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Articles 5521 - 5550 of 33721
Full-Text Articles in Medicine and Health Sciences
U.S. Online Romance Scams: A Mixed Methods Analysis Of Factors Associated With Victimization And Exploration Of Lived Experiences Of Victimization, Rebecca A. Cole
U.S. Online Romance Scams: A Mixed Methods Analysis Of Factors Associated With Victimization And Exploration Of Lived Experiences Of Victimization, Rebecca A. Cole
Social Work Dissertations - Archive
The objective of this dissertation is to understand develop an understanding of experiences of online romance scam1(ORS) victimization and to examine factors associated with ORS victimization. The dissertation samples ORS victims and uses purposive sampling strategies to recruit participants. The research used a mixed methods explanatory design approach. Inclusion criteria included ORS victims 18 and older who lived in the U.S., lost any amount of money in ORS scam, and met the scammer on any Internet platform. Three research manuscripts complete this dissertation. The first manuscript is a scoping review to understand the mental and physical health outcomes …
Boiling Behind Bars: Exploring The Hidden Toll Of Extreme Heat On Mental Health In Texas Prisons, Sandra K. Miller
Boiling Behind Bars: Exploring The Hidden Toll Of Extreme Heat On Mental Health In Texas Prisons, Sandra K. Miller
Social Work Theses - Archive
The State of Texas supports the largest prison system in the US and held 132,859 people in 100 units scattered across the state as of December 2023. Approximately 70% of Texas prison beds are not air conditioned, despite the state’s reputation for dangerously hot, humid summers. The State has officially recorded temperatures inside Texas prison facilities as high as 120 degrees with heat index values of over 150. Although there is a growing body of research on the negative physiological and psychological consequences of extreme heat among the general public, little is known about the physical and emotional toll of …
Sympathetic-Cardiovascular Stress Reactivity In Adults With Major Depressive Disorder, Ashley Darling
Sympathetic-Cardiovascular Stress Reactivity In Adults With Major Depressive Disorder, Ashley Darling
Kinesiology Dissertations - Archive
Major depressive disorder (MDD) is a mood disorder characterized by persistently depressed mood and/or anhedonia that causes significant functional impairment in daily life. MDD affects nearly 15% of adults in their lifetime, and since 2019, prevalence estimates have increased up to ~30% in young adults (18-25 years old). In addition to its debilitating effects on daily functioning, epidemiological studies link MDD to ~3 times greater risk of cardiovascular disease (CVD), followed by accelerated CVD progression and mortality. Although the mechanisms contributing to MDD-CVD comorbidity are unclear, there is evidence of stress system dysfunction in adults with MDD.
Accordingly, the aim …
Employers’ Perceptions Of And Experiences Working With Residency-Trained Athletic Trainers, C E. Welch Bacon, J M. Cavallario, L E. Eberman, J J. Wetherington, F Q. Pecha, B L. Van Lunen
Employers’ Perceptions Of And Experiences Working With Residency-Trained Athletic Trainers, C E. Welch Bacon, J M. Cavallario, L E. Eberman, J J. Wetherington, F Q. Pecha, B L. Van Lunen
Clinical Practice in Athletic Training
Context: Athletic trainers (ATs) who complete accredited residency training in a specialty area are considered clinical specialists, yet more information is needed to determine whether they are practicing within the higher capacity expected of a specialist. While some quantitative evidence demonstrating the value of residency-trained ATs on patient satisfaction, patient throughput, and the financial impact specific to the physician practice setting exists, residency training is not limited to only ATs who want to provide services in physician practice. Moreover, as accredited athletic training residency programs continue to emerge, it is increasingly important to understand key stakeholders’ perceptions of residency-trained ATs …
Program And Proceedings: Nebraska Academy Of Sciences 1880–2024, 144th Anniversary Year, One Hundred-Thirty-Fourth Annual Meeting
Nebraska Academy of Sciences: Programs and Proceedings
Program
Aeronautics and Space Science
Aeronautics and Space Science Poster Session
Anthropology: Humans Past and Present
Maiben Lecture: "Platte Basin Timelapse: A Watershed in Motion," Grant Reiner
Applied Science and Technology
