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Compassion fatigue increases stress and results in lost productivity, staff turnover, and overall poor organizational health. Professionals in behavioral health or “helping profession” settings are at risk for developing secondary traumatic stress, depression, and/or burnout as they attend to others’ needs.  Priorities for clinicians, recovery support specialists, and caregivers are to interact with their clients to promote and model healthy coping behaviors. However, their own needs are often overlooked in discussions about addressing compassion fatigue in the workforce. This 4-part recorded series will address the capacity of behavioral health professionals to address compassion fatigue in the workforce, especially in the wake of the opioid epidemic. Specifically, this online series will investigate compassion fatigue, as well as compassion satisfaction, and provide practical tools to build awareness, self-compassion, and psychological flexibility as they choose a life of service to others. Part I: Compassion Fatigue: How did we get here? Presenter: Erin Winstanley, Ph.D. This presentation will provide a brief summary of the mortality associated with the opioid epidemic; describe the impact of the opioid epidemic on first responders, the clinical workforce, and communities; and identify responses to address compassion fatigue. Part II: Alleviating Distress: Providing Compassion when Exhausted Presenter: Kathryn Speck, Ph.D. The aim of this presentation is to increase the capacity of behavioral health professionals to identify the interrelated components of compassion fatigue, vicarious trauma and secondary trauma, with a focus on strategies that are critical to wellness and increasing resilience.  Part III: Compassion Fatigue: Survival Starts Here Presenter: Robin Landwehr, DBH, LPCC, NCC This presentation will demonstrate how to create a plan for protection, identify symptoms, and determine how to seek help if you believe you have compassion fatigue. Part IV: Creating a Shelter from the Storm: Reflection and Discussion Presenters: Erin Winstanley, Ph.D., Kathryn Speck, Ph.D., and Robin Landwehr, DBH, LPCC, NCC In this session, the presenters will summarize the Compassion Fatigue Webinar Series and offer best and promising practices and provide recommendations for healthy organizations and practitioners. To close out the session, the presenters will answer questions gathered from participants throughout the series. 
Published: June 13, 2019
Fueled by the opioid epidemic, hepatitis C infections have increased dramatically in rural communities in the Great Lakes Region. Since 2017, a consortium of academic, public health and community-based partners have undertaken abroad research program in six rural Wisconsin counties. The research team has surveyed more than 800 people who inject drugs and interviewed diverse stakeholders working on the public opioid response to inform best practices for reducing the spread of HIV, hepatitis and preventing overdose. In this 60-minute webinar, Principal Investigator Dr. Ryan Westergaard will review lessons learned through this research and describe how the communities plan to move forward with implementation of a client-centered prevention service coordination intervention starting in late 2019. PowerPoint Presentation Transcript  
Published: June 10, 2019
Learn how addiction and infectious disease interact: Dr. Ryan Westergaard presents clinical issues related to the management of patients with infectious diseases and addiction, including important drug interactions, adherence support, and care coordination strategies.  Read the transcript: 
Published: June 6, 2019
This webinar introduced Acceptance and Commitment Therapy (ACT), showed how ACT is applied to treat addictions, and briefly surveyed the science supporting ACT for addictions. Numerous clinical examples to illustrate the treatment model were also presented in a highly engaging and informative way. Presented by Jonathan Bricker, MD, Health and Behavioral Innovations in Technology; Fred Hutchinson Center; UW Department of Psychology. Download slides | Watch recording Webinar category: Treatment - General
Published: May 22, 2019
This training is led by the co-founder of Motivational Interviewing (MI), Professor Stephen Rollnick. This video will allow viewers to gain insight into MI as an approach to promote behavior change. MI can be applied to encourage behavior change in the context of harmful substance use, HIV initiating and adherence, mental health management, and more. Applying MI skills in the health care setting is expected to improve HIV treatment outcomes through improved identification and treatment of co-occurring alcohol or drug use disorders and improved antiretroviral adherence. **The content of this video represents the work of the South Africa HIV ATTC and does not necessarily represent the official views of PEPFAR or SAMHSA.     Professor Rollnick also led a small group section for South Africa HIV ATTC staff and additional providers routinely contracted by the ATTC in MI techniques and training models in order to promote behavior change related to substance use disorders, HIV and mental health. This small group section was designed as technical assistance to enhance the high-quality training offered by the ATTC staff.    
Published: May 1, 2019
This webinar re-examined compassion fatigue and self-care in light of neuroscience research and offered practical tools for professionals to use to mitigate their own compassion fatigue and strengthen their resilience. Presenter: Troy Montserrat-Gonzales, LPC, LMHC, Multnomah County Health Department
Published: April 24, 2019
This webinar, sponsored by the Northwest ATTC and the Western States Node of the NIDA CTN, summarized what makes women's treatment for opioid use disorder (OUD) or other substance use disorders unique from men's treatment, and highlighted key issues when providing treatment to pregnant and parenting women with opioid use and other SUDs. Presenters: Hendree Jones, PhD (Executive Director, UNC Horizons; Professor OBGYN, UNC Chapel Hill) and Carl Seashore, MD (Professor of Pediatrics, UNC Chapel Hill) Download slides | Watch recording Webinar category: Specific populations
Published: April 18, 2019
Professional boundaries set the parameters of effective and appropriate interaction between professionals and the persons they serve. They protect clients or patients as well as the provider. This course will discuss professionalism and ethics, dual relationships, how to build a safe working environment and maintain professional boundaries that are essential for practice and achieving client goals.   Agenda - Part One Module 1 - Training Overview and Introductions - Roles & Responsibilities of a Peer Advocate. Module 2 - Code of Ethical & Professional Conduct. Objectives: Define peer advocate responsibilities. Describe the difference between peer advocates, counselors and sponsors. List at least 4 categories in the Code of Ethical and Professional Conduct. Watch a Live Webinar Recording (Part One) at:  https://youtu.be/uL2PpOGV1G0   Agenda - Part Two Module 3 - Boundaries Module 4 - Professionalism Module 5 - Dual Relationships Module 6 - General Guidelines Objectives: Define Boundaries Describe the difference between peer advocates, counselors and sponsors. List at least 4 guidelines for professionals in the workplace. Define the term "dual relationships" and describe at least 5 dangers of dual relationships. State at least 3 guidelines for social media best practices on the job. Watch a Live Webinar Recording (Part Two) at:  https://www.youtube.com/watch?v=NIzKqZFgLu0
Published: April 18, 2019
This webinar, presented by Ken C. Winters, PhD, provided an overview of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for use with adolescents who may be using substances. In addition to a look at the parts of the SBIRT model, Dr. Winters also discussed techniques for maximizing the quality of a teen's self-report, provided an overview of the components of several recommended brief interventions, and provided links to evidence-based tools and resources. Ken C. Winters, PhD is a Senior Scientist at the Oregon Research Institute (MN affiliate) and Adjunct Faculty in the Department of Psychology, University of Minnesota. His primary research interests are the assessment and treatment of adolescent drug abuse. He is on the editorial boards of the Journal of Substance Abuse Treatment, Journal of Child and Adolescent Substance Abuse, and the Psychology of Addictive Behaviors. Dr. Winters received numerous research grants from the National Institute of Health and various foundations and published over 125 articles over a 30-year period. Over the past 10 years he has researched brief interventions and the SBIRT model. Download slides | Watch recording Webinar category: Specific populations
Published: March 27, 2019
Dr. Haner Hernandez has been working to improve health equity and for more than 20 years. In this 14-minute podcast, Dr. Hernandez shares recommendations for ways that treatment organizations can address the needs of their Latino clients.
Published: March 14, 2019
Sean A Bear I, Co-Director of the National American Indian- Alaskan Native ATTC gives an overview of some of the substances that are normally used within Indian Country as well as cultural factors that may assist with recovery efforts. View the recorded webinar: 
Published: March 8, 2019
Presented on February 27, 2019, this webinar reviewed key factors necessary for effectively treating co-occurring trauma and addiction. Practical suggestions and tools were offered, including content specific to assessment, early intervention, and long-term recovery. Dr. Fitzgerald also made available copies of the comprehensive self-evaluation battery he administers to all his clients, as well as a scoring sheet for providers to use along with it. Download slides | Fitzgerald's Comprehensive Self-Evaluation Forms and Scoring Sheet/Summary
Published: February 27, 2019
The National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities. This webinar will discuss the importance for healthcare organizations to provide culturally and linguistically appropriate services and promote a more inclusive definition of culture to include sexual orientation and gender identity, in order to better serve the LGBTQ community. OBJECTIVES: Highlights of the enhanced CLAS Standards Relevant insights on the impacts of disparities and societal stigma on the mental health and personal safety of LGBTQ individuals Heightened awareness, knowledge, and skills that address the needs of LGBTQ and substance use and/or other BH disorders PRESENTERS: Jacqueline Coleman MEd, MSM, BA, CPC Certified Professional Coach     Kate Bishop Education Coordinator LGBT Health Resource Center of Chase Brexton
Published: October 24, 2018
How do you engage with clients who are using marijuana heavily, but not interested in treatment? This webinar, presented by Denise Walker, PhD, of the University of Washington, focused on the Check-Up model of intervention, designed to attract voluntary participation from non-treatment-seeking marijuana users. The elements of the intervention were described, with a focus on Motivational Enhancement Therapy and topics of conversation that can be used to enhance motivation to change marijuana use.  Download the slides here.    
Published: January 23, 2019
This webinar provide basic knowledge on Post-Traumatic Stress Disorder (PTSD0 and its connection with Substance Use Disorder (SUD), presented by Julie Rosen, MPH., EMDR therapist.  The path leading to one’s substance use is often affected by many different factors. One of them is the fact that people take drugs as a solution to their negative emotions, the discomfort from a traumatic event, or some bad experience that has happened to them in the past. It’s extremely helpful to know and understand the traumas that patients have been suffering and support them in recognizing and resolving traumas. This will contribute to a sustainable improvement of the treatment outcome, facilitating patient to gradually reduce unhealthy behaviors and head for a better free-of-drug life. Because the time is limited, the treatment for PTSD was not fully explained. As this is a useful topic, VHATTC hopes that in the future we can organize a formal or face-to-face training on PTSD and its connection with SUD.
Published: January 25, 2019
The National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities. This webinar will discuss how health care organizations need to ensure that awareness, adoption, and implementation of the National CLAS Standards are incorporated to have a more inclusive definition of culture in order to better adolescents. OBJECTIVES: highlights of enhanced CLAS Standards that contribute to positive health outcomes; increased knowledge of current disparities facing youth and young adults in health care settings; new and existing frameworks that have created successful health outcomes for youth and adolescents experiencing crisis; and review of Best practice interactions with youth and adolescent patients PRESENTERS: Jacqueline Coleman MEd, MSM, BA, CPC Certified Professional Coach   Benjamin Di'Costa Leading digital health and wellness strategist
Published: December 5, 2018
Dr. Tom Freese shares insights on substance use disorder treatment and recovery issues that affect the lesbian, gay, bisexual, and transgender (LGBT) community. Dr. Freese is the director of the Pacific Southwest ATTC and also served as co-director of the YMSM+LGBTCenter of Excellence. 
Published: January 18, 2019
In this webinar, you will learn about Mindfulness-Based Relapse Prevention, an evidence-based treatment developed at the University of Washington. Mindfulness practices increase awareness of triggers, habitual patterns, and "automatic" reactions. These practices cultivate the ability to pause, observe present experience, and bring awareness to the range of choices before us.  Dr. Chawla is one of the co-creators of Mindfulness-Based Relapse Prevention and is also the Founder & Director of the Seattle Mindfulness Center. Download slides | Watch recording
Published: November 28, 2018
J. Paul Seale, MD, Certified by the American Boards of Family Medicine and Addiction Medicine, discusses America’s ongoing opioid epidemic. By the end of this one hour program, participants should be able to: 1) identify several key developments in the origin of the opioid epidemic, 2) describe strategic initiatives that are in progress to address the epidemic, and 3) identify specific steps forward that could help address the epidemic.
Published: November 1, 2018
This webinar, presented on December 19, 2018 by Mary Hatch-Maillette, PhD, described how and why SUD treatment counselors should strive for greater comfort and ease in talking to patients about their sexual risk behavior. This includes how counselors can improve their own skill and comfort, a description of the MI Spirit approach, and how they can better link sexual risk with substance use, treatment and recovery when talking with their patients. About the presenter: Mary Hatch-Maillette, PhD, is the co-director of the NIDA Clinical Trials Network's Pacific Northwest Node, and a researcher at the University of Washington Addictions, Drug & Alcohol Institute. She specializes in substance use treatment, HIV risk behavior, and counselor workforce issues. She is also in private psychotherapy practice in Seattle. Download slides | Watch recording  
Published: December 19, 2018
In this webinar, Steve Woolworth, PhD, Vice President of Treatment and Reentry Services at Pioneer Human Services, shared a brief history of Pioneer Human Services (PHS), one of the nation’s largest social enterprise organizations, accompanied by a summary of the organization’s current service model and the emerging practices that PHS is investing in to address social determinants of health and the criminogenic and clinical risk factors associated with criminal justice recidivism, chronic addiction, and homelessness.  
Published: May 30, 2018
This training will explore the beauty and pain that may come with being a caregiver. It will investigate compassion fatigue, as well as compassion satisfaction, and provide practical tools to build caregiver awareness, self-compassion, and psychological flexibility as they choose a life of service to others. This training was brought to you by the Mountain Plains ATTC and CASAT Training. Presenter: Robin J. Landwehr, DBH, LPCC, NCC  
Published: November 19, 2018
This 4-part recorded video series showcases digital health technologies related to recovery support services for individuals with substance use disorders, thereby helping behavioral health peer recovery, clinical and administrative staff become familiar with and develop/increase their digital health technology skills.  You may choose to view the series in sequence or select an individual training to view. Simply click a link below to register.    What are Digital Heath Technologies and How do they Work? Presented By: Laura Griffith, BS, M.Ed., Founder/Director, Recover Wyoming, UW Continuing Educations Hours (CEHs): 1.5 To Register: https://training.casat.org/products/1272   Overview of Privacy and Security as it Relates to Digital Health Technologies Presented By: Scott Breedlove, CPN, Missouri Credentialing Board (MCB) Continuing Educations Hours (CEHs): 1.5 To Register: https://training.casat.org/products/1241   Engagement when using Digital Health Technologies Presented By: Diana Padilla, Program Manager, Ne-CATTC Continuing Educations Hours (CEHs): 1.5 To Register: https://training.casat.org/products/1217   Implementing Digital Health Technologies into your World Presented By: Daniel Fred, MA, PRSS, Project Coordinator/Instructor, CASAT, UNR Continuing Educations Hours (CEHs): 1.5 To Register: https://training.casat.org/products/1227 The BRC Series was a collaboration between the Pacific Southwest ATTC, Mountain Plains ATTC, and CASAT Training celebrating the 2018 Recovery Month.  
Published: November 15, 2018
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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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