Social and Behavioral Sciences Commons^™

Social Determinants Of Health: The Impact On Health Outcomes And Hospital Profitability, Danielle Mcpherson

Doctor of Business Administration Dissertations

Hospitals are experiencing decreasing profitability due to increasing healthcare cost. In this paper, I demonstrate that there is financial value to hospitals by addressing social determinants of health (SDOH) as this strategy improves health outcomes and yields cost savings. I estimate the impact of SDOH on the health outcomes using an IV probit regression analysis and estimated the impact of health outcomes on cost using a basic linear regression. I estimate that improving SDOH by one standard deviation will result in hospital cost savings as follows: addressing Violent Crime will decrease hospital cost between 0.16% and 0.21%, addressing Supplemental Nutrition …

Covid-19 Educational Inequities: Shining A Light On Disparities In A Graduate School Of Social Work, Jason Jabbari, Dan Ferris, Tyler Frank, Michal Grinstein-Weiss

Social Policy Institute Research

In the wake of COVID-19, universities and schools of social work face unprecedented challenges and uncertainty in aligning their academic models with public heath protocols and best practices, while prioritizing the safety and well-being of their students. In order to best respond to these challenges and uncertainty, more research is needed to advance a greater understanding of (1) what challenges students face, (2) who is most at risk and impacted by these challenges, and (3) how universities can best support students. Through a survey administered during the spring 2020 semester at a large research university in the Midwest, we explored …

Racial And Ethnic Disparities In Housing Instability During The Covid-19 Pandemic, Yung Chun, Stephen Roll, Selina Miller, Hedwig Lee, Savannah Larimore, Michal Grinstein-Weiss

Social Policy Institute Research

Stable and adequate housing is critical in the midst of a pandemic; without housing, individuals and families cannot shelter in place to prevent the spread of disease. Understanding and combating housing hardships in vulnerable populations is therefore essential to a sound public health response. This study aims to explore the pandemic’s disproportionate impacts on housing-related hardships across racial/ethnic groups in the United States as well as the extent to which these disparities are mediated by households’ broader economic circumstances; namely, their pre-pandemic liquid asset levels and the experience of COVID-19-related job and income losses. Using a national survey of over …

Who Relocates, Where Do They Move, And Why?, Yung Chun, Jason Jabbari, Pranav Nandan, Andrew Foell, Michal Grinstein-Weiss

Social Policy Institute Research

The lack of socioeconomic mobility among marginalized populations leads to the concentration of poverty, a long-standing issue in American cities. Empirical studies on neighborhood effects have found that poverty concentration adversely affects the socioeconomic mobility of residents—associated with their economic well-being, employment, education, health, and safety—in lower-income neighborhoods. Through a variety of neighborhood revitalization projects, federal, state, and local governments have put enormous efforts into cutting the vicious cycle of poverty while increasing the socioeconomic mobility of lower-income households. One of these projects, the Choice Neighborhood Initiative, is a recent Federal effort to revitalize distressed public housing sites in American …

Asset-Building Policy In Korea: Innovation For Social Development, Michael Sherraden

Center for Social Development Research

This Perspective is adapted from Michael Sherraden’s keynote address given during the “Ceremony Commemorating the 20th Anniversary of Self- Sufficiency & Welfare Policy and 10th Anniversary of Asset- Building Policy” in Korea. The Perspective is presented through a partnership between the Center for Social Development, the Korean Ministry of Health & Welfare, and the Korea Development Institute for Self-Sufficiency & Welfare.

It Shouldn’T Take A Pandemic To Increase School Meal Access For Low-Income Students: A Two-Step Floating Catchment Area Analysis Of School Meal Access During Covid-19, Jason Jabbari, Yung Chun, Pranav Nandan, Laura Mcdermott, Tyler Frank, Dan Ferris, Sarah Moreland-Russell, Stephen Roll

Social Policy Institute Research

COVID-19 created an additional barrier for students who benefit from free school meals. While some schools attempted to provide alternative meal access points, many students lack adequate transportation. Thus, physical proximity to meal access points is particularly important during the pandemic. Taking into account both the “supply” and the “demand” for free meals, we employed a two-step floating catchment area analysis to analyze meal accessibility in St. Louis, MO. Overall, while meal access during the spring 2020 semester was substantially lower than the spring 2019 semester, meal access during the 2020 summer was substantially higher than the 2019 summer. Moreover, …

