Products and Resources Catalog

Esta hoja informativa ofrece una descripción sencilla sobre qué son los opioides, cómo actúan en el cerebro y por qué su uso prolongado puede llevar a una rápida dependencia física. También se discute el rol del fentanilo en la crisis actual de sobredosis y las implicaciones sociales y económicas en las comunidades rurales.

Behavioral health and health care settings offer a spectrum of programs including substance use, mental health, and medical and recovery services. Professionals providing these supports use an array of competencies to empathize and assist persons with substance use and other psychosocial problems. Always focused on helping others, professionals can experience challenges in practicing self-care for themselves. This interactive workshop provides an opportunity for providers to review wellness practices and experience the benefits of intentional, micro-structured, self-care interventions. Trainer: Paul Warren, LMSW This training was approved for two renewal hours (CASAC, CPP, CPS) and two initial hours (CPP, CPS) through New York State’s Office of Addiction Services and Supports (NYS OASAS). As an IC & RC member board, OASAS accredited courses were granted reciprocal approval by the New Jersey Division of Consumer Affairs, Alcohol and Drug Counselor Committee.  Many other states offered reciprocity.

The Dissemination and Implementation Toolkit is a resource for anyone who is interested in implementing a change in their work. With this collection of resources, we aim to provide educational information on the implementation process and connect you with additional resources and information to help you be successful in the implementation of best practices for substance-focused prevention, treatment, and recovery practices. The resources are organized within the four processes of the commonly-used implementation framework, EPIS Framework (Moullin et al., 2019).

The attached practitioner-friendly report highlights findings from a national scan of probation and parole offices and staff was developed by New England ATTC Director, Rosemarie Martin, and the New England Region Opioid Response Network team in partnership with the American Correctional Association. Findings outlined in the attached report directly impacted the development of the HealtheKnowledge eLearning course, “Improving Outcomes for Individuals on Community-based Supervision with Opioid Use Disorders (OUD)” designed specifically for community supervision professionals and providers working with individuals with opioid and substance use under community supervision.

The New England ATTC, in partnership with Project MIMIC (Maximizing Implementation of Motivational Incentives in Clinics), has created a suite of contingency management training and technical assistance resources. The resources are broadly applicable, though likely to be especially relevant to opioid treatment programs. Specific resources include an overview of contingency management resources, an example contingency management session, a demonstration of how to track contingency management fidelity, and a discussion of how to design a contingency management protocol. Resources can be found here: https://sites.brown.edu/projectmimic/training-materials/

The New England ATTC Co-Director, Dr. Sara Becker, has a Commentary out in Addiction titled, “Contingency Management Needs Implementation Science.”  Dr. Becker was invited to contribute this commentary in recognition of her – and by extension the New England ATTC’s - reputation as a national leader in efforts to increase access to contingency management in specialty addiction treatment settings. This commentary asserts that efforts to increase access to contingency management must be informed by rigorous methods of implementation science. Click here for access to the full text. 

The New England ATTC held a Regional Advisory Board Meeting on 6/7/24 to share highlights over the reporting period and identify emergent areas of needs. Priority topics included advancing harm reduction throughout New England. The meeting minutes are available for download.

Talking To Change: A Motivational Interviewing Podcast, hosted by Glenn Hinds and Sebastian Kaplan, is a series of conversations exploring Motivational Interviewing (MI) and its influence on supporting individuals and groups as they make positive health and lifestyle changes. Talking to Change: An MI Podcast. Episode 71: MI and Harm Reduction, with Dr. Kasey Claborn In this episode, hosts Glenn and Sebastian talk to Dr. Kasey Claborn, a licensed clinical psychologist and assistant professor of Social Work and Psychiatry at the University of Texas in Austin. They talk about Kasey’s early MI story, what community outreach is, what harm reduction is and how it and abstinence can be considered part of a continuum. Dr. Claborn also describes ways to train harm reduction workers in MI and how to apply similar principles to peer support. Finally, the group discusses barriers to harm reduction and how to overcome them, how to adapt MI for use in a harm reduction context, and what kinds of political aspects of harm reduction might come into play.  

The New England ATTC, in partnership with RICARES, held the next monthly installment of the Recovery Science and Harm Reduction Reading Group series. We discussed a paper titled, “Predictors of Retention and Drug Use Among Patients With Opioid Use Disorder Transferred to a Specialty "Second Chance" Methadone Program” by Moses and colleagues. A summary of the discussion is available for download.

