CPSY CPR | Best Practices

Maintaining Your Balance: Best Practices

"Try to put well in practice what you already know. In so doing, you will,
in good time, discover the hidden things you now inquire about." (Rembrandt)

JHMc's Techno-hint: Trouble with webcast streaming (e.g., rebuffering)?
Your server might be busy. Reducing the viewing window's size helps, but you might need to try at quieter server times (early a.m.?). Don't give up. These webcasts are worth a little inconvenience!

Attention-Deficit/Hyperactivity Disorder (ADHD):
Discussions with ADHD Thought Leaders

Medscape offers an Attention Deficit/Hyperactivity Disorder Resource Center sponsored by Shire US Inc. In addition, Medscape.com offers roundtables, interviews and a conversation on the topic of ADHD. Shire US Inc. directed and sponsored the presentations.

NOTE: To view content on Medscape, registration is needed (free of charge).

Diagnosing and Treating Adult Patients with ADHD - Video
"Drs. Salgo, Goodman, Dodson, Biederman and Wilens discuss the diagnostic and therapeutic treatment options for adult patients with ADHD. This expert panel describes the vague symptoms and lack of criteria for diagnosing adults with ADHD and discuss the consequences of inadequate diagnosis, treatment choices and compliance."

Redefining Treatment Paradigms for Pediatric and Adolescent Patients with ADHD - Video
"Drs. Salgo, Goodman, Dodson, Biederman and Wilens discuss refining the treatment paradigms for both pediatric and adolescent patients with ADHD. View a Medical View roundtable as ADHD experts discuss the importance of decreasing symptoms and optimizing function in treating patients with ADHD."

Normalization Through Titration
"A conversation with Dr James T. McCracken, expert thought leader on ADHD and normalization."

Long-Acting vs Short-Acting Stimulants: Appropriate Treatment for Adults with ADHD
"A conversation with Dr Margaret D. Weiss, who is studying the effectiveness outcomes of new medications and psychological treatments for ADHD."

The Science of Stimulants
"Two Perspectives on the Mechanisms of Action (MOA) of Stimulant Medications and Their Implications in the Treatment of ADHD"(Dr. Solanto and Dr. Spencer)

ADHD and Substance Abuse Disorder (SUD): Is There a Connection?
"A conversation with Timothy E. Wilens, MD, leading expert on ADHD and SUD"

Helping Populations Progress Through Stages of Change

Webcast of Helping Populations Progress Through Stages of Change

Note: To view the webcast, registration is required. Free. See link below.

Dr. James Prochaska, Ph.D. Professor of Clinical & Health Psychology (U. of Rhode Island) and
Director of Cancer Prevention Research Consortium...

"A scientific revolution is occurring in the field of behavior change. This revolution involves a shift from an action paradigm to a stage paradigm in which changing troubled behavior involves progressing through six stages of change: precontemplation, contemplation, preparation, action, maintenance and termination.

Previously almost all research and treatment programs were action-oriented but less than 20% of people with such behaviors are prepared to take action. Action-oriented programs resulted in relatively low participation rates, high drop out rates and small impacts on populations with unhealthy behaviors.

Research from a stage paradigm is demonstrating psychological principles for progressing through the stages of change. Stage-matched treatment programs are demonstrating much higher participation rates, retention rates and impacts on entire populations with unhealthy behaviors."

Helping Populations Progress Through Stages of Change
Archive of Live Broadcast on January 10, 2001, 1:00 PM EST.
Speaker: Dr. Prochaska discusses the Transtheoretical Model for behavior change.

Abriendo Caminos en Tu Vida:

A Culturally Competent Rehabilitation Readiness Guide

Note: To view the webcast, registration is required. Free. See link below.

"The process of rehabilitation readiness, as designed at the Boston University Center for Psychiatric Rehabilitation helps consumers feel more confident, aware and committed to the process of rehabilitation before they actually begin setting their rehabilitation goals. However, while the process of rehabilitation readiness has been developed in detail and used extensively with individuals with serious psychiatric disability, it was not designed to reflect Latino experiences, cultural beliefs and common barriers to using rehabilitation services. Latinos now constitute approximately 14% of the U.S. population. Literature suggests enormous disparities in the availability of services. We successfully gathered information about Latino consumers’ readiness experiences and designed a tool to assess individual’s readiness for rehabilitation in an effective and culturally appropriate way.

