Addiction Technology Transfer Center Networkattcnetwork.org/documents/Final_ Versions_Reports/NIDA... · Web viewThe National Office engaged in email correspondence and phone calls

Addiction Technology Transfer Center NetworkNational Institute on Drug Abuse Initiative

Quarterly Report July - September 2007

Table of Contents

EXECUTIVE SUMMARY 3NATIONAL OFFICE 8PACIFIC SOUTHWEST 10CENTRAL EAST 13SOUTHERN COAST ATTC 16MID-AMERICA 17GULF COAST 19MOUNTAIN WEST 20MID-ATLANTIC 23CARIBBEAN BASIN & HISPANIC 26NORTHWEST FRONTIER 29SOUTHEAST ATTC 32NEW ENGLAND 34GREAT LAKES 37PRAIRIELANDS 40Northeast 42

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Executive SummaryThe Addiction Technology Transfer Center (ATTC) Network is in its fifth year of

supplemental funding from the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment for the NIDA Initiative. The ATTC Network utilizes these funds to disseminate and promote NIDA research-based protocols to addictions treatment, public/mental health personnel, institutional and community corrections professionals, and other related disciplines through NIDA/SAMHSA-ATTC Blending Teams. The purpose is to assist those working with individuals and families impacted by substance use disorders to maximize treatment efforts by adopting research to fit their system of care. This document includes an executive summary of the NIDA-related activities of the fourteen ATTC Regional Centers and the National Office. For a detailed report of these activities, please refer to the individual Quarterly Reports from the Regional Centers and the National Office.

Introduction NIDA and CSAT convened five separate Blending Teams to accomplish the

goals of the NIDA Initiative as follows: Buprenorphine Treatment: A Training for Multidisciplinary Addiction Professionals (Buprenorphine Treatment), Treatment Planning MATRS: Utilizing the Addiction Severity Index (ASI) to Make Data Collection Useful (Treatment Planning), Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA: STEP), Short-Term Opioid Withdrawal Using Buprenorphine: Findings and Strategies from a NIDA Clinical Trials Network Study (Buprenorphine Detoxification) and Promoting Awareness of Motivational Incentives (PAMI). All ATTC Regional Centers participated on one of the five Blending Teams. Now that all the products are developed, the ATTC Network is concentrating on disseminating the Blending packages. Although the National Office was not directly a part of any Blending Team, as the coordinating center of the ATTC Network, it facilitated the efforts of all five Blending Teams and continues to develop special projects, such as The Training Point, which support the Initiative as a whole.

Blending Team PackagesBlending Team Products in Package as of September 2007

Buprenorphine Treatment o 6-hour classroom training including a training manual, PowerPoint slides, and the short movie, “Put Your Smack Down! A Video About Buprenorphine”

o Self-paced CD-ROM awareness course on buprenorphine treatment

o Annotated bibliography and research articles Treatment Planning o 6-hour classroom training program including a

trainer script and notes, PowerPoint slides, handouts, and a reference list

o 4-week online course based on the classroom training

o Curriculum infusion package for addiction studies

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Blending Team Products in Package as of September 2007educators

MIA: STEP o Overview of MIA:STEP for ATTC Networko Briefing Materials for announcing availability of the

package, an executive summary, overview of the toolkit, talking points, and an interview with an agency treatment director

o Description of the MI Assessmento Results of the NIDA Clinical Trials on MIAo Supervisory Teaching Toolso Self-Assessment Skill Summarieso Supervisor Tape Rating Guide and Formso Transcripts and Ratings of Standardized Tapes in

English and Spanisho Training Curricula for Preparing Supervisors to Use

MIA:STEPBuprenorphine Detoxification o 4-hour classroom training program including

PowerPoint slides and a CD PAMI o Brief video demonstrating effective Motivational

Incentives in practiceo PowerPoint slideso Trainers toolkit o Collection of research articleso Marketing resources

Product DisseminationAll Blending Teams have products currently in dissemination. During the

reporting period, the MIA:STEP Team, in collaboration with the National Office, held a second training-of-trainers event on its package. Feedback from the post-event performance monitoring forms indicated that the participants were satisfied with the event overall. In addition, the National Office began discussions with the PAMI Team for its first TOT. Please see the charts beginning on page 6 for a summary of all of the ATTC dissemination efforts.

The Network anticipates an influx of requests for Blending Initiative products. During this reporting period, the National Office maintained the NIDA Dissemination Tracking database. This web-based database, which is hosted on the Network intranet site, tracks ATTC dissemination efforts and helps the Network monitor our capacity to meet demand for Blending Initiative packages. The National Office makes various reports based on the data entered into the tracking system available to the Network, CSAT and NIDA. For example, the National Office used the data from this database in order to create a map which shows the states in which Blending events of 3 hours or more have occurred.

In addition to disseminating the actual Blending Team products, the ATTC Network draws on its expertise in technology transfer to extend the reach of the Blending Initiative by re-packaging the approved information and materials in creative

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and innovative ways. For example, Michael Flaherty of the Northeast ATTC continued his work with the Pennsylvania State Department of Health and providers across the State to address Buprenorphine adoption and regulatory barriers. Buprenorphine materials (including NIDA products) were shared at the meetings as ideas for resources to support later training and implementation of strategies to deal with opioid addiction.

CTN and other Infrastructure ActivitiesRegional Centers also work to build and maintain lines of communication with

CTN Nodes and NIDA researchers. All but four of the Regional Centers have CTN Nodes in their region. Those Regional Centers with a CTN Node participate in regular conference calls and meetings with representatives from their regional Nodes, and sit on CTN workgroups and committees. For example, representatives from the Central East ATTC attended the Mid-Atlantic CTN Node’s semi-annual RRTC meeting with Clinical Treatment Providers (CTPs) to discuss current and future plans for collaboration. In addition, Daniel Squires of the New England ATTC has become a co-investigator for the Northern New England Node of the CTN, and is a member of both the dissemination workgroup and the executive committee. Dr. Squires will be coordinating Blending Team trainings directly with the NNEN of the CTN, which has 5 of the 6 New England states within its jurisdiction. Those Regional Centers without CTN Nodes in their regions have created linkages with NIDA-funded researchers in their regions; for some Regional Centers these linkages have grown into dynamic relationships.

The Network has also found the need to prime the field on the evidence based practices presented in the Blending packages before actually disseminating the official products. Several Regional Centers have had to hold trainings on Blending topics, such as motivational interviewing. Developing this infrastructure will set the appropriate context for introducing the Blending packages. For example, the Mountain West ATTC has planned for two ASI 101 applications courses for Billings and Missoula, MT in October 2007 to supplement the Treatment Planning M.A.T.R.S. Blending Initiative.

Finally, ATTC Regional Centers are key partners with NIDA in support of NIDA’s Blending Conferences. In the past, the Southern Coast and Northwest Frontier ATTCs have helped NIDA with these conferences. The Great Lakes ATTC will be working with the Ohio Valley CTN as they host the 2008 Blending Conference in Cincinnati, OH.

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ATTC Network Blending Initiative Dissemination Efforts by Blending Package

Official Blending Product Dissemination

Package

Description of the Dissemination EffortMulti-media Resources

Printed Materials

Dissemination of Materials Electronically

Trainings and Presentations

Other Total

Buprenorphine Treatment 5 58 0 43 6 112

Buprenorphine Detoxification 1 52 2 6 2 63

Buprenorphine Treatment & Buprenorphine Detoxification together

6 20 0 21 14 61

Treatment Planning MATRS

3 85 10 87 27 212

MI Assessment 6 71 1 31 8 117

PAMI 6 42 1 39 19 107Total 27 328 14 227 76 672

ATTC Developed Supplementary Products Dissemination

Package

Description of the Dissemination EffortMulti-media Resources

Printed Materials

Curriculum Products

Dissemination of Materials Electronically

Trainings and Presentations

Other Total

Buprenorphine Treatment 3 3 3 0 3 1 13

Buprenorphine Detoxification 1 3 6 1 0 0 11

Buprenorphine Treatment & Buprenorphine Detoxification together

0 8 0 0 1 6 15


1 12 13 15 10 18 69

MI Assessment 3 15 13 9 12 14 66PAMI 0 1 0 1 3 11 16Total 8 42 35 26 29 50 190

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ATTC Network Blending Initiative Dissemination Efforts by Regional Center

Regional Center Total # of Official Product Dissemination Efforts*

Total # of ATTC Supplementary Product Dissemination Efforts*

ATTC of New England 52 0CBHATTC 58 82Central East 16 7Great Lakes 13 3Gulf Coast 17 0Mid-America 26 8Mid-Atlantic 25 16Mountain West 83 23Northeast 44 2Northwest Frontier 6 6Pacific Southwest 23 4Prairielands 146 29Southeast 22 0Southern Coast 141 10

Total 672 190

*Please Note: Disparity among Regional Centers in terms of number of dissemination efforts is due in part to the way each Regional Center has interpreted the definition of a “dissemination effort” such that some Regional Centers may report items that others do not.

