Monday July 17


2017 Monday Schedule


Credit for Attendance
VSIAS is an education provider for a number of credentialing and academic organizations. VSIAS exercises its ethical responsibility to ensure that contact hours are earned fairly and honestly by awarding contact hours for session attendance only if an individual attends a minimum of 80 percent of that session. VSIAS Faculty can not make exceptions to this policy and will take required professional action in cases of misrepresentation.


8:30 to 11:45

KEYNOTE / Plenary: Sherri Layton, LCDC, CCS

 

Opening Keynote
“More than an Opiate Epidemic: Let’s Impact the National Conversation!”

Level: Introductory
Limited: 225
Contact Hours: 3.25

 

Brief Description:
Our government and the pharmaceutical industry are focused on opiates when we know that’s only part of the problem. The media gives a twisted and biased representation of legitimate treatment. Let’s join our voices to impact all of addiction – the thousands who die, inadequate rates for publicly funded treatment that limits availability, and taking a stand for what works.

Educational Objectives:

Goal

  1. To enable addiction professionals to change the national conversation from an overemphasis on opiates and medication assisted treatment to the needs of all with substance use disorders.
  2. Break advocacy down into bite size pieces so that speaking out and speaking up about addiction policy feels “do-able” for all addiction professionals, with “big impact” results.

Objectives

 Bullet Discuss the opiate epidemic in the context of the overall addition epidemic in our country
 Bullet Identify how the pharmaceutical industry and the media are influencing the national conversation
 Bullet Discuss the research on medication assisted treatment retention rates and what is missing
 Bullet Contrast components of legitimate treatment to what it portrayed by its detractors
 Bullet Engage in ways that matter to change the national conversation about addiction

Bio:
Sherri Layton began working in the addiction treatment field in 1977. She is a licensed chemical dependency counselor and a certified clinical supervisor. Sherri has worked for La Hacienda Treatment Center since 1992 and currently manages their outpatient, continuing care, and alumni services, coordinates La Hacienda’s legislative involvement on the state and national level, contributes to accreditation and licensure compliance, and oversees staff training. She frequently speaks on topics related to addiction treatment, clinical supervision, advocacy and leadership development. Sherri served as the Mid-South Regional VP for NAADAC from 2012 to 2016, and has been on the Public Policy Committee since 2008 and is currently Co-Chair. She also served on the Advisory Committee for SAMHSA/NAADAC’s Recovery to Practice Initiative, ultimately helping to develop a series of nine webinars. Recognizing the addiction treatment industry needs to develop its next generation of leaders, Sherri completed an MBA with an emphasis on leadership in May 2009 at the University of Texas in San Antonio. She also has a bachelor’s degree in Psychology.

 


12:00 to 1:00

BREAK FOR LUNCH


LUNCHBOX SESSION – Lillian Tidler, MD and Janet Knisely, Ph.D.

“Health Practitioners’ Monitoring Program: Helping Those Who Help Others”

Level: Introductory
Limited: Open
Contact Hours: 1

Brief Description:

This slide presentation will begin with an introduction regarding the need and development of monitoring programs nationwide as well as the 1997 Virginia Legislation that established the monitoring program in Virginia.  Evidence of the need for monitoring healthcare practitioners will be demonstrated via an overview of the public health crisis of addiction, prevalence of impairing illnesses amongst healthcare practitioners and stories from several ‘real’ practitioners and their journey of recovery.   The structure of the Virginia HPMP will be presented to provide an understanding of the Program’s relationship with the Virginia Department of Health Professions including reporting requirements to the licensing boards, confidential entry to the monitoring program, stays of disciplinary action, and the role of the Program’s oversight committee.  The monitoring process will also be reviewed to include eligibility criteria, intake process, monitor planning, toxicology testing, components of case management, and return to clinical practice.  Finally, aggregate practitioner characteristics including demographic information, vocational information, and diagnoses will be presented as well as several outcome measures (return to clinical practice, relapse rate, monitoring outcome).

Educational Objectives:

  1. Gain understanding of the history of Virginia’s Health Practitioners’ Monitoring Program (HPMP), the statutory regulations that created the Virginia HPMP and the Program’s mission.
  2. Learn how the public health crisis of addiction affects health care and the benefit of monitoring health care professionals.
  3. Gain understanding of the structure and monitoring process of the Virginia HPMP including the Program’s relationship with the Virginia Department of Health Professions, the role of the oversight Monitoring Program Committee, and how a healthcare practitioner can be referred to the Virginia HPMP.
  4. Gain understanding of healthcare practitioners served and monitoring outcomes.

Bios:
Dr. Lillian Tidler
is a clinical faculty member of the Department of Psychiatry at VCU and is the Interim Medical Director for the Virginia Health Practitioner Monitoring Program.  She serves as an attending psychiatrist for the Substance Use Consult Service of the VCU Health System.  Regarding certification related to addiction she is Board Certified in Addiction Psychiatry, Addiction Medicine and has Medical Review Officer Certification.   After graduating from the University of Maryland School of Medicine she completed a general psychiatry residency training at the Sheppard Pratt Hospital in Baltimore, Md., followed by a fellowship in Child and Adolescent Psychiatry at the University of Maryland School of Medicine and Johns Hopkins University School of Medicine which was followed by a fellowship in Forensic Psychiatry at the University of South Carolina/ William S. Hall Psychiatric Institute.  She has experience working as a psychiatrist for the Virginia Chesterfield County drug court program and has had experience working with addiction issues in children, adolescents and adults in a variety of clinical settings.

Janet Knisely earned her Ph.D. in Biopsychology from Virginia Commonwealth University in 1985 and completed a three-year National Institute of Environmental Health Science post-doctoral fellowship in the Department of Pharmacology/Toxicology, School of Medicine at Virginia Commonwealth University.  She obtained a faculty appointment in the Department of Psychiatry, Division of Addiction Medicine in 1988 and is currently Associate Professor in the Department of Psychiatry.

Dr. Knisely has received several research federal grants and pharmaceutical contracts as principal or co-principal investigator.  Since her career shifted from pre-clinical to clinical research, funded areas include substance abuse treatment outcome studies, effects of in-utero substance exposure on the developing fetus and neonatal outcome, post-marketing surveillance of various opioids in healthcare professionals, evaluation of evidence-based practices for the treatment of addiction in community treatment settings, and the behavioral and physiological impact of therapy animals in various patient populations.  She has published more than fifty articles in peer review journals, 70 abstracts/presentations and three book chapters. Most recently, Dr. Knisely serves as the Administrative Director of the Virginia Health Practitioner’s Monitoring Program.

 


1:15 to 4:30

Cardwell C. Nuckols, PhD

“De-Escalating Anger and Potential Violence / Management of Anger and Aggression”

Click Here to Download Presentation

Level: Advanced
Limited: 225
Contact Hours: 3.25

Brief Description: Most of us have very strong reactions toward a client, patient, offender, consumer or employee demonstrating angry emotion and potentially out-of-control behavior. Sometimes our reactions become part of the problem instead of the solution. This presentation can help change these uncomfortable scenarios into potentially positive corrective experiences.

Anger and aggression are best viewed from a multiple causation set of glasses. This skills training event will look at anger and aggression as a symptom of numerous disorders including addiction, personality disorders (antisocial and borderline, for example), as a learned coping survival strategy, as a manifestation of the ego, in relationship to self-esteem, etc.

The latest scientific understanding of this group of individuals will be addressed while placing emphasis on verbal and behavioral management, along with the demonstration of empirically proven strategies such as relaxation and cognitive-behavioral techniques.

Based on over 40 years of experience, Dr. Nuckols has worked with major corporations and various systems including the military, criminal justice, mental health and substance abuse. His background includes over 35 years of direct clinical practice and his educational background includes advance work in pharmacology, psychology and neurobiology.

