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DEE - CCSAD - 26th Annual Cape Cod Symposium on Addictive Disorders
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Content matched stated objectives.
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How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
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Having completed the activity, please rate your ability to meet each of the following overall conference objectives:

Apply clinical skills from a broad range of professional core functions including assessment, therapeutic approaches

Cite advances in the addiction field resulting from research and practice innovations

Discuss key issues such as cultural diversity, gender issues, sexual orientation and age-specific differences in relation to clinician/client interaction

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Having completed the activity, please rate your ability to meet each of the following objectives:

Distinguish between a legal and ethical considerations

Apply the Tarasoff decision to daily practice

Identify risk-susceptibility factors that make clinicians vulnerable

Differentiate clinical supervision from case management

Identify the four key tasks of a supervisor

Discuss the CRC Health Group Model of Clinical Supervision

Discuss the rationale for the Gerwe Orchestration Method and its fundamental components

Explain a step-by-step approach to addressing core issues affecting current disorders and propensity for relapse/regression

Identify the Orchestration Group Process (OGP) and its procedures exploring the nature of a group process designed to investigate and address traumatic events and conditions evolving from them

Explain the development and maintenance of Anorexia, Bulimia and Binge Eating Disorder
Identify six medical and nutritional complications present in patients with eating disorders
Discuss the psychiatric co-morbidity common with eating disorders

Identify basic financial literacy information

Discuss the association of financial literacy with clinical practice of gambling disorders

Discuss implementation strategies for treatment planning

Discuss the theorectical principles of Multiple Family Group Therapy

Apply therapeutic techniques incorporated in the Multiple Family Group Therapy format

Discuss various therapeutic issues related to adolescent populations and the corresponding treatment techniques

Demonstrate knowledge of the philosophical of theoretical bases of the MICST model

Use practical skills demonstrated in the use of sensory motor and body movement exercises to promote relaxation and mindfulness strategies, and the use of cognitive stimulating paper and pencil exercises in their counseling approach

Discuss various exercises and techniques of MICST

State why trauma informed care is important

Define what trauma informed care is

Identify which treatment approaches are considered best practice

Identify three psychological influences triggering eating disorder pathology and symptomology

Describe the role of the family in the treatment of eating disorders

Discuss three evidenced-based treatment approaches in working with patients with eating disorders

Create a personal definition of success, and explain how fear of success applies to them or others

Identify road blocks to success

Identify career and creative blocks, as well as career transition and vision issues

Explain the role that substance abuse has on both the perpetrator as well as the survivor of Domestic Violence

Identify where the issue is inability to control ones anger or Power and Control

State the dangers of recommending couples or marriage counseling where domestic violence is present

Identify three recovery-oriented strategies for enhancing the motivation of patients to engage in smoking cessation treatment

Explain three primary causes of relapse to smoking, and identify the importance of each of the three in an individual patient

Demonstrate three recovery-oriented strategies for reducing the risk of relapse for each of the three primary causes of relapse to smoking

Address the benefits of collaborating with professionals across a variety of disciplines

Identify several current issues in the field of addiction

Explain the importance of involving family and natural support system in order to achieve long-term positive outcomes

Identify where American, European, Middle and Far Eastern policies and practices overlap

Differentiate where they significantly differ in the areas of substance abuse prevention and treatment as well as harm reduction efforts

Discuss the interesting developments the Middle and Far East Faculty

Identify signs and symptoms requiring medication evaluation

Identify stages of development which do not require medication

Identify stages of recovery which are particularly vulnerable for psychological distress

Discuss interferon-based therapy, response rate, its major adverse effects and their management, including role of rapid virologic response to guiding treatment decisions

Discuss new therapies (e.g., protease inhibitors) and their likely effects on patient selection and treatment algorithms

Discuss safety and efficacy of interferon-based therapy in patients with mental illness

Summarize salient epidemiological information that links substance use disorder and intimate partner violence and interpret theories that link them

Identify meaningful methods to screen for intimate partner violence in survivors of IPV in treatment for Substance Abuse

Describe programs with success in batterer intervention for batterers receiving substance abuse treatment

Discuss how physicians are assessed, treated, and monitored for substance use disorders

