Special Workshop: A Recertification Course for Clinical Supervisors
Monday from 7:00 p.m. - 9:00 p.m. and continued Tuesday and Wednesday (Additional 4 hours; time to be during meals or determined as a group.) Participants may take this special workshop in addition to their regular courses.

Special Workshop Tuition Rate: $95
So you’ve passed the initial hurdle: you’ve either been credentialed as a clinical supervisor or you just want to have a refresher course to keep your skills current. This six-hour course is for you: it fulfills the training requirements for recredentialing in your state and provides you advanced knowledge and skills in supervision. Based upon the 2004 edition of David Powell’s book“ Clinical Supervision in Alcohol and Drug Abuse Counseling”, this course covers advanced models of supervision, the new blended model, using media in supervision, problem-solving, working with difficult staff (i.e., the resistant counselor), gate keeping functions in supervision, how to be a leader in the field, and contemplative models of counseling.

Learning Objectives: Participants will be able to:
1. Describe the matrix and contextual models of supervision;
2. Describe the new blended model of supervision;
3. State at least three media options to use in clinical supervision and staff training;
4. Describe two skills needed by managers in the future; and
5. Discuss three approaches of the contemplative approach to counseling and supervision.
Target Audience: This is a must have course for credentialed and want-to be credentialed clinical supervisors. There are very few opportunities to attend a one-day refresher and advanced course in supervision; don’t miss this one!
The Presenter: Dr. David Powell is an internationally recognized trainer and is the most published author and recognized expert on clinical supervision in the alcohol and drug abuse field. He has taught courses on supervision for 25 years around the world. His three books on supervision are the primary texts in the field and are used extensively in the ICRC CCS examination. Dr. Powell has offered this course in Portugal, Singapore, China, and many sites in the US. This is a rare opportunity to receive training from Dr. Powell in New England.

Track 1ABCD:
The Next Generation of Clinical Supervision: The Powell Blended Model of Clinical Supervision
Time: Monday – Thursday
Treatment programs are changing constantly with new diagnostic and patient placement standards. The bar of credential requirements is always being raised. Clinical supervision provides the most important resource available for training, management decision-making and quality assurance. Supervision is also a critical element of the counseling process, ensuring client outcome and employee satisfaction. The field has matured to a level in which new models for clinical supervision are required. The Blended Model of Supervision has been developed by Dr. David Powell to address the changes in the substance abuse field. This course will address these changes: bridging the gap between mental health and addictions; new ethical and legal standards and requirements; working in a managed care world; new techniques of clinical supervision, such as solution-focused supervision and motivational interviewing in supervision; a new approach to counseling and supervision, termed by Powell “Contemplative Psychology/Supervision.”
This course will examine the credentialing requirements for clinical supervisory certification and training in ethics. It addresses the four performance domains of ICRC: assessment/evaluation; counselor development; management/administration, and professional responsibilities. Participants will be aided in forming their own model of supervision as well as being oriented to a range of supervision models and techniques.

Learning Objectives: Participants will be able to:
1. Articulate their model of supervision and at least five other models;
2. Articulate the latest ethical principles for working in a managed care environment;
3. Define the basic skills and techniques of solution-focused supervision, and motivational interviewing supervision;
4. Define at least ten characteristics of three levels of counselor development and supervision approaches with each level;
5. Identify five problems in supervision and procedures to overcome these obstacles;
6. Demonstrate knowledge and skills in clinical supervision, using one-way mirror, co-facilitation, and videotaping, as well as the use of the sociogram in supervision; and
7. Articulate a new model to supervision, termed the contemplative model of supervision and psychology and integrate that model into the Powell Blended Model.
Target Audience: Participants should be managers, supervisors or administrators in treatment programs.
SPECIAL NOTE: This course has been approved by many states for CCS crediting by the I.C.R.C. for the clinical supervisor credential. Participants wishing to meet the 30 contact hour requirements of the I.C.R.C. must attend all major presentations (including evening presentations) and must complete the follow up course assignments. More information will be provided in class.
The Presenters:
Dr. David Powell is an internationally recognized trainer and is the most published author and recognized expert on clinical supervision in the alcohol and drug abuse field. He has taught courses on supervision for 25 years around the world. His three books on supervision are the primary texts in the field and are used extensively in the ICRC CCS examination. Dr. Powell has offered this course in Portugal, Singapore, China, and many sites in the US. This is a rare opportunity to receive training from Dr. Powell in New England.
Alan Lyme, MSW, LCSW, CAP, ICADC is co-author of the recently completed book, Men’s Healing: A Toolbox for Life. He created a unique gender-specific, holistic treatment model for men suffering from chemical dependency at the Center for Men’s Recovery at Hanley Center, where he served as Director of Education and Staff Development. His work has led him to address core male issues and relationships in numerous teaching environments. He received a Masters Degree in Social Work from Barry University, is a MINT recognized Motivational Interviewing trainer, a certified Ropes Facilitator and a Certified Neurofeedback Clinician.

