21st Annual Cape Cod Symposium Schedule of Events

WEDNESDAY, SEptEmbEr 3
7:00 p.m. – 9:00 p.m. . . . . . . . . . . . . . . .Registration
tHUrSDAY, SEptEmbEr 4
PRE-CONFERENCE
6:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Opens
Coffee and Tea Available All Day
Hosted by Williamsburg and the William J. Farley Center
7:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Continental Breakfast
Hosted by C4 Recovery Solutions
8:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Conference Registration
8:30 a.m. – 5:00 p.m. . . . . . . . . . . . . . . . .All Day Pre-Symposium Workshops
#100— “Ethics for Professionals”
Shirley Beckett Mikell, NCAC II
Because of the intimate nature of counseling, and the power it gives over the client, counselors must be held to the highest ethical standards in all situations involving the client. This workshop will help addiction professionals recognize and resolve the different ethical issues that arise in practice. Among the different codes to be discussed
are NASW, CRCC, NAADAC, and MFT.

#101— “A Provider’s Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals Training Curriculum”
Philip T. McCabe, CSW, CAS, CDVC, DRCC & Elijah C. Nealy, M.Div., LCSW
Supported by the Addiction Technology Transfer Center of New England, Prairielands ATTC, & NALGAP–The Association for Lesbian, Gay, Bisexual, Transgender Addiction Professionals and their Allies
This training curriculum is based on A Provider’s Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals published by the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT).

#102— “Developing Skills Using the Gerwe Orchestration Method (G-OM):
A Revolutionary Approach to Addiction Relapse Prevention”
Corinne F. Gerwe, Ph.D., LCAS
This presentation introduces a totally new experiential and cognitive-behavioral method of treating the underlying dynamics of persistent addiction and maladaptive behavior based on 30 years of research and clinical practice. This method is presented using the DSM-IV five axes and ASAM six dimensions as the structure for doing an assessment of relapse risk and developing a relapse prevention plan, including incorporation of best practices.

#103— “NAADAC’s Life-Long Learning Series ‘Buprenorphine:
An Option for Medication-Assisted Treatment for Opioid Dependence’”
Gerard (Gerry) J. Schmidt, M.A., LPC, MAC & Cynthia Moreno Tuohy, NCAC II, CCDC III, SAP
Supported by NAADAC, The Association for Addiction Professionals
The goal of NAADAC’s Life-Long Learning Series Buprenorphine: An Option for Medication-Assisted Treatment for Opioid Dependence is to bring together addiction professionals from many backgrounds to discuss medication assisted treatment in a way that challenges ideas and perceptions and to present unbiased information that can be used to assess the best possible treatment for patients. This educational program will discuss: the four facets of opioid dependence and addiction (biological, psychological, social and spiritual); addiction as a disease and the scientific evidence to support this claim; three FDA-approved medications for opioid dependence; strategies to match patients to the most appropriate therapy; methods of motivating patients in opioid dependence treatment; and building cooperative relationships between addiction professionals and prescribers. $65 for NAADAC Members

#104— “Combat Related Trauma and PTSD”
Larry Ashley, Ed.S., LADC, LMSW, LPC, CPGC
This Learning Institute is designed to provide each attendee with a working knowledge of combat trauma and combat related PTSD. Emphasis will be placed on identifying signs and symptoms. The diagnostic criteria for various trauma categories and appropriate treatment approaches will be discussed. The effects of PTSD on military personnel and their families will be explored as well as suicide, grief, sexual assault and secondary traumatic stress.

10:00 a.m. –10:30 a.m. . . . . . . . . . . . . . .Morning Break – Lobby
Hosted by NAADAC, The Association for Addiction Professionals
12:00 noon –1:30 p.m. . . . . . . . . . . . . . . .Lunch on your own
2:00 p.m. –5:00 p.m. . . . . . . . . . . . . . . . .Exhibitor Set-Up – Exhibit Hall
3:00 p.m. –3:30 p.m. . . . . . . . . . . . . . . . .Afternoon Break
Hosted by A Better Tomorrow

MAIN SYMPOS I UM
5:30 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Opening Dessert Reception
Hosted by C4 Recovery Solutions & the Addiction Recovery Foundation (ARF)
(Registration Required)
6:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Welcome and Opening Remarks
Dee K. McGraw, M.S.W., Director of Education and Event Services, C4 Recovery Solutions
Ricard Ohrstrom, Chairman, C4 Recovery Solutions
Anthony Massouras, Chairman, Addiction Recovery Foundation (ARF)
Michael Botticelli, M.Ed., Director, Bureau of Substance Abuse Services,
Massachusetts Department of Public Health, Boston, MA
7:00 p.m. – 9:00 p.m. . . . . . . . . . . . . . . . .Evening Workshop

#199— “Women and Addiction: A Gender-Responsive Approach”
Stephanie S. Covington, Ph.D., LCSW | Supported by Hazelden
Over the past thirty years we have added significantly to our understanding of the treatment needs of chemically dependent women. Based on Dr. Covington’s new program development guide, Women and Addiction: A Gender-Responsive Approach and her manualized curriculum Helping Women Recover: A Program for Treating Addiction, this presentation offers a comprehensive Women’s Integrated Treatment (WIT) model that is built on the theories of addiction, women’s psychological development, and trauma.  The key elements in the structure and content of gender-responsive programming are outlined.

9:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Support Group Meetings
11:00 p.m. . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Closes

FrIDAY, SEptEmbEr 5
6:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Opens
Coffee and Tea Available All Day
Hosted by MOAR – Massachusetts Organization for Addiction Recovery
7:00 a.m. – 7:45 a.m . . . . . . . . . . . . . . . .Morning Mindfulness
Nancy L. Johnston, M.S., CSAC, NPC, LSSATP
Come wake to the day and to the present moment. These morning sessions will offer guidance in practicing the elements of mindfulness used by Jon Kabat-Zinn: deep breathing, stretching, and the body scan. Whether you are new to mindfulness or are a seasoned practitioner, these experiential morning sessions will offer all the opportunity to practice, practice, practice. Almost all of the session time will involve experiential work.
Participants should wear loose, comfortable clothing and come prepared for sitting meditation and gentle, mindful yoga.

7:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Breakfast – Exhibit Hall
Hosted by Behavioral Healthcare of the Palm Beaches
8:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Registration
8:30 a.m. – 5:30 p.m. . . . . . . . . . . . . . . . .All Day Workshop
#200— “Psycho-Pharmacology for Clinicians”
Patrick DeChello, Ph.D., M.S.W., LCSW, RPH
(This course can be used for the CCS Certified Clinical Supervisor Credential or Renewal.)
This workshop is designed to examine specific psychiatric conditions, their etiology, and the diagnostic phases of treatment. There will also be review of the types of medications used, their side effects and information necessary for the clinician to make decisions as to the need for a referral for medication initiation, re-evaluation or discontinuation. Basic medication doses and treatment strategies will also be covered.

8:30 a.m. – 12:15 p.m. . . . . . . . . . . . . . . .Half Day Workshop
#201— “Crisis Preparation and Trauma Response in the Workplace”
Anne Balboni, Psy.D.
This class offers an overview designed as awareness for business and EAP’s preparing for and responding to trauma events in the workplace. These types of events are varied and most often unexpected. Tragic events impact productivity and the psychological health of employees. Those who seek to respond to trauma or critical events in the workplace must possess a comprehensive awareness of the necessity to provide a standard of care consistent with Behavioral Health Best Practices.

8:30 a.m. –10:00 a.m. . . . . . . . . . . . . . . .Early Morning Workshops
#202— “Eating Disorders as a Disease Concept”
Tennie McCarty, LCDC, ADC III, CEDC | Supported by Shades of Hope
This presentation will give insight as well as practical understanding on how the disease of Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorders, and associated behaviors respond to addiction treatment. Discussion will include: masking/hiding eating disorders by the use of other addictive behaviors; why core pain work reduces the tendency of relapse and the switching of addiction; managing the emotional side of the client (many can maintain weight and eating patterns in treatment but never “buy-in” emotionally); and the spiritual side of treatment and its importance.

#203— “Addiction: The Gateway Into a New Life”
Jeff Wilbee, CAE | Supported by IC & RC The International Certification & Reciprocity Consortium
The greatest possession any of us have to share is our story, our journey. This presentation will equate the “Hero’s Journey” with the “Recovery Journey.” For many of us addictions have been a “Gateway Into A New Life.”  This presentation will explore and outline the points of the universal mythology of the Hero’s/Recovery Journey. The eight steps of Joseph Campbell’s “Hero’s Journey” will be mapped to the recovery process, including the Stages of Change. There is the call to the journey, the trials, achieving and applying the goal and enhancing the community. Clinicians will have the opportunity to discuss how they can assist their clients with identifying the various points of the journey.

#204— “Why We’re Here: Reigniting Our Passion!”
Donna M. Corrente, M.S., CAS, CAP
Have you ever just wanted to “give up” and go work at a coffee shop, maybe just “give-in” and accept that “this is just a job?” Or, have you seriously thought about a major career change but don’t seem able to ever follow through? It’s time to consider: your unrest or lack of energy; to reignite your passion; to search for and re-identify why you chose to be a helper, a counselor, a confidant, a healer, a therapist.

#205— “hIv/hEP C: Implications for the CD Patient in Treatment and in Recovery”
Ariel Johanna Cohen, B.A., R.N., M.A., CARN, ADN | Supported by Hazelden
This workshop will review the history and description of HIV/Hep C disease processes and health concerns. The management of environmental implications and psychosocial concerns associated with infectious disease specific to HIV and Hep C will be presented. Also included will be management of patients with diagnoses of HIV and/or Hep C in the treatment setting and in recovery.

#206— “Conflict Resolution – A Brain Thing”
Cynthia Moreno Tuohy, NCAC II, CCDC III, SAP | Supported by NAADAC, The Association for Addiction Professionals
Conflict is a daily part of life. Being able to manage conflict thoughtfully is an invaluable tool. We will discuss the science and strategies behind conflict resolution.

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

#225— “Changing Financial Templates: Helping Clients Modify Their Self-Defeating/Self Destructive Financial Behaviors”
Paul T. (Ted) Klontz, Ph.D., MAC, CSAT III, CET III | Supported by Onsite Workshops
Seventy-three percent of all Americans identify money issues as their primary stressor. Money issues are the #1 cause of male spousal suicide. In new marriages, money is the #1 divorce risk factor and remains one of the top three risk issues in more mature relationships. A stressed relationship with money carries the same mortality risk factor as having cancer, heart disease and diabetes. Money plays a significant role in all addictive/compulsive behaviors. This workshop is designed to help participants be exposed to and practice skills designed to facilitate their becoming more comfortable dealing with this topic with clients.

