Forward the Bulletin to colleagues with this link: View as Webpage
The Collection of Opioid Response Network Brochures is Growing. At OpioidResponseNetwork.org you will find new prevention, recovery and American Indian/ Alaskan Native brochures.

Are You Interested in Exhibiting On Behalf of ORN ? If so, please first check the exhibit tracking sheet to see if another party has already registered. If not, notify jane@aaap.org and nic@aaap.org . We are striving  to avoid duplication and to also have TTSs exhibit as much as possible as it supports their role as the point person for each community. If you can not access the exhibit tracking sheet , please let Jane or Nic know.

Have You or a Requester Been Approached by the Media? If yes, that's great! If a news outlet wants to report on your work for ORN, we ask that you first inform jane@aaap.org and nic@aaap.org and coordinate all efforts with the press through them. SAMHSA wants to make sure we are consistent in our message and it gives Jane and Nic an opportunity to help track and highlight for the website and newsletter. They are also available to help to prepare.
Emergency Room Physicians Overcoming Barriers to Opioid Use Disorder Treatment

The American College of Emergency Physicians (ACEP) is working to address barriers to treating opioid use disorder in emergency departments across the country. ACEP, an ORN partner, has developed new trainings, podcasts and a mobile app, all aimed at its 38,000 members.

Emergency room physicians, Eric Ketcham, MD, FACEP, and Kathryn Hawk, MD, MHS, discussed these educational products in an episode of ACEP Frontline , a podcast that reaches over 5,000 listeners. Opening, Dr. Ketcham said: “We’re the ones engaging with patients with opioid use disorder when they’re really at their worst. We have this opportunity to engage with a very captive audience, treat them more effectively and compassionately when they’re in withdrawal and make a bridge into treatment." He describes the emergency room as “a catchment area for a lot of folks in crisis” and that emergency department physicians can make a significant mortality and morbidity impact. Read further.
Update: ORN Collaborates With California to Address Post Incarceration Drug Overdose Deaths

As of September 2019, 83% of the healthcare physicians in CA corrections facilities have been trained in motivational interviewing. ORN consultants and the CCHCS Department of Correctional Rehabilitation have completed 12 motivational interviewing trainings with a total of 629 participants. This includes 429 physicians and 193 non physicians (187 nurses and 5 social workers). Another training is scheduled for December 2019. Read the story from April 2019.
Community Trainings Continue to Roll Out. Almost 80 people showed up for ORN's community training in Little Rock, AR in early October.

Deena M. Murphy, PhD, ORN Advanced Implementation Specialist, said the training covered the opioid epidemic in Arkansas and how the state is taking action to impact the epidemic. Sessions covered evidence-based approaches to prevention, treatment, and recovery; stigma; approaches for youth; family-centered care; and more. She said "a significant part of the two days focused on all the great work happening in Arkansas and identifying strategies that can support the state's ongoing initiatives. The event provided a great opportunity for diverse stakeholders to engage, identify what counties needed, meet state representatives, and learn more about existing and future state efforts."

So far, four new requests were received within Arkansas to support capacity building around the opioid epidemic.

Pictured left to right: Sharon Hesseltine, TTS and Recovery Consultant; Sadé Richardson, Project Manager; Calandra Bradford, TTS; Deena Murphy, Advanced Implementation Specialist; Sabina-Elease Utley, Project Manager; Julian Taylor, Prevention Consultant. Not pictured: Jeremy Kidd, MD, MPH, Treatment Consultant
New Trainers Gear Up to Educate Future Peer Support Specialists

The following story is from Melissa Witham, TA Management Specialist, C4 Innovations. If you have a story to share related to ORN projects, email jane@aaap.org and nic@aaap.org.

An executive director of a medication assisted treatment (MAT) program in Monterey County, CA submitted a TA request to develop a “train-the-trainer” curriculum for attendees to be able to train new peer support specialists. Because the county did not have a peer training curriculum, ORN supported this TA request in two ways:

1) revising a 40-hour recovery coaching curriculum created under BRSS TACS to
suit the peer support specialist training needs of Monterey County; and

2) developing a 2-day “train-the trainer” program around good presenting skills and how to deliver this new curriculum.

ORN recovery consultant, George Braucht, LPC, CPCS & CARES, developed the 2-day teacher training curriculum in July 2019 to train 12 staff members from the requestor’s program and several other MAT programs in the area. Attendee satisfaction was high, and one attendee said, “Actually it was the best training I've ever been to, and I've been to a lot, but I would like you to know that I will be tailoring my training and presentations like yours... Thank you for sharing with us.”
ORN partners and technology transfer specialists have been busy presenting and exhibiting across the country to reach new audiences. Coming up , say hi to:
Exhibitors:

Mamta Bhakta , MA LMHC, TTS, in Los Angeles, CA at the Statewide Integrated Care Conference on Oct. 23.

Jane Goodger , AAAP, in Denver, CO at ACEP's Annual Meeting on Oct. 27.

Doug Rice , CADCA, in Phoenix, AZ at the Arizona Public Health Organization Conference on Oct. 29.

Sean Moore , CADCA, in Newport Beach, CA at the California Addiction Conference on Oct. 31.

Nic Canning , AAAP, in Philadelphia, PA at the American Public Health Association Conference on Nov 2.  ATTC's Michael Knabel , MSc, was also accepted to feature a poster he submitted on behalf of ORN for this conference. It illustrates how ORN can support communities accross the country to address the opioid crisis locally through education and training.
Presenters:

Kathryn Cates-Wessel in Denver, CO at the National Association of State Judicial Educators on Oct. 18.

Frances Levin , MD, in Orlando, FL at AATOD's Addiction Recovery Conference on Oct. 19. ATTC's Michael Knabel , MSc will also be exhibiting at this conference. Go team!

Nina Vidmer, AOAAM, at the organization's national conference in Baltimore, MD on Oct. 24.

John Lopes , DHSc, PA-C, PAEA, at the Ohio PAEA Conference in Columbus, OH on Oct. 25.

More to come! The ORN Impact Bulletin will continuously update readers on where partners, TTSs and others are exhibiting and presenting. And you can help. Please let jane@aaap.org and nic@aaap.org know where you are heading on behalf of ORN and send pictures.
Pictured above is Beth Hutton, MS, LPC and Maher Karam-Hage, MD. The ORN duo presented and exhibited at the Healthier Texas Summit in Austin, TX on Oct. 17.
Understanding Addiction and Recovery
This resource is a compilation of a 3-part series added by Jennifer Riha, MA, C4 Innovations

1. Understanding the Disease of Addiction 
- Focuses on understanding addiction as a disease and the physical impacts of addiction on the brain.

2. Philosophy & Guidelines of Family Recovery Supports 
- Focuses on understanding the philosophies and framework from which to provide family recovery supports, including cultural humility, trauma and grief informed care, providing person and family centered and strengths based care.

3. Providing Family Recovery Supports 
- Focuses on how to facilitate family recovery supports to individual families or family members, facilitate support groups, and how to facilitate educational activities in the community.

Suicide Prevention Resources and Three New Videos from SAMHSA
SAMHSA released new videos and other resources to help prevent suicide and offer support to those in crisis. More here.
Methamphetamine Resources and Videos from SAMHSA
SAMHSA released new videos and other resources to help stop the use of methamphetamine (meth) and offer support to those in need of treatment. More here.

In Cherokee Country, Opioid Crisis Seen as Existential Threat
Pew Charitable Trusts
The earliest evidence that the opioid epidemic had seeped into Indian Country came in 2014, with a spike in the number of children taken into tribal custody because their parents were addicted to prescription painkillers. More here.

National Opioid Policy Roadmap Highlights State Efforts Helping End the Epidemic
The American Medical Association and Manatt Health have released an analysis identifying effective state policies used to combat the opioid epidemic. More here.

Recovery Housing: Best Practices and Suggested Guidelines
This report identifies ten specific areas, or guiding principles, that will assist states and federal policy makers in defining and understanding what comprises safe, effective, and legal recovery housing. More here.

HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics
This guide provides advice to clinicians who are contemplating or
initiating a reduction in opioid dosage or discontinuation of long-term opioid therapy for chronic pain. More here.


orn@aaap.org 401-270-5900
www.OpioidResponseNetwork.org
The Opioid Response Network (ORN) was created as a result of the SAMHSA-funded STR-TA grant. ORN provides free technical assistance to organizations, healthcare centers, single state agencies, and individuals in the prevention, treatment and recovery of opioid use disorder.

Funding for this initiative was made possible (in part) by grant no. 6H79TI080816 from SAMHSA. The views expressed in written conference materials of publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Copyright 2019 STR-TA