Registration and Continental Breakfast. 8:00am to 9:00am

Transcription

1 8:00am to 9:00am 9:00am to 10:30am Registration and Continental Breakfast Concurrent Workshops 1. Using Motivational Interviewing to Identify the Loss of Critical Life Function for People with Co-Occurring Disorders Meghan C Perrault, MA, LPC, CAADC Clinicians, case managers, peer support specialists, etc. can use the skills of Motivational Interviewing to assist consumers in the identification of obstacles to their progress and making change. With the use of techniques (Open Ended Questions, Affirmations, Reflections, and Summaries), clinical staff can elicit information that increase change talk and identify specific elements/obstacles the consumer is prepared to work on. Staff can use these techniques to guide the consumers to creating their own solutions, making long-term changes more likely. Participants will be able to: 1. Describe 3 recovery obstacles experienced by consumers with co-morbid MH and SUD diagnosis; 2. Demonstrate the 4 parts of the Spirit of Motivational Interviewing in order to elicit information from consumers with Co- Morbid Mental Health and Substance Use Disorder; 3. Demonstrate the use of 4 Motivational Interviewing techniques (Open Ended Questions, Affirmations, Reflections, and Summaries) to help consumers identify and verbalize loss of critical life functioning due to Co-Morbid disorder and; 5. Increase awareness and understanding of consumers' change talk, using Motivational Interviewing interventions (i.e. rulers to explain DARN CATS) to explore loss of critical life function and seek solutions. 2. Trauma: The Co-occurring Connection Daryl Goodman, MA, MINT Member, Trauma Trainer Great Lakes ATTC, Team Leader Case Management for Adult with Mental Illness, ACT & DBT, West Michigan CMH System Karen Goodman, LMSW, Clinic Director, Pine Rest Christian Mental Health Services In this presentation the core principles of trauma informed care will be explored. Knowing the presence of trauma is high for people receiving treatment of co-occurring disorders. This presentation will explore the prevalence of trauma in this group and the risk factors for the development of behavioral health, physical health and substance use problems. Identification of the impact of daily practice, facility design and treatment interventions and how they can re-traumatize individuals will be imperative to building Trauma Informed Care communities. Not only will this presentation provide an overview of trauma, its impact on other illnesses, and what an organization or practitioner needs to do to identify it, we will review a tool that can be used as a means to assess an organization s readiness to provide trauma informed care in an effort to avoid re-traumatizing individuals receiving treatment. Participants will be able to: 1. Describe the prevalence of trauma and at least three risk factors for the development of behavioral health, physical health, and substance use problems; 2. Identify three characteristics, including the impact of daily practice, facility design and treatment interventions and how they can retraumatize individuals will be imperative to building trauma informed care communities; 3. Apply a standardized tool for evaluating agency readiness for providing trauma informed care.

