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We're no longer accepting presentation proposals for London 2020, but welcome submissions for London 2021.Submit a presentation application
Last year, iCAAD London 2019 was a shared moment of humanity - beyond the bio-psycho-social - that wove together an eclectic combination of topics, and this year will be no different. Come to engage in dialogue, discussion, debate, conversation, exchange of information, mutual learning and progression.
iCAAD London 2019 Highlights
iCAAD London 2019 Gallery
iCAAD have agreed delegate rates for rooms (including VAT and breakfast) at The Royal Garden Hotel (event venue) and The Holiday Inn Kensington which you can book via the links below:
Royal Garden Hotel (Conference Venue) 2-24 Kensington High Street London W8 4PT
Queen Room: £195.00 per night (£215 if booked before 21st March 2020)
King Room: £220.00 per night (£240 if booked before 21st March 2020)
Garden Room: £265.00 per night (£295 if booked before 21st March 2020)
Park Suite: £468.00 per night (£520 if booked before 21st March 2020)
Tel: +44 (0) 20 7927 8000 (Quote iCAAD 2020)
Holiday Inn Kensington (5 min walk) Wrights Lane, London, W8 5SP:
Enter code ‘Z1V’ in the ‘Group Code’ box:
Standard Room: £125.00 per night (single occupancy)
Superior Room: £173.00 per night (single occupancy)
Executive Room: £209.00 per night (single occupancy)
Standard Room: £135.00 per night (twin occupancy)
Superior Room: £183.00 per night (twin occupancy)
Executive Room: £219.00 per night (twin occupancy)
1 Day Pass£125
2 Day Pass£250
3 Day Pass£350
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Our expert speakers are the essence of iCAAD London.
Suicide assessment and prevention: A multidisciplinary team approach
Suicide is 10-14 times greater in those with alcohol dependence and drug misuse. The presence of other mental illness increases this risk further. Although suicide can be difficult to predict, many cases are preventable, and treatment services must take a diligent attitude to assessment and prevention. This presentation will be facilitated by a multi-disciplinary team at the Nightingale Hospital addictions treatment unit.
It will be led by Dr Andrew Parker, Consultant Psychiatrist and Addictions Lead, Patrick Maxwell, Addictions Therapist, and Fiona Roye-Taylor, Addictions Charge Nurse.
Through discussion of a real-life (anonymised) case study, the interactive presentation will highlight the importance of identifying both static and dynamic risk factors for suicide; careful history of past attempts; mental state risk factors; compassion and interviewing style, and the vital role of ongoing multidisciplinary team communication, and involvement of significant others.
1. Understanding static and dynamic risk factors for suicide in context of addiction
2. Eliciting the history of para-suicidal acts, intent or planning
3. Accurate and concise communication of suicide risk
4. Awareness and identification of high-risk mood states
5. Prevention of suicide through multidisciplinary team (MDT) working and continuing care
Professor David Best
Professor of Criminology at University of Derby, UK & Honorary Professor of Regulation and Global Governance, The Australian National University
Founder/CEO, Building Bridges to Recovery
Better than Well: The Reality of Recovery
While the concept of recovery remains a mystery to many in the justice field, emerging research has confirmed that the long-term prognosis for SUD’s are quite favourable and the majority of those who seek help for a SUD can and do recover. (Best, 2018). In fact, people not only recover, but in many cases this growth may exceed general population levels of quality of life when they reach ‘stable’ recovery of five years or more of continuous sobriety (Hibbert & Best, 2011) – generating the idea that recovery may not be about remission to a ‘normal’ state but rather a transcendence to a state that can be characterised as ‘better than well’. This wellness ripples out into the community in the form of increased civic participation and engagement.
The ‘better than well’ model of change can explain the ‘rebound effect’ from serious adverse life events and the ensuing “post-traumatic growth” that has been documented. For those with criminal justice and substance use disorders, the emerging research confirms that these experiences can provide the motivational fulcrum to transcend the difficulties and can explain the ‘rebound effect’ from serious adverse life events. Studies confirm that these adversities can often produce tremendous resilience and bring forth an inner strength that has been referred to as “post-traumatic growth”, and in the recovery space this is most evident in social and community activism and engagement.
This shift in perspective is creating an enormous opportunity for policy and practices that recognize this potential for growth and transformation. Discussion will include the latest research studies and innovative programs that have emerged from these findings. Central to this work is the concept of “Recovery Capital” and the impact it had across personal, social, and community domains, and our growing capacity to measure where individuals are in terms of the growth of their recovery resources and potential.
This presentation will provide an overview of David Best’s work in the justice systems in UK and Australia, accompanied with a discussion by Susan Broderick on this work is being introduced in the United States justice system along with the “Inside and Out” programming in The Phoenix, a non-profit sober active community.
Learning objectives:1. Understand the ‘better than well’ theory in addiction recovery
2. Recognise how strengths-based approaches impact quality of life
3. Provide examples of the transformative power of recovery capital across individual, social, and community domains.
Game Over will be a panel presentation; attendees will be informed by expert professionals on the developments in the treatment of compulsive behavioural patterns and which studies and outcomes are progressing the field with cutting edge diagnosis, treatment tools and services.
The World Health Organisation defines gaming disorder in the 11th Revision of the International Classification of Diseases (ICD-11) as a pattern of gaming behaviour (“digital-gaming” or “video-gaming”) characterised by impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities and continuation or escalation of gaming despite the occurrence of negative consequences. For gaming disorder to be diagnosed, the behaviour pattern must be of enough severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months.
Attendees of this presentation will hear a first-hand experience of what it is like living with gaming addiction and how it manifests itself within the family setting.
For gaming disorder to be diagnosed, the behaviour pattern must be of enough severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months.
Ultimately people play games to satisfy their needs; creativity, competing and connection - the captivating attraction towards the fantasy of personalities and identities; explorers, destroyers, achievers and socialisers. Games like World of Warcraft and Fortnite have combinations of those four characters and maybe real hormone triggers for feelings of happiness (Serotonin and Endorphins), love (Oxytocin) and rewards (Dopamine). This high risk – high reward business with a significant influence on our hormone-triggers, is reminiscent to that of the illegal drug business.
1. Attendees will be advised on best practice in supporting families affected by gaming addiction, gambling and compulsive behavioural disorders. We must help young people to become responsible human beings coexisting with technology without being ruled by it.
2. This presentation for professionals, parents and carers will explore and identify the key anchors towards starting meaningful conversations and developing early intervention dialogues within the family setting.
3. Attendees will leave with a better understanding as to why gaming is such an infiltrator in the lives of some young people.
Master Herbalist, Licensed Acupuncturist and Nutritional Therapist, Philip Weeks Clinic
Functional Medicine in action : prescribing physical, mental and emotional wellness.
Ancient Chinese medicine has a unique perspective and viewpoint on the effects of shock and trauma.
This presentation will demonstrate how the integration of ancient medical wisdom and nutrition can play a vital role in the well-being of those recovering from addiction. Nutrition is often an afterthought for many, but Dr Weeks will demonstrate why it should be an integral part of any long-term recovery plan.
The word ‘Detox’ is often used for the initial process of withdrawing from a substance. Philip Weeks will look at upregulating detoxification which can address the bioaccumulation of environmental toxins in organs and tissues, which in turn support the recovery process.
Finally, we will explore the importance of addressing and restoring gut bacteria. A balanced gut bacterium doesn’t just have physiological benefits in terms of better health and resistance to disease but can have profound effects on brain neurotransmitters and mental health.
1. How nutrition can play a foundational role in mental, emotional and physical resilience.
2. How I use ancient strategies to address trauma, although some of the processes are thousands of years old, they are still as relevant today.
3. The route to long term brain health is often through the gut, restoring and optimising gut function is essential for any long term health and recovery.