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National Office

1. Blending Team Activities: While the National Office is not directly a part of any Blending Team, as the

coordinating center of the ATTC Network it strives to facilitate the efforts of all five Blending Teams. Mary Beth Johnson, MSW, Director of the National Office, participates in the ATTC NIDA Initiative Workgroup.

The National Office engaged in email correspondence and phone calls with the CSAT Project Officer regarding ways to revise the NIDA quarterly reports to make them more useful for NIDA, CSAT and the Regional Centers.

NIDA has requested that the National Office include an United States map displaying where the ATTC Network has delivered Blending Initiatives events of three or more hours each quarter. During this reporting period, the National Office researched how to produce such a map and the possibility of linking the map electronically to the dissemination tracking database.

2. Dissemination Activities Related to Blending Team Product/Packages:

During this reporting period, the National Office maintained the NIDA Dissemination Tracking database. This web-based database, which is hosted on the Network intranet site, tracks ATTC dissemination efforts and helps the Network monitor our capacity to meet demand for Blending Initiative packages. The National Office makes various reports based on the data entered into the tracking system available to the Network, CSAT and NIDA. For example, the dissemination data found in the Executive Summary for this reporting period was drawn from the tracking system.

The National Office planned the logistics for the MIA:STEP Training-of-Trainers (TOT) event that was held as part of the roll-out of that Blending package in May in Kansas City. The National Office secured the meeting space and hotel room block and made other logistical arrangements. The National Office paid for all of the travel expenses for the TOT trainers and provided on-site support for the training.

The National Office is also in the planning stages for another MIA:STEP TOT and a PAMI TOT to be held in the near future. The National Office is working with the Blending Teams to put together the logistical arrangements for those events.

3. CTN and Other Infrastructure Activities:

Training

Treatment providers will be more likely to understand and adopt NIDA research-based practices if they are trained on those practices by an experienced trainer using research grounded educational techniques. Therefore, as part of the Blending Initiative, the National Office developed the curriculum, The Training Point: an uncommon learning exchange for addiction trainers to ensure that trainers of Blending Team packages utilize adult learning principles to present and facilitate

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quality trainings. The National Office and Regional Centers encourage attendees of Blending Initiative TOTs to take the course.

The Training Point has been extremely successful. As a result, the National Office is now consulting with several Regional Centers to roll out the curriculum to the Network. The Northeast ATTC held the course in May and June, 2007. The National Office provided logistical support, the online learning system, and a “master trainer” mentor for this regional roll out.

Cyber Media

The National Office maintains an electronic discussion list for those members of the ATTC Network that participate in the ATTC Blending Initiative Workgroup.

The ATTC Network Web site (www.nattc.org), which is maintained by the National Office, continues to highlight the NIDA/SAMHSA-ATTC Blending Initiative under the “About Us” section. The section offers a thorough description of the Blending Initiative as a whole, as well as more comprehensive descriptions of each Blending Team. It also offers the ability to download portions of the packages that have been released to the public.

The National Office maintains the NIDA/SAMHSA-ATTC Blending Initiative Web page on the Network Intranet site. Minutes to all NIDA Initiative meetings and conference calls are posted on this Web page so that they are available to the ATTC Network and CSAT. Also, the National Office continues to maintain the NIDA Initiative reports on the Network Intranet site so that they are available to the ATTC Network, CSAT and NIDA.

The National Office includes Blending Team updates in its weekly electronic internal bulletin, kNOw Notes.

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http://www.nattc.org/

Pacific Southwest

1. Blending Team ActivitiesBuprenorphine Treatment: A Training for Multidisciplinary Addiction Professionals (a.k.a. Buprenorphine Awareness)

Thomas Freese (Chair) and Beth Rutkowski (Member) represent the PSATTC. A restructuring of the Buprenorphine Awareness blending package (to include

the Buprenorphine Detox product as an additional module) has begun and should be finalized by fall 2007.

Short-Term Opioid Withdrawal Using Buprenorphine: Findings and Strategies from a NIDA Clinical Trials Network Study (a.k.a. Buprenorphine Detox)

Thomas Freese (Chair) and Beth Rutkowski (Member) represent the PSATTC.

2. Dissemination of Blending Team Products

Official Product Trainings Held During this Reporting Period

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Buprenorphine Treatment AND Short-Term Opioid Withdrawal Using Buprenorphine(EVENT #5234 )

3 hours 28 July 27-28, 2007 Newark, DE Delaware Dept. of Health and Social Services, Division of Substance Abuse and Mental Health

No

Official Product Trainings Planned During this Reporting Period

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Treatment Planning M.A.T.R.S.(EVENT #5067 )

Fall 2007 Los Angeles, CA BAART A participating CTP in the Pacific Region of the CTN

Treatment Planning M.A.T.R.S.(EVENT #5077)

Fall 2007 Sacramento, CA CAARR and CA ADP

This event will be a TOT to train TA Providers funded by CAARR

MI Assessment: Supervisory Tools for Enhancing Proficiency

September 24, and October 1 and 11, 2007 (7 hours per training)

Apache Junction, AZ

AZ Dept of Behavioral Health Services

See **note included below for more information

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(EVENT #169)MI Assessment: Supervisory Tools for Enhancing Proficiency (EVENT #481)

September 27, and October 4 and 10, 2007 (7 hours per training)

Yuma, AZ AZ Dept of Behavioral Health Services


MI Assessment: Supervisory Tools for Enhancing Proficiency (EVENT #482)

October 12, 19, and 26, 2007 (7 hours per training)

Flagstaff, AZ AZ Dept of Behavioral Health Services


**As part of an ongoing collaboration with the AZ Department of Behavioral Health Services, the PSATTC is providing a statewide training cycle in Motivational Interviewing (MI) to clinical supervisors. Adolescent treatment program supervisors in three rural locations throughout Arizona are attending a series of three one-day seminars on MI theory, practice, and supervision. Each cohort will receive a total of 21 hours of training. The three-part training series will be followed by a three-month assessment and mentoring period (where training participants will submit videotapes for scoring/feedback and participate in a series of technical assistance conference calls). The curriculum for the MI training cycle has been heavily infused with materials from the MIA: STEP blending package (at least 3 hours of each training series will include MIA:STEP content). Additional details are available in the PSATTC’s April-June 2007 NIDA quarterly report.

Other Dissemination Activities Informational brochures for each of the Blending Team products are a standard

component of the PSATTC display table, and are disseminated at all events in which the PSATTC display is featured.

During fall 2007, the PSATTC will distribute approximately 150 Treatment Planning M.A.T.R.S. Curriculum Infusion Packages (CIPs; developed by MWATTC) to addiction educators working in CA. The PSATTC is waiting for MWATTC staff to make revisions to the CIPs and get them ready for distribution (event #95).

3. CTN and Other Infrastructure ActivitiesTrainings/Technical Assistance

On July 5, 2007 in Los Angeles, CA, Mark Oyama conducted Addiction Severity Index (ASI), Risk Behavior Survey (RBS), and Biomeasures training for four (4) CTN-affiliated staff.

On July 10, 2007 in Los Angeles, CA, Thomas Freese presented a 4-hour Good Research Practice/Good Clinical Practice (GRP/GCP) Full Training. Sixteen individuals participated in the training.

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On July 15, 2007 in Honolulu, HI, Thomas Freese presented a 4-hour Good Research Practice/Good Clinical Practice (GRP/GCP) training for 75 staff affiliated with the multi-site NIDA/VA Modafinil Study.