Track 2ABCD:
Clinical Supervision To Support The Implementation, Fidelity & Sustaining Of Evidence-Based Practices
Time: Monday – Thursday
Sponsored by the Addiction Technology Transfer Center of New England
Clinical supervision is a key element in an agency’s successful implementation of new treatment practices. This 4-day course will address the supervisor’s role in the adoption process, basic concepts of technology transfer and the ATTC-NE’s Comprehensive Technology Transfer Model, and offer a teaching model to assist the supervisor to engage and support counselors in this endeavor. This course may be used to meet recertification requirements for Certified Clinical Supervisors.
Learning Objectives: By the end of the training, participants will:
1. Be familiar with NIDA’s 13 Principles of Effective Treatment, the key tasks of effective clinical supervisors in the adoption of evidence-based treatment practices, and TAP 21A – Competencies for Substance Abuse Treatment Clinical Supervisors;
2. Understand the basic concepts of technology transfer, models of change and a comprehensive technology transfer model, and currently identified evidence-based practices; and
3. Know the elements of, and be able to apply, a model for assisting counselors in faithful implementation of new treatment practices.
Target Audience:Current clinical supervisors.
IMPORTANT NOTE:This course may be used to meet recertification requirements for Certified Clinical Supervisors.
The Presenters:
Stephen Gumbley, MA, LCDP has been working in human services for more than 30 years, specializing in addiction education, prevention and treatment recovery since 1988. He has served as clinical supervisor and program director in a variety of treatment settings and is presently Co-Director of the Addiction Technology Transfer Center of New England at Brown University. He chairs the steering committee of the Institute for Addiction Recovery at Rhode Island College. He has published articles on adoption of evidence-based treatment practices in the Journal of Substance Abuse Treatment and Addiction Professional. In long-term recovery, Steve serves on the board of Faces & Voices of Recovery.
Margaret O'Hagan-Lynch, M.S., LPC is the Associate Director for Clinical Operations at River Valley Services in Middletown, CT and maintains a private practice in Wallingford, CT. She has worked in the behavioral health field for over 20 years and is known for her expertise in working with people who have co-occurring substance use and psychiatric disorders. Her degree in Rehabilitation Counseling, with a concentration in psychiatric rehabilitation, brings a unique perspective to treatment issues. She has vast experience in program design/implementation, staff development, training and consultation, community networking, and remains active in addressing treatment needs on both a local and statewide level. She has experience working in various levels of care in both the private and public sectors. She has implemented and maintained several Evidence Based Practices throughout these treatment settings. She has been working with the Addiction Technology Transfer Center of New England since 2003 and is a faculty member of the New England School of Addiction Studies.
Michael Torch, MA, LADC, LCS is an addiction treatment provider with over 30 years of experience. He was recognized by the New Hampshire Alcohol and Drug Abuse Counselor’s Association in 2002 with its “Life Time Achievement Award”. Currently working in Student Assistance, Outpatient Practice, and Behavioral Health consultation, Michael has been a trainer of alcohol and drug counselors for over 20 years and currently serves on the faculty of ATTC-NE and the New England School of Addiction Studies, with extensive experience treating chemically dependent adolescents and trauma victims. He is a Senior Consultant to the Science to Practice initiative of the New England Addiction Technology Transfer Center. Mr. Torch has served on the Alcohol and Drug Counselor Certification Review Board in New Hampshire for 15 years, is currently a member of the Alcohol and Drug Counselor Peer Review Committee, is a member of the State Advisory Board on Juvenile Justice in New Hampshire and serves on the National ATTC Advisory Board. .

