2023 Cape Cod Symposium Brochure - 11

Children of Parental Substance Use
Disorder: Hidden Burdens
and Resiliencies
wendy m. wade, phd, lpcc, cadc 1
Children whose parents have substance use disorder
live with deep trauma and serious chronic unmanaged
stress with limited access to help. Services are available
to only a fraction of children and families in need.
Identification of children is problematic due to invisible
stigma, family rules about not talking about the
drinking or drug use outside the home, and children's
fear that no one will believe them or take them
seriously. Substance use disorders are not confined to
underprivileged families but affect people in all levels
of society. Opportunities for help decrease, though,
with lower socio-economic status and other significant
cultural factors. These young voices need advocacy
as a quietly marginalized population. Needs include a
safe, predictable place to call their own with traumainformed
adults trained to accept their life experiences
and provide support and relevant healing activities.
There is hope with acceptance and understanding of
the reality and depth of children's needs and their many
resiliencies. A process for developing and conducting
educational support groups for these children will be
described in detail with adaptations for working with
individuals. Three activities that can be used in groups
and with individual clients will be demonstrated with
some audience participation.
Oxycodone With a Whiskey Chaser:
Substance Use Disorders and
Comorbidities in Older Adults
kaisha a. thomas, phd
The demographic makeup of the US is changing,
with a shift toward a growing elderly population.
With baby boomers moving into retirement, trends in
substance use disorders (SUD) and addiction among
older adults are increasing at alarming rates. Physical
and mental health-related comorbidities are common
in this population and often contribute to confusion
of the clinical presentation. This presentation will
explore the unique issues of SUD and treatment as
it relates to older adults. We will explore the unique
effects of drugs (illicit, prescription, and alcohol) on
the aging body, related comorbidities, and specific
treatment needs of older adults who require clinical or
medical intervention for any type of substance abuse
or addiction. Participants will advance their knowledge
on current data and statistical information on the
older population and their relationship to substance
use. They will learn about the specific treatment
needs of the older adult population, including their
psychological, spiritual, social, and physical needs and
the skills necessary to address them. The information
shared will advance and provide more specific
methods of clinical interventions with the older adult
population and enhance clinical skills needed to
effectively work with this growing population and
their specific needs in their practice. Finally, the
presentation will increase participants' sensitivity and
comfort level in dealing with the older population and
their families.
The Opposite of Addiction Is Truly
Connection: Neurobiological
Underpinnings of Promoting Family
Togetherness in Early Recovery
anthony J. nave, licsw
courtney hulse, lmft
Research indicates that social and relational supports are
significant predictors of positive treatment outcomes.
In this workshop, attendees will gain a foundational
understanding of interpersonal neurobiology as an
addiction-oriented model and its relevance to family
functioning in early recovery. Through the theory of
interpersonal neurobiology, this workshop will examine
factors that contribute to relational strain such as a break
in the exchange of communication and connection.
Presenters will also share methods providers can use to
best promote healing and repair to the family system,
such as narrative work, attunement, and fostering
secure attachment. Presenters will discuss strategies
for selecting the dyad of focus, or the set of family
members most clinically appropriate to focus on and
include in the treatment process, to reduce complexity.
We will also explore the application of therapeutic use
of self-techniques, such as mindsight, aligned with the
neurobiological underpinnings reviewed that highlight
clinicians themselves as integral agents of change.
Treating Substance Use Disorder
With Ambulatory Detoxification
Protocols and Medication-Assisted
Treatment During COVID-19
Janet l. wilkinson, msn
This presentation will incorporate and highlight
an enhanced knowledge base regarding inpatient
vs. outpatient detoxification process for SUD/MAT
co-occurring team members. This knowledge can
help clinicians and providers better understand their
clients' anticipated withdrawal symptoms as well as
review potential treatment options. Treating withdrawal
symptoms either anticipatorily or at onset of symptoms
has been shown to be an effective tool to increase
the individual's quality of life and decrease the risk
of ongoing substance use. Comparative outcomes
between outpatient (community) and inpatient care
demonstrated a better detoxification completion rate
with outpatient care than inpatient (Hall, Coppin, et
al.). This study evaluated a combined approach that
demonstrated a high success rate at a lower cost,
compared to a traditional inpatient detoxification
treatment. This innovative method of detoxing people
off of substances including alcohol, benzodiazepines,
and opiates in an outpatient setting has proved to
be an effective, safe, and low-cost treatment for
patients with mild to moderate symptoms (per the
SOWS/COWS scale). We will discuss individual
substances' anticipated withdrawal symptoms and
the management techniques (including medication
and other modalities) to help combat the patient's
individual symptoms. We will also briefly discuss postacute
withdrawal symptoms (PAWS) and treatment
options for these symptoms.
2:00 PM-3:00 PM
BUSINESS SESSION
Learn more & register at capecodsymposium.com/rates
11
FRIDAY, SEPTEMBER 8
http://www.capecodsymposium.com/rates
2023 Cape Cod Symposium Brochure

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