Dialectical Behavior Therapy (DBT) Summit

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1 Dialectical Behavior Therapy (DBT) Summit Who Should Attend: This summit is for attendees who have interest in the learning and dissemination of Dialectical Behavior Therapy (DBT) in a Community Mental Health Service Provider (CMHSP) or Pre-Paid Inpatient Health Plan (PIHP) setting or an agency who is a provider for CMHSP or PIHP. This includes administrators, clinical directors, case managers, clinicians, and peer support specialists. This educational opportunity is intended for publicly funded providers at all levels of practice (beginning, intermediate and/or advanced). The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 10/10/2016 to 10/10/2019. Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive 5.5 Clinical Continuing Education Clock Hours. Course Delivery Method: Face-to- Face seminar. Substance Abuse: The Michigan Association of Community Mental Health Boards is approved by the Michigan Certification Board for Addiction Professionals (MCBAP) to sponsor educational training for professional certification. MACMHB maintains the responsibility for the program and content. Substance abuse professionals participating in the full summit (8/16-17/16) will receive 5.5 (Related) contact hours. Certificate Awarded: At the conclusion of this conference, turn in your Verification of Attendance form to the MACMHB Staff to be initialed. You will turn in the top sheet and retain the bottom sheet which serves as your certificate of participation. *National Accreditation rules indicate that if you are over 5-minutes late or depart early, you forfeit your CEUs for the entire training. Please note that this is a National rule that MACMHB must enforce or we could lose our provider status to provide CEUs in the future. This rule will be strictly followed. Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at or through our webpage at for resolution. Friday, May 05, 2017

2 8:00am to 9:00am 9:00am to 10:00pm 10:00am to 11:30am Registration and Continental Breakfast Plenary Session Dialectical Behavior Therapy (DBT) with Prolonged Exposure (PE) for Treating Borderline Personality Disorder (BPD) and Post-traumatic Stress Disorder (PTSD) - Carol Buckner, LMSW, Clinical Therapist, DBT Institute of Michigan Many clients in DBT have significant trauma histories that do not respond to DBT alone. Quite often these behaviors associated with PTSD can often become therapy interfering behavior in stage I. In stage II treatment, clients are excluded with self-harming and suicidal behaviors. DBT-PE provides a treatment protocol when PTSD is the highest priority behavior. Participants will be able to: 1. Explain the justification for DBT-PE; 2. Identify the criteria for starting formal exposure work in DBT-PE; and 3. Identify the DBT-PE behavior monitoring strategies. Concurrent Workshops 1. Maximizing Peer Support on Your Team and Understanding the Skills System Practice - Steven Lundsted, MA, LPC, CAADC, QMHP, QIDP, CMHP, Clinical Supervisor, DBT Team Leader, Community Mental Health for Central Michigan. - Rebecca Wemple, LMSW, QMHP, QIDP, CMHP, Program Supervisor/DBT Team Leader, Community Mental Health for Central Michigan - Morgan Monte, BS, CPSS, Certified Peer Support Specialist, Community Mental Health for Central Michigan How to maximize the role of the peer support specialist on your team. Being creative and thoughtful with their roles and tasks of peer support specialists on your DBT team. Knowing your peers limits and working to their strengths. Using peers to maximize engagement and commitment. Learn about the challenges and the successes of a peerrun graduate group. This workshop will also teach how to use the Skills System in order to provide evidenced-based practice to a population that is for all learning abilities. Skills System was created by Julie F. Brown who has current published materials to support this practice in the DBT learning arena. This practice is for clients who have intellectual disabilities to find ways to regulate their own emotions and behaviors. The Skills System program provides skills and tools to help assist an individual by using repetition, generalization of skills and facilitating recall to help with understanding of these complex concepts. Participants will be able to: 1. Increase understanding of ways to maximize peer support staff and their role on the team for maximum effect; 2. Identify 4 different ways to utilize your peer support staff on the team; 3. Define and summarize Skills System practice; and 4. Apply and prepare to start a Skills System practice in your setting. 2. Use of GOI to Assist Agency Readiness - Gwen Abney-Cunningham, MSW, LMSW, DBT-Linehan Board of Certification, DBT Services Supervisor, InterAct of Michigan - Josh Smith, MSW, LMSW, DBT-Linehan Board of Certification Certified Clinician, Co-Owner, DBT Institute of Michigan This workshop will help DBT teams learn the process of the DBT MIFAST site review. The instructors will review the Generalized Organizational Index (GOI), the instrument that will help assess to what degree the agency is structured to support evidence-based treatments such as DBT. They will also review the process teams and agencies will go through during the DBT MIFAST site review as well as early findings and trends from past reviews. Participants will be able to: 1. Identify at least 3 anchors the GOI measures during a DBT MIFAST site review; 2. Explain how penetration is calculated; and 3. Explain the function of the DBT MIFAST site review.

