Social and Behavioral Sciences Commons^™

A Review Of The Individuals With Disabilities Education Act In Kentucky Schools System, Spencer Collins

MPA/MPP/MPFM Capstone Projects

The federal government's role in education has been center stage for the past decade. Policy actors on the right call for a complete deconstruction of the federal Department of Education (ED). In today's partisan fighting over government funding, the topic of education services is critical. With further investigations into education services provided by federal funding, one vulnerable population that needs to be safeguarded is those students with disabilities. Protecting those students with disabilities and ensuring equal access to education and resources provided for non-disabled students should be one of the highest priorities of policy actors within the education sphere today. …

University Of Kentucky Healthcare Community Engagement Program Strategic Plan, Madison Fyffe

MPA/MPP/MPFM Capstone Projects

Strategic planning is an essential tool in providing direction to an organization through analysis of its current state and ideal future, and development of strategic goals. The University of Kentucky HealthCare’s community engagement program is a robust program within the department of Brand Strategy, tasked with serving all 120 Kentucky counties and over 150 local, state, and national organizations through health education, event sponsorship, and promotional resources. In its current state, a strategic plan to guide and track performance does not exist. This capstone aims to develop a strategic plan through the assessment of strategic planning theory, stakeholder analysis, and …

Sports Betting In Kentucky: An Analysis Of Kentucky’S Sports Wagering Legislation Through Local And Regional State Budgetary Revenue Trends, Brett Gillispie

MPA/MPP/MPFM Capstone Projects

Kentucky’s legislation legalizing sports wagering in the Commonwealth and delineating its taxation, HB551 of the 2023 Regular Session of the General Assembly, has been implemented and posted numbers in its early months that suggested it will exceed revenue projections for the Commonwealth. Researchers have raised concerns, particularly in studying West Virginia, which implemented similar legislation in 2019, that sports betting may be cannibalizing existing gambling revenue for states that implement it. However, this was not conclusive. While evidence from West Virginia suggests that sports betting may be cannibalizing existing revenue, evidence from Kentucky and the individual and broader regional trends …

Disparities In Mortality Between Appalachian And Non-Appalachian Regions Of Kentucky, Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza

Journal of Appalachian Health

Introduction: In the opioid epidemic, the U.S. faces a significant public health crisis, with some areas of the country, such as rural and Appalachian regions, suffering more than others. The differential regional impact of the crisis in Kentucky—a state with both non-metropolitan/metropolitan and Appalachian/Non-Appalachian statuses—has not yet been documented despite such knowledge being essential to the success of overdose prevention efforts.

Purpose: This study compares all-cause, drug- and opioid-related mortality between counties in different regions of Kentucky: Appalachian non-metropolitan, Appalachian metropolitan, non-Appalachian non-metropolitan, and non-Appalachian metropolitan.

Methods: Age-adjusted mortality data from the Centers for Disease Control and Prevention’s Wide-ranging Online …

Carbapenem-Resistant Enterobacterales—Kentucky, 2013–2020: Challenges And Successes, Mary Issac, Andrea Flinchum, Kevin Spicer

Journal of Appalachian Health

Introduction: Carbapenem-resistant Enterobacterales (CRE) are considered urgent, antibiotic-resistant threats in the U.S. and are of global concern. Active collaboration between public health authorities and healthcare facilities and providers will be necessary to prevent and contain these organisms.

Purpose: To describe the epidemiology of CRE in Kentucky and to discuss challenges and successes with building and sustaining an effective prevention and containment program.

Methods: Retrospective descriptive summary of CRE isolates reported by healthcare providers, facilities, and laboratories in Kentucky from 2013 through 2020. Data available from case reporting forms and laboratory testing are summarized.

Results: From 2013 through 2020, 1805 CRE …

Self-Reported Consumption Of Bottled Water V. Tap Water In Appalachian And Non-Appalachian Kentucky, Jason W. Marion

Journal of Appalachian Health

Introduction: Quantitative studies on drinking water perceptions in Appalachia are limited. High-profile water infrastructure failures in the U.S. and Eastern Kentucky, coupled with human-made and natural disasters in the Appalachian Region, have likely impacted opinions regarding tap water.

