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					2008 Main Study Tracks (16.25 hrs. Credit)
AA010. AXIS II AND SUBSTANCE ABUSE
LEVEL: Basic
INSTRUCTOR: Daniel C. Biber ,Ph.D.
DESCRIPTION: With the current discussion of dual-diagnosis clients, it is easy to overlook the fact that most of
are clients are indeed dual diagnosis – in addition to the substance abuse issues, most clients also present Axis II
pathology. This workshop will focus on
      Recognizing Axis II Personality Disorders with particular emphasis on how they present in a substance
          abusing population
      Recognizing how Axis II dynamics are risk factors for developing addictive behaviors, maintaining active
          addiction, and as relapse triggers
      Recognizing how Axis II dynamics interfere with treatment success
      Learning therapeutic techniques sensitive to Axis II disorders in order to enhance the quality of treatment
          and care of this population

AA011. THE 12 CORE FUNCTIONS
LEVEL: Basic
INSTRUCTOR: Jim Mallinson, MA
DESCRIPTION: This workshop focuses on the 12 core functions of substance abuse treatment, along with a brief
history. These functions, which were set by the North Carolina Substance Abuse Professional Certification Board,
have been identified as areas in which professional competency must be demonstrated. Client histories will be
reviewed, allowing participants to study the strengths and weaknesses in chart documentation and to develop
comprehensive treatment plans and goals. Action plans will be written by each participant, followed by self-
evaluation of professional strengths and needs. The workshop offers participants an opportunity to enhance personal
and professional skills in both written and oral case presentations; it should not be considered a comprehensive
preparation course.

AA012. THE SCIENCE OF URINE DRUG TESTING : LABORATORY METHODOLOGY AND|
| CLINICAL INTERPRETATION
LEVEL: Intermediate/Advanced
INSTRUCTORS: Frank Fornar, Ph.D.i; John Femino, MD; Art Rodrigue, R.PH; Antonella Carlozzi,
Pharm.D.
DESCRIPTION: Many clinicians in the substance abuse, criminal justice and primary care treatment settings
utilize urine drug testing as a treatment tool, yet have little training on the science of drug identification and the
proper interpretation of test results. Accurate and clinically meaningful analyses require knowledge of the
laboratory testing procedures and methodologies for drug identification as well as clinical correlation with
patient history, mental status examination and extent of tolerance an physical dependence. This course will
review the methodology of urine drug testing and provide clinical insights and common problems in
interpretation of test results. Participants will review case examples of how quantitative urine drug testing can
enhance diagnostic acumen, verify patient self report, enhance treatment monitoring and compliance, identify
drug relapse and diversion, and improve treatment advocacy and patient outcomes.
(Sponsored by: Dominion Diagnostics)

AA013. IMPLEMENTING BEST PRACTICES IN SUBSTANCE ABUSE TREATMENT: A PRIMER FOR
CLINICAL SUPERVISORS
LEVEL: Intermediate
INSTRUCTOR: Paul Nagy, MS, LPC
DESCRIPTION: In this time of major systems change, addiction treatment professionals are challenged to treat
increasingly complex alcohol and drug use disorders with a greater emphasis on evidence-based outcomes and cost
effectiveness. At the same time there has been significant advancement in our understanding of the brain
mechanisms associated with craving and compulsive behavior, as well as a fuller appreciation of the clinical
implications related to this data. The gap between research and practice has been highlighted by the Institute of
Medicine (1998) and there is a growing effort within the field of addictions treatment to better integrate research
with practice by implementing science based practices into community based treatment settings. This workshop is
designed for clinical supervisors or counselors training to become clinical supervisors and will review the issues,
challenges and strategies associated with providing clinical supervision within the context of best practices.
Participants will assess readiness to change issues within their organization and will have the opportunity to develop
plans to enhance practice improvement initiatives within their settings.

AA014. ADVANCED CREATIVE GROUP SKILLS
LEVEL: Advanced
INSTRUCTOR: Geri Miller, Ph.D.
DESCRIPTION: This track will focus on group skills that can be used when counseling addicted clients in a group
setting. Exercises will be discussed within the context of group development stages. Specific exercises will be
elaborated
on through experiential activities and handouts with an emphasis on application to one's clinical setting.

AA015. GIVE ME A DAY AND I’LL GIVE YOU THE SECRET OF SPF-SIG
LEVEL: Basic
INSTRUCTOR: Jane Williams and others
DESCRIPTION: Participants will actively engage in a fun and interactive way in developing a model based on the
SAMHSA Strategic Prevention Framework. This is a coordinated, comprehensive approach to prevention that will
build the coordinated infrastructure at the state and community level resulting in more efficient and effective
deployment of resources.
The five steps are:
      Profile population needs, resources, and readiness to address problems and gaps in service areas.
      Mobilize and/or build capacity to address needs.
      Develop a comprehensive strategic plan
      Implement evidence-based programs and infrastructure development activities.
      Monitor process, evaluate effectiveness, sustain effective programs/activities, and improve or replace those
         that fail.
(Sponsored by: the NorthCentral Center for Prevention Resources-Unlimited Success, and the Office of
Prevention-Division of MH/DD/SAS)

AA016. ADVANCED CYT
LEVEL: Intermediate
INSTRUCTOR: Worth Bolton, MSW
DESCRIPTION: The Cannabis Youth Treatment (CYT) track is designed for those clinicians who have already
received some basic training in Cannabis Youth Treatment (MET/CBT x5 and/or MET/CBT x12). Priority will be
given to those who have attended the CYT tracks at Winter Addictions School and Summer Addictions School in
2007 but the track is also open to other clinicians who have received training in CYT and have familiarity with the
CYT manuals (MET/CBT x5 and/or MET/CBT x12) and some experience in employing the fundamental skills of
MET and CBT. This more advanced track is for those clinicians who are interested in participating in a more
intensive, “hands on” opportunity to learn, practice and integrate Cannabis Youth Treatment skills into their clinical
work. The training will be provided by Worth Bolton a Clinical Instructor at the School of Social Work at The
University of North Carolina at Chapel Hill and a Certified Trainer in the Cannabis Youth Treatment Series. He
will include case reviews, role plays, article reviews and lecture/presentations. Only those awarded scholarships may
attend this track and prior approval is required from Paul Savery at NCDMHDDSAS in order to enroll.(Sponsored
by: Division of MH/DD/SAS-CPM)

AA018. DWI SERVICES
LEVEL: Intermediate/Advanced
INSTRUCTORS: Richard Ogle, Ph.D.; Marie Miranda-Robles, MPHE in progress Lynn B Jones, LPC, LCAS
DESCRIPTION: The DWI Services Track has a good mix of evidence-based clinical approaches and practical
training to promote more effective services for individuals with DWI offenses.

        Psychopathology, psychopharmacology and the Community Reinforcement Approach

Dr. Richard Ogle, Associate Professor and Clinical Training Coordinator for the Substance Abuse Treatment
Psychology Program in the Department of Psychology at UNCW, will provide an overview on DSMIV and
pharmacology for classes of mental disorders and psychotropic medications used to treat them, including those
currently used in the treatment of substance use disorders.

In the afternoon, Dr. Ogle will present on the Community Reinforcement Approach (CRA), an evidence-based,
broad spectrum behavioral program for treating substance use disorders. It is based on the belief that the
environment plays a powerful role in encouraging or discouraging substance use. Social, recreational, familial, and
vocational reinforcers are used to assist individuals in the recovery process. There is an extensive body of research
that empirically validates the use of CFA in the treatment of alcohol dependence, in addition to other substance use
disorders.

      NOSOTROS: Latino Cultural Diversity Training
Marie Miranda-Robles, MPHE, BBA will provide a comprehensive view of the Hispanic/Latino community in
order to assist public health and human service agencies in providing effective and efficient services to
Hispanic/Latino clients. The objectives of the training are to: provide information, knowledge and understanding
about the Hispanic/Latino culture and resources helpful to serving this population in North Carolina; provide
information on the culture of the Mexican population, the largest Hispanic/Latino group in NC; expand cultural
awareness and begin the process of culturally competent action planning and goal setting to more effectively serve
this population.

      Updates from the DWI Services Office
Lynn B Jones, LPC, LCAS, Program Manager, DWI Services, DMH/DD/SA
This session will review current issues related to DWI Services such as changes in law, policy and rule that impact
service delivery to this population.
 (Sponsored by DWI Services)



                    (NEW FORMAT!!!)
2008 Mini-Tracks (3.75-hrs.)(Tuesday afternoon)
(Enrollment in one of the following topics is optional but will add to your credits
earned)

BB201. FORENSIC PSYCHOLOGY: IMPLICATIONS FOR SUBSTANCE ABUSE CLINICIANS
INSTRUCTOR: Daniel Biber
DESCRIPTION: Forensic Psychology applies psychological knowledge and principles to the judicial and legal
systems. We work with a population that often has significant and extensive legal involvement. This workshop will
provide a review of current findings in the areas of overlap between the legal/judicial world and the
treatment/counseling world.