Educational Objectives:  Upon completion of this course participants will be able to:

 

 – Understand that anger may be a strategy used to preserve a client’s need for control when a situation arises that causes fear of loss of control.
 – Understand their personal reaction to anger and potential violence and, most importantly, if this reaction is effective or ineffective.
 – Discuss the importance of establishing rapport and the setting of limits with this population.
 –   Describe verbal and behavioral management strategies helpful in successfully handling an angry outburst with potential for aggressive acting-out.
 –   Understand why punitive attempts to control the client’s anger fail and what you can do to change negative outcome.
 –   Describe proven cognitive-behavioral and self-regulation strategies useful in the management of the angry, aggressive individual

 

 

Bio: Dr. Cardwell C. Nuckols is described as “one of the most influential clinical and spiritual trainers in North America.” He has served the behavioral medicine field for almost 40 years and for the last 20 years is considered one of the leading experts in the world on addiction and recovery.

Dr. Nuckols is widely published, having authored more than 60 journal articles, 30 books and workbooks, 50 DVDs, CDs and videos, and 25 audiotape series. His latest book entitled Finding Freedom Through Illumination: Realizing Christ Consciousness was released in May of 2014. His previous publication is a best seller entitled The Ego-Less SELF: Achieving Peace and Tranquility Beyond All Understanding.  Dr. Nuckols’ first book Cocaine:  Dependency to Recovery is also a trade best seller, as are, his booklets Quitting Heroin, Quitting Alcohol and Quitting Marijuana (Hazelden). He is the author of the book Healing an Angry Heart (HCI) and video Chalk Talk on Drugs with Father Martin (Kelly Productions).

Dr. Nuckols’ background includes advanced work in such areas as medical research, pharmacology, neurobiology and psychology. His personal spiritual path has involved studies into various spiritual traditions predominately early Contemplative Christianity.


Saulo S. Ortiz, LCSW

“Correcting Icarus: Revamping Drug Treatment Behind Bars”

Level: Introductory
Limited: Open
Contact Hours: 3.25

Brief Description:

This presentation will address the increasing corrections population and change the way providers look at the incarcerated population, and how they work with individuals who have spent time in jail and/or prison and are now attempting to re-engage in the community.  It will change the way providers interact with addicts in corrections, using music and practical useful strategies.    

Educational Objectives: 

Goal:  To bring awareness to the impact of substances on corrections, and address the impact of SA treatment on the incarcerated population.

Objectives:  Utilize statistics, music, and real world intervention strategies to treat inmates wrestling with addiction while incarcerated.

  • The Icarus Concept
    • I believe I can fly?
      • Getting too big for my britches – personalities of addicts in corrections
    • The sun isn’t that hot
      • Justice system and petty drug related offenses
    • I’m a big boy now
      • It’s just a little weed. . . – the connection between drug charges and criminal behavior
  • Melted wings
    • The sun wasn’t hot the first time
      • What addicts tell each other about the system
      • Culture vs. Counter Culture
    • It wasn’t the sun that melted my wings
      • The baggage I bring to lockup
    • Broken Wing System
      • Why Addicts think the system is trying to screw me
  • Agitated shoulder blades
    • Falling from the sun into a concrete cell
      • How one interprets their time locked up
    • I’ll never fly again
      • The barriers to engaging in treatment while locked up
    • Sitting in a group with other broken wings
  • Flying smarter this time
    • Rebuilding My Wings
      • The challenges of seeking treatment while locked up
      • If I ask for help they think im crazy
    • His Wings Work And Mine Don’t
      • Available SA treatment in corrections
      • Why do my charges limit my help?
      • What’s The Point?

Bio:
Saulo S. Ortiz, LCSW
, has a variety of experiences working with troubled youth and adults.  As a bilingual therapist able to provide services in both Spanish and English, Mr. Ortiz utilizes a broad array of approaches to treat the whole person, and not just the problem.  He has an extensive history in substance abuse and mental health care and advocacy, and has proven to be effective in working with resistant teens and adults.  Mr. Ortiz will utilize his broad base of experiences and a variety of methods to bring attention to the core issues while keeping you engaged. As a dynamic and engaging public speaker and activist, Mr. Ortiz is able to treat and speak on a variety of areas, including adolescent issues, men’s issues, acute care, substance abuse, trauma, corrections, and social change.


