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Articles 1 - 30 of 31
Full-Text Articles in Sociology
Pediatric Postoperative Pain Medication: Demographic Predictors And Parent Medication Attitudes, Vivian Luong
Pediatric Postoperative Pain Medication: Demographic Predictors And Parent Medication Attitudes, Vivian Luong
Student Scholar Symposium Abstracts and Posters
Over 85% of children experience significant pain after surgery. Despite this presence of pain, research suggests that a quarter of these children receive very little pain medication at home. Such poor pain management in children can have harmful long-term consequences. Previous research indicates that the amount of pain medication administered to children in the home may be significantly impacted by the attitudes parents have regarding analgesics. Given this, the purpose of the present study is to identify how demographic factors such as child sex and ethnicity predict certain parent analgesic attitudes and, in turn, the amount of pain medication their …
Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis
Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis
Electronic Theses and Dissertations
Religiosity is adopting a belief system surrounding concepts of purpose, meaning, and value through an institution that has already defined these concepts prior to the individual member attending and that member’s degree of participation. Religiosity does have protective factors against negative health outcomes. This protective influence was evaluated in this study. Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were examined to learn about the relationship between protective effects of religious participation on substance abuse, and whether this association weakened for individuals who have experienced higher levels of childhood abuse. A binary logistic regression …
Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis
Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis
Journal of Rural Social Sciences
The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, …
Consequences Of Self-Interested Behavior: Pedagogical Questions And Dilemmas Relating To Cases Of A Closed Adoption And A Regional Landfill Proposal, J Forbes Farmer
Consequences Of Self-Interested Behavior: Pedagogical Questions And Dilemmas Relating To Cases Of A Closed Adoption And A Regional Landfill Proposal, J Forbes Farmer
Journal of Human Services: Training, Research, and Practice
Abstract
The motive of self-interest is the driving factor behind many situations faced by those who have chosen the human services profession. In this article, the author provides two of his own fact-based human service cases (one involving case work and the psychological needs related to a closed adoption and one about community organization and advocacy related to a proposed regional landfill) that can be studied and debated in social work classes. The cases reflect the double identity of contemporary social work. The questions after each case require the students to reflect on and talk about the ramifications of self-interested …
Employer Perceptions Of Addiction Recovery And Hiring Decisions, Haley Henderson, Valerie Hoots, Joseph Barnet, Andrea D. Clements
Employer Perceptions Of Addiction Recovery And Hiring Decisions, Haley Henderson, Valerie Hoots, Joseph Barnet, Andrea D. Clements
ETSU Faculty Works
Abstract Addiction to drugs and alcohol is a widespread, and ever-growing problem in American society today. Individuals who undergo treatment for their addiction often find it difficult to gain employment due to employers' negative perceptions of addiction. Previous research has found that many employers have a stigma of those in addiction recovery. However, little research has been done to determine if these stigmas affect hiring decisions. Drug and alcohol misuse are prominent in the Appalachian area, which presents an issue for employers in the area who maintain a drug-free work place or who have a stigma of those in addiction …
Identifying Intimate Partner Violence: A Review Of Three Measures For Implementation In Primary Care Settings, Matthew W. Henninger, Andrea D. Clements
Identifying Intimate Partner Violence: A Review Of Three Measures For Implementation In Primary Care Settings, Matthew W. Henninger, Andrea D. Clements
ETSU Faculty Works
No abstract provided.
