Disease Control and Prevention. (2016). Violence Prevention: Bullying.
• Centers for Disease Control and Prevention. (2016). Youth Violence Facts at a Glance.
• Centers for Disease Control and Prevention. (2016). Understanding School Violence Fact Sheet.
• Centers for Disease Control and Prevention. (2016). A Comprehensive Technical Package for the Prevention of Youth Violence and Associated Risk Behaviors
• Centers for Disease Control and Prevention. (2015). 2015 STD Treatment Guidelines.
• Centers for Disease Control and Prevention. (2014). The Relationship Between Bullying and Suicide: What We Know and What it Means for Schools.
• Centers for Disease Control and Prevention. (2011). Grand Rounds: Chlamydia Prevention: Challenges and Strategies for Reducing Disease Burden and Sequelae.
• Centers for Disease Control and Prevention. (2011). Self-directed Violence Surveillance: Uniform Definitions and Recommended Data Elements.
• Centers for Disease Control and Prevention. (2006). Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings.
• Centers for Disease Control and Prevention. (n.d.). Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence. (PowerPoint).
• Child Trends Data Bank. (2016). Children’s Exposure to Violence: Indicators on Children and Youth.
• Children at Risk. Human Trafficking.
• Common Sense Media. (2019). The Common Sense Census: Media Use by Tweens and Teens, 2019. (Free registration required.)
• Cyberbullying Research Center. (2019). 2019 Cyberbullying Data.
• CyberWise. 6 Teen ‘Hookup’ Apps Parents Should Know About.
• David’s Law, Texas Senate Bill 179, full text download.
• David’s Legacy Foundation. (2017). SB179, David’s Law fact sheet.
• Derouin, A., & Bravender, T. (2004). Living on the edge: The current phenomenon of self-mutilation in adolescents [Abstract]. The American Journal of Maternal/Child Nursing, 29(1):12–18.
• Dignity Health System. PEARR (Provide Privacy, Educate, Ask, Respect & Respond) Tool.
• Dovydaitis, T. (2010). Human Trafficking: The Role of the Health Care Provider. Journal of Midwifery and Women’s Health, 55(5):462-467.
• Eisenberg, M. E., & Aalsma, M. C. (2005). Bullying and Peer Victimization: Position Paper of the Society of Adolescent Medicine. Journal of Adolescent Health, 36(1):88-91.
• Englander, E., Donnerstein, E., Kowalaki, R., Lin, C. A., & Parti, K. (2017). Defining Cyberbullying. Pediatrics, 140(Supplement 2): S148-S151.
• Exner-Cortons, D., Eckenrode, J., & Rothman, E. (2013). Longitudinal Associations Between Teen Dating Violence Victimization and Adverse Health Outcomes. Pediatrics, 131(1), 71-78.
• Finklehor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2015). Prevalence of Childhood Exposure to Violence, Crime, and Abuse: Results From the National Survey of Children's Exposure to Violence. JAMA Pediatrics, 169(8):746-54. [Abstract]
• Fuentes, L., Ingerick, M., Jones, R., & Lindberg, L. (2018). Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services. Journal of Adolescent Health, 62(1): 36-43.
• Guttmacher Institute. (2017). American Adolescents’ Sources of Sexual Health Information.
• Hagan, J. F., Shaw, J. S., & Duncan, P. M., (Eds.). (2008). Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents, American Academy of Pediatrics.
• Harvard School of Public Health. (2001). Dating Violence Against Adolescent Girls Linked with Teen Pregnancy, Suicide Attempts, and Other Health Risk Behaviors.
• Henry J. Kaiser Family Foundation. (2010). Generation M2: Media in the Lives of 8- to 18-Year-Olds
• Hinduja, S., & Patchin, J. W. (2020). Digital Dating Abuse Among a National Sample of U.S. Youth. Journal of Interpersonal Violence, Jan. 8.
• Hinduja, S., & Patchin, J. W. (2013). Social Influences on Cyberbullying Behaviors Among Middle and High School Students. Journal of Youth and Adolescence, 42(5): 711-722.
• Humphreys, K. L., Myint, M. T., & Zeanah, C. H. (2020). Increased Risk for Family Violence During the COVID-19 Pandemic. Pediatrics, 146(1): e20200982.
