A5075495578- Child and Adolescent Psychosocial and Emotional Development
- Child Abuse and Trauma
- Migration, Health and Trauma
- Mental Health Treatment and Access
- HIV/AIDS Research and Interventions
- Digital Mental Health Interventions
- Attachment and Relationship Dynamics
- Homelessness and Social Issues
- Intimate Partner and Family Violence
- Maternal Mental Health During Pregnancy and Postpartum
- Community Health and Development
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- Family Dynamics and Relationships
- HIV-related health complications and treatments
- Cambodian History and Society
- Resilience and Mental Health
- Pharmaceutical Practices and Patient Outcomes
- Attention Deficit Hyperactivity Disorder
- Pharmaceutical studies and practices
- Telemedicine and Telehealth Implementation
- Homicide, Infanticide, and Child Abuse
- Hepatitis C virus research
- Family and Disability Support Research
- Posttraumatic Stress Disorder Research
Johns Hopkins University
2021-2023
Harvard Global Health Institute
2020-2022
Harvard University Press
2020
Harvard University
2020
DePaul University
2015-2018
This research seeks to identify profiles of adaptation among child victims suspected maltreatment using a social-ecological framework. Data were drawn from the LONGSCAN multisite longitudinal study. Participants 597 12-year-old children diverse backgrounds (57% girls) with at least one Child Protective Services report (M = 3.4 reports). Self-, caregiver-, and teacher-reports collected assess competence, psychological behavioral problems, family neighborhood characteristics. Latent Profile...
Children’s appraisals of interparental violence, including high threat and low coping efficacy, are robust predictors behavioral emotional problems. However, few studies have examined the factors that account for children’s use these maladaptive appraisals, particularly among children exposed to more severe forms conflict. The current study examines parent–child relationship quality as a mediator effect intimate partner violence (IPV) exposure on Participants were 118 mother–child dyads (54...
Extant research consistently links youth externalizing problems and later maladaptive outcomes, these behaviors are particularly detrimental given their relative stability across development. Although an array of risk protective factors for have been identified, few studies examined reflecting the multiple social-ecological levels that influence child development used them to predict longitudinal trajectories problems. The current study behavior in a sample 1,094 at-risk (539 boys, 555...
Background. As evidence supports task-shifting approaches to reduce the global mental health treatment gap, counselor competency evaluation measures are critical ensure evidence-based therapies administered with quality and fidelity. Objective. This article describes a training technique for evaluating lay counselors’ practitioners without rating scale experience.Methods: Mental were trained give Enhancing Assessment of Common Therapeutic Factors (ENACT) test assess proficiency in delivering...
Prior research has consistently found disproportionate rates of traumatization and psychopathology in criminal justice-involved women. The current study aimed to characterize traumatization, psychopathology, diagnostic comorbidity women involved with the justice system. Furthermore, this examined role posttraumatic stress symptoms association between traumatic events levels self-esteem. Participants were 185 from Chicagoland area or previous (past 2 years) involvement Results confirmed...
Background Mental and behavioral health needs are immense in low-to-middle income countries (LMIC), particularly for adolescents young adults (AYA). However, access to mental services is limited LMIC due barriers such as distance a care site, low number of providers, other structural logistical challenges. During the COVID-19 pandemic, these were significantly exacerbated and, thus, severely disrupted. A potential solution some remote delivery via technology. Exploration AYA experiences...
Abstract The ability to regulate stress is a critical developmental milestone of early childhood that involves set interconnected behavioral and physiological processes influenced by genetic environmental stimuli. Prenatal exposure traumatic trauma, including intimate partner violence (IPV), increases risk for offspring biobehavioral regulation problems during adolescence. Although individual differences in susceptibility prenatal have been largely unexplored, handful studies suggest...
HIV-related stigma represents a potent risk factor for range of poor health outcomes, including mental symptoms, treatment non-adherence, and substance use. Understanding the role in promoting healthcare outcomes is critical vulnerable populations, such as pregnant women living with HIV, contexts continued high rates HIV associated stigma, sub-Saharan Africa. The current study examined protective factors 742 (M age = 29.6 years) depression accessing prevention mother-to-child transmission...
