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News From the Field Health

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Current Causes of Death in Children and Adolescents in the United States
 (Goldstick et al.)<p>​New England Journal of Health, Letter 4/20/22</p><p>Researchers from the University of Michigan report that in 2020, firearm-related deaths in the US reached a new peak and surpassed motor vehicle fatalities as the leading cause of death. </p>
2022 National Drug Control Strategy <p>​The Office of National Drug Control Policy (ONDCP) recently published its annual <strong><a href="" target="_blank" data-saferedirecturl="">report</a> </strong>online<strong>. </strong>A <strong><a href="" target="_blank" data-saferedirecturl="">summary of the strategy</a></strong> is also available.</p>
STDs in the US Continued to Increase in the First Year of the Pandemic<p>​CDC presents comparative STD case data between 2019 and 2020 from the <strong><a href="" target="_blank" data-saferedirecturl="">2020 STD Surveillance Report</a> </strong>(which includes Delaware data). </p>
AHRQ Stats: State Variations in Mental Disorders (2016-2018)<p>​"State rates of inpatient stays for the leading five mental disordersvaried widely across the 38 States [including Delaware] included in this Statistical Brief...."  (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #288, Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018.) </p>
Trauma-Informed Criminal Investigations Field Guide<p>A publication of the United Nations Investigative Team to Promote Accountability and the Human Rights in Trauma Mental Health Program at Stanford University.</p><p>“Engaging with witnesses and survivors in a manner sensitive to the trauma they may have suffered has been a central priority of UNITAD. In addition to mainstreaming a psycho-social approach in the collection of testimonial evidence, the UNITAD Witness Protection and Support Unit has developed guidance documents and in-house training to enhance the ability of investigators to engage with vulnerable witnesses in a manner aligned with best practice.” </p>
As Male and Female Drinking Patterns Become More Similar, Adverse Alcohol Risks for Women Become More Apparent<p>​From the NIAAA Spectrum: "A consistent finding of epidemiological studies in recent years has been that measures of total alcohol consumption and misuse among women have largely converged with those of men, and women are more likely to suffer harmful consequences of drinking,” says NIAAA Director George F. Koob, Ph.D. “While men still hold a dubious ‘lead’ in these categories, the differences are much smaller now than they were throughout the last century, when measures of alcohol consumption and harmful alcohol use by men exceeded those of women by as much as a 3 to 1 margin.”<br></p>
Methamphetamine-involved overdose deaths nearly tripled between 2015-2019<p>​A study by the National Institute on Drug Abuse documents the recent rise in methamphetamine-involved overdose deaths.<br></p>
Perceived Social and Emotional Support: United States, July-December 2020<p>​The CDC recently published several brief reports on findings from the 2020 National Health Interview Survey (NHIS) including this report on perceptions of social and emotional report.<br></p>
Mental Health Treatment Among Adults: United States, 2020<p>​The CDC recently published several brief reports on findings from the 2020 National Health Interview Survey (NHIS) including this report on mental health treatment of adults.<br></p>
2020 Key Substance Use and Mental Health Indicators from the National Survey on Drug Use and Health (NSDUH)<p>​“The Substance Abuse and Mental Health Services Administration (SAMHSA) has released findings from the 2020 National Survey on Drug Use and Health (NSDUH). The data suggest that the COVID-19 pandemic had a negative impact on the nation’s well-being. Americans responding to the NSDUH survey reported that the coronavirus outbreak adversely impacted their mental health, including by exacerbating use of alcohol or drugs among people who had used drugs in the past year....Several changes to the 2020 NSDUH prevent its findings from being directly comparable to recent past-year surveys,...<strong>"</strong></p>
State Performance & Best Practices for the Prevention and reduction of underage drinking report 2020<p>​This report highlights policies identified as best practices or with the potential  to prevent and reduce underage drinking. It also summarizes state and the District of Columbia's progress towards meeting this goal.<br></p>
Report to Congress on the Prevention and reduction of Underage Drinking 2020<p>​This annual report, submitted to meet the requirement of the Sober Truth on Preventing Underage Drinking Act (STOP), provides an overview of the progress to address this form of substance use and highlights data from multiple national sources such as the National Drug Use and Health Survey, the Youth Risk Behavior Survey, and Monitoring the Future. <br></p>
Advisory: Prescription Stimulant Misuse Among Youth and Young Adults<p>​From the Substance Use and Mental Health Services Administration (SAMHSA), this advisory reviews the evidence on prescription stimulant misuse among youth and young adults, identifies associated risk and protective factors, and provides prevention guidance for stakeholders.</p>
Four Things to Know About Depression and Older Adults<p>​The National Institute on Aging has developed an infographic and resources addressing depression among older adults that can be shared electronically and on social media. </p>
Psychosocial Interventions for Older Adults With Serious Mental Illness <p>​From the Substance Use and Mental Health Services Administration (SAMHSA), this guide provides an overview implementing evidence-based interventions to address the needs of older adults with serious mental illness. It is intended for interdisciplinary teams, peer specialists, clinicians, registered nurses, behavioral health organizations, and policy makers.</p>
Sexual Violence in Disasters<p>​The National Sexual Violence Resource Center (NSVRC) and its collaborators developed a collection of resources for the prevention of sexual violence during a disaster, such as the COVID-19 pandemic. </p>
Supporting Mental Health in Schools<p>​The American Academy of Pediatrics (AAP), in partnership with the National Center for School Mental Health (NCSMH) and with support from the Centers for Disease Control and Prevention (CDC) Division of Adolescent and School Health (DASH), conducted in-depth interviews with representatives of seven U.S. school districts with comprehensive school mental health systems (CSMHSs). This report highlights findings and insights into core features of comprehensive school mental health systems (CSMHSs) and recommendations for implementation and strengthening of these systems, including opportunities for greater engagement of pediatricians and the pediatric community.</p>
Behavioral Health Implementation Guide for the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care<p>​SAMHSA and the HHS Office of Minority Health developed and releases "Behavioral Health Implementation Guide for the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care."</p>
Journal article on the "Adverse Birth Outcomes Associated With Prepregnancy and Prenatal Electronic Cigarette Use."<p>​This journal article explores the adverse birth risks associated with the use electronic cigarettes before and during pregnancy. <br></p>
WHO releases report on the "Global Tobacco Epidemic"<p>​"This report tracks the progress made by countries in tobacco control since 2008 and, for the first time, presents data on electronic nicotine delivery systems, such as ‘e-cigarettes’. The report shows that many countries are making progress in the fight against tobacco, but some are not addressing emerging nicotine and tobacco products and failing to regulate them" </p>
COVID-19 Public Health Emergency - Preliminary Medicaid and CHIP Data Snapshot<p>​This report explores COVID-19's effect on Medicaid and CHIP services and utilization through October 31, 2020. CMS " show that, from March through October 2020, beneficiaries have foregone millions of primary, preventive, and mental health care visits due to the COVID-10 PHE, compared to the same time period in 2019. Although utilization rates for some treatments have rebounded to pre-pandemic levels, mental health services show the slowest rebound...."</p>
NIH: " Structural Racism and Discrimination: Impact on Minority Health and Health Disparities"<p>​This supplemental "Ethnicity and Disease" journal issue "highlight[s] the need for a broader approach —one that addresses the interconnected systems perpetuating racism and other forms of discrimination—to reduce health disparities...."</p>
NIAAA Article "Brain Research: A Focus on Childhood Trauma and Alcohol Misuse"<p>​This article reviews literature on the connections between childhood trauma, alcohol misuse, and the development of the brain.<br></p>
National Center of Health Statistics releases Drug Poisoning Mortality Report<p>​"This <a href="" target="_blank">NCHS Health E-Stat</a> provides information on drug overdose mortality by state (and the District of Columbia) and by race and ethnicity, and adds to findings from a recently published Data Brief on drug overdose death rates."</p>
U.S. Census releases brief on Childhood Disabilities in the United States<p align="left">Using estimates from the U.S. Census Bureau 2019 American Community Surveys, this brief examines the prevalence of disabilities among children and compares this against 2008 data.   </p>
New SAMHSA Guide Highlights HIV Prevention and Treatment for People with Substance Use and/or Mental Disorders<p>​"The HHS Substance Abuse and Mental Health Services Administration (SAMHSA) has released <a href="" target="_blank">Prevention and Treatment of HIV Among People Living with Substance Use and/or Mental Disorders</a>, a guidebook that addresses the co-occurrence of HIV and mental illness and/or substance use disorder and reviews effective programs and practices to prevent HIV and, for those with HIV, to increase linkage and retention to care in order to improve health outcomes..."</p><p>Click <a href="" target="_blank">here</a> to access the publication.<br></p>
CDC Reports on the "State of State, Territorial, and Tribal Suicide Prevention"<p>​The new <a href="" target="_blank">CDC report</a> "found a diverse array of resources and activitiess across states, territories, and tribes for suicide prevention. The report identifies key areas for improvement and gaps in capacity to carry out a comprehensive approach needed to address the problem of suicide in our country."</p><p>Click <a href="" target="_blank">here</a> to access the publication.<br></p>
CDC Report Shows a Decline in Suicide Rates Between 2018-2019 and Other Key Findings in Suicide Prevention<p>The <a href="" target="_blank">CDC</a> found that, "in 2019, approximately 47,500 lives were attributed to suicide. From 2018 to 2019, the suicide rate declined for the first time in more than a decade..."</p><p>Click <a href="" target="_blank">here</a> to access the publication.<br></p>
SAMHSA Reviews Interventions for "Treatment for Youth and Young Adults with Mood Disorders and other Serious Emotional Disturbances and Co-occurring Substance Use"<p>​"This <a href="" target="_blank">guide</a> reviews interventions on treating substance misuse and substance use disorders (SUD) in youth with serious emotional disturbances (SED), distills the research into recommendations for practice, and provides examples of the ways that these recommendations can be implemented."</p><p>Click <a href="" target="_blank">here</a> to access the publication.<br></p>
APA releases findings on the health consequences of pandemic stress<p>APA’s <a href="" target="_blank" data-saferedirecturl="">Stress in America<sup>TM</sup> poll reveals secondary pandemic health crisis</a>; parents, essential workers, communities of color more likely to report mental, physical health consequences.</p><p>Click <a href="" target="_blank">here</a> to access the publication.</p>
Review and Prevention of Child Deaths - 2019 Annual Report and Supplemental Materials<p>Delaware Child Deaths Review Commission</p><p>The Child Death Review Commission was established “in order to provide its findings or recommendations to alleviate those practices or conditions which impact the mortality of children and pregnant women.” </p><p>Click <a href="" target="_blank">here</a> to access the publication<br></p>
Prescription Opioid Misuse and And Use of Alcohol and Other Substances Among High School Students - Youth Risk Behavior Survey, United States, 2019<p>Morbidity and Mortality Weekly Report (MMWR) August 20, 2020</p><p>"This report presents estimated prevalence of current (i.e., previous 30-days) marijuana use, prescription opioid misuse, alcohol use, and binge drinking and lifetime prevalence of marijuana, synthetic marijuana, cocaine, methamphetamine, heroin, injection drug use, and prescription opioid misuse among U.S. high school students." </p><p>Click <a href="" target="_blank">here</a> to access the publication.<br></p>
Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-June 30, 2020<p>Morbidity and Mortality Weekly Report (MMWR) August 14, 2020</p><p>"During June 24–30, 2020, U.S. adults reported considerably elevated adverse mental health conditions associated with COVID-19. Younger adults, racial/ethnic minorities, essential workers, and unpaid adult caregivers reported having experienced disproportionately worse mental health outcomes, increased substance use, and elevated suicidal ideation...."</p><p>Click <a href="" target="_blank">here</a> to access the publication.</p>
Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders <p>The Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine created the Forum on Mental Health and Substance Use Disorders to generate strategies to address the most persistent problems in delivering mental health and substance use services. This publication summarizes the presentations and discussion of the Forum's inaugural workshop held in October 2019 which explored the key policy challenges that impede efforts to improve care for those individuals with mental health and substance use disorders.</p><p>Click <a href="" target="_blank">here</a> to download the report.<br></p>
NAP - The State of Mental, Emotional, and Behavioral Health of Children and Youth in the United States<p>​New interventions have emerged to address the recent opioid crisis affecting young people and families across race, ethnicity, and socioeconomic level. However, there is no overarching strategy to collect data on or measure impact of these efforts. The National Academies of Sciences, Engineering, and Medicine convened a workshop in October 2019 to bring together relevant stakeholders and to highlight some of these potential solutions. This publication summarizes the presentations and discussions from the workshop.</p><p>Click <a href="" target="_blank">here</a> to access the publication.<br></p>
State Teen Birth Rates by Race and Hispanic Origin: United States, 2017-2018<p>​This National Vital Statistics report was prepared by the National Center for Health Statistics and highlights disparities among teen birth rates by ethnicity and state.</p><p>Click <a href="" target="_blank">here</a> to download the report.<br></p>
Connecting the Brain to the Rest of the Body: Early Childhood Development and Lifelong Health Are Deeply Intertwined<p>​This paper examines how different biological systems interact in developing children and how these systems adapt to adverse childhood experiences. The paper further explores how these adaptions can lead to lifelong negative consequences to both physical and mental health.</p><p>Click <a href="" target="_blank">here</a> to read the working paper.</p><p>Click <a href="" target="_blank">here </a>to read a brief of the paper.<br></p>
