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Increasing Safety Through Self-Management In a Forensic Psychiatric Hospital: A Case Study

Speaker(s)

Blake Schneider, MSW, LCSW

Kaelee Newton, MS

Dakota Dancy, BA

Assaults, self-injury, and hostile relationships are prevalent within inpatient psychiatric hospitals. Unfortunately, these phenomena are known to be unnecessarily maintained by common and well-intentioned treatment practices. The New Outlook Program at SLPRC sought to remove and replace these practices and adopt ones that promoted client self-management in an effort to improve treatment and safety outcomes. The New Outlook Program sought to reduce episodes of assault, self-injury, and use of restraints and to minimize the role of punishing intervention strategies.

Objectives:

  • Identify strategies to decrease episodes of assaults and restraints
  • Review and identify strategies to increase self-management
  • Review and identify rationale for and strategies to reduce the role of arbitrary and punitive external controls

 

 Schneider Spring Institute Presentation-Final Slides in PDF format

 

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Advances in Schizophrenia & Glutamate Theory

Speaker(s)

Derek Brown, MD

This presentation will provide a summary of research regarding the Glutamate theory of schizophrenia. It will also provide current research regarding the direction of treatment research.

Objectives:

  • Discuss the development of the glutamate theory of schizophrenia
  • Discuss recent research regarding the glutamate theory of schizophrenia
  • Discuss therapies that target the glutamate system.

Dawny Barnhart, MD

This presentation will provide an introduction to innovative treatment for schizophrenia using cognitive skills and therapy.

Objectives:

  • Provide introduction to CET
  • Provide background, need for and success of CET
  • Increase awareness to the CET that is being utilized at Truman CBM

 

Barnhart – Slides in PDF format
Brown Derek glutamatehypo4 – Slides in PDF format

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Building a Culture of Motivational Interviewing

Speaker(s)

Scott Kerby, MA, LPC

This workshop focuses on developing a workplace culture that aims to build Motivational Interviewing (MI) into the DNA of the organization. Too often, time and resources are wasted in training staff in MI in ways that produce very little lasting change in practice. This workshop aims to give a clear definition of MI as a measurable skill, provide strategies that are being successfully utilized by organizations to develop and maintain MI proficiency with their staff, and introduce participants to the wide variety of resources available to aid in the development of a lasting culture of MI.

Objectives:

  • Review a variety of therapeutic approaches to meet the behavioral health needs of their clients and their families
  • Provide a brief overview of Motivational Interviewing as an Evidence Based Practice
  • Review strategies used successfully by organizations that have developed a sustainable culture of Motivational Interviewing
  • Educate on the numerous free and cost effective resources available to support ongoing MI

 

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Ethics in the Clinical Relationship, Part I

Speaker(s)

Mark Sanders, LCSW

This skill-building workshop will address ethics in the clinical relationship. A partial list of topics includes: Eight Principles that Can Help with Ethical Decision Making in the Clinical Relationship; Achieving Clinical Excellence; The Impact of the Counselor’s Unfinished Business on Ethical Decisions; The Use of Countertransference as a Tool to Achieve Excellence in the Clinical Relationship and to Avoid Ethical Dilemmas; Establishing Healthy Boundaries; Addressing Multiple Relationships with Clients; Strategies for Avoiding Burnout and Compassion Fatigue to Avoid Ethical Violations in the Clinical Relationship; Six Strategies for Leading an Ethical Life and the use of the NASW code of ethics to address ethical dilemmas presented via case vignettes in an interactive manner. This promises to be a fun learning experience.

Objectives:

  • Be aware of eight principles that can help with ethical decision making.
  • Be aware of how to use countertransference as a tool to achieve clinical excellence and avoid ethical dilemmas.
  • Be aware of how to address issues around dual/multiple relationships with clients.
  • Be aware of the counselor’s unfinished business can impact ethical decisions.
  • Be aware of four strategies for achieving healthy boundaries with clients.
  • Be aware of the differences between burnout and compassion fatigue and how each can impact ethical behavior.
  • Understand how to utilize the NASW code of ethics to solve ethical dilemmas.

Sanders Handout Ethics in Clinical Relationship – Slides in PDF format

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The Health of LGBT Missourians – A Growing Disparity with Solutions

Speaker(s)

Andrew Shaughnessy, MA

As the LGBT community continues to march toward social justice, local LGBT organizations have been challenged with the affects that these issues have had on the health of our community. Discrimination, bullying, the legal denial of basic rights, and the invisibility we have often felt from our health and social service providers has led our community down a path of health inequality. This workshop will provide attendees with a roadmap for bridging the gap found in LGBT health disparities in Missouri.

