Welcome to the
24th Annual CCSAD Symposium

Networking. Relationships. Results.
September 8-11, 2011   Cape Cod, Hyannis, MA


C4 Recovery Solutions (C4) is honored to present the 24th Annual Cape Cod Symposium on Addictive Disorders (CCSAD). C4 is a 501 (c) (3) organization dedicated to promoting the design, provision, and monitoring of outcomes-based addiction services and providing platforms to integrate varied academic disciplines and professional activities within the fields of addiction and behavioral health. C4 is run by a volunteer board, one staff person, several invaluable consultants and the graciousness of many volunteers and friends.

CCSAD strives each year to increase your “return on investment,” both in terms of time and resources. We constantly work to provide attendees and supporters with maximum opportunities for success at no additional cost. For example, CCSAD offers various opportunities to enhance and expand exhibitor/ sponsor marketing efforts; highlights faculty, programs and sponsors in a strategic email marketing campaign; produces a diverse program that attracts decision makers from all over the country; and facilitates open communication to strategize, learn and grow the field of addiction.

We are indeed grateful for the commitment and support of the organizations that have made CCSAD possible. The agencies represented range from local 12-step groups to national and international corporations, yet each focuses on providing support and assistance to people struggling with addictive disorders. Their continued support and involvement has enabled the Symposium to continue to offer the broadest, most challenging education at very cost-effective rates. We welcome you to become part of the C4 Recovery Solutions family.

We offer a special debt of gratitude to our Partners, The Rosewood Centers for Eating Disorders & New England Chapters of Addiction Medicine as well as our Platinum, Gold and Silver Patrons, who with their generous support and underwriting allow us to continue to provide you with the best return on your investment of time, energy and money.

WEDNESDAY, September 7, 2011
7:00 a.m. – 9:00 p.m.    Registration  - Barnstable II
THURSDAY, September 8, 2011
PRE-CONFERENCE
6:00 a.m.    Caron Café
    Coffee & Tea Available All Day in the Caron Café
                    HHosted by Caron Treatment Centers
8:00 a.m.    Registration – Barnstable II

8:30 a.m. – 5:00 p.m.    All Day Pre-Symposium Workshops

#100–    LAW and ETHICS
    Patrick DeChello PhD, LCSW, MSW, RPH
    Level of Instruction:  Intermediate
This course is designed as a vehicle for conveying the essence of each ethical and legal standards associated with practice in both a professional clinical or a non-clinical manner, in an office or in a home.   Issues of boundaries and limit setting with clients will also be included.  Some class lecture, vignettes and exploration of potential problem spots will be used to relate plausible accounts of conduct.   The course will explore the difference between law, ethics, standards of practice, advice, and values. Specific law and ethical issues on both state and federal levels will be examined as they pertain to for practice.   In everyday work with clients, ethical problems can naturally and sometimes suddenly emerge with competent and well-meaning staff and professionals, even under the most ordinary of circumstances. Providing services in client homes raises many boundary issues which can place a worker at risk or limit their ability to provide services. Client’s who have limited boundaries are also of concern. What to do to make a safe home visit, to provide services to already preoccupied individuals, when there is company in a home, children running around, dogs barking, phones ringing raise particular concerns around role and safety.  Learn about confidentiality, HIPAA, dual relationships, gifts, and cultural issues that impact on service delivery, commitment, child’s rights, emancipation, Tarasoff and much more.

#101–    The Gerwe Orchestration Method (G-OM):  Treating Core Origin and Relationship Issues (CORI)
    Corinne Gerwe, PhD, LCAS, ICAADC
    Level of Instruction:  All
G-OM was designed to address early intense experiences that have led to maladaptive patterns of behavior. Such experiences may be associated with addictions, relationship difficulties, and other behavioral problems. Unresolved past issues may also involve current levels of emotional distress and impairments with the quality of life. Empirical evidence supports the existence of several CORI (Core Origin and Relationship Issues) constructs, such as a dysfunctional family of origin and interpersonal relationships, often associated with the concept of co-dependence. Problems in these areas, when combined current elevated levels of negative emotions and dissatisfactions, are likely to precipitate relapse in newly recovering individuals and/or detract from the quality of life for those not affected by addictions.

#102–     Early Intervention and Crisis Response in EAP Settings
    Anne Balboni, PsyD
    Level of Instruction:  All
This course is designed for anyone currently working or potentially working in Employee Assistance Programs and Behavioral Health Programs and having the desire to learn how to implement and expand existing programming to accomplish outreach, normalize stress and trauma reactions, provide psycho-education, mitigate PTS symptoms, promote resilience and facilitate access to treatment.

10:00 a.m. – 10:30 a.m.    Morning Break
                    Hosted by C4 Recovery Solutions

8:30 a.m. – 12:00 p.m.

#103–    Confidentiality:  Where CFR 42 Part 2 and HIPAA Cross Paths
    Sandy Burke, MA, MEd, MLADC
    Level of Instruction: Intermediate
Presentation will include a power point presentation along with in-session discussion and thought provoking case studies to heighten awareness and sensitivity regarding the implementation of these regulations when working with substance abuse/dependent clients.

#104–    Overview: Clinical Implications of Emerging Tobacco Products
    Greg Seward, MSHCA, LADC-I, CTTS-M, CADC, CAS, LSW & Ryan Coffman, MPH, CHES, CTTS-M |
    Supported by ATTOC Training Institute & UMass Memorial Medical Center
    Level of Instruction: Intermediate
With tobacco control policy changes such as smoke-free indoor air laws and increased taxation becoming more widespread, many of our clients are responding by exploring other types tobacco products.  Often this decision is made to evade the cost of manufactured cigarettes, or misinformation about reduced health risks of these products. This workshop seeks to describe the shifting landscape of the tobacco epidemic by providing an overview of key emerging tobacco products.  This overview will highlight the more prominent products and elaborate upon their cost, potential health impacts, marketing strategies, and clinical implications of the “polytobacco” use that is becoming more prevalent in addiction settings and in society.

10:00 – 10:30 a.m.    Morning Break –Lobby
                    Hosted by C4 Recovery Solutions
12:00 – 1:30 p.m.    Lunch on your own

1:30 – 5:00  p.m.    Afternoon Sessions

#105–    Helping Men Recover: A New Trauma-Informed Approach to Men’s Treatment
    Dan Griffin, MA & Rick Dauer, LADC
    Level of Instruction:  All
This presentation focuses on a new and innovative treatment program, Helping Men Recover: A Program for Treating Addiction. The presenters have developed, with Dr. Stephanie Covington, the first gender-responsive and trauma-informed treatment curriculum for men. This curriculum addresses what is often missing in prevailing treatment models for men: a clear understanding of the impact of male socialization on the recovery process, a consideration of the relational needs of men, and a focus on the issues of abuse and trauma. Existing models often provide little direction in helping men to establish a healthy sense of self outside of stereotypical masculine scripts. In contrast, this is one of the primary goals of Helping Men Recover. This new framework for men’s treatment integrates a theory of addiction, a theory of trauma, and a theory of male psychosocial development. The presentation incorporates the latest research on trauma-informed practices as well as relational cultural theory to help attendees understand the theoretical framework for this unique treatment approach. The presentation highlights some of the strengths and deficits of current treatment modalities and identifies core issue to pay attention to when working with men. Attendees will go through some of the exercises from the forthcoming curriculum, in order to experience, for themselves, this unique approach to treatment specifically for men. Preliminary outcome data from the pilot groups that have been running since September 2009 is also discussed.

#106–    Three Phases of Family Recovery
    Diana Clark, JD, MA & Dan Lynch, CAS, LACD-1 | Supported by Caron Treatment Centers
    Level of Instruction: Introductory-Intermediate
This presentation explores the subject of Addictive Disorders through the lens of a family member.  Often described as a family disease, the presenters will discuss the Three Phases of Family Recovery, their tasks, challenges and triumphs: Denial To Truth, Truth To Productive Action, And Productive Action To Surrender.  Participants will be provided with assessment tools, case studies and  therapeutic strategies for encouraging family members  to engage in the recovery process and promote healthy functioning.

#107–    When Words are Not Enough: Art and Music Therapy Creates Recovery
    Libby Neal, MA, LPC & Jessica Hyde-Christensen, MM, MT-BC
    A session of The Rosewood Institute – Supported by Rosewood Centers for Eating Disorders
    Level of Instruction: All
Have you ever wondered why your patient who has an eating disorder is not making progress? Are the two of you speaking different languages? Known as alexithymia, the inability to name feelings is a common brain development for someone with an eating disorder. As such, a person with an eating disorder may feel ashamed when unable to simply answer the question, “how are you feeling today?” Non verbal therapies go beneath defenses and developmental issues to connect with a person’s “deeper knowing” of emotional intelligence. The therapeutic use of art media and musical methodologies offers a kinesthetic, self directed “language” of symbols, sounds and somatic associations that becomes part of a recovery based vocabulary. These new descriptors hold emotional underpinnings of eating disorders related to trauma memories, body image, shame, and road blocks to recovery. Case examples deepen  the information while hands on experientials provide the beginning to advanced practitioners time to integrate their knowledge base that can be added to traditional therapies.

