Journal Articles
Published
2025
La Manna, A., Siddiqui, S., Gerber, G., Budesa, Z., Vance, K., Goulka, J., Beletsky, L., Marotta, P., Winograd, R.P. (2025). Overdose and Overwork: First Responder Burnout and Mental Health Help-Seeking in Missouri's Overdose Crisis. Drug and Alcohol Dependence. Link Here
Winograd, R.P., Brandon, P., Coffey, B., Ghonasgi, R., Blanchard, B., Thater, P., & Brown, K. (2025). The first five years of implementing Missouri’s Medication First approach to opioid use disorder treatment: Plateaus, regressions, and underbellies of progress. Journal of Substance Use and Addiction Treatment. Link Here.
Winograd, R.P., Brown, K., Newman, S., Banks, D., Carpenter, R.W., Budesa, Z., Lunceford, J., Siddiqui, S., Jasdanwala, S., Wing, B., & Orson, W. (2025). What about nights, weekends, and wait times? Adding an on-demand mobile telemedicine component to a community-based peer support outreach program. Substance Use & Addiction Journal. Link Here.
Banks, D., Li, X., Park, B., Winograd, R.P., & Cavazos-Rehg, P. (2025). Naloxone stigma among people who use drugs: Characteristics and associations with stigma toward medication for opioid use disorder. Journal of Addiction Medicine. Link Here
Newman, S.T., McNamara, I.A., Campbell, K.D., Park, B., Carpenter, R.W., Blanchard, B.A., Thater, P., Green, L., & Winograd, R.P. (2025). An interrupted time series analysis of fentanyl, naloxone, and opioid-involved deaths in five counties in Eastern Missouri. Journal of Substance Use and Addiction Treatment. Link Here
2024
Winograd, R.P., Marrotta, P.L., O’Neil., M.M, Siddiqui, S., Connors, E., La Manna, A., Goulka, J., & Beletsky, L. (2024). Improving first responders’ perceptions of overdose events and survivors through tailored occupational health-focused training co-facilitated by overdose survivors. Health & Justice. Link Here.
Ghonasgi, R., Paschke, M., Winograd, R., Wright, C., Selph, E., Banks, D. (2024) The intersection of substance use stigma and anti-Black racial stigma: A scoping review. International Journal of Drug Policy. Link Here.
Banks, D.E., Paschke, M., Ghonasgi, R., & Sanders Thompson, V. (2024). Benefits and challenges of geographic information systems (GIS) for data-driven outreach in black communities experiencing overdose disparities: results of a stakeholder focus group. BMC Public Health. Link Here
Budesa, Z., Vance, K., Smith, R., Carpenter, R., Banks, D., Green, L., Marshall B.D.L., Schackman, B.R., Zang, X., Winograd, R.P. (In Press). Missouri’s Overdose Field Report: A descriptive study of reported fatal and non-fatal overdoses, 2018-2022. The American Journal of Drug and Alcohol Abuse.
Nance, M., Carpenter, R.W., Richardson, J. Stetsiv, K. Banks, D. Paschke, M. Winograd, R.P. (In Press). Prevalence and Characteristics of Alcohol-involved Deaths in St. Louis, Missouri: 2011-2022. Journal of Studies on Alcohol and Drugs.
Suen LW, Incze M, Simon C, Englander H, Bratberg J, Groves Scott G, Winograd RP (In Press) Methadone's Resurgence in Bridging the Treatment Gap in the Overdose Crisis: Position Statement of AMERSA, Inc. Substance use and Addiction Journal.
