This presentation will address efforts by the ATTC Network to decrease the gap between research and practice and to influence understanding of factors that enhance uptake of innovations. This presentation outlines how pairing research with innovative dissemination techniques can enhance the use of EBPs related to MAT. The presentation will provide an overview of the Buprenorphine Suite, a training product designed by the ATTC Network to provide the SUD treatment field with the tools to access and adopt NIDA treatment protocols. Additionally this presentation will identify research undertaken by the Network which identifies barriers to providing MAT to minority populations.
7. SAMHSA’s Plan for 2011-14
SAMHSA’s 8 Strategic Initiatives
1) Prevention of Substance Abuse and Mental Illness
2) Trauma and Justice
3) Military Families
4) Recovery Support
5) Health Reform
6) Health Information Technology
7) Data, Outcomes, and Quality
8) Public Awareness and Support
8. Our Role in SAMHSA’s Plan
• The ATTC Network conducts
numerous efforts across
SAMHSA’s eight Strategic
Initiatives
• The ATTC Network is a stable
infrastructure to address the
objectives outlined by SAMHSA
in the “Leading Change” plan
ATTC Activities related to each initiative
September 2009-2010
*Health Information Technology
*
12. Setting the Context: Where are we with MAT?
Addiction Health Services Research Conference 2011
Traci Rieckmann, Ph.D.
Oregon Health & Sciences University
Northwest Frontier ATTC
rieckman@ohsu.edu
42. Blending Process
Selected CTN protocols
or other NIDA
Research
Hand-Off Meeting
Create the charge for Blending Team
Blending Team
Develop dissemination strategies and products
50. 0
10
20
30
40
50
60
70
80
90
Day 3-4 Day 7-8 Day 10-11 Day 13-14
Clonidine Bup/Nx
% of Individuals present at end of taper
% of opioid free urines
Results: Present and Opioid
Negative 0002 (Outpatient)
68. Study Design‐ Overview
• 8 qualitative focus groups, 90 minutes each
• Four minority populations
– African American
– American Indian
– Asian American/Pacific Islander
– Hispanic/Latino
• 10‐12 participants per group using MAT for 6 months
• Outpatient behavioral health clinics & substance abuse
treatment centers
• New York, Los Angeles (2), Honolulu, Chicago,
Oklahoma City (2), Seattle
69. Study Design
• Recruitment:
– Flyers and handouts in clinics
– $20 gift card incentives
• Procedures:
– Focus group guide directed conversation
– Information letters for participants
– Client information sheets (demographics)
– Pseudonyms chosen
– Meetings were digitally recorded (audio only)
– Refreshments provided
– Incentives given after the meeting
70. Participants
• 68 participants
– 15 African American
– 18 Asian American
– 19 Hispanic Latino
– 16 Native American/
American Indian
• Primarily unemployed
• Mostly high school
educated
0
2
4
6
8
10
12
14
Afr.
Am.
Asian
Am.
H/L Native
Am.
Female
Male
Transgender
86. Online Courses
• 3 Core Modules
o Module 1 – context, epidemiology, effects of alcohol
& opioids
o Module 2 – meds for alcohol and opioid addiction,
introduction to findRXinformation.org, tx settings for
MAT
o Module 3 – implementing MAT, recovery and MAT
• 4 Population‐specific Modules
o Module 4 – African Americans
o Module 5 – Asian/Pacific Islander
o Native American/American Indian Module
o Hispanic/Latino Module
91. Panel Agenda
• About the Addiction Technology Transfer Center (ATTC) Network
• Setting the Context: Where are we with MAT?
• NIDA/SAMHSA Blending Initiative Overview: A focus on
medication‐assisted treatment
• MAT in Special Populations
Panel Questions?
Olivia Ryan
ryanom@umkc.edu
Traci Rieckmann
rieckman@ohsu.edu
Thomas Freese
tfreese@mednet.ucla.edu
Beth Rutkowski
brutkowski@mednet.ucla.edu
Shawna Malvini Redden
shawna.malvini@asu.edu
Laurie Krom
kroml@umkc.edu
Closing the gap between research and practice:
Successful technology transfer strategies in combating
resistance to medication-assisted treatment