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In this episode, hosts Glenn Hinds and Sebatian Kaplan talk to Mallori DeSalle and Lodge McCammon about the use of humor in therapy. They talk about ways to evoke humor, use of humor as an invitation to see a situation in a new way, “absurdity training” and finding the absurd from an expected response, the portability of therapeutic humor, and how to introduce a humorous intervention with permission.
Published: May 1, 2023
Motivational interviewing is an evidence-based, conversation model for evoking and enhancing intrinsic motivation to change behaviors. In this video-conversation, participants will discuss the core components of this model and practice using the skills of Motivational Interviewing, particularly in the context of substance use behavior change(s). Prior knowledge of Motivational Interviewing is not required. This learning community is open to everyone engaging in conversations about behavior change - educational degrees or credentials are also not required.
Published: April 23, 2023
Motivational interviewing is an evidence-based, conversation model for evoking and enhancing intrinsic motivation to change behaviors. In this video-conversation, participants will discuss the core components of this model and practice using the skills of Motivational Interviewing, particularly in the context of substance use behavior change(s). Prior knowledge of Motivational Interviewing is not required. This learning community is open to everyone engaging in conversations about behavior change - educational degrees or credentials are also not required.
Published: April 23, 2023
Difficult moments don’t have to grow into ‘incidents’ that can threaten client engagement and retention. This workshop is designed to equip participants with basic concepts and preparatory actions that can be used to de-escalate a wide range of interactions.
Published: April 20, 2023
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.
Published: April 3, 2023
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.
Published: April 20, 2023
    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.
Published: April 20, 2023
    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.
Published: April 14, 2023
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  
Published: April 12, 2023
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  
Published: April 7, 2023
Join us for our event, ESAS: Basic Counseling Skills. This event took place on April 5, 2023. 
Published: April 6, 2023
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.
Published: March 30, 2023
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.  
Published: March 29, 2023
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.
Published: March 29, 2023
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.
Published: March 27, 2023
    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.
Published: March 24, 2023
There are thousands of people in recovery from addiction unaware of their civil rights under the ADA. The ADA insures that people with addiction to alcohol, and in recovery from opioids and other drugs have the same rights and opportunities as everyone else. Find out how the ADA addresses alcohol and substance use disorders differently. This session will also introduce how the ADA applies to addiction in three phases of employment: pre-offer, post-offer, and employment. These differences will be illustrated with scenarios about alcohol, opioids, cocaine, and marijuana. Learning Objectives: Understand the ADA’s definition of disability and how it applies to addiction and recovery. Distinguish how the ADA applies to people with addiction to alcohol and those in recovery from opioids and other drugs. Learn which protections the ADA provides in access to employment, state and local government services, and places of public accommodations. Who is encouraged to attend? Clinicians, providers, administrators, and leadership are highly encouraged to participate to learn more about ADA protection rights.   Additional Resources ADA Webinar Handouts   Presenter: Oce Harrison, Ed.D. Dr. Harrison is the Project Director at the New England ADA and has directed the New England ADA Center since 2001. Dr. Harrison provides ADA, Addiction and Recovery trainings throughout New England.  She has presented at SAMHSA’s New England Addiction Training and Technology Center; the National Association for Addiction Counselors (NAADAC) 2019 annual Conference; Massachusetts Organization for Addiction and Recovery (MOAR); and in 25 city and town meetings in Massachusetts on behalf of family support chapters of Learn to Cope. She led the ADA National Networks’ ADA, Addiction and Recovery Committee which has produced a fact sheet series on how the ADA addresses addiction and recovery. Dr. Harrison is known for her initiation, follow-through skills and congeniality. Before coming to the New England ADA Center, Dr. Harrison worked with organizations such as: the Boston Self Help Center, Mass General Hospital’s Burn Unit, Perkins School for the Blind, Casa Esperanza, and the Institute for Community Inclusion at Children’s Hospital. She earned her doctorate at Boston University’s School of Education in 1994. Oce is a person living with a disability.
Published: March 17, 2023
This live interactive training through professional development plan assignments, combined with “Clinical Supervision Foundations I” training, met the 30-hour Clinical Supervision training requirement for the Advanced Counselor and Master Counselor status, as referenced in the OASAS Substance Use Disorder Scope of Practice. This training recognizes the crucial role that Clinical Supervision holds as the cornerstone of performance improvement at both the program and client level. Clinical Supervision, when properly implemented by competent Clinical Supervisors, improves client care, develops clinical skills, and improves the knowledge and professionalism of clinical personnel. It is also paramount in imparting and maintaining ethical standards in the addiction profession.
Published: March 8, 2023
This live interactive training through professional development plan assignments, combined with “Clinical Supervision Foundations I” training, met the 30-hour Clinical Supervision training requirement for the Advanced Counselor and Master Counselor status, as referenced in the OASAS Substance Use Disorder Scope of Practice. This training recognizes the crucial role that Clinical Supervision holds as the cornerstone of performance improvement at both the program and client level. Clinical Supervision, when properly implemented by competent Clinical Supervisors, improves client care, develops clinical skills, and improves the knowledge and professionalism of clinical personnel. It is also paramount in imparting and maintaining ethical standards in the addiction profession.
Published: March 8, 2023
This live interactive training through professional development plan assignments, combined with “Clinical Supervision Foundations I” training, met the 30-hour Clinical Supervision training requirement for the Advanced Counselor and Master Counselor status, as referenced in the OASAS Substance Use Disorder Scope of Practice. This training recognizes the crucial role that Clinical Supervision holds as the cornerstone of performance improvement at both the program and client level. Clinical Supervision, when properly implemented by competent Clinical Supervisors, improves client care, develops clinical skills, and improves the knowledge and professionalism of clinical personnel. It is also paramount in imparting and maintaining ethical standards in the addiction profession.
Published: March 8, 2023
Peer Supervision is a collaborative activity between a supervisor and a worker in which the supervisor provides guidance and support to the worker to promote competent and ethical delivery of services. Supervision also supports the continued development of the worker’s application of accepted professional peer work knowledge, skills and values. Supervision should be a priority for early-career peer workers and is an investment that benefits employees, employers and service recipients. It is important that supervision is accessible and happens (SAMHSA, BRSS-TACS, 2022).   This 2-part webinar series is based on the Peer Supervision Curriculum originally designed in 2018 to support individuals supervising Peer Recovery Support staff in the Commonwealth of Kentucky as one of their initial projects under the State Targeted Response funding from SAMHSA. In 2020, the curriculum was adapted by the Southeast Addiction Technology Transfer Center (ATTC) to expand the language in way that can be used for any state or ATTC Region and included an overall update as well as new content focused on telehealth, recovery planning, diversity, equity and inclusion.  
Published: November 16, 2022
The New England ATTC in partnership with the New England Association of Recovery Court Professionals recently hosted a webinar titled, "Data-Based Insights on Cannabis Use Disorder Treatment, Recovery, and Implications for Recovery Courts" Dr. Michael J. Sofis reviewed recent findings from the Cannabis Public Policy Consulting’s Regulatory Determinants of Cannabis Outcomes Survey (RDCOS) from 25 adult use, medical-only, and illegal/low-THC states on the prevalence of cannabis use harms like cannabis use disorder (CUD), driving under the influence of cannabis. (DUIC), and youth cannabis use. He highlighted promising up-and-coming treatment and prevention approaches designed to help prevent cannabis harms and contextualize how such approaches will impact recovery courts.  View the recording from the Data-Based Insights on Cannabis Use Disorder Treatment and Recovery Implications for Recovery Courts by clicking on the view resource button above. 
Published: February 24, 2023
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.
Published: February 22, 2023
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.
Published: February 22, 2023
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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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