NAADAC and its Northwest affiliates are excited to announce the preliminary  schedule for the 2019 Northwest Regional Conference: Embracing the Future. 

The three-day conference is taking place at the Portland Marriott Downtown Waterfront from Thursday, June 13 - Saturday, June 15, 2019.

Thursday, June 13

7:00 AM – 5:00 PM Registration Open
7:00 am – 5:00 pm Exhibit Hall Open
7:00 am – 8:00 am Continental Breakfast in Exhibit Hall
8:00 am – 8:30 am Opening Session

Welcome to Embracing the Future
Cynthia Moreno Tuohy, BSW, NCAC II, CDC III, SAP, NAADAC Executive Director and Malcolm Horn, PhD, LCSW, MAC, SAP

8:30 am – 9:45 am  Keynote SESSION

Recovery Is a Process of Change: Integrated and Client Centered Care         
Carlo DiClemente, PhD
SAMHSA’s definition of recovery is that it is a process of change and focused on wellness and quality of life dimensions not simply an absence of symptoms or substances. This keynote will describe how recovery is a journey that involves changes in multiple areas of life. The challenge is in how the individual and the systems of care manage this process of change to create a self-directed life that strives to reach its full potential. We will examine how healthcare systems need to treat patients/clients as consumers who should be in charge of their recovery and how integrated care is needed to support this process of change for individuals in pre-action and action stages of change.

9:45 am – 10:00 am  Morning Break in Exhibit Hall
10:00 am – 5:15 pm  All Day Session

Helping People Change: Supporting and Building Resilience and Self-Regulation
Carlo DiClemente, PhD
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Research in psychotherapy and addiction treatment focuses on what providers do. We study different types of treatments, characteristics of providers, and therapy alliance or relationships as mechanisms of change. The reality is that the client is in charge of change.This workshop will examine how to help people navigate their personal process of change and how the strategies and services we provide in our care systems interact with the client mechanisms or processes of change. We will explore how resilience relates to recovery and personal change. Finally, we will discuss how self-regulation is a critical component of recovery and how to support impaired self-regulation in providing services to people with addictions.Shared personal experiences and experiences of clients with the change process will highlight barriers and resources for key transitions, tasks, and mechanisms.

10:00 am – 12:00 pm  Breakout Sessions

Ending the Epidemic: A New Risk-Informed, SUD Assessment, Prevention, and Treatment Guide
Calvin McGinn, PhD, LMFT, RN
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McRISC© is a 10-minute, risk-informed SUD assessment that freely offers anyone with a smartphone: (1) their chances of becoming addicted to motivate prevention; (2) their DSM-V-informed acute SUD illness severity and likelihood of a lasting remission; and (3) the recommended level of care, treatment, and duration. Evidence-based answers come in two reports from a HIPAA-compliant website: a Personal Profile narrative of SUD history, risk-factors and recommendations, and a Clinical Profile that graphs illness variables for provider treatment guidance. The workshop includes a literature review, results-to-date/ongoing studies, and trying out the tool and its reports. It concludes with a group discussion of the merits and challenges of bringing this efficient innovation to a range of settings.  

Eating Disorders and Substance Use Disorders: Assessment, Conceptualization, and Treatment
Alyssa Kalata, PhD
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This presentation will discuss strategies for effectively assessing, conceptualizing, and treating co-morbid eating disorders and substance use disorders.  The presentation will begin with a review of the epidemiological data on eating disorders and substance use disorders, including highlighting the impact of these disorders across diverse populations. Quantitative and qualitative assessment strategies will then be discussed, and a framework for multidisciplinary case conceptualization will be presented. The presentation will conclude with a comprehensive review of psychotherapeutic, dietetic, and medical interventions that can effectively target eating disorders and substance use disorders concurrently.

NOON – 1:00 PM LUNCH Session 

NAADAC State of the State Update
Cynthia Moreno Tuohy, BSW, NCAC II, CDC III, SAP, NAADAC Executive Director and Malcolm Horn, PhD, LCSW, MAC, SAP
NAADAC’s Executive Director and the NAADAC Northwest Regional Vice President will provide an overview on the state of NAADAC, the Association for Addiction
Professionals, including the state of the Northwest Region, and reveal NAADAC’s strategy and initiatives for the addiction profession.

