Plenary Session Slides


Reef Karim Slides

Monday, October 15, 2018


Workshop Session I

1A: I’m So Awkward
Janice Gabe, LCSW, LCAC, President and Owner, New Perspectives of Indiana, Inc.
This workshop will present a comprehensive approach to treatment which utilizes an understanding of the neuro-chemistry of social anxiety in order to integrate several evidenced based therapeutic strategies that can be effectively utilized in combination with or in place of CBT.
I’m So Awkward…Presentation

1B: MAT-PDOA
Joseph Merrill, MD, MPH, Professor of Medicine, Harborview Medical Center; Jim Mayfield, MA, Senior Research Scientist, DSHS Research and Data Analysis; Ashley Middagh, Flexcare Program Manager, Evergreen Treatment Services; Addy Adwell
Presenters will describe the implementation of a nationally recognized Nurse Care Manager-based medication assisted treatment program that provides buprenorphine at three sites in western Washington State. The session will provide an introduction to medication assisted treatment, describe the characteristics and experiences of patients served and review the challenges and success of implementation.

1C: ASAM Criteria Part 1 of 4
Scott Boyles, Licensed Addiction Counselor, National Training Director, Train For Change
This 4 session workshop will provide an overview of the ASAM Criteria, the 6 Dimensions and Levels of Care.  Session 1: Intent and Guidelines of the ASAM Criteria

1D: Understanding and Responding to Acute Trauma: Principles of Intervention
Christen Kishel, PhD, Psychologist, Developmental Disabilities Administration,
This training will provide the attendee with a basic understanding of the immediate/short-term impact of trauma on the levels of brain, body, behavior, and systems, and discuss how intervention in the early stages differs from intervention in the long term. Drawing on principles of Critical Incident Stress Management and Psychological First Aid (among others), this workshop is designed to assist providers and peers to assist in acute crisis situations with individuals of all intellectual levels.
Understanding and Responding…Presentation

1E: Evergreen Council on Problem Gambling, Gambling Disorder and the Continuum of Care
Elizabeth Glavish, B.A., Communications and Outreach Specialist; James Leingang, BA, CDP WSCGC II, Community Engagement and Advocacy Specialist
Participants will be able to describe the state of Disordered Gambling rates, as well as, issues relating to Gambling Disorder in Washington State. Emerging trends in recovery support will be discussed and areas of need related to the Continuum of Care for Disordered Gamblers and their families.

1F: DBT Session #1: Overview of DBT
Cathy Moonshine, PhD, MSCP, CADC III, Integrated Health Director, Malama I Ke Ola
Regulation, and Interpersonal Effectiveness in the recovery process. Next, we will explore the five modes and functions of DBT along with the importance of validation. We will end by discussing the eight most essential DBT skills and how they can help clients manage mental health difficulties while establishing recovery.
DBT Session #1…Presentation
DBT Session #1…Handouts

1G: Psychoeducation for Eating Disorders: What Every Clinician and Client Should Know
Alexia Spanos, Ph.D., Staff Psychologist and Director of Training, Evidence Based Treatment Centers of Seattle
How to provide important information to clients on the medical and psychological impact of anorexia nervosa, bulimia nervosa and binge eating disorder.
Psychoeducation for Eating…Presentation

1H: LGBTQ+ and People of Color
Brandon Gibs, MA, LMHCA, Mental Health Therapist, Case Manager, Seattle Counseling Service; April Montez, MSW, LSWAIC- Mental Health Therapist/Case Manager at Seattle Counseling Service
This workshop will explore relevant topics regarding Queer (LGBTQ+) and, specifically, QTPOC (Queer and Trans People of Color) identities as they may relate to mental health care and the treatment of co-occurring disorders. A brief overview/ introduction to Queer identities and communities will give way to activities and a discussion about useful considerations for working with members of these groups and how membership in multiple minority groups may affect mental health/substance use disorder treatment. The workshop will end with a question and answer panel with presenters.
LGBTQ+…Presentation

1I: Increased Risks Due to Brain Injury and What to Do about It
Daniel Overton, MC, LMHC, MHP, CBIS, Progam Manager-Traumatic Brain Injury Program, Washington Dept. of Veterans Affairs
Having a brain injury increases the risk of suicide, substance use/abuse, being diagnosed with a MH disorder, incarceration, homelessness, domestic violence and incurring another head injury. This session will address the risks, explain why this occurs and how the clinician can intervene.
Increased Risks Due…Presentation


Workshop Session II

2A: I’m So Awkward
Janice Gabe, LCSW, LCAC, President and Owner, New Perspectives of Indiana, Inc.
This workshop will present a comprehensive approach to treatment which utilizes an understanding of the neuro-chemistry of social anxiety in order to integrate several evidenced based therapeutic strategies that can be effectively utilized in combination with or in place of CBT.

