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Full-Text Articles in Policy Design, Analysis, and Evaluation

Cuts And Censorship: Challenges In Assessing Substance Use Programs For Men In Canadian Federal Corrections, Rob D. Long Sep 2019

Cuts And Censorship: Challenges In Assessing Substance Use Programs For Men In Canadian Federal Corrections, Rob D. Long

Dialogues: Undergraduate Research in Philosophy, History, and Politics

Approximately three quarters of men in Canadian federal prisons have a substance use problem that played a role in their offenses. Guided by a rehabilitative mandate, the Canadian federal corrections system includes substance use programs as a key component of its service. The Corrections and Conditional Release Act places the responsibility for the design, provision, and evaluation of rehabilitative programs on Correctional Service Canada (CSC), giving CSC considerable freedom in how it constructs and delivers services. This freedom, while increasing flexibility, warrants an investigation into CSC’s design and implementation of substance use services. This paper reviews academic and government ...


Sociodemographic And Health Status Characteristics Of Maine's Newly Eligible Medicaid Beneficiaries [Data Brief], Zachariah Croll Mph, Erika Ziller Phd, Barbara Leonard Mph Sep 2019

Sociodemographic And Health Status Characteristics Of Maine's Newly Eligible Medicaid Beneficiaries [Data Brief], Zachariah Croll Mph, Erika Ziller Phd, Barbara Leonard Mph

Medicaid

This data brief identifies key characteristics of groups who will gain access through MaineCare expansion. Researchers Croll and Ziller at the University of Southern Maine, along with Leonardson of the Maine Health Access Foundation present a statistical analysis of uninsured non-elderly adults age 18 – 64 with no children and lower incomes, the population newly eligible for MaineCare through expansion. Drawing from five years of data from Maine’s Behavioral Risk Factor Surveillance System, the report addresses sociodemographic characteristics, health status, and access to care. The survey indicates that those who are likely eligible for expanded MaineCare coverage are twice as ...


Health Care's Market Bureaucracy, Allison K. Hoffman May 2019

Health Care's Market Bureaucracy, Allison K. Hoffman

Faculty Scholarship at Penn Law

The last several decades of health law and policy have been built on a foundation of economic theory. This theory supported the proliferation of market-based policies that promised maximum efficiency and minimal bureaucracy. Neither of these promises has been realized. A mounting body of empirical research discussed in this Article makes clear that leading market-based policies are not efficient — they fail to capture what people want. Even more, this Article describes how the struggle to bolster these policies — through constant regulatory, technocratic tinkering that aims to improve the market and the decision-making of consumers in it — has produced a massive ...


Implementation Of The Drug Medi Cal Organized Delivery System In An Outpatient Sud Rehabilitation Agency, Casie Greene May 2019

Implementation Of The Drug Medi Cal Organized Delivery System In An Outpatient Sud Rehabilitation Agency, Casie Greene

Capstone Projects and Master's Theses

A new funding strategy called the Drug Medi-Cal Organized Delivery System (DMC-ODS) has been implemented in Santa Cruz County in efforts to combat the rising Substance Use Disorder (SUD) epidemic in the community. This system increases access to treatment services in hopes of decreasing the harmful effects of substance abuse in communities. The program aids in efforts to reduce barriers accessing care and show the people in the community the importance of and whole person care. This capstone project consisted of the implementation process of a system evaluation aligned with DMC-ODS at Sobriety Works, using data collection and analysis to ...


California Rural Legal Assistance Employment Education Outreach Project, Daisy Leon Melendrez May 2019

California Rural Legal Assistance Employment Education Outreach Project, Daisy Leon Melendrez

Capstone Projects and Master's Theses

California Rural Legal Assistance is a nonprofit law firm that provides no cost legal services to low-income individuals in Santa Cruz County. The social problem is that too many workers face employment rights violations. The agency problem is a reduction in the number of people seeking employment legal services from CRLA. This outreach project focused on spreading awareness of CRLA’s employment legal services by attending local grocery stores and farmer’s market, with the purpose of promoting agency’s services to the community. Agency materials were distrusted and a questionnaire was used to determine why people are not seeking ...


Regulatory Disclosure Policies And Potential Induced Changes In Behavior: An Outcome Evaluation Of Santa Clara County’S Enhanced Food Safety Program Elements, Christian Cruz Apr 2019

Regulatory Disclosure Policies And Potential Induced Changes In Behavior: An Outcome Evaluation Of Santa Clara County’S Enhanced Food Safety Program Elements, Christian Cruz

Master's Projects

Despite countless advances in food microbiology and public health regulations, foodborne illness continues to be a major strain on public health outcomes and a costly economic burden. In the United States, many agencies are responsible for ensuring the quality of food, both domestically produced and imported. States and localities are delegated the responsibility of identifying and ensuring sound practices in the latter stages of the food production process, namely the retail distribution of food products to consumers.

Regulatory policies across the nation have only recently incorporated the evidenced-based principles of hazard risk management (Law, 2003). Still, food-related acute gastrointestinal illnesses ...


Walk N’ Roll (Wnr) San Jose: An Initiative To Promote Active Transportation And Safe Routes To School For Children In San Jose, California, François Xavier Hans Voltaire Apr 2019

Walk N’ Roll (Wnr) San Jose: An Initiative To Promote Active Transportation And Safe Routes To School For Children In San Jose, California, François Xavier Hans Voltaire

Master's Projects

How effective is the Walk n’ Roll (WnR) program in promoting active transportation near school zones in San Jose, California? The intent of this research question is to discern the effect of the City of San Jose’s WnR program in encouraging children to actively travel to school (walking/cycling) and using other means such as scooters and skateboards. This research will use data from 2012-2018 to measure the efficacy of the program. This project strives to discover whether the tools and strategies that the program is using impact the augmentation level of the number of students who actively travel ...


Unlocking Access To Health Care: A Federalist Approach To Reforming Occupational Licensing, Gabriel Scheffler Jan 2019

Unlocking Access To Health Care: A Federalist Approach To Reforming Occupational Licensing, Gabriel Scheffler

Faculty Scholarship at Penn Law

Several features of the existing occupational licensing system impede access to health care without providing appreciable protections for patients. Licensing restrictions prevent health care providers from offering services to the full extent of their competency, obstruct the adoption of telehealth, and deter foreign-trained providers from practicing in the United States. Scholars and policymakers have proposed a number of reforms to this system over the years, but these proposals have had a limited impact for political and institutional reasons.

Still, there are grounds for optimism. In recent years, the federal government has taken a range of initial steps to reform licensing ...


Let Me Upgrade You: Common Measures In Public Health Accreditation Action Plans, Gurleen K. Roberts Jan 2019

Let Me Upgrade You: Common Measures In Public Health Accreditation Action Plans, Gurleen K. Roberts

Electronic Theses and Dissertations

Objectives: The purpose of this study is to understand the success rates for health departments pursuing and achieving accreditation in version 1.0 and 1.5 of the Public Health Accreditation Board (PHAB) standards and measures. During the accreditation process, health departments that present performance gaps are asked to complete an Action Plan to specify how they plan to improve to meet the desired conformity. This study will highlight specific measures that are often included in Action Plans so that health departments pursuing accreditation can be better prepared to address these common pitfalls.

Methods: This study is a non-experimental, secondary ...


The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy Nov 2018

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those ...


Making Occupations Possible? A Critical Analysis Of Social Assistance Policy In Ontario, Nedra R. Peter Oct 2018

Making Occupations Possible? A Critical Analysis Of Social Assistance Policy In Ontario, Nedra R. Peter

Electronic Thesis and Dissertation Repository

This thesis reports on a two-part study exploring the occupational possibilities of people receiving social assistance in Ontario. The research conducted in this thesis was guided by the research question: How does social assistance in the form of Ontario Works and the Ontario Disability Support Program influence occupational possibilities for adults living in poverty? Guided by a governmentality perspective, Laliberte Rudman (2010) proposes that social and political processes shape expectations and possibilities for occupations. Occupational possibilities refer to the occupations that are supported and promoted by various aspects of the broader systems and structures in which lives are lived (Laliberte ...


La Incorporación De La Vacuna Contra Varicela Al Calendario Nacional De Vacunación En Argentina: ¿Cómo Se Llegó A Esta Política Pública? / The Addition Of A Varicella Vaccination To The Argentine National Calendar Of Vaccination: How Did This Public Policy Arise?, Ilana Olin Oct 2018

La Incorporación De La Vacuna Contra Varicela Al Calendario Nacional De Vacunación En Argentina: ¿Cómo Se Llegó A Esta Política Pública? / The Addition Of A Varicella Vaccination To The Argentine National Calendar Of Vaccination: How Did This Public Policy Arise?, Ilana Olin

Independent Study Project (ISP) Collection

Este estudio de política pública describe la incorporación de la vacuna contra varicela al Calendario Nacional de Inmunizaciones en la Argentina analizando la política pública como un ciclo de acción. Usando un diseño exploratorio y cualitativo, este estudio intenta combinar las reflexiones de 6 expertos entrevistados involucrados directamente en este proceso político con unos estudios antecedentes y otras fuentes secundarias. Presenta una narrativa comprensiva, teniendo en cuenta la estructura de análisis proporcionado por el marco-conceptual. Los aspectos éticos considerados incluyen el anonimato de estos expertos, quienes firmaron un formulario de consentimiento informado describiendo los objetivos y limitaciones de esta investigación ...


The Battle Over Fracking: The Mobilization Of Local Residents, Mehmet Soyer, Sebahattin Ziyanak Sep 2018

The Battle Over Fracking: The Mobilization Of Local Residents, Mehmet Soyer, Sebahattin Ziyanak

The Qualitative Report

In the last decade, the natural gas industry has grown rapidly, and North Texas has become a major shale gas-producing area. This paper studies the power struggle of two rival groups (Frack Free Denton and Denton Tax Payers for a Strong Economy) over fracking in Denton. How did each of these groups challenge the claims-making activities and goals of their adversaries?” We conducted data from ten in-depth interviews from each side to compare concerns about fracking. This study focuses on the campaign of the two groups on each side of the debate. We developed the model of merging the theoretical ...


An Analysis Of The Universal Home Care Program: Considerations For Implementation With The Context Of Maine's Existing Ltss Programs, Eileen J. Griffin Jd, Elizabeth C. Gattine Jd, Louise Olsen, Stewart Bratesman Mpp Sep 2018

An Analysis Of The Universal Home Care Program: Considerations For Implementation With The Context Of Maine's Existing Ltss Programs, Eileen J. Griffin Jd, Elizabeth C. Gattine Jd, Louise Olsen, Stewart Bratesman Mpp

Disability & Aging

A citizen initiative on the November 2018 ballot (Question 1, An Act to Establish Universal Home Care for Seniors and Persons with Disabilities) would establish a "Universal Home Care Program" (UHC Program) to serve older adults and persons with a disability living in Maine. This report does not constitute either support for or opposition to the referendum but is intended as an independent assessment of how the UHC Program could be implemented if it were to be approved by Maine voters. This analysis focuses on the implications of the UHC Program within the context of the Medicaid and state-funded long ...


Policy Of Current Hospital Translation Services And Recommendations For Future Adjustments For Spanish-Speaking Patients, Isidora Rose Beach May 2018

Policy Of Current Hospital Translation Services And Recommendations For Future Adjustments For Spanish-Speaking Patients, Isidora Rose Beach

Chancellor’s Honors Program Projects

No abstract provided.


The Pricing Impact Of Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson May 2018

The Pricing Impact Of Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson

Chancellor’s Honors Program Projects

No abstract provided.


Cost Burden Of Social Isolation For Wheelchair Users In Louisville, Kentucky., Connie Light May 2018

Cost Burden Of Social Isolation For Wheelchair Users In Louisville, Kentucky., Connie Light

Electronic Theses and Dissertations

Background: Social isolation is an important predictor for poor health status, chronic diseases, and healthcare utilization and costs. There is a growing number of Americans with one or more disabilities, and evidence suggests that many are also socially isolated. This is especially true for those with immobility, as the built environment including housing structures are not universally designed to be accommodating. Immobility describes those who use walkers, canes, or wheelchairs, with the latter suffering the most impact. The cost of social exclusion can be measured by the exacerbation of disease in wheelchair users, whose fragile health status and social networks ...


The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer Apr 2018

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design ...


College Women's Interest In An Over-The-Counter Oral Contraceptive, Haley Dougherty Apr 2018

College Women's Interest In An Over-The-Counter Oral Contraceptive, Haley Dougherty

Senior Theses and Projects

The purpose of this thesis was to learn whether an over-the-counter (OTC) oral contraceptive pill would benefit college students. To find out, I conducted sixteen semi-structured interviews with college students from Trinity College and Capital Community College, both located in Hartford, Connecticut. All participants either currently took oral contraceptives or had taken them in the past. This thesis accepts as its premise that oral contraceptives should be available OTC, but as a policy solution to increase access, I found that an OTC pill would have a limited effect.


Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso Mph, Zach T. Croll, Deborah Thayer Mba, Jean A. Talbot Phd, Mph, Andrew F. Coburn Phd Mar 2018

Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso Mph, Zach T. Croll, Deborah Thayer Mba, Jean A. Talbot Phd, Mph, Andrew F. Coburn Phd

Long Term Services and Supports

The aging of the baby boom generation is projected to dramatically increase the population aged 65 and older in the coming decades. In particular, those aged 85 and older (the ‘oldest old’) are expanding at a faster rate than any other age group and by 2050 are expected to make up 4.5 percent of the population, compared to 1.9 percent in 2012. Faster growth in the percentage of older people (65+) in rural than in urban areas is likely to challenge the healthcare and long term services and supports (LTSS) capacity in many rural communities.

This study used ...


Gun Violence: Chicago, Illinois, Kayla Dillon Jan 2018

Gun Violence: Chicago, Illinois, Kayla Dillon

Global Issues in Public Health

Gun violence has been, and continues to be, a significant problem in Chicago, Illinois. There have been several programs in place that have worked towards improving the level of gun violence. One of the most noticeable being Project Safe Neighborhood, which began in 2001. Part of what makes these programs, and programs similar to it, necessary is that it targets the populations most at-risk of gun violence. By targeting these specific regions of the city, these programs can provide the resources necessary to improve the condition of the city in the long-term, as well as prevent the condition from spreading ...


Adolescents’ Soda Consumption In Mexico Before And After The Sugar-Sweetened Beverages Tax: Results From National Health And Nutrition Surveys, Estefania Martí Malvido Jan 2018

Adolescents’ Soda Consumption In Mexico Before And After The Sugar-Sweetened Beverages Tax: Results From National Health And Nutrition Surveys, Estefania Martí Malvido

School of Public Policy Capstones

In 2014 Mexico implemented a national tax on sugar-sweetened beverages (SSBs) as a public health strategy. Over the last decades, obesity has significantly increased among adolescents (12-19 years). In addition, the consumption of high-energy beverages among adolescents more than doubled from 1999 to 2006. The current study investigates the relationship between the SSBs tax and the caloric soda consumption in the Mexican adolescent population utilizing cross-sectional data from two nationally representative nutrition surveys. One from 2012 which took place before the tax was implemented and one conducted in 2016, two years after tax implementation.

Results show a positive association between ...


Food Insecurity At A Four-Year College Campus, Danielle Corrado Jan 2018

Food Insecurity At A Four-Year College Campus, Danielle Corrado

School of Public Policy Capstones

This paper, through an adaption of the United States Department of Agriculture Adult Food Security survey tool, aims to identify food insecurity rates at the University of Massachusetts Amherst, the demographic characteristics associated with food insecurity, potential financial factors that contribute and predict food insecurity rates, and the relationship between food insecurity and academic performance. Lastly, this paper examines on and off campus resources available to students and students perception of food insecurity before college as compared to actual food security status in college.


Alcohol Policy Best Practices In Franklin And Hampshire Counties, Massachusetts, Lauren Coakley, Reily Connaughton, Ghida El-Banna Jan 2018

Alcohol Policy Best Practices In Franklin And Hampshire Counties, Massachusetts, Lauren Coakley, Reily Connaughton, Ghida El-Banna

School of Public Policy Capstones

Research question: What are "efficient" policies and best practices to reduce youth alcohol consumption in Franklin and Hampshire counties, Massachusetts?

Motivation: Excessive alcohol consumption leads to monetary and societal costs.

Methodology: A hybrid of quantitative (multiple linear regression) and qualitative (policy evaluation, case studies, phone and in-person interviews) methods.


Promoting Healthy Diets: Challenges And Opportunities Of Nutrition Policy Implementation In Food Banks, Sarah Brown-Anson, Elizabeth Leibinger, Hadassah Masudi Minga Jan 2018

Promoting Healthy Diets: Challenges And Opportunities Of Nutrition Policy Implementation In Food Banks, Sarah Brown-Anson, Elizabeth Leibinger, Hadassah Masudi Minga

School of Public Policy Capstones

In recent years, food banks have grown increasingly aware of the role diet plays in wide-spread public health issues such as cardiovascular disease, diabetes, and obesity. Food banks already purchase healthy foods directly and select nutritious items distributed by government programs such as The Emergency Food Assistance Program (TEFAP). Recently, some banks have implemented nutrition policies to regulate donations made by businesses and individuals to further decrease the volume of less healthy options in their warehouses.

This study explores the challenges and opportunities associated to the implementation of nutrition policies for donated food items by Food Banks in the USA ...


Baby M Turns 30: The Law And Policy Of Surrogate Motherhood, Eric A. Feldman Jan 2018

Baby M Turns 30: The Law And Policy Of Surrogate Motherhood, Eric A. Feldman

Faculty Scholarship at Penn Law

This article marks the 30th anniversary of the Supreme Court of New Jersey’s Baby M decision by offering a critical analysis of surrogacy policy in the United States. Despite fundamental changes in both science and society since the case was decided, state courts and legislatures remain bitterly divided on the legality of surrogacy. In arguing for a more uniform, permissive legal posture toward surrogacy, the article addresses five central debates in the surrogacy literature.

First, should the legal system accommodate those seeking conception through surrogacy, or should it prohibit such arrangements? Second, if surrogacy is permitted, what steps can ...


Paid Parental Leave In The United States: Reconciling Competing Demands, Sydney Joseph Jan 2018

Paid Parental Leave In The United States: Reconciling Competing Demands, Sydney Joseph

CMC Senior Theses

The United States is the only developed nation that fails to provide its citizens with paid parental leave. The lack of parental benefit provision operates to the detriment of individuals and society as a whole by contributing to inequity across gender, race, socioeconomic status, and sexual orientation. As the demographics of the American workforce have changed, public policy has not kept pace. Paid parental leave is associated a number of health, economic, and social benefits. However, the greatest barrier to legislating paid parental leave is the philosophical underpinnings of American politics, specifically the strong current of liberal individualism and absence ...


Santa Clara County Senior Nutrition Program Evaluation Report, Tae Hwan Ihm Dec 2017

Santa Clara County Senior Nutrition Program Evaluation Report, Tae Hwan Ihm

Master's Projects

Santa Clara County conducts a Senior Nutrition Program (SNP) in conjunction with the City of San Jose, the Outreach Paratransit Program and local community-based organizations (CBOs) like Sourcewise (Lam, 2015). These programs combined represent a significant investment of public funds, with more than 45% of the SNP program’s funding coming from the county General Fund (Lam, 2015). Such a large financial commitment needs to demonstrate some benefit to the participants, and some positive outcomes from the current program design. This study evaluated the SNP’s effectiveness in achieving its primary goals. Primary goals of the SNP are to promote ...


Community Paramedicine Pilot Programs: Lessons From Maine, Karen B. Pearson Mlis, Ma, George Shaler Mph Oct 2017

Community Paramedicine Pilot Programs: Lessons From Maine, Karen B. Pearson Mlis, Ma, George Shaler Mph

Emergency Medical Services (EMS)

Community paramedicine programs are beginning to flourish across the nation, and the need to provide demonstration or pilot programs is essential to providing a consistent and high-level standard for this model of care. While the overarching goals are to align with the Triple Aim, piloting a community paramedicine program also allows each community to develop and implement a program tailored to the healthcare needs of their specific community. A successful program builds the evidence base that can then be used to create legislative change necessary to financially sustain this model of care across the healthcare delivery system. This article provides ...


Knowledge Of Health Insurance Concepts And The Affordable Care Act Among Rural Residents, Erika C. Ziller Phd Jul 2017

Knowledge Of Health Insurance Concepts And The Affordable Care Act Among Rural Residents, Erika C. Ziller Phd

Health System Reform

Health insurance literacy is central to identifying eligibility for coverage and subsidies, choosing a plan, and using optimal healthcare services under the Affordable Care Act (ACA) or other insurance reform initiatives. To fully benefit from policy efforts to improve health insurance access, rural residents must have the ability to select the plan that best meets their healthcare needs. However, a higher proportion of rural residents possess characteristics that may put them at risk of lower health insurance literacy, including lower incomes and educational attainment, less experience with private insurance, and historically higher uninsured rates. Using Health Reform Monitoring Survey data ...