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Articles 451 - 480 of 10475
Full-Text Articles in Social and Behavioral Sciences
Behind The Walls: The Implications Of Assisted Living Building Codes On Resident Safety, Adam Pennavaria, Lindsey Smith, Paula Carder, Cassandra Hua, Eric Jutkowitz, Kali Thomas
Behind The Walls: The Implications Of Assisted Living Building Codes On Resident Safety, Adam Pennavaria, Lindsey Smith, Paula Carder, Cassandra Hua, Eric Jutkowitz, Kali Thomas
OHSU-PSU School of Public Health Annual Conference
As the US population collectively ages, issues related to assisted living (AL) resident safety have become an increasingly pressing issue for the general public, reflected by major media reporting in the last year. The building codes that govern ALs play an important role in mitigating the risks associated with falls, wandering, and other hazards, especially for residents living with Alzheimer’s disease and related dementias. We sought to understand how states vary in their approaches to building code regulations that might impact resident safety. We used search term-based text retrieval to identify areas of text relevant to locks, alarms, and egress …
Expanded Patient Reach At New Student Run Free Medical Clinic Location, Olivia Krol, Hana Warmflash, Alex Foster
Expanded Patient Reach At New Student Run Free Medical Clinic Location, Olivia Krol, Hana Warmflash, Alex Foster
OHSU-PSU School of Public Health Annual Conference
Background: Critical to modern medical education, student run free medical clinics (SRFCs) are present at more than 75% of AAMC member institutions. SRFCs educate students while providing low-barrier, free healthcare to underserved populations. SRFCs provide unique leadership and health systems management opportunities not traditionally emphasized in training, including leading logistical and operational changes.
In this project, we highlight the impact of a student-led operational initiative that transitioned our clinic from the River District Navigation Center (RDNC) to the Resource Center (RC), improving accessibility.
Methods:
Deidentified patient data from medical clinics from January 2024 to February 2025 were analyzed using RStudio …
Addressing The Promise And Peril Of Ai For Nonprofit Management Through A Data Feminist Pedagogy, Billie Sandberg, Rafeel Wasif, Laura C. Hand
Addressing The Promise And Peril Of Ai For Nonprofit Management Through A Data Feminist Pedagogy, Billie Sandberg, Rafeel Wasif, Laura C. Hand
Public Administration Faculty Publications and Presentations
The use of artificial intelligence (AI) has opened up possibilities for nonprofit management, and practitioners are taking notice. A recent study revealed that nearly 90% of nonprofit organizations are interested in using AI (MacDonald, Citation2023). Another study indicated that more than half of the nonprofits surveyed use AI to support finance, human resources, communications, and mission-related (i.e., working with clients, program implementation, and grantmaking) functions (Herschander, Citation2024). Indeed, many of us likely know student-practitioners and nonprofit colleagues who leverage AI to help write donor thank-you notes, newsletters, grant proposals, and press releases and who work for nonprofits that incorporate chatbots …
Woman-To-Woman Marriage In West Africa: A Vanishing Tradition Of Power And Agency, Bright Alozie
Woman-To-Woman Marriage In West Africa: A Vanishing Tradition Of Power And Agency, Bright Alozie
Black Studies Faculty Publications and Presentations
In lieu of an abstract, here is an excerpt: Marriage in west Africa has played a central role in shaping aspects of society, and has evolved over time. While traditional heterosexual unions dominate discussions, a lesser-known but significant practice – woman-to-woman marriage – has existed for centuries. In my research, I examined this institution, which allows a woman to assume the role of a husband by marrying another woman. There’s evidence of woman-to-woman marriage in more than 40 societies across west Africa, including the Igbo of Nigeria, the Frafra of Ghana and the Dahomeans of present-day Benin.
Rupert Raj’S Written Acts Of Activism And Care Throughout The 1980s And 1990s, Mia Jakobsen
Rupert Raj’S Written Acts Of Activism And Care Throughout The 1980s And 1990s, Mia Jakobsen
Amplify: A Journal of Writing-as-Activism
In researching acts of activism and care in Canadian queer and trans racialized history, I examined how Rupert Raj advocated and cared for other trans individuals through his writing in the 1980s and 1990s. He noticed that there were few publications for trans individuals so he created easily accessible methods to share vital information regarding research and support that would have otherwise been difficult to acquire. Raj’s writings shared vital transgender research, literature, and expertise from across the globe. He provided critical support to and for other trans men through his easily accessible publications and letters, serving as an information …
A Message From The Editors, Vicki L. Reitenauer, Rhiannon M. Cates
A Message From The Editors, Vicki L. Reitenauer, Rhiannon M. Cates
Amplify: A Journal of Writing-as-Activism
An introduction from the founding co-editors to the third issue of Amplify: A Journal of Writing-as-Activism: Volume 3, Issue 1: Writing-as-Activism in a Time of Destruction.
