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DEE - 23rd Cape Cod Symposium on Addictive Disorders
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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
Having completed the activity, please rate your ability to meet each of the following objectives:
Cite Common myths, Risk Factors and frequent motivations regarding suicide
Summarize Effective intervention strategies
Review elements of effective postvention
Discuss feelings and reactions of suicide survivors and Dealing with long term effects
Cite three methods of identifying dysfunction in the family system as it relates to "problem" children
List the ten most common battles within family systems
Describe three militant parenting survival techniques
Summarize the issues inherent in treating adolescents with co-occurring disorders, including discussing adolescents who self-medicate with ADD and ADHD
Discuss anxiety disorders, depression, bipolar disorder, and personality disorders in the presence of addictive behavior, including the use of marijuana, inhalants, cocaine, hallucinogens, heroin, alcohol, etc
Assess engagement techniques focusing on his model of “Carefrontation”, which includes a discussion of health attribution locus of control and readiness to change
Differentiate 3 dimensions that create opportunity to improve in today’s environment
Summarize major themes that define the organization  and delivery of health services in the context of health reform
Review specific changes in policy, structure,  process and technology that will reach more of the untreated
Identify the components of sexual health
Argue the Professional’s role in fostering sexual health
Utilize a conceptual understanding of sexual wellness as it relates to recovery
Identify strategies to refer employees to appropriate levels of intervention
Discuss cultural issues in addiction and addictive patterns in families, and relate these to current substance abuse demographic data
Review the influences of our own family of origin belief system
Apply new skills in culturally sensitive assessment, and relate to effective therapeutic approaches
Apply knowledge of specific ethnic and cultural risk factors of addiction and barriers to recovery
Identify how a pause can bring you into the moment
Utilize a new way to connect to one person, a group or an audience
Explain how to be your “authentic self” in every situation
Outline how to ensure your message is seen, heard, delivered, and received
Summarize current approaches to assessment and monitoring physicians with substance use disorders
Review the Massachusetts Board of Registration (BORM) policies in ensuring that physicians with addictive disorders practice safely and the public is protected
Review between Physician Health Services (PHS) and the Massachusetts BORM which enhances physician health and promotes patient safety
Differentiate between acute and chronic pain
Summarize the impact of substance abuse on the workplace
Discuss the epidemiology of buprenorphine diversion
Review a variety of therapies that create new and synergistic healing for trauma survivors and addicts
Describe the programs that treats prison inmates, including the role of physicians, nurses, counselors, social workers and others
Describe the traditional male journey and men’s treatment issues
Explain the etiology and neurobiology of narcissism
Discuss how genetic predispositions can influence the development of addictions
Review 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
Discuss numerous hands on art-in-therapy techniques that helping professionals can use immediately with their clients throughout the continuum of addiction, stages of change, and in co-dependency and family of origin work
Identify a personal connection to their own art-making and integrate the educational and hands-on components for greater clarity and depth of workshop content
Utilize experiential techniques in an ethical manner
Identify the therapeutic process of psychodrama
Differentiate between behavior patterns and acting out behaviors that come out of unresolved trauma
Summarize how to create a “safe place” in psychodrama when doing trauma work
Summarize the nature and prevalence of addiction among the offender population
Explain the formula for offender change – Accountability + Respect+ Community
Identify the content variables (evidence based practices) of the recidivism reduction pyramid and its application in various correctional settings
Discuss the stages of  change for offenders
Describe what constitutes trauma
Identify how children and adults process trauma differently
Differentiate between Acute Stress Disorder and Post Traumatic Stress Disorder
Compare different effective treatment methods including but not limited to Narrative Therapy, Cognitive Behavioral Therapies, Rational Emotive Therapies, DBT, EMDR, Exposure Response Prevention, Systematic Desensitization, Flooding, plus holistic approaches and the role of medication in trauma treatment
Summarize Culture and how it may reflect in the process of change for a person affected by Addiction
Describe how the stigma of being from a different culture can potentially impede the humane treatment of a person suffering from an addictive disorder

Identify how substance abuse with co-existing cultural beliefs may intensify potential trauma for persons who seek recovery and a healthy lifestyle

Discuss the original underlying thinking guiding today’s chemical dependency treatment methods
Review the impact of this thinking on Customer Service
Assess the inherent conflict between the public demand for Customer Service, and the traditional beliefs, and practices in the chemical dependency field
Discuss the resolution of this conflict
Apply their understanding of how hope impacts change within the family system
Describe how to foster hope within families
Identify how to intervene and develop treatment plans for families using an approach based on hope and change
Describe how the internet and online communities have fundamentally changed the way that behavioral health professionals are able to connect with those in need of our services
Discuss how, when and why to set up your own online blog, social networking site, YouTube video channel, Twitter accounts and more
Discuss what works and what doesn’t— and why — in the “new world” of social media and online communities
Describe how the internet and online communities have fundamentally changed the way that behavioral health professionals are able to connect with those in need of our services
Discuss how, when and why to set up your own online blog, social networking site, YouTube video channel, Twitter accounts and more
Discuss what works and what doesn’t— and why — in the “new world” of social media and online communities
Explain how the standards were developed to capture contemporary thinking about addiction treatment
Identify the impact of the passage of federal parity legislation and anticipated industry changes impact behavioral health care services
Identify the “global approach” to assessing clients needs
Review 21st century modalities for treating addictive personality
Summarize EMDR and trauma techniques
Identify the high-functioning subtype of alcoholic and to prevent these alcoholics from sliding through the cracks of diagnosis
Differentiate the recovery challenges that high and low-functioning & alcoholics may experience
Utilize treatment strategies specifically to this population in order to effectively break through the powerful denial
Describe what reflective practice is and describe the benefits of reflective practice professionals and/or students in the addiction field
Apply reflective practice in their work or learning environment
Outline a reflective practice piece to assess one's learning
Review attachment styles and how addiction interacts as a function of the underlying human bonding interaction
Discuss the basic neurochemistry of relationships, addiction and recovery
Identify how a pause can bring you into the moment
Utilize a new way to connect to one person, a group or an audience
Explain how to be your “authentic self” in every situation
Outline how to ensure your message is seen, heard, delivered, and received
Discuss the implementation of a positive peer culture in inpatient drug and alcohol treatment
Cite the practical key concepts of positive peer culture, including utilization in the treatment planning process
Discuss the historical views of males in society, including rituals, metaphors, and socialization
Review different therapeutic models in treatment of males, indicating the differences and similarities of each
Describe three methods of therapeutic responding to client resistance during treatment
List the stages of change based upon the Stages of Change Model, and provide a basic description of each stage
List tools, from Dialectical Behavior Therapy (DBT), for motivating clients who are treatment-resistant
Summarize the research supporting the use of DBT in helping clients who are resisting current interventions
Discuss information processing as a part of adaptation in human experience
Explain how relaxation and mindfulness strategies can be used as a way to heighten the body’s awareness and its movement in physical and social space
Utilize paper-and-pencil "neutral" cognitive exercises as well as discussion of “general knowledge” to stimulate mental alertness, logical thinking, and acknowledgement of positive traits and “intact functioning
Discuss mental health, substance abuse, brain-behavior relationship and spiritual and existential perspectives within the information processing context of human existence
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
Discuss the nature of an evidenced based program and the advantages of building an evidenced based program
List the steps involved in building an evidenced based program for adolescents
Discuss the steps involved in gaining funding for their program
Explain building collaborative networks in their community in order to assure success of their program
Discuss AMA characteristics from an inpatient treatment program
Discuss interventions to impact/decrease AMA discharges
Identify differences in populations (age, gender, psychiatric diagnosis etc).
Explain factors that impact AMA’s and changes you can try in your treatment program to keep people in treatment
Describe Fetal Alcohol Spectrum Disorders
Review the cause and method of prevention of the disorder
Differentiate primary and secondary symptoms of FASD/FAS

