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Articles 1 - 30 of 1594
Full-Text Articles in Social Work
Mental Health Outcome Disparities In Children With A History Of Maltreatment: A Qualitative Study, Anna V. Echaury
Mental Health Outcome Disparities In Children With A History Of Maltreatment: A Qualitative Study, Anna V. Echaury
Electronic Theses, Projects, and Dissertations
Child maltreatment is a widespread social issue that leads to lasting effects that include perpetuating cycles of violence and can lead to long term problems in adulthood. The presented study aims to focus on describing the mental health outcome disparities in children who have experienced child maltreatment. Although existing studies have addressed mental health outcomes, previous work has overlooked the disparities between children who have experienced maltreatment and children who have not. This qualitative study will collect data using interviews and utilize thematic analysis to analyze the collected data. This research will enhance understanding of the impact of child maltreatment …
Human Trafficking Of Children Efficacy Of Counter Trafficking Programs For Youth, Alma Rodriguez
Human Trafficking Of Children Efficacy Of Counter Trafficking Programs For Youth, Alma Rodriguez
Electronic Theses, Projects, and Dissertations
Human trafficking is a global problem, and it is a significant problem within the United States. Children are a vulnerable group that become victims of human trafficking operations. Human trafficking prevention programs are available to address this issue, but there is much needed research to test the effectiveness of the countertrafficking programs for high-risk children. This study is a systematic review of studies on countertrafficking programs. This study will use a mixed methods approach to analyze quantitative and qualitative data from selected studies. This study hopes to find if current counter-trafficking programs are effective in preventing at-risk youth from becoming …
Transition From Group Homes To Short-Term Residential Therapeutic Programs: A Qualitative Study, Sam Alexander Skipper
Transition From Group Homes To Short-Term Residential Therapeutic Programs: A Qualitative Study, Sam Alexander Skipper
Electronic Theses, Projects, and Dissertations
This study examines California’s shift from traditional group homes to Short-Term Residential Therapeutic Programs (STRTPs), a central component of the state’s Continuum of Care Reform (CCR). STRTPs were introduced to provide intensive, trauma-informed treatment for youth with complex behavioral and mental health needs. While the policy goals behind this reform are well-intended, less is understood about how the transition has affected young people’s lived experiences and longer-term outcomes. Using a qualitative design grounded in Transition Theory, this research centers on the perspectives of young adults ages 18–25 who moved into an STRTP within the past six to twenty-four months. This …
Assessing Family Burden In Borderline Personality Disorder: Family Functioning, Relationship Dynamics, And Emotional Well-Being, Alina Palomino, Gabriela Rivera
Assessing Family Burden In Borderline Personality Disorder: Family Functioning, Relationship Dynamics, And Emotional Well-Being, Alina Palomino, Gabriela Rivera
Electronic Theses, Projects, and Dissertations
The purpose of this study is to explore and understand the impacts of Borderline Personality Disorder (BPD) on the family system, specifically in the areas of family functioning, relationship dynamics, and emotional well-being through the assessment of burden. The proposed study would employ a mixed-methods approach to provide a comprehensive understanding of how families adapt to the behavioral and emotional patterns of this mental health condition. Quantitative questionnaires and qualitative interviews would be incorporated to enhance understanding of this dynamic. Semi-structured interviews would provide deeper insight into emotional dynamics, communication patterns, caregiving roles, and coping strategies, while the Burden Assessment …
Maltreatment In Out-Of-Home Care: Former Foster Youths' Perspectives On Experiences And Investigation, Sarah Avila
Maltreatment In Out-Of-Home Care: Former Foster Youths' Perspectives On Experiences And Investigation, Sarah Avila
Electronic Theses, Projects, and Dissertations
One of the tasks of the public child welfare system (PCWS) is to remove children from their home when abuse or neglect has occurred at a level that warrants removal. The PCWS places these children in licensed foster homes under the assumption that they will be safe and nurtured under the care of licensed foster caregivers. However, previous research have consistently shown that children experience ongoing maltreatment while in out-of-home care. This negligence is especially alarming when considering the United States’ rates of children in the foster care system. Despite the prevalence of this issue, little qualitative studies have been …
Motivational Factors And Developmental Outcomes In Adolescent Marijuana Use: A Mixed-Methods Study, Antonio E. Gonzalez
