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The Impact Of Childhood Sexual Abuse On Adulthood Eating Disorders: When Healthy Eating Becomes Unhealthy, Audryn Andreoli Nov 2020

The Impact Of Childhood Sexual Abuse On Adulthood Eating Disorders: When Healthy Eating Becomes Unhealthy, Audryn Andreoli

Theses and Dissertations

The Centers for Disease Control and Prevention (CDC; 2020c) estimated that approximately 3.7 million children experience childhood sexual abuse (CSA) every year in the United States. CSA is a significant issue associated with negative psychosocial and health-related outcomes, including eating disorders (Afifi et al., 2017). While there has been substantial research completed regarding CSA and eating disorders, there is a significant gap in the literature regarding Orthorexia Nervosa (ON) and CSA. The present study sought to determine whether CSA is a risk factor ON and determine the relationship between frequency of occurrence of CSA, sex, race, previous eating disorder diagnosis, …


Unique And Cumulative Effects Of Intimate Partner Cybervictimization Types On Alcohol Use In Lesbian, Gay, And Bisexual Emerging Adults, Oscar Trujillo, Jorge I. Cantu, Ruby Charak Nov 2020

Unique And Cumulative Effects Of Intimate Partner Cybervictimization Types On Alcohol Use In Lesbian, Gay, And Bisexual Emerging Adults, Oscar Trujillo, Jorge I. Cantu, Ruby Charak

Psychological Science Faculty Publications

The use of modern technology has inadvertently created newer platforms for intimate partner victimization to take place. The present study investigated (i) whether psychological, sexual, and stalking intimate partner cybervictimization (cyber IPV) types were uniquely associated with alcohol use, and (ii) whether there were additive effect of cyber IPV types on alcohol use, after controlling for histories of childhood maltreatment types, face-to-face intimate partner victimization among lesbian, gay, and bisexual (LGB) emerging adults. Participants were 277 self-identifying LGB individuals in the age range of 18-29 years (M = 25.39, SD = 2.77; 16.6% lesbian, 25.6% gay, 43% bisexual women). Participants …


Adverse Childhood Experiences As Predictors Of Perceived Health: Assessing The Ace Pyramid Model Using Multiple-Mediation, Phillip Hughes, Tabitha L. Ostrout Oct 2020

Adverse Childhood Experiences As Predictors Of Perceived Health: Assessing The Ace Pyramid Model Using Multiple-Mediation, Phillip Hughes, Tabitha L. Ostrout

HCA Healthcare Journal of Medicine

Background: Adverse Childhood Experiences (ACEs) have been shown to contribute to a litany of mental and physical health problems, including several chronic diseases and death, via a model known as the ACE pyramid. Many of the results of ACEs in the ACE pyramid are known contributors to poor perceived health, which has significant health implications. Despite these results, a possible link between ACEs and perceived health has not been examined to date. Based on the temporal order of the ACE pyramid, we believe any relationship between ACEs and perceived health will be mediated by other components of the model.

Methods: …


Social Media Rumination: The Impact Of Materialistic Value Orientation, Keeley Hynes Oct 2020

Social Media Rumination: The Impact Of Materialistic Value Orientation, Keeley Hynes

Theses and Dissertations

Previous research demonstrates that ruminating on social media content is associated with greater mental distress (Yang, Holden, Carter, & Webb, 2018). However, it is unclear what factors are associated with rumination. Using Self-Determination Theory (SDT) as a theoretical framework, this study examined how materialistic value orientation (MVO) predicted social media rumination in a sample of racially and socioeconomically diverse high school students at two waves of time. Those who are more materialistic value the means by which to gain possessions, and extrinsic life-goals associated with MVO are aimed at garnering external reinforcers such as money and social status (Richins & …


Evaluation Of A Mobile Health Intervention To Improve Wellness Outcomes For Breast Cancer Survivors, Jamie Cairo, Laurie Williams, Lisa Bray, Katrina Goetzke, Ana Cristina Perez Oct 2020

Evaluation Of A Mobile Health Intervention To Improve Wellness Outcomes For Breast Cancer Survivors, Jamie Cairo, Laurie Williams, Lisa Bray, Katrina Goetzke, Ana Cristina Perez

