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  • [Solved] The Supreme Court, Federalism, and Public Administrators

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    Case study and Instructions and readings attached. – ## CasystudyInstructions.docx – ## StateandLocalGovernmentIntergovernmentalRelationshipsPartI.pdf **## CasystudyInstructions.docx** No AI or Plagiarism **Instructions** · Provide a Biblically based support for your analysis · Sources must be deriv…

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    Assignment Prompt & Instructions

    Case study and Instructions and readings attached.

    – ## CasystudyInstructions.docx

    – ## StateandLocalGovernmentIntergovernmentalRelationshipsPartI.pdf

    **## CasystudyInstructions.docx**

    No AI or Plagiarism

    **Instructions**

    · Provide a Biblically based support for your analysis

    · Sources must be derived from Read items assigned for the Module: Week in which the Case Study is assigned, peer-reviewed journal articles, and your independent research.

    · All citations and format must be in current APA format

    · Include 8 – 10 sources, not including your Biblical analysis

    · Double-spaced, with 1-inch margins, written in 12-point Times New Roman font.

    Paper must be 8-10 pages

    **Case Study: The Supreme Court, Federalism, and Public Administrators Assignment**

    Christensen and Wise (2009) state,

    [t]he U.S. Supreme Court has come to play an important role in articulating that system of rules. The Supreme Court’s federalism decisions are especially important in understanding what powers public managers [must] achieve policy priorities in the current context of devolved government.

    For this
    **Case Study Assignment,** you will provide a scholarly paper concerning the effect of recent Supreme Court decisions on public administration and federalism.

    Readings

    [https://www.jstor.org/stable/40468971?saml_data=eyJpbnN0aXR1dGlvbklkcyI6WyJjNGZjMjNmMC01MDQzLTRiOWMtYjgzNS0wZTBkZDBhMDA2MjMiXSwic2FtbFRva2VuIjoiNTBlYTdkOGUtNWQxMy00MzEyLWE3OGYtZjhmMDgzYTIyMjQ1In0&seq=1](https://www.jstor.org/stable/40468971?saml_data=eyJpbnN0aXR1dGlvbklkcyI6WyJjNGZjMjNmMC01MDQzLTRiOWMtYjgzNS0wZTBkZDBhMDA2MjMiXSwic2FtbFRva2VuIjoiNTBlYTdkOGUtNWQxMy00MzEyLWE3OGYtZjhmMDgzYTIyMjQ1In0&seq=1)

    Youtube Video

    [https://youtu.be/L_9PwNvaFYk?si=0oi7dWAiIh0TUFjp](https://youtu.be/L_9PwNvaFYk?si=0oi7dWAiIh0TUFjp)

    **## StateandLocalGovernmentIntergovernmentalRelationshipsPartI.pdf**

    State and Local Government
    Intergovernmental
    Relationships: Part I

    1

    Introduction
    • State and local government responsible for

    policies — education, trash collection,
    transportation, water and sewer,…

    • State governments are similar but much
    different from federal government.

    • Local governments established by states
    to handle local policy concerns.

    2

    Introduction Continued
    • Subnational Governments:

    • State and local governments — revitalization
    and diversity since 960’s.

    • States more active in policymaking.
    • States remain diverse in populations and

    policies.

    3

    Understanding State and Local
    Governments

    • Democracy at the Subnational Level
    • States allow local governments to manage

    local problems in an open manner.
    • Lack of voter participation and coordination

    among local governments as well as
    competition for business and industry.

    4

    Understanding State and Local
    Governments

    • The Scope of Subnational Government
    • State and local governments growing faster

    than federal government.
    • Some states have sunset legislation mandates

    review of agency programs for continuation.
    • Some local governments better at policy than

    their states and become innovators at
    problem resolution.

    5

    The Evolution of State
    and Local Governments

    • Governing in U.S. by multiple authorities
    working together and in conflict.
    • In 1776, the thirteen colonial governments

    became states tied together in a loose
    confederation under the Articles.

    • Unified into a federal system in the late 1780s to
    address weakness of confederative model.

    • States create and determine powers of local
    governments.

    6

    The Evolution Continued
    • In 1962, the Supreme Court forced the

    states to redistrict and become more
    representative of the states’ population. In
    Baker v. Carr, the Court applied the 14th

    Amendment's Equal Protection Clause to
    voters.
    • The ruling of “one man, one vote” required

    legislatures redistrict with an equal number of
    constituents in each.

    7

    The Evolution Continued
    • During 1960s and 1970s, federal government

    increased responsibilities of states and locals

    • Federal programs for poverty, urban renewal,
    and environmental quality became
    administered by states and locals.

    8

    The Evolution Continued
    • In 1990s, state and local governments more

    valuable in federalism.
    • States, cities, and counties becoming

    program innovators and mutually
    cooperating to increase economic growth.

    • Governors become important national
    actors. State legislators, county officials, city
    managers, and other officials now travel
    internationally.

    9

    Grassroots Power and Politics
    • Most small towns have a local dynasty–some

    big towns have them, too.
    • State and local politics more personal, non-

    partisan, and issue-oriented than at federal
    level.

    • Grassroots politics includes influence of local
    elites, local issues, local news media, and issue-
    specific organizations to enact laws and make
    policy.

    10

    State Governments
    • The primary responsibilities of state governments

    are:
    • education
    • public health
    • transportation
    • economic development
    • criminal justice
    • licensing/regulation professions (teachers, social workers,

    doctors, lawyers, barbers/stylists, architects, etc.)
    • States more active in welfare and environmental

    issues on their own and as administrators of
    national programs.

    11

    12

    Source: Bowman and Kearney, 2017

    State Constitutions
    • Each state has its own unique constitution.
    • They are subordinate to the U.S. Constitution.
    • State constitutions have more detail about

    specific policies.
    • Specific interests work to protect their issues

    in the constitutions since it is harder to
    amend them.

    13

    State Constitutions
    • Amending State Constitutions

    • Few states rewrite their constitutions.
    • States often use “cut and paste” by only

    updating few sections of Constitution.
    • State’s legislature proposes constitutional

    amendment and then it is put to a vote in an
    election.

    • Some states allow citizen initiatives.

    14

    State Constitutions
    • State constitutions limit powers of state

    governments.
    • After Civil War, Southern states were forced

    to draft new constitutions acceptable to
    North. New constitutions gave powers to
    former slaves and disenfranchised the
    traditional elites.

    • After Reconstruction, Southern states
    adopted newer constitutions providing for
    weak governments.

    15

    State Constitutions
    • Western states chose weak governments.
    • Western states allow voters to enact

    legislation through initiatives and recall
    elections to remove officials from office.

    • Strengthen state governments to manage
    critical issues.

    • Lengthen terms of states’ governors with
    more oversight on spending.

    • Legislatures full-time, better pay, and courts
    strengthened.

    16

    Executives and Legislatures
    • Local governments have some or all of

    these decision-making positions:
    • Elected executive: mayor, village president.
    • Elected council or commission: city council,

    city commission, city board, county board,
    county council, school board,

    • Appointed manager: city manager, city
    administrator, county administrator, county
    manager, school superintendent.

    17

    Governors
    • Governors are chief executive officers of

    states with policymaking, budgetary, and
    ceremonial roles.
    • Propose budget
    • Veto authority
    • Appointment powers
    • Power to pardon
    • Commute sentences, grant parole, and extradite

    18

    Governors and the
    Executive Branch

    • The Job of Governor
    • Expected to fulfill many duties, some formal, some not
    • Much diversity in level of formal powers
    • 42 governors have a line-item veto—veto only parts

    of a bill
    • Today’s governors use “personal powers” to help

    accomplish their policy goals.
    • Public support, character, and leadership style

    19

    Governors and the
    Executive Branch

    20

    Governors and the Executive Branch
    • Other Executive Officers

    • Many other state executives are elected separately from the
    governor.

    • Major state executives include:
    • Lieutenant Governor—second-highest executive official

    in state governments. In Georgia, serves as Senate
    President.

    • Attorney General—state’s legal counsel
    • State Treasurer—manager of state’s bank accounts
    • Secretary of State—elections and record-keeping
    • Auditor—financial comptroller
    • Insurance Commissioner

    21

    State Legislatures
    • General Information:

    • Generally, operate like Congress
    • Have become more professional:

    • longer sessions—44 state legislatures have
    annual sessions

    • higher salaries
    • more staff for each one and staff for

    committees
    • Some feel it is against the idea of a “citizen

    legislature” favored by public

    22

    State Legislatures

    23

    State Legislatures
    • All states except Nebraska have bicameral

    legislatures.
    • By 1999, twenty states limited the number of terms a

    legislator could serve. The limits range from six to
    twelve years.

    • State legislatures are still primarily part-time bodies.
    There is abundant turnover–over 25% of seats each
    election.

    24

    Direct Democracy
    • Direct initiative: Voters place proposal on ballot

    and enact it into law without involving the
    legislature or the governor.

    • Indirect initiative: Legislature places proposal
    on ballot and allows voters to enact it into law
    without involving the legislature or the
    governor.

    25

    Direct Democracy
    • Direct democracy: government controlled

    directly by the citizens

    • Methods of citizen control of the Government:
    • Initiative: proposed changes to laws be put on the

    ballot if enough signatures are collected
    • Referendum: voters approve or disapprove state

    legislation
    • Recall: voters may vote someone out of office

    26

    – State and Local Government Intergovernmental Relationships: Part I
    – Introduction
    – Introduction Continued
    – Understanding State and Local Governments
    – Understanding State and Local Governments
    – The Evolution of State �and Local Governments
    – The Evolution Continued
    – The Evolution Continued
    – The Evolution Continued
    – Grassroots Power and Politics
    – State Governments
    – Slide Number 12
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – Executives and Legislatures
    – Governors
    – Governors and the�Executive Branch
    – Governors and the�Executive Branch
    – Governors and the Executive Branch
    – State Legislatures
    – State Legislatures
    – State Legislatures
    – Direct Democracy
    – Direct Democracy

    **## StateandLocalGovernmentIntergovernmentalRelationshipsPartI.pdf**

    State and Local Government
    Intergovernmental
    Relationships: Part I

    1

    Introduction
    • State and local government responsible for

    policies — education, trash collection,
    transportation, water and sewer,…

    • State governments are similar but much
    different from federal government.

    • Local governments established by states
    to handle local policy concerns.

    2

    Introduction Continued
    • Subnational Governments:

    • State and local governments — revitalization
    and diversity since 960’s.

    • States more active in policymaking.
    • States remain diverse in populations and

    policies.

    3

    Understanding State and Local
    Governments

    • Democracy at the Subnational Level
    • States allow local governments to manage

    local problems in an open manner.
    • Lack of voter participation and coordination

    among local governments as well as
    competition for business and industry.

    4

    Understanding State and Local
    Governments

    • The Scope of Subnational Government
    • State and local governments growing faster

    than federal government.
    • Some states have sunset legislation mandates

    review of agency programs for continuation.
    • Some local governments better at policy than

    their states and become innovators at
    problem resolution.

    5

    The Evolution of State
    and Local Governments

    • Governing in U.S. by multiple authorities
    working together and in conflict.
    • In 1776, the thirteen colonial governments

    became states tied together in a loose
    confederation under the Articles.

    • Unified into a federal system in the late 1780s to
    address weakness of confederative model.

    • States create and determine powers of local
    governments.

    6

    The Evolution Continued
    • In 1962, the Supreme Court forced the

    states to redistrict and become more
    representative of the states’ population. In
    Baker v. Carr, the Court applied the 14th

    Amendment's Equal Protection Clause to
    voters.
    • The ruling of “one man, one vote” required

    legislatures redistrict with an equal number of
    constituents in each.

    7

    The Evolution Continued
    • During 1960s and 1970s, federal government

    increased responsibilities of states and locals

    • Federal programs for poverty, urban renewal,
    and environmental quality became
    administered by states and locals.

