Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Theses/Dissertations

PDF

Mental and Social Health

University of Arkansas, Fayetteville

Keyword
Publication Year
Publication

Articles 1 - 30 of 97

Full-Text Articles in Medicine and Health Sciences

Measuring Awareness Of Spd And Interprofessional Collaboration And Practices Among Professionals In An Elementary Public School Setting, Kyra Resende May 2023

Measuring Awareness Of Spd And Interprofessional Collaboration And Practices Among Professionals In An Elementary Public School Setting, Kyra Resende

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Sensory Processing Disorder (SPD) is a neurological condition in which the brain has trouble receiving and responding to sensory information, which can lead to sensory dysregulation (Rodden, 2023). Because everyone constantly receives sensory input, having SPD can impact a child’s life in numerous ways, such as academic and social success. Research indicates that 5% to 16% of students may have this neurological condition (Bunim, 2013), which is significant enough to expect that school professionals have appropriate awareness about SPD. Additionally, there is usually an overlap of professionals who serve students experiencing SPD, resulting in a need for interprofessional collaboration (IPC) …


A Meta-Analysis Of The Correlation Between Historical Trauma And Health Outcomes In The Native American Population, Taylen Day May 2023

A Meta-Analysis Of The Correlation Between Historical Trauma And Health Outcomes In The Native American Population, Taylen Day

Psychological Science Undergraduate Honors Theses

Native Americans experience significant health disparities such as increased rates of
cardiovascular disease, diabetes, and mental illness. Recent research has suggested that historical trauma may be a contributing factor. This meta-analysis examined the association between historical trauma and health outcomes in Native Americans in the United States and Canada. Data from 14 studies (N = 14,698, 35 effect sizes) examining the physical health, mental health, and substance use domains and using the Historical Loss Scale were collected for analysis. Possible moderating factors were also examined. Overall, a small, significant association (r =.124) was found between historical trauma and health outcomes. …


Does Family Size Moderate The Relation Between Resource Transfers And Intimate Partner Violence Rates?, Paul Gramling May 2023

Does Family Size Moderate The Relation Between Resource Transfers And Intimate Partner Violence Rates?, Paul Gramling

Psychological Science Undergraduate Honors Theses

Intimate partner violence (IPV) refers to physical, sexual, or psychological abuse within an intimate relationship. It is a global issue, particularly for women in developing countries where data show higher rates of IPV for these women than in developed countries. IPV can lead to physical harm, chronic health problems, and even death. It also has negative effects on mental health, economic stability, and the overall well-being of the woman and their children. Family size has been shown to be a predictor of IPV risk; women from larger families face a higher risk. Cash transfer programs in developing countries have been …


Tiny Tusk Internship: Barriers To Effective Breastfeeding Within Low Socioeconomic Populations, Catherine Johnson May 2023

Tiny Tusk Internship: Barriers To Effective Breastfeeding Within Low Socioeconomic Populations, Catherine Johnson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Tiny Tusk Breastfeeding and Infant Support is a program created to facilitate safe and quiet places for mothers to breastfeed at various events at the University of Arkansas. It serves as a platform to spread important and essential information about breastfeeding to mothers and reach various women all from different backgrounds and populations. The purpose of this review of literature is to identify barriers that women within low socioeconomic populations face that influence their decision to breastfeed. These barriers included lack of social support from family, friends, and healthcare providers; latch difficulty; and concerns of milk supply. Altogether, low-income women …


Does Cultural Immersion Around The World Create Stronger Students? A Study Of The Benefits Of Studying Abroad On Students’ Mental Health And Wellbeing., Hanna Lynn Strombom May 2023

Does Cultural Immersion Around The World Create Stronger Students? A Study Of The Benefits Of Studying Abroad On Students’ Mental Health And Wellbeing., Hanna Lynn Strombom

Finance Undergraduate Honors Theses

Mental illnesses have been increasing throughout the population of the United States. College-aged students are being affected by mental illnesses at alarming rates. This is a pivotal age range for people as they transition towards more adult responsibilities. Universities provide its students a lot of opportunities to prepare them for the real-world. One of these opportunities that has become popular amongst students is studying abroad. This research focuses on the effects of study abroad on students’ mental health and wellbeing. 104 students from the summer 2022 CIMBA study abroad program participated in this study. This set of respondents encompassed ten …