Motivational Factors And Developmental Outcomes In Adolescent Marijuana Use: A Mixed-Methods Study, Antonio E. Gonzalez
Electronic Theses, Projects, and Dissertations
Adolescent marijuana use has become increasingly normalized within the United States, particularly as legalization policies expand and social attitudes continue to shift. While many adolescents report using marijuana for relaxation, socialization, or coping, early use has been associated with psychological, cognitive, and social challenges during a critical developmental period. Although prior research has examined either the motivations for marijuana use or its effects, limited studies have explored how adolescents’ motivations relate to psychological, cognitive, and social outcomes. Guided by self-determination theory, this study examines the motivational factors associated with adolescent marijuana use and explores how these motivations relate to psychological, …
Exploring How Acculturation In Childhood Impacts The Adult Identity Of Children Of Hispanic/Latinx Immigrants, Maritza De La Torre, Irene Zapata-Macareno
Exploring How Acculturation In Childhood Impacts The Adult Identity Of Children Of Hispanic/Latinx Immigrants, Maritza De La Torre, Irene Zapata-Macareno
Electronic Theses, Projects, and Dissertations
The purpose of this study is to provide perspective of struggles with identity for children of Hispanic immigrants. There is limited existing literature on the impact of acculturation on children of Hispanic/Latinx immigrants in the United States. The intention is to provide insight about common experiences and underlying traumas faced by individuals who grow up in immigrant Hispanic/Latinx families. The objective is to provide adults with some insight into their identity based on their specific family dynamic since there is a gap in society about the topic. This study will use a phenomenological qualitative approach to collect data through semi-structured …
Latino Men’S Experience Of Dui Conviction In Imperial County: A Narrative Theory Approach, Jhonathan Fajardo
Latino Men’S Experience Of Dui Conviction In Imperial County: A Narrative Theory Approach, Jhonathan Fajardo
Electronic Theses, Projects, and Dissertations
According to California Department of Justice data, Latino drivers accounted for the largest share of any racial or ethnic group for Driving Under the Influence (DUI) arrests. Latino men are disproportionately affected by DUI arrests and alcohol-related harms in California, yet little is known about how they themselves understand and navigate life after a DUI. This study examines Latino men’s narratives of life before, during, and after a DUI conviction. Prior scholarship has largely relied on quantitative data to show that Latino men are overrepresented in DUI statistics. What remains underexplored are Latino men’s first-person, culturally grounded narratives of what …
Factors Contributing To The Effectiveness Of Reentry Programs For Formerly Incarcerated Adults, William Lopez Jr, Falina Rose Gonzales
Factors Contributing To The Effectiveness Of Reentry Programs For Formerly Incarcerated Adults, William Lopez Jr, Falina Rose Gonzales
Electronic Theses, Projects, and Dissertations
Reentry into society following incarceration represents a critical transition that significantly influences long-term stability and recidivism outcomes. Formerly incarcerated adults frequently encounter structural barriers related to housing, employment, behavioral health access, and social reintegration, highlighting the need for effective reentry programming. The purpose of this qualitative study is to examine factors that contribute to the effectiveness of community-based reentry programs for formerly incarcerated adults and to understand how participants and service providers perceive successful reintegration outcomes. Guided by ecological systems theory and empowerment theory, this study employs a qualitative phenomenological design using semi-structured interviews with approximately 15 formerly incarcerated adults …
When Health Meets The Classroom: Diabetes, Depression, And Absenteeism, Megan Lindsay Meyer, Victor Sanchez
When Health Meets The Classroom: Diabetes, Depression, And Absenteeism, Megan Lindsay Meyer, Victor Sanchez
Electronic Theses, Projects, and Dissertations
This proposed study would examine how diabetes and depressive symptoms influence school attendance among students ages 10 to 17 in one school district. Students with diabetes who experience higher levels of depressive symptoms might be at increased risk for chronic absenteeism, which could negatively affect both academic performance and emotional well-being. Despite growing awareness of pediatric diabetes and school-based mental health needs, gaps would remain in understanding how diabetes self-management relates to depression and attendance outcomes. This proposed quantitative comparative study would include students with and without diabetes. Participants would complete standardized measures assessing diabetes self-management and depressive symptoms, and …
