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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Recent Submissions

Now showing 1 - 10 of 67
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    The Impact of Substance Use on the Developing Brain
    (Richard M. Fairbanks School of Public Health, 2017-07) Kooreman, Harold
    Most peoples’ first exposure to alcohol, tobacco, and other drugs typically occurs during adolescence, a time when the brain changes rather dramatically. The maturation process of the adolescent brain is reflected in a greater propensity to take part in risky activities such as unprotected sex, reckless driving, and substance use. Alcohol, nicotine, and marijuana, the most commonly used substances by teens, have all been tied to disruptions in normal brain development. These structural changes are associated with higher rates of cognitive impairments and academic difficulties, higher rates of future substance use and substance use disorders, and higher rates of mood and psychotic disorders.
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    Indiana Syringe Exchange Program
    (Richard M. Fairbanks School of Public Health, 2015-08) Servies, Alyssa; Reynolds, Melissa; Silverman, Ross
    According 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.
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    Substance Use Among Young Adults in Indiana Who Are Not Enrolled in College
    (Richard M. Fairbanks School of Public Health, 2015-09) Kooreman, Harold; Kouns, Lyndy; Greene, Marion; Watson, Dennis; Golembiewski, Elizabeth
    The primary purpose of this study was to gather information on patterns and trends of substance use; reasons for using (or not using); and perceptions and beliefs regarding substance use within one’s social circle (peers) from our target population, i.e., Indiana residents ages 18 to 25 who do not attend, nor have graduated from, college.
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    Substance Misuse in Indiana
    (Ricjard M. Fairbanks School of Public Health, 2021-05) The Center, for Health Policy
    Substance use continues to be a major public health concern, negatively impacting a variety of health, legal, and social outcomes.
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    Substance Abuse in Indiana - An Urban-Rural Perspective
    (Richard M. Fairbanks School of Public Health, 2017-06) Kooreman, Harold; Greene, Marion
    The 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.
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    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, Eric
    Addiction 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.
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    Substance Abuse Trends in Indiana: A 10-Year Perspective
    (Richard M. Fairbanks School of Public Health, 2017-04) Balio, Casey; Greene, Marion
    Substance 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.
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    Polypharmacy Among Prescription Drug Users
    (Richard M. Fairbanks School of Public Health, 2017-08) Omenka, Issac; Greene, Marion
    Polypharmacy, 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.
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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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    Treatment & Recovery for Substance Use Disorders in Indiana
    (Richard M. Fairbanks School of Public Health, 2016-10) Kooreman, Harold; Greene, Marion
    Substance 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.