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Articles 241 - 270 of 1582
Full-Text Articles in Other Mental and Social Health
Feasibility And Acceptability Of The Mazi Umntanakho Digital Tool In South African Settings: A Qualitative Evaluation, Catherine E. Draper, Caylee J. Cook, Elizabeth A. Ankrah, Jesus A. Beltran, Franceli L. Cibrian, Kimberley D. Lakes, Hanna Mofid, Lucretia Williams, Gillian R. Hayes
Feasibility And Acceptability Of The Mazi Umntanakho Digital Tool In South African Settings: A Qualitative Evaluation, Catherine E. Draper, Caylee J. Cook, Elizabeth A. Ankrah, Jesus A. Beltran, Franceli L. Cibrian, Kimberley D. Lakes, Hanna Mofid, Lucretia Williams, Gillian R. Hayes
Engineering Faculty Articles and Research
To address the need for interventions targeting social emotional development and mental health of young children in South Africa, the Mazi Umntanakho (‘know your child’) digital tool was co-designed, and piloted with caregivers and 3–5-year-old children involved in home visiting programmes promoting early childhood development. The aim of this study was to qualitatively evaluate the feasibility and acceptability of this tool in four urban and four rural low-income communities, from the perspective of home visitors and caregivers. Focus groups were conducted with home visitors (n = 117) and caregivers (n = 72). Issues relating to the feasibility of …
Perceived Stress And Coping Mechanisms Observed In Professional Master’S Athletic Training Students, Emily Madrak, Jennifer L. Volberding, Emily Madrak
Perceived Stress And Coping Mechanisms Observed In Professional Master’S Athletic Training Students, Emily Madrak, Jennifer L. Volberding, Emily Madrak
Internet Journal of Allied Health Sciences and Practice
Purpose: With the shift in level of athletic training education, studies regarding undergraduate students, especially regarding stress and coping, are quickly becoming obsolete. Because of this shift, we sought to investigate level of perceived stress (PS) in professional master’s athletic training (PMAT) students, coping skills used to mitigate PS, and what coping skills form a relationship to alter PS. We observed these variables by gender, age, year in program, and curriculum delivery model. Method: We used a quantitative cross-sectional study online survey to recruit students who were currently enrolled in a Commission on Accreditation of Athletic Training Education (CAATE) accredited …
Mental Health Conditions Of Adults With Chronic Obstructive Pulmonary Disease And Comorbidities, Amanda M. Hinson-Enslin, Luis E. Espinoza, Jennifer L. Talleff
Mental Health Conditions Of Adults With Chronic Obstructive Pulmonary Disease And Comorbidities, Amanda M. Hinson-Enslin, Luis E. Espinoza, Jennifer L. Talleff
Journal of Social, Behavioral, and Health Sciences
Although the association is not well understood, people with COPD are likely to suffer from mental health issues such as depression and anxiety. Due to this occurrence, the aim of the present study is to better understand the mental health experience and COPD comorbidities of U.S. adults with a COPD diagnosis. The final sample comprised 1,676 U.S. adults who were surveyed in the 2019 National Health Interview Survey adult public file. Logistic and ordinal regression were used to calculate adjusted odds ratios for comorbid conditions predicting depression, anxiety, and the number of mental health issues, respectively. Depressive symptoms were more …
Burnout In The Emergency Room: Corrective Measures Vs. The Absence Of Solutions, Zane Walters, Zachary Woodall
Burnout In The Emergency Room: Corrective Measures Vs. The Absence Of Solutions, Zane Walters, Zachary Woodall
Theses, Dissertations and Capstones
Introduction: Physician burnout has become an increasingly prevalent and critical issue in healthcare systems worldwide, particularly among emergency room physicians who face high-stress, high-demand working conditions. Burnout manifests as emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment, leading to negative outcomes for physicians’ mental health, job satisfaction, and overall career longevity. This phenomenon not only threatens the well-being of physicians but also compromises patient care quality and contributes to costly turnover within healthcare organizations.
