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2018

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Full-Text Articles in Community Psychology

Health Equity Through Spatial Justice: A Critical Phenomenology Of Urban Trail Makers, Arvin Simon Dec 2018

Health Equity Through Spatial Justice: A Critical Phenomenology Of Urban Trail Makers, Arvin Simon

Electronic Theses and Dissertations

Research has increasingly demonstrated that race, class and place are powerful predictors of health and social justice. This study was conducted to identify the lived experiences of individuals who were hired and trained as part of a green job program that created trails within a city park in Pittsburgh’s Mount Washington Community. This program has historically hired individuals who were formerly incarcerated, many of whom identify as African American. We explored the personal and social experiences of working in nature to better appreciate the intersections of race, class and environment in an urban community. This current study is based on …


An Exploration Of The Psychometric Properties Of The Self-Sufficiency Matrix Among Individuals And Families Currently Or At Risk Of Experiencing Homelessness, Camilla Cummings Nov 2018

An Exploration Of The Psychometric Properties Of The Self-Sufficiency Matrix Among Individuals And Families Currently Or At Risk Of Experiencing Homelessness, Camilla Cummings

College of Science and Health Theses and Dissertations

The homeless service sector has moved toward the implementation of assessment tools to better understand the support service needs of individuals and families. While a variety of assessment tools are available, their psychometric evidence base is limited. The Self-Sufficiency Matrix (SSM) is one assessment that holds promise with regard to its reliability, validity, and potential use as an instrument for triaging services. However, research examining the factor structure of the SSM has been inconsistent across samples. Moreover, it has never been tested among a broad population of both those currently experiencing and at-risk of experiencing homelessness, or examined unaccompanied adults …


The Ecology Of Educational Attainment: Resilience Among Black High School Students, Jacqueline O. Davis Nov 2018

The Ecology Of Educational Attainment: Resilience Among Black High School Students, Jacqueline O. Davis

College of Science and Health Theses and Dissertations

Achievement gaps among students of color in the United States are pervasive and persistent. Identifying trajectories of resilience among Black teens is an important step toward promoting their educational attainment. This study identified risk and protective factors at the individual, family, and school levels hypothesized to influence Black high school students’ attainment. The effects of these risk (behavior problems, lack of college planning, and school problems) and protective factors (academic self-efficacy, parent involvement, and academic climate) on Black students’ educational attainment at 10-year follow-up were assessed. The sample included 2,423 Black 10th-grade students who participated in the Education Longitudinal Study …


Spatio-Temporal Distribution Of Negative Emotions In New York City After A Natural Disaster As Seen In Social Media, Oliver Gruebner, Sarah R. Lowe, Martin Sykora, Ketan Shankardass, Sv Subramanian, Sandro Galea Oct 2018

Spatio-Temporal Distribution Of Negative Emotions In New York City After A Natural Disaster As Seen In Social Media, Oliver Gruebner, Sarah R. Lowe, Martin Sykora, Ketan Shankardass, Sv Subramanian, Sandro Galea

Department of Psychology Faculty Scholarship and Creative Works

Disasters have substantial consequences for population mental health. We used Twitter to (1) extract negative emotions indicating discomfort in New York City (NYC) before, during, and after Superstorm Sandy in 2012. We further aimed to (2) identify whether pre- or peri-disaster discomfort were associated with peri- or post-disaster discomfort, respectively, and to (3) assess geographic variation in discomfort across NYC census tracts over time. Our sample consisted of 1,018,140 geo-located tweets that were analyzed with an advanced sentiment analysis called ”Extracting the Meaning Of Terse Information in a Visualization of Emotion” (EMOTIVE). We calculated discomfort rates for 2137 NYC census …


Service Use Among Individuals With Serious Mental Illness & Physical Health Problems, Laura May Kurzban Oct 2018

Service Use Among Individuals With Serious Mental Illness & Physical Health Problems, Laura May Kurzban

Theses and Dissertations

Introduction: This study examined the relationship between (a) physical health problems among individuals diagnosed with serious mental illness (SMI), (b) their demographic and psychosocial characteristics which may be risk and protective factors for physical health problems, and (c) the use of mental health case management services. Methods: Data collected from community mental health center consumers residing in supported housing (N = 357) included number of self-reported physical health problems and impairment. Services use and billing data were collected on targeted case management (TCM) and mental illness management services (MIMS). Results: Regression models indicated that …


