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California Hub & Spoke System

Learning Collaboratives
Region 1 August 6, 2025, 10:00am-12:00pm | Region 2 August 6, 2025, 1:00pm-12:00pm Region 3 August 13, 2025, 10:00am-12:00pm | Region 4 August 13, 2025, 1:00pm-12:00pm

Negative attitudes and perceptions toward people who use alcohol and drugs can create structural and clinical barriers that impact engagement in care. The fear of judgment associated with talking about and seeking help for a substance use disorder can discourage someone from engaging in available treatment and recovery services. This learning collaborative will address strategies for open, judgment-free conversations that promote mutual understanding and respect, thereby increasing treatment engagement and success. Participants will engage in discussion about how to decrease negative bias and increase engagement in their programs and communities. In addition, attendees will review quality improvement data from two sites.

Provider Support Initiative

PSI Webinar: Continuing the Conversation: Recovery Incentives: California’s Contingency Management Program
September 23, 2025

Description: TBA

California MAT ECHO® Clinic

MAT ECHO®: The Nurse Care Manager Model for Office Based Addiction Treatment (OBAT)
September 22, 2025

This presentation will review what the nurse care manager model is and how it can be used in the ambulatory setting to manage addiction treatment. The presentation will also review how the model has been adapted and utilized in different settings throughout the US.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO®: Crisis Response in California Indian Country
September 16, 2025

The overdose and drug poisoning crisis has impacted every community; however, indigenous people have been disproportionately affected by the losses from overdose death. Centering cultural practices that focus on tradition, resilience, and strength can have a positive impact on the health of Native communities. This presentation will focus on a Culture as Health model (Yamane and Helm, 2022) that can inform prevention, engagement, and treatment for indigenous people. The presenters will also describe a project applying a Culture as Health model to address crisis in California Indian Country, highlighting the process of engaging traditional healers and knowledge keepers to develop a tool for Tribal and Urban Indian communities to implement culturally-centered crisis response.

Provider Support Initiative

PSI Webinar: Recovery Incentives: California’s Contingency Management Program
September 9, 2025

Description: TBA

Provider Support Initiative

Continuing the Conversation: Emerging Drug Trends
August 26, 2025

This 60-minute webinar is a follow up Q&A to continue the conversation on emerging drug trends. Epidemiological data on synthetic drugs, fentanyl, other synthetic opioids, xylazine, cannabis, methamphetamine, cocaine, mixed opioids/stimulants, and vaping will be presented. The presentation will define key terms, describe the major classes of emerging drugs, present available data on the extent of use, and discuss the acute and chronic effects. The presentation will conclude with a discussion on how to implement effective harm reduction approaches for synthetic drugs, and strategies for overcoming barriers to accessing treatment and harm reduction services in rural areas.

California MAT ECHO® Clinic

MAT ECHO®: Pregnancy and MAT
August 25, 2025

Although many pregnancies are complicated by chronic disease, we tend to treat those pregnancies complicated by substance use disorders through a different lens than other chronic diseases. In this presentation, we will address common substance use disorders that can complicate pregnancy and cover the basics of evidence-based treatment for these disorders. We will also address the importance of using the same philosophy for treating substance use disorders during pregnancy that we apply to treatment of other common chronic diseases.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO®
August 19, 2025

CANCELLED

Provider Support Initiative

Emerging Drug Trends
August 12, 2025

This 60-minute webinar will provide a detailed review of emerging drugs. Epidemiological data on synthetic drugs, fentanyl, other synthetic opioids, xylazine, cannabis, methamphetamine, cocaine, mixed opioids/stimulants, and vaping will be presented. The presentation will define key terms, describe the major classes of emerging drugs, present available data on the extent of use, and discuss the acute and chronic effects. The presentation will conclude with a discussion on how to implement effective harm reduction approaches for synthetic drugs, and strategies for overcoming barriers to accessing treatment and harm reduction services in rural areas.

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California MAT ECHO® Clinic

MAT ECHO®: Core Competencies to Address Opioid Use Disorder
July 28, 2025

People with pain and opioid use disorder (OUD) present in all parts of the health care system. As a result, an interprofessional approach centered in team-based care can provide a "no wrong door" model to identify and engage people who experience pain and SUD. A needs assessment by the National Academy of Medicine (NAM) found that broad variation exists in training and education requirements for physicians, nurses, behavioral health professionals, and others involved in providing care. NAM identified a core competency framework for pain and OUD that addresses the knowledge, skills, attitudes, and behaviors necessary to address pain and OUD. This session will cover the core competencies and how they can be integrated into interprofessional education.

Provider Support Initiative

Continuing the Conversation - Substance Use Disorder Stigma: Origin, Impact, & Action
July 22, 2025

This training explores the complex nature of substance use disorder (SUD) stigma and its real-world impact on individuals and communities. Participants will gain a deeper understanding of the multifaceted factors that contribute to stigma. Through this webinar, learners will assess the consequences of stigma and identify practical, actionable steps that can be taken to reduce and combat its harmful effects. By the end of the training, participants will be equipped with the knowledge and tools to foster a more inclusive and supportive environment for individuals affected by substance use disorder.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO®: Pregnancy and MAT
July 15, 2025

Although many pregnancies are complicated by chronic disease, we tend to treat those pregnancies complicated by substance use disorders through a different lens than other chronic diseases. In this presentation, we will address common substance use disorders that can complicate pregnancy and cover the basics of evidence based treatment for these disorders. We will also address the importance of using the same philosophy for treating substance use disorders during pregnancy that we apply to treatment of other common chronic diseases.

Provider Support Initiative

Substance Use Disorder Stigma: Origin, Impact, & Action
July 8, 2025

This training explores the complex nature of substance use disorder (SUD) stigma and its real-world impact on individuals and communities. Participants will gain a deeper understanding of the multifaceted factors that contribute to stigma. Through this webinar, learners will assess the consequences of stigma and identify practical, actionable steps that can be taken to reduce and combat its harmful effects. By the end of the training, participants will be equipped with the knowledge and tools to foster a more inclusive and supportive environment for individuals affected by substance use disorder.

Provider Support Initiative Banner

Provider Support Initiative

Continuing the Conversation - Community Overdose Prevention: A Day in the Life of a Syringe Exchange
June 24, 2025

Syringe service programs (SSPs) have decades of research demonstrating their effectiveness in increasing safe syringe disposal and decreasing disease transmission. This presentation will include a review of the day-to-day operations of a syringe exchange (or SSP), including available programming that attends to the ever-changing needs of the people they serve. Discussion will include how syringe services fit into wider harm reduction praxis and community overdose prevention strategies.

California MAT ECHO® Clinic

MAT ECHO®: Implementing Contingency Management to Treat Stimulant Use Disorder in Opioid Treatment Programs
June 23, 2025

This session will begin with a review of prevalence data related to stimulant use, followed by the rationale for using contingency management as a treatment for stimulant use disorder and initial qualitative and quantitative evaluation findings following the first two years of implementation of the Recovery Incentives Program: California’s Contingency Management Benefit. Following the didactic presentation, the presenters will engage the audience in an interactive case discussion of common clinical challenges experienced by clients who are enrolled in the Recovery Incentives Program, and strategies that can be used by CM staff to help clients overcome such challenges.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO®: Contingency Management in Native Communities
June 17, 2025

In this presentation, we will discuss incentive-based recovery from substance use disorder among American Indian and Alaska Native (AI/AN) communities. We will discuss the example of a contingency management intervention for reducing alcohol and stimulant use among AI/AN adults. We will also describe how we culturally-centered the intervention and detail the use of contingency management in diverse clinical settings.

Provider Support Initiative

Community Overdose Prevention: A Day in the Life of a Syringe Exchange
June 10, 2025

Syringe service programs (SSPs) have decades of research demonstrating their effectiveness in increasing safe syringe disposal and decreasing disease transmission. This presentation will include a review of the day-to-day operations of a syringe exchange (or SSP), including available programming that attends to the ever-changing needs of the people they serve. Discussion will include how syringe services fit into wider harm reduction praxis and community overdose prevention strategies.

Provider Support Initiative Banner

Provider Support Initiative

Continuing the Conversation - A Nurse’s Role in Addiction Treatment
May 27, 2025

RNs, LVNs, and Advanced Practice Nurses play an essential role in caring for patients with substance use disorder. Nursing expertise can profoundly impact recovery across various healthcare settings.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO®: Overdose Prevention in Native Communities
May 20, 2025

Harm reduction is a collection of strategies to minimize risks to people who use drugs. From naloxone to syringe exchange to medications for addiction treatment (MAT), harm reduction has a strong evidence base with the central goal of meeting people where they are. This training will review a Native Harm Reduction Toolkit sponsored by the National Harm Reduction Coalition and recently launched for Native people. Highlights include the basics of Native harm reduction, tribal MAT, decolonizing services, and a resource library.

Provider Support Initiative

A Nurse’s Role in Addiction Treatment
May 13, 2025

RNs, LVNs, and Advanced Practice Nurses play an essential role in caring for patients with substance use disorder. Nursing expertise can profoundly impact recovery across various healthcare settings.

California MAT ECHO® Clinic

MAT ECHO® Ketamine Use, Misuse, and Implications for Opioid Treatment
April 28, 2025

This training will provide a brief overview of the epidemiology of ketamine along with its neurological impacts and adverse effects. Considerations for mental health and substance use treatment will also be discussed.

Provider Support Initiative Banner

Provider Support Initiative

Continuing the Conversation - Best Practices to Treat Opioid Use Disorder in Justice Impacted Populations
April 25, 2025

Community providers must be part of the safety net addressing care of individuals transitioning between detention and reentry back to their community and home. This webinar will provide data on justice involved populations, review the Sequential Intercept Model (SIM) to highlight behavioral health resource gaps and needs, and explore best practices to engage and retain individuals in a continuum of care. Best practices for expanding the continuity of care to support continuation of medications for opioid use disorder on entry and release from detention; expand partnerships with jails and detention centers to provide withdrawal management and treatment; transition individuals to continued care upon release; and facilitate warm handoffs for peer recovery and social support in the community will be presented.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO®: Statewide Collaborative Prevention Work in Native American Communities
April 15, 2025

This presentation will explore the California Indian Opioid Safety Coalition (CIOSC) and California Indian Harm Reduction (CAIHR) Workgroup, two programs of the California Department of Health Care Services-funded Tribal Medication Assisted Treatment project. Each program has successfully facilitated much needed connections and partnerships between Native-serving organizations, providers and prevention workers across the state; including those that have historically struggled in engaging Native American community members across California both in Tribal and Urban areas. This presentation will explore the creation and continuation of both CIOSC and CAIHR, detailing successful gatherings, linkages made and challenges.

Provider Support Initiative

Best Practices to Treat Opioid Use Disorder in Justice Impacted Populations
April 8, 2025

Community providers must be part of the safety net addressing care of individuals transitioning between detention and reentry back to their community and home. This webinar will provide data on justice involved populations, review the Sequential Intercept Model (SIM) to highlight behavioral health resource gaps and needs, and explore best practices to engage and retain individuals in a continuum of care. Best practices for expanding the continuity of care to support continuation of medications for opioid use disorder on entry and release from detention; expand partnerships with jails and detention centers to provide withdrawal management and treatment; transition individuals to continued care upon release; and facilitate warm handoffs for peer recovery and social support in the community will be presented.

California MAT ECHO® Clinic

MAT ECHO: Overdose Prevention
March 24, 2025

Overdose prevention takes many forms, including those encompassed in harm reduction, an evidence-based approach to engage people who use drugs and equip them with life-saving tools and information to create positive, potentially life-saving changes in their lives. Harm reduction is based in community-driven public health strategies, including prevention, risk reduction, and health promotion to empower people who use drugs to prevent overdose and improve overall health. This session will provide an overview of these strategies and how to discuss them in practice.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO: Using Motivational Interviewing to Enhance Social Connections for Native Americans with Opioid Use Disorder
March 18, 2025

This presentation will explore the effectiveness of motivational interviewing (MI) in supporting American Indian/Alaska Native individuals with opioid use disorder. Participants will learn how MI techniques can strengthen motivation for change, encourage engagement with cultural and social support systems, and promote overall well-being. Through clinical discussion, attendees will gain practical strategies to enhance connection, resilience, and recovery within Native communities.

Provider Support Initiative

Effective Supervision for Peer Support Specialists
March 11, 2025

Effective supervision is essential in ensuring peer support specialists maintain ethical standards, professional growth, and person-centered care. This training explores core supervision principles, emphasizing role clarity, boundary management, and leadership [we received feedback we cannot address trauma-informed approaches right now.]. Participants will engage in real-world case discussions, interactive exercises, and reflective practices to strengthen their supervisory approach. A special focus will be placed on fostering a respectful environment that honors all communities. Supervisors will leave with practical tools to enhance peer support effectiveness while maintaining fidelity to recovery-oriented, strengths-based supervision models. This session is ideal for supervisors of peer support programs in behavioral health, substance use recovery, and community-based settings.

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Provider Support Initiative

Treatment Atlas: Improving Access to High Quality Addiction Treatment
February 25, 2025

This training offers a deep dive into the Treatment Atlas data portal, outlining Shatterproof’s National Principles of Care for addiction treatment, and focusing on key data collection tools including the Treatment Facility Survey and the integrated Patient Experience Survey. The team will discuss current trends, utilization patterns, filters selected, and engagement with the site both in California and in comparison to what we are seeing nationally. With hands-on examples, participants will learn how to effectively use the platform's dashboard and analytical tools, bridging the gap between theory and practice, and empowering them to optimize addiction treatment services in their professional practice.

California MAT ECHO® Clinic

MAT ECHO: Treatments for Opioid Use Disorder
February 24, 2025

Overdose prevention takes many forms, including those encompassed in harm reduction, an evidence-based approach to engage people who use drugs and equip them with life-saving tools and information to create positive, potentially life-saving changes in their lives. Harm reduction is based in community-driven public health strategies, including prevention, risk reduction, and health promotion to empower people who use drugs to prevent overdose and improve overall health. This session will provide an overview of these strategies and how to discuss them in practice.

Tribal MAT ECHO® Clinic

Tribal MAT ECHO: Treating Opioid Use Disorder in Native Communities
February 18, 2025

This training will focus on equipping tribal health professionals with tools to address opioid use disorders (OUD) within their communities. Participants will explore FDA-approved medications for OUD treatment, integration of MAT in tribal health clinics, strategies for preventing opioid overdose, and key lessons from clinical case presentations.

Provider Support Initiative

Treatment Atlas: Improving Access to High Quality Addiction Treatment
February 11, 2025

This training offers a deep dive into the Treatment Atlas data portal, outlining Shatterproof’s National Principles of Care for addiction treatment, and focusing on key data collection tools including the Treatment Facility Survey and the integrated Patient Experience Survey. The team will discuss current trends, utilization patterns, filters selected, and engagement with the site both in California and in comparison to what we are seeing nationally. With hands-on examples, participants will learn how to effectively use the platform's dashboard and analytical tools, bridging the gap between theory and practice, and empowering them to optimize addiction treatment services in their professional practice.

Provider Support Initiative

Long-Acting Injectable Buprenorphine (LAIB) for Opioid Use Disorder: Guidance for Safe and Effective Administration
January 28, 2025

This session will review two formulations of extended-release injectable buprenorphine for the treatment of opioid use disorder (OUD). Clinical management issues and considerations for medication selection will be discussed. Medication titration considerations for OUD in the era of fentanyl will be reviewed, including incorporation of patient-centered approaches to decision-making and risk mitigation strategies.

California MAT ECHO® Clinic

MAT ECHO: Intro to ECHO and Opioids
January 27, 2025

This one-hour virtual training will provide an introduction to the 2025 Medications for Addiction Treatment (MAT) ECHO Clinic. The UCLA ISAP ECHO Hub team will present an overview of the Project ECHO© “all teach, all learn” model and an introduction to Opioid Use Disorders. Topics will include the structure and purpose of Project ECHO© clinics; definitions of opioids and opioid intoxication; understanding the criteria for Opioid Use Disorder, and the role providers across the health care system can play in addressing the opioid epidemic. A case presentation will be included for discussion.

Tribal MAT ECHO® Clinic

All Teach, All Learn: Introduction to Tribal MAT ECHO® and Opioids
January 21, 2025

This one-hour virtual training will provide an introduction to the 2025 Medications for Addiction Treatment (MAT) ECHO Clinic. The UCLA ISAP ECHO Hub team will present an overview of the Project ECHO© “all teach, all learn” model and an introduction to Opioid Use Disorders. Topics will include the structure and purpose of Project ECHO© clinics; definitions of opioids and opioid intoxication; understanding the criteria for Opioid Use Disorder, and the role providers across the health care system serving native communities can play in addressing the opioid epidemic. A case presentation will be included for discussion.