Quality of facilities.
Describe the underlying philosophy and principles of the Family Meeting Approach to Intervention and how to utilize this approach to assist families in addressing issues related to Addiction and other problems impacting upon the family system
Review the Johnson, Systemic and the ARISE Models of Family Interventions
Describe the process of developing a support system in order to facilitate the “Concerned Other” Intervention
Explain how to implement Intervention techniques within a clinician’s practice
Define key terms and concepts relevant to the practice of crisis intervention and disaster mental health
Summarize relevant crisis intervention research
List relevant recommendations for practice
Discuss the nature and importance of incident assessment and strategic intervention planning
Summarize the results from a 2 ½ year Demonstration Project: Using Homeopathy to Reduce Cravings and Stabilize Clients in Two Residential Treatment Programs in Boson, MA
Describe homeopathy as an intervention in substance abuse treatment
Identify how homeopathy fits into NIH’s spectrum of complementary/integrative approaches
Review 50 years of research on how people change in therapeutic relationships as guide to integrating ethics into practice
Discuss the promises and pitfalls of Evidence-Based Practices, which focus on the efficacy of the treatment approach in contrast to innovative Person-Centered and Recovery-Oriented approaches, which focus on the quality of the therapeutic relationship
Review collaborative Client-Directed and Outcome-Informed approaches that maximize clients’ engagement and accountability and promote counselors’ and supervisors’ ethical practices
Identify and discuss the regulatory requirements of SAP evaluations
Identify and discuss the clinical evaluation process that is necessary to fulfill regulatory obligations
Identify and trouble-shoot problems that may arise when professional training and ethics appear to be in conflict with the fulfillment of regulatory obligations
Identify and discuss reasons why SAP treatment recommendations are likely to lead to successful outcomes
Identify an overarching SAP treatment regimen and discuss its theoretical underpinnings
Access sources of research pertinent to the workshop
State the latest advances in neuroscience and genetics
Compare mechanisms of alcohol use disorders and relapse
Define craving and dopamine
Describe how craving and dopamine impact treatment
Describe how to become certified as an Interventionist
Determine what Intervention approach or Model to use for a given situation
Assess for “Safety Issues”
Cite intervention techniques to address Process Addictions, such as gambling, food, sex, Internet, compulsive shopping/spending
Describe the nature of “resistance, resiliency, recovery” continuum and the role of the integrated multi-component Critical Incident Stress Management system
Compare large groups interventions: demobilizations and Crisis Management Briefings (CMB)
Compare small group interventions: Defusings, Critical Incident Stress Debriefings and Small Group Crisis Management Briefings
Cite the risks of adverse outcome associated with crisis intervention and how to reduce those risks.
Practice large and small group crisis intervention
Examine the family dynamics that underlie these disorders and often serve as their impetus
Review multiple approaches to intervening with these disorders
Examine the medications used to treat these disorders
Discuss the plight of the misdiagnosed and the effect on their functional lives
Name conventional and non-conventional intervention strategies that work
Review the multiple etiologies of these disorders
List disorders that mimic these
Describe the two youth treatment approaches used with inner city urban youth
Discuss cultural and linguistic approaches to meeting the needs of substance using Asians and other cultural groups in the East Bay of the San Francisco Bay Area
Identify key protective factors and prevalence of drug use among immigrant and limited English speaking Asians in the East Bay of the San Francisco Bay Area
Explain how pain and illness interact
Describe a holistic approach that utilizes the body, mind, and spirit
Explain how this will result in patients’ enjoyment of healthier, more productive lives
Discuss how to help patients learn to live and manage pain
Identify the major components of an addictive disorder and related medical sequela
Describe actual and potential life stressors and traumatic events in an individual’s life that create a fingerprint…unique to that individual
Identify treatment options, strategies and interventions that can be utilized to effect a successful discharge and promote a positive outcome in an individual’s journey to recovery
List the six stages of “coming out”
Cite ways to make intake and office more GLBT affirmative
Explain how cultural victimization affects addiction
Name Sub groups within the GLBT Community
Summarize the Mayo Clinic experience on organ transplantation in addictive-disordered patients
Discuss methods of detection, coping with, and treatment of the alcohol and drug abuse/dependent patient and the organ donor during pre- and post-transplant process
Describe and discuss the addiction transplant service protocol at Mayo Clinic, Rochester, Minnesota
Discuss the ethical complexities of transplantation in patients with a history of alcohol and drug abuse/dependence and critical issues of the decision-making process
Discuss outcomes of organ transplant in patients who have a history of alcohol/drug abuse/dependence
Identify personal training, experience, legal and moral factors effecting their ability to collaborate effectively with clients in early stages of change
Review the concepts of Stages of Change, Recovery and Harm Reduction: philosophy, evidence base, utility
Differentiate between enabling and harm reduction
