Digital Commons Network^™

Invisible Fallout: Economic Health, Environmental Injustice, And The Social Legacy Of The Paducah Gaseous Diffusion Plant, Isabella G. Bailey-Sims

Honors Theses

This paper examines the long-term impacts of the Paducah Gaseous Diffusion Plant (PGDP) in western Kentucky, framing its legacy as a form of “invisible fallout” in which economic growth was accompanied by delayed environmental and public health consequences. Established in the early 1950s, the plant served as a major economic driver, providing stable employment and transforming the regional economy. However, its operation involved the handling of radioactive materials and hazardous chemicals, leading to environmental contamination and occupational exposure risks that were not fully disclosed during its active years.

Drawing on epidemiological studies, environmental reports, and socioeconomic analyses, this study identifies …

Eastern Kentucky Drowning: Floods And Relief Efforts, Lynsey Joseph

Honors Theses

This thesis examines the impacts of repeated flash floods in Eastern Kentucky, focusing on the flood events of 2022 and 2025, to understand how environmental conditions, disaster policy, and socioeconomic factors have shaped the community vulnerability and recovery in the region. This research is relevant due to the increased frequency of extreme weather events that have had disproportionate effects on rural and low-income regions. The objective of this thesis is to evaluate the effectiveness of federal disaster response programs like the Federal Emergency Management Agency and to analyze these systems compared to community-based recovery efforts. This was done using a …

"See Something, Say Something": The Effect Of Bystanders And Public Posting On Campus Crime Reporting, Makiah Hollinden

Honors Theses

The purpose of this study was to see if bystanders reacting (versus not reacting) and the presence (versus no presence) of a public crime post, on a college campus, affected student participants' intent to report a crime. We hypothesized that if bystanders responded to the crime, and if there is a public post about crime reporting, then participants would be more likely to intend to report the crime. Research participants (n = 68) were given an online survey assessing the intent to report the crime and other social norms in one of four vignette conditions: bystanders react/public post, bystanders do …

Assessment Of Risk Factors In Sexual Offenders, Jennifer Bulin

Psychology Doctoral Specialization Projects

This review provides a comprehensive overview of the importance and historical development of sex offender risk assessment, highlighting its critical role in managing public safety and guiding treatment interventions. This project traces the evolution of these assessments, from early methods focused on static risk factors to contemporary approaches that incorporate dynamic elements. The review discusses the most commonly used risk assessment tools for both adults and juveniles, evaluating their methodologies, strengths, and limitations. Assessments reviewed to be used with adults include the Static-99, Static-2002, Minnesota Sex Offender Screening Tool Revised (MNSOST-R), Rapid Risk Assessment for Sex Offence Recidivism (RRASOR), Sex …

Recalibrating Readiness: Pandemic Impact On Ot Admissions, Bridget J. Hahn, Kajol Patel, Jacquelyn A. Siegel, Jessica Rappaport, Michelle Mcfall-Johnsen, Kia A. Burks

Journal of Occupational Therapy Education

This study explored shifts in occupational therapy applicant characteristics across two distinct time periods: pre- and post-COVID-19, while also describing admissions policy changes implemented by an urban Midwestern Occupational Therapy Doctorate (OTD) program. Retrospective data from admissions records from 917 applicants (2017 – 2024) were grouped into pre-COVID (2017 – 2020) and post-COVID (2021 – 2024). Academic, pre-professional, interview, and underrepresented minority (URM) status was compared using independent t-tests and chi-square analyses. Cumulative grade point average (GPA) and research experience increased post-pandemic, while pre-professional experience and interview performance declined. The proportion of URM applicants rose significantly from 8.1% pre-COVID to …

What About Us? The Exclusion Of Individuals With Intellectual And Developmental Disabilities In The Disaster Planning Process., Elizabeth Ogorek

