Monday, October 16, 2017


Workshop Session I

A1: Addiction in the Digital Age: Preventing Problem Gambling Among Youth
Elizabeth Glavish, BA, Communications and Outreach Specialist
This session will highlight key issues surrounding youth problem gambling, focusing on emerging trends, the blurring line between gaming and gambling, and effective prevention tactics.

A2: Developing Opioid Addiction Treatment in the Mental Health Center
Richard Ries, MD, FASAM, FAPA, Professor and Director Addiction Division
The opioid epidemic has also reached into mental health center patients, and clinicians there need to know what options and models for treatment are available to them, or can be developed. Harborview Mental Health Center has been utilizing medication assisted treatment for opioid addiction as well as co-managing patients on Methadone for many years. Dr Ries will review these model by utilizing case examples.

A3: The Negative Impact of Long-Term Unemployment and Opportunities to Address It
Lisa Bennett-Perry, BA, Supported Employment Program Manager, Department of Social & Health Services Division of Behavioral Health & Recovery; Melodie Pazolt, Recovery Support Services Supervisor; Wanda Johns, BA, Housing & Recovery through Peer Services Program Manager, Department of Social & Health Services Division of Behavioral Health & Recovery
This workshop will provide information on delivering evidence-based practice supported employment services (also known as Individual Placement and Support) under the 1115 Medicaid Transformation Demonstration. These new Medicaid benefits will be provided to target populations under a contract with the third party administrator (Amerigroup). Learn about the new opportunities to provide these services, an overview of the evidence-based practice and how detrimental long-term unemployment is to a person’s behavioral health.

A4: Community Support to People with Intellectual Disabilities and Challenging Behaviors
Paul White, MA, Licensed Professional Counselor – Wisconsin
Facilitating people with intellectual disabilities and challenging behaviors to leave restrictive settings and find meaningful and safe lifestyles in the community is an important and gratifying endeavor. Matching the needs of each individual with proper emotional support can be a challenge. Paul White has guided community support teams in successfully providing such support in Wisconsin for 35 years. He will offer a straightforward model that reflects this experience.

A5: Motivational Interviewing: Part 1
Scott Boyles, Licensed Addiction Counselor, Senior National Training Director
The 5 session workshop will focus on the spirit and processes of Motivational Interviewing (MI) and MI skills. Sessions will include lecture, group activities and skill practice.

A6: Clinical Documentation
Marc Bollinger, LICSW, Chief Executive Officer; Kathy Lee Robertson, MSW, Chief Clinical Officer; Crystal Didier, David Reed
Clinical documentation is the corner stone for delivering quality and competent services to individuals. This session will cover the essentials of quality documentation from timeliness of documentation to required content within the Assessment/Intake, Medical Necessity, Individual Service Plan and progress notes. The session will focus on Assessments and Progress Notes. Participants will have the opportunity to review progress notes and identify areas for improvement and strengths.

A7: Dancing Mindfuless: An Expressive Arts Pathway to Healing and Transformation
Irene M. Rodriguez, LMHC, CAP, CCTP, Certified EMDR Therapist, Affiliate Trainer Institute for Creative Mindfulness
The Dancing Mindfulness approach to expressive arts therapy developed in 2012 as a trauma-informed approach for teaching mindfulness and recovery concepts. In this session, participants will have a chance to sample the practice and discuss implications for applying to clinical settings.

A8: Integration: The Good, The Bad and The Ugly
Michele Waltz, MA, LMHC, LPC, MAC, SAP, Owner
In this workshop we will discuss the challenges of SB6213–the law that requires the integration of mental health, SUD and primary care services. I will discuss the challenges integration presents, and examine the different philosophies and treatment approaches of each system; and how we can use this understanding to work better together.

A9: The Seven Challenges for Adolescents and Young Adults
Robert Schwebel, Ph.D., Psychologist, Author and Program Developer
This will be an overview of The Seven Challenges®, a developmentally appropriate counseling program designed to help adolescents and young adults take power over their own lives, including their use of alcohol and other drugs. In The Seven Challenges, now widely used across the U.S., in Canada, and in Germany, clients with drug problems gain understanding and validation about why they use drugs, and then weigh the benefits against the harm from drugs as they make their own decisions about how to proceed. Those who want to change their drug use behavior get session-to-session “individualized support.” Clients also gain control of their lives (including co-occurring and situational problems) as they use mastery counseling to deal with their “issues;” i.e., things that are not going well or as well as they would like them to be going.


