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Full-Text Articles in Social Work

Lgbtq+ Latino Youth And Minimizing Elements Leading To Suicidal Ideation, Isaias Mendoza May 2025

Lgbtq+ Latino Youth And Minimizing Elements Leading To Suicidal Ideation, Isaias Mendoza

Electronic Theses, Projects, and Dissertations

The proposed project makes every effort to affirm if whether implementing forward thinking practices of inclusive LGBTQ+ interventions in schools, prevent or minimize suicidal ideation in Latino youth. Although there is some literature regarding interventions in suicidality, there is not enough research to affirm how the intersectionality in double minorities might benefit by implementing inclusive practices for youth to learn and feel accepted, safe and empowered in schools. This project utilizes a qualitative design methodology that focuses on selected peer reviewed literature files from 2015 - 2024. The searched files included demographics such as ethnicity, identity, geographic locations of schools, …


The Effects Of Compassion Fatigue Among Childwelfare Workers, Henok Kidane, Linda Rimel May 2025

The Effects Of Compassion Fatigue Among Childwelfare Workers, Henok Kidane, Linda Rimel

Electronic Theses, Projects, and Dissertations

Background: Research has shown that compassion fatigue (CF) is a state of physical and emotional exhaustion in which workers empathize with their clients' suffering. CF has been found to impact child welfare workers, leading to high turnover rates, multiple placement changes for foster children and youth, and burnout. The knowledge gap is that limited research has been conducted to examine the effects of CF among child welfare workers. Objective: This systematic review proposes synthesizing the literature on compassion fatigue among child welfare workers' overall well-being. Methods: The following database was used: One Search, Google Scholar, and PubMed. The keywords include …


The Impact Of Maternal Problematic Drinking On Daughter's Mental Health: A Systematic Review, Indianna Bouch, Alexzandria Haro May 2025

The Impact Of Maternal Problematic Drinking On Daughter's Mental Health: A Systematic Review, Indianna Bouch, Alexzandria Haro

Electronic Theses, Projects, and Dissertations

Background: Parental alcohol use is a widespread issue and is known to have negative impacts on children's mental health. However, research on parent-child dyads concerning parental problematic alcohol use and child mental health outcomes has much less research. Objective: This systematic review aims to examine recent literature on the impact of mothers’ problematic drinking on daughter(s) mental health. Methods: The following databases were used: EBSCOhost Academic Search Premier, PsycINFO, and Google Scholar. The keywords included “mother”, “AUD”, “maternal AUD”, “impact on daughters”, “female COA”, “female ACOA”, “mothers with an AUD”, “problematic drinking”, “maternal alcoholic”, “impact on relationships”, …


The Effect Of Covid-19: Childhood Socialization And Technology Use, Nathalie Saray Manriquez, Amber Vanessa Flores, Cassandra Clarissa Tejada May 2025

The Effect Of Covid-19: Childhood Socialization And Technology Use, Nathalie Saray Manriquez, Amber Vanessa Flores, Cassandra Clarissa Tejada

Electronic Theses, Projects, and Dissertations

This study proposes to explore the impact of technology use on childhood socialization and mental health during and after the COVID-19 pandemic, particularly among elementary and middle school students. With the sudden shift to online learning due to school closures, children experienced a dramatic increase in screen time, the use of computers, tablets, and other digital devices for educational purposes and social interaction. This research aims to examine the effects of heightened technology dependency on children's social development and emotional well-being. Through surveys conducted with teachers, caregivers and parents, the study seeks to investigate the changes in children's socialization behaviors …


A Qualitative Method Study On Serious Mental Illnesses Seeing In Homelessness, Samantha Ruiz May 2025

A Qualitative Method Study On Serious Mental Illnesses Seeing In Homelessness, Samantha Ruiz

Electronic Theses, Projects, and Dissertations

Homelessness is a serious social problem influenced by various factors, specifically serious mental illnesses (SMI’s). Based on past studies, there is limited research that explains the quality of mental health services for individuals who are unhoused with SMI’s. The purpose of this research was to explore mental health services among the unhoused population who have serious mental illnesses (SMI’s) (from the perspective of social service providers). The study was a qualitative method design which provided a rich in-depth description through interviews. The study answered the following research questions: What is the perception of mental health services among homeless groups in …


