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Articles 391 - 420 of 798
Full-Text Articles in Other Mental and Social Health
The Effect Of Anticipatory Anxiety On Fear Extinction Learning, Daniela C. Echeverria
The Effect Of Anticipatory Anxiety On Fear Extinction Learning, Daniela C. Echeverria
Dissertations, Theses, and Capstone Projects
Adaptive regulation of fear is dependent on successful fear extinction learning; therefore, investigating factors that both enhance and diminish fear extinction learning is a critical line of research. In the present study, we induce mild anticipatory anxiety during fear extinction learning in an attempt to modulate how participants extinguish fear memory. In the experiment, we apply a classic three-day fear learning protocol to both control participants (N = 20) and an experimental group (N = 20) with fear acquisition, fear extinction, and fear recovery phases; each phase is separated by a period of 24 hours and we use a skin …
Racial And Ethnic Disparities In Opioid Use For Adolescents At Us Emergency Departments, Michael T. Phan, Daniel M. Tomaszewski, Cody Arbuckle, Sun Yang, Candice D. Donaldson, Michelle A. Fortier, Brooke Jenkins, Erik Linstead, Zeev N. Kain
Racial And Ethnic Disparities In Opioid Use For Adolescents At Us Emergency Departments, Michael T. Phan, Daniel M. Tomaszewski, Cody Arbuckle, Sun Yang, Candice D. Donaldson, Michelle A. Fortier, Brooke Jenkins, Erik Linstead, Zeev N. Kain
Pharmacy Faculty Articles and Research
Background
Racial/ethnic disparities in the use of opioids to treat pain disorders have been previously reported in the emergency department (ED). Further research is needed to better evaluate the impact race/ethnicity may have on the use of opioids in adolescents for the management of pain disorders in the ED.
Methods
This was a cross-sectional study using data from the National Hospital Ambulatory Medical Care Survey from 2006 to 2016. Multivariate models were used to evaluate the role of race/ethnicity in the receipt of opioid agonists while in the ED. All ED visits with patients aged 11–21 years old were analyzed. …
Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans
Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans
Expressive Therapies Capstone Theses
The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …
Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman
Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman
Expressive Therapies Capstone Theses
Language in and of the theatre, with its palate of variegated writing styles and playwrights from throughout time, has the potential to be harnessed, focused, and systematized for use as a therapeutic tool within drama therapy – the field’s artistic medium. Drama therapy could benefit from having a specific medium germane to its artform which has the potential to provide practitioners with a common resource and means of communication, assessment, diagnosis, and treatment planning, as well as align the field with other creative arts therapies. Language encompasses all forms of human communication – speaking, writing, signing, gesturing, expressing facially – …
Benefits Of Creative Therapies With Adoption And Complex Trauma: A Literature Review, Rosellen Boucher
Benefits Of Creative Therapies With Adoption And Complex Trauma: A Literature Review, Rosellen Boucher
Expressive Therapies Capstone Theses
This literature review explores the history of modern adoption and the effects on the adopted from a developmental, emotional, and behavioral standpoint. The review aims at addressing these specific needs through the use of art therapy. To become better acquainted with the concept, the history of modern adoption, as it pertains to the United States, is summarized with three subcategories as a focus points: domestic, international, and the foster care system. Building off of the history is a reflection on the past research surrounding adoption by considering adverse childhood experiences, complex trauma, attachment, and identity formation as it relates. Legislation …
Exploring The Usefulness Of Mindfulness Practices Through Zoom Meetings In Reducing Anxiety And/Or Stress Of Adults With Learning And Developmental Disabilities During The Covid-19 Pandemic, Thatiane Abra
Expressive Therapies Capstone Theses
This thesis explored which mindfulness meditations or mindfulness practices could be beneficial in the online sessions, the extent to which adults with learning and developmental disabilities could learn the practices remotely, and how stress and anxiety disorders could be reduced through online mindfulness interventions. Furthermore, it was also necessary to address the online sessions as the only mental health treatment possibility during the Coronavirus pandemic for the clients observed and the benefits and limitations of these interventions. Additionally, the importance of structure and routine for this population, the multi-modal structure of the interventions, and how attunement plays an important role …
Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner
Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner
Individual, Family, and Community Education ETDs
The aim of this study was to help men convicted of child sexual offenses learn to recognize and engage their character strengths over 12 months. Participants were six men convicted of contact and noncontact (internet) child sexual offenses. All participants were members of a community-based reintegration group for registered citizens. In the first weeks of the study, participants received the Values in Action Inventory of Strengths survey. The survey, containing 240 questions—10 items for each of the 24 character strengths outlined—helped participants identify their top character strengths. The study explored (a) how the men could use their character strengths to …
Becoming Aware Of The Leader Within: Measuring The Impact Of Mindfulness Practices On Leadership Development, Ayumi Tachikawa
Becoming Aware Of The Leader Within: Measuring The Impact Of Mindfulness Practices On Leadership Development, Ayumi Tachikawa
M.A. in Higher Education Leadership: Action Research Projects
The unprecedented events brought on by the global spread of COVID-19, along with the racial justice protest movement, have contributed to heightened mental, emotional, and physical distress among leaders. While research shows chronic stress and anxiety contribute to decreased focus, creativity, and overall well-being, mindfulness, the practice of being actively aware of the internal and external environment, can counter and mitigate those harmful effects that hinder effective leadership.
This research utilized a mixed-methods approach to examine the impact of mindfulness practices on three leadership competencies that an extensive literature review deems essential for successful leadership in times of uncertainty: self-awareness, …
Art And Empathy: Self Discovery In A Dark Forest, Younser Lee
Art And Empathy: Self Discovery In A Dark Forest, Younser Lee
Graduate School of Art Theses
According to the National Institute of Mental Health, 40 million people report feelings of depression, anxiety, and stress as the world moves at an increasingly rapid pace and faces unprecedented challenges. However, many ignore these negative thoughts and fail to acknowledge them as a serious issue. My art, which shares my own experiences, creates safe, cathartic places for viewers to think about their own emotional experiences. Crucial to this process is my use of daily objects and the creation of individualized, participatory, and multisensory experiences.
My art relates to daily life and the negative emotions that we experience daily. I …
How College Men Describe Their Understanding Of Sexual Assault, Sarah Anolik
How College Men Describe Their Understanding Of Sexual Assault, Sarah Anolik
Dissertations, 2020-current
Despite the proliferation of many vital bystander intervention programs across the country, approximately one in four college women will experience sexual violence. Though it was once believed that a small minority of men were responsible for the vast majority of sexual violence, an estimated 12%-25% of college men report having used sexual violence as an undergraduate student. Research across disciplines suggests several factors associated with the perpetration of sexual violence. While numerous studies have explored these constructs quantitatively on and off college campuses, there have been far fewer qualitative studies that provide insight into how men who have perpetrated violence …
How Covid19 Has Impacted Students Nutrition And Eating Habits With The Abrupt Closure Of Restaurants And Campuses, Chloe Sermet
How Covid19 Has Impacted Students Nutrition And Eating Habits With The Abrupt Closure Of Restaurants And Campuses, Chloe Sermet
Student Scholar Symposium Abstracts and Posters
With the ongoing COVID-19 pandemic causing college campuses, restaurants, and businesses to shut down, many college students found themselves having to return home or find alternative food resources. Due to these factors, it was imperative to examine how college student’s eating habits have changed throughout the pandemic, dealing with lots of stressors, and whether having prior education on nutrition influenced those eating habits. To examine those effects, 17 nutrition minors and 126 non-nutrition minors participated in the current study in which they took the College Students Eating Habit survey and the Perception of Peer Pressure Scale. The outcome of the …
Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos
Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos
Electronic Theses, Projects, and Dissertations
In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.
