Products and Resources Catalog

  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The December 2023 issue shares recorded content on wound care and xylazine, social media basics for preventionists, an infographic on providing behavioral healthcare to people living with HIV, and SAMHSA's tips for supporting your mental health through the holidays. As always, you will also find links to all upcoming events and trainings hosted by the Great Lakes ATTC, MHTTC, and PTTC!   Make sure you're subscribed to our email contact list, so you never miss a month of The Great Lakes Current newsletter and thank you for reading!

The New England ATTC, in partnership with RICARES, held the next monthly installment of the Recovery Science and Harm Reduction Reading Group series. We discussed a paper titled, “Mobile low-threshold buprenorphine integrated with infectious disease services” by Rosecrans and colleagues. A summary of the discussion is available for download.

The purpose of the listening sessions was to gather information from family members and loved ones of people with substance use challenges to better understand family members’ experiences supporting and seeking support for their loved one who is using substances; to ask what questions family members have about supporting their loved one who is using substances; to ask who or what is providing support for family members; and the unmet needs for support for family members. This report describes the process and findings of the first phase of this consultation process: listening sessions with family members and loved ones of people who use substances. This project is in collaboration with the African American Behavioral Health Center of Excellence and National Hispanic and Latino ATTC.

About this series: The Great Lakes ATTC and MHTTC are excited to offer these introductory training videos on the use of SBIRT (Screening, Brief Intervention, Referral to Treatment). This series includes three simulated patient recordings with each portraying a realistic scenario focusing on one part of the SBIRT screening process (brief intervention, initiating brief treatment, referral to treatment).   The Great Lakes ATTC and MHTTC also offer live virtual trainings on SBIRT and Motivational Interviewing (MI). These trainings take place on a recurring basis throughout the year, and they are perfect for those who are new to MI and SBIRT, as well as practitioners who are interested in refreshing their knowledge and skills in an interactive virtual learning environment. Check out our 2023 Motivational Interviewing and SBIRT Training Schedule landing page for more information and to register!     Watch the Introduction to Screening, Brief Intervention, Referral to Treatment (SBIRT) Training Video. (57 min.)     Watch the Introduction to SBIRT for FQHCs Training Video. (18 min.) This video presents supplementary introductory information specific to FQHCs. It is recommended everyone watch the full intro video first.      Watch the SBIRT: A Brief Intervention for Alcohol & Cannabis Use Simulated Patient Training. (15 min.)     Watch the SBIRT: Initiating Brief Treatment for Substance Use Disorder (SUD) Simulated Patient Training Video. (18 min.)     Watch the SBIRT: Referral to Treatment Simulated Patient Training Video. (18 min.)     Don't forget to subscribe to the official YouTube channel of the Great Lakes ATTC, MHTTC, and PTTC, The Great Lakes Current! We upload brand new content and resources every week that help support the SUD, behavioral health, mental health, and prevention workforces of our region. Be sure to subscribe and turn on notifications so that you can be the first to access new content as soon as it's available!  

The term “Gender Diverse” encompasses a broad universe of gender identities and expressions. “Transgender” is often used as an umbrella term for the community, though not all gender expansive individuals consider themselves to be Transgender. Other terms in common use include Nonbinary, 2Spirit (used by Indigenous people only) Enby, Genderqueer, Gender Fluid, Agender, and Pangender, among many others. This infographic factsheet provides statistics and prevalence of SUD diagnoses among U.S. Transgender and Cisgender adults, risk factors, steps organizations can take to be welcoming to gender diverse individuals, and recommendations for treatment programs.

This webinar, presented by Gail D'Onofrio, MD, focused on the crucial role of the emergency department (ED) in recognizing and treating opioid use disorder (OUD) patients with evidence-based medications for addiction treatment. The opioid epidemic combined with the COVID-19 pandemic has greatly escalated the need to mitigate the morbidity and mortality associated with rising rates of fentanyl use. Dr. D'Onofrio shared data supporting the use of buprenorphine in the ED and discussed the consequences of not initiating treatment, barriers to implementation of ED buprenorphine, and components of successful integration of an ED program with community partnerships. She also shared current research by emergency physicians regarding innovative strategies like high-dose induction and use of an extended release 7-day formulation of buprenorphine. Sponsored by the Northwest and Pacific Southwest ATTCs and the Western States Node of the NIDA Clinical Trials Network. Download slides | Watch recording

Harm reduction is any action that reduces risk and increases personal and public safety. Harm reduction approaches have proven to prevent death, injury, disease, overdose, prevent substance misuse or disorder and most of us practice harm reduction techniques daily. For example, when we wear a seatbelt or apply sunscreen we are using harm reduction strategies.  Fentanyl strips, naloxone, and needle exchange programs are also examples of harm reduction.  This poster identifies some of the most common harm reduction methods in an attempt to normalize the term "harm reduction" and broaden the definition.   The Spanish translations were prepared by consultants for the Mountain Plains ATTC. While reasonable efforts are made to provide accurate translations, acknowledging the diversity of Spanish and English Language, some words/phrases may differ.   The poster can be downloaded in multiple formats directly from the MPATTC website. This product was designed for display as an 11x17 sized poster in a location most visible and accessible to behavioral health providers, educators, and/or peer recovery specialists but is also available in an 8.5x11 format for in-house printing. In addition, hard copies may be requested from the MPATTC by emailing us at [email protected] (posters can be mailed within the continental United States). Please click on the link below for more information.   To request an 11x17 "What is Harm Reduction?" poster to be mailed directly to you, please click "REQUEST A HARD COPY".  

Happy New Year! This month, our theme for our video is “A Healthy New Year” We want to encourage you to look at 2022 with hope, healing, recovery, and schedule time to re-charge and take care of your wellbeing.     Español  ¡Feliz año nuevo! Este mes, el tema de nuestro video es “Un Año Nuevo Saludable” Nos gustaría alentarlos a mirar el año 2022 con esperanza, sanación interna, recuperación y un tiempo para recargarse y cuidar de su bienestar.     Português Feliz ano novo! Este mês, o tema do nosso vídeo é “Um Ano Novo Saudável” Queremos te encorajar a olhar para 2022 com esperança, cura, recuperação e reservar um tempo para recarregar as energías e cuidar do seu bem-estar.

This session is designed for professionals who work with those at risk for contracting Hepatitis C Virus (HCV). An overview of HCV: risk; transmission; symptoms; testing; and treatment options will be provided. In addition, a discussion of harm reduction strategies and support/linkages to care will be included.   At the end of the webinar participants will be able to: Appreciate the importance of Hepatitis C Virus (HCV) screening and confirmatory testing in multiple health and behavioral health settings. Recognize risk factors for HCV Describe harm reduction strategies that minimize the risk of contracting HCV List treatment options available for people with HCV. Discuss strategies to link persons with HCV to HCV-focused health care services      

These Telehealth MOUD Video Demonstrations show distinct clinical interactions common across the medications for opioid use disorder (MOUD) modality. Except for the first two videos listed (Buprenorphine Induction and Re-induction to Buprenorphine), which show the same mock patient at two stages along his treatment trajectory, the videos in this collection are independent depictions showcasing different settings, patient situations, and provider types. The common thread for these videos is that each patient portrayed has an opioid use disorder and is considering or engaged in medication treatment. This set of videos may be useful for individuals entering the MOUD workforce or for MOUD patients and family members curious about what happens at various points in treatment.  Produced by the Northwest ATTC (SAMHSA grant no. TI080201), in co-sponsorship with Southeast ATTC (SAMHSA grant no. TI080215) and the ATTC Network Coordinating Office (SAMHSA grant no. TI080205). We thank the clinicians involved for their conceptual contributions to the development of these characters and the clinical scenario.

