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The Mountain Plains ATTC partnered with University of North Dakota’s (UND) ECHO Clinic to create a seven-part ECHO series using an interdisciplinary approach to train health professionals on pain management and recovery titled, “Addressing Substance Use Disorder in 2019: An Interprofessional Approach to Pain Management and Recovery”. This seven-part ECHO Series provides a venue for a variety of health professionals to learn how to help patients/clients manage their pain without the use of opioids. Each month a different health professional presented on how to management pain from their professional perspectives (e.g., Occupational Therapist; Addiction Counselor; Nutritionist; Chiropractor; Physical Therapist; Music Therapist; and Psychiatrist) in order to promote interdisciplinary approaches especially as it relates to Opioid Use Disorders and preventing overdose. Finally, a rural perspective will be included in each session. A typical ECHO structure will be followed for the seven sessions including a 20 minute didactic followed by a case study and discussion. To view this 7-part series, other Project Echo presentations on the management of opioid use disorders (OUD), and/or get additional information visit UND’s Center for Rural Health Project Echo webpage. In addition, all Project ECHO teleECHO™ sessions are recorded and available for continuing medical education (CME) credit.
Published: September 30, 2019
Print Media
Exploring Models for the Implementation of Medication-Assisted Treatment for Opioid Use Disorder: Knowledge and Application At state and local levels, agencies have expressed a dire need for increased access to OUD treatment to encourage individuals to enter long-term recovery. Developed by the ATTC Network CLAS Standards Workgroup, this factsheet provides concise, practical guidance to facilitate decision-making for MAT expansion. It builds on the Agency for Healthcare Research and Quality (AHRQ) technical brief titled Medication-Assisted Treatment Models of Care for Opioid Use Disorder. This AHRQ technical brief describes background and research for promising and innovative MAT models in primary care settings; it provides an overview of the models and identifies gaps in the evidence base.    
Published: September 26, 2019
Multimedia
In collaboration with the New England Association of Drug Court Professionals (NEADCP) and the Opioid Response Network of New England (ORN), we created a webinar series for individuals who wanted to learn more about Medication Assisted Treatment (MAT) and its role in justice settings. The goal of this webinar was to familiarize professionals in the drug court system with opioid use disorder (OUD) as a disease and its effects. The webinar also explained how MAT works, answered the question “what is the ‘treatment’ in medication assisted treatment,” and examined why the science of OUD is important to effective treatment courts. Leading experts in the field were present to answer discussion questions.
Published: September 26, 2019
Multimedia
In collaboration with the New England Association of Drug Court Professionals (NEADCP) and the Opioid Response Network of New England (ORN), we developed a second webinar that focused primarily on the impact of stigma on drug court participation in MAT. We discussed common challenges facing patients within the criminal justice population, including criminal thinking, underlying trauma, and stigma. We also discussed stigma with regard to both MAT and the criminal justice population, with special attention to three types of stigma: self-stigma, social stigma, and institutional stigma, including the reluctance to be involved in providing MAT services from an institutional standpoint. Further, we discussed the efficacy of MAT in these populations, as well as existing barriers, and how these relate to the three above-mentioned types of stigma.  A major point of emphasis was that MAT is highly efficacious regardless of whether a patient has a history of criminal involvement.
Published: September 26, 2019
Multimedia
In collaboration with the New England Association of Drug Court Professionals (NEADCP) we hosted the third and final webinar of this series for individuals who wanted to learn more about MAT and its role in justice settings. This training opportunity focused on dealing with issues that a professional might encounter when handling patients with complex issues. The webinar focused on presenting a hypothetical and complex OUD court case based on factual data. The presenter explained how important life events are often not considered when conducting a comprehensive evaluation. The webinar concluded with an interactive open discussion. 
Published: September 26, 2019
Presentation Slides
Part 1 of the Great Lakes ATTC/NW ATTC 3-part webinar series provides an overview of stimulant (cocaine and methamphetamine) use in the U.S. Presenter Rick Rawson, Ph.D., will discuss: 1. The extent and geography of stimulant use.  2. Clinical syndromes produced by acute and chronic stimulant use; s.trategies for addressing acute intoxication, withdrawal, and stimulant-induced psychosis.  3. Effective behavioral treatments for stimulant use disorders.  4. The status of pharmacotherapy research on treatments for stimulant use disorders.  5. Vulnerable populations, including the problem of stimulant use by individuals in medication treatment for opioid use disorder.
