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Addiction Technology Transfer Center NetworkNational Institute on Drug Abuse Initiative

Quarterly Report April - June 2008

Table of Contents

Introduction 3Pre-training/Infrastructure Development Events/Activities 4Official Blending Product Trainings 6Post-training/Follow-up Activities 13Caribbean Basin & Hispanic ATTC Regional Center 15Central East ATTC Regional Center 17Great Lakes ATTC Regional Center 19Gulf Coast ATTC Regional Center 22Mid-America ATTC Regional Center 23Mid-Atlantic ATTC Regional Center 26Mountain West ATTC Regional Center 29ATTC National Office 31ATTC of New England 32Northeast ATTC Regional Center 33Pacific Southwest ATTC Regional Center 38Prairielands ATTC Regional Center 41Southeast ATTC Regional Center 44Southern Coast ATTC Regional Center 46Appendix A – Pre-training Activities 47Appendix B – Official Trainings 63Appendix C – Post-training Activities 83

April - June 2008 ATTC Quarterly ReportNIDA/SAMHSA Blending Initiative

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Introduction

The NIDA/SAMHSA Blending Initiative was developed in 2001 with the goal of melding science and practice together to improve substance use disorder treatment. The first years of the project focused on the work of "Blending Teams" comprised of staff from SAMHSA/CSAT's Addiction Technology Transfer Center (ATTC) Network and researchers and community treatment providers from NIDA's Clinical Trials Network (CTN). NIDA and CSAT originally convened five separate Blending Teams to develop products that would facilitate the dissemination of research results identified by NIDA 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. 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.

All five original Blending Teams currently have products in dissemination. One Team, Treatment Planning MATRS, has spawned a sequel that will supplement the original package by including information and resources on the ASI Treatment Planning Software. A new Blending Team related to Buprenorphine/Naloxone-Facilitated Rehabilitation for Heroin Addicted Adolescents/Young Adults held its first “hand-off” meeting in February 2008. Plans for content are still under development; however it is likely that the Team will be assigned to update the existing Buprenorphine Awareness product and to include a new module on using buprenorphine with young adults. In addition, ATTC staff have been working with NIDA on its Blending Initiative task force. They are in the process of developing materials that discuss how to implement evidence-based practices.

Highlights from this Reporting Period MIA:STEP training-of-trainers event held in conjunction with the 2008 Blending

Conference. PAMI training-of-trainers event held in conjunction with the 2008 Blending

Conference. ATTC Blending Initiative Sub-committee formed to update and enhance the

pages related to the Blending Initiative on the new ATTC Network website. The Science of Treatment CD set printed and disseminated nation-wide.


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Pre-training/Infrastructure Development Events/Activities

The ATTC Network has found the need to prime the field on the evidence-based practices presented in the Blending packages before actually disseminating the official products. This pre-training/infrastructure development work involves activities such as meetings with SSAs, community treatment programs and other key stakeholders, marketing efforts and product dissemination, foundational trainings, environmental scans and other needs assessments, and overview presentations. From April through June 2008, the ATTC Network reported holding 13 meetings, 2 conferences, 4 technical assistance events, 19 educational events (trainings or academic courses), one product dissemination effort and 2 formal presentations related to pre-training/infrastructure development activities. These efforts are displayed on the map on page 4 and are listed in detail in Appendix A.


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Official Blending Product Trainings

Once Blending Teams fully complete the development of their packages and receive final approval from NIDA and SAMHSA, they begin disseminating their packages to the public. All five original Teams now have products in dissemination. ATTC Regional Centers work closely with key stakeholders to find opportunities to deliver trainings on Blending products across the nation. During this reporting period, ATTCs held 60 official Blending product events. Although no pilots were held, several training-of-trainer events were held, including one for PAMI and one for MIA:STEP held in conjunction with the 2008 NIDA Blending Conference. In addition, the Pacific Southwest ATTC held a PAMI training in collaboration with the Pacific Node of the CTN Network during the quarter. Please see the tables on pages 7-8 and 9-11 for summaries of the official trainings held, the number of contact hours they represent and the number of participants served. The first table sorts this information by Blending product while the second table sorts it by Regional Center. These efforts are also displayed on the map on page 9 and are listed in detail in Appendix B.

Several Regional Centers have encountered challenges to delivering one or more of the Blending product trainings in certain states. In such cases, the ATTC has developed innovative and creative strategies to overcome barriers and implement the trainings. See the individual ATTC reports found later in this document for more details regarding challenges and strategies taken to overcome them.


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Official Trainings Sorted by Blending Product (April – June 2008)

Product Regional Center State Training Hours

Participants

Buprenorphine Treatment Pacific Southwest ATTC California 6 199Buprenorphine Treatment Central East ATTC DC 6 17Buprenorphine Treatment Central East ATTC Maryland 3 53Buprenorphine Treatment Northeast ATTC New York 90 20Buprenorphine Treatment Northeast ATTC Pennsylvania 90 36Buprenorphine Treatment Caribbean Basin &

Hispanic ATTCPuerto Rico 6 31

MIA:STEP Pacific Southwest ATTC California 4 15MIA:STEP Pacific Southwest ATTC California 4 16MIA:STEP Pacific Southwest ATTC California 4 15MIA:STEP Great Lakes ATTC Michigan not

available22

MIA:STEP Northwest Frontier ATTC Oregon 14 20MIA:STEP Northwest Frontier ATTC Oregon 14 14MIA:STEP Northwest Frontier ATTC Oregon 14 18MIA:STEP Caribbean Basin &

Hispanic ATTCUS Virgin Islands

6 33

MIA:STEP Mid-Atlantic ATTC Virginia 4 7MIA:STEP Mid-Atlantic ATTC Virginia 12 17MIA:STEP Northwest Frontier ATTC Washington 12 7MIA:STEP Northwest Frontier ATTC Washington 7 7

PAMI Northwest Frontier ATTC Alaska 3 27PAMI Northwest Frontier ATTC Alaska 3 27PAMI Mid-America ATTC Arkansas 3 75PAMI Pacific Southwest ATTC California 2 24PAMI Mountain West ATTC Idaho 2 10PAMI Great Lakes ATTC Illinois not

available12

PAMI Great Lakes ATTC Illinois not available

8


11


16

PAMI Prairielands ATTC Iowa not available

20

PAMI Mid-America ATTC Kansas 1.5 16PAMI Mid-America ATTC Missouri 1.5 80PAMI Northeast ATTC New York 37.5 20PAMI Northeast ATTC New York 37.5 2PAMI Southeast ATTC North

Carolina3 8

PAMI Southeast ATTC North Carolina

3 27

PAMI Gulf Coast ATTC Ohio 6 28PAMI Northwest Frontier ATTC Oregon not

available11

PAMI Northwest Frontier ATTC Oregon 3 9


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Product Regional Center State Training Hours

Participants

PAMI Northwest Frontier ATTC Oregon 3 11PAMI Northwest Frontier ATTC Oregon 3 9PAMI Northeast ATTC Pennsylvania 30 2PAMI Mid-Atlantic ATTC Tennessee 4.5 5PAMI Mid-Atlantic ATTC West Virginia 3 41PAMI Prairielands ATTC Wisconsin not

available30

PAMI Prairielands ATTC Wisconsin not available

30

Short-Term Opioid Withdrawal

Pacific Southwest ATTC California 6 199

Short-Term Opioid Withdrawal

Northeast ATTC Pennsylvania 45 29

Treatment Planning M.A.T.R.S.

Southern Coast ATTC Alabama 6 35


Northwest Frontier ATTC Alaska 7 15


Northwest Frontier ATTC Alaska not available

15


Central East ATTC Delaware 12 25


Northwest Frontier ATTC Hawaii not available

20


Mountain West ATTC Idaho 6 18


Gulf Coast ATTC Louisiana 6 25

Treatment PlanningM.A.T.R.S.

Gulf Coast ATTC Texas* 4 23


Northeast ATTC New York 90 10


ATTC of New England Vermont not available

35


Northwest Frontier ATTC Washington 7 7


Northwest Frontier ATTC Washington not available

6

The table above shows the number of contact hours and the number of participants for each of the official Blending trainings.

* This training was not entered into the data base this quarter, but did occur. Consequently, this training does not appear on the map, but will be shown next quarter after the data is entered.


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Official Blending Trainings Sorted by Regional Center (April – June 2008)

Regional Center State Product Training Hours Participants

ATTC of New England Vermont Treatment Planning M.A.T.R.S.

not available 35

Caribbean Basin & Hispanic ATTC Puerto Rico Buprenorphine Treatment 6 31

Caribbean Basin & Hispanic ATTC

US Virgin Islands MIA:STEP 6 33

Central East ATTC DC Buprenorphine Treatment 6 17Central East ATTC Maryland Buprenorphine Treatment 3 53

Central East ATTC Delaware Treatment Planning M.A.T.R.S. 12 25

Great Lakes ATTC Michigan MIA:STEP not available 22

Great Lakes ATTC Illinois PAMI not available 12




Gulf Coast ATTC Texas* Treatment PlanningM.A.T.R.S. 4 23

Gulf Coast ATTC Louisiana Treatment Planning M.A.T.R.S. 6 25

Mid-America ATTC Arkansas PAMI 3 75Mid-America ATTC Kansas PAMI 1.5 16Mid-America ATTC Missouri PAMI 1.5 80

Mid-Atlantic ATTC Virginia MIA:STEP 4 7Mid-Atlantic ATTC Virginia MIA:STEP 12 17Mid-Atlantic ATTC Tennessee PAMI 4.5 5Mid-Atlantic ATTC West Virginia PAMI 3 41

Mountain West ATTC Idaho PAMI 2 10

Mountain West ATTC Idaho Treatment Planning M.A.T.R.S. 6 18

Northeast ATTC New York Buprenorphine Treatment 90 20

Northeast ATTC Pennsylvania Buprenorphine Treatment 90 36

Northeast ATTC New York PAMI 37.5 20

Northeast ATTC New York PAMI 37.5 2

Northeast ATTC Pennsylvania PAMI 30 2


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Northeast ATTC Pennsylvania Short-Term Opioid Withdrawal 45 29

Northeast ATTC New York Treatment Planning M.A.T.R.S. 90 10

Northwest Frontier ATTC Oregon MIA:STEP 14 20



Northwest Frontier ATTC Washington MIA:STEP 12 7

Northwest Frontier ATTC Washington MIA:STEP 7 7

Northwest Frontier ATTC Alaska PAMI 3 27

Northwest Frontier ATTC Alaska PAMI 3 27

Northwest Frontier ATTC Oregon PAMI not available 11

Northwest Frontier ATTC Oregon PAMI 3 9



Northwest Frontier ATTC Alaska Treatment Planning M.A.T.R.S. 7 15

Northwest Frontier ATTC Alaska Treatment Planning M.A.T.R.S.

not available 15

Northwest Frontier ATTC Hawaii Treatment Planning M.A.T.R.S.

not available 20

Northwest Frontier ATTC Washington Treatment Planning M.A.T.R.S. 7 7

Northwest Frontier ATTC Washington Treatment Planning M.A.T.R.S.

not available 6

Pacific Southwest ATTC California Buprenorphine Treatment 6 199

Pacific Southwest ATTC California MIA:STEP 4 15



Pacific Southwest ATTC California PAMI 2 24


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Pacific Southwest ATTC California Short-Term Opioid Withdrawal 6 199

Prairielands ATTC Iowa PAMI not available 20

Prairielands ATTC Wisconsin PAMI not available 30

Prairielands ATTC Wisconsin PAMI not available 30

Southeast ATTC North Carolina PAMI 3 8

Southeast ATTC North Carolina PAMI 3 27

Southern Coast ATTC Alabama Treatment Planning M.A.T.R.S. 6 35

The table above shows the number of contact hours and the number of participants for each of the official Blending trainings.

* This training was not entered into the data base this quarter, but did occur. Consequently, this training does not appear on the map, but will be shown next quarter after the data is entered.


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Post-training/Follow-up Activities

Research is constantly contributing new knowledge to the substance use disorder and recovery services field. Yet this new knowledge often is not used in service settings. Implementing changes based on research can be difficult for treatment agencies and professionals. Technology transfer involves creating a mechanism by which a desired change is accepted, incorporated and reinforced at all levels of an organization or system. Although training is one strategy in the technology transfer “tool box,” technology transfer’s scope is much broader than training alone.

The ATTC Network is specifically charged with accelerating the pace of research to practice by elevating the capacity of the substance abuse treatment workforce to understand and adopt cutting edge treatment practices that provide sound and effective treatments for individuals suffering from addiction. The Network’s vision is to “unify science, education and services to transform lives.” Technology transfer is at the heart of all ATTC work.

The ATTC Network utilizes its expertise in technology transfer to extend the reach of the Blending Initiative by re-packaging the approved information and materials in creative and innovative ways. ATTC Regional Centers create products to supplement and enhance the Blending products and conduct follow-up activities and ongoing technical assistance with participants of Blending product trainings to increase the likelihood that research-based practices will be implemented. Follow-up activities are displayed on the map on page 10 and are listed in detail in Appendix C.


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April - June 2008 ATTC Quarterly Report

NIDA/SAMHSA Blending Initiative of 82


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Caribbean Basin & Hispanic ATTC Regional Center

(1) Blending Team (BT) Product Development Not currently involved in an active blending team.

(2) Challenges and Strategies Taken a. The CBHATTC has needed to implement an extensive infrastructure development process prior to implementing the official blending trainings in order to persuade providers to develop skills, gain additional knowledge and change attitudes. b. The CBHATTC uses e-mail communications, faxes, telephone calls and face to face encounters as strategies to disseminate information regarding blending products among governmental agencies, CBOs, and private service contractors. The table below presents additional challenges identified during this reporting period and actions taken to overcome them.

City and State Challenges identified

Strategies, action steps utilizedto address challenge(s)

Outcomes pending, resolved

San Juan, PR

Mental Health and Anti Addiction Service Administration (ASSMCA) service providers trained in the MI TOT on March 1st-2nd, 2006 developed a Motivational Interviewing Training inside the agency.

Strategies included NIDA Liaison Coordinator participation in the rehearsal meetings to support in the booster trainer skills and the adherence of the MI Approach in the training content.

ResolvedThe in-house ASSMCA trainings were given on April 3rd, 2008, May 1, 2008 and June 13, 2008.

San Juan, PR

The Mental Health and Anti Addiction Service Administration (ASSMCA) open the first treatment center to opioid dependence patients with Buprenorphine. ASSMCA and La Fondita de Jesús (CBO currently referring clients to this treatment center) service providers need to increase skills in this treatment modality.

This initiative begins with petition of service providers. The challenge was to familiarize supervisors and administrators with service providers’ needs throughout face to face meetings and coordination support.

ResolvedASSMCA and CBOs’ providers assisted to training given on April 3, 2008.

Saint Croix and Saint Thomas, VI

Introduce MI Approach, Buprenorphine and MATRS Treatment Planning to service providers in USVI state agency and its CBO’s.

Strategies included face to face meeting with Mental Health Acting Director in USVI, identify contact persons in the agency, and establish communication lines by e-mail, fax, telephone calls and face to face encounters to facilitate the recruitment of substance abuse treatment service providers in the State Agencies and CBO’S.

Resolved The training was given in St. Thomas on April 16, 2008 and in St. Croix on April 17, 2008.

(San Juan, Introduce MI Approach to Strategies included sent e-mails and Resolved


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Ponce , Mayaguez), PR

Program Coordinators and Clinical Supervisors in the agencies and CBO’s in the Region.

faxes, telephone calls and face to face meetings to administrators of the private service contractors, governmental agencies and CBO’S.

Governmental agencies, private service contractors and CBOs participated in the trainings given on May 15-16, 2008 (San Juan), May 22-23, 2008 (Ponce), June 5-6, 2008 (San Juan) and June 12-13, 2008 (Mayaguez). The booster sessions began on June 23, 2008 in Ponce.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. The CBHATTC, as part of the CTN (Florida Node following the BSFT protocol),

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

b. NIDA Liaison Coordinator attended the NIDA Blending Conference in Cincinnati, Ohio on June 2-3, 2008.

(4) Development of Ancillary Products This quarter CBHATTC developed a libretto of the Motivational Interviewing

Demonstration in Spanish to be disseminated in DVD format. The libretto is currently undergoing a revision process to evaluate the adherence to the MI Approach.

The CBHATTC is reproducing the MIA:STEP Curriculum in Spanish.

(5) Other One person from the CBHATTC participated in the PAMI TOT (June 4, 08) and

MIA:STEP TOT (June 4-6, 08) in Cincinnati, Ohio.


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Central East ATTC Regional Center

(1) Blending Team (BT) Product Development

Updated Buprenorphine Awareness/Use of Buprenorphine with Young Adults (tentative title)

a. Thomas Durham, PhD has been assigned to this Blending Team.b. Buprenorphine Update for Adolescents and Young Adults; participation on this team is

anticipated during the upcoming period.c. Participated in a NIDA “hand off” meeting on 2/28/2008 d. Content plans are to begin during the upcoming periode. Hand-off meeting only, occurred in February 2008.

(2) Challenges and Strategies Taken

City and State Challenges identified Strategies, action steps utilizedto address challenge(s)


DE

Workforce has inconsistent skill level in Motivational interviewing, which limits Central East ability to disseminate MIA:STEP

Central East conducted 2 basic MI trainings in the state (4/2, 4/9) during the quarter in order to build capacity in MI. Central East will move into MIA:STEP training once basic trainings are complete.

Outcomes pending. Central East is currently assessing the need to conduct more MI training before moving on to MIA:STEP.

NJ

Workforce has inconsistent skill level in Motivational interviewing, which limits Central East ability to disseminate MIA:STEP

Central East conducted an advance MI training in NJ (4/15) in order to build capacity in MI. Central East will move into MIA:STEP training once basic trainings are complete.

Outcomes pendingCentral East is currently assessing the need to conduct more MI training before moving on to MIA:STEP.

NJ,DC,DE,MD Lack of trainers for PAMI product

Central East sent Michelle Tuten to PAMI product ToT in Cincinnati, Ohio (6/4). Central East and Ms Tuten entered into a long-term contractual agreement to conduct PAMI trainings throughout the region. Central East is also exploring ways to expand our network of PAMI trainers through regional ToT’s

Outcomes Pending

NJ,DC,DE,MD Marketing of Blending Products

Central East has used a variety of marketing techniques including, mass mailings of “The Science of Treatment “CD-rom package which contains information on

Outcomes Pending Mail out of CD-rom in process. Next newsletter


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each blending product, to advisory board members and regional stakeholders. Central East also employs a science writer who writes articles about the blending packages in our Dialogue newsletter. The Dialogue is disseminated to about 3,600 people quarterly.

scheduled for Fall 08.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. Central East ATTC continued conversations with the Mid-Atlantic CTN node around

their upcoming meeting and to obtain an overview of current CTN projects and discuss current and future plans for collaboration. Central East and the Mid-Atlantic CTN are currently in discussions with Baltimore’s Substance Abuse Directorate regarding MIA:STEP training for addiction professionals in the city of Baltimore.

b. On June 2nd -3rd Tom Durham attended the NIDA Blending Conference in Cincinnati. Ohio.

(4) Development of Ancillary ProductsNone this period.


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Great Lakes ATTC Regional Center

(1) Blending Team (BT) Product Development a. Lonnetta Albright was assigned to the PAMI Blending Team.b. Developed format, process and materials for national PAMI Training-of-trainers (TOT)

event.c. Convened calls with blending team members and co-trainers of the TOT; convened

conference calls with NIDA, Synergy, and CSAT regarding expectations and logistics for the event, including marketing and registration of ATTC Regional Centers and CTN Nodes.

d. The PAMI product is the primary content for the TOT. Other materials for participants included example agendas, adult learning tips, example exercises and other suggestions for potential trainers.

e. Trained 37 new trainers for the PAMI blending product (18-ATTC trainers; 19-CTN trainers).


City and State

Challenges Identified Strategies, action steps utilized to address challenge(s)


Illinois No issues identifiedIndiana Lack of staff at the state level to

assist with marketing and determining need/appropriate audiences for Buprenorphine

New staff hired at the SSA office and assigned to work with Great Lakes regarding Buprenorphine awareness training for providers

Pending date and location

Michigan No issues identifiedOhio SSA not sure if Buprenorphine

is appropriate yet for providers since currently only primary healthcare physicians are prescribing this medication

-plan to train providers at least with regards to awareness;

-approach non-physicians within primary healthcare to promote training for multi-disciplinary professionals (e.g., nurses, social workers)

Pending date and location

Pending meeting with appropriate contact. SSA will assist

Regional Presentation on the Blending Initiative delivered at the 2008 GLATTC Advisory Board Meeting (May 2008). Dr. Greg Brigham (board member) and GLATTC Director reviewed all products. Follow-up discussions and plans are underway with each state to create an annual calendar of activities for Blending Products dissemination in a variety of venues

-Motivational Interviewing foundational trainings planned in Ohio-Ohio trainer accepted into MIA:STEP and is targeted to train MIA:STEP at the 2009 institute

-PAMI for Criminal Justice systems in Indiana and Michigan


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City and State

Challenges Identified Strategies, action steps utilized to address challenge(s)


are scheduled

-Blending Initiative workshop on all products; including formal PAMI workshop is planned ½ day at the 2008 National TASC conference as part of the “GLATTC Institute”

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. Co-sponsor, workshop presenter and marketing for the 2008 Blending Conference

in partnership with the Ohio Valley Node. Sponsored and scholarships provided to 9 professionals to attend the conference.

b. Convened conference calls and served as panel chair for the evidence-based practice workshop in partnership with Dean Babcock (OVN-CTP) and Dwayne Simpson.

c. Dr. Eugene Somoza (OVN PI) and Greg Brigham (OVN-CTP) are members of the GLATTC regional advisory board. Dr. Brigham presented the Blending Initiative at the May 2008 meeting. Advisory board members suggested a regular conference call with the OVN to be chaired by Dr. Somoza.

d. Great Lakes Director was recruited to join the NIDA CTN utilization committee.

(4) Development of Ancillary Productsa. PAMI TOT materials including format, sample tools for trainers, agenda, etc.

(5) Other a. Recommended five (5) trainers for the MIA:STEP TOT. Two (2) trainer applicants

were accepted and completed the 4 day TOT following the 2008 Blending Conference. One of the trainers is supported by GLATTC and is intended to train MIA:STEP as part of Ohio’s statewide motivational interviewing plan. GLATTC has supported a total of four (4) MIA:STEP trainers since this blending product’s release.

b. Recruited and supported three (3) trainers to attend the PAMI TOT. Each trainer is expected to deliver 3-4 PAMI presentations over the next year.

c. Recruited two (2) ASAM physicians to train the Buprenorphine blending products. Currently working with the states of Indiana and Ohio to schedule Buprenorphine blending product(s) workshops.


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Gulf Coast ATTC Regional Center

(1) Blending Team (BT) Product Development a. Blending Team member, Richard Spence, P.I.b. Role and task related to BT product development

i. ASI Blending Team Sequel – Continued communications among the blending team regarding the process for newly introduced, DENS ASI Software & Computer Assisted Treatment Planning Software and Manual Package

c. Participation in meetings and/or conference calls i. E-mail correspondence with blending team conference calls and emails

concerning clarification of plans regarding integration of the DENS ASI Software & Computer Assisted Treatment Planning Software and Manual Package with the Treatment Planning MATRS curriculum package.

d. Content development i. Mid-America ATTC along with other ATTC partners sub-contracted with

Deni Carise, Treatment Research Institute , to complete work on DENS ASI Software & Computer Assisted Treatment Planning Software and Manual Package N/A

e. Progress / accomplishments i. Reconvening ASI Blending Team members to plan dissemination of ASI

Software/Manualsf. Other / Began inviting feedback from States as to implementation of the DENS ASI

Software Package. Louisiana Coordinating Center/Jody Biscoe has begun discussions with State Level Staff of the Dept. of Justice. The staff there is considering the statewide implementation of both the ASI, and now, very interested in the new software. A sample has been sent to them for review.


City and State

Challenges identified Strategies, action steps utilizedto address challenge(s)


Sante Fe, NM

The SSA is being reorganized into the Dept. of Health as the Behavioral Health Section. We received word that until the staff can interpret the changes by the Legislature, they would not be available for meetings

We were finally able to meet with the CEO, Linda Roebuck, and the operations chief, Harrison Kinney in Sante Fe in June. The meeting was very productive to the degree that Harrison is now our lead contact. Value Options(V.O.) has been awarded the management contract for all health, and behavioral health state agencies in New Mexico. The SSA has no real control over Value Options, yet will give V.O. guidance in the prioritization of initiatives.

We now have entry with the Value Options management group. We will circulate thru their mailing list for announcements of blending trainings, and introductory information about GCATTC

Baton Rouge

The SSA funding stream from the Legislature has been so

Have relied on our subcontracted Louisiana Coordinating Center at

Have held one MATRS training so


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Louisiana depleted since Hurricane Katrina that they admit they must focus on the Legislature for now. Their regional program structure has been transitioning to Health Districts, and manpower has been reduced, and yet the demand for services has increased. They think that GCATTC should continue contact with other state programs and Universities. We have been able to provide some TA, but training demand has dropped.

North Western State University to provide courses and blending trainings. Recently, they have been providing more TA and training to criminal justice professionals

far, and have a tentative date for Motivational Incentives. Now contact with the previously mentioned State Dept. of Justice (item f.) and plans to distribute approved blending products.

All States in

Regional

Having great difficulty finding clinical supervisor level staff available to be qualified to meet criteria for the MIA/STEP TOT.

Currently going to Provider Associations like the Association of Substance Abuse Providers and Addictions Professionals for recommendations. We have had face to face meetings with both of the above, and have had our subcontracted college faculty meet face to face with management staff at their local treatment programs in each of six regions.

Are using Director contacts in associations, and treatment programs for recommendations.

We are looking forward to the next quarter when we have already planned at least four blending trainings in all three states.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. Contact with CTN Nodes; CTPs; and/or NIDA Researchersb. Training with CTN Nodes; CTPs and/or NIDA Researchers: Meet with the New

Mexico node staff in Cincinnati during the PAMI TOT. We were able to join as a team for the presentations development of the TOT, and had a good beginning relationship to build next year.

(4) Development of Ancillary ProductsThe MidAmerica ATTC, in the lead role for the ASI/Treatment Planning MATRS Sequel blending product, informally tested the treatment planning software package, developed by Deni Carise, with regional treatment providers. Results from this preliminary testing have demonstrated the need for composing additional software installation instructions to facilitate its use. These additional instructions will be reviewed by Deni Carise and TRI staff and then will be included with the product. In addition, packaging of the new treatment planning software is being designed which includes new artwork. The Mid America ATTC staff is coordinating the packaging and artwork with the National ATTC office, CSAT, and NIDA representatives. The Mountain West ATTC and the Gulf Coast ATTCs will be assisting in editing the new product instructions along with providing feedback on packaging and artwork as well as, financial support for these new blending activities. Two conference calls will be conducted for Blending Team members at the end of August 2008 and before the end of September.


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Mid-America ATTC Regional Center



City and State

Challenges identified

Strategies, action steps utilizedto address challenge(s) Outcomes pending, resolved

Arkansas Lack of MI skill competency in workforce.

AR SSA requested ATTC provide basic and advanced MI training for 2 Little Rock tx programs. One program at risk of losing state contract unless programs adopts an EBP such as MI

1. Series of phone calls with SSA2. Contracted with 1 MI training contractor to provide face-to-face training, on-site coaching, and MIA-STEP Feedback Reports for training participants.3. Series of conference calls with agency directors, contracted trainers to discuss recommended training model/method resulted in MI Training plan “buy-in” and scheduling4. Provided 2-day MI-Introduction training was conducted on March 24 & 25, 2008 and the MI Advanced 2-day course is in process of rescheduling.5. THIS QUARTER: On-site expert coaching on-going to assist in bringing practitioners to a level of competency needed to benefit from the MIA-STEP

PENDING: Increase in MI skill proficiency needed to introduce MIA-STEP

Arkansas AR SSA requested ATTC provide developmental MI training for AR Delta area treatment & community probation programs.

