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MU-ADEPT Level 3: Advanced Training Resources Topic Format Weblink On-line course The ATTC's Medication-Assisted Treatment with Special Populations online training, http://www.attcelearn.org/ developed for both non-physician treatment providers and physicians, is designed to enhance professionals' knowledge and skills related to reaching and educating the special populations about MAT and increasing the use of MAT among minority populations. Essays A compilation of essays by individuals supported by Medication-Assisted Treatment in long- http://www.integration.samhsa.gov/clinicalterm recovery developed in partnership with Faces & Voices of Recovery and the National practice/2011essaybook_FL.pdf Alliance for Medication Assisted Recovery. The Psychotherapeutic Medications Booklet and Database are designed as a "desk-top http://www.findrxinformation.org/ reference" of medications commonly used to treat individuals with alcohol, drug, and mental health conditions. This searchable database offers is intended to provide a basic understanding of medication dose, frequency, side effects, emergency conditions, abuse potential, cautions, and considerations for pregnant women. Medication-Assisted Treatment Database/manual Managing Opioid Abuse, Dependence, and Addiction in a Primary Care Setting, a presentation by Jean J. Bonhomme MD, MPH, assistant professor, Morehouse School of Medicine’s Department of Psychiatry, provides an introduction to opioid abuse for primary care professionals Prescribers’ Clinical Support System for Opioid Therapies (PCSS-O) is a collaborative project that includes: American Academy of Addiction Psychiatry, American Dental Association, American Medical Association, American Osteopathic Academy of Addiction Medicine, American Psychiatric Association, American Society for Pain Management Nursing, and International Nurses Society on Addictions. Site includes online modules (PowerPoints) and archived webinars. http://www.integration.samhsa.gov/clinicalpractice/Managing_Opiod_abuse,_dependence.pdf Presentation A Review of Considerations in the Assessment and Treatment of Pain and Risk for Opioid Misuse by By Elinore F. McCance-Katz, MD, PhD, Medical Director, PCSS-O http://www.pcsso.org/sites/default/files/Considerations%20in%20Assessment%20 and%20Treatment%20of%20Pain%20and%20Opioid%20Use%20Ri sk%20%5BCompatibility%20Mode%5D.pdf Manual GroupHealth Chronic Opioid Therapy (COT) Safety Guideline For Patients With Chronic Non- http://www.ghc.org/all-sites/guidelines/chronicOpioid.pdf Cancer Pain Manual SAMHSA’s Advisory: An Introduction to Extended-Release Injectable Naltrexone for the Treatment of People with Opioid Dependence overviews extended-release injectable naltrexone (Vivitrol), a treatment for people with opioid dependence, and discusses how it differs from other medication-assisted treatments, safety concerns, and consumers most likely to benefit from this treatment. Medication-Assisted Treatment for Opioid Addiction: Friends and Families is a useful resource developed by SAMHSA for friends and families of individuals struggling with addiction. SAMHSA’s Treatment Improvement Protocol (TIP) 40: Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction provides information that physicians can use to make practical and informed decisions about the use of buprenorphine to treat opioid addiction. KAP Keys Based on TIP 40 Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction - includes: Dosage Forms of Buprenorphine Available in the United States (as of July 2004), Drug Interactions, Components of a Complete Substance Abuse Assessment, Recommended Baseline Laboratory Evaluation of Patients Who Are Addicted to Opioids, Signs of Opioid Intoxication and Withdrawal, Staging and Grading Opioid Withdrawal, Assessing Appropriateness for Buprenorphine Treatment, Treatment Protocols (Induction, Day 2 Forward, Stabilization), Patient Management Presentation Website Management of chronic nonterminal