![Sanger ISD's director of student intervention, Ann Hughes, works with students in a social skills class at the Linda Tutt Learni](https://centerforhealthjournalism.org/sites/default/files/styles/teaser_list_thumbnail_large/public/title_images/ratio3x2_2300 (5).jpg?itok=d_qTGEoI)
A Houston Chronicle investigation found that at no point since 2013 did any Texas school district have the nationally or state recommended student-to-provider ratios in four positions that are key to providing mental health support for children — nurses, counselors, case workers and psychologists.