A5071168351- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- Homelessness and Social Issues
- Criminal Justice and Corrections Analysis
- Prenatal Substance Exposure Effects
- HIV, Drug Use, Sexual Risk
- Child Abuse and Trauma
- HIV/AIDS Research and Interventions
- Health Policy Implementation Science
- Adolescent Sexual and Reproductive Health
- Mental Health Treatment and Access
- Intimate Partner and Family Violence
- Crime Patterns and Interventions
- Cannabis and Cannabinoid Research
- Food Security and Health in Diverse Populations
- Schizophrenia research and treatment
- Primary Care and Health Outcomes
- Sex work and related issues
- Health disparities and outcomes
- Migration, Health and Trauma
- Religion, Spirituality, and Psychology
- Hepatitis C virus research
- Global Health Workforce Issues
- Healthcare Policy and Management
- Forensic Toxicology and Drug Analysis
University of Kentucky
2009-2025
Wayne State University
2019
University of California, Berkeley
2019
Berkeley Public Health Division
2019
Opioid overdose deaths remain high in the U.S. Despite having effective interventions to prevent deaths, there are numerous barriers that impede their adoption. The primary aim of HEALing Communities Study (HCS) is determine impact an intervention consisting community-engaged, data-driven selection, and implementation integrated set evidence-based practices (EBPs) on reducing opioid deaths.The HCS a four year multi-site, parallel-group, cluster randomized wait-list controlled trial. (n = 67)...
This article profiles self-reported substance use, health, and mental health problems among a sample of incarcerated women in Kentucky as well lifetime service utilization. Findings indicate that high percentage reported use alcohol, cocaine, multiple substances during the month before incarceration. In addition, participants common such dental, female reproductive, physical injuries, including depression anxiety. Participants moderate emergency room treatment but limited abuse Implications...
The non-medical use of opioids has reached epidemic levels nationwide, and rural areas have been particularly affected by increasing rates overdose mortality as well increases in the prison population. Individuals with opioid disorder (OUD) are at increased risk for relapse upon reentry to community due decreased tolerance during incarceration. It is crucial identify barriers substance treatment post-release from because can be difficult access resource-limited Appalachia.A social ecological...
Journal Article Risky Sex Behavior and Substance Use among Young Adults Get access Michele Staton, Staton Search for other works by this author on: Oxford Academic PubMed Google Scholar Carl Leukefeld, Leukefeld TK Logan, Logan Rick Zimmerman, Zimmerman Donald Lynam, Lynam Richard Milich, Milich Catherine Martin, Martin Karen McClanahan, McClanahan Clayton Health & Social Work, Volume 24, Issue 2, May 1999, Pages 147–154, https://doi.org/10.1093/hsw/24.2.147 Published: 01 1999 history...
The COVID-19 pandemic produced system-level changes within the criminal legal system and community-based substance use disorder (SUD) treatment with impacts on recovery efforts. This study examines rural urban clinicians' perspectives of SUD delivery for people community supervision. Virtual qualitative interviews were conducted between April October 2020 25 supervision clinicians employed by Kentucky's Department Corrections (DOC), who conduct assessments facilitate linkages individuals...
Abstract Background People incarcerated in jails are highly impacted by the opioid epidemic, and overdose education naloxone distribution (OEND) is an effective strategy to reduce deaths. This study examines barriers facilitators of fast-track OEND implementation within Wave 1 Kentucky counties HEALing Communities Study during COVID-19 pandemic. Methods Meeting minutes with jail stakeholders were qualitatively coded using Practical, Robust Implementation Sustainability Model (PRISM) as...
Background Extended-release naltrexone (XR-NTX, Vivitrol®) is an effective, but underutilized, evidence-based treatment for people with opioid use disorder (POUD) who are incarcerated. Networks of family, friends, and clinicians serve as social influencers health behaviors, including XR-NTX initiation, especially salient in Appalachia.