• Ingram, K. M., Espelage, D. L., Davis, J. P.,  & Merrin, G. J. (2020). Family Violence, Sibling, and Peer Aggression During Adolescence: Associations With Behavioral Health Outcomes. Frontiers in Psychiatry, 11, 26.
• Journal of Epidemiology & Community Health. (2007). 61(9): 764–770.
• Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122(1):231-237. [Abstract]
• Kowalski, R. M., & Limber, S. P. (2012). Psychological, Physical, and Academic Correlates of Cyberbullying and Traditional Bullying. Journal of Adolescent Health, 53(1):S13-S20.
• Krug, E. G., Dahlberg, L. L., Mercy, J. A., Zwi, A. B., & Lozano, R. (2002). World report on violence and health. Geneva, Switzerland: World Health Organization:1–56.
• Lyznicki, J. M., McCaffree, M. A., & Robinowitz, C. B. (2004). Childhood Bullying: Implications for Physicians. American Family Physician, 70(9):1723-1728.
• Madigan, S., Ly, A., Van Ouytsel, J., & Temple, J. R. (2018). Prevalence of Multiple Forms of Sexting Behavior Among Youth. JAMA Pediatrics, 172(4):327–335.
• Mercado, M. C., Holland, K., Leemis, R. W., Stone, D. M., & Wang, J. (2017). Trends in Emergency Department Visits for Non-Fatal Self-Inflicted Among Youth Aged 10 to 24 Years in the United States, 2001-2015. JAMA, 318(19): 1931.
• Mitchell, K. J., Hamby, S. L., Turner, H. A., Shattuck, A., & Jones, L. M. (2015). Weapon Involvement in the Victimization of Children. Pediatrics, 136(1): 10-17.
• Modecki, K. L., Minchin, J., Harbaugh, A. G., Guerra, N. G., & Runions, K. C. (2014). Bullying Prevalence Across Contexts: A Meta-Analysis Measuring Cyber and Traditional Bullying. Journal of Adolescent Health, 55, 602-611
• Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6, 10.
• National Center for Missing and Exploited Children Child Sex Trafficking overview and fact sheet.
• National Center for Victims of Crime. Bulletins for Teens: Dating Violence.
• National Center for Missing and Exploited Children Child Sex Trafficking overview and fact sheet.
• National Center for Missing and Exploited Children. (2021). Overview.
• National Center for Missing and Exploited Children. (2017). The Online Enticement of Children: An In-Depth Analysis of CyberTipline Reports.
• National Center on Health, Physical Activity and Disability. (n.d.). Bullying Prevention Month.
• National Institute of Mental Health. (2015). Suicide in America: Frequently Asked Questions.
• Nock, M. (2010). Self-injury. Annual Review of Clinical Psychology, 6:339-363.
• O’Keefe, G. W., Clarke-Pearson, K., & Council on Communications and Media. (2011). The Impact of Social Media on Children, Adolescents, and Families. Pediatrics, 127(4):800-804.
• Quinlan, E.B., Barker, E.D., & Luo, Q., et al. Peer victimization and its impact on adolescent brain development and psychopathology. Molecular Psychiatry, 25, 3066-3076 (2020)
• Resnick, M. D., Ireland, M., & Borowsky, I. (2004). Youth violence perpetration: what protects? What predicts? Findings from the National Longitudinal Study of Adolescent Health. Journal of Adolescent Health, 35(5):424.e1-10.
• Rice, E., Gibbs, J, Winetrobe, H., Rhoades, H., Plant, A., Montoya, J., & Kordic, T. (2014). Sexting and Sexual Behavior Among Middle School Students. Pediatrics, 134(1):e21-e28.
• Rutherford, A., Zwi, A. B., Grove, N. J., & Butchart, A. (2007). Violence: a priority for public health? (part 2). Journal of Epidemiology and Community Health, 61(9):764–770.
• Satcher, D. (1995). Violence as a Public Health Issue. Bulletin of the New York Academy of Medicine, 72(1):46-56.
• Silenzio, V. M. B., Pena, J. B., Duberstein, P. R., Cerel, J., & Knox, K. L. (2007). Sexual Orientation and Risk Factors for Suicidal Ideation and Suicide Attempts Among Adolescents and Young Adults. American Journal of Public Health 97(11):2017-2019.
• Society for the Psychological Study of Social Issues. (2014). SPSSI Research Summary on Media Violence.
