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This workshop is designed to highlight and explore the needs of substance use treatment professionals working with culturally diverse individuals, organizations, and communities.  The participants will be able to understand the role cultural competency in clinical settings and will learn proven techniques and strategies for engagement.  The training includes didactic as well as interactive exercises designed to engage participants and elicit their input.  The training is intended for entry to advanced level.
Published: June 18, 2020
The Region 7 Mid-America Technology Transfer Centers (TTCs) recognize that Black communities in our country are hurting as the result of violence, bigotry and racism. Racism and discrimination are associated with dire behavioral and physical health issues, including depression, anxiety, post-traumatic stress disorder and substance use disorders. We know that disparities in equitable access to services and resources perpetuate these issues. Across the Mid-America region, we commit to collectively increasing our efforts to develop a collaborative plan with our community partners to be part of a solution to promote equity, safety and health for our communities. As a start to our efforts to promote behavioral health equity for all, we have compiled some resources that may support you in your work. Download the document here.
Published: June 16, 2020
In response to the COVID19 pandemic, the New England ATTC team has developed products in partnership with the South Africa ATTC to support our partners and constituents. Our ATTC is well positioned to continue supporting people with off-the-shelf products and our virtual trainings and technical assistance remain available.  This one-page activity can help one slow down and check in with their emotional and physical well-being. This product was designed as a provider self-care exercise, but has broad relevance for the general population.
Published: May 27, 2020
In response to the COVID19 pandemic, the New England ATTC team has developed products in partnership with the South Africa ATTC to support our partners and constituents. Our ATTC is well positioned to continue supporting people with off-the-shelf products and our virtual trainings and technical assistance remain available.  In this time of increased online engagement – meetings, trainings, technical assistance, and more – it is important for facilitators and participants to practice good etiquette when participating in video conferencing. This one-sheet guide highlights the norms and practices for online engagement.
Published: May 27, 2020
In response to the COVID19 pandemic, the New England ATTC team has developed products in partnership with the South Africa HIV ATTC to support our partners and constituents during this time.  Our ATTC is well positioned to continue supporting people with off-the-shelf products and our virtual trainings and technical assistance remain available.  This one-page activity encourages taking care of oneself, particularly in moments of great instability. Learning and practicing the activities in this product can be helpful to prevent one from becoming emotionally overwhelmed. This product was designed as a provider self-care exercise, but has broad relevance for the general population.  
Published: May 27, 2020
In response to the COVID19 pandemic, the New England ATTC team has developed products in partnership with the South Africa ATTC to support our partners and constituents.  Our ATTC is well positioned to continue supporting people with off-the-shelf products and our virtual trainings and technical assistance remain available. In this time of increased online engagement – meetings, trainings, technical assistance, and more – it is important for facilitators to be prepared when hosting online meetings. This one-page guide helps facilitators physically set up for online meetings including video conferencing and includes tips for audience engagement.
Published: May 27, 2020
In response to the COVID19 pandemic, the New England ATTC team has developed products in partnership with the South Africa HIV ATTC to support our partners and constituents during this time. Our ATTC is well-positioned to continue supporting people with off-the-shelf products and our virtual trainings and technical assistance remain available. This one-page activity can be used to learn new ways to cope with and relieve stress. Developing ways to soothe can be helpful to prevent one from becoming emotionally overwhelmed. This product was designed as a provider self-care exercise, but has broad relevance for the general population.
Published: May 27, 2020
The National Hispanic and Latino Addiction Technology Transfer Center is please to provide new fact sheets on Alcohol Use and Abuse During COVID-19 to download and distribute. This fact sheet has been translated from English to both Spanish and Portuguese. English It is natural to feel stress, anxiety, anguish and worry during and after a crisis like COVID-19. The separation from loved ones, the loss of freedom, and the uncertainty about the state of the disease are all cause for concern. Studies show that most people in social isolation report negative psychological effects, including symptoms of post-traumatic stress, confusion, and anger. The biggest stressors include fears of becoming infected, loss of job, frustration, boredom, inadequate supplies, inadequate information, financial losses, and stigma. But how we manage that stress is important since there are healthy and unhealthy ways of doing so. Excessive use of alcohol is not a healthy way of managing stress. Download English Español Es natural sentir estrés, ansiedad, angustia y preocupación durante y después de una crisis como el COVID-19. La separación de los seres queridos, la pérdida de libertad, y la incertidumbre sobre el estado de la enfermedad son causantes de preocupación. Estudios demuestran que la mayoría de las personas que se encuentran en aislamiento social registran efectos psicológicos negativos, incluidos síntomas de estrés postraumático, confusión y enojo. Los mayores factores estresantes incluyen temores de infección, frustración, aburrimiento, suministros inadecuados, información inadecuada, pérdidas financieras y estigma. Pero la forma en que manejamos ese estrés es importante ya que existen maneras saludables y maneras no saludables de hacerlo. El uso excesivo de alcohol no es una manera saludable de controlar el estrés. Descargar en Español Português É natural sentir estresse, ansiedade, angústia e preocupação durante e após uma crise como o COVID-19. A separação dos entes queridos, a perda da liberdade e a incerteza sobre o estado da doença são motivo de preocupação. Estudos começaram a mostrar que a maioria das pessoas que estao em isolamento social relata efeitos psicológicos negativos, incluindo sintomas de estresse pós-traumático, confusão e raiva. Os maiores estressores incluem o medo de infecção, receio de perder o emprego, frustração, tédio, suprimentos inadequados, informações inadequadas, perdas financeiras e estigma. Mas como lidamos com esse estresse é importante, pois existem maneiras saudáveis e não saudáveis de fazê-lo. O uso excessivo de álcool não é uma maneira saudável de gerenciar o estresse. Download em Português
Published: May 8, 2020
As COVID-19 has progressed in many of our communities, several questions have been brought to the attention of the Region 7 Mid-America Addiction Technology Transfer Center (Mid-America ATTC). The goal of this FAQ is to provide practical answers to these recurring questions that may result in immediate action. Mid-America ATTC will update this list monthly at minimum, until updates subside.  
Published: May 6, 2020
The recent COVID-19 health pandemic has accelerated the implementation of behavioral health services via remote technology, including telephone and video conferencing. The following is an implementation framework for behavioral health care providers that guides organizational leadership through short term practical steps for implementation of  remote services via technology while including successful long-term strategies for sustaining telehealth services.   
Published: May 1, 2020
The information provided on this guide will improve your ability to be fully engaged in a virtual meeting. Main focus: 1. Participate fully and critically in online learning. This means coming prepared with thoughtful questions, using the technology available to you, and making sure you do the individual work in order to get the most out of the group time. 2. Be patient when engaging in new online meeting platforms. There is a learning curve, and it is okay! Do your best to engage with the technology. 3. Be intentional about tapping into the knowledge of the online community.
Published: April 30, 2020
As a caregiver, taking care of yourself is essential. This is especially true in this moment of great instability when it is common to feel uncomfortable emotions such as stress, anxiety, anger, and sadness. One way to practice self-care is by becoming still through intentional reflection and breathing.
Published: April 30, 2020
In response to the COVID19 pandemic, the New England ATTC team has developed products in partnership with the South Africa ATTC to support our partners and constituents. Our ATTC is well positioned to continue supporting people with off-the-shelf products and our virtual trainings and technical assistance remain available.  Taking care of yourself is essential in moments of great instability. This one-page self-assessment activity can be used to set goals towards achieving greater balance in caring for oneself. This product was designed as a provider self-care exercise, but has broad relevance for the general population.
Published: April 29, 2020
A report brought to you by the South Southwest ATTC and NFARtec about the Oklahoma Department of Mental Health and Substance Abuse Services efforts to expand behavioral health treatment and recovery services through telehealth and Grand Lake Mental Health Center Collaborative Program Model.  
Published: April 29, 2020
A report brought to you by the South Southwest ATTC and NFARtec about the Oklahoma Department of Mental Health and Substance Abuse Services efforts to expand behavioral health treatment and recovery services through telehealth and Grand Lake Mental Health Center Collaborative Program Model.This version includes an Executive Summary.
Published: April 29, 2020
This guide provides resources specific to screening for co-occurring disorders experienced by farmers, farmworkers and farm families in rural communities. Healthcare providers, behavioral health professionals, and social workers are facing increasing pressure to respond to a host of unmet substance use and mental health needs of rural communities. In response, with support from the Substance Abuse and Mental Health Services Administration (SAMHSA), the Mountain Plains ATTC and the Mountain Plains MHTTC have collaborated to release a resource guide to assist rural healthcare providers with screening and assessment of alcohol use disorder and depression.  The guide uses a case scenario to illustrate the most common barriers encountered in identifying co-occurring disorders and underscores the unique needs of rural communities that are home to agricultural producers.   If you would like to request a hardcopy version of this product please contact Susan Mickelson   Following the release of a new product (Depression, Alcohol and Farm Stress: Addressing Co-Occurring Disorders in Rural America) by authors at the Mountain Plains Mental Health Technology Transfer Center (MHTTC) and the Mountain Plains Addiction Technology Transfer Center (ATTC). MHTTC and ATTC team members from two regions contacted key stakeholders in May 2020 to assess the impact of the farm crisis and perceptions regarding next steps. Feedback from these providers and key stakeholders is included in this brief along with updated data related to farm stress and mental health implications. These interviews and data will guide future activity for both the Mountain Plains and Mid-America ATTCs and MHTTCs. Read Farm Stress: Facts, Impact of COVID-19, and Resource and Training Needs of Mental Health Care Providers or download above.
Published: April 16, 2020
This issue of Addressing Addiction in our Native American Communities focuses on the history of the opioid crisis. 
Published: February 21, 2020
The Great Lakes ATTC, MHTTC, and PTTC are pleased to offer a menu of intensive technical assistance options to help organizations build and enhance their skills in working with clients from diverse backgrounds. Download a summary of the training options here.  Published February 11, 2020
Published: February 11, 2020
Studies show that racial discrimination influences clinical decision-making and affects clinician-patient interactions.Implicit racial bias is associated with reduced trust in physicians, decreased likelihood to follow treatment recommendations and lower satisfaction with care received among African-American adults suffering from chronic disease.  Racial discrimination can play a foundational role in worsening African-American retention in substance abuse treatment by aggravating factors such as those listed below: • BARRIERS TO TREATMENT • LACK OF ACCESS TO NEEDED ANCILLARY SERVICES • LOW SATISFACTION WITH TREATMENT
Published: December 16, 2019
A series of educational products, guidance, and technical assistance for mental health providers, substance abuse treatment providers and primary care physicians who seek to elevate cultural competence efforts to include an understanding of the presence and impact of implicit racial bias in health care and substance abuse treatment. This pamphlet describes the evolution of the term African-American, and provides insight and guidance on how to use this information to improve retention among African-American individuals receiving substance abuse treatment. 
Published: December 16, 2019
 A series of educational products, guidance, and technical assistance for mental health providers, substance abuse treatment providers and primary care physicians who seek to elevate cultural competence efforts to include an understanding of the presence and impact of implicit racial bias in health care and substance abuse treatment. This pamphlet describes the evolution of the term African-American, and provides insight and guidance on how to use this information to improve retention among African-American individuals being referred to and receiving substance abuse treatment.
Published: December 16, 2019
  A series of educational products, guidance, and technical assistance for mental health providers, substance abuse treatment providers and primary care physicians who seek to elevate cultural competence efforts to include an understanding of the presence and impact of implicit racial bias in health care and substance abuse treatment. This pamphlet describes the scope and impact of implicit racial bias in healthcare and substance abuse treatment.
Published: December 16, 2019
  A series of educational products, guidance, and technical assistance for mental health providers, substance abuse treatment providers and primary care physicians who seek to elevate cultural competence efforts to include an understanding of the presence and impact of implicit racial bias in health care and substance abuse treatment. This pamphlet defines implicit racial bias and microaggression, and offers evidence-based strategies for addressing both substance use treatment programs.  
Published: December 16, 2019
A series of educational products, guidance, and technical assistance for mental health providers, substance abuse treatment providers and primary care physicians who seek to elevate cultural competence efforts to include an understanding of the presence and impact of implicit racial bias in health care and substance abuse treatment.  This pamphlet focuses on evidence-based strategies that have been demonstrated to reduce the negative impact of implicit bias on healthcare outcomes. Systemic, organizational, and individual perspectives are presented.
Published: December 16, 2019
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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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