Resilience Pathways, Childhood Escape Routes, And Mentors Reported By Gay And Bisexual Men Affected By Syndemic Conditions, Barry D. Adam
Resilience Pathways, Childhood Escape Routes, And Mentors Reported By Gay And Bisexual Men Affected By Syndemic Conditions, Barry D. Adam
Sociology, Anthropology, and Criminology Publications
Investigation of the social and psychological antecedents of the HIV epidemic has identified a syndemic of conditions associated with risk behavior and seroconversion. This study inquires into the resilient practices and developmental processes of gay and bisexual men at the nexus of syndemic conditions to understand the pathways that lead to health problems or well-being. Interviews with 40 men identified branching pathways from home environments into schools that either offer refuge or a regime of gender discipline and bullying. Some found escape routes from hostile environments in worlds of books, pop culture, or internet chat. In adolescence, one set of …
Recent Trends, Current Research In Cyberpsychology: A Literature Review, Amarjit Kumar Singh, Pawan Kumar Singh
Recent Trends, Current Research In Cyberpsychology: A Literature Review, Amarjit Kumar Singh, Pawan Kumar Singh
Library Philosophy and Practice (e-journal)
Cyberpsychology refers to the study of the mind and behavior in the context of interactions with technology. It is an emerging branch, which has focused on the psychological aspects connected to the increasing presence and usages of technology in modern lives. This paper traces recent advancement and trends of Cyberpsychology is an emerging domain of knowledge and goes on the give a literature review of the same. An analysis of the recent research and literature covering 300 most relevant research papers from the period of 2012 to 15, August 2019 was conducted to determine and shape the research pattern based …
Getting Change-Space: A Grounded Theory Study Of Automated Ehealth Therapy, Marianne T. S. Holter, Ottar Ness, Ayna Johansen, Håvar Brendryen
Getting Change-Space: A Grounded Theory Study Of Automated Ehealth Therapy, Marianne T. S. Holter, Ottar Ness, Ayna Johansen, Håvar Brendryen
The Qualitative Report
A promising tool for bettering people’s health is eHealth (or “mHealth”) programs: fully automated, web-based health interventions. However, we know surprisingly little about eHealth’s working mechanisms. One possible working mechanism is that program users benefit from a collaborative “relationship”—a “working alliance”—with the program. Although evidence support the existence of a person-to-program alliance it is unclear if and how it influences change. Therefore, we conducted a grounded theory study of how relating to an eHealth program for quitting smoking influenced the participants’ change processes. The ensuing model focuses on how participants got change-space—feeling free from social forcing and able to work …
Bound By Silence: Psychological Effects Of The Traditional Oath Ceremony Used In The Sex Trafficking Of Nigerian Women And Girls, Jennifer Millett-Barrett
Bound By Silence: Psychological Effects Of The Traditional Oath Ceremony Used In The Sex Trafficking Of Nigerian Women And Girls, Jennifer Millett-Barrett
Dignity: A Journal of Analysis of Exploitation and Violence
Nigerian women and children have been trafficked to Italy over the last 30 years for commercial sexual exploitation with an alarming increase in the past three years. The Central Mediterranean Route that runs from West African countries to Italy is rife with organized crime gangs that have created a highly successful trafficking operation. As part of the recruitment process, the Nigerian mafia and its operatives exploit victims by subjecting them to a traditional religious juju oath ceremony, which is an extremely effective control mechanism to silence victims and trap them in debt bondage. This study explores the psychological effects of …
Psychosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs, Valerie Hoots, Andrea D. Clements, Beth Bailey
Psychosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs, Valerie Hoots, Andrea D. Clements, Beth Bailey
ETSU Faculty Works
Introduction: Psychosocial well-being variables from the Tennessee Intervention for Pregnant Smokers (TIPS) study, a longitudinal smoking cessation study in South-Central Appalachia, were investigated as potential predictors of smoking status.
Methods: A sample of 1031 pregnant women participated in an expanded 5A's (Ask, Advise, Assess, Assist, Arrange) program, from 2008 to 2011. Measures of stress, self-esteem, depressive symptoms, and disordered eating collected by interview during the first trimester, or during the third trimester in a combined interview if participants began prenatal care late, were hypothesized to differ among three groups of participants: pregnant women who never smoked, pregnant women who smoked …
Rationale, Design, And Baseline Characteristics Of Walkit Arizona: A Factorial Randomized Trial Testing Adaptive Goals And Financial Reinforcement To Increase Walking Across Higher And Lower Walkable Neighborhoods, Marc A. Adams, Jane Hurley, Christine Phillips, Michael Todd, Siddhartha Angadi, Vincent Berardi, Melbourne F. Hovell, Steven Hooker
Rationale, Design, And Baseline Characteristics Of Walkit Arizona: A Factorial Randomized Trial Testing Adaptive Goals And Financial Reinforcement To Increase Walking Across Higher And Lower Walkable Neighborhoods, Marc A. Adams, Jane Hurley, Christine Phillips, Michael Todd, Siddhartha Angadi, Vincent Berardi, Melbourne F. Hovell, Steven Hooker
Psychology Faculty Articles and Research
Little change over the decades has been seen in adults meeting moderate-to-vigorous physical activity (MVPA) guidelines. Numerous individual-level interventions to increase MVPA have been designed, mostly static interventions without consideration for neighborhood context. Recent technologies make adaptive interventions for MVPA feasible. Unlike static interventions, adaptive intervention components (e.g., goal setting) adjust frequently to an individual's performance. Such technologies also allow for more precise delivery of “smaller, sooner incentives” that may result in greater MVPA than “larger, later incentives”. Combined, these factors could enhance MVPA adoption. Additionally, a central tenet of ecological models is that MVPA is sensitive to neighborhood environment …
Female Genital Mutilation In The United States: Estimating The Number Of Girls At Risk, Phyllis Chesler
Female Genital Mutilation In The United States: Estimating The Number Of Girls At Risk, Phyllis Chesler
Dignity: A Journal of Analysis of Exploitation and Violence
Female genital mutilation (FGM) destroys the capacity of women to experience sexual pleasure. It causes serious medical complications such as bleeding, painful urination, cysts, dangerous and recurrent bladder and urinary tract infections, the growth of scar tissue that make marital intercourse a nightmare and that turns childbirth into an experience of danger and torture. Due to immigration, FGM now poses a potential health crisis in the West, both in Europe and in the United States. To estimate how many girls who live in the West are at risk, one can measure the prevalence of FGM in the non-Western countries where …
"I Assumed Chicago Would Be In The Forefront": Comments On The Movement To End Prostitution With Survivor-Leader Brenda Myers-Powell, Jody Raphael
Dignity: A Journal of Analysis of Exploitation and Violence
For many years in the 2000’s, researcher Jody Raphael, teamed with prostitution-survivor Brenda Myers-Powell, undertook a myriad of speaking engagements in the Chicago metropolitan area, intended to raise awareness of the violence and coercion in the sex trade industry. Ten years ago, they were asked to make a video of their presentation. Recently, Dignity editors came across the video and asked for an update on the conversation. This piece is the result.