Therapists’ Demonstrated Multicultural Competence In Treating Latinx Immigrants, Dulce Diaz Benitez Dec 2022

Therapists’ Demonstrated Multicultural Competence In Treating Latinx Immigrants, Dulce Diaz Benitez

Graduate Theses and Dissertations

Studies suggest that health disparities occur when people from marginalized communities receive care that is inadequate based on their cultural needs (USDHHS, 2011). Multicultural competence (MCC) models have been proposed to provide a framework of the competencies that therapists should develop to work with multicultural populations (Sue et al., 1992). Researchers have questioned the validity of measures, which are mostly based on therapist self-report (Cartwright, 2008). The multicultural case conceptualization ability task has been used in previous studies as a measure of demonstrated cultural competence using a vignette to assess case conceptualization abilities (Ladany et al., 1997). However, it has …


A Structural Examination Of The Connection Between The Amygdala And Nucleus Accumbens In Adolescents With Clinical Anxiety, Alyssa Griffith Dec 2022

A Structural Examination Of The Connection Between The Amygdala And Nucleus Accumbens In Adolescents With Clinical Anxiety, Alyssa Griffith

Biological Sciences Undergraduate Honors Theses

The prominence of anxiety disorders in today’s general population is a major public health concern. Advancing research of the underlying pathophysiology of anxiety disorders can lead to the discovery of effective treatment interventions to treat the mental and physical symptoms of anxiety, and thus improve quality of life. This study aimed to examine two brain areas in the limbic and reward systems, the amygdala and Nucleus Accumbens (NAcc), and the structural white matter connection between them. This neural circuit assigns affective valence to environmental stimuli and motivates behavior to avoid potential harm. This study utilized diffusion Magnetic Resonance Imaging (dMRI) …


Health Care Transition Experiences Of Youth With Intellectual Disabilities In A Post-Secondary Inclusive Program, Faith Duensing Dec 2022

Health Care Transition Experiences Of Youth With Intellectual Disabilities In A Post-Secondary Inclusive Program, Faith Duensing

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Between the ages of 18-21 years old, youth and young adults make the transition from pediatric to adult health care. While it may be an easy and seamless transition for some, that is not always the case, especially for youth and young adults with disabilities. Youth with disabilities experience several distinct health disparities compared to their peers without disabilities and these can be carried over to impact their health care transition (HCT) process. The purpose of this study was to learn more about the HCT experiences of young adults with disabilities and their families to learn and develop ways that …


Tiny Tusks Breastfeeding And Infant Support: Breastfeeding's Effects On Maternal Mental Health, Anna Jacobs Dec 2022

Tiny Tusks Breastfeeding And Infant Support: Breastfeeding's Effects On Maternal Mental Health, Anna Jacobs

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Breastfeeding has proven to be beneficial for infant health and maternal physical health, but there are variable outcomes for maternal mental health. This literature review explores the relationship between breastfeeding and maternal mental health, a topic that is often disregarded when discussing breastfeeding with mothers. After an internship with Tiny Tusks Breastfeeding and Infant Support, a program to make breastfeeding more accessible at Razorback Athletics events, maternal mental health related to breastfeeding was shown to be a topic in need of more current research. This objective of this literature review was to determine how breastfeeding can impact maternal mental health …


The Clinical Healthcare Provided To Homeless Communities Across The United States: A Literature Review, Saylor Sisemore Dec 2022

The Clinical Healthcare Provided To Homeless Communities Across The United States: A Literature Review, Saylor Sisemore

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Homelessness has become a global public health concern as it results in poorer physical and mental health than age-matched people living in permanent housing (Ortiz & Roser, 2017). The area that comprises Northwest Arkansas (NWA), like other areas of the United States experiencing rapid growth, has seen a marked increase in the number of people experiencing homelessness in recent years. The homeless population is one of the most vulnerable and underserved groups of individuals in NWA and beyond. Public health nursing as a discipline is dedicated to providing compassionate care and exceptional service for all members of communities, with special …


