Social and Behavioral Sciences Commons^™

Non-Urgent Use Of Emergency Departments By Rural And Urban Adults, Erika Ziller Phd, Carly Milkowski, Zachariah Croll, Yvonne Jonk Phd

Access / Insurance

This study, conducted by researchers at the Maine Rural Health Research Center, provides updated information and addresses gaps in knowledge about rural non-urgent ED use. Understanding the rates of non-urgent ED use among rural adults and the factors associated with this use can inform policy and practice efforts to reduce unnecessary and inappropriate use of EDs in rural communities.

Hospital emergency departments (EDs) serve a vital role in the US health care system, providing lifesaving, around-the-clock care to patients in acute health situations. However, use of the ED for non-urgent care is costly and reflects a suboptimal care setting, with …

Governmental Affairs Update: Dental Medicaid, Neema Katibai Jd

The Journal of the Michigan Dental Association

The MDA spearheads an initiative to enhance Medicaid anesthesia services reimbursement, aiming to address the disparity between current rates and commercial standards. Despite recent improvements in Medicaid dental benefits, access to care remains hindered by low anesthesia reimbursement rates. The MDA advocates for a substantial investment to increase reimbursement to 85% of commercial rates, garnering support from various medical associations. This collaborative effort marks a significant stride towards achieving equitable Medicaid reimbursement. Grassroots advocacy is pivotal in influencing state budget decisions, urging constituents to engage with legislators via MDA text alerts.

Why Citizens Engage In Co-Production: A Theoretical Framework And Experimental Evidence, Seulki Lee, Chongmin Na

Research Collection School of Social Sciences

Co-production has been embraced as a robust strategy to improve service quality and create public value. Despite growing interest in citizens’ motivations to engage in co-production, there remain some major gaps in the literature. This study proposes a theoretical framework of factors that influence co-production and offers experimental evidence as to the effects of those factors from an online survey experiment with a sample of 1,297 Koreans. The findings show that public service motivation, driven by normative motivations, is associated with greater willingness to co-produce. We find little effect of monetary or non-monetary rewards, input legitimacy, or individual characteristics such …

Conflict In The Congo: A Critical Assessment Of Section 1502 Of The Dodd-Frank Act, Rodney Ford

Senior Honors Theses

The Democratic Republic of the Congo is one of the poorest and most troubled nations in the world. With a convoluted and often tragic history, a significant cause of economic underdevelopment and political instability in the Congo has been the illicit expropriation of the country’s vast reserves of high-value minerals. In the early 2010s, Congress attempted to address the “conflict minerals” dilemma through the enactment of Section 1502 of the Dodd Frank Act. The conflict minerals rule aimed to break the supposed link between the illegal exploitation of minerals and the perpetuation of violence. Drawing upon books, journal articles, research …

Coastal Hazards, Emergency Management, Resilience, And Equity: Issues And Concerns At The Intersection Of Research And Practice, Wie Yusuf, Marina Saitgalina, Oge Nwandu-Vincent, Joshua Behr, Jennifer Whytlaw, Nicole Hutton, Tom Allen, Khairul Anuar

School of Public Service Faculty Publications

No abstract provided.

Go Beyond Compliance: Use Individualized Education Programs To Answer Strategic Questions And Improve Programs, Adrienne D. Woods, Marie C. Ireland, Kimberly Murphy, Hope Spark Lancaster

Speech-Language Pathology Faculty Publications

Purpose: The most significant document to ensure effective and compliant design, implementation, monitoring, and enforcement of a program of special education services in the United States is the Individualized Education Program (IEP). Although IEPs have been used to document procedural compliance with the Individuals with Disabilities Education Act (IDEA) for individual students, IEPs also provide extensive data that can and should be used by a variety of stakeholders including speech-language pathologists (SLPs), school administrators, and state education agencies to design targeted professional development and collectively improve programs, processes, and outcomes in special education.

Method: We summarize existing literature on the …

Community Conversations, John S. Watson Institute For Urban Policy And Research, Barbara George Johnson, Karl Weiskopf

Center for Urban Policy Research

In the winter and spring of 2023, the John S. Watson Institute for Urban Policy and Research at Kean University, in partnership with New Jersey Legislative Black Caucus, under the leadership of the Honorable Assemblywoman Shavonda E. Sumter, hosted a series of community conversations to bolster the statewide urban policy agenda on collaborative, evidence-informed solutions to prevent and reduce violence in urban centers and for all New Jerseyans.

