American Academy Of Addiction Psychiatry

OPIOID RESPONSE NETWORK: COLLABORATING, ADVANCING, RESPONDING, EDUCATING (CARE TEAM) - THE AMERICAN ACADEMY OF ADDICTION PSYCHIATRY (AAAP), UNIVERSITY OF MISSOURI-KANSAS CITY COLLABORATIVE CENTER TO ADVANCE HEALTH SERVICES, COLUMBIA UNIVERSITY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY AND A COALITION OF 50 NATIONAL AND REGIONAL INTERPROFESSIONAL HEALTH, BEHAVIORAL HEALTH, HARM REDUCTION AND LEGAL/JUSTICE ORGANIZATIONS FORM THE OPIOID RESPONSE NETWORK (ORN). ORN PROVIDES TRAINING AND TECHNICAL ASSISTANCE (TTA) TO GRANTEES, INDIVIDUALS, ORGANIZATIONS AND COMMUNITIES. ORN ADDRESSES OPIOID USE DISORDER (OUD), STIMULANT USE DISORDER (STUD), OTHER SUBSTANCE USE DISORDERS (SUDS) AND CO-OCCURRING PSYCHIATRIC DISORDERS ACROSS ALL 50 STATES AND NINE TERRITORIES AND PROVIDES TTA TO STATE OPIOID RESPONSE (SOR) GRANTEES AND TRIBAL OPIOID RESPONSE (TOR) GRANTEES. IN 2022, 6.5 MILLION PEOPLE MET CRITERIA FOR AN OUD AND 5 MILLION FOR A STUD (SAMHSA, 2023). SUDS AND OTHER PSYCHIATRIC DISORDERS COMMONLY CO-OCCUR, WITH 36% OF ADULTS LIVING WITH A MENTAL HEALTH (MH) DISORDER AND SUBSTANCE USE DISORDER (SAMHSA, 2023). HEALTH DISPARITIES ACROSS SUD AND MH REINFORCE THE NEED TO CENTER HEALTH EQUITY AND SOCIAL JUSTICE. IN 2022, OVERDOSE DEATH RATES IN BLACK AND INDIGENOUS COMMUNITIES EXCEEDED WHITE COMMUNITIES (KFF, 2024). THESE DATA EMPHASIZE THE NEED FOR BOTH CULTURALLY AND REGIONALLY TAILORED TTA. FOR THE 2024-2027 GRANT CYCLE ORN PROPOSES TO SERVE ANNUALLY: YEAR 1 - 40,000, YEAR 2 - 45,000, YEAR 3 - 50,000 FOR A TOTAL - 135,000 UNDUPLICATED INDIVIDUALS. ORN WILL ADDRESS THE FOLLOWING FIVE GOALS: G1A: INCREASE OUTREACH TO UNDER-RESOURCED AND UNDERSERVED COMMUNITIES. G1B. BUILD CAPACITY OF SUBSTANCE USE WORKFORCE TO ADDRESS DISPARITIES AND INTEGRATE HEALTH EQUITY. G2: INCREASE THE NUMBER OF INTERPROFESSIONAL PROVIDERS WITH THE CAPACITY TO PROVIDE CULTURALLY RELEVANT, EVIDENCE-BASED SUBSTANCE USE SERVICES ACROSS THE CONTINUUM OF CARE. G3: BUILD CAPACITY TO ADDRESS AND DECREASE STIGMA. G4: PROVIDE A DIVERSE, COMPREHENSIVE, AND COORDINATED NETWORK TO DELIVER LOCALIZED, TAILORED, AND CULTURALLY RESPONSIVE EDUCATIONAL RESOURCES AND TRAINING. G5: MAXIMIZE IMPACT, UTILIZATION, AND SUSTAINABILITY OF SAMHSA AND NATIONAL TTA RESOURCES THROUGH IMPROVED COORDINATION AND COMMUNICATION OF TTA AND PRODUCTS. ORN'S OBJECTIVES INCLUDE: 1A: ESTABLISH A REPRESENTATIVE STEERING COMMITTEE COMPOSED OF MEMBERS FROM UNDERSERVED POPULATIONS AND CONVENE A MINIMUM OF FOUR QUARTERLY MEETINGS TO REVIEW AND ASSESS PRIORITIES TO ADVANCE HEALTH EQUITY. 2A: INCREASE NUMBER OF PROVIDERS TRAINED ACROSS PREVENTION, HARM REDUCTION, TREATMENT, AND RECOVERY BY 10% EACH YEAR OF THE GRANT. 3A: DEVELOP FOUR ANTI-STIGMA RESOURCES PER YEAR THAT ADDRESS WIDE-SPREAD STIGMA IN UNDERSERVED COMMUNITIES. 4A: YEAR 1, ANALYZE THE ESTABLISHED REPOSITORY, VET 6 YEARS OF EXISTING RESOURCES, AND CREATE AN INVENTORY OF RESOURCES THAT PRIORITIZES UNDERSERVED COMMUNITIES. 5A: MAINTAIN EXISTING PARTNER RELATIONSHIPS WITH SAMHSA-FUNDED TTA CENTERS (ATTC, PCSS, PTTC) AND ESTABLISH COLLABORATIVE RELATIONSHIPS WITH 4 NEW CENTERS. UNDER THE LEADERSHIP OF A VAST NETWORK OF DIVERSE COMMUNITY PARTNERS (REPRESENTING OVER TWO MILLION CONSTITUENTS), ORN PROVIDES CULTURALLY RELEVANT, INNOVATIVE AND EVIDENCE-BASED TTA.

