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Item Drivers of Substance Misuse and Addiction in Indiana(Fairbanks School of Public Health, 2023-02) Greene, Marion; Kooreman, Harold; Kampman, HaleighSubstance 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.Item Drug Use in Indiana: A Regional Perspective(Richard M. Fairbanks School of Public Health, 2019-05) Gutta, Jyotsna; Greene, MarionIndiana 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.Item Ebola Virus Disease - Legal and Ethical Considerations for Indiana(Richard M. Fairbanks School of Public Health, 2014-10) Williams, Matthew; Silverman, Ross; Duwve, JoanThe Ebola Virus Disease (EVD), formally known as Ebola hemorrhagic fever, is a virulent and often deadly infectious disease. Fatality rates for the disease have reported to be as high as 90% following contraction. As of October 14, 2014, a total of 8,914 probable, confirmed, and suspected cases of EVD and 4,447 deaths due to the disease, have been reported to the World Health Organization (WHO) by the nations of Liberia, Guinea, and Sierra Leon.Item Indiana Partnerships For Success(Richard M. Fairbanks School of Public Health, 2020-06) Childress, Samantha; Leech, Tamara; Watson, Dennis; Lisa, Robison; Greene, MarionThis 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.Item Indiana Partnerships for Success Young Adult Interview Results(Richard M. Fairbanks School of Public Health, 2019-06) Childress, Samantha; Nannery, Rebecca; Greene, Marion; Watson, DennisBetween January and March of 2019, the Eagleton Center for Public Interest Polling (ECPIP) at Rutgers University administered the second phase of the Indiana Young Adults Survey to a sample of the young adult population between the ages of 18-25 in each of the 10 PFS counties. Sampling included email and text message recruitment of those who completed the first phase of data collection and agreed to be contacted again, as well as text recruitment from two approved vendor lists, including both registered and non-registered voters. An oversample was done in Cass, Clark, Lake, Porter, and Vanderburgh counties to ensure the minimum number of respondents was met. A total of 887 individuals completed the survey, exceeding the target.Item Indiana Public Health System Review(Richard M. Fairbanks School of Public Health, 2020-12) Halverson, Paul; Yeager, ValerieThis study examines the current state of Indiana’s public health system. In particular, this report focuses on the centerpiece of the public health system - the network of local and state governmental public health agencies - their structure, human and financial resources, authorities, and activities.Item Indiana Syringe Exchange Program(Richard M. Fairbanks School of Public Health, 2015-08) Servies, Alyssa; Reynolds, Melissa; Silverman, RossAccording to the Centers for Disease Control and Prevention (CDC), “syringe exchange programs provide free sterile syringes and collect used syringes from injection-drug users to reduce transmission of blood borne pathogens, including human immunodeficiency virus (HIV), hepatitis B virus, and hepatitis C virus.” Such an approach falls under the category of public health prevention known as “harm reduction,” which aim to minimize disease spread and injury (to the individual and to others) associated with high risk behaviors.Item Indicators of Mental Health in Children and Adolescents in Indiana(Richard M. Fairbanks School of Public Health, 2015-07) Kelley, Andrea; Greene, MarionMental health disorders among children and adolescents are an important public health issue across the United States. Many of our youth are suffering from mood, anxiety, behavior, and substance use disorders with onsets occurring as early as age 6; unfortunately, several do not receive treatment until years later.Item LaPorte County Opioid Addiction Needs Assessment(Richard M. Fairbanks School of Public Health, 2018) Greene, Marion; Kooreman, Harold; Vest, Joshua; Balio, CaseyThe 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.Item Marijuana Use in Indiana: A Look at Cannabis Laws in and around Indiana(Richard M. Fairbanks School of Public Health, 2020-04) Gutta, Jyotsna; Greene, MarionThough under federal law marijuana is still considered an illicit drug, many states have enacted policies decriminalizing and/or legalizing marijuana to some degree. In 14 states (including Indiana), possession, use, cultivation, sale or distribution of marijuana is illegal. Indiana is bordered by states with varying marijuana policies: Kentucky (illegal), Ohio (medical use), and Michigan and Illinois (medical and recreational use). One emerging trend of concern is the use of marijuana products (THC) in e-cigarettes, especially among young people.
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