Workshop Session II

B1: Challenging Yourself: The Seven Challenges for Adults
Robert Schwebel, Ph.D., Psychologist, Author and Program Developer
This will be the first public presentation about the new adult version of The Seven Challenges, called “Challenging YourselfTM” and the new self-help book Leap of Power: Take Control of Alcohol, Drugs, and Your Life. Challenging Yourself has been piloted in Idaho and Alabama and now will be introduced across the country. Following the same principles of The Seven Challenges of empowering individuals to make their own decisions and take control of their own lives, the adult adaptation has a different voice, different points of emphasis, and introduces new ideas, such as a “Challenging Voice” and the KARMA acronym to support individuals in overcoming their drug use problems.

B2: Comprehensive Opioid Response with the 12-Steps: Implementing MAT in abstinence-based, 12-Step settings
Jordan Hansen, Ph.D., MBA & Stephen Delisi, MD, DABAM, FASAM
Implementation of integrated treatment for Opioid Use Disorder continues to suffer from siloed delivery systems, ideological divisions, and lack of use of medications to support recovery. Dr. Steve Delisi and Jordan Hansen Ma LADC share Hazelden Betty Ford’s (HBFF) experience implementing medication-assisted therapy programs in a historically abstinence-based, Twelve-Step steeped culture. The Comprehensive Opioid Response with the Twelve Steps (COR-12) approach demonstrates the potential of recovery-oriented practices combining the use of essential medications like buprenorphine with the lived experience of individuals and families in peer-supported recovery.

B3: Washington State Targeted Response (WA-Opioid STR) Grant
Thomas Fuchs, MD, M.Ed, Behavioral Helath Treatment Manager
The Washington State Targeted Response (WA-Opioid STR) is a statewide effort to address the opioid epidemic through increased access to prevention, treatment, and recovery services. The plan builds on the state strategic plan, existing infrastructures and expanding implementation of proven programs and strategies to meet the needs of the state. This session will provide an overview of the 18 projects of WA-Opioid STR grant, involving multiple organizations working in collaboration to address the issues related to the opioid epidemic.

B4: Dementia and Beyond: Working with Intellectually Disabled Adults Meeting the Challenges of Aging
Evelyn Dreyer, MSN, MS Clinical Psychology, Nurse Practitioner
Review of the physical and cognitive changes associated with normal aging, as well as changes related to specific syndromes. Differences and similarities in aging in a intellectually disabled person, compared to someone who is typically developing. Recommendations for meeting the needs of aging individuals.

B5: Motivational Interviewing: Part 2
Scott Boyles, Licensed Addiction Counselor, Senior National Training Director
The 5 session workshop will focus on the spirit and processes of Motivational Interviewing (MI) and MI skills. Sessions will include lecture, group activities and skill practice.

B6: Treatment Planning
Marc Bollinger, LICSW, Chief Executive Officer; Kathy Lee Robertson, MSW, Chief Clinical Officer; Crystal Didier, David Reed
The Treatment Planning session will connect the assessment and medical necessity to the individualized treatment planning process.  The session will provide tools for creating individualized treatment plans with specific and measurable goals and/or objectives.  An overview of Washington Administrative Codes regarding individual service plans (treatment plans) will be provided.  The session will conclude with participants reviewing examples of treatment plans to identify areas for improvement and identification of areas of strengths.

B7: EMDR Therapy
Irene M. Rodriguez, LMHC, CAP, CCTP, Certified EMDR Therapist, Affiliate Trainer Institute for Creative Mindfulness
Eye Movement Desensitization and Reprocessing (EMDR) is viable psychotherapy for the treatment of trauma and other trauma and stressor-related disorders. In recent years, several major organizations have endorsed EMDR therapy in practice guidelines as an efficacious treatment for Post Traumatic Stress Disorder (PTSD). This workshop is designed for those not presently trained in EMDR and wanting to receive an orientation about how the therapy works and how it can be used in various levels of the addiction treatment process. Common misconceptions about the therapeutic approach are also addressed. You will also receive more information to help you to decide if further training in EMDR therapy is for you. The EMDR approach to trauma is discussed in this course, which can help you to enrich your delivery of trauma-informed services whether or not you go on for further training in EMDR therapy. Several EMDR-related techniques using bilateral stimulation are also taught in this course, available for you to use in clinical settings. Objectives of this workshop include: Discuss the history of EMDR therapy, as a trauma intervention, and briefly describe how it works, describe how EMDR therapy can work as a relapse prevention/recovery enhancement measure, evaluate client appropriateness for EMDR therapy and discuss logic for referral, and evaluate professional readiness for formal training in EMDR therapy.

