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The Opioid Epidemic: Panhandle Response

Training Opportunities

Narcan Training

Panhandle Narcan Training Video
Created October 10, 2018

Increase Access to Naloxone

Partnering with Pharmacies, Law Enforcement and Fire Departments to increase the availability of naloxone across the Panhandle. We know this is a strategy that saves lives. 


Medication Assisted Treatment in the Panhandle

Addiction is a Neurological Disease. MAT services are effective to treat addition acting as a guide to a full recovery for a self-directed life.


Medication Disposal

Dispose of your leftover medications at one of the safe and legal no cost disposal sites across the Panhandle.


Safe Storage of Prescription Medications

Partnering with agencies and health systems across the Panhandle to increase knowledge on how and why to safely store prescription medications.



De-escalation, Engagement and Support-Network Partnership Training

  • Intended audience: Community partners (social services, law enforcement, first responders, nurses, emergency department staff, etc.)
  • Length of training: 3.5 hours each
  • September 10 Alliance and Chadron, bringing out to additional locations later in the fall/early spring.

This half-day training is designed to provide a basic skills training in evidence-based approaches to de-escalation, engagement, and cultivation of support networks for individuals seeking services in non-specialty settings. Specific attention is paid to understanding interventions for Opioid Use Disorder and co-morbid mental health conditions. The training in techniques for identification of Substance Use and Mental Health Disorders along with practical skills training used to engage a person and their support network while in crisis provides service positions with capability for enhancing clinic milieu, initiation of follow-up appointments, and increased rates of retention in treatment. This training will also provide a pocket guide for participants with points of reference to assist in the continuation of the use of skills when they return to work in their various settings.

Participants will:

  • Understand the basic components of Integrated Care specific to their setting and region
  • Understand the most effective techniques for de-escalation and how these are opportunities for engagement and referral
  • Learn how to identify patients in need of support with Opioid Use Disorder, provide engagement, and refer them to providers within the area
  • Learn how to identify natural support networks and invite them into the intervention process in order to propel an individual toward health
  • Be able to use a pocket guide that can be brought back to their setting for support in the implementation of newly acquired skills

MAT Friendly Support Group Implementation Training

  • Intended audience: support group facilitators
  • Length of training: 1 day
  • Coming in October UPDATE

Implementing an evidence-based, peer-support group involves training on content, and also training on techniques for effective implementation. HBFF uses the Double Trouble model as a foundation for all pathways peer support group. The implementation workshop includes:

  • Exploration of the Double Trouble model
  • Clarity between peer and professional roles, exploration of boundary issues and basic ethical standards of care
  • Medication-assisted treatment specifics
  • Embracing strengths-based care and person-centered approaches
  • Role playing common group issues, and practicing therapeutic techniques
  • Implementation support provided in vivo, workshopping issues related to communication, staff understanding, and community engagement

Opioid Crisis and Response Summit

  • Intended audience: Community partners (social services, law enforcement, first responders, nurses, emergency department staff, etc.) and general public
  • Length of training: 1 day
  • September 11 @ 9:00 am - 4:00 pm in Scottsbluff

Summit topics include:

  • Neurobiology of addiction and recovery
  • Stigma Reduction
  • Understanding addiction as a long-term, chronic, no-fault disease/illness
  • Understand common workplace practices that support persons in recovery
  • Training in De-escalation, Engagement and Support Network Partnership
  • Panhandle Worksite Wellness Training – How do we help each other? 


ARISE® 3-Day Comprehensive Care with Intervention Workshop - Registration link coming soon

  • Intended audience: Case managers and community partners
  • Length of training: 3-days
  • Location: 1 central location
  • Coming early Spring if interested send an email to: tprochazka@pphd.org and we will be sure to share.

ARISE® Comprehensive Care is an evidence-based model with a proven track record of getting over 83% of individuals with substance use disorders into treatment in three weeks. 96% enter treatment in six months. 61% abstinent by the end of the first year, with 10% more using less. It is proven in federal research to be the most successful intervention available.

This 3-day training is for case managers, peer recovery support specialists and other community members to learn and practice the ARISE® Interventionist Model which works collaboratively with the individual, the treatment center, and the family to ensure treatment completion, relapse prevention, and the resolution of grief and other problems at the root of the pain and the addictive disease.

Once trained in ARISE® Comprehensive Care with Invitational Intervention®, participants will have knowledge and tools to:

  • Conduct respectful, gentle family meetings
  • Focus on individual and family long-term recovery
  • Provide comprehensive care that continues until the individual and family are healthy and in recovery
  • Be above to service individuals and families challenged by mental health issues, dual diagnosis, substance use disorder, behavioral compulsions (sex, Internet, gaming, gambling, spending, eating disorders, debting, hoarding)
  • Specialize in adolescents, young adults, children, the elderly, all age groups and families
  • Align practices with the ARISE beliefs:
  • Families are intrinsically healthy and competent
  • People and environments are constantly in transition
  • Connectedness to family and culture of origin is protective against risk-taking behavior
  • Trauma affects all members of the family and community who, in turn, affect each other
  • Loyalty, intergenerational dynamics and protectiveness make families more “powerful” than treatment agents to effect change
  • Families are capable of doing much of the psychosocial and spiritual work needed, given a balance of agency and communion
  • A flexible approach to intervention allows family, friends and support systems to motivate change
  • Emphasis on support and caring allows networks to remain part of any treatment or intervention system to facilitate entry into treatment, treatment and aftercare

Nebraska Pain Management Guidance Document

A provider and Community Resource.  Promotes consistent, safe, and effective management standards for Nebraska prescribers.  It includes information on treating acute pain, chronic pain, non-opioid options for pain treatment, treating pain in special populations, and opioid tapering/discontinuation.  An educational training video on the DHHS website complements the content of this document to assist in training Nebraska’s providers in safe pain management.


Prescription Drug Monitoring Program (PDMP) Access

The Nebraska Prescription Drug Monitoring Program (PDMP) is a unique statewide tool that collects dispensed prescription medication information and is housed on the Health Information Exchange (HIE) platform. The Nebraska PDMP is a public health model focusing on patient safety. In order to facilitate provisioning and other registration processes for the Nebraska PDMP, DHHS has moved to an online form to improve efficiency.


Media Campaigns

Increase awareness that prescription opioids can be addictive and dangerous.  To decrease the number of individuals who use opioids recreationally or overuse them.


Nebraska’s Legislative Response

Addresses prescription opioid abuse by adopting and strengthening an electronic prescription drug monitoring program; relaxing rules for administering life-saving, overdose reversing drugs; and granting immunity from prosecution for drug crimes related to individuals who call for help during an apparent overdose.


Technical Assistance
Tabi Prochazka
308-487-3600 ext 107
308-760-1120 cell

Let me know how I can help you.

Updated June 21, 2019