Ethics of Supervising: Gatekeeping, Remediation, and Ethical Decision Making

Speaker(s):

James Smith, MEd, LPC, NCC

Presentation:

This presentation focuses on the ethical principles from various Codes of Ethics, including ACA, NASW, and the Missouri Credentialing Board, which inform the practice of supervision. Counselors, social workers, and substance abuse professionals serve as gatekeepers of the professions through the supervision of students and post-graduate applicants for licensure. Supervision practice involves parallel processes, including full disclosure, personal development planning, and termination. In each of these stages, professionals can find help in ethical guidelines. This presentation will also demonstrate how professionals can apply ethical-decision making models to issues surrounding remediation and termination of supervision.

Objectives:

  1. Apply ethical principles to the practice of supervision
  2. Apply ethical codes (ACA and NASW) in initiation, full disclosure, personal development planning, and termination of supervision
  3. Apply an ethical decision-making model to issues related to remediation and termination of supervision

Co-Occurring Disorders…the Epidemic of Today’s Clinician

Speaker(s):

Stephanie Flynn, LCSW

Presentation:

Co-Occurring Disorders are ever present in our practice now more than ever and we must be educated as professionals on how to best meet the needs of our clients. We cannot keep looking at the person across from us and skipping the questions about substance use or alcohol use just assuming that they do not look the type or meet the age criteria in our mind. In my experience of practice, most people I have interviewed first used marijuana at about age 10-11 due to it being available in the home. This leads us to the point that we must be treating both issues with our client or we are simply putting a band-aid on the problem. This is a nation-wide crisis, but especially in the bootheel of Missouri we are losing this battle which means-we are losing lives. I have witnessed this first hand as many of my colleagues. IT IS AN EPIDEMIC. As professionals we must make it a priority as much as we have suicide in order to make a change. In this session I will address how we can make a change in our communities, in our offices, in our clients as well as in our professional treatment of our clients.

 

Objectives:

  1. Identify those with co-occurring disorders
  2. Utilize community programs to support goals in working towards helping this population of clients
  3. Describe ways clinicians can be more effective in working with this population

 

Vicarious Trauma, Secondary Traumatic Stress, or Burnout? Implications for Mental Health Professionals

Speaker(s):

Mark Moore, MA

Rachel Colwick, MA

Presentation:

This presentation consists of an eclectic, contemporary review of the literature involving vicarious trauma, secondary traumatic stress, and burnout including their implications for professionals working in the mental health field. These constructs will be defined in-depth and opposing views from the present empirical studies will be fully explored as well as outlined. For example, a research study indicated that 60 percent of therapists who noted a personal history of trauma reported significantly more vicarious trauma symptoms (Pearlman and Mac Ian, 1995). Other studies have indicated that approximately 38 percent of social workers experience moderate to high levels of secondary traumatic stress (Cornille and Meyers, 1999; Dalton, 2001). Additionally, Devilly, Wright, & Varker (2009) found that being new to the profession along with beliefs about one’s safety and intimacy with others, which are subscales of vicarious trauma, predicted affective distress. This presentation will further describe the signs and symptoms for the development of these constructs including those professionals who are more at-risk. Case studies or personal stories will be highlighted to better illustrate the aforementioned. Due to counselors, social workers, psychologists, and the like are not the only professionals who are impacted by these entities, special attention will be applied to those in the judiciary system including judges, lawyers, and probation officers, to name a few. Self-care strategies along with protective factors will be discussed and experiential exercises will be utilized during this presentation. Furthermore, organizational components of vicarious trauma will be discussed. Specifically, changes in the organization culture, education, work environment, group support, workload, and supervision will be addressed that could help professionals to mitigate these effects.

Objectives:

  1. Define vicarious trauma, secondary traumatic stress, and burnout
  2. Identify the symptoms of traumatic stress and burnout including at risk populations
  3. Learn and utilize self-care strategies for mental health professionals
  4. Describe changes in the organizational culture with respect to vicarious trauma
  5. Discuss these constructs in their application to professionals within the mental health and judiciary system

Buddy Circles: A Model of Peer Support to Promote Social Emotional Wellbeing in Children

Speaker(s):

Haley Biehl, MAT

Sarah Christman

Presentation:

Buddy Circles are a peer-support approach for elementary schools that focus on the social-emotional wellbeing of children, and have proven to be an additional mode of support for students with disabilities, students who have experienced trauma, and students with low levels of esteem and resilience.

Objectives:

  1. Introduce a peer support approach that enhances support for students with disabilities, students experiencing trauma and/or discrimination, and students who require support due to extenuating circumstances
  2. Educate how to facilitate student-initiated discussion groups that promote advocacy, problem-solving, and mentoring in school-aged children
  3. Describe an approach to empower caregivers and providers with the language and tools necessary to increase community awareness and participation in the process

Brown Girl T/Drauma: Women of Color & Trauma Today

Speaker(s):

Gladys Smith, PsyD, MEd, MHs

Presentation: The presentation will increase your knowledge and awareness about the link between historical and intergenerational trauma, and the current challenges for women of color. The presenter will discuss culturally-sensitive, trauma-informed practices you can use with your clients in individual and group sessions. The purpose is to have a transparent, informative discussion about the status of Women of Color in our offices, our treatment centers and in our communities.