3 10:00am to 11:30am Concurrent Workshops (continued) 3. Over the Borderline: Adapting DBT Informed Skills Modules for Use with Co-occurring Mental Health and Substance Use Disorder Groups. - Dawn Sandoval, MA, LPC, CAADC, NCC, Clinical Therapist/ IDDT,IRS,DBT, Lapeer Community Mental Health - Bridget Bond, LMSW,ACSW,CAADC, Clinical Social Worker/ IDDT,IRS,SUD, Lapeer Community Mental Health Over the Borderline: Adapting DBT informed skills modules for use with co-occurring disorder groups, is an example of a group process model for use in treating people with co-occurring disorders. Often, a singular treatment modality is not sufficient to meet the dually diagnosed client where they are, and to challenge old patterns of behavior. This workshop will demonstrate not only ways to incorporate distress tolerance, emotional regulation, interpersonal effectiveness, and mindfulness skills into the overall group process, but will also share experiential techniques tailored to fit each specific module. Participants will be able to: Recognize the flexibility and universality of the usefulness of DBT skills modules in co-occurring populations; 2. Learn how to implement the core tenets of DBT informed care within group therapy with co-occurring disorders; 3. Learn experiential techniques to utilize within a co-occurring group setting that is representative of each skills module of DBT; and 4: The overall importance of having synchronicity between group facilitators. 4. Dialectical Behavior Therapy and Acceptance and Commitment Therapy: An Inclusive Approach to Working with Individuals with Co-Occurring Disorders - repeated at workshop #12 - Emily Keehn, Masters of Education in Community Counseling, LPC, Dialectical Behavior Therapy Specialist, Timberline Knolls The overall goal of DBT is to create a meaningful life. A meaningful life is not the exclusion of thoughts feelings and emotions, but with the addition of skills can support the movement towards a more meaningful life. In DBT, the focus is on the synthesis of acceptance and change to address the pathological inflexibility of individuals with cooccurring disorders. Willingness to live and skillfully experience all that the present moment offers is a fundamental objective of DBT. Acceptance and Commitment Therapy (ACT) principles support creating a meaningful life while accepting the inevitable pain that can accompany daily life stressors. Supporting individuals to remain aware of the present moment, to live by values, honoring commitments, identifying self as context, diffusing from thoughts, and acceptance of one s experience outlines the ACT Psychological Flexibility Model. The blend of DBT and ACT creates a more comprehensive approach and enhances the therapeutic intervention when working with a highly acute population and individuals with co-occurring disorders. Participants will be able to: 1. Enhance knowledge of the DBT consultation agreements as they support professional practice and therapeutic interventions when working with individuals with co-occurring disorders; 2. Illustrate the key concepts of DBT and ACT as they apply to therapeutic interventions; and 3. Employ the synthesis of DBT and ACT principles when working with co-occurring disorders. 11:30am to 12:30pm Lunch

