
Mooresville school shooting plot shows long-term toll of Indiana's opioid crisis
In 2021-22, Indiana hit a record high number of Hoosier deaths due to drug overdoses, 2,755. According to last Friday's publicly available probable cause affidavit, one of those deaths was Trinity Shockley's mother.
Shockley was a senior in Mooresville Schools until Feb. 20 when her plans for a Valentine's Day mass shooting in the cafeteria were discovered. This is the same school my daughter attends, the same cafeteria my daughter would have been sitting in with her friends during the planned attack.
Hicks: How to create equal opportunities in post-DEI Indiana
More than 320,000 children lost a parent to drug overdoses during the opioid crisis, according to the most recent data. Shockley's case is a stark reminder that efforts to combat the opioid crisis have entered a new phase. While the first two years of support have focused on supporting addicts directly, a better understanding of and support for the children of addicts deserves attention.
More than 57,500 Hoosier children were affected by the opioid crisis, with the highest concentration in rural areas. This is more than the number of children affected by autism and childhood diabetes combined.
The effects of having a parent that is an addict or has substance usage disorder is widely studied and very clear:
Higher rates of child abuse and neglect
Lower academic achievement
Higher rates of family breakdown
Higher rates of mental health issues
Lower rates of family involvement and support
Increased rates of incarceration as an adult
Increased rates of addiction and substance usage disorder as adults
The emotional and long-term toll of navigating life with a parent that is an addict is not just overwhelming Hoosier children and families, but also costing our state systems billions.
According to the most recent estimates, children with a parent that's an addict cost our state $37,000 in health care, $44,000 in child welfare and social programs, and $186,000 in special education costs. Pediatricians, schools, therapists, and social services are increasingly seeing more high-need cases at greater frequencies than ever before.
This means state agencies are overwhelmed by providing services and supporting kids displaying high acuity behaviors. These trends are not set to slow anytime soon. By 2030, the innocent victims of the opioid crisis are set to have cost the state $10.5 billion.
Indiana received $980 million in opioid settlement dollars to be doled out over 18 years. If there is one thing we have learned from this crisis, it's that only treating the addict is ineffective because it leaves family members like Shockley untreated.
We've also learned that rural areas were hit far harder than urban areas. The challenges to providing support in rural areas have proven to be far more difficult and have shown less efficacy to date. To curb the systemic impact and give these innocent victims a shot at a healthy future, we need to work smarter not harder.
We need to be investing opioid settlement dollars into evidence-based, data-driven approaches that support inner agency collaborations of all the systems that support the children of addicts. We need infrastructure that ensures data from each of these agencies are talking to each other in tangible ways. We need to focus on efforts that coordinate data and responses across health care, law enforcement, child welfare agencies and education to reduce redundancies and ensure kids are getting the best we have to offer. We need to support innovative approaches that address academic achievement, health outcomes and workforce development needs in the professional areas meeting the needs of children who have a parent battling addiction.
Most importantly, rural Indiana needs more support.
As a Mooresville mom, it's difficult to express my gratitude to Mooresville Schools and the police department for their handling of last week's incident. Their quick and decisive action ensured that all the children in our community were safe.
As an educational professional who has been working with kids with mental health needs for more than 20 years, I can't help but be impressed by the teachers, counselors, administrators, school nurses, coaches, staff members and officers who served bravely last week.
If you follow Mooresville Schools on social media, you know their hashtag is #BeMoore. After last week, I would argue that their hashtag should be #DoingMoore because they are clearly doing more with less to support our kids.
Addie Angelov is the co-founder and CEO of the Paramount Health Data Project.
