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Multimedia
This FREE Virtual Learning Series is designed enhance education and training related to substance use disorders and to gain comprehensive knowledge and valuable insights into the world of addiction, focusing on four significant substances: alcohol, tobacco, opioids, and stimulants. This engaging and informative series has been designed to equip individuals, families, educators, and healthcare professionals with the tools they need to understand, prevent, and address substance abuse issues effectively. Whether you're seeking personal knowledge, professional development, or the tools to help someone in need, our Substance Abuse Virtual Learning Series offers a valuable opportunity to make informed choices and contribute to healthier, substance-free lives. Together, we can break the chains of addiction and create a brighter, healthier future for all. Join us in this transformative journey towards recovery and prevention. Module 1: Alcohol Use Disorder Screening and Treatment This module introduces Alcohol Use Disorder Screening and Treatment in the Latino population. Module 2: Tobacco Use Disorder Screening and Treatment This module introduces the Treatment of Tobacco Use Disorder in Latino Populations. Module 3: Opioid Use Disorder Screening and Treatment This module introduces the Screening and Treatment of Opioid Use Disorder in Latino Populations. Module 4: Stimulant Use Disorder Screening and Treatment This module introduces Screening and Treatment of Stimulant Use Disorder in Latino Populations.   Español Series de aprendizaje sobre el trastorno por consumo de sustancias Esta serie de aprendizaje virtual GRATIS está diseñada para mejorar la educación y la formación relacionadas con los trastornos por consumo de sustancias y para obtener conocimientos integrales y valiosos sobre el mundo de la adicción, centrándose en cuatro sustancias importantes: alcohol, tabaco, opioides y estimulantes. Esta serie atractiva e informativa ha sido diseñada para equipar a individuos, familias, educadores y profesionales de la salud con las herramientas que necesitan para entender, prevenir y abordar los problemas de abuso de sustancias de manera efectiva. Ya sea que esté buscando conocimiento personal, desarrollo profesional o las herramientas para ayudar a alguien necesitado, nuestra serie de aprendizaje virtual sobre abuso de sustancias ofrece una valiosa oportunidad para tomar decisiones informadas y contribuir a una vida más saludable y libre de sustancias. Juntos, podemos romper las cadenas de la adicción y crear un futuro más brillante y saludable para todos. Únase a nosotros en este viaje transformador hacia la recuperación y la prevención. Módulo 1: Detección y Tratamiento del Trastorno por Consumo de Alcohol . Este módulo presenta Detección y Tratamiento del Trastorno por consumo de Alcohol y Sustancias en la población Latina. Módulo 2: Detección y Tratamiento del Trastorno por el Uso del Tabaco Este módulo presenta el Tratamiento del Trastorno por Consumo de Tabaco en Poblaciones Latinas. Módulo 3: Detección y Tratamiento del Trastorno por el uso de opioides Este módulo presenta los Exámenes de detección y tratamiento del trastorno por consumo de opioides en poblaciones Latinas. Módulo 4: Detección y Tratamiento del Trastorno por el uso de Estimulantes Este módulo presenta Detección y tratamiento del trastorno por consumo de estimulantes en poblaciones Latinas.    
Published: September 29, 2023
Presentation Slides
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.
Published: September 22, 2023
Multimedia
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.    
Published: September 21, 2023
Multimedia
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.     
Published: September 21, 2023
Print Media
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.
Published: September 21, 2023
Multimedia
    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.
Published: September 20, 2023
Presentation Slides
This module aims to educate about harm reduction as an evidence-based public health approach to minimizing adverse health consequences and other events that may be experienced by people who use psychoactive substances.  Harm reduction strategies and how to put them into practice in the process of helping to achieve behavior change are discussed.
