Description

This workshop is designed for certified, licensed and clinical interns. In this workshop participants will be presented with screening, assessment, treatment planning, DSM 5TR Differential Diagnosis, ASAM and LOCUS approaches in treatment.  Additionally, evidence-based practices for effective treatment outcomes will be explored.

Learning Objectives

By the end of this presentation, participants will:

• Identify appropriate screening and assessment approaches for clients with co-occurring disorders.

• Apply DSM-5-TR criteria to support differential diagnosis in co-occurring presentations.

• Describe the use of ASAM and LOCUS frameworks in treatment planning.

• Develop basic treatment plans for individuals with co-occurring disorders using established clinical approaches.

• Recognize evidence-based practices that support effective treatment outcomes for co-occurring disorders.

Presented by:

Mark Disselkoen, MSSW, LCSW, LCADC

Continuing Education Units:

1 CEU

Certification Board Information

This training is approved for continuing education units by the boards listed here. Additional specifications can be found below.

NAADAC (The Association for Addiction Professionals)

This course has been approved by CASAT, School of Public Health, University of Nevada, Reno, as a NAADAC Approved Education Provider, for the below # of CEUs. NAADAC Provider #98165. CASAT is responsible for all aspects of its programming.

CEUs: 1

Skills Groups

This course applies to the following Client Skill Groups as defined by NAADAC:

• Clinical Intake and Screening

• Clinical Assessment

• Treatment Plan

• Counseling Services

NBCC (National Board for Certified Counselors)

CASAT has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6492. Programs that do not qualify for NBCC credit are clearly identified. CASAT is solely responsible for all aspects of the programs. (Continuing education hours and CEU's are synonymous for purposes of issuing CEU's from CASAT Learning)

Qualifies for NBCC Credit: No

NCB (Nevada Certification Board)

Description

Clinical Interventions to Enhance Engagement and Reduce Recidivism or Relapse focuses on engagement and intervention strategies to reduce recidivism and relapse, and achieve enhanced outcomes for those clients susceptible to relapse or recidivism including clients coerced or mandated to treatment; clients who have relapsed or recidivated and are returning to treatment; clients feeling hopeless or disparaged; and clients with a history of addiction or codependency. Clients returning to treatment will often experience an intervention similar to the one that did not work originally, and thus treatment will fail again. Clinicians and clients need to understand relapse or recidivism as feedback rather than failure, and thus create new treatment protocols based on that client's "agenda" and what works for that client. The first priority is to move beyond feelings of hopelessness and build a collaborative relationship with an expectation of success for both the client and the treatment provider, which can be complicated because of a history of failure, dynamics and features around referral or re-referral for clients coerced or mandated to treatment, and issues with a referral source. 

You will hear about the building blocks of collaboration, hope, and an expectancy of success; collaborative engagement with coerced or mandated clients; how to identify subtle change that is already happening for clients; challenges with structured clinical models; assessing and working within varying levels of client cooperation; identifying the difference between compliance, temporary change, and authentic lasting change; and language and words that are a catalyst for change versus language and words that sabotage change. To accomplish authentic, lasting change, the treatment provider needs to introduce a client-need driven approach and strategies with tools that are compatible with the agenda, culture, and "philosophy of change" of the client. Merely “telling” a client what to do will rarely if ever result in authentic, permanent change.

We will look at actual verbatim interventions with real clients: Angie, who was feeling defeated and hopeless, and coerced to attend therapy; Johnny, who relapsed and thought he had lost his wife and children forever; Sarah, who relapsed and came to treatment believing that she was no better than her mother and thus not worthy to parent her daughter; and Michelle, whose recidivism and battle with codependency led her to conclude that she had to take control of her life. Client case studies are from the book, Brief Therapy for Clients with Challenging or Unique Issues: A Clinician’s Guide to Enhancing Outcomes, published internationally by Routledge/A Taylor and Francis Group, October 2023.

Learning Objectives

By the end of this presentation, participants will:

1. Explain how to build a collaborative therapeutic relationship to engage and motivate clients, especially those who are coerced or mandated to treatment.

2. Distinguish between compliance, temporary change, and lasting change to tailor effective interventions.

3. Develop client-driven treatment approaches that align with individual needs, strengths, and perspectives on change.

4. Use effective communication techniques, such as presupposition and coping questions, to foster a solution-focused mindset.

5. Reframe relapse and recidivism as learning opportunities and apply strategies to restore motivation and support recovery.

Presented by:

Saul A. Singer, LMFT, LCADC, AADC

Saul A. Singer, LMFT, LCADC, AADC, has worked for five decades as a behavioral health and addiction professional providing therapy, consultation, continuing education, college instruction, and clinical supervision in private practice and for community agencies and treatment programs. Author of Brief Therapy for Clients with Challenging or Unique Issues: A Clinician’s Guide to Enhancing Outcomes, a 2023 internationally published book that weaves together the stories of courageous clients and offers innovative tools that empower and motivate even the most reluctant clients to engage and identify solutions that fit for them.

Continuing Education Units:

4 CEUs

Certification Board Information

This training is approved for continuing education units by the boards listed here. Additional specifications can be found below.

NAADAC (The Association for Addiction Professionals)

This course has been approved by CASAT, School of Public Health, University of Nevada, Reno, as a NAADAC Approved Education Provider, for the below # of CEUs. NAADAC Provider #98165. CASAT is responsible for all aspects of its programming.

CEUs: 4

Skills Groups

This course applies to the following Client Skill Groups as defined by NAADAC:

• Treatment Plan

• Counseling Services

• Case Management

• Discharge and Continuing Care

• Legal, Ethical, and Professional Development

NBCC (National Board for Certified Counselors)

CASAT has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6492. Programs that do not qualify for NBCC credit are clearly identified. CASAT is solely responsible for all aspects of the programs. (Continuing education hours and CEU's are synonymous for purposes of issuing CEU's from CASAT Learning)

Qualifies for NBCC Credit: No

NCB (Nevada Certification Board)

This course is NOT approved by the Nevada Certification Board.

Presentation materials are not for reproduction or distribution without specific written authorization. The opinions, findings, conclusions, and recommendations expressed in our courses are those of the author(s) and do not necessarily represent the official views of CASAT.

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