This web cast describes how the project successfully developed a culturally competent Rehabilitation Readiness Tool for Latino Consumers with serious psychiatric disabilities. This new Spanish guide will allow rehabilitation professionals, family members, and/or other natural supports to help Latino consumers assess their readiness to engage in the rehabilitation process. To develop the guide we collaborated with Maria Sardinas Center (MSC) and South Bay Guidance Center (SBGC), both programs of Community Research Foundation (CRF), a private non-profit organization in San Diego, CA, and Center house Inc, and Casa Primavera both programs of Bay Cove Human Services in Boston, MA. In the last year we also collaborated with Henry Acosta at the New Jersey Mental Health Institute in New Jersey, The Puerto Rican Family Institute in NY and the Holyoke Health Center in Holyoke, MA."

Abriendo Caminos en Tu Vida
Recorded: June 28 , 2006 Speaker: Maria Restrepo-Toro, M.S.

Please Note...

Evidence-based research and contemporary best-practices emphasize the importance of therapists' skill in working with clients regarding motivation to change. Many resources are available in English, both for therapists and clients. We think most people will value learning about resources available in other languages. For example, the item below describes resources for use with Spanish-speaking clients. The listing includes a direct quote from SAMHSA, a highly regarded division of the US Department of Health and Human Services.

In addition to the materials cited below, consult SAMHSA's website for Best Practices on a wide range of practice-based topics (left side of their homepage).

Please submit your favorite Best Practice resources. Submissions we post will be anonymous, unless you give specific permission to include your name, contact information and your current professional position. Thank you for your collegiality.

Resources for Spanish-Speaking Clients

Source: Email News from the Center for Psychiatric Rehabilitation cprecast@bu.edu

"The Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Substance Abuse Treatment has developed a new fotonovela in Spanish for the Hispanic community about finding the motivation to change. This Spanish-language publication uses photographs with captions (a fotonovela format) to help the reader recognize the dangers people face when they have a substance use disorder and the devastating consequences that can result at personal, family, and community levels. The fotonovela can be downloaded directly as a file at http://download. ncadi.samhsa.gov/ prevline/pdfs/phd1133. pdf or can be ordered in hard copy at http://ncadistore. samhsa.gov/catalog/ productDetails.aspx?ProductID=17480. Many other Spanish-language resources from SAMHSA can be found at http://ncadistore. samhsa.gov/catalog/ resultslang.aspx?h=publications&topic= 2&language=Spanish."

Practitioner Perspectives on Best Practices

Colleagues' words often help us understand how to apply best practices in scenarios we find especially challenging. We know the research, have experience, and are competent & caring. One day, a colleague describes best practices for a particular diagnosis or situation in a way that shines a new light on the topic for us, and we’re eager to fine-tune our counseling even further.

Please submit your own description of best practices in a given area.
Be brief, or offer some details. The goal is to summarize your understanding of an approach, so others can hear specific best practices from your perspective, in your words. If you want us to post it anonymously, let us know. Otherwise, we'll cite your name, and if you want, where you work & the nature of your work. Retired professionals are welcome to respond, too.

Submit items for Best Practices to cpsycpr@lclark.edu

Integrated Treatment for Dual Disorders

"Substance abuse in persons with severe mental illness (dual disorders) is a common problem for many consumers that contributes to a worse course of illness. Recent advances have shown that treatment is most effective when it integrates both mental health and substance abuse services into a cohesive package that is delivered in a manner informed by the consumer's motivation to change and his or her level of involvement in the treatment system.

This presentation will briefly highlight the problem of dual disorders, and then describe the fundamental ingredients of integrated treatment. Special emphasis will be placed on the stages of treatment. This webcast provides a learning aid for clinicians to match their interventions to consumers' individual motivations to work on their substance abuse or mental health problems."

Integrated Treatment for Dual Disorders
Archive of January 14, 2004 Presentation by Kim Mueser, Ph.D.