Addressing Substance Abuse To Improve Well-Being in Child Welfare Systems Current Trends, Continuing Challenges
|
|
- Octavia Ross
- 6 years ago
- Views:
Transcription
1 Addressing Substance Abuse To Improve Well-Being in Child Welfare Systems Current Trends, Continuing Challenges Three Branch Institute on Child Well-Being July 1, 2014 Sid Gardner, MPA
2 Drugs of the Decades
3 Crack Cocaine
4 Trying to Incarcerate Ourselves Out of the Drug Problem $1 trillion spent since 1971 U.S. has the largest prison population in the world
5 Methamphetamine
6
7 Ten states contributed to more than 90% of the decline in foster care population 7
8 PERCENT PARENTAL AOD AS REASON FOR REMOVAL IN USA Source: AFCARS Data Files
9 Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Percentage of child removals Parental AOD as Reason for Removal Source: AFCARS,
10 The Call for Effective Public Policy The ineffectiveness and harm of public policy based on slogans of fear, stigma, presumption, and prejudice Need for public policy that based on science, focuses on treatment and strengthens families
11 Addiction Here s What We Know 1.Addiction is a brain disease 2.Addiction can be managed successfully; treatment helps regain areas of life function 3.Timely access to effective treatment helps many but not all parents reunify with their children 4.Outcomes to prove treatment works and saves money
12 Child-well-being occurs in the context of family relationships 90% of children in substantiated abuse and neglect cases either stay home or go home Impact of substance use combined with added trauma of separation due to outhome custody = severe disruption of relationships Child Well-Being and Family Relationships
13 13
14 Substance use and child maltreatment are often multi-generational problems that can only be addressed through a coordinated approach across multiple systems to address needs of both parents and children. Cross-System Collaboration Here s What We Know 14
15 How Collaborative Policy and Practice Impacts Recovery 5Rs Remain at home Reunification Recidivism Re-entry
16 Opiate and Prescription Drug Abuse: Current Trends, Future Opportunities 16
17 The Opportunities Demystifying myths is an important start stigma as a real barrier. Allow science to guide policy and practice the science of MAT Cross-system collaboration is critical Multiple intervention points exist
18 Number of ED Visits Trends in Emergency Department Visits Involving the Nonmedical Use of Opioid Pain Relievers: ED visits involving the misuse or abuse of opioid pain relievers rose 183% from 2004 to Source: 2011 SAMHSA Drug Abuse Warning Network (DAWN) 18
19 Overall Female Treatment Admissions for Other Opiates* as Primary Substance of Abuse % % % % Retrieved 09/05/13 from *Other opiates includes non-prescription use of methadone, codeine, morphine, oxycodone, hydromorphone, meperidine, opium, and other drugs with morphine-like effects. 19
20 Why the Closed Doors? Stigma Four Factors 1. Misconception as a moral weakness or willful choice 2. Separation from rest of health care 3. Language mirrors and perpetuates stigma 4. Criminal justice system and medical/ treatment systems disagree on treatment approaches Source Olsen and Shafstein, JAMA, 2014
21 Opiates During Pregnancy 8
22 PSYCHOLOGICAL EFFECTS Counseling targets the cortex PHYSICAL EFFECTS Medication affects the limbic system
23 Different Populations of Women Can Give Birth to an Infant with NAS Symptoms* 1. Women with chronic pain or other medical condition maintained on medicines 2. Women actively abusing or dependent on opioids (e.g., untreated substance use disorder) Includes heroin users Misuse own prescribed narcotics for acute or chronic pain Misuse of non-prescribed opioids diverted from legitimate sources from friend of family member Misuse of opioids obtained through illicit means (purchased, theft) *Groups may overlap, adapted from Dr. Cece Spitznas, White House Office of National Drug Control Policy 15
24 Different Populations of Women Can Give Birth to an Infant with NAS Symptoms* (Cont d) 3. Women in recovery from opioid addiction maintained on methadone through OPT or buprenorphine through office based prescribing *Groups may overlap, adapted from Dr. Cece Spitznas, White House Office of National Drug Control Policy 16
25 Neonate Withdrawal Neonatal Abstinence Syndrome (NAS) In chronically opioid exposed newborns, norepinephrine rebound produces symptoms of gastrointestinal and motoric hyper-arousal after birth as opioids are no longer being administered through the umbilical connection to the mother and are metabolized 40-60% of exposed babies have NAS symptoms Research cannot predict which babies will experience NAS 17
26 Opiate and Prescription Drug Abuse: Implications for Child Welfare 26
