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A Trauma-Informed Approach to Psychological Evaluations

Wingate 62-63

 

Speaker(s):

Scaccia, Jamie, PsyD

Wilson, Amy, PsyD

Description

Psychological evaluations have a history of being an experience for clients that is sterile, removed, and opaque. In fact, clients are often separated from the process outside of the actual testing session, creating a barrier to fully understanding what is happening with the personal information being shared with their clinician. As a result, it is more difficult to internalize the information that is provided at feedback sessions. Children are especially vulnerable to this process and often times are not even included in feedback sessions at all.

We present a trauma informed approach to conducting psychological evaluations. Utilizing the Neurosequential Model of Therapeutics (NMT; Dr. Bruce Perry), we have adapted the content, frequency, and approach to testing sessions to be more trauma informed, client centered, and educational. Furthermore, we utilize the Therapeutic Assessment Model (Dr. Stephen Finn) to create a process that is collaborative, transparent, and relationally therapeutic for children and their caregivers. This presentation will describe how these models come together in assessment and how they might be extended to ongoing therapeutic care. We will explore a case example from the first point of contact to the feedback session and follow up. Finally, we will review how a relational approach to assessment creates space for honesty, vulnerability, and therapeutic moments that might otherwise be missed in a more typical evaluation.

Objectives

1. Describe how the Neurosequential Model of Therapeutics influences the understanding of developmental trauma on current behaviors.
2. Identify what makes self-care hard to follow through on, despite knowing its value and relationship to secondary trauma and burn out.
3. Practice dosing self-care and outline how it may be implemented in their lives and lives of their clients.

Scaccia Wilson Handout

Wilson Presentation

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Maslow’s Hierarchy of Needs as it Relates to Mental Health and Substance Use in a Rural Setting

Paradise Ballroom B

 

Speaker(s):

Cornell, Alison, MSW

Tobias, Amanda, AA

Tranbarger, Raven, MSW

Description

Substance use and mental health populations have rapidly increased since the pandemic, with numbers increasing to 4 in 10 Americans reporting mental health concerns and 13% of people reporting use of substances. We will be focusing on Substance use before and during the COVID-19 pandemic with emphasis on the impact of underserved communities. With the increased numbers, it has become imperative that we are able to offer individualized treatment to individuals in our communities. By understanding the relationship between Maslow’s Hierarchy of Needs related to the stages of change, we are better able to serve our communities by using this knowledge to provide individualized holistic treatment designed to address barriers that are specific to the rural community before and after the challenges the pandemic has created.

This training will emphasize each level of Maslow’s hierarchy of needs and how it is related to the stages of change. We will examine each stage and how it can both elevate and hinder successful movement during treatment. The training will utilize an open dialogue to engage individuals in the training with case studies as we discuss resources available in rural areas as well as the barriers that are faced as we work with individuals who are engaging in mental health and substance use treatment.

Objectives

1. Discuss the impact of mental health and substance use on individuals.
2. Describe concepts related to stages of change and its relationship in treatment settings.
3. Obtain information on locating resources in a rural setting

Cornell Presentation

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Best Practice: Essential Historical and Clinical Knowledge for Counseling Clients from the LGBTQ+ and HIV Communities

Paradise Ballroom A

 

Speaker(s):

Scarberry, Chris, MA

Description

This presentation focuses upon interventions that work best with marginalized populations and also explores methods that can be problematic and unethical. Attendees will be given a history of the LGBTQ+ community from Stonewall on as well as examples from the presenter’s practice which focuses on working with Queer and Transgender clients. Information will also be provided pertaining to the history of HIV/AIDS as well as how to compose letters for Hormone Replacement Therapy and Gender Affirming Surgeries for transgender clients. The hope is that, making this information more readily available will increase comfort and competence in working with these clients.

Objectives

1. Identify 3 cultural factors common to LGBTQ+ clients.
2. Articulate 4 interventions useful in counseling HIV+ clients
3. Identify 3 interventions/methods counter indicated in working with this population

Scarberry Presentation

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Addiction Recovery Support Services: Rationale and Science

Paradise Ballroom ABC

 

Speaker(s):

Kelly, John, PhD, ABPP

Description

During the past 50 years in the United States we have learned a great deal about the causes, prevalence, clinical course, and impact of alcohol and other drug use disorders, including that these disorders tend to have a long course and even when individuals achieve initial remission, risk for recurrence of the disorder can remain elevated for several years. As a result of this recognition of susceptibility to relapse over the initial years in remission, a variety of community based long-term recovery support service structures have started and grown in order to help individuals manage the considerable stressors that must be managed in the early phases of recovery. This presentation will provide brief contextual overview of what has been learned during the past 50 years of addiction science which has led to the emergence and growth of new models of extended recovery support services that are demonstrating effectiveness and cost-effectiveness in facilitating long-term remission and stable recovery.

Objectives

1. Name two major biobehavioral factors that undermine addiction recovery attempts;
2. Describe three empirically-supported recovery supports services shown to enhance remission rates and its duration
3. Understand the concept and value of recovery capital in the remission process
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Clinical Assessment of Psychotic Patients for Risk of Violence

Speaker(s)

Angeline Stanislaus, MD

Dr. Stanislaus will discuss the prevalence of violence in the Seriously Mentally Ill (SMI) population, and summarize the studies that have examined this issue in various treatment settings and community samples. She will discuss the significance of acute psychotic symptoms such as auditory hallucinations and delusional beliefs in assessing risk of impending violence. She will also discuss early intervention in prevention of violence.

 

Objectives:

  • Review the prevalence of violent behaviors in the seriously mentally ill patient population.
  • Understand the significance of assessing acute psychotic symptoms and their relevance to risk of violence.
  • Learn early intervention strategies to minimize risk of violence

Slides in PDF format

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No Talking, No Problem: Implementing Experiential Treatment for Children with Complex Trauma

Speaker(s)

Amanda Gregory, LPC, NCC

Objectives:

  • Identify children that have experienced complex trauma
  • Learn how complex trauma impacts brain development
  • Discover how children can benefit from experiential treatment
  • Learn a variety of specific simple experiential interventions to utilize with children with complex trauma.
  • Review four case studies of children with complex trauma who received experiential treatment.

 

 

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Stigma: Its Impact on the Returning Veteran

Speaker(s)

Nathaniel Whiters, MS, LCMFT

Mark Johnson, MS

Lloyd Adams

Stigma: Its Impact on the Returning Veteran will have a Veteran’s personal experience, short videos and a power point presentation.

Objectives:

  • Understand the particular strategies used in the support of military personnel, persons experiencing trauma.
  • Understand Readjustment Counseling Services and its role in reintegrating Veterans back into society.
  • Understand experiences of combat and MST Veterans and their special needs for reintegration.
  • Understand the stigma associated with Veterans returning from combat.

Whiters Stigma Its Impact on the Veteran1D – Slides in PDF format

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Equifinality and Opiod Overdose: The Many Clinical Paths to Increased Risk

Speaker(s)

Rachel Winograd, MA

This presentation will review risk factors for experiencing opioid overdose events and will highlight how multiple distinct types of clinical pictures lead to increased risk. Specifically, pathways reflecting “pure” substance misuse histories, mismanagement of acute or chronic pain treatments, respiratory illnesses, and comorbid mental and physical health conditions will be reviewed, with attention paid to the unique vulnerabilities of individuals with each presentation. Guidance on how to most effectively discuss and protect against opioid overdose within various health care settings will be provided.

Objectives:

  • Review knowledge of behavioral, emotional, and physical risk factors for opioid overdose events
  • Describe established approaches and emerging trends in the services requires to support patients and families of patients with behavioral health and/or substance use management needs, specifically related to opioid use
  • Understand the unique clinical concerns of patients struggling with co-occurring chronic pain and opioid use disorder
  • Review a variety of prevention and intervention approaches to reduce patient risk of experiencing opioid overdose events
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Ethics in the Clinical Relationship, Part II

Speaker(s)

Mark Sanders, LCSW

This skill-building workshop will address ethics in the clinical relationship. A partial list of topics includes: Eight Principles that Can Help with Ethical Decision Making in the Clinical Relationship; Achieving Clinical Excellence; The Impact of the Counselor’s Unfinished Business on Ethical Decisions; The Use of Countertransference as a Tool to Achieve Excellence in the Clinical Relationship and to Avoid Ethical Dilemmas; Establishing Healthy Boundaries; Addressing Multiple Relationships with Clients; Strategies for Avoiding Burnout and Compassion Fatigue to Avoid Ethical Violations in the Clinical Relationship; Six Strategies for Leading an Ethical Life and the use of the NASW code of ethics to address ethical dilemmas presented via case vignettes in an interactive manner. This promises to be a fun learning experience.

Objectives:

  • Be aware of eight principles that can help with ethical decision making.
  • Be aware of how to use countertransference as a tool to achieve clinical excellence and avoid ethical dilemmas.
  • Be aware of how to address issues around dual/multiple relationships with clients.
  • Be aware of the counselor’s unfinished business can impact ethical decisions.
  • Be aware of four strategies for achieving healthy boundaries with clients.
  • Be aware of the differences between burnout and compassion fatigue and how each can impact ethical behavior.
  • Understand how to utilize the NASW code of ethics to solve ethical dilemmas.
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Creative Healing: Using Expressive Therapies & Activities with Clients, Groups & Communities

Speaker(s)

Jennie Bedsworth, LCSW

Peggy Reed-Lohmeyer, LCSW

Clinicians from Fulton State Hospital will discuss using creative expressions (such as art, movement, and writing) with individuals, groups and in campus-wide projects to facilitate recovery, healing and understanding of client experiences. Discussion will cover using supplemental artistic activities in groups and individual therapy, both as learning and expressive tools; methods to encourage clients to develop upon personal interests in the arts; and how creative expressions can help clients manage emotional dysregulation, work through trauma histories, distract from residual psychotic symptoms, and build personal competencies despite mental and physical disabilities. Workshop attendees will view examples of clients’ individual art, group projects, and campus-wide expressions such as FSH’s Pillows of Hope. And best of all, attendees will participate in live expressive activities in the workshop!

 

Objectives:

  • Describe a variety of expressive techniques to use in therapeutic environments.
  • Describe the therapeutic benefits of utilizing expressive activities to supplement existing therapies.
  • Provide the opportunity to participate in expressive activity.

Creative Healing Bedsworth and Reed Lohmeyer – Slides in PDF format