Wednesday July 19


2017 Wednesday 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: Michael A. Gillette, Ph.D.

“Ethics and Dual Diagnosis: Does Categorization Matter?”

Click Here to Download Presentation

Level: Introductory
Limited: 225

Contact Hours: 3.25

Brief Description:

This highly interactive session will consider the ethical complications that develop when individuals present with dual diagnoses. We will examine case studies that force us to consider the ethical implications of making a primary diagnosis as either mental illness or substance use disorder, and we will discuss the practical results of serving individuals in a system that encourages this type of categorization.        

Educational Objectives: 

  1. To review cases in which a distinction between primary diagnoses is made.
  2. To examine the ethical implications of making such distinctions.
  3. To identify ethical responses to cases involving dual diagnoses.

 

Bio:
Dr. Michael Gillette
is an ethics expert who has presented numerous keynotes and workshops nationally and    internationally over the past two decades. Additionally, he contracts with dozens of healthcare organizations and other agencies to provide ethics case consultations and policy work. His energetic and interactive style engages his audiences and helps them think critically about ethical decisions in their work and beyond.

Dr. Gillette graduated magna cum laude from Brandeis University, with majors in philosophy and classical Greek, where he was elected to Phi Beta Kappa. He earned his master’s and Ph.D. in philosophy at Brown University. He has taught at colleges and universities, published articles in the field of clinical ethics and has received several teaching awards. In 2004, he was elected to the City Council in Lynchburg, Virginia, and subsequently served two terms as Mayor of the City.


Howard C. Wetsman, M.D.

“The Neurobiology of Addiction”

Level: Introductory
Limited: Open
Contact Hours: 3.25

Click HERE to Download Presentation

Brief Description:

The neurobiological model outlined promotes seeing addiction as primary as opposed to being caused by the use of substances. It provides for the inclusion of other behaviors in addition to substances as well as explains biologically the function of 12-step and related recovery cultures.

Historically, addiction has been seen as the result of drug use. Consequently the focus has been on stopping drug use rather than on treating any primary illness. Prevention too has followed this path, focusing on the war on drugs. This presentation is an interactive lecture focused on a neurobiological model of addiction as a primary illness. It presents new paths for medication, integration of recovery cultures including 12-step culture, and novel prevention paths including the use of genetic testing and early treatment.

Educational Objectives: 

  1. The participant will be familiar with the neurobiology of the primary brain disease of addiction including the role of midbrain dopamine tone
  2. The participant will see new uses for the application of this knowledge on diagnoses currently not seen as addiction
  3. The participant will have a new way to see patients with addiction that can lead to better outcomes.

Bio: Dr. Wetsman is a board certified general psychiatrist and certified by the American Board of Addiction Medicine. He is a Distinguished Fellow of the American Society of Addiction Medicine and currently serves as the Chief Medical Officer of Townsend Treatment Centers, a part of the American Addiction Centers group of companies. He lives in New Orleans with his family, but used to live in Virginia Beach and Chesapeake while serving in the Navy.

 


Denise Hall, LPC, CRC, NCC

“Screening, Brief Intervention and Referral: Tools and Application”
CONTINUED IN THE AFTERNOON 1:15 – 4:30 PM (Must attend all day)

Level: Introductory
Limited: 50
Contact Hours: 3.25 (AM) & 3.25 (PM)

Brief Description:

This presentation can be presented in a ½ or full day format. Half day would strictly be an overview and full day would be an application portion in addition to overview. The content focuses on the explanation, information and instruction on how to incorporate SBIRT into practice settings. The Screening portion focused on current screening tools and scoring used for alcohol, drug and depression. The Brief Intervention section focuses on the methods and protocols used to provide a 5-15 minute brief intervention based on screening results. The Referral to Treatment section focuses on warm handoffs, active case management and ways to manage client ambivalence about a referral.

Educational Objectives: 

  1. Participants will be able to identify at least three common screeners used in SBIRT.
  2. Participants will be able to demonstrate use of at least one screening instrument to include scoring and feedback options.
  3. Participants will practice (full day) screening plus a brief intervention using a protocol that is adaptable to most settings.
  4. Participants will be able to discuss the aspects of effective referral to treatment strategies.

