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The opinions expressed herein are the views of the authors and do not reflect the official position of the Department of Health and Human Services (DHHS), SAMHSA, CSAT or the ATTC Network. No official support or endorsement of DHHS, SAMHSA, or CSAT for the opinions of authors presented in this e-publication is intended or should be inferred.

Flowcharting: The Foundation for Making Meaningful Improvements

Published: 12/10/2024
The flowchart is one of the essential tools in the NIATx model. A flowchart provides visual map of your process—it shows how things get done, step by step. You might be thinking, “Why do we need a flowchart if we already did a walk-through of the process?" If the process seems straightforward, your team might […]
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Find Help

Published: 12/05/2024
TEST post - By Briana Craemer FindTreatment.gov The confidential and anonymous resource for persons seeking treatment for mental and substance use disorders in the United States and its territories. Available in Spanish. FindTreatment.gov 988 Suicide & Crisis Lifeline 24-hour, toll-free, confidential support for people in distress. Prevention and crisis resources for you or your loved ones.Call […]
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Medications for Substance Abuse

Published: 12/03/2024
TEST post - By Briana Craemer Learn how medications can be used to treat substance use disorders, sustain recovery and prevent overdose. The use of medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. Medications used are approved by the Food and Drug Administration (FDA) and are clinically driven […]
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Need more info on Xylazine, Nitazenes and Medetomidine? Opioid Response Network is crowdsourcing info on all three

Published: 12/02/2024
Xylazine, medetomidine and nitazines are substances that are emerging as key contributors in the latest wave of the Opioid Overdose Epidemic. Xylazine is an adulterant that increases the duration of a user’s fentanyl high and delays withdrawal to some extent. Medetomidine is another adulterant that belongs to the same family of drugs as xylazine, but […]
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The Ripple Effect: How Small Changes Make a Big Impact - A Look Inside the Milwaukee Comprehensive Care Initiative (MC3) and NIATx Learning Collaborative

Published: 11/11/2024
The NIATx model was designed to be easily adopted and sustained by organizations and systems without the need for ongoing consultation or complicated processes. It's built to empower teams to identify and make small changes that lead to big improvements. Milwaukee County's behavioral health system first got involved with NIATx in 2011. Since then, NIATx […]
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EmpowerED: A Process Improvement Workbook for School-Based Suicide Prevention

Published: 10/08/2024
Note: Much of the content used in this workbook was sourced from the NIATx School-Based Suicide Prevention Learning Collaborative training curriculum, which was developed by Scott Gatzke using the NIATx Change Model. What is the purpose of this workbook? Youth suicide is a significant public health issue in the United States, and schools play a crucialrole […]
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The Vital Condition of Civic Health

Published: 10/01/2024
Social determinants of health (SDOH) impacting 80% of health outcomes in the U.S. continues to be the norm(1). Healthcare professionals often feel limited when it comes to addressing SDOH, but there is a way to impact change at the system level. Beyond traditional treatment interventions, integrating civic health—active participation in democratic processes and community activities—can […]
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Illinois ROSC Councils Utilize NIATx Principles to Expand Services

Published: 09/18/2024
ROSC Councils Hosting 2024 National Rally for Recovery in Chicago As a part of creating a recovery-oriented system of care (ROSC) in 2018, the state of Illinois began funding providers to develop ROSC Councils in counties throughout the state. These providers were funded to mobilize key stakeholders in entire counties to work together to promote […]
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Exploring HealtheKnowledge:  Highlighting ATTC Network’s Online Learning Offerings for Health and Behavioral Health Professionals

Published: 08/20/2024
HealtheKnowledge is a one-stop shop for your online learning needs, with free online learning and low-cost continuing education courses for health and behavioral health professionals. A program of the UMKC School of Nursing and Health Studies’ Collaborative Center to Advance Health Services, HealtheKnowledge offers over 250 public courses. Every course offers a certificate of completion […]
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How to Implement CLAS Standards using NIATx 

Published: 08/13/2024
As NIATx moves into its third decade, we continue to explore new terrains in improvement. NIATx has documented success as a framework for change management and for implementing evidence-based practices such as medications for opioid use disorder and behavioral approaches like motivational interviewing. It’s also showing promise as a framework for building culturally responsive care, […]
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Quiz: How Well Do You Know NIATx?

