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Southeast PTTC September Newsletter

The National Hispanic and Latino Prevention Technology Transfer Center is pleased to collaborate with the American Foundation for Suicide Prevention to provide new fact sheets on Suicide Prevention Amongst Hispanics and Latinos to download and distribute. This fact sheet has been translated from English to both Spanish and Portuguese. Downloadable Factsheets English Español Português

The purpose of this webinar is to present what is known about risk of suicide in Latino adolescents and how culturally informed and family-based prevention programs and practices can prevent adolescent suicide. Learning Objectives Attendees will be able to: Identify the risk factors associated with self-harm and suicide attempts Describe the interaction between cultural factors and risk and protection.  Summarize the best individual and family interventions to reduce suicide behaviors.    Additional Resources Webinar Handouts    Translations   Presenters Dr. Daniel Santisteban Dr. Daniel Santisteban is a Clinical Psychologist who received training at Rutgers University (B.S.), University of Miami (Ph.D.), and Bellevue Hospital/NYU (Internship). He is a Professor Emeritus at the University of Miami School of Education and Human Development.  Dr. Santisteban’s research focuses on adolescent and family therapy, culturally informed treatments, and family therapy training. Dr. Santisteban is the developer of an adaptive evidence-based family therapy called Culturally Informed and Flexible Family Treatment for Adolescents (CIFFTA). CIFFTA is one of the few evidence based treatments originally designed for Latino families, and is being utilized in community agencies around the country. Dr. Santisteban has a long track record of NIH, SAMHSA, and foundation grants. These grants have led to the development and testing of evidence based treatments for Latinos, the training of over 1000 students and community service providers, and his current work continues to focus on training, coaching and implementation work in communities around the country. Santisteban has published extensively in the areas of family therapy outcomes, substance use and co-occurring disorders, technology-assisted treatment, and culturally informed treatment. He is currently working on a book on “Family Therapy for Latino Adolescents”. Awards received include the 2004 American Family Therapy Academy award for Distinguished Contribution to Family Systems Research, the 2012 University of Miami Civic Engagement Award, the 2020 University of Miami Provost Award, and the 2020 American Psychological Association’s Division 45 (Psychological Study of Culture, Ethnicity and Race) award for Distinguished Career in Research. Dr. Maite P. Mena Dr. Maite P. Mena is a Research Assistant Professor and a licensed Clinical Psychologist at the University of Miami School of Education and Human Development. She has extensive experience in working with minority populations experiencing health disparities and in implementing programs and evaluating their outcomes. Over the past 15 years, Dr. Mena has focused on identifying the unique needs of the Latino community and has specialized in developing and testing a culturally informed family therapy for minority populations (CIFFTA) focusing on families affected by substance abuse, co-occurring psychiatric disorders, self-harm, and cultural stressors. Dr. Mena has collaborated on writing grants which have resulted in roles such as, co-principal investigator, co-investigator, and project director on several National Institute on Drug Abuse (NIDA) and NIMHD funded randomized clinical trials. This work has led to publications on the theory and development of a family treatment for drug abusing Hispanic youth, cultural issues impacting this population, and the treatment of co-occurring disorders in adolescents. Grants from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Health Foundation of South Florida have led Dr. Mena to acquire expertise in the training and dissemination of Screening, Brief Intervention and Referral to Treatment (SBIRT) and Motivational Interviewing, both evidence-based practices.

The National Hispanic and Latino ATTC and PTTC joins mental health advocates, prevention organizations, survivors, allies, and community members to promote Suicide Prevention month. Together we can all prevent suicide. Disponible en Español La Centros Nacionales Hispano Latino ATTC y la PTTC se unen a defensores de la salud mental, organizaciones de prevención, sobrevivientes, aliados y miembros de la comunidad para promover el mes de la Prevención del Suicidio. Juntos podemos prevenir el suicidio. Disponible en Portugués Os Centros Nacionais Hispânico-Latino de Treinamento e Assistência Técnica em Abuso de Substâncias e de Prevenção (NHL ATTC e PTTC) unem-se à defensores da saúde mental, organizações de prevenção, sobreviventes, aliados e membros da comunidade para promover o mês de Prevenção ao Suicídio. Juntos, todos nós podemos prevenir o suicídio.

