Public Policy Commons^™

Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm

Graduate Doctoral Dissertations

Unmarried women over the age of 60 continue to experience disproportionate rates of adult poverty in the United States, while families headed by single mothers experience the highest poverty rates. This study explores the long-term impact of single motherhood on financial wellness through the perspective of Hispanic/Latina women ages 60 and over who have experienced single motherhood in Massachusetts. A transdisciplinary study, it utilizes intersectionality as a theoretical framework, employs feminist standpoint informed inquiry methods to document lived experiences through in-depth interviews, and engages diffraction as a mode of praxis as it intra-acts with narratives and explores the systems and …

Simulation Modeling For Robust And Just Public Policy Decision-Making, Jack Mitcham

Graduate Doctoral Dissertations

Public policy decision-making is challenging for several reasons. First, the outcomes of pulling a public policy lever are often deeply uncertain because of the complexity of the social and physical systems involved. Second, even if outcomes can be predicted, there are multiple points of view to consider, and the same outcome can be viewed anywhere from very positively to very negatively by different stakeholders. Because of this, public policy decisions should be both robust and just. Robustness helps with the uncertainty in outcomes and justice helps with differences in worldview. In this dissertation, I employ system dynamics and agent-based simulation …

Complexity At The Science-Policy Interface In Ethiopia’S Policy Spaces, Wondemagegnehu W. Sintayehu

Graduate Doctoral Dissertations

The mechanics of interaction between science and policy in the context of complex policy spaces has remained a subject of scholarly debate. Recent focus is shifting towards promoting science-policy interfaces as spaces for integration of science into decision making. However, the question of what these spaces are and how they function remains a puzzle. While existing literature agrees on the apparent disruption of communication between knowledge generation and policy; or offers suggestions on factors that facilitate or inhibit communication, it often fails to present a comprehensive understanding on the mechanisms of actual interchange. Besides, research tends to sideline considerations of …

E-Quality: An Analysis Of Digital Equity Discourse And Co-Production In The Era Of Covid-19, Kelsey E. Edmond

Graduate Doctoral Dissertations

The digital divide refers to the social stratification due to an unequal ability to access, adapt, and create knowledge via information and communication technologies (Andreasson, 2015). Digitally disadvantaged individuals have inadequate access to services and resources, exacerbating existing vulnerabilities. The COVID-19 pandemic instigated a new model of digital equity policymaking that leverages co-production between numerous actors. As citizens faced new financial and community constraints and governments reached administrative capacities, both the digital divide and the policymaking process evolved.

This inductive study explores how digital equity policymaking shifted to a co-production model (Ostrom, 1996) amid the pandemic. Using a sequential mixed-methods …

Caged Animals: The Reproduction Of Social And Educational Inequalities In Indian Secondary Schools, Vishakha Agarwal

Graduate Doctoral Dissertations

There is a continued crisis in public schooling in India’s low-income and socially disadvantaged communities. Schools are supposed to provide a safe and healthy environment conducive to learning that ultimately helps to disrupt the transmission of intergenerational poverty and leads to social and economic mobility among low-income and socially disadvantaged students. In practice, however, schools have served to disproportionately exclude marginalized populations from attaining quality education. Previous research has revealed that less affluent students attend under-resourced schools in buildings with poor infrastructural facilities and fewer or unqualified teachers (India Infrastructure Report, 2012), where they face hidden normative barriers that negatively …

Potty Politics: Investigating The Policymaking Processes Of Sanitation Service To The Urban Poor In Delhi, Tanushree Bhan

Graduate Doctoral Dissertations

This study investigates why sanitation outcomes vary across urban poor communities in Delhi, India. Unequal access to quality sanitation has serious implications for the health, dignity, and economic well-being of the poor and public health in general due to risks of environmental contamination. For this multiple-case study, a sample of 15 communities is drawn from slums, public housing, homeless shelters, and the streets. The database comprises of direct observations of sanitation outcomes in these communities, interviews with 95 key policy informants, official documents of relevant government agencies, newspaper articles, and a perception-of-the-poor survey of 30 sanitation bureaucrats. Thematic analysis of …