pain with opioids Resources Management of opioid addiction Fact Sheet Manual Pocket Cards http://www.pcss-o.org/ http://www.integration.samhsa.gov/Intro_To_Injectable_Naltrexo ne.pdf http://store.samhsa.gov/product/Medication-Assisted-Treatmentfor-Opioid-Addiction-Facts-for-Families-and-Friends/SMA09-4443 http://www.ncbi.nlm.nih.gov/books/NBK64245/ http://kap.samhsa.gov/products/tools/keys/pdfs/KK_40.pdf Manual SAMHSA’s TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment http://www.ncbi.nlm.nih.gov/books/NBK64164/ Programs discusses MAT use in addiction treatment programs for opioid dependence Booklet Quick Guide Based on TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid http://kap.samhsa.gov/products/tools/cl-guides/pdfs/QGC_43.pdf Treatment Programs KAP Keys Based on TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid http://kap.samhsa.gov/products/tools/keys/pdfs/KK_43.pdf Treatment Programs - includes: Information Obtained About and Provided to Patients During Screening and Admission, Pharmacotherapeutic Medications for Opioid Addiction Treatment, Possible Side Effects of Opioid Agonist and Partial Agonist Therapy, Reported Drug Interactions With Methadone, Strategies To Prevent or Minimize Harmful Drug Interactions in MAT, Medications/Substances That Alter Opioid Medication Levels in the Body, Criteria for TakeHome Medications and Maximum Take-Home Dose, Patient Counseling in MAT, Common Topics for Patient Educational Sessions in MAT, Characteristics of a Treatment Plan and a Multidisciplinary Team, Associated Medical Problems, Hepatitis C Evaluation Flowchart, Cutoff Concentrations and Detection Times for Substances of Abuse, Urine Drug Testing Guidelines, Common Immunoassays Used in Drug Testing, Frequently Used Substance Combinations and Common Reasons for Use, Common Medical and Obstetrical Compli cations Among Pregnant Women, Laboratory Tests for Pregnant Women Who Are Opioid Addicted Pocket Cards Presentation Review of Opioids and Treatment of Opioid Dependence. By Elinore F. McCance-Katz, MD, PhD, Medical Director, PCSS-O http://www.pcsso.org/sites/default/files/Review%20of%20Opioids%20and%20Tre atment%20of%20Opioid%20Dependence.pdf Patient Education The Facts about Naltrexone for Treatment of Opioid Dependence patient education brochure http://www.kap.samhsa.gov/products/brochures/pdfs/naltrexone _facts.pdf Brochure Training/Presentati NIDA/ATTC Blending Initiative - Buprenorphine Treatment: Training for Multidisciplinary http://www.attcnetwork.org/explore/priorityareas/science/blendi Addiction Professionals on nginitiative/buptx/product_materials.asp Training/Presentati http://www.attcnetwork.org/explore/priorityareas/science/blendi NIDA/ATTC Blending Initiative -Prescription Opioid Addiction Treatment Study (POATS) nginitiative/poats/ on Manual TIP 54: Managing Chronic Pain in Adults With or in Recovery from Substance Use Disorders equips clinicians with practical guidance and tools for treating chronic pain in adults with substance use disorders. This TIP includes information and resources on patient assessment, talking with patients about medication supply, addiction behaviors, opiod misuse measures, and pain treatment agreements. Manual TIP 45 Detoxification and Substance Abuse Treatment educates clinicians about detoxification http://store.samhsa.gov/product/TIP-45-Detoxification-andand withdrawal. Substance-Abuse-Treatment/SMA08-4131 Booklet Quick Guide Based on TIP 45 Detoxification and Substance Abuse Treatment Pocket Cards KAP KEYS Based on TIP 45 Detoxification and Substance Abuse Treatment - includes: http://kap.samhsa.gov/products/tools/keys/pdfs/KK_45.pdf Intoxication and Withdrawal (Fact Facts, Symptoms, Management) From Cocaine, Methamphetamine, and Other Stimulants, Alcohol, Herion and Other Opioids, Cannabis, Other Drugs; Initial Evaluation Domains, Recommended Areas for Assessment to Determine Appropriate Rehabilitation Plans, Commonly Abused Inhalants (Fact Facts, Symptoms, Management) Manual, Booklet, Pocket Cards See TIP 45 Detoxification and Substance Abuse Treatment Products Article/Practice Guideline Mayo-Smith et al. for the Working Group on the Management of Alcohol Withdrawal Delirium, http://archinte.jamanetwork.com/article.aspx?articleid=217165 Practice Guidelines Committee, American Society of Addiction Medicine. Management of Alcohol Withdrawal Delirium: An Evidence-Based Practice Guideline, Arch Intern Med. 2004;164:1405-1412 Saitz, R. Introduction to Alcohol Withdrawal. Alc Hlth Res World. 