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Clinical and Medical Social Work Commons™
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Articles 1 - 30 of 73
Full-Text Articles in Clinical and Medical Social Work
A Mixed Methods Study Of Inpatients’ Experiences, Priorities, And Health-Related Quality Of Life During High- Flow Nasal Cannula Therapy, Cintamani H. Ellsworth, Rebecca S. Bartlett
A Mixed Methods Study Of Inpatients’ Experiences, Priorities, And Health-Related Quality Of Life During High- Flow Nasal Cannula Therapy, Cintamani H. Ellsworth, Rebecca S. Bartlett
Journal of Patient-Centered Research and Reviews
Purpose: High-flow nasal cannula (HFNC) is an oxygen delivery method with numerous benefits for severely ill patients. There is a paucity of research focused on the perspectives of patients receiving HFNC oxygen therapy. This study aimed to engage with patients to gain a clearer understanding of their experiences, priorities, and health-related quality of life.
Methods: A cross-sectional, mixed methods study was completed with 10 adult inpatients who had received HFNC oxygen therapy during their hospital admission. Semi-structured interviews and the Patient Reported Outcomes Measurement Information System (PROMIS) Global Health Scale were used to identify participant perceptions of their physical and …
Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef
Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef
Theses and Dissertations
Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …
Art Therapy In Social Work Practice, Laura Gebur
Art Therapy In Social Work Practice, Laura Gebur
Journal of Undergraduate Research at Minnesota State University, Mankato
Art therapy is an emerging practice among mental health professionals looking for new ways to engage with their clients and encourage nonverbal communication. Creativity is a means of processing memories, improving relationships, and strengthening the mind-body connection across a variety of age groups and practice settings. The efficacy of art therapy has led to its integration into social work practice, benefitting a diverse range of client populations within the field. While a lack of macro-level research studies has prevented the implementation of standardized art therapy techniques in social work, clinical research trials have examined art therapy across several areas of …
The Effect Of Computer-Mediated Communication On Occupational Positive Mental Health Mediated By Work-Family Enrichment In Workers In Remote Areas: Analysis Using Structural Equation Modelling, Herlando Junanta, Suryo Wibowo, Herqutanto ., Dewi Yunia Fitriani, Titis Mariyamah, Dewi Sumaryani Soemarko
The Effect Of Computer-Mediated Communication On Occupational Positive Mental Health Mediated By Work-Family Enrichment In Workers In Remote Areas: Analysis Using Structural Equation Modelling, Herlando Junanta, Suryo Wibowo, Herqutanto ., Dewi Yunia Fitriani, Titis Mariyamah, Dewi Sumaryani Soemarko
Occupational and Environmental Medicine Journal of Indonesia
Objective: This study aims to examine the effect of computer-mediated communication (CMC) on occupational positive mental health (OPMH) mediated by work-family enrichment (WFE) in workers in remote areas using the CMC, OPMH-40, and WFE questionnaires. Method: The latent variables in this study are CMC, OPMH, and WFE. The observed variables include all items from CMC, OPMH, and WFE. The sample technique used was total sampling, revealing that 349 workers in the project department of an oil and gas company located in the West Papua Province of Indonesia expressed their willingness to participate as research participants. To test research hypotheses using …
Using Industry-Level Characteristics To Assess The Degree To Which Interventions Engage An Employee Population, Haley C. Trust, Brett Amazon, Anthony Puline, Evan Sassenberger, Kristin Horan
Using Industry-Level Characteristics To Assess The Degree To Which Interventions Engage An Employee Population, Haley C. Trust, Brett Amazon, Anthony Puline, Evan Sassenberger, Kristin Horan
The Kennesaw Journal of Undergraduate Research
Participation is an essential component in workplace health and safety programs or interventions. While those who conduct interventions often report participation rates among the overall organization, it could be useful to compare participants to industry statistics, given that health and safety risks can diverge widely among industries. Research students from Kennesaw State University analyzed a sample of published papers that focus on occupational health psychology interventions. This narrative review analyzed existing studies to look for similarities or dissimilarities between a sample of intervention participants and employees of their industry as a whole. The students considered demographic, socioeconomic, job-related, and health-related …
Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano
Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano
Psychology Division Scholarship
Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …
Supporting Elementary Educators Through A Nervous System Regulation And Social-Emotional Learning Skills Workshop Intervention: An Musc Capstone Project, Lily Morgan
Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium
Teachers have a great influence on developing children’s emotional intelligence, regulatory capacity, and occupational engagement. These professionals also happen to report some of the highest rates of stress, mental health challenges (Agyapong, B. et al, 2022), and burnout (Xie, M., et al, 2022). Providing teachers with education and support on nervous system regulation, social-emotional learning skills, and related topics can improve their ability to manage job stress, enhance modeling and interactions with students, and improve their quality of life. This project aimed to enhance knowledge, provide access to resources, and serve to support elementary educators at an inner-city school in …
Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi
Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi
Social Work Dissertations - Archive
This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …
“I Learned To Bottle Up My Feelings From A Young Age”: A Narrative Analysis Of Latina Young People’S Family Mental Health Socialization, Jenn M. Lilly
“I Learned To Bottle Up My Feelings From A Young Age”: A Narrative Analysis Of Latina Young People’S Family Mental Health Socialization, Jenn M. Lilly
Social Service Faculty Publications
Latina young people report high levels of mental health problems and low levels of helpseeking
compared with their white peers, but little research has examined factors influencing
their mental health views. Inductive analysis of 25 participants’ narratives revealed that Latina
young people described three stages in the development of their mental health-related beliefs,
attitudes, and behaviors: undergoing a process of family mental health socialization, suffering
in silence, and attaining a new perspective. Within each of these phases, participants shared
stories that attest to their agency and resilience. This research uncovers a novel theoretical
construct, “family mental health socialization,” which elucidates …
Leadership In Behavioral Health, Rebecca Mccoy
Leadership In Behavioral Health, Rebecca Mccoy
School of Business Student Theses and Dissertations
Abstract
Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.
The study is based on phenomenological research to gain an understanding of the individual experience …
Learning To Be An Autistic Therapist: Personal Steps Towards An Autism-Affirming Psychotherapy, Sasha D. Strong
Learning To Be An Autistic Therapist: Personal Steps Towards An Autism-Affirming Psychotherapy, Sasha D. Strong
Ought: The Journal of Autistic Culture
How can Autistic therapists understand and support themselves, and how can this help them support their clients? In this paper, I recount my personal journey of healing and growth as an Autistic psychotherapist, 16 months after self-identification. Here is an overview of conceptual frameworks from #actuallyautistic authors, critical theory, queer theory, and social justice that I have found helpful. I also share some of the therapeutic and wellness approaches that have been important to me, including mindfulness and bodyfulness. Organic knowing has been pivotal for me in discerning between masking and aliveness, and regaining a choice around masking behaviors. This …
Benefits Of Meditation Practices In Alleviating Posttraumatic Stress Disorder (Ptsd) Symptoms For Individuals Already In Therapy, Jeanette G. Mann, Lindsay Gietzen
Benefits Of Meditation Practices In Alleviating Posttraumatic Stress Disorder (Ptsd) Symptoms For Individuals Already In Therapy, Jeanette G. Mann, Lindsay Gietzen
Pacific Journal of Health
Abstract
This study examines the impact of adding and incorporating a meditation practice into a treatment plan for Posttraumatic Stress Disorder (PTSD) for three adult patients at a Federally Qualified Health Center (FQHC). The cases involved included patients with persistent PTSD symptoms who had experienced limited improvement with standard therapies. Data from Electronic Health Records and clinician notes showed that adding an eight-week meditation practice enhanced emotional regulation and reduced anxiety. In all three cases, the meditation practice increased the benefits of the traditional therapy. This helped the patients have greater control over their PTSD symptoms and improve their quality …
Comprehensive Community Medicine, Alexander Walther
Comprehensive Community Medicine, Alexander Walther
Capstone Projects and Master's Theses
Comprehensive Community Medicine (CCM) is a theoretical framework designed to address the complex needs of individuals with dual diagnoses of mental illness and substance use disorders (SUDs). Dual diagnosis is highly prevalent, particularly among populations experiencing homelessness, and is associated with poorer health outcomes and increased healthcare service utilization. Structural inequities, including a fractured healthcare system, exacerbate the challenges faced by this vulnerable group. Research indicates that effective care for dually diagnosed individuals requires a layered approach addressing clinical, systemic, legal, and housing barriers.