Sound Healer, UK Addiction Treatment Centres
Independent NonMedical Prescriber, UK Addiction Treatment Centres
Head of Admissions, UK Addiction Treatment Centres
Group Treatment Lead, UK Addiction Treatment Centres
Psychoactive Substances - Past, Present & Treatment
The use & misuse of psychoactive substances and it’s treatment have been present from the beginning of time. This presentation is aimed to instigate new insight amongst the audience of this correlation. The core of the session will be focused on Contemporane Era:
- New Substances - Warning Signs & Intake
- Changing face of detoxification and treatments (i.e shorter episodes; less funding available): Detoxes & Pharmacology Available
- Recovery is Possible - From the 1st Contact to Treatment: Assessment; Therapeutic Programmes Available (12 Step; DBT; CBT; MI; EMDR; Solution Focused Models; & Other Relevant Psychological & Psychosocial interventions); Treatment Modalities Available (Rehab; Dayhab; Counselling; Recovery Coaches; 1-1 Bespoke)
- Family Support
The session includes a 20/30 minutes Gong Bath taster experience. Sound Healing is an excellent treatment/therapy that has been around for thousands of years - the first known culture to heal with sound are the Aboriginal people of Australia, approximately 40,000 years ago. Time will be allocated for questions from the audience at the end of the presentation.
1. The audience will be given an understanding of the changes in detoxifications and the treatments for substance misuse used in modern society. This will include the New Psychoactive Substances (NPS) and it’s warning signs.
2. The audience will have a better understanding of the variety of treatment approaches available for substance misusers.
3. The audience will have an understanding of the ways that different approaches can compliment a balanced recovery.
4. Gong Bath Experiential opportunity.
Dr Gregory Boris
Chairman, The Department of Emergency Services at Griffin Hospital; and Assistant Medical Director, High Watch Recovery Center
Traditional medicine and the changing face of addiction
Emergency Rooms across America are the front line when it comes to alcoholism and addiction. Dr. Gregory Boris, Chairman of Emergency Services at Griffin Hospital in Derby, Connecticut will share his observations on how hospitals like Griffin are managing the opioid epidemic and how integration with detox and residential treatment providers is integral to reducing deaths.
Dr. Boris will shed light on what successful collaboration among providers through the continuum of care looks like. He will touch on the importance of following patients from their entry into the emergency room through detox, residential treatment, partial hospitalization, and intensive outpatient care.
Dr. Boris will further discuss the importance of early introduction of therapeutic interventions such as breath work, mindfulness, and other spiritual practices when it comes to successful recovery.
Music Therapy: An Evidence-Based Tool for Treatment AND Self Care
Combining the latest music, neuroscience, and music therapy research with positive and social psychology, Tim has synthesized his evidence-based practice of using music to help thousands of clients for more than a decade into this fun and enlightening presentation. By sharing not only his clinical experience but his own recovery journey, Tim paints a compassionate and hopeful approach to addiction and recovery that includes both work AND play through music.
In this interactive and experiential presentation, you will learn why music is not only effective but efficient at helping a person stay S.O.B.E.R., which stands for Stay present, Open up, Be creative, Escape Stressors, and Reconnect. You will learn how you are wired to experience and make music. Tim dispels the myths in our culture surrounding music and talent and makes engaging with music seem completely approachable for ANYONE.
You’ll learn why music is a vital tool for anyone looking to break the chains of addiction, and you’ll feel empowered to engage in the four pathways of music on a daily basis for either your self-care, or as a tool in your clinical toolkit.
1. Participants will learn 5 clinical outcomes music therapy successfully addresses.
2. Participants will learn 4 ways to engage with music to affect clinical outcomes.
3. Participants will learn key physiological responses to music that promote positive clinical outcomes.
From Sickness to Health; the vow of intimacy from within ourselves
We arrive from the womb a fresh sponge, absorbing everything that surrounds us in the bucket we call ‘life’. Whatever we are exposed to fills the absorbent void within us and becomes our learning. If that learning is muddied with erratic attention, unhealthy attachment, frightening behaviours or worse, children learn to fear the world and seek to fill their perception of reality with anything from outside themselves that satiates this inner fear and pain. The perfect setup for addiction; external physical and emotional ‘medicine’ becomes their norm and so often, intensity becomes their intimacy. Game over? No: game just beginning!
1. To explore the Mother/Son relationship and how conflicting behaviours can predispose a child to a confusing emotional intensity in manhood.
2. To explore anger and rage when carried within a boy and how this inner sickness can affect his adult relationships with himself and others.
3. To examine the void within us, the path back to our soul and the importance of nurturing a healthy connection to ourselves from a place of ‘into-me-see’ intimacy.
Bridging the Gap between experience and clinical advice: The importance of early intervention in maladaptive alcohol use
This talk challenges the long-standing response to people questioning their relationship with alcohol. To move away from the black/white model of alcoholism and to talk about the nuances of peoples’ experiences. By sharing our stories we will highlight what for many people, alcohol use looks like behind closed doors. We will discuss the impact of professionals tending to advise moderation and counting units, how alcohol is often unaddressed in the conversation about mental illness and the clear links between the two.
With this talk, we aim to raise awareness of professionals about the spectrum of addiction and ways to advocate sobriety a positive life choice to patients, rather than waiting for rock-bottom to take definitive action. We will also discuss the problems and solutions to existing modalities of treatment in regards to religion, gender, clean language and being trauma-informed. This talk will conclude by introducing the place coaching can be used in early intervention or as aftercare, the importance of community and our Love Sober approach to sobriety based on the science of happiness, self-care and balance.
1. Understand the spectrum of addiction, and what has become known as the "grey area" drinker.
2. Reflect on the gaps/breaks in the conversation between mental health/substance use disorders.
3. Present new modalities for early intervention and After Care through Coaching.
Working With A Multidisciplinary Team
One of the greatest benefits of multi-disciplinary teams is an advantage in getting different perspectives, especially when dealing with complex clients. Yet despite its benefits, in many ways, it increases our workload and our accountability. This includes not just other colleagues but insurance, hospitals, social workers and different tiers of cooperation. A multidisciplinary team can challenge our priorities and can compromise our efficacy as clinicians. This lecture will assist practitioners in gleaning the best out of the resources that are available and how to navigate the pitfalls of an imperfect system.
Working with clients with mental health and addiction can be extremely exhausting especially when the client has multiple complex issues such as relationships, legal, financial, medical, etc. As a clinician, our job is to neatly peel away the layers of complexity to assist the client in making more clear and healthy decisions that improve the quality of their life. In order to accomplish this, we often have to interact with a number of other professionals with different schools of thought and recommendations which can create conflict for ourselves and the client. This can sometimes become clumsy and burdensome which in turn increases our own stress and workload. We suddenly become accountable to multiple members of a team who are all designed to assist the client but also have different standards of success.
As clinicians, we are often torn between the system and the client and who the real customer is. Our challenge is to learn how to establish boundaries that protect ourselves as well as the client while maintaining our ethical obligations.
1. Participants will explore strategies that will assist them in dealing with conflict.
2. Participants will differentiate the source of conflict between the client versus the team.
3. Participants will explore the criteria for success in criteria treatment.
4. Participants will identify how to maintain personal validation despite disruption in the workplace and clients that are suffering.
Dual diagnosis – Dual prescribing – Multiple challenges
Some reflections on the difficulties in diagnosing and prescribing in the field of addictions
Treating complex patients with substance use disorders has its particular challenges. In this presentation, Dr Kaplick will talk about two aspects. Firstly, what role dose diagnosing play and specifically what does ‘Dual Diagnosis’ imply in this context? Secondly, how to handle the prescribing of medications and how to judge help versus harm? Finally: How to put these aspects into the psychotherapeutic context of the rehabilitation process?
