Substance Abuse, Post-Traumatic Stress Disorder and Returning OEF/OIF Veterans Program Description This one-day training will define the nature and relationships of Combat Trauma and Substance Abuse. Most returning OEF/OIF war-fighters experience post-deployment stressors and the majority copes well with the transition from combat back to the noncombat environment. This training will explain and discuss the clinical features that indicate ineffective and/or maladaptive coping for those returning with PTSD. Relevant research on assessment, diagnosis, and effective treatment planning will be reviewed. Program Objectives Upon completion of this program, participants should be able to: 1. 2. 3. 4. 5. Discuss the relationship between Trauma and Substance Abuse; Identify the differences between “normal” post-deployment readjustment issues and post-traumatic stress disorder in returning war-fighters; Use case histories to discuss issues of differential diagnosis and effective interventions; Define knowledge and skills issues requiring additional study and/or training; Implement these skills in their daily practice. Target Audience Mental health and substance abuse clinicians (social workers, psychologists, counselors, and nurses etc.), other interested healthcare providers and anyone working with returning veterans. Agenda Introductions and Overview Trauma & Substance Abuse Defined Trauma & Poly-Trauma Among OEF/OIF Vets Spectrum of Trauma-Related Issues Substance Abuse as a Maladaptive Coping Strategy Typologies of SA Issues Pre & Post-Trauma Exposure LUNCH Defining the Continuum – Adjustment Disorders to PTSD Differential Diagnosis: Normal Post-Deployment of PTSD Case History Activity – Case #1, Case #2, Case #3 Wrap-Up/Evaluations Credits 6.0 credits Faculty L. Worth Bolton, ACSW, LCAS, CCS, is a Clinical Assistant Professor at UNC-Chapel Hill School of Social Work and coordinates the Certificate in Substance Abuse Studies Program. Prior to coming to UNC in 1997, he worked in inpatient, outpatient, and residential services for adults and adolescents. Mr. Bolton has provided consultation, training, and technical assistance to human service agencies, the criminal justice system, business and industry, and the military since 1982.