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CCSAD 2016
29th Annual Cape Cod Symposium on Addictive Disorders | A C4 Recovery Solutions Event

Overview

Event type: Conference

When:

09/08/2016 - 09/11/2016

Download Calendar Attachment:

2016-09-08 00:00:00 2016-09-11 00:00:00 CCSAD 2016 CCSAD, The Cape Cod Symposium on Addictive Disorders,  is one of the oldest and largest annual meetings dedicated to continuing education and networking in the field of addicti The Resort and Conference Center at Hyannis [email protected] false MM/DD/YYYY

Location: The Resort and Conference Center at Hyannis

35 Scudder Avenue Hyannis, Massachusetts, 02601 United States

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Contact Information

E-mail: send an e-mail

Phone: 347-945-0799

Website: http://www.ccsad.com/

Photos

Description

 

CCSAD 2016

AGENDA

Thursday - Pre-symposium


Friday


Saturday


Sunday





With 60 challenging sessions and over 90 esteemed faculty, the CCSAD is the event to attend. Up to 23 CEs for only $425 early registration, 32.5 when you add our pre & post conferences!

In 2015, CCSAD hosted more than 1250 participants from 9 countries and 46 states. This premier addiction conference is dedicated to continuing education and networking, combining workshops and seminars on timely industry topics with an unmatched show-case of the industry’s products, services and facilities in our exhibit hall.

At CCSAD, expect to mingle with Physicians, Nurses, Psychologists, Private Practitioners, Employee Assistance Professionals, Social Workers, Professional Counselors, DOT/SAP Professionals, Chemical Dependency Counselors, Marriage and Family Therapists, Rehabilitation Counselors, Alcoholism and Drug Abuse Counselors, and more!

The Resort and Conference Center at Hyannis, completely renovated in 2008, is a sought-after location for recreation and relaxation. It offers indoor and outdoor pools, an extensive health and fitness center, a Par 3, 18 hole golf course and onsite spa.

We look forward to seeing you there!

CCSAD Agenda

Thursday 

6:00 a.m. Caron Café opens hosted by Caron Treatment Centers
7:00 a.m. Open 12 Step Meeting
7:30 a.m. Registration opens – Barnstable II
8:00 a.m. Fred French Scramble Golf Tournament
5:00 p.m. – 6:30 p.m. Hors d’oeuvres & Networking in Exhibit Hall
6:30 p.m. – 8:30 p.m. Opening Plenary

  

PRE-SYMPOSIUM All Day Workshops   8:30 AM – 5:00 PM

#100. Ethics and the Law in Clinical Practice
Patrick DeChello, PhD, LCSW, MSW, RPh
Level of Instruction: All
 
The purpose of this workshop is to assist participants in understanding how legal and ethical practice affects treatment outcomes and can increase liability. A review of ethical scenarios based on actual practice will afford the participant to understand the practical application
of the laws and ethics. Client rights, HIPPA standards, Tarasoff, standard practices, ethical application of the laws and treatment criteria, suicide assessment, clinician impairment and limitation of liability are all issues covered in this workshop.

#101. Process Addictions and the LGBT Community: Diverse Community, Diverse Treatment
Jeff Zacharias, LCSW, CSAT, CAADC
Level of Instruction: All
 
Process addictions—addictions based on an activity or behavior such as gambling, shopping, watching porn, internet surfing and eating disorders—are becoming more prevalent in the addiction community. Equally as debilitating, if not more so than more common addictions such as alcohol and drugs, evidence-based practices suggest it’s not enough to treatment these addictions one at a time but rather simultaneously in order to provide an individual with stronger longer lasting recovery. For the LGBT community, there exists a diversity of
issues which often complicate the treatment process – trauma, co-occurring mental illness and attachment -and for this reason there exists a need to diversify the treatment process in order to achieve long lasting recovery.

#102. Progress, Not Perfection—Principles of Process Driven Care
Andrea Barthwell, MD, FASAM| e Supported by Two Dreams
Level of Instruction: All
 
People today can’t wait to get their hands on newly minted ACA cards that can pay for treatment and generate enough income from laboratory medicines to scholarship whole treatment episodes. So, what is a licensed clinician to do when she finds herself working in a 28-day revolving door treatment mill for profit? Answer: Focus on the NOW (no other way) within the setting and 1) declare your intention, 2) set your direction, and 3) put truly individualized treatment plans into action. While you may not be able to change the direction or purpose of the system, you can work with personal integrity and expect progress, though not perfection, in your efforts to provide excellent clinical care. How? With a focus on a) assessment for treatment planning, b) delivery of treatment services for outcomes, c) transition management for stability and resilience, and d) monitoring for success.

#103. Law, Compliance and Addiction
Harry Nelson, JD | e Supported by Nelson Hardiman, LLP
Level of Instruction: Intermediate
 
This workshop will provide an in depth look at the legal requirements for providers in the mental health and substance abuse field about areas of concern, including legal compliance, risk assessment and management, employment practices, HIPAA, Fraud, False Claims Act, Assignment of Benefits, Audits, Claims Payer Guidelines and More.

#104. Developing a State of the Art Clinical Program – Blending the Old and the New
Deni Carise, PhD | e Supported by Recovery Centers of America
Level of Instruction: All
 
This presentation will cover the development of effective clinical care programming in substance abuse treatment. It will focus on how to select from among a wide array of practices – both those with substantial scientific proof of effectiveness and those that do not yet have that body of proof. We will discuss balancing medicine with psychosocial treatments as well as established therapies with new innovations. The development of a comprehensive clinical program of care will be delineated including mini-trainings in evidence based practices such as multi-media based protocols for relapse prevention and introducing 12-step programs to patients, mapping-based counseling, medication assisted treatment as well as addressing the benefits of less often utilized therapies such as neurofeedback, psychopharmacologic testing and psychodrama.

 

PRE-SYMPOSIUM Morning Workshop 8:30 AM – 12:00 PM

#125. The Interface Between Addiction, Trauma, and Suicide
Adele McDowell, LADC, LPC, PhD
Level of Instruction: Intermediate/Advanced
 
Like a Venn diagram with its intersecting circles, addiction, trauma, and suicide share common ground. In this workshop, we will explore the points of intersection and overlap. We will examine the fall-out from unresolved trauma and the influence of addiction on both trauma and suicide. Further, we will discuss how both trauma and addiction impact suicide and answer the question “Is addiction a slow form of suicide?” We will examine the pervasiveness of all three elements and their potent interrelationships. The formidable overlap begs the questions, what came first, does it matter, what do clinicians address first, and how do we best serve our clients?

