Welcome
Arlington Ballroom Salons III & IV

Ruth Hurtado-Day, M.S., Public Health Advisor, CHAB/DSCA/CSAT/SAMHSA, Rockville, MD

The Future of the Field: From Process to Outcome in Delivery and Evaluation of Services
Arlington Ballroom Salons III & IV

	Scott D. Miller, Ph.D., Co-Founder, Institute for the Study of Therapeutic Change, Chicago, IL
	Feeling tired, overwhelmed, or overworked as a clinician? Are paperwork, oversight, and regulatory requirements putting the squeeze on precious clinical resources? Do you have to work harder, see more clients, and spend more time at the office just to maintain last year’s standard of living? In this session, Dr. Miller will present steps for revitalizing the practice of therapy as outlined in his latest book, The Heroic Client: A Revolutionary Way To Improve Effectiveness Through Client-Directed, Outcome-Informed Clinical Work (Jossey Bass, 2004). Amid dramatic changes in the field of therapy resulting from government cutbacks, managed care, the depersonalizing of clients through diagnostic labels, and the increasing reliance on medication, Dr. Miller advocates for nothing less than a revolution in the way therapists think about, organize, conduct, evaluate, and fund clinical practice. Data from 40 years of outcome research underpin Dr. Miller’s premise that treatment should be organized around clients’ resources, perceptions, experiences, and preferences regarding the care they receive. Participants will not only learn how to identify client resources and preferences but also a simple, valid, and reliable method for using client feedback to tailor treatment to the individual consumer for maximum effect. Research conducted at multiple sites shows that the approach leads to dramatic improvements in retention and outcome of treatment services while simultaneously decreasing burdensome paperwork and needless micromanagement of clinicians.

Break
Arlington Ballroom Foyer

Poster Session Q & A
Grand Ballroom Salons C, D, & E

Workforce Issues: Retaining and Recruiting a Diverse Staff That Includes Consumers as Professionals on the Team
Arlington Ballroom Salon I

	Manny Brandt, Executive Director, National Center for Cultural Healing, LLC, Reston, VA, and Director of Innovation, Trinity Transition Consultants, Washington, DC
	Retention and recruitment are a story of organizational renewal. They are also a story of intentional engagement and purposeful actions that exemplify respect and inclusion. This interactive workshop will explore challenges and approaches to “unlearning cultural incompetence” and flipping the script of an organization’s story. This experiential workshop will explore both macro and micro perspectives affecting successful, culturally competent organizational retention and recruitment, with a special focus on clients as staff and staff as coaches.

Pillars of Hope: Peer Support Approaches for People With Co-Occurring Disorders
Arlington Ballroom Salon II

	Larry Fricks, Director, Appalachian Consulting Group, and Vice President Peer Services, Depression and Bipolar Support Alliance, Cleveland, GA
	Julia Tripp, Program Associate, Advocates for Human Potential, Inc., Randolph, MA
	This workshop will explore five major stages in the recovery process from the perspective of the practical through the perspective of the lived experience. Presenters will discuss the struggle of recovery at each stage: the problems, the challenges, the catalysts. Although acute health issues bring people who are homeless into service, some for the first time in many years, it is the whole health of the individual that is critical to the future of homeless services and care. The workshop will unveil a pilot program that uses a peer-to-peer approach to reaching consumers who are homeless and have a mental illness to create trusting relationships, foster commitment to change, connect to services, and develop health self-management skills.

The Use of Fidelity Scales With Evidence-Based Practices
Arlington Ballroom Salon V

	Gary R. Bond, Ph.D., Chancellor’s Professor, Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN
	This workshop will explain what fidelity scales are and how they have been used to improve quality of implementation of evidence-based practices. Dr. Bond will describe the assessment approach used in the National Evidence-Based Practices Project and summarize the evidence for the reliability and validity of fidelity scales, with a focus on fidelity scales for ACT and supported employment.

