- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- HIV, Drug Use, Sexual Risk
- Mental Health Treatment and Access
- Adolescent Sexual and Reproductive Health
- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Prenatal Substance Exposure Effects
Medical College of Wisconsin
2024
Hartford Financial Services (United States)
2022
Institute For Community Research
2022
Opioid use disorder (OUD) through prescription opioid misuse, heroin, and illicitly manufactured fentanyl has increased dramatically in the past 20 years. Medications to treat (MOUD) is considered gold standard for treating disorders but uptake remains low. Recently, Madden argued that addition stigma assigned substance people with SUD, MOUDs also are stigmatized, a process she labels intervention distinguish it from condition (ie, of SUD) . In this paper, we examine MOUD related perspective...
Abstract Introduction The United States is currently facing an opioid overdose crisis. Research suggests that multiple interventions are needed to reduce deaths including increasing access and retention medications treat use disorders (MOUD, i.e., methadone, buprenorphine, naltrexone) the distribution of naloxone, a medication can reverse respiratory depression occurs during overdoses. However, barriers MOUD initiation persist discontinuations carry heightened risk overdose. Many times, not...
Abstract Background Beginning in the 1990s, nonmedical use of prescription opioids (POs) became a major public health crisis. In response to rising rates opioid dependence and fatal poisonings, measures were instituted decrease prescription, diversion, POs including drug monitoring programs (PDMPs), pain clinic laws, duration limits, disciplining doctors who prescribed an excessive number POs, advent abuse deterrent formulations POs. This paper explores unintended effects these policies...
Prevention of opioid-involved overdose deaths remains a public health priority in the United States. While expanding access to naloxone is national strategy, it largely implemented at state and local level, where significant variability policies, resources, norms exist. The aims current study were examine social context three different states (Connecticut, Kentucky, Wisconsin) from perspectives key informants (first responders, harm reduction personnel, pharmacists), who play some role...
The availability and adoption of Syringe Services Programs (SSPs) depends heavily on the towns counties charged with implementing sustaining these programs. Suburban rural areas especially lack community political support for SSPs. We examined key informant in-depth interview data among professionals providing harm reduction services as well some health department directors, doctors, law enforcement officers from a three-state (Connecticut, Kentucky, Wisconsin) study. Results revealed...
Black women's health is in a state of crisis. Though women make up roughly 12% the US population, they account for 66% new HIV cases. One understudied barrier to sexual their communication about topic with others and proclivity dismiss HIV-related information based on self-exemption. Using group-centered approach called "sistah circle," this study examines group gatherings assess determine potential gaps understanding behavior. Data were derived from five focus groups, four each engaging...
Drug treatment courts and police diversion programs are designed to divert people away from incarceration into drug treatment. This article explores barriers in linking who use drugs (PWUD) facilities urban, suburban, rural areas of Connecticut, Kentucky, Wisconsin. Between December 2018 March 2020, study teams the three states conducted in-depth, semistructured interviews with key informants involved PWUD criminal justice involvement including police, lawyers, judges, others work courts,...