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eNewsletter or Blog
The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC. The April 2024 issue spotlights content celebrating National Minority Health Month and Alcohol Awareness Month. It also features links to upcoming trainings focused on supporting Black students experiencing racial trauma, harnessing AI for substance misuse prevention, and process improvement. 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: April 12, 2024
Multimedia
This 16-hour training (12 hours of live interactive training through Zoom + 4 hours of professional development plan assignments), combined with the 14-hour online “Clinical Supervision Foundations I” training, will meet the 30-hour Clinical Supervision training requirement for the Advanced Counselor and Master Counselor status, as referenced in the OASAS Substance Use Disorder Scope of Practice. This training recognizes the crucial role that Clinical Supervision holds as the cornerstone of performance improvement at both the program and client level. Clinical Supervision, when properly implemented by competent Clinical Supervisors, improves client care, develops clinical skills, and improves the knowledge and professionalism of clinical personnel. It is also paramount in imparting and maintaining ethical standards in the addictions profession. This training met the requirements for 16 renewal hours (CASAC, CPP, CPS) and 16 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: April 12, 2024
Multimedia
This 16-hour training (12 hours of live interactive training through Zoom + 4 hours of professional development plan assignments), combined with the 14-hour online “Clinical Supervision Foundations I” training, will meet the 30-hour Clinical Supervision training requirement for the Advanced Counselor and Master Counselor status, as referenced in the OASAS Substance Use Disorder Scope of Practice. This training recognizes the crucial role that Clinical Supervision holds as the cornerstone of performance improvement at both the program and client level. Clinical Supervision, when properly implemented by competent Clinical Supervisors, improves client care, develops clinical skills, and improves the knowledge and professionalism of clinical personnel. It is also paramount in imparting and maintaining ethical standards in the addictions profession. This training met the requirements for 16 renewal hours (CASAC, CPP, CPS) and 16 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: April 12, 2024
Multimedia
This 16-hour training (12 hours of live interactive training through Zoom + 4 hours of professional development plan assignments), combined with the 14-hour online “Clinical Supervision Foundations I” training, will meet the 30-hour Clinical Supervision training requirement for the Advanced Counselor and Master Counselor status, as referenced in the OASAS Substance Use Disorder Scope of Practice. This training recognizes the crucial role that Clinical Supervision holds as the cornerstone of performance improvement at both the program and client level. Clinical Supervision, when properly implemented by competent Clinical Supervisors, improves client care, develops clinical skills, and improves the knowledge and professionalism of clinical personnel. It is also paramount in imparting and maintaining ethical standards in the addictions profession. This training met the requirements for 16 renewal hours (CASAC, CPP, CPS) and 16 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: April 12, 2024
Multimedia
Data sources estimate that between 25 to 75% of people who survive different forms of abuse and/or a violent trauma develop issues related to substance use. Despite the prevalence of trauma, it often goes undetected particularly in people already dealing with life challenges and at high risk of substance use, misuse, and mental health problems.  This interactive training will review variations of trauma and potential impacts on the mind, and how self-regulation techniques can help address traumatic reactions. The content will further discuss practice specific opportunities for integration of trauma-informed care principles and during various points of client interactions. Providers will learn how trauma-informed care provides a preventive approach to engagement and supports person-centered care. This training was approved for three renewal hours (CASAC, CPP, CPS) and three 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: April 12, 2024
Multimedia
This brief, interactive learning community conversation is for those participants who are new to the evidence-based practice of Motivational Interviewing (MI). Individuals beginning their MI exploration will receive a foundational overview of this often misunderstood method of communication. Although brief, participants will conclude this introduction ready for their next step in what can grow into a fulfilling MI adventure.  This training was approved for one renewal hour (CASAC, CPP, CPS) and one initial hour (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: April 12, 2024
Multimedia
Most trainings on Motivational Interviewing (MI) convey the "concept" of "Change Talk" as essential to the practice and stop there. This interactive Learning Community Conversation will review the "types" of Change Talk and provide opportunities to practice identifying this truly essential part of the language of ambivalence; along with it's often vilified counterpart, Sustain Talk. A prior working knowledge of MI is helpful if you choose to join this conversation. 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.  
Published: April 12, 2024
Multimedia
"Change Talk" is the solid GOLD motor that builds motivation for behavior change when practicing Motivational Interviewing (MI); without it the change-train is going nowhere and you're not practicing MI. During this Learning Community Conversation (LCC), we will review how to evoke Change Talk and how to employ it, once it's spoken by the client/patient. The LCC "Change Talk" Is Motivational GOLD, a suggested prerequisite to join this conversation. 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: April 12, 2024
Print Media
The Invitation to Change (ITC) is a holistic helping model for families affected by substance use, drawing from concepts also found in CRAFT, MI, and ACT. Participants will leave the training with a complete set of tools for empowering families to support their loved ones effectively. More about the approach here. The deadline to apply is April 19, 2024. This training is a collaboration with the Great Lakes ATTC, South Southwest ATTC, Mountain Plains ATTC, Northwest ATTC, South Southeast ATTC, Mid America ATTC, and the ATTC Network Coordinating Office.
Published: April 2, 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 74: MI and Servant Leadership, with Jemima Neddy Organ In this episode, Jemima Neddy Organ, a community educator who has worked as an instructor and training consultant in Kenya and the Middle East, joined Glenn and Sebastian to talked about MI in the context of leadership. They discussed what servant leadership is, the distinction between servant and transformational leadership, the core skills of MI (i.e., OARS) and servant leadership, and transitions. Find other episodes here.
Published: April 1, 2024
Other
Product Developed by the Contingency Management Task Force (CM Task Force) The Addiction Technology Transfer Center Network Coordinating Office (ATTC NCO) convened the Contingency Management Task Force (CM Task Force) in April 2023 at the request of the Substance Abuse and Mental Health Services Administration (SAMHSA). The purpose of this Contingency Management (CM) Task Force was to define the key components of CM that will facilitate consistent evidence-based training and implementation, and to scale CM in a manner that is meaningful, permissible, and scientific. The insights gathered will help SAMHSA’s [Training and Technical Assistance (TTA) Centers] to offer technical guidance, resources, partnerships, and infrastructure to support the expansion of CM to stakeholders in the field of addiction and recovery. This initial meeting is crucial in developing a shared vocabulary and an evidence based approach to CM education and training platforms, with the goal of incorporating metrics to measure effectiveness. Key information and components for facilitating CM TTA found in this report, include: 1. Key areas of considerations relating to implementation guidance (Section 2) 2. Recommendations pertaining to the development and rollout of implementation guidance (Section 3) 3. Proposed chapter titles and topics to be used in the possible development of a Contingency Management Implementation Guidance Document (Section 4) 4. Publicly available resources (Section 5) 5. Selected references (Section 6)
Published: March 31, 2024
Toolkit
Over the last six months the ATTC Network Workforce Development, Recruitment, and Retention Workgroup collaborated to create a report titled Strategic Response to Behavioral Workforce Shortages, focusing primarily on barriers to recruitment and retention in the field of behavioral health. This report highlighted three areas of focus: recruitment of new employees to the field, competitive pay, and portability of licenses and certifications. In addition to the brief-style report, the workgroup created three shorter one-pager versions to be printed and used for tabling events. The report highlights identified barriers under each focus, recommended responses to address these barriers, real-world examples of organizations and states that have attempted to remedy these barriers, and action steps for addressing the barriers looking ahead. The intended use for this report is to provide concrete steps for ATTC regional offices to inform future initiatives, as well as initiating conversations at the national level to address the behavioral health workforce shortage.
Published: March 31, 2024
Multimedia
  While men’s addiction and mental health treatment has been quite successful, there is great room for improvement. This new framework, developed by Mr. Griffin and colleagues, integrates the latest thinking on addiction and recovery, relational cultural theory, male psychological development, and trauma. Current treatment models and theories fail to adequately consider the relational needs of men; often omit a clear understanding of the impact of the socialization process on men; fall short of adequately addressing the impact of abuse and trauma that is so strongly linked with addiction and the life of the male addict; and often ignore any social context and/or the consequences of political, social, and economic power.     TRAINER:   Dan Griffin, MA, is an internationally recognized author, thought leader, and expert on men’s relationships and masculinity. Dan has dedicated his life and work to exploring and redefining what it means to be a man in the 21st century. He is committed to helping men be better men by understanding the impact of the Man Rules on their lives. Dan also helps men find the success in their personal lives they are striving for in their professional ones. Griffin’s books and curricula are all focused on helping men and dads live their best lives. Dan served as a senior fellow at The Meadows, world-renowned experts treating addictive disorders and trauma, from 2015 to 2017. Dan earned a Master’s degree in Sociology from the University of Kansas. For his graduate work, Dan completed the first qualitative study centered on the social construction of masculinity in the culture of Alcoholics Anonymous. Dan is in long-term recovery and lives with his family in Los Angeles   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: March 29, 2024
Multimedia
This is the recording and a pdf file of the slides used for the March 27, 2024 webinar
Published: March 28, 2024
Multimedia
Humor has long been recognized as a powerful tool in therapy, capable of breaking down barriers, fostering rapport, and promoting healing. This interactive session presented by Mallori DeSalle, MA, LMHC, NCC, CMHC, CHP, delves into the art and science of using therapeutic humor to support clients in their therapeutic journey. Participants will explore the multifaceted benefits of humor in therapy, including its ability to reduce stress, enhance resilience, and facilitate emotional processing. Through case studies, role-playing exercises, and group discussions, attendees will learn practical strategies for incorporating humor into their therapeutic practice in a safe and ethical manner. Whether you're a seasoned therapist looking to refresh your approach or a new practitioner eager to expand your therapeutic toolkit, this session offers valuable insights and practical techniques for harnessing the power of humor to support your clients on their path to healing and growth. Join us and discover how humor can be a transformative force in the therapeutic process. Download slides | View recording
Published: March 27, 2024
Other
The New England ATTC in partnership with RICARES provided a basic/universal TA session titled “State-level homelessness and drug overdose mortality: Evidence from US panel data” on 3/21/24 from 12:30 PM to 1:30 PM. Although we in recovery science understand well that not having access to steady, safe, and secure housing is a risk factor for drug overdose for a given individual, less is known about the relationship between homelessness and overdose mortality (the rate of death resulting from drug overdose) at the state level. In this study, researchers looked at data on housing, population, substance use, overdose, unemployment, and other variables from 2007–2020 for all US states and Washington DC. The result was that overdose mortality was found to be positively associated with homelessness at the state level in other words, the more homelessness there is in a state, the higher the state’s overdose mortality rate is likely to be. However, they found that this association becomes weaker when fentanyl is widely available in a given state. Researchers concluded that, given this association, policies, and programs to prevent and reduce homelessness should be considered critical elements of overdose prevention efforts. Article link: www.sciencedirect.com/science/article/pii/S0376871623011481?ref=pdf_download&fr=RR-2&rr=85fb4e876ef442b5 Please find the meeting summary here: ATTC ReadingGroup 03212024 Summary
Published: March 22, 2024
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
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
Print Media
Xylazine (or “tranq”) is a non-opioid sedative and tranquilizer only approved for use in veterinary medicine. However, over the past several years, human consumption of xylazine has begun rapidly increasing. Although initially only identified in illicit drug supplies in limited areas, xylazine has been found in 48 states as of April 2023. Xylazine is frequently, though not exclusively, used in conjunction with opioids, particularly fentanyl—due to xylazine’s ability to prolong their effects. Xylazine use presents many potential dangers to people, including an increased risk of overdose and the development of necrotizing tissue damage. This factsheet details key concerns, overdose responses, harm reduction techniques, and more.   To download the factsheet in English, please click the  "Understanding Xylazine" button 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, please click the "Comprender la xilacina" 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
Multimedia
The Institute of Medicine describes person-centered care as the qualities of compassion, respect and responsiveness to the needs, values, and expressed desires of each individual patient. But how do we ensure that we as providers are working from ‘where the client is at’ instead of from our own agenda? Effective engagement strategies grounded in eliciting information, positive regard and empathetic understanding will be discussed. Further, the content will inform and highlight Cultural Humility key components as a means to person-centered care to enhance the opportunities that build trust and rapport. When people who seek services are heard and included in their treatment care, they are more likely to commit to their own recovery and wellness process.    This training was approved for three renewal hours (CASAC, CPP, CPS) and three 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: March 11, 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
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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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