These conversations were held at Kean University in Union Township and in four member cities of the New Jersey Urban Mayors Association (NJUMA): Atlantic City, Bridgeton, Camden, and Trenton. Additionally, we facilitated …

Voices, Stories And Experiences Of Black Women Phase Ii: Community Engagement Activity Report Informing The Establishment Of A Trenton-Based Maternal & Infant Health Innovation Center, John S. Watson Institute For Urban Policy And Research, Tirzah Spencer, Phd, Mph, Barbara George Johnson

Center for Urban Policy Research

As an extension of our 2022 study Voices, Stories and Experiences of Black Women (Phase 1), the John S. Watson Institute for Urban Policy and Research at Kean University’s Maternal and Child Health Equity Team was asked to share information about the planned Maternal and Infant Health Innovation Center (MIHIC) with Trenton residents as a part of Nurture NJ’s community engagement efforts. The Team implemented the following community engagement activities: Communication: Community engagement through social media outreach and in-person outreach were used as approaches to inform Trenton residents about the MIHIC. Dissemination of Findings: Community cafés were designed to share …

Guía Didáctica Para Talleres De Habilidades Fundamentales Y Creatividad En Albergues Para Niños, Niñas, Y Adolescentes En Tránsito, Lindsay Ravetz

Independent Study Project (ISP) Collection

Este proyecto es una investigación-acción para abordar el problema de la falta de recursos educativos para los niños, niñas, y adolescentes (NNA) migrantes. El objetivo fue crear una guía didáctica de talleres para NNA migrantes en albergues, diseñada para ser dirigida por voluntarios. La guía está fundamentada en la investigación de las experiencias de los migrantes que pasan por México, las características de los NNA, y sensibilidad a los afectos del trauma psicológico en los NNA migrantes. La metodología del proyecto se lleva a cabo a través de la revisión de la literatura, observaciones en el albergue COMI, y entrevistas …

Barriers To Escape: How Homelessness And Drug Addiction Prevent Women From Escaping Sex Trafficking And Commercial Sex, Laura J. Lederer, Mckamie J. Chandler, Stanley Stinson

Dignity: A Journal of Analysis of Exploitation and Violence

Victims of sex trafficking and women purportedly involved in prostitution voluntarily face a complex web of interconnected challenges when attempting to escape their current circumstances. By analyzing the shared and distinct challenges faced by these women, the paper aims to inform policymakers and service providers, offering recommendations to empower women seeking to escape exploitation through multidisciplinary and interconnected networks of providers. This study surveyed 74 women in Detroit, Michigan, using nonprobability convenience sampling over a 10-month period in 2020. It compared three groups of women who self-reported as victims of sex trafficking, women who voluntarily engaged in some form of …

Western Maine Addiction And Recovery Initiative's Substance Misuse Prevention And Wellness Day: Year 2 Feedback Survey For Ohchs, Tyler Egeland Ba, Evelyn Ali Bs, Mary Lindsey Smith Phd

Substance Use Research & Evaluation

As part of the evaluation of the Western Maine Addiction Recovery Initiative’s (WMARI) HRSA Rural Communities Opioid Response Program grant, staff from the Substance Use Research & Evaluation Unit, USM developed a survey to gather feedback from individuals who participated in the 2nd annual OHCHS Substance Use Prevention and Wellness Day. For more information, please contact Lindsey Smith at m.lindsey.smith@maine.edu

Health Leadership Perspectives On Challenges To Providing & Expanding Withdrawal Management Capacity In Maine, Sarah Mclaughlin Mph

Substance Use Research & Evaluation

Currently, the Maine Department of Health and Human Services (Maine DHHS) and the Cutler Institute’s Substance Use Research and Evaluation Team (SURE) are working together through the SUPPORT for ME Cooperative Agreement to monitor and assess Maine’s behavioral health system. As a part of this Cooperative Agreement, Maine DHHS and the SURE team have identified withdrawal management (WM) as an area of interest and have determined that more information is needed to understand the landscape of WM in Maine, especially as it pertains to non-opioid substances. Therefore, this project will involve collecting data through interviews with health care leadership from …