1998;22:5-12. (includes http://pubs.niaaa.nih.gov/publications/arh22-1/05-12.pdf CIWA assessment tool and dosing guidelines) Treating pain in a patient on chronic opioid replacement therapy (methadone or buprenorphine) Withdrawal and detoxification Pharmacotherapy of alcohol withdrawal Article Pharmacotherapy of opioid withdrawal See TIP 45 Detoxification and Substance Abuse Treatment Products Manual, Booklet, Pocket Cards Manual, Booklet, Pocket Cards Training/Presentati on See TIP 40 Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction Products See TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs Products Manual SAMHSA’s TIP 49: Incorporating Alcohol Pharmacotherapies into Medical Practice provides guidance on implementing alcohol medications into routine medical practice. http://kap.samhsa.gov/products/manuals/tips/pdf/TIP49.pdf Booklet Quick Guide For Physicians Based on TIP 49 Incorporating Alcohol Pharmacotherapies Into Medical Practice KAP Keys Based on TIP 49 Incorporating Alcohol Pharmacotherapies Into Medical Practice includes: medication facts, dosing, side effects, adverse reactions and their management; Patient Management NIAAA's Medical Management Treatment Manual: A Clinical Guide for Researchers and Clinicians Providing Pharmacotherapy for Alcohol Dependence (Generic Version; 2010 edition) by Helen M. Pettinati, PhD and Margaret E. Mattson, PhD http://kap.samhsa.gov/products/tools/cl-guides/pdfs/QGP_49.pdf Booklet SAMHSA's Pharmacologic Guidelines for Treating Individuals with Post-Traumatic Stress Disorder and Co-Occurring Opioid Use Disorders offers guidelines for medication-assisted treatment for individuals with post-traumatic stress disorder (PTSD) and co-occurring opioid use disorders. Covers screening, concomitant treatment, pharmacotherapy, and multiple substances of abuse. http://store.samhsa.gov/product/Pharmacologic-Guidelines-forTreating-Individuals-with-Post-Traumatic-Stress-Disorder-and-CoOccurring-Opioid-Use-Disorders/SMA124688?WT.ac=EB_20120614_SMA12-4688 Article http://www.ncbi.nlm.nih.gov/pmc/articles/PMC181171/pdf/i1523Arikian, SR, Gorman, JM. A Review of the Diagnosis, Pharmacologic Treatment, and Economic 5998-003-03-0110.pdf Aspects of Anxiety Disorders. Prim Care Companion J Clin Psychiatry. 2001; 3(3): 110–117. Webinar SBIRT and Tobacco Training Module is a webinar developed by HealthTeamWorks for the http://healthteamworks.biz/sbirt-training/player.html Colorado SBIRT project that provides practical information for providers seeking to implement SBIRT and tobacco screening into routine practice. In addition to overviews of tobacco screenings and SBIRT, the 1-hour webinar includes information on financing, brief interventions, and referrals to treatment. 52 minutes. Pocket Cards Manual Management of tobacco addiction, including pharmacotherapies http://kap.samhsa.gov/products/tools/cl-guides/pdfs/QGP_45.pdf Manual, Booklet, Pocket Cards Pharmacotherapy of alcohol dependence Management of anxiety disorders in patients with addictions http://store.samhsa.gov/product/TIP-54-Managing-Chronic-Painin-Adults-With-or-in-Recovery-From-Substance-UseDisorders/SMA12-4671?WT.ac=EB_20120216_SMA12-4671 NIDA/ATTC Blending Initiative - Short-Term Opioid Withdrawal Using Buprenorphine: Findings and Strategies from a NIDA Clinical Trials Network (CTN) Study http://www.attcnetwork.org/explore/priorityareas/science/blendi nginitiative/bupdetox/ http://kap.samhsa.gov/products/tools/keys/pdfs/KK_49.pdf http://pubs.niaaa.nih.gov/publications/MedicalManual/MMManu