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Patricia (Pat) Stilen, MSW, Project Director, Mid-America ATTC, UMKC

Supporting the Community’s Needs: Providing Technical Assistance in Response to the Opioid Epidemic. Patricia (Pat) Stilen, MSW, Project Director, Mid-America ATTC, UMKC Holly Hagle, PhD – Assistant Research Professor, UMKC. SAMHSA-funded Opioid Response Network (ORN).

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Patricia (Pat) Stilen, MSW, Project Director, Mid-America ATTC, UMKC

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  1. Supporting the Community’s Needs: Providing Technical Assistance in Response to the Opioid Epidemic • Patricia (Pat) Stilen, MSW, Project Director, Mid-America ATTC, UMKC • Holly Hagle, PhD – Assistant Research Professor, UMKC

  2. SAMHSA-funded Opioid Response Network (ORN) The Opioid Response Network is funded by SAMHSA through the STR-TA grant and is led by the American Academy of Addiction Psychiatry (AAAP) with a coalition of 27 national professional organizations. The Opioid Response Network provides FREE training and educational resources to individuals, organizations, healthcare systems, and state agencies for the prevention, treatment and recovery of opioid use disorder using local consultants in every state/territory.

  3. Workshop Objectives • Examine evidence-based practices used to address opioids in criminal justice settings • Describe through case studies how technical assistance has been applied within communities to address opioids • Explore ways that participants can go back to their work setting and utilize evidence-based practices

  4. Language

  5. Activity

  6. Language of Recovery http://www.attcnetwork.org/home/Language%20of%20Recovery%20071416.pdf

  7. The Most Respectful Way of Referring to People is as People http://www.attcnetwork.org/home/Language%20of%20Recovery%20071416.pdf

  8. US Opioid Statistics Reference: CDC (2018). Understanding the Epidemic Retrieved from https://www.cdc.gov/drugoverdose/epidemic/index.html

  9. Addressing The Opioid Epidemic Across a Continuum • Prevention • Treatment • Recovery The IOM Continuum of Care Model. Source: Springer & Phillips, 2006; 2007.

  10. About the TA Requests We Have Received So Far

  11. Levels of TA Requests • Universal: minimal interaction with TA providers; resource-based or brief communication • Targeted: not extensively individualized; typically one time events or episodic (e.g., learning community) • Intensive: requires stable, ongoing relationship; may include on-site visits; mentorship; longer implementation facilitation

  12. TA Requests by the Numbers As of July 30, 2019: • 1,006 TA requests • Over 5,541 unique TA recipients • Impact Survey: • Reports from about 570 respondents to a brief survey suggest that ORN TTA positively impacted about 135,000 patients, clients, consumers, or other community members. • Estimates also suggest that these recipients may have trained, shared the information with, or positively influenced in some other way about 19,000 professional colleagues.

  13. Breakdown of TA Focus Areas Data in these analyses are as of 7/30/2019.

  14. Top Three TA Topics by Focus Area Data in these analyses are as of 7/30/2019

  15. Top 10 TA Strategies Data in these analyses are as of 7/30/2019

  16. Kansas TA Example #1 • Summary of TA Request • 1-hour educational webinars on 3 topics:  • CDC Guideline for Prescribing Opioids for Chronic Pain; • Management of Opioid Use Disorder in the Emergency Department; and • Implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) in public health and medical clinics. • Population - 16 local public health departments • TA Progress - Completed. Speakers with expertise presented the 3 webinars

  17. Kansas TA Example #2 • Summary of TA Request • Guidance and education on implementing Medication-Assisted Treatment (MAT) and treating patients with Opioid Use Disorder at a community health center. • Population - Medical and behavioral health care providers at a federally-qualified health center (FQHC) in an underserved area of central Kansas • TA Progress - Completed.  Consultation and education was provided by a physician with expertise along with other resource information. 

  18. Kansas TA Example #3 • Summary of TA Request Guidance and resource information on developing and implementing a successful, sustainable peer support program that will promote engagement of patients in treatment and recovery. • Population - TA Progress - Substance use treatment agency in various Kansas locations • Completed  • “We are very excited to begin these services!  We want to thank you and (the consultants) for all your assistance - it was a huge help in providing some direction on how to get started.”

  19. Kansas TA Example #4 • Summary of TA Request Consultation and resource information to help with expansion of substance use/opioid use disorder services that support parents and their children/youth to stay integrated at home and not enter or remain in foster care. • Population - Nonprofit family services agency serving central and western Kansas • TA Progress- In process.  A consultant with expertise has provided guidance on building capacity, strategic planning, and program management.  Resource information and tools have been provided on Medication Assisted Treatment (MAT), cost projections and revenue management, planning, and other organizations with which to potentially partner.

  20. Group Activity

  21. is a … feeling of fellowship with others, as a result of sharing common attitudes, interests, and goals.

  22. If you had all of the resources in the world, what community projects would you develop to address the opioid crisis?

  23. Instructions If you had all of the resources in the world, what community projects would you develop to address opioids? Part 1 (10 Minutes) • Work as small groups • Answer the question • Pick one or two specific areas you would address and expand on how you would address them. Part 2 (10 Minutes) • Move your group to the right of the room. • What resources would we need to make their vision happen • Expand your thinking beyond funding. Part 3 (10 Minutes) Pick a spokesperson and tell us about your project.

  24. Takeaways

  25. Lessons Learned

  26. Take Aways… • Lessons learned from prior work are vital. • Local is key to support successful implementation of evidence-based practices. • Systems are essential. • Stigma is everywhere and MUST be addressed at all levels—from the front desk, administration, clinical staff up to CEO in all healthcare settings.

  27. Submit a Request Step 1: Those seeking technical assistance submit a request form: www.opioidresponsenetwork.org Step 2: The request will be forwarded to the designated Technology Transfer Specialist (TTS) for each state/territory. Step 3: Once the request form is submitted, the individual submitting the request will be contacted within one business day to initiate a call to discuss the process and needs of the requestor to move forward.

  28. Contact the Opioid Response Network (ORN) • To ask questions or submit a technical assistance request: • Visit www.opioidresponsenetwork.org • Email str-ta@aaap.org • Call 401-270-5900 Funding for this initiative was made possible (in part) by grant no. 6H79TI080816 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.

  29. Mid-America Addiction Technology Transfer Center (ATTC) Develop and strengthen the specialized behavioral healthcare and primary healthcare workforce that provides substance use disorder (SUD) prevention, treatment, and recovery support services. How we support the workforce in implementing evidence-based practices: • Lead virtual learning communities • Build coalitions to improve coordination of services • Disseminate information and resources • Ensure research is accessible and useful to practitioners • Support organizations in their adoption of innovative practices

  30. Virtual Learning Collaboratives • Zoom videoconferencing • Example Topics: • Housing as an Intervention and Investment for People in Recovery • Family-Centered Care • Data-driven Decision Making • Treating Women with Stimulant Disorders

  31. Virtual Learning Collaboratives November 13 – 11:30 – 1:00 • Parenting in Recovery/ Family Drug Treatment Court Program (Travis County, Texas)

  32. Discussion Questions Thoughts Reflections

  33. Together We Can Make a Difference www.opioidresponsenetwork.org

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