Rural Appalachian women who use drugs and are involved in the criminal legal system at increased risk for health consequences (such as HIV/Hepatitis C). Service barriers throughout rural communities have prompted a need to examine effectiveness of novel intervention delivery methods (e.g., social media). This study aims determine if enhancing an existing HIV prevention with additional modules delivered via Facebook improves service access by examining short-term outcomes among returning...
Despite the known risks associated with substance use following incarceration, no studies have examined substance-impaired driving as a post-incarceration health risk behavior in rural Appalachia. The present study differences by impaired incarceration and identified predictors of sample Appalachian women history drug risky sex. Women (N=340) from three jails completed baseline interview jail follow-up interviews at six 12 months post-release. Interview questions included demographic...
Abstract Background and Objectives Despite elevated overdose risk in rural communities, rural/urban differences factors are understudied among women with criminal legal system involvement. This study examines substance use incarcerated women. Methods Women ( N = 900) were randomly selected from nine Kentucky jails, screened, interviewed as part of a larger study. Bivariate analyses used to identify group differences. Results Rural less likely report pre‐incarceration receive emergency...
Factors distinguishing clients who complete drug court treatment from those do not have been documented, but differences between urban and rural participants examined. The present study focuses on examining mental health, use, criminal activity, education/employment as factors that are associated with retention, which is measured by graduation a court. Study findings indicate for the court, marital status, employment, activity predicted graduation. For however, was only age juvenile...
The purpose of this qualitative study is to assess facilitating factors and barriers for medications treat opioid use disorder (MOUD) initiation among justice-involved individuals in one rural Appalachian community, as well how those may differ across the three types Food Drug Administration (FDA) approved medications. Qualitative interviews were conducted with (N = 10) a history target community. Overall, participants demonstrated knowledge different MOUD their pharmacological properties,...
The purpose of this paper is to examine drug use and incarceration history among rural Appalachian women.This study involved random selection, screening, interviews with women from local jails in Appalachia.Of the randomly selected screened, 97% met criteria for substance intervention. Significant factors associated included age, education, custody status, mental health. A significant interaction was observed between male sex partners on history.Study findings suggest that drug/crime...
Gabapentin, an anticonvulsant and analgesic for postherpetic neuralgia, has been thought to have no abuse potential despite numerous published reports the contrary. Gabapentin linked with impaired driving opioid use, highlighting need more fully understand its risk profile. Thirty-three individuals reporting recent nonmedical use of gabapentin were recruited from two ongoing longitudinal studies drug users in Appalachian Kentucky participate focus groups. Four sessions held (two community...
Aim The current study explores pre-incarceration polysubstance use patterns among a justice-involved population who opioids. Design: Setting: Data from prison and jail substance programing in the state of Kentucky 2015–2017 was examined. Participants: A cohort 6,569 individuals reported both opioids more than one per day. Measurements: To determine different typologies involving opioids, latent profile analysis thirty-day drug eight substances conducted. Multinomial logistic regression...
Justice system-involved women with opioid use disorder (OUD) experience layered health risks and stigma, yet peer navigation services during reentry may support positive outcomes. This manuscript offers a program description of women's intervention delivered pre- post-release from jail to remove barriers access OUD treatment, including medications for (MOUD).All data were collected as part NIH/NIDA-funded national cooperative, the Community Opioid Innovation Network (JCOIN) project. Through...
Studies of community-based treatment programs for substance users document that motivation is a consistent predictor clients remaining under longer period time. Recent research has replicated this in prison-based programs, implying clinically important regardless setting. The current study examines predictors using data collected from 661 male drug-involved inmates during in-depth interviews include components the Addiction Severity Index, TCU Motivation Scale, and Heath Services Research...
Abstract Background Limited research has focused on correlates of injection drug use (IDU) among high‐risk subgroups users, particularly women, who may be at increased risk for transmission infectious diseases such as HIV and Hepatitis C. The purpose this study is to better understand the contextual health IDU women living in rural Appalachia by examining (1) differences between injectors noninjectors, (2) unique recent past IDU. Methods This involved random selection, screening,...