    8

    The Evolution Continued
    • In 1990s, state and local governments more

    valuable in federalism.
    • States, cities, and counties becoming

    program innovators and mutually
    cooperating to increase economic growth.

    • Governors become important national
    actors. State legislators, county officials, city
    managers, and other officials now travel
    internationally.

    9

    Grassroots Power and Politics
    • Most small towns have a local dynasty–some

    big towns have them, too.
    • State and local politics more personal, non-

    partisan, and issue-oriented than at federal
    level.

    • Grassroots politics includes influence of local
    elites, local issues, local news media, and issue-
    specific organizations to enact laws and make
    policy.

    10

    State Governments
    • The primary responsibilities of state governments

    are:
    • education
    • public health
    • transportation
    • economic development
    • criminal justice
    • licensing/regulation professions (teachers, social workers,

    doctors, lawyers, barbers/stylists, architects, etc.)
    • States more active in welfare and environmental

    issues on their own and as administrators of
    national programs.

    11

    12

    Source: Bowman and Kearney, 2017

    State Constitutions
    • Each state has its own unique constitution.
    • They are subordinate to the U.S. Constitution.
    • State constitutions have more detail about

    specific policies.
    • Specific interests work to protect their issues

    in the constitutions since it is harder to
    amend them.

    13

    State Constitutions
    • Amending State Constitutions

    • Few states rewrite their constitutions.
    • States often use “cut and paste” by only

    updating few sections of Constitution.
    • State’s legislature proposes constitutional

    amendment and then it is put to a vote in an
    election.

    • Some states allow citizen initiatives.

    14

    State Constitutions
    • State constitutions limit powers of state

    governments.
    • After Civil War, Southern states were forced

    to draft new constitutions acceptable to
    North. New constitutions gave powers to
    former slaves and disenfranchised the
    traditional elites.

    • After Reconstruction, Southern states
    adopted newer constitutions providing for
    weak governments.

    15

    State Constitutions
    • Western states chose weak governments.
    • Western states allow voters to enact

    legislation through initiatives and recall
    elections to remove officials from office.

    • Strengthen state governments to manage
    critical issues.

    • Lengthen terms of states’ governors with
    more oversight on spending.

    • Legislatures full-time, better pay, and courts
    strengthened.

    16

    Executives and Legislatures
    • Local governments have some or all of

    these decision-making positions:
    • Elected executive: mayor, village president.
    • Elected council or commission: city council,

    city commission, city board, county board,
    county council, school board,

    • Appointed manager: city manager, city
    administrator, county administrator, county
    manager, school superintendent.

    17

    Governors
    • Governors are chief executive officers of

    states with policymaking, budgetary, and
    ceremonial roles.
    • Propose budget
    • Veto authority
    • Appointment powers
    • Power to pardon
    • Commute sentences, grant parole, and extradite

    18

    Governors and the
    Executive Branch

    • The Job of Governor
    • Expected to fulfill many duties, some formal, some not
    • Much diversity in level of formal powers
    • 42 governors have a line-item veto—veto only parts

    of a bill
    • Today’s governors use “personal powers” to help

    accomplish their policy goals.
    • Public support, character, and leadership style

    19

    Governors and the
    Executive Branch

    20

    Governors and the Executive Branch
    • Other Executive Officers

    • Many other state executives are elected separately from the
    governor.

    • Major state executives include:
    • Lieutenant Governor—second-highest executive official

    in state governments. In Georgia, serves as Senate
    President.

    • Attorney General—state’s legal counsel
    • State Treasurer—manager of state’s bank accounts
    • Secretary of State—elections and record-keeping
    • Auditor—financial comptroller
    • Insurance Commissioner

    21

    State Legislatures
    • General Information:

    • Generally, operate like Congress
    • Have become more professional:

    • longer sessions—44 state legislatures have
    annual sessions

    • higher salaries
    • more staff for each one and staff for

    committees
    • Some feel it is against the idea of a “citizen

    legislature” favored by public

    22

    State Legislatures

    23

    State Legislatures
    • All states except Nebraska have bicameral

    legislatures.
    • By 1999, twenty states limited the number of terms a

    legislator could serve. The limits range from six to
    twelve years.

    • State legislatures are still primarily part-time bodies.
    There is abundant turnover–over 25% of seats each
    election.

    24

    Direct Democracy
    • Direct initiative: Voters place proposal on ballot

    and enact it into law without involving the
    legislature or the governor.

    • Indirect initiative: Legislature places proposal
    on ballot and allows voters to enact it into law
    without involving the legislature or the
    governor.

    25

    Direct Democracy
    • Direct democracy: government controlled

    directly by the citizens

    • Methods of citizen control of the Government:
    • Initiative: proposed changes to laws be put on the

    ballot if enough signatures are collected
    • Referendum: voters approve or disapprove state

    legislation
    • Recall: voters may vote someone out of office

    26

    – State and Local Government Intergovernmental Relationships: Part I
    – Introduction
    – Introduction Continued
    – Understanding State and Local Governments
    – Understanding State and Local Governments
    – The Evolution of State �and Local Governments
    – The Evolution Continued
    – The Evolution Continued
    – The Evolution Continued
    – Grassroots Power and Politics
    – State Governments
    – Slide Number 12
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – Executives and Legislatures
    – Governors
    – Governors and the�Executive Branch
    – Governors and the�Executive Branch
    – Governors and the Executive Branch
    – State Legislatures
    – State Legislatures
    – State Legislatures
    – Direct Democracy
    – Direct Democracy

    **## CasystudyInstructions.docx**

    No AI or Plagiarism

    **Instructions**

    · Provide a Biblically based support for your analysis

    · Sources must be derived from Read items assigned for the Module: Week in which the Case Study is assigned, peer-reviewed journal articles, and your independent research.

    · All citations and format must be in current APA format

    · Include 8 – 10 sources, not including your Biblical analysis

    · Double-spaced, with 1-inch margins, written in 12-point Times New Roman font.

    Paper must be 8-10 pages

    **Case Study: The Supreme Court, Federalism, and Public Administrators Assignment**

    Christensen and Wise (2009) state,

    [t]he U.S. Supreme Court has come to play an important role in articulating that system of rules. The Supreme Court’s federalism decisions are especially important in understanding what powers public managers [must] achieve policy priorities in the current context of devolved government.

    For this
    **Case Study Assignment,** you will provide a scholarly paper concerning the effect of recent Supreme Court decisions on public administration and federalism.

    Readings

    [https://www.jstor.org/stable/40468971?saml_data=eyJpbnN0aXR1dGlvbklkcyI6WyJjNGZjMjNmMC01MDQzLTRiOWMtYjgzNS0wZTBkZDBhMDA2MjMiXSwic2FtbFRva2VuIjoiNTBlYTdkOGUtNWQxMy00MzEyLWE3OGYtZjhmMDgzYTIyMjQ1In0&seq=1](https://www.jstor.org/stable/40468971?saml_data=eyJpbnN0aXR1dGlvbklkcyI6WyJjNGZjMjNmMC01MDQzLTRiOWMtYjgzNS0wZTBkZDBhMDA2MjMiXSwic2FtbFRva2VuIjoiNTBlYTdkOGUtNWQxMy00MzEyLWE3OGYtZjhmMDgzYTIyMjQ1In0&seq=1)

    Youtube Video

    [https://youtu.be/L_9PwNvaFYk?si=0oi7dWAiIh0TUFjp](https://youtu.be/L_9PwNvaFYk?si=0oi7dWAiIh0TUFjp)

    **## StateandLocalGovernmentIntergovernmentalRelationshipsPartI.pdf**

    State and Local Government
    Intergovernmental
    Relationships: Part I

    1

    Introduction
    • State and local government responsible for

    policies — education, trash collection,
    transportation, water and sewer,…

    • State governments are similar but much
    different from federal government.

    • Local governments established by states
    to handle local policy concerns.

    2

    Introduction Continued
    • Subnational Governments:

    • State and local governments — revitalization
    and diversity since 960’s.

    • States more active in policymaking.
    • States remain diverse in populations and

    policies.

    3

    Understanding State and Local
    Governments

    • Democracy at the Subnational Level
    • States allow local governments to manage

    local problems in an open manner.
    • Lack of voter participation and coordination

    among local governments as well as
    competition for business and industry.

    4

    Understanding State and Local
    Governments

    • The Scope of Subnational Government
    • State and local governments growing faster

    than federal government.
    • Some states have sunset legislation mandates

    review of agency programs for continuation.
    • Some local governments better at policy than

    their states and become innovators at
    problem resolution.

    5

    The Evolution of State
    and Local Governments

    • Governing in U.S. by multiple authorities
    working together and in conflict.
    • In 1776, the thirteen colonial governments

    became states tied together in a loose
    confederation under the Articles.

    • Unified into a federal system in the late 1780s to
    address weakness of confederative model.

    • States create and determine powers of local
    governments.

    6

    The Evolution Continued
    • In 1962, the Supreme Court forced the

    states to redistrict and become more
    representative of the states’ population. In
    Baker v. Carr, the Court applied the 14th

    Amendment's Equal Protection Clause to
    voters.
    • The ruling of “one man, one vote” required

    legislatures redistrict with an equal number of
    constituents in each.

    7

    The Evolution Continued
    • During 1960s and 1970s, federal government

    increased responsibilities of states and locals

    • Federal programs for poverty, urban renewal,
    and environmental quality became
    administered by states and locals.

    8

    The Evolution Continued
    • In 1990s, state and local governments more

    valuable in federalism.
    • States, cities, and counties becoming

    program innovators and mutually
    cooperating to increase economic growth.

    • Governors become important national
    actors. State legislators, county officials, city
    managers, and other officials now travel
    internationally.

    9

    Grassroots Power and Politics
    • Most small towns have a local dynasty–some

    big towns have them, too.
    • State and local politics more personal, non-

    partisan, and issue-oriented than at federal
    level.

    • Grassroots politics includes influence of local
    elites, local issues, local news media, and issue-
    specific organizations to enact laws and make
    policy.

    10

    State Governments
    • The primary responsibilities of state governments

    are:
    • education
    • public health
    • transportation
    • economic development
    • criminal justice
    • licensing/regulation professions (teachers, social workers,

    doctors, lawyers, barbers/stylists, architects, etc.)
    • States more active in welfare and environmental

    issues on their own and as administrators of
    national programs.

    11

    12

    Source: Bowman and Kearney, 2017

    State Constitutions
    • Each state has its own unique constitution.
    • They are subordinate to the U.S. Constitution.
    • State constitutions have more detail about

    specific policies.
    • Specific interests work to protect their issues

    in the constitutions since it is harder to
    amend them.

    13

    State Constitutions
    • Amending State Constitutions

    • Few states rewrite their constitutions.
    • States often use “cut and paste” by only

    updating few sections of Constitution.
    • State’s legislature proposes constitutional

    amendment and then it is put to a vote in an
    election.

    • Some states allow citizen initiatives.

    14

    State Constitutions
    • State constitutions limit powers of state

    governments.
    • After Civil War, Southern states were forced

    to draft new constitutions acceptable to
    North. New constitutions gave powers to
    former slaves and disenfranchised the
    traditional elites.

    • After Reconstruction, Southern states
    adopted newer constitutions providing for
    weak governments.

    15

    State Constitutions
    • Western states chose weak governments.
    • Western states allow voters to enact

    legislation through initiatives and recall
    elections to remove officials from office.

    • Strengthen state governments to manage
    critical issues.

    • Lengthen terms of states’ governors with
    more oversight on spending.

    • Legislatures full-time, better pay, and courts
    strengthened.

    16

    Executives and Legislatures
    • Local governments have some or all of

    these decision-making positions:
    • Elected executive: mayor, village president.
    • Elected council or commission: city council,

    city commission, city board, county board,
    county council, school board,

    • Appointed manager: city manager, city
    administrator, county administrator, county
    manager, school superintendent.

