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SAMHSA releases its 2018 National Survey on Drug Use and Health (NSDUH)
In a video presentation released with the NSDUH report, Elinore F. McCance-Katz, MD, PhD, Assistant Secretary for Mental Health and Substance Use, highlighted the State Targeted Response Technical Assistance grant. Dr. McCance-Katz says the Opioid Response Network "puts teams in every state to address the needs of that state as it relates to opioid issues." She underscored that the "program has had over 1,000 requests already and those requests have all been met to meet the needs of Americans living with opioid issues."
Watch video of Dr. McCance-Katz discussing NSDUH
Highlights include:

  • 19.3 million Americans report a substance use disorder. Among those with substance use disorders, 7.4 million struggle with illicit drugs.
  • Positive findings when looking specifically at opioids. In 2018 there were 10.3 million opioid misusers. This is down from 11.4 million in 2017. Declines reported for both prescription pain reliever misuse and heroin use.
  • Where misuse of prescription opioid subtypes is concerned, buprenorphine and methadone see the highest rate of misuse. Dr. McCance-Katz says this "speaks to the need to continue to educate on safe and effective use of these medications."
The NSDUH report helps to guide policy directions and decision-making about what types of resources are needed and where resources should be directed. For example, NSDUH's 2016-17 report found that SAMHSA efforts only provided technical assistance to grantees, and the number of grantees was low compared to the number of practitioners, community members and others who need access to information. So, SAMHSA expanded training and technical assistance nationally.

How is SAMHSA responding to the 2018 report? D r. McCance-Katz says SAMHSA will continue to support states' prevention, treatment and recovery efforts through STR grants, SOR grants, TOR grants and others.

Access the power point report, here .
Takeaways from the 53 rd Annual Silver City Institute on Addiction Studies

ORN Technology Transfer Specialist, Benjamin H. Nguyen, MSW, ASW, CPH, shared some highlights and photos from the 53 rd  Annual Silver City Institute on Addiction Studies. The Silver City Institute is a source of addictions training, continuing education and professional community in the southwest. ORN presented on the Opioid Epidemic History and Modern Perspectives of Treatment and Recovery. Presentations linked below:

 During the conference, Ben was also able to connect with recovery groups for future partnerships and trainings to increase recovery efforts within New Mexico. Stay tuned for updates.
Other Exhibiting Updates:

ORN Technology Transfer Specialists and partners have been busy exhibiting across the country this summer. Since July, ORN has been seen at 10 national health conferences and 19 are scheduled, so far, for the remainder of the year. Summer highlights follow:
  • On July 23, Debbie Richardson, Ph.D., ORN TTS, exhibited at the Northwest Missouri 2019 Opioid Summit in St. Joseph, MO. Attendees included prevention and public health officials, psychologists, clinicians and peer specialists. The conference focused on emerging trends and strategies to address the opioid crisis in the region.

  • On August 2, Jan Schnellman, MEd, ORN TTS, attended the Region 10 Opioid Summit in Vancouver, WA. The summit is an opportunity for professionals from Alaska, Idaho, Oregon, Washington, Indian Nations, urban Indian health programs, and recognized American Indian organizations to meet and explore ways to address the opioid crisis.

  • Caroline Gray, MSW, ORN Project Manager, (pictured above) attended the Association of American Indian Physicians Conference in Chicago, IL from August 7-8. For 50 years, the conference has served as a forum for 300 healthcare professionals, policy makes, and tribal/community members concerned with American Indian/Alaska Native health, healthcare, community wellness, and honoring Native Traditions.

  • The National Association of Local Boards of Health Conference aims to strengthen and improve public health governance, develop sustainable operations, increase board of health membership and participation in their state and national association, and provide resources and support for boards of health to practice their governance functions. At the conference on August 14 in Denver, CO, Marvis Doster, RN, ORN TTS, exhibited to over 100 participants.

  • From August 15-18, Jane Goodger, Manager, Outreach and Communications, ORN, exhibited at the National Conference on Addiction Disorders in Baltimore, MD for over 1,000 attendees. The conference is billed as the nation's premier annual event that sees clinicians and executives working together to improve and refine patient care as well as develop sustainable and successful treatment organizations.

Do you have stories, photos, resources or information to share? Email what you have to and to include in an issue of the ORN Impact Bulletin. If you would like to take short (~30 second) mobile phone videos, they can be texted to 413-992-7187.
National Alliance for HIV Education and Workforce Development (NAHEWD): Developing a brief slide deck focused on best practices on HIV/HCV prevention and screening for substance use care providers to be integrated into existing trainings. NAHEWD will share with ORN coalition members to be further disseminated during local provider training opportunities.

Boston Medical Center (BMC): Working with a health center in Louisiana trying to
implement medications for opioid use disorder. The requester does not have addiction knowledge nor do the providers have addiction expertise. BMC facilitated shadowing for an addiction provider, nurses and a care coordinator. An all-day training will follow.

American Psychiatric Association (APA): Finalized details for the upcoming Substance Use Disorder in Later Life learning collaborative led by Dr. Stephanie Yarnell. The collaborative will be population focused with detail being given to the geriatric population and the issues they face with substance use disorder.
Association for Multidisciplinary Education and Research in Substance use and Addiction (AMERSA): Presented at the Lowcountry Mental Health Conference in Charlton, SC. This is an annual mental health conference and had a record attendance of 1300. Participants were provided with information about ORN . AMERSA presented in a full session on “The state of the opioid epidemic and the pendulum pain vs addiction.” Lots of interest on how to expand treatment, and how to deal with barriers.

American College of Emergency Physicians ( ACEP): Continues to plan for the upcoming ED MAT Training at ACEP’s
Scientific Assembly in October 2019. Two additional ACEP Chapters will host the “Initiating Buprenorphine in the ED” CME course before the end of 2019.

Partners - do you have news? Send to and to share with the entire ORN coalition.
Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings

The recently uploaded SAMHSA guide focuses on using medication-assisted treatment for opioid use disorder in jails and prisons, and during the reentry process when justice-involved persons return to the community. It provides an overview of policies and evidence-based practices that reduce the risk of overdose and relapse.

  • PCSS now offers free Substance Use Disorder 101 Core Curriculum modules for continuing education. The 22 modules provide an overview of evidence-based practices in the prevention, identification, and treatment of substance use disorders and co-occurring mental disorders. Healthcare professionals who complete this curriculum should see an increase in their competence and confidence as they treat patients who are diagnosed with a substance use disorder. More here. Follow @PCSSProjects on Twitter for regular updates.

  • Upcoming SAMHSA webinar: Serious Mental Illness/Substance Use Disorders and Tailoring FEP Programs to Serve Women. Register here. 401-270-5900
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