2017

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Strategic Interventions for Engaging Resistant Adolescents

Speaker(s):

Amanda Gregory, MA, NCC, LPC

Presentation: Adolescents are one of the toughest populations to engage in therapy. Clinicians encounter multiple obstacles while serving this population such as dysfunctional family dynamics, mandated treatment expectations, developmental trauma, attachment needs, brain development, and attention issues. This presentation will provide a road map illustrating how to facilitate engagement by building and maintaining trusting relationships by utilizing experiential interventions. Attendees will learn how to build and maintain trusting relationships with highly resistant adolescents by providing empathy, attunement, playfulness, safe boundaries, empowerment, and cultural sensitivity. Attendees will also learn how to implement multiple individualized experiential interventions designed to promote adolescent engagement. This presentation will include demonstrations of the interventions, opportunities for attendees to practice these interventions, and intriguing case studies.

Objectives:

  • Identify obstacles which hinder engagement when providing treatment for resistant adolescents
  • Develop how to build and maintain a trusting relationship by utilizing the following interventions: empathy, attunement, playfulness, safe boundaries, empowerment and cultural sensitivity
  • Practice and implement individualized experiential interventions designed to promote adolescent engagement

Slides:

Gregory_Strategic Interventions for Engaging Resistant Adolescents A Gregory

 

 

 

 

 

 

 

 

 

 

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Past, Present and Future Supports for Individuals with Developmental Disabilities

Speaker(s):

Cla Stearns, PhD

Presentation: The presentation will describe emerging trends in the supports available for individuals with developmental disabilities, including the national push for true integration into the community.  These trends will be presented in the context of historical attitudes and service delivery models.  The recent federal emphasis on elimination of coercion, expectations of participation in the workplace, and the advancement of opportunity for a typical life will be discussed.  The presentation will also address the reality of co-occurring disorders and the increased emphasis on individuality of supports based on the individual’s interests, abilities, and desires.  Future trends, including a move from diagnosis-based services to function-based services will also be discussed.

Objectives:

  • Explain the trajectory of service provision from institutional congregate care through distributed congregate care and on to individual supports provided in the general community based on personal interests, goals, and functional ability.
  • Encourage of a view of supports that moves past diagnosis-based approaches to one based on the interaction between an individual and the community environment.
  • Recognize the fundamental right of all individuals to the opportunity for a typical life and what this concept means for the traditional view of supports.

Slides:

Stearns_Past Present and Future Supports for Individuals

 

 

 

 

 

 

 

 

 

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Welcoming the LGBTQ population into your Professional Scope

Speaker(s):

Shelly Farnan, PhD

Presentation: This presentation is designed to increase Cultural Competence in working with the LGBTQ Population in an environment that is dynamic, supportive, genuine, and fun. The needs of LGBTQ patients and their families are often overlooked, neglected, or minimized by providers. Often this oversight is rooted in lack of training, lack of experience, and provider comfort level. The goal of this training is to portray realistic representations of the multifaceted LGBTQ experience to promote a realistic understanding and develop comfort and confidence in recognizing and meeting unique needs. Participants who attend this training will gain knowledge, skill, ability, and interest in working with the LGBTQ population. This presentation offers opportunities to obtain the language providers need to respect and empower patients, to become an inclusive practice, to build confidence in developing relationships necessary to nurture healing and growth, and to obtain useful LGBTQ resource information.

Objectives:

  • Describe the importance of incorporating sexual orientation and gender identity into the professional relationship
  • Describe healthcare needs and barriers to care for the LGBTQ population
  • Identify Best Practices in creating a safe and welcoming environment for LGBTQ people and in treating LGBTQ patients

Slides:

Farnan_2017 Spring Institute

 

 

 

 

 

 

 

 

 

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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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Hiding in Plain Sight: Treatment Considerations for Males Who Have Been Sexually Abused, Part 1

Speaker(s):

James Smith, MEd, LPC  and Greg Holtmeyer, MEd

Presentation: This presentation will expose participants to a personal journey from victimization to recovery and give insights into road blocks that are specific to men who have been sexually abused. The presentation will discuss treatment considerations that are specific to men.

Objectives:

  • Present 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.

Slides:

Smith_Holtmeyer_Hiding in Plain Sight

 

 

 

 

 

 

 

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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