Journal of Patient-Centered Research and Reviews

Purpose: Breast cancer survivors are at increased risk of cancer recurrence, second malignancies, and other comorbid conditions. This study examined if use of a convenient, commercially available, $65 per month app that gives breast cancer survivors access to a health and wellness coach is more effective than a self-guided toolkit and one-time health education session at achieving the following goals: 1) improving adherence to a plant-based diet, 2) increasing physical activity, 3) assisting with weight loss and reduction in body mass index, 4) reducing elevated depression and fatigue scores, and 5) leading to sustained adherence to lifestyle and wellness plan …


Environmental Stewardship Promotes A Sense Of Place: Coral Health Monitoring On Maui, Cynthia Brunold-Conesa Oct 2020

Environmental Stewardship Promotes A Sense Of Place: Coral Health Monitoring On Maui, Cynthia Brunold-Conesa

The International Journal of Ecopsychology (IJE)

Environmental stewardship is an integral aspect of the Montessori curriculum. It usually includes care of the school’s setting (classrooms, grounds, gardens, eating areas, etc.) and, depending on each school’s unique situation, ideally extends into the larger environment in which the school is situated. During the 2014-15 school year, our class of Middle School students at Montessori Hale O Keiki (MHOK) were asked to select community service projects that were directly relevant to environmental and/or ecological issues on Maui. For our students, Coral Watch was the perfect project through which to integrate marine science, environmental stewardship, and community service. Through a …


The Relational Assessment Of Neglected Youth (Rany): Probing The Need For An Assessment Tool, Corrine Dale Oct 2020

The Relational Assessment Of Neglected Youth (Rany): Probing The Need For An Assessment Tool, Corrine Dale

Journal of Social, Behavioral, and Health Sciences

While child neglect is the most substantiated form of child maltreatment, there is a lack of assessment tools leading to effective treatment, particularly among older victims of neglect. To date, the research has focused on younger victims and the subsequent disruption in the attachment relationship. Although development of child neglect assessment tools has been pioneered by an ecological model, the relational nature of this type of maltreatment also necessitates an assessment of relational factors that are highly correlated to child neglect. Because neglect occurs within the caregiver relationship, assessment of interpersonal impairments among older youth can best be guided by …


Can Writing Be Wrong? Collaborative Autoethnography As Critical Reflective Practice In Sport, Exercise, And Performance Psychology, Sae-Mi Lee, Janaina Fogaca, Marlen Harrison Oct 2020

Can Writing Be Wrong? Collaborative Autoethnography As Critical Reflective Practice In Sport, Exercise, And Performance Psychology, Sae-Mi Lee, Janaina Fogaca, Marlen Harrison

The Qualitative Report

Critical reflective practice (CRP) facilitates macro-level reflections about social contexts and power structures through the interrogation of one’s own experiences (Knowles & Gilbourne, 2010). Despite the importance of CRP, examples of how one actually engages in CRP are scarce in sport psychology. Moreover, given that writing in academia is traditionally “author evacuated” (Knowles & Gilbourne, 2010, p. 512), it is questionable how traditional writing practices help facilitate critical reflections. Thus, the purpose of this study was to examine how sport psychology professionals can engage in CRP through the use of author-centered writing. Specifically, we responded to Knowles and Gilbourne’s (2010) …


Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea Oct 2020

Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Webb L, Perry-Parrish C, Ellen J, Sibinga E. Mindfulness instruction for HIV-infected youth: a randomized controlled trial. AIDS Care. 2018;30(6):688–695. https://doi.org/10.1080/09540121.2017.1394434


Clark Memorandum: Fall 2020, J. Reuben Clark Law School, Byu Law School Alumni Association, J. Reuben Clark Law Society Oct 2020

Clark Memorandum: Fall 2020, J. Reuben Clark Law School, Byu Law School Alumni Association, J. Reuben Clark Law Society

The Clark Memorandum

Read on Issuu


Race, Ethnicity, And Insurance: The Association With Opioid Use In A Pediatric Hospital Setting, Louis Ehwerhemuepha, Candice D. Donaldson, Zeev N. Kain, Vivian Luong, Michelle A. Fortier, William Feaster, Michael Weiss, Daniel Tomaszewski, Sun Yang, Michael Phan, Brooke N. Jenkins Sep 2020

Race, Ethnicity, And Insurance: The Association With Opioid Use In A Pediatric Hospital Setting, Louis Ehwerhemuepha, Candice D. Donaldson, Zeev N. Kain, Vivian Luong, Michelle A. Fortier, William Feaster, Michael Weiss, Daniel Tomaszewski, Sun Yang, Michael Phan, Brooke N. Jenkins

Psychology Faculty Articles and Research

Background

This study examined the association between race/ethnicity and health insurance payer type with pediatric opioid and non-opioid ordering in an inpatient hospital setting.