This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …
Mental Health Issues In First Responders: Their Causes And How To Help Treat Them, Anna M. Hoffnagle
Mental Health Issues In First Responders: Their Causes And How To Help Treat Them, Anna M. Hoffnagle
English Department: Research for Change - Wicked Problems in Our World
In recent years mental health issues and how to deal with them has become a widely discussed topic in society. Causes and treatments tend to be major factors in the discussion, but they also tend to be far too general. The broadness of the targeted audience for these discussions often creates more issues than it solves due to treatments not being effective for every population. This paper highlights the causes of mental health issues in first responders while also discussing treatment methods designed specifically for this population that have had promising outcomes. Causes and treatments discussed are given solidity through …
Mental Health In Music: Why Are We Not Talking About It?, Christian Pence
Mental Health In Music: Why Are We Not Talking About It?, Christian Pence
English Department: Research for Change - Wicked Problems in Our World
The music business has taken many hits over the past 20 years, and we are seeing musicians slowly going extinct. There are so many factors that are hurting musicians, and workers in the music business. Back in the 80’s and 90’s, we were investing in music like no tomorrow. So many concerts were happening, and so many Broadway shows were going on. We were really supporting our musicians, and we were helping them in any way we could. But society, has not been investing in musicians, causing certain problems, like financial stability, mental health problems, and making music more of …
Kesejahteraan Dan Ekologi Anak Angkat Warga Negara Indonesia Dalam Pengangkatan Anak Antarnegara (Intercountry Adoption) Menghadapi Negara Baru, Monica Sundawati Susanto, Johanna Debora Imelda
Kesejahteraan Dan Ekologi Anak Angkat Warga Negara Indonesia Dalam Pengangkatan Anak Antarnegara (Intercountry Adoption) Menghadapi Negara Baru, Monica Sundawati Susanto, Johanna Debora Imelda
Jurnal Ilmu Kesejahteraan Sosial
Adoption is currently one of the efforts chosen by several couples to have children. Adoption of children currently being processed in Indonesia is not only for prospective adoptive parents who are Indonesian citizens, but can also be processed for foreign citizens who wish to adopt Indonesian citizens (intercountry adoption) which has been regulated in the Government through Government Regulation Number 54 of 2007 concerning the Implementation of Child Adoption. In these regulations, children who can be adopted are neglected or neglected children. Therefore, adoption is carried out with the aim of protecting and improving the welfare of the child. The …
Experiences Of African American Veterans With Regards To Ethnicity, Mental Health, And Homelessness, Jeffrey Redmond
Experiences Of African American Veterans With Regards To Ethnicity, Mental Health, And Homelessness, Jeffrey Redmond
Electronic Theses and Dissertations
Having a secure and permanent home is an important foundational, psychological need because it influences the fulfillment of other aspects of a person’s life. Given the importance of shelter in the well-being of any individual, the problem of homelessness among veterans underscores the significance of ensuring that veterans have access to this basic human need. This phenomenological, qualitative study explored the lived experiences of African American homeless veterans regarding to ethnicity, housing, mental health, and being unhoused with the intent of understanding or identifying meaning in regards to these experiences. The overrepresentation of African American homeless veterans leads to the …
The Relationship Between Sleep Duration And Optimism Levels In Generation Z Students, Anna Hassett
The Relationship Between Sleep Duration And Optimism Levels In Generation Z Students, Anna Hassett
Honors College Theses
Generation Z is getting less sleep than ever and in conjunction, the quality of Generation Z’s sleep is decreasing. Inadequate sleep can increase the risk of depression, cardiovascular diseases, obesity, and cognitive decline. Optimism is a subjective measure of worldview. In the field of positive psychology, optimism is believed to improve overall psychological and physical health. The main purpose of the present study is to examine the relationship between sleep duration and reported levels of optimism in Generation Z students, aged 17 to 24. The hypothesis for this study is that optimism and duration of sleep will have a significantly …
