ADP

 

 

In This Issue

 

 

 




A MESSAGE FROM DIRECTOR ZITO

In less than two weeks, several hundred AOD professionals will convene in Sacramento for ADP’s Training Conference 2010. With health care reform on the horizon, we are seizing this opportunity to share ideas and prepare for the anticipated changes. In addition to an extensive list of workshops and keynote presentations, you will have ample time to network with colleagues and brainstorm with experts in prevention, treatment, research and recovery.

Conference topics cover current trends and cutting-edge, effective programs dealing with AOD issues. Are you working in a community where there is widespread support for using and growing marijuana? Consider the breakout session on “Community Norms and Marijuana Abuse Prevention.” Looking for ways to make your treatment and recovery programs more successful in the Latino community? “Cultural and Gender Responsive Services for Latinas” will be useful. Looking for better outcomes in your youth prevention programs? Attend “Addressing Youth Resistance to Prevention Messages” to find youth-friendly alternatives to current drug education. This is just a sampling of the more than 50 workshops.

On top of the professional development and networking opportunities, you may also earn continuing education units. Save money by pre-registering!

I hope to see you on October 12.



GENERAL INFORMATION

Registration
Pre-registration closes on Monday, October 4, at 5 p.m. To register online, click here. After that date, on-site registration will be available at the Training Conference for a fee of $150 per person. The registration fee of $150 covers admission to all general sessions and workshops, all materials, continental breakfast and lunch each day, and refreshment breaks.

Location
The conference will take place at the Radisson Hotel, 500 Leisure Lane, Sacramento, CA 95815. Although the discounted conference room rate has expired, you can reserve a room at regular rates by calling (916)922-2020 or (800)333-3333. 

Parking
Parking at the Radisson Hotel is complimentary. Valet parking is available for $7 a day.

Transportation
SuperShuttle is the exclusive provider of on-call van service at the Sacramento International Airport. The costs from the airport to the Radisson Hotel Sacramento are approximately $17 pp for a shared van and $55 for up to seven people in a private van.

Reservations are not required for the trip from the airport to the hotel unless you need a handicapped accessible van. Reservations are required for transportation from the hotel to the airport. To verify rates and/or make SuperShuttle reservations, call (800)258-3826 or go to www.supershuttle.com.

Continuing Education Units
The California Association of Addiction Recovery Resources (CAARR ) is the designated continuing education provider for the Training Conference. In order to receive continuing education hours, participants must register on-site at the “Continuing Education Registration” (CEU) table and follow the instructions provided by the Continuing Education staff. Attendees that wish to obtain CEUs must participate in all aspects of the Training Conference. CEUs will not be provided for partial participation.

CAARR /ADP provider number: 5113.
CAARR /CAS # 5001
CAADAC /CFAAP #5-02-485-0512
CAADE # CP10889A0513
BRIENIN G/RAS # CEP0604111325-CAR -CW-HE
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES Approval # PCE2822
NAADAC /NCAC # 733



WORKSHOP DESCRIPTIONS

Session One

Tuesday, October 12, 2010
11:00 am – 12:30 pm

1A. CASBIRT: Seizing the Teachable Moment

Louise Lecklitner, Program Manager, County of San Diego, Behavioral Health Services, Alcohol and Drug Services
Francine Anzalone-Byrd, Program Manager/Program Developer, San Diego State University, Center for Alcohol and Drug Studies and Services

Screening, Brief Intervention and Referral to Treatment (SBIRT) services were originally implemented in San Diego fifteen years ago. Adults entering primary care are screened for risk levels associated with alcohol or other drug use, including tobacco. Since 2004, more than 278,000 individuals have been screened, with 74% at no or low risk; 18% at risk; and, 8% at high or severe risk. This workshop will discuss SBIRT lessons, technology integration, and the importance of strong partnerships.

1B. Good Medicine, Bad Behavior: Curbing Pharmaceutical Abuse Countywide

IIrene Umipig, Health Educator, Community Service Programs, Inc., Project PATH
Della Lisi, Health Educator, County of Orange Health Care Agency, Alcohol and Drug Education and Prevention Team

Orange County launched a community-based, multi-prong initiative aimed at addressing prescription drug abuse. A multidisciplinary task force was established to review the problem and propose prevention recommendations to address them. Additionally, the task force launched various outreach efforts to increase knowledge/awareness of the problem, including trainings, community briefings, a local media campaign, and establishment of the Partnership for a Drug-Free Orange County. A report outlining this initiative was developed and will be disseminated.

1C. Stakeholder Discussion on Implementation Options for Updated Treatment Standards

Dave Neilsen, Deputy Director, Program Services Division, California Department of Alcohol and Drug Programs

The panel will lead a discussion on the revised treatment standards and their implementation in the field. Discussion topics will include: use of standards to ensure program relevance and desirability; assurance of quality care to health care payers; application of updated standards within existing licensing and certification processes; quality improvement and relevant performance measures; and medication-assisted treatment.

1D. Working Effectively with Veterans

Peter Banys, Chief, Substance Abuse Programs, Veterans Affairs Medical Center
John Straznikas, Team Leader, Veterans Affairs Medical Center

This workshop will examine the issues and needs of veterans seeking help from community-based programs. Familiarity with the military culture increases the clinician's ability to establish a stronger therapeutic alliance. We will discuss key elements of this culture, how it influences participation in treatment, and how to harness it to promote greater treatment engagement. Veterans are often reluctant to seek help and benefit from a low threshold admission process. They are wary of sharing some of the painful aspects of their traumatic experiences, and there are distinctive manifestations of Post Traumatic Stress Disorder (PTSD) in those with combat experiences and substance use disorders. We will review specific issues that arise for veterans with PTSD . Participation in group activities may be affected by the presence and absence of other veterans. Presenters will offer specific strategies for addressing these and other issues.

1E. Community Norms and Marijuana Abuse Prevention

Karin Wandrei, Executive Director, Mendocino County Youth Project

Community norms support the widespread use of marijuana in Mendocino County. This has implications for prevention workers. A local law coupled with state legislation has led to widespread commercial growing. An effort at universal prevention involving changing a local law will be described. The implications for selected and indicated prevention efforts and modifications of evidence-based programs will be discussed when they are used in communities with widespread support for the use and growing of marijuana.

