Presentation in Carolina, Puerto Rico at the Mental Health Summit: A Substantive and Procedural Look   Description: A mixed-methods study to develop an X-ray of opioid abuse in Puerto Rico. In this study, 300 opioid users will be recruited and interviewed and compared with an additional group of 100 non-opioid users. This data will provide detailed information on patterns of use and abuse and factors associated with opioid use as well as overdose risk. Trainer: Dr. Myriam González

Presentation in Carolina, Puerto Rico at the Mental Health Summit: A Substantive and Procedural Look   Description: Identify the differences between crises and violence Recognize the main indicators of violence Establish the main steps in case of treatment and involuntary hospitalization Recognize Law 408 and its implications Discuss the importance of compulsory treatment Article 4.11 Establish the importance of treatment levels and receiving appropriate treatment Trainer: Dr. Luz Ramos

Professional boundaries set the parameters of effective and appropriate interaction between professionals and the people they serve. Boundaries protect clients and patients as well as providers. This interactive course will discuss professionalism and ethics, dual relationships, and how to build a safe working environment. Trainer: Paul Warren, LMSW Credits: This training has been approved for two renewal hours (CASAC, CPP, CPS) and two initial hours (CPP, CPS) through New York State’s Office of Addiction Services and Supports (NYS OASAS). As an IC & RC member board, OASAS accredited courses are granted reciprocal approval by the New Jersey Division of Consumer Affairs, Alcohol and Drug Counselor Committee. Many other states offer reciprocity - please check with your accrediting agency.

Who are “leaders” in implementation? Implementation leaders may be people in leadership roles, such as administrators, directors, or supervisors, and/or they may be change leaders, also sometimes referred to as “champions” in the implementation field. You don’t need to have an official leadership title or job role to effect change and lead implementation efforts within your organization.

How do you define sustainability? Defining sustainability can be challenging, as it is considered both an outcome (are we delivering and maintaining the intervention/program activities) and a process (are we adapting and continuously monitoring and adjusting so that sustainment is possible) (1). General consensus is that continuing to implement and maintain program activities and adapting to improve performance over time are components of the sustainability definition (1).

“Equitable Implementation occurs when strong equity components—including explicit attention to the culture, history, values, assets, and needs of the community—are integrated into the principles and tools of implementation science. The goal is to facilitate quality implementation of effective programs for a specific community or group of communities” (1).