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Articles 301 - 330 of 16145
Full-Text Articles in Entire DC Network
Student Supports For Achieving College And Career Readiness, Edward C. Fletcher Jr., Turhan K. Carroll, Bo Hyun Lee, Carrie Burggraf
Student Supports For Achieving College And Career Readiness, Edward C. Fletcher Jr., Turhan K. Carroll, Bo Hyun Lee, Carrie Burggraf
Journal of College Access
School community members help to foster students’ college-going mindsets by creating and facilitating a college-going culture within the school. Based on our findings of a school district composed of a majority ethnically and racially diverse student body, we found the district to be successful in promoting social capital by way of a school stakeholder community. The school stakeholders leveraged social capital to promote a college and career going culture within the context of career pathway programs. This culture promoted a sense of belonging where students felt supported in achieving their goals of being college and career ready. Most notably, the …
Professional Pathways In Business: The Role Of Social Capital For Latinx Students, Maritza S. Campo, Manuel Pech, Teresa Madamba
Professional Pathways In Business: The Role Of Social Capital For Latinx Students, Maritza S. Campo, Manuel Pech, Teresa Madamba
Journal of College Access
Latina/os currently represent one of the most significant contributors to the United States economy, possessing $3.78 trillion in purchasing power. Despite constituting the second largest demographic group in the nation, Latinx representation in business graduate programs and corporate leadership positions, including board memberships, remains below 5%. As Latinx enrollment and graduation rates in higher education have consistently increased over the past decade, it has become increasingly imperative to examine how Hispanic-Serving Institutions can more effectively support Latinx students in their transition from academic to professional careers in business. This study investigates the impact of initiatives implemented by one Hispanic-Serving Institution …
The Power Of Social Capital For First-Generation College Students, Inez M. Gonzalez Perezchica
The Power Of Social Capital For First-Generation College Students, Inez M. Gonzalez Perezchica
Journal of College Access
First-generation college students (FGCS) face unique challenges in achieving career success, challenges which stem from limited access to social capital. Social capital refers to the value derived from access to social structures, which serve as resources that enable individuals to pursue and attain their interests (Coleman, 1988). Enhancing mentoring for FGCS requires an understanding of how social capital facilitates success and upward mobility. FGCS face information gaps that can hinder their ability to navigate college bureaucracy, advance their careers, and beyond. To address this information gap, FGCS can seek advisors and mentors, or institutional agents, who can provide critical insights …
Complete Issue, Claudia Martinez, Lorenzo M. Sianez Jr
Complete Issue, Claudia Martinez, Lorenzo M. Sianez Jr
Journal of College Access
No abstract provided.
Debunking Myths: Preparing Black Students Who Are Accelerated Learners For Postsecondary Opportunities, Erik M. Hines, Donna Y. Ford, Renae D. Mayes, Tanya J. Middleton, James L. Moore Iii, Desmond Mcglone
Debunking Myths: Preparing Black Students Who Are Accelerated Learners For Postsecondary Opportunities, Erik M. Hines, Donna Y. Ford, Renae D. Mayes, Tanya J. Middleton, James L. Moore Iii, Desmond Mcglone
Journal of College Access
Black students are the most underrepresented in Gifted and Talented Education (GATE), Advanced Placement (AP), honors, dual enrollment (DE), and other programs for advanced learners (Ford, 2011, 2013; Hines, 2024; Hines, Fletcher et al., 2022). However, accelerated learners, particularly Black students, are usually seen as individuals who understand their educational trajectory, are more likely to know where they plan to attend college, and quickly know their career choice (Smith & Wood, 2020). Accelerated learners are students who are engaged in advanced coursework or programs such as Gifted and Talented Education (GATE), Advanced Placement (AP), honors, dual enrollment (DE). In this …
Evaluation Of Prerequisite Discrimination Skills For Obtaining Assent From Individuals With Intellectual Disabilities: A Translational Study, Jessica J. Helen Detrick
Evaluation Of Prerequisite Discrimination Skills For Obtaining Assent From Individuals With Intellectual Disabilities: A Translational Study, Jessica J. Helen Detrick
Dissertations
Assent can be defined as an individual’s affirmative agreement to participate and should be obtained by those who cannot consent (i.e., children and adults deemed as “incapable”) when conducting research or providing services. Federal policies recommend considering age, maturity, and psychological state to determine if a participant can assent. Beyond these considerations, there is little guidance. However, practitioners and researchers still have an ethical obligation to obtain assent. Morris and colleagues (2021) conducted a literature review of assent procedures documented within behavior-analytic journals and found few studies. Of the procedures identified, many would likely be difficult to implement with participants …
Immune Modulation Affects Olfactory Glomerular Recovery In Zebrafish, Bonnie E. Ebendick
Immune Modulation Affects Olfactory Glomerular Recovery In Zebrafish, Bonnie E. Ebendick
Dissertations
Adult zebrafish regenerate neurons throughout their lifetime and exhibit rapid recovery from neuronal damage with support from their immune system, making them an excellent model for studying neuroinflammation and brain repair mechanisms. When olfactory sensory neurons are lesioned, their cell death stimulates the immune system by activating microglia and other immune cells in the olfactory bulb, initiating tissue repair and neuronal replacement. This dissertation investigates how the immune system influences recovery from neuronal damage, testing the hypothesis that immune perturbation in zebrafish alters neural recovery.
