MA, Columbia University, Teachers College. MPH, Hunter College. PhD, CUNY, The Graduate Center. During 15 years of work in the nonprofit sector and 20 years as a personal health care advocate, Dr. Ornstein’s experience encompasses individual and public-policy advocacy related to the delivery of long-term and end-of-life care. She is a Certified Brain Injury Specialist (CBIS) and has served on advisory boards of the New York State Office for the Aging Family Caregiver Council, New York State Caregiving and Respite Coalition, Caregiving Youth Research Collaborative, and American Association of Caregiving Youth. A public health geographer, her research focuses on the experiences of family caregivers, specifically related to their experiences of their home environments and interactions with the health care system. Special interests include brain injury, caregiving youth and qualitative methods. SLC, 2015–
Undergraduate Courses 2024-2025
Psychology
Care and the Good Life: Exploring Aging, Care, and Death
Open, Seminar—Spring
PSYC 3029
What does it mean to live a flourishing life? This is one of the most fundamental questions of human existence, and this course explores this question through an engagement with the universal human experiences of care, aging, and death. Together, we will dig deep into the centrality of caregiving to the human experience and identify and explore normative claims around care, aging, and death. Specifically, we will explore issues of avoidance, dependence, and interdependence, as we think together about the role of care in our lives across the lifespan but especially leading up to the final stages of life. In dominant US culture, notions of individualism prevail—and caregiving is often conceptualized as a burden. But who has decided that the care of other humans is a burden, or that an unburdened life is one most worth living? Who is to say that we’d prefer or be better off to be “unburdened” from the most important relationships in our lives? Collectively, we will consider more life-affirming, meaningful, and pluralistic ideas about care and consider who is most served by current mainstream normative claims. Finally, we will look at the ways these ideas are being resisted. Guest speakers will help us explore how individuals have replied to questions about how one lives life well by discussing how they have replied to these questions with their lives for meaningful engagement. Readings in this interdisciplinary course will include Lyn Lofland, Viktor Frankl, Carol Gilligan, Martha Nussbaum, JK Gibson-Graham, and The Sage Handbook of Death and Dying in order to focus on various cultural approaches, such as the Native American, Hindu, Muslim, Japanese, Taoist, and Jewish ways of death.
Faculty
Environmental Psychology: An Exploration of Space and Place
Open, Seminar—Fall
PSYC 3247
This course explores human-environment interactions and the relationships between natural, social, and built environments in shaping us as individuals. We will critically explore human interactions from the body, the home, and the local to the globalized world, with a return to the individual experience of our physical and social environments. As a survey course, we will cover myriad topics, which may include urban/rural/suburban relationships, gentrification, urban planning, environmental sustainability, globalization, social justice, and varying conceptualizations and experiences of “home” based on gender, race, class, age, and for people with disabilities. In light of the COVID-19 pandemic, we will give special consideration to public space and home environments. As a discussion-based seminar, topics will ultimately be driven by student interest. Several films will be incorporated into class.
Faculty
Previous Courses
Psychology
Care in Space and Place: An Exploration of Environmental Psychology
Open, Seminar—Spring
This course explores the relationships between physical and social environments and human behavior. Care, in the broadest sense of the term, will be utilized as a lens through which we examine conceptualizations of environmental psychology. Utilizing qualitative methodologies (photovoice and autoethnography), we will engage with an “Ethic of Care” to critically explore levels of human interaction from the body, home, and the local to the globalized world, with a return to the individual experience of receiving and providing care within our social environments. Topics to be considered will include food (in)security and alternative food networks, informal family caregiving, environmental sustainability, globalization, structural violence, social determinants of health, and social justice—but will ultimately be driven by student interest. Films and a field trip will be incorporated to provide experiential learning. Students are encouraged (but not required) to participate in service learning through local community involvement facilitated by the Office of Community Partnerships, with the possibility of conference projects resulting from this experience.
Faculty
Environmental Psychology: An Exploration of Space and Place
Open, Seminar—Fall
This course explores human-environment interactions and the relationships among natural, social, and built environments in shaping us as individuals. We will critically explore human interactions from the body, the home, and the local to the globalized world, with a return to the individual experience of our physical and social environments. As a survey course, we will cover myriad topics that may include informal family caregiving, urban/rural/suburban relationships, gentrification, urban planning, environmental sustainability, globalization, social justice, and varying conceptualizations and experiences of “home” based on gender, race, class, and age and for people with disabilities. As a discussion-based seminar, topics will ultimately be driven by student interest. Films and a field trip will be incorporated.
