ABSTRACT
In 2016, Clallam County became the first county in Washington State to mandate reporting of fatal and nonfatal opioid overdoses. This reporting improved our understanding of opioid overdoses in the community and allowed us to provide harm reduction and case management services after nonfatal overdoses. By using the Washington State Prescription Monitoring Program, we have been able to notify health care providers when their patients have experienced a fatal or nonfatal opioid overdose to help better guide their prescribing practices.
Subject(s)
Drug Overdose/epidemiology , Mandatory Reporting , Narcotics/poisoning , Rural Population , Adolescent , Adult , Data Accuracy , Drug Overdose/mortality , Drug Overdose/prevention & control , Female , Humans , Male , Middle Aged , Naloxone/administration & dosage , Narcotic Antagonists/administration & dosage , Opioid-Related Disorders/epidemiology , Opioid-Related Disorders/therapy , Program Development , Program Evaluation , Public Health Administration , Risk Factors , Washington/epidemiology , Young AdultABSTRACT
BACKGROUND: To compare the mental health status of children of immigrant (COI) and non-immigrant (NI) parents and to determine whether differences in mental health status between COI and NI vary across 4 racial/ethnic groups. METHODS: We conducted universal mental health screening of 2374 sixth graders in an urban public school district. To screen, we administered well-validated adolescent depression and disruptive behavior problem questionnaires. We evaluated associations between child mental health, parent immigration status, and race/ethnicity using binomial regression. RESULTS: Among Asian American/Pacific Islanders and Latinos, COI had significantly higher depression and disruptive behavior scores compared to NI. For Blacks/African Americans, children of NI parents had significantly higher disruptive behavior scores compared to COI. For European Americans, scores of COI and NI did not differ and were relatively low. CONCLUSION: Our study suggests that how the emotional health of COI is faring relative to children of NI depends on the child's race/ethnicity.
