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Articles 361 - 390 of 16403
Full-Text Articles in Entire DC Network
Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison
Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison
Walden Dissertations and Doctoral Studies
The purpose of this qualitative action research study was to explore Dallas, Texas, human services professionals’ perceptions of the services that former foster youth need to ensure that they have access to medical and preventative care benefits when they age out of the system. The conceptual framework of Aday and Andersen’s health behavior model provided a structure for the lack of medical care access, the need for improvement, and the desire to use services for various marginalized at-risk populations. The action research design was chosen to help solve real-life healthcare problems that directly affect participants within their community. A purposeful …
Practices And Ethics In The Act Of Transmission In Social Work In A Disrupted Environment, Ana-Luana Deram, Ségolène Payan
Practices And Ethics In The Act Of Transmission In Social Work In A Disrupted Environment, Ana-Luana Deram, Ségolène Payan
Journal of Social Care
At the dawn of the 21st century, we are witnessing demographic, sociological, professional and institutional changes that accompany educational policies and transformations in social work training, giving rise to paradoxical demands sometimes being placed on educators. Like a beacon, adherence to an ethic of consideration in transmission through teaching, sharing and comprehension, nourish the reflection associated with the support of today's social work students.
En ce début de XXIème siècle nous sommes témoins des changements démographiques, sociologiques, professionnels et institutionnels qui accompagnent les politiques éducatives et les mutations de la formation en travail social, à l’origine des injonctions paradoxales parfois …
Cv: John Halloran, John Halloran
Cv: John Halloran, John Halloran
Social Work Department Faculty Curricula Vitae
No abstract provided.
Opportunities, Challenges, And Conspicuous Absences: An Integrative Review Of The Social Work Literature On Artificial Intelligence, Michael J. Massey, Ian G. Williams, Grace C. Polistina, Eathan A. Breaux
Opportunities, Challenges, And Conspicuous Absences: An Integrative Review Of The Social Work Literature On Artificial Intelligence, Michael J. Massey, Ian G. Williams, Grace C. Polistina, Eathan A. Breaux
Publications and Research
INTRODUCTION: Social work discourse regarding artificial intelligence (AI) in practice, research, and education has proliferated over the last 5 years, reflecting both excitement over its potential and ambivalence about its ethical challenges. However, the extent to which social work is fully engaging with the structure of AI and its enormous impacts on the environment, labour, and distribution of power remains unclear.
METHODS: An integrative review of social work literature from 2020–2024 was conducted to address two research questions: 1) What is the nature of the social work discourse related to AI? 2) To what extent is the discourse …
Public Perception Of Risk In Missing Persons Investigations, Harry Lockett, Stefana Juncu
Public Perception Of Risk In Missing Persons Investigations, Harry Lockett, Stefana Juncu
International Journal of Missing Persons
The current study investigated public perceptions of risk in missing person cases. A total of 271 participants were sequentially presented with five fictional vignettes describing missing individuals. Each case included a baseline description of the disappearance being "out of character" and four of these cases were paired with an additional risk factor: substance abuse, depression, dementia, or repeat missing status. The gender of the missing person was also manipulated between participants. Participants rated each case using both the standard categorical scale (Low/Medium/High) and an Extended Scale ranging from 1 to 7 and were also invited to respond to exploratory items …
‘‘If It Bleeds, Does It Lead?’: Lived Experiences Of Media Engagement For Families Of Missing Persons., Sarah Wayland Professor, Loren O'Keeffe, Syadani Riyad Fatema, Amy-Louise Byrne Dr, Elizabeth Paton
‘‘If It Bleeds, Does It Lead?’: Lived Experiences Of Media Engagement For Families Of Missing Persons., Sarah Wayland Professor, Loren O'Keeffe, Syadani Riyad Fatema, Amy-Louise Byrne Dr, Elizabeth Paton
International Journal of Missing Persons
