Michele Staton
Datos Biográficos
| ID | 5417002 |
|---|---|
| NOMBRE | Michele Staton |
| NOMBRES | Michele |
| APELLIDO | Staton |
| FIRMA | STATON M |
| AFILIACIONES | University of Kentucky |
| ORCID | 0000-0002-5093-8131 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAS | 4 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1999 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Factors associated with tobacco product use patterns among criminal legal system impacted adults in Kentucky
The tobacco use landscape is rapidly shifting, with growing numbers of people using multiple forms of nicotine delivery (e.g., combustible, electronic nicotine delivery, smokeless). In general populations, multi-product use is associated with high-risk behaviors and poorer health outcomes. Individuals in the criminal legal system (CLS) are a high-risk and vulnerable population with high rates of tobacco use, but little is known about existing tob…
Mental Health, Interpersonal Trauma, and Violent Offending in a Sample of Justice-Involved Women With Opioid Use Histories
There is a known relationship between mental health, victimization, and perpetration of violence, yet few studies have investigated this relationship with substance-using women. The current study examined differences in psychological diagnoses, mental health symptoms, and interpersonal trauma between violent and nonviolent female offenders with opioid use histories. Findings revealed that lifetime mental health diagnoses and interpersonal trauma …
Clinical and demographic characteristics of participants in a hepatitis C treatment trial in rural Kentucky
INTRODUCTION: The advent of curative direct acting antiviral (DAA) drugs to treat those actively infected with the hepatitis C virus (HCV) has allowed for discussion around HCV elimination. Restrictive state-by-state policies for the coverage of DAAs for Medicaid recipients may hamper elimination efforts in the United States by limiting access to these curative treatments. METHODS: The purpose of the current analysis was to examine the sociodemog…
County health rankings, provider shortages, and the health of incarcerated women with opioid use disorder
PURPOSE: Incarcerated women in rural Kentucky face significant barriers to healthcare, including provider shortages, geographic isolation, and limited access to preventive services. This study examines how county health rankings and primary care provider (PCP) availability relate to women's self-reported health conditions and healthcare utilization prior to incarceration (PIT). METHODS: A total of 900 incarcerated women across nine Kentucky jails…
Social Network Barriers to Extended-Release Naltrexone Within Rural Appalachia
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 of health behaviors, including XR-NTX initiation, and are especially salient in Appalachia.Objectives Using a triangulation of perspectives, this study examined concordance between the social n…
Overdose education and naloxone distribution in jails
BACKGROUND: Opioid-related overdose is the leading cause of mortality among individuals recently released from incarceration in the U.S. Naloxone is an FDA-approved opioid antagonist medication designed to rapidly reverse opioid overdose. Despite evidence of its acceptability and effectiveness at reducing the risk of opioid overdose death after release from incarceration, only an estimated 25% of US jails provide naloxone upon release. This study…
Overdose education and naloxone distribution among women with a history of OUD transitioning to the community following jail release
BACKGROUND: The criminal legal system (CLS) provides a critical intervention point for women at high risk for overdose, and the need continues to rise as the number of incarcerated women increases. Effective, targeted prevention interventions to reduce overdose risk for CLS-involved women are needed, such as naloxone distribution. This study describes the overdose education and naloxone distribution (OEND) procedures used in the Kentucky-hub of t…
Correlates of Six-Month Recidivism among Rural Incarcerated Women
With growing rates of incarceration among women, it is crucial to understand factors associated with reincarceration. Rural incarcerated women have increased risks for strains and drug use. General Strain Theory posits that strains (drug use, psychosocial stressors) are associated with recidivism. Women experience as much, or more strain than men. The present secondary analysis examined intravenous drug use (IDU) and psychosocial factors (partner…
Exploring the relationship between adverse childhood experiences and internalized substance use stigma
While adverse childhood experiences (ACEs) and mental health (MH) may significantly influence internalized substance use stigma (ISUS), these relationships remain underexplored. This study addresses this gap by: (1) examining bivariate relationships between ACEs, MH, and ISUS, and (2) investigating the mediating role of MH-specifically anxiety, depression, and post-traumatic stress disorder (PTSD)-in this relationship. As part of the ongoing NIDA…
Correlates of recovery capital among women in jails
This sample of incarcerated women reported low recovery capital. However, findings highlight recovery capital as a multidimensional construct, related to factors across all four SAMSHA dimensions of recovery, especially 'community'. Interventions are needed to build recovery capital across each dimension, particularly leveraging social support, to promote sustained recovery among women who are incarcerated