To investigate the link between immune function and neuronal regeneration, zebrafish received a unilateral lesion …
Mexican Americans’ Attitudes Toward Mexican Immigrants In The United States, Sandra Daisy Espinoza Montes
Mexican Americans’ Attitudes Toward Mexican Immigrants In The United States, Sandra Daisy Espinoza Montes
Dissertations
The United States (U.S.) has often been described as a nation of immigrants. Among the 40 million immigrants in the U.S., Mexican-descent individuals comprise 25% of the overall immigrant population, positioning them as the largest immigrant group in the country. Additionally, Mexican Americans constitute 63% of the Latinx population, making them the largest minoritized ethnic group in the U.S. Considering that Mexican immigrants and Mexican Americans have a significant presence in the country, scholars have called for additional research on attitudes towards Mexican immigrants (Byrne & Dixon, 2016; Flores et al., 2022). However, much of the existing literature on attitudes …
Producing A Map Of Political Advocacy – Locational Difference And Interconnectedness In West Michigan Lgbt Advocacy, Samuel J. Darnell
Producing A Map Of Political Advocacy – Locational Difference And Interconnectedness In West Michigan Lgbt Advocacy, Samuel J. Darnell
Masters Theses
This study examines, through a qualitative lens, the influence of a local environment upon the operations, messaging, and perspectives of individuals within LGBT advocacy organizations and broader LGBT advocacy efforts. This was achieved via analysis of in-person and verbal interviews with individuals involved in the operation of these advocacy organizations. Interviews were analyzed with a focus on political perception, organization structure and history, funding sources, and challenges faced in operation such as political conflicts or harassment. Initially focusing on a comparison of the advocacy environment of Kalamazoo and Grand Rapids, the study expanded to several neighboring towns that hosted advocacy …
Combining Bibliotherapy And Dialogue Journaling In A Fourth-Grade Book Club: Impact On Students’ Writing Apprehension, Leah A. Bryars, Bethanie C. Pletcher
Combining Bibliotherapy And Dialogue Journaling In A Fourth-Grade Book Club: Impact On Students’ Writing Apprehension, Leah A. Bryars, Bethanie C. Pletcher
Teaching/Writing: The Journal of Writing Teacher Education
This article presents the qualitative findings derived from a larger convergent-parallel mixed methods study that explored the outcomes of a bibliotherapy and dialogue journaling intervention on the writing apprehension of eight fourth-grade student participants in an after-school book club. In addition to transcripts of dialogue journal entries, other qualitative data included survey responses from the fourth-grade language arts teachers, field notes, and a post-intervention focus group interview. The qualitative data set was transcribed, coded, and analyzed for emergent themes. Qualitative findings suggested that the student participants demonstrated increased confidence and were in the process of developing more positive attitudes toward …
Following Painting's Quiet Call To Adventure, Kelly Allen
Following Painting's Quiet Call To Adventure, Kelly Allen
The Open Journal of Occupational Therapy
Yael Goverover, OTR/L, Ph.D., professor and post-professional program director of occupational therapy at New York University at Steinhardt (NYU), provided the cover art for the summer issue of the Open Journal of Occupational Therapy. This oil painting on canvas, titled, Still Life, 2024, features an arrangement of everyday objects with vibrant tones of gold, yellow, orange, and green found in the vase, and a coffeepot, fruits, and botanicals set against a backdrop of scarlet and striped patterned fabrics. She created this piece while on sabbatical in Israel as she studied under the tutelage of a seasoned oil …
Letter To The Editor: Embedding Indigenous Knowledges In Occupational Therapy: ‘Nothing About Us Without Us.’, Chontel Gibson, Isla Emery-Whittington, Lavonne Fox, Tirritpa Ritchie, Kaarina Valavaara, Angela Phenix, Tara Pride
Letter To The Editor: Embedding Indigenous Knowledges In Occupational Therapy: ‘Nothing About Us Without Us.’, Chontel Gibson, Isla Emery-Whittington, Lavonne Fox, Tirritpa Ritchie, Kaarina Valavaara, Angela Phenix, Tara Pride
The Open Journal of Occupational Therapy
As a collective of Indigenous occupational therapists, we write this letter not only in response to McColl et al.'s (2024) Letter to the Editor, but as a call to action for the profession, to enhance its ability to apply decoloniality and Indigenous human rights via strengths-based approaches.