Honors Theses

Intellectual/Developmental disabilities, or I/DDs, refers to a wide variety of conditions that can affect a person’s ability to process information and their environment. Individuals with I/DDs have a plethora of unique vulnerabilities before, during, and after major disasters. Some of these include difficulty understanding instructions, a tendency to become more easily overwhelmed by external stimuli, and reliance on 1-1 support. Despite this, very little evidence exists both in the research and the practice of emergency management to demonstrate that they have been included in meaningful ways. Many state Emergency Operations Plans, or EOPs, fail to acknowledge intellectually/developmentally disabled individuals as …

Walking In Town: A Study Of Walkability And Its Impacts On Students At Eku, Emma Garland

Honors Theses

This project explores the current state of walkability in Richmond, Kentucky, with a specific focus on connectivity between Eastern Kentucky University (EKU) and essential services in the surrounding community. Utilizing the PRECEDE-PROCEED model as a planning framework, the study combines secondary demographic health data as well as

primary data collection—including student surveys and a walkability audit using a modified Delaware Walkability Assessment Tool—to assess pedestrian infrastructure, access to amenities, and safety concerns. Findings reveal a lack of continuous, safe, and accessible walking routes, limiting physical activity and contributing to broader health disparities. Based on these findings, two primary evidence-based interventions …

Evaluating Advanced Aerial Firefighting Technologies For Effective Implementation In Central Appalachia, Milo M. Heidkamp

Honors Theses

This thesis evaluates emerging aerial firefighting technologies, including training systems, aircraft-based sensing and surveillance systems, and unmanned aerial systems for effective implementation in Central Appalachia, and even more specifically, Eastern Kentucky. Due to the lack of municipal and state-owned manned aerial firefighting (suppression) aircraft, it was concluded that UAS and Multi-mission-capable sensing aircraft were the most practical for implementation. Two different proposals for the implementation of these technologies are made: One for the implementation of sensing and surveillance equipment on state-owned aircraft, and one recommends the widespread implementation of UAS for state and municipal fire protection agencies. By conducting a …

Law Enforcement In Kentucky Schools - Student Interactions And Current Practices, Lee Ann Morrison

Online Theses and Dissertations

This mixed-methods study investigates the role of school resource officers (SROs) in Kentucky and describes their interactions with students. This study aimed to provide a comprehensive understanding of how SROs interact with students and the implications of those interactions. The quantitative phase of the research involved a secondary analysis of student behavior violation data and the reported outcomes for students. Data indicated that student interaction with SROs did not lead to a significant student arrest rate. In the qualitative phase of the study, a focus group was conducted with school resource officers to explore their daily interactions with students. Qualitative …

Impact Of An Educational Workshop On Occupational Therapy Student Perceptions Of People With Justice System Involvement, Emily K. Simpson, Sara Engimann, Jamie N. Deal, Sydney M. Sabbagha, Lexi Frazier

Journal of Occupational Therapy Education

The United States has the highest number of people per capita in detention centers when compared to all other nations in the world. Stigma exists against people with justice system involvement, resulting in discrimination by healthcare providers and students and ultimately health inequities. This convergent mixed-methods study aimed to impact occupational therapy students’ (N=25) knowledge, attitudes, and beliefs about the criminal justice system and people with justice system involvement. The workshop included education, a panel of people with lived experience, and an occupational therapist with experiences in the criminal justice system. Significant changes were seen in the number of correct …

Nourishing Nations: A Comparative Analysis Of American Food Production Laws & Regulations, Morgan Flood

Honors Theses

Food manufacturing, distribution, and consumption have a significant influence on equity, sustainability of the environment, and public health. Food regulations control these factors, but there are substantial variations in how European countries and America balance safety, innovation, and economic interests. With a focus on finding flaws in the American regulatory system, this thesis compares the rules and regulations overseeing food production in the US and Europe. It examines how these inequalities fuel environmental deterioration, economic inequality, and public health issues. For example, dangerous chemicals like titanium dioxide, potassium bromate, and Red Dye 40 have been restricted in the European Union …

State Solutions To Human Trafficking: A Critical Backbone In Combating The Tragedy, Gabriella Weiss

