18 Months

Did Changes in Controlled Substance Prescribing Licensing Lead to Changes in Opioid Prescribing or Adverse Outcomes?

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

Electronic Device Use and Distracted Driving Fatalities: Do State Regulations Matter?

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

Mental Health and Proactive Policing: Individual and Community Effects

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

Reassessing the Effectiveness of Prescription Monitoring Programs

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

Measuring the Impact of Sources and Types of Funding on Health Care Outcomes for Children in Foster Care in Ohio

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; Crystal Ward Allen, MSW; Catherine Cerulli, JD, PhD; Rhonda Reagh

Does Mandatory Public Infection Reporting Affect Infection Rates?

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

The Effect of Peak-Shaving Regulations on the Activity, Toxic Emissions, and Health Impacts of Local Power Plants

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

Results
State Foodborne Illness Surveillance and Response Laws: Compilation and Analysis

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

Do brief incarcerations before jail diversion enhance its legal leverage and improve outcomes among people with serious mental illness in Connecticut?

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

Barriers to Reason: Laws Impacting HIV Prevention Efforts among injecting drug users in the United States

The project aims to identify the impact of laws and regulations in the United States that allow and/or restrict harm reduction interventions, including syringe exchange programs (SEPs) and naloxone delivery on public health outcomes among injecting drug users (IDUs). Methods will include a review of state and local laws pertaining to SEPs, non-prescription sale of syringes, and naloxone delivery as well as a review of harm reduction programs, including, size, reach, and their scope of services. State laws and local regulations have a significant impact on the availability of sterile injecting equipment, thus influencing HIV and HCV spread among IDUs. Similarly, the accessibility of medicines to reverse or prevent lethal overdose is also controlled by legal statutes.

Grant Number: 6367

Funding Date: Tue, 11/15/2011

Researching Institution: amfAR, The Foundation for AIDS Research

Researcher: Chris Collins, MPP; Don Des Jarlais, PhD