1F. Applying Chronic Illness Care to Addiction Treatment Systems

Mark Stanford, Division Director, Addiction Medicine and Therapy, Department of Alcohol and Drug Services, Santa Clara County
Kakoli Banarjee, Research and Data Analysis, Department of Alcohol and Drug Services, Santa Clara County

In addictions treatment, as for other chronic conditions, the effects of treatment are significant but not long lasting after discharge unless some type of continuous care is provided. The Santa Clara County Department of Alcohol and Drug Services conducted a study to determine the feasibility of providing continuous recovery monitoring that would provide post-discharge check-ups for clients who have completed treatment. This presentation describes how a public program implemented its continuous recovery monitoring study and the experiences and successes realized. The presentation will also be instructive on how programs can re-engineer traditional systems of care to better integrate chronic care principles into addictions treatment and care management practices.

1G. Quality Improvement in Alcohol and Other Drug Programs for Integrating Alcohol and Other Drugs, Mental Health and Health Services

Kenneth Minkoff, Senior Systems Consultant, ZiaPartners, Inc.
Christie A. Cline, President, ZiaPartners, Inc.

This workshop illustrates how any alchohol and other drug system, agency, or program can build an ongoing quality improvement process in which staff are “empowered partners in change”, and how that process can be used to improve integrated service delivery for individuals with co-occurring mental health, trauma, health and other complex conditions. The workshop will illustrate handson techniques for assessing co-occurring capability, and designing integrated assessment, treatment planning, group programming, program rules, and staff compete ncies within existing resources.

1H. Moving Towards a Sustainable Prevention Workforce

Kerrilyn Scott-Nakai, Project Director, Center for Applied Research Solutions
Joel Phillips, Executive Director, Center for Applied Research Solutions

This workshop will provide an overview of recent trends in the development and adoption of prevention core competencies and certification standards. A review of the five knowledge domains put forth by the International Certification and Reciprocity Consortium/Alcohol and Other Drug Abuse, Inc., will be included. A discussion regarding alternative approaches to developing core competencies as they relate to the diverse strategies and workforce in California will be discussed. The relationship between core competencies and long-term sustainability of the prevention field will be actively explored with participants. The format of the session will allow for both presentation and active discussion from the audience.



Session Two

Tuesday, October 12, 2010
2:30 pm - 4:00 pm

2A. New Drugs for Old Addictions

Peter Banys, Chief, Substance Abuse Programs, Veterans Affairs Medical Center

This workshop will describe the use of medications in different stages of recovery, including promising medications in the research pipeline. We will discuss key elements that help distinguish between substanceinduced symptoms and indications of another mental disorder to improve identification of co-occurring disorders. Dr. Banys will also describe elements of collaboration between counselors and physicians, and offer strategies to prepare patients on medications for challenges from their peers.

2B. Alcoholic Energy Drinks and Youth Alcohol Problems

James F. Mosher, Director, Alcohol Policy Consultations
Jacqui Irwin, Council Member, Former Mayor, City of Thousand Oaks
Alan Lieberman, Deputy Attorney General, State of California, Office of the Attorney General

This workshop will review research regarding public health and safety risks associated with Alcoholic Energy Drinks (AEDs). It will highlight marketing campaigns that target youth and promote binge drinking, and discuss innovative prevention strategies, including a warning sign ordinance enacted in Thousand Oaks, California; an educational website designed by ADP; and, actions taken by the State Attorney General and the Federal Drug Administration to remove AEDs from the marketplace.

2C. Improving Engagement and Retention in Treatment: A Success Story

Thomas E. Freese, Director of Training, University of California, Los Angeles, Integrated Substance Abuse Programs
Beth Rutkowski, Associate Director of Training, University of California, Los Angeles, Integrated Substance Abuse Programs

This interactive workshop will highlight key findings from the Adopting Changes in Addiction Treatment, a California Endowment-funded effort to create an infrastructure, through the regional NIATx/ACTION Campaign learning collaboratives, to support participating agencies’ efforts to improve the quality of substance abuse treatment and recovery services they provide to their clients. The presentation will include an overview of the NIAT x model of process improvement, key findings from the year-long learning collaborative project, lessons learned, the financial impact of change, and next steps.

2D. Cultural and Gender Responsive Services for Latinas

Isabel S. Perez-Yanez, Adjunct Professor, College of San Mateo

The focus of this workshop will be on the importance of cultural and gender responsive services for Latinas as an essential part of treatment and recovery services that create favorable outcomes. Cultural and gender sensitivity are vital to working with Latinas. We will focus on diversity among Latinas for both adolescents and adult women; the impact of intentional and unintentional harmful stereotypes; and, levels of trauma and ways programs can become more culturally and gender responsive in order to deliver highquality alcohol and other drug services to Latinas.

2E. Indicated Prevention: Bridging the Gap

William W. Harris, Prevention Services Coordinator, Riverside County Department of Mental Health, Substance Abuse Program
Jan Ryan, Prevention Consultant, Riverside County Department of Mental Health, Substance Abuse Program

Riverside County has been successful in bridging the gap between prevention and treatment. The “Individual Prevention Service” program has been implemented at seven substance abuse clinics countywide over the past two years and has provided improved services to those individuals at the clinics.

2F. Clinical Supervision: Administration vs. Clinical

Mary Hubbard, Director, Education and Training, Mental Health Systems, Inc.

Clinical Supervision is a major practice area in alcohol and other drug settings and is essential to providing client care and improving outcomes. Many times, supervisors are unaware of the differences between clinical supervision and administrative supervision. This workshop will provide a brief overview of clinical supervision definitions, principals and models of supervision and the need for this structured supervision to improve counselor skills. In addition, it will explain why clinical supervision is one aspect of a comprehensive approach to workforce development.

2G. Gender Responsive Services for Women and Girls

Kim Bond, President, Mental Health Systems, Inc.
Colleen Marshall, Senior Vice President of Development, Mental Health Systems, Inc.

This workshop introduces the Six Guiding Principles of Gender Responsive Service delivery for women and girls identified by Stephanie Covington, Barbara Owen and Barbara Bloom (2003). Mental Health Systems, Inc. (MHS) has also developed an implementation and evaluation process to help programs, agencies and individuals assess their services to ensure that they are delivering gender responsive services. The MHS implementation process will be described, as well as the steps needed for inclusion in program design and service delivery.

