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This is the first session of the 3-part series Embracing Pregnant & Parenting Families Challenged with Substance Use Disorder. This session addresses addiction as a chronic brain disease, the brain changes inherent to addiction and the mechanisms contributing to both the brain’s vulnerability as well as how substances themselves impact the brain.  The session strives to connect neurobiological changes to common behavior of individuals with a substance use disorder. The session also explores the overlap neurobiologically between early parenting behavior and addiction while creating an opportunity for discussion of the implications for patient care during the antepartum period After the session, participants will be able to: Recognize addiction as a chronic brain disease Understand the connection between ACE’s and vulnerability for addiction Discuss the role of the reward system in driving parenting behavior Click here to watch the video presentation Presenter Information: Sharon Hesseltine, BSW, is President and CEO of Intentional Development, providing consultation, facilitation and training to strengthen services for pregnant and parenting families who have substance use disorders, adverse childhood experiences (ACEs) and trauma. For over 30 years Sharon has worked in Public Health and specialized in early childhood development, women’s health, substance use disorder and recovery.     Continuing Education: Continuing Medical Education (CME), American Nurses Credentialing Center's Commission on  Accreditation (CNE), Certified Health Education Specialists (CHES), Iowa Credentialing Board, Missouri Board of Certification are pending approval. The series will be accepted by the Kansas Behavioral Sciences Regulatory Board and is deemed alcohol and drug specific and will be accepted for continuing education for licensed alcohol and drug counselors in Nebraska.   
Published: May 26, 2021
Presentation Slides
Slides from the May 11, 2021 session, Native American Storytelling: Culture is Prevention. This session featured Robert Begay speaking on "Navajo Woman's Role and its Origin".
Published: May 21, 2021
Print Media
The purpose of this FREE series is to spark a shift in perspective among health care staff as it relates to pregnant and parenting families experiencing substance use disorder. The ultimate goal is that families experiencing SUD will be met with compassion and understanding and receive care that is grounded in recovery-oriented values and principles. Download the training flyer to learn more about this 3-session learning series and to register!
Published: April 29, 2021
Print Media
The Kansas City Perinatal Recovery Collaborative (KCPRC) was formed in June 2018 by Mid-America ATTC in response to the growing impact of substance use on families in the bi-state metropolitan area.  The KCPRC works to develop, grow, and nurture a coordinated, multi-system network of services and programs to support pregnant and parenting mothers as they navigate the dual journey of parenting and recovery. KCPRC is a collective of professionals from child development, child welfare, housing, social services, health care, criminal justice, and substance use disorder treatment and recovery.  The group focuses on evidence-based ways care can be improved from pregnancy and throughout a woman’s continuum of care. 
Published: April 1, 2021
Print Media
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!
Published: March 31, 2021
S2 E5: Serving Marginalized Communities x Impacts of IPV In this episode, we focus our attention on substance use coercion including the common forms, the effects on survivors, and how providers address the needs equitably by integrating services. Our conversation suggests that integrated services uniquely benefit survivors and are associated with decreased substance use and experiences of violence. We highlight this topic as new resources have been released from the National Center on Domestic violence, Trauma, and Mental Health in late 2020. Resources: Substance Use Coercion as a Barrier to Safety, Recovery, and Economic Stability: Implications for Policy, Research, and Practice: Technical Expert Meeting Summary and Report Understanding Substance Use Coercion in the Context of Intimate Partner Violence: Implications for Policy and Practice: Summary of Findings Literature Review: Intimate Partner Violence, Substance Use Coercion, and the Need for Integrated Service Models       Gabriela Zapata-Alma, LCSW, CADC, Director of Policy and Practice on Domestic Violence and Substance Use, National Center on Domestic Violence, Trauma & Mental Health | [email protected] Gabriela Zapata-Alma, LCSW, CADC, is the Director of Policy and Practice on Domestic Violence and Substance Use at the National Center on Domestic Violence, Trauma, and Mental Health, as well as a senior lecturer and coordinator of the addiction training program at the University of Chicago’s School of Social Service Administration. Gabriela brings over 15 years of experience supporting people impacted by structural and interpersonal violence. Currently, Gabriela's author's best practices provide trauma-informed policy consultation to advance racial equity, as well as capacity building related to serving marginalized communities impacted by violence, trauma, and other social determinants of health, nationally, and internationally.
