CCARTA - Summer Clinical Institute

UCSD Price Center

The Summer Clinical Institute (SCI) continues to promote state-of-the-art strategies and practices through training for those performing health and social services with patients or clients troubled by substance abuse. SCI 2008 will offer lectures and workshops featuring University of California faculty and other experts that focus on science-based strategies and cultural competency services. For additional information please click on the above tabs.

AGENDA
(subject to change)
	Tuesday August 5, 2008	Wednesday August 6, 2008	Thursday August 7, 2008
8:00	Welcome and Introduction — Lewis Judd, MD	Welcome and Review of Day One — Igor Koutsenok, MD, MS	Welcome and Review of Day Two — Igor Koutsenok, MD, MS
8:30	What is Wrong with Addiction Treatment? — Igor Koutsenok, MD, MS	The Link Between PTSD and Substance Abuse — Martha Schmitz, PhD	The Cultural Positioning System: Using Culture Maps — Janet Bennett, PhD
10:00	Break
10:15	Genetics of Substance Use Disorders — Marc Schuckit, MD	Methamphetamine: As Seen Through the Eyes of a Narcotic Agent — Jackie Long	Treating Offenders with Substance Use Disorders — Igor Koutsenok, MD, MS
11:45	Lunch
1:00	Community Meetings	Community Meetings	Community Meetings
1:45	Track 1: Group Counseling and Facilitations Skills Practicum — Steven A. Gallon, PhD Track 2: Motivational Interviewing — Scott McClure, PhD Track 3: Treatment Philosophies: Acute vs. Chronic — Scot Lord, FACT, CATC Track 4: Dual Diagnosis: What is the Problem? — Igor Koutsenok, MD, MS Track 5: Adolescents: Impact and Outcome of Alcohol and Drug Problems — Sandra A. Brown, PhD	Track 1: Group Counseling and Facilitations Skills Practicum — Steven A. Gallon, PhD Track 2: Motivational Interviewing — Scott McClure, PhD Track 3: Treatment Philosophies: Acute vs. Chronic — Scot Lord, FACT, CATC Track 4: Making It Work: Implementing Seeking Safety Therapy — Martha Schmitz, PhD Track 5: Medication-assisted Treatments for Opioid Addiction: Fighting the Myths — Jana Cook, MD, PhD	Track 1: Group Counseling and Facilitations Skills Practicum — Steven A. Gallon, PhD Track 2: Motivational Interviewing — Scott McClure, PhD Track 3: Treatment Philosophies: Acute vs. Chronic — Scot Lord, FACT, CATC Track 4: Values, Cultures, and Conflicts: Intercultural Complications — Janet Bennett, PhD Track 5: Addiction and Attachment: Applications of Attachment Theory and Research — Patricia Judd, PhD
3:00	Break
4:30	Day Ends	Day Ends	Day Ends

The Cultural Positioning System: Using Culture Maps
— Janet Bennett, PhD
In the contemporary clinical arena, professionals must not only provide treatment, but may also need to reach through cultural barriers to assure compliance and appropriate care. This presentation will discuss cultural positioning systems, culture maps, and professional strategies for being interculturally responsive.

Dual Diagnosis: What is the Problem?
— Igor Koutsenok, MD, MS
This workshop will be focused on the nature of the co-occurrence of substance use disorders and major mental illnesses and their common neurobiological and psycho-social pathways. A careful review of the diagnostic and therapeutic strategies will be presented.

Treating Offenders with Substance Use Disorders
— Igor Koutsenok, MD, MS
Clients with substance use disorders are often involved in different criminal activities and a significant number of them are currently under criminal justice supervision – on probation, parole, or incarcerated. Providing addiction treatment for this population presents a variety of clinical and organizational challenges. This presentation is focused on major issues in screening, assessment, treatment referral and actual treatment delivery in custody and community settings.