Within The Diverse Latino/Hispanic Community In The Inland Valley, How Does Paternal Alcohol Use Impact The Personal Growth, Positive Relationships, And Psychological Well-Being Of Their Offspring In Adulthood?, Lizbeth Carrillo, Angela M. Sandoval May 2025

Within The Diverse Latino/Hispanic Community In The Inland Valley, How Does Paternal Alcohol Use Impact The Personal Growth, Positive Relationships, And Psychological Well-Being Of Their Offspring In Adulthood?, Lizbeth Carrillo, Angela M. Sandoval

Electronic Theses, Projects, and Dissertations

ABSTRACT

This proposed study aims to explore the psychological effects, personal growth, and development of positive relationships among Latino/Hispanic adult children of alcoholics faced in their adulthood specifically within the Inland Valley empire. Using a quantitative method approach, the proposed research will employ surveys to provide a comprehensive understanding of the long-term emotional, behavioral, and relational outcomes experienced by ACOA’s. Participants will be selected within the Latino/Hispanic community, aged 18-65 years old, who have had a father with a history of alcohol abuse. The findings from this study will contribute to bridging gaps in understanding the unique challenges and strengths …


Formerly Incarcerated People's Experiences Trying To Access Affordable Housing, Maira Y. Fuentes May 2025

Formerly Incarcerated People's Experiences Trying To Access Affordable Housing, Maira Y. Fuentes

Electronic Theses, Projects, and Dissertations

Lack of affordable housing among formerly incarcerated people continues to be a major social issue, as thousands of individuals and families in the United States continue to struggle with being unsheltered. Formerly incarcerated people build up 69% of the population who reside within these shelters in the United States (Glassman, 2024). The literature in this research discusses that common systemic barriers among formerly incarcerated individuals accessing housing are lack of affordable housing, facing stigma and discrimination, or no employment opportunities. Previous research shows that there is a limited number of participants and is focused on newly released prisoners in their …


A Systematic Review Of The Effects Of Family Separation On Children’S Psychological Development, Janice Garcia, Jazmin Elizabeth Barriga May 2025

A Systematic Review Of The Effects Of Family Separation On Children’S Psychological Development, Janice Garcia, Jazmin Elizabeth Barriga

Electronic Theses, Projects, and Dissertations

Background: Under the Zero-Tolerance policy formulated by President Donald Trump, families were forced to separate from their children, which led to a broken bond between parents and their children. As a result, children were classified as unaccompanied alien children to be put in the care and custody of the Department of Health and Human Services. Research has found that separating families at the border has harmful and lasting effects on children’s psychological development. However, no research efforts have been made to systematically synthesize the evidence on the effects of family separation. Objective: This systematic review proposes to review recent literature …


Barriers Individuals And Families Experience Utilizing Anti-Poverty Programs, Miranda C. Dube' May 2025

Barriers Individuals And Families Experience Utilizing Anti-Poverty Programs, Miranda C. Dube'

Electronic Theses, Projects, and Dissertations

This proposed study aims to explore the barriers experienced by residents of the High Desert communities. Using a quantitative method approach, the proposed research will employ surveys to provide a comprehensive understanding of the outcomes experienced by the High Desert residents. Participants will be selected within the High Desert communities, aged 18 years or older, who have or are currently experiencing poverty. The findings from this proposed study would contribute to bridging gaps in understanding the barriers residents of the High Desert experience. By identifying factors that suppress successfully utilizing anti-poverty programs, this research proposal would aim to inform the …


Incarcerated Parents And Their Minor Children: A Study On The Impact Of Maintaining Relationships, Jennifer M. Upstill-Tokaji May 2025

Incarcerated Parents And Their Minor Children: A Study On The Impact Of Maintaining Relationships, Jennifer M. Upstill-Tokaji

Electronic Theses, Projects, and Dissertations

Parental incarceration is a social problem that has not received enough attention in the criminal justice literature despite the increase in the prison population over the years and the large number of children adversely impacted by this issue. The purpose of this research proposal is to determine if regular communication between incarcerated parents and their minor children has a positive influence on their rehabilitation and if that communication is also beneficial for the development and well-being of children. Using convenience and snowball sampling methods, this cross-sectional study will recruit approximately formerly incarcerated individuals who had at least one minor child …