Published: September 18, 2023
Presentation Slides
Este módulo tiene como objetivo educar al lector sobre la reducción de daños como un enfoque de salud pública, basado en evidencia, para minimizar las consecuencias adversas a la salud y otras áreas de la vida que pueden experimentar las personas que consumen sustancias psicoactivas.  Se discuten estrategias de la reducción de daños y cómo ponerlas en práctica en el proceso de ayuda para lograr cambios de conducta.
Published: September 18, 2023
Multimedia
    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
Published: September 14, 2023
Multimedia
    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.
Published: September 12, 2023
Print Media
  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).
Published: September 11, 2023
Multimedia
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.      
Published: September 7, 2023
Multimedia
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 2: Hector looked at his family and chose not to repeat those patterns.  Hector practiced abstinence into his young adulthood.  When he did start using, he practiced harm reduction.  As a queer, first-generation Hispanic immigrant, he has been able to put a voice to what so many in his culture could not do.    
Published: September 7, 2023
Multimedia
Advice about how to gamble “responsibly” is widely promoted in many jurisdictions. However, until now, there has been no evidence-based, specific advice for people who gamble who want to reduce their risk of gambling harms. In 2016, the Canadian Centre on Substance Use and Addiction began the first large scale international, comprehensive, multimodal project to develop evidence based Lower-Risk Gambling Guidelines (LRGGs). Borrowing the same collaborative, evidence-driven approach used to develop the nation’s Low Risk Alcohol Drinking Guidelines, the LRGG initiative produced a set of workable, evidence-based quantitative limits on gambling behavior to help people make informed decisions about their gambling. This project included collaboration with researchers in eight other countries, analysis of epidemiological data from over 60,000 people who gamble, consultation with a pan- Canadian, multi-sectorial advisory committee made up of over 20 members, input from over 10,000 regular people who gamble via a national online survey, and qualitative data obtained from focus groups and interviews. This presentation from David Hodgins, PhD and Matthew Young, PhD described key deliverables from the LRGG project including the lower-risk limits for expenditure, frequency and number of types of games. It also presented a self-assessment quiz, a suite of posters and other knowledge mobilization tools that are freely available to those who with use or promote the guidelines (https://www.gamblingguidelines.ca). Sponsored by the Northwest and Pacific Southwest ATTCs and the Western States Node of the NIDA Clinical Trials Network (CTN). Download slides | View recording
Published: September 7, 2023
eNewsletter or Blog
  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!
Published: September 7, 2023
Print Media
A reflection on Mental Health and Suicide Prevention Month and Hispanic Heritage Month will be featured in this issue by Dr. Susie Villalobos. This newsletter highlights the American Foundation for Suicide Prevention, which promotes awareness about suicide and suicide prevention among Hispanic and Latino populations. Please read to learn more about the resources we are highlighting this quarter, our upcoming events and projects, and more. THIS ISSUE 1 Dicho of the Quarter 2 A Reflection by Dr. Susie Villalobos 5 Highlighting the Experts American Foundation for Suicide Prevention 7 Quarterly Highlights, and Celebrations 8 Media Corner   9 Staff Contact Information Español En esta edición, la Dra. Susie Villalobos presentará una reflexión sobre el Mes de la Salud Mental y la Prevención del Suicidio y el Mes de la Herencia Hispana. Este boletín destaca la Fundación Americana para la Prevención del Suicidio, que promueve la concientización sobre el suicidio y la prevención del suicidio entre las poblaciones hispana y latina. Lea para obtener más información sobre los recursos que destacamos este trimestre, nuestros próximos eventos y proyectos, y más. EN ESTA EDICION 1 El “Dicho” del Trimestre 2 Una Reflexión de la Dra. Susie Villalobos 5 Destacando a los Expertos: American Foundation for Suicide Prevention 7 Puntos Destacados del Trimestre y Celebraciones 8 Rincón de los Medios   9 Información de Contacto del Personal
Published: September 6, 2023
Presentation Slides
The New England ATTC Equity, Diversity, and Inclusion Director, Dr. David Zelaya, presented the opening plenary session, “Incorporating an Intersectionality Framework to Understand the Impact of Racism and Heterosexism on the Health Disparities Encountered by LGBTQ+ People of Color” at the New England School of Best Practices. This interactive presentation offered an overview of tools to help behavioral health professionals understand how systems of oppression such as racism and heterosexism create unique health disparities (e.g., addiction and behavioral health care inequities) encountered by LGBTQ+ People of Color. • Explain two strategies to reduce these health disparities in the behavioral health setting.   Click the download button above to download the slides from this presentation.
