FY18 Fall Trainings Regional Trainings Title: Treating the Problem Gambler: A Clinical Case Study Date & Time: October 16, 2017; 9am to 2pm Region: Metrowest Location: Eliot Community Human Services, 125 Hartwell Avenue, Lexington, MA 02421 Presenter: Dot Duda Cost: $50 Save 10% if you re a member CEUs: 4.5 The treatment of problem gamblers presents various unique challenges. This training is designed for those counselors who are or plan to be working with problem gambling in a variety of clinical settings. A clinical case study will be reviewed and discussed in order to provide practical information that will allow clinical insight into treating the problem gambler. Counselors will be able to identify specific goals and objectives that would allow counselors to incorporate gambling awareness into the clinical work they are currently providing. 1. Recognize the uniqueness of each client s presenting problems 2. Review assessments and the selection of problems to begin the treatment planning for Gambling disorder 3. Learn strategies to help client engage in treatment 4. Identify instability created by co-occurring issues with a large portion of emotional and physical complications for recovery 5. Develop an aftercare plan Title: From Theory to Practice: Best Practices in Gambling Treatment Date & Time: Wednesday, October 25, 2017; 9am to 2pm Region: Boston Location: Devine Recovery Center, 70 Devine Way, South Boston, MA 02127 Presenter: Heather Chapman Cost: $50 Save 10% if you re a member! CEUs: 4.5 This training will blend Evidence Based Practice (Motivational Interviewing, Cognitive Behavioral Therapy and Mindfulness Based Relapse Prevention) with trauma informed care. There will be the use of audio/video so participants can tune into their reactions. Objectives: The participant will:
1) identify several best practice treatment models for the treatment of gambling disorder 2) identify several therapeutic interventions, and their relationship to the psychology of change 3) identify personal reactions and their impact on the therapeutic process, specifically while working with those with gambling disorder 4) The Intersection of Problem Gambling and Trauma Date & Time: Wednesday, November 8, 2017; 9am to 2pm Region: Western Location: CHD, 332 Birnie Ave. Springfield, MA Presenter: C. Baxter Chandler, LICSW, MA-PGS Cost: $50 Save 10% if you re a member CEUs: 4.5 The research is clear that a co-morbid connection exists between problem gambling and trauma. People with gambling problems and PTSD have higher rates of anxiety, depression, substance use, impulsivity, and suicidality. Like most dual-diagnosis, successful outcomes are more likely when the combination of problems are identified early and addressed in treatment together. This training will explore the intersection where problem gambling and trauma meet, considering the various types of gambling and the populations that experience trauma (i.e. sexual abuse survivors, victims of domestic abuse, veterans, etc.). Evidenced based and trauma informed screening tools and treatment interventions to address both issues will be explored. At the end of this training participants should be able to: Describe at least 3 signs/symptoms of both problem gambling and trauma reactions (across various vulnerable populations). Describe the connection between problem gambling and trauma and how the two problems interact with each other. Identify at least 3 evidenced based and trauma informed treatment interventions to address both of problem gambling and trauma symptoms together. Webinars Training: Motivational Interviewing for Problem Gambling: Theory and Skills Date: October 13,2017 Time: 12:00 pm 2:00 pm Location: Online Presenter: Ty W. Lostutter, Ph.D. CEU s- 2.0 Price: $20.00 Motivational Interviewing (MI) is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. MI assumes that ambivalence, or feeling two ways about something, is a common human experience, especially in relation to addictive behaviors. Although often cognizant of the risks and harms associated with problematic gambling, various factors may lead the individual to continue gambling (e.g., relief from negative feelings, social acceptance/enhancement). Using the framework of
Prochaska and DiClemente s Stages of Change model, MI meets the client where they are at, allowing them to determine the content, direction and goals of the encounter. For these individuals, MI can be used to raise awareness of gambling behavior, explore positive and negative perceptions of gambling experiences, and highlight disparities between individual behavior and personal values/goals. MI is guided by a set of five overarching principles (1) express empathy, (2) develop discrepancy, (3) avoid argumentation, (4) roll with resistance, and (5) support self-efficacy and core skills including asking open-ended questions, listening reflectively, providing affirmation, summarizing, and eliciting self-motivational statements. Although MI utilizes specific therapeutic strategies/tools, it is fundamentally a style of interpersonal interaction rather than a scripted protocol. As such, use of a MI-style can be used in any encounter, by therapists and non-therapists