1. Understanding the implications of (dual/multiple) diagnosing in the treatment of addictions.
2. Understanding the use, abuse and harm of prescribed medications.
3. What impact has diagnosing and prescribing in the psychotherapeutic context of rehabilitation
Dr Jonathan Garabette
Founder and Chairman, Paracelsus Recovery
Clinical Psychologist, Paracelsus Recovery
The Future of Psychedelic Assisted Psychotherapy
Psychedelics (LSD, 'Magic Mushrooms' and others) are becoming a hot topic and more and more patients are likely to ask their therapists about possible applications or access to psychedelic assisted therapy. Psychedelics are also experiencing a renaissance in neurological and clinical research and promise great potential for treating a variety of mental health conditions including treatment-resistant depression and addiction. This presentation will provide an overview of what psychedelics are and how they work, their ancient and more recent history and the current legal situation. There will also be an overview of current research and findings regarding possible therapeutic applications.
Emerging clinical application protocols will be discussed, and reflections on future developments will give a glimpse of a potential not-too-distant paradigm shift in mental health treatment.
The theoretical part of the presentation will be complemented by first-hand accounts of experiences using psychedelics in a controlled therapeutic setting
1. Understand what psychedelics are and how they work.
2. Understand the current situation regarding clinical research, insights resulting from recent studies and their implications on possible major developments in mental health treatment.
3. Learn how psychedelics are currently used in therapeutic settings.
Wellbeing Leader, Deloitte Consulting
Partner, Deloitte North West Europe
Where does therapy belong in the Workplace
Times have changed and alongside the idea of breaking the stigma around mental health, the same is happening around services such as therapy. In this talk, Louise Chunn of Welldoing and Arti Kashyap-Aynsley of Deloitte Consulting will provide a view on the evolving role of therapy with both the outcome-focused millennial generation and the role of the workplace. This talk is focused on helping you understand the art of the possible around the opportunities available, as well as the changing nature of the delivery of services and the needs of the clients seeking these services.
1. Provide a view of where practitioners could upskill further.
2. Provide a view of the changing and evolving industries available to practitioners.
Is There Such A Thing As Anger Addiction?
Through a very personal case study, this presentation will explore the counterintuitive joy of rage. It will examine anger as a by-product of dysfunctional attachment and as a trauma response. We will discuss early behavioural issues that act as red flags for an anger addiction. It will also explore anger as a more global social pandemic. We will see how anger is spreading across mediums such as social media and investigate the psychological impact fear-inducing headlines can have on us. We will also learn how the media manipulates our anger and how, in this age of increasing ego-vulnerability, we perceive threats everywhere - some which are real, and others which are made up. Anger then becomes the shield with which we protect and arm ourselves.
1. Delegates will learn strategies and skills for managing anger.
2. Attendees will learn where we can implement personal strategies, globally.
3. Attendees will gain a better understanding of media manipulation and how to distinguish between the truth and the lies.
Xanax and overprescribing
A growing number of people are abusing Xanax in the UK to help them relax, relieve stress, reduce inhibitions and self-medicate their anxiety.
Xanax is highly addictive and people misusing the drug can find that they need to take more of the substance at more regular intervals once they build up a tolerance, leading to physical and psychological dependency.
In the UK, Xanax is not available through the NHS but it can be obtained through a private prescription.
I will further explore the issue of Xanax and overprescribing in my presentation for iCAAD, looking at the signs, symptoms and treatment for Xanax addiction.
1. To explore the indications for the use of Xanax.
2. To explore the signs and symptoms of Xanax misuse.
3. To outline the treatment of Xanax dependence.
The use of Telepsychiatry and e-Communications Technology in the delivery of substance misuse services: the journey so far and the way ahead
Our lives are driven by information and communication technology but while the potential for it to improve the delivery of mental health services has been recognised since the 1950s, the impact is limited so far. Dr McLaren is a pioneer in the field of Telepsychiatry, and he co-authored the first textbook published on Telepsychiatry and e-Mental Health in 2005. He will present the evidence so far on the use of ICT, focusing in particular on the impact of the technology on the therapeutic relationship and discuss the potential for improving services in the future. Dr Mclaren will examine in particular how e-technology and telepsychiatry can improve the measuring of treatment outcomes, and the impact of accessibility and affordability across treatment services.
2. Understand the scope use of ICT in substance misuse services currently
3. Understand the ways in which the medium of communication could influence psychotherapeutic processes
4. Stimulate thinking about new applications and innovative ways of services delivery in Substance Misuse services through the use of ICT.
Mind-Brain-Gene: Toward Psychotherapy Integration
This keynote synthesises the already substantial literature on psychoneuroimmunology and epigenetics, combining it with the neuroscience of emotional, interpersonal, cognitive, dynamics, with psychotherapeutic approaches to offer an integrated vision of psychotherapy. The integrative model promotes a sea change in how we conceptualise mental health problems and their solutions. We can now understand how the immune system, diet, brain structure, and even gut bacteria effect mental health. Psychotherapists in the 21st Century will by necessity become more like healthcare workers to address and resolve adverse mind-body-brain interactions.
1. Explain the relationship between health and mental health.
2. Discuss the interaction between the immune system, genes, brain dynamics, and mental health.
3. Critique how autoimmune disorders contribute to depression, anxiety, and cognitive problems.
President, Acres for Life, Inc.
Director, Tamworth Counselling Services Ltd and Community Help Offering Individuals Counselling & Equine Services (CHOICES) cic
Transforming the Therapy Process through Horses
The involvement of horses in behavioural, emotional and mental health treatment is growing in recognition and popularity. Why and what is this form of treatment? How does it work? What are the different approaches being used and when would you use them?
The presentation will utilise powerpoint, video, interactive discussion and case stories to illustrate how horses are incorporated and can benefit clients with addiction and mental health issues, and how evidence-based interventions can be facilitated through this experiential approach. A framework providing standards and facilitation skillsets for mental health interventions involving horses, the Eagala Model, will be introduced.
The Eagala Model is currently being practised in over 500 programs in 40 countries, with 60,458 clients in 2018 served. The presentation will share the latest program evaluation and research results incorporating horses and the Eagala Model. Participants will leave the presentation understanding how this approach can work, the benefits it can provide, and the steps in implementing this intervention in current programs or making appropriate referrals.
1. Participants will be able to define the different ways horses are incorporated in therapy services and identify how evidence-based interventions can be facilitated through this experiential framework.
2. Participants will be able to explain how incorporating horses can work and benefit clients with various addiction, behavioural, emotional and mental health needs.
3. Participants will be introduced to the Eagala Model – a framework providing standards and facilitation skillsets when incorporating horses in the therapy process.
4. Participants will learn the latest program evaluation and research results incorporating horses and the Eagala Model.
5. Participants will be able to identify steps in making appropriate referrals and implementing this intervention.
Founder, Legacy Outdoor Adventure & Juniper Canyon
Dr Kaye Richards
Chartered Psychologist, British Psychological Society
Trends in Outdoor Behavioural Healthcare: taking therapy outside
Outdoor Behavioral Healthcare (OBH) is a well-established approach in the prescriptive use of outdoor and nature-based experiences by licensed mental health professionals to meet the therapeutic needs of clients. The OBH industry in North America has evolved and continues to build close ties to healthcare, addiction, and wellness driven organisations aligned with the vision of incorporating nature connection and outdoor experiences for the betterment of individuals and families. The UK has seen parallel developments in the growth of outdoor and adventure therapy practice, whereby similar practices have been integrated into healthcare, counselling, and psychotherapy provision.
Globally, there is a growing body of evidence supporting nature connectedness in improving mental health and well-being. The research indicates that treatment outcomes improve by increasing the consistency and frequency of Nature Connection; and that by establishing methods for differentiating the scope or dose of nature connectedness as indicated by personal or professional identification treatment gains can be maintained over time. This presentation will provide an overview of this trend and introduce a Nature Connectedness Typology that can be utilised by UK healthcare providers and communities to support strategies to build upon these research findings and support the implementation of nature connection into their practices.
Participants will leave with an understanding of the wellness and mental health benefits of nature in the treatment of addiction, and behavioural health, a greater understanding of the treatment application of Nature Connectedness, guidance on how to incorporate nature into care plans, implications for wider application in the UK in the context of current policy initiatives, and increase ability to collaborate between OBH and other outdoor / nature based organisations.