Local Broadcast Reporters Maintaining Social Responsibility And Mental Health While Serving A Community Under Lockdown, Mary-Morgan Ellis Aug 2022

Local Broadcast Reporters Maintaining Social Responsibility And Mental Health While Serving A Community Under Lockdown, Mary-Morgan Ellis

Graduate Theses and Dissertations

This study looks at local broadcast news reporters working in Northwest Arkansas before, at the start, and during the COVID-19 global pandemic. Research for this study includes a content study of the tweets and Twitter accounts of eleven local reporters. This study considers the social responsibility theory and examines how these eleven local reporters use the theory in their everyday work. Research found, though these reporters don’t credit the theory by name, they are still putting its guidelines into effect as a sort of moral compass when creating objective and representative news for their communities. The research also found that …


Employment Discrimination’S Impact On African American’S Professional And Personal Lives, Trey D. Williams Aug 2022

Employment Discrimination’S Impact On African American’S Professional And Personal Lives, Trey D. Williams

Information Systems Undergraduate Honors Theses

Title VII of the Civil Rights Act of 1964 makes it illegal to discriminate against a person because of their race, color, religion, sex, or national origin. The law also protects individuals from retaliation if they complain about discrimination, participate in an employment discrimination proceeding, or reasonably oppose discrimination. Although Title VII makes discrimination illegal, it is still present in the workplace. The objective of this thesis is to discuss employee discrimination based on race and sex. Specifically, I will analyze the current workplace discrimination against African American men and women as well as the psychological, physiological, and emotional effects …


The Effects Of Alcohol Intoxication And Threats To Masculinity On Engagement In Sexual Aggression: Results From A Web-Based Survey Design And Alcohol Administration Study, Tiffany Lynn Marcantonio May 2022

The Effects Of Alcohol Intoxication And Threats To Masculinity On Engagement In Sexual Aggression: Results From A Web-Based Survey Design And Alcohol Administration Study, Tiffany Lynn Marcantonio

Graduate Theses and Dissertations

Background: Research examining the combined effects of men’s alcohol consumption and perceptions of their masculinity as precarious (e.g., viewing masculinity as easily threatened) on sexual aggression (SA) is lacking. The goal of this dissertation study was to assess if alcohol consumption and precarious masculinity are related to men’s SA via a web-administered survey (Study 1) and an in-person alcohol administration experiment (Study 2).

Methodology: In Study 1, two samples of young adult men (aged 18-30) were collected, 1) a community sample of 492 men and 2) a college sample of 478 men, to complete a 20-minute survey; participants answered questions …


Efficacy Of Multivitamin-Mineral Supplementation On Measures Of Anxiety, Depression, Self-Esteem, Dysregulation, And Perceived Stress In Young Adults, Courtney Gorden May 2022

Efficacy Of Multivitamin-Mineral Supplementation On Measures Of Anxiety, Depression, Self-Esteem, Dysregulation, And Perceived Stress In Young Adults, Courtney Gorden

Graduate Theses and Dissertations

Mental health in the United States is at an all-time low with 21% of adults 18+ suffering from depression or anxiety. When compared with other categories, emerging adults (18-25 years old) have the highest prevalence of mental health disorders at 30%. Young adults face an inordinate amount of stress given the COVID-19 pandemic, being in a unique developmental stage, experiencing new relationships, and transitioning from high school to their professional lives. Vitamins and minerals have roles in neurobiochemistry and have been investigated for effects on mental health with mixed results. Few studies factor in the unique emerging adult developmental stage …


The Complexities Of Guilt, Shame, Stigma, And Substance Use Among A Sample Of United States Substance Using Adults, Nicole A. Doyle May 2022

The Complexities Of Guilt, Shame, Stigma, And Substance Use Among A Sample Of United States Substance Using Adults, Nicole A. Doyle

Graduate Theses and Dissertations

Background: Guilt, shame, stigma, substance use (problematic/nonproblematic), and help-seeking intention, are complex interrelated constructs that have not been collectively examined in community substance using adults, with mere pieces of each construct previously studied in various populations. Guilt pertains to an action (i.e., I did something bad) whereas shame pertains to the person (i.e., I am bad). Guilt has been shown to function adaptively by prompting individuals to repair transgressive behavior where shame has been shown to function maladaptively by prompting individuals to withdraw and compound the global negative feelings of the self. Stigma of substance use is pervasive and leads …


