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Articles 31 - 60 of 578
Full-Text Articles in Education
Wound Care For Unhoused Youth, Diana Altman, Monse Villasenor, Grace Fry, Maddy Johnson, Matthew Messenger
Wound Care For Unhoused Youth, Diana Altman, Monse Villasenor, Grace Fry, Maddy Johnson, Matthew Messenger
Nursing Leadership in Community Engagement Projects
Wound Care For Unhoused Youth
Introduction
We partnered with a non-profit organization designed to serve the unhoused youth, ages 18-25, who have a day program as well as an overnight shelter. They have 30 beds and reserve 20 of those beds for individuals who are “residents,” who commit to staying for several nights and work towards finding more permanent options. The other 10 beds are for individuals to use for a single night, but these are not always guaranteed, you must sign up to save a spot. The day program has various activities ranging from painting to resume workshops and …
Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier
Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier
University of New Orleans Theses and Dissertations
Perinatal loss (i.e., miscarriage, stillbirth, termination, and infant death) is commonly referred to in the literature as an invisible loss, non-loss, and even medical event. It is an ambiguous loss exhibiting the dialectical contradiction between the physical absence and psychological presence of the baby accompanied by disenfranchised grief, a reaction to a loss that is unacknowledged by society. Despite the likelihood of mental health clinicians working with clients who have experienced perinatal loss, there has yet to be a therapeutic model designed specifically for the unique grief and trauma reactions presented in this population. Existing grief models do not address …
Employee Attrition: Analyzing Factors Influencing Job Satisfaction Of Ibm Data Scientists, Graham Nash
Employee Attrition: Analyzing Factors Influencing Job Satisfaction Of Ibm Data Scientists, Graham Nash
Symposium of Student Scholars
Employee attrition is a relevant issue that every business employer must consider when gauging the effectiveness of their employees. Whether or not an employee chooses to leave their job can come from a multitude of factors. As a result, employers need to develop methods in which they can measure attrition by calculating the several qualities of their employees. Factors like their age, years with the company, which department they work in, their level of education, their job role, and even their marital status are all considered by employers to assist in predicting employee attrition. This project will be analyzing a …
Hiv Stalks Bodies Like Mine: An Autoethnography Of Self-Disclosure, Stigmatized Identity, And (In)Visibility In Queer Lived Experience, Steven Ryder
USF Tampa Graduate Theses and Dissertations
This dissertation examines self-disclosure of Human Immunodeficiency Virus (HIV) status within the context of communication between long-standing friends. For the purposes of my study, I define this type of friendship as those who have known me for at least two years and with whom I communicate regularly. These are friends who tend to know a variety of personal details about me, ranging from superficial to private and trivial to essential. I use autoethnography to ground the study in my lived experience. By doing so, I present intimate accounts of my communication with others across my lifespan to function as background …
Associated Factors With Colorectal Cancer (Crc) Screening Awareness In The Black Belt Region Of Alabama: A Comparison Among Three Types Of Crc Screening, Hee Yun Lee, Yan Luo, Chiahung Chou, Mi Hwa Lee, Marion Bennett
Associated Factors With Colorectal Cancer (Crc) Screening Awareness In The Black Belt Region Of Alabama: A Comparison Among Three Types Of Crc Screening, Hee Yun Lee, Yan Luo, Chiahung Chou, Mi Hwa Lee, Marion Bennett
Journal of Health Disparities Research and Practice
Objective: The present study aims to assess the levels of awareness of three types of CRC screening tests (FIT or FBOT, sigmoidoscopy, and colonoscopy) among African Americans living in the Black Belt area, and examine the factors associated with awareness of CRC screening tests among this population.