1. Become better informed about Outdoor Behavioral Healthcare and nature connection and the benefits it offers in treatment and beyond.
2. Understand how an Outdoor Behavioral Healthcare approach parallels UK developments in outdoor and nature based therapeutic interventions.
3. Introduction to current research within the OBH industry as well as Nature Connection research from around the globe, including the UK
4. Practical examples for incorporating OBH/Nature Connection methods at the program or treatment level.
5. Introduce the Nature Connection Typology for assessing an individual's current relationship to nature
6. Inspire participants to join the #RXoffthecouch movement and invite collaboration for taking therapy off the couch and outside
Going Deeper into Depression: Addressing Brain, Body and Behaviour
Depression, often considered a monolithic clinical diagnosis, is seen to have varying clinical presentations. These polymorphic presentations make the clinicians job of identifying, diagnosing, and treating inherently challenging. Compounding this problem, approximately a third of patients with major depressive disorder (MDD) do not respond to treatment, with only half achieving remission. This treatment resistance results in high morbidity and makes MDD one of the leading causes of disability in the world per the World Health Organisation.
Early intervention, intensive and multimodal treatment are key to improving outcomes in this patient population. Challenges inherent to treatment include polymorphism in clinical presentation, multifactorial aetiology and complex pathophysiology. Modern research has enabled us to identify distinct pathophysiological processes underlying a depressive syndrome, increasing our ability to better understand this complex entity.
In this presentation, we will discuss the different pathophysiological processes underlying depression. We will review current evidence for approaching patients with difficult to treat presentations using conventional and complementary medicine modalities. In addition, we will discuss the latest developments in conceptualizing treatment resistance and novel, experimental treatments that are under investigation.
1. Define depression and treatment resistant depression.
2. Discuss pathophysiological processes implicated in the clinical presentation of depression.
3. Describe evidence-based conventional and integrative treatments for depressive disorders.
4. Review novel and experimental approaches for difficult to treat depression.
Trauma Specialist, Co-Founder/CEO, The Guest House Ocala
International Speaker and Trainer, The Guest House Ocala
A Masterclass: The Purpose of Purpose and the Meaning of Meaning & Generational Trauma
A rare opportunity to work with renowned experts in the fields of Trauma and Addiction Treatment.
Judy Crane a Licensed Mental Health Counselor in the United states with over 30 years of experience. Judy is the author of “The Trauma Heart” and the founder and CEO of The Guesthouse Ocala the preeminent trauma treatment center.
Thomas Pecca a Licensed Mental Health Counselor in the United states with over 16 years of experience. Tom is the Senior Clinical Advisor at the Guest House Ocala and has trained clinicians in trauma work across the globe.
The Purpose of Purpose and the Meaning of Meaning
This presentation will explore the need for meaning and purpose when healing from trauma and addiction. As Nietzsche said, “He who has a why to live for can bear almost any how.”. There is a long history in psychology of using meaning and purpose as an instrument of change, most notably Viktor Frankel and his therapeutic model of Logotherapy. This presentation will look at the specific use of this model with those recovering from substance and process addiction and PTSD. We will look at the neurobiology of attachment, addiction and trauma and the implications on the use of purpose and meaning in changing neuropathways in the brain. We will look at anecdotal data and the impressions of those that have long term recovery on the impact of purpose and meaning in their recovery. We will explore purpose and meaning from the perspective of shame reduction and as a tool for managing trauma reactivity.
Generational Trauma: Healing the past, the present and the future.
Is historical trauma within a family passed down through the DNA and through witnessing behaviors, attachment, trauma reactivity, depression and anxiety? Do family of origin issues make us more susceptible to addiction and mental health issues? Does the healing of a family system impact the current generation and future generations?
This presentation will explore generational trauma, it’s impact on mental health, addiction and issues within the family. We will look at the latest research, case studies, and anecdotal evidence. The presentation will discuss the impact of traumatic events on the individual and the family system. We will explore the connection between trauma and addiction and the necessity for healing trauma to aid in the recovery from addictions. We will emphasize the need for family work when working with trauma, addiction and mental health.
A Multi-faceted Approach to Cravings Management
The DSM 5 added “cravings” to the criteria for substance use disorders in October 2015. Just as addiction can impact every area of life, so too must the approach for cravings management. The goals for this workshop will be to review the literature on cravings management techniques, discuss cravings management medications and elicit a discussion of multi-faceted approaches that have worked for those on the front lines of SUD treatment. This dynamic presentation is both experiential and educational with the use of mixed-media and pop-culture references.
1. Identify 1-2 ways the addition of cravings to DSM 5 impacts diagnosis of SUD within the 11 criteria.
2. Compare and contrast four craving types and interventions to treat each category.
3. Demonstrate greater knowledge of medications used to treat cravings.
4. Elicit a discussion on what techniques have worked for participants.
Inside the Black Box – how and why do people change (or not) in treatment and therapy for addiction?
To improve our treatment models we don’t just need to know ‘what works’, we need to know ‘how it works’ – how people respond to the treatment (or not) enabling them to make transformative changes from addiction into recovery. Research has moved into the area of mechanisms in the past 10 years using a range of methodologies. This presentation reviews some of the most interesting mechanisms of change, including psychological, spiritual, behavioural and identity change, the emerging evidence and the implications for treatment/therapy. The presenter’s own research will be explained and related to current trends in our understanding of addiction.
1. Understand the change in research focus from efficacy to mechanisms
2. Reflect on how treatment and therapy from addictions produce change in ways not explained by the underlying theory
3. Be able to critique the 'technology model' of psycho-social interventions
DBT by Humans, For Humans
You are doing the best that you can AND you need to try harder, do better, and be more motivated to change. Facilitating DBT is a constant dance between accept and change; yet many clinicians struggle to manage this treatment modality with common sense and authenticity. This presentation will summarise DBT is a simple, concise and human fashion; addressing the challenges and turnoffs both clinicians and clients experience. DBT and this presentation, are for anyone that would like to cope more effectively, which means everyone.
1. Professionals will learn about DBT fundamentals and skills training modules; as well as their effective applications with clients.
2. Professionals will gain understanding in the challenges of facilitating DBT and ways to better connect with clients during DBT.
3. Professionals will gain understanding of a concise version of DBT and how they could facilitate it in a way that's authentic to themselves and their individual clients.
Licensed professional clinician, Director, ARISE® Consulting, Executive Director, Newport Academy
The ABCs of Resilience: Building a Practical Toolbox for Adolescents, Young Adults and their Families
The mention of adolescents, young adults or youth quickly focuses the conversation on all the problems and modern world issues they are facing. This workshop will attempt to change our perspective from helplessness and hopelessness to hope, strength and resilience. The primary goal is to explore how we as professionals can help youth and their families understand that the necessary tools are available and that they need only to learn how and when to use them.
Our discussion will include balancing Agency, Belief and Communion with appropriate timing, people and places
When should youth seek help or advice and when should parents and family step in, or not step in? When are peers important? How do they navigate peer relationships in a digital world? How do they take control of their own recovery from mental health and/or substance use issues? Whom do they trust? How do they discriminate when and from whom to take advice? When others step in, including family members, teachers, and clinical professionals, should it be corrective, supportive, or empowering? Or all three?
Peers are a core influence in emotional and behavioural development. And peer pressure, so often perceived as negative, doesn’t have to be. Youth have the capacity to “pressure” each other into doing things that will improve physical and mental health, put their social life into perspective and make decisions that they feel good about, building self-esteem.
In this presentation, we will focus on the power of Positive Psychology, Resilience and Transitional Family Theory (Landau, 1982, 2018) and practice. We will explore the manner in which the community serves as a stabilising force; fosters open communication; teaches empathy and provides opportunities for leadership.