Methods

Cross-sectional inpatient encounter data from June 2013 to June 2018 was retrieved from a pediatric children’s hospital in Southern California (N = 55,944), and statistical analyses were performed to determine associations with opioid ordering.

Results

There was a significant main effect of race/ethnicity on opioid and non-opioid orders. Physicians ordered significantly fewer opioid medications, but a greater number of non-opioid medications, for non-Hispanic African American children than non-Hispanic Asian, Hispanic/Latinx, and non-Hispanic White pediatric …


Elderly Offender Prison Programming In The People's Republic Of China And The United States Sep 2020

Elderly Offender Prison Programming In The People's Republic Of China And The United States

Contemporary Southern Psychology

Throughout the world, there has been a significant increase in the proportion of people who are classified as elderly. The reasons for this are the increased modernization of many nations due to the impact of globalization on transportation, communications, food production, and medical services. As a result of these improvements in the average quality-of-life, people are living longer. The same growth of elderly persons has been seen within prison systems around the world, as well. This article examines the impact of the graying of society in the People’s Republic of China and the United States, in general, and the correctional …


Weaving In Wellness: Infographics For Self-Care, Adair Finucane, Mickey Sperlich, Whitney Mendel Sep 2020

Weaving In Wellness: Infographics For Self-Care, Adair Finucane, Mickey Sperlich, Whitney Mendel

Journal of Human Services: Training, Research, and Practice

Human service professionals are at risk for burnout, vicarious trauma (VT), and compassion fatigue (CF) throughout their careers, and contemporary levels of burnout, VT, and CF suggest a need for interventions. Engagement in mindfulness and self-care has been found to buffer these risks while increasing worker wellbeing. This article presents infographics intended for facilitating practical self-care engagement. The accompanying infographics provide guidance for mindful self-care behaviors woven into daily transitions. They present a low-cost means of promoting self-care strategies throughout agencies and organizations. This, along with minimal time commitments for each practice, makes these infographics an accessible intervention for human …


Wellness In The Helping Professions: Historical Overview, Wellness Models, And Current Trends, Ashley J. Blount, Dalena L. Dillman Taylor, Glenn W. Lambie Sep 2020

Wellness In The Helping Professions: Historical Overview, Wellness Models, And Current Trends, Ashley J. Blount, Dalena L. Dillman Taylor, Glenn W. Lambie

Journal of Wellness

Introduction

Wellness and the concept of holism have rich histories throughout the helping professions. However, Westernized medical models often promote the concept of treatment rather than prevention, limiting the helper’s ability to focus on wellness when working with clients/patients. Therefore, in order to support a re-integration to holistic wellness and the prevention of illness, and re-focus on a wellness ideology, we conducted a thorough theoretical overview of wellness in the helping professions to: (a) provide a historical overview of wellness in helping professions, (b) discuss prominent wellness models, (c) review wellness assessments, (d) present wellness supervision models, and (e) offer …


The Roles Of Social Support And Personal Mastery In The Health Behaviors Of Adults With Cancer: A Survey Study, Kristen Marie Pasko Sep 2020

The Roles Of Social Support And Personal Mastery In The Health Behaviors Of Adults With Cancer: A Survey Study, Kristen Marie Pasko

Theses and Dissertations

Cancer remains one of the leading causes of death in the United States. The majority of individuals struggle to adhere to recommended dietary and physical activity guidelines. Specifically, older adults with cancer struggle to meet health behavior recommendations, and tend to have additional risk factors, such as poor social support. Following the Transactional Theory of Stress and Coping, an individual's response to a stressful situation (cancer diagnosis) would be influenced by the interaction between their internal resources (personal mastery) and external resources (social support). Using archival data from the New Jersey Institute for Successful Aging, 725 older adults were surveyed …


