Medicine and Health Sciences Commons^™

A Pre-Medical Student’S Reconciliation Of Feminist Narratives Regarding Women’S Health: A Consideration Of Perspectives On Childbirth In The U.S., Laura Clayton

sprinkle: an undergraduate journal of feminist and queer studies

Many feminists argue that one major negative aspect of reproductive healthcare in the U.S. is the common over-medicalization of women during childbirth, including potentially unnecessary procedures such as cesarean-section and episiotomy. As a solution, they advocate for increased involvement of midwives in childbirth practices, as midwives allow women to give birth at home with minimal medical intervention. This paper analyzes the benefits of midwifery as well as the current increased risk associated with homebirth in the U.S. Additionally, it questions the damaging stigma associated with assumptions of cesarean-section as a suboptimal outcome. A false dichotomy has developed in our culture …

Hospitalizations For Hepatitis C In Mississippi, 2014-2018 – A Hidden Epidemic, Manuela Staneva Md, Mph, Thomas Dobbs Md, Mph, Paul Byers Md, Meg Pearson Pharmd, Ms, Jonathan Hubanks Pharmd

Journal of Public Health in the Deep South

Goal: Utilizing Mississippi’s hospital discharge data (HDD), we examined trends, demographics, comorbidities, in-hospital deaths, and hospital charges for hospitalizations with diagnoses for hepatitis C virus (HCV).Methods: We conducted a retrospective study of hospitalizations with primary or secondary HCV diagnoses. We performed descriptive and inferential statistical analyses using SAS 9.4. We compared categorical variables with chi-square tests and continuous variables with t-tests.Results: Between 2014 and 2018, patients hospitalized with an HCV diagnosis were more likely to have coexisting intravenous drug use (IDU) diagnoses compared to all other hospitalized patients (20.3% versus 3.3%, p < 0.001). From 2014 to 2018, hepatitis C infections associated with IDU spiked by 53.8%, fueling the overall increase in the number of hepatitis C hospitalizations in Mississippi. Almost one-third (31.8%) of all hepatitis C stays had a severe liver condition and 48.2% had nicotine dependence. The average charges for stays with coexisting HCV and decompensated cirrhosis were $65,975.Conclusions: In Mississippi, there has been a rapid increase in HCV hospitalizations associated with IDU. In addition, HCV hospitalizations were associated with severe morbidity burden and high economic expense. These findings underscore the need for measures aimed at containing the spread of this dangerous but preventable infection.

Prevalence Of Probable Hoarding And Associated Consequences At The Scene Of Mississippi Fires, 2009-2019, Mary E. Dozier Phd, Ben Porter Phd

Journal of Public Health in the Deep South

Background: Increased risk for fire is an often-discussed consequence of hoarding disorder; however, the source of this association has been largely through clinicians’ accounts or hoarding patients’ self-reports.Purpose: The purpose of this study was to investigate the association between probable hoarding and incidence of fires using archival data from Mississippi.Methods: Incidents of residential fires from 2009-2019 were provided by the Mississippi State Fire Marshal’s Office. Fires that were classified as having “a significant amount of fire load present” were classified as probable hoarding fires for analysis.Results: Of the 5,194 unique residential fires identified across the study period, 96 fires (1.9% …

Assessment Of Knowledge And Attitudes Toward Determinants Of Infant Mortality In Head Start Teachers, Teacher Aides, Caregivers, And Family Support Workers, Susan Mayfield-Johnson Phd, Mches, Danielle Fastring Phd, Stephanie T. Mcleod Mph

Journal of Public Health in the Deep South

IMR (11.9 infant deaths per 1,000 live births) almost twice the rate observed in (6.2 infant deaths per 1,000 live births). Objectives. The purpose of this project was to assess Head Start teachers’, teacher aides’, caregivers’, and family support workers’ perceptions, knowledge, attitudes, values and beliefs on topics (nutrition, exercise, breastfeeding, safe sleep, smoking, stress, postpartum depression, and mental health) related to infant mortality prevention in a Mississippi Gulf Coast Head Start consortium. Methods. A 47-item questionnaire was developed that focused on areas associated with primary prevention of infant mortality. Results. Participants (n=82) ages were 25 to 44 years of …

Factors Associated With History Of Unintended Pregnancy Among Mothers In Mississippi, Stephanie T. Mcleod Mph, Morgan Bradwell, Lei Zhang, Olivia Hogan Ismail, Eden Blackwell, Tanya Funchess, Jerome R. Kolbo

