OVERVIEW ON ECHO DISTANCE LEARNING PROGRAM OF UMP-VHATTC

Vietnam – HIV Addiction Technology Transfer CenterUniversity of Medicine and Pharmacy at Ho Chi Minh City

Chiang Mai, March 2019

o UMP-VHATTC introduction

o Overview on ECHO program

o Model explanation and focuses

o Achievement highlights

o Lessons learnt and challenges

o Next steps

AGENDA

Introduction of South Vietnam HIV –Addiction Technology Transfer Center

(VHATTC-UMP)________________________________________________________________________________________________________________________________

What is Vietnam HIV – Addiction Technology Transfer Center (UMP-VHATTC)?

A university-based focusing on HIV – Addiction and prevention in Vietnam through intensive and extensive trainings for both in-service and pre-service manpower.

Receiving funding from SAMHSA and support from UCLA, via PEPFAR funding; started operation from December 2014

Starting its ECHO distant learning via ZOOm since December 2017

Introduce, transfer and accelerate the adoption and implementation of evidence-based addiction treatment practices and recovery-oriented services; accordingly, contribute to improve the services quality, facilitate the limitation of substance abuse and HIV epidemic

Heighten the awareness, knowledge, and skills among the workforce that address the needs of people with SUD and other behavioral health problems

Act as a bridge to foster alliances among practitioners, researchers, policy makers, funders and the recovery community

MISSION 101 MISSION 202 MISSION 303

Our MISSIONS?

Who BENEFITS from UMP-VHATTC?

Work forces in clinics, hospital, treatment/ intervention centers including doctors, counselors, pharmacist, case management, peer educators …

Patients, their families and our community

Students and university experts

Policy-makers, officials from local and national authorities/ agencies

UCLA-ISAP

VHATTC

HMU & ULSA

VHATTC-UMP & ULSA

ATTC Network

SAMHSA

Our Management Network?

IN-SERVICE PRE-SERVICE

Introduction, training

Technical assistance

Pilot, Assessment

Accelerate Education

Awareness raising

- Knowledge and skill dissemination- Introduce materials, resources, guidelines

- Case Discussion- Skill building by practicum

- Evaluate thesituation and needs from key populations- Stimulant Use Intervention

Integrate addiction medicine intocurriculum

Lecture series on Addiciton and HIV

Formats: Face-to-face and Distance Approaches

What we do?

46Events

1,451Participants

06Set of

protocols

17ECHO/ Online

Sessions 126detected

HIV+

976Patients screened for METH

29provinces

01Web-based screening

tool

09Thesises on addiction/

HIV

Achievements: The numbers say it all 2018

Introduction of ECHO distance learning model in VHATTC-UMP

________________________________________________________________________________________________________________________________

IN-SERVICE PRE-SERVICE

Introduction, training

Technical assistance

Pilot, Assessment

Accelerate Education

Awareness raising

- Knowledge and skill dissemination- Introduce materials, resources, guidelines

- Case Discussion- Skill building by practicum

- Evaluate thesituation and needs from key populations- Stimulant Use Intervention

Integrate addiction medicine intocurriculum

Lecture series on Addiciton and HIV

Formats: Face-to-face and Distance Approaches

Main Activities?

PURPOSESTo assess the feasibility of implementing online training in MMT clinics.To assess training needs of MMT clinics (prior to official implementation)

METHODUsing a quick online assessment tool delivered to the surveyees byemail.

SAMPLING3 MMT facilities wereinvited to participate in the survey with aMMT-focused staff to be in charge of answering the questionnaire

TIME2 months: August – September 2017

04

03

02

01

Survey: Need Assessment of online training from MMT clinics (2017)

Key Variables of the Survey

Technology availability

Technology literacy

Topics of interest

Interest level in ECHO

Demographic info

Available time for

ECHO

Length of ECHO

session

Software proficiency

No. of session/ month

Step-by-Step Process of conducting on ECHO distant session

01

02

03

04

05

PLAN AND CONNECT

- Planning and scheduling- Connecting experts,

agencies- Connecting participative

clinics

IMPLEMENTATION- Making list of attendee- Conducting the session

REPORT- Post the video

recording and sendout to media

- Report to sponsorsby indicators

BUILDING CONTENT FOR EACH SESSION

- Working with expert tocompose materials

EVALUATION- Assess the quality and

practical needs post-session

Expert(s)

Give comments, ideas,recommendationsduring the discussion tohelp the clinics andattendees

Coordinator

Coordinate thesession and makesure of thecoherence andsmoothness ofinvolved parties

Admin

Prepare andinform involvedparties about thesession; Post-session evaluationand report writing

IT supporter

Prepare and Checkdevices, internetconnection, recording,support hubs withaudio/video problems

Translator

In case of Foreignspeakers/ experts

ECHO session staffing (for all 3 dimensions)

LINKAGES AND COOPERATION- HAIVN: Connect with

ARV clinics- PAC: Connect with

MMT clinics- NGOs: Support with

CBO networks- DOLISA HCM:

Connect with 06 centers

- VAAC - Hospitals

1 2

3

Knowledge Dissemination- 1,5-2 hours/session,

separately, notsuccessive

- No roll call, assignmentrequired (except clinicswith case preparation)

- No certificate issued

Case Discussion

- 1,5-2 hours/session, separately- No roll call, assignment

required (except clinics withcase preparation)

- No certificate issued

Certificate Training Series

- 1,5 hours/session, conductedin successive series

- Roll call, assignment required- Certificate of completion

issued

3 Dimensions in ECHO distant learning

Lecture series on Co-occuring Disorders

Lecture Series on Drugs

Counseling and specific tharerapy

Case Discussion

Anxiety, depression, Psychosis, suicide, PTSD

METH, marijuana, spice, magic mushroom, Kratom

Motivational Interviewing, EMDR therapy

Methadone Dosage, Painkiller use, Drop-out, poly drugs uses

Top topics conducted

23sessions

1249attendees

61Certificate

issued

36Provinces

6Drugs

introduced

6Topics on

cooccurring disorders

ECHO Achievement by Number (12/2017-03/2019)

0

50

100

150

200

250

300

tỉnh thành khác

AnGiang

Bà Rịa -Vũng Tàu

Bình Dương

Bình Phước

Bình Thuận

Đồng Nai

Hậu Giang

KhánhHòa

Long An Cần Thơ

Hà Nội TP.HCM

Participants by Provinces

0

50

100

150

200

250

300

350

Participants by professions

Feedback from attendee

30%

62%

8%

0% 0%

How satisfied are you with the overall quality of this session?

Very satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

38%

52%

6%4% 0%

How useful was the information you received from the

Very useful Useful Neutral Useless Not applicable

50%

42%

4%2% 2%

I expect to use the information gained from this conference.

Very Agreed Agreed Neutral Disagreed Very Disagreed

30%

62%

4%2% 2%

I would recommend this course to a colleague

Very agreed Agreed Neutral Disagreed Veery Disagreed

LESSONS LEARNT

Lesson 3

Lesson 4

Lesson 1

Lesson 2

Continuously updating training manual and

approaches is needed

Connect with international experts to diversify the perspectives and broaden new knowledge

Combining training and TA in one session optimizes the outcomes

Pay attention to practical needs from participants

o Fan Page: Facebook

o Virtual platform: Zoom

o Website: svhattc.org,

o Email

o Newsletter: Mailchimp

o Youtube

How we connect with our audiences before/during/after the session

Before the session

After the session

Next Steps

Buil up specially designed manuals/ curriculumReaching out to

more experts/ speakers

Focus more on case discussion

Expand to more diversified topics

Increase the number of periodical sessions

hank ou!