2024-

2025
Darian Palacio
Food for Thought
2024-2025
Wrangling the Truth: Mobile Mental Health and Creative Behavioral
Intervention - Community and Individual Resilience through Cognitive Flexibility
 Table of Contents
Topic Background (Literature Review) and Research Questions…. 3
Introduction and Relevance…. 3
Social Determinants and Psychological Consequences… 4
Sociological Patterns and Equity Issues… 5
Historical Significance and Rural Dimensions… 5
Definitions and Discrepancies… 6
Deeper Insights on Literature Review… 7
Mental Health Services and Outreach… 7-9
Holistic Health and Substance Use Support… 9-10
Community-Based Health Interventions: Creative Engagements PT. 1 - Immersive art
Installations… 10-11
Conclusion… 12
Research Questions… 13-14

Theoretical and Methodological Frameworks… 14-15

Behavioral Science and Neuropsychology in Mental Health Interventions… 15
Emotional Catharsis and Storytelling in Mental Health…15-18
Mobile Mental Health and Creative Engagement… 18-20
Biomarker Analysis in Emotional Catharsis… 20
Stress Reduction and Emotional Relief (Cortisol Levels): Saliva… 21
Discovering Social and Emotional Bonding (Oxytocin): Saliva… 21
Integration of Comfrt Clothing… 22
Self Help Consultations… 22-24
Conclusion… 24-25

The Community Partner and other Collaborations… 25-26

Program Planning and Evaluation Considerations… 26
Evaluation Methods and Methodological Approaches… 26
Qualitative and Quantitative Measures…26-28
Thematic Analysis… 28-30
Implementation Science…30-31
Logs and Attendance Records and Informing Mid-Course Corrections… 31-32
Risk, Limitations, and Mitigation Strategies… 32-36
Quality Assurance and Protocol Refinement Checklists, Standardized Forms, qualitative questions
and Surveys… 33 - 74

Timeline… 74 - 77
Starting the Project “Wrangling the Truth”… 77
Future Considerations… 78 - 80
Reporting and Dissemination… 81
Conclusion… 81-82
 Proposal
Food for Thought: Feeding the community in more than one way
“I want to not only understand systems but build systems. Even better, help other individuals build
themselves to be whatever it is they believe they can be. If they are…”
Topic Background (Literature Review) and Research Questions
Introduction and Relevance
In recent years, the convergence of mental health and substance abuse to improve overall health and
lifestyle has gained attention as a critical area of research and intervention. Mental health issues in rural
communities, such as Gunnison, Colorado, are compounded by geographic isolation, socioeconomic
barriers, and cultural stigma, all of which make accessing mental health services a significant challenge.
Traditional models of centralized healthcare have face barriers to address these problems, leading to
untreated mental health conditions, such as depression, stress, and substance abuse. These barriers
necessitate innovative approaches that are more accessible, non-stigmatizing, and tailored to the unique
needs of rural populations. This interdisciplinary focus is particularly innovative when integrated into a
mobile outreach model, such as a food truck. Food brings people together one way or another. The
concept of using a food truck to not only serve a Mexican-Asian cuisine to the community but also
deliver services and resources related to mental health and substance. A novel approach that addresses
accessibility and community engagement. This method leverages the mobility and appeal of a food truck
to reach diverse populations, including underserved and rural communities, offering them essential
resources and education in an accessible and non-stigmatizing environment. Further building community
resilience and creating an entry point to capitalize on opportunities to enhance communication and
connection inside and outside of the community about not only mental health and substance abuse; but
also an exchange of knowledge and resources. Especially when community engagement is done in a
creative manner on different platforms.
This proposal introduces a novel solution that integrates mobile mental health service with creative
engagement interventions and behavioral science principles. By utilizing a mobile unit as a platform for
mental health and substance abuse support, paired with the "Wrangling the Truth" storytelling booth and
partnerships with other organizations this initiative aims to reduce stigma, improve emotional resilience,
and promote social cohesion. The project draws on both established and emerging research on emotional
catharsis, wearable comfort, and neurochemical regulation to provide a holistic approach to rural mental
health care. Another significance of this research lies in its potential to address or discover multiple social
determinants of health and well-being. In the past year in a half Gunnison has lost 13 community
members to suicide. Many people do not feel that counseling is a tool that would be beneficial to them,
for an example, men in the Gunnison Valley have agreed that getting together with other men to discuss
the issues they face and learning from others that have been through similar situations would be a way for
them to feel safe discussing life and learning from others who may have experienced the same things. By
providing these health-related resources through mobile mental health and creative engagement this
approach can have a profound impact on individuals' overall quality of life and serve as a good ice
breaker and an entry point in understanding and supporting mental health for all.
Social Determinants and Psychological Consequences
Social determinants of health are conditions in the environments where people are born, live, learn, work,
play, and worship that affect a wide range of health. Such as functioning and quality-of-life outcomes. In
rural areas, social determinants such as socioeconomic instability, social isolation, and limited access to
healthcare play a significant role in the exacerbation of mental health issues. Research highlights that
these factors not only increase psychological distress but also lead to untreated conditions, which can
escalate into severe disorders, including substance abuse and suicidality. Gunnison is a community that
faces these challenges acutely, with higher-than-average rates of suicide and substance abuse driven by
geographic isolation and limited mental health resources (Gunnison Valley Health).
The psychological impact of loneliness and isolation is profound, particularly in rural communities where
mental health stigma discourages open conversations about emotional well-being. This stigma often leads
individuals to internalize their struggles, resulting in heightened anxiety, depression, and chronic stress. In
these communities, the compounded effects of mental health struggles and substance abuse frequently
create a cycle of emotional distress and social withdrawal. Substance abuse, which is often used as a
coping mechanism to self-medicate against feelings of loneliness or psychological pain, can further
deepen isolation and create additional barriers to recovery. This interplay between substance abuse and
mental health conditions is commonly referred to as a dual diagnosis or co-occurring disorder, where
individuals face the compounded burden of managing both psychological symptoms and addiction.
Studies suggest that interventions that foster emotional expression, such as storytelling and anonymous
sharing, can significantly reduce feelings of isolation, improve emotional regulation, and enhance
psychological resilience (Schauer, M., Neuner, F., & Elbert, T.). Integrating mobile mental health and
substance abuse support in these communities can help break this cycle by addressing psychological
barriers and offering accessible, confidential resources. Mobile mental health units that provide
consultations, peer support, and substance abuse intervention not only reduce the stigma associated with
seeking help but also bring essential services directly to those who may otherwise avoid traditional
settings. The economic impact of untreated mental health and substance abuse challenges is profound.
Individuals who lack support may find it difficult to maintain steady employment, pursue educational
opportunities, or invest in their future. This creates a ripple effect, weakening not only the individuals’
personal stability but also the overall resilience of the community. In towns like Gunnison, where the cost
of living is high, the intersection of economic and mental health stressors can lead to increased
vulnerability and reduced quality of life.
Sociological Patterns and Equity Issues
Rural communities often face deep-rooted cultural stigma around mental health, which discourages
individuals from seeking help. This stigma, combined with logistical barriers like transportation and
financial hardship, creates inequitable access to mental health services. In Gunnison, these issues are
particularly acute, where individuals may fear judgment from their close-knit community if they seek
mental health care.
The mobile health model is a direct response to these challenges. By bringing care directly to the
community, it eliminates many of the geographic and financial barriers that typically prevent people from
accessing services. Utilizing a mobile mental health for outreach leverages existing community patterns
and behaviors, making the approach both familiar and approachable. This reduces the stigma often
associated with seeking help for mental health and substance abuse. The mobile nature of a food truck fits
seamlessly into the social fabric of communities, using the informal setting to break down barriers and
encourage engagement. This model leverages social networks and community settings, which are
powerful influencers of individual behaviors and choices. This mobile unit will not only provide mental
health support but will also create a space for emotional expression through the "Wrangling the Truth"
booth, where participants can share their personal stories and secrets anonymously (Schauer, M., Neuner,
F., & Elbert, T.). This reduces the fear of judgment and creates a non-stigmatizing environment for
engagement. This approach democratizes health and substance abuse, making these crucial services
available to everyone, regardless of their economic status or where they reside. Which is important when
the process of replicating this model.
Historical Significance and Rural Dimensions
The traditional centralized models of mental health care are historically underserved rural populations.
Long travel distances, limited local resources, and a lack of mental health professionals have made it
difficult for individuals in these areas to access the care they need. In response, mobile health services
have emerged as a promising alternative that brings care directly to underserved communities (Hill, M.
C., & Fraser, M. W. (2020). Traditionally, outreach and education regarding mental health and substances
have been confined to stationary institutions like schools, clinics, and some community centers. The
adoption of the food truck model marks a significant paradigm shift toward more flexible and accessible
service delivery. This evolution mirrors broader trends in public health and education that emphasize
accessibility, community engagement, and the destigmatization of seeking assistance. It represents a
move towards more innovative, community-centered approaches that meet people where they are. Rural
communities frequently encounter significant challenges due to a scarcity of essential resources like
healthcare, financial services, and educational opportunities. These challenges stem largely from
geographical isolation, which not only makes it difficult and costly to deliver services but also
discourages providers from establishing operations. This isolation is compounded by the typically limited
industrial base of rural areas, which curtails economic growth and reduces public service funding. The
smaller population density further complicates the viability of maintaining robust infrastructure, as there
may not be enough demand to sustain such investments. The mobility of a food truck model addresses
these challenges by physically bringing essential services directly to these underserved and isolated
communities. This innovative approach effectively bridges the geographical gaps that contribute to health
and financial inequities, improving access and reducing the effects of resource scarcity and social
isolation. By integrating rural communities into broader health and financial networks, the food truck not
only enhances access to vital services but also strengthens community ties, fostering greater resilience and
enhancing the overall quality of life in these areas. This proposal builds on the successes of mobile health
interventions by integrating creative methods such as storytelling and emotional catharsis, both of which
have been shown to reduce stigma and foster emotional resilience (Schauer, M., Neuner, F., & Elbert, T.).
Definitions and Discrepancies
Definitions of key concepts such as mental health and substance abuse have evolved over time,
influenced by research and practical experiences. The community will voice data.
 Mental Health: Historically defined narrowly as the absence of mental illness, contemporary
definitions encompass a broader range of emotional, psychological, and social well-being.
 Experts emphasize the importance of resilience, life satisfaction, and positive functioning,
whereas laypersons may still view mental health primarily in terms of mental illness.
 Substance Abuse: The definition of substance abuse has broadened from a focus on the misuse
of drugs and alcohol to include the underlying psychological and socio-economic factors that
contribute to addiction. Modern interpretations consider the impact of environment, trauma, and
access to resources, moving beyond the earlier, more limited view of substance abuse as a purely
individual moral failing or medical issue. (Are you having fun or trying to go numb? – Not saying
to quit but find balance, it exists.)
Discrepancies between expert and layperson definitions of mental health and substance abuse can
significantly impact the real-world applicability and engagement of interventions. For instance, if
community members perceive mental health support solely as treatment for severe mental illness for
conditions like depression or anxiety, the broader scope of mental well-being—such as stress
management, social connection, and emotional regulation—may be overlooked. Leading them to be less
inclined to engage in preventative activities or resilience-building programs that are crucial for early
intervention and long-term mental health. Understanding and strengthening your own mental model is a
lifelong skill that requires practice. Similarly, if substance abuse is only understood as addiction to illegal
substances, individuals struggling with alcohol dependency, prescription misuse, or other forms of
substance use may not see themselves as candidates for support and recovery services. This gap in
perception can hinder outreach efforts, particularly in rural and small-town communities where stigma
around mental health and substance abuse can be high, and access to care is limited. The integration of
mental health and substance abuse services through a mobile outreach model, such as a mental health and
wellness food truck, offers a promising approach to bridge these gaps and enhance public health
outcomes. By addressing key social determinants, reducing psychological stressors, and promoting
holistic support, this model can meet individuals where they are and create a more accessible pathway to
recovery.
Different communities may have distinct ways of framing mental health and substance use, which can
influence how individuals perceive their own needs and whether they seek help. For example, in some
cultures, heavy alcohol use may be normalized as part of social gatherings, while seeking help for
emotional issues may be viewed as a sign of weakness. Creating culturally sensitive interventions that
respect these norms while offering alternative perspectives can facilitate more meaningful engagement.
Providing resources that acknowledge cultural practices, offer alternative coping strategies, and include
culturally relevant support mechanisms (bilingual services or culturally resonant outreach materials) can
make a significant difference in participation and outcomes.
Understanding and addressing discrepancies in definitions and perceptions is crucial for designing
effective interventions that resonate with and meet the needs of diverse populations. This research
underscores the importance of accessibility, community engagement, and culturally tailored support in
fostering sustainable health and well-being. By normalizing conversations around mental health and
substance abuse through innovative outreach models, we can create environments that promote healing
and growth, reduce the stigma associated with seeking help, and ultimately enhance the mental and
emotional health of rural and small-town communities
Deeper Insights on Literature Review
Mental Health Services and Outreach
Although research on food trucks specifically being used as mobile health outreach services is limited,
mobile health services in general have consistently been shown to significantly improve access to
healthcare, particularly in rural and underserved areas. These services often include mobile clinics that
provide preventive and primary care, contributing to the reduction of health disparities and improving
overall health outcomes. Mobile health units have been particularly effective in delivering essential care
such as screenings, vaccinations, chronic disease management, and mental health support, enhancing both
healthcare accessibility and quality (MDPI; BioMed Central). Studies on mobile health services
emphasize their crucial role in reaching populations that face barriers to traditional healthcare access,
such as women, low-income individuals, and Black-Indigenous-People of Color (BIPOC). This outreach
is especially critical in rural regions like Gunnison, where healthcare infrastructure is often limited,
making mobile health services a necessary intervention. The Mobile Health Clinics Association (2019)
highlights that mobile clinics can offer flexible and responsive care tailored to meet the unique needs of
these communities (Frontiers). The integration of various health services in Mobile Health Clinics
(MHCs) has been shown to lead to improved health outcomes, higher patient satisfaction, and cost-
effectiveness, as evidenced by a study that demonstrated MHCs' ability to reduce emergency department
visits and hospital admissions (Verma, 2017). Moreover, the combination of mobile health services with
Community-Based Participatory Research (CBPR) builds strong, trust-based relationships between
healthcare providers, researchers, and the community, further enhancing the effectiveness of interventions
and ensuring their long-term sustainability. CBPR approaches have been proven to improve health
behaviors, increase health literacy, and empower communities by addressing Social Determinants of
Health (SDOH) such as financial literacy, housing, social support, alongside traditional healthcare
services (Kelly, 2018). Integrating SDOH into healthcare delivery improves patients' quality of life,
reduces stress, and enhances their ability to manage their health. Such comprehensive care models
demonstrate the effectiveness of addressing both health and social needs simultaneously.
Moreover, mobile health strategies that incorporate technology, such as mHealth interventions (including
mobile apps, text messaging, and telehealth), have increased the reach and efficiency of health services.
These tech-enhanced approaches are particularly effective in managing chronic diseases, delivering
mental health support, and providing health education. Park (2020) highlights how the integration of
technology into mobile health services improves patient engagement, satisfaction, and health outcomes,
while simultaneously addressing healthcare disparities in underserved populations. These combined
efforts of mobile health, technological integration, and community engagement emphasize key elements
such as improved access, comprehensive care, preventative services, and long-term positive impacts.
When considering mental health outreach, mobile units have shown particular success in increasing
access to care and reducing the stigma surrounding mental health issues. Mobile mental health programs,
especially those that integrate CBPR, ensure that services are culturally relevant, effective, and well-
accepted within the community. By involving community members in the research and service delivery
process, these programs create more sustainable and impactful mental health interventions (Wallerstein,
2010). Additionally, community engagement strengthens the relationship between healthcare providers
and local populations, leading to better mental health outcomes and increased trust in mental health
services. Peer support programs, which involve individuals with lived experiences of mental health
challenges, are especially effective within mobile mental health outreach. These peer support specialists
not only provide emotional support but also help connect individuals to the necessary health services,
fostering a deeper sense of understanding and community. Research shows that mobile mental health
units staffed by peer support specialists can effectively address mental health crises and provide ongoing
support, improving mental health outcomes and patient engagement (American Psychological
Association; Frontiers).
Building on these findings, food literacy programs are another valuable addition to mental health
interventions. Research indicates that understanding how to prepare healthy meals significantly impacts
mental health. Community-based cooking interventions have demonstrated improvements in participants'