2 10:30am to 10:45am Refreshment Break 3. Recovery-Oriented Assessment and Treatment Planning for Adults with Co-Occurring Disorders Jennifer Harrison, PhD, LMSW, CAADC, Faculty/Field Coordinator, Western Michigan University School of Social Work Adults with mental illness and substance use disorders have far worse outcomes in employment, hospitalization, housing, and criminal justice involvement than their single disordered peers. This coprevalence has been studied since the 1980s, yet despite this substantive increased risk, until the 21st century, most service systems were organized to treat individuals with a single disorder, excluding those with co-occurring disorders, or providing sequential or parallel treatments that were incompatible or in conflict with each other. Integrated services offer superior outcomes to parallel or sequential treatments, and call providers to develop interventions to assist individuals in moving toward recovery for both illnesses simultaneously. Recovery-oriented care requires changes at a systems and individual practitioner level in areas including assessment, treatment planning, and delivery. Integrated providers will learn about the research on integrated care including Evidence-Based Practices (EBP), and ways to develop stage-matched assessment, treatment planning, and treatment interventions for adults with co-occurring mental health and substance use disorders. Participants will be able to: 1. Understand the 3 Key factors about the development of the substance use and mental health treatment systems and how they impact coverage, service delivery; 2. Understand the 5 stages of change, as well as how to use staging tools with clients and treatment teams to decide on appropriate interventions; 3. Be able to relate 4 elements of a contextual and longitudinal assessment for individuals with more than one chronic illness; 4. Be able to develop 2 examples of goals, objectives, interventions, and discharge criteria for common co-occurring needs. 10:45am to 12:15pm Concurrent Workshops 4. Waltzing Matilda or Conducting the ILSA (Integrated Longitudinal Strength-Based Assessment) Part I Tom Moore, LMSW, LLP, CAADAC, CCS, Owner and principal, Two Moons LLC In order to competently address co-occurring disorders in substance use disorder settings, a comprehensive, structured assessment process must: engage the client, create a welcoming environment, and establish safety for discussion and expression of salient issues requiring treatment. To assure the formulation of relevant and appropriate goals and objectives in a comprehensive cooccurring treatment plan, a thorough assessment needs to be conducted. The Integrated Longitudinal Strength-based Assessment (ILSA) represents a tool, when completed, organizes demographic information, safety issues, stable baseline information, and clients past timeline into strength-based, data rich, informative document. Treatment plan can then be based on client need, and structured for appropriate placement, need for acute versus chronic care and identification of interventions for short and long term recovery issues. Participants will be able to: 1. Repeat the 5 immediate safety issues (aka 5 acute S s); 2. List the 9 S s from the client s most recent stable baseline; 3. Determine the Significant Life Events that impact ability to engage in treatment, onset of either disorder or course of either disorder; 4. Based on the 9 S s identified from recent stable baseline and Significant Life Events, identify the areas to be addressed in the treatment plan. 5. Motivational Interviewing in Co-Occurring Treatment Groups Randy Estes, LMSW, CAADC, CCS, Therapist and Motivational Interviewing Trainer, Skywood Recovery Center Motivational Interviewing (MOT) in Co-Occurring treatment groups will examine Michigan as a facilitative method to increase positive behavior change conversation in co-occurring treatment groups including educational groups, process groups and experiential therapy groups. Michigan will be demonstrated and practiced as a person-centered, assistive, collaborative style of stage-matched treatment interventions for a directive recovery group process. Participants will be able to: 1. Identify engagement strategies for co-occurring treatment groups; 2. Apply focusing methods for co-occurring treatment groups; 3. Evoke behavior change talk in co-occurring treatment groups; 4. Implement functional recovery change plans in co-occurring treatment groups; 5. Apply accurate Stage of Change matched interventions with motivational interviewing in co-occurring treatment groups.

3 6. Dialectical Behavior Therapy and COD: A Way to Develop a Life Worth Living Michelle Boudreaux, LMSW, Supervisor, St. Clair County Community Mental Health This workshop will provide a brief overview of DBT treatment and how it can be utilized in addressing co-occurring concerns. There will be a short discussion on how DBT compares to other treatment models. We will focus on the DBT hierarchy of treatment and how to also address substance abuse behaviors within that model. We will discuss ways to enhance engagement. The workshop will explore skills that can be utilized to deal with urges and cravings. Participants will be able to: 1. Compare DBT to at least 1 other treatment that addresses co-occurring disorders; 2. Identify at least 3 skills that can be utilized to deal with urges/cravings; 3. Apply at least 2 strategies to enhance engagement / commitment to treatment. 12:15pm to 1:15pm 1:15pm to 2:45pm Lunch Concurrent Workshops 7. Using Motivational Interviewing to Identify the Loss of Critical Life Function for People with Co-Occurring Disorders Meghan C Perrault, MA, LPC, CAADC Clinicians, case managers, peer support specialists, etc. can use the skills of Motivational Interviewing to assist consumers in the identification of obstacles to their progress and making change. With the use of techniques (Open Ended Questions, Affirmations, Reflections, and Summaries), clinical staff can elicit information that increase change talk and identify specific elements/obstacles the consumer is prepared to work on. Staff can use these techniques to guide the consumers to creating their own solutions, making long-term changes more likely. Participants will be able to: 1. Describe 3 recovery obstacles experienced by consumers with co-morbid MH and SUD diagnosis; 2. Demonstrate the 4 parts of the Spirit of Motivational Interviewing in order to elicit information from consumers with Co- Morbid Mental Health and Substance Use Disorder; 3. Demonstrate the use of 4 Motivational Interviewing techniques (OARS) to help consumers identify and verbalize loss of critical life functioning due to Co-Morbid disorder and; 5. Increase awareness and understanding of consumers' change talk, using Motivational Interviewing interventions (i.e. rulers to explain DARN CATS) to explore loss of critical life function and seek solutions. 8. Waltzing Matilda or Conducting the ILSA (Integrated Longitudinal Strength-Based Assessment) Part II Practical Implementation Tom Moore, LMSW, LLP, CAADAC, CCS, Owner and principal, Two Moons LLC In order to competently address co-occurring disorders in substance use disorder settings, a comprehensive, structured assessment process must: engage the client, create a welcoming environment, and establish safety for discussion and expression of salient issues requiring treatment. To assure the formulation of relevant and appropriate goals and objectives in a comprehensive cooccurring treatment plan, a thorough assessment needs to be conducted. The Integrated Longitudinal Strength-based Assessment (ILSA) represents a tool, when completed, organizes demographic information, safety issues, stable baseline information, and clients past timeline into strength-based, data rich, informative document. Treatment plan can then be based on client need, and structured for appropriate placement, need for acute versus chronic care and identification of interventions for short and long term recovery issues. Participants will be able to: 1. Repeat the 5 immediate safety issues (aka 5 acute S s); 2. List the 9 S s from the client s most recent stable baseline; 3. Determine the Significant Life Events that impact ability to engage in treatment, onset of either disorder or course of either disorder; 4. Based on the 9 S s identified from recent stable baseline and Significant Life Events, identify the areas to be addressed in the treatment plan. 9. Recovery-Oriented Assessment and Treatment Planning for Adults with Co-Occurring Disorders Jennifer Harrison, PhD, LMSW, CAADC, Faculty/Field Coordinator, Western Michigan University School of Social Work Adults with mental illness and substance use disorders have far worse outcomes in employment, hospitalization, housing, and criminal justice involvement than their single disordered peers. This coprevalence has been studied since the 1980s, yet despite this substantive increased risk, until the 21st

