The New England ATTC, in partnership with the New Hampshire Alcohol and Drug Abuse Counselors Association is hosting a targeted TA session titled, "Evidence-Based Care & Support for Adolescents and Young Adults with Co-Occurring Substance Use Disorders and Eating Disorders" with subject matter expert Laura Grubb, MD, MPH. For many adolescents and young adults, eating disorders (ED) and substance use disorders (SUD) are not distinct challenges, but an integrated and mutually dependent challenges. This 90-minute interactive session explores the clinical intersection of these disorders, with a look at the epidemiology of co-occurrence and the genetic, internal, and external factors that drive these behaviors. Moving beyond theory, this presentation utilizes clinical cases to illustrate how these behaviors serve as maladaptive coping mechanisms while exploring the risks of symptom substitution and the power of resiliency-based approaches. We will conduct a brief clinical review of DSM-5-TR criteria for both ED and SUD to ensure a shared diagnostic language. Participants will engage in active discussion and audience participation to identify symptoms, risks, resiliencies, and approaches to care. We will conclude with a review of SAMHSA-aligned, integrated treatment strategies and a comprehensive resource toolkit designed to support "whole-person" recovery in transition-age youth. Learning Objectives By the end of this session, participants will be able to: Review Diagnostic Criteria and Profiles: Summarize the DSM-5-TR diagnostic criteria for both eating disorders and substance use disorders and differentiate between the specific substances most commonly misused in conjunction with different ED subtypes (e.g., stimulants for weight control in restrictive types vs. alcohol/depressants for emotional numbing in binge/purge types). Evaluate Clinical Cases and Resilience: Apply clinical vignettes to identify high-risk behaviors and discuss approaches that leverage resiliency factors—such as emotional regulation skills and social support—to mitigate the risks of medical complications and "symptom swapping." Analyze Epidemiology and Risk Factors: Evaluate current epidemiological data regarding the co-occurrence of ED and SUD in youth, identifying core genetic (heritability), internal (personality traits/neurobiology), and external (trauma/social environment) factors that contribute to these dual diagnoses. Implement Integrated Care Models: Describe the "whole-person" approach to treatment as recommended by SAMHSA, including the roles of a multidisciplinary team (medical, nutritional, and psychological) in treating both disorders concurrently. Utilize Professional Resources: Demonstrate how to access and navigate evidence-based tools and helplines to facilitate immediate referral and support for dually diagnosed youth.

Description: All substance use comes with inherent risk including the potential for harms and consequences of varying severity. Although resources are often focused on the smaller number of people who need treatment services, many more individuals exhibit risky or harmful use that would benefit from early intervention and education to prevent their substance use from becoming a problem. This presentation will define risky substance use and introduce strategies for identifying individuals at risk. Trainer: Diana Padilla, MCPC, CTSS, CARC Credits: This training has been approved for two renewal hours (CASAC, CPP, CPS) and two initial hours (CPP, CPS) through New York State’s Office of Addiction Services and Supports (NYS OASAS). As an IC & RC member board, OASAS accredited courses are granted reciprocal approval by the New Jersey Division of Consumer Affairs, Alcohol and Drug Counselor Committee. Many other states offer reciprocity - please check with your accrediting agency. Additionally, Research Foundation for Mental Hygiene, Inc., Training Institute is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0694. Participants are required to attend the entire session, turn on their video cameras, and actively participate in order to receive a certificate of completion.

Auto Brewery Syndrome (ABS) is an underdiagnosed medical condition where an overgrowth of fermenting organisms converts carbohydrates into ethanol. This training uses ABS to illustrate the profound complexity of the gut microbiome, showing how a localized imbalance in the digestive tract can impact neurology and behavior. Participants will dive into the mechanics of dysbiosis, learning what factors can disrupt the gut microbiome’s equilibrium and contribute to disease states. This webinar equips participants with the skills to recognize how intestinal health directly influences cognitive function and physical wellness. This foundational knowledge is essential for understanding how the microscopic environment of our gut is a primary driver of overall human health. The webinar further bridges the gap between physiology and mental health by teaching participants how to differentiate the clinical presentations of ABS and Alcohol Use Disorder (AUD). Distinguishing between these two conditions is critical for ensuring patients receive appropriate, non-judgmental care rather than ineffective interventions. Finally, the session will provide a toolkit of resources to support continued exploration of the gut-brain axis and the ramifications of microbiome dysbiosis. LEARNING OBJECTIVES Explain how Auto Brewery Syndrome works by identifying how certain fungi or bacteria in the gut turn everyday sugars and carbs into alcohol. Describe the "gut-brain connection" to show how the health of your digestive system can directly affect your mood, energy levels, and brain function. Identify the key differences between ABS and alcohol use so you can recognize when symptoms are caused by a medical gut issue rather than drinking. Find and use reliable resources to help others understand the importance of gut health and where to look for further support or information. Presented by Barbara Cordell, PhD, RN