4 12:30pm to 2:00pm Concurrent Workshops 5. The Purpose and Power of Peers in a DBT Program - Julia V. Kline, LMSW, CAADC, Clinical Supervisor, Easterseals Michigan - Scott Garret-Alan, LMSW, CAADC, Behavioral Health Clinician, Easterseals Michigan - Teresa A. Nelson, BS, CPSS, Certified Peer Support Specialist, Easterseals Michigan Peer support is an integral part of an individual s journey to well-being. In particular with DBT, peer support is a critical element in helping individuals recognize they are not alone, they have support, and they have the skills and ability to thrive. This workshop will cover the role a peer support specialist can have in a DBT program, but also learn about their essentiality in the success of the individual in treatment. Additionally, participants will learn how to fully maximize the potential of a peer support specialist in their own DBT program. Participants will hear first-hand from a DBT peer support specialist about how a peer can share their recovery story and use their personal and professional experience to empower individuals in the program. Participants will be able to: 1. Identify the importance the role a DBT peer support specialist plays in a DBT program; 2. Define the different modalities in which a peer support specialist can utilize their talents in a DBT program; and 3. Recognize opportunities to effectively utilize peers in their own DBT program. 6. Developing and Writing Life Worth Living Goals - Gwen Abney- Cunningham, LMSW, DBT-Linehan Board of Certification, Certified Clinician, Masters in Social Work, DBT-Linehan Board of Certification, Certified Clinician, DBT Services Supervisor, InterAct of Michigan - Mark Lowis, MSW, LMSW, Behavioral Health and Developmental Disabilities Administration, Division of Quality Management & Planning The workshop will focus on assisting participants with developing their Life Worth Living goal. The workshop will also focus on assisting participants with linking the clients overarching goal and target behaviors with writing it in a treatment plan. Participants will have opportunities to practice ways of assist with defining goals/objectives in a way that is behaviorally specific, measurable and in language that meets CMH and GOI/MIFAST requirements. Participants will be able to: 1. Identify ways of utilizing the diary card to assist to identify target behaviors and assist in developing overarching goal; 2. Link/describe ways of assisting clients with identifying their overarching goals in behavioral specific ways; and 3. Identify and practice ways of balancing writing treatment goals(s), objectives and interventions in a DBT perspective and meeting the demands of CMH and State requirements. 7. The Drama Triangle: Avoiding the Entanglement with Cluster B Personality Disorders (Part 1 of 2) - Josh Smith, MSW, LMSW, DBT-Linehan Board of Certification Certified Clinician, Co-Owner, DBT Institute of Michigan Often times when interacting with individuals with Cluster B personality disorder/traits, (Borderline, Narcissistic, Anti-Social and Histrionic Personality Disorders) a dance-ofpower occurs between them and others they interact with. This dance-of-power often leads to unnecessary tension, drama and conflict in both parties. This workshop is designed to help individuals understand how to quickly identify Cluster B personality traits, get a general idea behind the drama triangle and learn common drama patterns individuals with Cluster B personality disorders/traits will engage in, and.how to stay out of the drama triangle. Participants will be able to: 1. Identify personality characteristics in each of the Cluster B Personality Disorders; 2. Identify the three drama positions in the Drama Triangle; and 3. Identify the home positions on the Drama Triangle for each Cluster B Personality Disorder and ways to frustrate the drama.