Patty Smith, LPC, CSAC, Certified Sex Addiction Therapist, LMFT

“The Complexities of the Understanding and Treatment of Sex Addiction”

Level: Introductory
Limited: 30 Full
Contact Hours: 3.25

Brief Description:

The workshop describes/explains the rational for recognizing aberrant sexual behavior as a disease of addiction; examines the theories explaining the development of the aberrant behavior; describes the impact of the disease on the addict’s life and family; discusses interactive addiction. Treatment options will be presented.   The emphasis is on sex addiction as a brain disease and the trauma experienced by the addict and his/her partner.

Educational Objectives:  Throughout the history of the identification and treatment of substance abuse there has been resistance to the “disease model” of addiction. Process addictions, such as gambling, eating and sex were recognized but have been met with skepticism by many professionals.   In 1992 Russian psychiatrist Tsezar Korolenko published a study which addressed process addictions and his book has become widely recognized in the medical community.  The identification and treatment of sex addiction began with Patrick Carnes, Ph.D. when he published The Sexual Addiction.  The DSM V made pathological gambling as its first inclusion under behavioral addictions but excluded sex, as well as internet, addiction as needing more study.

This workshop will provide information on how sex addiction has been charting the course of change in the understanding of how sex becomes a drug of choice and how the pathological behavior alters the brain process.  This biopsychosocial viewpoint addresses the complexities of the assessment, diagnosis and treatment of this disorder.  It emphasizes the trauma of the attachment disorder and how the family becomes trauma victims.  The cultural impact the development and course of the disorder is reviewed.

Participants will be asked to complete a pre-self evaluation of their attitudes toward sex and a post-self-evaluation.   This information is for the participants’ understanding of their own views and will be confidential.  It is crucial for professionals to assess their own attitudes before working with sex addicts and their partners.  Slides and videos will increase the understanding of the power and destruction of this addiction.

  • Historical factors leading to changes in attitudes
  • Sex addiction from a biopsychosocial viewpoint
  • Sex addiction as an attachment disorder
  • The cycle of the addiction, the arousal templates and how triggers are developed
  • The diversity of behaviors in this addiction which creates multiple complexities
  • The assessment process and tools available
  • The power and control via technology
  • An overview of treatment options for addicts and their partners
  • The emphasis on 12 Step work for ongoing recovery
  • Possible prevention practices
  • Personal views and attitudes

Bio: Since 1980 Patty Smith has been working in various settings as a therapist and clinical manager.  She has specialized in working with addiction, alcohol and drug as well as sex addiction.  Her initial experience was with the Community Services Board, City of Virginia Beach Substance Abuse Program.  She then became the Director of the Chemical Dependency Program at Maryview Psychiatric Hospital, Portsmouth, VA.  While in that position, Patty also worked in several private practices.   After working in a hospital setting for 5 years and observing the impact of managed care on inpatient treatment, she returned to the City of Virginia Beach as a Clinical Services Coordinator.  In that role she managed the mental health and substance abuse programs.  In December of 2001 Patty retired early from that position when an ideal opportunity presented itself for working in a small private practice with professionals she truly respect and have had an excellent working relationship with all members of the practice over the years.  Since 1992 she has also worked as a preceptor with military substance abuse counselors, helping them expand their knowledge and expertise and become certified.  Over the years as a therapist she strived to continue learning and improve her knowledge and skills.  Licensed as an LPC and LMFT, she is also certified as an addictions counselor, as a psychodramatist, and as a sex addiction therapist.  She has trained in EMDR and hypnosis and plans to expand her skills in those areas.  Patty needs to challenge herself to keep her enthusiasm and energy.  She is completing the course work for a doctorate degree in psychology.  Her major focus at this time is working with sex addicts and family members. While maintaining her career, she is proud to say that she is a mother of 4 girls (1 biological and 3 step children), grandmother of 11 (7 girls and 4 boys) and a great-grandmother of 3.   Family is a priority for her and she feels very privileged to have such an abundance of love in her life.