2H. "Betting on Our Future" Youth Problem Gambling Awareness Campaign

Jim Kooler, Administrator, California Friday Night Live Partnership
Michael Campos, Psychologist, University of California, Los Angeles, Gambling Studies Program
Michael Liao, Director of Programs, NICOS Chinese Health Coalition

This interactive panel workshop will focus on the process of creating a youth problem gambling awareness campaign. Panelists will showcase the "Betting on Our Future" media projects and the youth development framework utilized in the creation of the projects. Highlights will include clinical and cultural aspects of problem and pathological gambling, as well as the correlation between gambling and alcohol, tobacco or other drug use among youth, and links between problem gambling and domestic violence within families.



Session Three

Wednesday, October 13, 2010
10:30 am – 12:00 pm

3A. Recovery Support Services within California

Sarah J. Cousins, Research Associate, UCLA Integrated Substance Abuse Programs
Bryan Blew, Program Manager, Heritage House Inc.
Steve Kaplan, Director, County of San Mateo, Behavioral Health and Recovery Services
Gary Atkins, Deputy Director, Program Operations, San Bernardino County Department of Behavioral Health
Bob Garner, Director, Santa Clara County Department of Alcohol and Drug Services

This panel will be comprised of county administrators/designees participating in the Evaluation
Services to Enhance the Data Management System in California (EnCAL ) project. Panelists will
discuss recovery support services within their counties, which include a continuous care model,
recovery coaching in a case-rate system, and recovery centers.

3B. Reducing Problems with Existing Outlets: Deemed Approved Ordinances

James Mosher, Director, Alcohol Policy Consultations
Daniel Hicks, Prevention Manager, Ventura County Behavioral Health Department

This session will identify and describe the key elements of Deemed Approved Ordinances (DAOs), highlighting the importance of developing a fee structure which promotes compliance with safe business practices and funds the implementation and enforcement of LOCAL community standards for existing alcohol sales locations. Examples of how such ordinances can reduce community alcohol problems will be shared, with emphasis on lessons learned and recommended practices for jurisdictions considering local powers to deal with retail locations.

3C. Trauma-Informed Substance Abuse Treatment for Men and Women

Jennifer B. Hughes, Graduate Student Researcher, University of California, Santa Barbara
Amy Lopez, Alcohol and Drug Program Team Supervisor, County of Santa Barbara Alcohol, Drug and Mental Health Services
Merith Cosden, PhD, Professor and Chair, Department of Counseling, Clinical and School Psychology, University of California, Santa Barbara

This workshop explores the use of trauma-informed substance abuse treatment for men and women. The relationship between substance abuse and trauma exposure will be discussed, as will gender differences in the experience of trauma and trauma-related symptoms. The impact of an evidence-based practice for traumainformed substance abuse treatment Seeking Safety in an enhanced Drug Court program will be shared, as will implications for other treatment programs.

3D. Video Diaries: Telling Your Story through Media

Danelle Campbell, Program Manager, Butte County Behavioral Health Prevention Unit
Amanda Montgomery, Supervising Behavioral Health Education Specialist, Butte County Behavioral Health Prevention Unit
Jeremy Wilson, Supervising Behavioral Health Education Specialist, Butte County Behavioral Health Prevention Unit

Telling the story of effective prevention programs and practices is critical. Finding innovative ways to tell these stories through the eyes, ears and hearts of the participants served is even more critical. Video Diaries provides this opportunity. They fill in the detail of the stories that are rarely captured in graphs, charts or evaluation reports. Butte County Prevention Unit staff will share examples and provide you with tools to replicate this concept in your community.

3E. Securing Donations for Your Collaborative Justice Court Programs

Dianne Marshall, President, California Collaborative Justice Courts Foundation
Kathleen Burnham, Executive Director, Orange County Community Courts Foundation

This presentation offers three models for identifying and securing of local and private sector resources that the Courts are financially or functionally unable to provide to collaborative justice court program participants. Whether or not to establish a local 501-c-3 for this purpose, fund raising techniques and how to decide which participant requests are eligible for financially will be addressed.

3F. Empowering and Engaging Immigrant Parents in Substance Abuse Prevention

C. Rocco Cheng, Corporate Director, Pacific Clinics
Lydia Ko, Parenting Team Coordinator, Asian Pacific Family Center

This workshop will review a highly successful parenting program in substance abuse prevention. The program has enjoyed great success with the Asian immigrant population. Program participants had very high attendance rates and low attrition rates. Eventually, they played a key role in sustaining the program while funding came to an end. Various outreach, engagement, and retention strategies will be reviewed to illustrate culturally sensitive strategies to ensure program success.

3G. Effective Treatment for Women

Joan E. Zweben, Executive Director, East Bay Community Recovery Project
Luther T. Jessie, Jr., Director, Project Pride, East Bay Community Recovery Project

This workshop will describe clinical issues that are important in women’s treatment, discuss system barriers to having these addressed, and will offer recommendations for future activities to promote improvement in women’s care. This will include an update on women’s treatment within the criminal justice system. The workshop will include both research findings and consensus guidelines, and will provide opportunities for participants to share experiences and resources.

3H. Building and Integrating Problem Gambling Services

Terri Sue Canale, Deputy Director, Office of Problem Gambling
Sheryl Griego, Analyst, Office of Problem Gambling

This workshop will focus on integrating problem gambling prevention, education, treatment, and recovery services into the alcohol and other drug world. Innovative new treatment services will be highlighted along with culturally responsive approaches relating to assisting problem gamblers and their families, and educating communities.



Session Four

Wednesday, October 13, 2010
1:15 pm – 2:45 pm

4A. Creating Rapid Prevention Results for Families in Communities

Dennis D. Embry, CEO and President, PAXIS Institute

This workshop will allow participants a more personalized “conversation” with one of our highly distinguished keynote presenters. Please arrive early; we anticipate this workshop will reach maximum capacity quickly. Pre-registration does not guarantee a seat in this workshop.

4B. California Higher Education Collaborations: Addressing Student Alcohol-Related Problems

Belinda Vea, Policy and Program Analyst, University of California, Berkeley, Office of the President, Student Affairs
Ellen Reibling, Director, Health Education Center, University of California, Irvine
Shauna Quinn, Director, Alcohol Programs, California State University, Chico, Department of Health and Community Services
Heather Dunn Carlton, Director, Judicial Affairs, University of the Pacific

Collegiate alcohol-related deaths, and underage and excessive drinking are not isolated to any specific institution. Private and public colleges and universities are faced with the problem of how to address this issue. As such, the University of California and California State University systems and private institutions have partnered to develop and to share best practices for addressing alcohol-related problems, and to develop a common vision specific to student diversity in California’s postsecondary institutions.

