Public Policy Commons^™

From Structure To Experiences: How Facility Capacity And Staffing Shape The Adoption And Impact Of Lgbt-Affirming Policies In Long-Term Care, Andrew Alberth

Graduate Doctoral Dissertations

Long-term care (LTC) settings – including nursing homes (NHs) and assisted living facilities (ALFs) – provide necessary care for individuals with extreme health and functioning limitations. Sexual and gender minority (LGBT) older adults report challenges receiving effective, person-centered care LTC. Some LGBT older adults may hide their sexual orientation and gender identity when entering LTC settings or delay seeking needed LTC fearing discrimination from staff and other residents. Furthermore, staff in LTC settings indicate little awareness of LGBT-residents and possess inadequate LGBT-cultural competency necessary for providing person-centered care. Therefore, LGBT-residents LTC experiences remain underexplored in the broader research. Adopting LGBT-affirming …

The Effect Of State Policy On Individuals With Mental Illness In Nursing Homes: A Multilevel Analysis, Adrita Barooah

Graduate Doctoral Dissertations

ABSTRACT

THE EFFECT OF STATE POLICY ON INDIVIDUALS WITH MENTAL ILLNESS IN NURSING HOMES: A MULTILEVEL ANALYSIS

August 2026

Adrita Barooah, B.Sc., University of Delhi, India

M.S., University of Massachusetts Boston

Ph.D., University of Massachusetts Boston

Directed by Professor Pamela Nadash

The proportion of individuals living with a mental illness in U.S. nursing homes has grown substantially over the past few decades (Fashaw et al., 2020), raising serious concerns about care quality, resource adequacy, and costs to both nursing homes and government payers. The lack of adequate resources and knowledge has resulted in sub-par mental health care (O'Connor et al., …

Socioeconomic Determinants Of Malaria Infection Among Pregnant Women In Cameroon, Sub-Saharan Africa, Arnold Akosah Muluh

Walden Dissertations and Doctoral Studies

Malaria during pregnancy is a significant public health issue in Cameroon, affecting maternal health and birth outcomes. Despite preventive measures, disparities exist among socioeconomic groups and between urban and rural areas. The study was guided by the social-ecological model and explored how socioeconomic factors and geographic location influence malaria infection in pregnant women. Specifically, the impact of wealth index, maternal education, and healthcare access on infection rates, considering maternal age, parity, and residence, was examined. Quantitative data from the Cameroon DHS Phase 8 were used (N=1204). The sample included pregnant women with valid malaria test results. Chi-Square tests and binary …

Do Nonprofit Ratings Help Donors Make Better Decisions?, Ashraf Haque

Center for Policy Research

Nonprofit organizations depend on donations to fulfill their missions, but donors choosing among 1.8 million U.S. public charities often lack the time or capacity to evaluate which organizations are actually performing well. This brief summarizes findings from a study that used a five-year panel dataset of over one million nonprofit-year records from GuideStar (2014–2018) to examine how transparency seal ratings affect donation behavior. The author finds that having any GuideStar seal increases donations by about 7% compared to having no seal, and that platinum-rated nonprofits receive 34% more in donations than unrated organizations, regardless of actual organizational quality. Donors do …

Exploring The Perspectives Of Individuals Who Were Formerly Incarcerated To Determine The Barriers And Facilitators To Successful Reentry Programs In Maryland, Ansu Sawi Momoh

Walden Dissertations and Doctoral Studies

Due to persistently high rates of incarceration and recidivism, the Maryland Department of Public Safety and Correctional Services developed policies and programs geared towards reducing recidivism. Existing literature indicated that successful reentry depends on access to coordinated support services, there was a lack of qualitative studies that explored the perspectives of individuals who were formerly incarcerated, specifically in the state of Maryland. The purpose of this generic qualitative research was to understand the reentry process from the perspective of 12 individuals who were formerly incarcerated. Semi structured interviews were used to explore the barriers and facilitators within the re-entry programs …

Can The Safety Net Support Families Through Childbirth?, Hyojeong Kim, Colleen Heflin, Taryn Morrissey

Center for Policy Research

Childbirth is a life event that often disrupts maternal employment and household earnings just as family expenses increase. In the United States, families do not have access to a national paid parental leave program and must rely on a patchwork of safety net programs that were not designed specifically to support households during pregnancy and the immediate postpartum period. This brief uses linked administrative data from the Virginia Longitudinal Data System (2016–2021) to describe changes in household earnings and social welfare benefits before and after childbirth among low-income mothers receiving the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for …

Southeastern Michigan Firefighters’ Experiences With Their Organization’S Employee Assistance Program, Angela Patricia Johnson

Walden Dissertations and Doctoral Studies

Mental health challenges among first responders require coordinated stakeholder efforts. Although employee assistance programs (EAPs) are commonly offered as workplace benefits, little is known about firefighters’ experiences with these programs and how they can be tailored to meet their unique needs. Existing literature suggested that EAP utilization among firefighters is influenced by program awareness, confidentiality concerns, organizational support, stigma, and the extent to which services are tailored to first responders’ needs. Using a generic qualitative design and policy feedback theory, this study explored southeastern Michigan firefighters’ experiences with EAPs. Purposive sampling was used to recruit 11 firefighters for semi structured …

Antiterrorism Policies And Curbing Youth Involvement In Violent Extremism In Nigeria, Timothy Melaye

Walden Dissertations and Doctoral Studies

Nigeria continues to face significant challenges from extremist groups such as Boko Haram, unidentified militia groups, and bandits. The radicalization of youths has played a central role in the country's ongoing violent extremism and general insecurity. Efforts to curb youth radicalization remain largely unsuccessful and pose a major challenge in the country. The existing literature on curbing youth violent extremism focuses on the use of force, while other scholars argue for a complex interplay among economic, social, political, and environmental factors. They also considered that high illiteracy, lack of religious understanding, poverty, unemployment, psychological factors, and unstable family environments contribute …

Examination Of The Bureau Of Indian Affairs Public Policy Implementation In Support Of Sovereign Tribal Nations, Erna Mae Faber

Walden Dissertations and Doctoral Studies

Social and economic disparities in the Midwestern Reservation Community have persisted for more than five decades despite the enactment of federal Indian policy designed to address them. Based on the existing research, the Bureau of Indian Affairs’ (BIA’s) failure to effectively administer programs addressing health care, housing, and economic opportunity has perpetuated systemic inequities that disproportionately affect tribal nation members. The purpose of this generic qualitative study was to explore how members of the Midwestern Reservation Community viewed the implementation of BIA public policies intended to support tribal nations through the lens of the resource dependence theory, the narrative policy …

We Don't See Race, We See Blue: A Case Study Of Police Unions As Racialized Organizations, Sarahfina Aubrey Peterson

Dissertations and Theses

In the late 1960s, police began to unionize. Today, they are the most well-organized labor force in the United States, with 70% to 80% of sworn officers now represented by a union. Though it has been decades, little scholarship has developed about how police unions affect policing. Much of the research that does exist uses race-neutral frames to address an organization steeped in racial history. This study aims to address this gap in scholarship, in part, by introducing race as a motivation for and explanation of organizational output.

This research applies Victor Ray's racialized organizations theory to police unions. I …

Trapped In Transition: Structural Change And Political Dynamics In Middle-Income Countries, Gabriel Duvidovich

Dissertations and Theses

The middle-income trap literature has examined why relatively few middle-income countries transition to high-income status. A range of explanations has been proposed, but the political dimension has often been overlooked. Studies that take a political perspective often focus on institutional form rather than the state’s ability to effectively implement policy. This study addresses this gap by bringing political capacity to the center of the analysis. It argues that political capacity appears important for the productive upgrading required for sustained growth in middle-income economies and shapes economic growth trajectories across countries at different income levels.

The empirical analysis uses country-period panel …

Gross Metropolitan Product (Gmp) And Gross State Product (Gsp) In The Mountain West, 2024, Devin Streuter, Phillip Seo, Zafeen Boulware, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents 2024 Gross Metropolitan Product (GMP) and Gross State Product (GSP) data for five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah, and selected metros in these states. The data are derived from a report by the United States Conference of Mayors titled, “U.S. Metro Economies Annual Report and Forecast June 2025."

Genocide By Algorithm In Gaza: Artificial Intelligence, Countervailing Responsibility, And The Corruption Of Public Discourse, Branislav Radeljić

The Journal of Social Encounters

The accelerating integration of artificial intelligence (AI) into military systems[i] raises major concerns across fields such as security studies, international public law, and critical technology studies. As warned in 2023, “[t]he world’s major military powers have begun a race to wire AI into warfare. […] No one is inviting AI to formulate a grand strategy, or join a meeting of the Joint Chiefs of Staff. But the same seductive logic that accelerated the nuclear arms race could over a period of years, propel AI up the chain of command.”[ii] In the military domain, algorithmic systems function as epistemic …

Pol/His 3005: Social Welfare Policy In The United States, Oswaldo A. Mena Aguilar

Open Educational Resources

The United States is one of the richest countries in the world, yet poverty, hardship, and inequality remain central features of American life. This course begins with that paradox. Why does a country with so much economic capacity tolerate so much poverty? Why does its welfare state protect some risks generously while treating other forms of need as individual failure? Why are benefits for the poor so visible, stigmatized, and administratively demanding, while benefits for the affluent are often hidden in the tax code, treated as private achievement, and politically protected? The course is organized around a sequence of questions. …

Influence Of National Policies In Addressing Intimate Partner Violence In Sierra Leone, Yatta Matilda Musa

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) has been shown to be a critical public health and human rights crisis in Sierra Leone driven by patriarchal sociocultural norms. However, despite legislative frameworks like the Domestic Violence Act of 2007, IPV incidents continue to rise, revealing a gap in policy implementation and real-world enforcement. Past research has documented IPV prevalence, yet an empirical evaluation assessing how stakeholders viewed the impact of national policies on prevention and response had not been conducted. The purpose of this study was to explore frontline stakeholders' perceptions regarding the operational influence of existing IPV policies. Grounded in the narrative …

The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that persistent reliance on market-oriented affordability strategies continued despite evidence of declining housing affordability in Nashville. Understanding how policy narratives structured accepted solutions may help explain the persistence of existing policy approaches. Research has shown that housing affordability is a significant policy concern in many U.S. cities. Rising housing costs, displacement pressures, and persistent rent burdens have been indicated in studies as contributing factors. However, less attention has been paid to how political and media narratives shape the boundaries of recognized housing policy solutions within local discourse, specifically in Nashville, Tennessee. The purpose …

Bridging Fiscal Sustainability And Health Equity: A Policy Analysis Of California’S Healthcare Coverage Safeguards, Guadalupe Castaneda Martinez

Master's Projects and Capstones

Without structural policy intervention, approximately 4.6 million Californians remain at risk of being uninsured by 2030, worsening racial and ethnic health disparities and hospital uncompensated care burdens. This policy analysis advocates for a hybrid universal coverage model combining sliding-scale subsidies (California Senate Bill 78) with full-scope Medi-Cal expansion for all income-eligible residents regardless of legal status (California Assembly Bill 133). The framework relies on existing funding mechanisms, including the Managed Care Organization tax and the Health Care Affordability Reserve Fund. Comparative analysis indicates that market-only subsidies leave severe equity gaps, whereas immediate single-payer transitions pose substantial fiscal and administrative risks. …

Exploring The Experiences Of Nigerian Army Personnel With Toxic Leadership, Shamsideen Toyin Shafaru

Walden Dissertations and Doctoral Studies

Toxic leadership has been shown to be present in Nigeria, promoting negative consequences for organizations and adverse effects on employee performance. However, how toxic leadership behaviors impact Nigerian Army operations and the performance of personnel have not been studied. Exploring toxic leadership in the Nigerian Army is important because the way in which leaders exercise influence determines the effects it has on followers. The purpose of this general qualitative study was to examine the lived experiences of Nigerian Army personnel who had worked as subordinates of individuals who exhibited toxic leadership traits and its impact on their performance. The theoretical …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin

Dignity: A Journal of Analysis of Exploitation and Violence

The article examines Transaction Intercept (TI), an artificial‑intelligence platform designed to reduce sex trafficking by disrupting the revenue streams that draw organized crime into the market. Transaction Intercept deploys decoy online ads that appear to offer commercial sexual exploitation or prostitution. Automated "decoy" personas connect to individuals who click on these ads and engage them in text conversations. These exchanges can remain fully automated, ending with deterrence messages, or be transferred to police for potential enforcement action or to trained volunteers who attempt to discourage further attempts to buy sex. Transaction Intercept generates extensive, real‑time data on local demand for …