TRACK 3ABCD
Exploring The Biochemistry Of Addiction And Mental Illness
Time:Monday - Thursday
A well-informed professional in today’s co-occurring world needs to have a working knowledge of how the body is involved in addictions and mental illness. It is no longer sufficient to be experienced in working with the mind because the body’s state of health strongly affects the mind’s capacity to function. It is important to understand the changed body chemistry of addiction and mental illness as well as the impact of medication and nutrition.
This 4-day course discusses normal anatomy and physiology to provide a baseline knowledge of the body and introduces participants to normal biochemistry including neurochemistry, hormones and important pathways. Following this introductory material, addictions and mental illness will be explored from anatomical, physiological and pathological perspectives. Treatment in the form of nutrition, nutraceuticals and pharmaceuticals will be discussed. This is a sophisticated science course that is presented in an understandable manner so science-phobics are welcome. You will find you can learn science and enjoy it…Promise!

Learning Objectives: Upon completing this course, participants will be able to:
1. Name two aspects of changed body chemistry of addiction and mental illness;
2. Describe two ways that medication and nutrition may impact; and
3. Discuss three treatments in the form of pharmaceuticals, nutrition, and nutraceuticals.
Target Audience: Clinicians
The Presenter:
Patricia Mulready, M.D. is a board certified physician who blends holistic and conventional medicine in her consultation practice. From her knowledge and expertise in medicine, mental health, addictions, education and spirituality, Dr. Mulready translates sophisticated information into easily understandable experiences for participants.

TRACK 4AB:
Regeneration Networking With Chemically Dependent Individuals And Families
Time:Monday – Tuesday
Like any system, the family is a complex array of structures and processes which are inextricably intertwined. A change in one of the family's processes results in a complimentary change in other processes and related structures. Similarly, a change in one of the family's structures may result in modification of an existing process, institution of new styles, or loss of a previously used process. For example, much has been written about the family which changes its executive sub-system from a two parent to a one parent configuration and vice-versa. There is recognition that communication, emotional support, and physical maintenance processes go through a variety of changes as a result of this structural change.
Active alcoholism/chemical dependency represents an ongoing change process for the family. The family makes slow, incremental, adaptive changes over time in response to the steady progression of the disease. These changes help the family to survive the continuing crisis that alcoholism/chemical dependency represents. They allow the system to maintain a tenuous homeostasis. They further serve to support (enable) the development of the disease. Common intuition suggests that these changed processes and structures may not be appropriate for living a drug and alcohol free life style in the real world. Indeed, available research and clinical evidence support that intuition. The family may wish devoutly for and applaud loudly the cessation of drinking/drugging and recovery of the alcoholic/chemically dependent member(s). However, that change presents the family system with the prospect of reversing changes in being that have accumulated over years in response to the illness. Some families do that more successfully than others as evidenced by the heightened divorce rate in newly sober/dry couples. Our job as therapists is to aid the family to make process and structural accommodations needed to make those changes that are functional for family and individual growth.

Learning Objectives: Participants will:
1. Describe the degeneration of the natural nuturing system of the chemically dependent individual, processes and outcomes;
2. Discuss the process of the evelopment of an artificial illness supporting system, includes family in new roles, helpers, and fellow AODA users;
3. Name the family role in Regeneration Networking;
4. List the principles of Regeneration Networking and core tasks;
5. Discuss Stages of Regeneration Networking including; retribalization, polarization, mobilization, depression and breakthrough; and
6. Describe a typical Regeneration.
Target Audience: Clinicians
The Presenter:
William L. Mock, Ph.D., LISW, LICDC, SAP is the Executive Director of the Center for Interpersonal Development and the Chief Trainer for the Ohio Institute for Addiction Studies. His academic degrees include a Doctorate in Psychology and Masters in Social Work. He is a clinical member of the American Association of Marriage and Family Therapy, a licensed Clinical Psychologist, Licensed Independent Social Worker and Licensed Independent Chemical Dependency Counselor. He has expertise in chemical dependency treatment, family systems treatment and organizational systems development. He has provided training and consultation in several countries to such diverse groups as treatment/prevention providers, family therapists, industry leaders, educators, administrators and criminal justice personnel.