Never Again! Surviving Liberalized Prostitution In Germany, Sandra Norak, Ingeborg Kraus Oct 2018

Never Again! Surviving Liberalized Prostitution In Germany, Sandra Norak, Ingeborg Kraus

Dignity: A Journal of Analysis of Exploitation and Violence

This article, co-authored by a six-year survivor of the sex trade industry in Germany (Sandra Norak) and a psychologist and trauma therapist (Ingeborg Kraus), provides perspectives on the difficulty of withstanding the coercion of traffickers and the difficulties of exiting prostitution in a country in which prostitution has been legalized, normalized and made “a job like any other.” This normalization persuades survivors to believe their traffickers that it is a legitimate occupation and encourages them to endure the violence. Liberalization also has prevented the development of needed trauma services to those seeking to exit the sex trade industry.


Illuminating The Trauma Of The Closet Among Sexual Minorities: A Cinematic-Phenomenological Study Of Existential Rights, Nisha Gupta Aug 2018

Illuminating The Trauma Of The Closet Among Sexual Minorities: A Cinematic-Phenomenological Study Of Existential Rights, Nisha Gupta

Electronic Theses and Dissertations

This dissertation is a phenomenological research study about the lived experience of being in the closet as a sexual minority. This study’s research findings are represented in two distinct but overlapping ways: a traditional written hermeneutic interpretation, and a short film called “Illuminate” which cinematically brings to life the closeted lifeworld. To produce this film, I developed an innovative research method called “cinematic-phenomenology.” As a researcher, I conducted phenomenological research interviews with five self-identified sexual minorities about their lived experiences of being in the closet. During interviews, I helped participants describe their felt sense of the closet through symbolic imagery, …


The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie Aug 2018

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …


An Attachment-Based Group Intervention, Shannon Dillon Aug 2018

An Attachment-Based Group Intervention, Shannon Dillon

Doctoral Dissertations

This mixed method study aimed to understand and describe the effectiveness of an intervention and the experiences of mothers raising their children in a transitional living home. This was achieved through interviewing four mothers in Gilead House. Initially, participants completed the Depression, Anxiety and Stress scale (DASS-21), the Trauma History Screening (THS), the Adolescent Adult Parenting Inventory-2 (AAPI-2) and a demographics form. The first interview was also completed. Interview questions were based on the Working Model of the Child Interview (WCMI). Following this time 1 meeting an attachment-based group intervention was utilized for eight weeks. This intervention was based on …


Psychological Factors And The Relation Between Neighborhood Conditions And Latino Health: A Mixed Methods Study, Patricia Rodriguez Espinosa Jul 2018

Psychological Factors And The Relation Between Neighborhood Conditions And Latino Health: A Mixed Methods Study, Patricia Rodriguez Espinosa

Psychology ETDs

Latinos, the largest racial/ethnic minority group in the US, face multiple health inequities including higher rates morbidity and mortality. Despite the importance of context and the wide range of stressors faced by this population, the majority of the literature on Latino and immigrant health concentrates on issues related to cultural adaptation processes. Using a socialdeterminants of health framework, the present convergent mixed methods study investigated the relation between neighborhood conditions and Latino health with a psychological lens. A total of 361 Latino residents of Bernalillo County, the largest county in Albuquerque, New Mexico, were recruited to complete a series of …


Acculturation And Cross-Cultural Adaptation Among Refugees: The Moderating Role Of Emotions, Ezdehar Z. Alsahow Jun 2018

Acculturation And Cross-Cultural Adaptation Among Refugees: The Moderating Role Of Emotions, Ezdehar Z. Alsahow

Electronic Theses and Dissertations

As a result of venturing across language and culture boundaries, individuals may

be exposed to different ways of living and thinking in which may trigger changes in the

way they conceptualize themselves and others. However, such experiences are not

identical for everyone, and the circumstances facing the crisis of refugees would appear

to be exceptionally difficult.

