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Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel Dec 2025

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …


Substance Misuse And Suicidal Behaviors In An Lgbtqia+ Sample: Examining The Buffering Effects Of Psychological Flexibility And Emotional Regulation, Mariano Ottone Jan 2025

Substance Misuse And Suicidal Behaviors In An Lgbtqia+ Sample: Examining The Buffering Effects Of Psychological Flexibility And Emotional Regulation, Mariano Ottone

Electronic Theses and Dissertations

Suicidal behaviors among LGBTQIA+ individuals, particularly in the context of substance misuse, present a significant area of exploration for mental health research and intervention. It is particularly important to evaluate factors capable of moderating this relationship, to promote more culturally affirming prevention models. This study aimed to explore the moderating roles of emotion regulation (ER) and psychological flexibility in the relationship between substance misuse and suicidal behaviors within the LGBTQIA+ community. Data were collected from 537 LGBTQIA+ adults through an online survey platform. Participants were asked to self-report on measures assessing the constructs of interest. The analysis focused on understanding …


Perceived Credibility Of Allegations Of Sexual Assault Across Victim Race And Mental Health History, Liyah C. Morgan Jan 2025

Perceived Credibility Of Allegations Of Sexual Assault Across Victim Race And Mental Health History, Liyah C. Morgan

Electronic Theses and Dissertations

Previous research examined the effect of victim gender and rape myth acceptance (RMA) on perceptions of victim credibility; however, little attention has been given to the impact of victim race and mental health history, and even fewer studies have explored the intersection of these two identities. The primary purpose of the current study was to identify factors affecting understanding of perceived credibility of victims of sexual assault, specifically in terms of victim race and mental health history. The study also examined the role of RMA on perceptions of credibility and explored participant attitudes related to color-blind racial attitudes and mental …


South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla Jan 2025

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

Electronic Theses and Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …


How Does Psychopathology Impact The Trajectory From State To Trait Mindfulness?, Veronica O'Brien Jan 2025

How Does Psychopathology Impact The Trajectory From State To Trait Mindfulness?, Veronica O'Brien

Electronic Theses and Dissertations

Previous research has found that higher levels of trait mindfulness protect against psychopathology (e.g., Chiesa & Serretti, 2013; Desrosiers et al., 2013; Sevilla-Llewellyn-Jones et al., 2018); however, the research on state mindfulness and psychopathology is more mixed. These mixed findings suggest that some clients with higher levels of psychopathology may have greater difficulty engaging with mindfulness practice thereby hampering their progression towards trait mindfulness and its associated benefits. The present study sought to explore how psychopathology (i.e., anxiety, trauma, alcohol use, and depression) relates to the growth of state and trait mindfulness. The present study recruited 274 participants from a …


Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas Dec 2024

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …


Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger Aug 2024

Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger

Electronic Theses and Dissertations

Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …


Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma May 2024

Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma

Electronic Theses and Dissertations

As long as disparities persist in the way women are treated as compared to their male counterparts, the issue of gender will continue to call forth literary productions. For this reason, female writers are on a mission to dismantle the stereotypes that keep women confined to societal roles. Grounded in a feminist framework, this study focuses on the gender disparity theme in Chimamanda Adichie’s Purple Hibiscus and Tsitsi Dangarembga’s Nervous Conditions. The aim is to examine how these writers represent the trauma of women living in an African patriarchal system. The traumatic experiences of the female characters in both texts …


The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell May 2024

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …


Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price May 2024

Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price

Electronic Theses and Dissertations

Introduction

The prevalence of prediabetes in adults aged 18 or older was as high as 38% between 2017-2020. Youth-onset T2DM is a more aggressive phenotype than T2DM that occurs later in life. Young adults with T2DM have poorer health outcomes, lose an average of 15 years of life, all resulting in significant economic burden impacting the person. Current self-management interventions do not improve health outcomes in young adults with T2DM.

Purpose

The purpose of this research was to explore the self-care experiences of young adults living with T2DM.