Mid-America ATTC partnered with Facente Consulting to launch a harm reduction consultation pilot program in early 2022.  The goal of this program was to act as a harm reduction resource to empower individuals and organizations seeking to implement or improve evidence-based practices within their systems to reduce stigma and promote the safety and well-being of people who use drugs. The poster outlines the findings of the pilot program.

The New England ATTC, in partnership with RICARES, held the next monthly installment of the Recovery Science and Harm Reduction Reading Group series. We discussed a paper titled, “Mobile low-threshold buprenorphine integrated with infectious disease services” by Rosecrans and colleagues. A summary of the discussion is available for download.

The risk of fatal overdose has changed significantly in recent years, most notably with the emergence of the illicit opioid fentanyl and the increasing prevalence of polypharmacy. In this webinar, presenters Michael Hite, MBA and Desislav Hite, MD discussed trends and patterns in overdose cases over the last 5 years, factors that can increase overdose risk including identifiable life events and mental health co-occurring conditions, and how different populations are affected across Region 10. They also discussed actionable interventions to enhance overdose safety including new medical devices and digital resources, harm reduction strategies, and collaboration with local community organizations. Download slides | View recording

Presenter: Paul LaKosky, PhD, Executive Director, Dave Purchase Project, Tacoma, WA In this session, Dr. LaKosky presented a brief description of the evolution of Harm Reduction in the United States. He introduced some of the major players in the U.S. Harm Reduction movement and the impact of their actions on the lives of people who use drugs (PWUD). He also provided an overview of how he and his colleagues practice Harm Reduction at Dave Purchase Project/Tacoma Needle Exchange. Download slides | Watch recording  

Presenters: Sean Mahoney, Mental Health and Addiction Association of Oregon December 2022 It's one thing to believe in harm reduction but how do we actually have those conversations with people actively using substances? And what other things should we know about besides Narcan and clean needles? Peer and recovery mentor Sean Mahoney has been having these conversations for years and is excited to share his experience navigating these difficult conversations with safety, compassion and love. Mahoney has also seen how this conversation has changed over the years due to fentanyl, COVID and the emerging mental health crisis. Harm reduction for opioids and heroin for sure but also for meth, alcohol, benzos and beyond will be covered in this course as will the techniques and approaches to have a trauma informed conversation to let the people we serve know that their lives matter. Download slides | Watch recording

Throughout the month of September 2022, the Idaho Department of Health & Welfare in partnership with Recovery Idaho, Idaho Harm Reduction Project, and the Northwest ATTC hosted a series of online webinars titled “Recovery is Health, Health is Recovery." During the series, presenters discussed a range of topics relating to transmissible disease, treatment and precautionary measures, as well as harm reduction practices. September 22, 2022 Presenter: Evan Burke, Idaho Harm Reduction Project In this session, Evan Burke will provide an overview of harm reduction informed practices that can be incorporated into an individual’s drug use to reduce their risk of overdose. Read more about this session and its presenter. Watch the recording | Download slides

Throughout the month of September 2022, the Idaho Department of Health & Welfare in partnership with Recovery Idaho, Idaho Harm Reduction Project, and the Northwest ATTC hosted a series of online webinars titled “Recovery is Health, Health is Recovery." During the series, presenters discussed a range of topics relating to transmissible disease, treatment and precautionary measures, as well as harm reduction practices. Part 6: September 22, 2022 Presenter: Evan Burke, Idaho Harm Reduction Project In this session, Evan Burke provided an overview of harm reduction informed practices that can be incorporated into an individual’s drug use to reduce their risk of overdose. Read more about this session and its presenter. Watch the recording | Download slides

Throughout the month of September 2022, the Idaho Department of Health & Welfare in partnership with Recovery Idaho, Idaho Harm Reduction Project, and the Northwest ATTC hosted a series of online webinars titled “Recovery is Health, Health is Recovery." During the series, presenters discussed a range of topics relating to transmissible disease, treatment and precautionary measures, as well as harm reduction practices. Part 1: September 7, 2022 Presenters: Evan Burke (Idaho Harm Reduction Project) and Norma Jaeger (Recovery Idaho) In this session, Evan Burke offered a brief overview of the data on opioid overdose in Idaho and the response to it by government and community-based organizations. Burke also covered how to recognize and respond to an overdose and provide guidance about harm reduction informed practices. Norma Jaeger talked about the RxAware Program, which will address risks associated with opioids and pain management. Read more about this session and its presenters.  Watch the recording | Download slides | RxAware toolkit | RxAware flyer