2B: Engaging Older Adults in Integrated COD Treatment
Allen Hume, Ph.D., C.D.P., Consulting Psychologist
Clinical information will be presented regarding the extent of the COD problem, strategies for engagement, and recommendations for providing integrated care for older adults. In addition, an empathy building experiential exercise will be offered to facilitate better understanding of this ever-growing population.
Engaging Older Adults…Presentation

2C: ASAM Criteria Part 2 of 4
Scott Boyles, Licensed Addiction Counselor, National Training Director, Train For Change
This 4 session workshop will provide an overview of the ASAM Criteria, the 6 Dimensions and Levels of Care. Session 2: An overview of Dimensions 1, 2 and 3.

2D: Strengthening your MH Practice: DDA Services and Strategies for Collaboration
Jeff Green, BA, Mental Health Program Manager, Developmental Disabilities Administration
With Integration upon us, it is more important than ever to work collaboratively with our partner systems. This workshop will provide information about the scope and nature of services available through the Developmental Disabilities Administration, including DDA eligibility criteria. We will also discuss how the MH and DDA systems can work together toward better outcomes for the individuals they support.

2E: Emerging Drugs of Abuse
Reef Karim, Ph.D., Physician, Author, Speaker, Board Certified Psychiatrist, Board Certified Addiction Medicine Specialist
Having a good understanding of what substances people are using, to their own detriment, is important in being a well-rounded and effective clinician or counselor. What’s new? What’s the mechanism behind the different classification of addictive drugs & medications? This workshop will address emerging drugs of abuse and how to build a better understanding of atypical substances of abuse.

2F: Trauma and Substance Use within the Realm of Health Disparities
Elizabeth Stanhope Gordon, PhD, JD, MDiv, Instructor, Seattle University; Fransing Daisy, PhD, Psychologist, MW AETC
Early experiences of trauma can result in heavier use of drugs and alcohol which can contribute to chronic negative health conditions. This workshop will investigate how health disparities can impact a client’s physical health, mental health, substance use and lifestyle. We plan to review the intersections of health, substance use, and trauma as well as review a selection of “tools” to support the bio-psycho-social-spiritual needs for client behavioral and lifestyle change.

2G: Addressing Eating Disorders by Non-Specialists in More Rural Settings
Briana McElfish, PsyD, Clincial Psychologist, Evidence Based Treatment Centers of Seattle
Ever had a client who presented with an eating disorder (ED) and thought, “What do I do?” Especially for providers who do not have access to specialist referrals for ED treatment, this can seem a daunting task. This workshop will address how to manage care of clients with EDs for providers both unfamiliar with evidence-based care for EDs or those in integrated-primary care settings.
Addressing Eating Disorders…Presentation

2H: DBT Session #2: Diving Deeper with DBT
Cathy Moonshine, PhD, MSCP, CADC III, Integrated Health Director, Malama I Ke Ola
During this seminar, we will learn the secondary DBT skills and how they support recovery. We will explore how leveraging stages of change and motivational interviewing encourages clients to use their DBT skills. We will wrap up by talking about diary cards and chain analysis. Case discussions will occur as time allows.
DBT Session #2…Presentation
DBT Session #2…Handouts

2I: Working with LGBTQ Elders/Aging Issues
Mike Fitzpatrick, MSW, Consultant, Seattle Counseling Services, Working with LGBTQ Elders/Aging Issues; Ray Dillon, CDP, HIV/HEP-C Outreach Specialist and Addiction Counselor, Seattle Counseling Service, Aging in the LGBTQ+ Community
Interactive working to explore the needs of the LGBTQ older community members. What are some of the barriers LGBTQ elders run into and what do they need.