Purpose of the Study: The aim of this study was to systematically investigate the impact of burnout interventions on emergency room physicians. …
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 …
Changing The Narrative For University Students With A History Of Aces: Campus Assets And Student Well-Being, Hailey Ellingson
Changing The Narrative For University Students With A History Of Aces: Campus Assets And Student Well-Being, Hailey Ellingson
West Chester University Doctoral Projects
College students often report high levels of adverse childhood experiences (ACEs), which are linked to poor mental and physical health and lower academic success. While some positive experiences in childhood can lessen the risk outcomes associated with ACEs, limited research has explored how this applies to college students. This study examined how assets – specifically, college climate and resources – relate to student well-being and whether these assets buffer the impact of cumulative ACEs, which refers to adverse experiences within the home (e.g., abuse, neglect, and witnessing domestic violence) and community (e.g., bullying and neighborhood violence). Undergraduate students (n …
Students Obtaining Tools To Achieve Regulation (Soar), Lacey D. Sanguinito
Students Obtaining Tools To Achieve Regulation (Soar), Lacey D. Sanguinito
Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025
Students Obtaining Tools to Achieve Regulation (SOAR) is a doctoral capstone project that addressed the need for integrated social emotional learning (SEL) in elementary education. SEL is an evidence-based approach shown to improve academic outcomes, behavior, and long-term life success, yet implementation barriers remain in school settings. This project aimed to enhance student regulation, classroom engagement, and teacher confidence in SEL techniques through a multi-tiered approach. A scoping review of SEL literature identified the implementation methods and barriers to SEL curricula in elementary education, which informed the development of SOAR. SOAR consisted of (a) a 20-session, movement-based SEL curriculum targeting …
From Hallways To Healing: Reconceptualizing Schools As Access Points For Adolescent Mental Health By Fostering Student Agency And Supportive Spaces, Jordyn Nattrass
From Hallways To Healing: Reconceptualizing Schools As Access Points For Adolescent Mental Health By Fostering Student Agency And Supportive Spaces, Jordyn Nattrass
West Chester University Master’s Theses
Adolescents across the United States are struggling with their mental health in record numbers, often without access to adequate support. This paper examines the role of schools as critical access points for all students to receive mental health interventions. I propose the implementation of a school-wide, student-led mental health program that every student participates in during homeroom, with the additional support of a dedicated mental health space. Grounded in the principles of Youth Participatory Action Research (YPAR), the program is designed by students, for students, with the goal of fostering student leadership skills. Unlike existing programs that will be explored …
Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood
Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood
Masters Theses
Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …
Enhancing Wellbeing Through Caregiver Support: Improving Quality Of Life For Individuals With Special Needs And Complex Medical Diagnoses In Nicaragua, Jenna K. Devchand
Enhancing Wellbeing Through Caregiver Support: Improving Quality Of Life For Individuals With Special Needs And Complex Medical Diagnoses In Nicaragua, Jenna K. Devchand
Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium
Individuals with disabilities living all over the world are constantly faced with additional barriers. In low-income countries, such as Nicaragua, there is often a gap in access to resources and education, for both individuals living with disabilities and their caregivers. Access is essential to provide high quality care to meet unique needs. This occupational therapy doctoral capstone project was created to support individuals providing care to children with special needs and complex medical diagnoses in Nicaragua by providing community-based education and sustainable resources to caregivers to enhance wellbeing in daily life. The deliverable was presented in country in Nicaragua to …
Tort Liability For Failure To Age Gate: A Promising Regulatory Response To Digital Public Health Hazards, Matthew B. Lawrence, Brett Frischmann, Avi Sholkoff
Tort Liability For Failure To Age Gate: A Promising Regulatory Response To Digital Public Health Hazards, Matthew B. Lawrence, Brett Frischmann, Avi Sholkoff
Faculty Articles
Tort liability for failure to “age gate” is a promising legal response to the public health hazards of AI, social media, sports gambling, and other digital spaces. Tort liability for failure to “age gate” hinges liability for harms to minors on an app’s failure to take reasonable steps to prevent minors from gaining access or otherwise to apply appropriate governance rules, such as privacy-protective default settings or ensuring genuine parental consent. While no one legal response is a panacea, tort liability for failure to age gate carries several distinctive advantages that make it a particularly promising option at this stage …
Ketamine Infusion Treatment For Depression, Isabella Schwing
Ketamine Infusion Treatment For Depression, Isabella Schwing
Capstone Showcase
Depression remains a significant public health challenge in the U.S., affecting millions of adults and contributing to both psychological and financial burdens. Major depressive disorder impacts approximately 14.5 million U.S. adults, with about 30% of cases classified as treatment-resistant depression. Traditional antidepressant therapies, including selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors, often have delayed onset and limited efficacy, leaving a substantial portion of patients without adequate relief. Given these limitations, there is an urgent need for alternative treatment options.
Recent research has highlighted ketamine as a promising intervention for Major Depressive Disorder and Treatment Resistant Depression. Initially identified as …
Medication In Early Adulthood And Long-Term Outcomes In Individuals With Adhd, Emma Deep
Medication In Early Adulthood And Long-Term Outcomes In Individuals With Adhd, Emma Deep
Williams Honors College, Honors Research Projects
The main question asked about attention deficit hyperactivity disorder is: What are the long-term consequences for adults who stay on ADHD medication after childhood? Answering that question includes looking into the medical facts surrounding an ADHD diagnosis, examining the adults and children with ADHD, the subtypes of ADHD, diagnosing ADHD, including the symptoms, and types of medications, along with the side effects. ADHD is one of the most common disorders in children and adults. Understanding ADHD, its diagnosis, and treatment options is crucial for individuals and caregivers navigating this condition. This paper examines the long-term effects of ADHD medication from …
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 …
Barriers To Postpartum Depression Treatment: Availability And Accessibility Of Maternal Behavioral Health-Inclusive Support Groups For Low-Income Populations, Radhika S. Venkatesan
Barriers To Postpartum Depression Treatment: Availability And Accessibility Of Maternal Behavioral Health-Inclusive Support Groups For Low-Income Populations, Radhika S. Venkatesan
Honors Undergraduate Theses
The maternal health crisis is a prevalent and concerning issue in the United States. The lack of efficient availability and accessibility to health care services plays a significant role in augmenting this problem. One health care service that is often understudied is support groups, for prevalent issues like postpartum depression. Considering the socioeconomic burdens of low-income mothers, this paper analyzed the accessibility and availability of maternal health support groups across counties in Florida, with varying amounts of individuals below the federal poverty level (%BPL). Essentially, Florida counties were divided into one of four categories depending on their %BPL. A Fisher’s …
A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried
A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried
Art Therapy | Master's Theses
This mixed methods, randomized, single-session study tested whether integrating text-to-image generations into Solution-Focused Brief Art Therapy alters therapeutic rapport and short-term outcomes relative to traditional artmaking materials. Participants were assigned by coin flip to create using either a text-to-image generator or convention media (23 per group), completing immediate and three-day follow-ups. Alliance was measured using DREAM (Dimensions of Regard, Empathy, and Authenticity Metric), and problems were rated pre/post; groups did not differ significantly on DREAM total or facets, and both modalities produced reliable pre-to-post reductions in problem severity. At the same time, process differences were pronounced: the AI condition showed …
Recognizing Adult Male Mental Health Needs: An Intervention Looking At Education In Rural Communities, Eugene W. Winans Jr
Recognizing Adult Male Mental Health Needs: An Intervention Looking At Education In Rural Communities, Eugene W. Winans Jr
Doctor of Nursing Practice Projects
This DNP Project examined the role of student nurses and their confidence levels when assisting adult male patients experiencing a mental health crisis. The majority of suicide acts are attributed to men. Thus, this subject requires specific insight and instructions when it comes to proper ways to assist these patients. Incorporating evidence from a pre-test and post-test survey, this project demonstrates that student nurses lack confidence in how to deal with men who are experiencing a mental health crisis. The analysis gained from this project demonstrates the important role nurses play in recognizing, speaking to, and assisting in the treatment …
University-Level Autism Support Services: Campus Providers’ Perspectives And Experiences, Gillian Humphreys
University-Level Autism Support Services: Campus Providers’ Perspectives And Experiences, Gillian Humphreys
Williams Honors College, Honors Research Projects
This qualitative study was conducted to understand the perspectives of providers located at the main campus at the University of Akron in Akron, Ohio when asked about their experiences working with students who have an autism spectrum disorder (ASD) diagnosis as well as what difficulties they view students on the spectrum facing in particular. Open-ended interviews were conducted with four staff members in the Office of Accessibility and Counseling and Testing Center. This qualitative study explored the perspectives of service providers at the University of Akron who work directly with students on the autism spectrum. Through in-depth interviews and subsequent …
Examining The Association Between Perceived Stigma And Mental Health Help-Seeking Behavior Among Racial/Ethnic Minority Students In Health Professions Education, Camila A. Agurto
Examining The Association Between Perceived Stigma And Mental Health Help-Seeking Behavior Among Racial/Ethnic Minority Students In Health Professions Education, Camila A. Agurto
Honors Undergraduate Theses
Racial and ethnic minority (REM) students in health professions programs in the U.S. have considerable mental health issues. Still, they are less likely to access mental health services when compared to their White peers. The stigma they face, such as —public stigma, self-stigma, or intersectional stigma, may serve as a barrier to help-seeking. Although there is increasing recognition of the barriers to mental health care experienced by these students, there is no systematic understanding of how perceived stigma associated with mental health issues affects mental health help-seeking by REM students enrolled in health professions education. This systematic literature review aims …
The Impact Of Socioeconomic Status On Substance Use Amongst The Hispanic Maternal Population, Emily C. Olivo
The Impact Of Socioeconomic Status On Substance Use Amongst The Hispanic Maternal Population, Emily C. Olivo
Honors Undergraduate Theses
Aim: To explore and synthesize existing research that focuses on the relationship between socioeconomic status and the use of substances amongst the maternal Hispanic population. By examining research and these factors, interventions can be identified to lower reported substance use rates amongst Hispanic mothers of childbearing ages.
