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The Opioid “Addiction” Crisis: Persistent Policies and Practices Perpetuating Inequitable Care

January 16, 12:00-1:30pm EST
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SBIRT for Crisis Services Learning Collaborative

January 29, 12:00-1:00pm EST
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Fact Sheets on OUD Treatment During and After Detention/Incarceration, Stigma Microaggressions and More

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Central East ATTC

The Danya Institute/Central East ATTC
8737 Colesville Road, Suite L-203
Silver Spring,
MD
20910
HHS Region 3
DE, DC, MD, PA, VA, WV
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The Central East ATTC, managed by The Danya Institute, provides training and technical assistance (TA) and quality improvement activities to the substance use disorder workforce in HHS Region 3, which includes Delaware, the District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia. Contact us to discuss how we can assist you.

Recent News

From the Central East ATTC
Jan. 07, 2025
Author: Amy Shanahan, MS, CADC  Evidence-based practices (EBPs) are critical in addiction treatment, using scientific research to guide clinical decisions and improve patient outcomes. Despite their effectiveness, widespread adoption of EBPs is hindered by challenges such as limited resources, lack of training, provider resistance, and systemic barriers1. To address these issues, targeted strategies like increased […]
Jan. 06, 2025
A new study of nearly 10,000 adolescents has identified distinct differences in the brain structures of those who used substances before age 15 compared to those who did not. The journal JAMA Network Open  published the National Institutes of Health-funded study on December 30, 2024. Learn more.
Dec. 31, 2024
The National Institute on Drug Abuse (NIDA) is launching a working group to the National Advisory Council on Drug Abuse (NACDA) consisting of people with lived or living experience (PWLLE) with drug use. Primary purpose of the group: to advise on strategies for enhancing and increasing meaningful engagement of PWLLE with drug use in NIDA-funded […]

Upcoming Events

Hosted by the Central East ATTC
Webinar/Virtual Training
DESCRIPTION The Central East ATTC is collaborating with the Black Psychiatrists of America organization to deliver a webinar that focuses on the inequities in care and treatments of vulnerable populations who are battling with addiction.  During this webinar, participants will focus on gaining knowledge on the basis of addiction, patient placement criteria, and policies that impact racial justice. OBJECTIVES • Explain the basic science of addiction and the intersection of harm reduction philosophy • Identify researched standards of care and American Society of Addiction Medicine (ASAM) criteria • Assess ASAM’s Racial Justice Policy Statement and recommendations for addiction professionals   *CONTACT HOUR ELIGIBILITY In order to be eligible for the contact hours/certificate of attendance, you must join the live webinar in the Zoom platform. Contact Hours (Certificate of Attendance): up to 1. 25 for attending the entire session. If you are having issues accessing the room/application at the time of the event: Please email [email protected] at the start of the webinar so that we can assist you. PRESENTER Rochelle Head-Dunham MD, DFAPA, FASAM Dr. Rochelle Head-Dunham is a graduate of Xavier University (Gamma Alpha, Fall 1980) and Tulane University School of Medicine, and is an Addiction Psychiatrist who currently serves as the Executive Director and Medical Director for Metropolitan Human Services District. Dr. Head-Dunham is an Endowed Professor at LSU, is an Associate Professor also at LSU and Adjunct Clinical Professor at Tulane. Dr. Dunham is no stranger to federal and state level service as she is a 33 year state civil service employee/ She formerly served as both, LA-OBH Assistant Secretary and Medical Director, the State Commissioner for MH and SSA Director for Addictive Disorders.   Named a “Physician Champion” for the state of Louisiana, she is a thought leader and strategist on systems level change. Her visionary impact to our communities is progressive, transformative, and health justice informed.  
Virtual TA Session
DESCRIPTION SCREENING, BRIEF INTERVENTION, and  REFERRAL TO TREATMENT (SBIRT) SBIRT is a comprehensive public health approach for delivering prevention, early intervention and referral to treatment services to people using substances in a harmful or risky way. During this training we will be discussing the conceptual framework of SBIRT as a public health model and its impact as a system change initiative. We will also review the skills necessary to provide screenings, brief interventions, and extended brief interventions.     During this Learning Collaborative, participants will have the opportunity to ask questions, participate in discussions, and present and review cases with crisis services at the forefront.   *CONTACT HOUR ELIGIBILITY This event will not issue any Certificates of Attendance.   GUEST SPEAKER Billie Jo Smith, MS, LPC Billie Jo currently serves as a Program Manager for the Behavioral Health Integration team at the University of Pittsburgh Medical Center’s Health Plan.  Billie Jo has worked in the addiction treatment field for over 15 years, first as a clinician, and later a supervisor and manager in various clinical settings including residential and outpatient treatment facilities. Billie Jo trains and consults with providers in the behavioral and physical health fields across the United States. Billie Jo conducts all levels of Motivational Interviewing (MI) training up to and including coaching and supervision.  Billie Jo trains MIA-STEP (Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency), SBIRT (Screening, Brief Intervention and Referral to Treatment), Technology-Based Clinical Supervision and other topics relevant to the treatment of substance use and co-occurring disorders.  Billie Jo has been a member of the Motivational Interviewing Network of Trainers (MINT) since 2018.  Billie Jo is a Licensed Professional Counselor in the State of Pennsylvania.
Webinar/Virtual Training
DESCRIPTION In collaboration with the Mid-Altlantic AIDS Education and Training Center (MAAETC) and STD/HIV Prevention Training Center at Johns Hopkins, there is an opportunity to attend the following event as a part of the virtual First Responders series.  The Central East ATTC is sponsoring the below consultant to present on the incorporation of  Medication-Assisted Treatment (MAT) into HIV care for emergency responders. LEARNING OBJECTIVES  Define Medication-Assisted Treatment (MAT) and harm reduction in relation to HIV prevention and care.  Identify benefits, challenges, and best practices of MAT.  Discuss approaches for reducing barriers to medication access and improving substance use support in people with or at risk for HIV.     You can find more information on event certificates and possible EMS credits on the full registration page.  For further questions, please contact [email protected]  SPEAKER  Nicholas Szubiak, MSW, LCSW Nick brings more than 20 years of experience in direct service, administration, and clinical experience to the healthcare field. He is the Principal of NSI Consulting, an organization that provides support to integrated healthcare environments. Nick is the former Assistant Vice-President of Addiction and Recovery at the National Council for Behavioral Health. He has provided technical assistance, consultation and training toward bi-directional integration of behavioral health and primary care, medication-assisted treatment (MAT), SBIRT, measurement-based care, and population health management. His experience includes MAT implementation, FQHC integration models and partnerships, trauma-informed care, recovery-oriented systems of care, health homes, and developing high-functioning teams to provide integrated care to the communities they serve. His expertise also involves systems change management, leadership development, and supervisory skills. Nick is known for his heartfelt presentations and has sat on various expert panels, partnering with many organizations as a subject matter expert. Nick is an adjunct professor at the University of Hawaii, Myron B. Thomas School of Social Work. He earned his master’s degree in Social Work from Rutgers University.     

Products & Resources

Developed by the Central East ATTC
Print Media
DESCRIPTION Fatal overdoses and suicides are two of the most severe behavioral health outcomes. They are also growing more common. Suicide rates increased 41% nationally from 1999 to 2022, while fatal overdose rates increased 440%.1 Reducing fatal overdose and suicide is a top priority for the behavioral health field. Fortunately, suicide and overdose share many risk and protective factors. In fact, many interventions designed to address one outcome can simultaneously help address the other. Addiction treatment professionals can play a key role, as ongoing substance use is a shared risk factor for both outcomes.2 To download the entire version of the fact sheet, please use the Overdose and Suicide  button on the right side of the page.
Print Media
DESCRIPTION In 2022, over 150,000 people were in the custody of jails and prisons in the Central East Region (DE, MD, PA, VA, WV, and DC).1 Among those detained or incarcerated, over 15% had an opioid use disorder (OUD), compared to 1.9% to 3.6% of each jurisdictions’ general population.2,3 Despite a clear need, there are significant barriers to receiving treatment services in correctional settings – especially for medications for OUD (MOUD). Expanding access to MOUD can reduce illicit opioid use, prevent overdose, and help people stay in treatment after returning to the community.4   To download the entire version of the fact sheet, please use the Expanding OUD Tx button on the right side of the page.
Print Media
DESCRIPTION Microaggressions are subtle expressions that create barriers to recovery and discourage help-seeking. These can manifest as internalized stigma, verbal comments, behavioral actions, or environmental cues. Types include self/internalized microaggressions, like thoughts such as “It’s all my fault”; verbal microaggressions, such as “They brought this upon themselves”; behavioral microaggressions, where individuals receive differential treatment; and environmental microaggressions, characterized by a lack of representation and recovery resources. Cultural awareness is vital in addressing stigma, as beliefs about addiction significantly influence attitudes toward help-seeking. Different cultures may hold varied perspectives on substance use disorders and recovery approaches, affecting individuals' willingness to engage in treatment. To combat stigma, a multifaceted approach is needed: community collaboration, culturally relevant practices, public awareness campaigns, and promoting empathy. By embracing these strategies, communities can mitigate the effects of stigma microaggressions and foster environments that support recovery and social integration. To download the entire version of the fact sheet, please use the Microaggressions button on the right side of the page.  
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