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    Beyond Bandages

    Top Texas pediatric hospital on why pain management for kids matters

    CultureMap Create
    Jun 11, 2019 | 12:23 pm
    Dr. Teresa Collins-Jones with 13-year-old Emily
    Dr. Collins-Jones with 13-year-old patient Emily.
    Photo courtesy of Texas Scottish Rite Hospital for Children

    As world-renowned experts in healing muscles, joints, and bones, Texas Scottish Rite Hospital for Children is known for treating the whole child — mind, body, and spirit.

    Psychological care is a critical part of treatment for children and adolescents, and studies have shown that considering mental and emotional factors before, during, and after procedures often results in quicker healing and shorter rehabilitation periods.

    Why is it so important? Staff pediatric psychologist Dr. Teresa Collins-Jones explains.

    "Incorporating psychology enables us to look at the whole child and identify contextual factors that may impede the flow of a treatment plan and its outcome," she says. "When we can intervene with patients that have high anxiety, a history of depression, or previous negative experiences with hospitalization, we can modify their views of how they receive treatment, as well as lessen their fear of pain, which improves their mindset and leads to a more positive outcome."

    Consulting with a child before surgery is ideal, as the conversations clarifying the surgery and recovery can be held without the added stress of an upcoming operation.

    This may seem obvious, but Dr. Collins-Jones says that it's only starting to become well known in several pediatric fields.

    "Research shows that incorporating psychological care into treatment of orthopedic conditions is very effective," she says. "We at Scottish Rite Hospital understand the importance of working closely with the child and his/her caregivers throughout treatment. We are unique because our pediatric psychologists are members of the treatment team and provide integrated care. Not a lot of places do, which gives us the chance to be a part of the entire process, from the first visit to post-rehab."

    A vital part of what Dr. Collins-Jones and her staff do is assess not just the child, but their social support network. From their caregivers at home to after-school activities, it's crucial to understand how long and in what way the pain has impacted his or her life, and what is expected upon recovery.

    "Pain is multidimensional," she says. "It's not just a fleeting feeling, but something that affects a child's ability to function and enjoy life. Letting them voice their thoughts and fears about pain, as well as beliefs about their treatment and recovery, gives them an outlet to identify and address what they are feeling. We know this can help reduce pain intensity, reduce pain-specific disability, and improve health-related quality of life."

    The team of experts at Scottish Rite Hospital’s six Centers for Excellence treat a wide range of orthopedic conditions, including scoliosis, hip disorders, clubfoot and other pediatric foot conditions, sports injuries, hand differences, and limb length discrepancies.

    They recently opened a second location in Frisco, Scottish Rite for Children Orthopedic and Sports Medicine Center, in addition to the original Dallas facility. In both locations, specialists provide accessible, top-quality care for all families.

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    Sprawling Celina

    This booming Dallas suburb is the No. 1 fastest-growing city in U.S.

    Associated Press
    May 14, 2026 | 10:21 am
    Celina
    Facebook/City of Celina
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    Small cities in big Texas metro areas were the fastest growing municipalities in the United States last year, and the Dallas suburb of Celina ranked No. 1 in the country, followed closely by other DFW cities.

    Celina, Princeton, Melissa, and Anna — all part of the Dallas-Fort Worth metroplex — were the Nos. 1, 3, 4 and 5 fastest-growing U.S. cities with populations of 20,000 residents or more from mid-2024 to mid-2025, according to population estimates released by the U.S. Census Bureau.

    In general, smaller communities in the South, such as these, outpaced the rest of the nation, which has experienced a population slowdown since the start of the immigration crackdown last year, according to figures released Thursday, May 14.

    Fulshear, in metro Houston, was the second-fastest growing U.S. city. The five Texas cities' year-over-year growth rates ranged from almost 15% to almost 25%.

    In pure numbers, Celina, with only 64,000 people, grew by more residents — 12,700 — than Seattle and Houston, cities that are 12 times and 37 times larger respectively.

    Small- to medium-sized cities hit a sweet spot between the largest U.S. cities, which were most impacted by the loss of immigrants from the crackdown started last year during the second Trump administration, and anemic growth in small towns, according to Matt Erickson, a Census Bureau statistician.

    Texas cities dominate
    Nine out of 10 of the largest population gainers in pure numbers were cities in the South because of a healthy job market and its comparative affordability. The biggest numeric gainers were Charlotte, North Carolina; Fort Worth, Texas; San Antonio, Texas; and Celina.

    Fort Worth leaped over Jacksonville last year as the 10th most populous U.S. city, putting four Texas cities in the nation's top 10 most populous, with the other cities being Houston, Dallas and San Antonio.

    Austin skipped over San Jose for the 12th most populous spot, as Texas’ capital city surpassed 1 million residents for the first time. It is now one of a dozen U.S. cities with 1 million residents or more.

    Seattle was the only non-Southern city to crack the top 10 in numeric population gains last year, at the No. 5 spot.

    What's driving population losses
    The two cities with the greatest rates of population loss last year — Twentynine Palms, California, by Joshua Tree National Park and Key West at the southern tip of Florida — were in places with tight housing markets. Their losses ranged from -2.4% to -2.9%.

    In Twentynine Palms, a large chunk of the housing stock has been converted into short-term rentals for tourists heading to the national park. Just under 40% of its housing is occupied by its owners, compared with the national average of 65%, according to Census Bureau figures.

    Hemmed in on all sides by water, the limited housing stock in Key West, as well as some of the highest home insurance rates in the U.S., have driven up housing costs for the Conch Republic. The median price for a home in Key West was $1.3 million at the start of this year, according to the Federal Reserve Bank of St. Louis.

    Other cities that had some of the biggest rates of population loss last year were hit by natural disasters.

    Hurricanes Helene and Milton struck Florida’s Gulf Coast within weeks of each other in late 2024. Remnants of Helene blew through western North Carolina, leaving behind damaging tornadoes and flooding. Among the cities with the greatest rates of loss were Asheville, North Carolina, and several cities on Florida’s Gulf Coast, including Pinellas Park, Dunedin, Largo and Clearwater.

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