Stakeholders in sports medicine have focused on decreasing the risk of repeated concussions among athletes. This study will use a random sample of high schools in Washington to determine the effect of the type of implementation of concussion-related laws on the risk of playing with concussive symptoms, the methods by which these return-to-play (RTP) laws are implemented, and the effect of those methods on concussion outcomes is unknown. Examination of this implementation can lead to a better understanding of the factors associated with the greatest impact on outcomes from RTP laws.
Grant Number: 6391
Funding Date: Tue, 11/15/2011
Researching Institution: University of Washington
Researcher: Frederick Rivara, MD, MPH
Unintentional fatalities because of prescription medications are an increasing problem in Utah and the United States. In response to this crisis of drug-related harm, the state government of Utah has undertaken several regulatory changes including promulgating guidelines for opioid prescribing and mandating that providers register to use the online portal for access to the Utah Controlled Substances Database (CSD), a registry of all filled prescriptions for schedule II-V drugs. This study aims to evaluate the impact of three regulations on prescribing patterns, use of the online system to access the CSD and adverse drug events.
Grant Number: 6369
Funding Date: Tue, 11/15/2011
Researching Institution: University of Utah
Researcher: Christina Porucznik, PhD, MSPH; Brian Sauer, PhD
This study aims to evaluate the comparative effectiveness of state laws restricting use of electronic devices while driving in reducing fatalities on public roads and examine the interrelationship between distracted driving, alcohol consumption and state law.
Grant Number: 6360
Funding Date: Tue, 11/15/2011
Researching Institution: University of North Texas Health Science Center
Researcher: Fernando Wilson, PhD
Proactive policing has become a primary strategy for controlling violence and disorder in urban America. The key tactic is the widespread use of "Terry" stops, where police temporarily detain, frisk and perhaps search persons or their property when an officer has "reasonable suspicion" to suspect that "crime is afoot." This project will identify the effects of proactive policing on the mental and physical health of persons stopped. Law enforcement policies will be constructively informed by the identification of common practices that adversely affect the mental health of citizens. The project will assess the effects on community mental and physical health of "stop and frisk" or "Terry" stops, the dominant law enforcement strategy for violence reduction in urban areas.
Grant Number: 6379
Funding Date: Tue, 11/15/2011
Researching Institution: Trustees of Columbia University in the City of New York
Researcher: Jeffrey Fagan, PhD; Amanda Geller, PhD, MEng, BS
Prescription drug overdose deaths, mostly from opioid pain relievers, now outpace motor vehicle fatalities in most states. In about 35 states, electronic databases known as prescription monitoring programs (PMPs) are intended to reduce abuse of prescription drugs and overdose by tracking pharmacy dispensing and making data available to clinicians and law enforcement. This study will provide evidence-based information of effectiveness to administrators and inform policy decisions at the national level.
Grant Number: 6387
Funding Date: Tue, 11/15/2011
Researching Institution: University of North Carolina at Chapel Hill
Researcher: Nabarun Dasgupta, MPH; Corey Davis, JD, MSPH
Public health law research usually focuses on the substantive laws that effect health, not the accompanying funding laws. This study addresses a question that permeates public health law research: does the source and/or type of funding, not just the amount of funding, impact health outcomes? In 44 of Ohio's 88 counties, there is a dedicated local levy that provides flexible local child welfare funding. In 18 of the 88 counties, there was a IV-E waiver to provide flexible federal funding. The project analyzes 10 years of county level data provided by Public Children's Services Association of Ohio. Findings will identify key elements of successful funding strategies that may be adopted in other jurisdictions to improve outcomes for children in state care and thereby improve the mental health of children who have experienced state care.
Grant Number: 6388
Funding Date: Tue, 11/15/2011
Researching Institution: Research Foundation of State University of New York on behalf of University at Buffalo
Researcher: Susan Mangold, JD; Gregory Kapcar, MPA
The United States suffers from an epidemic of health-care-associated infections (HAIs): 1.7 million annual infections, and 100,000 deaths. Many HAIs are preventable, but hospitals have limited incentives to prevent them. Over 20 states now have laws requiring hospitals to publicly report infection rates, and national reporting is coming. This study will explore whether reporting induces hospitals to reduce actual HAI rates, reported rates, or both; whether infection preventionists and consumers use the reports; compare the effectiveness of different reporting schemes; and assess how public health agency choices in implementing these programs affect their success.
Grant Number: 6375
Funding Date: Tue, 11/15/2011
Researching Institution: Northwestern University
Researcher: Bernard Black, MA, JD; David Hyman, JD, MD
This project aims to study whether laws that target reducing emissions from local polluting activities have distinguishable health impacts: What federal, state, and local regulations can reduce or shift electricity demand in New York City away from peak hours; how will local New York City power plants respond to that changing demand; and will those plant-specific responses have any significant health impacts for local populations?
Grant Number: 6371
Funding Date: Tue, 11/15/2011
Researching Institution: New York University
Researcher: Michael Livermore, JD; George Thurston, ScD
This study proposes to conduct a systematic review and gap analysis of state laws relating to foodborne illness surveillance and outbreak response (FISOR). Laws will be collected from legal databases, state agency websites, and direct contact with state food safety officials. This effort will be complemented by an online survey to be conducted with state food safety officials. Food safety stakeholders could use the database for research and analysis purposes; states may find the gap analysis useful in assessing how laws and regulations may be updated, and outbreak and response professionals may find the results important to improving the operational outbreak response environment.
Grant Number: 6356
Funding Date: Tue, 11/15/2011
Researching Institution: George Washington University
Researcher: Rebecca Katz, PhD, MPH; Stephanie David, JD, MPH
Two million people with serious mental illness (SMI) enter U.S. jails each year. Jail diversion is a legal practice in which people with SMI are diverted from the criminal justice (CJ) system and in to treatment. The project will assess how brief jail stays before initiating diversion versus immediate diversion: 1) increase participants treatment adherence and reduce use of crisis care; 2) reduce recidivism among participants, including violent crimes and drug offenses that impact public safety; and 3) increase cost-effectiveness, a critical measure of success for widespread implementation of jail diversion. This analysis will inform potential statutory change requiring brief incarcerations prior to diversion.
Grant Number: 6382
Funding Date: Tue, 11/15/2011
Researching Institution: Duke University
Researcher: Allison Robertson, PhD, MPH; Marvin Swartz, MD