TRACK 4CD:
Depressive Symptoms in Early Recovery: Management Strategies
Time:Wednesday – Thursday
This workshop is designed to assist Substance Abuse Professionals in working with clients who are experiencing depressive symptoms. These symptoms are common among clients in substance abuse treatment. Some studies indicate that as many as 98% of those presenting for substance abuse treatment have some symptoms of depression. Even when these symptoms do not reach the level of formal DSM-IVtr diagnosis, they represent a serious impediment to effective treatment and an increased risk of relapse if not addressed. Topics covered include: the nature of depressive symptoms, how depressive symptoms affect treatment efforts, range of clients who may experience depressive symptoms, approaches that may prove effective with this population, special setting specific considerations, and the professional roles and responsibilities of the substance abuse professional in relation to clients with depressive symptoms. The presenter was a contributor to a SAMHSA Treatment Improvement Protocol or TIP (in press) from which much of the material for this workshop is derived.
Learning Objectives: Participants will:
1. Describe the nature of depressive symptoms and how depressive symptoms affect treatment efforts;
2. Name three approaches that may prove effective; and
3. Discuss the professional roles and responsibilities of the substance abuse professional in relation to clients with depressive symptoms.
Target Audience: Clinicians
The Presenter:
William L. Mock, Ph.D., LISW, LICDC, SAP is the Executive Director of the Center for Interpersonal Development and the Chief Trainer for the Ohio Institute for Addiction Studies. His academic degrees include a Doctorate in Psychology and Masters in Social Work. He is a clinical member of the American Association of Marriage and Family Therapy, a licensed Clinical Psychologist, Licensed Independent Social Worker and Licensed Independent Chemical Dependency Counselor. He has expertise in chemical dependency treatment, family systems treatment and organizational systems development. He has provided training and consultation in several countries to such diverse groups as treatment/prevention providers, family therapists, industry leaders, educators, administrators and criminal justice personnel.

TRACK 5AB:
PTSD & Substance Abuse: Understanding Challenges Returning Military Members Experience
Time:Monday - Tuesday
The battle may be over, but for many, the struggles have just begun. Returning military members often face bio-psychosocial challenges that undermine established behavioral norms. Community treatment providers are a key link when social networks begin to fray under these pressures. This workshop is designed to examine the specific challenges veterans endure, describe the manifestations of combat related stress and how this may alter an individual’s clinical presentation, and identify appropriate assessment and treatment interventions. Coursework is meant to provide information for addiction and mental health programs, not to provide skills in treatment protocols.

Learning Objectives: At the conclusion, participants will:
1. Explain the nature of combat stress and its impact on returning military members and their families;
2. Describe the mind-body connection and how it relates to posttraumatic stress and other traumatic disorders;
3. Recognize physical and psychological reactions that may be exhibited in response to stress;
4. Describe assessment considerations when working with returning military members and their families; and
5. Discuss treatment planning considerations for work with returning military members and/or their families.
Target Audience: Clinicians, managers, clinical supervisors, and other human service professionals interested in the topic
IMPORTANT NOTE:This course is designed to provide an overview of important considerations for addiction programs, but it is NOT a skills-based clinical course.
The Presenter:
Susan A. Storti, PhD, RN, CARN-AP
currently serves as the Project Director of the National Institute on Drug Abuse Blending Research and Practice contract and is the former Director of the Addiction Technology Transfer Center of New England located at Brown University’s Center for Alcohol and Addiction Studies. She holds adjunct faculty positions at Rhode Island College and the University of Nevada, and is a Professor at Roger Williams Hospital Nursing Center for Practice and Education, a teaching and research affiliate of the Boston University School of Medicine. Most recently, Dr. Storti has worked closely with the Veteran Affairs Medical Center, the Rhode Island National Guard and many community organizations in the creation of The Rhode Island Blueprint and the subsequent development of the Veterans Task Force of Rhode Island. This initiative has received national recognition as a model program by the Department of Defense and is currently being replicated in other states.

TRACK 5CD:
Advanced Motivational Interviewing for People Working with Criminal Justice, Mandated Young People, and Resistant Clients
Time: Wednesday – Thursday
Motivational interviewing is a powerful, proven therapeutic technique. This workshop will present to experienced clinicians the nuances of this approach in the treatment of substance abusers, dual diagnosis, and will provide participants with an opportunity to explore creative ways of integrating these approaches into an effective therapeutic intervention. It will review the role of the clinical supervisor in achieving the faithful application of the protocol, and mechanisms that clinicians and supervisors can establish to support effective use of the approach.