• Srabstein, J. C. (2009). Be aware of bullying: A Critical Public Health Responsibility. American Medical Association Journal of Ethics, 11(2):173-177.
• Taliaferro, L. A., Muehlenkamp, J. J., Borowsky, I. W., McMorris, B. J., & Kugler, K. C. (2012). Factors distinguishing youth who report self-injurious behavior: a population-based sample. Academic Pediatrics, 12(3):205-13. [Abstract]
• Temple, J. R., & Choi, H. (2014). Longitudinal Association Between Teen Sexting and Sexual Behavior. Pediatrics, 134(5): e1287-e1292.
• Temple, J. R., Paul, J. A., van den Berg, P., Le, V. D., McElhany, A., & Temple, B. W. (2012). Teen sexting and its association with sexual behaviors. Archives of Pediatrics and Adolescent Medicine, 166(9):828-822.
• Texas Association of School Administrators. (2017). SB179, David’s Law fact sheet.
• Texas Council on Family Violence. (2019). Understanding the Impact of Hurricane Harvey on Family Violence Survivors in Texas and Those Who Serve Them.
• Texas Department of State Health Services. (2018).
• Texas STD Surveillance Report.
• Texas Department of State Health Services. (2016). Adolescent Health for Providers.
• Texas Department of State Health Services. Notifiable Conditions.
• Texas Health and Human Services Commission, Local Mental Health Authorities and Local Behavioral Health Authorities.
• Texas School Safety Center. Texas State University.
• Texas Suicide Prevention Council. (2017). Training videos.
• Tippet, N., & Wolke, D. (2015). Aggression between siblings: Associations with the home environment and peer bullying. Aggressive Behavior, 41(1):14-24. [Abstract]
• Trauma-Informed Care Implementation Resource Center. (2021). What is Trauma-Informed Care?
• Tucker, C. J., Finkelhor, D., Turner, H., & Shattuck, A. (2013). Association of Sibling Aggression with Child and Adolescent Mental Health. Pediatrics, 132(1): 79-84.
• United Nations. (2016). Global Report on Trafficking in Persons.
• University of Michigan. (2006). Rapid Assessment for Adolescent Preventive Services (RAAPS).
• University of Michigan Health System Adolescent Health Initiative. Voices of Transgender Adolescents in Healthcare. 
• UPI. (2013). If a doctor mentions sex at a teen's physical it lasts 36 seconds.
• U.S. Department of Education. (2019). Web Tables: Student Reports of Bullying: Results From the 2017 School Crime Supplement to the National Crime Victimization Survey.
• U.S. Department of Health and Human Services. (2012). Rescue and Restore Victims of Human Trafficking.
• U.S. Department of Education, U.S. Department of Health and Human Services, & U.S. Department of Justice.
• stopbullying.gov.
• U.S. Department of Education, U.S. Department of Health and Human Services, & U.S. Department of Justice.
• stopbullying.gov. What is Cyberbullying?
• U.S. Department of Education, U.S. Department of Health and Human Services, & U.S. Department of Justice.
• stopbullying.gov. (2017). Protecting Youth from Bullying: the Role of the Pediatrician.
• U.S. Department of Justice, Office of Justice Programs. (2020). Children Exposed to Violence.
• Usher, K., Bhullar, N., Durkin, J., Gyamfi, N., & Jackson, D. (2020). Family violence and COVID‐19: Increased vulnerability and reduced options for support. International Journal of Mental Health Nursing, 10, 1111.
• Violence Prevention Works. (2016). Consequences of Dating Violence. Hazelden Foundation.
• Whitlock, J. L., Powers, J. P., & Eckenrode, J. E. (2006). The virtual cutting edge: the internet and adolescent self-injury. Developmental Psychology, 42(3):407–417.
• World Health Organization. (2020). Youth Violence: Key Facts.
• World Life Expectancy. Texas Causes of Death by Age and Gender.
• Yoo, W., Kim, S. Y., Hong, Y., Chih, M-Y., Shah, D. V., & Gustafson, D. H. (2015). Analyzing Text Messaging Between Adolescents with Asthma and Nurse Case Managers. Telemedicine and e-Health, 21(1): 62-69.
• Youth.gov. (n.d.). Positive Youth Development.

