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.

Five Years of Missouri’s Medication First Approach to Opioid Use Disorder: What We’ve Learned and Where We Go From Here

Paradise Ballroom B


 

Speaker(s):

Winograd, Rachel, PhD

Description

The overdose death crisis across the United States continues to worsen, despite some glimmers of hope in certain regions and in certain strategies. In Missouri, the State Targeted and State Opioid Response (STR/SOR) grants initiated in 2017 supported the development and implementation of the Medication First approach to opioid use disorder (OUD) treatment and demonstrated positive initial results. Medication First for OUD is a “low-barrier” treatment approach and is analogous to the Housing First approach to chronic homelessness; both prioritize rapid and permanent access to life-saving resources (housing for homelessness and treatment medications, particularly buprenorphine and methadone, for OUD).

Early findings from the first 18 months of Medication First implementation across Missouri’s state-funded substance use disorder treatment programs found uninsured clients enrolled in STR/SOR programs were more likely to receive medications for OUD (MOUD), to receive them faster, and to be retained in treatment significantly longer than uninsured clients enrolled in non-STR/SOR programs. However, subsequent analyses covering years 2019-2022 yield less straightforward results. For example, medication utilization has decreased within STR/SOR programs while increasing in non-STR/SOR programs (plateauing at approximately 60% of all uninsured clients combined receiving any form of MOUD), and disaggregation by race reveals notable racial disparities in treatment retention across timepoints.
This presentation will review statewide findings from STR/SOR treatment programs from the last five years, offer insights into why low-barrier MOUD treatment continues to be difficult to access and implement, reflect on lessons learned through Medication First dissemination, and provide tangible recommendations for Missouri’s future substance use treatment funding and programming endeavors.

Objectives

1. Describe a summary of broad trends of Missouri’s STR/SOR treatment outcomes from the last five years
2. List three specific barriers to implementing and sustaining low-barrier medical treatment for opioid use disorder within specialty substance use disorder treatment programs
3. Identify two strategies for reducing racial disparities and improving opioid use disorder treatment outcomes for Black individuals in Missouri

Not Broken: Empowering Young Adults with a Mental Health Diagnosis

Leeward 76-77


 

Speaker(s):

Gerlach, Jennifer, MSW, LCSW

Description

Young adults facing significant mental health challenges such as Bipolar Disorder or a First Episode of Psychosis are often difficult to engage. Still, the research suggests that early intervention can be pivotal in encouraging a full recovery. In this workshop we will explore roadblocks to engagement from an ACT and Recovery-Oriented Cognitive Therapy lens as well as strategies to improve sense of empowerment in this population

Objectives

1. Define empowerment as well as what it means in a clinical setting
2. Utilize strategies to assist clients experiencing psychosis and other symptoms take back a sense of self-agency
3. Describe how mental health conditions and coercive treatment strategies can be disempowering
4. Employ strategies deriven from ACT and Recovery-Oriented Cognitive Therapy to Understand Beliefs underlying a lack of sense of self-agency

 

Ethics of Self Care

Paradise Ballroom C


 

Speaker(s):

McAndrew, Craig, MA, LPC, LCAC, LMHC

Description

Self Care is essential for our performance of Counseling duties as well as to preserve our ethics. If we are feeling burned out, then we may have already come close to that ethical line or maybe even crossed it without realizing it. This presentation is focused on us making our self care a priority so we don’t approach that line.

Objectives

1. Review ethical guidelines
2. Review common ethical violations
3. Review what self care is
4. Describe what creating a practice of self care looks like

McAndrew – Boundaries

McAndrew – 12 steps for therapists

Compassion Fatigue for Behavioral Health Workers

Leeward 74-75


 

Speaker(s):

Sandidge, Isaac, MA

Description

This course is intended for behavioral health workers who wish to learn more about how experiencing traumatic events, either directly or indirectly, as a first responder reacting to an emergency or crisis situation may impact their professional and personal wellbeing. Taught through a behavioral health (mental health and substance use) lens, the instructor will incorporate lecture, PowerPoint and activities.

Objectives

Define and discuss the impact of trauma, vicarious trauma, and burnout on professional and personal wellbeing
Identify compassion fatigue and burnout warning signs
Describe individualized self-care and resiliency strategies to mitigate the damaging impacts of trauma and associated stress responses

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

Engaging Families in Services: The Family Recovery Program

Paradise Ballroom B


 

Speaker(s):

Likcani, Adriatik, PhD, LMFT

Larkin, Nicole, MS, CDAC, SMFT

Rapp, Sherry, AAS

Description

Dr. Likcani developed the Family Recovery Program with the support of the Department of Mental Health, and the contributions of a team of colleagues at Recovery Lighthouse and the University of Central Missouri. This presentation will focus on specific interventions on how to engage families and how to partner with them when they have a loved one struggling with SUD/OUD. Participants will learn concrete interventions they can use in their communities to engage families, promote family recovery, reduce stigma, and increase their knowledge on family systems-based interventions for family therapy, psychoeducational groups with families, and how to develop local support groups for families. The three main Family Recovery Program goals are to: 1) Help families get their loved one into services and in recovery; 2) Coach families to use their strengths and resources as a healthy support system for their loved one; and, 3) Help them develop a vision of a healthy relationship and improve family structure & functioning. Goals are accomplished through a comprehensive approach focusing on the following five overarching program components: 1) Family Education Workshops; 2) Open Support Group for Families; 3) Family Therapy; 4) Immediate Access to Resources; and, 5) Public Relations and Service. Participants will learn about program goals, components, and implementation strategies of the Family Recovery Program at their agencies.

Objectives

1. Discuss strategies how to engage families in services.
2. Explore ways to integrate family systems-based interventions in alcohol and drug treatment and recovery support programs.
3. Review concrete ideas for implementing the Family Recovery Program.
4. Discuss qualitative and quantitative research outcomes of family engagement in services.

Psychotherapy with Black Clients: Rumbling with Theory, Feelings, and Meaning-Making PART 2

Parasol I


 

Speaker(s):

Boddie, Courtney, PhD

Thompson-Gibson, Lisa, MA, MA

Description

From theories of human development (Erickson, Piaget, Kohlberg, Vygotsky) to models of personality and change (Freud, Rogers, Beck, Ellis), most clinicians are taught from a euro-centric worldview. As grounded in Ellis and Deitz’s (2018) contribution of community and environmental factors to the ACES framework, it is imperative that we rumble with the conceptual and affective gaps a euro-centric perspective creates when attempting to work with specific communities, like Black-identified clients.

Expanding on the previous year’s presentation advocating for updates to the ACES framework, part one will support participants in conceptualizing discrimination as a broad community/environmental factor that can disrupt human development and examining the influencing role of discrimination in early childhood development (e.g., access to resources, help-seeking tendencies, development of self-regulatory processes, parenting practices).

In part two, participants will be supported in examining personal biases that are a byproduct of under-education on and underexposure to Blackness. Through the use of art-making, participants will explore personal feelings and meaning to prepare for the refinement of clinical skills.

Objectives

1. Critically examine the clinical implications of the absence of Blackness in the training of mental health providers
2. Grapple with feelings that may impede capacity to humanize Black clients
3. Explore personal meaning surrounding counseling Black clients

Boddie Presentation

Psychotherapy with Black Clients: Rumbling with Theory, Feelings, and Meaning-Making PART 1

Parasol I


 

Speaker(s):

Boddie, Courtney, PhD

Thompson-Gibson, Lisa, MA, MA

Description

From theories of human development (Erickson, Piaget, Kohlberg, Vygotsky) to models of personality and change (Freud, Rogers, Beck, Ellis), most clinicians are taught from a euro-centric worldview. As grounded in Ellis and Deitz’s (2018) contribution of community and environmental factors to the ACES framework, it is imperative that we rumble with the conceptual and affective gaps a euro-centric perspective creates when attempting to work with specific communities, like Black-identified clients.

Expanding on the previous year’s presentation advocating for updates to the ACES framework, part one will support participants in conceptualizing discrimination as a broad community/environmental factor that can disrupt human development and examining the influencing role of discrimination in early childhood development (e.g., access to resources, help-seeking tendencies, development of self-regulatory processes, parenting practices).

In part two, participants will be supported in examining personal biases that are a byproduct of under-education on and underexposure to Blackness. Through the use of art-making, participants will explore personal feelings and meaning to prepare for the refinement of clinical skills.

Objectives

1. Critically examine the clinical implications of the absence of Blackness in the training of mental health providers
2. Grapple with feelings that may impede capacity to humanize Black clients
3. Explore personal meaning surrounding counseling Black clients

Boddie Presentation

Supporting Employment: Helping People with Employment Recovery Goals

-Cancelled-

Parasol II


 

Speaker(s):

Lynde, David, MSW

Description

Evidenced-based practices like Supported Employment (SE) are not always available to all people in services. This session provides participants with the opportunity to learn about and explore strategies for helping providers of services to be respectful, responsive, and supportive regarding people in services with employment recovery goals. The session will also include lessons learned regarding enhancing agency leadership support for people in services with employment-related recovery goals.

Objectives

1. Describe how some of the practice principles of Supported Employment can be effectively applied in settings where access to Supported Employment is not available.
2. Identify key strategies and techniques for supporting interest in employment services by people in services.
3. Explain the important roles that team members play in helping people in services to be successful with employment-related recovery goals when Supported Employment is not available.

Lynde Presentation