What Does Social Agency Have To Do With It? Positive Pathways To Adulthood For Groups Of Opportunity Youth And College Students In Rhode Island, Perri S. Leviss

Graduate Doctoral Dissertations

Opportunity youth are emerging adults 16–24 years old, neither in a career nor attending college. In 2018, there were 13,600 opportunity youth in Rhode Island, many are low-income, young people of color historically excluded from educational and career pathways. The study introduces an alternate lens grounded in the capability approach to human development and provides new terminology for thinking about the positive trajectory to adulthood for marginalized young people. The research offers an asset-based construct to view social agency [and the dimensions of hope, empowerment, voice, choice, and comm(unity)] as a foundational capability. The mixed methods study measures strength of …

Housing First: Defining And Analyzing A New Treatment Paradigm For Homelessness In The United States, Caitlin A. Carey

Graduate Doctoral Dissertations

As the Housing First approach to homeless service provision has proliferated in the United States in recent years, varied understandings of the model have emerged and a wide range of outcomes have been reported. This study seeks to better understand the variation in the implementation of Housing First, to identify outcomes of interest to stakeholders to improve future evaluations of the model, and to compare Housing First in practice to Housing First in theory. In order to achieve these goals, this study utilizes an exploratory sequential mixed methods research design beginning with a qualitative case study of Housing First programs …

How Does Grading Schools Impact Florida’S Teachers And Students? The Need For A New Approach To School Accountability, Luke Aubry Kupscznk

Graduate Doctoral Dissertations

In 1999, Florida began grading schools on an A to F scale. These grades constituted part of the A+ package of policies advanced by Governor Bush’s administration. Schools then earned grades based on student standardized test scores. These changes followed a decade of increasing dismay over the trajectory of American education and preceded national moves towards test-based accountability for students and schools. While many researchers have investigated the effects of high-stakes testing on students, few have looked at the impacts of school-level accountability on non-test outcomes. This study considers the impacts of receiving a failing-grade on variables other than test …

Lost In Translation: Understanding Education Policy Implementation In Nepal, Sushmita Subedi

Graduate Doctoral Dissertations

This study examines the impact of the School Sector Reform Plan (SSRP), a national education reform in Nepal, on primary and secondary education. The study uses mixed-methods to analyze indicators of educational outcomes and identify the underlying environmental, organizational, and individual factors that affect reform implementation.

The first phase of the study is a quantitative analysis of annual, district-level data on 75 districts for 10 years, from 2006 to 2016 using regression models to predict dropout and promotion rates. The second phase of the study is a qualitative analysis of the perceived effectiveness of SSRP using in-depth interviews with 33 …

Participate For Peace: The Impacts Of Participatory Deliberative Democracy On Post-Conflict Peacebuilding In Central America, Marcia D. Mundt

Graduate Doctoral Dissertations

Liberal peacebuilding is at the center of a critical debate amongst scholars and practitioners due to the horrific consequence of conflict relapse or escalation in the wake of failed international interventions. Despite international efforts to promote durable peace, empirical research suggests that up to one half of all civil wars relapse into conflict within five years of negotiated settlement (Collier & Hoeffler, 2002; Suhrke & Samset, 2007). As an alternative to top-down liberal peace, locally-led post-conflict peacebuilding has been proposed as an innovative solution (Mac Ginty & Richmond, 2013). Participatory deliberative democracy, when applied in post-conflict contexts, aligns with this …

Socio-Economic Well-Being Of International F-1 Students Living And Working In The United States, Elena K. Taborda

Graduate Doctoral Dissertations

According to United States law, international F-1 students are nonimmigrant aliens residing in the United States temporarily. Yet, they are more than just short-term visitors, as many of them live in the country for years while pursuing their postsecondary studies. Since international students are foreign citizens, their rights and freedoms are bound by the constraints of the country’s immigration policies. This study is concerned with work-related restrictions imposed on F-1 students by the U.S. government, positioning international students’ limited opportunities for employment as being in violation with their basic human right to economic and social development.

