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Title: Addiction Technology Transfer Center (ATTC) National Coordinating Office (NCO) Through the Addiction Technology Transfer Center (ATTC) National Coordinating Office (NCO) award (FOA TI-17-005), the University of Missouri-Kansas City (UMKC) will serve SAMHSA, the ten regional ATTCs, and the specialized behavioral and primary healthcare workforces that provide substance use disorder (SUD) treatment and recovery support services across America. The purpose of the NCO is to be the backbone organization of the ATTC Network, ensuring that a diverse group of regionally-focused technology transfer centers takes a coordinated approach to improving the quality of care provided to people with, or who are at risk of developing, substance use and co-occurring disorders. A strong NCO will multiply the impact of the ATTCs by maintaining communication, collaboration, data collection, and knowledge management infrastructure; coordinating activities among the ATTCs; establishing a key stakeholder meta-network to coordinate activities between the ATTCs and external partners; and increasing accessibility of ATTC resources through digital platforms and marketing. Furthermore, the NCO will build the capacity of Opioid Treatment Providers (OTPs) to address chronic Hepatitis C virus and other emerging issues of specific relevance to OTPs? patients by sustaining existing ATTC resources and developing a new OTP/primary care provider cross-training package. ATTC NCO events will serve 1,250 individuals over the course of the grant cycle. All NCO efforts will adhere to cultural and linguistic appropriateness standards and be based in state-of-the-art technology transfer techniques. Key projects include transforming the ATTC Network into a continuous learning system through the launch of a virtual community of practice based on a hub and spoke framework that meets regularly as well as the identification, formation and management of workgroups for standardized product development. Using a facilitative leadership approach based on the spirit of collective impact, UMKC will build the capacity of the ATTC Network to meet SAMHSA's vision for the program.

The Mountain Plains Addiction Technology Transfer Center (ATTC) will improve the capacity of Region 8?s substance use disorder (SUD) treatment/recovery services workforce by using state-of-the-art training/technical assistance (TA), innovative web-based tools, and proven workforce development activities to expand access to learning, change clinician practice, and advance provider proficiencies, resulting in improved client outcomes. The University of North Dakota is the applicant for the Mountain Plains and will partner with the current National Frontier and Rural ATTC to implement the project. Both entities have expertise and extensive experience providing training/TA events for behavioral health providers residing in frontier/rural areas. Region 8?s states (Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming) all have significant frontier/rural areas. The 2015 National Survey on Drug Use and Health shows the Region 8 states rank high nationally in several substance use/mental health disorders. Five of the six states in the Region rank in the top 25 for alcohol and drug use disorders. Opioid use is also a major Region 8 problem. In 2016, two cities ranked in the top 25 for prescription opioid misuse (Bismarck, ND: 6th and Billings, MT: 22nd) and opioid overdose deaths increased from 2014 to 2015 between 4.5% and 36.5% in four of the six states. Finally, rates of depression and suicide are higher in all six states than the national average, placing them in the top 15 nationally. Recipients of Mountain Plains training/TA events will include behavioral health and SUD treatment/recovery administrators, managers, clinical supervisors, recovery specialists, and counselors; tribal health professionals; health professions academic educators; and other key stakeholders from related systems of care (e.g., opioid treatment providers [OTPs]); state/local governments; provider associations; and specialized behavioral/primary healthcare providers). Given the Region?s geographic characteristics, attending in-person training/TA events is often prohibitive due to travel time and costs. Project goals/objectives reflect this need and training/TA activities will be offered through online video or telephone conferencing platforms. Mountain Plains will expand the capacity of the healthcare workforce to deliver SUD treatment/recovery services by: 1) implementing sequenced Enhanced Professional Learning series (EPLs); 2) sponsoring Communities of Practice (CoPs); 3) providing onsite consultation; 4) creating web-based products/tools (self-paced courses, podcasts, and videos); and 5) conducting in-person, intensive workforce development activities (Leadership Institutes; Change Agent ToT; and faculty workshops on EBPs). Events will be informed by Regional stakeholders through an Advisory Board, 5 Workgroups, and SSA group. Letters of Commitment were received from 46 people willing to be part of these groups. Cross-regional national activities will focus on OTPs and MAT. In Years 2-5, 58 events will be offered per year, serving 1,162 individuals. A lower target is projected for Year 1 (20 events; 408 participants) to prepare curricula/activities. By the end of the 5-year period, Mountain Plains will serve 5,056 individuals through 582 events.

The purpose of the South/Southwest Addiction Technology Transfer Center (S/SWATTC) for Health and Human Services Region 6 is to improve the lives of individuals and families affected by substance use disorders by enhancing the competency and diversity of the addictions workforce so that they may deliver evidence-based, effective, culturally relevant services within recovery oriented systems of care. The target populations of this proposal are practitioners who will receive training and technical assistance, treatment agency teams who will engage in quality improvement processes, treatment staff and peer workers who will receive support in forming recovery oriented systems of care, and a diversity of students who will be recruited to pursue addictions careers in culturally and linguistically relevant academic campuses. The proposal has a special focus on students from African American, Mexican American and American Indian cultural groups. The S/SWATTC will provide services to at least 2,100 persons annually and over 10,500 persons during the 5 year project period. The goals of the center proposal are to: 1) Develop and maintain collaborative relationships of state agencies, educational institutions, provider and professional organizations, recovery community, faith-based groups, and other stakeholder groups; 2) Develop a competent and diverse workforce by educating pre-service students, recruiting and retaining minority students in the addictions field, and conducting trainings in cultural competency standards; 3) Promote adoption of evidence-based and promising practices (EBPPs) by promoting use of telehealth methods of SUD treatment, conducting multi-level training and technical assistance on EBPPs with an emphasis on Technology Based Interventions, providing follow-up consultation, and conducting organizational and supervisory training to support ongoing implementation; 4) Provide technical assistance in organizational quality improvement through development and support of agency change teams which will engage in planning change, piloting, evaluating, and carrying out key changes; and 5) Serve as a resource on recovery by providing recovery focused technical assistance on supporting recovery oriented systems of care, providing training on improved integration of recovery principles within treatment, supporting the role of peer coaches, and developing and disseminating recovery oriented materials and tools.

The University of Washington Alcohol and Drug Abuse Institute (ADAI), a multi-disciplinary research and education center, seeks to serve as the Regional Addiction Technology Transfer Center for (HHS) Region 10 (Washington, Alaska, Idaho, & Oregon). Region 10 ATTC will provide training and technical assistance activities to specialized behavioral health and primary care healthcare workforce providing substance use disorder treatment and recovery services. ADAI proposes to provide a menu of training and technical assistance activities designed to meet the primary aims established by SAMHSA for the ATTC program. Region 10 ATTC project goals and a few of the highlighted activities are summarized below: Goal 1: Accelerate the adoption and implementation of evidence-based and promising SUD treatment and recovery support services - Provide 10 Healing the Canoe implementation projects across the region - Provide 16 intensive Implementation Projects to promote evidence-based practices - Provide training/TA on Teen Marijuana Check-up interventions to 3 school districts - Develop and deliver up to 4 Project ECHO clinics to support integration of BH and PC - Provide 23 Screening, Brief Intervention and Referral to Treatment training/TA events Goal 2: Build and enhance the awareness, knowledge and skills of the workforce that addresses the needs of people with substance misuse, addiction, and co-occurring health disorders. - Provide 30 conference presentations on EBPs, and promising practices - Offer 120 trainings on EBPs and processes to improve the quality of SUD treatment - Provide 60 webinars on MAT and Bridging the Gap (research to practice) - Promote ?existing? on-line courses and develop new curricula in response to needs - Serve on at least 3 ATTC National office and cross-regional workgroups Goal 3: Foster regional and national alliances among culturally diverse practitioners, researchers, policy makers, funders, and the recovery community to support SAMHSA?s workforce development and quality improvement goals, and objectives. - Establish a regional advisory board of stakeholders and convene 4 times a year. - Maintain multiple on-line resources for professionals and community members - Hold quarterly meetings with SSAs and other BH and PC organizations across the region In summary, Region 10 ATTC is proposing to offer 298 (60 per year) training and technical assistance events to 7,114 participants (1,423 per year) across the region over the 5-year period of the grant to increase the capacity of the BH and PC workforce to provide high quality, effective services for clients with SUD and co-occurring disorders.

