Public Affairs, Public Policy and Public Administration Commons^™

One Health Integration To Control And Prevent Zoonoses: Application Of Organizational Theory Literature, Lisset M. Dumet Poma, Sherril Gelmon, Julia M. Goodman, Seth E. O’Neal

Hatfield Graduate Journal of Public Affairs

Zoonoses are infectious diseases transmitted between animals and people that disproportionately affect low- and middle-income countries (LMICs). The One Health (OH) approach aims to integrate systems, incentivizing collaboration among animal, human, and environmental systems to address zoonoses and improve health. Innovative solutions for effectively and sustainably achieving systems integration are needed. Organizational theories can facilitate the study of the context of OH implementation, applying comprehensive approaches that recognize the interconnections among organisms, the environment, and social systems, including the diverse entities needing integration (e.g., policy, community, public organizations). This narrative review examines organization and systems literature to provide recommendations for …

Adolescent Preventive Care Outcomes Before And After Covid-19 Onset: What Is The Role Of Telehealth?, Sarah Hayden Knipper

Dissertations and Theses

Adolescents are a developmentally distinctive population with unique primary health care needs; they comprise about 10% of Oregon's population and more than half are covered by the Oregon Health Plan (OHP). This dissertation investigated significant declines in preventive care utilization (well visits and HPV immunizations) among adolescents enrolled in OHP during the COVID-19 pandemic and the relationship between the decline in utilization and the rise in telehealth availability. The study focused specifically on the role of race/ethnicity, geography, and access to health systems in mitigating or exacerbating decreases in preventive care. A mixed methods approach was employed to understand not …

Agglomeration Economies In Social Economy Clusters: The Role Of Networks, Mina Kim

Dissertations and Theses

The social economy is an economic framework that prioritizes social value over profit, emphasizing cooperation, solidarity, and community-based solutions to the failures of neoliberal market systems. In East Asia, the development of the social economy is often government-led, raising concerns about resource dependency and the long-term sustainability of Social Economy Organizations (SEOs). This dissertation investigates how network structures and diversity within a policy-driven social innovation cluster shape SEO survival, and how agglomeration economies operate differently compared to conventional industrial clusters. The case of Seoul Innovation Park (SI Park) in South Korea provides the empirical basis for the analysis.

A mixed-methods …

Is Ride-Hailing A Potential Solution For Older Adults After Driving Cessation? The Role Of Objective And Perceived Accessibility, Minju Kim Song

Dissertations and Theses

Due to age-related physical and cognitive changes, older drivers have a greater risk of crashes and are restricted by age-dependent regulation. Nonetheless, many older adults in the United States maintain a car-dependent lifestyle and still prefer driving. When driving cessation or reduction becomes necessary, a primary concern is finding suitable alternative transportation modes. However, the availability of alternative transportation modes does not guarantee their actual use of these options.

As a relatively new transportation mode, ride-hailing services, such as Uber and Lyft, offer on-demand, door-to-door transportation and may be a feasible transportation solution for older adults who stop driving. While …

"Change Is All There Is": Exploring Journalistic Coverage Of Gentrification In The St. Johns Neighborhood Of Portland, Or, Eva Kovolitsky

University Honors Theses

Gentrification, as an increasingly significant characteristic of contemporary urban spaces, has been the subject of a vast body of literature. This has prompted further research into how gentrification is described and the implications of language used in both academic research and popular media accounts. This study explores discourse used in journalistic coverage of gentrification in the St. Johns neighborhood of Portland, Oregon. Guided by past work in discourse analysis and critical urban geography, this study attempts to understand how academic discourse on gentrification is both reflected in and divergent from neighborhood-level discourse. This study used data from the St. Johns …

The Effects Of Family Cohesion On The Relationship Between Trauma And State-Level Social Policy Provision In The United States, Brandon Kendall Ross Fielding

Dissertations and Theses

This dissertation examines how childhood trauma and family cohesion interact to shape state-level social policy generosity in the United States. The study begins with a multilevel quantitative analysis using data from the National Survey of Children’s Health and the State Safety-Net Generosity Index to assess how individual-level experiences of trauma and family support relate to state-level welfare generosity. Two trauma indices--one focused on adverse childhood experiences and bullying, and the other on food-related hardship--are used to explore how trauma influences attitudes toward public assistance, and whether family cohesion moderates this relationship. Results from marginal effects analyses indicate that family cohesion, …