Challenge: Providing developmental EBP training to providers in rural/remote locations

1. SSA identified and recruited participants from the Arkansas Delta area.2. Contracted with 2 MI training contractors to provide face-to-face training, telephone coaching, and MIA-STEP Feedback Reports for training participants.3. Series of conference calls with agency directors to discuss training model/method resulted in “buy-in.” 4. MI Introductory 2-day training for 24 participants conducted in Monticello, AR on May 28-29, 2008.5. Telephone coaching schedules established.6. Audio tape recorders purchased for participant use in sample counseling sessions.



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7. Participants were assigned to a telephone coach.

Arkansas None identified in this area

Presented 3- hour PAMI Workshop for 75 participants at the AR Mid-SOUTH Summer Institute, Little Rock, June 9, 2008.

Participants receptive and considering use of “Fishbowl Method” in programming.

Kansas None identified in this area

Presented 1.5 hour PAMI Workshop for 16 participants in Lawrence, Kansas, May 23, 2008.

Agency staff receptive and considering use of “Fishbowl Method” in residential and IOP programs.

Missouri Lack of MI skill competency in workforce.

MI Advanced 2-day training provided to 28 participants on May 22-23, 2008 in Kirksville, MO.

Increase in MI skill proficiency needed to introduce MIA-STEP

Missouri Lack of MI skill competency in workforce.

MI Advanced 2-day training provided to 24 participants on June 12-13, 2008 in Cape Girardeau, MO.

Increase in MI skill proficiency needed to introduce MIA-STEP

Missouri None identified in this area

Presented 3 hour PAMI Workshop for 80 participants at the Missouri Spring Training Institute on May 15, 2008.

Audience appeared enthusiastic about the “Fishbowl” method. Several indicated agency is open to using incentives.

Nebraska Challenges: Lack of MI skill competency in workforce and providing developmental EBP training to providers in rural/remote locations

1. Contracted services of 2 MI trainers 2. Series of conference calls with state regional directors representing western rural and frontier areas of state to discuss raining model/method resulted in “buy-in” and series of MI courses are now scheduled. 3. MI Introductory 2-day training for 27 participants provided in Sidney, NE, May 15-16, 2008.4. Telephone coaching schedules established.5. Audio tape recorders purchased for participant use in sample counseling sessions. 6. Participants were assigned to a telephone coach.


Nebraska Change in state leadership this quarter resulting in need to revisit training plan for Quarter 4 and Year 7.

Lack of training opportunities in rural/frontier areas

State has no

NE training contractor will announced open registration for Treatment Planning MATRS on-line course. Training was to begin June 23, 2008 but was cancelled due to insufficient enrollment (only 2 registrants).

In Quarter 4, Mid-America ATTC will reschedule online course and open enrollment to all 5 regional states.

PENDING: Initial on-line CEU course acceptance by workforce


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history of providing &/or approving on-line continuing education courses

Oklahoma SSA and state staff leadership newly appointed

Lack of MI skill competency in workforce.

Next steps include meeting with OK Treatment Providers Association in Aug ’08 to determine state workforce training needs in MI, PAMI

Mid-America offered to leverage state training $ to provide MI training series in preparation for MIA-STEP training. State undecided as to direction/training agenda for states’ workforce.

PENDING: Scheduled on-site meeting with OK Treatment Provider Association Board of Directors, August 20, 2008.

Regional Challenges in contracting with MI trainers proficient in MI

Sponsored J.G. Regnier, Arkansas MI Trainer, to attend the NIDA Blending Conference and MIA-STEP TOT, June 4-6, 2008

Arkansas MI Trainer prepared to deliver MIA-STEP in AR.

Regional Challenges in preparing trainers to deliver PAMI Products

Mid-America ATTC staff, Pat Stilen and Ignacio Barajas attended the NIDA Blending Conference and PAMI TOT, June 4, 2008

Two ATTC staff trained to deliver PAMI products.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. Geoffrey Curran, Ph.D. University of Arkansas Medical School, Little Rock AR: Dr.

Curran is serving as a Leadership Institute mentor to one Mid-America ATTC protégé.

(4) Development of Ancillary Products The MidAmerica ATTC, in the lead role for the ASI/Treatment Planning MATRS Sequel blending product, informally tested the treatment planning software package, developed by Deni Carise, with regional treatment providers. Results from this preliminary testing have demonstrated the need for composing additional software installation instructions to facilitate its use. These additional instructions will be reviewed by Deni Carise and TRI staff and then will be included with the product. In addition, packaging of the new treatment planning software is being designed which includes new artwork. The Mid America ATTC staff are coordinating the packaging and artwork with the National ATTC office, CSAT, and NIDA representatives. The Mountain West ATTC and the Gulf Coast ATTCs will be assisting in editing the new product instructions along with providing feedback on packaging and artwork as well as, financial support for these new blending activities. Two conference calls will be conducted for Blending Team members at the end of August 2008 and before the end of September.


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Mid-Atlantic ATTC Regional Center

(1) Blending Team (BT) Product Development Not currently involved in an active Blending Team.


Please note the first four items are updates/pending items based on our last report Jan-March.

City and State Challenges identified Strategies, action steps utilizedTo address challenge(s)


TN statewide

Conference city- Nashville

Lack of basic MI training; workforce development issue. EBP’s have not been emphasized and therefore a critical mass has to be developed in order to roll-out MIA:STEP

Provided 9 hour training as part of infrastructure building for TN MIA:STEP roll-out plan. Training held as part of addiction professionals annual statewide conference, TN Advanced School

This is the third wave of basic MI training that the ATTC has completed in TN since March 2008. Given the lack of proficiency and exposure to MI, the ATTC will continue to provide basic MI training through various formats.Pending

TN statewide

Conference city- Nashville

Lack of advanced MI training; workforce development issue. EBP’s have not been emphasized and therefore a critical mass has to be developed in order to roll-out MIA:STEP

Provided 4.5 hour advanced MI training as part of the continuum outlined in Jan-March report to assist in infrastructure building to obtain critical mass for a MIA:STEP roll-out Training held as part of addiction professionals annual statewide training, TN Advanced School

The advance course is the next training to be offered in the series of capacity building for the eventual MIA:STEP roll-out. Pre-requisite is basic MI training. More advanced trainings will need to be held.Pending

Paducah and western Kentucky

Lack of basic MI training Provided a MI foundation through MET/CBT-5 training for Kentucky Adolescent consortium

May 8-9th training delivered; expect booster in Fall, along with PAMI delivery. Resolved

Kentucky Lack of MIA: STEP trainers

Contacted SSA and nominated 2 identified MI trainers for TOT in June

One person, Karen Garrity, attended MIA:STEP TOTResolved

Kentucky Establishing a system for NIDA rol-outs with SSA

Dr. Horvatich met with SSA, and deputy director at NASAD in June 2008.

SSA has priorities and history related to challenges of rolling out Buprenorphine. Very enthusiastic about MIA:STEP and PAMI.Pending

Tennessee No MATRS training Identified two possible trainers in Both trainers have


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although ASI is mandated

the regional system to attend TOT that Mid-Atlantic will sponsor.

committed and training is set for October 2, 2008.Pending

West Virginia

Conference city- Charleston, WV

Concerns from SSA and regional leaders that the state is not ready for MATRS training

After consulting with state trainer in MATRS and SSA, suggest that we do infrastructure building with person centered treatment planning then bridge that with MATRS.

Roll-out person centered planning at April NASW conference.Resolved

West Virginia

Conference city- Davis, WV

Trying to get MATRS on the schedule for one of the two annual conferences in WV.

Both Dr. Horvatich and Denise Hall worked with WVAADAC chair and other committee members to lobby for MATRS on the schedule in 2008.

A 6 hour MATRS training scheduled at the October 2008 WVAADAC conferencePending

All states Need to build trainers for PAMI

Nominated two trainers( 1- VA; 1-KY) to attend PAMI TOT

Both attended national TOT and have agreed to two trainings within 08-09 year. One already scheduled for Oct 2008.Pending

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. Contact with CTN Nodes; CTPs; and/or NIDA Researchers

1. Paula Horvatich and Denise Hall attended the Mid-Atlantic Node meeting on Friday, April 4, 2008. Denise Hall provided an update on Blending Products; focused on MIA:STEP national plans. Dr. Horvatich had several phone and e-mail contacts with Ned Snead, Chesterfield CTP, which participated in the MI CTN trial regarding collaborating to expand MI training in VA.

2. Phone and voicemail contact with Steve Martino and Chris Farentinos related to upcoming TOT.

3. Phone consultation and quarterly updates with Mid-Atlantic Node dissemination specialist, Christine Higgins.

b. Training with CTN Nodes; CTPs and/or NIDA Researchers 1. Chesterfield CTP- one supervisor for Virginia MIA:STEP training April 29-30th. 2. MIA:STEP Booster with Virginia MINT group on April 17th- three researchers and four

clinical supervisors from Va.

(4) Development of Ancillary Productsa. Ready to Practice (RTP): Using Readiness Rulers:

Conducted a two-hour presentation at the Tennessee Advanced School on Addictions Tuesday, May 27th 7-9 pm as a pilot test of this product with 40 attendees. The Using Readiness Rulers RTP includes the Mid-Atlantic ATTC readiness ruler (previously developed ancillary product); two video demonstrations (adult and adolescent) using the ruler; and the transcripts for the sessions. The purpose of the RTP series is to address one of the field’s biggest concerns, “I don’t have the time,” by facilitating ease of use and fidelity of the EBP (MI). The product series is entitled: Ready To Practice Innovative Tools for the Active Practitioner. Feedback from pilot test participants


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emphasized enhancing the packaging of this product, making it more appealing. The Using Readiness Rulers RTP was also used as an instructional tool during an Advanced MI event conducted at the TN Advanced School.

b. www.motivationalinterview.org :This Mid-Atlantic ATTC website, assisted with funds from the NIDA grant, has benefited awareness of and distribution efforts of MIA:STEP, possibly more than any other single source. This MI website is connected to the Motivational Interviewing Network of Trainers (MINT), and the association has benefited dissemination efforts. Since being featured on the website June, 2007, MIA:STEP has been accessed/downloaded approximately 640,000 times (currently averaging 70,000 downloads per month). It is far and away the most popular resource on the MI site, running at about ten times the rate of TIP35 downloads. Access to the product was enhanced on the MINT home page by converting the section into one document for ease of downloads, so we do not have the specific hits for each section of the product. This investment has proven its usefulness for dissemination to the field of practitioners most likely to promote its use, MINT trainers and those interested in MI.

(5) OtherI. Denise Hall served as the ATTC trainer for third MIA:STEP TOT held in conjunction

with NIDA Blending Conference in Cincinnati, OH. TOT held June 4-6, 2008 with 22 participants. Total of 64 trainees from May 2007- June 2008.

II. Mid-Atlantic ATTC sponsored four trainers to be trained in PAMI. Two at the PAMI TOT after the Blending Conference( Susan Pauley- VA and Michael Gosser- KY) and two at the Tennessee Advanced School( Adam Webster- Chattanooga, TN) and Barry Cooper-Jackson, TN). Both Ms. Pauley and Mr. Gosser were sponsored to attend the conference prior to the TOT.

III. Mid-Atlantic ATTC sponsored two trainers to attend the MIA:STEP in conjunction with the NIDA Blending Conference. The trainees are Karen Garrity – Kentucky and Rebecca Stacey- West Virginia. In addition, two other Mid-Atlantic ATTC WV trainees were sponsored by their CTN node, giving us three trainers for WV.

IV. Continued planning for MIA:STEP TOT listserv to assist in support and resources for TOT participants. Steve Martino- primary CTN; Denise Hall- primary ATTC.

V. Phone calls to coordinate ATTC representation CTN meeting with Aaron Williams, Central East ATTC.

VI. Assisting other ATTC’s in coordinating the process established to build infrastructure to disseminate MIA:STEP. These include Great Lakes and Mountain West.


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Mountain West ATTC Regional Center




Strategies, action steps utilized

to address challenge(s)


MT There has been some reluctance with the Montana SSA’s office to schedule PAMI workshops.

Several phone conversations have been held with representatives of the SSA’s office to determine the source of the reluctance. In addition, members of Montana’s NAADAC group have been contacted to see if the PAMI training can be added to their Fall Conference.

Both decisions are pending

CO, ID, NV, MT, UT, WY

In order to implement the MIA-STEP Blending Product infrastructure building activities (MI training) must first be completed. MI has not been adequately diffused in the Mountain West region. Therefore MI training must be completed first in order to prepare participants for the MIA-STEP product

1. Developed MIA:STEP training program based on technology transfer continuum:

Phase One: Five week online basic MI course (April 7 – May 9, 2008);

Phase Two: Two day face-to-face MI advanced skills training in Reno, NV June 3 & 4, 2008;

Phase Three: Tape review conducted by MIA:STEP facilitators by July 15, 2008;

Phase Four: Two day MIA:STEP training for those that pass the tape review process in Boise, Idaho on September 23rd -24th, 2008.

2. Contacted each SSA director to identify and nominate individuals to participate in the MIA:STEP training program.

IN PROCESS

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers None during this quarter.

(4) Development of Ancillary Products


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The MidAmerica ATTC, in the lead role for the ASI/Treatment Planning MATRS Sequel blending product, informally tested the treatment planning software package, developed by Deni Carise, with regional treatment providers. Results from this preliminary testing have demonstrated the need for composing additional software installation instructions to facilitate its use. These additional instructions will be reviewed by Deni Carise and TRI staff and then will be included with the product. In addition, packaging of the new treatment planning software is being designed which includes new artwork. The Mid America ATTC staff are coordinating the packaging and artwork with the National ATTC office, CSAT, and NIDA representatives. The Mountain West ATTC and the Gulf Coast ATTCs will be assisting in editing the new product instructions along with providing feedback on packaging and artwork as well as, financial support for these new blending activities. Two conference calls will be conducted for Blending Team members at the end of August 2008 and before the end of September.

