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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley Jan 2021

The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley

Walden Dissertations and Doctoral Studies

The United States is on a trajectory to reach 20% of citizens aged 65 and over by 2030. This hyper-aging population affects the costs of healthcare, but it is not adequately represented in current U.S. models. Studies indicate other hyper-aged nations have experienced this increase and implemented long-term care measures to counter the increase in aging populations and costs with system responsiveness. This study examined the role of Medicaid home -and community- based service (HCBS) contributions in states that have the fastest-aging populations. Using the established framework and data collected by the Centers for Medicare and Medicaid, the study looked …


Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes Jan 2021

Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes

Walden Dissertations and Doctoral Studies

Stigma is one of the most significant barriers to access and utilization of mental health services in the United States. Delays in receiving mental health services significantly contribute to health disparities and poor health outcomes. Social workers play an integral part in implementing best practices within health care settings and reducing health inequities impacting vulnerable populations. The purpose of this qualitative action research study was to explore social work service providers perceptions' toward stigma and how it affects mental health services among patients in California's Medicaid program. Stigma theory was applied to gain an understanding of how stigma interacts and …


Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton Jan 2020

Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton

Walden Dissertations and Doctoral Studies

As the U.S. population ages, the need for public policies regarding long-term care increases, as the need is unequal to demand. The purpose of this qualitative study was to explore and describe the role of senior service providers (SSPs) who have dealt with health policies from being responsible for the decision-making processes of implementing federal and state guidelines in Michigan on access and wait-listing of older adults for home and community-based services (HCBS). The theoretical foundation for this study was the social construction and policy design theory. The central research question sought perceptions of SSPs as to their ability to …


Accessibility To Health Care Services For Children With Autism Spectrum Disorders, Leanne Elizabeth Scalli Jan 2018

Accessibility To Health Care Services For Children With Autism Spectrum Disorders, Leanne Elizabeth Scalli

Walden Dissertations and Doctoral Studies

The study was an investigation into health care accessibility for children with autism spectrum disorder (ASD) following the transition to a private Medicaid system in the state of Florida. Pilot studies of managed Medicaid programs focused on costs and did not address how changes to the system impacted access to health care services. There were limited studies designed to understand how a change in the system, such as a privatization, would affect vulnerable populations such as young children with ASD. Additional concerns existed for children that were historically underserved by the health care system such as African American and Latino …


Attitudes Of Women Offenders Towards Medicaid Enrollment And Coverage Under The Affordable Care Act, Morrisa Barbara Rice Jan 2017

Attitudes Of Women Offenders Towards Medicaid Enrollment And Coverage Under The Affordable Care Act, Morrisa Barbara Rice

Walden Dissertations and Doctoral Studies

Although women offenders face barriers to successful reentry into their communities, as yet, no research has explored their experiences in accessing health care reentry services. Medicaid enrollment, the process of applying for Medicaid coverage, can be offered as a health care reentry service. Women offenders in jails have shorter sentencing times compared to those in prison, which presents Medicaid enrollment opportunities before release. The Second Chance Act provides the opportunity for reentry services, and the Affordable Care Act provides the opportunity for Medicaid coverage for women offenders. This phenomenological study explored the attitudes of women offenders about Medicaid enrollment and …