Proven Ways to Incorporate Client Health & Wellness into Your Work with Difficult Cases

Speaker(s):

Jeremy Lotz, MA, LPC, NCC

Presentation: Bad sleep, endless screen time, sedentary lives, and junk food! Do you encounter clients who are frustrated, not meeting their goals, and for whom nothing seems to help? As society becomes less and less healthy, mental health services are being increasingly tasked with needing to offer support and challenge to our clients in areas of health and wellness. Deficits in health and wellness practices are increasingly being observed in the mental health community as foundational to helping our clients meeting their goals.

Objectives:

  • Define ways technology and screen time habits can adversely affect our brains
  • Identify ways that physical movement and exercise can be implemented in even the most challenging of client cases
  • Define ways participants can leverage modern research on nutrition in nutrition and neuroscience to help address depression and anxiety
  • Identify barriers to sleep hygiene and learn strategies to help ourselves and our clients overcome them
  • Gain understanding of ways to improve “The Big 4” in our own lives (Nutrition, Screen time, Exercise, and Sleep)

Slides and Handouts:

Lotz_Proven Ways to Incorporate Client Health & Wellness into Your Work with Difficult Cases

Ours is a Social Brain

Speaker(s):

David Pitonyak, PhD

Presentation: Neuroscientists now tell us that 80% of what our brain is up to at any given moment is thinking about social relationships. This keynote explores some revolutionary findings about our social brains and the implications these findings will have on our service system. Helping people to heal and recover will depend on our capacity to support them in developing enduring, positive relationships.

Objectives:

  • Explore recent research findings which suggest ours is a social brain
  • Describe ways in which we are bio-mechanically set up to seek relationships and to be frightened of relationships, and why self-confidence matters
  • Explain how being disconnected to social relationships can create physiological and psychological distress in the bodies

Pitonyak, David, PhD

David Pitonyak received his PhD from Virginia Commonwealth University’s Urban Services Program and is currently the Director of Imagine, Blacksburg, VA (www.dimagine.com). Dr. Pitonyak provides consultation and training for individuals, families and professionals throughout the United States, Canada, Puerto Rico, England, and the Republic of Ireland. The largest part of his work involves meeting individuals who are said to exhibit “difficult behaviors”. Most of these individuals exhibit difficult behaviors because they are misunderstood and/or because they are living lives that don’t make sense. Often they are lonely, or powerless, or without joy. Often they are devalued by others, or they lack the kinds of educational experiences that most of us take for granted. Too often their troubling behaviors are the result of an illness, or even a delayed response to traumatic events. You might say their behaviors are “messages” which can tell us important things about their lives. Learning to listen to an individual’s difficult behaviors is the first step in helping the individual to find a new (and healthier) story.

Presentation(s): 

Strategies for Helping People to Connect to Enduring, Positive Relationships

Ours is a Social Brain

Strategies for Helping People to Connect to Enduring, Positive Relationships

Speaker(s):

David Pitonyak, PhD

Presentation: Many people served by our system are relationship impaired. Many have become relationship resistant. This workshop examines the impact of anxiety on each person’s capacity to develop healthy relationships and what we can do to help build self-confidence in the people we serve.

Objectives:

  • Describe the positive role anxiety can play in our lives in helping us to process social information and organize ourselves in time and space
  • Explain how too little or too much anxiety can disable our ability to process information
  • Explore strategies for building self-confidence in people who lack relationships, including short, repeated practice, having concrete things to do, and making a contribution to others

Senter, Karolyn, MEd, PhD

Dr. Senter earned a master’s degree in education from the University of Missouri and a doctoral degree in counseling and family therapy from Saint Louis University. Before coming to Washington University, she worked for several years as a mid-level administrator, domestic relations specialist and divorce mediator in the Family Court System. She was later employed as a family therapist in a local community counseling center/residential treatment facility and worked part-time as the Training Coordinator for the Center for Counseling and Family therapy (CCFT) at Saint Louis University. Interests include: Family and relationship issues, couple’s and group counseling, the role of spirituality & forgiveness in the healing process, diversity issues and the promotion of good self-care and healthy interpersonal relationships.

Presentation(s): 

Energy Management and Self-Care for Therapists

Energy Management and Self-Care for Therapists

Speaker(s):

Karolyn Senter, MEd, PhD

Presentation: Because the therapist’s primary tool in their work is the self, care of the therapist is extremely important for both the therapist and the client. This presentation will highlight the benefits of managing energy over managing time alone. It will address the functioning of the therapist from 4 sources of human energy (physical, emotional, mental and spiritual) and identify ways to improve energy in all areas.

Objectives:

  • Reveal why managing energy is more important than managing time
  • Identify energy thieves in their personal and professional lives
  • Describe how to formulate a plan to address self-care on all levels of functioning (physical, emotional, mental and spiritual)

Mindfulness and Emotional Regulation in Personality and Dissociative Disorders

Speaker(s):

Robert Cox, MA, LPC, NCC

Presentation: Trauma is at the root of all addiction and often results in dissociative and personality disorders. When the addiction is comorbid with these disorders, treatment can become difficult. Often treating the trauma that is creating reactivity and dissociative states becomes primary. This presentation covers recent research in trauma, the way it changes the brain and how we can begin rebuilding neural connections by processing the trauma and using mindfulness as a tool to keep the client from dissociating and in the room with the therapist. By using mindfulness and a few basic techniques we can begin expanding the emotional window for our clients while keeping them emotionally regulated and allowing them to reprocess the trauma. Some basic techniques in mindfulness and directed meditations will be discussed for aiding the client through those difficult spaces.

Objectives:

  • Identify structures in the brain affected by trauma and how that affects emotional development
  • Describe forms of dissociation and potential signs of its occurrence
  • Review methods of using mindfulness to regulate through anxiety and keep the client present
  • Discuss mindfulness for somatic experiencing in the processing of trauma
  • Demonstrate several mindfulness exercises that attendees can use with patients

Slides and Handouts:

MIndfulness, Affect, Dissociative and Person notes

Haney, Kyra, MS, CRADC

Kyra Haney is the current Program Director for Gateway Foundation, Inc. at the women’s treatment program located in Chillicothe Correctional Center. Current responsibilities include planning, organizing, and managing the delivery of quality client services and related administrative and support activities within the program; reviews treatment activities, results and documentation; ensures compliance with program/agency standards and objectives, and applicable contracts and regulations; develops and implements program budgets, goals, and policies. Ms. Haney strives to continually improve upon service delivery and program elements to ensure adherence to contractual requirements and cultivates positive and collaborative working relationships with the Missouri Department of Corrections. Prior to her current assignment, Ms. Haney began working in the treatment program at Chillicothe Correctional Center in 2009. She was promoted to a Clinical Supervisor in 2010, and a Program Director in 2012. When Gateway Foundation, Inc. received the contract at Chillicothe Correctional Center in July of 2012, she retained the Program Director position. She has worked within the Substance Use field for over 12 years and has gained extensive knowledge and understanding for providing gender-responsive treatment as well as attending and facilitating a multitude of trainings covering motivational interviewing, therapeutic community practices, trauma-informed care, medication assisted treatment, co-occurring disorders and evidence-based practices. Ms. Haney holds a master’s degree in psychology, a Bachelor of Science degree in sociology, and a bachelor’s degree in psychology.

Presentation(s): 

Best Practices in Providing Trauma-Informed Care to Women in Institutional Treatment

Best Practices in Providing Trauma-Informed Care to Women in Institutional Treatment

Speaker(s):

Kyra Haney, MS, CRADC

Jessica Zeger, CRADC, CS

Presentation: Research has firmly established that incarcerated populations have experienced traumatic events and Post Traumatic Stress Disorder (PTSD) at a much higher rate than the general population and a link between traumatic events and later criminal activity has been established. Of particular importance for correctional substance use disorder programs, is the fact that individuals with PTSD are at a 4 to 5 times greater risk of using or misusing substances than those without PTSD. A woman who is incarcerated may have experienced an average of 6 traumatic events in her lifetime, whereas a typical woman in the community has experienced an average of 2 traumatic events. Incarcerated women also have higher rates of PTSD than women in the community (40% vs. 12%) and are ten times more likely to use substances in response to trauma (64% vs. 6%). This presentation will not just look at the prevalence of trauma, but will provide an overview of how two correctional women’s treatment programs have begun the transformation to providing trauma-informed care. This transformation has included identifying ways to assess participants’ level of trauma at admission and discharge, implementing measures to positively impact trauma, training staff and making a trauma sensitive and responsive shift in culture and practices. Presenters will provide an overview of the steps taken to begin providing trauma-informed care to women in Institutional treatment.

Objectives:

  • Provide an overview of how to make the transformation to providing trauma-informed care
  • Provide suggestions on how to assess and identify trauma
  • Provide suggestions on how to address trauma once identified
  • Provide training suggestions for staff
  • Provide suggestions on effective collaboration in implementing a trauma-informed approach

Slides and Handouts:

Haney_Best Practices Providing Trauma-Informed Care to Women in

Rosen, Dean, PsyD

Dean Rosen is a clinical psychologist in independent practice in St. Louis County. He obtained his doctoral degree in Clinical Psychology at the University of Illinois at Urbana/Champaign in 1977 and has been licensed in Missouri since 1979. He was the Director of Intern Training at the former Malcolm Bliss Mental Health Center from 1984 to 1990. He has been in full time independent practice since 1990. Dr. Rosen has been treating and evaluating transgender clients since the beginning of his career. He has presented on LGBT issues in therapy to the Missouri Psychological Association and the St. Louis Psychological Association. In addition, he has been president of St. Louis PFLAG, a support and advocacy group for parents and families of the LGBT population. In that capacity he has presented to many community groups, including colleges, teachers in secondary schools, and church groups. As an advocate, he has written many letters to the editor of the St. Louis Post Dispatch and the St. Louis Jewish Light.

Presentation(s): 

Transgender Youth – Understanding and Treating