19th Annual Substance Abuse Conference January 24-26, 2007 Southern Hills Marriott Hotel Tulsa, Oklahoma Creative Techniques January 25, 2007 Plenary Session *College Drinking In Its Developmental Context. Mark Goldman, Ph.D. Underage drinking in the U.S. leads to many deaths, injuries, assaults, and unwanted sexual behavior. Alcohol use is a far greater problem in the underage group than is the use of other drugs. This course will show how it relates to adolescent development. Session 1 Concurrent Workshop Descriptions (Repeat and continuous workshops will be listed once) A. *Drug Smuggling, Drug Trends and Internet Drug Trafficking. James Brown, B.S., Special Agent/Demand Reduction Coordinator. This presentation will cover how drugs are smuggled into the United States. We will also discuss drug trends in Oklahoma and internet drug trafficking in the U.S. B. *Drug Testing as a Support To Recovery. Helen Harberts, M.A., J.D. Drug Testing is a critical component of any treatment and supervision program for substance abusers. Learn the “latest and greatest” about techniques, technology, and the “how to beat a drug test” business. Fast paced and entertaining, this class will teach you about testing, and how important it is as a support to building refusal skills and supporting recovery. C. *Motivational Interviewing with Correctional/Mandated Clients. Scott Walters, Ph.D. *Motivational Interviewing (MI) is an evidence-based counseling strategy for promoting behavior change. Working with mandated clients places constraints on a provider. This workshop will focus on using MI within the criminal justice system, including ways to integrate MI given multiple target behaviors, and other courtmandated tasks including reporting violations and dispensing sanctions. D. *†Underlying Principles for Formulation Discussion: Especially Those Fraught with Conflict. Kelsey Gray, Ph.D. There are core principles that set up active and successful discussions. These principles will be identified, discussed and applied as basic elements to the development of successful meetings. E. Positive Behavioral Interventions & Supports (PBIS). Gerald Atchley, M.H.R., LPC, Associated Centers for Therapy Tulsa (ACT). This workshop is an update on the PBIS, an initiative that is part of Tulsa School System and Oklahoma Systems of Care. F. *How Can I Hurt Me? Let Me Count the Ways! Perspectives on the Treatment of Self-Injury and Eating Disorders. Julie Dupell, Ph.D. This presentation will explore the dynamics underlying self-destructive behaviors including self-injury and eating disorders. Characteristics of individuals who self-harm will be discussed, and several benefits and functions of self injury will be explained. The presentation will conclude with suggestions for therapeutic interventions and effective referrals. G. Grants 101: Understanding the Process and Procedures to Obtain Them. Sheila Tillery, M.H.R. Grants 101 will provide a condensed overview of the grant seeking process from conducting a needs assessment to award. H. *Change Agents in the Integrated Services. Christie Cline, M.D. This workshop will discuss the expanding role of Change Agents in the Integrated Services Initiative statewide system of care for persons with co-occurring disorders. Current and prospective change agents should attend this session. I. *Essential Skills and Creative Techniques That Make Groups More Productive. Ed Jacobs, Ph.D. This fast moving workshop will focus on an active leadership model. Essential skills will be presented and demonstrated. Also presented will be practical, creative techniques that incorporate how to present and use some basic counseling theories in groups. J. Introduction to Cultural Competency. Renea L. Butler-King, M.S.W. It is the hope of this presenter to engage the conference participants so they will have an increased awareness of what cultural competence looks like in its beginning. The workshop facilitates a focus on culture awareness. K. DRI-II and DQ Tests: Practical Reviews. Herman Lindeman, Ph.D. Quick review of the DRI-II and DQ tests. Practical, real life Q & A will be emphasized. Handouts include: Power Point Tutorials, Certificate of DRI-II and DQ training and Training Manuals. L. FASD Interventions. Panelists are from Chi Hullo Li and the University of Oklahoma's Child Study Center and Center on Child Abuse and Neglect. This workshop will be a panel discussion on what diagnostic and intervention services are available to Native Americans in Oklahoma with Fetal Alcohol Spectrum Disorders. M. *Group Therapy for Adolescent Substance Use Disorders. Yifrah Kaminer, M.D., M.B.A. Group therapy (GT) is the most common treatment modality administered to adolescents with substance use disorders (SUD). There has