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Family Therapy for Substance Use Disorders

Speaker(s):

Adriatik Likcani, PhD and F. Ryan Peterson, PhD

Presentation: Participants will learn about individual and family systems dynamics during active use of substances, during attempts for sobriety, and the recovery process. Participants will be exposed to interventions with individuals and families from a systems perspective. Often clients are seen individually and interventions can be tailored to include relationships close to the client even when they are not present in the therapy room. Several specific couple and family therapy interventions will be presented and rehearsed during the presentation in an effort to increase the knowledge base and skill levels of participants in this session. The family plays a central role to recovery from any condition, including recovery from substance use disorders. Definition of family will vary depending upon circumstances of each client. Participants will learn about structural and functional definitions of “family” and how to engage this system with at least for two primary goals: a) use the family’s strengths and resources in the recovery process, and b) help the client and the family members to improve relationships from the impact of the dynamics during active substance use and repetitive relapse episodes. Other goals of systems perspective interventions that aid the recovery process will also be addressed. Participants will be able to use some of the skills learned in this session right away in their practice and they will be educated on resources for further professional development.

Objectives:

  • Describe family systems interventions for treatment of substance use disorders and their effectiveness.
  • Practice particular strategies used with persons facing substance use issues in individual sessions and also in conjoint sessions where one or more family members are present
  • Review a variety of family therapy approaches and interventions to meet the recovery needs of clients and their families.

 

 

 

 

 

 

 

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Beyond Treatment as Usual: The Case for Cognitive Remediation and CET in MO, A Report from the Field

Speaker(s):

Ray Gonzalez, MSW and Stephen Jarvis, MD

Presentation: Why have more individuals with chronic mental health disabilities not recovered more completely? We need to rethink the problem and solution; move the treatment paradigm from treatment as usual, i.e. maintenance style of non-treatment to CET (Cognitive Enhancement Therapy), a rehabilitative, active treatment model focusing on remediating the person’s disabilities while increasing their strengths.

Since 2001, CET, a SAMHSA recognized Evidence Based Practice form of cognitive remediation, has been successfully disseminated to 41 sites in 12 states. During 48 once-a-week sessions of computer exercises, social cognition groups and individual coaching, clients learn how to be socially wise and vocationally effective. CET groups average 70 to 90% attendance and graduation rates.

Attendees will learn how CET promotes fuller recovery by participating in a typical CET session including specialized computer exercises; a social cognition talk followed by completing and discussing homework questions; and completing an interactive cognitive exercise. A PowerPoint talk will describe the neuroscience research supporting CET; the social, vocational and educational effectiveness of CET; using CET with a wide range of individuals (adults, Transitional Aged Youth, persons with high-level autism); and how CET is effective with person from diverse ethnic and socio-economic backgrounds. This presentation will demonstrate the hope and practical wisdom that CET offers including how acceptance and adjustment to a psychiatric disability can improve physical health, independence, vocational effectiveness and social cognition.

Lessons learned from disseminating CET to a wide range of sites ranging from freestanding clinics to state hospital to large mental health centers will be presented including a presentation by Stephen Jarvis, MD Chief, Truman Medical Centers Behavior Health, Assistant Professor Univ. of Missouri Kansas City

Objectives:

  • Recognize the importance of treating cognitive deficits in persons with schizophrenia, bipolar disorder, depression and high level autism
  • State the theoretical components of CET and why CET results are so durable (up to 14 years’ post-graduation)
  • Explain how CET can support/increase vocational and educational success
  • Discuss how CET can increase physical health by improving cognitive functioning

Slides:

Gonzalez-Beyond Treatment As Usual

Gonzalez and Jarvis_6-2-17 Beyond TAU The Case for Cog Rem

Gonzalez-2017 CETCLEVELAND Booklet_2.9 copy

Fri 215 Gonzalez – CET Booklet

Fri 215 Gonzalez – CET Bibliography and Links

Fri 215 Gonzalez – CET presentation

 

 

 

 

 

 

 

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Battlemind, Understanding PTSD in Combat Veterans

Speaker(s):

Brian Ouellette, MA and Stephanie Starkey, MA, LPC, CCTP

Presentation: Battlemind examines the impact of deployments on veterans, including how it can affect their relationships. It looks at relationship dynamics associated with multiple deployments, as well as how PTSD symptoms can develop. The last part of this presentation involves showing a film called Now After, done by an Iraq Veteran who was a film student at the University of Southern California at the time.  During the last part of this presentation, we focus on tips of what not to say or do to a veteran with Post Traumatic Stress Disorder. Also discussed are Vet Centers and how they can be utilized to assist veterans with Post Traumatic Stress Disorder or other readjustment issues.