Background: Minorities such as Hispanic women deal with a myriad of struggles, especially during motherhood. Socioeconomic status and substance use can contribute to a large part of the struggles faced by this population. Hispanic and Latina will be used interchangeably throughout this review of literature.
Method: A comprehensive electronic review of 3 databases …
The Intersection Of Autism Spectrum Disorder And Mental Health: A Focus On College Students, Sudeepta Matha
The Intersection Of Autism Spectrum Disorder And Mental Health: A Focus On College Students, Sudeepta Matha
Honors Undergraduate Theses
Rising prevalence rates of autism spectrum disorder (ASD), changes in diagnostic criteria, and increased public awareness have all contributed to the growing population of college students with ASD. However, many individuals - commonly referred to as the “lost generation” - go undiagnosed, due to experiencing negative interactions with mental health professionals. As a result, these individuals are not given the proper support and interventions required for a successful transition into adulthood, and often face heightened social isolation, academic problems, mental health challenges compared to their neurotypical peers. A combination of these factors can lead to increased suicidal ideation (SI) and …
Supporting The Social Emotional Needs Of Preschoolers, Giorgi Morrone
Supporting The Social Emotional Needs Of Preschoolers, Giorgi Morrone
Graduate Theses, Dissertations, and Problem Reports (ETD)
Social-emotional competence is a prerequisite to school performance and participation in daily tasks. Children in West Virginia face social and emotional barriers including the effects of the opioid epidemic leading to children placed in foster care, born with neonatal abstinence syndrome, and being exposed to toxic stress in the home environment. Additionally, the COVID-19 pandemic has impacted children's social-emotional functioning due to isolation periods. Social-emotional programming can improve children's well-being, school performance, relationships, and outcomes later in life. Occupational therapy practitioners can use data-driven decision-making and relationship-centered practice to develop group-based, health-promotion social-emotional programming in the preschool setting. The purpose …
Tobacco And Trouble: Exploring The Health Consequences Of Electronic Cigarette Use In Adolescents, Noor Ibrahim Abdulhay
Tobacco And Trouble: Exploring The Health Consequences Of Electronic Cigarette Use In Adolescents, Noor Ibrahim Abdulhay
Graduate Theses, Dissertations, and Problem Reports (ETD)
Background: Tobacco use remains one of the leading causes of preventable disease and death in the United States (U.S.). Although conventional cigarette use among youth has declined, the use of electronic cigarettes (e-cigarettes) has become highly prevalent and poses emerging public health concerns. Adolescence represents a critical developmental period for both oral and mental health, making it essential to understand the consequences of tobacco and nicotine exposure during this stage. The goal of this dissertation is to examine the health impacts of tobacco use in adolescents across multiple domains. Specifically, this research (1) synthesizes existing evidence on the relationship between …
Digital Zines As Mental And Sexual Health Communication Tools For Latina Teens: Format And Content Acceptability And Initial Findings, Jenn M. Lilly, D'Andrah Almanzar, Susan R. Pace, Dante D. Bryant
Digital Zines As Mental And Sexual Health Communication Tools For Latina Teens: Format And Content Acceptability And Initial Findings, Jenn M. Lilly, D'Andrah Almanzar, Susan R. Pace, Dante D. Bryant
Social Service Faculty Publications
Recognizing the potential of digital zines (defined as selfpublished,
online publications combining artwork and
text) as culturally tailored health communication tools,
this article examines the acceptability and impacts of two
digital zines about mental and sexual health created by
Latina young people for Latina teens as a health communication
strategy. We conducted an anonymous online
survey completed by Latina teens who read the zines (32
for sexual health and 33 for mental health). Data analysis
aimed to explore, summarize, and interpret the collected
data using an artificial intelligence (AI)-enhanced
approach. Survey participants found the zine format and
content acceptable and …
Introducing An Eating Disorder Protocol In The Pediatric Primary Care Setting, Brandi Bozarth
Introducing An Eating Disorder Protocol In The Pediatric Primary Care Setting, Brandi Bozarth
DNP Projects
Background: The incidence of eating disorders has been on the rise, often beginning in adolescence and continuing well into adulthood. Consequences of untreated disrupted eating patterns can affect multiple body systems and are responsible for thousands of deaths annually. Despite these facts, research and data regarding eating disorders in adolescent patients are severely deficient. There is also a lack of standardization regarding assessing eating disorders in the pediatric primary care setting, as there are no specific guidelines or screening processes recommended by the American Academy of Pediatrics for the detection of eating disorders.