2:00 – 5:00 p.m.    Exhibitor Set-Up –Exhibit Hall

3:00 – 3:30 p.m.    Afternoon Break
                    Hosted By  C4 Recovery Solutions


MAIN SYMPOSIUM

5:45 p.m. – 6:45 p.m.    Hors d’oeuvre Networking Reception
                    Hosted by C4 Recovery Solutions
6:30 p.m.    Welcome and Opening Remarks – Bass River
Dee K. McGraw, M.S.W., Director of Education & Event Services, C4 Recovery Solutions
Ricard Ohrstrom, Chairman, C4 Recovery Solutions
Michele Klinedinst, MS, CEDS, Executive Director, Rosewood Centers for Eating Disorders
New England Chapters of ASAM
Michael Botticelli, Director, Bureau of Substance Abuse Services, Massachusetts Department of Public Health, Boston, MA

7:00 – 9:00 p.m.    Opening Plenary

#199–    Powerlessness
    Jerry Brown, PsyD, MFT
    Level of Instruction: All
Persons who know they are powerless can be among the most powerful among us, and this concept lies as the first step in all recovery programs.  This presentation includes science based literature of moderation and powerlessness.  With humor, spirituality, mutual support, psychotherapy, and medical intervention, we have more alternatives today than ever before.  We still suffer because we want order and have problems living with ambiguity and paradox.  Life however gives us just that. The more areas of our lives we surrender the more rich and happy our lives become. God did not offer me an internship, but through surrender, support from others, and the mystery and power shifts in intimate relationships we survive our complex and unpredictable worlds, and confront learned helplessness.  Humor, wisdom, and alternate philosophies will be honored encouraging exploration of new data, efficacy studies on happiness, longevity, and the effect of frustration on humans and animals.

FRIDAY, September 9
6:00 a.m.    Hospitality Room Opens
    Coffee & Tea Available All Day in the Caron Café
                    Hosted by Caron Treatment Centers
7:30 a.m.    Continental Breakfast –Exhibit Hall

8:00 a.m.    Registration - Barnstable II

8:30 a.m. – 12:15  p.m.    All Morning Workshop

#200–    Rediscovering Alcoholism, Addiction and Dependence
    Ray Daugherty, BA | Supported by Prevention Research Institute
    Level of Instruction:  All
Why re-discover something we know so well—or do we? I know what I mean when I use these words and you know what you mean. But are we sure we know what each other means? Get ready for some surprises. What if when researchers talk about alcoholism, they do not mean the same thing most counselors mean?  And what if they framers of DSM did not intend dependence to be used as most counselors have been trained to apply it? As they prepare for the 2012 release of DSM-V, the answer will become even more important. This is more than semantics—it goes to the heart of what we believe, say, and do. Few things are more confusing than using the same language with different meanings; and it is even more confusing to do so without recognition. Sometimes the ground seems to be shifting under us as repeated research findings appear to challenge long held clinical truths. We are entering a new era when new findings have the potential of either revolutionizing clinical practice or creating confusion. Which will it be?











#201–    Addiction. It’s About Brains, It’s Not Just About Drugs: New Understandings about Addiction as a Brain Disease and the New ASAM Definition of Addiction
    Michael Miller, MD,FASAM, FAPA | Supported by Rogers Memorial Hospital
    Level of Instruction: Intermediate
Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. “  This is the first sentence of ASAM’s new Definition of Addiction, which summarizes what is now known about brain structure, function, and the neurotransmitters involved in reward and relapse, and which describes addiction not from the vantage point of observable behaviors but from the vantage point of the brain structures and dysfunctions that underlie the outward manifestations of addiction.  The Chair of the ASAM Descriptive and Diagnostic Terminology Action Group, which prepared the new definition for the American Society of Addiction Medicine, will review various descriptions and diagnostic criteria of addiction, including the draft DSM-V criteria, and review current understandings of brain development and dysfunction in addiction as a foundation for a detailed description of the new ASAM Definition--which posits that rewards other than alcohol, nicotine and other drugs can interact with brain reward circuitry and lead to clinical presentations called addiction.
8:30 a.m. – 10:00 a.m.. . . . . . Morning Workshops

#202–    Lessons Learned:  What our Patients Teach us When we Listen
    Patrice Muchowski, ScD & Paula Morrissette, PsyD, LMHC,LADC-1 | Supported by AdCare Hospital of
    Worcester, Inc.
    Level of Instruction: Intermediate
AdCare Hospital is a 114 bed specialty addictions treatment program. Over the past years, the numbers of patients presenting with a significant co-occurring mental illness has expanded significantly.  In an effort to more effectively service this inpatient population, AdCare developed groups specifically for dually diagnosed patients. Since the implementation of the Dual Diagnosis Group, we have used a process of patient feedback to refine the content of the group sessions.   In addition, the role and benefits of participation and exposure to a Dual Recovery Anonymous Program (DRA) will be emphasized as a critical component of services available to dually diagnosed patients.

#203–    Alternative to Discipline Programs:  Monitoring Programs for Impaired Health Care Professionals
    Valerie Iyawe, RN, BA, BS, MBA, Douglas McLellan, RN, MEd, & David Ring, MEd | Supported by
    DPH Division of Health Professions Licensure & the Massachusetts Board of Registration in Nursing
    Level of Instruction: Introductory-Intermediate
This workshop will describe the Massachusetts Board of Registration in Nursing Substance Abuse Rehabilitation Program (SARP) and the Division of Health Professions Licensure Massachusetts Professional Recovery System (MPRS), alternative to discipline programs available to nurses and other healthcare professionals whose practice has been impaired by chemical dependency. Discussion will focus on the risk factors, and signs and symptoms associated with impaired health care practice; how the SARP and MPRS work including the SARP’s statutory origin, and demographics and trends gleaned from SARP data analysis; and strategies for addressing the impaired practice of health care professionals while assuring safe patient care.  In addition, the audience will hear substance abuse recovery stories from a SARP graduate and a Substance Abuse Rehabilitation Evaluation Committee (SAREC) member.

#204–     Adolescent Self Injurious Behavior
    David Rotenberg, MA , MBA, LPC, CAC Diplomate, CCDP Diplomate | Supported by Caron
    Treatment Centers
    Level of Instruction: Introductory-Intermediate
An exploration into the increase in self injurious behaviors among adolescents....prior to treatment and in treatment.  Strategies for addressing the issue of SIBs in a primary chemical dependency treatment setting.

#205–    It Takes a Village: The Complicated Nature of Treating Eating Disorders
    Steven Karp, DO, FACN &  Cindy Elms, RD | A session of The Rosewood Institute – Supported by
    Rosewood Centers for Eating Disorders
    Level of Instruction: All
Eating disorders may be the deadliest psychiatric illness and are often co-occurring with addiction disorders. This comprehensive presentation will review similarities and differences between eating disorders and addictions, allowing beginning to advanced practitioners to gain useful clinical skills. Treating these illnesses simultaneously requires a village approach to therapy including: mental health care professionals, dieticians, doctors, psychiatrists, family members and interventionists. Eating disorder case presentations will illustrate signs and symptoms, medical complications, the role of genetics, factors related to co-occurring addictions and mental illness, cognitive impairment when malnourished, medication options, possible causes, and family related issues. Presented by a psychiatrist and dietician with twenty five years of experience working in eating disorders and addictions, participants will learn a holistic treatment approach to be applied in any clinical setting.

#206–    Addressing Tobacco Through Organizational Change (ATTOC) in Addiction Treatment Settings
    Monika Kolodziej PhD, Barbara Grimes-Smith, MPH & Sarah Baker, BSBA | Supported by the ATTOC
    Training Institute & UMass Medical School
    Level of Instruction:  All
Treatment facilities are focusing on ways to reduce tobacco use among clients and staff, and to create tobacco-free environments. The Addressing Tobacco Through Organizational Change (ATTOC) model is defined by seven core strategies and a 10-step process designed to help an agency effectively address tobacco use by making sustainable changes in client, staff, and environmental domains. Key elements of the ATTOC model include developing strong support from agency leaders, identifying champion and co-champion, creating broad goals for clients, staff, and environment, and developing and implementing change and communication plans, as well as having clear means of sustainability over time. Following our overview of the ATTOC model, we will discuss with the audience ATTOC implementation strategies in addiction treatment settings.


10:00 – 10:45 a.m.    Morning Break –Exhibit Hall
                    Hosted by C4 Recovery Solutions
10:45 a.m. – 12:15 p.m.    Late Morning Workshops
 

#220–    Physician Health Programs and Licensing Boards: Co-occurring Disorders
    Luis T. Sanchez, MD & Stancel Riley MD | Supported by Physician Health Services, Inc.
    Level of Instruction:  All
This workshop will provide an overview of state of physician health programs, including a description of the Massachusetts physician health program (PHS), as well as an overview of the Massachusetts BORM policies for physicians with co-occurring disorders.  There will be discussion of confidentiality and 42CRF and interactive case discussions with participants to highlight the interactions between the physician health program and licensing board.  We will highlight resources available for physicians with co-occurring disorders with a focus on the continuum of care for physicians in need. 