Opioid Overdoses and Suicide Additional Resources PTTC Events and Products Epi Corner:Understanding Disease Using the Epidemiology Triangle

    Produced by the Central East Prevention Technology Center, this Suicide Prevention Resource Guide is intended to support suicide prevention stakeholders and other interested individuals by providing a comprehensive list of suicide prevention resources, as of April 2020. These suicide prevention hotlines and other resources contained in this document are located within the Central East Region (i.e., Delaware, Maryland, Pennsylvania, Virginia, West Virginia, and the District of Columbia). The document is organized into two primary sections: National hotlines and resources developed or supported by the Substance Abuse and Mental Health Services Administration (SAMHSA), other Federal agencies, or national nonprofit organizations. State-specific hotlines and resources developed by state agencies or statewide or local nonprofit organizations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

Presented by: PACIFIC SOUTHWEST PREVENTION TECHNOLOGY TRANSFER CENTER & PACIFIC SOUTHWEST MENTAL HEALTH TECHNOLOGY TRANSFER CENTER   DATE: Thursday, May 14, 2020   Description Substance misuse and its relationship to suicide among youth and young adults continues to be of concern to public health practitioners. This panel discussion will highlight real world intersections of substance misuse prevention and mental health best practices to reduce risk of suicide among youth and young adults. Panelists will offer expertise and perspective on how to impact populations who are at risk for substance misuse and suicide. The webinar examines shared risk and protective factors for vulnerable populations, outlines college campus programs for behavioral health, and explores the integration of suicide risk screening and intervention into the substance use early intervention model SBIRT. There will be a focus on effectively supporting youth and young adult populations. By the end of the webinar, participants will be able to: 1.  Identify opportunities to effectively link mental and behavioral health supports to prevent and respond to risks of substance misuse and suicide. 2.  Identify prevention programs that integrate knowledge, skill, and abilities to benefit vulnerable youth and young adults.  3.  Locate real-world examples of successful practices.   Presenters Brett Harris, DrPH, is a Clinical Assistant Professor at the University at Albany School of Public Health and the Director of Public Health Initiatives at the Suicide Prevention Office of the New York State Office of Mental Health (OMH). Dr. Harris co-developed and is currently teaching the graduate course Suicide as a Public Health Problem.  In her role with the State of New York, Dr. Harris oversees all community-, school-, college-, and university-based suicide prevention initiatives and supports implementation of suicide safer care in multiple clinical service settings. James Mazza, Ph.D, is Professor, Educational Psychology, University of Washington and Director of the School Psychology Program. His work focuses broadly on adolescent mental health issues, particularly internalizing disorders such as depression, anxiety, posttraumatic stress disorder, exposure to violence and especially suicidal behavior. Dr. Mazza’s research focuses on a multi-tiered system of support (MTSS) that emphasizes the need to provide school-based mental health services and SEL programs to all students as part of their education. Debra Cox-Howard, MC, LPC, LISAC, holds dual licenses and is a Mental Health Clinician at The University of Arizona's Counseling & Psych Services department. In addition to her role as clinician with a specialty in substance abuse counseling, Ms. Cox-Howard is a founder and co-Chair of the interdepartmental Substance Abuse Team and founder and co-Faculty Advisor for Wildcats Anonymous-The University of Arizona's Collegiate Recovery Program. Debra's work focuses on substance abuse prevention, assessment and treatment, addictions, adult children of alcoholics, time and stress management, relationships, and general counseling.    Webinar Recording You can view the webinar by completing the form on this link: https://meet60318086.adobeconnect.com/mhttcrecordedwebinarnavigatingriskofsuicide/event/registration.html Once you fill out the form Click View.   Webinar Slides Download Slides - Navigating Risk of Suicide in the Context of Substance Misuse: Best Practices for Supporting Youth and Young Adults

This guide is a list of suicide prevention applications in virtual stores. This compilation is not an endorsement of any of the virtual applications mentioned. Last updated: 05/13/2020

Opioid and Alcohol Misuse: The Risk of Suicide Josh Esrick, MPP, and Emily Patton, MSc, PgDip May 14, 2020, 1-2 PM EST COURSE DESCRIPTION Substance use prevention efforts are part of a continuum of behavioral health services. It is important for prevention stakeholders to understand priority issues and activities across other areas of that continuum. Increasing awareness and understanding of how different areas of that continuum intersect and overlap enables stakeholders to identify shared issues and potential opportunities for collaboration. One such area is the issue of suicide prevention. The increasing rates of suicide across most demographics is a major public health concern. Research has shown that substance use, and in particular both opioid and alcohol misuse, can increase suicide risk. This webinar will discuss how, and to what extent, opioids and alcohol are connected to suicide risk. It will also cover identified evidence-based substance use prevention programs that also address risk of suicide, and what potential opportunities for further collaborations may exist. LEARNING OBJECTIVES Examine the scope of suicide risk and the populations most at-risk for suicide Summarize the scope of substance use-involved fatalities and the impact of suicide Discuss the research on the connections between substance use and risk of suicide Overview evidence-based programs for preventing substance use and suicide, as well as other opportunities for collaboration 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. 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.               

The Mountain Plains Mental Health Technology Transfer Center and the Mountain Plains Prevention Technology Transfer Center collaborated to host a six-part webinar series, Suicide Prevention Across the Educational Continuum. Throughout the series, participants are provided with information related to suicide prevention and intervention for youth, young adults, and college students. Suicide Prevention and Intervention for Transition Age Youth on College Campuses Higher education settings are increasingly tasked with responding to the mental health needs of students and transition age youth on campuses. This session will focus on increasing faculty and staff understanding of suicidality and best practices for supporting students and transition age youth experiencing thoughts of suicide. Particular attention will be given to identifying warning signs for suicidality, best practices for screening and referring individuals to campus based care, and best practices for suicide interventions for college and transition age youth. Presented by: Andy McLane, MD, MPH & Sarah Nielsen, PhD, OTR/L   Webinar Recording Presentation Slide in .PDF Presentation Transcript   Suicide Prevention and Intervention Resources for Transition Age Youth on College Campuses    

The Mountain Plains Mental Health Technology Transfer Center and the Mountain Plains Prevention Technology Transfer Center collaborated to host a six-part webinar series, Suicide Prevention Across the Educational Continuum. Throughout the series, participants are provided with information related to suicide prevention and intervention for youth, young adults, and college students. Suicide Interventions and Response for Youth Experiencing Serious Emotional Disturbance (SED) Special consideration must be given to engaging in suicide intervention and response for youth and adolescents. This session will provide participants with an overview of best practices for addressing suicidal behaviors and thoughts for youth and adolescents experiencing Serious Emotional Disturbance (SED). Focus will be placed on understanding the definition of SED, engaging in interdisciplinary care for SED youth, best practices for working with youth experiencing SED and their families, and implications for suicide intervention and prevention with this population. Presented by: JP Legerski, PhD Presentation PDF Webinar Recording  

The Mountain Plains Mental Health Technology Transfer Center and the Mountain Plains Prevention Technology Transfer Center collaborated to host a six-part webinar series, Suicide Prevention Across the Educational Continuum. Throughout the series, participants are provided with information related to suicide prevention and intervention for youth, young adults, and college students. Crisis Response Planning for Suicidal Patients: an Introduction A widely-used strategy for managing acute suicide risk is the contract for safety, also known as the no-suicide contract. Despite its widespread use across mental health and medical settings, accumulating consensus is that this approach may be ineffective. Alternative strategies such as crisis response planning or the related safety planning intervention have therefore been proposed. Written on an index card, the crisis response plan outlines simple steps for a suicidal individual to follow when in a crisis. Results of a recently completed randomized clinical trial show that crisis response planning reduces suicide attempts by 75% as compared to the contract for safety, thereby supporting the method’s efficacy. The purpose of this presentation is to provide an overview of crisis response planning, and to differentiate the method from other, less effective means for managing suicide risk. Presented by: Craig J. Bryan, PsyD, ABPP   Webinar Recording Presentation Slide in .PDF Presentation Transcript

The Mountain Plains Mental Health Technology Transfer Center and the Mountain Plains Prevention Technology Transfer Center collaborated to host a six-part webinar series, Suicide Prevention Across the Educational Continuum. Throughout the series, participants are provided with information related to suicide prevention and intervention for youth, young adults, and college students. School-Based Suicide Prevention Interventions for K-12 Population Participants in this webinar will learn the youth suicide prevalence nationally and the implications to schools. They will also be able to familiarize themselves with multi-tiered systems of positive behavior and social emotional learning. In addition, how the multi-tiered systems support the prevention of suicide. Finally, the webinar will discuss ways to build capacity and sustainability of these services in K-12 schools. Presented by: Aaron Fischer, PhD   Webinar Recording Presentation Slides in .PDF Presentation Transcript  

The Mountain Plains Mental Health Technology Transfer Center and the Mountain Plains Prevention Technology Transfer Center collaborated to host a six-part webinar series, Suicide Prevention Across the Educational Continuum. Throughout the series, participants are provided with information related to suicide prevention and intervention for youth, young adults, and college students. World Class Resources to Discover Genetic Risks for Suicide Death  Suicide leads to over 47,000 preventable deaths annually in the U.S. alone. In addition, suicide has increased by 33% in the U.S. in the last two decades. While environment plays a critical role, suicide has a strong genetic component. With the unique resources available to the Utah Suicide Research Program, we have the opportunity to make significant contributions to the understanding of this genetic aspect of suicide risk, with the ultimate goal of development of personalized interventions. This presentation will give an update on research progress and how results may impact the future of prevention and treatment. Presented by: Hilary Coon, PhD   Webinar Recording Presentation Slides in PDF Presentation Transcript   Suicide Risk Resources for Prevention and Research    

The Mountain Plains Mental Health Technology Transfer Center and the Mountain Plains Prevention Technology Transfer Center collaborated to host a six-part webinar series, Suicide Prevention Across the Educational Continuum. Throughout the series, participants are provided with information related to suicide prevention and intervention for youth, young adults, and college students. Suicide Assessment and Response for K-12 Populations Responding to mental health crisis and risk of suicide in a school setting presents unique challenges and considerations for mental health practitioners, educators, and parents. Participants in this session will learn recommended best practices for assessing children and adolescents for suicide and initiating appropriate responses to youth experiencing thoughts of suicide in a K-12 school setting. Special attention is given to common screening and assessment tools used in school settings, best practices for utilizing an interdisciplinary team approach to respond to youth experiencing thoughts of suicide in a school setting, and ways to identify risk and protective factors for youth and adolescents at risk of suicide. Presented by: Erin Briley, MS, NCSP   Webinar Recording Presentation Slides PDF Presentation Q&A Presentation Transcript   Suicide Prevention and Intervention Resources

Additional Resources Download the presentation slides   Translations     This presentation will provide a clear understanding between a healthy dating relationship and an unhealthy dating relationship. What are the statistics on teen dating violence among Latino and Hispanic youth across the US? Teen dating violence can be prevented by learning warning signs and red flags that lead to abusive relationships. Setting boundaries early in a relationship may help prevent a teenager from becoming a victim of teen dating violence. Victims of dating violence may turn to substances to try to cope with the pain, shame and guilt. Learning Objectives: o Describe statistics of teen dating violence o Define healthy vs unhealthy relationships o Recognize warning signs o Develop healthy communication skills o Establish setting boundaries o Identify Substance Use Speaker Glory McDaniel, MA, LPCC, LAC, NCC In May of 2018, Glory McDaniel earned her Master of Arts in Clinical Mental Health Program from Denver Seminary. Mrs. McDaniel is a bilingual therapist working with specific treatment of co-occurring substance use disorders and posttraumatic stress, addiction, and mental illness, leading both English and Spanish groups, educating the community as well as individual counseling. She serves on the board of the Colorado Association of Addiction Professionals (CAAP) and facilitator for Mending the Soul (MTS) groups for women survivors of abuse. Mrs. McDaniel earned her Bachelor of Science degree in Human Services with emphases in Domestic Violence Counseling and Addiction Counseling from the Metropolitan State University of Denver in 2013. She interned with the Center for Trauma and Resilience, formerly known as Denver Center for Crime Victims (DCCV), and later joined the Colorado Organization of Victim Assistance (COVA) as their Human Trafficking Case Manager.