1. Practical guidelines for incorporating these useful practices into treatment.
2. Practical guidelines for helping youth and families build tool boxes that will work for them beyond treatment.
3. The importance of ownership of their toolbox.
4. Clinical outcomes for adolescents owning their inherent resilience.
5. The research supporting the outcomes of peer and family support, positive psychology and Transitional Family Therapy.
Director of ARCH Academy, Cumberland Heights
Dr Nick Hayes
Chief Science Officer, Cumberland Heights
Therapeutically Engaging the Adolescent Male in the 21st Century
Therapeutically engaging today’s adolescent male has become increasingly difficult. Common barriers include emotional intelligence, shorter attention spans, detached relationships, increasing rates of depression, anxiety and self-medicating behaviours. This presentation will explore the role that technology could be playing in exacerbating these rates of increased mental illness in adolescents. These presenters will highlight effective therapeutic techniques that have shown to positively increase adolescent growth. Lastly, our presentation will identify both psychosocial and technology related approaches that successfully engage adolescents in therapeutic contexts. Participants should expect to engage in group dialogue and take away actionable information to be implemented into practice.
1. Identify the most common barriers that prevent engagement and connection in treating adolescent males.
2. How to use research to design interventions specifically for the adolescent male that will result in treatment compliance and reduction in symptomatology.
3. How to create assessment tools to measure the effectiveness of interventions, and then use those results to reinforce growth trajectories.
4. Engagement strategies that support adolescent growth and complement existing cultural realities (e.g. technology, social media, popular culture).
Theoretical Framework for Working With Women: An Essential Resource for Women’s Case Management
Connection is the key and with it, expert interventionist and licensed counsellor, Heather Hayes, is able to lift the lid on women’s issues. With 35 years of working with women in the addictions and mental health field, Heather is able to offer invaluable insight for clinicians, case managers, coaches and interventionists working with women.
The first mention of a ‘sex-selective disorder’ dates back to ancient Egypt. It was here that the stigma towards women and their specific issues was created. Today women are statistically more affected than men by mental health and substance abuse issues, yet rarely do we address this.
Women face unique challenges regarding their physical and mental health that must be recognised and explored by mental health professionals. Such challenges include women’s exposure to violence, culturally supported roles for women in traditional settings, and mental health concerns across the life cycle. Women are unlikely to seek treatment for fear of losing their children. They are also unfulfilled by the modern day models of development which advocate individualism and independence. Women thrive through connection, therefore the way we need to help women recover needs to be through a connective model.
This presentation will explore the cultural and psychological dynamics that influence the treatment of women in behavioural health settings, including intervention and case management best practices.
Heather will outline a specific framework for the treatment of women, which will draw upon relational, non-pathologising treatment models which will help women, not only recover but also thrive.
1. Participants will demonstrate an understanding of the history of addiction and mental health for women and ways in which if impact womens' ability to receive access to care.
2. Participants will demonstrate an understanding of the theoretical framework in which to work with women that emphasises connection, not separation, as the guiding principle in working with women and girls.
3. Participants will be able to identify gender-responsive interventions to promote a definition of recovery that focuses not on what is eliminated or removed from a woman’s life but on what is being added to her life.
Race: Working Through Otherness
This talk discusses what it means to work through colour therapeutically. We will explore what it means to experience prejudice, racism, projections in the psychotherapeutic alliance and how these can be therapeutically processed. The importance of experiencing, validating and addressing concepts that society will often shy away from. When working with marginalised individuals however, the work does not stop there, it must also consider their traditions that play a emphasis on family and community. The aim of this talk is to get us thinking about these concepts whilst addressing our own stigmas when we think of colour.
This presentation will draw on politics and narratives of otherness, with a special focus on clients from the MENA region.
Although this can be, to some extent, rolled out to better understand the experience of marginalised groups, it is imperative that it is not seen so exclusively. Each subgroup bring a unique piece that further influences their experience of discrimination and otherness. This presentation aims to support professionals with feeling more comfortable with naming and addressing inequalities.
Examples of these experiences will be demonstrated through a series of case studies. Case studies are anonymised, and some may have additions for the purposes of illustrating examples of working through otherness.
1. Understanding the experience of exclusion.
2. Learning a therapeutic approach when it comes to marginalised clients.
3. Becoming more comfortable with working through stigma.
Combating Existential Despair: Finding Hope & Meaning in the Midst of Global Suffering
It seems like we can’t pick up our phones or turn on our televisions these days without hearing about some sort of global tragedy. Our days -- and our minds -- are filled with news of mass shootings, terrorist threats, and the catastrophic effects of climate change.
It’s getting harder and harder to silence the voices that seem to telling us “there’s nothing we can do” and “the world is dark and hopeless.” In Combatting Existential Despair, Cindy Westcott will share how we can build hope and resiliency in a world that is desperate for it.
1. Better understand the ongoing effects of global and existential despair as it applies to an overwhelming sense of hopelessness in our clients and communities.
2. Provide statistics and other practical resources to support clients in existential despair.
3. Identifying and recognizing difference between depression and despair.
4. Identify practical tools to assist clients in recognizing how to take action with their fears and frustrations.
5. Identify true facts of how the world is changing.
6. Provide tangible research-based reasons for hope.
7. Understanding the role of media and technology play on our existential despair.
Gender Evolution 2020: Creating Healthy and Affirming Spaces for Transgender and Gender Expansive Young People
Fifty percent of transgender young people will attempt suicide at least once before their twentieth birthday. Addiction amongst trans and non-binary youth are not easily assessed, however amongst LGBTQ young people it is known that rates of addiction are significantly higher than that of their straight and cisgender peers. Minority stress, stigma, and bullying are main causes for higher rates of addiction, anxiety, and depression.
As professionals, we need to create a space for understanding and safety within our walls of our facilities for these youths. This workshop will help professionals grasp terms, ideas, and situation that trans & non-binary youth are experiencing today.
Participants will be able to assess their own practices as it relates to transgender young people and be able to take with them an overarching understanding of the coming out process. Discussions will include policy & paperwork, talking to parents, creating safety within the group process, and how to effectively be an ally to trans and gender expansive youth. This workshop is experiential by nature.
Learning Objectives:1. Discuss and describe the coming out process to their youths.
2. Evaluate and assess their own practice/approach as it relates to trans youths.
3. Learn to integrate skills into their practices/workplace with their youths.
What Makes Addiction Possible?
Are Substance-Related and Addictive Disorders (SRAD) real diseases, or are they social constructs? The ambition for this presentation is to provide a theoretical framework to help understanding SRAD, that goes beyond the banal debates of "reality" or "social construction".
Hacking's (1998) metaphor of the 'ecological niche' will be used as a metaphor to help understand Substance-Related and Addictive Disorders (SRAD) as diseases that are steeped in the social circumstances of present time.
It is argued that Substance-Related and Addictive Disorders (SRAD) are not only caused by bio-psycho-social factors, but a result of a concatenation of diverse types of elements. This presentation will examine these chains of events to provide an explanation and understanding of Substance-Related and Addictive Disorders (SRAD).
Learning Objectives:1. A new theoretical framework for thinking about addiction.
2. Learn about the metaphor of ecological niche.
3. Understand addictions as a phenomenon that is more than just biological, psychological or social.
Dr Tian Dayton
Senior Fellow at Meadows Behavioral Health & Director at The New York Psychodrama Training Institute
Frozen Moments: An Experiential Approach to Treating Relational Trauma
Flight and fight are the well-known actions that we humans, animals and reptiles take when we’re scared or terrified. However, when we can do neither because we’re trapped, immobilised or simply have nowhere to go as is often the case with children, we may freeze or dissociate. These “frozen moments” however do not necessarily disappear, they can live within the mind/body as disowned parts of self that continue to have impact on how we live on our relationships. In psychodrama, we can concretise these moments through role play, we can talk to them, enter into them and bring the feelings associated with them from the inside to the outside. We can see, feel and heal them in a supportive, therapeutic context. In this experiential workshop we’ll do a “frozen moment” social atom, and a sculpture of a frozen moment. This is a contained way in which we can take a step back and see the picture more fully in working with relational trauma.
