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Articles 661 - 690 of 17595
Full-Text Articles in Entire DC Network
Enhancing Military Health System Organizational Efficiency And Quality Of Care Through A Social-Ecological Framework, Eric L. Peipelman
Enhancing Military Health System Organizational Efficiency And Quality Of Care Through A Social-Ecological Framework, Eric L. Peipelman
College of Graduate Studies: Theses & Dissertations
Timely and fair adjudication of incivility-related actions within the Department of Defense (DoD) and Military Health System (MHS) is increasingly crucial for maintaining accountability, mission readiness, and quality of care. Ongoing delays in resolving workplace complaints and inefficiencies in resource-heavy adjudications highlight the need to shift from reactive complaint handling toward proactive civility promotion and transparent decision-making. This Integrated Learning Experience (ILE) introduces the Peipelman Civility Discussion and Assessment Toolkit (PCDAT)—a comprehensive, evidence-based framework designed to improve civility, optimize resources, and enhance communication, even in the MHS. Based on the Social-Ecological Model (SEM) and adapted from the Workplace Power and …
Beyond Interests And Ideas: Institutions And The Persistence Of Trade Protectionism In Brazil, Samo Sérgio Gonçalves Tosatti
Beyond Interests And Ideas: Institutions And The Persistence Of Trade Protectionism In Brazil, Samo Sérgio Gonçalves Tosatti
West Chester University Graduate Theses, Dissertations, and Final Projects
Despite decades of economic reforms and growing international integration since the 1990s, Brazil has remained one of the most protectionist large economies in the global trading system. Tariff levels remain relatively high, the country maintains a limited network of trade agreements, and non-tariff barriers play a significant role in shaping market access. Existing explanations for this persistence have focused primarily on the influence of organized interests, particularly import-competing industries, and the enduring influence of developmentalist ideas rooted in Brazil’s import-substitution industrialization (ISI) legacy.
This dissertation argues that these explanations are incomplete without accounting for a third explanatory dimension: institutions. It …
The Evolution Of Ethical Conviction, Tracy Henry
The Evolution Of Ethical Conviction, Tracy Henry
West Chester University Graduate Theses, Dissertations, and Final Projects
There is a steady decline in public opinion polling when it comes to the public’s perspective of public officials. In 2023, the combined unfavourability rating of Congress was at 72%. There are ongoing unfavorable ratings, by issue, for the judiciary, and by individual for the executive. The researcher went in search of the reasons behind the declining opinions. Semi-structured interviews were conducted to identify those reasons and to answer the research question: To what extent do the ethical philosophies of consequentialism, deontology, and virtue inform the perceptions of the American public when they scrutinize the decision-making and conduct of public …
Improving Evacuation Effectiveness On Cruise And Large Passenger Ships : An Analysis Of Human Factors, Safety Culture, And Behavioral Dynamics, Antonios Andreadakis
Improving Evacuation Effectiveness On Cruise And Large Passenger Ships : An Analysis Of Human Factors, Safety Culture, And Behavioral Dynamics, Antonios Andreadakis
World Maritime University Ph.D. Dissertations
Maritime trade has long constituted a central pillar of economic development, supporting global commerce and cultural exchange. Nevertheless, the maritime environment is inherently hazardous and therefore the protection of human life has consistently constituted and will continue to remain a central priority (Casson, 1995). An instrumental turning point in maritime safety occurred after the sinking of Titanic in 1912, which prompted in 1914 an International Conference dedicated to the protection of human life at sea; which ultimately led to the adoption of the International Convention on Safety of Life at Sea (SOLAS) (Dalaklis, 2017). This Convention introduced internationally imposed safety …
Biosecure-Llm Framework: Protecting Llms From Cyberbiosecurity Threats And The Case For Independent Ai Safety Governance, Xavier-Lewis Palmer, Lucas Potter, Srdjan Lesaja, Sotirios Karathanasis, Mohammad Ghasemigol
Biosecure-Llm Framework: Protecting Llms From Cyberbiosecurity Threats And The Case For Independent Ai Safety Governance, Xavier-Lewis Palmer, Lucas Potter, Srdjan Lesaja, Sotirios Karathanasis, Mohammad Ghasemigol
Computer Science Faculty Publications
