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Predicting Distance Learning Counselor Education Doctoral Students’ Research Self-Efficacy, Jennifer Patrice Edwards

Walden Dissertations and Doctoral Studies

Distance learning is a growing educational delivery method for Counselor Education and Supervision (CES) doctoral students. At the time of this study, no research existed regarding the research self-efficacy (RSE) of distance learning CES doctoral students. Historically, the lack of RSE among counselor educators has been a chronic issue. However, research addressing contributors to improving RSE among distance learning CES doctoral students is unknown. The purpose of this study was to assess and provide data on current perceptions and predictors of RSE among distance learning CES doctoral students. Two theories were used to conceptualize the key variables which were Lent …

Verbal Learning And Memory Deficits Across Neurological And Neuropsychiatric Disorders: Insights From An Enigma Mega Analysis, Eamonn Kennedy, Spencer W Liebel, Hannah M Lindsey, Shashank Vadlamani, Pui-Wa Lei, Maheen M Adamson, Martin Alda, Silvia Alonso-Lana, Tim J Anderson, Celso Arango, Robert F Asarnow, Mihai Avram, Rosa Ayesa-Arriola, Talin Babikian, Nerisa Banaj, Laura J Bird, Stefan Borgwardt, Amy Brodtmann, Katharina Brosch, Karen Caeyenberghs, Vince D Calhoun, Nancy D Chiaravalloti, David X Cifu, Benedicto Crespo-Facorro, John C Dalrymple-Alford, Kristen Dams-O'Connor, Udo Dannlowski, David Darby, Nicholas Davenport, John Deluca, Covadonga M Diaz-Caneja, Seth G Disner, Ekaterina Dobryakova, Stefan Ehrlich, Carrie Esopenko, Fabio Ferrarelli, Lea E Frank, Carol E Franz, Paola Fuentes-Claramonte, Helen Genova, Christopher C Giza, Janik Goltermann, Dominik Grotegerd, Marius Gruber, Alfonso Gutierrez-Zotes, Minji Ha, Jan Haavik, Charles Hinkin, Kristen R Hoskinson, Daniela Hubl, Andrei Irimia, Andreas Jansen, Michael Kaess, Xiaojian Kang, Kimbra Kenney, Barbora Keřková, Mohamed Salah Khlif, Minah Kim, Jochen Kindler, Tilo Kircher, Karolina Knížková, Knut K Kolskår, Denise Krch, William S Kremen, Taylor Kuhn, Veena Kumari, Junsoo Kwon, Roberto Langella, Sarah Laskowitz, Jungha Lee, Jean Lengenfelder, Victoria Liou-Johnson, Sara M Lippa, Marianne Løvstad, Astri J Lundervold, Cassandra Marotta, Craig A Marquardt, Paulo Mattos, Ahmad Mayeli, Carrie R Mcdonald, Susanne Meinert, Tracy R Melzer, Jessica Merchán-Naranjo, Chantal Michel, Rajendra A Morey, Benson Mwangi, Daniel J Myall, Igor Nenadić, Mary R Newsome, Abraham Nunes, Terence O'Brien, Viola Oertel, John Ollinger, Alexander Olsen, Victor Ortiz García De La Foz, Mustafa Ozmen, Heath Pardoe, Marise Parent, Fabrizio Piras, Federica Piras, Edith Pomarol-Clotet, Jonathan Repple, Geneviève Richard, Jonathan Rodriguez, Mabel Rodriguez, Kelly Rootes-Murdy, Jared Rowland, Nicholas P Ryan, Raymond Salvador, Anne-Marthe Sanders, Andre Schmidt, Jair C Soares, Gianfranco Spalleta, Filip Španiel, Scott R Sponheim, Alena Stasenko, Frederike Stein, Benjamin Straube, April Thames, Florian Thomas-Odenthal, Sophia I Thomopoulos, Erin B Tone, Ivan Torres, Maya Troyanskaya, Jessica A Turner, Kristine M Ulrichsen, Guillermo Umpierrez, Daniela Vecchio, Elisabet Vilella, Lucy Vivash, William C Walker, Emilio Werden, Lars T Westlye, Krista Wild, Adrian Wroblewski, Mon-Ju Wu, Glenn R Wylie, Lakshmi N Yatham, Giovana B Zunta-Soares, Paul M Thompson, Mary Jo Pugh, David F Tate, Frank G Hillary, Elisabeth A Wilde, Emily L Dennis

