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Building Health Equity and Inclusion
Introducing a New National Core Curriculum: Stimulants and their Impact on Brain and Behavior
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TTC Resources to Support Asylum Seekers at the US Southern Border

The Addiction Technology Transfer Center (ATTC) Network is a multidisciplinary resource for professionals in the addictions treatment and recovery services field.

Established in 1993 by the Substance Abuse and Mental Health Services Administration (SAMHSA), the ATTC Network is comprised of 10 U.S.-based Centers and a Network Coordinating Office. Together the Network serves the 50 U.S. states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific Islands of Guam, American Samoa, Palau, the Marshall Islands, Micronesia, and the Mariana Islands. 

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Webinar/Virtual Training
The 4th Edition of the American Society of Addiction Medicine (ASAM) hardcopy and digital versions are now available for purchase. Treatment providers and program evaluators use patient placement criteria to ensure that clients receive the appropriate level of care based on person-centered needs. This 2-hour overview webinar will highlight changes in the 4th Edition. The content will explore the updated ASAM 6-dimensions and the revised and updated Continuum of Care. Level of care updates will be provided and how level of care will be determined utilizing the new criteria. Important Note: The ASAM 4th Edition was developed only for adults, adolescent and criminal justice versions will be available later this year.
Webinar/Virtual Training
The New England ATTC in partnership with RICARES is providing a basic/universal TA session titled “State-level homelessness and drug overdose mortality: Evidence from US panel data” on 3/21/24 from 12:30 PM to 1:30 PM. Although we in recovery science understand well that not having access to steady, safe, and secure housing is a risk factor for drug overdose for a given individual, less is known about the relationship between homelessness and overdose mortality (the rate of death resulting from drug overdose) at the state level. In this study, researchers looked at data on housing, population, substance use, overdose, unemployment, and other variables from 2007–2020 for all US states and Washington DC. The result was that overdose mortality was found to be positively associated with homelessness at the state level in other words, the more homelessness there is in a state, the higher the state’s overdose mortality rate is likely to be. However, they found that this association becomes weaker when fentanyl is widely available in a given state. Researchers concluded that, given this association, policies, and programs to prevent and reduce homelessness should be considered critical elements of overdose prevention efforts. Article link: www.sciencedirect.com/science/article/pii/S0376871623011481?ref=pdf_download&fr=RR-2&rr=85fb4e876ef442b5
Online Course
Ethics for Providers in the Recovery World Wednesday March 27, 2024     9:00am - 12:00pm CT A virtual training session on ethical behavior for behavioral health professionals in the recovery world. This session will explore the importance of ethical conduct in the modern workplace and address common obstacles encountered. Through interactive discussions and real-life scenarios, participants will gain practical insights into maintaining ethical standards in their professional roles. 3 CEU'S will be available to LPC, LCSW, LMFT, LADC, CPRSS, CPS, and CM's. Facilitator: Dr. Durand Crosby, Senior Deputy Commissioner at the Oklahoma Department of Mental Health and Substance Abuse Services This event is hosted by Oklahoma Behavioral Health Association, a partner with the SSW ATTC. All Non- OBHA members residing or working in HHS Region 6 (TX, OK, NM, LA, or AR) are eligible to attend at no cost.
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Xylazine (or “tranq”) is a non-opioid sedative and tranquilizer only approved for use in veterinary medicine. However, over the past several years, human consumption of xylazine has begun rapidly increasing. Although initially only identified in illicit drug supplies in limited areas, xylazine has been found in 48 states as of April 2023. Xylazine is frequently, though not exclusively, used in conjunction with opioids, particularly fentanyl—due to xylazine’s ability to prolong their effects. Xylazine use presents many potential dangers to people, including an increased risk of overdose and the development of necrotizing tissue damage. This factsheet details key concerns, overdose responses, harm reduction techniques, and more.   To download the factsheet in English, please click the  "Understanding Xylazine" button on the right side of the page.   This factsheet is now available in Spanish. Translation services by the National Hispanic and Latino Behavioral Health Center of Excellence. Traducido por: To download the full version of the Spanish factsheet, please click the "Comprender la xilacina" button on the right side of the page.  
Multimedia
In this webinar, Natania Crane, PhD, Assistant Professor of Psychiatry and Associate Director of the UIC Recovery Clinic, provides current information on research and treatment related to cannabis use and mental health, including recent changes in cannabis use, how the endocannabinoid system may regulate mental health symptoms, and what we currently know about cannabis use and mental health. Sponsored by the Northwest and Pacific Southwest Addiction Technology Transfer Centers (ATTCs) and the Western States Node of the NIDA Clinical Trials Network. View slides | Watch recording
eNewsletter or Blog
Dr. Nora Volkow is the Director of the National Institute on Drug Abuse (NIDA) at the National Institutes of Health. Her research sheds light on one of the most important indicators that someone will or will not reach out for support for their substance use: stigma.[1] She states that: "The words we use to describe mental illnesses and substance use disorders (addiction to alcohol and other legal and illegal drugs) can impact the likelihood that people will seek help and the quality of the help they receive. Research indicates that stigma—negative attitudes toward people based on distinguishing characteristics—contributes in multiple ways to poorer health outcomes; consequently, it has been identified as a critical focus for research and interventions."[2] Addiction, along with mental health challenges, have long been some of the most stigmatized conditions. Countless research studies show that when there are stigmatizing attitudes, fewer people reach out for help. This is especially concerning considering the percentages of people who don’t receive the treatment they need (nearly 90% of the people who need support for their substance use challenges or addiction do not get it).[3] The Words We Use Matter How we talk about addiction and recovery matters. Not just because of the words we say, but because of the words we hear—and what our loved ones hear and in turn, can internalize. Research from 2019 shows that nearly 20% of people who needed help didn’t get it because they were concerned about what their neighbors or community would think.[4] There are things that we can do as loved ones to learn how to talk about addiction and also why this matters—and how it can help end addiction stigma. Understanding the science of addiction and recovery is a first step. You may be like me (not a neuroscientist) and that’s okay. There’s a way to understand what happens on a physical level when we experience substance use disorder or substance misuse challenges. Flo Hilliard, MSH, founding member of Faces & Voices of Recovery and expert in the field of addiction science explains it this way: "Many medical conditions, like Type 2 Diabetes and Cardiovascular disease, are linked to not only a genetic predisposition but also to patterns or habits that can lead to "turning on" the gene for that condition. Substance use disorders often follow the same pattern, yet there is often stigma and shame attached to the normal progression of the medical condition. Understanding the basic brain science of addiction and recovery is a fundamental step in eliminating stigma and treating those suffering from this disorder as respected human beings. Research shows that with the proper treatment and support people can and do recover from addiction to alcohol and other drugs to have successful professional and personal lives." When we understand that addiction is a normal part of the human experience, it loses its ability to be framed as something requiring punitive measures. Something that causes shame. It lacks the power to divide into “us vs. them.” Addiction or substance use disorders are worthy of our understanding and compassion. There are some excellent resources out there, including ones through the ATTC network, including their Addiction Science Made Easy Series, that share information about the science of addiction and recovery so we not only understand it but understand how to talk about it. How We Talk About Addiction Recovery Matters There are simple ways that you can talk about addiction and recovery that decrease stigma. The National Institute on Drug Abuse or NIDA shares these helpful ways to talk about addiction recovery:[5],[6] Use person-first language Promote community education about addiction Share recovery stories Education programs for folks who work with those of us in or seeking recovery like doctors, nurses, treatment providers, counselors, and church leaders Here is another helpful resource from SAMHSA: Overcoming Stigma Ending Discrimination. Check out this helpful chart from NIDA: Words Matter - Terms to Use and Avoid When Talking About Addiction. Women and Addiction Stigma Stigma is even more prevalent for women, especially mothers, and women of color, and this has been known for decades.[7] It's part of why I founded and host the annual event with the SHE RECOVERS foundation that highlights and celebrates women’s recovery during Women’s History Month on International Women’s Day every year. This year, we are focusing on highlighting the next generation and why it’s important to not only share stories of recovery but also share what works in terms of recovery support services. Gathering as a global community of supporters of recovery is not only an incredible experience, it has a purpose: to help reduce the addiction recovery stigma that women face.[8] Since women, especially from under-resourced and underserved communities, experience higher levels of addiction stigma and are thus, less likely to seek support, we all must work to address this issue that impacts millions. When we share our stories of recovery in the light, it can illuminate hope for others and show that recovery is possible. When we use supportive and hope-filled language, we can be a part of eradicating the stigma and discrimination that has no place in our recovery-oriented world today. Join us this March and celebrate. For more information and to register for free visit: https://sherecovers.org/international-womens-day-2024/ Time and date don’t work for you? No problem! Register for a link to watch on demand any time or plan your own watch party.   Caroline Beidler, MSW is an author, recovery advocate, and founder of the storytelling platform Circle of Chairs. With almost 20 years in leadership within social work and ministry, she is currently a consultant with JBS International, along with the founder and host of the annual International Women’s Day Global Recovery Event presented by the SHE RECOVERS Foundation. Connect with her @carolinebeidler_official and  https://www.facebook.com/carolinebeidlermsw   [1] Volkow, N.D., Gordon, J.A. & Koob, G.F. Choosing appropriate language to reduce the stigma around mental illness and substance use disorders. Neuropsychopharmacol. 46, 2230–2232 (2021). https://doi.org/10.1038/s41386-021-01069-4 [2] National Academies of Sciences, Engineering, and Medicine. Ending Discrimination Against People with Mental and Substance Use Disorders: the Evidence for Stigma Change. Washington, DC: The National Academies Press; 2016. https://doi.org/10.17226/23442. [3] Hammarlund R, Crapanzano KA, Luce L, Mulligan L, Ward KM. Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders. Subst Abus Rehabil. 2018;9:115–36. https://doi.org/10.2147/SAR.S183256. Published 2018 Nov 23. [4] Han B. Key substance use and mental health indicators in the United States: results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2020. [5] Volkow, N.D., Gordon, J.A. & Koob, G.F. Choosing appropriate language to reduce the stigma around mental illness and substance use disorders. Neuropsychopharmacol. 46, 2230–2232 (2021). https://doi.org/10.1038/s41386-021-01069-4 [6] Livingston, J. D., Milne, T., Fang, M. L., & Amari, E. (2012). The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review. Addiction (Abingdon, England), 107(1), 39–50. https://doi.org/10.1111/j.1360-0443.2011.03601.x [7] Radcliffe P. Motherhood, Pregnancy, and the Negotiation of Identity: The Moral Career of Drug Treatment. Social Science & Medicine. 2011;72:984–991. [8] Page, S., Fedorowicz, S., McCormack, F., Whitehead, S. (2024). Women, Addictions, Mental Health, Dishonesty, and Crime Stigma: Solutions to Reduce the Social Harms of Stigma. International Journal of Environmental Research and Public Health, 21(1):63. https://doi.org/10.3390/ijerph21010063
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By: Mat Roosa, LCSW-R “How can we improve our workforce?” In a human service environment filled with open positions, understaffed programs a low rates of worker retention this seems like a perfectly reasonable question.  As NIATx has continued to explore new places, we have turned our attention to trying to support the workforce challenges of […]
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By Greg Grisolano, for the ATTC Network Technology transfer is in our name, but do you really know what it is? Even though the Addiction Technology Transfer Center (ATTC) Network has been a leading expert in the field of substance use disorders since 1993, we realize there are still some folks who don’t know who […]
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By Erin Ficker, Prevention Manager, Great Lakes PTTC, and Maureen Fitzgerald, Communications Manager Great Lakes ATTC, MHTTC, PTTC Erin Ficker, CPRS, MPAff, has over 18 years of experience in substance use prevention, helping communities adopt evidence-based strategies and data-driven processes for prevention planning and execution. Since 2019, Erin has teamed up with NIATx coach Scott Gatzke to […]
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 By Kris Kelly, PR COE and Great Lakes ATTC, MHTTC, PTTC Project Manager, and Maureen Fitzgerald, Great Lakes ATTC, MHTTC, and PTTC Communications Manager For recovery advocate Kris Kelly, the NIATx model helps tackle a long-standing question:  “How can we support grassroots recovery organizations that are typically underfunded, under resourced, but continuously over-delivering?” Kris joined the team […]
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 Compiled by ATTC/NIATx staff and directors This month marks a decade of partnership and collaboration between the ATTC Network and NIATx on our shared blog. In that time, we’ve published more than 300 articles, including multiple series, from the pearls of wisdom we’ve learned over the years, to all the many new places you can […]
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By: Jessica Vechinski, MSW, Client-Based Researcher & Project Manager, Justice Community Opioid Innovation Network (JCOIN),Center for Health Enhancement Systems Studies, UW–Madison, and Kristina Spannbauer, MA, Communications Specialist, Great Lakes ATTC, MHTTC, PTTC Center for Health Enhancement Systems Studies, UW–Madison Coaching is a favored strategy for the implementation of medications for opioid use disorder (MOUD), yet research has not adequately […]
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