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Articles 121 - 150 of 6431
Full-Text Articles in Mental and Social Health
The Impact Of Trump Administration Immigration Policies On Connecticut Educators And Families, Elena C. Bielesz
The Impact Of Trump Administration Immigration Policies On Connecticut Educators And Families, Elena C. Bielesz
Honors Scholar Theses
Anti-immigrant rhetoric, policies, and practices, which have grown increasingly prevalent due to the current national political climate, have adverse effects on the mental health of immigrant families and the teachers that support them in Connecticut. This study seeks to represent the opinions of Connecticut K-12 MLL (Multilingual Learners) Education Teachers and Administrators whose daily lives are impacted by the anti-immigrant and anti-refugee policies and procedures. The study employed a human subjects-based approach supported by a review of related literature. MLL Educators from around the state of Connecticut were interviewed. These interviews found that while immigration-based trauma and stressors are common …
Boosting Psychological Well-Being In One Session: A Rapid Counseling Approach To Digital Detox And Music Therapy, Aryobimo Oentarto
Boosting Psychological Well-Being In One Session: A Rapid Counseling Approach To Digital Detox And Music Therapy, Aryobimo Oentarto
Buletin Konseling Inovatif
The rapid acceleration of technology has trapped modern youth in a digital connectivity paradox, where constant social media exposure triggers cognitive distortions and maladaptive behaviors that erode psychological well-being. This study evaluates the effectiveness of a Rapid Counseling approach integrated with Single-Session Music Therapy (RC-SSMT) in enhancing the psychological well-being of youth by breaking the cycle of digital addiction. Using a pre-test and post-test experimental design, the study focused on six youths (aged 15–17) at Church "X" in Jakarta who were identified as having low psychological well-being. The intervention combined a mandatory digital detox as a behavioral task with music …
Quantifying Black Carbon Concentrations In Georgia And Analyzing Associated Public Health Risks, Khloe R. Osborne
Quantifying Black Carbon Concentrations In Georgia And Analyzing Associated Public Health Risks, Khloe R. Osborne
Honors Theses
Quantifying Black Carbon Concentrations in Georgia and Analyzing Associated Public Health Risks
One of the most daunting challenges of the industrial world is air pollution. Within this broad spectrum, there is an inhalable particle group named PM2.5, which contains black carbon. Black carbon has evidence that supports the generation and worsening of adverse health impacts, which may include birth complications, cognitive deficits in children, pulmonary aggravation, asthma, cardiovascular issues, neurological degenerative patterns, and cancer risk. This is especially seen in vulnerable populations, like children, elderly, and those who already suffer from weakened health, many of which reside in the southern …
Making Sense Of Hospitalization: An Interpretative Phenomenological Analysis Of Covid-19 Patients’ Psychological Experiences In Indonesia, Mira Wahyu Kusumawati, Heni Dwi Windarwati, Setyawati Soeharto
Making Sense Of Hospitalization: An Interpretative Phenomenological Analysis Of Covid-19 Patients’ Psychological Experiences In Indonesia, Mira Wahyu Kusumawati, Heni Dwi Windarwati, Setyawati Soeharto
The Qualitative Report
While previous research has probed into the experiences of COVID-19 patients during isolation in hospitals, little is known about their psychological experiences and the meaning of such experiences. To address the gap,this study was designed to explore the psychological experiences of patients who were confirmed positive for COVID-19 while undergoing isolation in hospitals. Using a phenomenological approach, we recruited 19 COVID-19 survivors who were confirmed positive for COVID-19 in the first six months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-to-face semi-structured interviews with health protocols and analysed the data using the …
Values-Based Clinical Ethics: A New Model Of Health And Ethics Consultation For Patients Suffering In Extremis, Adam Trainer
Values-Based Clinical Ethics: A New Model Of Health And Ethics Consultation For Patients Suffering In Extremis, Adam Trainer
Electronic Theses and Dissertations
This dissertation argues that contemporary clinical ethics is inadequately equipped to support patients suffering in extremis because it relies on an insufficiently discriminating account of health and a constrained model of moral reasoning. Drawing on Bernard Lonergan, it reconceives health as an emergent, multi-layered, heuristic notion shaped by biological, psychological, social, and existential goods. On that basis, it critiques principlism’s global applicability thesis and the undergirding claim that its principles form part of the common morality, arguing that this justificatory structure is philosophically insufficient and practically limited for clinical ethics in cases marked by profound suffering, moral plurality, and normative …
Dropping Into The Expressive Art Therapy: A Community Engagement Arts Based Project, Sydney C. Smith, Meg Chang
Dropping Into The Expressive Art Therapy: A Community Engagement Arts Based Project, Sydney C. Smith, Meg Chang
