Social Policy Commons^™

Strategies For Health Care Cost Containment (1980s-Present), Rick Mayes

Political Science Faculty Publications

The U.S. health care system during the past three decades has been over two interrelated questions: first, who will control the manner in which medical care is paid for, and, second, how much will it cost? Many health care experts believe that Medicare's efforts at cost control, primarily in the form of the program's seminal transition to and continual modification of prospective payment of health care providers, has both triggered and repeatedly intensified the economic restructuring of the U.S. health care system. Medicare is an almost $600 billion public health insurance program for individuals sixty-five years of age and older; …

Disputed Paraphilia Diagnoses And Legal Decision Making: A Case Law Survey Of Paraphilia Nos, Nonconsent, Christopher M. King, Lindsey E. Wylie, Eve M. Brank, Kirk Heilbrun

Department of Psychology: Faculty Publications

Paraphilia diagnoses applied in forensic settings are an ongoing subject of debate among psycholegal professionals and scholars. Disagreements pertain to both means-related issues having to do with issues of diagnostic reliability and validity, and ends-related issues regarding the consequences inherent to the legal contexts in which the diagnoses arise. To provide a fresh outlook on some of the issues, the present study entailed a systematic survey of U.S. case law to investigate the history, extent, and nature of forensic uses of a controversial paraphilia diagnosis, paraphilia not otherwise specified, nonconsent. Descriptive analyses revealed that use of the diagnosis, which occurred …

The Social Value Of Mortality Risk Reduction: Vsl Vs. The Social Welfare Function Approach, Matthew D. Adler, James K. Hammitt, Nicolas Treich

Faculty Scholarship

We examine how different welfarist frameworks evaluate the social value of mortality risk reduction. These frameworks include classical, distributively unweighted cost–benefit analysis—i.e., the “value per statistical life” (VSL) approach—and various social welfare functions (SWFs). The SWFs are either utilitarian or prioritarian, applied to policy choice under risk in either an “ex post” or “ex ante” manner. We examine the conditions on individual utility and on the SWF under which these frameworks display sensitivity to wealth and to baseline risk. Moreover, we discuss whether these frameworks satisfy related properties that have received some attention in the literature, namely equal value of …

Local Nonprofit Welfare Provision: The United States And Russia, Maria V. Wathen, Scott W. Allard

Social Work: School of Social Work Faculty Publications and Other Works

Provision of antipoverty and other social services by nonstate organizations is growing in importance in both the United States and the Russian Federation. The history of such provision in the United States may offer insights for the emerging system of nonstate provision in Russia. To illuminate these points, we provide historical overviews of both contexts and then we examine data from two surveys of social service organizations in the United States: the Multi-City Survey of Social Service Providers and the Rural Survey of Social Service Providers.

We find that nonstate actors strengthen social capital in poor neighborhoods and often link …

How Does The Hong Kong Current Refugee Policy Affect The Life Of Protection Claimants?, Kwan Ki Man

Bachelor of Social Sciences – Senior Theses

About 6,000 refugees, asylum seekers and torture claimants (collectively “protection claimants”) are struggling to survive in Hong Kong. It is undoubted that they are an underprivileged and marginalized group in Hong Kong. Since Hong Kong is not the signatory of the 1951 Convention Relating to the Status of Refugees, protection claimants do not enjoy legal status or formal rights to welfare services in Hong Kong. Without the right to work, protection claimants must survive on $1,500 a month for accommodation and bags of food equivalent to $1,200, or they may risk to work illegally in Hong Kong. This thesis examines …

Theorizing More Inclusive Cities: A Relational Model Of Boundary Transformation And Urban Research Agenda, Leigh Graham

Publications and Research

To generate more inclusive environments for marginalized urban communities of color demands a strategy that privileges symbolic boundary change and uses it as the inroad towards spatial changes. This paper theorizes a three step relational process of a) communicative democratic activism, b) "multicultural" capital brokers providing access to the policy making process, and c) practices of community building that reflect the role of cities as key sites for sociospatial boundary transformation. An emphasis on discursive and ideational change, relying on communicative democratic processes steeped in historical, comparative analysis opens up our minds towards different classification schemes for stigmatized groups. Participating …

Crossing The Border For The Pill: An Analysis Of The Decision To Purchase Oral Contraceptives Over-The-Counter From Mexican Pharmacies, Nadine Johnson

MPA/MPP/MPFM Capstone Projects

In 2012, the American College of Obstetricians and Gynecologists published an opinion statement in which they acknowledged that oral contraceptives were safe to be sold over the counter. Although there are several arguments that the lack of insurance of over the counter birth control would create a bigger cost barrier, research shows that women are in fact willing to pay for contraception if it is available over the counter. Some countries, such as Mexico, have this option available and because of the proximity to the United States, many women who live on the southern border take advantage of this. However, …

The Patient Protection And Affordable Care Act’S Effects On Patterns Of Coverage In A Ryan White Funded Hiv Clinic: What Are The Implications For The Bluegrass Care Clinic?, Jacqueline Wagner Mccuddy

MPA/MPP/MPFM Capstone Projects

The Ryan White CARE Act of 1991 implemented a federal grant program to help individuals in the US with HIV/AIDS get access to healthcare and diminish barriers to care. Since its enactment, there have been many changes in the environment of HIV/AIDS, including a demographic shift in those most affected by the disease and a growing number of new infections, the introduction of Antiretroviral therapy, and most recently, the implementation of the Patient Protection and Affordable Care Act (PPACA).

The PPACA is expected to have a positive effect on patients with HIV in the US by increasing access to care, …

Deep And Chronic Poverty In The P.S.I.D. - Assessing The Panel Survey Of Income Dynamics Using Pα And Kα Indices, Paul G. Metzler

MPA/MPP/MPFM Capstone Projects

Poverty, while an intuitive concept, proves harder to specify and measure, especially over time. Foster, Greer and Thorebecke (1984) introduced an axiomatically sound, and commonly used poverty index Pα that is later developed by Foster (2009) to include time spent in poverty. I use their dual-cutoff spells approach to determine the occurrence, depth, and severity of poverty in a longitudinal dataset.

Using the Panel Survey of Income Dynamics over the timeframe 1990-2010, high-risk populations are explored further, especially African Americans, unmarried females, and those without a high school diploma. I explore the proportions of poverty incidence to find head of …

State Child Welfare Policy: Causes And Consequences, Dana D. Connelly

Theses and Dissertations--Public Policy and Administration

On any given day almost 400,000 children in the United States are living in an out-of-home care placement due to government intervention. Federal law allows for substantial variance in state child welfare policy on a number of topics. These policy decisions, however, are understudied both in terms of the forces driving them and also the impacts the policies have on actual outcomes for children in care.

Utilizing a unique panel data set comprised of thirteen child welfare policies that vary both between states and over time we examine how well redistributive theory (constituent, institutional, paternalistic and resource pressures) explains state …

Solidarity In Action: Norwegian People's Aid Annual Report 2014, Npa

Global CWD Repository

Our vision

Solidarity in action is the vision of Norwegian People’s Aid. Our efforts are based on cooperation

between equal partners – not charity.

Our foundation

Norwegian People’s Aid is the labour movement’s humanitarian organisation for solidarity.

Our mission

We work both nationally and internationally to improve the living conditions of vulnerable groups and to contributeto a just society. We support people so that they may protect and promote their own interests.

Our reach

Norwegian People’s Aid is active in 40 countries. We work with development cooperation through partner organisations. In Norway, we work with refugee and integration issues, and …

Norwegian People's Aid Humanitarian Disarmament Strategy, Npa

Global CWD Repository

Beginning in 1992, Norwegian People’s Aid (NPA) has implemented mine action programmes in more than 40 states and territories. The strategy presented here builds on our experience, accomplishments, and lessons learned. It identifies new directions and priorities, and expands our work from mine action to broader areas of humanitarian disarmament. By ‘humanitarian disarmament’ we mean all operations and advocacy which aim to reduce and prevent harm to civilians from the impacts of weapons and ammunition. It is disarmament motivated and guided by humanitarian and development imperatives, rather than strategic national interests and international stability, and where civil society plays a …

Itf Enhancing Human Security Annual Report 2014, Itf-Enhancy Human Security

Global CWD Repository

ITF Enhancing Human Security (ITF) is a humanitarian, non-profit organization devoted to the elimination of threats from post-conflict and disruptive challenges, including landmines, explosive remnants of war (ERW) and the illicit ownership and use of small arms and light weapons (SALW), in South East Europe and other affected regions in the world.

As the impact from landmines and unexploded ordnance (UXO) in South East Europe becomes less severe, there is a growing need to address other post-conflict and disruptive challenges, to support Conventional Weapons Destruction (CWD), Security Sector Reform (SSR) and Disarmament, Demobilization and Reintegration (DDR) programs, and to combat …

International Campaign To Ban Landmines-Cluster Munition Coalition Annual Report 2016, Icbl-Cmc

Global CWD Repository

In 2016, the International Campaign to Ban Landmines and the Cluster Munition Coalition (ICBL-CMC) played a vital role in universalizing and promoting the implementation of the Mine Ban Treaty and the Convention on Cluster Munitions. Progress was achieved through systematic and clear articulation of state-by-state challenges and advocacy at the national and international levels, and through regular support to campaigns members by staff.

With a strong focus on reinforcing the stigma associated with the use of antipersonnel landmines or cluster munitions, the ICBL-CMC tracked the useof these weapons, providing the evidence needed to support an international outcry against instances of …

International Cooperation And Assistance Under The Convention On Cluster Munitions, Icbl-Cmc

Global CWD Repository

Some countries that have remained outside the Convention on Cluster Munitions have argued that joining the Convention would be too much of a financial burden, and that they would have difficulty meeting their legal obligations in a timely manner. Joining the Convention, however, will provide them with better access to financial, technical and material support to help them carry out their obligations in a timely and efficient manner.

Bombs Under The Rubble: Study Of Awareness Of Explosive Remnants Of War Among The Population Of Gaza, Hi

Global CWD Repository

This baseline assessment was undertaken by Handicap International in October 2014 in all five governorates of Gaza. The focus of the survey was to collect baseline data related to the knowledge, attitudes, and practices regarding Explosive Remnants of War (ERW) contamination in communities impacted by the recent conflict.

The survey consisted of two parts: quantitative data collection comprising 459 individual questionnaires and qualitative data collection of 4 focus groups. The questionnaire targeted men, women, and children over 10 years old, while the focus groups targeted adults with disabilities, children, and adolescents. Quotas based on the age and gender in the …

Report On The Field Test Of The Nvesd-Developed Underwater Explosives Sensor “Hammerhead” At Ordnance Reef, Hawaii, Marc D. Woodka

Global CWD Repository

The Night Vision and Electronic Sensors Directorate (NVESD) has recently developed a sensor system, named “Hammerhead,” capable of discriminating between explosives and explosive-related compounds in water at concentrations of 10-100 parts per trillion. The sensor discriminates between different compounds using a biologically inspired fluorescent polymer sensor array, which responds with a unique fluorescence quenching pattern during exposure to various explosives.1 The sensor achieves sensitivities of 10-100 parts per trillion by employing a preconcentrator upstream of the sensor inlet, which traps explosives from water flowing over it, then releases the explosives at elevated concentrations during thermal desorption. NVESD recently packaged this …

Whites And The Active Representation Of Racial Minority Interests, Maykao Y. Hang

School of Business Student Theses and Dissertations

This study explored personal and organizational factors that contribute to White public administrators actively representing the interests of racial minority minorities. Data collection comprised of 15 semi-structured interviews. The average age was 54, and the length of service was 3-33 years. Subjects were asked about their personal background, what it means to be White, and work experiences in local county government.

Personal factors found were racial consciousness, major life events, and significant relationships with people of color. Organizational factors included a diverse and inclusive work environment, bureaucracy, legal and compliance issues, and supervisor support. Findings included that Whites did not …

Suburban Sustainability: Favorable, Forgotten, Or Fantasy?, Tessia Melvin, Tessia G. Melvin

School of Business Student Theses and Dissertations

In the decades after World War II, the United States became a prosperous nation and world superpower. Reinventing itself through the development of suburbs, many communities were created by suburbs. Years later, criticized for suburban sprawl and aging communities, suburban communities today are faced with the dilemma of what changes to make in order to create sustainable suburban communities.

Most of the literature on sustainability and its success comes from the private sector. Much available literature provides sustainable indicators and concepts on corporate sustainability. As a result, many public administrators are faced with a reality that changes need to occur …

Family Support Caseloads--Determinants Of Kentucky's Division Of Family Support Personnel Allocation, David Bachert

MPA/MPP/MPFM Capstone Projects

This paper is an examination of the determinants of Family Support employee allocation. Specifically, related to Kentucky, the goal of this research is to determine if public assistance caseloads are equitable across nine geographic regions. A review of relevant literature provides a larger context to this topic. Literature primarily suggests three mechanisms by which Family Support resources might be allocated: legal regulations, postcode lottery, and Tiebout migration.

Supported by literature the larger context for this paper leads to the examination of five independent variables: (1) percent of Supplemental Nutrition Assistance Program recipients \, (2) total population, (3) percent of the …

Analyzing Perceptions Of Barriers To Self-Sufficiency Of Local Social Service Officials And Their Priorities For Local Government Funding, Zheng Li

MPA/MPP/MPFM Capstone Projects

Self-sufficiency means a family can adequately meet their basic needs without repeated assistance from public or private social service organizations. However, there are many barriers preventing Fayette County residents from becoming self-sufficient. Because Lexington Fayette Urban County officials wanted to consider a new way to allocate local government resources, a needs assessment was conducted to assess the barriers to self-sufficiency for residents in Fayette County. As one part of the needs assessment, my research was to design and analyze a survey instrument to assess the perceptions of barriers to self-sufficiency of local social service providers and their priorities for local …

Sustainability Policy’S Inherent Dilemmas – Exemplified Via Critical Examination Of The Las Vegas Metropolitan Sustainability Campaign, Kathryn A. Zimmerman

All Master's Theses

In response to a dual problem of critical water scarcity and rapid population growth, leaders of metropolitan Las Vegas implemented a region-wide, internationally marketed sustainability campaign. Preliminary studies found that, while sustainability policy attains its rhetorical goals, solutions initiated not only perpetuate but also purposefully expand the original dual problem to justify continuous water resource acquisitions. To examine this sustainability conundrum constructed by leadership—problem-perpetuation rather than problem-resolution—a critical examination in resource management asked two basic questions: what is being sustained and by what means? Via this inquiry, specific processes by which leaders perpetuate problems can be identified; and, so-informed, new …

Protocol For Culturally Responsive Organizations: Literature Review And Standards For Performance, Marie-Elena Reyes, Ann Curry-Stevens

Center to Advance Racial Equity Publications and Reports

At the request of the Coalition of Communities of Color, the Center to Advance Racial Equity (CARE) was asked to assist in the development of a Protocol for Culturally Responsive Organizations (also called the Protocol) that it would use to improve the quality of services available to communities of color in mainstream health and human services. To achieve this, we have researched the literature available that provides evidence of the effectiveness of various interventions. Priority has been given to the literatures on culturally-responsive service delivery (which has been thin) and culturally-competent services (which while abundantly written about, relatively little exists …

Evaluation Of The Jewish Community Housing For The Elderly Memory Support Initiative, Joan Hyde

Gerontology Institute Publications

Jewish Community Housing for the Elderly (JCHE) is a large, multi-campus organization that houses and serves 1,500 residents (80 market rate and 1,420 low income). The average age is 80 years old, with one-third of residents 85 and older. Three quarters of the residents are not native English speakers. Through HUD and other funding, JCHE offers a range of supports to these residents, including translators, interpreters and staff with language and cultural competence, meals, transportation and, through their Service Coordinators, facilitation of resident access to government benefits, home care and other services.

According to the Alzheimer’s Association’s 2012 special report …

Pathologies Of The Poor: What Do The War On Drugs And Welfare Reform Have In Common?, Kalynn Amundson, Anna M. Zajicek, Valerie H. Hunt

The Journal of Sociology & Social Welfare

The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) authorized drug testing of welfare recipients as a criterion for assistance eligibility. This raises the question of a possible confluence of War on Drugs and Welfare Reform policies, as indicated by continuity in policymakers’ rhetoric. We examine federal-level policymakers’ debates surrounding the authorization of drug testing welfare recipients. The analysis reveals that themes of social pathology were present in both policy areas. Crime, drug addiction, welfare dependency, and drug testing themes are comparable in both debates. Teen pregnancy, out-of-wedlock birth, and female-headed households themes were more prevalent in Welfare …

Institutionalization Of Children In The Czech Republic: A Case Of Path Dependency, Victoria Schmidt, Jo Daugherty Bailey

The Journal of Sociology & Social Welfare

Despite the development of alternative forms of care, international and domestic pressures for change, and over 20 years of efforts at deinstitutionalization, the Czech Republic has one of the highest rates of institutionalization of children in Europe (UNICEF, 2012). The continuing reliance upon residential care for children by the child protection system, particularly for children who are disabled or of Roma descent, demonstrates a case of path dependency in which a solidification of the system’s response is rooted in its past. Understanding the impact of historical precedence is key to reforming the current system.

E-Advocacy In Human Services: The Impact Of Organizational Conditions And Characteristics On Electronic Advocacy Activities Among Nonprofits, Lauri Goldkind

Social Service Faculty Publications

E-advocacy, or the constellation of electronic tools used for policy advocacy, offer cost-effective approaches for engaging constituents to create social change. Providers of human services may face challenges when trying to implement these tools. While many electronic tools have low barriers for entry, other factors may inhibit their use in agencies. This article explores the organizational characteristics related to the use of electronic advocacy strategies. Based on a survey of nonprofit executives, the study uses path modeling to describe the connections between organizational characteristics and the use of electronic advocacy tools. Implications of these findings are discussed.

Social Innovation In Development: A Call To Break Down Silos, John A. Donaldson, Victoria Gerrard, Sanushka Mudaliar

Research Collection School of Social Sciences

What distinguishes “social innovation” from other efforts to address social problems? And why should the answer matter to anyone genuinely interested in social change? The authors offer an in-depth discussion of the possibilities and pitfalls of pursuing social innovation in the context of international development.

Development And Initial Findings Of An Implementation Process Measure For Child Welfare System Change, Mary I. Armstrong, Julie S. Mccrae, Michelle Graef, Tammy Richards, David Lambert, Charlotte Lyn Bright, Cathy Sowell

Center on Children, Families, and the Law: Faculty Publications

This article describes a new measure designed to examine the process of implementation of child welfare systems change. The measure was developed to document the status of the interventions and strategies that are being implemented and the drivers that are being installed to achieve sustainable changes in systems. The measure was used in a Children’s Bureau-supported national effort to assess the ongoing implementation of 24 systems-change projects in child welfare jurisdictions across the country. The article describes the process for measure development, method of administration and data collection, and quantitative and qualitative findings.

Happiness In Public Policy, Laura Musikanski

Journal of Sustainable Social Impact

The happiness movement represents a new paradigm where social, economic, and environmental systems are structured to encourage human well-being in a sustainable environment. Bhutan has adopted Gross National Happiness (GNH) as a way of determining its society’s success in contrast to purely economic goals and the singular use of the gross domestic product indicator. Bhutanese policy promulgation includes use of a GNH screening tool. In the United Kingdom, happiness indicators are being used to collect data and the government is starting to explore their application to policy. The Bhutanese GNH policy screening tool has been adapted for the grassroots activists, …