This paper aimed to address refugees’ attempt to acculturate and integrate into a

new society by examining potential moderating factors of emotional processes. The study

focuses on anger, anxiety, pride, and guilt; emotions that refugees carried with them

when they arrived to the new …


Police Officer Perspectives On Public Views Of Police, Current Events Involving Police, And The Impact On Police-Community Relationships, Donjae Catanzariti Jun 2018

Police Officer Perspectives On Public Views Of Police, Current Events Involving Police, And The Impact On Police-Community Relationships, Donjae Catanzariti

Seton Hall University Dissertations and Theses (ETDs)

The media has presented current tensions between police officers and the communities they serve, particularly the Black community. These tensions have led to calls for reforms in law enforcement and the criminal justice system. However, there has been little focus on the police perspective. Thus, this study sought to address the gaps in the literature by shedding light on the perspective of police officers through the following research question: a) How do police officers perceive the public’s view of them? b) How do police officers’ think the public’s view of them impacts the relationship between police officers and the communities …


Effects Of Immigration On Interpersonal Relationships With Others Amongst Native And Mexican-Born Mexican Americans, Juan Zaragoza Jun 2018

Effects Of Immigration On Interpersonal Relationships With Others Amongst Native And Mexican-Born Mexican Americans, Juan Zaragoza

Electronic Theses, Projects, and Dissertations

This study presents the findings of how and to what extent immigration effects Native and Mexican-born Mexican American’s relationships with others. This study was quantitative and measured participant’s levels and qualities of interactions with others. The participants in this study were students from California State University, San Bernardino’s School of Social Work. The student population that was targeted was Native and Mexican-born Mexican Americans. The participants were contacted via email and provided with a questionnaire that measured the quality and quantity of interpersonal relationships they held with others. The original sample size consisted of 53 participants but reduced to a …


Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann May 2018

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …


An Overview Of Suicide And The Impact Of Interacting Factors On Current Suicide Trends, Shawna Burrow May 2018

An Overview Of Suicide And The Impact Of Interacting Factors On Current Suicide Trends, Shawna Burrow

Undergraduate Honors Theses

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates …


Detecting Suicide Risk From Wristworn Activity Tracker Data Using Machine Learning Approaches, Pallavi Atluri Apr 2018

Detecting Suicide Risk From Wristworn Activity Tracker Data Using Machine Learning Approaches, Pallavi Atluri

Electrical Engineering Theses

Suicide is a prevalent cause of death worldwide and depression is a primary concern of many suicidal acts. It is possible that an individual during depression never has any suicidal thoughts at all. On the other hand, some individuals in stable condition with no apparent symptoms of depression feel urges to commit suicide (suicidal ideation). Many such individuals never let anyone know what they are feeling or planning. Suicidal ideation considered an important precursor to suicidal acts.

Detecting the suicide risk in individuals with mood disorders is a major challenge. The current clinical practice to assess suicide risk in these …


Drama Therapy And Transgender Adolescents, Ryan Lisman Apr 2018

Drama Therapy And Transgender Adolescents, Ryan Lisman

Expressive Therapies Capstone Theses

Transgender adolescents in the United States are currently a vulnerable population that often regularly face discrimination and are at a high risk for hate crimes (Center of Excellence for Transgender Health, 2016). Developing and implementing therapeutic interventions and models for working with transgender adolescents is essential at this time. In American society, there has recently been a cultural shift towards a greater sense of acceptance for the LGBTQ community (Benson, 2013), but within that, the transgender community has been consistently left behind in many aspects of progress that LGB (Lesbian, Gay, and Bisexual) people have benefited from (Benson, 2013). There …


The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer Apr 2018

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …


Risk Factors For Domestic Homicide: Immigrant & Canadian-Born Populations, Sakthi Kalaichandran Mar 2018

Risk Factors For Domestic Homicide: Immigrant & Canadian-Born Populations, Sakthi Kalaichandran

Electronic Thesis and Dissertation Repository

Domestic violence is a critical human rights issue that can escalate to cases of domestic homicide. Globally, approximately 30% of women in relationships have reported experiencing violence at the hands of an intimate partner. In Canada this pattern is echoed, as over 25% of police-reported violent offences were from victims of domestic abuse. Recent research has revealed that immigrant & refugee victims experience unique risk factors that may render them more vulnerable to this form of violence. Yet, despite this burgeoning research area, and Canada’s diverse population of 6 million immigrants, there is a dearth of research pertaining to domestic …


Collaborative Documentation For Behavioral Healthcare Providers: An Emerging Practice, Suzanne Maniss Ph.D., Lcdc, Ncc, Amanda G. Pruit Lpc Feb 2018

Collaborative Documentation For Behavioral Healthcare Providers: An Emerging Practice, Suzanne Maniss Ph.D., Lcdc, Ncc, Amanda G. Pruit Lpc

Journal of Human Services: Training, Research, and Practice

This article considers the practice of collaborative documentation (CD) for behavioral healthcare providers; the legislative, technological, and philosophical milieu in which it developed; the attributed benefits for providers and clients; and the peer-reviewed research supporting its use. Collaborative documentation has emerged following significant legislative and technological changes in healthcare delivery and shifts toward client-centered healthcare practices including more shared decision-making between clients and practitioners.