A Case Study of the Use of Fidelity Measurement: Illness Management and Recovery

	Anthony Mancini, Ph.D., Project Evaluator, TI16634-Center for Urban Community Services, Inc. and Project Director, Department of Counseling & Clinical Psychology-Grant, Teachers College, Columbia University, New York, NY
	What role can fidelity scales play in evaluation? In this workshop, Dr. Mancini will describe how a fidelity scale informed an ongoing implementation project for Illness Management and Recovery, a curriculum-based practice designed to enhance the ability of people to manage their mental illness. He will discuss the kinds of feedback fidelity measures provided to program administrators and the role that fidelity findings played in ongoing program development. Dr. Mancini will further consider the ways that fidelity measurement can be integrated with other data sources to provide a richer picture of program functioning and its potential as a tool for routine program evaluation and quality improvement.

Case Management for Persons Who Are Chronically Homeless: A Collaborative Approach
Arlington Ballroom Salon VI

	Ann Denton, M.Ed., Managing Director, Albany Office, Advocates for Human Potential, Inc., Austin, TX
	This workshop will provide practical and useful information about effective case management services within continuum of care systems. Specific issues to be considered include methods for providing wraparound services for people who are newly housed. Substance use and abuse will be discussed, and a case study will be presented. Also, the workshop will provide specific tips and tools for improving service integration within the continuum of care.

Unleashing The Power and The Spirit That Works in Us
Arlington Ballroom Salons III & IV

Debyii Sababu-Thomas, Ph.D., Professor, Department of Communications and Culture, School of Communications, Howard University, Washington, DC

The Secret to Improving Effectiveness and Efficiency: Three Steps for Unlocking the Potential of Your Clinical Staff
Arlington Ballroom Salon I

	Scott D. Miller, Ph.D., Co-Founder, Institute for the Study of Therapeutic Change, Chicago, IL
	Quality assurance, regulatory oversight, evidence-based practice, and accountability are the watchwords of the day. To survive, agencies must provide evidence that the services being offered are both effective and efficient. Lost in much if not most of this discussion is the single largest influence on outcome: the line clinician. Studies dating back more than 25 years show that one of the largest sources of variability in outcome is the individual clinician. Even when treatment manuals and fidelity measures are employed, significant differences in effectiveness and efficiency persist. In fact, differences in outcome between clinicians contribute 8 to 9 times more to outcome than the particular model or therapeutic approach used! In this workshop, participants will learn a simple and practical method for identifying and improving the outcome and efficiency of clinical staff. Results from a number of clinical trials show that using the approach reduces dropout rates by half while improving the outcomes of the most challenging cases by 65 percent.

Motivational Interviewing: Practical Applications of Knowledge and Research
Arlington Ballroom Salon II

	Jennifer Frey, Ph.D., Expert Content Director, Knowledge Application Program, The CDM Group, Inc., Bethesda, MD
	This interactive workshop will explore the research findings and current literature on motivational interviewing (MI) as it applies to the challenges of working with people who are homeless. Topics will include practical information on modifying MI techniques for working with people who are diagnosed with co-occurring disorders, increasing adherence to treatment for medical conditions, facilitating and sustaining the practice of MI through supervision, and improving outcome measures through effective implementation of MI.

Roundtable Discussion: Developing and Modifying Fidelity Scales and Other Quality Improvement Measures
Arlington Ballroom Salon V

	Gary R. Bond, Ph.D., Chancellor’s Professor, Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN
	This interactive workshop will examine the process of developing a new fidelity scale for a program model or adapting it from an existing scale. Using a comprehensive toolkit on fidelity development, participants will discuss the key steps in developing a scale. Dr. Bond will provide a variety of concrete examples, ranging from single-item quality improvement indicators to comprehensive scales, describing effective strategies that have worked and common pitfalls. Participants will be encouraged to describe their own experiences with fidelity scales.