Breaking Barriers: Addressing Mental Health Disparities In Transgender Communities, Lauren Pettite May 2025

Breaking Barriers: Addressing Mental Health Disparities In Transgender Communities, Lauren Pettite

Electronic Theses, Projects, and Dissertations

This study explores the impact of barriers to gender-affirming care (GAC) on the mental health outcomes of transgender individuals using a mixed-methods secondary data analysis. Drawing on an existing dataset originally collected by California State University, San Bernardino (CSUSB) faculty in collaboration with the Transgender Health and Wellness Center (THWC), this research examines both quantitative survey data and qualitative open-ended responses from transgender participants in Southern California. This study focuses on how healthcare access issues—particularly those related to insurance coverage, provider discrimination, and systemic inequities—affect reported experiences of depression, anxiety, PTSD, and suicidality.

This research is guided by intersectionality theory …


Mental Illness Among The Homeless Communities, Tania Wilcox May 2025

Mental Illness Among The Homeless Communities, Tania Wilcox

Electronic Theses, Projects, and Dissertations

The goal of this study is to gain a deeper understanding of the perspectives of individuals with substance use and mental illness on their co-occurring conditions. Mental illness and substance use disorder are commonly known in homeless communities, especially those experiencing chronic homelessness. Other social factors like gentrification, displacement, systemic racism, and insufficient affordable housing also contribute to the problem by restricting the availability of shelter for vulnerable groups. Furthermore, the lack of stable, affordable housing in California is a significant problem, and having access to comprehensive healthcare services exacerbates these problems.


The Adverse Effects Of Substance Use Among Caregivers On Children In The United States: A Systematic Review, Amanda R. Suchaire May 2025

The Adverse Effects Of Substance Use Among Caregivers On Children In The United States: A Systematic Review, Amanda R. Suchaire

Electronic Theses, Projects, and Dissertations

In the United States, Caregiver Substance Use Disorder (SUD) is a significant public health issue that disrupts family dynamics and can severely impact the health of millions of children. The systematic review examines the adverse impact of caregiver substance use on children, with research published from 2020 onwards. The significance of this study is due to the increasing prevalence of substance use disorders among caregivers and their harmful effects on child maltreatment, psychosocial health, physical health, and overall well-being. A systematic review framework will be utilized, synthesizing peer-reviewed studies to describe the prevalence of caregiver substance use, developmental issues for …


Understanding Victim Blaming In Domestic Violence Among Adults In The U.S., Katja Estrada, Juliana Hernandez May 2025

Understanding Victim Blaming In Domestic Violence Among Adults In The U.S., Katja Estrada, Juliana Hernandez

Electronic Theses, Projects, and Dissertations

Domestic violence, encompassing a range of abusive behaviors, remains a pervasive issue affecting countless individuals globally. Understanding the factors that shape attitudes toward domestic violence is crucial for developing effective interventions and prevention strategies. This study intends to explore the relationship between gender role belief, cultural orientation, and media influences and attitudes toward domestic violence. A non-random sample of 92 participants currently residing within the United States and over the age of 18 were recruited to participate in an online survey. Regression analyses revealed significant associations between attitudes toward domestic violence and gender role beliefs, indicating that individuals with more …


Examining The Transmission Of Paternal Trauma Across Generations And Its Effects On Offspring’S Developmental Outcomes, Brianna R. Montano, Margarita Balderas Barbosa May 2025

Examining The Transmission Of Paternal Trauma Across Generations And Its Effects On Offspring’S Developmental Outcomes, Brianna R. Montano, Margarita Balderas Barbosa

Electronic Theses, Projects, and Dissertations

Background: Adverse Childhood Experiences (ACEs) are linked to a wide range of developmental, behavioral, and emotional difficulties across the lifespan. While significant research has examined the impact of maternal ACEs, limited attention has been given to the role of paternal trauma in shaping child development. Objective: This study proposes to use a quantitative descriptive design to examine the relationship between parental, particularly paternal, ACEs and developmental outcomes in children aged 0 to 5 years. Guided by social learning theory and the National Child Traumatic Stress Network’s (NCTSN) core concepts of trauma, the study explores how trauma-related behaviors and coping mechanisms …


Examining Support Systems For Youth With Type-1 Diabetes In Foster Care, Garrett Copeland May 2025

