Eastern Sierra Substance Use project image


The Eastern Sierra Substance Use Project (ESSUP) is a collaborative gathering of public and private sector community partners with a goal of reducing the harmful effects of substance use. We seek to enhance prevention, treatment and harm reduction services and to reduce stigma.   


A collaborative and cohesive community group that promotes understanding of substance use as a disease and improving treatment and harm reduction access and strategies.


Promote health and dignity for all.


El Proyecto de Uso de Sustancias de la Sierra Oriental (ESSUP) es una reunión colaborativa de socios comunitarios del sector público y privado con el objetivo de reducir los efectos nocivos del uso de sustancias. Buscamos mejorar los servicios de prevención, tratamiento y reducción de daños y reducir el estigma.


Nuestra visión es que nuestra comunidad promueve la comprensión del uso de sustancias como una enfermedad y mejora el acceso y las estrategias de tratamiento y reducción de daños.


Promover la salud y la dignidad para todos.

Check us out on Facebook!

Eastern Sierra Substance Use Project Facebook page

Inyo County's Eastern Sierra Harm Reduction Facebook page

New or Upcoming events

Eastern Sierra Substance Use Project: Substance Use data review meeting

April 5, 2023 a@2pm

It has been a long time since we have met and I hope you haven't forgotten about the project! Since we last met, we have had the Public Health Epidemiologist, Emily Janoff, do some data mining on substance use data in Mono County. We wanted to understand the story of substance use in Mono County with existing data and understand how we can fill in the gaps and collect data that will help guide our substance use education and harm reduction services in Mono County. 

Please join us for a meeting to go over the data with Emily and myself, and have a discussion around next steps for improving substance use data collection. We want everyone at the table to problem solve a community, agency wide approach. 

The meeting will by a hybrid of in-person option and zoom accessibility. In-person option will be in the Carson room at Mono County civic center (2nd floor, down the hall between Public Health and Behavioral Health on the left. There will be beverages and snacks available in the Carson room. 

Hope to see you all there! Please share this event with all. If you are unable to attend, we will record the meeting, so please watch later and provide feedback. 

Recordings of the ESSUP meetings can be found below on this website.

Meeting details:

April 5th @ 2pm

1290 Tavern Rd. Mammoth Lakes, Carson room at Civic Center or Zoom

Join Zoom Meeting 


2023 Recommended Trainings:







Perinatal Harm Reduction:

The Academy of Perinatal Harm Reduction released a webinar series, Fundamentals of Perinatal Harm Reduction (YouTube links below) and partnered with the National Harm Reduction Coalition to create a training guide; The Pregnancy and Substance Use: A Harm Reduction Toolkit

Fundamentals of Perinatal Harm Reduction:

Part 1 video

Part 2 video

Part 3 video

Watch the episode from, “Families are the solution, not the problem” in series called Talk about It . The host GloZell chats with experts and advocates with lived experience about how families can be empowered and supported as they strive to help their children and loved ones overcome substance use disorder and addiction. 

For more information on the family's role in recovery visit Partnership to End Addiction website for more resources.


News Releases and new articles

New! Training Paramedics to Treat Opioid Use Disorder & Save Lives

It’s Time to Treat Addiction in Emergency Rooms and Hospitals

"Tranq Dope"- The Heroin Combo that is putting Pilly to Sleep"

Notes from the Field: Xylazine, a Veterinary Tranquilizer, Identified as an Emerging Novel Substance in Drug Overdose Deaths — Connecticut, 2019–2020

Xylazine (veterinary sedative) use in Puerto Rico- Substance Abuse Treatment, Prevention, and Policy

Nan Goldin Testifies at Landmark Hearing On Purdue Pharma’s Role In Opioid Crisis


How can ESSUP support your training needs??

Do you want to attend a conference or a training but are unable to afford it? ESSUP can help with the funds to support substance use educational needs. Email Jacinda to discuss further.