Journal of Public Health in the Deep South

Background: Mississippi has the highest rate of unintended pregnancy in the nation. Accessibility, availability, and affordability of women’s health services and effective contraceptive methods are key in preventing unintended pregnancies. Purpose: The purpose of this study was to identify factors associated with history of unintended pregnancy among parous women of childbearing age in Mississippi in order to improve understanding of these relationships and to fill a gap in literature about the state. Methods: Through a multi-stage, probability sample, mothers of students in childcare facilities were selected to participate in a survey about health care and contraceptive use. Chi-square tests of …

Adaptability In Community-Based Participatory Research: Comparisons Of Coalitions In The Deep South, Candace Forbes Bright Phd

Journal of Public Health in the Deep South

Background: Health inequities in the Gulf states are complex issues to resolve, and no single solution or strategy can improve the health rankings in each state. Yet, using grassroots approaches and building community partnerships are promising strategies to identify important health issues and opportunities for policy change. Purpose: This paper illustrates how the Gulf States Health Policy Center coalitions in four different locations used the same community-based participatory research model, but with distinct differences in processes, across nine projects to address issues that negatively affected population health. Methods: Recognizing that communities have unique needs, resources, and complementary health efforts, we …

Ocular Biomarkers Of Disease: Employing Routine Eye Exams To Promote Better Health Surveillance, Dawn S. Mclendon, Kenneth R. Butler Phd, Michael A. Welsch Phd, Facsm

Journal of Public Health in the Deep South

America’s burden of vision impairment, Alzheimer’s disease and related dementias (ADRD), and cardiovascular disease will continue to rise over the next 40 years. The burden of these diseases will be greater for women, Hispanics, African-Americans, and those from lower socio-economic regions. A key challenge is to develop strategies to deny the organization of the pathologies that eventually lead to the manifestation of the disease. An important feature within this battle is the development of appropriate tools and biomarkers for early reconnaissance of the enemy. Recent advances in Optical Coherence Tomography Angiography (OCTA) present a unique opportunity to examine physiological features …

Rural Medical Scholars Program: Filling The Gap For Health-Care And Public Health Leaders In Mississippi, Ann Sansing, David R. Buys, Marion W. Evans Phd, Mches, Laura Downey, Jasmine Harris-Speight

Journal of Public Health in the Deep South

The Rural Medical & Science Scholars program aims to help rising high school seniors determine if they want to pursue health-related careers. The program shapes students’ interest in and understanding of medicine, health-related disciplines, and other science, technology, engineering, and mathematics (STEM) fields. The program combines didactic, observational, and practical learning during a summer semester. Participants earn seven college credits to jumpstart a health or STEM career. We report on descriptive statistics since the program’s inception in 1998. The program has matriculated 401 students, of whom approximately 71% have chosen health-related careers in nursing, physical or occupational therapy, dentistry, pharmacy, …

Policies On Hand-Held Mobile Device Use While Driving: Considerations For Mississippi, Amy Radican-Wald

Journal of Public Health in the Deep South

Background: Mississippi enacted a texting/accessing social networking sites ban for all drivers in 2015; this ban is due for reauthorization in 2018. Purpose: Examine state policies prohibiting mobile device use while driving and changes in behaviors, attitudes, and opinions over time for Mississippi adults regarding distracted driving. Methods: Review literature and enacted policies. Analyze traffic, death, and survey data statewide from 2010 to 2017. Results: Mississippi’s crash death rate rose significantly (22.7 to 25.6 per 100,000; p < .01) from 2010 to 2015. Mississippi adults surveyed said they had talked on a mobile device (75.4%), texted (45.5%), or emailed (10.1%) while driving in 2017. Each reported risky driving behavior increased significantly (p < 0.05) from 2010. Most Mississippians support bans on texting (95%) and hand-held device use (89%) while driving. Support for these types of bans significantly (p < 0.05) increased from 2010 to 2017. Enacted policies vary among states and include mobile device use bans for novice drivers (n = 38) and texting (n = 47) and hand-held (n = 14) bans for all drivers. While safety campaigns coupled with aggressive enforcement are found effective, officials cite enforcement difficulties. Only three texting citations were issued to Mississippi drivers during 2016. Conclusions: Enforcement of policies addressing drivers’ mobile device use is a key factor to consider in reducing crash-related deaths.