4C. Why Does Making Alcoholics Anonymous Easier Work

Meenakshi Subbaraman, Research Associate/Pre- Doctoral Fellow, Alcohol Research Group, University of California, Berkeley

"Making Alcoholics Anonymous Easier" (MAAE Z) is a 12-step facilitation program designed for treatment centers. The MAAE Z trial found higher rates of abstinence among individuals treated in MAAE Z compared to usual care. Doing service, having a sponsor, and having support for sobriety may all explain these higher abstinence rates. Results suggest that despite prior exposure to Alcoholics Anonymous (AA ), individuals may have been ill-equipped to plug into key AA resources and activities, and suggest that these activities should be facilitated.

4D. Meeting Alcohol, Drugs and Disability Head On

Robert E. “Bob” Olson, Project Director, Disability Access Project, California Association of Addiction Recovery Resources
Gary Petillo, Consultant, Disability Access Project, California Association of Addiction Recovery Resources
Brenda Way, Prevention and Recovery Specialist, California Association of Alcohol and Drug Educators, National Council on Alcoholism and Drug Dependency, San Fernando Valley
Shannon Englehart, California Association of Addiction Recovery Resources
Hwa Chang, California Association of Addiction Recovery Resources

This workshop will provide a brief introduction to disability awareness and sensitivity for the addiction professional, highlighting some do’s and don’ts when working with people with physical, sensory, and cognitive disabilities by talking and interacting with people with disabilities including an individual who is a quadriplegic, an individual who is deaf, an individual who is blind, and a survivor of a traumatic brain injury. The panel members also have a variety of experience with alcohol and drug abuse treatment and recovery both personally and professionally.

4E. Family Centered Therapeutic Community Treatment: The EXODUS Program

Kathryn Icenhower, Executive Director, SHIELDS for Families, Inc.
Da-Londa Groenow, Substance Abuse Administrator, SHIELDS for Families, Inc.
Sara Tienda, Assistant Director, SHIELDS for Families, Inc.

This workshop presents non-traditional models of treatment and housing for substance abusing women and their families including their characteristics and service needs, successes and challenges to provide housing and treatment, and financially viable strategies for successful transitions to community living. The SHIELDS for Families EXOD US Program in Los Angeles, California, is an 86-unit apartment complex where families live in individual apartments with an on-site treatment program, youth program, and child development and vocational services centers.

4F. Utilization of Co-Occuring Disorders Peer Counselors in the Workforce

Joycelyn T. Whiten, Director, Co-Occurring Disorders, Training Programs/Research, Alcohol and Drug Program Administration
Verda Bradley, Consultant, Co-Occurring Disorders, Department of Mental Health

Although significant progress has been made in the crusade to eradicate the stigma of Co-Occuring Disorders (COD), there still remains extensive prejudice against those with the condition. This training project positively impacts both the Alcohol and Other Drug (AOD) and Mental Health (MH) systems by facilitating the training and employment of COD diagnosed individuals who have achieved sustained stability as peer counselors serving both MH and AOD treatment programs. This workshop will provide our academic curriculum and currently utilized evidenced-based practices.

4G. Sober Living Houses for Offenders: Outcomes and Barriers

Douglas Polcin, Senior Scientist, Alcohol Research Group
Rachael Korcha, Associate Scientist, Alcohol Research Group
Fried Wittman, Research Specialist, Institute for Study of Social Change, University of California, Berkeley
Don Troutman, Owner and Operator, Clean and Sober Transitional Living

Appropriate housing for criminal justice offenders in California is severely lacking. This workshop will describe two different models of sober living houses (SLHs), potential roles they could play in addressing housing problems among offenders, and 18-month outcomes for 300 SLH residents. Outcomes for criminal justice referrals will be compared with outcomes of voluntary residents. Barriers to SLHs will be discussed, including "Not In My Back Yard" (NIMBY), zoning laws, flawed architectural design of properties, and criminal justice policies.

4H. Safe and Drug-Free Schools and Communities Cross-site Evaluation: Collaborating for Success

Christina Borbely, Honorary Vice President, Research and Evaluation, Center for Applied Research Solutions
Kerrilyn Scott-Nakai, Project Director, Center for Applied Research Solutions

Cross-site evaluation studies reveal program impacts across populations and contexts. This workshop provides lessons learned from the Governor’s Program of California’s Safe and Drug-Free Schools and Communities (SDFCS) Statewide Evaluation Project. The community-based services target reduction in youth alcohol, tobacco, or other drug use and violence. Planning and implementing a multi-site outcome evaluation of the initiative involved: securing site-level buy-in; streamlining local and state-level data collection efforts; and, creating consistency/maintaining flexibility. The process and findings are presented.



Session Five

Wednesday, October 13, 2010
3:15 pm - 4:45 pm

5A. Collaborating Integrated Communities and Veterans

Timothy Karo, Senior Case Manager/Social Worker, Swords to Plowshares

War causes wounds and suffering that last beyond the battlefield. Swords to Plowshares’ mission is to heal the wounds; to restore dignity, hope, and self-sufficiency to all veterans in need; and, to significantly reduce homelessness and poverty among veterans. This workshop will consist of what to ask, how to build a rapport, how to determine clients needs, how to instill hope, as well as link and collaborate with community partners to meet the needs of those who have served our country with honor and distinction.

5B. When the Mayor Is Your Neighbor: Prevention in Rural Communities

Anne Webber, Family Resource Center Director, El Tejon Unified School District
Dixie King, Lead Evaluator/Owner, Transforming Local Communities
Fried Wittman, Lead Evaluator, International Society of Sustainability Professionals, University of California, Berkeley

In small communities, the Mayor may also be the mail carrier or the Subway shop owner. So how do you pursue policy work in very small towns? Family Resource Centers are often a stable fixture in small towns, so Kern County decided to partner with this existing resource to assess, plan and develop environmental strategies in three small communities. Presenters will describe this initiative and offer recommendations on how to use environmental strategies in very small rural communities.

5C. Patients’ Perspectives on Medication-Assisted Opiate Addiction Treatment

Richard Rawson, Associate Director, University of California, Los Angeles, Integrated Substance Abuse Programs

Opioid medications are an effective therapy for addiction, yet misperceptions about their safety and benefits continue to exist within the alcohol and other drug treatment field. This workshop offers a brief introduction to methadone and buprenorphine, followed by questionand- answer sessions with patients who have undergone a methadone maintenance or buprenorphine treatment program. A summary on the need for wider understanding and acceptance of opioid medication as a part of a comprehensive treatment program will conclude the workshop.

5D. Lesbian, Gay, Bisexual and Transgender (LGBT) Community Substance Abuse and HIV Community Readiness Assessment

Lori Jones, LGBT Community Substance Abuse and HIV Community Readiness Assessment, County of San Diego
Kim Herbstritt, Executive Director, Institute for Public Strategies
Dan Uhler, Lead HIV Prevention Health Planner, County of San Diego

A community readiness assessment to address substance use as a risk factor for HIV in the LGBT community was conducted in San Diego County from May to June 2009. The assessment included key informant interviews with LGBT community leaders and a survey of LGBT community members. Methodology, findings, recommendations and lessons learned will be presented for the first assessment of its kind conducted with the San Diego County LGBT community.

5E. Collaborations and Family Focus Strengthen Breakthrough Student Assistance Program (SAP) Impacts

Lisa Garbrecht, Research Associate, EVALCORP Research and Consulting
Dean Lesicko, Coordinator of Student Support, Murrieta Valley Unified School District
Shanelle Boyle, Research Assistant, EVALCORP Research and Consulting

In this climate of diminishing resources, partnerships among schools, community organizations, and government programs are increasingly beneficial. Strengthened by its collaborations, the Breakthrough SAP uses an innovative, family-focused approach featuring Family Conferences and prevention education in order to increase academic outcomes and decrease violent behaviors and alcohol and other drug use among at-risk high school youth. Promising evaluation findings on the impacts of Breakthrough will be discussed, along with lessons learned.

5F. A Free Tool for Assessing Co-Occurring Disorders Treatment Capability

Robin Best, Consultant
Darien Elyse De Lu, Analyst, California Department of Alcohol and Drug Programs

This workshop is an overview of the Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index with basic and specific information on implementation of alcohol and other drug (AOD) program/county administrators/policy makers and counselors. The DDCAT assesses AOD programs’ capacity to treat co-occurring disorders (COD). The workshop briefly addresses Dual Diagnosis Capability in Mental Health Treatment (DDCMHT) and Dual Diagnosis Capability in Health Care Settings (DDCHCS) and the results of the California DDCAT Pilot. Improperly treated COD are a serious social concern. DDCAT surveys provide objective strength and weakness evaluations plus specific improvement options.

5G. Pragmatics of Substance Use Disorders Treatment in Offenders

Igor Koutsenok, University of California, San Diego, Department of Psychiatry

The presence of adult substance use disorders within the criminal justice system has become increasingly evident over the past decade. Interventions and treatment services have been designed and research conducted in an effort to establish evidence-based practices that effectively address the complex needs of this population. However, adopting and implementing these evidence-based interventions and practices within the real world setting of criminal justice environments is challenging. This presentation reviews the science and the pragmatics of addiction treatment for offenders with substance use disorders and explores the inherent challenges of fitting these interventions and services within criminal justice settings.

5H. County Alcohol and Other Drug and Education: Preserving the Prevention Landscape

Jan Ryan, Prevention Consultant, Riverside County Substance Abuse Prevention Services and Redleaf Resources
Tom Herman, Administrator, Safe and Healthy Kids Program, California Department of Education

This workshop provides a forum to examine how the relationship between public education and county Alcohol and Drug Programs has helped to form and can continue to shape the landscape of alcohol and other drug (AOD) prevention. The goals are to unearth the wisdom from the past, draw on the foundation of the present infrastructures, and explore the potential for future collaborations despite diminishing resources. Prevention never works alone which means challenges, change, and collaboration is business as usual even in unusual times.



Session Six

Thursday, October 14, 2010
9:00 am – 10:30 am

6A. Engaging the Client from the Bench: Treatment Court as Theatre

Honorable Rogelio R. Flores, Superior Court Judge, North Santa Barbara County Municipal Court

This workshop will allow participants a more personalized "conversation" with one of our highly distinguished keynote presenters. Please arrive early; we anticipate this workshop will reach maximum capacity quickly. Pre-registration does not guarantee a seat in this workshop.

6B. Saturation Devastation: Reducing Alcohol Saturation in Communities

Danelle Campbell, Program Manager, Butte County Behavioral Health Prevention Unit Amanda Montgomery, Supervising Behavioral Health Education Specialist, Butte County Behavioral Health Prevention Unit
Jeremy Wilson, Supervising Behavioral Health Education Specialist, Butte County Behavioral Health Prevention Unit

Young people are saturated with alcohol images, messages and establishments that promote
drinking. In this workshop, participants will learn about innovative community scanning
approaches involving GIS mapping that help to inform key community leaders on youth
exposure to alcohol and pro-use messages. Participants will learn how to partner with
community coalitions and other stakeholders to identify policy to ensure high alcohol licensee
compliance rates and decrease youth exposure to alcohol messages.

6C. Buprenorphine Treatment for Young Adults

Thomas E. Freese, Director, Pacific Southwest Addiction Technology Transfer Center

This workshop will examine the prevalence of and treatment admission rates for nonmedical use of opioids among young adults; provide an overview of opioid use among adolescents and young adults; explore the results of new research on using buprenorphine to treat opioid addiction in young adults; and, describe the implications of these findings for the treatment of opioid addiction in young adults.

6D. An Emerging Opportunity: Addressing Alcohol and Other Drugs and Mental Illness in Older Adults

José Salazar, Director of Program Development, Tarzana Treatment Centers, Inc.
Verda Bradley, Consultant, County of Los Angeles, Department of Mental Health
Deborah Levan, Divisional Director, Older Adult Services, Behavioral Health Services, Inc.

A growing number of older adults are suffering adverse events related to the misuse/abuse of alcohol, prescription medications and illicit drugs, and many present with cooccurring mental health disorders. This workshop will explore relevant health and social issues of older adults with prescription medication and alcohol/drug and mental health problems. Presenters will discuss challenges and successful strategies for outreaching, enrolling and providing responsive substance abuse and mental health services for older adults, including evidence-based practices.