The media plays an important role in a missing persons case. Media is a powerful tool in raising public awareness and support, traversing police investigation, family liaison, and the business of media. This article reports on a focus group of seven people with a long-term missing family member, and two focus group facilitators, one of whom was also the family member of a missing person (n=9). The aim of the study was to better understand how people, who have lived experience of a family member missing, participate in media opportunities, to understand impact. Thematic analysis generated five major themes 1) …
Exploring The Perceptions Of Religious Trauma Among Former Members Of The Church Of Jesus Christ Of Latter-Day Saints Who Identify As A Sexual Minority, Samuel Clemens
Walden Dissertations and Doctoral Studies
This qualitative study explored the perceived experiences of religious trauma among formerly active members of The Church of Jesus Christ of Latter-day Saints (LDS) who identify as sexual minorities. Religious trauma, characterized by psychological, emotional, and social harm, arises from interactions with religious institutions and teachings. For sexual minorities within the LDS Church, strict adherence to heteronormative principles and rigid gender roles often results in identity suppression, emotional distress, and social isolation. Utilizing a generic qualitative inquiry approach, this study investigated how participants interpret their experiences of religious trauma and its perceived effects on their lives. Twelve participants aged 20–74 …
Evaluating The Impact Of A Lend-Based Family Mentorship Program For Pre-Service Professionals, Matthew Bogenschutz, Sarah Lineberry, Jackie Robinson Brock, Flip Grey, Kathryn Flinn
Evaluating The Impact Of A Lend-Based Family Mentorship Program For Pre-Service Professionals, Matthew Bogenschutz, Sarah Lineberry, Jackie Robinson Brock, Flip Grey, Kathryn Flinn
Developmental Disabilities Network Journal
Family-led pre-professional mentoring programs have been shown in past literature to have multiple positive outcomes, including better provider communication, increased sensitivity to the needs and contributions of family members in clinical settings, and better understanding of disability policy contexts among professionals. Yet there have been relatively few examples of exemplary programs that have developed successful models for family mentoring of pre-service professionals. Using qualitative evaluative data from one such program, a component of a Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program, this study shares the experiences of both families and trainees. Common themes shared between these two groups …
Community Of Open Hands: Reimagining The Classroom Through Beauty, Eunsub Cho
Community Of Open Hands: Reimagining The Classroom Through Beauty, Eunsub Cho
University Faculty Publications and Creative Works
One of the boldest decisions that I have ever made as an educator was taking twenty-four middle school students on a camping trip at the end of the school year. We had made our way through a couple of months of astronomy and what better way to conclude the project than to celebrate our learning by gazing at the celestial bodies with our own eyes! My time in the Midwest should have informed me that this was a naive plan, as Michigan skies have a mind of their own. Despite detailed planning, it started drizzling by the time our tents …
Health Professional Students' Experiences With Gender-Identity Inclusive Content In The Classroom And Supervised Clinical Learning, Perry Xinyi Zhang, Aria Grabowski, Olivia S. Anderson
Health Professional Students' Experiences With Gender-Identity Inclusive Content In The Classroom And Supervised Clinical Learning, Perry Xinyi Zhang, Aria Grabowski, Olivia S. Anderson
Internet Journal of Allied Health Sciences and Practice
Purpose: Gender-identity diverse populations have unique healthcare needs, but they experience stigmatization leading to negative health outcomes. Healthcare professionals have reported obstacles to delivering affirming care to gender-identity diverse patients due to limited training. We assessed how health profession students encounter gender-identity content and how students’ perceived preparedness to provide care for gender-identity diverse populations. Methods: A survey distributed to students enrolled in health professional programs at a large mid-western university included close-ended questions about exposure to gender-identity diverse curricular content in didactic and supervised clinical settings and perceived preparedness to work with gender-identity diverse populations. Open-ended questions asked what …
The Effectiveness Of Parent-Child Interaction Therapy: A Multilevel Meta-Analysis, Rana Hong, Jeong Ok Lee, Sanghee Lee, Shweta Singh
The Effectiveness Of Parent-Child Interaction Therapy: A Multilevel Meta-Analysis, Rana Hong, Jeong Ok Lee, Sanghee Lee, Shweta Singh
Social Work: School of Social Work Faculty Publications and Other Works
