Volume 274 | July 23, 2020

Barnstable County Regional Substance Use Council

Edition 94 | August 13, 2020
Welcome to the Barnstable County Regional Substance Use Council (RSAC) E-Newsletter. This monthly newsletter is designed to provide information on substance use across the continuum of prevention, intervention, treatment, and recovery. For additional information visit the Department website at www.bchumanservices.net
There Are 15 Towns on the Cape, But Just One Local Housing Assistance Agency That Serves Them All - One Form, Many Assistance Programs

Housing Assistance has launched a 100% online application for rental and mortgage assistance that enables clients to complete one application form to access multiple financial assistance programs. We have over $1,500,000 available to distribute to qualified, year-round residents including: 

  • RAFT (Residential Assistance for Families in Transition);
  • ERMA (Emergency Rental and Mortgage Assistance);
  • Homebuilders of Cape Cod Fund;
  • Town specific funds;
  • And our own Workforce Housing Relief Fund;
Housing Assistance is the regional agency providing access to state and local assistance funds. We have trained intake staff working remotely with clients to determine the programs that are the best fit for that client’s particular situation, and help clients navigate the systems that are already in place. We are asking for your help spreading the word:
Additionally, if your town plans an RFP process for a new rental assistance program, please let us know. We would be happy to apply and help administer it. The Towns of Barnstable and Yarmouth have already selected Housing Assistance to administer their rental assistance program. We can make our public dollars go further by leveraging HAC’s infrastructure and efficiencies. Our agency already has the technology, processes, and expertise in place so that we can take action today!
RSAC Meeting Notice
  • THURS., SEPT. 10TH 2020
  • 3:30pm - 5:00pm
  • Call-in info forthcoming

If you are not already on the RSAC email list and would like to attend please email: kim.slade@barnstablecounty.org
Census and Seasonality - Playing a Significant Role in Response Rates
Barnstable County is lagging in its response to the Census (47.2%, compared to 65.1% responding in Massachusetts). Census responses are vitally important to our future, as our responses directly inform how more than $675 billion in federal funding is spent. This funding is allocated to communities to support public health, education, affordable housing, and more. All residents should complete the 2020 Census regardless of citizenship.  Census information is protected by law.

Click HERE to see live map of self-response rate in Barnstable County by Census tract. The deadline for responding to the Census has been extended through October 31, 2020. Please pass along this information and link below to your networks, urging all to respond to the Census.
Cape Cod Family Resource Center and Cape Cod Neighborhood Support Coalition 

We provide free, monthly Cape and Islands-wide listing of workshops, meetings, groups and related programs for parents, grandparents, guardians, and primary caregivers of children has been compiled and distributed free for over twelve years.
Recovery Coaching - With a Focus on Health and Wellness

What is Recovery Wellness Coaching? Click on button below for more information.
VIRTUAL-The Spirit of Motivational Interviewing: Engaging Youth in Substance Use Treatment (530) scheduled on Tuesday, August 18, 2020
Virtual Training - Ounce of Prevention 2020 Conference. Sept. 15, 2020 9:15am-4:30pm
Life Skills Training Online Resource

The national LifeSkills Training website has added some digital resources that may be used remotely, or in person. While these are for the Middle School level (MS), they may be coming out with Elementary Level resources as well. The MS activities are drawn from the Student Guides, and can be found at this link:
You are also welcome to order needed Teacher's Manuals or Student Guides that the MA Department of Public Health has purchased for LST Certified Instructors to order at no charge at this Massachusetts link: 

Virtual Training - Neurobiology of Addiction (550/102) scheduled on Monday, September 14, 2020 - September 15th, 2020.
Virtual Training - Diversity, Equity & Inclusion 101 - (676) scheduled on September 23, 2020 and September 24, 2020

This training reviews fundamental concepts related to diversity, equity and inclusion for those new to the organization and for organizations just beginning to incorporate DEI principles to their mission.

Presented by:
Deborah Cohen M.Ed. and Angelica Castro
Time: 9:00am - 4:30pm
Location: ZOOM
Fee: $25 
Continuing Education Credits have been applied for. 
Join us for a SCOPE of Pain Live Meeting!

These three- to four-hour meetings will address the core SCOPE of Pain content, and often include additional content specific to the municipality, region, state, and/or institution serving as collaborating partner.

SCOPE of Pain is a continuing medical education/continuing nursing education activity designed to help you safely and effectively manage patients with acute and/or chronic pain, when appropriate, with opioid analgesics. Through the case of Kathy James, a 32-year-old who has a displaced right femoral neck fracture due to a motor vehicle crash, you'll learn how to:

  1. Optimize safety when prescribing opioids for acute pain
  2. Determine when opioid analgesics are indicated for chronic pain
  3. Assess pain and prescription opioid misuse risk
  4. Educate patients about opioid risks and realistic benefits
  5. Monitor patients on opioid therapy for benefits and harms
  6. Assess and manage worrisome opioid-taking behaviors
  7. Safely taper long-term opioid therapy
  8. Identify and manage patients with an opioid use disorder

Who is this for?

Physicians, nurse practitioners, registered nurses, physician assistants, nurses, dentists, pharmacists, and allied health professionals whose practices manage acute and chronic pain.
Question: What is the association between experiences of childhood maltreatment and suicide behaviors in children and young adults?

A systematic review and meta-analysis based on 79 individual studies with 337 185 unique participants found an association between core types of childhood maltreatment and suicide behaviors in children and young adults. Younger individuals with experiences of sexual abuse who were not under the care of clinicians had higher rates of suicide attempt, and young age was also associated more strongly with suicide ideation.
SAVE THE DATE: The MGH Psychiatry Academy and Family Education Series: Schizophrenia Education Day
FREE educational program exclusively for patients, families, and friends.
After Incarceration: A Guide to Helping Women Reenter the Community
SAMHSA has published a guide providing an overview of topics and resources for serving women who are reentering the community after a period of incarceration. It is intended to increase knowledge of specific issues that women often face during reentry and to provide relevant resources to providers who can help them succeed. The guide is presented in a “checklist” format to provide a brief overview of considerations necessary when working with women who are justice involved.
Training and Technical Assistance Related to COVID-19

SAMHSA is committed to providing regular training and technical assistance (TTA) on matters related to the mental and substance use disorder field as they deal with COVID-19.

Our TA programs are delivering great resources during this time. View the updated available TTA resources to assist with the current situation.
Treatment of Stimulant Use Disorders
This guide from SAMHSA supports health care providers, systems, and communities seeking to treat stimulant use disorders. It describes relevant research findings, examines best practices, identifies knowledge gaps and implementation challenges, and offers useful resources.
Menthol Incentive Program

In response to the new state law restricting menthol tobacco products, the Massachusetts Smokers’ Helpline is offering an incentive program to help residents who use menthol tobacco products quit. Both efforts support MA residents, particularly Black, Latinx, and LGBTQ+, who have been historically and disproportionately targeted by the tobacco and vaping industries. 
Tobacco Retailer Mapping Study - Press Release


Easy Access to Tobacco, Availability of Kid-Friendly Flavored Products Increase Risk of Youth Nicotine Addiction
National Recovery Month (Recovery Month)

An international observance held every September to educate people about how substance use and mental health services can enable individuals and their families to live healthy and rewarding lives. This observance celebrates the millions of people in recovery from mental health and substance use issues, reminding us that behavioral health is an essential component to overall health, that prevention works, treatment is effective, and people can, and do, recover.
International Overdose Awareness Day - August 31, 2020

A global event held on August 31st each year and aims to raise awareness of overdose and reduce the stigma of a drug-related death. It also acknowledges the grief felt by families and friends remembering those who have died or had a permanent injury as a result of drug overdose.

International Overdose Awareness Day spreads the message that overdose death is preventable.
Thousands of people die each year from drug overdose. They come from all walks of life.
Do you recognize the signs and symptoms of overdose? What is the impact of drug use and overdose on family, friends and those experiencing it?

For more information and resources on supporting International Overdose Awareness Day, visit https://www.overdoseday.com/downloadable-resources/.
The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue

SAMHSA’s Office of Behavioral Health Equity is pleased to announce a new issue brief: The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue. The opioid crisis has not abated and has had a significant impact on Hispanic/Latino communities in the U.S. This issue brief presents recent data on prevalence of opioid misuse and death rates in the Hispanic/Latino population; contextual factors and challenges to prevention and treatment; innovative outreach and engagement strategies to connect people to evidence-based treatment; and the importance of community voice.
Alcohol Attributable Deaths
new MMWR from the Alcohol Program in CDC’s Division of Population Health reports that excessive alcohol use is responsible for more than 93,000 deaths in the US each year – or 255 deaths per day – shortening the lives of those who die by an average of 29 years. This study, which was the culmination of multi-year scientific and technical updates to the Alcohol-Related Disease Impact (ARDI) application, emphasizes the substantial public health impact of excessive drinking in the U.S.
According to the study, of all alcohol-attributable deaths:

  • 55% were due to drinking too much over time, from causes such as various types of cancer, liver disease, and heart disease.
  • 45% were due to drinking too much in a short period of time, from causes such as poisonings that involved another substance in addition to alcohol (e.g., drug overdoses), suicide, and motor vehicle crashes.
  • More than 80% involved adults aged 35 years and older.
  • More than 70% involved men.
The Endocrine System and Alcohol Drinking in Females
A review of preclinical evidence indicates that sex differences in the endocrine system may play an important role in alcohol drinking and addiction-related behaviors. Understanding alcohol’s effects on the female endocrine system may be important in the development of pharmacotherapy for women with alcohol use disorder.
Director of Recovery Advocacy, Michael Askew's, August Recovery Advocacy Training Schedule

These trainings are free of charge to join and will be held on AdobeConnect. 

  • August 19: How State Gov't Works
  • August 26: Advocacy with Anonymity

You must have Adobe Connect to attend the training.

FMI - Call Michael Askew 203-464-8662 or email: michael@ccar.us
Preview SEL Films from the IndieFlix Mental Health Trilogy for Your Organization

We are inviting educators, HR & Wellness Managers and mental health professionals to preview our films from the IndieFlix Mental Health Trilogy during August. The registration links are below, please click on any or all that may be a good fit for your organizations. 
Everyone loves movies, and this is a great way to "reach out" to your students, employees & community and spark the conversation. All 4 live screening events will be followed with an expert panel for audience questions. The films in the trilogy each feature top experts, science, real-life stories and easy tips to manage and navigate our way during this stressful, unprecedented time of uncertainty.  
Barnstable County COVID-19 Recovery Resources
COVID-19 can be difficult for all of us but especially for those in recovery. This might be exacerbated by people unable to attend their normal support group meetings or other recovery supports. Please click on button below to find local and nationwide resources related to substance use disorder and mental health. You can also call the MA Substance Use Helpline anytime at 800-327-5050.
Calmer Choice Free Mindful Awareness Online Practice Groups
Looking for more support in your mindful awareness practice? Check out these FREE offerings from Calmer Choice! 
Cape Cod Substance Use Resource Guide
Asking for help is the first important step.
Alcohol and other drug problems are treatable disorders. If you want to talk with a knowledgeable Information and Referral Specialist now,
Call 800-327-5050 or 617-292-5065 or view our Cape Cod Substance Use Resource Guide below.
Community Agencies and Therapists Offering Telehealth Support
The Barnstable County Children's Behavioral Health Work Group has developed a list of community agencies offering telehealth support HERE.

Please email barbaradominic612@gmail.com if you have additional telehealth support that you would like listed, or if you want to update your listing. This listing will be periodically updated and distributed by Barnstable County.
If you are a child care or early education provider working to reopen, there are resources available to help you through this process:

Free PPE supplies
Free PPE, including masks, gloves, and sanitizer, are available to area providers courtesy of the MA Dept. of Early Education and Care. Child care providers who have reopened can pick up supplies from the Child Care Network Office in Hyannis or from Cape Cod Children’s Place in Eastham.

For Hyannis pick-ups: email bethg@cacci.cc call (508)778-9470, or stop by the Child Care Network Office (372 North Street, Hyannis) from 8:30 AM to 4:00 PM to pick up supplies while they are available.
Reopening Information for the Childcare Sector
For supply pickups on the Lower and Outer Cape: email Cindy Horgan at chorgan@capecodchildrensplace.com

One-to-One Technical Assistance

Denise Graham-Reardon of the YMCA Cape Cod (a State emergency childcare provider during the pandemic) has offered her time and expertise to provide support and share best practices for providers navigating the reopening process. Contact Denise at dgraham-reardon@ymcacapecod.org.

Current State Guidance on Early Education and Child Care Reopening

For the latest guidance on reopening for early education and child care providers, please refer to the MA Dept. of Early Education and Care:
Massachusetts Child and Youth Serving Programs Reopen Approach

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