Learning Objectives: Participants will be able to:
1. Describe the practice of Motivational Interviewing and some basic skills;
2. Name what’s important: e.g., change talk and methods of eliciting;
3. Discuss how Motivational Interviewing overlaps with other therapeutic methods;
4. Describe ethical concerns of using Motivational Interviewing;
5. Describe and practice giving information and advice; and
6. Plan for increasing competence, including partnering with a clinical supervisor to support this ongoing effort.
Target Audience: Experienced clinical substance abuse professionals who have an understanding of the core concepts of motivational interviewing.
IMPORTANT NOTE: Participants MUST have had at least four hours of basic motivational interviewing training.
The Presenter:
Stephen R. Andrew, LCSW, LADC, CGP is a consultant and trainer with 30 years of experience with substance abuse issues, a master’s degree specializing in group work, and several years specifically with dual diagnosis support groups. Mr. Andrew has trained extensively with William Miller, Ph.D., the developer and primary researcher of Motivational Interviewing. Mr. Andrew maintains a recovery based private practice in Portland, ME.

TRACK 6AB:
Business Practices for Program Managers: Strategic Planning
Time:Monday – Tuesday
This course will cover the principles of strategic planning, which is key to working in a changing enivironment. Strategic planning is a process of creating a vision and mission; goals and objectives leading to the creation of strategies. This process may involve: Marketing Plans, Financial Plans, Business Plans, or a Scenario Analysis. We will review a strategic planning process from current cutting edge business practices, planning tools, examples, and practice with hands on exercises.

Learning Objectives: Participants will be able to:
1. Name the key elements of strategic planning;
2. Describe a process and useful tools for strategic planning; and
3. Utilize the course information to implement a strategic planning process with their program.
Target Audience: Program managers
The Presenter
Peter Smith, MBA is an organizational consultant with over 20 years of experience working with senior managers, management teams, and other groups in such areas as organizational and team effectiveness, conflict management, work redesign, strategic planning and management, and coaching. His clients include organizations from health care, human Services, energy services, engineering, and high technology. He is also a core faculty with the Organization & Management Department at Antioch University New England, where he has taught for 18 years and led the development of the Organization Development Certificate program for the Graduate School. His experience includes 13 years in management, including responsibilities as Budget Director for Central Maine Power Company and President/CEO of BayPort Title Company. He is a graduate of the University of Maine (B.S.), Youngstown State University (MBA), and NTL Institute for Applied Behavioral Sciences with a certificate in organization development. He is a member of the National Organization Development Network and the Association for Psychological Type.

TRACK 6CD:
Developing Programs for Adolescents and Young Adults with Opioid Dependence
Time:Wednesday - Thursday
This course will focus on specific needs and considerations in developing programs for adolescents and young adults for opioid dependence. Baseline information about opioid dependence and treatment will be provided. Developmental considerations and specific treatment needs, and collaboration. A special focus will be placed on the science, research, best practice, and practical considerations that to into program development for this population.

Learning Objectives: Participants will:
1) Identify and discuss two unique developmental considerations in working with adolescents, and implications for opioid dependence treatment; and
2) List and describe at least two specific methods for making their current program more effective for adolescents with opioid dependence.
Target Audience: This course is designed for clinical and administrative professionals who work in programs for adolescents in general addiction treatment or opioid treatment. Important Note: This course focuses on program development, not clinical skills development, approach for this population.
The Presenter:
Linda Hurley, CAGS, LCDS is Program Director for Outpatient Treatment Services at CODAC Behavioral Healthcare. She has a background in clinical supervision, clinical program development, opioid treatment, adolescent and family treatment.

TRACK 7AB:
Community Relations and Collaborations for Medication Assisted Treatment Programs Time:Monday - Tuesday
This course explores how medication assisted treatment programs can develop outreach for the benefit of both programs and patients. Effective community relation efforts provide increased professional education and public awareness, opportunities to exchange information and develop collaborations, and address stigma. Examples of initiatives developed from outreach to disciplines such as mental health, public health, and overdose prevention programs will be explored. Medication assisted treatment professionals can help to educate public health, other social service professionals, students preparing for healthcare careers, and the community. Some time will be devoted to preparing for effective public speaking skills, and important aspect of nearly all community relations. Working with the media will also be addressed. Strategies for how to get started, resources available, and where to go in the community to develop new relationships and initiatives will be reviewed. Other general referral and collaboration issues will be discussed as appropriate.

Learning Objectives: Participants will:
1. Name three examples of community outreach appropriate for medication assisted treatment programs;
2. Describe strategies for preparing for and delivery of public speaking engagements as part of community relations; and
3. Discuss three potential collaborations with other organizations or disciplines and how they could benefit clients of your program.
Target Audience: Clinicians, program administrators, and clinical supervisors; although the information is relevant to any addiction treatment program, it will be particularly geared toward those working in medication-assisted treatment programs.

The Presenter:
Katie Clark, LADC, CSS, manages addiction treatment programs in the Portland, Maine area. She provided specialized treatment to pregnant women in methadone treatment for a number of years. She has dedicated time to providing education to a variety of providers across Maine including: public health nurses, students at the University of New England, residents at Maine Medical Center, staff and patients from medication assisted treatment facilities, and the New England School of Addiction Studies.

TRACK 7CD:
Clinician Self-Care for Addiction Counselors and Clinical Supervisors
Time: Wednesday – Thursday
The clinical and research literature suggests a strong relationship between substance abuse issues and trauma. Addiction counselors are likely to encounter clients with a history of trauma and/or current traumatic stress reactions in their clinical practice. In addition to the stress of working in addiction treatment contexts (including the pressures of managed care, high caseloads, and the demands of justifying treatment to funding sources), which may contribute to burnout, addiction counselors who work with trauma clients are also vulnerable to secondary trauma/compassion fatigue, vicarious traumatization, and sometimes intense countertransference reactions. This course will actively engage participants in the development of their own personal/professional self -care plans and give ample opportunity to integrate specific self-care activities and practices into their daily lives.
Learning Objectives: Participants will:
1. Explore the impact of secondary trauma/compassion fatigue, vicarious traumatization, and burnout;and
2. Discuss countertransference on clinicians who work with addicted, traumatized clients; and Learn a holistic and comprehensive approach to self-care that can prevent and ameliorate this impact.
Target Audience: Counselors, clinical supervisors and allied human service professionals.
The Presenter:
Patricia A. Burke, MSW is a Board Certified Diplomate in Clinical Social Work , a Certified Clinical Alcohol, Tobacco, and Other Drugs Social Worker, a qualified member of MINT (Motivational Interviewing Network of Trainers), and a Certified Clinical Supervisor. She has been on the faculty of the Rutgers University Summer School of Alcohol and Drug Studies since 1989 and is currently on the faculty of the Brown University Center of Alcohol Studies: Addiction Technology Transfer Center of New England and the Union Institute & University Vermont Academic Center Adult Degree Program where she teaches in the concentrations of Psychology and Spirituality & Holistic Studies. She maintains a private clinical and consultation practice in West Baldwin and Yarmouth, Maine.

TRACK 8AB:
Co-Occurring RECOVERY: Emerging Models of Integrated Care
Time: Monday – Tuesday
This interactive workshop will provide participants an introduction to co-occurring substance use and mental disorders and will illustrate how emerging models of integrated care are essential when working with people in recovery from co-occurring disorders. Participants will be provided data suggesting that co-occurring disorders are no longer the exception, but now the rule, when working with people entering treatment for addictive disorders. Participants will be briefly introduced to several integrated treatment models intended for people in recovery from co-occurring disorders. The workshop will emphasize the importance of Recovery-Oriented and Strengths-Based interventions and will provide participants with several resources including TIP 42 – Substance Abuse Treatment for Persons with Co-Occurring Disorders (SAMHSA, 2005). Finally, participants will be introduced to the importance of specialty training AND credentialing for those interested in working with people in recovery from co-occurring disorders.

Learning Objectives:Participants will:
1. Gain an understanding of the prevalence of co-occurring disorders;
2. Explore some of the emerging models of integrated care;
3. Understand the benefits of utilizing integrated care, strength-based and recovery-oriented models with people recovering from co-occurring disorders; and
4. Explore the importance and process of credentialing certified professionals working with co-occurring disorders.
Target Audience: Clinical professionals (addiction, mental health and social work)
The Presenter
Marshall Rosier, MS, CAC, CCDP, LADC is the Executive Director of the Connecticut Certification Board, Inc. where he is actively involved in workforce development, credentialing and developing recovery-oriented and competency-based standards for behavioral health professionals in the State of Connecticut. Marshall is a published author, consultant and trainer specializing in co-occurring substance use and mental disorders. Marshall is a Certified Addiction Counselor, a Certified Co-Occurring Disorders Professional and a Licensed Alcohol and Drug Counselor. Previously, Marshall coordinated the co-occurring disorders programming for a large outpatient methadone maintenance program where he worked extensively with people in recovery from co-occurring substance use and mental disorders. Marshall graduated from Yale University with a MS in Psychology and received his early training at the Haight Ashbury Free Clinics in San Francisco, California. He is currently the co-chair of the co-occurring disorders committee of the International Certification and Reciprocity Consortium where he is actively involved in the development of international credentialing standards for co-occurring disorders.

TRACK 8CD:
Current Trends in Medication-Assisted Treatment of Addictive Disorders
Time: Wednesday – Thursday
For decades, research has shown that medications can be an effective tool in the treatment of substance use disorders when provided as part of a comprehensive recovery plan. This course will explore the existing and emerging medications used in the treatment of opioid dependence (methadone, buprenorphine and naltrexone) and alcohol dependence (disulfram, acamprosate and naltrexone). The course will encourage participants to discuss and explore several issues related to Medication-Assisted Treatment (MAT) such as how to determine an appropriate candidate and refer/link them with MAT; the unique pharmacological profile, benefits and potential challenges of each FDA-approved medication; social and political barriers to MAT; and the importance of integrating recovery support services to promote medication assisted recovery. Specific strategies for clinical staff to assist and work more collaboratively with prescribers and the importance of providing MAT-specific education will be highlighted. Participants will be given several resources and tools that will assist them better serve their clients and information about a new credential in the area of MAT will be provided.

Learning Objectives: Participants will: 1. Identify three medications used in the treatment of opioid dependence;
2. Identify three medications used in the treatment of alcohol dependence;
3. Understand the primary goals of Medication-Assisted Recovery;
4. Discuss social and political barriers to Medication-Assisted Treatment; and
5. Understand the process and importance of credentialing practitioners as Medication Assisted Treatment Specialists (MATS).
Target Audience: All clinical, medical or health professionals, administrators, and program managers
The Presenter
Marshall Rosier, MS, CAC, CCDP, LADC is the Executive Director of the Connecticut Certification Board, Inc. where he is actively involved in workforce development, credentialing and developing recovery-oriented and competency-based standards for behavioral health professionals in the State of Connecticut. Marshall is a published author, consultant and trainer specializing in co-occurring substance use and mental disorders. Marshall is a Certified Addiction Counselor, a Certified Co-Occurring Disorders Professional and a Licensed Alcohol and Drug Counselor. Previously, Marshall coordinated the co-occurring disorders programming for a large outpatient methadone maintenance program where he worked extensively with people in recovery from co-occurring substance use and mental disorders. Marshall graduated from Yale University with a MS in Psychology and received his early training at the Haight Ashbury Free Clinics in San Francisco, California. He is currently the co-chair of the co-occurring disorders committee of the International Certification and Reciprocity Consortium where he is actively involved in the development of international credentialing standards for co-occurring disorders.

TRACK 9C:
Medication Assisted Recovery and Buprenorphine Awareness
Time: Wednesday
Sponsored by the Addiction Technology Transfer Center of New England
This course will provide the National Institute on Drug Abuse and Substance Abuse and Mental Health Services Administration’s Blending Initiative product, entitled “Buprenophine Treatment: A Training for Multidisciplinary Professionals”. The primary goal of this training package is to create awareness among addiction professionals about buprenorphine in the treatment of opioid dependence. The course includes information about what to expect when someone is treated with this medication, information about the legislation that permits office-based buprenorphine treatment, the science of addiction, the mechanism of buprenorphine, patient selection criteria, and associated patient, counseling, and therapeutic issues. In addition to the NIDA product presentation on Buprenorphine Awareness, an overview of other current medications approved for the treatment of chemical dependency, and appropriate candidates for these medication assisted therapies, will be provided.

Learning Objectives: Participants will:
1. Name three counseling and therapeutic issues to consider when working with someone who is being treated with buprenorphine;
2. Describe an appropriate candidate for buprenorphine treatment; and
3. Name two other medications and appropriate candidates for those medication assisted therapies.
Target Audience: Addiction professionals from various disciplines and treatment settings
The Presenter
Sharon Morello, R.N. is currently the Director of Residential Services at The Providence Center, a full continuum Community Behavioral Healthcare organization that serves approximately 10,000 clients a year in the State of Rhode Island and Southeastern Massachusetts. She was the previous Administrator of Substance Abuse Treatment for the Department of Mental Health, Retardation and Hospitals” Division of Behavioral Healthcare. She has worked in Addiction Medicine since 1987. Sharon’s clinical focus has been on the treatment of opioid dependent patients, although she has extensive experience in the management of acute detoxification in a teaching hospital. She has been active with the Department of Corrections in RI in the development of Methadone Treatment within the prison. She has been a CARF surveyor since 2000, participating in the CSAT accreditation study of methadone programs across the country.

