Products and Resources Catalog

Preventing Underage Alcohol Use Part 2: Strategies and Recommendations for the Field of Prevention Emily Patton, MSc, PgDip, and Olivia Stuart, LMSW April 11, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar will provide information on available evidence-based and culturally responsive prevention strategies for addressing underage alcohol use. It will cover both environmental and behavioral interventions, as well as opportunities to implement or expand policies that can address the social determinants of health. The webinar will review general strategies for underage alcohol use as well as those specifically focused on early adolescents and/or college-age youth. Lastly, it will describe how to ensure cultural responsiveness is incorporated into youth alcohol prevention efforts and programming. LEARNING OBJECTIVES Recognize the importance of providing evidence-based culturally responsive alcohol misuse prevention strategies. Describe evidence-based environmental strategies for preventing underage alcohol use. Describe evidence-based behavioral strategies for preventing underage alcohol use among early adolescents and college-age youth. Explain how to ensure cultural responsiveness in youth alcohol prevention programs. PRESENTERS Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management.   Olivia Stuart, MSW supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University.  

Preventing Underage Alcohol Use Part 1: Identifying and Understanding the Data Emily Patton, MSc, PgDip, and Olivia Stuart, LMSW April 9, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar will provide a broad overview of the current state of underage drinking and related prevention efforts. It will begin by reviewing the most common data sources for underage alcohol consumption and discuss opportunities to improve and expand data collection efforts. The webinar will then summarize the most recent data on alcohol use prevalence and patterns, as well as the consequences of use, at the national level and for the Central East region (HHS region 3). It will also describe the research on risk and protective factors for alcohol use among young people. Lastly, it will provide information on how the social determinants of health play a role in underage alcohol use rates. LEARNING OBJECTIVES Describe underage alcohol data sources and opportunities to expand data collection. Explain the scope of underage alcohol use and consequences in the Central East region and nationally. Identify risk and protective factors relevant to underage alcohol use. Recognize the effect of the social determinants of health on underage alcohol use. PRESENTERS Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management.   Olivia Stuart, MSW supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University.  

Understanding Addiction: Moving Throughout the Spectrum of Mental, Emotional, and Behavioral Interventions Robert Rogers, LADC, CCS, PS-A, LSW April 3, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION In this session, we will review the Spectrum of Mental, Emotional, and Behavioral Interventions with an emphasis on the transition from prevention to treatment. We will examine the signs and symptoms of substance use disorders through a review of the diagnostic criteria. We’ll look at how the brain is impacted by substance use and impairment at different developmental stages. Finally, we will discuss evidence-based Risk and Protective factors related to substance use and shared Risk and Protective factors. LEARNING OBJECTIVES Identify when my work as a prevention provider ends and referral to treatment begins. Recognize the diagnostic criteria, signs, and symptoms for substance use disorders. Identify a minimum of 3 Risk Factors for developing a substance use disorder and 3 Protective Factors for reducing the risk of developing a substance use disorder. Describe how the brain is impacted by substance use and impairment. PRESENTERS Robert Rogers, LADC, CCS, LSW, PS-A, has worked with youth and families throughout Somerset and Kennebec Counties since 1994.  Robert works for Kennebec Behavioral Health as Director of Substance Use Prevention and Grant Services. He worked with Somerset Public Health as the Drug-Free Communities Program Coordinator, completing ten years of coalition work.  Robert is a certified Prime for Life instructor and the State of Maine certified Responsible Beverage Seller trainer for the Bureau of Alcoholic Beverages & Lottery Operations. Robert also coordinates Respect ME, a Certified Domestic Violence Intervention Program for female survivors of domestic violence who used resistive violence with their intimate partners.  Robert was appointed to the state Substance Abuse Service Commission, served by appointment on the state's Maine Opiate Collaborative Prevention and Harm Reduction team, served as Chair for the Maine Prevention Specialists Certification Board, and serves as a Maine representative on the New England Prevention Technology Transfer Center’s Advisory Board.  Additionally, Robert is on the Board of Directors for AdCare of Maine and Sunset Home, a non-profit assisted living facility for older women in Waterville, Maine. Robert is an Adjunct Professor of Substance Use Prevention at the University of Maine at Farmington.  Most recently, Governor Mills appointed Robert to the State of Maine Board of Alcohol & Drug Counselors and serves as the board's Chair. In 2021, Robert was awarded the Neill E. Miner Memorial Prevention Award, and in 2014 was awarded Prevention Provider of the Year by the Maine Alliance to Prevent Substance Abuse.  

Identifying and Mitigating Vicarious Trauma and Staff Burnout Laura Hinds, MSW, LCSW March 28, 2024, 1:00pm-3:00pm EST COURSE DESCRIPTION Compassion Fatigue and Burnout not only increase the risk of Vicarious Experiencing challenges for our staff, they endanger those they serve. This event will support supervisors and managers in identifying and addressing the signs and symptoms of Compassion Fatigue and Burnout in an effort to safeguard their staff’s practice and clients’ well-being. This session will include information as well as practical suggestions for intervention. LEARNING OBJECTIVES Recite at least 4 ways in which Compassion Fatigue and Vicarious Trauma present in their staff working people living with Substance Use Disorder. Identify the importance of supervision in mitigating and supporting staff who may be experiencing Vicarious Trauma, Compassion Fatigue, or Burnout. Name at least 5 strategies for engaging staff in planning and utilizing Self-Management skills. PRESENTERS Laura Hinds, MSW, LCSW, is a clinical social worker with experience in medical, behavioral and mental health settings. Laura has had the pleasure of working with high acuity special needs populations and their providers for over 22 years. An alumna and instructor at Penn’s School of Social Policy and Practice for 13 years, and Bryn Mawr’s School of Social Work and Social Research’s for the past 4 years, Laura has supported the learning and education of new social workers, veterans in the field, and their interdisciplinary partners. With a focus on trauma, human and gender development, racial equity, and crisis intervention Laura supports special needs populations and those who serve them.  