Genetics of Substance Use Disorders
— Marc Schuckit, MD
Both genes and environment contribute to the risk for heavy drinking and problems, including alcoholism. Genes explain about 60% of the risk, and exert their effects through a range of characteristics. Therefore, it is not likely that there is an "alcoholic gene," but rather that there are genes that interact with environment to contribute to the alcoholism risk through a variety of different mechanisms. Some genes help protect from alcoholism by causing a high intensity of response to alcohol as is seen among some Asian individuals. Other sets of genes increase the risk for alcoholism and all other forms of substance dependence through their impact on the personality characteristics of impulsivity and sensation seeking. A third set of genes affects only the alcoholism risk and operates through contributing to a low sensitivity to alcohol. This presentation reviews a wide range of factors associated with the alcoholism risk, using information on the low sensitivity to alcohol to demonstrate how specific genes relating to alcoholism can be found, and the importance of studying the manner in which they interact with environment.

Group Counseling and Facilitations Skills Practicum
— Steven L. Gallon, PhD
In this 3-part practicum, participants will review the essential competencies for facilitating effective counseling and psycho-educational groups in addiction treatment settings. We will identify issues that help groups become therapeutic and practice leader interventions tailored to the group’s goals and developmental stage. Students will share leadership problems they face in their group work and will practice alternative ways of managing those programs. Each day we will focus on a different stage of group development, identifying a number of ways to move the group to a higher stage of functioning and practicing some of those methods. There will be time for discussion and seeking consultation on difficult group issues. It is expected that most students will have had prior training in group counseling.

The Link Between PTSD and Substance Abuse
— Martha Schmitz, PhD
The goal of this presentation is to describe current state-of-the art knowledge about the treatment of patients with the dual diagnosis of posttraumatic stress disorder and substance abuse, a population typically considered “difficult to treat”. This session will cover the background on PTSD and substance abuse (including rates, the typical client, models, and stages of treatment, clinical dilemmas, and gender issues) and clinical interventions for PTSD and substance abuse (including demonstration of specific treatment strategies, assessment tools, and community resources). In-depth description of the Seeking Safety psychotherapy for PTSD and substance abuse will be a major focus.

Motivational Interviewing
— Scott McClure, PhD
This 3- day progressive workshop is designed to introduce Motivational Interviewing, also referred to as Motivational Enhancement Therapy, skills which include a client-centered, directive method for enhancing intrinsic motivation for change. Motivational Interviewing involves an empathic counseling style along with evidence based strategies to manage “difficult” clients and help people commit to change. Motivational Interviewing and Motivational Enhancement Therapy is an effective therapeutic skill used for brief interventions to increase motivation for change and enhance treatment engagement and outcome as well as an overall effective communicative style to help clients maintain focus on long-term treatment goals. MI and MET can be used effectively as a stand-alone brief intervention, as a prelude to treatment, or as an adjunct to treatment. This workshop will include both theory and active participation in MI techniques.

Values, Cultures, and Conflicts: Intercultural Complications
— Janet Bennett, PhD
This workshop will explore the complex interaction of culture and conflict by examining our own conflict styles, and how those styles play out in our challenging work environments with our clients or even at home. Participants in this session can expect to explore their own preferred conflict styles; examine how different cultures arrive at difficult decisions; and examine case studies to compare and contrast methods of conflict resolution.

Making It Work: Implementing Seeking Safety Therapy
— Martha Schmitz, PhD
This workshop will provide an opportunity to address how Seeking Safety is implemented in clinical settings. Seeking Safety is an empirically-studied, integrated therapy for substance abuse and trauma/PTSD. The model teaches present-focused coping skills to help clients attain safety in their lives. It is highly flexible and designed for a wide variety of clients and settings. The workshop addresses frequently asked questions when implementing Seeking Safety; offers the opportunity to conduct a session in small group format; and explores topics such as adaptation of the model, how to combine it with trauma processing treatments, and ways to make it as effective as possible. The workshop will be highly clinically-oriented, interactive, and allow ample time for questions.

Adolescents: Impact and Outcome of Alcohol and Drug Problems
— Sandra A. Brown, PhD
This presentation examines adolescent alcohol and drug problems in the contact of development. First, the neurobiological and psychosocial consequences of adolescent substance dependence are reviewed. Next, a long term outcome study of adolescents is discussed. Finally, examples of the cumulative and reciprocal relations between adolescent drug use and neurocognitive development are presented.