PRE-SYMPOSIUM Afternoon Workshop 1:30 PM – 5:00 PM

#150. Living Out Loud: Psychodrama Sculpts Recovery (Part of the Rosewood Eating Disorder Track)
Lee Neagle, MA, REDC | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: All
 
Psychodrama experiential approaches are essential to addiction treatment because it facilitates a much needed journey into feelings. Psychodrama techniques increase access to emotions that otherwise create barriers to recovery. The open minded practitioner can use these visual andaction oriented techniques to help their patient “break-through” defenses and provide “a picture” of unresolved core issues. Practitioners will observe a family sculpt, then learn techniques suchas empty chair, roles, inner child, anger discharge approaches, grief work, and the use of props. These techniques will support a client’s ability to see how their addiction history is interrelated, with emphasis on how to work with trauma without “re-traumatizing” your client.

 

Opening Plenary 6:30 PM – 8:30 PM

#199. Preparing for the New Era of Behavioral Healthcare
Raymond Tamasi, MEd, LADC, LCSW | e Supported by Gosnold on Cape Cod
Level of Instruction: Intermediate
 
This session will examine the trends in addiction treatment in the climate of urgency created by the opiate epidemic. We will review the factors contributing to the surge in service expansion and the impact they have had on our industry. A review of the current system will be juxtaposed against the service delivery system of the future and how clinical professionals must adopt to the new environment to remain indispensable to newly defined paradigms. Information will be provided to demonstrate how data is changing the way traditional healthcare systems view behavioral health and how these changes present both opportunity and threat to providers.

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 Friday 

6:00 a.m. Caron Café opens hosted by Caron Treatment Centers
7:30 a.m. Exhibit Hall Opens
7:30 a.m. Registration opens – Barnstable II
7:30 a.m. – 8:30 a.m. Continental Breakfast in the Exhibit Hall
12:15 p.m. – 1:45 p.m. Lunch Session
7:00 p.m. Movie Event


Friday Morning Plenary 8:30 AM – 10:00 AM

#200. Substance Addiction and Human Trafficking Victims in the US: Challenges & Opportunities in Liberating Today’s Sex Slaves
Kumara Sidhartha, MD, MPH, Peter DiMarzio, MEd & Kate Price, MA, PhD candidate
Level of Instruction: Intermediate/Advanced
 
This workshop will educate the audience about the link between substance addiction and human trafficking, the scale of public health burden due to human trafficking, indicators to identify potential trafficking victims who present for healthcare encounters, managing safe referrals, and exploring the opportunities and challenges in rescuing and rehabilitating substance addicted trafficking victims in the US. The workshop will be presented by a panel of three experts in the field: Kumara Sidhartha MD, MPH, physician/public health advocate and the Chair of anti-trafficking task force, Cape Cod PATH ( People Against Trafficking in Humans); Peter DiMarzio, M.Ed., Trafficking Victims Specialist at the Homeland Security Investigations in the Department of Homeland Security; and Jasmine Marino, trafficking survivor and advocate, Ministry Associate at the Abolotionist Network and Director of Bags of Hope.

Friday Mid-Morning Workshops 10:45 AM – 12:15 PM

#225. Understanding Family History and the Link to Schizophrenia and Addiction
Ben Brafman, LMHC, CAP, MA | e Supported by Destination Hope
Level of Instruction: Intermediate
 
Family history plays a significant role in the prevalence of addiction and thought disorders like Schizophrenia. As we discover more about the brain, we are seeing stronger links between genetics and the family environment to behavioral health disorders. We’ll discuss the genetic and family dynamic components that relate to addiction and schizophrenia, the realities of this diagnosis, how families are involved and the need to break down the stigma associated with it.

#226. Current Trends in Addiction Medicine: The Times They Are A-Changin’
Chapman Sledge, MD, DFASAM Diplomate | e Supported by Cumberland Heights 
Level of Instruction: Intermediate
 
Addiction Medicine is a medical specialty in a state of transformation. Patterns of substance use are rapidly changing. Marijuana use has become mainstream with the changing legal climate. Access to prescription stimulants is increasing dramatically. The opioid epidemic continues to evolve, and death from overdose has established addiction as more deadly than ever. Just as our patients presenting for treatment are evolving, so is the treatment that is rendered. Medication assisted treatment delivered in the physician office is an increasingly common scenario. Pharmacotherapy is often delivered in lieu of traditional psychosocial interventions and conventional abstinence based residential treatment. Diversion and abuse of buprenorphine must be monitored. It is critical that adequate outcome studies be carried out to dictate the direction treatment in the future.

#227. Seeking a Cure for Addiction
Edward Carels, PhD
Level of Instruction: Intermediate/Advanced
 
This presentation will provide a distillation of varied research studies on the brain and addiction showing the importance of understanding the brain’s role in addictive disorders. In addition,
a wide range of research will show the kinds of challenges still ahead: lack of medical training by many clinicians; quality of qualified medical care rendered to many with this killer disease;
reimbursement; regulations; and other hurdles in the current delivery system. Most importantly, many researched studies demonstrating the importance of brain neuro-scientific research into the practice of addiction medicine treatment will be discussed. Lastly, the presentation will underscore the need for a nonprofit Foundation like the City of Hope for Cancer to begin working on a cure for this disease. Attendees will understand better the complexity of this disease and a commitment to support new research directed at neuroscience and a cure.

#228. Accountable Second Chance Recovery in Practice
Mickey Wiles & Michael Casarico, LADC | e Supported by Burlington Labs
Level of Instruction: Introductory/Intermediate
 
The success of any treatment plan requires the ability to identify well-defined health outcome measures. To date, the objective of substance abuse treatment largely rests on the goal of attaining and sustaining abstinence. Those in the recovery community, however, understand that while abstinence is an essential part of recovery, a myriad of other outcomes and milestones are necessary to support a productive, meaningful life in recovery. This workshop will explore the lessons learned by two individuals in recovery, who were given second chances and believe that the mindset and practice of second chances, combined with specific measures of accountability leads to the best possible outcome. This mindset shift delivers powerful and enriching results in recovery, life and business.

#229. Invigorating Individual, Group and Family Work with Experiential Therapies (Part of the IAFAP Family Track)
Beverly Roesch, LCSW | e Supported by Cirque Lodge
Level of Instruction: All
 
Instructor will discuss the value of experiential techniques in individual, group and family work and demonstrate a variety of these techniques with participating professionals. Techniques will include family sculpting, empty chair work, meditation, work with symbols and sociometry.

#230. Reclaiming the Body: Treating Trauma and Eating Disorders (Part of the Rosewood Eating Disorder Track)
Dena Cabrera, PsyD | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate
 
Exposure to trauma during childhood is a risk factor for eating disorders in teenage years and adulthood. The prevalence and relationship between eating disorders and trauma are significant and needs to be understood and treated concurrently. This workshop will focus on the role of childhood adversity, especially sexual, emotional, and physical abuse as a risk factor for anorexia, bulimia and binge eating disorder. Understanding the mind, body, and soul connection in working with trauma and eating disorders will be discussed. An overview of effective treatments will be reviewed such as acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), as well as other experiential movement treatments. Tools will be offered in this engaging workshop.

#231. Evidence-Based Criminogenic Risk Reduction (Part of the heART & Science of Addiction Track)
Michael Torch, MA, LADC | e Supported by New England Addiction Technology Transfer Center (NEATTC)
Level of Instruction: Intermediate
 
This workshop will provide an overview of the evidence-based practices of criminogenic risk reduction and their application in clinical settings.


Friday Luncheon 12:15 PM – 1:45 PM

#250. There and Back Again…Opioids (Part of the Rosewood Eating Disorder Track)
William Jacobs, MD | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate
 
Dr. William Jacobs has had a 35 year spanning the changes in the guidelines and standards of care for the prescription of opioids for chronic pain. His presentation will discuss how it was, how it changed and his opinions of the results of these changes. He will discuss the expansion and growth of pill mills in Florida as well as national and their impact on opiate use, abuse, entry into treatment and overdose deaths. He will review the recent CDC guidelines which move the standard of care back to a safer and more evidence based practice.


Friday Early Afternoon Workshops 2:00 PM – 3:30 PM

#251. Use, Misuse, and Abuse of Prescription Stimulants
James Berry, MD
Level of Instruction: All
 
In the last decade there has been a marked increase in the prescribing of controlled stimulants in adults, while rates of prescribing in children has remained stable. This has been associated with widespread use of stimulants for non-approved indications, such as performance enhancement. This increased acceptance and availability of stimulants is manifesting itself in our addiction treatment population. More patients are presenting on prescribed amphetamines, with urines positive for amphetamines, and with requests for prescriptions for amphetamines. While we generally do not want our patients on any DEA-scheduled substances, at the same time, we know there is a strong association of ADHD with addiction and that adequate treatment of ADHD is important for recovery. in this workshop we will review indications and prescribing trends for stimulants in adults, and examine studies that address how to approach ADHD in the addiction treatment setting.

#252. New Laws, New Problems, New Investors—New Opportunities
Deni Carise, PhD | e Supported by Recovery Centers of America
Level of Instruction: All
 
Never before have there been so many important developments in our field. New federal laws, new opportunities for treatment coupled with a national increase in fatalities from drug use, particularly among our emerging adult population has led to dramatic changes in our field. It has also led to an increase in interest in the substance abuse treatment field both by those in this field and notably, by those previously outside of our field. This, in turn, has led to a swell of new business partners and business practices. Our field now has the attention of investors, marketers, pharmacogenomics experts, design groups, billing and patient management companies as well as therapists, counselors, nurses and physicians. New treatment providers are working to rapidly increase the availability of treatment however we will examine why, despite the president and most every governor calling the opiate crisis an “epidemic” and creating task forces to address this issue, opening new treatment programs remains an uphill battle. We will discuss challenges with developing, staffing, training and opening new treatment centers. Additionally, in a field where 90% of people who meet diagnostic criteria for the disease never get treatment, we need to challenge the current model of care and
look at some bold new ideas for care delivery. Now is the time to rise to the challenge and capitalize on new opportunities, the new interest and new developments in our field.

#253. Clinical Application of Genetic Testing with Co-Occurring Clients
Jorge Garces, PhD & Patricia Allen, MSN, PMHNP-BC | e Supported by Summit Behavioral Health
Level of Instruction: Intermediate
 
More than 65% of those with substance use disorders also suffer from a mood or anxiety disorder. For the past decade pharmacogenetics has emerged as a promising clinical tool for the treatment of those with co-occurring disorders. This testing enables individualized treatment and offers the client and practitioner valuable information that can positively impact the course of treatment. Many of our clients come to us with unresolved or worsening symptoms, a history of treatment non-compliance, or premature discontinuation of prescribed medications due to the medication not working or intolerable side effects. Genetic testing guides the prescriber, individualizes care, educates the client, and facilitates a clinical partnership that empowers the client and supports recovery. Participants of this workshop will learn how to review the genetic test and will be given techniques in how to utilize this data in counseling their patients and in forming continuing care plans. This workshop will use case studies which demonstrate the clinical value of genetic testing, its impact on clinical outcomes for clients with co-occurring disorders, and reduces the stigma that is a barrier to treatment.

#254. Language as a Catalyst for Change
Mary Woods, RNC, LADC, MSHS & Tim Cheney, BA,CPC,CIPC | e Supported by Chooper’s Guide and WestBridge
Level of Instruction: All
 
Despite dramatic advances in science (neuroscience, epigenetics, and the social sciences) and our understanding of addictive and mental health disorders, the language we use to describe them reflects the moral, cultural, and political attitudes that were held 85+ years ago. The result is the pervasive, ongoing and life threatening discrimination against those with the disorders, and the perpetuation of negative and stereotypical beliefs that prevent access to appropriate health care and threatens successful recovery. This panel will discuss how language has created and maintained the disconnect between the current biopsychosocial empirical knowledge of addictive and mental health disorders. It will provide an historical and sociopolitical overview of language use and propose processes that will facilitate change throughout society. It will discuss the role that treatment providers can play in structuring a new and medically-based taxonomy for mental health and addictive disorders. The panel will then engage attendees in the discussion.

#255. Dissolving Denial of Adolescent Substance Abuse: Creating a Context for Change Using a Strength Based and Solution Focused Approach (Part of the IAFAP Family Track)
Andrea Fallick, LCSW, CASAC
Level of Instruction: All
 
The public discussion about the legalization of marijuana has complicated the early intervention and treatment process of adolescent substance abuse disorders. Effective treatment of substance use disorders requires substance abuse professionals to perceive assessment as an opportunity to engage adolescents and their families. This requires comfort with the complexities of the interface of adolescent substance abuse and adolescent development. This interactive workshop will provide participants with evidence-based strategies for assessment and engagement of adolescents and their families in the early intervention and treatment process. The issue of children of substance abusing parents will be addressed as an integral part of the assessment and treatment process.

#256. Management of Pain, Anxiety and Sleep in Patients with Addictive Disease (Part of the heART & Science of Addiction Track)
Richard Whitney, MD
Level of Instruction: All
 
Management of symptoms of pain, anxiety, and sleep disturbance can be challenging both for the healthcare provider and the recovering patient. This workshop will discuss assessment and appropriate of acute and chronic pain symptoms, chronic anxiety, and sleep disturbances, with emphasis on pitfalls which may occur in under-treatment as well as inappropriate use of controlled and mood-altering medications. Non-medical techniques to gain improvement for these common conditions will also be presented.

#257. Eating Disorders and Food Addiction: Treating a Complicated Relationship Using Science and Nutritional Therapy (Part of the Rosewood Eating Disorder Track)
Jennifer Lentzke, MS, RD, CSSD | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate
 
The Food Addiction Model is becoming increasingly more popular in the eating disorder world. As clinicians we are encountering a greater number of individuals struggling with both eating disorders and addiction-based comorbidities, including but not limited to food addiction and chemical dependency. When addressing and treating eating disorders within this complicated relationship, clinicians need to consider multiple factors affecting patients’ behaviors, course of treatment, and treatment outcomes. This presentation will help to enhance the clinician’s understanding of the food addiction model in the treatment of eating disorders with addiction- based comorbidities.

Friday Late Afternoon Workshops 4:15 PM – 5:45 PM

 

#275. Spirituality: A Healing Tool for Chronic Illness
Moira McCarthy, MSW, LICSW, CEAP, LADC1
Level of Instruction: Intermediate
 
We are fortunate to be living in a time of great medical advances that have resulted in people living longer; but often with some form of Chronic Illness. In recent years much research has been done on the Power of Prayer and Spiritual Belief systems. These may be used to enhance healing from any type of illness. Most EAP Professionals, Addiction Therapists & Mental Health Providers have received little training in the use of Spirituality as a Healing Tool. They may have even been discouraged from discussing this topic in a client session. This presentation will examine the healing tools for Chronic Illness, and explore the concept of assessing Spirituality as an aspect of a client’s culture and source of resiliency.

#276. Acute Pain Treatment for Those with Substance Use Disorder
Don Teater, MD
Level of Instruction: Introductory
 
This presentation will demonstrate alternatives to opioids for the treatment of acute pain. A number of Cochrane reviews have looked at effectiveness of oral medications for the treatment of acute pain. Their conclusions are that oral opioids are not as effective as low-dose ibuprofen and the combination of ibuprofen 200 mg plus acetaminophen 500 mg is one of the most effective treatments for acute pain regardless of the severity of the pain. Other studies have shown that the use of opioids delay recovery from surgery or injury, increase medical costs, increase the risk of future disability, and may increase the risk of chronic pain as a result of
the surgery or injury. This presentation will show why opioids are less effective and have more adverse effects. The final conclusion will be that opioids should rarely be used for outpatient treatment of acute pain.

#277. Recovery-Enhancing Chronic Pain Management
Dean Drosnes, MD, Diplomate ABAM | e Supported by Caron Treatment Centers
Level of Instruction: Introductory/Intermediate
 
For those on their journey of recovery, treatment of chronic pain conditions is often incompatible with stable, sustained recovery. Liberal prescribing of sedatives, muscle relaxants, opioids, and stimulants by providers who may have little understanding of recovery, has come to represent “treatment as usual.” Inadequate relief and relapse are common in recovering individuals with chronic pain. An approach to chronic pain emphasizing non-medication modalities, supplemented with judicious use of non-narcotic medications is an effective, recovery-compatible solution. This session will focus on provision of chronic pain services by an integrated team of professionals, all of whom understand recovery and promote 12-step principles. Utilizing this recovery-enhancing approach, consistent, often dramatic, improvement in chronic pain can be expected. Specific cases illustrating the benefits of this approach will be presented throughout the session.

 #278. External (Art) and Internal (Mindfulness Meditation) Expressive Group Therapy: A Hands-on Workshop

Casey Corbin, CADC-II, CCS, CMMI 
Level of Instruction: Intermediate
 
This workshop teaches three group art therapy approaches and three Mindfulness Meditations that you can use with your clients as soon as you get back from the conference! Participants will experience the following projects: 1. Mindfulness Meditation Exercises to achieve a mental “Resource State” to enhance creativity and to access memories, feelings, and therapeutic issues. 2. Pour Art where frustration is resolved into acceptance as their color blends with others into something beautifully communal. 3. Identity Exchange on colored sheet of paper written hurts, habits, hang-ups, and secrets are seen by no one and destroyed in a blender with water and applied to a screen to dry to make collective piece. 4. Art Trading Cards small collages from recycle print materials with significant messages to self and to exchange with another.

#279. HEALING TRAUMA THROUGH STORY: Using Creative Interventions to Transform Traumatic Events
Kathleen Parrish, MAMFC, MARE, LPC & Tanya Lauer, MC, LPC | e Supported by Cottonwood Tucson
Level of Instruction: Introductory/Intermediate
 
Many adolescents suffer from the effects of trauma and PTSD. In adolescence, PTSD can also co-occur with many other problems, including depression, low self-esteem, substance use disorders, struggles with interpersonal relationships and self-harm behavior. Clinicians must understand the underlying negative beliefs that often complicate trauma recovery in adolescents. This workshop will review recent changes to diagnostic criteria for PTSD and will examine evidenced-based interventions in the treatment of trauma. Further, it will provide strategies to support trauma survivors in telling and transforming their story as they reclaim personal identity and integrity.

#280. A Framework for Working with the Families of Your Clients (Part of the IAFAP Family Track)
Chris Cline, LCSW | e Supported by Skyland Trail
Level of Instruction: Introductory/Intermediate
 
Families often feel an enormous sense of relief when their family member enters treatment. At that point, they are typically exhausted and frightened by the events that have led up to the decision for the family member to enter a therapeutic treatment program. Unfortunately, that initial sense of relief may be quickly followed by feelings of confusion and concern about the treatment process itself. This workshop will offer suggestions on how some of these challenges can be prevented, minimized and/or more effectively addressed.

#281. Not just a Girl’s Disease: Treating Boys with Eating Disorders from a Psychological and Dietary Perspective (Part of the Rosewood Eating Disorder Track)
Dena Cabrera, PsyD | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Introductory/Intermediate
 
Working with children and teens pose challenging problems for professionals given the wide range of disordered eating presentations and co-morbid disorders. Studies, research, trainings, and material are primarily female focused. However, boys do get eating disorders and have different clinical and nutritional needs. This workshop will address issues related to presentation, assessments, clinical and nutritional management and interventions specific to working with adolescent boys. Topics will include prevalence of diagnosis, obstacles to treatment, socio- cultural influences, peer relationships, nutrition management, body image issues, developmental issues, and family components such as father hunger issues as it relates to working with males. Use will be made of clinical examples, as well as group discussion and participation.

#282. Implementing Technology-Assisted Care into Behavioral Health Settings: Telehealth Capacity Assessment (Part of the heART & Science of Addiction Track)
Michael Torch, MA, LADC | e Supported by New England Addiction Technology Transfer Center (NEATTC)
Level of Instruction: Intermediate
 
The workshop will introduce the participants to Technology-Assisted Behavioral Health service delivery and a tool for the assessment of an organization’s ability to implement telehealth services.

 

Friday Evening Plenary 7:00 PM – 9:00 PM

#299. Heroin: Cape Cod, USA
Deni Carise, PhD, Andrea Barthwell, MD, John Kelly, PhD, Mike Duggan, MA & Brad Greenstein, MA| e Supported by Recovery Centers of America & REEL Recovery Film Festival & Symposium
Level of Instruction: All
 
Join us for a viewing of the documentary, Heroin: Cape Cod, USA, With an introduction by Leonard Buschel. Opiate-related overdose deaths have quadrupled in the U.S. since 2001. In 2014, Massachusetts had more than 1,250 deaths from heroin overdose; today, 85 percent of the crimes on Cape Cod are opiate-related. Heroin: Cape Cod, USA is a cinema-verité look at the heroin epidemic currently sweeping America’s small towns and communities, focusing on eight young heroin addicts in idyllic Cape Cod, Mass. This searing documentary is directed by Academy Award-winner Steven Okazaki. After the viewing Deni Carise, PhD, will host an expert panel that will provide both local and national insight into the opiate epidemic. Q&A to follow

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 Saturday 

6:00 a.m. Caron Café opens hosted by Caron Treatment Centers
7:00 a.m. Open 12 Step Meeting
7:30 a.m. Exhibit Hall Opens
7:30 a.m. Registration opens – Barnstable II
7:30 a.m. – 8:30 a.m. Continental Breakfast in the Exhibit Hall
8:30 a.m. Award Presentation to the Graduate Student & Early Career Researcher Competition Winner
12:15 p.m. – 1:45 p.m. Lunch Session
7:00 p.m. – 9:30 p.m. Lobster Bake

 

Saturday Morning Plenary 8:30 AM – 10:00 AM

 

#300. Addiction is a Chronic Relapsing Brain Disease; An Overview of the Neurobiology of Addiction and Recovery
Robert Simpson, MD, Dipl. ABAM| e Supported by Cirque Lodge
Level of Instruction: All
 
This presentation will address the roles of; stress, genetics/epigenetics, reward dysregulation, memory and motivation as the basis for addiction, as outlined by the American Society of Addiction Medicine. There will be an overview of relevant research and brain imaging, which will presented in an informative yet approachable manner. The objective is to help the listener to understand the neurobiological basis for the behaviors of individuals with the disease of addiction. To understand why abstinence based recovery is a sensible approach based upon these mechanisms and why 12 step recovery fosters both brain remodeling and behavior change. The objective is to help the audience foster recognition of and compassion for the behaviors addicted individuals as being manifestations of a disease state.

 

#301. ‘The ASAM Educational’ CTASAM’s Approach to Early Career Physician Training in Addiction (Part of the ASAM Track)
Samuel Silverman, MD, FASAM, FAPA, DABAM & Jonathan Craig Allen, MD, CT-ASAM | e Supported by New England Chapters of ASAM
Level of Instruction: All
 
Physicians have little exposure to Addition Medicine. The ASAM Educational is a unique way to address this barrier. CT-ASAM over the past 4 years has organized an annual competition among all physicians in their post-graduate medical training. Residents and fellows have been among the participants. The competition requires a 10 slide presentation on the impact of addiction on your training and how you’ve been impacted by it. Each entrant gets an honorarium for submitting. The 3 top prizes are $1000, $500, $250. The submissions are reviewed by the ASAM members and the competition is held at our Annual ASAM meeting. The workshop will discuss the process of implementation and previous entrants/winners will present their slides and comments. The ASAM Educational is a collaborative effort with the Connecticut State Medical Society, ASAM and the two Addiction Medicine Fellowships in Connecticut (Rushford and Yale).

Saturday Mid-Morning Workshops 10:45 AM – 12:15 PM

#325. Nutrition Therapy for the Addicted Brain
David Wiss, MS, RDN
Level of Instruction: Intermediate
 
Recent research has highlighted similarities between drug addiction and food addiction.
Regardless of whether an addiction is behavioral or substance-related, nutrition therapy should consider the impact of food choices on the brain and on behavior. This presentation will highlight the importance of nutrition in recovery from addictions.

#326. Online Therapy and Support: Patient Benefits, Privacy and Security
Arthur Trotzky, PhD, DCC
Level of Instruction: Introductory/Intermediate
 
This workshop is designed for addiction treatment personnel who want to consider offering aftercare treatment and support services via the internet for individual, group or alumni transitioning out of hospital or other residential recovery programs. Practitioners will be introduced to the basics and challenges of transitioning from the face to face clinical setting to the rapidly developing and expanding options provided by the Internet.

 

#327. Resentments: Grasping at Hot Coal
Joseph Pereira, MSW, LICSW, CAS 
Level of Instruction: All
 
The title of this talk comes from a saying of the Buddha: “Holding onto anger is like grasping a hot coal with the intent of throwing it at someone else. You are the one who gets burned.” Resentments affect our emotional well-being and are destructive to our relationships. This presentation will look at the dynamics and causes of resentment and why resentments are difficult to let go of in our lives. The presentation will also consider how forgiveness can play a role in ending resentments towards others

#328. EROTIC RECOVERY AFTER AN AFFAIR; Sex and Couples Therapy Interventions after Infidelity (Part of the IAFAP Family Track)
Tammy Nelson, PhD, LPC, LADC 
Level of Instruction: All
 
Infidelity is an erotic injury to a relationship and must be repaired through step by step erotic recovery in order for a committed partnership to move forward. Most counselors are unclear on how to intervene after an affair. And few have been trained to use accurate or helpful treatment skills for couples therapy. This presentation will guide participants through a clearly identified process with three phases of erotic recovery to create a new vision for couples who choose to stay together after infidelity. This presentation will discuss eroticism after infidelity both in real time and online and review how to heal traumatized marriages in the current culture of a new monogamy, focusing on real sexual intervention and dialogue, and not just abstinence or sensory process. Healing means integration, not dismemberment of the relationship. Erotic recovery includes conscious repair to the dynamic of the original attraction of the couple.

#329. Increasing IHepatitis C Knowledge for Behavioral Health Providers (Part of the heART & Science of Addiction Track)

Haner Hernandez, PhD, CPS, CADCII, LADC | e Supported by New England Addiction Technology Transfer Center (NEATTC)
Level of Instruction: Introductory/Intermediate
 
To instruct behavioral and health care professionals on hepatitis C and opportunities for promoting hepatitis C screening and testing, linking patients to hepatitis C health care, treatment options, and patient considerations.

#330. Identification of Challenges in Providing Medical Assisted Treatment to Patients who are Receiving Medications from other Providers. (Part of the ASAM Track)
Todd Mandell, MD | e Supported by New England Chapters of ASAM
Level of Instruction: All
 
Overview of the growing challenges in the provision of medication assisted treatment and strategies for addressing them. Issues include: Q-Tc prolongation risk management; patients being prescribed controlled substances for depression, psychosis or anxiety or pain. These issues pertain to day to day treatment as well as clinic and individual risk management as frequently prescribed medications may have deleterious effects on patients receiving methadone for addictions treatment. There are often problems with the interface between community based medical and psychiatric providers and methadone programs who may be resistant to work collaboratively for shared patient management. This is particularly important of managing risk and responsibility for follow up on possible sedation, increased Q-Tc prolongation etc. It is incumbent on Methadone treatment programs to provide clear and concise information to outpatient providers and patients so as to increase communication and collaboration.

#331. The Truth of Intimacy: What It Is, What It Isn’t, and Why It’s So Important to Know the Difference (Part of the Rosewood Eating Disorder Track)

Lee Neagle, MA & Stephen Reeder, MA | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Introductory/Intermediate
 
Intimacy plays an important factor in our lives yet most people struggle to identify what it truly means. Throughout this presentation we will review the different aspects of intimacy, identify what healthy intimacy is, and barriers to experiencing it. This lecture will focus on working with clients that struggle to experience intimacy, how to help guide them through the process and overcome obstacles they may face. We will review and present psychodynamic techniques that can be use in day to day practice.

 

Saturday Luncheon 12:15 PM – 1:45 PM

#350. Prescribe to Prevent: Incorporating Overdose Prevention into Medical Practice (Part of the ASAM Track)
Alexander Walley, MD, MSc | e Supported by New England Chapters of ASAM
Level of Instruction: Intermediate
 
Expanding the use of naloxone in the community to reduce overdoses is one of the Department of Health and Human Services three priorities in responding to the opioid epidemic. This workshop will provide attendees with the knowledge and skills they need
to incorporate overdose prevention education and naloxone rescue kits into their addiction medicine practices and expand its access in their communities. The session includes videos of patient-pharmacist-prescriber encounters that model how to provide a patient overdose education and a naloxone rescue kit. The session also includes 2-minute instructional videos for the available naloxone rescue kit formulations designed for you to use with your patients.

Saturday Early Afternoon Workshops 2:00 PM – 3:30 PM

#351. The Role of Recovery School Settings in the Treatment Continuum
Lori Holleran Steiker, PhD, ACSW | e Supported by University of Texas at Austin
Level of Instruction: Intermediate
 
The substance problem for adolescents and emerging adults has been characterized by many as “ubiquitous” and “epidemic”; the highest rate of current illicit drug use was among 18 to 20 year olds (23.8 %) (SAMHSA, 2011). With regard to education, while in high school, those students who are not college-bound are considerably more likely to be at risk for using substances (Johnson et al, 2014). Maintaining sobriety and a positive quality of life is a unique challenge for emerging adults and college students. Post-treatment resumption of substance-related problems for youth are up to 90% (Finch & Wegman, 2012). Evidence suggests that a continuum of care model that incorporates peer supports. This presentation outlines the existing models of recovery school services and provides studies of a variety of recovery school settings. In addition, the connection between recovery school settings and treatment will be discussed.

#352. Incorporating Spirituality: Rounding out the Evidence
Jack Abel, MDiv MBA & Marty Ferrero, MA, CADC, CCS, LADC, CSAT | e Supported by Caron Treatment Centers
Level of Instruction: Introductory/Intermediate
 
This workshop considers the ASAM and DSM 5 documents in relation to use disorders and established models of spiritual assessment and care as applied in hospital and end of life settings. Clinicians working with substance use disorders will learn to integrate spiritual care assessments that are not specific to a particular faith tradition and are instead grounded in the best practices of hospital and hospice chaplaincy. Limits of evidence based practice, while important to understand, need not rule out spiritual care. Well-formulated and established models including spirituality types, learning styles, grief and loss, human development, faith development, trauma recovery, attachment theory, art and music therapy, and twelve step facilitation are integrated with accepted principles of patient-centered chaplaincy services in assessment and integrated, multidisciplinary care of the patient’s web of connectedness and self-understanding. Credentialing, education, and best practices for professional spiritual care services in the context of addiction are reviewed.

#353. Beyond the Binary within the Transgender Population
Todd Connaughty, MA, LPC, LADC | e Supported by PRIDE Institute
Level of Instruction: Introductory/Intermediate
 
This workshop focuses on the educational process of deconstructing the binary framework as it relates to gender identity. The workshop will focus on the fluidity of gender and assist attendees in learning terminology, concepts, and skills to work the Transgender population. Education will be given on specific issues within the Transgender population including mental health issues, addiction, treatment, and recovery.

#354. Traction the Trenches of Recovery: From Avoiding to Engaging, Frozen to Warm and Performance to Being (Part of the IAFAP Family Track)
Adrian Hickmon, PhD, MA, MEd, LPC-S, LMFT-S, LADAC, CSAT-S, CMAT-S, CTT, EMDR          | e Supported by Capstone Treatment Center - Level of Instruction: All

 
Three of the most impactful family dynamics in creating an environment for addiction and chronic relapse are Family Avoidance Patterns, Frozen Emotional Family System, and a Performance Based Acceptance—Attachment. More often than not, 1st order changes are unsuccessful in this type of family landscape. This presentation looks at these three etiological dynamics in creating vulnerable hosts for addiction and describes how to gain traction on 2nd order changes from avoiding to engaging, from frozen to warm attachment and from performing to being accepted and lovable for just being without achievements. Being at peace in one’s own skin and being connected to others in core-to-core relationships are keys to successful recovery. The opportunity of facing trauma, shame and addiction is for families and the individuals therein growing in engagement, becoming fully alive emotionally, and becoming good enough through their innate value instead of their performance.

#355. Cannabis—Implementing Successful Clinical Strategies (Part of the heART & Science of Addiction Track)
Brian Hurley, MD, MBA & John Douglas, MD, MBA | e Supported by Silver Hill Hospital
Level of Instruction: Introductory/Intermediate
 
Cannabis sativa is the plant whose leaves are dried to make marijuana. In an evolving legal landscape, cannabis use has become increasingly prevalent, particularly among teenagers and young adults. In this context, addiction providers are on the front-lines in addressing the consequences associated with the changing landscape of cannabis use. This session will introduce the major forms of cannabis related-products for recreational use and will demonstrate how to assess and manage cannabis intoxication and withdrawal, and approach the treatment of cannabis use disorders. This workshop will use a case example to illustrate clinical assessment and treatment options for patients who use cannabis. Audience members will be invited to participate in a facilitated case discussion and asked to develop a diagnostic assessment, identify what additional data they would seek, and identify which treatment approaches they would utilize.

#356. Role, Use and Selection of Alcohol Treatment Medications (Part of the ASAM Track)
Mark Publicker, MD | e Supported by New England Chapters of ASAM
Level of Instruction: All
 
Alcohol dependence is second only to tobacco as the leading cause of preventable death. There are three FDA approved medications for the treatment of alcohol dependence that can significantly decrease the risk of relapse. Unfortunately, because of deficiencies in medical education practitioners are generally unaware of them and they are rarely prescribed. Although these medications have no mood altering properties treatment programs are often opposed to their use. This presentation will help attendees learn how these medications can free their patients from ‘white knuckling’ abstinence, freeing them to focus on the higher levels of recovery.

#357. Dangerous Dieting (Part of the Rosewood Eating Disorder Track)
Jennifer Lentzke, MS, RD/N, CSSD | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Introductory.
 
Our modern-day society is overwhelmed by the newest diet, the latest superfood, the most effective workout routine, and the most updated “healthy lifestyle” recommendations. Add in the presence of social media and targeted marketing to our visually-driven society and you have the perfect recipe for “dangerous dieting.” This presentation will provide insight into the intricate and complicated relationship between our health-focused culture and eating disorders.

Saturday Late Afternoon Workshops 4:15 PM – 5:45 PM

#375. Collegiate Recovery Programs and Social Supports—Resources for University Students in Long-Term Recovery

Robert Ashford, PRS, PRC
Level of Instruction: Intermediate/Advanced
 
The present study assessed 103 students at the University of North Texas (UNT) who identify as in long-term recovery from a substance use disorder (SUD), quality of life (QOL) concern, or mental health illness (MHI). Thirty percent of respondents in long-term recovery for a SUD indicated they would not be in attendance at UNT without a collegiate recovery program, and 80% feel that the CRP adequately supports students in recovery. Additionally, 80% would utilize a sober living residence hall. Interestingly, every resource identified by students as beneficial was related to positive social support. Furthermore, students in long-term recovery who participate in the university’s collegiate recovery program scored higher on several measures of social support, as compared to students who do not participate in the CRP. The present research demonstrates the effectiveness of CRPs and explores concepts related to the benefit of integration of these programs.

 #376. Yoga and Recovery

Carrie Schell, BA, LM, MAHSA, PhD | e Supported by Wellness Inc. Consulting
Level of Instruction: All
 
This workshop will explore the benefits of yoga, meditation and physical activity in the recovery process. This mind, body, spirit approach to wellness is backed by sound research to be explored during workshop.

#377. Closing the Revolving Door: An Intervention to Address Relapse and Readmission
Jessica Noto, LMHC, CADC-II, LADC-I & Edward O’Brien, MA | e Supported by Adcare Hospital
Level of Instruction: All


Readmission to inpatient hospital level of care for the treatment of the disease of addiction has proven to be as chronic as the disease itself. Adcare Hospital has developed a program that identifies, addresses and holds accountable the population that readmits within 30 days. The Readmission Support involves the implementation of the Socrates Readiness to Change tool and participation in a mandatory 30 day readmission group. The group addresses past successes and relapse patterns; implements treatment strategies that include exploration of options for continued treatment supports following discharge. Adcare Hospital has reduced the 30 day readmit population by the increased vigilance throughout the treatment admission. Through our presentation, we will demonstrate techniques and tools that demonstrate outcomes of minimal 30 day readmission as well as higher levels engagement in ongoing treatment.

#378. Behavioral Epigenetics: Applying Advances in Health Science & Wellness Lifestyle to Nurture Inter-generational Life Enhancing Recovery for Individuals, Families, & Communities.
Don Scherling, PsyD, LADC, ICCDP-D, CCS
Level of Instruction: All
 
While genetics (Nature) play a key role in one’s risk/prognosis of chronic conditions (addiction, cancer, metabolic disorders), our environment (Nurture), including how we eat, move, interpret and respond to stress, manage toxic exposures, cultivate meaning, interconnect with others, and sleep play a vital role as well. In the emerging field of epigenetics we are coming to see that lifestyle can potentially trump our genetic predispositions and transform our lives and the lives of those we love.

#379. Pregnant and Parenting Women and Recovery (Part of the IAFAP Family Track)
MaryAnne Roy, PsyD, CCS | e Supported by Crossroads
Level of Instruction: Introductory
 
This presentation will address the complicated issues involved in treating members of the pregnant and parenting population who are affected by substance use disorders. Shame and fear of severe consequences, such as losing custody of one’s children may result in denial or minimization of the existence of a problem. In addition, the experience of trauma and lack of healthy relationships are extremely common in the lives of women. These experiences further reinforce the importance of applying a gender responsive approach. This presentation will review data gathered during a 3.5 year SAMHSA grant that served to decrease substance use among pregnant and parenting women while improving overall wellness and strengthening families within this population.

#380. Cultural Competency: Clinical Techniques and Strategies (Part of the heART & Science of Addiction Track)
Haner Hernandez, PhD, CPS, CADCII, LADCI | e Supported by New England Addiction Technology Transfer Center (NEATTC)
Level of Instruction: Introductory/Intermediate
 
This workshop is designed to highlight and explore the needs of addiction treatment professionals working with culturally diverse individuals, organizations, and communities. The participants will be able to understand the role cultural competency in prevention and will learn proven techniques and strategies for engagement.

#381. Internet Gaming Disorder: a Virtual Addiction (Part of the ASAM Track)
Paul Weigle, MD | e Supported by New England Chapters of ASAM
Level of Instruction: Intermediate
 
A substantial body of international literature documents the extent, characteristics, and effects of Internet Gaming Disorder (IGD) in youth. Proposed diagnostic criteria of IGD are more stringent those of substance use disorder, requiring the presence of a persistent, recurrent habit leading to clinically significant impairment indicated by a larger number of associated symptoms. Neurobiological changes in affected individuals are similar to those suffering substance use disorders. Research has revealed risk factors to develop IGD (male sex, lower social competence, poor parental attachment & impulsivity) and clinical outcomes (depression, anxiety, & poor school performance). Some studies have demonstrated utility of various psychotherapeutic treatments. A significant minority of youth suffer from symptoms consistent with IGD, a behavioral addiction to video games. A sizable body of research has confirmed the characteristics of this impairing disorder, but is largely unknown to practitioners. Clinical implications for identifying and treating patients with IGD will be discussed.

#382. Acceptance and Commitment Therapy in the Treatment of Adolescents Struggling with Eating Disorders (Part of the Rosewood Eating Disorder Track)
Stephen Reeder, MA, NCC | e Supported by The Rosewood Institute/Rosewood Centers for Eating Disorders
Level of Instruction: Introductory/Intermediate
 
Many forms of Behavioral Therapy focus on challenging our Negative Automatic Thoughts. This can be a lot of work for an adolescent moving through the body changes that occur during puberty. Amongst 15-24yr old females, anorexia and bulimia are the third most common chronic illnesses. Acceptance and Commitment Therapy (ACT) is an empirically based psychological intervention that focuses on Mindfulness and Acceptance with the goal to achieve Psychological Flexibility rather than Experiential Avoidance.

Saturday Evening Lobster Bake 7:00 PM – 9:30 PM

#399. Trust the Process
Andrea Barthwell, MD, FASAM | e Supported by The Manor
Level of Instruction: All
 
Behavioral Health Programs are popping up like daffodils in spring—often inspired by a great piece of beach-front property, an idea, or the potential to cash out in 5–7 years. NIDA has defined the elements of treatment but many new programs resist adoption of these scientifically derived principles in favor of ones own recovery experience or a branded treatment model (packaged empirical ideas or research ideas without attribution) promoted by a charismatic speaker who is on the road so much you wonder when he has the time to see patients. Dr. Barthwell will compare and contrast two treatment processes that focus on disparate outcomes and setting informed by a comprehensive bio-psycho- social-spiritual-emotional assessment which is used to develop actionable treatment plans aimed at producing resilient, sustained recovery. The notion, and necessity, of a track for a certain condition (i.e. trauma, PTSD, pain, etc.) in the treatment setting will be explored.

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Sunday 

6:00 a.m. Caron Café opens hosted by Caron Treatment Centers
7:30 a.m. Exhibit Hall Opens
7:30 a.m. – 8:30 a.m. Continental Breakfast in the Exhibit Hall
8:00 a.m. Registration opens – Barnstable II
8:00 a.m. – 8:30 a.m. Massachusetts Chapters of ASAM (MASAM) and American Academy of Addiction Psychiatry (AAAP) will hold a brief business meeting. All MA physicians are encouraged to join us for a delicious complimentary breakfast and discussion.

 

Sunday Morning Plenary 8:30 AM – 10:00 AM

#400. America’s Opioid Epidemic: Our Nation’s 911 Call
Ximena Sanchez-Samper, MD | e Supported by Sunspire Health
Level of Instruction: Intermediate
 
Opioid use disorders have become a serious national problem that affect public health, social wellbeing and economic welfare. Almost two million Americans struggle with an opioid use disorder related to prescription pain relievers and an estimated 586,000 suffer from a heroin use disorder. Additionally, with the emergence of illicit synthetic Fentanyl on the streets ( which according to the U.S. Drug Enforcement Administration, is 30 to 50 times more potent than heroin, and 80 to 100 times more potent than morphine), these numbers continue to rise. The devastating consequences from this epidemic range from overdose fatalities to worsening psychiatric and mental health outcomes. How did we get here? What are we doing to address the problem? What bio-psycho-social treatments exist? How can different disciplines work together to continue to fight the disease of addiction? By the end of this presentation, attendees will develop a greater understanding of the key issues pertaining to opioid use disorders and will have answers to these frequently asked questions. Participants will also be familiarized with the history and epidemiology of opioid use disorders, the neurobiology of opioid use disorders, and evidence-based treatments.

 

#401. Exploring Models for Joint Addiction Medicine/Addiction Psychiatry Fellowship Training (Part of the ASAM Track)
John Renner, MD | e Supported by New England Chapters of ASAM
Level of Instruction: Intermediate
 
The approval of the subspecialty of addiction medicine by the ABMS presents a unique opportunity to develop creative models for collaborative fellowship training between addiction medicine and addiction psychiatry. This is particularly important as we enter an era when collaborative treatment models are being developed as the primary model for the future delivery of treatment services. How will addiction services be integrated into primary care? What role will addiction specialists play in these new treatment systems? This workshop will review the history of both addiction medicine and addiction psychiatry training and will explore the benefits offered by joint training experiences. Participants will be asked to describe the strengths and weakness they experienced in their own training and to explore alternative training models. The goal of the workshop will be the initiation of a dialogue between the two addiction subspecialties to develop new models of collaborative training so that addiction specialists can learn to work together to ensure the best care for our complex patients.

 

Sunday Closing Plenary 10:30 AM – 12:00 PM

#425. Neuroscience, Addiction & Recovery
Jesse Viner, MD | e Supported by Yellowbrick
Level of Instruction: Intermediate/Advanced
 
This presentation reviews recent neuroscience research which informs an understanding and approach to addiction. This research both contributes to changes of some prior perspectives and confirms the wisdom of 12-step recovery within a comprehensive developmental neurobiological model.

#426. Partnering Justice Systems with Medication and Recovery (Part of the ASAM Track)
David Gastfriend, MD | e Supported by New England Chapters of ASAM
Level of Instruction: All
 
The opioid epidemic and the financial crisis are driving a sea change in prison reform and in the disposition of offenders with substance use disorders. Positive changes are underway in the understanding, ethical management, logistical processes and outcomes of justice systems’ responses to individuals suffering from addiction. This workshop will review the relevant
neurobiology models, some tools for standardized assessment, including TRI’s RANT? and ASAM’s CONTINUUM?, medication-assisted treatment (MAT) approaches to stabilization and how to manage effective communication across systems. County sheriffs and drug court judges are providing national leadership in the adoption of pre-release medication (e.g., extended-release naltrexone; XR-NTX), and effective care coordination with local treatment programs. The challenge is to address the recovery of the individual while attending to the needs of both public health and public safety. Programs have reported court and jail evaluation outcomes from innovative projects in Florida, Massachusetts, Missouri, and New York’s Rikers Island Jail. The Treatment Research Institute (TRI) has completed a survey of XR-NTX implementation in over 20 justice systems across the U.S. These findings describe a new working relationship between the justice system and providers who provide combined biomedical treatment and recovery-oriented counseling. The results include decreased rates of early relapse, increased retention, and fewer re-arrests, compared with non- pharmacologic treatment. More profoundly, these models appear to generate rising perceptions of addiction treatment’s efficacy among members of the justice and corrections communities.

 

Sunday Post Conference Workshops 1:00 PM – 5:00 PM

#500. The Power of Groups Using Motivational Interviewing
Stephen Andrew, LCSW, LADCC, CSCGP
Level of Instruction: Introductory/Intermediate
 
Group work provides several important steps that help break isolation often experienced by a consumer. This training will provide a brief review and practice of Motivational Interviewing spirit and some basic skills and information on the issues and treatment of special populations (adolescents, dual diagnosis, addiction, intimacy, low-income families, parents, etc.) through the use of support groups in treatment. We will also explore the issues of assessment, interaction, group norms, and various forms of support for the consumer. We will also address why the therapeutic support group format is extremely effective. In addition to the role of group leader, the roles of the participants will be discussed and compared in various types of group settings, as well as the importance of therapeutic contracts, goal setting, and group frequency duration, course, and process. This session will utilize both useful theoretical models and hands-on opportunities to improve skills.

#501. The Healing Power of Psychodrama with Addictions
Hunter Taylor, MS, LCP | e Supported by Sol Recovery (associated with Sprout Health Group)
Level of Instruction: Introductory/Intermediate
 
This workshop will present interactive/ demonstrational approaches on how using action- oriented, creative role-play can help the person suffering with addictions “see” the power of the disease over their lives. This invitation to psychodrama work will be explored with various techniques which can explore the origin of one’s addiction, family of origin work, shame, trauma history, resistance, fear, stuck points, “unfinished business”, relapse susceptibility, grief and the vision of recovery. Psychodrama as a technique will be shown with its use in groups and particularly family work. Inner Child work, anger discharge, and co-occurring disorders such as co-dependency will be explored. Psychodrama will be presented as an accelerated way to invite one to break through their defenses that often keep them ill. Cautions will be explored on the use of psychodrama to prevent re-traumatizing. Psychodrama will also be shown how it can visually teach recovery concepts.

#502. The Adolescent Brain and Its Effect on Substance Abuse and Mental Illness
Patrick DeChello PhD, LCSW, MSW, RPH
Level of Instruction: Intermediate
 
Recent research demonstrates that the human brain continues to develop until age 25. Substance use during adolescence can alter the brain in ways that will have dramatic effect lasting well into adulthood. This presentation examines how substance abuse during adolescence effects memory, IQ, reward and pleasure and makes them vulnerable to comorbid mental illness.

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