(5) Other a. The Mountain West sponsored eight (8) addiction educators from the region to attend the

NIDA Blending Conference scheduled for June 2nd -3rd, 2008. Addiction Educators who attended, represent community colleges, four year colleges and universities, and tribal colleges in five of the six states in the region.

b. The Mountain West sent one person to the PAMI TOT held in Cincinnati, Ohio on June 4th, 2008.

c. The Mountain West region nominated two people to participate in the MIA-STEP TOT. One participant refused to submit a tape and the second participant’s tape did not meet the minimum criteria. Consequently, the Mountain West did not send anyone to the most recent MIA-STEP TOT.

d. The Mountain West distributed 57 “Science of Treatment: Dissemination of Research-Based Drug Addiction Treatment Findings” CD sets to the Mountain West Advisory Board Sub-Committee.


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ATTC National Office

(1) Blending Team (BT) Product Development While the National Office is not currently a part of any active Blending Team, as the coordinating center of the ATTC Network it strives to facilitate the efforts of all Blending efforts. Laurie Krom, MS, Associate Director of the National Office, participates in the ATTC NIDA Initiative Workgroup.


City and State Challenges identified Strategies, action steps utilized

To address challenge(s)Outcomes pending, resolved

National

NIDA requested comprehensive maps showing all official blending trainings held by the ATTC Network since January 2005 in preparation for NIDA day at NASADAD annual meeting.

To ensure accuracy of the maps, the National Office requested that ATTC Regional Centers review their past event profile forms and, using our new understanding of how to categorize events, re-enter in the new events database all official blending trainings held since January 2005. The National Office then used the database to generate the maps and sent the maps to the ATTC directors for two separate rounds of review.

Resolved

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers Laurie Krom and Mary Beth Johnson both attended the NIDA Blending Conference in Cincinnati, OH.

(4) Development of Ancillary Products The ATTC National Office coordinated the redesign, reproduction, bulk purchase, and

distribution of a PAMI Blending Initiative product on behalf of the ATTC Network. The National Office ordered 3400 PAMI folders at $4/piece. The National Office delivered the products to Regional Centers in May 2008.

The ATTC National Office coordinated the reproduction, bulk purchase, and distribution of nearly 1800 of the NIDA Blending CD Kits, originally produced by NIDA. The Blending CD kit, which costs approximately $15/piece, consists of five CDs and inserts that contain presentations on each of the five blending products. The CD was delivered to Regional Centers, CSAT and NIDA during May 2008. The National Office also began a second round of printing for this product in June. It is anticipated that 1,000 more CD sets will be produced in the next quarter.

The ATTC National Office is chairing a sub-committee of the Network’s NIDA Blending workgroup. The sub-committee will update and enhance the web pages on the Blending products for the new ATTC Web site.


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ATTC of New England

(1) Blending Team (BT) Product Development Not currently involved in an active Blending Team.






New England Region

There are a limited number of Blending Team trainers available regionally.

Moving past initial dissemination and onto skill development will require an increase in certified trainers to support awareness raising and skill building activities.

The ATTC-NE contacted Lonnetta Albright from GLATTC, regarding her availability to conduct Training of Trainers (TOTs) in both P.A.M.I. and M.A.T.R.S. for the New England region.

The ATTC-NE will schedule, and offer, regional TOTs in both PAMI and M.A.T.R.S. - by September 30, 2008

CT, MA, ME, NH, RI, VT

No additional challenges identified.


I. Dan Squires participated in conference calls, with the NNEN, on 04/09/08. CTPs involved in conference call included: Stanley Street Treatment and Referral (SSTAR); CAB Health and Recovery; McLean Hospital: and Mercy Hospital.

II. On 04/16/08 the ATTC-NE in collaboration with the New England Node of the CTN, presented an Exposure meeting for New England Stakeholders.



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Northeast ATTC Regional Center

(1) Blending Team (BT) Product Development Not currently assigned to an active blending team.



Strategies, action steps utilizedto address challenge(s)


Northeast Region(New York and Pennsylvania)

Last quarter as part of its ongoing project monitoring the Northeast ATTC identified high interest and low knowledge about the NIDA Blending products

The Northeast revised the training plan to offer more frequent NIDA Blending trainings for the final quarter of the grant cycle. Additionally the Northeast 1) Increased direct dissemination activities: such as mailing of the Blending CD-ROM kit; presentations of Blending products to the Pennsylvania Drug and Alcohol Coalition meetings. 2) Contacted listserve announcing and offering direct on-site training on the five Blending products

At least seven on-site NIDA Blending trainings are under development and will occur between July – September 2008

. Since last quarter the Northeast ATTC has worked with key stakeholders in the region

to disseminate the five NIDA Blending products through the Single State Authorities. Dissemination activities that took place this quarter consisted of a mailer of the Blending CD-ROM kit; presentations of Blending products to the Pennsylvania Drug and Alcohol Coalition meetings; emailing list serve announcements of the Five Blending Products and offering on-site NIDA Blending Product training in the specific curricula. NIDA Onsite trainings – The Northeast ATTC is working with six treatment providers and the New York State Addiction Treatment Centers (13 sites) to do onsite NIDA Blending trainings. The providers that have been identified for the on-site trainings are Palladia, Inc and the Palladia Starhill Facility, NY, Southwest Behavioral Health Management, Inc., PA, RC-MTP, Pomona, NY, Beth Israel Medical Center, NYC and New York Training Institute, Phoenix House, NY.

Since the last quarter, Dr. Flaherty has conducted bi-weekly teleconferences and two face-to-face meetings with the Pennsylvania Department of Health, Bureau of Drug and Alcohol Programs and PA Department of Public Welfare, Office of Mental Health and Substance Abuse Services and other stakeholders (Pennsylvania Drug and Alcohol Coalition) to create the Pennsylvania Drug and Alcohol Coalition. The goal of this coalition is to identify and build a coordinated system of care in Pennsylvania


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capable of addressing in a collaborative manner the needs and priorities of Pennsylvanians for coordinated healthcare in the prevention, intervention, treatment and recovery of substance use and co-occurring disorders. During these meeting the coalition reviewed evidence-based practices and, in particular, discussed the NIDA Blending products. The Pennsylvania Drug & Alcohol Coalition meetings were conducted via conference calls (April, 18, 2008; May 9, 2008; May 23, 2008; June 9, 2008 June 20, 2008; and face-to-face meetings (May 12, 2008 and June 30, 2008).

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. As a member of NIDA’s Motivational Incentives Workgroup, Dr. Hulsey attended a

face-to-face workgroup meeting including NIDA Researchers at the NIDA Blending Conference on June 2nd in Cincinnati, OH.

(4) Development of Ancillary Products a. Northeast ATTC has developed an online learning community for implementing

Motivational Incentives projects and is working to revise this new resource with NIDA’s Motivational Incentives Workgroup. The forum is currently posted on the IRETA/Northeast online education portal.

b. The Northeast is currently exploring the development of a website for implementation of motivational incentive projects with the ATTC national office.

c. The Northeast continues to collaborate with GLATTC to explore the development of an online PAMI training and online discussion forum.

(5) Other a. Participation in Blending Package Training-of-Trainers Events

I. The Northeast sent one participant to the PAMI TOT held June 4, 2008 Cincinnati, OH

II. The Northeast sent two individuals to the MIA-STEP TOT June 4th-6th Cincinnati, OH

b. Other Related ActivitiesI. The Northeast ATTC and other partners sponsored the Aligning Concepts, Practice

and Contexts to Promote Long-Term Recovery: An Action Plan, May 1 & 2, 2008, Philadelphia, PA. Timothy P. Condon, PhD - Deputy Director National Institute on Drug Abuse National Institutes of Health Department of Health and Human Services and Mark L. Willenbring, MD - Director, Division of Treatment & Recovery Research National Institute on Alcohol Abuse and Alcoholism National Institutes of Health, presented at the symposium.

II. The Northeast ATTC along with the Pennsylvania Medical Society Building sponsored a one day training for physicians titled “Patient Safety in Opioid Addiction Treatment – A Best Practice Update A Clinical Conference”, Friday, May 16th 2008, Harrisburg, PA. The NIDA Buprenorphine Treatment: Training for Multidisciplinary Addiction Professionals was featured as part of updating physician’s prescription and treatment practices.


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III. Dr. Michael Flaherty presented at the June 2 & 3, 2008 NIDA Blending conference, the presentation was titled, Long Term Recovery: What We Know and What We Need to Know”.

IV. Dr. Michael Flaherty presented an overview of Evidenced-based practices and the specific NIDA Blending Products to the IRETA Board of Directors meeting held June 25, 2008, Pittsburgh, PA

V. Throughout this period the Northeast ATTC has been marketing the Northeast on-site NIDA Blending Products training opportunities within the region as well as developing relationships with providers to conduct technical assistance for these products. These on-site trainings will take place between July – September 2008.

VI. Telephone and email exchanges developing the NIDA on-site trainings for Palladia, Inc / Starhill Facility, NY, Southwest Behavioral Health Management, Inc., PA, RC-MTP, Pomona, NY, Beth Israel Medical Center, NYC and New York Training Institute, Phoenix House, NY and the New York State Addiction Treatment Centers taking place June 30 – July 14, 2008.

VII. The Northeast is currently planning with the provider organizations within the region to nest the NIDA Blending trainings in the annual conferences. This will increase the NIDA Blending trainings offered in the region and increase technical assistance opportunities. The Northeast is working with large provider organizations in the region such as Pennsylvania Community Providers Association (PCPA), Pennsylvania Certification Board (PCB), New York - Northern Tier Providers Coalition, Association of Addiction Professional of New York and Alcoholism and Substance Abuse Providers (ASAP). The following are confirmed training opportunities for the next grant cycle beginning October 2008: Fifth Annual NYC Criminal Justice Conference - Nov 7, Brooklyn, NY. The Northeast ATTC is planning to conduct a workshop on an overview of evidence-based practices. Approximately 60 participants are expected. The Northeast ATTC is in planning and development of the following trainings for Oct. 2008 - Dec 2008: Northeast ATTC Plan for 7/1/08 - 9/30/08. The Association of Addiction Providers of New York (AAPNY) conference – October 12 – 14, Saratoga, NY. The Northeast ATTC will conduct two of the 6 hour NIDA Blending Trainings @ 20 participants per training and one PAMI workshop @ 20 participants per training. The Northern Tier Providers Association conference – November 4 –6, Lake Placid, NY. The Northeast ATTC will conduct two of the 6 hour NIDA Blending Trainings @ 20 participants per training and one PAMI workshop @ 20 participants per training.

VIII. The Northeast ATTC will conduct a PAMI training at one of Gateway Rehabilitation Center’s (GRC) Pittsburgh, PA clinical sites August 1, 2008. Following this training the Northeast will conduct on-going technical assistance and implementation work with this Gateway site throughout the next quarter and into the next grant cycle (October 2008). To build capacity to implement motivational incentive projects within GRC, the Northeast ATTC will, as part of a technical assistance contract, build the training and implementation skills of a GRC employee.


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Northwest Frontier ATTC Regional Center

(1) Blending Team (BT) Product Development Not currently assigned to an active blending team.


City and State Challenges identifiedStrategies, action steps

utilizedto address challenge(s)


Oregon and Washington

Treatment Planning MATRS focuses on the ASI instrument. Oregon and Washington don’t require the use of ASI, making participant recruitment a challenge.

Developed brochure for Treatment Planning MATRS that is titled:“Treatment Planning MATRS: Utilizing Standardized Assessment Instruments To Make Required Data Collection Useful”

Utilized new brochure to advertise August events. Outcome pending.

Alaska Alaska has a vast decentralized treatment system. Training events need to be coordinated with the State SSA to assure attendance

Foster relationships within Alaska’s Department of Behavioral Health (DBH). Schedule events at the Annual School on Addictions

Presented PAMI and Treatment Planning MATRS events at the Annual School in May. Held regular planning conference calls

Hawai’i Hawai’i consists of 4 main islands. Statewide coverage requires coordination with the Alcohol & Drug Abuse Division.

Coordinate with ADAD on marketing and logistics planning for all Blending Initiative events.

MIA:STEP, PAMI and Tx Planning MATRS have all been scheduled and co-sponsored with ADAD.

Regional Issuesa. Availability of trainers to provide Buprenorphine events is limited.

b. Buprenorphine Awareness Building, despite offers to each SSA and CTN Node, has not been requested.

c. MIA:STEP requires participants to have adequate training in Motivational Interviewing skills before attending MIA:STEP trainings.

a. Identify qualified individuals that will be taught to provide trainings.

b. Collaborate with statewide provider association, SSAs and CTN Nodes to determine interest in training.

c. Schedule MI and Advanced MI trainings throughout the Region.

a. In process.

b. In process.

c. In process.

Pacific Island Jurisdictions

Geographic location and distances between islands

Collaborate with Pacific Substance Abuse and Mental Health

Scheduled basic and advanced MI training,


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make travel difficult. Small populations of counselors make training expensive.

Collaborating Council (PSAMHCC) members in developing a plan for introducing Blending Initiative products. Provide PAMI and Tx Planning MATRS together in back-to-back events.

plus opportunities for feedback on recorded interviews prior to training supervisors to use the MIA:STEP package.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers a. Contact: NFATTC staff are co-located with both the OR and WA Nodes of the

CTN. Regular weekly collaboration takes place. b. Events: 3 full MIA: STEP events were held during the quarter, each co-led by an

ATTC and CTN CTP trainer. Quarterly coordination with MIA: STEP trainers occurred May 12.

c. Pre-event planning:I. Blending Initiative calls held with AK SSA office on Apr 7 and May 13

II. Conference call held with WA SSA office on May 12

(4) Development of Ancillary ProductsAncillary product flyers and brochures that were developed during the last reporting period are being used with good results.