    17

    Governors
    • Governors are chief executive officers of

    states with policymaking, budgetary, and
    ceremonial roles.
    • Propose budget
    • Veto authority
    • Appointment powers
    • Power to pardon
    • Commute sentences, grant parole, and extradite

    18

    Governors and the
    Executive Branch

    • The Job of Governor
    • Expected to fulfill many duties, some formal, some not
    • Much diversity in level of formal powers
    • 42 governors have a line-item veto—veto only parts

    of a bill
    • Today’s governors use “personal powers” to help

    accomplish their policy goals.
    • Public support, character, and leadership style

    19

    Governors and the
    Executive Branch

    20

    Governors and the Executive Branch
    • Other Executive Officers

    • Many other state executives are elected separately from the
    governor.

    • Major state executives include:
    • Lieutenant Governor—second-highest executive official

    in state governments. In Georgia, serves as Senate
    President.

    • Attorney General—state’s legal counsel
    • State Treasurer—manager of state’s bank accounts
    • Secretary of State—elections and record-keeping
    • Auditor—financial comptroller
    • Insurance Commissioner

    21

    State Legislatures
    • General Information:

    • Generally, operate like Congress
    • Have become more professional:

    • longer sessions—44 state legislatures have
    annual sessions

    • higher salaries
    • more staff for each one and staff for

    committees
    • Some feel it is against the idea of a “citizen

    legislature” favored by public

    22

    State Legislatures

    23

    State Legislatures
    • All states except Nebraska have bicameral

    legislatures.
    • By 1999, twenty states limited the number of terms a

    legislator could serve. The limits range from six to
    twelve years.

    • State legislatures are still primarily part-time bodies.
    There is abundant turnover–over 25% of seats each
    election.

    24

    Direct Democracy
    • Direct initiative: Voters place proposal on ballot

    and enact it into law without involving the
    legislature or the governor.

    • Indirect initiative: Legislature places proposal
    on ballot and allows voters to enact it into law
    without involving the legislature or the
    governor.

    25

    Direct Democracy
    • Direct democracy: government controlled

    directly by the citizens

    • Methods of citizen control of the Government:
    • Initiative: proposed changes to laws be put on the

    ballot if enough signatures are collected
    • Referendum: voters approve or disapprove state

    legislation
    • Recall: voters may vote someone out of office

    26

    – State and Local Government Intergovernmental Relationships: Part I
    – Introduction
    – Introduction Continued
    – Understanding State and Local Governments
    – Understanding State and Local Governments
    – The Evolution of State �and Local Governments
    – The Evolution Continued
    – The Evolution Continued
    – The Evolution Continued
    – Grassroots Power and Politics
    – State Governments
    – Slide Number 12
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – Executives and Legislatures
    – Governors
    – Governors and the�Executive Branch
    – Governors and the�Executive Branch
    – Governors and the Executive Branch
    – State Legislatures
    – State Legislatures
    – State Legislatures
    – Direct Democracy
    – Direct Democracy

    **## CasystudyInstructions.docx**

    No AI or Plagiarism

    **Instructions**

    · Provide a Biblically based support for your analysis

    · Sources must be derived from Read items assigned for the Module: Week in which the Case Study is assigned, peer-reviewed journal articles, and your independent research.

    · All citations and format must be in current APA format

    · Include 8 – 10 sources, not including your Biblical analysis

    · Double-spaced, with 1-inch margins, written in 12-point Times New Roman font.

    Paper must be 8-10 pages

    **Case Study: The Supreme Court, Federalism, and Public Administrators Assignment**

    Christensen and Wise (2009) state,

    [t]he U.S. Supreme Court has come to play an important role in articulating that system of rules. The Supreme Court’s federalism decisions are especially important in understanding what powers public managers [must] achieve policy priorities in the current context of devolved government.

    For this
    **Case Study Assignment,** you will provide a scholarly paper concerning the effect of recent Supreme Court decisions on public administration and federalism.

    Readings

    [https://www.jstor.org/stable/40468971?saml_data=eyJpbnN0aXR1dGlvbklkcyI6WyJjNGZjMjNmMC01MDQzLTRiOWMtYjgzNS0wZTBkZDBhMDA2MjMiXSwic2FtbFRva2VuIjoiNTBlYTdkOGUtNWQxMy00MzEyLWE3OGYtZjhmMDgzYTIyMjQ1In0&seq=1](https://www.jstor.org/stable/40468971?saml_data=eyJpbnN0aXR1dGlvbklkcyI6WyJjNGZjMjNmMC01MDQzLTRiOWMtYjgzNS0wZTBkZDBhMDA2MjMiXSwic2FtbFRva2VuIjoiNTBlYTdkOGUtNWQxMy00MzEyLWE3OGYtZjhmMDgzYTIyMjQ1In0&seq=1)

    Youtube Video

    [https://youtu.be/L_9PwNvaFYk?si=0oi7dWAiIh0TUFjp](https://youtu.be/L_9PwNvaFYk?si=0oi7dWAiIh0TUFjp)

    **## StateandLocalGovernmentIntergovernmentalRelationshipsPartI.pdf**

    State and Local Government
    Intergovernmental
    Relationships: Part I

    1

    Introduction
    • State and local government responsible for

    policies — education, trash collection,
    transportation, water and sewer,…

    • State governments are similar but much
    different from federal government.

    • Local governments established by states
    to handle local policy concerns.

    2

    Introduction Continued
    • Subnational Governments:

    • State and local governments — revitalization
    and diversity since 960’s.

    • States more active in policymaking.
    • States remain diverse in populations and

    policies.

    3

    Understanding State and Local
    Governments

    • Democracy at the Subnational Level
    • States allow local governments to manage

    local problems in an open manner.
    • Lack of voter participation and coordination

    among local governments as well as
    competition for business and industry.

    4

    Understanding State and Local
    Governments

    • The Scope of Subnational Government
    • State and local governments growing faster

    than federal government.
    • Some states have sunset legislation mandates

    review of agency programs for continuation.
    • Some local governments better at policy than

    their states and become innovators at
    problem resolution.

    5

    The Evolution of State
    and Local Governments

    • Governing in U.S. by multiple authorities
    working together and in conflict.
    • In 1776, the thirteen colonial governments

    became states tied together in a loose
    confederation under the Articles.

    • Unified into a federal system in the late 1780s to
    address weakness of confederative model.

    • States create and determine powers of local
    governments.

    6

    The Evolution Continued
    • In 1962, the Supreme Court forced the

    states to redistrict and become more
    representative of the states’ population. In
    Baker v. Carr, the Court applied the 14th

    Amendment's Equal Protection Clause to
    voters.
    • The ruling of “one man, one vote” required

    legislatures redistrict with an equal number of
    constituents in each.

    7

    The Evolution Continued
    • During 1960s and 1970s, federal government

    increased responsibilities of states and locals

    • Federal programs for poverty, urban renewal,
    and environmental quality became
    administered by states and locals.

    8

    The Evolution Continued
    • In 1990s, state and local governments more

    valuable in federalism.
    • States, cities, and counties becoming

    program innovators and mutually
    cooperating to increase economic growth.

    • Governors become important national
    actors. State legislators, county officials, city
    managers, and other officials now travel
    internationally.

    9

    Grassroots Power and Politics
    • Most small towns have a local dynasty–some

    big towns have them, too.
    • State and local politics more personal, non-

    partisan, and issue-oriented than at federal
    level.

    • Grassroots politics includes influence of local
    elites, local issues, local news media, and issue-
    specific organizations to enact laws and make
    policy.

    10

    State Governments
    • The primary responsibilities of state governments

    are:
    • education
    • public health
    • transportation
    • economic development
    • criminal justice
    • licensing/regulation professions (teachers, social workers,

    doctors, lawyers, barbers/stylists, architects, etc.)
    • States more active in welfare and environmental

    issues on their own and as administrators of
    national programs.

    11

    12

    Source: Bowman and Kearney, 2017

    State Constitutions
    • Each state has its own unique constitution.
    • They are subordinate to the U.S. Constitution.
    • State constitutions have more detail about

    specific policies.
    • Specific interests work to protect their issues

    in the constitutions since it is harder to
    amend them.

    13

    State Constitutions
    • Amending State Constitutions

    • Few states rewrite their constitutions.
    • States often use “cut and paste” by only

    updating few sections of Constitution.
    • State’s legislature proposes constitutional

    amendment and then it is put to a vote in an
    election.

    • Some states allow citizen initiatives.

    14

    State Constitutions
    • State constitutions limit powers of state

    governments.
    • After Civil War, Southern states were forced

    to draft new constitutions acceptable to
    North. New constitutions gave powers to
    former slaves and disenfranchised the
    traditional elites.

    • After Reconstruction, Southern states
    adopted newer constitutions providing for
    weak governments.

    15

    State Constitutions
    • Western states chose weak governments.
    • Western states allow voters to enact

    legislation through initiatives and recall
    elections to remove officials from office.

    • Strengthen state governments to manage
    critical issues.

    • Lengthen terms of states’ governors with
    more oversight on spending.

    • Legislatures full-time, better pay, and courts
    strengthened.

    16

    Executives and Legislatures
    • Local governments have some or all of

    these decision-making positions:
    • Elected executive: mayor, village president.
    • Elected council or commission: city council,

    city commission, city board, county board,
    county council, school board,

    • Appointed manager: city manager, city
    administrator, county administrator, county
    manager, school superintendent.

    17

    Governors
    • Governors are chief executive officers of

    states with policymaking, budgetary, and
    ceremonial roles.
    • Propose budget
    • Veto authority
    • Appointment powers
    • Power to pardon
    • Commute sentences, grant parole, and extradite

    18

    Governors and the
    Executive Branch

    • The Job of Governor
    • Expected to fulfill many duties, some formal, some not
    • Much diversity in level of formal powers
    • 42 governors have a line-item veto—veto only parts

    of a bill
    • Today’s governors use “personal powers” to help

    accomplish their policy goals.
    • Public support, character, and leadership style

    19

    Governors and the
    Executive Branch

    20

    Governors and the Executive Branch
    • Other Executive Officers

    • Many other state executives are elected separately from the
    governor.

    • Major state executives include:
    • Lieutenant Governor—second-highest executive official

    in state governments. In Georgia, serves as Senate
    President.

    • Attorney General—state’s legal counsel
    • State Treasurer—manager of state’s bank accounts
    • Secretary of State—elections and record-keeping
    • Auditor—financial comptroller
    • Insurance Commissioner

    21

    State Legislatures
    • General Information:

    • Generally, operate like Congress
    • Have become more professional:

    • longer sessions—44 state legislatures have
    annual sessions

    • higher salaries
    • more staff for each one and staff for

    committees
    • Some feel it is against the idea of a “citizen

    legislature” favored by public

    22

    State Legislatures

    23

    State Legislatures
    • All states except Nebraska have bicameral

    legislatures.
    • By 1999, twenty states limited the number of terms a

    legislator could serve. The limits range from six to
    twelve years.

    • State legislatures are still primarily part-time bodies.
    There is abundant turnover–over 25% of seats each
    election.

    24

    Direct Democracy
    • Direct initiative: Voters place proposal on ballot

    and enact it into law without involving the
    legislature or the governor.

    • Indirect initiative: Legislature places proposal
    on ballot and allows voters to enact it into law
    without involving the legislature or the
    governor.