Occupation-Based Practice Needs Occupation-Based Assessments: The Loss Of The Amps Family Assessments And How We Move Forward From Here, Leon Kirschner
Occupation-Based Practice Needs Occupation-Based Assessments: The Loss Of The Amps Family Assessments And How We Move Forward From Here, Leon Kirschner
The Open Journal of Occupational Therapy
The Occupational Therapy Domain and Process identifies participation in life activities as a key aspect of occupational therapy’s domain. It also identifies assessment as a key process in our practice. Still, few commonly used assessments use real, meaningful activities in real context to identify what factors are affecting performance. The AMPS family of assessments were among the only assessments used for these purposes. Because of a series of factors, these assessments recently became unavailable for new users and are no longer supported by a central organization. This paper explores the strengths and needs for these types of assessments, the factors …
The Urgent Need For Global Nuclear Disarmament: An Occupational Therapy Perspective, Ryan Thomure, Leon Kirschner, Robert Croonquist
The Urgent Need For Global Nuclear Disarmament: An Occupational Therapy Perspective, Ryan Thomure, Leon Kirschner, Robert Croonquist
The Open Journal of Occupational Therapy
The risk of nuclear war, exacerbated by recent global conflict, poses an existential threat to humanity and undermines the ability of individuals and communities to engage in meaningful occupation. This article argues that occupational therapists and occupational therapy assistants have a role to play in supporting global nuclear disarmament and that such efforts align with both our ethical responsibilities and scope of practice. It explores the profound impact of nuclear weapons on health and well-being, emphasizing the relevance of this issue to occupational therapy. The article outlines practical strategies for occupational therapists to engage in advocacy, including public education campaigns, …
Environmental Advocacy As An Occupation: Perceived Self-Efficacy And Occupational Justice In Community Programming, Emma Sims, Laura H. Vanpuymbrouck
Environmental Advocacy As An Occupation: Perceived Self-Efficacy And Occupational Justice In Community Programming, Emma Sims, Laura H. Vanpuymbrouck
The Open Journal of Occupational Therapy
Background: Current occupational therapy literature demonstrates a gap in knowledge of environmental advocacy as an occupation, which directly impacts occupational justice in those experiencing environmental racism or discrimination. This study’s purpose was to provide foundational information on the importance of advocacy work in the sphere of environmental and occupational justice through the lived experiences of those directly involved in community environmental advocacy.
Method: Qualitative data was collected via three focus groups using semi-structured interviews focused on perceptions of participant experiences in environmental advocacy occupations. Thematic analysis was used to identify themes relating to research questions.
