Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

OPIOID ABUSE AND POVERTY IS NOT FATE

69 views

Published on

OPIOID ADDICTION IS EMERGING AS ONE OF THE GREATEST THREATS TO THE SECURITY OF AMERICA. EVERY DAY, MORE THAN 115 PEOPLE IN THE UNITED STATES DIE AFTER OVERDOSING ON OPIOIDS. THE MISUSE OF AND ABUSE OF OPIOIDS—INCLUDING PRESCRIPTION PAIN RELIEVERS, HEROIN, AND SYNTHETIC OPIOIDS SUCH AS FENTANYL—IS A SERIOUS NATIONAL CRISIS THAT AFFECTS PUBLIC HEALTH, AS WELL AS, SOCIAL AND ECONOMIC WELFARE. DISADVANTAGED GROUPS OFTEN FACE ISSUES OF SAFETY AND VIOLENCE AT HIGHER RATES THAN OTHERS IN THE COMMUNITY. CHILDREN IN TULSA COUNTY EXPERIENCE ABUSE AND NEGLECT AT HIGHER RATES THAN THE NATIONAL AVERAGE. ADDITIONALLY, THERE ARE RACIAL DISPARITIES IN HOMICIDE VICTIMIZATION AND LARGE DISPARITIES BY REGION OF THE CITY IN DVIS CALLS.

Published in: Education
  • Be the first to comment

  • Be the first to like this

OPIOID ABUSE AND POVERTY IS NOT FATE

  1. 1. Terence Morris PACE TULSA AGS FOUNDATION 3701-A #145 SOUTH HARVARD TULSA, OK 74135 OPIOID ABUSE & POVERTY IS NOT FATE
  2. 2. OPIOID ABUSE & POVERTY IS NOT FATE 2 ABSTRACT This report documents a multi-phased effort that explains the intellectual and scientific design development and proof-of-concept validation learner environment (LE). This report design is to manage education panel presentations within A MOODLE. MOODLE is a Learning Platform of course management systems (CMS) - a free Open Source software package, designed to help educators create effective online environments. Parameters defined during prior research, within the Pedestrian Awareness Crosswalk Education MOODLE, follows development and internal testing. Participants are volunteers with experiences within intersecting Public Transportation Policy. Often relying on think-out- loud approach, specificity surveys, PSAs, Electronic cards, SMS, Live Polls and Instant Continuous Streaming in an effort to capture as much subjective feedback as possible, with the intent to identify possible changes that should be made both based on observations made by researchers and preferences suggested by participants. Adjustments were made, creating a user-modified normative learner environment (LE). Objective and subjective core behavior and core measurements are collected and analyzed in accordance with the targeted research questions. Ultimately, this examination seeks to demonstrate industry and cultural knowledge that will provide leadership for better defining a new era of Awareness offering a greater quality of life for Ex-Drug Addicts living in Tulsa, Oklahoma. I will help Ex-Drug Addicts understand “WHO” will be making the decision(s) to “ALLOW” Drug Addicts and Opioid Abusers A SECOND CHANCE. I am offering HOMELESS VETERAN TARGET Groups “A GAUGE” to measure up with and/ or against other similarly affected TARGET GROUPS. This study while deploying the pedestrian awareness crosswalk education curriculum and design, builds upon previous efforts to employ human factors through experience based in preparation for ongoing, and perhaps infinitely evolutionary public policy. KEY CHALLENGE(S) TO EDUCATING EX-DRUG ADDICTS. This project had to follow a proof-of-concept design approach, while considering user participation and experiences. To bridge the information poverty gap, content design teams, had to design unique collected data sets. KNOWLEDGE AND EXPERIENCE: Expertise in gaining "access" and "selling points" to the senior level "decision makers" in commercial and industrial space(s). Customize audience proposal developments. Success and recidivism presentation(s) in addition to award-winning negotiation skills. Experience with regional or national accounts. MANAGEMENT STRATEGY: Customer Opportunities, Geographic Territory, Business Development, Social and Economic Analysis outlining the impact and well-being of corporate resources, Employee and customer support, crew member applications, resumes, educational backgrounds and training. *Disclaimer. PACE TULSA AGS FOUNDATION HAS NOT independently began research studies to more quantitatively refute or support Justice Initiatives concerning Opioid Abuse or Poverty. Based on direct research from the organizations quoted in this article, I expect support for any results obtained from this information. Keywords: +0.8 BAC, Affordable Care Act, Americans with Disabilities, Autonomous Asynchronous Vehicles, Community Safe Bus Routes, Critical- thinking, Drug Addiction, Economic and Social Institutionalization, Focused Drivers, Gait Kinematics, Gross Impoverishment, Highway Safety Countermeasures, Homicide Victimization, Injury/Non-Injury Fatalities, Learning environments, Learning designs, Legalization of Marijuana, Metropolitan Statistical Areas, Obama Care, Opioid Abuse, Peripheral Id, Poverty, Pedestrian Awareness, Pedestrian safety, Policy Implementation, Poverty-rate, Public Education, Public Policy, Public Safety, Restrained/Unrestrained Occupants, Re-Investment Programs, Safety Training Operation Protocol, Skepticism, Social cognition, Specificity-Surveys, Transportation-Infrastructure Analysis, Transportation Policy Analysis
  3. 3. OPIOID ABUSE & POVERTY IS NOT FATE 3 Table of Contents ABSTRACT 2 INTRODUCTION 6 OPIOID ADDICTION IS EMERGING AS ONE OF THE GREATEST THREATS TO THE SECURITY OF AMERICA 6 WHY DID PACE TULSA AGS FOUNDATION BECOME CONCERNED WITH OPIOID ADDICTION? 6 PACE TULSA AGS FOUNDATION NATIONAL CAMPAIGNS 7 PACE TULSA AGS FOUNDATION 7 HOW COULD OPIOID ABUSE AND POVERTY BE OVERLOOKED? 25 COGNITIVE DISSONANCE 25 NARRATIVE FALLACY 25 DEFENSIVE RESISTANCE 26 TRANSPORTATION POLICY 26 PUBLIC POLICY 26 UNITED STATES CITIZENS RECOGNIZE PROBLEMS IN OUR COMMUNITIES 26 AN AWARENESS TRANSFORMATION 27 WHAT ROLE DO I PLAY IN PACE TULSA AGS FOUNDATION? 27 CONTENT PROVIDERS 27 CONTENT STEWARDS 27 CONTENT PURCHASERS 27 WHAT WE KNOW ABOUT POVERTY IN TULSA, OKLAHOMA 28 WHAT WE KNOW ABOUT THE OPIOID CRISIS 7 Human Factors related to experiences 2 Key Challenge’s to Educating Ex-Drug Addicts 2 KNOWLEDGE AND EXPERIENCE: 2 THE CITY OF TULSA AND THE COMMUNITY SERVICE COUNCIL EQUALITY INDICATORS 8 SOCIAL INSTITUTIONALIZATION AND ECONOMIC WELFARE 9 SHOULD MINORITIES AND DISADVANTAGED TULSANS BECOME MORE CONCERNED WITH POVERTY AND WELFARE IN 2018? 9 DEFINING THE ETHIC’S OF SOCIAL INSTITUTIONALIZATION 9 1. SLAVERY. 9 2. WELFARE. 10 3. POVERTY. 10
  4. 4. OPIOID ABUSE & POVERTY IS NOT FATE 4 NEGATIVE EFFECTS OF POOR LEADERSHIP AND ITS IMPACT ON SOCIALIZATION 11 THREE TYPES OF LEADERS IN TODAYS CORPORATE FRANCHISES 11 1. GOOD LEADER’S. 11 2. REFLECTIVE LEADER’S. 11 3. UNREACHABLE LEADER’S. 11 ENTRENCHING SYSTEMIC POVERTY 11 THE ROLE OF THE OKLAHOMA EMPLOYMENT SECURITY COMMISSION WORKFORCE SERVICES DIVISION 11 THE WORK OPPORTUNITY TAX CREDIT (WOTC) 12 WHAT HAPPENS WOTC EMPLOYERS TEAM UP WITH COMMISSIONING AGENCIES TO TARGET DISADVANTAGED CORPORATE RESOURCES? 12 PROTECTED INFORMATION DISCLOSURES 12 WHO ARE THE TARGETED GROUPS AFFECTED BY WOTC TAX FRAUD? 13 TARGETED GROUPS 13 THE AWARE PEDESTRIAN MOVEMENT 13 HEALTH CONSCIOUS COMMUNITIES 13 HEALTH AND EQUALITY GAP INDICATORS AND DISADVANTAGED POPULATIONS 14 Physical Health, Mental Health, and Education are Health Indicators 14 HIGH-PRIORITY HEALTH ISSUES AND LEADING HEALTH INDICATORS (LHIS)? 15 OPIOIDS AND MENTAL HEALTH ISSUES HAVE EMERGED AMONG SOME SPECIAL POPULATIONS 15 Physical Health, Mental Health, and Education disparities are key indicators that link social, economic and environmental disadvantage. 15 PACE TULSA AGS FOUNDATION MODEL HELPS TULSANS BECOME STAKEHOLDERS CONTRIBUTING TO HEALTHY COMMUNITIES 16 ENGAGED COALITIONS AGAINST OPIOID ABUSE AND POVERTY 16 DISADVANTAGED GROUP LEADERSHIP 16 ONE VOICE IN TRANSPORTATION TREATISE 16 BUILDING SUCCESSFUL LEADERS 17 LEADERSHIP QUALITIES 17 GOOD “LEADERS” SHARE THESE QUALITIES: 17 EXCELLENT “LEADERS” SHARE THESE QUALITIES 17 CAUSAL MODELS 17 LEADERLESS-GROUP DISCUSSIONS 17 ASSESSMENT CENTERS 18 MEASURES OF EMOTIONAL INTELLIGENCE 18
  5. 5. OPIOID ABUSE & POVERTY IS NOT FATE 5 CORE BEHAVIORS 18 CORE MEASUREMENT IDEOLOGY 18 PACE TULSA AGS FOUNDATION CORROBORATIVE METHODOLOGY 19 AMPLIATIVE INFERENCE 19 INDUCTIVE REASONING TECHNIQUE 19 PACE TULSA AGS FOUNDATION SPECIFICITY-SURVEY ANALYSIS 20 PACE TULSA AGS FOUNDATION ITEM ANALYSIS 21