    25

    Direct Democracy
    • Direct democracy: government controlled

    directly by the citizens

    • Methods of citizen control of the Government:
    • Initiative: proposed changes to laws be put on the

    ballot if enough signatures are collected
    • Referendum: voters approve or disapprove state

    legislation
    • Recall: voters may vote someone out of office

    26

    – State and Local Government Intergovernmental Relationships: Part I
    – Introduction
    – Introduction Continued
    – Understanding State and Local Governments
    – Understanding State and Local Governments
    – The Evolution of State �and Local Governments
    – The Evolution Continued
    – The Evolution Continued
    – The Evolution Continued
    – Grassroots Power and Politics
    – State Governments
    – Slide Number 12
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – State Constitutions
    – Executives and Legislatures
    – Governors
    – Governors and the�Executive Branch
    – Governors and the�Executive Branch
    – Governors and the Executive Branch
    – State Legislatures
    – State Legislatures
    – State Legislatures
    – Direct Democracy
    – Direct Democracy

    – 1
    – 2

  • [Solved] Intervention

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    – ## 2ndPart-ClientOverview.docx – ## 3rdPart-PolicySocialJustice.docx – Instructions-5thPart-InterventionEvaluation.docx – 4thPart-EngagementAssessmentandHBSETheory.docx – 1stPart-IntegrativePaperOutline.docx **## 2ndPart-ClientOverview.docx** 5 **Client Overview** **Client Overview** This paper de…

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    Assignment Prompt & Instructions

    – ## 2ndPart-ClientOverview.docx

    – ## 3rdPart-PolicySocialJustice.docx

    – Instructions-5thPart-InterventionEvaluation.docx
    – 4thPart-EngagementAssessmentandHBSETheory.docx
    – 1stPart-IntegrativePaperOutline.docx

    **## 2ndPart-ClientOverview.docx**

    5

    **Client Overview**

    **Client Overview**

    This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington, Texas, and his struggles with generalized anxiety disorder and alcohol dependency. They are treated with dual diagnosis within the Mental Health and Substance Misuse specialization, and the overview sets the context for this treatment.

    **Practice Setting**

    The client practice setting is Center to Rise Wellness Spa Studio, Arlington, Texas. The specialty of this therapy clinic is mental health and substance misuse interventions with individual therapy, group support, and holistic wellness services like mindfulness and stress management. The agency’s multidisciplinary team provides a recovery-supportive environment, especially for individuals with co-occurring disorders, by using evidence-based practices to treat complex needs (Center to Rise Wellness Spa Studio, 2023). It focuses on dual-diagnosis treatment, which meets the client’s needs in a community-based setting.

    **Practice Situation**

    This is a client who is a 35-year-old person who has generalized anxiety disorder and alcohol dependency, which hinder the client’s employment and social relationships. Their anxiety is persistent, uncontrollable worry that interferes with daily functioning and causes emotional distress. Alcohol use is used as a maladaptive coping mechanism, which worsens social isolation and occupational instability and thus perpetuates the cycle of dependency (SAMHSA, 2024). This dual diagnosis is a complicated practice situation that requires integrated therapeutic interventions to deal with both problems simultaneously. The client’s challenges point to the interplay between mental health and substance misuse and the need for tailored, evidence-based strategies for recovery and enhancing quality of life.

    **Connection to Specialization**

    The mental health and substance misuse specialization directly relates to the client’s co-occurring disorders. But their challenges illustrate the importance of integrated care models that address mental health and substance use at the same time. Dual-diagnosis treatment, as SAMHSA (2024) states, can be effective only when it is comprehensive and includes therapy, motivational strategies, and relapse prevention. The specialization’s concentration on handling intricate situations involving the combination of anxiety and alcohol dependency, as found in the client’s situation, emphasizes the need for evidence-based approaches, for example, motivational interviewing and cognitive behavioral therapy (Lee & Sherman, 2024). Specialized knowledge of the client and the care system can be used in this case to create client-centered interventions, advocate for equitable care, and work to dismantle systemic barriers to recovery.

    **Social and Contextual Factors**

    The client’s low socioeconomic status and limited access to resources in Arlington only exacerbate their challenges, which are symptomatic of broader systemic issues in the access to mental health care. Ware (2025) notes that rural and underserved communities often have barriers to integrated treatment, which in turn reduces the client’s ability to consistently engage in care. Other cultural factors, such as stigma associated with mental health and substance use issues, complicate help-seeking behaviors. Culturally adapted engagement strategies are used by social workers in order to build trust and make sure that interventions are resonating with the client’s background (Lee & Sherman, 2024). These factors indicate the need for treatment planning that addresses social determinants of health.

    **Reason for Intervention Need**

    This client is in need of intervention due to the prevalence of co-occurring disorders. According to SAMHSA (2024), an estimated 9.2 million U.S. adults suffer from both mental health and substance use disorders each year, highlighting the public health importance of dual-diagnosis treatment. The client is impaired and using alcohol to cope with this impairment, which indicates the need for immediate intervention to avoid further deterioration. Through the Mental Health and Substance Misuse specialization, the social worker will be able to help the client to work towards recovery while utilizing evidence-based practices in order to provide sustainable results.

    **References**

    Center to Rise Wellness Spa Studio. (2023). About us. Retrieved from
    [https://centertorise.com/](https://centertorise.com/)

    Lee, C. S., & Sherman, D. K. (2024). Integration of motivational interviewing and self-affirmation theory into a culturally adapted motivational interview: A case study.
    _Clinical Case Studies, 23_(3), 212-229.
    [https://doi.org/10.1177/15346501231222554](https://doi.org/10.1177/15346501231222554)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    SAMHSA. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. Retrieved from
    [https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf](https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **## 3rdPart-PolicySocialJustice.docx**

    1

    **Policy and Social Justice**

    **Policy and Social Justice**

    This section is an analysis of how a federal social policy can be applied to treat a 35-year-old client with generalized anxiety disorder and alcohol dependency in Center to Rise Wellness Spa Studio in Arlington, Texas. It is aligned with the mental health and substance misuse specialization through the policy analysis and recommendations, exploration of the social justice and ethical considerations, and rigorous policy analysis.

    **Policy Selected**

    The Affordable Care Act (ACA), which was implemented in 2010, is a federal policy that requires insurance coverage of mental and substance use disorder services to be on par with physical health services (CMS, 2023). This policy is essential to the client, who is a 35-year-old patient under dual-diagnosis treatment at Center to Rise Wellness Spa Studio in Arlington, Texas. The ACA allows one to access integrated care, including evidence-based interventions, including cognitive behavioral therapy (CBT) and motivational interviews, which can alleviate the client of occupational and social impairments due to the presence of persistent anxiety and alcohol dependency. Nevertheless, the policy is limited in its application by the fact that it faces implementation difficulties in rural settings such as certain areas in Arlington (shortage of providers and poor healthcare infrastructure), and, therefore, its effectiveness is limited to low-income clients (Patel & Jones, 2023). Such barriers contribute towards the inability of the client to get consistent care, which makes it hard to recover. The focus on mental health parity provided by the ACA is critical to helping the client receive the treatment he or she needs, yet there are improvements that need to be made in order to support the detailed needs of the client and enhance his or her overall quality of life.

    **Policy Analysis Model**

    The Karger and Stoesz (2021) policy analysis model allows examining the ACA through the prism of access, equity, and affordability and provides a solid framework to examine its effect on clients with co-occurring disorders. Mental health and substance use services are also more accessible under the ACA, but the absence of providers in rural areas critically restricts the ability to provide the client with timely care, causing delays in treatment that only worsen the symptoms (Ware, 2025). Inconsistency in Medicaid expansion among the states is a violation of equity, which disproportionately harms the low-income and minority groups, such as the client, who experiences systemic factors that restrict long-term treatment involvement (Nam et al., 2021). Although the affordability has been enhanced due to the low out-of-pocket expenses, it is still a major issue, as deductibles and copays are too high and bring financial pressure on the client due to their low socioeconomic status (Priester et al., 2022). This discussion shows the improvements made by the ACA on expanding coverage and the key systemic obstacles that reduce its effectiveness to address the complex needs of the client, which require strategic measures to increase its effectiveness.

    **Policy Recommendations**

    To strengthen the ACA’s effectiveness, policymakers should implement strategic reforms tailored to the needs of clients with co-occurring disorders. Increasing funding for telehealth services would mitigate rural provider shortages, enabling clients like the one at Center to Rise to access remote therapy, ensuring treatment continuity and flexibility for those in underserved areas (Ford et al., 2021). Standardizing Medicaid expansion across states would promote equitable access to dual-diagnosis treatment, reducing disparities for low-income clients who depend on public insurance to cover essential services. Subsidizing copays and deductibles for mental health and substance use services would improve affordability, alleviating financial barriers for clients with limited resources and enabling consistent engagement in care (Patel & Jones, 2023). Additionally, enhancing workforce development programs to train more mental health professionals in rural areas would address long-term access issues. These recommendations target critical gaps in access, equity, and affordability, strengthening the ACA’s capacity to support recovery and foster sustainable outcomes for individuals with complex behavioral health needs.

    **Social Justice Implications**

    The ACA advances social justice by mandating mental health parity, aligning with the NASW Code of Ethics’ commitment to equitable care access (NASW, 2021). Nevertheless, rural disparities and socioeconomic barriers undermine health equity, disproportionately impacting low-income clients like the one described, who struggle to maintain consistent treatment engagement due to systemic limitations (Rodriguez & Green, 2021). These inequities contravene principles of fair resource distribution, necessitating a comprehensive, multi-level advocacy plan. At the micro level, the social worker can educate the client on ACA-covered resources, such as subsidized therapy and community support programs, to optimize their access to essential services. At the mezzo level, partnering with Center to Rise to develop telehealth programs and community outreach initiatives would enhance service delivery for rural clients, improving community-level access. At the macro level, advocating through NASW for increased ACA funding for underserved areas and policy reforms to address rural healthcare disparities would tackle systemic inequities, promoting equitable access across diverse populations (Suleiman, 2025). This multi-level approach empowers the client, fosters fairness within their community, and aligns with social work’s commitment to justice.

    **Ethical Challenge and/or Value Conflict**

    An ethical conflict emerges from disparities in ACA implementation, which conflict with NASW’s social justice principle (Standard 6.04) mandating equitable resource access (NASW, 2021). The client’s limited access to care, driven by rural provider shortages and financial barriers, challenges the social worker’s obligation to ensure fair treatment, creating a tension between providing immediate client support and advocating for systemic change (Reamer, 2021). This dilemma requires balancing the client’s autonomy with the need to address barriers that threaten their well-being, such as potential escalation of alcohol use. Resolving this conflict involves prioritizing client-centered interventions, such as connecting the client to available resources and support networks, while simultaneously advocating for policy reforms to enhance access, ensuring alignment with ethical standards and the NASW Code of Ethics’ emphasis on justice, dignity, and equitable care.

    **References**

    CMS. (2023). Affordable Care Act: Mental health and substance use disorder services. Retrieved from
    [https://www.cms.gov/marketplace/private-health-insurance/mental-health-substance-use](https://www.cms.gov/marketplace/private-health-insurance/mental-health-substance-use)

    Ford, J. H., Kaur, A., Rao, D., Gilson, A., Bolt, D. M., Garneau, H. C., … & McGovern, M. P. (2021). Improving medication access within integrated treatment for individuals with co-occurring disorders in substance use treatment agencies. Implementation Research and Practice, 2, 26334895211033659.
    [https://doi.org/10.1177/26334895211033659](https://doi.org/10.1177/26334895211033659)

    Karger, H. J., & Stoesz, D. (2021). American social welfare policy: A pluralist approach. Pearson.
    Nam, E., Lee, E., & Kim, H. (2021). 10-year trends of emergency department visits, wait time, and length of stay among adults with mental health and substance use disorders in the United States. Psychiatric Quarterly, 92(3), 1159-1174.
    [https://doi.org/10.1007/s11126-021-09894-y](https://doi.org/10.1007/s11126-021-09894-y)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    Patel, S., & Jones, K. (2023). The impact of ACA on mental health equity: A 10-year review. Health Affairs, 42(5), 620-628.
    [https://doi.org/10.1377/hlthaff.2022.01523](https://doi.org/10.1377/hlthaff.2022.01523)

    Priester, M. A., Browne, T., Iachini, A., Clone, S., & Dehart, D. (2022). Treatment access barriers and disparities among individuals with co-occurring mental health and substance use disorders: An integrative literature review. Journal of Substance Abuse Treatment, 132, 47-59.
    [https://doi.org/10.1016/j.jsat.2021.108047](https://doi.org/10.1016/j.jsat.2021.108047)

    Reamer, F. G. (2021). The trolley problem and the nature of intention: Implications for social work ethics. Journal of Social Work Values and Ethics, 18(2), 43-54.
    [https://jswve.org/volume-18/issue-2/item-08/](https://jswve.org/volume-18/issue-2/item-08/)

    Rodriguez, M., & Green, T. (2021). Social justice implications of healthcare policy in the United States. Journal of Social Work, 21(3), 345-360.
    [https://doi.org/10.1177/1468017320987654](https://doi.org/10.1177/1468017320987654)

    Suleiman, F. M. S. (2025). Social justice and economic policy: Analyzing the interplay between welfare and market forces. The Open European Journal of Social Science and Education (OEJSSE), 34-45.
    [https://easdjournals.com/index.php/oejsse/article/view/6](https://easdjournals.com/index.php/oejsse/article/view/6)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **Instructions-5thPart-InterventionEvaluation.docx**

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    **## 2ndPart-ClientOverview.docx**

    5

    **Client Overview**

    **Client Overview**

    This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington, Texas, and his struggles with generalized anxiety disorder and alcohol dependency. They are treated with dual diagnosis within the Mental Health and Substance Misuse specialization, and the overview sets the context for this treatment.

