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Multimedia
This session will provide an overview of the application of SAMHSA’s Best Practices and Suggested Guidelines for Substance Use Disorders Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities.  The session will provide a basic overview of housing policies that ensure support for people suffering from a substance use disorder who are in need of supportive recovery-oriented transitional housing. The focus will be on the lessons learned in developing housing in rural communities and housing that supports the inclusivity of all cultures. Learning Objectives This session will provide participants with: A case study on housing principles and policies that support recovery, prevent relapse, recidivism, and overdoses. An understanding of how to address housing supports for people in recovery in geographically remote areas and best-practices to serve a diverse population to ensure inclusion. Best practices to ensure safety for residents.   Presenter Jessica Thomasson serves as the CEO of Lutheran Social Services (LSS) of North Dakota. Jessica and the LSS team are active in the areas of affordable housing, childcare, mental health, disaster response, aging services, and support for young families. Download "Housing as an Intervention" slides here.    
Published: January 29, 2020
Presentation Slides
SAMHSA has launched FindTreatment.gov, a newly designed website that will help connect Americans, who are looking for substance abuse treatment, with approximately 13,000 locations across the United States. Visitors can access information on locations, treatment options, payment and insurance information, as well as over 13,000 state-licensed facilities based on data compiled by SAMHSA.  If you are a provider, you can fill out an application to List Your Facility. Help is available, treatment works, and people recover every day.
Published: November 18, 2019
eNewsletter or Blog
The November 2019 Dialogue features: Addiction: National Rural Health Day | Mental Health: School Mental Health | Prevention: Engaging Primary Care Providers in Prevention | ORN: Adolescent Prevention | Region 3 Spotlight: SAMHSA's new treatment website. 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 on the first Tuesday of each month. You are encouraged to provide us with any feedback or submit articles and topics for discussion in future issues of the newsletter. Sign up to receive the Dialogue in your mailbox.
Published: November 5, 2019
Print Media
Created to accompany the MPATTC’s Guide to Using Text Messages to Improve Substance Use Treatment Outcomes Guide, this 11x17 Prompt and Reminder (PRP) Poster was developed as a reminder to use thoughtful text message language when communicating when using a text messaging system within your agency and to avoid “textese”.  This poster can be downloaded in two sizes, 11x17 (recommended for printing and display) or 8.5x11 (desk copy) directly from the MPATTC website by clicking the "download" button above.  The poster includes a QR code that can be scanned to access the Guide to Using Text Messages to Improve Substance Use Treatment Outcomes and the instructional demonstration videos. To maximize the impact of this product, the MPATTC recommends displaying the 11x17 poster in a location most visible and accessible to administrators/employees who schedule and use text as an extender to services.   To request 11x17 “The Language of Texting” prompt and reminder poster to be mailed directly to you, please click "REQUEST A HARD COPY". Instructions on how to print PDF files: https://www.wikihow.com/Print-PDF-Files   Research on the use of Prompt Poster: Recent research on implementation science highlights the importance of understanding the practical strategies that support uptake of new practices and adoption of evidence-based practices (EBP) by clinicians. For example, placing reminders or prompts in the practice setting where the clinician can easily see them provides timely cues that reinforce use of the EBPs. [see Cullen & Adams, 2012; Leathers, 2016; Sholomskas et al., 2005].     To Download: The Language of Texting Prompt/Reminder Poster was 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 11x17 Language of Texting Prompt/Reminder Poster or 8.5x11 Language of Texting Prompt/Reminder Sheet.  