Treatment Philosophies: Acute vs. Chronic
— Scot Lord, FACT, CATC
This workshop will examine the treatment practices applied to Substance Use Disorders by questioning the underlying philosophy. It is widely accepted that these disorders are chronic, relapsing conditions. Public opinion, and that of many treatment professionals, holds an expectation of long term abstinence as the only measure of success when treating SUD’s. Is our philosophy for the treatment of Substance Use Disorders accurate? Are we evaluating treatment efficacy appropriately? Be part of this information sharing and problem solving workshop that will address these fundamental beliefs and approaches, and challenge the way we think and act as the SUD treatment community.

Addiction and Attachment: Applications of Attachment Theory and Research
— Pat Judd, PhD
This presentation will focus on the role of insecure attachment in the development, maintenance and treatment of substance abuse disorders. A brief review of attachment theory and patterns of attachment will be provided. Current research regarding the relationship between individual and family attachment models and addictive disorders in adolescents and adults will be presented. Implications for individual, group and community treatment will be discussed.

Methamphetamine: As Seen Through the Eyes of a Narcotic Agent
— Jackie Long
The manufacturing and abuse of methamphetamine has been a part of California culture for over 20 years. Yet, just recently, we have begun to understand the drug’s effect on users and our communities. During this presentation, you will discover how methamphetamine has changed in form and potency over the past 20 years by following the history of the manufacturing, trafficking, and abuse patterns of the drug.

Medication-assisted Treatments for Opioid Addiction: Fighting the Myths
— Jana Cook, MD, PhD
Despite the remarkable progress in understanding addictive disorders in the last decade, many professionals are still struggling with their philosophical approach to the use of medication for their clients with substance abuse problems. Although maintenance pharmacotherapy combined with psychosocial treatment represents the medical standard of care for individuals suffering from opioid dependence, many myths about this strategy remain. This workshop will clarify the rationale for a neuropharmacological approach to opioid addiction treatment, provide an overview of FDA approved medications (methadone, buprenorphine, naltrexone) and address the most common misconceptions

Janet Bennett, Ph.D., is Executive Director of the Intercultural Communication Institute, sponsor of the Summer Institute for Intercultural Communication, and director of the Master of Arts Degree in Intercultural Relations jointly sponsored by ICI and the University of the Pacific. She specializes in developing theory and training methods for individuals who teach, train or manage across cultures. As an educator and consultant, she designs and conducts intercultural training for colleges and universities, corporations, social service agencies, and professional associations. She teaches in the training and development program at Portland State University, and publishes on intercultural training and adjustment.

no photo Sandra A. Brown, Ph.D., is Professor of Psychology and Psychiatry at the University of California, San Diego and Chief of Psychology Service at the Veterans Affairs San Diego Healthcare System. She is also Associate Director of the Child and Adolescent Services Research Center at Children’s Hospital of San Diego. Dr. Brown is internationally recognized for her developmentally focused alcohol and drug intervention research. She is the past President of Division 50 (Addictions) of the American Psychological Association, is on the executive board of numerous scientific organizations and has over 250 publications. She is involved in addiction prevention and intervention at the regional, state and national level. Dr. Brown’s research yielded some of the pioneering information on the relapse process for youth as well as long term outcomes for clinical samples of youth who have experienced alcohol and drug problems. Her current NIAAA, NIDA, and NIMH funded research investigates neurocognitive impact of early alcohol and drug exposure, processes whereby youth escalate or diminish their substance use with and without treatment, and the role of psychiatric comorbidity in the treatment of alcohol and drug problems, genetic factors including addiction development, and novel strategies to diminish substance problems among youth.