(5) Other a. Steve Gallon coordinated, recruited candidates for, and co-presented at the 3rd

MIA:STEP Training of Trainers event.1. Several planning meetings during Winter/Spring, 2008 2. Created nominee recruitment materials, planned readiness review process for

candidates, developed registration process for approved candidates. 3. Completed preparing 22 trainers skillful in MI and Clinical Supervision as

mentors and trainers for clinicians and supervisors wanting to improve their MI skills.


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Pacific Southwest ATTC Regional Center


Buprenorphine Awareness Update/Use of Buprenorphine with Young Adults (tentative title)a. Thomas Freese, Ph.D. has been assigned to this Blending Team.b. Role and task related to BT product development: TBD (chaired two previous

buprenorphine-related BTs).c. No meetings or calls held between April-June 2008. d. Plans are still under development; the BT will likely be assigned to update the existing

Buprenorphine Awareness product to include a module on using buprenorphine with adolescents and young adults, based on experience gained through a NIDA Clinical Trials Network (CTN) study

e. NIDA and SAMHSA are in the process of scheduling a Blending Team meeting.f. Other See response to (d).

Blending Initiative Task Force (Advisory Group to NIDA Deputy Director Condon)a. Thomas Freese, Ph.D. has been assigned to this task force.b. Task Force member.c. No meetings or calls held between April-June 2008.d. The BI Task Force is currently working on a new document detailing the Principles of Best

Practices in Addiction Treatment, which is slated for completion/Network-wide release in late 2008.

e. Progress / accomplishments: Under development; the product will review the current state of knowledge on the characteristics that define a best treatment practice and provide recommendations and answers to frequently asked questions Other (brief description): See responses to (d) and (e).






Arizona New SSA Director – caused delay in roll-out of BI products

We are in the process of establishing new relationships and determining new priorities

Ongoing informal and formal meetings with new SSA staff

California New SSA Director – caused delay in roll-out of BI products

We are in the process of establishing new relationships and determining new priorities; we held three MIA:STEP trainings in April 2008 and one PAMI training in June 2008

Next meeting with SSA staff scheduled for July 25, 2008


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(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchers

a. Contact with CTN Nodes; CTPs; and/or NIDA ResearchersI. Plans are underway to conduct additional CA-based training on the PAMI BI

product for Pacific Region Node CTP staff and CA/AZ Node CTP staff in northern California; an AZ-based training session will be scheduled, as well.

II. On June 12, 2008, Beth Rutkowski participated in an hour-long phone conversation with Dr. Michael Shopshire, Dissemination Coordinator for the CA/AZ Node Regional Research and Training Center RRTC (housed at UCSF). Ms. Rutkowski and Dr. Shopshire discussed a plan to strengthen collaboration between the PSATTC and the CA/AZ Node, and will work together in the future to plan and co-sponsor BI-related training events throughout CA and AZ.

b. Training with CTN Nodes; CTPs and/or NIDA ResearchersI. Please refer to the ATTC Network events/activities database for a listing of six (6)

official BI trainings and (2) infrastructure development events held from April 1-June 30, 2008. The following is more information re: the two infrastructure development events held in June 2008:

II. On June 2, 2008 in Cincinnati, Ohio, Thomas Freese, Ph.D. (together with Mary Ann Detmer, LPN, and Gregory Brigham, Ph.D.) presented “Understanding and Utilizing Buprenorphine in the Treatment and Short Term Detox of Opioid Addiction” at the NIDA Blending Conference: Blending Science and Treatment – The Impact of Evidence-Based Practices on Individuals, Families, and Communities. Tom provided a one-hour overview of the two approved buprenorphine-related BI packages, and Greg and Mary Ann discussed their experience with participating in the CTN buprenorphine trials and the challenges of incorporating the BI packages into a real-world treatment setting.

III. Christie Thomas (Pacific Region Node), Dr. Michael Shopshire (CA/AZ Node), and Dr. Andy Andersen (ASU CABHP) represented the PSATTC in the PAMI Training of Trainers session held in conjunction with the NIDA Blending Conference in Cincinnati, Ohio on June 2-3, 2008. Ms. Thomas and Drs. Shopshire and Andersen will conduct PAMI training sessions throughout the region on an as-needed/ requested basis.

c. Other I. Beth Rutkowski volunteered to participate in a small workgroup to update the

Blending Initiative section of the new National ATTC website. The workgroup had its first meeting via conference call on May 29, 2008, and had a subsequent conference call on June 3rd and 19th. Other members of the workgroup include Laurie Krom (NATTC) and Jennifer Norland (MWATTC).

II. The PSATTC, together with the Center for Health Care Evaluation, Program Evaluation and Resource Center within the VA Palo Alto Health Care System and Stanford University School of Medicine (Ken Weingardt) is co-sponsoring an online/correspondence course entitled, “NIDA Clinical Toolbox.” The four-hour, 8-module course is designed to provide practicing substance abuse counselors with


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the knowledge, skills, and abilities required to successfully implement Cognitive Behavioral Therapy strategies and techniques in their clinical practice (based on a NIDA grant). The course officially launched in June 2008, and was featured in the July 2008 issue of Eye on the Field (and is posted to Addictioned.org). In just a three day period from July 7-9, more than 160 people accessed the online course. UCLA ISAP and the National ATTC Center are providing CAADAC and NAADAC continuing education credit, respectively.

(4) Development of Ancillary ProductsNone developed between April 1 and June 30, 2008

(5) Other Christie Thomas (Pacific Region Node), Dr. Michael Shopshire (CA/AZ Node), and Dr. Andy Andersen (ASU CABHP) represented the PSATTC in the PAMI Training of Trainers session held in conjunction with the NIDA Blending Conference in Cincinnati, Ohio on June 2-3, 2008. Ms. Thomas and Drs. Shopshire and Andersen will conduct PAMI training sessions throughout the region on an as-needed/ requested basis.


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Prairielands ATTC Regional Center


(2) Challenges and Strategies Takena. Infrastructure development and multiple communications continue to be necessary

with Single State Authorities (SSA) Directors, state program associations, and program directors to prepare for the dissemination of Blending Products in the PATTC region. Dr. Anne Helene Skinstad and Candace Peters, MA, CADC, consistently communicate with these agencies and organizations to prepare for implementation of Blending Products.

b. The States of Iowa (IA) and Wisconsin (WI) have experienced extreme weather conditions the whole year of 2008. Since April, these two states have had an extreme flooding situation which has seriously inhibited communication. The home office at the University of Iowa had to be evacuated and no staff members were allowed into the office for almost two weeks. Furthermore, communication through e-mail is still affected and undependable.

c. Infrastructure assessment and thorough needs assessment of the workforce continues to be necessary in the PATTC region before Blending Products can be disseminated. This is especially true and necessary with Motivational Interviewing prior to the roll out of the MIA:STEP Blending product. Three of our states have had limited to no training in Motivational Interviewing still, and it has been difficult to nominate clinicians proficient enough for the MIA-STEP TOT. Several of our nominees have not been accepted into the TOT. At this point we have one trainer Mark Dodd, MSW, from IA and Dr. Kate Speck from Nebraska (previously part of the PATTC) who can train the MIA:STEP Blending Program.

d. Opioid medication treatment is not readily utilized in the entire PATTC region and requires extensive pre-training preparation with multiple stakeholder relationships prior to implementation. However, the need for treatment on the use of Buprenorphine with opiate addiction is increasing, because of the increase in abuse of pain-killers in the states of South Dakota and North Dakota. The PATTC region continues to have difficulty disseminating the Buprenorphine and Buprenorphine Detox Blending products as released. Buprenorphine is being disseminated adaptively in 60-90 minute sessions throughout the region; however the length of the current product is prohibitive.





WisconsinWI

Infrastructure Development: New state served from October 2007. Limited previous exposure to Blending projects from previous ATTC

Develop stakeholder relationships with WI state offices and program associations. Assess the needs of the state and prepare for dissemination of collaborative training

PAMI is scheduled for October, 2008. Motivational Interviewing and MIA:STEP was


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events. training completed May, 2008.

Iowa, (IA) North Dakota (ND), South Dakota (SD), and Minnesota(MN)

MIA: STEP: Counselor proficiency in Motivational Interviewing.

Implement Motivational Interviewing prior to delivering MIA:STEP. Mr. Dodd was supported by PATTC and completed the MIA:STEP TOT, June, 2008. He has been contracted to implement the product throughout the PATTC region.

Continued discussion with SSA directors regarding MIA:STEP dissemination and implementation

IA, ND, SD, MN, WI

MIA:STEP: Supervisory training skills (clinical, administrative and evaluative)

In the process of develop a strategic plan to address supervisory skills in general and MIA:STEP training in particular, identify different states unique needs for enhancement of supervisory skills.

Infrastructure development: Implement general supervisory skills training prior to the release MIA:STEP.

IA, ND, SD, MN, WI.

MIA:STEP: PATTC supported Dr. Speck (NE) during the first MIA:STEP training of trainers. From October, 2007, NE no longer was a part of the PATTC region.

Identify and develop a letter of agreement with a trainer to attend the MIA:STEP TOT in June, 2008. Mr. Dodd, Member of the Motivational Interviewing Network of Trainers (MINT), attended the MIA:STEP TOT, June 4-6, 2008.

Continue to strategize with SSA directors. Implement MIA:STEP in each state according to their needs. .

IA, ND, SD Buprenorphine: Program administrators and clinicians continue to be resistant to utilizing medication assisted treatment, especially in IA, ND and SD,

Recent discussions with SSA’s have identified an increase in opioid use and an interest in providing “awareness training”. Resistance continues regarding implementation of the Buprenorphine Blending product as it is published.

PATTC continues to discuss with SSA directors how to best disseminate Buprenorphine Blending Products

IA, ND, SD, MN, WI

Treatment Planning M.A.T.R.S.: Treatment facilities are not utilizing the ASI.

Identify treatment facilities who are interested in obtaining the treatment planning focus of the product, versus focusing on the utilization of the ASI within the product.

Continue discussions with SSA directors in developing product release strategies.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchersa. Dr. Skinstad and Ms. Peters are collaborating with Dr. Donald Black, NIDA research

grantee, at the University of Iowa.b. Dr. Mackey, PATTC Native American Initiative Regional Coordinator continues to

collaborate with Dr. Eugene Somoza, PI for the Ohio Valley CTN node on including substance abuse community treatment programs (CTPs) within the Aberdeen Area Indian Health Services in clinical trials. Dr. Mackey has met with Dr. Eugene Somoza and staff from the Aberdeen Area Tribal Chairman’s’ Health Board to prepare to include tribal providers in upcoming clinical trials.

c. Dr. Skinstad met with Dr. Mackey and Dr. Somoza to discuss further collaborations and also how to facilitate PAMI training with providers in the Ohio CTN Node.

d. Dr. Skinstad continues to collaborate (through several conference calls) with members of the CTN Dissemination committee on dissemination of the PAMI Blending program


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in CTPs within the CTN network among programs that were not involved in the MIEDAR project. Dr. Daci Svikas chairs this effort, and several members of the CTN Network are members of this committee as well.

e. PATTC continues to collaborate with Professor Ken Winters at the University of Minnesota, Department of Psychiatry.

f. PATTC 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.

g. Dr. Skinstad continues to collaborate with Dr. Rob Philibert at the University of Iowa, Department of Psychiatry, Genetics Laboratory. This lab is a long standing laboratory funded by NIDA. Dr. Skinstad, Dr. Rob Philibert, and Dr. Don Black are preparing a NIDA grant submission.


(5) Other a. Dr. Skinstad, and Ms. Peters, participated in the planning and development of the

“PAMI Training of Trainers”.b. Ms. Peters facilitated, in collaboration with Lonnetta Albright and Amy Shannon, the

“PAMI TOT”, June 4, 2008, Cincinnati, Ohio. c. PATTC supported Ms Peters and Mr. Dodd in attending the NIDA Blending

Conference, June 1-2, 2008, Cincinnati, Ohio.d. Ms. Peters attended the PAMI meeting, June 2, Cincinnati, Ohio, hosted by Drs.

Svikas and Stitzer to discussion the implementation of the PAMI product and further needs for development.

e. PATTC supported Mr. Dodd, MSW, in attending the MIA:STEP TOT, June 4-6, 2008. This trainer is a member of the MINT network and will be delivering both Motivational Interviewing and MIA:STEP trainings throughout the PATTC region.

f. Ms. Peters provided PAMI training in collaboration with the Mountain West ATTC on April 17, 2008, in Meridian, Idaho.


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Southeast ATTC Regional Center

(1) Blending Team (BT) Product Development n/a






Georgia Recently, Southeast ATTC met with the Executive Director of the National Opiate Treatment Providers Association who advised, in conjunction with the cost issues, that it has been quite challenging for her doctors to switch to Bup because they have used Methadone for so long and the clients they serve are not as prone to change when the methadone has been working for them. She confirmed that cost has been the primary reason because once the patients begin using BUP they are not able to afford refills.

SATTC GA will be initiating a follow-up meeting with the President of NOTCA because the ED has since resigned her post. During this meeting SATTC and NOTCA will discuss ways to collaborate on ways to disseminate the BUP information to their target population. SATTC GA will also be exhibiting and disseminating BUP information at the International Nurses Society on Addictions October 1-4 in Atlanta, GA. This conference will be an educational venue to introduce nurses throughout the region on BUP.SATTC GA is in the process of planning an informative session on BUP, inviting physicians, hospital staff, and pharmaceutics. This session will be in collaboration with the National Center for Primary Care at MSM. An invitation will also be extended for the President of NOTCA to participate on our Advisory Board.

Strategies will be formulated and implemented throughout the various collaborative entities on positive ways to disseminate and familiarize individuals with the BUP NIDA product.

Participation at various conferences and meeting the knowledge base of BUP will be strengthen throughout the region.

North Carolina

Not applicable this quarter. Not applicable this quarter. Not applicable this quarter.

