Co-Occurring College: Selected
Workshops for Implementation &
Sustainability
June 25-26, 2018
Kellogg Hotel and Conference Center
East Lansing, Michigan
Who Should Attend:
Clinical directors, case workers, support coordinators, children’s supervisors and other practitioners who must be able to address comorbid mental health and substance use disorders at all levels of practice (beginning, intermediate and/or advanced).
COST: $140 for two-day training, including breakfast, lunch and parking
Kellogg Center Hotel: 219 S. Harrison Rd., E. Lansing, MI 48824
Phone: 517-432-4000
Hotel rooms are $75 per night. Ask for Group Code 1806COOCCU. Block closes June 7, 2018
CLICK HERE TO REGISTER FOR THIS TRAINING
The Michigan Department of Health and Human Services & the Community Mental Health Association of Michigan are pleased to host a statewide conference focusing on people who have substance use disorders as well as mental health disorders. These individuals are diagnosed as having co-occurring disorders, or dual disorders. This is also sometimes called a dual diagnosis. This unique training opportunity will focus on program development, implementation, sustainability, and impact.
Co-Occurring College: Selected Workshops for Implementation & Sustainability
AGENDA
MONDAY, JUNE 258:00am to 8:30 am / Registration and Continental Breakfast
8:30 am to9:15 am / Welcome and Opening Remarks:
Mark Lowis, LMSW, Behavioral Health and Developmental Disabilities Administration, Division of Quality Management & Planning, MDHHS
Angie Smith-Butterwick, MSW, Acting Manager, Prevention and Treatment Section, Women’s Treatment Specialist, Office of Recovery Oriented Systems of Care, MDHHS
Brenda Stoneburner, Section Manager, Community Practices and Innovation, MDHHS
9:15amto10:30am / Keynote: “Integrated, Recovery-Oriented Treatment Planning for People with Co-Occurring Disorders: A Practicum”
Qualifies for 5 CE hours for Social Work (for entire day)
Qualifies for 5 Specific MCBAP Education Contact Hours (for entire day)
Kenneth Minkoff, MD, Senior System Consultant, Zia Partners, Inc., Part-Time Assistant Professor of
Psychiatry, Harvard University
This keynote session will provide a framework for how to address the challenges of individuals with co-occurring disorders, based on the fact that co-occurring conditions are an expectation, and all programs and all persons providing help must become co-occurring competent. The session will then outline six evidence-based principles of successful intervention that can be applied in any program, by any set of staff, and describe the associated interventions for each principle. The session will illustrate how to embed these principles and interventions in daily practice, supported by policy, procedure, and paperwork, so that they are sustainable, and staff can continually learn and improve. The bulk of the session will be practicum experiences in the application of these principles to the process of treatment planning. Participants will work in small groups to demonstrate how to approach treatment planning in a way that is hopeful, strength-based, and recovery-oriented, from the perspective of individuals with complex challenges, and then go on to identify interventions and outcomes that are stage-matched, skill-based, and supported by positive contingencies for each step along the way. The practicum will include three cases, with progressive levels of difficulty, moving from an individual in current crisis who is engaged in treatment, to addressing applications of the same principles and process to individuals who are “breaking the rules” and at risk of being kicked out of treatment and/or placed in jail.
Participants will be able to: 1.Describe the concept of universal co-occurring competencyand how to implement it in practice in their own program. 2. Identify the six principles of successful integrated treatment and the associated interventions that can be applied in each program. 3. Demonstrate skills in initiating treatment planning for individuals with complex needs from a hopeful, strength-based perspective. 4. Document stage of change for EACH issue in a person with multiple issues in different stages of change. 5. Identify and document specific next step stage matched interventions by which the individuals can learn new skills to address each issue in order to make progress. 6. Apply the same principles to documenting a treatment plan approach for an individual with co-occurring issues who is “breaking the rules” and is at risk of treatment termination.
About the Presenter: Dr. Minkoff is a board-certified addiction psychiatrist who is internationally recognized as an expert in implementing integrated systems and services for individuals and families with co-occurring MH and SUD and other complex health and human services’ needs. He has trained and consulted throughout Michigan on the implementation of the Comprehensive Continuous Integrated System of Care in which all programs and staff become co-occurring capable. He has similarly provided training in every state, almost all Canadian provinces and most of Australia and New Zealand.