On July 15-16, 2007 in Honolulu, HI, Thomas Freese conducted Cognitive Behavioral Therapy (CBT) training for 20 staff affiliated with the multi-site NIDA/VA Modafinil Study.

One July 16-17, 2007 in Honolulu, HI, Thomas Freese and Valerie Pearce conducted two-day Addiction Severity Index (ASI) training for 40 staff affiliated with the multi-site NIDA/VA Modafinil Study.

On September 19-20, 2007 in Los Angeles, CA, Mark Oyama conducted two-day Addiction Severity Index (ASI) training. A total of 11 individuals participated.

NIDA Conferences/Meetings/Presentations July 14-18, 2007, Honolulu, HI. Richard Rawson and Thomas Freese

participated in the multi-site NIDA/VA Modafinil Study kick-off meeting. This study is part of the Methamphetamine Clinical Trials Group (MCTG) effort.

NIDA Liaison Conference Calls July 31, 2007, Los Angeles, CA. Thomas Freese facilitated a NIDA Blending

Initiative/Liaison conference call with staff from each of the ATTC regional centers.

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Central East

1. Blending Teams Activities:

Aaron M. Williams is currently representing Central East ATTC on the Buprenorphine Awareness Blending Team.



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Buprenorphine Awareness

44 July-Sept 2007

online N/A No

MIA:STEP 3.75 hrs 18 July - 2007 HARBEL, treatment program, Baltimore, MD

N/A YES, CEATTC is co-sponsoring MIA:STEP training of supervisor and key counselors in programs that are apart of CTN Node

ASI/MATRS 3.5 days 12 July-2007 Salisbury, MD (Training was held at OETAS summer School)

N/A No


6.5hrs 30 August- 2007 Washington DC. Addiction Prevention and Recovery Administration

No

PAMI 4 hours 65 Sept.2007 Ocean City, MD Baltimore Substance Abuse Systems, (BSAS)

Yes, Co-sponsoring half day training with Mid-Atlantic CTN Node around PAMI package


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MIA:STEP 3.75 hrs NA Oct - 2007 Mountain Manor, Baltimore, MD

N/A YES, CEATTC is co-sponsoring MIA:STEP training of supervisor and key counselors in programs that are apart of CTN Node


1 day 30 Aug.-2007 Washington, DC,

Addiction Prevention and Recovery Administration, (APRA)

No

PAMI Half Day 65 Sept.2007 Baltimore MD Baltimore Substance Abuse Systems, (BSAS)

Yes, Co-sponsoring half day training with Mid-Atlantic CTN Node around PAMI package

Participation in Blending Package Training-of-Trainers Events The Central East ATTC continued planning to roll out the MIA: STEP blending

package. Tom Durham, Ph.D., (Central East Project Director) attended the advance Clinical Workshop on Motivational Interviewing as a prerequisite to the train the trainer sessions for this blending package.

Other Dissemination Activities The Central East ATTC continued marketing of the Buprenorphine on-line course,

which is a part of the Buprenorphine rollout package, through the Dialogue newsletter, the Central East ATTC website, conference exhibiting, and other appropriate venues.

The Central East ATTC continued dissemination of NIDA blending package brochures at various conferences and events attended by Central East ATTC staff.

3. CTN and Other Infrastructure Activities:

Contacts

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Central East representatives attended the Mid-Atlantic CTN Node’s semi-annual RRTC meeting with Clinical Treatment Providers (CTPs’) to discuss current and future plans for collaboration.

Print Media The Central East ATTC continues to disseminate the publication entitled: An

Overview of Evidence-Based Practices: Implementing Science-Based Interventions in Practical Settings at addiction training summer school sessions and other venues in our region. This document discusses in detail the MIA:STEP and PAMI blending packages as well as, provide information on implementation of evidence-based practices.

The Central East ATTC continued distribution of its bi-weekly bulletin, The Dispatch, which contains current information on research findings. This publication is sent to over 1,000 subscribers.

Cyber Media The “NIDA/CSAT” section of the Central East website continues to be updated

and developed. This section has subsections including “Science and Practice,” “Best Practices Resources,” “Addiction Research Centers,” and a blackboard section for ongoing dialogue and discussions about best practices. Marketing of this section of the website is ongoing.

Liaisons The Central East ATTC continued e-mails, meetings, and conference calls to

state SSAs and state training coordinators to further develop a strategic plan for the dissemination of all blending team packages.

The Central East continued discussions with other members of the Network over possible improvements of activities and services related to blending initiatives.

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Southern Coast ATTC

1. Blending Team Activities:

James R. Knorp, MSW CAP represents the Southern Coast ATTC.



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6 Hours 34 September 21, 2007

Fairhope, AL


6 Hours 36 September28, 2007

Jacksonville, FL


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October 24, 2007 Birmingham, AL The training announcement generated more people than could be accommodated in one event, so a second training event was added.


October 25, 2007 Birmingham, AL

MIA-STEP November/December 2007

Jacksonville, FL The lead agency requesting this training is a CTN CTP.

Other Dissemination Activities Brochures for each of the NIDA Blending Products were distributed on the following

dates and sites:o July 23-26 2007, Florida School of Addiction Studies, Jacksonville, FL (125)

of each brochure distributedo August 22-24, 2007, Florida Alcohol and Drug Abuse Association Annual

Conference, Orlando, FL (250) of each brochure distributed

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Mid-America

1. Blending Team Activities: Pat Stilen, Director, represents Mid-America on the Treatment Planning MATRS

Blending Team. Mid-America completed on-line course revision of 6-week Blackboard on-line

course to be consistent with revised curriculum product, Treatment Planning M.A.T.R.S.

2. Dissemination Activities Related to Blending Team Product/Packages: Conducted 4 on-line course sections in summer 2007. Provided no-cost 12-hour

CEU registration for 100 addiction counselors in Arkansas, Kansas, Missouri, and Oklahoma. Class #1 began June 4th and Class #2 began June 18. Class #3 began July 16 and Class #4 began July 30th. Instructors included Pat Stilen (Class 1, 2 and 4) and contractor, Lisa Carter (Class 1 and 3).

Disseminated revised printed curriculum packages throughout ATTC Network and Project Officers at CSAT and NIDA.


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100Registered participants

Jun 4 - Jul 15Jun 18 - Jul 28Jul 16 – Aug 25Jul 30 – Sep 15

N/A AR, KS, MO, OK SSAs

N/A

Participation in Blending Package Training-of-Trainers Events Sponsored 2 training consultants to MIA-STEP Training of Trainers in Kansas City,

MO, September 19-20, 2007

Other Dissemination Activities Disseminated 81 revised printed curriculum packages throughout ATTC Network

and Project Officers at CSAT and NIDA.

3. CTN and Other Infrastructure:

Contacts One-on-one telephone and e-mail discussion with Deni Carise, for purposes of

planning and scheduling sequel activities

Cyber Media

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Posted and featured revised Treatment Planning M.A.T.R.S. curriculum and PowerPoint slides on regional ATTC website (www.mattc.org) and submitted to National Office ATTC

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http://www.mattc.org/

Gulf Coast

1. Blending Team Activities: Staff participating in blending activities this period where Richard Spence and Phil

Orrick. In addition, training consultants, James Bradley and Liz Coccia assisted in the delivery of Treatment Planning Trainings.

All meetings this period where conducted on conference calls with team members: Deni Carise, Pat Stilen, Nancy Roget, Richard Spence and Phil Orrick. Primary activities were the planning, scheduling, and editing of new software that will be the companion of the M.A.T.R.S. training curriculum.

The product development role and tasks this period:o Development of Feedback Protocol for Training and Software:

Trained site staff will be asked to provide feedback in the form of focus groups or on a Software Log (monthly) for approximately 3 months post training. We will develop this feedback protocol including a software feedback log on the acceptability of training content and methods, the functionality and content of the software and the usefulness of the software.

o Initial Modifications to the ASI Treatment Planning Software. Ongoing software modifications will continue throughout the project based on counselor feedback on the implementation, use and value of the software.



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August 6, 2007 Silver City, N.M.