Inciting Action By Analyzing Pachirat, Rhi N. Soto
Inciting Action By Analyzing Pachirat, Rhi N. Soto
Amplify: A Journal of Writing-as-Activism
The book Every Twelve Seconds: Industrialized Slaughter and the Politics of Sight by Timothy Pachirat explores “the politics of sight”, or the intentional invisibilizing or transparentizing of repugnant acts in order to encourage or limit them, through the case study of a beef slaughter house in Omaha, NE. While also utilizing the politics of sight, Pachirat hopes for great political and social change concerning the immoral acts that happen at meat plants through a radical act of transparency: a narrative ethnography. Writers with similar goals of great change in social and political issues can make use of Pachirat’s techniques, which …
"I Know Who I Am": Draw-And-Tell Conversations With Gender-Creative Children, Eline Leemans Lenne
"I Know Who I Am": Draw-And-Tell Conversations With Gender-Creative Children, Eline Leemans Lenne
Dissertations and Theses
A growing number of children identify in various gender-creative ways, likely due to broader social awareness and affirmation of transgenderism. Gender-creative children face higher risks for adverse social, academic, mental health, and healthcare outcomes compared to non-transgender peers. Support from loved ones along with guidance from pediatric providers can mitigate poor outcomes and ensure that gender-creative children live healthy and happy lives. Young gender-creative children's perspectives about the aforementioned topics are markedly absent from the literature, which instead highlights adolescent and adult proxy perspectives.
In this participatory arts-based study anchored by a constructivist epistemology and informed by post-structuralist, queer, and …
Tiered Clinician Vaccine Communication Strategy To Improve Childhood Vaccine Uptake: A Cluster Randomized Clinical Trial., Douglas J. Opel, Jeffrey D. Robinson, Chuan Zhou, Kathryn Colborn, Heather Spielvogle, Anna Furniss, Christine Spina, Cathryn Perreira, Sean T. O'Leary
Tiered Clinician Vaccine Communication Strategy To Improve Childhood Vaccine Uptake: A Cluster Randomized Clinical Trial., Douglas J. Opel, Jeffrey D. Robinson, Chuan Zhou, Kathryn Colborn, Heather Spielvogle, Anna Furniss, Christine Spina, Cathryn Perreira, Sean T. O'Leary
Communication Faculty Publications and Presentations
No experimental studies to date have tested the effectiveness of clinician communication strategies to improve vaccine uptake among children of parents with negative vaccine attitudes.
