University of Kentucky

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Lead Institution: University of Kentucky

Status: Active

Research type: Comparative Effectiveness

Setting(s): Jail and post-release

PI: Michele Staton

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Kentucky Women’s Justice Community Overdose Innovation Network (WJCOIN-II)

This study follows women with opioid or stimulant use disorders as they leave three rural Kentucky jails and return to the community. It compares one-on-one recovery coaching (RC) to recovery coaching plus support person engagement (RC+SPE), then tests whether adding contingency management (CM) after release improves outcomes. Researchers will evaluate how these components reduce overdose risk and improve treatment initiation and retention, explore participant and stakeholder perceptions and implementation barriers, and assess the cost-effectiveness of the intervention package.

Study Aims

Compare the effectiveness of pre-release RC to RC+SPE in decreasing women’s overdose risk during reentry to rural communities

Compare the additive effectiveness of CM initiated post-release to RC alone and RC+SPE in decreasing overdose risk and increasing treatment entry and retention among women during reentry to rural communities

Contextualize the effectiveness of intervention components by examining the roles of perceived acceptability and appropriateness and identify barriers and facilitators to intervention implementation across the reentry continuum

Examine the economic impact of the intervention components of the WJCOIN-II Opioid Prescribing Improvement Program on the overdose risk of women in rural communities, both pre- and post-release

Principal Investigator

A woman with long blonde hair smiling and wearing a blue top, standing in front of a cloudy blue background.

Michele Staton, PhD

University of Kentucky

MPI

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Carrie Oser, PhD

University of Kentucky

Co-Investigators

  • Megan Dickson, PhD, University of Kentucky
  • Laura Fanucci, MD, University of Kentucky
  • Patricia Freeman, PhD, University of Kentucky
  • Amanda Fallin-Bennett, PhD, MSN, University of Kentucky
  • Hannah Knudsen, PhD, University of Kentucky
  • Kathryn McCollister, PhD, University of Miami
  • William Stoops, PhD, University of Kentucky

Justice Agency Partner

  • Van Ingram, Kentucky Office of Drug Control Policy

Health Agency Partner

  • Sarah Johnson, Kentucky Director of Substance Use Disorder Treatment