27 Child Abuse Prevention and Treatment Act (CAPTA) Since 1974, CAPTA has been part of the federal government s effort to help states improve their practices in preventing and responding to child abuse and neglect. CAPTA provides grants to states to support innovations in state child protective services (CPS) and communitybased preventive services, as well as research, training, data collection, and program evaluation. 22
28 CAPTA Focuses on Four Elements of Substance Exposed Infants Identifying infants affected by illegal substance use or withdrawal symptoms or FASD Implementing the requirement that health care providers involved in the delivery or care of such identified infants notify the child protective services system of such conditions Developing a plan of safe care Addressing the needs of these infants 23
29 For the child: A five-point framework that addresses screening, assessment, referral and engagement across all stages of development For the mother: The whole perinatal picture - before, during, after pregnancy Multiple Intervention Points Prepregnancy Promote awareness Prenatal Birth Neo-natal Screening and referrals for services CAPTA, 2010 Testing for substance exposure Immediate postnatal services for newborn and families Childhood, Adolescence Ongoing services for children and families
30 Multiple Intervention Points 1. Objective 2. Policy Implications 3. Key Questions to Ask Please see Handout 30
31 MAT/NAS Policy and Practice Considerations Consistent screening and assessment of opiate addiction and other substance use during pregnancy for Medicaid-covered births Engaging pregnant women with opiate addiction in treatment services and/or prenatal care Availability of substance abuse treatment programs for opioid addiction Availability of specialized programs that serve both mother and infant together and enable them to remain together Using levers of Medicaid to ensure availability of medication-assisted treatment 31
32 2014 We can no longer say We don t know what to do. 37
33 5 Questions for State Governments 1. What is the scale of parental substance abuse and how does its prevalence affect children and state spending? 2. How effective are current state efforts to reduce parental substance abuse and its impact on children? 3. How can the most successful responses to parental substance abuse be scaled up to achieve larger effects on child and family well-being? 4. How can cost savings be captured when they take time to achieve and often benefit agencies that do not fund those programs? 5. How can the barriers that prevent collaborative efforts among state agencies be overcome to achieve results that no single agency can achieve by itself with its own resources? Please see Handout 38
34 Another Opportunity Availability of in-depth technical assistance focused on substanceexposed infants Six states Applications available: August 2014 Contact National Center on Substance Abuse and Child Welfare for more information 39
35 Q & A and Discussion 32
36 Contact Info Sid Gardner, MPA President, Children and Family Futures (714)
2012 Medicaid and Partnership Chart
2012 Medicaid and Chart or Alabama $525,000.00 $4,800.00 Minimum: 25,000.00 Alaska $525,000.00 Depends on area of state; Minimum: $113,640 $10,000 in Anchorage $1,656 Minimum:$1838.75 Maximum:$2,841 Minimum:
More informationPrevalence of Self-Reported Obesity Among U.S. Adults by State and Territory. Definitions Obesity: Body Mass Index (BMI) of 30 or higher.
Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory Definitions Obesity: Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adult s weight in relation
More informationOpioid Deaths Quadruple Since 1999
THE COUNCIL OF STATE GOVERNMENTS CAPITOL RESEARCH AUGUST 2017 HEALTH POLICY Opioid Deaths Quadruple Since 1999 Since 1999, the number of overdose deaths involving opioids (including prescription opioids
More informationPhil Breitenbucher, MSW, Children and Family Futures. Texas Behavioral Health Institute August 10-14, 2015
What is the Child Abuse Prevention and Treatment Act (CAPTA)? And what does it have to do with infants who are prenatally exposed to drugs or alcohol? Phil Breitenbucher, MSW, Children and Family Futures
More informationObesity Trends:
Obesity Trends: 1985-2014 Compiled by the Centers for Disease Control and Prevention Retrieved from http://www.cdc.gov/obesity/data/prevalencemaps.html Organized into two groupings due to methodological
More informationACEP National H1N1 Preparedness Survey Results
1) On a scale from 1 to 10 (10 being totally prepared and 1 being totally unprepared), do you think your hospital is prepared to manage a surge of H1N1 flu patients this fall and winter? (totally prepared)
More informationPeer Specialist Workforce. State-by-state information on key indicators, and links to each state s peer certification program web site.