New Mexico Association of Addiction Educators

Full day training

Motivational Incentives

August 1, 2007 Austin, Tx. University of Texas/Austin

Three hour pilot Inservice

3. CTN and Other Infrastructure: None during this reporting period

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Mountain West

1. Blending Team Activities: Nancy Roget, Project Director, serves on the ASI/Treatment Planning Blending

Team Part II. In August of 2007, Ms. Roget participated in two telephone conference calls with

Mid-America ATTC Director, Pat Stilen, & Gulf Coast ATTC Director, Dick Spence to discuss the upcoming ASI/Treatment Planning Blending Team Part II Initiative.

Due to the product title change and the corresponding curriculum changes, MWATTC Staff spent a total of 70 hours revising the name and content of the Treatment Planning M.A.T.R.S. online course and CD-ROM product. This product is awaiting final revisions in order to include new material produced by Deni Carise of the Treatment Research Institute.



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6 hours 7 July 25 2007

Missoula, MT No No, There are no CTN nodes in the MWATTC Region


6 hours 7 July 27 2007

Billings, MT No No, There are no CTN nodes in the MWATTC Region

Motivational Interviewing for the Colorado Department of Public Health and Environment (CDPHE)– Considered preparation trainings for the MIA:STEP Blending Initiative

12 hours 30 participants are registered to attend this two day training for line staff and intervention specialists

July 16-17, 2007

Denver, CO Colorado Department of Health and Education (CDPHE)

No, There are no CTN nodes in the MWATTC Region

Motivational 30 August 6-7, Denver, CO Colorado 30

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Interviewing for the Colorado Department of Health and Education (CDPHE)– Considered preparation trainings for the MIA:STEP Blending Initiative

participants are registered to attend this two day training for line staff and intervention specialists.

2007 Department of Health and Education (CDPHE)

participants are anticipated to attend this TOT for Supervisors to continue enhancing their line staff skills.


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Treatment Planning MATRS:

October 8 2007 Reno, NV No 20 participants are anticipated to attend this event.


October 9 2007 Las Vegas, NV No 20 participants are anticipated to attend this event.

Participation in Blending Package Training-of-Trainers Events MWATTC sponsored travel and lodging accommodations for two approved trainers

to attend the MIA STEP TOT Training scheduled for September 2007 in Kansas City, MO. Due to this sponsorship, the MWATTC region has two certified MIA STEP trainers.

Other Dissemination Activities MWATTC is sponsoring two ASI 101 applications courses for Billings (35

participants are scheduled to attend) and Missoula, MT (25 participants are scheduled to attend) in October 2007 to supplement the Treatment Planning M.A.T.R.S. Blending Initiative done in July 2007. This event was rescheduled from July 24 (Missoula, MT) & 26 (Billings, MT), 2007 due to trainer unavailability.

The MWATTC collaborated with Sue Przekwas, Colorado Department of Health, to negotiate logistics for a series of Motivational Interviewing trainings for HIV. These trainings are considered preparation trainings for the MIA:STEP Blending Initiative. Implementation of this series began on July 16-17, 2007 (30 participants attended this 12 hour event) and another training was conducted on August 6-7 2007 (30 participants attended this 12 hour event).

The MWATTC distributed 50 Buprenorphine and 50 Detox CIP CD-ROMs at the Utah Fall Conference in Saint George, UT September 26-28, 2007. In addition, the MWATTC distributed 50 of each of the five NIDA/SAMHS- ATTC Blending Initiative

21

brochures and 50 of the MWATTC supplemental informational flyer. Approximately 500 people attended this event.

The MWATTC distributed packets containing the five NIDA/SAMHSA-ATTC Blending Initiative brochures and the MWATTC supplemental informational flyer at the Treatment Planning M.A.T.R.S. trainings in Missoula and Billings, MT July 2007.

MWATTC sponsored an Addiction Educator’s meeting on September 29, 2007 with 16 Nevada academic face-to-face and online course instructors in which upcoming Blending Initiative products and CIP CD-ROMs (Buprenorphine and Detox CIP CD-ROMs) were discussed and distributed.

In addition, the MWATTC distributed packets containing the five NIDA/SAMHSA-ATTC Blending Initiative brochures and the MWATTC supplemental informational flyer at Addiction Educator’s meeting in September 2007.

Due to the product title change and the corresponding curriculum changes of the Treatment Planning M.A.T.R.S. ASI Blending Initiative, MWATTC Staff revised the name and content of the Treatment Planning M.A.T.R.S. Curriculum Infusion Package (CIP) for addiction educators. This CIP revised version is awaiting final edits pending updates from Dr. Deni Carise of the Treatment Research Institute.


Cyber Media Ms. Norland regularly updates the Mountain West ATTC Website (mwattc.org) to

include and reflect the shorter URLs for the Blending Teams that link directly to information about each team on the ATTC Network web site. MWATTC e-links to the NIDA Blending Initiative Products are located at the website: http://casat.unr.edu/mwattc/attcnidainitiatives.php. All available NIDA Blending Team Products can be accessed electronically through the MWATTC website. During this reporting period, MWATTC Staff updated the MWATTC website to reflect the shorter URLs for the Blending Teams that link directly to information about each team on the ATTC Network web site.

Training/TA MWATTC sponsored Behavioral Family/Couples Therapy in Reno, NV on

September 6, 2007 (24 participants attended this event) and in Las Vegas, NV on September 7, 2007 (18 participants attended this event).

Liaisons Ms. Woods and Ms. Norland participated in the NIDA Workgroup call on July 31,

2007. Ms. Roget is scheduled to facilitate a NIDA Blending Initiative Workgroup call on

October 31, 2007 and MWATTC staff, Ms. Woods is scheduled to participate.

22

http://casat.unr.edu/mwattc/attcnidainitiatives.php

Mid-Atlantic

1. Blending Team Activities

Denise Hall, LPC, NCC is a member of the Motivational Interviewing Blending Team.

Ms. Hall and Paula Horvatich have engaged in email, phone calls with the other ATTC members of the team and CTN representatives regarding status of MIA: STEP, particularly preparing for September’s TOT.

Mid-Atlantic ATTC pressed 2000 CD’s; 500 with package documents and PowerPoint presentations, and 500 of each demonstration tape (2 English, 1 Spanish). Also, we purchased 3-hole punched CD holders for all binders. Mid-Atlantic was responsible for 500 custom made binders for MIA: STEP; 250 were delivered to Northwest Frontier ATTC.

2. Dissemination of Activities Relating to Blending Team Products/Packages:


Pack

age

Dur

atio

n

# of

at

tend

ees

Dat

e

Loca

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Co-

spon

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/O

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O

rgan

iza-

tions

In

volv

ed

CTN

in

clud

ed?

(Exp

lain

)

MIA:STEP TOT

17 hours 14 September 19-21, 2007

Kansas City, MO

National ATTC and Northwest Frontier ATTC

Yes; Recruited from CTN Nodes and ATTCs.

MIA:STEP 12 hours 14 August 8-9, 2007

Greenville, NC NC Governor’s Institute

No; collaboration with NC Governor’s Institute

PAMI 3 hours 39 July 19, 2007 Williamsburg, Virginia

VA Summer Institute on Addiction Studies

No; general recruitment by brochure

PAMI 6 hours September 17, 2007

Raleigh, NC NC Governor’s Institute

No; collaboration with NC Governor’s Institute


23

Pack

age

Plan

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ts

PAMI October 2007 Davis, WV WVADAAC No; conference opportunity


November 2007 Charleston, West Virginia

Coalition ASAP No; conference opportunity


December 2007 Prince William County CSB, Dumfries, VA

Moved to later date as CSB needed to complete Policy and Procedure. ATTC sponsored trainer and CSB MD will co-train 1-day class;

MI for Supervisors(MIA:STEP)

January 2008 Richmond, VA WV SSA Workforce Development

On-line course ; private offering to prime for MIA:STEP delivery

MI for Supervisors(MIA:STEP)

February 2008 Richmond, VA VA SSA office On-line course ; private offering to primer for MIA:STEP delivery

MIA: STEP February 2008 Clarksburg, West Virginia

WV SSA work-force dvlp

Finale for MI series

MIA:STEP March 2008 Richmond, Virginia

VA SSA office Reschedule for July 2007

MIA:STEP January 2008 Chesterfield CSB VA

Mid-Atlantic CTN Node

MIA:STEP April 2008 Norfolk CSBNorfolk, VA

Mid-Atlantic CTN Node

Participation in Blending Package Training-of-Trainers Events Ms. Hall served as one of three trainers at the second TOT on MIA:STEP conducted

9/19- 9/21/07 in Kansas City. Ms. Hall will continue to collaborate with co-trainers, Steve Martino and Chris Farentinos on the preparation of activities and materials. Ms. Hall served as ATTC representative at the event.

Another MINTee, Worth Bolton, was accepted and completed the second round on TOT, bringing the total to three MINTees sponsored by the Mid-Atlantic ATTC.

Ms. Hall has been coordinating with Christine Higgins(May 07- MIA:STEP TOT) sponsored by Mid-Atlantic CTN Node to provide training of MIA:STEP to the two Virginia CTP’s. Ms. Hall will co-facilitate the MIA:STEP delivery for each CSB. Dates are not verified as each CSB will receive basic and follow-up training before receiving MIA:STEP.

Other Dissemination Activities

24

Denise Hall presented a 90 minutes overview of MIA:STEP at Virginia’s Transformation Conference on September 11, 2007.

Missy Barker presented two 90 minute sessions on PAMI at Virginia’s Transformation Conference on September 11, 2007.

The Mid-Atlantic, Mountain West, Prairielands and Northwest Frontier ATTC directors presented a 90 minutes session on July 9th at the 2007 SAAS Annual Conference on clinical supervision. MIA:STEP was highlighted as a new product in support of improving clinical supervision for EBPs.

Dr. Horvatich and Ms. Hall are continuing to meet with local CTN CTP SA Director, Ned Snead from Chesterfield CSB to develop a research proposal on coaching and supervision through video-taped and live supervisor feedback for MI.

We have received 12 requests for the entire MIA:STEP binder and CD’s since September 2007 when we made them available on-line.

Mid-Atlantic ATTC stand-alone products from MIA: STEPo Mid-Atlantic ATTC has continued to receive requests for MI rulers through our

website and via phone. A total of 209 were distributed. 100 additional requested from Walter B. Jones Treatment Center in NC 14 at NC MIA:STEP trainings 8/8-8/9 14 at national MIA:STEP TOT, Kansas City, MO 9/19-9/21 50 requested by Blue Ridge Behavioral Health Services 31 to West Virginia SSA MI project attendees

3. CTN and other Infrastructure Activities

NIDA Blending Conferences/Presentations: Denise Hall presented overview of NIDA MIA:STEP package at the annual NAADAC

conference during a 90 minute plenary, along with Dr’s Gallon and Martino speaking on supervision and CTN results.

Liaisons: Denise Hall continues to confer with Aaron Williams of Central East ATTC and Steve

Gallon of Northwestern Frontier ATTC on Blending Initiatives. Denise Hall continues to collaborate via phone and e-mail with the dissemination

coordinator of the Mid-Atlantic Node of CTN to provide roll-outs for VA’s CTP’s. Dr. Horvatich corresponded with CTN Node PI Eugene Somoza of the Ohio Valley

Node, who will host the 2008 Blending Conference. Mid-Atlantic ATTC plans to work with Ohio Valley to address CTP’s needs within our region.

25

Caribbean Basin & Hispanic

1. Blending Team Activities: The CBHATTC continues to participate on the MI Blending Team. María del Mar

García and Dr. Ibis Carrión served on the Blending Team during this quarter. The CBHATTC translated the Motivational Interviewing Assessment: Supervisory

Tools for Enhancing Proficiency (MIA: STEP) into Spanish-language. This product is in reproduction process.



Pac

kage

Dur

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n

# of

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ndee

s

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Loca

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sors

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ther

O

rgan

iza-

tions

In

volv

ed

CTN

incl

uded

? (E

xpla

in)

“MATRS Treatment Planning Technical Assistance-Training”

6hrs 23 7/12/07 Juncos, PR CBO’S

“MATRS Treatment Planning Technical Assistance-Training”

6hrs 22 8/2/07 Mayaguez, PR CBO’S

“MATRS Treatment Planning Technical Assistance-Booster Session”



3hrs 15 8/16/07 San Juan, PR ASSMCA (State Agency)

“Buprenorphine: A Biopsychosocial Approach to Opioid Dependence Treatment” (Doctors in Medicine)

8hrs 44 08/25/07 Isla Verde, PR ASAM (American Society of Addictive Medicine)

“Buprenorphine: A Biopsychosocial Approach to Opioid Dependence Treatment”(Health professionals, no doctors in Medicine)

6hrs 34 08/25/07 Isla Verde, PR ASAM (American Society of Addictive Medicine)


3hrs 11 08/31/07 Ponce, PR ASSMCA(State Agency)

“MATRS Treatment Planning Technical Assistance-

3hrs 9 9/6/07 San Juan, PR ASSMCA(State Agency)

26

Booster Session”“MATRS Treatment Planning Technical Assistance-Booster Session”



3hrs 20 9/13/07 Ponce, PR ASSMCA(State Agency)


3hrs 11 9/14/07 Mayaguez, PR CBO’S


Pac

kage

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nned

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men

ts

“MATRS Treatment Planning Training of Trainers”

11/29-30/07 Bayamón, PR ASSMCA (State Agency), CBO’S

Participation in Blending Package Training-of-Trainers Events CBHATTC did not send a trainer to participate in the MIA: STEP TOT event. Actually,

the center is waiting a MIA: STEP training activities as a part of Blending Team Activities to send a trainer to train in the Model.

Other Dissemination Activities CBHATTC translated in Spanish Language a Buprenorphine booklet product. The CBHATTC distributed Buprenorphine booklet product in Spanish-language in the

training “Biopsychosocial Approach to Opioid Dependence Treatment” on August 25, 2007.

CBHATTC Buprenorphine Power Point slides to 78 service providers (doctors in medicine and other health professional) of community based organizations, state agency and private practice that participated in training Buprenorphine: A Biopsychosocial Approach to Opioid Dependence Treatment.

During this quarter the CBHATTC coordinated with the Human Resources Development Director and a Clinical Consultant for the State Agency on the development of M.A.T.R.S. Treatment Planning Technical Assistance. As a result, M.A.T.R.S. Treatment Planning Manual in Spanish-language was disseminated to 61 technical assistance participants of the state agency (ASSMCA).

M.A.T.R.S. Treatment Planning Manual in Spanish-language was disseminated to 45 technical assistance participants of the community based organizations.

During this quarter, the CBHATTC coordinated with Directors of the state agency ASSMCA to introduce a training of trainers for their service provider participants in the M.A.T.R.S. Treatment Planning Technical Assistance. First, this activity was coordinated to September 27 and 28, 2007 but the date was change to November 29-30, 2007.

27

CBHATTC coordinated with two trainers to develop a Motivational Interviewing Demonstration in Spanish Language to disseminate in a DVD format.

3. CTN and Other Infrastructure: As part of the CTN, Florida Node follows the BSFT protocol. The CBHATTC

participates in the national conference calls relevant to this specific protocol as well as Florida’s conference calls. The lead NIDA investigator for this protocol is Dr. José Szapocznik. Another NIDA researcher who participates in this protocol is Dr. Varda Shoham. Dr. Shoham also functions as the principal investigator for a NIDA funded research project that is using Brief Strategic Family Therapy (BSFT) as the platform.

28

Northwest Frontier

1. Blending Team Activities: Steve Gallon chairs the MI Blending Team. Reproduction of MIA: STEP: 500 copies of the MIA:STEP manual, 3-ring binder,

and accompanying 4 CDs were printed. Facilitated Blending Team collaboration on MIA:STEP presentations at SAAS

national conference (July 9), and NAADAC national conference (Sept 7). Distributed 93 MIA:STEP manuals to NIDA (5), CSAT (3), TOT participants and

trainers (46), ATTC and CTN Nodes (30) and Blending Team members (9). Planned second MIA:STEP MIST TOT, including screening and registering

participants, preparing trainers and coordinating materials and equipment needs with the National ATTC Office.



Pack

age

Dur

atio

n

# of

at

tend

ees

Dat

e

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Co-

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sors

/O

ther

O

rgan

iza-

tions

In

volv

ed

CTN

in

clud

ed?

