Substance Use Episodes

Emily Fine, school and youth survey manager in the Prevention Services Division at the Colorado Department of Public Health & Environment, highlights how findings from the 2025 Healthy Kids Colorado Survey showcased record low rates of persistent sadness, suicidal thoughts, and suicide attempts among youth.

On today's episode, Senior Advisor for Public Health at MaineHealth, former state health official, and ASTHO Alumni Society Representative, Dora Anne Mills, tells us about the rapidly escalating rural maternity crisis, beyond just hospital closures.

What does it take for states to expand access to substance use disorder treatment and build stronger, more sustainable partnerships between Medicaid and public health?  In Massachusetts, leaders changed policies around provider models to increase access to care for opioid use disorder: Frances McGaffey, manager of the Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, explains how pairing providers with dedicated nursing support has helped remove barriers to prescribing buprenorphine, expand the addiction workforce, and dramatically increase access to care. Then, Cory Caldwell, senior policy analyst at the National Association of Medicaid Directors, discusses the new 'Medicaid Leaders Playbook for Building Public Health Partnerships,' developed in collaboration with ASTHO.

As part of our state health policy portfolio, ASTHO releases an annual Legislative Prospectus Series: policy briefs summarizing state and territorial legislation that impacts public health. Today, Dr. Joseph Kanter, ASTHO’s CEO, will summarize the 2026 series, identify trends in public health law for the next year, and provide a high-level overview for public health professionals and policymakers in time for upcoming legislative sessions.

Public health is at a crossroads. In this episode, Lillian Shirley and Itta Johnson from Public Consulting Group discuss how adaptive leadership can help rebuild trust, strengthen community partnerships, and drive meaningful change across systems. Drawing from real-world initiatives, they share practical insights on leading with empathy, collaboration, and purpose in today’s complex public health landscape.

Dr. Novneet Sahu, deputy commissioner for public health at the New Jersey Department of Health, discusses his state’s multi-pronged strategy to improve vaccine access and address vaccine confidence in response to a national rise in pediatric flu deaths; Thaddeus Pham, viral hepatitis prevention coordinator at the Hawaii Department of Health, explains...

Dr. Katelyn Jetelina, epidemiologist and CEO of Your Local Epidemiologist, addresses the intersection between health and politics and provides words of encouragement to her fellow colleagues in public health; Grace Lee, senior analyst for infectious disease infrastructure and policy at ASTHO...

Dr. Allison Arwady, director at the National Center for Injury Prevention and Control at the CDC, details a recent webinar focused on mental health and overdose prevention; Beth Giambrone, ASTHO senior analyst for state health policy, explains..

Courtney Anderson, a director with ASTHO’s Environmental Health Team, discusses a blog article on alpha-gal syndrome that was one of ASTHO’s most popular resources of 2024; Catherine Murphy, government affairs analyst for ASTHO, uses past...

Dr. Joseph Kanter, ASTHO CEO, gives us an overview of what to expect from ASTHO’s annual Legislative Prospectus Series; ASTHO’s INSPIRE: Readiness Series can help you foster innovation in your public health systems; and learn all about PHIG by...

Dr. Kaitlan Baston, ASTHO Member and acting commissioner of the New Jersey Department of Health, discusses a new law in New Jersey that decriminalizes many harm reduction supplies; Andra Samoa, a Department of Health consultant and liaison, wants...

Kayley Humm, ASTHO Senior Analyst, discusses a new ASTHO report that outlines a series of overdose prevention policies for consideration by public health agencies; Sarah Bonk, Mental Health Disaster and Emergency Response Coordinator for Erie County,...

Dr. Tao Sheng Kwan-Gett, Chief Science Officer for the Washington State Department of Health, says providing doses of naloxone to many schools in the state will save lives; Molly Cotant, Deputy Director, and Laura de la Rambelje, MA, Director, both of the Division of Local Health Services and at...

Andy Baker-White, ASTHO Senior Director for State Health Policy, previews the state of the legislative calendar this year; Omar Khalid, ASTHO Director of Workforce Development, says leaders can support their teams by adopting a trauma-responsive...

Dr. Elizabeth Cuervo Tilson, State Health Director and Chief Medical Officer of the North Carolina Department of Health & Human Services, tells us about a recent meeting with officials from the White House Office of Gun Violence Prevention;...

Dr. Nilesh Kalyanaraman, deputy secretary of Public Health for the Maryland Department of Health, says his state has been able to engage bold policies to help people and address health inequities; Dr. Mondi Mason, workforce manager with the Denver...

Mike Fraser, ASTHO chief executive officer, talks about the new book he wrote with Dr. Brian Castrucci, president and chief executive officer of the de Beaumont Foundation; Elke Shaw-Tulloch, public health administrator for the Idaho Department of Health and Welfare, says many agencies saw...

Dr. Anne Zink, ASTHO immediate past president and chief medical officer for the Alaska Department of Health, says policies can help address the fact that the number of babies born with syphilis is ten times higher than in 2012; JoAnne McClure, ASTHO...

Cara Biddlecom, interim state health official at the Oregon Health Authority Public Health Division, talks about the launch of the first-ever state-sponsored psilocybin therapy program; Amani Echols, policy and government affairs manager for the...

Dr. Barbara Wallace, director of the Division of Chronic Disease Prevention at the New York State Department of Health, discusses various strategies to curb tobacco use; Dr. Marcus Plescia, ASTHO chief medical officer, worries that too many sick...

Dr. Jerome Adams, former United States Surgeon General, says businesses learned from the pandemic that public health is a worthy investment; Destani Bizune, an epidemiologist in the Office of Antibiotic Stewardship at the CDC, discusses the CDC’s...