Symposium_Agenda_Map.. - New Mexico Mental Health

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The Jewish Community Center

5520 Wyoming Blvd NE

Albuquerque, New Mexico 87109

NEW MEXICO MENTAL HEALTH COUNSELORS ASSOCIATION

"Trauma and Treatment in the 21st Century:

A Symposium of the Mind and Body"

(15 CECs)

Agenda

Friday, April 29, 2011

7:00 am to 8:30 am

8:00 am to 8:45 am

9:00 am to 10:15 am

Registration

Continental Breakfast

Welcome Address:

LaMarr Edgerson, LMFT, President, NMMHCA (.75 CECs)

Presentation: Wayne Hankammer, LPC (1.25 CECs)

“Unlocking the Grip in PTS(D) Nightmares”

Break 10:15 am to 10:30 am

10:30 am to 11:45 am

Presentation: Jane McGoldrick, Psy.D. (1.25 CECs)

"Back From the Abyss: Recovery From Trauma and Dissociation"

12:00 pm to 1:00 pm

1:15 pm to 2:30 pm

2:30 pm to 2:45 pm

2:45 pm to 4:00 pm

Lunch

(NMMHCA Board Meeting)

Presentation: Anita Treloar, Ph.D. (1.25 CECs)

"Therapeutic Groups with Adult Trauma Survivors"

Break

Presentation: Nicole Duranceaux, Ph.D. (1.25 CECs)

"Prolonged Exposure and other Evidence-Based Treatments for PTSD: Road Map, Not Terrain”

Break 4:00 pm to 4:15 pm

4:15 pm to 5:30 pm

Presentation: Michelle Pent, MD (1.25 CECs)

“Update on Pharmaco-therapies for PTSD”

6:00 pm to 8:00 pm Dinner

Keynote Speaker: Anthony Maez, SA (1.25 CECs)

"Traumatic Image Exposure and Stress Prevention Guidelines for the Mental Health Provider"

7:30 am to 8:00 am

8:00 am to 8:45 am

9:00 am to 9:15 am

9:00 am to 12:00 pm

12:00 pm to 1:00 pm

1:00 pm to 4:00 pm

Saturday, April 30, 2011

Continental Breakfast

Keynote Address: Troy Rodgers, Psy.D., LPCC (.75 CECs)

"School Violence from a Psychological Perspective: From Bullying to an Active Shooter Situation"

Br

Presentation: "Vicarious Traumatization in the

Mental Health Provider and Ethical Implications for Clinical Supervision"

(3 CECs)

Troy Rodgers, Psy.D., LPCC

Presentation: "Trauma and the Body: Restoring

Balance to a System in Chaos: An Introduction to

Hakomi Experiential Psychotherapy"

(3 CECs)

Morgan Holford, LPC

Lunch

Presentation: “Trauma, Disasters, & Mental

Health Counselors: Ethical Q & A”

(3 CECs)

Paul Fornell, MS, LPCC, MCC, NCCC

Presentation: “Practice and Ethics of Using

Expressive Therapy in Addressing Trauma Issues”

(3 CECs)

Scott Pelking, MA, LPCC, LPC

4:00 pm Close

LaMarr Edgerson, LMFT Bio:

LaMarr D. Edgerson has been the president of the New Mexico Mental Health Counselors

Association for the second year in a row. He is a Licensed Marriage and Family Therapist

(LMFT) and a Trauma Specialist currently in the dissertation/internship phase of a PsyD program. His dissertation is designed to support the efficacy of treating post-traumatic stress via clinical hypnosis. As an LMFT,

LaMarr works with many youth and families who struggle with the stressors of parenting. As a trauma specialist,

LaMarr works with men, women and children recovering from the debilitating symptoms of trauma. He is currently working in a dual internship--at Forensic Behavioral Health

Associates, LaMarr uses his experience to work with uniformed officers from the Albuquerque Police Department and Bernalillo County, as well as with convicted felons, in their recovery from traumatic experiences. His second internship is with First Nations, where he works with Native

Americans who have suffered from traumatic stress.

LaMarr’s company, Family Harmony, serves individuals, children, and families who struggle with life stressors, trauma, pain or other issues. LaMarr has been fortunate enough to share his knowledge with others by being a guest speaker over the local airwaves, including guest speaking on the Montel Williams Air America radio show. He has also shared his knowledge of post-traumatic stress in various workshops around the city - teaching at Kirtland AFB,

Webster University and the University of New Mexico. As a member of NMMHCA's Public Policy and Legislative

Committee, LaMarr traveled to Washington D.C. to rally support for issues important to all counselors in this state.

“Welcome Address”

Program objectives

Brief history of post-traumatic stress disorder

Current statistics of post-traumatic stress

Various trauma treatment methods

Importance of understanding trauma and the

“Mind and Body Connection”

Wayne Hankammer, LPC Bio:

Wayne Hankammer is a Critical Incident Stress

Management (CISM) Specialist serving in

Artesia, New Mexico, where he is the mental health professional on a peer support team. He holds a master's in Counseling and Human

Services from the University of Colorado at Colorado Springs.

During his eight years as a Readjustment Counseling

Therapist for the Department of Veterans Affairs, Wayne treated veterans for the effects of combat trauma. He has since treated dozens of veterans in the protocol he calls

Integrated Posttraumatic Stress Dream Therapy (IPDT).

Wayne published “Unlocking the Grip in PTSD Nightmares” in

Counseling Today (Oct 2010). He wrote a chapter, “Wrestling with Shadows” for a book to be edited by Michelle Linn-Gust.

Wayne published a peer reviewed article in The Journal for

the Professional Counselor on suicide assessment, as well as articles on the effects of trauma on the human mind. He is a

Certified Clinical Hypnotherapist and a Licensed Professional

“Unlocking the Grip in PTS(D) Nightmares”

Presentation chronicles the development of Integrated PTS(D)

Dream Therapy (IPDT). This treatment targets PTS nightmares and combines three proven dream therapies to not only eliminate nightmares but also further developmental progression past fear.

IPDT has a neurological foundation but is written by and for clinicians to encourage those helpers to create the ethical skills needed to address Posttraumatic Stress nightmares. The components of Imagery Rehearsal Therapy, Lucid Dream Therapy and Jungian Archetypal dream treatment are linked with the common thread of remaining mindful of how stress may affect sleep and dreaming. The overarching goal is beyond elimination of nightmares but really to encourage replacing a fear-based system with one of accepting life “as-is”. The presentation closes with implementation strategies and training recommendations.

Counselor (LPC) who received training at the National Center for Post Traumatic Stress Disorder in Menlo Park, California.

Jane R. McGoldrick, Psy.D. Bio:

Dr. McGoldrick brings a background in mindbody medicine and trauma treatment to her psychotherapy practice and educational activities. She is employed as a contract psychologist at the Kirtland Air Force Base

Mental Health Clinic and has a part-time private practice in

Albuquerque. She was previously affiliated with The Center:

Posttraumatic Disorders Program at Psychiatric Institute of

Washington, and as an associate with Christine A. Courtois,

Ph.D., & Associates, P.L.C., trauma specialists, in Washington,

D.C. She can be reached by email at jane@docmcg.com

. She has written on psychological and spiritual topics for Common

Boundary magazine, for which she was a contributing editor.

She is a licensed psychologist and a National Certified counselor.

"Back From the Abyss: Recovery From Trauma and Dissociation"

Trauma comes in many forms-from battlefield horrors and shattering events of childhood abuse to less obvious psychic blows, such as extreme humiliation. In this difficult terrain lies the Abyss experience, an utter loss of safety, with terror of psychic disintegration. In the Abyss, the internal phenomenon of dissociation occurs: The individual enters a profound disconnection from self and consciousness, from time and memory, and from his or her surroundings. For those diagnosed along the dissociative spectrum, conventional talk therapy may prove merely palliative.

Learn some integrative treatment approaches to begin healing the fragmented self and to guide the trauma survivor back from the

Abyss.

Anita Treloar, Ph.D. Bio:

Anita Treloar, Clinical Psychologist, has been a licensed psychologist since 1987. She has more than eighteen years experience working with

Native American populations in the southwest and in Alaska, more than nineteen years experience working with children and/or adolescents, and more than thirteen years working with substance abuse treatment and cooccurring disorders. Much of her experience is with survivors of trauma and abuse who are experiencing substance abuse and/or mental health problems. Positions held include

Clinical Psychologist and Assistant Professor at the

Albuquerque Children’s Psychiatric Hospital; Director and

Clinical Psychologist of the Hopi Child Sexual Abuse Project in

Second Mesa, Arizona; Director of New Sunrise Adolescent

Residential Treatment Center in San Fidel, New Mexico; and currently Clinical Psychologist at the Albuquerque First

Nations Community HealthSource Behavioral Health

Program. Her work in Alaska with Native American and

Alaska Native populations included Coordinator of the

Community Family Services Program of the South East Alaska

Regional Health Consortium in Sitka, and Coordinator of the

Raven’s Way Adolescent Residential Substance Abuse

Treatment Program in Sitka. She has been providing therapeutic services to Native American and underserved clients at First Nations since March of 2009, with particular focus on clients with complex mental health and substance abuse disorders and traumatic histories.

"Therapeutic Groups with Adult Trauma Survivors"

Group treatment of trauma survivors offers many advantages including reduced isolation and stigma and increased social support. This presentation describes two evidence-based group treatments: the Seeking Safety and Acceptance and Commitment

Therapy (ACT) approaches. The Seeking Safety approach, developed by Lisa Najavits, provides a structured psychoeducational approach for individuals with co-occurring Post-Traumatic Stress Disorder and

Substance Abuse issues. The focus is on the first stage of trauma treatment: establishing safety in behavior and relationships. Each session focuses on a topic with handouts and specific strategies to help members cope successfully with issues associated with trauma and substance abuse. Content can be offered as an open admission group or used as needed in individual sessions since sessions are structured to be free-standing. The Acceptance and Commitment

Therapy approach has empirical support for success with many populations. This approach incorporates third wave cognitive behavioral approaches with concepts of mindfulness to help individuals accept their reactions and be present, choose a valued direction, and take action. Dr. has distilled some of the core concepts into a 12 week cohort group which will be described. Dr.

Treloar has been facilitating Seeking Safety Groups at First Nations

Community HealthSource for two years, and ACT Groups for a year.

Nicole Duranceaux, Ph.D. Bio:

Dr. Duranceaux earned a Ph.D. from the San

Diego State University/University of

California, San Diego Joint Doctoral Program in Clinical Psychology. She completed 20 months of a VA-sponsored Postdoctoral Fellowship in

"Prolonged Exposure and other Evidence-Based Treatments for

PTSD: Road Map, Not Terrain”

There has traditionally existed a gap between knowledge gained through empirical research and that from the experiences of practitioners within the mental health field. This has often resulted

Posttraumatic Stress Disorder (PTSD), where she engaged in specialty training in assessment, treatment, and research around PTSD and other trauma-related difficulties. Here, she worked with patients in the Substance Abuse, Trauma, and

Rehabilitation Residence, the Outpatient Men's PTSD Clinic, and the Women's Stress Disorder Clinic. Dr. Duranceaux has a background in empirically-supported treatments, and current and former intervention modalities include cognitivebehavioral techniques, including Prolonged Exposure, and

Cognitive Processing Therapy; Acceptance & Commitment

Therapy; Seeking Safety; Motivational Interviewing; mindfulness-based techniques; and short-term, solutionfocused therapy. Dr. Duranceaux is currently a licensed psychologist in the state of New Mexico and works with the

Albuquerque Police Department as part of the Behavioral

Sciences Division. She is also a member of the Diversity

Committee within the American Psychological Association’s

Division of Trauma Psychology and a faculty member for the

Counseling and Human Services programs at the University of

Phoenix New Mexico campus. in frustration among clinicians and researchers alike. Further, cultural minorities (e.g., ethnic minorities and those outside the middle class) have been underrepresented in empirical studies.

Being mindful of that context, this presentation explores current empirically-supported treatments for Posttraumatic Stress Disorder among adult populations, with a specific focus on Prolonged

Exposure (PE). Objectives include:

1.

Brief overview of the seemingly vast distance between

“research” and “practice”;

2.

Review PE, including rationale, therapeutic techniques, and current evidence base;

3.

Discuss practical strategies for implementation of PE with diverse client populations outside of the research laboratory;

4.

Present specific considerations when selecting interventions with one’s clients/patients;

5.

Present rationale and strategies for moving toward increased evidence-based practice in general, toward the goal of increasing effectiveness with clients.

Michelle Pent, MD Bio:

Dr. Pent attended medical school at Tufts University in

Boston and completed her residency training in psychiatry at

Harvard Medical School, where she received appointments as a Chief Resident and Clinical Fellow in Psychiatry. She graduated from college at the University of Chicago. She has a master degree in Public Health from Tufts University and a master degree in the History of Science from Harvard

University. She is licensed to practice medicine in the state of

New Mexico and is a diplomat of the American Board of

Psychiatry and Neurology. Dr. Pent is a member of the

American Psychiatric Association (APA) and the American

Academy of Addiction Psychiatry (AAAP). She currently represents the state of New Mexico in the national APA

Assembly.

“Update on Pharmaco-therapies for PTSD”

Learning objectives:

1.

To understand current strategies for treating symptoms of

PTSD with psychotropic medication.

2.

To better understand the complex relationship between psychotherapy and pharmacotherapy for treatment of PTSD.

Anthony M. Maez, SA Bio:

Anthony M. Maez is a Special Agent (SA) and the Internet

Crimes Against Children (ICAC) coordinator/second

Commander with the New Mexico Attorney General’s Office

(NMAGO). He manages the NM ICAC Task force, and he investigates sexual exploitation and abuse of children. Prior to starting his career with the NMAGO, SA Maez retired from the Albuquerque Police Department after 20 years of service. He has spent more than half his law enforcement career in investigating Violent Crimes. SA Maez is a training specialist in Domestic Violence, Stalking and Sex Crimes investigations. Over the past eight years, SA Maez has trained all disciplines’ in the criminal justice field throughout the

State of New Mexico. In 2007 he assisted in writing a best practice guide on how to investigate Stalking Cases. SA

Maez holds a Bachelor of Science degree in Criminal

Justice/Psychology from Wayland Baptist University and a

Master of Arts in Business and Organizational Security

"Traumatic Image Exposure and Stress Prevention Guidelines for

the Mental Health Provider"

As a Special Agent for the New Mexico Internet Crimes Against

Children (ICAC) Task Force, I have observed that individuals who view child sexual abuse images at work may experience specific stressors associated with their exposure to these images. Many of the stressor include but are not limited to Burnout: feeling overwhelmed, facing interpersonal problems at work or home, experiencing sudden health problems, substance abuse, lack of motivation; Compassion fatigue: the gradual lessening of compassion for co-workers, family members, and even victims;

Vicarious Trauma: experiencing the negative changes that happen over time as a result of witnessing other people’s suffering and need. I have seen individuals feel, after a prolonged period of exposure, that they are no longer able to utilize the same coping mechanisms they once relied on to assist them with the effects of exposure to others' trauma. In this lecture, I will discuss some of

Management from Webster University. SA Maez is an adjunct instructor and Area Chair for the Criminal Justice and

Administration program on the University of Phoenix

Albuquerque campus. the recommendations and guidelines I have implemented for our

ICAC task force, which includes mental health providers who face the same risks as members of the task force.

Troy Rodgers, Psy.D, LPCC Bio:

Dr. Rodgers has a master’s degree and a doctorate in clinical forensic psychology from the University of Denver. He is currently licensed in New Mexico as a Psychologist,

School Psychologist, Professional Clinical

Counselor, and School Counselor. He has been working in the mental health field for over ten years with particular areas of expertise that include school psychology, police psychology, law enforcement assessment, criminal treatment and evaluation, substance abuse, violence risk assessment and prevention, school and workplace violence, crisis intervention, behavioral profiling, peak performance training, and stalking. Dr. Rodgers is the Agency Director for Forensic

Behavioral Health Associates LLC (FBHA). He is also the

Division Director for the Behavioral Sciences Division of the

Bernalillo County Sheriff’s Department and the Acting

Division Director for the Behavioral Sciences Division of the

Albuquerque Police Department. He works as a consultant to over 50 local, state, and federal law enforcement and corrections agencies. Dr. Rodgers is currently an adjunct faculty member at Central New Mexico Community College and adjunct instructor and Area chair for the Masters of

Science in Counseling/Mental Health Counseling program for the University of Phoenix in Albuquerque Campus. He is also certified as a Professional Lecturer by the New Mexico

Department of Public Safety Training Academy.

Saturday Training by Dr. Rodgers

"School Violence from a Psychological Perspective: From Bullying to an Active Shooter Situation"

As we become more and more a product of a media driven world, we are constantly provided with images and sound bites that are used to paint a picture of what is happening on a daily basis. This is increasingly becoming the case when we look at schools. We see pictures and images, but what is the true story? This lecture is designed to provide the audience with an accurate overview of the violence that is currently being seen and experienced in school settings. Current trends in school violence will be addressed and specific bullying trends (such as cyber bullying and a willingness for violence to be taken to such extreme measures by our youth) will be explored. Types of school violence will be discussed and we will attempt to identify who is at risk of becoming a victim and a perpetrator of violence. Common violent perpetrator characteristics will be identified and red-flags for violence will be provided. Prevention, Response, and Aftermath Clean-up issues will be focused on. Time will be set aside to specifically address and explore the trauma experienced by victims of school violence. We will conclude by looking at the future and identifying ways to continue to both prevent violence and spur school dialogue regarding the issue.

************

"Vicarious Traumatization in the Mental Health Provider and

Ethical Implications for Clinical Supervision"

Vicarious trauma is an all too common occurrence in the lives of many helping professionals. As we invest ourselves in the pursuit of improvement on the part of our patients we often forget to address the long-term effects that their experiences have on us.

Because the exposure process is typically slow and methodical, we are prone to either miss the signs or we minimize the actual effects of our work on our emotional and psychological well-being. This course is designed to look at trauma, and more specifically vicarious trauma as it relates to the mental health provider. The concept of trauma will be defined in a simplistic and straightforward manner so that we can move beyond the confusing jargon associated with the issue. From there the class will explore, in depth, the idea of vicarious trauma. Out of this exploration we will move into a discussion of the role that a supervisor plays in helping their supervisees prevent vicarious traumatization through healthy selfcare. We will conclude with a look at ethical intervention options for supervisors. NOTE that this course will be formatted to engage the audience in a “real-world” discussion of the issue as the presenter provides foundational information.

Morgan Holford, LPC Bio:

Morgan Holford, LPC, Certified Hakomi

Therapist and Trainer, has worked extensively with individuals and couples in private practice in Santa Fe, NM, for over 25 years. Her primary modality is Hakomi Experiential

Psychotherapy, a body – centered, mindfulness based method. As a member of the Hakomi faculty, she has been training other therapists in this method throughout the US for 20 years. She offers advanced training and supervision to

Hakomi graduates and somatic consultation to other practicing therapists. She is an adjunct therapist at Life

Healing Center, a residential trauma and addictions treatment center in Santa Fe, offering Hakomi and somatic trauma resolution sessions. She has been an adjunct faculty member at Southwestern College in Santa Fe. Morgan is committed to bringing mind, body and spirit into harmony in her work with clients and students.

"Trauma and the Body: Restoring Balance to a System in Chaos:

An Introduction to Hakomi Experiential Psychotherapy"

Current neuroscience and trauma studies show us that trauma is primarily a somatic event. The body switches into subcorticallydirected instinctive arousal states and reflexive actions. Hakomi

Experiential Psychotherapy is an exquisitely relational, somatic psychotherapy that understands the human body’s innate processes which can restore a sense of safety, balance and empowerment in the activated client. Hakomi offers a unique set of tools for accessing these innate inner resources for healing.

Key Hakomi concepts and skills will be taught through presentations and experiential exercises. Morgan will use a live demonstration, followed by Q & A, to illustrate the somatic and affective processes that occur when the therapist maintains a deeply attuned state and guides the client in a moment – to - moment connection with their sensations. You will see how this process engenders containment and affect regulation, while the client learns to use their cognitive abilities to support rather than control or interfere with this natural process. The result is the client’s growing trust in their ability to heal.

Paul David Fornell, LPCC Bio:

Paul David Fornell, MS, LPCC, MCC, NCCC is a

30-year counseling veteran. He was integral in getting the counselor licensure law passed in

New Mexico (he holds the second Clinical

Mental Health Counselor license ever issued in that state) and has worked as a counselor in diverse settings, ranging from rural New Mexico to inner city Chicago. He is extremely knowledgeable about counseling ethics and the ACA Code of

Ethics and served as the Director, Ethics and Professional

Standards for the American Counseling Association, as well as serving as president of the American College Counseling

Association, the New Mexico Counseling Association and the

California Counseling Association. He began his career as a special education teacher, during which time he realized he could have a more substantial impact working with people one-on-one. Paul has spent the majority of his 30-year counseling career in college counseling centers, including the

University of Albuquerque, Santa Fe Community College,

California State University, Long Beach, New Mexico

Highlands University and currently UNM. He has also been a private practitioner and worked as a counselor at an all-

Navajo school. He teaches at New Mexico Highlands

University, the University of New Mexico and the University of Phoenix. He loves movies, books and romantic walks on

Tingley Beach!

“Trauma, Disasters, & Mental Health Counselors:

Ethical Q & A”

Natural disasters (such as earthquakes, floods, fires, tornados, etc.), accidents (those we cause through neglect-DWI and those we can’t control-an icy freeway), acts of war and acts of terrorism

(depending on whose side you’re on), these are all events that cause our clients and members of our community great distress.

How do we as professional mental health counselors respond to these events and to our clients or the citizens in our community that we may reach out to help? What are some of the ethical questions and concerns that we must address? This workshop will look at the following ethical issues with emphasis on the unique challenges faced in the field:

What should we do about informed consent and disclosure?

How do we address confidentiality?

What considerations are there concerning cultural issues?

How should we transfer services and make appropriate referrals?

 Any cautions about use of technology to include cell phones, laptops, iPads, etc.?

Are there specific steps to follow when working with a treatment team?

These issues and those of the participants will be addressed in both didactic and experiential methods.

Scott Pelking, LPCC Bio:

Scott Pelking is a licensed clinical mental health counselor/supervisor (LPCC) and school counselor in the State of New Mexico, and a licensed professional counselor supervisor (LPC-

S) in the State of Texas. He is Reality Therapy certified; EMDR Level II trained, and is currently pursuing certification in Play Therapy. During his 19 years as a mental health professional, he has worked in acute psychiatric and residential treatment settings as a therapist, program designer, clinical supervisor, and administrator. Mr. Pelking is currently an adjunct instructor and Area Chair for the

University of Phoenix's Masters of Science/Mental Health

Counseling program for the University of Phoenix Santa

Teresa, New Mexico Learning Center. He is also in private practice and is associated with the Counseling Center of

Expressive Arts in El Paso, Texas. Much of his work centers on trauma-related issues.

“Practice and Ethics of Using Expressive Therapy in Addressing

Trauma Issues”

Trauma is difficult to address, especially in children. Expressive therapies can help provide the symbolic language necessary to express emotions or illustrate events that words cannot express.

The workshop will discuss various approaches and precautions necessary in helping clients approach traumatic memory in play therapy, sand tray therapy, art therapy, and music therapy. Ethical considerations for treating children, adolescents, and adults with various traumas will be discussed. In addition to an illustrated lecture, attendees will participate in a hands-on experience of one intervention.

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