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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 35: Experiential Motivational Interviewing, with Matt McKenzie In this episode, Matt McKenzie talks with Glenn and Sebastian about experiential practices as a precursor to MI, the “carpet tiles” exercise, the “life’s blueprint exercise” (MI spirit through art, metaphor, and core skills), healing as a creative act, resistance as a fear of knowing, meeting vulnerability with kindness, and his work on compassion fatigue in helpers. Download the transcript (pdf)
Published: June 7, 2021
    In a trauma-informed organization, the clinical and peer workforce ensures trauma-informed clinical best practices address the effects associated with trauma while honoring the core principles of trauma-informed care. It is an organization’s clinical work that gets to the core of shifting the focus from What is wrong with you to What happened to you. This virtual presentation is sponsored by the Southeast ATTC Regional Center and will focus on the many facets of providing trauma-informed clinical best practices. Explore key components to trauma-informed clinical practice, the core competencies of a trauma-informed practitioner, and what it means to apply trauma-informed principles across all stages of treatment. Learn more about trauma-specific, evidence-based, and emerging best practices, including interventions, focused on the mind/body connection in Alabama, Georgia, Florida, Kentucky, Mississippi, Tennessee, North Carolina, South Carolina.    1. Be aware of trauma-informed practitioner core competencies 2. Increase understanding of how to apply trauma-informed principles across all stages of treatment, from universal screening through treatment planning and discharge.   ............................................ Karen Johnson, principal at Trauma-Informed Lens Consulting, partners with organizations, systems and communities to promote individual and organizational resilience, using her knowledge and experience from 26 years working in behavioral health, community services and child welfare.  During her 5½ years on the National Council for Behavioral Health’s trauma-informed services team, Karen led the initiative with Kaiser Permanente, Trauma-Informed Primary Care:  Fostering Resilience and Recovery, to create a change package for advancing trauma-informed approaches within primary care.  Karen is certified in Dr. Brené Brown’s Dare to Lead and Daring Way and is trained in Dr. Bruce Perry’s Neurosequential Model of Therapeutics.  She also developed numerous community-based programs during her 19 years at SaintA in Milwaukee, WI.  Karen combines the newest science around adversity and resilience to infuse hope and connection into every client engagement, moving organizations and individuals forward in their healing journey.
Published: June 7, 2021
In this session, Larissa Mooney, MD, one of two PIs for the Greater Southern California Node of the NIDA Clinical Trials Network, discussed recent trends in co-occurring methamphetamine use and opioid use disorder (OUD), including overdose fatalities. Participants also learned about the treatment approaches to address this rising comorbidity. This webinar was sponsored by the Northwest and Pacific Southwest ATTCs and the Western States Node of the NIDA Clinical Trials Network. Download slides
Published: June 7, 2021
This podcast series, sponsored by the Mid America Addiction Technology Transfer Center and funded by the Substance Abuse Mental Health Services Administration (SAMHSA), is intended for anyone seeking basic information about substance use. This series will address stigma, highlight appropriate language, provide education on how to determine if substance use is becoming a challenge, and addressing misconceptions of substance use.   
Published: June 4, 2021
Recording of Essential Substance Abuse Skills Webinar: Professional Readiness. This event took place on June 2nd, 2021. Featuring our special guest speaker: Avis Garcia, PhD, LAT, LPC, NCC, Northern Arapaho.
Published: June 4, 2021
View the resources from the 2nd session of the 3-part series Embracing Pregnant & Parenting Families Challenged with Substance Use Disorder. After the session, participants will be able to: Describe evidence-based treatment for pregnant women with an opioid use disorder Recognize the impact of parent involvement in the care of newborns experiencing Neonatal Opioid Withdrawal Syndrome Develop skills and strategies to positively impact the parent-child relationship among parents with a substance use disorder   Presenter Information: Sharon Hesseltine, BSW, is President and CEO of Intentional Development, providing consultation, facilitation and training to strengthen services for pregnant and parenting families who have substance use disorders, adverse childhood experiences (ACEs) and trauma. For over 30 years Sharon has worked in Public Health and specialized in early childhood development, women’s health, substance use disorder and recovery.     Click here to watch the presentation
Published: June 2, 2021
Recording of TOR: Stimulants and their Effects on Brain Chemistry. This event took place on May 26th, 2021. It features special guest speakers Dr. Melinda Campopiano and Pam Baston. 
