OVERVIEW OF HARM REDUCTION Wednesday, January 21, 2009 • 10:00am-5:00pm Mark Kinzly, HRC Consultant Course Fee: $70 Harm reduction is a set of practical strategies that reduce negative consequences of drug use and improve the quality of the client’s life. The harm reduction approach incorporates a spectrum of strategies which include safer and managed use, as well as abstinence. This approach helps providers effectively meet their clients where they’re at. Participants who attend this training will: understand the principles of harm reduction, participate in activities designed to assist them in exploring attitudes and beliefs about harm reduction, and develop practical skills and interventions that can be used in their work with substance users.

OVERVIEW OF HARM REDUCTION Friday, January 23 Trainer: Tom Calvanese, HRTI Trainer Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $70. This course provides a one-day survey of the history, philosophy, and strategies of the harm reduction model as it has evolved in the United States. Included are discussions of the harm reduction's understanding of drug use in the context of people's lives, traditional drug treatment and drug use management. This course is a foundation for all people from all disciplines interested in harm reduction.

HARM REDUCTION PSYCHOTHERAPY: AN OVERVIEW Friday, January 23, 2009 • 10:00am-5:00pm Lorraine Pirro, HRC Consultant Course Fee: $70 Successful treatment of clients with multi-dimensional mental health vulnerabilities depends on three factors: a ‘safe and sound’ therapeutic alliance, an accurate diagnosis, and a thorough knowledge of harm reduction psychotherapy principles. This training will address all three in a practical and concise overview of harm reduction psychotherapy for mental health providers, including social workers, psychologists, psychiatrists, medical students, case managers, and other key participants on a client’s treatment team. Special attention will be given to treating active substance using individuals, couples, and those with HIV in health care and agency settings. Guidelines will be offered to those in private practice and university mental health care settings who wish to develop a deeper understanding of how to provide integrated treatment by utilizing harm reduction principles with active substance using clients who engage in high-risk behaviors. Finally, for those with clinical oversight responsibilities, how to maximize effective and efficient client-centered service delivery in managed care settings will be addressed.

CASE MANAGEMENT Tuesday, January 27, 2009 • 10:00am-5:00pm Juanita Lopez, HRC Consultant Course Fee: $70 CASAC credits are available for this course. This training presents steps involved in harm reduction case management, including: outreach and engagement of potential clients; assessment; creating a plan to fulfill unmet needs and close gaps; making appropriate referrals; following through until services are delivered; and advocating when necessary. The approach rests on the Stages of Change Model, empowerment rather than creating dependence on service providers or agencies, and techniques such as motivational interviewing and solution-focused work are discussed. Interactive exercises provide practice with case management steps.

Trainer: Laura Guzman, JD, Director, Mission Neighborhood Resource Center Registration and Coffee: 9:00am – 9:30am Course time: 9:30 am - 5 pm This workshop seeks to enhance staff abilities in addressing conflict and de-escalating situations with clients in the street and within a community service setting. The overall goal of the workshop is for staff to learn and share skills to continue to build a safe and healthy community of staff, participants and clients. In the workshop we will review basic "customer service 101," including the role of professionalism, boundaries and improving communications and trust levels with clients and team members. We will also discuss tips for preventing and responding to conflict and some principles of the Nonviolent Crisis Intervention Model, designed to help staff provide for the best possible care and welfare of disruptive or out-of-control clients. The workshop seeks to be highly interactive and fun. Come ready!

UNDERSTANDING HIV-RELATED STIGMA & DISCRIMINATION Thursday, January 29, 2009 • 10:00am-1:15pm Donald Powell, HRC Consultant Course Fee: $50 This training will give participants a distinct set of knowledge and skills that will help them engage and involve targeted community members in practices which uphold the human rights of persons infected and affected by HIV/AIDS. By the conclusion of the training, participants will be able to identify the sources of and explain the meaning and difference between various types of HIV/AIDS-related stigma and discrimination.