Faculty, Staff and Student Publications

Deficits in memory performance have been linked to a wide range of neurological and neuropsychiatric conditions. While many studies have assessed the memory impacts of individual conditions, this study considers a broader perspective by evaluating how memory recall is differentially associated with nine common neuropsychiatric conditions using data drawn from 55 international studies, aggregating 15,883 unique participants aged 15–90. The effects of dementia, mild cognitive impairment, Parkinson’s disease, traumatic brain injury, stroke, depression, attention-deficit/hyperactivity disorder (ADHD), schizophrenia, and bipolar disorder on immediate, short-, and long-delay verbal learning and memory (VLM) scores were estimated relative to matched healthy individuals. Random forest …

The Impact Of A 4-Domain Wellness-Initiative Curriculum On Internal Medicine Resident Physicians, Esha Vallabhaneni, Luigi Cubeddu, Ryan Petit, Fernando Poli, Premal Patel, Cynthia Rivera

HCA Healthcare Journal of Medicine

Background

There is a trend toward fostering well-being, or the state of being happy and healthy, within the medical community. Historically, resident physicians have faced high rates of distress during training. A structured well-being curriculum in residency programs may shift residents' mindsets from survival and resilience to one centered on purpose, engagement, and joy.

Methods

An original well-being curriculum was administered to residents in person at a single institution every 5 weeks for approximately 10 well-being workshops, totaling around 20 hours of curriculum exposure during every academic year. The well-being curriculum was divided into 4 domains: cognitive distortions and problematic …

A Multi-Wave Study Of Factors Associated With Resident Engagement, Depression, Burnout, And Stay Intent, Anne M. Brafford, Brendon Ellis, Greg Guldner, Gabrielle Riazi, Xitao Liu, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

Many studies have documented the epidemic of mental ill-being among resident physicians, but fewer have focused on mental well-being or on guiding intervention design to make progress toward positive change in residency programs to support resident thriving. Informed by the job demands-resources model (JD-R) and positive psychology, the current study examines 4 potential predictors of residents’ ill-being (burnout, depression) and well-being (engagement, stay intent) that are malleable and thus capable of change through intervention: psychological capital (PsyCap), supervising physicians’ autonomy-supportive leadership style (ASL), social support, and meaningful work.

Methods

Three waves of data were collected between November 2017 and …

Autonomy Versus Independence: Implications For Resident And Faculty Engagement, Performance, And Well-Being, Adam P. Neufeld, C. Scott Rigby

HCA Healthcare Journal of Medicine

Research shows that when educational leaders support their learners’ autonomy, it positively impacts both parties. This is particularly important in graduate medical education (GME), given that there is a strong emphasis on resident performance, evaluation, and development. Unfortunately, GME faculty often misunderstand autonomy as the resident’s desire for independence or “freedom,” when in fact it refers to the core psychological need to feel volitional and agentic. The distinction is important because volition is not synonymous with independence, and providing freedom can be at odds with strategies that provide true autonomy support. This, in turn, can contribute to the stress, maladjustment, …

The Never Ending Pursuit Of Satisfaction: How The Brain Modulates Pleasure Seeking Behavior, Amelia Williams

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Humans are addicted to pursuing pleasure but are still unsatisfied. Dopamine modulates this activity. Mindfulness can help us do better as a society.