Objectives:

  •  Review particular strategies to be used in support of military personnel and their families
  • Summarize trauma and substance abuse issues as well as how co-occurring disorders may be present in military veterans
  • Describe therapeutic approaches that are currently used by the Veterans Administration to meet the behavioral health needs of their clients

Slides:

Ouellette_STI2017

 

 

 

 

 

 

 

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Excellence Algorithm – Bringing Mental Health and Recovery Skills/Values into Key HR Decisions

Speaker(s):

Felix Vincenz, PhD

Presentation:  Managing human resources is an ongoing challenge in any non-profit or state-operated agency, particularly given the challenges associated with recruitment and retention of qualified and committed staff.  This presentation speaks to a different strategy for dealing with the management of human error, recognizing the value associated with coaching and consoling employees as a key retention and workforce development strategy, embedded with an overall commitment to performance improvement efforts at every level of the organization.  The presentation includes decisional matrices and flowcharts used to guide decision-makers within the organization as to when to utilize coaching, discipline, and/or performance improvement efforts, and an abbreviated overview of a day long presentation to key supervisory, managerial, and executive level staff.  A key value is the recognition and implicit commitment to the possibility of recovery and change in our workforce, as well as our clients.

Objectives:

  • Apply behavioral health approaches to the mental health workforce.
  • Develop new skills necessary for the retention and development of the workforce.
  • Review how to improve stability and retention of the workforce, within an overall commitment to performance improvement.

Slides:

Vincenz_Excellence Algorithm

Vincenz-Employee Related Negative Outcomes

Vincenz-Discipline Process

Vincenz-Discipline Decisions (including Termination)

 

 

 

 

 

 

 

 

 

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When the Professional Experiences Trauma

Speaker(s):

Stephanie Mobley, MSW, LCSW

Presentation: As professionals, we have been trained on how to help others through traumatic situations by using multiple techniques; but how do we ourselves fair in dealing with our personal trauma? Are we as professionals able to apply the same techniques in coping, or do we fail ourselves?  Right now, there is a big push in being trauma sensitive.  Ultimately, we must cope with trauma or we will be at a loss to help our clients.  We experience trauma whether through our work environment or personal lives.  Learn how to let go of your own trauma and pick up the pieces to move on.

Objectives:

  • Develop a specific trauma coping plan in order to deal with trauma
  • Explain how to practice self-care and self-advocacy
  • Discuss how to work with clients who have trauma when you have experienced trauma

Slides:

Mobley_Stephanie_When the Professional Experiences Trauma

 

 

 

 

 

 

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Report on Implementation of the Emotion Regulation Skills System for Cognitively Challenged Clients

Speaker(s):

Nina Chastain, MSW, LCSW

Presentation: Dialectical Behavior Therapy has been proven to be a treatment of choice for clients with severe emotional dysregulation problems. However, for clients who also have intellectual disabilities, the treatment is not always as successful.  Julie F. Brown, MSW, PhD, Director of Program Development at The Justice Resource Institute’s Integrated Clinical Services in Rhode Island, developed a DBT-Informed Skills System that addresses difficulties intellectually disabled clients face. She recognized that intellectually disabled clients “require an adequate, synthesized framework or system to teach skills to clients in a form that they can understand, apply, and generalize.”  Dr. Brown developed The Skills System over the course of many years of working with her own clients and providing comprehensive DBT.  Three key elements were integrated: (1) the work of James Gross, PhD., in emotion regulation; (2) cognitive load theory (Sweller, 2010); and (3) ongoing collaboration with her own clients.  Ms. Brown ended up with a Skills System framework that helps clients know which skill to choose and how many skills to implement given his or her level of emotion in each situation.  This presentation will highlight some of the main differences of the skills and the System tools that Julie Brown carefully and effectively developed.  The participants will hear how cognitively-challenged clients in a residential psychiatric hospital setting who had previously been treated using traditional, comprehensive DBT encountered and reacted to the new DBT-Informed Skills System.  The lessons learned from implementing the model will also be shared along with data highlighting important areas of change for the clients.

Objectives:

  • Review some of the fundamental knowledge of behavioral health and disability.
  • This training describes in a nutshell established approaches of DBT and the new treatment of DBT-informed therapy for cognitively challenged clients.
  • Provide an overview of the Skills system in order for learners to see if this treatment approach would work for their population.
  • Describe how complex emotion regulation challenges are broken down into manageable problems using a series of steps that people at many different skill levels can apply.