Implementing An Exercise Referral Scheme For Promoting Physical Activity In University Mental Health Care, Bryce Daniels May 2022

Implementing An Exercise Referral Scheme For Promoting Physical Activity In University Mental Health Care, Bryce Daniels

Graduate Theses and Dissertations

Introduction. Mental health symptoms and conditions are prevalent and increasing on college campuses with anxiety and depression having the highest increases in prevalence. Many college students are also physically inactive which is problematic as physical activity benefits mental health. Exercise referral schemes (ERS) can promote physical activity, though no studies have investigated the implementation of an ERS within a college counseling center. Purpose. The purpose of this dissertation was to investigate the implementation of an ERS for promoting physical activity in university mental health care. Methods. Study 1 used a qualitative descriptive design of 14 certified counselors to explore perceptions …


The Effects Of Hormonal Contraceptive Use On Perceptions Of Social Stress In Women, Ashton Jones May 2022

The Effects Of Hormonal Contraceptive Use On Perceptions Of Social Stress In Women, Ashton Jones

Biological Sciences Undergraduate Honors Theses

Hormonal contraceptives are widely used due to their efficiency in preventing pregnancy. Although women are often informed of the physical effects of hormonal contraceptives, there is little emphasis on mental effects, such as increased rates of depression and changes in social perception. The current study examined perceptions of social stress among women before beginning hormonal contraceptives, and two months after using hormonal contraceptives. I hypothesized that women would experience increased social stress after beginning hormonal contraceptives, compared to a control group of women who were also assessed twice. Results did not support this hypothesis; there was no difference in interpersonal …


Caregiver Satisfaction Of Telehealth Initiatives For Developmental Surveillance And Evaluation In Pediatric Autism Spectrum Disorder, Aashiyana Patel May 2022

Caregiver Satisfaction Of Telehealth Initiatives For Developmental Surveillance And Evaluation In Pediatric Autism Spectrum Disorder, Aashiyana Patel

The Eleanor Mann School of Nursing Undergraduate Honors Theses

PURPOSE: To examine parental satisfaction of a telehealth program aimed to improve the identification and diagnosis of pediatric ASD in Northwest Arkansas.

DESIGN/METHODS: caregivers referred to the Access for Autism clinic received a satisfaction survey regarding the telehealth practices the clinic employs. This 5-point Likert scale survey was designed to measure six different constructs associated with telehealth satisfaction: assurance, empathy, reliability, responsiveness, usability, and patient satisfaction

CONCLUSIONS: Telehealth is a suitable alternative to attending medical appointments. The key finding indicated that 40% of caregivers believed the level of care received to be equal in telehealth and in-person appointments.


Lgbtq+ Health Disparities: Healthcare Intervention, Kara Steinbrecher May 2022

Lgbtq+ Health Disparities: Healthcare Intervention, Kara Steinbrecher

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community has carried the burden of countless health disparities throughout its history tied to discrimination, bias, prejudice, and stigma. LGBTQ+ individuals are disproportionately at higher risk for substance abuse, sexually transmitted diseases, cardiovascular disease, mental illness, suicide, and unequal access to healthcare, related to social stigma and bias that exists in healthcare itself. The purpose of this systematic literature review is to analyze existing health disparities among the LGBTQ+ population in the United States and the efficacy of various interventions of health care professionals to reduce them. Twenty-one articles from multiple online …


Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston May 2022

Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background. Chronic pain (CP) is a major public health problem that affects one-third of the population and can interfere with the activities of daily life and cause decreased quality of life. Patients with CP have been increasingly prescribed opioids, contributing to the rise in the opioid epidemic. Due to the long-term nature of CP, the use of opioids as the sole treatment for CP can cause tolerance and increased dosages overtime which can lead to addiction and potentially overdose. Therefore, CP treatment should include multimodal approaches to treatment to prevent opioid misuse, opioid use disorder (OUD), and overdose. Multimodal treatments …