5 12:30pm to 2:00pm Concurrent Workshops (continued) 8. Clinical Tools to Use in DBT Treatment Practice - Sally Nulph, MA, LPC, Outpatient Therapist, Community Mental Health for Central Michigan - Rebecca Wemple, LMSW, Program Supervisor, Community Mental Health for Central Michigan This innovative presentation focuses first on fidelity of the DBT model. It will explore tools and theory of a variety of approaches that support DBT practice. The models included will be: Motivational Interviewing, Trauma Focused Theories, Family Structure Theory, The 4 Stages of Learning, and Token systems. Creative application of tools in a DBT platform will be demonstrated. Clinicians will gain specific skills that can be used in the 5 modalities of DBT. This presentation encourages participants to actively practice the skills, and offers theoretical supports for each of the tools provided. Outcome measures that support the DBT consumer s perspective, provide necessary data, and support the clinician s ability to assess progress will be modeled as well. Participants will be able to: 1. Identify parallels in DBT, Motivational Interviewing, Structural Family Therapy, Token systems, and Stages of Learning theory; 2. Maintain fidelity to the DBT model and integrate specific tools in pretreatment, skills training; individual therapy, family interventions, and stage II treatment sessions; 3. Practice using new techniques in the session and take home specific tools to creatively improve DBT sessions; and 4. Discuss outcomes measures for DBT that capture consumer progress from a person centered perspective. 2:00pm to 2:15pm 2:15pm to 3:45pm Break Concurrent Workshops 9. Implementing a DBT Graduates Program: Reflections and Lessons Learned After the First Year - Nichole Badour, MSW, LLMSW, QMHP, Case Manager/Outpatient Therapist, Gratiot Integrated Health Network - Brandan Snook, MA, LPC, Crisis/Outpatient Therapist, DBT Team Leader, Gratiot Integrated Health Network In 2016 Gratiot Integrated Health Network implemented a group for DBT members who had completed at least one full year of individual therapy and skills group training. This presentation uses a case study approach to identify challenges to launching and sustaining this type of group, as well as suggestions for successfully overcoming these challenges. Participants will be able to: 1. Describe a model for an Advanced DBT and Graduates Group; 2. Identify 3 or more challenges to implementing a DBT Graduates Group in a Community Mental Health Setting; and 3. Express 3 specific recommendations for successful implementation of a DBT Graduates Group in a Community Mental Health Setting. 10. Who Ya Going to Call??? DBT Coaching!!! - Gwen Abney-Cunningham, LMSW, DBT-Linehan Board of Certification, Certified Clinician, LMSW, DBT-Linehan Board of Certification, Certified Clinician, DBT Services Supervisor, InterAct of Michigan - Lyndsay Nuyen, LMSW, CAADC, Masters in Social Work, LMSW, CCAADC - Supervisor of Substance Abuse Services, InterAct of Michigan In this workshop, participants with review the goals and targets of DBT skills coaching. The DBT skills coaching protocol will be reviewed. Participants will have an opportunity to see the protocol modeled and practice. Acceptance and change strategies will be reviewed to assist with targeting barriers that get in the ways of skills coaching for both clinicians and consumers. Participants will be able to: 1. Identify the goal of DBT skills coaching; 2. Identify and list the targets of DBT skills coaching; 3. Describe the DBT protocol for skills coaching; and 4 Problem solve barriers that get in the way of skills coaching.

