2023 Cape Cod Symposium Brochure - 10

FRIDAY, SEPTEMBER 8
in recovery, include empathy, resiliency, inspirational
motivation, and tenacity. According to this study,
participants were able to increase their commitment to
recovery with the understanding that they possessed
desirable characteristics that could benefit those
around them. This session will help clinicians identify
those existing traits and review how they can be
integrated into the therapeutic setting. There will be
discussion on guiding clients to further develop those
traits in goal setting and behavior modification.
Opioid Misuse as an
Attachment Disorder
michael roeske, psyd
The origins of the opioid epidemic are often attributed
to an unscrupulous pharmaceutical company. But a
more useful approach to viewing opioid use disorders
and their treatment is through two discrete yet
interconnected lenses: the larger ecological system,
including sociohistorical changes in the United States,
and attachment theory, which sees connection-seeking
behaviors as primary to survival. This presentation will
explore aspects of both lenses, posit a causal link to the
increase in opioid misuse, and present considerations
for the field, including:
* Research on social isolation/rejection and lower basal
opioid levels, and the common neural pathway of
physical and social pain
* Stigma as a hindrance to care; heightened sensitivity
to stimuli and exaggerated pain responses; and
downregulation of mu opioid receptors
* The question of stabilization; loss of relationship to
the substance as a grief response; and using a brain
opioid theory of social attachment framework for
treatment
* Future directions and limitations
Social Identity Mapping for
Adolescent Addiction Recovery
emily a. hennessy, phd, mphil
Addiction recovery is difficult for adolescents and
emerging adults and often involves multiple rounds of
treatment and supports. Social recovery capital (e.g.,
sober friends, family, peer groups) is vital to reducing
substance use. Social contexts shape social identity-
who I am-which is generated from social group
memberships-who we are. Social identity develops
through interaction with social groups and changes
over time as adolescents develop and engage with
different social groups. As peer norms and values are
strong influences on youth health and risk behaviors,
one's social identity is an important determinant
of actual behaviors in social contexts. Recovery
becomes more or less difficult depending on social
influences and how these interact with other recovery
capital resources. This presentation will discuss the
research on the importance of social recovery capital
for youth recovery, discuss the process of social
identity change during treatment and recovery, and
describe how one novel and visual approach, social
identity mapping (SIM), can be used to measure and
reflect with an adolescent on their immediate social
influences. Results from a mixed method study with 25
recovering youth (12-19-year-olds) will be presented
to demonstrate key network characteristics and
reflective themes from the post-SIM interviews. The
practical knowledge gained will be to understand what
social identity mapping is and how it can be used as a
visual tool, along with targeted reflection questions, to
enable youth reflection and increase practitioner-youth
engagement and connection.
10 #CapeCodsymposium23
11:00 AM-12:00 PM
BUSINESS SESSION
Preparing for Value-based Care:
Measurement, Documentation, and
Analysis of Patient Outcomes
annie peters, phd, lp
nicholas hayes, phd
Jake cornelius
With the release of CMS's Behavioral Health Strategy,
pending legislation, and expanded federal health
equity actions, more emphasis will be placed on
outcome data. Initial guidance exists, including
best practices from the NAATP Outcomes Pilot
Program and the Foundation for Recovery Science
and Education (FoRSE) initiative. However, the types
and extent of data required are likely to expand;
additional compliance requirements will come with
this expansion, increasing provider demands. Despite
numerous studies reflecting the value of measurebased
care (MBC) and current Joint Commission
standards for the inclusion of a standardized tool
to monitor patient progress, providers are slow to
change. While clinicians identify multiple MBC
benefits, including improved communication and
client empowerment, fewer than 20% are integrating
MBC into their practice. During this session, experts
in outcome data collection and analysis will present
best practices and innovation efforts underway to
help behavioral health providers to: localize outcome
measurement to drive visibility into facility-level
performance; leverage benchmark data to understand
performance in the larger community context; drive
adoption of MBC using best practices in clinician
engagement, adoption, and technology requirements;
develop a robust data and analytics approach that will
enable success under fee-for-service and value-based
models; outline the critical technology requirements
for an effective MBC program; and describe the
data and analytics infrastructure required to collect,
manage, store, and analyze complex outcomes data.
12:15 PM-1:45
LUNCH KEYNOTE
1:45 PM-3:15 PM
EARLY AFTERNOON
BREAKOUT SESSIONS
A Multifaceted Approach to
Cravings Management
doug paul, ms
The DSM-5 added " cravings " to the criteria for
substance use disorders, while noting that cravings
may persist well past the period of post-acute
withdrawal. Just as addiction can impact every
area of life, so too must the approach for cravings
management. The goals for this workshop are to review
the literature on cravings management techniques,
describe in detail four craving types, and elicit a
discussion of multifaceted approaches to use in a
variety of treatment settings to assist clients in cravings
management. This dynamic presentation is both
experiential and educational, with use of mixed-media
and pop-culture references.
2023 Cape Cod Symposium Brochure

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