6E. Addressing Youth Resistance to Prevention Messages

Rodney Skager, Professor Emeritus, University of California, Los Angeles

Substantially high levels of alcohol and other drug use is reported by California secondary school students; data shows use reported by 60% of 9th and 72% of 11th graders. This extent of use reflects that most information-based approaches to prevention have apparently been ineffective for the majority of youth due to several interactive factors. Youth-friendly alternatives to both current drug education and institutional responses to violators are proposed.

6F. Promising Models and Practices for Women Offenders

Stacy Calhoun, Project Director, University of California, Los Angeles, Integrated Substance Abuse Programs
Kira Jeter, Project Director, University of California, Los Angeles, Integrated Substance Abuse Programs
Luz Rodriguez, Project Director, University of California, Los Angeles, Integrated Substance Abuse Programs

There has been an influx of women with substance abuse problems into prisons in the past 20 years due to changes in sentencing laws and criminal justice policies that have increased incarceration rates for drug users. This panel highlights findings from three different evaluations of programs designed specifically to meet the treatment needs of female offenders in community and correctional settings.

6G. Costs and Benefits of a Behavioral Health Court

Arley Lindberg, Analyst, California Administrative Office of the Courts, Collaborative Justice Project
Maria McKee, Policy and Program Analyst, San Francisco Collaborative Courts, Superior Court of California

This workshop discusses the findings of a recent cost evaluation of a Behavioral Health Court (BHC). The evaluation compares the annual operating cost of BHC to the savings associated with reduced interactions with the criminal justice system and changes in service utilization. The evaluation also analyzes factors that predict program success. Evaluation findings are discussed as well as policy and practice implications for mental health court programs (e.g., target population, program length, and increased savings).

6H. Evaluating Social Host Ordinance Impact in Ventura County

Kristen Donovan, Principal Consultant, EVALCORP Research and Consulting
Dan Hicks, Manager, ADP Prevention Services, Ventura County Behavioral Health Department
Julie Slay, Data Manager, EVALCORP Research and Consulting
Shanelle Boyle, Research Assistant, EVALCORP Research and Consulting

Social Host Ordinances (SHO) have become a hot topic of interest as an environmental approach to reduce underage drinking parties. An increasing number of cities and counties within and outside of California are working to pass and implement SHOs; however, little is known about the success or impacts of these efforts. To help fill this gap, our presentation will share promising findings, lessons learned, and tools from a recent SHO impact evaluation conducted across Ventura County.



Session Seven

Thursday, October 14, 2010
10:45 am – 12:15 pm

7A. Elevating Prevention in Faith-Based Organizations

Lourdes Gutierrez, Project Coordinator, CSP Inc., Project Faith in Youth
Stephan Lambert, Health Educator, CSP Inc., Project Faith in Youth
Joanne Lambert, Confirmation Director, Santiago de Compostela Catholic Church

This workshop will tell the story of how an Orange Countybased FAITH (Faith and Institutions Together for Health) Coalition and Project Faith in Youth under the wings of Community Service Programs (CS P) have succeeded in infusing alcohol and other drug prevention in the youth development programs of faith communities. A case study will be presented to demonstrate how an innovative mini-grant program has increased protective factors among faith-based youth.

7B. Understanding Collegiate Alcohol and Drug Issues

Heather C. Dunn Carlton, Director, Judicial Affairs, University of the Pacific
Cyndra Krogen-Morton, Health Educator, California State University, Sacramento

Since the start of the Iraq war, three times as many college students have died because of alcohol-related accidental deaths than soldiers fighting in the war. Alcohol continues to be the number one health issue for young adults (National Institute on Alcohol Abuse and Alcoholism, 2009). This presentation will cover recent trends in substance abuse among college students, the impact this has on the greater community, and what campuses and communities can do together to reduce substance abuse related problems.

7C. Client Transfers as a Measure of Provider Connectedness

Allison J. Ober, Assistant Researcher, University of California, Los Angeles, Integrated Substance Abuse Programs
Richard Rawson, Associate Director, University of California, Los Angeles, Integrated Substance Abuse Programs
Patrick Zarate, Division Manager, Alcohol and Other Drug Programs, Ventura County Behavioral Health
Dennis Koch, Deputy Program Administrator, County of Fresno Behavioral Health

CalOMS data suggest that transfer percentages in California are low (e.g., 26% of clients leaving detoxification treatment transferred to another treatment). Low transfer percentages may indicate a lack of connectedness between providers. This workshop will present a method for measuring provider connectedness; present measures of connectedness for providers within California counties; and, facilitate discussion on using transfer percentages as a measure of system performance and strategies for improving connectedness.

7D. Substance Abuse Services with the Homeless: Hope and Innovation

Lydia DeLeon, Program Manager, Los Angeles Centers for Alcohol and Drug Abuse
Sandra Dalton, Outpatient Coordinator, Los Angeles Centers for Alcohol and Drug Abuse

This workshop will address substance abuse treatment with the homeless on Skid Row in Los Angeles where we have successfully provided services for over 20 years. Using client stories and video, the presenters will provide a description of the area, the clients, and the treatment for those who seek help for substance abuse, including those with co-occurring disorders. They will discuss challenges and what they do to make a difference in their clients’ lives.

7E. Implementing an Evidence-Based Program with Latino Families

Martha Varela, Program Director, Southern California Alcohol and Drug Programs, Youth and Family Services
Sara Millan, Clinician, Southern California Alcohol and Drug Programs, Youth and Family Services
Carrie Petrucci, Project Evaluator, EMT Associates, Inc.

This workshop will describe Southern California Alcohol and Drug Program’s "¡Si Se Puede!" program, which seeks to ensure that high-risk Latino youth gain skills to lead healthy, substance-free lives, and positively contribute to their own well-being and the well-being of their families and their communities. Project staff will describe how they adapted the A-CRA /ACC models to Latino family culture, specifically, low-income Mexican-American families living in South Los Angeles.

7F. Alcohol Outlets in Los Angeles County

Qian Guo, Epidemiologist, County of Los Angeles, Department of Public Health, Alcohol and Drug Program Administration
Yolanda Cordero, Prevention Coordinator, County of Los Angeles, Department of Public Health, Alcohol and Drug Program

Greater alcohol outlet density is found to associate with increased alcohol consumption and related harms. This workshop will present findings from an investigation about the amount, density, and geographic locations of alcohol outlets in Los Angeles County, both in general and at different regional levels such Service Planning Areas, Supervisorial Districts, and Census Tracts. The information is useful for development of evidence-based programs aiming to prevent or reduce overconcentration of alcohol outlets in Los Angeles County.