Community Opinions On Environmental Action On Isla Porvenir And Whichub Walla In The Guna Yala Comarca, Sofia Houts

Independent Study Project (ISP) Collection

The Guna Yala Comarca is the autonomous, self-governed territory of the Guna people, one of seven Indigenous groups in Panama. The Comarca is located on Panama’s eastern Caribbean coast and includes 365 coral islands. Forty nine Guna communities and roughly 32,000 individuals live in the territory. The Guna General Congress is the highest authority, and each community has a local congress. As a low-lying coastal region, Guna Yala is especially vulnerable to climate change and is already impacted by sea level rise, biodiversity loss, and changing precipitation patterns. Sub-national, national, and international forms of governance and environmental action are crucial …

Qualitative Brief: Baseline Needs Assessment Treatment Experiences In Rural Vermont, Katie Rosingana Ba, Evelyn Ali Mph, Tyler Egeland Ba, Karen Pearson Mlis, Mary Lindsey Smith Phd, C. Peasley-Miklus, J. Shaw

Substance Use Research & Evaluation

This qualitative data brief provides findings from the Vermont baseline needs assessment, conducted in collaboration with research staff at the University of Southern Maine's Catherine Cutler Institute, with the goal to identify current and future opioid use disorder (OUD) treatment needs and barriers in rural Vermont. This data brief aims to identify current and future addiction treatment needs and barriers in Vermont with direct input from practitioners, community partners, and people impacted personally by opioid use. Preceptions included in this data brief are informed by semi-structured qualitative interviews conducted with people with lived experience (PWLE) with OUD, as well as …

How Can Morocco’S Crisis Management And Disaster Response Be Optimized? Lessons From The Al Haouz Earthquake Response, Clara Normand

Independent Study Project (ISP) Collection

Morocco’s disaster management strategy has evolved in reaction to historical crises. On September 8th, 2023, the Al Haouz region of Morocco was struck by a 7.2 magnitude earthquake. The area was especially vulnerable to such a disaster due to its underdeveloped infrastructure, remote location, and lack of services. As the last phase of the disaster management cycle is unfolding, seven months after the earthquake, this research assesses the successes and challenges of the response and establishes areas of improvement to implement in national policies to optimize future crisis management across all four stages of the disaster management cycle.

On Puar’S “Right To Maim”: Conflict-Related Sexual Violence As An Instrument Of Debility, Jeffrey Camille

Independent Study Project (ISP) Collection

In enacting war and terrorism, armed combatants frequently and deliberately utilize sexual violence to target civilians. This crime is widespread, systemic, and organized, and its perpetration against vulnerable populations is a haunting reality of warfare. Although scholarship has speculated about the motivations behind conflict-related sexual violence (CRSV), no one answer is sufficient to grasp a phenomenon whose constitution is complicated by a multitude of variables. Thus, scholars must continue in their efforts to rationalize why this crime takes place. This article does just that. Drawing from Jasbir K. Puar’s book The Right to Maim (2017), I fashion an intervention to …

Navigating Intersectional Identities: Mental Health Challenges And Accessibility To Mental Health Care Among Sub-Saharan Migrant Women In Morocco, Soraya Babahaji

Independent Study Project (ISP) Collection

Since the beginning of the 21st century, as Morocco transitions from solely being a transit point to Europe to becoming a destination country for Sub-Saharan migrants, policies have been implemented to improve migrant integration. Morocco launched the National Strategy on Immigration and Asylum in 2015 which strives to ensure accessibility to essential services for migrants, such as education, healthcare, and integration into the workforce. In addition, through the 2013 New Migration Policy framework, King Mohammed VI aims to “include avenues for regularization” to help migrants integrate into Moroccan society.

This paper addresses how intersecting factors of identity can lead to …

Complementariedad En La Comuna De Putre: Reflexiones Sobre El Sistema De Salud Y Los Conocimientos Comunitarios Aymaras, Grace Benish

Independent Study Project (ISP) Collection

In the comuna of Putre, which lies in the XV region of Chile, exists a community and culture unique from the rest of the country. Half of the population identifies as part of the Aymara indigenous group, which according to Chilean law, means that a system of intercultural health must exist in the commune. Our objective included establishing the format in which the intercultural system of health functions nowadays and assessing how well the system serves the community, keeping in mind the history of the commune, barriers to access, community needs, and Aymaran culture. Furthermore, the domination of the Aymaran …

Causes, Cards, And Caution: A Consideration Of Various Foreign Policy Perspectives On India’S Approach To Tibet Within Sino-Indian Relations, Olivia Kenney

Independent Study Project (ISP) Collection

No abstract provided.