The Effect Of A Health Educational Program On Sleep Related Health Outcomes, Swetha Sirigineedi May 2022

The Effect Of A Health Educational Program On Sleep Related Health Outcomes, Swetha Sirigineedi

Biological Sciences Undergraduate Honors Theses

Sleep quality has effects on both physical and mental health. Because of this, sleep hygiene is an important health goal. Participation in health programs promoting healthy behaviors has helped people reach their health goals and elicited positive behavior change. Because of this, it was of interest to determine if participation in a virtual, multi-media health education program improved health and wellbeing outcomes of Arkansans. The main objective of this study was to determine the effect of a 20-week behavior and health educational program on the ability of participants to achieve their health goals and improve their health behaviors related to …


Exploring Higher Weight Women's Experiences Of Provider Weight Stigma, Meredith W. Moore May 2022

Exploring Higher Weight Women's Experiences Of Provider Weight Stigma, Meredith W. Moore

Graduate Theses and Dissertations

The purpose of this phenomenological study is to explore the phenomena of weight stigma as experienced by higher weight women in mental health treatment who also engage in restrictive eating behaviors. Women in larger bodies who are emotionally or behaviorally restrictive in their eating behaviors face a unique set of challenges and barriers. These include challenges due the disordered eating behaviors themselves, along with barriers related to weight stigma perpetuated by the mental health providers treating them (Harrop, 2019). Distinct hurdles to proper treatment including delay of diagnosis, longer duration of symptoms, and increased distress related to eating and body …


Covid-19 Masks In Terms Of Functional, Expressive, And Aesthetic Consumer Needs, Lily Highley Dec 2021

Covid-19 Masks In Terms Of Functional, Expressive, And Aesthetic Consumer Needs, Lily Highley

Apparel Merchandising and Product Development Undergraduate Honors Theses

The purpose of this study was to assess consumers' perspectives of COVID-19 masks under the functional, expressive, and aesthetic areas. Due to the COVID-19 pandemic, masks have become an “accessory” to everyday life, and it was essential to research masks under these unique areas and explore consumer perceptions.

This study took place after background research on the topic and the FEA model. The study included a survey sent to Bumpers College students upon approval from the IRB. The data was analyzed and interpreted specifically in the FEA areas and can be useful to better understand the students at the University …


The Impact Of Corporal Punishment For Timorese High School Graduates, Veronica Godinho Pereira Dec 2021

The Impact Of Corporal Punishment For Timorese High School Graduates, Veronica Godinho Pereira

Graduate Theses and Dissertations

This research examines the impacts of corporal punishment for Timorese high school graduates. Physical punishment is a pervasive method of disciplining students and children used in Timor-Leste because it has been such a tradition (UNICEF 2017). Few researchers have attempted to analyze the negative impacts of corporal punishment and possible gender differences; there is no known research on the impacts of corporal punishment in Timor-Leste. This study uses an in-depth interview method, where data were collected from 26 Timorese high school graduates composed of both men and women from both private and public schools in Timor-Leste. The ages of the …


Effects Of Abstinence-Based Sexual Education Compared To Evidence-Based Sexual Education In K-12 Schools, Lily Probst Dec 2021

Effects Of Abstinence-Based Sexual Education Compared To Evidence-Based Sexual Education In K-12 Schools, Lily Probst

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Historically, sexual education in the United States has been abstinence-based (ABSE), meaning that sexual education is centered around encouraging adolescents to abstain from sexual activity outside of wedlock. On the other hand, evidence-based sexual education (EBSE) includes abstinence in its curriculum but does not emphasize it, instead highlighting contraception and prevention strategies. Additionally, EBSE teaches adolescents about healthy relationships, attitudes towards sexuality, gender roles, and provides resources for sexual and reproductive health services. Supplying adolescents in K-12 schools with access to evidence-based sexual education may not only decrease teen pregnancy rates and incidence of sexually transmitted infections (STIs) but …


Pilot Testing A Survey Instrument To Evaluate Eaat Professionals' Views On The Effects Of Equine-Assisted Activities And Therapies On Hope And Depression In Court-Involved Youth, Emily Stewart Aug 2021

