Researchers and water managers have turned to green stormwater infrastructure, such as bioswales, retention basins, wetlands, rain gardens, and urban green spaces to reduce flooding, augment surface water supplies, recharge groundwater, and improve water quality. It is increasingly clear that green stormwater infrastructure not only controls stormwater volume and timing, but also promotes ecosystem services, which are the benefits that ecosystems provide to humans. Yet there has been little synthesis focused on understanding how green stormwater management affects ecosystem services. The objectives of this paper are to review and synthesize published literature on ecosystem services and green stormwater infrastructure and identify gaps in research and understanding, establishing a foundation for research at the intersection of ecosystems services and green stormwater management. We reviewed 170 publications on stormwater management and ecosystem services, and summarized the state-of-the-science categorized by the four types of ecosystem services. Major findings show that:(1) most research was conducted at the parcel-scale and should expand to larger scales to more closely understand green stormwater infrastructure impacts, (2) nearly a third of papers developed frameworks for implementing green stormwater infrastructure and highlighted barriers, (3) papers discussed ecosystem services, but less than 40% quantified ecosystem services, (4) no geographic trends emerged, indicating interest in applying green stormwater infrastructure across different contexts, (5) studies increasingly integrate engineering, physical science, and social science approaches for holistic understanding, and (6) standardizing green stormwater infrastructure terminology would provide a more cohesive field of study than the diverse and often redundant terminology currently in use. We recommend that future research provide metrics and quantify ecosystem services, integrate disciplines to measure ecosystem services from green stormwater infrastructure, and better incorporate stormwater management into environmental policy. Our conclusions outline promising future research directions at the intersection of stormwater management and ecosystem services.

Appropriative water rights allocate surface water to competing users based on seniority. Often water rights vary seasonally with spring runoff, irrigation schedules, or other non-uniform supply and demand. Downscaled monthly Coupled Model Intercomparison Project multi-model, multi-emissions scenario hydroclimate data evaluate water allocation reliability and variability with anticipated hydroclimate change. California's Tuolumne watershed is a study basin, chosen because water rights are well-defined, simple, and include competing environmental, agricultural, and urban water uses representative of most basins. We assume that dedicated environmental flows receive first priority when mandated by federal law like the Endangered Species Act or hydropower relicensing, followed by senior agricultural water rights, and finally junior urban water rights. Environmental flows vary by water year and include April pulse flows, and senior agricultural water rights are 68% larger during historical spring runoff from April through June. Results show that senior water right holders receive the largest climate-driven reductions in allocated water when peak streamflow shifts from snowmelt-dominated spring runoff to mixed snowmelt- and rainfall-dominated winter runoff. Junior water right holders have higher uncertainty from inter-annual variability. These findings challenge conventional wisdom that water shortages are absorbed by junior water users and suggest that aquatic ecosystems may be disproportionally impaired by hydroclimate change, even when environmental flows receive priority.

In Mekong riparian countries, hydropower development provides energy, but also threatens biodiversity, ecosystems, food security, and an unparalleled freshwater fishery. The Sekong, Sesan, and Srepok Rivers (3S Basin) are major tributaries to the Lower Mekong River (LMB), making up 10% of the Mekong watershed but supporting nearly 40% of the fish species of the LMB. Forty-five dams have been built, are under construction, or are planned in the 3S Basin. We completed a meta-analysis of aquatic and riparian environmental losses from current, planned, and proposed hydropower dams in the 3S and LMB using 46 papers and reports from the past three decades. Proposed mainstem Stung Treng and Sambor dams were not included in our analysis because Cambodia recently announced a moratorium on mainstem Mekong River dams. More than 50% of studies evaluated hydrologic change from dam development, 33% quantified sediment alteration, and 30% estimated fish production changes. Freshwater fish diversity, non-fish species, primary production, trophic ecology, and nutrient loading objectives were less commonly studied. We visualized human and environmental tradeoffs of 3S dams from the reviewed papers. Overall, Lower Sesan 2, the proposed Sekong Dam, and planned Lower Srepok 3A and Lower Sesan 3 have considerable environmental impacts. Tradeoff analyses should include environmental objectives by representing organisms, habitats, and ecosystems to quantify environmental costs of dam development and maintain the biodiversity and extraordinary freshwater fishery of the LMB.

Free clinics provide free or reduced fee healthcare to individuals who lack access to primary care and are socioeconomically disadvantaged. There has been a paucity of free clinic research with the few studies employing a quantitative design. The purpose of this study is to conduct an in-depth qualitative exploration of free clinic patients' experience and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act (ACA). Free clinic adult patients (n=35) participated in four focus groups between June and July 2014 (one Spanish group in June, and two English groups and one Spanish group in July) in a classroom of a free clinic. More than 80% of the participants were non-US born from Mexico, Central/South America, South or East Asia, Pacific Islands, or Western Europe. While participants reported being satisfied overall with free clinic services, they indicated that they desire more specialty services and health education programs. Furthermore, they reported being frustrated by long waiting times-both in the waiting room and when making an appointment, phone communication, and interpreter services. It is necessary to find effective ways to provide information about health education opportunities and the ACA to free clinic patients because participants appeared not to have received sufficient information about available resources. Health education programs for free clinic patients should not only focus on increasing knowledge but also changing behaviors.

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