Identify reasons why people present as pre-contemplative (co-occurring disorders, pain, age, peer group, personal goals)
Identify interventions that can engage such clients in their Recovery process
List the pros and cons of prescribing benzodiazepines, opioids and stimulants to people with addictions
Utilize a detailed risk-benefit analysis before committing to interventions, ongoing assessment to monitor risk, and avoid harm
Discuss attachment theory as a framework for conceptualizing addiction
Describe the influence of attachment organization on onset & maintenance of alcohol and other drug use
Discuss how attachment organization impacts an individual emotionally, cognitively, and behaviorally
Explain the influence of attachment organization on the perception and use of social support
List clinical implications and clinical strategies
Discuss the history of the alternative to discipline Substance Abuse Programs for nurses in Massachusetts
Compare similarities between Healthcare Professionals and the General Population
Identify risk factors, signs and symptoms that the chemically impaired health professional will exhibit in the work setting
Explain the SARP and MPRS Process
Name the characteristics of nurses admitted to SARP (age, license and history of abuse)
Cite current approaches to assessment and monitoring physicians
Identify the signs and symptoms of illnesses and disorders which can affect physicians
Identify resources available to assess physicians with health problems and how to make a referral
Utilize methods of education and prevention for physician health issues
Identify at least one therapeutic value of each of the 12 Steps
Describe at least one therapeutic intervention for each Step
Group the Steps into three clusters and describe the purpose for each cluster
State the difference between the True-self and False-self
List at least three purposes of an initiation rite and explain how these relate to the therapeutic value of the 12 Steps
Identify survivors of co-occurring TBI, mental health, and substance abuse challenges
Modify and/or alter current traditional treatment practices or make appropriate referrals to meet the needs of this niche population
Discuss the correlation of co-occurring challenges between traumatic brain injury, substance abuse, and mental health or any combination thereof
State the differences between the traditional medical model of substance abuse treatment and the specialized person-centered model developed for this population
Identify what has and has not worked for this population within the framework of both of these models
Develop a basic and preliminary context-sensitive framework for the screening of TBI with co-occurring mental health and/or substance abuse challenges
Describe how to implement basic intervention supports that focus on proactive supports that integrate proven best practices from both substance abuse and brain injury services
Examine passion and priorities
Evaluate the influence of money and time
State ways to help patients relate to money and time
Identify potential roadblocks to spirituality
Utilize the principles of screening before prescribing opioids
State the principles of monitoring the patient while they are taking opioids
Explain how to avoid problems of abuse and dependence
Identify exit strategies
Assess alternative pain management possibilities
Identify genetic factors lead to endophenotypes that are relevant to successive stages in the addiction process
Describe how these factors contribute to the final phenotype of substance dependence
Compare and contrast predisposing variants, metabolic variants and neurologic reinforcement variants
Describe how each of these variants may be further modified as a result of environmental influences such as traumatic events
Describe at least one system that leads to such epigenetic effects
Define misuse, abuse, and dependence upon prescription drugs
Discuss the prevalence and characteristics of women, across the age span, misusing, abusing, and addicted to prescription drugs including overdose deaths related to prescription drugs
Cite the resources available to monitor the woman who is prescribed prescription drugs
Define shame and differentiate the construct from guilt, embarrassment, and humiliation
Define authenticity and the behaviors, cognitions, and emotions attributed to this construct
Identify the four elements of shame resilience (as conceptualized in shame resilience theory - SRT) and how they relate to authenticity and addiction
Utilize one clinical tool related to each of the four elements of shame resilience (SRT)
Describe what is meant by an “Angel Call” and the evolution of this important peer methodology
Summarize peer support specialist certification requirements
Discuss the importance of using people in recovery to help others with a desire to stop drinking or using drugs
Explain why using peer specialists will improve the efficacy of substance abuse and mental health services, enhance the evolution of a “recovery culture,” and enrich the twelve step community by generating twelve step opportunities
Describe how to integrate peers into the activities of community human service practices and agencies
Utilize the curriculum components of a peer support specialist training program
Describe how to utilize peer specialists in the implementation of evidence-based practices including but not limited to: Screening, brief intervention, and referral to treatment (SBIRT); Motivational enhancement therapy (MET); Substance abuse service integration into primary care; and Integrated dual-diagnosis treatment
Describe changes brought on by various drugs and alcohol consumption and how substance treatment, especially pharmacologic and detoxification treatment can both cause and interfere with fertility
Identify the guidelines for a well woman exam paying particular attention to contraception
Describe the importance of sexually transmitted disease, Pap screening
Compare specific contraceptive options: their efficacy, reversibility, risks and benefits
Discuss of the range of modern contraceptive options, and especially a greater appreciation for pregnancy prevention as part of well woman care
Name the five axis diagnosis related to pain management
Describe changing attitudes toward co-occurring disorders
List alternative treatment interventions
Describe treating pain as a co-occurring disorder
Review and managed case histories
Describe how to express concern for the employee and their welfare
State the far reaching consequences this affect this will have on his or her clients and coworkers
Cite the challenges and solutions employers will find while navigating through these issues
Discuss whether intervening is an invasion of privacy
Discuss issues regarding the ability of the employee can continue to work
Assess the appropriate waiting period before returning to work
List the percentages of variance in treatment outcome associated with client characteristics, therapeutic alliance, treatment methods, and placebo effect
Explain how client characteristics affect both alliance formation and treatment outcome
State the clinician attributes and interventions associated with alliance formation and maintenance
State ways to address tobacco from a motivational perspective with their clients
List the FDA approved medications for nicotine dependence and withdrawal, and the impact of tobacco and nicotine on treatment
List the percentages of variance in treatment outcome associated with client characteristics, therapeutic alliance, treatment methods, and placebo effec
Discuss whether codependence is the disease within all addictive diseases and that codependency issues must be addressed if the recovering individual is to enjoy sustainable sobriety and high-quality relationships
Describe the trans-generational nature of addiction/codependence, the role of trauma history in its development, and key implications for treatment
Describe the characteristics of codependence and establish how psycho-social issues may increase one’s initial vulnerability to substances, activities, or processes with addictive potential, complicate sobriety, and contribute to the risk of relapse
Choose appropriate levels of intervention for co-occurring chemical and “clean” addictions (multiple interacting dependency disorders)
Identify important concerns for codependent addicts in aftercare and the need for formal or informal monitoring, particularly for those who are in “helping” professions
Describe the process of assessment of Pathological Gambling in the clinical setting, including simple diagnostic errors and common differential and co-occurring emotional health issues associated with problematic gambling
Describe brain chemistry and brain biology, especially as these relate to the affective and cognitive aspects of problematic gambling
Describe the most common subtypes of pathological gambling – including action and escape gambling - and the different neurochemical and neurophysiological reward responses triggered by each of these types of gambling activity
Cite counseling approaches and therapeutic interventions that both action and escape gamblers respond to best - in various phases of the treatment process
Describe the causes and conditions that best promote recovery from pathological gambling – including the value of abstinence from all forms of gambling and the mood enhancing benefits of positive psychosocial support
Describe the role of good nutrition and moderate exercise in optimizing the action of neurotransmitters associated with a feeling of wellbeing that may suffer disregulation through long-term pathological gambling
Discuss the existing state laws with respect to coercion to treatment and criminalization of drug use among pregnant women
Examine the ethical question of maternal v. fetal rights and understand how those are currently enforced by the courts
Explain how “intent to do harm” plays a role in the decisions made by various courts
Formulate and articulate a convincing argument for or against coercion to treatment based on the ethical and legal concepts presented
Review the complex new age wave profile and challenges in alcohol and chemical addiction, and compare to the “traditional” 66+ older adult profile
Explain how life stages affect risk and protector factors, and how treatment can engage the individual in treatment
Discuss the differences and similarities in treatment therapies for older adults and Boomers
Review the prevalence of dual diagnosis among Boomers and how it affects treatment and recovery
Describe the role of “Purpose” in long-term recovery
Explain how new research will impact therapies and holistic recovery for older adults
Explain why aging is not a barrier to creativity, and why this matters in therapy and recovery
Define the problem of opiate addiction in pregnancy
Identify obstetrical, neonatal, and addiction outcomes based on coordinated care
Define the groups needed to be involved in creating "Treatment Teams" in the community
Determine optimal systems to support families in recovery-funding, political, health care
Define internet addiction
List the effects/affects of internet addiction
List the warning signs of internet addiction
Identify methods of monitoring internet addiction
Explain how to apply their understanding of the potential problems with technology overload to their daily practice
Identify the signs, symptoms, and unique issues that present when a person is overloading by technology
Explain how to intervene and develop treatment plans for clients with problems cutting down or limiting their use of technology
Demonstrate 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
Compare different types of pain
Describe when pain becomes “Chronic Pain.”