Changing Needs Of Individuals With Disabilities In The Time Of Covid-19 As Observed By A Family Navigation Program In Miami, Fl, Gabriella Llano, Allison Kumnick, Jean-Paul Bryant Ms, Nancy Torres Ms, Jeffrey Brosco Md, Phd, Maite Schenker Phd
Changing Needs Of Individuals With Disabilities In The Time Of Covid-19 As Observed By A Family Navigation Program In Miami, Fl, Gabriella Llano, Allison Kumnick, Jean-Paul Bryant Ms, Nancy Torres Ms, Jeffrey Brosco Md, Phd, Maite Schenker Phd
Developmental Disabilities Network Journal
The Family Navigator Program (FNP) is designed to help families navigate the complex system of services available to people with intellectual and developmental disabilities (I/DD), chronic health conditions, mental health issues, and other special health care needs. Based at the Mailman Center for Child Development at the University of Miami, the FNP is free and available to all families in South Florida. Most families enrolled in the FNP are receiving medical services from a university clinic; however, the program also accepts referrals from outside agencies and self-referrals. The aim of this study was to investigate the needs of families enrolled …
Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston
Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston
National Youth Advocacy & Resilience Conference
Students who have experienced trauma are often in need of behavioral intervention due to challenging behaviors and reactivity. Understanding the body’s threat response system gives insight into these behaviors and allows for empathy within the interventions. This presentation will outline basic neuroscience theories, propose interventions focused on self-regulation, and demonstrate how adding basic elements to existing interventions can increase efficacy.
Impact Of School-Based Mindfulness Programs In Elementary Schools, Hannah Rosholt
Impact Of School-Based Mindfulness Programs In Elementary Schools, Hannah Rosholt
Graduate Teacher Education
Educators in the 21st Century face a myriad of emerging concerns with child and adolescent behavior. Surfacing educational issues include increased anxiety disorders, cyber bullying, students who have experienced trauma, increased aggressive behavior, absenteeism, and suicide ideation. As new concerns arise, educators seek ways to support students in these challenges. Mindfulness practice in schools has become more and more prevalent in the past twenty years. Research on adults who practice mindfulness has revealed lowered stress, increased resilience, and clearer focus. Researchers aim to understand the effects of mindfulness on children and adolescents. This paper analyzes how mindfulness practice impacts students’ …
Anxiety And Mood Disorders Impacting Physician Opioid Prescribing In The Pediatric Hospital Setting, Candice D. Donaldson, Zeev N. Kain, Louis Ehwerhemuepha, Michelle A. Fortier, Michael T. Phan, Daniel M. Tomaszewski, Sun Yang, William Feaster, Brooke N. Jenkins
Anxiety And Mood Disorders Impacting Physician Opioid Prescribing In The Pediatric Hospital Setting, Candice D. Donaldson, Zeev N. Kain, Louis Ehwerhemuepha, Michelle A. Fortier, Michael T. Phan, Daniel M. Tomaszewski, Sun Yang, William Feaster, Brooke N. Jenkins
Psychology Faculty Articles and Research
This research examined whether pediatric inpatients without an anxiety/mood disorder are more likely to receive opioids in response to pain compared to patients diagnosed with a mental health condition. Research questions were tested using cross-sectional inpatient electronic medical record data. Propensity score matching was used to match patients with a disorder with patients without the disorder (anxiety analyses: N = 2892; mood analyses: N = 1042). Although patients with anxiety and mood disorders experienced greater pain, physicians were less likely to order opioids for these patients. Analyses also disclosed an interaction of anxiety with pain—the pain-opioid relation was stronger for …
Chronic Use Of Non-Medical Abdominal Compressors: Medical And Psychological Implications, Sawsan Edriss, Bushra Azom, Manar Edriss, Mustafa Edriss, Ann-Cathrin Guertler, Eva Waineo Md, Diane L. Levine Md
Chronic Use Of Non-Medical Abdominal Compressors: Medical And Psychological Implications, Sawsan Edriss, Bushra Azom, Manar Edriss, Mustafa Edriss, Ann-Cathrin Guertler, Eva Waineo Md, Diane L. Levine Md
Medical Student Research Symposium
The popularity of waist cinchers, shapewear, abdominal binders, corsets, and waist trainers has increased in the population. Although corsets have been part of western fashion since the 18th century, abdominal compressors remain in style even today. In 2018, sales for shapewear worldwide were estimated at 2.26 billion USD. 1 Despite its popularity, shapewear safety and medical effects have not been widely studied.