Objectives: Parent–child interaction therapy (PCIT) is an empirically supported treatment (EST) initially developed to help parents manage difficult behaviors in preschoolers aged 2–7 years. Given its proven effectiveness across diverse populations, this meta-analysis aims to evaluate its effectiveness for Koreans using studies from 1991 to 2022. Methods: A total of 11 studies (n = 201 children; 224 parents) met the criteria for this meta-analysis. Results: A robust pooled effect size (μ= –0.31, 95% CI [–0.44, –0.17], p < .001) for PCIT across all study designs were found. Three-level random-effects meta-regressions further confirmed a significant pooled effect (μ = –0.81, 95% CI [–1.12, –0.50], p < .001), indicating that PCIT effects were consistently significant across studies. Subgroup analyses revealed significant reductions in externalizing behavior, parenting stress, and parent depression. Discussion and implications: This study contributes to the growing body of evidence on the cultural applicability of PCIT to Korean families
Early Childhood Echo (Ec Echo) Start-Up & Operations Manual, Lisa Long, I. Michelle Gaither, Ruby Brenner, Bradley Long, Emily Mcclelland, Malcolm Huell, Lauren Elliott, Katerina Sergi
Early Childhood Echo (Ec Echo) Start-Up & Operations Manual, Lisa Long, I. Michelle Gaither, Ruby Brenner, Bradley Long, Emily Mcclelland, Malcolm Huell, Lauren Elliott, Katerina Sergi
Publications
The Early Childhood ECHO (EC ECHO) Start-up & Operations Manual is a practical guide to launching case-based telementoring and professional development using the Project ECHO® model. Prepared for early childhood programs and agencies. Adapted from Mississippi’s EC ECHO implementation (2023–2025) and aligned with Project ECHO® guidance.
Navigating Homelessness And Housing Accessibility: An Ethnography Of Guests At Operation Nightwatch, Chase Kawika Patton
Navigating Homelessness And Housing Accessibility: An Ethnography Of Guests At Operation Nightwatch, Chase Kawika Patton
Dissertations and Theses
In 2025, over 7,000 individuals in Portland, Oregon experiencing unsheltered homelessness are without access to shelter or transitional housing. In this resource gap Operation Nightwatch (ON) provides material support for people experiencing homelessness (PEH) in the University District neighborhood of downtown Portland. This study focused on the experiences of chronically homeless guests of Nightwatch as they navigated homelessness and housing access. The study relied on semi-structured interviews with staff and guests and on-site participant observation to determine the availability of support to access housing in a system governed by Coordinated Access and the Housing First model. Primary research took place …
The Phoenix Trauma Response Model (Ptrm): An Integrative And Innovative Approach To Trauma Recovery And Growth, Latesha S. Holloman, Lauren B. Robins, Tammie Willis, Courtney V. Morris
The Phoenix Trauma Response Model (Ptrm): An Integrative And Innovative Approach To Trauma Recovery And Growth, Latesha S. Holloman, Lauren B. Robins, Tammie Willis, Courtney V. Morris
Journal of Human Services Scholarship and Interprofessional Collaboration
Trauma is increasingly understood as a developmentally consequential experience that shapes identity, regulation, and relational functioning across the lifespan. Although trauma-informed care, resilience theory, posttraumatic growth, and narrative approaches have expanded understanding of recovery, few frameworks articulate a structured developmental progression that integrates prevention, intervention, and intergenerational transformation within a unified model. The Phoenix Trauma Response Model (PTRM) addresses this gap by introducing a cyclical, phase-based framework organized around four interrelated processes: Recognition, Reframing, Reclamation, and Replication of Strength. Central to the model is the construct of conversion potential, defined as the structured capacity to translate distress into purposeful …
"Every Child Deserves Safety: What We Can Do About Family Violence", Nicole Bartos, Zach Wattson, Heather Brown, Abby Palmer
"Every Child Deserves Safety: What We Can Do About Family Violence", Nicole Bartos, Zach Wattson, Heather Brown, Abby Palmer
Master of Social Work Student Policy Advocacy Briefs
Children in Minnesota deserve safe, stable, and nurturing homes to grow, learn, and thrive. When family violence goes unaddressed, it harms not only individual children but also schools, communities, and the state’s long-term social and economic well-being. Protecting children reflects shared values of safety, dignity, equity, and collective responsibility. Investing in prevention and early intervention affirms Minnesota’s commitment to justice, strong families, and healthy futures for all children.