The Increase Of Allergies In Developed Countries: A Comparison Of The Quality Of Life And Psychosocial Burden Of Individuals With Food Allergies In Switzerland And The United States Of America, Adrienne Ell

Independent Study Project (ISP) Collection

The Hygiene Hypothesis suggests that as societies become increasingly sterile and there is less exposure to microorganisms early in life; consequently, there is an increase in inflammatory autoimmune disorders and allergies due to a maladapted immune system to the new sterile environment. This hypothesis can offer a possible explanation for the observed increase in allergies, specifically food allergies, in developed countries. To explore the psychosocial burden of allergies and evaluate the quality of life this paper will explore the food allergen labeling policies for prepackaged foods, the regulation of allergen information for non-prepackaged foods, and the psychosocial burden food allergies …

Nutri-Score, Warning Signs, And Facts Up Front – In Theory And In Practice A Comparative Analysis Of The Effectiveness Of Front-Of-Package Labeling Systems, Muskaan Makkar

Independent Study Project (ISP) Collection

Suboptimal diets contribute significantly to poor health and chronic diseases, with excessive sodium intake and low consumption of whole grains, fruits, and vegetables being major risk factors. To address this global nutrition burden, various countries have implemented front-of-package labeling (FOPL) systems such as the Nutri-Score, Warning Signs, and Facts Up Front.

This paper aims to analyze the effectiveness of these systems – which vary in development, design, content, and implementation – in both theory and practice. The methodology involves a comparative analysis of three FOPL systems, assessing their theoretical effectiveness with international guidelines and practical effectiveness through expert interviews and …

Impact Of Nato Enlargement On Eastern Europe Security: Case Study Of Ukraine War, Heeyoung Chae

Independent Study Project (ISP) Collection

In a situation where Russia attacked Ukraine in 2022, the role and the major dilemma of NATO is rediscovered. The blame is that while NATO had expanded its power towards the East European countries, it had provoked Russia to react to the threat of the NATO enlargement process. Within this background, this research’s objective is to examine the impact of the NATO enlargement in Eastern Europe related to the case of the Ukraine war, within the lens of Eastern European citizens’ perception of their security and NATO. The research aims to answer the role of NATO in securing the preservation …

Postsecundaria Caso De Pontificia Universidad Católica De Valparaíso Vertical En La Construcción De La Memoria Política, Anastacia L. Tremper

Independent Study Project (ISP) Collection

Fifty years later, Chilean society still continues to struggle with underlying political cleavages resulting from the complex historical effects of the Pinochet dictatorship (1973-1989) which can be seen in educational curricula that address this historical period of Chilean History. Studies conducted on primary educational systems note the lack of discussion or full disclosure of the events that transpired during the military government, emphasizing a type of ‘memory regime’ based on omission and silence about aspects of this period, yet there is a lack in post-secondary studies of this same phenomenon. This paper aims to bridge the inherent lack by conducting …

Reflejos De La Injusticia: Narrativas De Estudiantes Mexicano-Estadounidense En El Sistema Educativo, Kiana Montserrat González Montañez

Independent Study Project (ISP) Collection

Este trabajo examina los relatos personales de integración, discriminación y racismo institucionalizado entre dos estudiantes mexicano-estadounidense del sur de California. A pesar de tener diversas historiales de migración, sus experiencias se encuentran teniendo mucho en común por causa del racismo internalizado y estructuras discriminatorias en el sistema educativo. Mediante el método de investigación cualitativa, que incluye entrevistas semiestructuradas y análisis temático, el estudio pretende ampliar el discurso sobre los polifacéticos factores que influyen las desigualdades y estratificación racial de los estudiantes mexicano-estadounidense. Al centrarse en las voces de los estudiantes, la investigación desvela las complejidades de abordar la identidad cultural, …

Identidad Bajo Amenaza En Chinchero, Perú: El Megaproyecto Del Aeropuerto Internacional Plantea La Cuestión: ¿Cuál Es Más Importante Para El Estado Peruano—El Turismo O El Patrimonio?, Celeste Funari Muse

Independent Study Project (ISP) Collection

El megaproyecto del Aeropuerto Internacional de Chinchero inicialmente fue propuesto hace 46 años, así que ha sido un símbolo del futuro del distrito durante casi cinco décadas. Ubicado a sólo una hora de distancia de la ciudad de Cusco, el pueblo de Chinchero es conocido por su hermoso paisaje, tradición e impresionantes ruinas incas. De todo el mundo, los turistas desembarcan en el aeropuerto de Cusco y pasan por Chinchero de camino al valle sagrado y Machu Picchu. Desde el inicio de la construcción en 2017, el sitio del nuevo aeropuerto es visible desde casi cualquier lugar de Chinchero, como …

10 Meters To Disaster: The Challenges Of Premature Application Of Circular Economy Strategies In Jakarta’S Waste Management Structure, Almira Bowo

Independent Study Project (ISP) Collection

Jakarta's complex issue of waste management encompasses a multitude of challenges that include inefficiencies in infrastructure, a lack of public awareness of the consequences of an inadequate waste system, socioeconomic disparities, and a deficiency in intersectoral collaboration. The urgency for holistic and sustainable solutions that prioritize proactive waste collection is underscored by the complexities of these dynamics. This field study paper argues that the attention that is being drawn towards trending waste management innovations, which are reactive strategies, could bring the waste crisis in Jakarta to an even more critical state. The sections will critically examine current waste management efforts …

Salud Integral De Las Personas En Situación De Calle Abordada Desde Los Distintos Programas Sociales De La Ciudad De Arica, Chile, Maya Trujillo

Independent Study Project (ISP) Collection

Homelessness as a public health phenomenon is a humanitarian crisis present across nations around the world. Instances of homelessness are rooted in public social and economic failures. Complex challenges like this require multifaceted and holistic initiatives such as those proposed by the Integrative Family Health Model in Chile. This project describes current interdisciplinary programs (social services) and how they collaborate to provide integrated services to people experiencing homelessness. We also consider the patient perspective on how these interventions affect their well-being. Through observational data, interviews, and surveys, we describe the physical, social, and cultural aspects of homelessness in Arica, Chile …

From Collaboration To Continuity: Exploring Stakeholder Engagement For Sustainable Global Health Partnerships, Annabelle Falconer

Independent Study Project (ISP) Collection

Global health partnerships have been identified as crucial to achieving the Sustainable Development Goals and targets related to health and wellbeing. Specifically, the Global Fund, UNAIDS Joint Programme, and the World Food Programme are examples of some of the relevant partners currently engaged in this work, filling roles in global health financing, governance, and delivery. Current literature has identified that the effective engagement of stakeholders in partnerships can be crucial in effective project implementation and that global health partnerships during the era of the Millennium Development Goals did impact health outcomes. This research aims to investigate the current strategies for …

The Efficacy Of The Legal Infrastructure Of Proportionality In Contemporary Armed Conflicts, Reed Caney

Independent Study Project (ISP) Collection

Proportionally in armed conflict is one of the key principles of international law, playing a crucial role in ensuring that both civilians are protected in armed conflict, but also that a military is able to accomplish its goals. This paper attempts to discern if the international legal infrastructure is well equipped to deal with proportionality in armed conflicts, especially in regard to contemporary armed conflicts. In an attempt to answer this question, this paper explores the existing legal infrastructure, looking at International Humanitarian Law as a moral system and International Criminal Law as the accompanying legal system to see how …

Lisbon’S Electric Vehicle (Ev) Fleet: A Cost-Benefit Analysis Of A Mass Adoption Of Evs In Lisbon By 2050, Maya Estrera

Independent Study Project (ISP) Collection

As the impacts of climate change increase, the EU and its member countries are attempting to achieve carbon neutrality by 2050. The adoption of electric vehicles is proving to be a promising solution to achieve this goal, and specifically, reductions in the transport sector emissions. This study analyzes the potential costs and benefits resulting from a mass adoption of electric vehicles in Lisbon by 2050. Through a cost-benefit analysis, this study aims to quantify the major costs and benefits associated with electric vehicles. The results display the potential monetary benefits of a city-wide shift to electric vehicles in addition to …