Products and Resources Catalog

Monthly e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.  April 2021 features resources for Alcohol Awareness Month, a new article in the Counselor's Corner series, a link to the new Change Project 911 blog post series, calendar of upcoming events, new products from SAMHSA, and more. 

This slide deck is part of the Slidedecks4U products created by the Mountain Plains Addiction Technology Transfer Center (MPATTC) that serves Region 8 (Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming). The slide deck 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.

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!

This is a recording of the 3.5-hour advanced medical interpreting course, designed for all language groups, provides an overview of terminology and skills in delivering mental health interpretation services. It focuses on common mental health disorders, treatment, medication management and practical skills in interpreting for either ambulatory or inpatient mental health patients. Click here to watch a recording of the presentation   Course Objectives: Review the professional guidelines and ethical framework of Healthcare Interpreters Identify challenges of interpreting in the mental health arena, both ambulatory and inpatient settings Describe stressors for refugees and immigrants that may lead to mental health disorders Identify common mental health disorders and appropriate terminology Discuss a refugee mental health model Differentiate your role as an interpreter in a mental health setting, versus a non-mental health setting Discuss best practices in mental health interpreting techniques Demonstrate interpreting   Presenter Bio: Gabriela Flores, MSM, has twenty-five years of experience working in the area of health and human services, specifically with refugee and immigrant populations in the Kansas City metropolitan area.  Her area of emphasis has been in language access, diversity and health equity.  Ms. Flores currently serves as the Director for the Office of Equity and Diversity at Children’s Mercy Kansas City.  Her role is to create and implement an organizational framework across the health system focusing on health equity, diversity and inclusion, which includes strategies specifically related to community engagement. Previously, Ms. Flores served as the Director of Interpreter Services for Truman Medical Centers (TMC), a Level I trauma center and safety net hospital for Kansas City, Missouri.  In addition, Ms. Flores has served as adjunct faculty at Johnson County Community College for the Healthcare Interpreting Program for Spanish Interpreters as well as in a similar adjunct capacity at the Metropolitan Community Colleges.  Ms. Flores holds a Bachelor’s degree in Anthropology, a Master’s in Business Management, and has completed the American Hospital Association’s Cultural Competency Leadership Fellowship (2006).  Ms. Flores is also a KC Chamber Centurion Alumni.  Currently, Ms. Flores serves on the board of directors for Girls on the Run KC, Gilda’s Club KC, Hope Wrx Food Pantry, and Latina Giving Circle of Greater Kansas City.

BHMEDS-R3 App The BHMEDS-R3 app is designed as a quick reference for non-prescriber behavioral health professionals and consumers who need general knowledge about medications prescribed for behavioral health conditions. The language has been modified to increase readability for a larger audience and, in keeping with the goal of continuously updating the app content, new medications are added after FDA approval. Download the FREE app using the QR codes below. Use the BHMEDS-R3 app for the following: Browse through different types of behavioral health medications Click a medication category icon to learn more details, including brand and generic names Use drop-down navigation menus to learn more about medications’ purpose, dose and frequency, side effects, emergency conditions, misuse potential, and cautions. Access provider tools and other free medication resources   BHMEDS-R3 Behavioral Health Medications Originally developed as a companion piece to the Mid-America ATTC curriculum, A Collaborative Response: Addressing the Needs of Consumers with Co-Occurring Substance Use and Mental Health Disorders (2000), this publication is now available as a downloadable PDF and replicates the content included in the new BHMEDS-R3 app now available in the Apple App Store and Google Play.  Back by popular demand, this 10th Edition publication is acclaimed for its accessibility as an educational reference for addiction professionals, patients, and families. Educators and addiction counselor training programs across the United States have asked that we continue to update and publish a downloadable publication to reflect the same credible and up-to-date information included in the BHMEDS-R3 app. We attempt to update the BHMEDS-R3 app content annually and publish an updated publication biannually.    Medications are organized in 11 sections: Alcohol Use Disorder Treatment Antianxiety Medications Antidepressant Medications Antimanic/Mood Stabilizer Medications Antipsychotics/Neuroleptics Hypnotics (Sleep Aids) Medications Induced Symptoms Treatment Narcotic and Opioid Medications Opioid Use Disorder Treatment Stimulant Medications Tobacco   Each section includes the following topics for the different medication types: Generic and Brand Name Medications: includes both approved FDA approved and “off label” medications.  Purpose: Describes typical uses of medications, including specific symptoms treated and positive treatment response expected.  Dose & Frequency: Discusses when and how medications are administered.  Side Effects: Discusses potential side effects, and methods for monitoring side effects.  Emergency Conditions: Includes risks associated with overdose, withdrawal or other medications’ reactions. Misuse Potential: Elaborates upon those medications with risk factors related to misuse and/or development of physical dependence.  Cautions: Describes general guidance on risks associated with taking medications    IMPORTANT NOTES ACROSS MEDICATION TYPES Name brand medications have a limited patent. When the patent expires, the medication may be made as a generic. The generic name of a medication is the actual name of the medication and never changes. A generic medication may be made by many different manufacturers and can make several forms of a single medication with only slight variations in color, size, or shape.  