Methods: The current study utilized a survey research design. Univariate analysis was used to assess the awareness of three types of colorectal cancer screening: FIT or FOBT, sigmoidoscopy, and colonoscopy. Three sets of logistic regression analyses were conducted to examine the factors associated with the awareness level of each of the three colorectal …
The Association Between Time Spent On Screens And Reading With Myopia, Premyopia And Ocular Biometric And Anthropometric Measures In 6- To 7-Year-Old Schoolchildren In Ireland, Síofra Harrington, Veronica O'Dwyer
The Association Between Time Spent On Screens And Reading With Myopia, Premyopia And Ocular Biometric And Anthropometric Measures In 6- To 7-Year-Old Schoolchildren In Ireland, Síofra Harrington, Veronica O'Dwyer
Articles
Purpose More time spent on near tasks has consistently been associated with the promotion of myopia. The World Health Organization advises limiting daily screentime to less than 2 h for children aged five and over. This study explored the relationship between time spent on screens and reading/writing with refractive status, ocular biometric and anthropometric factors in 6-to 7-year- olds in Ireland.
Methods Participants were 723 schoolchildren (377 boys [51.8%]), mean age 7.08 (0.45) years. The examination included cycloplegic autorefraction (1% cyclopentolate hydrochloride), ocular biometry (Zeiss IOLMaster), height (cm) and weight (kg). Screentime and reading/writing time were reported by parents/legal guardians …
Implementation Of A Novel Social-Emotional Learning Program To Advance Integration Of Wellness In Education Practice, Kit Knier, Gauri Sood, Will Ruffin Ii, Jennifer Arroyo, Ankit Sabharwal, Michael Bostwick, Chris Pierret
Implementation Of A Novel Social-Emotional Learning Program To Advance Integration Of Wellness In Education Practice, Kit Knier, Gauri Sood, Will Ruffin Ii, Jennifer Arroyo, Ankit Sabharwal, Michael Bostwick, Chris Pierret
The Journal of Advancing Education Practice
Social-emotional learning (SEL) programs aim to enhance emotional intelligence by teaching problem solving, self-awareness, self-management, social awareness, and relationship building skills. SEL interventions have been shown to improve quality of life and wellbeing, increasingly important outcomes in the wake of the staggering effects of the COVID-19 crisis on mental health. HappiGenius is a novel SEL program with the addition of mindful attention and self-compassion. We hypothesized HappiGenius would improve positive emotions, self-compassion, attention, mindful self-awareness, and social skills in a group of students. This observational cohort study took place at a diverse elementary school in a midsize midwestern city and …
Acupressure Modality Effectiveness: Research Results For Pain And Anxiety, Deanna Waggy Otr, Carroll Noel Mozer Otr/L, Marilyn Zurwaski Otr/L
Acupressure Modality Effectiveness: Research Results For Pain And Anxiety, Deanna Waggy Otr, Carroll Noel Mozer Otr/L, Marilyn Zurwaski Otr/L
Journal of Transformative Touch
According to recent studies, including Monson et all, JACM, 2019, there is growing evidence for the effective and safe use of acupressure as a non-pharmacological approach to reducing pain and anxiety. Acupressure can quiet the mind, promoting a sense of well-being by decreasing anxiety.
A collaborative retrospective analysis of self-rated pain and anxiety scores before and immediately after administration of a stress release protocol indicate that acupressure is a highly satisfactory complementary therapy. Results were clinically significant for a decrease in self-rated pain and anxiety scores.
Occupational therapy practitioners as well as those who use the Kawa model of reference …
Health Care Provider’S Perceptions Of The Transition Between Pediatric To Adolescent And Adulthood: A Qualitative Inquiry, Antoinette W. Coward, Andrea E. Mcdonald
Health Care Provider’S Perceptions Of The Transition Between Pediatric To Adolescent And Adulthood: A Qualitative Inquiry, Antoinette W. Coward, Andrea E. Mcdonald
The Journal of the Research Association of Minority Professors
This study examines the current practices provided from pediatric to adult health care for children with special health care needs at FQHCs using the Six Core Elements of Health Care. Methods: A phenomenological approach was used to recruit and interview ten (10) health leaders from FQHCs. The participants were recruited through this letter sent to the Mid-Atlantic Association of Community Health Center. The researchers-initiated contact with the key informant to introduce them to the study. After consent was obtained, demographic information collected, and interviews were scheduled. During the semi-structured interview session, the key informant was asked questions related to their …
Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu
Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu
Dissertations, Theses, and Capstone Projects
Background: Physical activity is associated with lower risks of cancer, the second leading cause of death among Americans. Yet, sedentary behavior is the prevailing lifestyle for about 80% of American adults. Additionally, cancer survivors remain significantly inactive, even though physical activity has been shown to decrease risk of cancer and cancer recurrence, improve tolerance of cancer therapy, and reduce mortality. This research explores the relative impact of personal agency, social support, and key demographic variables on physical-activity behavior for a national sample of adults as well as how these relationships differ for cancer survivors and their counterparts.