Faculty
Family Caregiving Across the Life Cycle
Open, Seminar—Fall
There are only four kinds of people in the world: those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers. —Rosalynn Carter
Care and caregiving are aspects of daily life that each of us depends upon at various times throughout our lives. Yet care remains hidden and devalued in our current sociopolitical climate in which women continue to provide a majority of care. In this course, we will look at care as both an orientation and an activity provided by family and friends to people with disabilities and older adults. An Ethic of Care will provide a lens through which to explore the experiences of family caregivers. Specifically, caregiving youth, young adult, and male caregivers—as well as paid caregivers and care receivers living with a variety of chronic illnesses—will be our focus. Utilizing ethnographic research methods, we will explore care and caregiving from a variety of perspectives. This course will take an interdisciplinary approach and introduce students to the various literature on family caregiving. From psychology to public health, we will consider care as a reciprocal process that ebbs and flows throughout the life course. We will read from feminist theory, critical disabilities studies, psychology, and public health and will look at how care is portrayed in popular culture, film, and books. We will learn about individual and policy responses geared toward supporting family caregivers, as well as organizations that are dedicated to creating better conditions of care for all of us.
Faculty
Family Caregiving Across the Lifespan
Open, Seminar—Spring
Care and caregiving are aspects of daily life that each of us depend upon at various times throughout our lives. Yet, care remains hidden and devalued in our current sociopolitical climate in which women continue to provide a majority of care. In this course, we will look at care, both as an orientation and as an activity provided by family and friends to people with disabilities and older adults. An ethics of care will provide a lens through which to explore the experiences of family caregivers. Specifically, our focus will be on caregiving youth, young-adult, and male family caregivers, as well as on paid caregivers and care receivers living with a variety of disabilities and chronic illnesses. Students will have the opportunity to engage with qualitative research methods, such as interviews and photovoice, as we explore care and caregiving from a variety of perspectives. This course will take an interdisciplinary approach and introduce students to the various literatures on family caregiving. From psychology to public health, we will consider care as a reciprocal process that ebbs and flows throughout the lifespan. We will read from feminist theory, critical disabilities studies, psychology, and public health, as well as look at how care is portrayed in popular culture, film, and books. We will learn about individual and policy responses geared toward supporting family caregivers, as well as about organizations that are dedicated to creating better conditions of care for all of us. There may be opportunities to engage with grassroots advocacy organizations and with research (with me) for conference, although this depends upon the status of the research and the community-based projects.
Faculty
Food Environments and Health
Open, Seminar—Fall
With obesity and diabetes rising at alarming rates, and a growing awareness of disparities in food access, researchers and policymakers are rethinking the role of the environment in shaping our diets and health. This course takes a collaborative approach to investigating some of the key issues guiding this area of research and action. Students will critically review literature on food environments, food access, and health inequalities and explore how modes of food production and distribution shape patterns of food availability in cities. Students will use photography and video to examine foods available in the neighborhoods where they live, review media related to the course themes, and use a time/space food diary to reflect on the ways in which their own eating habits are influenced by the social and material settings of their day-to-day lives. The course concludes with students writing letters to the editor/op-eds to a news outlet of their choice with suggestions about how to move forward with action to improve food access and public health and social justice in the places where they live.
Faculty
Food Environments, Health, and Social Justice
Open, Seminar—Spring
With obesity and diabetes rising at alarming rates and a growing awareness of disparities in food access, researchers and policymakers are rethinking the role of the environment in shaping our diets and health. This course takes a collaborative approach to investigating some of the key issues guiding this area of research and action. Students will critically review literature on food environments, food access, and health inequalities and explore how modes of food production and distribution shape patterns of food availability in cities. Students will use photography and video to examine the availability of food in the neighborhoods where they live, review media related to the course themes, and use a time/space food diary to participate in a SNAP Challenge (eating on a food stamp budget), while reflecting on the ways that their own eating habits are influenced by the social and material settings of their day-to-day lives. The course concludes with students writing letters to the editor/Op-Eds to a news outlet of their choice, with suggestions about how to move forward with action to improve food access, public health, and social justice in the places where they live.
