Indiana ACEs and Overdose Prevention Funding

ACEs prevention funding - Indiana

ACEs are preventable, potentially traumatic events that occur in childhood (0-17 years). Examples include neglect, experiencing or witnessing violence, or having a family member attempt or die by suicide.

*ACE statistics are reported by U.S. adults and include exposure to eight types of ACEs: physical abuse, emotional abuse, sexual abuse, witnessing intimate partner violence, household substance abuse, household mental illness, parental separation or divorce, and incarcerated household member.

Examples of how Indiana is working to prevent ACEs

Surveillance activities

The Indiana State Department of Health is adding questions about experiencing ACEs to the Indiana YRBS to provide representative state-wide estimates of ACEs for Indiana public high school students.

Other Support for ACEs in Indiana

Beyond the ACEs appropriation, CDC supports several initiatives, research, and partnerships to build state and tribal surveillance infrastructure and enhance ACEs prevention and mitigation.

In Indiana, some of those other initiatives include:

• Overdose Data to Action

Overdose prevention funding - Indiana

There were 106,699 drug overdose deaths in the United States in 2021 (32.4 deaths per 100,000 standard population), a 16% increase from 2020.2

*average award amount

Examples of how Indiana is working to prevent overdose

Services for families and victims of overdose

Indiana expanded intensive outreach and access to treatment and social services for individuals and families impacted by overdose. Surveillance data identify people who recently experienced an overdose and received successful treatment with naloxone. This expansion improves accessibility to wrap-around services and decreases barriers for program participants and their families.

Public safety community interventions

In Indianapolis, the Public Advocates in Community re-Entry program developed the Overdose Crisis Community Intervention Team as an innovative effort to address the opioid overdose crisis devastating Black and Brown communities through a coordinated, multi-disciplinary effort. This Overdose Response Strategy initiative convenes state- and county-level public health departments, public safety agencies, overdose prevention non-profits, the American Red Cross, local businesses, and neighborhood associations. Efforts include the distribution of safe boxes, naloxone, 12-week bus passes, yard signs, posters, and decals.

Overdose alert system

Indiana increased awareness of overdose related events across the state by adding alert systems for state leadership. These alerts and data collection efforts allow leaders, the media, and public health partners to discuss, promote, and inform overdose prevention and response efforts in local communities.

Statewide overdose data surveillance

The Indiana Management Performance Hub enabled capabilities in exploring, analyzing, and better understanding statewide overdose data. This innovative surveillance data enabled counties and local public health departments to establish Overdose Fatality Teams to collect case specific data for analysis and to integrate with emergency medical services data.

Expansion of recovery efforts program

The Indiana Communities Advancing Recovery Efforts program expanded its curriculum to include a health equity plan, how to conduct an overdose fatality review interview, and a better understanding of how the Indiana justice system addresses substance use disorder and harm reduction. The hub employs team members with backgrounds in syringe safety programs, overdose fatality reviews, and assisting rural communities in developing harm reduction programs.