A UK College of Public Health researcher is using a $1.16 million grant to pursue effective interventions in the fight against opioid addiction in communities across 12 Eastern Kentucky counties.
The grant is a cooperative agreement from the Centers for Disease Control and Prevention, National Institute on Drug Abuse, Substance Abuse and Mental Health Services Administration, and the Appalachian Regional Commission, and will be led by April Young, a researcher at the UK Center on Drug and Alcohol Research and the College of Public Health, and a co-principal investigator at Emory University.
From the start, the research team knew that success of the project would rely on the involvement of the communities where the research will take place. As Young and her co-principal investigator began to draft the research proposal, they sought support from organizations that operate in the region and leaders such as U.S. Rep. Hal Rogers, who drafted a letter of support for the grant application.
“The more we learn about drug abuse and addiction, the more we can thoughtfully and strategically intervene to save lives and change the trajectory for families across Eastern Kentucky,” said Rogers, the co-chair of the Congressional Caucus on Prescription Drug Abuse.
“I applaud the University of Kentucky for utilizing its powerful research resources to pinpoint the challenges we face in combatting opioid abuse in an effort to implement effective, lifesaving programs that can be sustained in our communities for generations to come.”
Understanding the opioid epidemic
The project, titled Kentucky Communities and Researchers Engaging to Halt the Opioid Epidemic (CARE2HOPE), includes both epidemiological and qualitative research that will be conducted by Young and her colleagues in the UK Center on Drug and Alcohol Research, Emory University and other partnering institutions.
The first two years of the five-year project will focus on better understanding opioid use and its context in the 12-county area that comprises Bath, Rowan, Elliott, Menifee, Morgan, Wolfe, Lee, Owsley, Leslie, Perry, Knot and Letcher counties.
Through interviews and surveys with the community, the team will collect information about resources and factors that impact access to treatment for opioid-use disorder as well as risks for related harm such as overdose, hepatitis C and HIV.
This collaborative effort is vital to developing intervention strategies, as those who live in these communities are the best source for identifying resources and factors that impede access to treatment and contribute to risk. During the first two years, the team will also work with communities to identify evidence-based community-response projects that meet their needs.
Pursuing long-term solutions
The final three years of funding, which is estimated to total about $3.25 million, is contingent on meeting milestones in the first two years. During the three-year intervention phase, the team will work with the community to implement and evaluate the evidence-based community-response projects.
Sustainability is at the forefront of the team’s efforts. The primary goal is to give communities the tools to continue programs that are implemented long after the research has been completed. After completing its data collection, the team will work with communities to identify and apply for additional funding to maintain programming.
A key strength of this initiative is the collaboration with other institutions, including the Harm Reduction Coalition, Kentucky Department for Public Health and other state departments and agencies, Boston University, the Gateway and Kentucky River District Health Departments, AIDS Volunteers, Inc., and other community leaders and organizations.
“It benefits these communities to have experts from across the country working to address the opioid epidemic,” Young said.
The power of collaboration
Hannah Cooper, associate professor in the Rollins School of Public Health at Emory University and co-principal investigator, is familiar with Kentucky, having worked with Young on another project focused in and around Morehead, Ky. That project was her first opportunity to visit Eastern Kentucky.
“On my first trip, I was struck by both the devastating consequences of the local opioid epidemic and by the local community’s fierce commitment to stopping it,” Cooper said. “Whenever two institutions collaborate, you end up with a proposal that is stronger than it would have been with just a single institution.”
The UK team members for this project include Sharon Walsh, Jennifer Havens, Carrie Oser, Michele Staton and Michelle Lofwall, all faculty associates in the UK Center on Drug and Alcohol Research. The team has more than 40 years of combined experience in research on rural drug use, including in substance use disorder treatment, hepatitis C and HIV risk reduction and intervention in criminal justice settings.
UK team members were among the first to document the rise in opioid injection in Appalachia and have a history of highly productive collaborations with federal, state and local stakeholders in Appalachian Kentucky communities.