Well-Being Among Older Adults In Mississippi: Exploring Differences Between Metropolitan, Micropolitan, And Noncore Rural Settings, Carolyn E. Adams-Price, Joshua J. Turner, Margaret Ralston Sep 2020

Well-Being Among Older Adults In Mississippi: Exploring Differences Between Metropolitan, Micropolitan, And Noncore Rural Settings, Carolyn E. Adams-Price, Joshua J. Turner, Margaret Ralston

Journal of Rural Social Sciences

It is a common belief that older adults in rural areas have high subjective well-being, despite often experiencing greater poverty and having access to fewer resources than older adults who live in urban areas, a phenomenon sometimes referred to as the “rural-urban paradox.” However, research does not consistently find high well-being in rural areas, which might be due to research not distinguishing between very rural and semi-rural (or small town) settings. This study compares the subjective well-being of older adults in micropolitan and noncore counties with the well-being of older adults in metropolitan areas in Mississippi (n = 659). Preliminary …


Insomnia Is Associated With Frequency Of Suicidal Ideation Independent Of Depression: A Replication And Extension Of Findings From The National Health And Nutrition Examination Survey, Zach Simmons, Lance D. Erickson, Dawson Hedges, Daniel Kay Sep 2020

Insomnia Is Associated With Frequency Of Suicidal Ideation Independent Of Depression: A Replication And Extension Of Findings From The National Health And Nutrition Examination Survey, Zach Simmons, Lance D. Erickson, Dawson Hedges, Daniel Kay

Faculty Publications

Objective: Insomnia is associated with suicidality, although the mechanisms of this association are unclear. This study sought to replicate previous findings showing that insomnia symptoms but not sleep duration are associated with frequency of suicidal ideation in adults. We further investigated whether depression or sleep duration moderates the association between insomnia symptoms and frequency of suicidal ideation.

Materials and Methods: We used the 2005–2006 cycle of the National Health and Nutrition Examination Survey to replicate previously reported findings from the 2007–2008 cycle. We used ordered logistic regression to determine whether insomnia symptoms were associated with frequency of suicidal ideation independently …


Winning In Weight-Loss: The Interaction Of Conscientiousness And Perceived Autonomy, Jason M. Curtis, Marc Lochbaum Sep 2020

Winning In Weight-Loss: The Interaction Of Conscientiousness And Perceived Autonomy, Jason M. Curtis, Marc Lochbaum

Journal for Sports Neuroscience

ABSTRACT

Background

Understanding determinants for weight-loss is a national priority. Obesity is an epidemic with serious health consequences. Most of today’s obesity and overweight problems are being attributed to poor diets and not enough physical activity. These problems show no signs of slowing down with the behaviors of most Americans. The phenomenon of “The Biggest Loser” (different variants of weight-loss programs that consist of group exercise participation and nutrition therapy to elicit weight-loss, and hopefully behavior change) has spawned many variants in commercial health clubs. This prospectus study examined the direct and interactive or moderated effects of known determinants of …


Grit And Flow As Prescriptions For Self-Actualization, Samuel Dickinson Sep 2020

Grit And Flow As Prescriptions For Self-Actualization, Samuel Dickinson

Journal of Wellness

Psychology as a discipline has historically focused on psychopathology and associated evidence-based modalities to alleviate symptoms of mental illness and distress. In recent decades, however, there has been a shift towards studying the positive aspects of human experience that make life worth living. This Positive Psychological perspective was utilized by Humanistic Psychologist Abraham Maslow when he created his theory of Self-Actualization, in which he postulated that the highest aim a person can strive towards is to become the absolute best version of themselves, and to maximize their abilities and potential to the highest possible degree. Aside from describing a hierarchy …


Taking It To Heart: Trauma And Cardiovascular Risk In Court-Involved People Of Color, Tanya Erazo Sep 2020

Taking It To Heart: Trauma And Cardiovascular Risk In Court-Involved People Of Color, Tanya Erazo

Dissertations, Theses, and Capstone Projects

Research supports that racial disparities in health persist in the United States, with cardiovascular risk and cardiovascular disease remaining particularly high in low-income, communities of color (U.S. Department of Health and Human Services: Centers for Disease Control and Prevention, 2013; Winkleby, Jatulis, Frank, & Fortmann, 1992). Public health literature often focuses on sociodemographic variables when assessing for health disparities without considering trauma or forensic populations. This dissertation provides an overview of literature that examines cardiovascular disease and its relationship to trauma, particularly in low-income, communities of color, and forensic populations. Although the dissertation culminates in providing results for an investigation …


Parental Involvement As A Mediator Of Ace Scores And Intelligence Among Children, Shirin Mostofi Sep 2020

Parental Involvement As A Mediator Of Ace Scores And Intelligence Among Children, Shirin Mostofi

Loma Linda University Electronic Theses, Dissertations & Projects

Adverse Childhood Experiences (ACEs) include physical, sexual, or psychological maltreatment, domestic violence, household mental illness, household substance abuse and incarceration of parents. ACEs may have negative impacts on children, including brain development and health outcomes. Parents are pivotal figures in children’s lives that contribute significantly to their health, and cognitive development, and may be a critical protective factor, contributing to children’s resiliency and healthy growth. This study focused on the intellectual development of 5-11 year-old children whom may have been exposed to ACEs in their homes. More specifically, the purpose of this study was to examine parental involvement as a …


The Effects Of A Polyphenol-Rich Diet In A Fruit-Fly Model Of Traumatic Brain Injury, Alexandra D. Trofimova Sep 2020

The Effects Of A Polyphenol-Rich Diet In A Fruit-Fly Model Of Traumatic Brain Injury, Alexandra D. Trofimova

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) is a leading cause of death in the United States. Inflammation and oxidative stress activated by the TBI can lead to systemic inflammation. Gastrointestinal complications are common secondary injuries to TBI and are associated with elevated levels of common pro-inflammatory cytokines and oxidative stress found across the body. Intestinal permeability after TBI has also been established in the fruit fly, Drosophila melanogaster. Pomegranate polyphenols have strong anti-inflammatory properties that may reduce brain and intestinal inflammation and improve functioning after TBI. This study examined the protective effects of pomegranate polyphenol supplementation in a Drosophila model of TBI. …


Medical And Parental Predictors Of Self-Efficacy In Pediatric Chronic Illness, Naina Mahtani Sep 2020

Medical And Parental Predictors Of Self-Efficacy In Pediatric Chronic Illness, Naina Mahtani

Loma Linda University Electronic Theses, Dissertations & Projects

Self-efficacy, defined as the belief in one’s ability to succeed, is particularly important in youth struggling with chronic illness (CI) given its association with poorer adherence and worse prognosis. Parental factors such as income and marital status, and youth factors such as number of hospitalizations have been examined as contributing to self-efficacy in children. The aim of the current study was to assess the extent to which these variables predict self-efficacy in a sample of youth 8-17 suffering from CI. Data were collected from 217 families with a child with a CI aged 8-17, being seen by a medical provider …


Meal And Food Selection Patterns Of Binge Episodes In Ethnically Diverse Adults, Abigail Grace Alido Sep 2020

Meal And Food Selection Patterns Of Binge Episodes In Ethnically Diverse Adults, Abigail Grace Alido

Loma Linda University Electronic Theses, Dissertations & Projects

Food selection and associated patterns among ethnically diverse adults with binge eating deserves greater attention given binge eating prevalence among ethnic minorities. The aims of this study were to examine meal patterns, location, and food selection during binge episodes in an ethnically diverse sample of adults seeking binge eating treatment. Participants were 29 adults (86% female) with a mean age of 36.5 (SD = 11.2). Participants had an average body mass index of 32.4 (SD = 8.74). Approximately 41% of participants self-identified as Hispanic/Latino. The Eating Disorder Diagnostic Interview (EDDI) was administered to determine binge eating behavior and to obtain …


Distress Among Parents Of Overweight Children With Developmental Disabilities, Lilit Hovsepyan Sep 2020

Distress Among Parents Of Overweight Children With Developmental Disabilities, Lilit Hovsepyan

Loma Linda University Electronic Theses, Dissertations & Projects

The epidemic of childhood obesity, which occurs at higher rates for children with intellectual and developmental disabilities (IDD), has been shown to have many deleterious health effects for both children and their parents. Previous research has consistently shown that child externalizing and internalizing behaviors are predictive of parenting stress in parents of children with IDD. Less is known about the nature of this relationship when an additional barrier, child weight status, is examined in the context of this relationship. The current study investigated child and parent factors related to parental distress in a sample of children with IDD who present …


