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eNewsletter or Blog
  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!
Published: December 7, 2023
Other
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.
Published: October 31, 2023
Multimedia
    DESCRIPTION:  In this webinar, Dr. Ryan Westergaard will review the epidemiology of HIV and Hepatitis C infection among people who use drugs. He will discuss current and future approaches for addressing infectious disease risks as the epidemics of opioid and stimulant use continue to evolve, sharing research findings from the National Institutes of Health Rural Opioid Initiative.  With examples from community-based research conducted in Wisconsin and elsewhere in the Midwest, Dr. Westergaard will illustrate how changes in injection drug use, policies around harm reduction services, and the COVID-19 pandemic influence communities’ vulnerability to HIV outbreaks and pose challenges to the national goal of viral hepatitis elimination.     LEARNING OBJECTIVES: Understand how changes in the epidemiology of opioid and methamphetamine use disorder have posed obstacles to the goals of ending the HIV epidemic. Recognize the potential impact of incorporating screening, linkage to care, and low-threshold treatment for hepatitis C infection in addiction treatment settings. Discuss a research agenda for a comprehensive, patient-centered approach to health and safety of people who inject drugs.       TRAINER: Dr. Ryan Westergaard, MD, PhD, MPH, is a physician and epidemiologist, specializing in treatment and prevention for HIV and viral Hepatitis, with a special dedication to harm reduction among people who inject drugs. He is currently serving as Wisconsin’s Chief Medical Officer for the Bureau of Communicable Diseases (DPH, DHS). This is in addition to his research and physician-faculty position at the University of Wisconsin Madison School of Medicine and Public Health where he’s an Associate Professor of Medicine and an Infectious Disease Physician for UW Health. Holding these positions has paved the way for building bridges between the institutions and leverage the many resources of all to benefit the health and well-being of residents across Wisconsin.         The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders.
Published: March 24, 2023
Multimedia
Throughout the month of September 2022, the Idaho Department of Health & Welfare in partnership with Recovery Idaho, Idaho Harm Reduction Project, and the Northwest ATTC hosted a series of online webinars titled “Recovery is Health, Health is Recovery." During the series, presenters discussed a range of topics relating to transmissible disease, treatment and precautionary measures, as well as harm reduction practices. September 21, 2022 Presenter: Lindsay Haskell, Idaho Department of Health and Welfare In this session, Lindsay Haskell will provide an overview of basic sexual health concepts for individuals and providers, discuss other sexually transmitted infections, and dive into other infectious diseases that can be transmitted through intimate contact, like Monkeypox, Shigella, and Meningococcal disease. Read more about this session and its presenter. Watch the recording | Download slides  
Published: November 3, 2022
Multimedia
Throughout the month of September 2022, the Idaho Department of Health & Welfare in partnership with Recovery Idaho, Idaho Harm Reduction Project, and the Northwest ATTC hosted a series of online webinars titled “Recovery is Health, Health is Recovery." During the series, presenters discussed a range of topics relating to transmissible disease, treatment and precautionary measures, as well as harm reduction practices. Part 5: September 21, 2022 Presenter: Lindsay Haskell, Idaho Department of Health and Welfare In this session, Lindsay Haskell will provide an overview of basic sexual health concepts for individuals and providers, discuss other sexually transmitted infections, and dive into other infectious diseases that can be transmitted through intimate contact, like Monkeypox, Shigella, and Meningococcal disease. Read more about this session and its presenter. Watch the recording | Download slides  
Published: October 26, 2022
Multimedia
Throughout the month of September 2022, the Idaho Department of Health & Welfare in partnership with Recovery Idaho, Idaho Harm Reduction Project, and the Northwest ATTC hosted a series of online webinars titled “Recovery is Health, Health is Recovery." During the series, presenters discussed a range of topics relating to transmissible disease, treatment and precautionary measures, as well as harm reduction practices. Part 2: September 8, 2022 Presenter: Marcial Angula, Idaho Department of Health and Welfare In this session, Marcial Angula will provide an in-depth discussion on Idaho’s initiatives for preventing HIV transmission. Read more about this session and its presenter. Watch the recording | Resource handout
