The 2018 agenda will be available in July. Below you’ll find the agenda from CCSAD 2017.

6:00 AM – 6:00 PM Caron Café opens hosted by Caron Treatment Centers
7:00 AM – 8:00 AM Open 12 Step Meeting in Cape Cod
7:00 AM – 8:00 AM NA “Just For Today” Morning Meditation Meeting in Room 104
7:30 AM – 7:00 PM Registration opens – Barnstable II
7:30 AM – 8:30 AM Breakfast in the Bass Foyer
7:45 AM – 12:00 PM Fred French Scramble Golf Tournament
5:00 PM – 6:30 PM Hors d’oeuvres & Networking in Exhibit Hall
6:30 PM – 8:30 PM Opening Plenary

Thursday Intensive Learning Morning Workshops

8:30 AM – 12:00 PM


125. Introduction to Schema Therapy
David Crone, PsyD
Supported by: Ashley Addiction Treatment
Level of Instruction: Intermediate
Introduction to Schema Therapy and how it has been used in our Young Adult Extended Care program, as well as other capacities at Ashley Addiction Treatment. Schema Therapy is an integrative therapy that expands on the traditional cognitive behavioral treatments and concepts. It provides a new system of psychotherapy that is especially well suited to patients with chronic psychological disorders, who have been considered difficult to treat.


126. Recovering True Self: An Essential Paradigm Shift for All Healing and Recovery
Sandra Felt, LCSW, MSW, BCD
Supported by: WindSong Equality Consulting
Level of Instruction: All
Healing from addictions, trauma, and eating disorders all require a shift in the reference point from which we live. Recovering connection with the inner true self is essential to this healing process and a critical step toward genuine addiction recovery, mental health, and mindfulness. What is the early developmental crisis for the true self that set the stage for addiction? Where did the true self go? How do we tap into this essential anchor now to strengthen it and give clients permission to live from this natural inner core? How is living from the true self spiritual rather than merely greedy and selfish? Why is there so much fear of the true self? Learn the language of the true self and six sure-fire practical strategies to Recognize, Reconnect with, Rebuild, and Return to living from the strength of the true self.


127. The Legal and Ethical Dilemmas in Clinical Practice
Heather Hayes, Med, LPC, CIP, CAI and Jack Kline, MS, LPCS, LCAS, CCS, MAC, CTT-2
Supported by: Red Oak Recovery and Heather R. Hayes & Associates, Inc.
Level of Instruction: Intermediate/Advanced
There are a multitude of ethical issues that are challenging clinicians and those that operate treatment centers today. Through a combination of experiential, case study and didactic methods, participants will gain a thorough understanding of modern day ethical challenges and how they can safely navigate around them. Participants will also understand the inherent conflict around financial reward and sound mental health care and view situations as cynical scientists should. Cui bono? Who benefits?

Morning Break in the Bass River Foyer

10:00 AM – 10:30 AM

Thursday Intensive Learning Afternoon Workshops

1:30 PM – 5:00 PM


150. Not Beyond Hope: Harnessing the Psychological Power of Hope for Recovery and Beyond
Margaret Nagib, PsyD
Supported by: Timberline Knolls
Level of Instruction: Intermediate
The field of Positive psychology has shown hope to be a critical key to recovery. Research has shown that hope is key to individuals achieving and maintaining health, wellness, and a meaningful existence. The latest in hope research will be discussed and a a new paradigm for psychotherapeutic intervention is proposed by Dr. Nagib that focuses on teaching clients how to hope instead of how to cope (the primary goal of more traditional psychotherapy). This new paradigm is future focused with a heavy emphasis on identifying and realizing each client’s God-given destiny and dreams for the future.


151. Trauma & Addictions-Signs and Symptoms Barriers to Recovery
Elizabeth Timmons, MEd, LISAC, CEAP
Supported by: Life Healing Center
Level of Instruction: Intermediate
This workshop will be lively and interactive. The topics of attachment disorders, covert and overt trauma will be addressed as they related to roadblocks to recovery. In addition to trauma, process addictions and second stage recover will be discussed. This presentation will include tools for the attendees to utilize in their personal and professional worlds. Attendees will be given the opportunity to see process addictions, codependency and intimacy disorders as they relate to the Jellinek Curve. Participants will be offered some experiential activities that will transfer from the workshop into their professional world.


152. Utilizing Ethical Mandates in Clinical Practice
Donna White, RN, PhD, CS, CADAC
Level of Instruction: Intermediate/Advanced
The purpose of this workshop is to promote a working knowledge of how Ethical Mandates provide the core of clinical practice in all healthcare professions.

Participants will review case vignettes and examine how legal and questionable ethical practices may affect treatment outcomes with potential to increase liability for the professional…inclusive of allegations of neglect, self-disclosure and refusal of care. Common practices in the Treatment of Substance Use Disorders, will be discussed, as well as specific stressors that may lead to ethical concerns in the workplace.

Review of the basic Ethical Philosophies will define the differences in law, negligence, court decisions, values, and ethical decision-making processes.

Afternoon Break in the Bass River Foyer

3:00 PM – 3:30 PM

Onsite Meeting

4:30 PM – 5:30 PM

Hors d’oeuvres Reception Hosted by Infinity

5:00 PM – 6:30 PM

Opening Plenary

6:30 PM – 8:30 PM


199. Futurizing Addiction Treatment? Navigating the Evolving Regulatory and Reimbursement Landscape
Zachary Rothenberg, JD & John Mills
Supported by: American Addiction Treatment Association (AATA)
Level of Instruction: Intermediate/Advanced
Addiction treatment is undergoing a period of significant transformation with respect to regulatory compliance, reimbursement, and treatment models. Providers worried about how to survive and thrive in an environment of rapid change and uncertainty – need to plan strategically for the changes ahead. This session will focus on understanding the “battle lines” and points of tension in reimbursement, regulatory compliance, and treatment and how to plan for changes ahead.


