40th Summer Institute Workshops

Substance Abuse and Mental Health Menu

The Ins (Innovations) And The Outs (Outcomes) Of Recovery

July 25-29, 2011

Embassy Suites, Newark DE

Check out this year's workshop offerings!

ONE-DAY WORKSHOPS

* Registration fee includes the Keynote Address and Luncheon

Monday, July 25th- 1:00pm to 4:30pm

#1472 Evidence-Based Practices: The Foundations of the Recovery Process
Presented by Rhonda McKillip, MEd, LMHC, MAC, CCDC III, CDP
Integrated treatment is recognized as evidence-based practice (EBP) and is a national priority. This workshop will begin by briefly establishing EBP in all areas of integrated treatment. EBP states that co-occurring psychiatric and substance dependence disorders are brain disorders in biologically vulnerable individuals. A brain disorder focus logically leads to a brain healing treatment. All chronic and acute medical disorders begin with stabilization of the affected organ of the body. It's commonsense that the treatment of a broken leg starts with a cast and not a cane, and that approach is consistent from provider to provider. The organ of the body involved in stabilization of dual diagnosis is the brain. This workshop details what everyone needs to know about the foundations of the recovery process that are vital in the stabilization phase of integrated treatment.
- Learning Outcomes
  - Summarize EBPs for the treatment of co-occurring psychiatric and substance disorders
  - Describe the stabilization process of the integrated treatment of co-occurring psychiatric and substance disorders
  - Discuss the foundations of the recovery process
#1474 Overcoming Barriers to Change: Building a Trauma Informed Culture
Presented by Robert Anda, MD, MS
Certain barriers to change are common and will likely be encountered when addressing the effects of adverse childhood experiences (ACE) and adopting trauma informed care practices. Learn how epidemiologic findings about the outcomes of the ACE study can be used in innovative ways to "open doors" in health and human service systems. Basic principles of public health approaches to major health problems can be used to promote innovative program approaches and policies. Discussion of these topics and approaches to prevention and building a trauma informed culture to optimize client outcomes will be covered.
- Learning Outcomes
  - Identify barriers to change in our system of care
  - Explain how public health approaches can be applied to service sectors and society in general
  - Describe three examples of trauma informed care practices
#1476 Improving Outcomes: Prevention and Treatment of Fetal Alcohol Spectrum Disorders (FASD)
Presented by Dan Dubovsky, MSW, LSW
When an individual fails in treatment, we often label the person as being non-compliant or unmotivated. However, their behavior may well be due to brain damage caused by prenatal alcohol exposure. Due to this damage, which spans the intellectual spectrum, evidence based practices that rely on verbal interactions are not successful with them and set them up to fail. This workshop addresses the importance of recognizing FASD in those with whom we work and modifying treatment approaches accordingly in order to improve outcomes. The likelihood is that many people in mental health and substance abuse treatment services may have FASD. As fetal alcohol spectrum disorders are 100% preventable, methods to integrate prevention into existing services are highlighted.
- Learning Outcomes
  - Specifiy three evidence based practices for the prevention of fetal alcohol spectrum disorders
  - Discuss the importance of accurately identifying FASD in treatment settings
  - Describe strategies to improve outcomes for individuals with a FASD and their families
#1480 Treating Youth with Inappropriate Sexual Behaviors: Using the Latest Protocol and Therapeutic Tools
Presented by Dan Cherneski, LMFT and Marc V. Felizzi, LCSW
Inappropriate juvenile sexual behaviors (ISB) have come to the forefront of America's consciousness as they have received more and more attention over the last 20 years. In that time, many of the causal factors for such behavior have been debated, studied and analyzed. Among the infrequently studied areas are the roles that emotional abuse and parent/caregiver instability play in the commission of juvenile sex offenses. This workshop will provide an overview of the roles that these variables play in juvenile offending. We will discuss a new study that researches the impact of emotional abuse and unstable parent/family factors on adolescent and juvenile sex offending in the United States.
- Learning Outcomes
  - Recognize indicators of at risk families and youth
  - Describe effective treatment strategies for working with juveniles with ISB
  - List resources available for those working with juveniles with ISB
#1482 Revolutionizing Inpatient Care with Peer Support Specialists
Presented by Gayle Bluebird, RN and Peer Specialists: Florence Alberque, Karen DiNardo, Edie McCole, Susan Mulford, Valerie Thompson, & Pattie Toll
Peers working in inpatient and community settings have become increasingly common and more specialized. Peers are both creative and innovative. They work with clients who have multiple areas of concern, develop individualized work programs, help to create healing environments and are instrumental in their influence to inform hospital policies. In this workshop, the Delaware Psychiatric Center Peer Support Team will discuss how they work with clients and how they have successfully integrated their work with staff and administration. Ms. Bluebird will add national perspectives from her work in the arena of peer roles in behavioral healthcare.
- Learning Outcomes
  - Recognize the potential power of peer support
  - Learn how to work successfully with peers as partners and collaborators in all aspects of care
  - Discover ways to use creative and innovative approaches to care resulting in better individual outcomes
#787 Heartsaver ® CPR/AED
Presented by DSAMH Staff
Successful completion of this workshop will confer American Heart Association certification in HeartSaver ® CPR/AED. Cardiopulmonary resuscitation (CPR) is an emergency medical procedure for a victim of cardiac arrest or, in some circumstances, respiratory arrest. An Automated External Defibrillator or AED is a portable electronic device that automatically diagnoses potentially life-threatening cardiac arrhythmia of ventricular fibrillation and ventricular tachycardia in a patient.
- More Details
  - Evening Session (No CEU's)
  - Pre-Registration & Fees Required Wednesday, July 27 6:00-9:30pm

