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SAMHSA's Harm Reduction Models for Prevention and Treatment of HIV in Co-Occurring Disorders


Welcome to CEU By Net, sponsoring courses that explore SAMHSA's politically and socially controversial 'Harm Reduction' models for Opioid Use Disorder and the treatment and prevention of HIV in persons with co-occurring HIV and SUD.

This current, research-based course material is published by the Substance Abuse and Mental Health Services Administration (SAMHSA). CEU By Net sponsors these courses and immediately downloads your certificates to you.  You will earn CE Credit preapproved by NBCC, NAADAC, EACC, IC&RC, and most state boards for behavioral health.  

In our sponsored courses 4SUD1K and 8K, you will learn about successful treatment models using varying Harm Reduction approaches, to persons with Opioid Use Disorder (OUD) following near-fatal overdoses and to those with co-occurring SUD and HIV who use injected drugs.

Intervention methods include psychosocial, pharmacological, networking, familial, and incentivizing methods of varying intensity intensity  recognizing the rights of the individual to make independent choices about personal drug use.

A blend of Harm Reduction approaches is effective with a challenging client population — persons with Opioid Use Disorder who have survived a near-fatal overdose but are not ready for abstinence, and people living with co-occurring SUD and HIV that is complicated by injection of drugs and engagement in unprotected sex. 



CEU By Net's training is designed to help behavioral health providers plan and implement effective Harm Reduction programs within the community and to successfully navigate a politically diverse and oftentimes controversial public response. These courses provide information you need to answer the 'hot questions' about the Harm Reduction approach. 


SAMHSA - Survived the Opioid Overdose - But Now What?

For example, does Harm Reduction 'enable' high-risk behaviors? Does teaching an overdose survivor with OUD how to safely use opioid and stimulant drugs ethically conflict with our mission to bring about recovery following a near-fatal event?

Are free syringes, needle exchange, and condom distribution programs ethical as a medical approach to the prevention of HIV and Hepatitis C?  Is it socially acceptable to promote programs that fail to condemn drug use? Is it ethical to teach persons with Opioid Use Disorder how to test his opioid drugs for traces of Fentanyl before use? 

These issues promote controversy in many states and communities. Know how to contend with public policy conflicts through learning about three currently operating, successful Harm Reduction programs.   



 

Additional Information about these courses. 

As a licensed mental health or addiction counselor, LMFT, social worker or other behavioral health professional, it's important to understand the 'what, how, and why' of the Harm Reduction approach. 

These courses provide valuable perspectives about each of these parameters - helping you to improve the effectiveness of HIV treatment and prevention programs you currently operate, or to be successful in those programs you are planning.  

You will learn effective client training techniques and psychosocial approaches for use with a challenging client population. You will learn how to encourage your clients' adherence to the medication protocols that prevent, treat, and halt the progression of HIV once it's contracted.

And you will learn how to keep those with Opioid Use Disorder SAFE following a near-fatal overdose, when they are not ready for abstinence.   

 

Review the goals of Course 4SUD, which will also appear on your certificate.

 

 Review the goals of Course 8K, which will also appear on your certificate.


Go to the Course Catalog to enroll in these Harm Reduction courses. 

 

Read a brief overview of all our HIV treatment and prevention courses.

 

Take Unlimited CE Courses for one year at no additional charge with our Annual Subscription, for only $49. 

 


 

The Goals of Course 4SUD, 'Surviving the Opioid Overdose - But Now What?

 

  
1. Know the immediate and subsequent actions that are necessary when individuals and their family or friends leave the ER after a near-death overdose—including connecting them to people and practices that reduce the risk of re-overdose and fatality. <br><br>
2.Learn how to support and keep overdose survivors SAFE with Harm Reduction planning—however that is defined by the individual, which may or may not include abstinence or participation in a SUD treatment program. <br><br>
3. Understand the nature of the physical impact on the body of the various opioid and stimulant drugs and the critical signs (including cessation of breathing) of an impending fatal overdose. <br><br>
4. Know how to use a lifesaving Opioid Overdose Reversal Medication (OORM) kit, including when and how to administer the medication (by injection or nasal spray), when to repeat a dose, and what to do after breath is restored.  <br><br>
5. Learn the physical impact on the body associated with the various lifesaving Opioid Overdose Reversal Medications (OORMs), and ways to possibly reduce the severity of the associated withdrawal experience. <br><br>
6. Know why a 'community approach' to post-overdose recovery is essential, and how to facilitate it. <br><br>
7. Learn the unique issues associated with Prescription Opioids and how to help patients develop a personal plan to maintain safety—including the response to changes in pain levels due to medication tolerance. <br><br>
8. Have immediate access to multiple resources recommended by SAMHSA, via active links.

1. Know the immediate and subsequent actions that are necessary when individuals and their family or friends leave the ER after a near-death overdose—including connecting them to people and practices that reduce the risk of re-overdose and fatality.

2. Learn how to support and keep overdose survivors SAFE with Harm Reduction planning—however that is defined by the individual, which may or may not include abstinence or participation in a SUD treatment program.

3. Understand the nature of the physical impact on the body of the various opioid and stimulant drugs and the critical signs (including cessation of breathing) of an impending fatal overdose.

4. Know how to use a lifesaving Opioid Overdose Reversal Medication (OORM) kit, including when and how to administer the medication (by injection or nasal spray), when to repeat a dose, and what to do after breath is restored. 

5. Learn the physical impact on the body associated with the various lifesaving Opioid Overdose Reversal Medications (OORMs), and ways to possibly reduce the severity of the associated withdrawal experience.

6. Know why a 'community approach' to post-overdose recovery is essential, and how to facilitate it.

7. Learn the unique issues associated with Prescription Opioids and how to help patients develop a personal plan to maintain safety—including the response to changes in pain levels due to medication tolerance.

8. Have immediate access to multiple resources recommended by SAMHSA, via active links.


The Goals of Course 8K, 'Harm Reduction Strategies & Challenges with Co-Occurring HIV, SUD, & Mental Disorders'
8 CEUs  
 

Course 1K is a shorter version of this course
offering 2 CEUs (and 1.75 for NBCC and California BBS)
 


1. Learn the details of three research-validated service delivery models in diverse settings in which HIV can be effectively prevented and treated in persons living with HIV and concurrent SUD and/ or Mental Illness.

2. Learn effective approaches with various populations to encourage uptake and consistent compliance with

(a) Pre-Exposure Prophylaxis (PrEP - prevention of HIV when exposed to the virus), and

(b) Post-Exposure Prophylaxis (PEP), and

(c) suppression of the HIV virus in those who have contracted HIV (ART - Antiretroviral Therapy).

3. Understand the roles of both Biomedical Intervention and Psychosocial Intervention in the prevention and treatment of HIV and other Sexually Transmitted Diseases in people with concurrent behavioral health disorders (SUD and mental illness).

4.  Learn how Syringe Exchange programs are successfully integrated within communities and the most effective approach to implementation with people with concurrent behavioral health disorders.

5. Learn the role of Peer Health Navigation (PHN) and Contingency Management (CM) in achieving behavioral and biomedical targets, including transgender women of color who are at risk for or have HIV and concurrent behavioral health disorders.

6.  Know why it is critical that programs primarily serving people with serious mental illness and SUD (a) assess their clients for HIV risk, (b) conduct HIV testing, and (c) provide medically and behaviorally integrated HIV prevention and treatment services to address their complex needs.

7. Understand the errors in the design of HIV programs that result in unsuccessful or reduced HIV viral suppression—particularly with those living with a concurrent diagnosis of SUD and/or Mental Illness.

8. Understand that the model HIV treatment and prevention programs presented in this course must be modified as needed, to meet the needs and living circumstances of the local population. 

 

Source of the Course Content

The course material in Course 4SUD—pertaining to helping a person with SUD survive a near-fatal opioid overdose, and then taking Harm Reduction steps to prevent a recurring overdose and death—is written and published in 2024 by SAMHSA.

Course 8K contains 4 of the 5 chapters in the current document published by SAMHSA entitled 'Prevention and Treatment of HIV Among People Living with Substance Use and/or Mental Disorders.'  This validated research was originally published by SAMHSA in 2020 and contains a forward written in 2021 by the U.S. Department of Health and Human Services.

 

CEU By Net's CE Provider Approvals

Unlimited CEUs - $49 per year

 

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