Institutions, Indigenous Peoples, And The Structure Of Power In Columbia River Basin Salmon Governance, Christopher Michael Page

Dissertations and Theses

As broad patterns of behavior influenced by norms and rules, institutions structure many aspects of modern society through coordination and the distribution of power. Due to the importance of common-pool natural resources to many aspects of society, they usually involve competition and lie at the intersection of multiple institutions. This combination of institutions, power disparities, and a competitive interest is what scholars have referred to as a "field." Fields can be complex, and the coordination among interests is generally done through a form of governance involving a wide array of laws, regulations, and actors. When at least one of these …

Book Review Of, In Our Backyard: Keeyask And The Legacy Of Hydroelectric Development, Christopher M. Page

Public Affairs and Policy Faculty Publications and Presentations

Book Review of: In Our Backyard: Keeyask and the Legacy of Hydroelectric Development. Edited by Aimée Craft and Jill Blakley. Winnipeg: University of Manitoba Press, 2022. 422 pages. $31.95 paper; $22.50 e-book.

The Effects Of School Safety Strategies On K-12 Schools: Armed Civilians, School Resource Officers, And Metal Detectors As Contributors To The School-To-Prison Pipeline, Rebeca Petean

Dissertations and Theses

In recent decades, K-12 public schools have introduced get-tough measures ostensibly to improve school safety through punitive responses to misconduct and delinquency--expanding from traditional security measures to more punitive, zero-tolerance policies and surveillance-based approaches. Academic literature and media accounts highlight that such efforts continue to proliferate and extend across our nation's school spaces. This three-paper dissertation examines how specific safety practices--namely, the presence of armed civilians, School Resource Officers (SROs), and random metal detector checks--influence student outcomes and contribute to the school-to-prison pipeline. Rooted in Becker's (1963) and Lemert's (1967) labeling theory, as well as Sampson and Laub's (1997) cumulative …

Geography Of Non-Daytime Work And Employer-Centered Transit Accessibility, Julia Mai Plotts

Dissertations and Theses

Non-daytime shift workers--including those on evening, night, rotating, and split shifts--face unique transportation challenges. Those who rely on public transit often contend with complicated commutes and longer wait times on public transit systems that have traditionally catered to the 9-to-5 workforce. Meanwhile, the non-daytime workforce is disproportionately composed of marginalized groups, including low-income workers, racial and ethnic minorities, and individuals with fewer education credentials. For many lower-income workers, car ownership does not present a viable alternative, as cost-of-ownership consumes a significant portion of their income. This makes access to nighttime public transit a critical equity concern. However, most transit accessibility …

Activity Levels Among Older Adults In A Life Plan Community, Emily D. Winters

OHSU-PSU School of Public Health Annual Conference

This study aimed to analyze resident's knowledge of the health and wellness programs available to them in their facility. It explored activity levels, preferred activity methods, and health and wellness program utilization among older adults residing in a life-plan community. A total of 166 survey respondents, aged 65 and older, were included in the analysis. Data were collected using a self-administered questionnaire designed to assess physical activity patterns, preferences for activity types, and engagement with the facility’s health and wellness offerings. Open-ended questions were assessed qualitatively through thematic analysis to find common themes within data. Results indicated that the most …

Comparing Cpr Ventilation Strategies Within Tualatin Valley Fire And Rescue Using A Retrospective Observational Cohort Study, Jack T. Hindley

OHSU-PSU School of Public Health Annual Conference

Study Objective: This was a registry based retrospective observational cohort study of roughly 1,150 cardiac arrest cases transported by the Tualatin Valley Fire and Rescue emergency medical service (EMS) agency to hospitals in the Portland area from 2018-2019 and from 2022-2023 to compare cardiopulmonary resuscitation (CPR) ventilation policy changes between these two years from continuous chest compressions (CCC) to a compression ventilation ratio of 30:2. Hospital outcomes were linked to EMS records through trauma registries, state discharge and emergency department data. The primary outcome was survival to discharge, and the secondary outcome was positive neurological outcome (Cerebral performance category score …

Academyhealth - 2024 Data Visualization Winners, Chelsea Keating, Emily Boniface, Mina Colon