1. Gain a picture of a moment in which one may have felt traumatised and dissociated or frozen.
2. Allow the protagonist to ascertain their own “frozen moment” rather than having to meet it in the course of role play and risk feeling blindsided by their own frozenness.
3. Create a safe, experiential structure through which to work with relational trauma.
4. Gain access to parts of the self that one may have thrown out of consciousness.
5. Gain a clearer sense of the internalised family system that a protagonist may be operating from in their lives.
The Journey of the Heroic Parent Informed Therapy
The Journey of the Heroic Parent invites parents to look inward for the problems and solutions to children’s issues. Heroic, because courage is required to look at oneself. Therapists must do the same to provide clients with healing. Based on attachment theory, this presentation will challenge therapists to explore their frustration, agitation, and judgements; when therapists become upset, frustrated, or anxious with clients, lose contact with them.
As a founder of several treatment programs, I have spent 23 years training and supervising clinicians. My experience is that many clinicians have little experience with supervision that considers how resistance is often exacerbated by clinicians. Therapists hide behind terms like “evidence based” to avoid their own inadequacies. They become experts at blaming the client when therapy is not going well. Therapist's models, theories, techniques, and emotional reactions can all become barriers to effective treatment.
The therapist's shame and the need to be a "good" clinician also prevent effective treatment. Counter-transference can be an effective diagnostic tool when therapists understand projective-identification defenses and when they are able to recognize personal counter-transference. Many in the therapy field account for a lack of progress in therapy as client-created and refuse to reevaluate their approach. Frustration, anger, hopelessness, anxiety, powerlessness, sadness, and many other emotional responses to clients can prevent the therapist from providing a safe container.
Therapists are not experts on their client’s lives, ought not to provide advice in major-life decisions, but should foster the development of a healthy Self. This requires that the therapist be constantly looking at their response, feelings, and relationship to the client and the client’s issues. Failure to reflect adequately can produce therapy that is abusive or at least inadequate. Many therapists respond to the defense at face value and thus contribute to the lack of progress in therapy or recovery. Research on how others respond to us and how that effects the brain is exhaustive.
1. Understand common counter-transference (CT) errors and be able to distinguish between personal and diagnostic CT.
2. Understand the many therapists increase resistance and then blame it on the client.
3. Describe supervision that helps therapists consider when they may be abusive towards clients.
Where do we go from here? – What happens when providers are traumatised, have a death which hits close to home, relapse or experience other crises?
Mortality rates within the behavioural health treatment space are rapidly increasing and providers career expectancies are dwindling. This presentation examines stressors amongst counsellors, interventionists, milieu staff and other treatment providers. We will address provider burnout, exposure to traumatic incidents, severe mortality increases, inpatient death rates, relapse amongst professionals and best practice treatment modalities for addressing symptomology related to exposure.
Additionally, this presentation will address stigmas surrounding healthcare workers in crisis and barriers to them seeking assistance. Empirical evidence, statistics, research outcomes and personal experience will be interwoven to create a well-rounded and engaging presentation. Ben will provide statistical data regarding mortality rates amongst those with substance use and mental health disorders. All material will dually apply to better treating patients within a Substance Use Disorder (SUD) or Mental Health based treatment setting.
1. Identify burnout, compassion fatigue and trauma activation symptoms within themselves and colleagues.
2. Given information about how to mitigate exposure, manage symptoms and obtain support in the event they are traumatized, relapse or are impaired by grief.
3. How to implement these skills for clients and families they work with, as well as colleagues.
4. Identify their own bias, beliefs and ideas around colleagues in crisis.
In this presentation, we will first explore the role of psychedelics throughout human history. We’ll address the poignant similarities of its use in different cultures in dispersed geographic areas around the world and their important impact on human evolution and civilization by drawing from Shamanism in the Americas, the early days of Buddhism on the Indian subcontinent and the Eleusinian Mysteries in ancient Greece.
However, thankfully the dark age of psychedelics seems to be coming to an end. Recent studies using psychedelics in a wide variety of mental health disorders have repeatedly demonstrated their incredible potential, advocating for a change in their legal status and warranting a necessary reintroduction, at least in the realms of controlled use in clinical medicine.
But beyond exploring the possibilities of developing new medical treatments, what is the real potential of psychedelics? And could, in an age of spiritual deafening and ecological crisis, psychedelics potentially save humanity?
1. Understand the use and role of psychedelics in different cultures throughout human history.
2. Learn about the research and potential use of psychedelics for specific mental health conditions.
3. Explore the potential of psychedelics in a wider societal context.
The Importance of "Functional Recovery" from Mental Health Issues
Traditionally, mental health treatment has been based on a “Medical Model” of treatment – mental illnesses are diagnosed and symptoms are reduced with the appropriate medications and psychotherapy. The concept of “Functional recovery” is relatively new and the therapeutic goal is to help clients not only achieve symptom reduction but importantly, achieve an overall sense of improved quality of life. This presentation will address and offer resources for such issues as social anxiety, low self-esteem, lack of healthy risk taking, fear of failure, fear of change, secondary gain from over-identification with a mental illness, misdiagnoses and missed diagnoses.
- Attendees will learn what the most common barriers to functional recovery are.
- Attendees will get an understanding of how to help clients overcome some of the most common barriers to functional recovery.
- Strategies for encouraging clients to move from simply surviving in recovery to thriving in functional recovery.
The usefulness of UControlDrink, a smartphone treatment platform, in the treatment of alcohol use disorder. A randomised controlled trial.
Alcohol use disorder (AUD) is a substantial problem, causing premature death and great economic burden. Research has highlighted the potential positive impact of technological interventions such as smartphone applications (app) in treatment of alcohol use disorder. The aim of this presentation is to explore the effectiveness of a smartphone app, incorporating computerised cognitive behavioural therapy (C-CBT) and text messaging support, on alcohol outcomes over 6 months in a post rehabilitation setting. 111 participants with AUD were recruited into this randomised controlled trial, following completion of a 30-day rehabilitation programme. Intervention group (n=54) used the smartphone app ‘UControlDrink’ (UCD) over 6 months and the control group (n=57) received treatment as usual (TAU). Results: There was a significant reduction in number of drinking days in the intervention group relative to TAU at 3- and 6- month time points over the treatment trial, with a corresponding reduction in anxiety scores..
The UCD smartphone app demonstrates a significant benefit to reducing the number of drinking days over a 6- month post-rehabilitation period.
The presentation will deliver the results of this important controlled trial, and place the findings in the setting of current evidence for the use of technology in treatment of addictive disorders. The presenter will use a slide presentation, with appropriate handouts to cover the material. A question and answer format will be used at the end of the slide presentation to allow audience participation
1. Understand the potential of addiction technology in the treatment of alcohol and addictive disorders.
2. Learn about the scientific evidence for use of a smartphone app in a rehabilitation setting.
3. Learn of the integration of technology interventions with established treatments.
RECOVERY GAMES: How to Use Improv and Creative Writing in Groups
This presentation will offer solutions to common challenges in groups based in theatre games and improv as well as creative writing and story. Her own experience as a writer and actor allows Lammers to speak from a creative and innovative perspective. She will illustrate the value of theatre games and improv to create connection, flexibility, optimism, and attunement, group cohesion, and presence. Lammers will define story and will show through creative writing how humans create meaning with narrative and, with guidance and intention, this can be used for empowerment, vision, shame reduction, motivation, and even forgiveness. Both approaches come from a philosophy of play which in essence teaches emotional intelligence.
Lammers proposes that containers such as these provide a way for group participants to grow in the proper direction, regardless of which direction they need to move in, allowing for variation within the group. This gives clients in group the chance to both evaluate from a thinking perspective, from the inside out, with writing, what is happening for them. And through improv games they can feel their feelings and be present in their bodies allowing them to also know themselves from the outside in. Together we will experience how play is actually a valuable tool to inspire change and new directions of thought. By experiencing the exercises themselves participants will gain a clearer understanding of how they might incorporate improv, theatre games, story and creative writing into their group sessions.
