Products and Resources Catalog

Stigma and Substance Use Prevention Part 1: The Impacts of Stigma Josh Esrick, MPP, and Demetrie Garner May 4, 2022, 1:00pm-2:30pm EST COURSE DESCRIPTION This webinar will provide a broad overview of stigma and the importance of addressing it through what the research tells us and what is known through lived experience. The webinar will define stigma and explain how it can manifest in various substance use prevention settings and on the road to recovery. It will address the similarities and differences between public-, self-, and institutional-stigma and the role of both intentional and inadvertent stigma. The webinar will also discuss how stigma impacts substance use prevention outcomes and our ability to recovery. Additionally, it will explain why prevention professionals, other stakeholders, and the community-at-large need to address stigma. LEARNING OBJECTIVES Define stigma conceptually and from a recovered person’s perspective Review the various forms of stigma and their effects on our ability to recover Discuss the impact of stigma on prevention outcomes Explain stigma’s ongoing impact on the road to recovery 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. Demetrie Garner, is a Peer Recovery Specialist at the Emergency Department. This has given him the vantage point to encounter minority disparities. A lack of health communication targeted to African-Americans, and other minorities help further this disparity. As a Peer Recovery Specialist, the visible cracks of systemic inadequacies in health care and its access garners attention and policy changes in patients with substance use disorders. The experience in active addiction abusing opiates, cocaine, and alcohol for 26 years with countless relapses fostered the expertise needed to help others in active addiction. Finding recovery over the last 2 and 1/2 years while working in the recovery field has given Demetrie a unique perspective on recidivism and retention throughout the process of recovery. With the help of the God of his understanding (Jesus Christ), Narcotics Anonymous, and healthy relationships, the pathway of a daily reprieve from active addiction is now possible. Continuous work through pastoral licensed counseling has unlocked the acceptance of childhood molestation and recovery from trauma. Demetrie is currently a Pre-McNair Scholar with ambitions to attend the UMBC School of Public Policy M.P.P Program in spring of 2022 after obtaining his Bachelor’s degree in Public Health.  

Preventing Substance Use Disorder Related Stigma Jessica Hulsey, BA March 17, 2022, 1:00pm-2:30pm EST COURSE DESCRIPTION Substance use disorder (SUD) is one of the most highly stigmatized health conditions in the world. This stigma creates barriers to early intervention, screening, treatment, and effective recovery. It also results in a lack of general public support for legislation that provides meaningful reform and fiscal support to prevention, treatment, and recovery. This webinar will focus on how to prevent stigma. Topics covered will include responding to misconceptions about substance use disorder, such as waiting for “rock bottom” and “teens are going to drink anyway, so they might as well do it at home”. The webinar will also discuss evidence-based strategies that can help to prevent stigma, such as increased addiction literacy. LEARNING OBJECTIVES Understand how to address common misconceptions about substance use disorders. Understand how to increase addiction literacy Understand how to combat stigma. PRESENTER Jessica Hulsey, BA is the Executive Director of the Addiction Policy Forum, a national nonprofit organization that leads the fight against the deadly consequences of addiction and helps patients, families, and communities affected by the disease. Jessica has more than 25 years of experience in the field of prevention, treatment, and policy solutions to address substance use disorders and has collaborated with our nation’s top scientists to translate the science of addiction into digestible content for patients, families, and other key audiences.  

Click Here to View Recording: Prevention's Role in Harm Reduction   Harm reduction is increasingly emphasized as an important approach when working across the continuum of care. While many in the prevention field remain focused on primary prevention, opportunities exist for preventionists to support and augment local harm reduction efforts. This webinar will focus on steps prevention practitioners can take to support harm reduction efforts, including: promoting community readiness to support harm reduction approaches, addressing substance use disorder-related stigma, and linking harm reduction efforts to more "upstream" efforts.   OBJECTIVES:  Describe how harm reduction can be addressed across the continuum of care Describe the primary prevention field’s role in harm reduction efforts Identify at least three actions prevention practitioners can take to support and augment local harm reduction efforts   FACILITATORS:  Chuck Klevgaard serves as a prevention manager for the Great Lakes Prevention Technology Transfer Center.  He delivers training and technical assistance to support substance misuse prevention throughout the Midwest. Chuck has supported communities and health agencies as they adopt evidence-based alcohol, opioid, and other substance misuse programs or policies. Chuck earned his BSW from Minnesota State University Moorhead. He is a Certified Senior Prevention Specialist through the Illinois Certification Board, Inc.   Kris Gabrielsen has worked in the substance misuse prevention field since 1991. She was the Associate Director of the Western Center for the Application of Prevention Technologies (CAPT), co-authored the first Substance Abuse Prevention Specialist Training curriculum, and co-authored the textbook, Substance Abuse Prevention: The Intersection of Science and Practice. She works with states and communities across the nation to bridge the gap between research and practice, assisting prevention professionals in maximizing their effectiveness.

To view the recorded webinar: https://youtu.be/g5kj8Wuiitk   Emergency Medical Services (EMS) personnel are on the front lines of the overdose crisis. EMS have been using naloxone for decades when treating unresponsive patients. EMS providers offering naloxone to people at risk of overdose and connecting them to prevention resources is a critical underutilized approach. This webinar will address how engagement with EMS personnel through leave behind programs can bolster existing overdose prevention activities, address stigma, and improve naloxone access for vulnerable populations.   OBJECTIVES: Define the role for EMS in overdose prevention Identify lessons learned of programs in three states Describe the core elements of EMS leave-behind PRESENTER: Erin Russell, Center for Harm Reduction Services at Maryland Department of Health In her role as Chief at the Center for Harm Reduction Services at the Maryland Department of Health, Erin provides leadership for the Prevention Office within the Behavioral Health Administration. She provides oversight, funding, and technical assistance for locally operating public health programs focused on the reduction of harm from drug and alcohol use. Erin also serves as a national expert, providing consultation services to states to implement harm reduction related programs; facilitate training for large groups on substance use prevention PANELISTS: Anthony Pantaleo, BAS, Paramedic I/C, Bureau of EMS, Trauma, and Preparedness, Michigan Department of Health and Human Services Anthony is the EMS Opioid Outreach Coordinator for the Bureau of EMS, Trauma, and Preparedness with the Michigan Department of Health and Human Services.  He received his Bachelor of Applied Sciences in Public Safety from Siena Heights University.  Anthony has worked in public safety for over 25 years as a Paramedic, EMS Instructor, Firefighter, and EMS administrator.  Anthony also helps those in public safety with Critical Incident Stress Management. Stephanie Busch, BS, AEMT, CPST, Injury Prevention Manager, AEMT, Vermont Department of Health Stephanie Busch, BS, AEMT is the Injury Prevention Manager at the Vermont Department Health in Burlington Vermont. She has been involved in EMS and public health since 2013 at the national, state and local level. In her current role she actively collaborates with community partners, governmental partners, and first responders around injury prevention initiatives including opioid overdose prevention and suicide prevention. Ms. Busch has a long history of working within interdisciplinary committees and teams by bringing together non-traditional partners, and breaking down silos to build partnerships in addressing 'wicked' public health problems. In her spare time she is a volunteer AEMT with Colchester Rescue in Vermont. Becca Scharf, Data and Performance Analyst' Howard County Department of Fire and Rescue Services Becca Scharf is a researcher and EMS data analyst at the Howard County Department of Fire and Rescue Services in Maryland. Her work centers around emergency medical services policy, system performance, and program evaluation. Her previous research has focused on Mobile Integrated Health Programs, EMS opioid overdose response programs, harm reduction policy, and other EMS-related community initiatives. Becca is a PhD student at the University of Maryland, Baltimore County School of Public Policy with a concentration in emergency health services policy. She received a master’s degree in emergency health services epidemiology and preventive medicine research in 2017. Becca has previously worked as a graduate assistant analyst in the Office of the Medical Director at Howard County Fire and Rescue and served as a research assistant in the UMBC Department of Emergency Health Services. She is passionate about finding new ways to use data to improve EMS performance measurement and policy. David Sabat, Battalion Chief of EMS Operations,  Howard County Department of Fire and Rescue Services David Sabat has been a career member of Howard County Department of Fire and Rescue Services for 19 years, serving as a company lieutenant, instructor at the training academy, company captain, and now battalion chief of EMS operations.  David holds a bachelor's degree in emergency health services from the University of Maryland, Baltimore County and a master's degree in homeland defense and security from the Naval Postgraduate School.  David completed his paramedic training at Baltimore County Community College – Essex in 2001.  Although born and raised in central New Jersey, David has lived in Maryland since 1998.  David served in the Maryland Army National Guard for six years as a medic assigned to an infantry company.  David currently live in Annapolis, Maryland with his wife and two children. The Great Lakes PTTC offered this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders.

Building Great Rapport: How to Engage Patients with Unhealthy Substance Use Jim Winkle, MPH August 17, 2021, 1-3 PM EST COURSE DESCRIPTION By adopting a new approach, clinicians can greatly improve how they engage with these patients. This presentation will improve providers' ability to engage and build rapport by challenging assumptions that lead to stigma, applying principles of harm reduction, and performing a four-step brief intervention model that enhances the motivation of patients to decrease their risk of illness and death. As a result, clinicians who once considered these patient visits "difficult" can begin to perceive them as valuable opportunities to help patients adopt safer behaviors and forge their pathway to recovery. LEARNING OBJECTIVES Describe the role of stigma towards patients with unhealthy substance use List the basic principles of a Harm Reduction approach to patient care Perform a four-step brief intervention in less than five minutes Use telehealth platform functions to effectively engage patients PRESENTERS Jim Winkle, MPH has trained hundreds of providers and clinical team members how to address substance use with primary care and emergency medicine patients. As the creator of the SBIRT Oregon website, Jim has designed screening forms, clinic tools and training videos used by health professionals across the country. Jim currently works as a consultant, delivering training and technical assistance to medical systems, universities, and professional organizations.

COURSE DESCRIPTION Super Session Partnering with Faith Communities to Improve Prevention Outcomes  The South Southwest PTTC hosted the virtual super session Partnering with Faith Communities to Improve Prevention Outcomes on August 3, 2021, for prevention professionals and members of faith and spiritual communities.    Faith and spirituality play a prominent role in the lives of many, making it vital prevention professionals leverage relationships with communities of faith to improve community health and wellness. Importantly, faith is considered a protective factor for preventing or mitigating the risk of substance misuse and a contributor to resilience. Faith-based programming and communities should be included when engaging in comprehensive multi-sector prevention planning. Select the View Resource button above to watch the recording. Below is the PowerPoint for this webinar. PowerPoint   PRESENTER Tracy Johnson, with over 25 years of experience, has worked closely with nonprofits, small businesses and, communities in helping them with community organizing, environmental strategies, strategic planning, Substance Abuse Prevention, Coalition Building, cultural diversity and, effective program. He has led projects in working with states and communities on effective substance abuse prevention strategies. Has extensive knowledge of SAMHSA's Strategic Prevention Framework process and Strategic Initiatives. He is the Director of Training and Technical Assistance for SheRay's & Associates, LLC, Los Angeles, CA. He leads and directs the training needs of clients and as well as the development and implementation of training plans. He identifies experts needed to fulfill the client's needs. He oversees the 60+ expert Associates and Consultants utilized around the United States. He has received numerous certificates in training in prevention including awards for crime prevention as well as being the lead facilitator for a northern Illinois urban city for its comprehensive crime prevention plan. He was former President and is now lead consultant of Martin Luther King Jr. Community Services of Illinois. He led the implementation of a CSAP "High-Risk Youth" grant in reducing substance abuse in high-risk communities. He enjoys jogging and spending time with his grandchildren.

Stigma disproportionately influences health outcomes and mental well-being for individuals with substance use disorder. Fear of being judged and/or discriminated against can prevent people from getting the help they need. According to results from the 2017 National Survey on Drug Use and Health, 20.5% of people with substance use disorder do not seek treatment because of negative consequences associated with their work; 17% do not seek treatment for fear of negative judgements by friends or community. It can also prevent caregivers and others from providing needed services, including medical care. To decrease the impact of stigma, the Region 5 Great Lakes PTTC offered a Community of Practice to provide rural communities in Region 5 an opportunity to learn from one another and to foster the implementation of anti-stigma initiatives. The goal was to promote the use of evidence-based strategies for the prevention and reduction of stigma and provide an opportunity for group problem solving.   This report shares the lesson learned in the Community of Practice. 

Monthly electronic newsletter for the Great Lakes ATTC, MHTTC, and PTTC.  The December 2020 issue of the Great Lakes Current includes a spotlight on Wisconsin, a new article in The Counselor's Corner, and links to the new COVID-19 Provider Well-being Supplement and the Spotlight on Stigma podcast series. 

    This recorded presentation from the Great Lakes PTTC gives an overview of stigma and its impact on people with mental health and substance use disorders. Narrated by Chuck Klevgaard, Great Lakes PTTC Prevention Manager.  Click "download" above to access: Preventing and Reducing Stigma: Evidence-Based Practices Slide Deck Preventing and Reducing Stigma: Evidence-Based Practices Transcript    

Listen to the second episode of our Spotlight on Stigma podcast series: The Role of Faith Leaders.  Religious institutions offer support for people seeking help with a substance use or mental health disorder in an environment that respects their culture and values, with some studies finding that religious involvement is a protective factor for mental health and substance use. At the same time, religious beliefs about mental illness and substance misuse can lead to stigma, shame, and isolation if the illnesses are viewed as the result of sinful behavior or lack of faith. Guest presenter: Pastor Greg Delaney, Pastor of FREEDOM Church, an recovery ministry in Xenia, Ohio, serving the needs of those suffering from addictive and compulsive challenges. For more information and resources, visit the Great Lakes PTTC Preventing and Reducing Stigma webpage. 

Our introductory episode to the Great Lakes PTTC's new series, Spotlight on Stigma! Learn about the world of stigma and how YOU can make an impact in one of the most pressing issues facing SUD and Mental Health professionals today. For more information, visit the Great Lakes PTTC webpage, Preventing and Reducing Stigma.

Monthly electronic newsletter of the Great Lakes ATTC, MHTTC, and PTTC. November 2020 issues features Native American Heritage Month, Veterans Day, and new resources including Stigma Basics, Counselor's Corner, and Telehealth Services for Mental Health infographic.  

According to the 2017 National Survey on Drug Use and Health, about 8 out of 10 people with a mental health condition reported experiencing shame and stigma that prevented them from seeking treatment. Stigma can be defined as an attribute, behavior, or condition that socially discredits an individual or populations in various capacities. Stigma disproportionately influences health outcomes and psychological well-being of individuals with mental health and SUD. Prevention practitioners are in a unique position to reduce the stigma surrounding substance misuse.   Click "download" above to access: Preventing and Reducing Stigma: Prevention Slide Deck Two-pager Related Resources Website: Preventing and Reducing Stigma         

Law enforcement personnel frequently interact with people with mental illness and SUD because these populations are disproportionately represented in jails and overall within the criminal justice system. Law enforcement personnel have to exercise substantial judgment about mental illness and SUD since law enforcement frequently serves as a gatekeeper between the criminal justice system and mental health systems. Law enforcement personnel would benefit from a greater understanding of various psychiatric conditions, mental health issues, SUDs, and their co-occurrence.    Click "download" above to access: Preventing and Reducing Stigma in Law Enforcement Slide Deck Preventing and Reducing Stigma in Law Enforcement Two-Pager Related resources Web Page: Preventing and Reducing Stigma         