The Development Of A Community-Based Drug Intervention For Filipino Drug Users, Ma. Regina Hechanova, Arsenio S. Alianan, Mendiola Teng-Calleja, Isabel E. Melgar, Avegale Acosta, Angelique Pearl Virtue Villasanta, Kay Bunagan, Camille Yusay, Angelica Ang, Jane Flores, Nico A. Canoy, Ervina Espina, Gayle A. Gomez, Elena Samonte Hinckley, Antover P. Tuliao, Miriam P. Cue Feb 2018

The Development Of A Community-Based Drug Intervention For Filipino Drug Users, Ma. Regina Hechanova, Arsenio S. Alianan, Mendiola Teng-Calleja, Isabel E. Melgar, Avegale Acosta, Angelique Pearl Virtue Villasanta, Kay Bunagan, Camille Yusay, Angelica Ang, Jane Flores, Nico A. Canoy, Ervina Espina, Gayle A. Gomez, Elena Samonte Hinckley, Antover P. Tuliao, Miriam P. Cue

Psychology Department Faculty Publications

This article documents the development of a community-based drug intervention for low- to mild-risk drug users who surrendered as part of the Philippine government's anti-drug campaign. It highlights the importance of developing evidence-informed drug recovery interventions that are appropriate to the Asian culture and to developing economies. Interviews and consultations with users and community stakeholders reveal the need for an intervention that would improve the drug recovery skills and life skills of users. Evidence-based interventions were adapted using McKleroy and colleagues’ (2006) Map of Adaptation Process (MAP) framework. The resulting intervention reflected the country's collectivist culture, relational values, propensity for …


Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain Jan 2018

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …


Burnout And Depressive Symptoms Are Not Primarily Linked To Perceived Organizational Problems, Renzo Bianchi, Eric Mayor, Irvin Sam Schonfeld, Eric Laurent Jan 2018

Burnout And Depressive Symptoms Are Not Primarily Linked To Perceived Organizational Problems, Renzo Bianchi, Eric Mayor, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

In this 257-participant study (76% female; mean age: 44.84), we examined two ideas that are widespread among burnout researchers: (a) the idea that burnout is primarily related to occupational-level factors; and (b) the idea that burnout should be considered a sentinel indicator in research on negative occupational outcomes. We investigated the links between burnout and a series of generic and work-related variables, namely, depressive symptoms, neuroticism, extraversion, effort-reward imbalance in the job (ERI), social support at work (SSW), and turnover intention. Burnout was assessed with the Shirom-Melamed Burnout Measure, depressive symptoms with the PHQ-9, neuroticism and extraversion with the NEO-Five …


Family Oriented Values, Emerging Adulthood, And Tobacco Use Among Hispanic Emerging Adults, Melek Yildiz Spinel Jan 2018

Family Oriented Values, Emerging Adulthood, And Tobacco Use Among Hispanic Emerging Adults, Melek Yildiz Spinel

Theses and Dissertations

Theory and research on emerging adulthood (ages 18 to 25) have increased in the past two decades. However, few studies have assessed how different cultural values and experiences influence the experiences of ethnic minority emerging adults. The first objective of the current study was to expand the field of emerging adulthood research by exploring how familism, the belief that family is central to a person’s life, related to their experience of emerging adulthood. Specifically, the study assessed how familism related to Arnett’s proposed experiences of emerging adulthood (identity exploration, self focused, other-focused, feeling in between, the age of instability/negativity, and …


The Relation Between Early Adolescent Physical Activity And Internalizing Problems: Variations In Exercise Motivations As A Critical Moderator, Stephen Taylor Jan 2018

The Relation Between Early Adolescent Physical Activity And Internalizing Problems: Variations In Exercise Motivations As A Critical Moderator, Stephen Taylor

