Buprenorphine for Heroin Dependence: An Update

Speaker(s):

Luis Giuffra, MD, PhD

Presentation:  Dr. Giuffra will describe the result of scientific data on how to use buprenorphine successfully in the treatment of heroin dependence.

Objectives:

  • Review the role of medications in the treatment of heroin dependence.
  • Describe the best methods of using buprenorphine.
  • Discuss the role of psychosocial interventions in the context of buprenorphine use.

 

 

 

 

 

 

 

 

 

Integrating the Six Principles of Trauma Informed Care with the Six Principles of Strengths-Based, Person-Centered Model of Interpersonal Helping

Speaker(s):

Walter Kisthardt, PhD, MSW

Presentation:  Behavioral Health professionals have become increasingly aware of the importance of integrating the 10 principles of Trauma Informed Care into all aspects of interventions that are designed to promote social, psychological, physical and spiritual well-being. Research has also demonstrated how Strengths-Based, Person-Centered practice may generate increased proactive goal attainment on the part of a diverse group of service participants. In this workshop, Dr. Kisthardt demonstrates how the principles of Trauma Informed Care are inextricably linked to, and supported by, the principles of the Strengths Perspective in Social Work Practice. Participants then will explore how to consciously incorporate strategies into their work that increase the level of participant engagement in the interpersonal helping process; how to utilize the Person-Centered Strengths Assessment to assure attention to addressing how trauma may impact current and future goal attainment; and how the use of collaborative planning and documentation on the Personal Wellness/Recovery Plan promotes movement at the participants’ own pace and attends to positive, hopeful accomplishments that fuel recovery. Those who have attended Dr. Kisthardt’s workshops over the years have reported feeling affirmed, challenged, informed, aware of creative ideas to incorporate in challenging situations, while at the same time have fun in the process.

Objectives:

  • Introduce skills identified by the research that serve to promote engagement and the development of a trusting collaborative helping partnership
  • Explain how to integrate the Person-Centered Strengths Assessment as developed primarily by the service participant to reflect expression of trauma-informed principles
  • Describe how the Personal Wellness/Recovery Plan may be utilized to promote social/behavioral goals and outcome oriented practice.

Slides:

Kisthardt Strengths and Trauma

 

 

 

Lean Six Sigma in Behavioral Health

Speaker(s):

Tara Yates, BS, Kristine Norris, RN, BS and Felix Vincenz, PhD

Presentation: According to the Joint Commission of Transforming Healthcare, St. Louis Psychiatric Rehabilitation Center will be one of the first behavioral health hospitals in the country to begin training in Lean Six Sigma and utilize their methodologies in their strategic plan. When Lean Six Sigma is discussed in business, leadership frequently states “We are unique, it won’t work here.” Our presentation will demonstrate to attends that Lean Six Sigma can work in Behavioral Health. The presentation will focus on the steps St. Louis Psychiatric Rehabilitation Center took to certify 25 individuals as Yellow Belts in Lean Six Sigma. To be more specific, the presentation will alternate between brief Lean Six Sigma education and examples how the tools and methodologies were applied to the culture of St. Louis Psychiatric Rehabilitation Center.

 

Objectives:

  • Describe how Lean Six Sigma can work in behavioral health settings.
  • Discuss the steps that St. Louis Psychiatric Rehabilitation Center took to certify 25 individuals as Yellow Belts in Lean Six Sigma.
  • Explain Lean Six Sigma education and give examples of how the tools and methodologies were applied to the culture of St. Louis Psychiatric Rehabilitation Center.

Slides:

Yates_The Lean Six Sigma Journey In Mental Health Option 1

 

 

 

 

 

 

 

 

 

 

 

 

 

Using Legal Advocacy to Improve Mental Health Outcomes

Speaker(s):

W. Patrick Mobley, JD

Presentation: The presentation will be targeted to treatment providers and case managers, particularly those who work with low-income clients. The presentation will focus on 4 topics: 1. Expanding the focus of the treatment/case management relationship to include problems that cannot be solved through treatment or social work interventions alone. 2. Common legal problems encountered by individuals with mental illness that destabilize their lives or make recovery more difficult. 3. How to use holistic representation to partner with an attorney and recognize issues an attorney may be able to assist with. 4. The important example of executing a power of attorney as a means to ensure that an individual’s wishes are carried out should he or she become incapacitated. In particular, this section will focus on the important legal differences between a power of attorney and a guardianship,

Objectives:

  • Explain the role an attorney can play in improving mental health outcomes.
  • Identify the advantages of powers of attorney as a way to protect people from the imposition of guardianships.
  • Recognize common legal issues that impede mental health recovery and identify those issues with their own clients.