Identifying and Addressing Substance Use Trends in the United States and the Central East Region Part 3: How to Determine Priorities and Develop a Public Health Response to Emerging Trends Emily Patton, MSc, PgDip, and Olivia Stuart, LMSW March 26, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar, part three in a series, will discuss the importance of using needs assessments to identify and prioritize emerging trends. It will describe the key steps to implementing a needs assessment and review opportunities to overcome challenges. The webinar will also examine various prioritization techniques to determine the relevance and importance of emerging trends. Additionally, the webinar will provide a step-by-step walkthrough of how to address emerging trends through the Strategic Prevention Framework (SPF). Lastly, the webinar will also explain how substance use prevention should be and is a critical part of a public health approach. As part of this discussion, it will describe public health approach best practices that can help address emerging substance use trends. LEARNING OBJECTIVES Describe how to conduct a needs assessment and overcome assessment challenges Summarize techniques for prioritizing emerging trends Explain the steps to addressing identified emerging trends through the SPF Recognize how to use a public health approach to address emerging trends PRESENTERS Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management.   Olivia Stuart, MSW supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University.  

Identifying and Addressing Substance Use Trends in the United States and the Central East Region Part 2: The Latest Emerging Substances of Concern Josh Esrick, MPP, and Emily Patton, MSc, PgDip March 21, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar, part two in a series, will examine data on four primary emerging substance use trends in the Central East region and around the United States: Xylazine, Nitazenes, Tianeptine, and Hallucinogens. This presentation provides information on what these substances are, their health impacts, and available data on use and consequences. It will also discuss opportunities and strategies for prevention professionals to learn more about the scope of these and other emerging trends in their communities. The webinar will identify potential data sources and techniques for collecting primary data. Additionally, the webinar will summarize harm reduction strategies that may be helpful in addressing these emerging substances of concern. Lastly, the presentation will identify opportunities to improve the public health response to substance use trends. LEARNING OBJECTIVES Describe the available data on Xylazine, Nitazenes, Tianeptine, and Hallucinogens as well as their consequences Recognize data sources and primary data collection methods Identify harm reduction strategies related to substance use Explain strategies for developing a culturally responsive and relevant public health approach to substance use PRESENTERS Josh Esrick, MPP is the Chief of Training and Technical Assistance at Carnevale Associates, LLC. Mr. Esrick has over ten years of experience researching, writing, evaluating, and presenting on substance use prevention and other behavioral health topics. He is an expert in providing training and technical assistance (T/TA) in substance use, having overseen the development of hundreds of T/TA products for numerous clients, including six of SAMHSA’s ten regional Prevention Technology Transfer Centers (PTTCs), the PTTC Network Coordinating Office, the Central East Addiction Technology Transfer Center (ATTC) and Mental Health Technology Transfer Centers (MHTTC), and SAMHSA’s Center for the Application of Prevention Technologies (CAPT). These trainings and products have covered a wide range of topics, including strategic planning, data collection and analysis, and identifying evidence-based prevention interventions for youth. In addition to T/TA, Mr. Esrick has directly provided many of these services to behavioral health agencies and other entities. He has published several academic journal articles. He holds a Bachelor of Arts in Political Science from the State University of New York at Buffalo and a Master of Public Policy from George Washington University.   Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management.    

Identifying and Addressing Substance Use Trends in the United States and the Central East Region Part 1: Updates on Key Substance Use Trends Emily Patton, MSc, PgDip, and Olivia Stuart, LMSW March 19, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar, part one in a series, will provide a broad overview of the most recent data on emerging substance use trends in the Central East region and around the United States. Among other topics, it will cover the current status of the opioid epidemic, changes in cocaine and methamphetamine use and consequences, and underage alcohol and vaping product trends. As part of this discussion, the webinar will summarize research findings on the causes behind the trends. The webinar will also discuss why it is important for prevention professionals to be aware of emerging trends and incorporating them into their strategic planning efforts. LEARNING OBJECTIVES Explain the importance of incorporating emerging trend needs into strategic planning efforts Describe the scope and impacts of key substance use trends in the region and the United States Recognize the influence of the social determinants of health Identify the risk and protective factors on emerging trends PRESENTERS Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management. Olivia Stuart, MSW  supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University.  

Lunch and Learn Series: Mastering Qualitative Research Skills Session 5: Data Storytelling Josh Esrick, MPP March 15, 2024, 12:00pm-1:00pm EST The Central East & Southeast PTTCs are pleased to present this week-long Lunch & Learn Series in collaboration with the Southeast Regional SPTAC Team. OVERALL SERIES DESCRIPTION Embark on a transformative journey to master the art of qualitative research in our Lunch and Learn Series. Whether you're a seasoned professional or just starting your research journey, these five one-hour sessions are designed to enhance your skills in facilitating focus groups, conducting one-on-one interviews, formulating insightful questions, navigating environmental scans and asset mapping, and finally, mastering the art of data storytelling. Join us as we explore the depths of qualitative research, equipping you with the tools and techniques to unlock valuable insights and tell compelling stories with your data. Session Description: Uncover the secrets of successful focus group facilitation in this session. From creating a welcoming atmosphere to managing group dynamics, learn the essentials of guiding discussions that yield valuable qualitative data. SERIES LEARNING OBJECTIVES Develop proficiency in facilitating focus groups and creating an inclusive environment for diverse perspectives. Hone the art of conducting meaningful one-on-one interviews to elicit rich, detailed insights from participants. Acquire the skills to formulate thought-provoking questions that unveil deeper layers of understanding. Explore the methods of environmental scans and asset mapping to identify key factors influencing your research landscape. Master the craft of data storytelling, transforming raw data into compelling narratives that resonate with your audience. SESSION 5 COURSE DESCRIPTION Learn the crucial skill of turning raw data into compelling narratives. From structuring your story to visualizing data, this session will empower you to communicate your research findings in a way that captivates and resonates with your audience. PRESENTERS Josh Esrick, MPP is the Chief of Training and Technical Assistance at Carnevale Associates, LLC. Mr. Esrick has over ten years of experience researching, writing, evaluating, and presenting on substance use prevention and other behavioral health topics. He is an expert in providing training and technical assistance (T/TA) in substance use, having overseen the development of hundreds of T/TA products for numerous clients, including six of SAMHSA’s ten regional Prevention Technology Transfer Centers (PTTCs), the PTTC Network Coordinating Office, the Central East Addiction Technology Transfer Center (ATTC) and Mental Health Technology Transfer Centers (MHTTC), and SAMHSA’s Center for the Application of Prevention Technologies (CAPT). These trainings and products have covered a wide range of topics, including strategic planning, data collection and analysis, and identifying evidence-based prevention interventions for youth. In addition to T/TA, Mr. Esrick has directly provided many of these services to behavioral health agencies and other entities. He has published several academic journal articles. He holds a Bachelor of Arts in Political Science from the State University of New York at Buffalo and a Master of Public Policy from George Washington University.  

Lunch and Learn Series: Mastering Qualitative Research Skills Session 4: Environmental Scans and Asset Mapping Josh Esrick, MPP March 14, 2024, 12:00pm-1:00pm EST The Central East & Southeast PTTCs are pleased to present this week-long Lunch & Learn Series in collaboration with the Southeast Regional SPTAC Team. OVERALL SERIES DESCRIPTION Embark on a transformative journey to master the art of qualitative research in our Lunch and Learn Series. Whether you're a seasoned professional or just starting your research journey, these five one-hour sessions are designed to enhance your skills in facilitating focus groups, conducting one-on-one interviews, formulating insightful questions, navigating environmental scans and asset mapping, and finally, mastering the art of data storytelling. Join us as we explore the depths of qualitative research, equipping you with the tools and techniques to unlock valuable insights and tell compelling stories with your data. Session Description: Uncover the secrets of successful focus group facilitation in this session. From creating a welcoming atmosphere to managing group dynamics, learn the essentials of guiding discussions that yield valuable qualitative data. SERIES LEARNING OBJECTIVES Develop proficiency in facilitating focus groups and creating an inclusive environment for diverse perspectives. Hone the art of conducting meaningful one-on-one interviews to elicit rich, detailed insights from participants. Acquire the skills to formulate thought-provoking questions that unveil deeper layers of understanding. Explore the methods of environmental scans and asset mapping to identify key factors influencing your research landscape. Master the craft of data storytelling, transforming raw data into compelling narratives that resonate with your audience. SESSION 4 COURSE DESCRIPTION Navigate the landscape of environmental scans and asset mapping as a tool for getting to know your community, while also discovering assets that can be leveraged during the implementation and sustainability phases of your prevention efforts. PRESENTERS Josh Esrick, MPP is the Chief of Training and Technical Assistance at Carnevale Associates, LLC. Mr. Esrick has over ten years of experience researching, writing, evaluating, and presenting on substance use prevention and other behavioral health topics. He is an expert in providing training and technical assistance (T/TA) in substance use, having overseen the development of hundreds of T/TA products for numerous clients, including six of SAMHSA’s ten regional Prevention Technology Transfer Centers (PTTCs), the PTTC Network Coordinating Office, the Central East Addiction Technology Transfer Center (ATTC) and Mental Health Technology Transfer Centers (MHTTC), and SAMHSA’s Center for the Application of Prevention Technologies (CAPT). These trainings and products have covered a wide range of topics, including strategic planning, data collection and analysis, and identifying evidence-based prevention interventions for youth. In addition to T/TA, Mr. Esrick has directly provided many of these services to behavioral health agencies and other entities. He has published several academic journal articles. He holds a Bachelor of Arts in Political Science from the State University of New York at Buffalo and a Master of Public Policy from George Washington University.    

Lunch and Learn Series: Mastering Qualitative Research Skills Session 3: Formulating Questions Nicole Augustine, MPH, MCHES, CPS, and Kristen Kidd, MA, CPS March 13, 2024, 12:00pm-1:00pm EST The Central East & Southeast PTTCs are pleased to present this week-long Lunch & Learn Series in collaboration with the Southeast Regional SPTAC Team. OVERALL SERIES DESCRIPTION Embark on a transformative journey to master the art of qualitative research in our Lunch and Learn Series. Whether you're a seasoned professional or just starting your research journey, these five one-hour sessions are designed to enhance your skills in facilitating focus groups, conducting one-on-one interviews, formulating insightful questions, navigating environmental scans and asset mapping, and finally, mastering the art of data storytelling. Join us as we explore the depths of qualitative research, equipping you with the tools and techniques to unlock valuable insights and tell compelling stories with your data. Session Description: Uncover the secrets of successful focus group facilitation in this session. From creating a welcoming atmosphere to managing group dynamics, learn the essentials of guiding discussions that yield valuable qualitative data. SERIES LEARNING OBJECTIVES Develop proficiency in facilitating focus groups and creating an inclusive environment for diverse perspectives. Hone the art of conducting meaningful one-on-one interviews to elicit rich, detailed insights from participants. Acquire the skills to formulate thought-provoking questions that unveil deeper layers of understanding. Explore the methods of environmental scans and asset mapping to identify key factors influencing your research landscape. Master the craft of data storytelling, transforming raw data into compelling narratives that resonate with your audience. SESSION 3 COURSE DESCRIPTION Craft questions that go beyond the surface and extract meaningful information. Explore the art and science of question formulation, ensuring your queries lead to insightful responses. Community change and impact starts with being able to understand the root problem, so that we can work alongside communities to create solutions. PRESENTERS Nicole Augustine, MPH, MCHES, PS is the owner of RIZE Consultants, a business focused on providing consulting services to businesses and community organizations. Nicole received her B.A. in Sociology from Cornell University and her Master of Public Health from The George Washington University School of Public Health. Throughout her career in public health, she has focused her work on understanding health disparities and social inequality. She’s a passionate public health consultant with experience providing strategic planning services to address community substance misuse issues.   Kristin Kidd MA, CPS, is the Co-Coordinator of the Southeast Prevention Technology Transfer Center (PTTC) at Wake Forest University School of Medicine where she manages the Center’s training and technical assistance for the substance misuse prevention professionals. Her focus area is on environmental strategies, specifically local policy change. Kristin is also the Principle Investigator for the North Carolina Behavioral Health Equity Initiative which partners with nine NC community agencies to improve health disparities at the local level. Prior to her employment with Wake Forest, Kristin was the Director of the Tobacco Control Training and Technical Assistant Team at the Colorado School of Public Health in Denver. There her team was charged with providing state-wide advocacy and policy guidance to local health agencies to eliminate tobacco disparities. Kristin partnered with multiple Colorado communities to successfully pass local tobacco control policies such as retailer licensing and expanded smoke-free/vape-free ordinances.  

Lunch and Learn Series: Mastering Qualitative Research Skills Session 2: Facilitating One-on-One Interviews Dorothy Chaney March 12, 2024, 12:00pm-1:00pm EST The Central East & Southeast PTTCs are pleased to present this week-long Lunch & Learn Series in collaboration with the Southeast Regional SPTAC Team. OVERALL SERIES DESCRIPTION Embark on a transformative journey to master the art of qualitative research in our Lunch and Learn Series. Whether you're a seasoned professional or just starting your research journey, these five one-hour sessions are designed to enhance your skills in facilitating focus groups, conducting one-on-one interviews, formulating insightful questions, navigating environmental scans and asset mapping, and finally, mastering the art of data storytelling. Join us as we explore the depths of qualitative research, equipping you with the tools and techniques to unlock valuable insights and tell compelling stories with your data. Session Description: Uncover the secrets of successful focus group facilitation in this session. From creating a welcoming atmosphere to managing group dynamics, learn the essentials of guiding discussions that yield valuable qualitative data. SERIES LEARNING OBJECTIVES Develop proficiency in facilitating focus groups and creating an inclusive environment for diverse perspectives. Hone the art of conducting meaningful one-on-one interviews to elicit rich, detailed insights from participants. Acquire the skills to formulate thought-provoking questions that unveil deeper layers of understanding. Explore the methods of environmental scans and asset mapping to identify key factors influencing your research landscape. Master the craft of data storytelling, transforming raw data into compelling narratives that resonate with your audience. SESSION 2 COURSE DESCRIPTION Dive into the art of conducting one-on-one interviews. Discover techniques for building rapport, active listening, and probing for deeper insights. This session will equip you with the skills to conduct impactful individual interviews. PRESENTERS Dorothy Chaney, M.Ed., is the Founder of Wisconsin Community Health Alliance, an organization committed to supporting coalitions, agencies, and individuals to improve the health of their communities and the environments in which they live. Dorothy is committed to equity in community health and works with communities both nationally and internationally to address health disparities and support the development of local solutions to complex problems. For more than 20 years, Dorothy has worked with community-based coalitions to address the impact of substance use on youth and families. Dorothy has also served on many state level work groups and advisory committees in Wisconsin. Chaney also works with communities to implement collective impact approaches to improve community health.

Lunch and Learn Series: Mastering Qualitative Research Skills Session 1: Facilitating Focus Groups Sandra Del Sesto, M.Ed, ACPS March 11, 2024, 12:00pm-1:00pm EST The Central East & Southeast PTTCs are pleased to present this week-long Lunch & Learn Series in collaboration with the Southeast Regional SPTAC Team. OVERALL SERIES DESCRIPTION Embark on a transformative journey to master the art of qualitative research in our Lunch and Learn Series. Whether you're a seasoned professional or just starting your research journey, these five one-hour sessions are designed to enhance your skills in facilitating focus groups, conducting one-on-one interviews, formulating insightful questions, navigating environmental scans and asset mapping, and finally, mastering the art of data storytelling. Join us as we explore the depths of qualitative research, equipping you with the tools and techniques to unlock valuable insights and tell compelling stories with your data. Session Description: Uncover the secrets of successful focus group facilitation in this session. From creating a welcoming atmosphere to managing group dynamics, learn the essentials of guiding discussions that yield valuable qualitative data. SERIES LEARNING OBJECTIVES Develop proficiency in facilitating focus groups and creating an inclusive environment for diverse perspectives. Hone the art of conducting meaningful one-on-one interviews to elicit rich, detailed insights from participants. Acquire the skills to formulate thought-provoking questions that unveil deeper layers of understanding. Explore the methods of environmental scans and asset mapping to identify key factors influencing your research landscape. Master the craft of data storytelling, transforming raw data into compelling narratives that resonate with your audience. SESSION 1 COURSE DESCRIPTION Uncover the secrets of successful focus group facilitation in this session. From creating a welcoming atmosphere to managing group dynamics, learn the essentials of guiding discussions that yield valuable qualitative data. PRESENTERS Sandra Del Sesto, M.Ed, ACPS has worked over 35 years in prevention, though her work spans the continuum of care from prevention to treatment to recovery. In Rhode Island, Sandra was the founder and past executive director of Initiatives for Human Development, the only statewide prevention agency. She is a faculty member and on the board of directors for the New England School of Addiction Studies. She has worked extensively at both the community and state levels developing strategic prevention and behavioral health care plans. Sandra is a member of the Board of Directors of the International Certification and Reciprocity Consortium (IC&RC) and is the Prevention Committee's co-chair.  