South Carolina

Regarding Buprenorphine, Southeast ATTC has received feedback from several stakeholders that the Bup trainings offered by SATTC will need to address the concerns of the abstinence only clinicians. The issue of cost, and of availability, are also concerns that have been expressed. Some of have said, “There has been a lot of talk, but not a lot of implementation (at the provider

The SC consultant will use “success” stories from previous training participants in order to promote upcoming trainings, as well as encourage and support front-line clinicians in their use of the Bup products.

As part of marketing for various NIDA trainings, the SC Consultant will use identify specific strategies from each Blending Product that will

The SC consultant will meet with stakeholders who are successfully using Bup and find out what strategies worked for them, and share this information with other providers in SC

The Consultant will


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level)” for Bup treatment.

For the MATRS/ASI topic, SATTC has noticed that there has been some resistance (especially when it comes to offering a training track at conferences). Feedback is generally focused on the belief that the ASI is “too cumbersome” and therefore does not generate a lot of interest from conference participants, therefore leading to cancelled trainings/tracks.

improve the treatment process for both the client and the clinician. In other words, instead of a general training description, there will also be a description of how the clinician can gain skills by incorporating the product into their toolkit.

The SC consultant will continue to collaborate with the Medical University of South Carolina’s NIDA/CTN. We meet monthly and exchange information regarding the efforts of both organizations. We also discuss ways in which we can support our individual and joint agendas, including educating providers about Bup and the utility of the ASI.

also look at planning an informal "RoundTable" meeting with community stakeholders who have concerns so that they can get their questions answered by their peers who are using Bup.


May 2- SC Consultant met with the CTN at MUSC for introductions as well as to learn more about the CTN’s activities. Discussion was held on how we can expand our relationship/collaborative efforts.

June 13- SC Consultant attended the MUSC/CTN meeting. Discussed upcoming trials as well as upcoming trainings to be offered by Southeast ATTC.

b. Training with CTN Nodes; CTPs and/or NIDA Researchers n/a

c. Other June 2-4- SC Consultant attended the NIDA Blending Conference in Cincinnati.

SC Consultant attended workshops on the current NIDA products- PAMI, MIA:STEP, and attended the CTP meeting/plenary session.

June 16-18- SATTC sponsored a general Bup training (not an official NIDA product training) at the 2008 Drug Court Conference in Peachtree City, GA. The purpose of this event was to help build awareness of bup as an additional treatment tool and to share information about the NIDA Bup detox products.

(4) Development of Ancillary Productsn/a


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Southern Coast ATTC Regional Center


Buprenorphine Awareness Update/Use of Buprenorphine with Young Adults (tentative title)

a. Pam Waters has been assigned to this Blending Team.b. Tasks are not assigned yet for the new module to the Buprenorphine Awareness

product.






Jackson, Mississippi

We have struggled with scheduling training in Mississippi. The deputy SSA has resigned and we are without a clear liaison as yet.

We are working with the Mississippi SSA to schedule some MATRS Trainings and PAMI training over the next Quarter.

Have not secured firm dates as yet.

Tallahassee, Florida

Have historically had poor attendance in this venue.

. We are looking forward to more aggressive marketing and to provide more agency to agency contact.

We are planning a MATRS training this August at a local treatment agency.

Jacksonville, Florida

We had difficulty coordinating the agency, CTN Node and trainers to put this training in place.

We held numerous phone calls, sent many e-mails and wrote proposals to make this training a priority for all parties involved.

The MIA-Step training will be held at Gateway Community Center in Jacksonville, Florida, July 21-25, 2008.

(3) Liaison Activities with CTN Nodes; CTPs; and /or NIDA Researchersa. The Southern Coast ATTC will train the MIA-Step curriculum in Jacksonville, Florida,

July 21-25 at Gateway Community Services. This training also partners with the University of Miami CTN Node.


(5) Other a. The Southern Coast sent staff members Judy Micale and Joan Leary to the recent

NIDA Blending Conference. Joan Leary and Dr. Michael Miller were at the MIA-Step TOT. Judy Micale was trained at the PAMI TOT.


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Appendix A – Pre-training Activities

Product Blending Initiative In General (not product specific)Regional Center Great Lakes ATTCDate 5/22/2008 To 5/22/2008Activity Regional Advisory BoardGPRA code (if any) 054028Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription Overview of Blending Initiative and all productsCollaborators SSA,SSA,SSA,SSA,OtherHost State IndianaNumber of Participants 33Number of Participants by state

Illinois 7Indiana 8Michigan 6Missouri 1Ohio 10Wisconsin 1

Product Blending Initiative In General (not product specific)Regional Center Northeast ATTCDate 6/24/2008 To 6/24/2008Activity The Science of Treatment Blending Product envelopeGPRA code (if any)Type/Format of Activity OtherMode of Delivery OtherDescription Mailed 5CD sets on NIDA Blending Products to provider organization in NYCCollaboratorsHost State New YorkNumber of Participants 1Number of Participants by state

New York 1

Product Blending Initiative In General (not product specific)Regional Center Northeast ATTCDate 6/13/2008 To 6/18/2008Activity CPDD ConferenceGPRA code (if any)Type/Format of Activity OtherMode of Delivery Face-to-FaceDescription Brief meeting at CPDD conference to introduce the NeATTC, offerings in training and materials on

evidence-based practices including NIDA Blending ProductsCollaborators Community Treatment Program(s)Host State Puerto RicoNumber of Participants 2


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Number of Participants by state

New York 2

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Pacific Southwest ATTCDate 6/2/2008 To 6/2/2008Activity Understanding and Utilizing Buprenorphine in the Treatment and Short Term Detox of Opioid AddictionGPRA code (if any)Type/Format of Activity

Formal Presentation

Mode of Delivery Face-to-FaceDescription Workshop presentation that provided an overview of the two approved buprenorphine-related BI packages, and

CTP representatives' experience with participating in the CTN buprenorphine trials and the challenges of incorporating the BI packages into a

Collaborators CTN Nodes,Community Treatment Program(s)Host State OhioNumber of Participants

50


California 1Indiana 1Ohio 48

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Caribbean Basin & Hispanic ATTC en EspanolDate 4/3/2008 To 4/3/2008Activity Buprenorphine Treatment: A Training for Multidisciplinary Addiction Professionals GPRA code (if any)Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription One day training for service providersCollaborators ATTCHost State Puerto RicoNumber of Participants 35Number of Participants by state

Puerto Rico 35

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)

Regional Center Mid-America ATTCDate 5/28/2008 To 5/29/2008Activity Introduction to Motivational Interviewing - AR Delta AreaGPRA code (if any) E3264Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Introduction to MI and basic skill-buildingCollaborators Community Treatment Program(s)Host State ArkansasNumber of Participants 24


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Arkansas 24


Regional Center Central East ATTCDate 4/2/2008 To 4/2/2008Activity Motivational Interviewing Techniques in Addiction CounselingGPRA code (if any) 200Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Advanced MI Training done as a precursor to MIA:STEP.Collaborators NoneHost State DelawareNumber of Participants 27Number of Participants by state

Delaware 27


Regional Center Central East ATTCDate 4/9/2008 To 4/9/2008Activity Motivational Interviewing Techniques in Addiction CounselingGPRA code (if any) 201Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Advance MI training done as a precursor to MIA:STEP TrainingCollaborators NoneHost State DelawareNumber of Participants 16Number of Participants by state

Delaware 16


Regional Center Prairielands ATTCDate 4/15/2008 To 4/15/2008Activity NIDA Infrastructure: MIA:STEPGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Audio/Video/Web TeleconferenceDescription Teleconference Collaborators Community Treatment Program(s)Host State IowaNumber of Participants 4Number of Participants by state

Iowa 4


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Regional Center Prairielands ATTCDate 4/15/2008 To 4/15/2008Activity NIDA infrastructure development: MIA:STEPGPRA code (if any)Type/Format of Activity MeetingMode of DeliveryDescriptionCollaboratorsHost State IowaNumber of ParticipantsNumber of Participants by state


Regional Center Mid-Atlantic ATTCDate 5/8/2008 To 5/9/2008Activity MET CBT 5GPRA code (if any) 128001Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription MET CBT 5 training for Paducah, KY area providersCollaborators Provider Association(s)Host State KentuckyNumber of Participants 15Number of Participants by state

Kentucky 15


Regional Center Mid-America ATTCDate 5/22/2008 To 5/23/2008Activity Motivational Interviewing Advanced GPRA code (if any) E3261Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Advanced training and skill-buildingin MI Collaborators State/Regional Organization(s)Host State MissouriNumber of Participants 28Number of Participants by state

Missouri 28


Regional Center Mid-America ATTC


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Date 6/12/2008 To 6/13/2008Activity Motivational Interviewing AdvancedGPRA code (if any) E3260Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Advanced training and skill-building in MI Collaborators State/Regional Organization(s)Host State MissouriNumber of Participants 24Number of Participants by state

Missouri 24


Regional Center Mid-America ATTCDate 5/15/2008 To 5/16/2008Activity Introduction to Motivational Interviewing - NE Western Rural/FrontierGPRA code (if any) E3265Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Introduction to MI and basic skill-buildingCollaborators SSA,Community Treatment Program(s)Host State NebraskaNumber of Participants 27Number of Participants by state

Nebraska 27


Regional Center Central East ATTCDate 4/15/2008 To 4/15/2008Activity Motivational Interviewing Techniques in Addiction CounselingGPRA code (if any) 401Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Advance training in MICollaborators SSAHost State New JerseyNumber of Participants 35Number of Participants by state

New Jersey 35


Regional Center Mid-America ATTCDate 6/2/2008 To 6/3/2008Activity NIDA Blending Conference - Blending Science and Treatment: The Impact of Evidence-Based

Practices on Individuals, Families and Communities GPRA code (if any)


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Type/Format of Activity ConferenceMode of Delivery Face-to-FaceDescription Sponsored J.G. Regnier to attend Blending Conference in preparation for MIA: STEP project in

Arkansas.Collaborators State/Regional Organization(s),Federal Organization(s)Host State OhioNumber of Participants 1Number of Participants by state

Arkansas 1

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Mid-America ATTCDate 6/4/2008 To 6/6/2008Activity MIA: STEP TOTGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Provided support for J.G. Regnier to attend MIA: STEP TOT to increase training capacity in AR and Mid-

America ATTC region.Collaborators Federal Organization(s)Host State OhioNumber of Participants 1Number of Participants by state

Arkansas 1


Regional Center Caribbean Basin & Hispanic ATTCDate 6/13/2008 To 6/13/2008Activity Motivational Interviewing Strategies GPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription one day trainingCollaborators SSAHost State Puerto RicoNumber of Participants 17Number of Participants by state

Puerto Rico 17

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Caribbean Basin & Hispanic ATTCDate 6/23/2008 To 6/23/2008Activity Technical Assistance in Motivational Interviewing to Clinical Supervisors - BoosterGPRA code (if any) 100129-1Type/Format of Activity

Technical Assistance

Mode of Delivery Face-to-FaceDescription Its purpose is transferring to communities that assist people with addiction in psychoactive substances,


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treatment models that have demonstrated, trough scientific evidence, effectiveness in alcohol and drugs treatment.

Collaborators Community Treatment Program(s)Host State Puerto RicoNumber of Participants

12


Puerto Rico 12


Regional Center Caribbean Basin & Hispanic ATTCDate 5/29/2008 To 5/29/2008Activity Motivational Interviewing StrategiesGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription Meeting for evaluates the evaluation outcomes and coordinates other training activities Collaborators SSAHost State Puerto RicoNumber of Participants 10Number of Participants by state

Puerto Rico 10


Regional Center Caribbean Basin & Hispanic ATTCDate 4/3/2008 To 4/3/2008Activity Motivational Interviewing StrategiesGPRA code (if any) 100424Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription One day training activity presented by SSA trainers trained in the MI TOT given on March 1-2, 06. Collaborators SSAHost State Puerto RicoNumber of Participants 21Number of Participants by state

Puerto Rico 21

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Caribbean Basin & Hispanic ATTCDate 6/12/2008 To 6/13/2008Activity Technical Assistance in Motivational Interviewing to Clinical SupervisorsGPRA code (if any) 100431Type/Format of Activity

Educational Event (Training or Academic Course)




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Collaborators SSAHost State Puerto RicoNumber of Participants

20


Puerto Rico 20

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Caribbean Basin & Hispanic ATTCDate 5/1/2008 To 5/1/2008Activity Motivational Interviewing StrategiesGPRA code (if any) 100427Type/Format of Activity




Collaborators SSAHost State Puerto RicoNumber of Participants

21


Puerto Rico 21






18


Puerto Rico 18




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Collaborators SSA,Community Treatment Program(s)Host State Puerto RicoNumber of Participants

10


Puerto Rico 10






22


Puerto Rico 22


Regional Center Caribbean Basin & Hispanic ATTC en EspanolDate 4/3/2008 To 4/3/2008Activity Motivational Interviewing: An Approach to Facilitate Change to RecoveryGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription One day trainingCollaborators ATTC,State/Regional Organization(s)Host State Puerto RicoNumber of Participants 21Number of Participants by state

Puerto Rico 21


Regional Center Caribbean Basin & Hispanic ATTC en EspanolDate 5/14/2008 To 5/15/2008Activity Motivational Interviewing Technical Assistance to Clinical SupervisorsGPRA code (if any)


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Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription This activity is a Technical Assistance that includes 2 days training and 4 booster sessions.Collaborators ATTC,Recovery Organization(s),State/Regional Organization(s)Host State Puerto RicoNumber of Participants 0Number of Participants by state

Puerto Rico 27


Regional Center Caribbean Basin & Hispanic ATTC en EspanolDate 5/22/2008 To 5/23/2008Activity Motivational Interviewing Technical Assistance to Clinical SupervisorsGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription Technical Assistance that includes 2 days training and 4 booster sessions.Collaborators ATTC,Recovery Organization(s),State/Regional Organization(s)Host State Puerto RicoNumber of Participants 25Number of Participants by state

Puerto Rico 25


Regional Center Caribbean Basin & Hispanic ATTC en EspanolDate 6/5/2008 To 6/6/2008Activity Motivational Interviewing Technical Assistance to Clinical SupervisorsGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription Technical Assistance that includes 2 days training and 4 booster sessions. Collaborators ATTC,Recovery Organization(s),State/Regional Organization(s)Host State Puerto RicoNumber of Participants 27Number of Participants by state