#221–    A Clinician’s Focus on Naltrexone
    Gerald Shulman, Mady Chalk, PhD, MSW & Faye Taxman, PhD
    Level of Instruction: Introductory-Intermediate
Why should clinicians consider adding the use of Vivitrol®; XR-NTX,  a  once-monthly intramuscular extended-release naltrexone which blocks opioid receptors in the brain, to the psychosocial treatment they already provide? XR-NTX was approved by the FDA in 2006 with an indication in alcohol dependence, and has recently been approved in opioid dependence.  Mr. Shulman will lead this update, including a discussion of integration of psychosocial treatment, recovery support services and pharmacotherapy to reduce relapse rates, the role of non-medical staff, staff resistance its relationship to treatment planning. The discussion  will examine why XR-NTX was developed, the research background, how it has been implemented in key real-world settings and what is being learned about challenges and successes.

#222–     Developmental Model as a Foundation for Treating Eating Disorders Part I
    Caryn Attianese, MA, LPC, NCC | A session of The Rosewood Institute – Supported by Rosewood
    Centers for Eating Disorders
    Level of Instruction: All
The Developmental Model has a long tradition in the treatment of addictions and has powerful applications for eating disorder recovery. Identifying core issues of carried feelings, toxic shame and the effects of trauma is vital to understanding a person’s developmental immaturity, but practitioners who attend this presentation will learn that is only half the treatment process for those with eating disorders. The level of developmental immaturity, in combination with empathic inquiry into a person’s eating disorder, allows practitioner and client to learn together how the eating disorder functions for that person. Beginning to advanced practitioners will learn how to combine these clinical aspects of treatment in order to get out of the battle with the eating disorder, and instead be therapeutically helpful to the person struggling in the deadly grips of the disease. Practitioners will learn skills to support a client’s movement from the adapted ego state to the functional adult state. Whether working with a client who has an eating disorder or a co-morbid addiction, finding the underlying source of the issue has application for a person’s recovery. Beginning to advanced practitioners will learn skills to integrate into any clinical treatment setting. 

12:15 – 1:45 p.m.    Luncheon Plenary
A complimentary plated lunch will be provided but registration is required.

#250–    The Changing Landscape of Opioid Dependence and Harm Reduction Treatment
    John (Jeb) Bird, MPsSc, CAC/D, CCD/P | Supported by CRC Health Group
    Level of Instruction: All
This training begins with a historical perspective to the use of medications as part of a comprehensive treatment methodology to assist those with substance related disorders.  The class will explore the reasons for successes and failures, as well as the most contemporary practices, with considerations of the practical and often effective uses of medications, which run the spectrum of deterrent to harm reduction and, in many cases, abstinence.  Basic pharmacology, clinical interventions, cost/benefit relationships and risk factors will be outlined.  Participants will engage in a learning opportunity, which helps them develop hierarchical conclusions about the efficacy of medications for those with drug and alcohol disorders.



1:45 p.m.–6:30  p.m.    All Afternoon Workshop*  (Please Note this is a 4 hour course and will run past regular Symposium hours and end at 6:30 pm)

#251–    Physicians’ Clinical Support System - Buprenorphine (PCSS-B), Office-Based Treatment for Opioid Use Disorders.
    Stephen Wyatt, DO | Supported by American Osteopathic Academy of Addiction Medicine
    Level of Instruction: Intermediate
This course will provide training and clinical mentorship to practicing physicians and physicians-in-training who wish to include office-based treatment of opioid dependence in their practices.


1:45 – 3:15 p.m.    Early Afternoon Workshops

#252–    The therapeutic benefits of 12 step program participation for dually-diagnosed PTSD/Chemically Dependent Individuals
    Ronald Smith, MD, PhD | Supported by Father Martin’s Ashley
    Level of Instruction: All
PTSD co-occurring with substance abuse disorder is a growing problem with military personnel returning from active duty and also with those who have experienced trauma in other aspects of their lives.   Dr. Smith will offer insights into the assessment, treatment and ongoing support of individuals presenting with co-occurring PTSD and substance abuse. Dr. Smith will draw upon his 30+ years experience as an Emergency Services Physician and psychiatrist with the U.S. Navy and from his private practice. He will present case studies and offer examples of clinical approaches.

#253–    Gambling Problems: The Other “Don’t Ask, Don’t Tell”
    Thomas Broffman, PhD, LICSW, LCDP, LCDS, CEAP
    Level of Instruction:  All
Some facts to consider about gambling and problem gambling: The National Council on Problem Gambling estimates that compulsive gamblers annually cost American  businesses $40 billion in lost wages and insurance claims. Participation in gambling among teenagers is growing three times as fast as among adults. Antidepressant medications, which are commonly prescribed to curb gambling urges, can actually pose a significant risk for triggering mania, including gambling especially if the individual suffers from  manic depression also know as bipolar disorder.  The 1999 National Gambling Impact Study Commission to Congress Report estimates that there are more than 20 million pathological and problem gamblers in the United States. Considering that for every compulsive gambler, five others are affected by the addiction, more than 100 million people are impacted by gambling issues in the United States. This evidence-based, training is intended to provide information about  what is gambling, what are the signs and symptoms of problem gambling, stages of problem gambling, how to assess problem-gambling, impact of problem gambling on families, how to identify problem gamblers, and resources to assist problem gamblers including where to refer.

#254–    Intervening and Treating the Codependent Family System: Resources and Experiential Tools to Improve Outcomes
    Miles Adcox, MS | Supported by Onsite
    Level of Instruction:  All
This presentation aims to discuss the latest thinking around the codependent family system. It will be looking at how one can be creative and use new and holistic techniques in improving the outcomes by taking a systemic approach. We will also be discussing the importance of cooperation and not working in isolation.

#255–    Extended-Release Naltrexone in Alcohol and Opioid Dependence: The Why & How
    Gerald Shulman, Joshua Lee, MD, David Ockert, PhD &David Gastfriend, MD
    Level of Instruction: Advanced
Once-monthly intramuscular extended-release naltrexone (Vivitrol®; XR-NTX), which blocks opioid receptors in the brain, was approved by the FDA in 2006 with an indication in alcohol dependence, and has recently been approved in opioid dependence.  The half of this update will focus on alcohol dependence, including how to implement the use of XR-NTX in public sector programs and in alcohol dependent offenders in both Drug Courts and in newly-released parolees.  Results of commercial insurance database analyses will be summarized that evaluates the cost effectiveness of XR-NTX compared to other approved medications and no medication. The second half of this update will focus on opioid dependence, and will include a summary of the efficacy and safety results from a recently completed double-blind, placebo-controlled study of XR-NTX in 250 opioid-dependent patients following detoxification.  Since long-term antagonist treatment with XR-NTX first requires detoxification, evidence-based strategies for opioid detoxification will be reviewed.

#256–    Is Food the Issue: Feeding Recovery for Individuals and Families with Eating Disorders
    Cindy Elms, RD | A session of The Rosewood Institute – Supported by Rosewood Centers for Eating
    Disorders
    Level of Instruction:  All
When food is both the medicine and the fix, how can recovery happen? Interrupting eating disorder behaviors while also integrating weight restoration, meal planning and resolution of problem eating patterns is a life saving challenge. Many people with eating disorders attempt to control these issues on their own before they seek professional help. By the time they get to a dietician, a person’s meal plan is limited in food choices and their mind is rigid with rules. Empathic curiosity and attunement to the client’s readiness for change, an eating disorder dietician explores erroneous food beliefs as a means of unraveling the connection between food and addiction. The dietician using this approach will present methods for the client with an eating disorder to meet their nutritional needs in a manner they can tolerate long enough to prove effectiveness and safety. Because there is no “right” way, and each client’s recovery is unique, an individualized nutrition approach normalizes a meal plan with a wide variety of food choices. Case presentations will illustrate many nutritional aspects of eating disorder treatment including the use of food challenges to magnify eating disorder rituals, client progress based on nutrition restoration, solutions to problem eating patterns, and situations where the client may require a feeding tube. Beginning to advanced practitioners will learn skills and tools to integrate into any therapeutic setting.


#257–    Creating Positive Outcomes in Treatment through the Blending of Spirituality, Adventure and Family Treatment Programming
Will Boyce, MEd, HHC, Bruce Dechert, M.Ed., LADC, ICADC & Jeremy LeBlanc, BA. Outdoor Experiential Education, Level III | Supported by Mountainside Treatment Center
    Level of Instruction:  All
Addiction treatment has opened up considerably over the years in recognizing that one shoe does not fit all. We must start with recognizing where each individual is in their journey and accept their perspective as where they are. With the developments of brain and outcomes-based research, we now have numerous modalities of treatment available. This presentation will look at the blending of three areas including mind, body, spirit, adventure based counseling, and family program initiatives. The focus of the discussion will be on utilizing these three “legs of the stool” to provide a unique and different approach to treating the individuals and their families.  We recognize that the modalities that we will discuss are not necessarily new in treatment. What we see is how the combination of these perhaps in a different blend allows for an enhanced recovery experience.

3:15 – 4:00 p.m.    Afternoon Break –Exhibit Hall
                    Hosted by C4 Recovery Solutions
4:00 – 5:30 p.m.    Late  Afternoon Workshops

#275–    An Addict’s Life: One Nurse’s Journey
    Joani Gammill, RN, BR 1, CNDAI, CNDCS | Supported by Father Martin’s Ashley
    Level of Instruction:  Intermediate
In my session, I provide a of my family’s history of alcoholism and addiction. Having lost both of my parents to the disease, and nearly succumbing to it myself, I bring to the forefront how genetics plays a strong role in the disease of addiction and how recovery is possible and may even happen in very unexpected ways.  By mapping out my life, I show how the three components of addiction; biology, psychology, and sociology play equally important parts in creating an atmosphere where genetic addiction flourishes. I take the audience through a journey with my parents, my friends, my kids, my struggle with chronic pain from a back injury, and finally how a daytime TV show changed my life.  I very openly and candidly talk about my struggles with depression and the role that has played; I discuss multiple trips to treatment and the relapses that followed; and I share how a very special producer for the Dr. Phil Show, who lost her own mother to drugs, became instrumental in saving my life. As an active addict for more than 34 years, I spent the last 2 and half years working for an inpatient alcohol and drug rehab center as an RN, raising two young children and injecting opiates into my own arm.

#276–     Counselor Wellness: Addiction Professional Heal Thyself!
    John Newport, PhD, CEAP
    Level of Instruction:  All
Addictions treatment is a highly rewarding and a highly stressful profession.  The high rate of burn-out among counselors and administrators results in many highly talented professionals leaving the field.  This is costly to the profession as a whole as well as to treatment programs - both in terms of diminished qualitative outcomes and direct costs of recruiting and training replacement staff. Counselors must take care of themselves to avoid burn-out and maximize their levels of health and vitality.  Unfortunately, many counselors in recovery suffer from dangerous substitute addictions, including nicotine addiction, food addictions, and unresolved co-dependency issues.  In order to serve as effective role models for their clients, counselors need to make personal wellness a high priority in their personal and professional lives. This dynamic, interactive presentation is targeted to addictions professionals and program administrators, therapists, employee assistance programs (EAPs), and anyone concerned with promoting optimal health and well-being among addictions professionals.

#277–    Topics in the Management of Pregnancy and Substance Use Disorders - Part 1
Jacquelyn Starer, MD, FACOG, FASAM, Mishka Terplan, MD, MPH, Catherine Friedman, MD & Marcia VanVleet, MD, MPH | Supported by ASAM Work Group on Women and Substance Use Disorders
    Level of Instruction:  All
This workshop will present screening tools for the pregnant woman,  a review of adverse drug effects on pregnancy including teratology, and the management of substance abusing and addicted women throughout the prenatal, intrapartum and the post-partum period.

#278–    Integrated Experiential Therapy - Engaging the Body, Mind, and Spirit to Disarm Defenses
    Dawn Zurlinden, LCSW, MSSW | Supported by The Ranch
    Level of Instruction:  Intermediate
Description:  It’s been said that addiction is a treatment-resistant disease.  When therapeutically framed, the simple act of physically stepping forward can have the power to shift resistance to willingness.  Suddenly therapy becomes an event, instead of a discussion of an event.  Experiential techniques, integrated with emphasis on the response of the body, promote spontaneous responses that short-circuit intellectualization.  They offer opportunities to take present-moment actions, using the creative capacity of the mind as well as somatic awareness and expression of the spirit.  This session will include demonstration and interactive immersion, providing the environment to experience the effect of varied experiential techniques.  Exercises relevant to specific treatment populations and situations will be explored. Length: 90 minutes

#279–    The Developmental Model as a Foundation for Treating Eating Disorders Part II
    Caryn Attianese, MA, LPC, NBCC | A session of The Rosewood Institute – Supported by Rosewood
    Centers for Eating Disorders
    Level of Instruction: All
Part II of the Developmental Model Training will build on the skills and tools learned in Part I. This interactive, “hands on” presentation will give practical tools to support a client’s movement from the wounded ego, adapted ego state to the functional adult ego state, which is relevant to the client whose decisions seem inappropriate to their chronological age. Participants will learn techniques and assignments to be integrated at any level of care. Beginning to advanced practitioners will have the opportunity to practice new skills to integrate into their primary knowledge base before utilizing them in their clinical settings.

#280–    Social Media – Ethics & Boundaries in Addiction Treatment
    Bobby Ferguson, BA | Supported by Jaywalker Lodge
    Level of Instruction:  Intermediate
Even as therapists and treatment professionals scramble to gain a foothold in the ever-shifting landscape of online networks and social media, new questions are cropping up about where and how ethical boundaries apply to Facebook, Twitter, blogs and other online social networks. This session will provide not only an overview of the issues relating to patient privacy, organizational liability, and professional boundaries, but will also discuss sample policies and guidelines for treatment programs and private practitioners in the world of social networking.

#281–    International Roundtable  (NO APA CEs)
    Johan Sorensen, BA (Hons),  Andrea Barthwell, MD, Sonita Abrams, & Johnny Graff
    Level of Instruction: Intermediate
The topic of the roundtable will be a discussion of where American, European, Middle and Far Eastern policies and practices overlap, and more significantly, differ in the areas of substance abuse prevention and treatment as well as harm reduction efforts.

5:30 p.m.    Exhibits Close

5:30 – 7:00 p.m.    Dinner on your own

7:00 – 8:30 p.m.    Evening Plenary Sessions

#299–    The Fishbowl…an Exercise in Intrinsic Motivation Stimulation by Extrinsic Group Facilitation
    A.J. Moynihan PhD, LRC, LADC-1, CADAC | Supported by Lemuel Shattuck Hospital
The purpose of the workshop is to demonstrate the effectiveness of principles and techniques involved in extrinsic motivation. Extrinsic motivation techniques are a core component of Purposeful Motivational Motivation and this interactive workshop will provide participants valuable experience in the presentation of these clinical skills and reaction of fellow learner’s to this unique experience.
 
8:30 – 9:30 p.m.    Open Mike Jam Session 
    Bring your voice, your instruments, or just yourself
    for some much needed relaxing, spontaneous
    musical fun!  Light Snacks and Coffee provided.

9:30 p.m.    12 Step Hospitality Room Closes








SATURDAY, September 10
RECOVERY WEEKEND!

6:00 a.m.    Hospitality Room Opens
    Coffee & Tea Available All Day in the Caron Café
                    Hosted by Caron Treatment Centers
7:00 a.m.    Meet for Fun Run/Walk—4.6 Miles
    Bordering Nantucket Sound
                    Hosted by Gosnold on Cape Cod
7:30 a.m .    Continental Breakfast – Exhibit Hall

8:00 a.m.    Registration - Barnstable II

8:45 a.m. – 10:15 a.m.    Morning Plenary

#300–    Treating tobacco addiction in substance abuse treatment settings: Identifying benefits, challenges, and interventions that work
    Douglas Ziedonis, MD, MPH | Supported by UMass Medical School & ATTOC Training Institute
    Level of Instruction:  All
Tobacco addiction is the leading cause of increased morbidity and mortality in the United States. About 60 to 95% of individuals entering addiction treatment settings are dependent on tobacco, and even staff who work in publicly funded addiction treatment programs are twice as likely as individuals in the general population to have tobacco dependence. Use of tobacco within addiction treatment settings has often been accepted without hesitation or even actively reinforced.  However, recent research studies show that treatment of tobacco addiction can be successfully integrated into addiction treatment, not worsen recovery, and allow for additional health benefits. During this plenary session, Dr. Doug Ziedonis will draw on his extensive experience in the US and abroad to discuss how we as addiction treatment providers can integrate tobacco addiction treatment into our work through better treatment interventions, staff training and recovery, effective communication, and restrictions on tobacco use.

10:15 – 10:45 a.m.    Morning Break –Exhibit Hall
                    Hosted by Gosnold on Cape Cod
10:45 a.m. – 12:15 p.m.    Morning Workshops


#301–    Does Pot Kill Brain Cells?
    Reinhard Straub, LICSW, LCDCS | Supported by Clinical Services of Rhode Island, Inc.
    Level of Instruction:  Introductory - Intermediate
Despite being the most used and abused illegal substance, many educators, clinicians, parents and users aren’t aware of the facts re Cannabis.  Adolescent and adult Cannabis use is not taken as seriously when compared  to alcohol and “hard drug” use.  This program will provide practitioners with specific facts and best practice clinical strategies that can be immediately employed in practice regardless of specialty, training or philosophy of treatment.

#302–    Using Elements of Dialectical Behavior Therapy to Increase Parents Effectiveness in their Child’s Recovery
    Alisa Kriegel, PhD | Supported by Center for Living
    Level of Instruction:  Introductory - Intermediate
This presentation will review some of the basics of Dialectical Behavior Therapy and see specifically how it is used to coordinate care with Adolescents and Young Adults and their family. It will discuss in detail a model used in which adolescent and young adults in recovery receive DBT skills training as well as their parents.