List treatment alternatives when working with a Chronic Pain patient, including pharmacologic as well as therapeutic alternatives
Explain how to know when to refer to either a pain specialist or addiction specialist or both for chronic pain management
Summarize recent brain research that scientifically and anecdotally correlates the use of art in therapy with deeper, more successful, long-lasting insights and outcomes in treatment
Practice hands on art-in-therapy techniques that helping professionals can use immediately with their clients throughout the continuum of addition, stages of change, and co-dependency and family of origin work
Identify strategies for effective communication between providers to enhance outcomes
Name the potential adverse effects of illicit drug use on placental function and fetal morbidity and mortality
Identify how having Hepatitis C may complicate recovery from substance addiction
Discuss integrated behavioral treatment interventions for individuals with the combination of substance dependence and Hepatitis C
Discuss the process and possible challenges of implementing targeted behavioral interventions for persons with this combination of disorders at a substance abuse treatment facility
Identify the clinically relevant pharmacological characteristics of buprenorphine, buprenorphine /naloxone
Explain the efficacy, safety, and clinical use of buprenorphine in outpatient treatment of opioid dependence
Describe how to translate a new effective treatment of opioid dependence into practice by expanding buprenorphine treatment across a state into community health centers utilizing a nurse care manager model
Describe how the POWER Initiative: An Initiative of Wellness, Empowerment, and Recovery is designed to deal with the negative effects of discipline
Identify clients at risk to themselves, and others
Identify special needs leading to effective treatment; and formulate and direct a focused aftercare program
List the differences between Adult Children of Alcoholics and Adult Children of Borderline Personality Disorders
List the similarities between Adult Children of Alcoholics and Adult Children of Borderline Personality Disorders
Describe the specific impact growing up in this kind of environment has on an adult child
Explain how to assist clients in understanding the impact having a personality disordered parent has on their lives
Define The Healing Response
List five principles that form the basis for effective healing
Differentiate the symptoms of physical, mental, emotional and spiritual pain
Explain why the name of the American Wholistic Medicine Society was changed to the American Holistic Medicine Society
Demonstrate extrinsic motivational techniques and their positive impact on clients and clinicians alike
Demonstrate the use of humor, music, drama, writing, asking questions, providing answers, all in the service of the human connection between clinician and client
Explain how to acknowledge the client as senior partner in the healing of pain and adventure of personal growth
Summarize an undiagnosed FAS case and the worst possible outcome
Explain the importance of preventing FAS
Discuss the importance of early diagnosis of FAS
Discuss the increasing problem of prescription drug abuse and suggest new, innovative, and collaborative means of addressing this issue
Identify methods of preventing prescription drug abuse without restricting legitimate patient access to medications
Explain how to not only to reduce the incidence of abuse, but to simultaneously eliminate disparities in pain care
Review the epidemiology of opiate addiction in New England
List the risk factors for opiate addiction in women
Summarize the evidence base for effective treatment of opiate addiction in pregnancy, including methadone maintenance treatment and buprenorphine maintenance therapy
Describe the Mercy Hospital Recovery Center MOMS program
Discuss preliminary outcome data
List accomplishments achieved in addiction treatment over the past decade
Discuss generations of addiction treatment and how close we are to outcomes-driven care
Explain how to improve the efficiency and effectiveness of addiction treatment in the next decade
Identify the multiple issues that usually affect our families and clients
Describe how to ensure that trauma informed, clinical practice is incorporated into statewide initiatives and includes work on disproportionality and cultural competency
Summarize the cravings theory
Identify the neurobiological mechanisms that are implicated in the etiology of craving
Describe the role of cravings assessment in the management of cravings
Compare available interventions for cravings management and discuss their potential value as part of an integrated treatment protocol
Discuss the difficulties clients and treatment providers have experienced in defining cravings
Discuss the results of client interviews regarding their personal experience of cravings and cravings management strategies
Discuss standardized cravings assessment tools and the ways that these tools might be incorporated into the assessment and/or treatment process
Describe the “global approach” to assessing clients needs and the 21st century modalities for treating addictive personality
Compare EMDR and trauma techniques
Discuss the importance of aftercare strategies
Explain the relevance of hair and nutritional analysis
Explain how acupuncture can be used as a stress and craving reduction technique
Discuss the co-existence of mental health disorders and addictions
Describe the use of ‘rain forest botanicals’ in detoxification
Discuss the applicability and benefits of hyperbaric oxygen therapy and its importance in treating neurasthenia
Cite the benefits of combining ‘alternative’ and traditional treatment modalities
Discuss the latest sound/color/image therapies currently in use in Europe and at the V.A.
Discuss well-established, but little known neurofeedback approaches to addiction
Summarize the neuroscience and clinical application of brain music therapy
Discuss concepts of mind fitness in relation to addiction prevention and treatment
Discuss the concept of addiction as an unbalanced brain
Identify non-invasive strategies to restore balance and equilibrium for healthful living
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