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Traumatic Brain Injury and Post-Traumatic Stress Disorder in Veterans and Service Members

Speaker(s):

David Tate, PhD

Presentation:  This presentation will focus on diagnostic and research issues surrounding two common comorbid disorders in active duty service members and veterans, namely post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). The presentation will cover the issue of overlapping symptom presentation, briefly describe the basic biology that may underlie symptom presentation, and the implications these issues may have for treatment.

Objectives:

  • Review current epidemiology of PTSD and TBI in Service Members and Veterans.
  • Describe the issues of differential diagnosis especially in a population where these conditions are often co-occur.
  • Review the biological underpinnings of these two disorders.
  • Review the treatment issues and help attendees understand the current strategies for treatment of the comorbid conditions.

 

 

 

 

 

 

 

 

 

 

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Missouri’s State Targeted Opiod Crisis Grant: What We’re Doing and Why

Speaker(s):

Rachel Winograd, PhD

Presentation: Funds from the Federal 21st Century Cures Act were distributed to states by SAMHSA in Spring, 2017, to address the opioid crisis in the form of State Targeted Response to the Opioid Crisis (Opioid STR) grants. Missouri’s is led by Dr. Rick Gowdy, Director of the Division of Behavioral Health, Missouri Department of Mental Health, and directed by Dr. Rachel Winograd of the Missouri Institute of Mental Health-University of Missouri, St. Louis. Collaborative partners include substance use and healthcare agencies, organizations, and academic affiliates throughout the state. This talk will describe the landscape of opioid use and overdose deaths in Missouri and how the Opioid STR project plans to curb the trend and change the system of care in our state. The primary goals of the Missouri Opioid STR project include: 1) Increase provider and consumer-focused opioid use and overdose prevention initiatives and programs (through school-based prevention, telehealth consultation on safe opioid prescribing in primary care, and expanded overdose education and naloxone distribution efforts); 2) Increase access to evidence-based Medication Assisted Treatment for uninsured individuals with Opioid Use Disorder (OUD) (through rigorous provider training, direct service delivery, healthcare integration, and improved transitions of care in hospital and outpatient settings); 3) Increase the number of individuals with an OUD who receive recovery support services (through four new Recovery Community Centers, supportive recovery housing, and peer specialist services); and 4) Increase the likelihood of sustainability through policy and practice change as well as demonstrated effectiveness of grant-supported protocols.

Objectives:

  • Describe the regions and populations in Missouri most heavily impacted by opioid use and overdose death
  • Describe the role of agonist and partial agonist medications (e.g., Suboxone) in an evidence-based approach to the treatment of opioid use disorder
  • Review the primary objectives of the Missouri State Targeted Response to the Opioid Crisis Grant in the areas of prevention, treatment, and recovery support

Slides and Handouts:

Winograd STI Missouri Opioid STR

 

 

 

 

 

 

 

 

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Develop a Deeper Understanding of Yourself While Internalizing the Emotional Milestones of Young Children

Speaker(s):

Stephen Zwolak, MEd

Presentation: This interactive Prezi presentation will allow participants to apply Early Childhood Mental Health Consultation primary prevention concepts in the classroom, clinician’s office, and home addressing the mental health concerns of children, educators, and families. Through mixed media (videos and photos), reflection, and break-out discussions, participants will learn about themselves, trauma in early childhood, children’s emotional milestones, and how they can use this knowledge to strengthen relationships with children and families while advocating for children’s mental health.

Objectives:

  • Express the importance of understanding ourselves, so we can better understand children and improve our day-to-day practice.
  • Identify emotional milestones that will enhance their relationships with children and families.
  • Express participants become advocates for promoting the mental health of children.

Slides:

Zwolak_Develop a Deeper Understanding of Yourself.Steve Zwolak, M.Ed.