Methods

Existential hermeneutic phenomenology informed the research. Inclusion criteria as follows: adults …


P300 Event-Related Potential Responses To Self-Relevant Stimuli, Jordan Razzak May 2024

P300 Event-Related Potential Responses To Self-Relevant Stimuli, Jordan Razzak

Electronic Theses and Dissertations

Previous literature has suggested an apparent P300 sensitivity to self-relevant stimuli. To further explore this relationship, we asked participants to submit 10 photos, each of a particular category (e.g. footwear, plants), to be used as either targets or distractors in a given condition of an oddball task. Furthermore, we attempted to see whether the effect of self-relevance on the P300 could be induced in a participant by allowing them to study a set of unique photos which would then be used as targets. Our analysis suggested that P300 amplitude elicited in response to self-relevant stimuli used as targets was statistically …


Comparative Analysis Of Acceptance And Commitment Therapy’S Effectiveness In An Intensive Outpatient Program Setting, Efrain Frank Ellin Iii May 2024

Comparative Analysis Of Acceptance And Commitment Therapy’S Effectiveness In An Intensive Outpatient Program Setting, Efrain Frank Ellin Iii

Electronic Theses and Dissertations

This thesis presents a comparative analysis of acceptance and commitment therapy (ACT) and treatment as usual (TAU) within an intensive outpatient program setting, evaluating their effectiveness in enhancing various dimensions of psychological well-being. Guided by two main research questions, the study investigates whether ACT demonstrates greater or equal effectiveness compared to TAU and if it provides more immediate effects on psychological well-being within three weeks. Utilizing a quasi-experimental design, the research incorporates a comprehensive array of measurement tools to assess outcomes related to anxiety, depression, stress, psychological flexibility, cognitive flexibility, emotion regulation, mindfulness self-efficacy, and life satisfaction among participants. The …


Illness Perceptions And Health-Promoting Behaviors: The Buffering Role Of Resilience In Adults With Congenital Heart Disease, Taylor Rose Eldridge May 2024

Illness Perceptions And Health-Promoting Behaviors: The Buffering Role Of Resilience In Adults With Congenital Heart Disease, Taylor Rose Eldridge

Electronic Theses and Dissertations

Congenital heart defects (CHD) are one of the most prevalent genetic abnormalities, impacting the lives of millions of children, teens, and young adults. Conservative diagnoses estimate that 2.4 million children and adults are living with CHD in the United States (Gilboa et al., 2016). CHD requires consistent cardiac support with multiple surgeries and hospitalizations expected throughout the lifetime, which significantly impacts psychological health. Specifically, patients present with a host of extra-cardiac conditions that impact their quality of life. With advancements in medical technology, mortality rates continue to improve for this population; however, individuals face a number of consequences that impact …


The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst May 2024

The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst

Electronic Theses and Dissertations

Binge eating and binge drinking often co-occur, but the role of impulsivity in accounting for this relationship is under-investigated. Existing research acknowledges shared risk factors, yet the specific impact of impulsivity is a critical gap. Impulsivity, characterized by impulsive decision-making, is known in addictive behaviors. This research with a sample of college and community participants assessed binge eating, binge drinking, and impulsivity. Overall, binge eating and binge drinking were uncorrelated, contrary to previous research. However, impulsivity was associated with both binge eating and binge drinking. Gender differences were also noted, along with differences between the community and college samples. The …


Efficacy Of Suicide Prevention Trainings: An Analysis Of Gatekeeper And Bystander Intervention Modalities, Michael E. Arruda May 2024

Efficacy Of Suicide Prevention Trainings: An Analysis Of Gatekeeper And Bystander Intervention Modalities, Michael E. Arruda