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. 

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

This Holiday Resource Guide provides a one-stop-shop for approaching the holiday season in the midst of a pandemic. Learn to address grief and loss, social isolation, and other mental health concerns unique to the pandemic era, as well as celebrate with friends and family virtually or in small gatherings in accordance with CDC guidelines, utilize technology to host a virtual celebration, and devise creative strategies for celebrating with family virtually. This product was developed in collaboration with the Mid-America Mental Health Technology Transfer Center (MHTTC) and Prevention Technology Transfer Center (PTTC) Author(s): Johnson, K./Mid-America MHTTC; Klepper, C./Mid-America MHTTC; Robinson, L./Mid-America MHTTC; West, H./Mid-America MHTTC; Sherry, B./Mid-America ATTC; Stilen, P./Mid-America ATTC; Closson, D./Mid-America PTTC

Happy December everyone! The holidays are here, and we wanted to share some words of encouragement to all of those who are striving for sober celebrations. #NHLATTC #NHLPTTC #Holidays #sobercelebrations #recoveryjourney #peersupport Disponible en Español ¡Feliz mes de diciembre a todos! Las fiestas están por comenzar, y queremos compartir algunas palabras de aliento a todos aquellos en recuperación que se esfuerzan por tener celebraciones libre de alcohol y drogas. #NHLATTC #NHLPTTC #Fiestas #celebracionessobrias #procesoderecuperación #apoyodecompañeros Disponible en Portugués Feliz dezembro à todos! As festas de final de ano estão chegando e gostaríamos de deixar algumas palavras de incentivo à todos aqueles em recuperação que estão se esforçando para ter celebrações sem álcool e drogas. #NHLATTC #NHLPTTC #Festas #sobercelebrations #recoveryjourney #peersupport

The fight against COVID-19 continues throughout the U.S., increasing stress and anguish among vulnerable populations struggling with substance use. Among those vulnerable populations, pregnant women present major concerns as they face an increase in adversity during the wake of the global pandemic. It is a difficult time for everyone, especially those facing more adversities such as pregnant women. Health providers and mental health providers must be highly vigilant in caring for pregnant women and should consider providing the following tools and resources, according to American Society of Addiction Medicine. Download the Substance Use and Pregnancy During COVID-19 factsheet for more information and resources. La lucha contra el COVID-19 continúa en los Estados Unidos, aumentando el estrés y la angustia entre poblaciones vulnerables que luchan contra el uso de sustancias. Entre esas poblaciones vulnerables, las mujeres embarazadas presentan grandes preocupaciones al enfrentar un aumento de adversidad durante el despertar de la pandemia global. Es un momento difícil para todos, especialmente aquellos que enfrentan más adversidades como las mujeres embarazadas. Los proveedores de salud y de salud mental deben estar muy atentos al cuidar a las mujeres embarazadas y deben considerar proporcionar las siguientes herramientas y recursos, según la Sociedad Americana de Medicina de la Adiccion.  Descargue la hoja informativa Uso de Sustancias y Embarazo Durante COVID-19 para obtener más información y recursos. A luta contra a COVID-19 ainda continua nos Estados Unidos, aumentando o estresse e a angústia entre as populações vulneráveis ​que lutam contra o uso de substâncias. Entre essas populações vulneráveis, as mulheres grávidas apresentam grandes preocupações porque elas enfrentam um aumento da adversidade durante o despertar de uma pandemia global. É um momento difícil para todos, especialmente para aqueles que enfrentam mais adversidades, como as mulheres grávidas. Provedores de saúde e profissionais de saúde mental devem estar altamente vigilantes ao cuidar de mulheres grávidas e devem considerar fornecer as seguintes ferramentas e recursos, de acordo com a Sociedade Americana de Dependência Química. Baixe o folheto informativo USO DE SUBSTÂNCIAS E A GRAVIDEZ DURANTE COVID-19 para obter mais informações e recursos.

During the month of September, we are excited to celebrate National Recovery Month, dedicated to those who are in recovery from mental illness and/or substance use disorders. This year’s Recovery Month theme, “Join the Voices for Recovery: Celebrating Connections”. We would like to honor everyone currently in recovery, thank all the allies who stand by those of us in recovery and encourage anyone considering recovery. Together, we can do it! Disponible en Español Durante el mes de septiembre celebramos el Mes Nacional de Recuperación. El tema del Mes de la Recuperación de este año es: "Únase a las voces para la recuperación: celebrando las conexiones". Nos gustaría honrar a todas las personas que se encuentran en recuperación, agradecer a todos los aliados que están a nuestro lado en la recuperación y animar a cualquier persona que esté considerando comenzar su recuperación. ¡Juntos, lo podemos lograr! Disponible en Portugués Durante o mês de setembro, estamos animados para celebrar o Mês Nacional da Recuperação. O tema do Mês de Recuperação deste ano, “Junte-se às Vozes para a Recuperação: Celebrando Conexões” Gostaríamos de homenagear todas as pessoas em recuperação, agradecer à todos os aliados que estão ao nosso lado na recuperação e encorajar todos que estão considerando começar sua recuperação. Juntos nós podemos!  

Essential Conversations in Social Services 2020 is intended for behavioral health (BH) and substance use disorder (SUD) providers in Region 7. During each episode, we will interview a subject matter expert on a timely topic and explore tips designed to help the BH and SUD workforce. During this episode we discuss Psychiatrists' View of Supporting Recovery with Dr. Melissa O'Dell from the University of Nebraska Medical Center in Omaha, NE, and Dr. Doug Burgess from Truman Medical Centers and the University of Missouri-Kansas City School of Medicine in Kansas City, MO. During this episode, our guests' share: What they are seeing in depression, anxiety, and substance use disorders.  Misconceptions about medication for depression, anxiety, and substance use disorders Advice for those who may be experiencing issues with depression, anxiety, or substance use disorders for the first time This project is brought to you by the Mid-America Addiction and Mental Health Technology transfer centers and is funded by SAMHSA, the Substance Abuse and Mental Health Services Administration. The content on this podcast does not necessarily reflect the views of SAMHSA.

Monthly e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC. September 2020 issue: focus on National Recovery Month 2020 

The South Africa HIV ATTC co-hosted a virtual panel discussion with the South Africa National Council on Alcoholism and Drug Dependence (SANCA) about the context and implications of the alcohol and tobacco ban that has been implemented in South Africa during the COVID19 global pandemic. Panelists include Professor Charles Parry from SAMRC, Ms Adrie Vermeulen from SANCA National, and Mr Shaun Shelley from TB HIV Care and the South African Network of People Who Use Drugs (SANPUD).

The National Hispanic and Latino Addiction Technology Transfer Center is please to provide new fact sheets on Alcohol Use and Abuse During COVID-19 to download and distribute. This fact sheet has been translated from English to both Spanish and Portuguese. English It is natural to feel stress, anxiety, anguish and worry during and after a crisis like COVID-19. The separation from loved ones, the loss of freedom, and the uncertainty about the state of the disease are all cause for concern. Studies show that most people in social isolation report negative psychological effects, including symptoms of post-traumatic stress, confusion, and anger. The biggest stressors include fears of becoming infected, loss of job, frustration, boredom, inadequate supplies, inadequate information, financial losses, and stigma. But how we manage that stress is important since there are healthy and unhealthy ways of doing so. Excessive use of alcohol is not a healthy way of managing stress. Download English Español Es natural sentir estrés, ansiedad, angustia y preocupación durante y después de una crisis como el COVID-19. La separación de los seres queridos, la pérdida de libertad, y la incertidumbre sobre el estado de la enfermedad son causantes de preocupación. Estudios demuestran que la mayoría de las personas que se encuentran en aislamiento social registran efectos psicológicos negativos, incluidos síntomas de estrés postraumático, confusión y enojo. Los mayores factores estresantes incluyen temores de infección, frustración, aburrimiento, suministros inadecuados, información inadecuada, pérdidas financieras y estigma. Pero la forma en que manejamos ese estrés es importante ya que existen maneras saludables y maneras no saludables de hacerlo. El uso excesivo de alcohol no es una manera saludable de controlar el estrés. Descargar en Español Português É natural sentir estresse, ansiedade, angústia e preocupação durante e após uma crise como o COVID-19. A separação dos entes queridos, a perda da liberdade e a incerteza sobre o estado da doença são motivo de preocupação. Estudos começaram a mostrar que a maioria das pessoas que estao em isolamento social relata efeitos psicológicos negativos, incluindo sintomas de estresse pós-traumático, confusão e raiva. Os maiores estressores incluem o medo de infecção, receio de perder o emprego, frustração, tédio, suprimentos inadequados, informações inadequadas, perdas financeiras e estigma. Mas como lidamos com esse estresse é importante, pois existem maneiras saudáveis e não saudáveis de fazê-lo. O uso excessivo de álcool não é uma maneira saudável de gerenciar o estresse. Download em Português

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.

*This webinar was in Spanish* Presentación El Abuso de Sustancias Durante El COVID-19 es una presentación que introduce a Los Centros Hispano/Latino de Capacitación y Asistencia Técnica en Adicción y en Prevención (NHL-ATTC y NHL-PTTC) de SAMHSA a los miembros de los programas de La Ventanilla de Salud (VDS), un programa diseñado por la Secretaría de Salud y la Secretaría de Relaciones Exteriores del Gobierno de México para ayudar a identificar los servicios de salud que necesitan las familias mexicanas en Estados Unidos dentro del Consulado de México. La VDS ofrece educación en distintos temas de salud. El objetivo de la VDS es mejorar el acceso a servicios primarios y preventivos de salud, aumentar la cobertura en seguros públicos y promover una cultura de prevención de salud a los mexicanos que viven en Estados Unidos. Por medio de este taller educativo, los miembros de los centros proveen información sobre los centros NHL-PTTC) y NHL-ATTC con el propósito de formar enlaces con las 50 sucursales de VDS ubicadas por todo el país. El taller también ofrece información sobre la prevención del abuso de sustancias, define que es la prevención, presenta la Prevención como disciplina o profesión y ofrece información y recursos sobre la prevención. Finalmente presenta información sobre los trastornos del abuso de sustancias, y como aprender sobre las causas, consecuencias y tratamientos disponibles sobre ellos. Y una sección de información sobre retos del COVID-19 y el uso de sustancias y ofreció recursos para la comunidad.

This guide provides resources specific to screening for co-occurring disorders experienced by farmers, farmworkers and farm families in rural communities. Healthcare providers, behavioral health professionals, and social workers are facing increasing pressure to respond to a host of unmet substance use and mental health needs of rural communities. In response, with support from the Substance Abuse and Mental Health Services Administration (SAMHSA), the Mountain Plains ATTC and the Mountain Plains MHTTC have collaborated to release a resource guide to assist rural healthcare providers with screening and assessment of alcohol use disorder and depression.  The guide uses a case scenario to illustrate the most common barriers encountered in identifying co-occurring disorders and underscores the unique needs of rural communities that are home to agricultural producers.   If you would like to request a hardcopy version of this product please contact Susan Mickelson   Following the release of a new product (Depression, Alcohol and Farm Stress: Addressing Co-Occurring Disorders in Rural America) by authors at the Mountain Plains Mental Health Technology Transfer Center (MHTTC) and the Mountain Plains Addiction Technology Transfer Center (ATTC). MHTTC and ATTC team members from two regions contacted key stakeholders in May 2020 to assess the impact of the farm crisis and perceptions regarding next steps. Feedback from these providers and key stakeholders is included in this brief along with updated data related to farm stress and mental health implications. These interviews and data will guide future activity for both the Mountain Plains and Mid-America ATTCs and MHTTCs. Read Farm Stress: Facts, Impact of COVID-19, and Resource and Training Needs of Mental Health Care Providers or download above.

The Mountain Plains Addiction Technology Transfer Center (Mountain Plains) is offering a new product line for stakeholders called Best Science Slide Decks for Behavioral Health Professionals, or slideDecks4U for short.  These Decks are 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 will be available. Additional learning resources (e.g., original research articles, case studies, and learning exercises) will also be included when possible. The goal of slideDecks4U is two-fold:      1. Help trainers and academic faculty easily infuse new research and evidence-based practices into existing curricula; and     2. Increase student and behavioral health practitioners’ interest in emerging behavioral health research on treatment and peer support topics in a brief and easy to use format.  This slide deck provides information on overcoming barriers to opioid use disorder (OUD) treatment in rural areas updates as of 8.7.19

The February 2020 Dialogue contains articles on: Addiction: Black History Month | Mental Health: Resources to Prepare Educators | Prevention: Substance Use Prevention and Stopping the Spread of HIV/AIDS | ORN: One-year Extension | Region 3 Spotlight: CLOUD. 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.

  ‘You Got This’: Maintaining Recovery during the Holidays 12/19/2019 For many individuals in recovery from substance use disorders (SUDs), the holidays are filled with high-risk situations. This episode provides science-informed advice to assist individuals, as well as spouses/partners, family members, and friends, to prepare for holiday situations that may be recovery-aversive and includes: a brief review of the definitions of recovery, recovery benchmarks, and high-risk situations to establish a common language regarding recovery support; the Five G’s,  which are tips that can be used to manage recovery-averse situations; and a discussion of tools/activities that can be applied in real-life situations. Most importantly, the overall theme of this episode is to provide encouragement that, by doing some preparation, maintaining recovery during the holidays can be navigated and managed. Host: Nancy Roget, MS, MFT, LADC Guest: Daniel Fred, MS   Downloadable Episode Notes and Resources Duration: 00:41:53      

The purpose of this introductory training is to provide HIV clinicians (including, but not limited to physicians, dentists, nurses, and other allied medical staff, therapists and social workers, and counselors, specialists, and case managers) with a detailed overview of alcohol abuse and the behavioral and medical approaches for treating individuals with an alcohol use disorder. The introductory training (which was initially developed in 2012) has been updated, and includes a 126-slide PowerPoint presentation, Trainer Guide, and a companion 2-page fact sheet. The duration of the training is approximately 3 hours, if the trainer chooses to present all of the slides. The training duration can be shortened slightly by eliminating select slides. For example, slides 50-58 represent a general introduction of HIV/AIDS, and can be eliminated if your audience already has a broad knowledge base with regards to HIV/AIDS education.  “Test Your Knowledge” questions have been inserted at the beginning and end of the presentation to assess a change in the audience’s level knowledge after the key content has been presented. An answer key is provided in the Trainer’s notes for slides 7-11 and slides 121-125. Poll Everywhere, or a similar audience polling system can be utilized, if available, when facilitating the Test Your Knowledge question sessions. For more information, visit: https://www.polleverywhere.com/.  In addition, a series of case studies (slide 74 and slide 115) and additional questions (slides 96-99) have been inserted throughout the presentation to encourage dialogue among the training participants, and to illustrate how the information presented can be used clinically. 

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.

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