In 1968, “Pantygirdle Syndrome” was described, attributing vulvitis, urethritis, and urinary tract infections to materials used from the “pantygirdle”. 2 The article describes that the girdle caused gastrointestinal symptoms with diaphragmatic and stomach displacement causing gastro-esophageal reflux disease …
Trauma And Intersectionality In Trauma Informed Ministry, Caitlin Simpson
Trauma And Intersectionality In Trauma Informed Ministry, Caitlin Simpson
Graduate Theses, Dissertations, and Capstones
Seminary students have reported feeling underprepared to work with traumatized individuals in pastoral care (Logan, 2017; Resane, 2014). Statistics reported that 82% of pastoral care recipients had a trauma history (Foreman, 2018). Understanding trauma (Herman, 1992) and intersectionality (Crenshaw, 1989) were used to consider the varying impacts each can have on an individual. Scholar Fredericks Streets (2015) used the social services understanding of theology and trauma (Beh, 2012; Weems, 1988) trauma informed ministry (Wolf, et al., 2013) to develop trauma informed ministry. This qualitative study using constructivist grounded theory (Charmaz, 2013) explored the experiences of nine participants in learning about …
"There Is Always Violence": An Exploratory Study Of Phnom Penh, Cambodia, Street-Involved Children, Jarrett D. Davis, Glenn M. Miles, Sean Blackburn, Erika Mosebach-Kornelsen
"There Is Always Violence": An Exploratory Study Of Phnom Penh, Cambodia, Street-Involved Children, Jarrett D. Davis, Glenn M. Miles, Sean Blackburn, Erika Mosebach-Kornelsen
Dignity: A Journal of Analysis of Exploitation and Violence
As the economic center of Cambodia, Phnom Penh has long been a hotspot for street-involved children and families. While violence is a common facet of life on the street, risk and vulnerability among children is notoriously difficult to measure. Most large-scale surveys tend to sample children within homes and schools, which overlook street-involved children who are commonly unregistered, irregularly attend school, and live outside of houses. This research paper is one of a series of studies on such groups in Southeast Asia. The study conducted 94 semi-structured interviews with street-involved children eight to 18 years of age in Phnom Penh. …
Relationship Between Physician Burnout And Patient’S Perception Of Bedside Time Spent By Physicians, Shannon Leung, Mukta Panda, Georgia Mcintosh, Nargiza Kurbanova, Anna-Carson Rimer Uhelski, Muhammad Mubbashir Sheikh, Rehan Qayyum
Relationship Between Physician Burnout And Patient’S Perception Of Bedside Time Spent By Physicians, Shannon Leung, Mukta Panda, Georgia Mcintosh, Nargiza Kurbanova, Anna-Carson Rimer Uhelski, Muhammad Mubbashir Sheikh, Rehan Qayyum
Journal of Patient-Centered Research and Reviews
Although the adverse effect of burnout on physicians has been widely documented, studies have shown an inconsistent relationship between burnout and the quality of patient care. We hypothesized that physician burnout will have an inverse relationship with the time spent at the bedside by physicians. In a cross-sectional study, we surveyed patients on their perception of the time spent by their physician on the day of the survey (4 categories: 0–5, 6–10, 11–15, > 15 minutes). Oldenburg Burnout Inventory was used to assess physician burnout; burnout was defined as high levels of both exhaustion (≥ 2.25) and disengagement (≥ 2.10). Among …
Artistic Expressions Of Vegan Women With Disturbed Eating Behavior And Body Image Distress, Lee Ann Thill
Artistic Expressions Of Vegan Women With Disturbed Eating Behavior And Body Image Distress, Lee Ann Thill
Expressive Therapies Dissertations
This research explores the experience of women who are vegan, and have disturbed eating behaviors (DEB) and body image distress (BID). Four participants completed a series of three art-making sessions. Participants were invited to visually explore their experience as a vegan woman with DEB/BID. They made a mixed media collage with an emphasis on layering in each session. They engaged in discussion about their process, and the final art piece’s meaning. Between sessions, researcher response art pieces were created for each participant piece, with accompanying journal reflections to engage with the ideas they explored. All participant sessions were video and …