Published: May 31, 2021
This is the first session of the 3-part series Embracing Pregnant & Parenting Families Challenged with Substance Use Disorder. This session addresses addiction as a chronic brain disease, the brain changes inherent to addiction and the mechanisms contributing to both the brain’s vulnerability as well as how substances themselves impact the brain.  The session strives to connect neurobiological changes to common behavior of individuals with a substance use disorder. The session also explores the overlap neurobiologically between early parenting behavior and addiction while creating an opportunity for discussion of the implications for patient care during the antepartum period After the session, participants will be able to: Recognize addiction as a chronic brain disease Understand the connection between ACE’s and vulnerability for addiction Discuss the role of the reward system in driving parenting behavior Click here to watch the video presentation Presenter Information: Sharon Hesseltine, BSW, is President and CEO of Intentional Development, providing consultation, facilitation and training to strengthen services for pregnant and parenting families who have substance use disorders, adverse childhood experiences (ACEs) and trauma. For over 30 years Sharon has worked in Public Health and specialized in early childhood development, women’s health, substance use disorder and recovery.     Continuing Education: Continuing Medical Education (CME), American Nurses Credentialing Center's Commission on  Accreditation (CNE), Certified Health Education Specialists (CHES), Iowa Credentialing Board, Missouri Board of Certification are pending approval. The series will be accepted by the Kansas Behavioral Sciences Regulatory Board and is deemed alcohol and drug specific and will be accepted for continuing education for licensed alcohol and drug counselors in Nebraska.   
Published: May 26, 2021
  This fourth session will bring together a panel of direct service providers who work closely with communities of color and are actively engaged in facilitating strategies that identify and mitigate unconscious bias to ensure delivery of culturally and linguistically appropriate services. Organizational leadership will speak to lessons learned in the implementation of effective protocols to help reduce racial and ethnic disparities and improve service outcomes for people of color
Published: September 17, 2020
  Diana Padilla, CRC, CASAC-T Research Project Manager SBIRT Technical Assistance Division of Substance Use Disorders New York State Psychiatric Institute Department of Psychiatry, Columbia University Medical Center Natalie Bembry, Ed.D, MSM, LSW Assistant Director of Student Affairs Rutgers University, School of Social Work   Behavioral health disparities reflect the lack of access to quality care for specific populations. Despite notable efforts to address inequitable outcomes, research suggests that race and ethnicity are predictors of how services are delivered, and unconscious bias is one component that has been identified as influencing the provision of poor care. With the steady rise of the US population and the expected increase in communities of color, the need to address behavioral health disparities has never been more urgent. This first session of the four-part series will discuss how cognitive bias develops, how it is sustained by intrinsic and environmental factors, and how it contributes to inequitable outcomes for persons of color in behavioral health care.
Published: May 20, 2021
  Diana Padilla, CRC, CASAC-T Research Project Manager SBIRT Technical Assistance Division of Substance Use Disorders New York State Psychiatric Institute Department of Psychiatry, Columbia University Medical Center   Natalie Bembry, Ed.D, MSM, LSW Assistant Director of Student Affairs Rutgers University, School of Social Work   Behavioral health disparities reflect the lack of access to quality care for specific populations. Despite notable efforts to address inequitable outcomes, research suggests that race and ethnicity are predictors of how services are delivered, and unconscious bias is one component that has been identified as influencing the provision of poor care. With the steady rise of the US population and the expected increase in communities of color, the need to address behavioral health disparities has never been more urgent. This first session of the four-part series will discuss how cognitive bias develops, how it is sustained by intrinsic and environmental factors, and how it contributes to inequitable outcomes for persons of color in behavioral health care.
