The 2021 Annual Conference featured a virtual Poster Hall, where attendees were able to view posters, watch available video poster presentations, and connect with poster presenters to ask them questions and learn more about their reserarch!

Attendees may receive 0.5 continuing education (CE) hours for each poster presentation you interacted with. The CE Quiz process for conference posters requires you to answer five substantive questions about each poster you interact with. Please click on the blue "Access CE Quiz" button for each poster you interacted with and complete the associated CE quiz. Click here for more information on how to obtain your CEs.

Questions about the CE process? Please visit or contact Allison White at [email protected].

Poster Presentations

A Cultural Humility Approach to Unpacking Mental Health, Racism, and Stigma, presented by Donna Murray, DMSc, MS, PA-C, and Monica Miles, PhD
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Two million three hundred thousand African Americans suffer from opioid use disorder, and 87% of these individuals are unable to access treatment. George Floyd was just one individual who was unable to access the care that may have saved his life. The stigma associated with African American’s suffering from opioid use disorder is often responsible for the over-criminalization and engagement with the criminal justice system rather than mental health systems. Research indicates that access to culturally competent care, including prevention, harm reduction, and treatment, would decrease the overdose death rates among African Americans. If this is true, care that is grounded in cultural humility and compassion could have prevented George Floyd’s death, and unpacking this example can provide learning opportunities for many health care providers to prevent the deaths of millions more at risk from opioid use disorder or over-policing in minoritized communities.

A Parent and Family Recovery Support Program Entitled Families Uplifted Through Recovery Educationpresented by Allison Huff MacPherson, DHEd
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Funded by HRSA (#T26HP394559), the UArizona’s Comprehensive Pain and Addiction Center, Center for Rural Health, and Department of Family and Community Medicine’s Workforce Development program partners with community providers to tackle one of the greatest challenges facing this nation – OUD impact on youth and families. This project fills a gap in the recovery workforce through the Families Uplifted Through Recovery Education project (FUTRE). This didactic and experiential learning program trains paraprofessionals with lived experience as Parent and Family Support Specialists (PFSS) through an existing certificate program with an enhanced curriculum that focuses on OUD and families. This presentation reviews the curriculum, strengths, and challenges identified during the first iteration of the program and discusses potential revisions to the curriculum and implementation.

A Qualitative Investigation of the Transformation from a Patient to a Peer Recovery Support Specialistpresented by Diane Zero, PhD, MEd
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Over the last twenty years, reimbursement sources for peer support services steadily increased in the U.S. However, few studies examine how individuals in personal recovery are affected by becoming peer supports. This qualitative study explored the transition from patient to peer support as a social process. Findings showed individuals experienced a significant period of adjustment before accepting their new identity. Early on, they became consumed by their work, and their recovery was at risk. They felt unprepared for the day-to-day realities of their work. As individuals transitioned into their peer support identity, they created role boundaries and sought support to reduce risk of relapse. Recommendations for practice include rationale for a core certification training curriculum, adopting structured onboarding for new hires, and for supervisor training.

ADD/ADHD: Use of Stimulants in Persons on Long Term Recoverypresented by Velam Madhu, CAT, MD
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According to the National Survey on Drug Use and Health (NSDUH), 19.7 million American adults (aged 12 and older) battled a substance use disorder in 2017. [1] ADHD has a high comorbidity with substance use disorders (SUD). Both diseases have profound social, psychological, and economic consequences and are therefore highly relevant for health systems. Despite pharmacotherapy being the cornerstone for the management of ADHD, many physicians would prefer a non-stimulant medication. [2] The presentation is going to provide an overview of choice of pharmacotherapy for co-occurring ADHD and SUD with discussion on advantages and disadvantage of non-stimulant medication.

[1] -
[2] - Stockl KM, Hughes TE, Jarrar MA, Secnik K, Perwien AR. Physician perceptions of the use of medications for attention deficit hyperactivity disorder. J Manag Care Pharm. 2003 Sep-Oct;9(5):416-23. doi: 10.18553/jmcp.2003.9.5.416. PMID: 14613439.

Americans with Disabilities Act, Addiction and Recovery Fact Sheet Seriespresented by Jan Garrett, JD, and Oce Harrison, EdD
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Thousands of people in recovery from addiction are unaware of their civil rights under the Americans with Disabilities Act (ADA). The ADA ensures that people with disabilities have the same rights and opportunities as everyone else. This includes people with alcohol use disorder and substance use disorder. This ADA, Addiction and Recovery Fact Sheet Series explains ADA protections in employment, state and local governments, and businesses and non-profits. These differences are illustrated with scenarios about alcohol, opioids, cocaine, and marijuana. Know your rights!

