Products and Resources - SAMHSA Reporting

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Starting patients on buprenorphine for opioid use disorder (OUD) in the emergency department (ED), combined with linkage to outpatient care, is an effective strategy for reducing harm, including death, from opioid use. However, patients often face barriers to getting buprenorphine in a timely manner after leaving the ED, partly because many ED physicians don’t have the authorization needed to prescribe buprenorphine at discharge. Patients discharged without a prescription may experience a return of withdrawal symptoms before they have a chance to access follow-up care. The timing and dose of buprenorphine during induction may be a way to address that lack of timely follow-up care, however. This study, CTN-0069-A-1, aimed to find out if a higher dose (>12mg) of buprenorphine administered during ED induction was safe and tolerable in people with OUD experiencing opioid withdrawal symptoms and helped better bridge the gap between ED discharge and outpatient treatment. Click on the View Resource button above to read the full article.

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The Work Plan Planning Tool contains questions and links to resources you might find helpful in planning, and as you carry out Year 5 activities.  

This guide exists for TTC website administrators to reference anytime they need instructions on creating and/or managing website content.

In September 2021, AMERSA launched a 10-episode podcast series, AMERSA People & Passion, that explores the world of substance use education, research, care and policy. The podcast is sponsored by the ATTC Network and hosted by AMERSA then-Executive Director Doreen Baeder (who retired in December 2021). Seven of the episodes feature subject matter experts across a variety of topics. The remaining three episodes are focused around “legacy interviews” with Richard Saitz, MD, MPH; Marianne Marcus, EdD, RN; and Sidney H. Schnoll, MD, PhD — who all shared their experiences as AMERSA members and discussed the history of the organization. The ATTC Network Office spoke with Rebecca Northup, AMERSA Executive Director, about the vision behind the People & Passion Podcast.

By Greg Grisolano, for the ATTC Network.   Opioid overdose deaths among older Americans are roughly 11 times greater in 2019 than in 1999, according to new research published in JAMA Network Open on January 11. The study’s authors are: Maryann Mason, PhD, Department of Emergency Medicine at the Feinberg School of Medicine, Buehler Center for Health Policy and Economics, Northwestern University, Chicago; Rebekah Soliman, an undergraduate student at Northwestern University’s Weinberg College of Arts and Sciences, Evanston, Illinois; Howard S. Kim, MD, MS, Department of Emergency Medicine at the Feinberg School of Medicine, Buehler Center for Health Policy and Economics, as well as the Center for Health Services and Outcomes Research at the Feinberg School and an associate editor of JAMA Network Open; and Lori Ann Post, PhD, of the Department of Emergency Medicine at Feinberg School of Medicine, Buehler Center for Health Policy and Economics, Northwestern University. The cross-sectional study found nearly 80,000 Americans aged 55 and older died of opioid overdoses in the last 21 years. Of those, 79.97% were between the ages of 55 and 64, and nearly 60% were men. Click on View Resource to read the full article.

Alcohol use disorder is a significant public health problem, yet treatments demonstrate only modest efficacy.   Because those individuals diagnosed with alcohol use disorder exhibit considerable heterogeneity in terms of clinical presentation as well as patterns of consumption, profiles of risk (e.g., family history of alcohol-related problems, age of first drink), alcohol-related consequences, and patterns of comorbid psychopathology, it is unlikely that a single treatment approach will be best for all individuals with alcohol use disorder.   Click on View Resource above to read the full article.

Aware of the health disparities reported in Native communities, we feared this pandemic would hit these communities hard. We decided to increase our efforts to listen to our colleagues and initiated weekly listening sessions for BH professionals. In April 2020, the National AI/AN TTCs began providing myriad special virtual events across our departments (PTTC, ATTC, MHTTC, TOR, and K-12) inviting American Indian and Alaskan Native tribes from around the country to connect with colleagues, peers, and others, to share their experience, strength, and hope in the ominous shadow of a worldwide pandemic.   Click on View Resource above to read the full article.

Fear of “saying the wrong thing,” of “offending,” because providers don’t know the right word(s) to say, is a consistent theme that emerges during every LGBTQIA-focused training I’ve ever facilitated. So too is the related expectation that a single training will supply the Lavender Lingo Lexicon (nonexistent-to my knowledge), and having memorized that, all will be peace under the rainbow sticker displayed in the waiting area. The End. Alas, if knowing the right words were magic, and it was that easy! While knowing respectful words to use with and ways to address LGBTQIA people are certainly important for providers in establishing rapport and building trust, they by no means guarantee engagement or retention. That’s why the training we’re providing at Northeast & Caribbean ATTC is called “Serving LGBTQIA People - More Than Knowing the Current Lingo.” Click on View Resource above to read the full article.

The data is telling us it’s time for a new approach to OUD crisis By Kimberly A. Johnson, Ph.D.   When I was a provider, I thought, “If the state only gave me more money and reduced regulations, I could treat a lot more people. I know what works.” When I was the SSA in Maine, I thought, “If the federal government would only give me more money and not have such a reporting burden, I could treat a lot more people. I know what my state needs. I can’t believe what providers try to get away with. I need to write more rules!” When I was CSAT director, I thought, “If Congress would just give me the money and not micromanage the allocation, I could treat a lot more people. I can’t believe what the states and providers try to get away with. Why can’t they even tell me what they spent the money on?” Now I am a researcher. I watch what everyone is doing and wonder, “How do we fix this system? Where do we even begin?”   Click View Resource to read the full article.

As a behavioral health professional with over 40 years of experience, it is my strong feeling that identity is the foundation of developing positive “Minority Mental Health.” I say this as the middle son of five siblings born in the U.S. to Salvadoran immigrants. My dad was raised in a small, rural town in El Salvador. My mother was from a larger city, Santa Ana. My dad immigrated first in the early 1940’s as an art student. He changed career plans by enlisting in the U.S. Army, deploying to the Pacific in World War II. He would be engaged to my mother who had moved to Mexico City to be with relatives. For political reasons many of her family had immigrated to Mexico, and later, Costa Rica. In 1948, my mother would join my dad. They married and settled in California’s Bay Area, buying a home on the G.I. Loan in a working-class suburb of San Francisco. My dad went to work for Bethlehem Steel, while my mother was a homemaker and later provided elder care to a neighbor. My most intimate experience with acculturation/assimilation (Choy et al., 2021) was a struggle with my name. Like many immigrants, my parents wanted me to have an “American” name. They named me Freddie, a derivative of Alfredo, my uncle. During adolescence I experienced some dissonance with my name and identity.  I was an average student, played high school sports but became more aware of my family’s background.  I began feeling the need to embrace my Latino/Salvadoran identity.    Click View Resource to read the full article.

There is a common saying in the field of addiction science: “Nothing about us, without us.” An important reminder during Recovery Month and every month working in the addiction field. Yet there is still a pronounced absence of systematic feedback from patients in recovery and receiving treatment for substance use disorders (SUDs). Barriers to engaging individuals in recovery can include social stigma, confidentiality concerns, and fear of exposure or retribution. And yet patients have a wealth of information and guidance on treatment for SUDs and long-term recovery that can benefit the research community, clinicians, and providers, as well as other patients and families.

Oklahoma is home to thriving and diverse communities of American Indian (AI) peoples, including federally recognized AI tribes and over 300,000 residents, making it the state with the of AI Peoples. As researchers at Oklahoma State University, we are interested in developing and increasing access to culturally-relevant alcohol use treatments and research with AI communities through collaborative research partnerships with local tribes (termed community-based participatory research, or CBPR). An important step toward this goal is by sharing our work, “An overview of alcohol use interventions with American Indian/Alaska Native Peoples,” published in the Behavior Therapist, which summarizes research findings on drinking among AI peoples and describes cultural considerations when working with these communities on this sensitive topic.    Click the View Resource button above to read the full article.

Contingency management (CM) is an evidence-based practice that uses behavioral reinforcement, like rewards, to shape client behavior toward a treatment goal, such as attending counseling sessions or abstinence. As a therapeutic approach, CM has been studied extensively in addiction treatment settings for half a century and found reliably effective in the treatment of both opioid use disorder and methamphetamine use disorder, two major contributors to the current overdose epidemic in the U.S.   Click on View Resource to read the full article.

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