Income Loss And Financial Distress During Covid-19: The Protective Role Of Liquid Assets, Stephen Roll, Mathieu Despard

Social Policy Institute Research

Nearly a quarter of U.S. households have experienced job or income losses related to the COVID-19 pandemic. Liquid assets mitigate financial distress in the face of financial shocks such as job loss, yet this relationship in the midst of the COVID-19 pandemic is unknown. Using a nationally representative sample of U.S. households (N = 4,383) who completed a survey in the early days of the pandemic, we examined pre-pandemic liquid assets as a moderator of the relationship between job and income loss and difficulty meeting financial obligations and use of high-cost financial resources. Estimates from propensity score-weighted linear probability models …

Financial Capability And Asset Building In Social And Economic Development: Advancing The Sustainable Development Goals, David Ansong, Moses Okumu, Jin Huang`, Margaret S. Sherraden, Lissa Johnson, Li Zou

Center for Social Development Research

The concern for economic well-being undergirds most of the United Nations Sustainable Development Goals. This Perspective articulates an agenda for advancing those goals in resource-constrained countries by leveraging financial capability and asset-building (FCAB) strategies. It also specifies a role for financial technology (commonly called “FinTech”) in this work. The authors conclude with a call for better integrating FCAB and FinTech into plans for advancing the SDGs.

Thirty-Third Annual Bibliography 2019 (Mike Lützeler Contemporary German Literature Collection), Walter Schlect, Theresa Sambruno Spannhoff, Paul Michael Lützeler

University Libraries Publications

The 33rd bibliography of 717 volumes added to Washington University Libraries' Mike Lützeler Contemporary German Literature Collection. All published in 2019, these acquisitions include novels, poetry, short story collections, graphic novels, essays, autobiographical works, and literary and cultural periodicals from publishers in Germany, Austria, and Switzerland. Organized by author or editor, the bibliography includes local call numbers as well as subject and genre descriptors. This Collection serves as the research arm for the Department of Germanic Languages and Literature's Max Kade Center for Contemporary German Literature. A bibliography of items added the previous year is compiled each year …

Insights From State Treasurers: Developing And Implementing Statewide Child Development Account Policies, Chris Leiker, Margaret M. Clancy, Michael Sherraden

Center for Social Development Research

In 2018 and 2019, Pennsylvania, Nebraska, Illinois, and California enacted laws creating automatic, universal, at-birth CDA policies, and in 2020, the COVID-19 pandemic halted the progress of CDA bills in Missouri. Several states previously adopted CDA policies by administrative rule. This Policy Summary presents insights from four state treasurers based on their direct experience developing statewide CDA policy through legislation.

On July 16, 2020, the treasurers and other professionals gathered virtually for “All Children Can Reach Their Potential: A CDA Conference.” In a panel discussion moderated by Missouri State Treasurer Fitzpatrick, Pennsylvania State Treasurer Joe Torsella, …

Leadership Through An Indigenous Lens, Kelley Mccall

Buder Center for American Indian Studies Research

Indigenous leaders are found throughout history, across the globe. Indigenous leaders have been present long before European settlers colonized lands. These leaders possessed qualities, worked within frameworks, and created strategies to successfully lead their people and nations. For the purposes of this brief, examples used will be of American Indians/First Nations leaders.

Cash Transfers And Health, Sicong Sun, Jin Huang, Darrell Hudson, Michael Sherraden

Center for Social Development Research

Financial resources are known to affect health outcomes. Many types of social policies and programs, including social assistance and social insurance, have been implemented around the world to increase financial resources. As an overall term, we refer to these as cash transfers. In this article, we discuss whether, how, for whom, and to what extent purposeful cash transfers may improve health, both theoretically and empirically. The overall finding is that cash transfers are very positive, but as usual, there are many complexities and variations. Continuing research and policy innovation—for example, universal basic income and universal Child Development Accounts—are likely to …

