43rd Annual School on Addictions & Behavioral Health by Annual School on Addictions

May 1 – 3, 2017

•

Sheraton Anchora

ge Hotel

Welcome to the

43RD ANNUAL SCHOOL ON ADDICTIO NS & BEHAVIORAL HEALT H

“

Open Conversation About Recovery: Emerging Addictions Treatment

”

The Regional Alcohol and Drug Abuse Counselor Training (RADACT) program is pleased to announce the 43rd Annual School on Addictions and Behavioral Health: "Open Conversation about Recovery: Emerging Addiction Treatment." Join us May 1 – 3, 2017 at the Sheraton Anchorage Hotel to explore the connection between primary care and the field of addictions and behavioral health. The 2017 Annual School on Addictions and Behavioral Health will bring together more than 400 professionals committed to the addictions, corrections, primary care, and the behavioral health fields. Attendees will include counselors, social workers, educators, case workers, mental health clinicians, psychologists, primary care providers, and volunteers from various organizations such as women's programs, domestic violence programs, youth programs, substance use disorder programs, mental health and co-occurring disorders programs and the corrections/criminal justice system. This year's theme captures the emerging trends in substance use disorders, behavioral Health, and Mental Health.

The Annual School is the oldest behavioral health conference in the state of Alaska. Over the past four decades, it has continued to evolve in order to effectively meet the training needs of behavioral health professionals' statewide. This conference continues to include primary care providers in recognition of the national trend for full integration of services. The list of dedicated people responsible for planning and assisting with this year's Annual School also has been expanded to include primary care providers. In an age of online and e-distance learning, this venerable conference allows us to network face-to-face with fellow professionals and colleagues. We look forward to seeing you there.

HOSTED BY:

WELCOME

FROM THE RADACT EXECUTIVE DIRECTOR

I would like to welcome you to the 43rd Annual School on Addictions and Behavioral Health. Our theme this year is â&#x20AC;&#x153;Open Conversation about Recovery: Emerging Addiction Treatment.â&#x20AC;? This conference, as in the past offers many wonderful workshops and educational opportunities from both Alaska presenters and national presenters. I would like to thank our sponsors and volunteers, without whom this conference would not have been possible. I would also like to extend a special thank you to the Division of Behavioral Health (DBH) for their continued support. Janet Carter, RADACT

EXHIBITORS PLEASE VISIT OUR EXHIBITORS 7:00 AM - 4:30 PM, MONDAY - TUESDAY 7:00 AM â&#x20AC;&#x201C; 1:00 PM, WEDNESDAY & DURING ALL BREAKS & LUNCHES (EXCEPT AWARDS) Alaska Commission for Behavioral Health Certification (ACBHC) Alaska Wellness Coalition Alkermes

Narcotics Anonymous Public Information North Star Behavioral Health Partners for Progress

Brighton Recovery Center

Providence Alaska Medical CenterBreakthrough

Community Medical Services

RADACT

Cottonwood Tucson

Residence XII Alcohol and Drug Treatment for Women

Crestview Recovery Services Division of Behavioral Health

RHS Rural of Human Services Program

Foundations Recovery Network

SNH MS in Clinical Mental Health Counseling

Gilead Sciences

Southcentral Foundation

Hazelden Betty Ford Foundation

Southcentral Foundation - Dena A Coy

Hazelden Publishing

Southeast Alaska Regional Health Consortium

Klean Treatment Centers Knik House Lakeside-Milam Recovery Centers

State of Alaska, Department of Public Health: Tobacco Prevention and Control

Menninger Clinic

Sunspirehealth Astoria Pointe and The Rosebriar

MI Community of Practice

Therapia Addiction Healing Center

Narcotic Drug Treatment Center, Inc.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

GENERAL INFORMATION PERSONAL COMFORT

For personal comfort in rooms of varying temperatures, make sure to include a sweater or light jacket for use during conference presentations and events.

SILENCE CELL PHONES

Please remember to turn off your cell phones at all times during the conference including all meal functions.

DRESS CODE

Dress code is business casual for the conference.

NAME TAGS

Name tags serve as the conference attendee’s entrance to all sessions, meals and events. Please be sure to wear your name tag at all times.

MESSAGE CENTER

There will be a message board located at the Conference Registration/Information Desk. Please check the board periodically. Messages will not be hand-delivered. Persons wishing to leave messages should call the Sheraton Anchorage Hotel and ask for the Annual School on Addictions Conference Desk or your room.

CONFERENCE/WORKSHOP EVALUATIONS

ANNUAL SCHOOL TRADE SHOW

Each year the Annual School includes a trade show of those providing services and products of interest to those in the addictions field. The trade show will be open all three days of the conference.

ANNUAL SCHOOL AWARDS

This year, the Annual School is hosting an Awards Luncheon on Wednesday to honor those who have given exemplary service to the field.

CERTIFICATES OF ATTENDANCE AND CONTINUING EDUCATION UNITS

When you check in at the conference, you will be given a contact hour log to track the specific sessions you attend. You will receive a sticker from each session that you attend. These stickers should be attached to your contact log immediately. At the end of the conference, Certificates of Attendance will be distributed. Applications to award Continuing Education Units (CEUs) have been submitted to the following organizations: • Alaska Commission for Behavioral Health Certification (formerly ACCDPC) • Alaska Chapter NASW Please make sure to collect your attendance stickers at the end of each session. This is your only record of training for certification/ recertification purposes. Replacement stickers will not be available after the conference.

