Products and Resources Catalog

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, “Predictors of Retention and Drug Use Among Patients With Opioid Use Disorder Transferred to a Specialty "Second Chance" Methadone Program” by Moses and colleagues. A summary of the discussion is available for download.

Mid-America ATTC partnered with Facente Consulting to launch a harm reduction consultation pilot program in early 2022.  The goal of this program was to act as a harm reduction resource to empower individuals and organizations seeking to implement or improve evidence-based practices within their systems to reduce stigma and promote the safety and well-being of people who use drugs. The poster outlines the findings of the pilot program.

  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The November 2023 issue honors National Native American Heritage Month, National Homelessness Awareness Month, and a brand-new Trauma-Focused Cognitive Behavioral Therapy intensive technical assistance opportunity. 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!

November 2023 Dialogue: ATTC: Trans Awareness Week | MHTTC: School Well-Being Learning Community | PTTC: Fostering Inclusivity and Substance Use Prevention | ORN: Finding a Voice. Additional sections include behavioral health observances, virtual training and webinar events, and new resources. The Dialogue is designed to inform behavioral and mental health professionals of news and upcoming events in the HHS Region 3/Central East region. 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 and our weekly training bulletin in your mailbox.   Visit the Dialogue Archives.

Professional boundaries set the parameters of effective and appropriate interaction between professionals and the people they serve. Boundaries protect clients and patients as well as providers. This interactive course will discuss professionalism and ethics, dual relationships, and how to build a safe working environment. This training was approved for two renewal hours (CASAC, CPP, CPS) and two initial hours (CPP, CPS) through New York State’s Office of Addiction Services and Supports (NYS OASAS). As an IC & RC member board, OASAS accredited courses were granted reciprocal approval by the New Jersey Division of Consumer Affairs, Alcohol and Drug Counselor Committee. Many other states offered reciprocity.

Please find the slides and the video for the Substance Use Disorder and the LGBTQ+ Community: Assessing the Impact of Compounded Stigma and Treatment Considerations on October 30 and November 6 from 1 pm - 2:30 (CST). Substance use is a complex issue that affects individuals from all walks of life, including the LGBTQ+ community. Members of this community face unique challenges when seeking help for addiction. Stigma, shame, and a lack of family support can all make it difficult for LGBTQ individuals to access the resources they need to overcome substance use disorders. Additionally, growing anti-LBGTQ legislation can further exacerbate these issues, creating a hostile environment for individuals struggling with addiction.   Session 1: Click here to watch the video Session 2: Click here to watch the video Click the button above to download the slides Objectives: Educate Substance Use Disorder (SUD)  providers on the unique challenges faced by LGBTQ+ individuals with SUD Increase awareness of the compounded stigma and discrimination the LGBTQ+ community may experience Learn to provide effective and culturally competent treatment to the LGBTQ+ population   Presenter Information: Darla Belflower has worked in substance use disorder and behavioral health for over three decades. She started a training and consultation business in 2022. She is a member of The Missouri Behavioral Health Council’s Culture, Equity, Diversity, and Inclusion (CEDI) Committee. She is also Vice Chair of the Kansas City Recovery Coalition and is active in the Kansas City Recovery Community. Being in long-term recovery from a substance use disorder inspired her to write her memoir, I Am Not Anonymous. She has also authored two booklets and is writing a workbook on Substance Use Disorder and Trauma that will be released in the spring of 2025. Ms. Belflower is a Clinically Licensed Social Worker in both Missouri and Kansas, a Licensed Addiction Counselor in Kansas, a Certified Reciprocal Advanced Alcohol and Drug Counselor in Missouri, a Certified Peer Specialist, a Certified Tobacco Treatment Specialist, a Certified Harm Reduction Specialist, and a trainer and educator of Narcan distribution. Darla and her wife live in Kansas City, Missouri, and enjoy spending time with their daughter. She is passionate about teaching and training so that others may learn how to help those most vulnerable individuals she has enjoyed working with. CEUs are pending. Please email Bree at [email protected] for any questions.

A brief explainer on what Technology Transfer is.

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.

  Substance use disorder is a biopsychosocial disease that impacts women differently than men. There are varying treatment approaches for men and women that are vital for effective treatment. Stigma continues to be a barrier for women accessing treatment and treatment providers offering care. Historically, women in the United States have had less access to treatment, and they still do today. Furthermore, socioeconomic factors may significantly affect a woman's ability to achieve long-term sobriety. This workshop will shed light on common emotional and physical differences experienced by women before, during, and after treatment as compared to their male counterparts. We will also discuss common treatment issues and considerations for clinicians, peers, law enforcement, family members, and more.   TRAINER Ashley Yassall, MPA, PMP Ashley's experience and education lie in the nonprofit, for-profit, and government sectors. She has held various leadership positions in behavioral health and excels at project management, task execution, and her ability to improve organizations. Ashley is the Principal Consultant and Owner of Ashley Ryan Consulting LLC, a nonprofit-focused consulting firm supporting project management, compliance/accreditation, program evaluation, and other practice management needs. Ashley was previously the executive director at the Women’s Recovery Center (WRC) in Cleveland, Ohio. At WRC, she and the team increased revenue by 40% from 2018 to 2022 (from $700,000 to a $1.2 million budget). She led the organization to achieve the Commission on Accreditation of Rehabilitation Facilities (CARF) in 2021. Ashley works part-time for Catholic Charities Corporation in Cleveland at Matt Talbot residential facility. Ashley is a CDCA (Chemical Dependency Counseling Assistant in Ohio) and seeking her LCDC II (Licensed Chemical Dependency Counselor II Licensure in Ohio) by the end of 2023. Ashley achieved her MPA from the University of North Carolina in August 2022. Ashley earned her Project Management Professional (PMP) credential in February 2023. Ashley is pursuing her Certified Change Management Professional (CCMP) in 2024. Ashley holds a bachelor's in actuarial science/mathematics from The Ohio State University.     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.

In spring of 2023, Mountain Plains ATTC conducted a survey in an effort to better understand the training and technical assistance needs of individuals providing SUD treatment and recovery services in Region 8. The purpose of the survey was to determine providers’ perceptions, practices, and training/technical assistance needs, specifically in relation to harm reduction (HR) services/activities for SUDs. An invitation to participate in the survey was emailed posted on the Mountain Plains ATTC website and was sent to all constituents within Region 8 for which the Mountain Plains ATTC had email addresses. In addition, participants were asked to invite others within their agencies and networks to participate. The survey was completed between March 9 to April 12, 2023. Approval to conduct the survey was obtained from the University of North Dakota Institutional Review Board. 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. It is also hoped that this report will provide readers with a snapshot of the perceptions, practices, and technical assistance/training needs of the SUD provider services workforce in Region 8.

  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The October 2023 issue honors National Domestic Violence Awareness Month, National Youth Substance Use Prevention Month, Hispanic Heritage Month, World Mental Health Day (October 10), and the newest installment of the NIATx in New Places blog series on the ATTC/NIATx Service Improvement Blog! As always, you will also find links to all upcoming events and trainings hosted by the Great Lakes ATTC, MHTTC, and PTTC!

Each person who enters recovery is as unique as their story. And this month, in honor of recovery month, we are bringing you recovery stories from people in diverse populations. Hear what people in these communities want providers to know. Episode 5: Lisa got sober at fifteen, and now, at 34 people often discount her experience.  Lisa has many labels: a person in recovery, a queer lesbian, multi-religious, and a single mom who created her family through international adoption. She continues to work on her recovery daily and is grateful to be sober.    

Each person who enters recovery is as unique as their story. And this month, in honor of recovery month, we are bringing you recovery stories from people in diverse populations. Hear what people in these communities want providers to know. Bonus Episode: Norma is an 88-year-old woman who entered recovery in her 50’s. As an older lady friends and family have a hard time believing she ever had a drinking problem. She educates her doctors and friends about what alcoholism is.    

  Leading and Facilitating High Performing Teams in Behavioral Health Settings   ON-DEMAND COURSE   Course Description This 5-module on-demand course focuses on the development of practice competencies for facilitating and leading a variety of meeting formats, activities, and processes to support the deliberative and inclusive actions of organizational teams. These competencies focus on activities for: conducting efficient and effective meetings, developing team comrade and trust, generating information, generating and evaluating ideas, making decisions, and developing action plans. This course is designed to provide you with a set of tools and practices that will enhance your leadership and facilitation effectiveness within various behavioral health settings. In these settings, behavioral health providers may be part of one or more ongoing or ad hoc work-place clinical teams or committees (discharge committee; high utilizer committee) and organizational work-place meetings (shift change, staff meetings). In today’s post-COVID world, many organizational teams operate both virtually and in-person.   TO VIEW AND COMPLETE MODULES 1, 2, 3, 4, and 5  PLEASE VISIT: https://psattcelearn.org/courses/leading-and-facilitating-high-performance-teams/   Structure of the Course This on-demand course is divided into five (5) modules. Each module will take one (1) hour to complete and learners can receive one (1) continuing education (CE) credit/contact hour for completing each module. Each module will require you to view 2-3 brief video lectures, read brief articles or other informational documents, and complete 1 application activity. The five (5) modules consist of:    

This presentation titled, “Eliminating Disparities, Building Equity, and the Enhanced CLAS Standards: Current Context and Approaches” reviews current approaches to ensure adherence to CLAS standards and eradicate health disparities.

Each person who enters recovery is as unique as their story. And this month, in honor of recovery month, we are bringing you recovery stories from people in diverse populations. Hear what people in these communities want providers to know. Episode 4: Jazie is a non-binary person who is coming up on their 2nd sober anniversary. Jazie recognizes the older version of themselves taught them many things and acknowledges that they would not be the best version of themselves without that former self.    

Each person who enters recovery is as unique as their story. And this month, in honor of recovery month, we are bringing you recovery stories from people in diverse populations. Hear what people in these communities want providers to know. Episode 3: Casey explains that recovery does not have to be abstinence only.  She discusses her thoughts on why she practices abstinence only now, but she may not always. She discusses why she may use substances in spiritual practices or rituals that her culture has used for centuries, and that does not contradict being in recovery. Casey uses her voice to stand up for who she stands on.     

The New England ATTC co-hosted the Recovery Science and Harm Reduction (RSHR) Reading Group meeting on September 21, 2023. This discussion reviewed the article, “Understanding Stigma Through the Lived Experiences of People With Opioid Use Disorder.” Article link: https://pubmed.ncbi.nlm.nih.gov/37390780/ View the September 2023 RSHR Reading group meeting summary that includes a brief article summary and key themes that arose in discussion with the participants.

    Throughout the United States, an estimated 1-2 million older adults are in need of treatment for substance use disorders (SUDs). This presentation addresses evidence-based best practices for treating older adults with substance use disorder.     LEARNING OBJECTIVES: Identify commonly used drugs for older adults and the risks associated with these substances. Describe logistical differences in treating and responding to older adults with SUD. Present effective treatment strategies for treating older adults.     TRAINER: Randall Webber, MPH, CADC, has worked in the addiction field for the past 45+ years as a counselor, program director and trainer. He has provided training on street drug pharmacology, addiction science, counselor ethics, and substance abuse treatment strategies. Randall has authored or co-authored numerous publications and has held teaching positions at several colleges and universities. He also serves on the board of directors of the Illinois Association of Addiction Professionals     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.

    The ATTC Network hosted a webinar by Abt Associates as part of a recent SAMHSA Advisory.   Summary: The last decade has seen immense changes in digital health, with increased use of electronic medical records, mobile applications, and wearable devices. During the COVID-19 pandemic, telehealth expanded access to care for millions of people and was a critical resource to meet the behavioral healthcare needs of individuals with mental health conditions and substance use disorders. Digital therapeutics (DTx) are health software intended to treat or alleviate a disease, disorder, condition, or injury by generating and delivering a medical intervention that has a demonstrable positive therapeutic impact on a patient's health. DTx play an important role in facilitating care through technology. This webinar will introduce the audience to a recently released SAMHSA advisory on DTx and the benefits of their use in behavioral health. The webinar will describe research, regulatory, and reimbursement implications for DTx, selection and implementation considerations, and issues related to equitable access of DTx in behavioral health. Through a roundtable format, the webinar will also highlight one state’s success in integrating DTx into its service provision.   Watch Now: DTx Webinar SAMHSA Guide: DTx Advisory Slide Deck: DTx Presentation

    The Roadmap for Training and Technical Assistance Efforts in Substance Use Service Administration monograph (2019) was meant to serve as a guide for instituting and practically applying the Culturally and Linguistically Appropriate Services (CLAS) Standards across the areas of prevention, substance use disorder, and behavioral health. Join our long-time trainer and subject matter expert, Harold Gates, MSSW, CISW, HS-BCP, as we revisit these efforts and learn how to move DEI beyond good intentions to make a difference in the lives of an ever-growing and diverse client population. In order to do this, we should approach the topic with the “fierce urgency of now,” to quote Dr. Martin Luther King. This webinar will start us off on a journey to do just that! We will be using Lily Zheng's DEI Deconstructed: Your No-Nonsense Guide to Doing the Work and Doing It Right as a reference resource throughout this training.  “Instead of like a zero-sum game we all need to engage in DEI for collective learning, for collective growth. We are doing this work to get a greater understanding of how different populations experience the workplace. And to the extent that some populations are not being treated well, we're going to understand why and rectify those inequities because we really care about a workplace that's fair. That framing tends to really activate people.” Lily Zheng-DEI Deconstructed     LEARNING OBJECTIVES: Describe the Culturally and Linguistically Appropriate Services (CLAS) Standards. Describe one way the CLAS Standards can help you with your DEI initiatives. Share what are you trying to achieve through your DEI work Learn if your organization has done a CLAS or DEI assessment and used data to measure your success or opportunities for continuous improvement Describe stakeholder involvement in your DEI efforts. Understand what would the work look like when it’s done effectively     Save these Dates for the DEI Learning Collaborative where will dig deeper into Lily Zheng's DEI Deconstructed: Your No-Nonsense Guide to Doing the Work and Doing It Right  An application will be available after the September webinar. Tuesday October 3 at 12-1pm Central Tuesday November 7 at 12-1pm Central Tuesday December 5 at 12-1pm Central Tuesday January 9 at 12-1pm Central     TRAINER: Harold Gates, MSSW, CISW, HS-BCP, President, Midwest Center for Cultural Competence, LLC Harold Gates is the president and co-founder of the Midwest Center for Cultural Competence, LLC, which was established in 2003. The Center provides training, education, and consultation for organizations that are seeking to provide culturally and linguistically appropriate services, with the goal of helping to create a culturally competent multicultural community.

  Treatment for Individuals who Use Stimulants TRUST A Protocol Using Empirically-Supported Behavioral Treatments for People with Stimulant Use Disorders     Purpose of the TRUST-MAIN Manual The authors of this manual have been involved in StimUD-related research, treatment, and training efforts for over 30 years. Over this period, the research on StimUD and its treatment has vastly increased and there is a great interest in better understanding StimUD and providing effective treatment for people who use cocaine and methamphetamine. We have produced this manual to promote the use of research-supported strategies for StimUD treatment. The manual attempts to combine a number of strategies into a framework that is appropriate for use by clinicians in settings where people with StimUD receive treatment. This manual is not intended to be a cookbook and the materials used and the framework for their use are not intended to be an inflexible, one-size-fits-all prescription. At the end of the manual, we list a variety of treatment materials (see Appendix) that can be added or substituted for the ones we are recommending. We provide the contents of this manual and the framework for combining these treatment materials as one example for how research-supported strategies can be combined into a structured treatment experience. The manual was developed at a time when CM with adequate incentives was considered impossible in the U.S. Hence, this manual was produced to offer a possible, albeit a non-evidence-based and certainly less effective alternative to CM. As evidence-based CM protocols using adequate incentives are increasingly being developed and implemented in the U.S., there is interest in having CM delivered within a framework of other evidence-based behavioral support. The use of the materials in the TRUST Manual to augment CM treatment is another possible use of the manual, either in the form of a 12-week framework, or as ad hoc behavioral support materials. The audience for the manual includes healthcare professionals who provide treatment services for individuals with StimUD. One category of these professionals who we particularly hope will benefit are therapists and other behavioral health clinicians who work in substance use disorder specialty care treatment programs. The manual has been written with this group in mind.   The manual intends to: Provide new information about the use and effects of cocaine and methamphetamine. Present several key clinical challenges that clinicians face when treating this population. Review the evidence-based treatment strategies for StimUD treatment. Discuss how motivational interviewing (MI) is central to the effective engagement of individuals in treatment and to assisting them with behavior change during treatment. Present how elements of community reinforcement approach (CRA) and cognitive behavioral therapy (CBT) can be used to assist individuals with StimUD to reduce/discontinue their drug use and prevent relapse. Describe a procedure for incorporating positive incentives into the treatment milieu and/or support the use of CM for the treatment of StimUD. Provide information and guidance for how physical exercise can benefit individuals who are attempting to reduce/discontinue their use of methamphetamine and cocaine. Describe a plan for providing continuing care to assist individuals to sustain the progress they have made in a structured treatment program. List an array of manuals and training resources for other research-supported substance use disorder treatment approaches.   For those working with people receiving care for Opioid Use Disorder, an adapted version is available Treatment for Individuals who Use Stimulants while on MOUD TRUST—MOUD THERAPIST MANUAL & PATIENT WORKBOOK       Purpose of the TRUST-MOUD Manual The TRUST MOUD Manual is intended to be used with patients who are struggling with stimulant (cocaine/amphetamine) use while in treatment for OUD with methadone, buprenorphine, or naltrexone. Working with patients presenting in MOUD treatment is a challenging, yet incredibly rewarding experience. While it is rewarding, it can also be frustrating. Stimulant use among these patients is common and many patients don’t see their use as problematic. In fact, for some patients who use stimulants sporadically, they may not need treatment. But certainly, for some patients on MOUD, cocaine/meth use is extremely detrimental to the effectiveness of their MOUD treatment and is a serious health problem. However, in many cases, regardless of the severity of use, the patients often don’t recognize their stimulant use as a problem, and they are not interested in intensive treatment. The materials in the TRUST MOUD Manual attempt to provide this patient population with a useful set of information in a format that they find acceptable. The materials adopt CRA, CBT, and MI content and present it in a clear and relevant form that addresses the challenges they face while in MOUD treatment. We try to avoid long, didactic, lecturing materials, but rather try to create accessible topics and examples. TRUST was developed with flexibility in mind to optimize patient engagement and retention. TRUST materials can be presented in 1:1 sessions and can be scheduled with patients or in on-going stimulant treatment groups. Topics can be presented in a sequence and frequency that lets therapists select content to meet patient needs. The 24 TRUST worksheets can be used in a flexible manner to be relevant and useful to patients. Consistency is important when using the TRUST Manual. Set and adhere to meeting days and times. Start and end sessions on time. If used in a group format, have some group participation guidelines. Adhering to a specific session format and timing will enhance patients’ understanding of the group/individual session process and will allow them to focus on acquisition of new material. Patients using stimulants will undoubtedly experience cognitive impairment as they participate in sessions and utilize the TRUST materials. Slowing down to allow patients to gather their thoughts and express themselves during group or individual sessions is important. In addition, using multi-media and repetition can be helpful for patients to grasp new concepts. Use of Motivational Interviewing as a fundamental style and interpersonal approach is essential to success when using TRUST materials. Ideally, TRUST session attendance should be paired with medication visit attendance to reduce the travel burden on patients. This is especially true in rural areas, where public transportation is non-existent, or when a patient has employment, education, or homemaking responsibilities. When possible, patients should have an opportunity to determine therapy visit days and times based upon their scheduling needs. Research has shown that aerobic exercise improves cognitive capacity, reduces depression and anxiety, and improves cardiac and pulmonary function for individuals with stimulant use disorder. Several of the TRUST worksheets discuss the benefits of exercise as part of a treatment effort to reducing stimulant use. Encouraging patients to exercise will also help them to manage emotional highs and lows and help them structure their day. Getting patients to exercise is often difficult and requires ongoing encouragement and support. The TRUST materials and their use with patients on MOUD should be used with a strong harm reduction foundation. The #1 priority for this group of patients is retention in treatment with MOUD. Participation in treatment activities with TRUST materials, when appropriate, should be encouraged, rewarded, and praised. In our opinion, requiring treatment attendance with TRUST materials, with a threat of MOUD discontinuation is never justified. In an era of lethal drugs including fentanyl, retention on MOUD is essential. Other harm reduction activities should be combined with TRUST materials. Access to safe injection supplies, ready access to naloxone and fentanyl test strips, and as new drugs emerge (e.g., xylazine), it is critical to provide new information and test strips as they become available. Many patients in MOUD treatment have multiple life challenges, including use of numerous drugs and alcohol, food insecurity, being unhoused, unemployment, as well as both mental health and physical health issues. To be successful, patients will need to be retained in treatment for a significant period of time, if not for a lifetime. These issues are not going to be resolved overnight, but rather through consistent and prolonged effort. We hope these materials can be useful to your work with patients on MOUD.   Authors Richard Rawson, PhD Richard A. Rawson, PhD, is Professor Emeritus at the UCLA Department of Psychiatry and a Research Professor at the Vermont Center for Behavior and Health at the University of Vermont. He received a Ph.D. in experimental psychology from the University of Vermont in 1974. Dr. Rawson conducted numerous clinical trials on pharmacological and psychosocial addiction treatment and extensive system evaluation activities in a number of states and countries. He has led addiction research and training projects for the United Nations, the World Health Organization, and the U.S. State Department, exporting science-based knowledge to many parts of the world. Dr. Rawson has published 3 books, 40 book chapters, and over 250 peer-reviewed articles and has, for almost 50 years, conducted workshops, paper presentations, and training sessions in many areas of the world.   Albert Hasson, MSW Albert L. Hasson received his MSW from UCLA and has worked in the field of addiction medicine as a researcher and a treatment provider since 1977. Mr. Hasson participated in the development of the evidence-based Matrix Model, a cognitive behavioral intervention for StimUD Treatment, and established the Matrix Institute on Addictions, Los Angeles opioid treatment program. Along with his administrative and clinical experience, Mr. Hasson has extensive experience in implementing and evaluating behavioral and pharmacologic interventions. He has served as a project director and trainer for the Pacific Southwest Addiction Technology Transfer Center at the UCLA Integrated Substance Abuse Programs.   Janice Stimson, PsyD Janice Stimson, PsyD, has worked in the field of addiction treatment since 1998. For 20 years she has worked at the Matrix Institute on Addictions in the role of Clinic Director, overseeing and managing the clinic, seeing clients and supervising staff. At the clinic private adolescent and adult treatment programs coexisted along-side national research studies. Dr. Stimson held key positions in those studies and was responsible for ensuring the success of fulfilling recruitment, training, supervision, and protocol requirements.   Michael McCann, MA Michael McCann, M.A., is one of the founders of the Matrix Institute on Addictions and creators of the Matrix Model. He has overseen the operation of Matrix clinics as well as the integration of many research projects within these sites. He has over 40 years of experience in substance use disorder treatment and research, and has authored or co-authored over 40 articles, books, and manuals. He has trained and lectured extensively on evidence-based behavioral interventions, pharmacologic treatments, methamphetamine dependence, opioid dependence, and on the implementation of evidence-based treatments into clinical practice   Acknowledgements The authors would like to acknowledge the assistance provided by Thomas E. Freese, PhD, Beth Rutkowski, MPH, Gloria Miele, PhD, and Valerie P Antonini, MPH. Christine Morgan provided invaluable support with the production of the manual, along with editing support from Victoria T. Norith and Benjamin Nguyen, MSW, CPH. The materials in this manual include content and worksheets from the Matrix Model Therapist Manual (SAMHSA, 2006); from the Community Reinforcement Approach, plus Vouchers Manual (NIDA, 2020).

  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The September 2023 issue honors National Recovery Month, National Hispanic Heritage Month, Addiction Professionals Appreciation Day (September 20), and the 10th anniversary of the ATTC/NIATx Service Improvement Blog! As always, you will also find links to all upcoming events and trainings hosted by the Great Lakes ATTC, MHTTC, and PTTC!

Each person who enters recovery is as unique as their story. And this month, in honor of recovery month, we are bringing you recovery stories from people in diverse populations. Hear what people in these communities want providers to know.   Episode 1: Laura celebrates her recovery and the person she has become as a result. When her daughter was battling her own addiction, this veteran, divorced, gay mom had to advocate to get her daughter's other mom to be recognized in the healthcare setting.  Laura and her ex-partner were the first parents in MO to have a same-sex partner adoption, but even that legal distinction did not stop the discrimination this queer family faced when seeking medical care for their daughter.