Training The Next Generation Of Primary-Care Physicians: Are Student-Run Free Clinics (Srfcs) The Way To Go?, Tobe Momah

Journal of Public Health in the Deep South

Background: The consensus over the last 20 years is that increased availability of primary care reduces the overall cost of healthcare and improves mortality and morbidity rates by as much as 1.44 fewer deaths per 10,000 people (American College of Physicians, 2008; Shi, Starfield, Kennedy, & Kawachi, 1999). However, not enough physicians are going into primary care to meet the need for improved and increased access. By 2020, the expanded Title VII program goal is to produce a physician workforce that is at least 40 percent primary care (Jackson et al., 2014). Estimates show that 74% of U.S. medical school …

Speech-Language Pathologists And Respiratory Therapists: Team Approach To Caring For Patients With Long-Term Tracheotomy, Javis M. Knott

Journal of Public Health in the Deep South

Background: Recent technological advances, together with growing social acceptance of patients with disabilities, has led to a realization of the importance of long-term management of technologically dependent and chronically ill patients with tracheostomies. This includes tracheostomy patients who are ventilator dependent, neurological patients, patients with severe illness such as stroke, and so forth. These patients are able to have a higher quality of life and communicate verbally due to advances in health care. One of the major advancements is communicating via a tracheostomy. Hence, this study will provide ways in which respiratory therapists (RTs) and speech-language pathologists (SLPs) can work …

Maternal, Child, And Parenting Factors Associated With Obesity Among Pre-Kindergarten Children In Mississippi, Jerome R. Kolbo

Journal of Public Health in the Deep South

Background: Obesity among children and youth has been consistently assessed among public school students in Mississippi since 2005. Significant declines in the prevalence of obesity among elementary students over the past decade suggest that changes may be occurring prior to entry into public school. Purpose: The purpose was to collect anthropometric data on a weighted, representative sample of children ages 3 to 5 years in licensed childcare facilities across Mississippi, and to correlate maternal, child, and parenting characteristics to obesity. Methods: The Body Mass Index was calculated using measured height and weight data. Results: A total of 14.12% of the …

Remaining In The Workforce After Motherhood: Does The Family Medical Leave Act Play A Role In The Decisions Of Mississippi Mothers?, Danielle Fastring

Journal of Public Health in the Deep South

Background: Increased maternity leave has been shown to have a positive impact on maternal and child health, and to increase the length of time mothers breastfeed their infants. After childbirth, working women must decide if and when they will return to the workforce. Purpose: To determine the impact of current U.S. family leave policies on Mississippi mothers’ decisions to return to work after the birth of their first child. Methods: A survey was developed to collect information about factors influencing mothers’ decisions to return to work after the birth of their first child. The survey collected study eligibility information, demographics, …

Using Medicaid Data To Identify Factors That Predict Reinstitutionalization Of Mississippians With Disabilities And Elderly People, Hwanseok Choi

Journal of Public Health in the Deep South

Background: Mississippi Bridge to Independence (B2I) was Mississippi’s Money Follows the Person (MFP) program seeking to rebalance the state’s long-term care system by transitioning Medicaid beneficiaries from institutional living to home- and community-based settings (HCBS). Success of initial transitions has been documented in state cost-savings and participants’ quality of life increases. However, reinstitutionalization poses a challenge to sustaining a positive outcome for the initiative. Purpose: Therefore, the purpose of this research is to identify the underlying causes of participants’ reinstitutionalization. Methods: The Quality of Life (QoL) survey designed by Mathematica Policy Research was used to measure variables in 7 categories. …

The Relationship Between Obesity And Depression Among Federally Qualified Health Center Patients, Hwanseok Choi

Journal of Public Health in the Deep South

Background: Obesity has reached epidemic levels in Mississippi. In the shadow of these skyrocketing obesity levels, there are comorbid high levels of depression. Both obesity and depression complicate and, in many cases, compromise critical health outcomes. A significant association between obesity and depression has been suspected for decades. Purpose: The purpose of this study is to examine the relationship between obesity and depression among patients receiving medical care from a Federally Qualified Health Center (FQHC) in a southern state. Methods: The sample was comprised of 3,272 subjects. The Patient Health Questionnaire (PHQ-9) was used to measure the severity of depression, …