  6. 6. OPIOID ABUSE & POVERTY IS NOT FATE 6 INTRODUCTION OPIOID ADDICTION IS EMERGING AS ONE OF THE GREATEST THREATS TO THE SECURITY OF AMERICA Every day, more than 115 people in the United States die after overdosing on opioids. The misuse of and abuse of opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl— is a serious national crisis that affects public health, as well as, social and economic welfare. Disadvantaged groups often face issues of safety and violence at higher rates than others in the community. Children in Tulsa County experience abuse and neglect at higher rates than the national average. Additionally, there are racial disparities in homicide victimization and large disparities by region of the city in DVIS calls. When the leader is wearing the Emperor's New Clothes the negative effects of poor leadership can be easily seen. However, we can't see great leadership opposite and get a very clear picture of what is not. (Deb King, January 28, 2016. Professional Practice Consultant, Education Strategist & Executive Coach.) While employed as shift-manager for a very successful local restaurant in Tulsa, I kept daily notes about the guest experience(s) inside and outside of operational activities. At the same time, PACE TULSA AGS FOUNDATION was hosting a fundraiser for ex-drug addicts celebrating recovery from opioid addiction. I spoke face-to-face with people from all walks of life. I continued to study and research scholarly papers helping to make my employment a great success. Of the more than 515,000 Americans who have died from drug overdoses since 2006, most lived in poor areas where there were few job opportunities, researchers discovered. (U.S. Opioid ODs Cluster in Centers of Poverty by Steven Reinberg, Health Day Reporter, MONDAY, March 26, 2018. Health Day News.) Coincidentally, the franchise, I worked for had restaurants in neighborhoods where the greatest amount of narcotic abuse and poverty exists. The Centers for Disease Control and Prevention estimates that the total "economic burden" of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement. The text herein may not read like a traditional research paper, nevertheless, PACE TULSA AGS FOUNDATION research articles will provide readers with more insight about the relationship between opioid addiction, poverty, social and economic welfare, and health conscious communities in Tulsa County. WHY DID PACE TULSA AGS FOUNDATION BECOME CONCERNED WITH OPIOID ADDICTION? PACE TULSA AGS Foundation is a Pedestrian Awareness Crosswalk Education and Public Transportation Policy “think-tank” in The United States. Real-world feelings about Opioid Abuse & Poverty are muted because of fear and ignorance. Wealth in America is aggrandized, and gross impoverishment remains a reality for many Americans. The value gained from participation in the “Aware Pedestrian” Pedestrian Awareness Crosswalk Education (PACE TULSA) Public Transportation Policy platform, translates into an online resource(s); amplified captured voices, opinions, and information. Community Re-Investment Programs like Obama Care and the Affordable Care Act have significantly reduced the poverty rate and improved the health of many Americans, however, much- needed policy implementations still need attention. In the middle of the largest Opioid Drug Abuse Crisis the United States, Oklahomans, and Governor Mary Fallin allow The Legalization of Marijuana without a threat of Veto. Voters in Oklahoma approved a ballot measure making the state the 30th in the nation to allow broad access to medical marijuana. The proposal, which passed by a 57% to 43% margin allows doctors to recommend cannabis for any medical condition they see fit. Concern for some public safety and transportation issues is higher on the priority list. This phenomenon is unexplainable. PACE participants in the AGS
  7. 7. OPIOID ABUSE & POVERTY IS NOT FATE 7 specificity-survey are concerned with, but may be afraid of, or are unaware about the scope of the problem. When used for organizational development purposes, specificity-survey models are both a guide to the design of the survey content itself and an interpretation of the resulting diagnostic information obtained (Church & Waclawski, 1998, 2001). The public policy process involves specificity-survey design for repeated cycles of diagnosis, feedback, action planning, and change. PACE TULSA AGS FOUNDATION NATIONAL CAMPAIGNS PACE TULSA AGS FOUNDATION has established National Campaign Hooksi to disseminate the knowledge we have gained from our listeners all across America. We have interesting seminars and informative presentations for everyone to enjoy and learn from.  MAKE SURE DRIVERS CAN SEE YOU (Paint the Lines Bolder Petition)  SAFETY EDUCATION SUCCESSES (+0.8 BAC, Restrained/Unrestrained Occupants, Injury/Non-Injury Fatalities, VMT)  ONE VISION 2020 (Autonomous Asynchronous Vehicles, Learning environments & Learning designs, Highway Safety Countermeasures)  PEDESTRIAN-SAFETY-STARTS-WITH-ME (Fundraising Campaign)  CROSSWALK ZONE (Safety Myths and Facts, Quizzes)  PUBLIC POLICY BUNKER (Local & State Public Transportation Policies)  GET ON BOARD (Membership & Media Outreach)  STOP AND THINK…BEFORE YOU CROSS (Safety Training Operation Protocol STOP)  LISTEN BEFORE YOU CROSS (Specificity Surveys)  KNOW MORE ABOUT PEDESTRIAN AWARENESS (Campaign Planner for Pedestrians and Motorists)  PRACTICE MIND ON DRIVING (Gait Kinematics, Peripheral Id, Americans with Disabilities & Focused Drivers and Pedestrians)  EVERYONE IS A PEDESTRIAN (Attitude Assessments and Professional development) PACE TULSA AGS FOUNDATION PACE TULSA AGS FOUNDATION is a place of access and opportunity to explore. PACE TULSA AGS FOUNDATION is a brain-network. PACE TULSA AGS FOUNDATION is a think-tank. PACE TULSA AGS FOUNDATION is an open forum for ALL PEOPLE 18 years of age and older. We would like to bridge the information poverty gap by preparing people of all ages for their journeys throughout their lives, as well as, in their careers. WHAT WE KNOW ABOUT THE OPIOID CRISIS Opioid overdose rates began to increase in 2015, more than 33,000 Americans died as a result of an opioid overdose, including prescription opioids, heroin, and illicitly manufactured
  8. 8. OPIOID ABUSE & POVERTY IS NOT FATE 8 fentanyl, a powerful synthetic opioid (National Institute on Drug Abuse, Advancing addiction Science, March 2018). In 2018, an estimated 2 million people in the United States suffered from substance use disorders related to prescription opioid pain relievers, and 591,000 suffered from a heroin use.ii  Roughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them.iii  Between 8 and 12 percent develop an opioid use disorder.  An estimated 4 to 6 percent who misuse prescription opioids transition to heroin.  About 80 percent of people who use heroin first misused prescription opioids.iv  Opioid overdoses increased 30 percent from July 2016 through September 2017 in 52 areas in 45 states. v  The Midwestern region saw opioid overdoses increase 70 percent from July 2016 through September 2017.  Opioid overdoses in large cities increased by 54 percent in 16 states. This issue has become a public health crisis with devastating consequences including increases in opioid misuse and related overdoses, as well as, the rising incidence of neonatal abstinence syndrome due to opioid use and misuse during pregnancy. The increase in injection drug use has also contributed to the spread of infectious diseases including HIV and hepatitis C. As seen throughout the history of medicine, science can be an important part of the solution in resolving such a public health crisis. Although, PACE TULSA AGS FOUNDATION is a Transportation Policy "think-tank," Americans can turn to the PACE TULSA FOUNDATION Online Resource Center for answers to issues affecting the quality of their lives. My notes are extensive, but I will try to give you a brief outline of the angles I would like to take in this article. Between 2000 and 2015, life expectancy increased overall but drug- poisoning deaths contributed a loss of 0.28 years. This loss, mostly related to opioids, was similar in magnitude to losses from all the leading causes of death with increasing death rates during this period combined. Nearly all the life expectancy lost due to drug-poisoning deaths was unintentional and was therefore reflected in lives lost to unintentional injury. However, the unintentional injury appeared to account for less life lost than drug-poisoning deaths because of counterbalancing gains related to decreasing death rates from other unintentional injuries, particularly motor vehicle crashes. THE CITY OF TULSA AND THE COMMUNITY SERVICE COUNCIL EQUALITY INDICATORS This report uses data to measure equality using a tool developed in partnership with the City University of New York Institute for State and Local Governance and The Rockefeller Foundation’s 100 Resilient Cities network.vi The primary goal areas in Tulsa's report are an economic opportunity, education, housing, justice, public health, and services. The City intends to utilize the Equality Indicators data collected and analyzed by the Community Service Council to demonstrate commitment, transparency, and accountability to improve the conditions for underserved Tulsans through the Tulsa Resilience Office led by DeVon Douglass. The 2018 Equality Indicators score for the city of Tulsa is 38.93 out of 100, which is similar to other indicators scores within the cohort. Of the six themes, Public Health has the highest score (47.00), followed by Services (42.78), Economic Opportunity (38.89), Justice (35.33), Education (35.22), and Housing (34.33). The Equality Indicators set a baseline for the work we face as a
