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APPENDICES APPENDIx C. RESOURCE GUIDE

U.S. Department of Health and Human Services Resources and Publications: 2013-2016 Topic Title Description Target Audience ADHD and SAMHSA Advisory: This Advisory defines ADHD in Primary Care Doctors, Substance Use Adults With Attention adults. It discusses the interaction Nurses, Drug and Disorders Deficit Hyperactivity and relationship between ADHD and Counselors, and Substance substance use disorders and provides Health Clinicians Use Disorders information on screening for ADHD in adults, treatment of co-occurring ADHD and substance use disorders, and prevention of stimulant abuse in clients with ADHD. Complementary SAMHSA Advisory: This Advisory provides behavioral Prevention Professionals, Health Approaches Complementary Health health practitioners a brief Public Health Approaches: Advising overview of complementary health Professionals, People Clients About Evidence approaches, gives examples of the with Substance Use or and Risks types of practices and products Misuse Problems, People considered complementary, and with Alcohol Use or discusses how practitioners can offer Misuse Problems, People guidance to clients regarding the with Mental Health benefits and risks of adopting such Problems, Patients approaches.

PAGE | 41 Topic Title Description Target Audience Cultural Competence TIP 59: Improving Cultural This Treatment Improvement Professional Care Competence Protocol (TIP) uses a multidimensional Providers, Program model for developing cultural Planners, Administrators, competence. Adapted to address Project Managers cultural competence across behavioral health settings, this model serves as a framework for targeting three organizational levels of treatment: individual counselor and staff, clinical and programmatic, and organizational and administrative. The chapters target specific racial, ethnic, and cultural considerations along with the core elements of cultural competence highlighted in the model. These core elements include cultural awareness, general cultural knowledge, cultural knowledge of behavioral health, and cultural skill development. Disaster Planning TAP 34: Disaster Planning This Technical Assistance Publication Professional Care Handbook for Behavioral (TAP) offers guidance in creating Providers, Disaster Health Treatment a disaster preparedness and Response Workers, Programs recovery plan for programs that Program Planners, provide treatment for mental illness Administrators, Project and substance use disorders. It Managers also covers the planning process, preparing for disaster, roles and responsibilities, training, and testing. SAMHSA Advisory: This Advisory provides an Drug and Alcohol Gambling Problems: An introduction to pathological Counselors, Mental Introduction for Behavioral gambling, gambling disorder, Health Clinicians, Peer Health Services Providers and problem gambling; it also Counselors explores their links with substance use disorders. It describes tools available for screening and diagnosis of gambling disorder as well as strategies for treating people with gambling problems. Homelessness TIP 55: Behavioral Health This TIP is for behavioral health Public Officials, Public Services for People Who service providers and program Health Professionals, Are Homeless administrators who want to work Program Planners, more effectively with people who are Administrators, Project homeless or at risk of homelessness Managers, Professional and who need, or are currently in, Care Providers, or mental Non-Profits & Faith- health treatment. The TIP addresses Based Organizations, treatment and prevention issues. The Community Coalitions approach advocated by the TIP is integrated and is aimed at providing services to the whole person to improve quality of life in all relevant domains.