 

 

Cyndi Turner, LCSW, LSATP, MAC and Craig James, LCSW

“Changing the Way We Treat Mild Alcohol Use Disorders”

Click Here to Download Presentation

Level: Introductory
Limited: Open
Contact Hours: 3.5

Brief Description:

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.  Moderation Management found that 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 addiction professionals, we need to find ways to assist this large number of alcohol users who are not yet experiencing addiction, but may be dealing with a mild or moderate alcohol use disorder.

This presentation will teach how to differentiate four types of drinkers and their treatment needs, determine who is a candidate for moderate drinking using research from the “How Do I Know If I Can Keep Drinking Quiz”, and review tools for developing and implementing a Moderate Drinking Plan for appropriate clients.

Educational Objectives:  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.  Moderation Management found that 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 addiction professionals, we need to find ways to assist this large number of alcohol users who are not yet experiencing addiction, but may be dealing with a mild or moderate alcohol use disorder.

This presentation will teach how to differentiate four types of drinkers and their treatment needs, determine who is a candidate for moderate drinking using research from the “How Do I Know If I Can Keep Drinking Quiz”, and review tools for developing and implementing a Moderate Drinking Plan for appropriate clients.

Bios:
Cyndi Turner, LCSW, LSATP, MAC
is the Co-Founder and Clinical Director of Insight Into Action Therapy who has been in the addictions field for over twenty years. She co-developed and facilitates the Dual Diagnosis Recovery Program©, is an expert witness, a clinical supervisor for licensure, and provides therapy for players involved in the National Football League Program for Substances of Abuse.  Her book Can I Keep Drinking? How You Can Decide When Enough is Enough challenges the traditional belief that all drinkers experiencing problems must be alcoholics who need to quit drinking forever

Craig James is a Licensed Clinical Social Worker also with over twenty years of experience in both the private and public sectors.   He is the Co-Founder and Director of Operations of Insight Into Action Therapy.   Craig’s clientele of adolescents and adults includes students, business executives, professional and amateur athletes, and those with court involvement.


 

6:00 pm to 8:30 pm

Amira Turner, BSW, MSW and John Beaver, PRSS, Outreach Coordinator, Nurse

“REVIVE! Training of Trainers”

Click here to download presentation ppt

Level: Introductory
Limited: 25
Contact Hours: 2.50

Brief Description:

REVIVE! is the Commonwealth of Virginia’s Opioid Overdose and Naloxone Education Training

Objectives:

  1.  To understand the purpose of Narcan/Naloxone
  2. To understand the background of the REVIVE! Program and the subsequent use of Narcan/Naloxone
  3. To understand the purpose of the REVIVE! program
  4. To understand the legality of administering Narcan/Naloxone
  5. Understanding addiction and opioid overdose
  6. To understand some of the common myths of treating opioid overdoses
  7. To understand and demonstrate the proper administration of Narcan/Naloxone
  8. Learn how to prepare for and conduct Law Enforcement Rescuer trainings

 

1. The purpose and use of Narcan/Naloxone

a. Recognized and recommended for use by numerous associations

i. American Association of Poison Control Centers
ii. American Medical Association
iii. Office of National Drug Control Policy
iv. United Nations Office on Drugs and Crime
v. US Attorney General
vi. World Health Organization

b. What Narcan/Naloxone is not

i. A safety net that allows individuals to continue or increase drug use
ii. A barrier to seeking additional treatment

2. Background of the REVIVE! program and use of Narcan/Naloxone

a. Opioid use has reached epidemic proportions in the US
b. Opioid overdoses kill more Virginians than motor vehicle crashes
c. Prescription opioids are often a gateway to heroin use
d. Opioid overdoses affect individuals from all walks of life
e. Narcan/Naloxone has been found to be the only effective response to an opioid overdose
f. Narcan/Naloxone has no potential for abuse and will have no effect if accidentally administered
g. Narcan/Naloxone is safe, with the same dosage, for adults or children
h. REVIVE! program created in the 2013 session of the Va General Assembly

3. Purpose of the REVIVE! program

a. Educating the lay rescuer regarding opioids and Narcan/Naloxone
b. Educating the lay rescuer to recognize and respond to an opioid emergency
c. Educating the lay rescuer about the legality of administering Narcan/Naloxone

4. Legality of Narcan/Naloxone use

a. House Bill 1672 – Authorizing the REVIVE! program
b. House Bill 1458 – Immunity from civil liability, allows LEOs to carry
c. House Bill 1500 and Senate Bill 892 – Safe reporting and affirmative defense

5. Understanding Addiction and Recognizing Opioid Overdose Emergencies

a. ASAM definition of addiction
b. What are opioids
c. Differences between really high and overdosed

6. Naloxone

a. What is Narcan/Naloxone?
b. How does it work
c. Safety

7. Risk factors of Overdose and Myths about how to treat

A. Risk Factors

a. Prior overdose
b. Tolerance
c. Mixing drugs
d. Using alone
e. Different formulations
f. Medical conditions

B. Myths

a. Do not put an individual in a bath; ice bath or otherwise
b. Do not put an individual in a bath; ice bath or otherwise
c. Do not induce vomiting
d. Do not put ice in an individual’s clothing or in any bodily orifice
e. Do not try to stimulate them by slapping, kicking, etc.
f. Do not inject them with any foreign substances (milk, salt water, etc.)
g. Do not force the individual to eat or drink

8. Understand and properly demonstrate the opioid overdose emergency response

1. Check for responsiveness and administer rescue breaths if person is not breathing.
2. Call emergency medical personnel.*
3. Continue rescue breathing if person is not breathing.
4. Administer naloxone.
5. Resume rescue breathing if the person has not started breathing yet.
6. Conduct follow-up and administer a second dose of naloxone if no response after three minutes.

9. In Depth Review of Each Step

10. Participant Demonstration of Response and Naloxone Administration

a. Each participant will demonstrate for the group how to respond to an opioid overdose emergency with the use of Naloxone training devices

11. Review Strategies for Successful Trainings

a. Scheduling
b. Registration
c. Evaluation
d. Hands on practice

12. Review of Resources

a. How to obtain Naloxone/Narcan
b. What to include in departmental policies

i. Storing naloxone
ii. Naloxone use forms
iii. Monitoring expired product

 

 Conclusion:  The instructor will summarize the lesson plan.  He/she will refer back to the objectives that were introduced during the introduction.  The instructor will ask if the students have any questions.  He/she will clarify anything the students may not have clearly understood from the program.

Bio: Amira Turner graduated in 2008 with a Bachelor’s degree in Social Work from Virginia Commonwealth University. She completed the Substance Abuse Counseling Education coursework through J. Sargeant Reynolds Community College in 2015. Currently, she is working towards a Master of Social Work at VCU as well as a Master of Science in Addiction Studies through the International Programme in Addiction Studies, a collaboration between Kings College London, Adelaide Australia, and Virginia Commonwealth University’s School of Medicine. Her research has been focused on opioid addiction and how to best respond to opioid overdose. Her past experience includes co-facilitating counseling groups for women’s issues and substance misuse as well as domestic violence counseling and case management. Most recently, she has worked with the Behavioral Health and Wellness team at the Department of Behavioral Health and Developmental Services where she became familiar with State level efforts and initiatives throughout Virginia geared toward prevention. She is certified as a Youth Mental Health First Aid Trainer, ASIST Trainer, and REVIVE! Trainer and has been providing these training throughout Virginia. As the REVIVE! Coordinator, Amira oversees the statewide REVIVE! outreach efforts and trainings for both community members and law enforcement. She coordinates efforts between trainers, agencies, and community members who require trainings to facilitate expanded access to REVIVE! trainings across Virginia.

John Beaver is an Outreach Coordinator for SAARA of Virginia and a Peer Recovery Support Specialist. He has been with SAARA since June of 2011. John has traveled to 17 countries doing medical work. He attended Oral Roberts University B.S.N. program.