The Youngest Victims: Children And Youth Affected By War, James Garbarino, Amy E. Governale, Danielle Nesi Sep 2020

The Youngest Victims: Children And Youth Affected By War, James Garbarino, Amy E. Governale, Danielle Nesi

Psychology: Faculty Publications and Other Works

In 1989, the United Nation Convention on the Rights of the Child declared, “[state parties] shall take all feasible measures to ensure protection and care of children who are affected by an armed conflict.” In addition to attempting to secure the welfare of children in armed conflict, the Convention went on to ban the recruitment and deployment of children during armed conflict. Despite the vast majority of sovereign nations signing and ratifying this agreement, this treaty, unfortunately, has not prevented children and youth from witnessing, becoming victims of, or participating in political, ethnic, religious, and cultural violence across the past …


Effects Of Social Media And Smartphone Use On Body Esteem In Female Adolescents: Testing A Cognitive And Affective Model, Hwajin Yang, Jiaqi Joy Wang, Yue Qi Germaine Tng, Sujin Yang Sep 2020

Effects Of Social Media And Smartphone Use On Body Esteem In Female Adolescents: Testing A Cognitive And Affective Model, Hwajin Yang, Jiaqi Joy Wang, Yue Qi Germaine Tng, Sujin Yang

Research Collection School of Social Sciences

We examined the predictive relations of social media and smartphone use to body esteem in female adolescents and the mechanism that underlies these relations. As a result of frequent social media and smartphone use, adolescents are continually exposed to appearance-related media content. This likely reinforces a thin ideal and fosters appearance-based comparison and increases fear of external evaluation. Hence, we investigated a cognitive-affective framework in which the associations of social media and smartphone use with body esteem are serially mediated by cognitive internalization of an ideal body image, appearance comparisons, and social appearance anxiety. By testing female adolescents (N = …


Relationship Between Humidity And Physiology In Warm And Humid Conditions – A Literature Review, Yuliya Dzyuban Sep 2020

Relationship Between Humidity And Physiology In Warm And Humid Conditions – A Literature Review, Yuliya Dzyuban

Research Collection School of Social Sciences

Change in precipitation patterns caused by global warming will likely increase humidity in some areas of the world. Moreover, populations in tropical climates with already high humidity levels can experience an added stress on their health and thermal comfort due to an amplifying effect of heat and moisture. Humidity is a generic term commonly used to describe moisture in the air. However, there are numerous variables that describe different properties of humid air that can be used in scientific studies. While relative humidity remains the most used, it has several shortcomings associated with its high correlation with air temperature. Thus, …


Measuring Well-Being Among School-Aged Children: Seeking A Developmentally Appropriate Qualitative Approach, Lauren Bellamy Aug 2020

Measuring Well-Being Among School-Aged Children: Seeking A Developmentally Appropriate Qualitative Approach, Lauren Bellamy

The Journal of Purdue Undergraduate Research

Subjective well-being as a new field of social science research is calling for unique and innovative metrics and research methods. Studying the well-being of children introduces additional hurdles for data collection and research. The current field-favorite survey, the Personal Wellbeing Index–School Children (PWI-SC), asks participants to rate their “happiness” on a rating scale for seven domains of well-being and overall satisfaction with life. Current literature in the field of developmental and family science informs on the cognitive capabilities of children throughout their development and suggests that children in middle childhood may lack the ability to express abstract ideas (happiness) in …


First Responder Mental Health, Kira Swensen, Timothy Keady, Maren Wright Voss Aug 2020

First Responder Mental Health, Kira Swensen, Timothy Keady, Maren Wright Voss

All Current Publications

Communities spend thousands of dollars on first responders to protect them physically: body armor for law enforcement officers, heat resistant gear for firefighters, gloves and reflective clothing for Emergency Medical Services (EMS) personnel. Supporting and investing in programs related to first responders’ mental health is equally important in keeping their minds safe. First responders train long hours each year to stay prepared for almost any situation. In the past, training has centered around physical safety and job efficiency. In recent years, efforts have been made to include mental health training and reduce the stigma associated with mental health for first …