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Full-Text Articles in Counseling

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek Jan 2026

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …


You Are Your Ancestors’ Wildest Dreams: A Journey Beyond The Lens Blueprinting The Influence And Impact Of Media And Podcast Pedagogy On Black And Brown Creatives In Higher Education And Beyond, Diamond N. Morgan Dr. Jan 2026

You Are Your Ancestors’ Wildest Dreams: A Journey Beyond The Lens Blueprinting The Influence And Impact Of Media And Podcast Pedagogy On Black And Brown Creatives In Higher Education And Beyond, Diamond N. Morgan Dr.

West Chester University Graduate Theses, Dissertations, and Final Projects

Explores the influence and impact of media and podcast pedagogy on Black and Brown creatives (BBC) in higher education. Grounded in Critical Race Theory (CRT), the Black Creative Educational Experience (BCEEs) framework, and the conceptual lenses of sociological and public podcasting, this study examines how podcasting functions as a transformative pedagogical and sociocultural tool for storytelling, identity development, creative expression, and community building within collegiate environments. Utilizing a convergent parallel mixed methods design, the study integrates quantitative survey data from 65 participants with qualitative focus group discussions to provide a holistic understanding of participant experiences across personal, professional, academic, social, …


The Impact Of Medicaid Policy Limitations On Access To Eating Disorder Treatment: Uncovering The Consequences Of A System Built To Fail, Meghan Frost Jan 2026

The Impact Of Medicaid Policy Limitations On Access To Eating Disorder Treatment: Uncovering The Consequences Of A System Built To Fail, Meghan Frost

DSW Capstone Projects

Individuals who rely on Medicaid face major barriers when trying to access eating disorder (ED) treatment, reflecting broader patterns of structural disadvantage in publicly funded health care. Research shows delayed diagnosis, limited access to ED specialists, and frequent denials for recommended services. These gaps occur because Medicaid policies do not match the needs of evidence based ED care, resulting in delayed or incomplete care for many individuals with eating disorders.

This issue is highly relevant to social work practice because the policies shaping these barriers are complex and difficult for clients and ED providers to navigate. Social workers across clinics, …


“My Voice Is Trauma, My Voice Is Healing:” A Feminist, Trauma-Informed Embodied Study On The Impact Of Gender-Based Violence In Classical Music Communities, Sarah Pearson Jan 2026

“My Voice Is Trauma, My Voice Is Healing:” A Feminist, Trauma-Informed Embodied Study On The Impact Of Gender-Based Violence In Classical Music Communities, Sarah Pearson

Theses and Dissertations (Comprehensive)

This Social Work doctoral dissertation explores the impact of gender-based violence (GBV) in classical music communities on survivor-artists. This is an intersectional feminist, trauma-informed, embodied study that draws on these three theoretical concepts to conceive of classical music as an institution of both colonial patriarchal power and a site of spirituality and meaning-making. The issue of systemic GBV in the performing arts has been a focus of headline news and sensational celebrity stories in the last decade following the MeToo hashtag and is slowly gaining some attention in academic research.

For this qualitative study, the sample consisted of 14 participants …


The Amanah Project: A Pilot Educational Intervention Addressing Intimate Partner Violence In Muslim Communities In The United States, Tamara Makki Jan 2026

The Amanah Project: A Pilot Educational Intervention Addressing Intimate Partner Violence In Muslim Communities In The United States, Tamara Makki

Graduate Studies Theses and Dissertations 2026

This study is a two-part manuscript dissertation that addresses the need for culturally and faith-based responsive interventions for intimate partner violence (IPV) within the Muslim community in the United States (U.S). The first manuscript is a conceptual and literature-based paper that examines IPV within the Muslim community in the U.S. and explores the intersection of religion, culture, patriarchy, and systemic barriers influencing survivors’ help-seeking experiences. Particular attention is given to issues of accessibility, including the limited availability of culturally and religiously responsive IPV services for Muslim survivors. This manuscript argues for the development of culturally responsive, faith-integrated approaches that improve …


Lived Experiences Of Adoptive Mothers Who Dissolved Their Adoption Of A Child: An Interpretative Phenomenological Study, Aimee Moore Hart Dec 2025

Lived Experiences Of Adoptive Mothers Who Dissolved Their Adoption Of A Child: An Interpretative Phenomenological Study, Aimee Moore Hart

Doctoral Dissertations and Projects

The purpose of this interpretative phenomenological analysis research study was to understand the lived experiences of adoptive mothers in the United States who had relinquished their parental rights and legally dissolved their adoption of a child. The theory guiding this study was the theory of being and time. Through the theory of being and time, each adoptive mother was viewed holistically, as inseparable from her personal history, her current state of being, and her interpretations of space and time. This interpretative phenomenological analysis utilized Internet-based, in-depth, individual interviews of adoptive mothers to answer the question: How do adoptive mothers in …


Becoming A Social Worker: A Journey Through Community, Justice, And Recovery, Willow Coefield Dec 2025

Becoming A Social Worker: A Journey Through Community, Justice, And Recovery, Willow Coefield

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio is the culminating project for the Master of Social Work program at the University of Montana and demonstrates advanced integrated practice through coursework, practicum, and professional experience. It is organized into an introduction, theoretical orientation, and focused sections on trauma‑informed care and rural and Indigenous contexts of practice, followed by a mapping of portfolio artifacts to core elements and competencies, a conclusion, references, and appendices of key graduate assignments. Drawing on artifacts such as positionality work, case studies, diagnostic assessment, group design, program evaluation, policy analysis, and leadership projects, the portfolio illustrates growth in ethical and professional behavior, …


Journey Through, Cathan B. Tautfest Dec 2025

Journey Through, Cathan B. Tautfest

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Journey Through is the Master's Portfolio for the University of Montana for Author Cathan Tautfest. This paper serves as the capstone graduation requirement for students of the School of Social Work. Over the final semester of the Master's program, this Portfolio was created, reviewed by committee, and defended before its publication. This Portfolio is a culmination of three years and thousands of hours to demonstrate mastery of the ten Social Work competencies, the elements of Social Work Practice, and critically reflect on time spent in the School of Social Work's Master's of Social Work (MSW) program. This Portfolio reflects on …


From Shame To Self-Compassion: Understanding The Experiences And Characteristics Of Self-Identified White Anti-Racist Clinical Counselors In Maine, Rachel B. Wells Dec 2025

From Shame To Self-Compassion: Understanding The Experiences And Characteristics Of Self-Identified White Anti-Racist Clinical Counselors In Maine, Rachel B. Wells

Counseling and Psychology Dissertations

Following the rise of the cultural competence movement, clinical counselors demonstrate a fundamental paradox of perpetuating and mitigating racial oppression within the mental health field. There is a growing need for accountability and systemic change as demographic and sociopolitical shifts occur across Maine and the nation. Grounded in Critical Race and Critical Feminist theories, this critical narrative qualitative study explored the experiences, characteristics, and interests served by seven White, self-identified anti-racist clinical counselors in Maine. Clinicians participated in semi-structured interviews, which were then analyzed using a feminist voice-centered relational method, the Listening Guide. Findings revealed the significance of witnessing the …


Educating The Whole Child: The Essential Role Of School-Based Mental Health Partnerships In Student Success, Kellye Palmer Dec 2025

Educating The Whole Child: The Essential Role Of School-Based Mental Health Partnerships In Student Success, Kellye Palmer

The Journal of Advancing Education Practice

Schools are uniquely positioned to serve as gateways for mental health access, yet many educational systems continue to treat mental wellness as secondary to academic instruction. This paper argues that school-based mental health partnerships are as essential to student success as physical education or standardized assessment. Drawing from the author’s experience coordinating behavioral health services within Baltimore County Public Schools, the discussion highlights how integrated partnerships between schools and clinicians reduce barriers to care, improve collaboration among educators and families, and foster early intervention. The paper also addresses the risks of unrecognized mental health needs being misidentified as behavioral or …


Undergraduate Awareness Of Sexual Harassment Law In Tanzania's Higher Learning Institutions: Case Studies Of Two Universities, Salma Ramadhan Fundi Phd Candidate Dec 2025

Undergraduate Awareness Of Sexual Harassment Law In Tanzania's Higher Learning Institutions: Case Studies Of Two Universities, Salma Ramadhan Fundi Phd Candidate

Tanzania Journal of Sociology

This study examines undergraduate students' awareness of legal provisions and guidelines concerning sexual harassment in Tanzanian higher education, focusing on the University of Dar es Salaam (UDSM) and the Open University of Tanzania (OUT) as case studies. Sexual harassment significantly impacts students’ well-being, safety, and academic success. Despite the existence of legal frameworks, students' knowledge of these provisions is often limited. The study employed a qualitative approach with a phenomenological research design to explore students’ experiences and perceptions of harassment policies. This design allowed participants to share the meanings they attach to their experiences and how such policies are understood …


Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat Nov 2025

Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat

Issues in Religion and Psychotherapy

This article explores the critical role of parent-teen communication in the mental well-being of teenagers, with a particular focus on its connection to suicide risk. A particular focus is on teens who live in Utah as the suicide rate for Utah teens and young adults is almost twice the national average. Despite the focus on families and religion in Utah, a significant number of teens continue to struggle with loneliness, hopelessness, and even thoughts of suicide. One key contributing factor to this struggle is the lack of open, supportive communication between Utah teens and their parents. The absence of effective …


Parental Grief And Loss After Gender Transition: Navigating Ambiguous And Disenfranchised Loss In Latter-Day Saint Families, David Haralson, Chelsea Johnson, Jeff Bennion, Orion Maxfield Nov 2025

Parental Grief And Loss After Gender Transition: Navigating Ambiguous And Disenfranchised Loss In Latter-Day Saint Families, David Haralson, Chelsea Johnson, Jeff Bennion, Orion Maxfield

Issues in Religion and Psychotherapy

Parents of transgender or gender nonconforming children sometimes experience profound grief and loss, particularly within religious communities that hold specific doctrines regarding gender. This article examines the unique challenges faced by parents in The Church of Jesus Christ of Latter-day Saints (LDS Church) when a child undergoes gender transition. By exploring the concepts of ambiguous loss and disenfranchised grief, we aim to provide a framework for understanding these parents' emotional experiences. The intersection of LDS doctrines and policies on gender with contemporary gender theories creates complex emotional environments for families to navigate. We present the Integrity and Investment Model as …


Helping Clients Grieve The Loss Of Their "Happily Ever After", Karen J. Gilmore, Joseph Chamberlain Nov 2025

Helping Clients Grieve The Loss Of Their "Happily Ever After", Karen J. Gilmore, Joseph Chamberlain

Issues in Religion and Psychotherapy

ABSTRACT

Helping Clients Grieve the Loss of Their “Happily Ever After”

One of the most prominent attacks on marriage comes in the form of pornography and sex addiction. In this article I will explore what pornography and sex addiction is, why it can be highly addictive, how pornography and sex addiction can impact the marriage and lead to betrayal trauma, and how to understand the losses that can come from this type of trauma as well as the ensuing grief which may accompany this process. Additionally, I will identify ways to understand how grief presents in betrayal trauma, how to …


Book Review: "Take Your Own Advice" By Jeffrey Marsh, Kristy Carlisle Nov 2025

Book Review: "Take Your Own Advice" By Jeffrey Marsh, Kristy Carlisle

Journal of Human Services Scholarship and Interprofessional Collaboration

This review examines Take Your Own Advice by Jeffrey Marsh as a teaching tool for cultivating ethical presence, mindfulness, and professional identity in human services and counseling education. Grounded in compassion-based, trauma-informed principles, Marsh’s eight guiding rules invite readers to shift from control and perfectionism toward authenticity, acceptance, and values-based living. These concepts directly reflect mindfulness and Acceptance and Commitment Therapy (ACT) practices and expound upon self-compassion, boundary awareness, and cultural humility. Through workbook activities, students find ways to practice emotional regulation and ethical reflection. Drawing connections to the Council for Standards in Human Service Education (CSHSE) and Council for …


Investigating The Relationship Between Noun Classes And Plant Folk Taxonomy In Chasu Language Of Kilimanjaro Region In Tanzania, Peter Rabson Mziray Nov 2025

Investigating The Relationship Between Noun Classes And Plant Folk Taxonomy In Chasu Language Of Kilimanjaro Region In Tanzania, Peter Rabson Mziray

Journal of Humanities and Social Sciences

The current study investigates the relationship between noun classes and plant folk taxonomy in Chasu (G 22). The study focuses on two objectives: the first objective is to describe the plant folk taxonomy in Chasu and the second objective is to determine the relationship between noun classes and plant folk taxonomy in Chasu. Data were collected from rural villages in Same and Mwanga districts by using free listing, field interviews (jungle-walk-and-identify), and written texts containing Chasu plant names. The findings reveal that Chasu folk taxonomy reflects different ethnobotanical categories; including a unique beginner which is mmea/mimea ‘plant(s)’, and three life …


Three Good Things And Family Process, Julia Prouty Oct 2025

Three Good Things And Family Process, Julia Prouty

Journal of Undergraduate Research at Minnesota State University, Mankato

There is a need for adaptive and affordable prevention/intervention strategies to promote happiness, health, and well-being in families. Three Good Things (3GT) is a free exercise from the field of positive psychology meant to shift an individual’s focus and perceptions towards gratitude. 3GT promotes focusing on gratitude by reflecting on what an individual is grateful for from the past day/week. Persons are encouraged to write down and share their 3GT with another individual. A mindset of gratitude is closely associated with improved happiness, health, and well-being. The exercise of reflecting on 3GT is adaptive to most individuals/families. To date, most …


Master Of Social Work Professional Portfolio, Allison H. Deaver Aug 2025

Master Of Social Work Professional Portfolio, Allison H. Deaver

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This MSW Portfolio encapsulates my learning journey throughout my MSW program, and includes selected projects which demonstrate critical steps in this journey.


Understanding Hispanic Cultural Strengths Through Parents’ Voices: Insights For Interdisciplinary School Personnel, David Moran, Johana Rocha, Kristy Carlisle Aug 2025

Understanding Hispanic Cultural Strengths Through Parents’ Voices: Insights For Interdisciplinary School Personnel, David Moran, Johana Rocha, Kristy Carlisle

Journal of Human Services Scholarship and Interprofessional Collaboration

Examining the strengths of Hispanic cultural values among K-12 school students is a generally understudied concept, and from their parents’ perspective specifically. This study sought to take a qualitative approach toward the exploration of Hispanic parents’ perspectives on how their cultural values promote strengths within their school-aged children. Hispanic parents (N = 8) participated in bilingual (i.e., Spanish and English) focus groups, with the results providing content that can inform culturally responsive prevention and intervention strategies to support the roles of interdisciplinary school personnel who regularly interact with the children. Findings pointed to (a) interaction with peers and school …


Social Justice & Advocacy In Human Services, Cailyn F. Green, Bernadet Dejonge, Nikki Golden, Kim Brayton, Carrie Steinman, Shannon Raybold Jul 2025

Social Justice & Advocacy In Human Services, Cailyn F. Green, Bernadet Dejonge, Nikki Golden, Kim Brayton, Carrie Steinman, Shannon Raybold

Milne Open Textbooks

Read this book online at: https://milnepublishing.geneseo.edu/social-justice-in-human-services/

Social Justice & Advocacy in Human Services delves into the complex realm of social justice, offering a deep dive into historical roots and theories to practical applications in the field. This text covers fundamental concepts, including power, privilege, and oppression, and explores critical issues like racism, gender, sexuality, poverty, religion, and disability in the context of the United States. The last section of the book hones in on the field of human services, discussing power, privilege, and bias in this context, and lastly exploring equitable distribution, human rights, and the systems and entry points …


Mental Health Counselors’ Perceptions Of Professional Identity As Correctional Counselors In An Integrated Behavioral Healthcare Setting, Jeanel L. Franklin, Kevin C. Snow, Edward S. Neukrug Jul 2025

Mental Health Counselors’ Perceptions Of Professional Identity As Correctional Counselors In An Integrated Behavioral Healthcare Setting, Jeanel L. Franklin, Kevin C. Snow, Edward S. Neukrug

Journal of Human Services Scholarship and Interprofessional Collaboration

This interpretive phenomenological study of four individuals examined clinical mental health counselors (MHCs) in a correctional integrated behavioral healthcare (IBH) setting to the purpose of examining how the unique experiences and roles of MHCs employed as correctional counselors in an IBH setting impacted the perceptions of their professional identity/development as counselors. Findings indicated how environment, work relationships, and multiple foci of mental health roles contributed to professional growth and identity development. Participants experienced an adaptive transitional process when applying counseling styles to the setting and population as well as integrating experiences as correctional counselors into pre-existing professional identities. Practical implications …


Impacts Of Early Childhood Trauma On Later Emotional, Behavioral, Educational, And Social Abilities, Stacey Merrill Jun 2025

Impacts Of Early Childhood Trauma On Later Emotional, Behavioral, Educational, And Social Abilities, Stacey Merrill

Doctoral Dissertations and Projects

Early childhood trauma has a long-lasting impact on individuals’ social interactions, mental health, academic skills, behaviors, and parenting skills for the future generations. Understanding how early interpersonal developmental trauma impacts an individual during adolescence can help providers and caregivers know how to help them become successful students and later adults. Helping individuals early in their development can prevent the cycle of abuse from continuing. Trauma informed care can help bridge the gap between those with and without known traumas. This study consisted of an interpretive phenomenological qualitative design using semi-structured interviews to understand the impact of early trauma on adolescence …


Mapping Our Tears: Risd Cry, Yimiao Wang May 2025

Mapping Our Tears: Risd Cry, Yimiao Wang

Masters Theses

RISD CRY is a participatory project empowering the RISD community to share their experiences of emotional vulnerability. The project includes physical sign-in forms in campus facilities, a Google Doc sign-in form, illustrations of participants’ comments, and an online campus map where individuals can mark where they have cried. This multi-format engagement fosters community connection, challenges the stigma surrounding emotional expression, and provides a platform for solidarity among individuals facing stress and burnout.

