Jackson DB, Testa A, Vaughn MG., et al. - Researchers intended to determine if there is a connection between traumatic brain injury (TBI) and school readiness utilizing a nationally representative sample of preschool-aged children in the United States. The sample consisted of 15,402 preschool-aged children (ages 3-to-5 years). They examined the link between lifetime measure of TBI in children and four domains of school readiness: early learning skills, self-regulation, social-emotional development, and physical health/motor development. A history of TBI has been correlated with declines in school readiness within and across domains. Within school readiness domains, TBI was associated with a 62-99% increase in the rate of needs support/at-risk items and a 129-322% increase in the rate of at-risk items, contingent on the exact domain examined. Promoting improved communication between parents, pediatricians, and schools about both TBI and responses to TBI will result in the implementation of services and individualized, customized instructional approaches that can enhance educational outcomes.