UNDERSTANDING THE WAR ON DRUGS Thursday, January 29, 2009 • 6:00pm-8:00pm Peter Moskos, Assistant Professor of Law & Police Science, John Jay College of Criminal Justice; Law Enforcers Against Prohibition (LEAP) Speakers Bureau Course Fee: FREE “The war on drugs has become a war on families, a war on public health and a war on our constitutional rights...” (Drug Policy Alliance). Join us for a screening of LEAP, a 12-minute documentary focusing on the mission of a burgeoning organization, Law Enforcement Against Prohibition. LEAP was presented at the 2007 International Drugs and Harm Reduction Film Festival in conjunction with the 2007 International Harm Reduction Conference in Warsaw, Germany. Following the screening is an informal presentation and discussion on the history, current state, and multifaceted underpinnings, facts, and effects of the war on drugs.

SEXY HARM REDUCTION: USING HARM REDUCITON TO ADDRESS SEXUAL RISK WITH DRUG USERS AND THEIR PARTNERS Friday, January 30, 2009 • 10:00am-5:00pm HRC Staff Course Fee: $70 Sexual risk behavior plays a significant role in new HIV cases among substance users. This one-day training will build participant knowledge and skills in offering sexual harm reduction options to substance users. As a result of this training, participants will be able to: 1) recall the latest research that shows how expanded syringe access and methadone maintenance programs assist in reducing the number of new HIV cases among substance users; 2) identify and discuss clients’ sexual risk behaviors when using drugs and alcohol; and 3) identify and present harm reduction strategies and options for reducing clients’ sexual risk behaviors when using drugs and alcohol.

HIV MEDS & STREET DRUGS Tuesday, February 3, 2009 • 10:00am-1:15pm Mark Kinzly, HRC Consultant Course Fee: $50 In this current “abstinence only” culture, there has been minimal research conducted on the interaction of HIV medications and street drugs. This half-day training will take an honest look at how ecstasy, marijuana, cocaine, heroin, and methamphetamine can potentially have a negative interaction with HIV/AIDS medications. This course is a must for HIV/AIDS case managers!

START AN OPIOID OVERDOSE PREVENTION PROGRAM AT YOUR AGENCY Opioid Overdose – Build Your Skills & Knowledge – Get the SKOOP! Thursday, February 5, 2009 • 10:00am-1:15pm Sharon Stancliff, M.D., Medical Director, Harm Reduction Coalition Course Fee: FREE CASAC credits are available for this course. *Please Note: Individuals should register for this course only if you are a director, supervisor or program coordinator whom is interested in setting up an Opioid Overdose Prevention (SKOOP) program at your agency. Heroin (and other opioid) overdoses are a common cause of death among users, yet these deaths are often preventable through education, mouth-to-mouth resuscitation and when possible, through the administration of Naloxone (Narcan). In this workshop, participants will start by learning the essentials of preventing opioid overdose deaths including prevention, recognition, and action. Participants will receive a certificate as Trained Overdose Responders and become qualified to train heroin or opioid users and colleagues at their own facilities on how to prevent an overdose. Participants will learn how to implement a NYS DOH-approved program with support from the Harm Reduction Coalition.

Trainer: Patrik Karlsson, LCSW, HRTI Trainer Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $70. Persons living with mental illness and addiction present a multiplicity of complex problems that are best treated with a cohesive, unified, psychosocial approach that is engaging, flexible, tolerant, informed, includes users, allows for relapses, and is long term. This workshop will provide a comprehensive overview of mental illness and addiction- how our brains work and why we use drugs (prescribed and non-prescribed) to alter brain chemistry. With this understanding, we will discuss interventions, particularly harm reduction strategies that work to engage and treat multi-diagnosed persons. This workshop is going to put theory into reality- the hard reality experienced by those living on our streets, isolated, stigmatized, and criminalized.

SEXY HARM REDUCTION: USING HARM REDUCITON TO ADDRESS SEXUAL RISK WITH DRUG USERS AND THEIR PARTNERS Tuesday, February 17, 2009 • 10:00am-5:00pm HRC Staff Course Fee: $70 Sexual risk behavior plays a significant role in new HIV cases among substance users. This one-day training will build participant knowledge and skills in offering sexual harm reduction options to substance users. As a result of this training, participants will be able to: 1) recall the latest research that shows how expanded syringe access and methadone maintenance programs assist in reducing the number of new HIV cases among substance users; 2) identify and discuss clients’ sexual risk behaviors when using drugs and alcohol; and 3) identify and present harm reduction strategies and options for reducing clients’ sexual risk behaviors when using drugs and alcohol.