 

 

 

 

 

 

 

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Hiding in Plain Sight: Treatment Considerations for Males Who Have Been Sexually Abused, Part 2

Speaker(s):

James Smith, MEd, LPC and Greg Holtmeyer, MEd

Presentation: The presentation will discuss treatment considerations that are specific to men, focusing on broaching the subject of victimization with someone that the therapist suspects has been sexually assaulted. This presentation is a follow up to Hiding in Plain Sight Part 1.

Objectives:

  • Describe a first-hand account of a man who has thrived after experiencing sexual abuse.
  • Recognize the effects of sexual abuse that are specific to men.
  • Identify modifications in treatment approaches that lead to greater success and healing for men.
  • List cognitive and emotional behavioral symptoms associated with sexual abuse.
  • Explain strategies in broaching the topic of possible sexual abuse with clients or families.

Slides:

Smith_Holtmeyer_Hiding in Plain Sight

 

 

 

 

 

 

 

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Watch Your Language! Reducing Stigma by Recognizing the Power of Language

Speaker(s):

Rachel Taube, MSW and Brenden Christensen, MSW

Presentation: Stigma is real and impacts lives– whether it prevents someone from reaching out to provide to support to someone in a mental health crisis, or prevents someone from seeking the treatment they deserve. Stigma is reflected in how many people talk about mental health problems. Statements like “That’s crazy” or “She’s so OCD” can stigmatize and minimize mental health problems. Join us to learn more about stigma and understand the research on this topic. You will take away practical strategies to combat stigma and raise awareness of mental health problem, including some of the strategies used in Mental Health First Aid. Whether you’re a seasoned professional, a person with lived experience, a community member or all of the above– join us to reflect on your own use of language and join the movement to end stigma.

Objectives:

  • Describe the structure and research surrounding of stigma.
  • Reflect on their own use of language that might be stigmatizing.
  • Discuss practical strategies and knowledge about programs to combat stigma.

Slides and Handouts:

Taube- Watch your language

 

 

 

 

 

 

 

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Introduction to Somatic Experiencing: A Psychophysiological Approach to Resolving Trauma

Speaker(s):

Rebecca Ehrke, PsyD

Presentation: Somatic Experiencing (SE), developed by Dr. Peter Levine, is a potent psychobiological approach to resolving symptoms of trauma and chronic stress. SE offers a framework to assess where a client is “stuck” in the survival responses of “fight, flight or freeze”. SE provides clinical tools to resolve these fixated physiological states that underlie many trauma symptoms. Participants will gain a basic understanding of how trauma affects the autonomic nervous system, how SE supports resolution of trauma symptoms and learn a few tools to support nervous system regulation.

Objectives:

  • Develop a basic understanding of Somatic Experiencing and why it is highly effective in the treatment of trauma-related psychiatric disorders.
  • Review a few basic tools to support physiological and emotional regulation in those who are experiencing symptoms of trauma and other stress-related conditions.
  • Define how psychological and physiological symptoms of PTSD occur as a result of being “stuck” in fight, flight or freeze survival responses.

Slides:

Ehrke_SE intro training Tantara

 

 

 

 

 

 

 

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The Integration of Mindfulness in the Treatment of Addictions, Trauma and Anxiety Disorders

Speaker(s):

Robert Cox, MA, PLPC

Presentation: Trauma underlies every addiction. The research is increasingly bearing out this fact. In addition, PTSD and anxiety disorders are nearly always underpinned by trauma. Mindfulness is a technique that can be used to rewire those trauma responses. By learning to sit with emotions and observe them, recognizing where they come from and their purpose by slowing and releasing the limbic region, we can retrain the brains automatic response to those trauma events. This presentation will cover the latest in neuroscience and the effects of mindfulness on the treatment of these issues.

Objectives:

  • Identify the ways that trauma relates to addictions, PTSD and other anxiety disorders and mental illnesses.
  • Identify and discuss the process of trauma, memory storage and recall involved in the brain.
  • Discuss the ways that mindfulness can begin to heal the mind in conjunction with other therapies.
  • Use several Mindfulness exercises in assisting individuals with trauma, PTSD and comorbid disorders in gaining emotional regulation and building resistance to triggers and relapse.