  9. 9. OPIOID ABUSE & POVERTY IS NOT FATE 9 community, Tulsa Mayor G.T. Bynum said, “The issues we aim to address do not have easy solutions, but quantifying the problem is a critical starting point as we develop strategies to address problems that have plagued our city for generations.” SOCIAL INSTITUTIONALIZATION AND ECONOMIC WELFARE SHOULD MINORITIES AND DISADVANTAGED TULSANS BECOME MORE CONCERNED WITH POVERTY AND WELFARE IN 2018? The Oklahoma Medicaid agency is developing a proposal that could potentially take Sooner Care coverage away from low-income parents who are unable to work enough hours. Under this plan, if parents aren’t able to work a certain number of hours or aren’t able to log their hours, they’ll lose the health coverage they need. There is no evidence that taking away coverage from a person who is unable to work enough will either increase work or improve health. Instead, it actually harms both. This proposal will not help poverty decrease in Oklahoma, which has a 16.6% poverty rate according to American Progress.org. DEFINING THE ETHIC’S OF SOCIAL INSTITUTIONALIZATION To institutionalize something means to establish it as part of a culture, social system, or organization. The “social institutionalization” strategy is the process which translates an organization's code of conduct, mission, policies, vision, and strategic plans into actionable guidelines which are applicable to daily activities of officers and other employees. At the end of the process strategy, there should be an integration of fundamental values and objectives which relate within an organization's culture and structure. The institutionalization of ethics is an important task for today's organizations if they are to effectively counteract the increasingly frequent occurrences of blatantly unethical and often illegal behavior within large and often highly respected organizations. I would like to revisit a couple of forms of blatant unethical stereotyped prolific and illegal behaviors to establish some common grounds for policy actions. These policy actions have to be enforceable either with legislative or judicial authority. And the rules for establishing policies that minimalized these behaviors must be clear and understandable. Ramon Smith and Jarron Moreland, both 21, are two men who were lynched in 2018. On April 18, police found the dismembered bodies of the young men in a pond outside of Oklahoma City, Oklahoma. Three white men and one white woman have been arrested for the crime. (Equal Justice Initiative. “Lynching in America: Confronting the Legacy of Racial Terror.” May 3, 2018.) 1. SLAVERY. Since earliest times slaves have been legally defined as INANIMATE things; therefore, they could be bought, sold, traded, given as a gift, or pledged for a debt by their owner. Slavery can only be abolished by raising the character of the people who compose the nation, and that can be done by showing them a higher one [character]. Maria Weston Chapman, (1806-85) A U.S. Abolitionist. About Slavery as a social institution defined by law and custom as the most absolute involuntary form of human servitude. The definitive characteristics of slaves are as follows: their labor or services are obtained through FORCE; their physical beings are regarded as the PROPERTY of someone else, and they are entirely the subject to their owner's WILL.vii Income disparity explored by the location based on race and educational attainment. Identified Tulsa, OK income at or above self-sufficiency is equal to about 200% of the federal poverty level. Many families
  10. 10. OPIOID ABUSE & POVERTY IS NOT FATE 10 below 200% of poverty are reliant on public assistance to meet their needs. Education level also has an impact on financial stability for many.viii 2. WELFARE. Welfare programs are financed from federal, state, and local government revenues. The poverty level is a minimum income below which a person is officially considered to lack adequate subsistence and to be living in poverty. Therefore, scores of single people without children who have overwhelming barriers to gaining employment (penitentiary, narcotic addiction, disabilities, housing inequality…etc.) are now in poverty. Welfare and public assistance charities (food pantries, clothing banks, car repair vouchers, utility bill assistance, day care credits, and medical cards) are all programs that provide at least a minimum amount of economic security to people whose incomes are insufficient to maintain an adequate standard of living. These programs generally include such benefits as direct financial aid to individual's subsidized medical care and food stamps that are used to purchase food. Potential recipients must apply to qualify for assistance. In the United States, the principal beneficiaries of welfare are low-income families with dependent children, as well as, certain disabled and elderly persons. A small, southeastern Oklahoma county has the highest rate of homicides in the state. McCurtain County recorded 71 homicides, or 20.5 per 100,000 people, from 1992 to 2001, according to the state Health Department. Comparatively, Oklahoma County had 12.5 homicides per 100,000 people during that time, and Tulsa County had 8.2. The state average was 7.8. In the past five months, McCurtain County's trend has continued, with five more homicides. "Since November things have been insane in McCurtain County," District Attorney Virginia Sanders said. "I don't know what the answer is."ix 3. POVERTY. Poverty, the state of one who lacks a usual or socially acceptable amount of money or material possessions. According to the Encyclopedia Britannica, tens of thousands of poor people are negatively impacted throughout the world because of poverty every day. Social problems that impact the poor (high-mortality, counter-subversive criminals, low-life expectancy, high-divorce rates, increased teen pregnancy, drugs and alcoholism, mental illness, militias, cultism, sickness, and disease) are among the greatest indicators of poverty. The question is HOW is it possible for so much poverty to exist in a nation that outlines a “prevailing standard of living.” The world's poverty is due to a low level of economic development or to widespread unemployment. The United States is a democratic-capitalist nation that has quickly bounced back after recessions and economic downturns. Economic conditions in which people lack sufficient income to obtain certain minimal levels of health services, dental services, insurance coverage, food, housing, clothing, transportation, and education. Those services necessary for survival. Impediments to learning are instances that remove students from the classroom. Irregular classroom time can have an effect on both immediate and long-term student success. Racial disparities exist in both suspensions and student mobility. Student mobility refers to any time a student changes schools that is not related to a grade promotion, so it can be either voluntary (e.g., a move) or involuntary (e.g., expulsion from another school). In either case, there are direct effects on the student who leaves as well as disruptions to the rest of the students in the class.x
  11. 11. OPIOID ABUSE & POVERTY IS NOT FATE 11 NEGATIVE EFFECTS OF POOR LEADERSHIP AND ITS IMPACT ON SOCIALIZATION THREE TYPES OF LEADERS IN TODAYS CORPORATE FRANCHISES 1. GOOD LEADER’S. Individuals with the ability to improve skills. Their behavior allowing for professional growth and training. Career-centered strategists increasing their business in every way are industry-leading performance minded people that can unlock potential to benefit organizations, occupational communities, and society. Being an excellent leader requires an ability to notice study and understand internal, conscious or unconscious, drivers of behavior. 2. REFLECTIVE LEADER’S. Their way is the only way. These leader’s surround themselves with yes people. Fail to choose people important roles. Lack understanding of business organizations. They underestimate processes and the systems involved. Historically, they meme organized rites and rituals. Their own ideas are fixed. Can’t entertain other opinions. Rigid or concrete thinking. Constantly repeats mistakes. Inability to listen to others. Can't change mind even with expert advice due to an ego. A Reflective Leader does not have the ability to change. This person is a direct barrier to continuous improvement in traditional employment designs. 3. UNREACHABLE LEADER’S. These individuals have little to no regard for Good Citizenship. They demand insensitivity amongst all of the employees. These people do not value the people they hire. (High turnover rates, unfair terminations, bad work ethics, diseased faces, bad attitudes, negative comments, classist, deceptive profiling, wage gouging.) Most of the companies this type of leader is employed by are non-fortune 500 or 100 companies or unlisted to add a business profile. Almost all of these leaders terminate before medical, eligibility dates. When intolerance policies become public knowledge, they continue to pursue policies or traditional profiling practices that foster hostility and mistrust in their organizational franchises and city-state communities without shame or legal retribution. Unreachable leader’s prey on new hires and do not attribute intrinsic value in their lives. Some intrusive privacy practices include tampering with personal property, personal problems, background checks, medical, residential, telephone, mail, other information considered protected or private. ENTRENCHING SYSTEMIC POVERTY THE ROLE OF THE OKLAHOMA EMPLOYMENT SECURITY COMMISSION WORKFORCE SERVICES DIVISION The Workforce Services Division has two main functions: provide guidance for field staff and field activities at local workforce centers across the state and maintain a statewide labor exchange between employers and job-seeking individuals as established by the Wagner-Peyser Act of 1933. Assistance may be provided to individuals in the form of referral to jobs, referral to supportive services, training assistance, or job development. The Veterans Services Division provides service to Oklahoma veterans through Veterans Representatives located in local offices and out-stationed at key service delivery points across the state.