Patients and Families

Bullying:

• Cyberbullying: Resources for parents.
• David’s Legacy Foundation. (2017). SB179, David’s Law fact sheet.
• stopbullying.gov website, from the federal government.
• Stopbullying.gov Download guidelines for parents about preventing cyberbullying. Stopbullying.gov has a helpful tip sheet called Bullying and Pediatricians – Parents and Providers: Partnering with Healthcare Providers to Respond to Bullying, available for download.

Texas Education Agency offers two websites with resources to help prevent bullying:

• Coordinated School Health - Bullying and Cyberbullying
• Internet Safety: Cyberbullying

Dating Violence:

• Break the Cycle, a national nonprofit dedicated to helping young people 12 - 24 to build healthy relationships and prevent dating violence.
• Electronic Dating Violence: A Brief Guide for Educators and Parents from cyberbullying.org.
• Family Violence Prevention Fund: Create a Teen Safety Plan.
• loveisrespect.org
• National Teen Dating Abuse Helpline. (800-799-7233 or 800-799-SAFE)
• Texas School Safety Center, Sexting Prevention Education Program, “Before You Text”.
• Womenslaw.org: Getting Ready to Leave. (Log in required).

LGBTQ:

• PFLAG.org (originally Parents and Friends of Lesbians and Gays)
• Gay, Lesbian, and Bisexual Teens: Facts for Teens and Their Parents, from the AAP’s healthychildren.org.
• PFLAG.org: Uniting people who are lesbian, gay, bisexual, transgender, and queer (LGBTQ) with families, friends and allies.
• stopbullying.gov tip sheet for LGBTQ youth.

Sexual behavior resources:

• AdvocatesForYouth.org: Encourages responsible decisions about reproductive and sexual health, with information for parents, teens, educators, physicians, and advocates.
• Bedsider.org
• Create a Teen Safety Plan.
• IWannaKnow.org: Information on sexual health for teens and young adults, including a Parents section with the topic, “Be an Askable Parent.”
• loveisrespect.org: Information and resources to help children prevent abuse and get help for interpersonal relationship violence. Offers 24/7 text, phone and chat interaction.
• Massachusetts Aggression Reduction Center (MARC) at Bridgewater State University, free research-based downloads for parents.
• SomedayStartsNow.com
• That’s Not Cool is a national public education campaign

Suicide/Self-Injury:

• Self-injury handout for parents from the Cornell Research Program on Self-Injury and Recovery.
• Texas Suicide Prevention Council. (2017). Training videos.

Continuing Medical Education (Ethics Accredited)

The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.

The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course has been designated by The Texas Department of State Health Services, Continuing Education Service for 1.50 credit(s) of education in medical ethics and/or professional responsibility.

Continuing Nursing Education

The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded 1.50 contact hour(s) of Continuing Nursing Education.

Certified Health Education Specialists

Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 1.50 total Category I contact education contact hours. Maximum advanced-level continuing education contact hours available are 1.50.

Licensed Marriage and Family Therapists (Ethics Accredited)

The Texas Department of State Health Services, Continuing Education Service, the continuing education provider, ensures that the education provided is related to the practice of marriage and family therapy; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 1.50 hours of credit and 1.50 hours in professional ethics.

Licensed Professional Counselors

Up to 1.50 LPC hours may be earned at this event.

Social Workers (Ethics Accredited)

The Texas Department of State Health Services, Continuing Education Service, the continuing education provider, ensures that the education provided is directly related to the practice of social work; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 1.50 hours of credit and 1.50 hours in professional ethics.

Certificate of Attendance

The Texas Department of State Health Services, Continuing Education Service has designated 1.50 hour(s) for attendance.

Certified Community Health Worker

The Texas Department of State Health Services, Promotor(a)/Community Health Worker Training and Certification Program has certified this course for 1.50 contact hour(s) of continuing education for Certified Community Health Workers and Community Health Worker Instructors.

General Disclosure

One of the requirements of continuing education is disclosure of the following information to the learner:

1. Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
   • Create a Texas Health Steps account.
   • Complete on-line registration process.
   • Thoroughly read the content of the module.
   • Complete the on-line examination.
   • Complete the evaluation.
2. Commercial Support.
   The THSTEPS Web-based Continuing Education Series has received no commercial support.
3. Disclosure of Relevant Financial Relationships.
   The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
4. Non-Endorsement Statement.
   Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
5. Off-Label Use.
   Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).

The following are policies and definitions of terms related to continuing education disclosure:

The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.

All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.

Glossary of Terms

Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.

Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.

Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).

Texas Health Steps courses are best viewed using a current browser. If you are using an out-of-date browser or a version of Internet Explorer less than 11, lesson progress and interactive features may not function properly.