Provider Experience Update Breakout on STR/SOR: What is Working & What is Challenging

Speaker(s):

Clif Johnson, CRAADC

Suneal Menzies

Dan Adams

Fred Rottnek, MD, MAHCM

Tim Rudder

Presentation: This panel breakout will cover what is working with the STR/SOR grant and what challenges are being faced as we are well into year two. Of particular focus will be the balance of the extreme amount of overhead faced in providing medication services and making sure all services that are needed are being scheduled.

Objectives:

  1. Educate other SOR and CSTAR providers on barriers faced and solutions Identify the key role the “Medication First” treatment model plays in managing Opioid Use Disorder
  2. Educate other SOR and CSTAR providers on overhead challenges and possible
  3. Discuss thoughts as a panel from participants and hear their solutions and questions
  4. Discuss how to consistently capture revenue through needed services and engagement

Bridging the Gap: Trauma-Informed Care & Cultural Competency

Speaker(s):

Courtney Boddie, PhD, MEd, LPC, NCC

Lisa Thompson-Gibson, MA, LPC

Presentation: The past three decades have incrementally ushered in the age of trauma-informed care. From the original ACES Study (1998), to Perry’s (2006) Neurosequential Models of Education and Therapeutics, to van der Kolk (2015) and Levine’s (1997) teaching on the physiology of trauma, an abundance is known about psychological trauma. In short, this movement has offered mental health a way to reconceptualize most concerns presenting to counseling through the lens of traumatic experience. After training, implementation and sustainability often fall by the wayside. Could this be due to the preponderance of approaches on the market and possible fatigue involved in continuous process improvement? To move this needle forward, it is imperative that we next discuss inherent connections existing between factors like trauma and multicultural competence. For example, should we be moving toward a unified, developmental model that accounts both for the richness of cultural competencies and the clinical utility of trauma-informed practices? Join in on this hybrid lecture and round table to be part of this timely discussion.

Objectives:

  1. Review SAMHSA’s six principles of trauma-informed care (safety, trustworthiness/transparency, peer support, collaboration/mutuality, empowerment/voice/choice, and cultural/historical/gender issues)
  2. Review the ACA’s Multicultural and Social Justice Competencies (Awareness, Knowledge, Skills, Action)
  3. Discuss application of trauma-informed, culturally-centered care in your current praxis
  4. Process compassion fatigue related to trauma-informed, culturally-centered care

Healing the Whole Person: Treating Trauma with Special Attention to Shame

Speaker(s):

Emily Arth, BA, MSW, LCSW, CDWF

Presentation: This presentation is designed to provide essential tools of assessment when screening for psychological trauma. Gain insight into the presentation of trauma-related symptoms across the lifespan. Learn about the long-term implications on mental and physical health when we fail to address the underlying cause of illness. Explore the relationship between trauma, shame and vulnerability. Increase accuracy of services by taking a comprehensive approach to care.

Objectives:

  1. Teach essential tools for proper assessment of trauma-related disorders
  2. Explore the long-term mental and physical implications when we fail to address trauma in treatment planning
  3. Describe the relationship between trauma, shame and vulnerability
  4. Provide resources to learn more about the role of shame-resilience in recovery

Cox, Robert, MA, LPC

Robert Cox is the author of “The Life Recovery Method: Autism Treatment From a Trauma Perspective”, a therapist specializing in Trauma, Addictions, and IDD including Autism. He has lectured and trainings are available worldwide. In the second edition of his book he adds material about energy processing difficulties and how they affect individuals with IDD and autism.

Presentation(s): 

Dysregulation in Individuals with IDD: Working Towards Better Supports

The Current State of Our Children: What We Can Do to Help

Speaker(s):

Lucas Dieckhaus, MA

Presentation: This presentation will review the current state of mental health within our children, and where we struggle to begin helping the children. We will review barriers for why people do not go to or receive services. We will discuss what gaps exist within the current treatment structures. We will also talk about Group Therapy, Intensive Outpatient Therapy, and Partial Hospitalization; what they all mean, and why there may be better treatment options for our children other than traditional Inpatient or Outpatient services.

Objectives:

  1. Describe the landscape of mental health regarding children
  2. Discuss the barriers that exist to getting help
  3. Develop a working knowledge of Group Therapy, PHP and IOP

Emergency Room Enhancement Unique Urban & Rural Services

Speaker(s)

Sally Haywood, MPA

Nichole Salmons, MSW, LCSW

Ashley Mooring, MSW, LMSW

The Emergency Room Enhancement program was initiated by DMH to develop models of effective interventions for people with behavioral health crisis, focusing on individuals who are frequent users of hospital services. The program creates paths to the Community Mental Health Centers and Substance Use Providers for needed care, rather than to the Emergency Departments where they are stabilized and released, often to return again. The DMH recognized the differing needs in each region, allowing the Administrative Agents to build a collaborative that would best meet the needs of their communities. The challenges and strategies specific to building collaboratives in rural vs. urban areas, as well as creative outreach to vulnerable clients, will be presented by providers from the CMHCs.

Slide in PDF format

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.

 

 

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

Impact of early life stress on brain structure and function

Speaker(s)

Rob Paul, PhD

The presentation will review the frequency of early life stress (adverse life events prior to age 18) among individuals from the general community and the impact of these experiences on brain integrity. Specific attention will be directed at dysregulation of the hypothalamic-pituitary-adrenal axis (HPA) and the impact of HPA activity on systemic immune activation and the brain. Data will be presented that demonstrate an impact of ELS on brain structures that regulate emotion, and the impact of ELS on brain white matter microstructure. Variables that moderate the negative impact of ELS on brain integrity will be reviewed including age of onset, genetic predispositions, and environmental support. Treatment opportunities will be reviewed and key variables associated with long-term resiliency will be highlighted.
Learning Objectives:
1. Learn the biological foundation that links early life stress to suboptimal brain integrity.
2. Identify the brain networks impacted by early life stress, and the behavioral correlates related to these neurological alterations.
3. Learn the demographic and environmental factors that moderate outcomes and support resiliency

Slides in PDF format

Team Building in the Clinical Setting

Speaker(s)

Kathy Revell, RN

Roger Revell, MBA

Team building has come in many forms since the 1920s when early studies showed that increased worker interaction brought a sense of group identity, and increased social support and cohesion. In mental health treatment settings much of the work is structured around “a team approach” to patient care. Very few agencies and organizations get to create teams from the get-go (“team building”), so this session provides practical theory and approaches to assist in team development and to increase productive teamwork which is so vital in our current clinical work environments.

Revell – Slides in PDF format