Browsing by Author "Kampman, Haleigh"

Now showing 1 - 4 of 4
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    County characteristics associated with behavioral health emergency medical services calls
    (Oxford University Press, 2025-03-14) Burns, Ashlyn; Kampman, Haleigh; Menachemi, Nir; Psychiatry, School of Medicine
    A substantial portion of the 20 million calls that emergency medical services (EMS) personnel respond to each year are considered preventable, including more than 1.5 million behavioral health calls. Despite goals of preventing behavioral health crises and reducing the burden on patients and EMS personnel, little is known about how demographic and community characteristics influence behavioral health calls. Using nationwide 2021 EMS call data, we identified counties with high behavioral health calls and examined their demographic and community characteristics. Low-income and racially diverse counties had a higher incidence of behavioral health EMS calls, while politically conservative counties had a lower incidence of behavioral health EMS calls. To better meet the emergency behavioral health needs of communities, policy and decision-makers should consider strategies that increase access to and awareness of alternative behavioral health crisis services (eg, 988 Suicide and Crisis Lifeline).
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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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    Health Impact Assessment: The Impacts of Increasing Tree Canopy Coverage in Marion County, Indiana
    (Society of Practitioners of Health Impact Assessment, 2022) Kampman, Haleigh; Whitlock, Annika; Hosler, Heidi; Health Policy and Management, Richard M. Fairbanks School of Public Health
    Background: Urban tree canopies help to address issues of climate change related to all dimensions of health. Certain areas of the city of Indianapolis are more prone to the negative effects that lack of tree coverage can cause. This assessment explored the short term and potential long-term impacts of the efforts to increase the tree canopy coverage in vulnerable areas of Indianapolis. This effort was a collaboration of faculty members from the Indiana University Richard M. Fairbanks School of Public Health, Indianapolis Department of Public Works, Keep Indianapolis Beautiful, and the Indianapolis Office of Sustainability. Methods: Our team used the standard seven-step Health Impact Assessment (HIA) process to make the recommendations provided. Using direct observation of the neighborhood, secondary data collection, literature review, and a key stakeholder interview, we examined key dimensions of health including environmental, physical, and personal health outcomes resulting from increased tree canopy coverage within census tract 3505 of Marion County, Indiana. Results: Increasing the percentage of tree canopy coverage in census tract 3505 – Crown Hill has significant positive health impacts with minimal negative outcomes. Such impacts may be, but are not subject to, lower temperatures, reduced cases of respiratory and cardiac infections/illnesses, promoting animal life, increasing neighborhood property values and filtering pollutants that result from human production activity. Conclusions: Further implementation of the Thrive Indianapolis project has broad positive implications for the community members living in this area. While few negative implications were found, we make recommendations to mitigate these effects while attempting to supplement the current project plan with a focus on the effects to human health.
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    Implementation and sustainability of systems change for mental health promotion and substance misuse prevention: a qualitative study
    (Springer Nature, 2024-11-27) Burns, Ashlyn; Kampman, Haleigh; Magee, Lauren; Blackburn, Justin; Alton, Madison; Pescosolido, Bernice; Psychiatry, School of Medicine
    Background: Social determinants of health have been shown to influence individual mental health and overall well-being. Additionally, populations that experience stigma and/or discrimination because of race, class, gender, or another identity group experience disproportionately higher rates of mental health disorders than populations that do not experience such marginalization. One way to address upstream social determinants that influence mental health is through systems change initiatives. In 2019, Indiana implemented a statewide Regional Prevention System (RPS) focused on systems change to promote mental health and prevent substance misuse. Methods: We developed a semi-structured interview guide to collect insights about the RPS implementation and sustainability. Potential participants were identified based on their role as an active regional coordinator (n = 9). We conducted qualitative interviews with all 9 regional coordinators in Indiana. Interview recordings were transcribed and coded using an a priori coding framework based on constructs from the Theory of Innovation Implementation and the Consolidated Framework for Implementation Research. Results: Insights about the RPS implementation process are presented across four domains: innovation, system-level, organization-level, and sustainability. In terms of implementation barriers, coordinators encountered hesitancy and distrust from community members, which they had to overcome to gain buy-in. They also described stigma, including community and individual social norms towards mental health and substance misuse, as barriers that challenged efforts to engage community members in the RPS. Facilitators of implementation included having established community infrastructure and external partnerships. In communities without existing infrastructure to support prevention efforts, particularly rural communities, the implementation process took longer but community members welcomed the additional support and valued the new communication platforms created by the RPS. On sustainability, coordinators provided examples of communities that were able to obtain grant funding in support of prevention initiatives launched through the RPS. Conclusion: The process of implementing and sustaining prevention efforts through the RPS varied across communities. Prioritizing the delivery of systems-change efforts in underserved communities that are ready for change, rather than statewide efforts, may offer a better strategy for addressing disparities in the social determinants of health that influence mental health and substance misuse.