Bio: Denise Hall, MS, NCC, CRC is a licensed professional counselor (LPC) and the clinical coordinator for the Department of Rehabilitation Counseling at Virginia Commonwealth University. She has been a member of the Motivational Interviewing Network of Trainers since 2003.  She has extensive experience providing training and consultation on behavioral health evidence-based practices within organizations. In her previous work with the Addiction Technology Transfer Center (ATTC), she coordinated and offered training based on needs assessments, developed curricula and provided technical assistance to agencies. From 1991-2005, she worked in various psychiatric settings that built clinical services around evidence- based practices to ensure clients were matched with appropriate levels of care and aftercare.

 


12:00 to 1:00

BREAK FOR LUNCH

LUNCHBOX SESSION – Melanie Meadows

“Virginia Drug Treatment Courts – What Are They and Where Do They Fit in the Continuum of Services”

Level: Introductory
Limited: Open
Contact Hours:

 

Brief Description:         This workshop will give an overview of what drug treatment courts are and where they fit in the system; how to target the right person for the right service using evidence based practices. As part of the presentation, the importance of using evidence based, validated risk assessments to target the right defendant population will be reviewed.  Further, review of drug court treatment services will emphasize the use of evidence based practice and programs to include matching risk/need levels with intensity of services rendered.  While I will talk about Chesterfield Drug Treatment Courts as examples, I will give a broader view of drug courts by sharing where other drug treatment courts are located across the state, and a brief summary of other specialized dockets.

Educational Objectives: 

Goal:

Participants will gain an understanding of Drug Treatment Courts and their place on a Continuum of Services.

Objectives/Tasks:

  • Define Drug Treatment Courts
  • Share the populations targeted for DTC’s
  • Explain Criminogenic Factors and how DTC targets same
  • Best Practice behavioral and treatment services provided to the drug court client
  • Overview of Drug Treatment Courts across the state

 

Bio: Melanie Meadows has been the Administrator of the Adult/Juvenile Drug Courts in Chesterfield County/City of Colonial Heights, Virginia for the past 15 years.  She has been a faculty member with the National Drug Court Institute (NDCI) since 2014 facilitating training for adult drug courts that are both operational and in the planning stages. She brings 31 years of experience working in the criminal justice field as a former probation/parole officer, supervisor, and program administrator.  She has held leadership roles with the VA Drug Court Association, and has been an appointed member of the Virginia Supreme Court’s Statewide Drug Treatment Court Advisory Board.  Melanie has participated in numerous planning and mental health/criminal justice study initiatives related to drug courts, substance abuse, and evidence based practices.  She graduated from Virginia Commonwealth University with a Master’s Degree in the Administration of Justice and Public Safety, and received her BA in Political Science from James Madison University.

 


 

LUNCHBOX SESSION – Robert D. Taylor, Jr., ADCII, CADC, NCACII, CCS

“AIDS TO NAVIGATION: Military Treatment options for persons with SUD”

Level: Introductory
Limited: 25
Contact Hours: 1

Brief Description:        

Workshop will explore different treatment options available within the DoD community, particularly in Virginia.  It will also discuss various cultural strengths and weaknesses that effect AD people on AD struggling with SUD.  This workshop would be a beginner level workshop, and would primarily provide an overview of these items.

Educational Objectives: 

At the end of the workshop participants will:
a) Be able to identify TriCare treatment options
b) be familiar with military cultural peculiarities which challenge people struggling with SUD
c) be familiar with military cultural peculiarities which support people struggling with SUD.

Bio:
Robert Taylor
is a nationally and internationally certified Substance Abuse Counselor and a Certified Clinical Supervisor with the United States Navy.  Mr. Taylor has a Bachelor’s Degree in Psychology and over twelve years of experience treating Active Duty sufferers of Substance Use Disorders at the Navy Medical Center Portsmouth Substance Abuse Rehabilitation Program.  He is a Navy retiree who has worked with AD patients in all levels of Navy treatment from assessment through detoxification.

 


1:15 to 4:30

Denise Hall, LPC, CRC, NCC

“Screening, Brief Intervention and Referral: Tools and Application”
CONTINUED FROM AM SESSION (Must attend all day)

Level: Introductory
Limited: 50
Contact Hours: 3.25 (AM) & 3.25 (PM)

 


Martha Haley-Bowling, Ph.D., LCSW

“Are Spirituality, Self-efficacy & Life Satisfaction Important to Alcoholism Recovery” 

Level: Introductory
Limited: 25 FULL
Contact Hours: 3.25

Download Presentation Here pptx

Download References Here docx

Brief Description:

The purpose of this presentation is to examine the combined impact of the three predictor variables (self-efficacy, spirituality, life satisfaction) in maintenance of sobriety for individuals that had been sober for at least one year. Another purpose of the presentation is to explain the impact of self-efficacy, spirituality, life satisfaction individually to determine if there was a relationship between those variables and time sober. The study did not find that self-efficacy, spirituality, and life satisfaction had any relationship in the maintenance of time sober. What the study did find were interesting demographic information that could lead to more study.

Concept definitions:

Abstinence: Practicing restraint from using alcohol (Baker, 2003).

Aftercare: The process post treatment where individuals receive support and counseling (Meniga, 2011).

Addiction: Having a physiological and psychological dependence on a behavior or substance (Baker, 2003, p. 7).

Alcoholics Anonymous (A.A.): A support group for individuals recovering from alcohol addiction (Alcoholics Anonymous World Service, 2011).

Alcohol Dependency: Having increase of tolerance, withdrawal, using larger amounts, life obligations decrease, unable to stop use despite the consequences within a twelve month period time (American Psychiatric Association, 2000).

Life Satisfaction: Feeling that an individual has accomplished something positive in his or her life. Life satisfaction comes from taking action in one’s life to make it better (Meniga, 2010).

Prohibition: Time in history when it was illegal to make or distribute alcoholic beverages (Clark, 1991).

Recovery: Restoring to a better quality of life without alcohol (Meniga, 2011).

Relapse: Return to a disease state from a period of remission or abstinence from the substance (Rahill, Lopez, Vanderbiest, & Rice, 2009, p. 246).

Self-Efficacy: Personal assurance and increased confidence to stay sober (Forcehimes & Tonigan, 2008).

Spirituality: “The devotion to the immaterial part of humanity and nature rather than worldly things such as possessions: an orientation to people’s religious, moral, or emotional nature” (Baker, 2003, p. 414).

Educational Objectives:  Although research has identified self-efficacy, spirituality, and life satisfaction as important predictors for recovery, it remains to be seen whether these factors are important predictors for recovery in rural regions of the United States, where people are more likely to have higher self-efficacy and spirituality, but lower life satisfaction (U.S. Department of Health and Human Services Health Resources and Services Administration Office of Rural Health Policy, 2012). This presentation will discuss areas of significance found related to demographics.

Bio:
Martha Haley-Bowling
is a graduate of Ferrum College (BSW), Virginia Commonwealth University (MSW), and Capella University (PhD). Dr. Haley-Bowling is licensed as an LCSW and is certified Sex Offender Treatment Provider by the Virginia Board of Health Professionals. She is currently employed as an Assistant Professor and Field Coordinator for the Social Work Program at Ferrum College in beautiful Ferrum, VA.  Dr. Haley-Bowling also works with The Radford Counseling Group which began operation in 2000 to specifically address forensic mental health needs in Southwest and Central Virginia.  The practice has office locations in Radford, Virginia and Roanoke, Virginia. Sex offender treatment services are also provided throughout central and southwest Virginia.  Radford Counseling is currently contracted with the Virginia Department of Corrections, the Virginia Department of Juvenile Justice, and the United States Federal Probation and Parole Districts throughout the state to provide various substance abuse counseling services, psychosexual evaluations/risk assessments, individual sex offender treatment, group sex offender treatment programs, sexual deviance testing, and batterer intervention programs.  Radford Counseling currently provides outpatient treatment of approximately 400 violent sexual offenders and probation clients for state and federal probation districts in the state of Virginia.  Radford Counseling also serves departments of social services statewide providing psychosexual evaluations, psychological evaluations, domestic violence risk assessments, and parental capacity evaluations. Her background includes working with chronic mentally ill individuals, substance abuse and addiction, grief and bereavement, sex offenders. Dr. Haley-Bowling lives in Ferrum, Va with her husband Paul and children Eric and Haley.

