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Articles 451 - 480 of 505
Full-Text Articles in Social Work
Risk Factors Of Child Sex Trafficking: A Gender-Based Scoping Review In The U.S. And Cross-Border Contexts, Peyton Forbes
Risk Factors Of Child Sex Trafficking: A Gender-Based Scoping Review In The U.S. And Cross-Border Contexts, Peyton Forbes
Social Work Theses
Child sex trafficking is a major public health issue affecting the youth population of the United States and internationally. This scoping review examines risk factors on multiple levels including individual, family, community, and macro and digital contexts. A systematic search of databases identified 32 studies meeting inclusion criteria. Findings suggest that individual-level risk includes cumulative exposure to violence and trauma, substance use, mental health and behavioral problems, child welfare and justice involvement, runaway behavior, educational disruption, limited social support, and intersection demographic vulnerabilities (e.g., gender, sexuality, race/ethnicity, disability). Family‑level risk reflects unstable or unsafe home environments characterized by substance use, …
Medications For Opioid Use Disorder In Correctional Facilities: A 2022 Cross-Sectional Survey Of Health Care Staff, Claire Wolfe, Sabrina Gaiazov, Dr. Pamela Valera, Will Mullen, Ross Macdonald, Christian Heidbreder
Medications For Opioid Use Disorder In Correctional Facilities: A 2022 Cross-Sectional Survey Of Health Care Staff, Claire Wolfe, Sabrina Gaiazov, Dr. Pamela Valera, Will Mullen, Ross Macdonald, Christian Heidbreder
School of Social Work Faculty Publications
A national, anonymous, online survey was administered inviting 3,161 correctional health professionals to examine the associations between facility characteristics and the availability of medications for opioid use disorder (MOUD) in jails and prisons. Responses from 268 participants representing 212 correctional facilities were analyzed. We used multivariate logistic regression to identify associated facility characteristics, and open-ended responses were analyzed using content analysis. Facilities in the Western United States had higher odds of providing MOUD compared with those in the Midwest (adjusted odds ratio [AOR] = 3.67, 95% confidence interval [CI]: 1.28–10.99). Jails had higher odds of offering MOUD than prisons (AOR …
Poppers, Apps, And Pleasure: From Set To Setting Among Sexually Diverse Men In Mexico, Juan Carlos Mendoza-Pérez, Keith J. Watts
Poppers, Apps, And Pleasure: From Set To Setting Among Sexually Diverse Men In Mexico, Juan Carlos Mendoza-Pérez, Keith J. Watts
Social Work Faculty Publications
Background: Poppers (alkyl nitrites) are widely used among sexually diverse men to enhance sexual pleasure. However, research has historically been dominated by risk-centered frameworks such as associations with HIV or other STIs, overlooking user motivations related to hedonic reward, intimacy, and agency. This conceptual oversight is particularly evident in the Global South. This study explores the benefits, motivations, and social meanings of poppers consumption among sexually diverse men in Mexico, emphasizing its relationship with dating applications. Methods: A mixed-methods cross-sectional study used an electronic survey administered in 2023 to sexually diverse cisgender men. The analytic sample included participants who reported …
Childhood Mental Health And Major Depression In Later Life: A Survival Analysis Across 12 Years, Xiaoling Xiang, Xiafei Wang, Xinyin Zhang, Josephine Abrials
Childhood Mental Health And Major Depression In Later Life: A Survival Analysis Across 12 Years, Xiaoling Xiang, Xiafei Wang, Xinyin Zhang, Josephine Abrials
Social Work Faculty Publications
Objectives: This study examined the relationship between childhood mental health conditions and incident major depression in middle-aged and older adults.
Methods: This longitudinal panel study used 12 years of data from 27,220 adults aged 51 and older in the U.S. Health and Retirement Study. Childhood mental health conditions were assessed retrospectively with a question about having a depression, drug/alcohol, or other emotional problem before age 16. Cox regression was used to estimate hazard ratios (HRs).