THE PRACTICE OF HARM REDUCTION WITH DUALLY DIAGNOSED CLIENTS Wednesday, February 18, 2009 • 10:00am-5:00pm Andrew Hamid, HRC Consultant Course Fee: $70 CASAC credits are available for this course. Beginning with an overview of mental disorders, this workshop will specifically focus on clients with co-occurring mental illness and substance abuse. Emphasis will be placed on the application of harm reduction principles in identification and intervention along a continuum of risk. Service providers will be guided in determining effective harm reduction responses that are attentive to the realities of clients’ lives, provider skill level, and agency mandate.

MOTIVATIONAL INTERVIEWING Thursday, February 19, 2009 • 10:00am-5:00pm Marion Riedel, HRC Consultant Course Fee: $70 CASAC credits are available for this course. Motivational Interviewing (MI) is a collaborative approach to working with people experiencing negative consequences from substance use and other challenging behaviors. It is a style of counseling that helps the person develop a schema about the positive and negative effects of their behavior, which facilitates readiness for change. Participants will learn MI techniques such as reflective listening, delivering feedback, summarizing, decisional balancing, and developing change plans. Strategies for translating MI principles into action will be discussed (e.g. expressing empathy, developing discrepancy, avoiding argument, and dealing with resistance). This session will also focus on the use of ambivalence in the counseling process and strategies for increasing motivation, self-efficacy and optimism. This workshop will utilize case examples, role-plays, and peer feedback as methods to incorporate new skills learned.

GRIEF & MENTAL HEALTH CONCERNS: THE PLIGHT OF THE LGBT COMMUNITIES Tuesday, February 24, 2009 • 10:00am-5:00pm Doneley Meris, HRC Consultant Course Fee: FREE This training will provide clinical and community-oriented interventions to meet the multiple challenges encountered by LGBT-identified individuals through identifying the intersections of and the access to human sexuality-sensitive and comprehensive service interventions which address their mental health, bereavement-grief, and overall health-wellness concerns. Through multiple harm reduction, preventative, and proactive client-specific and community-based interventions, clinicians and service providers will be provided with concrete outreach, client-provider quality relationship paradigms, and clinically-oriented service-sustenance skills to meet the complex service requirements of LGBT-identified individuals, thus fully integrating them to mainstream quality service delivery systems.

Trainer: Micah Frazier, HRTI trainer Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $70 In our work as service providers most of our time is spent taking care of client needs. However, finding ways to care for ourselves is crucial to our own sustainability and that of our work/programs. The goal here is to provide training participants with; a short break from clients, tools for stress management, and methods to reduce and prevent burnout. Participants will evaluate their own stress levels, and look at some of the root causes of burnout within our programs. We will also explore a variety of techniques including centering, time management, and relaxation that can be incorporated into our work as a daily practice. Participants will leave having created a personalized burnout prevention plan and effective strategies to implement and maintain their stress reduction practices.

ENGAGING & MOTIVATING ADOLESCENT DRUG USERS Tuesday, March 3, 2009 • 10:00am-5:00pm Andrew Hamid, HRC Consultant Course Fee: $70 Participants will be provided with a framework for better understanding and working more effectively with young drug users who seem unwilling to address their drug use. Skills development exercises will focus on motivating and preparing adolescent drug users for change which fits their individualized needs.

Trainer: John Wiskind Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $70. This training workshop will be both didactic and interactive and will identify the various steps and practical interventions involved in harm reduction case management. The training will cover outreach/engagement, assessment, treatment planning, and strategies for motivating clients to follow through with accessing services/meeting their stated goals. In addition, the training will review guidelines for assessing for safety issues for clients and strategies to ensure staff safety. Harm reduction case management obtains successful outcomes through an empowerment approach rather than fostering client/consumer dependency upon agencies for their needs. Case examples will be offered and participants are also encouraged to discuss successful or challenging cases of their own.