 


David M. Savinsky, Ph.D., LPC, LMFT, CSAC, ACS

“The ASAM Criteria: Evaluating Patients for Levels of Treatment”

Level: Advanced
Limited: Open
Contact Hours: 3.5

Brief Description:

Working with patients with addiction involves a careful consideration of multiple dimensions of assessment and determining the best level of treatment. The American Society for Addiction Medicine (ASAM) has recently produced an updated criteria for patient placement (PPC), The ASAM Criteria, 3rd Edition (2013). The new version of the criteria attempts to cover more than patient placement only and identifies service planning and ongoing treatment as essential goals. The current training will discuss the updates to the new criteria and multidimensional assessment while also balancing with the older and former patient placement criteria (ASAM PPC-2R). Given that the ASAM criteria is used in 30 states for placement and the continuum of care, it is essential to be familiar with and utilize the criteria.  Participants will analyze a case study and work to utilize the ASAM criteria to arrive at the best treatment decision.

Presentation Abstract:

Clinicians working with patients with addiction need to plan effectively how to assess their patient’s needs while balancing the level of treatment for the presenting symptoms. It is not uncommon for clinical effectiveness to be determined by effective treatment matching or identifying the right level of treatment for the patient. In other words, placing a patient in the wrong level of treatment for their symptoms can lead to failure to reduce presenting symptoms and potentially premature termination from treatment. The ASAM criteria offers a clear and organized way to evaluate patients with addictive disorders and adhere to a research-oriented set of standards.

The ASAM Criteria (formerly the ASAM patient placement criteria) was created to “define one national set of criteria for providing outcome-oriented and results-based care in the treatment of addiction” (www.asam.org). This breakout training session focuses on the updates to the ASAM Criteria (Mee-Lee, 2013), comparison with the former set of criteria of the ASAM PPC-2R (Mee-Lee, 2001), and how to utilize the ASAM criteria when determining the best placements for patients with addiction. Previous iterations of the ASAM Criteria published in the 1990s as the PPC2 (see Mee-Lee, 1998) demonstrate it has continuously evolved with expert consensus on what constitutes best practice in patient placement.

Given that the ASAM criteria is used in 30 states for patient placement and the continuum of care, it is essential to be familiar with how to utilize the criteria effectively. Further, this training will discuss the six dimensions of multidimensional assessment, the importance of organizing a continuum of care for the patient (further than simply patient placement), and identify the new terminology and treatment perspectives within the updated criteria.

Multiple resources are offered by ASAM to better utilize the criteria, including online resources, online training, and ASAM Criteria software. A list of these resources will be explained within the training.

This training targets clinicians actively working with adolescent and adult patients with addictive disorders in multiple settings who benefit from clarity regarding a set of effective criteria for assessing patient symptoms and determining effective service planning for the continuum of care and ongoing treatment.

Educational Objectives:

  1. Participants will become familiar with the overall ASAM Criteria (2013) and the updates to the criteria, including new terminology and the addition of DSM5 addictive disorders (e.g., Tobacco use disorder, Gambling disorder)
  2. Participants will learn and describe the Six levels of multidimensional assessment identified in the ASAM criteria.
  3. Participants will develop a clear, organized approach to evaluating levels of treatment that incorporate the ASAM criteria, directed by the patient’s needs, driven by clinical evaluation, and supported by research outcomes.
  4. Participants will participate in experiential placement in which they will utilize a specific case study, evaluate the best treatment options utilizing the ASAM criteria, and organize a continuum of care for the patient based on such criteria.

Bibliography/Reference List

Mee-Lee, D. (2013). The ASAM Criteria (3rd Ed.). Chevy Chase, MD: American Society for Addiction Medicine, Inc.

Mee-Lee, D. (2001). ASAM PPC-2R: Patient placement criteria for the treatment of substance-related disorders  (2nd Ed.). Chevy Chase, MD: American Society for Addiction Medicine, Inc.

Mee-Lee, D. (1998). ASAM PPC-2: Patient placement criteria for the treatment of substance-related disorders (2nd Ed.). Chevy Chase, MD: American Society for Addiction Medicine, Inc. 

 

Bio:
Dr. Savinsky
has worked in the field of counseling and therapy for the past 20 years, working in a variety of clinical settings including over 10 years in outpatient treatment.

He is an approved clinical supervisor and provides licensure supervision as well as consultation to agencies through Beach Therapy & Consulting. He is currently a full time Assistant Professor at Regent University and the Clinical Training Coordinator of their Masters in Clinical Mental Health Counseling Programs.

Dr. Savinsky is intensively trained in Dialectical Behavior Therapy and has had over 200 continuing education hours in Dialectical Behavior Therapy. His research interests are in adolescent addictions and family therapy as well as mindfulness in supervision.

Dr. Savinsky is a Licensed Professional Counselor, Licensed Marriage & Family Therapist, Certified Substance Abuse Counselor, and Approved Clinical Supervisor.

 


Charles Adcock, LCSW

“12 Steps and Medication Assisted Treatment”

Level: Introductory
Limited: Open Full
Contact Hours: 3.25

Brief Description:
This presentation was designed to address the increase in clients being seen by clinicians that are prescribed suboxone and methadone for heroin and prescription pain medication.

While many of these clients report benefits from attending 12 step programs, there are numerous problems that exist in referring MAT clients to abstinence based programs.

Clinicians trained in the abstinence based models of counseling also struggle with ways to introduce clients to 12 step philosophy while they are taking suboxone and methadone. This presentation reviews several theoretical models that work well with addictions, and provides clinicians with tools to weave 12 step theory into their clinical practice.

Educational Objectives: The current Opiate Epidemic is receiving a lot of publicity. This presentation begins with a review of previous opiate epidemics and the research that has been done in the past on opiate addictions. In many ways we seem to be repeating past errors in treating this population. By reviewing the history, clinicians may be able to avoid repeating past mistakes.

Bio:
Chuck Adcock is an LCSW. He has been working in the addictions treatment field for over 30 years. He has been in recovery for over 35 years and brings a combination of clinical knowledge and personal recovery to his presentations.

Chuck has served as Adjunct faculty in the VCU School of Social Work, VCU Department of Rehabilitation Counseling, and MCV Department of Psychiatry. He recently served on the Governor’s Commission on Heroin and Prescription Drug Abuse.

Chuck is the Program Director and part owner of the Family Counseling Centers for Recovery. FEEC is an outpatient treatment program that operates three outpatient treatment centers in Virginia. FCCR provides a combination of 12 step abstinence based treatment in addition to methadone and suboxone treatment options.

 


Ashley Harrell, LCSW

“Medicaid Addiction and Recovery Treatment Services – Emerging Opportunities for Substance Use Disorder Treatment”

Level: Introductory
Limited: Open
Contact Hours: 3.25
(***Speaker approved for CEs as of 5/31/17. Pending VCB, CEU & NASW approvel)

Click HERE to download presentation

Brief Description:

  • Overview of the Medicaid Addiction and Recovery Treatment Services (ARTS) benefit effective April 1, 2017.
  • Overview of the American Society of Addiction Medicine (ASAM) Criteria. ASAM is the evidenced based national criteria for providing individualized client –centered outcome-oriented and results-based care in the treatment of addiction.
  • Board of Counseling Certified Substance Abuse Counselors (CSAC) and opportunities for licensed clinicians to collaborate.
  • Medication Assisted Treatment

Educational Objectives: Support the recruitment of participating Medicaid behavioral health providers with experience in treating individuals with addiction as well as providing overview on the reimbursement opportunities for the Medicaid substance use disorder benefit – ARTS.
Bio:
Ashley Harrell
is a Policy and Planning Specialist within the Department of Medical Assistance Services (DMAS). Ashley is responsible for the implementation of the Medicaid transformation of substance use disorder treatment services – Addiction and Recovery Treatment Services (ARTS). Ashley’s current role at DMAS is lead on the ARTS implementation. Prior to transitioning to the new role at DMAS in June 2016, Ashley. Ashley has worked within DMAS Maternal and Child Health in several capacities since May 2005 – most recently managed the MCH unit in DMAS. Ashley is licensed in Clinical Social Work in Virginia as of 2002. Ashley graduated from Virginia Commonwealth University with degrees both in Master’s in Social Work as well as a Bachelor’s in Social Work. Prior to her work for Medicaid, Ashley worked as a social worker in a non-for-profit hospital and also as a home visitor/counselor for a Virginia Military installation.