Published: October 26, 2022
Multimedia
This presentation reviewed the philosophy of harm reduction as an intervention for substance use disorder and will examine the trajectory of harm reduction programming in Idaho since the legalization of syringe services in 2019.  A few learning objectives:  Be able to identify multiple forms of harm reduction as it pertains to a variety of potentially risky behaviors. Be able to reframe substance use from a harm reduction model. Be able to identify the benefits of a syringe service program and other harm reduction interventions to an individual and a community. Increase knowledge about the implementation and growth of harm reduction programs in Idaho. About the presenter: Marjorie Wilson, LMSW, MPH, is the Executive Director and co-founder of Idaho Harm Reduction Project (IHRP). IHRP is a drug user health program offering a syringe service program, naloxone distribution program, and HIV/HCV testing. Since 2019, IHRP has served the whole state through its mail-based services and has distributed supplies into all of Idaho's 44 counties. Download slides | Watch recording
Published: October 24, 2022
Interactive Resource
  This month, our National Hispanic and Latino ATTC and PTTC would like to celebrate World AIDS Day. The theme for World AIDS Day in 2021 is “Ending the HIV Epidemic: Equitable Access, Everyone’s Voice”. To learn more, please watch this video and access the links below. Sources and Resources: https://www.cdc.gov/hiv/basics/hiv-testing/hiv-self-tests.html https://WWW.AHF.ORG https://WWW.AIDShealth.ORG https://store.samhsa.gov/product/Prevention-and-Treatment-of-HIV-Among-People-Living-with-Substance-Use-and-or-Mental-Disorders/PEP20-06-03-001 https://www.cdc.gov/hiv/pdf/group/racialethnic/hispanic-latino/cdc-hiv-group-hispanic-latino-factsheet.pdf https://hivinfo.nih.gov/understanding-hiv/hiv-aids-awareness-days/world-aids-day#:~:text=World%20AIDS%20Day%2C%20held%20each,support%20those%20living%20with%20HIV https://www.cdc.gov/hiv/basics/hiv-testing/hiv-self-tests.html  #NLBHA #NHLATTC #NHLPTTC             Español  En Diciembre, nuestros Centros Nacionales Hispano y Latino ATTC y PTTC desean honrar el Día Mundial del SIDA. El tema del Día Mundial del Sida en 2021 es "Poner fin a la epidemia del VIH: acceso equitativo, la voz de todos". Para obtener más información, visite: Fuentes y recursos: https://www.cdc.gov/hiv/basics/hiv-testing/hiv-self-tests.html https://WWW.AHF.ORG https://WWW.AIDShealth.ORG https://store.samhsa.gov/product/Prevention-and-Treatment-of-HIV-Among-People-Living-with-Substance-Use-and-or-Mental-Disorders/PEP20-06-03-001 https://www.cdc.gov/hiv/pdf/group/racialethnic/hispanic-latino/cdc-hiv-group-hispanic-latino-factsheet.pdf https://hivinfo.nih.gov/understanding-hiv/hiv-aids-awareness-days/world-aids-day#:~:text=World%20AIDS%20Day%2C%20held%20each,support%20those%20living%20with%20HIV https://www.cdc.gov/hiv/basics/hiv-testing/hiv-self-tests.html  #NLBHA #NHLATTC #NHLPTTC             Português Neste mês, nossos Centros Nacionais Hispânico-Latino ATTC e PTTC gostariam de celebrar o Dia Mundial da AIDS. O tema do Dia Mundial da AIDS em 2021 é “Acabar com a epidemia de HIV: Acesso equitativo, voz de todos. Para obter mais informações, por favor assista esse video e acesse os links abaixo. Fontes e recursos: https://www.cdc.gov/hiv/basics/hiv-testing/hiv-self-tests.html https://WWW.AHF.ORG https://WWW.AIDShealth.ORG https://store.samhsa.gov/product/Prevention-and-Treatment-of-HIV-Among-People-Living-with-Substance-Use-and-or-Mental-Disorders/PEP20-06-03-001 https://www.cdc.gov/hiv/pdf/group/racialethnic/hispanic-latino/cdc-hiv-group-hispanic-latino-factsheet.pdf https://hivinfo.nih.gov/understanding-hiv/hiv-aids-awareness-days/world-aids-day#:~:text=World%20AIDS%20Day%2C%20held%20each,support%20those%20living%20with%20HIV https://www.cdc.gov/hiv/basics/hiv-testing/hiv-self-tests.html  #NLBHA #NHLATTC #NHLPTTC            
Published: December 1, 2021
Multimedia
