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Full-Text Articles in Community-Based Research

Without A Map: A Lived Experience Study Of The Paths People Create Through Homelessness, Kathleen P. Conte, Susan Avila, Desiree' J. Duboise, Carlton Bone, Marisa A. Zapata, Transformational Research For Equity And Experience In Shelter (Trees) Committee Sep 2026

Without A Map: A Lived Experience Study Of The Paths People Create Through Homelessness, Kathleen P. Conte, Susan Avila, Desiree' J. Duboise, Carlton Bone, Marisa A. Zapata, Transformational Research For Equity And Experience In Shelter (Trees) Committee

Homelessness Research & Action Collaborative Publications and Presentations

The Pathways to Housing Study examines how people experience and navigate homelessness and the systems intended to help them move toward stable housing. Conducted in Multnomah County, Oregon, the study used a participatory mixed-methods design co-led with the TREES lived experience committee. The first phase was reported in April 2026 included surveys with 541 people with current or recent experience of homelessness. The second phase, reported here, used in-depth interviews and journey mapping with 29 participants to explore how pathways through homelessness unfold over time and across service systems.

Findings demonstrate that homelessness pathways are rarely linear. Participants described entering …


Pornography And Men's Violence Against Women And Children: From Production To Consumption, Gail Dines Phd., Mandy Sanchez Phd Sep 2026

Pornography And Men's Violence Against Women And Children: From Production To Consumption, Gail Dines Phd., Mandy Sanchez Phd

Dignity: A Journal of Analysis of Exploitation and Violence

The average age of first viewing mainstream pornography for boys is around ten to twelve years old. The pornography they encounter is largely from “tube sites,” named after YouTube, which are popular because they require no registration, no payment, and no subscription. For the most part, an adolescent only needs access to a digital device to view hundreds of thousands of free videos. As we discuss in this article, the weight of the scientific evidence shows that viewing pornography is associated with multiple social, emotional, sexual, and cognitive harms. However, none of these studies provide a detailed analysis of …


Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin Aug 2026

Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin

Dignity: A Journal of Analysis of Exploitation and Violence

The article examines Transaction Intercept (TI), an artificial‑intelligence platform designed to reduce sex trafficking by disrupting the revenue streams that draw organized crime into the market. Transaction Intercept deploys decoy online ads that appear to offer commercial sexual exploitation or prostitution. Automated "decoy" personas connect to individuals who click on these ads and engage them in text conversations. These exchanges can remain fully automated, ending with deterrence messages, or be transferred to police for potential enforcement action or to trained volunteers who attempt to discourage further attempts to buy sex. Transaction Intercept generates extensive, real‑time data on local demand for …


The Role Of Social Emotional Learning In Utah’S Implementation Of Essa, Sharon Walles Jul 2026

The Role Of Social Emotional Learning In Utah’S Implementation Of Essa, Sharon Walles

Transforming Communities

The Every Student Succeeds Act (ESSA), as a policy, offers an additional tool to address the escalating adolescent mental health crisis. By acknowledging the critical link between student well-being, academic success, and evidence-based practices, this policy analysis explores how funding from ESSA can be leveraged to integrate Social Emotional Learning (SEL) within Utah’s schools. Experts, educators, and parents can be voices to combat misinformation surrounding the recent politicization of SEL and its implementation. This analysis connects Bronfenbrenner’s Ecological Theory, which highlights the interconnectedness of the environment, with the importance of prioritizing mental health within schools to help adolescents with issues …


Assessing A Fourth Trimester Support Group Using An Adapted Ripple Effects Mapping, Kayleigh Gregory, Aubrey Jones, Isabel Paulk, Krysten Munn, Karli Adams, Diana Frankenburger Jul 2026

Assessing A Fourth Trimester Support Group Using An Adapted Ripple Effects Mapping, Kayleigh Gregory, Aubrey Jones, Isabel Paulk, Krysten Munn, Karli Adams, Diana Frankenburger

Transforming Communities

Purpose: Maternal mental health disparities warrant attention, particularly as rural communities face substantial barriers to timely screening and treatment. The Fourth Trimester group at the University of Kentucky was established in April 2022 to address the need for additional postpartum support. This qualitative study examined participants’ perspectives on the group.

Method: Participants included 8 mothers who engaged in the online fourth-trimester social support group. Data were collected using an adapted ripple effects mapping via semi-structured interviews.

Findings: Results of the thematic content analysis revealed six key themes: (1) Community and Belonging, (2) Circle of Wisdom, (3) Empowerment, (4) Practical Support, …


Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt Jul 2026

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …


Perceptions Of Care: An Exploratory Case Study On Residents’ Perceptions Of Neighborhood And City Maintenance, Taylor Coats May 2026

Perceptions Of Care: An Exploratory Case Study On Residents’ Perceptions Of Neighborhood And City Maintenance, Taylor Coats

Transforming Communities

Where one lives impacts both their physical and mental well-being. Though one’s builtenvironment is an important factor, the perception of one’s environment influences mental well-being. This qualitative study examines what influences residents’ perceptions of theirneighborhood and local governmental efforts to maintain and improve their community. Thisstudy utilized a case study methodology to interview residents, stakeholders, and politicians intwo neighborhoods in a mid-sized urban city in the Midwest (N = 16). This study identified threecore aspects that influence participants' perceptions of their neighborhoods and city efforts tomaintain and improve their community: 1) history with the city; 2) geographic location withinsegregated neighborhoods; …


Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado May 2026

Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado

Capstone Projects and Master's Theses

Family caregivers experience high levels of burnout and stress, which can negatively affect their well-being and the quality of care they provide. This capstone project was implemented at Health Projects Center in Salinas within the Del Mar Caregiver Resource Center program. Del Mar Caregiver Resource Center serves a diverse community of family caregivers, predominantly Caucasian, Hispanic, and Latino individuals caring for loved ones with a neurodegenerative disease like Alzheimer’s or memory impairment. The purpose of this project was to improve caregivers’ knowledge, confidence, awareness, and intention regarding self-care strategies to reduce their vulnerability to burnout related to caregiving. The project …


Creative Engagement For Community Through The Life-Span, D. Nicole English, Pelgy Vaz Apr 2026

Creative Engagement For Community Through The Life-Span, D. Nicole English, Pelgy Vaz

SACAD: Scholarly Activities

Creative Engagement for Community Through the Life-Span

Creative Engagement includes crafts, cultural practices, expressive arts, and activities that bring people together. Having access to such activities enables people to develop healthy habits, social interactions, and build community that can sustain one throughout the lifespan. On-going research indicates that Creative Engagement Activities, and the Communities of Practice that build around them, benefit people throughout the life-span, but become particularly important to older adults, by building resilience and social connections, in the face of inevitable life losses.

https://youtu.be/r3JS5YP-MnM


“Sometimes You Need A Middleman”: Negotiating Family Engagement For Foster And Kinship Caregivers Involved With Child Welfare, Anna Wasim, Catherine A. Labrenz, Nelkasia Graves, Samantha Zuniga Thompson, Monica Faulkner Feb 2026

“Sometimes You Need A Middleman”: Negotiating Family Engagement For Foster And Kinship Caregivers Involved With Child Welfare, Anna Wasim, Catherine A. Labrenz, Nelkasia Graves, Samantha Zuniga Thompson, Monica Faulkner

Graduate School of Social Work: Student Scholarship

Family engagement is increasingly prioritized in child welfare policy and practice, yet limited research has explored how foster and kinship caregivers perceive and navigate this process. Understanding caregivers’ experiences is critical to advancing relational permanency and improving outcomes for children in foster care. Using an adapted grounded theory design, this qualitative study examined the experiences of 24 foster and kinship caregivers from two agencies participating in a family engagement practice model in one state. Data were collected through semi-structured interviews and focus groups, and were analyzed thematically. All participants provided informed consent, data were de-identified, and pseudonyms were assigned to …


Corrigendum To “Decolonizing Knowledge As Epistemic Justice: Key Conceptual Tendencies From The Global South” [Tanzania Journal Of Sociology, Vol. 11, Issue No.2, December 2025: 113 - 128], Richard Sambaiga Jan 2026

Corrigendum To “Decolonizing Knowledge As Epistemic Justice: Key Conceptual Tendencies From The Global South” [Tanzania Journal Of Sociology, Vol. 11, Issue No.2, December 2025: 113 - 128], Richard Sambaiga

Tanzania Journal of Sociology

This article registers corrections done to a reference section of "Decolonizing Knowledge as Epistemic Justice: Key Conceptual Tendencies from the Global South” [Tanzania Journal of Sociology, Vol. 11, Issue No.2, December 2025: 113 - 128]


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 Jan 2026

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.