Effects Of In Utero Etoh Exposure On 18s Ribosomal Rna Processing: Contribution To Fetal Alcohol Spectrum Disorder, Nune Darbinian, Gary L Gallia, Armine Darbinyan, Ekaterina Vadachkoria, Nana Merabova, Amos Moore, Laura Goetzl, Shohreh Amini, Michael E Selzer

Faculty, Staff and Student Publications

Fetal alcohol spectrum disorders (FASD) are leading causes of neurodevelopmental disability. The mechanisms by which alcohol (EtOH) disrupts fetal brain development are incompletely understood, as are the genetic factors that modify individual vulnerability. Because the phenotype abnormalities of FASD are so varied and widespread, we investigated whether fetal exposure to EtOH disrupts ribosome biogenesis and the processing of pre-ribosomal RNAs and ribosome assembly, by determining the effect of exposure to EtOH on the developmental expression of 18S rRNA and its cleaved forms, members of a novel class of short non-coding RNAs (srRNAs). In vitro neuronal cultures and fetal brains (11–22 …

Strategies For Strengthening The Resilience Of Public Health Systems For Pandemics, Disasters, And Other Emergencies, Benjamin Ryan, Mayumi Kako, Rok Fink, Perihan Şimşek, Paul Barach, Jose Acosta, Sanjaya Bhatia, Mark Brickhouse, Matthew Fendt, Alicia Fontenot, Nahuel Arenas Garcia, Shelby Garner, Abdülkadir Gunduz, D Mike Hardin, Tim Hatch, Lashonda Malrey-Horne, Makiko Macdermot, Ryoma Kayano, Joshua Mckone, Chaverle Noel, Shuhei Nomura, Jeremy Novak, Andrew Stricklin, Raymond Swienton, Ismail Tayfur, Bryan Brooks

College of Population Health Faculty Papers

OBJECTIVE: The aim of this study was to identify and prioritize strategies for strengthening public health system resilience for pandemics, disasters, and other emergencies using a scorecard approach.

METHODS: The United Nations Public Health System Resilience Scorecard (Scorecard) was applied across 5 workshops in Slovenia, Turkey, and the United States of America. The workshops focused on participants reviewing and discussing 23 questions/indicators. A Likert type scale was used for scoring with zero being the lowest and 5 the highest. The workshop scores were analyzed and discussed by participants to prioritize areas of need and develop resilience strategies. Data from all …

Design, Analysis, And Interpretation Of Treatment Response Heterogeneity In Personalized Nutrition And Obesity Treatment Research, Roger S. Zoh, Bridget H. Esteves, Xiaoxin Yu, Amanda J. Fairchild, Ana I. Vazquez, Andrew G. Chapple, Andrew W. Brown, Brandon George, Derek Gordon, Douglas Landsittel, Gary L. Gadbury, Greg Pavela, Gustavo De Los Campos, Luis M. Mestre, David B. Allison

School of Public Health Faculty Publications

It is increasingly assumed that there is no one-size-fits-all approach to dietary recommendations for the management and treatment of chronic diseases such as obesity. This phenomenon that not all individuals respond uniformly to a given treatment has become an area of research interest given the rise of personalized and precision medicine. To conduct, interpret, and disseminate this research rigorously and with scientific accuracy, however, requires an understanding of treatment response heterogeneity. Here, we define treatment response heterogeneity as it relates to clinical trials, provide statistical guidance for measuring treatment response heterogeneity, and highlight study designs that can quantify treatment response …

Critical Issues In Community Health Course At Kingsborough Cc (Coh 1200) - Fall 2023, Jose Nanin

Open Educational Resources

This syllabus includes OER materials and college policies for a fully online course that exposes students to a range of topics and methods that health specialists use to research health disparities in affected communities. Through readings and videos, as well as online course assignments and discussions, students learn about library/database research methods, credibility of health information, and the health disparities most commonly occurring in modern society.