1. To experience how improvisation can be used as a means of creating valuable skills for recovery and mental health.
2. To gain an understanding of what story is and does and how this can be used as a therapeutic tool in groups through creative writing.
3. To explore how to create engaging containers that allow a group facilitator to step into a new role and avoid common problems in group.
Development of SURE Recovery: an app to help people who use substances self-monitor and track their recovery
Recovery is a widely used outcome within substance use treatment. In 2016, we published a validated measure of recovery called the Substance Use Recovery Evaluator (SURE). SURE was co-produced with people using substances and attracted international interest. Users of SURE soon reported that they wanted to access the measure in an app so they could self-monitor their own recovery and achieve personal goals.
The aim of our next project was therefore to develop such an app. In 2018/19, we employed a user-centred design process to identify content for, co-design, and build the app. This involved over 40 people with lived experience of addiction working collaboratively with qualitative researchers, statisticians, clinicians, and digital designers. The app (SURE Recovery) was published on the App Store and Google Play in October 2019. It comprises i. a recovery tracker, providing SURE scores with personalised feedback; ii. a sleep tracker, enabling people to assess their own sleep; iii. an artwork feature, allowing people to share their creations with the recovery community; iv. a diary feature, offering a safe space to record thoughts and feelings; v. information on the life-saving drug naloxone; and vi. free access to a book on recovery. The app also gives people opportunities to participate in further research.
SURE Recovery is an engaging self-management tool developed with, and for, people using substances or in recovery. Future research will explore how it is being used, how it can be improved, and whether using the app can itself change behaviours.
1. To understand what is meant by collaborative research.
2. To understand what is meant by a patient reported outcome measure (or PROM).
3. To understand how the Substance Use Recovery Evaluator can be used.
The Body is the First Responder
This presentation will discuss MindShield, an integrated clinical modality developed by researchers at the University of Utah during their research and work with First Responders.
This session is intended as an experiential, multi-sensory journey to explore various states of regulation and dysregulation in the Treatment of Trauma: it is explicitly designed to help you as a frontline provider: by taking a sensory approach it is designed to maintain self-awareness and mitigate symptoms of burnout and compassion.
In the clinical environment, Mindshield is a set of strategies with a trifold focus on the client, the therapeutic encounter and the therapist’s experience (in and out of sessions). Mindshield sees those as separate and interconnected systems. The integration of those systems is a vital element of the therapeutic process that is rarely directly addressed.
Mindshield defines systems including the individual, family, groups and collective environments and within one’s biological, mental, emotional and spiritual experience. In the clinical encounter, it supports the conditions to eliminate potential treatment barriers and ruptures in the therapeutic relationship by promoting integration within the individual and dyad internal systems. In sessions, Mindshield promotes clients’ self-actualization, holistic awareness and treatment ownership.
Mindshield for clinical settings also seeks to enhance your unique clinical expertise as an adjunct method. It is explicitly designed to help you as a frontline provider: by taking a sensory approach it is designed to maintain self-awareness and mitigate symptoms of burnout and compassion fatigue.
Attendees will begin to understand the relational impact of unmet expectations with self and others and how that awareness together with our senses is in fact a strategy to enable the shift back to prefrontal cortex. We will use didactic materials and experiential exercises.
1. This session offers a set of strategies taken from MindShield - an integrated clinical modality developed by researchers at the University of Utah.
2. The strategies have a trifold focus; the client, the therapeutic encounter and the therapist’s experience (in and out of sessions).
3. It is intended as an experiential, multi-sensory journey to explore various states of regulation and dysregulation in the Treatment of Trauma: it is explicitly designed to help you as a frontline provider.
4. The sensory approach used is designed to maintain self-awareness and mitigate symptoms of burnout and compassion.
The Impact of Family Involvement in the Treatment of Substance Use Disorder
Dr. Adams will discuss his research into outcomes for individuals that participated in his study: The Impact of Involvement in Residential Treatment of Persons with SUD on Family Members: A Mixed Methods Study. The research was conducted in fulfilment of requirements for his doctorate degree and was completed April of 2019 but is yet unpublished. This innovative study involved family members of individuals that were in treatment for SUD, who participated in week long program called Residential Family Restructuring, which resulted in improvements in their depression and stress and other dimensions of their overall wellness, supporting the effectiveness of family systems treatment for SUD.
Dr Adams will present on various benefits to family participation in treatment, including improved outcomes for the identified patients as well as improvements in measures of mental health and wellness for the participating family members. He will explore methods that have had a more desired effect on outcomes and methods that have helped the entire family heal and effect positive change including family restructuring, family assessment protocols and techniques that encourage family involvement past the intervention stage.
This presentation will be useful for CEOs, senior management and Clinical Directors within the substance abuse fields, looking to advance and expand their family programmes.
Learning Objectives:1. To gain an understanding of how the substance use disorder of an identified patients impacts the family members within the family system through an examination of dimensions of their mental health including levels of depression, anxiety and stress.
2. To identify and explore assessments, techniques and interventions that foster family healing and effect positive change within the family system such as family involved treatment programs and Residential Family Restructuring.
3. To discuss the lived experience of family members that have participated in the treatment of loved ones with substance use disorders, discuss treatment outcomes for family involved care, and to identify clinical and continuing care needs for family members.
This engaging dyadic presentation is specifically focused on our clinical conceptualisation of the needs of the families and spouses of addicted people. The talk will move from the 'wife shaming' views if the 1940's to the 'family disease models of the 1960's, ending with an overview the concept of codependency. (1980's, 1990's). The talk will then turn away from this historical critique, toward a discussion/description of a new concept, Prodependence.
Prodependence will be introduced as a fully new, strength based model sourced in attachment theory.
We will look at why has loving and caring for a troubled person become a pathology? In our age of attachment-focused psychotherapy, can anyone really "love too much?" For that matter, what is codependency today?
This clinical, research guided, provocative keynote modelled after the 2018 book Prodependence, critiques the history and present state of codependency, while also introducing something entirely new.
Prodependence is a brand new, attachment sourced view of the families and loved ones of addicts that pushes us past Codependence. Thus in an attachment-focused era, we will discuss whether we can begin to offer caregivers a more loving, strength based treatment model.
1. Introduce a new model of treatment (educate participants) for partners of addicts.
2. Attendees will be able to compare and contrast codependence and prodependence to understand the differences between the models.
3. Attendees will develop three new terms to utilise when intervening loved ones of addicts.
The Yin and Yang that Live Within
Integrative care is believed to be a valid touchstone in helping our patients/clients achieve their goals in mental/emotional health and physical wellness. Oriental medical philosophy can be a powerful part of that care.
Understanding the concepts of balance, which will always include the principles of Yin/Yang, is another tool in mental, emotional, physical and spiritual diagnosis.
The concepts of darkness, light, change, and the free flow of magnetism, are a large part of the outside energetics of nature. These energies are an important part in the creation of Qi (i.e. life force).
We are in control of this powerful dynamic by our own life choices.
It is this understanding that allows one to strengthen and enhance one’s physiological make up or ‘constitution’ and to recognise pattern’s in your patients/clients.
The 5 elements -- fire, earth, metal, water, and wood -- show us yet another vital way in which to look at energetics within the body. This inner body dynamic creates its own mental, emotional, and physical ecosystem, which flow together to create who we are in the here and now.
These concepts will be explored in relation to ourselves and to the understanding of our clients/patients. The clarity of Oriental Medical philosophy gives us another way to frame conversations, therapies, meditations, insights, dietary, and specific lifestyle recommendations.
Included will be exercise and breathing modalities best suited to each client’s individual needs.
1. Participants will gain an understanding of the inner workings of Yin/Yang balance, and Qi (life force).
2. Participants will learn the importance of how a balanced lifestyle leads to healthy emotional decisions.
3. Participants will learn how to identify clients’ profiles and guide them to cognitive techniques leading to better balance and empowering growth.
Counsellor and Psychotherapist
Musician, Somatic Experience Practitioner, Cranio Sacral Therapist, Sound Healer, Shamanic Healer, Celebrant, Men’s Group Facilitator
Back To Balance, After Extreme Living
This session will draw upon the combined knowledge, expertise and experience of these two close friends, Robert and Andrew. Both Robert and Andrew come from two very distinct male demographics; Andrew a successful musician, best known for his involvement with the band M People, and Robert, a successful senior executive and CEO of E.ON engineering businesses in Europe. Both men knew the excesses of success and their journeys led them to meet at a men’s group in early 2018.
Using Andrew’s knowledge and expertise in Cranio Sacral and Somatic Experience therapies, and Robert’s understanding of existential psychotherapy and the role gender plays in therapy, this presentation will refer to individual and group therapeutic approaches, specifically looking at their usefulness for men’s recovery.
Robert will act as facilitator using Andrew’s life as a case study. The audience will be taken on a journey through Andrew’s adoption, his career, his addictions and finally, his nurturing through love, family and friendship.
Backed up by research and Robert’s own passion around the subject, the pair will discuss the importance of men’s groups for male recovery. The need for men to be vulnerable in a society which often dictates that they are anything but. These two will lead by example, opening their hearts to the audience to provide a heartfelt but informative presentation.
During the session each phase will be introduced by drumming/percussion and prose, setting the tone for the narrative and conversation. The attendees will be invited to engage actively in the Q&A reflecting on issues prompted and on the role of music, prose and gender focused support groups in addiction therapy.
1. To understand the deep and personal experience of how early trauma combined with an extreme lifestyle can lead to breakdown.
2. To appreciate various therapeutic modalities and their importance in men’s recovery.
3. To understand how men’s groups versus individual therapy can benefit men.
4. To appreciate how a range of lifestyle changes and interventions can impact and aid recovery.
5. To recognise the therapeutic value of music, prose and conversation.
The Future Science of Effective Substance Use Disorder Treatment
The effective treatment of Substance Use Disorders (SUDs) faces many great challenges. Historically, these pitfalls have included low training standards, ambiguity of success, and the weight of stigma. Most behavioral health professionals are aware of these challenges. This presentation, however, will identify our most pressing concern: measurement. Our ability to measure and monitor treatment effect is directly proportional to the future growth of our practice. Unfortunately, the application of incongruent philosophical values (i.e. materialism and specificity) onto the behavioural sciences has severely hampered our ability to best measure patient change. These challenges have contributed to the greatest behavioural health pandemic of our time. Amidst these challenges, advances in both emerging technology accelerants and data science techniques has offered our field a unique opportunity. The same historical limitations of the behavioural sciences now offer unique advantage in catapulting our field into the current frontiers of information technology and behavioural science. This presentation will outline a comprehensive model of measurement that includes psychometrics, digital phenotyping, and neuroimaging. These emerging sciences applied into our practices can transform our field by increasing our capacity to identify severity profiles, optimise treatment dosage, and monitor patient change over-time. Applied examples currently leveraged within Cumberland Heights Foundation will be reviewed. The barriers and challenges associated with the adoption of these techniques will be emphasised.
1. Examine the historical context of behavioural health theory.
2. Identify emerging challenges facing behavioural health treatment practices.
3. Examine how new applications of old data science techniques and technology accelerants can transform our field.
4. Present brief overview of these techniques applied within the Cumberland Heights systems of care.
5. Provide three action-oriented steps for each audience member to consider within their own practice.
Healing Wounds from the Past by Mindfully and Compassionately Embracing the Present
There is mounting evidence that childhood maltreatment can profoundly influence human development, resulting in a variety of mental, emotional, and social challenges – including addictive disorders. Attachment theory is a dominant theory in human development today and is a useful framework for understanding how early relational experiences can have far-reaching effects.
Developmental trauma and attachment disturbances can lead to deficits in nervous system regulation due in part to disruptions in neurochemical systems involving oxytocin and dopamine and can impact neural pathways connecting the prefrontal cortex and the limbic structures. Furthermore, research conducted by the presenter will be used to show that attachment-related anxiety and avoidance are related to rumination/emotion dysregulation and suppression/emotional unclarity, respectively.
Addictive behaviours can be seen as an attempt at short-term regulation, with long-term consequences. Theoretical ideas will be presented linking early-occurring attachment-related changes to the dopamine rewards system as a possible basis for later vulnerability to addictive disorders. Finally, the roles of mindfulness and self-compassion will be explored as possible interventions for those who suffer with trauma- and attachment-related disorders.
This presentation will utilise cutting-edge research, highly engaging visual information, and real-world clinical anecdotes to explore the scientific linkages between trauma, attachment, and addiction, and will offer ideas on how to help clients restore the capacity to self-regulate in healthy ways.
1. Participants will be able to identify general principles of attachment theory.
2. Participants will be able to describe how attachment theory can be used to better conceptualise childhood maltreatment.
3. Participants will be able to describe the qualities of the two main dimensions of attachment insecurity: anxiety and avoidance.
The Global Rise of Traumatic and Complex Grief: Clinical Reflections
This presentation will identify and explore how the current global climate of social, emotional and political trauma translates into a rise in traumatic and complex grief. The content will reflect on incidents of mass violence, political strife and the explicit and implied losses experienced. This presentation will review diagnostic criteria as well as current trends in treatment.
In our world today, we are struggling to cope with unprecedented violence. political and social unrest. We continue to see a dramatic rise in terror attacks, mass terror, and drug overdoses. Imbedded in these events is the loss of safety and predictability that afford us a sense of wellbeing and peace. This presentation will examine the significant rise in trauma and complex grief and will explore clinical considerations, risk assessments, and strategies to support those in need.
1. The participant will identify diagnostic criteria for complicated grief.
2. The participant will learn to discriminate between uncomplicated grief and complicated grief.
3. The participant will demonstrate an understanding of the interweave between grief and trauma in cases of complex grief.
4. The participant will identify at least three clinical interventions to address complex grief.
5. The participant will identify specific factors that contribute to the rise in complex grief in our world.
Family Family Family: Integrating Comprehensive Family Treatment, Education and Intervention in the Treatment Process
It’s all about family. Some people say, “If you want to remember something, say it three times.” Integrating families into the treatment process is complicated, uncomfortable and can sometimes seem impossible. Yet the family has the greatest impact, positive or negative, toward the treatment of individuals suffering with substance abuse and mental health issues. Families suffer right along with the identified individual. Most times the individual who is acting out is simply the “squeaky wheel,” the one who needs the most immediate attention.
Families respond to generational trauma and experience in much the same way we experience gravity or the wind. We cannot see the wind or gravity, but we definitely feel the effects. Sometimes we feel the cool breeze and comfort of home and connection, creating stability and confidence. Other times we experience violent storms and events that shake us to our core.
John Lieberman, MA, has been working in the chemical dependency and mental health treatment industry for 34 years. He is passionate about adolescent recovery and helping to heal fractured families. Last year he spoke to you about the damaging effects of loneliness. Healed and united families are the antidote to loneliness.
Family therapy includes education about addiction and mental health issues as well as instruction about family dynamics and the roles each individual member plays in the family unit. Integrating families into the treatment process is complicated, uncomfortable and can sometimes seem impossible. Yet the family has the greatest impact, positive or negative, toward the treatment of individuals suffering with substance abuse and mental health issues.
Through his own personal insight, anecdotal stories and many years of experience working with adolescents in treatment, John will discuss how a family’s personal experience can be its greatest asset. Family treatment offers the opportunity to create a platform for generational change and healing. Come join him as he shares his insight and personal experience about the powerful and lasting impact family involvement has on recovery.
1. Why adolescents and young adults do better with including family in the treatment process more than the adult population.
2. The necessity for therapist to view the family as a resource rather than an obstacle in treatment.
3. How to integrate family into all aspects of treatment: intervention, admission, treatment, and aftercare.
4. How to teach parents the tools to help their loved one manage recovery both during and after treatment.