STREET LAW: KNOW YOUR CLIENTS’ RIGHTS Tuesday, March 10, 2009 • 10:00am-5:00pm Natasha Johnson-Lashley, HRC Consultant Course Fee: $70 Participants will engage in discussions about clients’ substance use and its impact on work, crime, and police conduct, and review street law terms in depth and how their clients would potentially be processed in court systems. An overview and breakdown of the warrant process and how to advocate for clients will also be presented, as well as the rights of individuals who are homeless and non-homeless. In addition, there will be a discussion on client rights and its variation for immigrant substance users.

DOMESTIC VIOLENCE & HIV PREVENTION Wednesday, March 11, 2009 • 10:00am-5:00pm Dorcey Jones & Adam Viera, CBA Specialists, AACBI, Harm Reduction Coalition Course Fee: FREE This one-day interactive training will explore domestic violence, intimate partner violence, and trauma while providing participants with an in-depth look at the biological and social factors that increase one’s susceptibility to HIV infection. Additionally, service providers will be given tools that will build their capacity in working with clients who have experienced domestic or intimate partner violence. This training is intended for service providers working in the field of HIV/AIDS or related fields in both medical and non-medical settings. Participants are encouraged to have a background in counseling and have basic knowledge about HIV/AIDS.

SEXY HARM REDUCTION: USING HARM REDUCITON TO ADDRESS SEXUAL RISK WITH DRUG USERS AND THEIR PARTNERS Thursday, March 12, 2009 • 10:00am-5:00pm HRC Staff Course Fee: $70 Sexual risk behavior plays a significant role in new HIV cases among substance users. This one-day training will build participant knowledge and skills in offering sexual harm reduction options to substance users. As a result of this training, participants will be able to: 1) recall the latest research that shows how expanded syringe access and methadone maintenance programs assist in reducing the number of new HIV cases among substance users; 2) identify and discuss clients’ sexual risk behaviors when using drugs and alcohol; and 3) identify and present harm reduction strategies and options for reducing clients’ sexual risk behaviors when using drugs and alcohol.

Trainer: Micah Frazier, HRTI trainer Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $70 An interactive workshop designed to teach practical skills for integrating harm reduction policies and strategies into work with youth and young adults. Participants will learn youth development, stages of change, and resiliency theory and practice putting theory into action within the context of their own programs and roles. Hip-Hop provides many young people with a method with which to express themselves and a source of healing and resiliency, and throughout its history Hip- Hop music and culture has been embraced by a wide variety of youth from diverse racial/ethnic backgrounds, class/economic levels, geographic location, sexuality, etc. Therefore the training includes an introduction to Hip-Hop culture as it relates to drug use and sexual behavior, and explores the places where Hip Hop and Harm Reduction naturally connect and conflict. We will focus on creating core strategies and practices that engage young people in relevant ways and create real opportunities for empowerment, transformation, and growth.

MENTAL HEALTH ISSUES & HEPATITIS C: WORKING WITH HCV+ DRUG USERS Wednesday, March 18, 2009 • 1:00pm-4:00pm Tracy Swan, HRC Consultant Course Fee: $50 Hepatitis C-related liver disease includes neurological and psychiatric symptoms, chiefly cognitive impairment and depression. Interferon treatment carries its own neuropsychiatric side effects, including insomnia, fatigue, depression, anxiety and mood lability, among others. Drug users, who share common histories of mood and anxiety disorders and related psychosocial needs, as well as individuals with psychiatric conditions, are particularly vulnerable. This training will review the major mental health issues involved in Hepatitis C disease and treatment, and research around causes, manifestations, and treatment of various neuropsychiatric conditions seen in people with hepatitis C.

EXPLORING TRAUMA, RESILIENCE & RECOVERY Thursday, March 19, 2009 • 10:00am-5:00pm Lorraine Pirro, HRC Consultant Course Fee: $70 This training will examine the multiple ways in which emotional or physical and individual or collective trauma can ravage the human psyche. Participants will learn to identify major traumatic ‘injuries’ and the stages of recovery necessary in rebuilding the shattered self that results from violence, aggression, or abuse. They will also explore how to nurture and maximize resilience when treating at-risk populations, including those with multi-dimensional vulnerabilities such as HIV, substance abuse disorders, or mental illness. Special attention will be given to the interplay between trauma as a driver of substance misuse and dependence, and the concomitant resulting devastation that so often re-traumatizes its victims. Finally, participants will discuss the critical success factors that must be present in order for trauma victims to recover: a healing, therapeutic relationship, a renewed sense of safety, and remembrance and mourning—all of which, in due course, lead to the reintegration of, and reconnection to, the self and others.