This article originally appeared on Indianapolis Star: Mooresville school shooting plot points to opioid crisis | Opinion

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A pregnant brain-dead woman in Georgia was kept on life support. Experts say it raises ethical, legal questions
Adriana Smith, a 31-year-old Georgia nurse and mother, was just eight weeks pregnant when she was declared brain dead in February after suffering a medical condition. However, the family claims the hospital told them legally she had to be kept on life support to allow the fetus to grow due to the state's strict abortion law. Her family alleges they were not allowed a say in whether to continue her care, according to local Atlanta station 11Alive. Last week, Smith's baby was born by emergency Caesarean section, weighing under 2 pounds and needing care in the neonatal intensive care unit (NICU), reported 11Alive. Smith's family did not respond to ABC News' request for comment. In a statement to ABC News, Emory Healthcare, the health care system Emory hospitals fall under, said its staff makes medical recommendations for patients using many factors. "The top priorities at Emory Healthcare continue to be the safety and wellbeing of the patients and families we serve. Emory Healthcare uses consensus from clinical experts, medical literature and legal guidance to support our providers as they make medical recommendations," the statement read. "Emory Healthcare is legally required to maintain the confidentiality of the protected health information of our patients, which is why we are unable to comment on individual matters and circumstances.' The case has captured national attention and raised numerous legal and ethical questions about medical consent; who should get to make decisions for permanently incapacitated people, especially when pregnant; and whether abortion laws are further complicating pregnancy care. "This is a case that reflects the confusion in the post-Dobbs-era," Michele Goodwin, the O'Neill professor of constitutional law and global health policy at Georgetown Law, told ABC News, referencing the Supreme Court decision that resulted in the overruling of Roe v. Wade. "Because the hospital believed that it could not allow this brain-dead woman to simply be deceased because the state has a very strict abortion law, they believe that they needed to do all matters possible to keep the fetus alive," she continued. What happened to Adriana Smith? Smith, who was 30 at the time, went to Northside Hospital in metro Atlanta in early February after developing severe headaches, her mother, April Newkirk, told 11Alive. Newkirk said Smith was given medication and sent home. She was not given a CT scan and not kept overnight for observation, according to Newkirk. Northside Hospital did not immediately return ABC News' request for comment. Newkirk said Smith's boyfriend woke up to her daughter gasping for air and she was taken to Emory Decatur -- and then Emory University Hospital -- where a CT scan showed multiple blood clots in her brain, according to 11Alive. She was declared brain dead on Feb. 19. The family told the local station that doctors allegedly said they were legally obligated to keep Smith on life support until the fetus was viable. "I think every woman should have the right to make their own decision," Newkirk told 11Alive. "And if not, then their partner or their parents." Newkirk said the family might not have chosen to end the pregnancy, but not having the decision because of the law added to their trauma, reported 11Alive. How does Georgia's abortion law play a role? In 2019, Gov. Brian Kemp signed into law Georgia's so-called heartbeat bill, known as the LIFE Act. The law prevents abortions from being performed once fetal cardiac activity can be detected, which typically occurs at about six weeks' gestation -- before many women know they're pregnant -- and redefines the word "person" in Georgia to include an embryo or fetus at any stage of development. The ban was initially blocked in court but was reinstated after the U.S. Supreme Court overruled Roe v. Wade in 2022. In September 2024, a state judge ruled that the ban was unconstitutional, but it was reinstated one week later by the Georgia Supreme Court. Goodwin said the act does not explicitly state that a deceased pregnant patient must be kept tethered to mechanical ventilation and there is no legislative history suggesting this was the intent of legislators who wrote the law. Arthur Caplan, a professor of bioethics at NYU Grossman School of Medicine, believes the hospital could have misinterpreted Georgia's abortion law. "What happened had nothing to do with abortion," Caplan told ABC News. "[The hospital] said they felt they had their hands tied. They couldn't do anything. They might break the abortion laws. Stopping care on a dead body that's pregnant is not an abortion. It just isn't. There is no way it can be." Thaddeus Pope, a law professor and bioethicist at the Mitchell Hamlin School of Law in St. Paul, Minnesota, agreed, saying if the family had declined continuing organ-sustaining treatment for Smith, it would not qualify as an abortion. "Yes, it would cause the death of the fetus, but that would not have been the goal or the intent or the motive, and that's a requirement under the definition of an abortion in the state of Georgia," he told ABC News. He added that Emory health care professionals may have been worried about turning off life support due to the "fetal personhood" section of the act. In a statement to 11Alive in May, the Georgia attorney general's office clarified that the act did not require Emory to keep Smith on life support. The office did not return ABC News' request for comment. Who gets to make medical decisions? Typically, hospitals follow advance directives, which are legal documents in which individuals outline instructions for medical care if they become unable to make decisions for themselves. If the individual does not have an advance directive, decisions on medical care generally fall to next of kin, such as a spouse, adult children or parents. It is not clear if Smith had an advance directive, but it likely would have been inapplicable because she was declared legally dead. In he absence of a directive, the decision on care should have fallen to a family member, according to Caplan. "There's no ethical justification for making unilateral decisions about what happened to Ms. Smith," Caplan said. "The family should have been involved to the extent to which they were capable of doing it." He said if the family felt too overwhelmed, then the next step would be getting a judge to appoint an independent guardian who can make decisions, adding, "You don't have the hospital staff do it." Pope said that under the Georgia Advance Directive for Health Care Act of 2007, a pregnant patient cannot be removed from life-sustaining treatment if the fetus is viable, even if there is an advanced directive request the removal. However, he said this would not apply to Smith because she was declared brain dead. Goodwin said she believes the landscape in a post-Dobbs America means more cases like Smith's are likely to occur and there will be confusion over what treatment to provide. Many state abortion laws have criminal penalties against medical providers, doctors, nurses or hospitals that perform abortions, which leads to providers being overly cautious, she explained. "So, what were the gold standards of treatment have now been put to the sidelines, as there is just simply confusion and a sense that better to not provide services, better to keep a person on ventilation who's brain dead than to act according to medical training and ethical training," Goodwin said. 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