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Full-Text Articles in Social Work

Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor Jan 2023

Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor

Walden Dissertations and Doctoral Studies

Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …


An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry Jan 2023

An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry

Walden Dissertations and Doctoral Studies

The death of a loved one can be an extremely painful process that can have detrimental consequences on the emotional well-being of individuals if they don’t receive grief intervention support. When it specifically comes to the emotional eudaemonia of children and teens experiencing the death of a loved one, research is limited on empirical-based bereavement intervention support to enhance their coping skills. Utilizing the theoretical framework of resilience theory, the purpose of this quantitative secondary research study was to evaluate the Sutter Sacramento Children’s Bereavement Art Group (CBAG) ten- week intervention for children and teens ages 5-12. The first question …


Exploring Social Workers And Self-Care, Justyna Wawrzonek Jan 2023

Exploring Social Workers And Self-Care, Justyna Wawrzonek

Walden Dissertations and Doctoral Studies

First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …


An Evaluation Of A School-Based School Connectedness Program, John G. Emmerich Jan 2023

An Evaluation Of A School-Based School Connectedness Program, John G. Emmerich

Walden Dissertations and Doctoral Studies

In the United States, approximately 45% of high school students are either not engaged (28%) or actively disengaged (17%) in the academic process. Increasing a school's average student engagement yields an increase in reading and math achievement. This study evaluates a school connectedness program, Promoting Positive School Engagement (PPSE) program using a convergent mixed methods model to determine the degree of effectiveness measured by the Hemingway measure of adolescent connectedness instrument in an Urban, Midwest public middle school. Quantitative data were collected from 20 students who participated in the program and 20 students who did not (control group). Analyzed using …


Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings Jan 2023

Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings

Walden Dissertations and Doctoral Studies

Traumatic depression is a system of experiences where the mind, heart, and gut track happenings lingering among systemic models of prevention and intervention and personal stories. This nonexperimental correlational study aimed to provide insights into mental help-seeking and employment hope among depressed Black/African American foster care male alums. The central research question was to what degree, if any, a positive relationship exists between employment hope and seeking access to mental health-related services among male foster care alums who identify with depression. It was hypothesized that a statistically significant relationship exists. The social cognitive career theory and theory of planned behavior …


Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee Jan 2023

Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee

Walden Dissertations and Doctoral Studies

The Appalachian region has experienced a substantial increase in the number of grandparent-headed households providing care to grandchildren. Custodial parenting is not a typical responsibility for many grandparents and can be challenging. The specific problem addressed in this research study was the high level of stress experienced by many custodial grandparents. The theoretical foundation of the current study was based on Selye’s stress theory, which was introduced in 1936 and examined biological stress that he referred to as “the syndrome of being sick.” The purpose of this quantitative, nonexperimental, and correlational study was to examine the predictive relationship that custodial …


Sheprep: Examining The Influence Of The Messaging And The Messenger Associated With Prep Uptake Among African American Women, Christian C. Spears Jan 2023

Sheprep: Examining The Influence Of The Messaging And The Messenger Associated With Prep Uptake Among African American Women, Christian C. Spears

College of Graduate Studies: Theses & Dissertations

African American Women (AAW) make up less than 15% of the female population in the United States but account for over 50% of new HIV diagnoses among females. This largely preventable health disparity can be mitigated by advocating and prescribing Pre-exposure Prophylaxis (PrEP), a preventive HIV medication, to persons at risk. Despite advances in medication options, there are less than 13% of Black people who could benefit from having been prescribed PrEP, and limited research and promotion on the effectiveness of PrEP for AAW. The “ShePrEP Study” aimed to assess awareness, perceptions, and receptivity toward PrEP among AAW. This study …


Feeling Connected: Examining The Importance Of Human Connection On The Personal Outlook Of Social Service Providers Working With The Homeless During The Covid-19 Pandemic, Darci M. Graves, Ines W. Jindra, Nicholas Evans Jan 2023

Feeling Connected: Examining The Importance Of Human Connection On The Personal Outlook Of Social Service Providers Working With The Homeless During The Covid-19 Pandemic, Darci M. Graves, Ines W. Jindra, Nicholas Evans