Workshop Session III

3A: Behavioral Health Integration: Experiences from the Dual Diagnosis Capability in Addiction Treatment (DDCAT)/NIATx
Mark McGovern, PhD, Professor Department of Psychiatry and Department of Medicine, Stanford University School of Medicine; Tony Walton, M.S., Project Director, Washington State Health Care Authority/Division of Behavioral Health and Recovery; William Waters, Psychologist, Psy.D., Division Director, Comprehensive Healthcare; Diego Mendoza, MSW w/ Certificate of Public Administration, Dual Disorders Treatment Team Leader; Melissa Laws, LICSW, CDP, CPGC, CTTS, Clinical Administrator, Prosperity; (Tonya Stephenson); Leah Silvas, BA in Social Sciences, CDP, Administrator, Specialty Services II, LLC,; Stephanie Diltz, MSW, CDP, Clinical Supervisor & Mental Health Counselor, Specialty Services II
Although it is widely recognized that persons with substance use problems have high rates of psychiatric illness, treatment organizations have struggled with how to implement evidence-based policies and practices within significant resource constraints. This workshop describes a project involving 50 behavioral health organizations in the State of Washington who leveraged implementation science to enhance integrated services for patients with co-occurring disorders. Outcomes, lessons learned and future directions will be presented.
Behavioral Health Integration…Presentation

3B: Overdose? Suicide? Or the Gray Areas in Between
Richard Ries, MD, Professor of Psychiatry and Addictions, Dept of Psychiatry, UW, and Harborview Medical Center
Drug Overdoses and Suicide are among the leading causes of premature death in the USA, accounting for about 50-60,000 deaths each per year. Often is unclear if an overdose was fully accidental, or partially or even fully intentional. This presentation will give attendees clinical descriptions of  both issues, their overlap, and preventive interventions.

3C: ASAM Criteria Part 3 of 4
Scott Boyles, Licensed Addiction Counselor, National Training Director, Train For Change,
This 4 session workshop will provide an overview of the ASAM Criteria, the 6 Dimensions and Levels of Care. Session 3: An overview of Dimensions 4, 5 and 6.

3D: DD-Informed Crisis Response
Gene McConnachie, Ph.D., Consultant
Many mental health professionals may feel unprepared to respond to a behavioral crisis if the person has an Intellectual or Developmental Disability (IDD).   Mental health crises in persons with and without IDD often have the same causes but assessment may be more difficult for clients who have limited or absent verbal skills.  This workshop will prepare you to respond more effectively by highlighting some key features of Autism Spectrum, other developmental disabilities, and behavioral assessment techniques that can improve your assessment of the crisis situation and choice of responsive strategies.
DD-Informed Crisis…Presentation

3E: Supporting Individuals Living with a Brain Injury
Ashley Minyard, CBIS; MS; BA; BS, Central Washington Resource Manager + Operations Coordinator, Brain Injury Alliance of Washington
This workshop provides a brief introduction to brain injury, differentiating between TBI, ABI, Concussions, and other brain injury language. It explores the complex landscape and challenges individuals living with brain injury (and their supports) face when accessing services.

3F: Panel of Individuals Involved in MAT at the Muckleshoot Tribe
Carol VanConett, CDP, Chemical Dependency Professional, Muckleshoot Behavioral Health; Aaron Soto, MHA, CDP, Chemical Dependency Supervisor, Muckleshoot Behavioral Health
Medicated-Assisted Treatment (MAT) is the use of FDA- approved medications, in combination with counseling and behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders.  There are three medications commonly used to treat opioid addiction: • Methadone – clinic-based opioid agonist that does not block other narcotics while preventing withdrawal while taking it; daily liquid dispensed only in specialty regulated clinics • Naltrexone – office-based non-addictive opioid antagonist that blocks the effects of other narcotics; daily pill or monthly injection • Buprenorphine – office-based opioid agonist/ antagonist that blocks other narcotics while reducing withdrawal risk; daily dissolving tablet, cheek film.  The Muckleshoot Indian Tribe in response to the opioid epidemic has created a plan to identify, prevent and treat opioid use disorders by utilizing evidence-based practices. These strategies and actions have proven to be effective approaches in the battle against opioid use disorders.  It is with great joy that we see our tribal members transitioning from a life of substance abuse to life free from drugs, family reunification, gainful employment and self-realization.
Panel of Individuals…Presentation

