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Abstinence Education

Acanthosis Nigricans

Allergies and Anaphylaxis Web Portal and Reporting Form (DSHS)

In response to Subchapter E ( of the Texas Education Code, Chapter 38, regarding the maintenance, administration, and disposal of epinephrine auto-injectors, the DSHS School Health Program has created the new Allergies and Anaphylaxis ( web portal. This resource contains information about food allergies, epinephrine auto-injectors, and the Stock Epinephrine Advisory Committee. The portal also contains the Epinephrine Auto-Injector Reporting Form ( for schools to use when reporting the administration of an epinephrine auto-injector to DSHS.

Anaphylaxis Training Tool

This new presentation is part of the Get Trained © program. It can be used at a faculty meeting or professional development day to assist staff in their recognition of anaphylaxis and the appropriate action to take. Access this presentation and other training tools in the Get Trained program.

Approved Texas CSH Health Programs

Audio Visual Library

Awards for Excellence in Texas Schools 


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Bloodborne Pathogens  


Bullying Prevention--New Requirement for Schools 2012-2013

Bullying Prevention Toolkit-updated Jan. 2016

In response to national and state concerns about the impact of bullying on students, The 82nd Texas Legislature approved measures that require school districts to develop anti-bullying policies and interventions. It further directed the DSHS, in collaboration with the Texas Education Agency (TEA), to provide an annually updated a list of best practice-based early mental health intervention and suicide prevention programs for implementation in general education settings. The updated list is available at the following link: Mental Health Resources for Educators and Schools

DSHS also developed an anti-bullying toolkit to support schools in their efforts to find effective anti-bullying resources and develop anti-bullying policies and interventions. The following are the components of the toolkit, which can be accessed by clicking on the links.

  1. Bullying Prevention Resolution for SHACs:  a model resolution for local School Health Advisory Councils (SHACs) to consider recommending for adoption by local school boards.

2. Bullying Prevention Resources Digest:  a list of websites and resources that offer curricula, videos, handouts, connection to expert speakers, and other resources that can be used to address bullying and suicidal behavior - many of which are free. 

3. An annotated list describing the content and tools that can be found at each site. Bullying Prevention Resources - Annotated

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Child Sexual Abuse Prevention Requirements for Schools (TEA) TEA Correspondence dated 7-31-14.

            To fulfill the intent of the law, staff need to complete both of these trainings. 
            1.  Sexual Abuse Prevention Training: Darkness to Light (D2L) provides online or face-to-face training and printed certificates. Online record keeping and reporting of employee participation is available upon request.
             2.  Recognition of Maltreatment of Children and Child Abuse Reporting Training: Texas Department of Family and Protective Services (DFPS) provides online training and printed certificates:



General Child Abuse Prevention Information (TEA)

Communicable Disease Chart (also see Diseases/Conditions)

CPR (Cardio Pulmonary Resuscitation)


Continuing Education 

Coordinated School Health


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Dating Violence


Disaster Publications




            Ear Infections
            Head Lice
            HIV, STD’s and STI’s
            Infections, Diseases and Conditions

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Eating Disorders


Emergency Guidelines for Schools (This document is a resource for schools to add their local emergency procedures.)

Emergency Preparedness
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FERPA (Family Educational Rights and Privacy Act)


Food Allergies

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Health Careers and Education

Healthy Life Style

HIPAA (Health Insurance Portability and Accountability Act)



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Internet Safety


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  Mental Health
  • Required Posting for ESCs:  Best Practice-Based Programs - Senate Bill 831, 83rd Regular Legislative Session    Health and Safety Code §161.325 states that the Department of State Health Services (DSHS), in coordination with TEA and regional education service centers (ESCs), shall provide and annually update a list of recommended best practice-based programs for implementation in public elementary, junior high, middle, and high schools within the general education setting. DSHS, TEA, and each ESC is required to make the list easily accessible on their websites. The list must include programs in the following areas:
    • Early mental health intervention  
    • Mental health promotion and positive youth development
    • Substance abuse prevention
    • Substance abuse intervention  
    • Suicide prevention
    For more information about the Public Schools Best Practice-Based Resources, please visit the DSHS website.  


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    Obesity and Overweight



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    p.a.p.a. Training (Paternity and Parenting Awareness)        

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    Research and Recommendations on Physical Education

    Records Retention


    Required Screenings

                            Vision Screening  To schedule a training, contact Claudia Bourland in the Lubbock Regional DSHS office at (806) 783-6490 or

    New 9-26-14: 

    Photoscreening for Vision Screening:  DSHS has approved photoscreening for vision screening but is only for children five years old and younger.  The vision screening results are recorded pass/fail.  If photoscreening is used, the screener must obtain training from the manufacturer, sales representative or someone who has be trained to train others.  For example, some people from the Lion’s Club have been trained to train others.  Also, students with disabilities, above the age of 5 years, who cannot respond appropriately to acuity screening (i.e. wall charts or telebinocular) can be screened using photoscreening.  Photoscreening machines do not have to be calibrated annually.  Only audiometers have this requirement.  The new Vision Certification cards will indicate if the screener has been trained prior to the workshop which is a requirement if photoscreening is utilized.  Screeners with valid certification cards do not have to attend an additional certifying workshop, but instead the information will be updated at their next renewal workshop using the 5 year renewal cycle.  For more information please contact Elijah Brown by phone at (512) 458-7420 or toll free 1-888-963-7111 ext. 6442 or by email at