Improved Biomass Cookstove Use In The Longer Run: Results From A Field Experiment In Rural Ethiopia, Alemu Mekonnen, Abebe D. Beyene, Sahan Dissanayake, Randall Bluffstone, Zenebe Gebreegziabher, Daniel Lafave, Peter Martinsson, Michael Toman
Improved Biomass Cookstove Use In The Longer Run: Results From A Field Experiment In Rural Ethiopia, Alemu Mekonnen, Abebe D. Beyene, Sahan Dissanayake, Randall Bluffstone, Zenebe Gebreegziabher, Daniel Lafave, Peter Martinsson, Michael Toman
Economics Faculty Publications and Presentations
This study examines longer-run usage frequency of Mirt improved biomass cookstoves (ICS), one of the most important ICS promoted in Ethiopia. Mirt has been shown to improve childhood health, and reduce fuelwood consumption and greenhouse gas emissions, but to generate those benefits, households must regularly use it over extended periods. Thus, this paper focuses on longer-run use using stove surface temperature data over five time intervals. We find that, close to its estimated lifespan, 63 per cent of households had their stoves in place after more than 3.5 years. Of those who abandoned their stoves, over 80 per cent did …
An Equitable End: Meeting The Needs Of Queer Families Within Deathcare, Nyssa Peck
An Equitable End: Meeting The Needs Of Queer Families Within Deathcare, Nyssa Peck
University Honors Theses
This thesis seeks to explore end-of-life care experiences of queer families, focusing on interactions with palliative and hospice caregivers. Currently, end-of-life (EOL) practitioners in institutional and medical care settings are often poorly equipped to interact with queer families due to inadequate cultural training models, personal biases, and ignorance regarding the queer identities of their clients. This manifests in substantial inequities within deathcare systems regarding the accommodation of the unique needs of queer familial structures. Drawing upon multidisciplinary scholarship, I sought to examine these needs, which diverge from that of heterosexual families due to queer families’ absence of legal protections and …
Beyond The Bickering: Examining Event, Victim, And Offender Characteristics For Sibling Abuse Incidents In Oregon, Isabella M. Starr
Beyond The Bickering: Examining Event, Victim, And Offender Characteristics For Sibling Abuse Incidents In Oregon, Isabella M. Starr
University Honors Theses
Sibling violence (SV) is the most prevalent form of intrafamilial and domestic violence, yet it remains underrecognized and lacks the systematic attention given to other forms of family violence. Often minimized or misclassified as typical sibling rivalry, SV can inflict serious and lasting physical, emotional, and psychological harm on its victims. This study explores the characteristics of sibling violence incidents reported to law enforcement in Oregon between 2016 and 2023, using data from the National Incident-Based Reporting System (NIBRS). Through an analysis of 5,793 single-victim, single-offender incidents, the research examines demographic patterns among victims and offenders, incident dynamics, and typological …
Advancing Methods For Comparative Urban Research: A City-Centric Protocol And Longitudinal Dataset For Us Metropolitan Statistical Areas, Jason R. Jurjevich, Katie Meehan, Nicholas M. J. W. Chun, Greg Schrock
Advancing Methods For Comparative Urban Research: A City-Centric Protocol And Longitudinal Dataset For Us Metropolitan Statistical Areas, Jason R. Jurjevich, Katie Meehan, Nicholas M. J. W. Chun, Greg Schrock
Urban Studies and Planning Faculty Publications and Presentations
Comparative urban research in the USA has an unacknowledged data and methodological problem at the metropolitan scale, rooted in geographic and definitional boundary changes of urban areas across time. In this article, we introduce a new spatial dataset, decision criteria, and methodological protocol for longitudinal and comparative research with US metropolitan statistical areas (MSAs)—known as ‘metros’—in a way that centers a ‘city-centric’ approach to comparison while significantly reducing spatial error and bias. First, we review gaps and limitations of existing approaches and identify three major but previously unacknowledged sources of error, including a new source of bias we call ‘spanning …
Disrupting The Abuse-Prison Nexus: The Gendered Violence Of Prosecution And Abolitionist Feminist Approaches To Social Care Work, Sid P. Jordan, Emily Thuma, Aylaliyah Assefa Birru, Deirdre Wilson, Romarilyn Ralston, Norma Cumpian, Joseph Hankins
Disrupting The Abuse-Prison Nexus: The Gendered Violence Of Prosecution And Abolitionist Feminist Approaches To Social Care Work, Sid P. Jordan, Emily Thuma, Aylaliyah Assefa Birru, Deirdre Wilson, Romarilyn Ralston, Norma Cumpian, Joseph Hankins
School of Social Work Faculty Publications and Presentations
The vast majority of people in U.S. women’s prisons are survivors of interpersonal violence, a pattern that organizers and advocates have referred to as the abuse-to-prison pipeline. This article critically examines criminal prosecution from the perspectives of survivors of interpersonal violence who faced long prison sentences in California. In-depth interviews and group discussions were generated through a participatory process at a gathering to launch the University of California Sentencing Project, a partnership with the community-based organization California Coalition for Women Prisoners. The twenty-two formerly incarcerated participants had collectively spent more than 300 years imprisoned. Drawing on their lived experiences spanning …
