The conference will feature three intensive days of training sessions with national trainers, such as Darryl Inaba, PharmD, CADC-V, CADC III, Denna Vandersloot, MEd, Malcom Horn, LCSW, MAC, SAP, NCIP, and Cynthia Moreno Tuohy, NCAC II, CDC III, SAP.


Thursday, May 31

7:00am – 3:30pm Registration
7:00AM – 3:30pm Exhibits OPEN
7:00am – 8:00am Breakfast
8:00am – 8:30Am Welcome/Opening

Cynthia Moreno Tuohy, NCAC II, CDC III, SAP; Malcolm Horn, LCSW, MAC, SAP

8:30am – 10:00Am Keynote

Alternatives: Pharmacotherapy for Addiction
Brad Anderson, MD
Participants will become familiar with the medications commonly used in clinical practice for treating addiction, focusing on opioid and alcohol addiction. Dr. Anderson brings 25 years of practice experience exclusively in addiction medicine and will also be able to speak to the history and current state of the opioid addiction epidemic in our country.

8:30am – 4:30pm Conflict Resolution for Recovery

Conflict Resolution for Recovery - Day 1
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP
With funding from NIDA, Cynthia Moreno Tuohy worked with Danya International to conceptualize, develop, and evaluate a multi-component, multi-media tool for use by addiction and other helping professionals to assist adults and youth improve their life traumas and conflict through knowledge, attitudes and skills developed in the frontal cortex of the brain. Romancing the Brain skills are an intensive set of psycho-emotional-social-spiritual Cogitative Behavioral Therapy (CBT) treatments that, if followed, will result in brain pathway and lifestyle changes. This program will affect a “self and other” assessment of conflict style with a communication style, and world view positive relationship skills with the goal of thought and behavior changes that are instilled in the brain. Some treatment sessions are based in brain research and CBT treatments that have been effective for anger and relapse-triggering problems. Other techniques are employed that unify the principles of social learning and emotional intelligence theory that mark this program as different from “anger management” programs. This program affects behavioral learning with emotional development and maturity that results in long-term changes in the brain and behavior. This training includes substance use disorder and mental health issues and how these issues affect criminogenic behaviors and impairs the client’s ability to benefit from treatment and recovery.

10:00am – 10:15am Morning Break
10:15am – 11:45am Breakout Sessions

Motivational Interviewing for Managers and Clinical Supervisors - Part 1
Denna Vandersloot, M.Ed.
Managers and clinical supervisors are often charged with introducing new ideas and facilitating the implementation of evidence-based practices. Facilitating staff buy-in is a major component of successful service improvement and implementation of new practices. Employee responses to change are not always enthusiastic; responses sometimes range from a litany of the reasons the practice will not work, to outright refusal to change. How can managers and clinical supervisors effectively lead change and enhance the internal motivation of their staff? The principles and strategies of motivational interviewing provide a set of communication and relationship strategies designed to address the common issue of ambivalence towards change. This 5-hour workshop will explore the application of motivational interviewing strategies to working effectively with employees to facilitate internal motivation for change and empowering staff using a strength-based approach to leadership.

Clinical Updates in Addiction Medicine
Eric Geisler, MD
This presentation will begin with a discussion of Kratom, including how to recognize withdrawal and the need for medication assisted support with this widely available over-the-counter herbal. Marijuana retail will be detailed, including how to calculate expected quantitative metabolites in urine toxicology based on current products. The presentation will also cover Vivitrol, including an explanation of non-inferiority studies recently published versus buprenorphine in MAT. Finally, the presentation will cover the three uses of buprenorphine for MAT, chronic pain and opiate withdrawal.

11:45am – 1:00pm Lunch

NAADAC State of the State Update Lunch
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP, Diane Sevening, Ed.D., LAC, and Malcolm Horn, LCSW, MAC, SAP

1:00pm – 2:30pm Breakout sessions

Motivational Interviewing for Managers and Clinical Supervisors - Part 1 Continued
Denna Vandersloot, M.Ed.

Eating Disorders: The Basics and Beyond - Part 1
Malcolm Horn, LCSW, MAC, SAP
This presentation will provide attendees with a basic overview of eating disorders and their co-morbidity to substance-use disorder. Attendees will gain awareness of diagnostic criteria, signs and symptoms that may be present and how to appropriately assess.

2:30pm – 2:45pm Afternoon Break
2:45pm – 4:30pm Breakout SesSions

Motivational Interviewing for Managers and Clinical Supervisors - Part 2
Denna Vandersloot, M.Ed.

Eating Disorders: The Basics and Beyond - Part 2
Malcolm Horn, LCSW, MAC, SAP

Friday, June 1

7:00am – 3:00pm Registration & Exhibits Open
7:15am – 8:00am Breakfast
8:30am – 4:30pm Conflict Resolution for Recovery

Conflict Resolution for Recovery - Day 2
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP

8:30am – 10:00Am Keynote

Understanding the Science of Addiction, Relapse and Recovery
Darryl Inaba, PharmD, CADC-V, CADC III
The science of substance-related and addictive disorders has now moved “mainstream” in public awareness and that is helping to erode its stigma along with inspiring innovative new treatment approaches. Genetic, epigenetic, pharmacology, brain imaging, and other research techniques/tools validate addiction and even its recrudescence (relapse) episodes to be due to neurobiological variances in those who experience addiction. This presentation will explore the evolving science addiction and help to explain how it is changing the way we look at substance-related and addictive disorders as well as how its management is also changing. It will also present the neuroplasticity of brain cells that can be observed during the recovery process and provide an update on the tools and processes that help promote sustained recovery.

10:00am – 10:15am Morning Break
10:15am – 11:30am Breakout Sessions

Cannabis Use Disorder: An Inconvenient Reality
Darryl Inaba, PharmD, CADC-V, CADC III
Alaska, California, Colorado, Maine, Massachusetts, Nevada, Oregon, Washington, and Washington, DC have legalized marijuana for recreational use and 29 states plus the District of Columbia have approved medical use of marijuana despite the fact that pot is still a federal Schedule I substance of abuse, and a growing body of medical evidence that demonstrate marijuana (THC), especially in its newer highly potent forms (“extracts/edibles”) and synthetic cannabinoids (“Spice”), result in addiction, medical and mental health problems. This presentation will look at marijuana as a drug: It’s medical and abuse potential relative to other psychoactive substance, its botany, chemistry, pharmacology, impact on the adolescent brain and especially the 8-9% of users who develop Cannabis Use Disorder (CUD). Current treatments of CUD will also be reviewed.

Gambling, Substance Use, and Mental Health Disorders: Similarities, Screening, and Treatment Strategies
Maureen Greeley
Gambling disorder is highly comorbid with other behavioral and mental health disorders, particularly substance use disorders (SUD). How does addressing gambling issues increase treatment effectiveness for clients in SUD and mental health treatment? What screening tools are available and what are some of the barriers to effective screening? Join us for an introduction and overview of integrating gambling disorder into SUD and mental health treatment plans.

11:30am – 1:00pm Lunch

Lunch & Medication Assisted Treatment (MAT) Roundtable
Darryl Inaba, PharmD, CADC-V, CADC III, Brad Anderson, MD, and Eric Geisler, MD
This will be a facilitated discussion of MAT. Roundtable participants will briefly describe their practice of MAT including barriers and successes. Questions from the audience will be solicited and audience members will gain individualized perspective of strategies and benefits for MAT.

1:00pm – 2:30pm Breakout Sessions

Beyond Opiates: Evolving Science of Pain and Addiction 
Darryl Inaba, PharmD, CADC-V, CADC III
Estimates of addiction/chronic pain co-morbidity vary from 3% to 40%. Those working in the treatment of either of these conditions usually lean towards the higher projection. The 2015 NIH White Paper on pain documents an opiate/prescription opioid epidemic punctuated by increasing overdose deaths. On October 26, 2017, an Opioid Public Health Emergency was declared. Iatrogenic opioid addiction once considered very rare is now more common. Treatment of opiate/opioid use disorder patient who suffers chronic pain continues to be a difficult challenge as is the treatment of pain in any patients with substance-related and addictive disorder. The presentation will examine this conundrum. How hyperalgesia, hyperpathia, hyperkatifeia, allodynia, and opioid addiction compromise the use of opioids in the treatment of chronic pain will be examined.

Ethics and Addiction Counseling - Part 1
Lindsey Hofhine, MAC
The new NAADAC Code of Ethics and commonly misunderstood guidelines will be discussed.

2:30pm – 2:45pm Afternoon Break
2:45pm – 3:00pm Afternoon Plenary

Current Trends: New Faces on the Usual Suspects
Darryl Inaba, PharmD, CADC-V, CADC III
New abusable phytochemicals and synthetic “designer” molecules along with the continued proliferation of diverted prescription and OTC medications creates a significant challenge in the recognition and treatment of current addiction and/or mental health problems. “Spice, Bath Salts, Benzo Fury, Flakka, Kratom, Salvia, Pinky” and many other substances have recently exploded within the drug abusing subculture. Practically, all can be generally viewed as being a CNS stimulants, depressants or psychedelics: Uppers, Downers, All Arounders. This presentation will review these trends along with new forms of cannabis (“shatter”) being abused to update what is known about their effects as well as how they complicate diagnosis and treatment of both addiction and mental health disorders. “Designer drugs” created to circumvent legal and detection processes will also be explained.

5:00pm – 5:30pm Oregon Advisory Leadership Council Meeting
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP, and Malcolm Horn, LCSW, MAC, SAP
Meeting with interested individuals for Oregon leadership and board establishment.
5:30pm – 6:00pm Regional Meeting for Presidents and board Members
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP, Malcolm Horn, LCSW, MAC, SAP, and Diane Sevening, Ed.D., LAC, MAC
Meeting with Oregon Advisory Committee and other state board members (meet, greet, learn).

Saturday, June 2

7:00am – 3:00pm Registration
7:15am – 8:30am Breakfast
8:30am – 4:30pm Conflict Resolution for Recovery

Conflict Resolution for Recovery - Train the Trainer
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP

8:30am – 10:00Am Keynote

S.U.C.C.E.S.S. (Shining Under Constant Chaos Eventually Standing Strong)
Diane Sevening, EdD, LAC, MAC
This session is an opportunity for participants to reflect and realize their personal and professional skills. Ideas and techniques to recharge will be explored along with identifying needs, assets, and strengths. Topics include leadership development, mentoring, being a change agent, and keeping the juices flowing.

10:00am – 10:15am Morning Break
10:15am – 11:30am Breakout Sessions

Ethics and Addiction Counseling - Part 2
Lindsey Hofhine, MAC

An Introduction to Recovery Coaching
Terri Roper, MS, CDP, NCAC II
This workshop will provide participants with an introduction to SUD Peer Recovery Coaching.

11:30am – 1:00pm Lunch

Networking Lunch
Cynthia Moreno Tuohy, NCAC II, CDC III, SAP and Malcolm Horn, LCSW, MAC, SAP

1:00pm – 2:30pm Breakout Sessions

Telehealth: Above and Beyond
Malcolm Horn, LCSW, MAC, SAP
This presentation will provide the basic principles of Telehealth including its utility and basics of implementation. This presentation will review some of the guiding principles and best practices for telehealth including its use for supervision. Participants will gain some tools to implement and ethical telehealth practice.

Binge Eating Disorder & Gastric Bypass
Hilmar Wagner, MPH, RDN, CD
This presentation will define binge eating disorder and explain the diagnostic criteria. The presenter will compare and contrast COE, over eating, obesity. The presentation will provide an overview of current bariatric surgery procedures, their outcomes and complications and review current screening for eating disorders for those who are considering bariatric surgery and what the dangers are for individuals with disordered eating/eating disorders considering bariatric surgery. Main clinical features of eating disorders presenting after bariatric surgery.  Addressing eating disorder behaviors post-surgery will be reviewed.

2:30pm – 3:00pm Afternoon Break
3:00pm – 4:30pm Closing Plenary

Spiritual Homelessness
Robert Richards, MA
The topic is intended to assist the addiction professional in understanding issues related to working with their clients on spiritual issues, helping clients to discover the value of spirituality to recovery, helping them to develop spirituality through assessment, planning and spiritual growth and how to apply spirituality to their recovery.