Tuesday, July 26th, 9:00am to 4:30pm

#1456 Recovery: Myths, Mountains, and Miracles
Presented by Frederick J. Frese, PhD
Recent developments in research on mental health conditions and changes in treatment modalities are altering the realities of mental illness. Once a near hopeless and devastating condition, today those with mental health conditions receive a much better prognosis. A recovery focus places emphasis on hope, empowerment, increased autonomy, and the expectation that persons who have experienced serious mental illnesses will be afforded full opportunity to participate in the social and vocational activities of the community. This workshop addresses overcoming stigma, recognizing the contributions of contemporary consumers, and suggests ways we can better value the gifts of persons with mental health conditions. Dr. Frese speaks from the perspective of a person in recovery.
- Learning Outcomes
  - Update understanding of the recovery concept
  - Discuss the process of psychotic decompensation
  - Summarize at least two ways to negotiate traditional obstacles to recovery
#1457 Trauma and Co-Occurring Conditions: The Basics and More
Presented by David Mee-Lee, MD
Trauma can have a role in both the development of substance use problems and complicate the treatment of co-occurring conditions. Substance use can also create and complicate trauma. Assessing for trauma and addressing it requires balancing immediate safety and stabilization with uncovering work that can destabilize a person in early recovery. This workshop will focus on the dynamics of trauma and its role in addiction and co-occurring conditions and on understanding and treating Post Traumatic Stress Disorder (PTSD). There will be a review of current approaches to address trauma in addiction and mental health settings. Participants are encouraged to bring clinical vignettes for case consultation.
- Learning Outcomes
  - Identify ways trauma can lead to substance problems and create co-occurring conditions
  - Discuss the assessment of trauma
  - Learn how to approach clients who may be reluctant to "open-up"

Wednesday, July 27th, 9:00am to 4:30pm

#1458 Clinicians and Clients are on Different Planets: Strategies to Cope
Presented by David Mee-Lee, MD
The quality of the therapeutic alliance has the greatest impact on outcomes, however it often seems that clinicians and clients are on different planets missing each other like shooting stars in the night. Diagnostic categories, psychological constructs, and psychodynamic interpretations can be helpful in understanding how to help people. But they can also become diagnostic labels and misused terms that signal negative and disempowering attitudes and approaches. This workshop will highlight clinical terms that are used in documentation, case presentations, clinical formulations and therapy that reveal negative attitudes likely to inhibit and even end a therapeutic relationship with clients.
- Learning Outcomes
  - Identify clinical terms and processes that inhibit alliance-building
  - Discuss attitudes that increase resistant behavior
  - List alternative terminology to enhance alliance-building
  - This workshop is co-sponsored by DPA/APA for 11 credits.
#1460 Recovery Relationships
Presented by Steve Harrington, MPA, JD and Zack Corcoran
Recovery is all about relationships. This workshop will challenge the audience to consider ways they can create and develop meaningful lasting, and supportive relationships. Participants will explore relationships between peers, friends, family, mental health providers, and organizations. Relationships with self and our individual environments will be explored. Faculty will relate personal experiences in life that helped them to overcome hopelessness and fear and helped them to engage in numerous healthy recovery relationships.
- Learning Outcomes
  - Describe James Moral Treatment model of using beauty to recover
  - Identify at least three ways to meet people and develop healthy relationships
  - Design at least three personal strategies to maintain healthy elationships