Development Of A Culturally Adapted Dietary Intervention To Reduce Alzheimer's Disease Risk Among Older Black Adults, Ashley R Shaw, Mickeal N Key, Samantha Fikru, Saria Lofton, Debra K Sullivan, Jannette Berkley-Patton, Crystal M Glover, Jeffrey M Burns, Eric D Vidoni

Faculty, Staff and Student Publications

The objective of this study is to identify and understand knowledge and attitudes that influence dietary practices among older Black adults using a community-engaged approach. This is a non-interventional mixed methods study designed to inform the development of an adapted brain-healthy soul food diet intervention. A purposive sampling approach was used to conduct seven semi-structured focus group discussions and an online quantitative survey. In total, 39 participants who self-identified as Black, aged 55 years and older, English speaking, and who were cognitively normal with an AD8 < 2; (25.6% men; 74.4% women) participated in the online survey and one of the seven 60 min virtual focus group discussions (5-7 per focus group). Quantitative frequency data from the online surveys were analyzed using descriptive statistics. Qualitative focus group data were analyzed using a 6-step thematic analysis process. Five themes emerged: dementia awareness; practices shaping food choices and consumption; barriers to eating healthy; instrumental support; and elements of a culturally adapted brain-healthy dietary intervention. Older Black adults perceived an adapted MIND dietary model as the most acceptable with the incorporation of salient cultural characteristics and strategies within both the design and delivery phases.

Needle Exchange Programs And Their Impact On Hiv Incidence In West Virginia: Is It Working?, Amber Graves, Katie Duty, Thomas Norton, Alberto Coustasse

Management Faculty Research

The opioid epidemic has had a strong impact on West Virginia, due to various social, economic, cultural, and environmental hardships. To aid users, Needle Exchange Programs (NEPs) were created to exchange used needles for new sterile ones and provide awareness of treatment and rehabilitation options. This study aimed to assess the effectiveness of NEPs in reducing HIV and Hepatitis C infections in West Virginia, and the subsequent decrease in healthcare costs. In 2018 and 2019, there was an HIV outbreak in Cabell County, with 85 cases requiring CDC intervention in 2019. This occurred after the county-run needle exchange was reduced. …

Differences In Clinical Presentation At First Hospitalization And The Impact On Involuntary Admissions Among First-Generation Migrant Groups With Non-Affective Psychotic Disorders., Kelly K Anderson, Rebecca Rodrigues

Epidemiology and Biostatistics Publications

BACKGROUND: Some migrant and ethnic minority groups have a higher risk of coercive pathways to care; however, it is unclear whether differences in clinical presentation contribute to this risk. We sought to assess: (i) whether there were differences in clinician-rated symptoms and behaviours across first-generation immigrant and refugee groups at the first psychiatric hospitalization after psychosis diagnosis, and (ii) whether these differences accounted for disparities in involuntary admission.

METHODS: Using population-based health administrative data from Ontario, Canada, we constructed a sample (2009-2013) of incident cases of non-affective psychotic disorder followed for two years to identify first psychiatric hospitalization. We compared …

Adolescent Hope And Optimism: A Scoping Review Of Measures And Their Psychometric Properties, Esther Chongwo, Ezra Too, Adam Mabrouk, Amina Abubakar

Institute for Human Development, East Africa

There is much research examining adolescent hope and optimism, but there is limited information on the available measures, particularly the most frequently used measures and their psychometric properties. We conducted a scoping review to: (1) identify measures of hope and optimism for use among adolescents; (2) determine the most frequently used measures of adolescent hope and optimism; (3) document the psychometric properties of the identified measures. We searched five bibliographic databases and Open Grey for relevant articles published from database inception to 03 May 2023. The search included the key terms ‘adolescents’, ‘optimism’, ‘hope’ and ‘measures’. We targeted adolescents aged …

Poverty And Commercial Surrogacy In India: An Intersectional Analytical Approach, Sheela Suryanarayanan

Dignity: A Journal of Analysis of Exploitation and Violence

The destination and source countries for commercial surrogacy match world patterns of inequality. India, Nepal, Thailand, Mexico, and Cambodia banned commercial surrogacy, moving the market to other less-developed countries in South Africa and South America. India had a commercial surrogacy boom until exploitative factors led to the passage of the Surrogacy (Regulation) Bill in 2019, which banned the practice. This paper examines surrogacy's monetary, health, and emotional effects on 45 surrogate mothers in Gujarat State, India. The study revealed that a majority (63%) of the very poor women remained very poor post-surgery. Surrogate mothers in poor households had to do …

Reinvigorating Engineered Noise Controls: A Systems Approach, Jeremy Slagley, Adam Dudarewicz, Pawlaczyk-Łuszczyńska Małgorzata, Francis Slagley

Faculty Publications

Excerpt: Hearing loss is a major worldwide health issue affecting an estimated 1.5 billion people. Causes of hearing loss include genetics, chemicals, medications, lifestyle habits such as smoking, and noise. Noise is probably the largest contributing factor for hearing loss. Noise arises from the workplace, ambient environment, and leisure activities. The easiest noise sources to control are workplace and environmental. Workplace noise is unique in that the employer is responsible for the noise and the worker. Also, workers may be exposed to much higher levels of noise than they would accept elsewhere. Employers follow the traditional hierarchy of controls (substitution/engineering, …

Knowledge And Use Of Paced Bottle-Feeding Among Mothers Of Young Infants, Alison K. Ventura, Vivian M. Drewelow

Kinesiology and Public Health

Objective: To describe mothers’ awareness and use of paced bottle-feeding (PBF) and to investigate whether the use of PBF was associated with maternal characteristics and infant feeding practices.