Purpose: The purpose of this project is …
“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 …
Supporting People Bereaved By Suicide In The South West Region Of Western Australia: Report, Colleen M. Carlon
Supporting People Bereaved By Suicide In The South West Region Of Western Australia: Report, Colleen M. Carlon
Research outputs 2022 to 2026
This paper reports on the practices of service providers in working with people and communities bereaved by suicide in regional contexts. For people bereaved by suicide experiences of grief, trauma and stigma and the questioning of why someone has died create a complex mix of need and emotion that can leave people vulnerable to complicated grief and poor physical and mental health. These effects may also be exacerbated by stigma in social and communal contexts. As such experiences of suicide grief are different to other forms of grief and loss, effectively supporting people and communities bereaved by suicide requires knowledge …
Exploring The Impact Of Covid-19 And The Role Of The Church On African Americans’ Mental Well-Being In South Georgia, Adrian D. Lewis
Exploring The Impact Of Covid-19 And The Role Of The Church On African Americans’ Mental Well-Being In South Georgia, Adrian D. Lewis
College of Graduate Studies: Theses & Dissertations
The emergence of COVID-19 in 2020 disrupted the social dynamics of communities in the United States. Furthermore, public health mandates led to closures that changed how populations access faith. Historically, African Americans have utilized the church to cope with societal stressors. This study will explore the history of church utilization in the African American community, assess how COVID-19 public health mandates led to church closures for the first time in recent history and impacted this marginalized population, and provide a qualitative perspective on the quality of life during the closures and what changed after the closures for African Americans in …
Psychological Impacts In Exercise Riders And Professional Jockeys Following Injury, Kelley M. Renner
Psychological Impacts In Exercise Riders And Professional Jockeys Following Injury, Kelley M. Renner
Theses and Dissertations--Kinesiology and Health Promotion
One of the most well-known equestrian sports, horse racing, is not only a cornerstone of Kentucky’s economy, but also a vital part of its culture, with professional jockeys playing an essential role in the local communities and traditions that define the state. Despite its popularity and financial impact, mental health challenges within the sport have continually been shrouded in silence and ignored in research (Ball et al., 2007). Equally concerning is the high injury prevalence, and psychological impact of these injuries (e.g., psychological distress, depression, anxiety, loss of identity, and self-esteem (King et al., 2022; Losty et al., 2019; McConn-Palfreyman …
1st Place Research Paper: Increasing The Accessibility Of Trauma Focused Cognitive Behavioral Therapy (Tf-Cbt) For Adolescents With Developmental Language Disorder: A Pilot Study, Lauren A. Fillet
Eric M. Scandrett Graduate Library Research Prize
Research has demonstrated that adolescents with developmental language disorder (AWDLD) perform more poorly compared to typically developing peers on measures of narrative production.This limitation may not only impact education and social life, but also possibly post-traumatic stress recovery, as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) involves a Trauma Narrative production activity (D’Amico et al., 2022). A limited amount of research has been conducted on adapting TF-CBT for children with intellectual disability, developmental disabilities, and Autism Spectrum Disorder (ASD) (D’Amico et al., 2022; Anderson & Cook, 2015). However, there is currently no available research explicitly addressing how TF-CBT can be individualized to …