Federal Initiatives Research Articles

National science foundation grant awardees' perspectives on Article X and sexual harassment in science.

Federal scientific agencies seek to make an impact on the continued prevalence of sexual harassment in the scientific academic community beyond institutional self-regulation. The National Science Foundation's Article X, released in 2018, is one of the most significant and ambitious federal policy initiatives to address sexual harassment. The present article presents the results of the first study to examine scientists' knowledge and attitudes about this important recent policy. We found, although overall knowledge about Article X was fairly low, the majority of participants responded positively to it. Crucially, impressions of the policy varied based on past experience and demographic factors. Individuals who had experienced harassment in the past year were less likely to believe the policy would help reduce sexual harassment in the sciences compared to those who had not experienced harassment (OR = 0.47, 95% CI:0.23-0.97, p = .034) and had greater odds of endorsing that the policy failed to go far enough (OR = 2.77, 95% CI:1.15-6.66, p = .023). Associations between demographic factors and views of the policy were less pronounced, but it is notable that, compared to their White counterparts, Black participants were more likely to believe the policy went too far (OR = 5.87, 95% CI:1.04-33.17, p = .045). Additionally, concerns were raised about the institutional enforcement of these policies and the existence of sufficient protections for survivors. Our work has implications for NSF's continued evaluation of the efficacy of this program as well as for other federal agencies implementing or considering similar policies.

Book Festivals in Siberia and the Far East: Preserving Traditions and Role in Promoting Books and Reading

The paper characterizes the development of the book festival movement in recent decades in the eastern regions of Russia. The application of formal-logical and comparative-historical methods allowed us to expand the previously studied aspects of the functioning of book fairs. The main directions of the modern regional book festival movement were revealed: library book festivals; projects organized on private and public initiative in collaboration with governmental authorities; federal book festival projects. Long-term (“Book Salon” — Ulan-Ude, since 1996; “Pechatny Dvor” — Vladivostok, since 1997; “Published in Altai” — Barnaul, since 2006; Krasnoyarsk Book Culture Fair (2007—2021), etc.) and recently appeared (“BookMart” — Irkutsk, since 2019; “Book Square” — Kemerovo, since 2021, etc.) regional projects are analyzed. The federal initiatives of 2023 are characterized: “Red Square. Far East” (Vladivostok), “Reading August” of the All-Russian interregional network library-publishing festival movement “Book Beacons of Russia”. The increasing sustainability of the projects due to co-financing by federal and regional authorities, public organizations, sponsors, grant and subsidy support was established. The main trends of the regional book and festival movement were identified. Unresolved problems that can become points of growth are revealed. The relevance and significance of the study of the conditions of development and the current state of the book festival movement in the Siberian Federal District and the Far Eastern Federal District are determined by their growing communicative potential and its influence on the formation of the regional cultural field.

Russian experience in managing interregional cooperation

The article analyzes Russia's experience in managing interregional cooperation, focusing on key concepts and regulatory support, as well as management bodies involved in coordinating interactions between regions. Legislative acts regulating the processes of cooperation and the activities of both state and local management agencies are considered, which allows a deeper assessment of their role in the implementation of interregional projects. Special attention is paid to successful examples such as Ural-Siberia and North-West, which contribute to the development of transport corridors and cultural ties. The article reveals the functions of government bodies, emphasizing the multilevel structure of management of interregional interactions in Russia, which is critical for economic growth, social integration and strengthening the unity of the country. The methodology allows to identify the key factors influencing the effectiveness of interregional cooperation, as well as to assess the role of management structures in the implementation of joint projects. The scientific novelty of the article lies in the systematic analysis of interregional cooperation in Russia, which allows us to identify its unique characteristics and trends. Unlike existing studies, this work focuses on the interaction of federal and local authorities, as well as on the analysis of legislation regulating interregional relations. The findings of the study emphasize that effective interregional cooperation requires an integrated approach, including improved coordination between management levels, the development of a unified legal model and the active participation of regions in federal initiatives. The article also reveals the importance of financing interregional programs, demonstrating their positive impact on the socio-economic development of regions, which is confirmed by concrete examples of successful projects and agreements. Thus, the work makes a significant contribution to understanding the mechanisms and dynamics of interregional cooperation.