Talking To Change: A Motivational Interviewing Podcast, hosted by Glenn Hinds and Sebastian Kaplan, is a series of conversations exploring Motivational Interviewing (MI) and its influence on supporting individuals and groups as they make positive health and lifestyle changes. Talking to Change: An MI Podcast. Episode 40: MI for Youth with HIV, with Salome Nicole Cockern, PhD In this episode, Glenn and Sebastian talk to Salome Nicole Cockern, PhD, pediatric psychologist and Assistant Professor at Wayne State University, about the use of motivational interviewing with youth who have HIV. Topics discussed include intentionality when working with youth, conversations with youth to support healthy decisions, helping young people with HIV feel valued, use of affirmation, being mindful to be helpful, and how judgment doesn't help. Download the transcript (pdf)  
Published: June 7, 2021
eNewsletter or Blog
The May 2021 Dialogue contains articles on: Addiction: New Buprenorphine Practice Guidelines & National Trauma Awareness Month | Mental Health: National Mental Health Awareness Month | Prevention: National Prevention Week 2021 & HIV Prevention | ORN: Fighting Stigma | Spotlight: Queer Affirming Therapy and DEA's Community Outreach Section. Additional sections include upcoming training and webinar events, behavioral health observances, new resources, and Region 3 news. The Dialogue is designed to inform behavioral and mental health professionals of news and upcoming events in the Central East states. This electronic newsletter is disseminated bi-monthly on the first Tuesday. You are encouraged to provide us with any feedback or submit articles and topics for discussion in future issues of the newsletter, [email protected]. Sign up to receive the Dialogue in your mailbox.
Published: May 4, 2021
Multimedia
This three-part series will focus on the principles of harm reduction and its strategies to advance holistic services for individuals with substance use disorder (SUDs). Research indicates that harm reduction programs are evidence-based public health strategies designed to prevent overdose deaths, infectious disease, sexually transmitted infections, pregnancies, and injection drug use. For example, expanding access to naloxone for individuals using opioids is considered a harm reduction strategy. Specifically, this webinar series will include: an overview of the principles of harm reduction and their application in a harm reduction center; the importance of engaging law enforcement especially in rural areas and co-responder models; and a panel of experts discussing their expertise in offering harm reduction strategies in their service delivery as well as a consumer of harm reduction services.   Session One March 30, 2021, from noon to 1:00 MT, will feature Lisa Raville, Executive Director of the Harm Reduction Action Center in Denver, CO. Ms. Raville will provide an overview of the principles of harm reduction.   The learning objectives include: -An examination of the principles and evidence for the application of harm reduction strategies. -The role of harm reduction programs in eliminating stigma and shame. -Strategies to work cross-systems to advance harm reduction. -Data from a recent survey of healthcare workers.   Video Link Session Two April 13, 2021, from noon to 1:00 MT, will feature Chief Rick Brandt, Chief of Police in Evans, CO. Chief Brandt will provide content specific to engagement with law enforcement in harm reduction to include:  -Strategies to educate law enforcement on harm reduction in rural communities. -Content on how to implement harm reduction in a PD and the leadership strategies employed. -The role of law enforcement in working cross-system to prevent overdose deaths. -Application of co-responder models. Video Link   Session Three April 27, 2021, from noon to 1:30 MT, will feature a panel discussion to include the following panelists: (1) Lisa Raville, Executive Director of the Harm Reduction Action Center in CO, (2) Chris Harsell, ATTC Technical Trainer and Medical Director for Spectra Health in ND, (3) Gabriela Zapata-Alma, Director of Policy and Practice on Domestic Violence and Substance Use for the National Center on Domestic Violence, Trauma, and Mental Health in Chicago, Il, (4) and a consumer of harm reduction services. The focus will be on: -Responding to questions surrounding implementation strategies. -Community and consumer benefits of harm reduction services. -How harm reduction can be employed in any agency. Video Link
Published: April 27, 2021
Presentation Slides
Mary McCarty-Arias, M.A. Research Project Manager Division of Substance Use Disorders New York State Psychiatric Institute Department of Psychiatry, Columbia University Medical Center This course will introduce participants to stigma and discrimination around substance use disorders (SUDs). Other disabilities will be discussed, including mental health disorders and HIV. Participants will be able to reflect on their own practice and those used by their agencies.