Facebook as a Strategy To Deliver a Peer Navigation Intervention for Recently Incarcerated Women with Opioid Use Disorder
Overdose Experiences Among a Sample of Women in Jail with Opioid Use Disorder
Background: Previous non-fatal overdose may increase risk of overdose fatality for women reentering the community following incarceration, but pre-incarceration overdose experiences are understudied. This study describes the prevalence and correlates of non-fatal overdose prior to jail among women with opioid use disorder (OUD). Methods: Women (N = 700) were randomly selected from eight Kentucky jails, screened for OUD, and interviewed as part of…
The Association of Geographic Congruence With Postrelease Substance Use and Reincarceration
This research examined consistency in living in the same geographical area pre- and post-incarceration as a predictor of postrelease substance use and recidivism. Data from a 2018–2020 cohort of the Criminal Justice Kentucky Treatment Outcome Study ( n = 935) were analyzed. Rural–urban congruence compared the county an individual reported living in prior to incarceration to the county they reported living in at the time of their follow-up. Logist…
Rapid jail-based implementation of overdose education and naloxone distribution in response to the Covid-19 pandemic
Rural and urban clinician views on Covid-19’s impact on substance use treatment for individuals on community supervision in Kentucky
Protective Factors Associated With Lower Likelihood of Injection Drug Use and Experiencing Overdose Among Incarcerated Women
Facilitating factors and barriers for use of medications to treat opioid use disorder (Moud) among justice‐involved individuals in rural Appalachia
The purpose of this qualitative study is to assess facilitating factors and barriers for medications to treat opioid use disorder (MOUD) initiation among justice‐involved individuals in one rural Appalachian community, as well as how those factors may differ across the three types of Food and Drug Administration (FDA) approved medications. Qualitative interviews were conducted with rural justice‐involved individuals ( N = 10) with a history of op…
Transactional sex among rural, justice‐involved Appalachian women who use drugs
PURPOSE: Transactional sex is associated with an array of other health risk behaviors and adverse health outcomes, including HIV. However, despite concerns regarding a potential HIV outbreak, there is limited understanding of transactional sex among rural Appalachians who engage in high-risk behaviors. Thus, the current study describes the prevalence and correlates of transactional sex among a sample of rural, justice-involved Appalachian women w…
The Importance of Justice and Health Care Partnerships in Moud Feasibility Trials
This paper overviews the importance of justice and health-care partnerships in a MOUD feasibility trial in a rural Appalachian community. Research partners included a local jail, a local community supervision office, and a local community federally qualified health center. This paper describes the pilot feasibility study participants and methodology, as well as lessons learned including the challenges encountered and needed changes to address fea…
Scales for participant Alliance with Recovery Coach (SPARC)
Recovery coaches are individuals with lived experience with recovery from substance use disorder who typically engender a greater sense of trust than found with other types of healthcare providers. However, there currently are no validated tools that measure the connection between recovery coaches and their participants. The purpose of this study was to describe the initial development of the Scales for Participant Alliance with Recovery Coach (S…
Community Relationship Quality and Reincarceration Following Rural Drug-Using Women’s Reentry From Jail
Interpersonal relationships and social support are important factors in women’s successful reentry from incarceration, but limited research has explored the role of women’s relationships to their communities during the reentry process. In the current study, women were recruited from three rural Appalachian jails, screened for high-risk behaviors (including drug use and unprotected sex), and interviewed at 12 months postrelease ( N = 339). Intervi…
The rural identity scale
PURPOSE: The purpose of this study was to conduct a psychometric evaluation of a new 35-item survey developed in the United States to measure rural identity. METHODS: Factor structure, reliability, convergent validity, and incremental validity of the Rural Identity Scale (RIS) were examined using two datasets. Study 1 examined RIS psychometric properties using survey data collected from substance use treatment counselors in a southeastern state (…
An Exploratory Examination of Social Media Use and Risky Sexual Practices
Adaptation of a standard extended-release naltrexone (XR-NTX) protocol for rural re-entering offenders with OUD
Polysubstance Use Patterns among Justice-Involved Individuals Who Use Opioids
Aim The current study explores pre-incarceration polysubstance use patterns among a justice-involved population who use opioids. Design: Setting: Data from prison and jail substance use programing in the state of Kentucky from 2015–2017 was examined. Participants: A cohort of 6,569 individuals who reported both pre-incarceration use of opioids and reported the use of more than one substance per day. Measurements: To determine the different typolo…