Behavioral Health Services for Criminal Justice-Involved Populations Part 2: Evidence-Based Strategies and Recommendations for Providing Services Josh Esrick, MPP, and Lauren Pappacena, MSW March 9, 2023, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar will explore the evidence base around effective behavioral health interventions for criminal justice-involved populations. It will discuss substance use, overdose, and suicide prevention and treatment services for both the juvenile and adult justice systems. As part of this, the webinar will review the evidence base for drug treatment courts as an alternative to continued justice system involvement. The webinar will also provide strategies for improving collaborative efforts between the behavioral health continuum of care and criminal justice system organizations. Lastly, the webinar will introduce resources that behavioral health professionals can use to learn more about these topics. LEARNING OBJECTIVES Explain how prevention and treatment strategies can be applied to criminal justice-involved populations Describe the evidence base of effective behavioral health interventions for these populations, including drug treatment courts Identify potential strategies and partners for expanding the reach of behavioral health services in the criminal justice system List resources to learn more about serving criminal justice-involved populations PRESENTERS Josh Esrick, MPP is a Senior Policy Analyst with Carnevale Associates. Josh has extensive experience in substance use prevention; researching, writing, and presenting on best practice and knowledge development publications, briefs, and reference guides; and developing and providing T/TA to numerous organizations. He developed numerous SAMHSA Center for the Application of Prevention Technologies’ (CAPT) products on strategies to prevent opioid misuse and overdose, risk and protective factors for substance use, youth substance use prevention strategies, youth substance use trends, emerging substance use trends, the potential regulations surrounding marijuana legalization, as well as numerous other topics. Lauren Pappacena, MSW is a Research Associate with Carnevale Associates. Lauren has a background in criminal justice and juvenile justice research specifically as it relates to evidence-based programs and practices spanning criminal justice topics, including corrections, law enforcement, reentry, and courts. Currently, she assists with training evaluations for NADCP and the PTTC, where she brings her experience with quantitative and qualitative analysis and data visualization. With a strong interest in policy analysis, research translation, data collection, and analytic writing, Ms. Pappacena is published in the Journal of Human Rights and Social Work for her analysis of national early-release laws.

The Fundamentals of Understanding and Using Data in Prevention Part 4: Practicing Your Data Skills Learning Lab Josh Esrick, MPP, Emily Patton, MSc, PgDip, Olivia Stuart, LMSW, Jamie Comstock, MURP, PS-C, and Robin Carr, PS-C March 7, 2024, 11:00am-12:30pm EST COURSE DESCRIPTION The final part of the series is an interactive, collaborative learning lab. It will provide participants with opportunities to practice some of the information and skills learned over the course of the series. This learning lab will be structured around a series of group breakout sessions, where participants will work through exercises to address an example community scenario. Participants will be able to practice skills for finding, understanding, and sharing data ethically and effectively. Please note: Participant engagement is expected and encouraged for this learning lab. LEARNING OBJECTIVES Identify opportunities for obtaining data Interpret and prioritize data findings Create data visualizations to support data stories Effectively and ethically frame and share data PRESENTERS Josh Esrick, MPP is the Chief of Training and Technical Assistance at Carnevale Associates, LLC. Mr. Esrick has over ten years of experience researching, writing, evaluating, and presenting on substance use prevention and other behavioral health topics. He is an expert in providing training and technical assistance (T/TA) in substance use, having overseen the development of hundreds of T/TA products for numerous clients, including six of SAMHSA’s ten regional Prevention Technology Transfer Centers (PTTCs), the PTTC Network Coordinating Office, the Central East Addiction Technology Transfer Center (ATTC) and Mental Health Technology Transfer Centers (MHTTC), and SAMHSA’s Center for the Application of Prevention Technologies (CAPT). These trainings and products have covered a wide range of topics, including strategic planning, data collection and analysis, and identifying evidence-based prevention interventions for youth. In addition to T/TA, Mr. Esrick has directly provided many of these services to behavioral health agencies and other entities. He has published several academic journal articles. He holds a Bachelor of Arts in Political Science from the State University of New York at Buffalo and a Master of Public Policy from George Washington University. Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management. Olivia Stuart, MSW supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University. Jamie Comstock and Robin Carr founded Info Inspired in 2014, after many years of designing and giving presentations with no formal training in this area, and watching their public health colleagues struggle with the same skills gap. Both are certified prevention specialists with 30 years’ combined experience in the field. They’ve spent the last several years researching and testing ways to not only capture and hold an audience’s attention, but to also inspire audiences. They’ve spent countless hours refining the presentation planning process, identifying free resources, and learning how to maximize the tools they already had. It’s also important to know that they aren’t graphic designers, artists, or especially tech savvy. Everything they do, you can do too. They’ve presented at the Community Anti Drug Coalitions of America’s Leadership Forum, the Maine Public Health Association Annual Meeting, the New England Institute of Addiction Studies, the New England School of Best Practices, and provided training and technical assistance to non-profit organizations throughout New England. They have been featured on the Organizing for Change podcast and have an on-demand webinar available through the New England Prevention Technology Transfer Center.  

Youth Gaming and Gambling, Is It a Problem? Heather Eshleman, MPH, and Kenneth Crawford, CPRS March 5, 2024, 1:00pm-2:30pm EST COURSE DESCRIPTION With the expansion of gaming and gambling activities in communities and on-line, how will it impact youth and young adults? This population is affected by gaming, gambling, and activities that include a mix of both in their daily lives. Discuss youth gaming, gambling, and the warning signs of problems with these activities. An overview of strategies to prevent youth problem gaming and gambling behaviors that have been adapted from alcohol and substance misuse prevention will be presented. Hear a story of recovery and learn of resources for help. LEARNING OBJECTIVES Increase your knowledge of youth gaming and signs of gaming problems in youth. Discuss youth gambling and signs of gambling problems in youth. Examine how youth gaming and gambling behaviors connect. Review prevention strategies that have worked to prevent alcohol and substance misuse that could work to prevent youth problem gaming and gambling behaviors. Learn about gambling recovery and resources for help. PRESENTERS Heather Eshleman, MPH, is the Prevention Manager at the Maryland Center of Excellence on Problem Gambling. She works collaboratively with community organizations, schools, and government agencies to prevent underage and problem gambling as well as oversee special population and youth grants. She currently leads the Center’s efforts in compiling an underage and problem gambling prevention needs assessment to provide baseline data to guide future prevention strategies. She served as the Alcohol and Substance Abuse Prevention Supervisor at the Anne Arundel County Department of Health from 2006-2019, overseeing the Substance Abuse Prevention coalitions, the Opioid Misuse Prevention Program, the Strengthening Families Program, the Fatal Overdose Review Team, and Coordination of the Students Against Destructive Decisions Chapters. Before becoming Supervisor, from 2002-2006, Heather was a Grants Administrator at Anne Arundel County Department of Health. Heather received her Masters in Public Health from the University at Albany School of Public Health and her Bachelor’s degree in School and Community Health Education from Towson University. Heather served in the United States Peace Corps in Morocco, North Africa, as a Maternal and Child Health volunteer, working on hygiene promotion and pre-natal care for two years.   Kenneth (Kenny) Crawford is a Certified Peer Recovery Support Specialist with the Maryland Center of Excellence on Problem Gambling (the Center). As a Peer for the Center, Kenny assists individuals within Maryland struggling with problem gambling and gambling addiction to navigate recovery treatment resources and helps remove any barriers to recovery. He has dedicated his life to helping others with gambling problems by sharing his story of recovery. Kenny has a great passion for the outdoor life, boating, fishing, hiking, and can capture the tranquility of nature thru his photography. For him, this is a great form of meditation and has helped him thru his recovery process and he would be happy to share his techniques on meditation. Kenny comes from a background in Carpentry and is grateful to help others achieve a balanced life through his extensive training in Peer Recovery Support training.    

The March 2024 Dialogue contains articles on: Addiction: Celebrate Women’s Recovery and End Addiction Stigma | Mental Health: Health Equity Webinar Series Explores Bipolar Disorder, Autism | Prevention: What are Youth Saying About Gambling? | ORN:Empowering our Youth: Strategies for SUD Prevention Additional sections include behavioral health observances, virtual training and webinar events, Region 3 news, and new resources. The Dialogue is designed to inform behavioral and mental health professionals of news and upcoming events in the Central East states. This electronic newsletter is disseminated on the first Tuesday of each month. You are encouraged to provide us with any feedback or submit articles and topics for discussion in future issues of the newsletter. Sign up to receive the Dialogue in your mailbox.

The Fundamentals of Understanding and Using Data in Prevention Part 3: DIY Data for Prevention Professionals Jamie Comstock, MURP, PS-C, and Robin Carr, PS-C February 29, 2024, 11:00am-12:30pm EST COURSE DESCRIPTION Looking for tips and tricks on how to present your data in a way that catches people’s attention and is easily understood? Don’t miss this opportunity to learn about the Five C’s of Data: Chart, Color, Context, Clutter, and Composition. Through learning about the Five C's, participants of this virtual training will gain skills to present data in a manner that best resonates with their audiences. LEARNING OBJECTIVES Choose the most effective chart for their data Use color for emphasis and action Show data in context for maximum (and realistic) impact Reduce clutter so data insights can be easily understood PRESENTERS Jamie Comstock, MURP, PS-C and Robin Carr, PS-C founded Info Inspired in 2014, after many years of designing and giving presentations with no formal training in this area, and watching their public health colleagues struggle with the same skills gap. Both are certified prevention specialists with 30 years’ combined experience in the field. They’ve spent the last several years researching and testing ways to not only capture and hold an audience’s attention, but to also inspire audiences. They’ve spent countless hours refining the presentation planning process, identifying free resources, and learning how to maximize the tools they already had. It’s also important to know that they aren’t graphic designers, artists, or especially tech savvy. Everything they do, you can do too. They’ve presented at the Community Anti Drug Coalitions of America’s Leadership Forum, the Maine Public Health Association Annual Meeting, the New England Institute of Addiction Studies, the New England School of Best Practices, and provided training and technical assistance to non-profit organizations throughout New England. They have been featured on the Organizing for Change podcast and have an on-demand webinar available through the New England Prevention Technology Transfer Center.  

The Fundamentals of Understanding and Using Data in Prevention Part 2: Collecting, Prioritizing, and Managing Your Data Josh Esrick, MPP, Emily Patton, MSc, PgDip, and Olivia Stuart, LMSW February 27, 2024, 11:00am-12:30pm EST COURSE DESCRIPTION The webinar will describe how to obtain and begin using data. It will identify data collection methods and sources, as well as important strengths and potential challenges for prevention professionals. The webinar will also provide recommendations for overcoming these challenges, including explaining the importance of culturally sensitive data collection instruments. It will also introduce and explain data prioritization techniques to begin integrating data into strategic planning. Lastly, the webinar will describe how prevention professionals can use data to improve strategic planning, community outcomes, and health equity. LEARNING OBJECTIVES Identify data sources and data collection techniques Recognize common barriers to data collection and strategies to overcome those challenges Describe and contrast different data prioritization techniques Identify how data can improve key components of the prevention field PRESENTERS Josh Esrick, MPP is the Chief of Training and Technical Assistance at Carnevale Associates, LLC. Mr. Esrick has over ten years of experience researching, writing, evaluating, and presenting on substance use prevention and other behavioral health topics. He is an expert in providing training and technical assistance (T/TA) in substance use, having overseen the development of hundreds of T/TA products for numerous clients, including six of SAMHSA’s ten regional Prevention Technology Transfer Centers (PTTCs), the PTTC Network Coordinating Office, the Central East Addiction Technology Transfer Center (ATTC) and Mental Health Technology Transfer Centers (MHTTC), and SAMHSA’s Center for the Application of Prevention Technologies (CAPT). These trainings and products have covered a wide range of topics, including strategic planning, data collection and analysis, and identifying evidence-based prevention interventions for youth. In addition to T/TA, Mr. Esrick has directly provided many of these services to behavioral health agencies and other entities. He has published several academic journal articles. He holds a Bachelor of Arts in Political Science from the State University of New York at Buffalo and a Master of Public Policy from George Washington University.   Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management.     Olivia Stuart, MSW  supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University.  

The Fundamentals of Understanding and Using Data in Prevention Part 1: What Is Data and Why We Use It Josh Esrick, MPP, Emily Patton, MSc, PgDip, Olivia Stuart, LMSW, Jamie Comstock, MURP, PS-C, and Robin Carr, PS-C February 22, 2024, 11:00am-12:30pm EST COURSE DESCRIPTION This webinar will introduce and discuss data concepts relevant to substance use prevention. Through the lens of SAMHSA’s Strategic Prevention Framework (SPF), it will introduce the different ways prevention professionals can use data. The webinar will also summarize the different types of data relevant to prevention efforts and explain why data is critical to building the field’s evidence base. Additionally, it will identify the elements and explain the importance of a comprehensive needs assessment. Lastly, it will introduce the importance of effective and ethical data communication by prevention professionals. LEARNING OBJECTIVES Explain how data supports prevention planning and programming Recognize the different types of data relevant to prevention Identify the elements of a needs assessment and their uses Understand the importance of data communication to the community and stakeholders PRESENTERS Josh Esrick, MPP is the Chief of Training and Technical Assistance at Carnevale Associates, LLC. Mr. Esrick has over ten years of experience researching, writing, evaluating, and presenting on substance use prevention and other behavioral health topics. He is an expert in providing training and technical assistance (T/TA) in substance use, having overseen the development of hundreds of T/TA products for numerous clients, including six of SAMHSA’s ten regional Prevention Technology Transfer Centers (PTTCs), the PTTC Network Coordinating Office, the Central East Addiction Technology Transfer Center (ATTC) and Mental Health Technology Transfer Centers (MHTTC), and SAMHSA’s Center for the Application of Prevention Technologies (CAPT). These trainings and products have covered a wide range of topics, including strategic planning, data collection and analysis, and identifying evidence-based prevention interventions for youth. In addition to T/TA, Mr. Esrick has directly provided many of these services to behavioral health agencies and other entities. He has published several academic journal articles. He holds a Bachelor of Arts in Political Science from the State University of New York at Buffalo and a Master of Public Policy from George Washington University.   Emily Patton, MSc, PgDip holds a Masters of Science in Abnormal and Clinical Psychology from Swansea University and a Postgraduate Degree in Criminology and Criminal Justice from the University of Edinburgh. She offers significant professional experience in the fields of public policy development and analysis, criminal justice research, data collection and analysis, program development, and performance management.     Olivia Stuart, LMSW  supports the training & technical assistance (T/TA) team in the development and delivery of knowledge translation products across multiple projects. In this capacity, she assists with webinars, literature reviews, and infographics on a range of behavioral health topics. Prior to joining Carnevale Associates, Olivia interned with the Urban Institute’s Justice Policy Center where she supported projects to reduce inequities in the criminal justice system. Olivia also served as a Graduate Research Supervisor at George Mason University and worked for several years in LGBTQ+ advocacy and fundraising. She holds a Master of Social Work degree from George Mason University.   Jamie Comstock, MURP, PS-C and Robin Carr, PS-C founded Info Inspired in 2014, after many years of designing and giving presentations with no formal training in this area, and watching their public health colleagues struggle with the same skills gap. Both are certified prevention specialists with 30 years’ combined experience in the field. They’ve spent the last several years researching and testing ways to not only capture and hold an audience’s attention, but to also inspire audiences. They’ve spent countless hours refining the presentation planning process, identifying free resources, and learning how to maximize the tools they already had. It’s also important to know that they aren’t graphic designers, artists, or especially tech savvy. Everything they do, you can do too. They’ve presented at the Community Anti Drug Coalitions of America’s Leadership Forum, the Maine Public Health Association Annual Meeting, the New England Institute of Addiction Studies, the New England School of Best Practices, and provided training and technical assistance to non-profit organizations throughout New England. They have been featured on the Organizing for Change podcast and have an on-demand webinar available through the New England Prevention Technology Transfer Center.  

The Ethics of Authentic Connections and Healing Boundaries Laura Hinds, MSW, LCSW February 21, 2024, 1:00pm-3:00pm EST COURSE DESCRIPTION For many of us, Ethics and Boundaries have been taught, or interpreted, as walls of disconnection between providers and those they serve. However, we know that authentic connections and unconditional positive regard are both Trauma Informed and powerful offerings to people struggling with Substance Use Disorder. This conversation supports us in clarifying the definitions and applications of ethics and boundaries that can protect AND promote the health and well-being of those we serve. LEARNING OBJECTIVES List the examples of how ethics inform appropriate and strong boundaries in our work relationships with clients who experience Substance Use Disorder. Identify how the historic instruction on ethics and boundaries and how that teaching threatens clinical engagement and client outcomes. Name 5 ways a provider can hold appropriate and ethical boundaries. PRESENTERS Laura Hinds, MSW, LCSW, is a clinical social worker with experience in medical, behavioral and mental health settings.  Laura has had the pleasure of working with high acuity special needs populations and their providers for over 22 years.  An alumna and instructor at Penn’s School of Social Policy and Practice for 13 years, and Bryn Mawr’s School of Social Work and Social Research’s for the past 4 years, Laura has supported the learning and education of new social workers, veterans in the field, and their interdisciplinary partners.  With a focus on trauma, human and gender development, racial equity, and crisis intervention Laura supports special needs populations and those who serve them.  

Presentation Title: Addressing the Latest Emerging Substance Use Trends: Xylazine, Nitazenes, Tianeptine, Hallucinogens and Others   Session Description: The substance use landscape is ever changing due to shifts in the demand and supply of substances, the increasing or decreasing importance of various risk and protective factors, and the improvement or deterioration of the social determinants of health. It is vital for prevention professionals to be able to identify and understand these changes and know how to appropriately react to them. Relative changes in substance use patterns, or the causes behind use, can lead to a re-prioritization of key prevention activities in a community or state. This presentation will provide an overview of emerging drug trends nationwide, explain what is known about the causes behind these trends, and discuss potential implications for the prevention field. It will also discuss how prevention professionals can find more information about the emerging trends in their communities or states. Lastly, it will summarize how prevention professionals can use emerging trend data to support their strategic planning efforts, leading to improved goals or objectives. By identifying and addressing emerging trends before they fully develop into larger issues, prevention professionals can better serve the populations most in need of services in their area and improve health equity and outcomes. This presentation will present data on four primary emerging substance use trends: xylazine, nitazenes, tianeptine, and hallucinogens: Xylazine is a non-opioid sedative only approved for veterinary use in the United States. Human consumption of xylazine—often alongside opioid use—has been reported in Puerto Rico for over 20 years. Recently, xylazine use has spread across much of the mainland United States, with epicenters in areas of heavy opioid use. Nitazenes are synthetic opioids with an extremely high potency— similar to fentanyl. Much like fentanyl, it is frequently mixed into other substances and unknowingly consumed by people— significantly increasing the risk of an overdose. One common nitazene, isonitazene, was first identified in the Midwest in 2019 and has since been identified in other regions. Tianeptine is an antidepressant and dietary supplement not approved for either use by the FDA. It has been approved as an antidepressant in some other countries, although that approval has been rescinded by some in recent years. The effects of tianeptine can mimic opioids and recently an increasing number of people have used it as an opioid substitute. Tianeptine poisoning can be fatal and there has been an increase in tianeptine-related calls to poison control centers. Hallucinogens are a class of psychoactive substances that can alter perceptions, moods, and states of consciousness. Hallucinogens are one of the oldest known classes of substances and well-known examples include MDMA and LSD. However, in recent years hallucinogen use has been steadily increasing— reaching an all-time high among young adults in 2021, the most recent year with complete data.

The Central East Prevention Technology Transfer Center is excited to announce the 30th episode of our weekly podcast: Walking in Wellness. This series is dedicated to empowering prevention professionals like you with the mindset and skill set necessary to prioritize wellness...every day. This weekly podcast can be accessed via Soundcloud or Spotify. Be sure to follow or subscribe to have episodes delivered weekly!   

The Central East Prevention Technology Transfer Center is excited to announce the 29th episode of our weekly podcast: Walking in Wellness. This series is dedicated to empowering prevention professionals like you with the mindset and skill set necessary to prioritize wellness...every day. This weekly podcast can be accessed via Soundcloud or Spotify. Be sure to follow or subscribe to have episodes delivered weekly!   

Stigma and Bias in Behavioral Health Laura Hinds, MSW, LCSW January 31, 2024, 1:00pm-3:00pm EST COURSE DESCRIPTION Racial and use bias has been demonstrated in the research related to Behavioral Health and Medically Assisted Therapy. The conclusion that has been drawn is that even well-meaning providers and staff hold biases that impact how and to whom they offer care and medicinal support for Substance Use Disorder (SUD). This lecture explores this research and supports participants in reflecting on, identifying, and mitigating this reality so as to offer equitable respect and support for everyone living with SUD. A LEARNING OBJECTIVES List the ways in which bias affects Behavioral Health Treatment and intervention for people living with Substance Use Disorder. Define the difference between implicit and explicit bias, and how to identify them. Recite at least three ways to identify and address their implicit bias in relation to their work in Behavioral Health. PRESENTERS Laura Hinds, MSW, LCSW, is a clinical social worker with experience in medical, behavioral and mental health settings.  Laura has had the pleasure of working with high acuity special needs populations and their providers for over 22 years.  An alumna and instructor at Penn’s School of Social Policy and Practice for 13 years, and Bryn Mawr’s School of Social Work and Social Research’s for the past 4 years, Laura has supported the learning and education of new social workers, veterans in the field, and their interdisciplinary partners.  With a focus on trauma, human and gender development, racial equity, and crisis intervention Laura supports special needs populations and those who serve them.