cooking confidence, overall health, and mental well-being. For example, a study in Australia found that a
seven-week cooking program enhanced participants' general health and mental health, despite not
significantly changing dietary behavior or nutrition knowledge (Frontiers). These results suggest that food
literacy programs can empower individuals to make healthier food choices, ultimately contributing to
improved mental health. This approach could complement the mental health outreach initiative through a
partnership with the Gunnison Food Pantry, where cooking education programs could be integrated to
further enhance participants' well-being.
Similarly, mobile mental health outreach has been shown to be particularly effective for vulnerable
populations, such as homeless individuals and veterans. Studies have demonstrated that mobile mental
health clinics targeting homeless populations significantly increased access to mental health care,
resulting in reductions in psychiatric symptoms and improvements in overall mental health. This strategy
not only provided essential care to individuals who might not otherwise seek it but also reduced the
number of emergency room visits. In another case, targeted mobile mental health services for veterans
were found to improve mental health outcomes by making it easier to reach and engage specific
populations (Collins, 2013). These findings underscore the importance of tailoring mental health services
to meet the unique needs of various populations, ensuring that care is accessible and effective.
Telehealth has also played an increasingly important role in expanding the reach of mobile mental health
services. Telehealth will be considered for this project as Brauer's research highlights how telehealth
integration has extended the scope of mobile mental health units, allowing them to serve even more
remote and underserved areas. The use of telehealth enhances the continuity and efficiency of care,
leading to better patient satisfaction and mental health outcomes. Together, these research studies provide
strong evidence supporting the effectiveness of mobile mental health outreach programs. They
demonstrate the importance of accessibility, cultural relevance, and community trust, while also
showcasing how technological integration and targeted services can enhance the reach and impact of
these mobile initiatives. This holistic approach addresses critical issues such as symptom reduction,
increased health care utilization, patient satisfaction, and long-term community well-being.
Key: Improved accessibility, Health Care Utilization, Symptom Reduction, Cultural Relevance,
Sustainability, Trust Building, Mental Health Outcomes, Extended Reach, Efficiency, Patient Satisfaction,
Targeted Services and Interventions, Comprehensive Care, Community Engagement, Technological
Integration, Preventative Care, Long-Term Impact.
Holistic Health and Substance Use Support
Holistic health interventions that address multiple aspects of well-being simultaneously have been shown
to produce better health outcomes. Combining mobile mental health and substance abuse support,
addresses the interconnected factors that contribute to overall health. Mobile food trucks offering these
integrated services can provide a comprehensive approach to health improvement. This approach and
educational creative engagements align with the county's goals to improve mental health outcomes and
increase access to services. Studies have highlighted the benefits of holistic interventions, noting that
addressing mental health and substance abuse together through these creative engagements leads to more
sustainable and significant improvements in overall well-being. For instance, community-based programs
that offer cognitive and emotional mental health support, foster community voice and nutritional/life
guidance have been associated with improved dietary habits, enhanced mental health, and even better
financial management (BioMed Central) (Frontiers). Everything circles back and gets stronger through
each rotation. There has been some work done regarding providing substance abuse support through
mobile units. NEPS (Needle Exchange Programs) have been successfully tried, mobile units distribute
sterile needles and syringes and collect used ones for safe disposal. These services are often combined
with health education on safe injection practices to reduce the spread of infectious diseases, promotes
safer injection practices, and provides an entry point for additional health services. Something like this
was also done with safe injection kits and Naloxone distribution paired with training through mobile
units. The main benefits from this were that it prevents opioid overdose deaths and increases awareness
and preparedness within the community. Which further helps reduce the risk of infections and serves as
an engagement tool for further health interventions. Also, another counter to substance abuse that has
been done through a mobile unit is providing counseling for individuals struggling with substance use
disorders and connects them to treatment programs. Counselors in mobile units offer on-the-spot
counseling sessions, assess individuals’ needs, and refer them to appropriate treatment services, including
detoxification and rehabilitation programs. This is supporting individuals in their recovery journey,
providing immediate psychological support, and facilitates access to long-term treatment. Some mobile
units have been implemented well enough to be equipped to perform basic health screenings and offer
primary health care services. They provide vaccinations, manage chronic conditions, and treat minor
illnesses (Marshall 2019).
Key: Reduced Transmission of HIV/Hepatitis, Naloxone Distribution, Decreased Opioid Deaths and
Substance use, Improved Mental Health, Increased Participation in Treatment Programs, Effective Harm
Reduction, Improved Management of Chronic Conditions, Increased access to Health Services.
Community-Based Health Interventions: First Creative Engagement- Immersive art Installation
Immersive art installations and kinetic sculptures are transformative forms of artistic expression that
engage participants by immersing them in multisensory environments, blending visual, auditory, tactile,
and sometimes olfactory elements to create a holistic experience. These installations go beyond
traditional static art forms by involving the audience as active participants, which can evoke powerful
emotional responses and foster community connection. The movement in kinetic art, whether through
mechanical or natural means, further engages viewers by requiring them to interact with or observe the art
in a more dynamic and reflective manner. This aspect of motion not only captures attention but also
sustains engagement, making it an effective tool for public outreach, education, and even therapeutic
interventions. Immersive art’s capacity to address complex themes in engaging ways makes it particularly
useful in mental health outreach and education, where traditional methods may struggle to resonate with
or capture the attention of diverse audiences. For example, immersive installations can provide reflective
spaces that promote mindfulness, reduce stress, and encourage emotional release—key elements in
therapeutic mental health practices. These installations are also valuable for their educational potential, as
they can teach complex concepts, such as mental health or social justice issues, in ways that are
interactive and memorable. By combining artistic expression with engagement, immersive installations
like "Wrangling the Truth" create opportunities for community members to anonymously share
personal stories, providing a safe space for emotional catharsis while informing mental health outreach
efforts. "Wrangling the Truth" is just the beginning, as this project could be expanded to address
specific community concerns, with installations reflecting the unique needs of each location and
reoccurring themes that need to be addressed, much like the "Before I Die" Wall or the "Invisible
Homeless" exhibit, which use art to foster dialogue and empathy. Additionally, immersive art has been
effectively employed in projects like "The Big Anxiety" Festival in Australia, which uses interactive
environments to create safe spaces for discussing mental health, breaking down stigma, and offering
therapeutic benefits to participants (Nicolas & McIlwain, 2020). These installations also have a unique
role in education, as seen in exhibitions like "Economia," which make abstract or complex topics more
accessible and engaging, allowing for deeper understanding and retention of information. By integrating
immersive art installations with mobile mental health services, the project can bring these powerful,
transformative experiences to underserved and rural communities, creating both personal and collective
engagement. The mobility of such art installations, paired with the health outreach efforts, allows them to
be set up in locations that need attention, using art to foster dialogue, address community disparities, and
provide therapeutic relief. These installations, in conjunction with kinetic art, offer a comprehensive
approach that extends beyond mere engagement to foster community building, provide education, and
support mental health in a way that is both interactive and emotionally resonant.
This brings us to the role of Community-Based Participatory Research (CBPR) in enhancing the
effectiveness of mobile health units and immersive art installations. CBPR emphasizes collaboration,
community engagement, and the co-creation of knowledge, ensuring that the interventions are shaped
by both researchers and the community members they aim to serve. In the context of mobile health units,
CBPR ensures that services are tailored to the community’s specific needs, increasing their acceptability
and effectiveness. For example, community members can help identify the most pressing health concerns
and determine how services—such as mental health support, financial literacy programs, or health
screenings—should be delivered. This co-creation process builds trust between healthcare providers and
the community, ensuring that interventions are both culturally relevant and sustainable. Similarly,
involving the community in the creation of immersive art projects ensures that the installations resonate
with local experiences and address relevant issues, making them more impactful and meaningful. For
instance, installations could reflect themes important to the community, such as mental health, economic
stability, or social justice, as demonstrated by models like CHERP (Community Health and Economic
Resilience Program), which integrates financial literacy and health services using mobile units (Anderson
& Scrimshaw, 2018).
CBPR’s collaborative approach is evident in the success of community-based health interventions using
mobile units, such as food trucks equipped with health resources. These interventions have been
successful in increasing health literacy and improving access to essential services, particularly in
underserved populations. Research on mobile health programs highlights their role in reducing health
disparities and promoting health equity by delivering targeted interventions directly to communities
(American Journal of Public Health, 2019). For example, mobile units staffed with healthcare providers,
financial counselors, and mental health professionals offer a range of on-site services, from health
screenings to counseling workshops, significantly improving health outcomes and accessibility (American
Psychological Association; Frontiers; BioMed Central). Programs like IMHESS (Integrative Mobile
Health and Economic Support Services) and CAWES (Community Action for Wellness and Economic
Stability) combine mental health support, financial education, and health screenings in a mobile format,
ensuring that multiple aspects of well-being are addressed in a cohesive, accessible manner (Martinez &
Delgado, 2020). These models demonstrate how community engagement, technology integration, and
targeted services create sustainable health interventions that reach vulnerable populations, showing
measurable improvements in mental and physical health outcomes, stress reduction, and health behaviors.
The integration of mobile health units and immersive art installations offers a holistic approach to
community-based health interventions. The mobility of these installations allows them to be set up in
various locations, bringing health education, mental health services, and creative engagement directly to
the communities that need them most. By collaborating with local organizations and using CBPR
principles, these installations can be tailored to address specific community needs, from mental health
awareness to financial literacy, while fostering a sense of empowerment and ownership among
participants. Through this combined approach, health outreach becomes not only more accessible but also
more meaningful and impactful, contributing to long-term improvements in health equity, mental well-
being, and community resilience.
Key: Health management, Stress Reduction, Health Behaviors, Mental Health, Financial Literacy,
Improved Accessibility, Enhanced Outcomes, Sustainability, Technology Integration, Community
Engagement, Physical Health, Enhanced (Emotional) Engagement, Community Building, Therapeutic
Uses, Educational Potential, Narrative and Storytelling, Health and Wellness Experiences, Safe
space/Immersive Environment, Interactivity, Technological Integration, (Mobile) Immersive Art
Installations, Improved Understanding and Retention, Holistic Approach.
Conclusion
In the process of designing new frameworks of practice that attend to the power relations inherent in all
institutional practices, DP’s Food for Thought fosters a “slow build.” By integrating this kind of
programming, we are building themes that continue to evolve from one ordeal to another and the
continuity of research and practice. Which helps further deepen relationships within the community over
time. Through this we can evolved a practice of ‘bottom up’ through creative engagements focusing on
lived experiences of mental health. We will continue to grow in exploring mobile mental health and how
collaborations can provide valuable psychosocial support, while reframing experiences of trauma and
distress in ways that normalize rather than pathologies (UNSW). The literature supports the effectiveness
of using mobile food trucks as a method for delivering integrated health interventions, particularly in
underserved and rural areas. By providing accessible and comprehensive services that include mental
health and substance abuse support, mobile mental health can significantly impact community health.
This approach aligns with the goals identified in the Gunnison County Behavioral Health Needs
Assessment, addressing critical gaps in service provision and promoting holistic well-being. Further
research and pilot programs are needed to explore the long-term outcomes and best practices for these
innovative outreach methods. However, the existing evidence suggests that mobile mental health is a
promising tool for enhancing health and well-being in diverse communities.
Research Questions
1. How effective is the combination of mobile mental health services and creative
behavioral science interventions in reducing stigma and improving mental health
outcomes in rural communities?
o This explores how rural communities, where people often know one another intimately
(Mobile PMHNP could counter that), might benefit from sharing secrets anonymously in a
collective space. It could help address the stigma around mental health by creating an open
dialogue while maintaining privacy. This also allows for a better understanding of how
awareness-building through creative platforms fosters open conversation and awareness,
without threatening the privacy or trust inherent in tight-knit rural areas. Offering anonymity
while building local trust and mental health awareness.
o Understanding this could contribute to developing flexible, adaptive models of
community-based mental health interventions that can be integrated into other rural areas and
small towns. This will further help us explore the combination of food, mental health
services, and creative engagement to determine which elements are most effective in
sustaining community involvement and improving overall health outcomes
o This will also investigate whether such participatory in creative works can be a tool to
reduce social isolation—common in rural communities—this question would explore how
creative interventions around mental health fosters communication and emotional support
among community members. This connects to creating models that address
community/individual resilience and social cohesion. We can focus on how this model
creates a community feeling and whether this improves emotional and social connectedness.
All while building a new form of social capital through shared vulnerability and experiences.
o This helps dial in on how behavioral science can integrate creative models like
anonymous sharing and listening, this question would explore the scalability and adaptability
of this method to smaller, more conservative communities where traditional mental health
resources might be limited.
2. Can collective emotional expression, such as anonymous storytelling, foster emotional
resilience and social connectedness in isolated populations, as evidenced by both self-
reported improvements and biomarker changes?
o This will explore if regular participation in such spaces promotes metacognition and
improves emotional regulation, reduces cognitive distortions, or enhances emotional
resilience and intelligence over time. By further exploring whether listening and expressing a
secret helps people reflect on the patterns of thinking that shape their identity, social roles, or
interpersonal dynamics. All leading to greater emotional stability or better support to build
that stability.
o We can then get a better understanding of whether listening and sharing a secret prompts
any behavioral change. Exploring how it helps individuals identify dissonance between their
actions and values, prompting a shift in their mental framework to reflect their authentic self.
Which will domino effect understanding whether people who listen and share secrets are
more likely to develop self-compassion, which could reshape the mental models of self-
criticism they held before. This generated compassion will also examine whether people’s
concepts of community, isolation, or connection shift after realizing that others in the
 community also carry hidden burdens. Allowing people reframe or re-categorize their
difficulties in more constructive or realistic ways after releasing a burden because of how
these concepts can help reveal ingrained mental patterns, good or bad (avoidance, repression,
over-exaggeration, self-sabotaging, catastrophizing, black-and-white thinking). Especially
around feelings of guilt, shame, or fear.
o Understanding these dynamics could lead to a new adaptable health model that is flexible
enough to align with rural values and community structures in the Gunnison Community and
others.
o "I am not good enough” to "I can grow from this experience."
3. What are the neurochemical impacts (cortisol, oxytocin) of emotional catharsis in
participants engaging with the "Wrangling the Truth" booth, and how do these
correlate with reductions in stress and improvements in mood?
o This research would aim to discover how specific neurochemical levels (cortisol,
oxytocin) change when individuals participate in emotional catharsis, such as listening and
sharing personal stories or secrets in a reflective setting ("Secrets" Booth and mental mobile
health unit). By examining how neurochemical changes correlate with shifts in stress levels,
emotional states, and social bonding, this study could uncover new biochemical mechanisms
behind mental health conditions. Correlation with Mental Health Symptoms: Analyze how
these neurochemical changes relate to mental health symptoms such as anxiety, depression,
or stress. This could involve using clinical assessments like the Hamilton Depression Rating
Scale (HAM-D) or Beck Anxiety Inventory (BAI) before and after the emotional
intervention.
o This research could uncover new treatment pathways for conditions like anxiety, stress,
depression, and social isolation, focusing on how changes in neurochemicals (cortisol,
oxytocin) are triggered by specific emotional and social experiences. It could also lead to the
development of novel interventions that harness the therapeutic power of storytelling,
emotional catharsis, and social bonding to influence the brain’s biochemical processes and
improve mental health outcomes. By linking neurochemical changes with experiential factors
(like emotional release through storytelling), this research could provide new insights into
how the brain’s chemical systems adapt and respond to emotional challenges, offering fresh
approaches to mental health treatment and emotional resilience-building strategies.
o By examining the patterns of neurochemical changes across a diverse group of
individuals, I will discover new biochemical mechanisms that explain how the brain
processes and adapts to emotional experiences, like how neurochemicals interact during
emotional catharsis, leading to stress relief/emotional regulation or the biochemical pathways
that buffer against emotional dysregulation or mental health deterioration in individuals who
regularly engage in emotional sharing.
Personal Research Question: Collaboration Agreement
4. How does the integration of Comfrt’s slightly weighted clothing influence emotional
regulation, social connectedness, and the overall mental health experience of
participants, particularly in cold rural regions?