(Exp

lain

)

MIA:STEP 14 hrs. 17 July 10-11, 2007 Honolulu, HI

Hawai’i Dept. of Health, Alcohol and Drug Abuse Division

No

MIA:STEP Orientation 3 hrs. 5 July 16, 2007 Grants Pass,

OR

Josephine County

Yes1 participant from CTN

MIA:STEP TOT 20 hrs. 14 September 19-21, 2007

Kansas City, MO

ATC National Office & Mid-Atlantic ATTC

Yes 5 participants from CTN Nodes, 9 from ATTCs and 2 trainers fro CTN and 1 from ATTC.


Pack

age

Plan

ned

Dat

e

Plan

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tion

Co-

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sor

And

Oth

er

Org

aniz

a-tio

ns

Invo

lved

Com

men

ts

MIA:STEP 1st Quarter Hawai’i ADAD

29

Treatment Planning 2nd Quarter Hawai’i ADAD

PAMI 2nd Quarter Hawai’i ADAD

MIA:STEP 2nd Quarter Oregon Josephine County Corrections

Treatment Planning 2nd Quarter Oregon -

MIA:STEP 2nd Quarter Washington -

PAMI 2nd Quarter Washington -

Treatment Planning 2nd Quarter Washington -

PAMI 3rd Quarter Alaska -

Treatment Planning 3rd Quarter Alaska -

PAMI 3rd Quarter Alaska -

MIA:STEP 3rd Quarter Hawai’i ADAD

MIA:STEP 3rd Quarter Oregon -

Treatment Planning 3rd Quarter Oregon -

PAMI 3rd Quarter Washington -

Treatment Planning 3rd Quarter Washington -

MIA:STEP 3rd Quarter Washington -

MIA:STEP 4th Quarter Alaska -

PAMI 4th Quarter Oregon -

MIA:STEP 4th Quarter Washington

Participation in Blending Package Training-of-Trainers Events MI Supervisor Training (MIST): Training of Trainers: A second TOT was

presented September 19-21, 2007 in Kansas City, MO. NFATTC recruited and registered participants and coordinated the event in conjunction with the ATTC National Office and Mid-Atlantic ATTC. All participants were pre-screened and approved by University of New Mexico CASAA.

Other Dissemination Activities

30

Blending product brochures were distributed at conferences for the “Northwest Institute of Addiction Studies” in Portland, OR on July 23-25, 2007 and at “NAADAC Life-Long Learning Series” in Edmonds, WA on July 17, 2007.

Blending Team members Steve Martino, Denise Hall and Steve Gallon presented a plenary on MIA:STEP at the annual NAADAC conference in Nashville, TN on Sept 7.

Chair Steve Gallon introduced MIA:STEP during a clinical supervision workshop presented by the ATTC Network at the national SAAS conference in Chicago, IL on July 9.

Challenges Related to Idaho Northwest Frontier has not yet held an official Blending Initiative event of

three hours or more in Idaho. The rationale for this is as follows:o Most of our effort in ID was on their statewide infusion of

observation-based clinical supervision.o The state does not use the ASI and requested that we not introduce

the Treatment Planning MATRS workshop until a uniform assessment was endorsed by the state.

o PAMI was not available.o MIA:STEP implementation requires skills in both clinical supervision

and MI. As state above the state's priority was building supervisory skills prior to introducing MIA:STEP.

o There are no medication-assisted (read Methadone clinics) approaches to opiate dependency treatment within the state funded treatment system. Until recently there were only a few physicians listed on the CSAT physician locator list for Buprenorphine. Decision was made to wait until a critical mass of approved physicians was available. Currently there are 17 physicians on the locator list.

3. CTN and Other Infrastructure: National Research Utilization Committee (NRUC): Steve Gallon, the MI Blending

Team chair, is a member of the MI Dissemination Subcommittee of the NRUC. Other members include Dr. William R. Miller, Dr. Jeff Seltzer, Dr. Harold Perl, Dr. Steve Martino, and Dr. Christianne Farentinos.

CTN Node Involvement: o OR/HI NODE: NFATTC is a standing member of Training and

Dissemination Subcommittee and a frequent collaborator regularly with PI Dennis McCarty and Node Coordinator Lynn Kunkel.

o WA NODE: NFATTC attends bi-monthly Steering Committee meetings, is assigned to participate in planning for dissemination and training activities related to NIDA research. NFATTC assists in writing The Bridge, an internal WA Node newsletter.

31

Southeast ATTC

1. Blending Team Activities: The Southeast ATTC participated in the Bup Detox Blending Team, and has

reported all of the completed activities in prior reports.


Official Product Trainings Held During this Reporting PeriodThere were no official Blending team product trainings during the quarter. One planned event from prior quarter (MIA: STEP) was cancelled due to low enrollment. Two other events (MATRS, PAMI) did not move past the planning stage due to lack of interest/support from planning organizations.


Pack

age

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MIA:STEP November 4, 2007; 3 hour training

Charleston, SC SCAADAC Scheduled to occur as a “Preconference event” for 3 free CE credits

Participation in Blending Package Training-of-Trainers Events 9/19-21: Sponsored trainers Annie Fahy and Therese Killeen to attend the

MIA:STEP “Training of Trainers” (TOT) in Kansas City, MO.

Other Dissemination Activities Distribution of Blending Team brochures.

o SC School of Alcohol and Other Drug Studies State Conference, July 22-27, Greenville, SC: Disseminated NIDA Bup Detox brochures, PAMI and MIA:STEP brochures.

o GA School of Addiction Studies, August 27-31: Distributed NIDA Bup Detox, PAMI, and MIA-STEP brochures to addiction counselors.

o Spalding County Provider Conference, September 10: Distributed NIDA Bup Detox, PAMI, and MIA:STEP brochures to local providers.

o Morehouse School of Medicine, Primary Care Conference, September 13-14, Atlanta, GA: Distributed Bup Detox brochures.

o GA Council on Substance Abuse, September 27, Atlanta, GA: Distributed NIDA Bup Detox, PAMI, and MIA:STEP brochures.

32


Contacts July 17: Attended the South Carolina Adolescent grant committee (SAMI).

Committee discussed various projects that were taking place in the community. Presentations were done by Dr. Nancy Brown concerning techniques on how to work with adolescents with substance abuse issues. The CTN was in attendance and discussed collaborative efforts with the committee concerning their research.

August 14: SC Training Consortium meeting. Reports from the different committees were discussed; reports consisted of the South Carolina school, Clinical Services committee, new and old business. Ms. Haynes (CTN) was in attendance and shared information concerning MUSC’s collaborative efforts.

Training/TA Southeast ATTC continues to offer Technical Assistance to the DAODAS

committee that is developing a Center for Evidence-Based Practices, and will support the State’s efforts to disseminate and help providers implement NIDA Blending Team products for agency use.

33

New England

1. Blending Team Activities: The ATTC-NE is not currently participating in the development of any

Blending Team Products.



Pack

age

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O

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iza-

tions

In

volv

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CTN

in

clud

ed?

(Exp

lain

)

MIA-STEP: MI-preparation distance learning component

8 hours 37 7/23/07 – 8/24/07

Rhode Island

CODAC Treatment Centers

No

MIA-STEP: MI-preparation skills training component

6 hours 25 8/29/07 Rhode Island


No

MIA-STEP: MI-preparation skills training component

6 hours 10 9/7/07 Rhode Island


No


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MIA-STEP January 2008 Rhode Island CODAC treatment centers

A pilot program to assist providers in preparing to adopt MIA-STEP has begun. 40 counselors from a single multi-site provider have participated in on-line and live skill-building MI training following initial proficiency assessment.

Buprenorphine Spring 2008 New England Co-sponsors Trainings will be sited in

34

Pack

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Awareness may include SSA and NE and NNE CTN nodes.

one state but all will be regionally available to practitioners in all New England states.

Short-term Opioid Withdrawal

Summer 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.

Trainings will be sited in one state but all will be regionally available to practitioners in all New England states.

ASI/MATRS Spring 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.


ASI/MATRS Summer 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.


MIA-STEP Spring 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.


MIA-STEP Summer 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.


PAMI Spring 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.


PAMI Summer 2008 New England Co-sponsors may include SSA and NE and NNE CTN nodes.


Participation in Blending Package Training-of-Trainers Events

35

No training of trainer events occurred this quarter.

Other Dissemination Activities The following courses were sponsored by the ATTC-NE at the August 2007 New England School of Best Practices. They provide background and support for the dissemination of NIDA blending initiatives.

Clinical Supervision To Support The Implementation, Fidelity & Sustaining Of Evidence-Based Practices

Overview Of Opioid Dependence And Best Practices Treatment Medication Assisted Treatment Update For Clinicians


Contacts ATTC-NE PI Daniel Squires, PhD, MPH has become a co-investigator for the

Northern New England Node of the CTN, and is a member of both the dissemination workgroup and the executive committee. Dr. Squires will be coordinating Blending Team trainings directly with the NNEN of the CTN, which has 5 of the 6 New England states within its jurisdiction.

Training/TA The ATTC-NE is continuing the Science To Service Laboratory in New

Hampshire, working with the Single State Authority to teach agencies how to adopt new clinical practices through implementation of CBT at 4 agency sites.

Liaisons The ATTC-NE participated in the July 31, 2007 ATTC/NIDA conference call.

States with no Blending Team Activities for 2006-2007Two New England States (Vermont and Maine) did not host any Blending Team trainings within their boundaries during the previous 12-month period. However, both states were represented among the participants in the Blending Team trainings offered across other New England states, and were also represented in trainings offered through Distance Learning. Distance learning is particularly attractive to participants located in rural, northern New England, where both Maine and Vermont are located. In addition, the geographic proximity of all New England States facilitates interstate travel for training events. For example, trainings in New Hampshire or Massachusetts are within 1-2 hours drive for many participants in both Maine and Vermont.

Despite these circumstances, we are working to insure that at least 1 Blending Team Training will be geographically located within each of the 6 New England States for the 2007-2008 fiscal year.

36

Great Lakes

1. Blending Team Activities: Lonnetta Albright, Director, chairs the PAMI Blending Team and is lead staff

person for product dissemination and presentations (regional and national).



Pack

age

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# of

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O

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In

volv

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CTN

in

clud

ed?

(Exp

lain

)

PAMI 3.0 21 Aug 15 Ohio’s Addiction Institute, Columbus OH

Ohio Dept of Alcohol and Drug Addiction Services (SSA)

No

PAMI 1.5 15 Sept 7 Nashville, TN NAADAC At request of NIDA


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PAMI Oct 2, ‘073 hours

Chicago, IL IL Provider Association

Initiated by the ATTC

PAMI Oct 3, ‘073 hours

Columbus, OHSAMI/CCOE 2007 Conference, “Teams Work”

Case Western University

Initiated by the ATTC. New partnership with Ohio’s Co-occurring Center of Excellence. Other Blending products are being discussed.

PAMI Week of Jan 8th 2008

Illinois Illinois SSA Follow up and technical assistance for provider CEOs to help design motivational incentives programs for potential funding from SSA. Adoption and implementation strategies are requested by SSA.

MIA:STEP Dec 07-Mar 08

Michigan and Ohio SSA, Lorain County ADAS Board

This blending product is considered Part II to the existing Clinical Supervisors workforce development initiatives

37

Participation in Blending Package Training-of-Trainers Events Recruited and sponsored two GLATTC trainers to apply for and attend the

MIA:STEP Training of Trainers. On-going discussion regarding best way to deliver PAMI National Training of

Trainers for CTN and ATTC colleagues.

Other Dissemination Activities Distribution of approximately 250 PAMI brochures at all events 50 PAMI packages produced and disseminated for workshop participants Ordered and distributed over 100 NIDA Notes that featured MIEDAR study Disseminated all ATTC Blending Product brochures (approximately 50 each) at

regional conferences Internal team meeting to design increased marketing efforts for blending products

across the region. Two PAMI 3-hour events scheduled for next report period. Internal planning to determine approaches for delivering MIA:STEP as part of Great

Lakes’ system change and workforce development efforts (State of Michigan and Lorain County, Ohio). Both initiatives have a specific focus on developing clinical supervisors. Michigan’s decision to adopt Motivational Interviewing across its treatment system makes the MIA:STEP product a perfect match.

Other planned activities under development: Recruited an ASAM-physician (GLATTC partner) to train using the

Buprenorphine product. Request from a group of physicians to receive training on Buprenorphine. On going discussions with Greg Brigham to conduct Treatment MATRS Training

of Trainers to increase regional capacity National PAMI Training of Trainers Regional PAMI Training of Trainers (Nov 28, 2007) October – December PAMI 3 hour workshops scheduled for Ohio and Illinois Collaboration with Illinois TASC and Dr. Doug Marlowe (2nd year) to present

PAMI as part of a daylong contingency management training for criminal justice professionals/May 30 2007 and January 8 2008.

Plans for presenting PAMI Training of Trainers, workshop and roundtable discussion with providers at the 2008 NIDA Blending Conference.

Justification for states without Blending Product trainings In all regional states

o At the 2006 regional Leadership Committee meeting, all blending products were provided to the each SSA. A presentation was made regarding the Blending Initiative and meetings scheduled with each state to plan their needs.

Ohioo Missing from the map is a 6 hour PAMI workshop at Ohio’s Addictions

Institute, August 15, 2007. This workshop was at the request of the Ohio SSA. 3 hours, 21 participants including the SSA and Provider Association

o At the request of the Ohio RCSP, PAMI presentation (1.5 hours) delivered at their annual conference, Nov 10 2006 (pilot, prior to PAMI release)

38

Wisconsino At the request of the SSA presented a 2 hour PAMI workshop at

Wisconsin’s 2nd Annual Mental Health/Substance Abuse statewide conference. This pilot workshop should serve as a precursor for Prairielands ATTC that is now responsible for Wisconsin.

MIA:STEPo Selected and sponsored two trainers for the Training of Trainers. Both have

successfully completed the TOT. o Next Steps: 1) Great Lakes has trained all Clinical Supervisors in the state of

Michigan. That state is also trained using Motivational Interviewing as its primary evidence-based practice. Plans are underway to identify and select appropriate Clinical Supervisors to go through the MIA:STEP program; 2) As part of a system change initiative in Lorain County, Ohio clinical supervisors will be trained in MIA:STEP; 3) Working to identify and recruit 2-4 additional trainers from the Great Lakes region to attend the next Training of Trainers

PAMI o This product originally designed for a 1.5 awareness package. At least 6

presentations, less than 3 hours have been presented. Additionally, at the request of the Illinois and Ohio SSAs a full day workshop was developed to help providers further consider using motivational incentives/contingency management. These longer workshops utilize all materials included in the PAMI product.

o National PAMI presentations: At the request of NIDA and/or SAMHSA, PAMI presentations have been made at the Blending Conference, NASADAD, NAADAC (2006-07 conferences) and SAMHSA’s Jan 06 ATR Grantees meeting.

3. CTN and Other Infrastructure: Ongoing discussion occurs with the Ohio Valley Node (OVN) conference planning

committee regarding GLATTC collaboration on the 2008 NIDA Blending Conference. Planning activities to date include: regional marketing, recommendation and recruitment of presenters, scholarships for clinicians from across the Great Lakes region, liaison with other ATTCs whose regions are compatible with the OVN and the Tri-State Node.

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Prairielands

1. Blending Team Activities: Dr. Skinstad and Ms. Peters are the representatives for this Blending Team. Promoting Awareness for Motivational Incentives (PAMI) was released in June of

2007. Dr. Anne Helene Skinstad and Ms. Candace Peters continue collaboration with

GLATTC and NEATTC on the plan for dissemination of the PAMI project, especially the development of a TOT for this project.


Other Dissemination Activities Motivational Interviewing Assessment: Supervisory Tools for Enhancing

Proficiency (MIA:STEP) was discussed with the Single State Authorities (SSA) from all five Prairielands ATTC states. Single State Authorities indicate interest in this product and request more information and continued planning.

Candace Peters met with the Iowa Substance Abuse Directors Association, July 17th and August 14th to provide current information related to NIDA research and blending products. She further updates PATTC state coordinators on a monthly basis during regularly scheduled meetings.

