Workshops

Session 1 | Session 2 | Session 3 | Session 4 | Session 5 | Session 6 | Session 7

Session 1

Wednesday, June 18
11:00 a.m. – 12:30 p.m.

1A. How Science, Technology, Market and Large Business Forces Will Change Addiction   Treatment
A. Thomas McLellan, CEO, Treatment Research Institute and Professor, Department of Psychiatry, University of Pennsylvania

The presentation reviews the administrative issues (regulations, financing, insurance, employee qualifications), business changes (consolidation, de-regulation, competition from outside); and technological changes that are affecting addiction treatment, and how those factors will likely change future of treatment. The second part discusses the business issues that are placing the addiction treatment industry in rather significant trouble (ie. a 19% reduction in addiction treatment programs in 5 years). We conclude with lessons derived from business research in other “troubled industries” that may provide practical, evidence-based solutions to some of the organizations.

1B. The Creation and Maintenance of a Prevention Continuum

David K. Mineta, Deputy Director, Asian American Recovery Services, Inc.
Esther Lucas, Program Coordinator, San Mateo County Behavioral Health and Recovery Services
Amanda Cue, Senior Director of Prevention, Youth Leadership Institute

“The Creation and Maintenance of a Continuum of Prevention Services” workshop has been years in the making. It is built around a collaborative between youth, parents, schools, County Departments, and community based non-profits. It began with $60,000 in county funded contracts from the SAPT block grant. It has grown to approximately $850,000 in funding per year. The workshop will highlight the development of the continuum of universal, indicated, and selected prevention services through multiple funding streams.

1C. Establishing Best Prevention and Treatment Practices for Problem and Pathological Gamblers
Timothy Fong, Assistant Clinical Professor of Psychiatry, Co-Director, UCLA Gambling Studies Program

Results from the California Prevalence Survey (2005) show that close to 4% of Californians experience problems related to control of their gambling. The number of gambling treatment specialists in California remain small and most ADP treatment providers only have a limited amount of experience and training in working with pathological gamblers. Evidenced-based treatments for pathological gambling are beginning to emerge but access to care remains a significant barrier. This presentation will focus on the preliminary results of two ongoing, clinical trials (sponsored by the Office of Problem Gambling) that investigate the efficacy of brief interventions for problem gambling. One intervention is a self-help workbook while the other is a 5-session telephone counseling service, provided by the gambling helpline.  An additional clinical trial focusing on establishing the effectiveness of cognitive behavioral therapy for pathological gambling will be starting in 2008. Together, these studies will look to provide California with a roadmap on how to deliver and implement evidence-based interventions for pathological gambling.

1D. Buprenorphine Treatment in an Inner-City Opioid Treatment Program

Buprenorphine has become an important treatment option in our large, inner-city opioid treatment program. Benefits, challenges and logistics of this treatment modality will be presented.

1E. Providing Integrated and Culturally Relevant Prevention, Treatment, and Aftercare to the Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Community

Steven M. Harlow, Clinical Director, New Leaf: Services for Our Community

Nina Moreno, Clinician, New Leaf: Services for Our Community

An overview of best practices in providing culturally competent, integrated mental health and substance abuse treatment to the Lesbian, Gay, Bisexual, Transgender, Queer and Questioning Communities will be presented.  The presenters will also incorporate a discussion of unique dynamics in working with some specific populations within these communities including people-of-color, youth and elders.  A range of strategies for prevention, early intervention, aftercare and community support will be offered.

1F. Women’s Treatment: Clinical and Policy Issues

Joan E. Zweben, Executive Director, East Bay Community Recovery Project

Suzanne Gelber Rinaldo, Managing Partner, Avisa Group

Presenters will describe clinical issues that are important in women’s treatment, discuss reimbursement and other system barriers to having these addressed, and will offer recommendations for future activities to promote improvement in women’s care. They will include both research findings and consensus guidelines, and will provide opportunity for participants to share experiences and resources.

1G. Reaching Kids in School Before They Hit the Streets
Meredith Rolfe, Manager, Safe and Healthy Kids Program Office, California Department of Education
Marlena E. Uhrik, School Health Education Consultant, California Department of Education

In this interactive workshop participants will learn how Student Assistance Programs (SAPs) can help you address the needs of Selective and Indicated students in your local schools, ways to access the California Healthy Kids Survey (CHKS) needs assessment, strategies for working with school personnel, and how to use resources and technical assistance for helping these students.

1H. Making Alcoholics Anonymous Easier (MAAEZ)

Mina Subbaraman, Research Associate, Alcohol Research Group

Lee Ann Kaskutas, Senior Scientist, Alcohol Research Group

Session 2

Wednesday, June 18
2:45 p.m. – 4:15 p.m.

2A. Wellbriety For You, Your Family, Your Tribe, and Your Community
Don Coyhis, President, White Bison, Inc.

Don Coyhis represents the heart, the soul, the spirit of the New Recovery Advocacy Movement in America. All of us once had an understanding of the significance of our creation, all of our natural laws, principles, and values that were part of who we were as a people and that kept us well individually, within our families, Tribes, and communities. Something has happened to change that and something has to happen to bring back wellness. Wellbriety is for you, your family, your Tribe, and your community.

2B. Got Pipes?
Angela Goldberg, Facilitator, San Diego County Methamphetamine Strike Force
Susan Caldwell, Program Manager, East County Community Change

The Got Pipes? Session will tell the story of San Diego County’s work to eliminate glass pipes used to smoke meth and crack. The campaign used five key environmental prevention elements of data, organizing, policy, enforcement and media to change the community environments around head/smoke shops. The session will discuss these elements, and describe how collaboration and partnership across discipline lines can be an effective tool to change community norms and expectations around paraphernalia.

2C. Selling Cross-Addiction: Tobacco Companies Targeting Addicts and Alcoholics
Beth Lillard, Project Director, Bay Area Community Resources

"Selling Cross-Addiction" shows in graphic terms how tobacco companies capitalize on studies linking alcohol, drug and tobacco use and associated relapse rates, to create sophisticated advertising that directly markets to practicing alcoholics and drug addicts. Through an interactive PowerPoint slide show, which has been used to great effect in drug treatment programs and jail settings, we highlight tobacco advertising that pushes specific illicit drugs and types of alcohol along with cigarettes and acts as potent "triggers" for continued use and/or relapse. Much of the power of this workshop lies in the enthusiastic audience participation stimulated by the blatant and shocking exploitation of addicts and alcoholics.

2D. New Drugs for Old Addictions

David Kan, Medical Director, San Francisco Veteran’s Affairs Medical Center

This presentation will review the role of medications in treatment and recovery. The speaker will begin with clinical considerations in distinguishing between a substance use disorder and another independent mental disorder, and will cover the role of medications in detoxification, early and ongoing recovery. He will address safety and other issues in the use of medications for detoxification, and will cover anti-abuse, naltrexone, methadone, buprenorphine, and psychotropic medication as tools to promote and enhance recovery.  He will address the limits of detox methods. In addition, he will also examine ways in which clinical staff can work with physicians around medication issues, and how to prepare patients to address issues that can arise in 12-step meetings.

2E. Cultural Responsiveness Not Just a Trend

Isabel S. Perez-Yanez, Adjunct Professor, College of San Mateo

The focus of the workshop will be on the importance of cultural responsive services as an essential part of treatment and recovery services that create favorable outcomes for diverse populations. Cultural sensitivity is not just a trend but vital to working with diverse populations. Three areas will be focused on: the multidimensional experiences of clients from specific groups; ethnic groups, sexual orientation, age, gender; multidimensional experiences of counselors and ways to prevent harmful stereotyping intentional or unintentional; and ways programs can become more culturally responsive and increase favorable outcomes.

2F. Methamphetamine Users: Abuse, Violence, Gender and Treatment
Judith B. Cohen, Director of Research and Evaluation, East Bay Community Recovery Project

Rivka Greenberg, Consultant, East Bay Community Recovery Project

The literature shows that violence is a significant co-occurring issue in substance abuse treatment for women. Increasing prevalence of methamphetamine use, and reports of violence within this population, suggest that this is an important issue with relevance for treatment programming. This presentation is based on data from the largest randomized clinical trial study of methamphetamine dependent persons. The results indicate significant relationships between abuse and violence and treatment outcomes for women, but not for men.

2G. Taking the Leap: Building an Adolescent Treatment System

Shirin Vakharia, Prevention and Youth Treatment Services Coordinator, Napa County

Sheila Daugherty, Interim Executive Director, Wolfe Center

Napa County Health and Human Services recently completed a strategic plan for adolescent and young adult treatment. The strategic plan aims to build a system of services for adolescents and young adults that's comprehensive, effective, funded, and well utilized. Napa County engaged in this planning with local funding and mobilized every significant sector of the community to create a comprehensive strategic plan. This workshop will focus on Napa County's experience, share our major initiatives and inspire other communities to take the leap.

2H. Unsteady Steps: Legislation Affecting HIV Prevention Among IDUs

Recent legislation in California has vastly expanded access to sterile syringes in California, allowing over-the-counter sale of syringes for the first time, and simplifying the procedure for establishing needle exchanges in local health jurisdictions. This presentation provides an overview of the unique California policy environment, explains the complexities and nuances of the law and its potential impact on clients, and provides and opportunity for discussion of future opportunities for advocates to affect further policy change.

Session 3

Thursday, June 19
10:30 a.m. – 12:00 p.m.

3A. Race, Culture, Gender and Community in California's AOD Field: A Conversation
Deborah Werner, Children and Family Futures (Moderator)
Kathy Sanders-Phillips, Professor of Pediatrics at Howard University School of Medicine, Washington, D.C.

This workshop provides the opportunity to further discuss the ideas presented in the morning plenary session and applications in our communities and programs.  

3B. Changing the Alcohol and Medication Environment

CommPre will highlight a Prevention strategy to address the problem of alcohol and medication misuse among older adults. Participants will be provided with research on this burgeoning health issue along with the results from focus groups conducted over a six-month period and how mobilizing community members toward developing environmental prevention strategies can be effective in changing policies, practices and social norms.

3D. Innovations and Challenges in Trauma Informed Services Panel
Brenda L. Underhill, Coordinator, Trauma Recovery Services, Marin Services for Women

Alma R. Lones, Clinical Director, Iris Women’s' Recovery Program

This panel discusses strategies that California agencies are using to address trauma and improve outcomes.  Marin Services for Women has adopted a continuum of trauma services that aligns with the developmental stages of recovery.  Likewise, Westcare of California has been working to create a continuum bring trauma services to women and their families in residential and outpatient settings.  The Iris Center has integrated a somatic, body-centered approach to recovery from substance use and trauma. 

3E. Workforce Development Panel: How to Develop, Support, and Retain a Quality Work Force

Angela R. Stocker, College of San Mateo (Moderator)
Allan J. Cohen, Director, Research and Training, Bay Area Addiction Research & Treatment
Thomas E. Freese, Pacific Southwest ATTC, UCLA Integrated Substance Abuse Programs
Kim Herbstritt, Institute of Public Strategies, San Diego
Laura Kantorowski, Director, AOD Programs, Bay Area Community Resources

The focus of the panel is how to recruit, train, and supervise a quality workforce in Alcohol and Other Drug Prevention and Treatment Services.  Issues of staff diversity, staff retention with decreasing funding, and collaboration with supportive community agencies will be discussed.  The workshop will include an overview of state and national workforce initiatives, standards and data which address supervision, education standards, on-going training and job satisfaction.

3F. Combating Eating Disorders and Improving Body Image

This dynamic and highly interactive workshop will educate participants on the importance of understanding the close link between poor body image and eating disorders. Participants will learn that an eating disorder is often the result of trying to control what goes on externally, as an effort to feel better internally. This control is often reflected in changes of body weight (up and down) and in food intake (less or more). This workshop is for community providers who are looking to guide individuals with eating disorders on a healthier path, including assistance in overcoming the eating disorder and improving body image and self-esteem.

3G. Alcopops and Alcoholic Energy Drinks: We're not buying it!

Lynne Goodwin, Program Analyst, California Friday Night Live Partnership

Sarah Morris, Student, California Youth Council, California Friday Night Live Partnership

Casey Bressler, Student, California Youth California Member, California Friday Night Live Partnership

Kellie Goodwin, Student, California Youth Council Member, California Friday Night Live Partnership

Jim Mosher, Senior Policy Advisor, The CDM Group, Inc.

This youth led workshop will highlight the journey of the California Youth Council in their efforts to educated the State about Alcopops and their victory with the Board of Equalization in Alcopop Taxation. Their most current effort, raising awareness and mobilizing communities about Alcoholic Energy Drinks, will be shared along with national trends, resources and tools for local youth engagement. Participants will take home a copy of the youth produced Alcopops video.

3H. California Screening and Brief Intervention Referral and Treatment

Raymond DiCiccio, Project Director, San Diego State University Research Foundation

John Clapp, Principle Investigator, San Diego State University Research Foundation

An impressive body of research indicates Screening and Brief Intervention in primary health care settings reduces alcohol related problems. With support from the SAMHSA, the California Screening and Brief Intervention Referral and Treatment (CASBIRT) Project has screened thousands of San Diego County patients in ER's Trauma Rooms using a Health Educator (HE) model with centralized management. This workshop will explore the methodology, tools and management practices used to implement and evaluate this very successful program.

Session 4

Thursday, June 19
1:30 p.m. – 3:00 p.m.

4A:Criminal Justice

This workshop will provide a high-level perspective on program expansion and administrative developments within both CDCR and ADP, from key departmental executives.

4B. ABC Enforcement Programs: How They Support Prevention

Kathryn F. Sandberg, Investigator II, California Alcoholic Beverage Control

Guadalupe Ochoa, Investigator, California Alcoholic Beverage Control

The California Alcoholic Beverage Control takes a proactive approach to prevention using innovative and effective enforcement programs. In this workshop we will discuss successful ABC programs: T.R.A.C.E. (Target Responsibility for Alcohol Connected Emergencies), the Minor Decoy Program and the Shoulder Tap Program, and T.A.P.P.E.D. (Teenage Party Prevention Enforcement Dispersal). We will also discuss our outreach training programs (IMPACT, ROSTF and LEAD) and their effect on local businesses and the communities.

4C. Evolution of Evidence-based Prevention: Policy Trends & Implications for Practice

Christina J. Borbely, Youth Development Specialist, Center for Applied Research Solutions

Kerrilyn Scott-Nakai, Senior Project Director, Center for Applied Research Solutions

Evidence-based prevention has taken root and is driving the field forward. The systematic use of scientific methods proving prevention effectiveness promotes rapid advancement of prevention theory and practice. This presentation outlines the recent history of evidence-based prevention and examines changes in policy and service. Revisions to National Registry of Evidence-based Programs & Practices (NREPP) are reviewed. Implications for California’s service providers will be discussed. This is an opportunity for active dialog regarding integration of evidence-based prevention principles into practice.

4D. The Science of Addiction

Mark Stanford, Medical and Clinical Services Manager, Santa Clara Health & Hospital System Department of Alcohol & Drug Services Addiction Medicine Division

Based on advances in neuroscience, drug addiction is understood as a chronic re-occurring disease characterized by compulsive drug seeking and use that results from prolonged effects of drugs on the brain. That addiction is a chronic, relapsing disease of the brain is a new concept for much of the general public, policymakers, and, sadly, for many health care professionals. The implications of this informational disconnect are obvious. If we understand addiction as a chronic brain disease containing critical biological, behavioral, and social elements, our treatment strategies must therefore include the principles of chronic illness care. This presentation reviews the new science of addiction and implications for treatment and counseling.

4E. Reclaiming Voice/Spirit: Innovative Strategies for Co-Occurring Disorders

Michele Maas, Substance Abuse Coordinator, Native American Health Center, Inc. Family & Child Guidance Clinic

Nazbah Tom, Counselor, Native American Health Center, Inc. Family & Child Guidance Clinic

This workshop will provide an overview of presenters' work integrating mental health/recovery/healing groups for Native American men and women in a residential substance abuse treatment setting. The unique culturally relevant an integrated treatment approaches developed by each presenter will be discussed and explored experientially. Participants will walk away with tools from the workshop to use with their specific populations and be provided an overview of its functions.

4F. A Greater Risk: Older Women and Substance Abuse

Patrick Cullinane, Director, Special Projects, American Society on Aging

Deborah Levan, Director of Senior Services of Behavioral Health Services, Inc.

Catherine McKean Royer, Clinical Social Worker, Department of Veterans Affairs, Greater LA Healthcare System

Kirby Lee, Assistant Professor of Clinical Pharmacy, UCSF, Academic Resource Center

Older women are at greater risk for substance abuse problems due to co-morbidities, the number of prescription medications, and psychosocial changes in later life. This session will highlight what we know about these risks, their impact on health status and health utilization, and recommended practices in prevention, intervention treatment.

4G. Youth/Adult Partnerships to Engage Young People in Alcohol Prevention Research, Community Assessment and Evaluation: Benefits and Challenges
Sherry Damon, Butte County Department of Behavioral Health
Lina Nasr, Butte County Department of Behavioral Health

Maureen DeNieva, Youth Leadership Institute
Jennifer B. Lyle, Youth Leadership Institute
Alise Vincent, Youth Leadership Institute

The unique contributions that young people have made to community prevention efforts that were previously implemented solely by adults will be highlighted.  Examples from the field and practical strategies for training and supporting young people through all stages of research, including formulating research questions, designing data collection tools and procedures, data analysis, recommendation development, and translating research and evaluation findings into successful community action and program improvement will be shared.  Lessons learned and recommendations for other groups that wish to partner with young people will be provided and how youth input may be institutionalized within the work of organizations and county agencies that focus on alcohol prevention.

4H. Coordinating Drug Education, Intervention, and Restorative Strategies

Rodney Skager, Professor Emeritus, Graduate School of Education and Information Studies, UCLA

Charles Ries, Director, UpFront, Oakland High School

The workshop will provide a concrete demonstration of interactive AOD education at the high school level coordinated with intervention and restorative approaches to discipline. Practical guidelines for implementation in the school setting (starting small and building on earned trust among regular school staff) will be provided. A demonstration video will show actual individual and group work with students as well as student and staff evaluations of the process.

Session 5

Thursday, June 19
3:30 p.m. – 5:00 p.m.

5A. Reaching and Retaining Clients with Co-Occurring Disorders
Pablo Stewart, Psychiatric Consultant

This workshop discusses effective engagement, counseling and case management strategies for helping individuals with co-occurring substance use and mental health disorders to remain in treatment and recover.  This session will use case studies to describe useful ways to implement integrated mental health and substance use treatment.  The session will include a discussion of stigma, isolation, stress and poverty.  The importance of on-going assessment, relationships, accommodations, strength-based and individualized services will be discussed.

5B. Changing Berkeley's Complex Alcohol Environment: A Community Initiative

Edward Kikumoto, Executive Director, Alcohol Policy Network

Elizabeth Van Dyke, Students for a Safer Southside Program Coordinator, Alcohol Policy Network

The Berkeley Alcohol Policy Advocacy Coalition Proposal for comprehensive regulation of Berkeley’s alcohol environment is the result of decades of residents’ frustration with the City’s unwillingness to use its legal authority to address problems associated with the availability of alcohol in retail, public and private settings. This presentation will discuss the collaborative process required to pass into law a variety of local land use regulations, and the lessons learned from this experience.

5C. Using the Law to Site/Expand Residential Treatment

Deborah Smith Parker, Project Manager, Solutions for Treatment Expansion Project (STEP), Futures Associates

Increased funding for residential treatment is useless if we can’t break the CUP log jam. The ways local governments deny use permits for residential program, or in some instances require smaller programs requesting expansion to get CUPs, more often than not violate fair housing laws. This presentation will (1) inform participants of the specific application of fair housing laws, and (2) identify tactics and strategies providers and advocates can apply to change these dynamics.

5D. Motivational Interviewing: Learning How to Enjoy Resistance

Dee-Dee Stout, Director, Responsible Recovery, et al

This 3-hr workshop's goal is to introduce the concepts of spirit and strategies in Motivational Interviewing (MI) to workers in a variety of health settings. MI is an internationally recognized evidence-based, best-practice approved by the National Institute of Drug Abuse (NIDA) among others. It is intended to help motivate clients toward change - and build their commitment to change - through the exploration of their ambivalence to desired individual behavior changes. After this 3-hr workshop, participants will have a more strength-based, easier way of working with clients that will leave them feeling healthier and energized, not drained and frustrated! Interested yet? What do you have to lose?!

