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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.

 

 

 

 

 

 

 

 

 

 

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Strategic Interventions for Engaging Resistant Adolescents

Speaker(s):

Amanda Gregory, MA, NCC, LPC

Presentation: Adolescents are one of the toughest populations to engage in therapy. Clinicians encounter multiple obstacles while serving this population such as dysfunctional family dynamics, mandated treatment expectations, developmental trauma, attachment needs, brain development, and attention issues. This presentation will provide a road map illustrating how to facilitate engagement by building and maintaining trusting relationships by utilizing experiential interventions. Attendees will learn how to build and maintain trusting relationships with highly resistant adolescents by providing empathy, attunement, playfulness, safe boundaries, empowerment, and cultural sensitivity. Attendees will also learn how to implement multiple individualized experiential interventions designed to promote adolescent engagement. This presentation will include demonstrations of the interventions, opportunities for attendees to practice these interventions, and intriguing case studies.

Objectives:

  • Identify obstacles which hinder engagement when providing treatment for resistant adolescents
  • Develop how to build and maintain a trusting relationship by utilizing the following interventions: empathy, attunement, playfulness, safe boundaries, empowerment and cultural sensitivity
  • Practice and implement individualized experiential interventions designed to promote adolescent engagement

Slides:

Gregory_Strategic Interventions for Engaging Resistant Adolescents A Gregory

 

 

 

 

 

 

 

 

 

 

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Past, Present and Future Supports for Individuals with Developmental Disabilities

Speaker(s):

Cla Stearns, PhD

Presentation: The presentation will describe emerging trends in the supports available for individuals with developmental disabilities, including the national push for true integration into the community.  These trends will be presented in the context of historical attitudes and service delivery models.  The recent federal emphasis on elimination of coercion, expectations of participation in the workplace, and the advancement of opportunity for a typical life will be discussed.  The presentation will also address the reality of co-occurring disorders and the increased emphasis on individuality of supports based on the individual’s interests, abilities, and desires.  Future trends, including a move from diagnosis-based services to function-based services will also be discussed.

Objectives:

  • Explain the trajectory of service provision from institutional congregate care through distributed congregate care and on to individual supports provided in the general community based on personal interests, goals, and functional ability.
  • Encourage of a view of supports that moves past diagnosis-based approaches to one based on the interaction between an individual and the community environment.
  • Recognize the fundamental right of all individuals to the opportunity for a typical life and what this concept means for the traditional view of supports.

Slides:

Stearns_Past Present and Future Supports for Individuals

 

 

 

 

 

 

 

 

 

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Welcoming the LGBTQ population into your Professional Scope

Speaker(s):

Shelly Farnan, PhD

Presentation: This presentation is designed to increase Cultural Competence in working with the LGBTQ Population in an environment that is dynamic, supportive, genuine, and fun. The needs of LGBTQ patients and their families are often overlooked, neglected, or minimized by providers. Often this oversight is rooted in lack of training, lack of experience, and provider comfort level. The goal of this training is to portray realistic representations of the multifaceted LGBTQ experience to promote a realistic understanding and develop comfort and confidence in recognizing and meeting unique needs. Participants who attend this training will gain knowledge, skill, ability, and interest in working with the LGBTQ population. This presentation offers opportunities to obtain the language providers need to respect and empower patients, to become an inclusive practice, to build confidence in developing relationships necessary to nurture healing and growth, and to obtain useful LGBTQ resource information.

Objectives:

  • Describe the importance of incorporating sexual orientation and gender identity into the professional relationship
  • Describe healthcare needs and barriers to care for the LGBTQ population
  • Identify Best Practices in creating a safe and welcoming environment for LGBTQ people and in treating LGBTQ patients

Slides:

Farnan_2017 Spring Institute

 

 

 

 

 

 

 

 

 

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Excellence Algorithm – Bringing Mental Health and Recovery Skills/Values into Key HR Decisions

Speaker(s):

Felix Vincenz, PhD

Presentation:  Managing human resources is an ongoing challenge in any non-profit or state-operated agency, particularly given the challenges associated with recruitment and retention of qualified and committed staff.  This presentation speaks to a different strategy for dealing with the management of human error, recognizing the value associated with coaching and consoling employees as a key retention and workforce development strategy, embedded with an overall commitment to performance improvement efforts at every level of the organization.  The presentation includes decisional matrices and flowcharts used to guide decision-makers within the organization as to when to utilize coaching, discipline, and/or performance improvement efforts, and an abbreviated overview of a day long presentation to key supervisory, managerial, and executive level staff.  A key value is the recognition and implicit commitment to the possibility of recovery and change in our workforce, as well as our clients.

Objectives:

  • Apply behavioral health approaches to the mental health workforce.
  • Develop new skills necessary for the retention and development of the workforce.
  • Review how to improve stability and retention of the workforce, within an overall commitment to performance improvement.

Slides:

Vincenz_Excellence Algorithm

Vincenz-Employee Related Negative Outcomes

Vincenz-Discipline Process

Vincenz-Discipline Decisions (including Termination)

 

 

 

 

 

 

 

 

 

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Report on Implementation of the Emotion Regulation Skills System for Cognitively Challenged Clients

Speaker(s):

Nina Chastain, MSW, LCSW

Presentation: Dialectical Behavior Therapy has been proven to be a treatment of choice for clients with severe emotional dysregulation problems. However, for clients who also have intellectual disabilities, the treatment is not always as successful.  Julie F. Brown, MSW, PhD, Director of Program Development at The Justice Resource Institute’s Integrated Clinical Services in Rhode Island, developed a DBT-Informed Skills System that addresses difficulties intellectually disabled clients face. She recognized that intellectually disabled clients “require an adequate, synthesized framework or system to teach skills to clients in a form that they can understand, apply, and generalize.”  Dr. Brown developed The Skills System over the course of many years of working with her own clients and providing comprehensive DBT.  Three key elements were integrated: (1) the work of James Gross, PhD., in emotion regulation; (2) cognitive load theory (Sweller, 2010); and (3) ongoing collaboration with her own clients.  Ms. Brown ended up with a Skills System framework that helps clients know which skill to choose and how many skills to implement given his or her level of emotion in each situation.  This presentation will highlight some of the main differences of the skills and the System tools that Julie Brown carefully and effectively developed.  The participants will hear how cognitively-challenged clients in a residential psychiatric hospital setting who had previously been treated using traditional, comprehensive DBT encountered and reacted to the new DBT-Informed Skills System.  The lessons learned from implementing the model will also be shared along with data highlighting important areas of change for the clients.

Objectives:

  • Review some of the fundamental knowledge of behavioral health and disability.
  • This training describes in a nutshell established approaches of DBT and the new treatment of DBT-informed therapy for cognitively challenged clients.
  • Provide an overview of the Skills system in order for learners to see if this treatment approach would work for their population.
  • Describe how complex emotion regulation challenges are broken down into manageable problems using a series of steps that people at many different skill levels can apply.

 

 

 

 

 

 

 

 

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Supervision and the Code of Ethics *Ethics Hours

Speaker(s):

Terri Cooley-Bennett, MSW, LCSW and Caroline Cooper, CMPS

Presentation:  Mental Health Professionals supervise in different capacities: for licensees, students, and employees. Sometimes they are clinical supervisors only or employment supervisors only and sometimes have a dual role.  How do Ethics Codes impact the supervision experience?  What types of ethical dilemmas arise for the supervisor?  What do various ethics codes say about supervision?  All of this will be covered in this presentation which meets the Ethics Requirement for Social Workers, Substance Abuse Professionals, Certified Counselors and possibly others.

Objectives:

  • Several Codes of Ethics including NBCC and NASW will be reviewed that relate to supervision of employees, students, licensees including social workers, counselors, etc.
  • Ethical dilemmas in regards to supervision in a behavioral health setting or substance use treatment setting will be discussed and ways for appropriately managing these dilemmas
  • Supervision strategies will be discussed in order to facilitate the prevention of ethical violations

Slides:

Cooley Bennett_Cooper_20170601 STI SUPERVISION AND THE CODE OF ETHICS

Cooley-Bennett- NASW CODE OF ETHICS AND INTERDISCIPLINARY TEAMS

 

 

 

 

 

 

 

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Compassion Fatigue: How Caring for Others Impacts the Professional and the Organization

Speaker(s):

Rachel Jones, MEd, LPC

Presentation:  Caring for others is hard work. Healthcare providers and human service professionals can sometimes grow tired with the demands of the job and exposure to trauma. This presentation will help professionals learn to recognize the warning signs of Compassion Fatigue and how it impacts their personal and work life. It will also help those in Administration/Management recognize how Compassion Fatigue impacts the workforce and organization. Learning how to change attitudes about stress and developing self-care plans can make a difference. Participants will walk away with ideas about how to create a culture in their organization that promotes awareness of Compassion Fatigue and strives to help employees achieve Compassion Satisfaction.

Objectives:

  • Discuss how the support that professionals provide to clients and families with behavioral health, substance use, trauma and disabilities needs impacts their personal and work life.
  • Site recognize warning signs and symptoms of Compassion Fatigue and understand approaches and techniques to create Compassion Satisfaction and wellness.
  • Recognize the impact Compassion Fatigue has on an organization and understand approaches and strategies to support employees that experience compassion fatigue and create a workplace culture of Compassion Satisfaction.

Slides:

Jones_Compassion Fatigue Training

Jones-Self-Care Plan

Jones-Organizational Self-Care Plan

 

 

 

 

 

 

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Recovery Works

Speaker(s):

Christine White, LPN, CMPS

Presentation:  This presentation will present facts from Christine’s road to recovery. She has BPD, severe anxiety, OCD and Bi-Polar along with manic depression. She will give symptoms of each illness, meds that were effective and non-effective along with treatment approaches. Some treatment approaches she will discuss are therapy 1:1, group therapy, DBT and Shock treatments.

Objectives:

  • Identify concepts and emotions while dealing hands on with a mental health diagnosis
  • Explain and give rationale towards different behaviors associated with mental illness
  • Describe skills that can be utilized to assist with management of a behavioral issues

 

 

 

 

 

 

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Anxiety Disorders-Are We Doing Enough to Help?

Speaker(s):

Tresa Dame, MSW, LPN

Presentation:  This presentation will cover at how a person with anxiety disorder feels; treatments used; if treatments are effective; and discuss if we can change our interactions to decrease the anxiety in an anxious person. This presentation will cover a description of anxiety/panic/agoraphobia, anxiety and how it affects a person from the person’s point of view, ways anxiety is treated (inpatient and outpatient), medications used to treat these disorders, and substance use among the persons. There will also be a group discussion about if treatments are really effective and if it warrants a disability. We will also have a group discussion about ideas and thoughts on better ways we can interact with these folks.

Objectives:

  • Anxiety Disorder/Panic/Agoraphobia will be discussed and a general knowledge of all three will be learned including person’s attitudes towards, definitions, and statistics.
  • Substance use among the persons with the disorders will be discussed.
  • It will be established how often those who have the disorder(s) are disabled by the disorder.

Slides:

Dame_Anxiety Disorders Are We Doing Enough to Help