The Faith in Action Toolkit was developed by the Opioid Response Network and the New England Addiction Technology Transfer Center and is designed to equip faith leaders with the resources, strategies, and knowledge necessary to address the topic of substance use disorders and make a meaningful impact in their congregations and beyond. Faith leaders possess a unique ability to reach out to those in need, providing not only spiritual guidance but also practical support. Key Components of the Toolkit: • Educational Resources: Learn about the complexities of substance use disorders and the specific challenges faced by individuals and families in crisis. • Community Engagement Strategies: Discover ways to mobilize your faith community to respond effectively to the needs of those struggling with addiction. • Support and Recovery Initiatives: Find practical steps to create or enhance support groups, recovery programs, in-reach efforts within your congregation, and outreach into the broader community.

June is PTSD Awareness Month, and the Great Lakes ATTC is proud to support national awareness efforts through this timely and impactful webinar. Individuals living with post-traumatic stress disorder (PTSD) and substance use disorder (SUD) often face significant and overlapping challenges—such as emotional dysregulation, high relapse risk, avoidance, chronic stress, suicidal ideation, and barriers to engagement in care. At the same time, clinicians who serve this population frequently carry the emotional weight of trauma exposure, putting them at heightened risk for secondary traumatic stress, compassion fatigue, and burnout. In this insightful session, presenters will examine the complex relationship between PTSD and SUD, offering evidence-based and trauma-informed strategies to enhance client care. Equally important, the webinar will center on the well-being of clinicians, providing sustainable tools for strengthening resilience, maintaining healthy boundaries, reducing burnout, and protecting long-term professional health. Attendees will walk away with practical strategies they can immediately apply, supporting both their clients and themselves.   Learning Objectives: Participants will be able to describe the relationship between PTSD and SUD, including how trauma and substance use influence and reinforce each other. Participants will be able to recognize warning signs of compassion fatigue, secondary trauma, and burnout within their own professional practice. Participants will be able to implement at least three practical and sustainable self-care and mental health strategies to support their personal well-being while working with trauma-impacted populations.   TRAINERS:   Mark Sanders, LCSW, CADC, is an international speaker, trainer, and consultant in the behavioral health field whose work has reached thousands throughout the United States, Europe, Canada, Caribbean and British Islands. Mark is the author of five books, which focus on behavioral health. Recent writings include Slipping through the Cracks: Intervention Strategies for Clients Multiple Addictions and Disorders, Recovery Management: and Relationship Detox: Helping Clients Develop Healthy Relationships in Recovery. He has had two stories published in the New York Times best-selling books series, Chicken Soup for the Soul. Mark has been a certified addictions counselor for 34 years. He has received numerous awards including a Life Time Achievement Award from the Illinois Addiction Counselor Certification Board and the Barbara Bacon Award for outstanding contributions to the Social Work profession as a Loyola University of Chicago Alumni. Mark is co-founder of Serenity Academy of Chicago, the only recovery high school in Illinois. He is past president of the board of the Illinois Chapter of NAADAC. He has had a 30 year career as a university educator having taught at the University of Chicago, Illinois State University, Illinois School of Professional Psychology, and Loyola University of Chicago, School of Social Work.   Isa Vélez Enchevarria is a Puerto Rican Clinical Psychologist. She is the Ohio State Project Manager for the Great Lakes Addiction Transfer Center and for the Center of Mental Health Implementation and Support (Midwest Hub) managed by the Center for Health Enhancement Systems Studies at the University of Wisconsin-Madison. During her pre-doctoral internship at Children’s Institute in Los Angeles, CA, she obtained a certification as Interpersonal Psychotherapy Clinician. She is certified in Trauma-Focused Cognitive Behavioral Therapy and EMDR Therapy Trained Clinician. In addition, she provides mental health services to communities in Puerto Rico.   The Great Lakes ATTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders.

Primary care clinicians are uniquely positioned to identify unhealthy alcohol use and alcohol use disorder (AUD) early, provide brief interventions, and start effective medications that reduce cravings, prevent return to use, and support longterm recovery. Initiating medications for alcohol use disorder (MAUD) in primary care offers a powerful opportunity to improve patient outcomes by integrating evidence-based treatment into a setting where many individuals already receive trusted, ongoing care.