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eNewsletter or Blog
The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC. The March 2024 issue spotlights content celebrating Women's History Month and National Social Work Month. It also features updated versions of the Sustainability Planning in Prevention Guidebook and Sustainability Planning in Prevention Toolkit, as well as upcoming trainings focused on provider well-being and culturally responsive services for Middle Eastern and North African (MENA) clients. As always, you will also find links to all scheduled 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!  
Published: March 18, 2024
Presentation Slides
The New England ATTC, in partnership with the New England Association of Recovery Court Professionals, provided a basic/universal TA webinar titled, "Myth Busters - Dispelling Drug Testing Myths" with subject matter expert Paul Cary. The slides are available for download.
Published: March 16, 2024
Print Media
 DESCRIPTION The COVID-19 pandemic fundamentally shifted the health and wellbeing of every human on planet Earth. LGBTQ community members were impacted early in the crisis, and continue to show disparities in contracting the virus, as well as higher rates of death, disability, substance use disorders, and suicide related to pandemic distress. These impacts were not evenly distributed across all LGBTQ people, however, but were concentrated among queer and transgender of color and gender diverse people in general. New research is emerging that points to both expected and surprising impacts of the disease unique to LGBTQ people. This webinar will explore LGBTQ population dynamics, needs, and ways to support vulnerable community members as the world population emerges into the post-COVID reality.   Please use the download attachment 1 button on the right side of the page to view the entire factsheet in English.     This factsheet is now available in Spanish. Translation services by the National Hispanic and Latino Behavioral Health Center of Excellence. Traducido por: To download the full version of the Spanish factsheet, use the Download Attachment 2 button on the right side of the page.  
Published: March 15, 2024
Print Media
The Central East ATTC is committed to fostering a positive and affirming environment that acknowledges LGBTQ identities and realities. Though nearly every care provider expresses the intention of creating a welcoming environment for LGBTQ clients, good intentions alone are not enough to maintain a practice free of prejudice, repair poor office forms and protocols, minimize microaggressions, and eradicate disrespect for the lived experiences of sexual and gender minority community members. When a member of any marginalized group enters your setting, they are scanning for potential threats, hazards, and disappointments with their care as a reflexive gesture of self-protection. This factsheet provides an overview of indicators for creating safety and engagement techniques that can help build trust and reassurance for your LGBTQ clients. Download this factsheet to learn more.   To download the factsheet in English, please use the download attachment 1 on the right side of the page. This factsheet is now available in Spanish. Translation services by the National Hispanic and Latino Behavioral Health Center of Excellence. Traducido por: To download the full version of the Spanish factsheet, use the Download Attachment 2 button on the right side of the page.  
Published: March 15, 2024
Print Media
DESCRIPTION Though trauma is linked with Substance Use Disorder for people from all walks of life, LGBTQ communities experience unique sources and dynamics of trauma, as well as distinct influences and social consequences that impact the prevalence of Substance Use Disorders within the population. These may include family rejection and estrangement, increased incidence of childhood sexual abuse, identity discernment stress and faith-related shame, survivor’s guilt for those who lost dozens of friends in the early days of the AIDS epidemic, and many other special situations. This webinar will highlight some of the dimensions of trauma specific to LGBTQ individuals, substance use behaviors linked to those events, and some of the unique sites of resilience and support available within LGBTQ communities. Please use the download attachment 1 button on the right side of the page to to view the entire  English factsheet.       This factsheet is now available in Spanish. Translation services by the National Hispanic and Latino Behavioral Health Center of Excellence. Traducido por:   To download the full version of the Spanish factsheet, use the Download Attachment 2 button on the right side of the page.
Published: March 15, 2024
Interactive Resource
This annotated bibliography is a collection of resources related to racism, anti-racism and advancing health equity for Black, Indigenous and other People of Color and other marginalized communities affected by unhealthy substance use and SUD/SUD treatment using a DEI (Diversity, Equity, and Inclusion) framework. It includes recent and classic/landmark papers on racism and SUD/SUD treatment, anti-racist strategies and approaches, advancement of health equity, issues relevant to particular racial groupings, and issues related to various disciplines/roles in healthcare (medical, nursing, social work, etc.). It also includes resources related to health disparities, SDOH, and DEI in the provision of substance use disorder prevention, treatment, and recovery. This project is a collaboration between AMERSA, the Prevention Technology Transfer Center Network Coordinating Office (PTTC NCO), and the Addiction Technology Transfer Center Network Coordinating Office (ATTC NCO).
Published: March 12, 2024
Other
Join us for Trauma Informed Care in Unexpected Places (TICUP) our next topic on the Trauma Informed Caring Podcast, brought to you by the Mid-America Addiction Technology Transfer Center and funded by the Substance Abuse and Mental Health Services Administration. In this introductory episode, Andrea and Roxanne discuss themes from the upcoming season as well as how they each came to work in the field of Trauma Informed Care and what has surprised them along the way. Warning: Listening to this series may cause you to feel good and experience more vicarious joy in your life.  
Published: March 8, 2024
Other
In this episode, we talk with Lisa Charlson, Human Resources Organizational Development Educator, and Jackie Griffin, Senior Director of Guest Services, both with University Health, a Level-One Trauma Center located in the heart of Kansas City, Missouri and serving as both the urban-core, safety-net hospital and the teaching hospital for the University of Missouri-Kansas City. This conversation is filled with extremely practical advice for leaders, from leaders, including ways Trauma Informed Caring transforms conflict, how to have truly collaborative conversations even around difficult topics, and how to create compassionate culture that supports and includes absolutely every person your organization touches.  
Published: March 8, 2024
Other
Episode 2, with Chief Judge of the 31st Judicial District in Kansas, Honorable Daniel D. Creitz, and Director of Community Corrections & Kansas Department of Corrections Juvenile Services, Troy Smith If you’ve ever wondered what works better than punishment to reduce criminal activity, you will want to listen to this episode! Our guests, Chief Judge of the 31st Judicial District in Kansas, the Honorable Daniel D. Creitz, and Director of Community Corrections and Kansas Department of Corrections Juvenile Services, Troy Smith, share their work supporting persons with substance use disorders as they experience recovery, rekindle hope, and take their lives back. You’ll be inspired as they discuss what works, what doesn’t, what it takes to stay well yourself when working in a field with this much trauma exposure, and why it’s so important to continually celebrate successes, both large and small.  
Published: March 8, 2024
eNewsletter or Blog
Dr. Nora Volkow is the Director of the National Institute on Drug Abuse (NIDA) at the National Institutes of Health. Her research sheds light on one of the most important indicators that someone will or will not reach out for support for their substance use: stigma.[1] She states that: "The words we use to describe mental illnesses and substance use disorders (addiction to alcohol and other legal and illegal drugs) can impact the likelihood that people will seek help and the quality of the help they receive. Research indicates that stigma—negative attitudes toward people based on distinguishing characteristics—contributes in multiple ways to poorer health outcomes; consequently, it has been identified as a critical focus for research and interventions."[2] Addiction, along with mental health challenges, have long been some of the most stigmatized conditions. Countless research studies show that when there are stigmatizing attitudes, fewer people reach out for help. This is especially concerning considering the percentages of people who don’t receive the treatment they need (nearly 90% of the people who need support for their substance use challenges or addiction do not get it).[3] The Words We Use Matter How we talk about addiction and recovery matters. Not just because of the words we say, but because of the words we hear—and what our loved ones hear and in turn, can internalize. Research from 2019 shows that nearly 20% of people who needed help didn’t get it because they were concerned about what their neighbors or community would think.[4] There are things that we can do as loved ones to learn how to talk about addiction and also why this matters—and how it can help end addiction stigma. Understanding the science of addiction and recovery is a first step. You may be like me (not a neuroscientist) and that’s okay. There’s a way to understand what happens on a physical level when we experience substance use disorder or substance misuse challenges. Flo Hilliard, MSH, founding member of Faces & Voices of Recovery and expert in the field of addiction science explains it this way: "Many medical conditions, like Type 2 Diabetes and Cardiovascular disease, are linked to not only a genetic predisposition but also to patterns or habits that can lead to "turning on" the gene for that condition. Substance use disorders often follow the same pattern, yet there is often stigma and shame attached to the normal progression of the medical condition. Understanding the basic brain science of addiction and recovery is a fundamental step in eliminating stigma and treating those suffering from this disorder as respected human beings. Research shows that with the proper treatment and support people can and do recover from addiction to alcohol and other drugs to have successful professional and personal lives." When we understand that addiction is a normal part of the human experience, it loses its ability to be framed as something requiring punitive measures. Something that causes shame. It lacks the power to divide into “us vs. them.” Addiction or substance use disorders are worthy of our understanding and compassion. There are some excellent resources out there, including ones through the ATTC network, including their Addiction Science Made Easy Series, that share information about the science of addiction and recovery so we not only understand it but understand how to talk about it. How We Talk About Addiction Recovery Matters There are simple ways that you can talk about addiction and recovery that decrease stigma. The National Institute on Drug Abuse or NIDA shares these helpful ways to talk about addiction recovery:[5],[6] Use person-first language Promote community education about addiction Share recovery stories Education programs for folks who work with those of us in or seeking recovery like doctors, nurses, treatment providers, counselors, and church leaders Here is another helpful resource from SAMHSA: Overcoming Stigma Ending Discrimination. Check out this helpful chart from NIDA: Words Matter - Terms to Use and Avoid When Talking About Addiction. Women and Addiction Stigma Stigma is even more prevalent for women, especially mothers, and women of color, and this has been known for decades.[7] It's part of why I founded and host the annual event with the SHE RECOVERS foundation that highlights and celebrates women’s recovery during Women’s History Month on International Women’s Day every year. This year, we are focusing on highlighting the next generation and why it’s important to not only share stories of recovery but also share what works in terms of recovery support services. Gathering as a global community of supporters of recovery is not only an incredible experience, it has a purpose: to help reduce the addiction recovery stigma that women face.[8] Since women, especially from under-resourced and underserved communities, experience higher levels of addiction stigma and are thus, less likely to seek support, we all must work to address this issue that impacts millions. When we share our stories of recovery in the light, it can illuminate hope for others and show that recovery is possible. When we use supportive and hope-filled language, we can be a part of eradicating the stigma and discrimination that has no place in our recovery-oriented world today. Join us this March and celebrate. For more information and to register for free visit: https://sherecovers.org/international-womens-day-2024/ Time and date don’t work for you? No problem! Register for a link to watch on demand any time or plan your own watch party.   Caroline Beidler, MSW is an author, recovery advocate, and founder of the storytelling platform Circle of Chairs. With almost 20 years in leadership within social work and ministry, she is currently a consultant with JBS International, along with the founder and host of the annual International Women’s Day Global Recovery Event presented by the SHE RECOVERS Foundation. Connect with her @carolinebeidler_official and  https://www.facebook.com/carolinebeidlermsw   [1] Volkow, N.D., Gordon, J.A. & Koob, G.F. Choosing appropriate language to reduce the stigma around mental illness and substance use disorders. Neuropsychopharmacol. 46, 2230–2232 (2021). https://doi.org/10.1038/s41386-021-01069-4 [2] National Academies of Sciences, Engineering, and Medicine. Ending Discrimination Against People with Mental and Substance Use Disorders: the Evidence for Stigma Change. Washington, DC: The National Academies Press; 2016. https://doi.org/10.17226/23442. [3] Hammarlund R, Crapanzano KA, Luce L, Mulligan L, Ward KM. Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders. Subst Abus Rehabil. 2018;9:115–36. https://doi.org/10.2147/SAR.S183256. Published 2018 Nov 23. [4] Han B. Key substance use and mental health indicators in the United States: results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2020. [5] Volkow, N.D., Gordon, J.A. & Koob, G.F. Choosing appropriate language to reduce the stigma around mental illness and substance use disorders. Neuropsychopharmacol. 46, 2230–2232 (2021). https://doi.org/10.1038/s41386-021-01069-4 [6] Livingston, J. D., Milne, T., Fang, M. L., & Amari, E. (2012). The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review. Addiction (Abingdon, England), 107(1), 39–50. https://doi.org/10.1111/j.1360-0443.2011.03601.x [7] Radcliffe P. Motherhood, Pregnancy, and the Negotiation of Identity: The Moral Career of Drug Treatment. Social Science & Medicine. 2011;72:984–991. [8] Page, S., Fedorowicz, S., McCormack, F., Whitehead, S. (2024). Women, Addictions, Mental Health, Dishonesty, and Crime Stigma: Solutions to Reduce the Social Harms of Stigma. International Journal of Environmental Research and Public Health, 21(1):63. https://doi.org/10.3390/ijerph21010063
Published: March 5, 2024
Multimedia
This is a recording of the webinar presented 2/28/24 along with the PDF copy of the presentation slides.
Published: February 28, 2024
Other
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, “Hospitalizations for Alcohol and Opioid Use Disorders in Older Adults: Trends, Comorbidities, and Differences by Gender, Race, and Ethnicity,” by Acevedo and colleagues. A summary of the discussion is available for download. Article link: https://journals.sagepub.com/doi/epub/10.1177/11782218221116733 Please find the the meeting summary here: ATTC ReadingGroup 02222024 Summary
Published: February 23, 2024
Other
This  Black History Month, let's pause to recognize the remarkable achievements, unwavering strength, and outstanding triumphs of the Black community. It's also a time for us to recommit to cultivating an environment of inclusiveness, fairness, and opportunities for all. By recognizing and elevating diverse voices, we enrich our workplace and the vitality of our organizations, communities, and society. Take advantage of MATTC’s FREE Culturally & Linguistically Appropriate Services (CLAS) training to improve your organization’s quality of services provided to all individuals, which will ultimately help reduce health disparities and achieve health equity. More information is found in the flyer attached! Please email [email protected] for additional information. 
Published: February 22, 2024
Presentation Slides
Module: THC and Adolescents The primary purpose of this manual is to provide specific strategies for teachers and service providers to counsel adolescents about the effects of marijuana use in a way that makes them receptive to the information offered by the provider. This is through a psychoeducation process presented in a structured, non-imposing manner.   Psychoeducate students, in a structured and interesting way, about the effects of marijuana. Offer students/adolescents the opportunity to learn about and discuss marijuana and its effects on the brain. Establish the difference between myths and realities regarding the information being provided about marijuana and its effects. Allow safe spaces of dialogue for students/adolescents to express their concerns and questions regarding marijuana use and its effects.
Published: February 21, 2024
Presentation Slides
Módulo: THC y Adolescentes El propósito principal de este manual es proporcionar estrategias específicas para los maestros y proveedores de servicio, para que orienten a los adolescentes sobre los efectos del consumo de marihuana. De una manera que los haga receptivos a la información. Esto es a través de un proceso de psicoeducación presentado de manera estructurada y no impuesta. Psicoeducar a los estudiantes, de una manera estructurada e interesante, sobre los efectos del consumo de marihuana. Ofrecer a los estudiantes/adolescentes la oportunidad de aprender y discutir sobre el consumo de marihuana y sus efectos adversos en el cerebro. Establecer la diferencia entre mitos y realidades respecto a la información que se proporciona sobre marihuana y sus efectos. Permitir espacios seguros de diálogo para que los estudiantes/adolescentes expresen sus inquietudes y preguntas sobre el consumo de marihuana y sus efectos.
Published: February 21, 2024
Multimedia
This webinar, hosted by the Northwest ATTC, PTTC, and MHTTC, provided an overview of the seven vital conditions for well-being and illustrated how the framework can be useful for conceptualizing holistic individual and community well-being.  The presenters, Chris Kelleher (consultant) and Jennifer Johnson (Skagit County Deputy County Administrator), demonstrated how the framework can help address issues related to a community response to mental health and well-being, substance use disorder, and substance misuse prevention in Skagit County, WA, with the North Star Initiative. The framework is used by multiple state and federal agencies, including The Federal Plan for Equitable Long-Term Recovery and Resilience as a guiding framework to organize and take action on social determinants of health. Watch the recording here.  
Published: February 20, 2024
Multimedia
Participants will increase awareness about sexual orientation, gender identity, and how personal biases impede care and ultimately identify how to develop an environment that is LGBT user effective. 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.
Published: February 16, 2024
eNewsletter or Blog
  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The February 2024 issue features content from the Great Lakes ATTC celebrating Black History Month, including our upcoming 2024 Black History Month Panel Presentation. It also features a new educational brief on health equity in crisis systems, upcoming prevention trainings on drug trends in the region, and updates to the Classroom WISE curriculum for 2024. 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!
Published: February 12, 2024
Presentation Slides
In partnership with the New England Association of Recovery Court Professionals, the New England ATTC hosted a webinar titled, “Peer Support: Why Your Program Needs It” by subject matter expert Abby Frutchey. The slides are available for download.
Published: February 5, 2024
Multimedia
Talking To Change: A Motivational Interviewing Podcast, hosted by Glenn Hinds and Sebastian Kaplan, is a series of conversations exploring Motivational Interviewing (MI) and its influence on supporting individuals and groups as they make positive health and lifestyle changes. Talking to Change: An MI Podcast Episode 73: MI and Hope in Alaska, with Sarah Niecko, PhD In this episode, Dr. Sarah Niecko of the University of Alaska Southeast joins the podcast to talk to Glenn and Sebastian about the transformative potential of motivational interviewing and the healing power of culture, resilience, and hope. Topics covered include: transforming burnout through hope and love, adapting to a new world through curiosity and compassion, embodying the MI spirit, MI spirit directed inward before radiating it forward, language as a way to rediscover identity, and her experiences creating a new integrated behavioral health program.
Published: February 5, 2024
Multimedia
The audio recording from the webinar, “Peer Support: Why Your Program Needs It” (described above) is also available for download.
Published: February 1, 2024
Multimedia
Motivational interviewing is an evidence-based, conversation model for evoking and enhancing intrinsic motivation to change behaviors. In this video-conversation, participants will discuss the core components of this model and practice using the skills of Motivational Interviewing, particularly in the context of substance use behavior change(s). Prior knowledge of Motivational Interviewing is not required. This learning community is open to everyone engaging in conversations about behavior change - educational degrees or credentials are also not required.   This three-part training series was approved for six renewal hours (CASAC, CPP, CPS) and six 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.
Published: February 1, 2024
Multimedia
Motivational interviewing is an evidence-based, conversation model for evoking and enhancing intrinsic motivation to change behaviors. In this video-conversation, participants will discuss the core components of this model and practice using the skills of Motivational Interviewing, particularly in the context of substance use behavior change(s). Prior knowledge of Motivational Interviewing is not required. This learning community is open to everyone engaging in conversations about behavior change - educational degrees or credentials are also not required.   This three-part training series was approved for six renewal hours (CASAC, CPP, CPS) and six 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.
Published: February 1, 2024
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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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