Biological Sciences
Biomedical Sciences
Chemistry
Earh Sciences
Environmental Sciences
Physics
Science Education
The Impact Of Human Attachment To A Pet Bird On Psychological Well-Being, Kathryn Marie Trautmann
The Impact Of Human Attachment To A Pet Bird On Psychological Well-Being, Kathryn Marie Trautmann
Walden Dissertations and Doctoral Studies
Few studies have addressed human attachment to a pet bird and psychological well-being, and the research that has been conducted is largely anecdotal and anthropomorphic perspectives on human relationships with birds. In this quantitative study, the relationships between humans and their birds were explored using Bowlby's attachment theory and Fredrickson and Losada's broaden and build theory. The study consisted of a randomized experiment, in which individuals were randomly assigned to either an attachment (n = 81) or detachment (n = 88) group. The security priming manipulation was used to prime the groups. The attachment group was asked to list things …
Incorporating Sex-Diverse And Gender-Inclusive Perspectives In Higher Education Biology Courses, Breanne N. Harris, A Kelsey Lewis, Sam L. Sharpe, Teri J. Orr, Christopher T. Martine, Chloe C. Josefson
Incorporating Sex-Diverse And Gender-Inclusive Perspectives In Higher Education Biology Courses, Breanne N. Harris, A Kelsey Lewis, Sam L. Sharpe, Teri J. Orr, Christopher T. Martine, Chloe C. Josefson
Faculty Journal Articles
Inclusive teaching is teaching in a way that reaches all students in the classroom; this is beneficial for everyone, particularly for those with minoritized identities. Instructors play a critical role in scaffolding how students are exposed to and learn science content in the classroom. In this manuscript, we discuss how biology instructors can make their classrooms more inclusive with regard to sex and gender diversity content. Many topics in biology are based on androcentric, heteronormative, and oppressive framing, even though those lenses are more reflective of our own history and culture than they are of the diversity we see in …
Human Rights, Informed Consent, And The Influence Of Gender In Compulsory Vaccination: A Qualitative Analysis To Mediate Public Policy In A Protracted Social Conflict, Shannon Christine Rowles-Mcgighan
Human Rights, Informed Consent, And The Influence Of Gender In Compulsory Vaccination: A Qualitative Analysis To Mediate Public Policy In A Protracted Social Conflict, Shannon Christine Rowles-Mcgighan
Department of Conflict Resolution Studies Theses and Dissertations
This research study sought to understand the perspectives and experiences related to theCompulsory Vaccination Policy and the Vaccine Injury Compensation Program. The research objective was to mediate the conflict between the public and the medical community by presenting what William Ury called the “third side.” Uri (1999) studied conflict and found another way to perceive conflict from a larger perspective that emphasizes a fair solution that meets both sides’ needs and the surrounding communities. This study involved qualitative analysis to triangulate the concerns in the conflict through an evaluation of vaccine injury cases, vaccine injury data collection methods, the influence …
Global Deaf And Disability-Led Partnerships For Accessible Emergency Response And Humanitarian Action, Alina A. Engelman, Joe Booze, Alexia Izquierdo
Global Deaf And Disability-Led Partnerships For Accessible Emergency Response And Humanitarian Action, Alina A. Engelman, Joe Booze, Alexia Izquierdo
The Journal of Sociology & Social Welfare
Disability-serving non-profit, non-governmental organizations (NGOs) play a critical role in fostering care networks and supporting humanitarian action for disabled people before and during emergencies, particularly in the absence of targeted philanthropic and governmental support. However, relatively few NGOs serving disabled people are led or operated by people with disabilities, especially by disabled women. This analysis, based on survey and interview data with leadership, explores the impact of two disability-led operations. Findings have profound implications for how social work practice can center disability justice both in preparing for and responding to emergencies. This paper assesses the needs and impact of two …
Racial Disparities In Hpv Vaccine Uptake Among Adult Black And White Latinx Cisgender Men In The United States: Behavioral Risk Factors Surveillance System 2014-2022, Nixon R. Arauz, M.A., Dina T. Garcia, Ph.D., M.P.H., M.Ed.
Racial Disparities In Hpv Vaccine Uptake Among Adult Black And White Latinx Cisgender Men In The United States: Behavioral Risk Factors Surveillance System 2014-2022, Nixon R. Arauz, M.A., Dina T. Garcia, Ph.D., M.P.H., M.Ed.
Graduate Research Posters
Background: Latinx men are more likely to get human papillomavirus (HPV) and cancers caused by HPV compared non-Latinx whites. Despite a national vaccination rate of 59%, only 25% of adult Latinx men are vaccinated. Notably, Latinx individuals can belong to any race. Existing research often overlooks nuances like experiences with structural racism in healthcare settings when examining HPV vaccine uptake among Latinx individuals. This study addresses this gap by investigating HPV vaccination factors among Latinx adults, with a focus on racial disparities.
Methods: Using data from the 2014-2022 Behavioral Risk Factors Surveillance System, this study examined HPV vaccine uptake among …
Body. Freedom. Choice: Creating Artwork In Post-Roe America, Erin Sedra
Body. Freedom. Choice: Creating Artwork In Post-Roe America, Erin Sedra
Graduate Theses/Dissertations
I knew from a young age that I never wanted children. Whenever I expressed my disinterest in motherhood, I was often met with bewilderment, disapproval, and hostility. The church I was raised in taught me that my value and worth as a woman directly correlated with the power of my birthing hips. This fundamentalist upbringing has significantly shaped my relationship with my femininity, my body, and my artwork. When I feel powerless, turning to my art gives me a sense of control and self-expression. This body of work began as a reaction to the overturning of Roe v. Wade and …
Public Library Lending Programs Increase Radon Testing In Rural Communities, Stacy Stanifer, Kathy Rademacher, Whitney Beckett, King Simpson, Mary Kay Rayens, Amanda Thaxton Wigging, Ellen J. Hahn
Public Library Lending Programs Increase Radon Testing In Rural Communities, Stacy Stanifer, Kathy Rademacher, Whitney Beckett, King Simpson, Mary Kay Rayens, Amanda Thaxton Wigging, Ellen J. Hahn
UK CARES Faculty Publications
Radon exposure is the second leading cause of lung cancer, yet few Americans test their homes for radon, particularly in rural areas. The academic team and community partners engaged the public library systems in four rural counties to offer digital radon detectors for check-out as a means of increasing the public’s access to free radon testing. The check-out procedures and instructional materials were created through an iterative process, and library personnel were educated on radon and home radon testing prior to launching the lending program. Library patrons reported high usability, feasibility, and acceptability of the program. Library patron- staff interactions …
Unlocking Adolescent Mental Health: Exploring Social Determinants And Depression With The Social Ecological Model, Lauren B. Robins, Danielle Rodgers, Yusuf Barburoglu, Jasmine Griffith, Cearra L. Arnold
Unlocking Adolescent Mental Health: Exploring Social Determinants And Depression With The Social Ecological Model, Lauren B. Robins, Danielle Rodgers, Yusuf Barburoglu, Jasmine Griffith, Cearra L. Arnold
Counseling & Human Services Faculty Publications
Employing the robust framework of the Social Ecological Model (SEM) and drawing insights from the Social Determinants of Health (SDOH), this research sought to uncover the interplay between SDOH and mental health among adolescents. With a focus on depression, the study unraveled how various social determinants, both individually and collectively, shape the mental well-being of adolescents, leveraging the rich dataset provided by the National Survey of Children’s Health 2018. Utilizing advanced statistical techniques, the study revealed the predictive power of SDOH in understanding adolescent mental health. Results illuminate the significant influence of social determinants on depression, underscoring the imperative for …
Umbrella Review As A Data Collection Tool: Towards Observation, Analysis, And Empirical Transformation Of Qualitative Drivers Describing Healthcare Workforce Shortage Factors Into Quantitative Data To Support Medical Education Interventions In A Global Challenge., Fabio Galli, Marco Grech
Digital Journal of Clinical Medicine
A healthcare workforce shortage of 18 million is expected by 2030, against a global demand of 80 million, and it is difficult to analyse and monitor the real drivers driving this personnel shortage on a global level. The transformation of qualitative data into quantitative data can be a strategy in this global challenge, that can implement the medical education intervention strategies.