Jana Cook, M.D., Ph.D., is an Assistant Project Scientist in the Department of Psychiatry at UCSD, CCARTA. She graduated from the Medical School at the Comenius University in Bratislava, Slovakia. Her training is in adult general psychiatry, with a postgraduate specialization in substance abuse treatment and in forensic psychiatry. Jana has worked closely with the Ministry of Justice of the Slovak Republic as certified expert witness in the field of medicine, branch of psychiatry. Her PhD work was focused on the treatment of heroin addiction. Before coming to the US in 2006, Jana worked as assistant professor of psychiatry at the University Hospital of Bratislava. She worked at the psychiatric emergency unit and supervised a department for addiction disorders and psycho-reactive states. Jana represents the Slovak Psychiatric Association within the World Council of Young Psychiatrists and is an active member of the World Association of Young Psychiatrists and Trainees. She has been elected as a member of the Committee for Protection of Public Order of City Council of the Capital of SR Bratislava and has been active in the community promoting mental health. She has experience in working with the Council of Europe and the European Monitoring Center for Drugs and Drug Addiction as a consultant.

Steven L. Gallon, Ph.D., is Project Director at the Northwest Frontier Addiction Technology Transfer Center and Adjunct Associate Professor in the Department of Public Health and Preventive Medicine at Oregon Health and Science University. Since 1974, Dr. Gallon has worked as an addiction treatment counselor, program manager, educator, and system consultant. He is active in the development of materials, training programs and research that promote the adoption of “best practices” in community addiction treatment settings and is a Process Improvement Coach within the Network for the Improvement of Addiction Treatment (NIATx). He was a member of the committee that authored the nationally acclaimed Addiction Counseling Competencies: the Knowledge, Skills and Attitudes of Professional Practice, chaired the ATTC committee that developed The Change Book: A Blueprint for Technology Transfer and chaired the CSAT committee that developed the Competencies for Substance Abuse Treatment Clinical Supervisors. He is a former recipient of the Leadership in Research Award for the National Institute on Drug Abuse and the National Association of Addiction Professionals.

Patricia Hoffman Judd, Ph.D., is a Clinical Professor of Psychiatry at UCSD School of Medicine, Department of Psychiatry and Director of the Center for Study of Personality and Co-occurring Disorders which includes the UCSD Co-occurring Disorders Program and the UCSD Borderline Personality Disorder Service. Dr. Judd is also Director of UCSD Outpatient Psychiatric Services clinical training program for marriage and family therapists, psychologists and social workers and is Director of the UCSD Attachment Institute. She received her Ph.D. in Clinical Psychology from the California School of Professional Psychology, San Diego in 1989 and her Masters in Social Work from San Diego State University in 1970.

Dr. Judd has two primary research areas: Borderline Personality Disorder (BPD) and Co-Occurring Disorders (COD) (substance abuse and other mental disorders). She has studied neurocognitive functioning in BPD patients and has formulated an integrated developmental model of the disorder. Dr. Judd studies the effectiveness of integrated treatment of COD in improving patient outcomes and decreasing public health and criminal justice costs.
Dr. Judd provides individual and couples psychotherapy. She works with individuals with a wide range of psychological and interpersonal problems using an integrative approach.

Igor Koutsenok, M.D., MS, is Director of the Center for Criminality & Addiction Research, Training & Application and Associate Professor of Psychiatry at the UCSD School of Medicine. He joined UCSD in 1997. His responsibilities include substance abuse and addictions treatment curriculum development and training for a large variety of professionals. He graduated a medical doctor in 1982 from the Medical University in Kiev (Ukraine).

He has a degree as a psychiatrist from the Medical University in Sofia (Bulgaria), 1990, and a Masters Degree in Addictive Behavior from the University of London (UK), 1995. Before joining UCSD, he worked in Bulgaria as the head of the National Center for Addictions and Deputy Director of the Institute of Psychology. During the last 15 years, he served as an expert for many international organizations such as the Council of Europe, the European Union, and the United Nations. He has been invited as guest speaker to numerous conferences and professional gatherings in more than 15 countries. He is the author and co-author of over 30 scientific publications and 4 book chapters.

Jackie Long is a 27-year veteran of California Law Enforcement with eight years of general street patrol experience and 18 years in narcotic enforcement. Mr. Long has actively investigated clandestine laboratories for 13 years and has testified in many California counties as an expert in regards to the different manufacturing processes of methamphetamine and other controlled substances, trafficking, possession for sale and sales of various controlled substances, and being under the influence of controlled substances.