Healthcare is defined as an organized system that strives to maintain or improve health by delivering services focused on prevention, diagnosis, treatment, and recovery. Healthcare professionals are a central part of this system, where they strive to improve access and quality health care. Healthcare professionals, specifically providers, may be concerned about their patient's SUD and how to provide quality care in treating it. Yet inadequate training, knowledge, or support structures for providers contribute to the stigmatization of people with SUD, resulting in poor quality of care and lower patient engagement and care retention levels.   Click the "download" button above to access:  Preventing and Reducing Stigma Slide Deck: Healthcare Fact Sheet: Preventing and Reducing Stigma–Healthcare Related Products Website: Preventing and Reducing Stigma          

While mental health and SUDs affect people from all walks of life and all age groups, people with these disorders interact disproportionately with members of the police force, fire department, and emergency medical services. Individuals with severe mental illness generate no fewer than 1 in 10 calls for police service.  Police transport an estimated 1 in 3 individuals in psychiatric crisis to hospital emergency rooms.  Frequent and repeated encounters with individuals struggling with mental health, substance use, and related behavioral health problems can produce compassion fatigue in first responders and perpetuate the misconceptions that individuals with mental illness are dangerous and/or that SUD is a moral failing. Training and education in substance use and mental health disorders can help first responders understand how stigmatizing attitudes and language can interfere with quality of care.    Click the "download" button above to access:  Slide Deck: Preventing and Reducing Stigma–First Responders  Two-Pager: Preventing and Reducing Stigma–First Responders   Related Products Podcast: Listen to Spotlight on Stigma Episode 1: The Role of First Responders Web Page: Preventing and Reducing Stigma     

Most Americans are part of a religious institution, which is often the first point of contact for those seeking help with a mental health or substance use problem. Religious institutions offer support for these individuals in an environment that respects their culture and values, with some studies finding that religious involvement is a protective factor for mental health and substance use. At the same time, religious beliefs about mental illness and substance misuse can lead to stigma, shame, and isolation if the illnesses are viewed as the result of sinful behavior or lack of faith.   Click the "Download" button above to access: The Preventing and Reducing Stigma: Faith Leaders Slide Deck  The Preventing and Reducing Stigma: Faith Leaders Two-Pager Engaging the Faith Community in Substance Use Prevention: Rationale for Partnering and Resources to Support Your Efforts   Related Products Podcast: Spotlight on Stigma Episode 2: The Role of Faith Leaders Web Page: Visit the Great Lakes PTTC Preventing and Reducing Stigma webpage!            

Few teaching and training programs adequately prepare educators and staff to work with students who have a mental health or SUD.  Many training programs may perpetuate misconceptions about these students' needs. When they do not perform well, students with behavioral health issues can be labeled as "bad," furthering the disconnection. Early intervention and trajectory set the stage for interactions around mental health. Schools are often the first contact for students with SUD/mental illness. De-stigmatizing mental illness and SUD can allow students to get the educational accommodations and supports they need.    Click "download" above to access: The Preventing and Reducing Stigma: Education Slide Deck The Preventing and Reducing Stigma: Education Fact Sheet    Related Resources Web Page: Preventing and Reducing Stigma     

People with mental health and SUDs are overrepresented in the criminal justice system. More than half of all inmates in the U.S. have a mental illness. Individuals with mental illness are more likely to experience multiple arrests and incarcerations. In most states, people with mental illness reside in prisons or jails than in state-operated psychiatric facilities. Perceived and structural stigma plays a specific role in the criminal justice system. Click "download" above to access: The Preventing and Reducing Stigma: Criminal Justice Slide Deck The Preventing and Reducing Stigma: Criminal Justice Two-pager Related Resources Web Page: Preventing and Reducing Stigma    

People with mental health and substance use disorder experience high rates of discrimination in employment. Few protections exist for people with mental health or SUD who experience discrimination in employment.   Click "download" above to access: The Preventing and Reducing Stigma: Business slide deck The Preventing and Reducing Stigma: Two-pager Related Resources  Preventing and Reducing Stigma web page        

Mental health and substance use disorders (SUD) are among the most common chronic health conditions in the United States. The National Survey on Drug Use and Health reports that 61.2 million American adults—almost one in five—experienced either an SUD or any mental illness in 2019. Despite the prevalence of these conditions, the stigma associated with substance use or mental health disorders presents a barrier to treatment.   Click "download" above to access  The Preventing and Reducing Stigma: Behavioral Health Slide Deck The Preventing and Reducing Stigma: Behavioral Health Info Sheet   Related Resources Web Page: Preventing and Reducing Stigma      

Pharmacology for Prevention Specialists: Pharmacology of Psychostimulants (Cocaine & Methamphetamine)   October 22, 2020   Webinar Description Join us for the third offering in our pharmacology webinar series. This webinar will explore the pharmacology of psychostimulants with a focus on cocaine and methamphetamines. The presenter will cover how psychostimulant addiction impacts major brain regions and the acute and chronic symptoms associated with cocaine and methamphetamine use. Specific features of psychostimulant dependence and withdrawal will be discussed specifically symptoms that occur when a person is discontinuing their use. The webinar will use Zoom technology and the format will be interactive with ample time for questions.   Objectives Define addiction and how it impacts regions of the brain. Describe the acute and chronic effects of cocaine and methamphetamine use and withdrawal.     Presenter Ron Jackson, MSW, LICSW, is a Clinical Professor at the University of Washington’s School of Social Work where he teaches courses on addiction and its treatment methods. He recently retired as the Executive Director of Evergreen Treatment Services (ETS), a private non-profit organization, in Seattle, Washington, that provides outpatient opioid treatment in clinics in western Washington and street-based case management services for homeless persons with substance misuse disorders (REACH Program) in Seattle. He served for 10 years as a Co-Principal Investigator for the Washington Node of NIDA’s Clinical Trials Network and is currently on the Advisory Board for the NWATTC.  Mr. Jackson has worked in the field of addiction treatment since 1972.         Webinar Recording View Webinar   Webinar Slides Webinar Slides - Pharmacology for Prevention Specialists: Pharmacology of Psychostimulants (Cocaine & Methamphetamine)   Additional Resources NCHS Data Brief: Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009–2018

Faith institutions have the potential to touch a broader range of the community than other sectors because they reach people of all ages, economic levels and ethnicities. This webinar will present a strong, clear rationale for the role of faith leaders in working across the continuum of care, including substance use prevention. Drew Brooks is the Executive Director of Faith Partners, a non-profit organization providing leadership, administration, and training for a congregational addiction team ministry model. He has been active in church all his life and provided leadership in a number of ministries. Drew has worked in the prevention, treatment, and public health fields for more than 36 years with Hazelden, Johnson Institute, and other organizations, including providing training and consultation to faith communities, schools, and community organizations across the country. He recently served as co-chair of the Austin Recovery-Oriented Systems of Care (ROSC) Initiative, member of the Texas Recovery Initiative (TRI), and a member of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) 12-person team to assist the State of Texas in designing and implementing recovery-oriented supports, services, and systems.   Ben Spooner has contributed to technical assistance (TA) efforts in communities across  the nation, including work with multiple American Indian tribes. He has served as a TA provider for the Massachusetts TA system since 2012. Prior to this,his most recent work was with the Safe Schools/Healthy Students Training and Technical Assistance Center and with the Tribal Youth Program Training and Technical Assistance Center providing TA on youth substance use and violence prevention.      Additional Materials:  /media/2764 Engaging the Faith Comm. (Part 1): https://youtu.be/OH89_1QWBjk Engaging the Faith Comm. (Part 2): https://youtu.be/eypRelytCNg

Use this slide in your presentations and visuals to affirm the use of intentional and destigmatizing language associated with having, treating, or being in recovery from a substance use or mental health disorder. Check out the supporting research here.