Poland Syndrome And The Sensorimotor Cortex: An Untapped Possibility For Research, Ace Laikind

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Poland syndrome is a rare disorder that unilaterally affects the chest, arms, and hands. Despite being a limb disorder, there has not been research done on how Poland syndrome interacts with the sensorimotor cortex. Other limb disorders have documented connections to the sensorimotor cortex, and can be used to infer how Poland syndrome affects the sensorimotor cortex. Limb disorders with extensive research on the sensorimotor cortex are phantom limb syndrome, focal hand dystonia, and congenital one-handedness. Additionally, to accommodate for the confound created by the differences between congenital and acquired conditions, blindness and its effects on plasticity can be examined. …

Predictive Processing And Chronic Pain, Lydia Hurst

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Chronic pain is a common condition in which sufferers experience pain for over 3 months. The causes of chronic pain are often difficult to discern, as many cases are not associated with physical damage. A predictive processing (PP) perspective proposes that chronic pain results from the brain’s erroneous predictions derived from strong emotional and/or fearful reactions to pain. Individuals with anxiety disorders are more likely to react with fear to general stimuli, and therefore may be more likely to develop chronic pain under this model. The current healthcare model for this condition, which focuses on treating symptoms with pain-killers, displays …

The Lived Experience Of Stigmatization Due To Chemotherapy-Induced Hair Loss For Young Women With Cancer Who Attend College, Challna Blair

Walden Dissertations and Doctoral Studies

This study investigated the stigmatization experienced by young women in college due to chemotherapy-induced hair loss. Previous research primarily focused on older women, adolescents, and men, leaving a gap in understanding the impact on young college-age women. Using Goffman’s theory of stigma and Giorgi’s descriptive phenomenological method, six young women were interviewed confidentially. The primary research question asked what is the experience of stigma in young women in college who have hair loss during or following chemotherapy cancer treatment? The study revealed that these women often faced being ostracized by peers, received minimal family support, and experienced distressing scrutiny from …

Anātman & Lack: Between Nāgārjuna And Lacan, Carter Morris

The Confluence

The notion of the Self lies at the heart of subjectivity. This paper aims to analyze and compare two intellectual traditions that have their own subversive philosophies of the Self and subjectivity—these two traditions being Mādhyamaka Buddhism and Lacanian psychoanalysis. Beginning with primers on both Nāgārjuna’s philosophy and Jacques Lacan’s psychoanalytic theory, this paper will discuss the comparative psychologies and philosophies of subjectivity presented by the ideas of non-Self and Lack, respectively. Also briefly compared are the implied metaphysics of both Śūnyatā and Lacanian Lack. An examination of these comparisons’ weaknesses follows along with some closing remarks.

Integrity, Flexibility, And Balance: How Change Works In Psychotherapy, David Pincus

Psychology Faculty Books and Book Chapters

Psychotherapy may be the most tested form of health intervention and also one of the most mysterious. Clinical trials, and meta-analyses of these trials, have repeatedly demonstrated the effectiveness of psychotherapy, while also failing to uncover any clear-cut and consistent understanding of how psychotherapy works. This lack of understanding has driven the field to develop 500 supposedly distinct, yet equivalently effective “theories.” The field suffers from barriers to scientific discovery, barriers to therapist training, and barriers to people seeking help for their psychosocial problems. This chapter tackles the mystery of how therapy works by examining the shortcomings of modern medical …

Nonlinear Biopsychosocial Resilience: Self-Organization As The Basis For A Common Framework, Adam W. Kiefer, David Pincus

Psychology Faculty Books and Book Chapters

Recently, calls have been made for a common framework to understand human resilience through the lens of dynamical systems theory. This chapter provides a comprehensive introduction to the concepts and tools necessary for such an approach. It builds on an existing theoretical framework of biopsychosocial resilience grounded in self-organization theory. This theoretical framework is applied to the formalization of four types of resilience – robustness, resilience, antifragility and grit. Next, important features of stability, structural integrity, and flexibility are discussed as empirically measurable characteristics of a systems-based approach to resilience, which provide a foundation for further applications, including metastability and, …

A Critical Analysis Of Latine School Psychology Graduate Students’ Socialization Experiences, Chelsea Salvatore

USF Tampa Graduate Theses and Dissertations

This study aimed to uplift and critically analyze the experiences and perspectives of Latine school psychology graduate students regarding their programs' socialization process. I sought to call out oppressive structures and to identify anti-racist practices described by participants. I intended for this to inform school psychology programs on oppressive structures they must dismantle and anti-racist practices that disrupt the status quo to support the well-being and success of Latine graduate students. Seven Latine school psychology graduate students participated in one or two semi-structured interviews. I employed thematic analysis to discover themes from participant interviews. Once themes were identified, I utilized …