Published: November 4, 2019
Print Media
Introduction to the Guide Helping individuals remain in treatment or continue to participate in recovery support services can be difficult. However, with advances in both technology and science, text messages can be used to increase engagement, enhance education about the individual’s condition, and help patients manage craving and other negative thoughts/moods. This step-by-step guide contains information for treatment and recovery support providers on how to use text messages to expand the reach of their services. The guide can be used in conjunction with the webinar or as a stand-alone resource. Below, please find a recorded webinar series that reviewed the evidence on the effectiveness of text reminders and offer tips for providers to use to help patients remain in treatment and/or continue involvement with recovery support services. The downloadable manual will serve as the guide for the series that will demonstrate how to develop different automated texting sequences using a text message service provider platform.   Part I will provide an overview of evidence for the effectiveness of text reminders and tips; describe best practices for developing and sending automated text messages; describe the language of texting; and provide examples of effective text messages for both individual and group sessions. Click here to watch part 1  Download accompanying PowerPoint presentation slides: ATTC Text Message Webinar Pt 1.pdf   Part II will include a live demonstration on how to develop an automated texting sequence using a text message service provider and show a basic strategy for organizing and sending batch text messages. Participants will have the opportunity to subscribe and receive these text messages during the presentation. Click here to watch part two  Download the corresponding presentation slides: ATTC Text Message Webinar Pt 2.pdf   Please contact the Mountain Plains staff at [email protected] if you have questions or need assistance accessing the guide using the link included on this page. Both the webinar series and guide are available at no cost as part of the Mountain Plains ATTC training/technical assistance services, funded by the Substance Abuse Mental Health Services Administration (SAMHSA) under United States Department of Health and Human Services.      The Language of Texting Poster: The Language of Texting Prompt/Reminder Poster was 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 11x17 Language of Texting Prompt/Reminder Poster or 8.5x11 Language of Texting Prompt/Reminder Sheet.  
Published: October 14, 2019
Website
The Mountain Plains ATTC partnered with University of North Dakota’s (UND) ECHO Clinic to create a seven-part ECHO series using an interdisciplinary approach to train health professionals on pain management and recovery titled, “Addressing Substance Use Disorder in 2019: An Interprofessional Approach to Pain Management and Recovery”. This seven-part ECHO Series provides a venue for a variety of health professionals to learn how to help patients/clients manage their pain without the use of opioids. Each month a different health professional presented on how to management pain from their professional perspectives (e.g., Occupational Therapist; Addiction Counselor; Nutritionist; Chiropractor; Physical Therapist; Music Therapist; and Psychiatrist) in order to promote interdisciplinary approaches especially as it relates to Opioid Use Disorders and preventing overdose. Finally, a rural perspective will be included in each session. A typical ECHO structure will be followed for the seven sessions including a 20 minute didactic followed by a case study and discussion. To view this 7-part series, other Project Echo presentations on the management of opioid use disorders (OUD), and/or get additional information visit UND’s Center for Rural Health Project Echo webpage. In addition, all Project ECHO teleECHO™ sessions are recorded and available for continuing medical education (CME) credit.
Published: September 30, 2019
Multimedia
Co-Director of Mountain Plains ATTC, Thomasine Heitkamp, interviews a national expert on trauma informed care, Dr. Tami DeCoteau, who offers insight to providers and educators interested in gaining a deeper understanding of trauma, including content on historical trauma and adverse childhood experiences. This 60-minute video interview presentation created by Mountain Plains ATTC is designed as a professional learning tool to explore how trauma affects the human population. The science of trauma-informed care compells us to look more deeply into the human physiological process and understand how DNA provides evidence of intergenerational trauma. Recent research has shown that emotional trauma often affects the human nervous system long-term. Study of epigenetic DNA demonstrates that the substance use disorder need for self-regulation via alcohol or drugs is actually a physiological process and not a moral choice. This video will address questions such as:  What is trauma informed care? How do we help society to recognize that substance use disorder is a chronic disease and must be treated as such? Why do we see intergenerational effects of trauma within certain communities or families?   