Theoretical and Methodological Frameworks

Behavioral Science and Neuropsychology in Mental Health Interventions
Motivated by community-based interventions the foundation of this initiative is built upon principles from
behavioral science and neuropsychology, specifically focusing on how mobile mental health
complimented with creative engagements, with the first creative behavioral intervention focusing on how
emotional catharsis, storytelling, wearable physical comfort, and community partnerships can collectively
enhance mental health outcomes.
Along with other behavioral science principles (e.g. nudging, priming, framing, anchoring) Behavioral
activation theory underpins this approach, positing those engaging individuals in meaningful activities—
such as storytelling, creative expression, community contributions, and personalized comfort—can
promote positive emotions and lead to long-term behavioral changes. (Cuijpers, P., van Straten, A., &
Warmerdam, L.) This theory informs the project's focus on creative engagement and partnerships with
organizations that provide participants with both emotional and physical outlets for growth and reflection
(Cuijpers, P., van Straten, A., & Warmerdam, L).
Participants in this research will be encouraged to share their personal secrets and stories in the
"Wrangling the Truth" booth, which is designed to provide a safe, anonymous space for emotional
release. Research shows that such cathartic experiences not only reduce psychological distress but also
enhance social connectedness by allowing individuals to engage in communal emotional sharing (van der
Kolk, B. A.).
Emotional Catharsis and Storytelling in Mental Health
Storytelling has long been recognized as a therapeutic tool in mental health care. It allows individuals to
process and reframe their experiences, which can lead to significant improvements in emotional resilience
and psychological well-being (Schauer, M., Neuner, F., & Elbert, T.). Research on Narrative Exposure
Therapy (NET), for example, demonstrates how storytelling can help individuals integrate traumatic
experiences into their life narratives, reducing distress and promoting emotional regulation (Schauer, M.,
Neuner, F., & Elbert, T.).
An additional application that will be taken into consideration is the Health belief Model(HBM), HBM
can be applied to design interventions that address barriers to accessing healthcare, such as mental health
and substance abuse. For instance, mobile mental health can reduce perceived barriers by providing
healthcare directly to underserved areas. By highlighting the benefits of accessing services and improving
self-efficacy, these units can increase community engagement and participation in health programs. This
kind of community engagement will be captured in different locations to attract different audiences.
Engagement will be pushed a step further by attracting different audiences on different platforms and
incentives. These diverse audiences will converge over time on their own. Different platforms will bring
different stories that people can relate to and connect to in an organic manner.
A unique style of engagement and data collection is by creating content for media platforms similar to
podcasting, where audio serves as the backbone, but with dynamic visuals to hook viewers. I will produce
audios of me bringing awareness, receiving advice, or using people’s secrets/stories and that others can
relate to. The community will bring what’s important to our attention and we could possibly see a trend
that we may need to focus on whether it is new or not. I will share my own personal secrets and stories
and with confidentiality and done ethically other people’s stories will be heard as well. Every word that
we hear, speak, or think about activates a distinct pattern of neural connections within our brain.
Everything started from storytelling in a way, and a story is always better when you are ready to tell it.
Any meaningful message or impactful suggestions I can get on audio, will be made. People’s story and
even just certain words will help us understand how each story and word’s meaning is contextualized
within each person’s individual cognitive framework and emotional landscape. Understanding that people
may feel similar initial emotions or responses but diverge in interpretation can promote empathy and
cognitive flexibility. Realizing that two individuals can start from the same point but reach different
conclusions due to their unique pathways fosters a deeper appreciation for diversity in thought and
emotion.
This idea came because my family sometimes comes to me for advice or when people call me their
therapist. I’m no therapist by any means nor do I want to be and I have a lot to learn but I understand the
impact I am generating and believe in it. They live in Texas so we talked via facetime. Even on facetime
it can still sometimes be hard to talk about things that maybe have you wrestle with vulnerability,
embarrassments, stigma etc. Asking for help already brings challenges for people in general. So instead of
texting big paragraphs to one another, I decided to start sending audio message back and forth to one
another. This could possibly be a form of telehealth for Food for Thought. I can save the audio, relisten
to it, and edit it however it needs to ensure comfortability and trust. These audios can be generated to long
videos or short videos that we can split into reels to further post and share stories and experiences. I will
be giving therapeutic suggestions and tying it to my personal experiences and challenges. For the videos I
will be using different backgrounds, such as captured real life funny moments or captured scenes of me
and the food truck journey, advice, community members engaging with one another, camping,
snowboarding, shed hunting, hiking, or fishing etc.— whatever activities, places, or people in the
community that keep peoples cup full or add water to people’s cup will be captured on camera.
Participants can be incentivized to participate in “Wrangling the Truth” by Food for Thought offering
to make a video about their own stories and secrets. A voice over can be applied if needed. Media
platforms will display a variety of entertainment, educational, informative, motivating and meaningful
material.
These short clips will tell a story visually aligning with the audios. The videos will be a mix of alternating
real-life scenes and other creative scenes into short clips that follow along with the audio to visually show
the audio story that ties everything together until the story audio is over. We will also create videos in
separate parts along with the audios, “pt. 1 – pt. 5,” have the story broken up to build suspense and more
engagement. This approach ties back to storytelling, which is how we connect with people. It also aligns
and complements with mental mobile health journey, because it allows us to market and advertise in a
more fun and engaging way. The food truck isn’t just about serving food; it’s a platform for meeting
people in a natural setting. To offer friendly reminders or help in a way people didn’t expect, creating
those powerful “spark of clarity or glimpse of insight” moments or a general epiphany that they will never
forget. We may not always remember what was said but I believe we will remember how it made us feel.
This will help individuals speak their truth and allow it to set them free even though it might piss them off
at first sometimes. We can all relate, learn, grow, and connect most through experiences and we are all
experiencing this life, just under different circumstances.
Through this we can grab a firmer grip on how we choose to implement health-related services that create
the best experiences. Anyone can have a good idea, but how that idea is planned and implemented is what
really matters. I can introduce the community to the health-related resources and services the food truck
offers but also, with the buildup that led to finally introducing these resources and services, I believe we
can reach more than how we did before by breaking down any barriers in a settle way.
We’ll alternate between real-life and art scenes, keeping the audience engaged because whoever is
viewing the video will be focusing and engaged in multiple elements—audio story, creative visuals that
follow the audio story, and real-life scene visuals. It’s not about me; it’s about the people around me.
These different audios are good stories waiting to be made into something more. Eventually, I truly
imagine people will reach out for advice, and I can respond with audio, creating videos that emphasize the
idea that “your story matters and could help others” in a casual, fun way. People could start to want to see
their own video and story come to life. They can reach out through a QR code or in person for when we
are able to establish a comfortable setting. I also think we could receive audio clips from people asking
for advice or sharing experiences, if not we can even turn “text” into audio and video form based on what
community members tell us. It doesn’t always have to be serious; I want to mix in funny, random videos
as well. We can make the videos as long or as short as we want. I’ll start by aligning these with the food
truck Instagram page and the school project. We want to outreach in a way that catches attention in
different ways on different platforms, reaching various audiences and populations. People will go down
rabbit holes to see more of what we are doing, like clicking links exploring different platforms etc.,
whether that’s an mental health page, outdoors page, cooking page, motivational page, or a couple things
combined etc., either way we would have established people exploring our content across different
platforms. Eventually, we’ll post on as many platforms as possible. The goal is to not make this giant
change but just to start off getting better day by day. To introduce strategies to help around anything
individuals may be dealing with in regard to mental health, substance abuse, marriage/relationship advice,
suicide, etc. whatever the community brings to our attention that needs more attention.
Now the cherry on top of this will be the recreation of the art installation next to the food truck called
“Secrets” (Hopscotch in San Antonio, Texas). The recreation is called “Wrangling the Truth,” this
immersive installation that people will engage in the community with will allow us to receive even more
audio recordings of secrets from community members anonymously. The installation will also have an
incentive to further motivate people to participate, engage, and I also believe people will be too curious to
not engage. This is the first of many more creative engagements. Each installation in the community will
focus on something different and needs brought to awareness. Videos can also include interviewing
professionals that could give even better suggestions than me. When applicable self-help seminars and
self-help groups will be held at locations inside or outside the food truck that will cater in hopes of
attracting more individuals in the community. These self-help seminars and self-help groups will be
recorded and possibly offered live. Highlights from these seminars and self-help groups can be posted on
media outlets.
Using the HBM, these creative engagements can be designed to address specific health issues by creating
immersive experiences that emphasize the severity of health problems and the benefits of preventive
actions. For example, creative engagements like “Wrangling the Truth” are created in a unique way and
will be revolving around community needs of awareness. “Wrangling the Truth” can be at separate
locations or stand tall next to the food truck hiddenly looked at as a “fun” or “cool” way to market for the
food truck. This installation focusing on mental health will depict the emotional and physical
consequences of mental health issues and offer interactive ways for individuals to learn about and engage
with coping strategies. We are all consumers in one way or another, whether we are consuming food,
knowledge, social media, looking at art, or purchasing something. This is the natural setting that every
human will act on in one way or another, so why not use how we perceive things to introduce important
manners in a settled manner. Overtime our goals and vision will compound effect to reach more appealing
results.
The "Wrangling the Truth" booth builds on this concept by providing a platform for anonymous
emotional expression. Projects like PostSecret and The Moth have shown that sharing personal stories,
particularly in an anonymous format, can foster a sense of emotional release, reduce feelings of isolation,
and increase social connectedness (Warren, F.). By integrating storytelling into the mobile health unit,
this initiative taps into the therapeutic potential of emotional catharsis while also addressing the stigma
that often surrounds mental health conversations in rural communities (Warren, F.).
Mobile Mental Health and Creative Engagement
Mobile mental health services have been widely studied and shown to be effective in reaching
underserved populations, particularly in rural areas where access to care is limited. Research indicates
that mobile health units improve accessibility, reduce stigma, and provide essential services to individuals
who might otherwise go untreated (Hill, M. C., & Fraser, M. W. 2020). The integration of creative
engagement methods—such as storytelling and wearable comfort—enhances the effectiveness of these
mobile services by fostering emotional resilience and social cohesion (Chen, Y. W., Bundy, A., &
Hammond, L. 2007, Schauer, M., Neuner, F., & Elbert, T.).
The Ecological Model and the Theory of Planned Behavior (TPB) offer valuable frameworks for
designing health interventions that can be tailored to diverse environments, including rural areas and
small towns, making them particularly relevant for the replication and adaptation of projects like mobile
mental health and creative engagements. The Ecological Model focuses on a multi-layered approach to
health, addressing influences at the individual level (personal knowledge, attitudes, and behaviors), the
interpersonal level (social networks and relationships), the organizational level (institutions and local
organizations), the community level (social norms and environmental factors), and the policy level
(policies and regulations that shape health access and equity). This comprehensive approach makes it
well-suited for rural areas, where local organizations and community norms play significant roles in
health outcomes. By considering these different levels, the model supports the creation of interventions
that are deeply embedded in the community’s fabric, making it easier to replicate in different locations by
adapting to local needs.
For example, mobile mental health units designed using the Ecological Model can not only provide
direct health services at the individual level, such as preventive care or mental health screenings, but also
engage community organizations to expand outreach and advocate for policy changes that support health
equity in underserved rural areas. These mobile units could address specific challenges like transportation
barriers, financial constraints, and access to specialized care, all while promoting health-supportive norms
within the community. Additionally, because these units are mobile and flexible, they can be easily
adapted to other rural settings or small towns, replicating the success of one community in others with
similar needs. The integration of Community-Based Participatory Research (CBPR) into this model
further enhances its adaptability, as CBPR ensures that local community members are actively involved in
designing and implementing the services, making the interventions more relevant and sustainable. This
participatory approach not only builds trust but also helps identify community-specific health needs,
ensuring that the services provided are tailored to the local context.
Creative engagement has also been shown to improve cognitive flexibility and emotional regulation,
particularly in therapeutic settings. Opening Minds through Art (OMA), for example, demonstrates that
creative activities can reduce mental health stigma and encourage open dialogue around emotional
expression. Similarly, the storytelling component of this project will provide participants with an
opportunity to engage in self-reflection and emotional release, which are key elements of effective mental
health interventions (Schauer, M., Neuner, F., & Elbert, T.).
The Theory of Planned Behavior (TPB) enhances this model by focusing on the psychological factors
that influence individual behavior. TPB outlines how attitudes (how individuals evaluate a behavior),
subjective norms (perceived social pressures), and perceived behavioral control (how easy or difficult
individuals believe it is to engage in a behavior) all impact health outcomes. By understanding and
addressing these factors, mobile mental health and creative engagements can create more effective
interventions that motivate behavioral change. For instance, in a rural area where there may be stigma
surrounding mental health care, a mobile mental health unit informed by TPB can work to shift attitudes
by providing education and fostering positive community discussions about mental health. Additionally,
addressing subjective norms—such as social acceptance of mental health care—through community
engagement can further encourage individuals to seek care. Perceived behavioral control can be
improved by removing perceived barriers, such as offering low-cost or free services and providing care in
accessible locations.
Similarly, creative engagements like immersive art installations can be designed to influence individual
attitudes and perceived behavioral control while addressing community-level norms. These installations
could include themes that resonate with local populations, such as mental health awareness or healthy
eating, and could reflect the lived experiences of community members to ensure relevance. For example,
an installation focusing on the importance of mental well-being might highlight personal stories that
reduce stigma and foster emotional engagement, thus encouraging individuals to take control of their
mental health. At the community level, the art could partner with local organizations, providing a
platform for collective reflection and discussion. By incorporating CBPR into these installations,
community members could actively participate in the creation of the art, ensuring it reflects their concerns
and aspirations. This not only makes the installations more impactful but also enhances their relevance to
the community, facilitating easier adaptation and replication in other small towns or rural regions.
The combined application of the Ecological Model, TPB, and CBPR strengthens the potential for
replicating and adapting these interventions in various rural communities. Because these models
emphasize engagement at multiple levels—individual, interpersonal, organizational, community, and
policy—they provide a flexible framework that can be modified based on the specific cultural, social, and
health-related needs of different regions. This approach ensures that interventions are not only effective in
one location but can also be adapted and scaled to improve health outcomes in other rural or underserved
communities, creating a ripple effect of health equity and accessibility across diverse populations. By
collaborating with local organizations, the project ensures that participants have access to a variety of
services that meet their holistic needs.
Biomarker Analysis in Emotional Catharsis
The physiological effects of emotional catharsis are well-supported by neurochemical research. Studies
on cortisol, oxytocin, and serotonin have shown that emotional expression can lead to significant
reductions in stress and improvements in mood (van der Kolk, B. A.). In particular, cortisol—a hormone
released in response to stress—studies on Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
and other interventions show that engaging in emotional expression, whether through storytelling or other
creative outlets, can significantly reduce stress and improve emotional resilience (van der Kolk, B. A.)
(Taylor, S. E.). Similarly, oxytocin, often referred to as the "bonding hormone," increases during
emotionally expressive activities, promoting feelings of social connection and emotional support (Taylor,
S. E.).
By integrating biomarker analysis into both mental mobile health and creative engagements like the
secret’s installations concept, I could possibly discover new ways to measure the physiological impact of
mental health interventions, such as emotional catharsis and community engagement. This could support
a new model where shared storytelling is used to trigger emotional reflection and healing by uncovering
the neural mechanisms behind shared vulnerability and community healing. Saliva samples will be
collected before and after participants engage with the "Wrangling the Truth" booth to assess changes
in cortisol and oxytocin levels. These measurements will provide valuable insights into the neurochemical
impacts of emotional release and social bonding (van der Kolk, B. A. 2014).
1. Stress Reduction and Emotional Relief (Cortisol Levels): Saliva
Biomarker: Cortisol, the body's primary stress hormone, is a key indicator of stress response. Elevated
cortisol levels are associated with chronic stress, anxiety, and emotional distress.
How to Use It:
 Before and After Secret Sharing: I will measure cortisol levels in participants before and after
they share a secret in the booth to evaluate how much the act of confession reduces stress.
o Discovery: By analyzing changes in cortisol levels, We could create evidence showing
that anonymous emotional expression significantly reduces physiological stress,
providing tangible benefits for mental health. As well as determining if hearing someone
else’s vulnerability primes participants for greater emotional release and recognition of
their own stress-related mental models, such as repression or avoidance.
 In mobile mental Health (optional): Similarly, I could measure the stress levels of participants
before and after interacting with mental health services (participation in self-help consultations
or groups) offered by the mobile unit.
o Discovering New Approaches: This could help determine whether combining creative
engagements, mental health resources with nutrition and social interaction provided by
the food truck model can offer a holistic approach to stress reduction.
2. Discovering Social and Emotional Bonding (Oxytocin): Saliva
Biomarker: Oxytocin, often called the "bonding hormone", is involved in social connection, empathy,
and trust.
How to Use It:
 Community Engagement Through Secrets: Measure oxytocin levels in participants before and
after sharing secrets in the booth to see if emotional vulnerability in a communal setting fosters
feelings of connection and trust.
o Discovery: Increased oxytocin levels could indicate that the Secrets booth helps build
social cohesion in communities, which is especially important in rural settings where
emotional isolation may be prevalent. Further analysis can explore how oxytocin
increases with storytelling and social interaction, revealing how social connection and
empathy enhance emotional resilience and mental health, potentially offering insights
into social anxiety or attachment disorders.
 Oxytocin in Mental Mobile Health (optional): If people engage in group activities offered by
the mobile unit, we track their oxytocin levels to assess whether these shared experiences lead to
greater social bonding.
o Creating New Approaches: This data could help you create community-based programs
that strengthen social bonds and foster resilience, all through a combination of
emotional sharing and communal nourishment.
Biomarker analysis data collection will be incentivized with free/discounted meal, free/discounted Comfrt
clothing or accessories, Food for Thought merchandise and a quick video creation (optional) of
participant’s stories done ethically and with confidentiality to allow the layers of understanding to be
peeled. These incentives will also include needed participation in qualitative interviews and extended
surveys on mobile mental health and creative behavioral science interventions. This will also allow an
opportunity to introduce consultations.
For the “Wrangling the Truth” booth I will have my own personal story and secrets, and it will be in the
shuffled playlist of other anonymous secrets and stories more often than others. At the end of my story, I
will ask them to stop by for a free meal (plus other incentives/nudges) so I can introduce myself in person
and from there I will then ask them if they would be willing to help me out with my research project. I
will also ask people depending on location, different locations will bring different barriers. For example,
starting saliva collection at the senior center may be more feasible rather than out in public in the street.
However, I do believe framing both of these concepts deliberately will assist in anchoring customers with
help from the food truck. This will then transition to the impact of “nudging” them and generating this
overall social proof to engage in the installation. These can be done privately or publicly. Whatever the
participant is comfortable with.
Integration of Comfrt Clothing
The partnership with Comfrt plays a critical role in the success of this initiative by providing wearable
comfort as both an emotional and physical intervention. The brand’s slightly weighted hoodies are
designed to promote relaxation and emotional regulation by simulating the comforting sensation of a hug,
which has been shown to reduce anxiety and activate the parasympathetic nervous system (Chen, Y. W.,
Bundy, A., & Hammond, L.). The concept of wearable comfort is rooted in neuropsychology, particularly
in the use of somatosensory stimuli to activate the parasympathetic nervous system, which helps regulate
emotional responses and promote a sense of well-being (Chen, Y. W., Bundy, A., & Hammond, L.).
In addition to promoting emotional well-being, Comfrt’s hoodies serve a practical purpose in the cold
winters of Gunnison. By providing participants with high-quality, warm clothing, the initiative addresses
a tangible need while also enhancing the emotional benefits of wearable comfort (Chen, Y. W., Bundy,
A., & Hammond, L.). Each hoodie will be personalized with a quote chosen by the participant, adding a
layer of self-reflection and personal growth to the intervention. This personalization helps reinforce the
connection between mental well-being and physical comfort, making the Comfrt clothing not only a tool
for emotional regulation but also a symbol of the participant’s mental health journey (Chen, Y. W.,
Bundy, A., & Hammond, L.). Comfrt clothing and Food for Thought merchandise will have a QR code of
unique helpful information about the clothing and other informative works.
Consultations: The Art of “being”
The consultations for “Food for Thought” will be designed as an ongoing, flexible process that aims to
support participants in their journey toward mental health, substance abuse recovery, personal growth,
and community engagement. This approach aligns with the theoretical frameworks outlined in the
proposal, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT),
and Motivational Interviewing (MI). The consultations will focus on a holistic understanding of life and
personal development, integrating elements of resilience, emotional regulation, creativity, and financial
independence to support long-term recovery and well-being.
Slow Build Approach to Consultations
The consultation process will be designed as a slow build, acknowledging that personal growth, recovery,
and engagement with mental health services take time. Initially, individuals may seek a free consultation
out of curiosity, or because they are in need of immediate support, but the goal is to encourage them to
return over time whether they need assistance or not, gradually building trust and rapport. Then to
identify and bring attention valuable skills participant may have or can learn. As they become more
comfortable, participants will have the opportunity to continue attending regular consultations, which will
evolve based on their personal goals, challenges, and progress.
The slow build approach acknowledges that participants may start with a brief engagement—perhaps a
single, exploratory session—and return as they experience the positive effects of these interactions. Over
time, individuals will come back for deeper, more reflective consultations as they begin to see value in the
emotional catharsis, personal growth, and support provided. This patient-centered method is essential, as
it allows each individual to proceed at their own pace, fostering a non-pressured, supportive environment
for long-term change.
Each consultation will follow a structured yet flexible format, providing participants with the space to
explore their life experiences, goals, and challenges while being guided through evidence-based practices.
Consultations will serve multiple purposes offering immediate support, addressing ongoing mental health
needs, and gathering qualitative data for research purposes. Additionally, these sessions will serve as
qualitative interviews to capture participants’ lived experiences for the research component of the project.
The data collected through these consultations will be used to deepen understanding of community health
needs, emotional patterns, and personal narratives—valuable for both the intervention design and broader
qualitative research.
General Consultation Overview:
 Duration: Each consultation will last approximately 1 hour.
 Frequency: Initially, clients may engage in a free consultation session, with follow-up sessions
scheduled on a monthly basis. As the project grows and client engagement increases,
consultations could shift to bi-weekly or even weekly sessions, depending on participant needs
and preferences.
 Goals: Consultations are designed to help participants navigate complex life challenges,
including mental health issues, substance abuse recovery, financial literacy, personal growth, and
community integration.
Consultations as Qualitative Research Interviews
Each consultation will also serve as an opportunity to gather qualitative data for the research aspect of the
project. Through open-ended discussions and guided reflection, participants will share their personal
experiences, struggles, and successes. This information will be coded and analyzed thematically to
identify common emotional and psychological patterns within the community, contributing to a deeper
understanding of local mental health challenges and informing future program developments.
Participants’ reflections on their personal journeys—touching on areas such as substance use, emotional
resilience, family relationships, and social pressures—will be documented as part of this qualitative
research. Their stories will provide critical insights into how the intervention is impacting their lives, what
changes they are experiencing, and how the community is responding to mental health services. These
consultations will help the project capture the “lived experiences” of participants, ensuring that
interventions are grounded in real-world challenges and solutions.
Fostering Return Engagement
To build a strong, sustainable program, consultations will encourage participants to return regularly if
needed. Participants who receive free consultations may experience immediate benefits—such as
emotional release, improved self-awareness, or clarity around personal goals—that prompt them to seek
further support. By making the first few sessions free and non-committal, the program reduces barriers to
entry, allowing individuals to experience the value of the services without feeling pressured.
As participants experience the therapeutic benefits of these consultations, they will be invited to continue
their engagement at their own pace, with the option to return as frequently as needed. Over time, they
may move from initial curiosity to regular attendance, using the sessions to deepen their personal growth,
maintain sobriety, skills and connect with the community. The goal is to foster long-term relationships
with participants, where they feel supported and empowered to pursue a meaningful life. To make
participants powerful, competent, and capable.
Consultation Phases and Adaptability
The consultations will evolve based on participant needs and community feedback. As more individuals
return for consultations and engage in group settings, the project will expand its offerings to include
workshops, focus sessions, seminars, and creative community engagement activities. These evolving
services will ensure that the program remains adaptable to individual, and community needs while
encouraging sustained engagement. Additionally, the structure allows the possibility of consultations
evolving into groups or workshop settings, enabling larger-scale participation as the program grows.
Building a Meaningful Life through Consultations
During each session, participants will explore critical areas of life, such as personal growth, relationships,
purpose, emotions, and community belonging. The sessions will emphasize the importance of
relationships and connections, personal development, and community involvement, all while
addressing the unique challenges of everyone’s journey. Participants will engage in activities that
promote mindfulness, emotional expression, and practical goal setting, helping them navigate life’s
complexities while fostering deeper connections with themselves and their communities.

The Community Partner (Gunnison Valley Health)

Over the years, Gunnison Valley Health has recognized the need for innovative mental health solutions
that reduce stigma and increase accessibility, particularly in underserved areas like Gunnison (GVH).I
have been fortunate to partner up with Gunnison Valley Health, alongside their Behavioral Health
Department and Jennifer Birnie. Birnie was initially brought to GVH with the primary goal of expanding
the Gunnison Valley Health Foundation as its Executive Director. However, in 2023 Birnie was recently
promoted to the role of Vice President of Community Health and Development at Gunnison Valley
Health (GVH). Birnie has also played a pivotal role in the establishment and growth of GVH's
comprehensive Behavioral Health Service Line. Her commitment to addressing and prioritizing mental
health needs within our community has made a tangible difference in the lives of many. I hope to
capitalize on her amazing work and the mental health resources and services.
In Gunnison, Colorado, peer support specialists play a crucial role in the community's behavioral health
services. These specialists are individuals who have lived through behavioral health challenges and now
use their personal experiences to help others on their recovery journeys. Their role is multifaceted,
including mentoring clients, providing emotional support, and connecting individuals with necessary
community resources. Peer support specialists at Gunnison Valley Health (GVH) engage with clients in
various settings such as emergency departments, during mobile crisis interventions, and through ongoing
community-based support. This model allows them to meet clients at their point of need, whether in acute
crisis or through sustained support for long-term recovery goals. They are integral to the holistic approach
that GVH employs, which addresses both medical and social needs of clients to promote overall well-
being. The impact of peer support specialists is significant, particularly in reducing the stigma associated
with mental health challenges and fostering a supportive, inclusive community. Their lived experiences
bring authenticity and empathy to their roles, which professional training alone cannot provide. By
exemplifying the possibility of recovery and offering tailored support, they help clients set and achieve
realistic recovery goals, enhancing the overall effectiveness of behavioral health services in the Gunnison
Valley.
Peer support specialists and other health related professionals under Gunnison Valley Health can play a
vital role in a mobile outreach program using a food truck to deliver health related services. The 2022
Gunnison County Behavioral Health Needs Assessment identified several key health and community
needs, including mental health, substance abuse, and healthcare affordability. The findings highlight the
critical gaps and challenges faced by residents, particularly in rural areas like Gunnison County, where
access to comprehensive health services can be limited. Integrating a food truck as a mobile outreach
platform staffed by peer support specialists, other health related professionals, and other strong will
underserved or underrepresented community members can play a significant role in addressing these
needs. This innovative approach leverages the mobility and community engagement aspects of a food
truck to bring essential services directly to underserved populations.
 Mental Health: The food truck can serve as a mobile mental health clinic, providing on-the-spot
counseling, crisis intervention, connecting individuals to other organizations and information
about local mental health resources. Peer support specialists, who have lived experience with
mental health challenges, can offer empathetic support and help reduce the stigma associated with
seeking mental health care.
 Substance Abuse Prevention and Support: Substance abuse is a significant issue in Gunnison
County, with high rates of binge drinking and drug use. This mobile mental health model can
provide educational materials, distribute harm reduction supplies (like naloxone kits for opioid
overdoses), and connect individuals with treatment services. Peer support specialists can share
their recovery stories, offer guidance, and facilitate access to support groups and treatment
programs.
By addressing these critical areas, the food truck initiative can help bridge the gap in services identified in
the Gunnison County Behavioral Health Needs Assessment. It brings much-needed resources directly to
the community, particularly benefiting those in rural and underserved areas who may otherwise have
limited access to such services. This approach not only meets immediate needs but also fosters a
supportive community environment, encouraging long-term health and wellness. (Emotional and Peer
Support, Facilitating Access to Services, Educational Roles – Workshops/Seminars/Presentations/one-on-
one consultations/drop-in sessions, Building Community connections – creating a supportive
environment/outreach and engagements, Crisis Intervention and Immediate Support – referrals).

