October Newsletter
Marijuana in a Changing Legal Climate
The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research
As legalization of marijuana for medical and recreational purposes continues to expand throughout the country, it is important that prevention practitioners stay informed about the health effects of cannabis use and how that impacts prevention efforts. This month we’re sharing conclusions from The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research.

In this report an expert, ad hoc committee of the National Academies of Sciences, Engineering, and Medicine presents nearly 100 conclusions related to the health effects of cannabis and cannabinoid use. The committee developed standard language to categorize the weight of the evidence regarding whether cannabis or cannabinoids used for therapeutic purposes are an effective or ineffective treatment for certain health conditions, or whether cannabis or cannabinoids used primarily for recreational purposes are statistically associated with certain health outcomes.

Read more about these conclusions here

Read the full report here
Mid-America PTTC
The Mid-America Prevention Technology Transfer Center (Mid-America PTTC) is designed to serve as a prevention catalyst, empowering individuals and fostering partnerships to promote safe, healthy, and drug-free communities across Missouri, Iowa, Nebraska and Kansas. Our services are evidence-based, culturally competent, and locally focused. We provide intensive technical assistance to support organizations' and systems' efforts to implement evidence-based prevention strategies. The Mid-America PTTC also forms partnerships with local and regional stakeholders to ensure that the training needs of the region are identified and met.

The Mid-America PTTC goals are to:
  • Accelerate the adoption and implementation of evidence-based and promising substance misuse prevention strategies.
  • Heighten the awareness, knowledge, and skills of the workforce that addresses substance misuse prevention.
  • Foster regional and national alliances among culturally diverse practitioners, researchers, policymakers, funders, and the local communities.

To learn more about our services:  Mid-America PTTC
Resources - Marijuana in a Changing Legal Climate
Not Just A Little Pot

A 19-minute video that reveals the truths of marijuana legalization and use. “You don’t put cannabis in with mental health and expect a good outcome We have to do better than that”, Jo McGuire, President and CEO of Five Minutes of Courage

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Interactive effects of PTSD and substance use on...

A recent study published on depression & anxiety found that marijuana use predicted worsening PTSD symptoms and a higher likelihood of suicidal ideation and behavior in a cohort of military personnel considered to be at high risk for PTSD.

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Toolkit - Smart Approaches to Marijuana

This website features one-page resource documents to assist prevention programs with policy work around marijuana use in their community.

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The Reality of Legal Marijuana and Hispanic Latino...

This webinar recording released by the National Hispanic & Latino PTTC, highlights the work of Colorado to develop vigorous policy and public education efforts to educate youth and the broader community about the dangers of marijuana use.

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More Helpful Links

Cannabis Use and Risk of Prescription Opioid Use Disorder in the United State s

People who use marijuana may be at a greater risk of misusing prescription opioids and developing opioid use disorder than those who do not use marijuana, according to this report published in American Journal of Psychiatry. The findings offer a key piece of information for those debating whether marijuana use could drive down prescription opioid misuse and overdose .

The Addiction Podcast – Point of No Return
Podcast: More from Amy Ronshausen – Drug Free America

This is an interview with Amy Ronshausen, the Deputy Director of Drug Free America and Save our Society from Drugs. She is one of the foremost experts on marijuana legalization .

Smart Approaches to Marijuana (SAM), Preventing Another Big Tobacco
Lessons Learned from State Marijuana Legalization-May 2019

Today’s highly potent marijuana represents a growing and significant threat to public health and safety. This report, reviewed by prominent scientists and researchers, synthesizes the latest research available on marijuana impacts in states that have legalized non-medical use of marijuana.
What's Happening Around the Region?

Check out our most recently posted podcast!

Podcast: Episode 15: Current Drug Trends – Cannabis

Publication Date: September 20, 2019
Developed By: Mid-America Prevention Technology Transfer Center
This episode features Officer Ryan Snow. Ryan serves full time as a police officer with a large university police department where he educates the community about DUI and drug-related issues.
You can listen and subscribe to all regional podcasts on any of your favorite podcast platforms.
2019 Substance Abuse Prevention Conference

November 18-20, 2019
Lodge of Four Seasons
Lake Ozark, Missouri
Make plans now to join us for the 10 th Annual Substance Use Prevention Conference!

ACT Missouri invites preventionists, community coalition members, counselors, law enforcement officers, educators, school nurses, and anyone that works with or cares for youth to attend. It will be an information packed opportunity to enhance prevention efforts, motivate volunteers, share ideas, network with others in the field, and get the latest updates and resources to keep Missouri’s kids safe and substance free!

For more information and to register online please visit our website: https://actmissouri.org/
Free online courses now offered through HealthEKnowledge!

  • Prevention in Action Series: Teaching the SAPST at a University
  • Minecraft, not Ms. Pac-Man: Transforming Prevention Presentations for Today's Audience
  • Early Childhood Development: Toxic Stress and Adverse Childhood Experiences
  • Introduction to Substance Abuse Prevention: Understanding the Basics

All online courses can be accessed at: healtheknowledge.org/
If you are new to HealtheKnowledge, please log in or set up an account here: healtheknowledge.org/newaccount
Epi Corner

Beverly Triana-Tremain, PhD
Mid-America Prevention Technology Transfer Center
This month I’ve included some resources for data on the impact of marijuana legalization, including driving fatalities, emergency room admissions, state laws, and ICD death codes for cannabinoids. A bonus resource is a video from the National High Intensity Drug Trafficking Area (HIDTA) assistance center on the environmental effects of producing marijuana in our national parks. These collective resources provide a glance at changes and impacts, from deaths to environmental changes, that could occur if marijuana laws become more permissive of recreational and/or medical use.
  1. State Medical Marijuana Laws. In 1996, California voters passed Proposition 215, making the Golden State the first in the union to allow for the medical use of marijuana. Since then, 32 more states, the District of Columbia, Guam, Puerto Rico, and US Virgin Islands have enacted similar laws. As of June 25, 2019, 14 states and territories have approved adult-use cannabis. When studying this data, a preventionist should focus on not only individual level behavior but on the impact of the laws on programming efforts. National Conference of State Legislators (2019, July 2). Retrieved from http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx
  2. The Impact of Marijuana Legalization in Colorado. This brand new report offers background and data on impaired driving and fatalities, youth and adult marijuana use, emergency room admissions, marijuana-related exposure cases, and diversion of Colorado marijuana. HIDTA impact reports for other states can be found here: https://thenmi.org/category/reports/ Rocky Mountain HIDTA Marijuana Impact, Report Vol. 6 – Update Effective September 2019 [Online report]. Retrieved fom https://thenmi.org/2019/09/25/rocky-mountain-hidta-marijuana-impact-report-vol-6-september-2019/  
  3. ICD 10 (Death) Codes for Mental and Behavioral Disorders due to the use of Cannabinoids. Includes acute intoxication, harmful use, and dependence syndrome. Death statistics can be run by region, state, and county. Although deaths from marijuana do not have a high prevalence, this data can be used to establish a baseline to understand changes after legalization. Centers for Disease Control and Prevention CDC Wonder Marijuana ICD 10 Codes, F12.0-F12.9. Retrieved from https://wonder.cdc.gov/
  4. Program Data and statistics from Iowa’s Office of Medical Cannabidiol. The information on this site provides general data about patients, caregivers and physicians in Iowa; including registration cards, number of approved patient/caregiver applications, average patient age, patients’ medical condition, and cardholders by county. This data can help the preventionist understand the needs and opportunities for intervention at different levels. Iowa Department of Public Health, Retrieved from http://www.idph.iowa.gov/omc/Program-Data-and-Statistics
  5. Missouri’s Section for Medical Marijuana Regulation. This page provides the number of cultivation, dispensary and medical marijuana-infused manufacturing facilities organized by congressional district. This information can help the preventionist understand the different opportunities to apply interventions as well as identify possible stakeholders. Missouri Department of Health and Senior Services, Pre-Filed Application Statistics. Retrieved from https://health.mo.gov/safety/medical-marijuana/statistics.php 
  6. Bonus Resource: Learn the environmental outcomes of marijuana production. A video from the National Marijuana Initiative discusses and shows the impacts and hazards of marijuana grown in the national parks and public lands. They discuss the threats and concerns for the environment and humans. Preventionists, using this resource, can discuss with stakeholders the environmental impacts of marijuana growing in our national parks and the unanticipated effects as an additional risk factor to a community. National HIDTA Assistance Center (2018, September 7). Can’t see the forest for the weed: Marijuana trafficking on the Trail [YouTube video]. Retrieved from https://www.youtube.com/watch?v=CB6uoRnzkF4