OHSU-PSU School of Public Health Annual Conference

Social determinants of health, such as income, employment, social contexts, and the built environment, influence the risk of food insecurity. Food insecurity can be defined as uncertain access to food and can lead to negative health outcomes like increased risk for obesity, chronic disease, and adverse effects on a child's development and mental health. Drivers like limited physical access to food, limited transportation options, and the quality and access to food assistance programs within local systems perpetuate health disparities—particularly in those communities with populations who have been systematically marginalized. This descriptive study uses 2022 data from the National Health Interview …

Exploring Health Equity With Culturally Specific Providers Of Permanent Supportive Housing, Judith R. Solomon

OHSU-PSU School of Public Health Annual Conference

Chronic homelessness is an important public health issue. Permanent Supportive Housing (PSH) is a promising opportunity for transitioning people experiencing homelessness into housing, however there remain unaddressed racial inequities in service provision and outcomes. The aim of this study is to better understand the role of culturally specific (CS) providers of PSH in improving health equity. I analyzed interviews with CS PSH providers for themes related to health and healthcare. Providers spoke about the importance of connecting clients to healthcare. Providers stressed the importance of honesty and lived experience, highlighting the strong sense of responsibility to the community. Providers also …

Comparing Acuity Of Patient Care At Student Run Free Medical Clinic Locations, Hana Warmflash, Olivia Krol, Alex Foster

OHSU-PSU School of Public Health Annual Conference

Intro:

Student run free medical clinics (SRFC) are present at roughly 75% of Association of American Medical Colleges member institutions1,2 providing care for underserved populations, such as those experiencing houselessness. 3 Persons experiencing houselessness have a higher burden of illness than housed persons but experience a greater barrier to obtaining care4. Delays in care result in more complex and longer hospitals stays4,5.

Our SRFC, Bridges Collaborative Care Clinic (BCCC), functions to address emergent complaints and monitor chronic health conditions. We aim to demonstrate how relocating from River District Navigation Center (RDNC) to a more accessible location, Resource Center (RC), enabled …

How To Kill A Human: Creating An Immersive Learning Game, Théo Caldwell, Nathan Bonnell

OHSU-PSU School of Public Health Annual Conference

How to Kill a Human is an experiment in teaching through gameplay. The environmental crisis facing the planet, though denied by many, is a collection of well-documented historical environmental catastrophes. The purpose of this project was to design a method of relating the impacts of environmental systems on human health, highlighting the dangers of ill planned human tampering, by presenting hypothetical environmental catastrophes and then relating them to documented historical disasters. In pursuit of this goal, we designed a semi-collaborative game for three to six players with a suggested age rating of 10+, ideal for teaching individuals of middle school …

Differences Between Stem Students And Faculty On Seeing Value In A Classroom Belonging Exercise, Kaisa S. Holt

OHSU-PSU School of Public Health Annual Conference

Efforts to enhance belonging in undergraduate STEM classrooms are believed pivotal for student success. However, we must not only promote belonging interventions but also understand STEM students and faculty perceptions of their value and utility. We gathered perspectives of faculty and undergraduates regarding the implementation and efficacy of a belonging exercise (Our Lives Lived, OLL) used in multiple STEM classes at one university over two years. We hypothesized that students would see more value in the exercise than faculty. We sent a survey instrument with an OLL summary and a series of open-ended responses to faculty. We recruited for focus …

Primary Health Care: Strengthening Health Systems In Low- And Middle-Income Countries, Erin Young

OHSU-PSU School of Public Health Annual Conference

In recent decades, global health priorities have shifted away from promoting selective, donor-led interventions and towards the goal of strengthening primary health care systems in low- and middle-income countries. This project seeks to identify recommendations for and best practices of primary health care system development from the existing literature. A critical literature review was conducted using the Ovid-MEDLINE database to identify articles that focused on primary health care, included recommendations for health systems strengthening, and addressed low- and middle-income countries. Ultimately, 27 articles published between 2004 and 2019 were included in this review. Results suggest that important priorities for building …