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6:00 AM – 6:00 PM Caron Café opens hosted by Caron Treatment Centers
7:00 AM – 8:00 AM Open 12 Step Meeting in Cape Cod
7:00 AM – 8:00 AM NA “Just For Today” Morning Meditation Meeting in Room 104
7:30 AM – 6:00 PM Exhibit Hall Opens
7:30 AM – 6:00 PM Registration opens – Barnstable II
7:30 AM – 8:30 AM Breakfast in the Exhibit Hall

Friday Morning Plenary

8:30 AM – 10:00 AM


200. Is Marijuana the New Big Tobacco
Kevin A. Sabet, PhD
Supported by: SAM
Level of Instruction: Intermediate
Harnessing more than two decades of experience in policy, Dr. Sabet, 38, combines humor with science, wit with clarity, and pragmatism with inspiration in this lively presentation. This plenary talk will discuss the perils of Big Pot — the big tobacco of our time. Dr. Sabet will go through the latest developments over the battle to legalize marijuana, and will review the latest science about the drug. Dr. Sabet’s presentation is based on his book “Reefer Sanity: Seven Great Myths About Marijuana.” In his presentation he will provide an overview of the current drug policy trends in the United States, and debunk some of the most cited myths about marijuana use. He will also discuss the clinical/practical implications of changing policies. You will hear more about marijuana, and more about marijuana policy, the health effects of the drug, and the current political landscape in this presentation than you likely ever have.

Morning Break in the Exhibit Hall

10:00 AM – 10:45 AM

Friday Mid Morning Workshops

10:45 AM – 12:15 PM


225. Marijuana Impacts on Adolescents
Allan L. Barger, MSW
Supported by: Prevention Research Institute
Level of Instruction: Intermediate
Marijuana is often viewed as a benign or even beneficial. However, a growing body of research published in peer reviewed journals suggests marijuana use during the teenage years has risks for more severe problems in the adult years. These include increased risks for addiction, other mental health disorders, impacts on IQ and cognitive functions, changes in brain structure, and certain forms of cancer.
This session will explore — with research references — what this new body of literature offers. These findings will be offered in a context of how to use the information to impact prevention and treatment practices and outcomes. In particular, participants will explore the findings in light of clients tasks necessary for behavior change.


226. TRAUMA TREATMENT IN “THE CAVERNS”: Experiential Therapeutic Approach

Robert Chapman, MSSW, LMSW, LADAC, EMDR I & II
Supported by: Onsite Workshops & Milestones at Onsite
Level of Instruction: All
This is truly exciting and enlightening times in our industry as it relates to the treatment and address of trauma in an individual’s history. This presentation offers a useful and succinct frame and format termed the Trauma Color Wheel that can be used with individuals seeking to understand the various types and aspects of trauma in and out of the family of origin. Utilization of the Trauma Color Wheel assists in treating trauma via identification of a “wound base” that can assist in directing treatment planning when working with trauma and your clients. With this frame, the pulling up of scenes lead to “scene driven” trauma treatment and this therapeutic frame of reference is defined and explained. A scene driven trauma frame can guide work in individual treatment or in group work. Whether utilizing established trauma modalities such as EMDR or Brainspotting individually or facilitating experiential and psychodramatic techniques in group, utilizing a scene driven approach offers opportunities for facilitating movement towards completion and resolution with our clients. Emphasizing the established healing power of reprocessing and resourcing, utilizing this frame of reference is backed up with practical techniques and creative opportunities within your practice.


227. Disease, Disorder, Harm Reduction or Abstinence. Never Let Facts Stand In The Way of Dogma.
Terrance R. Reeves, MD, FACS, FASAM
Supported by: Destin Recovery Center
Level of Instruction: All
The arguments of disease/not a disease and harm reduction vs abstinence are in reality connected. The positions seem to separate Mind from Body. As with many opinions that stake out opposite poles of a continuum, neither position is sufficient alone. Support for and against these viewpoints is passionate and each side is armed with facts. Somewhere between these poles resides some Truth that honors our respective beliefs.
Information that includes neuroplasticity, science, philosophy and spirituality will be reconciled in order to give compassionate direction and tools to treatment providers. Addiction treatment without medicines can be as dangerous as the use of medicines alone. This is not a debate of “either/or”, but addiction as a continuum of disease requiring a spectrum of solutions. Compassionate treatment can be given without enabling and without dogma. What are the facts and how can we apply them?


228. Engaging Traumatized Families: A Transgenerational Approach to Families, Trauma, and Addiction
Michael F. Barnes, PhD, MAC, LPC
Supported by: The Foundry Treatment Center
Level of Instruction: Intermediate
Attention to the co-occurrence of addiction and trauma has resulted in the development of trauma informed/integrated treatment models. Absent from these models is the recognition that family members are often as traumatized as their loved one in treatment. For some the trauma is associated with the active addiction experienced by their loved one, but for others it stems from growing up in an addicted/dysfunction family, their own attachment struggles, and their experience of childhood and adult traumas. Clearly, traumatized parents or partners will influence how the family copes with active addiction. This presentation defines secondary trauma and identifies immediate and long-term systemic changes seen within traumatized families. It will present a transgenerational view of how addiction and trauma can be transferred between generations and how these factors impact family functioning. Finally, attendees will learn simple engagement strategies and techniques to better assess and treat secondary trauma within families.


229. identification of challenges in providing Medical Assisted Treatment to patients who are receiving medications from other providers.
Todd W. Mandell, MD
Supported by: Lakeview Health
Level of Instruction: All
Overview of the growing challenges in the provision of medication assisted treatment and strategies for addressing them. Issues include: Q-Tc prolongation risk management; patients being prescribed controlled substances for depression, psychosis or anxiety or pain. These issues pertain to day to day treatment as well as clinic and individual risk management as frequently prescribed medications may have deleterious effects on patients receiving methadone for addictions treatment. There are often problems with the interface between community based medical and psychiatric providers and methadone programs who may be resistant to work collaboratively for shared patient management. This is particularly important of managing risk and responsibility for follow up on possible sedation, increased Q-Tc prolongation etc. It is incumbent on Methadone treatment programs to provide clear and concise information to outpatient providers and patients so as to increase communication and collaboration.