Trauma-Informed School Practices, Mental Health, And Academic Engagement Among High School Foster Youth, Ashley Avila, Vanessa Ramirez, Jaden Simmons
Trauma-Informed School Practices, Mental Health, And Academic Engagement Among High School Foster Youth, Ashley Avila, Vanessa Ramirez, Jaden Simmons
Electronic Theses, Projects, and Dissertations
Exposure to abuse, neglect, family separation, and violence can negatively affect foster youths’ well-being and their ability to succeed in school environments. Studies have shown that punitive disciplinary responses may contribute to retraumatization and school discouragement, while school settings are often one of the few stable environments in the lives of foster youth. Although trauma-informed school practices have been associated with improved school climate and student engagement, limited research has specifically examined how foster youths’ perceptions of these practices are associated with their mental well-being and academic engagement in high school settings. The purpose of this proposed study is to …
Interrupting Intergenerational Trauma, Teresa Iribe-Arroyo, Demiana Adel Shenouda
Interrupting Intergenerational Trauma, Teresa Iribe-Arroyo, Demiana Adel Shenouda
Electronic Theses, Projects, and Dissertations
Adverse childhood experiences (ACEs) are traumatic events that occur during childhood, the ages of 0 and 17. Many individuals may have experienced ACEs without fully recognizing how these early experiences continue to affect their daily lives. These inhibitors can include mental health struggles, physical health problems, academic and behavioral functioning. In contrast, Positive Childhood Experiences (PCEs) can serve as protective factors, helping to buffer against some of the negative outcomes associated with childhood trauma. This proposed study seeks to better understand how both ACEs and PCEs shape individuals into adulthood, particularly in their roles as parents.
This proposed research would …
Effects Of Western Beauty Ideals In Social Media On Latina Women's Body Image, Angel S. Espinosa, Lizette Casillas-Rodriguez, Dalia Osorio
Effects Of Western Beauty Ideals In Social Media On Latina Women's Body Image, Angel S. Espinosa, Lizette Casillas-Rodriguez, Dalia Osorio
Electronic Theses, Projects, and Dissertations
The proposed study would utilize a quantitative design to examine the relationship between social media use and body dissatisfaction among Latina college students from ages 18-25. The purpose is to investigate the correlation between social media engagement and body dissatisfaction with particular attention to the impact of Westernized beauty standards on Latina women.
Data will be collected through an online Qualtrics survey utilizing standardized measures of appearance-related social media behaviors. On a micro level, results may inform culturally responsive clinical interventions. At a mezzo level, findings may support the development of community-based support groups and prevention programs for Latina communities. …
Self-Care At The Organizational Level, Rosa Gallegos-Valades, Viviana Hummel
Self-Care At The Organizational Level, Rosa Gallegos-Valades, Viviana Hummel
Electronic Theses, Projects, and Dissertations
Self-care in the social work profession is commonly framed as an individual responsibility; however, organizational environments play a critical role in shaping workers’ ability to engage in sustainable self-care practices. This study will focus on understanding how workplace environments influence professional self-care among social workers. Much of the existing literature emphasizes personal coping strategies while overlooking structural and organizational supports that enable or constrain self-care. Previous research has largely failed to address the importance of professional self-care at the organizational level, which can unintentionally place responsibility solely on individuals and contribute to feelings of inadequacy when self-care is difficult to …
Gaps In Therapeutic Services For Foster Youth In Short Term Residential Therapeutic Programs, Kaniqua Tainiaja Stewart, Maria Del Rosario Sanchez, Rachelle Hernandez
Gaps In Therapeutic Services For Foster Youth In Short Term Residential Therapeutic Programs, Kaniqua Tainiaja Stewart, Maria Del Rosario Sanchez, Rachelle Hernandez
Electronic Theses, Projects, and Dissertations
This study examines rehabilitation outcomes among foster youth who are currently or were previously placed in Short-Term Residential Therapeutic Programs (STRTPs), also known as group homes. With more than 400,000 children are in foster care in the United States, and approximately 39,000–57,000 residing in group homes, limited research has explored why rehabilitation efforts in these settings often fall short. Existing literature emphasizes policy reforms, compliance, and placement outcomes under California’s Continuum of Care Reform, but gives less attention to youths lived therapeutic experiences and the consistency and quality of mental health services delivered within STRTPs. This study addresses this gap …
