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Multimedia
  Presenter: John Kelly, PhD, ABPP, Harvard University The goal of this webinar series from the CTN Western States Node and the Northwest and Pacific Southwest ATTCs is to help scholars and clinicians in the addiction field stay abreast of cutting edge science. In this session, John Kelly, PhD, ABPP of Harvard University discussed the fundamental causes of stigma and discrimination in relation to substance use disorder, reviewed some of the paradoxical findings from the latest stigma research, and suggested how stigma and discrimination might be more systematically addressed to enhance the clinical care and outcomes of individuals suffering from substance use disorder. Download slides | View recording    
Published: October 28, 2021
Multimedia
Presenter: Jeffrey Sung, MD, UW Psychiatry & Behavioral Sciences In the U.S., firearm-related suicides account for almost half of suicide deaths and for most fatal firearm injuries. In clinical settings, lethal means counseling has been proposed as a way of addressing this risk. Implementation efforts, however, have been accompanied by growing awareness of a “culture gap” between clinicians with low familiarity with firearms and patients with potential distrust of clinical interventions. This has resulted in calls for cultural competency training among clinicians engaged in discussions about firearms with patients. This webinar provided an introduction to selected cultural factors related to firearm ownership and use with the intent of improving cross-cultural communication and the quality of suicide care. Download slides | Download handout   Webinar category: Other
Published: October 8, 2021
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 45: “Effective Psychotherapists” with Bill Miller and Terri Moyers  In this episode, Glenn and Sebastian talk to Drs. William R. Miller and Theresa B. Moyers, authors of “Effective Psychotherapists.” Bill and Terri describe their story of collaboration through research and writing, and talk about predicting therapy outcomes beyond techniques, empathy and genuineness, the internal experience and external skill, what not to do and how you can tell, learning the core characteristics through doing and feedback, belief in others, and how MI changed their lives.  
Published: October 8, 2021
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 46: Reducing Burnout and Compassion Fatigue with Kristin Dempsey, EdD, and Ali Hall, JD  In this episode, Glenn and Sebastian talk to Kristin Dempsey and Ali Hall about compassion fatigue and burnout, including their recent focus on structural issues in organizations that have worsened due to COVID and climate crises, organizational responses to stress, why and how MI might be helpful for burnout, how MI can serve as a bridge to positive organizational outcomes, and other organizational strategies. In addition, Kristin leads a meditation for helping the helpers, and Ali discusses the concept of a “self-compassion” break.  
Published: October 8, 2021
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 47: MI and Diabetes, with Judith Carpenter In this episode, Glenn and Sebastian talk to dietician Judith Carpenter about diabetes, responding to your “righting reflex” with “a kind heart,” effective directing, what’s been helpful for her when working with people who have diabetes (curiosity, evoking, and client feedback), ways to level power imbalances, psychological aspects of diabetes, and how MI can help when you’re worried about “opening the can of worms.”   
Published: October 8, 2021
Multimedia
Presenters: Tana Russell and Maureen Greeley, Evergreen Council on Problem Gambling. Problem gambling can have devastating impacts on individuals, families, and communities. It can have an impact on personal finances, individual well-being, family and business relationships, employment, mental health, suicidal thoughts or attempts, and more. Compared to other addictive disorders, problem gambling (including Gambling Disorder) is associated with a high rate of suicide attempts. This session offered a broad overview of problem gambling and its impacts. It included an overview of gambling, recreational gambling, problem gambling, and Gambling Disorder. Information on how to pursue Gambling Counselor Certification was also provided in the session. Learning Objectives: Understand the difference between recreational gambling, problem gambling, and Gambling Disorder. Know where to go to get more information and training, and where to refer clients for gambling help services. Know where to go to learn more about becoming a Certified Gambling Counselor   Webinar category: Other
Published: August 24, 2021
Multimedia
These Telehealth MOUD Video Demonstrations show distinct clinical interactions common across the medications for opioid use disorder (MOUD) modality. Except for the first two videos listed (Buprenorphine Induction and Re-induction to Buprenorphine), which show the same mock patient at two stages along his treatment trajectory, the videos in this collection are independent depictions showcasing different settings, patient situations, and provider types. The common thread for these videos is that each patient portrayed has an opioid use disorder and is considering or engaged in medication treatment. This set of videos may be useful for individuals entering the MOUD workforce or for MOUD patients and family members curious about what happens at various points in treatment.  Produced by the Northwest ATTC (SAMHSA grant no. TI080201), in co-sponsorship with Southeast ATTC (SAMHSA grant no. TI080215) and the ATTC Network Coordinating Office (SAMHSA grant no. TI080205). We thank the clinicians involved for their conceptual contributions to the development of these characters and the clinical scenario.
Published: August 12, 2021
Multimedia
Presenter: Jenna van Draanen, PhD, MPH, University of Washington July 2021 This one-hour webinar discussed the role of harm reduction in addiction treatment and how it fits with other systems of care. In addition to covering recent service use patterns in the Northwest, Dr. van Draanen shared evidence and lessons learned from her work with overdose prevention sites (a model of peer-run safe consumption sites) in Vancouver, Canada. The session covered changes in overdose prevention site utilization during COVID-19, the importance of peer involvement in service delivery, and outcomes associated with overdose prevention site utilization. Download slides
Published: July 29, 2021
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 42: MI for People with Opioid Use and Stimulant Use Disorders, with Roy Stein, MD In this episode (the first of two episodes about MI for opioid and stimulant use disorders), Glenn and Sebastian talk to Dr. Roy Stein, Clinical Professor of Psychiatry at University of North Carolina’s School of Medicine. Dr. Stein talks about ways to help people engaging in behavior that puts them at high risk for death, managing the “righting reflex” and reducing risk for burnout, the role of harm reduction for opioid use disorders, adaptations of MI for stimulant use disorders, medication treatment for substance use disorders, and more. Download transcript (pdf)
Published: July 7, 2021
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 43: MI and Weight Management, with Claire Lane, PhD In this episode, Glenn and Sebastian talk to Dr. Claire Lane, a clinical psychologist at Swansea Bay University Health Board, UK. Dr. Lane talks about the complexities of working in a weight management service, how to establish safety and highlight strengths through engagement, the focusing process and blending MI with other therapies, and client-centered agenda setting. She also offers advice on how to respond to clients who say “just tell me what to do,” draw on people’s past efforts at weight loss, and raise concerns (with permission).  Download transcript (pdf)
Published: July 7, 2021
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 44: MI and Social Support for Opioid and Stimulant Use Disorders, with Paul Delaney In part two of a pair of episodes on MI for opioid and stimulant use disorders, Glenn and Sebastian talked to Paul Delaney, clinical supervisor, therapist, adult educationalist, and trainer in Dublin, Ireland. Paul talked about working with people who misuse opioids and stimulants, how to avoid the premature focus trap, ways to support autonomy with someone who uses heroin, harm reduction, and MI and restorative justice.  Download the transcript (pdf)  
Published: July 7, 2021
Multimedia
In this session, Larissa Mooney, MD, one of two PIs for the Greater Southern California Node of the NIDA Clinical Trials Network, discussed recent trends in co-occurring methamphetamine use and opioid use disorder (OUD), including overdose fatalities. Participants also learned about the treatment approaches to address this rising comorbidity. This webinar was sponsored by the Northwest and Pacific Southwest ATTCs and the Western States Node of the NIDA Clinical Trials Network. Download slides
Published: June 7, 2021
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 35: Experiential Motivational Interviewing, with Matt McKenzie In this episode, Matt McKenzie talks with Glenn and Sebastian about experiential practices as a precursor to MI, the “carpet tiles” exercise, the “life’s blueprint exercise” (MI spirit through art, metaphor, and core skills), healing as a creative act, resistance as a fear of knowing, meeting vulnerability with kindness, and his work on compassion fatigue in helpers. Download the transcript (pdf)
Published: June 7, 2021
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 36: The Psycholinguistics of MI, with Paul Amrhein, PhD In this episode, Glenn and Sebastian talk with experimental psycholinguist Paul Amrhein, PhD, who worked with Bill Miller in the 90s on exploring the nature and role of client language evoked during MI as a predictor of substance use outcomes. He talks here about the original DARRN-C coding system; category, valence, and strength of change language; double-sided reflections and the reflection to question ratio; psycholinguistics beyond substance use conversations; change talk; and how experience affects learning MI. Download the transcript (pdf)
Published: June 7, 2021
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 37: MI in Puerto Rico, with Gabrielle Ruiz Tudó, MA In episode 37, Glenn and Sebastian talk to Gabrielle Ruiz Tudó, a member of the Motivational Interviewing Network of Trainers (MINT) and program evaluator who has been involved in several efforts to make MI more accessible to Spanish speakers. She talks here about helping clients find their own tools and own their process, MI in Puerto Rico, important cultural elements of Puerto Rico, the adaptation of MI for use in Spanish, and learning the micro- and macro-skills of MI. Download the transcript (pdf)  
Published: June 7, 2021
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 38: MI for Vaccine Hesitancy, with Amanda Gabarda, EdD, MPH, NBC-HWC In this episode, Amanda Gabarda talks to Glenn and Sebastian about applying the skills and techniques of MI to vaccine hesitancy, supporting autonomy around vaccine decision-making, “shoulders up” vs “shoulders down” conversations, what the research says about use of MI for vaccine hesitancy, and how to approach a helpful conversation on this issue.  Download the transcript (pdf)  
Published: June 7, 2021
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 39: MI with People Who Are Homeless, with Danny Lang, MSW In this episode, Danny Lang, a registered social worker and psychotherapist at the Canadian Mental Health Association in Ottawa, talks to Glenn and Sebastian about the use of motivational interviewing with people who are experiencing homelessness, including thinking of the MI Spirit as the "container" of the four processes, resisting the "righting reflex," client feedback as evidence of effectiveness, self-care, and helpful skills for helpful conversations. Download the transcript (pdf)  
Published: June 7, 2021
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 40: MI for Youth with HIV, with Salome Nicole Cockern, PhD In this episode, Glenn and Sebastian talk to Salome Nicole Cockern, PhD, pediatric psychologist and Assistant Professor at Wayne State University, about the use of motivational interviewing with youth who have HIV. Topics discussed include intentionality when working with youth, conversations with youth to support healthy decisions, helping young people with HIV feel valued, use of affirmation, being mindful to be helpful, and how judgment doesn't help. Download the transcript (pdf)  
Published: June 7, 2021
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 41: Ethical Considerations of MI, with Patrick Berthiaume In this episode, Glenn and Sebastian explore ethical considerations in MI with Patrick Berthiaume, a member of the Motivational Interviewing Network of Trainers (MINT). Topics explored include Patrick’s early MI story, the importance of empathy and the potential of others, Patrick’s “four conditions” of MI, considerations regarding neutrality, ethical dilemmas involving families with children at risk, and more. Download the transcript (pdf)  
Published: June 7, 2021
Multimedia
Presenter: Dan Dubovsky, MSW April 2021 This is a continuation of the webinar that was presented on January 27, 2021 that provided information on FASD and its manifestations in treatment and other settings, with a focus on the brain basis of the behaviors that are often misidentified as willful, manipulative behaviors. In this webinar, we focus on a discussion of the importance of identifying strengths in those with an FASD and those surrounding them, and strategies that can be implemented in treatment settings that can result in better outcomes for the individual and the setting. Download slides | Watch recording Webinar category: Specific populations, Treatment - General
Published: May 12, 2021
Multimedia
In this session, Dr. Barbosa-Leiker of WSU presented a series of research studies focused on perceptions of risk of cannabis use during pregnancy and postpartum. Research participants included perinatal women, healthcare providers, and cannabis retailers in the state of Washington. Download slides | Watch recording Webinar category: Specific populations
Published: April 9, 2021
Multimedia
The Telehealth EBP Video Demonstration series intends to show how a diverse set of clinical practitioners make use of evidenced based practices (EBP) in a telehealth environment. The impetus for these videos came from a provider survey and our organization partners who identified “Clinical Demonstration” as a needed product, especially with the recent pivot toward telehealth. The demonstrations follow a client, Shawn, through a course of substance use disorder care, starting with a crisis, admission to IOP treatment, and a recurrence of use in outpatient treatment, and ending with connecting to a recovery coach for long term planning. Each video will demonstrate an evidence based practice used at different points in the client’s care. Produced by the Northwest ATTC (SAMHSA grant no. TI080201), in co-sponsorship with the Behavioral Health Institute. We thank the Pacific Southwest ATTC for conceptual contributions to the development of this client character and clinical scenario, and Marcos Sauri, Michael Braxton, Michelle Peavy, and Dana Francis for their contributions to the production of this series. 
Published: March 16, 2021
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 34: MI from an Evolutionary Perspective with Abilio (Bill) de Almeida Neto, PhD In this episode, Dr. Abilio (Bill) de Almeida Neto joins Glenn and Sebastian for a unique conversation about possible underlying evolutionary mechanisms of MI. Concepts covered include seeking a theory of MI to understand underlying mechanism, why telling people to change typically doesn’t work, social hierarchy in MI conversations, oppositional behavior as adaptive, the Rogerian influence on MI through an evolutionary lens, how MI helps deactivate unconscious mechanisms that hinder behavior change, and understanding the impact of all of this on clinicians. Download the transcript (pdf)  
Published: March 1, 2021
Multimedia
Pregnant/Parenting Women and Substance Use Webinar Series: Part 2 In this session, Dr. Susan Stoner of the Washington State Parent-Child Assistance Program will provide an overview of this award-winning, evidence-informed, 3-year case management intervention and present practice-based evidence of its effectiveness in supporting the recovery of pregnant and parenting women and preventing future substance-exposed births.   Presenter: Susan Stoner, Ph.D., is a licensed clinical psychologist, Research Scientist at the University of Washington Alcohol & Drug Abuse Institute, Clinical Instructor in Psychology at the University of Washington, and the Director of the Washington State Parent-Child Assistance Program. Download slides | Watch recording Webinar category: Recovery support, Specific populations
Published: February 28, 2021
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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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