230. Enneagram as a 12 Step Compatible Tool to Help Identify
Greg Gable, PsyD & Kate Appleman, MA, CAADC, CMAT, ASAT, CCS
Supported by: Caron Treatment Centers
Level of Instruction: Intermediate
Personality traits can be significant barriers to recovery in the early and advanced phases. Attempts to identify these traits in a productive way can be difficult. Patients, especially those who are health professionals, are familiar with diagnostic nosology, and are reluctant to embrace the idea of features that carry terms that carry a pejorative connotation.
This workshop will explore ways in which the Enneagram can be utilized in a variety of treatment settings to empower the patient to become invested in a change process and 12 step spiritual growth. We will use Enneagram case examples to illustrate the usefulness of this tool.
The Enneagram can also be utilized in clinical supervision as a means to increase awareness and personal insight for clinical staff and a more in-depth understanding of common transference and countertransference patterns in staff and patient dynamics.


231. Reclaiming the Body: Treating Trauma and Eating Disorders
Dena Cabrera, PsyD, CEDS
Supported by: Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate
Exposure to trauma during childhood is a risk factor for eating disorders in teenage years and adulthood. The prevalence and relationship between eating disorders and trauma are significant and needs to be understood and treated concurrently. This workshop will focus on the role of childhood adversity, especially sexual, emotional, and physical abuse as a risk factor for anorexia, bulimia and binge eating disorder. Understanding the mind, body, and soul connection in working with trauma and eating disorders will be discussed An overview of effective treatments will be reviewed such as acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), as well as other experiential movement treatments. Tools will be offered in this engaging workshop.

Friday Luncheon

12:15 PM – 1:45 PM


250. Pain, Addiction and The Opioid Epidemic
Stacy Seikel, MD
Supported by: Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate
This presentation will review the new current CDC guidelines on prescribing opioids. Additionally it will look at the history of the perfect storm that led to the current opioid epidemic. The pharmacology of buprenorphine, methadone, and naltrexone will be reviewed. Overdose reversal with naloxone will be discussed and the various formulations of naloxone available will be reviewed. The importance of utilization of the states Prescription Drug Monitoring Programs will be emphasized. The basic neurobiology of addiction will be discussed with an emphasis on the brain changes which occur with chronic opioid use.

Strategic Learning Course for Executive Management

2:00 PM – 5:45 PM


251. Compliance & Risk Issues in Healthcare Provider Reimbursement
Zachary Rothenberg & John Mills
Supported by: American Addiction Treatment Association & Nelson Hardiman, LLP
Level of Instruction: Intermediate/Advanced
In recent years—and especially with the passage of the Affordable Care Act—there has been a significant evolution in reimbursement issues for healthcare providers. Understanding legal compliance and risk is critical for healthcare providers to avoid civil and criminal liability. This program will instruct healthcare executives how to spot compliance issues with their own facilities and payor provider networks. He will give focus to out-of-network billing, one of the fastest growing issues in compliance today. He will also cover ERISA plans, the unique nature of reimbursement disputes, the future of billing and compliance, and strategies to ensure compliance. This program is a must for any recovery industry professional, owner or operator challenged with reimbursement strategies!

Friday Early Afternoon Workshops

2:00 PM – 3:30 PM


252. Using Acceptance Commitment Therapy (ACT)as an Initial Intervention in a Residential or Outpatient Drug and Alcohol Treatment Setting
Joseph Troncale, MD, DFASAM
Supported by: Retreat Premier Addiction Treatment Centers
Level of Instruction: Intermediate
Acceptance Commitment Therapy (ACT) has been shown to be useful in the treatment of addictive disorders. The cornerstones of ACT include principles of mindfulness, remaining open to new ideas and moving toward one’s values rather than escaping one’s feelings. In short, accepting feelings rather than escaping them and moving toward values rather than toward suffering define the goals of this type of behavioral therapy. Introducing patients to these principles can be done early in drug and alcohol treatment and set the tone for ongoing therapy. This workshop will demonstrate practical techniques that can be used in any therapeutic setting.


253. Transitioning in Treatment: Helpful Hints for Cisgender Clinicians Working With Transgender Clients
Beck Ryan Gee-Cohen, MA, LADC
Supported by: BGC Consulting
Level of Instruction: Intermediate
More people are feeling safer coming out as transgender than ever before. We are seeing more transgender clients in treatment than ever. So now what? When a client informs us they would like to transition or are in the midst of transitioning when they come to treatment, we may freeze. We may not know what to do and we may need help. This session is geared toward cisgender clinicians who may be working with transgender clients or will be working with transgender clients in the future. This session will be experiential in nature, will give clinicians a better understanding of themselves as it relates to their transgender clients, and will offer helpful hints to be more prepared and comfortable working with the trans population. If you are ready and willing to get up and experience gender, clinical work and your own bias, then this is the session for you.


254. Families First-Designing A Program to Help Veteran Families
Kathy Leigh Willis, PhD, CADC-II, CEAP, CCTP & Frederick R. Sautter, MSW, LCSW
Supported by: FEAST
Level of Instruction: Intermediate
An increasing number of our combat Veterans return to their families with trauma related problems up to and including Post Traumatic Stress Disorder. PTSD in a spouse and parent causes secondary traumatic stress in other family members. We will explore the dynamics of PTSD, how it impacts the individual’s brain, body, emotions and actions. We will also define traumatic stress and Post Traumatic Stress Disorder and discuss the diagnosis. We will explore the impact on family members. Very few family members are able to identify traumatic stress in themselves, and therefore they do not seek help. This is a trans-generational problem that is passed down in families through epigenetics and behaviors. This program will teach the attendees how to design a series of town hall meetings with education and connection to services available to Veterans and their families both through the VA and in the private community.


255. How to Better Serve Our Clients by Practicing Self Care: Understanding Compassion Fatigue and Countertransference
Stephen Langley, CAC & Marie Lanier, LCSW
Supported by: Mountainside Treatment Center
Level of Instruction: Intermediate
Compassion Fatigue and countertransference are two words used frequently in any healthcare setting. Sometimes these words are utilized so frequently that their meaning becomes diluted. This presentation will help individuals and organizations be able to define and identify what Compassion Fatigue and Countertransference really are along with signs, symptoms, and solutions for these two concepts within their employees and themselves. This workshop will focus on all levels of employees within the healthcare system, not just direct care staff.


