The 2008 Summer Institute on Addictions

June 25-27, 2008

Conference Schedule

Wednesday, June 25

7:45 a.m. - 8:30 a.m. REGISTRATION/CONTINENTIAL BREAKFAST

8:30 a.m. - 8:45 a.m. INTRODUCTION

8:45 a.m. - 10:15 a.m. KEYNOTE SPEAKER I : Donald Meichenbaum, Ph.D.

Topic: Substance Abuse and Violence Toward Others

The use of alcohol and other drugs has long been associated with acts of violence. This relationship will be examined from two perspectives: a developmental life-span perspective and in terms of the complex relationship between Intimate Partner Violence and Substance Abuse Disorders. The presentation will consider the relative merits of varied treatment options, namely: 1) ways to reduce violence by focusing on treating Substance Abuse Disorders; 2) ways to reduce violence by focusing on the treatment of so-called “underlying” psychiatric disorders such as depression, PTSD and Personally Disorders; and 3) ways to conduct an Integrative Treatment Intervention addressing the interdependence of these concurrent problems.

10:15 a.m. - 10:30 a.m. MORNING BREAK

Session I 10:30 a.m. - Noon

The Treatment of Suicidal and Substance Abuse Clients ; Donald Meichenbaum,Ph.D.

This workshop will begin with a consideration of the high incidence of Lifetime and Concurrent Co-morbidity of Substance Abuse Disorders and Psychiatric Disorders with the resultant increased risk for suicidality. To illustrate, a series of videotaped case studies will be shown. How to assess directly for suicidal risk on an ongoing basis, how to intervene with such challenging clients, and how to implement the Core Task of Psychotherapy will be examined.

Counseling With Care And Courage: Addicted Survivors Trauma ; Katie Evans,Ph.D.

Crippling chaos and pain prevent many addicts and alcoholics from entering and completing treatment. This 5-stage model for treating addicted survivors celebrates success as you observe the transformation from an addicted victim, to an empowered, sober survivor thriving in dual recovery. Dr. Evans’ 5-Stage Dual Recovery Model for Addicted Survivors will share strategies in both engaging and retaining the addicted survivor. This workshop addresses the following: angry/addicted; resentment/relapse; brainwashing/betrayal; depression/dissociation; the seven types of brainwashing; and learning to recognize and understand dissociation and trance states.

20 Strategies For Increasing Recovery Rates With Chemically Dependent Clients; Mark Sanders, LCSW, CADC

Fifty percent of chemically dependent clients drop out of treatment prematurely, 15 % are administratively discharged, and a large percentage of the rest relapse within the first 90 days of discharge. Participants will be introduced to twenty research-based and practical strategies guaranteed to increase recovery rates with chemically dependent clients.

LUNCH (provided) Noon - 1: 00 p.m.

1:00 p.m. - 2:30 p.m.KEYNOTE SPEAKER II : Katie Evans, Ph.D., CADCIII, NCACII

Topic: Surviving Borderline Personality: Borderline Personality As Survivors

Compassion and humor set the tone for staying off the perilous path of counter transference. Personalizations, idealization-devaluation, questioning of self-efficacy are all common to working with the individual diagnosed with Borderline Personality Disorder. Early warning signs, “You are the best counselor I have ever had!” Then the plummet into the devaluation of being the “most horrific counselor alive today.” Dr. Evans will discuss eliminating all Borderline Personality Disorders. Not genocide, simply a more realistic diagnosis: complex, severe PTSD. This 90-minute talk will include successful strategies for working with the addicted survivor who previously earned the diagnosis of Borderline Personality Disorder. Treatment tips for antisocial and narcissistic addicts will also be presented.

2:30 p.m. - 2:45 p.m. AFTERNOON BREAK

Session II 2:45 p.m. - 4:15 p.m .

This workshop begins with a Self-Evaluative Checklist of how you use spiritually-integrated psychotherapeutic practices with your clients and how to use alternative ways to integrate spirituality into your practice. The risks, dangers, and potential benefits of spiritually-integrated psychotherapy will be considered. A Constructive Narrative Perspective of psychotherapy will be presented and used to consider the change mechanisms in 12-Step programs. The tailoring of therapeutic interventions in a culturally and ethnically sensitive manner will be highlighted.

Vicarious Trauma: Ongoing Recovery For Trauma Survivors; Katie Evans, Ph.D.

Commonly, program staff, and/or clients themselves become so overwhelmed that they suffer and reenact their own fear of treatment failure. Methods demonstrating how to minimize both the client’s and the therapist’s vicarious traumatization are offered. This session will: offer three new strategies for managing clients affective flooding; practice counseling skills for rage and resistance as relapse prevention; learn how to apply integrated approaches to individual and group counseling; and reframe helplessness to powerlessness as a powerful paradox.