    **Practice Setting**

    The client practice setting is Center to Rise Wellness Spa Studio, Arlington, Texas. The specialty of this therapy clinic is mental health and substance misuse interventions with individual therapy, group support, and holistic wellness services like mindfulness and stress management. The agency’s multidisciplinary team provides a recovery-supportive environment, especially for individuals with co-occurring disorders, by using evidence-based practices to treat complex needs (Center to Rise Wellness Spa Studio, 2023). It focuses on dual-diagnosis treatment, which meets the client’s needs in a community-based setting.

    **Practice Situation**

    This is a client who is a 35-year-old person who has generalized anxiety disorder and alcohol dependency, which hinder the client’s employment and social relationships. Their anxiety is persistent, uncontrollable worry that interferes with daily functioning and causes emotional distress. Alcohol use is used as a maladaptive coping mechanism, which worsens social isolation and occupational instability and thus perpetuates the cycle of dependency (SAMHSA, 2024). This dual diagnosis is a complicated practice situation that requires integrated therapeutic interventions to deal with both problems simultaneously. The client’s challenges point to the interplay between mental health and substance misuse and the need for tailored, evidence-based strategies for recovery and enhancing quality of life.

    **Connection to Specialization**

    The mental health and substance misuse specialization directly relates to the client’s co-occurring disorders. But their challenges illustrate the importance of integrated care models that address mental health and substance use at the same time. Dual-diagnosis treatment, as SAMHSA (2024) states, can be effective only when it is comprehensive and includes therapy, motivational strategies, and relapse prevention. The specialization’s concentration on handling intricate situations involving the combination of anxiety and alcohol dependency, as found in the client’s situation, emphasizes the need for evidence-based approaches, for example, motivational interviewing and cognitive behavioral therapy (Lee & Sherman, 2024). Specialized knowledge of the client and the care system can be used in this case to create client-centered interventions, advocate for equitable care, and work to dismantle systemic barriers to recovery.

    **Social and Contextual Factors**

    The client’s low socioeconomic status and limited access to resources in Arlington only exacerbate their challenges, which are symptomatic of broader systemic issues in the access to mental health care. Ware (2025) notes that rural and underserved communities often have barriers to integrated treatment, which in turn reduces the client’s ability to consistently engage in care. Other cultural factors, such as stigma associated with mental health and substance use issues, complicate help-seeking behaviors. Culturally adapted engagement strategies are used by social workers in order to build trust and make sure that interventions are resonating with the client’s background (Lee & Sherman, 2024). These factors indicate the need for treatment planning that addresses social determinants of health.

    **Reason for Intervention Need**

    This client is in need of intervention due to the prevalence of co-occurring disorders. According to SAMHSA (2024), an estimated 9.2 million U.S. adults suffer from both mental health and substance use disorders each year, highlighting the public health importance of dual-diagnosis treatment. The client is impaired and using alcohol to cope with this impairment, which indicates the need for immediate intervention to avoid further deterioration. Through the Mental Health and Substance Misuse specialization, the social worker will be able to help the client to work towards recovery while utilizing evidence-based practices in order to provide sustainable results.

    **References**

    Center to Rise Wellness Spa Studio. (2023). About us. Retrieved from
    [https://centertorise.com/](https://centertorise.com/)

    Lee, C. S., & Sherman, D. K. (2024). Integration of motivational interviewing and self-affirmation theory into a culturally adapted motivational interview: A case study.
    _Clinical Case Studies, 23_(3), 212-229.
    [https://doi.org/10.1177/15346501231222554](https://doi.org/10.1177/15346501231222554)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    SAMHSA. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. Retrieved from
    [https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf](https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **## 3rdPart-PolicySocialJustice.docx**

    1

    **Policy and Social Justice**

    **Policy and Social Justice**

    This section is an analysis of how a federal social policy can be applied to treat a 35-year-old client with generalized anxiety disorder and alcohol dependency in Center to Rise Wellness Spa Studio in Arlington, Texas. It is aligned with the mental health and substance misuse specialization through the policy analysis and recommendations, exploration of the social justice and ethical considerations, and rigorous policy analysis.

    **Policy Selected**

    The Affordable Care Act (ACA), which was implemented in 2010, is a federal policy that requires insurance coverage of mental and substance use disorder services to be on par with physical health services (CMS, 2023). This policy is essential to the client, who is a 35-year-old patient under dual-diagnosis treatment at Center to Rise Wellness Spa Studio in Arlington, Texas. The ACA allows one to access integrated care, including evidence-based interventions, including cognitive behavioral therapy (CBT) and motivational interviews, which can alleviate the client of occupational and social impairments due to the presence of persistent anxiety and alcohol dependency. Nevertheless, the policy is limited in its application by the fact that it faces implementation difficulties in rural settings such as certain areas in Arlington (shortage of providers and poor healthcare infrastructure), and, therefore, its effectiveness is limited to low-income clients (Patel & Jones, 2023). Such barriers contribute towards the inability of the client to get consistent care, which makes it hard to recover. The focus on mental health parity provided by the ACA is critical to helping the client receive the treatment he or she needs, yet there are improvements that need to be made in order to support the detailed needs of the client and enhance his or her overall quality of life.

    **Policy Analysis Model**

    The Karger and Stoesz (2021) policy analysis model allows examining the ACA through the prism of access, equity, and affordability and provides a solid framework to examine its effect on clients with co-occurring disorders. Mental health and substance use services are also more accessible under the ACA, but the absence of providers in rural areas critically restricts the ability to provide the client with timely care, causing delays in treatment that only worsen the symptoms (Ware, 2025). Inconsistency in Medicaid expansion among the states is a violation of equity, which disproportionately harms the low-income and minority groups, such as the client, who experiences systemic factors that restrict long-term treatment involvement (Nam et al., 2021). Although the affordability has been enhanced due to the low out-of-pocket expenses, it is still a major issue, as deductibles and copays are too high and bring financial pressure on the client due to their low socioeconomic status (Priester et al., 2022). This discussion shows the improvements made by the ACA on expanding coverage and the key systemic obstacles that reduce its effectiveness to address the complex needs of the client, which require strategic measures to increase its effectiveness.

    **Policy Recommendations**

    To strengthen the ACA’s effectiveness, policymakers should implement strategic reforms tailored to the needs of clients with co-occurring disorders. Increasing funding for telehealth services would mitigate rural provider shortages, enabling clients like the one at Center to Rise to access remote therapy, ensuring treatment continuity and flexibility for those in underserved areas (Ford et al., 2021). Standardizing Medicaid expansion across states would promote equitable access to dual-diagnosis treatment, reducing disparities for low-income clients who depend on public insurance to cover essential services. Subsidizing copays and deductibles for mental health and substance use services would improve affordability, alleviating financial barriers for clients with limited resources and enabling consistent engagement in care (Patel & Jones, 2023). Additionally, enhancing workforce development programs to train more mental health professionals in rural areas would address long-term access issues. These recommendations target critical gaps in access, equity, and affordability, strengthening the ACA’s capacity to support recovery and foster sustainable outcomes for individuals with complex behavioral health needs.

    **Social Justice Implications**

    The ACA advances social justice by mandating mental health parity, aligning with the NASW Code of Ethics’ commitment to equitable care access (NASW, 2021). Nevertheless, rural disparities and socioeconomic barriers undermine health equity, disproportionately impacting low-income clients like the one described, who struggle to maintain consistent treatment engagement due to systemic limitations (Rodriguez & Green, 2021). These inequities contravene principles of fair resource distribution, necessitating a comprehensive, multi-level advocacy plan. At the micro level, the social worker can educate the client on ACA-covered resources, such as subsidized therapy and community support programs, to optimize their access to essential services. At the mezzo level, partnering with Center to Rise to develop telehealth programs and community outreach initiatives would enhance service delivery for rural clients, improving community-level access. At the macro level, advocating through NASW for increased ACA funding for underserved areas and policy reforms to address rural healthcare disparities would tackle systemic inequities, promoting equitable access across diverse populations (Suleiman, 2025). This multi-level approach empowers the client, fosters fairness within their community, and aligns with social work’s commitment to justice.

    **Ethical Challenge and/or Value Conflict**

    An ethical conflict emerges from disparities in ACA implementation, which conflict with NASW’s social justice principle (Standard 6.04) mandating equitable resource access (NASW, 2021). The client’s limited access to care, driven by rural provider shortages and financial barriers, challenges the social worker’s obligation to ensure fair treatment, creating a tension between providing immediate client support and advocating for systemic change (Reamer, 2021). This dilemma requires balancing the client’s autonomy with the need to address barriers that threaten their well-being, such as potential escalation of alcohol use. Resolving this conflict involves prioritizing client-centered interventions, such as connecting the client to available resources and support networks, while simultaneously advocating for policy reforms to enhance access, ensuring alignment with ethical standards and the NASW Code of Ethics’ emphasis on justice, dignity, and equitable care.

    **References**

    CMS. (2023). Affordable Care Act: Mental health and substance use disorder services. Retrieved from
    [https://www.cms.gov/marketplace/private-health-insurance/mental-health-substance-use](https://www.cms.gov/marketplace/private-health-insurance/mental-health-substance-use)

    Ford, J. H., Kaur, A., Rao, D., Gilson, A., Bolt, D. M., Garneau, H. C., … & McGovern, M. P. (2021). Improving medication access within integrated treatment for individuals with co-occurring disorders in substance use treatment agencies. Implementation Research and Practice, 2, 26334895211033659.
    [https://doi.org/10.1177/26334895211033659](https://doi.org/10.1177/26334895211033659)

    Karger, H. J., & Stoesz, D. (2021). American social welfare policy: A pluralist approach. Pearson.
    Nam, E., Lee, E., & Kim, H. (2021). 10-year trends of emergency department visits, wait time, and length of stay among adults with mental health and substance use disorders in the United States. Psychiatric Quarterly, 92(3), 1159-1174.
    [https://doi.org/10.1007/s11126-021-09894-y](https://doi.org/10.1007/s11126-021-09894-y)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    Patel, S., & Jones, K. (2023). The impact of ACA on mental health equity: A 10-year review. Health Affairs, 42(5), 620-628.
    [https://doi.org/10.1377/hlthaff.2022.01523](https://doi.org/10.1377/hlthaff.2022.01523)

    Priester, M. A., Browne, T., Iachini, A., Clone, S., & Dehart, D. (2022). Treatment access barriers and disparities among individuals with co-occurring mental health and substance use disorders: An integrative literature review. Journal of Substance Abuse Treatment, 132, 47-59.
    [https://doi.org/10.1016/j.jsat.2021.108047](https://doi.org/10.1016/j.jsat.2021.108047)

    Reamer, F. G. (2021). The trolley problem and the nature of intention: Implications for social work ethics. Journal of Social Work Values and Ethics, 18(2), 43-54.
    [https://jswve.org/volume-18/issue-2/item-08/](https://jswve.org/volume-18/issue-2/item-08/)

    Rodriguez, M., & Green, T. (2021). Social justice implications of healthcare policy in the United States. Journal of Social Work, 21(3), 345-360.
    [https://doi.org/10.1177/1468017320987654](https://doi.org/10.1177/1468017320987654)

    Suleiman, F. M. S. (2025). Social justice and economic policy: Analyzing the interplay between welfare and market forces. The Open European Journal of Social Science and Education (OEJSSE), 34-45.
    [https://easdjournals.com/index.php/oejsse/article/view/6](https://easdjournals.com/index.php/oejsse/article/view/6)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **Instructions-5thPart-InterventionEvaluation.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/instructions-5thpart-interventionevaluation-docx)

    **4thPart-EngagementAssessmentandHBSETheory.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/4thpart-engagementassessmentandhbsetheory-docx)

    **1stPart-IntegrativePaperOutline.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/1stpart-integrativepaperoutline-docx)

    **## 2ndPart-ClientOverview.docx**

    5

    **Client Overview**

    **Client Overview**

    This paper describes the client who is receiving services at Center to Rise Wellness Spa Studio in Arlington, Texas, and his struggles with generalized anxiety disorder and alcohol dependency. They are treated with dual diagnosis within the Mental Health and Substance Misuse specialization, and the overview sets the context for this treatment.