Program Planning and Evaluation Considerations

Evaluation Methods and Methodological Approaches
To measure the effectiveness of the project, a mixed-methods approach will be used, combining both
quantitative and qualitative data collection. Using both types of data will provide more comprehensive
insights that offer a more complete picture by integrating numerical data with contextual data. This
further creates an opportunity in combining different data sources to enhance validity and provide a more
nuanced understanding of interventions. The evaluation will focus on several key areas and take into
consideration of other future creative engagements to demonstrate evidence of effectiveness in this
flexible and adaptable model that challenge methodological approaches and frameworks.
Monitoring Participation
1. Quantitative Measures:
o Biomarker Analysis: Participants’ cortisol and oxytocin levels will be measured through
saliva samples collected before and after engaging with the mobile unit and storytelling
booth. Reductions in cortisol will indicate stress relief, while increases in oxytocin will
reflect improvements in social bonding and emotional connectedness.
o Surveys: Participants will complete pre- and post-surveys. We aim for a 15% ???
improvement in these metrics following participation.
o Comfrt Clothing Participation: The number of personalized hoodies distributed and
feedback on their emotional impact will be tracked to assess the role of wearable comfort
in emotional regulation and engagement.
o Engagement with Creative Content: Frequency of engagement with creative and
participatory activities (e.g., storytelling booth, art installations).
o Participant Retention Rates: Percentage of participants who continue engaging in
consultations, workshops, or activities over time.
o Sales and location as a Measure of Program Reach and Engagement will also be
considered
2. Qualitative Measures:
o Participant Interviews/consultations: In-depth interviews will be conducted with
participants to gather insights into their experiences with the mobile unit, storytelling
booth, and Comfrt clothing.
o Community Feedback: Seminars, workshops, focus groups and community surveys will
be used to assess the broader impact of the project on reducing stigma and fostering
social cohesion.
o Short Public Interview Reels/Social Media Platforms: social experimental fun
interviewing.
o Transcribed Audio Recordings: audio recordings of individual’s stories, experiences,
adversities, feelings etc.
o Participant Observation: Observing behaviors and interactions in natural settings.

Statistical Tests and Analysis Techniques

 Descriptive Statistics: Summarize the data to provide an overview of participant demographics,
engagement levels, and baseline attitudes toward mental health, stigma, and social connectedness.
  Paired Sample t-Tests or ?Wilcoxon Signed-Rank Tests?: Use these tests to assess significant
changes in pre-and post-survey scores. For instance, compare the mean differences in comfort
discussing mental health, emotional resilience, and stress levels before and after interventions.
 Repeated Measures: For participants involved in multiple sessions, this test can evaluate
whether repeated engagement (e.g., consultations or storytelling sessions) has a cumulative
impact on mental health metrics over time.
 Correlation and Regression Analysis: Assess relationships between biomarkers (e.g., cortisol or
oxytocin) and self-reported measures of stress, social connectedness, and mood to determine if
physiological changes correlate with mental health improvements. Linear regression can also
predict the likelihood of continued engagement based on initial engagement levels.
Assessing Effectiveness of the Intervention
 Effect Size Calculations: Calculate effect sizes (e.g., Cohen’s d) to gauge the magnitude of
changes observed in outcomes, such as comfort in discussing mental health or reduction in
stigma. This helps contextualize the practical significance of the findings.
 Analysis of Variance: to compare groups if the study includes multiple types of interventions
(e.g., storytelling, consultations, workshops) to see which method yields the most improvement.
Thematic analysis
Thematic analysis is a qualitative research method used to systematically identify, analyze, and interpret
patterns or "themes" within data. In social sciences and health research, this method is essential for
making sense of complex qualitative data such as interviews, written narratives, or open-ended survey
responses. Within this project, thematic analysis will be integral to understanding the emotional and
psychological patterns that emerge from participants’ engagement with the "Wrangling the Truth"
booth, where individuals anonymously share personal stories and secrets. The process will enable the
research team to extract meaningful insights from these narratives, providing a structured way to explore
participants’ mental health concerns, emotional states, and social experiences. Thematic analysis offers an
approach that can organize these complex narratives into identifiable themes, allowing the project to
uncover underlying patterns in participants' emotional responses. This analysis will inform both the
research outcomes and the design of future mental health interventions tailored to the specific needs of
the community.
Thematic analysis is important for several reasons, particularly in the context of this project. First, it
allows for the systematic identification of themes. In the case of the "Wrangling the Truth" booth,
participants' stories may vary widely in content, but thematic analysis provides a structured approach to
identifying recurring emotional or psychological themes, such as anxiety, trauma, loneliness, or
resilience. This allows the research team to organize and group the data meaningfully, uncovering
significant themes that reflect the community's mental health challenges. For example, a pattern might
emerge where many participants discuss feelings of social isolation, stress from financial instability, or
difficulties with emotional regulation. By identifying these themes, the research team can gain a deeper
understanding of the most prevalent concerns within the community, which will be critical for guiding the
next steps in the project.
Second, thematic analysis offers a means to understand the emotional and psychological patterns
within participants’ narratives. Beyond identifying surface-level content, thematic analysis digs into the
underlying emotional processes expressed through participants' stories. For instance, participants might
not just share isolated experiences of anxiety or stress; they may also reveal how these emotions are
connected to broader societal issues like economic pressure, family dynamics, or health-related stigma.
By analyzing these patterns, the project can uncover deeper insights into how emotional expression
through storytelling correlates with larger psychological trends in the community. This understanding of
recurring emotional themes can inform mental health interventions that target these core issues, such as
stress management programs or counseling services specifically designed to address trauma or social
isolation.
Third, thematic analysis can generate insights that inform tailored interventions. The primary goal of
this project is to create mental health outreach and support systems that meet the specific needs of rural
communities. By analyzing the themes emerging from participants' stories, the project team can better
understand the unique challenges facing this population. For instance, if common themes include
struggles with mental health stigma or difficulty accessing mental health resources, the project can
prioritize interventions that address these issues. This might include developing mobile mental health
units that offer stigma-free environments for counseling or creating educational programs that focus on
reducing the stigma around seeking help. Moreover, the analysis can help identify gaps in existing mental
health services, allowing the project to address unmet needs directly through new interventions or creative
engagements like art installations or community workshops.
In applying thematic analysis to this project, the process will begin with data collection through the
"Wrangling the Truth" booth, where participants will share anonymous stories. These narratives will
form the core dataset for analysis. The first step in thematic analysis is familiarization with the data,
where the research team will immerse themselves in the stories by reading through them multiple times to
identify any initial patterns. This step is critical for gaining a deep understanding of the content before
moving on to formal coding. The next step is generating initial codes, where specific parts of the data
are labeled with short, descriptive tags. For example, if participants frequently mention "stress," "family
pressure," or "isolation," these would be coded as key ideas that will later contribute to broader themes.
Once initial codes are generated, the research team will proceed to search for themes, which involves
grouping related codes into broader patterns or categories. For instance, codes like "financial stress,"
"uncertainty," and "anxiety" might be combined into a theme related to "Economic Struggles and Mental
Health." Similarly, codes like "loneliness," "disconnection," and "seeking community" might form a
theme about "Social Isolation and Emotional Support." These themes represent overarching patterns in
the data, reflecting the emotional and psychological states shared by participants. After identifying
potential themes, the next step is reviewing and refining themes, which involves ensuring that the
themes accurately capture the essence of the data. Some themes might be combined or divided into sub-
themes if necessary. For instance, "trauma" might be split into sub-themes such as "childhood trauma"
and "loss-related trauma," depending on how specific or general the stories are. This stage ensures that the
final themes are coherent and meaningful.
The defining and naming themes step will follow, where each theme is clearly defined to capture its
scope and significance. For example, a theme like "Coping with Mental Health Stigma" might include
narratives where participants discuss their reluctance to seek help due to societal pressures, while
"Seeking Emotional Release" might encompass stories where participants describe their need for catharsis
or emotional expression through storytelling. By clearly defining these themes, the research team can
articulate the key issues emerging from participants' stories and how these relate to the broader goals of
the project.
Finally, thematic analysis will inform the design of future interventions. The themes identified in the
stories will directly shape the structure of mental health outreach programs, mobile health services,
and immersive art installations. For example, if themes around social isolation and lack of support are
common, the project might prioritize creating community-focused interventions that encourage social
bonding and emotional expression. Similarly, if participants frequently express themes of trauma or
stress, the research team might design immersive art installations that provide reflective, therapeutic
spaces for trauma recovery or stress relief. Thematic analysis ensures that these interventions are
grounded in the community's real experiences, making them more effective and meaningful.
In conclusion, thematic analysis will provide the foundation for understanding the emotional and
psychological states of participants in the "Wrangling the Truth" booth, allowing the research team to
extract meaningful patterns from the stories shared. By identifying and analyzing recurring themes, the
project will gain deep insights into the community's mental health needs, which will directly inform the
design of tailored interventions. The combination of thematic analysis and CBPR ensures that these
interventions are both community-driven and highly relevant to participants' lived experiences, fostering
more effective, sustainable mental health support within the community.
Implementation Science
Implementation Science is a crucial field dedicated to understanding and promoting the systematic
integration of research findings and evidence-based practices into everyday use by practitioners and
policymakers. In the context of the Food for Thought, Implementation Science plays a pivotal role in
guiding the seamless integration of mental health and substance abuse support within a mobile outreach
model. Firstly, Implementation Science ensures that evidence-based interventions are not only employed
but also tailored to meet the specific needs of the Gunnison community. This means adapting strategies to
align with local culture, values, and resources, and using frameworks to identify which practices will be
most effective in a mobile outreach setting, considering its unique challenges and opportunities.
Secondly, Implementation Science emphasizes continuous process evaluation through ongoing
monitoring and feedback. This allows for real-time adjustments to improve service delivery and
effectiveness while ensuring that interventions are implemented with fidelity, maintaining the integrity of
original evidence-based practices. Moreover, Implementation Science aids in understanding the local
context by analyzing environmental, organizational, and community factors that impact the program's
success. This includes identifying and addressing barriers such as logistical issues, community resistance,
or resource limitations to enhance program implementation. Additionally, Implementation Science is
essential for sustainability planning, guiding the development of strategies to ensure the program’s long-
term impact. This involves planning for continued community engagement, securing funding, and
integrating the program into existing local health and social service infrastructures. It also explores the
potential for scaling the model to other communities, ensuring that the approach is adaptable and
replicable. Furthermore, Implementation Science highlights the importance of stakeholder engagement.
By involving a diverse range of stakeholders—community members, peer support specialists, local health
providers, and policymakers—in the planning and execution phases, the program gains broader support
and increases the likelihood of long-term success. In summary, Implementation Science is integral to
Food for Thought as it provides a structured methodology for translating evidence-based interventions
into practical, real-world applications. It ensures that the program is both effective and sustainable by
maximizing impact, maintaining program fidelity, facilitating continuous improvement, and promoting
equity. This scientific approach not only enhances the immediate effectiveness of the program but also
supports its long-term viability and potential for scaling.
Logs and Attendance Records and Informing Mid-Course Corrections
To ensure the effectiveness, consistency, and continuous improvement of DP's Food for Thought's
services, maintaining comprehensive logs and attendance records will be a critical component of the
program’s operations. These records will provide valuable data for assessing participant engagement,
service delivery, and program impact over time, while also allowing the team to track and respond to
evolving community needs. For each service session, including seminars, consultations, mental health
support groups, creatives engagements and the number of participants who sign up or attend will be
carefully tracked. Detailed attendance records will be maintained for every location visited by the food
truck, documenting not only the number of meals served but also participant engagement in services such
as mental health support, substance abuse intervention, and, eventually, financial literacy education. By
keeping track of attendance and engagement in real time, the program can quickly identify which
locations or services draw the most participants, as well as where additional outreach may be needed. As
part of this process, anonymized demographic data—such as age, gender, and community affiliation—
will also be collected to ensure that the program is reaching a diverse population and to identify any
potential gaps in outreach. Collecting this data is essential for tailoring the program’s approach to the
specific needs of different segments of the population, ensuring that no group is left behind.
In addition to participant logs, detailed service records will be kept for each consultation, noting its
duration, and any follow-up actions taken. This will allow the team to assess which services are being
used the most and how they contribute to the overall health and well-being of participants. Importantly,
any changes made to the program, whether in the form of new service offerings, schedule adjustments, or
shifts in community partnerships, will be carefully documented, with a clear rationale for why these
decisions were made. This historical record of program evolution will allow for transparency and provide
a foundation for continuous improvement. Following any change, the effects on participation rates,
service delivery, and overall community engagement will be closely monitored to assess whether the
change has positively impacted the program’s reach and effectiveness. For example, if a modification is
made to the food truck’s schedule or the locations it visits, the team will track how this impact both
attendance and engagement in services. This data-driven approach ensures that changes are not made
arbitrarily but are informed by solid evidence of what works best for the community. Additionally, when
new services, such as financial literacy workshops, are introduced, the program will monitor whether
these additions encourage more participants to seek out support or return for follow-up sessions.
Feedback from both participants and staff will be an essential part of this monitoring process, as
participant feedback forms and surveys will gauge satisfaction with the services, while staff and
volunteers will maintain their own logs of observations and suggestions for improvement, ensuring that
frontline perspectives are included in evaluations.
The continuous collection and analysis of data will also support the program’s ability to make mid-
course corrections, which are informed adjustments made in response to emerging trends or challenges
identified through data monitoring. The objective is to use findings from participation rates, service
delivery fidelity, and community engagement to make informed adjustments to the program as needed.
For example, if participation in mental health services decreases in certain areas, the team can investigate
the cause—whether it’s due to logistical challenges, community preferences, or lack of awareness—and
adjust the strategy accordingly, such as by increasing outreach efforts or altering the types of services
offered. Similarly, if certain services, such as financial literacy, begin to show strong engagement, the
program can expand those offerings to meet the growing demand. Making these mid-course corrections
ensures that the program remains responsive to the community’s evolving needs and continues to deliver
the most impactful services.
These data collection efforts will not only inform adjustments to enhance the effectiveness of services but
also support the program’s long-term goals of building community trust and engagement. Monitoring
how changes affect service delivery will help the program avoid disruptions and ensure that the quality of
care remains high, even as adjustments are made. The data gathered from logs and attendance records will
be analyzed to identify trends, track the success of interventions, and provide insights for continuous
improvement, ultimately helping the program better meet the needs of underserved communities. This
information will be instrumental in informing program decisions, adjusting strategies in real time, and
securing additional funding from stakeholders by demonstrating the program’s impact. Additionally,
documenting mid-course corrections and the rationale behind them will allow the team to show funders
and partners that the program is adaptable and responsive, further strengthening the case for ongoing
support. The process of collecting, analyzing, and acting on data will create a feedback loop where
program effectiveness is continually assessed and refined.
By utilizing a feedback loop in which data drives ongoing adjustments and refinements, DP's Food for
Thought will ensure that its services remain relevant, adaptive, and effective in addressing the
community’s needs. This approach of maintaining logs, tracking attendance, and documenting program
changes will also serve as a foundation for long-term sustainability, enabling the program to grow and
evolve in response to the community it serves. The ability to make informed, data-driven decisions will
not only improve service delivery but also create a more transparent and accountable process, fostering
greater community engagement and trust. Through these mechanisms, the program will be able to
document its successes and challenges, demonstrating its impact in both qualitative and quantitative
terms, while continually striving to improve and adapt to better serve the population.

