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Does a state legalizing weed improve its mental health?

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A recent study found that when states adopt recreational cannabis laws, admissions for mental health treatment drop. 

The study, published in the journal Health Economics, is notable given growing questions about cannabis’ impact on mental health. Over the past two decades, numerous states have legalized cannabis use for adults. Unfortunately, research on how cannabis impacts mental health is mixed

Some studies have found cannabis helpful for some mental health conditions, while others suggest cannabis’ potential to worsen certain conditions. Because of this complex picture, some have worried that cannabis legalization could lead to worse mental health for the general population. 

This study, however, suggests a more positive outcome arrives shortly after recreational cannabis laws—less admissions for mental health treatment. 

Cannabis laws and mental health 

Moe Greens cannabis lounge in San Francisco (Leafly File Photo by Jamie Soja)
Moe Greens cannabis lounge in San Francisco. (Leafly File Photo by Jamie Soja)

Until recently, scant research existed on how cannabis laws impact mental health. But Alberto Ortega, a researcher from Indiana University, Bloomington, wanted to know more. “Recreational marijuana laws continue to grow in popularity, but the effects on mental health treatment are unclear,” Ortega explains. This motivated him to investigate whether the increasing number of states with legal cannabis saw significant impacts. 

To do this, Ortega analyzed data on mental health admissions from state mental health facilities’ Uniform Reporting System. This included data on patients ages 13 to 65, over 12 years from 2007 to 2019. During this time, 10 states passed recreational cannabis laws. By comparing each state’s data, in the years before and after voters adopted the new laws, Ortega uncovered a clear pattern. Shortly after a state adopts cannabis legalization, they experience a significant drop in mental health treatment admissions.

The results look clear: Legal cannabis leads to fewer mental health admissions.

These results proved robust even when she controlled for differences between states with cannabis laws and those without. For example, states who passed recreational cannabis laws tend to have broader Medicaid access, as well as pre-existing medical cannabis laws. Since these factors could also impact mental health, Ortega controlled for them in his analysis. He also included controls for demographics like age, race, economics, and politics. But even with these controls, the main findings held. 

Details are in the caption following the image

This graph shows mental health treatment admissions in the years before and after recreational cannabis laws.

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Results differ for some demographics 

In the first few years after a state adopted a recreational cannabis law, states experienced a 37% drop in mental health admissions, on average. The results stayed fairly consistent across all ages under 65, with even the youngest group (13-20), seeing reductions in admissions. The correlation also proved relatively consistent between men and women, who experienced a 42% and 37% reduction in admissions, respectively. 

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Race drove the biggest differences in results. Black mental health admissions fell 27%, versus only a 9% decrease for whites. However other racial demographics showed less consistent results. Who did one race report fewer admissions than another? We need more research to understand this connection and what might drive it.

Medicaid enrollees also experienced bigger results. However this may result from reporting facilities having a high number of Medicaid users. Still, both groups saw decreases in admissions after cannabis legalization.

Details are in the caption following the image

These graphs show mental health treatment admissions in the years before and after recreational cannabis laws, by race. (a) White (b) Black (c) Hispanic (d) Other Race.

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Results show lower admissions, not better mental health

You might want to interpret this study as showing cannabis freedoms directly helping individuals’ mental health—and thus leading to fewer mental health admissions. But as Ortega explains, “the pathways contributing to the decrease in treatment admissions remain unclear. Thus, the results should not be conflated with improved mental health.”

Future research needs to address the causes of the link. Because a number of different theories could explain the data. Cannabis may directly help with mental health. But it’s also possible that self-medication with cannabis deters a person from seeking help, without actually improving their mental health. Unknown factors could also lead to these results.

One big limitation of this study: it doesn’t actually tell us who used cannabis, and how their mental health fared. It only looks at large-scale trends at the population level. This cannot replace medical research looking at mental health outcomes from cannabis use. Ortega reminds us that his findings, “speak specifically to treatment admissions and should not be conflated with improving or declining mental health.” Still, in terms of cannabis legalization’s immediate impact on the health system—the results look clear: Legal cannabis leads to fewer mental health admissions.



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The Importance of Leadership in Public Health Initiatives

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Have you ever wondered how health policies are developed or how public health campaigns are implemented? Behind every successful public health initiative is strong leadership. Leadership plays an instrumental role in shaping health outcomes, particularly in times of crisis, like during a pandemic or natural disaster. Effective leaders in public health drive the programs that promote wellness, prevent disease, and tackle health disparities in communities.

In this blog, we will share why leadership is so important in public health initiatives and how effective leadership can impact the health of entire populations. We will explore the essential qualities of good public health leaders, the challenges they face, and how they can make a lasting difference in their communities.

What is Public Health Leadership?

Public health leadership involves guiding and managing the health policies, programs, and services that aim to improve the well-being of communities. Leaders in this field are responsible for making critical decisions that affect how health resources are distributed, how health data is interpreted, and how communities respond to health issues. They work in a variety of settings, from government agencies to non-profit organizations and healthcare institutions, helping to improve the overall health of populations.

Good public health leadership is rooted in a deep understanding of health issues, a clear vision, and the ability to manage complex systems. These leaders must also work collaboratively with other professionals, including doctors, community leaders, and policymakers, to address public health challenges effectively.

The Role of Education in Developing Public Health Leaders

Education plays a major role in shaping the next generation of public health leaders. A strong educational foundation provides aspiring leaders with the tools and knowledge they need to succeed. One way to gain this essential knowledge is through a comprehensive master of public health online program. These degrees offer a flexible and comprehensive way for individuals to learn about health policy, epidemiology, health communication, and leadership skills while balancing work and personal commitments.

The online format of these programs provides convenience for those who may already be working in the field or have other responsibilities. Students can gain the necessary skills to lead in public health initiatives, whether they are interested in disease prevention, healthcare systems management, or global health. These programs often offer specialized courses in leadership development, helping students understand how to manage teams, make strategic decisions, and address the challenges that arise in public health projects.

Key Qualities of Effective Public Health Leaders

Effective public health leaders share several key qualities. These include:

  • Vision: Great leaders can see the bigger picture. They understand the long-term health goals of a community and work to implement strategies that will make a lasting impact.
  • Communication Skills: Public health leaders must be able to communicate clearly and effectively with a wide range of people, from government officials to the general public. Their ability to explain complex health issues in simple terms is essential to gaining support for public health initiatives.
  • Collaboration: Public health challenges often require teamwork. Leaders must work with other professionals and stakeholders to create coordinated responses and ensure that all voices are heard.
  • Adaptability: Health issues can change quickly. A good leader must be flexible and able to adjust strategies based on new information or emerging health threats.
  • Problem-Solving Abilities: Public health leaders must be able to think critically and creatively to solve complex health challenges. They need to analyze data, develop effective solutions, and implement those solutions in a way that reaches the people who need help.

The Impact of Leadership on Health Policies

Leadership directly influences public health policies, which in turn impact the health of entire populations. Strong public health leaders advocate for evidence-based policies that improve access to healthcare, reduce health disparities, and promote healthy lifestyles. They work with lawmakers to pass laws that provide better healthcare coverage, address environmental factors affecting health, and improve the overall health infrastructure of a community.

Leadership in public health is also crucial in times of crisis. During a health emergency, such as an outbreak of infectious disease, leaders must quickly assess the situation, make critical decisions, and direct resources where they are needed most. A well-prepared leader can minimize the impact of such crises by managing response efforts effectively.

Challenges Faced by Public Health Leaders

Public health leaders face many challenges in their roles. Some of the common challenges include:

  • Limited Resources: Many public health initiatives have limited funding and resources, making it difficult to implement programs that have widespread impact.
  • Cultural and Social Barriers: Leaders often have to overcome cultural and social barriers to engage communities and ensure that health initiatives reach everyone, particularly marginalized groups.
  • Political Influence: Public health policies are often influenced by political agendas, which can affect how programs are implemented and which populations receive attention.
  • Changing Health Needs: As health issues evolve, public health leaders must adapt their strategies. New diseases, health risks, and environmental changes require quick thinking and flexible approaches.

Despite these challenges, effective public health leadership can still make a significant difference in improving public health outcomes.

Public Health Leadership in Community Engagement

Public health leaders must be skilled in engaging with the communities they serve. Building trust and forming partnerships with local organizations, community leaders, and the public is essential for the success of health initiatives. When community members are involved in health programs, they are more likely to participate and support these initiatives.

Effective leaders work to understand the unique needs of different communities and tailor their programs to address those needs. They also educate the public about the importance of healthy behaviors and provide resources that help individuals make better health choices.

As the world continues to face evolving health challenges, the need for strong leadership in public health has never been clearer. Leaders who can guide initiatives, make tough decisions, and engage communities will be key in terms of shaping the future of healthcare. The question is, how will you contribute to this vital work? Whether you’re already in the field or just starting, the opportunity to make a meaningful impact is right in front of you. The path ahead is full of challenges, but with the right leadership, the potential for positive change is limitless.

rohit choudhary





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CDC calls for expanded bird flu testing after more dairy worker infections found in Colorado and Michigan

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Federal health officials on Thursday called for more testing of employees on farms with bird flu after a new study showed that some dairy workers had signs of infection, even when they didn’t report feeling sick.

Farmworkers in close contact with infected animals should be tested and offered treatment even if they show no symptoms, said Dr. Nirav Shah, principal director of the U.S. Centers for Disease Control and Prevention.

The new guidance comes after blood tests for 115 farmworkers in Michigan and Colorado showed that eight workers — or 7% — had antibodies that indicated previous infection with the virus known as Type A H5N1 influenza.

Read the rest of this story on TheKnow.DenverPost.com.



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Owner of troubled Aurora apartments faces state investigation related to conditions, consumer-protection laws

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The owners of several dilapidated apartment buildings in Aurora and Denver have faced a new threat in recent months: an investigation by the Colorado Attorney General’s Office on suspicion of violating the state’s safe-housing and consumer-protection laws.

The state office sent subpoenas to CBZ Management, one of its primary representatives and several of its subordinate companies in September, according to records obtained by The Denver Post. The subpoenas seek answers and records related to a swath of CBZ’s practices, including how it advertises its properties and whether tenants get the apartments they have toured; how the companies track and respond to maintenance requests and health code violations; how they handle security deposits; and how they screen tenants, among other questions.

CBZ Management’s buildings in Aurora have been the subject of extensive tenant and municipal complaints and have recently drawn international attention over allegations the properties were overtaken by gangs.

Read the rest of this story on TheKnow.DenverPost.com.



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