Outreach and Engagement to Individuals Who Are Chronically Homeless: Developing New Skills and Expectations
Arlington Ballroom Salon VI

	Lynne Chapman, Vice President for Programs and Project Director, TI18215-Pine Street Inn, Inc., Boston, MA
	April Stevens, M.S.W., LICSW, Director of Substance Abuse Services and Clinical Director, TI18215-Pine Street Inn, Inc., Boston, MA
	Brian Gripentrog, M.S.W., Clinical Supervisor, Touchstone innovaré (TI16502-network180), Grand Rapids, MI
	This workshop will explore the use of comprehensive case management and MI in efforts to break the cycle of chronic homelessness. Specific outreach and engagement techniques will be described and discussed in the context of the Pine Street Inn program in Boston and the Touchstone innovaré program in Grand Rapids. Factors that influence outcomes will be discussed.

Break
Arlington Ballroom Foyer

Poster Session
Grand Ballroom Salons C, D, & E

Recruitment and Retention of Skilled Staff: Leadership for a Changing Environment
Arlington Ballroom Salon I

	Tom Durham, Ph.D., CCS, LADC, Executive Director, The Danya Institute, Inc., and Project Director, Central East Addiction Technology Transfer Center, Silver Spring, MD
	Francine Feinberg, Psy.D., LCSW, Executive Director, TI18167-Meta House, Inc., Milwaukee, WI
	Drs. Feinberg and Durham will present on the crisis the field is facing over the need to recruit and retain qualified staff. The theme of their workshop is how effective leadership can influence efforts in staff recruitment and retention. Dr. Feinberg will present on successes at Meta House in creating a culture conducive to high rates of staff retention based on leadership responsibilities that lead to a collaborative and high-functioning environment. Dr. Durham will address succession planning and proven characteristics of relational leadership skills while reflecting on the Meta House examples. The workshop will end with a short recruitment video.

Creative Strategies for Integrating Cultural Practices in Mental Health and Substance Abuse Treatment
Arlington Ballroom Salon II

	Paul Ehrlich, M.A., Executive Director, Totah Behavioral Health Authority, TI16587-Presbyterian Medical Services, Farmington, NM
	Orlando Nakai, Project Director/Assistant Director, TI16671-Friendship House Association of American Indians, Inc., San Francisco, CA
	In this workshop, participants will explore the essential dynamics of clinically competent and culturally proficient approaches to the assessment, diagnosis, and treatment of substance use and co-occurring disorders. They will examine the similarities and differences between traditional indigenous and contemporary evidence-based approaches, taking into consideration the residual effects of historical trauma as they affect present day Native Americans seeking help for alcohol- and drug-related problems. The workshop will provide the opportunity for dialog, exploring issues of fidelity, adaptation, and integration of contemporary best practice models into Native communities to heighten cultural competence and improve the coordination of an effective continuum of care.

Evaluating the Practitioner’s Contribution to Organizational Cultural Competency
Arlington Ballroom Salon V

	Ramón (Ray) Valle, Ph.D., Director, Associates in Cultural Competency Organizationl Research and Development (ACCORD), and Professor Emeritus, San Diego State University, San Diego, CA
	Practitioner cultural competency is the pillar of the organization’s overall cultural competency. This session will feature discussion on the “practitioner component” of the Cultural Competency Organizational Assessment Form (CCOAF). Admittedly, practitioner cultural competency is highly intuitive. Yet it is also very practical and observable. This means that practitioner cultural competency can be readily captured through a mix of both quantitative and qualitative assessment steps. Fundamentally, practitioner cultural competency is grounded on the knowledge and skill expressed around a set of nine core cultural competency variables that can be empirically documented by practitioners themselves, their supervisors, and assigned program evaluators.

Improving Quality and Continuity of Care: Exploring the Integration of Primary Care and Behavioral Health in Caring for People Who Are Chronically Homeless
Arlington Ballroom Salon VI

	James O’Connell, M.D., President and Street Physician, Boston Health Care for the Homeless Program, Boston, MA
	Individuals who are chronically homeless bear a disproportionate burden of medical, mental health, and substance use problems. The traditional treatment systems are fragmented and deliver care in “silos.” Coordination of care and shared treatment plans are difficult to achieve in the current system. This session will explore strategies to integrate and co-locate medical and mental health care within multidisciplinary teams capable of bridging traditional mainstream systems with direct care delivered in shelters and on the streets. The model of service delivery in Boston will be described, using specific case examples.