Objectives:

  1. Describe the link between historical trauma and the challenges faced today by Women of Color
  2. Identify culturally-sensitive, trauma-informed practices with individuals and communities
  3. Recognize and discuss your own conscious and unconscious perceptions that could interfere with treatment

Strategies for Helping People to Connect to Enduring, Positive Relationships

Speaker(s):

David Pitonyak, PhD

Presentation: Many people served by our system are relationship impaired. Many have become relationship resistant. This workshop examines the impact of anxiety on each person’s capacity to develop healthy relationships and what we can do to help build self-confidence in the people we serve.

Objectives:

  • Describe the positive role anxiety can play in our lives in helping us to process social information and organize ourselves in time and space
  • Explain how too little or too much anxiety can disable our ability to process information
  • Explore strategies for building self-confidence in people who lack relationships, including short, repeated practice, having concrete things to do, and making a contribution to others

Energy Management and Self-Care for Therapists

Speaker(s):

Karolyn Senter, MEd, PhD

Presentation: Because the therapist’s primary tool in their work is the self, care of the therapist is extremely important for both the therapist and the client. This presentation will highlight the benefits of managing energy over managing time alone. It will address the functioning of the therapist from 4 sources of human energy (physical, emotional, mental and spiritual) and identify ways to improve energy in all areas.

Objectives:

  • Reveal why managing energy is more important than managing time
  • Identify energy thieves in their personal and professional lives
  • Describe how to formulate a plan to address self-care on all levels of functioning (physical, emotional, mental and spiritual)

Mindfulness and Emotional Regulation in Personality and Dissociative Disorders

Speaker(s):

Robert Cox, MA, LPC, NCC

Presentation: Trauma is at the root of all addiction and often results in dissociative and personality disorders. When the addiction is comorbid with these disorders, treatment can become difficult. Often treating the trauma that is creating reactivity and dissociative states becomes primary. This presentation covers recent research in trauma, the way it changes the brain and how we can begin rebuilding neural connections by processing the trauma and using mindfulness as a tool to keep the client from dissociating and in the room with the therapist. By using mindfulness and a few basic techniques we can begin expanding the emotional window for our clients while keeping them emotionally regulated and allowing them to reprocess the trauma. Some basic techniques in mindfulness and directed meditations will be discussed for aiding the client through those difficult spaces.

Objectives:

  • Identify structures in the brain affected by trauma and how that affects emotional development
  • Describe forms of dissociation and potential signs of its occurrence
  • Review methods of using mindfulness to regulate through anxiety and keep the client present
  • Discuss mindfulness for somatic experiencing in the processing of trauma
  • Demonstrate several mindfulness exercises that attendees can use with patients

Slides and Handouts:

MIndfulness, Affect, Dissociative and Person notes

Best Practices in Providing Trauma-Informed Care to Women in Institutional Treatment

Speaker(s):

Kyra Haney, MS, CRADC

Jessica Zeger, CRADC, CS

Presentation: Research has firmly established that incarcerated populations have experienced traumatic events and Post Traumatic Stress Disorder (PTSD) at a much higher rate than the general population and a link between traumatic events and later criminal activity has been established. Of particular importance for correctional substance use disorder programs, is the fact that individuals with PTSD are at a 4 to 5 times greater risk of using or misusing substances than those without PTSD. A woman who is incarcerated may have experienced an average of 6 traumatic events in her lifetime, whereas a typical woman in the community has experienced an average of 2 traumatic events. Incarcerated women also have higher rates of PTSD than women in the community (40% vs. 12%) and are ten times more likely to use substances in response to trauma (64% vs. 6%). This presentation will not just look at the prevalence of trauma, but will provide an overview of how two correctional women’s treatment programs have begun the transformation to providing trauma-informed care. This transformation has included identifying ways to assess participants’ level of trauma at admission and discharge, implementing measures to positively impact trauma, training staff and making a trauma sensitive and responsive shift in culture and practices. Presenters will provide an overview of the steps taken to begin providing trauma-informed care to women in Institutional treatment.

Objectives:

  • Provide an overview of how to make the transformation to providing trauma-informed care
  • Provide suggestions on how to assess and identify trauma
  • Provide suggestions on how to address trauma once identified
  • Provide training suggestions for staff
  • Provide suggestions on effective collaboration in implementing a trauma-informed approach

Slides and Handouts:

Haney_Best Practices Providing Trauma-Informed Care to Women in

Transgender Youth – Understanding and Treating

Speaker(s):

Dean Rosen, PsyD

PresentationThere has been a quiet revolution taking place of parents who recognize that their child has strong identification with a gender that was not assigned at birth. Some children are showing this identity as young as three or four, often insisting that they live as that other gender. While psychologists believed in the not so distant past that they could change a child’s gender variance by rewarding the play of more stereotypical boy or girl toys, we now recognize that gender is a more fixed trait that is biologically based and not easily changed. When not allowed to live in their preferred gender, these youth can develop severe symptoms of depression, anxiety, self-harm or other self-destructive escapist behaviors. These children are subject to much bullying for breaking the gender code enforced by peers on how boys should act and how girls should act.

This presentation will inform the attendees on the development of our current concepts of gender, the treatment approaches used to deal with gender dysphoria, and the resources available to help families and their child, including self-help groups, medical approaches, community resources, and counseling or psychotherapy to build self-acceptance and acceptance by parents as well as how schools can support these students to build a climate of respect and tolerance. This presentation will also address what is now called non-binary identities of youth who see themselves on a gender spectrum, somewhere between male or female.

Objectives:

  • Review the evolution of our concept of disorders of gender identities
  • Discuss the experience of gender variant youth as they develop
  • Describe the multiple approaches used to help families and children
  • Explain gender as a spectrum and non-binary identities