Published: September 10, 2020
   As we enter the month of May, we would like to celebrate Mental Health Awareness Month! #NHLATTC #NHLPTTC #NLBHA Español ¡Al entrar en el mes de mayo, nos gustaría celebrar el Mes de Concientización sobre la Salud Mental! #NHLATTC #NHLPTTC #NLBHA Português Ao entrarmos no mês de maio, gostaríamos de celebrar o Mês da Consciência da Saúde Mental! #NHLATTC #NHLPTTC #NLBHA
Published: May 19, 2021
This video provides an overview of the New England ATTC's mission, catchment area, strategic operations, and strategic advice for other training and technical assistance centers. It was recorded as an orientation for new International TTCs but has broad relevance for all audiences interested in learning more about the New England ATTC. 
Published: May 10, 2021
This event series takes place on the second Tuesday of every month. This recording is from our session that took place on May 11th, 2021. This series of sessions features traditional Native American storytelling, along with time for discussion on what can be learned from the stories, as well as the ways these stories can be incorporated by Native American providers into their work with patients. Please note that while we encourage non-Native providers to attend these sessions to increase your cultural understanding and sensitivity, we ask that out of respect for cultural traditions, you do not use these stories as your own if they are not a part of your culture. Native storytelling is an long honored way of teaching lessons of life. We, as Native people, need to laugh while learning. For example, laughing at how Coyote makes funny mistakes. This can teach people how to avoid behaving as Coyote does. Further, Native legends can offer stories about Creation or the Trickster. However, some stories can only be told during certain times of the year. For example, Coyote legends are only told during the winter time because that is often when Native people would be in their lodges practicing survival skills to help the tribe thrive in difficult times. Traditionally, the storyteller needed to be an excellent psychologist and able to understand peoples’ perspectives. A story might be used in treatment to help a patient come to a realization in a culturally informed way. Learn about our next storyteller: Robert Begay "My name is Robert Begay, I am Navajo and my clans are Near to Water People, my Fathers are the Edge of Water People, my Maternal Grandparents are Towering House People and my paternal Grandparents are the Red Streak Running Into Water People. I am from Crystal New Mexico. I grew up on the Navajo Nation and continue to live here. "I graduated from Navajo Community College in Tsaile, Arizona in 1989, then went to the United States Marine Corps from 1990-1994. After the Corps, I obtained my BS in Psychology 1996 and in 2003 my MA in Socio-Cultural Anthropology from Northern Arizona University in Flagstaff, Arizona. "My career started in Cultural Resource Management, the switched into Behavioral Health, Local Governance, and currently a Regional Area Archaeologist with BIA Navajo Region working the field of National Environmental Policy Act. "I have 5 Children and have been married going on 27 years in June. I grew up on the Navajo Reservation, and lived in Salt Lake City in a Mormon foster home during my elementary years and into high school. In addition, I spent over 15 years as an apprentice to late clan brother for a Navajo Traditional Enemyway Ceremony before becoming a traditional practitioner, and today continue to be an apprentice for other Navajo Traditional ceremonies. "My interest are helping Navajo people with the use Navajo traditional practices. I enjoy our family life which include training horses, tending to sheep, cattle, and spending time with our children. Learning Navajo Traditional ceremonies is one of my main interests."
