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Understanding The Challenges Of Perspective Transformation In Prison: Biographical Narratives Of Foreign National Students Of A Second Chance School In Greece, Antigoni K. Efstratoglou, George A. Koulaouzides Apr 2024

Understanding The Challenges Of Perspective Transformation In Prison: Biographical Narratives Of Foreign National Students Of A Second Chance School In Greece, Antigoni K. Efstratoglou, George A. Koulaouzides

Journal of Prison Education Research

Education has borne the burden of prisoners’ reform since the early days of modern prison. Several studies attest to its transformative potential, taking a short-term perspective. Rarely the experience of being a student, while incarcerated, is examined in the context of the wider biography. This paper uses perspective transformation theory as a point of departure to study how imprisonment influences adult learning. Building on biographical narratives of ten foreign national students of a Second Chance School at the largest Greek remand establishment, and participant observation of relevant class discussions, we argue that imprisonment impedes perspective transformation, strengthening structural inequalities and …


The Changing Nature Of Education In Youth Justice Centres In New South Wales (Australia), Laura Metcalfe, Cathy Little Dr, Garner Clancey Dr, David Evans Dr Apr 2024

The Changing Nature Of Education In Youth Justice Centres In New South Wales (Australia), Laura Metcalfe, Cathy Little Dr, Garner Clancey Dr, David Evans Dr

Journal of Prison Education Research

Education is an important protective factor in preventing involvement in crime. For those young people that enter the youth justice system, and especially youth justice centres, education is a critical, but infrequently explored part of their time in custody following generally disrupted schooling experiences. There are currently six youth justice centres in New South Wales, Australia. Each of these centres have an Education and Training Unit which are schools funded by and staffed with Department of Education personnel. There is evidence that young people accessing these schools regard them very positively. However, this article, drawing on publicly available information, raises …


Graying Incarcerated Persons And Education Programs In Nigerian Correctional Centre, Ijeoma B. Uche Phd, Agnes E. Okafor Phd, Okala A. Uche Phd *Corresponding Author Jan 2024

Graying Incarcerated Persons And Education Programs In Nigerian Correctional Centre, Ijeoma B. Uche Phd, Agnes E. Okafor Phd, Okala A. Uche Phd *Corresponding Author

Journal of Prison Education Research

Correctional education programs are rehabilitation programs designed for incarcerated persons in Nigerian correctional institutions. However, getting the graying incarcerated persons to participate in education programs becomes quite challenging. This study investigates graying incarcerated persons and education programs in one correctional centre. Data were collected qualitatively from fifteen (15) incarcerated individuals aged 60 years and above using semi-structured interviews. Thematic analysis was employed in analyzing the data generated for the study. Findings show that there are no available education programs for graying incarcerated individuals. The study also revealed that designing education programs in such a way that it will accommodate the …


Best Practices For Community Outreach For The Virginia Eviction Reduction Pilot, Callie B. Houghland Jan 2024

Best Practices For Community Outreach For The Virginia Eviction Reduction Pilot, Callie B. Houghland

Master of Urban and Regional Planning Capstone Projects

The purpose of this plan is to understand best practices for community outreach for the VERP program and provide materials to aid future outreach efforts. This plan has five parts. First, this plan will review characteristics that contribute to housing vulnerability, such as race or number of children, and consider which vulnerabilities should be prioritized in outreach. Then, this plan will identify how VERP grantees are currently conducting community outreach and who is being served through the program. Next this plan will look to understand who is missed between those who are most vulnerable and who are actually served across …


Riverview Community Park Commoning Plan, Haley B. Keene Jan 2024

Riverview Community Park Commoning Plan, Haley B. Keene

Master of Urban and Regional Planning Capstone Projects

Riverview Community Park began as an illegal DIY skatepark in the Maymont neighborhood of Richmond, Virginia. Now, although it is a city park, it is still entirely managed by volunteer community groups (skateboarders, the neighborhood Civic League, and a community garden) who view the park as a creative, experimental community-led spatial project. Due to a dearth of communication between the three groups, the park has suffered political strife between the groups and a chaotic physical atmosphere. This plan utilizes a commons governance framework and participatory, asset-based community design to usher in a new era of enhanced collaboration, common narratives, and …