Results: Childhood mental health conditions were reported by 6.04% of the unweighted sample (n = 1643) and were associated with a more than 2-fold …
Responding To Social Isolation: The Tole Of Chaplaincy In Addressing Social Determinants Of Health (Sdoh) In Pediatric Contexts, Adam Lubbers, Forest Melton, Simbarashe Sigauke, Sophie Le
Responding To Social Isolation: The Tole Of Chaplaincy In Addressing Social Determinants Of Health (Sdoh) In Pediatric Contexts, Adam Lubbers, Forest Melton, Simbarashe Sigauke, Sophie Le
2026
This poster describes a pilot program that integrated chaplaincy services into the care pathway for pediatric patients and families who screened positive for low social support, a key social determinant of health. The findings suggest chaplain-led interventions provide effective emotional, spiritual, and practical support, helping address social isolation, caregiver burden, financial insecurity, and other health equity concerns while offering culturally responsive care.
Understanding The Needs Of Nontraditional Students At Eastern Michigan University, Matthew Wells
Understanding The Needs Of Nontraditional Students At Eastern Michigan University, Matthew Wells
Senior Honors Theses and Projects
Nontraditional students comprise 25% of students at Eastern Michigan University (EMU) and include students who work full-time, are over 25, are parents, and are first-generation. It can be difficult for students to focus on their careers, families, and school, as focusing on one can result in a worse performance in the other. The needs and experiences of this population have historically been understudied in the literature. During the Winter 2025 semester, nontraditional students at EMU were surveyed. This survey included questions about their experiences, their needs, and their perceived levels of support from the university. The results of this project …
Why We Stayed, Why We Left: A Hermeneutic Phenomenological Study Of Hispanic/Latino Child Welfare Professionals’ Experiences Of Organizational And Safety Culture, Cynthia Franco
Theses and Dissertations
This hermeneutic phenomenological study examines the lived experiences of Hispanic/Latino child welfare professionals who were formerly employed at a large urban public child welfare agency. Despite the growing representation of Hispanic/Latino children and families in child welfare systems and the strong vocational commitment of Hispanic/Latino professionals, this group remains underrepresented in the workforce and experiences notable patterns of early attrition. Grounded in safety science and psychological safety frameworks, this study explores how organizational culture, leadership practices, and identity-related dynamics shape professional meaning-making, well-being, and decisions to remain in or leave the field.
Data were collected through in-depth, semi-structured interviews and …
A Guide To Growing Broad: : Expanding The Notion Of Social For Mental Health, Natural Resources, And The Infinite Intersections Of How To Care For The World, Leah D. Nuese-Yaker
A Guide To Growing Broad: : Expanding The Notion Of Social For Mental Health, Natural Resources, And The Infinite Intersections Of How To Care For The World, Leah D. Nuese-Yaker
Graduate Student Portfolios, Professional Papers, and Capstone Projects
This MSW portfolio narrative examines the expanding boundaries of social work practice at the intersection of human and ecological systems. Organized as a series of interconnected personal essays structured around river metaphors, the portfolio argues that social work's anthropocentric foundations limit the profession's capacity to address contemporary crises of environmental justice, climate change, and ecological health. Drawing on fieldwork in natural resources conflict resolution, wilderness therapy, outdoor education, and climate health advocacy in rural Montana, the author demonstrates competency across all ten CSWE social work practice behaviors while advancing a practice framework that centers relational, embodied, and ecologically grounded intervention. …
Master Of Social Work Portfolio, Isabella Faith Decunzo
Master Of Social Work Portfolio, Isabella Faith Decunzo
Graduate Student Portfolios, Professional Papers, and Capstone Projects
This Portfolio has been developed in partial fulfilment of the Master of Social Work (MSW) degree and demonstrates my personal and professional growth over the course of the program. It highlights selected academic and practice-based work completed throughout the past two years, reflecting my developing knowledge and application of the Five Elements of Advanced Integrative Practice and the Ten Competencies of Social Work.