Faculty
Public Health Psychology
Open, Seminar—Spring
This course will address the intersection of public health and psychology—an approach with the potential to positively impact health experiences and outcomes, although the disciplines are not often considered together. Because health is determined by the interaction of myriad complex factors—including biology, lifestyle, environmental factors, and social and political conditions—multidisciplinary approaches are needed to address our most pressing public health problems. Community psychology is particularly interested in social change, activism, reducing oppression, and empowerment; public health focuses on assessing prevalence and incidence, as well as identifying risk and protective factors and changing individual health behaviors. Our approach will look at health and community psychology, in combination with public health, to explore various perspectives and interventions related to current health and social problems. The two disciplines vary in their approaches to interventions, with individualistic approaches on the one hand and population level on the other. Students will be invited to explore issues related to personal health and illness, population-level approaches to health promotion in order to identify macro-level structures, and individual-level barriers to achieving health equity. Topics of inquiry will be led by student interest and will include environmental, occupational, and behavioral health; housing and displacement; aging; physical and cognitive disabilities; and food and health.
Faculty
The Social Ecology of Caregiving
Open, Seminar—Spring
Care and caregiving are aspects of daily life that each of us depend upon at various times throughout our lives. Yet, care remains hidden and devalued in our current sociopolitical climate in which women continue to provide a majority of care. In this course, we will look at care, both as an orientation and as an activity provided by family and friends to people with disabilities and older adults. Utilizing Bronfenbrenner’s ecological systems theory as a framework, we will explore the multilevel experiences of family caregivers. Specifically, we will focus on caregiving triads—for example, caregivers in all their diversity, as well as paid caregivers and care receivers living with a variety of chronic illnesses. This course will take an interdisciplinary approach and introduce students to the various literature on family caregiving. From psychology to public health, we will consider care as a reciprocal process that ebbs and flows throughout the life course. We will read from feminist theory, critical disabilities studies, psychology, and public health, as well as look at how care is portrayed in popular culture, film, and books. We will learn about multilevel interventions, such as individual and policy responses geared toward supporting family caregivers, as well as organizations and social movements that are dedicated to creating better conditions of care for all.
Faculty
MA Health Advocacy
Ethics and Advocacy
Seminar
Using a social justice framework, this course will provide a theoretical foundation for the exploration and application of ethical dilemmas relevant to the health care system in the United States. The ethics of advocacy, in its various forms, will be explored from different positions—from the patient and family level to health care institutions, funding mechanisms and public policy perspectives. Due to shifting demographics of who provides care, the “where” of health care and the resulting ethical dilemmas will be explored, as the majority of long-term care in the United States is provided in the community by family caregivers. In addition, as the medical model of disease has shifted to include the socialecological model—recognizing the importance of the social on all aspects of health, wellness, and illness—ethical dilemmas have changed, as well. The shift away from purely medical bioethics to a more socially informed version of health care requires different approaches to solving new problems encountered within the current health care system. This course is not intended to teach you a moral code. It will not teach you to act ethically, although it will likely make you think more about how you act and why. You will be challenged to identify ethical problems and explore various outcomes and solutions, making real-world decisions within a climate of moral ambiguity and competing priorities. Ethical dilemmas that you have or with which you are engaging in your field placements will provide possibilities for fertile conversations about these real-world dilemmas and how to effectively grapple with the range of possible outcomes.
Faculty
Additional Information
Selected Publications
The Social Ecology of Caregiving: Applying the Social–Ecological Model across the Life Course
Family caregivers provide care to people with disabilities, as well as ill and older adults, often with little to no outside assistance from the formal long-term care system. They are the backbone of long-term care, and it is a misconception that the majority of people institutionalize disabled people and older adults in the United States. Youth caregiving is under-examined in the field of public health and is in need of theoretical and practical attention. Building upon the work of Talley and Crews and Bronfenbrenner, we aim to broaden the scope of the discussion around caregiving through the application of the social–ecological model (SEM) to inform research and practice. This paper picks up where they left off, digging deeper into the ecological model to reimagine research, policy, and practices related to youth and young adult caregivers that are rooted in this framework. This application highlights care as embedded in social relations while allowing for an exploration of the ways structural barriers impact the caring unit. Looking holistically at the unit, rather than individuals as service users, provides an opportunity for understanding the interconnectedness of those giving and receiving care. It does so by rendering visible the interdependence of the caring unit, and the myriad structures, which bear down on care at the individual and household levels. This approach runs counter to dominant thinking, which focuses exclusively on the individuals involved in caregiving relationships, rather than considering them as interdependent units of care. This paper provides an analytic contribution, utilizing a narrative composite vignette based on literature and previous research.
Podcast Review: The Shape of Care
Opinion: Governor Hochul’s father gets home care, why can’t the rest of us?
May 23, 2022