Bridging The Distance: Expanding Access To Mental Health Services In School, Griffin Gallagher, Arayah St John, Kaylie Svir
Bridging The Distance: Expanding Access To Mental Health Services In School, Griffin Gallagher, Arayah St John, Kaylie Svir
Master of Social Work Student Policy Advocacy Briefs
All students should have equitable access to mental health services in schools. In Minnesota, there has been an 11% increase in students experiencing long-term mental health challenges since 2016, and only 1 in 5 students receive the assistance they need. Students are experiencing a lack of access to mental health services in schools due to barriers of cost, transportation, shortage of support staff, and stigma. When mental health services are not provided in schools, this results in a decrease in school attendance, higher dropout rates, and negative school environments, affecting the long-term outcomes and needs of the child. Mental health …
Housing After Recovery: Expanding Access For Justice-Involved Individuals, Calvin Parzych, Melinda Gillen, Juliet Worayewaa, Mikayla Witter
Housing After Recovery: Expanding Access For Justice-Involved Individuals, Calvin Parzych, Melinda Gillen, Juliet Worayewaa, Mikayla Witter
Master of Social Work Student Policy Advocacy Briefs
Every human being deserves access to safe, stable housing, especially individuals in recovery from substance use disorders. These individuals face significant barriers to stable housing, especially when their criminal records are considered by landlords. This can pose a risk to potential relapse, homelessness, and overall struggle to maintain recovery. Addressing housing discrimination for all members of society, especially justice-involved individuals, can aid in resolving public health and social justice issues that continue to be a long-standing problem.
Hss 216 Introduction To Motivational Interviewing, Juline A. Koken
Hss 216 Introduction To Motivational Interviewing, Juline A. Koken
Open Educational Resources
This syllabus contains links to an OER textbook that was adopted for our Introduction to Motivational Interviewing course, along with additional links to OER videos and additional readings.
Hss 295, Juline A. Koken
Hss 295, Juline A. Koken
Open Educational Resources
This syllabus contains links to existing OER materials as well as additonal readings for our HSS 295 Community Organizing class.
Strengthening School Social Work: Improving Student Outcomes Through Stronger Support Systems, Kaitlyn Dailey, Faridah Kassim, Rhaleecia Rahming, Angela Soto
Strengthening School Social Work: Improving Student Outcomes Through Stronger Support Systems, Kaitlyn Dailey, Faridah Kassim, Rhaleecia Rahming, Angela Soto
Master of Social Work Student Policy Advocacy Briefs
School social workers are essential to student well-being and academic success, yet current caseloads and unclear role expectations prevent them from providing effective, evidence-based support. School social workers improve graduation rates, reduce behavioral challenges, and strengthen school engagement, but only when staffing levels and role clarity allow them to work within their professional scope. Without policy action, Minnesota schools will continue to rely on crisis-driven models that leave students without early intervention and place social workers at high risk for burnout. Rural districts will face even greater inequities, as many students already depend on schools as their only access point …
No Community Left Behind: Investing In Mental Health Service Access In Rural Minnesota, Keaton Anderson, Madison Demars, Trisha Graves-Petron, Cheyenne Munoz
No Community Left Behind: Investing In Mental Health Service Access In Rural Minnesota, Keaton Anderson, Madison Demars, Trisha Graves-Petron, Cheyenne Munoz
Master of Social Work Student Policy Advocacy Briefs
Much of Minnesota has a shortage of mental health providers due to specific problems around graduating workers, recruiting them and keeping them once they are hired. Lower salaries, older population bases, and inconsistent healthcare coverage all contribute to the shortage of providers in rural areas. Long distances between mental health facilities and stigma in mental health care exacerbate the shortage. More than 1.2 million Minnesotans live in rural communities and of those at least 25% do not have access to reliable broadband internet. Rural areas face significant behavioral health workforce shortages, as seen in Figure 1. Minnesota needs to invest …
Accountability For Unlawful Actions By Ice In Minnesota, Luisalfredo Garcia, Ore-Ofe Oluwajobi, Gabriela Passmore, Mariah Wabasha
Accountability For Unlawful Actions By Ice In Minnesota, Luisalfredo Garcia, Ore-Ofe Oluwajobi, Gabriela Passmore, Mariah Wabasha
Master of Social Work Student Policy Advocacy Briefs
Immigration enforcement actions have escalated since December 2025 under “Operation Metro Surge”, with deployment of 4,000 ICE agents to the Twin Cities and rural Minnesota. ICE occupation within Minnesota has included an unprecedented number of people, both documented and undocumented, who have been detained by ICE agents and unlawful actions by ICE. With federal agents disregarding constitutional laws and human rights, there has not been legal accountability or consequences for the traumatic incidents inflicted on Minnesota by Department of Homeland Security. Policy oversight must be implemented to ensure proper accountability for illegal or unjust actions.
