Faculty

Megan Brown

MPH
Data Manager
NYC Office of Chief Medical Examiner

Megan Brown is the Data Manager for the Drug Intelligence and Intervention Group at the New York City Office of the Chief Medical Examiner. Megan graduated with honors from New York University with an MPH in Epidemiology and received her BA in English Literature from the University of Washington. Megan’s public health practice is informed by the social and institutional impacts of health, harm reduction, and destigmatizing drug use. She loves to read nonfiction and is a decent home cook.

2027 Sessions

Personal, Social, and Health Profiles of Victims of Drug-Related Deaths in New York City: Insights from Next-of-Kin Interviews (2017-2021)

Session Description: New York City (NYC) has experienced alarming increases in drug overdose deaths since 2015. In response to this crisis, the NYC Office of Chief Medical Examiner began conducting interviews with next-of-kin (NOK) of suspected overdose decedents to supplement overdose fatality reviews, support death investigations, and inform partner agencies' programmatic initiatives (e.g., public health, public safety). Forensic social workers conducted interviews with NOK between 2017-2021 regarding decedents' social background, health, and substance use histories, generating a large, novel dataset. We conducted qualitative thematic analysis of these narratives (n=749), generating >500 codes, and stratified analyses by decedent demographic characteristics. These analyses resulted in four overarching themes: 1) the challenging context of social determinants of health (SDoH) for decedents, 2) patterns in familial support and/or estrangement, 3) extensive history of mental and physical health conditions, and 4) negative emotional status and circumstances around their time of death. This session will share the methods used in analyzing this unique dataset, the strengths and limitations of using NOK interviews as a data source, and the thematic outcomes of our analysis. Topics included in this discussion will range from housing characteristics, employment histories, and engagement with social services to decedents' emotional states around the times of their deaths and how this may relate to SDoH. Further, we will explore what factors may have demonstrated positive and/or negative impacts on decedents' substance use histories through these themes. This session will consider the results of this research to inform specific actionable outcomes that may be applied to addressing the overdose crisis. We will also share how these data may be used locally to inform ongoing overdose prevention efforts by OCME and partners in NYC.

Presenter

Tuesday, March 30 7:30–8:45 AM
1.25 Credits
Prevention
Faculty

Megan Brown

MPH
Data Manager
NYC Office of Chief Medical Examiner

Megan Brown is the Data Manager for the Drug Intelligence and Intervention Group at the New York City Office of the Chief Medical Examiner. Megan graduated with honors from New York University with an MPH in Epidemiology and received her BA in English Literature from the University of Washington. Megan’s public health practice is informed by the social and institutional impacts of health, harm reduction, and destigmatizing drug use. She loves to read nonfiction and is a decent home cook.

Faculty

Dari Goldman

MPH
Research Assistant
CUNY Graduate School of Public Health and Health Policy

Dari Goldman is a public health professional with over five years of experience leading global and domestic health initiatives focused on health equity, access to care, and reproductive health. She holds a Master of Public Health from the CUNY Graduate School of Public Health & Health Policy, where she specialized in maternal, child, reproductive, and sexual health. Her work spans program implementation, qualitative and quantitative research, and stakeholder engagement across diverse settings, including Puerto Rico, Israel/Palestine, and underserved communities in the U.S. Dari has supported hospitals, health departments, and public health agencies through health inclusion assessments, community needs assessments, and strategy development. She brings a strong foundation in data analysis, policy translation, and cross-cultural collaboration, with a growing focus on health systems improvement.

Faculty

Ansley Hobbs

MPH
Research Assistant
CUNY SPH

Ansley Hobbs is a public health researcher and survey methodologist with experience in qualitative, quantitative, and mixed methodology research in both international and domestic settings. She is currently a PhD student studying Community Health and Health Policy.

Ansley serves as a mental health navigator with Harlem Strong and a research assistant to Dr. Diana Romero on several projects related to substance use, child welfare, and reproductive health services. Ansley previously worked at the Center for Immigrant, Refugee, and Global Health, where she oversaw the development and implementation of priority tools and resources designed for migrant-serving organizations in New York City and State. Prior to this, she coordinated knowledge management and strategic communications for the USAID-funded Health Evaluation and Applied Research Development (HEARD) Project, a global partnership designed to generate and synthesize evidence to improve policy implementation. Anlsey has diverse research interests, including immigration policies and their impact on migrant health; violence prevention; maternal, child, and reproductive health; and equitable service and health care access for vulnerable populations. She holds an MPH from the City University of New York's Graduate School of Public Health and Health Policy. She received her BS in Health Education and Behavior from the University of Florida, with a minor in Organizational Leadership for Nonprofits.

Faculty

Diana Romero

PhD, MA
Professor
CUNY Graduate School of Public Health and Health Policy

Diana Romero is Professor in the Department of Community Health and Social Sciences and director of the Maternal, Child, Reproductive and Sexual Health specialization (MCRSH) at the CUNY Graduate School of Public Health and Health Policy in New York City. Her research interests include reproductive and sexual health and policy; social welfare policies related to the health of poor and low-income populations; and health care access among underserved urban populations. Much of her research involves mixed-methods study designs. Some of her recent projects focused on reproductive health services in primary care settings; health care access among immigrants in NYC; a large-scale mixed-methods evaluation of a physician training for abortion advocacy and other reproductive health issues; analysis of OCME social autopsy narratives of decedents from accidental overdose; and, Delphi studies on a range of public health issues.

Dr. Romero serves on the NYC Department of Health advisory board for the CDC Pregnancy Risk Assessment Monitoring System (PRAMS), has served on the U.S. FDA Obstetrics and Gynecological Devices Advisory Panel, and on the Board of Directors of several non-profit research and advocacy organizations addressing reproduction, gender and health. She teaches graduate courses in quantitative and qualitative research methods, community health, and reproductive and sexual health policy. She received her PhD and MA in Sociomedical Sciences from Columbia University, NY, and an MA in Scientific, Health and Environmental Reporting from New York University.

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