  12. 12. OPIOID ABUSE & POVERTY IS NOT FATE 12 Workforce Services is responsible for administering the Workforce Investment Act of 1998 (WIA). These WIA programs are federally funded and designed to provide employment and training services to individuals who, for various reasons, have been unable to obtain meaningful employment. This includes responsibility for administering programs that prepare youth and unskilled adults for entry into the labor force. The program also provides job training opportunities to economically disadvantaged individuals and those dislocated due to business closings and layoffs. The Workforce Investment Act also mandates the development of a comprehensive workforce system that includes many other workforce-related programs. To accomplish this goal, the division, in partnership with the Oklahoma Department of Commerce, serves as the administrative staff to the State Workforce Investment Board. The Board is charged with the responsibility of making recommendations regarding the development of this comprehensive system. While there are certainly racial disparities in the workforce, geography plays a large role, too. Labor force participation is a measure of both those who are employed and those who are unemployed but still seeking employment, while unemployment is a measure only of those who are not working, but who are currently looking for work. THE WORK OPPORTUNITY TAX CREDIT (WOTC) Economic opportunity is reflective of how disadvantaged groups experience issues like poverty, career choices and workplace advancement. When Tulsans face economic hardship progress is pushed aside. Equality stalls and economic opportunity diminishes when several indicators of systemic poverty manifest in a disadvantaged population. Often their financial stability is negatively impacted. Intractable, long-standing circumstances make social equity and upward economic mobility difficult to achieve. Work Opportunity Tax Credit (WOTC) is a Federal tax credit available to employers who hire and retain veterans and individuals from other target groups with significant barriers to employment. Employers claim about $1 billion in tax credits each year under the WOTC program. This credit is how employers can help disadvantaged communities re-enfranchise as participants in burgeoning economies. WHAT HAPPENS WOTC EMPLOYERS TEAM UP WITH COMMISSIONING AGENCIES TO TARGET DISADVANTAGED CORPORATE RESOURCES? Obviously, if employers do not follow the law regarding WOTC, the IRS will become involved. However, there is a small, but an obvious way that employers can "cheat" disadvantaged TARGET GROUPS. PROTECTED INFORMATION DISCLOSURES Employers make separation decisions for various reasons especially in “at will” states where the employer can decide to separate employees for any reason without penalty.  A fellow employee or a group of employees when a team member(s) is having problems at work. (Comprehension, medical, transportation, hygiene.)  Another employee’s pay rate or income level.  Job searches or other employment opportunities from job site postings internal or external.  Which higher-up leadership style impresses you (or peers or employees) you like and/or respect and which ones you don’t?  Political aims inside the company or promotion aims  Confidential information about trips or vacations, pregnancies, family heritage.  Hazing or personality quizzes
  13. 13. OPIOID ABUSE & POVERTY IS NOT FATE 13  Mirroring bad attitudes or bizarre or weird culture.  Public sympathizing or empathy for bad decisions  Time owed for errands, payout or work hours not recorded. Full WOTC not paid out to the employee but recorded as such. WHO ARE THE TARGETED GROUPS AFFECTED BY WOTC TAX FRAUD? TARGETED GROUPS Employers can hire eligible employees from the following TARGET GROUPS for WOTC. Empirically, these TARGET GROUPS have BECOME DESENSITIZED to discussing PROTECTED INFORMATION DISCLOSURES because they ALWAYS HAVE TO DISCLOSE TO RECEIVE BENEFITS. Then the COLLECTIVE CONSCIOUSNESS BEGINS TO design “THE REASONS” NON-COOPERATING EMPLOYEES should be TERMINATED.  Qualified IV-A Recipient  Qualified Veteran  Ex-Felon  Designated Community Resident (DCR)  Vocational Rehabilitation Referral  Summer Youth Employee  Supplemental Nutrition Assistance Program (SNAP) Recipient  Supplemental Security Income (SSI) Recipient  Long-Term Family Assistance Recipient  Qualified Long-Term Unemployment Recipient THE AWARE PEDESTRIAN MOVEMENT Any strategy that confronts discrimination and inequality in Tulsa, OK is almost always given a second look. Tulsa, OK is the city that had the largest race-based massacre in American history. Moreover, Tulsa, OK, has a very complicated history of racial tension. Today, with immigration reform and migrant policy reformation, bridging the barriers is very difficult. PACE TULSA AGS FOUNDATION plays a vital role in forming “ONEVISION” for Respect, Acceptance, and Understanding. All pedestrians can work to cultivate our community. Moreover, OUR Aware Pedestrian Crosswalk Education becomes a success with the cooperation of local businesses, organizations, and pedestrian safety advocates. We will continue to update our listener's with the latest online resources about urban and suburban adaptations and public safety awareness efforts locally. As well as, offer the most affordable opportunities possible to Citizen’s in Tulsa, Oklahoma to learn more about being a part of The Aware Pedestrian movement.xi HEALTH CONSCIOUS COMMUNITIES Our study is based on core measurement criteria and core behavior data obtained from surveys. These surveys ask participants questions related to public and private transportation policy. Working with City officials, planners, engineer, local business owners, and pedestrians in Tulsa, Oklahoma, we will be gaining more insight into the needs and viewpoints of pedestrians in our community. This study will be measuring high-impact travel, seating, public facilities, crime, ATS systems, crosswalk culpability, simple implementations structurally and City-Walkability.
  14. 14. OPIOID ABUSE & POVERTY IS NOT FATE 14 HEALTH AND EQUALITY GAP INDICATORS AND DISADVANTAGED POPULATIONS “Of 219 homicide victims in the state in 2011, 74 were black, according to data cited in the study. Black Homicide Victimization in the United States is not an acceptable freedom to act as one wish or thinks best.”- Amanda Bland, World Staff Writer, 1/24/2014 In 2017, the Office of Diseases Prevention and Health Promotion published a report for the range of personal, social, and environmental determinants which contribute to individual and population health. They found that people with quality education alternatives, stable employment, safe homes and neighborhoods, and access to preventative services tend to be healthier throughout their lives. The Social Determinants of Health that is critical to improving health care: Home, School Workplace, Neighborhood, and Community.  Discrimination, stigma, or unfair treatment in the workplace can have a profound impact on health; discrimination can increase blood pressure, heart rate, and stress, as well as undermine self-esteem and self-efficacy. xii  Family and community rejection, including bullying, of lesbian, gay, bisexual, and transgender youth can have serious and long-term health impacts including depression, use of illegal drugs, and suicidal behavior.xiii  Places where people live and eat affect their diet. More than 23 million people, including 6.5 million children, live in “food deserts”—neighborhoods that lack access to stores where affordable, healthy food is readily available (such as full-service supermarkets and grocery stores).xiv These equality indicators present the relevant data that could define parameters of acceptability to non- acceptability. African-Americans students on a path toward destruction can be identified by low attendance; low interest; failing grades disruptive behavior. In high poverty environments middle and high school student with just one, these early warning indicators can have only a 25% chance of graduating. xxvi A health disparity is a health difference that is closely linked with a social, economic, or environmental disadvantage. Access to parks and safe sidewalks for walking is associated with physical activity in adults.xv Visibility and traffic regulation enforcement are environmental indicators. Physical Health, Mental Health, and Education are Health Indicators  Longer life expectancy  Students graduating from high school 4 years after starting 9th grade with physical disabilities  Improved health and quality of life  Health-promoting behaviors like getting regular physical activity, not smoking, and going for routine checkups and recommended screenings.xvi  Persons with medical insurance (under 65 years)  Persons with a usual primary care provider
  15. 15. OPIOID ABUSE & POVERTY IS NOT FATE 15 “Northeastern University found those students who dropouts are eight times more likely to end up in prison; three times more likely to be unemployed and earn roughly $100.00 million dollars less than high school graduates. Furthermore, out-of-school, out-of-work youths will collectively cost Americans about $292,000.00 dollars each in increased social service costs and lost earnings and taxes over the course of their lifetimes.” HIGH-PRIORITY HEALTH ISSUES AND LEADING HEALTH INDICATORS (LHIS)xvii? Healthy People 2020 objectives, called Leading Health Indicators, has been selected to communicate high-priority health issues and actions that can be taken to address them. The 12 Leading Health Indicator topics are:  Access to Health Services  Clinical Preventive Services  Environmental Quality  Injury and Violence  Maternal, Infant, and Child Health  Mental Health  Nutrition, Physical Activity, and Obesity  Oral Health  Reproductive and Sexual Health  Social Determinants  Substance Abuse  Tobacco OPIOIDS AND MENTAL HEALTH ISSUES HAVE EMERGED AMONG SOME SPECIAL POPULATIONS According to Truth.com, 2018, Opioids include prescription painkillers like oxycodone, hydrocodone, codeine, morphine, and fentanyl – and the illegal drug heroin. All of these drugs produce a similar effect on the body because they're chemically similar. Opioids block feelings of pain and trigger a release of dopamine, which is the chemical in the body responsible for handing out gold stars to the brain, basically. A dopamine plus feeling good, feeling accomplished and other feel-good sensations. Dependence on opioids happens with repeated use, so the parts of the brain responsible for releasing dopamine only function normally when the drug is around--and when it's not, things get unpleasant. Withdrawal symptoms can include aching, fever, diarrhea/vomiting, sweating and chills. Which sounds like the flu or a bad order of clams, but worse, since the brain is still screaming for the one thing that could make it all stop? Addiction to opioids can include strong urges or cravings to take the drug, even though it’s having negative effects on health and overall life. Physical Health, Mental Health, and Education disparities are key indicators that link social, economic and environmental disadvantage.  Veterans who have experienced physical and mental trauma
  16. 16. OPIOID ABUSE & POVERTY IS NOT FATE 16  People in communities with large-scale psychological trauma caused by natural disasters  Older adults understanding and treatment of dementia mood disorders continues to improve. Mental disorders are among the most common causes of disability. The resulting disease burden of mental illness is among the highest of all diseases. In any given year, an estimated 18.1% (43.6 million) of U.S. adults ages 18 years or older suffered from any mental illness and 4.2% (9.8 million) suffered from a seriously debilitating mental illness.xviii Neuropsychiatric disorders are the leading cause of disability in the United States, accounting for 18.7% of all years of life lost to disability and premature mortality. Moreover, suicide is the 10th leading cause of death in the United States, accounting for the deaths of approximately 43,000 Americans in 2014.xix Mental health and physical health are closely connected. Mental health plays a major role in people’s ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people’s ability to participate in health-promoting behaviors. In turn, problems with physical health, such as chronic diseases, can have a serious impact on mental health and decrease a person’s ability to participate in treatment and recovery.xx PACE TULSA AGS FOUNDATION MODEL LEARNING ENVIRONMENTS & LEARNING DESIGNS An online Learner Module System environment allows the student or listener to follow along with the presenter at his or her own pace. The online interaction within and outside of the modules often is less intimidating because the presenter is only on the screen and not in person. The online LMS educational material must be presented in a form that is more concise because it must be instructional while also easily understandable. The material presented must be used by the learner or listener as a tool for further study or investigation. This study or investigation is within the user's personal space, so the dimension of privacy is greater. The test and or quiz material is often shorter. There is less content so that only the most crucial elements of the lesson are provided. Further, in 2017, several researchers have found that learning in a Module Object Observation Dynamic Learning Environment (MOODLE) is often strategically the best approach when budgets are strained.xxi (Williams, 2013) TULSANS BECOME STAKEHOLDERS CONTRIBUTING TO HEALTHY COMMUNITIES ENGAGED COALITIONS AGAINST OPIOID ABUSE AND POVERTY  Facilitate community input through surveys, meetings, events, forums and advisory groups.  Develop and present online education and training research.  Lead fundraising and local policy initiatives.  Provide technical assistance in learning modules, planning, and evaluations.  Transportation policy and pedestrian awareness crosswalk education. DISADVANTAGED GROUP LEADERSHIP ONE VOICE IN TRANSPORTATION TREATISE  "I respect you and together we will strengthen confidence within the performance of our commitments to job-specific protocols each and every day both at work and in our communities.