Frontline Nursing Staff’S Perceptions Of Intravenous Medication Administration: The First Step Toward Safer Infusion Processes-A Qualitative Study, Masashi Uramatsu, Naoko Kimura, Takako Kojima, Yoshikazu Fujisawa, Tomoko Oto, Paul Barach

College of Population Health Faculty Papers

OBJECTIVES: Intravenous medication errors continue to significantly impact patient safety and outcomes. This study sought to clarify the complexity and risks of the intravenous administration process.

DESIGN: A qualitative focus group interview study.

SETTING: Focused interviews were conducted using process mapping with frontline nurses responsible for medication administration in September 2020.

PARTICIPANTS: Front line experiened nurses from a Japanese tertiary teaching hospital.

PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was to identify the mental models frontline nurses used during intravenous medication administration, which influence their interactions with patients, and secondarily, to examine the medication process gaps between the …

Benefits Of Acceptance And Commitment Therapy (Act) For Chronic Pain, Maria Kleinstaeuber, Ashley Yaugher, Emily Roundy, Michael Levin

All Current Publications

Chronic pain is a common experience for people and can be difficult to manage. However, there are many evidence-based and effective psychological treatments for chronic pain to help people improve their lives. One of these is acceptance and commitment therapy, or ACT. ACT teaches how to accept pain and live a life full of meaning and quality, with pain. It helps individuals increase their quality of life through mindfulness-based methods, experiential processing, and a focus on values, goals, and actions. ACT has been shown to be effective in reducing pain and improving pain management and personal well-being. Consult the resources …

Perception Of Disordered Eating Among Different Ncaa Divisions Of Collegiate Athletes, Kearsten Powers, Luis Torres, Fredrick A. Gardin

Internet Journal of Allied Health Sciences and Practice

Purpose: Disordered eating is an unhealthy pattern of eating that may develop into an eating disorder. It can include the use of excessive exercise, caloric restriction, binging, or inappropriate use of diet pills/laxatives. It commonly affects collegiate athletes due to the pressure they face to continue to perform well, maintain a specific body composition or appearance, and be influenced by their teammates' eating and exercise habits. This study was conducted to gain qualitative knowledge on how college athletes perceived and experienced disordered eating risk factors during their participation in an NCAA sport. This information can be used to further understand …

Stakeholder Involvement And Systematic Review Of Elements That Determine A Successful Return To Work For Injured Workers: A Scoping Review, Sundip Kaur Khosa, Wilma Jelley Professor

Internet Journal of Allied Health Sciences and Practice

Introduction: A healthy and sustainable return to work (RTW) for a worker after injury or illness has benefits for the worker, their family, the employer, and society.¹ For this research we used the following definition of RTW success; return to positive and meaningful work in a position or occupation not necessarily including all the aspects of the worker’s pre-injury or pre-illness functions or tasks. Purpose: The question behind this survey-based research was, What elements are perceived as essential, to ensure return to employment of injured or ill workers, by stakeholders with experience in the RTW process? Methods: A 32 …

Can Self-Talk Improve Athletic Performance? A Critically Appraised Topic, Allison Brombach, Mikaela Dawn Boham, Ronald L. Snarr, Erica M. Filep

Internet Journal of Allied Health Sciences and Practice

Clinical Scenario: Athletes are constantly searching for alternative mechanisms to improve performance in sport. In addition to modifying physical training, psychological training tools (e.g., self-talk) have been used to elevate athletes from the average competitor. Athletes can use self-talk to navigate challenges in competition and improve self-confidence in tasks leading to potential increases in performance. However, literature relaying performance benefits for adolescent and adult athletes using self-talk is unclear. Clinical Question: In athletic populations, does the implementation of motivational or goal-setting self-talk increase athletic performance? Summary of Key Findings: Four studies were identified exploring self-talk on athletic performance outcomes. Methodology …

Veterans Justice Outreach Program, Risk Of Recidivism, And Justice-Involved Veterans, Melody C. Weathers