B8: Bridge Building to Engage a Peer Support Workforce
Clifford Thurston, Founder and CEO of Worldbridgers; Victoria Roberts, Washington State Secretary of DSHS; Nancy Salovich, BS Behavioral Science, CPC Certified Peer Counselor, COO & VP Peer Integration
Worldbridgers community bridge building network gives a fresh and enriching workshop experience. Peer support an evidence-based practice is on the rise nationwide.  Join us for peer system development updates and advances throughout numerous environments.

B9: Assessing and Treating Binge Eating Disorder using Enhanced Cognitive Behavioral Therapy (CBT-E)
Angela Celio Doyle, Ph.D., Co-Director, Clinical Psychologist
Binge eating disorder (BED) is an eating disorder characterized by frequent overeating accompanied by a sense of loss of control and is more common than anorexia nervosa and bulimia nervosa combined. However, it is estimated that fewer than 30% of people with BED receive treatment for this disorder. Enhanced Cognitive Behavioral Therapy (CBT-E) is an evidence-based approach to treating BED. This workshop will provide the basics of assessing BED as well provide an orientation to treating BED using CBT-E.


Workshop Session III

C1: Mastery Counseling
Robert Schwebel, Ph.D., Psychologist, Author and Program Developer
This session will introduce and discuss clinical skills in Mastery CounselingTM, the core counseling process in The Seven Challenges; one that has transtheoretical applications. It is a de-stigmatizing approach to counseling that matches what I call Mastery Living, in which people who want to take control of their lives pay attention to what is happening in their experiences; leaving alone what is going well and working to change what is not going well or as well as they would like it to be going (their issues). In Mastery Counseling, people work on their issues at every session and their lives get better.

C2: Developing Opioid Addiction Treatment in the Mental Health Center
Richard Ries, MD, FASAM, FAPA, Professor and Director Addiction Division
The opioid epidemic has also reached into mental health center patients, and clinicians there need to know what options and models for treatment are available to them, or can be developed. Harborview Mental Health Center has been utilizing medication assisted treatment for opioid addiction as well as co-managing patients on Methadone for many years. Dr Ries will review these model by utilizing case examples.

C3: How the Chehalis Tribe established, and developed, an award winning Re-entry Program
Charlene Abrahamson, BA, CDP, Director of Tsapowum Chehalis Tribal Behavioral Health; Sally Heath, MSW, LICSW, CDP, Offender Re-entry Provider
We will present on our grant through inception, collaborations and ongoing operation of our Re-entry Program at the Chehalis Tribal Jail. This will include what other Tribal Departments are involved, day-to-day operations and obstacles we face. Also, the evaluative process, needs assessment and effectively manage suicidal behaviors and other substance abuse and mental health disorders- which may have been the precursor to legal troubles.

C4: Focusing on Strengths: Reframing work with individuals with cognitive disabilities
David O’Neal, MS, Director – IDD Services
Strength based strategies enhance an individuals engagement in treatment. this technique and others that offer successful outcomes in working with individuals with IDD and SUD issues but also generalize well to every individual.

C5: Motivational Interviewing: Part 3
Scott Boyles, Licensed Addiction Counselor, Senior National Training Director
The 5 session workshop will focus on the spirit and processes of Motivational Interviewing (MI) and MI skills. Sessions will include lecture, group activities and skill practice.

C6: Auditing
Marc Bollinger, LICSW, Chief Executive Officer; Kathy Lee Robertson, MSW, Chief Clinical Officer; Crystal Didier, David Reed
Audits are conducted to ensure the validity and reliability of information; also to provide an assessment of an agency’s or organizations strengths, risk and areas of improvement. This session will focus on auditing tools and the roles of Behavioral Health Agencies, Behavioral Health Organizations, State and Federal Oversight Agencies.

C7: Problem Gambling and Therapeutic Justice
James Leingang, BA CDP WSCGC II, Community Engagement and Advocacy Specialist
Stigma, misunderstandings about problem gambling treatment, and funding issues are some of the barriers that have kept therapeutic justice for problem gamblers on the judicial back burner. Despite these issues, there is a Problem Gambling Therapeutic Justice program, in Pierce County, WA. Pierce County Alliance is offering hope for Disordered Gamblers and their families. This session will explore the history of their program and how this program, and others like it across the nation, have used partnerships to overcome the barriers to their existence. Attendees will learn basic information on the signs and symptoms of Problem Gambling, vulnerable populations for developing issues related to gambling, common crimes related to Disordered Gambling, and how problem gambling therapeutic justice programs work, from screening and treatment to restitution and accountability.