    **Practice Setting**

    The client practice setting is Center to Rise Wellness Spa Studio, Arlington, Texas. The specialty of this therapy clinic is mental health and substance misuse interventions with individual therapy, group support, and holistic wellness services like mindfulness and stress management. The agency’s multidisciplinary team provides a recovery-supportive environment, especially for individuals with co-occurring disorders, by using evidence-based practices to treat complex needs (Center to Rise Wellness Spa Studio, 2023). It focuses on dual-diagnosis treatment, which meets the client’s needs in a community-based setting.

    **Practice Situation**

    This is a client who is a 35-year-old person who has generalized anxiety disorder and alcohol dependency, which hinder the client’s employment and social relationships. Their anxiety is persistent, uncontrollable worry that interferes with daily functioning and causes emotional distress. Alcohol use is used as a maladaptive coping mechanism, which worsens social isolation and occupational instability and thus perpetuates the cycle of dependency (SAMHSA, 2024). This dual diagnosis is a complicated practice situation that requires integrated therapeutic interventions to deal with both problems simultaneously. The client’s challenges point to the interplay between mental health and substance misuse and the need for tailored, evidence-based strategies for recovery and enhancing quality of life.

    **Connection to Specialization**

    The mental health and substance misuse specialization directly relates to the client’s co-occurring disorders. But their challenges illustrate the importance of integrated care models that address mental health and substance use at the same time. Dual-diagnosis treatment, as SAMHSA (2024) states, can be effective only when it is comprehensive and includes therapy, motivational strategies, and relapse prevention. The specialization’s concentration on handling intricate situations involving the combination of anxiety and alcohol dependency, as found in the client’s situation, emphasizes the need for evidence-based approaches, for example, motivational interviewing and cognitive behavioral therapy (Lee & Sherman, 2024). Specialized knowledge of the client and the care system can be used in this case to create client-centered interventions, advocate for equitable care, and work to dismantle systemic barriers to recovery.

    **Social and Contextual Factors**

    The client’s low socioeconomic status and limited access to resources in Arlington only exacerbate their challenges, which are symptomatic of broader systemic issues in the access to mental health care. Ware (2025) notes that rural and underserved communities often have barriers to integrated treatment, which in turn reduces the client’s ability to consistently engage in care. Other cultural factors, such as stigma associated with mental health and substance use issues, complicate help-seeking behaviors. Culturally adapted engagement strategies are used by social workers in order to build trust and make sure that interventions are resonating with the client’s background (Lee & Sherman, 2024). These factors indicate the need for treatment planning that addresses social determinants of health.

    **Reason for Intervention Need**

    This client is in need of intervention due to the prevalence of co-occurring disorders. According to SAMHSA (2024), an estimated 9.2 million U.S. adults suffer from both mental health and substance use disorders each year, highlighting the public health importance of dual-diagnosis treatment. The client is impaired and using alcohol to cope with this impairment, which indicates the need for immediate intervention to avoid further deterioration. Through the Mental Health and Substance Misuse specialization, the social worker will be able to help the client to work towards recovery while utilizing evidence-based practices in order to provide sustainable results.

    **References**

    Center to Rise Wellness Spa Studio. (2023). About us. Retrieved from
    [https://centertorise.com/](https://centertorise.com/)

    Lee, C. S., & Sherman, D. K. (2024). Integration of motivational interviewing and self-affirmation theory into a culturally adapted motivational interview: A case study.
    _Clinical Case Studies, 23_(3), 212-229.
    [https://doi.org/10.1177/15346501231222554](https://doi.org/10.1177/15346501231222554)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    SAMHSA. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. Retrieved from
    [https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf](https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.pdf)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **## 3rdPart-PolicySocialJustice.docx**

    1

    **Policy and Social Justice**

    **Policy and Social Justice**

    This section is an analysis of how a federal social policy can be applied to treat a 35-year-old client with generalized anxiety disorder and alcohol dependency in Center to Rise Wellness Spa Studio in Arlington, Texas. It is aligned with the mental health and substance misuse specialization through the policy analysis and recommendations, exploration of the social justice and ethical considerations, and rigorous policy analysis.

    **Policy Selected**

    The Affordable Care Act (ACA), which was implemented in 2010, is a federal policy that requires insurance coverage of mental and substance use disorder services to be on par with physical health services (CMS, 2023). This policy is essential to the client, who is a 35-year-old patient under dual-diagnosis treatment at Center to Rise Wellness Spa Studio in Arlington, Texas. The ACA allows one to access integrated care, including evidence-based interventions, including cognitive behavioral therapy (CBT) and motivational interviews, which can alleviate the client of occupational and social impairments due to the presence of persistent anxiety and alcohol dependency. Nevertheless, the policy is limited in its application by the fact that it faces implementation difficulties in rural settings such as certain areas in Arlington (shortage of providers and poor healthcare infrastructure), and, therefore, its effectiveness is limited to low-income clients (Patel & Jones, 2023). Such barriers contribute towards the inability of the client to get consistent care, which makes it hard to recover. The focus on mental health parity provided by the ACA is critical to helping the client receive the treatment he or she needs, yet there are improvements that need to be made in order to support the detailed needs of the client and enhance his or her overall quality of life.

    **Policy Analysis Model**

    The Karger and Stoesz (2021) policy analysis model allows examining the ACA through the prism of access, equity, and affordability and provides a solid framework to examine its effect on clients with co-occurring disorders. Mental health and substance use services are also more accessible under the ACA, but the absence of providers in rural areas critically restricts the ability to provide the client with timely care, causing delays in treatment that only worsen the symptoms (Ware, 2025). Inconsistency in Medicaid expansion among the states is a violation of equity, which disproportionately harms the low-income and minority groups, such as the client, who experiences systemic factors that restrict long-term treatment involvement (Nam et al., 2021). Although the affordability has been enhanced due to the low out-of-pocket expenses, it is still a major issue, as deductibles and copays are too high and bring financial pressure on the client due to their low socioeconomic status (Priester et al., 2022). This discussion shows the improvements made by the ACA on expanding coverage and the key systemic obstacles that reduce its effectiveness to address the complex needs of the client, which require strategic measures to increase its effectiveness.

    **Policy Recommendations**

    To strengthen the ACA’s effectiveness, policymakers should implement strategic reforms tailored to the needs of clients with co-occurring disorders. Increasing funding for telehealth services would mitigate rural provider shortages, enabling clients like the one at Center to Rise to access remote therapy, ensuring treatment continuity and flexibility for those in underserved areas (Ford et al., 2021). Standardizing Medicaid expansion across states would promote equitable access to dual-diagnosis treatment, reducing disparities for low-income clients who depend on public insurance to cover essential services. Subsidizing copays and deductibles for mental health and substance use services would improve affordability, alleviating financial barriers for clients with limited resources and enabling consistent engagement in care (Patel & Jones, 2023). Additionally, enhancing workforce development programs to train more mental health professionals in rural areas would address long-term access issues. These recommendations target critical gaps in access, equity, and affordability, strengthening the ACA’s capacity to support recovery and foster sustainable outcomes for individuals with complex behavioral health needs.

    **Social Justice Implications**

    The ACA advances social justice by mandating mental health parity, aligning with the NASW Code of Ethics’ commitment to equitable care access (NASW, 2021). Nevertheless, rural disparities and socioeconomic barriers undermine health equity, disproportionately impacting low-income clients like the one described, who struggle to maintain consistent treatment engagement due to systemic limitations (Rodriguez & Green, 2021). These inequities contravene principles of fair resource distribution, necessitating a comprehensive, multi-level advocacy plan. At the micro level, the social worker can educate the client on ACA-covered resources, such as subsidized therapy and community support programs, to optimize their access to essential services. At the mezzo level, partnering with Center to Rise to develop telehealth programs and community outreach initiatives would enhance service delivery for rural clients, improving community-level access. At the macro level, advocating through NASW for increased ACA funding for underserved areas and policy reforms to address rural healthcare disparities would tackle systemic inequities, promoting equitable access across diverse populations (Suleiman, 2025). This multi-level approach empowers the client, fosters fairness within their community, and aligns with social work’s commitment to justice.

    **Ethical Challenge and/or Value Conflict**

    An ethical conflict emerges from disparities in ACA implementation, which conflict with NASW’s social justice principle (Standard 6.04) mandating equitable resource access (NASW, 2021). The client’s limited access to care, driven by rural provider shortages and financial barriers, challenges the social worker’s obligation to ensure fair treatment, creating a tension between providing immediate client support and advocating for systemic change (Reamer, 2021). This dilemma requires balancing the client’s autonomy with the need to address barriers that threaten their well-being, such as potential escalation of alcohol use. Resolving this conflict involves prioritizing client-centered interventions, such as connecting the client to available resources and support networks, while simultaneously advocating for policy reforms to enhance access, ensuring alignment with ethical standards and the NASW Code of Ethics’ emphasis on justice, dignity, and equitable care.