Published: August 31, 2023
Multimedia
The risk of fatal overdose has changed significantly in recent years, most notably with the emergence of the illicit opioid fentanyl and the increasing prevalence of polypharmacy. In this webinar, presenters Michael Hite, MBA and Desislav Hite, MD discussed trends and patterns in overdose cases over the last 5 years, factors that can increase overdose risk including identifiable life events and mental health co-occurring conditions, and how different populations are affected across Region 10. They also discussed actionable interventions to enhance overdose safety including new medical devices and digital resources, harm reduction strategies, and collaboration with local community organizations. Download slides | View recording
Published: August 24, 2023
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 67: MI Within the Social Context, with Dr. Paul Earnshaw  In this episode, hosts Glenn Hinds and Sebastian Kaplan talk to Dr. Paul Earnshaw, an independent researcher, senior psychological therapist, MI trainer, and member of the Motivational Interviewing Network of Trainers (MINT). They discuss the integration of MI and cognitive behavioral therapy (CBT), the therapeutic relationship, widening the lens beyond a “problem behavior,” creating safety through social empathy, influences on Paul’s early thinking, and a final discussion about Paul’s many interests, including MI/CBT integration and contact tracing.    
Published: August 20, 2023
Toolkit
The National Hispanic and Latino Addiction Technology Transfer Center (NHL ATTC) is proud to present the Opioid Crisis Emerging Trends Toolkit, a comprehensive resource designed to equip individuals and organizations with the knowledge and tools needed to effectively respond to this ever-changing landscape. This toolkit brings together factsheets, podcasts, short videos, and expert insights, providing a roadmap for understanding, preventing, and treating opioid addiction. The resources are available in English and Spanish. We hope these resources are useful for you and for your healing process. Please share it with your family, friends, and colleagues. Stay safe, healthy, and remember we are all in this together. Thank you. ¡Gracias! This toolkit is also available in Spanish! Click Here to View Factsheets Naloxone Guide and Resources  This snapshot of information is intended to provide resources to individuals, parents, professionals, and providers on the importance of Naloxone use among Latinos in the United States. Download Here Xylazine 101: Xylazine Use and its Impact on Communities Across the United States This snapshot of information is intended to provide resources to individuals, parents, professionals, and providers on xylazine use and its impact on communities across the United States. Download Here Fentanyl Resource Factsheet for Providers This snapshot of information is intended to provide resources to individuals, parents, professionals, and providers on fentanyl use among Latinos in the United States. Download Here Stigma and Substance Use Disorder This snapshot of information is intended to inform individuals, parents, professionals, and providers of how the stigma around substance use disorder (SUD) impacts Hispanic & Latino populations in the US. Download Here Harm Reduction Awareness for Latino Communities This snapshot of information is intended to provide a quick resource to individuals, parents, professionals, and providers on Harm Reduction Awareness for the Latino population. Download Here   Webinar Unmasking the Crisis: Exploring Intentional Substance Use Disorder Overdoses Among the Hispanic/Latino Population – Q&A Understanding the Factors, Addressing the Crisis, and Promoting Resilience Download Here SUD Stigma, Treatment, and Recovery for Hispanic/Latinos The National Hispanic/Latino ATTC, WESTAT, the National Hispanic/Latino MHTTC, and Shatterproof as part of the Partnerships for Equity to Eliminate Behavioral Health Disparities for Hispanic/Latino communities are presented in a three-part virtual learning series. This series is designed to enhance education and information related to risk factors that contribute to substance use disorders (SUD) among Hispanic/Latino communities, particularly focused on opioids and Fentanyl. The importance of crisis intervention strategies and skills helps to mitigate the cultural nuances of treatment and recovery. Lastly, the presenter discusses stigma, the 3 different types of stigmas, and findings from the stigma index produced by Shatterproof. The training will provide Behavioral Health providers (CHW’s, promotores, project coordinators, social workers, family members, etc.) a knowledge-based approach to early intervention and SUD identification for Hispanic and Latino community members and their families. Download Here A Cultural Adaptation of Screening, Brief Intervention, and Referral to Treatment, (SBIRT) for Working with Hispanic and Latinx Communities Culturally and linguistically appropriate strategies are the means to ensure respectful and responsive services that enhance effective outcomes for racial, ethnic, and other underserved communities in behavioral health care. As such, being culturally informed when conducting evidence-based (EB) practices such as Screening, Brief Intervention, and Referral to Treatment, (SBIRT) can help Hispanic and Latinx clients reduce their substance use. SBIRT is an evidence-based practice that helps practitioners identify and intervene with people whose pattern of substance use puts them at risk for or are experiencing substance-related health and other psychosocial problems. The question is: How do we facilitate SBIRT without compromising the fidelity of the model while practicing culturally responsive care? This two-session webinar series reviews the current landscape of substance use and the benefits of culturally adapted evidence-based interventions that align with culturally and appropriate services standards, (CLAS). Further, the content informs on how a culturally informed framework can help meet the needs and enhance quality care among Hispanic communities at risk. Download Here Implications of the Opioid Crisis in the U.S. Latino Population This webinar discussed the implications of the opioid crisis in the Latino population in the US. It discussed the social and cultural factors that cause substance misuse in Latinos. Additionally, barriers to services and treatments are discussed, along with strategies on how to increase engagement and use of services. Download Here   Short Videos Harm Reduction In today’s video, we would like to discuss harm reduction and its importance and break down some of the stigma often associated with this topic. Download Here August is Overdose Awareness Month and International Overdose Awareness Day This month our National Hispanic and Latino ATTC and PTTC would like to support August’s Overdose Awareness Month and International Overdose Awareness Day, which takes place annually on August 31st. Download Here   Podcast Breaking the Silence: SUD and Stigma **DISCLAIMER: This episode talks about death and grief, and it may be upsetting to some listeners. ** In This English episode of Latinos Con Voz podcast, Christina Mancebo-Torres interviews Dr. Cristina Rabadan-Diehl, Associate Director for Clinical Trials at Westat, on the impact of stigma on individuals facing opioid use disorder and their families. Listen Here  
Published: August 18, 2023
Toolkit
El Centro Nacional de Transferencia de Tecnología de Adicción Hispana y Latina (NHL ATTC) se enorgullece en presentar el Kit de Herramientas de Tendencias Emergentes de Crisis de Opioides, un recurso completo diseñado para equipar a las personas y las organizaciones con el conocimiento y las herramientas necesarias para responder eficazmente a este panorama en constante cambio. Este kit de herramientas reúne fichas, podcasts, videos cortos y conocimientos de expertos, proporcionando una hoja de ruta para comprender, prevenir y tratar la adicción a los opioides. Los recursos están disponibles en inglés y español. Esperamos que estos recursos sean útiles para usted y para su proceso de curación. Por favor, compártelo con tu familia, amigos y colegas. Algunos de estos productos están disponibles en Inglés y Portugués. Manténganse seguros, sanos, y recuerden que todos estamos juntos en esto. ¡Gracias! Thank you! Este kit de herramientas también está disponible en Inglés Factsheets Naloxona Guía y Recursos Esta reseña informativa tiene por objeto proporcionar recursos a personas, padres, profesionales, y proveedores sobre la importancia del uso de la Naloxona entre los Latinos en Estados Unidos. Descárgalo Aquí Xilazina 101: El uso de la Xilazina y Su Impacto en las comunidades de los Estados Unidos Esta reseña de información tiene por objeto proporcionar recursos a las personas, padres, profesionales y proveedores sobre el uso de la xilazina y su impacto en las comunidades de Estados Unidos Descárgalo Aquí Hoja Informativa Sobre el Fentanilo Para los Proveedores Esta síntesis de información tiene por objeto proporcionar recursos a las personas, los padres, los profesionales y los proveedores sobre el consumo de fentanilo entre los Latinos en los Estados Unidos. Descárgalo Aquí Creando Conciencia Sobre La Reducción De Daños En Las Comunidades Latinas Esta reseña tiene como objetivo proporcionar recursos a individuos, padres, profesionales y proveedores sobre cómo crear conciencia de la Reducción de Daños en la población Latina. Descárgalo Aquí   Webinar Comprendiendo la Crisis de Opioides en la Población Latina de los Estados Unidos: Implicaciones y Recomendaciones Este webinario discutió las implicaciones de la crisis de opioides en la población Latina en los Estados Unidos. Se discutieron los factores sociales y culturales que causan el abuso de sustancias en los Latinos. Además, se discuten las barreras a los servicios y tratamientos, junto con estrategias sobre cómo aumentar la participación y el uso de los servicios. Descárgalo Aquí   Short Videos La Reducción de Daño En el video de hoy, vamos a platicar sobre la reducción de daño y su importancia al igual que desbaratar el estigma que comúnmente acompaña a este tema. Descárgalo Aquí Agosto es el Mes de Concientización sobre Sobredosis y el Día International de Concientización sobre Sobredosis Nuestros Centros Nacionales Hispano y Latino ATTC y PTTC desean apoyar el Mes de Concientización de Sobredosis del mes de agosto y el Día Internacional de Concientización de Sobredosis, que tiene lugar anualmente el 31 de agosto. Descárgalo Aquí   Podcast Rompiendo el Silencio (Episodio en Español de Latinos Con Voz podcast) **OJO: Este episodio habla sobre la muerte y el dolor y puede ser molesto para algunos oyentes** Episodio en Español de Latinos Con Voz podcast. En este episodio Christina Mancebo-Torres entrevista a la Dra. Cristina Rabadan-Diehl, Subdirectora de investigaciones clínicas en Westat, sobre el impacto del estigma en personas enfrentando el trastorno por uso de opioides y sus familias. Escúchalo Aquí
Published: August 18, 2023
Print Media
The New England ATTC co-hosted the Recovery Science and Harm Reduction (RSHR) Reading Group meeting on August 17, 2023. This discussion reviewed the article, “A Qualitative Analysis of Barriers to Opioid Agonist Treatment for Racial/Ethnic Minoritized Populations.” Article link: https://pubmed.ncbi.nlm.nih.gov/36403456/ View the August 2023 RSHR Reading group meeting summary that includes a brief article summary and key themes that arose in discussion with the participants.
Published: August 17, 2023
Other
  What Providers Needs to Know About Inhalants   The tip sheet provides information on commons types of inhalants, signs of misuse, common slang terms, short-term health effects, a description of Sudden Sniffing Death Syndrome, and treatment options for address inhalant use.     For questions about this tip sheet, please contact Andrew Kurtz, MA, LMFT ([email protected]).  
Published: August 15, 2023
Multimedia
LGBTQIA people are much more than their sexual orientation and gender identity. This interactive webinar combines the perspectives and practices of both Cultural Humility and Motivational Interviewing, inviting participants to consider how these approaches, used in tandem, can enhance engagement and retention of LGBTQIA people.
Published: August 10, 2023
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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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