C8: Police/Transgender Relations
Jim Ritter, BA, Professional Training, Expert Witness, Developer of SPD SAFE PLACE Initiative, Police Officer-LGBTQ Liaison
This workshop will explain the vast progressions that are being made between the police and transgender community.

C9: New Opportunities to Link Individuals with Behavioral Health Challenges with Housing
Lisa Bennett-Perry, BA, Supported Employment Program Manager, Department of Social & Health Services Division of Behavioral Health & Recovery; Melodie Pazolt, Recovery Support Services Supervisor; Wanda Johns, BA, Housing & Recovery through Peer Services Program Manager, Department of Social & Health Services Division of Behavioral Health & Recovery
This workshop will highlight the partnership between DSHS, HCA and Amerigroup to launch a new supportive housing services benefit throughout Washington state for targeted Medicaid populations. In addition the Housing and Recovery through Peer Services (HARPS) projects have been piloting supportive housing services using the SAMHSA evidence-based practice model. Lessons learned and the resources associated with these pilots will be shared.

Tuesday, October 17, 2017


Workshop Session IV

D1: The Health Effects of Cannabis and Cannabinoids
Margarita Alegria, PhD, Professor; Sachin Patel, MD Ph.D., Associate Professor
Earlier this year, The National Academies of Sciences, Engineering, and Medicine released a comprehensive report highlighting the health effects of cannabis on a wide array of physical and psychological conditions. The workshop, led by two of the original committee members, will provide an in-depth examination of the findings related to mental health and substance use disorders. Participants will engage in an open discussion on implications and future directions.

D2: Addiction IOP for Opioid Dep with Patients on MAT
Asif Khan & Belinda Allen
No description has been provided…

D3: Motivational Interviewing: Part 4
Scott Boyles, Licensed Addiction Counselor, Senior National Training Director
The 5 session workshop will focus on the spirit and processes of Motivational Interviewing (MI) and MI skills. Sessions will include lecture, group activities and skill practice.

D4: We Know This to be True
Chris Heimerl, MSSW
New Mexico intentionally pursued Positive Approaches and related Positive Behavior Support beginning in the mid-90’s. We believed individuals thought to require secure facility based care due to behavioral concerns could thrive in community settings. We closed our two institutions 20 years ago. We have systematically studied what made the difference and have clear notions about what it takes to succeed. This session will look at the monitoring protocol used and outcomes discovered.

D5: Positive Leadership Skill Building: Part 1
Natalie Fryar, M.Ed., LMHC, MAC, CDP, MHP, Director of Clinical Operations
This workshop is designed for those in leadership roles. We will use a Leadership Curriculum that focuses on Positive Leadership using the tools of Authenticity, Purpose, Advocacy, Resilience, Community Building, Reason, & Gratitude.

D6: Golden Thread: How Medical Necessity, Assessments, Individual Service Plans, and Progress Notes Lead to Quality Care and Billable Services
Marc Bollinger, LICSW, Chief Executive Officer; Kathy Lee Robertson, MSW, Chief Clinical Officer; Crystal Didier, David Reed
Golden Thread is a common term used to identify the foundation of medical necessity, assessments, treatment plans and progress notes when it comes to the delivery of quality care and billable services.  This session will focus on medical necessary aspects and touch on Assessment, treatment planning and progress note documentation requirements and common mistakes.  The main theme is to assist participants meet requirements of the Washington Administrative Codes and good clinical documentation practices.

D7: Strengthen your Resilience & Communication Skills for a Better Workplace
Fransing Daisy, Ph.D., Psychologist/Behavioral Health Educator; Elizabeth S. Gordon, Ph.D., JD, M.Div., Educator
This workshop focuses on developing internal and external resources and skills to improve work conditions for providers. These resources include cultivating resilience through evidence based practices and communication skills to move toward a healthier and more functional workplace. Using an interactive format, the presenters will help attendees identify clinical dynamics that contribute to conflict and burnout and how to intentionally develop holistic approaches to address individual and organizational stressors.

D8: Problem Gambling and the Continuum of Care in Washington State
James Leingang, BA CDP WSCGC II, Community Engagement and Advocacy Specialist
The workshop will focus on developing a strong Continuum of Care for addressing issues related to Problem Gambling. Creating an effective Continuum of Care begins by examining the resources and services currently available. We will look at the work done by The Evergreen Council on Problem Gambling to address Prevention, Awareness, Education, Treatment and Aftercare. We will also look at the limits and gaps in services within our state and region. In addition, emerging services and support communities will be discussed (Recovery Café Model, Recovery Coach Academy, Peer to Peer Coaches, etc.)

D9: The Collaborative Effort of the Offender Reentry Community Safety Program for Transition
Angela Clark, MS, LMHC, ORCS Program Administrator; Monica Reeves, M.Ed., LMHCA, Offender Reentry Community Safety Program Administrator
This presentation will provide an updated look at the Offender Reentry Community Safety (ORCS) program. The ORCS program (formerly known as the Dangerously Mentally Ill Offender program) is a legislatively mandated program that identifies and provides transition for incarcerated individuals who are dangerous and mentally ill. The program is designed as a collaboration between Department of Corrections and the Division of Behavioral Health and Recovery. Discussion will include statistics regarding the number of offenders designated into the program, recidivism and successes. The multi-system care planning team is an integral part of the transition process for the offender. This team works in collaboration with the offender to identify and develop a transition plan for successful community integration.


Workshop Session V

E1: Leave the Past Effects of Stigmas Behind & “Speak Up, Tell Your Story”
Carol Gartin, AAS, CPC, Peer Case Manager
Peers as change agents have an opportunity to first build their own confidence and then to share their journeys. Learning to deal with stigmas that effect the “self” helps the to depersonalize the many voices that society, family and friends have contributed. I will use my personal journey to show what stigmas I encountered and how I am confronting and overcoming. This journey of awareness accomplishes the confidence to “Speak Up & Tell Our Stories”.

E2: Positive Leadership Skill Building: Part 2
Natalie Fryar, M.Ed., LMHC, MAC, CDP, MHP, Director of Clinical Operations
This workshop is designed for those in leadership roles. We will use a Leadership Curriculum that focuses on Positive Leadership using the tools of Authenticity, Purpose, Advocacy, Resilience, Community Building, Reason, & Gratitude.

E3: Motivational Interviewing: Part 5
Scott Boyles, Licensed Addiction Counselor, Senior National Training Director
The 5 session workshop will focus on the spirit and processes of Motivational Interviewing (MI) and MI skills. Sessions will include lecture, group activities and skill practice.

E4: DDA’s new online training certificate in Positive Behavior Support
Gene McConnachie, Ph.D., Ph.D., Region 2 Field Services Psychologist; Sandi Miller, BA Psychology, Residential Quality Assurance Program Manager; Phil Diaz, Ph.D., Clinical Team Lead
This workshop will provide an overview of DDA’s online training program designed to teach participants to conduct and write a Functional Behavioral Assessment and a Positive Behavior Support Plan for clients they support. Excerpts of Video and Slides from the online training will be shown. Outcome data showing improvements in trainee’s ability to write good FBA’s and PBSPs will be presented. Next steps in the development of this online resource will be discussed.

E5: The Veteran client and TBI – What they want you to know to help them succeed
Daniel Overton, MC, LMHC, MHP, CBIS, TBI Program Coordinator – Washington State Department of Veterans Affairs
Whether you know it or not, you are seeing veteran clients. Typically 10% of all clients are veterans. As many as 1 in 5 of these folks may have a TBI. If they do, the TBI may be the reason they are having so much trouble succeeding. Come learn how to recognize and treat the veteran client and TBI through experiential learning and how you can tap into free resources to help develop and deliver integrative treatment plans.

E6: Medication Assisted Treatment: Myths, Facts and the New Reality
Asif Khan, MD, SAP, FASAM, FACP; & Tom Fuchs, M.Ed
Addiction and treatment are complicated issues, recovery is sometimes fleeting and elusive, yet millions of people find recovery and looks as different as the people who achieve it.  This session will explore some characteristics (Myths, Facts and Reality) of Medication Assisted Treatment, why there is an increased utilization of MAT.   The session will also explore how you can better understand and support people with Opioid Use Disorders and MAT.  The training will address what has changed in our understanding the factors of how addiction starts, and why our developing understanding of brain chemistry is changing the tools we bring to recovery services.