Trainer: Tom Calvanese, HRTI trainer Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $70. This interactive workshop will draw on the trainer’s years of experience in managing an SRO, a supportive housing program for poly-diagnosed people, many of whom are living with HIV/AIDS. The participants will examine their ideas of home and discuss how to support the creation of homes. The training will explore the tenant/landlord relationship and those between residents in multi-unit housing. The session will also address how harm reduction techniques can be used to foster and nurture homes and communities. Actual experiences will serve as examples in demonstrating the application of harm reduction practices in shared problem solving.

MOURNING, LOSS & ADDICTION: CLINICAL SKILLS BUILDING Tuesday, March 24, 2009 • 10:00am-5:00pm Doneley Meris, HRC Consultant Course Fee: $70 CASAC credits are available for this course. In this training we will distinguish between bereavement, grief, and mourning, and discuss what potential impact they have on addiction and recovery from a harm reduction perspective. Participants will be able to identify how disenfranchised grief affects addictive behaviors. This training will provide clear, simple and effective clinical interventions that will assist service providers on how to best address addiction during the grief process.

BECOME A TRAINED OPIOID OVERDOSE RESPONDER A Brief Overview of Opioid Overdose Prevention & Response Wednesday, March 25, 2009 • 5:00pm-6:15pm Bill Matthews, Physician Assistant, Harm Reduction Coalition Course Fee: FREE *Please Note: This course is for anyone in the community who wishes to be trained as an opioid overdose responder. Learn how to prevent heroin and other opioid related deaths among your clients and in the community. This training will present an overview on opioid overdose – the scope of the problem, risk factors, prevention, how to recognize an overdose, and the actions to take to save someone’s life, including the administration of Naloxone (Narcan). Participants will receive a certificate as a Trained Overdose Responder.

Trainer: Lauren Enteen, Drug Overdose Prevention and Education Project Director Registration and Coffee 12:30 pm to 1 pm Course time: 1 pm - 5 pm Training Site: HRC 1440 Broadway, Ste 510 Oakland, CA 94612 Cost: $40. Opiate overdose is a leading cause of death among drug users, especially individuals who have a decreased tolerance due to incarceration or detox. Yet overdoses can be prevented through quick recognition and response (rescue breathing and naloxone administration). This half-day workshop will cover the basic risks involved in opiate overdoses, prevention messages for users, and steps to take in an overdose incident to save a life. Participants will learn how to recognize the signs of an overdose, perform rescue breathing and administer naloxone. In addition, we will practice talking with program participants about overdose risk, role play providing overdose education to program participants, and design simple overdose response protocols to be used in your agency. This training is for managers, peer health workers, program volunteers, or anyone interested in gaining a solid foundation of overdose prevention and naloxone administration.

Trainer: Veronica Neal Registration and Coffee 9:00am – 9:30am Course time: 9:30 am - 5 pm This workshop will deepen your awareness and skills for leading effective teams. We will explore personal development, building trust, culturally responsive leadership and supportive supervision. This workshop provides an in-depth review and hands-on practice of tools and techniques that are a must for managers, supervisors, and organizational leaders working in Harm Reduction based institutions.

Trainers: Technical Assistance Project Staff Registration and Coffee: 9:00am – 9:30am Course time: 9:30 am - 5 pm Cost: FREE This training will cover how to build a syringe exchange program either into existing services or from the ground up, focusing on the training participants’ in expanding their HIV prevention services to include syringe exchange at the local level. Issues such as authorization, the necessary supplies and how to get them, and what model of exchange delivery to implement will be covered. As volunteers are an essential part of most SEPs, the trainers will discuss recruiting and retention. The trainers will address how a program can outreach to the community at large, cultivate relationships with other service providers, and incorporate the input of drug users in the design of the program. Trainers will also discuss funding, basic grant writing, and give the participants resources to use in their efforts to start syringe exchange.