Digital Commons Network^™

Building A Coordinated Care Network For New Mexico Veterans: A Roadmap For Statewide Implementation, Nosa Akol, Zachary M. Bridgewater, Vincent R. Delsignore, Emily Graham, Mary Rachel Keville

Institute for Veterans and Military Families

With the support of the New Mexico State Legislature, the D’Aniello Institute for Veterans and Military Families (IVMF) is leading a multi-phase project to design a coordinated care system for New Mexican service members, veterans, and their families. In the project’s first phase, the IVMF conducted a landscape assessment to understand the needs of the military-connected community and examined the viability of a coordinated care system for the state. We found that veteran-serving organizations that participated felt that a coordinated care network would be of value to New Mexico veterans, but questions on how best to implement such a network …

Does What Happens In Vegas Increase Pedestrian Safety? A Longitudinal Study On The Effectiveness Of Pedestrian Bridges, Jalen Paulos, Jalen Paulos, Joaquin Del Mundo, Brock Wentz

School of Medicine Research Poster Showcase

Urban populations continue to rise and the frequency that pedestrians are exposed to vehicular traffic continues to increase. The result is an increase in automobile versus pedestrian collisions. This study aims to determine the efficacy of pedestrian bridges in reducing the rates of automobile-pedestrian collisions. Data for all automobile versus pedestrian collisions and injuries from July of 1997 through December of 2023 at four distinct intersections along Las Vegas Boulevard were retrieved from the Nevada Department of Transportation. These sites were chosen because of their historically high rates of automobile versus pedestrian incidents and the construction of pedestrian bridges at …

Understanding The Underutilization Of The Campus Recreation Facility: A Mixed-Methods Examination Of Basic Psychological Need Satisfaction, Social Physique Anxiety, Sense Of Community, And Physical Environment Barriers, Caden M. Pfingsten

SACAD: Scholarly Activities

General Abstract

Understanding the Underutilization of the Campus Recreation Facility:

A Mixed-Methods Examination of Basic Psychological Need Satisfaction,

Social Physique Anxiety, Sense of Community, and Physical Environment Barriers

Caden Miles Pfingsten

Department of Health and Human Performance, Fort Hays State University

May 2026

General Abstract

This study investigated why students at a mid-sized Midwestern public university elect to pay for off-campus commercial gym memberships rather than use the on-campus Campus Recreation Facility (CRF), which is available at no additional direct cost. A cross-sectional quantitative survey (N = 169) was administered to students across six fitness facility groups. Validated and researcher-adapted …

Pages Of Despair: Economic Policy Uncertainty And Mental Health, Kori Massner

SACAD: Scholarly Activities

Policy uncertainty threatens access to affordable medical care, yet few studies have examined how it shapes what people search for online. This study examines whether economic policy uncertainty predicts mental health information-seeking behavior by analyzing daily Wikipedia pageviews from July 2015 to April 2026 using a time series model. Results show that as economic policy uncertainty increases, there is an increase in pageviews on Wikipedia for suicide related information. When there is an increase in those searching for information on pages about depression and pages about anxiety, there is also an increase in pageviews on Wikipedia for suicide related information. …

Competition As A Solution To High Prices And Low Capacity In U.S. Healthcare: A Synthetic Control Analysis Of Certificate Of Need Repeal As A Lever For Hospital Market Reform, Eve Velasquez, Wyatt Greco

School of Public Policy Capstones

The U.S. healthcare system faces dual challenges: rising hospital prices and declining capacity. Between 2000 and 2024, average hospital expenses per adjusted inpatient day increased from approximately $1,000 to over $3,000, while hospital beds per capita declined from 3.11 to 2.45. This capstone evaluates three policy alternatives to address affordability and accessibility: restrictions on most-favored nation clauses in insurance-provider contracts, elimination of federal tax exemptions on employer-sponsored health insurance, and repeal of certificate of need (CON) laws. Through a comprehensive literature review and a synthetic control analysis of Indiana's 2019 nursing home CON reinstatement, we assess the empirical effects on …

The Military Officer's Oath To Disobey Lawful But Unethical Orders, Joshua Braver

Northwestern University Law Review

How should a military officer respond to a lawful yet unethical order, unethical in the sense that it conflicts with their professional responsibilities? Army culture, scholarship, and doctrine regard officers as professionals, akin to doctors and lawyers, with expertise in the management of violence and a shared commitment to an ethical code. This code demands obedience to lawful orders to uphold civilian control of the military. But to protect against civilian misuse of the military, the code requires disobedience to unethical orders. Faced with a lawful but unethical order, the military officer is mired in a contradiction in which their …

Zero Tolerance Policies In Schools & Subsequent Outcomes, Annalise Loucks

SACAD: Scholarly Activities

Zero tolerance policies refer to policies and practices that disproportionately push marginalized students out of classrooms and into the criminal justice system. These patterns contribute to long-term negative outcomes, including higher dropout rates, increased incarceration, and reduced economic and social opportunities.

Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan

Walden Dissertations and Doctoral Studies

Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …

Resource Navigator Passport: From "Resource Lists" To Trackable Next Steps For Veterans, Amanda Keeler, Seth M. Owens, Elizabeth Kubala, Ken Marfilius

Voices of Service Symposium

Veterans participating in the Veteran's Legal Clinic (VLC) in partnership with Altamont often face a familiar challenge at program exit: knowing exactly which supports to contact next, how to reach them, and how to follow through-especially when needs are specialized (e.g., financial planning/credit building, transportation, behavioral health supports) and enrollment pathways are complex. Altamont staff and the VA social worker identified a need for a practical, targeted resource list prior to discharge, while VLC law students requested a resource guide that is usable without overwhelming clients.

To address this gap, we developed the Resource Navigator Passport, a personalized, living document …

Pain Catastrophizing As A Distinct Predictor Of Pain Interference Among Veterans, Annie Zusin, Emily Rabinowitz, Victoria E. Carlin, Qiuxi Huang, Joseph W. Ditre

Voices of Service Symposium

Introduction: Pain catastrophizing, defined as a cognitive distortion that magnifies threat of pain, is a strong predictor of pain interference. However, the construct of pain catastrophizing has been criticized for potentially reflecting underlying psychopathology rather than a distinct pain-specific process. The present study examined whether pain catastrophizing uniquely predicts pain interference after accounting for symptoms of PTSD, depression, and anxiety. Clarifying this distinction is critical for understanding whether the Pain Catastrophizing Scale (PCS) captures a construct that is meaningfully distinct from general psychological distress or if the measure is conceptually and statistically redundant with psychopathology Method: A sample of 266 …

Co-Occurring Hallucinogen Use And Mental Health Symptoms, Emerson Hoagland, Grant H. Ripley, Joseph W. Ditre, Dessa Bergen-Cico

Voices of Service Symposium

Introduction: Mental health concerns, including depression and psychological distress, remain highly prevalent among U.S. military veterans and are associated with elevated functional impairment, suicide risk, and barriers to care. Public discourse increasingly suggests the potential therapeutic effects of psychedelic substances in treating mental illness. However, population-level data examining associations between psychedelic use and mental health burden among U.S. military veterans remain limited. The present study examined associations between past-year hallucinogen use and past-year major depressive episode (MDE) and serious psychological distress (SPD) among veterans. Method: Data were drawn from the National Survey on Drug Use and Health (2021-2024). Analyses were …

Associations Between Psychological Distress And Benzodiazepine Use And Misuse Among U.S. Veterans, Joshua Soh, Victoria E. Carlin, Joon Kyung Nam, Joseph W. Ditre

Voices of Service Symposium

Introduction: Psychological distress, defined as a generalized state of emotional suffering characterized by depressive and anxiety symptoms, is common among U.S. military veterans. The use of benzodiazepines, which are central nervous system depressants often used to treat symptoms of anxiety, post-traumatic stress disorder, and insomnia, is also prevalent in this population despite ongoing concerns regarding dependence, misuse, and potential adverse mental health outcomes. Although benzodiazepines may provide short-term symptom relief, both their use and misuse may contribute to increases in symptoms of psychological distress. As such, this study examines the relationship between psychological distress and BZD use and misuse among …

"Out Of Step": How Executive Department Must March Together In Recognizing "Honorable" Service, Brent Filbert, Elizabeth Kubala, Seth M. Owens

Voices of Service Symposium

This article examines how veterans with less-than-honorable discharges must navigate two separate systems--the VA's Character of Discharge (COD) process and the Department of War's discharge upgrade system--despite both addressing similar underlying issues. These systems apply different legal standards and priorities, leading to inconsistent outcomes, delays, and duplicative proceedings. The lack of coordination between the agencies creates an administrative burden that can prevent eligible veterans from accessing benefits and health care. The article argues that recent expansions in VA COD regulations have made the systems functionally similar, but without shared legal effect between their decisions. To address this, it proposes a …

Bridging The Gap: How My Internship In The Veterans Legal Clinic Helps To Narrow The Civilian-Military Divide, Anna Lupardo, Elizabeth Kubala

Voices of Service Symposium

Anna Lupardo, an undergraduate student at Syracuse University, describes how her internship in the Betty and Michael D. Wohl Veterans Legal Clinic has helped bridge the civilian-military divide on campus. Her work has included coordinating the AFCCA outreach visit, observing the Onondaga County Veteran Treatment Court, and conducting weekly visits to support homeless veterans at Altamont. She has taken on a leadership role as the VLC's Volunteer Coordinator, working to expand undergraduate involvement in veteran and military community events. Additionally, she was named a Veteran and Military Learning Scholar through the Center for Health Behavior Research and Innovation, allowing her …

Enhancing Student Development In Social Work Through Military Culture And Mental Health Practice, Ken Marfilius, Allyson Donovan

Voices of Service Symposium

The Introduction to Military Culture and Mental Health Practice course refines students' clinical skill sets through therapeutic frameworks tailored to the lived experiences of active-duty service members and veterans. By addressing a population often overlooked in social work education, the course strengthens both professional identity and ethically grounded practice. It stands as a practically relevant and essential component of MSW training.

Federal Funding Opportunities For Veterans Research, Chetna Chianese, Katherine Mcdonald, Tessa Livingston, Mcallister & Quinn

Voices of Service Symposium

Veterans and military-connected populations face distinct health challenges-including traumatic brain injury, post-traumatic stress, chronic pain, military environmental exposures, and substance use disorders-that require dedicated research attention. Multiple federal agencies fund research on these topics through a range of mechanisms. This poster provides a landscape overview of current and anticipated funding opportunities to help university-based researchers identify sponsored funding pathways for Veterans' health research.

Predicting Request Resolution In Coordinated Care Networks For Military-Affiliated Populations, Zachary Bridgewater, Joshua-Paul Miles, Catherine Annis, Julia Carboni, Gilly Cantor, Michelle Shumate

Voices of Service Symposium

Coordinated care is an interorganizational network approach to care that connects individuals to diverse services (e.g., housing, income assistance, job support, social and spiritual support, etc.) via human navigators and shared referral platforms. This approach has become prevalent in the military-connected sphere to help service members, veterans, and their families (SMVF) access care. Yet, prior research suggests variation in the resolution of coordinated care referrals"”25% for one United Way 211 (Boyum et al., 2016), and 66% and 88% for two Unite Us networks (Drake et al., 2024; White et al., 2025). This research explores why some referrals resolve while others …

Strength In Partnership: Advancing Veteran Resilience Through The Orp-Va Vital Collaboration, Ken Marfilius, Ron Novack, Dwayne Murray, Margo Lance, Daijon Richards

Voices of Service Symposium

"Strength in Partnership: Advancing Veteran Resilience through the ORP-VA Vital Collaboration": demonstrates how meaningful collaboration transforms ideas into action and creates pathways for lasting community impact. This initiative connects the Office of Veteran and Military Affairs Resiliency Program (ORP) with the VA's Veterans Integration to Academic Leadership (VITAL) Program to advance the health, academic success, and overall well-being of student veterans. Through this collaboration, student veterans gain direct access to VA healthcare, mental health counseling, and transition support, integrated into their campus experience. This partnership bridges federal and university systems and ensures that veterans receive holistic care that addresses the …

Syracuse Veterans Field Guide: The Homefront Edition, Amanda Keeler, Seth M. Owens, Elizabeth Kubala, Ken Marfilius

Voices of Service Symposium

Social services are available to veterans in the Syracuse area, yet locating and accessing help can remain challenging-particularly when needs span multiple systems and eligibility requirements are unclear. The goal of this project was to create a brief, pocket-sized resource guide that can be distributed to area veterans and used quickly "in the moment": to identify actionable supports.

The guide organizes services into 12 categories: accessing veterans' benefits; mental and physical healthcare; education benefits; financial services; housing; nutritional support; legal services; documentation resources; technology access; and peer support. Within each category, the guide provides a curated, limited set of local …

Va Medical Center Collaboration With Coordinated Care Networks: Barriers And Benefits, Gilly Cantor, Zachary Bridgewater, Kimberly A. Hochstedler Webb, Kritee Gujral, Todd H. Wagner, Leslie R.M. Hausmann

Voices of Service Symposium

AmericaServes is a network approach for coordinating care among health and human service organizations to address the needs of the military-connected population. The IVMF and researchers with the Veterans Health Administration (VHA) partnered on two studies to explore the extent to which Veteran Affairs Medical Centers (VAMCs) participate in AmericaServes and the benefits of collaboration for veterans.

First, we conducted a convergent parallel mixed-methods pilot study. We interviewed staff from 7 AmericaServes coordination centers and VAMCs in those locations. We then categorized VAMC participation into levels of intensity and complexity, and identified barriers and facilitators to participation. We found that …

Va Wholehealth Approaches To Treatment Of Ptsd, Mackenna Murphy, Justin Hirschberg, Emily Rabinowitz, Joseph W. Ditre

Voices of Service Symposium

The U.S. Department of Veterans Affairs has implemented the Veterans Health Administration Whole Health model as a system-wide transformation toward personalized, proactive, and patient-driven care. Whole Health emphasizes the integration of conventional medical treatment with complementary and integrative health (CIH) approaches, including mindfulness, yoga, meditation, tai chi, acupuncture, health coaching, and peer support. Given the high prevalence of posttraumatic stress disorder (PTSD), depression, anxiety, chronic pain, and substance use disorders among veterans, Whole Health programming may offer a non-stigmatizing and holistic pathway to mental health support.

Military And Veterans Law Society, Rebecca J. Lee, Elizabeth Kubala

Voices of Service Symposium

The Military and Veterans Law Society (MVLS) is a student organization at Syracuse University College of Law dedicated to providing legal support, community outreach, and policy research for the local veteran population. A flagship event, 'Cuse Vet Fest, drew over fifty Central New York veterans and offered free services including VA Healthcare enrollment, benefits claims, VA ID cards, and estate planning documents prepared by attorneys from Bond, Schoeneck & King. MVLS also partners annually with Tully Rinckey and Price Chopper/Market 32 to distribute over 100 free turkeys to local veterans each Thanksgiving. Additional highlights include co-hosting the Second National Military …

Psychological Distress, Hazardous Duty, And Alcohol Risk Among Student Veterans, Anna Lupardo, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Stephen A. Maisto, Joseph W. Ditre

Voices of Service Symposium

Introduction: Military service and college environments are each associated with higher alcohol risk. Psychological distress is consistently linked to alcohol risk, and hazardous duty exposure is associated with both greater distress and problematic alcohol use. However, it remains unclear whether hazardous duty influences the relationship between psychological distress and alcohol risk among student service members. Clarifying this relationship is critical to informing targeted prevention and support efforts for veterans in higher education. Method: Participants included 3,258 current and former service members who responded to the American College Health Association 2023-2025 National College Health Assessment IIIb. Participants completed measures on alcohol …

Development Of The Veteran & Military Learning Scholars Program (Su-Vmlsp): An Immersive, Experiential Learning Community For Veteran & Military-Connected Students, Emily Rabinowitz, Dezarie Moskal, Ken Marfilius, Dessa Bergen-Cico, Stephen A. Maisto, Joseph W. Ditre

Voices of Service Symposium

Introduction: The Syracuse University Veteran & Military Learning Scholars Program (SU-VMLSP) is an immersive, cohort-based initiative designed to expand access to veteran and military studies through experiential learning, structured mentorship, and community engagement. A collaborative effort of the Center for Health Behavior Research & Innovation and the IVMF Veteran & Military Behavioral Health Collaborative, SU-VMLSP supports and engages student veterans, military-connected students, and students with academic or professional interests in veteran and military populations. Methods: The program is structured around three core pillars: interactive seminars, immersive research engagement, and community-centered cohort development. Scholars participate in discussion-based seminars focused on veteran …

Narrative Strategies In Presidential Environmental Policymaking: An Examination Of The Executive Impacts Of Presidential Narratives, Gorgin Mansourian

Electronic Theses and Dissertations 2020 - Present

In this dissertation, I examine how U.S. presidents employ narrative strategies to shape environmental policymaking through both rhetorical and institutional mechanisms. Specifically, I investigate how Presidents Donald J. Trump and Joseph R. Biden constructed, communicated, and institutionalized environmental narratives during their first terms, highlighting the relationship between presidential narratives and executive orders. Using the Narrative Policy Framework (NPF) and Richard Neustadt’s Presidential Power Theory (PPT), this study conceptualizes presidential narratives as both rhetorical tools and instruments of persuasion within institutional contexts. This synthesis advances the NPF by highlighting the role of institutional positions on narrative credibility, by emphasizing the roles …

A Data Model For Coordinated Care, Zachary Bridgewater, Maggie Southwick, Billie Jo Lenning, Mary Rachel Keville, Gilly Cantor

Voices of Service Symposium

Coordinated care is a service delivery paradigm that connects health and human service organizations via a shared referral platform managed by care navigators (i.e., coordinators). Referral technologies have proliferated to support this work, but the absence of data collection standards has produced a technology environment where platforms compete on not only their designs and features but on their underlying data models too. Understandably, these distinct data models arise from varying funder and customer pressures. The result, however, is a fragmented data landscape where users and creators of different platforms have different views of the issues faced by communities.

To address …

Ethics And Interventions In Substance Abuse Treatment For Military Service Members, Ken Marfilius, Allyson Donovan

Voices of Service Symposium

Substance use disorders (SUDs) among military service members and veterans remain critically underdiagnosed. Ethical barriers such as stigma and fear of career repercussions contribute heavily to this gap in treatment-seeking behavior. Culturally informed, evidence-based interventions, such as Cognitive Behavioral Therapy and Motivational Interviewing, are essential to addressing SUDs within this population in an ethically grounded manner.

Hazardous Alcohol Use And Chronic Pain Co-Occurrence And Comorbidity Rates: A National Study Of Veterans Affairs Primary Care Patients, Dezarie Moskal, Jacob L. Scharer, Jennifer S. Funderburk, Joseph W. Ditre, Gregory P. Beehler

Voices of Service Symposium

Hazardous alcohol use (HAU) and chronic pain are each common among U.S. veterans and are associated with poorer health outcomes when they co-occur. Primary care plays a central role in the identification and management of both conditions. However, national estimates of their co-occurrence and related comorbidity burden are limited. Accordingly, this study aimed to estimate the prevalence of HAU and chronic pain and compared comorbidity patterns in a national Veterans Affairs (VA) primary care sample.

This national retrospective VA electronic health record study included 3,900,633 veterans aged 18+ seen in primary care between July 2022 and December 2023. HAU was …

Considerations For Statewide Coordination Of Veteran Services In New York, Zachary Bridgewater, Mary Rachel Keville, Vincent Delsignore, Gilly Cantor

Voices of Service Symposium

New York State (NYS)'s large military-connected population has faced challenges in accessing the plethora of post-service resources available from federal, state, and community agencies. A 2021 IVMF and Maxwell School landscape analysis of county veteran service officers found veterans navigating a fragmented system of care, unequal access to resources based on rurality, high demand for certain services, geographic funding inequities, and inconsistent service coordination. The report recommended a statewide, integrated system with a single entry point that harnesses existing resources, close gaps, and ensure access for all veterans across the state.

To advance this goal and other efforts enhancing coordinated …

Developing A Veteran Reintegration Ecosystem For Ukrainian Universities: Syracuse University As An Exemplar Model, Tetiana Pohorielova, Emily Rabinowitz, Ken Marfilius, Dessa Bergen-Cico, Stacy Hawkins, Joseph W. Ditre

Voices of Service Symposium

This poster outlines the development of a comprehensive Veteran Reintegration Ecosystem for Ukrainian universities, using Syracuse University as an exemplar. In collaboration with experts across public health, social work, and behavioral science, the project addresses the urgent need to support the influx of Ukrainian veterans through structured institutional frameworks. The proposed ecosystem focuses on three critical pillars: behavioral health and wellbeing, workforce and economic integration, and institutional capacity and coordination. This initiative aims to bridge the gap between military service and civilian life, fostering national resilience and postwar reconstruction in Ukraine.