Browsing by Author "Balio, Casey"

Now showing 1 - 9 of 9
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    Adverse Childhood Experiences (ACEs) and Their Impact on Substance Misuse & Overall Health
    (The Center for Health Policy, 2018-03-01) Balio, Casey; Greene, Marion S.
    Adverse childhood experiences (ACEs) encompass a wide variety of distressing events, including emotional, physical, or sexual abuse; witnessing maternal domestic violence; or living with a household member who has a substance use disorder, is mentally ill or suicidal, or is currently or was ever incarcerated during the first 18 years of a child’s life. According to most recent estimates, nearly half of Indiana’s youth have experienced at least one ACE in their life. ACEs are linked to many risk behaviors, including substance use, which can adversely affect health outcomes.
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    Adverse Childhood Experiences (ACEs) and their Impact on Substance Misuse & Overall Health
    (The Center for Health Policy, 2018-03-01) Balio, Casey; Greene, Marion S.
    Adverse childhood experiences (ACEs) encompass a wide variety of distressing events, including emotional, physical, or sexual abuse; witnessing maternal domestic violence; or living with a household member who has a substance use disorder, is mentally ill or suicidal, or is currently or was ever incarcerated during the first 18 years of a child’s life. According to most recent estimates, nearly half of Indiana’s youth have experienced at least one ACE in their life. ACEs are linked to many risk behaviors, including substance use, which can adversely affect health outcomes.
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    Adverse Childhood Experiences (ACEs) and their Impact on Substance Misuse & Overall Health
    (Richard M. Fairbanks School of Public Health, 2018-03) Balio, Casey; Greene, Marion
    Adverse childhood experiences (ACEs) encompass a wide variety of distressing events, including emotional, physical, or sexual abuse; witnessing maternal domestic violence; or living with a household member who has a substance use disorder, is mentally ill or suicidal, or is currently or was ever incarcerated during the first 18 years of a child’s life. According to most recent estimates, nearly half of Indiana’s youth have experienced at least one ACE in their life. ACEs are linked to many risk behaviors, including substance use, which can adversely affect health outcomes.
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    The Impact of Parental Incarceration on Children’s Health & Development
    (The Center for Health Policy, 2018-12-01) Balio, Casey; Greene, Marion S.
    The incarceration boom in the United States has resulted in high rates of parents serving time. According to recent estimates, one in ten Hoosier children has a parent who is or has been in prison or jail. Though incarceration is often treated as a discrete event, it is important to note that the time period extends both prior to and beyond the incarcerated phase (pre- and post-incarceration). Evidence on the relationship between parental incarceration and various children’s outcomes is inconsistent across the literature and often disappears when controlling for demographic and family characteristics. However, whether the relationship between parental incarceration and children’s health and development is causal or simply correlational, this population is at high risk for adverse outcomes and should be the target of interventions.
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    LaPorte County Opioid Addiction Needs Assessment
    (Richard M. Fairbanks School of Public Health, 2018) Greene, Marion; Kooreman, Harold; Vest, Joshua; Balio, Casey
    The opioid epidemic continues to affect the lives of many Americans. Paralleling the rise in prescription opioid (pain reliever) sales over the past two decades, the country also experienced an increase in opioid-related morbidity and mortality. Between 2000 and 2015, more than half a million Americans died from drug overdoses, the majority of which were attributable to opioids. The costs, in terms of human suffering and economic impact, are considerable. Based on findings from the LaPorte County survey and key informant interviews that were conducted in the community, respondents cited lack of or limited access to treatment services, especially detoxification, inpatient services, and medication-assisted treatment, as a major challenge in dealing with the epidemic. Furthermore, socio-economic factors, such as poverty and unemployment, and limited awareness or acceptance of the problem within the larger community, together with insufficient funding to address the problem, were described as contributing factors.
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    Making the Legal and Ethical Case for Universal Screening for Postpartum Mood and Anxiety Disorders in Pediatric Primary Care
    (Elsevier, 2017) Gilbert, Amy Lewis; Balio, Casey; Bauer, Nerissa S.; Pediatrics, School of Medicine
    Postpartum depression (PPD), part of a larger spectrum of perinatal mood and anxiety disorders, affects up to 15% of women following the birth of an infant. Fathers may also be affected. PPD not only affects caregivers, but also impacts infants through mechanisms such as inadequate caregiver–infant interactions and non-adherence to safety practices. The negative impact on infants may extend across the life course through adulthood. This article seeks to move the needle toward universal screening for PPD using validated tools in pediatric primary care settings for new caregivers by making the legal and ethical case for this course of action in a manner that is both compelling and accessible for clinicians. Toward this end, we summarize current literature as it applies to provider responsibilities, liabilities and perspectives; and caregiver autonomy, confidentiality, and privacy. We then assess utility by balancing the benefits and burdens of this approach to practices, providers, and caregivers; and take the analysis one step further by looking across multiple populations to assess distributive justice. We conclude that there is a strong ethical case for universal screening for PPD in pediatric primary care settings using validated tools when informed consent can be obtained and appropriate follow-up services are available and accessible. Clinical considerations, practical resources, and areas ripe for future research are also addressed.
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    Substance Abuse Trends in Indiana: A 10-Year Perspective
    (The Center for Health Policy, 2017-04-01) Balio, Casey; Greene, Marion S.
    Substance use is a significant public health problem in the United States. Excessive use of alcohol and drugs has been linked to increased morbidity and mortality from cardiovascular conditions; injuries and motor vehicle crashes; sexually transmitted and blood-borne illnesses, including HIV/AIDS and hepatitis B and C, resulting from risky sexual behaviors and/or injection drug use; pregnancy complications and neonatal abstinence syndrome (NAS); and drug overdoses [5, 6].
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    Substance Abuse Trends in Indiana: A 10-Year Perspective
    (Richard M. Fairbanks School of Public Health, 2017-04) Balio, Casey; Greene, Marion
    Substance use is a significant public health problem in the United States. Excessive use of alcohol and drugs has been linked to increased morbidity and mortality from cardiovascular conditions; injuries and motor vehicle crashes; sexually transmitted and blood-borne illnesses, including HIV/AIDS and hepatitis B and C, resulting from risky sexual behaviors and/or injection drug use; pregnancy complications and neonatal abstinence syndrome (NAS); and drug overdoses.
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    The Impact of Parental Incarceration on Children’s Health & Development
    (Richard M. Fairbanks School of Public Health, 2018-12) Balio, Casey; Greene, Marion
    The incarceration boom in the United States has resulted in high rates of parents serving time. According to recent estimates, one in 10 Hoosier children has a parent who is or has been in prison or jail. Though incarceration is often treated as a discrete event, it is important to note that the time period extends both prior to and beyond the incarcerated phase (pre- and post-incarceration). Evidence on the relationship between parental incarceration and various children’s outcomes is inconsistent across the literature and often disappears when controlling for demographic and family characteristics. However, whether the relationship between parental incarceration and children’s health and development is causal or simply correlational, this population is at high risk for adverse outcomes and should be the target of interventions.