Facilitating factors and barriers for use of medications to treat opioid use disorder (Moud) among justice‐involved individuals in rural Appalachia
The purpose of this qualitative study is to assess facilitating factors and barriers for medications to treat opioid use disorder (MOUD) initiation among justice‐involved individuals in one rural Appalachian community, as well as how those factors may differ across the three types of Food and Drug Administration (FDA) approved medications. Qualitative interviews were conducted with rural justice‐involved individuals ( N = 10) with a history of op…
Substance Use and Intimate Violence Among Incarcerated Males
Gender differences in substance use and initiation of sexual activity
Substance Use and Intimate Violence Among Incarcerated Males
An Exploratory Examination of Spiritual Well-Being, Religiosity, and Drug Use Among Incarcerated Men
This study examines the relationships among spirituality, religiosity, and drug use among incarcerated males. Data were collected from 661 male prison inmates from four Kentucky State Correctional facilities. Spiritual well-being was measured using a modified version of the Spiritual Well-Being Scale (SWBS), and religiosity was measured by worship attendance in the year prior to incarceration. In general, spirituality and religiosity were found t…
Head Injury Among Drug Abusers
Alcohol and other drug use has been associated with traumatic brain injury both as a contributing factor to the injury and as a complicating factor for rehabilitation. Brain injury is associated with an increase in mental health and other problems that may be related to drug and alcohol abuse and that may influence recovery. This study examined self-reports of 661 drug-abusing inmates with self-reported head injury, health problems and mental hea…
Treatment Motivation and Therapeutic Engagement in Prison-Based Substance Use Treatment
Studies of community-based substance use treatment show that motivation for treatment is critical for clients becoming therapeutically engaged. Little research, however, has been conducted on therapeutic engagement in corrections-based substance use treatment. The current study examines the association between internal treatment motivation and therapeutic engagement for a sample of 220 male substance-using offenders enrolled in a corrections-base…
Age of First Arrest, Sex, and Drug Use as Correlates of Adult Risk Behaviors Among Rural Women in Jails
Incarcerated women frequently report initiation of substance use and sexual encounters at an early age, and often engage in high-risk drug use and sexual behaviors as adults. This study examined the timing of first sex, drug use, and arrest, as well as their unique influences on specific risky behaviors in adulthood, among a high-risk population of rural women recruited from jails. Ages of initiation were all positively and significantly correlat…
Partner Relationships and Injection Sharing Practices among Rural Appalachian Women
Examination of Synthetic Cannabinoid and Cathinone Use among a Drug-Using Offender Sample, 2013–2015
Use of novel psychoactive substances (NPS) such as synthetic cannabinoids (e.g., "Spice," "Serenity") and cathinones (e.g., "bath salts") has proliferated in recent years; however, there is a gap in research examining prevalence among offender samples. This study examined demographics, drug use, mental health characteristics, and criminal histories of NPS users compared to non-NPS users within an offender sample entering drug treatment. Using log…
Correlates of Injection Drug Use Among Rural Appalachian Women
BACKGROUND: Limited research has focused on correlates of injection drug use (IDU) among high-risk subgroups of drug users, particularly women, who may be at increased risk for transmission of infectious diseases such as HIV and Hepatitis C. The purpose of this study is to better understand the contextual and health correlates of IDU among women living in rural Appalachia by examining (1) differences between injectors and noninjectors, and (2) th…
Appalachian Women’s Use of Substance Abuse Treatment
The Gelberg-Andersen Behavioral Model for Vulnerable Populations was applied to understand vulnerable Appalachian women's (N = 400) utilization of addiction treatment. A secondary data analyses included multiple multivariate analyses. Strongest correlates of treatment utilization included ever injecting drugs (OR = 2.77), limited availability of substance abuse treatment facilities (OR = 2.03), and invalidated violence abuse claims (OR = 2.12). T…
HIV Prevention in Rural Appalachian Jails
Characteristics of Prescription-Opioid-Impaired and Other Substance-Impaired Drivers in Rural Appalachian Kentucky
Previous studies have highlighted the prescription opioid epidemic in rural Appalachia and its associated risk behaviors; however, no studies have examined prescription-opioid-impaired driving as a consequence of this epidemic. The purpose of the present study was to describe prescription-opioid-impaired drivers in rural Appalachian Kentucky and examine how they are similar to and different from other substance-impaired drivers from the region. A…
Staying Out
The current study examines protective factors for women who transition from county jails to rural Appalachian communities, areas with limited health and behavioral health services. The study included drug-using women recruited from three jails in rural Appalachia and were followed 12-months post-release. Analyses focused on differences between women who remained in the community and those who returned to custody, as well as a multivariate model t…
