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Mental and Social Health

2021

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Full-Text Articles in Social Work

Giving Birth At A Critical Time: Assessing Perinatal Depression Among Syrian Refugees In Low Resource Settings, Nada Alnaji Dec 2021

Giving Birth At A Critical Time: Assessing Perinatal Depression Among Syrian Refugees In Low Resource Settings, Nada Alnaji

Theses & Dissertations

Refugee mothers are at an increased risk of suffering from stress and mental health conditions during the first year after giving birth to a child. The objective of this study is to enhance the early identification of treatable mental health conditions among perinatal women living within humanitarian settings. The central hypothesis is that a culturally specific approach can be helpful for the long-term success of mental health efforts. In this study, we use qualitative interview methods to understand the cultural paradigms and predisposing factors for perinatal depression related to being a Syrian refugee in Lebanon during the COVID-19 pandemic. In …


A Critical Interpretive Synthesis Of Research Linking Hip Hop And Wellbeing In Schools, Alexander Crooke, Cristina Almeida, Rachael Comte Dec 2021

A Critical Interpretive Synthesis Of Research Linking Hip Hop And Wellbeing In Schools, Alexander Crooke, Cristina Almeida, Rachael Comte

Journal of Hip Hop Studies

Hip Hop is recognized as an agent for youth development in both educational and well-being spaces, yet literature exploring the intersection of the two areas is comparatively underdeveloped. This article presents a critical interpretive synthesis of twenty-two articles investigating school-based well-being interventions which used Hip Hop. The critical stance taken aimed to identify or expose assumptions underpinning this area of scholarship and practice. Our analysis suggested several assumptions operate in this space, including the idea rap represents a default for Hip Hop culture, and the default beneficiaries of Hip Hop-informed interventions are students of color living in underprivileged, inner-city US …


Online Social Networking Among Clinically Depressed Young People: Scoping Review Of Potentially Supportive Or Harmful Behaviors, Carolyn L. Elias, Kevin M. Gorey Dec 2021

Online Social Networking Among Clinically Depressed Young People: Scoping Review Of Potentially Supportive Or Harmful Behaviors, Carolyn L. Elias, Kevin M. Gorey

Social Work Publications

Online social networking sites are ubiquitous and prevalently used by young people. The COVID-19 pandemic demonstrated the potential for such sites to bring isolated people together to support their mental health. Virtual communications, however, are not without risks. Substantial knowledge exists on attendant risks and protections among the general population, but much less seems known about their effects among clinical populations. This scoping review mapped the novel knowledge and knowledge gaps related to online social networking experiences and perceptions of depressed young people, adolescents to emergent adults. It also explored moderators of their social networking supports versus harms. A broad …


Exploring The Contextual Factors And Decision-Making Process Of Risky Sexual Behavior Among Homeless Adults In Louisville, Kentucky., Sarah C. Van Heiden Dec 2021

Exploring The Contextual Factors And Decision-Making Process Of Risky Sexual Behavior Among Homeless Adults In Louisville, Kentucky., Sarah C. Van Heiden

Electronic Theses and Dissertations

Homelessness is a complex public health issue; individuals who experience homelessness are said to engage in risky sexual behaviors at an increased rate and experience a higher prevalence of sexually transmitted infection (STI). While the sexual behaviors of homeless adolescents are commonly studied, little is known about the sexual behaviors of the growing population of older adults, or how they make decisions to engage in sex. Three aims guided this research: 1) to describe the sexual behaviors and sexual decision-making process of homeless older adults, 2) to examine how homeless older adults evaluate the outcomes associated with engaging in risky …


Appreciation Day For Clinical Staff At Vna Hospice, Melody Nguyen Dec 2021

Appreciation Day For Clinical Staff At Vna Hospice, Melody Nguyen

Capstone Projects and Master's Theses

VNA Hospice of the Central Coast is a nonprofit that was created back in 1951. The staff at VNA are visiting about 75,000 homes per year. Throughout the years the staff have been seeing patients who reached the requirement of having 6 months or less to live. Working with Hospice patients can be hard for everyone but, the staff at VNA are seeing the patients from good days and bad days. Depression is known to negatively impact the clinical staff at VNA Hospice. Staff are working long hours which leads to sleep disturbance and chronic stress. Some staff are also …


Relative Effectiveness Of Online Cognitive Behavioural Therapy With Anxious Or Depressed Young People: Rapid Review And Meta-Analysis, Shikara T. Howes, Kevin M. Gorey, Carly M. Charron Nov 2021

Relative Effectiveness Of Online Cognitive Behavioural Therapy With Anxious Or Depressed Young People: Rapid Review And Meta-Analysis, Shikara T. Howes, Kevin M. Gorey, Carly M. Charron

Social Work Publications

Global estimates suggest that 25% and 20% of youth have reported elevated symptoms of depression and anxiety, respectively, since the beginning of the COVID-19 pandemic compared to baseline functioning (Racine et al., 2021). Cognitive behavioural therapy (CBT) has been found to significantly benefit young people experiencing anxiety and depression (Christ et al., 2020). Pandemic-related protocols have led many mental health services to shift to online platforms. We wondered about the comparative efficacy of online versus offline CBT for young people between the ages of 10-25. We responded with a rapid review and meta-analysis of eight randomized controlled trial outcomes. The …


Unmet Healthcare Need Due To Cost Concerns Among U.S. Transgender And Gender-Expansive Adults: Results From A National Survey, Luisa Kcomt, Kevin M. Gorey, Betty Jo Barrett, Dana S. Levin, Jill Grant, Sean Esteban Mccabe Nov 2021

Unmet Healthcare Need Due To Cost Concerns Among U.S. Transgender And Gender-Expansive Adults: Results From A National Survey, Luisa Kcomt, Kevin M. Gorey, Betty Jo Barrett, Dana S. Levin, Jill Grant, Sean Esteban Mccabe

Social Work Publications

This study examines past-year unmet healthcare need due to cost experienced by transgender and gender-expansive (TGE) adults in the United States in the context of the Patient Protection and Affordable Care Act (ACA). It also aims to estimate the importance of having health insurance among TGE Americans (transgender men, transgender women, nonbinary/genderqueer people, and cross-dressers). Data were from the 2015 U.S. Transgender Survey (N ¼ 19,157 adults, aged 25 to 64 years). Multivariable logistic regression models were used to determine the adjusted odds ratios (AOR) and 95 percent confidence intervals (CI) of TGE individuals’ past-year unmet healthcare need due to …


Fidelity Monitoring In The Solution Focused Wellness For Hiv (Sfwh) Intervention For Women, Helen Taylor Yates, Spencer Elise Lee Nov 2021

Fidelity Monitoring In The Solution Focused Wellness For Hiv (Sfwh) Intervention For Women, Helen Taylor Yates, Spencer Elise Lee

Journal of Solution Focused Practices

Solution Focused methods are often interpreted by different practitioners with a degree of flexibility and adaptation to specific practice settings (Lehmann & Patton, 2012). This flexibility is one of the features that makes SFBT a very client-centered approach and has been highlighted as one of the key aspects of successful co-construction of desired outcomes with clients (Franklin et al., 2017). This collaborative approach is possible due to SFBT’s utilization of social constructionist principals in the solution-building process (Blundo & Simon, 2015). While encouraging flexibility of implementation of SFBT, identifying the main tenets of the therapy, including specific techniques and mindsets …


Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park Aug 2021

Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to understand occupational therapist’s impact in current and changing roles and routines for first-time foster parents as well as understanding how to establish, preserve and maintain such meaningful domains. This study allowed for insight into current and changing roles and routines for first-time foster parents. The results from this study allowed for further comprehension on how roles and routines were impacted, and that education and tools can be used to help decrease disruption to these domains. Understanding that taking on a new role as a foster parent means routines will be impacted in one …


Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh Aug 2021

Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh

Summer 2021 Virtual OTD Capstone Symposium

The usage of arts and crafts played a significant role in the fruition of the profession, but as it adopted more medically- and evidence-based treatment methods, most practitioners steered away from arts and crafts. The overall purpose of this project was to promote the use of art in OT as well as learn about the current use of art in OT through discussions held with practicing and retired occupational therapists and OT students with fieldwork experience. A portion of the project includes conducting a needs assessment at Urban Street Angels (USA), a community-based facility in downtown San Diego, CA that …


"When They See Someone Who Is Poor, They Step On Them": The Social Determinants Of Health Among Survivors Of Sex Trafficking In Cambodia, James P. Havey, Glenn M. Miles, Lim Vanntheary, Nhanh Channtha, Hanni Stoklosa Aug 2021

"When They See Someone Who Is Poor, They Step On Them": The Social Determinants Of Health Among Survivors Of Sex Trafficking In Cambodia, James P. Havey, Glenn M. Miles, Lim Vanntheary, Nhanh Channtha, Hanni Stoklosa

Dignity: A Journal of Analysis of Exploitation and Violence

Social determinants of health (SDH) are defined as the non-medical yet health-affecting conditions of a person’s life. They include such considerations as working conditions, discrimination, and access to health services. The aim of this study was to explore the SDH impacting those who have survived sex trafficking in Cambodia. This study employed a mixed methods, secondary analysis, focusing on 52 survivors of sex trafficking in the Butterfly Longitudinal Research Project from 2010 through 2019. Participants described myriad social determinants of health, including: gender, age, relationship status (marriage), ethnicity, national identification documentation (statelessness), social class, formal education, vocational training, occupation, and …


Longitudinal Pre-Exposure Prophylaxis (Prep) Acceptability, Initiation And Adherence Among Criminal Justice-Involved Adults In The Usa: The Southern Prep Cohort Study (Specs) Protocol, Katherine Lemasters, Carrie B. Oser, Mariah Cowell, Katie Mollan, Kathryn Nowotny, Lauren Brinkley-Rubinstein Jul 2021

Longitudinal Pre-Exposure Prophylaxis (Prep) Acceptability, Initiation And Adherence Among Criminal Justice-Involved Adults In The Usa: The Southern Prep Cohort Study (Specs) Protocol, Katherine Lemasters, Carrie B. Oser, Mariah Cowell, Katie Mollan, Kathryn Nowotny, Lauren Brinkley-Rubinstein

Sociology Faculty Publications

INTRODUCTION: HIV prevalence among criminal justice (CJ)-involved adults is five times higher than the general population. Following incarceration, CJ-involved individuals experience multilevel barriers to HIV prevention. Pre-exposure prophylaxis (PrEP) is a widely available, daily medication efficacious in preventing HIV. Little is known about PrEP knowledge, acceptability, initiation and sustained use among CJ-involved persons or about how these outcomes vary by multilevel factors. The Southern Pre-Exposure Prophylaxis Study (SPECS) will investigate barriers and facilitators for PrEP initiation and sustained use among CJ-involved adults, building a foundation for PrEP interventions for this underserved population.

METHODS AND ANALYSIS: SPECS uses a mixed-methods sequential …


Pregnant Women With Substance Use Disorders Deserve Plans Of Safe Care, Alexandra E. Punch, Monika Taylor Jun 2021

Pregnant Women With Substance Use Disorders Deserve Plans Of Safe Care, Alexandra E. Punch, Monika Taylor

Population Health Research Brief Series

Substance use among women who are pregnant is a growing U.S public health issue. Approximately 340,000 infants are affected by prenatal exposure to illicit drugs annually, leading to an increase in Neonatal Abstinence Syndrome (NAS), and Child Protective Services involvement. This issue brief describes the current state of prenatal substance use and provides guidance on the use of federally mandated Plans of Safe Care to help mothers prepare for the arrival of their baby while navigating their substance use disorder.


Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner May 2021

Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner

Individual, Family, and Community Education ETDs

The aim of this study was to help men convicted of child sexual offenses learn to recognize and engage their character strengths over 12 months. Participants were six men convicted of contact and noncontact (internet) child sexual offenses. All participants were members of a community-based reintegration group for registered citizens. In the first weeks of the study, participants received the Values in Action Inventory of Strengths survey. The survey, containing 240 questions—10 items for each of the 24 character strengths outlined—helped participants identify their top character strengths. The study explored (a) how the men could use their character strengths to …


Exploring Accessible & Responsive Trauma-Informed Schools: A Regenerative Approach To Student & Educator Support, Kennidy Stood May 2021

Exploring Accessible & Responsive Trauma-Informed Schools: A Regenerative Approach To Student & Educator Support, Kennidy Stood

Capstone Collection

Young people are particularly vulnerable to the negative impacts of stress and trauma. This research explores educator perspectives of school-based trauma-informed care programs in order to understand how programs can become more accessible and culturally responsive. While there are several widely used guidelines for school-based trauma-informed care programs that seek to mitigate trauma and its effects in the classroom, there is not a universally accepted standard. As such, programs vary across settings. This study employed a mixed-methods strategy to survey and interview educators and care providers regarding factors that may limit or enhance the availability of, access to, and appropriateness …


Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos May 2021

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …


Mental Health Among The Latinx Population, Jocelyn Mendoza Sierra May 2021

Mental Health Among The Latinx Population, Jocelyn Mendoza Sierra

Electronic Theses, Projects, and Dissertations

Mental health in the Latinx community has been stigmatized for several years. In the Latinx community mental health is disregarded and oftentimes not addressed and overlooked by immediate family members. The purpose of this study is to address the reason why people do not access mental health services. The methods used in this study consisted of a qualitative approach and participants were asked open ended questions. A total of eleven participants (N=11) were gathered and consisted of both female and male participants who identify as Latinxs. The key findings from this research indicate that seeking mental health services was viewed …


Opioid Use And Harm Reduction, Elise Bourassa, David Lee, Jason Rogers, Christian Silverthorne Apr 2021

Opioid Use And Harm Reduction, Elise Bourassa, David Lee, Jason Rogers, Christian Silverthorne

Thinking Matters Symposium

Calls for various harm reduction approaches to the opioid epidemic are increasing in activist communities (Chapkis, 2020; Kennedy-Hendricks et al., 2019; Sederer & Marino, 2018). Given that harm reduction approaches, if implemented, will be provided by people in various helping professions, the current study investigates the relationship between choice of human service-focused college major and level of support for harm reduction interventions for people who use opioid drugs. A quantitative survey that aims to measure knowledge and perceptions of harm reduction strategies has been disseminated to students in social work, counseling, public health and nursing departments at the University of …


The Impacts Of Social Media Sites Such As Instagram And Facebook On Emerging Adult’S Perceptions Of Self-Esteem And Body Satisfaction, Wynne Cushing, Samantha Shandorf, Courtney Piccirillo, Abby Frazier Apr 2021

The Impacts Of Social Media Sites Such As Instagram And Facebook On Emerging Adult’S Perceptions Of Self-Esteem And Body Satisfaction, Wynne Cushing, Samantha Shandorf, Courtney Piccirillo, Abby Frazier

Thinking Matters Symposium

This study investigated the impacts of social media use, specifically Facebook and Instagram, on emerging adults’ perceptions of self-esteem and body satisfaction. Limited research exists regarding the influence of demographic variables, such as gender, race, and geographic location, on the relationship between social media use and negative outcome variables. The researchers utilized a cross-sectional survey design with a target population of University of Southern Maine students. Researchers hypothesize that emerging adults who spend more time on Facebook and Instagram are more likely to have lower self-esteem and body satisfaction than emerging adults who spend little to no time on Facebook …


Educator Wellbeing During Covid-19: Caregivers Vs. Non-Caregivers, Elizabeth Larsen, Judy Gagnon, Yana Davis, Nicole Hudson Apr 2021

Educator Wellbeing During Covid-19: Caregivers Vs. Non-Caregivers, Elizabeth Larsen, Judy Gagnon, Yana Davis, Nicole Hudson

Thinking Matters Symposium

The phenomenon of the COVID-19 pandemic has dramatically changed the format of public education, putting stress on the educational system and its teachers. This research study aims to understand the impact of COVID-19 on the role of teachers in Maine, specifically focusing on the added responsibility that parents may experience while simultaneously meeting professional obligations. Researchers posed the question: “What is the relationship between caregiving responsibilities and emotional wellbeing of teachers during the COVID-19 pandemic among public school teachers in Maine?” Participants from K-12 public schools around the state were recruited through direct contact or via building administrators who distributed …


Five Love Languages: Assessment Of Marital Satisfaction In African American Couples, Freddricka C. Lee Apr 2021

Five Love Languages: Assessment Of Marital Satisfaction In African American Couples, Freddricka C. Lee

LSU Master's Theses

This mixed-methods study examined marital satisfaction among five (n = 10) heterosexual, African American married couples. In particular, this study examined how acknowledging a partner’s love language (Chapman, 1995) can affect these couples’ level of marital satisfaction. The participants were native to the South and ranged from 26-55 years of age. Quantitative and qualitative analysis of the data revealed couples were satisfied with their marriages. Although only marginally significant, the findings also revealed acknowledging a spouse’s love language was positively related to higher levels of marital satisfaction. Seven themes emerged throughout the interviews, namely communication; financial stability; understand a spouse’s …


Front End Justice: Diverting People Affected By Mental Illness From The Criminal Justice System, Ariel Esqueda, Kelliann Kutschke, Matthew Miller, Kayleigh Wendland Apr 2021

Front End Justice: Diverting People Affected By Mental Illness From The Criminal Justice System, Ariel Esqueda, Kelliann Kutschke, Matthew Miller, Kayleigh Wendland

Master of Social Work Student Policy Advocacy Briefs

Many of the people caught up in the criminal justice system are non-violent offenders struggling with mental illness, which cannot and should not be addressed through incarceration. Our jails and prisons are ill-equipped to provide effective mental health services. Incarceration compounds the problem by contributing to increased psychological distress. We are relying on the criminal justice system to respond to mental illness, rather than investing fully in the spectrum of mental health care from prevention to recovery. Minnesota must invest in diverting people affected by mental illness away from the criminal justice system and into community-based treatment, services, and supports …


Investing In A Culturally Diverse Mental Health Workforce In Minnesota, Emma Fuhrman, Teia Kopari, Cody Reinke, Josie Schultz Apr 2021

Investing In A Culturally Diverse Mental Health Workforce In Minnesota, Emma Fuhrman, Teia Kopari, Cody Reinke, Josie Schultz

Master of Social Work Student Policy Advocacy Briefs

Minnesota’s mental health workforce lacks in both cultural diversity and cultural responsiveness. Each is critical for providing equitable mental health care to Minnesota's increasingly diverse population. Without ensuring that Minnesota’s mental health workforce is culturally diverse, culturally responsive mental health care for Black, Indigenous and People of Color (BIPOC) will not be attainable. Minnesota must broaden, strengthen, and create structures to support a racially and ethnically diverse mental health workforce.


Using Quality Improvement (Qi)-Focused Evaluation To Redesign Direct Home- And Community-Based Services During The Covid-19 Public Health Emergency:, Marcia Moriarta, Anthony Cahill, Heidi Fredine Mar 2021

Using Quality Improvement (Qi)-Focused Evaluation To Redesign Direct Home- And Community-Based Services During The Covid-19 Public Health Emergency:, Marcia Moriarta, Anthony Cahill, Heidi Fredine

Developmental Disabilities Network Journal

Like many UCEDDs in the Developmental Disabilities (DD) network, the Center for Development and Disability at the University of New Mexico offers direct service programs in home and community settings. Before the start of the COVID-19 pandemic, services were delivered in-person to about 1,000 families across the state including clients with intellectual or developmental disabilities and/or from at-risk communities. In March 2020, due to the spread of COVID-19, a public health emergency was declared in New Mexico and home and community services were stopped throughout the state. This meant direct service programs at the Center had to turn to telehealth …


Cooper Neurological Institute, Kayla Cupano Mar 2021

Cooper Neurological Institute, Kayla Cupano

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.


Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston Mar 2021

Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston

National Youth Advocacy and Resilience Conference

Students who have experienced trauma are often in need of behavioral intervention due to challenging behaviors and reactivity. Understanding the body’s threat response system gives insight into these behaviors and allows for empathy within the interventions. This presentation will outline basic neuroscience theories, propose interventions focused on self-regulation, and demonstrate how adding basic elements to existing interventions can increase efficacy.


Mama! I Hear Your Silence: Grief And Covid-19 On The Global North And South Disparity, Magnus Mfoafo-M'Carthy Mar 2021

Mama! I Hear Your Silence: Grief And Covid-19 On The Global North And South Disparity, Magnus Mfoafo-M'Carthy

Lyle S. Hallman Social Work Faculty Publications

In this conversation with Mama, I use my mother’s voice as a reflexive mirror to explore the social work silences that the COVID-19 pandemic expresses so eloquently in my own life and work. I seek to highlight the intimate link between Mama’s silence and social work silence.


Methamphetamine Associated Cardiomyopathy In Pregnancy: The Distinctions And The Implications, Ashan Hatharasinghe, Hossein Akhondi Feb 2021

Methamphetamine Associated Cardiomyopathy In Pregnancy: The Distinctions And The Implications, Ashan Hatharasinghe, Hossein Akhondi

HCA Healthcare Journal of Medicine

Introduction

Methamphetamine associated cardiomyopathy (MAC) and peripartum cardiomyopathy (PPCM) are both rare obstetric conditions. Literature regarding methamphetamine associated cardiomyopathy in the obstetric population is limited, and it can be difficult to make the distinction between the two given the similarities in clinical presentation. However similar, there are significant distinctions in the pathophysiology of these two that can help clinicians with the management process.

Clinical Findings and Outcomes

This case involves a 35-year-old Hispanic G6P5005 at 37 weeks gestation presenting with acute respiratory failure secondary to acute decompensated heart failure with reduced ejection fraction and superimposed preeclampsia leading to urgent cesarean …


The Experiences Of Iraqi Refugees In Canada: A Life History Study Of War And Resilience In The Aftermath Of Migration, Nada Nessan Feb 2021

The Experiences Of Iraqi Refugees In Canada: A Life History Study Of War And Resilience In The Aftermath Of Migration, Nada Nessan

Electronic Thesis and Dissertation Repository

This thesis reports on a life history narrative on the experiences of Iraqi refugees who resettled in Canada after living through war. The aim of this study is to help change the narrow perspectives on the mental health of war affected populations to a broader perception shaped by cultural and social aspects and to inform the development of meaningful and cultural relevant programs and policies with a particular attention to the concept of resilience.

The first part of the study presents the chronological narratives, or profiles. of eight participants. The second part of the study is a thematic discussion of …


Trauma And Intersectionality In Trauma Informed Ministry, Caitlin Simpson Jan 2021

Trauma And Intersectionality In Trauma Informed Ministry, Caitlin Simpson

Graduate Theses, Dissertations, and Capstones

Seminary students have reported feeling underprepared to work with traumatized individuals in pastoral care (Logan, 2017; Resane, 2014). Statistics reported that 82% of pastoral care recipients had a trauma history (Foreman, 2018). Understanding trauma (Herman, 1992) and intersectionality (Crenshaw, 1989) were used to consider the varying impacts each can have on an individual. Scholar Fredericks Streets (2015) used the social services understanding of theology and trauma (Beh, 2012; Weems, 1988) trauma informed ministry (Wolf, et al., 2013) to develop trauma informed ministry. This qualitative study using constructivist grounded theory (Charmaz, 2013) explored the experiences of nine participants in learning about …