Results: When …
Benefits Of Strategic Memory Advanced Reasoning Training (Smart) In Occupational Therapy Graduate Students, Asha K. Vas, Lori G. Cook, Wanyi Wang, Alisha Schaefer
Benefits Of Strategic Memory Advanced Reasoning Training (Smart) In Occupational Therapy Graduate Students, Asha K. Vas, Lori G. Cook, Wanyi Wang, Alisha Schaefer
The Open Journal of Occupational Therapy
Occupational therapists engage in critical thinking to integrate knowledge into clinical application. Academic curricula offer critical thinking strategies to facilitate flexible thinking and innovation to optimize clinical outcomes. Prior research has demonstrated that a gist-based reasoning program called Strategic Memory Advanced Reasoning Training (SMART) is beneficial in improving critical thinking skills in both healthy and clinical populations. The current study examined the benefits of the SMART program in masters-level occupational therapy (OT) students. Fourteen students between the ages of 22 and 45 (M = 25.71, SD = 6.34) completed the research study. The SMART program teaches strategies of strategic attention, …
Best Practices For Managing Cultural Taxation, Elizabeth Ching
Best Practices For Managing Cultural Taxation, Elizabeth Ching
The Open Journal of Occupational Therapy
The majority of faculty in higher education in the US identify racially as White. Cultural Taxation is a term from 1994 that refers to a common practice in which minoritized racial groups have more responsibilities expected from them than their White counterparts. Since occupational therapy (OT) education is a microcosm of higher education in the US, this affects Black, Indigenous, People of Color (BIPOC) faculty in occupational therapy as well. Recent Supreme Court rulings allow some states like Florida and Texas to eliminate their Diversity, Equity, and Inclusion (DEI) Departments in higher education institutions. With DEI efforts being cut or …
Prevalence Of Incivility And Bullying In Occupational Therapy Fieldwork, Edwin Myers, Kaitlyn Cremer
Prevalence Of Incivility And Bullying In Occupational Therapy Fieldwork, Edwin Myers, Kaitlyn Cremer
The Open Journal of Occupational Therapy
The prevalence of incivility and bullying in the domain of occupational therapy warrants attention. The long-term effects of incivility and bullying can be profound and multifaceted. These may include job dissatisfaction, depressive symptoms, heightened hostility, and an increased likelihood of malpractice. Despite the implications of such behavior, there remains a noticeable gap in existing literature. This study investigated the prevalence of incivility and bullying occurring during occupational therapy (OT) fieldwork. The Negative Acts Questionnaire-Revised (NAQ-R) was completed by 702 occupational therapists, occupational therapy assistants, and students regarding their fieldwork experiences. Over 80% of participants reported being exposed to bullying or …
Occupational Therapy Students’ Perceptions Of Using Chatgpt For An Academic Course Assignment, Diane Tom, Robyn Wu, Chi-Kwan Shea
Occupational Therapy Students’ Perceptions Of Using Chatgpt For An Academic Course Assignment, Diane Tom, Robyn Wu, Chi-Kwan Shea
The Open Journal of Occupational Therapy
Chat Generative Pre-Trained Transformer (ChatGPT), a natural language based artificial intelligence (AI), has been either welcomed or maligned by academia. This project aimed to: (a) provide a structured opportunity for students to use ChatGPT and critique its responses and (b) investigate student perceptions before and after using ChatGPT for a class assignment. Forty graduate occupational therapy students used ChatGPT to complete two written assignments. Pre- and post-ChatGPT assignment surveys completed by students were analyzed. After using ChatGPT to complete course assignments, students were significantly more likely to agree that: (a) ChatGPT is helpful for completing assignments, (b) ChatGPT provides accurate …
Becoming A Skater: A Mixed Methods Study Exploring Supports And Barriers To Participation In Adaptive Skateboarding, Megan Sandwith, Susan Macdermott, Amy Griswold
Becoming A Skater: A Mixed Methods Study Exploring Supports And Barriers To Participation In Adaptive Skateboarding, Megan Sandwith, Susan Macdermott, Amy Griswold
The Open Journal of Occupational Therapy
Background: The occupation of adaptive skateboarding expands concepts of skateboarding through modifications that support performance for individuals with disabilities. There is a gap in the literature representing the experience of individuals with disabilities who desire to participate in adaptive skateboarding. The intent of the research study was to provide a foundational understanding of the occupation of adaptive skateboarding by exploring the question: What are the supports and barriers to participation in adaptive skateboarding?
Methods:This mixed-methods study was comprised of a 14-question virtual survey, a semi-structured interview, and an optional video submission.
Results: A total of 41 participants participated …
Paving A Path From Occupational Therapy Clinician To Researcher: A Grounded Theory, Marissa J. Wuennemann, Barbara Nadeau
Paving A Path From Occupational Therapy Clinician To Researcher: A Grounded Theory, Marissa J. Wuennemann, Barbara Nadeau
The Open Journal of Occupational Therapy
Background: Research is vital for continued development and support of practice for occupational therapy, yet little is known about occupational therapists currently in research roles. Occupational therapists who primarily conduct research see themselves as a unique minority in the profession. This study aimed to understand the process of occupational therapists who shift their professional identity from being a clinician to a researcher.
