Tuesday July 18

2017 Tuesday 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

Plenary: Dr. Cardwell C. Nuckols

 “Treating Early Life Developmental Trauma”

Click Here to Download Presentation

Level: Advanced
Limited: 225
Contact Hours: 3.25

Brief Description:

Take a look at the population you treat. No matter whether it is a criminal justice, alcohol and drug or psychiatric population, the recidivists will have a high incidence of early life trauma. Research is teaching us more and more about this population. However, research is only useful when it can be translated into clinically useful technique.

This skills training event will focus on the treatment of early life developmental trauma. Emphasis will be placed on the understanding of current research from such disciplines as neurobiology, neuropsychology and attachment theory. Participants can expect to hear what the research tells us about this population and how this evidence can be used to help. Practical treatment techniques translated from the research will give participants hands-on skills that can be used to better client understanding and clinical outcomes.

The treatment of trauma within alcohol, drug and mental health treatment settings will be integrated into the sessions. A trauma friendly environment will be explored as participants understand the various clinical presentations and strategies used for successful stabilization. In a clinical setting the client’s early life history creates a dance of attachment between both staff and patient. You are always treating trauma so it is best to be informed and proactive.

Educational Objectives:  Upon completion participants will be able to:

  1. Describe empirically validated ways of treating early life trauma.
  2. Discuss the physiological, self and identity and altered consciousness symptoms associated with complex PTSD.
  3. More proactive in creating an environment capable of better meeting the needs of those with trauma histories.
  4. Discuss treatment strategies useful in the stabilization of this client including contracting, setting limits and working with self-injurious behavior.
  5. Describe the neurobiology of the fear response and how therapy works via extinction to override this response.


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.


Christopher C. Wagner, Ph.D.

“Motivational Interviewing Groups”

CONTINUED IN THE AFTERNOON (Must attend full day for credit)

Level: Introductory
Limited: 28

Contact Hours: 6.5 (total for full day)

Brief Description:        

Motivational interviewing (MI) is an empathic, goal-oriented therapeutic approach that elicits change in health, mental health, and addictive behaviors. MI was developed as an individual approach, and adapting MI to group interactions requires us to rethink the core practices to harness the power of group support, cohesion and momentum.  This training reviews the essential elements of MI, provides detailed information on the process of adapting MI to groups across a variety of formats, including group set up and use of skills to shape group conversation. The workshop is highly experiential, leading participants through group practice exercises across the four phases of MI groups.

Educational Objectives:  The workshop aims to assist participants to:

  • Understand group practice of MI compared to individual practice
  • Develop a greater knowledge of the range of MI groups design options
  • Understand the four phases of MI groups
  • Experience and observe MI groups in action
  • Develop basic to advanced MI group leadership skills.

The workshop covers the following key areas:

  1. Reorienting from individualistic to group perspective
  2. Key issues in therapeutic groups
  3. Similarities and differences between individual and group MI
  4. Group conversational shaping
  5. Phase I: Engaging the group
  6. Phase II: Exploring member perspectives
  7. Phase III: Broadening member perspectives
  8. Phase IV: Moving into action


Chris Wagner
is Associate Professor at Virginia Commonwealth University in the Departments of Rehabilitation Counseling, Psychology and Psychiatry, and a Licensed Clinical Psychologist.  He has led psychotherapeutic, psychoeducational, and support groups targeting addictive behaviors, sexual behaviors and identity, HIV disease coping, schizophrenia, and organ transplant, as well as general adult mental health.

Dr. Wagner is a past president of the Society for Interpersonal Theory and Research (SITAR) and has been a member of Motivational Interviewing Network of Trainers (MINT) since 1998.  Dr. Wagner is the lead author on “Motivational Interviewing in Groups” – a 2013 book published by Guilford Press, as part of the official MI series edited by Bill Miller and Steve Rollnick, the initial developers of MI.  He is committed to creating safe, positive learning environments where participants can practice skills.