ASAM Criteria Applied to Individuals with Substance Use Disorder Facing Legal Concernspresented by Colleen S. Nusbaum, LCSW, CFMSW, CDC I, LPC Supervisor, Kathryn Dziekan, PhD, LPC, CRC, and Lise Klein Kirsis, MA, MS, LPC-S, NCC
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The USA Federal Bureau of Prisons (2021) reports that over 45% of the prison population are imprisoned for committing drug offenses. This does not even count other offenses committed when offenders were under the influence of substances. The American Society of Addiction Medicine (ASAM)’s patient placement criteria are being employed as a disease model solution toward treating individuals with substance abuse (ISA) challenges who face legal (moral model) challenges such as DUIs (Frank & Nagel, 2017). This presentation will discuss applying the ASAM Criteria to ISA’s who are involved with the legal system who are eligible to obtain substance use disorder treatment as an alternative to incarceration that supports them with overcoming their addiction challenges by receiving an appropriate treatment placement set forth within the ASAM Criteria.

Creating Accessible Spaces Within Substance Use Treatmentpresented by Sarah Irit E. Nunes, NIC, MSW
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Deaf, Hard-of-Hearing, Deaf and Disabled, Deaf New Americans, and Deaf-Blind communities possess unique, cultural, and linguistic identities. This presentation will include a discussion of results from a systematic review connected to the accessibility of substance use treatment centers for Deaf, Hard-of-Hearing, Deaf and Disabled communities; exploration of the intersections between cultural identity(s) and substance use treatment; strengths and limitations of the research; implications and future directions connected to substance use treatment approaches, policy, and highlight areas for future research and innovation.

Does School of Enrollment Matter? Recovery High Schools and Continuing Carepresented by Jacob Goldberg, LCSW, LAC, CCS, and Maurya Glaude, PhD, MSW, LCSW-BACS
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The purpose of this presentation is to share evidence of the efficacy of Recovery High Schools as an effective intervention. Recovery High Schools are a continuing care intervention for youth experiencing substance use disorders. There is tremendous social learning happening when youth in Recovery High Schools interact with peers, teachers, staff, and administrators who are often themselves in recovery and who have learned to live fulfilled, satisfied lives (Hennessy, Glaude, & Finch, 2017). Recovery High Schools go above and beyond what a non-recovery high school can provide - formal social support. Being in an environment with peers who also have a history of substance use and are focusing on sobriety and in recovery, can be a reaffirming shared experience.

It Ain’t What You’d Expect: Quality of Life for Individuals Living with HIV and in Recoverypresented by Jamian Coleman, MS, LPC, CRC, NCC
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Persons living with HIV now have the chance to live long, full, and meaningful lives with new medical advances in HIV research. However, these individuals continue to report a lower quality of life (QOL) than those not living with HIV, particularly for those living with HIV and also in recovery from substance use. This presentation explores considerations for persons living with multiple marginalized identities by looking at the relationships between stress, forgiveness, and QOL for this population. Attendees will explore how this knowledge can be integrated into various counseling and treatment settings, as well as discover interventions and treatment models that can be utilized to help persons living with HIV and in recovery from substance use move towards an increased QOL.

Multidisciplinary approach Addiction Psychiatry team for complications in Person who Inject Drugspresented by Kapila Marambage, MD, and Vivek Shah, MD
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The Parkland Hospital consultation liaison addiction psychiatry team is comprised of physicians, psychologists, pharmacists, social workers, and peer navigators. The addiction psychiatry consultation and liaison team is highly specialized in the treatment and management of substance use disorders. 

The advantages of collaborating with this team are: 
1) Management of substance withdrawals and safeguarding against complications; 
2) Assessment of readiness to change and motivational enhancement;
3) Initiation of agonists or deterrent medications for recovery; and 
4) Implementing aftercare and individualized recovery plan upon discharge. 
Collaborating with an addiction psychiatry consult team as part of a multi-disciplinary team can improve patient care and outcomes.

Reconceptualizing Internet/Gaming Disorder Through Motivation and Cognitive-Behavioral Factorspresented by Ezra Lockhart, PhD, LMHC, MAC, CAS
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Playing online games is leading to the development of unhealthy preoccupations. MMORPG, the most notable form of internet addiction for the past 20 years, has led to problematic online gaming behaviors with 20- to 40-year-olds identified as high risk. These behaviors and the resultant functional impairment of daily living that adults experience from playing MMORPGs was the problem addressed in this study, while the purpose was to provide further insight into adults’ experiences from playing MMORPGs. Psychological phenomenological methods and associated five-step phenomenological psychological data analysis were predicated on the integration of Online Gameplay Motivations Theory and Cognitive-Behavioral Model of Pathological Internet Use. Seven adult participants were interviewed, producing 26 themes and subthemes. Results revealed benefits and detriments of online gameplay.

Telemedicine Assist With Discharge Planningpresented by Celena S. Chong, LCSW-R, CASAC, CCTP
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Telemedicine has revolutionized how providers deliver treatment to their patients. The US federal government modified policies on telemedicine services which has made treatment implementation easier and accessible by lessening restrictions. Additionally, many payers, including private insurances, Medicaid, and Medicare, have expanded their reimbursement for telemedicine services, including video and telephone audio only visits. Discharge planner such as hospital social workers have particularly benefited from telemedicine by connecting patients with suboxone treatments prior to discharging. As result of the new medicine delivery method, it has decreased hospital recidivism and ensured patient’s following up on treatment. 

The Impact of Parental Substance Use Disorders on Attachment in Young Adults: A Qualitative Approachpresented by Anne Stewart, PhD, and Susan Hardman, EdS, NCSP
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Parental substance use is common and can negatively impact relationships with offspring.  To support individuals with substance use disorders it is important to understand the experience of their children.  This study investigated the impact of parental substance use disorder on relationships and attachment security in young adults.  Indicators of attachment insecurity in offspring was most prominent when parental substance use disorders occurred early in the child’s development and extended over multiple years.  Having a caregiver who provided attuned coregulation was a protective factor for attachment security.  Offspring often experienced role confusion and traumatic experiences related to the parental substance use.  Offspring generally reported negative views toward use of substances but varied in terms of personal practices, with some participants abstaining and others struggling with their own substance use disorder.  

The Prevention Holy Grail: Intervention Based On Cause, Not Symptomspresented by Patrick Moore, MA, LPC
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The problem with symptom-based prevention is symptoms. Preventing a process after it has begun is really treatment. This presentation utilizes an empowerment model that intervenes on a process before symptoms. The risk response process that develops into addiction starts out low risk. Risk is not the key, the pattern of development is. This presentation illustrates what the difference in pattern is between those freshmen college students (n=457) who will not experience dependence (75%) and those that are (5%), or are about to experience some level of substance use disorder (20%). The cause of any addiction is mistaking a dependent risk response pattern for an autonomous pattern. The measurements, data analysis and nomothetic causation, along with risk response theory, will be discussed.

The YSBIRT Evolution: A Field-Tested Model for Addressing Adolescent Substance Usepresented by Aaron Williams, MA
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Social determinants of health contribute to protective factors and risk factors that can impact youth substance use. For Black, Indigenous and People of Color and LGBTQ youth, each risk factor increases this likelihood, and along with the emergence of the COVID-19 pandemic, that risk has increased. Therefore, infusing youth SBIRT practices into routine primary and integrated care services is a promising intervention. Building upon the research on SBIRT adaptation for youth, the Facilitating Change for Excellence in SBIRT initiative developed a field-tested evidence-based guide for youth SBIRT implementation. This poster will highlight strategies and lessons learned for successful implementation, including experiences from primary care associations and health centers. Information will include change concepts to drive integration and a scalable, evidence-based youth SBIRT implementation model.

Transcutaneous Auricular Neurostimulation to Reduce Symptoms Associated with Opioid Withdrawalpresented by Carlos Tirado, MD, MPH
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This study evaluated transcutaneous auricular neurostimulation (tAN) as an aid in the reduction of symptoms associated with opioid withdrawal. This was a double-blind RCT study in which participants were randomized in a 1:1 ratio to one of two groups: 1) active tAN + usual treatment or 2) delayed-active tAN + usual treatment. Participants in the active tAN group received tAN immediately, whereas the delayed-active tAN had therapy turned on after a 30-minute delay (inactive). All participants were informed of their group assignment at the conclusion of the randomized, double-blind period, and all continued to receive active tAN throughout the five-day study. The primary endpoint was a successful mean percent change in COWS score from baseline to 60 minutes after start of active tAN therapy.

Understanding & Addressing Post Pandemic Trauma Impactpresented by Kenneth Roberts, MPS, LPCC, LADC
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The link between trauma and addiction is well documented. Research further supports this dynamic on a broad scale for population segments who have experienced catastrophic events. No past event of this type is comparable in scope, longevity, and potential impact to the COVID-19 Pandemic. In the days ahead, behavioral health professionals will be faced with unique challenges in treating a traumatic event experienced on a global scale. This poster will provide conceptualization of Pandemic Trauma and Stress Experience (PTSE), differentiation from Post-traumatic Stress Disorder (PTSD), and evidence-based strategies for individual providers, clinical teams, and overall agency settings in treating PTSE.

Using Poetry Therapy as a Trauma-Informed Practice with Addicted Populationspresented by Barbara Bethea, MA, PTR, LCAT, CASAC
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The purpose of this presentation is to introduce the use of poetry therapy as a trauma-informed practice with populations of people with addiction to professionals working with individuals that have been diagnosed with co-occurring disorders in a carceral setting or in substance use disorder treatment centers.