Funding and Delivery of Syringe Services Programs in the United States, 2022.

Objectives. To describe the current financial health of syringe services programs (SSPs) in the United States and to assess the predictors of SSP budget levels and associations with delivery of public health interventions. Methods. We surveyed all known SSPs operating in the United States from February to June 2022 (n = 456), of which 68% responded (n = 311). We used general estimating equations to assess factors influencing SSP budget size and estimated the effects of budget size on multiple measures of SSP services. Results. The median SSP annual budget was $100 000 (interquartile range = $20 159‒$290 000). SSPs operating in urban counties and counties with higher levels of opioid overdose mortality had significantly higher budget levels, while SSPs located in counties with higher levels of Republican voting in 2020 had significantly lower budget levels. SSP budget levels were significantly and positively associated with syringe and naloxone distribution coverage. Conclusions. Current SSP funding levels do not meet minimum benchmarks. Increased funding would help SSPs meet community health needs. Public Health Implications. Federal, state, and local initiatives should prioritize sustained SSP funding to optimize their potential in addressing multiple public health crises. (Am J Public Health. 2024;114(4):435-443. https://doi.org/10.2105/AJPH.2024.307583).

Основные проблемы и барьеры клиентоцентричной трансформации системы государственного управления

The article presents the results of a study conducted by the Center for Implementation of a Client-Centric Approach of GSPM of RANEPA, the purpose of which is to identify the main problems and barriers in the implementation of the federal project “State for People” at the federal and regional levels. The study involved more than 350 civil servants representing the regions of the Russian Federation and federal executive authorities and who were trained under RANEPA client-centricity programs in 2023.The article includes a detailed description of existing problems in the first year of mass implementation of the federal project, the opinions of research participants and proposals for possible solutions and measures to overcome problems. The most significant problems identified in the study include: lack of staffing, lack of core competencies, insufficient regulatory support for the project, inflexible project implementation system, inconsistency of various federal initiatives.

Representative bureaucracy and COVID‐19 among local emergency response professionals

AbstractThis article considers the opinions of local emergency management professionals with regard to the response of the US federal government to the COVID‐19 pandemic. The responses to a survey from May/June 2020 demonstrate that these feelings, ranging from highly successful to extremely poor, are reflective of the culture at large in the nation. The study will examine whether the feelings expressed by local officials are reflective of prevailing political leanings of their constituency, measured as the presidential voting habits from 2000 to 2020 in the respondent's jurisdiction. This will extend Hildebrand's (2020) testing which linked the emergency management field to the theory of “representative bureaucracy.” This theory surmises that government actors will be reflective of their body politic in their behavior and attitudes toward federal initiatives. The findings suggest that those who represent “Strong Republican” jurisdictions have greater odds in rating the federal response as being effective, and that those from “Strong Democrat” locations will have greater odds in rating the federal response as not effective at all. Statistical testing also suggests that as the population of the jurisdiction increases, the less likely the respondent was to consider the federal response to COVID‐19 effective.