Overview Many states maintain data on substance misuse and suicide-related problems, including death rates. Mapping is used frequently to communicate this data to stakeholders. However, individual states do not always have access to the data from neighboring states, or the data is not easily comparable across state lines. In HHS Region 7, important population centers and transportation routes exist at and across state borders. Therefore, it makes sense to map and share data that is easily comparable across state boundaries. In this example, data on deaths related to ATOD use is combined with data on deaths by suicide to provide a more complete picture of behavioral health-related mortality in the across the region. Hopefully, this model of data sharing can facilitate cross-state and region-wide planning and collaboration to address behavioral health problems.    

Click the buttons below to view this webinar translated in Spanish or Portuguese     This webinar will provide an overview of suicide prevention with the intention of encouraging participants to be available to prevent suicide within the people they interact with. Facilitator will discuss warning signs and risk factors for suicide. National data, youth data, including suicide among Latinos and other relevant data will be presented. The webinar will discuss the effects of this “forever decision” which is preventable. The facilitator will present her experience as the suicide prevention project coordinator at CETPA Inc. Lastly, suicide prevention resources that are easy to implement and culturally based practices that have proven to work in the efforts of preventing suicide will be discussed. Presenter: Diana Rosado, ICP CLICK HERE FOR HANDOUTS

Part 2 of a two-part series presented by the Great Lakes PTTC in collaboration with the Suicide Prevention Resource Center.  This 90-minute webinar highlights the unique relationship between opioid use disorder and suicidality. Presenters: Dr. Kristen Quinlan, Ph.D., and Nicole Tirone, LCSW, Suicide Prevention Resource Center Webinar Slides: The Intersection of Substance Use, Overdose, and Suicide: Part 2 Webinar Transcript: The Intersection of Substance Use, Overdose, and Suicide: Part 2

This webinar is part one of a two-part series presented in collaboration with the Great Lakes PTTC and the Suicide Prevention Resource Center. Part 1 will present the complicated relationship between substance use disorders and suicidal thinking and behaviors. Presenters will explore the implications of this information for prevention and early intervention, including opportunities for collaboration. Presenters: Dr. Kristen Quinlan, Suicide Prevention Resource Center, and Nicole Tirone, LCSW, Suicide Prevention Resource Center  

COURSE DESCRIPTION Though suicide touches every community, the stunningly disproportionate rate of self-induced deaths among LGBTQ individuals is an ongoing emergency. Family rejection, social stigma and discrimination, economic insecurity, and prejudice-related mental health concerns have enormous impact on suicidal ideation. This webinar will highlight some of the pressures that lead sexual and gender minority people to suicide, what factors elevate or lower self-harm risk, and interventions to help LGBTQ people build resilience in a hostile world. LEARNING OBJECTIVES Examine the suicide epidemic among LGBTQ people, including prevalence, disparities, trends, psychosocial challenges, and help-seeking behaviors. Explore unique risk and protective factors for suicide among LGBTQ people. Increase awareness of culturally-specific prevention and support interventions. Highlight methods to boost LGBTQ resilience to suicide and suicidal ideation. PRESENTER Kate Bishop, MSSA, the Education Coordinator at the LGBT Health Resource Center of Chase Brexton, is a seasoned professional development trainer with expertise in working with LGBTQ populations, sexual and reproductive health care, adolescent development, intimate partner violence, and sexual trauma. She is certified as a trainer through GLSEN (Gay, Lesbian and Straight Education Network) as well as SAGE (Services and Advocacy for GLBT Elders). Before joining the Chase Brexton team, she developed the capacity building program at the University of Maryland School of Medicine’s STAR TRACK Adolescent HIV program, providing cultural responsiveness trainings for agencies that serve sexual minority youth of color. Ms. Bishop holds a Bachelor of Arts in Gender Studies from Hiram College and a Masters in Social Work from Case Western Reserve University.                 

Central East Webinar: Opioid Overdoses and Suicides-Two Overlapping Public Health Crises Bobbi Jo Yarbourgh, PsyD, and Julie Richards, MPH August 8, 2019, 1-2 PM EST COURSE DESCRIPTION Rates of both opioid-related overdoses and suicides are increasing in the U.S. These two adverse outcomes share common risk factors and many opioid-related overdose deaths labeled as accidents may actually be suicides. In this webinar, researchers will describe the context of the opioid crisis, identify links between opioid-related overdoses and suicides, and learn about how integrated screening and follow-up for depression, suicidal behavior, and substance use in primary care can help to identify opportunities for prevention. LEARNING OBJECTIVES Understand the current context of opioid prescribing in the U.S. and the risks of opioid-related harms including abuse, misuse, addiction, and overdose Understand the links between opioid-related overdoses and suicides Review an example of integrated screening/follow-up for depression, suicidality, and substance use in primary care PRESENTERS Bobbi Jo Yarbourgh, PsyD is a clinical psychologist and health services researcher working to improve care and outcomes among individuals with serious mental illnesses and/or substance use disorders. Across both areas, her work has focused on consumer definitions of recovery and preferences for treatment. Dr. Yarborough’s current research on mental illness includes development of a community engagement intervention for individuals experiencing a first psychotic episode; evaluation of the implementation of the national Zero Suicide initiative across several health systems, including Kaiser Permanente Northwest; and integration of opioid-related variables into a previously-developed suicide risk prediction model in order to predict opioid-related suicide attempts and deaths. Her past work has included developing a lifestyle intervention (STRIDE) that helped adults taking antipsychotics to lose weight, improve glucose control, and reduce hospitalizations; and a study examining patterns and rates of preventive service use among patients with and without serious mental illnesses. In addition to her mental illness work, Dr. Yarborough has a thriving program of research on substance use, with a focus on opioid use. This research includes examining the incidence and prevalence of the risks of opioid abuse, misuse, and addiction among patients treated with opioids for chronic pain; an observational study designed to measure the incidence and predictors of opioid overdose and death using patient health records, insurance claims, and death records; a study examining long-term changes in function associated with opioid dose changes; and an examination of different models of treatment for opioid use disorders in primary care settings. Julie Richards, MPH has a particular interest in research designed to improve care for stigmatized conditions. She has applied these interests in a broad range of research projects related to sexually transmitted disease, depression, smoking cessation, and suicide and substance use. Julie is also currently enrolled in the University of Washington Health Services PhD program, concentrating in Health Systems Research, and planning to complete the program in 2019. Julie is currently engaged in research projects on suicide prevention as well as alcohol use, funded by NIMH, NIAAA, and the American Foundation for Suicide Prevention. She is a co-investigator on a project seeking to understand suicide attempts following patient reports of no ideation (SRG-0-150-13), and she helps manage Dr. Greg Simon’s large pragmatic trial of population-based programs to prevent suicide attempt (UH3 MH092201). She also manages Dr. Katharine Bradley’s recently completed trial of a collaborative care intervention for primary care patients with alcohol use disorders in the VA (R01 AA018702). Julie is also involved in a large-scale project evaluating the implementation of routine annual screening for depression, alcohol, marijuana and drug use across all 25 Kaiser Permanente Washington primary care clinics (funded in part by AHRQ R18 HS023173-01) and data analyses evaluating whether clinical alcohol screening can be used to monitor drinking outcomes in HIV+ patients (R21 AA022866-012015).             

The June 2019 issue of The Dialogue contains articles on: Addiction: Men's Health and SUDs (#MensHealthMonth) | Mental Health: Data for Suicide Prevention | Prevention: Improving Prevention Outreach to Men | ORN Faith Community Lunch & Learn | Region 3 Spotlight and National Spotlight. Additional sections include upcoming training and webinar events, behavioral health observances, new resources, and Region 3 news.   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. If you would like to be added to our mailing list to receive the Dialogue, news, and training announcements, sign up here.