Foster Youth Success In Higher Education, Brianna Mosqueda, Ana Gutierrez Perez
Foster Youth Success In Higher Education, Brianna Mosqueda, Ana Gutierrez Perez
Electronic Theses, Projects, and Dissertations
This proposed study explores the topic of foster youth and their personal experiences, identifying influential factors in career choice at higher levels of education. Emphasized factors include overall motivation levels, personal experiences, financial factors, support, and potential challenges. Results of this proposed study could identify resources to better understand current gaps in educational success using two theories, such as Social Cognitive Career Theory and Self-Determination Theory. Study data would be analyzed using a quantitative approach, implementing non-probability sampling, specifically quota sampling, to identify and recruit foster care youth participants. Survey responses collected via scaling questions would be transferred from the …
The Effects Of Lgbtq+ Inclusive Education On High School Students, Cristal Dirzo, Lizzette A. Padilla
The Effects Of Lgbtq+ Inclusive Education On High School Students, Cristal Dirzo, Lizzette A. Padilla
Electronic Theses, Projects, and Dissertations
Many schools across the United States exclude LGBTQ+ topics from required curriculum, which limits a student’s understanding of diverse identities and underrepresents marginalized communities in the world. The absence of LGBTQ+ topics in education may impact levels of inclusivity within school culture as well as student attitudes towards LGBTQ+ individuals. While past research has focused on teacher perspectives and barriers to implementing LGBTQ+ topics in classrooms, little research has explored the student outcomes and perspectives on how LGBTQ+ inclusive curriculum influences their attitudes and perceptions of inclusivity within school culture. This study examines how LGBTQ+ inclusive education affects 9th-grade high …
Foster Youth Perspectives On The Effectiveness Of School-Based Academic Support, Stephanie Monroy
Foster Youth Perspectives On The Effectiveness Of School-Based Academic Support, Stephanie Monroy
Electronic Theses, Projects, and Dissertations
This research aims to explore how foster youth perceive the effectiveness of various evidence-based interventions that have previously been used to support their education. Due to the various barriers that foster youth face, they often experience significantly lower academic performance than their non-foster youth peers. Consequently, high school graduation rates among foster youth remain significantly lower than those of their non-foster youth peers. Much of the existing literature is outdated and does not adequately reflect current educational realities for foster youth. Additionally, existing literature primarily focuses on measurable outcomes and program evaluations, with less emphasis on ensuring the lived experiences …
Parental Rejection, Identity Development, And Mental Health Among Lgbtqia+ Youth, Litzy Rodriguez
Parental Rejection, Identity Development, And Mental Health Among Lgbtqia+ Youth, Litzy Rodriguez
Electronic Theses, Projects, and Dissertations
Compared to their heterosexual and cisgender peers, LGBTQIA+ youth continue to experience increased rates of anxiety, depression, suicidality, and identity development distress. Parental rejection has been identified as the central impact of these outcomes. However, limited research has examined the influence of parental responses on identity development and the role of micro-level supports, such as counseling and support groups, and macro-level supports, such as inclusive policies and community protections. The purpose of this proposed study is to examine the relationship between early parental rejection or acceptance and LGBTQIA+ youth’s mental health outcomes, identity development, and perceived effectiveness of support systems. …
Social Media’S Impact On School-Aged Children's Mental Symptoms, Tiffany Espinoza
Social Media’S Impact On School-Aged Children's Mental Symptoms, Tiffany Espinoza
Electronic Theses, Projects, and Dissertations
With the increased usage of social media among individuals, this has raised concerns about its impact on the mental health symptoms of the younger population. Previous research has shown the impact of social media on adolescents' depression and anxiety; however, there is limited research showing the impact on younger school-aged children. The purpose of this study will be to examine the relationship between social media use and mental health symptoms among school-aged children from kindergarten through twelfth grade. The proposed research study will seek to address gaps in previous research by analyzing a wider age range and more diverse subgroups …
Impact Of Parental Immigration Status On Latino Adolescents’ Mental Health, Kassandra Gomez, Stephanie Montero, Odalys Garcia
Impact Of Parental Immigration Status On Latino Adolescents’ Mental Health, Kassandra Gomez, Stephanie Montero, Odalys Garcia
Electronic Theses, Projects, and Dissertations