Recent participant feedback about this workshop

  • I loved the hands-on and practice-oriented approach.
  • I had read the book and found that the workshop put the information into perspective.
  • The best part was how we worked ourselves in a really structured way through the process.
  • The interactive, small-group-based format was effective and memorable.
  • The exercises in the small group were very important and gave me lots of inspiration and ideas of how to work with groups in my clinic.


12:00 to 1:00




1:15 to 4:30

Christopher C. Wagner, Ph.D.

“Motivational Interviewing Groups”

CONTINUED FROM MORNING (Must attend full day for credit)

Level: Introductory
Limited: 28

Contact Hours: 6.5 (total for full day)

Mary J. McQuown, MA, CPRS

“Code of Ethics of Peer Recovery Specialists”

Level: Introductory
Limited: Open

Contact Hours: 3.25

Code of Ethical Conduct for CPRS. Click here to download.

Brief Description:        

DBHDS has been working over many years with the mental health and substance use recovery community to arrange for trainings, credentialing, and other opportunities for persons wishing to work as Peer Recovery Specialists. Office of Recovery Services (ORS) is responsible for developing Peer Recovery Specialist certification training that addresses the skills and knowledge needed to provide Peer Recovery Services that meet the requirements of IC&RC, CMS, and various stakeholders and constituencies in Virginia.  This workshop will introduce participants to the Code of Ethics for Peer Recovery Specialists.

Name a profession and you will find they have a Code of Ethics that guides their work.  Peer support is no exception.  Certified Peer Recovery Specialists (CPRS) have a Code of Ethics that they agree to abide by.  There are boundaries within peer support work.  Peer support is changing the face of Virginia’s behavioral health system.  As Virginia prepares for Medicaid reimbursement for peer support services, some are concerned that there are no ethical guidelines for peer workers.  This workshop will put those concerns to rest as we explore the CPRS Code of Ethics.  We will also look at the Core Competencies for Certified Peer Recovery Specialists.

The format of the presentation will be lecture with discussion, utilizing Power Point.  The workshop will address thematic area 3: Basics (core competencies, including Ethics).


Educational Objectives: 

Learn about the Code of Ethics for Certified Peer Recovery Specialists.

Explore the Core Competencies for Certified Peer Recovery Specialists.


Bio: Mary J. McQuown, MA, CPRS, has over 20 years’ experience in the behavioral health field.  She spent a decade as a Virginia advocate at the local and state level.  She has seven years’ experience training and supervising peer providers with Recovery Innovations.  Ms. McQuown is the Peer Recovery Specialist Liaison in the Office of Recovery Services, DBHDS.


Dr. Douglas J. Muller, LMFT, LPC, LCSW, CSAC, MAC and Dr. Sadie Sheafe, Ph.D., LCSW, ABS Dip, BCD, MAC

“Techniques in Providing Supervision for Substance Abuse Certification”

Level: Supervisory
Limited: 40
Contact Hours: 3.25

Brief Description:        

The workshop will consist of a presentation utilizing examples of different styles and techniques in providing supervision for CSAC (certified substance abuse counselor). The techniques and styles of the supervision between the supervisor and the supervisee will be explored through role plays of a supervisee providing counseling to a substance using client; and the feedback that is provided by the supervisor.  The workshop participants will be included in discussions of the style of the supervision and of the techniques that were used by both the supervisor and the supervisee.

Content and format:

Presentation of the different models and techniques in providing supervision for supervisees utilizing power point presentations and interactive role playing.

Educational Objectives: 

  1. Attendees will learn of the different styles and models in providing supervision to supervisees who are seeking CSAC.
  2. Attendees will be able to observe, demonstrated styles and techniques of supervision through role plays of addiction counseling.
  3. Participants will discuss the advantages and limitations of the different demonstrations of supervision techniques.
  4. Participants will be able to discuss with supervisees how different styles and techniques of supervision mesh with their own style of counseling.