Journal of Human Services: Training, Research, and Practice

Abstract

This research study explores the lived experiences of social workers and social service providers (collectively referred to as ‘providers’) working with the homeless and homeless-adjacent populations in the early phases of the COVID-19 pandemic. We examine how the pandemic changed the work providers do, and how providers coped with and adapted to these changes. This research utilizes traditional qualitative interviews with a total of twenty providers located in the North-Western United States (NW-US). Key findings from this research indicate providers' outcomes were influenced by the extent of their social connections to community, clients, and coworkers throughout the pandemic. This …


An Examination Of Various Dimensions Associated With Nonprofit Board Member Diversity: The Significance Of Organizational Factors, Patrick Luke Decker-Tonnesen Jan 2023

An Examination Of Various Dimensions Associated With Nonprofit Board Member Diversity: The Significance Of Organizational Factors, Patrick Luke Decker-Tonnesen

Dissertations

This dissertation examined how leadership and organizational factors influence nonprofit board diversity. The goal of the research was to expand the data available in the social service sector associated with understanding the role of board member diversity within nonprofit organizations. Utilizing data from BoardSource’s Leading with Intent (2017) dataset, which included responses from 1,378 nonprofit Chief Executive Officers (CEOs), board racial, gender, and total diversity, along with several organizational factors, were included for descriptive and inferential analysis. Organizational factors included CEO racial and gender demographics, organization type, geographical location, revenue, personal contribution of board members, CEO perception of mission and …


The Lived Experience And Perceived Challenges Of Child Protective Investigators Who Place Children In Foster Care, Elizabeth Presume Jan 2023

The Lived Experience And Perceived Challenges Of Child Protective Investigators Who Place Children In Foster Care, Elizabeth Presume

Theses and Dissertations

This applied dissertation examined the difficulties and coping mechanisms associated with child welfare professionals’ interactions with vulnerable children who provide vulnerable populations with emotional, physical, mental, and psychological support. This responsibility impacts their personal life and professional performance since their regular involvement with the children and the following aspects, such as case resolution, in-depth discussions about trauma, and home visits, are emotionally and mentally taxing. The researcher conducted a phenomenological study with nine child protective investigators via an asynchronous online focus group on the Google Groups platform. The participants were all employed in the United States child welfare department, held …


Preferred Practices To Retain Black Female Caseworkers Employed In Child Welfare, Anna Koehle Jan 2023

Preferred Practices To Retain Black Female Caseworkers Employed In Child Welfare, Anna Koehle

Theses and Dissertations

The problem addressed by this study was that the turnover rate among social workers has been highest for Black female child-welfare caseworkers. The purpose of this qualitative phenomenological study was to understand the experiences of Black female child-welfare caseworkers and effective strategies for retention. Ten experienced Black female caseworkers in child welfare were interviewed; participants represented five U.S. states. Participants were asked about mentorship programs, preservice training, financial incentives, major concerns related to retention, and recommendations for retention initiatives to specifically address the needs of Black female caseworkers. Themes emerged related to Black female caseworkers in child welfare. Mentorship programs …


Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic Jan 2023

Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic

Antioch University Dissertations & Theses

This post-qualitative study branching from new-materialist, post-humanist epistemology and ontology examines relationality through the lens of three different theories: agential realism, John Shotter’s communication theory, and relational mindfulness. These theories each describe the dynamics involved in relationships, how they each make sense of these dynamics, and what they entail for human relations. Using a post-qualitative diffractive methodology, this study examines these theories and how they intersect to bring about new insights in our understanding of relationships and how this information can support therapy practice. The results are a series of nine principles of orientation, which were applied to marriage and …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows Jan 2023

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


2023 Adult Foster Home: Resident And Community Characteristics Report On Adult Foster Homes, Ozcan Tunalilar, Sarah Dys, Paula Carder, Diana Jacoby, Sheryl Elliott, Minju Kim, Nathan Finch Parsons, Wafi Albalawi Jan 2023

2023 Adult Foster Home: Resident And Community Characteristics Report On Adult Foster Homes, Ozcan Tunalilar, Sarah Dys, Paula Carder, Diana Jacoby, Sheryl Elliott, Minju Kim, Nathan Finch Parsons, Wafi Albalawi

Institute on Aging Publications

This report is the ninth installment of the Oregon Community-Based Care Study: Resident and Community Characteristics Report on Adult Foster Homes. Each year, the Institute on Aging at Portland State University (IOA/PSU) collects and reports information that can inform and advise policymakers, state and county agency staff, advocates for older adults and people with physical disabilities, and AFH owners and providers about the AFH landscape in Oregon. The results covered in this report include home and owner characteristics, staff positions, wages, and hiring challenges, consumer payer sources, additional fees and services, resident demographics, health conditions, personal care, health services use, …