PAGE | 42 Topic Title Description Target Audience Medication-Assisted CMCS Informational This Bulletin highlights the use People with Substance Treatment Bulletin: Medication of FDA-approved medications in Use or Misuse Problems, Assisted Treatment for combination with evidence-based People in Recovery, Substance Use Disorders behavioral therapies, commonly People in Treatment referred to as “Medication Assisted Treatment” (MAT), to help persons with substance use disorders (SUD) recover in a safe and cost-effective manner. Specifically, the Bulletin provides background information about MAT, examples of state-based initiatives, and useful resources to help ensure proper delivery of these services. Medication-Assisted DrugFacts: Treatment This website describes research General public Treatment Approaches for Drug findings on effective medication and behavioral treatment approaches for drug addiction and discusses special considerations for the criminal justice setting. Medication-Assisted In Brief: Adult Drug Courts This In Brief highlights the use of Public Health Treatment and Medication-Assisted MAT for opioid dependence in Professionals, Program Treatment for Opioid drug courts. It reviews effective Planners, Administrators, Dependence medications, including methadone, Project Managers, buprenorphine, and naltrexone and Policymakers, Public provides strategies to increase the Officials use of MAT in drug court programs. Medication-Assisted MATx Mobile App This mobile app supports the Physicians Treatment practice of health care practitioners who provide MAT. MATx features include resources to support ongoing MAT practices, guidance on attaining a Drug Addiction Treatment Act of 2000 (DATA) waiver for treatment with buprenorphine, and tips for conducting effective patient assessments. Medication-Assisted Medication-Assisted This pocket guide offers guidelines Physicians Treatment Treatment of Opioid Use for physicians using MAT for Disorder Pocket Guide patients with . It includes a checklist for prescribing medication, approved medications in the treatment of opioid use disorder, screening and assessment tools, and best practices for patient care. Medication-Assisted Medication for the This guide provides evidence on the Physicians Treatment Treatment of Alcohol Use effectiveness of available medications Disorder: A Brief Guide for the treatment of alcohol use disorder and guidance for the use of medications in clinical practice.

PAGE | 43 Topic Title Description Target Audience Opioid Prevention CMCS Informational This Bulletin highlights emerging People with Substance Bulletin: Best Practices for Medicaid strategies for preventing Use or Misuse Problems, Addressing Prescription opioid-related harms and provides People in Recovery, Opioid Overdoses, Misuse background information on overdose People in Treatment and Addiction deaths involving prescription opioids, describes several Medicaid pharmacy benefit management strategies for mitigating prescription drug abuse and discusses strategies to increase the provision of naloxone to reverse opioid overdose, thereby reducing opioid-related overdose deaths. Wherever possible, the Bulletin provides examples of methods states can use to target the prescribing of methadone for pain relief, given the disproportionate share of opioid- related overdose deaths associated with methadone when used as a pain reliever. Opioid Prevention Opioid Overdose This toolkit provides guidance to Health Care Prevention Toolkit develop practices and policies Professionals, (updated 2016) to help prevent opioid-related First Responders, overdoses and deaths. Treatment Providers, Local Governments, Communities, Those Recovering from Opioid Overdose Opioid Prevention Opioid and Pain These CME courses developed by Health Care Professionals Management CMEs/ NIDA and Medscape Education, CEs: Safe Prescribing for with funding from the White House Pain and Managing Pain Office of National Drug Control Patients Who Abuse Rx Policy provide practical guidance Drugs for physicians and other clinicians in screening pain patients for substance use disorder risk factors before prescribing, and in identifying when patients are abusing their medications. Recovery Motivation for Change: This comic book/fotonovela uses People with Alcohol Use John’s Story— photographs with captions to help or Misuse Problems, Consequences of His the reader recognize the dangers People With Substance Heavy Drinking and His people face when they have a Use or Misuse Problems Recovery substance use disorder. It tells the troubles of a family as the son, John, faces his substance use problem, enters treatment, and moves into recovery.