Large Language Models (LLMs) are becoming critical infrastructure in scientific, healthcare, and governmental contexts. As frontier AI laboratories increasingly partner with government agencies, a fundamental question arises: Who should control the safety and policy-enforcement layers that constrain model behavior? Current safety mechanisms (LLM guardrails) are typically designed for generic "harmlessness" and operate by detecting semantic patterns and refusing requests. However, they are inadequate governance instruments because they cannot implement auditable, domain-specific controls tied to external regulatory policy objects (e.g., control lists or rules governing personally identifying information). Even a perfectly aligned model is not able to express institution-specific policy without …
The Colorado River: Searching For Solutions In The Face Of Uncertainty: Conference Summary, Emilia Endara, Douglas Kenney
The Colorado River: Searching For Solutions In The Face Of Uncertainty: Conference Summary, Emilia Endara, Douglas Kenney
Books, Reports, and Studies
The Colorado River is facing unprecedented change and uncertainty. Average annual flows continue to decline, and negotiations to craft post-2026 guidelines to manage the river have repeatedly bogged down in disagreements about delivery obligations, sharing shortages, and mandatory conservation. While some clarity may emerge in the coming months, the ability to sustain many existing municipal and agricultural water users is already being compromised. Meanwhile, there is growing recognition that a durable resolution must also address the water rights of sovereign Tribal Nations and better integrate environmental values into river management. All sovereigns, stakeholders, and sectors must work together now more …
Workforce Development Academy For Youth, Hassan Hashemian
Workforce Development Academy For Youth, Hassan Hashemian
Mineta Transportation Institute
To address the need for a diverse workforce in the 21st century and create an awareness of the career paths and opportunities that exist in the transportation industry, the College of Engineering, Computer Science, and Technology at the California State University, Los Angeles (CSULA) has created the Workforce Development Academy for Youth (WDAY). The goal of this program is to build a pipeline of diverse, well-qualified young professionals for the transportation industry. The program works with high school students and teachers to offer academic courses, basic skills, workforce readiness training, internships, extracurricular activities, and career placements to prepare students and …
Great Power Competition In Africa: Sustaining Openness Amidst Transnational Threats And Authoritarian Fragmentation, Chick Edmond
Great Power Competition In Africa: Sustaining Openness Amidst Transnational Threats And Authoritarian Fragmentation, Chick Edmond
Political Science & Geography Faculty Publications
As the United States seeks to position itself in an increasingly competitive world, Africa has emerged as an increasingly key arena of great power competition where the United States, China, and Russia are competing to determine the nature of political norms, economic governance and security architecture on the continent.
The combination of growing transnational threats (such as terrorism, pandemics, climate-related instability, and digital vulnerability), and growing authoritarianism, has transformed the continent into a testbed for competing visions of international order. In light of this backdrop, this paper posits that the United States must pursue a strategy of sustained strategic openness …
Security Governance In Post-Colonial Africa And Implications On Democratic Institutions, Chick Edmond
Security Governance In Post-Colonial Africa And Implications On Democratic Institutions, Chick Edmond
Political Science & Geography Faculty Publications
This paper will evaluate how security governance contributes to both the development of democracy and the establishment of stable institutions within newly independent post-colonial states in Africa. Security governance is examined here as it relates to the long-term influence of colonial legacy, military presence, and the politicization of the security services. The authors have based their analysis of this issue on qualitative data gathered from Nigeria, Ghana, South Africa, Democratic Republic of Congo, and Kenya. The findings of the research suggest that unless security sectors are subject to civilian oversight and adhere to democratic principles, they tend to serve the …
Nuclear Deterrence And The Security Dilemma In A Complex Multipolar World, Chick Edmond
Nuclear Deterrence And The Security Dilemma In A Complex Multipolar World, Chick Edmond
Political Science & Geography Faculty Publications
Objectives: The purpose of this research project is to examine how nuclear deterrence intersects with the concept of security dilemma, i.e., when a state takes an action intended to increase its own security it may inadvertently create a risk or threat to another state and contribute to increased levels of tension. Fourth, how nuclear and conventional systems are becoming increasingly interconnected, which will serve to potentially amplify risks associated with these systems.