MENTAL HEALTH POLICIES: A COMPARATIVE REVIEW BETWEEN THE USA AND AFRICAN NATIONS

This comparative review examines mental health policies in the United States and various African nations, shedding light on the divergent approaches taken to address the complex challenges posed by mental health disorders. The analysis underscores the contextual nuances that shape mental health policy formulation and implementation in these distinct regions. In the United States, a comprehensive mental health policy framework has evolved over the years, characterized by a combination of federal and state initiatives. The Mental Health Parity and Addiction Equity Act, alongside the Affordable Care Act, has sought to integrate mental health services into mainstream healthcare, promoting accessibility and reducing stigma. Additionally, the National Institute of Mental Health plays a pivotal role in advancing research and evidence-based interventions. Contrastingly, African nations exhibit a wide spectrum of mental health policy landscapes, reflecting the diverse socioeconomic and cultural contexts across the continent. Some countries have made significant strides in policy development, emphasizing community-based approaches and integration with primary healthcare systems. However, challenges persist, including limited resources, mental health workforce shortages, and stigma associated with mental health conditions. The review explores the role of cultural factors in shaping mental health policies, emphasizing the need for culturally sensitive approaches in African nations. It also highlights the disparities in resource allocation and mental health infrastructure between the USA and African countries, contributing to variations in service accessibility and quality of care. Furthermore, the study emphasizes the importance of ongoing efforts to destigmatize mental health issues, improve public awareness, and strengthen community support systems. The review concludes by calling for increased international collaboration, knowledge exchange, and resource mobilization to address the mental health disparities between the USA and African nations, fostering a global commitment to holistic mental healthcare.
 Keywords: Health, Policies, Mental, Care, Stigmatize.

Digital inclusion initiatives: Bridging the connectivity gap in Africa and the USA – A review

This paper provides a comprehensive overview of digital inclusion initiatives aimed at mitigating the connectivity gap in Africa and the United States. As the world becomes increasingly reliant on digital technologies, the importance of ensuring equitable access to information and communication technologies (ICTs) has become a global priority. This review explores the current state of digital inclusion efforts in two distinct regions, Africa and the USA, to understand the challenges, successes, and lessons learned in bridging the digital divide. The first section of the review focuses on Africa, where disparities in digital access are particularly pronounced. Examining various initiatives, policies, and strategies implemented by governments, non-governmental organizations, and international partners, the review delves into the multifaceted approaches taken to extend connectivity to underserved populations. It highlights the role of innovative solutions such as community networks, mobile technologies, and public-private partnerships in fostering digital inclusion across diverse socio-economic landscapes. In the second section, the review turns its attention to the United States, where digital inclusion efforts also face challenges despite higher overall connectivity rates. By analyzing federal and local initiatives, as well as private sector contributions, the review explores the nuances of digital inclusion in an advanced technological landscape. The examination encompasses efforts to address urban-rural disparities, promote digital literacy, and ensure affordable broadband access for marginalized communities. Comparative analysis between the two regions identifies commonalities and differences in the approaches to digital inclusion. The review assesses the impact of cultural, economic, and political factors on the effectiveness of initiatives, emphasizing the need for context-specific strategies. Furthermore, it evaluates the role of regulatory frameworks and policy interventions in shaping the trajectory of digital inclusion initiatives. Drawing from the experiences of both continents, this review contributes insights to inform future digital inclusion policies and practices globally. By synthesizing the lessons learned from Africa and the USA, policymakers, researchers, and practitioners can develop more nuanced and contextually relevant strategies to bridge the connectivity gap, fostering a more inclusive and equitable digital future for all.

"Just the Stigma Associated with PrEP Makes You Feel Like It's HIV Itself": Exploring PrEP Stigma, Skepticism, and Medical Mistrust Among Black Cisgender Women in Urban and Rural Counties in the U.S. Deep South.

Despite its effectiveness in HIV prevention, PrEP use among Black women is suboptimal. Notably in the Deep South, Black women have the lowest PrEP uptake rates among all US regions. To increase PrEP engagement, research suggests the implementation of structural and social interventions particular to the needs of Black women. The state of Alabama is of priority to federal HIV prevention initiatives; therefore, this study conducted focus groups among 47 cis-gender Black women in rural and urban Alabama counties, with the highest statewide HIV incidence rates, to understand perceptions of PrEP and decision-making processes. Deductive coding analysis was conducted and themes were finalized based on consensus among the two coders. Four themes were identified. Findings show stigma undergirds Alabaman Black women's decisions to engage in PrEP care. Moreover, women reported stigma stifled community-level education about PrEP. Despite these experiences, education was regarded as a strategy to decrease stigma and PrEP skepticism, the latter of which emerged as a prominent theme. Medical mistrust and healthcare engagement were the other emergent themes influencing participation in PrEP care. To ensure PrEP efforts meet the needs of Black cisgender women in Alabama counties, interventions must address longstanding stigma, increase educational initiatives, and ensure interventions consider women's experiences with medical mistrust and health care engagement.