An Investigation Of The Character Strengths And Resilience Of Future Military Leaders, Lobna Chérif, Valerie Wood, Meaghan Wilkin
An Investigation Of The Character Strengths And Resilience Of Future Military Leaders, Lobna Chérif, Valerie Wood, Meaghan Wilkin
Journal of Wellness
Introduction: The importance of both character and resilience for critical occupations (military, emergency medicine, first responders, and correctional officers) has been emphasized at the highest levels of military leadership. No studies to date have examined the relationship between character strengths and resilience within military populations. The purpose of this study was to evaluate the perceived importance of character strengths for Canadian military cadet success, the top strengths endorsed by cadets, and, in a subset of cadets, the relationships among core strengths and resilience. In line with previous research on character strengths in military populations, we predicted that bravery, honesty, perseverance, …
A Predictable Home Environment May Protect Child Mental Health During The Covid-19 Pandemic, Laura M. Glynn, Elyssia Poggi Davis, Joan L. Luby, Tallie Z. Baram, Curt A. Sandman
A Predictable Home Environment May Protect Child Mental Health During The Covid-19 Pandemic, Laura M. Glynn, Elyssia Poggi Davis, Joan L. Luby, Tallie Z. Baram, Curt A. Sandman
Psychology Faculty Articles and Research
Objective
Information about the adverse effects of the COVID-19 pandemic on adolescent and adult mental health is growing, yet the impacts on preschool children are only emerging. Importantly, environmental factors that augment or protect from the multidimensional and stressful influences of the pandemic on emotional development of young children are poorly understood.
Methods
Depressive symptoms in 169 preschool children (mean age 4.1 years) were assessed with the Preschool Feelings Checklist during a state-wide stay-at-home order in Southern California. Mothers (46% Latinx) also reported on externalizing behaviors with the Strengths & Difficulties Questionnaire. To assess the role of environmental factors in …
Music Making Connections, Laura M. Breslin
Music Making Connections, Laura M. Breslin
English Department: Research for Change - Wicked Problems in Our World
The Covid-19 pandemic has made mental health issues sky rocket. Many people are suffering from anxiety, depression, OCD and many other mental health problems now more than ever. Without the in-person interactions, many people are eager to be able to hug friends and family again. People are also eager to see their favorite music artist live in concert again. In this paper, we discuss how music can help your mental health, how to prevent contracting the coronavirus, and ways you can help speed up the process of getting life back to normal.
Addressing The Needs Of African American Grandparents: An Intersectionality Perspective, Dorothy Smith-Ruiz, Kendra Jason
Addressing The Needs Of African American Grandparents: An Intersectionality Perspective, Dorothy Smith-Ruiz, Kendra Jason
The Journal of Sociology & Social Welfare
This study seeks to demonstrate the intersecting structural and compounding challenges African American custodial grandparents experience collectively, rather than as separate non-competing factors, which has been modeled in prior studies. Using a mixed-method research design, the study explored the challenges faced by African American and white custodial grandparents. These challenges included difficulties attaining different types of support, respite care, and programs for teens and special needs grandchildren. Results showed that caregiving challenges among African Americans were more pervasive than their White counterparts. These findings have significant implications for the development of intervention programs for custodial African American grandmothers and their …