Methods: Utilizing a qualitative analytical approach of documents such as national strategy documents, defense policy statements and historical records of crises dating from 1945-2025, the study identifies four …
Analysis Of Policies And Incentives For The Successful Implementation Of Hydrogen-Fueled Medium-Duty And Heavy-Duty Vehicles In Humboldt County, California, Alka Verma
Cal Poly Humboldt theses and projects
The 21st century has seen a significant rise in global greenhouse gas (GHG) emissions, with the transportation sector contributing 23% of these emissions. Medium-duty and heavy-duty vehicles (MD/HD) are particularly impactful, accounting for over a quarter of transport-related emissions. In Humboldt County, California, transportation represents 53% of total emissions, with MD/HD vehicles being a major contributor. As light-duty vehicles shift to zero-emission alternatives, the MD/HD sector faces unique challenges. Hydrogen fuel cell vehicles offer a promising solution, providing longer range, higher energy density, and quicker refueling compared to battery electric vehicles (BEVs). These features make hydrogen an attractive option for …
Where Perspectives Meet: A Comparative Case Study Of How Participatory Practices Shape Deliberation During District-Level Educational Change, Gregory Vincent Massara
Where Perspectives Meet: A Comparative Case Study Of How Participatory Practices Shape Deliberation During District-Level Educational Change, Gregory Vincent Massara
Electronic Theses & Dissertations (2024 - present)
Public education in the United States is socially and politically constructed, and ongoing reforms increasingly require collaborative engagement among diverse stakeholders amid heightened divisiveness. This mixed methods comparative case study examined how educational stakeholders make sense of one another’s perspectives during district-level collaborative work and the conditions that may foster conscientization, the critical reflection on one’s positionality. Two school districts developing a Profile of a Graduate (POG) and one engaged in deliberation about the relationship between public and charter schools within its community serve as comparative cases. The study triangulated meeting observations, a post-deliberation survey of stakeholders (N = 43), …
Centralism: Ecuador's Major Constraint Towards Decentralization, Daniel A. Moreira Castañeda
Centralism: Ecuador's Major Constraint Towards Decentralization, Daniel A. Moreira Castañeda
Honors Undergraduate Theses
Centralized governance has predominantly characterized Latin America, with few countries adopting decentralized systems or federalism. This study explores why decentralization and federalism remain uncommon in the region, focusing on Ecuador’s persistent centralist traditions. Despite federalism being proposed as an alternative governance model, its adoption has been limited due to structural constraints and historical legacies. Ecuador’s centralized authority, rooted in its independence, has shaped institutional arrangements and political dynamics over time. Through a comparative analysis of the decentralization process and governance quality in Ecuador, Colombia, and Argentina, the research argues that Ecuador’s ongoing centralist practices stem from historical path dependency. This …
Hunter. Hunted. Human: Warfighters' Emotional Responses To Weapons In Tactical & Strategic Context, Simon Mace
Hunter. Hunted. Human: Warfighters' Emotional Responses To Weapons In Tactical & Strategic Context, Simon Mace
Graduate Studies Theses and Dissertations 2026
Human emotional responses to weapons have long been assumed to be relatively parsimonious, comprised predominately of aggression, anxiety, and fear responses. However, most research on this weapons effect has focused on civilians – who are notably more likely to be targeted by than to employ weapons. So, there is reason to speculate that emotional responses to weapons vary more than previously believed. This is significant for three reasons. First, positive emotional responses generate more desirable combat behaviors, specifically the willingness to engage adversaries. Second, negative emotional responses catalyze an unpredictable range of behaviors, many of which are tactically and operationally …
A Historical Analysis Of The Squatter Settlements (Sukumbasi) In Nepal And The Role Of Smart Settlements, Keshav Bhattarai, Ambika P. Adhikari
A Historical Analysis Of The Squatter Settlements (Sukumbasi) In Nepal And The Role Of Smart Settlements, Keshav Bhattarai, Ambika P. Adhikari
Himalayan Research Papers Archive
In Nepal, landless populations can broadly be categorized into two groups: urban squatters and rural landless families. Each group can further be distinguished by its level of political connection and access to power.
