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Product Developed by the Contingency Management Task Force (CM Task Force) The Addiction Technology Transfer Center Network Coordinating Office (ATTC NCO) convened the Contingency Management Task Force (CM Task Force) in April 2023 at the request of the Substance Abuse and Mental Health Services Administration (SAMHSA). The purpose of this Contingency Management (CM) Task Force was to define the key components of CM that will facilitate consistent evidence-based training and implementation, and to scale CM in a manner that is meaningful, permissible, and scientific. The insights gathered will help SAMHSA’s [Training and Technical Assistance (TTA) Centers] to offer technical guidance, resources, partnerships, and infrastructure to support the expansion of CM to stakeholders in the field of addiction and recovery. This initial meeting is crucial in developing a shared vocabulary and an evidence based approach to CM education and training platforms, with the goal of incorporating metrics to measure effectiveness. Key information and components for facilitating CM TTA found in this report, include: 1. Key areas of considerations relating to implementation guidance (Section 2) 2. Recommendations pertaining to the development and rollout of implementation guidance (Section 3) 3. Proposed chapter titles and topics to be used in the possible development of a Contingency Management Implementation Guidance Document (Section 4) 4. Publicly available resources (Section 5) 5. Selected references (Section 6)
Published: March 31, 2024
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The New England ATTC in partnership with RICARES provided a basic/universal TA session titled “State-level homelessness and drug overdose mortality: Evidence from US panel data” on 3/21/24 from 12:30 PM to 1:30 PM. Although we in recovery science understand well that not having access to steady, safe, and secure housing is a risk factor for drug overdose for a given individual, less is known about the relationship between homelessness and overdose mortality (the rate of death resulting from drug overdose) at the state level. In this study, researchers looked at data on housing, population, substance use, overdose, unemployment, and other variables from 2007–2020 for all US states and Washington DC. The result was that overdose mortality was found to be positively associated with homelessness at the state level in other words, the more homelessness there is in a state, the higher the state’s overdose mortality rate is likely to be. However, they found that this association becomes weaker when fentanyl is widely available in a given state. Researchers concluded that, given this association, policies, and programs to prevent and reduce homelessness should be considered critical elements of overdose prevention efforts. Article link: www.sciencedirect.com/science/article/pii/S0376871623011481?ref=pdf_download&fr=RR-2&rr=85fb4e876ef442b5 Please find the meeting summary here: ATTC ReadingGroup 03212024 Summary
Published: March 22, 2024
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The New England ATTC in partnership with RICARES provided a basic/universal TA session titled “Hospitalizations for Alcohol and Opioid Use Disorders in Older Adults: Trends, Comorbidities, and Differences by Gender, Race, and Ethnicity” on 2/22/24 from 12:30 PM to 1:30 PM. Increasing numbers of adults aged 65+ years are being diagnosed with alcohol and opioid use disorders. Researchers understand relatively little about older people who are hospitalized for these conditions. Researchers in this study looked at Medicare claims data from 2007-2014 for older adults with a diagnosis of alcohol or opioid use disorder and looked at trends around hospitalizations over time, as well as trends by diagnosis, race, and gender. Study investigators found that more and more adults aged 65 years and older have been treated in hospitals for alcohol and opioid use disorders over the study period and that among the people who were treated in hospital, certain race and gender groups were more likely than others to be hospitalized. Investigators concluded that more research on these disparities is needed and that interventions and treatments are needed to help older adults who use substances. Article link: https://journals.sagepub.com/doi/epub/10.1177/11782218221116733 Please find the the meeting summary here: ATTC ReadingGroup 02222024 Summary
Published: February 23, 2024
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This  Black History Month, let's pause to recognize the remarkable achievements, unwavering strength, and outstanding triumphs of the Black community. It's also a time for us to recommit to cultivating an environment of inclusiveness, fairness, and opportunities for all. By recognizing and elevating diverse voices, we enrich our workplace and the vitality of our organizations, communities, and society. Take advantage of MATTC’s FREE Culturally & Linguistically Appropriate Services (CLAS) training to improve your organization’s quality of services provided to all individuals, which will ultimately help reduce health disparities and achieve health equity. More information is found in the flyer attached! Please email [email protected] for additional information. 
Published: February 22, 2024
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  What Providers Needs to Know About Inhalants   The tip sheet provides information on commons types of inhalants, signs of misuse, common slang terms, short-term health effects, a description of Sudden Sniffing Death Syndrome, and treatment options for address inhalant use.     For questions about this tip sheet, please contact Andrew Kurtz, MA, LMFT ([email protected]).  