Honors Theses

This honors thesis paper provides an overview of human trafficking in the United States and the states’ roles for addressing the problem. It starts off by describing the background behind human trafficking, including the typical victims, perpetrators, and the locations where victims are found. In order to better understand the context of state solutions, the next section describes the current federal government’s anti-human trafficking efforts as that is important to better understand state roles and responsibilities. This section includes the current enacted laws and legislatures, victim services, awareness programs, intelligence sharing and investigation agencies, and funding. The state section includes …

Closing The Circle: The Need For Patient Outcomes In The Prehospital Setting, Sydney Key

Honors Theses

The integration of EMS into the healthcare system is relatively new compared to other fields like nursing. As a result, there has been a scarce amount of research performed in the prehospital setting. This research focused on studying the effects of giving detailed feedback to prehospital providers by evaluating the improvements in provider mental health and patient outcomes in cardiac arrest patients. Prehospital providers rarely receive patient outcomes from hospitals. Oftentimes, when someone is experiencing a life-threatening event, EMS providers are forced to “load-and-go” from the point of patient contact, transport drop them to the nearest appropriate hospital, and turn …

Accessing Appalachia - One Byte At A Time - The Need For Broadband Access In Rural Eastern Kentucky Region, James Douglas Price

Online Theses and Dissertations

The digital divide presents a significant challenge in rural Eastern Kentucky, where the absence of broadband internet access has hindered economic development, education, health care, and overall quality of life. Broadband, characterized by high-speed internet access that is always on and faster than traditional dial-up, is a convenience and a necessity in the contemporary world. This paper explores the critical need for broadband deployment in rural Eastern Kentucky, underscoring its potential to transform the region by promoting economic growth, enhancing educational opportunities, improving healthcare access through telemedicine, and fostering social inclusion. Despite the challenging terrain and the high costs associated …

An Examination Of The Usage Of Grants And Municipal Bonds To Fund Capital Projects For Local Governments, Collin Patrick Davis

Online Theses and Dissertations

Funding for capital projects is a vital need for local governments. This thesis compares two forms of funding, that being debt funding through municipal bonds or funding from state and federal grants. This thesis compares and contrasts these two forms of funding, looking at the economic and political risks that can come with using municipal bonds, as well as the need of resources that local governments need when it comes to securing grants. This project also looks at the case study of one such local government that needs funding for a capital project, that being the city of Richmond, Kentucky, …

Purdue Pharma: Appalachia's Worst Nightmare, Malina C. Gaworski

Honors Theses

This thesis describes the legal implications of Purdue Pharma’s vital role that implicated them in the opioid crisis after their release of the renowned drug, OxyContin. Purdue Pharma released the infamous drug in 1995 and the world of drugs and addiction has never been the same. Thousands of oxycontin-related deaths, pharmacies and medical professionals found liable, and countless lawsuits against the powerful company. This research expands on these lawsuits, the implications of these against Purdue Pharma, and the improvements made in the pharmaceutical company to prevent a disaster such as the opioid crisis from repeating itself.

Through The Eyes Of The Incarcerated: A Qualitative Content Analysis Of Prisoner Reentry Through Memoirs, Abigail Estep

Honors Theses

One in 100 adults in the United States are currently in jail or prison, equaling over 2.2 million individuals. Around 600,000 of those individuals are released from state and federal prisons every year. Unfortunately, these returning citizens are met with a system that has set them up to fail. Most of these individuals are determined to never go back, but the immobilizing challenges that they meet make it difficult, if not impossible, to be successfully reintegrated into society. The recidivism rate in the United States is the highest it has ever been at 44% nationally. We need to find and …

Patting Down Your Patient: Ethical And Practical Challenges Of Correctional Mental Health, Claire E. Bailey

Honors Theses

The unique nature of correctional settings presents mental health professionals working in these settings with various ethical and practical challenges. In light of these issues facing the field of correctional psychology, the present study is focused on examining the real-life experiences of correctional psychologists. Potential participants were identified based on their experiences within their mental health careers, specifically those who work, or have worked in the past, within a correctional facility as a mental health professional. Following this, a standardized interview was conducted focusing on the professional and educational background of the participants along with their perspectives about their work …

Individual Capture History Affects Site Use And Defensive Behavior Of Foraging Eastern Copperheads At A Recreational Site, James Benjamin Stratton