During his eight years of service as an instructor/program manager to the California Department of Justice, Advanced Training Center for eight years, Mr. Long trained more than 18,000 federal, state, and local law enforcement, fire, emergency services, and civilian personnel throughout the United States, Canada, and Mexico.

Mr. Long has presented courses involving the investigation and manufacture of controlled substances, drug and user identification of various controlled substances, drug and alcohol influence recognition, undercover narcotic investigation techniques, undercover surveillance techniques, and drug culture trends.

Mr. Long is currently employed as a Special Agent Supervisor with the California Department of Justice, Bureau of Narcotic Enforcement, Clandestine Laboratory Enforcement Program. Mr. Long supervises the program that oversees the Department of Justice’s state and local task force clandestine laboratory program. Mr. Long oversees the Department’s Illness Injury Prevention Program, Hazcom Program, and OSHA compliance programs.

Scot Lord, CATC, FACT, is a Senior Learning Skills Counselor at UCSD CCARTA. Scot completed the Alcohol and Other Drug Studies program at City College and began working for Mental Health Systems in the East County Drug Court program. After nearly two years, he transferred to a Proposition 36 program where he was the lead counselor for more than a year.

Scott McClure, Ph.D. (Clinical Psychology) is currently employed as a Senior Learning Skills Counselor with UCSD CCARTA. Prior to working at UCSD CCARTA, he worked for the UCSD Co-occurring disorders program as a substance abuse clinician for over 2.5 years providing individual therapy and group treatment. Scott has over seven years experience working with individuals who have co-occurring mental health and substance dependency issues across a broad scope of populations ranging from the severally mentally ill to university students. While at the UCSD Co-occurring disorders program Scott provided Multicultural and Motivational Interviewing Trainings for staff and interns, facilitated groups for PTSD, ADHD, and DBT, as well as developed Motivational Interviewing and Life Skills groups. Scott’s clinical and research interests include criminality and addiction, trauma, ADHD, and multicultural issues.

A. Thomas McLellan, Ph.D., is a psychologist, professor of psychiatry at the University of Pennsylvania and founder and Executive Director of the Treatment Research Institute, a not-for-profit research and evaluation institute in Philadelphia. Dr. McLellan was the principal developer of the Addiction Severity Index (ASI) and the Treatment Services Review (TSR), measurement instruments that characterize the multiple dimensions of substance abusing patients and treatments. Dr. McLellan has published more than 400 articles and chapters on addiction research. He serves as editor in chief of the Journal of Substance Abuse Treatment; as a reviewer on numerous medical and scientific journals; and as an advisor to many government and nonprofit scientific organizations.

Martha Schmitz, Ph.D. offers continuing education workshops and consultation in the treatment of PTSD and substance abuse to clinicians throughout the United States and Canada. She began working with Lisa M. Najavits, Ph.D., author of Seeking Safety: A Treatment Manual for PTSD and Substance Abuse in 2000as a postdoctoral fellow, and later as an assistant psychologist, at McLean Hospital-Harvard Medical School. Now residing in California, Dr. Schmitz continues to work as an associate for Dr. Najavits. In addition, she works at the San Francisco V.A. Medical Center where she collaborates on research, conducts psychotherapy, and supervises clinical staff. Dr. Schmitz received her doctorate in Counseling Psychology from the University of Missouri at Columbia after earning her master’s and bachelor’s degrees from the University of California at Davis. She has collaborated on several research projects in both the United States and France. Her clinical and research interests include posttraumatic stress disorder, substance abuse, and resiliency in survivors of trauma.