This multi-method project drew …

Crafting The Government Mobile Application: A Mixed Methods Analysis Of Public Value Creation As It Relates To Citizen Engagement And Participation In The Development Of Government Smart City Mobile Application, Sean M. Mossey

Graduate Doctoral Dissertations

With smart city and e-government (electronic government) initiatives striving for increased levels of citizen participation, public managers continue to search for a way to increase the utilization of Information Technology (IT) services. However, most efforts focus on linking operations and IT services, rather than facilitating greater means of citizen engagement in government service development (Granier & Kudo, 2016). Furthermore, few studies examine the effect of citizen engagement, particularly in relation to the New Information Communication Technology (NICT), or the smartphone mobile application. These smartphones and their associated mobile applications are quickly becoming one of the primary tools for smart cities …

Defining Worthy Victims: State-Level Legislative Decisions To Prevent The Criminalization Of Commercially Sexually Exploited Children In The United States, Kathleen A. Price

Graduate Doctoral Dissertations

The federal Trafficking Victims Protection Act of 2000 (TVPA) includes children (anyone under 18) who are sexually exploited for commercial purposes in its definition of human trafficking victims. However, most states currently arrest and/or prosecute sex trafficked children for prostitution. From 2008 to 2017, six states neither arrested nor prosecuted sexually exploited children for prostitution; eight retained the right to arrest, but not prosecute minors for prostitution; and 36 states both arrested and prosecuted this population for prostitution. All 50 states passed their first human trafficking laws between 2003 and 2013. Washington passed the first in 2003 and Wyoming was …

Place, Preferences, And Policy: An Analysis Of Funding Education Along The Urban-Rural Divide, Kattalina Berriochoa

Graduate Doctoral Dissertations

Rural places are changing in unique ways compared to urban and suburban areas. Rural residents disproportionately experience geographic isolation, tax base loss, decreasing populations, and economies challenged by industrial shifts and declines. This leaves rural areas with increasing need for public investment but does not necessarily translate into increased public demand for these investments. In this work, I analyze the following puzzle: what explains geographical variation in individual preferences, which often appears contrary to collective interests? Specifically, I analyze variation in investment preferences for public education and seek to build a better understanding of the underlying dynamics that explain why …

To Adopt Or Not To Adopt: Factors Impacting States’ Pursuit And Implementation Of Aca’S Home And Community-Based Programs, Lisa Kalimon Beauregard

Graduate Doctoral Dissertations

The Patient Protection and Affordable Care Act (ACA) sought to improve the United States’ long-term services and supports (LTSS) system by expanding home and community-based services (HCBS). The ACA contained several optional Medicaid HCBS opportunities for states, including the Balancing Incentive Program, the 1915(k) Community First Choice personal care benefit, and the revised 1915(i) state plan benefit. This research examined these HCBS provisions to explain what factors determine whether states participate in the ACA’s new HCBS programs and, after adoption, what factors facilitate or impede implementation of these programs. To answer these questions, this study used a mixed methods research …

Developing Age-Friendly Communities: Evidence From Multiple Case Studies, Patricia A. Oh

Graduate Doctoral Dissertations

Population aging brings opportunities and challenges for local community and economic development. One policy solution that has been adopted by 325+ jurisdictions in the United States is joining the AARP Network of Age-Friendly States and Communities or the WHO Global Network of Age-Friendly States and Communities. Although the age-friendly movement is gaining momentum in the US, few studies have looked at what influences municipal decision-making about joining a network or making age-friendly changes. The purpose of this multiple case study was to explore what influences municipal decision-making about joining a formal age-friendly network and how communities mobilize the resources at …

Influences On University Staff Members Responsible For Implementation Of Alcohol-Control Policies, Glenn A. Cochran

Graduate Doctoral Dissertations

Excessive college student drinking is a complex problem associated with a range of consequences including deaths, injuries, damage, health risks, legal difficulties, and academic problems. State governing boards, trustees and executives have enacted policies aimed at reducing the negative effects of excessive drinking. This study examined influences on university staff members responsible for implementation of alcohol-control policies. Deeper understanding of factors influencing alcohol-control policy implementation may help leaders improve policy making, implementation and attainment of policy objectives.