Collaboration Through Trust Building: Building Trust Among Racialized And Stigmatized Nonprofits, Shariq Siddiqui, Abdul Samad, Rafeel Wasif
Collaboration Through Trust Building: Building Trust Among Racialized And Stigmatized Nonprofits, Shariq Siddiqui, Abdul Samad, Rafeel Wasif
Public Administration Faculty Publications and Presentations
Nonprofits collaborate to resolve common issues while improving program effectiveness and reducing replication. These collaborations can be critical for minority nonprofits in resolving their common problems. However, while literature often looks at nonprofit organizations working with the government or other organizations, it does not focus on how minority nonprofits can collaborate better with other minority organizations. Using Muslim American nonprofits as a case study, we understand better how trust can be built between nonprofits belonging to marginalized communities. We focus on the Community Collaboration Initiative, a three-year third-party-facilitated collaboration effort among Muslim-American nonprofits. Overall, Interpersonal relationships, organizational learning, and positive …
College Outcomes For Young Adults With And Without Learning Disabilities And Adhd: Formal-Disability-Programming And Informal-Disability-Supports, Dara R. Shifrer, Rachel Springer, Hannah Sean Ellefritz, Ned Tilbrook
College Outcomes For Young Adults With And Without Learning Disabilities And Adhd: Formal-Disability-Programming And Informal-Disability-Supports, Dara R. Shifrer, Rachel Springer, Hannah Sean Ellefritz, Ned Tilbrook
Sociology Faculty Publications and Presentations
Inequalities by disability status in college outcomes contribute to inequalities throughout adulthood in multiple domains. As the share of students with learning disabilities and/or ADHD increases on college campuses, research is needed on how best to support these undergraduates, both through formal and informal means. We integrate the social and medical models of disability with data on nearly 17,000 young adults in the US, who typically finished high school in 2013, and find that formal-disability-programming relates negatively to college enrollment but has no apparent bearing on college persistence. Among youth with similar sociodemographic backgrounds and comparable end of high school …
Working Paper No. 89, Towards A Veblenian View Of The Digital Realm, Tanner Weber
Working Paper No. 89, Towards A Veblenian View Of The Digital Realm, Tanner Weber
Working Papers in Economics
This inquiry seeks to establish that Thorstein Veblen’s writings offered insights that could assist us in understanding the digital realm in contemporary times. Through advancing his thinking for dealing with the instincts of idle curiosity and workmanship, in particular, Veblen provided an understanding of capital as technologies, especially, that should be valued as contributions to the common and joint stocks of knowledge. Back in his day, Veblen’s understanding of capital, ownership, and private property offered ways for us to think of some of the potential usages of technology as well as a range of possibilities for sabotage. What …
Working Paper No. 93, The Father, The Son, And The ‘Sulphuric’ Spirit: Reflections Upon Gunnar Myrdal's Early Writings Dealing With J. M. Keynes, Plus The ‘Great Recession’, Niccolo Cellini
Working Papers in Economics
This inquiry explores Gunnar Myrdal's contributions to counter-cyclical fiscal policy, emphasizing his belief in accumulating surpluses during economic growth and deploying them during downturns. The first section discusses Myrdal's critique of traditional austerity measures, advocating for transparency in deficit spending and highlighting the psychological impact of fiscal policy. The second section compares Myrdal’s views with John Maynard Keynes’, noting their shared concerns regarding unemployment while emphasizing Myrdal's focus on social equity and institutional reform. The final section applies Myrdal’s framework to the U.S. response to the Great Recession, analyzing the limitations of the American Recovery and Reinvestment Act (ARRA) and …
Working Paper No. 94, Franklin Roosevelt, His New Deal Policies, And The Ending Of Laissez-Faire, Amanda F. Worman
Working Paper No. 94, Franklin Roosevelt, His New Deal Policies, And The Ending Of Laissez-Faire, Amanda F. Worman
Working Papers in Economics
This inquiry seeks to establish that what were widely known and recognized as Franklin Roosevelt’s distinct ‘New Deal’ policies sought to offset some of the disruptive effects associated with the ending of Laissez-faire. Roosevelt’s upbringing, education, as well as his entry into the political sphere¾ starting out in New York State¾helped to shape the economic thinking that would later provide a foundation for what would become his New Deal policies advanced by his administration during the years of the Great Depression. Actions and policies indicative of Roosevelt’s policy thrust also align with arguments presented by the British economist, John Maynard …
Working Paper No. 90, Social Hierarchies In The Music Industry And Thorstein Veblen's Understanding Of Institutions, Citlactli Carrera López
Working Paper No. 90, Social Hierarchies In The Music Industry And Thorstein Veblen's Understanding Of Institutions, Citlactli Carrera López
Working Papers in Economics