Thursday, July 28th, 9:00am to 4:30pm

#1459 Stump the "Shrink": Lessons to Improve Innovations and Outcomes
Presented by David Mee-Lee, MD
Over the past seven years readers of the monthly e-newsletter, Tips and Topics from Dr. Mee-Lee, have raised many challenging questions about designing and delivering services in behavioral health. This workshop will present some of the most challenging assessment, treatment and policy and procedure dilemmas in behavioral health. Participants will have an opportunity to identify an array of innovative strategies and service delivery systems that enhance engagement, guide self-change and improve treatment outcomes. Participants will be introduced to Interactive Journaling as a method for facilitating participatory self-change.
- Learning Outcomes
  - Identify clinical and systems issues that threaten effective outcomes
  - Explore treatment and systems strategies that are innovative and effective
  - Apply skills for improving engagement, recovery planning, in individual and group treatment
#1488 Wellness Recovery Action Plan: Healing the Trauma of Abuse
Presented by Matthew R. Federici, MS, CPRP and Cheryl S. Sharp, MSW, ALWF
Wellness Recovery Action Plan (WRAP ®): Healing the Trauma of Abuse, is an interactive workshop for men and women who have experienced sexual, emotional or physical abuse and/or their supporters seeking steps and tools to wellness using WRAP ®. This workshop is based on the work of Mary Ellen Copeland, PhD with the Wellness Recovery Action Plan curriculum, and Dr. Copeland's work with Maxine Harris, PhD on trauma.
- Learning Outcomes
  - Describe benefits of WRAP ® to one's personal wellness and to those in recovery from trauma
  - Define various forms of trauma, their impacts on wellness and aspects of healing a relationship in trauma recovery
  - List strategies to empowerment and recovery from the trauma of abuse

Friday, July 29th, 9:00am to 3:00pm

#1490 Unlocking Suicidal Secrets: New Thoughts on Old Problems in Suicide Prevention
Presented by Shawn Shea, MD
This workshop provides state of the art skills to tackle some of the most difficult clinical situations regarding suicide assessment and prevention, documentation of risk, treatment planning, and building resiliency. Participants will find the answers to an elusive question, "What is the nature of happiness?" Dr. Shea provides a definition of happiness, which has ramifications for problem-solving, transforming difficult times, suicide prevention, and finding hope, while providing a refreshing antidote to clinician "burn-out." The focus then shifts to direct methods of uncovering dangerous secrets and understanding five practical validity techniques including the behavioral incident, shame attenuation, gentle assumption, symptom amplification, and denial of the specific.
- Learning Outcomes
  - Apply the principles of matrix treatment planning
  - Utilize five interviewing techniques for increasing validity
  - Apply the Chronological Assessment of Suicide Events approach to uncover suicidal ideation, actions, and intent
#1495 Understanding Homelessness and Traumatic Stress
Presented by Barbara Bennett, PhD
When we examine the "difficult" behaviors of many homeless people, we find a close correspondence with the symptoms of trauma, including depression and diminished interest in daily activities, flashbacks and triggered responses, irritability, outbursts of anger, difficulty concentrating, feeling unsafe or helpless, difficulty trusting, a loss of a sense of order in the world, and use of alcohol or drugs to manage emotional responses. In this workshop we will learn about the connection between traumatic stress and homelessness and how it impacts lives. A trauma-informed perspective influences how you engage people, set up your program, and run your agency. Participants will identify concrete ways to infuse a trauma-informed perspective into their work.
- Learning Outcomes
  - Describe the impact of traumatic stress on the brain
  - Define vicarious trauma
  - Formulate two personal strategies for decreasing the effects of vicarious trauma