Multiple And Intersecting Experiences Of Women In Prostitution: Improving Access To Helping Services, Kathryn Hodges, Sarah Burch
Multiple And Intersecting Experiences Of Women In Prostitution: Improving Access To Helping Services, Kathryn Hodges, Sarah Burch
Dignity: A Journal of Analysis of Exploitation and Violence
When women involved in prostitution experience multiple and intersecting needs, they may face barriers in accessing help and support. These barriers can include geographical location and opening hours of agencies, limited childcare support, and a lack of female-only provision. As a result, women are frequently disadvantaged, and their personal safety put at risk, as they become increasingly vulnerable to exploitation, particularly if they do not have access to secure accommodation. This research project seeks to understand the choices and decisions women make when they engage with helping services. The findings report on an in-depth qualitative study with 11 women involved …
Redefining Burnout: Exploring Common Conceptualizations And The Neurophysiology Of Chronic Stress To Establish An Integrated Allostatic Model, Danny A. Guzzi
Redefining Burnout: Exploring Common Conceptualizations And The Neurophysiology Of Chronic Stress To Establish An Integrated Allostatic Model, Danny A. Guzzi
Dissertations
Burnout is a widely researched stress-related phenomenon associated with numerous adverse outcomes for employees and organizations. Unfortunately, burnout is not well understood and research to this point has been flawed due to a lack of consensus on the definition, dimensionality, and context of the construct. Prevalent conceptualizations of burnout have been criticized for being arbitrarily developed without solid theoretical foundation and for failing to clearly distinguish burnout from depression or other work-related conditions such as compassion fatigue, secondary traumatization, and vicarious traumatization. The current project first examines relevant literature to identify commonalities among prevalent burnout conceptualizations. Then relevant stress research …
Z4, A Slow Puncture: An Autoethnographic Exploration Of Language, Embodiment, And Meaning-Making, Charlotte Rose Samuels
Z4, A Slow Puncture: An Autoethnographic Exploration Of Language, Embodiment, And Meaning-Making, Charlotte Rose Samuels
Independent Study Project (ISP) Collection
In my ISP, I explored language as it relates to the ways in which people living in Cato Manor make sense of HIV/AIDS in their community. With 7.1-7.2 million people living with HIV (PLWHIV) in South Africa, individuals across the country are either infected or affected by illness. KwaZulu-Natal (KZN), the province with the highest rate of HIV, is also the province that was surveyed with the disproportionately highest internal stigma rates for PLWHIV. High prevalence of HIV, particularly in KZN, calls for a constant contextualization of life in the presence of illness.
Throughout the world, metaphor and symbolism is …
Reaching And Supporting Trafficked Women In Austria And Germany: A Call For Training On Attachment And Trust-Building, Silke Gahleitner, Katharina Gerlich, Roschan Heiler, Heidemarie Hinterwallner, Edith Huber, Mascha Körner, Josef Pfaffenlehner, Yvette Völschow
Reaching And Supporting Trafficked Women In Austria And Germany: A Call For Training On Attachment And Trust-Building, Silke Gahleitner, Katharina Gerlich, Roschan Heiler, Heidemarie Hinterwallner, Edith Huber, Mascha Körner, Josef Pfaffenlehner, Yvette Völschow
Dignity: A Journal of Analysis of Exploitation and Violence
Many victims of trafficking in women are not reached by the available support services despite numerous measures that have been put in place on both the national and international levels. This deficiency is due to the inadequacy of the support systems, which do not meet the needs of the women concerned. A bilateral Austro-German research project entitled “Prävention und Intervention bei Menschenhandel zum Zweck sexueller Ausbeutung (PRIMSA) [“Prevention and intervention in the trafficking of human beings for the purpose of sexual exploitation”] was set up with the aim of developing ideas for a multidisciplinary prevention and intervention scheme. This article …
Religious/Spiritual Coping In Older African American Women, Danice B. Greer, Willie M. Abel
Religious/Spiritual Coping In Older African American Women, Danice B. Greer, Willie M. Abel
Danice Greer
The purpose of this study was to identify religious/spiritual coping behaviors of African American women with hypertension (HTN) and explore how religious/spiritual coping influences adherence to high blood pressure (HBP) therapy in older African American women. A mixed-method research design guided this study. Twenty African American women with primary HTN were enrolled in this study using a mixed methods concurrent triangulation design. Data collection included physiologic, descriptive, and sociodemographic data. Adherence was measured using the Hill-Bone Compliance to High Blood Pressure Therapy scale (Kim, Hill, Bone, & Levine, 2000), and religious/spiritual coping was evaluated with the Brief Religious/Spiritual Coping scale. …
Findings Of An Effect Of Gender, But Not Handedness, On Self-Reported Motion Sickness Propensity, Ruth E. Propper, Frederick Bonato, Leanna Ward, Kenneth Sumner
Findings Of An Effect Of Gender, But Not Handedness, On Self-Reported Motion Sickness Propensity, Ruth E. Propper, Frederick Bonato, Leanna Ward, Kenneth Sumner
Ruth Propper
Discrepant input from vestibular and visual systems may be involved in motion sickness; individual differences in the organization of these systems may, therefore, give rise to individual differences in propensity to motion sickness. Non-right-handedness has been associated with altered cortical lateralization of vestibular function, such that non-right-handedness is associated with left hemisphere, and right-handedness with right hemisphere, lateralized, vestibular system. Interestingly, magnocellular visual processing, responsible for motion detection and ostensibly involved in motion sickness, has been shown to be decreased in non-right-handers. It is not known if the anomalous organization of the vestibular or magnocellular systems in non-right-handers might alter …
The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks
The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks
Dissertations
This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.
Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …
Painting Intimacy: Art-Based Research Of Intimacy, Michal Lev
Painting Intimacy: Art-Based Research Of Intimacy, Michal Lev
Expressive Therapies Dissertations
This art-based research explores whether — and, if so, how — the process of painting, together with witnessing and reflection on the process and imagery, further an understanding of intimacy. The research also examines the conditions that favor intimacy, the obstacles to intimacy, and the particular features of artistic media, processes and reflection, through the editing of video footage, that can further the intimate experience. The participants in the study were five adults (including the researcher) between the ages of thirty and eighty who were familiar with the creation of visual art. Among them were three women and two men …
Psychological Factors Related To Resilience And Vulnerability Among Youth With Hiv In An Integrated Care Setting., Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez
Psychological Factors Related To Resilience And Vulnerability Among Youth With Hiv In An Integrated Care Setting., Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez
Tiffany Chenneville
Approximately 22% of HIV diagnoses in 2015 occurred among youth aged 13–24. Much is known about the risk factors and psychopathology present in youth living with HIV (YLWH), however, relatively little is known about resiliency in this population. The current study sought to assess factors related to resilience and vulnerability among YLWH as well as the impact of psychosocial factors on these constructs using existing clinical data from an integrated care clinic serving YLWH in the southeastern United States. Data included findings from mental health screeners administered as part of the standard protocol of care for youth aged 13–24 including …
미투 운동은 성매매도 포함하여야 한다 (#Metoo Must Include Prostitution), Melissa Farley
미투 운동은 성매매도 포함하여야 한다 (#Metoo Must Include Prostitution), Melissa Farley
Dignity: A Journal of Analysis of Exploitation and Violence
No abstract provided.
Problematic Sexual Behavior And Religion Among Adult Jewish Males: An Initial Study, David H. Rosmarin, Steven Pirutinsky
Problematic Sexual Behavior And Religion Among Adult Jewish Males: An Initial Study, David H. Rosmarin, Steven Pirutinsky
Graduate School of Social Work Publications and Research
A growing body of research has tied religion to problematic sexual behavior in both positive and negative ways. On the one hand, religious belief and engagement buffer against incidence and severity of problematic sexual behavior, but on the other hand religiously affiliated individuals who engage in such behavior tend to experience spiritual struggles (negative religious coping) and poor psychosocial outcomes. No published empirical studies have examined these variables among adult Jewish males. In the present study, 94 adult Jewish males completed measures of religious belief/ practice, positive religious coping, spiritual struggles, and problematic sexual behavior. General and positive aspects of …
Impact Of Socialization In Elderly Public-Housing Residents, Taylor M. Wilkerson, Schanea Ward, Amy Popovich, Pamela Parsons, Faika Zanjani
Impact Of Socialization In Elderly Public-Housing Residents, Taylor M. Wilkerson, Schanea Ward, Amy Popovich, Pamela Parsons, Faika Zanjani
Graduate Research Posters
Older adults who experience social isolation have higher rates of mortality relative to their counterparts. Social interactions are an important way to combat this isolation. This research aims to better understand how social isolation in older adults living in low-income households in Richmond, Virginia (RVA) is related to their economic, physical, and psychological health status. As part of the iCubed Health and Wellness Aging Core and in collaboration with the Richmond Memorial: East End Housing Coalition for Older Adults, older adults from a selected public housing unit (n=28) self-reported their financial status, experiences with physical and psycho-social health, and feelings …
Developing An Indigenous Measure Of Overall Health And Well-Being: The Wicozani Instrument, Heather J. Peters, Teresa R. Peterson
Developing An Indigenous Measure Of Overall Health And Well-Being: The Wicozani Instrument, Heather J. Peters, Teresa R. Peterson
Psychology Publications
A Native community developed the Wicozani Instrument, a 9-item self-report measure, to assess overall health and well-being from an Indigenous epistemology. The Wicozani Instrument measures mental, physical, and spiritual health and their importance to an individual's quality of life. The instrument’s validity and reliability was examined through two studies. Study 1 utilized standardized measures from Native (i.e., Awareness of Connectedness Scale) and Western (i.e., Psychological Sense of School Membership and Suicide Ideation Questionnaire) epistemologies with Native and non-Native youth. Study 2 utilized a community created measure (i.e., Indigenous Healing Strategies Scale) with Dakota women. Results suggest the Wicozani Instrument is …
When Bad Genes Ruin A Perfectly Good Outlook: Psychological Implications Of Hereditary Breast And Ovarian Cancer Via Narrative Inquiry Methodology, Cammi Clark
Antioch University Dissertations & Theses
Scientists debunked the belief that breast cancer is always viral with the mid-90s discovery of the first hereditary genetic mutation linked to a significantly higher-than average chance of breast and ovarian cancer. This genetic condition, called Hereditary Breast and Ovarian Cancer (HBOC), passes the mutation from generation to generation in a family. Thousands of variations of such mutations exist, and carriers account for 10 to 15% of all breast cancer, and up to 20% of ovarian (Childers et al., 2017). In addition, genetic testing uncovered a rapidly rising number of healthy people (never had breast/ovarian cancer) who are also carriers, …
Understanding The Relationship Between Perfectionism And Health: Mediational Effects Drug Use, Sarah Nelsen
Understanding The Relationship Between Perfectionism And Health: Mediational Effects Drug Use, Sarah Nelsen
Electronic Theses and Dissertations
Past research has provided evidence on the consequences of perfectionism. One particular consequence of perfectionism is that of general health. Research has suggested that perfectionism type influences general mental health. Using the 3-cluster perspective of perfectionism by Slaney, Rice, Mobley, Trippi, & Ashby (2001), the current work investigates the mediating effects of drug use on the relationship between perfectionism clusters and general mental health, in the context of Conservation of Resources Theory (COR; Hobfoll, 1989). Adaptive perfectionists had higher general mental health compared to non-perfectionists and maladaptive perfectionists. However, the three clusters of perfectionism did not differ in drug use …
Psychological Factors Related To Resilience And Vulnerability Among Youth With Hiv In An Integrated Care Setting., Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez
Psychological Factors Related To Resilience And Vulnerability Among Youth With Hiv In An Integrated Care Setting., Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez
USF St. Petersburg campus Faculty Publications
Approximately 22% of HIV diagnoses in 2015 occurred among youth aged 13–24. Much is known about the risk factors and psychopathology present in youth living with HIV (YLWH), however, relatively little is known about resiliency in this population. The current study sought to assess factors related to resilience and vulnerability among YLWH as well as the impact of psychosocial factors on these constructs using existing clinical data from an integrated care clinic serving YLWH in the southeastern United States. Data included findings from mental health screeners administered as part of the standard protocol of care for youth aged 13–24 including …