Latino adolescents in the United States face unique stressors related to family immigration status; however, this issue has not been paid much attention in the literature. Guided by the Ecological Systems theory, this quantitative study seeks to explore and describe how parents’ immigration status impacts adolescents’ mental health (Bronfenbrenner, 1979. Two hundred adolescents, who will be randomly sampled across seven different Colton Joint Unified Schools, will be engaged in a survey. Data will be collected from respondents using a self developed questionnaire, which captures variables including student demographics, parental immigration status, immigration related stressors in relation to depression and anxiety …
Centering Lgbtqia2s+ Voices: A Proposed Needs Assessment Of Unhoused Adults In California’S Inland Empire, Karina L. Martinez, Sade D. De La Espriella
Centering Lgbtqia2s+ Voices: A Proposed Needs Assessment Of Unhoused Adults In California’S Inland Empire, Karina L. Martinez, Sade D. De La Espriella
Electronic Theses, Projects, and Dissertations
LGBTQIA2S+ homelessness remains a critical yet underexamined issue within California’s Inland Empire. While existing research has documented elevated rates of homelessness among LGBTQ+ populations in major urban centers, particularly among transition-age youth (TAY), there is limited understanding of the specific service needs of unhoused LGBTQIA2S+ adults, including older adults, within this region. This research proposal outlines a community-based needs assessment designed to address this gap. The proposed study will utilize trauma-informed, fully structured interviews with standardized, closed-ended questions administered to LGBTQIA2S+ adults who are currently experiencing or have recently experienced homelessness across the Inland Empire. The instrument will assess barriers …
The Left Behind: The Impact Of Community Program Cuts On Transition Age Foster Youth Without Family Support., Jessica J. Mcdowell
The Left Behind: The Impact Of Community Program Cuts On Transition Age Foster Youth Without Family Support., Jessica J. Mcdowell
Electronic Theses, Projects, and Dissertations
This proposed study would examine how cuts to community-based programs affect housing stability among transition age foster youth in California. Youth aging out of foster care face disproportionately high rates of homelessness and housing instability, which are often compounded by reductions in transitional housing, case management, and supportive services. The significance of this study lies in addressing a critical gap between policy intent and lived experience by centering the voices of former foster youth while also documenting measurable patterns of service access and housing outcomes. A mixed-methods research design would be used to capture both quantitative and qualitative data. Quantitative …
Effectiveness Of Independent Living Programs On Preparing Transition-Age Foster Youth For Higher Education And Employment., Naomi Cailipan, Jasmine Nevarez, Emily Matias
Effectiveness Of Independent Living Programs On Preparing Transition-Age Foster Youth For Higher Education And Employment., Naomi Cailipan, Jasmine Nevarez, Emily Matias
Electronic Theses, Projects, and Dissertations
Transition-age foster youth face significant barriers to higher education and stable employment, increasing their risk of housing instability, unemployment, and long-term economic hardship. Independent living programs (ILPs) aim to support the youth develop life skills and connect them to resources that prepare them for a successful transition into adulthood, however, there is limited research that explores the youth’s perspective on the effectiveness of ILPs. This study seeks to provide insight by interviewing current and former foster youth who participated in an ILP by conducting combined research, integrating both quantitative and qualitative approaches. Quantitative data will be collected through a Likert-scale …
Cyberbullying Among Adolescents: Causes, Effects, And Prevention Strategies, Darssy Franco, Jovi Lazo
Cyberbullying Among Adolescents: Causes, Effects, And Prevention Strategies, Darssy Franco, Jovi Lazo
Electronic Theses, Projects, and Dissertations
This proposed study will examine the impact of cyberbullying on adolescents’ mental health, in relation to anxiety, depression, and self-esteem. Cyberbullying is identified as a growing digital phenomenon that threatens adolescents' emotional development. The proposed study would examine cyberbullying, school-based interventions, policy development, and mental health outcomes. The proposed research would utilize a comprehensive literature review of peer-reviewed studies published between 2013 and 2025 to identify trends, gaps, and effective prevention strategies. A structured data extraction tool would be used to collect data related to prevalence rates, sample characteristics, independent variables such as cyberbullying exposure, and dependent variables, including mental …
Trauma-Informed Care: Msw Students’ Perceptions Of Readiness And Factors Influencing Readiness, Naomi M. Jackson, Brittany Samperio, Kayla Broughton