Examining Support Systems For Youth With Type-1 Diabetes In Foster Care, Garrett Copeland

Electronic Theses, Projects, and Dissertations

Chronic illnesses such as type 1 diabetes can be hard diagnoses for children to understand and are a detriment to their mental and physical health. Evaluating current support systems for this interest group is necessary to make sure that they are receiving the best resources possible. Questioning type 1 diabetics who have grown out of the system, adults involved with T1D care, and social workers are included in the research design. Reviewing the ratings for each question allowed researchers to see where resources are lacking and what needs to be improved or implemented. Social workers should see the importance of …


Exploring The Contributing Factors To College Completion Among Csec Former Foster Youth, Xandra Vaughn May 2025

Exploring The Contributing Factors To College Completion Among Csec Former Foster Youth, Xandra Vaughn

Electronic Theses, Projects, and Dissertations

Background: While 33% of the general population earns a college degree, only 3% of foster youth who age out of the child welfare system achieve this milestone. This percentage may be even lower among former foster youths who were commercially sexually exploited. Understanding the factors contributing to the lower educational attainment in this population is a critical step toward addressing this disparity. Objective: The purpose of this exploratory study is to determine whether social capital is a contributing factor to college completion among former foster youths who were commercially sexually exploited in San Bernardino County. Methods: This …


Evaluating Trauma-Informed Care In Higher Education For Hispanics, Latino/A/X/E, And Afro-Latinos Impacted By Adverse Childhood Experiences, Daylene A. Medina, Lilian Grijalva May 2025

Evaluating Trauma-Informed Care In Higher Education For Hispanics, Latino/A/X/E, And Afro-Latinos Impacted By Adverse Childhood Experiences, Daylene A. Medina, Lilian Grijalva

Electronic Theses, Projects, and Dissertations

Background: Henshaw (2022) discusses the importance of trauma-informed approaches in higher education institutes by implementing culturally responsive policy, research, and practice to support students impacted by trauma. However, less is known about how effective trauma-informed care is and its impact on the educational outcomes of racial and ethnic minority students, specifically Hispanics, Latino/a/x/e, and Afro-Latinos students in community colleges. Past studies have excluded Hispanics, Latino/a/x/e, and Afro-Latinos from research due to insignificant participation and risk re-traumatization. Objective: This evaluative study aims to determine effectiveness of trauma-informed care for adult (18 and older) Moreno Valley College students in their last academic …


Exploring The Factors That Influence Telehealth Usage Among Immigrants In The United States: A Mixed Methods Study, Jose M. Garcia-Castañeda May 2025

Exploring The Factors That Influence Telehealth Usage Among Immigrants In The United States: A Mixed Methods Study, Jose M. Garcia-Castañeda

Electronic Theses, Projects, and Dissertations

Background: Immigrants in the United States continue to face barriers in accessing healthcare services which are rooted in systemic inequities, cultural disconnects, and language-related challenges. The growing presence of telehealth services has offered new opportunities to expand access, but it has also highlighted new barriers which are language proficiency and digital literacy which could increase the gap in services for already marginalized populations. These barriers are factors that influence outcomes such as delayed care, reduced preventative care, and overall poorer health outcomes. The Andersen Behavioral Model of Health Service Use (Andersen, 1995) provides a useful framework in understanding how predisposing, …


Effectiveness Of Mental Health Interventions Amongst Parents With Child Welfare Involvement, Clarisa Grano May 2025

Effectiveness Of Mental Health Interventions Amongst Parents With Child Welfare Involvement, Clarisa Grano

Electronic Theses, Projects, and Dissertations

This study explores the effectiveness of mental health interventions provided by child welfare agencies to parents involved in the child welfare system. By employing a mixed-methods approach, the research aims to assess intervention outcomes, identify barriers to service utilization, and provide qualitative insights into parents' experiences with mental health services. The quantitative component will gather data on mental health outcomes through structured surveys, while the qualitative component will explore the lived experiences of parents through semi-structured interviews. Findings from this study will contribute to the development of culturally competent interventions and inform policy changes that address systemic inequities in mental …


Effective Interventions For Women With Post-Traumatic Stress Disorder, Kathryn Antoinette Gonzales May 2025

Effective Interventions For Women With Post-Traumatic Stress Disorder, Kathryn Antoinette Gonzales