    **References**

    CMS. (2023). Affordable Care Act: Mental health and substance use disorder services. Retrieved from
    [https://www.cms.gov/marketplace/private-health-insurance/mental-health-substance-use](https://www.cms.gov/marketplace/private-health-insurance/mental-health-substance-use)

    Ford, J. H., Kaur, A., Rao, D., Gilson, A., Bolt, D. M., Garneau, H. C., … & McGovern, M. P. (2021). Improving medication access within integrated treatment for individuals with co-occurring disorders in substance use treatment agencies. Implementation Research and Practice, 2, 26334895211033659.
    [https://doi.org/10.1177/26334895211033659](https://doi.org/10.1177/26334895211033659)

    Karger, H. J., & Stoesz, D. (2021). American social welfare policy: A pluralist approach. Pearson.
    Nam, E., Lee, E., & Kim, H. (2021). 10-year trends of emergency department visits, wait time, and length of stay among adults with mental health and substance use disorders in the United States. Psychiatric Quarterly, 92(3), 1159-1174.
    [https://doi.org/10.1007/s11126-021-09894-y](https://doi.org/10.1007/s11126-021-09894-y)

    NASW. (2021). Code of ethics of the National Association of Social Workers. Retrieved from
    [https://www.socialworkers.org/About/Ethics/Code-of-Ethics](https://www.socialworkers.org/About/Ethics/Code-of-Ethics)

    Patel, S., & Jones, K. (2023). The impact of ACA on mental health equity: A 10-year review. Health Affairs, 42(5), 620-628.
    [https://doi.org/10.1377/hlthaff.2022.01523](https://doi.org/10.1377/hlthaff.2022.01523)

    Priester, M. A., Browne, T., Iachini, A., Clone, S., & Dehart, D. (2022). Treatment access barriers and disparities among individuals with co-occurring mental health and substance use disorders: An integrative literature review. Journal of Substance Abuse Treatment, 132, 47-59.
    [https://doi.org/10.1016/j.jsat.2021.108047](https://doi.org/10.1016/j.jsat.2021.108047)

    Reamer, F. G. (2021). The trolley problem and the nature of intention: Implications for social work ethics. Journal of Social Work Values and Ethics, 18(2), 43-54.
    [https://jswve.org/volume-18/issue-2/item-08/](https://jswve.org/volume-18/issue-2/item-08/)

    Rodriguez, M., & Green, T. (2021). Social justice implications of healthcare policy in the United States. Journal of Social Work, 21(3), 345-360.
    [https://doi.org/10.1177/1468017320987654](https://doi.org/10.1177/1468017320987654)

    Suleiman, F. M. S. (2025). Social justice and economic policy: Analyzing the interplay between welfare and market forces. The Open European Journal of Social Science and Education (OEJSSE), 34-45.
    [https://easdjournals.com/index.php/oejsse/article/view/6](https://easdjournals.com/index.php/oejsse/article/view/6)

    Ware, A. M. (2025). Medical social workers’ self-efficacy and perceptions of interdisciplinary collaboration managing patients with co-occurring chronic pain and opioid use disorder (Doctoral dissertation, Walden University).
    [https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y](https://www.proquest.com/openview/f19a4afafbfbe08636ba47757d36939b/1?pq-origsite=gscholar&cbl=18750&diss=y)

    **Instructions-5thPart-InterventionEvaluation.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/instructions-5thpart-interventionevaluation-docx)

    **4thPart-EngagementAssessmentandHBSETheory.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/4thpart-engagementassessmentandhbsetheory-docx)

    **1stPart-IntegrativePaperOutline.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/1stpart-integrativepaperoutline-docx)

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  • [Solved] Nursing Nutrition assignment

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    see doc below – ## ActivitySheet.doc **## ActivitySheet.doc** [removed] **## ActivitySheet.doc** [removed]

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    see doc below

    – ## ActivitySheet.doc

    **## ActivitySheet.doc**

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    **## ActivitySheet.doc**

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  • [Solved] disc 3 504

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  • [Solved] Developing research matrices

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    To describe the characteristics of studies with pertinent information from the code sheets.

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    To describe the characteristics of studies with pertinent information from the code sheets.

  • [Solved] Healthcare Finance Overview (Assessment 1)

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    Prepare a presentation for new hire orientation that addresses the organization's three types of revenue sources: Medicaid, Medicare, and managed care. For each revenue source, explain the purpose of the program, how the organization is reimbursed, and the benefits of the program. Introduction: **No…

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    Prepare a presentation for new hire orientation that addresses the organization's three types of revenue sources: Medicaid, Medicare, and managed care. For each revenue source, explain the purpose of the program, how the organization is reimbursed, and the benefits of the program.
    Introduction: **Note:** The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.
    Healthcare finance has changed dramatically with the advent of the Affordable Care Act (ACA) in 2010. Its effects continue to impact organizations and individuals. The healthcare industry has transitioned to a unique and complex entity as a result of the ACA's legal and regulatory ramifications. The shift in delivery systems requires healthcare leaders to possess new skill sets (Office of the Legislative Counsel, 2010).
    Healthcare leaders at all levels within an organization must be comfortable with financial statements and basic accounting principles. As an early careerist, you may be involved in conversation to evaluate existing and new healthcare service lines. You may be asked to participate in various financial activities, such as team budgeting activities and development of a departmental budget. As a mid or advanced careerist, you may be evaluating higher-level organization financing options, determining cash flow needs, or presenting financial information to the CEO and board.
    Finally, one of the number one things that you will do as a healthcare leader is manage expenses. There are many variables to managing expenses in healthcare, from managing fixed assets, payroll and capital expenses. You will look at the classifications of expenses and costs, and review depreciation and how that is calculated. You will also review the difference between variable and fixed costs in healthcare and how those can be managed effectively.
    Regardless of your position within the organization, understanding healthcare finance is a critical success factor for effective and responsible healthcare leadership.
    #### **Reference**
    Office of the Legislative Counsel. (2010). _Compilation of patient protection and Affordable Care Act_. http://housedocs.house.gov/energycommerce/ppacacon.pdf
    Scenario: Sustainable healthcare organizations today need to balance the clinical and fiscal facets of the operation. People at all levels in a healthcare organization need to understand how the organization makes money (accounts receivable) and how it chooses to allocate or spend these resources (accounts payable).
    **Early careerists** in a healthcare organization may participate in any or all of the following financial activities:
    – Evaluate existing and new healthcare service lines.
    – Develop a departmental budget.
    – Provide input to strategic planning or finance department meetings.
    **Mid-level or advanced careerists** may be asked to:
    – Evaluate higher-level organization financing options.
    – Anticipate cash flow needs.
    – Present financial information to the CEO and board.
    For the purpose of this assessment, assume you are a manager in a healthcare organization. Your organization likes to educate employees about the organization's fiscal operations from the very start—at new hire orientation. You have been asked to prepare a presentation for new hire orientation that addresses the organization's three types of revenue sources: Medicaid, Medicare, and managed care.
    Preparation: You will prepare a presentation with speaker notes and slides on the three revenue sources for healthcare organizations: Medicare, Medicaid, and managed care. The last three slides of your presentation should cover the quality metrics for each revenue source and include a 3–5 minute audio recording. You may use PowerPoint or Kaltura to record your presentation. The audience for your presentation is new hires attending orientation.
    – Conduct independent research on Medicare, Medicaid, and managed care.
    – See the "Merit-Based Incentive Payment System (MIPS): Participation Options Overview" resource from the Quality Payment Program website by the Centers for Medicare & Medicaid Services.
    – [Merit-Based Incentive Payment System (MIPS).](https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/lists/2462447970006731?auth=SAML&section=2532824840006731)
    – [Focus your research on current resources available through scholarly and/or authoritative sources. This resource will help you identify scholarly and authoritative sources:](https://capella.alma.exlibrisgroup.com/leganto/public/01CAPELLA_INST/lists/2462447970006731?auth=SAML&section=2532824840006731)
    – [Health Administration Master's Program (MHA) Library Guide.](https://capellauniversity.libguides.com/mha)
    Instructions:   Create a 12–15 slide PowerPoint presentation with speaker notes. Incorporate the information you gained from your independent research on Medicare, Medicaid, and managed care in the presentation.
    Also include a recorded narrative for the last three slides of your PowerPoint presentation. These slides should cover the quality metrics for each revenue source, and include a 3–5 minute audio recording explaining the quality metrics you have noted. Your audio narration can be recorded directly on the last three slides of the PowerPoint document, or recorded as a separate Kaltura screen recording of the last three slides with audio narration.
    Please be sure to address all of the following headings and answer all of the questions underneath each heading in your presentation:
    ### **Introduction: Healthcare Revenue Sources—Medicare, Medicaid, and Managed Care (2–3 slides)**
    – What are the three main types of healthcare revenue sources?
    – **Note:** Find ways to engage your audience in the first few minutes of your presentation. Can you open with a startling statistic or a compelling quote or question? Feel free to be creative when labeling your slides.
    ### **Medicare (3–4 slides)**
    – What is Medicare's purpose?
    – What benefits do Medicare program participants receive?
    – What steps do healthcare organizations take to be reimbursed for the Medicare services they provide?
    – Consider creating a flow chart to illustrate the major steps in the process.
    – What challenges do healthcare organizations face in terms of reimbursement?
    – What data and/or quality metrics does the organization need to provide for reimbursement?
    – How long does it take to receive reimbursement?
    ### **Medicaid (3–4 slides)**
    – What is Medicaid's purpose?
    – What benefits do Medicaid program participants receive?
    – What steps do healthcare organizations take to be reimbursed for the Medicaid services they provide?
    – Consider creating a flow chart to illustrate the major steps in the process.
    – What challenges do healthcare organizations face in terms of reimbursement?
    – What data and/or quality metrics does the organization need to provide to be reimbursed?
    – How long does it take to receive reimbursement?
    ### **Managed Care (3–4 slides)**
    – What is managed care's purpose?
    – What benefits do managed care program participants receive?
    – What steps do healthcare organizations take to be reimbursed for the managed care services they provide?
    – Consider creating a flow chart to illustrate the major steps in the process.
    – What challenges do healthcare organizations face in terms of reimbursement?
    – What data and/or quality metrics does the organization need to provide for reimbursement?
    – How long does it take to receive reimbursement?
    ### **Conclusion (2–3 slides)**
    – What key information do you want new hires to retain from your presentation?
    – Consider creating a grid or job aid that highlights critical information about each revenue source all in one place.
    – Include the quality metrics for each revenue source.
    – How can you close your presentation in a memorable way?
    ### **Practice and Record Your Conclusion**
    – **Record a narrative of the last three slides of your presentation.** These slides should cover the **quality metrics for each revenue source**. To complement those slides, please include a 3–5 minute audio recording explaining the quality metrics you have noted. Your audio can be done directly into the PowerPoint presentation or using Kaltura in a separate recording.
    – **Note:** If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [DisabilityServices@Capella.edu](mailto:DisabilityServices@Capella.edu) to request accommodations.
    – **Listen to your audio prior to submitting** to ensure it is loud enough.
    – **Upload your slides, speaker's notes and recording (if it is a separate file from the PowerPoint)** to the assessment area.
    Additional Requirements : Your assessment should also meet the following requirements:
    – **Written communication:** Your slides need to include bullet points highlighting the key concepts. As a best practice, each slide should contain no more than 5–7 bullet points and no more than 5–7 words per bullet point. Use speaker notes to include additional information. Appropriately balance text and visuals. Make sure your content is clear, persuasive, well-organized and free of errors in grammar, punctuation, and spelling.
    – **Title slide:** Develop a descriptive title for your presentation of 5–15 words. It should stir interest, yet maintain professional decorum.
    – **Length:**12–15 slides with speaker notes and a 3–5 minute audio narration during the final three slides.
    – If you use Kaltura, you can upload your recording to the courseroom, or provide a working link your faculty can access.
    – **Font and font size:** Appropriate size and weight for presentations, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.
    – **Reference slide:** Include a **minimum** of three citations to current scholarly and or authoritative sources in a final reference slide. These sources need to be from your independent research, over and above the resources in the suggested reading list for this assessment. Current means they can be no more than five years old.
    – **APA format:** Ensure in-text citations and references adhere to current APA format. For an APA refresher, review the [Evidence and APAsection of the Writing Center.](https://lat.strategiced.com/redirect?linkid=1540)
    Competencies measured :By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and rubric criteria:
    – Competency 1: Develop financial strategies to address dynamic environmental forces.
    – Explain the purpose of healthcare reimbursement programs.
    – Explain the data and/or quality metrics that the organization needs to provide for reimbursement. Prepares a 3–5 minute audio overlay regarding metrics.
    – Competency 2: Analyze the cost and revenue implications for organizational changes due to environmental forces.
    – Analyze the reimbursement process that healthcare organizations must undertake.
    – Explain the challenges that healthcare organizations face in terms of reimbursement, including how long it takes to be reimbursed.
    – Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.
    – Write content clearly and logically with the correct use of grammar, punctuation, and mechanics.
    – Format citations and references using the APA style.