Among urban squatters, politically connected groups often occupy open public spaces in cities with some degree of protection or tolerance from political parties. In contrast, less powerful urban squatters usually settle on public land because they cannot afford formal housing. These settlements are commonly located in unsafe or marginal areas, such as riverbanks, flood-prone zones, and unused public spaces. Despite these risks, many remain in urban areas …
Drone Dichotomy: Investigating The Application Of Unmanned Aerial Systems For Offensive And Defensive Chemical, Biological, Radiological, And Nuclear-Related Tasks, Evan Jacob Martinovitch
Drone Dichotomy: Investigating The Application Of Unmanned Aerial Systems For Offensive And Defensive Chemical, Biological, Radiological, And Nuclear-Related Tasks, Evan Jacob Martinovitch
Graduate Theses/Dissertations
This thesis investigates the application of unmanned aerial systems (UAS) for both offensive and defensive chemical, biological, radiological, and nuclear (CBRN) tasks to determine if they serve as a force multiplier on the modern battlefield. As CBRN weapons reemerge as realistic threats alongside the rapid proliferation of UAS, the intersection of these fields presents unique challenges and opportunities. Through a methodology that examines the history of the UAS-CBRN intersection, military doctrine, and the status of UAS technology, this research evaluates the capability of current and emerging UAS against specific CBRN delivery, reconnaissance and surveillance, and decontamination tasks. The analysis conducted …
Northern Luzon In A Taiwan Flashpoint: The Philippines’ Place In U.S. Strategy, Carson Keller
Northern Luzon In A Taiwan Flashpoint: The Philippines’ Place In U.S. Strategy, Carson Keller
Graduate Theses/Dissertations
While the defense of Taiwan from a potential invasion by the People’s Republic of China (PRC) has long been a topic of debate and scrutiny in U.S. strategic thinking, the role of its southern neighbor, the Philippines, has received far less attention. This thesis argues that northern Luzon would constitute key terrain in a cross-strait conflict and may become an early target of People’s Liberation Army (PLA) operations. Its proximity to Taiwan and position along the Luzon Strait, particularly the Bashi Channel, places it at the center of efforts to control access to the hypothetical battlespace. Drawing on PLA and …
Nuclear Deterrence And Nuclear Modernization: A Strategic Analysis Of Global Nuclear Threats And U.S. Policy, Abraham Morland
Nuclear Deterrence And Nuclear Modernization: A Strategic Analysis Of Global Nuclear Threats And U.S. Policy, Abraham Morland
Graduate Theses/Dissertations
The nuclear imperative comes from the idea that all three legs of the Triad must be retained to ensure a viable deterrent posture, provide flexibility in a response, and give decision makers options to create uncertainty in an adversary’s decision calculus. The nuclear imperative is the need to fund suggested shortfalls in the nuclear enterprise and modernize the U.S. Triad, not just one or two legs, but all three, due to the ever-increasing nuclear risk. To understand the current state in which the United States finds itself and the need for the nuclear modernization program, this thesis will review nuclear …
The Response Of Diaspora And Religious Institutions On The Refugee Crisis: Case Study Of The Republic Of Croatia, Galyna Sagan Dr., Tetiana Kostiuk Dr.
The Response Of Diaspora And Religious Institutions On The Refugee Crisis: Case Study Of The Republic Of Croatia, Galyna Sagan Dr., Tetiana Kostiuk Dr.
Occasional Papers on Religion in Eastern Europe
This article is dedicated to the multifaceted support that Ukrainian diaspora and Catholic organizations in the Republic of Croatia have been providing to Ukrainian refugees since the full-scale Russian invasion on February 24, 2022. The study details the systemic response of such key religious institutions as the Diocese of Križevci, Caritas and the Jesuit Refugee Service (JRS). Particular attention is paid to integration initiatives, like educational programs developed by the Catholic University of Croatia (HKS), and the provision of spiritual and pastoral care, which remains the unique prerogative of the Church. The study emphasizes coordination between ecclesiastical and state …
Interpretable Machine Learning For Bridge-Pier Scour Prediction And Flood Resilience, Adil Khan, Dalya Ismael
Interpretable Machine Learning For Bridge-Pier Scour Prediction And Flood Resilience, Adil Khan, Dalya Ismael
Engineering Technology Faculty Publications
Bridge-pier scour is a leading cause of flood-induced bridge failure, yet practice still lacks transparent, physics-informed tools that link data-driven prediction with design guidance. This study develops an interpretable, physics-aware machine-learning framework to predict equilibrium scour depth and translate those predictions into actionable strategies for flood-resilient infrastructure. Using the 2014 U.S. Geological Survey Pier-Scour Database (569 laboratory cases), five models: Gradient Boosting, AdaBoost (Tree), XGBoost, Gaussian Process (RBF kernel), and Kernel Ridge (polynomial), were trained and evaluated with K-fold cross-validation. Model performance was evaluated using R², RMSE, and MAE. Gradient Boosting performed best, achieving training and testing R² of 0.99 …
Hosts, Scouts, And Female Indentured Sexual Servitude In Contemporary Japan, Caroline Norma, Seiya Morita
Hosts, Scouts, And Female Indentured Sexual Servitude In Contemporary Japan, Caroline Norma, Seiya Morita
Dignity: A Journal of Analysis of Exploitation and Violence
This article sweeps away glossy abstractions obscuring the indenturing of women in sexual servitude in Japan. These abstractions were generated by anthropologists writing in English in the first two decades of the 21st century who inverted the relationship between perpetrator and victim to suggest that female customers exploited hosts. To overturn this view and expose the ‘gendered reality that [i]s really going on’ in Japan, this article differently explains from a feminist perspective how present-day host and scout businesses indenture Japanese women in sexual servitude. This role is one of both procuring victims as well as keeping young women …
Examining Reproductive Equity In The Post-Roe United States, Yali Pang, Anna Grace Causey, Nakeina E. Douglas-Glenn, Research Institute For Social Equity Rise
Examining Reproductive Equity In The Post-Roe United States, Yali Pang, Anna Grace Causey, Nakeina E. Douglas-Glenn, Research Institute For Social Equity Rise
Research Institute for Social Equity
Four years after the U.S. Supreme Court overturned Roe v. Wade, state-level variation in reproductive rights policy is associated with substantial geographic inequities in access to abortion and reproductive health care across the United States. The adoption of restrictive or protective reproductive rights policies is closely tied to legislative control, underscoring the political drivers of reproductive inequity. The evidence suggests that advancing reproductive equity will require coordinated national, state, and local response to strengthen healthcare infrastructure, reduce economic barriers, and establish durable legislative protections for reproductive rights.
The Balance Of Power In Ukraine And Deterrence Effectivenes Against Nuclear-Armed Russia, Chick Edmond
The Balance Of Power In Ukraine And Deterrence Effectivenes Against Nuclear-Armed Russia, Chick Edmond
Political Science & Geography Faculty Publications
Russia's invasion of Ukraine has raised several significant questions regarding the impact of deterrence, the European balance of power and the ability of current security frameworks to restrict the actions of nuclear-armed revisionist powers. This paper uses an integrated theoretical framework consisting of deterrence theory, the balance of power theory, the security dilemma and neorealism to analyze the dynamic relationships between Russia, Ukraine and the Western alliance. The primary contribution of the paper is to develop a comprehensive analytical framework to evaluate the relationship between different aspects of deterrence (i.e., to prevent an initial attack, to limit further escalation and …
The Contested Kinmen Model, Ian Murphy
The Contested Kinmen Model, Ian Murphy
Political Science & Geography Faculty Publications
[Introduction] Kinmen County, Taiwan, stands as an anomaly in East Asia- it is an archipelago administered by Taipei but visually and geographically tethered to the coastline of the People's Republic of China (PRC). For over seven decades, these islands have served as the physical frontline of the unfinished Chinese Civil War, functioning first as a kinetic battleground and later as a laboratory for cross-strait engagement. Yet, to view Kinmen as a relic of the Cold War is to miss it's contemporary strategic significance. The region has now become the primary theater for the PRC's "Kinmen Model" (Jinmen Moshi, symbols redacted), …