OPIOID RESPONSE NETWORK: COLLABORATING, ADVANCING, RESPONDING, EDUCATING (CARE TEAM) - THE AMERICAN ACADEMY OF ADDICTION PSYCHIATRY (AAAP), UNIVERSITY OF MISSOURI-KANSAS CITY/ADDICTION TECHNOLOGY TRANSFER CENTER NETWORK, COLUMBIA UNIVERSITY AND A COALITION OF OVER 40 NATIONAL INTERPROFESSIONAL HEALTH, BEHAVIORAL HEALTH, HARM REDUCTION AND JUSTICE-INVOLVED ORGANIZATIONS FORM THE OPIOID RESPONSE NETWORK (ORN). ORN PROVIDES TECHNICAL ASSISTANCE (TA) TO STATE OPIOID RESPONSE (SOR) GRANTEES, TRIBAL OPIOID RESPONSE (TOR) GRANTEES, ORGANIZATIONS, COMMUNITIES AND INDIVIDUALS ADDRESSING OPIOID USE DISORDER (OUD), STIMULANT USE DISORDER (STUD), AND OTHER SUBSTANCE USE DISORDERS (SUDS) AND CO-OCCURRING PSYCHIATRIC DISORDERS ACROSS ALL 50 STATES AND NINE TERRITORIES. ORN IS UNIQUELY AND IDEALLY POSITIONED TO UNDERSTAND AND RESPOND TO THE NATION'S SUD PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY NEEDS. OVERDOSE MORTALITY IS AT THE HIGHEST LEVEL EVER (OVER 107,000 INDIVIDUALS DIES FROM OVERDOSE IN 2021 (CDC, 2022)) AND CONCERNS ARE GROWING OVER THE POISONED DRUG SUPPLY DUE TO FENTANYL NOW IMPACTING MOST THE U.S. MORE WORK IS NEEDED TO EXPAND THE CAPACITY OF PRACTITIONERS, ORGANIZATIONS AND HEALTHCARE SYSTEMS TO ADVANCE STATE AND LOCAL RESPONSES BUT ALSO PROVIDE SUPPORT TO A WORKFORCE OVERWHELMED WITH THE COVID-19 PANDEMIC AND MENTAL HEALTH CRISES OCCURRING SIMULTANEOUSLY. ORN HAS A SYSTEM THAT RESPONDS IMMEDIATELY AND EFFECTIVELY TO MEET DIVERSE LOCAL NEEDS. IN ADDITION TO REGIONAL CONSIDERATIONS, ORN IS EQUIPPED TO SUPPORT INDIVIDUALS AND COMMUNITIES WHO BEAR AND DISPROPORTIONATE BURDEN FROM OUD AND STUD, INCLUDING YOUTH AND YOUNG ADULTS, BLACK AND INDIGENOUS COMMUNITIES, LGBTQ+ PEOPLE, RURAL COMMUNITIES AND INDIVIDUALS INVOLVED IN THE LEGAL SYSTEM. ORN TECHNOLOGY TRANSFER SPECIALISTS (TTS) FACILITATE ORN'S ON-THE-GROUND TA WITH PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY CONSULTANTS INCLUDING PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS WITH EXPERTISE IN ADDICTION-RELATED CARE. ORN PARTNER ORGANIZATION ALSO FACILITATE TA ACROSS THEIR MEMBERSHIPS, CONSTITUENTS AND COMMUNITIES BASED ON IDENTIFIED NEEDS. ALL ORN ACTIVITIES ARE CHANNELED THROUGH FORMAL VETTING POSSESSES TO ENSURE FOR THE DELIVERY OF CULTURALLY AND LINGUISTICALLY APPROPRIATE, STATE-OF-THE-ART, EVIDENCE-BASED TA. ORN IS COMMITTED TO REDUCING PERVASIVE STIGMA ATTACHED TO SUBSTANCE USE DISORDERS AND IMPROVING RACIAL, ETHNIC, CULTURAL AND LINGUISTIC COMPETENCE, AND WELL AS AWARENESS AND COMPETENCIES FOR EFFECTIVELY RESPONDING TO OUD AND STUD IS RURAL, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES THAT OFTEN EXPERIENCE PERSISTENT HEALTH DISPARITIES. ORN HAS STRATEGICALLY EXPANDED CAPACITY TO DELIVER CULTURALLY RESPONSIVE TA TO TOR GRANTEES. THE PRIMARY GOAL OF THE SOR CONSORTIUM IS TO PROVIDE SOR AND TOR GRANTEES, SUB-RECIPIENTS AND OTHER ADDRESSING OUDS/STUDS ACROSS THE U.S. WITH DIRECT ACCESS TO LOCAL EXPERTS WHO CAN PROVIDE LOCALIZED TA AND EVIDENCE-BASED PRACTICES (EBPS) ACROSS PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY SUPPORT PROGRAMS/SERVICES. SINCE MARCH 2018, ORN HAS RESPONDED TO OVER 4,000 REQUESTS THROUGH ITS ESTABLISHED TA REQUEST SYSTEM (WWW.OPIOIDRESPONSENETWORK.ORG) WHICH RESPONDS TO REQUESTS FOR EDUCATION AND TRAINING WITH ONE BUSINESS DAY. APPROXIMATELY 75,000 PEOPLE HAVE PARTICIPATED IN ORN ACTIVITIES TO DATE. BY SEPTEMBER 30, 2024, ORN WILL PROVIDE TA IN EVIDENCE-BASED PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY SUPPORT SERVICES TO AN ADDITIONAL 50,000 INDIVIDUALS. ORN'S PERFORMANCE MEASURES INCLUDE THE NUMBER OF INDIVIDUALS/PRACTITIONERS WHO 1) INITIATE TRAINING IN EBPS, 2) ARE TRAINED ON EBPS, AND 3) IMPLEMENT TRAINING IN EBPS FOR OUD AND STUD PREVENTION, TREATMENT, RECOVERY, OVERDOSE RECOGNITION AND NALOXONE USE.

OPIOID RESPONSE NETWORK: COLLABORATING, ADVANCING, RESPONDING, EDUCATING

STATE TECHNICAL ASSISTANCE TEAM EDUCATION AND SUPPORT (STATES)

2019 PROVIDERS CLINICAL SUPPORT SYSTEM-MEDICATION ASSISTED TREATMENT

MINORITY FELLOWSHIP PROGRAM

PROVIDERS CLINICAL SUPPORT SYSTEM- MEDICATIONS FOR OPIOID USE DISORDERS - PROJECT ABSTRACT SUMMARY: PCSS-MOUD OPIOID RELATED OVERDOSES CONTINUE AT UNPRECEDENTED RATES, ADVERSELY IMPACTING INDIVIDUALS, FAMILIES, AND COMMUNITIES NATIONWIDE. SUBSTANTIVE EFFORTS HAVE BEEN MADE BY FEDERAL AND STATE AGENCIES, INCLUDING THE PROVIDERS CLINICAL SUPPORT SYSTEM (PCSS)-MAT. WHILE PCSS-MAT HAS MADE SIGNIFICANT PROGRESS OVER THE LAST DECADE IN PROVIDING INNOVATIVE TRAINING, MENTORING AND IMPLEMENTATION SUPPORT FOR PRESCRIBERS AND ALLIED HEALTH PROFESSIONALS IN THE USE OF EVIDENCE-BASED HARM REDUCTION, PREVENTION, TREATMENT, AND RECOVERY OF OPIOID USE DISORDERS (OUD), MORE IS NEEDED. IN RESPONSE, THE AMERICAN ACADEMY OF ADDICTION PSYCHIATRY (AAAP) PROPOSES IN THIS APPLICATION TO CONTINUE WORKING WITH THE LARGE COALITION OF NATIONAL PROFESSIONAL ORGANIZATIONS OF PCSS PARTNER ORGANIZATIONS AND THE PCSS STEERING COMMITTEE WHILE SIGNIFICANTLY BROADENING REPRESENTATION. OUR PARTNERS AND STEERING COMMITTEE INCLUDE EXPERTS IN ADDICTION PSYCHIATRY AND MEDICINE, SPECIALTY CARE PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS, PHARMACISTS, AND DENTISTS. WE PROPOSE TO BUILD UPON THIS WORK TO INCLUDE SOCIAL WORKERS, COUNSELORS, AND THE RECOVERY COMMUNITY. FURTHER, GIVEN THAT THE MOST RECENT INCREASES IN OVERDOSES ARE SITUATED IN BLACK AND INDIGENOUS COMMUNITIES, WE WILL WORK TO BETTER MEET THE NEEDS OF HISTORICALLY MINORITIZED AND UNDER RESOURCED COMMUNITIES. BUILDING UPON CURRENT AND PRIOR WORK LED BY AAAP AND A COMMITTED CONSORTIUM OF PARTNERS REPRESENTING THE SPECTRUM OF INTERDISCIPLINARY HEALTH PROFESSIONS, THE OVERARCHING GOAL OF THIS APPLICATION IS TO INCREASE THE AVAILABILITY AND ACCESSIBILITY OF FDA-APPROVED MEDICATIONS FOR OUD (MOUD). THIS PCSS CONSORTIUM PROPOSES TO CONTINUE TO EXPAND AND DIVERSIFY ACTIVITIES TO MEET THE FOLLOWING OBJECTIVES: 1) CONTINUED EDUCATION (INCLUDING A FOCUS ON STIGMA REDUCTION); 2) TRAINING (INCLUDING NEW DEA REQUIRED TRAININGS); 3) KNOWLEDGE-BUILDING (INCLUDING THE BASICS OF OUD, POLY-SUBSTANCE USE, AND CO-OCCURRING MENTAL AND PHYSICAL DISORDERS); 4) CLINICAL MENTORSHIP; AND 5) IMPLEMENTATION SUPPORT (TO ADDRESS SYSTEMIC FACTORS THAT CAN FACILITATE OR IMPEDE TREATMENT DELIVERY, EXPANSION, AND SUSTAINABILITY). THIS WORK WILL BE AUGMENTED BY THE ADDICTION TECHNOLOGY TRANSFER CENTER (ATTC) AND THE PEER RECOVERY COE TO BETTER INTEGRATE RECOVERY INTO PCSS ACTIVITIES AND BROADENING REPRESENTATION OF OTHER SAMHSA TECHNICAL ASSISTANCE (TA) CENTERS TO BETTER SERVE RURAL AND HISTORICALLY MINORITIZED COMMUNITIES, INCLUDING RURAL OPIOID TECHNICAL ASSISTANCE (ROTA) AND THE AFRICAN AMERICAN BEHAVIORAL HEALTH CENTER OF EXCELLENCE (COE). PCSS ACTIVITIES WILL ALSO FOCUS ON EXPANDING MULTIDISCIPLINARY TEAM-BASED CARE, INCLUDING INVITING NEW PARTNERS FROM ALLIED HEALTH PROFESSIONAL FIELDS (E.G., NATIONAL ASSOCIATION OF SOCIAL WORKERS, NATIONAL ASSOCIATION OF ALCOHOL AND DRUG ADDICTION COUNSELORS, AFRICAN AMERICAN BEHAVIORAL HEALTH COE). FINALLY, AAAP WILL PROVIDE LEADERSHIP ON DIVERSITY, EQUITY AND INCLUSION (DEI) AND AWARENESS OF CULTURALLY RESPONSIVE TRAINING AND RESOURCES BY INCLUDING THEIR DEI DIRECTOR AND COMMUNITY ENGAGEMENT DIRECTOR TO THE PCSS STEERING COMMITTEE. THE OVERDOSE CRISIS, EXACERBATED BY COVID-19, HAS COMPELLED US TO RE-EVALUATE OUR APPROACH ON HOW BEST TO OVERCOME STIGMA, BE MORE PATIENT-CENTERED, AND PROVIDE CARE IN CULTURALLY RESPONSIVE WAYS. PCSS-MOUD IS STRUCTURED TO RESPOND RAPIDLY TO EMERGING ISSUES (E.G., CONTAMINANTS IN THE DRUG SUPPLY LIKE XYLAZINE), AS WELL AS MAXIMIZING FOUNDATIONAL TRAINING AND SUPPORT RESOURCES. THE GOAL OF PCSS-MOUD IS NOT TO DUPLICATE EFFORTS BUT TO STREAMLINE AND ENHANCE ACTIVITIES ACROSS THE COUNTRY BY COORDINATING AND COLLABORATING WITH OTHER SAMHSA-FUNDED TA PROGRAMS TO MORE EFFECTIVELY MEET THE NEEDS OF PEOPLE WITH OUD, ESPECIALLY THOSE EXPERIENCING HEALTH DISPARITIES. THIS CAN BE ACCOMPLISHED BY A CONCERTED AND FOCUSED EFFORT TO FILL GAPS IN THE AVAILABILITY OF PREVENTION, TREATMENT, RECOVERY AND HARM REDUCTION SERVICES AND WHERE WE CAN BUILD AND EXPAND MU

COLLABORATIVE STRATEGIES FOR TRAINING HEALTH PROFESSIONALS

PROVIDERS' CLINICAL SUPPORT SYSTEM FOR OPIOID THERAPIES

PCSS-MAT

COLLABORATIVE STRATEGIES FOR TRAINING HEALTH PROFESSIONALS

PRESCRIBERS' CLINICAL SUPPORT SYSTEM FOR OPIOID THERAPIES

PCSS: A NOVEL APPROACH TO SUSTAINABLE TRAINING AND MENTORING FOR TREATMENT OF OPIOID ADDICTION

18TH-22ND ANNUAL MEETINGS AND SYMPOSIUM

ADVANCING PATIENT-CENTERED OUTCOMES IN ADDICTION PSYCHIATRY PRACTICE

EXPANSION OF INTERPROFESSIONAL HEALTHCARE PRACTITIONER SUD EDUCATION

NIH SUPPORT FOR CONFERENCES AND SCIENTIFIC MEETINGS

PROVIDERS' CLINICAL SUPPORT SYSTEM FOR OPIOID THERAPIES