Expressive Therapies Theses
This community engagement capstone explores how expressive arts practices (EXAP) may complement surf-based programming by supporting reflection, empathy, and meaning-making among participants. Research has demonstrated that surf therapy can promote emotional well-being, resilience, and social connection through embodied engagement with the ocean and supportive community environments. Integrating expressive arts practices within surf-based programs may extend these benefits by providing opportunities for reflection, creative expression, and interpersonal exchange. Grounded in expressive arts therapy (EXAT) theory and arts-based research (ABR) paradigms, this project examines how creative expression can support relational and emotional experiences within surf therapy settings. Using an arts-informed community engagement …
Co-Active Therapeutic Filmmaking: A Methodology Pilot Project, Blair Webber
Co-Active Therapeutic Filmmaking: A Methodology Pilot Project, Blair Webber
Expressive Therapies Theses
This pilot project examined the intersection of drama therapy and filmmaking. Drawing on the Co-Active Therapeutic Theater model from drama therapy and digital storytelling and participatory video methods from social work research, this methodology designed and delivered a co-created filmmaking intervention at a residential treatment center for adult men with co-occurring mental health and substance use disorder. Four participants made a seven-minute-long short fictional film based on their definition of active recovery and a theme of recovery they wished to share with an audience. It was screened at the treatment center for staff and their fellow residents. Data collection was …
Harness The Darkness! Blackout Poetry And Drama Therapy For Systemic Existential Dread: A Proposed Methodology, Kerry Sullivan
Harness The Darkness! Blackout Poetry And Drama Therapy For Systemic Existential Dread: A Proposed Methodology, Kerry Sullivan
Expressive Therapies Theses
This thesis explores the intersection of drama therapy and blackout poetry as a therapeutic intervention to address systemic existential dread (SED) among emerging adults. The proposed methodology is titled "Bringing Blackout Poetry to Life" and consists of five sessions designed to explore the participants’ SED and generate poetry, culminating in a public performance. By integrating elements from psychodrama and drama therapy with the therapeutic process of blackout poetry, the intervention intends to aid processing on all levels of the expressive therapies continuum (ETC), strengthen tolerance for uncertainty, and facilitate sustainable community action. This theoretical framework is supported by a wide-ranging …
A Cross-Cultural Investigation Of Consumer Hoarding Behavior During Covid-19: Differences Between Sweden And The United States, Christy M. Cook, Pia A. Albinsson, James E. Stoddard
A Cross-Cultural Investigation Of Consumer Hoarding Behavior During Covid-19: Differences Between Sweden And The United States, Christy M. Cook, Pia A. Albinsson, James E. Stoddard
Atlantic Marketing Journal
This study is a cross-cultural exploration of consumer hoarding behavior during Covid-19; specifically, a comparison between Sweden and the United States. This research analyzes whether Swedish and American consumer hoarding behavior factors of prosocial orientation, consumer resilience and consumer risk-taking propensity reflect identical relationships during less predictable environmental forces (i.e., Covid-19 or global pandemic). Results from Partial Least Squares-Structural Equation Modeling (PLS-SEM) show that consumer prosocial orientation is negatively related to consumer hoarding and prosocial orientation is positively related to consumer resilience. In turn, both prosocial orientation and consumer resilience exhibit a positive relationship towards consumer hoarding. Consumer resilience is …
Exploring Identity Through Clay: A Humanistic Art Therapy Case Study With A Blind Chinese Adoptee, Virginia Jade Leicht
Exploring Identity Through Clay: A Humanistic Art Therapy Case Study With A Blind Chinese Adoptee, Virginia Jade Leicht
Expressive Therapies Theses
This qualitative case study explored how working with clay in art therapy can help support a blind man’s identity exploration. This paper addresses the problem of many traditional therapeutic approaches within the art therapy realm: They rely too heavily on visual engagement, which can limit the accessibility and opportunities for self-exploration and identity development for those who are blind. The study was grounded in current research and foundational theories based on the humanistic art therapy approach. Clay is considered an accessible medium that engages multiple senses and allows for emotional exploration and meaning making, specifically through tactile and sensory-based engagement …
How Nutrition And Physical Activity Shape Your Well-Being, Stacy Phillips
How Nutrition And Physical Activity Shape Your Well-Being, Stacy Phillips
EFNEP
This publication will explore the link among nutrition, physical activity, physical health, and mental health and how it impacts whole-body well-being. Understanding how multiple aspects of a person's lifestyle can affect an individual's overall well-being is essential to providing better education on how to make better choices to improve their well-being.