Published: March 29, 2021
eNewsletter or Blog
Electronic newsletter of the Great Lakes ATTC, MHTTC, and PTTC.  March 2021 issue features include The Counselor's Corner, published research, Indiana spotlight, and a complete calendar of events March 16-31, 2021. 
Published: March 15, 2021
In celebration of the International Women’s day and Women's History Month, join us to celebrate our strong Latinas! Please join our movement! Let’s lift the women around us. Tag @ one woman that you are inspired by or share with us one characteristic that makes you very proud about being a woman! En conmemoración del Día Internacional de la Mujer y el Mes de la Historia de la Mujer, ¡únase a nosotros para celebrar a nuestras latinas! ¡Por favor, únanse a nuestro movimiento! Levantemos a las mujeres que nos rodean. Etiqueta @ una mujer que te inspira o comparte con nosotros una característica la cual te hace sentir orgullosa de ser una mujer! Em comemoração ao Dia Internacional da Mulher e ao Mês da História da Mulher, junte-se a nós para celebrar nossas Latinas! Junte-se ao nosso movimento! Vamos elevar as mulheres à nossa volta. Marque @ uma mulher que te inspira ou compartilhe conosco alguma característica que te deixa muito orgulhosa por ser mulher!
Published: March 8, 2021
Part 1 of our 3-Part Series on Pregnant/Parenting Women and Substance Use Disorders Presenter: Dan Dubovsky, MSW When an individual has behaviors that cause difficulty in treatment settings, we often label the person as being non-compliant, unmotivated, or disruptive. When they are back in treatment numerous times, we say that they are not ready for sobriety. However, their behavior may well be due to brain damage caused by prenatal alcohol exposure, which is much more common than most people suspect. Due to this damage, which spans the intellectual spectrum, evidence based practices that rely on verbal interactions and reward and consequence systems are often not successful with them and set them up to fail. This presentation addresses the importance of recognizing an FASD in those with whom we work or live. The brain damage seen in FASD is examined, along with common behaviors that result from this damage. A method of identifying those with an FASD is identified and how to modify treatment is touched on. Download slides | Watch recording Webinar category: Specific populations, Treatment - General
Published: February 1, 2021
Objetivos: Repasar el uso y abuso de las sustancias ilegales durante el embarazo Presentar nuestro conocimiento la identificación y manejo de la Hepatitis C durante el embarazo Actualizar nuestro conocimiento con respecto a la pandemia del virus COVID 19 y su impacto en las mujeres embarazadas   Recursos Addicionales: Webinar slide handouts Not all vaccines are created equal Society for Maternal-Fetal Medicine (SMFM) Statement: SARS-CoV-2 Vaccination in Pregnancy Labor and Delivery COVID-19 Considerations WHO FAQ Website: Coronavirus disease (COVID-19): Vaccines   Presentador: Luis A. Izquierdo, M.D.
Published: December 16, 2020
Objectives: Review the use and abuse of illegal substances during pregnancy. Address the identification and management of Hepatitis C during pregnancy Present our current knowledge of COVID-19 pandemic and its impact on pregnant patients   Additional Resources Webinar slide handouts Not all vaccines are created equal Society for Maternal-Fetal Medicine (SMFM) Statement: SARS-CoV-2 Vaccination in Pregnancy Labor and Delivery COVID-19 Considerations WHO FAQ Website: Coronavirus disease (COVID-19): Vaccines   Translations     Presenter: Luis A. Izquierdo, M.D.
Published: December 9, 2020
        S2 Ep3: Parenting Through Your Recovery Journey In this episode, we have the pleasure of speaking with Technology Transfer Specialist and President and CEO of Inentional Begginnings, LLC, Sharon Hesseltine. We turn our attention to the stigma and barriers that women face while parenting or pregnant while being challenged with substance use disorder (SUD). Sharon highlights her personal journey as a mother while plowing through her road to recovery. She also debunks some common myths of being pregnant with a SUD.  Listeners will get an overview of her newest project, "Providing Peer-Based Recovery Support Services for Pregnant and Parenting Families".        Sharon Hesseltine, BSW is the President and CEO of Intentional Beginnings Consulting & Training, a small non-profit with the mission of strengthening organizations and individuals serving those who experience substance use disorders, adverse childhood experiences (ACEs), and trauma. Sharon received her Bachelor of Science in Social Work from Southern Illinois University in 1981, and in 2011 completed a two-year post-graduate Certificate in Infant and Early Childhood Mental Health from the University of Minnesota. For over 30 years Sharon has worked in Public Health and specialized in early childhood development, women’s health, and addiction. Her career has ranged from providing direct services to women through managing two sober living residences to designing and facilitating statewide and local collaborative initiatives that call on her skills in public policy, strategic planning, cross-sector collaboration, program assessment, and marketing. She is a national trainer, Technology Transfer Specialist, and facilitator for multiple organizations including the Hazelden Betty Ford Foundation, the Addiction Technology Transfer Centers (ATTC), and the Opioid Response Network. In 2018, Sharon took the lead in developing SUD specific training for Peer Support Specialists and Supervisors for the Commonwealth of Kentucky. Sharon is passionate about reducing the stigma associated with addiction and developing the capacity of communities, organizations, and individuals to better meet the needs of individuals with substance use disorders. With her husband, Scott Hesseltine, she currently resides in Louisville, KY.   Sponsorships: off for this episode                        
Published: December 9, 2020
Addressing Stigma and Substance Use Disorders: A HealtheKnowledge Course DESCRIPTION This course is designed to serve a broad audience including: health care and behavioral health administrators and supervisors; direct care providers of behavioral health service; and students in pre-service classes. This course provides content valuable for myriad professionals to consider in their day-to-day work when serving people with substance use disorders. The topics selected will allow participants to gain a deeper understanding of the nature and context of stigma. The four-hour course includes five 45-minute video modules on topics related to stigma in the SUD field. There is a quiz after each module. Once you have completed the 5 modules and passed the quizzes with a score of 80% or better, you will be able to access a certificate of course completion. This course represents 4.0 continuing education hours or credits, which are available from NAADAC.        Module 1: Stigma of Substance Use Disorders: An Overview Module 2: Addressing SUD & Structural Stigma: Opportunities & Challenges Module 3: Stigmata - Stigma of Medications for Opioid Use Disorder Module 4: The Stigma is Real: Pregnant and Parenting Women with Substance Use Disorders Module 5: Stigma and Substance Use Disorders: A Historical Walk   Click Here to Register
Published: September 28, 2020
This webinar offers participants an overview of one approach to centering self-compassion in mental health programing for Latina immigrant women. We share our experiences implementing Amigas Latinas Motivando el Alma (ALMA)/Latina Friends Moving the Soul, a mindfulness- and self-compassion-informed community-based intervention to reduce stress, anxiety and depression amongst Latina immigrant women. Presenters Serena Maurer, PhD Georgina Perez, MSW, LICSW Resources Download Presentation ALMA Factsheet (English) ALMA Factsheet (Spanish) ALMA Factsheet (Portuguese)
Published: September 2, 2020
Este webinar ofrecerá a los participantes una exploración de como incluir auto-compasión en programas de salud mental para mujeres Latinas inmigrantes. Compartirémos nuestras experiencias facilitando Amigas Latinas Motivando el Alma (ALMA), un programa comunitario basado en conciencia plena y auto-compasión para reducir el estrés, ansiedad y depresión entre las mujeres Latinas inmigrantes. Recursos Presentación ALMA Factsheet
Published: August 27, 2020
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.      
Published: July 28, 2020
Intimate partner violence (IPV) is a pervasive health problem. Centers for Disease Control & Prevention (CDC) data indicate that one in four women and one in nine men have been victims of sexual violence, physical violence, or stalking in their lifetime. Substance use disorders (SUDs) commonly co-exist with IPV. Among people with SUDs, researchers have consistently found high rates of both current and lifetime IPV.  Similarly, studies have also shown that victims of IPV are more likely to have a SUD, compared to those who have not experienced IPV. This presentation will discuss the intersection between IPV and SUDs, how the dynamics of IPV contribute to SUDs, and the needs of clients who experience both.   Learning Objectives: Examine the intersection between IPV and SUDs Identify the needs of clients/patients who are experiencing IPV and SUD Identify strategies for engagement   Presenter: Dr. Tracy A. Evanson, PhD, RN, PHNA-BC    
Published: July 27, 2020
Interactive Resource
    A little about the product:  The investigator, co-author Dawn Tyus, sought to learn about the realities, needs, strengths, and challenges of African American women in treatment and recovery. And she did it by asking women in long-term recovery about their own experiences and observations in treatment and early recovery, and about the wisdom they had earned through the years. Those interviews yielded a wealth of knowledge, experience, and ideas for treatment and recovery support. They will form the backbone of a collection of guidelines for treatment and peer-based recovery support for African American women, to be published this year (2020) by the Southeast Addiction Technology Transfer Center (Southeast ATTC) at Morehouse School of Medicine in Atlanta. But first, this article introduces eleven extraordinary women and some of their early treatment and recovery experiences and lessons
Published: June 26, 2020
Print Media
The My Reproductive Life Goals Tri-fold is a tool designed for providers engage in a conversation about reproductive/sexual health and recovery goals with women with Substance Use disorders. If you would like the Publisher version to customize the brochure with your logo, please contact Bree at [email protected]
Published: June 24, 2020
This final session briefly reviews the prior training content and gets into more detail about caring for the substance exposed newborn and infant. In this session there was more time for discussion, Q&A, and problem solving based on actual cases, which was provided by the attendees.
Published: May 18, 2020
The third session will discuss what is currently known about the risks to early infant development after prenatal substance exposures and how to provide care and treatment to optimize outcomes.
Published: May 8, 2020
This webinar provides background information on substance use disorders and mental health conditions in women of child-bearing age and how these conditions may impact the woman and her fetus during pregnancy, the newborn, and long-term outcomes. Presentations and discussions focus on the practical, clinical application of the material when caring for the substance-exposed newborn and the family.
Published: April 23, 2020
This webinar will provide an in-depth examination of the stigma women with substance use disorders (SUDs) who are pregnant and/or parenting encounter when seeking healthcare services. Strategies to reduce barriers related to stigmatizing attitudes and practices will be addressed.      
Published: April 10, 2020
Currently, women’s involvement in correctional and substance use disorders (SUD) treatment systems is rapidly outpacing men. Most of these programs are based upon gender-neutral services, meaning that their programs were designed with men in mind. Specifically, many of these programs address why men use drugs and alcohol and how to reduce recidivism with little emphasis placed on the treatment needs of women. This is especially worrisome for women in correctional or treatment settings with stimulants as their drug of choice. Statistics demonstrate that women make up more than half of the clients treated for methamphetamine and other stimulants in the majority of SUD treatment programs. As such, a recent study indicated that five times the percentage of females than males attributed initial methamphetamine use to a desire to lose weight and more females than males reported using meth to get more energy. Stimulant use by women often leads to high rates of eating pathologies and compensatory behaviors, body dissatisfaction and preoccupation with body shape, binge eating, nutritional deficiencies, and weight gain among women in treatment for SUDs and in correctional settings.    This webinar will address core issues that are unique to female SUD treatment clients in comparison to their male counterparts regarding weight and energy as a driving mechanism to use, triggers for relapse, trends in drug use for women and the complexity of health-related complications and psychosocial needs, prescription medication and over-the-counter drug manipulation. Finally, gender-responsive approaches to augment and enhance existing treatment services will be discussed. This webinar is based on the Healthy Steps to Freedom program.   Presenter: Anne R. Lindsay, Ph.D. is Associate Professor and Extension Specialist at the University of Nevada, Reno. Her research focuses on gender-responsive approaches to women under correctional supervision for SUDs, particularly those related to nutrition, physical activity, eating pathology, body image, weight and other health-related topics.   
Published: March 13, 2020
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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).