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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...

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...

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