Puerto Rico 27


Regional Center Caribbean Basin & Hispanic ATTC en EspanolDate 6/12/2008 To 6/13/2008Activity Motivational Interviewing Technical Assistance to Clinical SupervisorsGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Face-to-FaceDescription Technical Assistance that includes 2 days training and 4 booster sessions.Collaborators ATTC,Recovery Organization(s),State/Regional Organization(s)


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Host State Puerto RicoNumber of Participants 25Number of Participants by state

Puerto Rico 25


Regional Center Mid-Atlantic ATTCDate 5/26/2008 To 5/27/2008Activity MI SkillsGPRA code (if any) 129005Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Two day skills training to build capacity for eventual roll-out of MIA:STEP in TNCollaborators SSAHost State TennesseeNumber of Participants 24Number of Participants by state

Arkansas 1Tennessee 23


Regional Center Mid-Atlantic ATTCDate 5/29/2008 To 5/29/2008Activity MI Advanced SkillsGPRA code (if any) 129006Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription One day advanced MI course to build on MI skills. All participants had previous training on MICollaborators SSA,SSAHost State TennesseeNumber of Participants 14Number of Participants by state

Arkansas 1Tennessee 13

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 4/8/2008 To 4/8/2008Activity Iowa Governors ConferenceGPRA code (if any)Type/Format of Activity ConferenceMode of Delivery Face-to-FaceDescription exhibit Collaborators ATTC,SSA,Community Treatment Program(s),Provider Association(s),State/Regional Organization(s)Host State IowaNumber of Participants 500Number of Participants by Iowa 500


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state

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 4/1/2008 To 4/1/2008Activity PAMIGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Audio/Video/Web TeleconferenceDescription TOT planningCollaborators ATTCHost State IowaNumber of Participants 2Number of Participants by state

Iowa 1Pennsylvania 1

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 4/15/2008 To 4/15/2008Activity NIDA infrastructure conference callGPRA code (if any)Type/Format of Activity MeetingMode of Delivery Audio/Video/Web TeleconferenceDescription conference callCollaborators Community Treatment Program(s)Host State IowaNumber of Participants 4Number of Participants by state

Iowa 4

Product Promoting Awareness of Motivational IncentivesRegional Center Mid-America ATTCDate 6/4/2008 To 6/4/2008Activity Promoting Awareness of Motivational Incentives (PAMI) TOTGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Mid-America ATTC supported 2 staff to be trained at the PAMI Training-of-Trainers.Collaborators Federal Organization(s)Host State OhioNumber of Participants 2Number of Participants by state

Missouri 2

Product Promoting Awareness of Motivational IncentivesRegional Center Caribbean Basin & Hispanic ATTC


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Date 6/4/2008 To 6/4/2008Activity Promoting Awareness of Motivational Incentives TOTGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription TOT activity to prepare trainer to train in PAMICollaboratorsHost State OhioNumber of ParticipantsNumber of Participants by state

Product Promoting Awareness of Motivational IncentivesRegional Center Great Lakes ATTCDate 6/4/2008 To 6/4/2008Activity PAMI TOTGPRA code (if any) 052079Type/Format of Activity OtherMode of Delivery Face-to-FaceDescription PAMI Tot for CSAT and NIDA trainersCollaborators ATTC,Federal Organization(s)Host State OhioNumber of Participants 37Number of Participants by state

California 2Florida 2Georgia 1Illinois 4Indiana 2Kentucky 1Maryland 3Missouri 2New Mexico 2New York 1Ohio 2Oregon 1Pennsylvania 2Puerto Rico 1Rhode Island 2South Carolina 3Texas 2Utah 1Virginia 2Washington 1

Product Short-Term Opioid Withdrawal Using Buprenorphine: Findings and Strategies from a NIDA Clinical Trials Network Study

Regional Center Pacific Southwest ATTCDate 6/2/2008 To 6/2/2008Activity Understanding and Utilizing Buprenorphine in the Treatment and Short Term Detox of Opioid AddictionGPRA code (if any)Type/Format of Formal Presentation


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Activity Mode of Delivery Face-to-FaceDescription Workshop presentation that provided an overview of the two approved buprenorphine-related BI packages, and

CTP representatives' experience with participating in the CTN buprenorphine trials and the challenges of incorporating the BI packages into a

Collaborators CTN Nodes,Community Treatment Program(s)Host State OhioNumber of Participants

50


California 1Indiana 1Ohio 48

Product Treatment Planning M.A.T.R.S.: Utilizing the Addiction Severity Index (ASI) to Make Required Data Collection Useful

Regional Center Mid-Atlantic ATTCDate 4/23/2008 To 4/23/2008Activity Person Centered PlanningGPRA code (if any) 127006Type/Format of Activity


Mode of Delivery Face-to-FaceDescription As an infrastructure building effort, ATTC along with WV SSA decided that the state would need a "softer"

introduction to the MATRS. The practitioners in the state do not find the ASI very helpful and are resistant to any training related to the ASI.

Collaborators SSA,OtherHost State West VirginiaNumber of Participants

24


West Virginia 24

Total activities: 41


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Appendix B – Official Trainings

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Pacific Southwest ATTCDate 4/25/2008 To 4/25/2008Activity CAADE Pre-Conference Workshop: Pharmacotherapy - Integrating New Tools into Practice (Bup Tx)GPRA code (if any) 20425081Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription A daylong workshop on medication-assisted treatment, of which the Buprenorphine Tx and Buprenorphine

Detox BT packages were incorporated into the content.Collaborators Provider Association(s)Host State CaliforniaNumber of Participants 199Number of Participants by state

California 199

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Central East ATTCDate 5/9/2008 To 5/9/2008Activity Buprenorphine Awareness Training for Addiction Professionals GPRA code (if any) 104Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription A one day training to create knowledge and awareness of buprenorphine and its use in the treatment of

opioid dependence among multi-disciplinary professionalsCollaborators OtherHost State District of ColumbiaNumber of Participants 17Number of Participants by state

District of Columbia 17

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Central East ATTCDate 4/1/2008 To 6/30/2008Activity Buprenorphine Awarenes: Training for CounselorsGPRA code (if any) OL600Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Web-based/onlineDescription Online course on Buprenorphine for addiction counselorsCollaborators NoneHost State MarylandNumber of Participants 53Number of Participants by state

Alabama 1California 1Connecticut 4Delaware 4Florida 3


of 82

Illinois 2Indiana 1Maryland 2Minnesota 1Montana 1New Jersey 8New Mexico 1New York 6North Carolina 10Ohio 1Oregon 2Pennsylvania 1Washington 2West Virginia 2

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Northeast ATTCDate 5/22/2008 To 5/22/2008Activity Buprenorphine Treatment: Training for Multidisciplinary Addiction Professionals GPRA code (if any) 08-333TType/Format of Activity


Mode of Delivery Face-to-FaceDescription Opioid abuse and addiction (e.g., heroin, OxyContin) remains a critical national public health concern. To

address this problem, the Buprenorphine Treatment Blending Team (also referred to as: 'Buprenorphine Awareness') developed a training package

Collaborators ATTC,SSA,OtherHost State New YorkNumber of Participants

20


New York 20

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Northeast ATTCDate 6/12/2008 To 6/12/2008Activity Buprenorphine Treatment: Training for Multidisciplinary Addiction ProfessionalsGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Buprenorphine Treatment: Training for Multidisciplinary Addiction Professionals at Franklin Venango

County, PACollaborators Community Treatment Program(s)Host State PennsylvaniaNumber of Participants 36Number of Participants by state

Pennsylvania 36

Product Buprenorphine Treatment: A Training for Multidisciplinary Addiction ProfessionalsRegional Center Caribbean Basin & Hispanic ATTC


of 82

Date 4/3/2008 To 4/3/2008Activity Buprenorphine and Office-Based Treatment of Opioid Dependence for Multidisciplinary StaffGPRA code (if any) 102011Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription What is buprenorphine. Importance of intagrate multipisciplinary staff in the medication treatment. Discuss

behavioral approaches used to treat opioid dependant individuals.Collaborators SSAHost State Puerto RicoNumber of Participants 31Number of Participants by state

Puerto Rico 31


Regional Center Pacific Southwest ATTCDate 4/2/2008 To 4/2/2008Activity MIA:STEP Training, Phoenix House OC, Part IIIGPRA code (if any) 20402081Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription A multi-part training on the MIA:STEP Blending Product. Part III focused on Supervisors’ follow-up

training.Collaborators Community Treatment Program(s)Host State CaliforniaNumber of Participants 15Number of Participants by state

California 15


Regional Center Pacific Southwest ATTCDate 4/11/2008 To 4/11/2008Activity MIA:STEP Training, Phoenix House Fresno, Part IIIGPRA code (if any) 20411082Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription A multi-part training on the MIA:STEP Blending Product. Part III focuses on Supervisors’ follow-up


California 16


Regional Center Pacific Southwest ATTCDate 4/16/2008 To 4/16/2008


of 82

Activity MIA:STEP Training, Phoenix House LVT, Part IIIGPRA code (if any) 20416081Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription A multi-part training on the MIA:STEP Blending Product. Part III focuses on Supervisors’ follow-up


California 15


Regional Center Great Lakes ATTCDate 5/5/2008 To 5/6/2008Activity MIA:STEPGPRA code (if any) 055070Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription MIA:STEP for supervisorsCollaborators State/Regional Organization(s)Host State MichiganNumber of Participants 22Number of Participants by state

Ohio 22


Regional Center Northwest Frontier ATTCDate 5/15/2008 To 5/16/2008Activity MIA:STEPGPRA code (if any) 1546Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official MIA:STEP trainingCollaborators State/Regional Organization(s)Host State OregonNumber of Participants 20Number of Participants by state

Oregon 20


Regional Center Northwest Frontier ATTCDate 5/15/2008 To 5/16/2008Activity MIA:STEPGPRA code (if any) 1546Type/Format of Activity Educational Event (Training or Academic Course)


of 82

Mode of Delivery Face-to-FaceDescription Official NIDA Blending product MIA:STEP trainingCollaborators OtherHost State OregonNumber of Participants 14Number of Participants by state

Oregon 14


Regional Center Northwest Frontier ATTCDate 5/29/2008 To 6/30/2008Activity MIA:STEPGPRA code (if any) 1549Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official NIDA Blending product trainingCollaborators NoneHost State OregonNumber of Participants 18Number of Participants by state

Oregon 18

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Caribbean Basin & Hispanic ATTCDate 4/17/2008 To 4/17/2008Activity Motivational Interviewing StrategiesGPRA code (if any) 100426Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription One day training to aware of the MI Approach service providers (state agency and CBO's) and nursing

students of the VI University.Collaborators SSAHost State US Virgin IslandsNumber of Participants 33Number of Participants by state

Virgin Islands 33

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Mid-Atlantic ATTCDate 4/17/2008 To 4/17/2008Activity MIA:STEP RefresherGPRA code (if any) 126020Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Held for VA MINT's that had previous experience with MIA:STEP in the original study and needed to

know about modificationsCollaborators OtherHost State Virginia


of 82

Number of Participants 7Number of Participants by state

Virginia 7

Product Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA:STEP)Regional Center Mid-Atlantic ATTCDate 4/29/2008 To 4/30/2008Activity MIA:STEPGPRA code (if any) 126021Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Follow- up for 15 members Virginia cohort of clinical supervisors that completed the MI for Supervisors course.

Also , two supervisors that were unable to attend the WV cohort roll-out joined the VA group.Collaborators SSAHost State VirginiaNumber of Participants 17Number of Participants by state

Virginia 15West Virginia 2


Regional Center Northwest Frontier ATTCDate 5/8/2008 To 5/9/2008Activity MIA:STEPGPRA code (if any) 1543Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official MIA:STEP trainingCollaborators NoneHost State WashingtonNumber of Participants 7Number of Participants by state

Washington 7


Regional Center Northwest Frontier ATTCDate 5/8/2008 To 5/9/2008Activity MIA:STEPGPRA code (if any) 1543Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Officia NIDA Blending product training.Collaborators NoneHost State WashingtonNumber of Participants 7Number of Participants by state

Washington 7


of 82

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 5/5/2008 To 5/5/2008Activity PAMIGPRA code (if any) 1541Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official NIDA Blending product trainingCollaborators Provider Association(s)Host State AlaskaNumber of Participants 27Number of Participants by state

Alaska 27

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 5/5/2008 To 5/5/2008Activity PAMIGPRA code (if any) 1541Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription 3-hour PAMI training for participants at AK Annual school on AddictionsCollaborators Provider Association(s)Host State AlaskaNumber of Participants 27Number of Participants by state

Alaska 27

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 6/9/2008 To 6/9/2008Activity Promoting Awareness of Motivational Incentives (PAMI)GPRA code (if any) E3269Type/Format of Activity ConferenceMode of Delivery Face-to-FaceDescription The training utilized the NIDA/ATTC Blending products to familiarize participants with the science and practice

of using Motivational Incentives for increased patient retention and treatment/recovery.Collaborators State/Regional Organization(s)Host State ArkansasNumber of Participants 75Number of Participants by state

Arkansas 75

Product Promoting Awareness of Motivational IncentivesRegional Center Mid-America ATTCDate 6/9/2008 To 6/9/2008Activity Promoting Awareness of Motivational Incentives (PAMI)


of 82

GPRA code (if any) E3269Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Mid-America provided the PAMI training for MidSOUTH Summer School in Little Rock, AR.Collaborators State/Regional Organization(s)Host State ArkansasNumber of Participants 75Number of Participants by state

Arkansas 75

Product Promoting Awareness of Motivational IncentivesRegional Center Pacific Southwest ATTCDate 6/25/2008 To 6/25/2008Activity Promoting Awareness of Motivational Incentives (PAMI) TrainingGPRA code (if any) 20625082Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription This brief training is designed to build awareness of Motivational Incentives (MI) as a science-based

therapeutic strategy within the addiction treatment field. Collaborators CTN Nodes,Community Treatment Program(s),OtherHost State CaliforniaNumber of Participants 24Number of Participants by state