Changes in Homelessness Among US Veterans After Implementation of the Ending Veteran Homelessness Initiative

Homelessness is a persistent and growing problem. What role health systems should play and how that role is incorporated into larger strategic efforts are not well-defined. To compare homelessness among veterans with that in the general population during a 16-year study period before and after implementation of the Ending Veteran Homelessness Initiative, a program to rehouse veterans experiencing homelessness. This national retrospective cohort study using a mixed-methods approach examined annualized administrative (January 1, 2007, to December 31, 2022) and population data prior to (2007-2009) and during (2010-2022) the Ending Veteran Homelessness initiative. Participants included unhoused adults in the US between 2007 and 2022. Enrollment in Veterans Health Administration (VHA) Homeless Program Office components providing housing, case management, and wrap-around clinical and supportive services. Point-in-time (PIT) count data for unhoused veterans and nonveterans during the study period, number of Section 8 housing vouchers provided by Housing and Urban Development-Veterans Administration Supportive Housing, number of community grants awarded by Supportive Services for Veterans and Families, and total number of veterans housed each year. Semistructured interviews with VHA leadership were performed to gain insight into the strategy. In 2022, 33 129 veterans were identified in the PIT count. They were predominantly male (88.7%), and 40.9% were unsheltered. During the active years of the Ending Veteran Homelessness initiative, veteran homelessness decreased 55.3% compared with 8.6% for the general population. The proportion of veterans in this cohort also declined from 11.6% to 5.3%. This change occurred during a shift to "housing first" as agency policy to create low-barrier housing availability. It was also coupled with substantial growth in housing vouchers, grants to community partner agencies, and growth in VHA clinical and social programming to provide homeless-tailored wrap-around services and support once participants were housed. Key respondent interviews consistently cited the shift to housing first, the engagement with community partners, and use of real-time data as critical. In this cohort study of the federal Ending Veteran Homelessness initiative, after program implementation, there was a substantially greater decrease in homelessness among veterans than in the general population. These findings suggest an important role for health systems in addressing complex social determinants of health. While some conditions unique to the VHA facilitated the change in homelessness, lessons learned here are applicable to other health systems.

Teaching Grassroots Health Law, Policy and Advocacy: Service and Collaborative Learning.

This column describes the history, mission, and work of Saint Louis University School of Law's service-learning course Health Law, Policy and Advocacy: Grassroots Advocacy. Grassroots Advocacy allows law students to work with advocacy organizations on state and federal health policy initiatives, engaging in legislative and administrative advocacy and public education. The course uses community collaboration, community-led advocacy, and collaborative learning to train the next generation of health policy advocates for Missouri and the nation.

Digitalization of planning for low-rise development of rural areas

The article is devoted to the consideration of the current problem of low-rise development of settlements in rural areas. The presence of federal and regional legislative initiatives at the strategic level of planning is noted. The purpose of the study is related to the development of methods and algorithms for the current planning of low-rise buildings. The stated task is considered as a multi-project planning problem. The problem was formulated and formalized using scheduling schemes and priority rules. For numerical experimentation, a model of a multi-project planning program and a test task were developed, including 27 projects of various buildings with household buildings. The task contains 504 requests for the implementation of project work, as well as the work requirements for workers of various specialties, construction mechanisms and funding levels. The developed program layout, in addition to carrying out calculations using the presented algorithms, visualizes the results of numerical experimentation in the form of Gantt charts and resource consumption diagrams. The performance of the developed methods and algorithms has been confirmed. Conclusions and discussion of the study results are presented.