Published: 07/16/2024
Whether you're a seasoned NIATx expert or just beginning your NIATx journey, we have a challenge for you. Take this quick quiz to find out just how well you know this evidence-based process improvement approach!   Question 1:What does NIATx stand for? A) The Network for Improvement and Technical Excellence B) The Network for the […]
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A NIATx Virtual Walk Through to Promote Integrated Care for Co-occurring Mental Health and Substance Use Conditions

Published: 06/05/2024
Information provided in this post comes from technical assistance provided by the Great Lakes ATTC in Manitowoc County, WI. Providers throughout the Great Lakes region and across the county have been making steady gains toward integrated mental health and substance use care. Providers have come to understand that co-occurring conditions (COD) are more the norm […]
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Flowcharting Your Breakfast: How to Find the Right Altitude

Published: 05/06/2024
The NIATx change model focuses on a sequence of four primary tools: After a walk-through, teams sometimes struggle to create a flowchart to map out the process they just examined. Whether you use a big sheet of paper and a marker, sticky notes on a dry-erase board, or any number of softwares, here are a […]
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The NIATx Files: A brief history of the Nominal Group Technique

Published: 04/02/2024
The Nominal Group Technique (NGT) is one of the essential tools that NIATx change teams use to implement successful change projects.
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Three Ways to Sustain Change with NIATx

Published: 03/04/2024
The NIATx model is designed to help teams identify and implement a process improvement. While adopting a change is a significant accomplishment, the true test lies in maintaining that change and its positive outcomes over the long term: sustaining the change. Sustainability refers to the ability to stick with the new way of doing things and […]
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ATTC's Pearls of Wisdom Podcast Series, Episode 4: The Next Decade (2023 and Beyond)

Published: 02/29/2024
In celebration of the 30th anniversary of the Addiction Technology Transfer Center Network, we're taking stock of where we've been, and looking ahead to where we are going. We invite you to listen to our Pearls of Wisdom podcast series. Each episode examines a different decade in our network's history, and features conversations with the people […]
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ATTC's Pearls of Wisdom Podcast Series, Episode 3: The Previous Decade (2013-2022)

Published: 02/15/2024
 In celebration of the 30th anniversary of the Addiction Technology Transfer Center Network, we're taking stock of where we've been, and looking ahead to where we are going. We invite you to listen to our Pearls of Wisdom podcast series. Each episode examines a different decade in our network's history, and features conversations with the people […]
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Empowering Change with NIATx: Expanding Peer Support Services in Wisconsin’s Comprehensive Community Services Program

Published: 02/13/2024
 By Maureen Fitzgerald, Communications Manager, Great Lakes ATTC, MHTTC, and PTTC Comprehensive Community Services (CCS) is a unique Wisconsin Department of Health Services (DHS) program designed to provide a wide range of community-based, recovery-oriented, and person-centered mental health and substance use disorder services to eligible individuals across the lifespan. The program, part of the DHS Division […]
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New Framework Released to Reduce Opioid Overdose

Published: 02/05/2024
By: HEAL Connections The Opioid-Overdose Reduction Continuum of Care Approach (ORCCA): A Policymakers Guide to Implementing Evidence-Based Strategies that Address Opioid Overdose aims to help policymakers, communities and key stakeholders to develop comprehensive, multi-system strategies that address the opioid crisis. The science and evidence behind the framework was published in the Drug and Alcohol Dependence […]
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ATTC's Pearls of Wisdom Podcast Series, Episode 2: The Second Decade (2003-2012)

Published: 02/01/2024
In celebration of the 30th anniversary of the Addiction Technology Transfer Center Network, we're taking stock of where we've been, and looking ahead to where we are going. We invite you to listen to our Pearls of Wisdom podcast series. Each episode examines a different decade in our network's history, and features conversations with the people […]
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ATTC's Pearls of Wisdom Podcast Series, Episode 1: The First Decade (1993-2003)

Published: 01/23/2024
To celebrate the 30th anniversary of the Addiction Technology Transfer Center Network, we're taking stock of where we've been, and looking ahead to where we are going. We invite you to listen to our Pearls of Wisdom podcast series. Each episode examines a different decade in our network's history, and features conversations with the people […]
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Charting New Frontiers: A Round-up of the NIATx in New Places Series

Published: 01/16/2024
By: Maureen Fitzgerald, Communications Manager, Great Lakes ATTC, MHTTC, and PTTC In 2023, the NIATx in New Places series shared the stories of how the NIATx process improvement model continues to shape transformation in both familiar and uncharted territories. From clinical treatment to school settings, prevention, criminal justice, and beyond, NIATx remains a tool for […]
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NIATx: The Intersection of Behavioral Health and Systems Engineering — A Conversation with David H. Gustafson

Published: 12/12/2023
By David H. Gustafson, PhD, Director, Center for Health Enhancement Systems Studies, and Maureen Fitzgerald, Communications Manager, Great Lakes ATTC, MHTTC, and PTTC Update: In Memoriam It is with deep sadness that we acknowledge the passing of Don Holloway, who made significant contributions to the NIATx model.  Learn more about Don’s legacy. Dave Gustafson Dave […]
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Guest Post — Still Reaching: The Syndemics that Complicate and Characterize How Drugs and HIV Intersect in People’s Lives

Published: 12/08/2023
 (Editor's note: This post originally appeared on the National Institute on Drug Abuse blog. It is reprinted here with permission from NIDA.) By Dr. Nora Volkow Nearly 42 years ago, the Centers for Disease Control and Prevention (CDC) reported a rare pneumonia in five gay men, marking the recognized start of the HIV/AIDS epidemic. While we often hear […]
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