Walden Dissertations and Doctoral Studies

To date, no study has examined whether the Veterans Justice Outreach (VJO) program influences recidivism once a justice-involved veteran (JIV) completes the program. Nor has a study examined the diagnoses and comorbidities between a JIV’s propensity for recidivism following separation from the VJO. One of the VJO program’s goals has been to end JIVs' contact with the criminal justice system. This study utilized a generic qualitative design that aimed to explore JIVs who received treatment from the VJO and whether there was an effect on their risk of recidivism. Additional elements for exploration included posttraumatic stress disorder, traumatic brain disorder, …

The Collaborative Assessment And Management Of Suicdality As A Single Session Intervention For Patients Admitted To Inpatient Psychiatric Care For Suicidal Thoughts And Behaviors, D Nicolas Oakey-Frost

LSU Doctoral Dissertations

Inpatient psychiatric care is a critical contact point for individuals experiencing suicidal thoughts and behaviors (STB). The Zero-Suicide framework provides useful scaffolding for improving suicide prevention within inpatient psychiatry (i.e., Assess, Intervene, and Monitor [AIM-SP]). Available evidence suggests instruments are available for evidence informed risk assessment but are hindered by low construct validity and a limited collaborative approach. Additionally, extant interventions do not typically target STB and are not optimized for inpatient psychiatric care. The Collaborative Assessment and Management of Suicidality (CAMS) meets the criteria of the Zero-Suicide Framework and is often leveraged as a single session intervention (SSI) but …

Emotional Reactivity And Recognition Deficits In Individuals With Callous-Unemotional (Cu) Traits: A Multilevel Meta-Analysis, Emily C. Kemp

LSU Doctoral Dissertations

Youth and adults with antisocial behavior present a significant mental health concern. Elevated callous-unemotional (CU) traits, characterized by deficient empathy and remorse, distinguish clinically important subgroups of antisocial individuals who present with more severe behavior and distinct cognitive-affective characteristics that may help to explain the underlying causes of their antisocial behavior and inform more effective treatments. Specifically, two mechanisms theorized to underlie the development of elevated CU traits by way of atypical empathy development are deficient reactivity to and recognition of others’ emotions. Though a substantive literature base reports associations between CU traits and emotional processing deficits, significant inconsistencies remain. …

Veterans Justice Outreach Program, Risk Of Recidivism, And Justice-Involved Veterans, Melody C. Weathers

Walden Dissertations and Doctoral Studies

To date, no study has examined whether the Veterans Justice Outreach (VJO) program influences recidivism once a justice-involved veteran (JIV) completes the program. Nor has a study examined the diagnoses and comorbidities between a JIV’s propensity for recidivism following separation from the VJO. One of the VJO program’s goals has been to end JIVs' contact with the criminal justice system. This study utilized a generic qualitative design that aimed to explore JIVs who received treatment from the VJO and whether there was an effect on their risk of recidivism. Additional elements for exploration included posttraumatic stress disorder, traumatic brain disorder, …

Factors Associated With Functioning In Older Black Adults, Katrail D. Davis

LSU Master's Theses

Activities of daily living can be simple tasks such as bathing, showering, toileting or as complex as managing finances, driving, and preparing meals. Independence in everyday functioning has been associated with successful aging and declines in functioning may be indicative of pathological cognitive decline. Social determinants of health, like economic status and access to health care, also play a role in everyday functioning. Understanding these factors are of particular importance for older Black adults who have had long-standing disparate access to care, education, and treatments. The current study aimed to evaluate social determinants of health, more specifically social engagement, as …

Make It Funny! Developing A Novel Humor-Based Digital Positive Psychology Intervention To Investigate The Influence Of Duchenne Laughter And Mirth On Psychological Distress In Daily Life, Joshua Semko

Electronic Theses and Dissertations

The aim of the present research was to develop a novel digital humor-based PPI (Make it Funny!) to investigate the influence of Duchenne laughter and mirth on psychological distress in daily life. Participants (N = 159; Age_­median­ = 39 years; 47.77% biologically female; 68.15% White) were tasked with completing Make it Funny! or a placebo activity every day for 7 days. Duchenne laughter frequency had a small negative cross-sectional moderation effect on the relationship between the occurrence of stressful events psychological distress (t(79.71) = -2.33, b = -10.89, p = .022). Within participants, Duchenne laughter …