Method: Purposive and snowballing sampling was used to recruit occupational therapy clinicians who transitioned into roles where they spend the majority of their time conducting research. Data was collected through individual, semi-structured interviews and analyzed following …
Enhancing Occupational Therapy Practice Through A Mentorship Program: A Qualitative Study, Natalie S. King, Bryan M. Gee, Sarah A. Schoen, Mim Ochsenbein
Enhancing Occupational Therapy Practice Through A Mentorship Program: A Qualitative Study, Natalie S. King, Bryan M. Gee, Sarah A. Schoen, Mim Ochsenbein
The Open Journal of Occupational Therapy
Background: Occupational therapy entry-level education is filled with opportunities for experiential learning. Post-professionally, few opportunities exist for participation in structured mentored experiences. Mentoring in health care professions is not new; it has resurged over the past 15 years, documenting the nature of mentorship for practicing clinicians, the design of programs to promote advancement, and the effectiveness of these programs. Level I Mentorship by the STAR Institute uses a small group format and entails a blend of live and online instruction, fostering discussion and reflection rooted in on-site learning experiences. This qualitative study aims to understand participants' perceptions of STAR …
Breastfeeding Interventions For Dyads With Medical Complexity: A Mixed Methods Study, Jairrah L. Godsil, Julia R. Farrell, Julia Shin, Cary C. Moore, Yongyue Qi, Vanessa D. Jewell
Breastfeeding Interventions For Dyads With Medical Complexity: A Mixed Methods Study, Jairrah L. Godsil, Julia R. Farrell, Julia Shin, Cary C. Moore, Yongyue Qi, Vanessa D. Jewell
The Open Journal of Occupational Therapy
Background: Breastfeeding dyads with medical complexity have lower success with direct breastfeeding. Evidence to support occupational therapists working with this population is limited. This study explored occupational therapists' experiences, training, and interventions for breastfeeding dyads with medical complexity.
Method: Occupational therapists providing clinical breastfeeding services for parents and or children with medically complex conditions participated in this study. The study employed an explanatory, sequential mixed-methods design, consisting of an online survey (N = 102) followed by two 75-min semi-structured focus groups (N = 7).
Results: Occupational therapists with more clinical breastfeeding experience (p = .003) and …
Use Of Podcasts As Emerging Technology In Occupational Therapy Education, Abbigail Kubiak, Karen Jacobs, Varsha S. Kulkarni, Maruška Vizek
Use Of Podcasts As Emerging Technology In Occupational Therapy Education, Abbigail Kubiak, Karen Jacobs, Varsha S. Kulkarni, Maruška Vizek
The Open Journal of Occupational Therapy
Podcasts are an emerging modality with a developing evidence base to reinforce their use in educational settings; in particular, to support knowledge retention and introduce topics. This research demonstrates the potential of podcasting in an educational context. Podcasts were used to educate occupational therapy (OT) students about emerging and innovative OT career opportunities. A series of 13 standardized 20- to 30-min podcasts featuring occupational therapists in emerging and innovative practice areas (E/IPA) globally were developed. In each podcast, the occupational therapist described implicit and explicit aspects of their career experiences. The podcasts were piloted in an entry-level OT doctoral course …
A Qualitative Study Of Disabled Performance Art In Occupational Identity Formation And Empowerment, Lisa Mahaffey, Kristin Chrissos, Kate Wettergren
A Qualitative Study Of Disabled Performance Art In Occupational Identity Formation And Empowerment, Lisa Mahaffey, Kristin Chrissos, Kate Wettergren
The Open Journal of Occupational Therapy
Background: Disabled performance artists use their occupation of performance art to challenge the attitudes of their audience toward disability, leading to a greater sense of empowerment and a strong identity as disabled people.
Method: This project used a narrative approach to qualitative inquiry to explore how engagement in performance art influences occupational identity and empowers disabled artists. Personal connections and snowball sampling resulted in six self-identified disabled performance artists participating in 60- to 90-min interviews. A thematic analysis resulted in three overarching themes.