Slides:

Cox_Robert_MIndfulness Treatment for Addiction and Trauma

 

 

 

 

 

 

 

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Treating People with Intellectual Disabilities and Sex Offending Behavior

Speaker(s):

Sharon Robbins, PhD and Lee Ann McVay, PsyD

Presentation: Treating people with intellectual disabilities and sex offending behavior is a challenge. This presentation will include a variety of issues in treatment. Terminology in intellectual disabilities is at times different than terminology used when working with sex offenders. Offense characteristics are different in people with intellectual disabilities and sex offending behavior. Specific diagnoses related to sex offenders may present differently in sex offenders with intellectual disabilities. Assessment based treatment is important in addressing the sex offending behavior. Consideration of risk is more complicated and individualized. Comprehensive treatment planning on an individualized basis is important for successful treatment.

Objectives:

  • Identify terminology issues associated with people with intellectual disabilities and sex offending behavior.
  • Explain how functional behavior analysis can be applied to sex offending behaviors.
  • Recognize treatment needs for people with intellectual disabilities and sex offending behaviors.

Slides:

Robbins_Treating People with Intellectual Disabilities and Sex Offending

 

 

 

 

 

 

 

 

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Counselors and Probation Officers: Dancing or Wrestling? Tips for Collaborative Practice

Speaker(s):

Adriatik Likcani, PhD and Lori Burk, BCJ

Presentation:  Participants will learn tips for collaborative practice between Service Agencies and Probation and Parole, and between counselors and probation officers. The presentation will discuss collaborative practice at the micro, mezzo and macro level. The presenters will: a) focus on debunking myths and misunderstanding that exist among professionals on both sides about each other; b) present the underlying philosophies of the two distinct disciplines and the areas of overlap; c) focus on the necessity for collaborative practice and the benefits for clients, their families and the community when there is strong mutual working relationship; and, d) highlight practical tips and skills for collaborative practice. Presenters have a long history of working together on establishment of services for clients (micro level), development of local coalitions and a recovery oriented system of care (macro level) to increase collaboration and reduce stigma, and on advocacy issues related to services and policies that effect clients and their families. We will use humor to share about bottlenecks and “wrestling” moments throughout the past 14 years of working with each other in the same community. We will share about our misconceptions, the mistakes we learned from, how we handled conflicts, strategies we used to resolve issues, and tips for agency administrators, counselors and probation officers to strengthen their collaboration for the benefit of their clients, families, and the community. The topics that will be addressed in this session are commonly taking place daily in practice and we hope to shed some light on these issues through our honest and open discussion about our journey. Our experiences are not unique compared to others, but our journey is unique for achieving the level of respect, collaboration and success in programs and services for clients and their families, and for establishing tips and guidelines for successful collaborative practices.

Objectives:

  • Review the importance of strong recovery oriented systems of care and collaborative practice between service agencies and probation and parole, and between probation officers and counselors.
  • Describe the distinct roles and common factors between probation and parole officers and counselors.
  • Review a variety of tips and interventions to develop and/or maintain strong working relationships and enhance the recovery oriented system of care for the benefit of clients, their families and the community

 

 

 

 

 

 

 

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Certified Missouri Peer Specialists – “Yeah, but what do they DO?” An inside look at the CMPS trainers’ favorite peer support skills

Speaker(s)

Sarah Earll

Mickie McDowell

Toni Jordan

Certified Missouri Peer Specialists will share their favorite skills taught during the Certified Missouri Peer Specialist Basic Training, how they teach new peer specialists, and how they see peer specialists using those skills in their work with peers starting their recovery.

Objectives:

  • To provide information on specific skills Peer Specialists learn during their training.
  • To give audience members a clear picture of what Peer Specialists can do for the recovering peer.
  • To give audience members a clear picture of how the skills learned by Peer Specialists can be complemented by other professionals on a recovery team.