Description: This presentation is focused on specific considerations in the treatment of Substance Use Disorder (SUD) in people with Traumatic Brain Injury (TBI)   Learning Objectives: Understand the role of assessments in treating those with SUD and TBI Describe the implications of specific cognitive challenges Examine the executive dysfunction and the process of applying standard SUD treatment to people with executive function difficulty   Presenter Information Dr. Sparadeo began his career as the Director of the Mayor’s Task Force on Substance Abuse in the City of Providence, R.I. and he was also the Director of Substance Abuse Services for the Providence Mental Health Center at that same time. After creating a system of clinical services for the City of Providence he was appointed as CEO of Talbot House. Talbot House was the largest residential substance abuse treatment facility in New England. Dr. Sparadeo then completed his doctoral studies with a residency at the Boston V.A. Medical Center followed by a 2-year fellowship at Brown University and Rhode Island Hospital (RIH). The focus of his clinical training was neuropsychology and chronic pain. He completed his fellowship and was appointed to the Brown University School of Medicine faculty and the Rhode Island Hospital medical staff in the position of Director of Rehabilitation Psychology. Dr. Sparadeo trained numerous interns and fellows at Brown University. As Director of Rehabilitation Psychology, Dr. Sparadeo created the first comprehensive outpatient rehabilitation program for survivors of traumatic brain injury. After 8 years in his position at RIH Dr. Sparadeo was appointed National Director of Substance Abuse and TBI rehabilitation services at New Medico Health Systems in Boston, Massachusetts. He created inpatient substance abuse treatment programs in 8 rehabilitation facilities throughout the U.S. He returned to RIH and Brown University to become the director of the Concussion Care Center in the Emergency Department at RIH. He was also the chief clinical consultant to the Trauma Center and Stepdown Unit, and he was the co-director of the Interdisciplinary Spine Center in the Neurosurgery Department at RIH for 5 years before opening a private practice specializing in the neuropsychological assessment, pain assessment and pain management. He developed a specialized substance abuse treatment program for people with both TBI and substance abuse. Eventually, he developed a specialized treatment program for people with chronic pain and opiate addiction. Over the many years of his career Dr. Sparadeo has been a consultant to many agencies and healthcare programs throughout the U.S. He has also served on numerous boards of directors. He was the founder and president of the Brain Injury Association of Rhode Island. He was also the Chairman of the Governor’s Permanent Advisory Commission on TBI. He was also a member of the national committee on substance abuse and disability at SAMHSA in Washington, D.C. Most recently, Dr. Sparadeo has been a consultant and chief trainer on a federally funded grant at the Massachusetts Rehabilitation Commission. Dr. Sparadeo’s career has also included the publication of many scientific papers and book chapters, and he has been on the faculty of Salve Regina University graduate program in Rehabilitation Counseling where he teaches the Neuroscience of Substance Abuse and Mental Illness, Psychopharmacology for Counselors and the Neuroscience of Opioid Abuse. Video Link This training is a collaboration between Mid-America ATTC, Mountain Plains ATTC, and NASHIA.

Stigma associated with substance use disorders (SUDs) is a significant barrier to identification and treatment efforts. Persons with SUDs who are pregnant and/or parenting are particularly impacted by stigma and may be subject to adverse encounters when seeking healthcare services. The MPATTC developed clinician-focused and client-focused posters to help address barriers associated with perinatal stigma. It is recommended the posters be displayed in locations visible to both clients and clinicians. The third poster in the series, "We've talked a lot... Now do you have questions?", is aimed at helping address stigma-related barriers by incorporating a tear-off sheet that clients can use to request more information from their clinician/provider on questions they might have (i.e., "I would like to know how alcohol and drugs may affect a baby during pregnancy" and "I would like to know which alcohol and drugs should be avoided during breastfeeding").   Please note: to maximize the impact of these products, display the 11x17 posters in a location most visible and accessible to clinicians.     To Download:  The Perinatal Stigma Prompt/Reminder Posters were designed for display as 11x17 sized posters. However, we have also created 8.5x11 desk copies for in-house printing. These packages can be downloaded and printed by clicking  above and selecting either the Perinatal Stigma Posters Package 11x17 or Perinatal Stigma Posters Package 8.5x11.   In addition to the poster packages, you can download the “Perinatal Stigma Poster Description” which includes the intent and how to use these posters.     To request 11x17 MI Prompt/Reminder Posters to be mailed directly to you, please click "Request a Hard Copy Now".   The MPATTC is available to answer questions and interested in any feedback you have regarding the posters. Please contact us anytime!

This Month of February​ Latino Behavioral Health Supports ​Black History Month by ​Highlighting 3 Afro-Latinx professionals​. Join us in honoring our colleagues!​ Este mes de febrero celebramos el mes de la Historia Afroamericana Como profesionales Latinos de Adicción ​y Salud Mental,​ Nos gustaría apoyar esta ocasión destacando ​a tres Afrolatinos(as).​ ¡Acompáñenos a honrar a nuestros(as) colegas!​ Este mês de fevereiro, celebramos o mês da História Afroamericana Como profissionais Latinos Abuso de Substâncias e Saúde mental, ​ gostaríamos de apoiar esta ocasião destacando três afro-latinos(as). Junte-se a nós para homenagear nossos colegas!!​ #BlackHistoryMonth #mesdelaHistoriaAfroamericana ​#mêsdaHistóriaAfroamericana​ #NHLATTC #NHLPTTC #NLBHA

JMU Substance Use Disorder Education Virtual Conference An inter-professional training in SUDE/SBIRT for faculty and community partners. Holly Ireland, LCSW-C, Co-Director of the Central East ATTC presented the presentation at the conference: Implementing SBIRT: Substance Use Disorders Education. This was a closed event.

LEARNING OBJECTIVES: Provide an overview of telehealth and technology-based interventions best practices, HIPAA-compliance measures, and ethical considerations. Review all applicable Federal and Maryland telehealth practice regulations and policy expectations, including those related to the global pandemic emergency declaration. Offer an opportunity for interactive, real-time exploration of the application of telehealth skills, knowledge, and policy. Provide information about additional Federal and State resources for continued learning   PRESENTER: Jay Ostrowski, MA, LPC-S, NCC, ACS, BC-TMH, is an informative and entertaining trainer and expert in Telemental Health. As the CEO of Behavioral Health Innovation, he serves as a Telemental Health trainer and consultant for SAMHSA, HRSA, Universities, State governments and healthcare organizations. He’s the founder and Director of both the Telebehavioral Center of Excellence for the University of Virginia and the Board Certification in Telemental Health. He's created 9 peer-reviewed telemental health courses and designed/developed 12 telehealth software platforms to date, including Adaptive Telehealth, the most versatile telehealth software on the market. As a research partner with Harvard Medical School, Jay keeps up with the changing state license requirements for 8 healthcare professions across all US States and DC. He also serves as the go-to person for the Mid-Atlantic Telehealth Resource Center for Telemental Health providing Telebehavioral Health training and consultations. You can connect with Jay Ostrowski on LinkedIn or through any of the above organizations.   This webinar is provided in collaboration with the Maryland Department of Health Behavioral Health Administration, Central East Addiction Technology Transfer Center and Mid-Atlantic Telehealth Resource Center.   

Maryland Reproductive Health Virtual Series: Implementing SBIRT: Family Planning and Reproductive Health Settings Description: The 2020 Maryland Reproductive Health Roundtable Virtual Series was a statewide, multiple sessions series spanning across three months to share education and information around reproductive health and family planning in the state of Maryland. These sessions invited public health professionals and clinical providers from city, county, and state agencies as well as health care institutions, community-based organizations, and academic partners. The topics addressed were based on priority challenges and opportunities in reproductive health care. Recordings of the sessions are below as well as corresponding resources. The 2020 Maryland Reproductive Health Roundtable Virtual Series was hosted by B’more for Healthy Babies, UChoose, Maryland Department of Health, and Morgan State University. Speakers: Holly Ireland, LCSW-C Holly is the Co-Project Director of the Central East ATTC. She has 30 years’ experience working in the behavioral health field, beginning her career as a Residential Rehabilitation Counselor while working on her undergraduate degree in psychology at Towson University. During her career, she has provided direct service in outpatient behavioral health and recovery support settings, including individual, group and family therapy for co-occurring disorders, crisis intervention, trauma treatment, Assertive Community Treatment, and advocacy. Holly also serves as adjunct faculty for Salisbury University’s Social Work Department, teaching social welfare policy and advanced practice courses.   Shelley Miller, MS Shelley Miller has worked in family planning and reproductive health for more than 35 years. She has served in a variety of roles including Director of Patient Services for a large Title X agency and Director of Training Performance Improvement for TRAINING 3, a regional training center. Shelley has provided consultation, coaching, training and technical assistance, both nationally and internationally. She currently works with the Central East ATTC as an independent consultant in its SBIRT implementation project with Title X.      

This interactive workshop describes 'empowerment' as viewed through the lens of Motivational Interviewing (MI). This opportunity also defines, details and provides opportunities to practice the E-P-E strategy; suggested for use when practicing MI. The E-P-E strategy allows providers (peers, CASACs, Social Workers, Nurses, Doctors & others) to offer their experience and knowledge while enhancing engagement and a productive and collaborative partnership. Objectives State the MI construction of empowerment. Describe the relationship between autonomy and empowerment. Define the E-P-E strategy. List a minimum of two situations when E-P-E can be used in your work. Develop a minimum of four responses that can be offered when the client/patient says "No". Rate how likely you are to implement E-P-E during client/patient conversations. Agenda A. Welcome/Goal/Learning Objectives B. MI and what is meant by "Empowerment". C. "Autonomy" and the helping partnership. D. The E-P-E strategy. E. When "No" is a complete sentence. F. E-P-E and you. This (1-hour) zoom webinar was provided under New York State Office of Addiction Services and Supports (OASAS) Education and Training. Provider Certification Number (115) Training under a New York State OASAS Provider Certification is acceptable for meeting all or part of the CASAC/CPP/CPS education and training requirements. Disclaimer: The development of these training materials is supported by grant TI082504 (PI: M. Chaple) from the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration (SAMHSA), United States Department of Health and Human Services. The contents are solely the responsibility of the Northeast and Caribbean Addiction Technology Transfer Center, and do not necessarily represent the official views of SAMHSA  

Additional Resources Presentation Slides Translations     The COVID-19 pandemic has highlighted enduring health disparities among the Hispanic and Latino population due to persistent inequities, including access to healthcare and access to culturally competent behavioral healthcare. Bicultural and multicultural behavioral health providers have been positioned to help address these gaps but must now navigate their roles in the context of the current crisis. This virtual session will outline the unique challenges and opportunities faced by bicultural and multicultural providers during the current pandemic and will discuss considerations and strategies for moving forward. Presented by  Marilyn Laila Sampilo, PhD, MPH

Recorded May 5th, 2020 Panelists: Danis Russell Jeff Coady Kwame Gyasi Jeanne Pulvermacher Dave Gomel Tom Wright Judi Jobe Michelle DeRosso   Transcript_Region 5: Supporting Behavioral Health Programs & Personnel During COVID-19

This document entitled “Stimulant Resources” provides a list of resources for SUD providers including facts and statistics, resources for teens, online trainings and recorded webinars, and recent data specific to stimulant use disorders.

As a caregiver, taking care of yourself is essential. This is especially true in this moment of great instability when it is common to feel uncomfortable emotions such as stress, anxiety, anger, and sadness. One way to practice self-care is by becoming still through intentional reflection and breathing.

This comprehensive online course, developed by the Northwest ATTC, features separate modules for each of four common personnel roles in healthcare organizations: decision-makers, clinical supervisors, direct care staff, and administrative support staff. Healthcare organizations may utilize these training modules as means of an initial introduction to CM principles and practices for their staff; however, the primary intent of this online course is as a bridge to more intensive technical assistance—as outlined by Hartzler and colleagues in this article in the Journal of Substance Use and Addiction Treatment (2023) (free online). All four modules include an introduction to contingency management (CM) describing: its core elements, 3 scientifically-supported systems, how it can be used in healthcare settings to have a positive impact on clients.   Each module also offers unique content on how each role can successfully integrate CM into their program.  Note: The Administrative Support Staff module is currently available here. It will be added to HealtheKnowledge (along with 1.0 CE credit) later in spring 2023. CEU Available! 1.0 Decision Makers, 2.5 Clinical Supervisors, 2.0 Direct Care Staff.  In response to SAMHSA instruction provided to State Opioid Response grantees (in FY 22 SOR Grants TI-22-005, Appendix J: Contingency Management), a set of four supplemental brief information guides have been created on targeted topics to complement the material included in this online course. These information guides provide further information on: Discussing Client Eligibility, Allowable Rewards, Drug Screening Methods, and Documentation Practices. (*Note:  The View Resource link will take you to the HealtheKnowledge platform, where the training is housed. If you do not already have an account on HealtheKnowledge, you will be prompted to set one up before you can continue on to the course site. If you register and it doesn't take you back to the course page, click "Home" in the menu and look for it under the category "Special Topics in Behavioral Health" or return to this page and click the link again. For more assistance, visit the How to Use HealtheKnowledge site or contact their support staff.)

In this webinar from December 2019, Honora Englander, MD (OHSU) shared her experience developing and spreading the Improving Addiction Care Team (IMPACT) and described IMPACT outcomes and lessons learned. She also shared practical advice for teams interested in implementing addictions care in other hospital settings. Download slides | Watch recording

This 6-hour face-to-face training curriculum was recently updated in 2019 and includes the latest in treatment options available and the impact of the opioid epidemic on HCV in the U.S. The course is designed to instruct behavioral health and medical providers on hepatitis C (HCV) epidemiology, opportunities for promoting HCV screening and testing, treatment options and considerations, and linking persons infected to HCV health care. By the end of this training, participants should be able to:   List at least three populations impacted by the opioid crisis, 2019. List at least three infections that result from injection drug use. Discuss at least two reasons why it is important to promote hepatitis C screening and confirmatory diagnostic testing. Describe at least three prevention messages that can be used when promoting hepatitis C screening and testing. List at least three treatment factors to consider and describe at least two new treatment options available for patients with HCV. Provide examples of at least three strategies to link persons infected with HCV to HCV-focused health care.   Request a Hepatitis C training by contacting the ATTC in your Region.