BB202. INCORPORATING ETHICS INTO THE CLINICAL PRACTICE
INSTRUCTOR: Jim Mallinson
DESCRIPTION: Understanding ethical responsibilities is an important factor when working with chemically
dependent clients and their families. This training provides tools for clinicians to incorporate ethical and legal issues
into clinical practice. Topics include counselor/client obligations in therapy, the role of personal values in clinical
decision making processes, and a process by which counselors can resolve situations that may influence
client/counselor relationships. Emphasis is on problem solving skills rather than problem resolution. Participants
will acquire the skills to be able to develop a personal action plan for resolving potential conflicts.

Objectives – Participants will

        Increase their understanding of the supervisor’s and the supervisee’s obligations in incorporating ethical
         and legal issues into regular clinical supervision practices;
        Identify ethical and legal practices and guidelines that assist clinicians in establishing a clinical
         relationship; and,
        Increase their understanding of the scope of ethical and legal issues that impact clinical practice.
BB203. APPLYING MOTIVATIONAL INTERVIEWING WITH ADOLESCENTS: LESSONS LEARNED
INSTRUCTOR: Paul Nagy
DESCRIPTION: With the growing evidence that builds on the idea that person centeredness and the therapeutic
relationship is paramount to change in the treatment of substance use disorders, motivational interviewing has
become a highly accepted and proven approach in the treatment of substance use disorders. While this approach was
shown to be equal in effectiveness to other targeted interventions with adolescent substance abusers in the Cannabis
Youth Project study, there are a variety of ethical, legal and family challenges associated with the application of this
model with the adolescent substance abuser. This session will discuss these challenges as well as the potential
strategies for addressing these concerns in application of MI approaches with adolescents. Further, this workshop
will provide a review of the trans-theoretical model of the stages of change and the principles and techniques of
motivational interviewing.

BB204. ACUPUNCTURE IN THE TREATMENT OF SUBSTANCE USE DISORDERS
INSTRUCTOR: Chris Helmstetter, LAc.
DESCRIPTION: Chris Helmstetter, LAc and co-owner of the Triangle Acupuncture Clinic, in Chapel Hill, NC,
will provide an overview of the history of acupuncture, its current use, and outcome rates in the treatment of
substance use disorders in the United States. Acupuncture was used for thousands of years to balance the body and
treat physical problems. Lincoln Hospital in New York City and Quan Yin Clinic in San Francisco both developed
successful substance abuse out-patient programs based on auricular acupuncture in the early 1980s. Today there are
dozens of state-sponsored auricular acupuncture detoxification programs throughout the United States. The training
segment will end with an experiential opportunity for all participants.

BB205. PAIN MANAGEMENT, PHARMACOTHERAPY AND ADDICTION ISSUES
INSTRUCTORS: Frank Fornari; John Femino; Art Rodrigues; Antonella Carlozzi;
DESCRIPTION: This track will address issues pertinent to the field of Pain Management including types of drugs,
pharmacology, laboratory analyses, mechanisms of action and clinical treatment strategies for identifying and
treating the addicted pain patient. The general goal of this study track is to educate addiction professionals on the
various issues associated with pain and the addicted patient. (Sponsored by: Dominion Diagnostics)

BB206. PREVENTION ETHICS
INSTRUCTOR: Mike Dublin, MA, CSAPC
DESCRIPTION: This course is designed to give participants the ability to identify standards of conduct for
prevention professionals, set professional goals with prevention ethics in mind, and utilize a method of decision-
making for difficult ethical situations in prevention. Participants will learn an ethical decision making model through
group participation that will enhance the participant personally and professionally.

BB207. TRAUMA-INFORMED SERVICES: CHANGES IN UNDERSTANDING AND CHANGES IN
PRACTICE
INSTRUCTOR: Roger D. Fallot, Ph.D.
DESCRIPTION: Human service systems become trauma-informed by thoroughly incorporating, in all aspects of
service delivery and the physical setting, an understanding of the prevalence and impact of trauma and the complex
paths to healing and recovery. Building on key principles of safety, trustworthiness, choice, collaboration, and
empowerment, trauma-informed services are designed specifically to be welcoming and hospitable for all
individuals. They simultaneously avoid trauma-related dynamics that may be retraumatizing for those seeking
assistance. The SAMHSA-funded Women, Co-Occurring Disorders, and Violence Study (1998-2003) has provided
evidence that trauma-informed approaches can enhance the effectiveness of mental health and substance abuse
services.

This workshop is designed to offer an overview of the central conceptual and practical changes that attend trauma-
informed modifications in services. The presenter engages participants in small group discussions and exercises,
following an approach that may be adopted in a variety of programs and agencies to plan and implement trauma-
informed systems change.
 (Sponsored by: Division of MH/DD/SAS-CPM)

				
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