Included is an appendix containing completed assignments from the MSW program in Missoula, Montana, which supports and demonstrates the reflective narrative presented throughout the portfolio. Each artifact directly aligns with and illustrates my progression toward competency in …
Exploring The Knowledge Gap: Mental Health Crisis Identification Training For 911 Call Takers, Kayla L. Ralston, Emma Adcook, Gary Cuddeback, Rebecca Smith, Amy Adkins
Exploring The Knowledge Gap: Mental Health Crisis Identification Training For 911 Call Takers, Kayla L. Ralston, Emma Adcook, Gary Cuddeback, Rebecca Smith, Amy Adkins
Undergraduate Research Posters
Individuals with serious mental illness (SMI) are more likely to come into contact with law enforcement and the justice system. Livingston (2016) found that 25% of people with mental illness have been arrested at least once in their lives. Law enforcement officers often become the primary intervention in handling a mental health crisis, and most mental health-related training curricula (e.g., Crisis Intervention Team (CIT)) have focused on this group. However, the burden to initially ascertain if an emergency is mental health-related has fallen to 911 call takers and dispatchers, the first first responder. The performance outcomes outlined by the Virginia …
Adolescent Girls’ Experiences Of Digital Dating Abuse Through Social Media: A Scoping Review, Kiara E. Rodriguez
Adolescent Girls’ Experiences Of Digital Dating Abuse Through Social Media: A Scoping Review, Kiara E. Rodriguez
Social Work Theses
Teen dating violence (TDV) is a prevalent adverse childhood experience with lasting psychological and behavioral consequences. As adolescents increasingly engage with social media, with 95% of teens aged 13-17 reporting using it, digital spaces have become a significant context in which dating abuse can occur. Digital dating abuse (DDA) refers to patterns of abusive behaviors that are directed toward a dating partner through digital technologies, including social media and mobile phones. Despite the growing role of social media in adolescent relationships, research on how adolescent girls experience DDA in these contexts remains limited. The central question for this scoping review …
The Hollow Parent: A Philosophical Capabilities-Based Care Ethics Critique Of The U.S. Foster Care System, Lindsey E. Scanlan
The Hollow Parent: A Philosophical Capabilities-Based Care Ethics Critique Of The U.S. Foster Care System, Lindsey E. Scanlan
Honors Program Theses
This thesis argues that the U.S. foster care system systematically undermines transition-age youth by failing to secure the capabilities required for genuine independence and a life of basic human dignity, particularly through aging-out policies that terminate support before these capabilities are fully developed. Using Martha Nussbaum’s capabilities approach as a normative foundation, it integrates classical American pragmatism (Jane Addams, John Dewey) and Maurice Hamington's contemporary care ethics to construct a context-sensitive framework for evaluating and reforming foster care. Pragmatism grounds normative assessment in lived experience and institutional context, while care ethics provides a relational account of moral practice structured around …
From Barriers To Breakthroughs: Academic Advising And Resilience Among Online Social Work Students In Appalachia, Jessica Williamson
From Barriers To Breakthroughs: Academic Advising And Resilience Among Online Social Work Students In Appalachia, Jessica Williamson
DSW Capstone Projects
This Doctor of Social Work (DSW) capstone project examines how academic advising can be leveraged as a resilience-informed intervention to support persistence among online social work students in the Appalachian region. Although online education has expanded access to higher education, Appalachian students continue to face significant structural, technological, and cultural barriers, including limited broadband access, financial instability, geographic isolation, and norms that emphasize self-reliance. These challenges contribute to lower retention and degree-completion rates, highlighting the need for intentional, context-responsive support strategies. This project integrates three scholarly products: a systematic literature review (SLR), a conceptual paper, and a practice application paper. …
Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey
Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey
Adultspan Journal
Retirement is commonly framed as a normative and voluntary developmental milestone; however, access to a psychologically healthy retirement is unevenly shaped by social, economic, and structural conditions. This conceptual article applies a social determinants of mental health (SDMH) framework to retirement, conceptualizing it as a complex psychosocial transition involving identity change, shifts in purpose and meaning, relational adjustment, and emotional variability. Drawing on interdisciplinary scholarship, the manuscript examines how socioeconomic status, race and ethnicity, gendered work histories, caregiving responsibilities, health status, and access to benefits influence both the ability to retire and the experience of retirement itself. Particular attention is …
Who Should Be Responding To Mental Health Crises: A Public Perception Study, Bryan E. Phillips