California 24

Product Promoting Awareness of Motivational IncentivesRegional Center Mountain West ATTCDate 4/17/2008 To 4/17/2008Activity PAMIGPRA code (if any) 110Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official BICollaborators NoneHost State IdahoNumber of Participants 10Number of Participants by state

Idaho 10

Product Promoting Awareness of Motivational IncentivesRegional Center Great Lakes ATTCDate 5/13/2008 To 5/13/2008Activity Promoting Awareness of Motivational IncentivesGPRA code (if any) 051415Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription Face to Face awareness presentation at monthly Social Workers in serviceCollaborators None


of 82

Host State IllinoisNumber of Participants 12Number of Participants by state

Illinois 1

Product Promoting Awareness of Motivational IncentivesRegional Center Great Lakes ATTCDate 6/10/2008 To 6/10/2008Activity PAMIGPRA code (if any) 051416Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription For clinical and supervisory staff at their monthly in-serviceCollaborators OtherHost State IllinoisNumber of Participants 8Number of Participants by state

Illinois 8

Product Promoting Awareness of Motivational IncentivesRegional Center Great Lakes ATTCDate 6/20/2008 To 6/20/2008Activity PAMIGPRA code (if any) 051417Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription In service workshop for SBIRT Peer MentorsCollaborators OtherHost State IllinoisNumber of Participants 11Number of Participants by state

Illinois 11

Product Promoting Awareness of Motivational IncentivesRegional Center Great Lakes ATTCDate 5/13/2008 To 5/13/2008Activity PAMI for Hospital Social WorkersGPRA code (if any) 051415Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription Part of the Social Workers monthly training calendarCollaborators OtherHost State IllinoisNumber of Participants 16Number of Participants by state

Illinois 16


of 82

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 5/23/2008 To 5/23/2008Activity NIDA PAMI ToT Conf CallGPRA code (if any)Type/Format of Activity MeetingMode of Delivery OtherDescription plan for PAMI ToTCollaborators ATTCHost State IowaNumber of Participants 3Number of Participants by state

Illinois 1Iowa 1Pennsylvania 1

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 5/15/2008 To 5/15/2008Activity Promoting Awareness of Motivational IncentivesGPRA code (if any) 0611T-10Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription awareness trainingCollaborators Recovery Organization(s)Host State IowaNumber of Participants 20Number of Participants by state

Iowa 20

Product Promoting Awareness of Motivational IncentivesRegional Center Mid-America ATTCDate 5/23/2008 To 5/23/2008Activity Motivational Incentives in Addiction TreatmentGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription The training utilized the NIDA/ATTC Blending products to familiarize participants with the science and practice

of using Motivational Incentives for increased patient retention and treatment/recovery. Collaborators Community Treatment Program(s)Host State KansasNumber of Participants 16Number of Participants by state

Kansas 16

Product Promoting Awareness of Motivational IncentivesRegional Center Mid-America ATTC


of 82

Date 5/15/2008 To 5/15/2008Activity Promoting Awareness of Motivational Incentives: An Overview of Motivational Incentives GPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription The training utilized the NIDA/ATTC Blending products to familiarize participants with the science and practice

of using Motivational Incentives for increased patient retention and treatment/recovery.Collaborators State/Regional Organization(s)Host State MissouriNumber of Participants 80Number of Participants by state

Missouri 80

Product Promoting Awareness of Motivational IncentivesRegional Center Northeast ATTCDate 5/28/2008 To 5/28/2008Activity Promoting Awareness of Motivational Incentives (PAMI)GPRA code (if any) 08-330TType/Format of Activity


Mode of Delivery Face-to-FaceDescription Research has shown that motivational incentive programs using low-cost reinforcement (prizes, vouchers, clinic

privileges, etc.), delivered in conjunction with onsite urine screening promotes higher rates of treatment retention and abstinence from dr

Collaborators ATTC,OtherHost State New YorkNumber of Participants

20


New York 20

Product Promoting Awareness of Motivational IncentivesRegional Center Northeast ATTCDate 5/29/2008 To 5/29/2008Activity Promoting Awareness of Motivational Incentives (PAMI)GPRA code (if any) 08-331TType/Format of Activity


Mode of Delivery Face-to-FaceDescription Research has shown that motivational incentive programs using low-cost reinforcement (prizes, vouchers, clinic

privileges, etc.), delivered in conjunction with onsite urine screening promotes higher rates of treatment retention and abstinence from dr


2


New York 2

Product Promoting Awareness of Motivational Incentives


of 82

Regional Center Southeast ATTCDate 5/27/2008 To 5/27/2008Activity PAMIGPRA code (if any) 42Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription PAMI trainingCollaborators NoneHost State North CarolinaNumber of Participants 8Number of Participants by state

North Carolina 8

Product Promoting Awareness of Motivational IncentivesRegional Center Southeast ATTCDate 5/29/2008 To 5/29/2008Activity PAMIGPRA code (if any) 43Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription PAMI trainingCollaborators NoneHost State North CarolinaNumber of Participants 27Number of Participants by state

North Carolina 27

Product Promoting Awareness of Motivational IncentivesRegional Center Gulf Coast ATTCDate 6/4/2008 To 6/4/2008ActivityGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription PAMI TOTCollaborators ATTC,Federal Organization(s)Host State OhioNumber of Participants 28Number of Participants by state

Product Promoting Awareness of Motivational IncentivesRegional Center Great Lakes ATTCDate 5/17/2008 To 5/17/2008Activity PAMIGPRA code (if any) 052076Type/Format of Activity ConferenceMode of Delivery Face-to-Face


of 82

Description Within the annual Recovery Community conference, Northern Ohio Recovery Association, "Building Bridges III"

Collaborators Recovery Organization(s)Host State OhioNumber of Participants 13Number of Participants by state

Ohio 13

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 5/15/2008 To 5/15/2008Activity PAMIGPRA code (if any) 1545Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription PAMI for CODA, Portland, ORCollaborators Community Treatment Program(s)Host State OregonNumber of Participants 9Number of Participants by state

Oregon 9

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 4/2/2008 To 4/2/2008Activity PAMIGPRA code (if any) 1533Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription 3-hour PAMI presentationCollaborators Community Treatment Program(s)Host State OregonNumber of Participants 11Number of Participants by state

Oregon 11

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 5/15/2008 To 5/15/2008Activity PAMIGPRA code (if any) 1545Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official NIDA Blending product training.Collaborators Community Treatment Program(s)Host State OregonNumber of Participants 9Number of Participants by Oregon 9


of 82

state

Product Promoting Awareness of Motivational IncentivesRegional Center Northwest Frontier ATTCDate 4/2/2008 To 4/2/2008Activity PAMIGPRA code (if any) 1533Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Official NIDA Blending product trainingCollaborators Community Treatment Program(s)Host State OregonNumber of Participants 11Number of Participants by state

Oregon 11

Product Promoting Awareness of Motivational IncentivesRegional Center Northeast ATTCDate 6/11/2008 To 6/11/2008Activity Promoting Awareness of Motivational Incentives (PAMI)GPRA code (if any) 08-339TType/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription TOT for administrative staff that are going to begin TA with the Northeast ATTC and implementation of

PAMI in August 2008Collaborators ATTC,Community Treatment Program(s)Host State PennsylvaniaNumber of Participants 2Number of Participants by state

Pennsylvania 2

Product Promoting Awareness of Motivational IncentivesRegional Center Mid-Atlantic ATTCDate 5/29/2008 To 5/29/2008Activity PAMIGPRA code (if any) 129003Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription A 4.5 hour TOT was held for five participants of the TN Advanced SchoolCollaborators SSAHost State TennesseeNumber of Participants 5Number of Participants by state

Tennessee 5

Product Promoting Awareness of Motivational IncentivesRegional Center Mid-Atlantic ATTC


of 82

Date 4/24/2008 To 4/24/2008Activity PAMIGPRA code (if any) 127005Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription PAMI was held at the West Virginia NASW conference which draws over 1000 SW in West Virginia.

ATTC sponsored the eventCollaboratorsHost State West VirginiaNumber of Participants 41Number of Participants by state

West Virginia 41

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 5/6/2008 To 5/6/2008Activity Promoting Awareness of Motivational IncentivesGPRA code (if any) 0661T-09Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription WAAODA Spring Conference break-out sessionCollaborators Provider Association(s)Host State WisconsinNumber of Participants 30Number of Participants by state

Wisconsin 30

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 5/6/2008 To 5/6/2008Activity Promoting Awarness of Motivational IncentivesGPRA code (if any) 0661T-10Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription PAMI was delivered twice at this conferenceCollaborators Provider Association(s)Host State WisconsinNumber of Participants 30Number of Participants by state

Wisconsin 30


Regional Center Pacific Southwest ATTCDate 4/25/2008 To 4/25/2008Activity CAADE Pre-Conference Workshop: Pharmacotherapy - Integrating New Tools into Practice (Bup Detox)GPRA code (if any) 20425081Type/Format of Activity Educational Event (Training or Academic Course)


of 82

Mode of Delivery Face-to-FaceDescription A daylong workshop on medication-assisted treatment, of which the Buprenorphine Tx and Buprenorphine

Detox BT packages were incorporated into the content.Collaborators Provider Association(s)Host State CaliforniaNumber of Participants 199Number of Participants by state

California 199


Regional Center Northeast ATTCDate 6/13/2008 To 6/13/2008Activity Short-Term Opioid Withdrawal Using BuprenorphineGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Short-Term Opioid Withdrawal Using BuprenorphineCollaborators OtherHost State PennsylvaniaNumber of Participants 29Number of Participants by state

Pennsylvania 29


Regional Center Southern Coast ATTCDate 4/22/2008 To 4/22/2008Activity MATRS Treatment PlanningGPRA code (if any) 150213Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription MATRS Treatment Planning TrainingCollaborators State/Regional Organization(s),OtherHost State AlabamaNumber of Participants 35Number of Participants by state

Alabama 35


Regional Center Northwest Frontier ATTCDate 5/6/2008 To 5/6/2008Activity Treatment Planning MATRSGPRA code (if any) 1542Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription An official NIDA Blending product trainingCollaborators Provider Association(s)


of 82

Host State AlaskaNumber of Participants 15Number of Participants by state

Alaska 15


Regional Center Northwest Frontier ATTCDate 5/6/2008 To 5/6/2008Activity Treatment Planning MATRSGPRA code (if any) 1542Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Presentation at AK Annual School on AddictionsCollaborators Provider Association(s)Host State AlaskaNumber of Participants 15Number of Participants by state

Alaska 15


Regional Center Central East ATTCDate 4/15/2008 To 4/16/2008Activity Treatment Planning MATRSGPRA code (if any) 202Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription The course is designed to show participants the clinical and program evaluative relevance and usage

of ASI data.Collaborators SSAHost State DelawareNumber of Participants 25Number of Participants by state

Delaware 25


Regional Center Northwest Frontier ATTCDate 6/30/2008 To 7/1/2008Activity Treatment Planning MATRSGPRA code (if any) 1556Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription Official NIDA Blending product training.Collaborators SSAHost State HawaiiNumber of Participants 20Number of Participants by Hawaii 20


of 82

state


Regional Center Mountain West ATTCDate 6/17/2008 To 6/17/2008Activity Treatment Planning MATRSGPRA code (if any) 108Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription Participants will learn various skills in transforming required paperwork into clinically useful information to

assist in program evaluation activities.Collaborators NoneHost State IdahoNumber of Participants 18Number of Participants by state

Idaho 18


Regional Center Gulf Coast ATTCDate 4/4/2008 To 4/4/2008Activity MATRS Treatment PlanningGPRA code (if any)Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription MATRS Treatment Planning professional Development Workshop for treatment staff and students.Collaborators OtherHost State LouisianaNumber of Participants 25Number of Participants by state

Louisiana 25


Regional Center Northeast ATTCDate 6/6/2008 To 6/6/2008Activity Treatment Planning M.A.T.R.S.: Utilizing the Addiction Severity Index (ASI) to Make Required Data Collection

UsefulGPRA code (if any) 08-332TType/Format of Activity


Mode of Delivery Face-to-FaceDescription The Addiction Severity Index (ASI) is one of the most universally used instruments for the assessment of

substance abuse and related problems. This Blending Team has completed products that include a 6-hour continuing education curriculum package add


10


of 82


New York 10


Regional Center ATTC of New EnglandDate 5/21/2008 To 5/21/2008Activity Treatment Planning M.A.T.R.S.GPRA code (if any) VT2382Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription Individualized treatment planning using information gathered from the Addiction Severity Index (ASI).Collaborators ATTC,SSAHost State VermontNumber of Participants 35Number of Participants by state

New Hampshire 1Vermont 34


Regional Center Northwest Frontier ATTCDate 5/14/2008 To 5/14/2008Activity Treatment Planning MATRSGPRA code (if any) 1544Type/Format of Activity Educational Event (Training or Academic Course)Mode of Delivery Face-to-FaceDescription treatment Planning MATRS trainingCollaborators NoneHost State WashingtonNumber of Participants 7Number of Participants by state

Washington 7


Regional Center Northwest Frontier ATTCDate 5/14/2008 To 5/14/2008Activity Treatment Planning MATRSGPRA code (if any) 1544Type/Format of Activity Formal PresentationMode of Delivery Face-to-FaceDescription Official NIDA Blending product presentationCollaborators NoneHost State WashingtonNumber of Participants 6Number of Participants by state

Washington 6


of 82

Total activities: 60


of 82

Appendix C – Post-training Activities

Product Promoting Awareness of Motivational IncentivesRegional Center Prairielands ATTCDate 4/14/2008 To 4/14/2008Activity NIDA Training of Training Conf CallGPRA code (if any)Type/Format of Activity Technical AssistanceMode of Delivery OtherDescription TOT planning conference callCollaborators ATTCHost State IowaNumber of Participants 3Number of Participants by state

Illinois 1Iowa 1Pennsylvania 1

Total activities: 1


of 82

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