been a controversy whether GT is appropriate for groups including youth with antisocial behaviors due to a “Contagion Effect.” This workshop will address this concern based on most recent research findings and will focus on how to utilize Cognitive Behavioral and Motivational Enhancement Therapies for youth with SUD. Session 2 Concurrent Workshop Descriptions (Repeat and continuous workshops will be listed once) A. *From the “System Design” to the “Treatment Approach”: Consensus-Based Best Practice - The Basics, Second Edition. Rhonda McKillip. System-wide dual diagnosis capability has become the expectation. We – the professionals – are asking, “Now… how do I transfer the “system” into a “direct service” approach? Where do I find a comprehensive curriculum written in conversational language worded directly to the client? How do I cross-train in the “other field” of mental health or addiction treatment and present a truly integrated approach?” The complete solution is available in The Basics, Second Edition: A Curriculum for Co-Occurring Psychiatric and Substance Disorders. This training will focus on moving from the system to the approach. B. *Drug Testing as a Support To Recovery. Helen Harberts, M.A., J.D. (Repeat) C. *Motivational Interviewing with Groups. Scott Walters, Ph.D. Motivational Interviewing (MI) is an evidence-based counseling strategy for promoting behavior change. Because of the dynamics of treatment groups, motivational groups present unique challenges to a provider. This workshop will focus on ways to use MI with groups of participants, including establishing a positive group agenda, maintaining an empathic and motivational tone, engaging key players, and drawing out individual and group support for change. D. *Working with Conflict. Kelsey Gray, Ph.D. The session will be designed around working with conflict. The primary focus is on understanding where conflict comes from and why we have such a difficult time addressing conflict. Appropriate activities will be utilized, both for personal and group effort and will include tips for organizing meetings. E. *Implementing the Sanctuary Model of Trauma Informed Organizational Change in Oklahoma. Robert Lee, LCSW, Janie Hogue, M.S., MAC, LADC, and Katie Henson, M.H.R., LPC. This session will include a summary of the Sanctuary Model – a trauma informed method of organizational change, formation of the Oklahoma Sanctuary Consortium, and a panel discussion of implementing the trauma informed model in youth and adult residential facilities in Oklahoma. F. *Working with Criminal Justice. Hon. Peggy Hora. A disproportionate number of people with mental illness and substance abuse disorders, whether co-occurring or not, populate the criminal justice system. The largest public mental health facility in the world is the Los Angeles County Jail with over 3,000 people with mental illness "in residence" on any given day. Learn how the criminal justice system works and how mental health/substance abuse treatment advocates can better interact with the courts, probation and the jails. G. Introduction to the JASAE (Juvenile Automated Substance Abuse Evaluation). Jim Haggerty, B.S. An introduction to ADE Incorporated’s Juvenile Automated Substance Abuse Evaluation (JASAE). This session will focus on the administration of the survey, the interpretation of the assessment report, and the role of the instrument in the ADSAC process. H. *Change Agents in the Integrated Services. Christie Cline, M.D. (Repeat) I. *Essential Skills and Creative Techniques That Make Groups More Productive. Ed Jacobs, Ph.D. (Repeat) J. *Methamphetamines Psychosis: Neurological Morbidity and Chronic Methamphetamine Abuse. John Duncan, Ph.D. This workshop will concentrate on the nature of the brain damage caused by chronic methamphetamine abuse and it behavioral correlates. K. Using Cost Incentives to Help Consumers Achieve Their Goals: The Contingency Management Approach. Susan Brandau, CASAC. This workshop will provide an overview of Contingency Management and the use of specific behavioral reinforcements with specific targeted populations. Real-world applications will be explored along with barriers to integration and workable solutions. L. Why Children Drink. Mark Clanton, CADC, CPS. This workshop will share information on why children use and abuse alcohol and drugs, peer pressure, media influence and community and family issues. M. *Ethics I. Joel Rutledge, M.S., LPC, LADC. This workshop will relate key ethical issues specific to AOD counseling. A didactic format will provide participants with information regarding a variety of ethical issues, challenges, requirements and solutions, as they relate specifically to drug and alcohol counseling. Session 3 Concurrent Workshop