This inquiry seeks to establish that Thorstein Veblen’s understanding of institutions could be used to offer insights into social hierarchies found within the music industry. Institutions, as viewed by Veblen, are structures that are influenced by and extensions of habits that provide an understanding of human behavior. Society creates standards which determine the way that the population operates, setting levels of what is considered as correct and incorrect behaviors. Institutions have a way of altering the way society is governed, setting expectations and new mindsets of how people should interact with each other. Through the introduction of new technologies, these …
Enhancing Discoverability: Transitioning A Board Game Collection From A Libguide To A Collectionbuilder Site, Hanwen Dong, Perri Moreno, Tyler Rodriguez, Julia Stone
Enhancing Discoverability: Transitioning A Board Game Collection From A Libguide To A Collectionbuilder Site, Hanwen Dong, Perri Moreno, Tyler Rodriguez, Julia Stone
Library Faculty and Staff Publications and Presentations
As board game collections continue to grow in popularity at academic institutions, the University of Idaho Library wanted to establish an accessible and easy-to-use discovery tool for its physical game collection. At the collections’ origins, a LibGuide was created by librarians for this purpose, but as the collection records continued to grow into the triple digits, something more adaptable and customizable was necessary. In the summer of 2023, a team of librarians came together to build a custom site to house the game collection’s information using CollectionBuilder, an open-source framework for digital collections and exhibits websites that are driven by …
Financial Metrics As Predictors Of Financial Vulnerability And Nonprofit Failure, Yossi Haimberg
Financial Metrics As Predictors Of Financial Vulnerability And Nonprofit Failure, Yossi Haimberg
Dissertations and Theses
Studying nonprofit's risk factors for financial vulnerability and possible demise is important because of the negative social consequences for both the failed organization and its stockholders. Financial vulnerability is a concern shared by all nonprofit's stakeholders as poor financial health affects nonprofit's ability to fulfill its mission, sustain its operations, and in many cases may result in a nonprofit demise. Advance knowledge on financial vulnerability has significant implications for nonprofit's leaders to develop corrective strategies to prevent failure.
Nonprofit scholars such as Tuckman and Chang, Greenlee, Hager, and Searing have contributed notable benchmarks in the field of nonprofit vulnerability, by …
Urban Beavers At The Crossroads: How Ecological Knowledge, Sociodemographic, And Spatial Context Shape Public Perception And Coexistence Preferences, Matthew Guziejka
Urban Beavers At The Crossroads: How Ecological Knowledge, Sociodemographic, And Spatial Context Shape Public Perception And Coexistence Preferences, Matthew Guziejka
Dissertations and Theses
Urban beavers demonstrate synurbization by adapting to urban environments, offering ecological benefits such as biodiversity enhancement and flood mitigation, while also occasionally conflicting with infrastructure. This study examines how ecological knowledge, sociodemographics, and spatial context influence public perceptions and management preferences for urban beavers in the Tualatin River watershed, Oregon.
A voluntary survey of 176 participants from peri-urban areas assessed demographic characteristics, ecological knowledge, and attitudes toward management approaches. Spatial factors, such as proximity to watercourses and green spaces, were also analyzed. Logistic regression analyses were used to explore relationships between these factors and management preferences. Political orientation was significantly …
“Tikkun” Viewed From The Perspective Of Systems Philosophy, Martin Zwick
“Tikkun” Viewed From The Perspective Of Systems Philosophy, Martin Zwick
Complex Systems Faculty Publications and Presentations
Understanding the idea of tikkun, as it appears in tikkun olam and tikkun ha’yetser, can be enriched by ideas from systems philosophy. From a systems perspective, “moral evil“ – the flaws of individual human beings, which create the need for tikkun ha’yetser – is a special case of “natural evil” – the dangers to life and especially to humanity from the natural world and from societal moral evil, which create the need for tikkun olam. Natural evil is in turn a special case of “metaphysical evil” – flaws in olam (which include those of yetser) that are ubiquitous, …
Working Paper No. 88, Algorithms And Thorstein Veblen’S ‘Machine Process’, Eunji Jang
Working Paper No. 88, Algorithms And Thorstein Veblen’S ‘Machine Process’, Eunji Jang
Working Papers in Economics
This inquiry seeks to establish that the ‘machine process’ which Thorstein Veblen introduced into the Economics literature back in 1904, exhibits similarities to algorithms that are readily found in contemporary times--more than one hundred years on. In The Theory of Business Enterprise [1904] (2005), Veblen defines the machine process as a system that prioritizes efficiency, standardization, and automation. Relatedly, this inquiry argues that algorithms are based upon similar principles and exhibit similar tendencies that yield similar outcomes. Additionally, this inquiry explores the institutional role of algorithms, elaborating upon how their increasing prevalence and solidification might serve to enhance efficiency in …
Working Paper No. 91, The Emergence Of Industrial ‘Sabotage’ In The Evolution American Health Insurance, H. J.