PAGE | 44 Topic Title Description Target Audience Recovery You Can Manage Your This consumer brochure equips People in Recovery, Chronic Pain To Live a people who have chronic pain and People in Treatment Good Life: A Guide for mental illness or addiction with tips People in Recovery from for working with their health care Mental Illness or Addiction professional to decrease their pain without jeopardizing their recovery. It also explores counseling, exercise, and alternative therapy, as well as medications. Screening and Brief Alcohol Screening and This Guide helps health care Health Care Professionals Intervention Brief Intervention for professionals who manage the Youth: A Practitioner’s health and well-being of children and Guide adolescents conduct fast, effective alcohol screens and interventions with patients ages 9-18. Screening and SAMHSA Advisory: This Advisory explains why Public Health Referral to Treatment Hepatitis C Screening in behavioral health services programs Professionals, Program the Behavioral Healthcare should consider screening clients for Planners, Administrators, Setting Hepatitis C if clients have known risk Project Managers, Health factors for Hepatitis C viral infection Care Professionals or if they have of liver disease. The Advisory explains how onsite screening, or referral to screening, can be incorporated into existing intake and monitoring procedures. It also offers guidance on providing clients with viral hepatitis prevention education, counseling, and referral to follow-up evaluation and medical treatment as needed. Screening and NIDA Drug Use Screening This tool features a one-question Health Care Professionals Referral to Treatment Tool Quick Screen as well as the full NIDA- Modified Alcohol, Smoking and Substance Involvement Screening Test. Screening, Brief TAP 33: Systems- This TAP describes core elements of Public Health Intervention, and Level Implementation SBIRT programs for people with or Professionals, Program Referral to Treatment of Screening, Brief at risk for substance use disorders Planners, Administrators, Intervention, and Referral and also describes SBIRT services Project Managers, to Treatment (SBIRT) implementation, covering challenges, Professional Care barriers, cost, and sustainability. Providers, Grant Seekers and Grantees, Public Officials Substance Misuse and In Brief: An Introduction to This In Brief Introduces professional Professional Care Mental Health Co-Occurring Borderline care providers to borderline Providers, Public Health and personality disorder. It covers signs Professionals Substance Use Disorders and symptoms, with or without co- occurring substance use disorder; monitoring clients for self-harm and ; and referrals to treatment.

PAGE | 45 Topic Title Description Target Audience Substance Misuse and National Prevention Week National Prevention Week is an Businesses, Communities, Mental Health annual health observance dedicated Educators, Health Care to increasing public awareness of, Professionals, Law and action around, substance use Enforcement, Parents and and mental health issues. Caregivers, Prevention Specialists, Youth Substance Misuse and No Longer Alone (A Story This comic book tells the stories Adolescents, Young Mental Health About Alcohol, Drugs, of three women with substance Adults, Mature Adults Depression, and Trauma): misuse and mental health problems Addressing the Specific who have received treatment Needs of Women and improved their quality of life. Featuring flashbacks, the fotonovela is culturally relevant and dispels myths around behavioral health disorders. Substance Misuse Alcohol Overdose: The This fact sheet provides information Individuals Prevention Dangers of Drinking Too about the signs and symptoms of Much alcohol overdose. Substance Misuse Center for the Application SAMHSA’s CAPT is a national training SAMHSA Substance Use Prevention of Prevention Technologies and technical assistance (T/TA) Prevention Grantees and (CAPT) system committed to strengthening Prevention Professionals prevention systems and building the nation’s behavioral health workforce. Substance Misuse CMCS Informational This Bulletin helps inform states Public Officials Prevention Bulletin: Prevention about resources available to help and Early Identification them meet the needs of children of Mental Health and under Early and Periodic Screening, Substance Use Conditions Diagnostic, and Treatment (EPSDT), specifically with respect to mental health and substance use disorder services. Substance Misuse Harmful Interactions This resource provides information Adolescents, Young Prevention about medications that can cause Adults, Mature Adults, harm when taken with alcohol and Health Care Professionals describes the effects that can result. Substance Misuse Health Education This tool can help school districts, Educators Prevention Curriculum Analysis Tool schools, and others conduct a clear, (HECAT) and HECAT complete, and consistent analysis Module AOD of health education curricula based on the National Health Education Standards and CDC’s Characteristics of an Effective Health Education Curriculum. Results of the HECAT can help schools select or develop appropriate and effective health education curricula and improve the delivery of health education. The HECAT can be customized to meet local community needs and conform to the curriculum requirements of the state or school district.

PAGE | 46 Topic Title Description Target Audience Substance Misuse Marijuana Facts for Teens The teen booklet is presented in Teens, parents, Prevention and Marijuana Facts question-and-answer format and caregivers, general public Parents Need to Know provides facts about marijuana and its potential harmful effects. The parent booklet provides important facts about marijuana and offers tips for talking with children about the drug and its potential harmful effects. Substance Misuse National Drug & Alcohol This online guide gives organizers Teens, parents, Prevention Facts Week everything they need to plan, educators, general public promote, and host their own National Drug & Alcohol Facts Week (NDAFW) event. NDAFW is a national health observance for teens to promote local events that use NIDA science to SHATTER THE MYTHS about drugs. Substance Misuse Principles of Substance This guide begins with a list of 7 Parents, health Prevention Abuse Prevention for Early principles addressing the specific care providers, and Childhood ways in which early interventions can policymakers have positive effects on development; these principles reflect findings on the influence of intervening early with vulnerable populations, on the course of child development, and on common elements of early childhood programs. Substance Misuse Rethinking Drinking This website is a tool for individuals Individuals, Family Prevention who want to assess and/or change Members their drinking habits. Substance Use CMCS Informational This Bulletin, based on evidence from Public Officials Disorder Services Bulletin: Coverage of scientific research and the results Behavioral Health Services of a Substance Abuse and Mental for Youth with Substance Health Services Administration Use Disorders (SAMHSA)-supported technical expert panel consensus process, is intended to assist states to design a benefit that will meet the needs of youth with substance use disorders (SUD) and their families and help states comply with their obligations under Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) requirements. The services described in this document are designed to enable youth to address their substance use disorders, to receive treatment and continuing care and to participate in recovery services and supports. This Bulletin also identifies resources that are available to states to facilitate their work in designing and implementing a benefit package for these youth and their families.

PAGE | 47 Topic Title Description Target Audience Substance Use New Service Delivery This State Medicaid Director Letter Public Officials Disorder Services Opportunities for informs states of opportunities to Individuals with a design service delivery systems Substance Use Disorder for individuals with substance use disorder (SUD), including a new opportunity for demonstration projects approved under section 1115 of the Social Security Act (Act) to ensure that a continuum of care is available to individuals with SUD. Substance Use In Brief: Treating Sleep This In Brief discusses the Professional Care Disorder Treatment Problems of People in relationship between sleep Providers Recovery From Substance disturbances and substance use Use Disorders disorders and provides guidance on how to assess for and treat sleep problems for people in recovery. It also reviews nonpharmacological as well as over-the-counter and prescription medications. Substance Use Principles of Adolescent This guide presents research-based Professional Care Disorder Treatment Substance Use Disorder principles of adolescent substance Providers, Administrators, Treatment: A Research- use disorder treatment; covers Public Health Based Guide treatment for a variety of drugs Professionals, individuals including, illicit and prescription and families drugs, alcohol, and tobacco; presents settings and evidence- based approaches unique to treating adolescents. Substance Use Principles of Drug Abuse This guide presents research-based Professional Care Disorder Treatment Treatment for Criminal principles of addiction treatment that Providers, Administrators, Justice Populations - A can inform drug treatment programs Public Health Research-Based Guide and services in the criminal justice Professionals, individuals setting. and families Substance Use SAMHSA Advisory: This Advisory reviews diabetes and Professional Care Disorder Treatment Diabetes Care for Clients its link with mental illness, stress, Providers, Program in Behavioral Health and substance use disorders, and it Planners, Administrators, Treatment discusses ways to integrate diabetes Project Managers, Public care into behavioral health treatment, Health Professionals such as screening and intake, staff education, integrated care, and counseling support. Substance Use SAMHSA Advisory: Spice, This Advisory equips professional Prevention Professionals, Disorder Treatment Bath Salts, and Behavioral health providers with an introduction Professional Care Health to spice and bath salts in the context Providers, Public Health of treating people with substance Professionals, Public use disorders and mental illness. It Officials discusses adverse effects of use, patient assessment, and abstinence monitoring, among other issues.

PAGE | 48 Topic Title Description Target Audience SAMHSA Advisory: This Advisory provides an overview Primary Care Doctors and Sublingual and of data on the use of sublingual Nurses, Drug and Alcohol Transmucosal (medicine that dissolves under the Counselors Substance Use Buprenorphine for Opioid tongues) and transmucosal (medicine Disorder Treatment Use Disorder: Review and that dissolves between the cheeks Update and gums) buprenorphine to treat opioid use disorder and discusses the implications of using MAT as a recovery support.