                            Hearing Screening  To schedule a training, contact Claudia Bourland in the Lubbock Regional DSHS office at (806) 783-6490 or
                           Spinal Screening  To schedule a training, contact Keila Johnson in the Amarillo Regional DSHS office at (806) 477-1113 or
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    School Based Health Centers

    School Health

    School Health Advisory Council’s (SHAC’s)  


    School Nurse Information

    Suicide Prevention

    House Bill (HB) 2186, which was passed by the 84th Texas Legislature, 2015, and signed into law by Governor Abbott on June 19, 2015, requires suicide prevention training to all new school district and open-enrollment charter school educators annually and to existing school district and open-enrollment charter school educators on a schedule adopted by the TEA by rule. Training must be selected from the list of recommended best practice-based programs that is provided by the DSHS. School districts and open-enrollment charter schools may also select programs through an independent review of online suicide prevention training materials that comply with the guidelines (PDF, 84KB) developed by the TEA. More information about this training is included in this correspondence (PDF, 131KB). If you have further questions regarding this training, please contact Victoria Ellis in the Division of Educator Preparation by email at or by telephone at (512) 936-8400, Option 5.

    ASK about Suicide to Save a Life Gatekeeper Training
    ASK about Suicide to Save a Life is a gatekeeper training that can be modified between 1-3 hours, based on the needs of the trainees. It is similar to Question, Persuade and Refer (QPR) and is a best practice training that was developed in Texas, with Texas specific data, resources and information. Participants have opportunities to learn the warning signs, protective and risk factors about suicide. They will learn how to ask people directly about suicidal thoughts and behaviors and how to refer them to appropriate help. There are trainings offered across Texas, as well as an online video of two ASK Master Trainers teaching a sample course for an hour. There are also accompanying power point presentation materials.

    At-Risk (Kognito)
    At-Risk is a one hour online training for Elementary, Middle School, and High School educators. This online, interactive professional development program uses virtual role-play to help school faculty, staff, and administrators learn common signs of psychological distress and how to approach an at-risk student for referral to the school counselor.

    Applied Suicide Intervention Skills Training (ASIST)
    ASIST is founded on the principle that everyone can make a difference in preventing suicide. Developed in 1983 and regularly updated to reflect improvements in knowledge and practice, ASIST is the world’s leading suicide intervention workshop. During the two-day interactive session, participants learn to intervene and help prevent the immediate risk of suicide.

    Model Adolescent Suicide Prevention Program (MASPP)
    The Model Adolescent Suicide Prevention Program (MASPP) is a public health-oriented suicidal-behavior prevention and intervention program originally developed for a small American Indian tribe in rural New Mexico to target high rates of suicide among its adolescents and young adults.

    Olweus Bullying Program*
    Olweus Bullying Program utilizes online courses, web conferences and in-person program implementation seminars. These interactive programs provide key information about bullying, cyber bullying, and dating violence, and explain how schools, community organizations, and parents can create safe, healthy environments.

    Peer Assistance and Leadership (PAL)*
    Peer Assistance and Leadership (PAL) is a peer helping program that seeks to build resiliency in youth by pairing youth with peer helpers who receive training and support from teachers participating in the program.

    Question, Persuade and Refer (QPR) Gatekeeper Training
    QPR Gatekeeper Training is three steps that anyone can learn to help prevent suicide. Just like CPR, QPR is an emergency response to someone in crisis and can save lives.

    safeTALK is a 4-hour gatekeeper training and excellent tool for people who want to become alert to the dangers of suicide in a convenient timeframe. Although formal caregivers such as social workers and counselors employ safeTALK skills, the program is also used by students, teachers, community volunteers, first responders, military personnel, police, public and private employees, and professional athletes– among many others. By providing a universal model with adaptable components, safeTALK offers useful skills to every audience.

    SOS Signs of Suicide
    SOS Signs of Suicide is a secondary school-based suicide prevention program that includes screening and education. Students are screened for depression and suicide risk and referred for professional help as indicated.


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    Texas Administrative Code                

    Texas Education Agency       

    Texas Legislature On-Line


    Texas DSHS School Nurse Consultant

    Tobacco Prevention

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    University Interscholastic League (UIL)

    Unlicensed Diabetic Care Assistant (UDCA)                

    Diabetes Information:  Guidelines for Training School Employees Who Are Not Licensed Healthcare Professionals  Chapter 168 of the Health and Safety Code relates to the care of students with diabetes in schools. House Bill 984 (79R) requires that principals identify unlicensed personnel to assist with caring for students during the regular school day or while participating in a school activity. The Texas Diabetes Council (TDC) develops guidelines for training school personnel to be diabetes care assistants.  Guidelines for Training School Employees who are not Licensed Healthcare Professionals to implement House Bill 984 (79th Legislature) related to the Care of Elementary and Secondary School Students with diabetes  Frequently Asked Questions related to implementing House Bill (HB) 984       

    US Office of Health and Human Services


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