This mixed methods study utilized a sequential transformative mixed methods strategy with a quantitative survey, sequenced first, informing the prioritized qualitative multiple case …

'Whose Goals Am I Meeting?' Policy And Practice Dilemmas In Adult Basic Education (Abe) In The Era Of Accountability, Alma Hallulli Biba

Graduate Doctoral Dissertations

For the last two decades, federal legislation and Massachusetts’ state ABE policies have linked adult learners’ educational outcomes to performance systems and accountability requirements. These outcomes, represented as ‘goals’, reflect an emphasis on return-on-investment strategies and outcome-based accountability measures. Greatest emphasis is placed on that subset of adult learners’ goals that are easily measured, attainable, and that are associated with public outcomes. This dissertation, in contrast, seeks to understand the goal setting process from the perspective of learners and local ABE stakeholders. Using a novel, mixed-method approach, this dissertation presents ABE learners’ goal setting as a decision problem in order …

The Politics Of Official English: Exploring The Intentions And The Outcomes Behind English-Only Policies In The United States, David Gonzalez Nieto

Graduate Doctoral Dissertations

Although the Constitution did not declare English the official language of the United States, its complete linguistic dominance in such a linguistically diverse nation is unparalleled. Despite its supremacy, the last three decades have witnessed a renewed nationalistic movement that claims the role of English is threatened and that its establishment as the official language of the United States is crucial to protect the language and the unity of the nation.

So far, attempts to institutionalize English at the federal level have failed, but 28 states have adopted English as their official language and/or legislation that limits the use of …

The Impact Of Nursing Hours And Hospital And Patient Characteristics On Medicare Hospital Acquired Conditions: A National Pooled Cross-Sectional Secondary Data Model And Analysis, Terry Kahlert Eng

Graduate Doctoral Dissertations

Background: Previous research and quality improvement initiatives have underscored the prevalence of healthcare acquired conditions (HACs) and their associated costs in American hospitals. In response to these findings, in 2008, The Centers for Medicare and Medicaid Services identified 10 condition categories that they would no longer pay for if acquired during hospitalization. The conditions were selected based on high cost, high volume, or both, assigned to a higher paying medical severity diagnostic related group (MS-DRG), and were deemed preventable through application of evidence-based guidelines. The Health Quality Outcomes Model and a Path Model guided the study.

Objective: To quantify the …

Mind The Gap: The Integration Of Physical And Mental Healthcare In Federally Qualified Health Centers, Karen R. Monaghan

Graduate Doctoral Dissertations

In the United States, approximately 50 percent of people experience mental illness during their lifetimes (Cunningham, 2009). However, previous studies estimate that up to 80 percent of people living with a mental illness do not access services (Mackenzie et al., 2007). While there are numerous explanations for such disparity, this study posited that stigma associated with mental illness is a significant contributory factor.

In an attempt to address the gap between prevalence of mental illness and access to services, the Patient Protection and Affordable Care Act (PPACA), 2010 (US Government Printing Office, (a) 2011) mandated that Federally Qualified Health Centers …

Economic Development In The Massachusetts Life Sciences Cluster: Shared Prosperity Or A Big Tradeoff?, Brandynn Holgate

Graduate Doctoral Dissertations

Policies aimed at economic development can be judged by two criteria: efficiency and equity. -Policies that result in both greater efficiency and greater equity lead to shared economic prosperity for a region. The innovation economy includes some of the fastest growing industries which generate new wealth in the U.S. Within this context, the life sciences industry has been a prime target for economic development for individual states. This case study examines the economic development agenda in the Massachusetts life sciences industry and whether these efforts result in both sustaining competitive advantage (i.e., continuous innovation that improves productivity and product and …

Individual, Disease, And Work-Related Factors Associated With Work Patterns, Presenteeism And Sick Pay Policy Of The Colorectal Cancer Survivor After Treatment, Kristin A. Roper

Graduate Doctoral Dissertations

Participation of colorectal cancer survivors (CRC) in the workforce has been described by clinicians, survivors, and researchers as a way to improve mood, quality of life (QOL), and survival. Maintaining self-esteem and financial independence have also been attributed to continued employment of the CRC survivor. The purpose of this cross-sectional survey was to describe patterns of employment of the CRC survivor and to examine the individual, disease, and work-related factors that influence presenteeism and perceived adequacy of sick pay (ASP) policy. The Conceptual Model of Nursing and Health Policy and the Pathways to Work Life Recovery guided the design, selection …

