Monica Fadanelli

“I wasn’t scared of the dope I had anymore because I could test it myself:” A qualitative study among rural Appalachians who use drugs about experiences with a fentanyl test strip intervention

Monica Fadanelli, Tasfia Jahangir, Zora Kesich, Kenneth Lane et autres

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“There are only so many fires you can put out”: nonprofit structural constraints on service delivery for pregnant and postpartum women who use drugs in Appalachian North Georgia

Anna Mullany, Hannah L. F. Cooper, Rebeca Bonilla, Monica Fadanelli et autres

Drug overdose deaths for low- and no-income women during pregnancy and the postpartum period are on the rise in the United States. Unfortunately, health and social services for pregnant and postpartum women who use drugs (WWUD) are lacking, especially in rural areas. …

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Overdose responses among rural people who use drugs: A multi-regional qualitative study

Rebecca Bolinski, David W. Seal, Thomas J. Stopka, Robin Baker et autres

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Strategies used to reduce harms associated with fentanyl exposure among rural people who use drugs: multi-site qualitative findings from the rural opioid initiative

Suzan M. Walters, Robin Baker, David Frank, Monica Fadanelli et autres

AIM: Illicitly manufactured fentanyl and its analogs are the primary drivers of opioid overdose deaths in the United States (U.S.). People who use drugs may be exposed to fentanyl or its analogs intentionally or unintentionally. This study sought to identify strategies used …

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Overdose responses among rural people who use drugs: A multi-regional qualitative study

Robin Baker, Rob J. Fredericksen, Abby E. Rudolph, Thomas J. Stopka et autres

BACKGROUND: Efforts to distribute naloxone have equipped more people with the ability to reverse opioid overdoses but people who use drugs are often reluctant to call 911 due to concerns for legal repercussions. Rural communities face unique challenges in reducing overdose deaths …

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A qualitative analysis of rural syringe service program fidelity in Appalachian Kentucky: Staff and participant perspectives

Evan Batty, Umedjon Ibragimov, Monica Fadanelli, Skylar Gross et autres

PURPOSE: As drug-related epidemics have expanded from cities to rural areas, syringe service programs (SSPs) and other harm reduction programs have been slow to follow. The recent implementation of SSPs in rural areas demands attention to program fidelity based on core components …

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Medicaid expansion and opioid overdose mortality among socioeconomically disadvantaged populations in the US: A difference in differences analysis

Umedjon Ibragimov, Russell W. Mansfield, Courtney R. Yarbrough, Janet R. Cummings et autres

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Capacity for sustainment of recently established syringe service programs in Appalachian Kentucky: The central role of staff champions

Hannah L. F. Cooper, Skylar Gross, Emma Klein, Monica Fadanelli et autres

INTRODUCTION: Ensuring adequate harm reduction infrastructure in rural areas is imperative, as drug-related epidemics expand into them. Here, we explore the capacity for sustainment of syringe service programs (SSP) in Appalachian Kentucky. METHODS: We interviewed all staff (n = 16) of all …

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A qualitative study on pharmacy policies toward over-the-counter syringe sales in a rural epicenter of US drug-related epidemics

Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, April Ballard et autres

BACKGROUND: Expanding access to sterile syringes in rural areas is vital, as injection-related epidemics expand beyond metropolitan areas globally. While pharmacies have potential to be an easily accessible source of sterile syringes, research in cities has identified moral, legal and ethical barriers …

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Factors that influence enrollment in syringe services programs in rural areas: a qualitative study among program clients in Appalachian Kentucky

Umedjon Ibragimov, Katherine Cooper, Evan Batty, April Ballard et autres

BACKGROUND: Enrolling sufficient number of people who inject drugs (PWID) into syringe services programs (SSP) is important to curtail outbreaks of drug-related harms. Still, little is known about barriers and facilitators to SSP enrollment in rural areas with no history of such …

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Buprenorphine dispensing in an epicenter of the U.S. opioid epidemic: A case study of the rural risk environment in Appalachian Kentucky

Hannah L. F. Cooper, David H. Cloud, Patricia R. Freeman, Monica Fadanelli et autres

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People, places, and stigma: A qualitative study exploring the overdose risk environment in rural Kentucky

Monica Fadanelli, David H. Cloud, Umedjon Ibragimov, April Ballard et autres

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