  17. 17. OPIOID ABUSE & POVERTY IS NOT FATE 17  “I respect you and expect you to respect me. Together we work under the conditions and rules of personal respect.  “I respect you and at this time together we will be more productive for ourselves; our communities and our world’s we both enjoy.”  “I respect you and expect us to peacefully assure that the Citizens of Tulsa and our one world communities have ‘equitable rights to personal expression.’”  “I respect you and together we should accept all human obligations to ‘self-constitution’ in a ‘sound economy.’”  “I respect you and together we ‘practice self-government in a ‘spirit of mercy’ ending in ‘universal benevolence.’” “Armed with his knowledge including a rich history of volunteer service; patience and respect within’ kindness, African-American people extend Goodwill throughout humanity.” – Terence Morris is the author and founder of PACE TULSA FOUNDATION 2018. BUILDING SUCCESSFUL LEADERS LEADERSHIP QUALITIES GOOD “LEADERS” SHARE THESE QUALITIES: 1. Ability to improve current professional skills. 2. Ability to gain insight into their behaviors which affect personal professional growth. 3. Ability to increase their business in every way. “If successful…these ‘leaders’ can unlock their potential to the benefit of their organizations; their communities and the world society.” EXCELLENT “LEADERS” SHARE THESE QUALITIES 1. Ability to notice. 2. Ability to study. 3. Ability to understand conscious or unconscious drivers of behavior. PACE TULSA AGS FOUNDATION CAUSAL MODELS LEADERLESS-GROUP DISCUSSIONS Leaderless Group Discussion (LGD) Industry and government continue moving toward a team approach, an approach that requires cooperative problem solving, effective communication skills, and the ability to influence others by presenting ideas in an open, approachable, and non-threatening manner. WHAT IS THE LEADERLESS-GROUP DISCUSSIONS (LGD?) 1. Demonstrates self-confidence that inspires others. 2. Persuasiveness without being overbearing.
  18. 18. OPIOID ABUSE & POVERTY IS NOT FATE 18 3. Welcoming encouragement to the ideas of others. 4. Never rewarding assertiveness at inappropriate times. 5. Effectively mediating opposing points of view. 6. Being open to the thoughts and feelings of other speakers. Conversations that clearly distinguish enforceable authority from rhetorical antipathy avoid polarizing political aversion. Others begin to listen to and understand what you are saying because they trust your authority on the subject matter.xxii ASSESSMENT CENTERS Assessment Centers (AC) gives advocacy participants an opportunity to practice communication skills. Lead or Coached Discussions often lead to a "dead end." However, practice and participation lead to experience. In the assessment center environment, there are tools that can be used to help clarify the goals of surveys, quizzes, and tests and helps learners better retain what they have learned. Most often participant learners understand how to measure their success at the end of the assessment center. WHAT IS THE ASSESSMENT CENTER? 1. Group Conflict: Addressing different points of view professionally. 2. Group Organization: Recognition of speech and response time limits. 3. Problem Analysis: Counter positioning poor analysis. Or bad Judgements. 4. Decision Making: Offering Science of logical thought as the prevailing guide. 5. Participation: Crediting the work of Others 6. Keeping on Track: Keeping the discussion on point; effective and productive. MEASURES OF EMOTIONAL INTELLIGENCE CORE BEHAVIORS Interpreter stewards’ deliver their body of knowledge by understanding coordinated logic within the science of intellectual thought. To accurately establish premised core behaviors in thought, we look to the English philosopher and statesman Sir Francis Bacon. Sir Francis Bacon’s, Advancement of Learning (Bacon, 1857-1870), is essentially a treatise on modern scientific thought.xxiii Bacon emphasizes: 1. People are the servants and interpreters of nature. 2. Truth is not derived from authority but is only a variable indicator of fact. 3. Knowledge is the fruit of experience. CORE MEASUREMENT IDEOLOGY 1. Accurate observations 2. Empiricist theory (Experiences) v. Skepticism theory 3. Instantiate cruces (Crucial instance) Human condition founds the economy, while human nature determines the politics. 4. Crucial Experiment (Two hypotheses) deliberate creation of such a situation for the purpose of testing the rival theories
  19. 19. OPIOID ABUSE & POVERTY IS NOT FATE 19 (For example one of the most obvious clichés while interviewing for a job. APPLICANT: “It’s more than obvious… that I am the right choice for this position.”) However, ‘obvious choices’ are not always connected to the right attitude. Choices are not always difficult. The good news is making the best choice’s means knowing the indicators of authority and respect, your position is more competitive than your peers. PACE TULSA AGS FOUNDATION CORROBORATIVE METHODOLOGY ANALYSIS IN INTELLECTUAL THOUGHT PACE TULSA AGS seeks to present a forum to harness modern foundations of critical scientific thinking into intellectual conversations about pedestrian awareness crosswalk education topics. AMPLIATIVE INFERENCE A term used mainly in logic, meaning “extending” or “adding to that which is already known”. In Sir Francis Bacon’s “ampliative inference” is a: INDUCTIVE REASONING TECHNIQUE LOGICAL SCIENTIFIC HYPOTHESIS The Scottish historian and philosopher, David Hume, in “A Treatise of Human Nature,” describes the development of material experience within skepticism as a philosophical doctrine that denies the possibility of attaining knowledge of reality apart from human perception. SKEPTICISM IS IN FACT BASED ON VIEWPOINTS ABOUT: 1. SCOPE (expansive pre-dispositions of the human mind) 2. VALIDITY OF HUMAN KNOWLEDGE (limited pre-suppositions based on the workings of the brain) HERE’S A CLASSIC EXAMPLE: HOUSING EQUITY…FILTERING AND AN ARGUMENT IN SKEPTICISM The Berkeley report is a rebuttal to an earlier, widely circulated report by the state Legislative Analyst Office that claimed the best way to prevent displacement of low-income households is to simply build more market-rate housing as fast as possible. According to UC Berkeley researchers Miriam Zuk and Karen Chapple, the LAO report was not a "nuanced" study capable of determining how the construction of new market-rate housing affects different groups at the neighborhood level. Zuk and Chapple cite prior research that found "market-rate construction can simultaneously alleviate housing pressures across the region while also exacerbating them at the neighborhood level." But because the LAO "omitted" affordable housing production data from its study, wrote Zuk and Chapple, the agency was unable to see how new market-rate housing can both alleviate housing pressures while at the same time causing displacement and gentrification in specific neighborhoods. The LAO also failed to compare market-rate and affordable housing to see which type is better suited to reduce the displacement of low-income people.