Landesque Capital And Community Organization In A Maya Economic Center: A Case Study At Salinas De Los Nueve Cerros, Guatemala, Alexander Ernesto Rivas

Arts & Sciences Electronic Theses and Dissertations

Many ancient Maya lowland cities developed water-rich landscapes that met the multiple needs of growing populations. The development of landesque capital, in which permanent changes in infrastructure, water procurement, and agricultural productivity are best understood at sites with a long history of occupation. Salinas de los Nueve Cerros was an ancient Maya center that was occupied for approximately 2000 years, surviving the ‘Maya Collapse.’ This site, located in the Maya lowlands, had ties to both highland and lowland communities through its primacy in exporting salt. However, what is not yet understood is whether the commercial population of Nueve Cerros practiced …

Safekeeping: Slavery, Capitalism, And The Carceral State In Washington, D.C., 1830-1863, Brandon Wilson

Arts & Sciences Electronic Theses and Dissertations

By the 1830s, incarceration emerged as a two-pronged solution for racial control and economic expansion. Local and federal government built jails around the District of Columbia to detain "rowdy negro boys," men, and women, as a means to stymie their rapid movement and fuel a burgeoning domestic slave trade. People were jailed, fined, and often sold to the Deep South, providing a wellspring of capital for enslavers, justified through the lens of criminality. For the crime of petty theft, missing free papers, or in at least one case "using foul language," black people of the Washington region could find themselves …

Decision-Making Difficulty In Major Depression: Understanding Indecisiveness And The Role Of Expected Affect, Haijing Wu Hallenbeck

Arts & Sciences Electronic Theses and Dissertations

Decision-making difficulty is a prevalent symptom among individuals with major depressive disorder (MDD). Decision-making difficulty has been found to be pervasive across different areas of decision-making in current MDD; however, its exact nature for some areas (e.g., indecisiveness) is not well characterized, and the extent to which it is a scar of MDD is not determined. Furthermore, affective disturbances (e.g., in expected affect) have been theorized to contribute to decision-making difficulty in MDD, but empirical studies are needed to test this theory. In my two-study dissertation on depression, Study 1 focused on the dimensionality and validity of indecisiveness, and Study …

Microrna Gene Expression States Underlying Individual Variation In Aging And Lifespan In Isogenic C. Elegans, Holly Kinser

McKelvey School of Engineering Theses & Dissertations

Average lifespan differs greatly between species, but lifespan among same-species individuals is also highly variable. While much effort has been devoted to uncovering longevity-associated traits and lifespan-extending perturbations in humans and model organisms, how differences in lifespan arise between individuals is unknown. Studies of human identical twins demonstrate that surprisingly little of the variation in lifespan between individuals can be explained by genetics and shared environment. Furthermore, even genetically identical C. elegans reared in highly homogeneous environments display a degree of variability in lifespan similar to that of outbred human populations. Thus, longevity must be determined at least in part …

A Mega-Analysis Of Personality Prediction: Robustness And Boundary Conditions, Emorie Danielle Beck

Arts & Sciences Electronic Theses and Dissertations

Decades of research suggest that personality is an important and robust predictor of life outcomes. However, previous investigations of personality-outcome associations have not adequately accounted for reverse causality and selection bias nor have they examined the boundary conditions of the effects, which has left the robustness conditions of personality-outcome associations unknown. The present study examines the robustness and boundary conditions of personality prediction using 14 personality characteristics to predict 14 health, social, education/work, and societal life outcomes across eight different person- and study-level moderators in 10 longitudinal panel studies in a mega-analytic framework coupled with propensity score matching to control …

Sustainable Diets For Planetary Health: A Study Of Indigenous Based Agri-Food Systems In A Community Of The Central Highlands Of Ecuador, Carlos Andres Gallegos-Riofrio

Arts & Sciences Electronic Theses and Dissertations

In order to explore the psychosocial and agroecological dimensions of sustainable diets and their roles in the rural Andean community of Caliata in the Ecuadorian highlands, I conducted a community-centered participatory mixed-methods study. Thirty-nine focus groups and ten key informant interviews were conducted, recorded, translated, transcribed, and analyzed using three-stage coding. The information was triangulated using participant observation, local records, and descriptive statistics from a survey of 57 female household heads, which included a modified 48-hour dietary recall module. Rural appraisal research assessed agroecological dimensions. Ten purposively selected sites were studied alongside local informants in order to obtain diversity indexes …