СОЦИОКУЛЬТУРНАЯ ИНТЕГРАЦИИ ЛЮДЕЙ С НАРУШЕНИЯМИ СЛУХА

The article touches upon the problem of socio-cultural integration of people with hearing impairments. It is noted that the most important aspect for people with disabilities is the creation of conditions for joint activities with society in such areas as education, leisure, labor, socio-political and other activities. One of the most important means of communication and information transmission is language. For hearing impaired people such a means of communication is the Russian Sign Language (RSL), the development of which in Russia is given great attention. Socio-cultural integration makes it possible to ensure the adaptation of persons with hearing impairments where there is a speech environment for them and a wide speech practice among children and adolescents, including outside the educational process. One of the conditions for the accessibility of education for people with hearing impairments at all levels is the support of the educational process with translation into sign language, which is accompanied by a number of problems related to the lack of a sufficient number of translators in Russia, especially in the cultural sector, as well as the level of their qualifications and specialization. One of the most effective tools for the social integration of hearing impaired people has become the network of inclusive creative laboratories (ITL), created in 2021 as part of the implementation of the federal initiative “Invented in Russia”. At the moment, 114 ITLs, operating on the basis of cultural organizations, carry out their activities in most regions of the Russian Federation.

Review of blockchain technology in government systems: Applications and impacts in the USA

This study examines blockchain applications in the USA's government systems, analyzing its effectiveness in public administration and governance. Blockchain technology, initially introduced as the underlying infrastructure for cryptocurrencies, has garnered substantial attention for its potential to transform various sectors, including government systems. This paper provides a comprehensive review of the applications and impacts of blockchain technology in the United States' governmental landscape. As governments worldwide seek innovative solutions to enhance transparency, efficiency, and security, blockchain emerges as a disruptive force with the capacity to reshape administrative processes. The study elucidates the fundamental principles of blockchain technology, emphasizing its decentralized and tamper-resistant nature. It also explores diverse applications within government systems, ranging from identity management and voting systems to supply chain traceability and public finance. The analysis delves into specific use cases, detailing how blockchain enhances data integrity, reduces fraud, and streamlines bureaucratic processes. Furthermore, the paper assesses the implications of blockchain adoption for government operations, highlighting potential benefits such as cost reduction, increased accountability, and enhanced citizen trust. Challenges and considerations, including scalability, interoperability, and regulatory frameworks, are scrutinized to provide a balanced understanding of the technology's limitations. The review extends to the United States' federal and state-level initiatives, examining pilot projects and ongoing implementations that leverage blockchain in areas such as land registries, healthcare data management, and procurement. Insights into the collaborative efforts between public and private sectors are explored, shedding light on the collaborative frameworks essential for successful blockchain integration. Ethical considerations and privacy concerns are addressed within the context of blockchain applications in government, emphasizing the need for robust safeguards to protect sensitive information while harnessing the transformative potential of the technology. This paper synthesizes the current state of blockchain technology in the United States' government systems, offering a nuanced understanding of its applications and impacts. As blockchain continues to mature and gain traction, this review contributes valuable insights for policymakers, researchers, and practitioners, fostering a deeper appreciation for the transformative potential of blockchain in shaping the future of government operations.

Bridging scales for landscape-level wildfire adaptation: A case study of the Kittitas Fire Adapted Communities Coalition

