Browsing by Author "Greene, Marion"

Now showing 1 - 10 of 40
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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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    Behavioral Health Disparities in Indiana
    (Richard M. Fairbanks School of Public Health, 2016-02) Tao, Ling; Greene, Marion
    The burden of illness, premature death, and disability is distributed unequally throughout the nation, leading to vast differences in health status or outcomes between specific groups. Such health disparities are persistent and occur across a wide range of physical and behavioral conditions.
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    Community Behavioral Health Needs Assessment for Howard County
    (Richard M. Fairbanks School of Public Health, 2023-09) Greene, Marion; Sanner, Lindsey; King, Hannah
    This report describes the need for behavioral health services in Howard County and identifies the gaps that exist between service needs and service availability. Based on the findings, Community Fairbanks Behavioral Health – Howard will strategize on how to address these needs and gaps.
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    Community Conditions Favorable for Substance Abuse
    (Richard M. Fairbanks School of Public Health, 2018-04) Jacinto, Corey; Greene, Marion
    The probability of whether an individual engages in substance use is associated with several risk and protective factors. Effective prevention requires understanding these factors. The social-ecological model considers the complex interactions between individual, relationship, community, and societal factors. This can help us understand substance use in a public health context and design strategies to address the problem across multiple levels.
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    Community Mental Health Needs Assessment Report for Marion County
    (Richard M. Fairbanks School of Public Health, 2023-06-23) Greene, Marion; Sanner, Lindsey; McNamee, Cassidy
    The purpose of this project was to conduct a community mental health needs assessment (CMHNA) specific to the services available for serious mental illness and substance use disorders across the lifespan in Marion County, Indiana. The CMHNA was developed in collaboration with Sandra Eskenazi Mental Health Center, Community Fairbanks Behavioral Health, Aspire Indiana Health, and Adult and Child Health. These four organizations are Division of Mental Health and Addiction (DMHA) designated Community Mental Health Centers (CMHCs) as well as grantees of the Substance Abuse and Mental Health Services Administration’s Certified Community Behavioral Health Center (CCBHC) award. This report contains all findings from the assessment, including: a. Identification of the level of need, including cultural, linguistic, treatment and staffing needs b. Identification of the level of services available, including resources to address transportation, income, culture, and other barriers c. Identification of the gaps between needs and services d. Recommendations derived from the interviews and other data.
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    Contemporary Trends in Hospitalizations for Comorbid Chronic Liver Disease and Substance Use Disorders
    (Wolters Kluwer, 2021-06-18) Desai, Archita P.; Greene, Marion; Nephew, Lauren D.; Orman, Eric S.; Ghabril, Marwan; Chalasani, Naga; Menachemi, Nir; Medicine, School of Medicine
    Introduction: Chronic liver diseases (CLDs) and substance use disorders (SUDs) are increasingly prevalent and often coexist. Contemporary studies describing the characteristics and hospitalization trends of those with comorbid CLD-SUD are lacking. We aimed to characterize a population-based cohort with comorbid CLD-SUD and describe trends in these hospitalizations over time by individual-level characteristics. Methods: We performed a cross-sectional analysis of the National Inpatient Sample from 2005 through 2017. Diagnosis codes were used to identify adult hospitalizations with CLD, SUD, or both. Bivariate and multivariate analyses were used to make comparisons between diagnosis categories. Unadjusted and age-adjusted trends in these hospitalizations were described over time. Results: Of 401,867,749 adult hospital discharges, 3.2% had CLD-only and 1.7% had comorbid CLD-SUD. Compared with CLD-only, comorbid CLD-SUD hospitalizations resulted in higher inpatient mortality (3.1% vs 2.4%, P < 0.001) and were associated with younger age, male sex, Native American race, and urban and Western US location. Over time, comorbid hospitalizations grew 34%, and the demographics shifted with larger increases in hospitalization rates seen in younger individuals, women, Native Americans, and those publicly insured. In comorbid hospitalizations, alcoholic SUD and CLD decreased, but drug SUDs and nonalcoholic fatty liver diseases are fast-growing contributors. Discussion: In this comprehensive analysis of US hospitalizations, comorbid CLD-SUD hospitalizations are increasing over time and lead to higher inpatient mortality than CLD alone. We further characterize the changing demographics of these hospitalizations, providing a contemporary yet inclusive look at comorbid CLD-SUD hospitalizations. These data can guide interventions needed to improve the poor outcomes suffered by this growing population.
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    Drivers of Substance Misuse and Addiction in Indiana
    (Fairbanks School of Public Health, 2023-02) Greene, Marion; Kooreman, Harold; Kampman, Haleigh
    Substance use continues to be a significant concern in Indiana. Misuse of alcohol and/or illicit drugs can lead to numerous negative consequences, often affecting a person’s physical and mental health, relationships with family and friends, and their ability to hold a job. As drug use progresses into dependence and addiction, there is an increased risk that individuals become involved with the justice system. Arrests and incarcerations can occur for using illicit drugs, driving under the influence of a substance, or for engaging in drug-related criminal activities such as dealing. Furthermore, persons addicted to drugs, especially opioids and sedative-hypnotics, are at risk for accidental or intentional overdose, which can be fatal. These consequences not only affect the individual, but also have a considerable impact on their families and the community.
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    Drug Use in Indiana: A Regional Perspective
    (The Center for Health Policy, 2019-05-01) Gutta, Jyosna; Greene, Marion
    Indiana consists of 92 counties, which can be divided into 8 service regions. The prevalence of substance misuse can differ between the individual regions. Compared to the state’s average, rates of underage drinking, smoking, and illicit drug use were particularly high in Indiana’s Western region. The most frequently used substances among Indiana students in grades 8, 10, and 12 were alcohol, electronic vape products, marijuana, traditional (combustible) cigarettes, and prescription drugs. Understanding each region’s unique needs is a vital component to designing programs dedicated to improving overall Hoosier health.
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    Drug Use in Indiana: A Regional Perspective
    (Richard M. Fairbanks School of Public Health, 2019-05) Gutta, Jyotsna; Greene, Marion
    Indiana consists of 92 counties, which can be divided into 8 service regions. The prevalence of substance misuse can differ between the individual regions. Compared to the state’s average, rates of underage drinking, smoking, and illicit drug use were particularly high in Indiana’s Western region. The most frequently used substances among Indiana students in grades 8, 10, and 12 were alcohol, electronic vape products, marijuana, traditional (combustible) cigarettes, and prescription drugs. Understanding each region’s unique needs is a vital component to designing programs dedicated to improving overall Hoosier health.
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    Indiana Partnerships For Success
    (Richard M. Fairbanks School of Public Health, 2020-06) Childress, Samantha; Leech, Tamara; Watson, Dennis; Lisa, Robison; Greene, Marion
    This is the final report discussing work carried out by Indiana University researchers as part of the Indiana Partnerships for Success (PFS) project. PFS is a federal grant program administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). Indiana’s PFS initiative was funded in 2015 through the Indiana Division of Mental Health and Addiction (DMHA) to provide support to counties that (a) were at an increased risk for alcohol and prescription drug misuse among individuals aged 12-25 and who were not able to qualify for other DMHA funding, or (b) lacked the proper infrastructure to support substance misuse initiatives. These communities were: Cass, Clark, Floyd, Knox, Lake, Madison, Marion, Porter, Scott, and Vanderburgh counties.