3G: Exposure Response Prevention Therapy for Anxiety Disorders
Daniel O’Rourke, Ph.D, Clinical Psychologist, Evidence Based Treatment Centers of Seattle
Participants will learn about the most evidence-based treatment for anxiety disorders, exposure response prevention. They will be able to distinguish different types of exposure therapy techniques, and know how to generate this collaboratively. Common issues and concerns around exposure treatment will be addressed.
Exposure Response Prevention…Presentation

3H: DBT Session #3: Using DBT to Treat Youth and Families
Cathy Moonshine, Ph.D., MSCP, CADC III, Integrated Health Director, Malama I Ke Ola
This session will focus on working kids, adolescents and their families. We will explore the middle path, strategies for teaching DBT skills to youth, and exploring how Wise Parenting can instill resiliency and recovery. Case discussions will occur as time allows.
DBT Session #3…Presentation

3I: LGBTQ and Addiction
Aleks Martin, BAS, CDP, Addiction Services Program Supervisor, Seattle Counseling Service
This workshop will address: Brief LGBTQ history and social impact LGBTQ health disparities Compassionate and competent care for LGBTQ clients with addiction Resources for LGBTQ-related issues.
LGBTQ and Addiction…Presentation

 

Tuesday, October 16, 2018


Workshop Session IV

4A: DBT Skills to Address Eating Disorders
Peter Doyle, Ph.D., Licensed Psychologist, Co-Director, Eating Disorders Center at EBTCS
This workshop will discuss the use of Dialectical Behavior Therapy (DBT) skills in treating eating disorders. We will review the empirical literature on this topic and present a model for working with eating disorder patients within the DBT framework. Differences in using DBT skills with adult and adolescent eating disorder populations will also be discussed.
DBT Skills…Presentation

4B: Bridge to Recovery: An Innovative approach to treating Opioid Use Disorders in the Juvenile Justice System
Pamala Sacks-Lawlar, MHA, CDP, Behavior Healthcare Administrator, Juvenile Rehabilitation; Paul Schneider, MD, Medical Director, Juvenile Rehabilitation; Troy Wasmundt, BS, RN, Health Services Manager, Naselle Youth Camp, Juvenile Rehabilitation; Leseili Tutuu; Lindsay Morse
Opioid Use Disorders adversely impact youth involved in the Juvenile Justice System. This workshop provides a fundamental overview of Evidenced-based and Promising Practices incorporated in Juvenile Rehabilitation’s Bridge to Recovery (BTR) Model.  Participants will explore the impact of Opioid Use Disorders, an overview of the theoretical framework for this disorder and how to integrate strategies in a way that supports health and change within the Juvenile Justice System.
Bridge to Recovery…Presentation

4C: ASAM Criteria Part 4 of 4
Scott Boyles, Licensed Addiction Counselor, National Training Director, Train For Change
This 4 session workshop will provide an overview of the ASAM Criteria, the 6 Dimensions and Levels of Care. Session 4: ASAM Levels of Care.

4D: Non-Pharmacological Interventions for Chronic Pain Management
Allen Hume, Ph.D., C.D.P., Consulting Psychologist
The purpose of this workshop is to provide clinicians with an understanding of acute versus chronic pain, how it impacts individual functioning, and can inhibit recovery. Practical interventions will be provided that focus on CBT, coping skills development, and self-regulation strategies.
Non-Pharmacological Interventions…Presentation

4E: SUD ITA
Robert Pellett, MA Psychology, Acute and Inpatient Care manager, DBHR
An overview of the Substance Use Involuntary Treatment Act in Washington State.
SUD ITA…Presentation

4F: Anatomy of a Meltdown
Phil Diaz, Ph.D., Clinical Director, Department of Social and Health Services
Workshop deals with adrenaline medicated behaviors and what can be done during the various phases.
Anatomy of a Meltdown…Presentation
Anatomy of a Meltdown…Handout

4G: Essential Skills Working with Trauma
Christine Courtois, Ph.D., ABPP, Licensed Psychologist
This workshop will first address the needs of the victim/survivors who seek treatment, with an emphasis on the treatment of betrayal trauma, shame, and alienation. It will then provide information on approaches to and dynamics of the treatment process. The impact on the therapist and therapist self-care will be part of the presentation.
Essential Skills Working…Presentation
Essential Skills Working…Handout 1

4H: DBT Session #4: DBT: Clinical Vignettes and Case Discussions
Cathy Moonshine, Ph.D., MSCP, CADC III, Integrated Health Director, Malama I Ke Ola
We will apply DBT to eight COD clients including anxiety, conduct disorder, depression, and trauma. Participants will have a chance to explore how to use DBT with their clients.
DBT Session #4…Presentation
DBT Session #4…Handouts

4I: Increased Risks due to Brain Injury and What to Do about It
Daniel Overton, MC, LMHC, MHP, CBIS, Progam Manager-Traumatic Brain Injury Program, Washington Dept. of Veterans Affairs
Having a brain injury increases the risk of suicide, substance use/abuse, being diagnosed with a MH disorder, incarceration, homelessness, domestic violence and incurring another head injury. This session will address the risks, explain why this occurs and how the clinician can intervene.
Increased Risks due…Presentation

 


Workshop Session V

5A: Bridge Building to Engage a Peer Support Workforce
Clifford Thurston, Founder, CEO, Worldbridgers; Nancy Salovich, BS Behavioral Sciences/ CPC 2012, COO Worldbridgers, Worldbridgers
Worldbridgers community bridge building network continues to give a fresh and enriching workshop experience. Peer support an evidence-based practice anchored in care and recovery is on the rise nationwide. Join us for peer system updates and advances throughout numerous environments.
Bridge Building…Presentation 1
Bridge Building…Presentation 2
Bridge Building…Handout 1
Bridge Building…Handout 2
Bridge Building…Handout 3
Bridge Building…Handout 4
Bridge Building…Handout 5

5B: Current Washington Administrative Code (WAC)
Judy Holman, MSW/LICSW, LMHC, CDP, Investigation and Inspection Outpatient Behavioral Health Manager, DOH
Present and discuss the WAC that guides treatment in Washington State. The WAC that will be presented is the revised WAC–246-341.
WAC…Presentation
WAC…Handout

5C: DBT Session #5: DBT Fosters Resiliency and Empowers Recovery
Cathy Moonshine, Ph.D., MSCP, CADC III, Integrated Health Director, Malama I Ke Ola
In our final DBT session, we will look at how wellness, resiliency, and the recovery frameworks fit within a DBT framework. We will align the 12-steps with DBT skills. Participants will receive DBT relapse prevention and recovery plan templates.
DBT Session #5…Presentation
DBT Session #5…Handouts

5D: Aging in Place: Integrating Long Term Care and Supportive Housing
Whitney Joy Howard, MSW, Supportive Housing Program Manager, DSHS ALTSA; Jonnie Matson, BA-Human Services, Housing Program Manager, DSHS-ALTSA; Liz Prince
DSHS’ Aging and Long-Term Support Administration (ALTSA) provides eligible individuals with Long Term Care (LTC) services to assist an individual maintain community independence and maximize the ability to age-in-place. Most people know of “COPES”, but there is a lot more to LTC than COPES.   There is an increasing need to assist people age-in-place. ALTSA staff will present on the basics of LTC services and work that has been done partnering with community providers, including Supportive Housing agencies, to work collaboratively to best support long-term health and housing.

5E: Beyond Hot Baths: How to Stay Afloat in the Field Long Term
Janet Brodsky, MSW, LICSW, Trauma Therapist, Consultant & Trainer, South Bay Counseling
As health care providers, we are often present with people at their bleakest moments, during profound life transitions and at times witness the raw pain that can accompany serious illness, physical injury and psychological trauma.  All of this affects us as people, and I have frequently been asked how I can possibly still be doing this work after 30+ years.  My response to that is this workshop, during which I will present my model for deep level self-care and resilience.  This is an interactive workshop where questions and examples about how to apply this model to your daily life will be encouraged.

5F: MARS Project
Walter Ginter, CMA, NY CARC, Director, MARS Project
Workshop will detail the development of the original Medication Assisted Recovery Support Project including the services that make MARS unique. It will also discuss how MARS has been replicated in 30 states and internationally through the Beyond MARS training Institute.

5G: The Journey to Integration – Building COD in Agency Settings
Brandi Hurst, Chemical Dependency Professional, Clinical Supervisor, MultiCare Health System; Corey Thompson, LMHCA/MHP, Clinical Supervisor and COD Team Lead, Multicare Behavioral Health
Take a walk through the creation of a fully integrated Co Occurring program in a large agency setting.  We will illustrate how the DDCAT and NiATX provided a framework for development and use discussion, activities and Q&A to help your agency begin the journey to integration.