Deep In The Shadows Of Loss: An Exploration Of Grief, Mourning, And Intellectual Disability, Cara Grosset Jan 2023

Deep In The Shadows Of Loss: An Exploration Of Grief, Mourning, And Intellectual Disability, Cara Grosset

Theses and Dissertations (Comprehensive)

This qualitative research project explores grief and mourning experiences of people labelled/with intellectual disabilities subsequent to the death of someone important in their lives. The primary research question was: in what ways do people labelled/with intellectual disabilities experience grief after the death of a significant person in their lives? The need for a project of this kind is grounded in the lack of research and social work practice literature related to better understanding grief, mourning, and support experiences after a death from the perspective of people labelled/with intellectual disabilities. The dual purpose of this research is to better understand (and …


Towards Ending Incarceration Of Indigenous Peoples In Canada: A Critical, Narrative Inquiry Of Hegemonic Power In The Gladue Report Process, Judah Oudshoorn Jan 2023

Towards Ending Incarceration Of Indigenous Peoples In Canada: A Critical, Narrative Inquiry Of Hegemonic Power In The Gladue Report Process, Judah Oudshoorn

Theses and Dissertations (Comprehensive)

Abstract

This study is concerned with the possibility that Gladue perpetuates the hegemonic powers of settler colonialism, white supremacy, patriarchy, and neoliberalism. Gladue is intended to remediate systemic anti-Indigenous racism by requiring judges to consider all alternatives to incarceration when sentencing Indigenous peoples, yet Indigenous incarceration rates continue to rise precipitously. On the surface, Gladue does not appear to disrupt the hegemonic status quo. How is it that the Canadian state, even when ‘remediating,’ keeps producing the same – colonial, oppressive, and tyrannical – result?

This qualitative study used a critical, narrative methodology, interviewing Gladue report writers (n=9) and judges …


Swimming Against The Tide: The Relational Praxis Of Social Justice In Social Work, Samantha Clarke Jan 2023

Swimming Against The Tide: The Relational Praxis Of Social Justice In Social Work, Samantha Clarke

Theses and Dissertations (Comprehensive)

Swimming Against the Tide: The Relational Praxis of Social Justice in Social Work

Abstract

This qualitative research study explores the praxis of social justice by social workers who identify as practising social justice–oriented social work in southern Ontario, Canada. The research is set against the backdrop of the evolution of social justice in social work, its practice in the current neoliberal environment, and its continued significance in the profession. The project draws on critical and liberal social justice philosophies to ask the question: “What does social justice praxis look like in the context of contemporary social work?” This is a …


2023 Community Based Care: Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Paula Carder, Sarah Dys, Diana Jacoby, Sheryl Elliott, Minju Kim, Nathan Finch Parsons, Wafi Albalawi, Christine Wolf Jan 2023

2023 Community Based Care: Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Paula Carder, Sarah Dys, Diana Jacoby, Sheryl Elliott, Minju Kim, Nathan Finch Parsons, Wafi Albalawi, Christine Wolf

Institute on Aging Publications

The Institute on Aging at Portland State University (IOA/PSU) presents findings from the ninth annual study of Oregon community-based care: assisted living and residential care facilities (AL/RC) with and without memory care endorsement (MC). In this year’s study, we included information about various resident, community, and staff characteristics, including: 1) Residents: sociodemographic characteristics (e.g., age, sex, race, ethnicity), length of stay, personal assistance, health conditions, status, service use, medications, and advanced care planning/legal documentation; 2) Communities: capacity, occupancy rates, resident move-in and move-out locations, private pay charges, Medicaid reimbursement to facilities, staffing, resident transportation use, COVID-19 impacts; and 3) Staff: …


Ethical Dilemmas And Moral Distress In Companion Animal Veterinary Medicine: Mental Health Implications, Bronwyn Dickson Jan 2023

Ethical Dilemmas And Moral Distress In Companion Animal Veterinary Medicine: Mental Health Implications, Bronwyn Dickson

Theses and Dissertations (Comprehensive)