alike, to facilitate service engagement and behavior change. MI is an invaluable tool for counselors, educators and administrators who may have occasion to have gambling-focused conversations with clients. In this advanced training series, attended will be assumed to have familiarity with MI principles and skills. The focus of this training will to practice and enhance attendees MI skills when working with problem gambling clients. Review the fundamental principles of Motivational Interviewing including: (1) express empathy, (2) develop discrepancy, (3) avoid argumentation, (4) roll with resistance, and (5) support self-efficacy. Practice Motivational Interviewing core skills: (1) asking open-ended questions, (2) listening reflectively, (3) providing affirmation, (4) summarizing, and (5) eliciting self-motivational statements for problem gamblers. Discuss ways to integrate Motivational Interviewing principles and skills with other therapeutic practices to support clients in their change process. Training: Problem Gambling in the Asian Community Date: November 14, 2017 Time: 12:00 pm 2:00 pm Location: Online Presenter: Tim Fong, MD. CEU s- 2.0 Price: $20.00 The Asian American community is comprised of diverse cultural groups with roots spanning many countries. Despite this diversity, there are some commonalities in this community including cultural values and attitudes towards gambling. Research has also shown that Asian Americans may be impacted by gambling disproportionally and may be at higher risk for gambling disorders. This workshop will explore the diverse cultural attitudes towards gambling, prevalence of gambling and preference for type of gambling, and specific risk factors. It will discuss prevention programs, intervention opportunities, effective treatment modalities, and cultural factors in working with a client with gambling disorder. Additionally it will explore how assimilation and acculturation affect gambling behavior and cultural attitudes as well as family dynamics. Objectives: Participants will be able to discuss cultural attitudes and risk factors regarding gambling in the Asian American community. Participants will be able to identify culturally competent prevention, intervention, and treatment programs for Asian American s struggling with gambling disorder
Participants will be able to discuss the impact of assimilation and acculturation on gambling behavior and attitudes towards treatment. Training Institute Date: (4 weeks of classes) Tuesday and Thursdays, from 6pm 10 pm, October 3, 5, 10, 12, 17, 19, 24, 26, 2017 Region: Western Location: Behavioral Health Network, Inc. Entrance B, 417 Liberty St., Springfield, MA 01104 Training: - Massachusetts Council on Compulsive Gambling Training Institute Presenters: Eunice Aviles, C. Baxter Chandler, Amy Gabrila, Jodie Nealley, Amanda Winters Clock hours/continuing Education Units- 32 Price: $275 or become a member and save 10%: $247.50 The Mass Council on Compulsive Gambling Training Institute s goal is to increase the number of services providers in the treatment and service of Gambling Disorders; increase the community s access to comprehensive and competent care, increase service and treatment delivery, and improve treatment outcomes. The Mass Council on Compulsive Gambling Training Institute provides a comprehensive delivery of gambling specific trainings for social services providers in order to build the capacity of knowledge in the area of Gambling Disorders. The training institute meets from 6pm-10pm, twice per week for four weeks. At the conclusion of the four week training process, individuals will be able to meet the MA PGS training standards and certificate training requirements. Course 1: Introduction to Problem Gambling Presenter: Jodie Nealley In the era of expanding gambling, providers are encouraged to increase their base of knowledge in order to provide service and support to service recipients. This introductory training is aimed to increase current social service providers knowledge in identifying problem gambling behavior within clinical and social service practice. Social service providers will learn how to incorporate problem gambling information and treatment skills into their area of practice. Identify stages, signs, symptoms and progression of problem gambling Identify and discuss research reports of prevalence rates with respect to problem gambling Explain risk factors associated with gambling disorder. Discuss history and development of the problem gambling field; with emphasis on state of MA and the field of addiction Discuss a public health framework for addressing disordered gambling Course 2: Working with Minority Populations: African-Americans and Latinos Presenter: Eunice Avilés This training will discuss African-American and Latino/as cultural issues and its relationship to problem gambling. It will explore barriers to prevention, intervention, treatment, and recovery, and discuss strategies and techniques that promote wellness. The workshop will discuss and review African-American and Latino/as cultural characteristics and its relevance to social services practice. Also, service providers will gain education, resources, and current outreach efforts. Explain gambling in the African-American and Latino/as community Explain barriers to prevention and care Understand the cultural characteristics of African-American and Latino/as Identify effective strategies and techniques Identify resources and current initiatives
Course 3: Cognitive Behavioral Therapy and other Evidence-Based Treatment Modalities for Gambling Disorder Presenter: C. Baxter Chandler The treatment of gambling disorder as a behavioral addiction has its unique challenges. This training will explore the various clinical challenges that can be present when working with problem gamblers. Also, this training will provide an introduction to Cognitive Behavioral Therapy (CBT) and other evidence based treatment modalities for the treatment of gambling disorder. A review and discussion of CBT will provide practical information that will allow clinical insight into treating the problem gambler. Identify various clinical challenges of working with problem gamblers Explain CBT in the treatment of gambling disorder Identify evidence-based treatment modalities for gambling disorder Identify treatment and clinical resources Course 4: Gambling as a Co-Occurring Disorder Presenter: Eunice Avilés This training will explore the similarities and differences of gambling disorder with substance use and mental health disorders. This training will discuss and explore the various challenges in identifying disordered gambling within client care. Also, this training will introduce the addiction syndrome model, as well as strategies in identifying and screening of gambling disorder. Objectives: Describe similarities and differences with substance use and mental health disorders Describe the various challenges in identifying disordered gambling Describe the Addiction Syndrome Model Recognize strategies in identifying and screening of gambling disorder Course 5: Assessment and Diagnosis Presenter: C. Baxter Chandler This training will focus on the assessment and diagnosis of gambling disorder as a behavioral addiction. The process of the therapeutic alliance and other engagement practices will be considered as important components of the assessment process. The evaluation of major depressive disorder and the risk for suicidality will be highlighted as important aspects of the assessment process with a person with gambling disorder. The development of a safety plan will be discussed as a consideration for the protection of the problem gambler. Describe DSM-5 diagnostic criteria for Gambling Disorder Describe suicidal rates and common clinical presentation of problem gamblers Describe strategies in risk assessment and safety planning Describe strategies in establishing a therapeutic alliance Course 6: Integrating Recovery Supports into Clinical Practice Presenter: Jodie Nealley Recovery support services are an integral part of a recovery-oriented system of care. The questions then become, which supports to use and how to integrate them into a treatment process. This session will discuss several recovery support services, offer suggestions as to who should be offering them, and discuss how services can be integrated into the treatment of clients with gambling disorder.
Identify signs and symptoms of problem gambling Identify recovery support services Explain recovery supports and integrating strategies Identify resources for assessment, referrals and resources Course 7: Prevention and Problem Gambling Presenters: Amy Gabrila and Amanda Winters Many clinicians have received little formal training on the science of prevention. Yet, in the day to day delivery of their craft, many are indeed decreasing risk factors and increasing protective factors for their clients, the client s families and the community. These are major components of prevention work. This training will cover the key components of successful prevention work and discuss how clinicians can enhance their own prevention efforts all within the rubric of their clinical practice. Participants will identify what the harm reduction model is and how it relates to gambling. Participants will apply harm reduction principles to help all clients keep gaming fun Identify techniques in integrating prevention strategies Identify prevention resources and supports Course 8: Gambling Disorder: A Review of Our Learning Presenter: Eunice Avilés This training will be a review of information from prior weeks. This session will highlight the various aspects of gambling disorder, as well as the various challenges and opportunities in the era of expanded gambling in Massachusetts. Resources will be discussed and shared. Explain themes of gambling disorder Identify clinical challenges associated in the treatment of gambling disorder Identify resources for the treatment and services of problem gambling If you have any questions please contact Jodie Nealley at: jodie@masscompulsivegambling.org 617-426-4554 The Massachusetts Council on Compulsive Gambling has been approved by NBCC as an Approved Continuing Education Provider, ACEP No.6331. Programs that do not qualify for NBCC credit are clearly identified. The Massachusetts Council on Compulsive Gambling is solely responsible for all aspects of the programs.