Department of Health Policy and Management

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Now showing 1 - 10 of 291
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    ‘Clustering of exemptions’ as a collective action threat to herd immunity
    (2003-03) May, Thomas; Silverman, Ross D.
    In this paper, we examine the phenomenon of ‘clustering of exemptions’ to childhood vaccination, and the dangers this poses both to those exempted as well as the general population. We examine how clusters of exemptions might form through collective action as described by Thomas Schelling, and how religious groups who live in close proximity to one another can “self-select” in a way that exacerbates this phenomenon. Given the growing number of exemptions and the increasing visibility of the anti-vaccine movement, policy makers must be vigilant for dangerous clustering in order to avoid loss of herd immunity.
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    Patient Safety and Patients' Rights
    (2004-06) Silverman, Ross D.
    Patient safety can be improved through the implementation of a physician reporting system, in which medical errors can be reported confidentially. Virtual Mentor is a monthly bioethics journal published by the American Medical Association.
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    Mental Health and Substance Abuse Needs Assessment for Marion County
    (Richard M. Fairbanks School of Public Health, 2010) Greene, Marion; Williams, Matthew; Wright, Eric
    This needs assessment was conducted for Mental Health America of Greater Indianapolis (MHAGI). The purpose was to examine prevalence, consequences, and correlates of mental illness and substance abuse in Marion County.
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    Meth Use in Indiana
    (Richard M. Fairbanks School of Public Health, 2010-07) Greene, Marion; Williams, Matthew; Wright, Eric
    Methamphetamine, a derivative of amphetamine, is a synthetic stimulant that affects the central nervous system. It is commonly known as meth, speed, and chalk; in its smoked form, it is often referred to as ice, crystal, crank, and glass. Due to its high potential for abuse, meth is classified as a Schedule II drug and is legally available only by prescription. Abuse of the drug is a serious problem in the United States, often resulting in devastating medical, psychological, social, and legal consequences. According to estimates from the 2008 National Survey on Drug Use and Health (NSDUH), 12.6 million Americans (or 5.0 percent) ages 12 and older have tried meth at least once in their life.
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    The Effects of Tobacco Use on Oral Health in Indiana
    (Richard M. Fairbanks School of Public Health, 2010-07) Aguirre-Zero, Odette; Greene, Marion; Wright, Eric
    Tobacco use is associated with a variety of harmful consequences, including increased risk of numerous cancers; coronary heart disease and other cardiovascular diseases; respiratory diseases in adults and children; and pregnancy complications. In addition, tobacco use imposes a considerable economic burden, accounting for $190 billion annually in healthcare expenditures and productivity losses.
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    The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2011
    (Richard M. Fairbanks School of Public Health, 2011) Wright, Eric; Greene, Marion; Kooreman, Harold; Williams, Matthew John
    This report represents the sixth official State Epidemiological Profile completed by the State Epidemiology and Outcomes Workgroup (SEOW). As we have in past years, we updated the core set of analyses to reflect the most recent data available. In order to make the report most useful for state and local policymakers and service providers, we present detailed information and descriptive analyses regarding the patterns and consequences of substance use both for the state and, whenever possible, each of Indiana’s 92 counties.
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    Prenatal Alcohol Use and Fetal Alcohol Spectrum Disorder in Indiana
    (Richard M. Fairbanks School of Public Health, 2012-06) Greene, Marion
    Consumption of alcohol during pregnancy can cause the infant to be born with a fetal alcohol spectrum disorder (FASD). FASD is not a diagnosis, but an umbrella term that describes a group of conditions associated with prenatal alcohol exposure, including fetal alcohol syndrome (FAS).
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    From Structural Chaos to a Model of Consumer Support: Understanding the Roles of Structure and Agency in Mental Health Recovery for the Formerly Homeless
    (2012-07) Watson, Dennis P.
    Deinstitutionalization shifted the focus in mental health care from provider-guided treatment to consumer-centered recovery. In this article, I seek to develop a deeper understanding of the effect that the organization of mental health services offered in community settings has on the recovery process. I do this by presenting findings from the analysis of focus group and interview data collected from consumers and staff at four housing programs serving formerly homeless individuals with dual diagnosis. My findings highlight the importance of understanding the connection that exists between social structure and personal agency and the recovery process.