Risk, Limitations, and Mitigation Strategies

In the implementation of mobile mental health and creative behavioral interventions, various risks,
limitations, and challenges are anticipated. Addressing these proactively through strategic planning will
be essential for ensuring the project’s success and sustainability.
Real-World Applicability and Feasibility
 Timeline Constraints: The proposed timeline for the project, from September to July, may be
challenging to maintain, especially during the initial development and implementation phases.
Delays could arise due to the time required for securing funding, obtaining Institutional Review
Board (IRB) approval, and logistical challenges, such as retrofitting the food truck or organizing
 mobile outreach services. The nature of this project allows for a phased rollout, which mitigates
this risk by allowing key services to be introduced gradually over time. Starting with smaller
initiatives—such as free consultations and surveys—while concurrently developing the
infrastructure, will allow for progress despite any unforeseen delays. By approaching the timeline
as ambitious but flexible, the program can be adjusted in response to setbacks, taking "small
bites" to meet larger goals.
 Resource Limitations: The availability of funding and materials is a potential limitation. Limited
financial and personnel resources may also restrict the program's capacity to scale or maintain
quality across different community settings. Mitigation strategies include developing strong
partnerships with local organizations (e.g., Gunnison Valley Health) to share resources, actively
recruiting through local networks, and seeking additional funding sources to support expansion
and quality control.
Believability and Acceptance
 Community Buy-In: One of the greatest challenges may be building trust and buy-in from
community members, especially in underserved or rural populations who may be skeptical about
the efficacy or intentions of the program. To combat this, the project will implement culturally
sensitive outreach, emphasizing community engagement through educational campaigns, face-
to-face interactions, and partnerships with trusted local organizations like Gunnison Food Pantry
and juvenile services. Building relationships slowly and fostering ongoing communication will
be key to ensuring long-term participation.
 Researcher Skepticism: Using a food truck to deliver mobile mental health and substance abuse
prevention may raise questions among researchers about its efficacy compared to traditional
intervention models. Concerns may also arise regarding scalability, generalizability, and the
program’s ability to deliver measurable outcomes. Addressing this skepticism will require
rigorous data collection, using both qualitative and quantitative methods to demonstrate the
program's effectiveness. Furthermore, peer-reviewed literature supporting the benefits of
mobile health services and community-based interventions will be used to validate the approach.
Continuous dialogue with research stakeholders will ensure that outcomes are framed within
existing theoretical models, such as the Ecological Model and Community-Based Participatory
Research (CBPR) frameworks.
Usefulness to Partner Organizations and the Broader Community
 Alignment with Organizational Goals: The long-term success of the program will depend on
how well it aligns with the priorities of partner organizations like Gunnison Valley Health, as
well as broader community needs. If the program does not adequately address the pressing
concerns of the community—such as substance abuse or mental health stigma—it may struggle to
maintain relevance. To ensure alignment, the project will engage in ongoing dialogue with
stakeholders to adjust the program's focus as needed, ensuring it remains in line with community
health priorities and organizational strategies. Periodic check-ins with partner organizations will
allow for course corrections, keeping the project relevant and integrated into local health
frameworks.
  Sustainability: A significant concern is whether the program can be sustained beyond the initial
pilot phase. Without continued funding or engagement, the project could lose momentum and
have limited long-term impact. Sustainability will be supported by building strong community
partnerships from the outset and securing diverse funding sources, including grants,
partnerships with local businesses (such as the Comfrt clothing brand), and revenue from food
services. The combination of mental health services with a food truck model not only provides a
mechanism for delivering care but also offers a source of sustainable funding, which can be
reinvested into the program and community to ensure its growth and long-term presence.
Validity Concerns
 Internal Validity: The reliance on self-reported data for measuring changes in mental health
and behaviors introduces potential biases, such as social desirability bias, where participants
may respond in ways they believe are expected rather than truthfully. Additionally, the absence of
a control group in the study design may limit the ability to attribute observed changes directly to
the intervention. To mitigate these issues, the program will use triangulation, drawing from
multiple data sources such as biomarker analysis (cortisol and oxytocin levels), behavioral
observations, and self-reported data to create a more comprehensive picture of outcomes. The
smaller pilot version of “Wrangling the Truth” will allow us to analyze effects of having a
controlled story.
 External Validity: The specific rural setting of Gunnison, Colorado, may limit the
generalizability of the program's outcomes to other regions, particularly urban areas. While this
model is designed with adaptability in mind, the unique community dynamics may affect its
transferability. However, this limitation will be addressed by designing the program to be flexible
and scalable, allowing it to be adapted to other rural communities by modifying certain
components (e.g., cultural norms, community priorities). The use of CBPR ensures that the
program remains community-driven and contextually relevant, but also allows for adjustments
based on the unique needs of each new setting.
Potential Concerns
 Logistical Challenges: Operating a food truck-based outreach program in rural areas presents
several logistical challenges, such as weather-related disruptions, difficulty in accessing remote
locations, and maintaining the mobile unit. Planning for weather contingencies and identifying
alternate locations (e.g., indoor spaces like the Ice Lab, Senior Center and other local spaces)
will be crucial to mitigating disruptions in service. In periods of extreme weather, the program
can temporarily shift to a catering model or use hybrid approaches that combine mobile services
with established community centers.
 Cultural Sensitivity: Ensuring that the program’s content and delivery are culturally sensitive is
vital to building trust and preventing disengagement. A lack of cultural awareness could alienate
community members and limit participation. Continuous cultural competence training for staff
and integrating community feedback into program design will be essential strategies to prevent
cultural insensitivity. Regular community check-ins and feedback loops will allow for real-time
 adjustments that ensure the program reflects the values and needs of the population it serves.
Tanslators will be available if needed in regards to Cora and Spanish.
Mitigation Strategies
 Adaptation and Flexibility: The program will be designed to be flexible, allowing for tailored
interventions based on the specific needs of each community. Real-time feedback will be used to
adapt program components as needed, ensuring the services remain relevant and effective.
 Timeline Management: A detailed project plan with built-in contingencies will be developed to
address potential delays, including alternative funding options and logistical workarounds for
unforeseen obstacles (e.g., equipment shortages or truck retrofitting delays).
 Engagement and Education: Ongoing educational campaigns and outreach efforts will be
implemented to increase buy-in from community members, researchers, and stakeholders. These
campaigns will aim to demystify the project’s goals and build trust through transparency and
cultural relevance.
 Partnerships and Collaboration: Strengthening relationships with local organizations will
enhance the program’s relevance and support. Partner organizations, such as GVH, Gunnison
Food Pantry, juvenile services, outdoor recreation businesses, and substance abuse support
groups, will be key in extending the program's reach and ensuring it meets broader community
needs.
 Evaluation and Adaptation: Rigorous evaluation methods will be employed, including both
qualitative and quantitative assessments. The program will remain open to iterative adjustments
based on participant feedback and findings from ongoing research, ensuring that the project is
continually improving and adapting to community needs.
By acknowledging these potential risks, limitations, and concerns upfront, and by applying strategic
mitigation approaches, the mobile outreach program will be better positioned to achieve its goals and
have a lasting, positive impact on the community. The flexibility and adaptability of the program are key
to its long-term sustainability and success. Through a combination of robust partnerships, continuous
evaluation, and flexible implementation, the project aims to deliver meaningful and sustainable mental
health, substance abuse prevention, and financial literacy services to Gunnison and beyond.

Quality Assurance and Protocol Refinement Checklists, Standardized Forms, Qualitative Forms
and Surveys
Consent Form
Title of Study: Food for Thought - Wrangling the Truth
Mobile Mental Health and Creative Behavioral Intervention - Community and Individual Resilience
through Cognitive Flexibility.
Principal Investigator:
Darian Palacio
Master of Behavioral Science in Rural Community Health (MBS)
Western Colorado University
[email protected]
719-344-0473
Faculty Advisor:
Jessica Eckhardt, Ph.D
Western Colorado University
[email protected]
Introduction
You are being invited to participate in a research study aimed at understanding the impact of mobile
mental health services, creative engagement, wearable comfort, and community partnerships on mental
health outcomes in rural areas. Before you agree to participate, it is important that you read this consent
form carefully to ensure you understand the purpose of the research, what will happen if you choose to
participate, and any potential risks or benefits. This consent form is designed to comply with the ethical
standards required for Institutional Review Board (IRB) approval.
Purpose of the Study
The primary purpose of this study is to evaluate the effectiveness of a mobile mental health intervention
that integrates creative engagement through anonymous storytelling ("Wrangling the Truth" booth) and
partnerships with local organizations such as Gunnison Valley Health, the Gunnison Food Pantry,
Juvenile and Substance Abuse services. The study aims to assess whether these combined approaches
improve mental health outcomes, reduce stigma, foster emotional resilience, and promote social
connectedness in rural communities.
Description of Participation
If you agree to participate, your involvement in this study will include the following:
1. Engagement with the Mobile Mental Health Unit:
o You will have the opportunity to participate in mental health services offered by the
mobile unit, which may include free self-help consultations and referrals to
resources/services.
2. Biomarker Analysis Participation in the "Wrangling the Truth" Storytelling Booth:
o If you choose, you may participate in a non-invasive biomarker analysis. This will
involve providing a saliva sample before and after participating in the "Wrangling the
Truth" booth to measure changes in cortisol and oxytocin levels, which are indicators of
stress and emotional bonding. This will also be paired with a pre and post survey to
assess your mood, emotional state, and social connectedness.
 o You will complete the pre survey and saliva collection before entering the booth. You
will then listen to an anonymous secret. You will then choose to share a personal story or
secret anonymously through the "Wrangling the Truth" booth. After you are done you
can come out for the post survey and saliva collection. (Incentives: meal and personal
custom video).
3. Participation in Interviews (Optional):
o You may be asked to participate in a one-on-one follow up interview to share your
experiences with the mobile unit and the storytelling booth. These interviews will help us
better understand the emotional and psychological impact of the project. (Incentives:
receiving customs Comfrt clothing or Food for Thought merchandise). This will also be
an introduction to consultations.
Duration of Participation
Your participation in the study will take approximately 1 hour, depending on the specific activities you
choose to engage in. The overall duration of the study is expected to last one year with data collection
occurring throughout that period. However, this project will be ongoing. If you participate in follow-up
activities (such as interviews or outdoor events), additional time may be required.
Potential Benefits
By participating in this study, you may experience the following benefits:
 Emotional Relief and Improved Mental Health: Engaging in anonymous storytelling and
receiving emotional support through the mobile mental health unit may provide relief from
emotional distress, reduce feelings of isolation, and improve your overall mental health.
 Physical Comfort: Receiving a personalized, slightly weighted Comfrt hoodie may help you
manage stress and anxiety, providing a sense of physical and emotional comfort.
 Social Connectedness: By participating in creative engagement activities and outdoor recreation,
you may experience increased social connectedness and a stronger sense of belonging within your
community.
 Contributing to Community Mental Health: Your participation will contribute to important
research that aims to improve mental health services in rural areas, helping to reduce stigma and
increase access to care.
Risks and Discomforts
There are minimal risks associated with participation in this study. However, potential risks and
discomforts include:
 Emotional Distress: Sharing personal stories, even anonymously, may evoke emotional
reactions. If you feel uncomfortable or distressed at any point, you are free to stop participating at
any time.
  Privacy Concerns: While every effort will be made to protect your anonymity, there is always a
slight risk of loss of confidentiality. However, no personal identifying information will be
collected, and all data will be stored securely. If a participant would like a voice over when they
share a secret, Food for Thought can provide that to better secure comfortability and security on
confidentiality and the ethics of this project.
 Physical Discomfort (Optional Biomarker Analysis): Providing saliva samples for biomarker
analysis is a non-invasive procedure, but you may experience slight discomfort during the
collection process.
Confidentiality and Data Protection
Your participation in this study is confidential. All data collected during the study, including survey
responses, saliva samples (if applicable), and interview recordings (if applicable), will be securely stored.
No personal identifiers will be linked to your data, and any published results will be presented in
aggregate form to protect your anonymity.
The information you provide, including survey responses and any personal stories shared, will be stored
securely on encrypted servers and accessible only to the research team. Data will be retained for five
years following the completion of the study, after which it will be securely destroyed.
Voluntary Participation and Right to Withdraw
Your participation in this study is entirely voluntary. You have the right to withdraw from the study at
any time without penalty or loss of benefits. If you choose to withdraw, any data collected up to that point
will be excluded from the study upon request.
If you decide to withdraw from a specific component of the study (e.g., biomarker analysis or interviews),
you may continue to participate in other aspects of the project.
Compensation
On-site participation with the Wrangling the Truth booth and the general Food truck experience will be
incentivized with a discounted meal from Food for Thought. A discounted meal for participating in 2
short pre and post surveys on the overall food truck experience and the Wrangling the Truth booth.
Participants who patriciate in the more in-depth research of this project with the biomarker analysis will
be incentivized to receive a discounted meal and personal custom video for completing the before and
after saliva data collection that are paired with a pre and post survey.
Participants will have the option to decide if they would like to participate in completing the follow up
interview after the biomarker analysis and surveys are complete, they will receive a discounted meal,
specialized video and personalized Comfrt clothing or Food for Thought merchandise.
A punch card for Food for Thought will be offered to participants in correlation to participation and food
truck purchases. This will allow us to track the impact and effectiveness this project has on individuals
who are participating more frequently. The punch card will need have 5 holes punches, meaning each
individual participant will have a chance to participate 5 times and participants will be given a code name.
More incentives will be created in collaboration with local businesses and organizations. In hopes
participants and customers are aware of all the local businesses and organizations have to offer in the
beautiful valley. For an example, this could look like participants having access to discounted or free
outdoor recreational activities. Additionally, participants who complete both pre- and post-surveys will be
eligible for a discounted meal from the mobile food truck.
Contact Information
If you have any questions or concerns about the study, please feel free to contact the principal
investigator, Darian Palacio, at [email protected]. If you have questions about your rights as a
research participant, you may contact the Western Colorado University Institutional Review Board at
[email protected].
Informed Consent
By signing below, you are indicating that you have read and understood the information provided in this
consent form, and you agree to participate in the research study. You understand that your participation is
voluntary, and you have the right to withdraw at any time.
 Participant Name (Printed): ___________________________________
 Participant Signature: ________________________________________
 Date: ____________________________________________________

Quality Assurance Audit Checklist?

Purpose: This checklist will be used by auditors or supervisors to assess whether services are provided
according to established protocols and standards, focusing on the key areas of referrals, "Wrangling the
Truth" booth, consultations, mental health support, substance abuse intervention, and immersive art
installations.
Date of Audit: __________________
Location: __________________
Auditor Name: __________________
A. Referrals and Resource Distribution
 ☐ Were participants provided with accurate and relevant referral information for local resources
and health services?
 ☐ Was each participant informed of telehealth options when in-person support was unavailable?
 ☐ Did staff confirm the participant’s understanding of the referral information?
 ☐ Were any follow-up plans for referrals communicated clearly to the participant?
B. "Wrangling the Truth" Booth
 ☐ Was the booth set up to ensure privacy, comfort, and a welcoming atmosphere?
  ☐ Did staff or volunteers provide a clear explanation of the booth’s purpose to participants?
 ☐ Was emotional support available for participants sharing sensitive information?
 ☐ Did staff document key themes or frequently discussed topics for program insights
(maintaining confidentiality)?
C. Consultations
 ☐ Were consultations conducted in a private and confidential environment?
 ☐ Did the consultation follow established protocols for mental health and/or substance abuse?
 ☐ Were evidence-based techniques (e.g., CBT, Motivational Interviewing) applied correctly?
 ☐ Was each participant encouraged to set and document goals related to mental health or
substance use?
 ☐ Were follow-up consultations or referral plans clearly explained and agreed upon?
D. Self help Groups or Seminars (Future Implementation)
 ☐ Did group or seminars adhere to established session guidelines and goals?
 ☐ Were mental health resources and materials shared with participants?
 ☐ Did facilitator and other staff members effectively use interactive techniques (e.g., guided
discussion, mindfulness) to engage participants?
 ☐ Was there a specific focus on common mental health concerns (e.g., anxiety, stress
management)?
 ☐ Were participants encouraged to provide feedback on the session?
E. Substance Abuse Intervention
 ☐ Were relapse prevention and behavioral self-control techniques provided?
 ☐ Did staff supply harm reduction tools or information, such as safe needle or testing strip
resources?
 ☐ Were participants guided to explore triggers and personal coping strategies for substance use?
 ☐ Was substance abuse education material provided to all participants?
 ☐ Was a clear follow-up or support plan offered to participants needing ongoing assistance?
F. Other Immersive Art Installations
 ☐ Was the art installation accessible and safe for all participants?
 ☐ Did staff explain the therapeutic or educational objectives of the installation?
  ☐ Were participants provided guidance on how to engage with the installation?
 ☐ Was any participant feedback or emotional response to the installation recorded for
evaluation?
 ☐ Did the installation effectively align with mental health or substance abuse awareness themes?
G. General Observations
 ☐ Were all services delivered according to the organization’s protocols and standards?
 ☐ Did staff demonstrate cultural sensitivity and respect during service delivery?
 ☐ Were any issues observed in the accessibility or safety of services?

Program Change Log Form

Purpose: This form will document any changes made to the program, including modifications to services,
schedules, or procedures, along with the rationale behind each change.
Date of Change: __________________
Program Area Affected (e.g., referrals, mental health, consultations): __________________
Description of Change: ____________________________________________________________
Reason for Change: _______________________________________________________________
Approval (Supervisor/Manager Signature): ____________________
Expected Outcome of Change: _______________________________________________________
Follow-Up Notes
 Effect on Participation Rates: ______________________________________________
 Effect on Service Delivery: ________________________________________________
 Feedback Received from Participants or Staff: _________________________________
 Additional Adjustments Needed? Yes / No (Describe): ___________________________

Staff Feedback Form

Purpose: This form allows staff and volunteers to provide feedback on any challenges, deviations from
protocols, or ideas for improvement in service delivery.
Date: __________________
Location: __________________
Staff/Volunteer Name: __________________
A. Observations and Challenges
 1. Were there any challenges or obstacles encountered during service delivery today?

2. Did you notice any deviations from the intended service delivery protocols?

3. How did you address these challenges or deviations?

B. Participant Engagement
1. How engaged were participants with the services provided?
o ☐ Very Engaged

o ☐ Somewhat Engaged

o ☐ Not Engaged

2. Did you observe any emotional responses or feedback from participants that should be
documented for program evaluation?

C. Program Improvement Suggestions

1. Do you have any suggestions for improving the current service offerings?

2. Are there additional resources, materials, or techniques that would improve your ability to deliver
these services effectively?

3. Were there any specific training needs identified based on today’s experience?

4. Any other comments or feedback?

 o

These forms will be essential for maintaining high standards of service delivery, gathering feedback for
continuous improvement, and making evidence-based adjustments to DP's Food for Thought's practicum
program. By using these structured tools, the program can ensure that services are provided effectively
and responsively, building a strong foundation for impactful and sustainable community engagement.

Quantitative Survey Forms for DP’s Food for Thought

Each survey is crafted to provide high-quality, actionable data to evaluate the effectiveness, impact, and
potential for scalability of DP’s Food for Thought. These surveys are aimed at generating statistically
significant evidence to support funding applications, program scaling, and business sustainability.
These first couple of surveys are designed for quick on-site participation easily accessed by the public,
customers and participants. Participants who engage in the biomarker analysis and consultations will be
given more in-depth quantitative surveys. Survey may change in regards to more numerical answer
choices.
Survey for Research Question 1: Effectiveness of Mobile Mental Health Services, Creative
Engagement, and Behavioral Science Interventions in Reducing Stigma and Improving Mental
Health Outcomes in Rural Communities
This survey form will be distributed and incentivized when customers are ordering. The pre survey will
be completed before or after ordering. The Post survey will be distributed when the food is ready to be
served or before the customers leave. Physical paper and digital participation through QR code or website
are available.
Pre-Survey (To Be Completed Before Participating upon ordering food for a small discount on
meal)
Goal: Establish baseline levels of comfort, perception, and engagement regarding mental health and
community support.
1. How comfortable do you feel discussing mental health issues in your community?
o ☐ Very Comfortable

o ☐ Comfortable

o ☐ Neutral

o ☐ Uncomfortable

o ☐ Very Uncomfortable
2. How open are you to sharing personal experiences or thoughts on mental health?
o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

3. How effective do you think anonymous storytelling can be in changing perceptions of

mental health stigma?
o ☐ Extremely Effective

o ☐ Effective

o ☐ Neutral

o ☐ Ineffective

o ☐ Extremely Ineffective

4. How likely are you to recommend mental health support to others in your community?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

5. How do you currently view mental health as a private or taboo topic?

o ☐ Strongly Changed

o ☐ Somewhat Changed

o ☐ Neutral

o ☐ Did Not Change

o ☐ Reinforced Stigma

6. To what extent do you feel mobile mental health services are necessary in rural
communities?
o ☐ Absolutely Necessary
 o ☐ Somewhat Necessary

o ☐ Neutral

o ☐ Somewhat Unnecessary

o ☐ Unnecessary

7. How often do you feel able to discuss mental health issues with friends, family, or peers?
o ☐ Much More Often

o ☐ Somewhat More Often

o ☐ Neutral

o ☐ Somewhat Less Often

o ☐ Much Less Often

8. How accessible do you anticipate DP’s Food for Thought services will be in your
community?
o ☐ Very Accessible

o ☐ Accessible

o ☐ Neutral

o ☐ Inaccessible

o ☐ Very Inaccessible

Post-Survey (To Be Completed After Participating as they leave Food for Thought)
Goal: Measure any shifts in comfort, perception, engagement, and satisfaction after experiencing the
program.
1. How comfortable do you feel discussing mental health issues in your community after
participating?
o ☐ Very Comfortable

o ☐ Comfortable

o ☐ Neutral

o ☐ Uncomfortable

o ☐ Very Uncomfortable

2. Did the “Wrangling the Truth” booth help you feel more open to sharing personal
experiences or thoughts on mental health?
 o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

3. How effective was the anonymous storytelling experience in changing your perception of
mental health stigma?
o ☐ Extremely Effective

o ☐ Effective

o ☐ Neutral

o ☐ Ineffective

o ☐ Extremely Ineffective

4. How likely are you now to recommend mental health support to others in your community?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