The production is conveniently separated into topic modules with designated time codes to allow viewers to determine which subjects will be reviewed and how much time is necessary to cover each area of discussion.   Topic Modules  |  Time Codes Section I – Intro and General Overview                                            00:00 (10 min 54 sec)                           Definition and Explanation Triggers Adverse Childhood Experiences Addressing Trauma Brain Development Complex Developmental Trauma Trauma and Addiction     Section II -- Treatment for Secondary Trauma                                  10:54 (11 min 9 sec) Self-Regulation Skills Brain and Nervous System Epigenetics Research Integrated Care Returning Veterans Strategies for Self-Regulation                                                              Section III -- Evidence-Based Practices in Tribal Communities         22:03 (6 min 1 sec) Boarding Schools Relationship Trauma Intergenerational Effects Federal Legislation National Healthcare Model     Section IV – Integrated Trauma-Informed Care                                28:04 (13 min 56 sec) Substance Use Disorders Big Ts and Little Ts                      Section V – Moving Forward                                                              42:00 (17 min 39 sec) Education and Collaboration Role of Technology Clinical Advancements Specialties Wrap-Up   Presenter: Tami DeCoteau, Ph.D., Licensed Clinical Psychologist Dr. DeCoteauTami DeCoteau obtained a doctorate degree in Clinical Psychology in 2003 from the University of Nebraska-Lincoln with specialization in the cognitive-behavioral treatment of anxiety disorders for adults, adolescents, and children. She has extensive experience working with patients who suffer from complex trauma, neurodevelopmental disorders, grief, anxiety, depression, and suicidal thinking. Her private practice in downtown Bismarck, North Dakota, is DeCoteau Trauma-Informed Care and Practice, PLLC, an outpatient facility where she heads a team of eight specialists in various fields of mental health. Dr. DeCoteau is a Trust-Based Relational Intervention (TBRI) practitioner. TBRI is a therapeutic model that trains caregivers to provide effective support for at-risk children. She is also trained in various trauma treatment modalities, including WEMDR, somatic processing, attachment intervention, neurosequential model of therapeutics (NMT) and TF-CBT. Dr. DeCoteau has worked in a variety of outpatient settings and with a diverse patient population, including Veterans and Native Americans. She has given numerous lectures on how trauma impacts attachment and brain development, in-school strategies for working with traumatized children, and historical trauma. She is a long-standing member of the American Psychological Association, an enrolled member of the Mandan, Hidatsa, Arikara Nation and a descendant of the Turtle Mountain Band of Chippewa. Interviewer: Thomasine Heitkamp, LICSW, Co-Director, Mountain Plains ATTC/HHS Region 8, Professor, University of North Dakota College of Nursing and Professional Disciplines Ms. HeitkampThomasine Heitkamp is the Director of Mountain Plains Addiction Technology Transfer Center that serves the six states in SAMHSA Region 8. She is also the Region 8 Administrator for the American Academy of Addiction Psychiatry (AAAP) grant to advance technical assistance for prevention and treatment of opioid use disorders. She is a Professor in the College of Nursing and Professional Disciplines at the University of North Dakota (UND) in Grand Forks and a Licensed Independent Clinical Social Worker in North Dakota. She has been an educator and administrator at the University of North Dakota for more than thirty years. Professor Heitkamp has served in a myriad of administrative capacities at UND, including her recent work as an Associate Provost and Chair of the Graduate Nursing Program. She has numerous publications and presentations describing her professional work including a recent study on the impact of the oil industry on interpersonal violence in the oil fields of Montana   
Published: August 14, 2019
Print Media
  In an effort to better understand the needs of primary care providers (PCPs) located in the Mountain Plains ATTC region, a survey was conducted with primary care providers working in Community Health Centers (CHCs) located in HHS Region 8 to determine their perceptions, practices, and training/technical assistance needs in relation to substance use disorders (SUDs) and medication assisted treatment (MAT). The survey was distributed to primary care providers in CHCs with the collaboration and assistance of the Community Health Association of Mountain/Plains States (CHAMPS). The survey was completed by PCPs in the months of March, April, and May of 2019. This report provides findings from the entirety of PCPs in Region 8, who responded to the survey. Individual state information is also included for many items.  
Published: July 26, 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
Print Media
This report provides findings from all providers in Region 8 who responded to the survey. Additional state reports were developed, and are available, for each of the six states in Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming.
Published: March 7, 2019
Print Media
Results from this survey will help Mountain Plains ATTC better collaborate with providers and other stakeholders throughout the region in the development of new products, training materials, and technical assistance requests. 
Published: March 7, 2019
Print Media
Results from this survey will help Mountain Plains ATTC better collaborate with providers and stakeholders throughout the region in the development of new products, training materials, and technical assistance requests. 
Published: March 7, 2019
Print Media
Results from this survey will help Mountain Plains ATTC better collaborate with providers and stakeholders throughout the region in the development of new products, training materials, and technical assistance requests. 
Published: March 7, 2019
Print Media
Results from this survey will help Mountain Plains ATTC better collaborate with providers and stakeholders throughout the region in the development of new products, training materials, and technical assistance requests. 
Published: March 7, 2019
Print Media
Results from this survey will help Mountain Plains ATTC better collaborate with providers and stakeholders throughout the region in the development of new products, training materials, and technical assistance requests. 
Published: March 7, 2019
Print Media
Results from this survey will help Mountain Plains ATTC better collaborate with providers and stakeholders throughout the region in the development of new products, training materials, and technical assistance requests. 
Published: March 7, 2019
Presentation Slides
This slide deck provides a brief overview of the use of videoconferencing to deliver assessment and treatment services to individuals with substance use disorders (SUDs) and mental health conditions. It is designed to be used by behavioral health academic faculty, trainers, and state agency staff members for a variety of audiences. Each slide has notes for the presenter to provide guidance if necessary. References are included on the slides and in the notes. If you require further information on this topic, please contact the Mountain Plains Addiction Technology Transfer Center (MPATTC). You are free to use these slides and pictures but please give credit to the MPATTC when using them by keeping the branding and referencing the ATTC at the beginning of your presentation.
Published: January 14, 2019
Presentation Slides
Safe prescribing - Access to naloxone to prevent overdose deaths - Medication Assisted Treatment (MAT) - The use of medications and behavioral therapies to treat substance use disorders and prevent opioid overdose. slideDecks4U are PowerPoint slide decks intended to highlight a topic in 10 slides or less (similar to ‘pitch decks’ used in the business world to give a short summary of a company and its start-up vision). Unrestricted slide decks that include presenter notes and references are available. Additional learning resources (e.g., original research articles, case studies, and learning exercises) will also be included when possible.
Published: December 5, 2018
Print Media
In an effort to better understand the needs of providers in the region, Mountain Plains ATTC conducted a survey of SUD services in Region 8, which includes the states of Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming, to determine training/technical assistance needs. The survey was distributed using email list serves available through the Single State Authority (SSA) offices and through provider contact lists within the Mountain Plains ATTC database.
Published: November 30, 2018
Multimedia
This training will explore the beauty and pain that may come with being a caregiver. It will investigate compassion fatigue, as well as compassion satisfaction, and provide practical tools to build caregiver awareness, self-compassion, and psychological flexibility as they choose a life of service to others. This training was brought to you by the Mountain Plains ATTC and CASAT Training. Presenter: Robin J. Landwehr, DBH, LPCC, NCC  
Published: November 19, 2018
eNewsletter or Blog
The November Dialogue features the Appalachian Regional Prescription Opioid Strike Force (ARPO) and rural health.
Published: November 6, 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
Print Media
Informed by the Region 8 Needs Assessment three priority areas have been used to inform Year 1 training and technical assistance events to date. For example, Enhanced Professional Learning Series (EPLS) on SBIRT, Motivational Interviewing (MI), Skill-based Videoconferencing (SbVC), and Technology-Based Clinical Supervision (TBCS) have been conducted throughout the Region. This report is a Year 1 Summary of Mountain Plains events used to inform our Advisory Board members of key events that occurred. 
Published: September 12, 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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