Federal-level strategies or guidance for addressing wildfire risk encourage adaptation activities that span progressively larger scales, often focusing on landscape-level action that necessitates coordination between decision-makers and socially diverse communities. Collaborative organizations are increasingly explored as one approach for coordinating local efforts that address wildfire risk and adaptation, offering a platform for scaling and adjusting federal and state guidance that align with the needs of local landscapes. We conducted semi-structured interviews with members and supporters of the Kittitas Fire Adapted Communities Coalition (KFACC) and later facilitated two workshops at the behest of the organization. The goal of our interviews and workshops were to better understand how organizations such as KFACC emerge, function, and evolve in complex social and ecological landscapes, with a focus on their role in addressing landscape-level wildfire adaptation. We use an existing theoretical analogy of fire adaptation that crosses institutional and physical scales to help conceive of lessons from in-depth analysis of KFACC functioning. We found that KFACC originated from a need to establish a shared local mission for fire adaptation and a recognition that federal and state initiatives surrounding wildfire management needed further contextualization to be effective among diverse local social conditions. Later organizational foci included identifying key audiences for targeted adaptation efforts, including the identification of key messages and communities where specific mitigation actions might be needed. KFACC members were effective in strategically advocating for fire adaptation resources and policies at broader scales that might increase adaptation within Kittitas County, including caveats to local planning efforts designed for wildfire risk reduction. Likewise, the organization had begun to focus on tailoring mitigation efforts to different communities in the landscape as an effective means of catalyzing sustained, realistic fire adaptation actions. We suggest that organizations like KFACC are well-positioned to act as “board hoppers” who can integrate community-based needs into wildfire management, but caution that the functioning and ‘niche’ of such organizations may require strategic development or regular reflection on organizational goals.

DIFFERENCES IN MEDICARE RESOURCE USE BY ENGLISH PROFICIENCY

Abstract Medicare is complicated and coverage decisions can be complex. Accordingly, the Centers for Medicare & Medicaid Services (CMS) provides a hotline, handbook, and website to help Medicare beneficiaries understand their benefits and coverage options. In this study, we used 2016-2018 Medicare Current Beneficiary Survey data and linear probability models to assess whether the likelihood of CMS Medicare resource use differed between beneficiaries with English proficiency and those with limited English proficiency (LEP). Our primary outcome was an indicator of having used at least one CMS resource. We considered English proficiency in both speaking and reading. Limited English-speaking proficiency or, separately, limited English-reading proficiency signified that the beneficiary reported speaking or reading English “not well” or “not at all.” Among a nationally representative sample of noninstitutionalized Medicare beneficiaries, 5.7% had limited English-speaking proficiency, 8.7% had limited English-reading proficiency, and 67.0% had used a CMS resource. Adjusting for health and social factors, age, language spoken at home, county-level Medicare Advantage characteristics, and state and year fixed effects, beneficiaries with limited English-reading proficiency were 16.7 percentage points less likely to have used a CMS resource compared to beneficiaries who reported reading English “well” or “very well” (p <.001). Limited English-speaking proficiency was not associated with CMS resource use. These findings have implications for federal initiatives to improve language access in Medicare, particularly efforts to reduce literacy barriers. Differences in Medicare coverage choice and benefits utilization among beneficiaries with LEP may be partially explained by differential access to or engagement with written CMS Medicare information.

Patterns and predictors of racial/ethnic disparities in HIV care continuum in the Southern USA: protocol for a population-based cohort study

IntroductionHealth disparities exist at every step of the HIV care continuum (HCC) among racial/ethnic minority population. Such racial/ethnic disparities may have significantly delayed the progress in HCC in the Southern...

The Plate Matters: Exploring the Intersection of Food Insecurity in Patients with Cancer

This paper explores the overlooked influence of food insecurity on cancer care, its correlation with malnutrition and poor patient outcomes, and potential strategies for intervention. Food insecurity, the inconsistent access to nutritionally adequate food, significantly impacts up to 55% of patients with cancer, particularly among minority populations, and those of lower socioeconomic status. This multidimensional issue contributes to malnutrition, impairs treatment adherence, and increases mortality rates among patients with cancer. It also exacerbates health disparities, and is intricately tied to systemic factors, such as poverty, discrimination, unemployment, and chronic health conditions. The authors’ review elucidates the negative impact of food insecurity on cancer treatment outcomes, and highlights the need for holistic interventions, including on-site, community, and federal initiatives. Addressing food insecurity within cancer care requires comprehensive, multilevel collaborations to improve nutritional status and health outcomes for patients with cancer. Despite growing awareness of food insecurity among patients with cancer, significant gaps remain in intervention development, access, and effectiveness. Existing clinical trials are limited, underscoring a lack of understanding of food insecurity’s impact on cancer care. Within cancer care, we need improved food insecurity screening, more collaborations across sectors, and rigorous research to evaluate intervention impacts. These steps, while potentially lacking immediate impact, are essential for sustainable health improvement and long-term food insecurity reduction. The intricate link between food insecurity and adverse cancer outcomes calls for comprehensive strategies, going beyond food provision, to address systemic issues of racism and poverty.