The Therapeutic Benefits of Humor in Addictions and Other Human Service Settings; Mark Sanders, LCSW, CADC 

Strategies to incorporate humor into your work with chemically dependent clients in order to increase rapport and decrease resistance will be discussed. Other topics covered include: The Therapeutic Use of Humor in Individual and Group Therapy with Chemically Dependent Clients and How To Use Humor to Decrease Burnout and Compassion Fatigue and Increase Overall Staff Morale. This promises to be a fun-learning experience.

4:15 p.m. – 4:30 p.m. LATE AFTERNOON BREAK

Special Session 4:30 p.m. – 6:30 p.m. Trauma; Jill Wolf, LCSW  

This interactive session will highlight the prevalence of trauma among our clientele, the impact of our rape culture, and how we can integrate appropriate trauma interventions into our substance abuse treatment protocols. (Sign-up on registration form at no extra cost—2 CEUS offered )

Thursday, June 26

7:45 a.m. - 8:30 a.m. REGISTRATION/CONTINENTIAL BREAKFAST

8:30 a.m. - 8:45 a.m. INTRODUCTION

8:45 a.m. - 10:15 a.m. KEYNOTE SPEAKER I : . Jerry Moe, MA

Topic: Healing For Children of Alcoholics Across The Ages

This plenary explores the experience of growing up in an alcoholic or other drug-addicted family. It moves from risk to resilience as it examines common problems, issues, and feelings across the ages. Most importantly, it highlights the healing journey and offers hope in creating a new legacy of health and wellness.  

10:15 a.m. - 10:30 a.m. MORNING BREAK

Session I 10:30 a.m. - Noon 

Making Group Work For Kids: Effective Tools and Strategies; Jerry Moe, MA

Why do some groups work so much better than others? This workshop introduces participants to the six process principles for effective groups with children. Topics covered include creating a safe place, experiential learning, and cultural sensitivity.

Family Centered Treatment: The Exodus Model; Kathryn Icenhower, Ph.D.

The SHIELDS for Families’ Exodus program is a unique model in which comprehensive family-centered treatment, follow-up and related social services are provided with an 86-unit apartment complex. It is currently the only program in the U.S. that allows for the entire family unit to live in the treatment environment in individual family apartments. Treatment, child development and youth services, case management and vocational services are offered on-site at the facility. After completion of treatment services (12-24 months), families are able to remain in their housing for a transitional period of up to one year. Results over the past five years include an 81.2% completion rate and an average length of stay of 646 days. This workshop will describe the treatment mode, the array of primary treatment interventions, and the parallel services provided to children and youth.

Pre and Post Release Dynamics of the Offender; Michael E. Johnson

This presentation focuses on the issues offenders face, prior to, during and after incarceration. It explains how the offender has “three different personalities and agendas” in each stage. Emphasis is place on issues of transitioning to the community, home and within the work force, the offenders need for a support system and the frustrations they will experience. This presentation also discusses the time frame for an offender to become re-acclimated to society and with himself or herself. Objectives: 1) discuss the process and issues during the “re-socialization” process; 2) identify situations leading to recidivism; 3) develop intervention strategies; and 4) develop personalized aftercare plans associated with the offender’s re-entry.

LUNCH (provided) Noon - 1: 00 p.m.

1:00 p.m. - 2:30 p.m.KEYNOTE SPEAKER II : Kathryn Icenhower, Ph.D.

Topic : Family Centered Treatment: Can We Accept The Challenge?

For decades, addiction has been recognized as a family disease. The research literature clearly documents that parental substance abuse increases the likelihood of violence in the home, child abuse and neglect, inconsistent parenting and results in substantially higher risk for children to develop substance use disorders later in life. In addition, we are aware of the loss of family trust, the breakdown of the family system and the lack of family support that is a result of the addict’s lifestyle. However, even with this knowledge, the substance abuse field has continued to maintain a focus on the individual addict in programmatic design and service delivery. Over the last 20 years, a growing number of programs have moved towards the provision of family-centered treatment. Evaluations of these models have demonstrated that integration of the family and family-focused services in treatment, significantly improves outcomes in sobriety, retention and family reunification rates. This presentation will challenge substance abuse providers to question their current model of service delivery. Family issues that can and should be addressed in treatment will be reviewed. Models of treatment that incorporate thee family will be discussed, as well as the funding streams accessible to support services.

2:30 p.m. - 2:45 p.m. AFTERNOON BREAK

Session II 2:45 p.m. - 4:15 p.m. 

Family Centered Treatment: The Exodus Model; Kathryn Icenhower, Ph.D.

(This workshop is repeated from the morning workshop.)

Teaching Kids About Addiction: The ABCs for CoAs; Jerry Moe, MA

How do you teach children about alcoholism and other drug addictions in an age appropriate way so they can truly understand? This interactive workshop features tools and techniques to help children learn about the cunning, powerful, and baffling disease of addiction. The presenter will highlight effective books and videos.

Ethics: So What’s The Big Deal? ; Bill Johnson, CSADC, CADP

This session will explore the code of conduct for certified professionals. We will define some terms while becoming familiar with basic tools for ethical decision making. We will discuss the ethics of physical touch and the nature of verbal communications, as well as professional boundaries. Participants will be provided the opportunity to analyze some simple ethical situations, using a worksheet that will assist you in the future.

Friday, June 27

7:45 a.m. - 8:30 a.m. REGISTRATION/CONTINENTIAL BREAKFAST

8:30 a.m. - 8:45 a.m. INTRODUCTION

8:45 a.m. - 10:15 a.m. KEYNOTE SPEAKER I : Kenneth Minkoff, M.D.

Topic: Changing The World: Welcoming Integrated Systems of Care For People With Mental Health and Substance Use Disorders

This presentation reviews examples of systems difficulties faced by individuals with co-occurring psychiatric and substance disorders in public and private settings, and identifies research-based principles of successful treatment intervention for these individuals in the context of a parallel disease and recovery integrated conceptual framework that uses a common language that makes sense from the perspective of the addiction field and the mental health field. This presentation illustrates the application of these principles to the design of a strategy for the resolution of these systems difficulties through the development of a comprehensive, continuous, integrated system of care (CCISC) for psychiatric and substance disorders that maximizes use of all existing resources to initiate integrated treatment, and develops expectations that all programs achieve Dual Diagnosis Capability to provide properly matched services within existing resources to the individuals with COD that they already are serving.

10:15 a.m. - 10:30 a.m. MORNING BREAK

Session I 10:30 a.m. - Noon

Principles Of Integrated Treatment and Application to Interventions and Programs; Kenneth Minkoff, M.D.

This workshop provides an overview of the problem of “dual diagnosis”, and then identifies principles of successful treatment intervention derived from available research on evidence-based best practices. These principles are placed in the context of an integrated model of service delivery that uses a common language and treatment philosophy of disease and recovery that makes sense from the perspective of both the mental health system and the addiction treatment system. Application of this model to individualized clinical treatment matching and the design of a comprehensive continuous integrated system of care is illustrated.

Attributes of Effective Counselors ; Michael Johnson

This workshop discusses the attributes necessary to being and becoming an effective counselor and assist in understanding their role within the therapeutic relationship and its impact on outcome. This session will also focus on multi-cultural counseling and will assist the counselor in exploring their values and beliefs concerning other cultures and the impact on treatment outcomes. Finally, a discussion of “vicarious trauma” as counselors suffer a “peculiar denial” concerning the impact of our occupation on daily living. Objectives: 1) discuss the importance of the counselor in the therapeutic alliance; 2) discuss the characteristics of an effective counselor; 3) address the cultural dynamics; 4) discuss the counselor’s attitude; and 5) discuss the importance of counseling for counselors.

Women and HIV; Keith C. Waltrip

The rates of HIV in women across the U.S. and here in Chicagoland continue to increase each and every year. This presentation will help to further enhance the participants knowledge and understanding of the unique circumstance that impact women with HIV. The following objectives will be presented; special considerations when treating women with HIV, best practices with starting and maintaining therapy in women, assessment of current and future issues that impact the treatment of women with HIV, as well as, HIV therapies that are best suited for the women with HIV. Also, presented will be the basic data in regard to rates/mode of infection for women and gender differences in regard to HIV infections.

LUNCH (provided) Noon - 1: 00 p.m.

1:00 p.m. - 2:30 p.m.KEYNOTE SPEAKER II : Ernie Kurtz, Ph.D.

Topic : Recovery and Spirituality

This presentation will describe the relationships between recovery and spirituality, especially as illustrated in an examination of “real Alcoholics Anonymous”. We will then explore how the telling and hearing of stories of “what we used to be like, what happened, and what we are like now” work, noting the themes embodied in these understandings of spirituality and recovery as well as the continuing research underway to update their accuracy.

2:30 p.m. - 2:45 p.m. AFTERNOON BREAK

Session II 2:45 p.m. - 4:15 p.m .

Integrated Assessment and Treatment Matching; Kenneth Minkoff, M.D.

Using the principles of successful treatment intervention in the context of an integrated disease and recovery model for understanding the process of treatment matching for individuals with co-occurring disorders, a systematic process of clinical assessment – the Integrated Longitudinal Strength-Based Assessment – is presented. With assessment data, the presentation illustrates a template for treatment matching, in which treatment interventions are matched to categories of individuals with co-occurring disorders based on dual disorder and phase of recovery.

Drug Interactions Associated With Antiretroviral Therapy; Jean M. Tschampa

The objectives of this workshop will be: 1) to describe basic pharmacokinetic and pharmacodynamic fundamentals; 2) to list common, clinically relevant drug interactions encountered with HIV medications; and 3) to discuss clinical management of drug interactions with HIV medications.

Leadership vs Management in the Addiction Field; Peter Palanca, MA, CADC

It has been said that leadership is doing the right things; management is doing things right. Leadership is deciding the best course of action for the team or your organization. Management allows us to pick up the ball and determine where leadership wants us to go with it and to define the best way to get there. Leaders should reinvent ways of responding to old situations, managers are to carry out those new processes and ensure results and positive outcomes.