  20. 20. OPIOID ABUSE & POVERTY IS NOT FATE 20 Pedestrian Awareness Crosswalk Education is a curriculum intersecting public transportation policy and public safety in the United States as it directly correlates with the body of information created to formulate a topical hypothesis. PACE TULSA AGS FOUNDATION SPECIFICITY-SURVEY ANALYSIS PACE TULSA AGS FOUNDATION uses "specificity-surveys" to connect with people Surveys can be administered in many modes, including online surveys, email surveys, social media surveys, paper surveys, mobile surveys, telephone surveys, and face-to-face interview surveys. For remote or hard-to- reach respondents, using a mixed mode of survey research may be necessary (e.g. administer both online surveys and paper surveys to collect responses and compile survey results into one data set.) "Specificity-surveys is a great way to engage your audience and get feedback from them. You can use online surveys in any number of ways, including finding out what topics your readers want to learn more about: • Get product feedback • Conduct market research • Get customer service feedback • Gauge employee satisfaction Privacy and Protected Information Catalogues The length of the study; the political bias of the study group; and the aim of the institution requesting the information from the study, greatly impact how decision-makers trend public perceptions and stimulate interest and change. The anonymity of surveys allows respondents to answer with more candid and valid answers. To get the most accurate data, you need respondents to be as open and honest as possible with their answers. Surveys conducted anonymously provide an avenue for more honest and unambiguous responses than other types of research methodologies, especially if it is clearly stated that survey answers will remain completely confidential.xxiv Injury Control and Safety No other research method can provide this broad capability, which ensures a more accurate sample to gather targeted results in which to draw conclusions and make important decisions. Specificity-Surveys are relatively inexpensive to design. Online surveys and mobile survey acquisition, in particular, have a very small cost per respondent.xxv Storage Device Typing Collect, aggregate, analyze, and report performance data using real statistics functions, real statistics multivariate functions, time series analysis functions, missing data functions, and real statistics data analysis tools which are all valuable notebooks when utilizing statistical tools for data collection and analysis. Transportation and economic development opportunities are compromised when the validity of a study is questioned.xxvi
  21. 21. OPIOID ABUSE & POVERTY IS NOT FATE 21 Core Emotion Designation in Data Analysis This designation happens after thorough research and reference(s) from within the science of intellectual thought. Understanding specificity surveys help to derive conclusions about the data being reviewed or studied. Some key indicators that signal successful implementation of training and education programs; and about barriers to successful implementation of public safety policies, as they relate to pedestrian awareness crosswalk education. These core behavior measurements help sociologists and researchers correctly interpret data outcomes. This data analysis-skill helps knowledge stewards overcome speculation and to correctly outline the scope of the problems they are attempting to overcome.xxvii PACE TULSA AGS FOUNDATION ITEM ANALYSIS Item analysis provides statistics on overall test performance and individual questions. This data helps you recognize questions that might be poor discriminators, conceptual analysis, comparative analysis, and content analysis is performed as soon as the available data set is complete. Uses for item analysis to improve questions for future test administrations. Item analysis, cross tabulations is calculated for each item of demographic variables, such as organization and job type. xxviii 1. Comparative analysis of the data from group to group was limited to comparisons between individual groups and the summary results; for example, the descriptive statistics of the entire organization. 2. Conceptual analysis and regression analysis is performed on the complete dataset(s) to assess the strength of correlations. 3. Content analysis is performed on open-ended survey items and analyzed for major themes which are identified after the survey. PACE TULSA AGS FOUNDATION uses “specificity-surveys” ongoing forum for policy development and adoption related to urban transportation planning, programming, and operation. “A primary purpose of NEPA is to ensure that federal agencies consider the environmental consequences of their actions and decisions as they conduct their respective missions. Major Federal actions significantly affecting the quality of the human environment."- The National Environmental Policy Act of 1969 (42 U.S.C. §4321 et. seq.) JUSTICE EQUITY: ENVIRONMENTAL VS. MODULARITY UNDERSTANDING EQUALITY AND EQUITY PACE TULSA AGS FOUNDATION PUBLISHES Nonsystematic Reviews: A non-systematic review is a critical assessment and evaluation of some but not all research studies that address a particular issue. As with any public safety measure, equity-economy of education, health, housing and racial justice disparities all play an integral part in the successful implementation or failure of a public policy program. Researchers do not use an organized method of locating, assembling, and evaluating a body of literature on a particular topic, possibly using a set of specific criteria. A non-systematic review typically
  22. 22. OPIOID ABUSE & POVERTY IS NOT FATE 22 includes a description of the findings of the collection of research studies. The non-systematic review may or may not include a quantitative pooling of data, called a meta-analysis. *Disclaimer. PACE TULSA AGS FOUNDATION HAS NOT independently began research studies to more quantitatively refute or support Justice Initiatives concerning Opioid Abuse or Poverty. 1SAMTY XIONG, EQUITY SPECIALIST, FROM THE FOOD GROUP SLIDE-SHARE VISUALLY DESCRIBES THE DIFFERENCES. The concept of environmental justice refers to the goal of identifying and avoiding disproportionate adverse impacts on minority and low-income individuals and communities. The provisions of Title VI of the Civil Rights Act of 1964, Executive Order 12898 on Environmental Justice, and other statutes, orders, policies, and guidelines affect planning and project decisions undertaken by Metropolitan Planning Organizations (MPO), public transportation agencies, State Departments of Transportation (DOT), and other transportation providers. Executive Order 12898 on Environmental Justice amplifies the provisions of Title VI of the 1964 Civil Rights Act that states “No person in the United States shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.”xxix
  23. 23. OPIOID ABUSE & POVERTY IS NOT FATE 23 THERE ARE THREE FUNDAMENTAL PRINCIPALS AT THE CORE OF ENVIRONMENTAL JUSTICE: 1. To avoid, minimize, or mitigate disproportionately high and adverse human health and environmental effects including social and economic effects, on minority populations and low- income populations. 2. To ensure the full and fair participation by all potentially affected communities in the transportation decision-making process. 3. To prevent the denial of, reduction in, or significant delay in the receipt of benefits by minority and low-income populations. The implementation of Environmental Justice Order in the transportation planning process should assure public involvement of low-income and minority groups in planning activities and decision- making, prevent disproportionately high and adverse impacts of decisions on minority and low-income populations, and assure low-income and minority populations receive a proportionate share of transportation benefits.xxx According to to100 Black Men of Tulsa, pairs of black youths with successful black men shows African American youth failure and crime life doesn’t have to be their destiny. “They see that ‘I don’t have to live the way that I’ve been living,’ and being exposed to that type of person and that lifestyle, a lot of times, is enough to get that young person to change the way they live,” he said. Blades pointed to Tulsa’s churches as a force sizable enough to intervene in the lives of black youths and address similar social ills. “Until that happens, I think we’re going to keep going down the same road,” he said. WHO DESERVES A SAFE-SPACE? Targeted disadvantaged group /Safe-Space(s) is "A place where anyone can relax and be fully self- expressed, without fear of being made to feel uncomfortable, unwelcome or challenged on account of biological sex, race/ethnicity, sexual orientation, gender identity or expression, cultural background, wage desensitization, employee engagement or spiritual identification. CAN AFRICAN-AMERICANS HAVE A SAFE-SPACE DISADVANTAGE BUSINESS ENTERPRISE, WHILE SHARING ECOLOGY WITH HATE BASED ORGANIZATIONS AND RASH RAGE DOMESTIC ENEMY GROUPS? "The opportunities of mercy that abound us are created within the 'spirit of benevolence." -Terence Morris is the author and founder of PACE TULSA FOUNDATION, August 2017. African-Americans or black Oklahoman's make up only 7.4 percent of Oklahoma's state's population. An African-American male is best represented as a civic when he's a card-carrying voter; a licensed citizen; a community leader; and scholar. Every single person REGARDLESS OF race is born with emotions wired our brains. That wiring causes your body to react in certain ways and for you to have certain urges when the emotion arises. Actually, though, new research from the Institute of Neuroscience and Psychology at the University of Glasgow, published this week in Current Biology, says the range of human emotion may be a little closer to a teaspoon than previously thought.xxxi