Dr. Douglas J Muller, PhD.
, served in the Air Force as the Chief of Social Actions whose office was responsible for Drug/Alcohol Education & Treatment and Racial/Sexual Discrimination & Equal Opportunity/Treatment Education. While in the service he earned a MA in Correctional Counseling; and upon retirement a MSW in Social Work and a PhD in Urban Services/Counseling with a focus on Adult Attention Deficit Disorder. He worked for the Hampton/Newport News Community Services Board as a therapist for the homeless, seriously mentally ill, substance abusing population. He then worked for the military’s mental health/substance abuse insurance program, TRICARE, as a Clinical Care Coordinator. Dr. Muller is currently an Assistant Professor in the Psychology Department at Hampton University while working part time at DQS Healthcare Group that specializes in sexual addictions. He is a licensed professional counselor (LPC), a licensed clinical social worker (LCSW), a licensed marriage and family therapist (LMFT), a certified substance abuse counselor (CSAC) and a master addiction counselor (MAC).

Dr Sadie Sheafe, Ph.D., LCSW, ABS Dip is a Board Certified Clinical Sexologist, Diplomate of the American Board of Sexology and Licensed Clinical Social Worker. She has been working in the field of mental health and a practicing psychotherapist and sex therapist in a number of clinical settings throughout the United States and Europe; her passion as a therapist, educator, researcher, lecturer and speaker spans 30 years. Dr Sheafe has worked with thousands of men and women of all nationalities, creeds, ethnicities and socioeconomic backgrounds.

Presently she is the primary provider for military sexual trauma victims and the Director of Substance Abuse Treatment in Mental Health and Behavioral Sciences for the Veterans Affairs Medical Center; and the supervisory social worker in mental health and behavioral sciences. Dr Sheafe is also an Adjunct Professor in the MSW Program at Norfolk State University. She was elected Chairman of the mental health advisory board for the city of Portsmouth, Virginia, and sits on the Virginia state board for the National Association of Social Workers.


Dr. Adina Silvestri, EdD, LPC

“How to Deal with Anger Sober”

Level: Introductory
Limited: Open
Contact Hours: 3.25

Brief Description:

Many of us are taught at an early age that anger is a negative emotion and it should be suppressed.  While there are destructive ways to deal with anger, it can be a functional, healthy emotion, if managed properly. This basic, natural emotion serves as a warning sign that something is not right.  What’s more, it is considered part of the brains flight or fight response to a perceived threat.  Anger becomes unhealthy when combined with substance abuse.  This seminar will teach you how to address anger from biological, cognitive, and emotional perspectives. You will learn practical tools to address anger in healthy rather than destructive ways.

Educational Objectives: 

1)Video examples of how we use these tools to address anger.

2)Learn healthy ways to cope with the most passionate of all emotions.

3)Learn biological, cognitive and emotional triggers.

Charting the Course of Change: We will address this theme and also the following: Adolescence, cultural competency, basics, skills training, recovery community, prevention, clinical supervision and technology.


Adina Silvestri EdD, LPC
is a licensed Professional Counselor in Richmond, Virginia who works with children and families. She specializes in treating women with substance abuse issues and in helping children who have experienced trauma lead full and productive lives. Dr. Silvestri helps women with Binge Eating issues recover from shame and find hope and healing.

Dr. Silvestri’s clinical work includes providing supervision to counselors-in-training.  Dr. Silvestri is an innovative counselor educator; she teaches aspiring counselors the skills needed to become empathetic and creative.  In addition to her clinical work and teaching, Dr. Silvestri takes an active role in the community.  She is the 2016 Chairman of the Board for the Jaycees and she also works with Drive for the Blind, raising money and coordinating volunteer projects.  She writes for publications such as the Dr. Oz show, American Counseling Association, Richmond Family Magazine, and other recovery and wellness publications.

In her spare time, she mentors students at South University and her hobbies include sailing and running.



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


  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.