Electronic Theses, Projects, and Dissertations

Women diagnosed with post-traumatic stress disorder (PTSD) often undergo powerless treatment interventions according to research. Institutionalized inequalities among service systems challenge women to receive access, begin, engage, and complete mental health services for PTSD. This mixed-methods systematic review sought to determine interventions that are effective for treating this client population. The preferred reporting items for systematic reviews and meta-analysis (PRISMA) tool was used to screen four different electronic databases: PsycINFO, Google Scholar, EBSCO, and OneSearch to identify peer-reviewed articles under a purposive sampling method strategy. Of the 159 studies screened, 15 met the inclusion criteria for this review (n =15). …


The Underutilization Of Mental Health Services Amongst The Hispanic Community: An Exploratory Study, Stephanie Renteria, Andrea Aguilar May 2025

The Underutilization Of Mental Health Services Amongst The Hispanic Community: An Exploratory Study, Stephanie Renteria, Andrea Aguilar

Electronic Theses, Projects, and Dissertations

Background: Despite the development of mental health services, the Hispanic population within San Bernardino, CA continue to encounter barriers and limitation seeking mental health support. Objective: This exploratory study aimed to identify contributing factors that affect the level of accessibility to mental health services. Method: We propose to collect quantitative data from 25 participants ages 18 to 65 utilizing semi-structured interviews to gather personalized experiences. Recruitment will be collected utilizing interviews conducted in community hospitals. We are going to present open ended questions and collect demographic data to measure the factors of underutilization of mental health in the Hispanic …


The Effectiveness Of Trauma Informed Care Interventions After A School Mass Shooting Incident, Maurelys M. Areas Mendoza, Alondra Odaliz Rios May 2025

The Effectiveness Of Trauma Informed Care Interventions After A School Mass Shooting Incident, Maurelys M. Areas Mendoza, Alondra Odaliz Rios

Electronic Theses, Projects, and Dissertations

Background: School mass shootings have a profound psychological and educational impact on students. Survivors often experience long-term trauma, including depression, post-traumatic stress disorder (PTSD), and anxiety, which affects the overall well-being and educational development of a student. Objective: This pilot study proposes to evaluate the effectiveness of a trauma-informed care intervention implemented in elementary schools for student survivors of school shootings. Methods: This study proposes a pre-experimental research design, with the proposed implementation taking place at Oakland High School in Oakland, California. A total of 100 students will be offered the opportunity to participate in the study. The primary tool …


Exploring The Role Of Intersecting Identities In The Prevention And Disclosure Of Child Sexual Abuse, Karen M. Lemus Lares May 2025

Exploring The Role Of Intersecting Identities In The Prevention And Disclosure Of Child Sexual Abuse, Karen M. Lemus Lares

Electronic Theses, Projects, and Dissertations

Child sexual abuse (CSA) threatens the safety of children all around the world. It puts at risk their immediate physical and emotional well-being but also profoundly affects their long-term physical and mental health, as well as their emotional and social stability. This epidemic creates a cycle of harm and violence that persists from generation to generation and contributes to adverse outcomes. Despite various studies demonstrating the immediate and long-term consequences CSA has on survivors and their families, there are significant gaps remaining in understanding how cultural factors influence the prevalence and disclosure of CSA. This study aims to answer the …


What Is The Correlation Between 9-1-1 Emergency Psychiatric Calls In San Bernardino County And Mental Health Services, Lea M. Munoz May 2025

What Is The Correlation Between 9-1-1 Emergency Psychiatric Calls In San Bernardino County And Mental Health Services, Lea M. Munoz

Electronic Theses, Projects, and Dissertations

It is important to address the mental health crisis in the United States to understand the effects it has on individuals, families, and communities and promote better access to mental health services. The mental health crisis has led to an increase in demand for mental health care and economically the U.S. has not been able to satisfy this demand. This paper raises awareness about the issue by emphasizing the need for better access to mental health, reducing the stigma in mental illness, building resilience in individuals, and connecting people to resources that will create a safer and more welcoming environment. …


Social Determinants Of Health Screening In The Pediatric Population: Evaluating The Effectiveness Of Staff Education, Brenda Awuah, Kansas S. Logan, Sally Humphrey Dnp, Aprn, Cpnp-Pc, Sharon Little Dnp, Aprn, Fnp-Bc Apr 2025

Social Determinants Of Health Screening In The Pediatric Population: Evaluating The Effectiveness Of Staff Education, Brenda Awuah, Kansas S. Logan, Sally Humphrey Dnp, Aprn, Cpnp-Pc, Sharon Little Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Social Determinants of Health (SDOH) are conditions that influence health outcomes. SDOHs are screened and addressed in many clinics and hospitals to reduce patients' social needs. Research indicates how unaddressed SDOH can negatively impact chronic illness, along with the daily life of pediatric patients. SDOH's role in pediatric patients includes food security, housing stability, access to healthcare, caregiver education, and parental mental health. Previous research has addressed these factors; however, the lack of staff education prevents effective compliance and follow-up on SDOH screening. Challenges remain in implementing and integrating SDOH into routine well-child visits. This scoping review will evaluate and …


The Impact Of Religiosity And Violence Prevention Programs On Violence Amongst Adolescents In The U.S., Ngoc Nguyen, John Paulson, Quentin Maynard, Thu T. Ha Apr 2025

The Impact Of Religiosity And Violence Prevention Programs On Violence Amongst Adolescents In The U.S., Ngoc Nguyen, John Paulson, Quentin Maynard, Thu T. Ha

Midwest Social Sciences Journal

Youth violence is a societal concern in the United States due to its negative consequences on individuals and communities. The current study aimed to examine the potential mitigating factors of violence prevention programs and religiosity in reducing youth violence among African American, White, Hispanic, and Asian American adolescents in the United States. It also tested the moderation effects of sex on religiosity and violence prevention programs with youth violence. Results of the main effects revealed that adolescents who attended violence prevention programs were generally less likely to engage in violence than those who did not; and that adolescents who were …


Assessing Healthcare Students’ Self-Efficacy In Disaster Response: A Cross-Sectional Analysis, Aydın Şenol, Abdülkerim Adıyaman, Canan Birimoglu Okuyan Apr 2025

Assessing Healthcare Students’ Self-Efficacy In Disaster Response: A Cross-Sectional Analysis, Aydın Şenol, Abdülkerim Adıyaman, Canan Birimoglu Okuyan

Makara Journal of Health Research

Background: Assessing healthcare students’ self-efficacy in disaster response is crucial for preparing them to effectively manage real-world disaster situations. This study aimed to assess the self-efficacy status of healthcare students in disaster response.

Methods: The data for this cross-sectional analysis were gathered from 498 healthcare students between November 18, 2023, and February 14, 2024, using an individual diagnostic form and the disaster-response self-efficacy (DRSE) scale. This scale is used to assess an individual’s self-efficacy in responding effectively to disasters, including on-site rescue competency, disaster psychological nursing competency, disaster role quality, and adaptation competency.

Results: The mean age …


The Unique Experiences Of Black Women In Childhood School Discipline, Shakeyau Brionna Jackson Apr 2025

The Unique Experiences Of Black Women In Childhood School Discipline, Shakeyau Brionna Jackson

Walden Dissertations and Doctoral Studies

Researchers have explored racial disparities in school discipline and revealed consistent gaps in the discipline rate of Black students compared to White students and other students of color. The problem of African American girls being disciplined at higher rates than that faced by girls of all other races/ethnicities was addressed in this essential qualitative study. The aim was to explore the perceptions of African American women regarding their experiences with discipline in school and its impact on their well-being in adulthood. Critical race feminism formed the conceptual framework guiding this study. The research questions focused on the perceptions and experiences …


Intersection Of Shame And Trauma In Survivors Of Child Sex Trafficking, Alycha Boehm Apr 2025

Intersection Of Shame And Trauma In Survivors Of Child Sex Trafficking, Alycha Boehm

Social Work Doctoral Dissertations

Domestic minor sex trafficking leaves survivors with long lasting physical and mental health needs. Due to its insidious nature, sex trafficking is often invisible. Consequently the needs of survivors, who have experienced complex trauma, are little understood. The outcome of complex trauma is trauma-related shame. Understanding the impact of shame specifically on trafficking survivors' identity formation, interpersonal relathionships, perception of self, and overall ability to heal are necessary to understand. It is documented in current researh that mental health resources for sruvivors are minimal, difficult to access, and inadequate in truly making an impact on survivors' capacity for healing. In …