Family engagement in child and family service systems can be influenced by the quality of the relationship between service system, provider, and family. Knowledge surrounding how relationships are mechanisms through which family engagement can be enhanced to promote equity in service accessibility remains scant, as such family engagement continues to be studied as a family-centric behavior and attitudinal construct. Thus, limited attention has been given to exploring structural factors influencing family engagement. In response and drawing from the socio-ecological model, this dissertation combines two qualitative studies to discuss the importance of and mechanisms for building relationships in two different contexts. The first study, “Factors Influencing Family Engagement for Immigrant Latina Mothers Participating in Trauma-Informed Child and Family Behavioral Health Services”, explores qualitatively the in-depth experiences of immigrant Latina mothers in trauma-informed services to understand multilevel factors and patterns of interconnection between these factors in the social ecology that impede or foster engagement in such services. Culturally responsive strategies to trauma-informed behavioral health services employed by providers and service agencies that lower immigrant Latina mothers’ barriers are also discussed. The second paper, “Sociocultural Responsive Frameworks to Increase Family Engagement in Child Serving Systems through a Peer-to-Peer Model for Families Experiencing Trauma”, uses multimodal qualitative methodology to comprehensively examine the value of a peer-to-peer support model in the context of trauma-informed and culturally responsive approaches in order to enhance family engagement for communities at higher risk for social exclusion. Together, these studies will shed light on the importance of studying family engagement as a function of intertwined structural factors and capitalizing on meaningful relationships to overcome barriers to community-based service engagement to address health disparities.

Brave Bears was a Barrett creative project that operated under local non-profit organizations, Amanda Hope Rainbow Angels and Arizona Women’s Recovery Center. Amanda Hope Rainbow Angels provides support and education for children fighting cancer and their families. Arizona Women’s Recovery Center provides rehabilitation programs for women fighting substance abuse and housing for the women and their children. The Brave Bears Project was focused on helping children in these situations cope with the trauma they are experiencing. The children received a teddy bear, which is a transitional object. In addition, a clay pendant with the word, “brave” pressed into it was tied around the bear’s neck with a ribbon. A poem of explanation and encouragement was also included.<br/><br/>The teddy bear provided comfort to children experiencing emotionally distressing situations as they receive treatment for their illness or as their mom undergoes rehabilitation. This can be in the form of holding the teddy bear when they feel frightened, anxious, lonely or depressed. The “brave” pendant and poem seek to encourage them and acknowledge their trauma and ability to persevere.

Approximately 89 million Americans will be age 65 and older by 2050 in the United States. This older adult population is especially vulnerable to loneliness as a result of numerous age-related risk factors including loss of social support and declining health. In addition to these common risk factors, refugee older adults may face increased loneliness as a consequence of war-related trauma, loss, and marginalized cultural values in their host country. Despite their heightened vulnerabilities to loneliness, the experiences of refugee older adults remain understudied.

This is the first study aimed at understanding the loneliness experiences of community-dwelling Hmong older adults, an ethnic group resettled in the United States as refugees over 40 years ago. A constructivist grounded theory method guided by an intersectionality framework was used to address three aims: 1) to understand the concept of loneliness among community-dwelling Hmong older adults, 2) to explore the premigration, displacement, and postmigration experiences of loneliness among community-dwelling Hmong older adults, and 3) to examine how community-dwelling Hmong older adults cope with loneliness. Semi-structured individual interviews were conducted with 17 Hmong older adults age 65 and older residing in Sacramento and Fresno, California. Analysis of the data was an iterative process between coding the data, generating focused codes, and connecting the categories to establish a conceptual pattern.

Participants conceptualized loneliness as a negative experience represented through physical and emotional expressions and intensity, which were influenced by an intersectional identity. Factors that influenced their experiences of loneliness in the premigration, displacement, and postmigration phase were discussed as trust, loss, aging-related issues, isolation, sense of community, access to cultural community, instability, violence, and cultural adjustments. Their narratives offered several coping mechanisms including religious and spiritual beliefs, social support, wandering, activity engagement, and control and avoidance. These findings informed a conceptual model of loneliness that incorporated an intersectional identity, influencing factors, and coping mechanisms. Overall, the results provide nuanced cultural meanings and insight into the loneliness experiences of Hmong older adults. Implications for social work research, practice, and policy suggests the need for greater culturally- and linguistically-competent services informed by Hmong older adults.

This study explores how a teen center within a local police department in California impacts the lives of local Latinx youth. Through a mixed methods approach of surveys, focus groups, and interviews, the study explores Mexican American youth, the most populous Latinx youth in the United States who are uniquely challenged by varying immigration statuses, mental health, and academic barriers. Theoretically, the study draws out intersections unique to the Latinx youth experiences growing up in America and engages in inter-disciplinary debates about inequities in health and education and policing practices. These intersections and debates are addressed through in-depth qualitative analysis of three participant groups: current youth participants of the teen center’s Youth Leadership Council (YLC), alumni of the YLC, and adult decision makers of the program. Pre- and post-surveys and focus groups are conducted with the youth participants over the span of a full year, while they take part in the teen center program, capturing how the teen center directly impacts their academic achievements, feelings of belonging, mental health, and attitudes towards law enforcement, over time. Interviews with alumni and key decision makers of the teen center further reveal broader patters in how the YLC program positively impacts the lives of Latinx youth and the challenges it faces when federal immigration enforcement complicates local policy relations with local communities.