Descriptions (Repeat and continuous workshops will be listed once) A. *Problem Gambling in Oklahoma, Fact or Fiction. Michael H. Smith, Ph.D., LPC, NCC, LMFT, NCPG II. Over the past few years, Oklahoma has gone from a state where BINGO was the biggest gamble (outside sports book making) to having 90 + casinos with slot machines, poker, and a statewide lottery. Are the results of the legal gambling positive or negative? The presentation will look at national statistics and prevalence studies of problem gambling and draw reasonable conclusions regarding the impact of legal gambling in Oklahoma. B. *How the ASAM Criteria Help Integrate Co-Occurring Disorders. David MeeLee, M.D. The Revised Second Edition of the Patient Placement Criteria (ASAM PPC2R) includes descriptions of service and criteria for individuals with co-occurring mental and substance-related disorders. This presentation will explain how the concepts and constructs of the ASAM Criteria can help assess and plan better integrated care for Co-Occurring Disorders. C. *Granny’s Garden: The Future Impact of Marijuana on Baby Boomer Elders. Mitch Magness, M.A.G. There are relatively high rates of substance abuse among the baby boom cohort. The rates of substance abuse, in conjunction with the large size of the baby boom generation, are likely to result in doubling the need for substance abuse treatment for older adults by the year 2020. Despite this warning, there is little research being done to examine the drug-drug interactions between inhaled marijuana and prescription medications typically used by older adults. D. *Highlighting Negotiation Skills and Tools for Mediating Conflict. Kelsey Gray, Ph.D. This session will highlight negotiation skills and tools for mediating conflict and focus on identifying core interest-based questions that are designed to build skills. A case study or a skill exercise will be used to allow application. E. Media Advocacy. Jessica Hawkins. Media advocacy is the strategic use of the news media to advance a social goal. Media advocacy advances prevention policy goals and the public to action on community problems related to alcohol, tobacco, and other drug use. Participants will learn the skills necessary to effectively pitch a news story, train community spokespeople, and properly frame a media message. This session will feature sample news articles and clips that were part of successful prevention campaigns. F. *FASD Prevention Strategies and Interventions: Questions and Answers. Robin Gurwitch, Ph.D., Lorena Burris, Ph.D., Sandra Stroud, B.A., and Lenae Clements, M.S.W. This workshop will recap what was discussed in the prior Fetal Alcohol Spectrum Disorders workshops, and be a time for participants to ask questions and engage in discussion about FASD, prevention strategies and interventions for individuals affected by FASD. G. Using the SALCE and NEEDS in the ADSAC Process. Jim Haggerty, B.S. ADE, Inc.’s SALCE and NEEDS Assessment instruments play a role in the ADSAC process. This session will focus on the interpretation of the assessment reports, clarifying any issues for those already using the instruments, and providing instruction for those who may begin. Ample time will be allowed for feedback/questions. H. Law Enforcement and Communities: Working Together. Sergeant Lance McWhorter and Detective Nate King. This workshop will be a brief overview of three topics in the world of alcohol and drugs. Discussions will also be on how coalitions can build relationships with law enforcement. I. Underage Drinking....Not a Minor Problem! Ernie Tye, Ed.D. This presentation will discuss the economic and social costs of underage drinking on both the National and State levels. In addition, Dr. Tye will describe the resources available through Project U21 and will present a community action plan that is simple to implement and effective in reducing underage drinking. J. *Promoting Abstinence using Cognitive-Behavioral Therapy (CBT). Susan Brandau, CASAC. This workshop will provide an overview of CBT and introduce the counselor to the skills that will help their patients recognize high-risk situations and develop effective coping strategies in early recovery as alternatives to drug using behavior. K. *Ethics II. Joel Rutledge, M.S., LPC, LADC. L. Surviving Teamwork. Janiece E. Siegerist. Working together is never easy. If teams are supposed to be so great, why can it be so difficult to make them work? The workshop will provide tips on problem solving, negotiation, communicating and resolving conflicts that can help team members manage work and life issues. Promoting understanding, facilitating communication and finding the humor in every day life may just be the secret to the development and maintenance of the successful team. January 26, 2007 Plenary Session *Recovery in Co-Occurring Disorders: What Do You Really Mean and Walking the Talk about Recovery. David Mee-Lee, M.D. This presentation will challenge participants to examine their attitudes about recovery as expressed in the language and jargon we use in treatment; the way treatment programs are structured in length of stay and phases of treatment; and how relapse and substance use while in treatment is addressed.. It will compare and contrast how recovery is approached in addiction and mental health treatment and suggest solutions to approach recovery in cooccurring disorders. Session 4 Concurrent Workshop Descriptions (Repeat and continuous workshops will be listed once) A. The ASI-MV Connect System: How to Maximize Your Effectiveness using Assessment, Reporting and Data Management Tools. Albert J. Villapiano, Ed.D. Completing assessments, organizing data and using that data to make timely clinical and administrative decisions are important, but difficult and costly functions for agencies to implement. An overview of the ASI-MV and the new ASI-MV Connect Data Center and will demonstrate how this evidence-based, cost-effective system can help aggregate client information, monitor trends and assist with reporting and “real-time” decision-making. B. TANF – A look at the impact of the Deficit Reduction Act of 2005 on TANF Recipients Requiring Substance Abuse Services. Linda Hughes. Discuss the impacts and changes that are a result of passing the Deficit Reduction Act of 2005, which reauthorized the TANF Program. C. *Teaching Kids about Addiction: The ABCs for COAs. Jerry Moe, M.A., MAC, CET II, National Director of Children’s Services, Betty Ford Center. This interactive workshop features tools and techniques to help children learn about the cunning, powerful, and baffling disease of addiction. Effective books and videos will be highlighted throughout. D. *Highlighting Negotiation Skill and Tools for Mediating Conflict. Kelsey Gray, Ph.D. This session will highlight negotiation skills and tools for mediating conflict and focus on identifying core interest-based questions that are designed to build skills. A case study or a skill exercise will be used to allow application. E. The Migration and Understanding of Street Gangs. Inspector Jerry Flowers. This workshop discusses the migration of street gangs across this country. It will provide ideas regarding how to talk to gang members and recognize what gang the individuals are associated with. This workshop will provide the understanding of the gang lifestyle and why local kids are claiming west coast and east coast gangs. F. Planning for Progress in Treatment. Kim Peterson, MAMFT, LADC, and Shoko Burton, M.Ed., LPC. This workshop will identify the consumer’s most important goals for treatment by utilizing measurable, time sensitive steps toward achieving those goals and reflecting a verbal agreement between the counselor and consumer. G. State and Local Policy Change. Dan Arthrell, M.A. This presentation will be both didactic and interactive. We will discuss how the political processes work, who do you need to know to get the job done, what you need to do to be successful and when to schedule stages of a campaign. H. A Moment of Zen---What Is Required When Creating a Trauma-Informed System. Katie Henson, M.H.R., LPC. Leading state and federal agencies have voiced their mutual desire for those in the behavioral health field to become more aware of trauma and its effects on the children and families we serve and, in fact, transform the way we provide services. This workshop will focus on identifying specific strategies for incorporating trauma-informed changes into the existing culture of an organization and the challenges one may encounter along the way. I. Fetal Alcohol Spectrum Disorders (FASD): The Basics. Lenae Clements, M.S.W. This workshop will help to facilitate the participants’ understanding of FASD through the discussion of terminology, facts, causes, and the effects on the brain. In addition, prevention and risk reduction strategies and effects on the community will be discussed. J. Cultural Competency Application. Renae Butler-King, M.S.W. The goal of this workshop is to build a capacity for cultural competence. The speaker will cover how to take what you have learned and integrate it into the work place. There is a hope that participants would have an understanding of how to manage change, how to examine their own attitudes, and how to move cultural competence into their areas of work. K. Using Cost Incentives to Help Consumers Achieve Their Goals: The Contingency Management Approach. Susan Brandau, CASAC. (Repeat) L. * Surviving Teamwork. Janiece E. Seigerist. Working together is never easy. If teams are supposed to be so great, why can it be so difficult to make them work? Tips on problem solving, negotiation, communicating and resolving conflict can help team members manage work and life issues. Promoting understanding, facilitating communication and finding the humor in every day life may just be the secret to the development and maintenance of the successful team. Session 5 Concurrent Workshop Descriptions (Repeat and continuous workshops will be listed once) A. Second Opinion - Test Review. Herman Lindeman, Ph.D. This workshop is an introduction, description and discussion of the Second Opinion. There will be questions and answers to follow. Handouts include Certificate of Second Opinion training, Power Point tutorial and Training Manual. Practical and real life questions are encouraged. B. *Why Integrating Mental Health and Substance Abuse is Hard and What to Do About It. David Mee-Lee, M.D. This presentation is designed to help participants focus on ways to build bridges between clinicians, consumers, customers and systems to decrease fragmentation and improve services for clients. Reference will be made to the ASAM Patient Placement Criteria to help develop person-centered services and better integrate care for co-occurring disorders. C. *Making Groups Work for Kids: Tools for the Journey. Jerry Moe, M.A., MAC, CET II, National Director of Children’s Services, Betty Ford Center. How can we reach six to twelve-year-olds challenged by family addiction? Come learn effective strategies and tools to make a difference in their lives. D. Youth Leadership. The Shawnee Youth Coalition. Jon Greenwood. How do middle and high school youth from diverse backgrounds work together to make a difference in their community? The Shawnee Youth Coalition has learned how to combine their hopes and dreams and cooperate with adults to improve their environment. This can be a difficult thing to do! They will share their experiences in areas like leadership, funding, projects, public relations, and working with adults. E. The Migration and Understanding of Street Gangs. Inspector Jerry Flowers. (Repeat) F. Community Alcohol Assessment Strategies. Jessica Hawkins. This interactive session will include a review of various alcohol assessment tools used to identify and monitor community-level alcohol problems, including the Retailer Risk Assessment and the College Alcohol Risk Assessment. Participants will learn the importance of these assessment strategies in planning, implementing and evaluating an effective environmental prevention effort. Communities with alcohol service to intoxicated or underage patrons and college/university communities will benefit from engaging coalitions in these assessments processes. G. Grants Management 101: Ensuring Good Management After the Award. Sheila Tillery, M.H.R. Grants Management 101 is a follow-up to Grants 101 and will give the attendees some insight to best practices in Grants Management. H. *Stages of Change and Treatment Matching. Thad Leffingwell, Ph.D. This workshop will discuss the stages of change model and strategies for selecting treatment approaches to meet the motivational readiness for change of each client. Discussion will include theory, research, and practical applications. I. Dating Violence: How Bad Is It? Tamatha Mosier, B.S., CDSVRP. Dynamics of dating violence and its prevalence will be explored as well as emerging trends for intervention. J. *From the “Treatment Approach” to the “Hands-on Application”: The Basics, Second Edition – In Action. Rhonda McKillip, M.Ed., LMHC, MAC, CCDC III, CDP. An integrated treatment approach is now a widespread priority…sometimes even a requirement. How does the service provider factually deliver educational information in-group or in a 1X1? This training will provide an opportunity for participants to be a “mock group” receiving neurochemistry education, diagnostic information, and the effects of alcohol and other drugs on health – both physical and mental. The material presented is The Basics, Second Edition: A Curriculum for Co-Occurring Psychiatric and Substance Disorders. K. Cognitive Behavioral Therapy. Susan Brandau, CASAC. (Repeat) L. *Enhancing Collaboration in Substance Abuse Prevention through Group Thinking. Paula Feathers, B.U.S. One of the most important, and often neglected, aspects of collaboration is establishing relationships that encourage and enhance group thinking. Group thinking occurs when individuals are able to look beyond themselves or their organization needs and focus on a group goal or community goal. This interactive workshop will introduce experiential activities that can be tied into coalition or collaboration meetings, resulting in relationship bonds that enhance group thinking.