Pilot Testing A Survey Instrument To Evaluate Eaat Professionals' Views On The Effects Of Equine-Assisted Activities And Therapies On Hope And Depression In Court-Involved Youth, Emily Stewart

Animal Science Undergraduate Honors Theses

Equine Assisted Activity and Therapy (EAAT) programs have proven beneficial for individuals with mental, physical and psychological ailments. Only in the last few years have court systems begun to utilize the complex nature of the human-horse relationship to benefit the lives of court-involved youth. Despite its novelty, the few existing studies in this field yield positive results (Frederick et al., 2015). To address the need for further research in this area, a pilot study was conducted. An exploratory survey was given to EAAT professionals to determine their views on the effects of EAAT programs on hope and depression in court-involved …


Through The Lens Of Eaat Facility Manager: Benefits Of Equine-Assisted Activities And Therapies To College-Aged Students, Annalee Parker Jul 2021

Through The Lens Of Eaat Facility Manager: Benefits Of Equine-Assisted Activities And Therapies To College-Aged Students, Annalee Parker

Animal Science Undergraduate Honors Theses

This study aimed to explore and gather information on the benefits of equine assisted activities and therapies (EAAT) to college-aged students so that the information may be given to college students as an educational source and a mental health relief resource. This study strived to explore, through the lens of managers of EAAT organizations and their coworkers, how EAAT has positively affected college-aged students, including those with PTSD, behavioral problems, communication obstacles, Down syndrome, family differences, abusive relationships, depression, anxiety, and/or physical ailments. As a whole, EAAT is viewed as more of a recreational activity rather than a method of …


The Co-Regulatory Effects Of Emotionally Focused Therapy, Julia Conroy Jul 2021

The Co-Regulatory Effects Of Emotionally Focused Therapy, Julia Conroy

Graduate Theses and Dissertations

Mental health literature emphasizes the necessity of expanding emotional regulation to improve symptomology of a variety of mental health disorders. Coregulatory experiences have been shown to expand individual emotional regulation and are more likely in relationships with secure attachment. Emotionally Focused Therapy (EFT) is focused on developing secure attachment between partners. This study examined the coregulatory effects of EFT with a single couple over the course of couples’ counseling. The participating couple received eight couples’ counseling sessions from a clinician who is a certified EFT trainer, supervisor, and therapist while having their heart rate, electrodermal activity, and skin temperature taken …


Campus Mental Health Service Use Among Female Survivors Of Sexual Violence: An Interpretative Phenomenological Analysis, Hannah Coffman Jul 2021

Campus Mental Health Service Use Among Female Survivors Of Sexual Violence: An Interpretative Phenomenological Analysis, Hannah Coffman

Graduate Theses and Dissertations

Description: Despite the increase in resources to address the alarming rates of collegiate sexual violence (SV), survivors consistently do not disclose or seek mental health treatment from campus supports (Halstead et al., 2017). The purpose of this study was to understand the lived experiences of women who survived SV during college.

Method: Seven women who experienced SV during college completed a series of two semi-structured interviews using a HIPAA-compliant, web-conferencing software (Seidman, 2013). The interviews were transcribed verbatim and analyzed using an interpretative phenomenological analysis (IPA) framework (IPA; Smith, 2004; Smith et al., 2009). A six-step data analysis procedure identified …


Child-Centered Play Therapy’S Impact On Externalized Behaviors Of Children Who Have Experienced Trauma: A Single-Case Research Design, Timothy "T.J." Schoonover Jul 2021

Child-Centered Play Therapy’S Impact On Externalized Behaviors Of Children Who Have Experienced Trauma: A Single-Case Research Design, Timothy "T.J." Schoonover

Graduate Theses and Dissertations

Adverse childhood experiences (ACEs) are defined as exposure to emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, loss of a parent, domestic violence, family member with addiction, family member with depression or mental illness, and family member incarcerated (Felitti et al., 1998). ACEs have been studied for many years and have shown to have long term negative health and social-emotional outcomes and costs the world over $1 trillion a year (Bellis et al., 2019; Felitti et al., 1998; Hughes et al., 2017). Due to the emotional, physical, and dollar amount cost to not addressing the impact of ACEs …