7G. Recovery Management for Women Using a Case Rate

Bryn King, Consultant, Doctoral Student, Women’s Recovery Association, University of California, Berkeley
Christina Todaro, Program Director, Women’s Recovery Association, University of California, Berkeley

Against the backdrop of shifting perspectives regarding substance abuse policy and California’s statewide Continuum of Services System Reengineering (COSSR ) effort, an exploratory pilot study is being conducted to assess the potential of a capitated case rate combined with a recovery management approach in a communitybased treatment program for women. The struggle of the agency to transform from episodic treatment to a chronic care model and the impact on client engagement and retention will be discussed.

7H. Evidence-Based Sustainability in the Real World: What Works

Christina Borbely, Honorary Vice President of Research and Evaluation, Center for Applied Research Solutions
Angela Da Re, Director of Prevention Programs, National Council on Alcohol and Drug Dependence

Though sustainability of programs and services is a coveted achievement, its pursuit often inspires dread due to dire circumstances which prompt unfavorable attention. Fortunately, there are evidence-based methods for preserving needed programs and services. Given recent shifts in prevention, treatment and recovery resources, alcohol, tobacco, and other drug professionals are optimally positioned for utilization of proven sustainability approaches. This workshop will explore the theoretical underpinnings of sustainable concepts, identify research-based best practices, and translate these into practical applications.



KEYNOTE SPEAKERS

Tuesday, October 12, 2010 (Day 1)


Susan Kennedy

(9:15 am - 9:45 am)

Susan P. Kennedy was appointed Chief of Staff to Governor Arnold Schwarzenegger on January 1, 2006. Ms. Kennedy has played a key role in the development and implementation of Governor Schwarzenegger’s visionary bipartisan brand of politics. She worked with the legislature to pass a landmark $37 billion infrastructure package that aimed to renovate the state’s transportation, education and levee systems as well as increasing affordable housing. She fought hard to pass the groundbreaking California Global Warming Solutions Act (AB 32), which propelled California into the cutting edge of environmental policy by addressing the threat of global warming and greenhouse gas emissions. From 2003 until her appointment as Chief of Staff, she served on the California Public Utilities Commission. As CPUC Commissioner, Ms. Kennedy served as a leading voice for regulatory consistency, infrastructure investment and the promotion of economic development. She was a strong advocate for competition and regulatory restraint and a leader in the area of energy efficiency. She received the “2004 Champion of Energy Efficiency Award” from the American Council for an Energy-Efficient Economy. Prior to joining the CPUC, Ms. Kennedy served as Cabinet Secretary and Deputy Chief of Staff in the administration of Governor Gray Davis. As Cabinet Secretary, she served as the Governor’s principal liaison to his cabinet and over 100 state agencies, departments, boards and commissions. Prior to joining the Davis Administration, Kennedy served as Communications Director for U.S. Senator Dianne Feinstein. Kennedy has been Executive Director of the California Democratic Party and Executive Director of the California Abortion Rights Action League. Kennedy has also served on the California Bay-Delta Authority. A resident of Marin County, California, Ms. Kennedy graduated from Saint Mary’s College of California.


A. Thomas McLellan

(9:15 am - 9:45 am)

On August 10, 2009, A. Thomas McLellan, Ph.D. was sworn in as the Deputy Director of the White House Office of National Drug Control Policy. As Deputy Director, Dr. McLellan serves as the primary advisor to the director on a broad range of drug control issues and assists in the formulation and implementation of the President's National Drug Control Strategy. Dr. McLellan brings 35 years of addiction treatment research to the position, most recently at the Treatment Research Institute, a non-profit organization that he co-founded in 1992 to transform the way science is used to understand substance abuse. Dr. McLellan's contributions to the advancement of substance abuse research and the application of these findings to treatment systems and public policy have changed the landscape of addiction science and improved the lives of countless Americans and their families. In his career he has published over 400 articles and chapters on addiction research. From 2000-2009 he was Editor-In-Chief of the Journal of Substance Abuse Treatment, and he has also served on several other editorial boards of scientific journals. Dr. McLellan is the recipient of several distinguished awards including the Life Achievement Awards of the American and British Societies of Addiction Medicine (2001 & 2003); the Robert Wood Johnson Foundation Innovator Award (2005); and awards for Distinguished Contribution to Addiction Medicine from the Swedish (2002) and Italian (2002) Medical Associations. Dr. McLellan holds a B.A. from Colgate University and his M.S. and Ph.D. from Bryn Mawr College. He received postgraduate training in psychology at Oxford University in England.


David K. Mineta

(1:30 pm 2:00 pm)

David Mineta was confirmed unani­mously by the United States Senate on June 22, 2010 to be the deputy director of Demand Reduction for the Office of National Drug Control Policy (ONDCP). In this position, Mr. Mineta oversees ONDCP Office of Demand Reduction which focuses on pro­moting drug prevention and drug treatment programs, as well as the agency’s newly created focus on programs for individuals in recovery from addiction. Mr. Mineta’s focus of drug prevention and treatment services has been longstanding. Since 1996, Mr. Mineta has worked with Asian American Recovery Services (AARS) throughout the San Francisco Bay Area. He started as a manager of a youth prevention program, but rose quickly to associate director and, since 2007, deputy director. As deputy director, he oversaw all agency grant writing and institutional technology depart­ments, and assisted in strategic planning, community consor­tiums, and other necessary functions. Before joining AARS, Mr. Mineta was a counselor in the San Jose Unified School District and later in Santa Clara’s Alcohol and Drug Department. From November of 2000 through July 2010, Mr. Mineta served as a trustee with the Jefferson Union High School District in Daly City. In May 2009, he was appointed to the Center for Substance Abuse Prevention National Advisory Council. Mr. Mineta is a member of the American Public Health Association and Community Anti–Drug Coalitions of America. Mr. Mineta studied Political Science at the University of Cali­fornia, Berkeley and earned his Master’s degree in social work from California State University, San Jose in 1990.