Brochures were distributed to approximately 300 participants at the Upper Plains Summer Institute, July 31-august 2, 2007, in Sioux Falls, South Dakota.

NIDA Best Practice Training Series: Motivational Interviewing (MI). Candace Peters continues to work collaboratively with the Minnesota Best Practices Committee (MnBPC), which includes Metropolitan State University, Minneapolis Community and Technical College, Veterans Administration and the Minnesota Department of Human Services (Chemical Health, Mental Health, and Corrections), focusing on the development and implementation of the Minnesota Motivational Interviewing Training Series. MnBPC members oversee the series implementation and offer support to the Motivational Interviewing Network of Trainers (MINT) members, including Carl Isenhart, PhD, MnBPC committee member. This set of trainers will further support Minnesota trainers as they implement MI throughout the state of Minnesota. The two-year training implementation plan began in May, 2006, with scheduled follow-up trainings and clinical supervision throughout 2007.

3. CTN and Other Infrastructure: Dr. Skinstad has continued to collaborate with representatives from the CTN

Dissemination committee, on how to disseminate the PAMI products to CTPs within the CTN network. The conference calls have been initiated by Dr. Dace Svikis.

Dr. Mackey, PATTC coordinator for Native American projects, has continued to collaborate with Dr. Eugene Somoza, PI for the Ohio Valley CTN node, on including substance abuse community providers within the Aberdeen Area Indian in clinical trials.

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Contacts Dr. Skinstad, and Candace Peters continue to meet with the Single State Agents

regularly to discuss the implementation of NIDA activities. Prairielands ATTC continue to collaborate with Professor Ken Winters at the

University of Minnesota, Department of Psychiatry. Prairielands ATTC has continues collaborations with Professor Paul Moberg,

University of Wisconsin School of Medicine and Public Health, Department of Population Health Sciences and Deputy Director, UW Population Health Institute. The goal of our collaboration is to plan the dissemination of results from the NIDA funded project on Recovery High Schools.

Dr Skinstad continues to collaborate with Dr. Rob Philibert at the University of Iowa, Department of Psychiatry, Genetics Laboratory. This lab has been funded by NIDA for a long time.

Training/Technical Assistance Candace Peters continues to offer technical assistance to the members of the

Aberdeen Area Alcohol Treatment Program Directors (AATPA) regarding the first implementation of the PATTC Toolbox Training for Native American Helping Professionals, based on SAMHSA’s Addiction Counseling Competencies (TAP 21) and the National Institute on Drug Abuse Principles of Effective Drug Treatment. Efforts are in collaboration with North Dakota Department of Human Services Division of Mental Health and Substance Abuse Services, United Tribes Technical College, and the Aberdeen Area Substance Abuse Treatment Directors Association. Per the request of the AAATPD the process has begun for the series to be offered as college credit.

In Iowa, PATTC Toolbox Training: A Substance Abuse Educational Series for “Mental Health” Professionals, a 12-module series based on SAMHSA’s Addiction Counseling Competencies (TAP 21) and the National Institute on Drug Abuse Principles of Effective Drug Treatment, was presented September 12-13, 2007, in Des Moines. This is in collaboration with the Iowa Consortium on Mental Health to disseminate substance abuse best practice from a co-occurring perspective to Iowa mental health clinicians.

Promoting the NIDA principles and offering technical assistance Candace Peters, Director of Training, Martin Goransson, Problem Gambling Project Manager and Dr. Speck, PATTC Nebraska Coordinator, serve as lead agent for the Midwest Consortium on Problem Gambling and Substance Abuse Consortium (MCPGSA) represented by Nebraska, Iowa, Missouri, Kansas and Oklahoma. PATTC serves as administrative agent for the 21st Annual Conference on Problem Gambling Prevention, Research, Recovery, and Treatment: Improving Practice and Managing Consequences for Problem Gambling, Substance Abuse, and Co-occurring Disorders, a collaborative effort between NCPG and MCPGSA.

Northeast

1. Blending Team Activities:

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Amy Shanahan, MS, CAC, Training Officer is assigned to the Promoting Awareness of Motivational Incentives (PAMI) Blending Team.

Product Development for PAMI was completed prior to this quarter.



Pack

age

Plan

ned

Dat

e

Plan

ned

Loca

tion

Co-

spon

sors

/O

ther

O

rgan

iza-

tions

In

volv

ed

Com

men

ts

PAMI October 18, 2007 Seven Springs, PA

Pennsylvania Community Providers Association

PAMI October 19, 2007 Pittsburgh, PA

Appalachian Tri-State Node

This event is technical assistance to support CTPs who are implementing PAMI.

PAMI October 26, 2007 Allentown, PA

Treatment Trends

PAMI Spring, 2009 Smethport, PA

Pennsylvania Treatment Provider

Awaiting State Approval

MIA:STEP February 2008 Syracuse, NY New York Treatment Provider

Date to be determined

PAMI April 22, 2008 Harrisburg, PA

Pennsylvania Certification Board


Spring, 2008 Online N/A Awaiting final online version to be disseminated to ATTC regional centers.

Participation in Blending Package Training-of-Trainers Events Amy Shanahan participated in and completed the Mid-Atlantic ATTC 4-week online

offering of the Treatment Planning M.A.T.R.S. training on July 30, 2007. The NeATTC plans to offer the face-to-face and online course in the near future. Due to changes in job responsibilities the two original trainers for the NeATTC are no longer available to train in our region. Amy will provide trainings on this blending package in the future.

Other Dissemination Activities On June 19, 2007 the New York office of the NeATTC provided web-based

dissemination of the Promoting Awareness of Motivational Incentives (PAMI) product through the following New York list serves: ASAP (Addiction Service Providers of New York State), the Board of the Institute for Professionals in Addiction (IPDA) , and the AAPNY Forum (Association for Addiction Professionals of New York). The New York office also disseminated the PAMI packet electronically to the following listservs generated by NeATTC staff housed at IPDA: Evidence Based Practice listserv, Latino listserv, LGBT listserv, Client Retention Strategies listserv, NY State College listserv, Co-Occurring listserv.

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Display of PAMI product and showing of PAMI video at the Co-Occurring Disorders Conference, “Partners for Recovery: People First” conducted by the Alcoholism and Substance Abuse Providers of New York State on June 13-15, 2007 in Albany, NY.

Distribution of MIA:STEP manual and PAMI product to trainers in PA per request on July 3, July 10, & July 25, 2007.

Distribution of Blending Team brochures at the Pennsylvania Regional Training Institute on September 26-28, 2007 in Johnstown, PA.

Dr. Michael Flaherty, the PI of NeATTC, continued his work with the Pennsylvania State Department of Health and providers across the State to address Buprenorphine adoption and regulatory barriers. Buprenorphine materials (including NIDA products) were shared at the meetings as ideas for resources to support later training and implementation of strategies to deal with opioid addiction.

3. CTN and Other Infrastructure: On July 31, 2007 Amy Shanahan participated on a NIDA Blending Initiative

conference call (formerly “NIDA Liaison” calls) with the ATTC Network. On August 9, 2007, Amy Shanahan offered technical assistance to clinical

supervisors of the Community Treatment Providers (CTPs) of the Appalachian Tri-State node. In this 3-hour meeting, Amy participated in the strategic planning of Motivational Incentive implementation for 2 or 3 programs. A follow-up training on Motivational Incentives for the entire staff is scheduled for October 19, 2007 (see above).

On August 23, 2007, Susan Storti, Ph.D., Blending Initiative Project Director for NIDA, visited the NeATTC for a day of consultation.

The NeATTC maintained ongoing contact with all 4 NIDA CTN Nodes in the region to discuss potential application for a grant to foster knowledge adoption.

Dr. Flaherty is leading a national effort with recovery leaders to build an agenda for recovery research. Numerous researchers from NIDA and NIAAA are involved and are working together to develop a National Recovery Symposium to be held in Philadelphia, PA on May 1 & 2, 2008.

The NeATTC maintains monthly contact with our 4 NIDA CTN nodes through distribution of the NeATTC electronic newsletter.

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Documents

Addiction Technology Transfer Center Networkattcnetwork.org/documents/Final_ Versions_Reports/NIDA... · Web viewThe National Office engaged in email correspondence and phone calls