Electronic Theses and Dissertations

Many organizations and resources exist to help mitigate the factors leading to the completion of suicide. Yet, the proficient identification of risk factors and warning signs, alongside the impactful intervention by gatekeepers, has emerged as a formidable strategy in the battle against suicide. How best to train these gatekeepers to ensure their efficacy and confidence in intervention is an area of active research and was the primary purpose of the present study. The participants were a sample of 100 undergraduate students from Abilene Christian University and were separated into three training groups. Each was assigned a different suicide prevention training …


Paranormal Beliefs And The Big Five: Extrinsic Optimism, Trust In People, And Fantasy Proneness, Caitlyn Ariel Irene Harvey May 2024

Paranormal Beliefs And The Big Five: Extrinsic Optimism, Trust In People, And Fantasy Proneness, Caitlyn Ariel Irene Harvey

Electronic Theses and Dissertations

There are many inconsistent findings on the relationship between paranormal beliefs and The Big Five. This study aims to clarify the correlations by assessing extrinsic optimism, trust in people, and fantasy proneness. Extrinsic optimism is associated with neuroticism and extraversion. Trust is associated with agreeableness. Lastly, fantasy proneness is associated with openness to experience. It was predicted that paranormal beliefs would be positively correlated with extrinsic optimism, trust in people, and fantasy proneness. It was also predicted that paranormal beliefs would be positively correlated with extraversion, agreeableness, and openness. Correlational and regression analyses were run to test these predictions. Results …


Harnessing The Power Of Cliftonstrengths®: How Multinational Corporations Can Use Deep-Level Diversity To Enhance Organizational Inclusion, Trapper Kay Pace Apr 2024

Harnessing The Power Of Cliftonstrengths®: How Multinational Corporations Can Use Deep-Level Diversity To Enhance Organizational Inclusion, Trapper Kay Pace

Electronic Theses and Dissertations

This research explicitly investigated how multinational corporations can enhance workplace inclusion through the novel use of the CliftonStrengths® assessment as a dimension of deep-level diversity. The study gleaned insights from employees’ perspectives, employing a constructivist grounded theory approach to explicate their experiences in rich qualitative narratives. Through open-ended surveys and intensive interviews, participants were selected using purposeful sampling to ensure meaningful data collection from the study organizations’ three global regions. The researcher conducted the analysis systematically through the constant comparison of data utilizing the NVivo14 software to assist in constructing codes, themes, and a theoretical schema. Results highlighted the significance …


Portraits Of Hispanic And/Or Latino Leadership Development In The Military, Michael Lugo Mar 2024

Portraits Of Hispanic And/Or Latino Leadership Development In The Military, Michael Lugo

Electronic Theses and Dissertations

Abstract

The study presented denotes a continuous transition among the Hispanic and/or Latino demographics in the military and the cadet accounts of military inequality incidents while in the military (Cabrera et al., 2017; Eckel & King, 2004). To assist Hispanic and/or Latino needs based on demographics and environment (National Center for Education Statistics, 2019). Military leaders contribute to growing a diverse, inclusive, and equitable military force for all ethnic groups. The Department of Defense (DoD) is the most racially and ethnically diverse workplace in the United States (Daniel et al., 2022). Nevertheless, racial/ethnic harassment and discrimination in the military continue …


Childhood Discipline Disparities For African American And Latinx Students, Cierra Townsend Mar 2024

Childhood Discipline Disparities For African American And Latinx Students, Cierra Townsend

Electronic Theses and Dissertations

African American and Latinx students are disproportionality impacted by punitive discipline models including suspensions, detention, and expulsions. This disproportionality removes students from the education setting creating adverse social emotional, academic, and economic outcomes. Students who are suspended and expelled are more likely to have contact with the juvenile justice system and or to be pushed out of school into alternative settings. Therefore, punitive discipline leads to increased school-based pathways to the juvenile justice system (SPJJ), also known as the school the prison pipeline (STPP). Despite knowledge of these adverse outcomes, schools continue to utilize punitive discipline practices. School psychologists are …


A Phenomenological Study Of School Psychologists: The Influence Of Implicit Bias On The Disproportionate Identification Rates Of African American Students Evaluated For Emotional Disturbance, Sonya Coe-Milo Mar 2024

A Phenomenological Study Of School Psychologists: The Influence Of Implicit Bias On The Disproportionate Identification Rates Of African American Students Evaluated For Emotional Disturbance, Sonya Coe-Milo

Electronic Theses and Dissertations

As advocates, school psychologists remain ethically responsible and uniquely positioned to identify social injustices and promote nondiscriminatory practices in prekindergarten through grade 12 public education institutions. Implicit bias and its influence on African American students is one such practice. In public education, implicit bias contributes to discipline disproportionality, differentiated teacher support, pedagogical practices, and adult perceptions and expectations of appropriate and inappropriate behaviors. These factors directly correlate to the disproportionate identification rates of African American students for special education and related services. Therefore, this phenomenological qualitative study examined the personal, lived experiences and perceptions of school psychologists regarding implicit bias …


Empowering Voices: Exploring The Career Trajectories Of Women Of Color Hr Professionals Amid Disruptive Change, Brandi R. Muñoz Mar 2024

Empowering Voices: Exploring The Career Trajectories Of Women Of Color Hr Professionals Amid Disruptive Change, Brandi R. Muñoz

Electronic Theses and Dissertations

This study investigated strategies to enhance diversity, equity, inclusion, and belonging initiatives in organizational leadership, focusing on supporting women of color in the workplace. The specific problem addressed was the underrepresentation and barriers faced by women of color in leadership positions despite their potential contributions to organizational success. The study employed a qualitative approach, combining qualitative interviews with socioeconomic data analysis. Data collection methods included semistructured interviews with women of color and a survey to gather demographic and employment information. The sample consisted of 16 women of color human resource professionals working in various industries and organizational settings across the …


Pathways From Childhood Sexual Abuse To Sexual Risk Behaviour In Msm: A Mixed Methods Study, Daniel Provenzano Jan 2024

Pathways From Childhood Sexual Abuse To Sexual Risk Behaviour In Msm: A Mixed Methods Study, Daniel Provenzano

Electronic Theses and Dissertations

Men who have sex with men (MSM) are disproportionately affected by childhood sexual abuse (CSA) compared to heterosexual men. CSA has been associated with a wide range of adverse outcomes later in life, including engagement in sexual risk behaviours (e.g., condomless anal intercourse), that place MSM at greater risk for HIV acquisition and transmission. Although the links between CSA and sexual risk are well-established among MSM, little research has investigated psychosocial factors that may mediate this relationship. Using a mixed-method approach, this study (a) explored psychosocial factors as pathways linking a composite of complex CSA experiences (i.e., CSA complexities) with …


At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas Jan 2024

At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas

Electronic Theses and Dissertations

Approximately 20% of children ages nine to 17 in the United States struggle with mental health concerns each year (Gamm et al., 2010). Early identification of child and adolescent mental health concerns is crucial for initiating treatment to prevent recurrence or persistence of pathology into adulthood (Logan & King, 2001). Children are primarily dependent upon adults in their lives (e.g., parents/caregivers, education professionals, healthcare providers) to recognize mental health concerns and seek services (Sayal et al., 2010). Providing these adults with guidance on how to appropriately identify and recognize these mental health needs in children is critical (Crouch et al., …


Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen Jan 2024

Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen

Electronic Theses and Dissertations

Alcohol is the most regularly used intoxicating substance in most geographic locations. Alcohol use in the United States specifically is well over global averages. While alcohol misuse is generally considered to be understood as a problem for younger adults, it is often unrecognized and understudied older adult populations. Currently, there is an absence of a comprehensive tool measuring for developmentally salient behaviors, symptoms, and features of alcohol misuse in older adulthood, which blocks researchers’ ability to measure alcohol misuse well. The purpose of this study is to develop a psychometrically valid and reliable assessment of alcohol misuse for older adult …


Examining The Relationship Between Puberty And Trauma Symptomatology, Justina M. Harsche Jan 2024