6 2:15pm to 3:45pm Concurrent Workshops (continued) 11. The Drama Triangle: Avoiding the Entanglement with Cluster B Personality Disorders (Part 2 of 2) - Josh Smith, MSW, LMSW, DBT-Linehan Board of Certification Certified Clinician, Co-Owner, DBT Institute of Michigan Often times when interacting with individuals with Cluster B personality disorder/traits, (Borderline, Narcissistic, Anti-Social and Histrionic Personality Disorders) a dance-ofpower occurs between them and others they interact with. This dance-of-power often leads to unnecessary tension, drama and conflict in both parties. This workshop is designed to help individuals understand how to quickly identify Cluster B personality traits, get a general idea behind the drama triangle and learn common drama patterns individuals with Cluster B personality disorders/traits will engage in, and.how to stay out of the drama triangle. Participants will be able to: 1. Identify personality characteristics in each of the Cluster B Personality Disorders; 2. Identify the three drama positions in the Drama Triangle; and 3. Identify the home positions on the Drama Triangle for each Cluster B Personality Disorder and ways to frustrate the drama. 12. Dialectical Behavior Therapy and Acceptance and Commitment Therapy: An Inclusive Approach to Working with Individuals with Co-Occurring Disorders repeat of workshop #4 - Emily Keehn, Masters of Education in Community Counseling, LPC, Dialectical Behavior Therapy Specialist, Timberline Knolls The overall goal of DBT is to create a meaningful life. A meaningful life is not the exclusion of thoughts feelings and emotions, but with the addition of skills can support the movement towards a more meaningful life. In DBT, the focus is on the synthesis of acceptance and change to address the pathological inflexibility of individuals with cooccurring disorders. Willingness to live and skillfully experience all that the present moment offers is a fundamental objective of DBT. Acceptance and Commitment Therapy (ACT) principles support creating a meaningful life while accepting the inevitable pain that can accompany daily life stressors. Supporting individuals to remain aware of the present moment, to live by values, honoring commitments, identifying self as context, diffusing from thoughts, and acceptance of one s experience outlines the ACT Psychological Flexibility Model. The blend of DBT and ACT creates a more comprehensive approach and enhances the therapeutic intervention when working with a highly acute population and individuals with co-occurring disorders. Participants will be able to: 1. Enhance knowledge of the DBT consultation agreements as they support professional practice and therapeutic interventions when working with individuals with co-occurring disorders; 2. Illustrate the key concepts of DBT and ACT as they apply to therapeutic interventions; and 3. Employ the synthesis of DBT and ACT principles when working with co-occurring disorders. Overnight Accommodations and Summit Location Grand Traverse Resort & Spa 100 Grand Traverse Village Blvd, Acme, MI $75 plus taxes (Single) $169 plus taxes (Double) To make your reservation call Have them mention they are with SOM- DBT Summit 2017 to receive your discounted rates. Each room will be assessed a $15.95/day resort fee + 5 % convention and visitors bureau assessment + 6% sales tax if applicable. Parking: Complimentary.

7 Dialectical Behavior Therapy (DBT) Summit May 5, Ways to Register: Online - FAX MAIL - MACMHB, 426 S. Walnut, Lansing $85 PER PERSON (COST SHOWN INCLUDES CONTINENTAL BREAKFAST & LUNCH) Payment will be required prior to attendance. Payment methods available in advance and onsite: credit card, check or exact cash. If payment has not been received prior to the event, fees will be collected at registration the day of the event unless alternate arrangements are pre-approved by MACMHB. NOTE: Purchase orders are not considered payment. All no shows will be invoiced the full registration amount. Cancellation Policy: Cancellations must be received in writing at least 10 business days prior to the conference for a full refund less a $25 administrative fee. If cancellation is received less than 10 business days prior to the training, no refund will be given and the full charge will be incurred. Substitutions are permitted at any time. Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this conference was conducted or other problems, you may note that on your evaluation of the conference or you may contact MACMHB at or through our website at for resolution. Severe Weather Policy: Trainings will take place as scheduled and we will not be able to refund training fees. In the event of severe weather, please check the website for scheduling delays and event updates. PLEASE PRINT OR TYPE Name: Title: I am attending the following workshops (registrations will not be processed without workshop selection) 10:00am to 11:30am (Pick 1): :30pm to 2:00pm (Pick 1): :15pm to 3:45pm (Pick 1): I am requesting CEUs for social workers. Permanent Licensure # (required) Board/Agency: Address: City: State: Zip: Area Code/Phone: Dietary Needs: Vegetarian Vegan Gluten-free Allergic: Other: Physical Needs: Arrangements for special needs will be honored for those written requests received 10 business days prior to the conference. Clearly state your specific needs for mobility assistance, interpreters, etc. Attempts for on-site requests will be made. In Case Of Emergency During Conference, Contact: Cell Phone: BY SUBMITTING THIS REGISTRATION, I AM AGREEING TO THE TERMS AND CONDITIONS TO MACMHB S ABOVE POLICIES.

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