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Welcome
National Frontier and Rural ATTC    Advisory Board Meeting            Nancy A. Roget, MS  Principal Investigator/Project D...
Serve as the national subject expertand key resource to PROMOTE the awareness and implementation of      telehealth techno...
Original Advisory Board Members
Last Round of Funding Board Members
NFAR ATTC BOARD MEMBERS
Goals of Advisory Board Meeting• Formally Introduce NFAR ATTC• Build Relationships with Advisory Board  Members• Solicit F...
Unofficial Goals
Which Technology Enhances YourWork and Expands the Possibilities
University of Nevada, Reno
CASAT   5.3 million dollar    annual budget20 grants & contracts
Center for the Application ofSubstance Abuse Technologies (CASAT)             Orvis Building       University of Nevada, R...
NFAR Staff
History of                        History   the ATTC                           of the   Network                           ...
ATTC History:    We’ve been around for a while                               1993           CSAT funds first 11   “Addicti...
1995 Addiction Training Centers become ATTCs– SAMHSA decided not to support students over the ATTC  budget (About $ 200,00...
ATTC History               1996CSAT re-names the program from ATCs to “Addiction Technology Transfer Centers”(ATTCs) to be...
ATTC Network from 1998 - 2001
ATTC History               1998               CSAT establishes the ATTC Network, with                 the creation of the ...
ATTC History2000The ATTC Network published The  Change Book: A Blueprint for  Technology Transfer2001NIDA and SAMHSA enter...
ATTC Network from 2002 -2007
BUPRENORPHINE TREATMENT:               ATTC History                                       A TRAINING FOR                  ...
ATTC History2011: ATTC Network Technology Transfer Workgroup  publishes “Research to practice in addiction treatment: key ...
ATTC Network from 2012 - 2017
Four National Focus Areas• National American Indian & Alaska Native ATTC  email: americanindianalaskanative@attcnetwork.or...
National                   American Indian & Alaska Native         National                                ATTC           ...
Almost 20 Years…..
Serve as the national subject           expert            and      key resource toPROMOTE the awareness andimplementation ...
DefinitionsTelehealth      ‘refers to the use of telecommunications and information technologies to provide access to heal...
Definitions• Synchronous communications  telephone counseling• Asynchronous Communications  email or web-based programs• S...
1879
Telemedicine/Telehealth• Annually, 10 million patients  receive telemedicine services.• In 2011, the Veteran  Administrati...
Telehealth Research• 141 Randomized Control Trials –148 telemedicine interventions with  nearly 37,000 patients –108 of th...
Telehealth is not about technology itselfbut is a bridge to relationship with the patient            in order to provide c...
Telehealth as it Relates to Treatment      and Recovery for SUDs
4
Video Conferencing
Brief Review of Research
TES is an interactive, web-basedprogram theoretically grounded in the     evidence-based Community  Reinforcement Approach...
Mōtiv8 is a web based contingency   management program for smoking   cessation using a home monitoring                 sys...
MES is a computer-based briefintervention with the goal of facilitating  self-change, treatment engagement,and/or motivati...
cMET/CBT/CM is a computer-  delivered intervention for cannabisuse disorders, incorporating features of three evidence-bas...
MyStudentBody is an interactive, web-based brief intervention for alcohol use    in college student populations Theoretica...
McClure, Acquanta, Harding, & Stitzer               In Press• Surveyed 8 urban clinics in Baltimore  (266 patients)• Clien...
Training Substance Abuse Clinicians in  Motivational Interviewing Using Live   Supervision via TeleconferencingTeleconfere...
NASADAD Survey• In 2009, Addiction Treatment Providers  in 16 states reported offering  treatment services using telehealt...
Summary of  Goals
Create addiction treatment telehealth competencies and develop  policy recommendations for national   license portability ...
Use state-of-the-art culturally-relevanttraining and technical assistance activities    to help the frontier/rural addicti...
We need to embrace        RECOVERY
White, 2011        Recovery is contagious. Get close to it.Stay close to it. Catch it. Keep catching it. Pass   it on
PREPARE pre-service addiction treatment and allied health students on     using telehealth technologies by developing and ...
Key Collaborators•   NASADAD•    SAAS-Treatment Provider Associations•    HRSA Regional/National Telehealth Centers•    Te...
Year 1 Key Events
Year 1 Key Events•   Build compendium through Literature Searches•   Develop Graphics/Marketing Themes•   Conduct Teleheal...
Drive targetpopulation toour website            76
2 UpcomngTrainingsBrief Introductory Training Administrators Training
Utilize Video
It’s the Relationship with Stakeholders    and Customers that is MOST ImportantGroundswell: Bernoff & Li, 2009
Year 2-5• Film and Disseminate Two Telehealth Workshops• Develop Clinical Supervisor Curriculum• Annotate Bibliographies• ...
Who is Our Audience?
Addiction Treatment Counselors
The majority of the Substance Abuse       Treatment Workforce is …                 Clinical     Direct Care               ...
Serve as the national subject           expert            and      key resource toPROMOTE the awareness andimplementation ...
Download this PowerPoint Presentation          from our website    www.attcnetwork.org/frontierrural
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
Nfar advisory board meeting 2 28-13 final
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Nfar advisory board meeting 2 28-13 final

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Nfar advisory board meeting 2 28-13 final

  1. 1. Welcome
  2. 2. National Frontier and Rural ATTC Advisory Board Meeting Nancy A. Roget, MS Principal Investigator/Project Director 2.28.13
  3. 3. Serve as the national subject expertand key resource to PROMOTE the awareness and implementation of telehealth technologies
  4. 4. Original Advisory Board Members
  5. 5. Last Round of Funding Board Members
  6. 6. NFAR ATTC BOARD MEMBERS
  7. 7. Goals of Advisory Board Meeting• Formally Introduce NFAR ATTC• Build Relationships with Advisory Board Members• Solicit Feedback and Guidance on Proposed Deliverables• Utilize Advisory Board Members Expertise to Enhance Proposed Products
  8. 8. Unofficial Goals
  9. 9. Which Technology Enhances YourWork and Expands the Possibilities
  10. 10. University of Nevada, Reno
  11. 11. CASAT 5.3 million dollar annual budget20 grants & contracts
  12. 12. Center for the Application ofSubstance Abuse Technologies (CASAT) Orvis Building University of Nevada, Reno
  13. 13. NFAR Staff
  14. 14. History of History the ATTC of the Network ATTCsThanks to Dr. Anne Helene Skinstad
  15. 15. ATTC History: We’ve been around for a while 1993 CSAT funds first 11 “Addiction Training Centers” (ATCs) Coverage: 19 US States and Puerto RicoProgram expanded to cover 4 additional states in 1995
  16. 16. 1995 Addiction Training Centers become ATTCs– SAMHSA decided not to support students over the ATTC budget (About $ 200,000 removed from individual ATTC centers’ budgets)– Criminal Justice Supplement added to several of center’s budgets– Virginia Commonwealth University’s responsibility expanded to include Maryland and North Carolina– Northwest Frontier’s responsibility expanded to include Hawaii– Iowa ATC received a subcontract through Governor State University, became the ATC of Iowa • Developed a 60 SH MA program in Substance Abuse and Mental Health Counseling (CACREP Approved in 2001)
  17. 17. ATTC History 1996CSAT re-names the program from ATCs to “Addiction Technology Transfer Centers”(ATTCs) to better reflect the scope of work
  18. 18. ATTC Network from 1998 - 2001
  19. 19. ATTC History 1998 CSAT establishes the ATTC Network, with the creation of the ATTC National Office  13 Regional Centers and a National Office covering 39 states, the District of Columbia, Puerto Rico and the US Virgin Islands1998The ATTC Curriculum Committee writes the Addiction Counseling Competencies, which CSAT publishes as TAP 21
  20. 20. ATTC History2000The ATTC Network published The Change Book: A Blueprint for Technology Transfer2001NIDA and SAMHSA enter into aninteragency agreement to form theNIDA/SAMHSA Blending Initiative
  21. 21. ATTC Network from 2002 -2007
  22. 22. BUPRENORPHINE TREATMENT: ATTC History A TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS Module I - Introduction2005First NIDA/SAMHSA “Blending Product” released, Buprenorphine Treatment: A Training for Multidisciplinary Professionals.2006With significant involvement from the ATTCs, SAMHSA publishes an updated version of TAP 21: The Addiction Counseling Competencies.
  23. 23. ATTC History2011: ATTC Network Technology Transfer Workgroup publishes “Research to practice in addiction treatment: key terms and a field-driven model of technology transfer,” in the Journal of Substance Abuse Treatment. 2011: SAMHSA & State Department create the first international ATTC, the Vietnam HIV ATTC. 2012: ATTC Network completes national workforce study, “Vital Signs: Taking the Pulse of the Addiction Treatment Profession.”
  24. 24. ATTC Network from 2012 - 2017
  25. 25. Four National Focus Areas• National American Indian & Alaska Native ATTC email: americanindianalaskanative@attcnetwork.org• National Frontier & Rural ATTC email: frontierrural@attcnetwork.org• National Hispanic & Latino ATTC email: hispanic@attcnetwork.org• National Screening, Brief Intervention & Referral to Treatment ATTC email: sbirt@attcnetwork.org
  26. 26. National American Indian & Alaska Native National ATTC SBIRT ATTC NationalFrontier & Rural ATTC National Hispanic & Latino ATTC
  27. 27. Almost 20 Years…..
  28. 28. Serve as the national subject expert and key resource toPROMOTE the awareness andimplementation of telehealth technologies
  29. 29. DefinitionsTelehealth ‘refers to the use of telecommunications and information technologies to provide access to health information and services across a geographical distance.’Telemedicine ‘use of medical information exchanged from one site to another via electronic communications to improve patients’ health status’
  30. 30. Definitions• Synchronous communications telephone counseling• Asynchronous Communications email or web-based programs• Some web-based programs include both type of communications
  31. 31. 1879
  32. 32. Telemedicine/Telehealth• Annually, 10 million patients receive telemedicine services.• In 2011, the Veteran Administration alone provided 6,700 patients with telemental health services.
  33. 33. Telehealth Research• 141 Randomized Control Trials –148 telemedicine interventions with nearly 37,000 patients –108 of the trials were favorable toward telemedicine intervention –38 trials showed no statistical differences
  34. 34. Telehealth is not about technology itselfbut is a bridge to relationship with the patient in order to provide care. (Shore, 2012)
  35. 35. Telehealth as it Relates to Treatment and Recovery for SUDs
  36. 36. 4
  37. 37. Video Conferencing
  38. 38. Brief Review of Research
  39. 39. TES is an interactive, web-basedprogram theoretically grounded in the evidence-based Community Reinforcement Approach (CRA) to behavior therapy Theoretical Approach: CommunityReinforcement Approach (CRA) behaviortherapy; contingency management (CM) Target Substance: Poly-substance use
  40. 40. Mōtiv8 is a web based contingency management program for smoking cessation using a home monitoring system Subjects log onto a website and use video recording software to record and submit videos of breath carbon monoxide (CO) samples. The Mōtiv8 application uses a web-based interface for collecting data, automatingimmediate voucher (incentive) delivery, and some versions of the application include a group support forum.
  41. 41. MES is a computer-based briefintervention with the goal of facilitating self-change, treatment engagement,and/or motivation to change via a single intervention session. Theoretical Approach: Motivational intervention Target Substance: Multiple substances, poly-substance use
  42. 42. cMET/CBT/CM is a computer- delivered intervention for cannabisuse disorders, incorporating features of three evidence-based treatments: cognitive behavioral therapy (CBT), motivational enhancement therapy(MET), and contingency management (CM). Nine sessions presented over 12 weeks offer computer-assisted instruction
  43. 43. MyStudentBody is an interactive, web-based brief intervention for alcohol use in college student populations Theoretical Approach: Screening and Brief intervention Target Substance: Alcohol
  44. 44. McClure, Acquanta, Harding, & Stitzer In Press• Surveyed 8 urban clinics in Baltimore (266 patients)• Client’s Access to: –Mobile Phone- 91% – Text Messaging- 79% – Internet/Email/Computer 39-45%
  45. 45. Training Substance Abuse Clinicians in Motivational Interviewing Using Live Supervision via TeleconferencingTeleconferencing supervision (TCS) was developed to provide remote, live supervision for training MI TCS shows promise for promoting new counseling behaviors following participation in workshop training. (Smith, et al., 2012 Journal of Consulting and Clinical Psychology;80(3):450-464)
  46. 46. NASADAD Survey• In 2009, Addiction Treatment Providers in 16 states reported offering treatment services using telehealth (16 states out of the 37 states that responded to the survey)• 25 states reported providing mental health treatment services using telehealth
  47. 47. Summary of Goals
  48. 48. Create addiction treatment telehealth competencies and develop policy recommendations for national license portability to encourage the addiction treatment and recoveryworkforce to ADOPT the use of telehealth services
  49. 49. Use state-of-the-art culturally-relevanttraining and technical assistance activities to help the frontier/rural addiction treatment and recovery workforce IMPLEMENT telehealth services
  50. 50. We need to embrace RECOVERY
  51. 51. White, 2011 Recovery is contagious. Get close to it.Stay close to it. Catch it. Keep catching it. Pass it on
  52. 52. PREPARE pre-service addiction treatment and allied health students on using telehealth technologies by developing and disseminating academiccurricula for infusion into existing courses
  53. 53. Key Collaborators• NASADAD• SAAS-Treatment Provider Associations• HRSA Regional/National Telehealth Centers• Telehealth Experts• Regional Addiction Educators Groups• Project Echo at UNR• Telehealth Experts• NAADAC• IC&RC
  54. 54. Year 1 Key Events
  55. 55. Year 1 Key Events• Build compendium through Literature Searches• Develop Graphics/Marketing Themes• Conduct Telehealth Needs Assessments• Develop Curricula• Present at National Conferences• Present at Regional Summer Institutes• Sponsor two TOTs• Conduct State Presentations 2 x each ATTC Region• Sponsor Early Adopters Summit
  56. 56. Drive targetpopulation toour website 76
  57. 57. 2 UpcomngTrainingsBrief Introductory Training Administrators Training
  58. 58. Utilize Video
  59. 59. It’s the Relationship with Stakeholders and Customers that is MOST ImportantGroundswell: Bernoff & Li, 2009
  60. 60. Year 2-5• Film and Disseminate Two Telehealth Workshops• Develop Clinical Supervisor Curriculum• Annotate Bibliographies• Create Marketing Videos• Host Webinars of Curricula• Build Addiction Educators Curriculum and Sponsor Training• Sponsor Telehealth Competencies Workgroup and Develop a Product• Create and Implement Peer Recovery Curriculum• Develop Addiction Treatment Curricula
  61. 61. Who is Our Audience?
  62. 62. Addiction Treatment Counselors
  63. 63. The majority of the Substance Abuse Treatment Workforce is … Clinical Direct Care Directors StaffGender Female (59%) Female (67%)Ethnicity White (86%) White (64%) 50+ (60%)Age 35+ (64%) [Avg. 52]Employment Full time (95%) Full time (77%)
  64. 64. Serve as the national subject expert and key resource toPROMOTE the awareness andimplementation of telehealth technologies
  65. 65. Download this PowerPoint Presentation from our website www.attcnetwork.org/frontierrural

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