Our teams grapple with the multiple layers in which policies and supports can be changed to allow individuals to access resources that will best enable them to adapt to difficulties. Check out different evolving models from our teams below. Our ongoing research informs our thinking and allows us to improve these models.
Clergy Well-Being
Study findings across 18 years of United Methodist clergy in North Carolina identified factors related to mental distress and stress symptom outcomes, as well as positive mental health and ministry satisfaction outcomes. The model here, drawing on work by Lee et al. (2024), indicates hypothesized stress and resilience cascades in which factors may build on each other to increase stress symptoms or resilience. It is possible that resilience factors buffer stress symptoms in the face of stressors. Better health outcomes are achieved by working across multiple levels.

Resilience is a process of growth in the midst of adversity that results in long-term, increased well-being. It is not an end state or a trait.
- Resilience requires ongoing practices to foster growth in challenging circumstances.
- The process of resilience involves growing and learning.
- Thus, the “bouncing back” analogy falls short – one is ultimately transformed and has new wisdom and capabilities.
To learn more, contact Rae Jean Proeschold-Bell.
Orphaned & Separated Youth

Teen Pregnancy Prevention

- Evidence-based teen pregnancy prevention interventions, implemented within a positive youth development framework, can assist adolescents in building problem-solving skills, developing a
sense of self efficacy, and promoting self-worth. - Mindfulness practices and access to mental health and other support services help adolescents
develop emotional regulation, strengthen conflict resolution skills, and build a sense of agency. - Connection and meaning are vitally important to adolescents. Adolescent resilience is built
by creating purpose and understanding within strong and healthy relationships among peers,
romantic partners, caregivers, mentors, and community. - The interventions are implemented in multiple settings with youth in schools, after-school programs, juvenile justice, and foster care, thereby changing the larger environment for youth and those who care for them.
Projects
- Adolescent Pregnancy Prevention Program (AP3)
- Eastern North Carolina Health Education for Adolescents Lives (ENC-HEAL)
- Personal Responsibility Education Program (PREP)
Wilkins, N., Tsao, B., Hertz, M., Davis, R., Klevens, J. (2014). Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention Oakland, CA: Prevention Institute.
To learn more, contact Kimberly McNeil.
Minority Stress
Items marked as * are areas of intervention for our research teams and include developing and testing interdisciplinary systems of evidence-based care, community directed interventions for wellness assessment and promotion, and educational programs to enhance reach of affirming mental health, medical care, and social supports. Resilience factors on the right can complement each other to create a more robust environment for wellness and also assist in mitigating the stress factors on the left.

Adapted from Lee et al 2024. How can we build structural resilience: Integration of social-ecological and minority stress models, American Psychologist.
To learn more, contact Susan Reif, PhD.