  • [Solved] 3

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Designing Research

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    – ## EDF6437FinalProjectcopy.docx – finalprojectarticle.pdf **## EDF6437FinalProjectcopy.docx** EDF 6437 Final project ## Designing Research **100 Points** **Answer each question without writing in the form of a paragraph. The topic to respond in (part 1, question A) will be** reducing task refusal …

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    – ## EDF6437FinalProjectcopy.docx

    – finalprojectarticle.pdf

    **## EDF6437FinalProjectcopy.docx**

    EDF 6437 Final project

    ## Designing Research

    **100 Points**

    **Answer each question without writing in the form of a paragraph. The topic to respond in (part 1, question A) will be** reducing task refusal behavior in a 4-year-old boy diagnosed with ASD who attends a daycare center and is enrolled in VPK using the Premack Principle and high-p probability as intervention. In (part 1, question B), the article related to the topic will be the one that is in the instructions and must be (cited the article in APA format in the project). In (part 2, question c), the design that will be used is a Multielement design 2-phase with an initial baseline (just justified, do not create graph).

    In this section, you will now consider a research study you would be interested in conducting – especially if you wish to take EDF 6944 Advanced Single Case Design. Considering all of material from this course, please answer the following prompts that would be in your introduction and methods section.

    ### Introduction Part 1

    a) Topic: Briefly describe your topic of interest and why it is important. Importance should be related to previous research in the field and need to assess the intervention. (5 points)

    b) Literature Review: Locate an article related to your topic of interest. Indicate how it is related to your topic of interest. Be sure to cite it in APA style. (5 points)

    c) Research Question: Create a research question based on the topic. Remember to include all of the components of a good research question. (10 points)

    d) Independent Variable: Identify the intervention or treatment package. (5 points)

    e) Dependent Variable: Identify the target behavior(s). (5 points)

    ### Method Part 2

    a) Participant(s): Describe the population and justify why they were selected for your study. (5 points)

    b) Measurement Procedure: Identify how you will capture the dependent variable and include whether the measurement you selected is continuous or discontinuous. (10 points)

    c) Design: Select one of the single-case designs you learned about and justify the reason for selection. (10 points)

    d) Measurement Integrity: Based on your measurement procedure and design, indicate which IOA procedure you will use. (10 points)

    e) Procedural Integrity: Describe how you will account for treatment integrity. (5 points)

    ### Method Part 3

    f) Maintenance and Generalization: Describe considerations for maintenance and generalization. (10 Points)

    g) Social Validity: Defend how your study has social validity (5 points)

    h) Ethical Considerations: Identify any ethical considerations in your research, such as consent, assent, conflicts of interest, etc. (5 points)

    i) General: Indicate where your visual display of data be located in a scientific paper. (5 points)

    j) General: Indicate where you would place the implications of your results in a scientific paper? (5 points)

    **finalprojectarticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/finalprojectarticle-pdf)

    **finalprojectarticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/finalprojectarticle-pdf)

    **## EDF6437FinalProjectcopy.docx**

    EDF 6437 Final project

    ## Designing Research

    **100 Points**

    **Answer each question without writing in the form of a paragraph. The topic to respond in (part 1, question A) will be** reducing task refusal behavior in a 4-year-old boy diagnosed with ASD who attends a daycare center and is enrolled in VPK using the Premack Principle and high-p probability as intervention. In (part 1, question B), the article related to the topic will be the one that is in the instructions and must be (cited the article in APA format in the project). In (part 2, question c), the design that will be used is a Multielement design 2-phase with an initial baseline (just justified, do not create graph).

    In this section, you will now consider a research study you would be interested in conducting – especially if you wish to take EDF 6944 Advanced Single Case Design. Considering all of material from this course, please answer the following prompts that would be in your introduction and methods section.

    ### Introduction Part 1

    a) Topic: Briefly describe your topic of interest and why it is important. Importance should be related to previous research in the field and need to assess the intervention. (5 points)

    b) Literature Review: Locate an article related to your topic of interest. Indicate how it is related to your topic of interest. Be sure to cite it in APA style. (5 points)

    c) Research Question: Create a research question based on the topic. Remember to include all of the components of a good research question. (10 points)

    d) Independent Variable: Identify the intervention or treatment package. (5 points)

    e) Dependent Variable: Identify the target behavior(s). (5 points)

    ### Method Part 2

    a) Participant(s): Describe the population and justify why they were selected for your study. (5 points)

    b) Measurement Procedure: Identify how you will capture the dependent variable and include whether the measurement you selected is continuous or discontinuous. (10 points)

    c) Design: Select one of the single-case designs you learned about and justify the reason for selection. (10 points)

    d) Measurement Integrity: Based on your measurement procedure and design, indicate which IOA procedure you will use. (10 points)

    e) Procedural Integrity: Describe how you will account for treatment integrity. (5 points)

    ### Method Part 3

    f) Maintenance and Generalization: Describe considerations for maintenance and generalization. (10 Points)

    g) Social Validity: Defend how your study has social validity (5 points)

    h) Ethical Considerations: Identify any ethical considerations in your research, such as consent, assent, conflicts of interest, etc. (5 points)

    i) General: Indicate where your visual display of data be located in a scientific paper. (5 points)

    j) General: Indicate where you would place the implications of your results in a scientific paper? (5 points)

    **finalprojectarticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/finalprojectarticle-pdf)

    **## EDF6437FinalProjectcopy.docx**

    EDF 6437 Final project

    ## Designing Research

    **100 Points**

    **Answer each question without writing in the form of a paragraph. The topic to respond in (part 1, question A) will be** reducing task refusal behavior in a 4-year-old boy diagnosed with ASD who attends a daycare center and is enrolled in VPK using the Premack Principle and high-p probability as intervention. In (part 1, question B), the article related to the topic will be the one that is in the instructions and must be (cited the article in APA format in the project). In (part 2, question c), the design that will be used is a Multielement design 2-phase with an initial baseline (just justified, do not create graph).

    In this section, you will now consider a research study you would be interested in conducting – especially if you wish to take EDF 6944 Advanced Single Case Design. Considering all of material from this course, please answer the following prompts that would be in your introduction and methods section.

    ### Introduction Part 1

    a) Topic: Briefly describe your topic of interest and why it is important. Importance should be related to previous research in the field and need to assess the intervention. (5 points)

    b) Literature Review: Locate an article related to your topic of interest. Indicate how it is related to your topic of interest. Be sure to cite it in APA style. (5 points)

    c) Research Question: Create a research question based on the topic. Remember to include all of the components of a good research question. (10 points)

    d) Independent Variable: Identify the intervention or treatment package. (5 points)

    e) Dependent Variable: Identify the target behavior(s). (5 points)

    ### Method Part 2

    a) Participant(s): Describe the population and justify why they were selected for your study. (5 points)

    b) Measurement Procedure: Identify how you will capture the dependent variable and include whether the measurement you selected is continuous or discontinuous. (10 points)

    c) Design: Select one of the single-case designs you learned about and justify the reason for selection. (10 points)

    d) Measurement Integrity: Based on your measurement procedure and design, indicate which IOA procedure you will use. (10 points)

    e) Procedural Integrity: Describe how you will account for treatment integrity. (5 points)

    ### Method Part 3

    f) Maintenance and Generalization: Describe considerations for maintenance and generalization. (10 Points)

    g) Social Validity: Defend how your study has social validity (5 points)

    h) Ethical Considerations: Identify any ethical considerations in your research, such as consent, assent, conflicts of interest, etc. (5 points)

    i) General: Indicate where your visual display of data be located in a scientific paper. (5 points)

    j) General: Indicate where you would place the implications of your results in a scientific paper? (5 points)

    **finalprojectarticle.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/finalprojectarticle-pdf)

    – 1
    – 2

  • [Solved] Assigment .Apa seven . All instructions attached.

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    – ## WritingAssignmentHealthProblemProposal.docx **## WritingAssignmentHealthProblemProposal.docx** **Writing Assignment Health Problem Proposal** I live Miami florida choose one **Health Disparities** In recent decades, health promotion programs in the United States have substantially improved the …

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    – ## WritingAssignmentHealthProblemProposal.docx

    **## WritingAssignmentHealthProblemProposal.docx**

    **Writing Assignment Health Problem Proposal**

    I live  Miami florida choose one

    **Health Disparities**

    In recent decades, health promotion programs in the United States have substantially improved the health of residents. However, there is ongoing concern about health disparities, which occur most commonly in racial and ethnic minorities, people who do not have health insurance, and those who are poor and have less than a high school education. A recent report released by the Centers for Disease Control and Prevention (2011a) emphasizes that there are considerable and persistent gaps between the healthiest and least healthy people. For example, many racial and ethnic groups have higher rates of the following conditions that are amenable to preventive interventions: obesity, diabetes, hypertension, HIV/AIDS, and cervical cancer. Another disparity in preventive services is the significantly lower rates of adult immunizations among non-Hispanic Blacks and Hispanics.

    **This is your preliminary work- you will develop these ideas further in week 4's submission- here I will comment and approve the topic.**

    **Description of health problem at global, national, and local levels:**

    Throughout this course, you will develop a scholarly PowerPoint Presentation: “Health Promotion Program Proposal,” addressing existing knowledge related to health promotion.

    Write an essay describing the health problem selected in week 1. This would be the same health problem you will use for future assignments. For this activity:

    Create a presentation page including the name, class name, and paper's title. Organize the paper continuously, as follows:

    1. Introduce the problem with a concise overview of its health impact. This will be your introductory paragraph, but you won't type "introduction" (1 paragraph).

    2. Describe the global relevance of the problem including statistics (1-2 paragraphs).

    3. Describe the national relevance of the problem using statistics (1-2 paragraphs).

    4. Describe the local relevance and perspective of the problem also using statistics (1-2 paragraphs).

    5. Conclude the idea justifying the development of promotion strategies at different levels. This is your final paragraph and conclusion, however you won't type "conclusion" (1 paragraph).

    Write the essay following the rules of formal writing and APA 7th edition.

    One paragraph contains at least three complete sentences. Headings (levels 1, 2, and 3 may be used as required).

    Sample APA paper: 3 page 5 references

    **## WritingAssignmentHealthProblemProposal.docx**

    **Writing Assignment Health Problem Proposal**

    I live  Miami florida choose one

    **Health Disparities**

    In recent decades, health promotion programs in the United States have substantially improved the health of residents. However, there is ongoing concern about health disparities, which occur most commonly in racial and ethnic minorities, people who do not have health insurance, and those who are poor and have less than a high school education. A recent report released by the Centers for Disease Control and Prevention (2011a) emphasizes that there are considerable and persistent gaps between the healthiest and least healthy people. For example, many racial and ethnic groups have higher rates of the following conditions that are amenable to preventive interventions: obesity, diabetes, hypertension, HIV/AIDS, and cervical cancer. Another disparity in preventive services is the significantly lower rates of adult immunizations among non-Hispanic Blacks and Hispanics.

    **This is your preliminary work- you will develop these ideas further in week 4's submission- here I will comment and approve the topic.**

    **Description of health problem at global, national, and local levels:**

    Throughout this course, you will develop a scholarly PowerPoint Presentation: “Health Promotion Program Proposal,” addressing existing knowledge related to health promotion.

    Write an essay describing the health problem selected in week 1. This would be the same health problem you will use for future assignments. For this activity:

    Create a presentation page including the name, class name, and paper's title. Organize the paper continuously, as follows:

    1. Introduce the problem with a concise overview of its health impact. This will be your introductory paragraph, but you won't type "introduction" (1 paragraph).

    2. Describe the global relevance of the problem including statistics (1-2 paragraphs).

    3. Describe the national relevance of the problem using statistics (1-2 paragraphs).

    4. Describe the local relevance and perspective of the problem also using statistics (1-2 paragraphs).

    5. Conclude the idea justifying the development of promotion strategies at different levels. This is your final paragraph and conclusion, however you won't type "conclusion" (1 paragraph).

    Write the essay following the rules of formal writing and APA 7th edition.

    One paragraph contains at least three complete sentences. Headings (levels 1, 2, and 3 may be used as required).

    Sample APA paper: 3 page 5 references