Theses and Dissertations

Although research suggests there is a bidirectional relation between Physical Activity (PA) and internalizing symptomology, there are inconsistencies in the literature regarding this relation for early adolescents and little research exists that investigates potential moderators that may account for these discrepancies in underserved (i.e. low SES and minority status) populations. The current study was the first to utilize a Self-Determination Theory (SDT) framework to investigate the main effects five key motivations to exercise and their moderating effects between PA and internalizing problems in an underserved sample of early adolescents (N = 167; M age = 12.19 years; 58.1% female and …


Male Gender Equality Ideology, Empathy, And Prosocial Bystanding Behaviors And Intentions: A Path To Intimate Partner Violence Prevention On College Campuses, Virginia Diane Woodbrown Jan 2018

Male Gender Equality Ideology, Empathy, And Prosocial Bystanding Behaviors And Intentions: A Path To Intimate Partner Violence Prevention On College Campuses, Virginia Diane Woodbrown

Theses and Dissertations

Objective: The importance of involving young college males as prosocial bystanders who will step in to stop sexual violence on college campuses is acknowledged as an important next step in reducing violence against women. However, research revealing which factors influence males to become engaged in this way is nascent. Prior research designed to uncover which factors lead people to step in as prosocial bystanders has primarily focused on situational factors rather than personal characteristics, and has not explored males in the context of intimate partner violence (IPV) more specifically. Method: Survey data from 1,455 male participants, ages 18 through 25, …


The Readiness Monitoring Tool: Investigating The Psychometric Evidence For Group-Level Aggregation In Two Samples, Samantha N. Hartley Jan 2018

The Readiness Monitoring Tool: Investigating The Psychometric Evidence For Group-Level Aggregation In Two Samples, Samantha N. Hartley

Theses and Dissertations

Organizational readiness is an essential factor for successful implementation of a particular innovation. Although there is general consensus within the research literature on the importance of organizational readiness, there has been significantly less agreement on the nature of readiness as a construct and how it should be operationalized. Previous research has focused on organizational readiness for change at both the individual and organizational levels, but measures based on these theories of readiness have typically lacked evidence of reliability and validity.

The R=MC2 heuristic and its associated measure, the Readiness Monitoring Tool (RMT), offer a compelling and comprehensive approach by which …


Gene By Environment Interaction On Weight-Related Outcomes Over Time In Underserved African-American Adults, Tyler Coe Mcdaniel Jan 2018

Gene By Environment Interaction On Weight-Related Outcomes Over Time In Underserved African-American Adults, Tyler Coe Mcdaniel

Theses and Dissertations

Obesity research in the area of prevention has become a national priority given the increasingly high prevalence rate of this condition among US adults, and subsequent health risks that are associated. The etiology of obesity is complex, so a more comprehensive understanding of the interaction between genetic predisposition and the social environment in regards to obesity in adults would advance our knowledge for future public health and prevention efforts. This study’s aim was to assess the impact of a gene by neighborhood social environment interactions on weight-related (i.e., waist circumference) and stress-related (i.e. cortisol) outcomes in underserved African-American adults. A …


Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger Jan 2018

Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger

Theses and Dissertations

Approximately one quarter of parents identified by Child Protective Services (CPS) as having committed child maltreatment will be reidentified within a year. Children who are multiply victimized are at the greatest risk for detrimental outcomes across development. This study looked to determine whether four predictors of interest could help differentiate parents who recommitted maltreatment within an 18-month follow-up period from those who did not. Predictors assessed were the severity of a parents’ substance use, parents’ level of social conflict, parents’ belief in the use of harsh parenting practices and parents’ overall quality of life. Covariates of interest included a parent’s …


Sustaining Evidence-Based Substance Use Prevention Interventions: A Five-And-A-Half Year Follow-Up Study, Tara Kenworthy Jan 2018

Sustaining Evidence-Based Substance Use Prevention Interventions: A Five-And-A-Half Year Follow-Up Study, Tara Kenworthy

Theses and Dissertations

In the United States, extensive monetary resources are dedicated annually to support drug use prevention programs, but the sustainability of these interventions over time is often a neglected area of research. This study examines the moderating effect of capacity factors on the relationship between motivation factors and years interventions were sustained. We retained a sample of 29 evidence-based substance use prevention interventions implemented in 14 community coalitions as part of the Strategic Prevention Framework State Incentive Grant (SPF SIG) in Tennessee. Primary data were collected through interviews about each intervention conducted five-and-a-half years after SPF SIG funding ended. These interviews …