Salvation And Sweet Rolls: An Examination Of Mormon Diet Books, Rachel Noorda
Salvation And Sweet Rolls: An Examination Of Mormon Diet Books, Rachel Noorda
English Faculty Publications and Presentations
Religious diet books highlight the overlap between religious and diet cultures. This article examines the intersection of Mormonism, diet culture, and fatphobia through an analysis of Mormon diet books published between 1990 and 2015. The study explores how Mormon diet books leverage the Word of Wisdom (the LDS health code) to promote weight loss and reinforce religious obedience. By framing dietary compliance as a spiritual mandate, these texts link physical health and body size to moral and spiritual worthiness. This conflation of body and spirit, rooted in Mormon theology, amplifies fatphobia by promoting thinness as a sign of obedience and …
Building Sustainable Community-Academic Partnerships While Implementing A Nutrition-Based Blackberry Garden Program At A Senior Center, Dawn Brewer, Annie Koempel, Abbey L. Moellering, Tammy Stephenson, Amy Kostelic, Julie Plasencia, Alexis Sheffield, Ben Guerrant, Alethia Price
Building Sustainable Community-Academic Partnerships While Implementing A Nutrition-Based Blackberry Garden Program At A Senior Center, Dawn Brewer, Annie Koempel, Abbey L. Moellering, Tammy Stephenson, Amy Kostelic, Julie Plasencia, Alexis Sheffield, Ben Guerrant, Alethia Price
UK CARES Faculty Publications
Due to limited access to and low consumption of fruits and vege- tables, older adults are at increased risk of worsening or developing chronic diseases. This paper describes a community-academic partnership that provides a sustainable source of blackberries to attendees of a rural senior center. Qualitative research evaluated the partnership following implementation of a blackberry program. Focus groups and interviews included partners from a senior cen- ter, Cooperative Extension Service, and a detention center. Main themes: group power dynamics influenced communication between research and community leadership teams; unexpected project barriers emerged; and community leadership team sug- gested strategies to promote …
The Impact Of Dissolved Organic Matter On Photodegradation Rates, Byproduct Formations, And Degradation Pathways For Two Neonicotinoid Insecticides In Simulated River Waters, Josephus F. Borsuah, Tiffany L. Messer, Daniel D. Snow, Steven D. Comfort, Shannon Bartelt-Hunt
The Impact Of Dissolved Organic Matter On Photodegradation Rates, Byproduct Formations, And Degradation Pathways For Two Neonicotinoid Insecticides In Simulated River Waters, Josephus F. Borsuah, Tiffany L. Messer, Daniel D. Snow, Steven D. Comfort, Shannon Bartelt-Hunt
UK CARES Faculty Publications
The influences of dissolved organic matter (DOM) on neonicotinoid photochemical degradation and product formation in natural waters remain unclear, potentially impacting the sustainability of river systems. Therefore, our overall objective was to investigate the photodegradation mechanisms and phototransformation byproducts of two neonicotinoid pesticides, imidacloprid and thiamethoxam, under simulated sunlight at the microcosm scale, to assess the implications of DOM for insecticide degradation in rivers. Direct and indirect photolysis were investigated using twelve water matrices to identify possible reaction pathways with two DOM sources and three quenching agents. Imidacloprid, thiamethoxam, and potential degradants were measured, and reaction pathways identified. The photodegradation …
“Your Legs Don’T Look All That Good” An Analysis Of Impoliteness And Politeness In Individuals With Traumatic Brain Injuries In The Workplace, Grace Kozal
Theses and Dissertations--Communication Sciences and Disorders
Background: Social communication disorders are a common outcome from traumatic brain injury (TBI). This social communication disorder can be seen through impolite speech acts during conversation. While politeness is a social norm for workplace discourse, instances of impoliteness may have poor consequences. This research explores the use of impoliteness in persons with TBI within computer generated work-based conditions.
