PLENARY, 8:30-9:30AM

What We Target for Change Matters
Alexander M. Holsinger, Ph.D, University of Missouri

Public safety is one of the most important goals of correctional programs. In order to meet this goal correctional programs need to stay focused on criminogenic risk factors. This plenary session will address the major risk/need factors associated with criminal conduct and the importance of the need/principle in reducing recidivism.

Current Science & Treatment of Substance Use Disorders
Darryl Inaba, Pharm D., Asante Health System & Eric Martin, MA, ACCBO

Eric Martin and Darryl Inaba will encourage an interactive discussion of recent neuroscientific discoveries that better illuminate the etiology and biologic processes of substance use disorder (SUD). Historical models will also be reviewed as to how they correlate with current neurocellular, neurochemical and neurofuntional discoveries. Participants will gain a basic understanding of three major schools of thought on the root cause of addiction: Brain Disease Model, Behavioral/Environmental Model and the Allostasis (neurocellular Adaptation) Model. A Diathesis-Stress Model that unifies these three concepts on addiction etiology will be proposed. The session will then review developments in Evidence-Based SUD treatment paradigms including the rapid growth in medications that provide detoxification and promote continued abstinence by reducing drug cravings. Workshop attendees will then be able to better appreciate recent developments in medical and behavioral strategies that can improve SUD treatment outcomes.

Integrating Spirituality Into Treatment
Gordon Lindbloom, Ph.D., Lewis & Clark and Lauren Loos, M.A.

Understanding Spirituality and Religion in our lives and the lives of clients. We will look at:

• Meaning-making frameworks;
• Development of Spirituality through the lifespan;
• Diversity of Spiritual/Religious Experiences, Orientations, and Practices;
• Spirituality/Religion and coping with life challenges;
• The spiritual challenges of addiction and recovery;
• Spiritual resources and strategies in recovery and treatment;
• Helping clients discover and understand their spiritual orientation;
• Helping clients discover their own personal spiritual resources;
• Helping clients discover (or add) spiritual resources in their recovery environment;
• Helping clients draw on and develop their spiritual resources;and
• Special challenges: ethics and changes.

What Works in Reducing Recidivism for Offenders?
Alexander Holsinger, Ph.D., University of Missouri

This session will focus on what works in reducing recidivism among offenders. Participants will learn about the principle of effective intervention, how they were derived, and how they are applied. As part of this workshop the empirical evidence concerning several important areas will be addressed including:

• What works in reducing recidivism?
• The major predictors of criminal behavior
• The principles of effective intervention
• A review of what doesn't work in reducing recidivism

Cognitive-Behavioral Therapy for Pathological Gambling
Benjamin Morasco, Ph.D., Portland VA Medical Center

Gain an understanding of the value of cognitive-behavioral treatment for pathological gambling (PG) and learn how to incorporate this therapy into ongoing treatment. The presenter will discuss the most commonly reported psychological factors that are associated with increasing and decreasing the frequency of gambling behaviors as well as techniques for dealing with PG clinical issues.  Focusing on the clinical practice, participants will increase their knowledge of an empirically-supported treatment and learn how to implement it into their practice. 

The Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency (MIA-STEP) blending team designed empirically supported mentoring products to enhance the MI skills of treatment providers, as well as supervisory tools to fortify a supervisor's ability to provide structured, focused, and effective clinical supervision. The MIA-STEP two-day training introduces clinical supervisors to an effective strategy for observation-based clinical supervision, the use of which has potential to improve counselor skills in motivational interviewing.

Chemicals, Crime and Character
Ed Roberts, M.A., LCDC, CCJP, CEC/Civigenics, Inc., and Cindi Scott, BA, NCAC II

While "hitting bottom" has long been considered an important aspect of change and recovery, the process itself has remained somewhat "mystified." Some individuals have been referred to as having "high bottoms," some "low bottoms,” and some have been said to "ride the elevator to the basement, then get out and start digging." What has never been well delineated or discusses is the role of character in this process of opting for change and recovery. In this workshop, we will look at the core component to "character development" and how it relates to the issues of chemicals, crime and recovery.

