The primary goal of the research project was to organize a community needs assessment, which culminated in a report attached in the appendix. Data from sixteen interviews with community leaders involved in mental health promotion throughout Dallas County, Texas was used as the foundation of the professional report. This data revealed several key barriers faced by those with mental illness in their ability to access mental health services in Dallas County. The information gathered prompted further exploration into the intersection between public transit and mental health. Transit became the focus of this work when it came up as simultaneously a barrier to care and mode of prevention in the majority of the interviews. Interestingly, Dallas County has public plans to address transit related disparities; however, their intervention pulls from strategies determined to be ineffectual among the poor and disenfranchised. In this work we explore community needs and the civic culture of Dallas with a specific focus on transportation.

This study aimed to create a holistic understanding of the physician experience in relation to telemedicine. This study examined a Tele-NICU and a Tele-ER program at a large metropolitan pediatric specialty hospital with a Level IV NICU that provides telemedicine consults to 16 remote sites across Texas. Twenty-four semi-structured interviews were conducted with physicians and nurses at remote hospitals, physicians who provide consultations from the pediatric specialty hospital, and managers of the tele-specialty programs. These interviews were coded using the consolidated framework for implementation science to contextualize program strengths and weaknesses and reviewed to make recommendations for future program development. Remote site participants reported that the programs are useful when they are in need a second opinion and providing reassurance to patient's families. Barriers to program use include issues with the tele-carts, insurance acceptance, and hesitation to request a consult. Study findings demonstrate the need to treat each tele-specialty programs as independent to suit the differing needs of both remote sites and the consulting physicians. This study demonstrates the importance of understanding physician's perspectives, culture, and the role of hospital settings in telemedicine program acceptance and refutes telemedicine as a monolithic solution to limited healthcare access.

Five years ago, a massive earthquake and its subsequent aftershocks rocked the core of Nepal. Recovery from these quakes has been a long and difficult process. This thesis will explore findings from a qualitative evaluation of Lumanti Support Group for Shelter, an NGO in Kathmandu, Nepal that implemented a residential reconstruction program in four peri-urban communities in Kathmandu Valley. These findings are a culmination of 26 semi-structured interviews and document analysis. This research highlights the processes of reconstruction and the forms of resistance that occurred through disaster governance.

Considering the changes the Lake Atitlan, Guatemala region has undergone in the last several years, ODIM (Organization for the Development of the Indigenous Maya) seeks to understand the needs of the San Juan La Laguna and San Pablo La Laguna communities, and to provide competent, culturally-aligned care that is affordable to the Indigenous Maya of this region. Using mixed-methods approaches that incorporate interviews, surveys, graphic anthropology, and evaluation methods, this study investigated (1) the formal and informal health care services (including those offered by ODIM) and how and why they are utilized by local Guatemalans, (2) Guatemalan perceptions and experiences of health, wellbeing, and illness to understand how they might influence health related behavior, and (3) community health care needs and how ODIM can fill those needs. These objectives served to inform key stakeholders of current gaps in healthcare services, provide feedback regarding the ODIM health services and programs, and provide insight into the current health needs in order to ameliorate the burden of disease and illness around Lake Atitlan, Guatemala. This study produced a comprehensive community health profile, and it discusses the current state of health care, explains the local perspectives of health care, and gives direct feedback and …

Changing national policies in recent years represent an unprecedented attack on refugee resettlement in the United States. In this period of political and social uncertainty, understanding the barriers to refugee economic integration is more critical than ever. Following a review of existing literature on refugee resettlement and economic integration, this research assesses experiences of refugee employment in Dallas, Texas—one of the cities that resettles the most new refugees nationwide—through investigating the experiences of four key populations: resettled individuals themselves (including refugees, asylees, and SIVs), resettlement caseworkers, third-party staffing agencies, and the management/HR staff of refugee employers. These diverse perspectives will assist in understanding the structural constraints that shape refugee employment services, as well as the interaction of these various individuals and organizations as parts of a dynamic system. The project also aims to explore employers' experiences of hiring refugees and working with resettlement programs, as the perspectives of entrepreneurs and the business community are those most likely to influence the attitudes of legislators and encourage renewed support of resettlement in Texas. The conclusion of this study offers recommendations for how resettlement organizations can navigate the ambiguities of a resettlement system driven by neoliberal economics and a push for rapid employment …

Working with the public benefit corporation SURVIVR, I conducted a user experience study to determine how effective the Summer 2019 build of the virtual reality (VR) police training tool SurviVR was at meeting the product's goal of providing officers-in-training with realistic, immersive training experience. Two virtual training scenarios, entitled Active Shooter and Emotionally Disturbed Person (EDP), were the focal points of the study. At two of the product's pilot demonstration locations over eleven total sessions, I gathered observational data and audiovisual recordings and administered paper surveys based in qualitative methods (with a few quantitative elements). Using these data collection tools and techniques, I inquired into the themes of immersion and realism in the virtual scenarios and what design features the participants felt positively or negatively impacted their experiences of these themes. SurviVR's nature of containing both real-world and virtual elements that are pertinent to user experience necessitated a framework that addresses ethnography of virtual worlds, hybrid ethnography, and design anthropology. This study contributes to the expanding field of VR applications and understanding how improved immersion and realism can aid in the effectiveness of VR as a training tool.