Beyond its tactical goals, RISD CRY also interrogates the cultural frameworks through which emotional struggle is perceived and processed. It critiques the institutional impulse to measure, diagnose, and …


Becoming A Beloved Community: A Restorative Reckoning For A Radical Conversion To Transform Discourse In Higher Education, Latasha Tomay Varlack-Butler May 2025

Becoming A Beloved Community: A Restorative Reckoning For A Radical Conversion To Transform Discourse In Higher Education, Latasha Tomay Varlack-Butler

Dissertations

This dissertation critically examines the misappropriation of Restorative Justice Discourse (RJD) within three predominantly white institutions (PWIs), analyzing 59 institutional documents through Critical Discourse Analysis, Relational Critical Discourse Analysis, and Rhetorical Criticism (Fairclough, 1995; Vaandering, 2021; van Dijk, 2008). Tribal Colleges and Universities and South African institutions have emerged as exemplars of authentic RJD, countering co-optation within PWIs. The findings demonstrate that RJD as applied in PWIs is framed in ways that attenuate its transformative potential, perpetuating color-evasiveness (Bonilla-Silva, 2017) and obscuring the intersectional experiences of Black, Indigenous, and disabled communities (Crenshaw, 1991; Million, 2009).

Grounded in decolonial praxis (Smith, …


Healing Our Relations Emergent Folk Art Creation Community Project For Cultural Healing And Reconciliation, Renna Fir May 2025

Healing Our Relations Emergent Folk Art Creation Community Project For Cultural Healing And Reconciliation, Renna Fir

Expressive Therapies Theses

Settler colonial disconnection from place perpetuates ongoing harm to Indigenous communities, ecosystems, and cultural systems through extraction, displacement, and erasure. This community engagement project explores how communities can develop emergent cultural practices that acknowledge historical and ongoing harms while building toward repair and right relationship. Through a series of five participatory workshops combining movement, storytelling, and folk dance creation; seven community members and three culture bearers, understood as "elders" explored their relationship with place through embodied practice. The research utilized an anti-colonial arts-based methodology centered on community wisdom while documenting the process through multiple complementary methods. Findings demonstrate that folk …


Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji May 2025

Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji

Educational Specialist, 2020-current

There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …


There’S A Crisis Brewing In Higher Education, Caroline M. Graham May 2025

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …


Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris May 2025

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.


Redefining Children’S Experience In Social Services Offices, Julia K. Bryant May 2025

Redefining Children’S Experience In Social Services Offices, Julia K. Bryant

Human Development and Family Sciences Undergraduate Honors Theses

The effects of childhood trauma are far-reaching and diverse, influencing physical, emotional, and mental health across a child’s entire lifetime. Research indicates that children who experience adverse childhood experiences (ACEs) such as abuse or neglect are at an increased risk for various consequences and that the environments they encounter post-trauma play a significant role in shaping their experiences. Social services offices, where many traumatized children are taken for interviews or assessments after being removed from their homes, can often become places of additional distress. This project seeks to address this issue by proposing redesigns for social services offices to create …


Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm May 2025

Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm

Human Development and Family Sciences Undergraduate Honors Theses

Despite the documented benefits of equine-assisted therapy (EAT) for mental health conditions, this complementary approach remains underutilized. This qualitative study investigated barriers preventing wider EAT implementation by examining challenges faced by clients, facilities, and volunteers. Data collected through open-ended surveys from 33 participants and the researcher's autoethnographic observations revealed eight common barriers: Accessibility (48 mentions), Money (43), Time (30), Awareness (23), Physical Factors (13), Relationships (13), Risk (13), and Weather (7). Clients identified financial constraints as their primary barrier, particularly insurance limitations. Facilitators struggled most with accessibility challenges, including lack of resources, trained staff, suitable horses, and appropriate facilities. Volunteers …