Methods: Language samples from the Voicemail Elicitation Task (VET) and Feedback/Advice Spoken Task (FAST) were transcribed word-for-word. Transcripts from all 62 participants were coded for impoliteness using a developed Impoliteness Codebook and were analyzed to identify significant differences in the number of …
Introduction To Trauma-Informed Counselor Education And Supervision (Tices) Framework, Isak Kim, Yoon Suh Moh, Charmayne R. Adams, Jaeyoung Kim
Introduction To Trauma-Informed Counselor Education And Supervision (Tices) Framework, Isak Kim, Yoon Suh Moh, Charmayne R. Adams, Jaeyoung Kim
Office of Health Promotion Scholarship
Many counselors in training may be susceptible to traumatization and/or retraumatization during their training process due to the elevated prevalence of their past trauma experience and the nature of their professional work involving exposure to trauma narratives in coursework and during fieldwork. Recognizing the growing need for a trauma-informed approach in training future helping professionals, including counselors-in-training, we present an overview of a framework called the Trauma-Informed Counselor Education and Supervision (TI-CES). This framework draws on assumptions and principles from trauma-informed care (TIC). Also, we address the applications of four key assumptions (i.e., Realize, Recognize, Respond, and …
The Way Of Eldering: Spiritual Maturation Across The Lifespan, Kineret Yardena
The Way Of Eldering: Spiritual Maturation Across The Lifespan, Kineret Yardena
Social Work Theses - Archive
Background and Objectives
People in midlife are often encumbered with uncertainty about how to transition toward later life without regret. Many sense the need to spiritually mature as they age, but lack practical guidance. Elders are those in later life who have made this transition and who have become sources of wisdom, nurturance and guidance for those younger than they. This phenomenological study explores the spiritual maturation journey of eldering.
Research Design and Methods
Ten people who were identified as elders took part in intuitive life story interviews. Using Story Method, this phenomenological study sought to identify key themes in …
A Neuroscience-Based Curriculum For Addiction Prevention For Fourth-Grade Students, Paola Andrea Benitez
A Neuroscience-Based Curriculum For Addiction Prevention For Fourth-Grade Students, Paola Andrea Benitez
Social Work Theses - Archive
Substance use is one of the main problems affecting adolescents and young adults. While the consumption of alcohol has decreased, the consumption of marijuana has increased rampantly due to youth's positive perception after being legalized in 24 states with no clear message of the many adverse effects this drug causes. Different approaches to prevention have been used throughout the years: scare-led tactics, socio-emotional learning skills, and neuroscience-based curriculums. Since substance use results from the conjunction of different biopsychosocial factors that lead to this relapsing brain disease, the solution should integrate different preventive solutions as well. Public policy, schools, social workers, …
Effect Of Family-Centered Care Interventions On Well-Being Of Caregivers Of Children With Cerebral Palsy: A Systematic Review, Deepalaxmi Paresh Poojari, Shashikiran Umakanth, G. Arun Maiya, Bhamini Krishna Rao, Sonia Khurana, Senthil Kumaran D., Radhika Attal, Marie Brien
Effect Of Family-Centered Care Interventions On Well-Being Of Caregivers Of Children With Cerebral Palsy: A Systematic Review, Deepalaxmi Paresh Poojari, Shashikiran Umakanth, G. Arun Maiya, Bhamini Krishna Rao, Sonia Khurana, Senthil Kumaran D., Radhika Attal, Marie Brien
Rehabilitation Sciences Faculty Publications
Background: Caring for a child with long-term functional limitations can have a negative impact on the physical and psychological well-being of the caregiver. Family-centered care (FCC) interventions have the potential to empower caregivers and contribute to their well-being. This systematic review aimed to synthesize existing evidence on the effectiveness of FCC interventions in improving the well-being of caregivers of children with cerebral palsy (CP), and identify the key components of such interventions that are most commonly practiced and deemed effective.
Methods: This review systematically searched seven databases for randomized controlled trials that evaluated the effectiveness of any FCC intervention on …
Effect Of Relationship Motivation On Cnm Relationship Satisfaction, Keigan Clark
Effect Of Relationship Motivation On Cnm Relationship Satisfaction, Keigan Clark
Graduate Research Theses & Dissertations
This paper explored the impact relationship formation motivation had on the satisfaction of consensual non-monogamous (CNM) relationships. Using the Self Determination Theory (SDT) concept of autonomy this study tested if more intrinsically motivated open and polyamorous relationships had higher levels of relationship satisfaction compared to more extrinsically motivated relationships. A total of 564 participants completed a web survey distributed through social media and snowball sampling. Participants filled out basic demographical data as well as completing the Couples Satisfaction Index and the Couples Motivation Questionnaire. There was no difference found in relationship satisfaction in polyamorous or open relationships based on intrinsic …
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Doctor of Nursing Practice (DNP) Scholarly Projects - Archive
Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).
Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …
Differentially Unwell: On Mimi Khúc's "Dear Elia", Seo-Young J. Chu
Differentially Unwell: On Mimi Khúc's "Dear Elia", Seo-Young J. Chu
Publications and Research
[...] Inviting readers to reclaim the stigma of unwellness and collectively to "tend to our unwellness, together," Khúc approaches unwellness as a crucial resource for subverting the "wellness and unwellness" dichotomy entirely. After all, the opposite of "wellness" is not "unwellness"; the opposite of "wellness" does not exist. The opposition itself is an artificial framework, one that reductively harms more than it dialogically helps. We need to move away from these simplistic dualisms, Khúc suggests, and towards more generous, trauma-informed epistemologies. [...]
The Experiences Of Religious Students In Counseling Theories Courses, Brian A. Mesimer, Matthew Lyons, Candace Park
The Experiences Of Religious Students In Counseling Theories Courses, Brian A. Mesimer, Matthew Lyons, Candace Park
Journal of Faith Integration Counseling (JFIC)
We explored the experiences of 10 religious counseling students in their theories course. Analysis using transcendental phenomenology showed that the theory acquisition process is multifaceted, consisting of a variety of affective and cognitive experiences which further student growth.
Political Prioritization For Digital Health And Health Equity Through Global Health Diplomacy, Vijay Kumar Chattu, Sujatha Alla, Bawa Singh
Political Prioritization For Digital Health And Health Equity Through Global Health Diplomacy, Vijay Kumar Chattu, Sujatha Alla, Bawa Singh
Engineering Management & Systems Engineering Faculty Publications
[Introduction] We have found the article "Digital health and health equity: How digital health can address healthcare disparities and improve access to quality care in Africa" published in the recent issue to be very relevant and interesting.¹ Qoseem et al have highlighted that there is a great need for continuous advocacy for strengthening the health systems through telehealth promotion and increasing access to healthcare services to achieve health equity.
Cognitive Functioning In Well-Controlled Asthma, Erin Walsh
Cognitive Functioning In Well-Controlled Asthma, Erin Walsh
West Chester University Doctoral Projects
Asthma is a common lung disease that impacts lung functioning through inflammatory based mechanisms. Past research suggests that decreased blood oxygenation due to asthma attacks may impair cognitive capabilities (Irani et al., 2017). Moreover, the observed differences in cognition between those with and without asthma may be associated with disease severity or asthma control respectively in asthma populations. The current study explored differences in cognitive functioning between college students with and without self-reported asthma. Sociodemographic data, self-reported asthma severity, and measures of asthma control were collected. The current study did not find significant differences in measures of cognitive efficiency between …
Psychological And Psychosocial Effects Of Contemplative Practices In The Athletic Population: A Systematic Review, Victoria Baker
Psychological And Psychosocial Effects Of Contemplative Practices In The Athletic Population: A Systematic Review, Victoria Baker
West Chester University Master’s Theses
Mental health concerns in athletes are becoming a primary focus for institutions, companies, coaches, and more. An athlete carries an abundant load of stressors due to their lifestyle. The stressors can negatively impact an athlete by producing anxiety, depression, insomnia, and other mental health issues. Previous studies have found a connection between the use of contemplative practices on psychological and psychosocial effects in athletes, creating an opportunity to evaluate the research of contemplative practices in the athletic population. A systematic review was conducted using nine electronic databases. Seven studies were included in this review, each assessing how contemplative practices affect …
Effectiveness Of Harm Reduction And Narcan Education For Young Adults, Jason Bolfango
Effectiveness Of Harm Reduction And Narcan Education For Young Adults, Jason Bolfango
Nursing | Student Research Posters
Education on the Harm Reduction Model is an upstream preventative approach to addressing the opioid crisis and a strategic method to promote safety among young adults.