Published: September 12, 2019
eNewsletter or Blog
The September 2019 Dialogue features: Addiction: National Recovery Month | Mental Health: Learning Collaboratives | Prevention: Prescription Opioid and Heroin Awareness | ORN: LGBT+ Long-term Recovery | Region 3 Spotlight: Recovery Stories of Shirley J. Davis and Kathy Dorman. 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. If you would like to be added to our mailing list to receive the Dialogue and news and training announcements, sign up here.           Recovery Stories: In this month's newsletter, two special and brave guest contributors shared their recovery stories for Recovery Month.   Shirley J. Davis For many years, I ran from the realities of my past life and tried extremely hard to hide from the knowledge that I continually lost time and felt like “someone else,” until the winter of my thirtieth year. I went to bed one night and as soon as I turned off the light to go to sleep, I relived a horrible memory of rape. I immediately turned the lights back on and lay shivering in my bed waiting for daylight. It was then that I knew I had to get help. Continue reading Shirley's story.     Kathy Dorman I’m so grateful to be a recovering addict, to still be alive to give others hope, because I remember the life of hopelessness. My passion is to reach children and young adults who may feel hopeless or peer pressured into trying drugs. As a child, I was surrounded by family and friends who were caught in the disease of addiction. I tell people, yes, I may have had a choice, but literally I had no chance, at least that’s how I felt. Continue reading Kathy's story.
Published: September 3, 2019
Multimedia
During this last installment of the webinar series three presenters will discuss change management strategies for successfully implementing these evidence-based practices. The first two installments of the series focused on effective treatment strategies and models for addressing stimulant use disorders. During this webinar, three presenters will discuss change management strategies for successfully implementing these evidence-based practices. Todd Molfenter, Ph.D. will provide an overview on how implementation science informs successful uptake of EBPs. Bryan Hartzler, PhD. will present tips for community-based implementation of contingency management. Denna Vandersloot, M.Ed will share lessons learned from implementation efforts involving the Matrix Model of treatment.
Published: September 3, 2019
Multimedia
Peer support workers are people who have been successful in recovery from physical or mental health challenges and who help others experiencing similar situations through shared understanding, respect, and mutual empowerment. In this webinar, Michelle Marikos, PSS will share her story and how she became a peer for chronic pain. Her webinar will offer insight into what peers can do for the pain and opioid crisis. Presenter: Michelle Marikos, PSS, Certified Peer Support Specialist Download slides
Published: August 28, 2019
Multimedia
Tom Fuchs, MEd, Behavioral Health Adult Treatment Manager for DSHS-Behavioral Health and Recovery Division, describes the 18 funded projects for the Washington State Targeted Response (WA-Opioid STR) grant, a statewide effort to address the opioid epidemic through increased access to prevention, treatment, and recovery services. The plan builds on the state strategic plan, existing infrastructures and expanding implementation of proven programs and strategies to meet the needs of the state.  Download slides
Published: August 28, 2019
Multimedia
The National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities. This webinar will discuss how health care organizations need to ensure that awareness, adoption, and implementation of the National CLAS Standards are incorporated to have a more inclusive definition of culture in order to better serve individuals and families affected by the opioid crisis. OBJECTIVES: Highlight the enhanced CLAS Standards that contribute to positive health outcomes for all Americans Increase awareness of the Healthy People 2020 leading indicators and the Opioid Epidemic Understand the domestic and societal impacts of the Opioid Epidemic and the growing harm of opioid misuse Review a toolkit of critical steps to address this epidemic: the most effective way to treat those who are at-risk identifying high-risk members models of compassionate care the role and responsibilities of health providers   PRESENTERS: JACQUELINE COLEMAN MEd, MSM, BA, CPC Certified Professional Coach   DIANE MARIE JONES LICSW, LCSW-C Owner of Next Level Therapeutics Interventions, LLC
Published: August 14, 2019
Multimedia
The second installment of the webinar series featured a panel of providers presenting their experiences with effective treatment strategies and evidence-based practices for working with individuals with stimulant use disorders.  Section 1: Treating Individuals with Stimulant and Opioid Use Disorders – Evergreen Treatment Center in Seattle, WA. K. Michelle Peavy, Ph.D. of Evergreen Treatment Services addressed challenges and strategies of working with individuals with comorbid opioid use and stimulant use disorders. Section 2: Implementing Contingency Management: Lessons Learned from VA’s National Implementation Initiative. Dominick DePhilippis, Ph.D. described use of contingency management in the VA system. Section 3: Using the MATRIX Model to treat stimulant disorders in a FQHC setting. Regina Fox discussed use of the Matrix Model of treatment in a community-based treatment organization.
Published: August 9, 2019
eNewsletter or Blog
The August 2019 Dialogue contains articles on: Addiction: Naloxone - Safe & Effective | Mental Health: Children Helping Children Bounce Back from Depression | Prevention: Overdose Awareness | ORN: International Overdose Awareness Day | Region 3 Spotlight: Mental Health & Suicide Prevention Across Campus & Community Conference. 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. If you would like to be added to our mailing list to receive the Dialogue and news and training announcements, sign up here.
Published: August 6, 2019
Multimedia
Hepatitis C virus is on the rise in rural communities of the U.S. This presentation from Judith Tsui, MD, MPH (University of Washington School of Medicine) described the syndemic of opioid use disorder (OUD) and hepatitis C (HCV). Dr. Tsui presented evidence showing the current gaps in treatment for OUD and HCV among persons who inject drugs. Based on analysis of current treatment methods and real-world patient living conditions, her presentation also described research on innovative models of care to improve treatment access and outcomes for persons with OUD and HCV. This webinar was sponsored by the Northwest ATTC and the Area Health Education Center for Western Washington (AHECWW).
Published: June 26, 2019
Multimedia
Three-part webinar series offered by the Great Lakes ATTC and the Northwest ATTC. Part 1 of the series provides an overview of stimulant (cocaine and methamphetamine) use in the U.S. Presenter Rick Rawson, PhD will discuss: The extent and geography of stimulant use Clinical syndromes produced by acute and chronic stimulant use Strategies for addressing acute intoxication, withdrawal, and stimulant-induced psychosis Effective behavioral treatments for stimulant use disorders The status of pharmacotherapy research on treatments for stimulant use disorders A discussion of vulnerable populations, including the problem of stimulant use by individuals in medication treatment for opioid use disorder   PowerPoint Presentation  
Published: June 17, 2019
Multimedia
Fueled by the opioid epidemic, hepatitis C infections have increased dramatically in rural communities in the Great Lakes Region. Since 2017, a consortium of academic, public health and community-based partners have undertaken abroad research program in six rural Wisconsin counties. The research team has surveyed more than 800 people who inject drugs and interviewed diverse stakeholders working on the public opioid response to inform best practices for reducing the spread of HIV, hepatitis and preventing overdose. In this 60-minute webinar, Principal Investigator Dr. Ryan Westergaard will review lessons learned through this research and describe how the communities plan to move forward with implementation of a client-centered prevention service coordination intervention starting in late 2019. PowerPoint Presentation Transcript  
Published: June 10, 2019
Multimedia
Learn how addiction and infectious disease interact: Dr. Ryan Westergaard presents clinical issues related to the management of patients with infectious diseases and addiction, including important drug interactions, adherence support, and care coordination strategies.  Read the transcript: 
Published: June 6, 2019
Interactive Resource
This one-hour, self-paced course on the HealtheKnowledge website is designed to equip peers and other outreach workers with information, resources, and practical tips to help them better understand opioids and their impact on individuals.  The course features four modules: Role of Peers in Recovery Opioids and the Brain Treatment Options Supporting Those Using Opioids Learn about effective treatment options and strategies for using person-centered care to engage people with opioid use disorder in their path to recovery. 1 NAADAC/NBCC CEU available!
Published: June 3, 2019
Print Media
Provides an overview of resources and initiatives to address opioid misuse in Ohio. Information effective May 2019. 
Published: May 31, 2019
Print Media
Provides an overview of state resources and initiatives to address the opioid epidemic in Minnesota. Information effective May 2019.
Published: May 30, 2019
Print Media
  Infographic to assist special populations, providers and organizations in disseminating an infographic in myths versus reality of substance use. Many people don't understand why or how other people become addicted to drugs. They may mistakenly think that those who use drugs lack moral principles or willpower and that they could stop their drug use simply by choosing to. In reality, drug addiction is a complex disease, and quitting usually takes more than good intentions or a strong will. Drugs change the brain in ways that make quitting hard, even for those who want to. Fortunately, researchers know more than ever about how drugs affect the brain and have found treatments that can help people recover from drug addiction and lead productive lives.
Published: May 24, 2019
Print Media
      Infographic to explain what opioids are by definition, name, function, effect, and misuse.
Published: May 24, 2019
Print Media
  Understanding addiction is essential to successfully addressing it. In this overview of substance use we discuss the spectrum of use, neurobiological responses to substances, signs and symptoms that explain the disorders, and the common definition of SUDs.  
Published: May 24, 2019
Print Media
Provides an overview of resources and initiatives to address opioid misuse in Illinois. Information effective May 2019.
Published: May 23, 2019
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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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