Objectives:

  • Insights into the health of LGBT Missourians –including their mental health
  • Diversity and inclusion – cultural competency and population health
  • Supporting LGBT Military personnel
  • Inclusion of LGBT welcoming policies and practices for health and social service providers.
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Why Individual Who Use Substances Have Increased Risk for Suicide

Speaker(s)

Rick Strait, MS, LPC, CRDAC

Heather Williams, BA, CCJP, MARS

Our presentation will cover: statistics associated with substance abuse/dependence and increased risk for suicide, factors that make this a high risk population.  We will also cover things that professionals, other staff, community members, family and friends can do to help recognize the warning signs of suicide and help provide appropriate support to help reduce the risk of suicide.

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Let’s Talk Families: Understanding the Important Role of Families in Early Intervention for Psychosis

Speaker(s)

Catherine Adams, LMSW, ACSW, CAADC

A first episode of psychosis can have a devastating impact on families leading to a variety of emotional and behavioral responses including, but not limited to, confusion, fear, loss, hypervigilance, disbelief, change in expectations, anger and hopelessness. Most families want to be involved in supporting their relative. What do families want and need to be partners in their loved one’s recovery? How has this experience affected the family? This session will identify the impacts for families of loving someone experiencing psychosis for the first time. We will identify strategies to help families build on their strengths and cultivate the necessary knowledge, attitudes and skills to cope effectively and support their loved one’s progress.

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Medical Imaging Research in Psychology and Psychiatry: A picture is worth a thousands words, but is it really telling you anything?

Speaker(s)

David Tate, PhD

Imaging studies meant to inform diagnosis, prognosis, and treatment utilize medical imaging methods that are often difficult to interpret and utilize in practical ways.  This training will improve the average clinicians ability to access this literature in an appropriately critical manner by providing clinical providers with basic skills and knowledge that will be useful in interpreting imaging research in psychological and psychiatric patient populations.  We will discuss types of imaging studies and basic imaging measures in the context of several important studies of psychiatric and psychological diagnosis such as PTSD, schizophrenia, traumatic brain injury, and drug addiction.
Learning Objectives:
1.  Attendees will understand and be able to define basic medical imaging methods and terms commonly used in the research literature.
2.  Attendees will be able to demonstrate these basic medical imaging methods and terms using current psychological and psychiatric research literature.
3.  Attendees will understand the basic biological information revealed with imaging methods in the context of depression, PTSD, schizophrenia, and drug addiction.

Slides in PDF format

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The Impact of Parental Substance Use on Young Children and Teens

Speaker(s)

Megan Keller, MS

Substance use disorders have been found to affect the whole family, not just the person that is using or drinking. Children of an addicted parent are at much higher risk for addiction themselves. This presentation will bring more light onto how this is a family disease and, in particular, how young children and teens can be helped through their own recovery. Concepts that will be shared are Warning Signs, the 5 Cs, At-risk Kids, the Reaction Spiral, Effects of Stress, How Adults Can Help and the importance of a Safety Plan. This will be an interactive presentation utilizing worksheets, Power Point, and class participation.

Keller The Impact of Parental Substance Use on Young Children and Teens – Slides in PDF format

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Effective Collaborations to incorporate MAT and enhance the Continuity of Care for Corrections Involved clients

Speaker(s)

Stephen Doherty, MEd

Marta Nolin, PhD

This presentation will provide an overview of the integration of medication assisted treatment (MAT) into the full continuum of substance use disorder treatment for offenders incarcerated in and/or supervised by the Missouri Department of Corrections. The presentation will underscore the collaboration established and in place between numerous state agencies and private treatment providers that has been essential to enhance treatment processes over the continuum from in-custody to community based treatment. Included in the presentation will be an overview of the various MAT projects and steps necessary in implementation and challenges, lessons learned, steps toward expansion and preliminary evaluation outcomes. The presentation will include representatives from the various disciplines who contribute to the success of this project toward reducing recidivism of offenders with substance use disorders including the Departments of Corrections and Mental Health, Probation and Parole, in-custody and community based medical services, in-custody and community based SUDS treatment providers and academia involved in research and evaluation of the project.