Slides:

Mobley_Pat_Spring Training Institute Mobley

 

 

 

 

 

 

 

 

 

 

 

Using Social Media to Reach the Underserved Mental Health Population

Speaker(s):

John Cordray, MA, LPC

Presentation: If you could reach thousands of people around the world who struggle with a mental health issue, would you do it? If you could prevent someone from committing suicide half way around the world, would you do it? John has done this and more and he will teach you how you can begin to use social media to help people as well. There are a lot of mental health professionals with vast degrees and knowledge, but only a fraction knows how to use social media to help people who struggle with a mental illness. This presentation will encourage and inspire you to, at least think about ways to help people with a mental illness beyond the office. John will provide his own experience as well as provide practical ways how you can begin expanding your professional reach to help bring an end to the stigma of mental illness, and even grow your practice, by using social media while staying HIPAA compliant.

Objectives:

  • Provide emerging trends in social media and how mental health professionals can utilize them to help people.
  • Provide ethical and professional reasons for using social media to help people with a mental illness.
  • Describe how to use various social media platforms to promote sound mental health.

 

 

 

 

 

 

 

 

 

 

 

Helping Someone on the “Borderline”: Behavioral Strategies for Better Outcomes

Speaker(s):

Teresa Rodgers, PhD

Presentation: A person whose functional level is neither significantly impaired yet not quite typical could experience the phenomena of “falling between the cracks.” Services typical for those with developmental disabilities might be too intrusive or restrictive, the stigma associated with the population and service provider off putting, even if funding (self, insurance or governmental subsidized) were available.  Resources available for the “unimpaired” might not work either.  People described as having borderline intellectual functioning often experience other co-occurring problems including those common to individuals diagnosed with mental health disorders such as borderline personality disorder.  Behavior Analysis offers some technology and strategies that have been effective with a wide range of problems, diagnostic categories and intellectual functioning.  Some simple to learn, but maybe hard to apply concepts that could result in better outcomes for all people, especially those with borderline intellectual functioning will be presented.

Objectives:

  • Review diagnostic criteria for intellectual functioning in the borderline range.
  • Identify common problems that occur for individuals described as having borderline intellectual functioning.
  • Describe strategies based on behavior analysis to utilize when providing assistance, support, or services.
  • Indicate ways to adapt treatment modalities for individuals with intellectual limitations.

Slides:

Rodgers_Helping someone with Borderline Intellectual Functioning

 

 

 

 

 

 

 

 

 

 

 

Mind-Body Medicine in Behavioral Health and Primary Care Settings

Speaker(s):

Thomas Kuciejczyk-Kernan, MD and Rajeev John, MSW, LCSW

Presentation: Mind-body medicine is an integrative approach that focuses on the interaction between the mind and the body and the powerful ways these interactions affect our emotional and physical health.  The core of this approach is self-care with mind-body skills that relieve toxic stress, help heal from trauma, and build resilience. Mind-Body skills are the most effective evidence-based way to reduce the adverse effects of stress which contributes to all chronic illness, mental and physical. These skills include: 1) Meditation – mindfulness practices to foster self-awareness and positive self-direction 2) Guided Imagery – conscious use of the imagination to positively affect the body as well as receive inner wisdom into consciousness 3) Autogenic Relaxation with biofeedback – self-hypnosis 4) Breath work – breathing techniques to induce relaxation and clear the mind 5) Movement – practices for releasing stress, increasing energy, and mobilizing emotion 6) Journal writing and drawing oneself – promoting self-awareness and expression 7) Healthy eating- becoming aware of one’s own relationship with food. These evidence-based skills are taught through 10-week Mind-Body Skills groups.  Participants in these groups experience transformation in relationship to self and empowerment for their own ongoing healing and well-being. This presentation will explain this mind-body skills approach and how it is useful in improving physical and emotional well-being. We will explain the biological underpinnings of chronic stress and its effect on our body and mind, and how self-care can reverse the adverse effects of stress and trauma. We will also describe how we use this approach at Affinia healthcare. This ninety-minute presentation will also include experiencing two of these skills, one quiet and one active.

Objectives:

  • Describe the physiology of stress and trauma and how they affect physical emotional well-being.
  • Express the importance of self-care and how it enhances healing and well-being.
  • Explain mind-body self-care skills can be effectively used to address the needs of a variety of populations.

Slides:

Kuciejczyk Kernan and John_STI-Mind Body Medicine in BH & PC settings

 

 

 

 

 

 

 

 

 

 

 

Mental Health Advocacy in the Community

Speaker(s):

Joan Becker, AIB

Presentation: As a mother of a son with Paranoid Schizophrenia, I will share our family’s experience (and our son) navigating the maze of the mental health system. I will use a PowerPoint along with my speaking.

Reference and Website Materials:  Website: www.joancbecker.com Sentenced to Life – The Mark Becker Story – Mental Illness, Tragedy, and Transformation (Credo House Publishing-2015)

Objectives:

  • Share our family’s story of working through the mental health maze in an attempt to find a diagnosis and treatment plan for our son.
  • Discuss the importance of “listening” and “effective communication” with patient and family.
  • Expose the breakdown of communication between mental health agencies, law enforcement, hospitals, patient, and families in an individual’s treatment.
  • Challenge participants to do their part in closing the communication gap by brainstorming ways to communicate effectively and within the boundaries of HIPPA.

Slides:

Becker_STI2017 PP

 

 

 

 

 

 

 

 

 

 

 

How to Use Humor to Reframe What’s Depressing Us

Speaker(s):

John Shuchart

Presentation: Our presentation will focus on learning how to use a humorous approach in reframing traumatic events to eliminate the negative emotions attached to them. We present facts about mental illness and how to identify signs of loved ones, co-workers who are suffering in silence.  We will share our personal stories of how we have battled and overcome mental illness in our own personal and professional lives.  Our presentation is engaging, funny and a VERY unique approach to dealing with a subject as challenging as mental illness.  Furthermore, we have the audience break up into subgroup to work through and experience a taste of the material we have developed for our FULL workshop.  Participants will be able to take back and to incorporate these exercises in their own daily lives.

Objectives:

  • Explain how to use humor in reframing personal traumas.
  • Suggest how to end the stigma associated with mental illness.
  • Review how to address compassion fatigue. 

Slides:

Shuchart_Major Workdhop2.0

 

 

 

Medication Assisted Treatment: Not Just a Safety Net, a Part of Integrated Treatment

Speaker(s):

Rick Strait, MS, LPC, Heather Williams, BS and Scott Kerby, MA, LPC

Presentation: Our presentation will cover practical tips on how to into incorporate medication assisted treatment (MAT) into your treatment. We will give examples of what MAT is and what MAT is not, and that education is power, both for the professional and the consumer. We will share some of the obstacles we had to overcome and are still overcoming when we first starting encouraging MAT in our co-occurring program. These barriers included educating consumers, educating doctors, as well as dealing with resistance from other staff members and some support groups. We will give examples on helping to determine if someone would benefit from MAT, helping the consumer communicate with doctor about MAT, and how to use Motivational Interviewing to help consumers who may benefit from MAT, but that are struggling with ambivalence. We will give examples of overcoming personal biases towards MAT and how to be an advocate/educator of MAT at your agency. We also will cover how MAT can be a wonderful part of a consumer’s treatment, but that it is not a cure in of itself; providing tips to help encourage and keep consumers engaged, who may feel like they no longer need counseling because they have MAT.

Objectives:

  • Suggest different tips or ways to roll with resistance and educate on MAT (prescribers, staff, families, consumers, etc.)
  • Summarize how to continue to use motivational interviewing and outreach with consumers who are using MAT and no longer feel they need other parts of treatment.
  • Review facts about what MAT is and how to use that information to help reduce discrimination towards MAT.