Clinical and quality of life outcomes in people living with human immunodeficiency virus (PLWH) are undermined by unhealthy alcohol use (UAU), which is highly prevalent this population often complicated mental health (MH) or other substance (SU) comorbidity. In sub-Saharan Africa, evidence-based implementable treatment options for HIV UAU needed.We conducting a hybrid clinical effectiveness-implementation trial at three public-sector clinics Lusaka, Zambia. Adults HIV, who report UAU, have...
Unhealthy alcohol use is an unaddressed barrier to achieving and maintaining control of the human immunodeficiency virus (HIV) epidemic. Integrated screening, treatment common behavioral mental health comorbidities, telemedicine can improve HIV clinical quality life outcomes for rural underserved populations.In a randomized controlled trial, we will evaluate effectiveness implementation telephone-delivered Common Elements Treatment Approach (T-CETA), transdiagnostic cognitive therapy...
Research on the impact of COVID-19 pandemic among college students around world has primarily focused their mental health symptoms and COVID-specific worry. However, contextually specific understanding outbreak impacts is key to inform directed public messaging programming improve wellbeing coping. The current study aimed identify main psychosocial problems experienced during first 6 months in Monterrey, Mexico. Participants were 606 (71% female) enrolled a private university. described...
More than half of all children in Cambodia experience direct abuse and over 70% other traumatic events, which significantly increase their risks for a range physical mental health problems. Additionally, Cambodian face longstanding sociopolitical, intergenerational, cultural factors that compound the impact trauma. As result, rates posttraumatic stress symptoms among youth are high. However, care providers often rely on Western-based nosology does not account culturally specific expressions...
Child trauma and posttraumatic stress in Cambodia is highly prevalent, perpetuated within a postwar sociocultural context. The examination of locally meaningful expressions distress needed to provide culturally sensitive assessment treatment trauma-affected Cambodian children. acceptable, feasible, sustainable incorporation into intervention development relies on key mental health professionals operating Cambodia, who can invaluable perspectives child experiences this particular In study,...
Integrated primary care (IPC) is intended to address the gap in access behavioral health care. This may be particularly true urban settings; however, there a paucity of research on treatment engagement IPC. study explored factors associated with engagement.Data were collected via retrospective chart review for 410 patients diverse backgrounds who received an IPC referral site. Patient-related included having multiple types concerns, patient show rate, and number visits referring clinician....
Abstract Background In low- and middle-income countries (LMIC), there is a substantial gap in the treatment of mental behavioral health problems, which particularly detrimental to adolescents young adults (AYA). The Common Elements Treatment Approach (CETA) an evidence-based, flexible, transdiagnostic intervention delivered by lay counselors address comorbid conditions, though its effectiveness has not yet been tested among AYA. This paper describes protocol for randomized controlled trial...
Across contexts, the roles and responsibilities for children are shaped by a range of sociocultural factors; thus, contextually specific exploration adaptive functioning norms is important in optimizing acceptability, effectiveness, sustainability mental health intervention community programming. The current study aimed to examine child behaviors Cambodia, country faced with continuing recovery efforts from war genocide, intergenerational trauma transmission, poverty, minimal access...
Abstract Background In low- and middle-income countries (LMIC) there is a substantial gap in treatment of mental behavioral health problems, which particularly detrimental to adolescents young adults (AYA). The Common Elements Treatment Approach (CETA) an evidence-based, flexible, transdiagnostic intervention delivered by lay counselors address comorbid conditions, though its effectiveness has not yet been tested among AYA. This paper describes the protocol for randomized controlled trial...
Background: HIV clinical and quality of life outcomes in people living with (PLWH) are undermined by unhealthy alcohol use (UAU), which is highly prevalent this population often complicated mental health (MH) or other substance (SU) comorbidity. In sub-Saharan Africa, where UAU commonly intersect, evidence-based implementable treatment options needed.Methods: We conducting a hybrid effectiveness-implementation trial at three public-sector clinics Lusaka, Zambia. Adults HIV, who report UAU,...