5E. Common Ground: Black & Brown

Charles Porter, Project Coordinator, Social Model Recovery Systems, Inc.

Zelenne L. Cárdenas, Director of Prevention Services, Social Model Recovery Systems, Inc.

Margaret L. Edwards, Social Model Recovery Systems, Inc.

This presentation will address culturally relevant approaches to engaging low-income, inner-city community members of African and Latino heritage. We will explore historical causes of community drug-related problems and detail key themes for personal development and neighborhood empowerment. We will also highlight the common struggle for survival and cultural convergence in downtown Los Angeles, despite increasing racial tension in other areas of the city.

5F. The Evolution of a Managed System of Care in Santa Clara County
Cheryl Berman, Sr. Program Manager, Adult Treatment Services, Santa Clara County Department of Alcohol & Drug Services

In most communities, while treatment works, typically services are fragmented and compartmentalized. In 1995, as a response to growing fiscal challenges, Santa Clara County Department of Alcohol and Drug Services (DADS) began to address critical questions of effectiveness and efficiency in the treatment system design. This workshop will describe the organizational and clinical aspects involved in changing DADS from a service delivery system made up of individual/independent providers to a managed system of care with a continuum of services focused on individualized treatment for clients.

5G. Understanding Special Requirements for Treating Multi-Cultural Adolescent Substance Abuse Groups

Jorge Wong, Director of Mental Health Services, Asian Americans for Community Involvement

Richard B. Mahan, Substance Abuse Fellow, Asian Americans for Community Involvement

Naoko Haga, Substance Abuse Counselor, Asian Americans for Community Involvement

Tejasi Bilgi, Substance Abuse Counselor, Asian Americans for Community Involvement

This presentation describes a substance abuse program for adolescent groups which are culturally, ethnically, and socio-economically varied. It will explore how various risk factors affect recovery and accurate assessment, especially as it pertains to co-occurring diagnoses. Issues relating to “Minority Status,” how it is defined, and the treatment process will be discussed. Dual Diagnosis and community resources will also be reviewed. Finally, a case study will be presented illustrating the above factors.

5H. Integrating Treatment and Drug Courts

Deborah Service, Clinical/Administrative Director, Matrix Institute on Addictions

Ronald Gilbert, Commissioner, Superior Court of California, County of San Bernardino

Holly Copeland, Intake Coordinator, Matrix Institute on Addictions

In an informal, town hall format the presenters discuss the collaboration they have established between the courts and treatment. They discuss what they went through in order to make this a successful melding of two very different systems, explaining how each key player has both educated and been educated by the others. They will also answer questions, sharing some of what has led theirs to be such an effective program.

Session 6

Friday, June 20
9:00 a.m. – 10:30 a.m.

6A. Changing the World: Integrated System Development in California

Kenneth Minkoff, Senior System Consultant, ZiaPartners

Christie A. Cline, President, ZiaPartners

This presentation will describe basic principles for designing a welcoming, integrated system of care for individuals with co-occurring disorders, and application of the Comprehensive Continuous Integrated System of Care (CCISC) in 7 California counties. There will be specific attention paid to lessons learned about how to strengthen both addiction-mental health partnerships, and addiction services specifically, within California County initiatives, and opportunities for alignment of this process with current state addiction system development activities.

6B. Impacting Binge Drinking through Community Organizing and Policy Change

Brenda Armstrong, Program Manager, County of Santa Cruz Alcohol and Drug Program

Sharon O'Hara, Director, The Center for Community Action and Training

Communities can effectively implement community level change using a combination of evidenced-based environmental strategies that reduce and/or prevent the factors that contribute to binge drinking and thus reduce binge-drinking and related community problems. Learn how two communities, Sonoma and Santa Cruz utilized environmental strategies to create policy change in partnership with youth and community collaboratives. Strategy highlights, effectiveness and lessons learned through the State Incentive Grant process will be shared.

6C. Brief Interventions for the Multiple DUI Offender

Melinda Hohman, Professor, San Diego State University School of Social Work

This training will present the Paradigm Developmental Model of Treatment, a model of treatment developed for multiple DUI offenders. We will also review and practice structured brief treatment interventions that counselors can strategically select for their clients based on where clients are in the Paradigm model. How this model is being tested and preliminary findings will be presented as well along with applications to other alcohol abuse/dependency treatment settings.

6D. Care and Competency for the Caregiver: Supervision to Improve Treatment Outcomes and Prevent Compassion Fatigue

Kim Archuletta, San Diego State University, School of Social Work
Toni Maria Mosley, Clinical Manager, Family Foundations Program
Brenda Wiewel, Executive Director, Los Angeles Centers for Alcohol and Drug Abuse

This workshop is designed for current clinical supervisors, those in training, managers and counselors who want to get the most out of the clinical supervision they receive. Attendees will learn how to use clinical supervision to develop a personal wellness plan to manage stress and avoid compassion fatigue and burnout. In addition, clinical supervision tools and skills will be presented that are designed to enhance program stabilization, cohesiveness, and effective outcomes.

6E. Working with Transgender and Gender-Variant Clients

Jeanna Eichenbaum, Team Leader, Substance Abuse Day Hospital, San Francisco VA Medical Center

Working with transgendered and gender-variant clients continues to be one of the most challenging areas for many treatment programs and providers. Uncertainty over how to address individual clients and integrate trans people into larger treatment communities may inhibit well-meaning treatment providers from having a more positive impact a population that is in desperate need of supportive, comprehensive, and affirming interventions. We will address these concerns and share what we have learned in successfully working with this population.

6F. Integrated Treatment for Women and Girls as a Continuum

Bryn King, Adolescent Program Director, Women's Recovery Association

Linda Carlson, Executive Director, Women's Recovery Association

Christy Tillotson, Program Director, Women's Recovery Association

Stephen Kaplan, Director, Alcohol and Other Drug Services

As an organization committed to providing treatment to women and adolescent girls, the Women’s Recovery Association will present on the characteristics of gender-responsive and trauma-informed treatment services as well as describing the necessary service components to meet the complex needs of this population. Lastly, the presenters will discuss the implementation and utilization of a full continuum of treatment, which includes a new pilot project in collaboration with San Mateo County.

6G. Family-Based Treatment: Culture and Gender in Parenting Interventions

Marty Jessup, Associate Professor, UCSF School of Nursing

Vernon Aker, Case Manager, Family Program, Jelani, Inc.

Gwen Otis, Program Supervisor, Family Program, Jelani, Inc.

This workshop will describe issues in parenting by AOD dependent persons including loss and redemption, the role of culture and spirituality in effective parenting, strength-based parenting support strategies, and our on-the-ground experiences with high-risk multi-recidivist clients in treatment. We will also present and discuss our perspectives on the gendered challenges for mothers and for fathers in recovery.

6H. Government Readiness for Process Improvement in Los Angeles

Akiko Tagawa, Analyst, Los Angeles County, Alcohol and Drug Programs Administration

Wayne K. Sugita, Acting Director, Los Angeles County, Alcohol and Drug Programs Administration

Will local government agencies be able to make the necessary organizational shifts as increasing numbers of substance abuse treatment providers adopt evidence-based practices? This presentation examines and shares the Los Angeles County Alcohol and Drug Program Administration’s (ADPA) efforts towards internal readiness for change through organizational development, workforce development, and collaborative planning with external partners and the implementation of the Network for Integrated Addiction Treatment’s Process Improvement model.

Session 7

Friday, June 20
10:45 a.m. – 12:15 p.m.

7A. Reducing Prenatal Exposure: Policy and Program Responses

Sid Gardner, President, Children and Family Futures

Ira Chasnoff, President, Children's Research Triangle

This session will review the experience in California counties with prenatal screening for substance use disorders and will discuss the challenges to statewide policy and interagency collaboration raised by the successes of prenatal screening efforts over the past five years.

7B. From the Students to Housing: Comprehensive IOM Prevention through the Safer Isla Vista Project
Friedner D. Wittman, Program Director, Institute for the Study of Social Change, UC Berkeley
Ian Kaminsky, Director, Student Health Service Alcohol and Drug Program, UC Santa Barbara
Onolee Zwicke, Director, Isla Vista AOD Council

This workshop presents efforts by a UC campus, two county agencies and local property managers to establish link Indicated prevention at UCSB Student Health with Universal and Selected community-environment prevention services to manage AOD risks in retail, public, and residential settings.  SIG grant funding allowed these partners to combine several proven and promising prevention technologies into a sustainable system linked by internet communication, regular interagency collaboration, and tracking/monitoring to support continuing evaluation and planning. 

7C. Working with Veterans in an Integrated System of Care

Tim Karo, Social Worker/Senior Case Manager, Swords to Plowshares Veterans Organization

Julian Pierson, Case Manager, Native American Health Center, Inc. --Family & Child Guidance Clinic

This workshop will be about identifying needs of homeless drug addicted veterans whom are either eligible or not eligible for services through the Veterans Administration, based on their type of discharge from the military.

7D. AA Effectiveness:  Faith Meets Science

Lee Ann Kaskutas, Senior Scientist, Alcohol Research Group

Mina Subbaraman, Research Associate, Alcohol Research Group

Alcoholics Anonymous is the most widely used source of help for alcohol problems, but research on AA is difficult to conduct and the results are controversial. AA members are supporters who argue that it is obvious that AA works. AA critics counter that AA is a cult that relies on God as a mechanism of action. This presentation explores the scientific data pertaining to the effectiveness of AA and discusses implications for clinicians and for future research.

7E. Tough Cases: Working Effectively with Mandated Clients

Roland Williams, President, Free Life Enterprises

This workshop will address the proliferation of mandated clients into treatment centers and the impact this can have on providers and other clients. We will discuss effective treatment strategies that will increase positive treatment outcomes and support integrated service delivery. We will discuss the cultural implications and provider responsibilities in providing appropriate treatment to this population. Finally we will describe methods of screening and evaluating clients to assure placement in the appropriate level of care and program model.

7F. Overview of the CalOMS Evaluation

Richard A. Rawson, Associate Director and Professor, UCLA Integrated Substance Abuse Programs and Department of Medicine

Rachel Gonzales, Research Associate, UCLA Integrated Substance Abuse Programs

Mary-Lynn Brecht, Research Statistician, UCLA Integrated Substance Abuse Programs

This workshop will provide a brief overview of the California Outcomes Measurement System (CalOMS) for treatment evaluation highlighting specific objectives and activities. This workshop will describe current efforts with performance and outcome measurement to date. Preliminary research findings on changes in performance and outcome measures using CalOMS treatment data will be provided.

7G. Putting the "T" in AOD Treatment: Integrating Tobacco Dependence

Marty Jessup, Associate Adjunct Professor, University of California San Francisco and Institute on Health and Aging

Vicki Smith, Associate Clinical Professor, University of California San Francisco

Tina Armould, Lead Case Manager, Women’s Recovery Services

Tobacco related illnesses are the leading cause of substance-mediated death among persons with alcohol and other drug dependencies. This workshop will present state and national trends in tobacco use; address States’ efforts to address tobacco dependence in persons in alcohol and drug (AOD) treatment and recovery; the health effects of direct and passive tobacco exposure on women and their children; and the portability of tobacco-specific treatment strategies to social model AOD programs.

7H. Moving Towards a Continuum of Services: The Role of Screening and Referral

Kerrilyn Scott-Nakai, Project Director, Center for Applied Research Solutions (CARS)

Christina Borbely, Consultant, Center for Applied Research Solutions (CARS)

A client centered continuum of services approach facilitates client entry through multiple service doors and is able to effectively meet the needs of clients. Prevention services which are focused on indicated populations are well positioned to foster client entry to both prevention as well as treatment services (as needed). This session provides an overview of the role of screening and referral to facilitating a continuum of services approach. Strategies for identifying appropriate participant inclusion and exclusion criteria for prevention services will be outlined. A list of potential screening tools and approaches will be reviewed. Discussion time will be allocated for participants to share strategies to foster effective referral systems and networks.