Ethical Issues and Dilemmas in the Treatment of Problem Gambling
Charles Maurer, Ph.D., ABPP, NCGC II, Pacific Psychological Services

We all deal with ethical issues and dilemmas in the course of our various practices. Too many practitioners become tense when they hear the word "ethics." This workshop is meant to create curiosity and open sharing about ethical issues and dilemmas, particularly in our work with problem gamblers and their families. Practical dilemmas and ethical issues will be shared and participants will be expected to bring personal experiences to their experience. Various ethical guidelines specific to work with problem gambling will be highlighted but emphasis will be on group process and interaction. Participants will review general ethical frame(s) of reference, specific ethical standards to gambling counselor certification and methods for application of these to practical clinical situations.

Advanced Clinical Supervision: Infusing Cultural Identity into the Supervision Process
Lisa Aasheim, Portland State University

This workshop focuses on infusing tools such as the Cultural Genogram and Spiritual Self diagrams into the practice of clinical supervision. These tools further advance the supervisee's development and assist in facilitating the parallel process. That is, supervisees who actively engage in a process of spiritual and cultural discovery in relation to the therapeutic process are often more adept at helping facilitate similar exploration in their clients. Studies have indicated that spiritual self-awareness and cultural competence are foundational to effective addictions counseling practice. This workshop will help supervisors learn to build that competence in their supervisees through the experiential activities therein.

PLENARY, 8:30-9:30AM

Understanding Methamphetamine Addiction: New Knowledge from the Past Decade of Research
Rick Rawson, Ph.D., UCLA

During the past decade there has been an explosion of new knowledge about the effects of methamphetamine on the body and the brain of users. The direct effects of the drug on the cardiovascular system, on risks for Hepatitis and HIV and on the range of other health measures have allowed a far better understanding of the consequences of meth use. Meth effects on behavioral functioning, including aggression, sexual behavior and memory have become clearer. In addiction, Meth use has impacted a broader range of users, including Native Americans, youth and babies exposed to meth prenatally. A review of new knowledge of meth will be presented, with new animated depictions of neurobiology incorporated into the talk.

Mindfulness-Based Relapse Prevention in the Treatment of Addictive Behaviors
Alan Marlatt, Ph.D., University of Washington

The purpose of this workshop is to provide an overview of Mindfulness-based Relapse Prevention (MBRP) in the treatment of addictive behaviors. Mindfulness meditation is taught as a metacognitive coping skill to help our clients cope more effectively with urges and craving often associated with relapse. Meditation techniques, including 'urge surfing' have been found to be effective intervention strategies in cognitive-behavioral treatment. Results from two recent clinical trials will be presented, the first based on a prison study, and the second in an intensive outpatient treatment facility. Meditation exercises will be presented that are selected from the 8-week MBRP group outpatient program.

This workshop offers an integrated overview of lifestyle theory and explores a model that can be used to effectively intervene with persons simultaneously committed to a drug and criminal lifestyle. In addition to providing attendees with information on how to address the offender committed to a drug and criminal lifestyle, the workshop will demonstrate how to prepare substance abusing offenders for change, how to establish a philosophy of change capable of guiding the change process, and how to implement specific techniques and strategies designed to alter drug use and criminal behavior.

Treatment of Methamphetamine Dependence: Strategies that Work
Rick Rawson, Ph.D.

Treatment for methamphetamine dependence continues to depend primarily on psychosocial/behavioral tools. Treatments including the Matrix Model and contingency management have the best direct evidence. However, other behavioral tools, with efficacy for cocaine dependence also appear to have promise for treating meth users. Medication development has increased over the past five years with several compounds, including bupropion and modafinil showing promise. A review of data on factors influencing the success of treatments will also be reviewed.

Working with Domestic Violence Survivors who are in Treatment
Emmy Ritter, LCSW, Life Works NW

How to ask the right questions and look for indicators of domestic violence. Within that define the complex dynamics of domestic violence. Create an understanding of why victims of trauma use substances. Help incorporate an empowerment approach in the work with these women in treatment.

Promoting Awareness of Motivational Incentives
Denna Vandersloot, Me.D., LAC, NFATTC, John Gardin, Ph.D.

Promoting Awareness of Motivational Incentives (PAMI) is a NIDA Blending product. Research has shown that motivational incentive programs using low-cost reinforcement (prizes, vouchers, clinic privileges) delivered in conjunction with onsite urine screening, promotes higher rates of treatment retention and abstinences from drug abuse. The Promoting Awareness of Motivational Incentive (PAMI), is a package containing a info on how to effectively use motivational incentives, an awareness-building video, a toolkit with activities and sample material for implementing motivational incentives, plus publications and additional resources.

Healing Addicted Families: What Works
Beth Glisczinski, MA, LPC and Elizabeth Motteler, Lifeworks NW

As addictions treatment providers, the majority of our clients are parents-whether or not their children are in their custody. This workshop will prepare participants to assess the specific treatment needs of addicted parents, understand their specific stressors, and provide effective services.

PLENARY, 8:30-9:30AM

The Link Between PTSD and Substance Abuse
Lisa Najavits, Ph.D., Harvard Medical School

The goal of this presentation is to describe current state-of-the art knowledge about the treatment of patients with the dual diagnosis of posttraumatic stress disorder and substance abuse, a population that is typically considered "difficult to treat." We will cover background on PTSD and substance abuse (including rates, the "typical case," models and stages of treatment, clinical dilemmas, and gender issues) and clinical Interventions for PTSD and substance abuse (including demonstration of specific treatment strategies, assessment tools, and community resources). In-depth description of the Seeking Safety psychotherapy for PTSD and substance abuse will be a major focus.

Seeking Safety Therapy for Trauma and Substance Abuse: Implementation Strategies
Lisa Najavits, Ph.D., Harvard Medical School

This workshop will provide an opportunity to address how Seeking Safety is implemented in clinical settings. Seeking Safety is an empirically-studied, integrated therapy for substance abuse and trauma/PTSD. The model teaches present-focused coping skills to help clients attain safety in their lives. It is highly flexible and designed for a wide variety of clients and settings. The workshop addresses frequently asked questions when implementing Seeking Safety; offers the opportunity to conduct a session in small group format; and explores topics such as adaptation of the model, how to combine it with trauma processing treatments, and ways to make it as effective as possible. The workshop will be highly clinically-oriented, interactive, and allow ample time for questions.

Sobriety Enhancement
Jim Holder, M.A., LPC, LPC-S, MAC, McLeod Behavioral Health Services

Learn how substance dependent individuals use substances to reinforce their misguided beliefs and to alter their perceptions. The four states of addiction will be the guide to understanding the clients' positive intents for use. These intents will become the client's short and long-term goals guiding them through treatment and life.

Adolescent Development: Implications for Substance Use Treatment and Long-term Outcomes
Kristen Anderson, Ph.D., Reed College, and Bonnie Nagel, Ph.D.

The purpose of this workshop is to provide participants with basic knowledge of adolescent development (neurocognitive, social, emotional) and the impact of alcohol and drug use on the attainment of important developmental milestones. The potential effects of adolescence on traditional treatment approaches and recent data on long-term outcomes (10-years post) will be presented. The workshop will also focus on how practitioners can apply their understanding of adolescent development to the treatment of adolescent substance use disorders and how understanding the patterns of post-treatment use could provide opportunities for further, targeted intervention.

Indigenous Ways of Knowing: Tribal Leadership Speaks to Addiction Crises and Remedies in Indian Country
Mary Clare, Ph.D. and Se-ah-dom Edmo, Lewis & Clark

In 2005, the Indigenous Ways of Knowing (IWOK) programs were begun at Lewis & Clark in Portland, OR. These programs were initiated in formal meetings of regional and national Tribal Leadership with administrative and faculty leaders of Lewis & Clark. In the intervening years, Lewis & Clark has received substantive support from the Ford Foundation and the U.S. Department of Education to develop the IWOK programs. Along with curriculum development (specifically for the graduate-level preparation of counselors and educators), Native student recruitment and support, and arts and culture seminars, a significant activity of IWOK has been the convening of two annual and international conferences on Indigenous Ways of Knowing. The presentation proposed herein would draw from the messages offered by Tribal Leadership and elders regarding the incidence, treatment and prevention of addiction in urban and reservation communities.

Applying Art Therapy to Gambling, A&D, and Compulsive Behaviors Treatment
Jeanne Cory, M.A., CGAC II, Lifeworks NW

This in-depth, "hands-on" workshop will explore the use of art therapy in the healing process for gambling addiction, A&D addiction, and behavioral compulsions. The discovery of metaphor through artistic expression, and the interpretation of these metaphors, help move the client toward deeper understanding, and recovery, of/from their addiction. Prepare to create!