Results: (a) Belonging to a community of disability activists promotes feelings of empowerment for disabled performance …
Globally Inclusive Occupational Therapy Scholarship, Molly Bathje
Globally Inclusive Occupational Therapy Scholarship, Molly Bathje
The Open Journal of Occupational Therapy
Occupational therapy is a global profession and OJOT supports global scholarship through its open-access, online format. OJOT is read in over 200 countries and global/international authorship is encouraged. This article describes the global reach of OJOT and suggests how OJOT authors can embrace the opportunity and responsibility of producing scholarship that has the potential for global impact.
Wmu Board Of Trustees Formal Session Thursday June 26, 2025, Wmu Board Of Trustees
Wmu Board Of Trustees Formal Session Thursday June 26, 2025, Wmu Board Of Trustees
WMU Board of Trustees Meetings
Acceptance of the Agenda
Approval of the Minutes (April 17, 2025 and April 23, 2025)
Remarks by the Chair of the Board
Remarks by the President
Updates by the Faculty Senate President
Updates by the Western Student Association President
Updates by the Graduate Student Association President
Western Michigan University Employee Graduates
Montgomery Essential Needs Program Presentation
Public Comments Regarding Action Items
Action Items
- Academic Tenure and Promotion
- Student Housing and Meal Rates 2025/26
- Fall 2025 Differential Tuition Rates
- Fall 2025 Tuition and Required Fee Rates
- General Fund Fiscal Year 2025/26 Operating Budget
- President Emeritus Status for Edward Montgomery
Consent Items …
Getting An Airman Medical Certificate With Cerebral Palsy, Stefan Crisp
Getting An Airman Medical Certificate With Cerebral Palsy, Stefan Crisp
Honors Theses
This paper aims to document the personal experience of Stefan Crisp attempting to gain an airman medical certificate. It also aims to expose the airman medical certificate process for people with cerebral palsy in the United States. Stefan Crisp, who has cerebral palsy, attempted to gain an airman medical certificate through three attempts across multiple years. Research was done to compare the United States Federal Aviation Administration (FAA) with the United Kingdom's Civil Aviation Authority (CAA) to reveal similarities and differences between accessibility and requirements. Despite successfully navigating through Title 14 Code of Federal Regulations Part 67, Stefan was unable …
How Mindfulness-Based Stress Reduction (Mbsr) Techniques Affect Obsessive-Compulsive Disorder: A Literature Review, Piper Ritke
How Mindfulness-Based Stress Reduction (Mbsr) Techniques Affect Obsessive-Compulsive Disorder: A Literature Review, Piper Ritke
Honors Theses
This literature review examines the potential effectiveness of mindfulness-based stress reduction (MBSR) as a non-invasive therapeutic intervention for individuals with obsessive-compulsive disorder (OCD). Traditional treatments for OCD, such as cognitive behavioral therapy (CBT) and exposure and response prevention (ERP), are evidence-based but can be distressing for some patients. MBSR, originally developed by Jon Kabat-Zinn, emphasizes nonjudgmental awareness of thoughts and may offer a less intrusive alternative. Three peer-reviewed studies were analyzed: a randomized controlled trial comparing MBSR with cognitive therapies, a technology-supported mindfulness intervention utilizing EEG feedback, and a case study documenting individualized MBSR treatment. All studies demonstrated reductions in …
Using Computerized Instruction To Increase Professional Competence With Cognitive Behavioral Therapy (Cbt) Modifications, Paige Lee Sherlund-Pelfrey
Using Computerized Instruction To Increase Professional Competence With Cognitive Behavioral Therapy (Cbt) Modifications, Paige Lee Sherlund-Pelfrey
Masters Theses
One in thirty-six children receive an Autism Spectrum Disorder (ASD) diagnosis, and an estimated 5.4 million adults in the United States have previously received an ASD diagnosis (Centers for Disease Control and Prevention [CDC], 2022). At least seventy percent of individuals with ASD have one comorbid disorder (Valderas et al., 2009). Some common comorbid disorders for individuals with ASD include depression, anxiety, and obsessive-compulsive disorders. Cognitive Behavioral Therapy is an evidence-based therapy that can support depressive, anxiety and OCD symptoms, and has empirically supported modifications that can be used with the ASD population. However, research reports that clinicians are not …