On Staying Open While Seeing Red: Predicting Open-Mindedness And Affect In Politics, Emily Hanson

Arts & Sciences Electronic Theses and Dissertations

This dissertation examines whether people who claim to be dispositionally open-minded, do in fact, demonstrate such open-mindedness when they are actually presented with political opinions that run counter to their own. In Study 1, participants rated their partisan identity and dispositional open-mindedness prior to reacting to a series of fictional Facebook posts that varied in both their political ideology and political extremity. The results of this study demonstrated that the most consistent predictor of �open� reactions (operationalized in terms of both cognitive judgements and affective reactions) to each type of Facebook post was whether it was congruent with the participants� …

Vocational Expectations From Adolescence To Early Adulthood: An Integrative Exploration Of Their Formation, Consistency, Change, And Predictive Value, Leah Hope Schultz

Arts & Sciences Electronic Theses and Dissertations

Career expectations show predictive validity for future job selection and work outcomes above traditional vocational interest inventories, yet are rarely tracked longitudinally. The current study explored characteristics of adolescents’ freely reported career expectations by examining their formation, typical trajectories of their development, individual differences in their development, and their utility as predictors of life outcomes. Though some past research has examined longitudinal trends in adolescents’ career expectations, this was the first study to assign dimensional RIASEC scores to participants’ expected occupations rather than a single categorical code. Using data from 21,444 students in the High School Longitudinal Study (HSLS 09:16; …

Schisms And Boundaries: Islamic Organizations And Sectarianism Between South Asia And Spain, Guillermo Martín-Sáiz

Arts & Sciences Electronic Theses and Dissertations

Since the September 11 attacks, numerous researchers—from security experts and political scientists to sociologists and anthropologists—have discussed how Islamic organizations establish within mosques across Europe and spread sectarianism among Muslims in the region. While these researchers have provided valuable insights, the dynamics that characterize the relationship between these mosques and organizations and the resulting sectarianism seem far from self-explanatory and remain rather unclear.

This dissertation focuses on how the intersections between global and local phenomena—the so-called War on Terror and Clash of Civilizations on the one hand, and urban transformations and gentrification on the other—shape support for—and opposition to—Islamic organizations …

Personalized Models Of Social Anxiety Disorder And Depression, Marilyn L. Piccirillo

Arts & Sciences Electronic Theses and Dissertations

Social anxiety disorder (SAD) is an important risk factor for major depressive disorder (MDD) and together this comorbidity constitutes a highly impairing syndrome and vicious cycle of symptomatology, associated with tremendous health costs and societal burden. Despite much group-level research examining risk factor for MDD specifically, there is limited group and individual-level research evaluating how individuals with SAD transition into depressive episodes. Clinical and theoretical evidence suggests that each patient may exhibit a unique personalized pattern of risk factors. These idiographic patterns may contradict relationships seen at the group level. In this dissertation, women (N = 35) with SAD and …

Child Development Accounts Improve Parenting Practices, Particularly For Financially Vulnerable Families, Jin Huang

Center for Social Development Research

Parenting practices, such as parental involvement and discipline, define parent–child interactions and influence child functioning. Child Development Accounts may have positive impacts on parenting practices by increasing parents’ perceived levels of economic safety, enhancing their optimism regarding the long-term development of their child, and improving parents’ mental health. This research brief synthesizes findings of the CDA effects on parenting practices from three research studies in the SEED for Oklahoma Kids experiment.

Findings show that the SEED OK CDA has significantly reduced mothers’ punitive parenting practices, and also increased positive parenting practices among mothers in financially vulnerable families. The size of …

Strategies For Debt Reduction: Comparing Financial Tips And Financial Counseling, Sophia Fox-Dichter, Madi M. Ryan, Olga Kondratjeva, Stephen Roll

Social Policy Institute Research

U.S. households hold increasingly more debt, with almost 80% of adults holding debt of some form.1 While ownership of debt is widespread, debt burdens can be particularly challenging for low-income households; debt-to-income ratios can be three times higher for these households compared to those with high-incomes.2 Debt reduction has thus become an aim of initiatives to help lower-income Americans increase their financial well-being. This brief examines two different mechanisms for delivering debt management advice and describes the success of each method in helping individuals reduce their debt.