Working Papers in Economics
This inquiry seeks to establish that over the years the American health insurance industry has evolved in the direction of offering more and more disadvantages versus advantages to consumers as holders of insurance policies as well as healthcare products and services. In the tradition of Thorstein Veblen, this tendency should be considered as an institutional evolution that can be traced back in time to its origins in mutual aid societies and lodge practices. With the industrialization of the American economy, the healthcare industry exhibits signs of advancing, and but one indicator of this advance is that insurance plans became formalized. …
Working Paper No. 87, The Double-Edged Sword Of American Philanthropy, Nathan Lewis-Lusso
Working Paper No. 87, The Double-Edged Sword Of American Philanthropy, Nathan Lewis-Lusso
Working Papers in Economics
This inquiry seeks to establish that American philanthropy, often hailed as a moral virtue, is in part a reflection of systemic policy failures that have forced private individuals to address public needs. While one blade of the philanthropic sword has historically provided essential support in areas such as education, healthcare, and poverty alleviation, the other blade of the sword has also allowed for wealthy individuals to shape public priorities, often reinforcing existing inequalities. By analyzing the historical development of philanthropy, its role in addressing policy gaps, and its potential in undermining democratic governance, this inquiry highlights the complex and often …
Accessible Bike Map Design: A Review And Critique Of Portland’S Bike Maps, Zachary Cheyney
Accessible Bike Map Design: A Review And Critique Of Portland’S Bike Maps, Zachary Cheyney
Geography Masters Research Papers
Urban bike maps can serve as key tools for route planning and navigation for prospective cyclists, providing both general information (such as landmarks and natural features) and cycling specific information (such as bike lane infrastructure types and cycling amenities). Despite this, there is little professional guidance or academic research on best practices for bike map design. Potential guidance should consider the full range of potential cyclists, including disabled cyclists who have often been left out of cycling policy discussions. In this paper, I begin by discussing 3 case studies on participatory mapping methodologies with disabled participants in order to generate …
Active Transportation Data Fusion: Incorporating Big Data To Estimate Volumes, Joeseph Broach, Sirisha Kothuri, Nathan Mcneil
Active Transportation Data Fusion: Incorporating Big Data To Estimate Volumes, Joeseph Broach, Sirisha Kothuri, Nathan Mcneil
PSU Transportation Seminars
Planners and decision-makers have increasingly voiced a need for network-wide estimates of bicycling and walking. Such volume estimates have for decades informed motorized planning and analysis but have only recently become feasible for non-motorized travel modes. Recently, new sources of activity data have emerged derived primarily from GPS-based smartphone location data, both app-based and passively collected. The project team has led several research projects aimed at evaluating and integrating the emerging sources with conventional demand data, including observed bicycle and pedestrian counts, to assess the value added of various emerging sources and the potential for estimating network-wide volumes. This presentation …
Exploring Health Equity With Culturally Specific Providers Of Permanent Supportive Housing, Judith Solomon
Exploring Health Equity With Culturally Specific Providers Of Permanent Supportive Housing, Judith Solomon
University Honors Theses
Chronic homelessness is an important public health issue. Permanent Supportive Housing (PSH) is a promising opportunity for transitioning people experiencing homelessness into housing, however there remain unaddressed racial inequities in service provision and outcomes. The aim of this study is to better understand the role of culturally specific (CS) providers of PSH in improving health equity. I analyzed interviews with CS PSH providers for themes related to health and healthcare. Providers spoke about the importance of connecting clients to healthcare. Providers stressed the importance of honesty and lived experience, highlighting the strong sense of responsibility to the community. Providers also …