Putting The L In Elsi: Legal Methods For Bioethics Research, Anya E R Prince, Benjamin Berkman, Donald Ford, Dov Fox, Christi Guerrini, Amy Koopmann, Natalie Ram, Jessica L Roberts, Kayte Spector-Bagdady, Sonia Suter
Putting The L In Elsi: Legal Methods For Bioethics Research, Anya E R Prince, Benjamin Berkman, Donald Ford, Dov Fox, Christi Guerrini, Amy Koopmann, Natalie Ram, Jessica L Roberts, Kayte Spector-Bagdady, Sonia Suter
Center for Medical Ethics and Health Policy Staff Publications
Lawyers and law professors are increasingly involved in interdisciplinary scientific teams and grant research to answer ethical, legal and policy questions related to biomedical topics. Yet, the methods that lawyers use to conduct legal research and analysis are not always familiar to scientists and social scientists conducting peer review of a proposed project with legal aims or a publication reporting a legal study. To better facilitate interdisciplinary ethical, legal, and social implications collaboration, there is a need to better explain how legal research methodologies can provide robust tools to address a range of nuanced biomedical questions. This paper explores …
Essays On Network Resilience: Enhancing Network Resilience Through Network Governance Structure, Process, Environment, And Leadership, Hanvit Kim
Graduate Studies Theses and Dissertations 2026
As disasters become more complex, their impacts often cascade across interdependent systems, creating failures that extend beyond any single organization or sector. Because such crises cut across organizational and sectoral boundaries, effective response depends not only on the capacity of individual organizations but also on the resilience of interorganizational networks. Yet despite the growing importance of networked coordination in disaster response, the concept of network resilience remains underdeveloped in the literature, with limited consensus on its definition, measurement, and determinants. This dissertation addresses that gap by systematically examining what network resilience is, how it can be conceptualized and assessed, and …
Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan
Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan
Department of Obstetrics & Gynecology Faculty Publications
Introduction
The health of the pelvic floor depends on the integrity of its muscles, connective tissue, ligaments, and their innervation. The female pelvic floor may be more vulnerable to repetitive heavy loads in a military environment than the male pelvic floor because of anatomical and physiological differences. The study aim was to identify and explore possible differences in the female pelvic floor conditions between active military and civilian women with similar demographics.To identify and explore possible differences in the conditions of the female pelvic floor between active military women and civilian women with similar demographics.
Materials and Methods
Military active …
Lunch Shaming And The Right To Privacy, Ira P. Robbins
Lunch Shaming And The Right To Privacy, Ira P. Robbins
Scholarly Articles in Law Reviews & Journals
Lunch shaming is the practice of penalizing students who cannot afford to pay for their meals, resulting in them being denied food, served alternative meals, or publicly identified. The origins of lunch shaming can be traced to the financial pressures faced by school districts that struggle to balance tight budgets with the mandate to provide free or reduced-price meals to eligible students. Despite legislative efforts and advocacy campaigns aimed at mitigating the problems associated with lunch shaming, the practice persists, exacerbated by rising food costs and the expiration of pandemic-era food programs.
Many law journal and other articles have correctly …
'But George Floyd Wasn't A Saint': A Critical Discourse Analysis Pre And Post George Floyd, Raya Berkley-Jacobs
'But George Floyd Wasn't A Saint': A Critical Discourse Analysis Pre And Post George Floyd, Raya Berkley-Jacobs
Graduate Studies Theses and Dissertations 2026
May 25, 2020, George Floyd died at the hands of former police officer Derek Chauvin after he placed his knee on George Floyd’s neck for 8 minutes and 46 seconds. His death sparked outrage, protests, and calls for accountability, justice, and reform. This study addresses the impact of George Floyd’s death as a focusing event that created a policy window under which federal legislation was introduced as a response to his death. Drawing on Punctuated Equilibrium Theory and Social Construction Theory, the study utilizes a critical discourse analysis to test how the death of George Floyd impacted the amount and …
How Did Covid-19 Affect Volunteer And Donor Management For Human Services Agencies? What Are The Lessons For Future Response?, Nina Yon
Graduate Studies Theses and Dissertations 2026
The COVID-19 pandemic created unprecedented challenges for human services agencies, disrupting the interdependent systems of volunteer engagement and donor support essential to nonprofit sustainability. This study integrates insights from literature, theory, and empirical analysis to examine how nonprofit organizations adapted their volunteer and donor management strategies during this prolonged crisis. Drawing on Contingency Theory and Resource Dependence Theory (RDT), the research explores how organizational structures and strategies evolved in response to shifting environmental conditions, health mandates, and resource constraints. Using a multiple-case qualitative design, data was collected from semi-structured interviews with 20 leaders representing five Central Florida human services agencies, …