Madeline Naegle


Madeline Naegle Headshot

Madeline A Naegle

Professor Emerita

1 212 998 5321

NEW YORK, NY 10016
United States

Madeline A Naegle's additional information

Dr. Naegle is a professor emerita at NYU Rory Meyers College of Nursing. She is nationally and internationally known for program development, publications and implementation of policy in addiction, and psychiatric nursing, with a focus on older adults. Her  activities have included efforts on the integration of behavioral health into health professional education and practice. Her leadership in organized nursing includes development of international consultation and education and establishment of the NYU College of Nursing WHO Collaborating Center in Geriatric Nursing Education. She was a Health and Aging Policy Fellow and served as associate director of the RMCON Center for Drug Use and HIV Research.

PhD, Nursing - New York University
MA, Nursing - New York University
BSN - College of Rochester

Mental health
Substance use

American Academy of Nursing: Member, Expert Panel on Mental Health and Substance Abuse
American Nurses’ Association
Association of Medical Educators and Researchers in Substance Abuse: Member
American Psychiatric Nurses’ Association
American Psychiatric Nurses Association Tobacco Dependence Council: Member
Eastern Nursing Research Society
Fulbright Association: New York and National Chapters
International Nurses’ Society on Addictions
National League for Nursing: Member
New York Academy of Science: Member USDHHS, Division of Nursing, Consortium on Alcohol and Other Drugs
New York University, Division of Nursing Alumni Assoc.: Member, Faculty Advisor
Sigma Theta Tau, Pi Psi Chapter
Sigma Theta Tau, Upsilon Chapter: Member

Faculty Honors Awards

Excellence in Mentorship Award, Association of Medical Educators and Researchers in Substance Abuse (2010)
Honorary Recognition, New York State Nurses Association (2007)
Spirit Award, National Nurses’ Society on Addictions (2007)
J.W. Fulbright Senior Fellow, University of Sao Paulo (2006)
Distinguished Alumna Award, NYU Division of Nursing Alumni Association (2005)
Hildegard E. Peplau Award, American Nurses’ Association (2002)
Outstanding Alumna, Nazareth College of Rochester (2000)
Who’s Who, Medicine and Health Care (2000)
New York State Nurses’ Association Leadership Institute (1999)
President’s Award, National Nurses Society on Addictions (1998)
J.W. Fulbright Fellow, University of Malta (1995)
Amanda Silver Distinguished Service Award, N.Y. County Registered Nurses’ Association (1994)
Legislative & Health Policy Award, NYU Division of Nursing (1992)
Academy of Women Achievers, YWCA (1991)
Fellow, American Academy of Nursing (1989)
Charter Member, Nazareth College (1988)
Presidential Citation, New York County Registered Nurses’ Association (1986)
Outstanding Young Women of America (1972)
Sigma Theta Tau, National Honor Society for Nursing (1967)
Kappa Gamma Pi, Catholic Women’s Colleges (1964)


Identified gaps and opportunities in perinatal healthcare delivery for women in treatment for opioid use disorder

Alexander, K., Short, V., Gannon, M., Goyal, N., Naegle, M., & Abatemarco, D. J. (2021). Substance Abuse, 42(4), 552-558. 10.1080/08897077.2020.1803178
Background: Pregnancy and the delivery of an infant mark a unique time of engagement in healthcare for women in treatment for opioid use disorder (OUD). The American College of Obstetrics and Gynecology calls for a comprehensive approach to perinatal healthcare delivery for pregnant women with OUD in order to facilitate improved health outcomes and increase patient-provider collaboration. Yet, there is little knowledge regarding the perceptions of women with OUD regarding the current delivery of healthcare which could inform a personalized, tailored approach to perinatal healthcare delivery. Methods: Four focus groups consisting of 22 women with OUD were conducted, transcribed, and analysed using qualitative thematic analysis methodology. Results: Women reported an overall lack of preparation for the birth and neonatal healthcare experiences and identified opportunities for greater support by the healthcare team. Women emphasized the desire for evidence-based preparation from trusted sources about delivery, neonatal abstinence syndrome, breastfeeding, and how their medications affect their pregnancy and baby. Women reported receiving a varied amount of support from healthcare providers in their transition to motherhood, but women predominantly reported receiving emotional and informational support from their mothers and partners. Conclusions: The knowledge obtained in this study points to gaps in perinatal healthcare delivery for women with OUD. Improving the delivery of perinatal healthcare may contribute to increased engagement by women with OUD, and ultimately improve outcomes for a vulnerable population.

Non-nurse faculty in nursing schools

Strumpf, N. E., Naegle, M. A., Fagin, C. M., & Aiken, L. H. (2021, July 1). In Nursing outlook (Vols. 69, Issues 4, p. 530). 10.1016/j.outlook.2021.04.005

Nursing students’ attitudes towards alcohol use disorders and related issues: A comparative study in four American countries

Diaz Heredia, L. P., De Vargas, D., Ramírez, E. G. L., & Naegle, M. (2021). International Journal of Mental Health Nursing, 30(6), 1564-1574. 10.1111/inm.12906
The present study identified and compared the attitudes of nursing students from North and South American countries towards alcohol, alcohol use disorders and persons with alcohol use disorders (AUDs). A cross-sectional design and survey approach were used. The sample consisted of 327 nursing students recruited from four nursing schools in metropolitan regions of North and South America. The questionnaire contained questions about sex, age, marital status, home country and other questions about training in substance use disorders during nursing education and previous experiences with substance use disorder patients. To identify nursing students’ attitudes, validated English, Spanish and Portuguese versions of the attitudes scale for alcohol, alcoholism and persons with AUDs (EAFAA) were applied. Comparison of the four groups suggested that nursing students in the United States demonstrated more positive attitudes than students from Colombia, Mexico and Brazil. Similar positive attitudes were observed towards individuals with AUDs. Results of the attitudes towards the aetiology of AUDs showed positive attitudes in all samples, suggesting a contemporary understanding of AUDs. Nursing students’ attitudes were associated with home country and training in substance use disorders during nursing education. Nursing students’ attitudes were generally positive across countries. Idiosyncratic cultural and educational aspects in these countries and world regions likely significantly influenced the attitudes of nursing students towards alcohol and associated issues.

Opioid Crisis through the Lens of Social Justice

Naegle, M. A., Finnell, D. S., Kaplan, L., Herr, K., Ricciardi, R., Reuter-Rice, K., Oerther, S., & Van Hook, P. (2020). Nursing Outlook, 68(5), 678-681. 10.1016/j.outlook.2020.08.014

Substance use is a critical health and mental health issue for older adults

Naegle, M. A., & Han, B. H. (2020). Generations, 44(4).

“The Future of Nursing: Accelerating gains made to address the continuum of substance use”

Tierney, M., Finnell, D. S., Naegle, M., Mitchell, A. M., & Pace, E. M. (2020). Archives of Psychiatric Nursing, 34(5), 297-303. 10.1016/j.apnu.2020.07.010
Purpose: Guided by four key messages from the decade-old Institute of Medicine (IOM) report, “The Future of Nursing,” this paper highlights the progress made by the nursing profession in addressing substance use and its related disorders and offers recommendations to sustain and advance efforts to enhance care for persons who use substances, one of the most stigmatized and vulnerable populations. Results: Patterns of substance use have shifted over the past 10 years, but the associated harms remain consequential. As awareness of the continuum of substance use has expanded, the care of persons with substance use has also expanded, from the domains of psychiatric-mental health and addictions nursing specialties to the mainstream of nursing. Now, greater efforts are being undertaken to identify and intervene with persons at risk for and experiencing substance use disorders. Nurses have advanced the knowledge and skills necessary for substance-related nursing care including education and training, leadership, care innovations, and workforce expansion and can drive efforts to increase public knowledge about the health risks associated with substance use. Recommendations aligned with each of the four IOM key messages are offered. Conclusions: As a profession, nursing has a responsibility to expand the progress made in addressing substance use – from prevention and early intervention to tertiary care. Nurses at all levels of education and practice are in key positions to carry out the recommendations herein to accelerate the changes needed to provide high quality care for persons impacted by substance use.

The opioid crisis

Cox, K. S., & Naegle, M. A. (2019). Nursing Outlook, 67(1), 3-5. 10.1016/j.outlook.2018.12.016

Substance misuse and alcohol use disorders.

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Substance use among older people living with HIV: Challenges for health care providers

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The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care

Delaney, K. R., Naegle, M. A., Valentine, N. M., Antai-Otong, D., Groh, C. J., & Brennaman, L. (2018). Journal of Behavioral Health Services and Research, 45(2), 300-309. 10.1007/s11414-017-9555-x
In the last ten years primary care providers have been encouraged to implement integrated models of care where individuals’ medical and mental health needs are addressed holistically. Many integrated models use Psychiatric Mental Health (PMH) nurses as case managers and select exemplars use PMH Advanced Practice Nurses (APNs) as providers. However, the potential value of PMH nurses in integrated health care remains unrealized by health care planners and payers, limiting access to services for the populations most in need of comprehensive care approaches. This current situation is partially fueled by insufficient knowledge of the roles and skill sets of PMH nurses. In this paper, the PMH RN and APN skill sets are detailed, demonstrating how effective use of these nurses can further the aims of integrated care models. Finally, outlined are barriers and enabling factors to effective use of PMH RNs and APNs and attendant policy implications.