Learning Sobriety Together: Marital & Family Treatments for Alcoholism & Drug Abuse
Bill Fals-Stewart, University of Rochester, School of Nursing

Although alcoholism and drug addiction are often viewed as disorders of the individual, the highly corrosive effects on patients’ marriages and families are both unfortunate and commonplace. Yet, viewing chemical dependency from a family perspective not only allows for a greater understanding of these disorders, but also provides a very powerful framework for treating these problems successfully. This presentation will provide an overview of the relationship between substance use and the family, as well as a brief discussion of the extensive empirical research supporting the use of partner-involved therapies. Additionally, the several videotaped examples of actual substance abusers and their families will be shown to demonstrate effective treatment methods used with these patients, their partners, and their families.

Learning Sobriety Together: Marital & Family Treatments for Alcoholism & Drug Abuse
Bill Fals-Stewart, University of Rochester, School of Nursing

Because of their widely acknowledged positive and broad effects (based on the results of over 30 years of research), it has been argued that couple and family therapies are the most effective interventions presently available to treat alcoholism and drug abuse. Compared to more traditional individual-based treatments, partner-involved interventions (particularly Behavioral Couples Therapy) result not only in superior drinking and drug use reductions, but also (a) improve relationship functioning, (b) ameliorate emotional and behavioral problems in children, and (c) significantly reduce intimate partner violence. This presentation will describe and demonstrate well-established partner-involved therapy approaches for alcoholism and drug abuse that are now widely recognized as highly efficacious, drawing extensively on videotaped examples of actual patients and their families engaging these treatments. Although there will be some brief discussion of the research supporting these approaches, this will be de-emphasized in lieu of a focus on clinical application.

Gender-Responsive Treatment for Adolescent Girls with Substance Use Problems
Fred Dyer

There is an urgent need to develop a more comprehensive body of knowledge regarding the needs of substance abusing adolescent girls. Clinicians, therapists, substance abuse counselors, and mental health workers are encountering and working with adolescent girls who present not only with co-morbid disorders but also myriad other issues, i.e., developmental issues, trauma histories, violence, safety issues, internal locus of control vs. external locus of control, sexual identity issues, and self-esteem. It is imperative that services for substance abusing adolescent girls are not only gender-specific but gender-responsive—meaning that agencies and organizations respond with proactive services in an evidence-based, culturally competent, gender-responsive, and developmentally age appropriate manner. This workshop will also provide material on the need for gender-responsive services for substance abusing adolescent girls in the juvenile justice system.

Motivational Interviewing with Dually Diagnosed Patients
Steve Martino, Laurel Highlands Neuro-Rehabilitations Center

This workshop will describe how to modify motivational interviewing (MI) for use with patients who have co-occurring substance use and severe psychiatric conditions. The workshop will cover clinical challenges (expanded targets of motivational enhancement, cognitive impairments, psychotic symptoms) when using MI with this patient population and how to adapt the approach to meet these challenges. The workshop will blend didactics with experiential activities to give participants practice with the clinical modifications proposed for this patient population.

S.I.R.E.N.S. : New Approaches in Treatment for Current or Former Sex Workers Seeking Recovery
Shanna Butler, Michelle Kiel, and Stephanie Schaefer

In this experiential workshop we will explore the theories and methodologies used in the S.I.R.E.N.S. group curriculum to support women seeking recovery who have current or past involvement in the sex industry. Utilizing concepts from motivational interviewing, harm reduction and narrative approaches to counseling, participants will gain insight in how to support women in all stages of sex work involvement, how to dialogue about balancing the needs of recovery and potential involvement in the sex industry as well as providing concrete opportunities for exploring the risks and rewards of involvement in the sex industry.

SESSION CANCELED

Treating Eating Disorders in Clients with Comorbid Substance Use Disorders
Rebecca Seifert

Group Motivational Interviewing with Dually Diagnosed Patients
Steve Martino, Laurel Highlands Neuro-Rehabilitations Center

This workshop presents an approach for using group-based motivational interviewing (MI) when working with patients who have co-occurring substance use and psychiatric conditions. The approach has been developed for intensive outpatient care settings and modified versions of it have been used in inpatient programs. The workshop will cover 1) how to integrate core aspects of MI spirit with group therapeutic factors that are important in the early phase of treatment, 2) how to structure groups to address the challenges inherent in implementing group treatmwents in acute care settings, and 3) ten motivational enhancement activities and related group facilitation issues.

The Mindful Road to Recovery: The Neurobiology of Addiction and Regulation
Bonnie Badenoch, Center for Brain-Wise Living

Research into the practices of mindfulness suggests that any moves we make toward establishing the neural patterns of self-regulation can diminish the intensity and frequency of behaviors designed to provide momentary relief. This afternoon, we will focus on practical ways to bring mindfulness into the center of treatment, with techniques for both counselor and counselee.

Double Recovery: Integrated Treatment for Clients with Mental Health and Substance Use Disorders
Dennis Daley, Western Psychiatric Institute and Clinic

Co-occurring disorders are common in both mental health and addiction medicine treatment settings. This workshop will review integrated treatment strategies for use in a range of behavioral health care settings, in both individual and group contexts. Focus will be placed on specific clinical interventions that address all domain of recovery (physical, psychological, social, spiritual) and recovery from the client's perspective. The impact of disorders on the family and children, and strategies to help them will be incorporated in this workshop. Information from the research and clinical literature, research of the presenter and colleagues at Western Psychiatric Institute and Clinic of the University of Pittsburgh School of Medicine, and quality improvement studies will be integrated in this workshop.

It is estimated that from 1 – 5% of adults in the U.S. suffer from problem gambling, and this disorder is highly prevalent among those with a substance use disorder. This workshop will focus on three main clinically relevant topics to help clinicians when working with clients who may have a gambling problem: comorbidity of problem gambling; screening and assessing this disorder; and strategies for treating problem gambling. Also strategies for helping problem gamblers with financial problems will be discussed.

Relapse prevention can be a challenge for adolescents for whom maturity, judgment, peer influences, and dysfunctional family members contribute to the risk of relapse. There is also a growing recognition that drug addiction is a brain disease and that addicted adolescents can experience uncontrollable drug cravings long after abstinence has been achieved. A relapse among adolescents must be viewed as both a common and a normal event in what may be an eventual stable recovery. This skill-building workshop will enable adolescent substance abuse counselors, program managers, and juvenile justice workers to examine and utilize effective evidence-based relapse prevention strategies for adolescent substance abusers.

Treating Sex and Internet Addiction
Dean Charles

Sexual and internet addiction present in a variety of ways and can be highly co-occurring with other substance use issues. Since its inception the internet has been a popular vehicle for sexual pursuits. The internet makes access to sexually explicit material and sexual partners easier than ever. Moreover, as internet access becomes more available and necessary it is becoming more difficult to determine the difference between normal internet use and internet addiction. This talk is aimed to shed light on some of the various ways sexual and internet addiction are presented, unique role the internet plays in the maintenance of sexual addiction, and options that are available to clinicians.

Stigma, Substance Abuse and HIV
Fransing Daisy

When the epidemic emerged in 1981, it was feared and perceived as a deadly illness that was transmitted person to person by an unknown vector. Transmission of AIDS became associated with groups who had historically been ostracized and stigmatized, such as drug users. During the last 28 years, knowledge about HIV transmission has increased but unfortunately stigma continues to persist. The face of HIV/AIDS has broadened to include communities of color, less healthy populations, and the disenfranchised. Ultimately AIDS stigma has become another life obstacle for many people who have health, social, economic, and personal obstacles to overcome. This workshop will discuss the presence and ramifications of HIV stigma associated with substance use and lifestyle change.

Placing Mindfulness at the heart of Treatment: Addiction, Attachment and a Path to Regulation
Bonnie Badenoch

Research into the practices of mindfulness suggests that any moves we make toward establishing the neural patterns of self-regulation can diminish the intensity and frequency of behaviors designed to provide momentary relief. This afternoon, we will focus on practical ways to bring mindfulness into the center of treatment, with techniques for both counselor and counselee.

MOSAIC or Melting Pot?: Using Evidence-Based Cultural Diversity Practices in Addictions Treatment
Deborah Haskins

The cultural landscape of our neighborhoods and communities are changing; therefore, addictions treatment must change too. This workshop will focus on evidence-based cultural diversity assessment and treatment models and best-practices strategies that practitioners can integrate into addiction treatment. Illustrative addictions cases and multimedia will be used to illustrate content.

Habits of Highly Effective Counselors who Treat Drug Abusing Adolescents
Ken Winters, University of Minnesota-Fairview

This presentation will provide a broad overview of keys of effective counseling to those who treat adolescents with a substance use disorder. Topics related to developmental neurobiology, screening, assessment, brief intervention, specialized treatment and aftercare will be addressed.

Mr Rogers Neighborhood or Texas Holdem Neighborhood?: The Changing Neighborhood of Problem Gamblers and Problem Gambling Counseling
Deborah Haskins

Our communities and neighborhoods are changing with an influx of gambling; problem gamblers and families seeking help are changing too. Counselors will need to update their practitioner toolkit to meet the complexity of issues/challenges facing the new "faces" among the community of problem gamblers and families.

How to Weather the Downturn: Keeping your Agency Viable
Steve Gallon

This workshop is designed for agency directors and program managers. This seminar will include in-services planned for directors by directors. Workshops will include but are not limited to: effectively implementing evidenced base practices, the importance of clinical supervision and building a case for business improvement.

Adolescent Treatment: Clinical Strategies and Approaches
Ken Winters

This workshop will be an extension of the plenary talk. More in-depth discussions of assessment and treatment will be provided, including risk and protective factors of drug involvement, strategies for enhancing validity of self-report, and keys to promoting long-term behavior change among drug-abusing adolescents.

A Past-Focused Treatment Model for Trauma and Substance Abuse
Lisa Najavits

This workshop presents a new manualized psychotherapy for co-occurring PTSD and substance use disorder (SUD) (Najavits, 2009). The new model is designed to offer additional therapeutic work beyond Seeking Safety. Where Seeking Safety teaches coping skills in the present, the new model focuses on processing of past memories and emotions. Like Seeking Safety, the new model offers flexible, integrated treatment of PTSD and SUD; and can be used for group or individual treatment; diverse settings and clinicians; and all types of trauma and substances. We will also address key issues such as client readiness and engagement, clinician selection, complex cases, research efforts to test the model, and the historical context of past-focused treatment models.

Balance Relationships with Clients and Healthy Counselor Boundries
Ross Ginkel

This training will focus on establishing and maintaining appropriate and therapeutic boundaries between the counselor and the client. Working in the field of addictions can be very intense and can take place over multiple settings, requiring clinicians to work with clients under varying circumstances. Because of this, creating and preserving effective boundaries can become difficult. This training session will look at the ethical and therapeutic benefits of establishing boundaries and the consequences of ignoring this vital aspect of treatmen. Participants will learn what boundaries are, where and how to establish them, and effective strategies for assessing and maintaining these boundaries in various addictions treatment settings.

Treating Families Struggling with Addiction and Bipolar Disorder
Marvin Clifford

This three hour seminar will cover diagnostic, treatment, and evidence based practices for working with clients and their families haveing bipolar disorder and co-occurring addictive disorders diagnosis. Specific emphasis will be upon counselors developeing skills to work with this population and also upon helping the client and family members have better relationships. Bipolar disorder issues and addictive disorders issues can prove challenging to clients and their relationships, including family members. Discussion about child, adolescent and adult clients will occurr. Time for interactions and sharing of cases will be encouraged

Seeking Safety: A Present-Focused Treatment Model for Trauma and Substance Abuse
Lisa Najavits

This presentation will provide an overview of Seeking Safety, which is an evidence-based therapy for PTSD and/or substance abuse. It is a present-focused CBT approach offering psychoeducation and coping skills to help patients attain greater safety in their lives. It was designed for flexible use: men or women; group or individual format; open or closed groups; diverse settings; all types of trauma and substances; acute and chronic conditions; and full or subthreshold disorders. TSeeking Safety strives to build hope through emphasis on ideals; it uses simple, emotionally evocative language and quotations to engage patients; attends to therapist processes; and offers concrete strategies that are believed essential for this population.

Dealing with Codependency in Addictions Treatment
Dennis Henderson

Co-dependency is a dynamic in the lives of many that is as insidious today as it has ever been. Being responsible for other’s behavior and feelings is heavy load to carry and only leads to disappointment, resentment, and disillusionment! This workshop will explore the definition, origins, and purpose of co-dependency as well as treatment ideas for leading clients on a path to freedom to be “fully human and fully alive”.