Dynamics of Cannabis Market Environment Changes and Public Health Effects after Legalization: The Role of Local-Level Regulation Beyond the Short-Term in the Pacific Northwest

大麻市场环境变化的动态和合法化后的公共健康影响：太平洋西北地区地方监管的短期作用

• 批准号: 10312833
• 负责人: Julia Ann Dilley
• 金额: $ 4.52万
• 依托单位: MULTNOMAH COUNTY HEALTH DEPARTMENT
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-15 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10312833
• 关键词: Accident and Emergency department; Address; Administrative Supplement; Cannabis; Charge; Communities; Crime; Data; Dependence; Drug Addiction; Emergency department visit; Environment; Ethnic Origin; Funding; Gender; Hand; Health system; Hospitalization; Income; Individual; Legal; Measures; Medicaid; Oregon; Outcome; Pacific Northwest; Parents; Pharmaceutical Preparations; Policies; Population Group; Population Surveillance; Public Health; Quasi-experiment; Race; Recovery; Regulation; Role; Rural; Rural Community; Time; United States; Urban Community; Variant; addiction; behavioral health; community setting; health assessment; health equity; implementation outcomes; parent grant; substance use; surveillance data; treatment services; trend

PROJECT SUMMARY/ABSTRACT Our study will contribute to the evidence about effects of drug decriminalization policy, by assessing implementation and outcomes from Oregon’s November 2020 ballot initiative Measure 110: Drug Addiction Treatment and Recovery Act (M-110). This measure decriminalizes possession of small amounts of drugs and reduces criminal penalties for greater offenses. Possession of small amounts of drugs would no longer be a crime, but instead result in a civil penalty, with a $100 fine that can be waived by participating in a health assessment provided through M-110-established regional Addiction Recovery Centers (ARCs). This is the first such policy to be passed in the United States. The aims of this proposed administrative supplement would build on the parent study’s data and approaches to assess implementation of substance use policies and associated outcomes, and how variability in local policies is associated with different outcomes, including in rural and urban community settings and among different population groups. The first aim will provide a systematic description of trends in behavioral health system capacity following implementation of M-110 provisions, including time-varying local-level funding for behavioral health, availability of treatment services, and health assessments delivered. The second aim will assess trends in delivery of public-paid substance use dependence treatment services. The third aim will assess trends in drug- related hospitalizations and emergency department (ED) visits. Aims 2 and 3 will describe Oregon trends, assess whether there are differences in trends for different community types (e.g., urban/rural) or for different groups of individuals (e.g., by race/ethnicity, age, gender, and income), and whether variability is explained by differences in community-level behavioral health capacity. We will address these aims using quasi-experimental methods developed in our parent study, which exploit within-state and across-time variation in local policies. Public health surveillance data for the study are in-hand from the parent grant, including hospitalization and ED data and public-paid treatment (Medicaid charge) data. Findings from this study will be critical for understanding the effects of drug decriminalization policy, and potential contribution to health equity.

项目总结/摘要 本研究将有助于为毒品非犯罪化政策的效果提供证据， 通过评估俄勒冈州2020年11月投票的实施情况和结果， 举措110：《戒毒治疗和康复法》（M-110）。这 一项措施使持有少量毒品合法化， 对更严重的罪行进行处罚。持有少量毒品将不再是 犯罪，而是导致民事处罚，罚款100美元，可以免除 参加通过M-110提供的健康评估-建立的区域 成瘾康复中心（ARC）。这是第一个这样的政策将通过在 美国的 这一拟议的行政补充的目的将建立在母研究的基础上， 评估物质使用政策执行情况的数据和方法 结果，以及地方政策的可变性如何与不同的结果相关联， 包括在农村和城市社区以及在不同人口中 组第一个目标将提供一个行为健康趋势的系统描述 执行M-110规定后的系统容量，包括时变 地方一级对行为健康、治疗服务的可用性和健康的资助 交付的评估。第二个目标是评估提供公费医疗服务的趋势， 药物依赖治疗服务。第三个目标是评估毒品的趋势， 相关住院和急诊（艾德）就诊。目标2和3将 描述俄勒冈州的趋势，评估是否有不同的趋势差异， 社区类型（例如，城市/农村）或用于不同的个人群体（例如，通过 种族/民族、年龄、性别和收入），以及变异性是否由以下因素解释 社区行为健康能力的差异。 我们将使用我们的父母开发的准实验方法来解决这些目标 研究，其中利用国内和跨时间变化的地方政策。公共 这项研究的健康监测数据来自父母补助金，包括 住院和艾德数据以及公共付费治疗（Medicaid收费）数据。 这项研究的结果对于理解药物的作用至关重要。 非刑事化政策，以及对卫生公平的潜在贡献。