al.pdf Booklet, Quick Reference Guide, Presentations Basic and Advanced skills for effective motivational interviewing Mid-Atlantic ATTC’s Motivational Interviewing Website http://www.motivationalinterview.org/ On-line course Mid-Atlantic ATTC’s On-line course: "Foundations of Motivational Interviewing - Part I" 10 contact hours Mid-Atlantic ATTC’s On-line course: "Foundations of Motivational Interviewing - Part II” 10 contact hours: TIP 35 manual: Enhancing Motivation for Change in Substance Abuse Treatment http://attcnetwork.org/regcenters/distanceeducation.asp?rcid=6 &content=DISTANCEED http://attcnetwork.org/regcenters/distanceeducation.asp?rcid=6 &content=DISTANCEED http://store.samhsa.gov/product/TIP-35-Enhancing-Motivationfor-Change-in-Substance-Abuse-Treatment/SMA08-4212 Booklet Quick Guide Based on TIP 35 Enhancing Motivation for Change in Substance Abuse Treatment http://kap.samhsa.gov/products/tools/cl-guides/pdfs/QGC_35.pdf Pocket Cards KAP KEYS Based on TIP 35 Enhancing Motivation for Change in Substance Abuse Treatment - http://kap.samhsa.gov/products/tools/keys/pdfs/KK_35.pdf includes: the FRAMES approach, Appropriate Motivational Strategies for Each Stage of Change, Ten Effective Catalysts for Change, Four Types of Client Resistance, Change Plan Worksheet, Deciding To Change, Manual TIP 24 A Guide to Substance Abuse Services for Primary Care Clinicians - Recommends http://store.samhsa.gov/product/TIP-24-Guide-to-Substanceguidelines for primary care clinicians to follow in caring for patients with alcohol abuse and Abuse-Services-for-Primary-Care-Clinicians/SMA08-4075 drug abuse problems. Discusses screening, assessment, brief intervention, medication-assisted treatment, and legal issues of patient confidentiality. Pocket Cards KAP KEYS Based on TIP 24 A Guide to Substance Abuse Services for Primary Care Clinicians - http://kap.samhsa.gov/products/tools/keys/pdfs/KK_24.pdf includes: Interview Approaches Based on the Patient's Readiness for Behavioral Change, Michigan Alcoholism Screening Test, DSM-IV Diagnostic Criteria for Substance Abuse, TWEA K Test (alcohol screener for pregnant women) Manual SAMHSA’s TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders provides substance abuse providers with updated information on co-occurring substance use and mental disorders and advances in treatment for these individuals. TIP 42 discusses terminology, assessment, and treatment strategies and models. http://store.samhsa.gov/product/TIP-42-Substance-AbuseTreatment-for-Persons-With-Co-Occurring-Disorders/SMA08-3992 Pocket Cards KAP KEYS Based on TIP 42 Substance Abuse Treatment for Persons With Co-Occurring Disorders - includes: Assessment for Co-Occurring Disorders, Motivational Enhancement Approaches, Engagement Interventions, Key Questions in a Suicide Risk Review, Residential Interventions, Borderline Personality Disorder–Step Work Handout, Antisocial Thinking-Error Work SAMHSA's General Principles for the Use of Pharmacological Agents To Treat Individuals With Co-Occurring Mental and Substance Use Disorders provides general principles to assist in the planning, delivery, and evaluation of pharmacologic approaches to support the recovery of individuals with co-occurring mental and substance use disorders. http://kap.samhsa.gov/products/tools/keys/pdfs/KK_42.pdf Manual Integrated treatment for cooccurring substance abuse and mental illness http://www.ahrq.gov/path/tobacco.htm Website On-line course Working with counselors: A team approach to addressing substance use disorders Treating Tobacco Use and Dependence: 2008 Update, sponsored by the Public Health Service, includes new, effective clinical treatments for tobacco dependence that have become available since the 2000 Guideline was published. This update will make an important contribution to the quality of care in the United States and to the health of the American people. Booklet