Published: May 14, 2021
    This virtual presentation is sponsored by the Southeast ATTC Regional Center and will focus on the innovative ways that Tennessee has approached partnering with the faith-based community to combat addiction and mental health issues. The approach is to help the faith-based community volunteers build recovery support services/ministry work by using a best practice model that directly connects them with state and local initiatives. The goal is to build more recovery-conducive communities utilizing natural/organic resources in Alabama, Georgia, Florida, Kentucky, Mississippi, Tennessee, North Carolina, South Carolina. Mental Health Specialists, Addiction Specialists, treatment providers, peer support communities, and faith community-based organizations in Region 4 are encouraged to register for free.      Identify two practical steps that were taken in Tennessee to partner with faith communities related to substance use and mental health recovery Verbalize two different stakeholders in their community Articulate one step they can take to help draw upon organic community supports in supporting recovery   ......................................................   Monty Burks, CPRS, PLC, Ph.D., serves as the Director of Faith-Based Initiatives for the Tennessee Department of Mental Health and Substance Abuse Services, where his role is engaging and connecting Tennessee’s faith communities to the behavioral health care system, with the goal of expanding addiction and mental health support services across the state. He also oversees the Tennessee Lifeline Peer Project, a state program aimed at reducing the stigma associated with people who suffer from addiction, and the Tennessee Faith-Based Community Coordinators, who seek to help congregations build their capacity to combat addiction and mental health issues in their respective community. Dr. Burks earned his master’s degree in criminal justice from Middle Tennessee State University, his Doctorate in theology from Heritage, and wears the honorable badge of Certified Peer Recovery Specialist. Burks has more than 20 years of experience working with the criminal justice system in various roles, including adjunct criminal justice professor at Motlow State Community College, Criminal Justice Student Research Analyst at Middle Tennessee State University, and Criminal Justice Program coordinator at adjunct professor at Tennessee State University.
Published: May 14, 2021
Starting with a background on suicide and the connection to traumatic brain injury (TBI), this presentation explores the relationship between suicide, TBI, and co-morbid substance use. After presenting some research-based findings, the speaker concludes with a discussion of the brain mechanisms that may mediate this relationship.    Learning Objectives: Provide a background on suicide and the connection to TBI Explore the relationship between TBI, suicide, and substance use Comment on mechanisms for this tri-directional relationship   Presenter Information: Dr. Peters is an Assistant Professor at Johns Hopkins University School of Medicine. An active clinician, teacher, and researcher, Dr. Peters sees patients in the Acquired Brain Injury Clinic and Memory and Alzheimer’s Treatment Center at Johns Hopkins Bayview. He has been internationally recognized for his research work and has received research funding from the National Institutes of Health, Department of Defense, and National Alzheimer's Coordinating Center. His research focuses on cognitive and other neuropsychiatric symptoms following traumatic brain injury with a specific focus on traumatic brain injury in older adults. This product is a collaboration between Mid-America and Mountain Plains Addiction Technology Transfer Center, and the National Association of State Head Injury Administrators (NASHIA)   Traumatic Brain Injury Substance Use Disorder and Suicide
Published: April 15, 2021
The occurrence of the combined problem of TBI and Substance Use Disorder is common and presents major complications in the usual course of rehabilitation. Physical, cognitive, and emotional issues related to this combination of disorders require an acute understanding of brain function, cognitive assessment, and various modifications to the usual rehabilitation approach. Understanding the prevalence and scope of the issue of TBI and SUD will be reviewed along with a full description of the processes of assessment, treatment, and long-term care of people with this complex disorder.   Learning Objectives: Review the scope of the SUD problem in the US Review the scope of the TBI problem in the US Review neurobiological systems relevant to working with people experiencing TBI and SUD Review assessment procedures Describe specific treatment planning components Describe typical treatment modifications needed in treating TBI and SUD   Presenter Information Dr. Sparadeo began his career as the Director of the Mayor’s Task Force on Substance Abuse in the City of Providence, R.I. and he was also the Director of Substance Abuse Services for the Providence Mental Health Center at that same time. After creating a system of clinical services for the City of Providence he was appointed as CEO of Talbot House. Talbot House was the largest residential substance abuse treatment facility in New England. Dr. Sparadeo then completed his doctoral studies with a residency at the Boston V.A. Medical Center followed by a 2-year fellowship at Brown University and Rhode Island Hospital (RIH). The focus of his clinical training was neuropsychology and chronic pain. He completed his fellowship and was appointed to the Brown University School of Medicine faculty and the Rhode Island Hospital medical staff in the position of Director of Rehabilitation Psychology. Dr. Sparadeo trained numerous interns and fellows at Brown University. As Director of Rehabilitation Psychology, Dr. Sparadeo created the first comprehensive outpatient rehabilitation program for survivors of traumatic brain injury. After 8 years in his position at RIH Dr. Sparadeo was appointed National Director of Substance Abuse and TBI rehabilitation services at New Medico Health Systems in Boston, Massachusetts. He created inpatient substance abuse treatment programs in 8 rehabilitation facilities throughout the U.S. He returned to RIH and Brown University to become the director of the Concussion Care Center in the Emergency Department at RIH. He was also the chief clinical consultant to the Trauma Center and Stepdown Unit, and he was the co-director of the Interdisciplinary Spine Center in the Neurosurgery Department at RIH for 5 years before opening a private practice specializing in the neuropsychological assessment, pain assessment and pain management. He developed a specialized substance abuse treatment program for people with both TBI and substance abuse. Eventually, he developed a specialized treatment program for people with chronic pain and opiate addiction. Over the many years of his career Dr. Sparadeo has been a consultant to many agencies and healthcare programs throughout the U.S. He has also served on numerous boards of directors. He was the founder and president of the Brain Injury Association of Rhode Island. He was also the Chairman of the Governor’s Permanent Advisory Commission on TBI. He was also a member of the national committee on substance abuse and disability at SAMHSA in Washington, D.C. Most recently, Dr. Sparadeo has been a consultant and chief trainer on a federally funded grant at the Massachusetts Rehabilitation Commission. Dr. Sparadeo’s career has also included the publication of many scientific papers and book chapters, and he has been on the faculty of Salve Regina University graduate program in Rehabilitation Counseling where he teaches the Neuroscience of Substance Abuse and Mental Illness, Psychopharmacology for Counselors and the Neuroscience of Opioid Abuse.   Traumatic Brain Injury and SUD Part 1 Implications of Brain Injury Addiction This training is a collaboration between Mid-America ATTC, Mountain Plains ATTC, and NASHIA.
Published: April 28, 2021
Presenter: Dan Dubovsky, MSW April 2021 This is a continuation of the webinar that was presented on January 27, 2021 that provided information on FASD and its manifestations in treatment and other settings, with a focus on the brain basis of the behaviors that are often misidentified as willful, manipulative behaviors. In this webinar, we focus on a discussion of the importance of identifying strengths in those with an FASD and those surrounding them, and strategies that can be implemented in treatment settings that can result in better outcomes for the individual and the setting. Download slides | Watch recording Webinar category: Specific populations, Treatment - General
Published: May 12, 2021
  Diana Padilla, RCR, CASAC-T Research Project Manager SBIRT Technical Assistance Division of Substance Use Disorders New York State Psychiatric Institute Department of Psychiatry, Columbia University Medical Center   Karinn Glover, MD, MPH Assistant Professor of Psychiatry   Albert Einstein College of Medicine Building off the psychological framework of unconscious bias as discussed in the first session, this second presentation will review and inform on how unconscious bias is reflected in words, communications, and relations toward persons of color through case scenarios reflecting its impact in the addiction, mental health, and prevention settings. The elusiveness of cognitive bias underscores provider assumptions and perceptions and affect judgment that lead to prejudice, micro-aggressions, and even discriminatory practices in care. The discussion will also identify commonly experienced pressures of personal and ‘on the job’ stress, and other bias risk factors that affect decision making, interactions and client/patient outcomes in behavioral health.
Published: September 3, 2020
  Diana Padilla, RCR, CASAC-T                                                                            Research Project Manager SBIRT Technical Assistance Division of Substance Use Disorders, New York State Psychiatric Institute Department of Psychiatry, Columbia University Medical Center   Amy Banko, MS, CPRP Lecturer Integrated Employment Institute Department of Psychiatric Rehabilitation and Counseling Professions Rutgers The State University of New Jersey Behavioral health disparities reflect the lack of access to quality care for specific populations. Despite notable efforts to address inequitable outcomes, research suggests that race and ethnicity are predictors of how services are delivered, and unconscious bias is one component that has been identified as influencing the provision of poor care. With the steady rise of the US population and the expected increase in communities of color, the need to address behavioral health disparities has never been more urgent. This first session of the four-part series will discuss how cognitive bias develops, how it is sustained by intrinsic and environmental factors, and how it contributes to inequitable outcomes for persons of color in behavioral health care.
Published: August 27, 2020
Counseling Families, Partners, and Significant Others took place on Wednesday, May 5th, 2021. 1-2:30 EST . 12-1:30 CST . 11-12:30 MST . 10-11:30 PST . 9-10:30 AKST About our Speaker: Avis Garcia, PhD, NCC, LPC, LAT  Avis Garcia is an enrolled member of the Northern Arapaho Tribe, and is affiliated with the Eastern Shoshone Tribes of the Wind River Reservation in Wyoming. Avis is a Licensed Professional Counselor and Addictions Therapist. Avis holds a doctorate in Counselor Education and Supervision who specializes in Addictions treatment and work with Native Americans. Avis works with individuals of all ages and does, individual, group, couples and family therapy. She specializes in the treatment of substance use disorders and trauma. Her therapeutic approach is to privilege Indigenous knowledge and draw on the strengths of individuals and families to promoting intergenerational healing, through research and clinical work. Questions? Please email [email protected].
Published: May 10, 2021
Mary McCarty-Arias, M.A. Research Project Manager Division of Substance Use Disorders New York State Psychiatric Institute Department of Psychiatry, Columbia University Medical Center This webinar will introduce participants to marijuana and some of the changes around legalizing recreational marijuana. It will include the mechanism of action, some legal implications (federal law vs. state law) and possible uses of medical marijuana.
Published: April 29, 2021
This is a recording of the webinar on 4/28/2021: TOR Webinar: Guidance on Spending Your TOR Grant Funding
Published: April 28, 2021
This event was held on April 27th, 2021 at 3-4 EST . 2-3 CST . 1-2 MST . 12-1 PST . 11-12 AKST   Guest Storyteller: Keaw'e Bone Mr. Keaw'e Bone holds a bachelor's degree in psychology with an interdisciplinary minor in Cherokee studies. He is currently practicing as a Qualified Mental Health Professional working with the community of the Eastern Band of Cherokee Indians. He has held other job titles as well such as a child care worker, cultural coordinator, Targeted Case Manager, and storyteller. Keaw'e is an (EBCI) member with lineage from the Lakota nation and Kanaka Maoli (Hawaiian) ancestry. Keaw'e is the youngest storyteller in his tribe within six generations. This series of sessions features traditional Native American storytelling, along with time for discussion on what can be learned from the stories, as well as the ways these stories can be incorporated by Native American providers into their work with patients. Please note that while we encourage non-Native providers to attend these sessions to increase your cultural understanding and sensitivity, we ask that out of respect for cultural traditions, you do not use these stories as your own if they are not a part of your culture.  Native storytelling is an long honored way of teaching lessons of life. We, as Native people, need to laugh while learning. For example, laughing at how Coyote makes funny mistakes. This can teach people how to avoid behaving as Coyote does. Further, Native legends can offer stories about Creation or the Trickster. However, some stories can only be told during certain times of the year. For example, Coyote legends are only told during the winter time because that is often when Native people would be in their lodges practicing survival skills to help the tribe thrive in difficult times.  Traditionally, the storyteller needed to be an excellent psychologist and able to understand peoples’ perspectives. A story might be used in treatment to help a patient come to a realization in a culturally informed way.
Published: April 28, 2021
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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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