10:30 am to 10:45 am
10:45 am to 12:00 pm / Morning Break
Keynote Continued
12:00pm to 1:00pm / Lunch and Announcements
1:00pm to 2:30pm / Keynote Continued
2:30pm to 2:45pm / Afternoon Break
2:45pm to 4:00pm / Keynote Continued
4:00pm / Adjourn
TUESDAY, JUNE 26
8:30am to 9:00am / Registration and Continental Breakfast
9:00am to 10:30am / Workshop 1: A Guided Tour of Effective Treatment for Dual Disorders – Part 1
Qualifies for 1.5 CE hours for Social Work
Qualifies for 1.5 Specific MCBAP Education Contact Hours
Stephen Wiland, MSW/LMSW, ICDC, Director, Foundations Detroit
Integrated Dual Disorder Treatment (IDDT) is an evidence-based practice designed for adults with serious mental illness and co-occurringsubstance use disorders. When implemented with high fidelity, IDDT is associated withdecreased hospitalization,homelessness, incarceration and service costs; increased continuity of care, stable housing and social connectedness. Michigan hasbeen in the process of implementing IDDT as part of a co-occurring capable system of care for several years. This training is useful fornew IDDT teams, or IDDT team members who are new to an existing team, to familiarize them with key components of the practice. Attention will also be paid to sound principles and interventions for implementing effective co-occurring disorders treatment for clientsserved in settings and teams outside of the IDDT model.
Participants will be able to: 1.Understand SAMHSA’s Dual Diagnosis Capability frameworks as overall models of effective treatment for co-occurring mental health and substance use disorders. 2.Recognize how motivational enhancement strategies can be useful for engaging and empowering clients, and for avoiding unnecessary staff burnout.3. Identify the differences between the Stages of Change and Stages of Treatment, and why the staging of clients is important at service initiation and thereafter.4.Recount how to utilize group interventions that match differing levels of treatment readiness, and how to access available curriculum/content resources for use at each level.5.Differentiate between three different types of treatment approaches, and why all should be represented in an effective service array.6. Recall 5 evidence-based interventions for treating trauma survivors with co-occurring addictive disorders, and individuals with co-occurring personality disordered traits and addictive disorders.
About the Presenter: Steve has over 28 years of experience working with numerous clinically complex populations, including individuals with co-occurring mental health and substance use disorders, individuals with personality disorders, trauma survivors, juvenile offenders, and county jail inmates. Currently serving as the Director of Foundations Detroit, an outpatient clinic specializing in treating dually diagnosed adults, Steve previously worked for over 20 years in Michigan’s community mental health system. He also currently teaches in the School of Social Work at the University of Michigan and is a popular conference speaker and trainer. Steve’s own lived experience of dual disorders and dual recovery has been a core element informing his clinical practice and teaching work.
Workshop 2: Supervision: Addressing Comorbidity within Treatment
Qualifies for 1.5 CE hours for Social Work
Qualifies for 1.5 Specific MCBAP Education Contact Hours
Michelle Boudreaux, LMSW, Supervisor, InterAct of Michigan
This workshop focuses on ways for supervisors to help practitioners use supervision to enhance their ability to address comorbidity in their practice, specifically focusing on assessment and treatment planning. Supervisors will be exploring whether staff are addressing both SUD and Mental Health or whether they have the tendency to focus on just one area. This workshop will cover how to integrate both areas within assessments and treatment plans. Supervisors will also be able to utilize a strength-based feedback form with staff.
Participants will be able to: 1.Examine the meaning of comorbidity. 2. Explore with staff at least three ways within the assessment/treatment plan how MH and SUD are addressed and impact functioning.3. Demonstrate ability to use strength-based feedback form.
About the Presenter: Michelle Boudreaux has been providing mental health and co-occurring services for over twenty-years. She started her career working in residential treatment with adolescents and their families. She has provided IDDT treatment and utilized Motivational Interviewing since 2005 and has provided DBT treatment since 2007. She was a program supervisor who has provided oversight to multiple evidence-based practices(IDDT, MI, DBT, FPE, IPS, Recovery Illness and Management, Integrated Healthcare, etc.) for eleven years. She currently is a supervisor at InterAct of Michigan in the Substance Abuse Services Program. She also serves on the MIFAST review team for DBT.
Workshop 3: Using Motivational Interventions for Recovery-Oriented Treatment Planning
Qualifies for 1.5 CE hours for Social Work
Qualifies for 1.5 Specific MCBAP Education Contact Hours
Stephanie Lagalo, MSW, CAADC, CCS, Director of Field Education, Western Michigan University
Heather Hoffman, LPC, Therapist, Kalamazoo Evidence-Based Therapy
This workshop will focus on using motivational techniques to facilitate and design stage-matched, recovery-oriented treatment plans for individuals with co-occurring disorders.
Participants will be able to: 1. Define stage-wise treatment and motivational interventions. 2. Apply stage-wise tools to stage a consumer. 3. Define recovery-oriented treatment planning. 4. Identify and apply stage-matched treatment goals to a recovery-oriented treatment plan.
About the Presenters: Stephanie Lagalo is a Clinical Social Worker licensed in both Michigan and Ohio. She has over fifteen years of experience working with individuals with mental health and substance use disorders. Stephanie is currently the Director of Field Education at Western Michigan University. Previously, she was the Clinical Director of ACT and Therapy Services at InterAct of Michigan, Inc. in Kalamazoo, Michigan. Stephanie has extensive experience and training in Assertive Community Treatment, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Integrated Dual Disorder Treatment, and Motivational Interviewing.
Heather Hoffman is a Licensed Professional Counselor (LPC) through the Michigan Department of Health and Human Services, a National Certified Counselor (NCC) credentialed through the National Board for Certified Counselors, Inc., and a Certified Advanced Alcohol & Drug Counselor (CAADC) through the Michigan Board of Addictions Professionals. Heather is currently a therapist at Kalamazoo Evidence-Based Therapyand has over eighteen years of experience in both mental health and substance use treatment. Heather has extensive experience and training in Evidence-Based Practices, specifically Motivational Interviewing.
Workshop 4: Blooming Transformative Learning in DOC Counseling Sessions – Part 1
Qualifies for 1.5 CE hours for Social Work
Qualifies for 1.5 Specific MCBAP Education Contact Hours
Tom Moore, LMSW, CAADC, CCS, Owner and Principal, Two Moons LLC
This two-part session will address a number of applications in clinical situations. Initially, a video clip will set the frame in regard to a person with a co-occurring disorder. Audience will be engaged to address the issues of COD, determine any skill development to occur, and design appropriate strategies and therapeutic approaches to assist in gaining necessary knowledge, skills and resources. Particular emphasis will be placed on the concepts of andragogy and nosology. Since people learn through a variety of approaches, additional concepts will include preferred representational systems, as well as use of tasking to achieve Bloom’s levels of analyzing, evaluating and creating. Beyond the application of adult learning concepts and strategies, participants will learn the art of sequencing needed skill development to assure stabilization and resourcefulness. Most professional codes of ethics speak to beneficence, non-malfeasance along with fidelity to evidence-based practices. When clinicians lack understanding or application of Bloom’s Taxonomy of Learning and Kolb’s Principles of Adult Learning, we deprive individuals essential learning, and decrease probability of success.How do we assure that persons served have the knowledge, skills and resources to succeed? It is stated that change only occurs once one is convinced. A New Guinea proverb states “Knowledge is only a rumor until it is in the muscle.” Perhaps knowledge needs to be in the DNA before we are satisfied that true technology transfer has occurred.Often in counseling services, the premise about education involves (a) that it occurs through didactic presentations; (b) that it involves a directive and order, like a physician’s instructions; (c) that it is beneath a counselor/social worker to provide such services. However, without the understanding and knowledge of co-occurring disorders, ability to translate not only information about the condition, but to also understand the learning style of the person served, the potential for engagement, addressing of mental health and SUD conditions, and achieving positive outcomes becomes greatly diminished. Since the individuals served need to manage multiple chronic conditions, simple remembering or understanding instructions regarding the nature of their condition will prove an inadequate level of learning to sustain change and achieve health outcomes.
Participants will be able to:1. Cite the six cognitive processes of Bloom’s Taxonomy of Learning as they apply to COD counseling sessions. 2. Form a presented case study, to identify co-occurring conditions present in the subject. 3. List specific skills, knowledge, and attitude benefiting the subject of the case study toward identified skill acquisition, related to stated cognitive process of Bloom’s Taxonomy. 4. Determine counseling methods of skill acquisition based on the subject’s needed skills, knowledge, and attitude identified in Part 1, specific to subject’s preferred learning style. 5. Generate tasks resulting in the identified skills acquisition for subject of case study. 6.Follow identification of tasks, to appropriately sequence service delivery of the tasks/methods.
About the Presenter: Spending life in two worlds, one clinical practice and the other education, Tom possesses a unique vantagepoint for service delivery. He perceives a necessity for skill integration beyond the typical approach of understanding or regurgitation of bullet points. Current interests include: mindfulness, holism, identity formation, and remission.
Workshop 5: Prevention and Behavioral Health Promotion
Qualifies for 1.5 CE hours for Social Work
Qualifies for 1.5 Specific MCBAP Education Contact Hours
Joel Hoepfner, BS, Certified Prevention Specialist, CMH Authority of Clinton, Eaton and Ingham Counties
Lisa Coleman, BA, Certified Prevention Consultant, MDHHS/Office of Recovery Oriented Systems of Care
This workshop will introduce and define the science and best practice models of Substance Use Disorder Prevention as well as Behavioral Health Promotion for consideration with co-occurring disorder populations and services. Substance Use Disorder Prevention involves utilizing the Strategic Planning Framework (SPF) five steps to impact community change and produce process, behavioral, and system related outcomes. Behavioral Health Promotion on the Mental Health side should consider utilizing the SPF model and combine initiatives to support and expand on behavioral health access (i.e. penetration rates), outreach, advocacy, initiatives, and early intervention programming with populations most in need.
Participants will be able to: 1. Define SUD Prevention. 2. Describe the Strategic Planning Framework 5 steps.
3. Describe shared risk and protective factors between SUD and MH. 4. Describe the different types of Behavioral Health Promotion.
About the Presenters: Joel Hoepfner received his Bachelor of Science in Psychology as well as a teaching certificate from Central Michigan University in 1999 and 2003. He has worked in the behavioral health field for over 13 years and is a Certified Prevention Consultant (CPC) and has held that credential since 2008 from the Michigan Certification Board for Addiction Professionals. He became a Mental Health First Aid Training Instructor in February 2016. He is the previous chair and current member of the State of Michigan Training Advisory Council as well as the current chair of the State of Michigan Epidemiological Outcomes Workgroup that operates through the Michigan Department of Health and Human Services. Joel has a long history of providing leadership, direction, and individualized technical assistance along with state, community and agency wide trainings, workshops, and webinars on a multitude of topics for diverse audiences.
Lisa Coleman received her B.A. in Social Justice from Olivet Nazarene University in 1992. She has worked in the behavioral health field, mainly prevention, for the past 19 years and is a Certified Prevention Consultant. Throughout her career she has implemented youth educational programs (anger management, like skills, etc.), parenting classes, jail services, kinship caregiver support groups, family management / support programs, and coalition coordination. She has managed prevention efforts and media campaigns, Naloxone programs, and a SUD Prevention Provider Network. In addition, she has been a Families And Schools Together (FAST) trainer, Substance Abuse Prevention Skills Training (SAPST) facilitator, and Mental Health First Aid (Adult and Youth) instructor.
10:30am to 10:45am / Morning Break
10:45 am to 12:15pm / Workshop 6: A Guided Tour of Effective Treatment for Dual Disorders – Part II
Part II of Workshop 1
Qualifies for 1.5 CE hours for Social Work
Qualifies for 1.5 Specific MCBAP Education Contact Hours
Workshop 7: Supervision: Addressing Comorbidity within Treatment
Repeat of Workshop 2
Qualifies for 1.5 CE hours for Social Work