Opioid Treatment and Recovery News Roundup

July 12, 2018

Maureen Fitzgerald
ATTC Network/NIATx 


Have you been taking a summer break from the news? Get caught up with five recent news and research headlines, plus a great new Road to Recovery TV episode from SAMHSA

1. Expanding primary care buprenorphine treatment could curb opioid overdose crisis
Science Daily
Research published by Drs. Sarah Wakeman and Michael Barnett describes barriers to wider use of buprenorphine treatment for opioid use disorder, and how to overcome them.

Among the most persistent barriers? Stigma.

Hear more from Dr. Wakeman and Dr. Martha Kane on Monday, July 23, during a free webinar sponsored by the Great Lakes, New England, Northwest and Pacific Southwest ATTCs in collaboration with the Western States Nodes of the Clinical Trials Network: The Massachusetts General Hospital Substance Use Disorders Initiative: A Health Systems Approach to Treating Addiction as a Chronic Disease


2. When an Iowa Family Doctor Takes On the Opioid Epidemic, New York Times 
After arriving in Marshalltown, Iowa, in July 2015, Dr. Gastala was "struck by the number of patients dependent on opioids they'd been prescribed over the years..."

3. Dental pain and Opioid Use: Latest Findings, Pew Charitable Trusts
Recent studies provide support for the American Dental Association's efforts to reduce opioid prescription rates. 

cites Recovery Oriented Systems of Care as key to addressing the opioid epidemic.

5. Jails and prisons: the unmanned front in the battle against the opioid epidemic
Stat News
"Most prisoners with opioid addictions who have their medication stopped don’t have any of it waiting at home for them after their release. Instead, they turn to the streets for illicit opioids to alleviate their cravings."

To learn more about treatment and recovery efforts for people in the criminal justice system:

Watch SAMHSA's July 2018 Road to Recovery Series TV episode: Justice Intervention: Bringing Services to Scale

And while your visiting the SAMHSA site, check out all of the great resources available  for National Recovery Month 2018!


What's Your Favorite News Source?


What news source do you turn to to stay up-to-date with the opioid crisis? Let us know in the comments section below!

Celebrate PRIDE Month: Visit the YMSM+LGBT CoE Website


June 21, 2018
Brandy Oeser, MPH
Project Director
YMSM + LGBT Center of Excellence


LGBT Pride Month is celebrated each year in the month of June to honor the 1969 Stonewall riots in Manhattan. As part of the ATTC’s recognition of LGBT Pride Month we would like to encourage you to visit the YMSM + LGBT CoE website, which features archived webinars where you can learn more about the LGBT community. Webinars are available on many topics, including Creating an LGBT Affirming Organization, Supporting Change for LGBTQ Young Adults, and Working with and for Two-Spirit Individuals. To learn more, please visit LGBT Webinar Recordings.

About the YMSM + LGBT CoE


Between September 30, 2014, and September 29, 2017, the Center of Excellence for Racial/ethnic Minority Young Men Who Have Sex with Men and other Lesbian, Gay, Bisexual, and Transgender populations (YMSM+LGBT COE) provided training and technical assistance to providers on culturally responsive prevention and treatment services to decrease rates of substance use and HIV infections among YMSM and LGBT communities. A collaborative team from the PS-ATTC, NeC-ATTC and National American Indian and Alaska Native ATTC led the COE, in partnership with the National Hispanic and Latino ATTC and Charles R. Drew University.

The YMSM+LGBT COE generated innovative curricula, developed 97 trainers and established a national training infrastructure. The YMSM+LGBT COE also hosted monthly webinars and created a website to serve as an information clearinghouse for research articles and best practices to serve YMSM and LGBT clients. The website also contains information and other resources for providers who serve YMSM and LGBT clients. 

Continuing our work   


Though funding for the COE has ended, the work has continued thanks to the dedicated and passionate trainers affiliated with the project. LGBT trainings have recently been conducted in Arizona, California, Colorado, North Carolina, New Hampshire, Pennsylvania, New York, Massachusetts, American Samoa and Bermuda! YMSM and LGBT related presentations are being conducted at conferences throughout the country. We are moving to quarterly webinars now thanks to the support of the PS-ATTC and UNR CASAT.

For more information or to request a training please email Brandy Oeser at boeser@mednet.ucla.edu

Is your organization observing PRIDE Month?  Tell us how in the comments section below.

How to Become a Best Place to Work for 10 Years in a Row


June 19, 2018

Maureen Fitzgerald
ATTC Network/NIATx



Horizon Health Services began in 1975 with a single location in Buffalo, NY.  Today, the agency has more than 600 employees providing a full continuum of services at more than 20 locations in three counties.

At Horizon, staff satisfaction and growth are at the heart of workforce development. 

Really—the agency trains all new staff on the Communicate with H.E.A.R.T. model, a communication model developed by the Cleveland Clinic.

"The H.E.A.R.T. (Hear, Empathize, Apologize, Respond, and Thank) model differentiates us," says Veronica Meldrum, Vice President of Employee Services. "It provides a framework for a collaborative work environment,  solving problems, and keeping the customer at top of mind in all of our day-to-day operations."

Staff Surveys 


For Meldrum, The H.E.A.R.T. model is one factor that has helped Horizon Health Services earn the distinction of being a Best Place to Work in Western New Yorkfor the 10th year in a row.

"We are as proud today as we were the first time we received the award," says Meldrum.

Another critical factor? Continually seeking staff feedback.


Benefits and Compensation Study


In addition to engaging in surveys with external vendors, Horizon also conducts internal surveys to assess employee engagement. Surveys are just one way for agency leadership to stay connected with employees and address any workforce issues. For example, information from staff surveys was key in a recent revamp of Horizon's benefits and compensation plan.

"Being named a Best Place to Work is a huge honor because it largely depends on results of anonymous surveys our employees complete," explains Meldrum.

Meldrum says that Horizon takes a creative approach to addressing the many factors that complicate staff recruitment and retention today. "We will continue to strive to improve our workplace and the work experience of our employees. Every single person at our organization, whether providing direct service or working behind the scenes, has a critical role."


ATTC Resources for Workforce Recruitment and Retention

Publications: National Workforce Study
National Workforce Report 2017: A National Qualitative Report
Vital Signs: Taking the Pulse of the Addictions Treatment Workforce

Webinar: Workforce Recruitment and Retention: A Review of Strategies
June 28, 2018, 11:00am CT


How does your organization recruit, retain, and reward your staff?  Share your strategies in the comments section below.

Help for the Opioid Crisis: STR-Technical Assistance Available to States and Territories





June 5, 2018

Swan Capris
STR-TA Project Manager 
www.AAAP.org


The State Targeted Response Technical Assistance (STR-TA) Consortium website (www.getSTR-TA.org) and technical assistance (TA) portal is now live and ready to support efforts to address opioid use disorder prevention, treatment, and recovery across the country.

On February 1, 2018, the Substance Abuse and Mental Health Services Administration (SAMHSA) awarded the American Academy of Addiction Psychiatry (AAAP) and a coalition of 22 national healthcare organizations a two-year grant to provide all 50 U.S. States and 7 territories with assistance targeting the opioid crisis. The Consortium has been accepting technical assistance requests for MAT (Medication-Assisted Treatment) waiver trainings, mentorships, systems work, and peer recovery support aftercare programs.

The STR-TA Consortium is focusing on making use of evidence-based resources that have already been created and reviewed to avoid recreating the wheel or wasting resources, including those from: AAAP/Providers Clinical Support System, ATTC Network,  Center for Social Innovation, CADCA, Boston Children’s Hospital on SUD, Columbia University, and Research Triangle International, also funded by SAMHSA.

The goal of STR-TA is to be responsive to meet community’s needs by providing training and TA on evidence-based practices in the prevention, treatment, and recovery of opioid use disorders through local experts. This effort has been designed as a tailored, locally driven approach to TA delivery.

We urge you to share this flyer with your colleagues and community. The STR-TA Consortium and a team of TA consultants stand ready to assist STR grantees and others in prevention, treatment, and recovery as they relate to opioid use disorders.

Together we CAN make a difference!


About AAAP:

We’re an organization focused on helping those with substance use disorders and mental disorders by educating, influencing and encouraging excellence in practice, policy and prevention for the field of Addiction Psychiatry and beyond through our partnerships with psychiatrists, faculty, medical students, residents and fellows, non-psychiatrists and related health professionals.

Funding for this initiative was made possible (in part) by grant no. 1H79TI080816-01 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

GetNaloxoneNow: Everything You Need to Know to Save a Life

May 30, 2018

Earlier this year, Dr. Jerome Adams, the Surgeon General of the United States, issued the following  advisory on naloxone and opioid overdose

I, Surgeon General of the United States Public Health Service, VADM Jerome Adams, am emphasizing the importance of the overdose-reversing drug naloxone. For Patient currently taking high doses of opioids as prescribed for pain, individuals misusing prescription opioids, individuals using illicit opioids such as heroin or fentanyl, health care practitioners, family and friends of people who have opioid use disorder, and community members who come into contact with people at risk for opioid overdose, knowing how to use naloxone and keeping it within reach can save a life.
BE PREPARED. GET NALOXONE. SAVE A LIFE. 

Janie Simmons, EDD, Developer of GetNaloxoneNow
One way that you can be prepared, get naloxone, and save a life is with the online resource, GetNaloxoneNow.  

We posed a few questions about GetNaloxoneNow to Janie Simmons, EDD, principal investigator at NDRI, and one of the developers of the product.

As you'll see from her answers that follow, GetNaloxoneNow is a versatile product that provides rapid training for professionals as well as laypeople.

What is GetNaloxoneNow.org? 

GetNaloxoneNow.org is a novel website (operating out of NDRI-USA and NDRI, Inc.) which houses two overdose prevention, recognition and response trainings; one for laypeople and the other for professional first responders (police officers, firefighters and EMTs). The training for laypeople, which we call the Bystander training, takes approximately 20 minutes while the training for professional first responders takes about 40 minutes.

Each training was put together by an experienced team of overdose specialists (MDs, prevention researchers, curriculum designers and experts with experience training first responders) as well as top-notch graphic designers, animators and professional voice narrators with funding from the National Institutes of Health/National Institute of Drug Abuse (1R43DA029358-01A1 and 1R43DA033746-01). Both trainings were modeled after best-practice models used in Massachusetts and New York and were developed in accordance with theories of multimedia learning to enhance retention.

Anyone with a computer, notebook, tablet or smartphone can access the trainings from work or home. The website also houses numerous links to relevant articles and other online sites supporting overdose education and naloxone dissemination, as well as articles and informational sites on effective drug treatment, harm reduction, and other proven strategies to address the epidemic. In addition, there are links for support for family members and additional info (i.e. on fentanyl risks) for professional first responders. A certificate of completion is provided to those who pass two interactive quizzes and a post-test administered online at the end of the 40-minute training. GetNaloxoneNow.org is supported by the GetNaloxoneNow Facebook page and the #GetNaloxoneNow twitter account. New information (news, articles, studies, reports, commentary) are provided almost daily on these sites.

How many people have been trained through GetNaloxoneNow.org? 

As of May 29th, over 70,000 people have taken the trainings since they went online on August 31st, International Overdose Day, in 2014. Currently, an average of 100 individuals register for the trainings (approx. 65 laypeople and approx. 35 first responders) every day.

Is there a cost for the training? 

The trainings are free and we are committed to providing them at no cost to individuals. However, we need to be able to sustain this life-saving project so, beginning in early June, we will be asking $10 for Certificates of Completion. We have found that many organizations, including for-profit and non-profit organizations, schools, universities, drug-treatment programs, and police and fire departments require their staff or students to provide Certificates as proof of completion. We support this practice, of course, but we will start to request a small fee.

The Bystander training also carries one Continuing Education CASAC credit. These credits are required in NY State, and there are reciprocity agreements in place for 47 other states and territories, as well as the US military, to honor these credits for continuing professional education in the field of substance use/misuse. We hope to provide CE credits for other professional groups in the future.

How can states use GetNaloxoneNow.org? 

We have a special subscription service for states. States that subscribe receive monthly registration data. For example, we share how many people register for the training, demographic data, where they get on the site (by zipcode) and a visual state-wide map, as well as data on how they answer a series of questions (Have you overdosed; Have you witnessed an overdose; Why you are taking the training (for work, for a family member, etc.).

For First Responders, we also ask if they carry naloxone; if not, if they'd like to carry it; and if they have witnessed or intervened in overdose emergencies. We work with state and/or local DOH representatives to target particular areas of the state or particular demographics with social media campaigns advertising GetNaloxoneNow.org. We also either provide a unique page for each state on our website that is made visible and accessible to anyone registering for the training from that state (recognized by zipcode) or we lead the trainee to a web page designated by the state (usually the overdose page of the state DOH) once they successfully complete the training in order to find out more information about overdose and naloxone in their state, and where to obtain naloxone.

What kind of feedback have you received from people who have completed the training? 

Feedback has been overwhelmingly positive. My colleagues and I evaluated both trainings with funding awarded to us through the Center for Drug Use and HIV Research (CDUHR) at New York University (Grant # P30 DA011041). These evaluations assessed the impact of the training on self-reported confidence, knowledge and skills to intervene successfully in an opioid-related overdose emergency among a sub-sample of laypeople and professional first responders and assessed satisfaction with the trainings. Analysis of the post-training surveys indicated high satisfaction with content, format and mode of delivery, and high satisfaction with items related to confidence and overdose reversal preparedness. The study demonstrated the feasibility and preliminary acceptability of the trainings as well as suitability for rapid, cost-effective dissemination. 

Our findings were published in Drug and Alcohol Dependence (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5140716/)
and Substance Use and Misuse (https://www.tandfonline.com/doi/abs/10.1080/10826084.2018.1451891?journalCode=isum20)

We have also translated the Bystander training in Spanish and plan to have that online within a few weeks (if not sooner).

Do you have an additional question about GetNaloxoneNow.org? Post it in the comments section below: 

5 Things Dr. Dennis McCarty Wants You to Know About Treatment and Prevention of Opioid Use Disorder

May 22, 2018

Veronica Wang
Great Lakes ATTC


Dr. Dennis McCarty covered a lot of information in the webinar on April 3, Treatment and Prevention of Opioid Use Disorder: An Overview. The webinar began with a brief history of federal drug policy in the U.S. and medication-assisted treatment of opioid use disorder, and ended with a lively Q&A session with participants.

10 Things to Know About Hepatitis

Maureen Fitzerald
ATTC Network Coordinating Office/NIATx
May 14, 2018

1. May is Hepatitis Awareness Month.

One of the most important things to know is that many (millions) may be infected without knowing it. And people who use drugs and alcohol are at greater risk of getting and transmitting viral hepatitis.