Universal Health Care, Oregon, Jennifer S. Arnold, Bethany Clouse, Alec Martin

OHSU-PSU School of Public Health Annual Conference

Historically, the US has chosen not to fund universal health care at every opportunity, leaving our nation as the only industrialized country without some system of health coverage for our citizens and with the worst health care outcomes of any high-income nation in the world. Health care in Oregon is no exception. Our current health care system is financially unsustainable, harmfully complex, and socially unjust, as well as inequitably delivered. Too many Oregonians, because of their race, age, income, geography, or insurance, endure vastly different health care access, varied health care quality, and wide-ranging health outcomes. In 2019, the Oregon …

Behind The Walls: The Implications Of Assisted Living Building Codes On Resident Safety, Adam Pennavaria, Lindsey Smith, Paula Carder, Cassandra Hua, Eric Jutkowitz, Kali Thomas

OHSU-PSU School of Public Health Annual Conference

As the US population collectively ages, issues related to assisted living (AL) resident safety have become an increasingly pressing issue for the general public, reflected by major media reporting in the last year. The building codes that govern ALs play an important role in mitigating the risks associated with falls, wandering, and other hazards, especially for residents living with Alzheimer’s disease and related dementias. We sought to understand how states vary in their approaches to building code regulations that might impact resident safety. We used search term-based text retrieval to identify areas of text relevant to locks, alarms, and egress …

Expanded Patient Reach At New Student Run Free Medical Clinic Location, Olivia Krol, Hana Warmflash, Alex Foster

OHSU-PSU School of Public Health Annual Conference

Background: Critical to modern medical education, student run free medical clinics (SRFCs) are present at more than 75% of AAMC member institutions. SRFCs educate students while providing low-barrier, free healthcare to underserved populations. SRFCs provide unique leadership and health systems management opportunities not traditionally emphasized in training, including leading logistical and operational changes.

In this project, we highlight the impact of a student-led operational initiative that transitioned our clinic from the River District Navigation Center (RDNC) to the Resource Center (RC), improving accessibility.

Methods:

Deidentified patient data from medical clinics from January 2024 to February 2025 were analyzed using RStudio …

Addressing The Promise And Peril Of Ai For Nonprofit Management Through A Data Feminist Pedagogy, Billie Sandberg, Rafeel Wasif, Laura C. Hand

Public Administration Faculty Publications and Presentations

The use of artificial intelligence (AI) has opened up possibilities for nonprofit management, and practitioners are taking notice. A recent study revealed that nearly 90% of nonprofit organizations are interested in using AI (MacDonald, Citation2023). Another study indicated that more than half of the nonprofits surveyed use AI to support finance, human resources, communications, and mission-related (i.e., working with clients, program implementation, and grantmaking) functions (Herschander, Citation2024). Indeed, many of us likely know student-practitioners and nonprofit colleagues who leverage AI to help write donor thank-you notes, newsletters, grant proposals, and press releases and who work for nonprofits that incorporate chatbots …

Beyond The Bickering: Examining Event, Victim, And Offender Characteristics For Sibling Abuse Incidents In Oregon, Isabella M. Starr

University Honors Theses

Sibling violence (SV) is the most prevalent form of intrafamilial and domestic violence, yet it remains underrecognized and lacks the systematic attention given to other forms of family violence. Often minimized or misclassified as typical sibling rivalry, SV can inflict serious and lasting physical, emotional, and psychological harm on its victims. This study explores the characteristics of sibling violence incidents reported to law enforcement in Oregon between 2016 and 2023, using data from the National Incident-Based Reporting System (NIBRS). Through an analysis of 5,793 single-victim, single-offender incidents, the research examines demographic patterns among victims and offenders, incident dynamics, and typological …

Collaboration Through Trust Building: Building Trust Among Racialized And Stigmatized Nonprofits, Shariq Siddiqui, Abdul Samad, Rafeel Wasif

Public Administration Faculty Publications and Presentations

Nonprofits collaborate to resolve common issues while improving program effectiveness and reducing replication. These collaborations can be critical for minority nonprofits in resolving their common problems. However, while literature often looks at nonprofit organizations working with the government or other organizations, it does not focus on how minority nonprofits can collaborate better with other minority organizations. Using Muslim American nonprofits as a case study, we understand better how trust can be built between nonprofits belonging to marginalized communities. We focus on the Community Collaboration Initiative, a three-year third-party-facilitated collaboration effort among Muslim-American nonprofits. Overall, Interpersonal relationships, organizational learning, and positive …