Engaging Youth: Linking Design And Implementation Choices Of Out-Of-School Time Programs In Boston To The Development Of Political Engagement Attitudes In Youth Age 14 To 18, Felicia M. Sullivan

Graduate Doctoral Dissertations

Tens of thousands of youth in communities across the United States are engaged every day in out-of-school time (OST) programs. These young people seek opportunities to recreate and socially engage, enhance academic and leadership skills, express themselves creatively, explore important issues in their communities, and work toward affecting change. These programs provide important institutional learning environments in which young people begin to assimilate their roles as political actors and citizens. As the delivery of social services and public programs has increasingly devolved from the government to the nonprofit sector, these programs also shape how young people come to understand their …

Patterns Of Dissaving Among U.S. Elders, Deborah Gray

Graduate Doctoral Dissertations

This paper examined patterns of decumulation and the role that health events and marital disruption play in forming those patterns. Study data were drawn from six biennial waves of the HRS (1998 - 2008), and merged RAND HRS data files for the period 1998 - 2008. The a priori expectation was that there will be variation in drawdown strategies households employ.

Findings suggest that patterns of dissaving are heterogeneous. The five most prevalent patterns were discussed. Households predominantly transitioned between oversaving and overspending. Households are expected to have a goal of on target spending therefore the observed cycle's dissaving will …

Producing Space: Block-By-Block Change In A Gentrifying Neighborhood, Jen Douglas

Graduate Doctoral Dissertations

Gentrification of urban neighborhoods is part of an ongoing restructuring of the city, linked to the emerging occupational structure of the service economy and the remaking of built environments that were created for a production economy. It is the name given to processes in which commodification and reinvestment accompany the in-migration of professional and managerial workers, often displacing prior residents and giving altered spatial form to inequality.

This dissertation is a case study of gentrification in Hyde and Jackson Squares, part of Boston's Jamaica Plain neighborhood. The emergence of gentrification pressures and their uneven distribution within the area is documented …

Microfinance: A Tool For Financial Access, Poverty Alleviation Or Gender Empowerment ? - Empirical Findings From Pakistan, Ghazal Mir Zulfiqar

Graduate Doctoral Dissertations

In just 30 years microfinance has transformed from a credit-based rural development scheme that has claimed to reduce poverty and empower poor women, to a $70 billion financial industry. In the process, the traditional NGO-led model has given way to commercialized institutions, resulting in an increased emphasis on profitmaking. This has also led to confusion in the sector around its mission: is it to alleviate poverty and empower poor women or simply to provide the "unbanked" with access to formal sources of finance? This research considers the main debates in microfinance with regard to its mission and presents empirical evidence …

Influences Of Health Insurance And Primary Care On Breast And Cervical Cancer Screening Among Black Women In Boston, Gail Barlow Gall

Graduate Doctoral Dissertations

Healthy People 2010 promoted breast and cervical cancer screening to reduce cancer among all women and reduce disparities in cancer deaths between Black and White women. The REACH 2010 program targeted improving screening rates among Black women and funded a demonstration project to provide outreach, screening, patient navigation and case management for Black women in Boston. The purpose of this study was to describe associations between health insurance and primary care (having a primary care provider [PCP], quality of communications and relationship with PCP) on differences in breast and cervical cancer screening reported by Black women born in the United …

It's Not So Simple: Understanding Participant Involvement In The Design, Implementation, And Improvement Of Cash & Counseling Programs, Erin E. Mcgaffigan

Graduate Doctoral Dissertations

For more than three decades, the United States federal government and the states have worked to restructure the long-term care system to be more community based and responsive to personal preferences. Some argue that those who seek such services should be actively engaged in their design (Morris, 2008; Priester, Hewitt, & Kane, 2006). While many who design and implement home and community-based services may believe that participant engagement could be beneficial, most plans move forward with little to no provision for such engagement. The existing literature provides very little insight into the implications of such decisions.

The Cash & Counseling …