Workshop Evaluation Forms will be handed out in each workshop and keynote session. Please be sure to complete the information before leaving the workshop and turn it in to the volunteers stationed at the back of the room.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

FEATURED ONDAY, MAY 1, 2017

PRESENTERS

MONDAY, MAY 1, 2017

WILLIAM R. MILLER, PHD William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Fundamentally interested in the psychology of change, he is a founder of motivational interviewing and has focused particularly on developing and testing more effective treatments for people with alcohol and drug problems. Dr. Miller has published over 400 scientific articles and chapters and 50 books, including the groundbreaking work for professionals Motivational Interviewing, now in its third edition, and the self-help resource Controlling Your Drinking, now in its second edition. Dr. Miller is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse Award from the Robert Wood Johnson Foundation, among many other honors. The Institute for Scientific Information has listed him as one of the world's most highly cited researchers.

TUESDAY, MAY 2, 2017 MAY 2, 2017 .ESDAY, Miller, PhD

D, is Emeritus Distinguished Professor of Psychology and Psychiatry w Mexico. Fundamentally interested CHRISTOPHER in the psychologyLA of TOURETTE change, he LA RICHE, MD International Neuroscience Educator tional interviewing and has focused particularly on developing and Psychiatrist, reatments for people with alcohol and drug problems.Addiction Psychiatrist, Psychotherapist, Psycho-

pharmacologist Medical Director, d over 400 scientific articles and chapters Founding and 50 books, including theLucida Treatment Center (Elements Behavioral Health) or professionals Motivational Interviewing, now in its third Assistant edition, Professor (voluntary) Dept. of Psychiatry and Behavioral Sciences, Florida International University ce Controlling Your Drinking, now in its second edition.

Christopher La Tourette La Riche is double board-certified (by the American Board of Psychiatry and Neurology) in Adult Psychiatry of the international Jellinek Memorial Award, two career achievement and Addiction Psychiatry. He is an expert psycho-pharmacologist, rican Psychological Association, and an Innovators in Combating an award-winning psychotherapist and an international keynote rd from the Robert Wood Johnson Foundation, among many other andofeducator on most addiction and the neuroscience of trauma or Scientific Information has listed speaker him as one the worldâ&#x20AC;&#x2122;s and mood disorders. He was the founding medical director at Elements . Behavioral Health's first start-up facility, Lucida Treatment Center, which prioritizes humanistic, evidence-based treatment of addiction and mental health disorders. Dr. La Riche has an extensive background in the humanities and entered medicine after a career in education and the arts. He received his undergraduate degree from Yale University in Comparative Literature, a Master's degree from Columbia University's department of Applied Linguistics and is a fluent speaker of six languages (English, Italian, Portuguese, Spanish, German and French). He lectures and sees patients in all of these languages.

r La Tourette La Riche, MD

International Neuroscience Educator ction Psychiatrist, Psychotherapist, Psycho-pharmacologist OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

FEATURED PRESENTERS

DNESDAY, MAY 3, 2017

WEDNESDAY, MAY 3, 2017

DR. STEPHANIE COVINGTON Dr. Stephanie S. Covington is a pioneer in the field of women's issues, addiction, and recovery. She has developed an innovative, genderresponsive, and trauma-informed approach to the treatment needs of women and girls that results in effective services in public, private, and institutional settings.

Dr. Covington's clients include the Betty Ford Treatment Center, the Hanley Center, Pine Grove Women's Center, the United Nations Office on Drugs and Crime, the Center for Substance Abuse Treatment in Washington, D.C., the California Department of Corrections and Rehabilitation, and numerous other treatment and correctional settings. Dr. Covington was a workshop chair for the women's treatment improvement protocol (TIP) and the trauma TIP (published by CSAT) and is the co-author of a three-year research project, Gender-Responsive Strategies: Research, Practice, and Guiding Principles for Women Offenders, for the National Institute of Corrections. This publication received the American Probation and Parole Association's University of Cincinnati Award for its outstanding contribution to the field of ington is a pioneer in the field of women's corrections in the U.S. and Canada.issues, addiction, and eveloped an innovative, gender-responsive, and trauma-informed is based in La Jolla, California, where she is co-director of the Institute for Relational ent needsDr. of Covington women and girls that results in effective services in public, Development and the Center for Gender and Justice, which seeks to expand gender-responsive al settings. policies and practices for females who are under criminal justice supervision. s include the Betty Ford Treatment Center, the Hanley Center, Pine er, the United Nations Office on Drugs and Crime, the Center for tment in Washington, D.C., the California Department of Corrections d numerous other treatment and correctional settings. Dr. Covington for the women's treatment improvement protocol (TIP) and the trauma AT) and is the co-author of a three-year research project, GenderResearch, Practice, and Guiding Principles for Women Offenders, for of Corrections. This publication received the American Probation and University of Cincinnati Award for its outstanding contribution to the he U.S. and Canada.

nie Covington

d in La Jolla, California, where she is co-director of the Institute for nt and the Center for Gender and Justice, which seeks to expand genderd practices for females who are under criminal justice supervision.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA MONDAY, MAY 1, 2017 – DAY ONE 7:00am – 4:00pm

REGISTRATION

7:00am – 1:30pm

CONTINENTAL BREAKFAST/BEVERAGE SERVICE

7:45am – 8:15am

WELCOME/OPENING REMARKS

Executive Atrium (2nd Floor)

Howard Rock Foyer (2nd Floor)

Howard Rock Ballroom (2nd Floor)

KEYNOTE PRESENTATION - Sacred Cows and Greener Pastures: Howard Rock Ballroom Reflections from 40 years in Addiction Research and Treatment 8:15am – 9:15am (2nd Floor)

William Miller, PhD

Dr. Miller will reflect on surprises and learnings from his 40 year career “swimming upstream” in addiction research and treatment. Among the topics he plans to address are treatment matching, waiting lists, brief intervention, therapist effects, relapse, diagnostic labels, manual-guided treatment, abstinence and moderation, motivation for change, and spirituality. Concluding that there are ample reasons for humility about our professional expertise, he will offer some recommendations for improving the care of people with substance use disorders.