Published: March 11, 2021
Multimedia
The National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities. This webinar will discuss how health care organizations need to ensure that awareness, adoption, and implementation of the National CLAS Standards are incorporated to have a more inclusive definition of culture in order to better serve persons living with HIV/AIDS. OBJECTIVES: Learn about quality and compassionate care services for persons living with HIV (PLWH) Discuss impact of stigma and discrimination on the overall wellness of PLWH Analyze emotional, physical and psychological needs of PLWH Explore trauma-informed principles and holistic health support Address behavioral health care and related HIV care services   PRESENTERS: Jacqueline Coleman, MEd, MSM, BA, CPC, certified professional coach with extensive experience as a senior program manager. Jacqueline has expertise in workforce development, organizational development and contract management. She is a cultivator and trainer of professionals in multiple sectors.  Jacqueline provides strategic consultation on LEADERVATION (gender-tailored programs, equity and diversity initiatives, and systems change processes).   Michelle Lopez, CASAC. BA, Healthy Aging Specialist at GMHC. Ms. Lopez serves the HIV Positive LGBT client population. Her services include individual mental health and substance use screenings, brief interventions, and referrals; and educational workshops relevant to the health of aging LGBT clients with HIV including physical, dental, and mental health. As a private consultant, Michelle was able to implement HIV care and services at a private primary care facility under the Medical Practice of Brooklyn Family Medical Center.
Published: June 17, 2020
Multimedia
Description: This 5-hour virtual conference focused on the integration efforts that support a collaborative healthcare approach. Professionals working in these areas were able to increase their knowledge of new updates in an interprofessional environment. These clinical updates are designed to assist in creating comprehensive screening protocols in primary care, substance use treatment, and infectious disease and sexual health clinics. Sessions: Enhancing Sexual Health History Taking HIV Biomedical Prevention: PrEP and PEP Screening Protocols Introduction to Medication-Assisted Treatment (MAT): Clinical and Stigma Update   Intended Audience: Physicians, physicians assistants, nurses, nurse practitioners, case managers, social workers, students of health professions, and other members of the healthcare team. Professionals and students in infectious disease, sexual health and family planning, substance use, behavioral health, mental health, and primary care are welcome and encouraged to attend. This training is a collaboration between the Mid-Atlantic Education and Training Center, The Danya Institute, the Central East TTCs (ATTC, MHTTC, PTTC), and the STD/HIV Prevention Training Center at Johns Hopkins.
Published: June 9, 2020
Curriculum Package
The purpose of this introductory training is to provide HIV clinicians (including, but not limited to physicians, dentists, nurses, and other allied medical staff, therapists and social workers, and counselors, specialists, and case managers) with a detailed overview of alcohol abuse and the behavioral and medical approaches for treating individuals with an alcohol use disorder. The introductory training (which was initially developed in 2012) has been updated, and includes a 126-slide PowerPoint presentation, Trainer Guide, and a companion 2-page fact sheet. The duration of the training is approximately 3 hours, if the trainer chooses to present all of the slides. The training duration can be shortened slightly by eliminating select slides. For example, slides 50-58 represent a general introduction of HIV/AIDS, and can be eliminated if your audience already has a broad knowledge base with regards to HIV/AIDS education.  “Test Your Knowledge” questions have been inserted at the beginning and end of the presentation to assess a change in the audience’s level knowledge after the key content has been presented. An answer key is provided in the Trainer’s notes for slides 7-11 and slides 121-125. Poll Everywhere, or a similar audience polling system can be utilized, if available, when facilitating the Test Your Knowledge question sessions. For more information, visit: https://www.polleverywhere.com/.  In addition, a series of case studies (slide 74 and slide 115) and additional questions (slides 96-99) have been inserted throughout the presentation to encourage dialogue among the training participants, and to illustrate how the information presented can be used clinically. 
