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Treatment and Diagnosis of Individuals with Schizophrenia

Room Paradise Ballroom C

Speaker(s):

Lauren Smalling, MSW, LCSW

Description

This presentation focuses on treatment and diagnosis of individuals with schizophrenia starting with a description of the schizophrenia spectrum. The presentation uses real examples to help clarify the schizophrenia spectrum and how to diagnose individuals. The end of the presentation includes an interactive segment with three fabricated case examples to provide the listeners with the opportunity to come up with assessment questions in order to reach an accurate diagnosis.

Objectives

    • Define the schizophrenia spectrum.
    • Discuss the importance of communication and wrap-around services.
    • Discuss the meaning of success to clients.
    • Practice assessing and diagnosing clients.
    • Take an empathy-first approach with clients.
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Habit Reversal Training, What Is It and How Is It Done?

Windgate 62-63

 

Speaker(s):

Raynor-McClanahan, Carolyn, MSW, LCSW

Description

The presentation will describe the history of HRT as well as what disorders HRT is most used in treating. The presentation will then break down HRT application into four parts, 1) awareness training, (2) competing response practice, (3) habit control motivation, and (4) generalization training. Each part will be explained and examples of how application of skills can be applied in treatment will be demonstrated. Resources for information on HRT will also be provided.

Objectives

1. Identify the origin of Habit Reversal Training.
2. Identify three mental health disorders where Habit Reversal Training has been an effective treatment modality.
3. Describe the four components of Habit Reversal Training.
4. Describe how the four components are applied during treatment.

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Help That Helps: Understanding Adverse Childhood Experiences

Wingate 62-63

 

Speaker(s):

Clary, Pam, PhD, MSW

Frye, Jana, MSW, LCSW

Description

This presentation will provide an overview of the ACE Study which is the largest study of its kind, with over 17,000 participants. It was developed and co-sponsored by Kaiser Permanente (managed care consortium) of San Diego, California, and the Centers for Disease Control and Prevention in Atlanta, Georgia in the early ‘90s. Dr. Vincent Felitti and Dr. Rob Anda are the co-principal investigators of the ACE Study. In addition, specific helps (tools) will be discussed including the four resiliency factors that make a difference and help begin to create self-healing communities.

What’s predictable is preventable – because of recent discoveries in neuroscience, epigenetics, epidemiology, and resilience studies, we can understand how protection, prevention, and resilience promotion can profoundly improve health, safety & productivity, and reduce public and private costs now and for generations to come.

It should be noted that both Professor Frye and I are Master ACEs Trainers. We have permission to use the slides developed for this presentation.

Objectives

1. Discuss ACEs and its impact to our communities
2. Identify four resiliency factors used to build self-healing communities.
3. Identify four resiliency factors used to build self-healing communities.

Clary- Frye Presentation

Clary-Frye Form

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Experiential Therapy Approaches to Reveal Dynamics and Resolve Anger, Grief, and Relationship Issues

Windgate 62-63

 

Speaker(s):

Carpenter, John, MSW, LCSW

Description

Clients often feel their situation emotionally more than being able to express it into words. By helping them show their feelings in safe and even playful ways, they can actually see their issues more clearly as well as what needs to happen to resolve or change their lives. Like play therapy, these visual, metaphoric, and imagery techniques create a safe path for exploring difficult emotions and relationships. And the solutions seem easier to find and comprehend as well.

This session will help you clearly assess the hidden dynamics of couples and families. Experiential exercises will help clients work through complicated grief situations, pent-up anger, difficult losses, long-standing frustrations, and other intense emotions that seem stuck inside your client with no easy method of release or relief.

Objective

1. Describe three experiential approaches for assessing couples and families.
2. Identify five ways a therapist can bring dynamics out with visual props.
3. Describe at least three methods for releasing difficult emotions safely.
4. Describe the use of metaphoric imagery with couples for treatment.

Carpenter Handout

Carpenter Presentation

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CBT for Chronic Pain: Core Strategies

Windgate 62-63

 

Speaker(s):

Steffen, Ann, PhD, ABPP

Description

There are a wide range of health conditions and injuries that lead to persistent pain. This presentation features key strategies from Cognitive Behavior Therapy (CBT) that help individuals manage chronic pain and engage in daily living that is consistent with personal values and life goals. Clinicians will learn effective means for helping their clients apply the gate control theory of pain to regulate emotions, thoughts, and behaviors that increase pain perceptions and disrupt value-based living. This presentation also describes clinical resources for assessment and intervention (e.g., psychotherapy and integrated primary care sessions). The presentation will emphasize strategies that are responsive to the needs of culturally diverse clients across the lifespan, including within the context of telehealth.

Objectives

1. Describe the relevance of the Gate Control Theory of pain and strategies for enhancing client understanding
2. Identify assessment tools that are a good fit for busy clinical practices
3. Explain 3 core strategies used in CBT for chronic pain

Steffen Handout

Steffen Resources

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Are Consumers getting what they want? An Examination of Factors Associated with Daily Living Activities of CPR Consumers

Wingate 62-63

 

Speaker(s):

Maglio, Christopher, PhD

Tubbergen, Tjitske “Tish”, MSW, PhD, LCSW

Description

The last 60 years has seen a steady increase in the number of adults diagnosed with mental disorders that impair their ability to perform living and working tasks. Many of these individuals participate in psychiatric rehabilitation (CPR) programs that provide essential support and services to those with complex and longer-term mental health problems. These services should be evidence-based and focus on helping individuals develop skills and access resources needed to increase their capacity to be successful and satisfied in their chosen living, working, learning, and social environments. The Daily Living Activities-20 (DLA-20) is a research-supported measure of the daily living areas impacted by mental illness or disability with higher DLA-20 scores indicating stronger success in meeting daily living activities. 122 CPR consumers who had completed the DLA-20, rated demographic and study variables regarding their helpfulness in assisting them to successfully complete their daily living activities. Results of regression analyses revealed several significant micro-system, mezzo-system and macro-system variables as predictors of DLA-20 scores. The study results support the need for consumer-driven, individualized treatment planning and goal setting as well as assisting the consumer in developing strategies and acquiring necessary skills to reach and maintain stated goals and to develop necessary supports needed to maintain the stated goals. Implementing such approaches in CPR programs helps demonstrate that services provided to CPR consumers are addressing the empirically supported areas consumers report as being the most helpful in assisting them to successfully complete activities of daily living. Suggestions for modification of CPR programs with empirical input from CPR consumers are discussed. Audience participation is encouraged throughout the presentation.

Objectives

1. Describe the history of psychiatric rehabilitation programs.
2. Describe current services provided in psychiatric rehabilitation programs.
3. Identify the factors CPR consumers’ report as being the most helpful to them in successfully completing their daily living activities.
4. Describe examples of empirically supported modifications of CPR programs.

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A Trauma-Informed Approach to Psychological Evaluations

Wingate 62-63

 

Speaker(s):

Scaccia, Jamie, PsyD

Wilson, Amy, PsyD

Description

Psychological evaluations have a history of being an experience for clients that is sterile, removed, and opaque. In fact, clients are often separated from the process outside of the actual testing session, creating a barrier to fully understanding what is happening with the personal information being shared with their clinician. As a result, it is more difficult to internalize the information that is provided at feedback sessions. Children are especially vulnerable to this process and often times are not even included in feedback sessions at all.

We present a trauma informed approach to conducting psychological evaluations. Utilizing the Neurosequential Model of Therapeutics (NMT; Dr. Bruce Perry), we have adapted the content, frequency, and approach to testing sessions to be more trauma informed, client centered, and educational. Furthermore, we utilize the Therapeutic Assessment Model (Dr. Stephen Finn) to create a process that is collaborative, transparent, and relationally therapeutic for children and their caregivers. This presentation will describe how these models come together in assessment and how they might be extended to ongoing therapeutic care. We will explore a case example from the first point of contact to the feedback session and follow up. Finally, we will review how a relational approach to assessment creates space for honesty, vulnerability, and therapeutic moments that might otherwise be missed in a more typical evaluation.

Objectives

1. Describe how the Neurosequential Model of Therapeutics influences the understanding of developmental trauma on current behaviors.
2. Identify what makes self-care hard to follow through on, despite knowing its value and relationship to secondary trauma and burn out.
3. Practice dosing self-care and outline how it may be implemented in their lives and lives of their clients.

Scaccia Wilson Handout

Wilson Presentation

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Tubbergen, Tjitske “Tish”, MSW, PhD, LCSW

Dr. Tjitske “Tish” Tubbergen graduated from the University of Missouri-Columbia with a Bachelor of Social Work (BSW) in May 2003, a Master of Social Work (MSW) in May 2006 and a PhD in Social Work in August 2020. She has been a Missouri Licensed Clinical Social Worker (LCSW) since 2013. She has worked at Preferred Family Healthcare as a Community Support Specialist (CSS), a Qualified Mental Health Professional (QMHP), a counselor, a CSS supervisor, a Residential Clinical Coordinator, a counselor for those with severe mental illness in the Intensive Community Psychiatric Rehabilitation Center (I-CPRC) program, a Clinical Supervisor and as the Program Director of the Adult and Youth CPRC programs and Psychosocial Rehabilitation (PSR) program at Preferred Family Healthcare in Kirksville. Dr. Tubbergen currently works as a therapist providing individual, couple and family therapy through the PFH Behavioral Health Clinic. In addition to her work at PFH, Dr. Tubbergen maintains a limited, part-time private practice working with children and adults dealing with mental health issues. Dr. Tubbergen is a member and current Secretary of the Missouri State Committee for Social Workers, a position Governor Jay Nixon appointed her to in 2015.

Presentation(s):

Are Consumers getting what they want? An Examination of Factors Associated with Daily Living Activities of CPR Consumers

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Wilson, Amy, PsyD

Dr. Amy Wilson is a licensed psychologist who’s conducted psychological evaluations with children for over ten years in the St. Louis community. Dr. Wilson is certified in the Neurosequential Model of Therapeutics (NMT) and specializes in evaluating foster and adopted children who’ve experienced trauma. For evaluations, Dr. Wilson takes a collaborative approach in working with caregivers and providers to conceptualize how early trauma has impacted a child’s social, emotional and behavioral development. Furthermore, Dr. Wilson has interests in enhancing support for traumatized children in schools, working with caregivers to better understand their child, and program development.

Presentation(s):

A Trauma-Informed Approach to Psychological Evaluations

Using “Dosing” as a Model for Self-Care: Clinicians and Clients Alike

By

Scaccia, Jamie, PsyD

Dr. Jamie Scaccia is a clinical psychologist from St. Louis, Missouri. Her career has been dedicated to working with families with a history of trauma. She is trained in the Neursosequential Model of Therapeutics framework, Dyadic Developmental Psychotherapy (DDP), and EMDR, amongst other trauma focused approaches. Dr. Scaccia also enjoys training and supervision, community engagement, and advocacy.

Presentation(s):

A Trauma-Informed Approach to Psychological Evaluations

Using “Dosing” as a Model for Self-Care: Clinicians and Clients Alike