TWO-DAY WORKSHOPS

Tuesday and Wednesday, July 26th-27th- 9:00am to 4:30pm

#1465 Using Neurochemistry to Guide Treatment: Evidence Based Practices of Brain Disorders
Presented by Rhonda McKillip, MEd, LMHC, MAC, CCDC III, CDP
It is well known that psychiatric disorders and substance use disorders are biologically based brain disorders in genetically vulnerable people. The very foundation of treatment must be based on the understanding of the neurochemistry of these disorders in a way that can be presented to each treatment participant. Understanding neurochemistry allows professionals to approach clients with accurate empathy of their challenges and subjective experiences. Treating co-occurring disorders as diseases of an organ of the body, the brain, paves the way to the recommended activities that contribute to brain healing. As clients accept that there are solutions, they can maintain hope during the stabilization process, and become active participants in their own recovery process.
- Learning Outcomes
  - Summarize the differences in brain chemistry among individuals in the pre-symptomatic, active symptomatic, and post symptomatic stages
  - Discuss the subjective experiences of individuals vulnerable to psychiatric and substance brain disorders
  - Outline the research-based activities that contribute to brain healing
#1468 Mental Health Issues in Sexually Abusive Youth
Presented by Phil Rich, EdD, LICSW
This workshop will focus on understanding the importance of making accurate diagnoses, including the implications for treatment, and the prevalence of mental health conditions in non-sexual and sexual juvenile offenders. We will review the Diagnostic and Statistical Manual (DSM) and proposed changes for DSM 5 in the area of sexual dysfunctions. This workshop will explore the co-existence and implications of mental health and substance abuse disorders in the development and occurrence of sexually abusive behavior, risk for sexual recidivism, and treatment. Case studies will augment workshop content.
- Learning Outcomes
  - Understand the diagnostic process and the relevance of diagnoses to treatment
  - Investigate the relationship between mental health disorders and sexually abusive behavior
  - Develop a treatment plan for the treatment of sexually abusive behavior that includes a focus on the treatment of co-occurring mental health disorders
  - This workshop is co-sponsored by DPA/APA for 12 credits.
#1477 An Environmental Approach to Substance Abuse Prevention: Planning for Sustainability
Presented by Marcus Bouligny, Pamela S. Imm, PhD, and Lourdes M. Vazquez, MSW
In this era of science-based prevention and accountability prevention practitioners, coalitions, and organizations are challenged to use effective approaches to prevention and to show positive outcomes. While individual-oriented programs are important components of a comprehensive prevention strategy, it is critical that we address the factors in the external environment that contribute to the substance abuse problems in our communities. These factors include the social and retail availability of alcohol and community norms that approve alcohol use by youth. This workshop will introduce participants to an environmental approach to prevention. It is designed to identify, select and implement environmental strategies to effectively reduce substance abuse problems at the local level.
- Learning Outcomes
  - Identify effective environmental strategies to address risk and protective factors
  - Understand key elements of effective environmental strategies
  - Develop an initial sustainability action plan and apply to a case study

Thursday, July 28th, 9:00am to 4:30pm and Friday, July 29th, 9:00 to 3:00 pm

#1462 Putting Integrated Treatment Into Practice - The 'How To'
Presented by Rhonda McKillip, MEd, LMHC, MAC, CCDC III, CDP
The integrated treatment approach has been recognized as an evidence-based best practice. As the expectation of system-wide dual diagnosis capability has grown and the prevalence of integrated treatment interventions has become widespread, there is increasing need for basic educational materials, for both staff and clients, regarding dual diagnosis and dual recovery. Consistency in psychoeducation material on the treatment of co-occurring disorders is crucial. Yet, how can professionals who are overwhelmed with high caseloads present evidence-based integrated treatment without the tools to provide it? THE BASICS, Second Edition, by Rhonda McKillip is the connection between the science and the service. Join us for an atmosphere of 'hands-on' and 'how-to' based on this publication.
- Learning Outcomes
  - Understand the importance of consistency in treatment of co-occurring disorders
  - Identify specific psycho education topics to be taught to individuals with co-occurring psychiatric and substance disorders
  - Conduct psycho education groups using a format to promote interaction and facilitate learning
#1469 A Developmental Approach to Assessing Problematic Sexual Behavior in Children and Adolescents With a Focus on Developmental Disabilities and Pervasive Developmental Disorder Populations
Presented by Craig Latham, PhD
Assessment of children with sexual behavior problems have relied on techniques developed and validated with adults, with little or no modification for children. We now have a generation of data specific to sexual behavior in children, and specific tools to assess relevant issues. This workshop will focus on a threat assessment approach to assessing treatment needs and risk in children. An emphasis on how to gather appropriate data from a variety of sources and incorporate it into a developmentally sophisticated assessment will be addressed. An overview of legal and ethical issues that arise in assessments of children and how to write reports for courts and treatment providers will be covered.
- Learning Outcomes
  - Describe a taxonomy of sexual behavior problems based on treatment needs rather than on static risk factors
  - Describe a developmental model to conceptualize sexual behavior problems
  - Identify appropriate data collection instruments to use with children and adolescents
  - This workshop is co-sponsored by DPA/APA for 11 credits.
#1478 Building an Effective Coalition Using the Strategic Prevention Framework
Presented by Deacon Dzierzawski, MA
This core, competency-based training focuses on building participant skills required to manage an effective coalition and to implement the Strategic Prevention Framework (SPF). During this workshop, participants will assess their personal competencies to determine their strengths and opportunities for future learning. They will learn about the core competencies and essential processes critical to coalition success.
- Learning Outcomes
  - Identify and understand the core competencies of an effective coalition
  - Explain how a coalition can operationalize the SPF
  - Understand the importance of the key products of community problem solving

Free Evening Workshops

* Pre-Registration Not Required

Full workshop descriptions are available at dtool.dhss.delaware.govthinsp;

Monday, July 25th- 7:00pm to 9:00pm

#1481 Innovations in Film to Promote Change: "20 Minutes... An American Tale"
Presented by G. Lloyd Morris and Dawn Morris
- Learning Outcomes
  - Recognize the power of film in addressing mental health and substance use issues
  - Identify a medium that can be used to initiate dialog
  - Compare the power of a narrative story to a documentary

Tuesday, July 26th - 7:00pm to 9:00pm

#1494 Mindfulness and Resilience in Recovery
Presented by James M. Walsh, PhD
- Learning Outcomes
  - Utilize mindfulness practices for both formal and informal meditation
  - Integrate available resources to deepen meditation practices
  - Help others use mindfulness practices to build resilience

Wednesday, July 27th- 7:00pm to 9:00pm

#1471 What Do You Want? The Not-So-Simple Question
Presented by David Mee-Lee, MD
- Learning Outcomes
  - Discuss how to be more focused and less stressed by the power of knowing what you really want
  - Apply ways to quickly zero in on productive priorities to get "unstuck" in important decisions
  - Identify how to break through inertia in getting what you want

Thursday, July 28th- 7:00pm to 9:00pm

#1489 Introduction to Wellness Recovery Action Plan
Presented by Matthew R. Federici, MS, CPRP and Cheryl S. Sharp, MSW, ALWF
- Learning Outcomes
  - Describe WRAP ®, its origins and benefits to personal recovery and wellness
  - List examples of how WRAP ® can assist a person to achieve and sustain greater wellness
  - Identify initial steps to implement WRAP ® as a tool for recovery and wellness

EVENING WORKSHOPS

* Registration and Fees apply

Monday, July 25th- 6:00pm to 9:30pm

#1464 Ethics for the Prevention Profession
Presented by Julie Stevens, LCDC, ACPS, ICPS
This workshop is designed for the substance abuse prevention professional to learn how to apply a set of standards/principles that guide individuals and organizations working in prevention. The Prevention Think Tank Code of Ethical Conduct describes the responsibilities to the public, service recipients, and colleagues. A decision-making model will be introduced.
- Learning Outcomes
  - Identify standards of conduct for prevention professionals
  - Demonstrate a method of ethical decision-making for difficult scenarios in prevention
  - Set professional goals using prevention ethical standards

Tuesday, July 26th- 6:00pm to 9:30pm

#1461 Ethics, Trauma and Self-Disclosure
Presented by Zack Corcoran and Steve Harrington, MPA, JD
What are the limits of what I can do for those I serve? We will examine how peers in the workplace set appropriate boundaries with other peers, the training they commonly receive in this area, and the special issues presented by trauma informed practices.
- Learning Outcomes
  - Explain at least two reasons why ethical standards exist
  - Describe why trauma-informed practices are important when serving persons with mental health conditions
  - Identify at least two factors that ensure the priority of self-disclosure

Wednesday, July 27th- 6:00pm to 9:30pm

#1470 Ethical Issues When Addressing Sexual Offending
Presented by Chrysanthi Leon, JD, PhD
This workshop will provide an overview of contemporary issues that arise when practitioners work within or adjacent to criminal justice institutions, with particular emphasis on this work regarding persons who have sexually offended. Participants will discuss a series of hypothetical cases.
- Learning Outcomes
  - Identify the prevailing norms of confidentiality in treatment and criminal justice arenas
  - Consider short-term treatment or supervision goals in light of broader norms
  - Determine where to look and who to consult when ethical quandaries are identified

Thursday, July 28th- 6:00pm to 9:30pm

#1463 Ethical Decision-Making in Recovery
Presented by Marna S. Barrett, PhD
Although recovery may be conceptualized differently across various domains, there are a number of common ethical issues. Such issues may include the role of peer support, acceptance of diagnostic labels, implied need for a cure, and increased risk for providers. The purpose of this workshop is to provide a framework and a formal process for ethical decision-making.
- Learning Outcomes
  - Distinguish between "right vs. wrong" dilemmas and "right vs. right" dilemmas
  - Compare two models for ethical decision-making that are useful in resolving "right vs. right" dilemmas
  - Develop your own model for ethical decision-making
  - This workshop is co-sponsored by DPA/APA for 3 credits.