Who Should Be Responding To Mental Health Crises: A Public Perception Study, Bryan E. Phillips
Williams Honors College, Honors Research Projects
This project includes a survey which will be evaluating, out of Police Officers, Paramedics, and Mental Health Clinicians, who Intro to Psychology students believe are best fit to respond to Mental Health Crises as well as what factors may influence said belief. To do this they will be provided with a survey that collects demographic information, personal experiences with each profession, and detailed scenario-based questions with differing variables allowing the participants to decide which profession they believe is best equipped to deal with each scenario. This data will then be put into a research manuscript to be presented via posterboard …
“Full And Equal Access”: A Socio-Ecological Model Of Healthcare Ableism Experienced By The Blind And The Low Vision Community, Rebecca Fischbein, Rachel Conrad Bracken, Allyson S. Hughes, Rayyan Bhutta, Nazanin M. Heydarian
“Full And Equal Access”: A Socio-Ecological Model Of Healthcare Ableism Experienced By The Blind And The Low Vision Community, Rebecca Fischbein, Rachel Conrad Bracken, Allyson S. Hughes, Rayyan Bhutta, Nazanin M. Heydarian
School of Social Work Faculty Publications
In 2023, the National Institutes of Health (NIH) designated people with disabilities as a population experiencing health disparities, citing “a wide and varying range of health conditions leading to poorer health and shorter lifespan” and “discrimination, inequality and exclusionary structural practices” contributing to pervasive health inequities. As blindness and low vision (BLV) become increasingly common due to an aging population coupled with higher rates of type 2 diabetes, more people who are BLV will require quality care. Yet, people who are BLV face many barriers to care, including healthcare provider and staff (HCP) ableism. In this chapter, we propose a …
Brains Under Pressure: The Role Of Media, Ai, And Technology In Toxic Student Stress, Ella C. Granat
Brains Under Pressure: The Role Of Media, Ai, And Technology In Toxic Student Stress, Ella C. Granat
Williams Honors College, Honors Research Projects
This Honors Research Project examines the relationship between toxic stress and everyday technology use among college students aged 18 and older. The study explores how media consumption, reliance on digital tools, and the use of artificial intelligence in academic work may contribute to stress and influence brain functioning. Using a quantitative, survey-based design, data will be collected through self-administered questionnaires distributed both in print and online. The Perceived Stress Scale (PSS) will be used to measure stress levels, alongside a supplemental questionnaire assessing patterns of technology use and related life factors. Recruitment will occur through flyers, email, and snowball sampling …
Long-Term Effect Of Aces On Children’S Mental Health, Substance Abuse, And Education, Annalisa M. Lobello, Kayla A. Kemer
Long-Term Effect Of Aces On Children’S Mental Health, Substance Abuse, And Education, Annalisa M. Lobello, Kayla A. Kemer
Williams Honors College, Honors Research Projects
This honors project will aim to discover how adverse childhood experiences (ACES) affect a child’s mental health, substance use, and education. ACES are potentially traumatic events that occur between ages zero to seventeen (Centers for Disease and Control Prevention, 2024). Some examples could include experiencing violence, abuse, neglect, having a family member attempt or die by suicide, growing up around substance use, mental health problems, parental separation, and household members being incarcerated. ACES are widely recognized as powerful predictors on long-term outcomes of children. This proposal will highlight the importance of recognizing ACES within children, trauma-informed care, and appropriate interventions …
The Influence Of Familial Substance Use Disorder On Perceptions And Attitudes Towards Substance Use Disorders And Participant Substance Use Behavior Among Emerging Adults, Elijah M. Lefeld, Jennifer Stanley
The Influence Of Familial Substance Use Disorder On Perceptions And Attitudes Towards Substance Use Disorders And Participant Substance Use Behavior Among Emerging Adults, Elijah M. Lefeld, Jennifer Stanley
Williams Honors College, Honors Research Projects
This research project explores how the lived experience of having an immediate family member with a substance use disorder (SUD) influences a person’s perceptions, attitudes, and behaviors related to substance use. Rather than focusing on the individual diagnosed with SUD, the study examines the reciprocal impact on family members within the social subsystem. Using a quasi-experimental design, the project will compare participant responses using with and without a familial connection to SUD. Data will be collected through Qualtrics surveys distributed via SONA. These measures will record demographic information, personal substance use habits, attitudes toward addiction, perception of substance use disorders, …
Preserving Progress: Why The Dd Network Matters Now More Than Ever, Matt Wappett
Preserving Progress: Why The Dd Network Matters Now More Than Ever, Matt Wappett
Developmental Disabilities Network Journal
No abstract provided.