Exploring The Impact Of University-Recognized Spaces On Racial Battle Fatigue Among Black Faculty & Staff At Historically White Institutions, Tiffany M. Courseault
Exploring The Impact Of University-Recognized Spaces On Racial Battle Fatigue Among Black Faculty & Staff At Historically White Institutions, Tiffany M. Courseault
LSU New Orleans Theses and Dissertations
Black Faculty and Staff (BFS) at Historically White Institutions (HWIs) navigate environments shaped by racial microaggressions, systemic inequities, and institutional marginalization. These conditions contribute to Racial Battle Fatigue (RBF), a psychological, behavioral, and physiological response to sustained exposure to racialized stress. While institutional Diversity, Equity, and Inclusion (DEI) initiatives are often positioned as mechanisms for improving campus climate, existing research suggests they frequently fail to address the lived realities of BFS. This study examined how university-recognized communal spaces function as critical sites of support, resistance, and mitigation within these environments.
Using a narrative inquiry methodology, this study explored the lived …
The Burnout Machine: Finding The Guide Between Burnout And Meaning Making Using Ifs And Role Theory For Mental Health Professionals (An Integrative Literature Review), Jade Ahneman
Expressive Therapies Theses
Burnout is a syndrome in which compounded stress leads sufferers to feel physical and mental exhaustion, mental distancing, cognitive and emotional impairment, depressed mood, psychological distress, and psychosomatic complaints. Originally thought of as a phenomenon affecting only individuals in helping roles (i.e., mental health workers, teachers, nurses, and police officers), research on burnout and its effective management has become increasingly important since the 1980s, highlighting its pervasiveness across occupational and personal realms. This integrative literature review focused on understanding the effects of burnout on master 's-level counseling students, investigating how Internal Family Systems theory (IFS) and drama therapy’s role theory …
Targeting The Dorsolateral Prefrontal Cortex With Transcranial Direct Current Stimulation To Improve Depression And Anxiety In Parkinson’S Disease, Brock Renicks
Poster Presentations
Around 40% of people with Parkinson’s Disease experience depression and anxiety (Zhao et al, 2025). Depression and Anxiety have been said to be localized to the dorsolateral prefrontal cortex (Brunoni et al, 2016). Transcranial Direct current stimulation (tDCS) has been shown to modulate depression and anxiety by targeting the dorsolateral prefrontal cortex (Sreeraj et al, 2023). It is beneficial due to its cost, portability, and simplicity of use. Thus we will be assessing the efficacy of tDCS in reducing depression and anxiety in individuals with Parkinson’s Disease.
Grace Under Pressure: An Analysis Of School Administrator Personal And Professional Stress And Self-Efficacy, Andrew Mcdaniel
Grace Under Pressure: An Analysis Of School Administrator Personal And Professional Stress And Self-Efficacy, Andrew Mcdaniel
All-Inclusive List of Electronic Theses and Dissertations
Indiana public school administrators are one of the most important factors for a school’s academic success. If those administrators are effective, they can help maintain an excellent school’s academic success or perhaps even turnaround a failing school. Without a doubt, their performance is critical for a school’s success. If they have confidence in their ability to help create positive outcomes, their school can achieve great things. Unfortunately, assistant principals and principals are facing significant challenges, not only from schools, but also at home. How do these personal and professional stressors affect their sense of self-efficacy? The purpose of this study …
Systemic Barriers To Educational And Employment Attainment Among Individuals With Substance Use Disorders, Mollie B. Mccann Poblocki
Systemic Barriers To Educational And Employment Attainment Among Individuals With Substance Use Disorders, Mollie B. Mccann Poblocki
Creativity and Change Leadership Graduate Student Master's Projects
Substance use disorders (SUDs) and opioid use disorder (OUD) represent one of the most pressing yet poorly understood public health crises in the United States. Despite decades of clinical intervention, recovery outcomes remain deeply unequal, not because individuals lack motivation, but because the structural systems surrounding them are fundamentally broken. This project explored that reality through a comprehensive literature review examining how systemic barriers across educational systems, labor markets, poverty dynamics, and healthcare infrastructure shape vulnerability, treatment access, and recovery outcomes for individuals with SUDs. Major findings revealed a consistent socioeconomic gradient of harm: individuals with lower educational attainment, unstable …
Big Feelings, Fast Decisions: Emotion Regulation As A Moderator Of Impulsivity In Binge And Emotional Eating, Emma G. Folk
Big Feelings, Fast Decisions: Emotion Regulation As A Moderator Of Impulsivity In Binge And Emotional Eating, Emma G. Folk
Graduate Theses and Dissertations (2019 - present)
Emotion-driven impulsivity and difficulties with emotion regulation are both associated with maladaptive eating behaviors, including binge eating and emotional eating. However, it remains unclear whether broader emotion regulation difficulties intensify the influence of impulsive responses to emotional states on these behaviors. This study examined whether emotion dysregulation moderates the relationship between emotion-driven impulsivity and maladaptive eating behaviors. Participants were 266 adults (ages 18–65) who completed measures of impulsivity, emotion regulation difficulties, binge eating, and emotional eating. Moderation analyses were conducted using PROCESS in SPSS, controlling for body mass index (BMI) and gender. Negative and positive urgency were significantly associated with …
Implementing Mtss In Hispanic Serving Middle Schools From The Concept Of Rurality: A Qualitative Case Study On School Mental Health And The Role Of Social Work, Rosario Elena Olivera
Implementing Mtss In Hispanic Serving Middle Schools From The Concept Of Rurality: A Qualitative Case Study On School Mental Health And The Role Of Social Work, Rosario Elena Olivera
Open Access Theses & Dissertations
Purpose: The purpose of this study was to examine the implementation of Multi-Tiered Systems of Support (MTSS) and the integration of mental health services within two middle schools in a suburban-rural mix, predominantly Hispanic school district in Southwest Texas, referred to as Desert View Independent School District. The study explored how educators and school-based mental health professionals perceive, interpret, and operationalize MTSS within their school contexts. Methods: The study employed a qualitative case study design grounded in implementation science and ecological systems theory. Data were collected through purposive sampling and included semi-structured interviews with teachers, counselors, and a district-level school …
The Mysteries Of Postpartum Ocd: A Systematic Review, Taryn Shaffer
The Mysteries Of Postpartum Ocd: A Systematic Review, Taryn Shaffer
Honors Program: Senior Projects (Public)
Background: The research on postpartum mental health is growing, with most focusing on physical and sexual wellness, or well-known mental health symptoms such as psychosis, depression, and stress. However, as the research grows, so does the interest in lesser-known or under-considered postpartum mental health symptoms, including Obsessive-Compulsive Disorder (OCD). The focus of this research can be the exacerbation of already-present OCD symptoms, or the onset of them during pregnancy and the postpartum period. The purpose of this systematic review was to analyze research on OCD in pregnant and postpartum women. Specifically, the review included an analysis of measures used to …
Chit-Chat With Hats: Addressing Mental Health Decline Through Art Therapy And Community Engagement, Zoe G. Mendez-Sosa
Chit-Chat With Hats: Addressing Mental Health Decline Through Art Therapy And Community Engagement, Zoe G. Mendez-Sosa
Capstone Projects and Master's Theses
This capstone addresses the prominent social issue of mental health decline in Central Pacific California driven by lack of support systems for individuals. In partnership with Health Advocacy Team Support (HATS), “Chit-Chat with HATS was developed as a peer to peer group with art therapy techniques to promote emotional resilience and community connection. The primary objective of the program was to provide individuals struggling with mental health with tools to help them manage their feelings and thoughts.
The program was structured with check-ins, mindfulness techniques, and opportunities of creative expression through art therapy techniques to help participants with processing complex …
From Invisible Injury To Measurable Impact: Exploring Associations Between Peripheral Biomarkers Of Neuroinflammation And Mental Health Outcomes After Mtbi, Lauren Leggett Smith
From Invisible Injury To Measurable Impact: Exploring Associations Between Peripheral Biomarkers Of Neuroinflammation And Mental Health Outcomes After Mtbi, Lauren Leggett Smith
Psychology Theses & Dissertations
Mild traumatic brain injury (mTBI), often referred to as a “silent epidemic,” accounts for the majority of traumatic brain injuries worldwide and is increasingly linked to persistent psychiatric outcomes. Despite its prevalence, mTBI remains understudied due to diagnostic challenges, underreporting, and misperceptions of its clinical significance. The present study examined whether peripheral biomarkers of neuroinflammation and astroglial injury—tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and glial fibrillary acidic protein (GFAP)— mediate associations between mTBI history and psychiatric symptom severity, including depression, anxiety, and posttraumatic stress disorder (PTSD). Participants were 138 traumaexposed adults recruited from an urban university and surrounding community, with …
A Pilot Study Of A Culturally Responsive Cognitive-Behavioral Intervention For Black American High School Students With Social Anxiety, Hannah Thomas
A Pilot Study Of A Culturally Responsive Cognitive-Behavioral Intervention For Black American High School Students With Social Anxiety, Hannah Thomas
Theses, Dissertations and Culminating Projects
Cognitive-behavioral interventions have been shown to be effective for treating social anxiety, yet few have been evaluated for racially and ethnically minoritized youth, including Black American adolescents. These interventions also do not address sociocultural factors, including racial discrimination and mental health stigma, that may shape the experience of social anxiety among Black American youth and serve as barriers to care. Therefore, the aim of this study was to conduct a pilot evaluation of the feasibility, acceptability, and preliminary outcomes of Interacting and Changing Our Narratives (ICON), a culturally-responsive, school-based cognitive-behavioral group intervention for Black American high school students with social …
Associations Between Controlling Coaching Behaviors And Mental Health Help Seeking Attitudes In Collegiate Athletes, Maria C. Cacheiro
Associations Between Controlling Coaching Behaviors And Mental Health Help Seeking Attitudes In Collegiate Athletes, Maria C. Cacheiro
Undergraduate Honors Theses
Although correlations between coaching behaviors and mental health have been investigated before, research that extensively analyzes collegiate athletes’ willingness to seek out mental healthcare has not been conducted. Previous research shows that coaching behaviors correlate with athlete mental health and even predict depression levels more accurately than their own personality traits. The current study aimed to analyze the relationship between athletes’ perceived controlling coaching behaviors and their mental health-help seeking attitudes. Participants were surveyed to determine their perception of controlling coaching behaviors, available emotional support, athlete-coach relationship satisfaction, and mental health seeking attitudes. It was found that perceived aspects of …
Adverse Childhood Experiences, Resilience, And Adaptive Functioning Among Student Veterans With Disabilities. A Resilience Portfolio Model Perspective, Donyeill Mozer
Open Access Theses & Dissertations
Adverse Childhood Experiences (ACEs) are associated with long-term psychological, physical, and behavioral outcomes; however, limited research has examined their relationship with multidimensional college adjustment among student veterans with disabilities, particularly those attending Hispanic-Serving Institutions (HSIs). Guided by the Resilience Portfolio Model, this study examined associations among ACEs, perceived resilience, and multidimensional college adjustment within an understudied population of student veterans with disabilities enrolled at an HSI. Using a cross-sectional secondary analysis of survey data, the analytic sample consisted of 129 student veterans. ACEs were measured using the Adverse Childhood Experiences Questionnaire, perceived resilience was measured using the Brief Resilience Scale, …
Family Perspectives: A Qualitative Examination Of College Athlete Suicide During The Spring 2022 Semester, Elaine M. Anton-Lotruglio, Sophia M. Burke, Kimberly H. Mcmanama O'Brien
Family Perspectives: A Qualitative Examination Of College Athlete Suicide During The Spring 2022 Semester, Elaine M. Anton-Lotruglio, Sophia M. Burke, Kimberly H. Mcmanama O'Brien
Journal of Issues in Intercollegiate Athletics
Objective: Suicide among college athletes remains largely underexplored despite rising rates. This qualitative study aimed to explore family members' perspectives on why their loved ones died by suicide. Participants: The study included family members (N=10) of three college athletes who died by suicide in the spring 2022 semester. Methods: Semi-structured interviews were conducted between March and July 2024. ATLAS.ti and Braun and Clarke's thematic analysis were employed to analyze the data and identify themes. Results: The data revealed three primary themes: factors contributing to the suicide crisis, presence of a suicide crisis, and university crisis response. The themes suggested a …
Abortion Politics And Policy: Stigma And Access In The Silver State, Celene Fuller
Abortion Politics And Policy: Stigma And Access In The Silver State, Celene Fuller
Lincy Institute Events
In the aftermath of the Supreme Court’s Dobbs v. Jackson Women’s Health Organization (2022) overturning Roe V. Wade, states have taken divergent paths in regulating access to abortion services. In 2024, Nevada voters overwhelmingly passed Question 6 proposing to codify abortion rights into the state constitution. In November 2026, Question 6 will again be on the ballot for final confirmation. If it passes, these rights will be protected from future legislative action.
Despite Nevadans’ strong support for abortion rights, the state’s dearth of abortion providers limits access to these services. As this lecture explores, both providers and individuals seeking abortions, …
Heart Rate Variability In The Context Of Mental Health And Substance Use, Sage M. Lopez
Heart Rate Variability In The Context Of Mental Health And Substance Use, Sage M. Lopez
Bridges: An Undergraduate Journal of Contemporary Connections
Heart Rate Variability (HRV) has been linked to various areas of cardiovascular disease and mortality in previous research. Within this area, certain mental illnesses and use of psychoactive substances have been associated with low HRV and its health implications. Little research exists that examines the combined effects of mental illness and psychoactive substance use. The current research aims to understand if there is a compounding negative effect of these two factors when studied in tandem. Using a three-phase study design, HRV was analysed at baseline and at physiological relaxation, with participants being included under certain mental health, substance use, or …
Beyond Symptoms: A Narrative Counseling Interpretation Of First-Year Student Anxiety In Indonesian Higher Education, Azizah Abdullah, Rizky Andana Pohan, Ramtia Darma Putri, Triyono Triyono, Marimbun Marimbun, Rahmi Dwi Febriani
Beyond Symptoms: A Narrative Counseling Interpretation Of First-Year Student Anxiety In Indonesian Higher Education, Azizah Abdullah, Rizky Andana Pohan, Ramtia Darma Putri, Triyono Triyono, Marimbun Marimbun, Rahmi Dwi Febriani
Buletin Konseling Inovatif
The transition to higher education is a critical period in which first-year students face new academic demands, financial pressures, social adjustment challenges, and uncertainty about the future. However, limited research has examined how freshmen make sense of and narrate their anxiety, particularly in the Indonesian context. This study aimed to explore the main domains of anxiety among first-semester students in Indonesian public universities and to interpret these experiences through a narrative counseling lens. The study employed a qualitative online survey design with an interpretivist orientation. Data were collected from 199 first-semester students through open-ended questions addressing anxiety-provoking situations, sources of …
Governing Addiction: An Anthropological Comparison Of Care In The United States And The Netherlands, Kiren K. Bagga
Governing Addiction: An Anthropological Comparison Of Care In The United States And The Netherlands, Kiren K. Bagga
Bates College Journal of Political Studies
This article examines addiction care as a form of moral governance through a comparative anthropological analysis of the United States and the Netherlands. Drawing on a Foucauldian theory of biopolitics alongside this study argues that approaches to addiction treatment reveal how states differentially value life, citizenship, and vulnerability. Joan Tronto's relational definition of ethical care is used to move beyond a solely moral context, towards an ethical understanding of both caretakers and those who require care. In the United States, addiction policy has historically functioned as a punitive and moralizing project, shaped by racialized drug criminalization, neoliberal ideals of individual …
Improving Identification And Referral Of Xylazine‑Associated Wounds In Homeless Healthcare, Ramon A. Gambino
Improving Identification And Referral Of Xylazine‑Associated Wounds In Homeless Healthcare, Ramon A. Gambino
Doctor of Nursing Practice Scholarly Projects
Background: Xylazine-adulterated fentanyl is linked to distinctive necrotic wounds and complex care needs in unsheltered populations. This quality improvement (QI) project implemented a brief survey and referral log at Albuquerque Health Care for the Homeless (AHCH) to track suspected xylazine-associated wounds and referrals to advanced care. Methods: Final data were exported from Qualtrics, cleaned to retain finished responses, standardized categories, and de-identified. The analytic sample included 18 encounters. Results: Results showed that 55.6% (n = 10) documented suspected xylazine-associated wounds; 5.6% (n = 1) reported no suspicion; 38.9% (n = 7) were uncertain. Referrals were rarely documented overall at AHCH …