Online Theses and Dissertations

To maximize energy available for foraging or reproduction, optimality theory suggests individuals allocate energy toward defensive behaviors equivalent to risk of predation. In this framework, repeat encounters with humans that do not reduce individual fitness could result in a decreased defensive response toward humans in subsequent encounters. I investigated the role individual experience played in shaping the defensive behaviors and frequency of site use of foraging of eastern copperheads (Agkistrodon contortrix) at Koomer Ridge Campground in the Daniel Boone National Forest, Kentucky. Since 2015 this site has been used for ongoing, annual mark-recapture studies of the foraging ecology of copperheads …

Interprofessional Collaboration For Addiction Intervention In A Community College Setting, Cathi Smith

Social Work Masters Capstone Projects

Substance abuse has become a major problem in our nation. It is no surprise that a great percentage of people have admitted that prior to their arrest they had either been drinking or using illicit drugs. When they commit these illegal acts, they then begin to cycle through the criminal justice system. It is also not obvious whether they have an AUD or SUD or that they are chemically dependent. In fact, some of them at this stage will still be in denial that there is even a problem, especially if the offense is something that does not come with …

Exploring Portrayals Of Cults In News Media: Establishing A Continuum, Ashley M. Reynolds

Honors Theses

This thesis examines and analyzes the way cults are portrayed by various news media outlets. The intention of this thesis and my research in general is to convey the power of media influence in forming an individual’s perspective on cults. Each news media outlet (for purposes of this thesis, this includes Fox News, CNN, and the Associated Press) has their own definition of what a cult is, and this determines how they present those “cults” to the public. To understand how individuals form their opinions about cults and what exactly cults are via the media, it is necessary to investigate …

Comparing Substance Use Social Issues In Appalachian And Non-Appalachian Regions In Kentucky, Erica C. Bellamy, James N. Maples

Kentucky Journal of Undergraduate Scholarship

Substance use and abuse is not a uniquely Appalachian problem, but it remains a prevalent social problem for the geographical region. Kentucky has been one of the central states experiencing generations of substance abuse, ranging from methamphetamines to OxyContin to heroin. Eastern Kentucky, which includes a portion of Central Appalachia, has been a focal point for the proposed war against substance use. What remains undemonstrated in studies is exactly how substance abuse differs between the Central Appalachian counties of Eastern Kentucky and the remainder of the state, if any difference exists at all. In this study, the researchers examine how …

The Great Escape: A Novel Approach To Collaborative Learning (Pilot), K. Megan Carpenter, Anthony D. Cunningham, Laura Smith, Kelly Krigbaum

Journal of Occupational Therapy Education

Healthcare continues toward team-based approaches in which multiple disciplines collaborate to ensure holistic patient care. National standards for intraprofessional collaboration guide curriculum design for entry-level occupational therapy (OT) and occupational therapy assistant (OTA) programs to ensure students acquire specific skills and knowledge needed for current OT practices. Effective intraprofessional collaboration includes effective communication, respect, trust, and understanding of role delineation, which students prefer to learn in experiential, face-to-face formats. The purpose of this study was to examine OT and OTA students’ perspectives of participating in an educational escape room (EER) as a novel experience for intraprofessional education. Investigators created an …

Perceptions Of Skill Development Among Occupational Therapy Students Who Participated In Virtual Fieldwork: A Qualitative Descriptive Study, Spencer G. Morris, Kasia Smith, Benjamin Poirier, Shay L. Riker, Ellen Herlache-Pretzer, Stacey Webster, Jean Prast

Journal of Occupational Therapy Education

Occupational therapy fieldwork helps students refine their professional and technical skills to achieve competency required of entry-level occupational therapists. While fieldwork is traditionally completed in an in-person setting, the COVID-19 pandemic resulted in some students completing fieldwork in a virtual format. Yet, minimal research has explored perceptions of skill development among students who complete virtual fieldwork placements. This qualitative descriptive study examined the perceptions of skill development among graduate-level occupational therapy students and graduates who participated in a virtual fieldwork placement during the COVID-19 pandemic. Eight participants from 3 different states completed semi-structured interviews of no longer than 60 minutes …