State License Renewal Information For Licensed Professional Counselors And Addiction Counselors, Kelley Mccall, Lindsey Manshack

Buder Center for American Indian Studies Research

The purpose of this document is to provide an analysis of continuing education requirements for professional counselors and addiction counselors by state. The chart below shows 1) Profession Title(s), 2) Allowable CE sources, 3) CE Hours/Topic Requirements, 4) Training Type/Delivery Methods, and 5) Renewal Fees.

Please carefully read your state licensure renewal requirements. State laws often change, so please remember it is your responsibility for interpreting your state’s laws, licensure requirements, course relevancy, and all requirements for your state. Note: The CE Allowable Sources section listings are not an exhaustive list. Please consult the state’s licensing board for a complete …

Accountable Policing: Policies To Advance The Personal Safety Of Black Boys And Young Men, Robert Motley

Center for Social Development Research

The policies and practices that perpetuate the continual, unjust murder of Black males by the nation’s law-enforcement professionals have gone unchanged for far too long. This Brief Report from HomeGrown StL provides local, state, and federal policymakers with concrete, evidence-based policy recommendations for building an equitable, transparent, and accountable public-safety approach that will serve and protect all.

Social Work And The Future Of Policing: Key Points For Changes In Policy And Practice, Michael Sherraden

Center for Social Development Research

High-profile police violence and killings have prompted struggles to reconceptualize public order, safety and justice. As reform proposals emerge, this brief proposes key elements for new approach to public safety: an expanded professional partnership between police and social workers.

Material Hardship Among Lower-Income Households: The Role Of Liquid Assets And Place, Mathieu Despard, Valerie Taing, Addie Weaver, Stephen Roll, Michal Grinstein-Weiss

Social Policy Institute Research

Lower income households are at risk for material hardship, particularly amidst the economic fallout of COVID-19. Where one lives (e.g. suburb, small town) may affect this risk due to variable access to resources, yet the evidence is mixed concerning the influence of place. We used a pooled, national cross-sectional sample of 66,046 lower-income tax filers to examine differences in material hardship in rural, small town, micropolitan, and urban areas. Controlling only for standard demographic variables, hardship risk appears higher in non-urban areas, yet these differences disappear after controlling for financial characteristics such as liquid assets and home ownership.

Employee Financial Wellness Programs: Tips For Employers, Sloane Wolter, Jenna Hampton Bsw, Sophia Fox-Dichter, Ellen Frank-Miller

Social Policy Institute Research

There are several types of Employee Financial Wellness Programs (EFWPs), such as workplace financial counseling, workplace credit building, and employer-sponsored small dollar loans. Each program benefits the company and its employees in different ways.

The Social Policy Institute at Washington University in St. Louis, with generous support from the W. K. Kellogg Foundation, studied the implementation of EFWPs at several diverse organizations, including a nonprofit in the Midwest and several supply chain locations of a national retailer, to understand the impact. As a result, we’ve identified four ways in which organizations can maximize the benefits of EFWPs and avoid pitfalls …

Employee Financial Wellness Programs: Promising New Benefit For Frontline Workers?, Mathieu Despard, Ellen Frank-Miller, Yingying Zeng, Sophia Fox-Dichter, Geraldine Germain, Michal Grinstein-Weiss, Meredith Covington

Social Policy Institute Research

Interest among employers is growing in Employee financial wellness programs (EFWPs), a new type of benefit to address financial stress among employees. EFWPs benefits include financial counseling, small-dollar loans, and savings programs that address employees' non-retirement financial needs. Little evidence exists concerning the availability and use of and outcomes associated with EFWPs, especially among low- and moderate-income (LMI) workers who may be in greatest need of these benefits. We present findings concerning awareness and use of EFWPs from a national survey of LMI workers (N=16,650). Availability of different EFWP benefits ranged from 11 to 15% and over a third of …