On demand access to the 2022 Cocaine, Meth & Stimulant Summit session recordings (email Jacinda for details)

On demand access will expire in Febuary 2023


Eastern Sierra Substance Use Project virtual 2021 conference  

Watch recording

Overdose Prevention Leadership Summit: virtual event 2021

Watch recording


Previous Meetings 

2020 2021 2022 2023

September 9, 2021


Recording of Meeting

September 7, 2022

Alcohol Interventions Training/Conversation



July 7, 2021


Recording of meeting:

Part 1 

Part 2


May 19, 2021

Recording of meeting


July 6, 2022

Recording of meeting



NOVEMBER 4, 2020

Recording of Meeting


April 7, 2021

Recording of meeting



April 5, 2023


October 6, 2020
Recording of meeting

Meeting agenda and notes

MARCH 3, 2021

Recording of meeting

Power point of Agenda

April 6, 2022

Recording of meeting



January 22, 2020


Meeting Notes

Substance Use Task Force Member Survey

JANUARY 6, 2021


February 2, 2022




Check out these podcasts!

Render: The Harm Reduction Podcast (Spotify)

The Connecting Care Podcast

Created by the NASTAD/JSI Strengthening Systems of Care Project

New episode titled “Safe Consumption Sites: Reducing Fatal Overdoses and Increasing Linkage of Care.” The Connecting Care podcast is a discussion-based podcast, in which Dr. Alex Walley at Boston Medical Center and colleagues share their experiences providing integrated HIV and Opioid Use services through patient case studies. Please see below for information on the most recent podcast episode on safe consumption spaces.

Gen Green by Young Adults Fighting Tobacco

Check out episode: The New Menthol: Vaping & Covid-19

Gen Green crew goes over new, crucial research on the connection between vaping and contracting Covid-19 - dissecting the medical realities of smoking and vaping in an accessible manner. Further through the episode, our co-hosts dive into aspects of youth psychology, dank memes, and substance abuse. For the long-term activists, health advocates from the health field, and younger listeners: we are indebted to your efforts and support that you have provided to this program. You are all profoundly appreciated.

Recommended Books

Undoing Drugs: The untold story of harm reduction and the future of addiction

by Maia Szalavitz


Dopamine Nation: Finding balance in the age of indulgence

by Dr. Anna Lembke


Upcoming Live Trainings and outreach events

Funding Available for Tobacco Treatment Specialist Certification:

Are you or someone you work with interested in formal training to support tobacco cessation among the populations you serve?

The Rocky Mountain Tobacco Treatment Specialist Program consists of an interactive, 4-day training experience focused on providing the necessary knowledge, clinical skills, and evidence-based treatment strategies to effectively treat tobacco dependence. Enrollment from any profession or organization is encouraged!

At this time the only course offerings are virtual. The next training will be held in October 2022.The time commitment is 3 days: 8:00a–5:00p (lunch 12p-1p)

1 day of exams/practicum lasting a total of 3 hours, scheduled during 8:00a–3:00p

For more information, and an in depth look at the learning objectives and curriculum, please view the program guide.

Through June 2025, Mono Tobacco Education Program is able to sponsor certification for those working in Inyo or Mono Counties. If you or someone you know is interested in enrolling, please contact or call 760-924-1820



Rural Healthcare Provider Transition Project Eligible Learning Collaborative

 April 25, 2022 to July 25, 2022

This virtual learning collaborative (LC) will focus on challenges and solutions specific to rural health providers to support improvement in health equity and reduction in health disparities. This interactive collaborative will include four (4) virtual, 60-minute learning sessions and additional brief readings and/or reflections between sessions to support understanding of disparities and strategies to address them. 

Please email if you have any live trainings to share

Recorded or On-Demand Trainings

Watch the recording from a training from NASTAD and partners which discusses how changes to the U.S. drug supply during the COVID-19 pandemic are affecting the health and safety of users, and the programmatic responses by harm reduction and public health organizations. Watch Recording

National Harm Reduction

Don’t miss the recording of last week’s panel, facilitated by National Harm Reduction Coalition medical director Dr. Kim Sue, discussing Maia Szalavitz’s new book, Undoing Drugs, and exploring the past, present, and future of harm reduction Panelists include Monique Tula, Sessi Blanchard, and Maia Szalavitz. Watch the recording here. 

Learning Lab:

It’s Our Backyard Too: Building Community-Centered Support for Harm Reduction

A free policy and advocacy community engagement toolkit (self paced online curriculum)

National Harm Reduction Coalition Training Calendar

National Harm Reduction Coalition facilitates trainings around the country. We open our virtual doors to individuals and teams seeking training on important evidence-based harm reduction strategies.


