Center for Health Policy, IU Richard M. Fairbanks School of Public Health
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The Center for Health Policy (CHP) is the research hub of the department of Health Policy and Management. Our mission is to generate evidence that informs decision-making in Indiana and beyond. CHP Fellows and staff conduct rigorous research and evaluation on health system performance and health policy issues, with a specific focus on: population health and analytics; substance misuse and mental health services; and public health systems and services research.
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Item Overdose Data to Action: Limiting Overdose through Collaborative Actions in Localities (OD2A: LOCAL)(2024-10) Greene, Marion; Sanner, Lindsey; Gutta, Jyotsna; Williamson, Curtis; McNamee, CassidyIn the fall of 2023, the Marion County Public Health Department (MCPHD) was awarded the federal Overdose Data to Action: Limiting Overdose through Collaborative Actions in Localities (OD2A: LOCAL) grant. This 5-year initiative by the Centers for Disease Control and Prevention (CDC) supports local jurisdictions in addressing the overdose crisis through surveillance and evidence-based prevention and harm reduction strategies, with the overarching goal to reduce drug overdoses and health inequities. To achieve this goal, MCPHD funds and collaborates with 16 community organizations (subawardees).Item Substance Misuse in Indiana(Ricjard M. Fairbanks School of Public Health, 2021-05) The Center, for Health PolicySubstance use continues to be a major public health concern, negatively impacting a variety of health, legal, and social outcomes.Item Substance Abuse in Indiana - An Urban-Rural Perspective(Richard M. Fairbanks School of Public Health, 2017-06) Kooreman, Harold; Greene, MarionThe use of alcohol and drugs is a significant public health problem in the United States. Indiana, like many other states in the nation, is lacking in substance abuse treatment services and rural areas are particularly underserved. Rural residents may encounter additional barriers to receiving substance abuse treatment, including stigma, fear that they may know their treatment providers, a lack of access to specialized services, inferior quality of care, and having to pay more for treatment.Item Opioid Treatment Programs in Indiana - The Use of Medication in Addiction Treatment(Richard M. Fairbanks School of Public Health, 2013-01) Williams, Matthew; Greene, Marion; Wright, EricAddiction to opioids (e.g., heroin, morphine, prescription pain relievers) is a serious health problem with wide-ranging social and economic implications. In 2010, more than 2 million Americans were affected, with 1.9 million U.S. residents addicted to prescription opioids and 359,000 addicted to heroin. Abuse of opioids, particularly heroin, has been associated with unintentional overdoses and transmission of hepatitis, HIV, and sexually transmitted diseases.Item Substance Abuse Trends in Indiana: A 10-Year Perspective(Richard M. Fairbanks School of Public Health, 2017-04) Balio, Casey; Greene, MarionSubstance use is a significant public health problem in the United States. Excessive use of alcohol and drugs has been linked to increased morbidity and mortality from cardiovascular conditions; injuries and motor vehicle crashes; sexually transmitted and blood-borne illnesses, including HIV/AIDS and hepatitis B and C, resulting from risky sexual behaviors and/or injection drug use; pregnancy complications and neonatal abstinence syndrome (NAS); and drug overdoses.Item Polypharmacy Among Prescription Drug Users(Richard M. Fairbanks School of Public Health, 2017-08) Omenka, Issac; Greene, MarionPolypharmacy, i.e., the misuse of multiple prescription drugs or prescription medication with other substances, is highly problematic. Whether unintentional or deliberate, misuse of multiple drugs can lead to adverse effects including addiction; drug-drug interactions; and overdose, potentially resulting in death. Polypharmacy is not uncommon; almost 84 percent of prescription drug misusers receiving substance abuse treatment in Indiana reported using at least one additional substance, most commonly alcohol or marijuana.Item Meth Use in Indiana(Richard M. Fairbanks School of Public Health, 2010-07) Greene, Marion; Williams, Matthew; Wright, EricMethamphetamine, 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.Item Treatment & Recovery for Substance Use Disorders in Indiana(Richard M. Fairbanks School of Public Health, 2016-10) Kooreman, Harold; Greene, MarionSubstance abuse is a significant public health concern. When drug or alcohol use regularly causes a person substantial life consequences, he/she has likely transitioned from occasional, potentially problematic, use to having a substance use disorder (SUD). In 2014, almost half a million Hoosiers (8.5%) met the criteria for SUD.Item Injection Drug Use in Indiana: A Major Risk for HIV Transmission(Richard M. Fairbanks School of Public Health, 2016-01) Kooreman, Harold; Greene, MarionIllicit drug use is a significant public health issue. In 2014, approximately 27 million people, or 10.2 percent of the United States population 12 years of age or older, were currently using some type of illicit substance, while 7.1 million people 12 years of age or older could be classified as either abusing or being dependent on an illicit drug.Item The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2020(Richard M. Fairbanks School of Public Health, 2020) Greene, Marion; Gutta, Jyotsna; Kooreman, Harold; Bandali, ElhaamDuring state fiscal year 2020, there was a total of 7,502 child removals from their parents by the Department of Child Services in Indiana. Parental drug and/or alcohol use contributed to almost two thirds (63.6%) of these removals.