http://store.samhsa.gov/product/General-Principles-for-the-Useof-Pharmacological-Agents-to-Treat-Individuals-with-Co-OccurringMental-and-Substance-Use-Disorders/SMA124689?WT.ac=EB_20120607_SMA12-4689 Webinar NIAAA's Adolescent Development and Alcohol Use by Vivian B. Faden, Ph.D., Acting Director, http://www.niaaa.nih.gov/publications/presentations-andOffice of Science Policy and Communications, and Patricia A. Powell, Ph.D., Chief, Science videocasts Policy Branch. National Institute on Alcohol Abuse and Alcoholism, NIH. December 9, 2008 Manual NIAAA's Alcohol Screening and Brief Intervention for Youth: A PRACTITIONER’S GUIDE introduces a simple, quick, empirically derived tool for identifying youth at risk for alcohol-related problems. If your organization manages the health and well-being of children and adolescents ages 9–18 years, this Guide is for you. It has been produced in collaboration with the American Academy of Pediatrics, clinical researchers, and health practitioners. Substance misuse and chronic disease (e.g., HTN) Substance misuse in adolescents Training/Presentati NIDA/ATTC Blending Initiative - Buprenorphine Treatment for Young Adults on http://pubs.niaaa.nih.gov/publications/Practitioner/YouthGuide/Y outhGuide.pdf http://www.attcnetwork.org/explore/priorityareas/science/blendi nginitiative/bupyoungadults/ Fetal alcohol syndrome prevention, recognition, management Management of Hepatitis and Substance Use Disorders Website SAMHSA's Fetal Alcohol Spectrum Disorder Center for Excellence - The FASD Center is a http://fasdcenter.samhsa.gov/ Federal initiative devoted to preventing and treating FASD. This Website provides information and resources about FASD. We also provide materials you can use to raise awareness about FASD. Additionally, The Center is dedicated to providing training, technical assistance, and conference/event speakers. Online course SAMHSA's FASD Center for Excellence Curriculum for Addiction Professionals (CAP): Level 1, http://fasdcenter.samhsa.gov/educationTraining/courses/CapCurr 6-module free, self-paced course. "This curriculum was developed as a joint project of the iculum/index.cfm Substance Abuse and Mental Health Services Administration (SAMHSA) Fetal Alcohol Spectrum Disorders (FASD) Center for Excellence and the National Organization on Fetal Alcohol Syndrome (NOFAS). This knowledge-based course provides an overview of historical findings related to alcohol use by pregnant women, identification and diagnosis of fetal alcohol spectrum disorders, prevention and treatment methods, and legal issues. The course includes six competencies that can be taken at your own pace. After completing all six competencies, you may download and print a certificate of completion." Website CDC's National Organization on Fetal Alcohol Syndrome (NOFAS) website http://www.nofas.org/default.aspx Booklet CDC Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosis. This report provides diagnostic guidelines for FAS and information about referrals, services for people with FASDs and their families, and strategies for screening and advising women about risky drinking http://www.cdc.gov/ncbddd/fasd/documents/fas_guidelines_acc essible.pdf Presentation SAMHSA's FASD Center for Excellence FASD: The Basics is an educational presentation created http://fasdcenter.samhsa.gov/educationTraining/fasdBasics.cfm to provide the latest and most accurate information on Fetal Alcohol Spectrum Disorders (FASD). It covers the history of FASD discovery, examines cause and effects of FASD, and discusses the methods and resources for diagnosis, treatment and –most importantly– the prevention of FASD. Manual SAMHSA's TIP 53 Addressing Viral Hepatitis in People with Substance Use Disorders Assists behavioral health professionals who treat people with substance abuse problems in understanding the implications of a diagnosis of hepatitis. Discusses screening, diagnosis, and referrals and explains how to evaluate a program's hepatitis practices. http://store.samhsa.gov/product/TIP-53-Addressing-ViralHepatitis-in-People-With-Substance-Use-Disorders/SMA11-4656