Wait, Is That Legal?: A Defense Of The Rights Of The Mentally Ill In The United States Prison System, Sophie Owen

Honors Theses

The ever-evolving question of what the legal requirements are regarding providing mental health care in prisons has been debated for decades. This thesis presents a meta-analysis that examines the Eighth Amendment Cruel and Unusual Punishment Clause in regards to the mentally ill in the Criminal Justice System and applies it to present day prison systems in the United States. This research creates a clear picture of the inadequate care that is provided and the systemic issues that allow this level of mistreatment and lack of care to prevail. It examines the requirements for mental health care as set by the …

Rejecting The Paradigm: Reimagining The Philosophy Of Punishment To Address The Criminal Justice Crisis In Twenty-First Century America, Jon E. Mcgee

Honors Theses

Legal punishment has been subject to cacophonous debate and transformation throughout the history of American political and philosophical discourse. As a growing body of academic literature indicates a failure in the punitive techniques practiced by American institutions, the necessity for a precise diagnosis of such ailments paired with a new model addressing American concerns for reform remains increasingly pertinent. With due consideration to the previous recommendations of scholars, this paper illustrates the crisis in criminal justice currently felt in the United States. Through statistical, theoretical, and comparative analyses, existing alternatives are examined and an alternative fit to serve the United …

Family Centered Care In The Neonatal Intensive Care Unit: A Standard Checklist For Nurses And Parents, Tori C. Williams

Honors Theses

Neonatal Intensive Care Units (NICUs) care for critically ill newborn babies. Family Centered Care (FCC) is a relatively new standard of NICU care that allows for caregivers to be as much of a part of the NICU experience as health care providers. This thesis utilized a review of literature to identify research that shows that FCC is an effective way to improve outcomes for neonates and their caregivers. Many sources did provide evidence for this. Some evidence shows that FCC can lead to shorter length of stay, increased rates of breastfeeding, and increased weight gain for the neonates, while parents/caregivers …

Simulation To Improve Dementia-Related Care Of Veterans, Brandy Wardrip

Doctor of Nursing Practice Projects

Millions of Americans, including Veterans, are diagnosed with dementia. Healthcare staff may benefit from dementia-related training. This Doctorate in Nursing Practice (DNP) project evaluated the effectiveness of the Virtual Dementia Tour (VDT) as a learning tool to improve staff’s knowledge of dementia, enhance their empathy and attitudes when interacting with Veterans diagnosed with the disease, and increase awareness that behaviors commonly seen with dementia may be forms of communication. Interprofessional healthcare staff (N=33) at a Veterans hospital participated in the experiential simulation. A pre-and post-test design utilized the Dementia Knowledge Assessment Scale (DKAS) and the Dementia Attitude Scale …

The Road To Justice: Incarcerated Students’ View On Education Behind Bars, Margaret Baker Price

Online Theses and Dissertations

The experience of students that are incarcerated is largely unknown. This qualitative phenomenological research study allowed four college students that are incarcerated to share their experiences. Research shows individuals who are incarcerated are less likely to reoffend this study upon release. This study will show how these individuals view their educational experience during incarceration. Interviews were conducted with each participant and data was coded and organized into themes. By utilizing a phenomenological stance, observations were made of events that led to the placement of participants in the prison system and how education has impacted their time spent incarcerated. Themes discovered …

Exploring Mental Health & Covid-19: How A Pandemic Could Become America's Next Mental Health Crisis, Ashley D. Shofner

Honors Theses

A pandemic can be described as an epidemic disease that has spread over a large geographical area and has become prevalent in numerous sectors of the globe. In 2020, just over 100 years since our last major pandemic, the 1918 Influenza outbreak, the global community is facing yet another threat: COVID-19. While an individual’s physical health has consistently been of concern, research has failed to adequately consider the other dimensions of health. Among these additional dimensions of health is mental health and psychosocial wellbeing.

Pandemics and emerging infectious diseases have become modern influencers of mental health patterns. By analyzing the …