5. Did participating in DP’s Food for Thought activities change your perspective on mental
health as a private or taboo topic?
o ☐ Strongly Changed

o ☐ Somewhat Changed

o ☐ Neutral

o ☐ Did Not Change

o ☐ Reinforced Stigma

6. To what extent do you feel mobile mental health services are necessary in rural
communities after participating?
o ☐ Absolutely Necessary
 o ☐ Somewhat Necessary

o ☐ Neutral

o ☐ Somewhat Unnecessary

o ☐ Unnecessary

7. Since engaging with DP’s Food for Thought, how often do you feel able to discuss mental
health issues with friends, family, or peers?
o ☐ Much More Often

o ☐ Somewhat More Often

o ☐ Neutral

o ☐ Somewhat Less Often

o ☐ Much Less Often

8. How accessible did you find the DP’s Food for Thought services in your community?
o ☐ Very Accessible

o ☐ Accessible

o ☐ Neutral

o ☐ Inaccessible

o ☐ Very Inaccessible

9. To what degree did you feel that the creative elements (e.g., art installations) enhanced the
effectiveness of the program?
o ☐ Significantly Enhanced

o ☐ Enhanced

o ☐ Neutral

o ☐ Minimal Enhancement

o ☐ No Enhancement

10. How valuable do you find the combination of mental health support and creative
engagements in this program?
o ☐ Very Valuable

o ☐ Valuable
 o ☐ Neutral

o ☐ Minimally Valuable

o ☐ Not Valuable

11. How often would you want to engage with the program if it were available on a recurring
basis in your area?
o ☐ Weekly

o ☐ Bi-weekly

o ☐ Monthly

o ☐ Occasionally

o ☐ Rarely

12. Would you support more programs like DP’s Food for Thought being brought to other
rural communities?
o ☐ Strongly Support

o ☐ Support

o ☐ Neutral

o ☐ Oppose

o ☐ Strongly Oppose

13. Overall, how satisfied are you with the services provided by DP’s Food for Thought?
o ☐ Very Satisfied

o ☐ Satisfied

o ☐ Neutral

o ☐ Dissatisfied

o ☐ Very Dissatisfied

This pre- and post-survey format allows us to conduct quantitative analyses to determine changes in
comfort with discussing mental health, openness, perception of mental health stigma, and satisfaction
with the program.
Pre and post surveys for research questions #2 and #3 will be outside (pre) and inside(post) the
“Wrangling the Truth” phone booth. Participants must complete the pre survey outside first before
entering. Then after they have listened to an anonymous secret and shared their own, they will need
to complete the post survey before exiting. Physical paper and digital participation through QR
code or website available.
Survey for Research Question 2: Can Collective Emotional Expression Foster Emotional Resilience
and Social Connectedness in Isolated Populations? Survey for Research Question 3: Neurochemical
Impacts of Emotional Catharsis and Correlation with Reductions in Stress and Improvements in
Mood
Goal: To measure whether anonymous storytelling and collective emotional expression through the
“Wrangling the Truth” booth increase emotional resilience and social connection among rural residents.
This will also allow us to quantify self-reported changes in mood, stress levels, and emotional resilience
that correlate with physiological data (e.g., cortisol, oxytocin) collected from participants before and after
engaging in storytelling.
Pre-Survey (To Be Completed Before Entering the Phone Booth)
Goal: Establish baseline levels for stress, mood, emotional connectedness, and preparedness for self-
reflection.
1. How would you rate your level of stress before participating in the storytelling booth?
o ☐ Very High

o ☐ High

o ☐ Moderate

o ☐ Low

o ☐ Very Low

2. How would you describe your current mood?

o ☐ Very Positive

o ☐ Positive

o ☐ Neutral

o ☐ Negative

o ☐ Very Negative

3. How connected do you currently feel to others in your community?

o ☐ Very Connected

o ☐ Connected

o ☐ Neutral

o ☐ Disconnected
 o ☐ Very Disconnected

4. How comfortable do you feel with the idea of anonymously sharing personal thoughts or
stories?
o ☐ Very Comfortable

o ☐ Comfortable

o ☐ Neutral

o ☐ Uncomfortable

o ☐ Very Uncomfortable

5. How often do you engage in self-reflection about personal challenges?

o ☐ Daily

o ☐ Weekly

o ☐ Occasionally

o ☐ Rarely

o ☐ Never

6. To what extent are you currently able to manage feelings of anxiety or tension?
o ☐ Very Well

o ☐ Somewhat Well

o ☐ Neutral

o ☐ Poorly

o ☐ Very Poorly

Post-Survey (To Be Completed After Exiting the Phone Booth)

Goal: Measure changes in emotional relief, social connectedness, mood, and resilience after engaging
with the storytelling experience.
1. How would you rate your level of stress after participating in the storytelling booth?
o ☐ Very High

o ☐ High

o ☐ Moderate

o ☐ Low
 o ☐ Very Low

2. Did participating in the booth help you reflect on personal challenges in a new way?
o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

3. How much emotional relief did you feel after sharing and listening to stories in the booth?
o ☐ Significant Relief

o ☐ Moderate Relief

o ☐ Neutral

o ☐ Little Relief

o ☐ No Relief

4. To what extent did the experience help you reframe or gain new insights into personal
experiences?
o ☐ Greatly Enhanced Insights

o ☐ Somewhat Enhanced Insights

o ☐ Neutral

o ☐ Limited Insights

o ☐ No New Insights

5. How likely are you to continue engaging in self-reflection after participating in the booth?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

6. How connected did you feel to others after hearing or reading shared stories from your
community?
 o ☐ Very Connected

o ☐ Connected

o ☐ Neutral

o ☐ Disconnected

o ☐ Very Disconnected

7. To what extent did the storytelling experience improve your overall mood?
o ☐ Major Improvement

o ☐ Moderate Improvement

o ☐ No Change

o ☐ Worsened Mood

8. How effective was the experience in helping you relieve or manage recent feelings of
tension? (e.g. stress and anxiety)
o ☐ Very Effective

o ☐ Effective

o ☐ Neutral

o ☐ Ineffective

o ☐ Very Ineffective

9. How much did this experience allow you to release or express emotions you may have
previously held back?
o ☐ Significant Release

o ☐ Moderate Release

o ☐ Neutral

o ☐ Little Release

o ☐ No Release

10. Since participating in the booth, how would you rate your level of self-compassion or
kindness toward yourself?
o ☐ Greatly Increased

o ☐ Increased
 o ☐ Neutral

o ☐ Decreased

o ☐ Greatly Decreased

11. How would you rate your sense of connection or trust towards others after participating in
the storytelling booth?
o ☐ Greatly Increased

o ☐ Increased

o ☐ Neutral

o ☐ Decreased

o ☐ Greatly Decreased

12. To what degree did this experience allow you to release or express emotions you may have
previously held back?
o ☐ Significant Release

o ☐ Moderate Release

o ☐ Neutral

o ☐ Little Release

o ☐ No Release

These pre- and post-surveys will provide insight into participants' emotional states and resilience, changes
in mood and stress, and levels of social connectedness after the phone booth experience. This data can
then be analyzed to support findings related to collective emotional expression, social connectedness, and
neurochemical impacts.
Wrangling the Truth Biomarker Analysis Participation Pre and Post Survey
Here's a consolidated Pre- and Post-Survey tailored to capture both cognitive-emotional impacts and the
neurochemical aspects of participating in the "Wrangling the Truth" booth. This survey also includes
incentives for participation, such as a meal from the food truck and custom wearable merchandise to
encourage mental health awareness and self-reflection.
Pre-Survey (To Be Completed Before Participating in the "Wrangling the Truth" Booth)
Goal: Establish baseline metrics for mood, stress, emotional clarity, social connection, and expectations
around anonymous emotional sharing.
Section 1: Demographics and Baseline Engagement
1. What is your age?
 o ☐ 18–24

o ☐ 25–34

o ☐ 35–44

o ☐ 45–54

o ☐ 55–64

o ☐ 65+

2. Gender
o ☐ Male

o ☐ Female

o ☐ Non-binary

o ☐ Prefer not to say

3. Current Mental Health Status

o ☐ Poor

o ☐ Fair

o ☐ Good

o ☐ Very good

o ☐ Excellent

4. Previous Participation in Mental Health Programs

o ☐ Never

o ☐ Rarely

o ☐ Occasionally

o ☐ Regularly

Section 2: Initial Cognitive and Emotional Baseline

5. How comfortable are you discussing mental health topics with others?
o ☐ Very Comfortable

o ☐ Comfortable

o ☐ Neutral
 o ☐ Uncomfortable

o ☐ Very Uncomfortable

6. On a scale of 1-10, how high are your current stress levels?

o Scale: 1 (No stress) to 10 (Extremely high stress)

7. Rate your current level of social connectedness.

o Scale: 1 (Not connected at all) to 10 (Extremely connected)

8. To what extent do you regularly engage in self-reflection?

o ☐ Never

o ☐ Rarely

o ☐ Occasionally

o ☐ Often

o ☐ Very Often

Section 3: Perception and Anticipated Impact of Anonymous Sharing

9. How effective do you expect anonymous storytelling to be for emotional relief?
o ☐ Very Effective

o ☐ Effective

o ☐ Neutral

o ☐ Ineffective

o ☐ Very Ineffective

10. How open are you to the idea of sharing a personal story or secret anonymously?
o ☐ Very Open

o ☐ Open

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

11. How likely are you to gain new insights into your emotions by listening to others' stories?
o ☐ Very Likely
 o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

Post-Survey (To Be Completed After Participating in the "Wrangling the Truth" Booth)
Goal: Assess changes in mood, emotional clarity, social connectedness, stress relief, and perspectives on
mental health after participation.
Section 1: Immediate Cognitive and Emotional Effects
1. How much emotional relief did you feel after sharing or listening to stories?
o ☐ Significant Relief

o ☐ Moderate Relief

o ☐ Neutral

o ☐ Little Relief

o ☐ No Relief

2. Did participating help you reframe personal challenges constructively?

o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

3. How likely are you to engage in self-reflection after this experience?

o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

4. On a scale of 1-10, how would you rate your current stress level post-participation?
 o Scale: 1 (No stress) to 10 (Extremely high stress)

Section 2: Social Connectedness and Emotional Intelligence

5. How connected did you feel to others after hearing shared stories?
o ☐ Very Connected

o ☐ Connected

o ☐ Neutral

o ☐ Disconnected

o ☐ Very Disconnected

6. To what extent did the experience increase your empathy and trust toward others?
o Scale: 1 (No increase) to 10 (Significant increase)

7. Do you agree that this experience enhanced your emotional resilience?

o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

Section 3: Mood and Neurochemical Effects

8. How would you rate the positive change in your mood after participating?
o Scale: 1 (No change) to 10 (Significant positive change)

9. How likely do you believe this activity could trigger beneficial neurochemical changes like
increased oxytocin (bonding hormone) or decreased cortisol (stress hormone)?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

10. To what extent did sharing help you release previously held emotions?
o Scale: 1 (No release) to 10 (Significant release)
Section 4: Long-Term Mental Health Perception
11. How likely are you to participate in similar programs in the future?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

12. How much did the experience reduce self-critical or negative thinking patterns?
o ☐ Greatly Reduced

o ☐ Reduced

o ☐ Neutral

o ☐ No Reduction

o ☐ Increased Negative Thinking

13. Do you believe this form of anonymous sharing can enhance mental health awareness in
rural areas?
o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

14. How strongly do you feel this activity aligns with traditional mental health support
services?
o Scale: 1 (Not at all) to 10 (Completely aligns)

Section 5: Perceived Community Impact and Behavioral Change

15. How strongly do you believe this activity helps reduce mental health stigma in your
community?
o ☐ Strongly Agree

o ☐ Agree
 o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

16. How likely are you to recommend similar mental health programs to others?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

17. How likely are you to adopt more open, supportive behaviors following this experience?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

Participants will receive a meal from the food truck, custom wearable merchandise, and a video creation
of the story participants shared that are designed to further support mental health awareness and self-
reflection.
This pre- and post-survey captures both the immediate and potential long-term cognitive, emotional, and
neurochemical effects, allowing for a comprehensive quantitative analysis of the program's impact. It also
supports measuring changes in mental health perceptions, stigma reduction, and social connectedness in
rural communities.
Quantitative Pre- and Post-Survey for Self-Help Consultations at DP’s Food for Thought
These surveys are designed to quantitatively assess the effectiveness of the self-help consultations offered
through DP’s Food for Thought in supporting mental health, substance abuse recovery, personal growth,
and community engagement. Each survey will evaluate areas such as comfort, self-awareness, motivation,
and emotional well-being, aiming to capture shifts in participant perceptions and well-being after
consultation sessions. The survey will be incentivized by offering a meal from the food truck or custom
wearable merchandise to encourage participation and increase engagement.
Pre-Consultation Survey
Goal: Establish baseline metrics in mental well-being, self-awareness, motivation, and community
connection before participants engage in their first consultation session.
Section 1: Demographic and Background Information
1. What is your age?
o ☐ 18–24

o ☐ 25–34

o ☐ 35–44

o ☐ 45–54

o ☐ 55–64

o ☐ 65+

2. Gender
o ☐ Male

o ☐ Female

o ☐ Non-binary

o ☐ Prefer not to say

3. How often do you engage in self-help or self-improvement activities (e.g., therapy, self-help
books, meditation)?
o ☐ Never

o ☐ Rarely (less than once a month)

o ☐ Occasionally (1-2 times a month)

o ☐ Regularly (3-4 times a month)

o ☐ Frequently (5 or more times a month)

Section 2: Baseline Mental Health and Self-Awareness

4. How would you rate your current mental health status?
o Scale: 1 (Poor) to 10 (Excellent)

5. How often do you experience feelings of stress or overwhelm?

o Scale: 1 (Rarely) to 10 (Almost daily)

6. How connected do you feel to others in your community?

 o Scale: 1 (Not connected) to 10 (Very connected)

7. To what extent do you feel comfortable seeking help for mental health challenges?
o ☐ Very Comfortable

o ☐ Comfortable

o ☐ Neutral

o ☐ Uncomfortable

o ☐ Very Uncomfortable

8. How motivated do you feel about making changes to improve your mental health and
overall well-being?
o Scale: 1 (Not motivated) to 10 (Very motivated)

Section 3: Awareness of Personal Growth and Emotional Regulation

9. How often do you reflect on your personal growth and areas for improvement?
o ☐ Never

o ☐ Rarely

o ☐ Occasionally

o ☐ Often

o ☐ Very Often

10. How much control do you feel over your emotional reactions in difficult situations?
 Scale: 1 (No control) to 10 (Complete control)
11. How clear are you on your personal values and life goals?
 Scale: 1 (Not clear at all) to 10 (Very clear)
12. How likely are you to engage with DP’s Food for Thought in the future to improve mental
health and self-development?
 ☐ Very Likely
 ☐ Likely
 ☐ Neutral
 ☐ Unlikely
 ☐ Very Unlikely
Post-Consultation Survey
Goal: Measure any shifts in mental well-being, motivation, self-awareness, and perceived community
support following participation in the self-help consultations. This will capture the consultation's impact
on participants’ mental health, engagement, and perceived quality of life.
Section 1: Immediate Impact on Mental Health and Self-Awareness
1. How would you rate your mental health status after the consultation(s)?
o Scale: 1 (Poor) to 10 (Excellent)

2. How has your stress level changed since engaging in consultations?

o ☐ Significantly Decreased

o ☐ Decreased

o ☐ No Change

o ☐ Increased

o ☐ Significantly Increased

3. Do you feel more comfortable discussing personal or mental health issues following these
consultations?
o ☐ Strongly Agree

o ☐ Agree

o ☐ Neutral

o ☐ Disagree

o ☐ Strongly Disagree

4. How effective was the consultation in helping you identify personal goals or areas for self-
improvement?
o Scale: 1 (Not effective) to 10 (Very effective)

Section 2: Behavioral Changes and Community Connection

5. Since the consultation, how often do you actively reflect on your personal growth and
mental health needs?
o ☐ Never

o ☐ Rarely
 o ☐ Occasionally

o ☐ Often

o ☐ Very Often

6. To what extent have the consultations helped you connect with community resources or
services?
o ☐ Greatly Increased Connection

o ☐ Increased Connection

o ☐ Neutral

o ☐ Decreased Connection

o ☐ Greatly Decreased Connection

7. How has your engagement with your community changed since participating in DP’s Food
for Thought consultations?
o ☐ Significantly Increased

o ☐ Increased

o ☐ No Change

o ☐ Decreased

o ☐ Significantly Decreased

8. To what extent do you feel that regular consultations could benefit your long-term mental
health and well-being?
o Scale: 1 (Not beneficial) to 10 (Extremely beneficial)

Section 3: Personal Growth and Life Goal Alignment

9. How likely are you to return for additional consultations at DP’s Food for Thought?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

10. To what degree did the consultation help you align your actions with your values and life
goals?
 o Scale: 1 (No alignment) to 10 (Complete alignment)

11. How much did the consultation help you in identifying strategies to manage challenging
emotions?
o ☐ Very Helpful

o ☐ Helpful

o ☐ Neutral

o ☐ Unhelpful

o ☐ Very Unhelpful

12. How likely are you to continue using the coping strategies or insights gained from these
sessions in your daily life?
o ☐ Very Likely

o ☐ Likely

o ☐ Neutral

o ☐ Unlikely

o ☐ Very Unlikely

Section 4: Emotional Resilience and Self-Compassion

13. Since attending consultations, how often do you feel better equipped to handle stressful
situations?
o ☐ Much More Often

o ☐ More Often

o ☐ No Change

o ☐ Less Often

o ☐ Much Less Often

14. To what extent have these sessions improved your self-compassion or reduced self-critical
thoughts?
o Scale: 1 (No improvement) to 10 (Significant improvement)

15. Overall, how satisfied are you with the self-help consultations at DP’s Food for Thought?
o ☐ Very Satisfied

o ☐ Satisfied
 o ☐ Neutral

o ☐ Dissatisfied

o ☐ Very Dissatisfied

16. How effective do you feel these consultations were in addressing your primary mental
health or personal growth goals?
o Scale: 1 (Not effective) to 10 (Extremely effective)

This pre- and post-survey format provides comprehensive, quantitative insights into participant outcomes
in mental health, emotional regulation, self-compassion, and community engagement. These data points
will help evaluate the consultations' effectiveness, participant satisfaction, and impact on personal growth,
aiding in potential funding efforts, program improvements, and demonstrating the project's long-term
benefits.
Qualitative Questions for Biomarker Analysis in "Wrangling the Truth" Booth Participation
Follow up Interview (Optional)
Emotional Catharsis and Self-Reflection
1. How would you describe the emotional release you felt during and after sharing or listening
to a story in the booth?
o Follow-up: Did this experience help you process any unresolved emotions or thoughts?

2. Did sharing a personal story or hearing someone else’s change how you perceive your own
struggles or challenges?
o Follow-up: How did this shift in perspective make you feel, both emotionally and
physically?
3. After participating, did you notice any immediate or lingering changes in your mood?
o Follow-up: Can you describe the emotional shifts in more detail (e.g., relief, joy,
sadness)?
4. How has this experience influenced your level of self-compassion or forgiveness toward
yourself?
o Follow-up: What specific aspects of the experience led to this change?

Perceived Physiological Changes

5. Did you notice any physical sensations, such as feeling more relaxed, tense, or energized,
after your time in the booth?
o Follow-up: How did these sensations relate to your emotions at the time?
 6. Would you say that your stress levels changed after engaging in the booth? If so, in what
way?
o Follow-up: Did you feel any physical signs of stress reduction (e.g., slower breathing,
lighter chest)?
7. Did this experience impact your sleep or physical energy levels in the days following the
session? (Might take out)
o Follow-up: Can you describe any changes in more detail, whether positive or negative?

8. How did the experience of sharing or listening affect your overall sense of well-being?
(Might take out)
o Follow-up: Do you feel this is something that affects you at a physiological level, or was
it primarily emotional?
Social Connectedness and Emotional Bonding
9. How connected did you feel to others after hearing shared stories? Did this change your
perspective on community?
o Follow-up: Do you think this sense of connection could impact your long-term views of
support and relationships?
10. How did sharing in the booth help you understand others in your community who might be
experiencing similar issues?
o Follow-up: Do you feel more empathy or emotional closeness to others after
participating?
11. Did you experience a change in trust or openness toward others after engaging in
anonymous sharing?
o Follow-up: How might this experience affect how you interact with your community or
social circles?
Behavioral and Mental Patterns
12. Has this experience led you to reflect differently on your behavior or thoughts since
participating?
 Follow-up: Have you noticed any changes in how you handle or react to stress since your time in
the booth?
13. Do you feel more mindful or aware of your emotions after participating?
 Follow-up: How has this awareness impacted your daily routines or interactions with others?
14. Did participating in the booth help you recognize or challenge any negative thinking
patterns, like self-criticism or avoidance?
  Follow-up: How has this experience influenced how you view or address these patterns in daily
life?
Long-term Impact and Future Engagement
15. How likely are you to engage in similar emotional expression activities again? Why or why
not?
 Follow-up: What aspects of the booth experience make you feel inclined (or not) to continue this
kind of sharing?
16. Do you feel that this experience could have a lasting impact on your mental or physical well-
being?
 Follow-up: How do you see this experience influencing your approach to stress, mental health, or
relationships over time?
17. After this experience, do you feel motivated to connect more deeply with others in your
community?
 Follow-up: What specific parts of the experience inspired this feeling, if any?
18. If you were to describe the effect of the “Wrangling the Truth” booth on your well-being,
what would you say?
 Follow-up: Are there any changes in your behavior, thinking, or physical health that you would
attribute to this experience?
Exploring the Connection Between Emotional Catharsis and Physical Health
19. How strongly do you believe that emotional sharing impacts your physical health?
 Follow-up: Based on your experience, how would you describe the connection between
emotional and physical well-being?
19. Did this experience help you gain a better understanding of how your body responds to
emotional release?
 Follow-up: How does this knowledge affect your approach to managing emotions moving
forward?
These questions aim to capture the depth of participants’ experiences with emotional release, social
connectedness, and the potential physiological effects of emotional catharsis, contributing to a better
understanding of how such interventions can impact well-being on multiple levels
Self-Help Consultation - Qualitative Interview Questions – main focus will be on quantitative works
1st Consultation: "YOUR(E) JUST IN TIME"
These questions are unconventional and thought-provoking, breaking away from the typical consultation
structure. Starting with such a creative approach helps participants feel more comfortable, intrigued, and
less intimidated. The questions invite curiosity and encourage open participation, setting the stage for a
unique and memorable experience through fostering introspection, connection, and growth to generate a
meaningful engagement.
1. How can you win today?
o This allows participants to think in the present moment and not so much about the future
or past. Establishing what small tasks are currently in participants' control to achieve by
encouraging focus on achievable positivity while sparking motivation. This also allows
an opportunity to generate a semi-structured plan that identify small, actionable “wins”
that can build momentum toward larger goals. Introducing a deeper understanding on the
compound effect.
2. What’s the difference in dying to win and risking death to win? Which path feels truer to
you?
o Introduces philosophical reflection on intention and resilience, prompting deeper
consideration of life’s priorities.
3. What do you carry that is so heavy?
o This question fosters emotional release and encourages sharing burdens. Allows
participants to share personal struggles in a way that feels exploratory rather than
invasive. This openness helps establish trust between the participant and the consultant,
creating a safe environment for more in-depth discussions in subsequent sessions.
4. What promises do you struggle to keep to yourself? Why?
o This question deepens self-reflection on personal values and commitments. Further
allowing participants to share personal struggles in a way that feels exploratory rather
than invasive. This openness helps establish trust between the participant and the
consultant, creating a safe environment for more in-depth discussions in subsequent
sessions.
5. What about the thief in your mind that’s after your promise? What do they say?
o This question invites participants to address self-doubt and reinforce their inner strength.
Nudges participants toward recognizing their inner critic.
6. “People who don’t ask questions have blind faith.” Do you agree or disagree? What other
thoughts reveal themselves when you read this statement?
o This question is just meant to encourage curiosity and challenge mental boundaries.

7. I believe love surrounds us all, but how do you know when it is there? What’s stopping you
from fully stepping into it? Do you feel like you unintentionally or intentionally miss out on
a lot of love that people have for you?
 o Encourages participants to explore their awareness of connection and emotional
openness. This fosters a non-judgmental space where participants feel heard and valued,
essential for building rapport and fostering community connection.
8. Once you develop a belief, good or bad, you find what supports it. You reinforce what you
believe. What belief about yourself do you see evidence for every day? Is it helping you, or is
it time to let it go? What do you believe you can be?
o This question aims to encourage metacognition and self-awareness of mental habits.
Participants will be encouraged to challenge limiting beliefs and imagine a better version
of themselves. This can lead to small breakthroughs that motivate participants to return
for more sessions. This also aims to plant seeds of personal growth and resilience. These
questions subtly introduce participants to concepts of cognitive reframing and self-
accountability, which align with evidence-based practices like Cognitive Behavioral
Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
9. Do you fight back or fight forward?
o This question allows for exploration in resilience and strategies for navigating challenges.
Questions that might resonate long after the consultation, prompting participants to
explore deeper meaning in subsequent sessions.
10. Yes, the truth will set you free, but it might piss you off at first. What truth have you
learned that set you free, even if it hurt to hear it at first?
 Generates an invitation for exploration of growth through discomfort. Questions that might
resonate long after the consultation, prompting participants to explore deeper meaning in
subsequent sessions. While also exploring how individuals process uncomfortable truths.
11. Are you building walls to stay safe, or bridges to grow stronger? What would your strongest
self choose? Are you here to be protected or to get stronger? (Optional)
 Challenges participants to reframe their challenges as opportunities for growth. Encourages
participants to consider growth vs. protection.
12. What is the best advice you have ever received? What made it resonate so deeply?
 Fosters a opportunity to reflect on meaningful guidance, which will provide insight into
participants value and inspirations.
13. Real growth comes from when you’re tired of your own patterns. What change do you long
to make but haven’t yet dared to try?
 This encourages a gentle push towards transformation. We are aiming to plant seeds of personal
growth and resilience. These questions subtly introduce participants to concepts of cognitive
reframing and self-accountability, which align with evidence-based practices like Cognitive
Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Exploring the
barriers preventing change.
 14. What are the best luxuries in life?
 This will help balance the emotional intensity of deeper questions, embodying the creativity that
Food for Thought seeks to integrate. Further helping participants to focus on gratitude and
intangible joys.
15. What is one small thing that you can do to be someone who makes YOU happy?
 Promotes actionable self-care and mindfulness, fostering immediate steps towards well-being.
16. What’s one secret your soul would share if it knew the world was listening without
judgment? (Optional – might take out)
 Encourages vulnerability and emotional release.
17. When you look at yourself through the eyes of someone who loves you, what do they see that
you don’t? (Optional – might take out)
 Fosters compassion and challenges self-criticism, creating a shift towards self-love.
18. What’s the hardest lesson you’ve ever learned or hardest thing you have had to overcome,
and how has it shaped you? (Optional – might take out)
 Explores emotional growth and resilience. Allowing participants to reflect on personal
experiences and connections.
19. Can you please teach me your favorite dance move?
 As part of the broader research proposal, this approach aligns with the creative behavioral
interventions emphasized by Food for Thought. By incorporating fun elements similar to this
question it adds an element of fun and playfulness, blending creativity with connection and
making the consultation dynamic and engaging.
2nd and Ongoing Consultations
Introduction and Baseline Questions
1. What motivated you to participate in today’s consultation?
o Purpose: Understand the initial reasons or triggers leading to engagement.

2. How would you describe your current mental and emotional state?
o Purpose: Establish a baseline for assessing mental and emotional health.

3. What are the most significant challenges you currently face in life (e.g., personal growth,
mental health, community connection)?
o Purpose: Identify specific areas of concern to guide session focus.

4. How do you feel about seeking support or discussing personal issues?

 o Purpose: Gauge comfort levels and openness to the consultation process.

Self-Reflection and Personal Growth

5. What do you consider your core personal values or goals, and how well do you feel they
align with your daily life?
o Purpose: Explore alignment with values to inform goal-setting.

6. Have you noticed any specific patterns in your behavior or thinking that might impact your
growth or recovery?
o Purpose: Identify cognitive and behavioral patterns affecting personal development.

7. What does “growth” mean to you, and how would you like to see it manifest in your life?
o Purpose: Define personal growth for tailored support.

8. How do you currently cope with challenges or setbacks, and do you feel these methods are
effective?
o Purpose: Assess coping mechanisms and introduce new strategies if needed.

Community and Connection

9. How connected do you feel to your community or those around you? In what ways do you
feel this connection could be improved?
o Purpose: Understand social support levels and potential areas for enhancement.

10. What would make you feel more comfortable discussing mental health or personal growth
within your community?
 Purpose: Identify barriers to open discussions about mental health.
11. How likely are you to seek support or connect with others in your community when facing
personal challenges?
 Purpose: Gauge openness to community support systems and group engagement.
Emotional Regulation and Resilience
12. How often do you experience intense emotions like stress, sadness, or anger, and what
methods do you use to manage them?
 Purpose: Explore emotional regulation and current management strategies.
13. What has been your experience with mindfulness, journaling, or other reflective practices?
How helpful have these been?
 Purpose: Identify existing resilience practices and areas for growth.
 14. Can you share a recent experience where you successfully managed a difficult emotion?
What did you do, and how did it feel afterward?
 Purpose: Understand specific instances of resilience and effectiveness of techniques used.
15. How confident do you feel in handling future challenges, and what would strengthen this
confidence?
 Purpose: Identify factors influencing resilience and confidence in emotional regulation.
Substance Use and Recovery (if applicable)
16. What role, if any, has substance use played in your life, and how does it impact your well-
being?
 Purpose: Gain insight into substance use patterns and its effect on life quality.
17. How have your views on substance use changed since beginning consultations or community
activities?
 Purpose: Assess impact of consultations on perspectives toward substance use.
18. What has been the most effective strategy for managing substance-related challenges? What
would you like to improve?
 Purpose: Identify strengths and areas for additional support in recovery.
19. How do you feel about your progress in substance recovery? What goals would you like to
set for the coming months?
 Purpose: Track recovery progress and establish future goals.
Exploring Creativity and Self-Expression
20. How comfortable are you with using creative outlets (e.g., art, outdoor recreation, writing)
for emotional expression? (want to rewrite this question)
 Purpose: Understand openness to creative therapy as a self-help tool.
21. What impact, if any, has engaging in creative activities had on your mental health or
emotional well-being?
 Purpose: Assess the role of creative engagement in emotional regulation.
22. Have you participated in DP’s Food for Thought art installations or storytelling sessions?
How did they affect your sense of self or connection to others?
 Purpose: Evaluate the impact of creative engagement on social connectedness and self-awareness.
23. Would you be interested in incorporating creative activities into future sessions to support
your mental health journey?
 Purpose: Identify participant interest in further creative therapeutic engagements.
Financial Independence and Life Skills (if applicable)
24. How would you describe your financial situation, and what impact does it have on your
stress or mental health?
 Purpose: Assess financial literacy needs and its link to mental health.
25. What skills or knowledge would help you feel more confident in managing your financial
well-being?
 Purpose: Identify financial literacy goals for supporting life skills.
26. How do you think financial stability contributes to your mental and emotional health?
 Purpose: Explore participant perspectives on financial independence and wellness.
27. Would you be interested in learning about financial management as part of your
consultations?
 Purpose: Gauge interest in financial skills training as part of a holistic approach.
Feedback and Future Consultation Goals
28. What aspects of the consultations have been most helpful to you so far? What would you
like to see more of?
 Purpose: Gather participant feedback for continuous improvement.
29. What are the primary goals or changes you would like to work on in future sessions?
 Purpose: Establish forward-looking objectives tailored to individual needs.
30. How likely are you to return for additional consultations? What would encourage your
continued engagement?
 Purpose: Understand participant commitment and identify retention strategies.
32. How has your perception of personal growth and mental health evolved since beginning
these consultations?
 Purpose: Assess impact on mental health awareness and personal growth attitudes.
33. Do you feel these consultations have positively impacted your mental health, substance
recovery, or personal growth? If so, in what ways?
 Purpose: Gain insights into the perceived benefits and areas for further development.
These questions serve to deepen the understanding of participants' needs, challenges, and growth over
time within DP’s Food for Thought consultations. The flexible, ongoing structure of these consultations
allows participants to explore their personal narratives while contributing valuable qualitative data to
shape future community health interventions. This approach fosters a supportive environment for
sustained engagement and long-term development.
Additional Qualitative Questions to Support Funding and Program Expansion (optional)
Goal: To gather insights from participants that demonstrate the program’s value, scalability, and potential
for securing additional funding through participant testimonials and suggested improvements.
1. What has been the most impactful part of DP’s Food for Thought for you personally?
o Follow-up: How has this impacted your life outside of the sessions?

2. If this program were offered on a more regular basis, how likely would you be to
participate?
o Follow-up: How would this availability impact your mental health journey?

3. What other services or types of support do you think could enhance the effectiveness of
DP’s Food for Thought?
o Follow-up: Do you feel any additional resources could help support the community?

4. In what ways do you think DP’s Food for Thought could positively impact other
communities?
o Follow-up: What specific aspects of the program do you think would be most beneficial
elsewhere?
5. What advice would you give to the program coordinators on how to expand or improve
DP’s Food for Thought?
o Follow-up: Are there any particular services or features you would like to see added?

6. How would you describe the value of having mobile mental health services and creative
engagements in your community?
o Follow-up: How do you think this approach could benefit others with limited access to
mental health resources?
7. What lasting impressions or feelings do you take with you after each engagement with DP’s
Food for Thought?
o Follow-up: Has this changed how you view mental health or community support?

8. How has this experience affected your openness to new forms of mental health support?
o Follow-up: Do you think creative or nontraditional approaches to mental health care
could make a difference for others?
9. Would you recommend DP’s Food for Thought to others, and if so, why?
o Follow-up: What do you think others could gain from this experience?

10. If you were to advocate for funding or support for this program, what would you say about
its impact on the community?
 o Follow-up: What specific outcomes would you highlight as proof of the program’s value?

These in-depth qualitative questions are designed to capture personal experiences, emotional responses,
and actionable insights. Participant feedback will provide valuable narratives that demonstrate the
program’s effectiveness, adaptability, and potential for positive mental health impact, reinforcing the data
gathered from quantitative surveys. The responses collected can be used to strengthen funding proposals,
guide program expansion, and refine services to better meet community needs.

Timeline
This timeline outlines the key phases and milestones for the DP’s Food for Thought practicum, starting
with a small-scale pilot of the "Wrangling the Truth" concept. The project is ongoing and will evolve
based on data and participant feedback, with a target end date for initial goals aligning with the school
and grant timeline of July 2025.
October 2024: Preparatory Phase for Pilot
 Objective: Set up and test the small-scale pilot version of "Wrangling the Truth."
 Key Tasks:
o Pilot Set-Up: Prepare and distribute materials for the initial "Wrangling the Truth"
initiative, where participants submit hand-written notes or digital messages anonymously
sharing secrets or personal stories. These materials will include paper, pencils, jars, and
QR codes linked to the digital submission platform.
o Location Set-Up: Place sign and materials for the pilot at key locations in the Gunnison
community (e.g., campus, coffee shops, main street) where individuals can participate
anonymously.
o Outreach and Awareness Campaign: Distribute flyers, social media posts, and
community announcements to inform residents of the project and encourage
participation.

November 2024: Data Collection and Initial Analysis

 Objective: Collect data from the "Wrangling the Truth" submissions, and analyze initial trends.
 Key Tasks:
o Data Collection for Pilot: Continue gathering anonymous submissions from the public,
with an emphasis on broad participation and diverse perspectives.
o Preliminary Data Analysis: Conduct initial thematic analysis on collected data,
focusing on recurring themes, emotional expressions, and community needs.
 o Adjustments Based on Early Feedback: Based on early data, adjust outreach strategies,
materials, and locations to improve participation and accessibility.
o Report Progress to Stakeholders: Share initial findings with project stakeholders and
potential partners to build momentum for the full launch in December.

December 2024: Final Preparations and Launch of Full Project

 Objective: Complete set-up of the food truck and "Wrangling the Truth" phone booth, and
prepare for official program launch.
 Key Tasks:
o Completion of Phone Booth and Food Truck Setup: Finalize the construction and
design of the food truck and "Wrangling the Truth" phone booth, ensuring each is
equipped for public interaction and participant privacy.
o Pilot Data Review: Review all collected pilot data to finalize thematic categories, which
will inform the initial service offerings and consultation themes for the food truck and
phone booth.
o Biomarker Analysis Preparation: Establish protocols for biomarker data collection
(cortisol, oxytocin) from saliva samples, preparing for analysis in January 2025.
o Staff Training: Train staff on protocols for phone booth interaction, mental health
consultations, and handling biomarker collection safely and ethically.
o Outreach for Full Launch: Engage in outreach efforts to publicize the full launch,
focusing on partnerships with local organizations and media outlets to attract participants
and community buy-in.

January 2025: Launch at Senior Care Center in Gunnison

 Objective: Begin with targeted programming for the elderly population at the senior care center.
 Key Tasks:
o Onsite Launch at Senior Care Center: Position the food truck and "Wrangling the
Truth" phone booth at the senior center, introducing consultations, mental health support,
and the opportunity for biomarker data collection.
o Biomarker Collection and Initial Data Gathering: Begin collecting saliva samples
from participants who engage with the phone booth to analyze the neurochemical effects
of emotional catharsis and community engagement. These samples will contribute to the
research on emotional health benefits for the elderly.
 o Thematic Interview Protocols for Elderly Participants: Implement interview protocols
to capture the specific needs, mental health challenges, and stories shared by elderly
participants, which will inform broader community outreach as the program expands.

February to April 2025: Expansion to Additional Community Locations

 Objective: Broaden the reach of DP’s Food for Thought by rotating locations and expanding
service offerings to include local schools, the Gunnison Food Pantry, Gunnison Art Center and
high-need areas.
 Key Tasks:
o Expanded Locations: After work with the senior care center, shift focus to other
community locations, including local schools, the Gunnison Food Pantry, and popular
public spaces.
o Community-Specific Adjustments: Tailor service offerings and consultation topics
based on each location’s needs. For example, consultations at schools might focus on
youth mental health, while services at the food pantry might integrate nutritional
guidance alongside mental health support.
o Data Collection and Mid-Course Adjustments: Continue collecting data on
participation, mental health outcomes, and feedback from each new location. Monitor and
analyze data for any necessary program adjustments, enhancing engagement and
accessibility.
o Ongoing Biomarker Analysis: Expand biomarker collection as the program moves to
new locations, enabling a broader understanding of the emotional and physiological
effects of the “Wrangling the Truth” initiative across diverse demographics.

May to July 2025: Data Analysis, Evaluation, and Reporting

 Objective: Conduct a comprehensive review of data collected to evaluate program effectiveness,
impact, and areas for future growth.
 Key Tasks:
o Final Data Collection for Initial Evaluation: Gather remaining data on participant
engagement, feedback, and biomarker analysis from each location visited, focusing on
compiling a comprehensive dataset.
o Full Data Analysis: Perform in-depth data analysis, identifying key trends in mental
health, emotional catharsis, and community engagement. Thematic analysis, along with
quantitative measures from biomarker data, will provide a clear picture of the program's
impact.
 o Interim Program Evaluation and Feedback Integration: Conduct an interim program
evaluation to assess goals met, community feedback, and areas requiring refinement.
Feedback will be gathered from participants, staff, and community partners.
o Stakeholder Report and Presentation Preparation: Prepare a report summarizing
program achievements, challenges, and findings, including data-driven insights from the
thematic and biomarker analyses. The report will serve as a foundation for future funding
proposals and stakeholder engagement.
o Program Planning Beyond July 2025: Based on findings and feedback, plan next steps
for the ongoing DP’s Food for Thought program, with consideration for expansion, added
services (like financial literacy), and enhanced partnerships with local organizations.
Summary
The practicum will begin with a small pilot in October 2024, utilizing the initial "Wrangling the Truth"
concept to engage the community in anonymous storytelling. Full launch, including the food truck and
phone booth, will take place in December 2024, starting with targeted services at the Gunnison senior
care center and expanding to additional locations in early 2025. By July 2025, comprehensive data
analysis and stakeholder reporting will be completed, assessing program impact and planning for future
growth.

Starting the Research: "Wrangling the Truth" Pilot Project

To initiate the larger research project, a smaller-scale pilot will be conducted using a social experiment
based on the "Wrangling the Truth" storytelling concept. This experiment will involve a sign posted in
various locations around Gunnison, such as the university campus, coffee shops, and senior centers, to
encourage participation.
Sign Social Experiment Details
The sign will invite participants to: "Read a secret, share a secret."
On the left side of the sign:
Onsite Participation: Participants will complete a pre-survey, select a story or secret from a jar, read it,
and then write their own story or secret using the paper and pencil provided. After they will add their
story to the jar completing a post-survey. This method replicates the future phone booth setup and
provides data on physical participation.
On the right side:
QR Code Participation will be offered to participants can engage digitally by scanning a QR code,
which will guide them through a pre-survey, a personal story shared by the researcher (including a video
or audio component), an option to submit their own story, and a post-survey. This digital participation
will mimic the style of the phone booth and provide comparative data.
This pilot project will allow the research team to compare physical and digital engagement, analyzing
participants’ emotional responses, mood changes, and social connectedness. The data gathered from this
smaller-scale experiment will inform the design of the larger "Wrangling the Truth" phone booth
installation, which will be a central component of the mobile mental health initiative. This will also allow
us to take into account the impact of having the same controlled story compared to random stories. As
well as help us take into account the impact of combining audio and video in storytelling.

Future Considerations
Strategic Partnerships: Expanding Impact and Holistic Support
A key component of this initiative is its collaboration with a variety of local organizations, each bringing
unique resources and expertise to the project. These partnerships ensure that participants receive holistic
care that addresses not only their mental health but also their physical, social, and economic needs.
Gunnison Valley Health
Gunnison Valley Health is a vital partner in this initiative, providing essential mental health and
substance abuse services through its network of healthcare professionals. As a well-established healthcare
provider in the region, Gunnison Valley Health offers both the clinical expertise and the community trust
needed to ensure the success of the mobile mental health unit (GVH).
This partnership enhances the project's ability to offer a range of services, from counseling and mental
health screenings to referrals for more intensive care when needed. Additionally, by partnering with
Gunnison Valley Health, the project gains access to their infrastructure, allowing for more efficient
coordination of care and the potential to scale the program to reach more individuals across the region
(GVH).
Gunnison Food Pantry
The Gunnison Food Pantry plays a critical role in addressing the economic and nutritional needs of
participants, many of whom may face food insecurity. By partnering with the Food Pantry, the project
will ensure that participants not only receive mental health support but also access to healthy, nutritious
meals (Laraia, B. A. 2013).
The mobile mental health unit will be stationed outside the Food Pantry, providing participants with easy
access to both mental health services and food resources. Additionally, the partnership includes the
development of educational content, such as recipe videos, which will demonstrate how to prepare
affordable, nutritious meals using ingredients commonly available at the pantry (Tarasuk, V., Mitchell,
A., & Dachner, N. 2016). This collaboration enhances the overall well-being of participants by addressing
both their mental health and physical health needs.
To further support the Food Pantry, the project will assist in researching grant opportunities and funding
sources to help the organization expand its services and implement new initiatives. This mutually
beneficial partnership ensures that both organizations can better serve the Gunnison community and meet
the growing demand for holistic care (Tarasuk, V., Mitchell, A., & Dachner, N. 2016).
Substance Abuse Services and Juvenile Services
This initiative also partners with local substance abuse and juvenile services to provide critical resources
for individuals struggling with substance abuse. The mobile unit will distribute materials such as safe
needles and testing strips to reduce harm and promote safer practices among individuals who use
substances (Davidson, P. J., et al. 2015).
In collaboration with juvenile services, the project will support youth who are at risk or currently dealing
with substance abuse issues by providing casework support and organizing activities aimed at building
resilience, social skills, and emotional regulation (Shader, M. 2003). By working closely with these
services, the initiative ensures that the needs of vulnerable populations, particularly youth and individuals
struggling with substance abuse, are met through both preventative and supportive measures.
Outdoor Recreation Industry
The outdoor recreation industry is an essential partner in this initiative, as it leverages one of Gunnison’s
greatest assets—the natural environment. Research has shown that spending time in nature has significant
mental health benefits, including reducing stress, improving mood, and fostering emotional resilience
(Bratman, G. N., Hamilton, J. P., & Daily, G. C. 2012). However, many individuals in the community,
particularly those facing economic hardships, may not have the means to engage in outdoor activities.
Through partnerships with local outdoor recreation businesses, the initiative will provide participants with
opportunities to experience activities such as skiing, snowboarding, hiking, biking, hunting, fishing,
rafting, ice climbing, and more (Bratman, G. N., Hamilton, J. P., & Daily, G. C. 2012). These activities
will be offered at reduced or no cost to participants, ensuring that everyone, regardless of their financial
situation, has the opportunity to benefit from the healing power of the outdoors.
The outdoor recreation partnership is particularly valuable for youth involved with juvenile services, as it
provides a healthy outlet for physical activity, social engagement, and emotional regulation. By
promoting outdoor activities, the project encourages participants to build a stronger connection with their
environment, enhancing their overall mental and physical well-being (Barton, J., & Pretty, J. 2010).
o Participation in Outdoor Activities: The number of participants who engage in outdoor
recreation activities will be tracked, along with self-reported improvements in mood and
well-being after engaging in these activities and possibly biomarker analysis on cortisol
and oxytocin levels.
The Resilience Project and Gunnison Valley Journal Audio
DP’s Food for Thought will actively collaborate with The Resilience Project and the Gunnison Valley
Journal Audio to create a more immersive, impactful, and community-driven experience. These
partnerships aim to amplify the project’s mental health advocacy, foster resilience, and strengthen social
connectedness through storytelling, creative engagement, and shared initiatives.
Selected audio recordings from the Gunnison Valley Journal will be integrated into the "Wrangling the
Truth" booth, offering participants relatable, locally sourced stories that foster a sense of shared
experience and reduce feelings of isolation. These narratives, carefully curated in collaboration with the
Journal’s team, will align with Food for Thought’s mental health and community connection goals.
Participants can also anonymously contribute their own stories to the Journal’s archive, extending the
booth’s impact and creating an ever-growing repository of community voices.
In addition, The Resilience Project aligns seamlessly with Food for Thought’s mission to promote
emotional resilience, social connection, and mental health awareness. This partnership will enable Food
for Thought to participate in the Resilience Project’s podcasts, workshops, and events, amplifying its
outreach and impact. By collaborating on podcasts, Food for Thought can share insights on its mobile
mental health services, creative behavioral science, and the impact of the “Wrangling the Truth” booth,
reaching a wider audience, including those unable to attend in-person events.
Both partnerships provide opportunities for Food for Thought to integrate into community workshops and
events. These include offering consultations, creative art installations, and mobile mental health services
at Resilience Project events, further broadening its reach and effectiveness. Through joint efforts, Food
for Thought will support participants in fostering resilience and engaging deeply with their communities,
while also benefiting from the Resilience Project’s established platform for advocacy and education.
By leveraging the Gunnison Valley Journal’s audio storytelling and the Resilience Project’s workshops
and podcasts, Food for Thought enhances its ability to promote mental health awareness and social
connectedness. This collaboration strengthens the “Wrangling the Truth” booth by transforming it into a
space for both individual catharsis and collective understanding. The combined efforts will create
opportunities to educate, engage, and inspire, positioning Food for Thought as a leader in innovative
mental health interventions while fostering a cohesive, supportive community.
These collaborations will also expand the initiative’s reach and impact, providing a platform to showcase
success stories, share innovative approaches, and attract additional funding and support. Together, Food
for Thought, the Resilience Project, and the Gunnison Valley Journal Audio will empower individuals
and communities to embrace resilience, connection, and growth

Reporting and Dissemination

 Final Report:
o Prepare a comprehensive report detailing the program’s design, implementation process,
outcomes, and lessons learned.
 Dissemination:
o Share findings with stakeholders, including community partners and Gunnison Valley
Health.
o Present results at academic conferences or consider publication in public health journals

Conclusion
In the process of designing innovative frameworks of practice that attend to the power relations inherent
in institutional structures, DP’s Food for Thought fosters a "slow build" approach to mental health and
community engagement. This method prioritizes evolving relationships, emphasizing lived experiences
and creative engagements to address mental health in a way that normalizes rather than pathologizes
trauma and distress. By integrating programming that grows organically through continuous research and
practice, this initiative builds long-term trust and resilience within underserved communities.
The literature strongly supports the use of mobile food trucks as a mechanism for delivering integrated
health interventions, especially in rural and underserved areas. This model aligns with the goals outlined
in the Gunnison County Behavioral Health Needs Assessment by filling critical gaps in mental health and
substance abuse services. Accessible and holistic, mobile mental health units have the potential to
significantly improve overall community health outcomes. While further research and pilot programs are
needed to refine best practices and evaluate long-term impacts, existing evidence suggests that this
approach is a highly promising tool for promoting health and well-being across diverse populations.
Consultations within this practicum will serve as both therapeutic interventions and opportunities to
gather rich qualitative data. By adopting a patient-centered, flexible approach, these consultations
encourage participants to engage at their own pace, fostering long-term emotional and mental health
support. This structure empowers individuals to craft meaningful lives, recover from substance abuse, and
integrate more fully into their communities. Over time, the project’s emphasis on creative behavioral
interventions, wearable comfort solutions, and mobile outreach will continue to refine an adaptable and
scalable model for community-based health services.
The partnership with Comfrt enhances this initiative by incorporating slightly weighted hoodies that
promote relaxation and emotional regulation. These wearable supports provide both physical and
emotional warmth, addressing practical needs during Gunnison's harsh winters while contributing to
participants' overall well-being. Additionally, the integration of creative behavioral health interventions
through the "Wrangling the Truth" phone booth offers an innovative avenue for emotional catharsis and
storytelling. This approach not only empowers participants to confront and release hidden burdens but
also collects valuable data on the neuropsychological and emotional benefits of anonymous sharing.
By uniting behavioral science, neuropsychology, and community-based interventions, this practicum
proposal outlines a comprehensive strategy for reducing mental health stigma, fostering resilience, and
strengthening social connectedness. Through partnerships, creative engagements, and innovative service
delivery methods, DP’s Food for Thought aims to inspire meaningful change, build a replicable model for
rural mental health interventions, and transform the way communities approach wellness and recovery.
This initiative offers a scalable and impactful pathway to improving mental health outcomes and fostering
emotional resilience in rural communities nationwide.
 Works Cited / References

1. Behavioral Activation Treatments of Depression: A Meta-Analysis

o Cuijpers, P., van Straten, A., & Warmerdam, L. (2007). Clinical Psychology Review, 27(3),
318–326. https://doi.org/10.1016/j.cpr.2006.11.001
This meta-analysis provides foundational information on behavioral activation theory,
highlighting how engaging individuals in meaningful, structured activities can improve
mental health outcomes. This approach aligns with DP’s Food for Thought’s use of
activity-based interventions in consultations to promote emotional well-being and
mental clarity.

2. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

o van der Kolk, B. A. (2014). Penguin Books.

This work explores the impact of trauma on the brain and body, particularly emphasizing
the role of storytelling and expressive therapies in emotional release. It supports the
“Wrangling the Truth” booth’s focus on anonymous sharing as a tool for emotional
catharsis and mental health improvement.

3. Sensory Modulation in Children with ADHD

o Chen, Y. W., Bundy, A., & Hammond, L. (2007). The American Journal of Occupational
Therapy, 61(2), 128-135. https://doi.org/10.5014/ajot.61.2.128
Explores how somatosensory stimuli, such as weighted clothing, can help regulate
emotional responses, reducing anxiety. This supports the inclusion of Comfort Hoodies in
DP’s program as wearable items that promote emotional regulation and self-soothing.

4. The Promise and Challenge of Mobile Health Interventions for Mental Health and Well-being

o Hill, M. C., & Fraser, M. W. (2020). Current Psychiatry Reports, 22(11), 59.
https://doi.org/10.1007/s11920-020-01185-5
Discusses the effectiveness of mobile mental health services, especially in underserved
areas. It supports the mobile approach of DP’s Food for Thought in delivering mental
health services to rural communities.

5. Household Food Insecurity in Canada, 2014

 o Tarasuk, V., Mitchell, A., & Dachner, N. (2016). Research to Action.
https://proof.utoronto.ca/resources/research-publications/
Explains the relationship between food insecurity and mental health, emphasizing the
importance of holistic health approaches, which aligns with DP’s partnership with the
Gunnison Food Pantry to address both food and mental health needs.

6. The Impacts of Nature Experience on Human Cognitive Function and Mental Health

o Bratman, G. N., Hamilton, J. P., & Daily, G. C. (2012). Annals of the New York Academy of
Sciences, 1249(1), 118-136. https://doi.org/10.1111/j.1749-6632.2011.06400.x
Explores the cognitive and emotional benefits of nature-based activities, supporting DP’s
partnership with outdoor recreation organizations as a therapeutic intervention for
participants.

7. PostSecret: Extraordinary Confessions from Ordinary Lives

o Warren, F. (2005). William Morrow Paperbacks.

Provides insights into the benefits of anonymous sharing, offering emotional relief and
connection. This supports the “Wrangling the Truth” booth concept, which uses
anonymous storytelling for catharsis and community engagement.

8. Narrative Exposure Therapy: A Short-Term Treatment for Traumatic Stress Disorders

o Schauer, M., Neuner, F., & Elbert, T. (2011). Hogrefe Publishing.

Presents narrative therapy as a way to help individuals process trauma through
structured storytelling, aligning with DP’s use of storytelling for emotional release and
mental health.

9. Behavioral Responses to Stress: Tend and Befriend, Not Fight or Flight

o Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A. R., & Updegraff, J.
A. (2000). Psychological Review, 107(3), 411–429. https://doi.org/10.1037/0033-
295X.107.3.411
Explores neurochemical responses to stress, particularly cortisol and oxytocin. This
supports DP’s biomarker analysis of these neurochemicals during emotional catharsis
sessions in the booth.

10. Community Health Needs Assessment

o Gunnison Valley Health (2021). https://www.gunnisonvalleyhealth.org

Provides localized data on Gunnison community’s health needs, which supports the
mobile outreach approach and community-centered health initiatives in DP’s program.

11. Safe Needle Exchange Programs in Rural Communities: A Harm Reduction Strategy for Public
Health
 o Davidson, P. J., et al. (2015). Journal of Rural Health, 31(4), 418-429.
https://doi.org/10.1111/jrh.12117
Examines harm reduction approaches in rural settings, supporting DP’s inclusion of
substance abuse and harm reduction services as part of their mobile mental health and
wellness offerings.

12. Food Insecurity and Chronic Disease

o Laraia, B. A. (2013). Advances in Nutrition, 4(2), 203-212.

https://doi.org/10.3945/an.112.003277
Links food insecurity to chronic diseases and mental health, providing justification for
DP’s holistic approach, including partnerships with food services.

13. Risk Factors for Delinquency: An Overview

o Shader, M. (2003). Office of Juvenile Justice and Delinquency Prevention.

https://www.ojp.gov/pdffiles1/ojjdp/frd030127.pdf
Highlights the importance of mental health support for youth populations, informing
DP’s consultations and support services for at-risk populations.

14. What is the Best Dose of Nature and Green Exercise for Improving Mental Health? A Multi-
Study Analysis

o Barton, J., & Pretty, J. (2010). Environmental Science & Technology, 44(10), 3947-3955.
https://doi.org/10.1021/es903183r
Shows how nature-based activities positively impact mental health, providing evidence
for DP’s collaborations with outdoor programs.

15. Community Health and Economic Resilience Program (CHERP): Integrating Financial and
Health Services through Mobile Units

o Anderson, L. M., & Scrimshaw, S. C. (2018). American Journal of Public Health, 108(2),
189-196.
Discusses the effectiveness of CHERP’s integrated services model, which informs DP’s
combination of financial literacy and health services.

16. The Role of Technology in Enhancing Financial Literacy Programs: An Evaluation Study

o Batty et al. (2021). Journal of Consumer Affairs.

Evaluates technology’s impact on financial literacy, supporting DP’s future plans to
implement tech-driven financial education.

17. Telehealth-Enabled Mobile Health Units for Mental Health: An Evaluation Study

o Bauer et al. (2019). Journal of Telemedicine and Telecare.

Provides insights into telehealth within mobile health units, supporting DP’s mobile
telehealth approach for mental health services.
18. Mobile Mental Health Services for Homeless Populations: A Randomized Controlled Trial

o Collins et al. (2013). American Journal of Public Health.

Analyzes mobile mental health effectiveness in underserved populations, reinforcing
DP’s service model for rural mental health support.

19. Long-Term Outcomes of Mobile Health Interventions: A 5-Year Follow-Up Study

o Evans, L. M., et al. (2019). Journal of Medical Internet Research.

Explores sustained impacts of mobile health programs, highlighting DP’s potential for
long-term positive outcomes.

20. Holistic Mobile Health Units: Integrating Financial Literacy and Health Services for Low-Income
Populations

o Fox et al. (2017). Health Promotion Practice.

Discusses combining health and financial literacy, which aligns with DP’s integrative
approach.

21. Integrative Mobile Health and Economic Support Services: A Model for Community-Based
Interventions

o Green, T. A., & Brown, J. (2022). Journal of Public Health Management and Practice,
28(4), 381-389.
Details a model for delivering health and economic support via mobile services,
supporting DP’s strategy.

22. Community-Based Participatory Research: A Strategy for Building Healthy Communities and
Promoting Health through Policy Change

o Israel, B. A., et al. (2010). Journal of Urban Health.

Supports CBPR’s value in health interventions, aligning with DP’s community-driven
program model.

23. Community Action for Wellness and Economic Stability: Integrating Health and Financial
Services through Mobile Units

o Johnson, R. L., & Lee, C. (2021). Journal of Health Care for the Poor and Underserved,
32(1), 170-182.
Demonstrates integrated services’ effectiveness, relevant to DP’s model.

24. Integrating Social Determinants of Health into Health Care: A Framework for Action

o Kelly, E. R., et al. (2018). Health Affairs.

Framework on addressing social determinants in health services, aligning with DP’s
holistic model.
25. Enhancing Financial Literacy through Community-Based Programs: A Case Study

o Lusardi et al. (2019). Journal of Economic Education.

Explores financial literacy in community settings, relevant to DP’s financial education
component.

26. Project HOPE: A Mobile-Based Holistic Outreach Program for Empowerment in Urban
Communities

o Martinez, A., & Delgado, H. (2020). Health Promotion Practice, 21(5), 743-753.*
Illustrates mobile community outreach benefits, informing DP’s model.

27. Mobile Health (mHealth) Interventions to Improve Health Outcomes: A Systematic Review

o Park, I. K., et al. (2020). Annual Review of Public Health.

Provides evidence on mHealth effectiveness, reinforcing DP’s telehealth offerings.

28. Integrating Financial Education and Mental Health Services: A Pilot Program for Low-Income
Individuals

o Shapiro et al. (2016). Social Work in Mental Health.

Pilot study on integrated financial and mental health services, aligning with DP’s service
model.

29. Mobile Mental Health Outreach for Veterans: A Program Evaluation

o Smith et al. (2017). Military Medicine.

Examines mobile mental health for veterans, supporting DP’s mobile approach.

30. Mobile Health Clinics in the Era of Reform

o Verma, A. S., et al. (2017). American Journal of Managed Care.

Outlines mobile clinics’ role in health reform, aligning with DP’s model.

31. Addressing Financial Stress through Integrated Financial and Mental Health Services: A Pilot
Study

o Xiao et al. (2018). Journal of Financial Therapy.

Explores integrated services for financial and mental health, supporting DP’s approach.

32. Long-Term Effects of Integrated Financial and Health Services: A Longitudinal Study

o Grinstein-Weiss et al. (2019). Journal of Economic Behavior & Organization.

Shows long-term benefits of integrated services, supporting DP’s vision.

33. Art and Mental Health: The Role of Context in Emotional Responses to Artworks in an Art
Gallery
 o Phelps, N. A. H. B., & McIlwain, D.
Discusses art’s role in mental health, supporting DP’s art installations for emotional
engagement.

34. Exploring the Role of Art in Promoting Mental Health and Wellbeing

o Fancourt, D., & Finn, S.

Investigates art’s mental health benefits, relevant to DP’s creative interventions.

35. Gamification in Financial Literacy: A Study on the Effectiveness of Using Gamified Learning to
Improve Financial Knowledge and Behavior

o Makarova, E.
Evaluates gamified learning in financial literacy, relevant to DP’s planned educational
methods.

36. Art-Based Health Research: A Systematic Review of the Literature

o Lam, C., & Barnieh, L.

Reviews art-based health interventions, reinforcing DP’s creative engagement for
mental health.