A Qualitative Analysis of High School Student and Caregiver Perceptions of Food Access and Adherence to Nutrition Guidelines Across Home and Community Settings

ABSTRACT Background Federal nutrition education initiatives (“MyPlate”) intend to facilitate healthful eating behaviors in families; however, little is known about how minoritized students and caregivers perceive adherence to MyPlate guidelines or perceptions of importance of eating in alignment with guidelines. Purpose Study aims included: 1) determine how students and caregivers perceive their dietary intake as it relates to MyPlate in both home and community environments and 2) assess motivations to adhere to MyPlate guidelines. Methods In-person focus groups with 47 high school students and 24 caregiver interviews were conducted and coded using qualitative thematic analysis. Results Meals at home differed from restaurants regarding food group portions. Caregivers highlighted food cost as a major factor when purchasing for specific food groups. Reasons for eating in accordance with MyPlate included: 1) health status/disease prevention, 2) weight status, 3) nutritional balance, 4) increased energy. Discussion Nutrition campaigns may benefit from images that do not put food categories into narrow boxes. Work is needed to address systemic, environmental, and individual factors in food accessibility across settings that affect guideline adherence. Translation to Health Education Practice Findings can support local and federal funding initiatives addressing barriers to healthful eating and provide targeted educational tools beyond MyPlate.

Federal Nursing Home Policies on Antipsychotics had Similar Impacts by Race and Ethnicity for Residents With Dementia.

Federal initiatives have been successful in reducing antipsychotic exposure in nursing home residents with dementia. We assessed if these initiatives were implemented equally across racial and ethnic minority groups. Retrospective, cross-sectional trends study. National long-stay nursing home residents with dementia from 2011 to2017. We examined trends in psychotropic drug class exposures from the Minimum Data Set assessments for non-Hispanic Black (NHB), Hispanic, and non-Hispanic White (NHW) residents using interrupted time-series analyses with age-sex standardized quarterly outcomes and time points to denote the National Partnership (2012) and Five Star Rating changes (2015). Initially, antipsychotic (33.0%) and sedative (6.8%) exposure was highest for Hispanic residents; antidepressant (59.8%) and anxiolytic (23.4%) exposure was highest for NHW residents; NHB residents had the lowest use of each. Antipsychotic use dropped at the time of the Partnership (β=-0.8807, P=.0023) and the slope declined further after the Partnership (β=-0.6611, P < .0001) for NHW. In comparison to NHW, the level and slope changes for NHB and Hispanics were not significantly different. The Five Star Rating change did not impact the level of antipsychotic use (β= 0.027, P= .9467), but the slope changed to indicate a slowed rate of decline (β= 0.1317, P= .4075) for NHW. As to the other psychotropic drug classes, there were few significant differences between trends seen in the racial and ethnic subgroups. The following exceptions were noted: antidepressant use decreased at a faster rate for NHB residents post-Partnership (β=-0.1485, P= .0371), and after the Five Star Rating change, NHB residents (β=-0.0428, P= .0312) and Hispanic residents (β=-0.0834, P < .0001) saw antidepressant use decrease faster than NHW. Sedative use in slope post-Partnership period (β=-0.086, P= .0275) and post-Five Star Rating (β=-0.0775, P < .0001) declined faster among Hispanic residents. We found little evidence of clinically meaningful differences in changes to 4 classes of psychotropic medication use among racial and ethnic minority nursing home residents with dementia following 2 major federal initiatives.