Polysubstance Use Patterns among Justice-Involved Individuals Who Use Opioids
Aim The current study explores pre-incarceration polysubstance use patterns among a justice-involved population who use opioids. Design: Setting: Data from prison and jail substance use programing in the state of Kentucky from 2015–2017 was examined. Participants: A cohort of 6,569 individuals who reported both pre-incarceration use of opioids and reported the use of more than one substance per day. Measurements: To determine the different typolo…
Latent profiles of health and reproductive risk and protective factors among women in Appalachia
Women who use opiates and are involved in the criminal justice system in Appalachia may be prone to adverse health outcomes. In this study, we performed a latent class analysis of risk and protective factors on 400 drug-using women recruited from rural, Appalachian jails. A two-profile solution best fit the data. Both profiles evinced low levels of condom use, reproductive and physical health screens, and STD history. However, the primary substan…
Adaptation of a standard extended-release naltrexone (XR-NTX) protocol for rural re-entering offenders with OUD
Community Relationship Quality and Reincarceration Following Rural Drug-Using Women’s Reentry From Jail
Interpersonal relationships and social support are important factors in women’s successful reentry from incarceration, but limited research has explored the role of women’s relationships to their communities during the reentry process. In the current study, women were recruited from three rural Appalachian jails, screened for high-risk behaviors (including drug use and unprotected sex), and interviewed at 12 months postrelease ( N = 339). Intervi…
The rural identity scale
PURPOSE: The purpose of this study was to conduct a psychometric evaluation of a new 35-item survey developed in the United States to measure rural identity. METHODS: Factor structure, reliability, convergent validity, and incremental validity of the Rural Identity Scale (RIS) were examined using two datasets. Study 1 examined RIS psychometric properties using survey data collected from substance use treatment counselors in a southeastern state (…
An Exploratory Examination of Social Media Use and Risky Sexual Practices
Transactional sex among rural, justice‐involved Appalachian women who use drugs
PURPOSE: Transactional sex is associated with an array of other health risk behaviors and adverse health outcomes, including HIV. However, despite concerns regarding a potential HIV outbreak, there is limited understanding of transactional sex among rural Appalachians who engage in high-risk behaviors. Thus, the current study describes the prevalence and correlates of transactional sex among a sample of rural, justice-involved Appalachian women w…
The Importance of Justice and Health Care Partnerships in Moud Feasibility Trials
This paper overviews the importance of justice and health-care partnerships in a MOUD feasibility trial in a rural Appalachian community. Research partners included a local jail, a local community supervision office, and a local community federally qualified health center. This paper describes the pilot feasibility study participants and methodology, as well as lessons learned including the challenges encountered and needed changes to address fea…
Scales for participant Alliance with Recovery Coach (SPARC)
Recovery coaches are individuals with lived experience with recovery from substance use disorder who typically engender a greater sense of trust than found with other types of healthcare providers. However, there currently are no validated tools that measure the connection between recovery coaches and their participants. The purpose of this study was to describe the initial development of the Scales for Participant Alliance with Recovery Coach (S…
Overdose Experiences Among a Sample of Women in Jail with Opioid Use Disorder
Background: Previous non-fatal overdose may increase risk of overdose fatality for women reentering the community following incarceration, but pre-incarceration overdose experiences are understudied. This study describes the prevalence and correlates of non-fatal overdose prior to jail among women with opioid use disorder (OUD). Methods: Women (N = 700) were randomly selected from eight Kentucky jails, screened for OUD, and interviewed as part of…
The Association of Geographic Congruence With Postrelease Substance Use and Reincarceration
This research examined consistency in living in the same geographical area pre- and post-incarceration as a predictor of postrelease substance use and recidivism. Data from a 2018–2020 cohort of the Criminal Justice Kentucky Treatment Outcome Study ( n = 935) were analyzed. Rural–urban congruence compared the county an individual reported living in prior to incarceration to the county they reported living in at the time of their follow-up. Logist…
Rapid jail-based implementation of overdose education and naloxone distribution in response to the Covid-19 pandemic
Medicine (32 obras) · Psychiatry (27 obras) · Psychology (26 obras) · Opioid Use Disorder Treatment (16 obras) · Substance Abuse Treatment and Outcomes (16 obras) · HIV, Drug Use, Sexual Risk (14 obras) · Psychological intervention (13 obras) · Environmental health (12 obras) · Prenatal Substance Exposure Effects (11 obras) · Clinical Psychology (10 obras)