9:15am – 9:30am

NETWORKING BREAK

9:30am – 11:00am

BREAKOUTS

Kuskokwim West (2nd Floor)

Introduction: Guided Practice and Discussion of Mindfulness Skills (1.5 Hours) Jay David

The workshop will help Providers be more present, alert, and attentive when providing services to their clients. Skills learned will include: Concentration techniques and emotional self- regulation skills for both providers and clients during difficult discussions of domestic violence, suicide, and other traumas; enhanced listening and attentiveness to nonverbal communication; and better use of provider’s own life experience for increased understanding of the challenges in the client’s life. Mindfulness skills will include breathing techniques, proper posture, guided visualizations, observation of one’s thoughts and emotions, and ability to separate passive and active listening. Outcome: Providers will practice, understand, and experience the benefits of mindfulness meditation.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 9:30am – 11:00am Collegiate Recovery: Discussing the Need for Recovery Support on Room 308 (3rd Floor) College Campuses (1.5 hours) Naomi Figley

This presentation will describe what Collegiate Recovery is, and why it's important. Presenter will discuss barriers of entry to higher ed. for people in recovery from substance use disorders, how to initiate recovery support communities, while examining successful examples of Collegiate Recovery Communities.

9:30am – 11:00am Room 311 (3rd Floor)

Hepatitis C Care: Exploring the Link in Addiction Medicine (1.5 hours) Jan Diamond, MD, MPH

This presentation will provide the most current information on Hepatitis C (HCV) and the rise in the addiction community. Discussion will include guidelines to screening best practice and management. Our speaker, Jan Diamond, MD, MPH is a family practice physician and a national leader in Hepatitis C. She is the director of HCV Services at Lifelong Medical in northern California. Dr. Diamond has been caring for patients with Hepatitis C for over 10 years. She has worked in a variety of patient care settings including community health, HIV and corrections. She has extensive experience in treating hepatitis patients with addictions. Dr. Diamond continues to mentor and teach providers interested in offering hepatitis C screening and treatment.

9:30am – 12:45pm

BREAKOUTS

Howard Rock Ethics (3 hours w/ 15 min break) Ballroom A (2nd Floor) Iva Greywolf, PhD

Participants will be provided with foundational philosophy and practice information about the need for professional ethics. They are also introduced to the codes of ethics developed for behavioral health/ substance abuse providers, with discussion on how to use this codes as a guide to providing client services. The instructor, Iva Greywolf will stress ethics and boundary issues which can cause conflicts in both rural and urban Alaska. Applied exercises will help trainees learn to identify and address potential ethical issues.

9:30am – 12:45pm

Evidenced-Based Treatment: What Works and Why (3 hours w/ 15 min Howard Rock Ballroom break) B/C (2nd Floor) William Miller, PhD

An “evidence-based treatment” movement has stirred controversy in behavioral health care. The cynical claim that all treatments are equally effective is essentially an assertion that it doesn’t matter what one does in treatment. What do we actually know about what treatment method are most effective? Does the treatment setting matter? What about concomitant disorders? And what are the shortcomings of the current push for evidence-based treatment?

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 9:30am – 12:45pm Kuskokwim East (2nd Floor)

Pharmacotherapy for Addiction Clinicians (3 hours w/ 15 min break) Gerald Shulman, MA, MAC, FACATA

This workshop will begin with information about relapse rates with patients who are addicted to various mood-changing substances and how the treatment field has fallen far short of their goals for patients. A model integrating psychosocial treatment, recovery support services and pharmacotherapy will be presented as a way to enhance treatment outcome and recovery. Current FDA approved medications for the treatment of opioid, alcohol, and nicotine dependence will be presented with the benefits and disadvantages of each. The controversies about the use of pharmacotherapy in general and as applied with particular medications will be discussed. Information about opioid overdose drugs will be addressed.

9:30am – 5:15pm

Matrix Core Training – DAY 1 (12 hours total - Mon/Tues, with breaks and lunch break) Donna Johnson, JD, CAS, ICADC, ICCIP, ICCDP,LADC

Yukon (2nd Floor)

This updated training is based on the second edition “Matrix Model Manual Revised and Expanded.” The two-day workshop includes a didactic overview of the Matrix Model® and experiential exercises. Participants in this training will be able to: describe the various core components that comprise the Matrix Model® and begin implementing them at their organization, educate their clients on the brain and addiction, apply the Matrix format of cognitive behavioral manualized treatment with difficult and complex populations and incorporate elements of the Matrix Model into existing treatment programs.

11:00am – 11:15am NETWORKING BREAK 11:15am – 12:45pm BREAKOUTS Kuskokwim West (2nd Floor)

Mindfulness Skills to Improve Clinical Services (1.5 hours) Jay David

This will be an extension of the earlier session. Outcome: Providers will know how to be more mindfully alert during clinical sessions.

11:15am – 12:45pm Dual Diagnosis Treatment: Individualizing Care in a Residential Room 308 (3rd Floor) Treatment Environment (1.5 hours) Jonathan Saul

Discussing what true dual diagnosis treatment means and how to tailor a treatment program to individualize care for each participant. Introducing a hybrid model that includes evidence-based practice and 12-step philosophy and staying ahead of the ever-changing clinical field.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 11:15am – 12:45pm Marijuana: Don’t Get Stuck in the weed(s) (1.5 hours) Room 311 (3rd Floor) Debra Hemphill

With the growing number of states that have legalized marijuana, including Alaska, and the growing legalization of marijuana for medical purposes, there is a lot of misinformation about marijuana and the serious consequences of its use. As a thought leader in the field, Hazelden Betty Ford Foundation has an opportunity to provide solid research and sound advice to states and communities who are wrestling with the issue of marijuana use.