Accessible Bike Map Design: A Review And Critique Of Portland’S Bike Maps, Zachary Cheyney

Geography Masters Research Papers

Urban bike maps can serve as key tools for route planning and navigation for prospective cyclists, providing both general information (such as landmarks and natural features) and cycling specific information (such as bike lane infrastructure types and cycling amenities). Despite this, there is little professional guidance or academic research on best practices for bike map design. Potential guidance should consider the full range of potential cyclists, including disabled cyclists who have often been left out of cycling policy discussions. In this paper, I begin by discussing 3 case studies on participatory mapping methodologies with disabled participants in order to generate …

Active Transportation Data Fusion: Incorporating Big Data To Estimate Volumes, Joeseph Broach, Sirisha Kothuri, Nathan Mcneil

PSU Transportation Seminars

Planners and decision-makers have increasingly voiced a need for network-wide estimates of bicycling and walking. Such volume estimates have for decades informed motorized planning and analysis but have only recently become feasible for non-motorized travel modes. Recently, new sources of activity data have emerged derived primarily from GPS-based smartphone location data, both app-based and passively collected. The project team has led several research projects aimed at evaluating and integrating the emerging sources with conventional demand data, including observed bicycle and pedestrian counts, to assess the value added of various emerging sources and the potential for estimating network-wide volumes. This presentation …

Special Delivery: Special District Use Of Collaboration To Solve Challenges, Kelly Irene Fahl Sherbo

Dissertations and Theses

As the special district sector continues to increase in number across the U.S., understanding their role in public governance increases in value both to practitioners and academia alike. The state of the academic literature on special districts does not yet reflect the large size and importance of the sector and has been severely limited by available data, mainly coming from the U.S. Census Bureau. Existing research has focused on broad descriptions of the field of special districts, some studies focus on policy and political effects; but scant research analyzes behavior within and among special districts, particularly with their public entity …

Cost Comparison Of Congregate, Motel, And Village-Type Shelters For People Experiencing Homelessness, Jacen Greene, Todd Ferry, Emily Leickly, Franklin H. Spurbeck

Homelessness Research & Action Collaborative Publications and Presentations

Village and motel shelters exemplify the expanding field of “alternative” shelters for people experiencing homelessness, largely defined in contrast to “traditional” congregate shelters. Little research compares the financial costs of alternative and traditional shelter models. The research team analyzed cost data for 13 alternative shelters (six villages and seven motel shelters) and nine traditional congregate shelters in Portland, Oregon. Costs were assessed per “unit” (i.e. shelter bed or motel room) to account for differences in shelter sizes. Village shelters had the highest per-unit set-up costs ($99,630), followed by motel shelters ($88,462), while congregate shelters had the lowest ($43,692). Congregate shelters …

Assessing The Impact Of Anti-Dei Legislation In Florida: An Exploratory Study, Diane L. Odeh, Jan-Martijn Meij

Public Administration Faculty Publications and Presentations

The aim of this study determines what influence, if any, legislation aimed at censoring discussions and practices related to equity has on the ethical decision-making behavior of staff and faculty at a regional university within the state of Florida. Using inductive analysis, themes related to how one navigates profession-based ethics, political pressures, and personal ethics in higher education work will be evaluated. This contributes to the field of administrative ethics by exploring how ideology-based political pressure and direct legislative intervention on the bureaucracy impacts the practice of promoting social equity within public administration; and how an individual balances competing ethical …

Navigating The Neoliberal Assemblage: The Role Of A Nonprofit Organization Shaping Disaster Governance And Community Resilience, Andrew Michael Russo

Dissertations and Theses

This dissertation examines the evolving role of Nonprofits Active in Disasters ("NADs") in disaster governance through a case study of the Cascade Relief Team, a nonprofit organization responding to the 2020 Echo Mountain Complex Fire in Oregon. Utilizing governmentality and assemblage theory frameworks, the study investigates how CRT navigates the complex interplay between neoliberal rationalities, community needs, and disaster response practices.

The research reveals CRT's multifaceted role in shaping disaster knowledge, mediating between official frameworks and local realities, and influencing the formation of resilient subjectivities. While CRT's practices often align with neoliberal approaches to disaster management, emphasizing individual responsibility and …