Wednesday, October 13, 2010 (Day 2)

Constance M. Weisner

(8:40 am 9:20 am)

Connie Weisner, DrPH, MS W, is a professor at the Department of Psychiatry, University of California, San Francisco and the associate director for Health Services Research at the Kaiser Permanente Northern California Division of Research. Dr. Weisner has a Doctorate in public health from the University of California, Berkeley and a Master’s in social work from the University of Minnesota. She directs a research program addressing access, treatment outcome, and cost-effectiveness of alcohol and drug treatment in public and private settings, including managed care. Dr. Weisner was a recent member of the National Advisory Council of the National Institute on Drug Abuse and National Advisory Council of the Center for Substance Abuse Treatment. She currently is a member of the International Expert Advisory Group on Alcohol and Drug Dependence of the World Health Organization, and MacArthur Network on Mental Health and the Law. Dr. Weisner has participated on several Institute of Medicine committees, including the recent “Adapting ‘Crossing the Quality Chasm’ to Mental Health and Addictive Disorders.” Dr. Weisner’s published work includes health services studies of outcomes and cost-effectiveness of treatment services and the interaction among alcohol, drug, mental health and medical problems. She is the principal investigator of NIAAA, NIDA , and RWJF research grants that study the cost and effectiveness of alcohol and drug treatment interventions. Her ongoing work focuses on the changing systems for receiving health, substance use and mental health services for adolescents and adults, with a particular focus on primary care.


Dennis D. Embry

(9:20 am 10:00 am)

Dennis D. Embry, Ph.D., is the CEO / President of PAXIS Institute in Tucson, Arizona; Co-Investigator at the National Center on Early Adolescence in Oregon, and Co-Investigator at the Center on Prevention and Early Intervention at Johns Hopkins University. Dr. Embry is the author of more than 40 books and training materials for science-based prevention of children’s injuries, parenting and family difficulties, violence, substance abuse and mental health and on positive youth and child development. He is the scientist and creator behind PeaceBuilders®, the PAX Good Behavior Game™ and other “best practices.” Dr. Embry holds a number of honors, including being a National Research Advisory Council Senior Fellow for the New Zealand Government and the British Commonwealth as well as being a reviewer for the National Institutes of Health. He is a developmental and child psychologist, with his degree awarded from the University of Kansas. He is also a licensed psychologist. In 2006, Dr. Embry was recognized by the Society for Prevention Research as being a national leader for bringing science into practice.


Thursday, October 14, 2010 (Day 3)

Judge Rogelio R. Flores

(8:10 am 8:45 am)

Superior Court Judge Rogelio Flores began his judicial duties in January, 1987 as the first Court Commissioner for the North Santa Barbara County Municipal Court. In 1997, he was appointed to the municipal court bench and in 1998, he was elevated to the superior court. He received his law degree from the UCLA School of Law in 1979. Judge Flores is currently assigned to various specialty courts in Santa Maria including the Substance Abuse Treatment Court-SATC (Drug Court), and drug treatment mandated by passage of Proposition 36, and calendars specializing in co-occurring disorders. He has previously been assigned to the Mental Health Treatment Court. He is a past president of the Latino Judges of California, and he is a member of the National and California Association of Drug Court Professionals. Judge Flores is Honorary Chairperson of the National Association of Latino Drug Court Professionals, Mejorar.




SPONSORS/EXHIBITORS

SILVER SPONSOR

Lifesafer Interlock
David Nico
Interstate Interlock
Cincinnati , OH  45212
nimmo@lifesafer.com
(513) 651-9560 ext. 117

EXHIBITORS

Accucare by Orion Healthcare
Paul Le
1016 Leavenworth Street
Omaha, NE  68102
paul@orionhealthcare.com
(402) 341-8880

American Academy of Health Care Providers
Cheri Swensson            
314 W Superior Street, Suite 508
Duluth, MN  55802
cswensson@americanacademy.org
(218) 727-3940

Azure Acres and the Camp Recovery Center
Michelle Tupper Brown
2264 Green Hill Road
Sebastopol, CA  95472
shannonc@azureacres.com
(707) 823-3385

Both Worlds Software, Inc
Jo-Anne Satterly
2581 Jupiter Park Drive, Suite F14
Jupiter, FL  33458
jsatterly@bothworldssoftware.com
(877) 268-4967

CRC Health
Shahan Suzmeyan
1115 N Berendo Street 
Los Angeles, CA  90029
suzmeyan@hotmail.com
(213) 924-6442

California Association for Alcohol/Drug Educators
Angela Stocker
P.O. Box 2292
Anaheim, CA  92814
caade@sbcglobal.net
(707) 722-2331

Mallinckrodt (A Covidien Company)
Debbie Claudin
675 McDonnell Boulevard
Hazelwood, MO  63042
debra.claudin@covidien.com
(314) 654-6450

Marin Services for Women
Rebecca Miller
1251 South Eliseo Drive
Greenbrae, CA  94904
rmiller@mswinc.org
(415) 924-5995

Mental Health Systems, Inc.
Mary Hubbard
9465 Farnham Street
San Diego, CA  92123
mhubbard@mhsinc.org
(858) 573-2600

NAPAFASA
Ford Kuramoto
340 East Second Street, Suite 409
Los Angeles, CA  90012
fhkuramoto@napafasa.org
(213) 625-5795

Northern California Region Narcotics Anonymous
Aura Thomas
1820 Walters Court, Suite A-1
Fairfield, CA  94533
norcalprservant@gmail.com
(707) 350-2699

Ontrack Programs Resources
Anita Hurtado
1331 Garden Highway
Sacramento, CA  95833
ahurtado@ontrackconsulting.org
(916) 285-1810

Pacific Southwest ATTC/UCLA
Integrated Substance Abuse Programs
Alex Olson
1640 South Sepulveda Boulevard, Suite 320
Los Angeles, CA  90025
aolson@ucla.edu
(310) 267-5398

Phamatech Laboratories
Ben Wilkin
10151 Barnes Canyon Road
San Diego, CA  92121
bwilkin@phamatech.com
(888) 635-5840 

Social Model Recovery Systems
Mike Schaub
223 East Rowland Street
Covina, CA  91723
jenniferp@socialmodel.com
(626) 332-3145
           
UCLA Health Care Reform
Integrated Substance Abuse Programs          
Grant Hovik
1640 South Sepulveda Boulevard, Suite 320
Los Angeles, CA  90025
ghovik@ucla.edu
(310) 267-5408

Westcare California
Elizabeth Vasquez
4944 E Clinton Way, Suite 101 
Fresno, CA  93727
claudia.dossantos@westcare.com
(559) 251-4800 ext. 339