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Articles 871 - 900 of 6433
Full-Text Articles in Entire DC Network
Defining Social Inclusion For People With Disabilities In Governance: Scoping And Thematic Literature Review, Ismi Dwi Astuti Nurhaeni, Prama Wiratama, Intan Sani Putri, Asbiyal Nurdin, Asal Wahyuni Erlin Mulyadi, Tiyas Nur Haryani, Desiderius Priyo Sudibyo
Defining Social Inclusion For People With Disabilities In Governance: Scoping And Thematic Literature Review, Ismi Dwi Astuti Nurhaeni, Prama Wiratama, Intan Sani Putri, Asbiyal Nurdin, Asal Wahyuni Erlin Mulyadi, Tiyas Nur Haryani, Desiderius Priyo Sudibyo
BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi
Consensus on a precise definition of social inclusion for people with disabilities remains elusive. This study aims to systematically review the definition of Social Inclusion for People with Disabilities in Governance (SIPDG) based on the related literature and offer basic theoretical insight into what might be considered relevant for establishing a definition of SIPDG. A scoping review was conducted with a qualitative synthesis of literature from SCOPUS. Articles were identified by final keywords of "social inclusion" AND “disability”*. The search produced 8,305 articles, of which 149 articles were included in the scoping review. A coding method was applied in the …
Sleep Duration Is Associated With Caudate Volume And Executive Function, Nicole Jones
Sleep Duration Is Associated With Caudate Volume And Executive Function, Nicole Jones
Honors Theses
The ineligible role of the caudate nucleus in sleep has been implicated throughout multiple scientific studies. Previous literature has shown that greater caudate volume is associated with longer habitual sleep duration in older adults- ranging from 55 years of age and up. However, the association between sleep duration and caudate volume remains unknown in the younger population. In this study, we examined the caudate volume in youth to older adults (10 to 85 years old) with a greater sample size (N=464) to increase statistical power. The volumetric size of the caudate nucleus showed significantly positive association with habitual sleep duration, …
Anxiety, Depression, And Fear Of Dependency In Middle And Older Adults, Darby D. Mackenstadt
Anxiety, Depression, And Fear Of Dependency In Middle And Older Adults, Darby D. Mackenstadt
Theses and Dissertations
Negative stereotypes of aging, such as dependency, tend to paint a picture of older adults as frail or a burden on society. This study aimed to explore the relationship between the Fear of Dependency Scale and anxiety and depression, evaluating gender, age, and physical health as moderators. Findings suggest that age moderated the relationship between fear of dependency and depression and anxiety in women, with middle-aged women reporting the highest levels of depression and anxiety. Similarly, poor physical health in women with high fear of dependency being related to higher levels of depression and anxiety. Fear of dependency was related …
Parental Differential Treatment And Its Impact On The Sibling Relationship: A Literature Review, Kanisha Pierre-Noel
Parental Differential Treatment And Its Impact On The Sibling Relationship: A Literature Review, Kanisha Pierre-Noel
Expressive Therapies Capstone Theses
Parental differential treatment (PDT) may happen for a number of reasons. Each child is different; therefore, each child has their own individual personality and may differ developmentally or in temperament. These differences can make parenting individual children challenging. These differences can cause some parents to show preference toward one child over another because their behavior may be easier to handle. While the difference in treatment due to varying situations and developmental needs is understandable, children may still be sensitive to the increased parental attention shown to another child and be negatively affected by it. PDT explores the differences in parenting …
The Association Between Sleep And Relationship Quality Among Undergraduate Students, Catherine Smith
The Association Between Sleep And Relationship Quality Among Undergraduate Students, Catherine Smith
Honors Theses
This study sought out to examine the association between sleep and relationship quality in undergraduate student populations. Attending university is a novel experience for emerging adults but is subsequently associated with increased sleep difficulties and increased exposure to various social relationships. Indeed, the literature suggests social relationships can influence sleep in all populations, but few have explored relationship quality in the context of conflict and support in undergraduates. The quality of different social relationships (romantic, family, and friend), the severity of insomnia symptoms, and length of sleep duration were investigated. The current study collected data from a sample of ten …
Socio-Emotional Resilience Among Older Adults During The Covid-19 Pandemic, Cindy J. Lahar, Angela L. Nadeau, Jayne Violette, Summer Roberts, Diana Reindl
Socio-Emotional Resilience Among Older Adults During The Covid-19 Pandemic, Cindy J. Lahar, Angela L. Nadeau, Jayne Violette, Summer Roberts, Diana Reindl
Journal of the South Carolina Academy of Science
The detrimental impact of social isolation on health and well-being has been reported in older adults (Prohaska, et al., 2020). Yet findings also demonstrate that older adults have a motivational shift to prioritize emotionally meaningful goals and experiences (Carstensen, 1993; Sakaki, et al., 2019), prioritize emotional meaning in situations, focus on positive emotions and stimuli over negative feelings and live in the present rather than focus on future preparedness. Socioemotional selectivity theory (SST) (Carstensen, 1993; Carstensen, Fung & Charles, 2003) suggests that older adults have a limited sense of time left in life and shift their focus to meaningful and …
Caring For Former Caretakers: Utilizing Collage To Explore Transition, Development Of A Method, Noelle Leblanc
Caring For Former Caretakers: Utilizing Collage To Explore Transition, Development Of A Method, Noelle Leblanc
Expressive Therapies Capstone Theses
Older adulthood often comes with a variety of challenges both emotional and physical. The transition to an assisted living program can be challenging to cope with. Older adults may face isolation and loneliness, while grappling with changes in their identity as result of factors like decline in health, loss of an ability, or changes in social support. Arts based interventions were administered individually among a group of older adults to test if collage could be utilized to explore themes of role shift, transition and identity. Clinical observations along with post-session reflective artwork is included. Assisted living residents participated in a …
An Investigation Of Resistance Training Behavior, Non-Specific Psychological Distress, And Perceived Barriers To Resistance Training In Self-Identifying Female Undergraduate Students, Jody Sobel
Master's Theses
The prevalence and severity of depression symptoms amongst college students, specifically female identifying undergraduate students, is worrisome. There is a great deal of research that suggests a relationship between exercise, specifically resistance training (RT), and mental health. That said, current literature suggests that many female identifying students are not engaging due to perceived barriers. This, perhaps because of the plethora of barriers one can perceive. The purpose of this study was multifold 1) to examine the prevalence and severity of non-specific psychological distress; 2) to determine if there were differences between Kessler 6 Non-Specific Psychological Distress Scale (K6) categories (i.e., …
Asset-Rich And Cash-Poor: Which Older Adults Value Reverse Mortgages?, Joelle H. Fong, Olivia S. Mitchell, Benedict S. K. Koh
Asset-Rich And Cash-Poor: Which Older Adults Value Reverse Mortgages?, Joelle H. Fong, Olivia S. Mitchell, Benedict S. K. Koh
Research Collection Lee Kong Chian School Of Business
Home equity represents a substantial share of retirement wealth for many older persons, particularly in Asia where national housing policies have encouraged home-ownership. This paper explored the potential for reverse mortgages to help 'asset-rich and cash-poor' older Singaporeans unlock their home equity while ageing in place. The empirical analysis was based on a nationally representative survey of home-owners age 50+ in the 2018 Singapore Life Panel (N = 6,258). Our analyses showed that the average older home-owner holds some 60 per cent of total net wealth in housing equity, suggestive of high demand potential for reverse mortgage products. Nevertheless, actual …
Mathematics Library News, Aaron Lercher
Mathematics Library News, Aaron Lercher
Faculty Publications
Mathematics Library News is an LSU Libraries newsletter for members of the Mathematics and Experimental Statistics Departments, published roughly once each semester.
Aging In Westborough: A Community Needs Assessment, Ceara Somerville, Caitlin Coyle, Mary Krebs, Holly Stockdale
Aging In Westborough: A Community Needs Assessment, Ceara Somerville, Caitlin Coyle, Mary Krebs, Holly Stockdale
Center for Social and Demographic Research on Aging Publications
This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Westborough. The goals of this project were to investigate the needs, interests, preferences, and opinions of Westborough’s residents age 55 or older by engaging the community regarding their experiences and needs relevant to the Council on Aging’s (COA’s) objective to identify and serve the needs of all Westborough citizens 55 and older. The contents of this report are meant to inform the Town of Westborough, the Westborough COA, …
Social Media And Wellbeing, Aditya Adsule
Social Media And Wellbeing, Aditya Adsule
Honors College Theses
This psychology thesis paper investigates the existing body of scientific literature surrounding the effects of social media on the wellbeing of adolescents and adults ages 18-29. The current body of scientific literature supports the overall finding that social media has a negative impact not only on mental health, but on physical health. There are also key findings showing the impact of social media on other facets of life such as sleep patterns, social interactions, and physical activity. Current intervention therapies need to be revisited and the DSM categorization of social media addiction needs to be investigated further.
Digital Literacy Among Older Adults In Singapore, Mindy Eiko Tadai, Micah Tan
Digital Literacy Among Older Adults In Singapore, Mindy Eiko Tadai, Micah Tan
ROSA Research Briefs
Singapore stands as the fourth most digitally competitive country, after Denmark, USA, and Sweden, in the latest edition of the IMD World Digital Competitiveness Ranking (IMD World Competitiveness Center, 2022). This global ranking measures the capacities of 63 nations to adopt and explore digitally transformative practices across government, industry, and wider society. Among households in Singapore, an astounding 99% have Internet access and 92% have computer access (Infocomm Media Development Authority, 2023). Even within the eldest surveyed cohort, proportions of smartphone usage have risen from 28% in 2017 to 48% in 2021 among resident Singaporeans aged 75 and above, and …
Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin
Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin
Honors Program: Senior Projects (Public)
Oral health is important to one’s overall health and quality of life as it can lead to chronic illnesses such as cardiovascular disease, stroke, and neurodegenerative disorders (Haumschild et al. 2021). In long-term care facilities, it is important that dependent older adults are provided mouth care to maintain their oral health and decrease their chances of developing a chronic illness; however, there are barriers affecting the level, quality, and quantity of mouth care being provided in these facilities. A survey was developed to look at the education, beliefs, and health literacy of care providers on providing mouth care in hopes …
The Effects Of Tiktok's Covid-19 Content On Anxiety In Young Adults, Nicholas Fontaine
The Effects Of Tiktok's Covid-19 Content On Anxiety In Young Adults, Nicholas Fontaine
Honors Theses
The COVID-19 pandemic spiked generalized anxiety worldwide. The onset of the pandemic also coincided with TikTok’s rise to popularity in the social media landscape, especially among young adults and children. As a result, COVID-19-related content rose to prevalence on the platform as it became a common outlet for users to share their thoughts and opinions on the pandemic while also feeding a growing audience in need of information and diversion. Given the connection between COVID-19 and anxiety, along with temporal ties between TikTok’s rise to popularity and the COVID-19 pandemic, this study set out to determine whether young adults would …
Aging In Norwell: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau
Aging In Norwell: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau
Center for Social and Demographic Research on Aging Publications
This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Norwell Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Norwell’s residents age 50 or older. The contents of this report are meant to inform the Town of Norwell, the Norwell Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Norwell for the purposes of planning and coordination of services. The report will …
Building An Age & Dementia Friendly Barnstable: An Action Plan, Caitlin Coyle, Beth Rouleau, Shayna Gleason
Building An Age & Dementia Friendly Barnstable: An Action Plan, Caitlin Coyle, Beth Rouleau, Shayna Gleason
Center for Social and Demographic Research on Aging Publications
The Town of Barnstable has long-been aware of its aging population and, as a result, has initiated a number of planning processes to advance the livability of the community for all ages---this report documents the Age & Dementia Friendly planning process and associated ideas for action.
From Students To Citizens: The Impacts Of An Intergenerational Experiential Learning Program On Undergraduate Student Development, Morgan Robinson
From Students To Citizens: The Impacts Of An Intergenerational Experiential Learning Program On Undergraduate Student Development, Morgan Robinson
Masters Theses and Doctoral Dissertations
Undergraduate education can strengthen its focus on developing ethical and social literacy in students through incorporating service programs based in experiential learning. Prior research demonstrates experiential learning augments students’ learning outcomes, perceived meaning of education, and social competencies. Experiential learning incorporating intergenerational communication promotes understanding of aging, value placed on service, and sheds light on unforeseen skills and goals for students. This study evaluated the impacts of an intergenerational experiential learning program on character social, and educational development outcomes in students. Further, the study explored the benefits of such programs for older adults. Ultimately, the program developed students’ character relevant …
The Relationship Between Adverse Childhood Experiences And Resilience In Social Work, Margeaux Wilkins, Jazmine Salazar
The Relationship Between Adverse Childhood Experiences And Resilience In Social Work, Margeaux Wilkins, Jazmine Salazar
Electronic Theses, Projects, and Dissertations
High turnover rates continue to plague the field of social work highlighting the need for a new approach. This mixed-method study explores the relationship between the adverse childhood experiences (ACEs) of social workers and their resilience in the field. Quantitative data was gathered from an online survey including demographic information and social workers’ ACEs scores. Qualitative data was gathered from interviews relating to social workers’ resilience and coping mechanisms employed in the field. The quantitative data was analyzed for any correlations and patterns based on demographic information. A thematic analysis was completed to identify common themes and points of discussion …
Asian Discrimination: In The Field Of Social Work, Sunghay Cho
Asian Discrimination: In The Field Of Social Work, Sunghay Cho
Electronic Theses, Projects, and Dissertations
This research explored how anti-Asian rhetoric influences the work experiences and lives of Asian American (A.A.) social workers. This is a qualitive, exploratory study that used a non-probability, convenience sample, and snowball technique for sampling, and interviews with participants via Zoom who identified as Asian American and who had completed their master’s degree in social work. It was found that different types of anti-Asian rhetoric influence Asian American social workers’ own expectations of themselves, their mindset, creates fear, and even sets limitations. It was also found that immigration status/generation (first/second generation) has an influence on their experiences as well. This …
The Role Of Multiracial Identity On Chronic Health Conditions In The U. S.: Evidence From The Behavioral Risk Factor Surveillance Survey, Anna Ruth Jinlong Wahls
The Role Of Multiracial Identity On Chronic Health Conditions In The U. S.: Evidence From The Behavioral Risk Factor Surveillance Survey, Anna Ruth Jinlong Wahls
Graduate Theses and Dissertations
Abstract Racial identity as it informs health disparities has largely been examined using monoracial groups and a binary framework. This study, informed by critical race theory and stress process theory, investigates the relationship between multiracial identity and health. Data from the 2021 Behavioral Risk Factor Surveillance Survey, a national telephone survey that collects health data on adult aged respondents, will be analyzed using a set of regression techniques. Specifically, the number of chronic health conditions reported by those identifying with more than one race will be compared to the number of conditions reported by monoracial individuals.
Discrimination And Cognitive Failures In Singapore And The Us: An Investigation Of Between- And Within-Persons Associations Through Multilevel Modelling, Nadyanna Binte Mohamed Majeed, K. T. A. Sandeeshwara Kasturiratna, Verity Y. Q. Lua, Mingyao Li, Andree Hartanto
Discrimination And Cognitive Failures In Singapore And The Us: An Investigation Of Between- And Within-Persons Associations Through Multilevel Modelling, Nadyanna Binte Mohamed Majeed, K. T. A. Sandeeshwara Kasturiratna, Verity Y. Q. Lua, Mingyao Li, Andree Hartanto
Research Collection School of Social Sciences
Experiencing everyday discrimination can have a significant negative impact on an individual’s wellbeing. While much attention has been paid to the physical and mental health consequences of discrimination, less is known about how discrimination can affect cognitive health, and most existing work has been conducted in laboratory settings where participants recall discrimination retrospectively. Given the artificial environment and susceptibility to recall bias in such procedures, the current study utilised two daily diary studies, consisting of young adults in Singapore (Study 1; N = 484) and midlife adults from the US (Study 2; N = 3577), to examine the association between …
Acculturation And Health Services Utilization Among Older Asian Americans: The Roles Of Social Support And Psychological Distress, Mei Chen
Graduate Doctoral Dissertations
There are relatively few studies about health services utilization among older Asian Americans. Historically, Asian Americans have been treated as one homogenous race group, and the underlying heterogeneity among specific ethnic groups was underappreciated and neglected. This dissertation investigates the relationship between acculturation and health services utilization among older Asian Americans and several specific Asian ethnic subgroups, including Chinese, Japanese, Korean, Filipino, and Vietnamese Americans. In addition, South Asian Americans and members of other Asian groups were also examined.
This study employed two samples of older Asian Americans based on the specific healthcare resources evaluated. The first sample employed five …
Are You Ready For Retirement? Retirement And Quality Of Life As Resources, Hyunsook Kang, Gina Causin, Mary Olle
Are You Ready For Retirement? Retirement And Quality Of Life As Resources, Hyunsook Kang, Gina Causin, Mary Olle
Journal of Human Services: Training, Research, and Practice
Abstract
Retirement in later life has been considered as an important aspect of life course, because it contributes in many ways to one’s life change, social relations updates, and health declines. Although aging brings with changes and declining all aspects of life, many older adults still remain in active after their retirement. This study will address about relationships between older adults’ retirement and its’ quality-of-life resource. Retirement, itself, may be associated with a loss of professional colleagues and work-related friends (Gloria et al, 2015). By contrast, growing numbers of older adults may maintain their active participation in social networks through …
Genetic Loci Of Beta-Aminoisobutyric Acid Are Associated With Aging-Related Mild Cognitive Impairment, Einat Granot-Hershkovitz, Brian Spitzer, Yunju Yang, Wassim Tarraf, Bing Yu, Eric Boerwinkle, Myriam Fornage, Thomas H Mosley, Charles Decarli, Bruce S Kristal, Hector M González, Tamar Sofer
Genetic Loci Of Beta-Aminoisobutyric Acid Are Associated With Aging-Related Mild Cognitive Impairment, Einat Granot-Hershkovitz, Brian Spitzer, Yunju Yang, Wassim Tarraf, Bing Yu, Eric Boerwinkle, Myriam Fornage, Thomas H Mosley, Charles Decarli, Bruce S Kristal, Hector M González, Tamar Sofer
Faculty, Staff and Student Publications
We studied the genetic associations of a previously developed Metabolomic Risk Score (MRS) for Mild Cognitive Impairment (MCI) and beta-aminoisobutyric acid metabolite (BAIBA)-the metabolite highlighted by results from a genome-wide association study (GWAS) of the MCI-MRS, and assessed their association with MCI in datasets of diverse race/ethnicities. We first performed a GWAS for the MCI-MRS and BAIBA, in Hispanic/Latino adults (n = 3890) from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). We identified ten independent genome-wide significant (p value <5 × 10-8) variants associated with MCI-MRS or BAIBA. Variants associated with the MCI-MRS are located in the Alanine-Glyoxylate Aminotransferase 2 (AGXT2 gene), which is known to be associated with BAIBA metabolism. Variants associated with BAIBA are located in the AGXT2 gene and in the SLC6A13 gene. Next, we tested the variants' association with MCI in independent datasets of n = 3178 HCHS/SOL older individuals, n = 3775 European Americans, and n = 1032 African Americans from the Atherosclerosis Risk In Communities (ARIC) study. Variants were considered associated with MCI if their p value <0.05 in the meta-analysis of the three datasets and their direction of association was consistent with expectation. Rs16899972 and rs37369 from the AGXT2 region were associated with MCI. Mediation analysis supported the mediation effect of BAIBA between the two genetic variants and MCI (p value = 0.004 for causal mediated effect). In summary, genetic variants in the AGXT2 region are associated with MCI in Hispanic/Latino, African, and European American populations in the USA, and their effect is likely mediated by changes in BAIBA levels.
Food Related Intrusive Thoughts: A Pilot Study, Hoor Ul Ain
Food Related Intrusive Thoughts: A Pilot Study, Hoor Ul Ain
Honors Theses
Food related intrusive thoughts (FRITs), a type of intrusive thoughts, might be associated with greater frequency of food intake, greater anxiety and distress, and negative affect in general. However, little is known about the experience of FRITs in the moment. I hypothesized that (1) momentary food related intrusive thoughts or FRITs would be positively related to momentary negative affect and (2) that time since eating will moderate this relationship such that people with more time since eating will show a stronger positive relationship between FRITs and negative affect. These relationships were not found to be significant; however, there was a …
Sense Of Relatedness From Racial Groups Within Maltreated Youth, Jessica Castillo, Jaelin Isquith
Sense Of Relatedness From Racial Groups Within Maltreated Youth, Jessica Castillo, Jaelin Isquith
Undergraduate Research Symposium Posters
Sense of relatedness is a crucial factor in the development of meaningful interpersonal relationships (Datu, 2017). Interpersonal relationships have demonstrated a significant impact on how individuals cope with their environment (Yulina et al., 2021). Youth in low socioeconomic environments are at higher risk of being exposed to unstable relationships which further increases this vulnerable population to learning ineffective interpersonal skills throughout their lifespan (Colman & Wisdom, 2004). Youth from marginalized groups have higher risk at experiencing negative life experiences, for example economic inequalities, heightened distress, systemic oppression, and economic inequalities (Hatch & Dohrenwend, 2007). Previous research has suggested African-American individuals …
The Project That Claire, Uh I Mean The Student Completed: Relative Clauses And Repair Disfluencies, Claire O’Shaughnessy
The Project That Claire, Uh I Mean The Student Completed: Relative Clauses And Repair Disfluencies, Claire O’Shaughnessy
Honors Theses
Several areas of psycholinguistics focus on the role of memory in language processing. Two of these areas are repair disfluencies and complex syntactic structures; however, these two topics have traditionally been investigated completely separately from one another. The current experiment combines these two topics by presenting listeners with spoken sentences containing subject-extracted relative clauses (SRCs) and object-extracted relative clauses (ORCs) in which the semantic similarity between the critical noun phrases (NPs) was manipulated. In addition, the sentences could be spoken fluently, or there could be a repair disfluency in which the reparandum contained information that would be potentially helpful in …
Focusing Our Attention On Socially Responsive Professional Education To Serve Ethnogeriatric Populations With Neurogenic Communication Disorders In The United States, José G. Centeno, Loraine K. Obler, Linda Collins, Gloriajean Wallace, Valarie B. Fleming, Jacqueline Guendouzi
Focusing Our Attention On Socially Responsive Professional Education To Serve Ethnogeriatric Populations With Neurogenic Communication Disorders In The United States, José G. Centeno, Loraine K. Obler, Linda Collins, Gloriajean Wallace, Valarie B. Fleming, Jacqueline Guendouzi
Communication Sciences and Disorders Faculty Articles and Research
Purpose:
This viewpoint discusses a plausible framework to educate future speech-language pathologists (SLPs) as socially responsive practitioners who serve and advocate for the burgeoning vulnerable ethnogeriatric populations with neurogenic communication disorders.
Method:
We provide an overview of the demographic, epidemiological, and biopsychosocial context that supports the implementation of equity-based, population-grounded educational approaches for speech-language pathology services in ethnogeriatric neurorehabilitation caseloads and discuss a plausible perspective based on the educational social determinants of health (SDOH) framework by the National Academies of Sciences, Engineering, and Medicine.
Results:
The NASEM's three-domain SDOH educational perspective integrates education, community, and organization to create a self-reinforcing …
Assessing The Dynamic Amongst Self-Compassion, Connection To Nature, And Well-Being, Yueyi Fan
Assessing The Dynamic Amongst Self-Compassion, Connection To Nature, And Well-Being, Yueyi Fan
Honors Theses
In 2015, the United Nations deemed promoting individual well-being of paramount importance, along with seventeen other sustainable development goals (to be achieved by 2030). Unfortunately, overall mental health has taken sharp declines with the unprecedented onset of the COVID-19 pandemic (OECD, 2021). According to a report from the Organization for Economic Cooperation and Development (OECD), the prevalence of anxiety and depression has increased globally; it has doubled or more than doubled as compared to previous years (OECD, 2021). The Centers for Disease Control and Prevention (CDC) has reported increasing levels of adverse mental health conditions, substance use, and suicidal …