Individual Differences In The Cognitive-Behavioral Model Of Chronic Back Pain In Patients Receiving Spine Surgery: Towards Precision Phenotypes, Madelyn Frumkin

Arts & Sciences Graduate Student Theses and Dissertations

Chronic back pain impacts over 20 million adults in the United States and represents the costliest condition in our healthcare system. Treatments for chronic back pain range from cognitive-behavioral therapy to opioid pain medications and spine surgery. At present, it is extremely difficult to determine which treatments are likely to maximize benefit and minimize risk for a given patient. As such, the goal of this study was to examine whether individual differences in the cognitive-behavioral model of chronic back pain were associated with baseline characteristics or surgical outcomes. Patients (N = 95) with chronic back pain who were receiving spine …

Examining Tradeoffs Of Exposure Control And Collateral Information With Multidimensional Forced Choice Computerized Adaptive Testing, Naidan Tu

USF Tampa Graduate Theses and Dissertations

Multidimensional forced choice (MFC) testing has been proposed as an alternative to single statement (SS) Likert-type measures to reduce response biases in noncognitive measurement. Research progress has been made on MFC computerized adaptive testing (CAT) to improve testing efficiency. CAT enhances efficiency by successively selecting items that are most informative at each respondent’s estimated trait score. In MFC CAT, this causes some forced choice items and the statements composing them to be frequently exposed while others are rarely used, which adversely affects test security and costs. This research develops an exposure control method for MFC CAT based on the Multi-Unidimensional …

"It Feels Like I'M A Step Closer To My Ultimate Goal Of Stable Housing:" A Qualitative Study Of Unhoused People's Experiences In Alternative Shelters In Portland, Emily Leickly, Jacen Greene, Todd Ferry

Psychology Faculty Publications and Presentations

In recent years, alternatives to congregate shelters have emerged, including tiny home villages and motel conversions. Existing research indicates that these alternative shelter modalities are associated with positive outcomes for shelter guests. This qualitative study was conducted with 11 participants staying in three alternative shelters tailored to support specific groups: lesbian, bisexual, gay, transgender, queer, intersex, and asexual (LGBTQIA+) people, women, and medically vulnerable people. Participants reported a number of facilitators and barriers to meeting their personal goals (e.g., permanent housing, medical care). Key facilitators included the relative privacy, autonomy, and safety of alternative shelters, and support for guests with …

Psycho-Social Determinants Of Employee Green Behavior Among It Professionals, Jovita Sherin George, K.N. Jayakumar, Amal Tom Jose

Makara Human Behavior Studies in Asia

As environmental degradation and hazards caused by the information technology (IT) industry reach critical levels, promoting pro-environmental behaviors within IT firms is crucial. These behaviors not only reduce operational costs but also enhance employee productivity. The primary objective of this study is to assess the roles of consideration of future consequences (CFC), nature relatedness (NR), and organizational commitment (OC) as determinants of employee green behavior (EGB). Results revealed a significant relationship between CFC and EGB. Specifically, CFC-Future has a significant positive relationship with EGB, whereas CFC-Immediate has a significant negative correlation with EGB. Additionally, the relationship between EGB and NR …

Identity After Impairment: Development Of An Athletic Identity Model Of Filipino Para-Athletes, Marian M. Lagundino, Marc Eric S. Reyes, Ryan Francis O. Cayubit

Makara Human Behavior Studies in Asia

Athletic Identity (AthID) is an aspect of the self-concept that refers to how one identifies with the role of an athlete and seeks acknowledgment of that role. This identity is not salient in all individuals, but AthID is activated for those who regard their athletic role as significant. Our objective was to develop a theoretical model to elucidate how Filipino para-athletes can cultivate their distinct athletic identity after acquiring a disability. The present study explored the athletic identities of 12 Filipino para-athletes, aged 24 to 63, who developed physical impairment and continued participating and competing in their chosen sports. Using …

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …