Nfar summit 2014 Program

Technology Summit

www.nfarattc.org

CHICAGO

2014 Addiction Treatment

Table of Contents

Logistics................................................................................. 3 Agenda................................................................................... 4 Featured Speakers.............................................................. 8 Session Descriptions......................................................... 12 Technology Showcase...................................................... 18 Agenda At a Glance........................................................... Back Cover

Early Bird Registration Winner Logitech c920 Webcam

Nicolas Foss

Alcohol and Drug Dependency Services Burlington, Iowa

Magnificent Mile - Area Activities

Hotel Map

The Summit is being held in vibrant downtown Chicago, Illinois, located at the epicenter of it all, within minutes of top attractions including the Magnificent Mile and The Loop. NFAR is excited to welcome you to the Double Tree by Hilton. When it’s time to hit the town, DoubleTree by Hilton Hotel Chicago— Magnificent Mile is conveniently located near a variety of top attractions, shopping, and dining. This stretch of North Michigan Avenue, only a couple of blocks of away from our Downtown Chicago hotel, will dazzle you with its many culinary flavors, wealth of boutiques and shops, world-class attractions, bustling nightlife, revitalizing spas and salons, popular Chicago landmarks, and numerous tour and sightseeing options.

Supporting Agencies

Navy Pier Michigan Avenue Lakefront Water Tower Place John Hancock Saks Fifth Avenue American Girl Place

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Art Institute of Chicago Chicago Cultural Center Willis Tower The Field Museum Shedd Aquarium Adler Planetarium Museum of Science

1.2 MILES 1.1 MILES 1.8 MILES 2.3 MILES 2.4 MILES 3 MILES 8.4 MILES

Top Chicago Attractions Millennium Park – Gaze into the Bean – a luminous polished-steel sculpture – as it plays tricks with the reflection of Chicago’s skyline. The Park is also home to Jay Priztker Pavilion, where an incredible audio system allows audiences to enjoy concert-hall sound in the great outdoors.

Willis Tower Skydeck – On a clear day you can see forever – well, maybe to Michigan, Wisconsin and Indiana from the 103rd floor observatory.

Shopping on the Magnificent Mile – Stroll the exclusive northern half of Michigan Avenue – home to some of the most elegant boutiques, department stores and shops found around the world. Indulge in some of the little luxuries you can’t find anywhere outside of Milan or Paris in the comfort of vertical shopping malls that allow you to shop to your heart’s content without a care about the weather.

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Logistics Continuing Education Hours Attendees can earn up to twelve (12) Continuing Education Hours (CEHs) for attending the Summit.

Breakdown of hours are as follows: • Tuesday, August 26, 2014: Total 6.5 hours • Wednesday, August 27, 2014: Total 5.5 hours

The Summit has been approved or pending approval by the following professional associations: • National Association for Alcoholism and Drug Counselors (NAADAC): Approved, #259 • National Association of Social Workers (NASW): Pending • National Board for Certified Counselors (NBCC): Approved, ACEP #6492 CASAT is an NBCC-Approved Continuing Education Provider (ACEP) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program.

State Associations: • California Association of Alcohol & Drug Educators (CAADE): Approved for up to 10 credits only. “Ethics not approved.”

CP10906C0717, CP10907A0717, & CP10908H0717 • California Association of Alcoholism & Drug Abuse Counselors (CAADAC/CFAAP): Approved, OS-13-199-0615 • State of California Board of Behavioral Sciences: Approved for MFCC & LCSW, PCE1480 • Illinois Certification Board (ICB): Approved for 12.0 CEUs, Program Number 12222, for the following categories: Counselor I or II, Preventionist I or II, CARS I or II, MISA I or II, PCGC II, CCJP I or II, CAAP I, CRSS I or II, MAATP I or II, CFPP II, GCE • Indiana CAADA: Pending • Michigan Certification Board for Addiction Professionals (MCBAP): Approved • Minnesota Board of Behavioral Health and Therapy for LADC’s: Pending • Nevada Board of Examiners for Alcohol, Drug, & Gambling Counselors: Approved • Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors: Approved • State of Nevada Board of Examiners for Social Workers: Approved, CEP 18-0314 • Nevada State Board of Nursing: Approved, NV110294-2 • Ohio Chemical Dependency Professionals Board: Approved 12.0 RCHs, PID 14-275-CR Participants may use the certificate to apply for CEHs from other certification/licensing boards. Please check with your board before submitting a certificate.

Digital Certificates will be provided Participants must sign in at the registration desk each morning and afternoon in order to receive credit for attending the Summit.

Certificates for the Summit will be sent digitally to all participants AFTER the conference. Please notify the registration desk for adjustments on early departure certificates in advance. Certificates will not be mailed.

Recovery Support Information ALCOHOLICS ANONYMOUS

AL ANON

NARCOTICS ANONYMOUS

Additional Resources:

Chicago Area Service Office (CASO) Phone: 312-346-1475 Toll Free (Illinois Only): 800-371-1475 For a comprehensive online meeting guide for the Chicago area, please visit: http://chicagoaa.org/find-a-meeting Chicagoland Region of Narcotics Anonymous 24-Hour Helpline: 708-848-4884 For a comprehensive meeting guide, meeting maps, and information about phone and/or online meetings for the Chicago area, please visit: http://www.chicagona.org/NewWeb/meetings.shtml

Northern Illinois Al-Anon, AL-Anon Adult Children & Alateen Meetings Phone: 312-409-4058 For meetings and other information about Al-Anon in the Chicago area, please visit: http://www.niafg.org/AdvFind.asp Chicago Recovering Communities Coalition (Peer driven and peer led Recovery Support Organization: http://chicagorecovery.org/

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Agenda Day One: Tuesday, August 26, 2014 7:30 – 8:30

On-Site Registration/Check-in (No meal or refreshments provided, please plan accordingly)

8:30 – 8:45

Opening Comments – LaSalle Ballroom Introduction: Nancy A. Roget, MS, Executive Director, CASAT; PI/Project Director, NFAR-ATTC

Captain Jeffrey A. Coady, PsyD, ABPP, Substance Abuse and Mental Health Services Regional Administrator for HHS Region V; commissioned officer in the U. S. Public Health Service

8:45 – 9:45

Opening Presentation – LaSalle Ballroom Introduction: Lonnetta Albright, PhD, Executive Director, Great Lakes ATTC

Kate Tipping, JD, Public Health Advisor, Health Information Technology Team, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

9:45 – 10:00

Break

10:00 – 11:00

Keynote Presentation – LaSalle Ballroom Transforming Addiction Treatment with Science-based Technology Lisa A. Marsch, PhD, Director, Center for Technology and Behavioral Health, Dartmouth Psychiatric Research Center

11:00 – 11:45

Concurrent Panel Sessions – Part One

Session A – State Room 1

Panel Members:

Tele-recovery: Enhancing Recovery Support Services using Telephone-based Interventions

*Brent Moore, PhD, Research Scientist, Psychiatry Department, Yale University School of Medicine The Recovery Line: Automated Telephone-based Cognitive Behavioral Therapy for Ancillary Treatment

Michael Dennis, PhD, Senior Research Psychologist and Director, Global Appraisal of Individual Needs (GAIN) Coordinating Center, Chestnut Health Systems Pilot Study to Examine the Feasibility and Potential Effectiveness of Using Smartphones to Provide Recovery Support for Adolescents

William Campbell, MS, Researcher, Behavior Therapy Associates Computer-Delivered Interventions: A Stepped Care Approach for Problem Drinkers

Session B – State Room 2

Panel Members:

Expanding Treatment Access for Criminal Justice Populations via Technology

Michael Chaple, PhD, Criminologist and Deputy Director, Center for the Integration of Research and Practice Institutes; Project Co-Director, Northeast & Caribbean ATTC Technology Assisted Care for Offenders with Substance Use Disorders

Michele Staton-Tindall, PhD, MSW, Associate Professor, University of Kentucky College of Social Work; Faculty Associate, Center on Drug and Alcohol Research METelemedicine: A Pilot Study with Rural Alcohol Users on Community Supervision

*Scott Walters, PhD, Professor of Behavioral and Community Health, University of North Texas Health Science Center MAPIT: Web-based Intervention Targeting Substance Abuse Treatment in the Criminal Justice System

* = Moderator 4

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Agenda Day One: Tuesday, August 26, 2014 11:00 – 11:45

Concurrent Panel Sessions – Part One

Session C – Huron Room

Improving Adherence and Outcomes for HIV and Methadone Patients using Innovative Technologies

Panel Members:

Christopher Cutter, PhD, Director, Medical Research Unit and Associate Research Scientist, Division of Substance Abuse, Yale School of Medicine; Clinic Director, Pain Treatment Service, APT Foundation; Adjunct Faculty, Beck Institute for Cognitive Behavioral Therapy Exercise-based Videogame Intervention for Opioid Dependent Patients in Methadone Maintenance

*Karen Ingersoll, PhD, Associate Professor, Psychiatry and Neurobehavioral Sciences, University of

Virginia; Assistant Professor, Psychiatry, Internal Medicine, and Psychology, Virginia Commonwealth University

Using mHealth to Improve the HIV Treatment Cascade: Texting and Mobile Application Examples

Van King, MD, Associate Professor, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine Using Web-based Videoconferencing to Deliver Standard and Intensified Levels of Substance Abuse Counseling

11:45 – 1:00

Lunch on your own

1:00 – 1:45

Concurrent panel sessions repeated – Part Two

1:45 – 2:30

Concurrent panel sessions repeated – Part Three

2:30 – 2:45

Break

2:45 – 3:45

Meet the Researchers The Summit researchers will be available in the meeting room in which they presented. Take advantage of this opportunity to have informal conversations with them about using technology- assisted care in the behavioral health field.

State Room 1: Brent Moore, PhD; Michael Dennis, PhD; and William Campbell, MS Tele-recovery: Enhancing Recovery Support Services using Telephone-based Interventions

State Room 2: Michael Chaple, PhD; Michele Staton-Tindall, PhD, MSW; and Scott Walters, PhD Expanding Treatment Access for Criminal Justice Populations via Technology with

Huron Room: Christopher Cutter, PhD; Karen Ingersoll, PhD; and Van King, MD Improving Adherence and Outcomes for HIV and Methadone Patients using Innovative Technologies

3:45 – 5:00

NFAR’s Telehealth Technology Showcase – LaSalle Ballroom

David Wanser, PhD, Co-Director, JBS Center for Sustainable Health and Care Speak directly with individuals about their use of telehealth technologies and view some of the latest innovations being utilized to enhance addiction treatment, assessment, and recovery- oriented services.

5:00 pm

End Day One

* = Moderator NFAR-ATTC - 2014 Addiction Treatment Technology Summit

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Agenda Day Two: Wednesday, August 27, 2014 7:30 – 8:00

Registration/Check-in (No meal or refreshments provided, please plan accordingly)

8:00 – 9:00

Keynote Presentation – LaSalle Ballroom Behavioral Intervention Technologies: Bring Treatment for Depression into the Fabric of Our Lives

Introduction: Nancy A. Roget, MS, Executive Director, CASAT; PI/PD, NFAR-ATTC

David Mohr, PhD, Director, Northwestern University’s Center for Behavioral Intervention Technologies (CBITs); tenured Professor, Department of Preventive Medicine

9:00 – 10:00

Innovations in Technology Assisted Care – LaSalle Ballroom

Panel Members:

*Dave Gustafson, PhD, Director, Center for Health Enhancement Systems Studies, University of Wisconsin-Madison

Combining Cognitive Behavioral Therapy (CBT) and ACHESS: the Seva Experience

Nancy Barnett, PhD, Associate Professor (Research), Department of Behavioral and Social Sciences, Program in Public Health, Brown University BITs: Evidence Review and Recommendations for Future Research in Mental Health

Lydia A Shrier, MD, MPH, Associate in Scientific Research, Psychiatry, Boston Children’s Hospital; Senior Associate in Medicine, Boston Children’s Hospital; Associate Professor of Pediatrics, Harvard Medical School Counselor in My Pocket: Using Mobile Technology to Reduce Marijuana Use by Extending Brief Motivational Counseling into Real-Life Contexts

10:00 – 10:15

Break

10:15 – 11:00

Concurrent Panel Sessions – Part One

Session A – State Room 1

Technology Solutions in Primary Care and Emergency Departments: Automated Screening and Brief Interventions

Panel Members:

Gail Rose, PhD, Psychologist; Assistant Professor of Psychiatry, University of Vermont; Associate Director, Health Behavior Research Center Automated Pre-Screening and Intervention for Alcohol Misuse in Primary Care Can Effect Patient Activation and Provider Communication

*John Helzer, MD, Director, Health Behavior Research Center, University of Vermont College of Medicine

Dr. IVR: Automated Behavioral Interventions for Alcohol in Primary Care

Esther K. Choo, MD, MPH, Founding Faculty, Emergency Digital Health Innovations Program and Co-Director, Division of Women’s Health in Emergency Care and RI Assistant Professor, Department of Emergency Medicine; Faculty, Injury Prevention Center, Rhode Island Hospital, Alpert Medical School, Brown University BSAFER: A Tablet Computer Intervention for Women with Interpersonal Violence (IPV) and Drug Use in the Emergency Department

* = Moderator 6

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Agenda Day Two: Wednesday, August 27, 2014

Session B – State Room 2

Panel Members:

e-Interventions for Women with Substance Use Disorders

Karen Ingersoll, PhD, Associate Professor, Psychiatry and Neurobehavioral Sciences, University of Virginia; Assistant Professor, Psychiatry, Internal Medicine, and Psychology, Virginia Commonwealth University Development and Usability of an eHealth Intervention to Reduce Alcohol-exposed Pregnancy Risk

*Steve Ondersma, PhD, Associate Professor, Merrill-Palmer Institute and Department of Psychiatry, Wayne State University; Associate Faculty, Department of OB/GYN, WSU; Co-Director, Merrill Palmer Skillman Institute, Interdisciplinary Doctoral Training Program Computer-delivered Screening and Brief Intervention for Substance Abuse in Pregnant and Postpartum Women

Session C – Huron Room

Panel Members:

Technology Assisted Care and Receptivity among American Indian/Alaskan Native Populations

Aimee Campbell, PhD, Research Scientist, Division on Substance Abuse, New York State Psychiatric Institute; Assistant Professor, Clinical Psychiatric Social Work, Department of Psychiatry, Columbia University College of Physicians and Surgeons; Research Scientist, Department of Psychiatry, Mount Sinai St. Luke’s Hospital Acceptability of Web-based Psychosocial Treatment with Urban American Indian/Alaska Native Clients Enrolled in Outpatient Substance Abuse Treatment

*Jay Shore, MD, MPH, Associate Professor, University of Colorado Denver, Department of Psychiatry and

School of Public Health’s Centers for American Indian and Alaska Native Health; Director of Telemedicine,

University of Colorado, Depression Center; Chief Medical Officer of Access Care Services and Access Care Technologies

Telemental Health Models of Addiction Treatment and Services for American Indian and Alaska Native Populations

Amanda Gaston, MAT (Zuni Pueblo), Project Manager, Native It’s Your Game, Northwest Portland Area Indian Health Board Harnessing the Power of Social Media to Promote AI/AN Adolescent Health

11:00 – 11:45

Concurrent panel sessions repeated – Part Two

11:45 – 1:00

Lunch on your own

1:00 – 1:45

Concurrent panel sessions repeated – Part Three

1:45 – 2:45

Meet the Researchers The Summit researchers will be available in the meeting room in which they presented. Take advantage of this opportunity to have informal conversations with the Summit presenters about using technology assisted care in the behavioral health field.

State Room 1: John Helzer, MD; Gail Rose, PhD; and Esther K. Choo, MD, MPH Technology Solutions in Primary Care and Emergency Departments: Automated Screening and Brief Interventions

State Room 2: Karen Ingersoll, PhD and Steve Ondersma, PhD e-Interventions for Women with Substance Use Disorders

Huron Room: Aimee Campbell, PhD; Jay Shore, MD, MPH; and Amanda Gaston, MAT Technology Assisted Care and Receptivity among American Indian/Alaskan Native Populations

2:45 – 3:00

Closing Presentation – LaSalle Ballroom Nancy A. Roget, MS, Executive Director CASAT, PI/Project Director NFAR-ATTC and Lonnetta Albright, PhD, Executive Director, Great Lakes ATTC

* = Moderator

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Keynote Speakers Kate Tipping, JD

Public Health Advisor, Health Information Technology Team, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services Kate Tipping is a Public Health Advisor working on SAMHSA’s Health IT Team. She is the lead on privacy issues. She previously worked for the Office of the National Coordinator for Health Information Technology (ONC) where she focused on behavioral health issues and served as a project officer for the State Health Information Exchange Program. Prior to joining ONC, Kate was a legislative analyst and a project officer for health information technology and telehealth grants in the Health Resources and Services Administration (HRSA). She received her law degree from Widener University and a bachelor’s degree in Health Information Management from the University of Pittsburgh.

Captain Jeffrey A. Coady, PsyD, ABPP

Substance Abuse and Mental Health Services (SAMHSA) Regional Administrator for HHS Region V (Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin) and a commissioned officer in the U. S. Public Health Service (USPHS) Dr. Coady represents the SAMHSA Administrator at the regional level in fulfilling the agency’s mission of reducing the impact of mental illness and substance abuse on America’s communities. In this role, he provides consultation to regional healthcare stakeholders on policy, financing, and innovations to advance behavioral health prevention, treatment and recovery. During his federal career, Dr. Coady has provided national leadership in developing and implementing behavioral health programs and systems of care for underserved populations. Prior to joining SAMHSA, he served as the National Behavioral Health Consultant for the Centers for Medicare and Medicaid Services (CMS), Medicaid Integrity Group, providing policy guidance to states for improving behavioral health program integrity and combating drug diversion.

Dr. Coady has also served in the Health Resources and Services Administration (HRSA) where he developed and implemented primary behavioral health care integration programs in Atlantic City, NJ and San Francisco, CA. Dr. Coady served a central role in conceptualizing, developing, and training federal mental health disaster response teams within the USPHS and served as the Team Leader for Mental Health Disaster Response Team-2. He has deployed in leadership positions in response to numerous public health catastrophes, including the Indian Ocean Tsunami in 2004, Hurricanes Katrina and Rita in 2005, Hurricanes Ike and Gustav in 2008, and multiple tribal deployments to address suicide clusters. Dr. Coady was appointed by the U.S. Surgeon General to serve on the Uniformed Services Behavioral Health Disaster Response workgroup, and has conducted presentations on disaster preparedness and response to federal, and international emergency management personnel. He has been published multiple times on disaster behavioral health leadership.

Prior to his commission in the USPHS, Dr. Coady served as Executive Director at the Roseland Community Mental Health Center within the City of Chicago, Department of Public Health. He began his career as a psychologist at the Core Center of Cook County Hospital/Rush University Medical Center, one of the nation’s largest HIV/AIDS clinics, conducting applied research on integrated care. Dr. Coady received his Bachelor’s degree from Loyola University in Chicago, and Masters and Doctoral degrees in clinical psychology from the Chicago School of Professional Psychology. He is board certified by the American Board of Professional Psychology in clinical psychology.

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Keynote Speakers Lisa A. Marsch, Ph.D.

Director of the Center for Technology and Behavioral Health at the Dartmouth Psychiatric Research Center at Dartmouth College and a faculty member of the Department of Psychiatry at Dartmouth College.

The Center for Technology and Behavioral Health is a P30 “Center of Excellence” supported by the National Institute on Drug Abuse (NIDA) at the National Institutes of Health (NIH), composed of an interdisciplinary research and development group focused on the systematic application of cutting-edge technologies to the delivery of behavior change interventions for individuals with substance use disorders and other behavioral health issues. With funding from NIH, Dr. Marsch has led a line of research focused on the development and evaluation of state of the art, technology-based (computer-, mobile-, and Internet-delivered) interventions targeting substance abuse treatment among a wide array of youth and adult populations, HIV prevention among substance-using youth and adults, and substance abuse and other risk behavior prevention among children and adolescents. These technology-based therapeutic tools reflect an integration of science-based behavioral interventions with evidence-based informational technologies. This work has been conducted in a variety of settings, including physician offices, substance abuse treatment programs, criminal justice settings, educational settings and via the Internet. This research has provided novel empirical information regarding the role that technology may play in improving the prevention and treatment of substance use disorders and related behavioral health issues in a manner that is cost-effective, ensures fidelity and enables the rapid diffusion and widespread adoption of science-based interventions.

Presentation Title: Transforming Addiction Treatment with Science-based Technology Description: Overview of technology-based interventions for substance use disorders, the research behind them, and thoughts about the future...where are we going.

David Mohr, PhD

Director, Northwestern University’s Center for Behavioral Intervention Technologies (CBITs) and tenured Professor in the Department of Preventive Medicine Dr. Mohr’s work lies at the intersection of behavioral science, technology, and clinical intervention research, and is focused on developing and evaluating interventions that harness Internet and wireless technologies to promote health and mental health. His current work in development includes the following projects: 1) development a context sensing mobile application that harnesses indwelling sensor data within the phone to identify specific physical, social and emotional patient states and to integrate this system into mobile interventions; 2) integration of Internet intervention and peer networking tools that use principles of online collaborative learning and supportive accountability to enhance learning and adherence; 3) development of conversational agents (virtual humans) that can be used in web-based interventions to support interpersonal skills-training components of depression treatment programs, and 4) creation of a mobile intervention that monitors adherence to medications, provides just-in-time reminders, monitors response and side effects, and provides aggregated, actionable information to prescribing physicians. This later adherence system will be tested in patients receiving pharmacotherapies for depression and HIV, with a somewhat simpler version for patients with schizophrenia. Dr. Mohr is also interested in methodologies for the evaluation of behavioral interventions.

Presentation Title: Behavioral Intervention Technologies: Bring Treatment for Depression into the Fabric of Our Lives Description: Depression is common and debilitating. More often than not, depression is undertreated or not treated at all. Behavioral intervention technologies (BITs), which use information and communications technologies (currently the telephone, web, mobile phones, and sensors) to deliver behavioral and psychological interventions, offer the promise of extending treatment into the lives of our patients. Delivering psychotherapy by telephone can extend treatment, overcoming geographic barriers, but does not address cost barriers. Web-based interventions, and more recently mobile interventions, attempt to translate psychological treatment models into applications that deliver treatment. These interventions can be effective, but demand engagement by users, and thus often require some level of human support to maintain motivation and engagement. Models for providing low intensity human support will be described. More recent work focuses on harnessing the affordances of technologies to decrease user effort. A recent line of research is attempting to use sensor data (GPS, Wi-Fi, accelerometers, Bluetooth, light sensors, etc.) from mobile phones to develop models that can passively identify treatment relevant user states (location, activity, social context, and emotional state), which can in turn be used to trigger just-in-time positive reinforcement of treatment congruent activities and assistance when risk states are detected. Finally, a brief description of the Center for Behavioral Intervention Technologies (CBITs; www.cbits.northwestern.edu) and its development frameworks will be provided.

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Technology Panel David H. Gustafson PhD

Research Professor of Industrial and Systems Engineering and Director of the Center for Health Enhancement Systems Studies at the University of Wisconsin-Madison Dr. Gustafson is a Fellow of the Association for Health Services Research and of the American Medical Informatics Association. He is a Fellow and past Vice-Chair of the Board of the Institute for Healthcare Improvement, Board Chair of the eHealth Institute, and past Chair of the Federal Government’s Science Panel on Interactive Communications in Health. Dr. Gustafson is National Program Director of NIATx, a Robert Wood Johnson Foundation initiative to improve quality of services in substance abuse treatment agencies.

His research on organizational improvement focuses on making and sustaining organizational change. He developed a computer system (QISS - the Quality Improvement Support System) to help organizations implement quality improvement. He developed new techniques for facilitating groups and understanding customer needs. Evaluating the computer systems led to new models to measure: customer satisfaction; severity; medical under-service; and quality of care. His behavior change research led to models to predict and explain initiation of and adherence to organizational change. The addiction treatment field is his primary test bed for these organizational change initiatives. Dr. Gustafson’s interests in decision change and information theory applied to health systems come together in the design and evaluation of systems and tools to help individuals and organizations cope with major changes. Regarding individual change, his research teams have created systems to detect suicidal propensity, help teenagers adopt healthy behaviors and help families facing major health crises cope more effectively. That work focuses on the Comprehensive Health Enhancement Support System (CHESS), a computer system to help people facing serious situations such as breast and prostate cancer, asthma, AIDS/HIV, heart disease, Alzheimer’s disease, and sexual assault. CHESS has been tested in randomized trials and field tests involving several thousand people and provided insight into acceptance, use, and impact of computer-based support systems on health, health-related behavior, and health service use. Dr. Gustafson has authored several books and over one hundred journal articles.

Panel: Innovations in Technology Assisted Care Presentation Title: Combining CBT and ACHESS; the Seva experience Description: This presentation will describe the work we are doing to integrate ACHESS the TES (CBT program developed by Lisa Marsch). The resulting system (called Seva (Sanskrit for Selfless Caring) is being used in two (soon to be three) FQHCs in Madison, Missoula, MT and the Bronx. TES provides the skills training and ACHESS the recovery support. Experience so far will be reported and the system itself will be described.

Nancy Barnett, PhD

Professor, Center for Alcohol and Addiction Studies and Department of Behavioral and Social Sciences, School of Public Health, Brown University.

Dr. Barnett is a research scientist who focuses on developing and testing brief interventions for substance use among adolescents and adults in various settings including emergency departments, juvenile detention, and colleges. Her research has included developing and using computer- and web-based assessment, and her intervention research has evaluated the efficacy of stand-alone computer-based interventions, counselor administered interventions facilitated using various technologies, and text-message based interventions.

One of Dr. Barnett’s current research areas is evaluating the clinical utility of an alcohol biosensor that senses alcohol excreted through the skin. She has conducted two trials that addressed the acceptability of the sensor and its initial efficacy within a contingency management intervention. She has also developed software that accurately identifies drinking episodes in alcohol sensor data and translates transdermal alcohol concentration into estimates of breath alcohol concentration, a development that allows for rapid interpretation of sensor data. Dr. Barnett’s research has been supported by the National Institute of Alcohol Abuse and Alcoholism, the National Institute on Drug Abuse, and the Center for AIDS Research. Presentation Title: Alcohol Biosensors: Research Background and Clinical Applications Panel: Innovations in Technology Assisted Care Panel Presentation Title: Alcohol Biosensors: Research Background and Clinical Applications Description: The collection of objective information in real time using biosensors can facilitate diagnosis and treatment, and has become more commonplace and accepted for various conditions. This presentation will provide an overview of alcohol biosensors, including background on validity, reliability, and acceptability. Alcohol sensors have successfully supported abstinence within the criminal justice population, but the potential for their use is much broader. Two pilot trials investigating the efficacy of contingent reinforcers for reducing alcohol use utilizing an alcohol sensor to provide objective data on behavior change will be presented, as will suggestions for new applications of this technology for intervention with alcohol use disorders, and challenges to its adoption in clinical settings.

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Technology Panel Lydia Shrier, MD, MPH

Associate in Scientific Research, Psychiatry, Boston Children’s Hospital; Senior Associate in Medicine, Boston Children’s Hospital; and Associate Professor of Pediatrics, Harvard Medical School Dr. Shrier has training and expertise in both research and clinical practice regarding substance use among adolescents and young adults. She has been funded by numerous sources, including NIDA and NIMH, to conduct research using momentary assessment methods with mobile devices to study emotional states, social contexts, and health behaviors in vivo, and has specifically studied marijuana use among young frequent users. Additionally, Dr. Shrier has developed an intervention using smartphones to reduce marijuana use in heavily-using youth, and is currently conducting a randomized controlled trial to test the feasibility and preliminary efficacy of the intervention. Following fellowship training, Dr. Shrier became board-certified in Adolescent Medicine and has provided primary and specialty care to young people into their 20s for two decades. She directs clinic-based research for the Division of Adolescent/Young Adult Medicine at Boston Children’s Hospital and, among other responsibilities, supervises the Clinic Research Coordinator and oversee the training of research staff and recruitment of adolescents for the many studies conducted in the clinic. Dr. Shrier also represents the interests of adolescent research participants as a member of the hospital institutional review board and maintain a clinical practice in both primary and specialty adolescent medical care.

Expert Panel: Innovations in Technology Assisted Care Presentation Title: Counselor in My Pocket: Using Mobile Technology to Reduce Marijuana Use by Extending Brief Motivational Counseling into Real-Life Contexts Description: This presentation will describe the development of MOMENT, an intervention to reduce marijuana use among adolescents and young adults in primary care. The MOMENT intervention combines brief in-person motivational enhancement therapy in the medical home with real-time self-assessment and responsive messaging in the natural environment. Rationale, advantages, challenges, and preliminary findings will be discussed.

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Session Descriptions Tele-Recovery: Enhancing Recovery Support Services Using Telephone-based Interventions Automated telephone-based interventions and smartphone applications can provide effective support to individuals in recovery. Top researchers studying the use of phone-based interventions will present their findings from their current research studies.

Brent Moore, PhD is a Research Scientist in the Department of Psychiatry at Yale University School of Medicine. His presentation, The Recovery Line: Automated Telephone-based CBT for Ancillary Treatment, will present a detailed description of the Recovery Line, its development, evidence of acceptability, feasibility and initial efficacy, current research findings, and application to other technologies and interventions.

Michael Dennis, PhD is a senior research psychologist and Director of the Global Appraisal of Individual Needs (GAIN) coordinating center at Chestnut Health Systems in Normal, Illinois. He will present Examining the Feasibility and Potential Effectiveness of Using Smartphones to Provide Recovery Support for Adolescents, a pilot study showing the impact of using technology-based recovery monitoring and support on reducing substance use.

William Campbell, MS works at Behavior Therapy Associates in Albuquerque, New Mexico and conducts research on factors that mediate engagement with, and effectiveness of, technology-based interventions. In his presentation, Computer-Delivered Interventions: A Stepped Care Approach for Problem Drinkers, Mr. Campbell will describe four interventions, discuss randomized control trial data associated with each, and implementation-related considerations.

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Session Descriptions Expanding Treatment Access for Criminal Justice Populations via Technology Substance use is common among individuals involved in the criminal justice system. However, many do not have access to formal treatment services. Three top researchers on substance use disorders among criminal justice populations will discuss how using technology offers a promising approach to decreasing barriers to access and use of evidence-based treatment services for offenders with substance use disorders.

Michael Chaple, PhD is a criminologist and Deputy Director of the Center for the Integration of Research and Practice at the National Development and Research Institutes in New York City. Dr. Chaple’s presentation, titled Technology Assisted Care for Offenders with Substance Use Disorders, will review results from a multi-site clinical trial testing the efficacy of the Therapeutic Education System (TES)—a computerized psychosocial treatment intervention—for offenders with substance use disorders.

Michele Staton-Tindall, PhD, MSW is an Associate Professor in the University of Kentucky College of Social Work and Faculty Associate for the Center on Drug and Alcohol Research. In her presentation, titled METelemedicine: A Pilot Study with Rural Alcohol Users on Community Supervision, Dr. StatonTindall will present findings from a study that examined a telemedicine-based Motivational Enhancement Therapy intervention to reduce alcohol use among at-risk, rural alcohol users.

Scott Walters, PhD, is a Professor of Behavioral and Community Health at the University of North Texas Health Science Center. In his presentation, MAPIT: Web-based Intervention Targeting Substance Abuse Treatment in the Criminal Justice System, he will describe the 2-session, web-based Motivational Assessment Program to Initiate Treatment (MAPIT) intervention used to increase motivation for substance abuse treatment among people on probation.

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Session Descriptions Improving Adherence and Outcomes for HIV and Methadone Patients Using Innovative Technologies Innovative technology interventions can improve delivery of evidence-based substance abuse treatment for patients with HIV or in methadone maintenance programs by promoting access to needed treatment, recovery, or medication support services. Three prominent researchers will present their findings from recent studies that demonstrate technology’s impact on patient access, engagement, retention, and adherence to treatment.

Christopher Cutter, PhD is Director of the Medical Research Unit and Associate Research Scientist within the Division of Substance Abuse at the Yale School of Medicine; Clinic Director of the Pain Treatment Service at the APT Foundation; and Adjunct Faculty at The Beck Institute for Cognitive Behavioral Therapy. Dr. Cutter will present on an Exercise-based Videogame Intervention for Opioid Dependent Patients in Methadone Maintenance.

Karen Ingersoll, PhD is an Associate Professor of Psychiatry and Neurobehavioral Sciences at the University of Virginia in Charlottesville, Virginia, and Assistant Professor of Psychiatry, Internal Medicine, and Psychology at Virginia Commonwealth University in Richmond, Virginia. In her presentation, Using mHealth to Improve the HIV Treatment Cascade: Texting and Mobile App Examples, Dr. Ingersoll will present findings from a randomized control trial that compared text messaging and mobile app interventions to ‘usual care’ in antiretroviral (ART) adherence, mood, and substance use among HIV patients.

Van King, MD is an Associate Professor in the Department of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine. Dr. King’s presentation, Using Web-based Videoconferencing to Deliver Both Standard and Intensified Levels of Substance Abuse Counseling, will include a discussion of two studies utilizing videoconferencing for 1) standard individual counseling, and 2) intensified group substance abuse counseling versus routine, on-site counseling services of similar content.

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Session Descriptions Technology Solutions in Primary Care and Emergency Departments: Automated Screening and Brief Interventions Efforts to screen and provide brief interventions for unhealthy alcohol use in primary care settings are hampered by a number of practical and attitudinal barriers, leading to underutilization of clinical services. Three top researchers working in technology in primary care/medical settings will present their findings from several years of research on the development and testing of automated telephone and computer interventions to deliver substance use treatment services in medical settings.

John Helzer, MD is Director of the Health Behavior Research Center at the University of Vermont College of Medicine. Dr. Helzer’s presentation, Dr. IVR: Automated Behavioral Interventions for Alcohol in Primary Care, will provide an overview of his research that has investigated the use of automated telephone technology as 1) a tool for patient self-monitoring of daily alcohol use, 2) enhancement of physician brief intervention for overuse of alcohol, and 3) as a tool for automated screening and automated brief intervention in the absence of physician intervention.

Gail Rose, PhD is a psychologist and Assistant Professor of Psychiatry at the University of Vermont. Her presentation, Automated Pre-Screening and Intervention for Alcohol Misuse in Primary Care Can Effect Patient Activation and Provider Communication, will focus on the development and testing of the efficacy of an automated method of delivering screening and brief intervention to patients prior to a primary care visit.

Esther Choo, MD, MPH is an assistant professor of emergency medicine at the Warren Alpert Medical School of Brown University, and co-founder and Associate Director of the Division of Women’s Health in Emergency Care at Brown University. Dr. Choo will present on BSAFER: A Tablet Computer Intervention for Women with Interpersonal Violence (IPV) and Drug Use in the Emergency Department, including data on the program’s acceptability and feasibility for the target population.

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Session Descriptions e-Interventions for Women with Substance Use Disorders Technology adaptations of evidence-based face-to-face interventions (e.g., motivational interviewing) that are highly interactive, personalized, and appealing have been shown to be the most effective in delivering services via the web. Leading researchers in the adaptation of evidence-based practices into “e-interventions� will discuss the rationale for incorporating these approaches into ongoing clinical care for women.

Karen Ingersoll, PhD is an Associate Professor of Psychiatry and Neurobehavioral Sciences at the University of Virginia in Charlottesville, Virginia, and Assistant Professor of Psychiatry, Internal Medicine, and Psychology at Virginia Commonwealth University in Richmond, Virginia. In her presentation, Development and Usability of an eHealth Intervention to Reduce Alcohol-Exposed Pregnancy Risk, Dr. Ingersoll will highlight CARRII, an Internet intervention developed to target the risk of alcohol exposed pregnancy, including a discussion of challenges encountered in transforming the CHOICES intervention (CDC), which uses a Motivational Interviewing counseling style, into an automated program.

Steven Ondersma, PhD is Associate Professor at the Merrill-Palmer Institute and Department of Psychiatry, as well as Associate Faculty in the Department of OB/GYN at Wayne State University in Detroit, Michigan. His presentation, Computer-delivered screening and brief intervention for substance abuse in pregnant and postpartum women, will review the rationale and evidence supporting the use of computer-based interventions.

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Session Descriptions Technology Assisted Care Use and Receptivity among American Indians/Alaska Natives Longstanding disparities in substance abuse treatment services exist among American Indian/ Alaska Natives (AI/AN) populations. Likewise, many health topics, including drug and alcohol use, STD/HIV, and suicide, require sensitivity when designing health promotion messages that will resonate in AI/AN communities. Three leading researchers working in the area of substance abuse treatment services among AI/AN populations will show how using technology-based interventions and social media can decrease barriers to accessing treatment services and improve service delivery, and be used to disseminate culturally appropriate health promotion messages.

Aimee Campbell, PhD is a Research Scientist in the Division on Substance Abuse, New York State Psychiatric Institute; Assistant Professor of Clinical Psychiatric Social Work in the Department of Psychiatry at Columbia University College of Physicians and Surgeons; and Research Scientist in the Department of Psychiatry at Mount Sinai St. Luke’s Hospital in New York. Dr. Campbell’s presentation is titled Acceptability of Web-based Psychosocial Treatment with Urban American Indian/Alaska Native Clients Enrolled in Outpatient Substance Abuse Treatment.

Jay Shore, MD, MPH is an Associate Professor at the University of Colorado Denver’s Department of Psychiatry and the School of Public Health’s Centers for American Indian and Alaska Native Health. Dr. Shore’s presentation, titled Telemental Health Models of Addiction Treatment and Services for American Indian and Alaska Native Populations, will include a review of a continuum of direct services, education, and consultation models that use telemental health to provide addiction treatment in AI/AN communities.

Amanda Gaston, MAT, (Zuni Pueblo), is Project Manager for the Northwest Portland Area Indian Health Board (NPAIHB)’s It’s Your Game Project. In her presentation, Harnessing the Power of Social Media to Promote AI/AN Adolescent Health, she will discuss strategies for using We R Native to promote adolescent health in a treatment or community setting.

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Technology Showcase The goal of the NFAR-ATTC Telehealth Technology Showcase is to provide Summit participants an opportunity to talk with individuals who are currently using innovative technology-based interventions. NFAR-ATTC does not endorse or recommend any tools, products, or resources, including those demonstrated during the Telehealth Technology Showcase. Since some tools and resources are proprietary, they may be sold for a fee. However, NFAR-ATTC does not have proprietary rights or gain income from any of the Telehealth Technology Alcohol and Drug Dependency Services of Southeast Iowa (ADDS) 1340 Mt. Pleasant Street Burlington, Iowa 52601 319-753-6567 http://www.addsiowa.org Exhibitor: Mindy Sutak, mindys@addsiowa.org Offers distance treatment for individuals with substance abuse and compulsive gambling problems.

First Choice 601 Morris Street Suite 401 Charleston, West Virginia 25301 304-614-7177 http://www.1stchs.com Exhibitor: Susie Mullens, susie@1stchs.com Offers distance counseling services and recovery support using ATARI (Appalachian Technology Assisted Recovery Innovations).

Greenhope Services for Women, Inc.

Centerstone

435 East 119th Street New York, New York 10035 212-360-4002 http://www.greenhope.org

645 South Rogers Bloomington, Indiana 47403 812-361-7650 http://www.v-recover.com Exhibitor: Linda Grove-Paul, linda.grove-paul@centerstone.org Facilitates self-management of the recovery process through a secure private site where clients can chat, blog, see videos, and access meetings, comprehensive health and wellness resources, and a consumer portal to work with their recovery coach.

Exhibitor: Lillian Holt, lholt@greenhope.org Offers women’s prison re-entry telehealth services, and Internet and social networking to promote continuity of recovery support and follow-up.

Heartview Foundation 101 East Broadway Bismarck, North Dakota 58501 701-751-5712 http://heartview.org/

Community Health Center 680 East Market Street Akron, Ohio 44310 330-315-3762 http://www.commhealthcenter.org Exhibitor: Jessica Seitz, jessica.seitz@commhealthcenter.org Offers video therapy for substance abuse and mental health services through a dedicated website.

Exhibitor: Elizabeth Stroup-Menge, beth@heartview.org Developed the Network Assisted Recovery Program (NAR), a private secure social network that provides individuals in recovery with education, support, resources, and opportunities to dialogue with others in recovery.

First Call Alcohol/Drug Prevention and Recovery 9091 State Line Kansas City, Missouri 64114 816-800-8042 http://www.mobileccl.org Exhibitor: Molly O’Neill, oneill@gmail.com Developed the Mobile Community CareLink, an electronic behavioral health record with a client access portal, to provide technology-assisted services for individuals and families looking for help with behavioral health disorders.

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Technology Showcase Human Service Center

Preferred Family Healthcare

600 Fayette St Peoria, Illinois 61603 309-671-8072 http://www.mobilewellnessandrecovery.com

1714 Deer Tracks Trail Ste. 225 St. Louis, Missouri 63131 314-322-5644 http://www.pfh.org/virtual-world

Exhibitor: Corey Campbell, ccampbell@hscpeoria.org Uses the Mobile Wellness and Recovery Project to provide substance use treatment through weekly telephone contact with a licensed therapist combined with Cognitive Behavioral Therapy delivered either in weekly packets or by utilizing the Therapeutic Education System (TES). The Mobile Wellness Project also offers various form of support through information and technological supports through the website www. mobilewellnessandrecovery.com, including helpful websites and access to the ACHESS phone app. More recently, the Mobile Wellness Project has been adapted to provide on site support and off site follow up with patients of our medical partners OSF Healthcare and Heartland Community Health Clinic. Patients are engaged onsite by a clinician while seeing their primary care physician and then are enrolled into the Mobile Wellness project for follow up via e-therapy.

Exhibitor: Jim Wallis, jwallis@pfh.org Developed a computer based, simulated private platform 3-D environment in which real people, using avatars, are able to interact in meaningful ways with each other and receive clinical and educational services in areas where service access is limited.

Innergold 1348 West State St. #102 Pleasant Grove, Utah 84062 801-836-1748 http://Innergold.com Exhibitors: Gordon Bruin and Tony Rhoton, Innergold@gmail. com Offers monthly webinars via GoToMeeting; utilizes YouTube videos; provides recovery manuals online to individuals around the country and world; sends daily Gmail support and online sessions.

Iowa Department of Public Health 515-242-6514 http://www.recoveration.org Exhibitor: Rebecca Swift, rebecca.swift@idph.iowa.gov Provides access to a suite of online tools designed by professionals in Iowa to improve communication between counselors and clients during the treatment and recovery processes through the Iowa Recovery Health Information Technology (IRHIT) project.

Nicasa Behavorial Health Services 31979 Fish Lake Road Round Lake, Illinois 60073 847 201 8134 http://www.nicasa.org

Support Groups Central 711 E. Walnut Street, Suite 206 Pasadena, California 91101 818-430-3414 http://www.supportgroupscentral.com Exhibitor: Vincent Caimano, vcaimano@supportgroupscentral. com Assist organizations set up, manage and conduct recoveryoriented peer support meetings that are accessible via computer, tablet or smart phone, using live video streaming of the group facilitator, voice to voice interaction of the participants and delivery of self-help information.

Tom Wilson Counseling Center 514 So. Orchard St. Suite 101 Boise, Idaho 83705 208-368-9909 http://www.tomwilsoncounseling.com Exhibitor: Tom Wilson, twcc@tomwilsoncounseling.com Develops substance abuse prevention education courses based on evidenced-based practices using open source learning management systems.

Wright State University 3171 Research Blvd., Room 253 Kettering, Ohio 45420 937-775-1484 http://www.med.wright.edu/citar/sardi Exhibitor: Jared Embree jared.embree@wright.edu Designed the eCAM program to address barriers to substance use disorder treatment faced by clients with co-existing disabilities, including deaf and low-literacy hearing consumers, and provide access to resources in ASL and audio formats.

Exhibitor: Mary Roberson, mroberson@nicasa.org Enhanced the Intensive Outpatient Treatment protocol by adding the Therapeutic Education System (TES), an evidencebased, web-based, interactive, psychosocial intervention for individuals with substance abuse disorders.

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At-a-Glance Schedule Day One: Tuesday, August 26, 2014

Day Two: Wednesday, August 27, 2014

7:30 – 8:30

On-Site Registration/Check-in

7:30 – 8:00

Registration/Check-in

8:30 – 8:45

Opening Comments: Captain Jeffrey A. Coady, PsyD, ABPP LaSalle Ballroom

8:45 – 9:45

Opening Presentation: Kate Tipping, JD

8:00 – 9:00

Keynote: David Mohr, PhD Behavioral Intervention Technologies: Bring Treatment for Depression into the Fabric of Our Lives LaSalle Ballroom

9:45 – 10:00

Break

9:00 – 10:00

Upcoming New Technologies Panel LaSalle Ballroom

10:00 – 11:00 Keynote: Lisa A. Marsch, PhD

Transforming Addiction Treatment with

Science-based Technology

LaSalle Ballroom 11:00 – 11:45 Concurrent Panel Sessions – Part One

10:00 – 10:15 Break 10:15 – 11:00 Concurrent Panel Sessions – Part One

Session A – State Room 1

Tele-recovery: Enhancing Recovery

Support Services using Telephone-based Interventions

Session B – State Room 2 Expanding Treatment Access for Criminal Justice Populations via Technology

Session C – Huron Room Improving Adherence and Outcomes for HIV and Methadone Patients using Innovative Technologies

Session A – State Room 1 Technology Solutions in Primary Care

and Emergency Departments:

Automated Screening and Brief Interventions

Session B – State Room 2 e-Interventions for Women with Substance Use Disorders

Session C – Huron Room Technology Assisted Care and Receptivity among American Indian/ Alaskan Native Populations

11:45 – 1:00

Lunch on your own

11:00 – 11:45 Concurrent panel sessions repeated –

Part Two

1:00 – 1:45

Concurrent panel sessions repeated – Part Two

11:45 – 1:00

Lunch on your own

1:45 – 2:30

Concurrent panel sessions repeated – Part Three

1:00 – 1:45

Concurrent panel sessions repeated – Part Three

2:30 – 2:45

Break

1:45 – 2:45

Meet the Researchers

2:45 – 3:45

Meet the Researchers The Summit researchers will be available in the meeting room in which they presented.

The Summit researchers will be available in the meeting room in which they presented.

3:45 – 5:00

NFAR’s Telehealth Technology Showcase LaSalle Ballroom

2:45 – 3:00

Closing Presentation LaSalle Ballroom

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