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Browsing by Author "Lowder, Evan"
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Item An economic evaluation of a police mental-health co-response program: Data from a pragmatic randomized controlled trial(2024) Hofer, Meret; Lu, Thanh; Bailey, Katie; Aldridge, Arnie; Grommon, Eric; Lowder, Evan; Ray, BradleyItem Antecedents of Fatal Overdose in an Adult Cohort Identified through Administrative Record Linkage in Indiana, 2015–2022(Elsevier, 2023) Ray, Bradley; Christian, Kaitlyn; Bailey, Timothy; Alton, Madison; Proctor, Alison; Haggerty, John; Lowder, Evan; Aalsma, Matthew; Pediatrics, School of MedicineBackground: The United States continues to experience unprecedented rates of overdose mortality and need to identify effective policies or practices that can be implemented. This study aims to measure the prevalence, frequency, timing, and rate of touchpoints that occurred prior to a fatal overdose where communities might intervene. Methods: In collaboration with Indiana state government, we conducted record-linkage of statewide administrative datasets to vital records (January 1, 2015, through August 26, 2022) to identify touchpoints (jail booking, prison release, prescription medication dispensation, emergency department visits, and emergency medical services). We examined touchpoints within 12-months prior to a fatal overdose among an adult cohort and explored variation over time and by demographic characteristics. Results: Over the 92-month study period there were 13,882 overdose deaths (89.3% accidental poisonings, X40-X44) in our adult cohort that were record-linked to multiple administrative datasets and revealed nearly two-thirds (64.7%; n=8980) experienced an emergency department visit, the most prevalent touchpoint followed by prescription medication dispensation, emergency medical services responses, jail booking, and prison release. However, with approximately 1 out of every 100 returning citizens dying from drug overdose within 12-months of release, prison release had the highest touchpoint rate followed by emergency medical services responses, jail booking, emergency department visits, and prescription medication dispensation. Conclusion: Record-linking administrative data from routine practice to vital records from overdose mortality is a viable means of identifying where resources should be situated to reduce fatal overdose, with potential to evaluate the effectiveness of overdose prevention efforts.Item Evaluation of the Indianapolis Mobile Crisis Assistance Team(2018) Bailey, Katie; Ray, Brad; Grommon, Eric; Lowder, Evan; Rising Paquet, StaciItem Patterns of Compliance and Noncompliance During Probation: Identifying Pathways to Probation Revocation(2022) Lowder, Evan; Northcutt Bohmert, Miriam; Diaz, Carmen; Ying, Michelle; Grommon, Eric; Hatfield, TroyPrior research has explored factors associated with probation outcomes, but few studies have examined pathways of noncompliance leading to probation failure. We conducted social sequence analysis to identify trajectories of compliance and noncompliance in a sample of 4,389 probationers in Monroe County, Indiana. Our findings showed full compliance was the most common probation trajectory and a single failure to appear (FTA) the most common pattern of noncompliance. In addition to a new offense during probation, repeated patterns of FTA and substance use noncompliance were associated with higher revocation rates. Recurrent patterns of technical violations, particularly for substance use, may function as an important pathway to revocation. Supervision strategies that intervene to address recurrent noncompliance may help agencies reduce revocation rates.Item Police-mental health co-response versus police-as-usual response to behavioral health emergencies: A pragmatic randomized effectiveness trial(2024) Lowder, Evan; Grommon, Eric; Bailey, Katie; Ray, BradleyItem Reducing probation revocations challenge (2021): Monroe County, Indiana(Indiana University, 2021) Northcutt Bohmert, Miriam; Hatfield, Troy; Ying, Michelle; Grommon, Eric; Lowder, Evan; School of Public and Environmental AffairsItem Reducing probation revocations challenge (2021): Strategies to reduce revocations in Monroe County, Indiana(Indiana University Public Policy Institute, 2021) Northcutt Bohmert, Miriam; Hatfield, Troy; Ying, Michelle; Grommon, Eric; Lowder, Evan; School of Public and Environmental Affairs