Trauma-Informed Care: Msw Students’ Perceptions Of Readiness And Factors Influencing Readiness, Naomi M. Jackson, Brittany Samperio, Kayla Broughton
Electronic Theses, Projects, and Dissertations
Background: Although social workers frequently engage with individuals and families who have experienced complex trauma, limited research has examined whether Master of Social Work (MSW) students feel prepared to apply trauma-informed principles in professional settings. Objective: This study examined MSW students perceived readiness to implement trauma-informed care (TIC) and identified factors that may influence their preparedness. Methods: This study used an exploratory sequential mixed-methods design. In Phase I, MSW students enrolled at CSUSB were invited to complete an anonymous online survey consisting of demographic questions, the Attitudes Related to Trauma-Informed Care (ARTIC) scale, and the Readiness to …
Secondary Traumatic Stress In Children And Family Services Workforce, Jasmyne Schinhofen, Karina Urena
Secondary Traumatic Stress In Children And Family Services Workforce, Jasmyne Schinhofen, Karina Urena
Electronic Theses, Projects, and Dissertations
This proposed study would examine secondary traumatic stress among employees at Children and Family Services, addressing the growing concern that child welfare professionals experience significant emotional strain from ongoing exposure to client trauma. Although trauma-informed care initiatives often focus on improving outcomes for children and families, less attention is given to workforce well-being, which directly impacts service quality, case management, and organizational stability. This quantitative study would use a cross-sectional correlational design and collect anonymous survey data with the Secondary Traumatic Stress Scale, along with selected workplace and demographic variables, including perceived workplace support, length of employment, weekly work hours, …
Understanding The Impact Of Childhood Trauma On Recidivism Among Justice-Involved Youth, Jasmine Valencia, Karina V. Garcia, Genaro Fabela
Understanding The Impact Of Childhood Trauma On Recidivism Among Justice-Involved Youth, Jasmine Valencia, Karina V. Garcia, Genaro Fabela
Electronic Theses, Projects, and Dissertations
Adverse Childhood Experiences (ACEs) are especially common among youth involved in the juvenile justice system, and research has consistently linked these early traumatic experiences to a variety of negative behavioral and developmental outcomes. Still, we do not fully understand how strongly cumulative ACE exposure predicts whether detained youth will reoffend, or whether trauma-informed rehabilitation programs can help reduce that risk. This proposed quantitative study explores the relationship between ACE scores and recidivism among youth ages 11–18 detained at the San Bernardino County Juvenile Detention Center. Grounded in trauma theory and ecological systems theory, the study focuses on two primary questions: …
Examining The Influence Of Race, Gender Identity, And Sexual Orientation On Homelessness Among Lgbtq+ Youth, Francisco J. Trujillo Jr., Lauren E. Flynn
Examining The Influence Of Race, Gender Identity, And Sexual Orientation On Homelessness Among Lgbtq+ Youth, Francisco J. Trujillo Jr., Lauren E. Flynn
Electronic Theses, Projects, and Dissertations
The purpose of this proposed study is to examine how race, gender identity, and sexual orientation influence the experiences of homelessness among LGBTQ+ youth between the ages of 18 and 24. Existing research shows that LGBTQ+ youth experience disproportionately high rates of homelessness compared to their heterosexual and cisgender peers, with even greater disparities among youth of color. While previous studies have identified increased risks related to discrimination, family rejection, and mental health challenges, there is a need to further examine how intersecting identity factors relate to housing instability outcomes.
This proposed study would use a quantitative research design and …
Juvenile Custody Severity And Adult Mental Health Outcomes Among Black Men: The Role Of Trauma Informed And Culturally Responsive Care, Leslie Moreno, Tammy Monique Borunda
Juvenile Custody Severity And Adult Mental Health Outcomes Among Black Men: The Role Of Trauma Informed And Culturally Responsive Care, Leslie Moreno, Tammy Monique Borunda
Electronic Theses, Projects, and Dissertations
Black young men are overrepresented in the juvenile justice system, yet limited research has examined how severe custody experiences are related to mental health in adulthood. This study will examine how the severity of juvenile custody experiences is related to adult mental health outcomes among Black men who have been released from custody for at least two years. Being able to understand these long-term outcomes is important for addressing disparities in mental health and access to care. This research will utilize the principles of trauma theory and will use a quantitative cross-sectional design. The study will use a purposive snowball …