256. Compassion and Connection in the Treatment of Eating Disorders
Dena Cabrera, PsyD, CEDS & Jennifer Reeder
Supported by: Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate
Compassion & connection is an integral part of the healing process in the treatment of eating disorders. Though we practice with evidenced-based approaches, it’s the meaningful relationship that we build with the client that can often be the most impactful &long lasting. Compassion and connection are skills that can be developed, practiced and experienced by those treating clients with chronic eating disorders. These presenters will share their clinical perspectives and personal experiences of working with those with eating disorders and personally suffering from an eating disorder. They will discuss strategies to address resistance, roadblocks, and hopelessness in patients and self-care for providers while being connected and compassionate to enhance therapeutic effectiveness. This presentation will be a blend of clinical approaches and a personal journey.We will highlight the importance of not giving up hope, staying consistent, and living in compassion while working with those affected and impacted with an eating disorder.


257. – “Implementing Medication Assisted Treatment within a Community Mental Health Center”
Dr Jonathan Craig Allen, MD
Supported by: Rushford Center
Level of Instruction: Intermediate
The Opioid Overdose Crisis rages across the Northeast and throughout United States. One of populations at highest risk to develop substance use disorders are those suffering from mental illness. The evidence base tells us that medication assisted treatment cuts overdose risks in half, decreases rates of infectious disease and should be the first line intervention for those with an opioid use disorder. Yet, access to care is often a barrier. An ideal environment for implementing an MAT program includes psychosocial treatments, psychiatric specialists, case management, social rehabilitation, vocational services,crisis management while understanding and embracing the ideals of recovery. This environment already exists in a Community Behavioral Health Center yet many programs do not offer screening for sud or avenues to treatment. This workshop explores the barriers, and identifies strategies that have led to success for our Center in CT. Explore and discuss strategies that could work for you.

Afternoon Break in the Exhibit Hall

3:30 PM – 4:15 PM

Friday Late Afternoon Workshops

4:15 PM – 5:45 PM


275. “Readiness” Is When the Client Says So: Integrated Dual Disorder Treatment and a whole-person approach
Ross Ellenhorn, MSW, PhD & Prakash Ellenhorn
Supported by: Ellenhorn
Level of Instruction: Intermediate
Through repeated treatments, the experience and internalization of stigma, and often a succession of personal problems caused by their psychiatric experiences, people diagnosed with psychiatric issues often lose hope in their future, doubting their own fortitude to face problems. Treatment for people who suffer from both psychiatric issues and addictive behavior should aim for the triad of clinical, addiction and psychosocial recovery. In fact, addictive behavior and psychosocial pain are the key elements in this triad — the loss of hope, connection, purpose and belief in a future caused by social losses, the overwhelming determinants in a person’s willingness to change.

SAMHSA agrees. Their proposed best practice for co-occurring disorders is Integrated Dual Disorder Treatment, a model that integrates psychosocial goals as a part of treatment, and views pursuing such goals as a kind of medicine for addiction, as opposed to something pursued after significant abstinence.


276. Adolescent and Young Adult Continuum of Care: Increasing Engagement and Decreasing Trauma
Heather R. Hayes, MEd, LPC, CIP, CAI
Supported by: Hayes, Davidson and Associates
Level of Instruction: Introductory/Intermediate
The young adult population can be difficult, challenging, and rewarding to intervene on. As Interventionists and behavioral health experts, we have learned just as much from our missteps than we have from our successes; the entire evolutionary process has shaped a new set of guidelines for safely and effectively engaging adolescents, their families/support systems, the treatment they seek and the long-term strategy for keeping everyone anchored to the most beneficial path. Without effective communication, awareness of emerging trends, and healthy engagement by everyone involved, the long-term continuum of care suffers. Our workshop will address the best ways to secure optimal, long-term outcomes. This workshop is designed to help identify the differences in intervening on the young adult while effectively implementing a long-term continuum of care that engages the entire support system, while teaching participants to recognize and embrace the emerging trends they must acknowledge in order to maintain success.


277. Practical Tools for Working with Youth & Young Adult Families
Kristy L. Roll, LCSW & Dean Porterfield, LPC-MHSP,NCC
Supported by: Cumberland Heights
Level of Instruction: Intermediate
With rising rates of addicted young people, more families are experiencing helplessness and fear as they try to save their children. Research shows improved outcomes when families are actively involved in the treatment process. When families are armed with knowledge and tools the family, as a whole, can step out of survival and into family recovery. Participants will learn to empower family members and to support family members to take control of their own recovery process.


278. A Model that will Motivate: A practical application of Psychodynamic theory combined with Cognitive Behavioral techniques delivered within a simple model that can serve as a tool to engage and motivate
Allyson Cole, PsyD
Supported by: Connections in Recovery New York
Level of Instruction: Intermediate
The workshop will facilitate a discussion regarding the roadblocks that can occur when attempting to apply evidence based models, such as ACT, to all clients. The C.R.E.A.T.E. Outcomes model will be introduced as a new tool for clinicians and coaches to improve their application of evidence based interventions with clients. This will include an exploration of how Psychodynamic theory and the core tenets of Cognitive Behavioral interventions can be utilized in a systematic way to motivate clients and engage them in the goal-setting process that is part of all evidence based models. Examples will be presented to demonstrate ways that clinicians and coaches can overcome unforeseen roadblocks when helping clients to reach their goals. This presentation will also provide clinicians and coaches with a specific Psychodynamic technique delivered within a Cognitive Behavioral model of intervening to encourage and motivate clients to continue on their paths toward their goals.


279. Assessment and Treatment of Virtual Attraction
Dino Liverano
Supported by: Lakeview Health
Level of Instruction: Intermediate
While the use of social learning, ego psychology, addictions, family systems, cognitive-behavioral, ecological, and neuro-biological theories are standard in treatment, this presentation will include a values-based model which focuses on understanding interpersonal dynamics and exposing destructive patterns of behavior. The workshop will offer an opportunity to review the impact social, professional, and personal boundaries have on one’s current practice.


280. The Clinical and Medical Challenges of Treating Patients with Co-Occurring Chronic Pain and an Opioid Use Disorder
Mark Lawrence Kraus, MD & Robert C. Lambert, LADC, MA & Joseph G. Conrad, PsyD, LADC, MA
Supported by: Franklin Medical & Connecticut Counseling Centers, Inc.
Level of Instruction: All
This lecture is intended to provide an in depth look at an ever increasing patient population that we invariably see in our Medication Assisted Treatment Programs (MATP) and Primary Care Settings. Principally we are focusing in on those patients who are not only struggling with a primary opioid use disorder but also are concomitantly being treated for an array of chronic pain conditions. In fact, contemporary research surveys suggests that, among methadone-maintained patients the prevalence of chronic pain ranges from 37% – 61% (JAMA,2003 & J Pain Symp. Manage: 2000). As such the challenge to effectively and safely treat both of these conditions is quite significant. Accordingly, the lecture content will be focusing on an array of practice management issues inclusive of epidemiology, triage, and intervention in regard to both the physician’s and clinician’s role in working with these patients to achieve the best possible therapeutic and medical outcomes. Moreover specific focus will also be given to addressing prescription practices and introducing a particular “Integrative Model of Care” to help participants better understand this population of patients that indeed demonstrate increasing physical, emotional, and social deterioration over time and typically require more intensive, multimodal treatment to stop the cycle of increasing dysfunction.


281. Buprenorphine Diversion – The Elephant or the Mouse in the Room?
Jake Nichols, PharmD, MBA
Level of Instruction: Intermediate/Advanced
The criminal justice system regularly exhibits negative attitudes towards buprenorphine treatment due to the amount of diversion that occurs. This program will review data relative to the true scope of the problem, compare and contrast U.S. diversion rates to those in other countries, and offer tools that will help the clinician identify patients that may be using buprenorphine for non medical purposes.

Friday Evening Plenary

7:00 PM – 9:00 PM


299. The Heroin Effect
Russell Beebe, MS, LSW, MLADC, LADC-I, CADC-II & Eric Spofford & Michael Venn
Supported by: Green Mountain Treatment Center & Granite Recovery Centers
Level of Instruction: Intermediate
Friday, September 15, 2017 viewing of the documentary the Heroin Effect.

A locally produced documentary. 144 People die every day in the US from heroin and other opioid overdoses?but there is hope. Dean, Sandi and Eric are in long term recovery and they are a part of the solution. That said, Daniel’s video diary serves as the most personal of warnings.

The Key to fighting this epidemic lies in bringing people together. Only as a community, with a shift in our perception of addicts and addiction can we begin to tackle this crisis.

Documentary directed by Michael Venn, Written by Michael Venn and Karlina Lyons Produced by Karlina Lyons and Heidi Christofferson Bunnell.


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6:00 AM – 6:00 PM Caron Café opens hosted by Caron Treatment Centers
7:00 AM – 8:00 AM Open 12 Step Meeting in Cape Cod
7:00 AM – 8:00 AM NA “Just For Today” Morning Meditation Meeting in Room 104
7:30 AM – 6:00 PM Exhibit Hall Opens
7:30 AM – 6:00 PM Registration opens – Barnstable II
7:30 AM – 8:30 AM Breakfast in the Exhibit Hall

Saturday Morning Plenary

8:30 AM – 10:00 AM


300. Internet Addiction: Epidemiology, Etiology, and Treatment Considerations
David Neil Greenfield, PhD
Supported by: The Center for Internet and Technology Addiction & The University of Connecticut
Level of Instruction: Intermediate/Advanced
This workshop will attempt to address the theory, research, and clinical/treatment issues associated with Internet Addiction and Internet Use Disorder. There will be an introduction to the etiology, neurobiology, epidemiology and clinical/treatment implications of managing this growing process-addiction. We will also discuss some of the broader psychosocial and neurobehavioral aspects of the Internet as a mood-altering behavior and how the unique characteristics of the Internet promote compulsive use and addictive patterns. We will also discuss the specific addictive aspects of the Smartphone, along with distracted driving. Time permitting, we will review treatment strategies; Q&A.

Morning Break in the Exhibit Hall

10:00 AM – 10:45 AM

Saturday Mid Morning Workshops

10:45 AM – 12:15 PM


325. Parent Trap: The Double Intervention
Sara Counes, CAP, ICADC
Supported by: Caron Renaissance
Level of Instruction: Intermediate
Intervening on young adults today often times mean intervening just as much on the parents and addressing the entire family system. We will examine this process before, during and after the treatment experience and how these methods can have a positive effect on treatment outcomes.


326. Opioid Epidemic- Examining the Past, Present and what the Future will be
Michael Harle, MHS & Ruth Potee, MD
Supported by: Gaudenzia, Inc
Level of Instruction: Intermediate
The goal of this presentation is to explore the complexity of the opioid epidemic and a vision for integrated care that “Saves lives”. We also attempt to answer and shed light on some questions that we face as an industry in terms of “what is the right treatment for an individual” as it relates to best practices, addiction and the brain, self help groups, recovery houses and research. Lastly we will discuss as a group a “vision” of what treatment “should” look like in the next 5 years given our ever changing field.


327. Motivational Interviewing in the Treatment of Substance Use Disorders
Peter Musser, PhD
Supported by: Ashley Treatment Center
Level of Instruction: Intermediate
This workshop will introduce participants to the theoretical basis and tenets behind Motivational Interviewing (MI), a humanistic, client-centered intervention style based on the Transtheoretical Model (stages of change) of behavior change. Dr. Musser will compare pre-existing theoretical models and how MI techniques can enhance interventions to facilitate behavior change in sometimes resistant clients. He will also discuss strategies for incorporating MI among diverse client populations and issues.