The development of CCM has been informed by interviews with local stakeholders, including County EMS board …
Post-Pandemic Needs Of Unpaid Family And Friend Caregivers To Effectively Continue Caregiving Duties In One Northern Ontario Health Authority, Jodi Webber, Erin Mulroney, Mark Tatasciore, Brianna Smith, Patti-Jo Duggan, Louis Ferron, Hannah Albani, Bianca Feitelberg, Laura Tenhagen, Sophia Myles
Post-Pandemic Needs Of Unpaid Family And Friend Caregivers To Effectively Continue Caregiving Duties In One Northern Ontario Health Authority, Jodi Webber, Erin Mulroney, Mark Tatasciore, Brianna Smith, Patti-Jo Duggan, Louis Ferron, Hannah Albani, Bianca Feitelberg, Laura Tenhagen, Sophia Myles
Patient Experience Journal
The Covid-19 pandemic had a significant impact on the support networks for older adults and caregivers as health and social care systems were forced to dramatically change the ways patients and clients interacted with providers, services, and programs. In Northern Ontario, caregivers are older, caring in more intense situations, more likely to be caring for multiple care recipients simultaneously and less likely to be in contact with health professionals. This research sought to explore the post-pandemic needs of caregivers in a Northern Ontario health catchment to better understand the needed supports. Using a collaborative and co-design approach with caregiver advisors …
Caregiver Engagement In Their Child's Mental Health Rehabilitation Services: Utilizing The Hoover-Dempsey And Sandler Model Of Parental Involvement (2005) In Mental Health Counseling, Andrew Q. Holmgren
LSU New Orleans Theses and Dissertations
Mental Health Rehabilitation (MHR) is a widely utilized community mental health service in Louisiana for low-income families. However, treatment adherence, including caregiver engagement for minor clients, is often low. There is still limited understanding of the barriers to caregiver engagement and few tools to assess these barriers and engagement behaviors. Clinicians, caregivers, and clients currently engaged in MHR services completed a modified version of the Parent Involvement Project Questionnaire (PIPQ) to determine if this scale and its associated theory, the Hoover-Dempsey and Sandler Model of Parental Involvement (2005), can be used in a mental health counseling format to assess for …
Drivers Of Being Unhoused And The Prevalence Of Health Conditions Among Unhoused Individuals In Asheville, Nc, Andrea K. Yontz, Amber Beane, Tessa Frank, Amy Upham, Dustin V. Patil, Dan Pizzo, Steve Buie, Jacqueline R. Halladay
Drivers Of Being Unhoused And The Prevalence Of Health Conditions Among Unhoused Individuals In Asheville, Nc, Andrea K. Yontz, Amber Beane, Tessa Frank, Amy Upham, Dustin V. Patil, Dan Pizzo, Steve Buie, Jacqueline R. Halladay
HCA Healthcare Journal of Medicine
Background
During the COVID-19 pandemic, there was an increase in the number of unhoused individuals in Asheville, North Carolina resulting in more tent encampments.
Understanding the physical, mental, and socially determined health characteristics associated with being unhoused can help guide stakeholders with policy development, healthcare program planning, and funding decisions to support unhoused individuals.
Methods
In this study, we used an observational cross-section methodology. Using a convenience sample approach, we interviewed 101 participants who were receiving services from 2 emergency hotel shelters, a day center, and a resource center. Data were analyzed using descriptive statistics, and open-ended responses were collected …
Everyone Deserves A Dental Home, Loren C. Baim Dds
Everyone Deserves A Dental Home, Loren C. Baim Dds
The New York State Dental Journal
With knowledge and preparation, dental practices should be able to accommodate the growing population of people on the autism spectrum.