Just Released: New Healthy People Law and Health Policy Substance Abuse Report<p>Laws and policies can help support healthier, safer, and more livable communities, reduce the negative effects of alcohol use, and support achievement of national goals proposed by Healthy People 2020. </p><p>The newest report, <em>The Role of Law and Policy in Reducing Deaths Attributable to Alcohol to Reach Healthy People’s Substance Abuse Goals in the United States</em>, is the fourth in a series of reports that highlight the practical application of law and policy to improve health across the nation.<br></p>
Sexual Activity and Contraceptive Use Among Teenagers Aged 15–19 in the United States, 2015–2017<p>​Monitoring sexual activity and contraceptive use among teenagers aged 15–19 in the United States informs understanding of the risk of pregnancy. By 2018, the U.S. birth rate for teenagers dropped 72% from its peak in 1991 (<a href="" target="_blank" data-saferedirecturl="">1</a>), paralleling a decline in the teen pregnancy rate (<a href="" target="_blank" data-saferedirecturl="">1</a>,<a href="" target="_blank" data-saferedirecturl="">2</a>). While this represents progress toward national goals, these rates are still higher than those in other developed countries (<a href="" target="_blank" data-saferedirecturl="">3</a>,<a href="" target="_blank" data-saferedirecturl="">4</a>). Using data from the 2002 through 2015–2017 National Survey of Family Growth (NSFG), this report provides trends and national estimates of sexual activity and contraceptive use among teenagers.<br></p>
Maternal Morbidity and Mortality<p>This booklet from the National Institutes of Health (NIH) provides an overview of Maternal Morbidity and Mortality (MMM) in the U.S. along with a discussion of opportunities for prevention and intervention.</p><p><a href=""></a></p>
Federal Data Summary School Years 2015-2016 through 2017-2018 Education for Homeless Children and Youth<p>Among other findings, the number of enrolled students identified as homeless increased by 15% during this three-year period.</p><p><a href=""></a><br></p>
Breaking Down New CDC Data on Suicide from Discussing the CDC's Recent Mortality Data<p>A podcast by Education Development Center (EDC) showcases the current suicide trend as well as prevention resources. In this podcast, EDC’s Jerry Reed and Kristen Quinlan break down the new data and offer their perspectives on the current state of suicide prevention initiatives in the United States. </p><p><a href=""></a><br></p>
Mortality in the United States, 2018<p>This report from The Centers for Disease Control and Prevention (CDC) presents the final 2018 U.S. mortality data on deaths and death rates by demographic and medical characteristics. These data provide information on mortality patterns among U.S. residents by variables such as sex, age, race and Hispanic origin, and cause of death.</p><p><a href=""></a><br></p>
Ring The Alarm: The Crisis of Black Youth Suicide in America<p>The Congressional Black Caucus releases a troubling report quantifying and discussing the recent sharp rise in suicide rates among black youth. </p><p><a href=""></a><br></p>
Leveraging Data on the Social Determinants of Health<p>This report from the Center for Open Data Enterprise (CODE) is based on one of three roundtable sessions co-hosted by CODE and the Office of the Chief Technology Officer at the U.S. Department of Health and Human Services. The goal of the sessions was to improve the way health data is shared and utilized for the public good.​</p>
The 2019 Annual SHIP Meeting<p>The 2019 Delaware State Health Improvement Plan Meeting was hosted by the Division of Public Health (DPH), along with state and community partners. The 2019 annual SHIP report was released at the meeting, and stakeholders participated in several panel discussions including chronic disease, maternal and child health, and substance abuse. <a href="" target="_blank">The 2019 SHIP report is now available online.</a>​</p>
Delaware Health and Social Services Released Homicide and Suicide Death Data from 2000 to 2017<p>Delaware Health and Social Services has released data on homicide and suicide death rates in Delaware between 2000 and 2017. The data show that over the 18-year period, homicides have gradually but steadily increased, and suicide rates have remained higher than homicide rates.​</p>
Delaware Child Death Review Commission Released 2018 Annual Report<p>The Child Death Review Commission (CDRC) oversees three fatality review programs that are linked by their common mission to safeguard the health and safety of Delaware'schildren and mothers. The 2018 report is now available online.​</p>
Most U.S. Teens See Anxiety and Depression as a Major Problems Among Their Peers, February 20, 2019.<p>The Pew Research Center released a report about the wellbeing of U.S. Teens. The report showed that anxiety and depression were on the rise among America’s youth. In addition, these mental health issues become the top problems among teens, followed by bullying, drug and alcohol use.​</p>
National Institutes of Health releases 2018 Monitoring The Future survey results, December, 2018.<p>​The Monitoring The Future survey measures drug and alcohol use and related attitudes among adolescent students nationwide. Survey participants report their drug use behaviors across three time periods: lifetime, past year, and past month. Overall, 44,482 students from 392 public and private schools participated in this year's Monitoring the Future survey.<br></p>

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