How to Use Narcan with the DOPE Project 

Natives for Narcan - Bakersfield American Indian Health Project

All About Fentanyl - Harm Reduction TX


CA Bridge training videos

Making it possible for people who use drugs to get addiction treatment at any hospital- wherever and whenever they need it

Meet the Partner: Saving Lives by Understanding the Role of Pediatricians in Treating Adolescent Substance Use

Watch Recording

California perinatal opioid use disorder and mental health screening training

Watch Recording

Discussion of COVID-19 Vaccine promotion specific to the Harm Reduction community

Part 1: Register to watch the recorded webinar that the National Harm Reduction Coalition. 

Part 2: Register to watch recorded webinar

Don’t miss this panel of harm reduction programs discussing access for their participants that want the vaccine and support those that are not ready or do not want the vaccine using a harm reduction approach.

LOCAL: Eastern Sierra Substance Use Conference (virtual)

This was an all-day event on December 2, 2020 with 6 speakers, 2 panel sessions (community and professional/community discussion). Topics ranging from MAT, harm reduction, stigma, perinatal substance use, hepatitis and so much more. Event was recorded, see recording link below.

Conference flyer/agenda/panelist info

Facebook Event page 

Recording of Conference
(FYI: 1 hr break for lunch in middle)

Minimizing Disruptions in Care Through the Use of Behavioral Telehealth

The California Institute for Behavioral Health Solutions (CIBHS) hosted an 11-week webinar series with the goal of consolidating learning from the quick transition to behavioral telehealth services in response to the COVID-19 crisis. The webinars teach practical skills to support improvement of behavioral telehealth and are tailored to mental health and substance use disorder providers as well as their supervisors.

Free Motivational Interviewing course through APNA

This three-part presentation is designed to help you learn Motivational Interviewing and how to apply it in your practice. It discusses the core principles of Motivational Interviewing and provides case studies for practice.

Psychological First Aid course offered by John Hopkins University:     

*Note – the course is free unless you want a certificate ($49 for certificate)

Implicit Bias Training: UCLA Implicit training resource site. Take an implicit bias test, review recorded implicit bias training videos and other implicit bias training resources. 

Local Training:

Zoom recording of Naloxone Training by Dr. Tom Boo:

PDF of PowerPoint from training

General training to review Naloxone, harm reduction measures and information about accessing services. This training is required for staff distributing Naloxone to community members through the Mono County Naloxone Distribution Program.

Keynote Presentation: Channeling the Power of Human Connection toward Whole Health

MAT: Medications For Addiction Treatment 8 Hour Waiver Training

Acceptance & Commitment Therapy: Online training with Dr. Russ Harris

Applied Empathy in Health Behavior Change

One of many talks at the Agents of Change Summit 2020

Addiction Free CA recorded resource library videos 

Mental Health and COVID-19: How the Pandemic Complicates Current Gaps in Care and What Can Be Done

The Power of Addiction and The Addiction of Power: Gabor Maté at TEDxRio+20

Canadian physician Gabor Maté is a specialist in terminal illnesses, chemical dependents, and HIV positive patients. Dr. Maté is a renowned author of books and columnist known for his knowledge about attention deficit disorder, stress, chronic illness and parental relations. His theme at TEDxRio+20 was addiction, from drugs to power. From the lack of love to the desire to escape oneself, from susceptibility of the being to interior power -- nothing escapes. And he risks a generic and generous prescription: "Find your nature and be nice to yourself.

Recommended Articles

New--> Recovery Dialects

New--> Facing Addition in America; The Surgeon General's Report on Alcohol, Drugs, and Health

The Ways We “Monsterize” Drug Use, Pain and People


New Evidence on Substance Use Disorders and COVID-19 Susceptibility (NIH article)
By Michelle van Ryn, PhD, MPH

The Role of Vitamin E Oil in Causing Vaping Related Severe Lung Illness

Multi Criteria Decision Analysis for Evaluating Government Policy Responses to Heroin Use

Medical cannabis dependence: A critical review of issues and evidence

Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities

Online curriculums/CEU opportunities

Specific to Providers/Nurses/first responders:

SUD 101 Core Curriculum 

Chronic Pain Core Curriculum 

Performance-in-Practice (PIP): Improving Clinical Practice with Patients who have Opioid Use Disorder (OUD)

ACA and Addiction Treatment and Recovery: What Every Addiction Professional Needs to Know

First Responder Course: Creating Safe Scenes (specific to Mental illness/substance use) 