Filling The Gap: Enhancing The Entrepreneurial Ecosystem For Black And Hispanic Entrepreneurs, Research Institute For Social Equity Rise Jan 2024

Filling The Gap: Enhancing The Entrepreneurial Ecosystem For Black And Hispanic Entrepreneurs, Research Institute For Social Equity Rise

Research Institute for Social Equity

This white paper examines current research, identifies best practices within the United States, and formulates recommendations to further equity in access, process, quality, and outcomes to inform thought leaders, policymakers, practitioners, community influencers, and entrepreneurs on how to translate research into actions that benefit Black and Hispanic entrepreneurs within the entrepreneurial ecosystem from the greater Richmond community.


Identifying Barriers: Analysis Of Federal Law Enforcement Social Media And Recruitment Efforts, Reena Desai, Edgar Greer, Meghan Waldron Jan 2024

Identifying Barriers: Analysis Of Federal Law Enforcement Social Media And Recruitment Efforts, Reena Desai, Edgar Greer, Meghan Waldron

Doctor of Education Capstones

The Federal Bureau of Investigation Richmond Field Office seeks to diversify their applicant pool. In an effort to provide information on how to meet this need, our doctoral team analyzed the social media sites of six federal law enforcement agencies to include: the Federal Bureau of Investigation- Headquarters, Federal Bureau of Investigation-Richmond Field Office, Alcohol Tobacco & Firearms, the Federal Bureau of Prisons, the Drug Enforcement Agency, and the United States Marshal Service. By examining a 60-day window of images and their associated text on X (formerly Twitter), Facebook, and Instagram accounts, we wanted to gain a stronger understanding of …


Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau Jan 2024

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …


Department Chairs’ Impact On The Diversity, Equity, And Inclusion Of Their Departments, Nicholas R. Garcia Ii Jan 2024

Department Chairs’ Impact On The Diversity, Equity, And Inclusion Of Their Departments, Nicholas R. Garcia Ii

Theses and Dissertations

Department chairs serve not only as the leaders of their departments but also as middle managers in their schools, colleges, and universities. While many department chairs see their role as having little authority, they still play an integral role in day-to-day campus operations (Hunt & Jones, 2015). As leaders of their departments, chairs can directly influence the department’s organizational culture (Schein, 2010), including the culture of diversity and inclusiveness. Departments nationwide are being held responsible for increasing the diversity of the faculty and responding to students' calls for diversity. Departmental organizational culture and the role of the chairperson are essential …


Controlling The Home: Material Expressions Of Anti-Roma Sentiment, Abby Lacuesta Jan 2024

Controlling The Home: Material Expressions Of Anti-Roma Sentiment, Abby Lacuesta

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

The Romani people, also known as the Roma diaspora or simply the Roma, are an Indo-Aryan ethnic group that has experienced centuries of oppression and stigmatization. Largely seen as a “nomadic” group, the issue of housing is at the core of exploring modern Roma struggles. One key question to further the research on the connection between anti-Roma sentiment and housing is questioning how housing has served as a physical expression of cultural anti-Roma sentiment. Though the Roma are commonly perceived as choosing their nomadism, this article seeks to deconstruct this stereotype through the lens of housing law, forced nomadism, and …


Disability Accommodation And Improving Accessibility In Public Transportation, Alexander Burdette Jan 2024

Disability Accommodation And Improving Accessibility In Public Transportation, Alexander Burdette

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

This paper addresses the need for accessibility in public transportation from a disabled perspective, focusing on four key areas wherein states can enact meaningful change. These areas as specified are physical accessibility, which concerns the built and engineered environment of public transit and surrounding areas; informational accessibility, which concerns the availability and clarity of information passengers need to navigate transit; management accessibility, which refers to the way information processing is handled by transit agencies when exchanging information with transit users; and social accessibility, which deals with the interpersonal environment that public transit creates and facilitates. Specific areas of attention are …


Prisons And Universities: Co-Creating Curricula For Prison-University Partnerships., Michela Scalpello Nov 2023

Prisons And Universities: Co-Creating Curricula For Prison-University Partnerships., Michela Scalpello