  24. 24. OPIOID ABUSE & POVERTY IS NOT FATE 24 Here is a list of primary emotions: Eight primary emotions (PE) 1. Anger: fury, outrage, wrath, irritability, hostility, resentment and violence. 2. Sadness: grief, sorrow, gloom, melancholy, despair, loneliness, and depression. 3. Fear: anxiety, apprehension, nervousness, dread, fright, and panic. 4. Joy: enjoyment, happiness, relief, bliss, delight, pride, thrill, and ecstasy. 5. Interest: acceptance, friendliness, trust, kindness, affection, love, devotion, compassion. The thing was, as time went on, the face showed the distinction between the two, but when the emotion first hit, the face signals are very similar, suggesting, the researchers say, that the distinction between anger and disgust and between surprise and fear, is social, not biologically based.xxxii A DISADVANTAGED BUSINESS ENTERPRISE OR DBE/ACDBE A Disadvantaged Business Enterprise or DBE/ACDBE is a for-profit small business concern that is at least 51 percent owned by one or more individuals who are both socially and economically disadvantaged. In the case of a corporation, 51 percent of the stock is owned by one or more such individuals; and whose management and daily business operations are controlled by one or more of the socially and economically disadvantaged individuals who own it. Eligibility requirements for certification as a DBE/ACDBE are stated in 49 CFR, Part 26. The following six requirements must be proved by a DBE/ACDBE applicant but does not cover all the requirements found in 49 CFR, Part 26. 1. Social and Economic Disadvantage: A disadvantaged owner must be a U.S. Citizen (or resident alien) and meet the federal definition of socially and economically disadvantaged as defined in 49 CFR Part 26.67. Presumptive groups include women, Black Americans, Hispanic Americans, Native Americans, Asian-Pacific Americans, Subcontinent Asian- Americans, or other minorities found to be disadvantaged by the regulations or any individual found to be socially and economically disadvantaged on a case-by-case basis. 2. Lower Income Personal Net Worth: Only disadvantaged persons having a personal net worth (PNW) of less than $1.32 million can be considered as a potential qualified DBE/ACDBE. Items excluded from a person's net worth calculation include an individual's ownership interest in the applicant firm, and his or her primary residence. 3. Business Size Standard: A firm (including affiliates) must be a small business as defined by the Small Business Administration (SBA). It must not have annual gross receipts over $23.98 million in the previous three fiscal years. Depending on the type of work the business performs, other size standards may apply. 4. Ownership: Must be a for-profit small business concern where socially and economically disadvantaged individuals own at least 51% interest and control management AND daily business operations. 5. Independence: The business must not be affiliated to another firm in such a way as to compromise its independence and control. These include, but not limited to, such areas as personnel, facilities, equipment, financial and/or bonding support, and other resources. 6. Management and Control: The socially and economically DBE/ACDBE owner (s) must possess the power to direct or cause the direction to the management and policies of the
  25. 25. OPIOID ABUSE & POVERTY IS NOT FATE 25 firm and to make day-to-day decisions, as well as long-term decisions on matters of management, policy, and operations. MARVIN BLADES, AN EX-TULSA POLICE OFFICER, FINDS THREE RESOURCE-COMPETITION DISPARITIES AT THE CORE OF MODULAR JUSTICE: 1. To avoid, minimize, or mitigate disproportionately decades-old war on drugs 2. To ensure the expansion of the nuclear family 3. To prevent the denial of, reduction in, or subsequent lack of positive male role models that benefit at-risk or disadvantaged citizens of Tulsa, OK. Modular ideology evolves intellectually as public-policy processes begin to affect stimulated attitudinal changes unilaterally while emerging in private-sector economies, because of the need to compete for Content Purchasers asset allocation decisions. Along with asset allocation decisions, “specificity-survey” systems theory recognizes both external and internal influences on organizational behavior. External factors that influence the organization include world financial conditions, global competition for products and services, and political and governmental regulations.xxxiii HOW COULD OPIOID ABUSE AND POVERTY BE OVERLOOKED? Any recent salient event whether it is: Opioid Abuse, Poverty, Economic, and Social Institutionalization, Housing Equity, Filtering or Health, are all subjective topical kernels of a "causative narrative."i If we think about the world “in-practice” we think “simple.” We expect to understand learning without testing the “ways-to-learn.” The narrative fallacy which biases us to top-down rather than bottom-up strategies only allows the “leaders” to establish modular ideology instead of Pedestrians. Testing our assumption, seeing our flaws, and establishing ways-to-learn…tells us more about our existing problems than just assuming content narrative which follows clear observations. This “tendency to assume,” changes the psychological dynamic of the modularity of an organization or system. This change draws people in—and the people begin to face personal failures…learning from them. xxxiv COGNITIVE DISSONANCE Cognitive dissonance is the term used to describe the inner tension we feel when our beliefs are challenged by evidence. These challenges to our belief systems are healthy. Cognitive dissonance becomes severe and we reframe, spin and sometimes edit our mistakes. When the world is looked at as “simple,” we easily resist testing our leadership and those top-down strategies that help us to engage the challenges in our communities that we all face. NARRATIVE FALLACY The narrative fallacy arises inevitably from our continuous attempt to make sense of the world. The explanatory stories that people find compelling are simple; are concrete, ridiculous, and happenstance rather than on countless events that actually have failed to happen. They must test assumptions, speak up for the ‘safe-concern" of patrons in privacy alliterations and prevent system or logic failures The failure to learn from mistakes is the greatest obstacle to transportation policy development. Evolutions of the ideas surrounding successful deployments in public-private transportation policy help revolutionize creative solutions that positively impact our world. i Daniel Kahneman, Thinking Fast and Slow (New York: Penguin, 2012)
  26. 26. OPIOID ABUSE & POVERTY IS NOT FATE 26 DEFENSIVE RESISTANCE The commission or omission of implementation failures could lead to excessive public capital loss or pedestrian fatalities. Intellectual defensive resistance occurs when data is stored or programmed into databases and the conventional wisdom we all regard as intuitive becomes garbled and rejected. Complexity in a system is under-acknowledged. To overcome this type of defensive resistance Content Stewards must have a profound respect for the complexity of the systems that play a vital role in designing policy programs and processes. TRANSPORTATION POLICY Transportation Policy (TP) deals with the development of a set of constructs and propositions that are established to achieve particular objectives related to social, economic and environmental development, and the functioning and performance of the transport system. The common rule is that the public sector usually provides transport infrastructure and the regulatory framework, while the private sector assumes the provision and operations of many modes. ii These modes of provisioning can also happen systemically and internally within organizations. PUBLIC POLICY MODEL Connections 2035 - Regional Transportation Plan - Tulsa – INCOG Public policy is the means by which governments attempt to reconcile the social, political, economic and environmental goals and aspirations of society with reality. Connections 2035 - Regional Transportation Plan - Tulsa – INCOGxxxv Often acquires a study area within the city of Tulsa, OK and begins a Transportation-Infrastructure Analysis (TIA) where the geographic utility has been compromised. The 1,400 square-mile Tulsa Transportation Management Area (TMA) is comprised of Tulsa County and portions of the adjacent counties of Creek, Osage, Rogers, and Wagoner. It is a part of the seven-county Tulsa Metropolitan Statistical Areas (MSA), which also includes Okmulgee and Pawnee Counties. The TMA is predominately urban, with nearly 85% of its population being within the incorporated cities of Bixby, Broken Arrow, Catoosa, Claremore, Collinsville, Coweta, Fair Oaks, Glenpool, Jenks, Kiefer, Mounds, Owasso, Sand Springs, Sapulpa, Skiatook, Sperry, Verdigris and the core city, Tulsa. As of 2018, the population of the Tulsa County is 778,051, which accounts for 83% of the Metropolitan Statistical Area. The Tulsa MSA is the 54th largest in the country and the primary city, Tulsa, is the 46th largest city in the country in terms of population.xxxvi The goals and aspirations of the Public Policy Model change as society evolves, and thus a feature of the policy is its' changing form and character. A policy has to be dynamic and evolutionary.iii UNITED STATES CITIZENS RECOGNIZE PROBLEMS IN OUR COMMUNITIES Automated Crosswalk and Connected Intersection Improvements have made dramatic changes in Pedestrian Perception, and about their roles as citizens in our communities throughout the entire United States. The impact in the minds of people who travel throughout their communities to businesses work in these areas and recognized the achievements of successful traffic improvement projects because of structural improvements to our streets, sidewalks, roads and sanitation systems in modular intersections. These structural improvements dramatically impact the flow of traffic; mechanical service; and insurance costs. ii The Geography of Transport Systems. FOURTH EDITION. Jean-Paul Rodriguez (2017), New York: Routledge, 440 pages. ISBN 978-1138669574. iii ET. al.