1:00 PM – 3:00 PM BREAKOUT SESSIONS

Leveraging Applied Positive Psychology to Prevent Substance Use Disorder and Relapse
Garret Biss, USMC (Ret.), MRED, CAPP
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The presentation provides positive psychology interventions (PPIs) for promoting human potential, boosting self-efficacy, and strengthening resilience against substance misuse. The presentation teaches positive psychology’s model of human flourishing with content is human strengths-focused and promotes the wellness treatment paradigm. The audience will engage in an experiential-learning style of presentation requiring them to utilize multiple positive psychology tools and PPIs in their own life. Additionally, the audience will learn how applied positive psychology is an effective pathway to recovery and how it provides a framework that can be scaled and customized for any type audience or level of involvement.

Addiction, Shame, and Trauma: Starting from the Bottom Up
Sarah Buino, LCSW, CADC, CDWF
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As professionals who work with clients struggling with substance use disorders, we know that shame, addiction, and trauma often come as a package deal. Treating these issues with talk therapy isn’t always effective in attending to the deep roots of the problem. In order to properly address addiction (and underlying trauma), we need to engage the limbic system utilizing somatic and experiential interventions. This seminar is designed to view addiction, shame, and trauma from an attachment trauma perspective and utilize somatic and experiential tools to provide symptom relief to patients. Participants will learn to provide an experience rather than an explanation and take away interventions they can perform with clients in a variety of settings. 

3:00 PM – 3:15 PM Afternoon Break in exhibit hall
3:15 PM – 5:15 PM BREAKOUT SESSIONS

The Interplay Between New Rules Governing 42 CFR Part 2 and HIPAA
Charles Hemingway, JD, MS, MAC, CADC III
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In 2017, the Health & Human Service Office of Civil Rights issued updated HIPAA guidance, including guidance to help address privacy questions regarding opioid overdoses. During this same period, SAMHSA was undergoing a detailed review and update of the 42 CFR Part 2 confidentiality rules for substance use disorder patient records. Although the final 42 CFR Part 2 rule went into effect March 21, 2017, additional required clarifications did not result in a final revised rule until January 3, 2018.  Given the significance of these two major rules, and their recency, it is critical that addictions professionals be familiar with substantive issues and matters of both regulations.  This 2-hour seminar will familiarize attendees with the mechanics of both rules and the interrelationship between them.

Gambling Disorder: Odds Are We Are Missing a Chance to Treat 
John Bundrick, LPC, ICGC II
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The primary goal of this presentation is to educate providers on the negative impact that gambling disorder can have when treating a number of client populations who present for reasons other gambling. The inclusion of gambling in the DSM-5 as a non-substance related addiction necessitates that we as providers increase our awareness of how it can affect our clients in the same way that substance disorders can. This presentation will present research that illuminates the importance of assessing for gambling disorder. It will introduce brief screening tools that can be easily administered during assessments to help providers increase their awareness of how gambling disorder may present in their practices. 

5:30 PM – 6:30 PM Northwest Regional Meeting
7:00 PM – 8:30 PM Chemical Dependency Professionals of Washington State (CDPWS) General Meeting

Friday, June 14

7:00 AM – 5:00 PM Registration Open
7:00 am – 5:00 pm Exhibit Hall Open
7:00 am – 8:00 am Continental Breakfast in Exhibit Hall
8:00 am – 9:30 am  Keynote SESSION

The View from SAMHSA: Current and Future Trends in Behavioral Healthcare
David Dickinson, MA, SAMHSA Regional Administrator
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This plenary session will provide an overview of SAMHSA policy and program direction, highlighting new resources, training, and impacts of funding to states, tribes, and communities. Included will be updates on the opioid epidemic from the national and regional perspective, current efforts on suicide prevention, the continuing movement toward integrated of mental and substance use disorder services into primary healthcare setttings, and available funding updates across the continuum of care for mental and substance use disorders. 

9:30 am – 10:00 am  Morning Break in Exhibit Hall
10:00 am – 5:00 pm  All Day Session

Clinical Supervision and Special Needs
Cynthia Moreno Tuohy, BSW, NCAC II, CDC III, SAP and Malcolm Horn, PhD, LCSW, MAC, SAP
Your focus on clinical supervision is different that your sights on counseling.  Come spend the day working on competencies and knowledge to provide effective supervision for counselors in a substance use and co-occurring disorder treatment environment. Educational experience only partly prepares people for the actual practice of counseling. Clinical Supervision provides the counselor with a regularly scheduled time to talk with a more experienced clinician to focus on applying skills to specific patient situations.  This workshop will discuss practical models and techniques to provide clinical supervision including discussion on ethics and telehealth. This training will present information about how to help counselors to learn when and how to implement particular skills, create a therapeutic alliance with a diverse group of people, manage their own emotional reactions, manage paperwork and other demands, handle emergencies and maintain their own sense of hopefulness and self-efficacy in order to be effective.  

10:00 am – 12:00 pm  Breakout Sessions

Using Bridge Drawings in Groups to Promote Personalized Understanding of the Stages of Change
Libby Schmanke, LCAC, MAC, ATR-BC, ATCS
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Variations of the Bridge Drawing are used by art therapists for informal assessment and as therapeutic interventions. The version described in this session can be used by counselors in substance use treatment groups to promote client self-insight and discussion of movement on the Stages of Change. Attendees will experience doing a bridge drawing, will see a powerpoint presentation including many sample drawings by clients in addiction treatment, and will receive handouts reminding them of possible symbolic elements and group discussion prompts. Art ability is NOT required for attendees or their future clients! The presenter is a credentialed art therapist and licensed addictions counselor who has researched and published on the use of bridge drawings in substance use disorder treatment.

Dynamics of Marriage and "The Family of Origin Approach": A Couple's Journey to Fulfilling Partnership
Leticia Isidro-Clancy, LPC, MFT, LCXADC, CCS and Cathy Angelica, LCSW
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Couple’s therapy falls short of addressing the formative experiences of the individuals. Tools, such as genogram and facilitative techniques, can reveal the influences of past experiences. The therapeutic process fosters practitioners’ use of their theoretical orientations and skills to facilitate couples' self- awareness and the need to change without feeling judged. The process of change of the individual parallels the Transtheoretical Model of Prochaska & DiClemente, an integrative stages and process of intentional behavior change. To achieve the best possible results from therapy, individuals need to apply what they learned about themselves, take the responsibility toward self-change. The improvement of their relationship will help break the cycle of multi generational dysfunction.

NOON – 1:00 PM LUNCH Session

NAADAC Training & Professional Development Update
Samson Teklemariam, MA, LPC, CPTM and Addiction Technology Transfer Center (ATTC) Network
NAADAC Training & Professional Development is always designed to match the growing needs of the addiction treatment professional and the ever-changing schedule in our industry. In many local programs, budgets for training & professional development is shrinking at a time where what we need to know to do our job well is growing. This workshop will present learning trends in the workforce, tips on how to leverage NAADAC Training & Professional Development, and a strategic roadmap for training in 2019-2010.

1:00 PM – 3:00 PM BREAKOUT SESSIONS

Learning Motivational Interviewing Through Practice - Part 1
Samson Teklemariam, MA, LPC, CPTM
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Motivational Interviewing (MI) is a core evidence-based model in addiction treatment, but, in real life practice, helping professionals wonder if their execution of MI adheres to true MI. How does the average client-counselor relationship compare to those examined in formative MI research? The core objective of this workshop is to learn fundamental techniques, like MI, through practice rather than lecture or theory. The participant will (1) assess their current understanding of MI through a self-assessment, (2) practice strategic listening skills, and (3) role play well-known MI techniques. The end goal is to walk away with a basic understanding of "practice routines" that any professional helper can rehearse to improve their adherence to MI and confidence in listening.

Trauma Informed Approach Using ACEs Assessment as a Modality to Treatment - Part 1
Yvonne Wilhelm, LMHC, MAC, NCC and 
Cheryl Wright, LMHC, CDP, NCC, MAC
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The field of human services is embarking on a new approach with trauma informed care by shifting the basic questions that we ask. An example of this is replacing the "what's wrong with you" question to "what happened to you and how does that continue to play have an impact your life today?" A trauma-informed approach calls for a greater sensitivity and a deepening of understanding. Learning how to administer and use the Adverse Childhood Experiences assessment will give you the understanding of how a highly stressed childhood has the tendency to produce physical, mental, and emotional problems. How can one overcome the effects of adversity? We will be looking at emotional regulation, resiliency and recovery using the ACES assessment and a trauma-informed care approach.

3:00 PM – 3:15 PM Afternoon Break in exhibit hall
3:15 PM – 5:15 PM BREAKOUT SESSIONS

Learning Motivational Interviewing Through Practice - Part 2
Samson Teklemariam, MA, LPC, CPTM
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Motivational Interviewing (MI) is a core evidence-based model in addiction treatment, but, in real life practice, helping professionals wonder if their execution of MI adheres to true MI. How does the average client-counselor relationship compare to those examined in formative MI research? The core objective of this workshop is to learn fundamental techniques, like MI, through practice rather than lecture or theory. The participant will (1) assess their current understanding of MI through a self-assessment, (2) practice strategic listening skills, and (3) role play well-known MI techniques. The end goal is to walk away with a basic understanding of "practice routines" that any professional helper can rehearse to improve their adherence to MI and confidence in listening.

Trauma Informed Approach Using ACEs Assessment as a Modality to Treatment - Part 2
Yvonne Wilhelm, LMHC, MAC, NCC and Cheryl Wright, LMHC, CDP, NCC, MAC 

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The field of human services is embarking on a new approach with trauma informed care by shifting the basic questions that we ask. An example of this is replacing the "what's wrong with you" question to "what happened to you and how does that continue to play have an impact your life today?" A trauma-informed approach calls for a greater sensitivity and a deepening of understanding. Learning how to administer and use the Adverse Childhood Experiences assessment will give you the understanding of how a highly stressed childhood has the tendency to produce physical, mental, and emotional problems. How can one overcome the effects of adversity? We will be looking at emotional regulation, resiliency and recovery using the ACES assessment and a trauma-informed care approach. 

3:00 PM – 3:15 PM Oregon Affiliate Board Meeting
Kerry Speed, CADCIII, LADC, Registered LPC Intern

Saturday, June 15

7:00 AM – 3:00 PM Registration Open
7:00 am – 3:15 pm Exhibit Hall Open
7:00 am – 8:00 am Continental Breakfast in Exhibit Hall
8:00 am – 3:00 pm  All Day Session

Opioid Use Disorder and its Treatment: Tales from the Field
K. Michelle Peavy, PhD
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This training will provide attendees with a deeper understanding of individuals struggling with an opioid use disorder, and the treatment options available to them. The content will focus models of treatment (Medication Assisted Treatment, medications and modalities); and review the evidence that both underscores the opioid epidemic, and provides support for MAT.  

8:00 am – 12:15 pm  Breakout Sessions

Trauma-Responsive Care - Reclaiming the Spirit from the "Realm of Hungry Ghosts"
Michael G. Bricker, MS, CADC II, NCAC II, LPC
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This session will explore the difference between trauma-informed and trauma-responsive treatment modalities, and the neuroscience of recovery including how the blending of mindfulness, other wisdom traditions, and western neuroscience can help people regain their pride of place in family and community.

Improving Clinical Supervision Skills
Hakeem Lumumba, PhD, CAADC, MAT, LPC
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In today’s clinical settings, clinicians, therapists, and practioners are charged with delivering care to acute and chronic clients. In addition, they are often charged to deliver clients’ care while maintaining current documentation, exceedingly high caseloads, and, in some cases, a stressful work environment. Successful supervision is critical to promote staff and client wellness. It is crucial that clinical supervisors are armed with effective models, strong ethical and legal foundations, and resources.  

10:00 am – 10:15 am  Morning Break in Exhibit Hall
12:15 pm – 1:00 PM LUNCH Break 
1:00 PM – 3:00 PM BREAKOUT SESSIONS

Practicum to Professional Strategies for Workforce Development
Kenneth Roberts, MPS, LADC, LPCC and Monique Bourgeois, MPNA, LADC 
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The convergence of a national substance use crisis and substantive legislation to increase care access make the behavioral health field one of the fastest growing workforces in the country. This positive future is undercut by a severe deficit in current workforce and inadequate commitment to quality development. In this atmosphere, it is incumbent upon industry providers to identify and cultivate long term strategies for developing future professionals in support of best client care. This session will identify and review best practices in support and professional supervision during the critical phases of practicum and transition to new professional as key organizational strategies for recruitment, development and retention of quality long term team members.

Pain is Inevitable, Misery is Optional: Emotion Regulation Skills in Pain Treatment
Osvaldo Cabral, MA, LPC, LAC
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Research has shown that mental health, addiction and medical pathologies prominently interface in pain disorders and create challenges in self-regulation. Emotion regulation skills play a vital role in working through the challenges for better outcomes and acceptance of the pain disorder and its accompanying emotional and mental concerns. This presentation will focus on effective emotion regulation skills used in the chronic and acute pain population for a more comprehensive treatment approach. These skills affectively target and help manage mental health conditions, distressing emotions and physical pain symptoms increasing successful outcomes. 

3:00 PM – 3:15 PM Afternoon Break in exhibit hall
3:15 PM – 5:15 PM Closing Plenary Session

Romancing the Brain
Cynthia Moreno Tuohy, BSW, NCAC II, CDC III, SAP
This session will give a “appetizer” of and evidenced-based model of treatment and recovery that was funded by 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 addictive cycles and 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 for addiction that include process addictions. Some treatment sessions are based in brain research and CBT/DBT treatments that have been effective for substance use disorder, gambling, video disorders and other disorders. Other techniques are employed that unify the principles of social learning and emotional intelligence theory. This program affects behavioral learning and trauma recovery with emotional development and maturity that results in long-term changes in the brain and behavior.