Phillips, S., Budesa, Z., Smith, R., Wood, C., & Winograd, R. (2024). Longitudinal Assessment of Emergency Responders’ Attitudes toward People who Overdose and Naloxone following an Overdose Education Training. Substance Use and Addiction Journal. Link Here
Filiatreau, L.M., Szlyk, H., Kasson, E., Dickson, M.F., Banks, D., Winograd, R.P., Marotta, P., Cavazos-Rehg, P. (2024). Attitudes and Subjective Norms regarding Medication for Addiction Treatment among individuals in treatment for Opioid Use Disorder in Missouri. Journal of Drug Issues. Link Here
Siddiqui, S. T., La Manna, A., Connors, E., Smith, R., Vance, K., Budesa, Z., Goulka, J., Beletsky, L., Wood, C. A., Marotta, P., Winograd, R. P. (In Press). An evaluation of first responders' intention to refer to post-overdose services following SHIELD training. Link Here
Dash GF, Conlin WE, Winograd RP., Causation and Common Liability in the Progression of the U.S. Opioid Crisis. J Stud Alcohol Drugs. 2024 Jan;85(1):12-18. Link Here
2023
Coffey, B., Vondras, L., Ruiz, N., Blanchard, B., Brown, K. C., Watson, L. M., Hampton, J., Collins, A., Hosto, M., Burns, J., Budesa, Z., Anderson-Harper, R., & Winograd, R. P. (2023). Peers helping peers: Development and evaluation of a peer support worker training series. Journal of Substance Use. Link Here
Winograd, R.P., Budesa, Z., Banks, D., Carpenter, R., Wood, C., Duello, A., Thater, P., & Smith, C. (2023). Outcomes of State Targeted/Opioid Response grants and the Medication First approach: evidence of racial inequities in improved treatment access and retention. Substance Abuse Journal. Link Here
Winograd, R.P., Coffey, B., Nance, M., & Carpenter, R. (2023). The Association of Medical Providers’ Attitudes About Naloxone and People with Opioid Use Disorder and Their Self-Reported “Low-Barrier” Treatment Practices. Addictive Behaviors Reports. Link Here
Banks, D., Scroggins, S., Paschke, M., Shacham, E., Nance, M., Cavazos-Rehg, P., & Winograd, R. (2023, February 7). Examining increasing racial inequities in opioid overdose deaths: A spatiotemporal analysis of Black and White decedents in St. Louis, Missouri, 2011-2021. J Urban Health. Link Here
Banks, D.E., Duello, A., Paschke, M., Grigsby, S.R., Winograd, R.P., (2023). Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers. Harm Reduction Journal. Link Here
2022
Winograd, R.P., Weinstock, J., Ruiz, A., Coffey, B., Brown, K., Kondai, R., Connors, E., Smith, C., (2022). Addressing stimulant use disorder through state opioid response grants from the Substance Abuse and Mental Health Services Administration: Missouri’s initial approach. The American Journal of Drug and Alcohol Abuse. Link Here
Lewis, S., Liang, S.Y., Schwarz, E.S., Liss, D.B., Winograd, R.P., Nolan, N.S., Durkin, M.J., & Marks, L.R. (2022). Patients with serious injection drug use related infections who experience patient directed discharges on oral antibiotics have high rates of antibiotic adherence but require multidisciplinary outpatient support for retention in care. Open Forum Infectious Diseases. Link Here
Wood, C. A., Duello, A., Miles, J., Lohmann, B., Gochez-Kerr, T., Richardson, K., Anderson-Harper, R., & Winograd, R. P. (2022). Acceptance of medications for opioid use disorder in recovery housing programs in Missouri. Journal of Substance Abuse Treatment. Link Here
Winograd, R.P., Coffey, B., Woolfolk, C., Wood, C.A., Ilavarasan, V., Liss, D., Jain, S., & Stringfellow, E.J. (2022). To prescribe or not to prescribe?: Barriers and motivators for progressing along each stage of the buprenorphine training and prescribing path. Journal of Behavioral Health Services & Research.
2021
Stancil, S.L., Miller, M.K., Duello, A., Finocchario-Kessler, S., Goggin, K., Winograd, R.P., Hurley, E. (2021). Long-acting reversible contraceptives (LARCs) as harm reduction: a qualitative study exploring views of women with histories of opioid misuse. Harm Reduction Journal. Link Here
Wood, C.A., Green, L., LaManna, A., Phillips, S., Werner, K.B., Winograd, R.P., & Stuckenschneider, A. (2021). Balancing need and risk, supply and demand: Developing a tool to prioritize naloxone distribution. Substance Abuse. Link Here
Cavazos-Rehg PA, Xu C, Krauss MJ, Min C, Winograd R.P., Grucza R, Bierut LJ. (2021). Understanding barriers to treatment among individuals not engaged in treatment who misuse opioids: A structural equation modeling approach. Substance Abuse. Link Here
del Pozo, B., Sightes, E., Goulka, J., Ray, B., Wood, C. A., Siddiqui, S., & Beletsky, L. A. (2021). Police discretion in encounters with people who use drugs: Operationalizing the theory of planned behavior. Harm Reduction Journal. Link Here
Hagle, H.N., Martin, M., Winograd, R.P., Merlin, J., Finnell, D.S., Bratberg, J.P., Gordon, A.J., Johnson, C., Levy, S., MacLane-Baeder, D., Northup, R., Weinstein, Z., & Lum, P.J. (2021). Dismantling racism against Black, Indigenous, and people of color across the substance use continuum: A position statement of the association for multidisciplinary education and research in substance use and addiction. Substance Abuse. Link Here
Paul, S., Winograd, R.P., Oltmanns, T. (2021). Personality pathology and substance misuse in later life: Perspectives from interview-, self-, and informant-reports. Journal of Psychopathology and Behavioral Assessment. Link Here
Banks, D., Carpenter, R., Wood, C.A., & Winograd, R.P. (2021). As Opioid Overdose Deaths Accelerate among Black Americans, COVID-19 Widens Inequities: A Critical Need to Invest in Community-based Approaches. Addiction. Link Here
2020
Winograd, R.P., Stringfellow, E.J., Phillips, S., & Wood, C.A. (2020). Some Law Enforcement Officers’ Negative Attitudes towards Overdose Victims are Exacerbated Following Overdose Education Training. American Journal of Drug and Alcohol Abuse, 1-12. Link Here
Winograd, R.P., Phillips, S., Wood, C.A., Green, L., Goulka, J., & Beletsky, L. (2020). Training to reduce emergency responders’ perceived overdose risk from contact with fentanyl: Early evidence of success. Harm Reduction Journal, 17(1), 1-5. Link Here
Wood, C. A., Duello, A., Horn, P., Winograd, R. P., Jackson, L., Mayen, S., & Wallace, K. (2020). Overdose response training and naloxone distribution among rural first responders. Journal of Rural Mental Health. Link Here
Hurley, E. A., Duello, A., Finocchario-Kessler, S., Goggin, K., Stancil, S., Winograd, R.P., & Miller, M. K. (2020). Expanding contraception access for women with opioid-use disorder: A qualitative study of opportunities and challenges. American Journal of Health Promotion, DOI: 0890117120927327. Link Here
Cavazos-Rehg, P.A., Grucza, R., Krauss, M.J., Smarsh, A., Anako, N., Kasson, E., Kaiser, N., Sansone, S., Winograd, R., & Bierut, L.J. (2020). Utilizing social media to explore overdose and HIV/HCV risk behaviors among current opioid misusers. Drug and Alcohol Dependence, 205, 107690. Link Here
High, P., Marks, K., Robbins, V., Winograd, R.P., Manocchio, T., Clark, T., Wood, C., & Stringer, M. (2020). State Targeted Response to the Opioid Grants (Opioid STR) Program: Preliminary Findings from Two Case Studies and the National Cross-Site Evaluation. Journal of Substance Abuse Treatment, 108, 48-54.[BC1] Link Here
2019
Winograd, R.P., Wood, C., Stringfellow, E., Presnall, N., Duello, A., Horn, P., Green, L., & Rudder, T. (2019). Implementation and Evaluation of Missouri’s Medication First Approach to Opioid Use Disorder. Journal of Substance Abuse Treatment, 108, 55-64. Link Here
Winograd, R.P., Werner, K., Green, L., Phillips, S., Armbruster, J., & Paul, R. (2019). Concerns an opioid antidote could “make things worse”: profiles of risk compensation beliefs using the Naloxone-related Risk Compensation Beliefs (NaRRC-B) Scale. Substance Abuse, 1-7. Link Here
Winograd, R.P., Presnall, N., Wood, C., Stringfellow, E., Duello, A., Horn, P., & Rudder, T. (2019). The case for a Medication First approach to the treatment of opioid use disorder. American Journal of Drug and Alcohol Abuse, 1-8. Link Here
Orehek, E., Human, L.J., Sayette, M.A., Dimoff, J.D., Winograd, R.P., & Sher, K.J. (2019). Self-expression while drinking alcohol: Alcohol influences personality expression during first impressions. Personality and Social Psychology Bulletin. Link Here
2017
Winograd, R.P., Davis, C., Niculete, M., Oliva, E.M, & Martielli, R. (2017). Medical providers’ knowledge and concerns regarding the opioid overdose education and take-home naloxone rescue kits within Veterans Affairs healthcare medical treatment settings. Substance Abuse, 38, 135-140. Link Here
National Conference Presentations and Published Abstracts
Siddiqui, S.T., Budesa, Z., Connors, L., La Manna, A., Smith, R., Goulka, J., Beletsky, L., Winograd, R.P. (2023, November 2-4). The impact of SHIELD training on first responders’ harm reduction attitudes, beliefs, and knowledge [Oral Presentation]. AMERSA National Conference 2023, Washington DC, United States. Link Here
Siddiqui, S.T., Budesa, Z., Goulka, J., Beletsky, L., Winograd, R.P. (2023, November 2-4). The effect of overdose response and occupational safety training on naloxone-related risk compensation beliefs among law enforcement officers who did or did not witness an overdose death [Poster Presentation]. AMERSA National Conference 2023, Washington DC, United States. Link Here
Vance, K., Budesa, Z., Green, L., Coffey, B., Smith, R., Phillips, S., Siddiqui, S., Marshall, B., Schuckman, B., Zang, X., Winograd, R.P. (2023, November 2-4). Tracking naloxone use in the fentanyl era: Missouri's overdose field report (ODFR) as a collaborative tool for monitoring overdoses and naloxone administration [Poster Presentation]. AMERSA National Conference 2023, Washington DC, United States. Link Here
Kondai, R., Smith, R., Green, L., Budesa, Z., Phillips, S., Vance, K., & Winograd, R.P. (2023, November 2-4). Applying a Naloxone Saturation Model in Missouri: Comparing Predictions to Reality [Oral Presentation]. AMERSA National Conference 2023, Washington DC, United States. Link Here
Blanchard, B.A., Coffey, B.A, Vondras, L.N., Ruiz, N., Brown, K.C., Budesa, Z., & Winograd, R.P. (2023, November). Peering into integration: A focus group study on peer support workers in substance use disorder treatment and recovery organizations. [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Conference. Link Here
Winograd, R.P., Beletsky, L., Ray, B., Connors, E., Doll, M., Foege, J., & Quinn, M. (2023, November). Meeting ‘em where they’re at: Aligning police and EMS practices with harm reduction goals through occupational safety training. [Oral Workshop Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 47th Annual Conference. Link Here
Winograd, R.P., Budesa, Z., Blanchard, B., Thater, P., Newman, S., Gerntner, K., & Smith, C. (2023, November). The first five years of Missouri’s Medication First approach to opioid use disorder treatment: Plateaus, regressions, and underbellies of progress. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 47th Annual Conference. Link Here
Winograd, R.P., Brown, K., Budesa, Z., Wilks, C., Banks, D., Carpenter, R., Orson, W., Becker-Markovich, C., Zychinski, M., Wing, B., Rondai, R., Jasdanwala, S., (2022, November). What about nights, weekends, and wait times? Adding an on-demand mobile telemedicine component to a community-based, post-overdose, peer support, outreach program. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance Use and Addiction (AMERS) 46th Annual Conference. Boston, MA. Link Here
Winograd, R.P., Kondai, R., Connors, L., Brown, K., Ruiz, A., Smith, C. (2022, November). More Money? MO-FTS: Findings from a pilot Fentanyl Test Strip distribution program using Missouri’s substance use workforce. [Oral presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 46th Annual Conference. Boston, MA. Link Here
Duello, A., Banks, D. E., Paschke, M. E., Grigsby, S. R., Winograd, R. P. (2022, November). Community-based service providers illuminate drivers of opioid overdose among Black people who use drugs in St. Louis [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 46th Annual Conference. Boston, MA.
Paschke, M.E., Banks, D.E., Scroggins, S., Vilbig, J., Shacham, E., Winograd, R.P., & Cavozos-Rehg, P. (2022, November). Examining increasing opioid overdose deaths among Black individuals in St. Louis, Missouri: A spatial clustering analysis. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 46th Annual Conference. Boston, MA.
Siddiqui, S.T., La Manna, A., Connors, L., Smith, R., Wood, C.A., Brown, K., Goulka, J., Beletsky, L., Winograd, R.P. (2022, November). SHIELD training increases first responders’ intention to refer overdose survivors to harm reduction services. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 46th Annual Conference. Boston, MA. Link Here
Coffey, B., Ruiz, A., Blanchard, B., Kon, L., Brown, K., Anderson-Harper, R., Winograd, R.P. (2022, November). “Peers helping peers”: An evaluation of Missouri’s Specialty Peer Instruction program. [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) 46th Annual Conference. Boston, MA. Link Here
Winograd, R.P, Coffey, B., Ruiz, A., Weinstock, J., Blanchard, B., Thater, P., Brown, K., Smith, C. (2022, November). Early Implementation of Contingency Management in Publicly-Funded Substance Use Treatment Programs in Missouri: Process and Lessons Learned. [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Conference. Boston, MA. Link Here
La Manna, A., Siddiqui, S., Smith, R., Connors, E., Brown, K., Lesinski, S., Winograd, R.P, Wood, C., Goulka, J., & Beletsky, L. (2022, November). Too burned out to seek help: Overdose crisis as a driver of occupational stress among first responders [Poster Presentation]. American Public Health Association Annual Meeting. Boston, MA Link Here
Winograd, R.P., Duello, A., Blanchard, B., Thater, P., & Wood, C.A. (2021, November). Buprenorphine Telemedicine Utilization in Missouri’s Safety Net Substance Use Treatment System During COVID-19 Lockdown. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference. Link Here
Phillips, S., Woolfolk, C., Wood C., & Winograd R.P. (2021, November). Emergency Responder Attitudes Following Naloxone Training. [Poster presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference. Link Here
Wood, C. A., Duello, A., Thater, P., Blanchard, B., Woolfolk, C., Anderson-Harper, R., Smith, G., & Winograd, R. P. (2021, November). “When other places were closing their doors because of COVID-19, we were opening ours” Recovery housing in Missouri during the lockdown. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference. Link Here
Coffey, B., Carpenter, R., Wood, C.A., Winograd, R.P. (2021, November). The association of prescriber attitudes and self-reported buprenorphine prescribing behaviors. [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference. Link Here
Siddiqui, S., La Manna, A., Connors, L., Winograd, R.P., Goulka, J., Beletsky, L., Wood, C. (2021, October). The impact of SHIELD training on first responders’ beliefs about Opioid Use Disorder treatment effectiveness. [Poster Presentation]. Addiction Health Services Research Conference. Link Here
Wagner, K., Ray, B., Tori, M., Winograd, R.P., Bluthenthal., R., & Walley, A.E. (2021, June). Role of Police in Overdose Response and Post-Overdose Outreach. [Workshop]. College on Problems of Drug Dependence (CPDD) virtual conference.
Banks, D. E., Fentem, A., Li, X., Kasson, E., Riordan, R., Winograd, R. P. & Cavazos-Rehg, P. (2021, June). COVID-19-Related barriers to recovery among African Americans with opioid use disorder. [Poster Presentation]. College on Problems of Drug Dependence (CPDD) Virtual Conference.
Smith, R., Siddiqui, S., La Manna, A., Winograd, R.P., Connors, L., del Pozo, B., Goulka, J., Beletsky, L., & Wood, C. (2021, May). Public health training for law enforcement officers: Knowledge, attitudes, and behaviors surrounding syringe safety. [Poster Presentation]. Undergraduate Research Symposium at UMSL. Link Here
Wood, C., Billings, S., Hill, M., La Manna, A., Siddiqui, S., Winograd, R.P, Connors, L. (2021, April). Warm hand-offs: A case study of establishing EMS and peer community partnerships in the midst of the opioid epidemic. [Poster Presentation] Rx Drug Abuse & Heroin Summit. Link Here
Siddiqui, S., La Manna, A., Horn, P., Connors, L., Goulka, J., Winograd, R.P., Beletsky, L., & Wood, C. (2020, October). Building bridges: Fostering interagency collaboration to combat the opioid overdose crisis with community planning meetings. [Poster Presentation] Addiction Health Services Research Conference. Link Here
La Manna, A., Siddiqui, S., Horn, P., Winograd, R.P, Connors, L., Beletsky, L., & Wood, C. (2020, October). ”Connecting the DOTS: Drug Overdose Trust and Safety” - Implementation of the SHIELD model to engage first responders in overdose prevention. [Poster Presentation]. American Public Health Association Annual Meeting. Link Here
Winograd, R.P., Coffey, B., Woolfolk, C., Wood, C.A., Nagle, M. (2020, October). Barriers and Motivators For Progressing Along the Buprenorphine Training and Prescribing Path. [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference Link Here
Wood, C.A., Duello, A., Richardson, K., Winograd, R.P. (2020, October). Racial inequities in treatment retention evidenced through the implementation of Missouri’s state targeted/opioid response grants. [Oral Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference. Link Here
Duello, A., Coffey, B., Wood, C.A., Winograd, R.P. (2020, October). “Baby steps” towards harm reduction in traditional substance use treatment in the midwest. [Poster Presentation]. The Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) Virtual Conference. Link Here
Hurley, E., Duello, A., Stancil, S., Kessler, S.F., Goggin, K., Winograd R.P., Miller, M.K. (2020, April) Reducing opioid-exposed pregnancies through improved contraception access: A qualitative study. [Poster Presentation]. Pediatric Academic Societies Annual Meeting.
Winograd, R.P., Wood, C., Presnall, N., Horn, P., Duello, A., & Rudder, T. (2018, November). Missouri’s Implementation of a ‘Medication First’ Treatment Model for Opioid Use Disorder. [Oral Presentation]. Association for Multidisciplinary Education and Research in Substance Use and Addiction. Link Here
Green, L., Wood, C., Werner, K., Phillips, S., & Winograd, R.P. (2018, October). Balancing need and risk, supply and demand: Developing a tool to prioritize naloxone distribution. Harm Reduction Coalition. [Poster Presentations]. Harm Reduction Conference. Link Here
Winograd, R.P., Werner, K., Green, L., Philips, S., Armbruster, J., Paul, R. (2017, November). Concerns an Opioid Antidote could “Make things Worse”: A comparison of belief in risk compensation among emergency responders and treatment providers participating in naloxone distribution training. Substance Abuse Journal, Association for Medical Education and Research on Substance Abuse. Link Here