12:45pm – 2:00pm LUNCH ON YOUR OWN 2:00pm – 3:30pm

BREAKOUTS

Howard Rock Ballroom Therapists Effects in Addiction Treatment: Why are Some Counselors B (2nd Floor) More Effective? (1.5 hours)

William Miller, PhD

One of the most consistent findings in addiction treatment research is that it matters who delivers treatment. Within any treatment approach or program there are often large differences among therapists in client retention and outcome,. These therapist differences are usually larger than the effect of different treatment methods. What do we know about why some counselors are more effective than others, and what are the implications for hiring and training of treatment staff?

2:00pm – 3:30pm

Traumatic Brain Injury: Better Understanding Means Better Care (1.5 hours) Eric Boyer, BS, & Danielle Reed, MBA, MS

A traumatic brain injury (TBI) can happen to anyone at anytime. The majority of injuries are diagnosed as mild TBI or concussion and are treatable. Join us to learn about brain injury and how best to support individuals and families experiencing TBI. Together we can provide better care in communities across Alaska.

2:00pm – 5:15pm

BREAKOUTS

Kuskokwim West (2nd Floor)

Howard Rock Ballroom Confidentiality (3 hours w/ 15 min break) A (2nd Floor) Gayle Nauska, MS, LPC, CDCS

Participants will receive foundational and updated information on 42CFR Part 2 and HIPAA—federal laws that require client confidentiality and the protection of confidential client information in behavioral health counseling. Trainees will learn how federal confidentiality laws have specific implications for working with individuals experiencing behavioral health issues. Instructor Gayle Nauska will especially discuss confidentiality issues that arise in Alaska.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 2:00pm – 5:15pm Kuskokwim East

DSM 5 For Addiction Clinicians (3 hours w/ 15 min break) Gerald Shulman, MA, MAC, FACATA

This presentation will begin with the controversies surrounding the development of the DSM-5. It will go on to describe the new diagnostic criteria for substance use disorders comparing the DSM –IV and the new DSM-5 and the implications for the old diagnoses of abuse and dependence. Emphasis will be placed on the new diagnostic category of Substance Use and Addictive Disorders and those mental health disorders most like to be found co-occurring with substance use disorders. A twoitem screen for Gambling Disorders will be offered. A risk model for determining severity of addictive disorder keyed to the DSM-5 Substance Use Disorder Criteria and associated treatment interventions will be presented.

(2nd Floor)

2:00pm – 5:15pm Traditional Native American Spirituality (3 hours w/ 15 min break) Howard Rock Ballroom Donna Horton, LCSW, CDCS C (2nd Floor)

Presentation will focus on participants understanding the Traditional Native American Spirituality and world view in first half of presentation. Second half of presentation will introduce participants to an experiential and processing of a Traditional Native American Journey or participants can participate at the level in which they are comfortable, including monitoring the process.

2:00pm – 5:15pm

Medication Assisted Treatment and Pregnancy (3 hours w/ 15 min break) Ron Greene, Paula Colescott MD, & Jennifer Stukey

Room 308 (3rd Floor)

We will explore methadone and pregnancy, present evidenced based research, and discuss what happens after the baby is born. A panel of women will share their stories and successes before and after birth. Guest speaker from the NEST program at Alaska Regional Hospital.

3:30pm – 3:45pm

NETWORKING BREAK

3:45pm – 5:15pm

BREAKOUTS

Howard Rock Ballroom Mirroring: The Therapeutic Skill of Accurate Empathy (1.5 hours) B (2nd Floor) William Miller, PhD

The therapeutic skill of accurate empathy, first described by Carl Rogers 70 years ago, is clearly an evidence-based practice in treating substance use disorders. Empathy has been called a “nonspecific” or “common” factor, but neither description is apt. It is unclear just how common empathy actually is in the practice of addiction treatment, and clearly there are large differences among providers. To call empathy “nonspecific” is inaccurate because it can be specified, measured reliably, improved with practice and coaching, and predicts client outcomes. Dr. Miller will conclude the day with some experiential exercises for strengthening accurate empathy.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA

3:45pm – 5:15pm

HIV Stigma, Recovery & Community Action (1.5 hours) Fransing Daisy, PhD, & Joe Cantil

In many communities located in AK the stigma associated with HIV and the resulting discrimination can be as devastating as the illness itself. Abandonment by family, social ostracism, lack of care and support, and violence can be the outcome for an individual. These consequences or fear of them often mean that people are less likely to come in for HIV testing, to disclose their HIV status to others, to adopt HIV prevention behaviors, or assess treatment & care and more likely to relapse or increase their consumption of substances.

7:00pm – 8:00pm

NA MEETING

7:00pm – 8:00pm

AA MEETING

Room 311 (3rd Floor)

Room 308 (3rd Floor) Room 311 (3rd Floor)

TUESDAY, MAY 2, 2017 - DAY TWO 7:00am – 4:00pm

REGISTRATION

7:00am – 1:30pm

CONTINENTAL BREAKFAST/BEVERAGE SERVICE

Executive Atrium (2nd Floor)

Howard Rock Foyer (2nd Floor)

7:45am – 8:15am WHAT’S NEW AT SAMHSA 2017 Howard Rock Ballroom David Dickinson, SAMHSA (2nd Floor)

An update on changes in SAMHSA initiatives and funding for 2017. This will include highlights of changes and funding included in the 21st Century Cures Act, which reauthorized SAMHSA and provided significant funding to assist States in combating the opioid epidemic.

KEYNOTE PRESENTATION - The Child is the Father of the Man: Howard Rock Ballroom Neurobiological Crossroads of Trauma, Addiction and Mood Disorders (2nd Floor) Christopher LaRiche, MD 8:15am – 9:15am

Early life trauma can cause long-term and persisting changes to the brain and brain chemistry which can be measured and imaged, even decades after the childhood events. The presence (or absence) of childhood trauma can increase later-life vulnerability to addiction and mood disorders. It also appears to influence which treatments are most effective. Taking a careful trauma history in children and adults is essential for any provider of health care. Topics will include:

1. Neuro-anatomical Circuits in Addictive Disorders 2. Neurobiology of Mood Disorders

3. The Hypothalamus-Pituitary-Adrenal (HPA) Axis, Cortisol and CRF

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

4. HPA/CRF Hypothesis of Depression

AGENDA

5. Early Life Trauma (ELT) and the HPA Axis 6. ELT and the Adverse Childhood Experiences Studies (ACE) 7. ELT and Cortical Thinning 8. Treatment Implications 9:15am – 9:30am

NETWORKING BREAK

9:30am – 11:00am

BREAKOUTS

Room 311 (3rd Floor)

Introduction to SBIRT (1.5 hours) Sarah McConnell, LCSW, ACSW

Participants will review basics of the evidence-based practice of SBIRT (Screening, Brief Intervention, & Referral for Treatment). Workshop will include presentation of the framework of SBIRT as a public health model to reach your at-risk service population, and SBIRT’s potential for impact as a system change initiative. This introductory level session will introduce the SBIRT approach to substance use disorder risk identification and response.

9:30am – 11:00am

The Public Health Disaster of Opioid Abuse: Local, State and Federal Partners’ Response (1.5 hours) David Dickinson, MA

A discussion of the current state of the opioid epidemic in Alaska, the region and nation. Updates on trends in heroin and opioid use, and efforts to curb the epidemic, including State plans for implementation of new funding provided in the 21ST Century Cures Act.

9:30am – 12:45pm

BREAKOUTS

Kuskokwim East (2nd Floor)

Howard Rock Ballroom From Good to Great – The Addiction Neuroscience SUPER SEMINAR (3 B/C (2nd Floor) hours w/ 15 min break)

Christopher LaRiche, MD

In this interactive, lively seminar, we will review the neuroscience of addictive disorders in a style that will “teach you how to teach” the science to your colleagues, clients and their families. Go from Good to Great. Topics will include:

1. Basic science & core concepts of addiction science;

2. Neurobiology of reward, motivation and impulsivity;

3. Neurobiology of inhibitory function, “hypofrontality” and compulsive use

4. Physiology of substance use (differences between specific substances

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 9:30am – 12:45pm Room 308 (3rd Floor)

Ethics (3 hours w/ 15 min break) Iva Greywolf, PhD

9:30am – 12:45pm Changes in the New ASAM Criteria (3 hours w/ 15 min break) Howard Rock Ballroom Gerald Shulman, MA, MAC, FACATA A (2nd Floor)

This presentation explains the changes in the new ASAM Criteria (2013), published in May, 2013. The Criteria has updated with patient-centered, trauma informing language, the level of care numbering system and diagnosis have been changed to be consistent with the new DSM-5. There is a new “Special Populations” section which included four populations with applicability issues when using the criteria: • Patients in safety sensitive occupations (e.g airline pilots, physicians, truck drivers); • Parents with children • Older adults • People in the criminal justice system

The criteria will discuss approaches that meld the use of the Criteria with what other regulatory and practical issues in providing assessment and treatment the members of these populations. This is also two sections, one on tobacco dependence and another on gambling disorder.

9:30am – 12:45pm

Returning to Harmony: We were once healthy, we will be healthy again (3 hours w/ 15 min break) Laura Castaneda, MSW, Elizabeth Sunnyboy, & Patrick Frank

Every community has its own "medicine" within to heal. We will share how the "Native Ways of Knowing" methodology offers a simple way to understand the 'self' to regain balance and harmony. The process teaches us that by living our traditional values we become more spiritually and culturally aware to be a better parent, spouse, and friend. We celebrate the successes our ancestors passed on which makes us strong, brave, resilient, and brilliant problem-solvers where we define wellness from a place that is right with us. The presenters will provide an overview, followed by experiential uses of traditional Native healing modalities (herbal medicine, hands-on-healing, energy work) involving audience participation.

Kuskokwim West (2nd Floor)

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 9:30am – 5:15pm Yukon (2nd Floor)

Matrix Core Training – DAY 2 (12 hours total - Mon/Tues with breaks and lunch break) Donna Johnson, JD, CAS, ICADC, ICCIP, ICCDP, LADC Day 2 - This updated training is based on the second edition “Matrix Model Manual Revised and Expanded.” The two-day workshop includes a didactic overview of the Matrix Model® and experiential exercises. Participants in this training will be able to: describe the various core components that comprise the Matrix Model® and begin implementing them at their organization, educate their clients on the brain and addiction, apply the Matrix format of cognitive behavioral manualized treatment with difficult and complex populations and incorporate elements of the Matrix Model into existing treatment programs.

11:00am – 11:15am NETWORKING BREAK 11:15am – 12:45pm BREAKOUTS Room 311 (3rd Floor)

SBIRT in Action (1.5 hours) Sarah McConnell, LCSW, ACSW

Participants with introductory knowledge of SBIRT (Screening, Brief Intervention, & Referral for Treatment), will learn and practice basic skills of Screening and Brief Intervention. The emphasis will be on use of a screening tool, and how to apply brief intervention skills based on results of the screening. The role of motivational interviewing (MI) will be reviewed.

11:15am – 12:45pm Integrating Addiction Treatment in the Public Health Paradigm (1.5 Kuskokwim East hours) (2nd Floor) David Dickinson

A look at models of integrated care for substance use disorders, mental disorders, and primary care in the larger context of public health. Local and regional models and approaches to integration will be discussed, and how integration is supported by SAMHSA and other federal agencies.

12:45m – 2:00pm

LUNCH ON YOUR OWN

2:00pm – 3:30pm

BREAKOUT

Room 308 (3rd Floor)

Introduction to Therapeutic Courts (1.5 hours) Michelle Bartley, Kate Sumey, Jennifer Fredericks, & Desiree Sang

An introduction to therapeutic courts currently in place throughout the state, their target populations, and what services are provided.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 2:00pm – 5:15pm

BREAKOUTS

Howard Rock Ballroom How Trauma Changes Everything: The Neurobiology of Stress (3 hours with 15 min break) B/C (2nd Floor) Christopher La Riche, MD

“Addiction is never just addiction; it’s addiction and something else”. Dr. La Riche will be your guide in exploring that “something else” in addiction. In this fascinating seminar, we will take a deeper dive into how early life trauma (called “Stress” in the scientific literature) changes our neurobiology, making us more vulnerable to addiction and mental health disorders later in life. Topics will include:

1. Substance-induced mental health disorders; 2. Overview of Co-occurring disorders 3. Depressive disorders and Bipolar Disorders; 4. The Role of Trauma and PTSD in Addiction 5. The Trauma-Informed Therapist A New Look at Relapse Prevention (3 hours w/ 15 min break) 2:00pm – 5:15pm Howard Rock Ballroom Gerald Shulman, MA, MAC, FACATA A (2nd Floor)

This presentation is based on the reality that much of what affects a client’s potential to relapse is based not only on what the patient does or does not do but even more importantly on what the provider does and does not do. The ASAM six dimensions will serve as the structure for doing an assessment of relapse risk and developing relapse prevention approaches that providers can employ to reduce that chance for relapse in their clients. The major difference between this workshop and others on relapse prevention is the focus on the provider rather than the patient/client. When a client relapses, all too often we say that the client wasn’t ready, was in denial, or was non-compliant. The workshop looks at the use of antiaddiction medication medications for relapse prevention.

2:00pm – 5:15pm

Trauma Assessment and Recovery in Adult Children of Alcoholics (3 hours w/ 15 min break) Daniel Lord

Kuskokwim East

(2nd Floor)

Many adult children of alcoholics experienced traumatic life-events. If a client reports that a parent drank excessively, what should a counselor make of it? When do these reports reach clinical significance? This presentation reviews recent findings on the differential impact of traumatic life-events on adult children of alcoholics, and describes an advance in assessment of such experiences for the recovery process.

3:30pm – 3:45pm

NETWORKING BREAK

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 3:45pm – 5:15pm

BREAKOUT

Room 308 (3rd Floor)

Evidence-Based Practices Utilized by Therapeutic Courts (1.5 hours) Michelle Bartley, Kate Sumey, Jennifer Fredericks, & Desiree Sang

Therapeutic Court project coordinators will discuss evidence-based practices utilized by therapeutic courts throughout the state.

7:00pm – 8:00pm

NA MEETING

7:00pm – 8:00pm

AA MEETING

Room 308 (3rd Floor) Room 311 (3rd Floor)

WEDNESDAY, MAY 3, 2017 – DAY THREE 7:00am – 4:00pm

REGISTRATION

Executive Atrium (2nd Floor)

7:00am – 12:00pm CONTINENTAL BREAKFAST/BEVERAGE SERVICE Howard Rock Foyer (2nd Floor)

8:00am – 9:00am KEYNOTE PRESENTATION - Relationships: Our Key to Survival Howard Rock Ballroom Stephanie Covington, PhD (2nd Floor)

America is in a crisis—violence permeates every aspect of our lives. Violence is at the core of our culture and affects all of us. No one is exempt from its pernicious influence. It affects our inner lives and the structure of our external reality. Violence is a multi-dimensional, multilevel phenomenon affecting and occurring in each of the following areas: childhood, adolescence, adult life, community, media, consumer culture, war, and the planet. The way our society is structured makes it probable that violence will occur within all institutions and within every level of human interaction.

Where do we begin to look for answers? What is the key to our survival? The key to our evolution, to our transformation as we continue to move further into the twenty-first century, is in relationship. Without relationship no other structure can exist. Our lack of knowing about, understanding, and valuing relationship is reflected in the breakdown of every structure in our society, of structures around the world.

We cannot separate our private lives from the life of the community. It makes little sense to hope for peace on a planetary scale, unless we learn to live in peace in our relationships as individuals. The planet, after all, is not an abstraction, but a place made up of multitudes of individuals engaged in myriad interconnecting networks of personal communications, relationships, and systems.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 9:00am – 9:15am

NETWORKING BREAK

9:15am – 10:45am

BREAKOUTS

Yukon (2nd Floor)

Cultural Aspects in Alaska Native Wellness and Recovery (1.5 hours) Marian Okitkun, RN, BSN, MPH

The workshop will provide attendees with information on the traditional lifestyles and health practices of people living in Alaska prior to western contact. Attendees will be introduced to the beliefs, attitudes, and knowledge of health promotion and maintenance that were practiced, and will examine the major changes leading to the current health status of the Alaska Native Community. The course will focus on healing practices past and present, cultural values, traditional healing, and medicinal plants and their application.