Purpose: To use existing unexplored data to describe baseline tap water v. bottled water consumption in Kentucky.

Methods: Telephone-based cross-sectional data were obtained from the 2013 Kentucky Health Issues Poll (KHIP) directed by the Foundation for a Healthy Kentucky. Among many items in KHIP, self-reported consumption of bottled water over tap water, reasons for bottled water use, and demographic data were obtained. …

Cares Act Unemployment Insurance Program Implementation In Kentucky: A Case Study, Alicia Landon

MPA/MPP/MPFM Capstone Projects

In March of 2020, the COVID-19 pandemic arrived in the United States. The deadly virus filled hospitals to capacity and caused approximately 375,000 deaths nationwide over the next nine months (Ahmad et al., 2021). In an effort to slow the spread of the Coronavirus, federal and state governments closed businesses and agencies within a matter of weeks. Almost as quickly as the threat to human health changed the lives of Americans, the secondary threat of economic disruption began to unfold. Nationwide unemployment rates increased from approximately 4% to 15% between February 2020 and April 2020 (U.S. Bureau of Labor Statistics, …

How The Increase In Remote Employees Due To Covid-19 Has Impacted Local Income Tax Revenues For U.S. Cities, Brian T. Pearson

MPA/MPP/MPFM Capstone Projects

This research paper will discuss COVID-19’s impact on remote work and its effect on local income taxes for cities across the United States. The paper specifically will be looking into how the increase in remote workers has affected revenue and policy changes for local income taxes since the pandemic. Before the pandemic, most US citizens with jobs had to be on-site, but COVID-19 seems to have changed how businesses are operating for the foreseeable future. A lot of businesses across the country have shifted to having more of their employees working fully remote or partially remote (hybrid) schedules. This has …

Expanding The Samat In Kentucky Correction Institutions: Benefits And Funding, Blair Lozier

MPA/MPP/MPFM Capstone Projects

The United States has seen an increasing rate of substance use disorder among individuals. Those convicted and incarcerated are more likely to have substance use disorder. With correctional institutions becoming overcrowded, policymakers struggle to find an answer to the number of individuals incarcerated with substance use disorder. The Cabinet of Health and Family Services and the Department of Corrections created Supportive Assistance with Medication for Addiction Treatment (SAMAT) in Kentucky. SAMAT is an addictive services program focused on preventing overdose and relapse and aiding recidivism for individuals with opioid and alcohol use disorder. The SAMAT has been deemed successful through …

The Financial Impact Of Undocumented Workers On Kentucky's Economy, Diana Gold

MPA/MPP/MPFM Capstone Projects

Undocumented immigrant workers have a significant presence and impact on the economy of the Commonwealth of Kentucky. However, it is difficult to fully understand their financial impact due to the scarcity of published statistics on this topic. In addition, undocumented immigrants try to live unnoticed due to the nature of their legal status and fear of deportation. Some nonprofit organizations and a few public institutions have been able to track data related to their tax contributions, population size, ages, work fields, spending habits, and public resources used. Gathering the available data will help better understand the financial impact of undocumented …

An Analysis Of Policy Changes Of State Individual Income Taxes Over Recent Years, Melissa Feddes

MPA/MPP/MPFM Capstone Projects

This paper provides an overview of how often each state implemented changes to its individual income tax policies (if any) and focuses on six states (OH, MD, OK, KY, and PA) to conduct a comparison of changes and structures from 2015 to 2023. It also evaluates how these changes appeared to impact the selected state's revenues over time.

Examining Migration Flows Across Kentucky's Counties, James Brady Stein

MPA/MPP/MPFM Capstone Projects

The state of Kentucky is home to many rural counties which experience high levels of outward migration due to their relatively unfavorable economic conditions. While migration trends nationally have begun to plateau, migration flows from county to county show a much more volatile story. This study will examine the relationship between economic opportunity and migration flow estimates in Kentucky’s counties through a multiple regression approach with the response variable being annual migration flow estimates, with multiple predictor variables showing the economic composition of the county. Variables used in this regression include annual unemployment rates, educational attainment levels, county poverty rates, …

Examining Academic Performance And Education Stability Measures For Youth In Foster Care, Alex Asbury

MPA/MPP/MPFM Capstone Projects

The state of Kentucky has seen an increase in its population of youth who are involved with child welfare and in the foster care system while also seeing less cases end in reunification with families. While youth process trauma related to the removal from their homes and the potential of experiencing multiple moves through their time with child welfare, it is important that educational stability remain intact to promote normalcy and improve educational outcomes for youth in foster care. Following the signing of the federal Every Student Succeeds Act (ESSA), the Kentucky education system has seen improvement in its processes …

Curbing Diabetes Prevalence And Reducing Risk Through Policy, Grayson Blount

Undergraduate Public Policy Capstone Projects

The purpose of this policy brief is to illuminate the dire circumstances surrounding the ongoing diabetes epidemic in Kentucky. Type II diabetes mellitus, a preventable and manageable chronic illness, affects nearly 465,000 Kentuckians currently. Beyond the daily struggle associated with diabetes, many acute complications can arise that are severly detrimental to quality of life, such as blindness or lower extremeity amputation. Additionally, the costs associated with diabetes are tremendous, to patients, to providers, and to the state. It is in the best interest of all stakeholders to do whatever we can in order to reduce prevalence and improve management of …

Association Of Diabetes Prevalence With Labor Force Participation Rates In Kentucky Counties, Ryan Montgomery

MPA/MPP/MPFM Capstone Projects

Compared to other states in the USA, Kentucky has one of the highest rates of diagnosed diabetes and one of the lowest levels of labor force participation. This project employs a multivariable linear regression model to estimate the correlation between county-level diabetes prevalence and county-level labor force participation rates in Kentucky counties from 2015-2019, using publicly available data from the Centers for Disease Control’s Behavioral Risk Factor Surveillance System (BRFSS) and the U.S. Census Bureau’s American Community Survey (ACS). Labor force participation rates serve as the dependent variable and diabetes prevalence rates serve as the primary independent variable, alongside nine …

Kentucky Annual Economic Report 2022, Michael W. Clark, James P. Ziliak, Simon Sheather

Kentucky Annual Economic Report

This report is one of the important ways that the Center for Business and Economic Research fulfills its mission to examine various aspects of Kentucky’s economy as directed by the Kentucky Revised Statutes (KRS 164.738). The analysis and data presented here cover a variety of topics that range from a discussion of Kentucky’s current economic climate to a broad presentation of factors affecting the economy.

The report covers numerous dimensions of Kentucky’s economy including the effects of COVID-19. As the pandemic approaches its third year, COVID-19 continues to dominate the economic narrative. Many aspects of the economy have improved substantially …

Assessing Stress Biomarkers As Embodied Identity In Kentucky’S Green River Archaic, Anna-Marie Casserly

Theses and Dissertations--Anthropology

The primary goal of this bioarchaeology dissertation research is to investigate the relationship between evidence of social identity and indicators of biological stress in the Green River region of Kentucky during the Late Archaic period (5,000-3,000 BP). Utilizing a biocultural perspective, I examine the ways that aspects of identity and social organization are embodied through the experience of biological stress. This research explores how social differences influence the patterning of osteological stress markers in an Archaic population while problematizing categories of difference that are often naturalized in bioarchaeology, such as gender or age cohorts. In so doing, it contributes to …

Covid-19 And Advanced Course Enrollment: Kentucky High Schools, Jessica Thomas

MPA/MPP/MPFM Capstone Projects

In Kentucky governments, districts, and schools made decisions about school closures and mode of learning that would impact community health as well as student achievement. Within those schools, students themselves were also making decisions that could impact their futures academically. In spring 2020, students were choosing their courses for the following year. Vast uncertainty about what the 2020/2021 school year would look like had the potential to impact those decisions. Disruptions to spring 2020 classes could also impact whether a student felt they had learned the prerequisite skills needed to pursue advanced coursework. This study found that advanced course enrollment …

Exploring The Relationship Between Place Attachment And Attitudes Toward Tourism Development In Powell County, Lindsay Vance

Theses and Dissertations--Community & Leadership Development

This study explores the relationship between Powell County, Kentucky residents’ place attachment, and the perceived sociocultural, environmental, and financial benefits of the future Warrior’s Path development. A survey consisting primarily of five-point Likert scale questions was shared with several local organizations to distribute to their members. The Pearson’s correlation coefficient and Chi-square test of independence tests were used to discover any correlation between place attachment and perceived sociocultural, environmental, and financial benefits of tourism development. The Pearson’s correlation coefficient (r=.465) determined a moderate positive correlation between place attachment and perceived sociocultural benefits of the Warrior’s Path and tourism development. Of …

Examining Ky Hb8 For 2022: What Can We Learn From Other States’ Experiences?, Patrick Welsh

MPA/MPP/MPFM Capstone Projects

Currently, Kentucky levies an individual income tax on all income earned by Kentucky residents at a rate of 5%. A bill approved in 2022 by the Kentucky legislature, KY HB8 for 2022 will phase down the individual income tax rate from 5% to 0% and expand the sales tax to 39 additional classes of services. Incremental decreases in the individual income tax rate depend on meeting General Fund receipts thresholds established in the bill after an initial reduction of one percentage point. Kentucky will join the ranks of 9 other states that do not impose an individual income tax including …

Statewide Educational Achievement Goals: How Has Kentucky’S 60x30 Goal Affected Postsecondary Credential Completion?, Cameron Childress

MPA/MPP/MPFM Capstone Projects

During the past decade, several states have adopted statewide educational attainment goals. Kentucky’s 60x30 goal seeks to credential 60% of the adult population in the state by 2030, bringing Kentucky closer to the national average. Using a difference-in-differences empirical strategy I compare Kentucky to a control group of states from 2010-2019 in order to understand statewide gains in varying levels of postsecondary achievement, and in what subsamples of the population the largest gains have been made. The results indicate that Kentucky has been successful in increasing educational attainment compared to states who have not adopted an educational attainment goal, and …

“Don’T Feel Like You Have To Do This All On Your Own”: Exploring Perceived Partner Support Of Breastfeeding Among Black Women In Kentucky, Jardin Dogan

Theses and Dissertations--Educational, School, and Counseling Psychology

Background: Partner support improves breastfeeding initiation and continuation among mothers. However, few studies have explored partner support for breastfeeding among Black women living in the southeastern U.S., who report the lowest rates nationally of breastfeeding compared to women of other racial groups. Ways to increase support of Black women’s breastfeeding may be best understood from an Afrocentric perspective.

Research Aim: This qualitative study aimed to explore perceptions of partner support among Black mothers to abductively develop a culturally relevant framework of partner support to improve their rates of breastfeeding. Our research question was, “What partner support behaviors do Black …

Merged Government: Is This An Option For Bowling Green And Warren County, Ky Governments?, Alice Williams

MPA/MPP/MPFM Capstone Projects

In recent history, the most common attempt at reorganization of government in a metropolitan area is the city-county consolidation model. With limited government resources, elected officials along with community members look to this model to make the best use of those resources. “Applied to local government, the term ‘‘consolidation’’ is generally understood to mean the structural merging of two or more governments into one. When a city and county consolidate, a new and different form of local government is created that has elements of both city and county government but is neither.” (Martin, 2011) There are both benefits and problems …

Evaluating The Shift From Income Taxes To Sales And Use Taxes In Kentucky, Benton Kirby

MPA/MPP/MPFM Capstone Projects

House Bill 8 is set up to lower the state's individual income tax from 5% down to 0%. The bill is set up when revenue and rainy-day funds reach a certain level. The state's individual income tax will decrease each year the requirements are met. In addition, the bill has several services that will be subject to the state sales tax to raise tax revenues to offset the revenue loss that decreasing the state income tax would impact the state. However, the Kentucky Legislature Research Committee estimates that the fiscal impact of a net loss of $1.15 billion of tax …

Kentucky’S K-12 Public School Spending And Its Relationship To Enrollment Percentages Of Students With Limited English Proficiency And Students Eligible For The Free And Reduced-Price Lunch Program, Christine Tarne

MPA/MPP/MPFM Capstone Projects

Public school funding formulas vary broadly between states in both the levels of funding and the mechanisms through which funding is distributed. Most states provide targeted funding for student populations that need supplemental resources, including low-income and limited English proficiency student populations, as does the Federal Elementary and Secondary Education Act (ESEA). In the past, a lack of school level enrollment and financial data made it difficult to determine whether funding provided to local education agencies has been equitably distributed to the schools with whom they are affiliated. The 2015 Federal Every Student Succeeds Act requires that school-level enrollment and …

Effects Of Emergency Medical Service Funding Policies In Kentucky, Amber Moreland

MPA/MPP/MPFM Capstone Projects

Emergency medical services is a complicated component in local Kentucky governments. Emergency Medical Services (EMS) operated and managed by local government have various funding mechanisms and each have different methods of reporting. This paper reviews the various ways EMS is funded in Kentucky along with the impact these different funding strategies have on quality and delivery of emergency medical services.

Significant Life Experiences Of Kentucky Youth Climate Activists, Jeri Katherine Howell

Theses and Dissertations--Community & Leadership Development

The purpose of this study is to better understand Kentucky youth climate activism. The research questions explore how youth define their climate activism in Kentucky, their Significant Life Experiences (SLE) that motivated them to commit to climate activism, and what challenges and sustains their involvement. This qualitative study utilizes a blended framework of social/environmental positionality and political ecology to analyze 7 semi-structured interviews with participants between the ages 18 to 24 years old who are acting to address climate change in Kentucky. New contributions to the existing body of SLE literature are discussed.

Access To And Use Of Technology For Health: Comparisons Between Appalachian Kentuckians And The General U.S. Population, Robin C. Vanderpool, Lindsay R. Stradtman, Anna Gaysynsky, Quan Chen, Meghan Johnson, Bin Huang

Journal of Appalachian Health

Introduction: Technology may increase the availability of health information and enable health promoting behaviors. However, lack of access to and use of technology may also exacerbate disparities, particularly in rural communities with limited Internet access.

Purpose: The purpose of this study was to compare Internet access, device ownership, and use of technology for health between Appalachian Kentuckians and the general U.S. population.
Methods: Findings from the 2017 Assessing the Health Status of Kentucky (ASK) survey were compared to national estimates from the Health Information National Trends Survey (HINTS) 5, Cycle 1 (2017), with a particular focus on degree of rurality. …

“We Just Need The Developer To Develop”: Entrepreneurialism, Financialization And Urban Redevelopment In Lexington, Kentucky, Kevin Ward, Andrew Wood

Geography Faculty Publications

Since the 1980s US city governments have increased their use of more speculative means of financing economic redevelopment. This has involved experimenting with a variety of financial and taxation instruments as a way of growing their economies and redeveloping their built environments. This very general tendency, of course, masks how some cities have done well through the use of these instruments while others have not. The work to date has tended to pivot around a “winner-loser dichotomy”, which emphasises either the capacity of US cities to be able to experiment and speculate through the use of one financial instrument or …

Chance Elections, Social Distancing Restrictions, And Kentucky's Early Covid-19 Experience, Charles J. Courtemanche, Joseph Garuccio, Anh Le, Joshua C. Pinkston, Aaron Yelowitz

Economics Faculty Publications

Early in the pandemic, slowing the spread of novel coronavirus disease 2019 (COVID-19) relied on non-pharmaceutical interventions. All U.S. states adopted social-distancing restrictions in March and April of 2020, though policies varied both in timing and scope. Compared to states with Democratic governors, those with Republican governors often adopted measures for shorter durations and with greater resistance from their residents. In Kentucky, an extremely close gubernatorial election immediately prior to the discovery of SARS-CoV-2 replaced a Republican incumbent with a Democrat, despite Republicans easily winning all other statewide races. This chance election result offers a unique opportunity to examine the …