Peer Specialist Workforce State-by-state information on key indicators, and links to each state s peer certification program web site. Alabama Peer support not Medicaid-reimbursable 204 peer specialists
More informationNational Deaf Center on Postsecondary Outcomes. Data Interpretation Guide for State Reports: FAQ
National Deaf Center on Postsecondary Outcomes Data Interpretation Guide for State Reports: FAQ This document was developed under a grant from the U.S. Department of Education, OSEP #HD326D160001. However,
More information2018 HPV Legislative Report Card
2018 HPV Legislative Report Card This report card is a snapshot of each state s documented efforts to enact or introduce HPV vaccine legislation to improve education and awareness, or provide access to
More informationPeer Specialist Workforce. State-by-state information on key indicators, and links to each state s peer certification program web site.
Peer Specialist Workforce State-by-state information on key indicators, and links to each state s peer certification program web site. Alabama Peer support not Medicaid-reimbursable 204 peer specialists
More informationGeorgina Peacock, MD, MPH
Autism Activities at CDC Act Early Region IX Summit Sacramento, CA June 8, 2009 Georgina Peacock, MD, MPH National Center on Birth Defects and Developmental Disabilities Autism Activities at CDC Surveillance/Monitoring
More informationNew England Practice & Policy Kick-Off Webinar September 30, :00-2:30 PM (Eastern)
Meeting the Needs of Families in the Child Welfare System Affected by Substance Use Disorders" New England Practice & Policy Kick-Off Webinar September 30, 2014 1:00-2:30 PM (Eastern) National Center on
More informationMedical Advisory Board. reviews medical issues for licensure regarding individual drivers. medical conditions. not specified. reporting encouraged,
State Reporting Regulations for Physicians Adapted from the Physician s Guide to Assessing and Counseling Older Drivers 44 and Madd.org 45 State Physician/Medical Reporting (NOTE MERGED CELLS) Mandatory,
More informationCirrhosis and Liver Cancer Mortality in the United States : An Observational Study Supplementary Material
Cirrhosis and Liver Cancer Mortality in the United States 1999-2016: An Observational Study Supplementary Material Elliot B. Tapper MD (1,2) and Neehar D Parikh MD MS (1,2) 1. Division of Gastroenterology
More informationIf you suspect Fido's owner is diverting prescription pain meds meant for the pet, checking your state's drug monitoring database may not help
Prescriptions If you suspect Fido's owner is diverting prescription pain meds meant for the pet, checking your state's drug monitoring database may not help by Ann M. Philbrick, PharmD, BCPS The Centers
More informationStates with Authority to Require Nonresident Pharmacies to Report to PMP
States with Authority to Require Nonresident Pharmacies to Report to PMP Research current through May 2016. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug
More informationHawai i to Zero. Timothy McCormick Harm Reduction Services Branch Hawai i Department of Health. January 16, 2018
HIV Prevention Efforts in Hawai i Hawai i to Zero Timothy McCormick Harm Reduction Services Branch Hawai i Department of Health January 16, 2018 People living with HIV who take HIV medicine as prescribed
More informationCDC activities with Autism Spectrum Disorders
CDC activities with Autism Spectrum Disorders Georgina Peacock, MD, MPH Centers for Disease Control and Prevention National Center on Birth Defects and Developmental Disabilities The findings and conclusions
More informationPublic Health Federal Funding Request to Address the Opioid Epidemic
Public Health Federal Funding Request to Address the Opioid Epidemic On December 4, 2017, in response to the President s recent declaration of the opioid epidemic as a public health emergency and the final
More informationPercent of U.S. State Populations Covered by 100% Smokefree Air Laws April 1, 2018
Defending your right to breathe smokefree air since 1976 Percent U.S. State Populations Covered by 100% Smokefree Air April 1, 2018 This table lists the percent each state s population covered by air laws
More informationForensic Patients in State Hospitals:
Forensic Patients in State Hospitals: 1999-2016 Vera Hollen, M.A. Senior Director of Research & Consulting Director, Mental Health/Criminal Justice Research Center National Association of State Mental
More informationResponses to a 2017 Survey on State Policies Regarding Community Health Workers: Home Visiting to Improve the Home Environment
Responses to a 2017 Survey on State Policies Regarding Community Health Workers: Home Visiting to Improve the Home Environment The National Academy for State Health Policy (NASHP), with support from the
More informationAverage Number Citations per Recertification Survey
10 Average Citations per Recertification Survey 201 201 2017 1Q 8 7.7 7.3 3 3.3 3..2 2 1 0..80.2.0.8.70.8.17.8.1 7.3 SRO SERO NERO NRO WRO WI 1 Source: WI DQA, March 31, 2017 3% Percentage of Recertification
More informationMedical Marijuana Responsible for Traffic Fatalities Alfred Crancer, B.S., M.A.; Phillip Drum, Pharm.D.
Medical Marijuana Responsible for Traffic Fatalities Alfred Crancer, B.S., M.A.; Phillip Drum, Pharm.D. Abstract In California, where only 25% of the drivers in fatal crashes are tested for drugs, 252
More informationThe Rural Health Workforce. Policy Brief Series. Data and Issues for Policymakers in: Washington Wyoming Alaska Montana Idaho
The Rural Health Workforce Data and Issues for Policymakers in: Washington Wyoming Alaska Montana Idaho Policy Brief Series ISSUE #1: THE RURAL HEALTH WORKFORCE: CHALLENGES AND OPPORTUNITIES ISSUE #2:
More informationNCQA did not add new measures to Accreditation 2017 scoring.
2017 Accreditation Benchmarks and Thresholds 1 TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Policy DATE: August 2, 2017 RE: 2017 Accreditation Benchmarks and Thresholds
More informationThe FASD Regional Training Centers: What do they offer and what can they do for you?
The FASD Regional Training Centers: What do they offer and what can they do for you? Elizabeth P. Dang, MPH Behavioral Scientist, FAS Prevention Team Prevention Research Branch, DBDDD, NCBDDD NBDPN 14
More informationEnhancing IHB-FIMR Data to Stimulate Fetal and Infant Mortality Reduction Strategies in Marion County, IN
Enhancing IHB-FIMR Data to Stimulate Fetal and Infant Mortality Reduction Strategies in Marion County, IN Teri Conard, MS, RN FIMR Coordinator, Marion County Public Health Department Carol Shieh, DNCs,
More informationB&T Format. New Measures. Better health care. Better choices. Better health.
1100 13th Street NW, Third Floor Washington, DC 20005 phone 202.955.3500 fax 202.955.3599 www.ncqa.org TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Policy DATE: February
More informationUsing Policy, Programs, and Partnerships to Stamp Out Breast and Cervical Cancers
Using Policy, Programs, and Partnerships to Stamp Out Breast and Cervical Cancers National Conference of State Legislatures Annual Meeting J August 2006 Christy Schmidt Senior Director of Policy National
More informationApril 25, Edward Donnell Ivy, MD, MPH
HRSA Hemoglobinopathies Programs: Sickle Cell Disease Newborn Screening Follow-Up Program(SCDNBSP) and Sickle Cell Disease Treatment Demonstration Regional Collaboratives Program (SCDTDP) April 25, 2017
More informationB&T Format. New Measures. 2 CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Policy DATE: February 4, 2018 RE: 2018 Accreditation Benchmarks and Thresholds This document reports national benchmarks and
More informationThe 2004 National Child Count of Children and Youth who are Deaf-Blind
The 2004 National Child Count of Children and Youth who are Deaf-Blind NTAC The Teaching Research Institute Western Oregon University The Helen Keller National Center Sands Point, New York The National
More informationInstant Drug Testing State Law Guide
Instant Drug Testing State Law Guide State Alabama Alaska Arizona POCT / Instant Testing Status Comment outside this voluntary law but not by companies that wish to qualify for the WC discount. FDA-cleared
More informationB&T Format. New Measures. Better health care. Better choices. Better health.
1100 13th Street NW, Third Floor Washington, DC 20005 phone 202.955.3500 fax 202.955.3599 www.ncqa.org TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Policy DATE: August 13,
More informationAutism Activities at CDC: The Public Health Model
Autism Activities at CDC: The Public Health Model Act Early Region II Summit Bronx, NY March 26, 2009 Marshalyn Yeargin-Allsopp, MD Georgina Peacock, MD, MPH National Center on Birth Defects and Developmental
More informationMAKING WAVES WITH STATE WATER POLICIES. Washington State Department of Health
MAKING WAVES WITH STATE WATER POLICIES Washington State Department of Health Lead poisoning is a public health problem. Health Effects of Lead Lead Exposures and Pathways HOME Paint Lead pipes Lead solder
More informationPerinatal Health in the Rural United States, 2005
Perinatal Health in the Rural United States, 2005 Policy Brief Series #138: LOW BIRTH WEIGHT RATES IN THE RURAL UNITED STATES, 2005 #139: LOW BIRTH WEIGHT RATES AMONG RACIAL AND ETHNIC GROUPS IN THE RURAL
More informationAn Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth
An Unhealthy America: The Economic Burden of Chronic Disease Charting a New Course to Save Lives and Increase Productivity and Economic Growth Ross DeVol Director, Center for Health Economics Director,
More informationNCDB The National Center on Deaf-Blindness
The 2016 National Child Count of Children and Youth who are Deaf-Blind NCDB The National Center on Deaf-Blindness October 2017 Table of Contents The 2016 National Child Count of Children and Youth who
More informationCDC activities Autism Spectrum Disorders
CDC activities Autism Spectrum Disorders Georgina Peacock, MD, MPH Centers for Disease Control and Prevention National Center on Birth Defects and Developmental Disabilities The findings and conclusions
More informationIt's tick time again! Recognizing black-legged (deer ticks) and measuring the spread of Lyme disease
It's tick time again! Recognizing black-legged (deer ticks) and measuring the spread of Lyme disease Actual sizes: These guys below (Ixodes scapularis) spread Lyme and other tick born diseases. Ixodes
More informationThe Healthy Indiana Plan
The Healthy Indiana Plan House Enrolled Act 1678 A Pragmatic Approach Governor Mitch Daniels July 16, 2007 Indiana s Fiscal Health is Good First Back-to-Back Balanced Budget in Eight Years $1,000.0 Revenue
More informationSTATE RANKINGS REPORT NOVEMBER mississippi tobacco data
STATE RANKINGS REPORT NOVEMBER 2017 mississippi tobacco data METHODS information about the data sources the youth risk behavior surveillance system The Youth Risk Behavior Surveillance System (YRBSS)
More informationWest Nile virus and other arboviral activity -- United States, 2013 Provisional data reported to ArboNET Tuesday, January 7, 2014
West Nile virus and other arboviral activity -- United States, 2013 reported to ArboNET Tuesday, This update from the CDC Arboviral Diseases Branch includes provisional data reported to ArboNET for January
More informationTHE STEPPING UP INITIATIVE
THE STEPPING UP INITIATIVE The Problem Each year, there are an estimated 2 million people with serious mental illnesses admitted to jail across the nation. Almost three quarters of these adults also have
More informationMethamphetamines: A National and State Crisis. Research Brief. Prepared by
Methamphetamines: A National and State Crisis Research Brief Prepared by P. Allison Minugh, Ph.D. Nicoletta A. Lomuto, M.S. Kelly R. Breeden, M.S. Dennis Embry, Ph.D. Headquarters Two Richmond Square Providence,
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 48 Influenza activity continued to increase during week 48 and ranged from minimal to high, depending on the state. The percentage of outpatient visits due to ILI continued to increase
More informationThe Chiropractic Pediatric CE Credit Program with Emphasis on Autism
The Chiropractic Pediatric CE Credit Program with Emphasis on May 24-26, 2018- Lombard, IL The seminar meets all standards or is approved for 24 HOURS of Continuing Education credit in the following states
More informationSUMMARY OF SYNTHETIC CANNABINOID BILLS
SUMMARY OF SYNTHETIC CANNABINOID BILLS Alabama: H.B. 163, S.B. 235, S.B. 283 indefinitely postponed as of 6/1/2011 - amends existing statute regarding chemical compounds to add JWH-200 and CP 47,497 Alaska:
More informationMetLife Foundation Alzheimer's Survey: What America Thinks
MetLife Foundation Alzheimer's Survey: What America Thinks May 11, 2006 Conducted by: Harris Interactive 2005, Harris Interactive Inc. All rights reserved. Table of Contents Background and Objectives...