Journal of Prison Education Research

This paper illustrates the approach of co-creating education where co-creation was an important aspect of the curriculum design. It makes a case for prison-university partnerships through two pedagogical case studies – one within a prison setting with a focus on soft skills acquisition and another in a Higher Education setting focusing on international criminal justice. Originating from the observations and reflections of an educator which led to a participatory action research opportunity, it asserts that actively teaching and learning together increases effective learning through better understanding and motivation, as well as giving access to the right to education regardless of …


Understanding Incarcerated Education: A Review Of The Digital And Gender Inequality Impacts Of Accessibility And Inclusivity Of Higher Education For Incarcerated Students, Bianca R. Parry Phd Nov 2023

Understanding Incarcerated Education: A Review Of The Digital And Gender Inequality Impacts Of Accessibility And Inclusivity Of Higher Education For Incarcerated Students, Bianca R. Parry Phd

Journal of Prison Education Research

Education in the correctional environment is endorsed as an effective rehabilitative tool linked to reducing recidivism and improving reintegration. Unfortunately, while researchers from the Global North are particularly active on the subject of the accessibility of digital education in corrections, the same cannot be said for the Global South. Of further concern is that few of the studies conducted have focused specifically on incarcerated women’s access to education. As discussed in the literature review to follow, research regarding higher education in corrections has the potential for expanding academics, stakeholders, and policy makers understanding of incarcerated students’ pathways towards education attainment. …


A Comparative Study On The U.S. And Chinese Transportation Policies And Practices For The Transportation-Disadvantaged Populations, Xueming Chen, Suwei Feng Jan 2023

A Comparative Study On The U.S. And Chinese Transportation Policies And Practices For The Transportation-Disadvantaged Populations, Xueming Chen, Suwei Feng

L. Douglas Wilder School of Government and Public Affairs Publications

Even though China has entered the aging society almost 20 years ago and passed elderly and disability-related laws, its transportation-related facilities and services for the elderly and disabled remain insufficient, which has seriously impacted its Transportation-Disadvantaged Populations’ travel and quality of life. Thus, it is necessary to examine other advanced countries’ best planning practices in specialized transportation services to assess their applicability to China. This paper first reviews the U.S. and Chinese laws, regulations, implementation measures and studies related to the elderly and disabled transportation. Afterwards, it conducts an analysis on the differences between the U.S. and China and assesses …


Children With Special Healthcare Needs: The Cost Of Medical Care, Kasey Dye Jan 2023

Children With Special Healthcare Needs: The Cost Of Medical Care, Kasey Dye

Theses and Dissertations

The purpose of this study was to explore factors that impact children with special healthcare needs’ (CSHCN) health insurance coverage and out-of-pocket medical expenses. The Ecological Model for Health Promotion developed by McLeroy et al. (1988) was the guiding theoretical framework for this study. Using data from the 2020 National Survey of Children’s Health, I conducted descriptive statistics, logistic regressions, and multilevel modeling analyses to determine if health insurance coverage and out-of-pocket expenses for CSHCN differed by individual, family, and community, organization, and policy factors. Results indicated that race, gender, disorder category, insurance type, and family’s federal poverty level were …


Assessing The Relationships Between Direct And Vicarious Exposure To Healthcare Discrimination And Erasure, Mistrust In Healthcare, And The Healthcare Utilization Behaviors Among Transgender And Gender Independent Individuals, Kyle L. Mason Jan 2023

Assessing The Relationships Between Direct And Vicarious Exposure To Healthcare Discrimination And Erasure, Mistrust In Healthcare, And The Healthcare Utilization Behaviors Among Transgender And Gender Independent Individuals, Kyle L. Mason

Theses and Dissertations

Healthcare inaccessibility through direct exposure (i.e., personal) to myriad forms of gender identity-related discrimination and erasure among the Transgender and Gender Independent (TGI) population has been documented by prior studies. The myriad barriers that individuals who embody TGI identities encounter to accessing healthcare are associated with the underutilization of healthcare, which may further exacerbate the health disparities that exist between this population and cisgender individuals in the United States (U.S.). Although the impacts of the harm that direct exposure to healthcare discrimination and erasure may have on TGI individuals are known, their exposure to such harm vicariously (i.e., through observation …


Underrepresentation Of Black Participants In Drug Court: Reasons Reported For Non-Admission In Six Jurisdictions, Kathryn J. Genthon Jan 2023

Underrepresentation Of Black Participants In Drug Court: Reasons Reported For Non-Admission In Six Jurisdictions, Kathryn J. Genthon

Theses and Dissertations

Despite the beneficial impacts of drug court participation, access to these programs may not be equitable across racial groups. The reasons behind racial disparities in access to these programs are not well-documented in the current literature. This study investigates disparities in access to drug court and the possible reasons they occur. Chi-square tests are used to assess for disparities in admissions between Black and White individuals referred to drug court. Additional statistical analyses addressed the association of sex and age with admission to provide a broader picture of the impact of a variety of demographic characteristics on admission to drug …


Motivations And Conflicts In Prison Medical Contracting, Meagan D. Sok Jan 2023

Motivations And Conflicts In Prison Medical Contracting, Meagan D. Sok

Theses and Dissertations

State correctional departments are responsible for all medical care incarcerated individuals require. Many systems outsource their medical

State correctional departments are responsible for all medical care incarcerated individuals require. Many systems outsource their medical program. Literature indicates that many of these contracts experience significant issues that negatively impact state resources, including both personnel and money.

This dissertation explores the relationship between prison administrators' motivations and the structure, outcomes, efficiencies, and partner conflicts that arise in the contractual process. Using a framework developed from Incomplete Contract Theory, Contracts as Reference Points Theory and the concept of “essential tension,” this dissertation hypothesizes …


Comparative Analysis Of Zoning Of Food Retail And Urban Agriculture For Richmond, Virginia, Hannah Quigley Mph, Meghan Dinofrio, Sarah Shaughnessy Mph, Aicp, John C. Jones Mpa, Phd Jan 2022

Comparative Analysis Of Zoning Of Food Retail And Urban Agriculture For Richmond, Virginia, Hannah Quigley Mph, Meghan Dinofrio, Sarah Shaughnessy Mph, Aicp, John C. Jones Mpa, Phd

Environmental Studies Publications

This research partnership between local public health practitioners and urban food systems scholars suggests improvements to City of Richmond, Virginia’s zoning code related to food retail and urban agriculture by drawing inspiration from other American central cities. The authors created an empirical process to identify potential sister cities to Richmond as a source for high quality comparative examples. Next, the authors then engaged in a non-empirical, purposive process of identifying potential zoning code improvements from both identified sister cities, as well as other communities. Time and capacity constraints dictated the non-empirical nature of this search. Recommendations for improvement to Richmond’s …


Adverse Childhood Experiences And The Risk Of Drug Overdose In Adulthood, Samantha E. Wright Jan 2022

Adverse Childhood Experiences And The Risk Of Drug Overdose In Adulthood, Samantha E. Wright

Graduate Research Posters

Background

Adverse childhood experiences (ACEs) encompass a variety of traumatic events that occur during one’s youth. ACEs may be physical, mental, emotional, or sexual in nature, and they are often associated with long-term negative consequences such as alcoholism, substance abuse, and criminal justice involvement. The global rise of the opioid epidemic has intensified the need to better understand and address factors associated with illicit substance use. The current study will investigate the relationship between exposure to ACEs, onset of drug use, and history of drug overdose.

Methods

This study will utilize an observational design in which participants will be asked …


Healthy Communities: Flooded With Injustice?, Grace E. Harris Leadership Institute, Virginia Commonwealth University, Mel Borja, Krystle Dorsey, Tiffany Garner, Edgar Greer, Denise Harrington, Paula Robinson, Jalesha Smith, Dominique Thaxton, Jeffery Wilson Phd Jan 2022

Healthy Communities: Flooded With Injustice?, Grace E. Harris Leadership Institute, Virginia Commonwealth University, Mel Borja, Krystle Dorsey, Tiffany Garner, Edgar Greer, Denise Harrington, Paula Robinson, Jalesha Smith, Dominique Thaxton, Jeffery Wilson Phd

The Grace E. Harris Leadership Institute Publications

"HB1276 Comprehensive plan; Healthy Communities Strategy" authorizes defined localities to incorporate a healthy communities strategy into the next iteration of their local comprehensive plan and to engage the public in the process. In the absence of a predetermined definition, this report adopts the American Planning Association (APA) guidance as a standard, that a healthy community is a place where “all individuals have access to healthy built, social, economic, and natural environments that give them the opportunity to live their fullest potential regardless of their race, ethnicity, gender, income, age, abilities, or other socially defined circumstance.”1 This report will discuss how …


Why T.R.I.P Matters?, Jumoke Akinrimsi, The Grace E. Harris Leadership Institute At Virginia Commonwealth University, Lamar Bates, Arrington Evans, Kelly Evans, Lawrence Green, Trina Louise, Melissa Mason, Freddy Mejia, Lachelle Waller Jan 2022

Why T.R.I.P Matters?, Jumoke Akinrimsi, The Grace E. Harris Leadership Institute At Virginia Commonwealth University, Lamar Bates, Arrington Evans, Kelly Evans, Lawrence Green, Trina Louise, Melissa Mason, Freddy Mejia, Lachelle Waller

The Grace E. Harris Leadership Institute Publications

Through the work of the House and Senate chief patrons: Delegate Delores L McQuinn (HB 142) and Senator George L. Barker (SB 342) changes to the Transit Ridership Incentive Program (TRIP) intended to increase funding to reduce the impact on public transit fares on individuals with low-incomes were signed into law during Virginia’s 2022 legislative session. House Bill (HB 142) and Senate Bill (SB 342) builds on 2020 legislation establishing TRIP to promote improved transit service in urbanized areas 1 of the Commonwealth with a population of more than 100,000 and to reduce barriers to transit use for low-income individuals. …


Bringing Swipe Out Hunger To Vcu: Identifying Best Practices And Analyzing Administrative Policies For Future Reform, Jackie Stephens, Anjali Ta Jan 2022

Bringing Swipe Out Hunger To Vcu: Identifying Best Practices And Analyzing Administrative Policies For Future Reform, Jackie Stephens, Anjali Ta

Undergraduate Research Posters

At first glance, a college campus might look like a place of equal opportunity– communal dorms, shared dining halls, and similar course loads. However, arriving on campus is not where the college access conversation ends if students’ basic needs are not met. Food insecure students are at elevated risk of poor academic performance and delayed degree completion, with first-generation students being particularly vulnerable. Swipe Out Hunger is an organization that partners with colleges to reduce food insecurity among students by allowing those with extra dining hall meal swipes to donate them to food insecure peers. If implemented at VCU, Swipe …


Academic Health Science Centers And Health Disparities: A Qualitative Review Of The Intervening Role Of The Electronic Health Record And Social Determinants Of Health, Wies Rafi Jan 2022

Academic Health Science Centers And Health Disparities: A Qualitative Review Of The Intervening Role Of The Electronic Health Record And Social Determinants Of Health, Wies Rafi

Theses and Dissertations

Literature on the magnitude of negative health outcomes from health disparities is voluminous. Defined as the health effects of racism, environmental injustice, forms of discrimination, biases in science, and sociological or socioeconomic predictors across populations, health disparities are part of an ongoing and complicated national problem that health equity programs are specifically designed to address. Academic Health Science Centers (AHC) institutions are a complex and unique educational-healthcare ecosystem that often serves as a safety net for patients in vulnerable and lower-income communities. These institutions are often viewed as one of the most uniquely positioned entities in the U.S. with an …


Analysis Of Non-Conventional Radiological Terrorism, James N. Padgett Jan 2022

Analysis Of Non-Conventional Radiological Terrorism, James N. Padgett

Theses and Dissertations

Nuclear terrorism has been a risk since the dawn of the first atomic bomb. Though state sponsored nuclear weapons development is of concern for countries, non-state sponsored terrorism with radiological material can be of even greater concern. This stems from the fact that the material is under less stringent or no safeguards and can readily change hands between different terrorist groups or innocent civilians may accidently come into contact with the material.

Within this paper an analysis of previous accidents using orphan radiological sources, malicious use of orphan radiological sources, and how these sources could be used by terrorists is …


Examining The Relationship Between Local Governmental Performance In Public Safety And The Growth In Population, Employment, And Per Capita Income For Valley Cities In Arizona, Xin Zhao Jan 2022

Examining The Relationship Between Local Governmental Performance In Public Safety And The Growth In Population, Employment, And Per Capita Income For Valley Cities In Arizona, Xin Zhao

Theses and Dissertations

This study focuses on the impact of city performance in public safety on a city’s growth in population, employment, and per capita income. The effectiveness of performance management affects the willingness of governmental agencies to continue using performance management as a tool for day-to-day operations and the improvement of governmental services. The research goal of the study is to discover the relationship between city performance in public safety and the growth of a locality in population, employment, and per capita income. The purpose of the study is to determine if there is a relationship between city performance in public safety …


Tummy Time In Infancy: Real-World Assessments And Associations With Developmental Outcomes In Early Childhood, Ketaki Inamdar Jan 2022

Tummy Time In Infancy: Real-World Assessments And Associations With Developmental Outcomes In Early Childhood, Ketaki Inamdar

Theses and Dissertations

Tummy time or awake, supervised, prone play is an important developmental play position in infancy. Engaging in more than 15 minutes of tummy time per day is associated with a lower risk of plagiocephaly, lower body mass index, and achievement of higher motor scores in full-term and at-risk preterm infants. However, there are significant gaps in the measurement of tummy time in current literature. Conventionally used subjective parent reports have not been validated against gold standard direct observation, and the feasibility and real-world validity of objective solutions such as wearable sensors has not been examined in full-term and at-risk preterm …


The Civil Right To Belong: A Case Study On Immigrant Integration Of Muslim Students In Educational Institutions, Mamoona H. Siddiqui Jan 2022

The Civil Right To Belong: A Case Study On Immigrant Integration Of Muslim Students In Educational Institutions, Mamoona H. Siddiqui

Theses and Dissertations

Constitutional equal protection values serve as social integration policies for new Americans and generations that follow. They promise equal opportunity, fair treatment, protection from unlawful discrimination, and freedom to preserve cultural identities in their new communities. However, in times of national security crises and political polarization, the disjuncture in the way equal protection doctrines have been historically implemented often reflect deep-rooted inequities that impact underrepresented communities. American Muslims are one such community in which members have experienced anti-Muslim and anti-immigrant sentiment particularly after 9/11 and political polarization on immigration and civil rights policies. The study explores the equal protection doctrine …


Evaluating Long-Range Transportation Plans For Mainstreaming Of Climate Adaptation Among Virginia Mpos, Sebastian L. Shetty Jan 2022

Evaluating Long-Range Transportation Plans For Mainstreaming Of Climate Adaptation Among Virginia Mpos, Sebastian L. Shetty

Theses and Dissertations

Despite the strides made towards addressing climate change through greenhouse gas (GHG) emissions reduction strategies, it has become increasingly apparent that attempting to mitigate the crisis in such a manner alone is insufficient. This thesis joins a growing body of research on how our societies must adapt to a changing climate, contributing more evidence on common barriers to adaptation and how they might be overcome. Through an attempt to evaluate the progress made towards mainstreaming, or integrating, climate change concerns into five Virginia MPOs’ long-range transportation plans (LRTPs), this study provides support for prior hypotheses around the potential for MPOs …


Do Coverage Expansion And Patient-Centeredness Care Delivery Improve Patient Health Outcomes And Care Quality?, Shiva Salehian Jan 2022

Do Coverage Expansion And Patient-Centeredness Care Delivery Improve Patient Health Outcomes And Care Quality?, Shiva Salehian

Theses and Dissertations

Although correlated, improvement of patient health outcomes and quality of care is a result of health care delivery, performance, and healthcare policies that intend to impact health outcomes (Porter, 2010; AHRQ, 2015). This dissertation focuses on a special model of care delivery (Patient-Centered Medical Homes (PCMH)) and two programs (Addiction and Recovery Treatment Services (ARTS) and Medicaid expansion) to examine the correlation and impact of these programs on cardiovascular-related preventive care, healthcare expenditures, and health behavior hospitalizations as patient outcomes.