Discuss the state licensing board's processes in assuring public safety when a physician has a substance use disorder

Discuss the interactions between the licensing board and physician health programs which promote patient safety and the wellness of physicians

Explain the underlying concepts and goals of the new edition of The ASAM Criteria and the focus on user-friendliness

Identify how to use ASAM Criteria in different settings with various clinical populations

Discuss the ASAM Criteria in the context of outcomes-driven versus program-driven treatment and healthcare reform

Discuss how managed care companies work and what is involved in the utilization review process

Evaluate policies in light of substance abuse and mental health services

Discuss problems providers may experience when billing insurance for services and how to combat these issues

Identify clinical structures for providing buprenorphine therapy, including the barriers and challenges each type of program faces

Discuss the selection, assessment and treatment for medication assisted treatment

Compare and contract individual and group therapeutic approaches to patients on buprenorphine therapy

Identify when a client's brain has been affected by a tramatic event or multiple events

Discuss recent research regarding direct effects of trauma on the brain

Discuss various methods available for the resolution of trauma and brain healing

Describe 3 methods of therapeutic responding to client resistance during treatment

Name 3 tools, from Dialectical Behavior Therapy (DBT), for motivating clients who are treatment-resistant 

Demonstrate how to use motivational, acceptance and change strategies with treatment resistant clients; with the goal of enhancing therapeutic effectiveness

Describe the psychological climate in family systems that reinforce body-based communication and denial of self that underlie most eating disorders

Recognize the effects of trans-generationally transmitted impaired coping on family members

Practice techniques to drive system shift in order to optimize treatment outcomes and interrupt epigenetic transmission of these conditions to the next generation

Identify the process of addiction interaction adn recent research

Develop a comprehensive Recovery Action Plan that takes into consideratino co-addictions; keeping in mind sobriety challenges

Identify chemically dependent patients who also have a co-existing addiction and develop an integrated treatment plan

Define codependency

Identify the behaviors that form around codependency

Discuss the basis for codependency and the consequent disconnect from self

Describe the proposed DSM-5 criteria and how it differs from the current DSM-IV-TR

Explain why some with a current diagnosis of abuse will not receive a diagnosis with the new criteria

Discuss the clinical and policy implications for DUI/DWI offenders

Explain the specific requirements of the federal regulations covering substance abuse treatment records (42 CFR Part 2) and the risks associated with failure to comply

Discuss the need to comply with all state and federal regulations (not just 42 CFR Part 2) relating to the electronic disclosure of highly sensitive health information

Express what a regional health information organization (RHIO) must do to comply with state and federal regulations relating to the electronic disclosure of highly sensitive health information

List the principles of screening before prescribing opioids

Explain the principles of monitoring the patient while they are taking opioids

Avoid problems of abuse and dependence of opioid pain medicines

Describe 3 principles of integrated treatment for dual disorders

Describe 3 buprenorphine prescribing priniciples for people with dual diagnoses, and describe a novel risk management procedure for buprenorphine prescribing within an IDDT setting for people with co-occurring opioid dependence

Describe a sleep program for screening, diagnosis and treatment of sleep disorders in this population

Demonstrate use of warm-ups, action, working-through, closure and sharing

Describe the precautions of doing psychodrama work and how to approach the resistant or "stuck" client

Identify tangible tools to use in working with a variety of disorders

Discuss normal brain functions and how they are a part of healthy brain function

Explain how ongoing alcohol and drug use alters specific systems in the brain producing altered perceptions, shifting values and persistent high-risk behavior

Explain how better understanding the condition can be used to motivate clients to address their altered perceptions, motivations and behaviors in light of their values

Describe the transformational spiritual process of forgiveness that can be found in the 12 step journey

Explain the medical consequences of holding resentment, pain and grief in the body

State the key reasons that patients/clients do not forgive; and why they hang on to resentment, anger and pain

Describe the unique challenges facing addicts in early recovery in returning to on campus collegiate education

State the risks and rewards for recovery students in deciding between an on-campus collegiate experience versus pursuing an online college degree

Discuss the correlation between sober outcomes and academic performance for sober students enrolled in on campus collegiate recovery programs

Identify misuse, abuse and diversion concerns with office based treatment with buprenorphine

Describe preparation for a DEA visit to an office based practice

Describe the clinical issues in prescribing buprenorphine in special

Identify the biopsychosocial contributors to chronic pain in the setting of co-occurring substance use disorder and chronic pain

Utilize practical, effective approaches to help patients recover from co-occurring pain and addiction

Distinguish different drivers of opioid and other substance misuse in pain treatment and address them effectively

Explain Synthetic Drugs and the chemical make up that makes them highly addictive

Discuss the latest trends abut Synthetic Drugs

Identify signs and symptoms of those using Synthetic Drugs

Describe the different bariatric procedures, medical risk pre and post surgery, and how those risks can play into eating disorder behaviors

Explain how binge eating disorder is unique and the same as anorexia and bulimia

Identify dietary approaches to treating binge eating disorder and eating disorders that present post-bariatric

Analyze the Affordable Care Act (ACA), its impact the Substance Abuse Industry, and assess what to expect in the coming months

Describe the Parity Act of 2008, demonstrate the relationship between the ACA and the Parity Act of 2008, and how to identify and report instances of parity violations

Demonstrate knowledge and resources necessary to advocate for patient care under the changing HealthCare climate

Discuss the ACA and current issues that will impact the addiction field

Discuss the Care of Veterans

Analyze the role of the Institutes and FDA in defining outcomes for maintenance therapies

Identify common ED behaviors that arise in Chemical Dependency treatment

Describe how the active Eating Disorder will interfere with Chemical Dependency treatment

Identify common medications that can worsen the Eating Disorder

Recognize different attachment styles in adults

Recognize the key role of spirituality and religiosity in the field of addiction understanding the distinction between these two constructs

Discuss aspects of attachment theory, interpersonal skills, creativity, and service

Describe how to bridge the gap between data and practice to inform treatment

Explain how to provide real time treatment planning based on client presentation, program and outcome data as well as scholarly research

State a method of informing care along the treatment continuum within the context of a chronic disease paradigm

Explain the addiction field's shift from an acute care model to embracing of chronic care recovery services and the concordant opportunities

Identify the characteristics of each of the four levels of recovery residences

Match client presenting needs with appropriate residences

Explain what is meant by an abstinence based recovery trajectory and its importance as a long term recovery goal

Discuss 12 Step treatment as a disease modifying intervention

Discuss addiction as a chronic disease requiring ongoing care including biological, psychosocial and spiritual interventions along the course

Recognize the signs and symptoms of clinical depression and anxiety disorder particulary in the context of early recovery

Explain the treatment modalities utilized in the care of patients with clinical depression particulary in the context of early recovery

State facts about the neurobiology, genetics and epidemiology of depressive disorders

Explain what makes the difference in addiction recovery that is complicated by mental disorders, and how Boomers become engaged in treatment

Summarize how aging and addiction is becoming more complex in the Boomer population, and why generationally informed treatment is effective

Describe how current life stressors can trigger substance abuse, including chronic pain, financial pressures, "sandwich generation" factors, job, divorce, grief and intimacy

List the the advances in the treatment of the opiate dependent pregnant female

Discuss with the pregnant opiate dependent woman the risks and benefits of medication assisted treatment during pregnancy

Compare maternal and neonatal outcomes based on treatment

Use performance measures as organizational goals

Use simple process improvement techniques to meet performance goals

Develop a plan for one change project to improve performance at their agency

Examine the Myth of Narcissus and Echo as the basis of Self Absorption and Codependency and apply it to the premise of the spiritual dilemma presented in this workshop

Evaluate how the 12 steps seek to achieve this balance and then generalize those principles into a framework for anyone seeking a balance between self with others

Examine the progression of all family members into the family illness

Discuss the change of focus for each member

Recognize the balance of relentless self-focus with empathy toward others in recovery

Explain the definition of a chronic relapse and correctly identify them in clinical situations

Name specific protocols for treating a chronic relapser

Identify when to refer a chronic relapser to specialty treatment

Describe the relationship between PTSD and addictive disorders

Utilize assessments that can identify those patients with comorbid PTSD

List the available evidence based treatment options for the treatment of PTSD and addictive disorders

Discuss the appropriateness and the settings in which neuropsychological testing is instrumental in the diagnosis and treatment of addiction

State what questions neuropsychological testing can ask and test for and what it cannot

Apply the understanding of neuropsychological testing's role and discover the spectrum of interpersonal, mental and emotional function that affects recovery in addicted clients

Discuss unique aspects of pregnancy adaptation, including common pregnancy symptoms that can be confusing in the setting of substance abuse

Review epidemiologic data of opioid use in pregnancy

Review data comparing maternal and neonatal outcomes based on treatment

Describe the similarities between Dialectical Behavior Therapy (DBT) assumptions and Twelve Step philosophy

Recognize DBT skills of emotion regulation within Twelve Step literature

Utilize emotion regulation tools that integrate DBT and the Twelve Steps

Discuss how to stimulate the mind and emotions of clients through creative action

Integrate inspiration with all models of therapy

Engage in experiential education to nurture creativity and reduce resistance

Describe the policies addressing the use of marijuana as a medication in the states in New England

Discuss the risks, benefits, and alternatives of marijuana when used medically

Strategize opportunities for providers of addiction treatment to impact medical marijuana policy

Discuss the different facets of sexual addiction

List the different therapies that can be used for sexual addiction

Describe the different levels of sexual addiction and the implications for treatment

Describe the types of trauma, the symptoms of PTSD and the manifestations of unresolved trauma

Explain how trauma impacts identity and integrity in the trauma survivor

Identify which treatment approaches currently employed in the treatment of trauma may be more effective for specific clients and specific techniques to help clients develop self-compassion and reduce shame and self-blame

Use practical behavioral interventions for high conflict sober couples

Stay steady in the face of difficult sober couples in the therapy room

Create a positive future for sober couples to achieve greater intimacy and trust step by step as a preventative measure against relapse

Gain a collective and fresh sense of your personal worthiness and impact

Pause and introspectively renew and refresh your choice to BE instruments of hope for those who, too often, have hope diminisshed

Describe a real life treatment model that incorporates a Client Directed, Outcome Informed core philosophy

Describe a real life treatment model that incorporates a practice based evidence approach

Use real time measurement of the therapeutic alliance

Recommend or implement effective clinical strategies to deter opioid misuse when opioids are used in pain treatment

Engage effectively in prevention strategies at the community level to reduce prescription opioid misuse and related harm

Discuss major Federal and State policy initiatives intended to reduce harm related to prescription opioid misuse

List the key recommendations to the field from the Men and Trauma symposium

Distinguish how trauma affects men differently from women

Define the three key theories of MIT (men's integrated treatment)

Discuss the nature and causes of QTc prolongation in methadone-treated patients

Risk-stratify patients in terms of potential for QTc prolongation and cardiac arrhythmias

Summarize the clinical and medical-legal implications of ECG testing in this group of patients

Discuss the importance of implementing a creative approach to group therapy for engaging clients with dual diagnoses

Walk away from the presentation with first-hand experiences of groups and fresh topics they can immediately implement with dual-diagnosis clients

Gain confidence in their counseling skills by tapping into their own well-spring of creativity, which has either become dormant or has never been expressed

Discuss the nature and causes of QTc prolongation in methadone-treated patients

Risk-stratify patients in terms of potential for QTc prolongation and cardiac arrhythmias

Summarize the clinical and medical-legal implications of ECG testing in this group of patients

Identify three changes that a recovering person experiences after ten years of addiction recovery

Describe four categories of life experience that are different after ten-plus years of recovery..eg..work/career; relationship/partners; physical heath/physical care; spiritual growth and development etc.

List at least three of five stages of recovery (across years 1 to 30) and give two characteristics of each stage

Utilize the Stages of Change model to conduct a stage of change analysis for a client

Incorporate the MI techniques of open-ended questions, affirmations, reflective listening, and summarization (OARS) to engage and assist clients in the recovery process

Identify and respond appropriately to client change talk: desire, ability, reason, need & commitment (DARNC)

Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
Was the educational content free of commercial bias?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "Yes" to the above question, please explain.
How much did you learn as a result of this educational program?
What did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

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