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 45 (03 November 10 November 2018) In NORTHCOM during week 45 Influenza activity was minimal to low for most
More informationKentucky s Plan to Address the Opioid Crisis National Statistics. Scope of the Problem 3/14/18
Kentucky s Plan to Address the Opioid Crisis Dr. Katherine Marks Critical Access Hospital Substance Abuse Summit March 8, 2018 2016 National Statistics Deaths per 100,000 population 25 20 15 10 5 Scope
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 42 (14 October 20 October 2018) In NORTHCOM during week 42 Influenza activity was minimal to low for NORTHCOM,
More informationDEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 17 (22 Apr 28 Apr 2018)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 17 (22 Apr 28 Apr 2018) In NORTHCOM during week 17 Influenza activity continued to be minimal for the majority
More information-Type of immunity that is more permanent (WBC can Remember)
-Type of immunity that is more permanent (WBC can Remember).Get disease- Your body produces its own antibodies (killer T cells) to attack a particular pathogen 2.Vaccination- Injection containing a dead
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 13 (04 Mar 07 Apr 2018) In NORTHCOM during week 13 Influenza activity was minimal to low for the majority
More informationHIV in Prisons,
U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Bureau of Justice Statistics BULLETIN HIV in Prisons, 2007-08 Laura M. Maruschak BJS Statistician Randy Beavers, BJS Intern
More informationAnalysis of State Medicaid Agency Performance in Relation to Incentivizing the Provision of H1N1 Immunizations to Eligible Populations
Analysis of State Medicaid Agency Performance in Relation to Incentivizing the Provision of H1N1 Immunizations to Eligible Populations Nancy Lopez, JD, MPH, Ross Margulies, JD/MPH [Cand.], and Sara Rosenbaum,
More informationHepatitis C: The State of Medicaid Access. Preliminary Findings: National Summary Report
Hepatitis C: The State of Medicaid Access Preliminary Findings: National Summary Report November 14, 2016 Table of Contents Introduction...... 3 Methods... 4 Findings.... 5 Discussion.. 13 Conclusion...
More informationOVERVIEW OF STATE OPIOID POLICY AND LEGISLATION AMBER WIDGERY & ALISON LAWRENCE JUNE 2018
OVERVIEW OF STATE OPIOID POLICY AND LEGISLATION AMBER WIDGERY & ALISON LAWRENCE JUNE 2018 CRIMINAL JUSTICE SYSTEM: EARLY INTERVENTIONS Naloxone Access Laws Immunity For: Authorizes: Prescribers Dispensers
More informationYouth and Adult Marijuana Use
January 2016 The Legalization of Marijuana in Colorado: The Impact Latest Results for Colorado Youth and Adult Marijuana Use ROCKY MOUNTAIN HIGH INTENSITY DRUG TRAFFICKING AREA www.rmhidta.org 1 P a g
More informationSave Lives and Money. Help State Employees Quit Tobacco
Save Lives and Money Help State Employees Quit Tobacco 2009 Join These 5 Leading States Cover All the Treatments Your State Employees Need To Quit Tobacco 1 2 Follow these leaders and help your state employees
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 01 Northern Command -- Week 01 (31 Dec 2017 06 Jan 2018) Influenza activity continued to increase with the majority of states still experiencing moderate to high activity. The percentage
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 16 (15 Apr 21 Apr 2018) In NORTHCOM during week 16 Influenza activity continued to be minimal for the majority
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 9 ( 02 December 08 December 2018) In NORTHCOM during week 9 Influenza activity remained similar to last week
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 8 (25 November December 1, 2018) In NORTHCOM during week 8 Influenza activity continued to increase throughout
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationPETITION FOR DUAL MEMBERSHIP
PLEASE PRINT: PETITION FOR DUAL MEMBERSHIP Bradenton, Florida this day of, AD. To the Master, Wardens and Members of Manatee Lodge No. 31, F&AM: (The Petitioner will answer the following questions) What
More informationDEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 15 (07 April 2019 013 April 2019) In NORTHCOM during week 15 Influenza activity returned to minimal or continued
More informationHIV/AIDS and other Sexually Transmitted Diseases (STDs) in the Southern Region of the United States: Epidemiological Overview
HIV/AIDS and other Sexually Transmitted Diseases (STDs) in the Southern Region of the United States: Epidemiological Overview Prepared by The Henry J. Kaiser Family Foundation for Southern States Summit
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 50 DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 50 (09 December 15 December 2018) Influenza activity decreased in many states,
More informationHIV in Prisons, 2000
U.S Department of Justice Office of Justice Programs Bureau of Justice Statistics Bulletin October, NCJ HIV in Prisons, By Laura M. Maruschak BJS Statistician On December,,.% of State prison inmates, and.%
More informationNM Coalition of Sexual Assault Programs, Inc.
NM Coalition of Sexual Assault Programs, Inc. PREVALENCE OF SEXUAL VIOLENCE AMONG WOMEN IN NEW MEXICO: A SUMMARY OF THE FINDINGS FROM THE NATIONAL INTIMATE PARTNER AND SEXUAL VIOLENCE SURVEY 2010 2012
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 05 DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 05 (27 January 2019 02 February 2019) Influenza activity increased in several states
More informationThe 2010 National Child Count of Children and Youth who are Deaf-Blind
The 2010 National Child Count of Children and Youth who are Deaf-Blind NCDB The National Consortium on Deaf-Blindness The Teaching Research Institute Western Oregon University The Helen Keller National
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 09 DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 09 (24 February 2019 02 March 2019) Influenza activity continued to increase, especially
More informationWest Nile virus and other arboviral activity -- United States, 2016 Provisional data reported to ArboNET Tuesday, October 11, 2016
West Nile virus and other arboviral activity -- United States, 2016 Provisional data reported to ArboNET Tuesday, October 11, 2016 This update from the CDC Arboviral Disease Branch includes provisional
More informationShannon Whitman Program Administrator Advancing Use of the MN PMP
Shannon Whitman Program Administrator Advancing Use of the MN PMP TODAY S OBJECTIVE What is a PMP/PDMP, why do we need one? What is the national status of PMPs? Minnesota s intent of the PMP What does
More informationOpioid Abuse and Dependence. A National Tapestry of Care and Cost with a State-by-State Analysis
WHITE PAPER A National Tapestry of Care and Cost with a State-by-State Analysis A FAIR Health White Paper, August 2018 Copyright 2018, FAIR Health, Inc. All rights reserved. Summary Following its series
More informationSeptember 20, Thomas Scully Administrator Centers for Medicare and Medicaid Services 200 Independence Avenue SW Washington, DC 20201
September 20, 2001 Thomas Scully Administrator Centers for Medicare and Medicaid Services 200 Independence Avenue SW Washington, DC 20201 Dear Mr. Scully: The medical organizations listed below would like
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 52 DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 52 (23 December 29 December 2018) Influenza activity remained similar to last week
More informationContents. Introduction. Acknowledgments. 1 Assisted Reproduction and the Diversity of the Modern Family 1. 2 Intrauterine Insemination 31.