Mental health concerns are a significant problem in the veterinary community, and studies suggest that veterinarians working in Western countries are at higher risk of suicide compared to the general population and other healthcare professionals (Bartram et al., 2009; Bartram & Baldwin, 2010; Platt et al., 2012). Additionally, veterinary medicine is an occupation inundated with complex ethical and moral dilemmas. However, current studies are limited in their ability to contextualize the risk and contributing factors fully; therefore, they offer limited insight into effective preventative and support strategies. Using Interpretive Phenomenological Analysis (IPA), eight companion animal veterinarians were interviewed about their …


Triumph After Trauma: A Phenomenological Exploration Into Women Survivor’S Perceptions Of The Influence Of Trauma On Their Leadership, Natalya R. Bannister Roby Jan 2023

Triumph After Trauma: A Phenomenological Exploration Into Women Survivor’S Perceptions Of The Influence Of Trauma On Their Leadership, Natalya R. Bannister Roby

UNF Graduate Theses and Dissertations

Most research around trauma is focused on negative life consequences. Although limited, there is research that explores the influence of resilience and how some survivors may experience growth after trauma (Kirschman, 2004). Furthermore, research is limited on how trauma influences the leadership style and career trajectories of women who have overcome trauma. A qualitative phenomenological approach was used as the methodological framework to explore the perspectives of women leaders who identify as survivors or overcomers of trauma. The study participants are women leaders in middle management positions to senior-level executives in educational organizations serving middle and high school students.

In-depth …


Episcopal Church Home For Children Records - Accession 31, Episcopal Church Home For Children Jan 2023

Episcopal Church Home For Children Records - Accession 31, Episcopal Church Home For Children

Manuscript Collection

This collection is a valuable source on the Church’s historical effort to extend its services for the social improvement of South Carolina (in this case the Episcopal Diocese’s program for destitute children.) While there is information on the Episcopal Home for Children from its beginning in 1850 to 1967, the actual records do not start until 1866. A centennial history of the Episcopal Home will serve as an aid and general guideline to the researcher. (See box 1, folder 1). The collection consists of minutes, reports of the annual meeting, general correspondence, superintendent’s records, health records, attendance registers, financial records, …


Navigating Waters: Experiences Of Filipino Canadian Identity Making In The Diaspora, John Felix Tolentino Jan 2023

Navigating Waters: Experiences Of Filipino Canadian Identity Making In The Diaspora, John Felix Tolentino

Theses and Dissertations (Comprehensive)

Research states that while Filipino Canadians are the largest growing migrant population in Canada, they are the least represented and understudied subjects in the academy. The primary purpose of this qualitative study is to better understand the experiences of Filipino Canadians and how they create their identities in the diaspora. Since few studies take on a social work lens to explore these important stories, I attempt to unearth these experiences using these guiding questions: (1) How do Filipino Canadians integrate their cultural identity in the diaspora? (2) What are the sociopolitical and historical conditions that inform these identities? Following Charmaz’s …


Best Practices For Social Workers Engaging With Spiritual/Religious Clients, Stewart J. Smith Mr. Jan 2023

Best Practices For Social Workers Engaging With Spiritual/Religious Clients, Stewart J. Smith Mr.

Theses and Dissertations (Comprehensive)

This research examined what Canadian social workers should consider when engaging therapeutically with clients for whom spirituality/religion is of central importance. There are several challenges in examining this issue in Canada (the north section of Turtle Island). One is the oppression of Indigenous peoples’ spirituality by colonizers imposing various Christian denominational spiritual/religious views. There has also been a trend of Christian practice declining in church worship among settler people, although Christianity remains part of the dominant cultural norms. Like many of the helping professions, social work has little to no education/training related to spirituality/religion and clinical work. This move away …


Anishinaabeg Niizh Manitoag: Asha Amaa, We Were Always Here, Jacqueline F. Nobiss X Jan 2023

Anishinaabeg Niizh Manitoag: Asha Amaa, We Were Always Here, Jacqueline F. Nobiss X

Theses and Dissertations (Comprehensive)

ANISHINAABEG NIIZH MANITOAG:

ASHAA A’MAA, WE WERE ALWAYS HERE

Abstract

This research is an in-depth exposé of Anishinaabeg knowledge surrounding niizh manitoag, two-spirit ways of knowing. General collections of two-spirit writings and contributions in the past thirty years uncovered a noticeable gap in the research around Anishinaabeg's two-spirit knowledge, stories, and teachings.

Using Indigenous research paradigms, this knowledge base posits a unique theoretical, conceptual framework identified as an Indigenous Relational Theory. The theory delineates a way of knowing and understanding Anishinaabe niizh manitoag, two-spirit identity. The Indigenous Relational Theory consists of four models, Relational Cultural Model, Relational Identity …


The Intersection Between Harm Reduction And Social Work, Sydney Biondi Jan 2023

The Intersection Between Harm Reduction And Social Work, Sydney Biondi

Undergraduate Research Posters

This qualitative study explores the intersection of harm reduction and social work. Social workers who practice harm reduction were recruited to participate in interviews. In the field of social work, harm reduction is seen as a promising practice, but we do not know very much about what it looks like in practice. The purpose of this research study is to find out how the perceptions of social workers of harm reduction aid or inhibit community harm reduction efforts. We think that the geographical location of a social worker impacts the perceptions and experiences of harm reduction, because of the resources …


Central Americans At A Crossroads: Asylum Seekers’ Testimonios Of Mental Health After Detention And Family Separation, Corie E. Schwabenland Garcia Dec 2022

Central Americans At A Crossroads: Asylum Seekers’ Testimonios Of Mental Health After Detention And Family Separation, Corie E. Schwabenland Garcia

Master's Theses

Though Central American asylum seekers are presently hypervisible in the U.S. consciousness, this population continues to be inadequately understood or cared for. Discussion of this population often presents them as a helpless and damaged population, in need of saving, fixing, or shelter -- beyond their trauma, they cease to exist. This qualitative study utilizes first-person testimonio methodology to understand the psychological experiences of Central American migrants seeking asylum in the United States, the stressors they face, and the mental health support that can and should be provided to them. Their stories speak to a space of sociopolitical precarity in the …


An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis Dec 2022

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

Journal of Extension

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …


Navigating Food Affordability In The Two Bridges Neighborhood, Aina S. Izham Dec 2022

Navigating Food Affordability In The Two Bridges Neighborhood, Aina S. Izham

Capstones

This report examines a small neighborhood in Lower Manhattan of New York City called Two Bridges and how they're facing gentrification with a focus on food affordability. Ever since an affordable supermarket closed down in 2012, long-time residents have since struggled to get affordable groceries and are forced to face expensive supermarkets that have been on the rise in the area. Incorporating my journey to understand and listen to the community to find ways to support and work with the community, this report demonstrates that the neighborhood is rapidly gentrifying like most black and brown neighborhoods in New York City. …


Effectiveness Of Community Development Organizations In The St. Louis Metropolitan Area, Kyle Pitzer Dec 2022

Effectiveness Of Community Development Organizations In The St. Louis Metropolitan Area, Kyle Pitzer

Brown School Graduate Student Theses and Dissertations

Concentrated poverty has been a core issue in urban America for close to half of a century. The consequences of living in these neighborhoods are also dire. These "neighborhood effects" are defined as the effects of living in concentrated poverty over and above individual circumstances, which have been tied to a number of important life outcomes. One approach to addressing these issues is community development, and perhaps the most salient vehicle of community development is the community development corporation (CDC). This current study sought to address three aims: 1), understand the effects of CDCs on population-level outcomes; 2), understand the …


The Community Collaboration Model For School Improvement: A Scoping Review, Dawn Anderson-Butcher, Samantha Bates, Hal A. Lawson, Tasha M. Childs, Aidyn Iachini Ph.D., Msw, Lsw Dec 2022

The Community Collaboration Model For School Improvement: A Scoping Review, Dawn Anderson-Butcher, Samantha Bates, Hal A. Lawson, Tasha M. Childs, Aidyn Iachini Ph.D., Msw, Lsw

Faculty and Staff Publications

Schools worldwide are developing innovative models in response to, and in anticipation of, societal changes. Aiming to address non-academic barriers to learning, while capitalizing on out-of-school time, some school and community leaders have prioritized family and community partnerships, especially in the United States (U.S.). The Community Collaboration Model (CCM) is one such U.S. partnership-oriented model of expanded school improvement. In contrast to some partnership-oriented models, the CCM prioritizes improvements in classrooms and communities, aiming to support students, assist teachers, and improve relationships beyond the typical school day. This scoping review examines 14 peer-reviewed articles which describe CCM-centered innovations and documented …