Association Between Caregiver Status And Physical And Mental Health Among National Senior Games Athletes, Chibuzo Uchechukwu Victor Obasi
Association Between Caregiver Status And Physical And Mental Health Among National Senior Games Athletes, Chibuzo Uchechukwu Victor Obasi
Graduate Research Theses & Dissertations
As the population ages, more people rely on informal caregivers, which puts many older adults at risk for health problems. Caregiving can be meaningful and strengthen family bonds, but it often leads to more psychological stress, especially for older adults who also have their own health concerns. Research shows that regular physical activity can help older adults build resilience and improve their mental well-being. Still, we know little about the health of older caregivers who stay very active. This study examines the health effects of caregiving among members of the National Senior Games Association (NSGA), a group of highly active …
The Hope Industrial Complex: Resisting Manufactured And False Hope With Critical Hope In Peace Education, Thailand's Refugee Context, Staci B. Martin, Hayso Thako, Rey Ty, Sudarat Tuntivivat, Rattanak Ly
The Hope Industrial Complex: Resisting Manufactured And False Hope With Critical Hope In Peace Education, Thailand's Refugee Context, Staci B. Martin, Hayso Thako, Rey Ty, Sudarat Tuntivivat, Rattanak Ly
School of Social Work Faculty Publications and Presentations
Our Point of Departure (POD) argues that the type of hope fostered within the Karen refugee community in Thailand – manufactured, false, or critical – shapes the impact of peace-building and higher education efforts. Through a dialogue among a Karen scholar, his supervisor, and a migration researcher, we demonstrate that manufactured hope, often driven by external aid, sustains dependency and overlooks core conflicts. In contrast, false hope arises from the gap between student desires and institutional barriers, leading to unmet expectations. We aim to show that by applying critical hope, the pedagogical approach enables the Karen community to enhance its …
Exploring How Yoga Affects Embodiment In Female Survivors Of Intimate Partner Violence: A Scoping Review, Kenzie R. Albers
Exploring How Yoga Affects Embodiment In Female Survivors Of Intimate Partner Violence: A Scoping Review, Kenzie R. Albers
Social Work Theses
Introduction: With violence against women continuing to rear its ugly head across the world, it remains imperative for helping professionals and researchers to continue advocating for survivors of intimate partner violence (IPV). Yoga shows promising results for people who have experienced trauma and have depressive or anxious symptoms. One area of research not explored is the effect of yoga on female IPV survivors’ feelings of self-embodiment and bodily autonomy.
Methodology: This scoping review was conducted based on the five-step framework created by Arksey and O’Malley. The guiding research question was: What does the current literature suggest about the effects of …
The Role Of Ombudsman And Social Work Protecting Rights, Roni Alicia Werner
The Role Of Ombudsman And Social Work Protecting Rights, Roni Alicia Werner
Selected Full-Text Master Theses Collection 2018-
This thesis examines the role of the Ombudsman as an independent and impartial mechanism for addressing complaints, resolving conflicts, and promoting accountability within organizations. It explores how ombudsmen function across institutional contexts—such as higher education, government, and corporate settings—to provide confidential, informal, and accessible pathways for dispute resolution.
The study analyzes key principles guiding Ombudsman practice, including neutrality, independence, confidentiality, and informality, and evaluates their effectiveness in fostering trust and organizational transparency. Through a review of relevant literature and case examples, the thesis highlights how Ombudsman offices contribute to early conflict resolution, reduce formal grievances, and support ethical decision-making.
Additionally, …
Does The Impact Of Volunteering On Health Differ By Wealth? [Research In Brief: Volunteering], Seoyoun Kim, Cal J. Halvorsen
Does The Impact Of Volunteering On Health Differ By Wealth? [Research In Brief: Volunteering], Seoyoun Kim, Cal J. Halvorsen
Harvey A. Friedman Center for Aging
Volunteering among older adults has many potential health benefits; however, older adults with more wealth are also more likely to volunteer in the first place, raising the question of whether they are the ones reaping the most benefits. This study asked two questions: (1) Does formal volunteering improve self-reported health and reduce depressive symptoms in older adults? (2) Does the impact of volunteering on these outcomes differ between older adults in the lowest and highest wealth quintiles?