Introduction Acknowledgments xvii xix 1 Assisted Reproduction and the Diversity of the Modern Family 1 1.1 Assisted Reproduction Technology Today....1 1.2 ART and Marriage...5 1.3 Evolution of the Family...8
More informationPlan Details and Rates. Monthly Premium Rate Schedule
Basis of Reimbursement Plan Details and Rates MetLife Option 1 (Low) MetLife Option 2 (High) In-Network Out-of-Network In-Network Out-of-Network 70th percentile 70th percentile of Negotiated Negotiated
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 02 DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 02 (06 January 2019 12 January 2019) Influenza activity decreased in several states,
More informationHealth Care Reform: Colorectal Cancer Screening Expansion, Before and After the Affordable Care Act (ACA)
University of Arkansas for Medical Sciences From the SelectedWorks of Michael Preston April 9, 2014 Health Care Reform: Colorectal Cancer Screening Expansion, Before and After the Affordable Care Act (ACA)
More information2003 National Immunization Survey Public-Use Data File
SECTION 1. ID, WEIGHT AND FLAG VARIABLES Section 1 Variable Name SEQNUMC Label UNIQUE CHILD IDENTIFIER Frequency of Missing/Non-missing Values All Data 30930 21310 NON-MISSING CHARACTER STRING 000011 MINIMUM
More informationDEPARTMENT OF DEFENSE (AFHSB)
In NORTHCOM during week 01 DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 01 (30 December 2018 05 January 2019) Influenza activity increased across the US,
More informationGeographical Accuracy of Cell Phone Samples and the Effect on Telephone Survey Bias, Variance, and Cost
Geographical Accuracy of Cell Phone Samples and the Effect on Telephone Survey Bias, Variance, and Cost Abstract Benjamin Skalland, NORC at the University of Chicago Meena Khare, National Center for Health
More informationExhibit 1. Change in State Health System Performance by Indicator
Exhibit 1. Change in State Health System Performance by Indicator Indicator (arranged by number of states with improvement within dimension) Access and Affordability 0 Children ages 0 18 uninsured At-risk
More informationNM Coalition of Sexual Assault Programs, Inc.
NM Coalition of Sexual Assault Programs, Inc. PREVALENCE OF INTIMATE PARTNER VIOLENCE AND STALKING AMONG WOMEN IN NEW MEXICO: A SUMMARY OF THE FINDINGS FROM THE NATIONAL INTIMATE PARTNER AND SEXUAL VIOLENCE
More informationDEPRESSION - SUICIDE. Dr.Gregory A. Hudnall Associate Superintendent Provo City School District
DEPRESSION - SUICIDE Dr.Gregory A. Hudnall Associate Superintendent Provo City School District Many are giving up heart for the battle of life... as the showdown between good and evil approaches with its
More informationMarch 5, The Honorable John A. Boehner Speaker U.S. House of Representatives H-232 U.S. Capitol Building Washington, DC 20515
March 5, 2014 The Honorable John A. Boehner Speaker U.S. House of Representatives H-232 U.S. Capitol Building Washington, DC 20515 The Honorable Nancy Pelosi Minority Leader U.S. House of Representatives
More informationPrescription Drug Monitoring Program (PDMP) Delaware. Information contained in this presentation is accurate as of November 2017
Prescription Drug Monitoring Program (PDMP) Delaware Information contained in this presentation is accurate as of November 2017 Dr. Michael C. Dejos, PharmD, BCPS, LSSBB 2 Acknowledgements Christian Ruffin,
More informationQuarterly Hogs and Pigs
Quarterly Hogs and Pigs ISSN: 9- Released December 22,, by the National Agricultural Statistics Service (NASS), Agricultural Statistics Board, United s Department of Agriculture (USDA). United s Hog Inventory
More informationCMS Oral Health Ini9a9ve - Goals
6/28/12 CMS Oral Health Initiative: Update on Goals and Action Plans Photo 1 Photo 1 2012 MSDA National Medicaid and CHIP Oral Health Symposium: Designing Quality in High Definition Photo 2 Photo 2 Laurie
More informationQuarterly Hogs and Pigs
Quarterly Hogs and Pigs ISSN: 9- Released December 23,, by the National Agricultural Statistics Service (NASS), Agricultural Statistics Board, United s Department of Agriculture (USDA). United s Hog Inventory
More informationCessation and Cessation Measures
Cessation and Cessation Measures among Adult Daily Smokers: National and State-Specific Data David M. Burns, Christy M. Anderson, Michael Johnson, Jacqueline M. Major, Lois Biener, Jerry Vaughn, Thomas
More information