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April 2023

PHC6534: Proposal to Reduce Emergency Department Utilization; A Trauma-Informed & Interdisciplinary Team Approach

Overcrowding in Emergency Departments (ED) is a pervasive issue in many healthcare systems, and UF Health Shands is no exception (Cistola, A. S, 2020). This intervention program will expand the University of Florida Health Shands Emergency Department's capacity to manage patients with complex social and medical needs to reduce the overuse of emergency services. The Trauma-informed team will include an interdisciplinary team of health care professionals; two nurse practitioners or physician...

PHC6534 Addressing Community Violence in Erie County, New York

Violence is a leading cause of death and injury in the United States (Centers for Disease Prevention and Control [CDC], 2022). In 2019, New York State had 804-gun deaths of which 50 were children and teens between the ages of 0-19 (EGSGV, 2021). Between 2017 and 2021, Erie County averaged a rate of violence with firearms that was more than double the average rate for New York State in that same time period (Erie County Department of Health [ECDOH], 2023). Black people in Erie County...

HC 6534- HIV among young men who have sex with men with substance abuse problems through trauma-informed care

Adverse Childhood Experiences (ACES) have been shown to increase the risk of young adults engaging in risky sexual behaviors, these behaviors may lead to other negative health outcomes such as acquiring an STI or HIV. Risky sexual activities are often associated with being under the influence of alcohol or drugs, leading to cognitive impairment and unsafe sexual decision-making. Young men who have sex with men (YMSM) are disproportionately affected by HIV and have increasingly shown higher...

PHC6534: Black, Proud, and Strong: Building Black LGBTQ+ Community Resilience to Improve HIV-related Health Outcomes

Kansas City’s Black LGBTQ+ community is the most highly-impacted community for HIV health-related outcomes, including HIV diagnosis and being virally unsuppressed (KC-TGA, 2022). Bond et al. (2021) and Bertolino et al. (2020) indicate a relationship between HIV risk behaviors and adverse childhood experiences (ACEs). Black, Proud, and Strong (BPS) will use a trauma-informed Community-Based Participatory Research approach to assess ACEs within the Black LGBTQ+ community and to build and...

PHC6534 - Using Mentorship to Support Children with Incarcerated Parents: A Trauma-Informed Approach

by Samantha Alvarez and Tran Tran Growing up with an incarcerated parent is a recognized adverse childhood experience. Parental incarceration negatively impacts children’s school performance, emotional and social health; it doubles the likelihood of depression and increases the chance of children adopting delinquent behaviors and entering the justice system. The number of children affected by parental incarceration in Texas makes up almost 20% of the national count, with Harris County...

PHC69534: A Rural Safety Net Mobile Clinic To Address Trauma-Related Symptoms in Rural Areas of North Central Florida

The overall age-adjusted death rate in rural areas has been greater than that of urban areas over the last two decades Alachua County reported the county experienced an age adjusted death rate of about 80 more deaths than the Florida average for the same year (Florida Department of Health, 2020). A confluence of predisposing and reinforcing psychological and socioeconomic risk factors at the individual, community, and public policy levels are responsible for the disparities in preventable...

Equipping Mothers and Preventing Trauma in Toddlers (EMPTT): An Initiative in Tulsa County, Oklahoma

In Oklahoma, children under the age of five experience Adverse Childhood Experiences (ACEs) at an alarming rate. In Tulsa County, nearly a quarter of these children are born to mothers aged 15 to 19 (Healthy Teens Oklahoma, 2022). Young mothers face a unique set of challenges, and they often feel unprepared for parenting (DeVito, 2010). However, a strong, stable presence is essential for preventing long-lasting effects of ACEs in children. Thus, equipping mothers with skills is vital for...

PHC6534: Addressing and Preventing Adverse Childhood Experiences among Women Who are Unhoused and Their Children

Adverse childhood experiences (ACEs) can have profound effects on the mental and physical health outcomes of those who are impacted, and ACEs are prevalent among those in the United States who are unhoused. Alachua County has extremely high rates of unhoused persons, including many mothers and their children. For these mothers who are unhoused, accessing healthcare is an additional burden that can seem insurmountable. This project wants to provide access to quality women’s health and mental...

PHC 6534 Grant Proposal: Reducing Cardiovascular Disease Risk in Adults of Medical Lake

Introduction We are proposing a summer program to reduce cardiovascular risk for adults age 45-75 in Medical Lake, WA, with a $8,000 budget. This trauma-informed program will have a primary focus on exercise, with secondary focuses on heart health education and cooking skills. Additionally, vouchers will be given to participants for an online tobacco cessation program via American Lung Association. With education and discussion at the start and end of the summer program, we will measure...

PHC6534 Empowering Resilience: A Trauma-Informed, Holistic Approach to Reducing Obesity in African American Adults with Adverse Childhood Experiences

Statement of Need Obesity is a condition where there is excessive accumulation of fat primarily due to eating habits and lifestyle. Numerically, a body mass index (BMI) over 30 indicates an individual who is obese. A BMI between 25.0 – 29.9 and individual is considered overweight. A BMI between 19.9 – 24.9 is considered normal weight. Below 19.9 is considered underweight. According to the CDC, the prevalence of obesity in America is 41.9% between 2017 and 2020 (CDC, 2022). Non-Hispanic...

PHC 6534: Improving Mental Health Services for Victims of Trafficking to Reduce Incidence of Adverse Events for Their Children

Abstract Human trafficking is a growing threat worldwide that has resulted in numerous national and state sponsored programs to aid victims. Human trafficking leads to adverse health outcomes like anxiety, PTSD, panic attacks, mood and behavior changes, emotional and spiritual trauma, and increased drug, alcohol, and sexual abuse. This not only affects the victims but also victims’ family members, especially children, creating an environment of constant stress. This project is targeted at...

PHC6534 Building Resilience via Self-regulation Training to reduce the number of juvenile arrests in Black male Youth in Broward County, Florida

The goal of this intervention program is to decrease the number of juvenile arrests in black male youth in Broward County, Florida. Specifically, to identify individuals with a high risk for juvenile arrest (those who have experienced four or more ACEs) early on to allow for protective measures to be put in place for these youth via self-regulation, resilience, and adult presence. The goals for this project are to decrease the negative outcomes related to ACEs in Black male youth, including...

PHC6534: Enhancing Social Support for Youth in Foster Care via Trauma-Informed Mentoring

Experiencing foster care is associated with poor outcomes including homelessness, unemployment, criminal justice system involvement, poor health, and enduring mental health/substance use problems (Courtney & Dworsky, 2006). As such, building resilience among youth in foster care is important for prevention and intervention efforts. To mitigate the likelihood of such outcomes, this grant proposes a mentorship program between youth in foster care and an adult mentor to strengthen youth...

PHC6534: Using trauma-informed care to address historical legacies of trauma in education in indigenous communities in Peru

This project seeks to address historical legacies of trauma towards indigenous Peruvians that persist, despite policies to address this, in Peru’s current education system (Rousseau & Dargent, 2019). Traumatic school environments—which may include corporal punishment or shaming towards children using indigenous languages (Sumida Huaman, 2014)—actively undermine the well-being and resilience of indigenous children. Through this project, school environments will change from being traumatic...

PHC6534: A Trauma-Informed, Community-Based Participatory Research (CBPR) Intervention to Increase Child Sexual Abuse Reporting

This proposed intervention in Gainesville, FL aims to build upon the lived experience of individuals that have experienced child sexual abuse, community members that have reported child sexual abuse, and professionals within the child welfare field to create a trauma-informed training program for use with individuals in the mesosystem of Bronfenbrenner’s Social Ecological Model (SEM) (Bronfenbrenner, 1977). The intervention design will use trauma-informed principles and community-based...

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