Connectedness And Help-Seeking Among Veterans: Integrating The Andersen Behavioral Model And The Three-Step Theory Of Suicide, Samuel Ochinang
Connectedness And Help-Seeking Among Veterans: Integrating The Andersen Behavioral Model And The Three-Step Theory Of Suicide, Samuel Ochinang
Theses and Dissertations
Veteran suicide rates remain higher than those of nonveterans, yet many veterans who die by suicide are not engaged in care prior to death. Veteran help-seeking research often focuses on healthcare utilization, overlooking informal sources of support and the decision-making processes that precede service use. Connectedness is a central protective factor in suicide theory but has received limited attention within help-seeking models. This study examined how connectedness influences veterans’ willingness to seek help. Guided by the Andersen Behavioral Model and the Three-Step Theory of Suicide, this secondary analysis used data from the Military Health and Well-Being Project. The analytic sample …
Practicing From The Inside Out: A Portfolio Of Trauma-Informed And Spirit-Led Social Work, Cailey R. Denboer
Practicing From The Inside Out: A Portfolio Of Trauma-Informed And Spirit-Led Social Work, Cailey R. Denboer
Graduate Student Portfolios, Professional Papers, and Capstone Projects
This portfolio represents the integration of academic learning, practicum experience, and personal growth throughout my Master of Social Work education at the University of Montana. Grounded in empowerment theory, trauma-informed care, and anti-oppressive practice, this work reflects my commitment to ethical, culturally humble, and relational social work across individual, community, and organizational contexts. Drawing from coursework and practicum experiences, I highlight the development of core competencies through applied work.
A central theme of this portfolio is the ongoing process of self-reflection and humility, particularly in recognizing areas of growth and navigating the tensions between personal values, professional responsibilities, and systemic …
Socialization Interventions For Older Adults In Assisted Living Facilities: A Systematic Review, Anoop S. Muvva
Socialization Interventions For Older Adults In Assisted Living Facilities: A Systematic Review, Anoop S. Muvva
Honors Undergraduate Theses
Older adults, defined as individuals over the age of 65, are a growing population in the United States, with projections estimating this group will reach approximately 80 million persons by 2050. Over 90% of older adults are diagnosed with a chronic condition, which can make it difficult to carry out the activities of daily living. As a result, some older adults reside in assisted living facilities, where dedicated staff provide daily support. However, issues in the delivery of care within these settings, including unmet socialization needs and complications among care staff, may contribute to social isolation. Programs designed to address …
The Psychological Effect Of Maternal Separation From A Child During Incarceration: A Survey And Critique Of Risk Needs Assessments, Samantha Yearwood
The Psychological Effect Of Maternal Separation From A Child During Incarceration: A Survey And Critique Of Risk Needs Assessments, Samantha Yearwood
Honors Undergraduate Theses
This study examines whether frequently used correctional assessment instruments adequately capture the psychological impacts of maternal-child separation among incarcerated women. This research was conducted in response to growing criticisms that traditional risk and needs assessments fail to account for gender-specific experiences, specifically those related to caregiving roles and pregnancy. Using a qualitative analysis content analysis to assess four widely used instruments, the Women’s Risk and Needs Assessment (WRNA), Correctional Offender Management Profiling for Alternative Sanctions (COMPAS), Brief Symptom Inventory-18 (BSI-18), and Level of Service Inventory–Revised (LSI-R), the thesis examines the inclusion of pregnancy-related variables, caregiving responsibilities, and separation-related psychological factors. …
Factors Affecting Dating Violence In Adolescence, Madison Darrah
Factors Affecting Dating Violence In Adolescence, Madison Darrah
Graduate Research Papers
Prior research has named many risk and protective factors associated with adolescent dating violence (ADV). However, comparatively little research has examined how substance use intersects with these risk and protective factors or how effective interventions can be designed to address both issues of substance use and ADV simultaneously. The purpose of the current study is to examine the relationship between substance use and ADV, with a particular focus on perpetration of ADV during adolescence. This literature review synthesizes existing research to identify factors associated with ADV, evaluate theoretical frameworks that explain ADV, and examine how substance use contributes to ADV …