Substance Use Seeking Drug Abuse This guide offers guidance in seeking General Public Disorder Treatment Treatment: Know What drug abuse treatment and lists five To Ask questions to ask when searching for a treatment program. Substance Use TIP 56: Addressing the This TIP is a companion to TIP Public Health Disorder Treatment Specific Behavioral Health 51, Substance Abuse Treatment: Professionals, Program Needs of Men Addressing the Specific Needs of Planners, Administrators, Women. It examines how gender- Project Managers, specific treatment strategies can Professional Care improve outcomes for men. It also Providers, Prevention covers differences between men and Professionals, women in the effects of substance Researchers use and misuse and the implications these differences have in behavioral health services. It provides practical information based on available evidence and clinical experience that can help counselors more effectively treat men with substance use disorders. Substance Use TIP 51: Substance Abuse This TIP assists treatment providers Public Health Disorder Treatment Treatment: Addressing the in offering treatment to adult women Professionals, Program Specific Needs of Women with substance use disorders. It Planners, Administrators, reviews gender-specific research Project Managers, and best practices, such as common Professional Care patterns of initiation of substance Providers, Prevention use among women and specific Professionals, treatment issues and strategies. Researchers Substance Use Treatment for Alcohol This guide is written for individuals, Individuals, Families, Disorder Treatment Problems: Finding and and their family and friends who are Friends Getting Help looking for options to address to address alcohol problems. Suicide Prevention In Brief: Substance Use This In Brief summarizes the State and Tribal and Suicide: A Nexus relationship between substance Prevention Professionals Requiring a Public Health use and suicide and provides state working in the fields Approach and tribal prevention professionals of substance use and with information on the scope of suicide prevention the problem, an understanding of traditional barriers to collaboration and current programming, and ways to work together on substance use and suicide prevention strategies.

PAGE | 49 Topic Title Description Target Audience Suicide Prevention Suicide Prevention SAMHSA’s SPRC provides technical Professionals in a variety Resource Center (SPRC) assistance, training, and materials of settings (e.g., tribal to increase the knowledge and communities, schools, expertise of suicide prevention colleges and universities, practitioners and other professionals primary care, emergency serving people at risk for suicide. departments, behavioral While multiple factors influence health care, workplace, suicidal behaviors, substance use— and faith communities) especially alcohol use—is a significant factor that is linked to a substantial number of and suicide attempts. Technology-Assisted TIP 60: Using Technology- This TIP provides an overview Program Planners, Care Based Therapeutic Tools in of current technology-based Administrators, Behavioral Health Services behavioral health assessments and Project Managers, interventions, and it summarizes Prevention Professionals, the evidence base supporting the Professional Care effectiveness of such interventions. Providers It also examines opportunities for technology-assisted care (TAC) in the behavioral health arena. It emphasizes use of TAC with clients who might not otherwise receive treatment or whose treatment might be impeded by physical disabilities, rural or remote geographic locations, lack of transportation, employment constraints, or symptoms of mental illness. The TIP covers programmatic, technological, budgeting, vendor selection, data management, privacy and confidentiality, and regulatory considerations likely to arise during adoption of technology-based interventions. Trauma-Informed TIP 57: Trauma-Informed This TIP presents fundamental Professional Care Care Care in Behavioral Health concepts that behavioral health Providers, Program Services service providers and program Planners, Administrators, administrators can use to initiate Project Managers trauma-related screening and assessment, implement collaborative strengths-based interventions, learn the core principles and practices that reflect trauma- informed care, decrease inadvertent retraumatization, and evaluate and build a trauma-informed organization and workforce. Underage Drinking College Alcohol This matrix is a resource to help Higher Education Intervention Matrix colleges and universities address Officials, particularly (CollegeAIM) harmful and underage student alcohol and other drug drinking. Developed with leading program and student life college alcohol researchers and staff staff, it is an easy-to-use and comprehensive tool to identify effective alcohol interventions.

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