my graduate studies. I am deeply grateful to all of these organizations for making my graduate education possible. Most importantly I wish to thank my maker, God, for molding me into His image and giving me the desire and strength to carry out his purpose for my life. I additionally thank my parents, Rosaura Aguayo Reyes and Serafín Orengo Vega, for speaking life, wisdom, and love into my life. You are the reason that I chose this profession and you both have played a crucial role in helping me accomplish what seemed to be an impossible goal at times. I will never forget July of 2013 and how your unconditional love strengthened me. To my husband, Leiuqeze Romero Meléndez, thank you for crossing an ocean to be by my side. Your sense of humor, unconditional love, loyalty, and kindness have strengthened me in unimaginable ways. You inspire me to live and laugh no matter what the circumstances. To my sister, Natalia M. Cruz-Aguayo, your wisdom is beyond your years and my love for you has no bounds. To my brother, Fernando, thank you for letting your big sister pursue her dreams despite the distance. To my late stepfather, Miguel Cruz Vázquez, I know that you are watching from above smiling. To the rest of my family members and friends, thank you for your unconditional love and support. v I am forever indebted to my mentor, role-model, and friend, James Marchman. If there is one person who has profoundly impacted my life for the better it has been you. Your passion for alleviating human suffering is contagious. I truly mean it when I say that my goal is to be you when I grow up. Words cannot express how grateful I am to my advisor, Teresa A. Treat. Thank you for taking me under your wing, building me up, and showing me what I could become. I am truly grateful for the time, energy, and dedication that you have devoted to ensuring my success throughout graduate school and beyond. To the rest of my dissertation committee members, Michael O'Hara, Kristian Markon, and Marizen Ramirez, thank you for your time, helpful guidance, and support. To Lisa S. Segre and Beth Troutman, thank you for opening the doors to extremely valuable research and clinical experiences that have sparked a passion for exerting real world impact with everything that I set out to do. Beth, you really did convince me that I was a child psychologist at heart. To my collaborator and dear friend, Lori Traeger, without you this project would have never been possible. Your passion for helping the underserved and dreaming the impossible is one of the primary reasons why I decided to pursue this work. I additionally would like to thank my hardworking and committed research assistants, Xin Yu and Cara Solness for assisting with data collection and project management. Finally, to my wonderful friends and amazing collaborators, Jaci Rolffs, Emily Kroska, Amie Zarling, Sarah Bannon, and many others, thank you for being an integral part of my personal and professional development. It takes a village and you were it for me. vi