Marc A. Schuckit, M.D., is Professor of Psychiatry and Director of the Alcohol and Drug Treatment Program, University of California, San Diego and the VA San Diego Healthcare System. Dr. Schuckit got a BS from the University of Wisconsin, an MD from Washington University, interned at Cedars Sinai Medical Center, and was a resident in psychiatry at Washington University and UCSD. He was a special advisor to the Commanding Officer of the Naval Health Research Center, and the first Director of the Alcohol and Drug Institute, University of Washington (1975-1978). He returned to San Diego as Professor and Director of the Alcohol and Drug Treatment Program, University of California, San Diego and the VA San Diego Healthcare System. Dr. Schuckit’s major focus is alcohol and drugs. He was Chair of the DSM-IV substance disorders workgroup and has published papers about the optimal diagnostic criteria for substance use disorders. Regarding the genetics of alcoholism, he has carried out adoption studies, identified a genetic characteristic that impacts on elevated alcoholism risk (the low level of response to alcohol), and is now searching for related genes. He is currently completing a 20-year follow-up (97% success rate) of sons of alcoholics where he is trying to identify environmental events that might relate to whether biological predisposition toward alcohol dependence is expressed. An additional research area is co-morbidity between substance use disorders and major psychiatric conditions.

Dr. Schuckit directs the Alcohol and Drug Treatment Program at the VA San Diego Healthcare System, supervising residents, medical students and staff. He is also a major contact person regarding alcohol and drug problems in faculty and staff at UCSD and the San Diego VA. Additional clinical interests include the treatment of depressive disorders, anxiety conditions, and geriatric psychiatric population

**UCSD Price Center**

The 37th Annual Summer Clinical Institute will be held in the Price Center on the University of California, San Diego campus. UCSD is located 15 miles north of downtown San Diego. For directions, please visit Google maps.

Google Map:
For map and directions to the conference, parking, and nearby hotels, please visit SCI Google Map page.

Parking is available at the Gilman Parking Structure located at the top of Villa La Jolla Drive and Gilman Drive. A parking permit is required on UCSD campus. One day parking passes can be purchased in the Parking Services Office (first floor of the Gilman Parking Structure) for $6.

Park in V, B or S spots only.

Parking without a proper permit may result in a citation being issued. Citation penalty fees range from $40 - $350. If the citation is not paid within 21 days, the penalty doubles. After 45 days, the Department of Motor Vehicles (DMV) places a hold on the vehicle registration and adds $20 to the already doubled penalty. Please visit UCSD’s website for additional parking information.

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Full Conference Registration

$270 (until June 15)
$300 (after June 15)

One or Two Day Registration

$90/per day (until June 15)
$100/per day (after June 15)

Continuing Education Units (CEUs)
Attendees have an opportunity to earn 18 continuing education units (CEUs) for the full conference. To be eligible for CEU credit, please select the appropriate fee below. (This amount is in addition to your registration fee.) Attendees must sign the attendance sheets daily.

Full Conference - 18 CEUs
Two Days - 12 CEUs
One Day - 6 CEUs

$54.00
$36.00
$18.00

The UCSD Department of Psychiatry is approved by the American Psychological Association Sponsor Approval System to provide continuing education for psychologists. This course has been approved for 18 continuing education hours. The UCSD Department of Psychiatry maintains sole responsibility for this course. Please sign the attendance sheets at the registration desk daily. You will need to provide your license number.

The UCSD Department of Psychiatry is approved by the California Board of Behavioral Sciences (BBS) to provide continuing education for those holding MFCC and LCSW’s. This course meets the educational requirements for up to 18 hours. Please sign the attendance sheets at the registration desk daily. You will need to provide your license number.

SCI can account for 18 continuing education units (CEUs) for the California Association of Alcoholism and Drug Educators (CAADE). Please sign the attendance sheets at the registration desk daily. You will need to provide your certificate number.

SCI can account for 18 continuing education units (CEUs) for the California Association of Alcoholism and Drug Abuse Counselors (CAADAC). Please sign the attendance sheets at the registration desk daily. You will need to provide your certificate number.

SCI can account for 18 continuing education units (CEUs) for the California Association of Addiction Recovery Resources (CAARR), Certified Alcohol and other drug Specialist (CAS). Please sign the attendance sheets at the registration desk daily. You will need to provide your certificate number.

SCI can account for 18 continuing education units (CEUs) for the Forensic Addictions Corrections Treatment (FACT) Counselors. Please sign the attendance sheets at the registration desk daily. You will need to provide your certificate number.

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By Phone:	(858) 456-6784
By Fax:	(858) 551-2948
By Email:	sci@ucsd.edu

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