4 century, most service systems were organized to treat individuals with a single disorder, excluding those with co-occurring disorders, or providing sequential or parallel treatments that were incompatible or in conflict with each other. Integrated services offer superior outcomes to parallel or sequential treatments, and call providers to develop interventions to assist individuals in moving toward recovery for both illnesses simultaneously. Recovery-oriented care requires changes at a systems and individual practitioner level in areas including assessment, treatment planning, and delivery. Integrated providers will learn about the research on integrated care including Evidence-Based Practices (EBP), and ways to develop stage-matched assessment, treatment planning, and treatment interventions for adults with co-occurring mental health and substance use disorders. Participants will be able to: 1. Understand the 3 Key factors about the development of the substance use and mental health treatment systems and how they impact coverage, service delivery; 2. Understand the 5 stages of change, as well as how to use staging tools with clients and treatment teams to decide on appropriate interventions; 3. Be able to relate 4 elements of a contextual and longitudinal assessment for individuals with more than one chronic illness; 4. Be able to develop 2 examples of goals, objectives, interventions, and discharge criteria for common co-occurring needs. 2:45pm to 3:00pm 3:00pm to 4:30pm Refreshment Break Concurrent Workshops 10. Trauma: The Co-occurring Connection Daryl Goodman, MA, MINT Member, Trauma Trainer Great Lakes ATTC, Team Leader Case Management for Adult with Mental Illness, ACT & DBT, West Michigan CMH System Karen Goodman, LMSW, Clinic Director, Pine Rest Christian Mental Health Services In this presentation the core principles of trauma informed care will be explored. Knowing the presence of trauma is high for people receiving treatment of co-occurring disorders. This presentation will explore the prevalence of trauma in this group and the risk factors for the development of behavioral health, physical health and substance use problems. Identification of the impact of daily practice, facility design and treatment interventions and how they can re-traumatize individuals will be imperative to building Trauma Informed Care communities. Not only will this presentation provide an overview of trauma, its impact on other illnesses, and what an organization or practitioner needs to do to identify it, we will review a tool that can be used as a means to assess an organization s readiness to provide trauma informed care in an effort to avoid re-traumatizing individuals receiving treatment. Participants will be able to: 1. Describe the prevalence of trauma and at least three risk factors for the development of behavioral health, physical health, and substance use problems; 2. Identify three characteristics, including the impact of daily practice, facility design and treatment interventions and how they can retraumatize individuals will be imperative to building trauma informed care communities; 3. Apply a standardized tool for evaluating agency readiness for providing trauma informed care. 11. Motivational Interviewing in Co-Occurring Treatment Groups Randy Estes, LMSW, CAADC, CCS, Therapist and Motivational Interviewing Trainer, Skywood Recovery Center Motivational Interviewing (MOT) in Co-Occurring treatment groups will examine Michigan as a facilitative method to increase positive behavior change conversation in co-occurring treatment groups including educational groups, process groups and experiential therapy groups. Michigan will be demonstrated and practiced as a person-centered, assistive, collaborative style of stage-matched treatment interventions for a directive recovery group process. Participants will be able to: 1. Identify engagement strategies for co-occurring treatment groups; 2. Apply focusing methods for co-occurring treatment groups; 3. Evoke behavior change talk in co-occurring treatment groups; 4. Implement functional recovery change plans in co-occurring treatment groups; 5. Apply accurate Stage of Change matched interventions with motivational interviewing in co-occurring treatment groups.

5 12. Stage-Wise Mental Health and Substance Abuse Disorder Treatment Stephanie Lagalo, LMSW, CAADC, CCS, Clinical Director for ACT and Therapy Services, InterAct of Michigan, Inc. This workshop will focus on stage matched treatment interventions for participants on Assertive Community Treatment/Integrated Dual Disorder Treatment Teams as well as outpatient co-occurring programs. Participants will be able to: 1. Describe the importance of utilizing integrated strategies with individuals served, 2. Identify and describe the Stages of Change, 3. Identify and describe the Stages of Treatment, 4. Identify and describe treatment interventions for specific stages. 4:30pm Conference Adjourns Overnight Accommodations: MACMHB Cancellation Policy: Continuing Education: A block of rooms has been reserved at the H Hotel in Midland, call to reserve your room. Mention that you are staying for the Co-Occurring College to receive a $75/per night rate + tax. Or you can visit: Substitutions are permitted at any time. No-shows will be billed at the full training rate. Cancellations must be received in writing 10 business days prior to the conference for a full refund less a $20 administrative fee. If cancellation is received less than 10 business days prior to the conference the full charge will be incurred. Social Work: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 11/10/13-11/10/16. Social workers should contact their regulatory board to determine course approval. Social Workers participating in this conference may receive a maximum of 6 continuing education clock hours. Substance Abuse Professionals: MACMHB is approved by Michigan Certification Board for Addiction Professionals (MCBAP). MACMHB maintains the responsibility for the program and content. Substance Abuse Professionals participating in this conference may receive a maximum of 6 SPECIFIC MCBAP CE Hours. Certificate Awarded: At the conclusion of this conference, turn in your Verification of Attendance form to the MACMHB Staff to be initialed. You will turn in the top sheet and retain the bottom sheet which serves as your certificate of participation. Who Should Attend: clinical directors, case workers, supports coordinators, children s supervisors and other practitioners who must be able to address comorbid mental health and substance use disorders in at all levels of practice (beginning, intermediate and/or advanced). Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at or through our webpage at for resolution.

6 ONLINE: Co-occurring College: Selected Workshops for Implementation & Sustainability July 11, 2016 The H Hotel 111 W. Main St, Midland, MI REGISTRATION FEE (PER PERSON): ATTENTION NICK STRATTON Fee includes: Materials, Breakfast, Lunch, and Refreshments EARLY BIRD AFTER 6/27/16 $40 $55 3 EASY WAYS TO REGISTER BY FAX: BY MAIL: MACMHB S. WALNUT, LANSING, MI EARLY BIRD DEADLINE: JUNE 27, 2016 Please Check the Workshops You Plan to Attend: 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12; MACMHB Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. Cancellations must be received in writing 10 business days prior to the conference for a full refund less a $20 administrative fee. If cancellation is received less than 10 business days prior to the conference the full charge will be incurred. BY SUBMITTING THIS REGISTRATION, I AM AGREEING TO THE TERMS AND CONDITIONS OF MACMHB S CANCELLATION POLICY. Name to be Printed on Badge: Title: Agency/Company: Address: Phone: City, St, Zip: Fax: Individual Work Address: Dietary Needs: Vegetarian Vegan Gluten-free Allergic: Other: In Case Of Emergency during Conference, Please Contact: Daytime Phone: Accessibility Needs: Billing Address if Different Than Above (Contact): Address: City, St, Zip: Evaluation: There will be an opportunity for each participant to complete an evaluation of the conference and the instructor. If you have any issues with the way in which this conference was conducted or other problems, you may note that on your evaluation of the conference or you may contact MACMHB at or through our website at for resolution. PAYMENT METHOD: Payment DOES NOT need to accompany registration form. However, payment or purchase order must be received by the day of the training. Credit cards are no longer accepted for onsite payment. You must pay with check, money order or cash onsite. Check Enclosed (payable to MACMHB) Purchase Order (attached) Credit Card / PayPal: A link will be sent for PayPal with confirmation of registration No on-site credit card payments will be accepted. Questions? Contact MACMHB at