#303–    Creation of a Suboxone Clinic in a General Med-Surg Hospital.  “Build it? They will come”
    Kenneth Freedman, MD, MS, MBA, FACP, FASAM, Ana Cecelia, RN & Ron Jacobs, RN, BS | Supported
    by Lemuel Shattuck Hospital
    Level of Instruction: Intermediate
This workshop will present a new perspective on the issue of Developing a Suboxone Clinic in a General Medical Hospital.  The emphasis will be on identifying the procedures required to initiate the process of starting a clinic to serve individuals who suffer from Opioid /Opiate Dependence.  Research presented will demonstrate how the use of OBOT as an intervention available to individuals who are hospitalized for medical diagnoses, can facilitate movement from the pre and contemplation stages into the action stage, thereby promoting recovery earlier in the usual time frame of the discharge process.  In addition, growing the clinic to serve the out-patient population will be addressed.  Challenges and barriers to implementation as well as the process used to instill vision and hope for this initiative will be presented by clinic nurses.

#304–    Topics in the Management of Pregnancy and Substance Use Disorders Description: Part 2
Jacquelyn Starer, MD, FACOG, FASAM, Mishka Terplan, MD, MPH, Catherine Friedman, MD & Marcia VanVleet, MD, MPH | Supported by ASAM Work Group on Women and Substance Use Disorders
    Level of Instruction:  All
This workshop will present screening tools for the pregnant woman, a review of adverse drug effects on pregnancy including teratology, and the management of substance abusing and addicted women throughout the prenatal, intrapartum and the post-partum period. The neonatal effects of opioids and other drugs and its management will be reviewed.

#305–    DBT Unplugged: Not Dumb Boring Therapy
    Libby Neal, MA, LPC | A session of The Rosewood Institute – Supported by Rosewood Centers for
    Eating Disorders
    Level of Instruction: All
Dialectical Behavioral Therapy is an effective, evidence based therapy designed to treat individuals with complex, chronic, self harming diagnosis. Unfortunately, people suffering with eating disorders and addictions often refer to DBT as “dumb, boring, therapy”. While the intensive skills may be challenging to understand, they may be more difficult for the person who has an eating disorder to understand as they battle poor brain functioning due to chronic malnutrition. DBT includes valuable skills needed for recovery and the challenge is to make the material immediately accessible, rather than postpone the skills for later into treatment.  This presentation will combine humor and eating disorder based anecdotes with the therapeutic skills of core mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. Beginning to advanced practitioners will learn clear and practical skills for working with adults suffering with addictions and eating disorders. These hands on techniques can be integrated into any clinical or school setting.

#306–    Detox...Then What?
    Greg Jones, MD | Supported by Willingway Hospital
    Level of Instruction:  All
Dr. Jones will list and explain drugs of abuse requiring Detox.  He will elaborate on the dangers of each chemical and the clinical benefits for detoxification.  Dr. Jones will illustrate the reward pathway of the brain and discuss how this area of the brain is a key factor in understanding addiction as a brain disease.  He will also discuss safe vs. harmful pharmacotherapys and how acceptable medications for mental health issues are relapse traps for chemically dependent clients.  Dr. Jones will show neurophysiological evidence of physical, emotional, and cognitive challenges the chemically dependent client will face in early recovery.  He will also discuss clinical techniques and effective interventions the clinician can use in working with addicted clients.

12:15 – 1:45 p.m.    Luncheon & Round Table Discussion–Bass River
A complimentary plated lunch will be provided but registration is required.

#350–    Safe Buprenorphine Prescribing: Maximizing Access and Quality while Minimizing Diversion
    Daniel Alford, MD, MPH | Supported by Boston University School of Medicine and Boston Medical
    Center
    Level of Instruction: All
The luncheon discussion will focus on the safe and effective use of buprenorphine to treat opioid addiction in office-based settings. The talk will briefly review safety and efficacy data as well as current epidemiologic data on buprenorphine diversion and give practical guidance on safe prescribing and monitoring.
              Luncheon is hosted by an unrestricted educational grant from Reckitt Benckiser
1:45 – 5:30 p.m.    All Afternoon Workshops

#351–    Bottles, Brains and the Twelve Steps
    James Montgomery, MD | Supported by Pine Grove
    Level of Instruction:  All
Bringing together understanding distilled from Attachment Theory, Addiction treatment and from fields that parallel in human behavior and neurobiology, this presentation seeks to validate scientific principles of treatment and recovery that have been accepted for decades. Using parallel data from multiple disciplines, it will review science, common principles and the principles of the Twelve Steps in a perspective that superimposes neurobiological function and data on observed understanding of the principles and practices of recovery. The result is a conceptual understanding of the Twelve Steps and the principles of Recovery as a developmentally and neurobiologically sound process. The goal is to offer the professional a means to understand and value the principles of recovery from a scientific viewpoint, as well as to distill a large amount of literature into a capsule that can be shared with patients.

1:45 – 3:15 p.m.    Early Afternoon Workshops

#352–    Relapse and the Wounded Physician
    Kenneth Thompson, MD & Greg Gable, PsyD | Supported by Caron Treatment Centers
    Level of Instruction:  Intermediate - Advanced
Research and treatment reports indicate that an increasing percentage of health professionals referred for treatment for substance use disorders also present significant comorbid psychiatric/psychological problems, both on Axis I and Axis II. Research on physicians has also found that relapse is higher in physicians with co-morbid psychiatric issues including Axis II disorders.  Further research has suggested that those physicians with a strong family history of addiction increases relapse risk raising perhaps more than just genetic concerns but also unresolved family of origin issues.  It is important to identify these co-occurring issues not so much to make a diagnosis, but to use these issues to direct a solution.

#353–    Massachusetts Home Detoxification Model: An Integration of Public Health & Primary Care
    Punyamurtula Kishore, MD, MPH, FASAM | Supported by Preventive Medicine Associates Inc.
    Level of Instruction:  All
This presentation will contrast the emerging Massachusetts Model to the established Minnesota Model.  Theoretical constructs underpinning the model will be explored.  Insurers’ and consumers’ perspectives will be presented.  Solutions to the problems encountered during the development of the program will be discussed.

#354–    The Neurobiology of Addiction and Recovery
    Jeffrey Friedman, MHS, LISAC, CCGCF | Supported by Cottonwood Tucson, Inc.
    Level of Instruction: Intermediate
This 90-minute workshop describes the mechanism of action in the brain of the major substances of abuse and how the use of these substances can impair the brain’s natural ability to make and maintain a euthymic mood and sooth distressful feelings.  Causes and conditions most optimal to healing a brain whose functioning has been impaired by the use of one or more of the major substances of abuse will be described in detail.

#355–    The Trauma Connection: Eating Disorders, PTSD, and Comorbidity
    Timothy D. Brewerton, MD, DFAPA, FAED | A session of The Rosewood Institute – Supported by
    Rosewood Centers for Eating Disorders
    Level of Instruction:  All
This workshop will benefit scientists and practitioners who want to understand how trauma and PTSD influence and complicate the course and treatment of eating disorders.  Estimates indicate that at least 1 in 3 women in the United States will experience physical or sexual violence in her lifetime, and traumatization is associated with the emergence or worsening of multiple psychiatric symptoms and diagnoses, including substance use disorders.  Thus, traumatized individuals are likely to present with complicated clinical presentations for which there is currently no single treatment of choice. This workshop will provide an overview of the research aimed at understanding the relationship between trauma, PTSD, eating disorders, and comorbidity. Taken together, these findings indicate that traumatic experiences and subsequent PTSD are important risk factors in the development of ED’s, particularly bulimia nervosa (BN), anorexia nervosa, binge-purge type, (AN-BP), binge eating disorder (BED) and EDNOS with purging, as opposed to restricting anorexia nervosa (AN-R). ED patients with a history of maltreatment, especially during childhood, are also more likely to have comorbid psychiatric illnesses, including affective, anxiety, substance use, disruptive, somatoform, dissociative and personality disorders, as well as extreme obesity.

#356–    The Art and Science of Healing
    Cardwell Nuckols, PhD | Supported by Little Creek Lodge
    Level of Instruction:  All
Experience the awareness and awakening of your healing SELF in this powerful program for those who are seeking spiritual growth and enhanced healing potential. Become aware during this interactive process of your own true healing self and how your spiritual evolution enhances the spiritual, psychological and neurobiological healing of those you work with. This course of action will lead one to the truth about meditation-a space having no center, no direction and no time, only the silence of the eternal SELF.

3:15 – 4:00 p.m.    Afternoon Break –Exhibit Hall
                    Hosted by C4 Recovery Solutions
4:00 – 5:30 p.m.    Late Afternoon Workshops

#375–    Practical Strategies for Treatment of Comorbid Borderline Personality Disorder and Substance Abuse
    William Huang, MD, | Supported by Promises Treatment Centers
    Level of Instruction:  All
Studies show that comorbidity of borderline personality disorder and substance abuse results in worse substance abuse as well as more psychopathology, self-destructive behaviors, suicidal thoughts, and medical and legal problems. This presentation will provide practical strategies for treating patients with comorbid borderline personality disorder and substance abuse at multiple levels of care.

#376–    Counseling for Medication-Assisted Recovery: Challenges, Tools, and Tips
    Gary Blanchard, MA, LADC1 | Supported by Positive Path Counseling Center
    Level of Instruction: All
Participants will explore the challenges related to counseling clients involved in medication-assisted treatment, including attitudes of the counselor and the client, differing goals for recovery, and forming alliances with prescribers. A number of techniques and tips will be discussed, including use of Motivational Interviewing, forming alliances, and effective tools for continuing recovery. Gary will also have a question and answer period with assistance from Dr. James Finley, a Board Certified Addiction Specialist.

#377–    Achieving Better Outcomes with the Support of Web Based Client Management Systems
    David Abrams, CDIA+ & Bob Lynn, EdD | Supported by Caseworks Web & C4 Recovery Solutions
    Level of Instruction: All
What is client driven care and why is this important in relation to enhancing outcomes?  How may client driven treatment systems be developed that utilize electronic processes to track and manage data? Your organization can obtain internal quality improvement with regard to staff performance, manage compliance requirements, and better utilize finite resources through the use of an EHR system. In the addictions field outcomes mean different things to different people.  We will start with a description of outcomes to frame our discussion and proceed with a history of the field in order to underscore the need for outcomes and real time data management with an electronic system. Attendees will be exposed to concepts such as the benefits of automated workflow, authorization tracking and client chart management. Reporting tools may be used to measure program effectiveness both internally and externally.  A discussion of stimulus reimbursement by demonstrating meaningful use of electronic health records in compliance with the HITECH Act will help Providers understand requirements and potential funding available to offset the cost of adopting a certified health IT system where applicable.

#378–    Living Out Loud: Psychodrama Sculpts a Recovery
    Hunter Taylor, MS, LMLP, LCP | A session of The Rosewood Institute – Supported by Rosewood
    Centers for Eating Disorders
    Level of Instruction:  All
Psychodrama experiential approaches are essential to the eating disorder population because they facilitate a much needed journey into feelings. These techniques have a long tradition of effectiveness for people with eating disorders as they support the difficulty a person with an eating disorder has accessing emotions, which reduces barriers to recovery. The open minded practitioner can use these visual and action oriented techniques to help their client “breakthrough” defenses and provide “a picture” of unresolved core issues. After a brief introduction to psychodrama, practitioners will observe a family sculpt, then learn techniques such as empty chair, roles, inner child, anger discharge approaches, grief work, and the use of props. Important to the discussion will be how to work with trauma without “re-traumatizing” your client. Beginning to advanced practitioners will gain powerful skills to integrate these techniques into any clinical setting.

#379–    The Evolution of Addiction Treatment for Women
    Kendra Marien, MSW, LICSW, CCDP-D & Susan Moitozo, MEd, LADC 1 | Supported by Spectrum
    Health Systems, Inc
    Level of Instruction:  All
Traditional addiction treatment programs were largely designed “by men, for men” and have required significant enhancements to effectively treat women. The general profile of a woman in addictions treatment typically includes caregiver responsibilities, involvement in the criminal justice system, domestic violence, trauma, mental illness, health problems, poverty and marginalization. This workshop will provide a brief history of women’s addiction with focus on the evolution of treatment philosophies and societal views of the female addict. We will examine the impact these philosophies and views have had and will continue to have on program design, access, and treatment outcomes for women.    Strategies used to enhance women’s treatment outcomes at a co-educational modified therapeutic community will be presented.

#380–    NE Chapters of ASAM Meeting
New England Chapters of ASAM Meeting.  All physicians and others interested in discussing ASAM business and updates on addiction medicine from around the New England Region are encouraged to attend.  There will also be a discussion of the 2012 NE-ASAM additions to the CCSAD program.  Come meet your colleagues.  ASAM membership not required.   A brief Chapter meeting will follow for individual groups.

5:30–7:30 p.m.    Dinner on your own

6:00 p.m.    Exhibits Close

7:30–9:30 p.m.    Evening Workshops

#398–    “Moments”  The History of Alcoholics Anonymous
    William McNiff, Certified Drug and Alcohol Counselor | Supported by Icons Anonymous
    Level of Instruction:  All
Internationally known writer and actor Bill McNiff will deliver a dramatic monologue illuminating the life and recovery of Bill Wilson, the co-founder of Alcoholics Anonymous and the history and development of the A.A Twelve Step Program of Recovery.
In “Moments” Bill Wilson is brought to life, on stage, in a one-man, dramatic presentation, telling his story to a fictitious A.A. group (the audience) drawing them into the mind of a man who figured he would die or go insane from alcohol until he had a remarkable vision in a lonely hospital bed and A.A.had its beginning.
In 1995 a video was produced by the Hazelden Group, co-sponsored by the Betty Ford Center and it continues to be used in treatment plans by many of the leading treatment facilities throughout the United States and Canada.
#399–    “New England Chapters of ASAM Lobsterbake”
        Hosted by the New England Chapters of ASAM and Right Turn, Inc.
“An evening with Simon Kirke”
Join us for an evening with British musician Simon Kirke. Simon is one of the founding members of FREE, BAD COMPANY, and THE RINGO STARR ALL STAR BAND. He has worked with Wilson Pickett, Bo Diddley, Ray Charles, and Jerry Lee Lewis, Led Zeppelin, Keith Richards, Eric Clapton, and Ronnie Wood of the Rolling Stones.   Simon will speak about his personal experience with treatment from addictions along with an acoustic performance of his hits and a few songs from his 2005 release SEVEN RAYS OF HOPE, songs about hope and recovery from addiction.  He speaks of his experiences working alongside ground breaking musicians with a music career spanning four decades of rock music. Simon will provide testimony of the devastation of addiction and creativity. Simon will be available for questions and answers following his appearance.
 
Registration Required. Come casual and enjoy and evening on the Cape! $65 per person – everyone welcome!

9:00 p.m.    12 Step Hospitality Room Closes

SUNDAY, September 11
6:00 a.m.    12 Step Hospitality Room Opens
    Coffee & Tea Available All Day
                    Hosted by Caron Treatment Centers
7:30 a.m.    Registration- Barnstable II

8:00 a.m.  – 8:30 a.m.    Continental Breakfast–Exhibit Hall
                    Hosted by C4 Recovery Solutions
8:30 a.m.–10:00 a.m.    Morning Plenary

#400–    Multidisciplinary Collaboration in Addiction Treatment:  Our Professional Responsibility
    Judith Landau, MD, DPM, LMFT, CAI, BRI II | Supported by Linking Human Systems
    Level of Instruction:  All
In the United States, up into the 1980s, health professionals treated patients from a biopsychosocial perspective. Since then, due to changing insurance practices and socioeconomic climate (as well as an enormous increase in detailed knowledge and specialization), practitioners have been driven towards a reductionist approach to treatment. Specialization and economic pressures have encouraged competition rather than collaboration, isolating practitioners and dividing patients into body parts.  Presently, the necessity of diagnosing one particular issue related to one particular part of one particular patient has resulted in a fragmentation of services and a decrease in collegial, collaborative thinking across disciplines. More and more, we hear that the “mental health field doesn’t understand addiction and vice versa.” As the topics related to addiction burgeon, we are becoming more aware of the complexity of issues facing our patients and the importance of working at the interface between addiction, neurobiology, physical and mental health, and family. In order to accomplish this, we need to rebuild our approach as cross-disciplinary teams, supporting one another in staying abreast of the latest in our respective, constantly changing fields and in providing comprehensive care to our patients. It is urgent that we start working and learning together. This presentation will explore cross-disciplinary challenges in the addiction field, with particular focus on current issues such as MTBI and returning veterans. It will include topics that require us to collaborate with one another and to be open to sharing and learning from each other’s fields.

#401–    Opioid Dependency - Management of short-, intermediate- and long-term detoxification. Patient Selection and Strategies for Success
    Alan Wartenberg, MD | Supported by The New England Chapters of ASAM
    Level of Instruction:  All
This workshop is intended for physicians, nurses, NP’s and PA’s who are interested in learning the basics of brief, intermediate and long-term treatment of patients with opioid dependency.  Counselors, therapists and administrators working with these populations may also be appropriate for this workshop.   The presenter, who has experience with therapeutic community treatment, methadone maintenance, inpatient and outpatient use of buprenorphine, as well as brief inpatient 12-step oriented hospital-based detoxification, will present the technical aspects of these treatments.  More importantly, discussion of patient-treatment matching, in terms of which patient is more appropriate for which treatment, will be emphasized.

10:00–10:30 a.m.    Coffee Break & Grand Prize Raffle –Exhibit Hall
                    Hosted by  C4 Recovery Solutions
10:30 a.m. – 12:00 noon.    Closing Plenary

#425–    Treatment of Clients with PTSD and Comorbid Psychiatric and Substance Abuse Disorders:
The Need for an Integrative Treatment Approach
    Donald Meichenbaum, PhD | Supported by Seabrook House
    Level of Instruction:  All
Substance abuse disorders are prevalent among individuals with  psychiatric disorders. Dr. Meichenbaum will discuss how to provide integrative treatment and offer a Case Conceptualization Model that informs assessment and treatment decision-making. He will provide a set of Consumer Guidelines that can be used to compare and evaluate Treatment Centers and he will demonstrate how to implement the CORE TASKS of PSYCHOTHERAPY . He will highlight how to increase the long-term efficacy ( generalization and maintenance ) of treatment effects. A major focus will be on “ how to” treat patients with such comorbid psychiatric disorders as PTSD , Depression/suicidality, and personality disorders. What do “ EXPERT” therapists do and how well does your treatment program compare?

#426–    Sedative-hypnotic Dependency - Strategies to successfully get patients detoxified effectively and safely from benzodiazepines and other sedative-hypnotic drugs
    Alan Wartenberg, MD | Supported by The New England Chapters of ASAM
    Level of Instruction:  All
This workshop is intended for physicians, nurses, NP’s and PA’s who are interested in learning the basics of several different strategies to wean patients from these drugs without the risk of seizures and delirium, and minimizing the likelihood of relapse.  Counselors, therapists and administrators working with these populations may also be appropriate for this workshop.  The risks to these patients are often underestimated, particularly in programs using older treatment protocols  not based on the level of the patients’ dependency.  The use of a variety of techniques that may be appropriate to different patient sub-types will be emphasized.

12:00 noon    Main Symposium Ends

12:00 noon    Exhibits Close

POST-SYMPOSIUM

12:00–1:00 p.m.    Buffet Lunch
Post-Symposium Registrants ONLY

1:00–5:00 p.m.     Post-Symposium Workshops

#500–    Adolescents with Co-occurring Disorders: Effective Techniques for Engagement, Intervention, and Treatment.
    Geoff Wilson, LCSW, CADC
    Level of Instruction: Intermediate
This interactive workshop will provide a framework for working effectively with adolescents diagnosed with co-occurring disorders. Critical elements of adolescent development and assessment will be reviewed. Various intervention techniques and their role in the pre-treatment process will be discussed. A review of evidence-based treatment approaches will be highlighted, with specific emphasis on skill building techniques for individual, group, and family treatment.

#501–    Microwave Version of Motivational Interviewing
    Thomas Broffman, PhD LICSW LCDP LCDS CEAP & Brenda Westberry, MS
    Level of Instruction:  All
Motivational Interviewing is client-centered, based on dual expertise and is an alternative to the confrontation of denial technique.  MI is an evidence-based practice consistent with the recovery model and strengths based practice perspective. This Motivational Interviewing course will provide participants with insight into people¹s intrinsic motivation to accept & maintain recovery. MI is a person-centered, directive method for enhancing intrinsic motivation to change by exploring & resolving ambivalence while not increasing resistance to change.  This therapeutic skills-based course will address how to guide people to recovery, how to engage people into SA treatment services, who are often mandated, reluctant or not interested and how to tap into the resources in your community to assist people on the pathway to maintaining & sustaining recovery.  Participation in group exercises and experiential exercises (role play) are expected of all participants.

3:00–3:30 p.m.    Afternoon Break
                    Hosted by C4 Recovery Solutions
5:00 p.m.    Post Symposium Concludes

Who Should Attend?
Psychiatrists, Physicians, Dentists, Lawyers, Psychologists, Nurses,  EAP Personnel, Psychiatric Social Workers, Marriage and Family  Therapists, Alcohol and Drug Counselors, Mental Health Counselors, Rehabilitation Counselors, Educators. Anyone whose life has been touched by the addictive process.

Satisfactory Completion
In order to receive a continuing education certificate, the following must be met: 1) registration fee must be paid; 2) each session attended must be attended in its entirety and 3) an attendance/evaluation form must be completed and turned in prior to leaving the symposium. Participants not fulfilling these requirements will not receive a certificate. Failure to complete and turn in the attendance/evaluation form will result in forfeiture of credit for the entire symposium. No exceptions will be made. CE certificates will be sent after the Symposium or posted on the internet at www.cmehelp.com.

ADA Statement
 ADA accommodations will be made in accordance with the law. If you require ADA accommodations, please indicate your needs by August 5, 2011. We cannot ensure the availability of appropriate accommodations without prior notification.

Continuing Education Sponsored By
AMEDCO, C4 Recovery Solutions, Lemuel Shattuck Hospital,
Massachusetts School of Professional Psychology, NAADAC, IAEDP (The International Association of Eating Disorders Professionals), The American Academy of Health Care Providers in the Addictive Disorders

CE INFORMATION
Alcoholism and Drug Abuse Counselors –  Application submitted to the Massachusetts Board of Substance Abuse Counselor Certification (MCVCAC/ MBSACC). MBSACC is a member of the IC & RC (International Certification & Reciprocity Consortium). See www.ccsad.com/education for the latest info.

American Academy of Health Care Providers in the Addictive Disorders – Approved for up to 31 CE Credit Hours towards the CAS credential.

Certified Eating Disorders Specialist (CEDS) – iaedp has approved The Rosewood Institute sessions for 1.5 hrs (3 hrs for #107) each of eating disorders specific continuing education for iaedp certification renewals, and approved supervisor renewals, for up to a maximum of 13.5 hours. 

Certified Eating Disorders Registered Dietitian (CEDRD) –  iaedp has approved The Rosewood Institute sessions for 1.5 hrs (3 hrs for #107) each of eating disorders specific continuing education for iaedp certification renewals, and approved supervisor renewals, for up to a maximum of 13.5 hours. 

Chemical Dependency Counselors – This course is co-sponsored By NAADAC and C4 Recovery Solutions. Approved Education Provider Program for a maximum of 31 Contact Hours, Approval #000507. This course deals with Counselor Skill Groups: Ongoing Treatment Planning, Counseling Services.

CCMHC – (Certified Clinical Mental Health Counselor) – This course is co-sponsored by the Massachusetts School of Professional Psychology & C4 Recovery Solutions. The Massachusetts School of Professional Psychology is recognized by the National Board for Certified Counselors to offer continuing education for National Certified Counselors and category 1 CE Credits for LMHCs. The Massachusetts School of Professional Psychology adheres to NBCC’s continuing education guidelines. (Provider Number 5678).

Educators – The Massachusetts School of Professional Psychology is approved by the Commonwealth of Massachusetts to offer Professional Development Points (PDPs).  (Provider Number 5-0416-999).

Employee Assistance Professionals –  Application has been submitted to EACC for up to 31 PDHs. See www.ccsad.com/education for the latest info.

MAC – (Master Addictions Counselor) – This course is co-sponsored by the Massachusetts School of Professional Psychology & C4 Recovery Solutions. The Massachusetts School of Professional Psychology is recognized by the National Board for Certified Counselors to offer continuing education for National Certified Counselors and category 1 CE Credits for LMHCs. The Massachusetts School of Professional Psychology adheres to NBCC’s continuing education guidelines. (Provider Number 5678).
 
Marriage and Family Therapists – Application has been submitted for professional continuing education of up to 31 hours.  See www.ccsad.com/education

Mental Health Counselors – This course is co-sponsored by the Massachusetts School of Professional Psychology & C4 Recovery Solutions. The Massachusetts School of Professional Psychology is recognized by the National Board for Certified Counselors to offer continuing education for National Certified Counselors and category 1 CE Credits for LMHCs. The Massachusetts School of Professional Psychology adheres to NBCC’s continuing education guidelines. (Provider Number 5678).

NCC – (National Certified Counselor) – This course is co-sponsored by the Massachusetts School of Professional Psychology & C4 Recovery Solutions. The Massachusetts School of Professional Psychology is recognized by the National Board for Certified Counselors to offer continuing education for National Certified Counselors and category 1 CE Credits for LMHCs. The Massachusetts School of Professional Psychology adheres to NBCC’s continuing education guidelines. (Provider Number 5678).

Nurses – This course is co-sponsored by Lemuel Shattuck Hospital and C4 Recovery Solutions. Please see www.ccsad.com for the maximum number of CE Contact hours (computed on the basis of the 50-minute hour.) available.*CE Contact Hours for nurses will be computed on the basis of the 50-minute hour.

Psychologists – This course is co-sponsored by Amedco and C4 Recovery Solutions.  Amedco is approved by the American Psychological Counseling Association to offer continuing education for psychologists.  Amedco maintains responsibility for this program. Maximum of 31 Hours

Physicians – See www.ccsad.com for more information

Professional Counselors – Pending Approval  See www.ccsad.com/education for the latest info.

Rehabilitation Counselors –  Application has been submitted to the NBCC for up to 31 CEs,    see  www.ccsad.com/education for the latest info

Social Workers –  Application has been submitted to NASW for up to a maximum of 31continuing education clock hours for attending all events. Provider ID #886477728.
CCSAD Program Goals & Objectives
Goals – to increase participants’ awareness, knowledge and skills related to effective substance use or abuse prevention, treatment and recovery, program administration and system development.

Objectives – participants will be able to: apply clinical skills from a broad range of professional core functions including assessment, therapeutic approaches; cite advances in the addiction field resulting from research and practice innovations; and discuss key issues such as cultural diversity, gender issues, sexual orientation and age-specific differences in relation to clinician/client interaction.

Hotel Registration Information
Resort & Conference Center at Hyannis (formerly the Four Point by Sheraton – New Management - $15 Million Renovation!

35 Scudder Ave., Hyannis, MA 02601
Telephone (508) 775-7775 or (866) 828-8259.

Located within walking distance of downtown Hyannis and the historic Hyannis waterfront, the amenities include restaurant and lounge, indoor and outdoor pools, whirlpool, 18-hole executive golf course, fitness center, tennis courts, and the Spa at Atlantis, offers complete spa and salon services. All guestrooms have been updated with coffeemaker, hair dryer, iron and ironing board, 32” plasma TV, complimentary wireless internet, refrigerator and new bedding. The Resort & Conference Center at Hyannis is also just three miles from the Barnstable Municipal Airport. Room rates are $140 single and double plus 9.7% state and local tax. A block of guest rooms is being held at the group rate until August 10, 2011. Please note that the number of rooms being held may be sold out prior to this date. We encourage you to make reservations early to ensure group rate and availability. Please call the Hotel’s Reservations Office at (508) 775-7775. Be sure to mention that you will be attending the Twenty-Third Cape Cod Symposium on Addictive Disorders in order to receive the special Symposium rate.  If an individual sleeping room is cancelled within 72 hours prior to arrival or guest does not arrive on date specified, they will be billed for one night’s room and tax. Please be advised that when a guest no-shows, the reservation drops out of the system and is not automatically reinstated.

Getting to the Hotel
Those booking flights may wish to indicate Hyannis (Barnstable Municipal Airport) as their final destination, as the major airlines have connecting flights from Boston to Hyannis. As an alternative the Plymouth & Brockton Street Railway Co. offers hourly bus service from your terminal at Boston’s Logan Airport to Hyannis for about $39.00 RT. Fare and Schedules: General Offices: 508 746-4795  or  http://www.p-b.com/

From Boston – Logan Airport:
Follow Route 93 South to Route 3 South to the Sagamore Bridge onto Route 6 East. Follow Route 6 East to Exit 7. Take a left at the end of the exit. Continue straight through the set of lights to the end. Take a right and continue straight to the end of Main Street until you reach a rotary (traffic circle). Take the 3rd exit just after the Paddock Restaurant. Resort and Conference Center at Hyannis will be on your left.

From Western Massachusetts:
Follow Route 495 South to Route 25 East to the Bourne Bridge and merge onto the rotary (traffic circle). Take the 4th exit off the rotary (IHOP will be on your left). Follow until you reach a set of traffic lights. Take a right at the lights onto Route 6 East. Follow Route 6 East to Exit 7. Take a left at the end of the exit and continue straight through set of lights to the end and take a right. Continue straight to the end of Main Street until you reach a rotary (traffic circle). Take the 3rd exit just after the Paddock Restaurant. Resort and Conference Center at Hyannis will be on your left.

From New York, Connecticut and Rhode Island:
Follow Route 95 North to Route 195 East to Route 25 to the Bourne Bridge. At the rotary (traffic circle) take the 4th exit (IHOP will be on your left). Follow until you reach a set of traffic lights. Take a right at the lights onto Route 6 East. Follow Route 6 East to Exit 7. Take a left at the end of the exit and continue straight through set of lights to the end and take a right. Continue straight to the end of Main Street until you reach a rotary (traffic circle). Take the 3rd exit just after the Paddock Restaurant. Resort and Conference Center at Hyannis will be on your left.

From Falmouth:
Follow Route 28 South to the Mashpee Rotary. Take your 2nd exit off the rotary following the signs to Hyannis. Follow Route 28 for approximately 12-14 miles (you will travel through 4 sets of lights). Just before the 5th light merge to the right off of Route 28 to West Main Street. Follow West Main Street to the end and take the exit just after the Paddock Restaurant. Resort and Conference Center at Hyannis will be on you left.

Airports:
Logan Airport (Boston, MA)
TF Green Airport (Providence, RI)
Barnstable Municipal Airport (Hyannis, MA)

Buses Serving Hyannis Area:
Plymouth & Brockton – (508) 746-0378
Taxi /Limo Services:
Cape Coach Taxi – (508) 790-8008
Executive Taxi – (508) 776-3379
Town Taxi – (508) 771-5555
Cape Destinations – (866) 760-2555
Carriage House Limousine, LLC (508) 432-6996
Car Rentals:
Thrifty – (508) 771-0450
Enterprise – (508) 778-2205
Budget – (508) 791-0163


To Register, please complete this form and forward with payment by mail or
fax with credit card information to:

AMEDCO, Cape Cod Registration Dept, 90 County Rd C West #300, St. Paul, MN 55117
1-651-789-3743 | Fax: 1-651-489-3387 | Email questions to: ccsadhelp@c4events.net

Main Symposium (Thursday evening – Sunday noon)

Thursday, September 8, 2011
Opening Plenary & Dessert Reception — 199  (Circle if attending. If you do not mark, you will be unable to attend this event.)

Friday, September 9, 2011
ALL morning Workship --- (choose one) ----   200  or  201  OR
Early Morning Workshop — (choose one) — 202  or  203  or  204  or  205  or  206  and
Late morning Workshop — (choose one) — 220  or  221  or  222  or
Luncheon  Plenary ----  250 (Circle if attending. If you do not mark, you will be unable to attend this event.)
ALL afternoon Workshop — (choose one) — 251  OR
Early afternoon Workshop — (choose one) — 252  or  253  or  254  or  255  or  256  or  257  and
Late afternoon Workshop — (choose one) — 275  or  276  or  277  or  278  or  279  or  280  or  281
Evening Plenary — 299
Jam Session   (Circle if attending.)

Saturday, September 10, 2011
Morning Plenary — 300  and
Morning Workshop — (choose one) — 301  or  302  or  303  or  304  or  305  or  306
Luncheon — 350 (Circle if attending. If you do not mark, you will be unable to attend this event.)
ALL afternoon Workshop — (choose one) — 351  OR
Early afternoon Workshop — (choose one) —351  or  352  or  353  or  354  or  355  or  356  and
Late afternoon Workshop — (choose one) — 375  or  376  or  377  or  378  or  379  or  380
Evening Workshop — (choose one) — 398  or  399
(#399 - Physicians’ Dinner: Extra $65 fee applies per person.)

Sunday, September 11, 2011
Early Morning Plenary — (choose one) — 400  or  401
Closing Plenary — (choose one) — 425  or  426

Options
Pre –Symposium
Thursday, September 8, 2011
All Day Workshop — (choose one) — 100,  101,  or  102  OR
Morning Workshop — 103  or  104  and
Afternoon Workshop — 105,  106,  or  107

Post -Symposium
Sunday, September 11, 2011
Luncheon (Check if attending. If you do not mark, you will be unable to attend this event. Post Symposium registrants only.)
Post -Symposium Workshop — (choose one) — 500  or  501

Symposium Registration Fees

A Symposium Registration (Thursday evening – Sunday noon) includes all presentations, the Opening Reception, all Coffee/Beverage Breaks, Breakfast, the Fun Run/Walk, and Saturday luncheon.

Main Symposium (Thursday Evening – Sunday Noon)    Non-Physician    Physician
    Early Registration through 8-08-11         $ 355    $ 415
    Registration On / After 8-09-11             $ 420    $ 495
Special Rates                 Non-Physician    Physician
Group Rate (3 or more registrations at the same time – Symposium only)
    Early Registration through 8-08-11         $ 335    $ 365
    Registration On / After 8-08-11             $ 395    $ 460

    Spouse    $ 260      Symposium – Thursday pm through Sunday noon only – No CEUs

    Student    $ 180      Symposium – Thursday pm through Sunday noon only – No CEUs
Physicians’ LobsterBake Dinner (per person)     $ 65   

Pre-Symposium (#102 – 106) (Thursday 8:30 – 5:00)    $ 125   
Post-Symposium (Sunday 12:00 – 5:00 includes lunch)    $ 60
Total Registration Fee Enclosed  $ ______________

Name Badge Please print your name, credentials, organization, city and state
as you wish them to appear on your name badge:
Name __________________________________________________________________________
Credentials ______________________________________________________________________
Organization _____________________________________________________________________


Mailing Address
Street ___________________________________________________________________________
City/State/Zip ____________________________________________________________________
Phone ____________________________________ Fax: __________________________________
E-Mail ___________________________________________________________________________
Student Discount: For Student Discount: Academic Advisor’s Signature is required
in space below and a photocopy of student ID must accompany this registration.
_________________________________________________________________________________


Payment Information
  Check #_____________ Please make check payable to
      Cape Cod Symposium. Payment must be made in U.S. currency.
Refund requests WILL NOT BE HONORED after 8/9/11. There will be NO EXCEPTIONS.
Refund requests must be submitted in writing and will be assessed a $50 service fee.
  Credit Card     MasterCard     Visa     American Express      Discover    
Card # ______________________________________________ Expiration Date _____________
Street City/State/Zip ______________________________________________________________
_________________________________________________________________________________
(For bank verification purposes, please include the address where you receive your credit card statement.)
Signature ________________________________________________________________________


Misc Information
How did you find out about CCSAD event?    Direct Mail     Internet Search        
 Promotional Email       Website       Colleague       Facebook       Twitter      Linked In       Fax       Phone Call       Other: _______________________________