#226— “Purposeful Motivational Intervention (PMI)”
Andrew J. Moynihan, Ph.D., LADC-1, LRC, CADAC | Supported by Lemuel Shattuck Hospital
This workshop will present the latest evidence-based techniques that a clinician can employ when working with clients who are resistant or ambivalent about movement towards change or strengthening their recovery.  The learner will be given methodologies to identify patterns of change and strategies to promote wellness and recovery in their clients. This program teaches clinicians’ to facilitate a renewed sense of self in their clients by encouraging motivation and goal choices.

#227— “Creating Therapeutic Alliances that Repair Trauma’s Damaged Sense of Self”
Sandra Felt, LCSW, BCD | Supported by WindSong
Our job as clinicians determines what we relate to our clients about, but how we relate to them remains the biggest factor determining treatment outcome success or failure, especially for sensitive, reactive trauma survivors whose sense of self has been damaged by their traumatic experiences. Learn to identify the three basic ways of relating to clients. Learn practical language and behaviors, do and don’t reminders, and specific guidelines for decision-making to relate to your clients’ sense of self. After all, if we want to create permanent change, we need to invite our clients to strengthen their sense of self—and we need to know how to do it.  Clinical examples, original poetry, and a simple group exercise will be used to illustrate the principles taught.

#228— “Domestic Violence and the Sexual Addictions: Understanding the Interactive Process of Trauma Bonding”
Susan J. Campling, R.N., Psy.D. | Supported by Keystone Center
Sexual and emotional abuse is often seen among sexual addicts in relationships. Isolation, lying, and “gas lighting” are commonly seen and damaging to the relationship and to each partner. This workshop will look at the inter-relationships among domestic violence and the sexual addictions both in theory and in practice.

12:15 p.m. – 1:45 p.m. . . . . . . . . . . . . . . .Lunch On Your Own
12:15 p.m. – 1:15 p.m. . . . . . . . . . . . . . . .MAADAC Membership Meeting
Mass. Assoc. of Alcoholism & Drug Abuse Counselors Inc.
(All State members and anyone interested are welcome to attend). Bring your own lunch.
1:45 p.m. – 3:15 p.m. . . . . . . . . . . . . . . . .Early Afternoon Workshops

#250— “CSAT Program: Pain and Addiction - A Delicate Balance”
Stephen A. Wyatt, D.O. | Supported by the New England Chapters of ASAM and Center
for Substance Abuse Treament, SAMHSA
Over the past twenty years, there has been a significant rise in the incidence of pharmaceutical opioid nonmedical use, abuse, and dependence. There are a variety of reasons for this including: a greater awareness by physicians of the need to treat pain resulting in more prescribing; newer more powerful and abusable opioid medications; and the lack of medical knowledge on the proper use and monitoring of these drugs. This presentation will highlight the importance of assessing the client for the potential of abuse; the need to properly monitor for pain and abuse; the need to strongly consider the use of alternative medications and therapies in the management of chronic pain; and lastly, identify the alternatives to managing the client with chronic pain other that the use of an opioid medication.

#251— “The Rubber Band Theory: Using Resiliency Assessment and Skill Building with Children, Adolescents and Families”
Marian C. Eberly, R.N., M.S.W., LCSW | Supported by Remuda Ranch
An increasing body of research is accumulating in the fields of psychiatry, psychology and sociology to show that most people, including children and adolescents, have the ability to “bounce back” from stress, risks, crises and trauma and experience success in life. This presentation focuses on developing resiliency skills with clients and their families. Current research will be reviewed. Resiliency assessment tools developed specifically for use with families will be presented.

#252— “Engaging the 21st Century Addiction Patient: The Carefrontation Model”
Harris Stratyner, Ph.D., CASAC | Supported by Caron Treatment Centers
In this workshop, the attendee will learn how to utilize the “Carefrontation” model, which emphasizes the latest unique motivational enhancement process and health attribution locus of control (Achterberg and Lawlis, 1990). We will review cognitive behavioral techniques geared towards individuals with co-occurring disorders, which in turn will modify behaviors that reinforce new ways of thinking. The concept of selective autonomy plays a critical role in designing treatment plans that are evidenced-based and outcome-oriented.

#253— “Increasing Family Involvement”
David W. Houke, LMSW, LCDC | Supported by La Hacienda Treatment Center
We all have had experience with difficult family members - those who expect our programs to “cure” the family member they send to treatment: some who deny the validity of the term “disease” when applied to addiction; and of course, there are the enablers who unknowingly may “love them to death”. This workshop will identify common difficulties we must overcome and provide effective interventions to address these challenges. Attendees will also leave with effective tools for follow-up and assessment.

#254— “The Value of Employee Assistance Programs”
Mike Blackburn, LADC-1, CEAP, LAP-C, CATSM & Ron Gilchrist, CEAP, LADC-1, LAP-C, SAP
Supported by Treatment Solutions Network and Employee Assistance Solutions International (EASI)
This workshop will review the return on investment (ROI) that Employee Assistance Programs – (EAPs) can provide for companies, employers and unions. We will discuss the significant impact of substance abuse, mental health, CISM, workplace violence, and wellness on employee productivity and how it relates to the components of an Employee Assistance Program. The program will discuss different models, training, wellness orientation, critical incident response, joint-union/labor management, drug testing-mandatory and negotiated, substance abuse, mental health and workplace violence issues.

3:15 p.m. – 4:00 p.m . . . . . . . . . . . . . . . .Afternoon Break — Exhibit Hall
Hosted by AdCare Hospital
4:00 p.m. – 5:30 p.m . . . . . . . . . . . . . . . .Late Afternoon Workshops

#275— “Systems Affecting Individuals: Organizing to Maximize Potential”
Bill Puddicombe, B.Sc. & Kevin McEneaney | Supported by HOPEWORKSLTD & Puddicombe.net
This workshop combines presentation and discussion on ways in which to maximize the potential of the services and work force by smart organizational skills. We will review how smart interactive systems improve process management and eventual outcomes.

#276— “We Are Not at Fault - Men’s Issues in Recovery”
Mark Greenberg, M.A., CAC | Supported by Morningside Recovery
This presentation will explore the special needs of male clients/patients in the treatment and recovery of addiction to alcohol and other drugs. Special attention will be given to societies’ messages of what is important in being a man and certain characteristics that men in recovery have in common. This presentation will also explore the controversy regarding the use of medications in the context of abstinence-based treatment and recovery.

#277— “Outcome Data Without Heartburn: Getting Ready for Pay-for-Performance”
Tommie Ann Bower, M.A. | Supported by Gosnold on Cape Cod
Learn how to collect down-to-earth, useful data in the pay-for-performance process improvement world of NOMS--without heartburn or slide rules. Whether you work in private practice or in an agency, requests for baseline and improvement data will be coming soon. Prerequisite: ability to count to ten and a sense of fun.

#278— “Understanding Addiction Through a Child’s Eyes”
Jerry Moe, M.A.
Alcoholism and drug addiction are a family disease. This workshop not only explores how children see addiction but also offers hope in how youngsters can heal from it.

#279— “Physician Health: Effective Assessing and Monitoring of Physicians at Risk of Substance Abuse”
Luis T. Sanchez, M.D. & Douglas W. Gibson, M.D.
This workshop will provide an overview of the history of physician health programs as well as a review of new and innovative methods in assessing and monitoring physicians including how to get physicians involved with their state physician health programs and the obligations of non-physicians in this process. There will be discussion of trends in physician health through interactive case discussions. Resources available to physicians with health problems will be discussed including how to make a referral as well as education and prevention of health problems.

#280— “Keys for a Successful EAP/MAP Program”
Sam Todaro, CEAP & Bernie McCann, M.S., CEAP | Supported by TC Consulting
This workshop will review the steps necessary to establish an EAP (Employee Assistance Program) or MAP (Member Assisted Program) in the public/private sector, Taft Hartley or teachers’ domains. In discussing the necessary steps to implement a program, we will review critical areas that determine success, including structure, partnerships and outreach. This will also provide current programs with information to enhance and perhaps expand their current program. We will close with a roundtable discussion with members of several union labor organizations which will take questions and provide guidance.

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

7:00 p.m. – 8:30 p.m. . . . . . . . . . . . . . . . .Evening Plenary
#298— “Untangling the Web: A Clinical Understanding of Sex and Porn Addiction Treatment”
Robert Weiss, LCSW, CSAT | Supported by CRC Health Group
Sexual addiction is often clinically misunderstood, mistreated and dismissed. Yet compulsive sexual behavior patterns affect a wide area of addiction and family treatment work. The recent proliferation of online access to explicit sexual imagery and experience has also brought an increasingly large and troubled population to the doorstep of many addiction professionals. More now than ever, we need to be familiar with the specific treatment concerns and challenges of working with sexual addicts and their partners. This session will offer a clear, practical model toward understanding sex and pornography addiction and will review assessment, diagnosis, etiology, and treatment, along with essential referral resources.

8:30 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Book Signing with Robert Weiss
8:30 p.m. – 9:30 p.m . . . . . . . . . . . . . . . .Reception
#299— Dessert Reception and Ice Cream Social
Hosted by CRC Health Group
9:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Support Group Meetings
11:00 p.m . . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Closes
SAtUrDAY, SEptEmbEr 6
RECOVERY WEEKEND!
6:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Opens
Coffee and Tea Available All Day
Hosted by Remuda Ranch
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
Hosted by C4 Recovery Solutions
8:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Registration
8:45 a.m. –10:15 a.m . . . . . . . . . . . . . . . .Morning Plenary
#300— “What They Didn’t Teach You in Kindergarten About Alcoholism – But Should Have!”
Robert W. Mooney, M.D. | Supported by Willingway Hospital
The field of addiction medicine is plagued by controversy and as a result there has developed a confusing nomenclature that does little to assist in public acceptance of a cohesive model for addiction. This humorous workshop will attempt to illustrate this confusion and to simplify the collective perception of addiction.

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

#301— “Rediscovering Alcoholism, Addiction, and Dependence:
Re-Energizing Treatment and Prevention”
Ray Daugherty, M.A. | Supported by Prevention Research Institute (PRI)
Do you know most researchers define alcoholism differently than most counselors? How confusing when we try to be research based. Do you know the DSM-IV diagnostic label “Dependent in Full Sustained Remission” can be applied to those still drinking, and according to a recent national study about 30% do so and succeed? Are you sure a DSM-IV Dependence diagnosis means the same thing you mean when you diagnose “alcoholism” or “addiction?” A shift has occurred in the paradigms that are central to our work; yet it has gone largely unnoticed and uncommented on. This unconscious shift creates conflicts we may not see unless we stop to reflect. Once we do, we may never see dependence and addiction in the same way again—and our clients may thank us for it.

#302— “Treating Co-Occurring Disorders: Clinical and Administrative Issues”
Paul L. Lemieux, Ph.D. & Patrice M. Muchowski, Sc.D. | Supported by AdCare Hospital
This presentation will describe the clinical and administrative challenges of managing a subset of patients with co-occurring disorders, specifically those with serious and persistent mental illness. Discussion will include: clinical aspects of treatment, supervision and tutorial sessions with staff; resources needed for the management of co-occurring disorders including DRA groups, Psychiatric Club House connections, and psychiatric discharge planning; the use of psychological/psychiatric consults to manage symptom exacerbation, the availability of psychotherapy, and the value of standardized suicide risk assessment procedures. Administrative issues including referral agreements, increased lengths of stay and increased costs will also be discussed.

#303— “HIV Care in the Setting of Addiction”
Josiah D. Rich, M.D., M.P.H. | Supported by the New England Chapters of ASAM
This workshop will provide an update and overview of HIV, diagnosis, treatment and prognosis with particular attention to co-occurring addiction and other associated diseases. The transition from a uniformly fatal disease into a chronic, manageable condition that is compatible with a normal life has been one of the most dramatic advances in medical science in the last few decades. The vast majority of patients in care are living with HIV and unlikely to die from HIV.

#304— “The Use of Counter-Transference as a Therapeutic Intervention in Trauma
Survivor Group Process with Addicts in Early Recovery”
Madelyn Bryson, LCSW | Supported by Advanced Recovery Center
The primary focus of this presentation is to take a closer look at vicarious traumatization and counter-transference in the complex milieu that characterizes group process with trauma survivors who are also addicts in early recovery. The critical nature of using both transference and counter-transference as intervention tools in early group process will be illustrated through the role of the therapist as listener, diagnostician and monitor, and will focus on the need for the therapist’s awareness of his or her own reactivity and responsiveness in guiding the group through therapeutic interventions.

#305— “Crisis Intervention for Co-Morbid and Complex Populations”
Jane Eigner Mintz, M.A., PC, BCPC, BRI-II, CAI
This presentation covers: taking a good history; defining crisis; review of 5 axis as they relate to intervention clients; and a protocol for suicidal and violent clients. We will also review duty to report, working with outside agencies such as police, EMS and emergency rooms and finally, making an intervention case.

#306— “Family Education and Support (FES) - Cognitive Behavioral Therapy for Families”
Kevin M. Keefe, LICSW and Lois M. Hollow, ARNP, BC, CARN | Supported by Westbridge Community Services
This workshop will provide clinical examples of how FES (originally designed specifically for psychiatric disorders) is applied and can be modified to a community mental health center, servicing a population living with dual diagnoses. The agenda consists of a description of FES and whom it was designed to treat, how the program actually works, a review of the material covered during the actual FES sessions, and concluding with some clinical outcome data. Role playing will provide an experience of the format for sessions (i.e., comfort agreement, communications skills, and major depressive disorder).

#307— “The Use of Neurofeedback within a Substance Abuse Treatment Program”
Stephen Sideroff, Ph.D. | Supported by Moonview Sanctuary
This presentation will give a brief background and explanation of neurofeedback and its use within substance abuse treatment and show how neurofeedback works. Research results, including the presenters controlled research, will be presented. Possible mechanisms of action will be described along with how this impacts craving. It will also describe the relationship between craving and stress and show how neurofeedback can be effective in both these areas.

12:15 p.m. – 1:45 p.m . . . . . . . . . . . . . . .Luncheon and Round Table Discussion
Bass River
#325— “Risky Use, Problem Use, and Addictive Use of Pharmaceuticals: Assessing Risk”
Michael Miller, M.D., FASAM | Supported by the New England Chapters of ASAM
No one should embark on any clinical path without knowing the benefits and risks of the possible intervention, and conveying them to patients or clients clearly. Opioid analgesics are like any medical intervention: they have benefits and they are not risk-free. Assessing risk is important, but challenging. Commonly cited signs or behaviors are not indicators beyond doubt for the presence of addiction. An experienced clinician shares some thoughts on assessing risk.
The luncheon is supported by an unrestricted educational grant from Reckitt Benckiser Pharmaceuticals, Inc.

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

#326— “Treatment of Young Adults and Their Families”
Michael L. Fishman, M.D., ASAM | Supported by Talbott Recovery Campus
It is not uncommon to have a young adult patient present extremely toxic from the effects of multiple drugs. This, coupled with their oppositional and defiant behaviors, can present quite a challenge. What may be more surprising is the overt and/or covert undermining of the treatment process by some parents. We will explore some of the challenges in treating young adults and their families. We will discuss the interplay between medications, individual and group therapy, and self-help groups. We will also discuss the importance of consistency and connection.

#327— “The GABA (A) Receptor in Addiction”
Mark P. Schwartz, M.D. | Supported by Canterbury Institute
Pharmacologic adjuncts in the treatment of addiction are becoming more effective and more common in the care of the addicted patient. The GABA (A) receptor is emerging as an important target in the management of craving in addiction. The structure and function of the GABA (A) receptor will be discussed. The interaction of ethanol, benzodiazepines and other psychoactive agents with the GABA (A) receptor will be reviewed. The action of various medications used in treating craving i.e. acamprosate, gabapentin, topiramate, vigabatrin and flumazenil will be discussed.

#328— “Comprehensive Review of Urine Drug Testing: Which Test, Which Patient and Discriminating Real Science from Faux Science”
Robert L. Barkin, Pharm.D., M.B.A., FCP, DAAPM | Supported by Dominion Diagnostics
This workshop will cover diversion, the drug-seeking patient and discriminating immunoassay from the platinum standard of liquid chromatography. We will also review false positives of immunoassay and cover testing of opioids, benzodiazepines, cocaine and methadone.

#329— “What Every SA Counselor Needs to Know about Problem Gambling”
Marlene D. Warner, M.A. & Jim Wuelfing, CPP-R | Supported by the Massachusetts Council on Compulsive Gambling
This workshop is designed to assist substance abuse clinicians and administrators to integrate gambling disorder screening, assessment, treatment, and/or referral services into human services agencies. An interactive training, participants will leave the session equipped to discuss issues related to gambling disorders for both client retention and client outreach. Details will be covered related to policy considerations and billing needs of both state and insurance payers.

#330— “Opening the Eyes of the Heart – Oriental Medicine and Addictions”
Randal Lyons, A.P., D.O.M., L.Ac. | Supported by Crossroads Centre Antigua
This presentation will provide a holistic approach to addictions through lecture, demonstration and experiential exercises that are instructive, informative and fun. Theories of Traditional Oriental Medicine will be offered in a way that is easily understood and immediately applicable for caregivers to use in their treatment of addictions.

#331— “Clinical Implications for Treatment of Co-Existing Substance Abuse Disorders and Chronic Physical Disabilities”
Donna McCarten White, Ph.D., R.N., CS, CADAC-II & Vanessa A. Sullivan, M.S., CRC
Supported by Lemuel Shattuck Hospital
This workshop presents the evidence-based practices to utilize when treating persons who live with the chronic states of substance abuse and a chronic physical disability. The interactive seminar will identify common belief systems that reinforce the stigma of treating this population. The learner will be given methodologies to identify patterns of substance abuse particular to this population, as well as strategies to assist a return to optimal wellness for a physical disability.

#332— “Loss, Discovery, and Re-Connection – A Combined Modality (Attachment, Cognitive and Narrative) in the Treatment of Resistant Eating Disorder Patients”
Noni Eden, Ph.D., LCSW | Supported by CeDAR Associates
Working with chronic and resistant eating disorders patients is a profound challenge even to the most experienced clinician. The eating disorder symptoms become their voice and many times their identity. This workshop will demonstrate how the use of a unique combined therapy modality (attachment, cognitive and narrative) can help patients explore and understand the loss of their true voice and “self,” the meaning of their eating disorder, and the role it serves in their lives, resulting in gaining back control over their lives, and healing their inner “self.” For Advanced Clinicians.

3:15 p.m. – 4:00 p.m. . . . . . . . . . . . . . . .Afternoon Break –Exhibit Hall
Hosted by Willingway Hospital
4:00 p.m. – 5:30 p.m. . . . . . . . . . . . . . . . .Late Afternoon Workshops

#350— “When You’ve Lost Your Self in Someone Else: Working with the Dynamics of Codependence”
Nancy L. Johnston, M.S., CSAC, NPC, LSSATP
This workshop will present a conceptual and practical model for working with the intra- and inter-personal dynamics of codependence. Understanding that codependence involves a loss of self. This model involves 4 non-sequential areas of work: Facing Illusions, Detaching, Setting Healthy Boundaries, and Developing Spirituality. Skills in these areas will be taught and cases presented. There will be opportunity to share and discuss individual work.

#351— “Parenting for Prevention”
John D. Lieberman & David C. Rosenker | Supported by Caron Treatment Centers & Visions Adolescent Treatment Centers
This workshop provides clinicians with an overview of how critical a role parents play in their children’s lives. This is excellent material to use when working with parents, caregivers, communities to indicate patterns and places where interventions would be effective. We will review social and environmental, genetic, family system risk factors, the Father Factor, and some implications for treatment and recovery.

#352— “Local and National Prescription Drug Abuse Trends – Implications for Treatment”
Michael Botticelli, M.Ed. | Supported by Massachusetts Department of Public Health
According to the National Survey on Drug Use and Health, new initiates to drug use were more likely to try a prescription pain medication than marijuana. The increase in the use of prescription pain medication and shift in drug use patterns, particularly among young adults has had a profound impact on treatment programs and systems of care. This presentation will review the current use in Massachusetts and how a state system is responding to these changes.

#353— “The Big Book Has Been Right All Along – Anatomy of the Disease”
Melissa Lee Warner, M.D., ASAM | Supported by Williamsburg Place and The William J. Farley Center
Dr. Warner shares the latest in medical research about addiction with examples from the Big Book of Alcoholics Anonymous that demonstrates the innate understanding the founders of AA had of alcoholism. This talk helps one further appreciate the genius of Dr. William Silkworth and Bill Wilson as well as gain knowledge of the current ongoing research in the addiction field.

#354— “International Roundtable”
Andrea G. Barthwell, M.D., FASAM, David Delapalme, B.Sc., NCAC, Richard Henry, B.A. (Hons), Johan Sorensen, Nadya Mikdashi, Ph.D., Mark Publicker, M.D., ASAM, Bill Puddicombe, B.Sc., Chartered MCIPD, John Trolan, B.A., M.Sc. | Supported by C4 Recovery Foundation, Addiction Recovery Foundation (ARF) and EMGlobal, LLC
The topic of the roundtable will be a discussion of where American, European, African, 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. This is also an opportunity to hear of new global innovations and opportunities within the field.

#355— “Spirituality in Therapeutic Practice: Lighthouse or Lightening Rod?”
John Ishee, Ed.D. | Supported by Cumberland Heights
What is the role of spirituality in therapeutic practice? Can there be a healthy relationship between the pursuit of wholeness and the pursuit of holiness? This workshop will explore the historical relationship of holiness to wholeness, identify “lightning rod” issues that hinder healing, and examine ways to integrate healthy spirituality into therapeutic practice.

#356— “Should Videogame Addiction be in DSM-V?”
Jack Kuo, M.D. | Supported by Promises Treatment Centers
In June 2007, the American Medical Association (AMA) Council on Science and Public Health voted on whether or not to consider “videogame addiction” a formal diagnosis. After much controversy, the AMA ultimately determined that further research was necessary before a decision could be made and urged the American Psychiatric Association (APA) to consider including the diagnosis in the next edition of the Diagnostic and Statistical Manual of Mental Disorders. This presentation will examine the existing evidence for and against consideration of “videogame addiction” as a formal diagnosis.

5:30 p.m. – 7:30 p.m. . . . . . . . . . . . . . . . .Dinner on your own
6:00 p.m . . . . . . . . . . . . . . . . . . . . . . . . . . .Exhibits Close
7:30 p.m. – 9:30 p.m . . . . . . . . . . . . . . . .Evening Workshops

#398—“The Efficacy of Using Paradox, Exaggeration and Humor as Therapeutic Intervention”
Arthur Trotzky, Ph.D. | Supported by Ridgeview Institute
This presentation will explore the ways in which humor, paradox, and exaggeration can effectively be utilized in counseling and psychotherapy. This workshop will not only examine the psychological and physiological benefits of humor but will provide the participants with specific tools that will enhance their professional interventions.  Participants will experience for themselves the benefits of laughter in changing mood and in improving their overall sense of well being.

#399— “New England Chapters of ASAM Lobsterbake”
Michael Miller, M.D., FASAM, FAPA | Supported by the New England Chapters of ASAM, AA&E Retreat & Community Substances Abuse Centers
Physicians can be healers, reducing discomfort and disability in patients, sometimes through the use of opioids to address a painful illness or injury. But in the current environment in which there is a public health problem of increasing rates of opioid misuse, diversion, addiction, and overdose deaths, physicians must examine their role in being either part of the solution or part of the problem. Physicians can help by improving what they do, and in improving their patient/family education activities. Addressing these problems is not just an item of business for addiction counselors, the criminal justice system, or policy makers. Physicians have a central role to play in the overall management of substance abuse and addiction on both a clinical medicine (individual patient) level and a population medicine (public health) level. Registration required. Come casual and enjoy an evening on the Cape! $55 per person

9:15 p.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Support Group Meetings
11:00 p.m . . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Closes

SUNDAY, SEptEmbEr 7

6:00 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Hospitality Room Opens
Coffee and Tea available all Day
Hosted by Remuda Ranch
7:00 a.m. – 7:45 a.m. . . . . . . . . . . . . . . . .Morning Mindfulness
Nancy L. Johnston, M.S., CSAC, NPC, LSSATP
Come wake to the day and to the present moment. These morning sessions will offer guidance in practicing the elements of mindfulness used by Jon Kabat-Zinn: deep breathing, stretching, and the body scan. Whether you are new to mindfulness or are a seasoned practitioner, these experiential morning sessions will offer all the opportunity to practice, practice, practice. Almost all of the session time will involve experiential work.  Participants should wear loose, comfortable clothing and come prepared for sitting meditation and gentle, mindful yoga.

7:30 a.m. . . . . . . . . . . . . . . . . . . . . . . . . . .Continental Breakfast
Hosted by C4 Recovery Solutions
8:00 a.m.. . . . . . . . . . . . . . . . . . . . . . . . . . .Registration
8:30 a.m. – 10:00 a.m . . . . . . . . . . . . . . .Morning Plenaries

#400— “How Addicts Learn to Cope: Clinical Strategies for Traumatic Pleasure and Traumatic Repetition”
Rokelle Lerner, M.A. | Supported by Cottonwood de Tucson
Trauma is interchangeable with intensity and traumatic pleasure responses, which are more difficult to identify and neutralize. The problem in treatment is one of motivation. It’s much easier to motivate a patient to get rid of something that hurts than to get rid of something that feels good. This workshop will demonstrate techniques for both identifying and treating traumatic pleasure responses.

#401— “Clinical Challenges in Prescribing Controlled Substances”
Karen Miotto, M.D. | Supported by the New England Chapters of ASAM and Center for Substance Abuse Treament, SAMHSA
This talk will address the use of opioids for treatment of pain and addiction in light of trends indicating increasing numbers of people with prescription drug problems. The unique pharmacological properties of opioid medications including methadone will be reviewed. Patient selection for treatment, patient education, safety issues and monitoring requirements will be discussed. Information about new formulations for prescription analgesics will be presented. The Physician Clinical Support System (PCSS) for healthcare providers using methadone to treat patients with pain or addiction will also be introduced.

10:00 a.m. – 10:30 a.m . . . . . . . . . . . . . .Morning Break and Grand Prize Raffle
Exhibit Hall
Hosted by Decision Point Center
10:30 a.m. – 12:00 noon . . . . . . . . . . . . .Closing Plenaries

#425— “Chicken Soup for the Recovering Soul: How Do You Know When You Are Getting Better?”
Robert J. Ackerman, Ph.D.
The past is not a prison. Those who are victims of addiction and other trauma can become healthy survivors. Using a light-hearted approach, this workshop will focus on identifying strengths in clients and ourselves to overcome trauma in our pasts. Indicators of self-growth will be utilized to help to determine if you are getting better and realizing that you might be stronger in the broken places now than you were before a crisis.

#426— “Challenges in the Treatment of Alcohol Withdrawal in the General Hospital”
Stephen J. Ryzewicz, M.D., FACP, FASAM & Steven Fischel, M.D., Ph.D.
Alcohol withdrawal is extremely common in the general hospital. It is associated with many complications due to the medical and surgical co-morbidities that exist within this patient population. There are also unique challenges in treating alcohol withdrawal in this setting. In this workshop, we will review our own experience at a large tertiary care general hospital. Interactive case presentations will be used to demonstrate some of the successes and pitfalls that can occur while treating these patients, allowing for a collegial exchange of ideas about this very common and challenging problem.

12:00 noon. . . . . . . . . . . . . . . . . . . . . . . . .Evaluation and Closing Remarks Program Committee
12:00 noon . . . . . . . . . . . . . . . . . . . . . . . .Exhibits Close
pOSt-SYmpOSIUm

12:00 noon – 1:00 p.m . . . . . . . . . . . . . .Buffet Lunch Post-Symposium Registrants ONLY
Hosted by C4 Recovery Solutions
1:00 p.m. – 5:00 p.m. . . . . . . . . . . . . . . . .Post-Symposium Workshops

#500— “The Impact of the Mood Disorders on Addiction and Recommended Interventions”
Naelys Diaz, Ph.D., E. Gail Horton, M.S.W., Ph.D., John McIlveen, M.S.,
Donald Mullaney, Ph.D., LCSW, CAP, G. Ed Pigott, Ph.D. & Michael Weiner, Ph.D.
Supported by Behavioral Health of the Palm Beaches
Behavioral Health of the Palm Beaches (BHOP) has been using the Millon Clinical Multiaxial Inventory III (MCMI III) as an assessment tool for nine years. Patient responses to the MCMI provide information with regard to mood disorders that co-occur with substance dependence. Mood disorders measured by the MCMI include Major Depression, Bipolar Disorder, and Dysthymia. Major Depression and Bipolar Disorder have been extremely well researched and attended to. Minimal attention has been paid to Dysthymia. Dysthymia has been largely dismissed as minor depression or chronic sadness. Data presented here suggests that Dysthymia is more prevalent among patients with an addictive disease than either Major Depression or BiPolar Disorder. One hundred and twenty MCMI profiles were randomly selected. Dysthymia was found to be far more prevalent among our patient population (patients diagnosed with an addictive disease) than either Major Depression or BiPolar Disorder.

#501— “Expressive Conversations with the Many Faces of Addiction”
Rosemary J. Wentworth, M.A.
This is an experiential workshop designed to familiarize participants with the ways in which the arts can be incorporated into substance abuse counseling and teach client coping strategies for aftercare. Visual imagery, writing and creative visualization will be explored as a means to clarify feelings, encourage emotional expression, uncover distorted thought patterns and foster solutions approach to dilemmas. The course will offer: overview of art therapy as a treatment modality; participation in creating a mandala with guided imagery to experience this process of symbolic interpretation; and a group discussion of personal insights.

#502— “The PALS Program- A Community Consortium Approach to Changing At-Risk Adolescent Lifestyle and Substance Abuse”
Lucy Marrero, Ph.D. | Supported by Shands Vista, the Teaching Hospital for University of Florida and Florida DOLE
This presentation will present data showing the efficacy of attacking adolescent substance abuse from a total lifestyle perspective while utilizing a community consortium team of multiple agencies and institutions. Adolescent Lifestyle Support (PALS), supported by DOLE and private donations, combines the resources with major inpatient and outpatient psychiatric treatment centers, University of Florida Graduate Psychology Departments, Alachua County School System, Alachua County Sheriff’s Department, and the Juvenile Justice System. It will show step-by-step how to replicate this program and receive funding.

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