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Implementation Of A Protocol To Improve The Intake Assessment And Treatment With Suboxone Among Patients’ Dependent On Opioids On Two Mental Health Crisis Units, Maeghan Dillon Dec 2023

Implementation Of A Protocol To Improve The Intake Assessment And Treatment With Suboxone Among Patients’ Dependent On Opioids On Two Mental Health Crisis Units, Maeghan Dillon

Doctor of Nursing Practice Scholarly Projects

Abstract

Background: In 2021,106,699 people died from a drug overdose and of these deaths, over 75% were related to illicit or prescription opioids (Centers for Disease Control, 2023). At two in-patient community crisis stabilization units for psychiatric care, many patients have a comorbid diagnosis of a substance use disorder and another mental illness. Treatment with Buprenorphine/naloxone (Suboxone) is associated with decreased opioid overdoses and related deaths; however, Suboxone inductions have not been a part of admission treatment.

Methods: This quality improvement (QI) project initiated a Suboxone protocol for eligible patients on two crisis in-patient stabilization units. The outcomes …


Intellectual And Developmental Disabilities Agencies’ Employment And Day Services (1988–2021), Agnes Zalewska, Jean Winsor, John Butterworth Dec 2023

Intellectual And Developmental Disabilities Agencies’ Employment And Day Services (1988–2021), Agnes Zalewska, Jean Winsor, John Butterworth

All Institute for Community Inclusion Publications

Data Note 87 summarizes core findings from the Institute for Community Inclusion’s (ICI) National Survey of State Intellectual and Developmental Disabilities Agencies’ Employment and Day Services through FY 2021.


We Resist, We Heal, We Transform: Exploring Youth Of Color Journeys Towards Healing Justice In A Grassroots Organization In Urban Boston, Rhyann Leslie Robinson Dec 2023

We Resist, We Heal, We Transform: Exploring Youth Of Color Journeys Towards Healing Justice In A Grassroots Organization In Urban Boston, Rhyann Leslie Robinson

Graduate Masters Theses

While many would say otherwise, the current system is not a broken one (Kaba, 2021). The colonial systems, frameworks, and theories we have in place are working exactly how they are supposed to: in favor of and in tandem with systems that seek to oppress marginalized communities. This realization calls for a shift, including shifts in research in ways that builds from below (Atallah & Dutta, 2021; Fernández, 2018; Tang-Yan, 2022). The current study aims to explicitly interrogate coloniality and colonial violence in a United States socio historical context, exploring youth of color development in conditions of adversity, looking at …


The "Messy Middle": A Framework For Analyzing Raciolinguistic Inequity, Casey Erin Anthony Dec 2023

The "Messy Middle": A Framework For Analyzing Raciolinguistic Inequity, Casey Erin Anthony

Graduate Masters Theses

Existing research has demonstrated that bilingual education in the United States is highly inequitable, providing greater benefits to white English speakers than to students from minoritized backgrounds (e.g., Babino & Stewart, 2017; Palmer, 2009). Additional research has suggested that bilingual spaces also uphold whiteness and English hegemony outside of classrooms, in spaces like parent groups to administrative decisions (e.g., Gallo, 2017; Jacobsen et al., 2019). This ethnographic case study of a Spanish-English Two-Way Dual Language (TWDL) elementary school examines raciolinguistic positioning and interactions among students, teachers, and parents. Drawing on dysconscious racism (King, 1991), LangCrit (Crump, 2014), and critical consciousness …


Developing Specialized Master's Programs In Business Schools: The Convergence Of Mission And Markets, Elizabeth Johansson Bristol Dec 2023

Developing Specialized Master's Programs In Business Schools: The Convergence Of Mission And Markets, Elizabeth Johansson Bristol

Graduate Doctoral Dissertations

Practical problems can emerge when new academic programs are developed. If program development decisions are driven primarily by desires for enrollment growth and revenue generation, new programs may be created without clear connections to institutional missions or organizational core competencies. Additionally, introduction of new academic programs may generate internal conflict and competition for resources diminishing the capacity of both new and existing programs. Misalignment with mission, lack of connection to faculty expertise, and fierce internal competition for resources can create an environment where new academic programs are unlikely to thrive. The purpose of this multi-site case study was to understand …


"Here's What's Not Changing": Institutional Adaptations That Respond To A Crisis But Preserve The Core, Hozami A. Helwani Dec 2023

"Here's What's Not Changing": Institutional Adaptations That Respond To A Crisis But Preserve The Core, Hozami A. Helwani

Graduate Masters Theses

An enduring tension in the study of institutions is between the micro level of agents’ activities that shape institutions and the macro level of institutions as enduring entities that tend to resist change. Institutions in crisis offer opportunities to look at urgent and adaptive changes. I study an Islamic organization that is representative of a religious institution, which has deep traditions and meaningfulness to its members. In a time of crisis, in the urban area in the United States where it is located, the organization is pressed by external parties, such as government, media, and leaders from other religions, to …


Effect Of Plant Genotype On Plant-Microbe Interactions And Multi-Generation Ecosystem Selection Of Microbial Communities Associated With Plant Biomass In Arabidopsis Thaliana, Nachiket Shankar Dec 2023

Effect Of Plant Genotype On Plant-Microbe Interactions And Multi-Generation Ecosystem Selection Of Microbial Communities Associated With Plant Biomass In Arabidopsis Thaliana, Nachiket Shankar

Graduate Doctoral Dissertations

The microbiome's role in shaping host phenotypes is a critical area of investigation, with implications for ecology, evolution, and host health. Dynamic plant-microbe interactions are influenced by factors like soil type, environment, and genotype. Understanding their impact on microbial communities is key for tailored plant benefits. An artificial ecosystem selection experiment was done for eight generations with Arabidopsis thaliana Ler and Cvi. This revealed distinct microbial communities shaped by genotypes and biomass treatments. Initially, environment dominated, but over time, genotype and biomass gained influence, explaining ~40% of the variation. Moreover, genotype-specific rhizobacterial associations were observed, enhancing understanding of community dynamics …


Front Matter And Table Of Contents Nov 2023

Front Matter And Table Of Contents

New England Journal of Public Policy

Front matter and table of contents for Volume 35, Issue 2 of the New England Journal of Public Policy.


The How And Why Of Visual Practice At Un Climate Negotiations, Stéphanie Heckman Nov 2023

The How And Why Of Visual Practice At Un Climate Negotiations, Stéphanie Heckman

New England Journal of Public Policy

In this article Stéphanie Heckman examines the process and outcomes of her graphic recording work and other forms of visual practice in the context of UN climate negotiations, reflecting on three years of collaboration with the UN Climate Change Secretariat, particularly during the eighteen-month Global Stocktake process. After a review of the history and science behind visual storytelling, she analyses one of the graphic recordings made for the third meeting of the Technical Dialogue of the Global Stocktake through the lens of Kelvy Bird’s ‘Levels of Scribing’ model. Drawing on comments from delegates at COP27 in Sharm el-Sheikh, Egypt and …


The Role Of Carbon Management Technologies In Meeting Net Zero, Ali Al-Saffar Nov 2023

The Role Of Carbon Management Technologies In Meeting Net Zero, Ali Al-Saffar

New England Journal of Public Policy

The pathway toward implementing the changes necessary in the energy sector to keep global temperature rises from breaking through catastrophic barriers is narrow and tenuous and will require a range of zero- and low-carbon technologies to be dispatched at a speed and scale that is virtually unprecedented. Decarbonization through renewables, matched with the more efficient use of energy in the end-use sectors will play a large part. But there is growing realization that there will be residual fossil fuel use long into the future, and that the emissions from the burning of these fossil fuels in power plants and factories …


The Gulf: An Appeal For More Coordinated Action On Climate Change, Fareed Yasseen Nov 2023

The Gulf: An Appeal For More Coordinated Action On Climate Change, Fareed Yasseen

New England Journal of Public Policy

This article seeks to provide the rationale behind Iraqi Prime Minister Al-Sudani’s call at the United Nations for the formation of a negotiating group within the United Nations Framework Convention on Climate Change process that brings together all member states of the Gulf Cooperation Council, Iraq, and Iran. This article argues that these countries would benefit doubly from such an arrangement, because it would help them better address the direct effects of climate change, on the one hand, and to better address the effects of the measures taken to address climate change, which will affect them as fossil fuel producers, …


Editor's Note, Padraig O'Malley, Adanna C. Kalejaye Nov 2023

Editor's Note, Padraig O'Malley, Adanna C. Kalejaye

New England Journal of Public Policy

To coincide with COP28 in Dubai, this issue of the New England Journal of Public Policy published a series of articles on climate warming.


Results Of Cop27 And Expectations For Cop28, Cecilia Kinuthia-Njenga, Fareed Yasseen Nov 2023

Results Of Cop27 And Expectations For Cop28, Cecilia Kinuthia-Njenga, Fareed Yasseen

New England Journal of Public Policy

Since 1995, government representatives from around the world have gathered nearly every year for the United Nations Conference of the Parties (COP) to advance work on multilateral agreements and to provide a way forward in tackling the significant challenges of climate change. The last of these conferences took place on November 6–20, 2022, in Sharm el-Sheikh, Egypt.

COP27 brought together more than 35,000 people from across the globe to deliberate on important actions for addressing the climate. Hailed as the “African COP” and “Implementation COP,” it raised expectations that decisions from previous conferences, reflecting the needs and priorities of the …


The Perfect Is The Enemy Of The Good: Carbon Credits And Funding For Decarbonization In Developing Countries, Andrew A. Bernstein Nov 2023

The Perfect Is The Enemy Of The Good: Carbon Credits And Funding For Decarbonization In Developing Countries, Andrew A. Bernstein

New England Journal of Public Policy

Carbon credits issued in the voluntary carbon market are an important source of funding for projects in developing countries designed to reduce greenhouse gas emissions, such as forest preservation and renewable energy. Beyond their potential to provide billions of dollars of private sector financing for decarbonization, carbon credits can generate economic opportunity, employment, and biodiversity. But they are controversial, mainly (but not only) because it is difficult to confirm and to quantify their emissions benefits. This article argues that policymakers should nonetheless support voluntary carbon market growth, so long as companies use carbon credits to mitigate emissions they cannot avoid …


Joint Global Responsibility Fund For Climate, Conservation, And Communities: A Proposed Innovative Tax-Based Funding Mechanism, Tamar Ron Nov 2023

Joint Global Responsibility Fund For Climate, Conservation, And Communities: A Proposed Innovative Tax-Based Funding Mechanism, Tamar Ron

New England Journal of Public Policy

Nature-based solutions address biodiversity loss, climate change, and societal challenges at the local, national, regional, and global levels. The costs of their conservation, however, are mostly local and national in nature. Confronting the rolling dual crisis of biodiversity loss and climate change requires us to recognize nature’s intrinsic value. Moreover, we must find practical ways for their monetary valuation to be channeled as payment for the services of conservation custodians. It is suggested here to translate the value of natural assets and the understanding of the local costs and global benefits of their conservation, into an innovative and ambitious funding …


Solar Radiation Modification Governance In The Context Of Temperature Overshoot, Janos Pasztor Nov 2023

Solar Radiation Modification Governance In The Context Of Temperature Overshoot, Janos Pasztor

New England Journal of Public Policy

As the climate crisis escalates, governments—and recently even those in the wealthier countries in the Global North—are struggling to manage the impacts we are experiencing around the world in frightening abundance, including record-setting temperatures, fires, floods, and glacial and ice melt. Behind closed doors, policymakers are concerned as they contemplate the increasing likelihood, even under the most ambitious emission reduction pathways, that the world will overshoot the goal agreed upon in the Paris Agreement to limit global average temperature rise to 1.5oC beyond pre-industrial levels.

It is in this “overshoot context” that interest is growing in an emerging, potentially supplementary …


Cop27 And The New Rise Of The Global South, Janice Golding Nov 2023

Cop27 And The New Rise Of The Global South, Janice Golding

New England Journal of Public Policy

Developing countries require direct and indirect financial and non-financial assistance to address the climate crisis. The COP27 announcement of a new Loss and Damage Fund as well the unveiling of the Bridgetown Initiative collectively hold substantial promise to alter the course of climate multilateralism. The outcome of COP27 has presented unprecedented opportunities for the Global South to build global solidarity for climate justice, but the path ahead will not be easy. Materialization of support to developing countries may be, at best, not sustainable, or at worst, unforeseeable without consistent application of principles and values enshrined in historic, moral accountability for …


Comparing Vr Services Rate Between Black And White Job Seekers Across The Us, Alberto Migliore, John Shepard Oct 2023

Comparing Vr Services Rate Between Black And White Job Seekers Across The Us, Alberto Migliore, John Shepard

All Institute for Community Inclusion Publications

Data Note 85 explores differences in receiving VR services between Black and white job seekers. Nationally, the data indicated that there was little discrepancy between Black and white job seekers in exiting a VR program in 2022. However, the discrepancy was pronounced at the state level.


Estimating The Impacts Of Legislation To Expand Affordable Quality Child Care And Early Education In Massachusetts: Initial Findings On Utilization, Employment, And Financial Assistance. Research Brief #1, Randy Albelda, Alan Clayton-Matthews, Anne Douglass, Christa Kelleher, Songtian Zeng, Laurie Nsiah-Jefferson Oct 2023

Estimating The Impacts Of Legislation To Expand Affordable Quality Child Care And Early Education In Massachusetts: Initial Findings On Utilization, Employment, And Financial Assistance. Research Brief #1, Randy Albelda, Alan Clayton-Matthews, Anne Douglass, Christa Kelleher, Songtian Zeng, Laurie Nsiah-Jefferson

Publications from the Center for Women in Politics and Public Policy

The UMass Boston Early Education CUSP is led by a multidisciplinary team that designed the simulator and uses it to produce current, relevant, accurate, and responsive estimates about the key impacts of proposed legislation to expand access to affordable, quality child care and early education. One of the simulator’s valuable features is that it can produce estimates for a range of policy parameters and provisions. The team will release additional briefs in the coming months to offer a more detailed look at the impacts outlined in this initial publication. Other planned briefs will examine key topics, such as impacts related …


Late-Life Gender Disparities In Economic Security: Evidence From The 2022 Elder Index, Jan E. Mutchler, Nidya Velasco Roldán, Yan-Jhu Su Oct 2023

Late-Life Gender Disparities In Economic Security: Evidence From The 2022 Elder Index, Jan E. Mutchler, Nidya Velasco Roldán, Yan-Jhu Su

Center for Social and Demographic Research on Aging Publications

Estimates from the 2022 Elder Index illustrate the elevated risk of economic insecurity experienced by older women, especially those living alone. We use the Elder Index to calculate the percentage of older adults living in one- and two-person households with annual incomes that do not support economic security. National averages suggest that half of older women living alone, along with 42% of older men living alone, have annual incomes below the Elder Index. In addition, 21% of older couples have annual incomes below the Elder Index. Women in same-sex couples experience greater levels of disadvantage than men in same-sex couples …


Second-Generation Latino Immigrant Assimilation In Massachusetts, Phillip Granberry, Mary Jo Marion Oct 2023

Second-Generation Latino Immigrant Assimilation In Massachusetts, Phillip Granberry, Mary Jo Marion

Gastón Institute Publications

Approximately one-fourth of Latinos in Massachusetts are second-generation immigrants. This population is defined as having at least one foreign-born parent. Massachusetts has 216,964 second-generation Latino immigrants, which ranks fourteenth among states. However, second-generation Latinos represent a 25.5% share of all Latinos in Massachusetts, and this share ranks 35th among states. In comparison, 37.8% of all Latinos in California are second-generation immigrants. This lower share in Massachusetts is because Puerto Ricans, the largest Latino population in the Commonwealth, have birthright citizenship and therefore are not considered foreign-born.

The foreign-born have many reasons for migrating, but their children's future success is a …


Defining Intellectual And Developmental Disability: A Comparative Overview Across Five National Datasets, Daria Domin, Ryan Wedeking Oct 2023

Defining Intellectual And Developmental Disability: A Comparative Overview Across Five National Datasets, Daria Domin, Ryan Wedeking

All Institute for Community Inclusion Publications

Data Note 86 shares a comparative overview of the different definitions of intellectual and developmental disability (IDD) from five national data sources on employment outcomes: National Survey of State IDD Agency Employment and Day Services; Rehabilitation Services Administration; American Community Survey; National Core Indicators; and Social Security Administration. The goals of this Data Note are to provide clarity about how each data source defines the IDD population and support readers’ understanding of the results from each source.


Brasileiros Nos Estados Unidos E Em Massachusetts: Um Perfil Demográfico E Econômico, Michelle Borges, Phillip Granberry, Alvaro Lima, Victor Luis Martins Sep 2023

Brasileiros Nos Estados Unidos E Em Massachusetts: Um Perfil Demográfico E Econômico, Michelle Borges, Phillip Granberry, Alvaro Lima, Victor Luis Martins

Gastón Institute Publications

Os brasileiros têm uma presença significativa e em crescimento nos Estados Unidos. Em 2021, o Ministério das Relações Exteriores do Brasil estimou que 4.215.800 brasileiros estavam vivendo no exterior. Dentre eles, calculou-se que 42% estavam vivendo nos EUA. Portugal (7%) foi o segundo país mais procurado por Brasileiros, seguido por Paraguai (6%), Reino Unido (5%), Japão (5%), Itália (4%), Espanha (4%), Alemanha (3%), Canadá (3%), e França (2%) seguidos por uma série de outros países.

É bem documentado que o Censo dos Estados Unidos subestima as populações de baixa renda, estudantes e imigrantes, especialmente os indocumentados. No entanto, dentro dessa …


Brazilians In The U.S. And Massachusetts: A Demographic And Economic Profile, Michelle Borges, Phillip Granberry, Alvaro Lima, Victor Luis Martins Sep 2023

Brazilians In The U.S. And Massachusetts: A Demographic And Economic Profile, Michelle Borges, Phillip Granberry, Alvaro Lima, Victor Luis Martins

Gastón Institute Publications

Brazilians have a significant and growing presence in the United States. In 2021, when the Brazilian Ministry of Foreign Affairs estimated that 4,215,800 Brazilians were living abroad, it calculated that 42% of them were living in the U.S. Portugal (7%) was distant second, followed by Paraguay (6%), United Kingdom (5%), Japan (5%), Italy (4%), Spain (4%), Germany (3%), Canada (3%), France (2%), and a host of other countries.

It is well documented that the U.S. Census undercounts low-income populations and immigrants, particularly the undocumented. However, within this limitation, the Census Bureau’s American Community Survey (ACS) produces a sampling that enables …


Chinese Laundries In Massachusetts: An Oral History Project, Shauna Lo Sep 2023

Chinese Laundries In Massachusetts: An Oral History Project, Shauna Lo

Institute for Asian American Studies Publications

No abstract provided.


Insights Into Changes In Employment And Day Services Data From Idd Agencies During Covid-19, Agnes Zalewska, Jean Winsor Sep 2023

Insights Into Changes In Employment And Day Services Data From Idd Agencies During Covid-19, Agnes Zalewska, Jean Winsor

All Institute for Community Inclusion Publications

The COVID-19 public health emergency (PHE) had a major impact on people with disabilities and the services they receive. This brief explores the impact of PHE on employment and day services of people with IDD. The focus of this product is the National Survey of State Intellectual and Developmental Disabilities Agencies’ Employment and Day Services (IDD survey) and its data collection in FY2020 and FY2021. We explore the feedback from state IDD agencies on the data shifts resulting from PHE and we summarize the themes observed.


Social Security Administration Data Trends: Key Findings On Work Incentive Programs (2000–2021), Daria Domin, John Butterworth, Jean Winsor, Ryan Wedeking Sep 2023

Social Security Administration Data Trends: Key Findings On Work Incentive Programs (2000–2021), Daria Domin, John Butterworth, Jean Winsor, Ryan Wedeking

All Institute for Community Inclusion Publications

DataNote 84 summarizes Social Security Administration data from 2000-2021 on work incentives and their underutilization by Supplemental Security Income (SSI) recipients. It also compares younger recipients’ likelihood of working and participating in work incentives to older SSI recipients. Lastly, it examines the employment rate trends of SSI recipients across four disability sub-groups: intellectual disorders, developmental disability, autism spectrum disorders, and mental health disorders.


Addressing Barriers To Diversity, Equity, And Inclusion In Massachusetts Community Mediation, Madhawa Palihapitiya, Shino Yokotsuka, Karina Zeferino, Jarling Ho Aug 2023

Addressing Barriers To Diversity, Equity, And Inclusion In Massachusetts Community Mediation, Madhawa Palihapitiya, Shino Yokotsuka, Karina Zeferino, Jarling Ho

Massachusetts Office of Public Collaboration Publications

This report presents over three years of systematically engaging, documenting and analyzing the diversity, equity and inclusion (DEI) needs/gaps and assets of state funded community mediation centers in Massachusetts. The report was compiled by researchers and an in-house DEI expert at the statutory state office of dispute resolution, the Massachusetts Office of Public Collaboration (MOPC) at the University of Massachusetts Boston. The office has been serving as a neutral forum and state-level resource for over 30 years.

The report is based on qualitative research that falls into the category of community based participatory research conducted through a series of community …


Addressing Barriers To Diversity, Equity, And Inclusion In Massachusetts Community Mediation, Madhawa Palihapitiya, Jarling Ho, Shino Yokotsuka, Karina Zeferino Aug 2023

Addressing Barriers To Diversity, Equity, And Inclusion In Massachusetts Community Mediation, Madhawa Palihapitiya, Jarling Ho, Shino Yokotsuka, Karina Zeferino

Massachusetts Office of Public Collaboration Publications

This report presents over three years of systematically engaging, documenting and analyzing the diversity, equity and inclusion (DEI) needs/gaps and assets of state funded community mediation centers in Massachusetts. The report was compiled by researchers and an in-house DEI expert at the statutory state office of dispute resolution, the Massachusetts Office of Public Collaboration (MOPC) at the University of Massachusetts Boston. The office has been serving as a neutral forum and state-level resource for over 30 years.

The report is based on qualitative research that falls into the category of community based participatory research conducted through a series of community …


Datanote: The American Community Survey, Daria Domin, John Shepard, John Butterworth, Jean Winsor, Agnes Zalewska, Daria Domin, Alberto Migliore Aug 2023

Datanote: The American Community Survey, Daria Domin, John Shepard, John Butterworth, Jean Winsor, Agnes Zalewska, Daria Domin, Alberto Migliore

All Institute for Community Inclusion Publications

The American Community Survey (ACS) offers a broad population view of employment outcomes for working-age people with disabilities. This Data Note summarizes findings from an analysis of 2021 ACS data on employment rates, weeks worked, and poverty rates of people with and without disabilities across the US. These data are compared for people with no disability, people with any disability, and people with a cognitive disability, which indicate that people with disabilities continue to have less success in the labor market, and a greater likelihood of being underemployed, compared to individuals without a disability.