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Engaging Critical Access Hospitals In Addressing Rural Substance Use, John A. Gale MS, Sara Kahn-Troster MPH, Zachariah T. Croll MPH, Nathan L. First LCSW, MSW, MA 2020 Maine Rural Health Research Center, Cutler Institute for Health and Social Policy, Muskie School of Public Service,University of Southern Maine i

Engaging Critical Access Hospitals In Addressing Rural Substance Use, John A. Gale Ms, Sara Kahn-Troster Mph, Zachariah T. Croll Mph, Nathan L. First Lcsw, Msw, Ma

Rural Hospitals (Flex Program)

Substance use is a significant public health issue in rural communities. Despite this fact, substance use treatment services are limited in rural areas and residents suffer from significant barriers to care. Critical Access Hospitals (CAHs), frequently the hubs of local systems of care, can play an important role in addressing substance use disorders. To develop a coordinated response to community substance use issues, CAHs must identify and prioritize local needs, mobilize local resources and partnerships, build local capacity, and screen for substance use among their patients. These activities provide a foundation upon which CAHs and their community partners can address ...


Shadow Standards And The Logic Of Costs: Care, Stewardship, And Data In U.S. Community Health, Margarite J. Whitten 2020 The Graduate Center, City University of New York

Shadow Standards And The Logic Of Costs: Care, Stewardship, And Data In U.S. Community Health, Margarite J. Whitten

All Dissertations, Theses, and Capstone Projects

This dissertation examines the delegation of responsibility for providing health care to particular categories of marginalized populations in the United States in the absence of a uniform and universal health care system. It explores how the U.S. federal government governs patient populations at a distance by mandating that healthcare providers collect, produce, and report on patient data. Drawing from eighteen months of ethnographic research in Massachusetts clinics for the homeless and the frail elderly between 2014-2015, I argue that when marginalized patients are unable to satisfy the neoliberal ideal of self-governance to maintain their health in cost-effective ways, providers ...


Lessons To Be Learned: The Abuse Of Eminent Domain Power For Economic Development In Comparative Perspective, Xinxou Zhou 2020 University of Pennsylvania

Lessons To Be Learned: The Abuse Of Eminent Domain Power For Economic Development In Comparative Perspective, Xinxou Zhou

SPICE: Student Perspectives on Institutions, Choices and Ethics

No abstract provided.


The History And Reality Of The Market Failures Approach To Business Ethics, Kara Zhang 2020 University of Pennsylvania

The History And Reality Of The Market Failures Approach To Business Ethics, Kara Zhang

SPICE: Student Perspectives on Institutions, Choices and Ethics

No abstract provided.


San Antonio Independent School District V. Rodriguez: Equal Protection Doctrinal Evolution And Implications On School Segregation Today, Anthony Chen 2020 University of Pennsylvania

San Antonio Independent School District V. Rodriguez: Equal Protection Doctrinal Evolution And Implications On School Segregation Today, Anthony Chen

SPICE: Student Perspectives on Institutions, Choices and Ethics

No abstract provided.


An Ethical Equation Of Corporate And Environmental Personhood: The Salmon River Commands Rights, Katherine Poole 2020 University of Pennsylvania

An Ethical Equation Of Corporate And Environmental Personhood: The Salmon River Commands Rights, Katherine Poole

SPICE: Student Perspectives on Institutions, Choices and Ethics

No abstract provided.


A Flawed Case For Inequity Aversion: Revisiting The Criticisms Of Binmore And Shaked (2010), Ammar Plumber 2020 University of Pennsylvania

A Flawed Case For Inequity Aversion: Revisiting The Criticisms Of Binmore And Shaked (2010), Ammar Plumber

SPICE: Student Perspectives on Institutions, Choices and Ethics

No abstract provided.


A Letter From The Editor, Jenna Liu 2020 University of Pennsylvania

A Letter From The Editor, Jenna Liu

SPICE: Student Perspectives on Institutions, Choices and Ethics

No abstract provided.


Network Modeling The Impact Of Community-Based Male-Screening On The Chlamydia Trachomatis Prevalence In Women, Zhuolin Qu 2020 Virginia Commonwealth University

Network Modeling The Impact Of Community-Based Male-Screening On The Chlamydia Trachomatis Prevalence In Women, Zhuolin Qu

Biology and Medicine Through Mathematics Conference

No abstract provided.


The Class Of 2020, Srinivasan Ragothaman 2020 Srini.Ragothaman@usd.edu

The Class Of 2020, Srinivasan Ragothaman

Creative Work

The is a poem written in honor of the class of 2020. The coronavirus pandemic has robbed them of many fun activities in their final semester in college. The graduating seniors missed out on so many rites of passage such as march madness, commencement, award banquets, sports, labs, practice, face-to-face classes etc. for the last two months. Seniors are encouraged to have fortitude, practice patience, be grateful and show grit. The class of 2020 will conquer the world in due course. It is hoped that graduates will have imagination, will innovate and transform the world.


Black Pregnancy Matters: Racial Reproductive Bias In African American Maternal Mortality, Juhi Khemani 2020 The University of San Francisco

Black Pregnancy Matters: Racial Reproductive Bias In African American Maternal Mortality, Juhi Khemani

Master's Projects and Capstones

This semester-long research project uncovers how racial biases demonstrated in the reproductive health field, and specifically before, during, and after childbirth, affect the rate of maternal mortality and morbidity for African American mothers in the United States. The rate of maternal mortality for this specific racial group is four times greater as compared to Caucasian women and this discrepancy will be investigated and analyzed throughout this capstone thesis. Interviews were conducted with key figures in the obstetric and gynecological field as well as with Black mothers themselves in an effort to uncover what factors, aside from medical anomalies, are leading ...


Rural-Urban Residence And Mortality Among Three Cohorts Of U.S. Adults, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, Katherine Ahrens MPH, PhD 2020 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Rural-Urban Residence And Mortality Among Three Cohorts Of U.S. Adults, Erika C. Ziller Phd, Jennifer D. Lenardson Mhs, Katherine Ahrens Mph, Phd

Population Health

Though U.S. life expectancy has increased over the past 50 years, this benefit has not been geographically uniform and certain rural persons and communities face a mortality gap. Rural residents experience a shorter life expectancy than urban residents, with higher mortality rates from specific causes such as chronic obstructive pulmonary diseases, coronary heart disease, and lung cancer. Overall, there are higher mortality rates among rural residents for all five leading causes of death – heart disease, stroke, cancer, unintentional injury, and chronic lower respiratory disease – as compared to urban residents.

We sought to close gaps in our understanding of the ...


Examining The Institution Of Public Health: The Case Of The James C. Kennedy Wellness Center, Hannah Hoang 2020 University of Mississippi

Examining The Institution Of Public Health: The Case Of The James C. Kennedy Wellness Center, Hannah Hoang

Honors Theses

This thesis aims to function as an analysis of the James C. Kennedy Center and the impact capacity the Center has on community health and wellness in Tallahatchie County, Mississippi. Poor health is a global problem that is especially prominent in Tallahatchie County which ranked 81st out of 82 Mississippi counties in 2012. This thesis used institutional theory to explain the relationship between the Center and public health. Through interviews and data analysis, a broad evaluation was performed on the Center’s programs and community impact. Results showed that the Kennedy Center has made a large impact in improving the ...


Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King 2020 Ursinus College

Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King

Politics Honors Papers

This work examines the gap that exists in access to health care in the Greater Philadelphia Region for children of Latinx immigrant families in comparison to other children in the nation. It provides a critical analysis of the gap in access to coverage, noting that this exists despite wide support for a human right to health. This study draws on existing scholarly research as well as interviews with staff at two health clinics and one community outreach center that are located in Greater Philadelphia. It demonstrates that Latinx immigrant families are less likely to have health insurance and get primary ...


The Hub And Spoke Solution: A Much-Needed Answer To Tennessee's Opioid Crisis, Ryne E. Tipton 2020 University of Tennessee, Knoxville

The Hub And Spoke Solution: A Much-Needed Answer To Tennessee's Opioid Crisis, Ryne E. Tipton

Chancellor’s Honors Program Projects

No abstract provided.


Improving Educational And Career Opportunities For Youth With Disabilities In The Future Trend Program, Yifat Klein, Osnat Elnathan, Mayzahav Itiel Barkai, Miriam Palachi, Anat Halevy, Yair Feingold, Ariel Tikotsky, Guy Hochman 2020 JDC-Israel

Improving Educational And Career Opportunities For Youth With Disabilities In The Future Trend Program, Yifat Klein, Osnat Elnathan, Mayzahav Itiel Barkai, Miriam Palachi, Anat Halevy, Yair Feingold, Ariel Tikotsky, Guy Hochman

Social Policy Institute Research

This research brief is part of a series by the Social Impact Nudgeathon initiative. This initiative incorporated insights from behavioral economics into the design and delivery of social welfare programs. Developed through a partnership between the Joint Distribution Committee in Israel (JDC-Israel) and the Social Policy Institute (SPI) at Washington University in St. Louis, this initiative is among the first of its kind to launch in Israel. Working in close collaboration, research teams from the United States and Israel investigated whether using behavioral insights to make small changes in the delivery of social service programs in Israel and Russia would ...


Improving The Take-Up Of Homecare Services Among Holocaust Survivors In A Jewish Charitable Organization, Olga Kondratjeva, Stephen Roll, Odelya Mantsura, Pini Miretski, Olga Statland-Vaintraub, Hannah Brumbaum, Ariel Tikotsky, Michal Grinstein-Weiss 2020 Washington University in St. Louis

Improving The Take-Up Of Homecare Services Among Holocaust Survivors In A Jewish Charitable Organization, Olga Kondratjeva, Stephen Roll, Odelya Mantsura, Pini Miretski, Olga Statland-Vaintraub, Hannah Brumbaum, Ariel Tikotsky, Michal Grinstein-Weiss

Social Policy Institute Research

This research brief is part of a series by the Social Impact Nudgeathon initiative. This initiative incorporated insights from behavioral economics into the design and delivery of social welfare programs. Developed through a partnership between the Joint Distribution Committee in Israel (JDC-Israel) and the Social Policy Institute (SPI) at Washington University in St. Louis, this initiative is among the first of its kind to launch in Israel. Working in close collaboration, research teams from the United States and Israel investigated whether using behavioral insights to make small changes in the delivery of social service programs in Israel and Russia would ...


“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair 2020 University of Nebraska at Omaha

“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair

Theses/Capstones/Creative Projects

This paper explores possible reasons why Black women in the United States experience a higher maternal mortality rate than their white counterparts. Using books, articles, journals, documentaries, personal experiences and stories of Black women and mothers, I argue that barriers from the societal to the individual level create health and medical disparities for Black mothers in pregnancy, during delivery, and the postpartum period. The paper concludes with a multifaceted solution and call to action.


Managing Burnout And Secondary Traumatic Stress In Human Service Organizations, Naomi Ingram 2020 Clark University

Managing Burnout And Secondary Traumatic Stress In Human Service Organizations, Naomi Ingram

School of Professional Studies

This Case Study explores how burnout and secondary traumatic stress impact staffing, service delivery, and organizational effectiveness in a human service agency. The Case Study is focused around Ascentria Care Alliance’s Children & Family Services in Massachusetts, which encompasses three foster care programs: the Unaccompanied Refugee Minor (URM), Division of Children’s Services (DCS), and Intensive Foster Care (IFC) programs. Both individual and organizational approaches are needed to most effectively address burnout and secondary traumatic stress. Individual workers need to build resilience factors such as self-compassion and mindfulness, set appropriate boundaries with clients, engage in ongoing training, support, consultation, and ...


A Case Study On The Best Practices Of The Facilitating Organization For Peer Recovery Support Services In The State Of New Hampshire, Maggie Ringey 2020 Clark University

A Case Study On The Best Practices Of The Facilitating Organization For Peer Recovery Support Services In The State Of New Hampshire, Maggie Ringey

School of Professional Studies

In working with the Facilitating Organization for Peer Recovery Support Services through Harbor Homes, I have found that the Recovery Community Organizations that receive support through the FO provide valuable services that help individuals that struggle with substance use disorder achieve and maintain long term sobriety and recovery. The RCOs throughout New Hampshire bridge gaps in services and treatments that are left untouched by traditional clinical methods and through regular check ins, participants at the RCOs have reported that the services provided resulted in positive outcomes in their lives. Throughout the course of this research, I found that the RCOs ...


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