Methods: Using the …
Navigating The Adoption Of Interprofessional Education As A Performance Standard In Dietetics Education, Paige Whitney, Mary Ann Kluge
Navigating The Adoption Of Interprofessional Education As A Performance Standard In Dietetics Education, Paige Whitney, Mary Ann Kluge
Journal of Dietetic Education
Abstract: The purpose of this collective case study was to explore the diffusion of interprofessional education (IPE) in response to specific Future Education Model (FEM) Graduate Program accreditation standards and performance indicators. Data were collected via semi-structured interviews with a purposive sample of 12 FEM program directors from geographically diverse US states. Website and document review were triangulated with the interview data, and Roger’s Diffusion of Innovation (DOI) was used as a theoretical framework to add dimension to the study. Three themes emerged from analysis: 1) Accreditation standards are not the driving force of IPE; 2) Program Directors can serve …
A Scoping Review Of Campus-Based Animal-Assisted Interactions Programs For College Student Mental Health, Tanya K. Bailey
A Scoping Review Of Campus-Based Animal-Assisted Interactions Programs For College Student Mental Health, Tanya K. Bailey
People and Animals: The International Journal of Research and Practice
Background: People have long found support by interacting with animals, which has developed into a health care modality called animal-assisted interactions (AAI). In the past 10 years, AAI has increased as a way to support college students’ mental health; however, there is no comprehensive evidence on the effectiveness of these programs.
Method: A scoping review was conducted using the JBI and PRISMA-ScR criteria. Empirical articles were identified through Academic Search Premier (EBSCOhost), PsychINFO (Ovid), and Web of Science using three groups of keywords: AAI, college students, and mental health.
Results: Of the 1,195 publications identified, 37 met this study’s eligibility …
Implications Of Lgbtq Identity On Help-Seeking In College Students, Matthew T. Allen
Implications Of Lgbtq Identity On Help-Seeking In College Students, Matthew T. Allen
Murray State Theses and Dissertations
LGBTQ individuals find themselves experiencing both mental and physical health concerns at disproportionate rates than cisgender and heterosexual individuals. However, LGBTQ individuals have been shown to seek help for these concerns. Studies examining this phenomenon on college campuses have focused predominantly on mental health concerns. This study hoped to look at both physical and mental health concerns and determine the implications of an LGBTQ identity on help-seeking behavior in college students. The study utilized quantitative research methods through targeted snowball sampling on social media and email. At the conclusion of the collection period, 61 participants completed a survey that included …
Does The Degree Matter? Understanding Employer Hiring Perspectives On Community College Health Information Technology Program Graduates, Tricia L. Broughton
Does The Degree Matter? Understanding Employer Hiring Perspectives On Community College Health Information Technology Program Graduates, Tricia L. Broughton
Graduate Research Theses & Dissertations
Health Information Technology (HIT) is an in-demand occupation across Illinois and as such community colleges offer related preparation programs in the form of one-two semester Career and Technical Education (CTE) Certificates and Associate of Applied Science (A.A.S.) degrees. Community college applied programs aim to meet the needs of local employers and the interest of students to obtain employment within their communities. Research suggests that employability as perceived by employers goes beyond the technical skill requirements of the job. This dissertation project aimed to better understand employer’s hiring perspectives on community college health information technology (HIT) program graduates and ultimately whether …
Directors’ Perceptions Of Supplementing Clinical Requirements With Simulation-Based Education In Paramedic Education, Kimberly Whitten-Chung
Directors’ Perceptions Of Supplementing Clinical Requirements With Simulation-Based Education In Paramedic Education, Kimberly Whitten-Chung
Walden Dissertations and Doctoral Studies
The problem for this study was limited clinical site access for paramedic students causing delays in completion and exacerbating critical staffing shortages in healthcare. The purpose of the study was to explore perceptions of paramedic program directors (PD) in Colorado regarding use of simulation-based education (SBE) to supplement program-determined clinical requirements. Kolb’s experiential learning theory was the conceptual framework that guided this study. Research questions focused on Colorado paramedic PDs’ perceptions about advantages, disadvantages, and barriers involved with replacing program-determined clinical education with SBE. A basic qualitative design was used to capture insights of 6 Colorado paramedic PDs through semistructured …
Coh 1700: Health Care Coordination Syllabus, Sasha Harry
Coh 1700: Health Care Coordination Syllabus, Sasha Harry
Open Educational Resources
This is the syllabus for a Health Care Coordination course.
The goal of health care coordination is to improve patient outcomes with better health care services. Care coordinators play a critical role in improving patient care. Students will learn how to effectively advocate for patients and interact with members of the healthcare team in finding solutions to provide high quality, value-based, and efficient care. Effective communication styles, assessing patient’s needs and goals, and helping with patients’ transitions of care are among many topics covered in this course. Upon course completion, students will have acquired basic knowledge and skills to educate, …
Increasing The Duration Of Treadmill Walking To Reach Moderate Intensity Levels For 2 Students With Autism Spectrum Disorder (Asd), Nicholas Velazquez
Increasing The Duration Of Treadmill Walking To Reach Moderate Intensity Levels For 2 Students With Autism Spectrum Disorder (Asd), Nicholas Velazquez
Cal Poly Humboldt theses and projects
This study aims to increase the duration of treadmill walking to reach moderate intensity levels for 2 students with autism spectrum disorder (ASD). The researcher incorporated a token-economy board that was used to indicate total time walking and walking goals. A single case changing-criterion design was used in this study and consisted of a baseline, multiple sub-criteria intervention phase, and a follow-up phase. Results showed that there was a positive relationship between the intervention and the total walking time for each participant. Each participant met the criterion for each phase, eventually leading to meeting their overall goal for the study. …
Self-Determination Theory And Exercise Performance For Individuals With Autism., Martin Calderon
Self-Determination Theory And Exercise Performance For Individuals With Autism., Martin Calderon
Cal Poly Humboldt theses and projects
Individuals with Autism Spectrum Disorder (ASD) tend to demonstrate low levels of physical activity and exercise when compared to their developing peers. Low physical activity levels are associated with multiple factors, including lack of understanding of how to perform exercise movements and low intrinsic motivation. Token economy reward systems have shown to be practical in behavior analysis for changing behaviors however, there is limited research on the effects of token economy reward systems in an exercise setting. The purpose of this study was to determine the impact of a token economy board combined with self-determination theory (SDT) on the exercise …
‘A Healthy Mtu’ A Mixed Methods Baseline Programme Of Research To Empirically Inform A Campus Health Promotion Initiative Within An Irish Higher Education Setting, Andrea Bickerdike
‘A Healthy Mtu’ A Mixed Methods Baseline Programme Of Research To Empirically Inform A Campus Health Promotion Initiative Within An Irish Higher Education Setting, Andrea Bickerdike
Theses
Higher Education Institutions (HEIs) have been called to lead global health promotion actions, yet there remains a dearth of empirically informed ‘Healthy University’ (HU) initiatives. This thesis constituted a baseline mixed methods needs assessment to inform a settings-based health promotion (HP) initiative (‘A Healthy MTU’) within a multi-campus ‘case’ HEI in Ireland (Cork campuses of MTU, formerly CIT). Specific aims were to (i) investigate student and staff health metrics, and (ii) identify the cultural and environmental determinants of health and wellbeing within the case HEI setting. Using a phased, mixed methodology (QUAN-QUAL), five sequential empirical studies were undertaken. Quantitative data …
An Evaluation Of The Enjoyment Levels Of Participants Of Lifelab, A Health Literacy Intervention For Socially Disadvantaged Adolescents., Lorna Burke, Dr. Hannah Goss, Craig Smith, Dr. Johann Issartel, Dr. Sarahjane Belton
An Evaluation Of The Enjoyment Levels Of Participants Of Lifelab, A Health Literacy Intervention For Socially Disadvantaged Adolescents., Lorna Burke, Dr. Hannah Goss, Craig Smith, Dr. Johann Issartel, Dr. Sarahjane Belton
SURE Journal: Science Undergraduate Research Experience Journal
Aim: LifeLab is co-designed by and for Junior Cycle students from social disadvantage in Ireland, with the hope to improve health literacy and subsequent health outcomes in this cohort. The aim of this study was to evaluate the enjoyment levels of students participating in the pilot of LifeLab, with a view to informing future development of the intervention.
Method: As part of the process evaluation of the pilot of LifeLab, a series of focus groups and purposively designed enjoyment scales were completed by 80 adolescents, from one disadvantaged school in Dublin, Ireland. Inductive thematic analysis was carried out to analyse …
Improving Elementary Nutrition Education Curriculum In San Francisco - A Program Analysis Of The Food Education Project, Audrey N. Chang
Improving Elementary Nutrition Education Curriculum In San Francisco - A Program Analysis Of The Food Education Project, Audrey N. Chang
Master's Projects and Capstones
Childhood obesity and food insecurity are problems within San Francisco, California. The purpose of this program analysis is to assess the Food Education Project (FEP), which is one of many projects addressing nutrition education and the long-term public health impact is to solve the problems of food insecurity and childhood obesity. Through primary data collection, students shared their honest feelings about food and were able to openly discuss what they know and do not know about food. A literature review was conducted through research from various databases from the University of San Francisco to identify not only current interventions but …
Using The Social-Ecological Model To Better Understand Sexual Assertiveness Among Undergraduate Women At An Institution Of Higher Education In The Southeastern United States, Lisa Wright
Dissertations
This study examined sexual assertiveness among female undergraduate students at an institution of higher education in the southeastern United States from the context of the social-ecological model. An online survey instrument examined sexual assertiveness, sexual communication self-efficacy, campus climate, and sexual scripts. Structural equation modeling was used to examine the relationships between these variables and all variables significantly predicted sexual assertiveness individually, but when examining the relationships collectively, only sexual communication self-efficacy and campus climate remained significant predictors of sexual assertiveness.
Exploring The Barriers And Facilitators To Making Healthy Physical Activity Lifestyle Choices Among Uk Bame Adults During Covid-19 Pandemic: A Study Protocol, Johnson Mbabazi, Fiona Macgregor, Mona Salman, Jeff Breckon, Edward Kunonga, Barry Tolchard, Lawrence Achilles Nnyanzi
Exploring The Barriers And Facilitators To Making Healthy Physical Activity Lifestyle Choices Among Uk Bame Adults During Covid-19 Pandemic: A Study Protocol, Johnson Mbabazi, Fiona Macgregor, Mona Salman, Jeff Breckon, Edward Kunonga, Barry Tolchard, Lawrence Achilles Nnyanzi
International Journal of Physical Activity and Health
Past research has identified that individuals from BAME communities face health inequalities and report poorer outcomes from numerous health interventions. This study will explore some of the reasons with a focus on the perceptions towards physical activity in the lifestyle prevention of diseases. It will also seek to elicit a range of facilitators and barriers towards improving physical activity lifestyle choices amongst UK BAME adults, including but not limited to those in the individual, structural, environmental and social domains. Furthermore, it will consider the role of ethnicity and culture in the forming of physical activity lifestyle choices. This study was …
Reasoned Action Approach To Analyze Differences In Athletes' Physical Activity During Covid-19, Olivia Branson, Karly S. Geller, Paul Branscum
Reasoned Action Approach To Analyze Differences In Athletes' Physical Activity During Covid-19, Olivia Branson, Karly S. Geller, Paul Branscum
Health Behavior Research
The purpose of this study was to examine the reasoned action approach (RAA) in relation to the impact of COVID-19 on college athletes’ physical activity (PA). Participants were college athletes (ages 18-22 years) who were involved in university, club, and/or intramural sport. The RAA constructs were measured for the three different types of PA behaviors. Statistical analyses included ANOVA and multiple regression analyses to evaluate the RAA determinants of PA intentions. Results partially supported theoretical expectations. All RAA constructs had an impact on perceived norms indicating a dominant influence. Remote social interaction/training during isolation periods are suggested to promote sustained …
Global Perspectives For Strengthening Health Education: A Mixed-Methods Study, Mohammad Torabi, Wasantha Jayawardene, Dennis Daniels, Tapati Dutta, Nicola Bragazzi, David K. Lohrmann
Global Perspectives For Strengthening Health Education: A Mixed-Methods Study, Mohammad Torabi, Wasantha Jayawardene, Dennis Daniels, Tapati Dutta, Nicola Bragazzi, David K. Lohrmann
Health Behavior Research
This study aimed to identify the knowledge, experiences, and attitudes about current practices of health education (HE) among government-affiliated high-profile health administrators in developed and developing nations. Respondents (N = 21) were purposively selected based on their affiliation as a health administrator at the national level, with roles in high-profile decision-making for devising policies/programs and allocating funding or advocating strategies to advance HE. Information was gathered using a web-based cross-sectional survey in 5 languages, consisting of 14 closed-ended and 8 open-ended questions. A majority were males (70%) and spoke English (57%), 45% had postgraduate degrees, and 57% were from high-income …
Infographic: E-Cigarette Use Among Students In Australian Schools, Zoe Kaskamanidis
Infographic: E-Cigarette Use Among Students In Australian Schools, Zoe Kaskamanidis
Teacher infographics
New research assesses the nature and consequences of student vaping in primary and secondary schools in Australia. In this infographic, we explore the responses from a national sample of 196 school staff, surveyed about their perceptions of students’ e-cigarette use.
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett
Walden Dissertations and Doctoral Studies
Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …
Addressing Stress In Graduate Nurse Practitioner Nursing Students, Shandria K. Sawyer
Addressing Stress In Graduate Nurse Practitioner Nursing Students, Shandria K. Sawyer
Electronic Theses and Dissertations
This project was developed to address the issue of high stress levels among graduate nursing students, which is a common phenomenon that increases the risks of mental health disorders, professional burnout, and poor-quality patient care among students and professional nurses after earning their degrees. This project sought to utilize a simple educational intervention delivered online to impart coping skills to graduate nursing students to assist them in reducing their stress levels. The intervention was a brief, single-session, self-guided educational module featuring informational and participative elements related to stress causes, the impacts of stress, and stress reduction techniques. In total, 11 …
The Development Of Video Podcast As An Innovation In Online Nutrition Education And Its Engagement Data Analysis, Lini Anisfatus Sholihah
The Development Of Video Podcast As An Innovation In Online Nutrition Education And Its Engagement Data Analysis, Lini Anisfatus Sholihah
ASEAN Journal of Community Engagement
Podcasts have become more popular in Indonesia recently. Studies have shown that video podcasts, which incorporate education and entertainment aspects, are effective as a medium to study language and medical subjects among students and clinicians. This study aims to analyze video podcasts’ utilization in nutrition education and how they can engage viewers from the general community. This paper further aims to describe the development of a video podcast, NutriPodcast, as an innovative media to educate the community regarding nutrition topics. The number of audience views was calculated by utilizing the analytical feature on social media. The methodology to develop the …
Supporting Post-Secondary Implementation Of Recovery-Oriented Practice In A Stepped Care Model, Janis Campbell
Supporting Post-Secondary Implementation Of Recovery-Oriented Practice In A Stepped Care Model, Janis Campbell
The Dissertation in Practice at Western University
Student mental health has been a growing concern for higher education communities for many years. Campuses have been struggling to keep up with the increasing demand for services which has been complicated further by the COVID-19 pandemic. A Stepped Care model (SCM) developed at a Canadian university has been offering new ways of organizing mental health resources based on open access, student choice, and recovery principles. There are diverse definitions of recovery in the literature and are usually based on values such as empowerment, respect, and self-determination. SCMs have been shown to increase access to resources and reduce or eliminate …