
TiTi San
Fairbanks School of Public Health
PBHL-H315
Final Paper & Presentation
Addressing Opioid Abuse in Indiana: A Policy Proposal
This artifact was created for PBHL-S315: Community Organizing for Health Promotion. The course focuses on applying community organizing, policy analysis, and advocacy strategies to address public health issues. My project examines opioid abuse in Indiana through a community and policy-based lens, demonstrating the application of course concepts related to health equity, harm reduction, and public health communication. The primary focus of this section is the artifact itself, which highlights my ability to analyze a public health issue and propose realistic, community-driven solutions.
Indiana continues to face severe disparities related to opioid abuse, particularly among rural and low-income populations. Opioid overdose rates remain disproportionately high in these communities, with synthetic opioids such as fentanyl involved in the majority of overdose-related deaths in the state (Hoss et al., 2022).



Organization: Indiana Recovery Alliance
Indiana Recovery Alliance (IRA) is working to address opioid-related harms in Indiana, particularly among rural and low-income communities. In general, IRA focuses its efforts on reducing overdose deaths and improving health outcomes through harm reduction strategies such as naloxone distribution, syringe exchange programs, and mobile wellness clinics. The organization emphasizes dignity, public health–centered approaches, and nonjudgmental care for individuals who use drugs. Through advocacy, education, and community-based services, Indiana Recovery Alliance works to reduce health disparities and promote safer, healthier communities across the state.
Final Presentation: Addressing Opioid Abuse in Indiana:
A Policy Proposal




Final Paper: Addressing Opioid Abuse in Indiana:
A Policy Proposal
When harm reduction efforts in Indiana expanded, the number of programs providing naloxone distribution and syringe exchange increased slowly. By 2025, only a few organizations are offering these services, with most concentrated in urban areas like Indianapolis (Hoss et al., 2022).
What I learned
This project helped me understand how the opioid crisis in Indiana is deeply connected to social and economic factors like poverty, unemployment, and limited access to healthcare in rural and low-income communities. I learned that harm reduction strategies such as naloxone distribution, syringe exchange programs, and mobile wellness clinics can save lives, reduce disease spread, and support individuals without judgment. I also learned that public health policy changes require not just evidence, but advocacy, timing, and communication to influence both lawmakers and the community. Exploring organizations like the Indiana Recovery Alliance showed me the importance of grassroots efforts and community engagement in creating real change. Overall, this project strengthened my understanding of how public health combines research, policy, and compassion to address complex health issues and improve community well-being.