Published: November 27, 2019
Curriculum Package
ANNOUNCING A New Training package! Motivational interviewing for hiv clinicians: Supporting behavior change The purpose of this introductory daylong training is to provide HIV clinicians (including, but not limited to physicians, dentists, nurses, and other allied medical staff, therapists and social workers, and counselors, specialists, and case managers) with a detailed overview of the use of Motivational Interviewing to support behavior change in patients living with HIV/AIDS. The curriculum reviews the rationale of using Motivational Interviewing with this population including some of the evidence to support its use. The training then introduces the core foundations of Motivational Interviewing spirit and the core skills needed to do Motivational Interviewing. The curriculum reviews important aspects of the Motivational Interviewing spirit and helping style; reviews the essential skills in utilizing MI; several opportunities for skill practice are woven throughout the curriculum. Four brief group videos have been inserted throughout the presentation to encourage dialogue among the training participants, and to illustrate how the information contained within the presented can be used clinically. The duration of the training is approximately 6 hours of content delivery time (one full day). The introductory training includes a PowerPoint presentation, Trainer Guide, and two-page fact sheet. What Does the Training Package Contain? ·    Training Slides (PPT) ·    Trainer Guide (PDF) ·    2-page Fact Sheet (PDF) To view and download the training package, please visit: http://www.uclaisap.org/slides/motivational-interviewing-for-HIV-clinicians-supporting-behavior-change.html
Published: November 1, 2019
Multimedia
Fueled by the opioid epidemic, hepatitis C infections have increased dramatically in rural communities in the Great Lakes Region. Since 2017, a consortium of academic, public health and community-based partners have undertaken abroad research program in six rural Wisconsin counties. The research team has surveyed more than 800 people who inject drugs and interviewed diverse stakeholders working on the public opioid response to inform best practices for reducing the spread of HIV, hepatitis and preventing overdose. In this 60-minute webinar, Principal Investigator Dr. Ryan Westergaard will review lessons learned through this research and describe how the communities plan to move forward with implementation of a client-centered prevention service coordination intervention starting in late 2019. PowerPoint Presentation Transcript  
Published: June 10, 2019
Multimedia
Learn how addiction and infectious disease interact: Dr. Ryan Westergaard presents clinical issues related to the management of patients with infectious diseases and addiction, including important drug interactions, adherence support, and care coordination strategies.  Read the transcript: 
Published: June 6, 2019
Multimedia
This webinar, presented on December 19, 2018 by Mary Hatch-Maillette, PhD, described how and why SUD treatment counselors should strive for greater comfort and ease in talking to patients about their sexual risk behavior. This includes how counselors can improve their own skill and comfort, a description of the MI Spirit approach, and how they can better link sexual risk with substance use, treatment and recovery when talking with their patients. About the presenter: Mary Hatch-Maillette, PhD, is the co-director of the NIDA Clinical Trials Network's Pacific Northwest Node, and a researcher at the University of Washington Addictions, Drug & Alcohol Institute. She specializes in substance use treatment, HIV risk behavior, and counselor workforce issues. She is also in private psychotherapy practice in Seattle. Download slides | Watch recording  
Published: December 19, 2018
Toolkit
HIV Rapid Testing in Substance Abuse Treatment Programs Blending Initiative - Video and Informational Materials.    
Published: November 26, 2018
Multimedia
This webinar, presented by Joanne Stekler, MD, MPH, and Vanessa McMahan, MS, PhDc, defined pre-exposure prophylaxis (PrEP) for HIV and summarized the evidence of PrEP’s safety and efficacy for preventing HIV infection, focusing on populations who use substances. It also described research aimed at increasing access and adherence to PrEP among individuals who use methamphetamine in Seattle, Washington. Download slides | Watch recording
Published: September 26, 2018
Presentation Slides
This presentation by Professor Katherine Sorsdahl discusses the Screening, Brief Intervention, and Referral to Treatment (SBIRT) training model with applications in the South African context. Katherine Sorsdahl is a Professor and the Co-Director of the Alan J Flisher Centre for Public Mental Health at the University of Cape Town. She also serves as Expert Curriculum Development Advisor for the South Africa HIV ATTC.
Published: September 20, 2018
Presentation Slides
This presentation by Professor Bronwyn Myers discusses the Screening, Brief Intervention, and Referral to Treatment (SBIRT) training model in application to substance use disorders. Professor Bronwyn Myers is a Chief specialist scientist in the Alcohol Tobacco and Other Drug Use Research Unit at the South African Medical Research Council. Professor Myers also serves as an Expert Technical Assistance Advisor for the South Africa HIV ATTC.
Published: September 20, 2018
eNewsletter or Blog
Monthly electronic newsletter
Published: September 5, 2018
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The ATTC Network understands that words have power. A few ATTC products developed prior to 2017 may contain language that does not reflect the ATTCs’ current commitment to using affirming, person-first language. We appreciate your patience as we work to gradually update older materials. For more information about the importance of non-stigmatizing language, see “Destroying Addiction Stigma Once and For All: It’s Time” from the ATTC Network and “Changing Language to Change Care: Stigma and Substance Use Disorders” from the Providers Clinical Support System (PCSS).

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