TRACK 9D:
Time: Thursday
Improving Care through Collaboration Among General Healthcare Providers and Addiction Professionals
Co-Located Second Annual Addiction Medicine Conference for General Healthcare Providers and Addiction Professionals
Co-Sponsored by: The New Hampshire Medical Society, the New Hampshire Nurses Association and Dartmouth Center on Addiction Recovery and Education
This course will bring together general healthcare providers and addiction clinical professionals. Participants will have the opportunity to learn about several topics of mutual interest, described below, from the perspective of the chronic illness model of addiction and seeking partnerships to improve care. Opportunities will be provided to engage in discussion of strategies to collaborate and refer between general healthcare settings and addiction treatment settings to provide the best possible care for clients.

Topics will include:

• Screening, intervention, and referral for treatment for unhealthy substance use in diverse general health settings (SBIRT initiatives) – roles for counselors, nurses, and doctors;
• Role of medications in recovery and the prevention of relapse: alcohol and other non-opioids, opioid maintenance therapies, and drugs on the horizon;
• Pain and prescription opioid misuse; and
• Improving care for patients with addictions: collaborative care arrangements between general healthcare providers and addiction professionals

Seddon R. Savage, M.D., FASAM is a clinician, educator and policy consultant in the fields of addiction medicine and pain medicine. She earned her MD from Dartmouth Medical School in 1980. A board certified anesthesiologist, she was certified in addiction medicine by the American Society of Addiction Medicine (ASAM) in 1990 and is an elected fellow of ASAM. She earned a certificate of added qualifications (CAQ) in pain medicine from the American Board of Anesthesiology (1992) and is certified in pain medicine by the American Academy of Pain Medicine (1996). Dr. Savage has held a number of national leadership positions in addiction medicine and pain medicine. She is an Associate Professor on the adjunct faculty of Dartmouth Medical School (DMS), has directed the Dartmouth Center on Addiction Recovery and Education (DCARE) since September 2004, and has variously taught medical students, residents and fellows in Dartmouth Hitchcock Medical Center (DHMC) system since 1987. Dr. Savage is a frequently invited speaker at regional, national and international meetings and has led numerous workshops and conferences on substance abuse issues and pain. She has participated in media briefings and panels on substance abuse and pain issues at the request of different organizations, including the AMA, the National Center on Addiction and Substance Abuse of Columbia University (CASA), the National Institutes of Drug Abuse and the American Society of Law Medicine and Ethics.

Mark R. Publicker. M.D., FASAM is the Medical Director of The Mercy Hospital Recovery Center in Portland, Maine and is President of the Maine Society of Addiction Medicine. Trained as a family physician with additional post-graduate psychiatric training and certified in Addiction Medicine, Dr. Publicker has focused his career on behavioral medicine through the treatment of addictive disorders and intractable pain. He was the Regional Chief of Addiction Medicine for Kaiser Permanente Mid-Atlantic Region, covering the Washington-Baltimore metropolitan area. At Kaiser, he directed a multi-disciplinary service with an inpatient treatment unit, partial hospital, intensive outpatient programs and methadone maintenance therapy. During his career, he has held a number of administrative positions, including medical director of a health center with 80 physicians, 800 staff and over 40,000 patients. In April 2007, he was invited to China as a visiting professor to teach addiction medicine at the Peking University Institute of Mental Health and at the Yunnan Addiction Institute in Kunming, and returned to Beijing in 2008. In June 2008, he traveled to Turkey to help establish an addiction treatment hospital in southern Anatolia. He has a passion for teaching medical students, residents, physicians and other medical professionals in motivational interviewing, chronic pain management and addiction medicine.

Charles D. Brackett, MD, MPH is a general internist practicing at Dartmouth-Hitchcock Medical Center. He received his MD from Yale University and an MPH from Boston University. His major research interests include: substance abuse screening and interventions in primary care, health promotion/disease prevention, screening, patient-doctor relationship and shared decision making, and redesigning primary care.