MAT toolkit for Nurses

Substance use pocket guide screening for nurses

The Acute Care Nurse’s Role in Harm Reduction for Persons with Substance Use Disorder (SUD)- 0.25 CEU, free

Substance Use Disorders and Co-Occurring Disorders: Essential Curricular Thread for Nursing Education- 0.25 CEU, free


Local Resources 

Naloxone (Narcan) for Opioid Overdose

Mono County Behavioral Health Provider Directory

Mono County Behavioral Health Webpage

Mammoth Hospital Behavioral Health Resources

Toiyabe Indian Health Center Substance Abuse Treatment page

Mono County Community Resources Pamphlet (English/Spanish)

New! Mono County Resource Book

Mono County Cannabis Health Education

Mono County Tobacco Education Program

Archived Online Trainings and Resources

Alcohol Use

Alcoholics Anonymous and Narcotics Anonymous Meetings

Perinatal Substance Use Prevention

Drink Less for Your Breasts

Study: No safe level of alcohol consumption for brain health: observational cohort study of 25,378 UK Biobank participants

ACE's (Adverse Childhood Experiences) 

NEW: Coping with Stress During the COVID-19 Pandemic (one page handout)

ACE's Aware : The ACEs Aware initiative offers Medi-Cal providers training, clinical protocols, and payment for screening children and adults for ACEs. The two-hour online curriculum is easy to access for a wide range of health care professionals and will provide Continuing Medical Education (CME) and Maintenance of Certification (MOC) credits.

​​​​​​​​California Department of Health Care Services resources: Trauma Screenings and Trauma-Informed Care Provider Trainings

ACE's Online Learning: Early Trauma Online Learning Course for Practitioners, professionals and volunteers who work with children, young people and their families.

Adverse childhood experiences: What we know, what we don't know, and what should happen next


Cannabis among youth: awareness and prevention- video recorded training (1hr 30min)

Cannabis Awareness & Prevention Toolkit

Harm Reduction

PRINCIPLES OF HARM REDUCTION: Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. Harm Reduction is also a movement for social justice built on a belief in, and respect for, the rights of people who use drugs 

Training Guide-Spirit of Harm Reduction: A Toolkit for communities of Faith Facing Overdose

Harm Reduction Is Not A Metaphor, Living in the 21st Century with Drugs, Intimacy, and Activism


ADDICTION FREE CA: This website serves as a separate yet complementary resource to the DHCS MAT Expansion Website and provides resources and information related to the four MAT Expansion Project initiatives operated by Health Management Associates.


Mental Health Screening Tools


Opioid Overdose Resource page

Training for RN/APRN's: Effective Treatments for Opioid Use Disorders

Medication Assisted Treatment introduction for all and MAT waiver training (different online curriculums for MDs, RNs, and MAs)

Applying CDC’s Guidelines for Prescribing Opioids: Module 5: Assessing and Addressing Opioid Use Disorder (OUD) (Free on demand training with CEUs)


Opioid Use + Pregnancy

FACTSHEET - Substance Use and Pregnancy During COVID-19/El Uso de Sustancias y el Embarazo Durante COVID-19/Uso de Substâncias e a Gravidez Durante COVID-19

Rural Health

National Rural Health Resource Center

Document: Understanding and Addressing Social Determinants of Health: Opportunities to Improve Health Outcomes, A Guide for Rural Health Care Leaders.

This guide provides rural health care leaders and teams with foundational knowledge, strategies, and resources to understand the impact of social determinants of health on patients and communities and to recognize local needs and opportunities for action.


The Vaping Phenomenon - What It Is, Why It Happened, and What We Can Do About It (Webinar video from Stanford's Health Improvement Program)

APNA Nursing Competencies for Treating Tobacco Use Disorders


Visit Mono County Tobacco Education Program website for cessation resources/trainings and Mono County Prevention Coalition website for meeting information and trainings.
Self Care 

Virtual: Room of Refuge

Mindful Minute Cards


Social Stigma Toward Persons With Prescription Opioid Use Disorder: Associations With Public Support for Punitive and Public Health–Oriented Policies

Spirituality/Faith based harm reduction

Spirit of Harm Reduction: A Conversation with Toolkit Contributors

Liberatory Love: A Human Rights Day Ritual Experience with People Who Use Drugs

Undoing Drugs

The Untold Story of Harm Reduction and the Future of Addiction

ESSUP image
Mono county harm reduction project