County Funding Matters To Ensure Families Stay Together: Minnesota African American Family Preservation And Child Welfare Disproportionality Act (Maafpcwda), Jessica Dewar, Taryn Dolan, Destiny Fairbanks, Christina Albers
County Funding Matters To Ensure Families Stay Together: Minnesota African American Family Preservation And Child Welfare Disproportionality Act (Maafpcwda), Jessica Dewar, Taryn Dolan, Destiny Fairbanks, Christina Albers
Master of Social Work Student Policy Advocacy Briefs
African American children remain disproportionately represented at every stage of Minnesota’s child welfare system, including reports, investigations, and out-of-home placements. Although the Minnesota African American Family Preservation and Child Welfare Disproportionality Act was designed to address these inequities through active efforts and family preservation, many county agencies lack the staffing, training, and resources necessary to fully implement the policy. Without additional investment in counties, the goals of the Act cannot be fully realized.
Stop Ice: A Call For Accountability, Em Hodge, Kathryn Petzel, Elizabeth Spiegelhoff, Zoe Wetzel
Stop Ice: A Call For Accountability, Em Hodge, Kathryn Petzel, Elizabeth Spiegelhoff, Zoe Wetzel
Master of Social Work Student Policy Advocacy Briefs
Since the beginning of the second Trump Administration in 2025, Immigration & Customs Enforcement (ICE) has increased their activity in conducting operations to deport immigrants and citizens. Immigration and Customs Enforcement (ICE) recorded nearly 220,000 arrests from October 15th, 2025, through January 20th, 2026. The types of people being detained have almost exclusively been people with no criminal conviction (96.9%) compared to those with a criminal conviction (3.1%). With the increased deportations and killings of citizens such as Renee Nicole Good and Alex Pretti by the hands of ICE officers in Minnesota, action, protections, and accountability is needed more than …
Substance Use Stigma: Examining The Role Of Social Work Education., Eboni Burton
Substance Use Stigma: Examining The Role Of Social Work Education., Eboni Burton
Doctor of Social Work Capstone Projects
This study explored the extent of substance use related stigma among social work students and professionals (i.e., BSW, MSW, PHD and DSW) and its relationship to specialized education/training in substance use and professional practice with people who use drugs (PWUD)/live with a substance use disorder (PWSUD). Stigma was measured using the Opening Minds Provider Attitudes Toward Opioid Use Scale and the Medical Condition Regard Scale. The final sample size was 263. Results indicate that current enrollment in a social work program, post degree or non-curriculum related substance use related training, and personal and professional experience with substance use specifically, mitigate …
Emergency Department Boarding For Psychiatric Care: The Effect Of Pointclickcare Integration., Chris Rowan
Emergency Department Boarding For Psychiatric Care: The Effect Of Pointclickcare Integration., Chris Rowan
Doctor of Social Work Capstone Projects
Emergency Department Boarding for Psychiatric Care: The Effect of PointClickCare Integration
Abstract
For many individuals in psychiatric crisis, the emergency department has become the first place to seek help, highlighting gaps in how behavioral health care is accessed and coordinated. In Massachusetts, PointClickCare's Behavioral Health Treatment and Referral Platform (BH TRP) was implemented to centralize and streamline referrals between emergency departments and inpatient psychiatric facilities. This capstone evaluates whether implementation of the BH TRP was associated with changes in psychiatric boarding time at a community hospital emergency department. Using a mixed-methods program evaluation design, this study analyzed de-identified electronic medical …
Unveiling The Experiences And Unmet Needs: A Qualitative Exploration Of Undocumented Immigrants Residing In Kansas, Carol Meza, Pedro Hernandez, Alicia Hawley-Bernardez, Christopher Bakke, Staci P. Wolfe
Unveiling The Experiences And Unmet Needs: A Qualitative Exploration Of Undocumented Immigrants Residing In Kansas, Carol Meza, Pedro Hernandez, Alicia Hawley-Bernardez, Christopher Bakke, Staci P. Wolfe
School of Social Work Faculty Publications
Undocumented immigrants in the United States (US) face numerous barriers to accessing services such as healthcare, employment, and social services due to their status. While media and immigration policy focus on the U.S. border states, significant populations of undocumented immigrants exist throughout the U.S. Using qualitative analysis of 20 personal accounts, this study examines their experiences in a Midwestern state through utilizing a strengths-perspective, which emphasizes individual and community assets. Recurrent experiential themes included problems with persistent racism, discrimination, housing, employment, health care, and mental health challenges, while undocumented immigrants demonstrate remarkable resilience. These findings suggest that they can benefit …
Language Analysis Of "Gaslight" And "Narcissist" As Seen On Tiktok, Aaren Fernandez
Language Analysis Of "Gaslight" And "Narcissist" As Seen On Tiktok, Aaren Fernandez
Journal of Research Initiatives
TikTok is a popular social media platform from which users frequently obtain information. Specifically, psychological concepts such as anxiety, depression, and related conditions are becoming popular vernacular on TikTok through trends such as "story times." However, the accuracy of these terms' usage requires examination. In this qualitative analysis of TikTok posts and comments under the hashtags #gaslight and #narcissist, it was found that videos under these hashtags often originated from users attempting to warn viewers about psychological traits that align with common diagnostic language. However, comments under these videos tended to use these terms in a more casual sense than …
Bridging Ipv And Sud For Pregnant And Postpartum Women: A Case Report Of Interdisciplinary Programming In Mississippi, Catherine Poehling, Masoumeh Karimi, Chinedu Chukwu, Jerome R. Kolbo, Xiaoshan Gordy, Saijun Zhang, Matthew Morris, Andrew Voluse, Erin Dehon, Michelle Brassfield, Danielle Lahn, Lisa Slade, Deanna Howington, Kathleen Rhodes, Tearsanee Davis, Sonja Fuqua, Mary M. Wesley, Lei Zhang
Bridging Ipv And Sud For Pregnant And Postpartum Women: A Case Report Of Interdisciplinary Programming In Mississippi, Catherine Poehling, Masoumeh Karimi, Chinedu Chukwu, Jerome R. Kolbo, Xiaoshan Gordy, Saijun Zhang, Matthew Morris, Andrew Voluse, Erin Dehon, Michelle Brassfield, Danielle Lahn, Lisa Slade, Deanna Howington, Kathleen Rhodes, Tearsanee Davis, Sonja Fuqua, Mary M. Wesley, Lei Zhang
Journal of Public Health in the Deep South
Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) adolescents in the U.S. South experience disproportionately high rates of bullying, discrimination, depression, and suicidality. Supportive and inclusive school climates are identified as key protective factors that can mitigate these risks and function as primary prevention against violence. This systematic narrative review synthesizes peer-reviewed research and high-quality survey reports published between 2015 and 2024 that assess school climate, mental health, and violence-related outcomes among LGBTQ+ youth with representation from Southern states, including Mississippi, Alabama, and Louisiana. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 1,167 records …
Parents’ Lived Experiences With Competitive Integrated Employment For Children With Intellectual And Developmental Disability, Dr. Aisha J. Omar
Parents’ Lived Experiences With Competitive Integrated Employment For Children With Intellectual And Developmental Disability, Dr. Aisha J. Omar
Developmental Disabilities Network Journal
This phenomenological qualitative study explores the lived experiences of Kentucky parents seeking Competitive Integrated Employment (CIE) for their children with intellectual and developmental disabilities (I/DD). Guided by the research questions—How do parents experience this process, and what barriers or supports do they encounter?—the study highlights systemic challenges despite legislative efforts such as the Americans with Disabilities Act and the Workforce Innovation and Opportunity Act. In-depth interviews with five parents revealed three themes: (a) parental transformation and the pursuit of meaningful work, (b) systemic challenges in accessing CIE, and (c) overcoming protective instincts: navigating fear, independence, and self-advocacy. Findings suggest a …