Methods: Cross-sectional, online survey. Participants were mothers of infants < 12 months of age (n =197). Participants self-reported their awareness and use of PBF, demographic characteristics, and infant feeding practices.

Results: Of the 41% of participants who indicated they had or maybe had heard of PBF, 23% used PBF and 35% sometimes used PBF. Use of PBF was not associated with mother or infant characteristics. Participants who used PBF were significantly less likely to encourage their infant to finish the bottle (odds ratio,0.04; 95% confidence interval, 0.01−0.79).

Conclusions and Implications: Paced bottle-feeding was …

Kenyan Palliative Care Providers’ And Leaders’ Perceptions Of Palliative Care Research Needs And Support To Facilitate Rigorous Research, K. Cartmell, E. Doherty, Nancy Gikaara, Z. Ali, S. Qanungo, E. S. Melikam, R. A. Powell

Internal Medicine, East Africa

Background: Palliative care (PC) can reduce symptom distress and improve quality of life for patients and their families experiencing life-threatening illness. While the need for PC in Kenya is high, PC service delivery and research is limited. Qualitative research is needed to explore potential areas for PC research and support needed to enable that research. This insight is critical for informing a national PC research agenda and mobilizing limited resources for conducting rigorous PC research in Kenya.

Objectives: To explore perceptions of priority areas for PC research and support needed to facilitate rigorous research from the perspective of Kenyan PC …

Transitioning From Medicaid To Private Health Insurance: Informing Public And Private Sector Outreach, Amy S. White

Publications and Research

This study explored the lived experiences of transitioning from Medicaid to private health insurance upon college graduation. Fifteen recent graduates of an urban, commuter, public college in the Mid-Atlantic were interviewed via Zoom® to understand what they regard as crucial aspects of the transition experience, especially during the COVID pandemic. The subjects all identified as being members of a minority racial or ethnic group, the average age was 33 years (SD = 10.96), and all but one interview subject majored in the health sciences. Every recent graduate reported experiencing difficulty in the transition. Subjects felt unprepared for the transition, alone, …

Neurocognitive Outcomes Of Children Exposed To And Living With Hiv Aged 3–5 Years In Kilifi, Kenya, Esther Chongwo, Catherine Wedderburn, Moses Kachama, Antipa Sigilai, Paul Mwangi, Janet Thoya, Rachel Odhiambo, Katana Ngombo, Charles Newton, Amina Abubakar

Institute for Human Development, East Africa

Introduction: Globally, 1.7 million children are living with HIV, with the majority of them residing in sub-Saharan Africa. Due to reduced rates of vertical transmission of HIV, there is an increasing population of children born to HIV-infected mothers who remain uninfected. There is a growing concern around the development of these children in the antiretroviral therapy era. This study examined the neurocognitive outcomes of children who are HIV-exposed infected (CHEI), HIV-exposed uninfected (CHEU) and HIV-unexposed uninfected (CHUU) and explored the relationship between child neurocognitive outcomes and child's biomedical and caregivers’ psychosocial factors.

Methods: CHEI, CHUU and CHEU aged 3–5 years …

Implementation And Outcome Evaluation Of La Door: A Proposition 47-Funded Program In Los Angeles: Cohort 2 Final Evaluation Report, Melissa M Labriola, Danielle Sobol, Heather Sims, Stephanie Brooks Holliday

Faculty, Staff and Student Publications

The Los Angeles Diversion, Outreach, and Opportunities for Recovery (LA DOOR) program is designed by the Los Angeles City Attorney's Office (LACA) to provide a comprehensive, health-focused, preventative approach that proactively engages individuals at elevated risk of returning to LACA on a new misdemeanor offense. In this study, the authors document the findings of a process and outcome evaluation of Cohort 2 of the LA DOOR program.