The Region 5 Addiction Technology Transfer Center (Great Lakes ATTC or GLATTC) will serve Opioid Treatment Programs, other substance use disorder (SUD) treatment and recovery programs and professionals, and other behavioral healthcare and primary care providers that provide SUD treatment and recovery support services in Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin. We will offer training and intensive technical assistance (TA) to build SUD treatment providers capacity to deliver effective, evidence-based services to individuals across the full continuum of services spanning engagement, treatment, maintenance, and recovery. Strategies for our project include training on NIATx model of process improvement, virtual collaboratives, hub and spoke network technology, face-to-face and online trainings, and mobile health information technology. We will collaborate with a range of regional and national stakeholders to support activities in diverse communities, workforce development, health disparities, Screening, Brief Intervention, and Referral to Treatment, and to help organizations improve their processes and practices in the delivery of effective SUD treatment and recovery services. Our project goals are to build the quality improvement environment for SUD treatment and recovery services, increase implementation of evidence-based practices across the prevention, treatment, and recovery continuum, and help to build the SUD treatment and recovery services workforce. Our measurable objectives using GPRA data are: (1) What was the effect of the event on the participant? (2) Did events lead to better, more effective practice? (3) What individual factors were associated with outcomes, including race/ethnicity? (4) How durable were the effects? (5) Which key stakeholders were engaged in the events? and (6) Are we meeting the participant goals in the Training Enrollment Table? We will also measure the number of process improvement projects successfully completed. Through these activities, the Region V ATTC will serve 1,473 individuals in a total of 67 TA events and 600 individuals in 22 short-term (ST) learning events annually. We will serve 7,368 individuals in a total of 336 TA events and 2,880 individuals in a total of 139 ST learning events over the lifetime of the project.

In response to SAMHSA FOA TI-17-005, this application seeks to expand efforts of the DHHS Region 9 Pacific Southwest Addiction Technology Transfer Center (PSATTC). If funded, the PSATTC will provide technical assistance to strengthen the behavioral and primary health care workforces to increase use of evidence- based and promising practices (EBPPs) for substance use disorder (SUD) services. Region 9 is extremely racially, ethnically, economically, and geographically diverse, containing four states (Arizona, California, Hawaii, Nevada), three territories (American Samoa, Commonwealth of the Northern Mariana Islands, Guam) and three independent nations with compacts of free affiliation (Federated States of Micronesia, Republic of the Marshall Islands, Republic of Palau). Region 9 has diverse cultural groups and languages, the densest urban areas, and some of the most remote places on earth, spread across millions of square miles and spanning the international dateline in eight time zones. To accelerate implementation of treatment and recovery-oriented EBPPs, PSATTC will focus on 4-6 topics annually. Services will emphasize technical assistance (TA) to assist with rapid adoption and implementation of EBPPs using local change teams and continuous processes improvement (NIATx, etc.) strategies. TA will be supported by asynchronous, self-paced training, synchronous training and technical assistance (T/TA) using distance and face-to-face methods, and ongoing case consultation and implementation support. PSATTC will accomplish the following goals: (1) Promote regional and local collaboration with stakeholders to advance the professional development of students and practitioners in provision of treatment and recovery services; (2) Provide training to the behavioral health, primary care, and recovery support workforces to improve quality and impact of services; (3) Provide intensive TA to improve delivery of SUD treatment and recovery services; (4) Prepare the workforce to deliver services in a recovery-oriented system of care; (5) Provide T/TA to address the widespread opioid epidemic; (6) Disseminate culturally and linguistically appropriate information to key stakeholders; (7) Advance adoption of SUD treatment/recovery services nationally; and (8) Conduct local evaluation. In accomplishing these goals, the PSATTC will provide T/TA services to a minimum of 2,725 individuals annually in at least 90 T/TA events. Across the 5-year project lifespan, this will result in a minimum of 450 service events for 13,625 individuals. The PSATTC leadership team from UCLA ISAP, ASU CABHP, and UNR CASAT has unparalleled expertise in SUD treatment and recovery services, and provider T/TA.

Abstract Addiction Technology Transfer Centers Cooperative Agreements (Short Title: ATTC) Funding Announcement (FOA) No. TI-17-005 Regional Center ? Region 7 Truman Medical Centers, with the current Mid-America ATTC at the University of Missouri-Kansas City, will a) promote and accelerate the adoption and implementation of evidence-based treatment and recovery practices; b) increase the awareness, knowledge, and skills of the behavioral health workforce; and c) foster alliances among the culturally diverse workforce and other stakeholders, including the recovery community. Mid-America ATTC will follow the ATTC Network in moving from a primary focus on large-scale dissemination of and awareness training on evidence-based practices to working more intensively with a smaller number of providers to implement evidence-based practices and a quality improvement infrastructure. Mid-America will use two main strategies to accomplish our goals: 1) provide intensive technical assistance (TA) to provider organizations to improve their processes and practices in the delivery of effective substance use disorder (SUD) treatment and recovery services by adapting three models of intensive TA: a learning community, an implementation facilitation model, and the hub and spoke Project ECHO; and 2) prepare and disseminate three types of quality tools (structure, process, and outcome tools). Intensive TA projects will include: data-driven decision-making, recovery and resiliency, and use of mobile apps as care extenders learning communities; clinical supervision and medication-assisted treatment Project ECHOs; and trauma-informed care and integration of SUD services into medical care implementation facilitations. Other specific activities will include facilitating collaboration among stakeholders; developing tools needed by practitioners to improve the quality of service delivery; adapting existing tools for behavioral health organizations such as the National CLAS Standards; developing new and updating existing mobile apps; and designing self-paced online courses. Mid-America will build upon a network of collaborations and partnerships including those with other federal training centers, Region 7 Single State Authorities, a Region 7 Advisory Board, and SAMHSA?s Regional Administrator. Mid-America will serve 2,534 participants through 59 events over 5 years. This includes 35 trainings (2,028 participants) and 24 TA and academic programming events (506 participants). Mid-America will collect performance measures through SAMHSA?s Government Performance and Results Act (GPRA) as well as outcome and process evaluations.

The Morehouse School of Medicine (MSM), which has been the lead for the Southeast ATTC for the past eighteen years, is proposing to serve Health and Human Service (HHS) Region 4, which includes the states of Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. MSM is a national expert in the areas of culturally competent healthcare delivery and in primary care integration. MSM will utilize its expertise through the use of state-of-the-art technology transfer models that permit the application of science-based evidence based practices (EBPs) that will consistently enhance the region's SUD treatment workforce professionalism and ability to support patient recovery. MSM enjoys a broad and fruitful multidisciplinary collaboration within its current ATTC efforts, which will be similarly expanded within the new region. This collaboration will have an active role in developing the ATTC's strategic plan. MSM's ATTC model also demonstrates a strong collaborative relationship with each SSA, which will also collectively and individually influence the ATTC's strategic plan and its regional impact. MSM proposes to train 6,300 participants in 225 training events throughout the five years. A comprehensive evaluation plan is proposed that will permit the ATTC to continuously improve its services.

The Region 3 ATTC, managed by the Danya Institute, will continue to lead the Central East ATTC region (Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia) in a collaborative effort to strengthen the behavioral healthcare workforce that provide substance use disorder treatment and recovery services. We will incorporate tools and strategies to improve the quality of services through training, technical assistance, and resources. Region 3 consists of 123,023 square miles of rural, suburban, and urban communities including rural Appalachia, with a total population of more than 30,609,980 people. Nearly one-third (31.6%) of the population is non-white, and consists of primarily African-Americans (17%), Hispanic/Latinos (7%) and Asian (4%). The opioid epidemic has hit the region hard with West Virginia, Maryland, and Pennsylvania among the top 10 states with high rates of drug overdose deaths. Approximately 1,425 behavioral healthcare, primary care and public health providers will benefit annually from this initiative with an estimated 7,125 over the five-year grant period. To achieve the goals of the project, we will work with partners who bring complementary experience and expertise to reach a broad range of stakeholders that include diverse racial and ethnic groups from multiple geographic areas of the region, and who have varying levels of economic stability. The Institute has extensive experience working with underserved populations with sensitivity to issues of gender, disability, culture, language, and lifestyle. This initiative calls for the ATTC activities to accelerate the adoption and implementation of evidence-based practices (EBPs) and promising practices, increase the knowledge and skills of the workforce that addresses the needs of individuals with substance use or other co-occurring health disorders, and foster regional alliances among diverse practitioners, researchers, policymakers, funders, and the recovery community. To this end, we propose the following goals: a) collaboration and communication with key stakeholders; b) increase the ongoing implementation of EBPs to treatment and recovery providers and allied health systems; c) utilize innovative technology to deliver training/technical assistance (T/TA); d) serve as a subject matter resource for a variety of community based organizations; e) enhance cultural and linguistic competencies of practitioners; and f) participate in cross-regional and network-wide activities.

The proposed (Regional) New England Addiction Technology Transfer Center (ATTC), located within Brown University?s Center for Alcohol and Addiction Studies, will serve Region 1, which is comprised of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. The primary focus of the New England ATTC is to develop and strengthen the regional workforce that provides the full continuum of addiction services spanning engagement, treatment, maintenance, and recovery. The regional workforce is primarily Caucasian (82%), female (66%), and over the age of 40 (70%), with over one-third identifying themselves as in recovery (38%). Regional needs assessments have identified six key service gaps and associated areas of training need: (1) detection and early intervention of substance use; (2) capacity building for opioid treatment programs; (3) developing workforce competencies in effective adolescent treatment; (4) health care integration; (5) improving evaluation and advancement of culturally and linguistically appropriate services; and (6) promoting recovery-oriented systems of care. To address these six areas, the proposed ATTC will pursue three objectives, each of which is associated with measurable process goals. Objective 1 is to develop the workforce by raising the awareness, knowledge, skills, and cultural and linguistic competence of providers treating those with or in recovery from substance use disorders. Measurable process goals include provision of training to 2,100 individually annually (10,500 over the five-year project) through a range of short-term training opportunities such as face-to-face workshops, intensive summer educational programs, self-paced online courses, and instructor-led technology-delivered courses. Objective 2 is to help organizations develop or improve the quality of services provided across the addiction care continuum by providing intensive technical assistance (TA). The foundation of our regional approach to TA is the state-of-the-art Science to Service Laboratory, which consists of three tiers: didactic training, performance feedback, and external coaching. Process indicators that we will track include: delivery of intensive TA to 1 new State Health Department per year, delivery of TA activities to 1-2 treatment and recovery organizations per state each year, and creation of a virtual learning community focused on capacity building in opioid treatment programs. Objective 3 is to foster regional and national alliances among culturally diverse practitioners, researchers, policy makers, funders, and the recovery community. Measurable process goals include annual meetings with our Advisory Board (including the SAMHSA Region 1 Administrator, regional SSAs, provider and recovery organizations, and allied health systems) and serving as the primary point of training and TA support in addictions services for multiple systems of care (including primary care, schools, criminal justice, faith-based organizations, and child welfare). Pursuit of these objectives is expected to yield long-term improvements in organizations? recruitment and retention, as well as the quality, consistency, and cultural and linguistic appropriateness of treatment and recovery services in New England.

The Region 5 Addiction Technology Transfer Center (Great Lakes ATTC or GLATTC) will serve Opioid Treatment Programs, other substance use disorder (SUD) treatment and recovery programs and professionals, and other behavioral healthcare and primary care providers that provide SUD treatment and recovery support services in Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin. We will offer training and intensive technical assistance (TA) to build SUD treatment providers capacity to deliver effective, evidence-based services to individuals across the full continuum of services spanning engagement, treatment, maintenance, and recovery. Strategies for our project include training on NIATx model of process improvement, virtual collaboratives, hub and spoke network technology, face-to-face and online trainings, and mobile health information technology. We will collaborate with a range of regional and national stakeholders to support activities in diverse communities, workforce development, health disparities, Screening, Brief Intervention, and Referral to Treatment, and to help organizations improve their processes and practices in the delivery of effective SUD treatment and recovery services. Our project goals are to build the quality improvement environment for SUD treatment and recovery services, increase implementation of evidence-based practices across the prevention, treatment, and recovery continuum, and help to build the SUD treatment and recovery services workforce. Our measurable objectives using GPRA data are: (1) What was the effect of the event on the participant? (2) Did events lead to better, more effective practice? (3) What individual factors were associated with outcomes, including race/ethnicity? (4) How durable were the effects? (5) Which key stakeholders were engaged in the events? and (6) Are we meeting the participant goals in the Training Enrollment Table? We will also measure the number of process improvement projects successfully completed. Through these activities, the Region V ATTC will serve 1,473 individuals in a total of 67 TA events and 600 individuals in 22 short-term (ST) learning events annually. We will serve 7,368 individuals in a total of 336 TA events and 2,880 individuals in a total of 139 ST learning events over the lifetime of the project.

The University of Washington Alcohol and Drug Abuse Institute (ADAI), a multi-disciplinary research and education center, seeks to serve as the Regional Addiction Technology Transfer Center for (HHS) Region 10 (Washington, Alaska, Idaho, & Oregon). Region 10 ATTC will provide training and technical assistance activities to specialized behavioral health and primary care healthcare workforce providing substance use disorder treatment and recovery services. ADAI proposes to provide a menu of training and technical assistance activities designed to meet the primary aims established by SAMHSA for the ATTC program. Region 10 ATTC project goals and a few of the highlighted activities are summarized below: Goal 1: Accelerate the adoption and implementation of evidence-based and promising SUD treatment and recovery support services - Provide 10 Healing the Canoe implementation projects across the region - Provide 16 intensive Implementation Projects to promote evidence-based practices - Provide training/TA on Teen Marijuana Check-up interventions to 3 school districts - Develop and deliver up to 4 Project ECHO clinics to support integration of BH and PC - Provide 23 Screening, Brief Intervention and Referral to Treatment training/TA events Goal 2: Build and enhance the awareness, knowledge and skills of the workforce that addresses the needs of people with substance misuse, addiction, and co-occurring health disorders. - Provide 30 conference presentations on EBPs, and promising practices - Offer 120 trainings on EBPs and processes to improve the quality of SUD treatment - Provide 60 webinars on MAT and Bridging the Gap (research to practice) - Promote ?existing? on-line courses and develop new curricula in response to needs - Serve on at least 3 ATTC National office and cross-regional workgroups Goal 3: Foster regional and national alliances among culturally diverse practitioners, researchers, policy makers, funders, and the recovery community to support SAMHSA?s workforce development and quality improvement goals, and objectives. - Establish a regional advisory board of stakeholders and convene 4 times a year. - Maintain multiple on-line resources for professionals and community members - Hold quarterly meetings with SSAs and other BH and PC organizations across the region In summary, Region 10 ATTC is proposing to offer 298 (60 per year) training and technical assistance events to 7,114 participants (1,423 per year) across the region over the 5-year period of the grant to increase the capacity of the BH and PC workforce to provide high quality, effective services for clients with SUD and co-occurring disorders.

The purpose of the South/Southwest Addiction Technology Transfer Center (S/SWATTC) for Health and Human Services Region 6 is to improve the lives of individuals and families affected by substance use disorders by enhancing the competency and diversity of the addictions workforce so that they may deliver evidence-based, effective, culturally relevant services within recovery oriented systems of care. The target populations of this proposal are practitioners who will receive training and technical assistance, treatment agency teams who will engage in quality improvement processes, treatment staff and peer workers who will receive support in forming recovery oriented systems of care, and a diversity of students who will be recruited to pursue addictions careers in culturally and linguistically relevant academic campuses. The proposal has a special focus on students from African American, Mexican American and American Indian cultural groups. The S/SWATTC will provide services to at least 2,100 persons annually and over 10,500 persons during the 5 year project period. The goals of the center proposal are to: 1) Develop and maintain collaborative relationships of state agencies, educational institutions, provider and professional organizations, recovery community, faith-based groups, and other stakeholder groups; 2) Develop a competent and diverse workforce by educating pre-service students, recruiting and retaining minority students in the addictions field, and conducting trainings in cultural competency standards; 3) Promote adoption of evidence-based and promising practices (EBPPs) by promoting use of telehealth methods of SUD treatment, conducting multi-level training and technical assistance on EBPPs with an emphasis on Technology Based Interventions, providing follow-up consultation, and conducting organizational and supervisory training to support ongoing implementation; 4) Provide technical assistance in organizational quality improvement through development and support of agency change teams which will engage in planning change, piloting, evaluating, and carrying out key changes; and 5) Serve as a resource on recovery by providing recovery focused technical assistance on supporting recovery oriented systems of care, providing training on improved integration of recovery principles within treatment, supporting the role of peer coaches, and developing and disseminating recovery oriented materials and tools.

The proposed (Regional) New England Addiction Technology Transfer Center (ATTC), located within Brown University?s Center for Alcohol and Addiction Studies, will serve Region 1, which is comprised of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. The primary focus of the New England ATTC is to develop and strengthen the regional workforce that provides the full continuum of addiction services spanning engagement, treatment, maintenance, and recovery. The regional workforce is primarily Caucasian (82%), female (66%), and over the age of 40 (70%), with over one-third identifying themselves as in recovery (38%). Regional needs assessments have identified six key service gaps and associated areas of training need: (1) detection and early intervention of substance use; (2) capacity building for opioid treatment programs; (3) developing workforce competencies in effective adolescent treatment; (4) health care integration; (5) improving evaluation and advancement of culturally and linguistically appropriate services; and (6) promoting recovery-oriented systems of care. To address these six areas, the proposed ATTC will pursue three objectives, each of which is associated with measurable process goals. Objective 1 is to develop the workforce by raising the awareness, knowledge, skills, and cultural and linguistic competence of providers treating those with or in recovery from substance use disorders. Measurable process goals include provision of training to 2,100 individually annually (10,500 over the five-year project) through a range of short-term training opportunities such as face-to-face workshops, intensive summer educational programs, self-paced online courses, and instructor-led technology-delivered courses. Objective 2 is to help organizations develop or improve the quality of services provided across the addiction care continuum by providing intensive technical assistance (TA). The foundation of our regional approach to TA is the state-of-the-art Science to Service Laboratory, which consists of three tiers: didactic training, performance feedback, and external coaching. Process indicators that we will track include: delivery of intensive TA to 1 new State Health Department per year, delivery of TA activities to 1-2 treatment and recovery organizations per state each year, and creation of a virtual learning community focused on capacity building in opioid treatment programs. Objective 3 is to foster regional and national alliances among culturally diverse practitioners, researchers, policy makers, funders, and the recovery community. Measurable process goals include annual meetings with our Advisory Board (including the SAMHSA Region 1 Administrator, regional SSAs, provider and recovery organizations, and allied health systems) and serving as the primary point of training and TA support in addictions services for multiple systems of care (including primary care, schools, criminal justice, faith-based organizations, and child welfare). Pursuit of these objectives is expected to yield long-term improvements in organizations? recruitment and retention, as well as the quality, consistency, and cultural and linguistic appropriateness of treatment and recovery services in New England.