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Introduction/Purpose: This paper describes the process of the community needs assessment phase of program implementation for the Student Health Outreach for Wellness (SHOW) clinic. Homeless individuals are more likely (than non homeless individuals) to experience serious illness, depression and mental illness. Access to health care has been identified as a

Introduction/Purpose: This paper describes the process of the community needs assessment phase of program implementation for the Student Health Outreach for Wellness (SHOW) clinic. Homeless individuals are more likely (than non homeless individuals) to experience serious illness, depression and mental illness. Access to health care has been identified as a barrier to receiving appropriate health care to manage the diseases and conditions clients may have. SHOW's vision is to operate on Saturdays utilizing Health Care for the Homeless (HCH) to offer extended primary health care hours, along with offering health promotion programming to address the biopsychosocial components of their health. Ultimately, this aims to reduce the homeless population's need to visit emergency room departments for non- urgent, primary care visits. Methods: To validate the need for this clinic's operation of programming and health services, a community needs assessment was conducted to collect data about the population's current health status. Forty-three people (n=43) ages 20-76 (M = 44.87) were surveyed by a trained research team using interview questionnaires. Results: The results show a prevalence of self\u2014reported physical and behavioral conditions, and support that this population would benefit from extended hours of care. Mental and behavioral health conditions are the most prevalent conditions (with the highest rates of depression (41.86%) and anxiety disorder (32.56%)), followed by the common cold (23.36%) and back pain (16.28%). The average reported emergency department (ED) visits within the past six months was 1.18 times. Almost everyone surveyed would visit a free medical clinic on the Human Services Campus (HSC) staffed by health staff and health professional students on the weekends (93.18%). Conclusion: Overall, the community needs assessment conducted for SHOW supports the need for weekend access to health care facilities and an interest in health programming for this population.
ContributorsShqalsi, Eneida Agustin (Author) / Hoffner, Kristin (Thesis director) / Harrell, Susan (Committee member) / Harper, Erin (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2015-05
Description

When former President Donald Trump declared that the “American Dream is dead” during his campaign launch in June 2015, for many Americans, that was simply the case. Somehow, a multi-billionaire intuited a truth that the American elite had ignored for decades: certain places had flourished, giving their next generation ample

When former President Donald Trump declared that the “American Dream is dead” during his campaign launch in June 2015, for many Americans, that was simply the case. Somehow, a multi-billionaire intuited a truth that the American elite had ignored for decades: certain places had flourished, giving their next generation ample opportunity to succeed and community life to flourish, while certain places had collapsed, leaving their next generation hollowed out neighborhoods, broken families, and despair. As civil society and community declined in the United States after a high in the mid-20th century, a new lower class began to form. This new lower class is deprived of the institutions of civil society which form people as self-governing creatures, leaving fewer and fewer mediating layers between man and state. This stratification of social capital along class lines and the social isolation it has wrought are among the chief threats to human flourishing in the United States in the twenty-first century, depriving people of authentic freedom and supplanting it with a base understanding of liberty-as-license. The alienation facing tens of millions of Americans, and impacting our entire society, was not caused by a singular economic, social, political, or technological innovation (though plenty of these changes have accelerated and accentuated this phenomena). At the base of community’s decline is a mismanaged individualism -- a term first coined by Alexis de Tocqueville -- which has warped our politics, and simultaneously empowered radical self-centeredness and government centralization. This thesis builds on a large body of work surrounding Tocqueville’s Democracy in America, the role of civil society in America, and the stratification of community over the last half-century, drawing on the thought of Robert Putnam, Tim Carney, Yuval Levin, Patrick Deneen, Charles Murray, and Robert Nisbet -- among others -- to build an outline of the state of civil society and meaningful community in America today. It also charts a path forward for conceptualizing the American Dream in such a way that empowers rather than demotes the role of community in human life, arguing for a conscientious communitarianism. This revised definition of the American Dream relies upon a new concept -- authentic freedom -- that contradicts freedom-as-license. Analyzing diagnoses of our current situation and proposed solutions from the aforementioned thinkers, this thesis posits that Americans must organize and reinvigorate community on a local scale in order to confront these challenges. Ultimately, while community can only be formed productively at the local, human-scale, the long-term restoration of community and civil society in the United States will rely on political reform, framed after Yuval Levin’s modernized ethic of subsidiarity and Robert Nisbet’s conception of a new kind of state. The framework for renewal presented is not simply advocacy for a greater number of voluntary associations, but the formation and maintenance of particular sorts of associations: those which are purposeful about moral formation, the inculcation of the habits and mores necessary for a free people to flourish, and ultimately the proliferation of authentic freedom. While the conscientious communitarian advocates for a politics that prizes civil society broadly, they advocate for, create, and join institutions of this particular character. This is both an argument for a more robust and diverse civil society, and an affirmative case for particular institutions of civil society which form people towards authentic freedom.

ContributorsPitts, Joseph (Author) / McNamara, Peter (Thesis director) / German, Zachary (Committee member) / Barrett, The Honors College (Contributor) / Department of Management and Entrepreneurship (Contributor) / School of Civic & Economic Thought and Leadership (Contributor)
Created2023-05