 

 

 

 

 

 

 

 

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The Re-Examination of Psychopathy and Antisocial Personality Disorder

Speaker(s):

Mark Moore, MA, LPC, NCC and Rachel Colwick, MA, LPC, NCC

Presentation: The presentation will consist of a contemporary review of the literature involving psychopathy and antisocial personality disorder, along with their relationships to substance abuse and sexually violent predators. Further, the similarities and differences between psychopathy and antisocial personality disorder will be discussed; as well as, what is considered best practice in terms of clinical interventions or strategies for working with these populations. Specifically, but not limited to, the presentation will address the challenges professionals might face in working with these populations in variety of settings such as clinical outpatient or inpatient, prisons, hospitals, and other medical facilities, to name a few.

Objectives:

  • Interpret the differences and commonalities between psychopathy and antisocial personality disorder
  • Recognize the prevalence among different populations (i.e. sexual offenders, non-sexual offenders, and substance abuse) within a variety of professional settings
  • Explain what is considered best practice regarding clinical strategies or interventions in working with these populations
  • Define the common countertransference reactions professionals will face and the skills to manage them

 

 

 

 

 

 

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Supervision and the Code of Ethics *Ethics Hours

Speaker(s):

Terri Cooley-Bennett, MSW, LCSW and Caroline Cooper, CMPS

Presentation:  Mental Health Professionals supervise in different capacities: for licensees, students, and employees. Sometimes they are clinical supervisors only or employment supervisors only and sometimes have a dual role.  How do Ethics Codes impact the supervision experience?  What types of ethical dilemmas arise for the supervisor?  What do various ethics codes say about supervision?  All of this will be covered in this presentation which meets the Ethics Requirement for Social Workers, Substance Abuse Professionals, Certified Counselors and possibly others.

Objectives:

  • Several Codes of Ethics including NBCC and NASW will be reviewed that relate to supervision of employees, students, licensees including social workers, counselors, etc.
  • Ethical dilemmas in regards to supervision in a behavioral health setting or substance use treatment setting will be discussed and ways for appropriately managing these dilemmas
  • Supervision strategies will be discussed in order to facilitate the prevention of ethical violations

Slides:

Cooley Bennett_Cooper_20170601 STI SUPERVISION AND THE CODE OF ETHICS

Cooley-Bennett- NASW CODE OF ETHICS AND INTERDISCIPLINARY TEAMS

 

 

 

 

 

 

 

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Sexual and Gender Diversity in a Healthcare Setting: Providing Affirmative Care

Speaker(s):

Ryan Cox, PhD

Presentation: This presentation is designed to provide working knowledge of the unique needs, and various disparities, affecting the LGBT community when seeking healthcare, both physical and mental. Transgender individuals have differing needs, and face differing barriers, than do lesbian, gay, and bisexual individuals. This is delineated within the presentation, with time spent focused on both. Some of the topics addressed include: terminology and its ever-changing landscape; specific disparities, both physical and mental, experienced by transgender and LGB individuals; the difference between being “LGBT friendly” and “LGBT affirming”, and what it means, exactly, to be affirming; how to create an affirming practice; how to broach, and talk about, the topics of sexual and gender identity, and further, why that is important; as well as challenging participants to examine and reconsider some of their own assumptions and biases, maybe even assumptions they may hold about themselves. The presentation is intended to be between 45-60 minutes, with time for discussion and Q & A afterwards.

Objectives:

  • Gain a better and working understanding of the unique needs and challenges facing the LGBT population when attempting to access healthcare of any kind.
  • Understand what being transgender means, including differentiating it from sex, gender and sexual orientation.
  • Gain tips for speaking to patients and clients about sexual orientation, gender identity, and describe why it is important to do so.

Slides:

Cox_Ryan_STI2017

 

 

 

 

 

 

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Compassion Fatigue: How Caring for Others Impacts the Professional and the Organization

Speaker(s):

Rachel Jones, MEd, LPC

Presentation:  Caring for others is hard work. Healthcare providers and human service professionals can sometimes grow tired with the demands of the job and exposure to trauma. This presentation will help professionals learn to recognize the warning signs of Compassion Fatigue and how it impacts their personal and work life. It will also help those in Administration/Management recognize how Compassion Fatigue impacts the workforce and organization. Learning how to change attitudes about stress and developing self-care plans can make a difference. Participants will walk away with ideas about how to create a culture in their organization that promotes awareness of Compassion Fatigue and strives to help employees achieve Compassion Satisfaction.

Objectives:

  • Discuss how the support that professionals provide to clients and families with behavioral health, substance use, trauma and disabilities needs impacts their personal and work life.
  • Site recognize warning signs and symptoms of Compassion Fatigue and understand approaches and techniques to create Compassion Satisfaction and wellness.
  • Recognize the impact Compassion Fatigue has on an organization and understand approaches and strategies to support employees that experience compassion fatigue and create a workplace culture of Compassion Satisfaction.

Slides:

Jones_Compassion Fatigue Training

Jones-Self-Care Plan

Jones-Organizational Self-Care Plan