Design Guidelines For Homeless Shelter And Resource Center Site Plans, Samuel Johnson
Design Guidelines For Homeless Shelter And Resource Center Site Plans, Samuel Johnson
All Graduate Reports and Creative Projects, Fall 2023 to Present
Homelessness is one of the most pressing humanitarian issues facing the country today. Lack of affordable housing, among many other complicating factors, have led to many cities scrambling to find both short-, middle-, and long-term solutions to the issue. The Covid-19 pandemic added a disruption in services, critical record-keeping, and data-gathering, which has further confounded experts looking for an effective path forward. As it stands, there is a significant gap in academic research addressing best practices for shelter site design, particularly as it relates to landscape. The role of landscape and greenspace within and around a shelter is not well …
Psychological Violence And Manipulative Behavior In Couple: A Focus On Personality Traits, Carmela Mento, Clara Lombardo, Nicholas Whithorn, Maria Rosaria Anna Muscatello, Antonio Bruno, Maura Casablanca, Maria Catena Silvestri
Psychological Violence And Manipulative Behavior In Couple: A Focus On Personality Traits, Carmela Mento, Clara Lombardo, Nicholas Whithorn, Maria Rosaria Anna Muscatello, Antonio Bruno, Maura Casablanca, Maria Catena Silvestri
Journal of Mind and Medical Sciences
Psychological violence is characterized by systematic denigration and humiliation of the partner (victim). It is an insidious and manipulative behavior put in place to ensure that the victim begins to doubt themselves, and their own judgments, to the point of feeling confused and wrong. This behavior pattern is called Gaslighting and the personality traits are characterized by lack of empathy, psychopathy, narcissism and Machiavellianism. These three conditions are part of the so-called dark triad and distinguished by the lack of empathy. The aim of this study is to explore psychological aspects and consequences of Gaslighting phenomena. This systematic review was …
My Path To Advanced Practice, Hannah Oiselle Knisley
My Path To Advanced Practice, Hannah Oiselle Knisley
Graduate Student Portfolios, Professional Papers, and Capstone Projects
No abstract provided.
Sexual Health And Relationship Abuse Interventions In Pediatric Primary Care: A Systematic Review, Susheel Kant Khetarpal, Sarah Tiffany-Appleton, Erin E Mickievicz, Romina L Barral, Kimberly A Randell, Jeff R Temple, Elizabeth Miller, Maya I Ragavan
Sexual Health And Relationship Abuse Interventions In Pediatric Primary Care: A Systematic Review, Susheel Kant Khetarpal, Sarah Tiffany-Appleton, Erin E Mickievicz, Romina L Barral, Kimberly A Randell, Jeff R Temple, Elizabeth Miller, Maya I Ragavan
Faculty, Staff and Student Publications
PURPOSE: Supporting adolescents in developing healthy relationships and promoting sexual and reproductive health (SRH) is an important responsibility of pediatric primary care providers. Less is known about evidence-based interventions in pediatric settings focused on healthy relationships and SRH.
METHODS: We conducted a systematic review to describe SRH and healthy relationship/adolescent relationship abuse (ARA) interventions for pediatric primary care over the past 20 years. Eligible articles were original research on an SRH-focused or ARA-focused intervention, conducted in-person within pediatric primary care or school-based health centers specifically for middle or high school-aged adolescents. Data abstracted from included articles included intervention description, content, …
Internalized Homonegativity And The Mental Health Of Lesbian, Gay, And Bisexual Individuals: An Integrative Treatment Approach, David Kearby
Internalized Homonegativity And The Mental Health Of Lesbian, Gay, And Bisexual Individuals: An Integrative Treatment Approach, David Kearby
DSW Capstone Projects
Lesbian, gay, and bisexual individuals (LGBI) have a higher rate of mental health disorders than the general population. The mental health disparities experienced by LGBI are positively correlated with higher internalized homonegativity (IH) levels, which impacts their functioning at the unconscious, cognitive, and interpersonal levels. Thus, effective interventions targeting the mental health of LGBI must consider IH's intrapsychic, cognitive, and interpersonal nature. An integrative psychotherapy approach addressing the mental health and IH of LGBI is needed to address the intrapsychic, cognitive, and interpersonal factors at play.
Product one of this capstone is a systematic literature review that identified psychotherapeutic interventions …
The Strong Black Woman Schema: A Proactive Approach To Conceptualizing And Providing Mental Health Treatment For Black Women Who Identify With The Strong Black Woman Schema, Kendra Mulder
DSW Capstone Projects
The Strong Black Woman Schema is the ideology that Black women should display mental and physical strength, stoicism, and nurturer traits. While Black women who identify with this schema typically associate this term with a positive identity, there are adverse outcomes that stem from this identification. Black women who identify with the Strong Black Woman schema experience higher rates of depression, anxiety, and psychological distress. No treatment modality has been determined to treat Black women who identify with the Strong Black Woman Schema. This capstone presentation will present a systematic literature review that discusses how the Strong Black Woman Schema …
Trauma-Informed Care: A Collaborative Strategy To Address Hiv-Infection Rates Among Black Gay And Bisexual Men, Willie T. Boddie Jr.