Describe the impact on the child’s life and caregiver’s lives

Explain how to select patients who are appropriate candidates for therapy with opioids, including methadone
Define risk factors for potential misuse or abuse of opioid analgesics
Discuss methadone's unique pharmacologic properties
Describe a careful, evidence-based protocol for starting patients on opioid analgesic therapy
Explain a new paradigm and model of change for offenders with addictions
Describe how the formula for offender change: accountability + respect + community, evolved and operates
Name barriers and hurdles that offenders with addiction must wrestle with as they re-integrate back into a pro-social society
Compare medication treatments for chronic pain
Discuss non-mediation treatments for chronic pain
Discuss the influence of Drug Free Workplace, drug testing and the American with Disabilities Act on workplace response
Cite trends of supervisor responses at the workplace
Discuss the protocol of the First Call Worksheet
Summarize the use of genograms to work with a family to develop a Recovery Message
Discuss a First Call situation utilizing the First Call Worksheet
Describe the extent of substance use disorders in older adults
Differentiate the presentation of alcoholism and drug addiction in the geriatric population and will utilize age-appropriate screening and diagnostic criteria
Review intervention techniques more effective for older adults
Discuss the technology of telemedicine and its use in delivering addiction medicine and mental health servi
Review the development and evolution of the technology of telemedicine
Summarize the guidelines for video-conferencing-based tele-mental health services, including HIPPA guidelines
Discuss the symptoms of shame-based trauma which are often co-morbid with substance use disorders
Explain the difference between anxiety-based trauma (i.e., PTSD) and shame-based trauma
Outline the treatment objectives and interventions that work to effectively treat the symptoms of shame-based trauma
Differentiate the unmet needs from today’s returning veterans and those of the past, including the use of alcohol and drugs to self-medicate
Review the correlation between traumatic brain injury from war and the use of drugs/alcohol as a coping mechanism upon re-entry
Argue alternatives for treatment that allow for more normalized transition w/o the use of drugs/alcohol
Describe the interface between addiction issues, including alcohol and both illicit and pharmaceutical drugs of abuse, with the criminal justice system
Name positive and negative aspects of criminal sanctions, including incarceration, on the natural history of addictive disorders
List the overall societal costs of criminal justice sanctions
Explain the role the treatment community can play in reining in the problem
Identify key steps that can be taken in curtailing the problem
Explain how to expand the strategies and metaphors in their work helping clients heal
Discuss the definition of trauma
Review the similarities between chemical dependency and shopping/spending addiction to challenge participants to understand shopping/spending addiction as a disease
Identify a compulsive shopper/spender
Describe how shopping/spending becomes an addiction
Summarize the role interventions plays in the industry
Assess the ideal and necessary skill sets for becoming an interventionist
Discuss chemical and physiological properties of methamphetamine
Summarize the acute and chronic effects of Methamphetamine
Identify evidence-based treatment approach elements
Summarize the FOP model
List three “plans” in their lives that brought them to a place of surrender
Review those “plans” and describe one point of surrender
Review efficacy and effectiveness outcomes for XR-NTX alcohol pharmacotherapy
Apply basic competency in recommended medication injection procedures
Identify strategies for expanding XR-NTX in general care settings and among underserved populations
Describe the programs that treats prison inmates, including the role of physicians, nurses, counselors, social workers and others
Discuss the importance of screening this population for alcohol and other drug abuse
Discuss brief interventions and development of treatment plans
Discuss the importance of screening this population for alcohol and other drug abuse
Discuss brief interventions and development of treatment plans
Utilize your skills as a professional to interact in a “sales” discussion
Utilize a structured approach to conversation that will enhance your confidence, ability and, ultimately, results
Summarize a consultative approach to your interactions with your customers
Utilize your skills as a professional to interact in a “sales” discussion
Utilize a structured approach to conversation that will enhance your confidence, ability and, ultimately, results
Summarize a consultative approach to your interactions with your customers
Review the relationship of spirituality and depressive disorders among substance dependent patients
Assess the  relationship of religiosity and depressive disorders among substance dependent patients
Utilize new tools to enhance spirituality among substance dependent patients
Identify six validity techniques to better determine an individual’s suicide risk
Explain high risk behaviors and statistical risk factors associated with suicide
Discuss legal and treatment issues related to suicidal individuals
Identify the most common substances used by elderly individuals
Describe how substances affect the aging person and interferes with cognitive and affective domains
List two types of strategies that are effective when providing substance abuse treatment for elderly persons
Discuss and describe disordered gambling as a co-occurring disorder prevalent in those with other substance abuse and mental health disorders
Describe the DSM-IV criteria for disordered gambling
List warning signs of problem gambling
Review the history of the development of medication-assisted treatment in the New York City jail
Summarize data on the level of recidivism and other outcome measures in those who participated in this program and those who did not
Compare barriers, opportunities and challenges costs and offsets in the implementation of this program
Name the advantages and disadvantages of learning to work with same gender groups
Discuss the issues of female counselors working with men
Explain the importance of addiction treatment public advocacy
Identify the parts of the “three legged stool” of public policy change
Outline the basics of how to create a local public policy impact
Explain the relationship between narcissism and addiction
Distinguish the different styles of narcissism and the nuances between male and female narcissists
Review prison, hiv+drug users history
Discuss the importance of integrating treatment within the prison system
Explain how to develop a referral system and network for reintegrating the population
Describe how treatment and prevention programs can consider genetic factors in treatment
Describe appropriate strategies for prevention programs in light of genetic and age of onset factors
Distinguish between antisocial behavior related to addiction and ASPD and assess its benefit for treatment planning and risk management
Evaluate ASPD as a well-replicated negative predictor of outcome for substance abuse treatment
Review clinical experience and research findings that have repeatedly confirmed the efficacy of coerced treatment for alcohol and substance abuse disorders
Summarize research that confirms the benefits of various forms of mediation and prayer, especially as they relate to recovery from substance use disorders
Identify the differences and similarities of religion and spirituality
Explain how to develop appropriate boundaries to prevent the promotion or bias towards any particular faith
Discuss how animals can play a significant role in the healing process of addiction
Identify how animals can assist the client in establishing a healthy, recovery lifestyle
Review cases where utilizing animal assisted therapy reduces the barriers within the therapeutic setting by assisting the client to unleash emotions of guilt, shame and grief related to their past behavior
Summarize the definitions, intent and purpose of CRF 42 Part B and HIPAA
Identify and discuss specific areas of overlap regarding confidentiality
Review resources for interpretation and implementation of the regulations
Explain the creation and use of the techniques
Summarize theories supporting the techniques
Describe experientially the effects of the techniques
Describe how to move from a cognitive to an integrated understanding of 12-step and recovery work
Explain how to move into trauma resolution through psychodrama
Outline how psychodrama begins the process of healing shame in the recovery process
Describe the importance of comprehensive re-entry services as a necessary component of reducing re-offending
Summarize the challenges and complexities of change as experienced by offenders with addiction
Explain the importance of preparing the client to Predict and Prepare for important dates and anniversaries associated with trauma
Discuss how our personal selves can be affected by working with trauma survivors and the importance of caring for selves
Discuss trauma as an etiological root to many maladaptive behaviors and illnesses
Assess the use of Relapse Prevention Methods with this population
Explain the overlap between sexual compulsivity and substance use
Explain internet sexual compulsivity, including assessment, “diagnosis,” and treatment concerns
Identify the basic components of the Treatment Model
Identify strategies they can use to identify resources for support and treatment for the client
Summarize methods of delivering quality Customer Service in the chemical dependency field
Discuss case studies/situations and what approach may be best utilized
Discuss how to use motivational, acceptance and change strategies with treatment resistant clients; with the goal of enhancing therapeutic effectiveness
Differentiate between knowledge and awareness for behavior change and analysis of anger-frustration experience related to "expectation of change"
Practice self assessment and goal attainment exercises to evaluate and reflect one's goals, steps to reach goals, barriers to goals, and identify markers for progress
Discuss the need to build holistic pro-social programs for adolescents intertwining prevention, education, and accessible treatment

Identify resources for the disorder

Explain treatment implications for those who are impacted and birth mothers of children exposed

List steps for monitoring for effectiveness of the therapy and to minimize the potential for medication diversion, abuse, or addiction
Discuss the s empathy for what offenders with addiction need to do to recover and change
Differentiate the ways substance abuse problems manifest at work
Discuss current EAP response and best practice to substance abuse
Describe potential new directions for addressing substance abuse at work
Assess specific treatment modalities for older adults including pharmacotherapy,  psychosocial interventions, and relapse techniques
Describe the application of tele-mental health and its contribution to the delivery of addiction medicine services
Review the capabilities of tele-mental health services through direct observation of live demonstration on a large screen
Review future applications of tele-mental health services
Describe the causal effect between a shame-based childhood and problems with the development of the self in adulthood
Discuss how to develop family supports while veterans are in recovery
Discuss the criminal justice/correctional – industrial complex and the role it has in fostering the nation’s drug laws, and its overall societal effects
Differentiate between a criminal justice and public health approach to the problem of addiction
Review signs and symptoms to identify trauma survivors with addiction or other compulsive behaviors
Identify coping skills for both the clinician and clients
Outline treatment strategies
Explain how these treatment approach elements are tailored
Identify and qualify what leads you need to capture, starting with your existing contacts
Identify the art of asking questions and listening in order to interpret your customer’s needs
Outline your product or service in a conversational style focused on the benefits to your customer
Review the inability to have maximum or optimal impact on patient-inmates
Outline ethical issues related to medical and addiction care in this setting
Identify the specific issues which led to the beginning of a treatment system within the Adult Correctional Institution (ACI)
Identify and qualify what leads you need to capture, starting with your existing contacts
Identify the art of asking questions and listening in order to interpret your customer’s needs
Outline your product or service in a conversational style focused on the benefits to your customer
Review resources for managing suicidality
Discuss successful culturally relevant strategies when working with identified populations
List both risk and protective factors related to problem gambling
Discuss possible community collaborations when addressing problem gambling
Discuss the importance of community treatment program liaisons
Discuss male oppression and its relationship to alcohol and other drug abuse
Identify  tools that release narcissistic images and reduce conflict in relationships
Describe how clinical assessment findings are compatible with genetic models of addiction
Explain how to incorporate opportunities for spiritual awakenings in their own treatment modalities
Utilize a group setting where specific animal assisted therapy techniques are utilized 
Identify the qualifications of the animal that are necessary when using an animal in a therapeutic setting and implementing of an animal assisted therapy program
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 faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
If you answered "No" to any of the above questions, please explain.
Were you solicited by sales personnel in an educational room 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 CE 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 problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?

What problems are your patients 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 conference) be improved to better impact competence, performance and/or patient outcomes?

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