328. Shhh! Let’s Talk About Moderation for Mild and Moderate Alcohol Use Disorders
Cyndi Turner, LCSW, LSATP, MAC & Craig James, LCSW, MAC
Supported by: Insight Into Action Therapy
Level of Instruction: Intermediate/Advanced
Approximately six percent of the Unites States’ population struggles with a severe alcohol use disorder. This group and their loved ones will experience devastating consequences. On the plus side, most traditional treatments and self-help groups are geared for their recovery. However, there is a larger number of the population, over 90 million people, that have a gap in services. They will avoid getting help for fear of being labeled an alcoholic, forced into treatment, made to attend 12-step meetings, and have to stop drinking completely. As health care providers, we need find ways to help this large number of alcohol users who are not experiencing addiction, but may be dealing with a mild or moderate alcohol use disorder.


329. Opioid use disorders among mothers, including pregnant mothers.
Surita Rao, MD & Jacquelyn Starer, MD, FACOG, DFASAM
Supported by: Department of Psychiatry, University Of Connecticut School of Medicine & Massachusetts Physician Health Service
Level of Instruction: Intermediate
Mothers with opioid addiction are a special group impacted by the opioid epidemic in the United States. This workshop will focus on mothers , including pregnant mothers with opioid addiction. It will help will explore the scope of the problem and describe specialized treatment approaches that are in the interest of the mother and the baby. Helping a mother enter treatment and recovery positively impacts the entire family.


330. Eating Disorders and Substance Abuse: Treating the Dual Diagnosis Patient
Angela Hall
Supported by: Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate/Advanced
The National Institute on Drug Abuse reports that one in four deaths can be attributed to alcohol and/or substance abuse. Combined with the extremely high mortality rate of eating disorders, treatment of the dual diagnosis patient has become the norm instead of the exception. This lecture/workshop will discuss the common risk factors found with the dual diagnosis patient, complications associated with treating substance addiction in the eating disorder setting, rationale for treating both disorders concurrently, and detoxification services

Saturday Luncheon

12:15 PM – 1:45 PM


350. Advocating Made Easy: Pearls from our Peers
Yngvild Olsen, MD, MPH
Supported by: NE ASAM
Level of Instruction: Intermediate
Have you ever educated and advocated for someone you treat? Have you seen their abilities to access care, work, and care for their families are impacted by often inappropriate laws, regulation, payment policies? Clinicians are rarely trained in these skills, but we have an opportunity to learn from each other during this luncheon techniques that have been effective; identify what advocacy we are and are not willing to perform; and how to efficiently use our limited time to have the best results. This session will provide an overview of a wide range of advocacy issues, and we will share our best “pearls” to move addiction advocacy forward.

Business Development Learning Course

2:00 PM – 5:45 PM


351. Business Development/Service & Support – Accountability, Transparency and Integrity: A Business Development Solution-Focused Panel
Rick Hubbard & Ruth Ann Rigby
Supported by: Origins Behavioral Healthcare & Capstone Treatment Center
Level of Instruction: Intermediate/Advanced
This workshop will cover a broad range of responsibilities and knowledge needed to be successful Business Development professional while maintaining integrity the addiction treatment industry. Significant attention will be spent considering the ethical responsibilities inherent to the field as well as practices outside of the norm. We will discuss key driving principles including: Evolution and status of the addiction treatment industry; Statistics; Trends and goals of treatment; Business Development’s strategic role in the continuum of care; Funding, Reimbursement and Incentives; Best Practices; Ethical guidelines and responsibilities; and Codes of Conduct. Small group discussions will also be part of the experiential nature of the Program.

Saturday Early Afternoon Workshops

2:00 PM – 3:30 PM


352. Global Integration: The need today for standalone addiction services to strategize beyond their existing activities considering solutions towards sustainability
Christophe Sauerwein, MBA, MSc, PgD; Tim Leighton, PhD; Neil Brener MBBS, MRCPsych; and Raymond Tamasi
Supported by: iCAAD, Gosnold on Cape Cod, and The Gruben Charitable Foundation
Level of Instruction: All
When it comes to mental health, more crucially to addiction, the up growing global integration concept of behavioural health appears to drive forces of change in treatment approaches, and into primary care responses. Integration seems to be the keyword for such a new global conceptualization. Implications are major in terms of change of treatment modalities, clinical protocols, diagnosis and assessment, service providers organisations, costs/insurance systems and more profoundly mental disorder conceptualisation. The panel is composed of American, British and European professional experts who will present on this central challenge of change in the mental health sector and addiction treatment, be it public, statutory or private.


353. Lost: Providing a Compass for Families
Jerri Avery, PhD
Supported by: Capstone
Level of Instruction: Intermediate
Families and other support systems often become part of the collateral damage of addiction. Individuals who love an addict often experience feelings similar to those of their loved one who is addicted. These feelings include hopelessness, fear, hurt, shame, anger, sadness and guilt. The focus of treatment providers is often focused solely on the individual in need of treatment. Meanwhile, the family may be left struggling with pain and confusion with insufficient tools, no guidance, and ample amounts of fear and resentment. The whole process of recovery can be bewildering and frustrating to the inexperienced. Addiction professionals must stand ready to accept the call for help from loved ones, not only to guide the recovery process for the addict, but also to provide guidance and help for the loved ones.


355. Early Career Physician Outreach in Addiction Medicine
Dr Samuel Silverman, MD, DFASAM, FAPA & Jonathan Craig Allen, MA
Supported by: CT ASAM
Level of Instruction: Intermediate/Advanced
Formerly presented as “The ASAM Educational’ CTASAM’s Approach to Early Career Physician Training in Addiction. CT-ASAM over the past 5 years has organized an annual educational event geared to all residents and fellows in medicine. The event participation requires a 10 slide presentation on “the impact of addiction on your medical training. This workshop highlights the educational value of such an event as described by it’s participants.


356. Motivational Interviewing to Facilitate 12 Step Involvement
Stephen Andrew, LCSW, LADC, CCS, CGP
Supported by: C4 Recovery Foundation
Level of Instruction: Introductory/Intermediate
Other motivational approaches have emphasized coercion, persuasion, constructive confrontation, and the use of external contingencies (e.g., the threatened loss of job or family). These may have their place in evoking change, but are quite different in spirit from Motivational Interviewing (MI) which relies upon identifying and mobilizing the client’s intrinsic values and goals to stimulate behavior change. It is tempting to try to be “helpful” by persuading the client of the urgency of the problem and the benefits of change. However, these tactics generally increase client resistance and diminish the probability of change. In MI, the counsellor is directive in helping the client to examine and resolve ambivalence. The operational assumption in MI is that ambivalence or lack of resolve is the principal obstacle to be overcome in triggering change. The specific strategies of MI are designed to elicit, clarify, and resolve ambivalence in a client-centered and respectful counseling atmosphere.


357. All of Me
Bree Greenberg-Benjamin
Supported by: Rosewood Centers for Eating Disorders
Level of Instruction: All
Join us for an exploration of the qualities and events that underlie an eating disorder as well as innovative forms of treatment. Utilizing clips from the newly released documentary film “All of Me” and didactic presentation, this workshop will invite participants to take a deep look at core themes of eating disorders, including: shame, inadequacy, self hatred, and trauma. The presenters will offer a mind/body/heart perspective to understanding and treatment. Following the presentation will be a brief q and a with several people in the film.

Afternoon Break in the Exhibit Hall

3:30 PM – 4:15 PM

Saturday Late Afternoon Workshops

4:15 PM – 5:45 PM


375. Healing Intergenerational Trauma and Addiction
Judith Landau, MD, DPM, LMFT, CFLE, CIP, CAI & Sonita Morin Abrahams, MHS
Supported by: 4 Winds Indigenous Healers
Level of Instruction: Intermediate
Indigenous people all over the world have struggled with addiction and fought through multiple barriers to achieve and maintain recovery. A key factor that drives addiction in these populations
is the underlying trauma that results in the suffering of communities and individuals. The combined research and experience of the 4 Winds team clearly indicates that attempts at
addressing symptoms of addiction without addressing the underlying factors associated with trauma and historical trauma often falls short in both the short- and long-term. This presentation will look at the value of indigenous healing practices for individuals with trauma and addiction/substance use disorders. It will a) provide an overview of indigenous healing practices and the 4 Winds Indigenous Healers virtual community; b) review effectiveness of several approaches to prevention, treatment, and recovery support services; and c) demonstrate that a wide range of practices are associated with better outcomes than treatment as usual.


376. Pharmacogenetics,Medication-Assisted Treatment and Sustained Engagement, MATand pharmacogenetics for Clients with a Co-Occurring Disorder
Patricia Allen, DNP, MSN, CRNP & Maria Ulmer, MA, LMFT, CAADC
Supported by: Summit Behavioral Health
Level of Instruction: Introductory/Intermediate
Heroin addiction affects countless Americans with deaths increasing by 286% from 2002 to 2013. Sixty-five percent of those with a substance use disorder also have a co-occurring disorder. Successful addiction treatment must be multidisciplinary and encompass both disorders. MAT and pharmacogenetics testing are essential tools that support engagement. This project explored engagement outcomes for clients with an opiate use disorder receiving treatment in two outpatient programs. Outcomes were evaluated at increments to determine the efficacy of MAT and pharmacogenetics testing. A retrospective chart analysis was conducted on 158 clients engaged in treatment over a one-year period. Eighty of the 158 received Suboxone or Vivitrol. Findings indicated that 65% remained engaged in treatment at 90 days compared to 37% of those without MAT. Of the 158 clients, 92 had a co-occurring disorder. At 90 days, 58 of 92 co-occurring clients remained engaged in treatment. Of those 90% had received pharmacogenetic testing.


377. Creatures of Addict: How our families get addicted…
Dug McGuirk
Supported by: Palm Partners
Level of Instruction: Intermediate
An interactive lecture on unpacking addiction as it relates to coping skills to deal with underlying issues and behavior patterns as it pertains to family dynamics. With a over a decade of coaching, speaking and training experience, combined with 3.5 years on the road with Tony Robbins, Dug has powerful insights on the variety of ways people meet their needs. Through this interactive and entertaining presentation participants will learn that drugs and alcohol were not the original problem, they were the solution, and family members have found their own “solutions” If the underlying issue of our strategies to meet our needs is not addressed, relapse is certain. Dug adds an innovative approach to recovery with focusing on eliminating limits and supporting the creation of a compelling future for Palm Partners clients and beyond.


378. Bridging Divides: 12 Step Recovery and Feminist, LGBTQ, and Atheist Populations
Rev. Eyglo Bjarnadottir, MDiv
Supported by: The Hazelden Betty Ford Foundation
Level of Instruction: Intermediate
This workshop presents resources, approaches, and clinical philosophy for best practices in addressing the spiritual care of patients and families affected by addiction, being sensitive to the difficulties that particular populations have including questions of gender, sexual identity, culture, and religion. Each of the presenters is experienced in providing patient-centered spiritual care in residential addictions treatment to diverse populations. Present treatment of use disorders has developed significantly since 1939 and the publishing of the
historic “Big Book” of Alcoholics Anonymous. At the same time, the ‘grass roots’ recovery community remains an important resource sought out by many individuals and families during and after formal treatment. The historical
distance from founding documents is one source of tensions between clinical practice, the recovery community, and individuals and families seeking help. Questions are raised by persons representing different stances that can feel excluded or typecast by the historic recovery frame of reference.


380. The Role of the Patient & the Role of the Family
Billie Church
Supported by: Rosewood Centers for Eating Disorders
Level of Instruction: Intermediate/Advanced
The eating disorder? Where does it come from? Does blame play a role? Does family play a role in the recovery process? Rosewood Centers for Eating Disorder’s Family Week Program is NOT about blame. The Family Week Program is designed to educate the family members on the eating disorder, itself, how it connects with other mental health issues, including other addictions, teach the family members skills, such as establishing healthy boundaries with their loved one that is struggling with the eating disorder. This talk will take a look at the roles that the family and family culture may have played with the onset of the eating disorder but does not blame. This talk will also take a look at the role that family members can have in the patient’s recovery as well as their own recovery.


381. Accountable Care: Measuring Treatment Fidelity and Outcomes
Siobhan A. Morse, MHSA, CRC, CAI, MAC
Supported by: Foundations Recovery Network
Level of Instruction: Intermediate
Organizations that can consistently demonstrate positive outcomes and treatment fidelity will thrive in the new healthcare environment. Foundations Recovery Network is a private, for profit healthcare provider and has developed a system of data collection to support organizational quality at all levels. FRN uses information developed through the Department of Research and Fidelity to support third-party payer contract negotiations, program development, marketing campaigns and clinical decision models. The session will focus on key areas of organizational accountability. Strategies for developing and integrating accountability systems will be presented. Specific examples of the application of these principles will be included.

Saturday Evening Lobster Bake

7:00 PM – 9:30 PM


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6:00 AM – 6:00 PM Caron Café opens hosted by Caron Treatment Centers
7:00 AM – 8:00 AM Open 12 Step Meeting in Cape Cod
7:00 AM – 8:00 AM NA “Just For Today” Morning Meditation Meeting in Room 104
7:30 AM – 10:30 AM Exhibit Hall Opens
7:30 AM – 8:30 AM Breakfast in the Exhibit Hall
8:00 AM – 10:30 AM Registration opens – Barnstable II

New England Chapters of ASAM and American Academy of Addiction Psychiatry (AAAP) Business Meeting in Osterville A&B

8:00 AM – 9:30 AM

Sunday Morning Workshops

8:30 AM – 10:00 AM


400. Advances in Pharmacotherapy For The Treatment of Opioid Use Disorder
Michael Frost, MD
Supported by: Sunspire Health
Level of Instruction: Intermediate
Medication assisted treatment (MAT) has become a principle tool in efforts to control the current epidemic of opioid use disorder and the sequelae that result from it. Historically few pharmacologic therapies have been available to treat this disorder, and there have been significant challenges and barriers associated with those treatments. Recent developments have resulted in newer technologies, formulations and delivery systems designed to enhance the array of pharmacotherapies available to treat opioid use disorder. This lecture will review the barriers and challenges related to MAT and will discuss recent advances in the various medication modalities approved to treatment opioid use disorder. Anticipated availability of new medications as well as the direction of future medication development will also be discussed.


401. Evaluation and Management of Suicidal Ideation and Behavior
Sanchit Maruti, MD
Supported by: University of Vermont Medical Center
Level of Instruction: Intermediate
Individuals with substance use disorders are at a higher risk of death via suicide and overdose. Clinicians and providers can feel overwhelmed by the complexities and high risk associated with treatment of individuals with co-occurring disorders. Knowledge of risk factors and discussion of evaluation, preventative measures and treatment options provides providers with important skills for working with this high risk population. The presentation will be focused on co-occurring disorders and the potential for death via suicidal behavior as well as accidental overdoses and medical co-morbidities. The epidemiology, rationale for screening, available screening tool , national recommendations as well as treatment planning/implementation will be discussed.

Sunday Closing Plenary

10:30 AM – 12:00 PM


425. The Return of the Veteran: The Changing Family and Veteran
Ronald E. Smith
Supported by: C4 Recovery Foundation
Level of Instruction: Intermediate
This workshop will enumerate the stresses on the Veteran and his/her family imposed by deployment, combat and separation. Many of these stressors are ancient and known. The recent wars and conflicts since Viet Nam, have produced previously unencountered problems.
Captain Ron Smith was training in Internal Medicine when the Prisoners of the Hanoi Hilton were released and admitted to his hospital and has worked with veterans of all conflicts and wars since.
These multiple traumas of separation, combat encounters with the unknown provide opportunites to change to grow bitter or better and sometmes both.
The origin of the stresses will be presented and the development of healthy and not so healthy coping skills discussed.
There is an upside to PTSD and this will be presented.

Sunday Intensive Learning Workshops

1:00 PM – 5:00 PM


500. Marijuana and the Synthetic Cannabinoids
Edwin G. Baker, LICSW, LADC
Supported by: Aspenti Health
Level of Instruction: Intermediate
This Presentation takes an in-depth look at Marijuana, what it is, how it works in the brain. It takes a scientific but easily understandable look at brain chemistry and development, and the ways THC can effect adolescent brain
development. Some of the recent preparations of very potent THC are explained, as are commercial products. Attention is focused upon adverse effects on teenagers and adults. The legalization and commercialization of marijuana is addressed. Further attention is focused on Synthetic Cannabinoids, their development, potency and marketing. An additional section is focused on the medical cannabinoids.


501. The Power of Groups Using Motivational Interviewing
Stephen Andrew, LCSW, LADC, CCS, CGP
Supported by: C4 Recovery Foundation
Level of Instruction: Introductory/Intermediate
Group work provides several important steps that help break isolation often experienced by a consumer. This training will provide a brief review and practice of Motivational Interviewing spirit and some basic skills and information on the issues and treatment of special populations (adolescents, dual diagnosis, addiction, intimacy, low-income families, parents, etc.) through the use of support groups in treatment. We will also explore the issues of assessment, interaction, group norms, and various forms of support for the consumer. We will also address why the therapeutic support group format is extremely effective. In addition to the role of group leader, the roles of the participants will be discussed and compared in various types of group settings, as well as the importance of therapeutic contracts, goal setting, and group frequency duration, course, and process. This session will utilize both useful theoretical models and hands-on opportunities to improve skills.


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  • CCSAD is a wonderful conference bringing together addiction professionals of all types in one large collaborative setting. It has become an absolute must for me each year and provides excellent quality and value for continuing medical education.

  • This event was one of the most informative learning experiences I've ever had in my 28 years of work!

  • The Cape Cod Symposium is a primary source of new information and new developments in the field of addiction. It is my most important professional development activity every year. The reputation of the conference seems to just keep getting better and better. See you in September.

  • I have gone to many conferences in my over 30 years in the addiction field and I can say I like this one the best. It was professional people with great, knowledge, insights, and experiences getting together and sharing and supporting each other. That to me is what it is all about.

  • I look forward to this conference every year. I always leave with a full tool bag and a renewed confidence in new and exciting ways to take care of those suffering from addictions!

  • CCSAD continues to be the premier training and education event for the addiction field because it does so well what others try to do, but fall short. It provides the opportunity for the frontline practitioner and administrator to experience gold standard, relevant, challenging, thought-provoking, and meaningful content, while also offering unique networking opportunities that are both fun and renewing for the spirit. One simply can't do better!

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