This presentation reviewed the philosophy of harm reduction as an intervention for substance use disorder and will examine the trajectory of harm reduction programming in Idaho since the legalization of syringe services in 2019.  A few learning objectives:  Be able to identify multiple forms of harm reduction as it pertains to a variety of potentially risky behaviors. Be able to reframe substance use from a harm reduction model. Be able to identify the benefits of a syringe service program and other harm reduction interventions to an individual and a community. Increase knowledge about the implementation and growth of harm reduction programs in Idaho. About the presenter: Marjorie Wilson, LMSW, MPH, is the Executive Director and co-founder of Idaho Harm Reduction Project (IHRP). IHRP is a drug user health program offering a syringe service program, naloxone distribution program, and HIV/HCV testing. Since 2019, IHRP has served the whole state through its mail-based services and has distributed supplies into all of Idaho's 44 counties. Download slides | Watch recording

Alaska presents a unique challenge for access to harm reduction services; prior to 2016 only 3 urban SAPs serviced the state, which includes over 200 tribal villages spread over 650,000 square miles. Since then, innovative strategies such as a local volunteer run syringe access program (SAP) in Homer, a SAP at a rural tribal medical clinic in Bethel, and a mail order tribal harm reduction program out of Anchorage, have greatly expanded access to services throughout the state. Additionally, rural medical clinics offer a critical access point for patients who use drugs to access medications and services to reduce risks and improve their health. This webinar reviewed the barriers to accessing harm reduction services in rural areas, and the strengths and opportunities rural communities have to offer in the development of new harm reduction programs. Presented by Sarah Spencer, DO, FASAM   Webinar keyword: Specific populations

The New England ATTC co-hosted the Recovery Science and Harm Reduction (RSHR) Reading Group meeting on March 09, 2022 from 12:30 PM to 1:30 PM. This discussion reviewed the article, “Hoots and harm reduction: a qualitative study identifying gaps in overdose prevention among women who smoke drugs.”  View the March 2022 RSHR Reading group meeting summary that includes a brief article summary and key themes that arose in discussion with the participants.

The New England ATTC co-hosted the Recovery Science and Harm Reduction (RSHR) Reading Group meeting on February 24, 2022 from 12:30 PM to 1:30 PM. This discussion reviewed the article, “Patient Perspectives on Choosing Buprenorphine Over Methadone in an Urban, Equal-Access System.”  View the February 2022 RSHR Reading group meeting summary that includes a brief article summary and key themes that arose in discussion with the participants.

The New England ATTC co-hosted the Recovery Science and Harm Reduction (RSHR) Reading Group meeting on January 20, 2022 from 12:30 PM to 1:30 PM. This discussion reviewed the article, “Interaction and conflict between outreach workers and research officers in implementing collaborative action research in the field of harm reduction: a qualitative study.”  View the January 2022 RSHR Reading group meeting summary that includes a brief article summary and key themes that arose in discussion with the participants.

Presenter: Callan Fockele, MD, MS, Harborview Medical Center December 2021 This presentation described Dr. Fockele's current work using community-based participatory research to implement harm reduction inside and outside the emergency department. She focused on her recent partnership with Public Health—Seattle & King County, the Addictions, Drug & Alcohol Institute, the Harm Reduction Research & Treatment Center, and the Public Defender Association to establish the Council of Expert Advisors on Drug Use (CEADU), which is composed of local people with lived experience. As a co-investigator on two pilot projects inspired by the passage of Washington State Senate Bill 5476, Dr. Fockele is working with CEADU to create an implementation toolkit that integrates take-home naloxone, buprenorphine treatment, and HIV/hepatitis C testing into first-responder programs while also adapting the Crisis Intervention Team (CIT) model to improve encounters between first responders and people who use drugs. Download slides

The New England ATTC co-hosted the Recovery Science and Harm Reduction (RSHR) Reading Group meeting on August 19, 2021 from 12:30 PM to 1:30 PM. This discussion reviewed the article, “"It’s not just injecting drugs”: Supervised consumption sites and the social determinants of health.”  View the August 2021 RSHR Reading group meeting summary that includes a brief article summary and key themes that arose in discussion with the participants.