MAPPING LOCAL MARIJUANA ORDINANCE VARIATION IN WASHINGTON STATE
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1 MAPPING LOCAL MARIJUANA ORDINANCE VARIATION IN WASHINGTON STATE Laura Hitchcock, JD Public Health - Seattle & King County & Office of King County Executive Dow Constantine National Prevention Network Annual Conference November 2015 This work was funded by Public Health Law Research, a national program of the Robert Wood Johnson Foundation
2 Acknowledgments Research Team: Nancy McGroder, Project Manager, Public Health Amy Laurent, Epidemiologist, Public Health Advisory Team: Darren Carnell, Land Use Attorney, King County Prosecuting Attorney s Office Lauren Smith, Land Use Policy Lead, Office of King County Executive Ann Tan-Piazza, Washington State Public Health Association Derek Franklin, WA Association for Substance Abuse & Violence Prevention Tao Kwan-Gett, Northwest Center for Public Health Practice
3 Disclosures I have nothing to disclose.
4 Public health implications of regulating marijuana
5 Presentation today Washington s new marijuana statewide natural legal experiment, public health research value in understanding local government response New legal epidemiology methods/policy surveillance what is it, how do you do it, and what value does it have Public Health Seattle & King County s policy surveillance system for local city/county marijuana ordinances what does it tell us, future predictive value
6 Daily Coverage
7 Google Map of Medical Marijuana Dispensaries (Weedmaps.com)
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11 The view from 14,000 feet We know that the right policies can produce gains in population health BUT Little capacity to engage in any sustained, rigorous surveillance of policy at the local level (cities, counties, institutions) P. Atwater, MPHc, 2014
12 Why Policy Surveillance? Longitudinal monitoring needed to understand influence of local policy environment & develop evidence-based policies Surveillance provides multi-variable detail richer analysis than dichotomous (existence/non-existence) Comparative analysis during policy development and evaluation periods Open Data supports enforcement/implementation Threading the needle with the right policies
13 Cycle of Policy Change: Value of Policy Surveillance Policy Tracking & Evaluation Policy Evaluation Problem Identification Policy Research & Analysis Policy Implementation Policy Change Policy Formulation Policy Drafting Advocacy Hitchcock, 2012
14 Working Definitions of Policy Surveillance Policy surveillance = Systematic collection, compilation, measurement and synthesis of policies. Form of public health surveillance Ongoing, systematic collection, analysis, and interpretation of data in order to improve health and safety (CDC 1988). Legal epidemiology = scientific study of law as factor in cause, distribution and prevention of disease in a population (CDC 2015)
15 From the literature (Chriqui, 2010) Policy surveillance system: Examines changes in policies over time Can be quantitative or qualitative Data tied to specific reference date Evaluation-oriented Requires Systematic, reliable and valid methods Understanding of nuances associated with this type of research and how to accurately interpret the laws Policy measurement as much an art as science
16 Policy Monitoring vs Policy Surveillance Ad Hoc Comparative Policy Analysis Occasional Non-systematic List/Descriptive Example: One-time report on Trans Fat and Menu Labeling Legislation On-Going Surveillance Regular Updates Methodological Comparative Can be quantitative Compare to population health surveillance
17 One-Time Comparative Policy Analysis - Example
18 National Policy Surveillance & Comparative Analysis Systems (examples) Ad Hoc Comparative Policy Analysis National Council of State Legislatures (many types of legislation tracked) ChangeLab Solutions Americans for Non- Smokers Rights On-Going Surveillance Alcohol Policy Information System Public Health Law Research LawAtlas* Others? Municipal Research Services Center *King County system interfaces with LawAtlas
19 Predicted Long-Term Benefits of Policy Surveillance Benchmarking Variation, monitoring of implementation Context for population health status, by jurisdiction/institution Context for policy, systems, environment work, including assets
20 Benchmarking Example Local Healthy Housing Policy Surveillance Dataset National Center for Healthy Housing, 2015
21 National surveillance example: Since 2008, youth sport concussion laws have swept through state legislatures Public Health Law Research, LawAtlas
22 From 2 youth concussion laws in 2009, to most states in Public Health Law Research, LawAtlas
23 Since 2009 to all states by 2014 Public Health Law Research, LawAtlas
24 Pot-Friendly or Pot-Restrictive? Mapping Local Marijuana Laws in WA State Comparison Policy Study Study of zoning / land use action by cities & counties in Washington state Also other action that might address youth use / protection 2 time points / multiple variables A Robert Wood Johnson-funded project
25 Washington State Marijuana Activities Nov. 6 Initiative 502 Passes Aug. 29 US AG Guidance Jan. 6 WA AG Opinion (No state preemption) SB 5052 passes, regulating medical July 1 New Medical system in place First licenses issued July 8 First stores open
26 Methods Develop Data Collection Protocol Search for Ordinances (Online Codification Database) Develop Codebook (Iterative)/ Coding Protocol Zoning Conversion Chart Test Code, Revise Codebook Code Ordinances w/quality Assurance Enter Coding to PolicyTracker LawAtlas
27 Data Collection Protocol 130 of 180 cities plus 39 counties Search terms: Marijuana ; Cannabis Search Municipal Research Services Center Search individual city websites General Google search Quality Assurance direct validation w/some cities Exclusion Criteria: Cities >3000
28 .Statewide municipal code database
29 and a few the old-fashioned way
30 Codebook development What baseline? (No legal recreational pot WA one of first 2) Looked to alcohol literature King County s work on identifying key public health issues US Attorney General guidance Focus: Youth access & exposure Variation in medical store regulation Equity, neighborhoods Unique tools for local regulation (new? Taken from other industries, e.g., alcohol?)
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