9:15am – 10:45am

Philosophical Similarities Between Harm Reduction and Trauma Informed Care (1.5 hours) Brenda Henze-Nelson, M.Ed, MAC; Lindsey Grennan, M.Ed; & Adiella Callahan, M.Ed

Susitna (2nd Floor)

Even with the recent focus on the Opioid crisis in the State that has included public meetings to solicit and disseminate knowledge and experience, increased Federal funding for expansion of services including medication assisted treatment, addiction professionals continue to have difficulty grasping the concept of harm reduction. We are hoping that this subject becomes more approachable or understandable viewed through the lens of trauma informed care.

9:15am – 10:45am Room 305 (3rd Floor)

ACBHC: The Certification Process (1.5 hours) Clint Simic, CDCS and Jan Hotze, CDCS

ACBHC Commissioners, Clint Simic, CDCS and Jan Hotze, CDCS will field a Q and A session on the certification process.

9:15am – 12:30pm

BREAKOUTS

Room 308 (3rd Floor)

Senior Moments: Substance Use and Mental Health Problems Among Older Adults (3 hours w/ 15 min break) Gerald Shulman, MA, MAC, FACATA

The workshop will begin with developing and understanding of what it is to be an older adult today. There will be a discussion of risk and protective factors for substance use and mental health disorders and suicide, and prevention personal (direct service), family and social support system and environmental strategies to combat risk factors. Examples of practical strategies will be presented. There will be a section on the “how to” of developing and maintaining an older adult community prevention coalition with recommendations for projects. The workshop will conclude with healthy aging and the celebration of elderhood.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA

At the conclusion of the presentation, participants will be able to: • Discriminate between personal (direct service), family and social support system and environmental prevention strategies • Understand the differences in prevention philosophy between children and adolescents and that for older adults. • Employ three direct service strategies for reducing substance use and mental health.

9:15am – 12:30pm Room 311 (3rd Floor)

Gendered Justice: Creating Services for Women (3 hours w/ 15 min break) Stephanie Covington, PhD

Due to the increasing number of women in correctional settings, there is a growing recognition of the need for gender-responsive services. Their pathways into the system (substance abuse, violence, and poverty) provide the framework for developing effective services. Critical to the success of any intervention is the process of engagement. Initially, this workshop discusses the realities of the lives of justice-involved women. However, the focus is on experiential activities that help women to gain insight and increase their ability to thrive. Several evidence-based and traumainformed manualized curricula for justice-involved women are introduced. The workshop is interactive with examples of cognitive-behavioral, mindfulness, and other experiential techniques.

9:15am – 12:30pm

Willpower – The Science of Self – Control: 5 Key Teachings from Decision- Neurosciences every Addiction Professional Should Know (3 hours w/ 15 min break) Christopher La Riche, MD

Kuskokwim East/West (2nd Floor)

Free Will is the currency of free societies; we exercise free will whenever we decide. Our decisions are the building blocks of our characters, of morality and personal freedom. Nowhere is the loss of this freedom more painfully obvious than in end-stage addiction. When it comes to working with the resistant client, addiction professionals are expert decision-ologists; interventionists are 'decision-neuroscientists', but rarely are we provided with the basic decision-neuroscience findings we need to enhance our trade. Blending recent insights from neuro-law, neuro-economics and decision-neuroscience with lively anecdote and learning, Dr. La Riche invites you on an interactive journey under the hood of our actions to learn what drives our decisions, our ethical dilemmas and meaning itself.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 10:45am – 11:00am NETWORKING BREAK 11:00am – 12:30pm BREAKOUTS Susitna (2nd Floor)

Nicotine Addiction in Recovery (1.5 hours) Noel Crowley-Bell, AA. BFA

Material explores the work of Eric R. Kandel, MD., and Denise B. Kandel, PhD., who established “A Molecular Basis for Nicotine as a Gateway Drug”. This is followed by exploring known adolescence brain development structure and the predatory nature of tobacco company practices for youth nicotine imitation. Also touched on is the alarming public health threat to adolescences and young adults who are choosing to vape. All of the material is based on current research and statistical data. Concluding the presentation is the acknowledgment that tobacco users within this population do want to quit and can be successful if supported by the professionals they are working with.

11:00am – 12:30pm Methadone Stigma from the Perspective of Staff at a Methadone Yukon (2nd Floor) Maintenance Clinic in Alaska (1.5 hours) Elizabeth Wendoski & Holli Thibodeau

This research project focuses on methadone stigma from the perspective of methadone maintenance staff at a methadone maintenance clinic within AK. The researchers in this study will research how staff at this clinic perceive stigma associated with methadone maintenance treatment. The researchers will also focus on what difficulties, challenges, or barriers staff at the agency encounter while treating clients. Finally, the researchers will focus on what the staff members’ experiences are working in a stigmatized field.

11:00am – 12:30pm ACBHC: The Possibility of Licensing (1.5 hours) Room 305 (3rd Floor) Clint Simic, CDCS and Jan Hotze, CDCS

ACBHC Commissioners, Clint Simic, CDCS and Jan Hotze, CDCS will discuss the pros, cons and benefits of professional licensing and field a Q and A session.

12:30pm – 2:00pm AWARDS LUNCHEON Howard Rock Ballroom (2nd Floor)

2:00pm – 5:15pm

BREAKOUTS

Susitna (2nd Floor)

Traditional Health Based Practices (3 hours w/ 15 min break) Meda DeWitt, Traditional Healer, Sarah McConnell, LCSW, ACSW, & Doug Modig, Tsimshian Elder

Traditional health based practices in addiction and recovery will share concepts of what addiction and its mechanisms are through an American Indian and Alaskan Native perspective. This perspective takes into account the historical, intergenerational, and persisting trauma that AI/AN populations have experienced in the past and still experience in the present. The class will share AI/AN traditional concepts of health and wellness and how traditional healing methods can be applied in contemporary treatment models. Appropriate for all levels of service.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 2:00pm – 5:15pm Room 308 (3rd Floor)

Recovery Oriented Systems of Care (3 hours w/ 15 min break) Vince Collins, MSW

With the shift from treatment focused interventions to long-term recovery for alcohol and drug disorders, communities benefit by building and supporting a system of care that supports recovery from the chronic disease of addiction. This workshop will define and discuss long-term recovery and how a community can structure itself to maximize the likelihood of success for people in recovery. Issues to be discussed include agreeing on what is recovery, building recovery capital, and celebrating people in recovery.

2:00pm – 5:15pm

Soothing the Agitated Brain: Marital and Family Therapy and Substance Use (3 hours w/ 15 min break) Dennis Eames, LMFT

Summit (15th Floor)

The impact of Emotionally Focused Therapy on couples and families with substance use. EFT is an evidence-based, outcome-validated treatment model for couple, family, and individual therapy. This session will focus on understanding the agitated brain from an attachment perspective and how contact comfort and secure attachment reduces agitation and discomfort.

2:00pm – 5:15pm Room 305 (3rd Floor)

How Many Tools in Your Tool Box (3 hours w/ 15 min break) Gerald Shulman, MA, MAC, FACATA

This workshop will compare and contrast the changes in persons with substance use disorders, the treatment for those disorders and the implications for counselor competencies. Recommendations and rationale will be offered for the clinical attitudes, competencies and strategies required to meet the challenges of today’s clients and patients and systems by which to acquire them. Resources for enhancing counselor skills will be provided. All of the material will be presented within the framework of NIDA’s “Principles of Drug Addiction Treatment.”

2:00pm – 5:15pm

Effective Brief Trauma Intervention for Men and Women (3 hours with 15 min break) Stephanie Covington, PhD

When trauma happens, it can result in years of mental health and addictive disorders before a person seeks help. How can we as helping professionals transform years of unresolved trauma into a healing experience within a limited amount of sessions?

In this afternoon workshop Dr. Stephanie Covington, co-author of two new brief interventions for men and women, will discuss the most effective therapeutic strategies you can implement when your setting or situation only allows a short amount of time. Three key elements that both staff and clients need to know will be presented:

Kuskokwim East/West (2nd Floor)

1. What trauma and abuse is

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AGENDA 2. The typical responses of both men and women 3. What coping skills are and how to develop them

Along with an understanding of these key elements will be an introduction to two new brief interventions that are both trauma-informed and gender responsive: Healing Trauma for Women and Exploring Trauma for Men. Because our presenter is also the co-author of these evidencebased interventions, you will hear first-hand how coping skills, grounding exercises and other interactive activities are integrated into six-sessions or less.

2:00pm – 5:15pm

Assessment 101 (3 hours w/ 15 min break) Kyle Cardwell, LPC-S, NCC, CCMHC, MAC, CCTP, CGRS, CDC I

Many substance use and mental health providers find assessments to be a tedious and daunting task. An assessment is more than just giving a client a diagnosis. An assessment also identifies a client’s strengths, needs and is used to make and justify treatment recommendations. Apart from the many questions it sometimes takes to get all the necessary information in order to write an assessment, there are also other considerations. For those of us in Alaska who work at agencies that accept Medicaid, we must also write assessments that meet Medicaid standards (and CARF standards for agencies accredited by CARF). Medicaid standards can often be a point of uneasiness for the provider. As such, during this presentation, we will review Medicaid and CARF standards for assessments.

3:30pm – 3:45pm

NETWORKING BREAK

Yukon (2nd Floor)

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

12 STEP FELLOWSHIPS Thanks to our local 12 step fellowships for exhibiting and providing meeting opportunities for our Conference attendees.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

AWARDS 2017 AWARDS LUNCHEON

Wednesday, May 3rd 12:30PMâ&#x20AC;&#x201D;2:00PM Howard Rock Ballroom Please join us in celebrating our fellow treatment and recovery and behavioral health professionals and honor their dedication and service to the Alaskans.

FRANCIS J. PHILLIPS AWARD

Presented for many years of outstanding statewide contributions to the addictions and behavioral health field. Presented to an innovative individual who demonstrates commitment to excellence, ethical standards, interagency cooperation, and is an inspiration and leader in the addictions and behavioral health field.

"CHANGE MAKER" AWARD

The "Change Maker" award is an honor bestowed upon an individual in recovery whose very life is an inspiration to others. He/she is not an addictions or behavioral health counselor or a professional in the field. Instead, this person serves as a role model in many possible ways. Perhaps he/she has accomplished an educational or vocational goal, volunteers in some capacity in the community, or does an outstanding job in his/her chosen profession. The "Change Maker" is responsible for his/her own recovery and is the kind of person others in recovery aspire to be. He/she has rejoined the mainstream of society and is considered a contributing member in a significant way.

ERNIE TURNER AWARD

Presented to a counselor actively working in the field who has made an outstanding contribution to the profession of addictions and behavioral health counseling by demonstrating: ethical standards, ongoing professional development, cultural competency, and interagency collaboration. This person is an inspiration to those he/she serves.

"FRIEND OF THE FIELD" AWARD

The "Friend of the Field" award recognizes a non-clinical staff member of an organization who provides continual and outstanding service to persons who are in treatment or recovery. Examples of possible candidates for this award may be as varied as a board member of an organization, a maintenance person who prepares a room for AA meetings, a program administrator, a Legislator, a bus driver, or a cook for a treatment program. The recipient of this award is dedicated to making treatment happen for others. He/she is well respected by coworkers and clients and has a proven track record of outstanding service to their organization.

OPEN CONVERSATION ABOUT RECOVERY: EMERGING ADDICTIONS TREATMENT

SPONSORS THANK YOU TO OUR CONFERENCE SPONSORS