Products and Resources - SAMHSA Reporting

In recent years, there has been growing support for a harm reduction approach to drug policy, which emphasizes reducing some of the negative consequences associated with drug use through a variety of public health measures. Historically, this approach has been a core value of syringe service programs, expanding into other settings particularly as rising overdose deaths have made educating people about overdose risks and distributing naloxone more urgent. This two-part workshop will explore how harm reduction is evolving, different interpretations of what harm reduction is (or isn’t), and ways to build bridges between harm reduction services and the continuum of care for people who use drugs. Discussion topics will include how harm reduction providers are offering or connecting participants to various types of treatment, broadly defined, and how treatment providers are incorporating harm reduction strategies into their services.

In recent years, there has been growing support for a harm reduction approach to drug policy, which emphasizes reducing some of the negative consequences associated with drug use through a variety of public health measures. Historically, this approach has been a core value of syringe service programs, expanding into other settings particularly as rising overdose deaths have made educating people about overdose risks and distributing naloxone more urgent. This two-part workshop will explore how harm reduction is evolving, different interpretations of what harm reduction is (or isn’t), and ways to build bridges between harm reduction services and the continuum of care for people who use drugs. Discussion topics will include how harm reduction providers are offering or connecting participants to various types of treatment, broadly defined, and how treatment providers are incorporating harm reduction strategies into their services.

    DESCRIPTION: As the illicit opioid supply includes more and more fentanyl, there have been increasing concerns about increasing rates of buprenorphine initiation precipitating opioid withdrawal. This session will describe why we believe this is happening, how common it is, and buprenorphine initiation strategies to support patients in avoiding precipitated withdrawal.     LEARNING OBJECTIVES: Describe the challenges of buprenorphine initiation in the fentanyl era. Name three potential approaches to buprenorphine initiation. Counsel on reducing fentanyl-related harms.     TRAINER: Elizabeth Salisbury-Afshar, MD, MPH is an Associate Professor in the Departments of Family Medicine and Community Health and Population Health Sciences at the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin. She is the Program Director of the Preventive Medicine Residency and core Faculty for the Addiction Medicine Fellowship. Dr. Salisbury-Afshar is board certified in family medicine, preventive medicine/public health and addiction medicine and her expertise lies at the intersection of these fields. Her work has focused on expanding access to evidence-based substance use disorder treatment and harm reduction services. Past public health roles include serving as Medical Director of Behavioral Health Systems Baltimore, Medical Director at Heartland Alliance Health (a healthcare for the homeless provider in Chicago), and Medical Director of Behavioral Health at the Chicago Department of Public Health. Dr. Salisbury-Afshar received her Medical Degree from Rush University Medical College and her Master’s in Public Health from John Hopkins Bloomberg School of Public Health.     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.

In this 1.5 hour course, you’ll learn about the NIATx Model of Process Improvement and the Rapid-Cycle Testing approach to systems change. Topics include: 1. An overview of the NIATx model, its theoretical foundation, and the steps for conducting a NIATx change project. 2. A skills introduction to rapid-cycle testing, how-to instructions using PDSA cycles and the change team structure. 3. A “skills in practice” look at rapid-cycle testing via a change project conducted by a juvenile probation department. 1.5 hours Continuing Education Available, NAADAC

American Indians and Alaska Natives are less likely than any other racial or ethnic group to use alcohol at all. At the same time, alcohol is the most-used substance among Native peoples. According to the National Survey on Drug Use and Health, 3 in 10 Native American young adults (age 18-25) report binge drinking (consuming five or more drinks in 2 hours); 1 in 11 report heavy alcohol use (binge drinking on 5 or more days in the past month); and 1 in 10 have an alcohol use disorder (2018). Moreover, 1 in 6 Native youth (age 12-17) engage in underage drinking, the highest rate of alcohol use of all racial/ethnic groups (SAMHSA, 2019). The high prevalence of alcohol use among Native Americans is attributed to factors stemming from colonization, including poverty, historical and intergenerational traumas, and health inequities. The era of boarding schools has also contributed to higher and long-term alcohol use disorders with AI/AN populations (2012).

    DESCRIPTION: Recovery Friendly Workplaces (RFWs) support their communities by recognizing recovery from substance use challenges as a strength and by being willing to work intentionally with people in recovery.  RFWs encourage a healthy and safe environment where employers, employees, and communities can collaborate to create positive change and eliminate barriers for those impacted by addiction. Join us to learn how becoming a Recovery Friendly Workplace promotes the physical health and mental wellbeing of all employees. In this 90-minute session we’ll learn about New Hampshire’s national RFW initiative and hear from a panel of professionals leading RFW efforts in their states.     LEARNING OBJECTIVES: Learn how to best replicate New Hampshire’s Recovery Friendly Workplace initiative Identify and summarize RFW Initiatives in the Great Lakes region Identify the strengths, opportunities, and challenges of supporting RFW Initiatives     TRAINERS: Samantha Lewandowski is the Program Director of New Hampshire’s Recovery Friendly Workplace (RFW) initiative. She first served as a Recovery Friendly Advisor for the initiative, where she worked 1:1 with over 80 workplaces, and then as its Assistant Director. She manages the day-to-day operations of the initiative, including overseeing staff and subcontractors, ensuring workplaces are supported in the RFW process, and promoting effective collaboration with partners, as well as helps implement the initiative’s strategic vision. She is also currently serving as RFW’s Multi-State Liaison, where she provides TA to other states looking to implement NH’s model.   Tyler Meenach graduated from the University of Cincinnati with a BS in Criminal Justice in 2011. He spent the next 10 years developing his career in correctional rehabilitation—earning his MS in Criminal Justice along the way. In late 2021, Tyler began a new career as a health coordinator with Hamilton County Public Health where he has been active in the development and growth of the Recovery Friendly Hamilton County program—a recent recipient of a Workforce Champion award from the Workforce Council of Southwest Ohio. He is an avid bookworm, movie buff, and record collector.       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.

The New England ATTC in partnership with the Community Care Alliance of Rhode Island is hosted a four-part targeted TA series in "Dialectical Behavior Therapy (DBT) for Substance Use and Co-Occurring Disorders" on 2/7, 2/21, 2/28, and 3/7 with subject matter expert Taylor D'Addario.  Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that was originally developed to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD) and it is now recognized as the gold standard psychological treatment for this population.  In addition, research has shown that it is effective in treating substance use disorders and a wide range of co-occurring mental health disorders such as depression, post-traumatic stress disorder (PTSD), and eating disorders.

Presenter: Paul LaKosky, PhD, Executive Director, Dave Purchase Project, Tacoma, WA In this session, Dr. LaKosky presented a brief description of the evolution of Harm Reduction in the United States. He introduced some of the major players in the U.S. Harm Reduction movement and the impact of their actions on the lives of people who use drugs (PWUD). He also provided an overview of how he and his colleagues practice Harm Reduction at Dave Purchase Project/Tacoma Needle Exchange. Download slides | Watch recording  

This Issue: LAYING GROUNDWORK FOR A HARVEST AND HEALTHY YEAR This issue will bring a reflection by our Program Director, celebrating Women’s History Month. The National Hispanic Latino Executive Leadership and Fellowship Program's project manager recently had a training that provided a brief presentation about the leadership program, shared  some of the highlights of the program and its outcomes regarding strengthening the Hispanic and Latino behavioral health workforce and growing our own. Please read to learn more about the resources we are highlighting this quarter, our upcoming events and projects, and more. In This Issue 01 Dicho of the Quarter 02 A Reflection by Our Director 03 Quarterly Highlights, and Celebrations 04 NHL Executive Leadership and Fellowship Program 05 Media Corner 06 Staff Contact Information Esta edición traerá una reflexión de nuestra Directora de Programas, celebrando el Mes de la Historia de la Mujer. El gerente de proyecto del Programa Nacional de Becas y Liderazgo Ejecutivo Hispano Latino recientemente brindó una breve presentación sobre el programa de liderazgo, compartió algunos de los aspectos más destacados del programa y sus resultados con respecto al fortalecimiento de la fuerza laboral de salud mental hispana y latina y el crecimiento de la nuestra. Lea para obtener más información sobre los recursos que destacamos este trimestre, nuestros próximos eventos y proyectos, y más. 01 El Dicho del Trimestre 02 Reflexion de Nuestra Directora 03 Hechos destacados del Trimestre y Celebraciones 04 Programa Nacional de Liderazgo y Becas para Ejecutivos Hispanos y Latinos 05 Rincón de los Medios 06 Información de Contacto del Personal

The New England ATTC in partnership with Gateway Healthcare hosted the SAMHSA’s National Outcome Measures Service Tool: Collecting Sexual Orientation, Gender Identity, and Race/Ethnicity Demographic Information in a Culturally Humble and Sensitive Approach virtual training on 1/25/23 with subject matter expert David Zelaya. This training aimed to provide an introductory overview regarding the ever growing and evolving language regarding sexual orientation, gender identity, and race/ethnicity. Specifically, the training contextualized the demographic questions being utilized in SAMHSA's NOMS tool. The training included experiential activities, dedicated space for reflection, in addition to a question and answer portion with the trainer. In line with the mission of the New England ATTC, this training helped to increase the cultural competency (i.e., awareness, knowledge, and skills) of the behavioral health workforce providing substance use and addiction services.

The National American Indian and Alaska Native Addiction Technology Transfer Center's latest newsletter explores recovery from substance use disorders (SUD) and the Indigenous Path to Recovery which includes involving family and community members, engaging in cultural events, involving Elders and community healers, and engaging in peer support networks.

Presenters: Paul Hunziker, MA and Lynsey Parrish-Dearth (Northern Cheyenne, Crow, Turtle Mountain Chippewa), MSW, LICSW March 2023 Culture is a part of every interaction a clinical supervisor has with their supervisees, clients and other staff at their agencies. The leadership role that a clinical supervisor plays demands that they feel confident in their skills navigating cultural discussions. This includes working with staff to develop their skills in cultural humility and awareness. Clinical supervisors in training regularly report that having more representative video examples of supervisor skills would be useful. In response to this feedback the Northwest ATTC has created a video series which demonstrates examples of a supervisor working with a supervisee on culturally related issues in their professional development. For this webinar two of the creators of these video demonstrations, Paul Hunziker and Lynsey Parrish-Dearth, will discuss how they incorporated cultural skills-building into the demonstration. Paul and Lynsey also co-teach a tribe focused clinical supervision skills training. During the webinar they will also discuss implications for training supervisors working in tribe-based settings.  Download slides | Watch recording Keywords: Specific populations, workforce development, training, clinical supervision, cultural humility  

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. Español 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

  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. Español Naloxona Guia 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.

Please join us for this 120-minute Behavioral Health two part webinar series. Jim Wikel PWS, CRM II/ PSS (Seneca-Cayuga) and Jessica Carroll MA (Osage) will co-present on this important topic within the behavioral health field. Part 1 will focus on the approach that peer values are cultural values, it involves cooperation not competition, and the concept of mutuality. The presenters will discuss how Individual liberty can coexist with collectivism and exploring how we can integrate these values into our work as peer supporters. Part 2 will focus on the steps necessary for becoming a Certified Peer Recovery Support Specialist while working within westernized clinical systems. To view the event recording, please click HERE. This event took place on March 20, 2023.

Join us for our event, ESAS: Basic Counseling Skills. This event took place on April 5, 2023. 

Please join us for a 5-part Behavioral Health webinar series as we host Dan Foster, PhD, (Western Band Cherokee-Dakota/Lakota) and Dr. Suzan McVicker, PhD,(Cherokee Descendant), and Warren “Bim” Pourier, MA, LPC, (Lakota), as they present on IFS (Internal Family Systems) therapy. These 120-minute webinars will offer an overview of IFS and its applications in a clinical setting. Additionally, cultural considerations discussion, recovery, re-entry, and addressing elements of the human condition. An interactive format will be used with a brief Q and A period reserved at the end of each event. To access this event recording click HERE. This event took place on March 22, 2023.

Join us for our event, ESAS: Treatment Knowledge. To view the event recording, click HERE. This event took place on March 1, 2023. 

This snapshot of information is intended to provide resources to individuals, parents, professionals, and providers on fentanyl use among Latinos in the United States. 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.

Peer professionals provide an array of recovery-oriented supports and person-centered care which include empathetic engagement with survivors of trauma circumstances. This work at times can increase the peer’s vulnerability to vicarious trauma or secondary stress. Potentially it can result in the loss of ability to objectively help others find their recovery pathways and can affect the peer’s mental and emotional wellbeing. This two-hour interactive workshop will review how trauma situations may present, signs to recognize and cues alerting as to when to step away from a trauma inducing situation. Content will also offer practical strategies for self-care including ways to build resiliency.

This is the recorded webinar and slides for the presentation held March 28, 2023. View the Harm Reduction on College Campuses: Implementation Strategies for Naloxone Access webinar in a new tab.  

The mental and emotional well-being of diverse populations are exacerbated by social, environmental, and economic conditions that have been identified as barriers affecting help seeking behaviors. Moreover, research is indicating how organizational staff providing services to diverse communities are increasingly experiencing their own wellness challenges dealing with client loss and overwhelming responsibilities, and can benefit from work environments that consider and support their wellbeing.  The National Culturally and Linguistically Appropriate Services (CLAS) Standards provide a framework to assist organizations to work more effectively and resourcefully with diverse populations. This interactive training will instruct on how to implement the National CLAS Standards within behavioral health care settings to build organizational capacity and provide culturally informed and linguistically conducive services that enhance recovery and wellness pathways, integrate strategies to reduce racial and ethnic disparities, and advance behavioral health equity and inclusion for both communities and the professionals that provide care.

You know Motivational Interviewing (MI) as an evidence-based intervention that promotes behavior change… would you like to explore further? Join longtime friends, colleagues, and Motivational Interviewing Network Trainers Amy Shanahan and Paul Warren as they discuss the intricacies of the MI spirit, intentionality, evoking change talk, and reveal what MI is not. If you are curious about enhancing what you know about MI, reflecting on your practice, and improving your partnership with clients, then link arms with Amy and Paul and listen as they explore the path of MI learning using a fun and thought-provoking conversational style.

    DESCRIPTION:  In this webinar, Dr. Ryan Westergaard will review the epidemiology of HIV and Hepatitis C infection among people who use drugs. He will discuss current and future approaches for addressing infectious disease risks as the epidemics of opioid and stimulant use continue to evolve, sharing research findings from the National Institutes of Health Rural Opioid Initiative.  With examples from community-based research conducted in Wisconsin and elsewhere in the Midwest, Dr. Westergaard will illustrate how changes in injection drug use, policies around harm reduction services, and the COVID-19 pandemic influence communities’ vulnerability to HIV outbreaks and pose challenges to the national goal of viral hepatitis elimination.     LEARNING OBJECTIVES: Understand how changes in the epidemiology of opioid and methamphetamine use disorder have posed obstacles to the goals of ending the HIV epidemic. Recognize the potential impact of incorporating screening, linkage to care, and low-threshold treatment for hepatitis C infection in addiction treatment settings. Discuss a research agenda for a comprehensive, patient-centered approach to health and safety of people who inject drugs.       TRAINER: Dr. Ryan Westergaard, MD, PhD, MPH, is a physician and epidemiologist, specializing in treatment and prevention for HIV and viral Hepatitis, with a special dedication to harm reduction among people who inject drugs. He is currently serving as Wisconsin’s Chief Medical Officer for the Bureau of Communicable Diseases (DPH, DHS). This is in addition to his research and physician-faculty position at the University of Wisconsin Madison School of Medicine and Public Health where he’s an Associate Professor of Medicine and an Infectious Disease Physician for UW Health. Holding these positions has paved the way for building bridges between the institutions and leverage the many resources of all to benefit the health and well-being of residents across Wisconsin.         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.