Digital Commons Network^™

Is Education Regulation The Solution To Help Lower Substance Use Rates And Substance Use Disorder In Oregon Youth?, Sophia R. Swain

Hatfield Graduate Journal of Public Affairs

How can we lower Oregon’s youth substance use disorder (SUD) and overdose rates? Oregon is third in the country for SUD, with 5.77% of adolescents (12-17) having documented SUD. Some claim that it is because of the decriminalization of drugs, like Senator Art Robinson, but another reason relies on how we are educating Oregon youth. Oregon education standards outline requirements for drug and alcohol education as well as Senate Bill 238. By analyzing school districts current prevention programs in high overdose-rate counties (Multnomah, Lane, and Josephine) and low overdose-rate counties (Washington, Yamhill, Linn, Deschutes, Marion, and Clackamas), a lack of …

A Veblenian Approach To Chaos Theory, Isaiah Henry

Hatfield Graduate Journal of Public Affairs

This paper provides a comparative analysis of Veblen's belief in disequilibrium, the field of chaos theory, and how these two frameworks connect. We explore the similarities and differences between Veblen's theories and the principles of chaos theory, including their shared emphasis on complexity and unpredictability. By analyzing the connections between Veblen's economic theories and chaos theory, we can gain a deeper understanding of the nature of disequilibrium and the complex forces that shape our world.

The Adoption And Implementation Of Lean And Six Sigma In State Governments And Its Impact On Efficiency, Effectiveness, And Equity, Jin Hong Kim

All Faculty Scholarship

This research explores the contextualized use of Lean and Six Sigma (LSS) practices in the state governments in the United States. It analyzes LSS’s capacity to innovate public service administration to improve efficiency, effectiveness, and equity in government.
This study employed the Grounded Theory Method to analyze 2,048 LSS project reports from 32 state governments between 2003 and 2024, aiming to identify systematic patterns in the adjustment and application of LSS within state service administration and its outcomes.
Thirty-two states applied LSS across 24 service areas, adapting it in five ways: strategic programming, production efficiency, customer focus, internal accountability, and …

Iep Process As An Avenue Or Barrier To Inclusion For Autism Spectrum Students: The Importance Of Collaboration, Stephanie C. Holmes

Tapestry: Journal of Research in Education

Decades of research concerning the implementation of Individual Education Plans (IEPs) have shown that building and implementing an IEP for a student with additional needs can be adversarial between the child’s parents and the school system. In 1975, when Public Law 94-142 was passed, the idea behind the law was not only to provide a free and appropriate public education (FAPE) for children with needs and disabilities but also to give parents of these children a voice in the process of creating the child’s IEP. Autism Spectrum Disorder (ASD) was not added to the list of needs to be served …

Prediction Of Methotrexate Neurotoxicity Using Clinical, Sociodemographic, And Area-Based Information In Children With Acute Lymphoblastic Leukemia, Rachel D Harris, Olga A Taylor, Maria Monica Gramatges, Amy E Hughes, Mark Zobeck, Sandi Pruitt, M Brooke Bernhardt, Ashley Chavana, Van Huynh, Kathleen Ludwig, Laura Klesse, Kenneth Heym, Timothy Griffin, Rodrigo Erana, Juan Carlos Bernini, Ashley Choi, Yuu Ohno, Melissa A Richard, Alanna C Morrison, Han Chen, Bing Yu, Philip J Lupo, Karen R Rabin, Michael E Scheurer, Austin L Brown

Center for Medical Ethics and Health Policy Staff Publications

Background: Methotrexate is a critical component of pediatric acute lymphoblastic leukemia (ALL) therapy that can result in neurotoxicity which has been associated with an increased risk of relapse. We leveraged machine learning to develop a neurotoxicity risk prediction model in a diverse cohort of children with ALL.

Methods: We included children (age 2-20 years) diagnosed with ALL (2005-2019) and treated in Texas without pre-existing neurologic disease. Clinical information was obtained by medical record review. Neurotoxicity occurring post-induction and prior to maintenance therapy was defined as neurologic episodes occurring within 21 days of methotrexate. Suspected cases were independently confirmed by 2 …

Women's Learning For Community Peacebuilding, Robin Neustater

Peace and Conflict Studies

Around the world, every day, women work on building peace in their communities. Through various roles, paid and unpaid, women’s community care work is significant to the lives of individuals, families, communities, and the women themselves. Understandings of peace are varied, and often nuanced to the context and experience of who is defining peace. How women define peace will inform how they think about peacebuilding. Women engage in learning about peace and for their peacebuilding work, through nonformal and formal programs, and through experience and role models. Their learning to do peace is vital to getting things done. This article …

A Study Of The Management Of The Herders-Farmers Conflict-Induced Internal Displacement In Nigeria, Rita Iorbo, Dick Taverishima Andzenge

Peace and Conflict Studies

The management of the herdsmen-farmers conflict-induced internal displacement in Nigeria was characterised by remote factors that affected the protection and assistance of internally displaced persons (IDPs). This qualitative study was conducted on 12 participants comprising humanitarian workers, IDPs, and lawmakers who were conversant with the persistent herdsmen-farmers conflict-induced internal displacement. The study explored the inter-connected relationship among stakeholders within the humanitarian ecosystem. It found that though the herdsmen-farmers conflict led to mass displacement, remote factors such as unwillingness of government, data challenges, the undiplomatic approach of government in the management of the displacement failed to win support of other stakeholders …

Functional Resilience Of Healthcare In The Critical Juncture Of The Covid-19 Pandemic, Avner Kronisch, Christian Bongiorno, Kerane Smith, John Baker

Working Papers Series

This paper offers a comparative analysis of eight national healthcare systems—spanning democracies, autocracies, and various institutional models—to evaluate resilience during the COVID-19 pandemic. Drawing on Shvetsova et al.’s framework of informational and authority redundancies, and Parker & Klein’s “choke point” theory of healthcare rationing, we examine how institutional structure shaped pandemic response, system adaptability, and continuity of non-COVID services. Using indicators like life expectancy, under-five mortality, hospital capacity, cancer survival, and excess mortality, we explore how systems absorbed shock and maintained essential care. We find that decentralized and polycentric governance structures, when paired with coordination and resource adequacy, enhanced resilience—exemplified …

A Novel Cardiomyopathy Phenotype Linked To A Chd7 Missense Variant, In Young Park, Chih-Wei Hsu, Karim Bouazoune, Christina E Espindola, Madeline Hannah Mclaughlin Armond, Cristian Coarfa, Sandra L Grimm, James F Martin, Donna M Martin, Cheryl Lyn Walker

Center for Medical Ethics and Health Policy Staff Publications

Loss of function in the chromatin remodeler CHD7 causes CHARGE syndrome, characterized by variable penetrance and diverse abnormalities. However, establishing genotype-phenotype correlations has been challenging, as most CHD7 inactivating mutations are null alleles. Through CHD7 missense variant analysis at potential phosphorylation sites, we identified T730 (T720 in mice) as a critical residue associated with pathogenesis. Using a CHD7 T730 missense variant (Chd7T720A) and a frameshift null allele (Chd7fs) in a mouse model, we found that Chd7fs/fs mice were non-viable, while Chd7fs/+ mice exhibited haploinsufficiency-related circling behavior. Notably, Chd7fs/T720A mice died before postnatal …

How Far-Right Populism Harms Ethnic Minorities’ Health: The Case Of The United States, Dina Rosenberg

Working Papers Series

Public health is a political issue, and the health of ethnic minorities is a key component of it. We argue that far-right populism, whether grassroots or elitist, harms the health of immigrants and minorities. Anti-minority attitudes and policies—such as health chauvinism promoted by far-right populists—along with hate rhetoric and ensuing personal and institutional discrimination create a climate of hostility that negatively affects health outcomes in underprivileged communities. We hypothesize that immigrants and ethnic minorities living in such a climate are more likely to experience health problems and underutilize healthcare. To test this, we leverage the significant variation between U.S. states …

Culturally Responsive Intimate Partner Violence (Ipv) Service Needs Among African Immigrant Women: Examining The Impact Of Cultural Norms And Psychosocial Barriers On Safety Perceptions And Help-Seeking Behaviors, Titilayo Ogunbambi

Dissertations

Intimate Partner Violence (IPV) remains a pervasive public health and social justice issue globally, with African immigrant women in the United States facing compounded challenges as they navigate cultural, structural, and systemic barriers, including migration-related vulnerabilities and attachment to cultural values that shape their decisions and experiences. Although formal IPV services exist, they often fail to address the lived realities and culturally specific needs of this population, leading to underutilization and barriers in seeking help. This qualitative study examines how cultural norms, psychosocial barriers, and systemic inequities influence safety perceptions and help-seeking behaviors among African immigrant women survivors of IPV. …

Aging In Harwich: A Community Needs Assessment, Claire E. Wickersham, Caitlin E. Coyle

Center for Social and Demographic Research on Aging Publications

At a time of such significant population aging, the Harwich Council on Aging commissioned a community-wide needs assessment with support from the Friends of the Harwich Council on Aging. The specific goal of this report is to support the strategic planning of the Harwich Council on Aging. An additional goal is to present information useful to other Harwich departments and organizations interacting with older residents planning for the future of Harwich. This report presents the results of a comprehensive examination of issues relating to aging in Harwich. Results presented here focus on the characteristics and needs of Harwich residents aged …

Global Constructions Of Gender, Sexuality, And Migration: An Analysis Of Five Immigrant Memoirs, Grace Halvorson

Dissertations, Theses, and Capstone Projects

This capstone analyzes five memoirs by LGBTQ+ migrants—Jose Antonio Vargas, Edafe Okporo, Staceyann Chin, Danny Ramadan, and Samra Habib—to explore how governments weaponize gender and sexual orientation to construct national identity and exert control over both citizens and migrants. Their diverse migration experiences highlight how “gender border control” operates across families, communities, and national government systems, reinforcing heteronormative structures that regulate queer identities. My analysis of their memoirs reveals how both formal tools, such as immigration policies, and informal tools, such as social exclusion, make individuals outside heteronormative identity categories susceptible to state and societal violence. These personal narratives shed …

Your Past Is My Present: Does Evoking Historical Analogies Change Public Opinion Regarding Foreign Policy?, Anil Menon, Yehonathan Abramson, Dean C. Dulay, Pauline Jones

Research Collection School of Social Sciences

Historical analogies are often employed as tools of public persuasion on security and foreign policies. While existing research points to the potential power of historical analogies on domestic audiences, it has not examined the effect of historical analogies on foreign publics. Using speeches by Ukrainian President Volodymyr Zelensky after Russia’s February 2022 invasion, we investigate whether evoking salient events from the audience country’s past effectively increases popular support for aiding Ukraine. We conducted survey experiments simultaneously in four countries where Zelensky delivered speeches rich in historical analogies – United Kingdom (WWII), United States (Pearl Harbor and 9/11), Germany and Israel …

Gerald Templer's Leadership In The Malayan Emergency (1948-1960): Its Enduring Relevance, Kumar Ramakrishna

New England Journal of Public Policy

This article explores the leadership contributions of General Sir Gerald Templer, who was both High Commissioner and Director of Operations, during the counterinsurgency campaign waged by the British colonial authorities in Malaya against the Malayan Communist Party, between 1948 and 1960. This campaign has become known as the Malayan Emergency. The article explores how Templer’s leadership—marked by a combination of high intellect, sound practical nous, and the ability to galvanize governmental action and ultimately inspire the population to eventual victory—was instrumental in transforming the nature of the problematic initial British response to the Communist insurgency. The article suggests that Templer’s …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

Moving The Needle: The Policy Of Change On Syringe Access, New York City And State, 1988–2023, Joyce Rivera

Dissertations, Theses, and Capstone Projects

By the mid-1980s, the HIV/AIDS epidemic breached a longstanding consensus between the political class and its bureaucratic alliances that had relied for decades on attitudes and orientations that championed punitive prohibition toward drugs as a bedrock principle of policy making. This ‘focusing event’ created an opening for HIV/AIDS activists to build a movement that offered an alternative, a more effective and just approach to how government policies and practices can manage illegal drugs and the persons who use drugs.

The dissertation uses several theoretical and methodological tools to address the central research objective that highlights the critical role played by …

Single Mother Poverty In A Global City, Gregory Cala

Dissertations, Theses, and Capstone Projects

The thesis explores how New York City's emergence as a "Global City" and welfare reform uniquely impacted single mothers’ lives on the matter of labor, housing, cost of living and more. New York City’s recovery from near bankruptcy in the 1970s began after cutting social programs and luring corporate firms with financial incentives. As firms moved to the city, so did their workforce of employees with skills in specialized service roles. Concurrently, the need for cheap, part-time, and temporary services emerged. By the 1990s, the growth of these less specialized service jobs outpaced all others, all while calls for work …

Ending War, But Beginning Peace?, Alain Tschudin

New England Journal of Public Policy

The end of war, conventionally marked by the implementation of a ceasefire agreement, is popularly celebrated and politically lauded in the aftermath of extreme violence. However, the so- called “silencing of the guns” is regarded only as “negative peace” or first steps away from direct violence. What about beginning Peace? Johan Galtung, esteemed for his life work in peace studies, suggests that the situation after the cessation of hostilities might be worse than the status quo ante. With reference to contemporary violent conflict in the Middle East, focusing on hostilities between Israel and Palestine, I suggest that pursuing lasting “positive …

Land Access As Liberation: A Qualitative Study On Faith, Food, And Farming Of Urban And Rural Black Land Stewards In The United States, Dominique Edwards

Dissertations

Since 1920, Black farmers in the United States have held less than 2% of the nation's farmland, a direct result of race-based discriminatory policies embedded within federal, state, local, and county-level institutions (Daniel, 2013). Structural barriers—ranging from exclusionary lending practices by the U.S. Department of Agriculture (USDA) to the systematic dispossession of land through legal loopholes, heirs’ property laws, and violent racial terror—have contributed to this staggering decline in Black land ownership (Gilbert et al., 2002). The erosion of Black agrarian landholdings intensified in the latter half of the 20th century, as government programs, civil rights legislation, and technological advancements, …

How “Green” Are Green Acquisitions Really?, Sri V Srinivasan

Dissertations and Theses Collection (Open Access)

Our study finds that 43.14% of global green mergers & acquisitions (GMAs) from 2001 to 2020 may be susceptible to Green Embellishment—the gap between corporate environmental representations and actual performance, regardless of intent. Using a multi-criteria theoretical framework, we show that financial constraints strongly drive Green Embellishment in GMAs, with regulatory stringency and national culture moderating this effect. GMAs in weak regulatory environments are especially vulnerable, particularly under high stakeholder pressure. We further provide empirical evidence that financially constrained GMAs with lower green profiles and those in “browner” industries exhibit a higher propensity for Green Embellishment. Even in stringent …

Emulating Empire: Washington’S Preoccupation With British Counterinsurgency In Malaya And U.S. Commitment To Vietnam, Wen-Qing Ngoei

Research Collection College of Integrative Studies

This essay examines how Washington’s deep preoccupation with the British-Malayan counterinsurgency tactics–tactics that routed the guerilla fighters of the Malayan Communist Party–shaped US commitment to Vietnam. This US preoccupation, stoked by Britain’s (and Malaya’s) promotion of their counterinsurgency knowledge to US leaders, also influenced the lessons that US analysts and thinkers absorbed from the United States’ defeat in Indochina. Most studies of British-Malayan counterinsurgency and its connection to the Vietnam War fixate upon debating the relevance of the former to the latter and how this bears on US failures in Indochina. However, this essay focuses on the understudied fervor with …

A Multi-Site Study Of Clinician Perspectives In The Lifecycle Of An Algorithmic Risk Prediction Tool, Rita Dexter, Kristin Kostick-Quenet, Jennifer Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

Recent advancements in the performative capacities of artificial intelligence (AI), machine learning (ML), and algorithmic-based tools open up numerous applications in modern medicine. There are, however, few studies that track the whole lifecycle of a digital healthcare tool as it evolves from conception, to design, and deployment in real world settings-especially with a focus on the social dynamics amongst the end-users of the tool: clinicians. In this paper, we present data from a multi-site, 5-year study focused on the development and deployment of an algorithmic risk calculator (HeartMate 3 Risk Score) into a validated and efficacy tested clinical decision support …

Power Asymmetry Dynamics: Assessing Interdependence In France-Cameroon Relations Through Economic And Security Cooperation (2000–2024), Chick Edmond

Political Science & Geography Faculty Publications

This paper examines the dynamics of power asymmetry in the interdependent relationship between Cameroon and France from 2000 – 2024 with a focus on security and economic cooperation. The main research question asks: To what extent has power asymmetry reinforced or mitigated the interdependent relationship between Cameroon and France within the realm of economic and security cooperation? Based on the hypothesis that increased interdependence between these two states during this period has strengthened existing power disparity. The paper examines how such dynamics have restrained Cameroon’s autonomy and its capacity to pursue policy goals.

The theoretical framework combines dependency theory, postcolonial …

An X-Ray Of Mẽbêngôkre Houses In Terms Of Matrimonial Alliance, Vanessa R. Lea, Leandro Mahalem De Lima

Tipití: Journal of the Society for the Anthropology of Lowland South America

This article examines the matrimonial implications of the Houses, or matrihouses, of the Mẽtyktire subgroup of the Mẽbêngôkre (Kayapó-Jê) with the assistance of Puck (Program for the Use and Computation of Kinship Data) and Pajek software. In accordance with the greater legibility of graphics, statistical results have been converted into graphics whenever possible. The analysis is based on a revised version of a dataset spanning the years 1978 to 1982 and published on the site Kinsources. What began as a village census later morphed into genealogies, which served as the basis for the digital dataset. The matrihouses …

Becoming A Bridge Of Collaboration: How Being Supports Doing Within The Help Model Of Leadership, Andrea Burgess

Critical and Creative Thinking Capstones Collection

This synthesis project introduces the HELP Model—Humility, Emotional Intelligence, Leadership Service, and Psychological Safety—as a developmental framework for sustainable leadership rooted in character formation and relational trust. It asserts that credible and effective leadership begins with inner orientation before it can be embodied as consistent, ethical action in the world. Through integration of leadership theory, developmental psychology, and theology, the project critiques conventional, strategy-driven paradigms of organizational well-being. HELP extends Robert Kegan’s framework to include relational and spiritual dimensions of the leader’s individual growth as necessary conditions for fostering organizational collaboration. Drawing on reflective inquiry and practice-based insight, the project …

What [Could] Happen[Ed] In Oak Cliff: Reimagining Gentrification Without Displacement, Samantha E. Hernandez

Masters Theses

Neighborhoods help create our world view, define our relationships and goals, and inspire local change. They can evolve naturally throughout decades, though sometimes in waves of growth and displacement. Often these disproportionately affect those of lower economic classes or underrepresented communities. This thesis provides alternative possibilities of equitable community growth. What if neighborhoods could be strengthened in the face of change? This thesis will delve into the suburb of Dallas, Texas called Oak Cliff. By studying key moments in its history from the 1980s to 2020s, such as zoning changes or implementation of urban plans, it is possible to reimagine …

Availability And Distribution Of Stoma Bags For Colorectal Cancer Patients: A Case Study At National Referral And Private Hospitals, Ratna Aryani, Toar Jm Lalisang, Debie Dahlia, Evi Martha, Achir Yani S Hamid, Sukma Wicaturatmashudi, Helen Helen

Kesmas

Stoma bags are essential for colorectal cancer (CRC) patients with stomas. However, access and affordability in Indonesia remain challenging as the National Health Insurance (NHI) does not fully cover these devices. This study aimed to describe the availability and distribution of stoma bags for patients with CRC in national referral and private hospitals, focusing on outpatient access. A qualitative case study was conducted through observations and in-depth interviews with four enterostomal therapy nurses and six patients across three national referral hospitals and one private hospital in the Jakarta Metropolitan Area, Indonesia. Notably, the availability of stoma bags was limited in …

Sed Waiver Seclusion And Restraint Data, Genevieve Graaf, Alex Fejer, Monica Canizares

Social Work Datasets-Archive

This dataset includes a set of policy indicators about what states do and do not allow, and what types of oversight and safeguards they provide, around the use of seclusion, restraint and other restrictive interventions in 1915(c) Medicaid home and community based services waiver programs for children with significant mental health needs. Includes data for all states operating these programs from 2008 to 2024.

Principal-Agent Theory: An Examination Of Success Variations In Government-Funded Highway Infrastructure Projects In The United States, Felicia Mcintyre

Doctoral Dissertations and Projects

This quantitative, nonexperimental, analytical, and cross-sectional study examined the extent to which procurement models, financial risk allocation, and principal-agent communication complexities influenced the success of government-funded highway infrastructure projects in the United States (US). Data were collected from 84 completed highway infrastructure projects (N = 84) between 2001 and 2024 from the US Major Projects Database. Regression analysis and bootstrapped standard errors showed that the procurement model selected significantly affected project success. Public-private partnerships (PPPs) were shown to effectively reduce time overruns with a strong relationship potential for controlling project time growth. There were no statistically significant indirect effects of …