Trauma-Informed Care: A Collaborative Strategy To Address Hiv-Infection Rates Among Black Gay And Bisexual Men, Willie T. Boddie Jr.
DSW Capstone Projects
The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) continues to be an epidemic among gay and bisexual men or men who have sex with men (MSMs). For Black MSMs, the HIV infection rate is disproportionate compared to the number of Black or African American citizens in the U.S. Black MSMs have the highest HIV infection rate in the U.S. This Capstone Project seeks to explore the possible impact of trauma experiences among this group and determine how providing trauma-informed care, along with the standard HIV education and awareness can be used to effectively reduce this disparity and ultimately …
Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown
Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown
DSW Capstone Projects
Mental health technology is a healthcare delivery model of the future. The engagement in virtual healthcare was intensified when traditional healthcare methods were inaccessible during the federal restrictions implemented due to the COVID-19 pandemic. Utilizing digital apparatuses for healthcare improved the convenience, efficiency, and accessibility of various mental health services that were inoperable in past healthcare models. However, the historical constructs of stigma, discrimination, inequity, exclusion, and structural racism in mental healthcare were prevalent problems that remained present in virtual mental health platforms concerning the experiences of African-American patients and professionals who utilized the spaces.
This research explored mental health …
Secondary Traumatic Stress Is An Occupational Hazard For Pet Hospice Support Staff: Psychoeducational Support Groups Provide The Cure, Kari Hayden
DSW Capstone Projects
There are three separate yet interrelated products presented in this final capstone product. The completed product is focused on pet hospice veterinary support staff and the need for an evidence-based social work intervention to combat secondary traumatic stress. This capstone uses the andragogical approach to adult learning theory as the foundation to construct a psychoeducational peer support group specific to this population. Implications for clinical social work in veterinary medicine are presented within this project.
The first scholarly product presented is the Systematic Literature Review (SLR). The SLR utilizes a scoping review process in an attempt to locate prior research …
Rewriting Kendra’S Law: A More Ethical Approach To Mental Health Treatment, James Diven
Rewriting Kendra’S Law: A More Ethical Approach To Mental Health Treatment, James Diven
Pace Law Review
Michelle Go was pushed in front of a subway car by a man suffering from schizophrenia that had fallen through the cracks of New York’s mental health care system. Michelle’s death was imminent because the severely ill man had every right to be on the streets under present law. This note will discuss the problems with New York’s mental hygiene laws that prevent courts from mandating treatment even when treatment is in the state’s best interest.
Michelle’s death is not unique. Historically, New York has struggled to enact effective legislation governing the treatment of mentally ill individuals. As a result, …
Trial-Based Measurements As An Index Of Response Strength, Vasily Belichenko
Trial-Based Measurements As An Index Of Response Strength, Vasily Belichenko
Thesis Projects
Identifying and evaluating dependent variables within functional analyses are essential steps that affect the assessment's overall acceptability. Although most of the studies on functional analyses suggest that measuring repeated occurrences of behavior with rate measurements generates the most accurate data, several researchers suggest using alternative measurement methods to avoid the heavy burden of the procedure. In the present study, I partially replicated a study by Thomason-Sassi and colleagues (2011) that evaluated the correspondence between latency measures of responding and rate. Additionally, trial-based measurements, such as the occurrence of the behavior, represented in the percentage of trials, were compared with rate …
Accessibility Of Mental Health Resources In Schools, Zitlaly Lizeth Cruz-Roman, Vianney Consepcion Sandoval
Accessibility Of Mental Health Resources In Schools, Zitlaly Lizeth Cruz-Roman, Vianney Consepcion Sandoval
Electronic Theses, Projects, and Dissertations
This study aimed to examine parents’ and staff’s perception of the accessibility and awareness of mental health resources in school. Mental health resources are made available in school settings; however, not all families and students are aware of the resources being provided. To address the accessibility of mental health resources, research needs to take place to understand why these resources are not being utilized. Individuals’ mental health will improve by creating awareness of the resources since they will be aware of the resources and use them based on their needs. The research project utilized quantitative research methods and descriptive research …
The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng
The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng
Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education
Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.