  27. 27. OPIOID ABUSE & POVERTY IS NOT FATE 27 AN AWARENESS TRANSFORMATION "An Aware Pedestrian is someone who identifies with being part of an emerging crosswalk education health-conscious community, and whose actions contribute to developing this community's constitution; government and economy through participation and practice." - Terence Morris, Author & Founder, PACE TULSA AGS FOUNDATION. 2018 PACE TULSA AGS FOUNDATION SPECIFICITY SURVEYS PACE TULSA AGS FOUNDATION specificity surveys are designed to relate to the perceptions of volunteer participants willing to offer and give advice about notices in automated crosswalks and connected intersection improvements in our community.  Safety Perceptions While Travelling At Night  Skate Boarding; Cycling; Jogging; Walking; Non-Trails and Paths  General Engineering Designs; Widening Crosswalk Lines  Hawk Intersection Technology and Reflective Markings & Signs  Traffic Accidents; Fatality Injury; and Crime Most of these traffic improvement projects happen because of a voter sale tax referendum which allocates a percentage of our state's tax to these improvements. What about a "penny sales tax referendum" for mitigating Opioid Addiction Abuse or Poverty which is destroying our communities? PACE TULSA AGS survey participants are the stimulus which ignites structural frameworks that are at play for future systems and customs. PACE TULSA AGS survey participants’ upgrade knowledge and are personally rewarded by “Equity of Redemption” for dialectic pronunciation. WHAT ROLE DO I PLAY IN PACE TULSA AGS FOUNDATION? Pedestrian Awareness Crosswalk Education (PACE TULSA AGS FOUNDATION) is a curriculum intersecting public transportation policy and public safety in the United States affecting both motorist safety and pedestrian security. Selected information in this PACE TULSA curriculum will clarify how Pedestrian Awareness Crosswalk Education curriculums better defines public transportation surface policy and public safety. CONTENT PROVIDERS PACE TULSA AGS survey participants are encouraged to functionally browse interesting content links initiating Synergetic and Diffuse Reproduction of all PACE TULSA CONTENT. Moreover, PACETULSA AGS survey participants are essential to establishing coordinated logic within this brain-network while preparing mentally for future societal engagement.xxxvii CONTENT STEWARDS PACE TULSA AGS survey participant Conventional Data Storage and Administration processes are virtually recorded and simultaneously broadcast electronically while responding to expanding "ecclesiological branches" of knowledge that concern itself with nature, self- economy, and self-constitution for the GOODWILL OF MANKIND!xxxviii CONTENT PURCHASERS PACE TULSA AGS survey participants are the stimulus which ignites Multi-Channel and Dynamic Delivery within theoretical and actual coded structural frameworks. Future
  28. 28. OPIOID ABUSE & POVERTY IS NOT FATE 28 intelligence systems and customs help PACE TULSA AGS survey participants' are personally rewarded by dialectic equity of redemption in upgrade knowledge.xxxix The experience gained from listening to, reading, studying, understanding, and memorizing desired content, helps participants in this type of curriculum become better advocates for causes and policies important to every citizen in The United States. WHAT WE KNOW ABOUT POVERTY IN TULSA, OKLAHOMA In the early 21st century, more than one-tenth of the general population—and about one-sixth of children under 18 years of age—lived in poverty. About half the poor live in homes in which the head of the household was a full- or part-time wage earner. Of the others living in poverty, many are too old to work or are disabled, and large percentages are mothers of young children.xl According to the Oklahoma Policy Institute 2018, the federal poverty level (FPL) is a measure of income issued annually by the Department of Health and Human Services that is used to determine eligibility for various public programs and benefits, including Medicaid, health insurance premium tax credits, the free- and reduced- school lunch program, SNAP (Supplemental Nutrition Assistance Program), and many others. The federal poverty level, which takes into account family size, is $12,140 for a single individual and $25,100 for a family of four in 2018. The states provide assistance to the poor in varying amounts, and the United States Department of Agriculture subsidizes the distribution of low- cost food and food stamps to the poor through the state and local governments. Unemployment assistance, provided for by the 1935 Social Security Act is funded through worker and employer contributions. And Social Security or Medicare continues to be overburdened by increased rolls.xli
  29. 29. OPIOID ABUSE & POVERTY IS NOT FATE 29 REFERENCES i Pedestrian Awareness: An Examination A Study of Intersection Awareness 31st Harvard to 41st Yale. <https://www.academia.edu/34709317/An_Examination_A_Study_of_Intersection_Awareness_31st_Harvard_t o_41st_Yale/>pg. 12-13 ii CDC/NCHS, National Vital Statistics System, Mortality. CDC Wonder, Atlanta, GA: US Department of Health and Human Services, CDC; 2017. https://wonder.cdc.gov. iii Vowles KE, McEntee ML, Julnes PS, Frohe T, Ney JP, van der Goes DN. Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis. Pain. 2015; 156(4):569-576. doi:10.1097/01.j.pain.0000460357.01998.f1. iv Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. CBHSQ Data Rev. August 2013. v Vivolo-Kantor, AM, Seth, P, Gladden, RM, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses-- the United States, July 2016-September 2017. Centers for Disease Control and Prevention vi Tulsa Equality Index: Measuring change toward greater equality in Tulsa. Community Service Council & City of Tulsa. The Rockefeller Foundation and guidance from the City University of New York’s Institute for State and Local Governance. 2018
  30. 30. OPIOID ABUSE & POVERTY IS NOT FATE 30 vii References (accessed through Tulsa City-County Library); U.S. Census Bureau, American Community Survey. 2014 viii Office of Educational Quality and Accountability [Oklahoma], School Profiles, SY 2015/2016 ix The scene of Tulsa quadruple homicide an epicenter of poverty, crime. Low incomes, dense population make it a magnet for violence. Jerry Wofford & Kendrick Marshall World Staff writer Jan 9, 2013 x Office of Educational Quality and Accountability [Oklahoma], School Profiles, SY 2015/2016 xi Pedestrian Awareness: An Examination A Study of Intersection Awareness 31st Harvard to 41st Yale. <https://www.academia.edu/34709317/An_Examination_A_Study_of_Intersection_Awareness_31st_Harvard_t o_41st_Yale/>Pg. xii <https://www.surgeongeneral.gov/priorities/prevention/strategy/report.pdf (p 22)/> xiii <https://www.surgeongeneral.gov/priorities/prevention/strategy/report.pdf (p 48)/> xiv <https://www.surgeongeneral.gov/priorities/prevention/strategy/report.pdf (p 34)/> xv Booth ML, Owen N, Bauman A, et al. Social-cognitive and perceived environment influences associated with physical activity in older Australians. Prev. Med. 2000; 31: 15–22. xvi <https://www.surgeongeneral.gov/priorities/prevention/strategy/report.pdf (p 22)/> xvii <https://www.healthypeople.gov/2020/data-search/health-disparities-data/health-disparities-widget/> xviii <https://www.surgeongeneral.gov/priorities/prevention/strategy/report.pdf (p 6)/> xix (Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIP). Web-based injury statistics query and reporting system (WISQARS) [Internet]. Atlanta: CDC; 2014. Available from: http://www.cdc.gov/ncipc/wisqars.) xx (US Burden of Disease Collaborators. The state of US health, 1990-2010: the burden of diseases, injuries, and risk factors. JAMA, 310(6): 591-608, 2013. xxi Modular Object-Oriented Dynamic Learning Environment: What Open Source Has To Offer? Pavlo Antonenko, Serkan, Toy Dale, Niederhauser. Iowa State University. 2004 pg.7 xxii BECK, J. (2015, February 24). Hard Feelings: Science’s Struggle to Define Emotions. Retrieved from The Atlantic: <https://www.theatlantic.com/health/archive/2015/02/hard-feelings-sciences-struggle-to-define- emotions/385711/> xxiii Bacon, F. (1857-1870). Advancement of Learning. In: The Works of Francis Bacon. London: London: Longman. xxiv Lee K, C. C. (2000). Extracting truthful information from lies: Emergence of the expression-representation distinction. Merrill-Palmer Quarterly., 46:1–20. xxv Sara F. Jacoby, L. K. (January 2017). Road safety perspectives among employees of a multinational corporation in urban India: local context for global injury prevention. International Journal of Injury Control and Safety Promotion Publication. xxvi Techwalla. (2017, April 16). Different types of computer storage devices. Retrieved from Techwalla: https://www.techwalla.com/articles/different-types-of-computer-storage-devices. xxvii U., J. M. (2017, Apr 19). Core Emotions. Retrieved from Core Emotions Counseling Center: <https://www.jmu.edu/counselingctr/files/About%20Emotions.pdf> xxviii 2035 Transportation Plan Technical Report Fort Wayne-New Haven-Allen County Metropolitan Planning Area. June 2013 Northeastern Indiana Regional Coordinating Council. https://www.nircc.com/user/image/2035planfinal.pdf/ pgs.141-149 xxix Final Guidance for Incorporating Environmental Justice Concerns in EPA's NEPA Compliance Analyses April 1998. Pg. 6 xxx 2035 Transportation Plan Technical Report Fort Wayne-New Haven-Allen County Metropolitan Planning Area June 2013 Northeastern Indiana Regional Coordinating Council. <https://www. http://www.nircc.com/user/image/2035planfinal.pdf/> Pg. 87-88 xxxi Dynamic Facial Expressions of Emotion Transmit an Evolving Hierarchy of Signals over Time Rachael E. Jack, Oliver G.B. Garrod, Philippe G. Schyns, Open Archive Published: January 2, 2014DOI: <https://doi.org/10.1016/j.cub.2013.11.064/> xxxii New Research Says There Are Only Four Emotions. JULIE BECK. Editor. The Atlantic. FEB 4, 2014 xxxiii Burke, W. W. (1994). Organization development: A process of learning and changing (2nd Ed.). Reading, MA: Addison-Wesley xxxiv Daniel Kahneman, Thinking Fast and Slow (New York: Penguin, 2012) xxxv PUBLIC POLICY MODEL. Connections 2035 - Regional Transportation Plan - Tulsa – INCOG
  31. 31. OPIOID ABUSE & POVERTY IS NOT FATE 31 <https://www.incog.org/Transportation/connections2035/default.htm/> xxxvi Current Tulsa County. (2016, 2017). Retrieved from Suburbanstats.org: <https://suburbanstats.org/population/oklahoma/how-many-people-live-in-tulsa-county> xxxvii Modularism: THE MODES OF THE PROVISIONING OF "SPECIFICITY-SURVEYS" IN A COMPARATIVE PERSPECTIVE. < https://pacetulsa.com/2018/10/10/the-modes-of-the-provisioning-of- specificity-surveys-in-a-comparative-perspective/> xxxviii Modularism: THE MODES OF THE PROVISIONING OF "SPECIFICITY-SURVEYS" IN A COMPARATIVE PERSPECTIVE. < https://pacetulsa.com/2018/10/10/the-modes-of-the-provisioning-of- specificity-surveys-in-a-comparative-perspective/> xxxix Modularism: THE MODES OF THE PROVISIONING OF "SPECIFICITY-SURVEYS" IN A COMPARATIVE PERSPECTIVE. < https://pacetulsa.com/2018/10/10/the-modes-of-the-provisioning-of- specificity-surveys-in-a-comparative-perspective/> xl U.S. Census Bureau, American Community Survey, 2016 1-Year Estimates xli CDC/NCHS, National Vital Statistics System, Mortality. CDC Wonder, Atlanta, GA: US Department of Health and Human Services, CDC; 2017. https://wonder.cdc.gov.

×