Training & Practice Implementation Institute (TPII)

Opioid overdose deaths have reached epidemic levels in New York City. In 2015, there were 937 unintentional drug overdose deaths in NYC, compared with 800 unintentional drug overdose deaths in 2014. The rate of unintentional drug overdose deaths increased for the fifth consecutive year, from 8.2 per 100,000 residents in 2010 to 13.6 per 100,000 residents in 2015, a 66% increase. In 2015, 80% of overdose deaths involved an opioid. In addition to pharmacological interventions, such as dissemination of naloxone to reverse overdoses and increasing the availability of medication assisted treatment for opioid dependence, the NYC Department of Health and Mental Hygiene (DOHMH) seeks to increase the implementation of select evidence-based practices in substance use disorder (SUD) treatment services to address this epidemic.

OASAS regulations and guidance pertaining to Credentialed Alcoholism and Substance Abuse Counselor (CASAC) training cover motivational and client-centered practices like stages of change but do not specify particular evidence-based practices (EBPs). Other qualified health professionals, including social workers and psychologists also may not have received the training necessary to support implementation of these EBPs. Health professionals who wish to use specific EBPs often must attend an institute or other costly training to receive high-quality feedback and the fidelity checks needed to effectively implement an EBP. Furthermore, many interventions found to be effective in research studies fail to translate into meaningful client outcomes across multiple settings because of differences between the original study context and the programs seeking to implement the intervention (Damschroder, 2009). Finally, there are often insufficient funds to pay for the support necessary to ensure that new modalities are incorporated into practice.

Funded as part of the Mayor’s initiative to address the opioid overdose crisis and improve opioid related health outcomes in New York City—HealingNYC— (www1.nyc.gov/site/doh/about/press/pr2017/healingnyc.page) DOHMH has partnered with NDRI-USA to establish the Training and Practice Implementation Institute (TPII). The TPII will provide a unique opportunity in which selected OASAS-licensed 822 (Opioid and Outpatient Treatment) Programs will receive extensive training and on-going implementation support to build towards sustained integration of the EBPs of Motivational Interviewing and Cognitive Behavioral Therapy at no cost to the program.

In order to be considered for participation in this Institute, programs must provide the documents below, which should be emailed to Jennifer Rogers at: rogers@ndri.org

1. Cover Letter
2. Program Questionnaire (PDF fillable form)
3. Organizational Commitment (print and sign)
4. Program Narrative (PDF fillable form)