Examining The Relationship Between Puberty And Trauma Symptomatology, Justina M. Harsche

Electronic Theses and Dissertations

This study sought to examine the relation between puberty and trauma symptomatology in young adults. More specifically, does it matter what developmental period one is in when trauma occurs? Additionally, geographical region was examined as it relates to receiving and reporting mental health services and later trauma symptoms. Using data from 362 students at Georgia Southern University, multiple analyses were conducted. A Moderation Analysis where adverse events served as the predictor, trauma symptomatology as the outcome variable, and the developmental period in which the trauma occurred as the moderator was conducted. The interactions for this hypothesis were not significant. However, …


Service-Learning And Student Success: Are Underrepresented Students Gaining The Same Benefits?, Sondra Bellard Jan 2024

Service-Learning And Student Success: Are Underrepresented Students Gaining The Same Benefits?, Sondra Bellard

Electronic Theses and Dissertations

Service-learning (SL) has increasingly been used as an educational tool based on the theory of experiential learning, which states that knowledge is developed through experience (Kohl, 1984). SL provides students with the opportunity to connect course work to the community leading to a better understanding of the content. Previous research has shown that SL is associated with positive academic, social, and civic outcomes. However, many of the previous studies fail to provide demographic information on the participants, specifically their ethnicities. There has also been a lack of quantitative studies that examine how first-generation students perceive SL and its benefits. The …


Masculine Vs. Feminine Women: Verdict, Blame, And Punishment Outcomes In The Legal System, Alaina Helmerichs Jan 2024

Masculine Vs. Feminine Women: Verdict, Blame, And Punishment Outcomes In The Legal System, Alaina Helmerichs

Electronic Theses and Dissertations

It is commonly recognized that sentencing disparities exist between men and women who are accused of the same crime—with men often receiving harsher judgements than women. However, research explaining why this disparity exists is incomplete. Research suggests that higher levels of facial masculinity in men is tied to higher levels of criminality (Estrada-Reynolds et al., 2017); however, little research looks at this pattern amongst female defendants. The current study investigated whether the gendered appearance (masculine vs. feminine) of female defendants in different types of cases (child negligence vs. medical malpractice) affects mock jurors’ judgments about verdict, punishment, and internal blame …


Dungeons And Dragons™ (D&D) As A Brief Intervention For College Students, Alexander W. Peralta Jan 2024

Dungeons And Dragons™ (D&D) As A Brief Intervention For College Students, Alexander W. Peralta

Electronic Theses and Dissertations

This quasi-experimental study investigated the effect of a table-top roleplaying game (ttrpg), specifically Dungeons and Dragons™ (D&D), on increasing feelings of social connection, decreasing perceived stress, increasing self-esteem and improving adjustment to college among first semester, first year students. participants signed up to either the D&D group or the comparison group. D&D participants (n = 18) attended five one-hour weekly D&D sessions, meanwhile the comparison group (n = 10) went through their first semester of college with no intervention, but completed the study measures at the same points in time as the D&D participants. All participants completed measures of social …


Examining The Moderating Effect Of Self-Compassion Between Rumination And Alcohol Use, Victoria Forgea Allen Jan 2024

Examining The Moderating Effect Of Self-Compassion Between Rumination And Alcohol Use, Victoria Forgea Allen

Electronic Theses and Dissertations

Abundant research suggests alcohol use among college students as a public health concern (SAMHSA, 2014). Previous studies support rumination, a manner of responding to emotional distress which involves repetitively and passively focusing on the distress, is linked to problematic alcohol use among college students (Oswalt et al., 2020). On the other hand, not all college students who experience rumination engage in problematic alcohol use which suggests the presence of a moderating variable. Due to its emotion regulating abilities and positive associations to well-being, self-compassion may be on factor that affects the relationship between rumination and alcohol use (Diedrich et al., …


Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield Jan 2024

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

Electronic Theses and Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …