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April 2023

PHC6534: Utilizing a Trauma-Informed Approach to Reduce Fentanyl Overdose in Cook County, Chicago

Fentanyl is an extremely dangerous synthetic opioid that acts like morphine but is 100 times stronger than morphine and 50 times stronger than heroin (CDC, 2022). In Chicago, Illinois overdose deaths increased by 533% from 2015 to 2017 (Chicago Department of Public Health, 2018). Additionally, in Cook County fentanyl use is associated with about 90% of fatal overdoses (CDPH, 2018). Trauma and Advanced Childhood Experiences (ACEs) can be contributing risk factors in opioid use. Utilizing a...

PHC6534: Adolescents and Young Adults, Pediatric Medical Traumatic Stress, and Social Support: A Palliative Care Peer Support Program

Pediatric medical traumatic stress (PMTS) is defined as “a set of psychological and physiological responses of children and their families to pain, injury, serious illness, medical procedures, and invasive or frightening treatment experiences” (The National Child Traumatic Stress Network, 2018). Adolescents and young adults (AYAs) with chronic illness are particulary susceptible to PMTS due to their increased likelihood of experiencing potentially traumatic medical events and the...

PHC6534: A Food Program for Autistic Adults in Alachua County, FL

The proposed project aims to improve food access for autistic adults in Alachua County, FL, who are at a heightened risk of poor health outcomes due to an Adverse Childhood Experiences (ACE) score of at least one (Felitti et al., 1998). The project will be implemented using a trauma-informed approach, incorporating SAMHSA's Six Principles of Trauma-Informed Organizations (2014), at both individual and community levels of McLeroy's Social Ecological Model (1988). The public health framework...

PHC6534: A Trauma-Informed Approach to Resolving Anxiety and Depression Symptoms in Adolescents Living in ACE-Concentrated Communities

Anxiety, depression, and substance abuse are just three issues that children aged 11 through 18 are enduring as a result of adverse childhood experiences. In Calhoun County, Florida, the rate of children who skip school out of concern for their safety, felt hopeless, and experienced over 4 ACEs was drastically higher than all other counties in the state. To address these risk behaviors and predecessors to chronic health conditions or even dropping out of school, our program aims to utilize a...

PHC6534: A Trauma-Informed Intervention to Reduce Food Insecurity

Food insecurity is a significant stressor in family households and a driving force to devastating health consequences in many populations globally; it is associated with health outcomes including obesity, depression, adverse mental health outcomes as well as poor sleep outcomes (Royer et al., 2022; Nagata et al., 2019). A trauma-informed intervention to reduce food insecurity in Los Angeles County would involve a trauma-trained and multidisciplinary team that provides three important...

PHC 6534: Mental Health Youth Prevention Utilizing Trauma Informed Interventions and Community Support/Resources.

Childhood exposure to toxic stressors and traumatic events negatively impact the development of the child’s brain and increases the risk of poor coping skills and cognitive impairments (Daly, 2015). Adverse Childhood Experiences study found that exposure to one or more ACE’s highly affects children overall physical and mental well-being (CDC, 2021). Although 9 in 10 children receive regular medical care focused on physical concerns, only 1 in 3 pediatric professionals report having...

PHC6534: Combating ACEs and Mental Health Issues for Students in Alachua County

Inequalities woven into social structures have historically put minorities at disadvantage, impacting their health outcomes (Trent et al., 2019). Social determinants of health including racism have a deep negative effect on health and well-being, despite the progress made toward racial equalities (Trent et al., 2019). Black and Hispanic children have the highest risk for experiencing ACEs, as 61% of Black children and 52% of Hispanic children in the U.S. reported exposure to at least one ACE...

PHC6534- Intimate Partner Violence Against Women in Guatemala Intervention: A Trauma-Informed Program

In 2008-09, the National Maternal and Child Health Survey surveyed women in Guatemala, and more than half of them reported experiencing some type of violence in the last 12 months. Guatemala has a long standing history of a patriarchal society that devalues women, even despite women’s rights advancements. The trauma these women endure each day take a toll on their health and their families, especially mental health. Our program aims to fill in these gaps by identifying women at risk,...

PHC6534: Establishing a Trauma-Informed Community in Aquatic Animal Health: Preventing Long-Term Adverse Health Conditions Due to Chronic Trauma Exposure in Animal Welfare Professionals

First responders play a crucial role in the care of individuals affected by natural and man-made disasters. Research has shown that trauma-related disorders, such as posttraumatic stress disorder (PTSD) (22%) and depression (26%) (Fullerton, 2006), are well-documented in human first responders and behavioral health issues, such as suicidal thoughts and poor interpersonal relationships, can affect up to 51% of veterinary emergency responders following a disaster (Vroegindewey, 2021). In the...

PHC6534: Preventing Suicide in Alachua County Utilizing a Trauma-Informed Approach

In 2020, suicide was ranked among the top five most significant health problems in Alachua County, Florida (CDC, 2023). A significant association exists between exposure to adverse childhood experiences and one’s risk of suicide; individuals with an ACE score of four or more are 30 times more likely to attempt suicide than individuals with an ACE score of zero (CDC, 2022b). My proposed program utilizes a trauma-informed approach to increase awareness of mental health resources and build...

PHC6534 Using a Trauma-Informed Approach to Address Childhood Obesity

Childhood obesity is a serious medical condition affecting children and adolescents that has increased by more than eightfold over 40 years (Ling et al., 2022). It is a significant health problem globally, with a prevalence of 19.7% in the U.S, affecting around 14.7 million children and adolescents aged 2 to 19 yeas. old (CDC, 2022). Several studies have documented how adverse childhood experiences (ACEs) increase the risk of childhood obesity and associated behavioral and psychiatric...

PHC6534: Trauma-Informed Sexual Assault Prevention at the University of Florida

My grant proposal focuses on the prevention of sexual assault at the University of Florida--specifically within the undergraduate female population. The program's activities place an emphasis on health education and are modeled according to the social ecological model developed by the CDC to effectively target the individual, relationship, community, and societal levels at UF. As such, the program intends to employ a trauma-informed approach in adapting each principle of the Six Key...

PHC6534:Experiences, Prevalence and Attitude of Anxiety and Suicidal Ideation in College Students affected through Adverse Childhood Experiences

The prevalence and impact of adverse childhood experiences (ACEs) on the mental health of college students is a growing concern. According to Butler and Kaplow (2019), college students with a history of adverse childhood experiences (ACEs) are at a higher risk for developing mental health issues such as anxiety, depression, and suicidal ideation. The proposed grant aims to provide support and resources for college students affected by ACEs using a trauma-informed approach, which recognizes...

PHC6534: Informing Obstetricians & Gynecologists about Adverse Childhood Experiences and Trauma-Infomed Care

My grant proposal focuses on educating obstetricians and gynecologists about adverse childhood experiences (ACEs) and trauma-informed care. Obstetricians and gynecologists (OB/GYN) lack clarity on identifying and addressing patients’ trauma symptoms and experiences (Nagle-Yang et al., 2022). Physicians using trauma-informed care during patient examinations can help promote mental health in patients and prevent re-traumatization in some (Hall et al., 2021). This program will host biweekly...

PHC 6543: Vamos Hablar: A mental health program utilizing a trauma-informed approach for Hispanic adults in Alachua County

Instances of adverse childhood experiences (ACEs) such as experiencing violence, and abuse are connected to mental health illness in adulthood (Centers for Disease Control and Prevention, 2020). The Hispanic community is a heterogenous and growing population in the United States (U.S.). This group is estimated to be 30% of the U.S. population by 2060 (Colby & Ortman, 2015). Hispanics face social, legal, and economic adversities (Vega et al., 2009) which affect their overall health and...

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