Published: August 15, 2023
Other
  SUD Keys to Education is a product for educators and clinical supervisors developed in 2022 by the Mountain Plains and Pacific Southwest Addiction Technology Transfer Centers (MPATTC and PSATTC). This product was developed to help community college/university faculty, as well as clinical supervisors and recovery support staff to have access to brief, science-based content with the goal of providing materials that can be easily infused into existing substance use disorder and related courses (e.g., social work, nursing, criminal justice, foundation of addiction courses, ethics, counseling courses, etc.) and for clinical and recovery staff use in in-service meetings. Individuals can select the specific content to infuse into existing curricula/materials depending on specific needs of their learners. Each slide in the slide decks contain notes to provide guidance on the topics along with references and handouts where appropriate. All of the stimulant-specific slide decks also have a video (MP4) of the content narrated by subject matter experts as an alternative way of presenting the materials.   The main developers of the SUD Keys are: MPATTC, HHS Region 8: Cindy Juntunen, PhD, LP, Nancy Roget, MS, Trisha Dudkowski, BA, Kenneth Flanagan, PhD, Terra Hamblin, MA, Shannon McCarty, BS, Kim Miller, MS, Abby Roach-Moore, MSW, and Maridee Shogren, DNP PSATTC, HHS Region 9: Thomas E. Freese, PhD, and Beth Rutkowski, MPH.   Funding for this product was made possible (in part) by SAMHSA Cooperative Agreement numbers UR1 TI080200 (MPATTC) and UR1 TI080211 (PSATTC). The views expressed in these materials do not necessarily reflect the official policies of the Department of Health and Human Services, nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
Published: January 4, 2023
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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 an overview of the challenges and strategies for change in working with individuals with HIV/AIDS and a diagnosis of an opioid use disorder. Given the potentially broad array of health disciplines, this presentation uses the terms “patient” and “client” interchangeably to refer to the individuals a training participant may be working with in their organization. The duration of the training is approximately 180 minutes (3 hours), depending on whether the trainer chooses to present all of the slides, or a selection of slides, and whether the trainer chooses to present and discuss both case studies.   The training package includes a 90-minute PowerPoint presentation (abridged curriculum), a 3-hour PowerPoint presentation (full curriculum), a fully articulated trainer guide for the full curriculum, and a two-page fact sheet. All of the training package components are 508 compliant.
Published: July 29, 2022
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Recovery Incentives: California’s Contingency Management Program Contingency Management (CM) Overview Training Sponsored By: UCLA Integrated Substance Abuse Programs and the California Department of Health Care Services   Instructions for Registering for an Account and Accessing the Course: To Register for an account, please visit the PSATTC e-Learn Site: https://www.psattcelearn.org Step 1. Click on link above. Step 2. If you don’t have an Account already, you will need to create your Account by clicking “Create and Account.” Step 3. Fill out the registration questions, which include Name Email, Organization, Occupation, and Type of Continuing Education credit needed (if applicable). You will also create a username and password for your account. Please save your username and password.   Once you are registered, you can access the course at: https://psattcelearn.org/courses/recovery-incentives-californias-contingency-management-program-contingency-management-overview-training/ This two-hour on-demand course is free and is open to staff who are interested in learning more about Recovery Incentives, including: •    CM Coordinators, Back-Up CM Coordinators, and CM Supervisors (this training is required) •    Program Administrators •    Physicians, Nurse Practitioners, and Physician Assistants •    Psychologists •    LMFTs and LCSWs •    Registered Nurses •    Certified Substance Use Disorder Treatment Counselors •    Other Behavioral Health Specialists/Clinicians   Course Description: Contingency management is one of the only evidence-based behavioral interventions shown to be effective in treating stimulant use disorder (StimUD). Contingency management provides monetary incentives (such as gift cards) for meeting treatment goals, including stimulant non-use as measured by negative urine drug tests (UDTs), rewarding individuals for changing their behaviors. Substance use offers a powerful, immediate reinforcement. Contingency management confronts this challenge by offering immediate financial awards that can help activate the brain’s reward system, thus encouraging the replacement of stimulants with the incentive to achieve a dopamine release. This course is a two-hour self-paced online training designed to provide a broad overview of contingency management for treating individuals with a stimulant use disorder (StimUD). The course includes a brief Introduction and seven (7) Modules. You can complete one Module at a time as your schedule permits. Completion of this course is required for individuals who are serving as a CM Coordinator, Back-Up CM Coordinator, or CM Supervisor within their agency.    Learning Objectives:  At the end of the course, participants will be able to:  1.    Recall at least three (3) patterns and trends regarding the scope of stimulant use in California and beyond. 2.    Identify at least three (3) acute and three (3) chronic effects of psychostimulant drugs on the brain. 3.    Specify at least three (3) key principles of operant conditioning. 4.    Formulate a list of the four (4) essential elements of an evidence-based, protocol-driven Recovery Incentives Program to address stimulant use.    
Published: May 6, 2022
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YEAR 4 IN REVIEW Highlights and Adaptations from the ATTC Network MOST VIEWED RESOURCES IN 2021 TECHNICAL ASSISTANCE PROVIDED #'s EVENTS BY THE #'s TOP EVENTS PRODUCT TYPES BY THE #'s TOP 10 KEYWORDS SEARCHED
Published: December 21, 2021
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A common approach in learning any complex skill is to work with experts assisting in the development of competencies. Coaches observe practice in vivo and provide prompt feedback in a safe environment to guide practitioners to enhance fidelity to the model and retain skill levels in Motivational Interviewing (Miller & Moyers, 2021). The Mountain Plains, in collaboration with Motivational Interviewing (MI) subject matter experts, developed this opportunity to enhance practitioners’ skills and confidence in providing motivational strategies through individualized coaching. Coaching in specific MI approaches will be available to training participants following completion of a foundational MI course and a 9-week MI-Into Practice Enhanced Professional Learning Series. Basic MI concepts and skills to resolve ambivalence and conduct intentional conversations about change will be featured. This series of coaching is intended to help build confidence and practical MI knowledge and skills to support and address the behavioral factors impacting client change. Participants that have met the pre-requisites noted above will be invited to participate in 3 coaching sessions and will complete a pre- assessment to determine individualized coaching topics. Most sessions are individual. However, participants can be grouped in pairs or trios for effective interaction if preferred.    *Pre-requisites required
Published: February 18, 2021
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Telehealth Resources for Behavioral Health lists regional and national resources and information related to telehealth. Visit this page for up-to-date information on telehealth policy, processes, and best practices for the behavioral health field.  
Published: April 15, 2020
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Vaping: Resources and Information provides an overview of the latest news related to vaping, vaping-related illness, COVID-19 and vaping, and vaping treatment and prevention programs. 
Published: April 15, 2020
Other
This web page provides an inventory of national and Great Lakes region recovery resources available in virtual formats. Updated regularly with new resources. 
Published: April 14, 2020
Other
Presenter Harold Gates of the Midwest Center for Cultural Competence included this planning document as part of his webinar presented August 8, 2018: How to Sustain Cultural Competence and the National Standards for CLAS.  Use this document as a framework for improving service delivery for an underserved population. 
Published: January 14, 2019
Other
This manual was developed as part of a PhD by the South Africa HIV ATTC Co-Director, Dr. Goodman Sibeko. Initial piloting took place at two non-profit organizations after ethical approval was obtained from the Human Research Ethics Committee (913/205) of the University of Cape Town.The manual now serves as the basis of the training approach used by the South Africa HIV ATTC to help organisations improve mental health care as a means of reducing HIV risk and improving HIV treatment outcomes.
Published: July 27, 2018
Other
Reference reading list of sources for HIV clinicians concerning medical marijuana.
Published: July 1, 2018
Other
One page, double-sided fact sheet listing ATTC events and products related to criminal justice and drug courts.
Published: March 6, 2018
Other
Resources for HIV Rapid Testing in Substance Abuse Treatment Programs.
Published: January 1, 2018
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This National Workforce Report provides strategies for recruitment, retention, and development of the substance use disorder treatment and recovery services workforce. This report is based is based on a series of telephone interviews conducted in 2015 and 2016 with 44 Single State Agencies and the clinical directors and other staff representing nearly 70 substance use disorder (SUD) treatment agencies across the United States.
Published: September 1, 2017
Curriculum Package, Other, Presentation Slides
Full-day training with fully articulated trainer notes.
Published: March 15, 2017
Other
In this paper, the ATTC pre-service education workgroup addresses how such advancements must progress so that health professionals will be equipped to appropriately care for patients who have, or who are at risk of developing, SUD seven generations into the future.
Published: February 1, 2017
Other
This handout described how to monitor substance use in adolescents. Created by Catherine Stanger, Ph.D.
Published: April 16, 2015
Other
The main goals of this white paper are to emphasize the need for better integration of substance use disorder (SUD) and health care services and describe an array of effective models, interventions and implementation strategies for treating SUDs in health care settings, highlighting efforts of the ATTC Network.
Published: March 1, 2015
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This Issue Brief describes the ATTC Network’s plans to advance the integration of care.
Published: October 1, 2014
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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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