Accessing adequate healthcare, particularly essential services like physical therapy, presents a significant challenge for individuals with Down syndrome. This demographic often encounters obstacles such as limited accessibility, scarce resources, and a lack of tailored solutions that specifically address their unique needs. The resulting disparity leads to inconsistent care and suboptimal healthcare experiences. Recognizing the importance of eliminating these barriers is crucial to create a more inclusive healthcare environment for individuals with Down syndrome. Rainbow Monster Madness serves as a multifaceted solution to the social determinants of health that significantly impact individuals with Down syndrome. The game's design directly tackles several of these determinants by offering accessible, engaging, and family-centered therapy. In terms of healthcare access and quality, the game empowers parents to actively participate in their child's therapy, ensuring the correct administration of exercises and the consistent provision of quality care. The game's design addresses neighborly and built environment determinants by providing an accessible and inclusive therapy option that can be implemented within the comfort of one's home. This approach fosters a sense of safety and familiarity for children undergoing therapy, promoting a more relaxed and conducive environment. Additionally, Rainbow Monster Madness encourages social community engagement by fostering a collaborative atmosphere between parents and children during therapy sessions. This collaborative approach creates a supportive and engaging environment, positively impacting the overall therapeutic experience. Adhering to the principles of Self-Determination Theory, the game cultivates intrinsic motivation and psychological well-being among children with Down syndrome. This approach enables active engagement in therapy and contributes to their overall health and well-being. The exercises included in Rainbow Monster Madness are carefully selected to cater to the unique needs of individuals with Down syndrome. This regimen combines muscle-strengthening, cardio, and balance exercises, tailored to this specific population. The modification of exercises and thematic design ensures that children remain enthusiastic about their therapy, ultimately promoting better adherence and more effective results. In summary, Rainbow Monster Madness represents a comprehensive solution to the multitude of challenges faced by individuals with Down syndrome in accessing healthcare. Simultaneously, it addresses the broader social determinants of health, thereby fostering a healthier and more inclusive future for this deserving population.

The coronavirus pandemic has proven to be a challenging time for the Hispanic community, facing impacts on stress and depression symptoms at disproportionate rates. The current study examined the associations between socioeconomic COVID stressors and depression symptoms; and coping styles, including problem-focused and emotion-focused coping, and depression symptoms amongst Mexican heritage parents. Coping styles were also examined as a moderator of the association between socioeconomic COVID stressors and depression symptoms

This thesis/creative project is a guide for other universities to follow in making their campuses more inclusive and accessible via maps. This guide will be offered in different formats (ex – PDF, a website, audio, etc.) to accommodate the disabled community. Hopefully, this guide will serve as inspiration and starting point for universities around the country to better the college experience for all.

The goal of this study was to gain insights from adults on the autism spectrum regarding their recommendations for improving the accessibility of stores and restaurants. Four adults who indicated that they had a diagnosis of autism spectrum disorder or Asperger’s Syndrome volunteered to participate in a qualitative interview. The questions that participants were asked centered around their experiences in stores and restaurants, current accessibility guidelines, the impact of COVID-19 on their experiences, and their recommendations for increased accessibility. Recommendations fell into two main categories: changes to the environment and accommodations that could be provided. Participants suggested multiple ways to reduce their sensitivities to noise in stores and restaurants like lowering the music, creating a quiet hour, or providing noise cancelling headphones. Further efforts are needed to fully understand the issue of accessibility for autistic individuals.

Green infrastructure serves as a critical no-regret strategy to address climate change mitigation and adaptation in climate action plans. Climate justice refers to the distribution of climate change-induced environmental hazards (e.g., increased frequency and intensity of floods) among socially vulnerable groups. Yet no index has addressed both climate justice and green infrastructure planning jointly in the USA. This paper proposes a spatial climate justice and green infrastructure assessment framework to understand social-ecological vulnerability under the impacts of climate change. The Climate Justice Index ranks places based on their exposure to climate change-induced flooding, and water contamination aggravated by floods, through hydrological modelling, GIS spatial analysis and statistical methodologies. The Green Infrastructure Index ranks access to biophysical adaptive capacity for climate change. A case study for the Huron River watershed in Michigan, USA, illustrates that climate justice hotspots are concentrated in large cities; yet these communities have the least access to green infrastructure. This study demonstrates the value of using GIS to assess the spatial distribution of climate justice in green infrastructure planning and thereby to prioritize infrastructure investment while addressing equity in climate change adaptation.