You Are Your Ancestors’ Wildest Dreams: A Journey Beyond The Lens Blueprinting The Influence And Impact Of Media And Podcast Pedagogy On Black And Brown Creatives In Higher Education And Beyond, Diamond N. Morgan Dr. Jan 2026

You Are Your Ancestors’ Wildest Dreams: A Journey Beyond The Lens Blueprinting The Influence And Impact Of Media And Podcast Pedagogy On Black And Brown Creatives In Higher Education And Beyond, Diamond N. Morgan Dr.

West Chester University Graduate Theses, Dissertations, and Final Projects

Explores the influence and impact of media and podcast pedagogy on Black and Brown creatives (BBC) in higher education. Grounded in Critical Race Theory (CRT), the Black Creative Educational Experience (BCEEs) framework, and the conceptual lenses of sociological and public podcasting, this study examines how podcasting functions as a transformative pedagogical and sociocultural tool for storytelling, identity development, creative expression, and community building within collegiate environments. Utilizing a convergent parallel mixed methods design, the study integrates quantitative survey data from 65 participants with qualitative focus group discussions to provide a holistic understanding of participant experiences across personal, professional, academic, social, …


Examining Challenges For Sociology Master’S Degree Students At California State University, David Ortuno Jan 2026

Examining Challenges For Sociology Master’S Degree Students At California State University, David Ortuno

University of the Pacific Theses and Dissertations

The purpose of this study is to identify the lived experiences of CSU sociology graduate students pursuing a master’s degree. Seven sociology graduate students from six of the eight (75%) total sociology MA programs throughout the entire CSU system were interviewed. Their responses were designed to analyze the support systems and challenges they face while pursuing a master's degree, as well as to investigate whether their experiences correlate with or fail to correlate with the promises in the CSU mission statement, and to answer the study’s research questions and achieve the purpose of this qualitative study.

Four themes emerged from …


Becoming A Social Worker: A Journey Through Community, Justice, And Recovery, Willow Coefield Dec 2025

Becoming A Social Worker: A Journey Through Community, Justice, And Recovery, Willow Coefield

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio is the culminating project for the Master of Social Work program at the University of Montana and demonstrates advanced integrated practice through coursework, practicum, and professional experience. It is organized into an introduction, theoretical orientation, and focused sections on trauma‑informed care and rural and Indigenous contexts of practice, followed by a mapping of portfolio artifacts to core elements and competencies, a conclusion, references, and appendices of key graduate assignments. Drawing on artifacts such as positionality work, case studies, diagnostic assessment, group design, program evaluation, policy analysis, and leadership projects, the portfolio illustrates growth in ethical and professional behavior, …


Bringing Mutuality And Reciprocity Into Focus: A Case Study On Sustaining University-Community Partnerships For Local Systems Change And Student Learning, Jessica L. Lucero, Lucas Martin, Jayme Walters Dec 2025

Bringing Mutuality And Reciprocity Into Focus: A Case Study On Sustaining University-Community Partnerships For Local Systems Change And Student Learning, Jessica L. Lucero, Lucas Martin, Jayme Walters

Transforming Communities

This case study explores a long-term university-community partnership focused on addressing homelessness, highlighting the principles of mutuality and reciprocity in achieving systemic change. Over nearly a decade, the partnership has evolved to engage university resources, faculty, and social work students through research, courses, and outreach activities, such as community surveys, the Point-in-Time Count, strategic planning, advocacy, and service system expansion. These collaborative efforts have contributed to enhanced public awareness, increased state funding, and the establishment of vital services, including a warming center. The case study also underscores the challenges inherent in community-engaged scholarship, including capacity constraints like funding and staffing …


Undergraduate Awareness Of Sexual Harassment Law In Tanzania's Higher Learning Institutions: Case Studies Of Two Universities, Salma Ramadhan Fundi Phd Candidate Dec 2025

Undergraduate Awareness Of Sexual Harassment Law In Tanzania's Higher Learning Institutions: Case Studies Of Two Universities, Salma Ramadhan Fundi Phd Candidate

Tanzania Journal of Sociology

This study examines undergraduate students' awareness of legal provisions and guidelines concerning sexual harassment in Tanzanian higher education, focusing on the University of Dar es Salaam (UDSM) and the Open University of Tanzania (OUT) as case studies. Sexual harassment significantly impacts students’ well-being, safety, and academic success. Despite the existence of legal frameworks, students' knowledge of these provisions is often limited. The study employed a qualitative approach with a phenomenological research design to explore students’ experiences and perceptions of harassment policies. This design allowed participants to share the meanings they attach to their experiences and how such policies are understood …


Msw Portfolio, Julia Marie Sweeney Aug 2025

Msw Portfolio, Julia Marie Sweeney

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio reflects my personal and professional growth throughout the University of Montana’s MSW program. Grounded in lived experience, child advocacy work, and academic learning, it highlights my development across core competencies and advanced integrated practice.


A Father-Friendliness Survey: How Do Community Organizations Report Engaging Fathers?, Kyle Miller, Jordan A. Arellanes Jul 2025

A Father-Friendliness Survey: How Do Community Organizations Report Engaging Fathers?, Kyle Miller, Jordan A. Arellanes

Journal of Community Engagement and Higher Education

This community-based project explored levels of father-friendliness across local organizations, agencies, and schools. A community coalition of individuals from diverse backgrounds and roles created a community survey to gather quantitative and qualitative information from individuals who worked with children or families. An analysis of survey responses (N=122) led to descriptive and thematic results of how the community served or marginalized fathers. Results were used to guide efforts in father engagement across various professional sectors.


Interprofessional Collaboration To Address Social Isolation And Facilitate Intergenerational Service Learning Within Graduate Education, Angela Lavery, Erin Knight, Stephanie Cole, Stacie Metz Jul 2025

Interprofessional Collaboration To Address Social Isolation And Facilitate Intergenerational Service Learning Within Graduate Education, Angela Lavery, Erin Knight, Stephanie Cole, Stacie Metz

Journal of Community Engagement and Higher Education

This article presents an interdisciplinary collaboration to address the needs of older adults at risk of social isolation exacerbated by the COVID-19 pandemic. An intergenerational service-learning program developed by the Pennsylvania Department of Aging was offered to several universities across the state of Pennsylvania. The authors share their experience and lessons learned from pairing older adults with graduate students studying in the fields of Gerontology, Public Health, and Social Work.


Transforming Care: An Academic And Community Symposium On Transgender Care And Experience, Alison Sutton-Ryan, Kimberly Van Vulpen Jun 2025

Transforming Care: An Academic And Community Symposium On Transgender Care And Experience, Alison Sutton-Ryan, Kimberly Van Vulpen

Transforming Communities

Background: Transgender experience is often excluded from education and training. An emphasis has been often placed on sexual identities instead of gender differences rendering transgender care invisible in the healthcare system (Gahagan & Colpitts 2017). Lack of education and training has created significant barriers to accessible gender-affirming care, contributing to disproportionately high levels of discrimination for transgender individuals seeking medical services (Redcay et al., 2021). Purpose: The Interprofessional Education Symposium on Transgender Care and Experience was an innovative initiative developed by the newly formed Transgender Interprofessional Care Team (TICT) at a medium-sized suburban university. This collaborative team, comprising key …


Community-Engaged Learning For Online Courses, Marsha W. Maxwell Phd, Katarina Friberg-Felsted Phd, Jacqueline L. Eaton Phd, Megan R. Medina, Denise Crismon Jun 2025

Community-Engaged Learning For Online Courses, Marsha W. Maxwell Phd, Katarina Friberg-Felsted Phd, Jacqueline L. Eaton Phd, Megan R. Medina, Denise Crismon

Transforming Communities

This article explores how to ensure the quality of community-engaged learning (CEL) course outcomes for online courses. We share insights and knowledge of three instructors who have successfully integrated CEL into their online courses. Based on these instructors' experiences, this article discusses four key topics related to online CEL courses: finding mutually beneficial partnerships, managing expectations, managing student-partner interactions, and following up with students. While we have found that the benefits of CEL outweigh the drawbacks, adding CEL to the dynamics of an online course can prove complicated for instructors, who must consider the time commitment, communication challenges, and course …


Building Youth Hope: Assessing Community Assets And Opportunities For Supporting Youth Well-Being In The Sagadahoc County Area, Emma Schwartz, Jillian Foley, Timothy Atkinson Jun 2025

Building Youth Hope: Assessing Community Assets And Opportunities For Supporting Youth Well-Being In The Sagadahoc County Area, Emma Schwartz, Jillian Foley, Timothy Atkinson

Justice Policy

This report aims to build upon previous research and provides updated information on community assets to support youth in the Sagadahoc County area. The report examines the strengths, challenges, and opportunities for community investment with the goal of improving outcomes related to youth hopefulness, belonging, and well-being. The project team engaged community members in a variety of asset mapping and data collection activities which are summarized in this report. The report authors also make recommendations related to expanding youth connections to informal supports and third places, ensuring access to a variety of assets that are responsive to their holistic needs, …


Mapping Our Tears: Risd Cry, Yimiao Wang May 2025

Mapping Our Tears: Risd Cry, Yimiao Wang

Masters Theses

RISD CRY is a participatory project empowering the RISD community to share their experiences of emotional vulnerability. The project includes physical sign-in forms in campus facilities, a Google Doc sign-in form, illustrations of participants’ comments, and an online campus map where individuals can mark where they have cried. This multi-format engagement fosters community connection, challenges the stigma surrounding emotional expression, and provides a platform for solidarity among individuals facing stress and burnout.

Beyond its tactical goals, RISD CRY also interrogates the cultural frameworks through which emotional struggle is perceived and processed. It critiques the institutional impulse to measure, diagnose, and …


Planning And Facilitating Hybrid Meetings To Support Relationality During Coalition Building, Luettamae Lawrence, Maureen Boyle, Moira Ross May 2025

Planning And Facilitating Hybrid Meetings To Support Relationality During Coalition Building, Luettamae Lawrence, Maureen Boyle, Moira Ross

Utah Conference on Community Engagement

Hybrid events where communities are connected through both in person and online spaces have simultaneously grown in popularity and gotten a bad reputation. While hybrid events have been around for decades, they gained significant traction with the onset of the COVID-19 pandemic to increase accessibility for attendees to accommodate diverse needs. Although hybrid events can be beneficial to many, they are not simple to execute. With the increase in hybrid events has come frustration with the low quality interactions between in person and online attendees leading to isolation, technology challenges, and low productivity. We argue the positive affordances of hybrid …


Msw Portfolio, Nannie R. Stewart May 2025

Msw Portfolio, Nannie R. Stewart

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Nannie Stewart, a student in the University of Montana's online MSW program, presents her portfolio and provides a narrative about several key topics from her coursework and practicum experiences. She highlights her theoretical orientation, emphasizing the humanistic and strength-based approaches when working with diverse clients, including young adults, adolescents, and the elderly. Nannie further covers her experiences addressing social, racial, and economic justice, and learned experiences from indigenous cultures. Nannie also discusses her engagement in simulated practice, which allowed her to develop skills in micro, mezzo, and macro-level interventions, such as creating a domestic violence support group and advocating for …


Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris May 2025

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.


Examining The Perceptions Of Restorative Practices In A Non-Profit Organization: A Comparative Analysis Of Staff And Youth Attitudes, Autumn N. Alicea, Anne Hobbs Dr May 2025

Examining The Perceptions Of Restorative Practices In A Non-Profit Organization: A Comparative Analysis Of Staff And Youth Attitudes, Autumn N. Alicea, Anne Hobbs Dr

Theses/Capstones/Creative Projects

This study examines the attitudes toward restorative justice (RJ) among staff and youth at a non-profit residential organization. Using the Restorative Justice Attitude Scale, data was collected from 14 staff members and 14 youth participants (N=28). Results indicated that staff members reported significantly higher mean scores (M = 84.50, SD = 8.38) on the Total Restorative Justice Attitude Scale than youth participants (M = 67.93, SD = 15.81). ANOVA results revealed statistically significant differences between the two groups on attitudes toward restorative justice, F (1, 26) = 12.007, p = .002. Effect size analysis (η² = .316) indicates that approximately …


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 …


Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano Apr 2025

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …