DEE - 27th Annual Cape Cod Symposium on Addictive Disorders

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September 11, 2014 - 8:30AM - 5:00PM

September 11, 2014 - 8:30AM - 12:00PM

September 11, 2014 - 1:30PM - 5:00PM

September 11, 2014 - 7:00PM - 9:00PM

September 12, 2014 - 8:30AM - 10:00AM

September 12, 2014 - 10:45AM - 12:15PM

September 12, 2014 - 12:15PM - 1:45PM

September 12, 2014 - 1:45PM - 3:15PM

September 12, 2014 - 4:00PM - 5:30PM

September 12, 2014 - 7:00PM - 9:00PM

September 13, 2014 - 8:30AM - 10:00AM

September 13, 2014 - 10:45AM - 12:15PM

September 13, 2014 - 12:15PM - 1:45PM

September 13, 2014 - 1:45PM - 3:15PM

September 13, 2014 - 4:00PM - 5:30PM

September 13, 2014 - 6:00PM - 8:00PM

September 14, 2014 - 8:30AM - 10:00AM

September 14, 2014 - 10:30AM - 12:00PM

September 14, 2014 - 1:00PM - 5:00PM

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situtation):

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Objective 2: Cite advances in the addiction field resulting from research and practice innovations: and discuss key issues such as cultural diversity, gender issues, sexual orientation

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

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

Describe how the DSM-5 categories of Mild, Moderate and Severe compare to the DSM-IV categories of Abuse and Dependence;

Name the value of maintaining the DSM-IV Axis system for purposes of assessment, if not for diagnosis

Identify the 5 most common mental health disorders that co-occur with substance use disorders

Summarize proven interviewing tools to enhance their skills for gathering person-centered and case-specific assessment data about suicidal ideation, substance use, and other sensitive information, while balancing risk and mitigating factors to guide safety planning

Observe a DVD interview with a suicidal patient to deepen understanding and facilitate immediate application of specific interviewing skills in work with patients/clients and important collateral people in clients' support networks

Review basic clinical and administrative decision-making in assessment, documentation, referral, and safety planning in an interactive consultative discussion session

Differentiate between acute versus chronic pain and hyperalgesia 2) Identify specific challenges for persons who have a co-morbid addiction and severe chronic pain

Identify current best practices and the research supporting these practices 4) Increase knowledge of specific clinical tools to asses risk factors for the implementation of opioid treatments with clients identified with a co-morbid history of chemical dependence 5) Identify the reasearch base for the efficacy of alternative pain management models (e g mindfulness) 6) Identify the importance of grief work with this population, with a brief review of Stages of Grieving

Explore challenges facing addictions & mental health counselors and treatment providers in providing clinical intervention with this population (e g fatigue, missed appointments due to pain, clinician beleifs and biases, etc )

Develop a clear understanding of what constitutes trauma 2 Clinicians will learn how children and adults process trauma differently 3 Clinicians will be able to use the new DSM 5 Post Traumatic Stress Disorder criteria 4 Clinicians will become familiar with different effective treatment methods including but not limited to Narrative Therapy, Cognitive Behavioral Therapies, Rational Emotive Therapies, DBT, EMDR, Exposure Response Prevention

Explain how children and adults process trauma differently

Use the new DSM 5 Post Traumatic Stress Disorder criteria

State changes to the DOT drug and alcohol testing rules

Summarize best practices and frequently encountered challenges in DOT SAP work

Identify and resolve DOT Operating Administration (Mode) specific challenges in the SAP process relating to FAA, FRA, FMCSA and USCG

Develop an overview of what's important Participants will learn about change talk and methods of eliciting

Practice Motivational Interviewing on "challenging" clients through role playing and discussion

Name direct approaches you can use within the context of creating an atmosphere of change

Name the unique effects of substance use on the developing adolescent brain

Summarize aspects of basic neurotransmitters as they related to addiction and the relation of the brain's "reward centers"

Demonstrate basic knowledge of brain anatomy and cerebral functioning, with particular attention to developing executive functions and changes in the adolescent brain (both normal and abnormal)

Identify the effects of acute and chronic use

State common myths and facts about marijuana

Summarize scientific evidence on marijuana's medicinal potential

List ten key nutrients to include when designing a personal diet for brain recovery

Analyze how good and bad fats and sugars contribute to brain healing

Demonstrate what is nutritionally necessary to insure the regeneration of neurotransmitters

Describe the dangers of synthetic (designer) drugs a Why they are used? b The chemical components of each? c The most popular ones on the market

Discuss the contraptions used among young adults to circumvent drug testing

Explain the history of Synthetics

Examine and discuss generational differences in how the treatment process addresses issues in Boomer and older adult groups

Review both motivation for recovery and barriers to treatment for specific aging populations

Explain the process of engagement of Boomer s in treatment and review therapeutic interventions in primary treatment that have informed continuing care and sustained recovery

Explain how the Mental Health Parity and Addiction Equity Act of 2008 and the Patient Protection and Affordable Care Act operate in relation to substance abuse treatment and the extent to which these statutes require access to substance abuse treatment

Name common ways in which public and private insurers deny access to substance abuse treatment and how these actions violate the Mental Health Parity and Addiction Equity Act of 2008 and the Patient Protection and Affordable Care Act

State how state and federal agencies have failed to properly enforce the laws protecting those who require access to substance abuse treatment

Summarize the demographics of trauma across the lifespan (children, adolescents, and adult women)

Analyze the changes in brain structure and physical health as a result of trauma

Review the research regarding effective treatments for PTSD

Name borderline, psychopathic, and narcissistic personality styles

Summarize defensive structure in the addicted population

List treatment implications for clients organized at various psychodynamic personality types

Develop procedures and what the requirements are for being legally compliant with the operations of a Treatment Facility or as practice as an individual clinician

State what federal and state rules are regarding compliance for billing federal, state and commercial insurance companies and how to prevent become the target of fraud, illegal billing or malpractice

Name what changes have been implemented regarding the ACA and Parity Final Rule as well as changes to state Medicaid Rules and regulations that affect providers in the Mental Health and Substance Abuse field

Identify three differences treating boys with eating disorders compared to girls

Identify three medical nutritional management issues specific to working with boys with eating disorders

Describe three interventions specifically designed to meet the needs of boys who suffer from anorexia, bulimia, and binge eating disorder and co-morbid issues

Tell of their experience as a validated model of family system disorder and its attendant trans-generational transmission of impaired coping

Describe strategies to guide family members toward individualized recovery from family system woundedness and impaired coping

Determine a set of realistic and evidence-based outcome measures to incorporate into one's treatment repertoire

Explain how to recognize active trauma symptoms in patients and families, how they interfere with addiction treatment, and how to integrate trauma interventions into their usual treatment protocols

Name how trauma memories are stored and about the relationship between memory systems and trauma symptoms They will also learn how to target treatment interventions to address symptoms exhibited in each memory system

Use interventions that can be utilized immediately in their practice (i e , resourcing and DBT interventions for affect regulation)

Name gender specific problems women face in recovery

Identify women empowerment tools through the sisterhood of recovered women

List what women face in their first year at home

Summarize the challenges facing young adults as they enter treatment designed to serve adults

Identify challenges and engage youth and emerging adults

Explain the role of program content and program structure in influencing how youth and emerging adults are served by their system of care

Describe the evidence based reasons for the use of methadone in addiction treatment

Name the evidence based reasons for the use of buprenorphine in addictions treatment

Discuss and explain whether the prescribed use of these two medications are compatible with abstinence based 12 step treatment and recovery

Identify process addictions and how they differ from more traditional addictions such as drugs/alcohol

Differentiate between treatment for process addictions in the LGBTQ community versus a member of the hetero-normative community and describe why there's an important distinction between the two populations

State the importance of offering specialized culturally affirmative treatment to members of the LGBTQ community

Summarize knowledge regarding approaches to networking regarding AOD and addiction implications of Long Term Offender Reentry clients This includes identifying and marketing to parole officers, treatment providers, elected officials, and other key stakeholders

Explain the importance of Collaboration among key stake holders in the (1) DOC administration, (2) treatment providers, and the (3)general community Such insights will include promotion, advocacy, brokering, and other important roles for the facilitation of successful reentry for this particular cohort

Name strategies for informing public policy at the Federal, State, and Local levels regarding Long Term Prisoner Reentry its management of AOD issues of dependence and abuse

Identify usique aspects of the Iraq and Afghanistant conflicts contributing to elevated riskof substance use disorders in veterans returning form those conflicts

Discuss the approaches the Military Health System and Dept of Veteran's Affairs are taking to imporve identification and delivery of care for retunring U S Veterans

Discuss the symptoms triad of PTSD, chronic pain and TBI and how this relates to increased risk of substance use disorders

Review the research and statistics to comprehend the negative effects gaming is having on society's youth

Name the variety of gaming platforms

Explain how gaming has become an addiction for our youth and develop a method of treatment

Identify when unpaid debts pose a legal challenge to a recovering addict

Discuss legal rights and responsibilities with clients whose unpaid debts are creating chaos in their lives, and threatening their recovery

Recommend actions and resources toward resolving unpaid debts

Name strategies a person will use to meet their needs in the 6 Human Psychological Needs model

Demonstrate and apply methods that all humans always use to create an emotional state

Assess and analyze personality traits both positive and negative and how they relate to our 6 Human Needs

Identify 3 causes of treatment resistance including culture, stigma, and family

Name ways to align themselves with the family and the client to create a non-judgmental atmosphere of acceptance and engage even the most resistant clients in the treatment and recovery paradigm

Explain how to focus sessions leading up to treatment to ensure a level of readiness and successful outcome for the client and family

Summarize their understanding and appreciation of contributing factors to the high rate of burn-out among addiction professionals, together with ways of minimizing detrimental influence of these factors in their own lives

Explain the phenomenon of counselor co-dependency, together with steps they can take to avoid falling into this vicious cycle

Name key dimensions of wellness, together with benefits of integrating these into their own lives

Describe differences in the neurobiology and treatment approach for moral injury as compared to PTSD

Discuss the differences in treatment goals for the management of moral injury compared to PTSD

Discuss and implement a treatment model for the management of guilt and shame associated with moral injury

Review basic patterns of attachment and introduce the idea that one aspect of the etiology of addiction may be a person's attachment style

Demonstrate how a cycle of addiction can stem from early attachment experiences of disconnection and misunderstanding, which leads to substance abuse, which contributes to an ongoing deficit in connecting with other people

Summarize and then introduce mentalization-based techniques to reestablish human connection and diminish the connection to a substance

List three treatment strategies used in the treatment of Obsessive Compulsive Disorder

Describe the conceptual relationship between OCD Anorexia

Demonstrate at least three skills to develop internal motivation regarding recovery from their Anorexia, OCD, and Substance Abuse

Assess an applied theater intervention as one method for teaching basic concepts about substance abuse and recovery as part of a comprehensive prevention curriculum

Utilze the arts with groups as a way to process and channel difficult or negative feelings into a creation of something beautiful and inspiring

Evaluate the power of live theater to motivate help-seeking behaviors

Discuss strategies that will promote post-traumatic growth

Formulate a good working diagnosis for patients with depression or bipolar disorder who also suffer from comorbid substance dependence

Name tools and techniques to effectively manage this unique set of patients

Establish and maintain good therapeutic relationships, where the patient partners with the clinician for development and implementation of their care plan

Describe and understand the role of SPECT imagining in client recovery The latest scientific research will be included in this

Identify 8 ways to stop "Emotional Vulnerability" and how to apply the DBT skills to stop it and how to help their clients restructure their live to prevent this

Name from a given list the ways to apply "Distress Tolerance" skill of Radical Acceptance to any given situation, raising their clients "distress tolerance threshold"

Talk about the philosophical and spiritual origins of the martial arts

Incorporate a martial arts curriculum into a therapeutic setting

Use a martial arts program to support treating specific psychopathology

Identify the components and branches of the military services ?

Name unique aspects of military culture

Explain ways lack of understanding of military culture may impact the therapeutic relationship

Define spirituality within the framework of the bio-psycho-social-spiritual-experiential model of addictive disease

Name interventions to use within the clinical arena to strengthen individuals' sense of their own spirituality

Create a clear differentiation between spirituality and religion, allowing the clinician to support the patient's spiritual growth independent of religious commitment

Identify strategies and interventions to utilize when working with the LGBTQ individuals with chemical dependency, mental health, and sexual health issues

List specific issues that pertain to LGBTQ identified individuals

Apply knowledge gained from the seminar to case examples involving LGBTQ individuals

Review the pharmacology of benzodiazepines and the relationship of benzodiazepines to other drugs that act on the GABA receptor

Name hazards of long-term benzodiazepine use and the difficulties patients commonly experience when discontinuing them

Discuss 5 different pharmacological approaches to benzodiazepine discontinuation

List three tools for clinical practive that are applicable for working with individuals, groups and families

Discuss some of the differences of the currently available formulations of buprenorphine available for the treatment of opioid dependence

State the pluses and minuses of prescribing one form of sublingual buprenorphine over another in terms of patient matching

Name the safety benefits of the various forms of buprenophine

List current EAP models and how they identify process addictions

Compare the EAP's teaching role to the organizational training role, provided by the Human Resource Department, and understand current Federal Mandates

Identify the observable behaviors associated with Process Addictions

Name the organization and structure of the NIDA Clinical Trials Network nationally and regionally in New England

State clinical trials conducted under the auspices of the NIDA Clinical Trials Network

Explain the findings from the NIDA CTN Prescription Opioid Addiction Treatment Study (POATS)

Use experiential methodologies to engage family members in their own recovery process

Explain how to use motivational interviewing techniques to approach resistant family members to get their own help

Engage in an exercise demonstrating the success of said techniques and be able to provide stronger therapeutic techniques in delicate family situations

Review evidence-based research regarding the use of mindfulness in addictions treatment Attendees will learn about the importance of metaphor and how mindfulness decreases incidents of relapse post-treatment

Summarize the use of Japanese gardens and a nature conservatory to teach clients methods of mindfulness as well as ways to increase their self-awareness

Explain therapeutic drumming and learn the client experience of becoming a leader as well as recognizing the internal desire to follow others

Summarize fears and control issues of the recovering addict

Explain how each step brings a realistic understanding to addictics who often have co-occuring Co-Dependency issues

Summarize what "forgiveness" actually means and why it is necessary

Review the current ARV regimens used in both newly diagnosed and chronically treated people living with HIV and/or HCV co-infection

Discuss new HCV therapies and their likely effects on patient selection and treatment algorithms

Review the current integrative health care treatment models now used for people living with HIV and/or HCV

Explain how to use psychodrama with eating disorder clients

Describe how to use psychodrama with severely compromised eating disorder clients

Summarize how to work with trauma related issues without re-traumatizing the client with psychodrama techniques

List the different attachment styles in adults.

Discuss the impact of substance abuse treatment on the relationship between attachment styles, spirituality, and Axes I and II disorders among substance abusers through the examination of our preliminary analyses of our most current empirically-based study examining these factors in at the beginning of treatment and upon discharge.

Identify and utilize seven specific therapeutic strategies to ease and complete painful good-byes

State whether or not a client is completing a detaching process in a manner that frees him to freely go on with his life

Assess the strength of a client's sense of self by how well he/she completes good-byes

Assess the functioning of a family system

Apply appropriate intervention tools including family leverage to promote change in the family dynamic

Discuss the challenges of family recovery and the potential for resistance to change

State how to effectively work with community supervision to best help your client/resident

Summarize how to become a viable resource to your local Police Department, county jail, and Courthouse

Explain how police probation and you can work together to most effectively help someone stay out of jail, recover, and most importantly live a productive life

Name four assessment questions and counseling skills for adolescents experiencing bullying and/or substance abuse

List three practice implications for the association between involvement in bullying and substance use in adolescents

State strategies for enhancing prevention and treatment program environments to reduce bullying and substance abuse and foster healthy youth development

Demonstrate a basic understanding of creative healing techniques

Participate in an experiential exercise to understand emotions

Describe treatment strategies for helping chemically dependent people that are both therapeutic and directly related to the 12 steps

Describe the origins and rationale behind Mindfulness-Based Cognitive Therapy for Depression and Mindfulness-Based Relapse Prevention

Identify the core teaching elements of MBCT/MBRP

Define the role of sustained meditative practice in facilitating emotion regulation and defusing negative thought patterns

Describe three ways prescription medications and drugs impact appetite and overall intake

Identify two specific physical consequences secondary to substance and alcohol abuse

Describe the role that adequate nutrition can play in the detoxification process and four nutritional interventions for healing

Discuss specific experiential techniques that are working in the treatment of trauma today and why

Explain how to link experiential work with current research on interpersonal neurobiology

Describe psychodrama and sociometry as the basis for Breathe's experiential approaches to healing trauma

Define designer drugs and their effects on the user

Summarize the clinical implications of designer drugs from a bio/psycho/social stand point

Name trends, and complications that these drugs propose to treatment

Discuss the prevalence and use trends of "synthetics"

Identify current issues and outstanding questions regarding proper use of substance use testing

Use and know the literature that describes how to ascertain advisable substance use testing practices in a variety of health care settings

Discuss three methods of testing and describe how and when to use one method or another

Name patients at risk for Opioid dependency and withdrawal syndromes

List several evidence-based methods of appropriate Opioid drug withdrawal

Identify preventive and early recognition of potential treatment complications of Opioid withdrawal

Describe a framework for relapse prevention that includes the cognitive approach of the 12-step program with trauma-informed mind/body based practices

Discuss why and how a holistic relapse prevention approach addresses addictive patterns at a very deep level

Explain how 'the issues live in our tissues'

Analyze why and how virtual immersive online game tools are so attractive, compelling, and widely used in recreational gaming

Demonstrate a knowledge of the factors which make this methodology appropriate for clinical purposes, and be able to describe how the innovation is in the service delivery model, not in the therapeutic process

Compare the participant outcomes for virtual counseling with traditional methods and be able to enumerate the potential advantages of using this technology in regular clinical practice

Explain the impact of incomplete developmental stages, particularly identity, in laying the groundwork for addiction James Marcia's work on the fifth stage of development will be understood as well as the instrument to measure Ego-Identity formation

Summarize the impact of a family system with split parenting styles, conflicting messages and competition for approval Understand measures that can be used to evaluate and understand these issues

Evaluate the degree of completion of tasks within a developmental stage to aid in specific treatment planning for a client and/or their family

Please answer the following:

Do you believe this activity was appropriate for the scope of your professional activities?

Was the educational content scientifically sound?

If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?

Was the mode of education effective to learning?

If you answered "No" to any of the above questions, please explain.

Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?

If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):

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 in detail (e.g. who, when, where):

How much did you learn as a result of this education program?

What specifically 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?

Basic

Intermediate

Advanced

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?

Additional comments: