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28 th Annual<br />

<strong>Assertive</strong> <strong>Community</strong><br />

Treatment <strong>Conference</strong><br />

Boston, Massachusetts<br />

May 16-18, <strong>2012</strong><br />

Preconferences<br />

May 15, <strong>2012</strong><br />

The Boston Park Plaza<br />

Hotel and Towers<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services and<br />

Integrated Systems-of-Care Models - “Whatever It Takes”


<strong>ACT</strong>A<br />

Board of Directors<br />

President<br />

Steven Harrington, MPA, JD<br />

National Association of Peer<br />

Specialists, Recover Resources<br />

and Boston University Center for<br />

Psychiatric Rehabilitation<br />

Revere, Massachusetts<br />

Vice President<br />

John Fallon, BS<br />

Corporation for<br />

Supportive Housing<br />

Chicago, Illinois<br />

Secretary/Treasurer<br />

Darryl Mordell, BS<br />

Allegan County <strong>Community</strong><br />

Mental Health<br />

Allegan, Michigan<br />

Leslie Hall, MSW<br />

<strong>Community</strong> Mental Health<br />

Services of Livingston County<br />

Howell, Michigan<br />

Larry Mack, MA., LPC-I<br />

Telecare Mental Health Services<br />

San Antonio, Texas<br />

Antonio Lambert<br />

Recover Resources<br />

Smyrna, Delaware<br />

Dear Friends and Colleagues,<br />

Please join hundreds of your colleagues for the 28th Annual<br />

<strong>ACT</strong> <strong>Conference</strong>, May 15-18, <strong>2012</strong> as we return to the east<br />

coast, in the historic Back Bay of Boston, Massachusetts. We<br />

are very excited to be presenting this year’s conference in<br />

Boston in a progressive mental health services environment<br />

and in one of the oldest and most vibrant cities in the United<br />

States. The <strong>ACT</strong> <strong>Conference</strong>, a truly unique and one-of-akind<br />

experience, continues to be the premiere educational and networking event<br />

for the providers and users of comprehensive, community-based, and integrated<br />

services, family members, administrators, educators, researchers, and mental<br />

health policy makers. This year, over 100 presenters from across the nation and<br />

around the world will share their experiences and expertise in <strong>ACT</strong>, presenting on<br />

a wide variety of topics in some 70 meetings, preconference trainings, workshops,<br />

and institutes. Due to the number of excellent presentation proposals received by<br />

the committee, for the second consecutive year, there will be two sets of afternoon<br />

breakout sessions following the conference’s opening address on Wednesday.<br />

We are most pleased to present our Plenary Speakers. Antonio Lambert, Training<br />

Manager for Recover Resources, <strong>ACT</strong> program start-up consultant, and Peer<br />

Support Specialist will give the Opening Plenary on Wednesday afternoon, <strong>ACT</strong><br />

Means Action! Mr. Lambert will share his personal story of recovery and discuss<br />

his commitment to the <strong>ACT</strong> model. As a result of his remarkable recovery journey<br />

and contributions to mental health and substance abuse services, Mr. Lambert was<br />

recently the subject of a feature story in the New York Times. He has also been<br />

featured in other news, mental health and popular publications. Sam Tsemberis,<br />

CEO of Pathways to Housing, will present the Closing Plenary on Friday morning,<br />

speaking about “Act Then and Now”, and his interview with Len Stein. Others<br />

who have worked with and heard these men present attest to their passion and<br />

commitment to helping those with serious and persistent mental illness.<br />

Located in the heart of historic Back Bay, The Boston Park Plaza Hotel & Towers is<br />

one of Boston’s most recognized and renowned landmarks. The Boston Park Plaza<br />

is a member of Historic Hotels of America and opened in March, 1927 as part of the<br />

E.M. Statler Empire. With an unsurpassed location, the hotel is located only 3 miles<br />

from Logan International Airport and only 200 yards from the nation’s first public<br />

parks, the Boston Common & the Public Garden. The hotel is easily accessible to<br />

shopping along world renowned Newbury Street, Faneuil Hall Marketplace and<br />

the Theatre & Financial Districts. The amenities at the hotel include Full-Service<br />

Concierge, 24 Hour Room Service, a Fitness Center, and several in-house restaurants<br />

and bars.<br />

Over 600 of us gathered last year in beautiful Huntington Beach, California<br />

and nearly 16,000 people have attended previous <strong>ACT</strong> <strong>Conference</strong>s over the<br />

past 27 years. You will leave this conference feeling renewed and inspired to<br />

continue helping people diagnosed with serious mental illness in their journey of<br />

empowerment and recovery. We hope to see you in Boston, Massachusetts in May!<br />

Kind regards,<br />

Alexandra<br />

Alexandra Sixbey-Spring, BA<br />

Program & Services Coordinator<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment Association<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong><br />

11


Late Afternoon Mid-Afternoon Mid-Morning Early Morning<br />

Evening<br />

2<br />

28th Annual <strong>Assertive</strong> <strong>Community</strong> Treatment <strong>Conference</strong><br />

May 15-18, <strong>2012</strong> • The Boston Park Plaza Hotel & Towers • Boston, Massachusetts<br />

Schedule At-A-Glance<br />

Tuesday, May 15 Wednesday, May 16 Thursday, May 17 Friday, May 18<br />

Check-in/<br />

Information Desk Open<br />

7:30 -11:30 AM & 1:30 - 5:00 PM<br />

Continental Breakfast<br />

7:30 - 8:30 AM<br />

(For Registered Attendees of<br />

Preconferences)<br />

Preconference 1<br />

8:30 AM - 5:00 PM<br />

Preconference 2<br />

8:30 AM 5:00 PM<br />

Preconference 3<br />

8:30 AM – 5:00 PM<br />

Coffee Break<br />

10:00 - 10:30 AM<br />

(For Registered Attendees of<br />

Preconferences)<br />

Preconference 1 continued<br />

Preconference 2 continued<br />

Preconference 3 continued<br />

Luncheon<br />

Noon - 1:00 PM<br />

(For Registered Attendees of<br />

Preconferences)<br />

Preconference 1 continued<br />

Preconference 2 continued<br />

Preconference 3 continued<br />

Beverage Break<br />

2:45 PM - 3:15 PM<br />

(For Registered Attendees of<br />

Preconferences)<br />

Preconference 1 continued<br />

Preconference 2 continued<br />

Preconference 3 continued<br />

Evaluations and Certificates<br />

4:45 - 5:00 PM<br />

Check-in/<br />

Information Desk Open<br />

7:30 AM - 5:00 PM<br />

Book Sales and Exhibits<br />

8:00 AM 5:00 PM<br />

Coffee & Bakery Selection<br />

7:30 -10:00 AM<br />

Veterans Administration<br />

MHICM Meeting<br />

8:30 AM - Noon<br />

<strong>ACT</strong> State Leaders Forum<br />

8:30 AM - Noon<br />

Check-in/<br />

Information Desk Open<br />

Veterans Administration<br />

MHICM Meeting continued…<br />

8:30 AM - Noon<br />

<strong>ACT</strong> State Leaders Forum<br />

continued…<br />

8:30 AM - Noon<br />

Lunch On Your Own<br />

Opening Remarks<br />

1:00 - 1:20 PM<br />

Imperial Ballroom<br />

Opening Plenary –<br />

Antonio Lambert<br />

1:20 - 2:30 PM<br />

Imperial Ballroom<br />

Beverage Break<br />

2:30 – 3:00 PM<br />

Concurrent Workshops<br />

1 thru 11<br />

3:00 - 4:30 PM<br />

<strong>ACT</strong>A Annual Meeting<br />

5:00 - 5:45 PM<br />

Concurrent Workshops<br />

12 thru 21<br />

5:00 - 6:30 PM<br />

Check-in/<br />

Information Desk Open<br />

7:30 - 11:30 AM & 1:00 - 5:00 PM<br />

Book Sales and Exhibits<br />

8:00 AM - 5:00 PM<br />

Breakfast<br />

(Prepaid Admission Only)<br />

7:30 - 8:30 AM<br />

Concurrent Institutes A-C<br />

8:30 AM - Noon<br />

Concurrent Workshops 22 thru 29<br />

8:30 - 10:00 AM<br />

Coffee Break – All Sessions<br />

10:00 - 10:30 AM<br />

Continuation of Institutes A-C<br />

10:30 AM - Noon<br />

Concurrent Workshops 30 thru 37<br />

10:30 AM - Noon<br />

Luncheon<br />

(Prepaid Admission Only)<br />

Noon - 1:15 PM<br />

Concurrent Institutes D-F<br />

1:30 - 5:00 PM<br />

Concurrent Workshops 38 thru 45<br />

1:30 - 3:00 PM<br />

Beverage Break – All Sessions<br />

3:00 - 3:30 PM<br />

Continuation of Institutes D-F<br />

3:30 - 5:00 PM<br />

Concurrent Workshops 46 thru 53<br />

3:30 - 5:00 PM<br />

Check-in/<br />

Information Desk Open<br />

8:00 AM - 12:30 PM<br />

Book Sales and Exhibits<br />

8:00 - 11:00 AM<br />

Breakfast<br />

(Prepaid Admission Only)<br />

7:45 - 8:45 AM<br />

Concurrent Workshops<br />

54 thru 64<br />

9:00 - 10:30 AM<br />

Hotel Check-out and<br />

Luggage Storage<br />

10:30 AM - 11:00 AM<br />

Closing Plenary –<br />

Sam Tsemberis<br />

11:00 AM - Noon<br />

Imperial Ballroom<br />

Sweepstakes & Closing<br />

Comments<br />

Noon - 12:30 PM<br />

Imperial Ballroom<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


Preconference Institute 1 • Tuesday, May 15, <strong>2012</strong><br />

The <strong>ACT</strong> Association is pleased to offer a CHOICE of Three PRECONFERENCE INSTITUTES.<br />

Please note that you may attend ONLY the preconference institute for which you are registered and<br />

changing preconferences onsite is not possible.<br />

Recovery Relationships: The Art of Developing, Maintaining<br />

and Repairing Supportive Relationships<br />

Program Overview<br />

We all know that social relationships are vital to the human experience. Through decades of research, we<br />

also know that healthy, supportive relationships can be the most powerful agent for lifestyle change. But, too<br />

often, persons with psychiatric conditions, and perhaps especially those receiving <strong>ACT</strong> services, lack the skills,<br />

knowledge and motivation to create, build and repair social relationships. This session will briefly cover what<br />

recent research has found in regard to relationships and their role in physical and mental health and will focus<br />

directly on ways mental health professionals can help those they serve find and enjoy healthy relationships. The<br />

session will also cover ways to repair damaged relationships, particularly among friends and family. This will<br />

be a highly interactive session with group discussions, role plays and a variety of enjoyable and meaningful<br />

activities. By the end of the session, participants will be able to: 1) Identify the role relationships play in<br />

physical and mental health, 2) List methods to repair and build relationships.<br />

Presenters<br />

Steve Harrington, MPA, JD, President, <strong>ACT</strong> Association, Post-doctoral Fellow, Boston University’s Center<br />

for Psychiatric Rehabilitation, Revere, Massachusetts; Antonio Lambert, Board Member, <strong>ACT</strong> Association,<br />

National Speaker & Consultant, Training Manager, Recover Resources, Smyrna, Delaware<br />

Recovery Relationships Agenda<br />

7:30 – 8:30 AM ..................... Check – In and Continental Breakfast<br />

8:30 – 10:00 AM ....................Relationship Basics: Why they are important for everyone,<br />

characteristics of a healthy relationship, benefits of healthy<br />

relationships, where to meet others for potential relationships<br />

10:00 - 10:30 AM ...................Coffee Break with game (Human Scavenger Hunt)<br />

10:30 AM - Noon ...................Discussion of scavenger hunt results, barriers to creating and<br />

maintaining supportive relationships, exploring relationship issues in<br />

the mental health context<br />

Noon - 1:00 PM .....................Luncheon<br />

1:15 – 2:45 PM ....................... Helping others reach beyond comfort zones to create supportive<br />

relationships using role plays and group discussion<br />

2:45 – 3:15 PM .......................Beverage Break<br />

3:15 – 4:45 PM .......................Client-Mental Health Worker Relationships, Recovery Promoting<br />

Relationships Scale<br />

4:45 - 5:00 PM .......................Wrap-up, Evaluations & Certificates<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 3


4<br />

Preconference Institute 2 • Tuesday, May 15, <strong>2012</strong><br />

The <strong>ACT</strong> Association is pleased to offer a CHOICE of Three PRECONFERENCE INSTITUTES.<br />

Please note that you may attend ONLY the preconference institute for which you are registered and<br />

changing preconferences onsite is not possible.<br />

A Look at Motivational Interviewing:<br />

Using Motivational Interventions in Our Daily Work<br />

Program Overview<br />

SAMHSA has identified Motivational Interviewing as, “a proven and effective way to engage individuals with cooccurring<br />

disorders, develop therapeutic relationships, and determine individualized goals” (2010). This preconference<br />

institute will review Open Ended Questions, Affirmations, Reflective (Active) Listening, Summarizing (OARS),<br />

DiClemente’s Stages / Processes of Change, and group dynamics.<br />

Participants will review Motivational Interventions, Harm Reduction, and the Stages of Treatment. Additionally, the<br />

training will look at how to conduct Engagement, Persuasion and Active Treatment Groups. By the end of the session,<br />

participants will be able to: 1) Identify practical adaptations of Motivational Interviewing in our daily work; 2) Examine<br />

Motivational Interventions in Psycho-Educational groups.<br />

Presenters<br />

Gary Clark, MSW, LCSW, <strong>ACT</strong> Coordinator, <strong>Community</strong> Based Care Coordination & Treatment Services,<br />

State of New York, Office of Mental Health; Pascale Jean-Noel, LMSW, Director of Training, <strong>ACT</strong> Institute,<br />

Center for Practice & Innovations, New York Psychiatric Institute; Luis O. Lopez, MS, HSBCP, Director<br />

of Best Practices, Services for the Underserved, all of New York, New York<br />

A Look at Motivational Interviewing Agenda<br />

7:30 - 8:30 AM ..........................Check-In and Continental Breakfast<br />

8:30 – 10:00 AM .........................Introductions & Acknowledgements<br />

Overview of Motivational Interventions<br />

DiClemente’s Stages/Processes of Change<br />

10:00 - 10:30 AM ........................Coffee Break<br />

10:30 AM – Noon .......................Engagement, Affirmations, Reflective Listening<br />

Noon - 1:00 PM ..........................Luncheon<br />

1:15 – 2:45 PM ............................Open Ended Questions, Summarizing<br />

2:45 – 3:15 PM ............................Beverage Break<br />

3:15 – 4:45 PM ............................Simple Applications in Individual Counseling &<br />

Psycho-Educational Groups<br />

4:45 - 5:00 PM ............................Wrap-up, Evaluations & Certificates<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


Preconference Institute 3 • Tuesday, May 15, <strong>2012</strong><br />

The <strong>ACT</strong> Association is pleased to offer a CHOICE of Three PRECONFERENCE INSTITUTES.<br />

Please note that you may attend ONLY the preconference institute for which you are registered and<br />

changing preconferences onsite is not possible.<br />

Program Overview<br />

Trauma Informed Services and Supports:<br />

Environment to Practice<br />

Creation of trauma informed systems and supports has become a national social change movement and a mental<br />

health systems change priority. Trauma-informed means providers have considered the impact of trauma on people’s<br />

lives and work to engage and support individuals recognizing its impact. For mental health and substance abuse<br />

service users the high correlation between trauma and these conditions is well documented. This institute will provide<br />

an overview of the impact of trauma, information about what is helpful from survivors’ and providers’ perspectives,<br />

strategies to create environments and practices that are trauma informed, and tools to assist in the process. Survivors,<br />

providers, family members and community supporters are all welcome to attend.<br />

By the end of the session, participants will be able to: 1) Express the centrality of trauma and its impact on people’s<br />

lives; 2) Identify the principles of trauma informed services and supports; 3) Describe the skills necessary to change<br />

relationships, approaches, and environments within <strong>ACT</strong> to become more trauma informed.<br />

Presenters<br />

Cathy Cave, BS, Founding Partner, Michael Johnan, MA, Founding Partner, both of Unlimited Mindfulness<br />

Consulting, Delmar, New York<br />

Trauma Informed Services and Supports Agenda<br />

7:30 - 8:30 AM ............... Check-In and Continental Breakfast<br />

8:30 – 10:00 AM ............. Overview of Trauma and Its Impact<br />

10:00 - 10:30 AM ............ Coffee Break<br />

10:30 AM - Noon ............ Principles of Trauma Informed Care<br />

Noon - 1:00 PM .............. Luncheon<br />

1:15 – 2:45 PM ................ Survivor/Provider Partnerships to Promote Change<br />

2:45 – 3:15 PM ................ Beverage Break<br />

3:15 – 4:45 PM ................ Creating Trauma Informed Environments<br />

4:45 - 5:00 PM ................ Wrap-up, Evaluations and Certificates<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 5


<strong>Conference</strong> Program Index<br />

Opening Plenary • Wednesday Afternoon<br />

<strong>ACT</strong> Means Action! ....................................................................................................................... Antonio Lambert<br />

Closing Plenary • Friday Morning<br />

<strong>ACT</strong> Then & Now: An Interview with Len Stein Reflecting on the Genesis &<br />

Development of <strong>ACT</strong> Teams ..................................................................................................Sam Tsemberis<br />

Meetings • Wednesday<br />

<strong>ACT</strong> State Leaders Forum<br />

VA Mental Health Intensive Case Management (MHICM) Meeting ......................... Jay Cohen, Marcia Hunt,<br />

and Somaia Mohamed<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment Association Annual Meeting ...........................Steve Harrington, MPA, JD;<br />

<strong>ACT</strong> Board President<br />

Institutes • Thursday<br />

A. Integrating Stages of Change & Motivational Interviewing Skills Into Recovery Planning...Scott Madover<br />

B. TM<strong>ACT</strong>: A Technical Assistance Tool for Quality Improvement ............Maria Monroe-DeVita, Lorna Moser,<br />

and Gregory B. Teague<br />

C. Flexible <strong>ACT</strong> (F<strong>ACT</strong>) in the Netherlands: Practice & Evidence .................. Michel Bähler, Janneke Ferwerda,<br />

and Marieke van de Ven Dijkman<br />

D. Reducing Staff Turnover & Burnout: Tips for Team Leaders ..............................Gary Morse, Angela Rollins,<br />

and Michelle P. Salyers<br />

E. Creating Recovery-Centered Service Plans & Progress Notes ........................................ Annette M. Cañeda<br />

F. Shortcut to Starting a DBT Skills Group in an <strong>ACT</strong> Program .......... Emmalee Agostini, Jennifer Pasternack<br />

WORKSHOPS • Wednesday, Thursday and Friday<br />

Wednesday Afternoon<br />

1. Using Qualitative Research to Inform Clinical Practice ............................................................................... Simon Wharne<br />

2. Staff Countertransference to Personaility Disorders/Traits ......................................... David Lindy, MacDara O’Sullivan,<br />

and Caroline Williams<br />

3. The Missing Link: Cognitive Deficit in Schizophrenia ...............................................................Paul Borish, Kevin C. Riley<br />

4. Peer Support Whole Health & Resiliency: An Integrative Implementation Model for <strong>ACT</strong> Teams ........ Patricia Kenny,<br />

Robert Rousseau<br />

5. Achieve Long Term Effectiveness – Build Professional Relationships ............................................................... Mark Buck<br />

6. <strong>ACT</strong> Team Policies & Practices for the Treatment of Consumers Who Are Also Parents .Michelle Salyers, Laura White<br />

7. Mount Sinai <strong>ACT</strong>T – How to Engage Hard to Reach Clients ..........................................................................Wendy Chow<br />

8. Exploring Identity: Approaches to Enhance Strengths & Resilience.............. Annette M. Cañeda, Marcelo Cavalheiro,<br />

and Scott Madover<br />

9. F<strong>ACT</strong> or Collaborative Court Program Approach in Mental Health Courts ........................ Andrew Inglis, Ian Kemmer,<br />

and Annette Mugrditchian<br />

10. <strong>ACT</strong> Team Evolution: Identifying Team Effectiveness ...............................................JoAnne L. Davis, Angela C. DiCarne<br />

11. Trauma-Informed Care <strong>ACT</strong> Model; How We Can Make a Difference .................................Paul Kowal, Rebecca Roma,<br />

and Jessica Zembower<br />

6<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


Wednesday Evening<br />

Thursday Morning<br />

WORKSHOPS<br />

12. <strong>ACT</strong> Progressive Treatment Program – A Court Ordered Treatment Option ............ John R. Jaksa, Mary Ellen Quinn<br />

13. Trauma-Informed <strong>ACT</strong> Services: Supporting Consumers & Staff ................................................................Sam Bauman<br />

14. <strong>Assertive</strong> <strong>Community</strong> Treatment for the Elderly ..................................................................................... Jolanda Stobbe<br />

15. Working with the South-East Asian Population ....................................................Justine L. Caton, Rosalind M. Magill,<br />

and Savannah Phim<br />

16. Making Connections in Challenging Areas & Staying Safe ........................................... Jean Nemenzik, Eric Spaulding,<br />

and Kathy Staugaeno<br />

17. Communications Technologies in an Appalachian <strong>ACT</strong> Program ............................ M. Anthony Graham, April Simms<br />

18. A Comparative Overview of Long Acting Injectable Psychotics ...............................................................Dean Najarian<br />

19. Family Peer Support .......................................................................................................................................Mona Cooley<br />

20. The Team Leader & Psychiatrist’s Relationship on an <strong>ACT</strong> Team: Two Views, One Vision .........................Chris Blough,<br />

Holly Karalus, and Lou Picchio<br />

21. Using DBT with <strong>ACT</strong> Consumers to “Create a Life Worth Living” ................Raymond McManamon, Deena Rudolph<br />

22. Facilitating a Wellness Recovery Action Plan – WRAP ...................................Gary Clark, Pascale Jean-Noel, Luis Lopez<br />

23. Treating Schizophrenia After Release from Incarceration .........................................................................Dean Najarian<br />

24. Are You a Good Leader? ............................................................................................JoAnne L. Davis, Angela C. DiCarne<br />

25. Task Analysis for Less Restrictive Housing ....................................................................... Devon Horton, Karen M. Schen<br />

26. Supporting Parents with Psychiatric Disabilities ..............................................................................................Neil Harbus<br />

27. Maintaining Healthy Boundaries – A Clinical Guide ..........................................................Clayton Chau, Jenny Hudson<br />

28. High-Fidelity Person-Centered Planning in a Multi-<strong>ACT</strong> Team System ........................... Deborah Duch, Regina Janov,<br />

and Kim Patterson<br />

29. Lean Production: Improving Processes & Outcomes in <strong>ACT</strong> ..............................................Mimi Falbo, Christine Gregor,<br />

and Shaun Kostiuk<br />

30. Paying Attention to Voices .........................................................................................................Paul Borish, Kevin C. Riley<br />

31. Safety-Proof Yourself! Safety Practices for <strong>Community</strong> Visits...................................................................... Mark Buck<br />

32. Measuring Readiness for a Successful Transition .................. David Lindy, MacDara O’Sullivan, and Caroline Williams<br />

33. Providing Apartment Living for Transition Age Youth ..........................................................Clarita Mason, Daniel Roth<br />

34. The Art of Recovery .....................................................................................................Michael Buchert, Richelle Nordeen<br />

35. Empowering <strong>ACT</strong> Members Through a Mobile Communications Tool .................... Shari Hutchinson, Nancy Parrotta,<br />

and Kimberly Sonafelt<br />

36. Minnesota <strong>ACT</strong> Teams Get <strong>Assertive</strong> to Decrease Mortality ...................................................... Tracy Hinz, Walter Rush<br />

and Helen Wood<br />

37. <strong>Community</strong> Medication Management in <strong>ACT</strong> .....................................................Walter F. Jarvis III, Kimberly Patterson<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 7


8<br />

WORKSHOPS<br />

Thursday Afternoon<br />

38. Resolving Ambivalence & Reducing Resistance .....................................................................................Frances D. Yokley<br />

39. Verbal Threat Assessment ................................................................................................................................... Mark Buck<br />

40. Training & Quality Improvement for <strong>ACT</strong> Teams: What Works? .................................Deborah Duch, Emily Heberlein,<br />

Friday Morning<br />

and Kim Patterson<br />

41. A Comparison of Three <strong>ACT</strong> Teams in Maine & New Zealand ......................................Julie Keller Pease, Alex Veguilla<br />

42. Healing from Within: The Role of Spirituality in Recovery .............................................................................Neil Harbus<br />

43. Mental Health Intensive Case Management: Use of Evidence Based Interventions ........ Tosha L. Ellis, Jeanne Samter<br />

44. Hope – The Fuel for an Individual’s Recovery Journey .................................................. David Heffron, Jennifer Obermeyer<br />

45. <strong>ACT</strong> Program Implementation and Team Start-Up ................................................................................. Patricia Brouwer<br />

46. Stages of Change: Empower Employment Choices for <strong>ACT</strong> Clients ..................Anthony Deleon, Christopher Sullivan<br />

47. Development of an Integrated Health Home in an <strong>ACT</strong> Program ......................... Mindy Blair, Jill Koch, Sherry Parish<br />

48. Spark in the Dark ............................................Cyrene Baskett, Christa Overson, Faye Beth Pingry, Mark Schneiderhan<br />

49. Integration of Treatment & Learning in Working with Adolescents ........................... Dorothe Ernste, Ilone Kleijberg<br />

50. Striving to be the Best: What is Effective <strong>ACT</strong> Leadership? ................................................... Tracy Hinz, Lynette Studer<br />

51. One Did Fly Over the Cuckoo’s Nest & Decided to Roost There ............Kristin Hochard, Bill Napora, Matthew Parker<br />

52. Supported Choice Making: Choice Not Control ............................. Marc Chinard, David Heffron, Jennifer Obermeyer<br />

53. <strong>ACT</strong> Rocks: A Collaborative Newfoundland Perspective ....................Beverley Barrett, Pamela Parsons, Shannon Pike<br />

54. The Role of Relatives & Informal Caregivers in <strong>ACT</strong> ......................................................... Pravin Israel, Bente Weimand<br />

55. Client Death & Its Implication on an <strong>ACT</strong> Team ............................................................ Jennifer Eyford, Shelly Qualtieri<br />

56. Implementing IPS within <strong>ACT</strong> – Making Employment as Easy as ABC ....................................................Michelle Fassler<br />

57. Getting Out of Recovery’s Way: Rural <strong>ACT</strong> in Michigan & California .............................Lynn T. Johnson, Carol Stanchfield<br />

58. Implementing <strong>ACT</strong> with IDDT: Lessons Learned ......................................................................Scott Gerhard, Jon Ramos<br />

59. Using a “Step Up” Group for Individuals with Co-Occurring Disorders to Transitioning from <strong>ACT</strong> ........Jorge Duque,<br />

Yelena Rybkina<br />

60. Golden Nuggets of P<strong>ACT</strong> Wisdom: Recruiting the Right Team .......................................................................... Brian Eig<br />

61. Practical Safety for <strong>ACT</strong> Teams ................................................................................. Richelle Nordeen, Kevin St. Jacques<br />

62. Creating Culture Change at Your Agency ............................................................................Marc Chinard, David Mullen<br />

63. An Innovative Approach to Measuring <strong>ACT</strong> Model Fidelity: Self-Report vs. Phone-Based Fidelity ........... Laura White<br />

64. E-Learning <strong>ACT</strong>: Blending E-Learning & Social Media into Instructional Design ...........Kevin Mehnert, Lorraine Pauley<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


<strong>Conference</strong> Agenda<br />

Wednesday Morning • May 16, <strong>2012</strong><br />

7:30 - 10:00 AM Coffee and Bakery Selections<br />

7:30 AM - 5:00 PM Check-in and Information Desk Open<br />

Pre-registered conference attendees may pick up their conference packet at the registration tables. <strong>Conference</strong><br />

registration for individuals not pre-registered can be completed at the registration tables on a space-available<br />

basis. Facility maps, general information, and conference materials will also be found at the registration tables.<br />

Registration and <strong>Conference</strong> Staff: Alexandra, Genevieve and Jared Sixbey-Spring, all of the <strong>ACT</strong> Association,<br />

Brighton, Michigan and Novato, California<br />

8:30 AM - Noon V.A. Mental Health Intensive Case Management<br />

(MHICM) Meeting<br />

VA Mental Health Intensive Case Management (MHICM) staff and other interested participants attending the<br />

<strong>ACT</strong>A conference will kick off the conference with a meeting on Wednesday morning. The half-day meeting<br />

will include an overview of the history of MHICM, RANGE, and E-RANGE; differences between <strong>ACT</strong> and<br />

MHICM; and recent changes in VA Central Office and the impact on the Intensive Case Management Programs.<br />

Breakout sessions will focus on program start-up and implementation; consumer and family engagement;<br />

rehabilitation and recovery skills; and housing and vocational resources. All <strong>ACT</strong> conference attendees are<br />

welcome to attend.<br />

Facilitators: Jay L. Cohen, PhD, Acting MHICM Program Director, Office of Mental Health Services, Battle<br />

Creek, Michigan; Marcia Hunt, PhD, MHICM Project Director, Northeast Program Evaluation Center, Office<br />

of Mental Health Operations, West Haven, Connecticut; Somaia Mohamed, MD, PhD, RANGE Project Director,<br />

Northeast Program Evaluation Center, Office of Mental Health Operations, West Haven, Connecticut, all of the<br />

Veterans Administration Central Office<br />

8:30 AM - Noon <strong>ACT</strong> State Leaders Forum<br />

This informal gathering of <strong>ACT</strong> State Leaders from throughout the nation offers a unique opportunity for state<br />

leaders to network and learn from each other about approaches to funding, delivering, managing, and evaluating<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment programs.<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 9


10<br />

General Session Commences<br />

Wednesday Afternoon • May 16, <strong>2012</strong><br />

1:00 - 1:10 PM Opening Remarks and Welcome to the <strong>Conference</strong><br />

Speaker: Steve Harrington, MPA, JD, President, <strong>ACT</strong> Association, Post-doctoral Fellow, Boston University’s<br />

Center for Psychiatric Rehabilitation, Revere, Massachusetts<br />

1:10 - 1:20 PM Introduction of Antonio Lambert<br />

Speaker: Steve Harrington, MPA, JD, President, <strong>ACT</strong> Association, Post-doctoral Fellow, Boston University’s<br />

Center for Psychiatric Rehabilitation, Revere, Massachusetts<br />

1:20 - 2:30 PM Opening Plenary<br />

<strong>ACT</strong> Means Action!<br />

Antonio Lambert<br />

The <strong>ACT</strong> Association is pleased to welcome Antonio Lambert as the opening<br />

speaker at this year’s 28 th Annual <strong>ACT</strong> <strong>Conference</strong>. In the <strong>2012</strong> <strong>ACT</strong> <strong>Conference</strong><br />

Opening Plenary, Antonio will deliver a high energy speech about his life and mental<br />

health experience. Trouble for Antonio began as a child. Sexual and emotional<br />

abuse and neglect led to a life on the streets where he joined a gang and abused<br />

drugs. He learned how to survive in an urban jungle but those survival skills led<br />

to bullet wounds and prison. At age 17, Antonio Lambert had been shot nine times<br />

and was sentenced to 22 years in prison. After 16 years of incarceration, Antonio<br />

emerged severely depressed, confused and uncertain. There was one thing he was<br />

sure about—he had to change his life or he would end up dead or spend the rest of<br />

his life behind bars. With the help of a mentor, Antonio found hope and a new direction for his life. He began<br />

work as an <strong>ACT</strong> peer specialist in 2001 and became a respected trainer for mental health professionals for a<br />

large mental health service organization. Antonio learned he could turn adversity into opportunities and set about<br />

building a life full of meaning not only for himself but others he saw in a similar circumstances.<br />

Antonio has worked as a consultant to help create <strong>ACT</strong> teams in North Carolina. He has presented moving keynote<br />

addresses at national mental health conferences throughout the United States. Antonio’s workshops and courses<br />

are not your average fare. He brings courage to be creative in ways that engage and motivate participants who<br />

leave with new ideas, inspiration and meaning. As a result of his remarkable journey and contributions to mental<br />

health and substance abuse services, Antonio was the subject of a feature story in the New York Times. He has<br />

also been featured in other news, mental health and popular publications. Currently, Antonio is the training<br />

manager for Recover Resources. He assesses the needs as expressed by those seeking training and forms teams of<br />

facilitators to bring a special brand of training—one that is long remembered and meaningful. He is also an <strong>ACT</strong><br />

Association Board Member.<br />

2:30 - 3:00 PM Beverage Break<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


Wednesday Afternoon • May 16, <strong>2012</strong><br />

3:00 - 4:30 PM Concurrent Workshops 1 through 12 11<br />

1<br />

2<br />

3<br />

Using Qualitative Research to Inform Clinical Practice<br />

During this workshop material from qualitative studies to inform clinical practice in <strong>ACT</strong> services will be presented.<br />

Insights will be given into processes of engagement, therapeutic alliance, team-working and decision-making.<br />

In addition, the presenter will discuss the role of qualitative research methods, as complimenting or potentially<br />

critical, of quantitative studies. There will be group discussion around the use of qualitative studies and practical<br />

information on how such studies might be run in <strong>ACT</strong> services will be shared.<br />

By the end of this session, participants will be able to: 1) Describe important differences between qualitative<br />

and quantitative research methodologies, identifying contrasting implications for clinical practice, so as to be<br />

more effective in interpreting research data; 2) Identify ways to evaluate research studies, build alliances with<br />

academic colleagues and make use of research findings in clinical practice. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT THE INTERMEDIATE LEVELS; 50% DID<strong>ACT</strong>IC and 50% PARTICIPATORY.<br />

Presenter: Simon Wharne, BSc (Hons), MSc, MBPs, SDip, Chair, National Forum for <strong>Assertive</strong> Outreach, Team<br />

Leader, Hastings <strong>Assertive</strong> Outreach Team, Sussex Partnership NHS Foundation Trust, East Sussex, England<br />

Staff Countertransference to Personality Disorders/Traits<br />

Powerful countertransference reactions to personality disorders/traits among <strong>ACT</strong> clients are inevitable, ubiquitous,<br />

and can bear directly on clinical outcomes. In 2008, a focus group on staff burnout identified this clinical reality as<br />

a major contributor to staff exhaustion, frustration and decreased efficiency. In response new supports, supervision<br />

and evidence-based clinical strategies (i.e., DBT) were operationalized. This workshop describes the impact of this<br />

initiative on staff burnout and clinical outcomes.<br />

By the end of the session, participants will be able to: 1) Explain countertransference with personality disorders; 2)<br />

Describe the efficacy of evidence based practice with personality disorders; 3) Examine the relationship between<br />

worker satisfaction and clinical outcomes. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 60% DID<strong>ACT</strong>IC, 40% PARTICIPATORY.<br />

Presenters: David C. Lindy, MD, Associate Clinical Professor of Psychiatry, Columbia University, Clinical<br />

Director & Chief Psychiatrist; MacDara O’Sullivan, MSW, LCSW, <strong>ACT</strong> Team Leader; Caroline Williams, MD,<br />

<strong>ACT</strong> Team Psychiatrist, all of the Visiting Nurse Service of New York, <strong>Community</strong> Mental Health Services, New<br />

York, New York<br />

The Missing Link: Cognitive Deficit in<br />

Schizophrenia<br />

When treatment is unsuccessful, clinicians blame themselves, the<br />

participant or “the system”. Perhaps there is another, hidden factor to<br />

consider. This workshop explores the nature and extent of cognitive<br />

deficits observed in schizophrenia and distinguishes this factor from<br />

other symptoms of the illness. A model to appreciate the role of<br />

deficits as ‘treatment interfering behaviors’ is presented. Examples<br />

of simple modifications for interventions to enhance treatment<br />

effectiveness are explored.<br />

By the end of the sessions, participants will be able to: 1) Identify<br />

the nature and extent of cognitive deficits in schizophrenia; 2)<br />

Differentiate between cognitive deficit and negative symptoms; 3)<br />

Incorporate methods to address or circumvent deficits in treatment<br />

planning. CONTENT IS BEST SUITED FOR PARTICIPANTS AT<br />

ALL LEVELS; 75% DID<strong>ACT</strong>IC, 20% PARTICIPATORY, AND<br />

5% EXPERIENTIAL.<br />

Presenters: Paul Borish, MA, LPC, CAC-D, Team Leader, The<br />

Reading Hospital and Medical Center <strong>ACT</strong> Program; Kevin C.<br />

Riley, PhD, Psychologist, both of The Department of Psychiatry,<br />

The Reading Hospital and Medical Center, Reading, Pennsylvania<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong><br />

11


12<br />

4<br />

5<br />

6<br />

7<br />

Wednesday Afternoon • May 16, <strong>2012</strong><br />

Peer Support Whole Health & Resiliency: An Integrative Implementation<br />

Model for <strong>ACT</strong> Teams<br />

All <strong>ACT</strong> team members are welcome to examine the 10 week Peer Support Whole Health and Resiliency Program.<br />

PSWHR embodies a person centered philosophy that integrates achievable somatic (body), psychic (mind/affect)<br />

and pneumatic (spiritual) goals drawn from 10 domains of life. PSWHR uses stress management techniques<br />

developed by Dr. Herbert Benson at the University of Massachusetts Hospital. PSWHR is a completely positive<br />

approach to whole health and resiliency based on the premise that new habits are easier to create than old habits<br />

are to relinquish.<br />

By the end of the session, participants will be able to: 1) Describe the importance of Peer Support Whole Health &<br />

Resiliency; 2) Discuss the elements of PSWHR; 3) Describe how P<strong>ACT</strong> staff and persons served can implement<br />

PSWHR together. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC,<br />

50% PARTICIPATORY.<br />

Presenters: Patricia Kenny, MS, Director of <strong>Community</strong> Service, Massachusetts Department of Mental Health,<br />

Boston, Massachusetts; Robert Rousseau, MDiv, MA, ACPS, MHRE, Corporate Director of Peer Recovery<br />

Services, Fellowship Health Resources, New Bedford, Massachusetts<br />

Achieve Long Term Effectiveness – Build Professional Relationships<br />

Becoming a positive influence in someone’s life makes it easier to help them succeed, but you still have to find the<br />

professional balance – neither too personal nor too remote. This session gives you a way to strike that balance, and<br />

includes an 8-step method for effectively praising someone along the way.<br />

By the end of this session, participants will be able to: 1) Explain the differences and advantages/disadvantages of<br />

vertical and lateral relationships; 2) Identify a variety of sincere and effective praise statements. CONTENT IS<br />

BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC, 50% PARTICIPATORY.<br />

Presenter: Mark Buck, Master Presenter, NAPPI International, Sheffield, Massachusetts<br />

<strong>ACT</strong> Team Policies & Practices for the Treatment of Consumers Who are<br />

Also Parents<br />

Consumers of <strong>ACT</strong> who are parents represent a special and over-looked population of consumers. Since little is<br />

known about parent consumers, I surveyed <strong>ACT</strong> providers during the 2010 <strong>ACT</strong>A conference to determine the<br />

prevalence of parent consumers, as well as current team policies and practices for treating parent consumers. I<br />

also interviewed parent consumers to identify unmet parent-related treatment needs and suggestions for improved<br />

treatment services. Results from the surveys and interviews will be presented.<br />

By the end of the session, participants will be able to: 1) Identify the estimated prevalence of parent consumers<br />

by <strong>ACT</strong>; 2) Describe current <strong>ACT</strong> team policies and practices for treating parent consumers, as reported by<br />

76 <strong>ACT</strong> teams across the United States and Canada; 3) Describe the perspective of parent consumers of <strong>ACT</strong>,<br />

regarding parent-related treatment needs and ways to potentially improve <strong>ACT</strong> services for parents. CONTENT IS<br />

SUITED FOR PARTICIPANTS AT ALL LEVELS, BUT BEST SUITED FOR ADVANCED DIRECT SERVICE<br />

PROVIDERS; 70% DID<strong>ACT</strong>IC, AND 30% PARTICIPATORY.<br />

Presenters: Michelle Salyers, PhD, Associate Professor, Department of Psychology, Co-Director, <strong>ACT</strong> Center of<br />

Indiana; Laura White, MS, Research Associate, <strong>ACT</strong> Center of Indiana, PhD Graduate Student, both of Indiana<br />

University Purdue University Indianapolis, Indianapolis, Indiana<br />

Overcoming Learned Helplessness Through Positive Psychology<br />

The <strong>Assertive</strong> <strong>Community</strong> Treatment (<strong>ACT</strong>) team of Mount Sinai Hospital in Toronto was established in 1999. Currently,<br />

we have about 109 patients, around 30% patients are difficult to engage and often refuse our medical treatments. In this<br />

workshop, we want to share with you how we try to engage those patients with a deep understanding of their inner<br />

world, group approach, and intensive support during their hospitalization or incarceration. We’ll share our success and<br />

challenging experiences.<br />

By the end of the session, participants will be able to: 1) Describe three methods to engage hard to reach clients; 2)<br />

Explain at least three techniques to engage hard to reach clients; 3) Develop at least one tip for their hard to reach<br />

clients. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 70% DID<strong>ACT</strong>IC, AND 30%<br />

PARTICIPATORY.<br />

Presenter: Wendy Chow, MSW, RSW, Program Manager, Mount Sinai Hospital <strong>ACT</strong> Team & Mental Health<br />

Court Support Program, Toronto, Ontario, Canada<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


8<br />

9<br />

10<br />

11<br />

Wednesday Afternoon • May 16, <strong>2012</strong><br />

Exploring Identity: Approaches to Enhance Strengths & Resilience<br />

Note: While workshops 8, 44, 52 & 62 can be stand-alone trainings, the presenters<br />

have designed them as a “track” of four workshops. Our identity is the essence of who we are,<br />

our values, strengths and resilience. Individuals receiving services from, and living in, our power-over-people<br />

culture have their identity spoiled. This workshop explores working with identity, personal strengths, values and<br />

resilience.<br />

By the end of the session, participants will be able to: 1) Describe the effect of self-stigma and a spoiled identity<br />

on an individual’s hope, connections, harm and effectiveness of making choices; 2) Identify the areas of a person’s<br />

identity, including resilience, values, strengths, identity and their story; 3) Use the guided conversations and tools to<br />

individuals choosing to change and strengthen their identity. CONTENT IS BEST SUITED FOR PARTICIPANTS<br />

AT ALL LEVELS; 50% DID<strong>ACT</strong>IC, 25% PARTICIPATORY, AND 25% EXPERIENTIAL.<br />

Presenters:Annette M. Cañeda, EdD, Director of Organizational Learning, Telecare Corporation, Alameda,<br />

California; Marcelo Cavalheiro, MA, LMFT, Programs Administrator, Telecare Corporation, Older Adults &<br />

Adults Telecare Los Angeles Services, Los Angeles & Long Beach, California; Scott Madover, PhD, MINT Trainer,<br />

Administrator, Telecare Changes, Oakland, California<br />

F<strong>ACT</strong> or Collaborative Court Program Approach in Mental Health Courts<br />

With the implementation of the California Mental Health Services Act (MHSA) programs in 2005 Orange County<br />

Behavioral Health Services has been able to incorporate <strong>ACT</strong> into two of the Mental Health Court Programs. The<br />

county has also worked for several years in the Collaborative Court Model with Mental Health Courts. We will<br />

discuss how these approaches currently work together. We also hope to share the similarities and differences between<br />

these approaches and more traditional F<strong>ACT</strong> teams.<br />

By the end of the session, participants will be able to: 1) Identify key principles of the Collaborative Court Programs;<br />

2) Identify the similarities and differences between F<strong>ACT</strong> and the Collaborative Court Model; 3) Discuss the rational<br />

of moving toward more fidelity with the <strong>ACT</strong>/F<strong>ACT</strong> model. CONTENT IS BEST SUITED FOR PARTICIPANTS<br />

AT ALL LEVELS; 60% DID<strong>ACT</strong>IC, & 40% PARTICIPATORY.<br />

Presenters: Andrew Inglis, MD, P<strong>ACT</strong> Psychiatrist; Ian Kemmer, MA, MFT, Service Chief II, County of Orange<br />

Behavioral Health Services; Annette Mugrditchian, LCSW, MSW, Division Manager II, all of Orange County<br />

Health Care Agency, Santa Ana, California<br />

<strong>ACT</strong> Team Evolution: Identifying Team Effectiveness<br />

Is the team’s current performance as good as it could be? What could be changed to improve things and why would<br />

this help consumers? This didactic and experiential workshop will provide an opportunity for team leaders and<br />

those supervising <strong>ACT</strong> teams, to assess current team stage, identify one’s context for change, and use innovative<br />

<strong>ACT</strong> team assessment tools to achieve productive, well functioning teams.<br />

By the end of the session, participants will be able to: 1) Utilize a “Team Functioning Scale” for positive change; 2)<br />

Describe a “Team Wellness Recovery Action Plan”; 3) Impact team effectiveness and role clarity. CONTENT IS<br />

BEST SUITED FOR PARTICIPANTS AT THE INTERMEDIATE & ADVANCED LEVELS; 40% DID<strong>ACT</strong>IC,<br />

20% PARTICIPATORY, & 40 % EXPERIENTIAL.<br />

Presenters: JoAnne L. Davis, ACSW, LSW, <strong>ACT</strong> Consultant, Associate Executive Director-Mobile Services; Angela<br />

C. DiCarne, MAC, Lead Clinician <strong>ACT</strong> Team, both of Lenape Valley Foundation, Doylestown, Pennsylvania<br />

Trauma-Informed Care <strong>ACT</strong> Model; How We Can Make a Difference<br />

This workshop will focus on <strong>ACT</strong> consumers that have been traumatized. It will address the needs for assessment,<br />

understanding, care, and developing a healing relationship within the framework of trauma-informed care. This will<br />

be in an effort to reduce recurrent hospitalizations related to trauma-induced decompensation.<br />

By the end of the session, participants will be able to: 1) Incorporate trauma-informed care successfully within the <strong>ACT</strong><br />

model; 2) Utilize existing evidence-based treatments to address trauma needs of the population we serve; 3) Interpret<br />

how the healing relationship will expand beyond one therapist to an <strong>ACT</strong> team. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 70% DID<strong>ACT</strong>IC, 10% PARTICIPATORY and 20% EXPERIENTIAL.<br />

Presenters: Paul Kowal, MA, Team Leader; Rebecca Roma, MD, Psychiatrist; Jessica Zembower, MSW, CTT<br />

Therapist Case Manager, all of Mercy Behavioral Health <strong>Community</strong> Treatment Team, Pittsburgh, Pennsylvania<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 13


12<br />

13<br />

14<br />

14<br />

Wednesday Evening • May 16, <strong>2012</strong><br />

5:00 - 6:30 PM Concurrent Workshops 12 through 21<br />

<strong>ACT</strong> Progressive Treatment Program (PTP) – A Court Ordered Treatment<br />

Option<br />

The State of Maine passed legislation in 2007 that created the PTP which permits people, who meet specific<br />

eligibility criteria, to be court committed to an <strong>ACT</strong> Program. We will provide information on this innovative<br />

program, its evolution over the past four years and the PTP experience of clients, staff and other providers.<br />

There will be an opportunity for discussion on the blending of mandated and client-directed approaches within a<br />

traditional, value based <strong>ACT</strong> model.<br />

By the end of the session, participants will be able to: 1) Describe the eligibility criteria and key components of<br />

the Progressive Treatment Program; 2) Identify the characteristics of <strong>ACT</strong> clients who achieve stability through<br />

PTP; 3) Examine the opportunities and tensions inherent in blending mandated and client-directed approaches to<br />

treatment within the <strong>ACT</strong> model. CONTENT IS BEST SUITED FOR PARTICIPANTS AT THE ADVANCED<br />

LEVEL; 60% DID<strong>ACT</strong>IC, AND 40% PARTICIPATORY.<br />

Presenters: John Jaksa, MSW, LCSW, CCS, <strong>ACT</strong> Team Supervisor; Mary Ellen Quinn, BS, LSW, <strong>ACT</strong> Program<br />

Manager, both of <strong>Community</strong> Health & Counseling Services, Bangor, Maine<br />

Trauma-Informed Care <strong>ACT</strong> Services: Supporting Consumers & Staff<br />

This workshop will introduce participants to Trauma-Informed <strong>ACT</strong> Services and a related self-assessment and<br />

planning protocol/tool. Creating Cultures of Trauma-Informed Care (CCTIC), the organizational culture change<br />

approach developed at <strong>Community</strong> Connections, is built on five core values: Safety, Trustworthiness, Choice,<br />

Collaboration, and Empowerment. <strong>ACT</strong> Services can become trauma-informed by thoroughly incorporating, in<br />

all aspects of service delivery, an understanding of the prevalence and impact of trauma and the complex paths to<br />

healing and recovery.<br />

By the end of the session, participants will be able to: 1) Define the evidence based practice domains of a traumainformed<br />

system of care including: Safety, Trustworthiness, Choice, Collaboration, and Empowerment; 2) Explain<br />

the difference between Trauma-Informed and Trauma-Specific Services; 3) Identify strategies for <strong>ACT</strong> staff<br />

development using Trauma-Informed principles. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 35% DID<strong>ACT</strong>IC AND 65% PARTICIPATORY.<br />

Presenter: Sam Bauman, PhD, LPC, Director, <strong>ACT</strong> Services, Associate Director, <strong>Community</strong> Connections,<br />

Washington, District of Columbia<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment for the Elderly<br />

A special <strong>ACT</strong> team for the elderly was developed in Rotterdam, the Netherlands and tested for its effectiveness<br />

in a randomized controlled trial. The team and the study aims will be described, and in a movie one of its clients<br />

was followed. After the movie there’s room for discussion and following a short break the first results of the study<br />

shall then be presented and discussed with<br />

the attendees.<br />

By the end of the session, participants<br />

will be able to: 1) Describe the difference<br />

between <strong>ACT</strong> for adults and <strong>ACT</strong> for the<br />

elderly; 2) Interpret the research outcomes.<br />

CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 70%<br />

DID<strong>ACT</strong>IC, 30% PARTICIPATORY.<br />

Presenter: Jolanda Stobbe, MScN, PhD<br />

Candidate, Research Centre O3, Erasmus<br />

University Medical Center, Department of<br />

Psychiatry, Rotterdam, The Netherlands<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


15<br />

16<br />

17<br />

18<br />

Wednesday Evening • May 16, <strong>2012</strong><br />

Working with the South-East Asian Population<br />

The people from South-East Asia, specifically, the countries of Cambodia, Vietnam and Laos, present a unique<br />

set of circumstances. It is fairly safe to assume that any person born prior to 1980, in the above locations has war<br />

related PTSD. These distinctly different nations have seen the horror of genocide, and wars that spanned almost<br />

fifty years. Therefore, any treatment of Mental Health issues must include trauma-related methods and cultural<br />

sensitivities.<br />

By the end of the session, participants will be able to: 1) explain four culturally sensitive methods of dealing with<br />

the target population; 2) Describe three trauma-based approaches suited for the target group. CONTENT IS BEST<br />

SUITED FOR PARTICIPANTS AT THE BEGINNER AND INTERMEDIATE LEVELS; 50% DID<strong>ACT</strong>IC, AND<br />

50% PARTICIPATORY.<br />

Presenters: Justine L. Caton, MA, LMHC, Clinical Coordinator, Lowell CAR Team 1; Rosalind M. Magill,<br />

MEd, LMHC, Substance Abuse Coordinator, Lowell CAR Team 2; Savannah Phim, BA, <strong>Community</strong> Integration<br />

Coordinator, Lowell CAR Team 1, all of Vinfen Corporation, Lowell, Massachusetts<br />

Making Connections in Challenging Areas & Staying Safe<br />

Hope Network/New Passages operates an <strong>ACT</strong> program in Flint Michigan, a city with one of the highest violent<br />

crime rates in the country. This team has been recognized for their innovative and successful strategies in achieving<br />

safe and effective outreach. This presentation will provide participants with strategies for successfully connecting<br />

with consumers in the community while building community and natural supports and maintaining safety in very<br />

challenging neighborhoods.<br />

By the end of the session, participants will be able to: 1) List three strategies for connecting with consumers who are<br />

normally difficult to locate; 2) Devise three strategies for increasing community and natural supports for consumers<br />

in their own community; 3) Articulate three strategies for assessing a potentially dangerous situation in their service<br />

area; 4) Develop three strategies for maintaining safety during their own delivery of service. CONTENT IS BEST<br />

SUITED FOR PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC, AND 50% PARTICIPATORY.<br />

Presenters: Jean Nemenzik, LMSW, Director of Clinical Services; Eric Spaulding, BS, LBSW, <strong>ACT</strong> Assistant Team<br />

Leader; Kathy Staugaeno, MS, LLP, CAADC, <strong>ACT</strong> Team Leader, all of Hope Network/New Passages, Flint, Michigan<br />

Communications Technologies in an Appalachian <strong>ACT</strong> Program<br />

The integration of rapidly changing communication and information technologies by <strong>ACT</strong> teams in rural areas<br />

presents unique challenges. The presentation will discuss the use of phone communication, text messaging, email,<br />

social media and electronic health records in a rural Appalachian <strong>ACT</strong> setting. Special emphasis will be placed on the<br />

importance of clarity and consensus between team and agency and consumers regarding the appropriate use of these<br />

different modalities in the clinical care setting.<br />

By the end of the session, participants will be able to: 1) Identify the challenges posed by the introduction of different<br />

technologies in a rural area; 2) Examine the ethical issues posed by the use of new communication technologies in<br />

<strong>ACT</strong> programs; 3) Discuss strategies to maximize the effective use of communications technologies including costs,<br />

training, and impact on service delivery in rural areas. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 75% DID<strong>ACT</strong>IC, AND 25% PARTICIPATORY.<br />

Presenters: M. Anthony Graham, MD, <strong>ACT</strong> Psychiatrist; April Simms, MSW, LCSW, P<strong>ACT</strong> Team Leader, both of<br />

Mt. Rogers <strong>Community</strong> Services Board, Wytheville, Virginia<br />

A Comparative Overview of Long Acting Injectable Antipsychotics<br />

A comparative overview of all available long acting injectable antipsychotic preparations as it relates to differences in:<br />

formulation, pharmacokinetic parameters, initiating and switching treatment, dosing and dosing intervals, and potential<br />

side-effect monitoring will be presented. Patient characteristics such as diagnosis and potential risks of non-adherence<br />

such as relapse and suicide will be discussed.<br />

By the end of the session, participants will be able to: 1) Describe potential consequences of non-adherence to antipsychotic<br />

treatment and patient characteristics; 2) Compare the differences in long acting injectable antipsychotic preparations as<br />

it relates to proper initiation, dosing adjustments, and ongoing maintenance therapy; 3) Evaluate clinical management<br />

for patients receiving long acting antipsychotic therapy. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 75% DID<strong>ACT</strong>IC, 15% PARTICIPATORY, AND 10% EXPERIENTIAL.<br />

Presenter: Dean Najarian, PharmD, BCPP, Scientific Affairs Liaison, CNS, Janssen Scientific Affairs, LLC,<br />

Wrentham, Massachusetts<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 15


19<br />

20<br />

21<br />

16<br />

Wednesday Evening • May 16, <strong>2012</strong><br />

Family Peer Support<br />

Integrating families into <strong>ACT</strong> teams promotes skill development needed to provide healthy support for a family<br />

member living with mental illness and addictions. This interactive session will <strong>ACT</strong> to provide the tips needed to<br />

implement a co-operative peer support setting for clients and their families to build family strength despite mental<br />

illness and addictions. The program concentrates on having measurable results that model healthy relationships and<br />

clients taking charge of their own health and wellness.<br />

By the end of the session, participants will be able to: 1) Explain 3 key elements to a successful peer support<br />

setting; 2) Identify 5 skill sets needed to provide healthy support for an ill family member; 3) Design a program for<br />

the family system to take charge of their own situation. CONTENT IS BEST SUITED FOR PARTICIPANTS AT<br />

ALL LEVELS; 20% DID<strong>ACT</strong>IC, 70% PARTICIPATORY, AND 10 % EXPERIENTIAL.<br />

Presenter: Mona Cooley, Coach U Graduate, Peer & Family Support Specialist, The Alex – Pathways to Housing &<br />

CMHA, Calgary and Missing Children Society of Canada, Calgary, Alberta, Canada<br />

The Team Leader & Psychiatrist’s Relationship on an <strong>ACT</strong> Team: Two<br />

Views, One Vision<br />

This presentation will discuss the significance of the relationship of the Team Leader and Psychiatrist on a team,<br />

including the importance of collaboration, role modeling, team cohesion, and dialogue over debate. The presenters<br />

will discuss their own working relationship, which spans nearly 10 years, and more importantly, the lessons related<br />

to the impact this relationship has had on team cohesion and clinical effectiveness for the consumers, both in positive<br />

and possibly negative ways.<br />

By the end of the session, participants will be able to: 1) Explain the role of the Team Leader and Psychiatrist as lead<br />

clinicians and role models for team cohesion and therapeutic treatment; 2) Examine the positive and possibly negative<br />

ways in which the Team Leader/ Psychiatrist relationship can impact the effectiveness of the <strong>ACT</strong> team. CONTENT<br />

IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 80% DID<strong>ACT</strong>IC, AND 20% PARTICIPATORY.<br />

Presenters: Chris Blough, MS, LPC, <strong>ACT</strong> Team Leader; Holly Karalus, LSW, MS, Director of ABH Services; Lou<br />

Picchio, MD, MA, <strong>ACT</strong> Psychiatrist, all of NHS of Capitol Region, Harrisburg, Pennsylvania<br />

Using DBT with <strong>ACT</strong> Consumer to “Create a Life Worth Living”<br />

This workshop will discuss the integration of two Evidenced Based Practices, Dialectical Behavior Therapy and<br />

<strong>ACT</strong>, to help consumers diagnosed with personality disorders, trauma, and/or overwhelming emotions. Individual<br />

and Group Approaches to Skills Training will be discussed, as well as how to educate your team about DBT<br />

principles to provide consistent therapeutic support, prevent crises, impact treatment interfering behaviors, and<br />

reduce staff burnout. By the end of the session, participants will be able to: 1) Describe the four skill areas of DBT;<br />

2) Identify 3 ways DBT can reduce treatment interfering behavior, self-injurious behaviors, and crisis situations; 3)<br />

Examine at least 3 resources for education and implementation of DBT in an <strong>ACT</strong> program. CONTENT IS BEST<br />

SUITED FOR PARTICIPANTS AT THE INTERMEDIATE LEVEL; 60% DID<strong>ACT</strong>IC, 20% PARTICIPATORY AND<br />

20% EXPERIENTIAL.<br />

Presenters: Raymond McManamon, MA, LPC, <strong>ACT</strong> Director/Team Leader; Deena Rudolph, MSN, RN, <strong>ACT</strong><br />

Psychiatric Nurse, both of Lenape Valley Foundation, Doylestown, Pennsylvania<br />

5:00 - 5:45 PM <strong>Assertive</strong> <strong>Community</strong> Treatment Association Annual Meeting<br />

The <strong>Assertive</strong> <strong>Community</strong> Treatment Association (<strong>ACT</strong>A) promotes, develops, and supports high quality assertive<br />

community treatment services that improve the lives of people with serious and persistent mental illness. <strong>ACT</strong>A<br />

is incorporated as a non-profit organization governed by a Board of Directors. The Board conducts its annual public<br />

meeting and elections each year at the conference. A public report of the organization’s activities is given and plans for<br />

the upcoming year are discussed. <strong>Conference</strong> attendees are encouraged to attend and participate; only dues-paid <strong>ACT</strong><br />

Association members may vote.<br />

Steve Harrington, MPA, JD, Founder, National Association of Peer Specialists, Owner, Recovery Resources, Postdoctoral<br />

Fellow, Boston University Center for Psychiatric Rehabilitation and Board President, <strong>ACT</strong> Association, Revere,<br />

Massachusetts<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


7:30 - 8:30 AM Breakfast<br />

(Prepaid Admission Only)<br />

7:30 - 11:30 AM & 1:00 - 5:00 PM Check-in/Information Desk Open<br />

8:00 AM - 5:00 PM Book Sales and Exhibits<br />

8:30 AM - Noon Concurrent Institutes A through C<br />

A<br />

B<br />

C<br />

Thursday Morning • May 17, <strong>2012</strong><br />

Integrating Stages of Change and Motivational Interviewing Skills into<br />

Recovery Planning<br />

This institute will teach Motivational Interviewing (MI) skills that can be used within the five Stages of Change. I<br />

will teach a brief overview of the Stages of Change and then we will look at specific MI interventions within each<br />

Stage of Change. I will then focus on recovery planning using the Stages of Change and for action steps specific<br />

MI interventions which can be used with your members.<br />

By the end of the session, participants will be able to: 1) Explain the basic tenants of Stages of Change; 2) Identify<br />

which motivational interviewing skill goes with which each stage of change; 3) Use the Stages of Change and MI<br />

skills (action steps) in member’s recovery planning. CONTENT IS BEST SUITED FOR PARTICIPANTS AT AN<br />

ADVANCED LEVEL; 50% DID<strong>ACT</strong>IC, 30% PARTICIPATORY, AND 20% EXPERIENTIAL.<br />

Presenter: Scott Madover, PhD, MINT Trainer, Administrator, Telecare Changes, Oakland, California<br />

TM<strong>ACT</strong>: A Technical Assistance Tool for Quality Improvement<br />

This session provides hands-on training in the Tool for Measurement of <strong>Assertive</strong> <strong>Community</strong> Treatment<br />

(TM<strong>ACT</strong>) for conducting fidelity evaluations and guiding technical assistance. The presenters will provide: 1) An<br />

overview of the TM<strong>ACT</strong>, 2) Case scenarios with audience participation in generating TM<strong>ACT</strong> item ratings and<br />

recommendations, and 3) Tools for training <strong>ACT</strong> staff in conducting fidelity evaluations of other <strong>ACT</strong> teams using<br />

the TM<strong>ACT</strong> (i.e., professional peer evaluation).<br />

By the end of the session, participants will be able to: 1) Describe the type of data collected during a TM<strong>ACT</strong><br />

evaluation and how those data are used to make ratings and guide qualitative feedback; 2) Distinguish between high<br />

and low fidelity <strong>ACT</strong> teams by comparing two case examples, as evaluated with the TM<strong>ACT</strong>; 3) State the benefits<br />

and challenges of implementing a professional peer evaluation process. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT THE ALL LEVELS; 25% DID<strong>ACT</strong>IC, 50% PARTICIPATORY, AND 25% EXPERIENTIAL.<br />

Presenters: Maria Monroe-DeVita, PhD, Clinical Psychology, Licensed Clinical Psychologist in Washington<br />

State, Assistant Professor, University of Washington, Seattle, Washington; Lorna Moser, PhD, Clinical Psychology,<br />

Research Associate, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham,<br />

North Carolina; Gregory B. Teague, Associate Professor, Louis de la Parte Florida Mental Health Institute,<br />

College of Behavioral and <strong>Community</strong> Services, University of South Florida, Tampa, Florida<br />

Flexible <strong>ACT</strong> (F<strong>ACT</strong>) in the Netherlands: Practice & Evidence<br />

Flexible <strong>ACT</strong> (F<strong>ACT</strong>) initiated a transition towards community based care of severe mental illness in The<br />

Netherlands. F<strong>ACT</strong> is derived from the <strong>ACT</strong> model but with some adaptations. F<strong>ACT</strong> supports the recovery process<br />

within the community by strengths-based case management, the implementation of evidence-based practices and<br />

close collaboration with the clinical wards. Patients are very well retained (drop-out rate < 2%).<br />

By the end of the session, participants will be able to: 1) Describe psychological interventions used by Dutch<br />

F<strong>ACT</strong> Teams; 2) Examine the F<strong>ACT</strong> Teams’ collaboration with the acute ward. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT THE INTERMEDIATE AND ADVANCED LEVELS; 60% DID<strong>ACT</strong>IC, AND 40%<br />

PARTICIPATORY.<br />

Presenters: Michel Bähler, MSc, Advisor, Innovation of Care, Psychologist, Advisor for the Centre for Certification<br />

of <strong>ACT</strong> and F<strong>ACT</strong> in the Netherlands, expert on recovery oriented care for nationwide project on recovery; Janneke<br />

Ferwerda, MSc Psychology, Psychologist in F<strong>ACT</strong> team GGZ NHN; Marieke van de Ven Dijkman, MSc Psychiatry,<br />

Psychiatrist in F<strong>ACT</strong> team GGZ NHN, all of the GGZ Noord Holland Noord, Heiloo, Netherlands<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 17


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Thursday Morning • May 17, <strong>2012</strong><br />

8:30 AM - 10:00 AM Concurrent Workshops 22 through 29<br />

22<br />

23<br />

24<br />

25<br />

Facilitating a Wellness Recovery Action Plan – WRAP<br />

Mary Ellen Copeland’s Wellness Recovery Action Plan (WRAP) is one of the most important Best Practices in the<br />

field of Behavioral Health today. The WRAP plan is a wonderful way of empowering consumers by engaging them<br />

in the development and maintenance of daily living skills, healthy behaviors and crisis management. This institute<br />

will review how to use the plan effectively and efficiently.<br />

By the end of the session, participants will be able to: 1) Describe how WRAP promotes higher levels of wellness<br />

and stability; 2) Describe the application of WRAP; 3) Design an actual WRAP plan. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT ALL LEVELS; 20% DID<strong>ACT</strong>IC, 40% PARTICIPATORY, AND 40% EXPERIENTIAL.<br />

Presenters: Gary Clark, MSW, LCSW, <strong>ACT</strong> Coordinator, <strong>Community</strong> Based Care Coordination & Treatment<br />

Services, State of New York, Office of Mental Health; Pascale Jean-Noel, LMSW, Director of Training, <strong>ACT</strong><br />

Institute, Center for Practice & Innovations, New York Psychiatric Institute; Luis O. Lopez, MS, HSBCP, Director<br />

of Best Practices, Services for the Underserved, all of New York, New York<br />

Treating Schizophrenia after Release from Incarceration<br />

The session will focus on the overrepresentation of the seriously mentally ill within the Criminal Justice System<br />

and the challenges to sustaining reentry into the community after release from incarceration. Challenges include<br />

continuity of care, treatment adherence and barriers to obtaining essential healthcare, services and resources. An<br />

ongoing comparative effectiveness research trial will provide an example of methods for studying alternative<br />

treatments for people with schizophrenia in the setting of this public health problem.<br />

By the end of the session, participants will be able to: 1) Examine the high prevalence of people with serious mental<br />

illness within the criminal justice system; 2) Describe current challenges to sustainable reentry into the community<br />

for people with schizophrenia after release from incarceration; 3) Discuss the ongoing effectiveness research study<br />

as it relates to current practice in the community. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 75% DID<strong>ACT</strong>IC, 15% PARTICIPATORY, AND 10% EXPERIENTIAL.<br />

Presenter: Dean Najarian, PharmD, BCPP, Scientific Affairs Liaison, CNS, Janssen Scientific Affairs, LLC,<br />

Wrentham, Massachusetts<br />

Are You A Good Leader?<br />

Teamwork has a dramatic effect on performance. An effective team can achieve incredible results. A team that is<br />

not working well can cause failed delivery, low morale and strategic failure. Simply having the responsibilities of<br />

a leader does not necessarily make an effective leader. This workshop will bridge and build upon the identification<br />

of <strong>ACT</strong> team’s challenges, by assessing and maximizing leadership skills.<br />

By the end of the session, participants will be able to: 1) Analyze performance in specific areas of leadership; 2)<br />

Develop key leadership competencies to immediately impact teamwork; 3) Identify and enhance the two most<br />

critical leadership traits. CONTENT IS BEST SUITED FOR PARTICIPANTS AT INTERMEDIATE AND<br />

ADVANCED LEVELS; 40% DID<strong>ACT</strong>IC, 20% PARTICIPATORY, AND 40% EXPERIENTIAL.<br />

Presenters: JoAnne L. Davis, ACSW, LSW, <strong>ACT</strong> Consultant, Associate Executive Director-Mobile Services; Angela<br />

C. DiCarne, MAC, Lead Clinician <strong>ACT</strong> Team, both of Lenape Valley Foundation, Doylestown, Pennsylvania<br />

Task Analysis for Less Restrictive Housing<br />

Team members will review various activities of daily living necessary for the move to less restrictive housing.<br />

Activities will be broken down into rudimentary tasks and attendees will be educated on how to assist consumers<br />

in developing independence.<br />

By the end of the session, participants will be able to: 1) Identify drawbacks to consumer success; 2) List tasks<br />

necessary for independence and explain the skills necessary for task completion; 3) Describe task analysis in the<br />

field with the consumers they serve. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 30%<br />

DID<strong>ACT</strong>IC, 30% PARTICIPATORY, AND 40% EXPERIENTIAL.<br />

Presenters: Devon Horton, MOTR/L, BS, Occupational Therapist, NHS Human Services; Karen M. Schen, MS,<br />

OTR/L, CTT Occupational Therapist, Mercy Behavioral Health, both of Pittsburgh, Pennsylvania<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


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29<br />

Thursday Morning • May 17, <strong>2012</strong><br />

Supporting Parents with Psychiatric Disabilities<br />

In many states even today parents with psychiatric disabilities may lose custody of their children merely because<br />

they have a psychiatric diagnosis. The trauma of having children removed or the loss of custody impacts all aspects<br />

of the individual’s life. This workshop will present strategies that practitioners can use to better assist and support<br />

individuals in this area.<br />

By the end of the session, participants will be able to: 1) List three of the challenges parents with psychiatric<br />

disabilities face (both internally and externally); 2) Name the five Core Components of a trauma-informed<br />

approach to address these challenges and obstacles; 3) Describe two strategies that service providers can use<br />

to support parents with psychiatric disabilities to retain or regain custody. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT THE INTERMEDIATE LEVEL; 85% DID<strong>ACT</strong>IC, AND 15% PARTICIPATORY.<br />

Presenter: Neil Harbus, MSW, LCSW, CPRP, Program Director, Peer Wellness Program, Pathways to Housing,<br />

New York, New York<br />

Maintaining Healthy Boundaries – A Clinical Guideline<br />

The Orange County Behavioral Health Services has transformed our system of care by moving our service<br />

philosophy to the Recovery Model. With the Mental Health Services Act (MHSA) funding we have integrated the<br />

services provided by people with lived experience to many programs in all levels of care, including P<strong>ACT</strong> programs.<br />

This workshop addresses the issues of client-centered care where the peer paraprofessional is an essential part of<br />

the whole treatment team. We hope to share our experience of success and barriers in implementing a recovery<br />

oriented <strong>ACT</strong> program.<br />

By the end of the session, participants will be able to: 1) Identify key principles of the Recovery Model; 2) Identify<br />

the training design for our peer paraprofessionals; 3) Discuss the issues related to boundary within an integrated<br />

treatment team. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC AND<br />

50% PARTICIPATORY.<br />

Presenters: Clayton Chau, MD, PhD, Associate Medical Director, Orange County Health Care, Assistant Clinical<br />

Professor, Department of Psychiatry, University of California Irvine, Irvine, California; Jenny Hudson, MSW,<br />

LCSW, Program Manager for Adult & Older Adult Services, Orange County Health Care, both of Santa Ana, California<br />

High-Fidelity Person-Centered Planning in a Multi-<strong>ACT</strong> Team System<br />

Allegheny County, Pennsylvania monitors fidelity to <strong>ACT</strong> for nine teams using the TM<strong>ACT</strong>. High-fidelity personcentered<br />

planning was identified as a key improvement area for all nine teams. <strong>ACT</strong> providers progressed through<br />

an improvement process that included intensive training, the establishment of policies and procedures, the creation<br />

of a curriculum, and a plan for supervision and quality assurance. The methodology to standardize fidelity across<br />

teams and its impact on fidelity scores will be presented.<br />

By the end of the session, participants will be able to: 1) Develop strategies to improve high-fidelity personcentered<br />

planning on <strong>ACT</strong> teams; 2) Describe plans to achieve and standardize high-fidelity person-centered<br />

planning across multiple teams. CONTENT IS BEST SUITED FOR PARTICIPANTS AT AN INTERMEDIATE<br />

LEVEL; 75% DID<strong>ACT</strong>IC AND 25% PARTICIPATORY.<br />

Presenters: Deborah Duch, MPH, Program Manager, <strong>Community</strong> Care Behavioral Health; Regina Janov, BA,<br />

Program Operations Manager, Allegheny County, Department of Human Services, Office of Behavioral Health;<br />

Kim Patterson, MSW, LSW, Manager of Clinical Consultation, Allegheny HealthChoices, Inc., all of Pittsburgh,<br />

Pennsylvania<br />

Lean Production: Improving Process and Outcomes in <strong>ACT</strong>!<br />

Toyota’s manufacturing philosophy of lean production helped them catapult into the company they are today.<br />

These proven concepts have been adapted into the healthcare industry to eliminate waste, increase efficiency<br />

and improve patient care and are now introduced in an <strong>ACT</strong> program to allow for problem solving and process<br />

improvement. This engaging workshop will introduce an overview of the lean concepts and participants will<br />

practice them through interactive activities.<br />

By the end of the session, participants will be able to: 1) Identify work redesign principles to improve performance;<br />

2) Demonstrate how to engage staff to solve problems at the point of care; 3) Describe a system for continuous<br />

process improvement for consumer service. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 50% DID<strong>ACT</strong>IC, 50% PARTICIPATORY<br />

Presenters: Mimi Falbo, BSN, MSN, DNP, Founder and CEO, Mimi Falbo LLC, Carnegie Mellon University; Christine<br />

Gregor, MSW, LSW, CCDP, CTT Component Director, Mercy Behavioral Health; Shaun Kostiuk, BS, CTT Office<br />

Manager, Mercy Behavioral Health, all of Pittsburgh, Pennsylvania<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 19


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20<br />

Thursday Morning • May 17, <strong>2012</strong><br />

10:00 - 10:30 AM Institute and Workshops Beverage Break<br />

10:30 - 12:00 Noon Concurrent Workshops 30 through 37<br />

30<br />

Paying Attention to Voices<br />

Many people who receive <strong>ACT</strong> services experience auditory hallucinations, “voices”. What do we really know<br />

about this pervasive symptom? This workshop focuses on the phenomenological experience of hallucinations<br />

(frequency, intensity and content) and methods to reliably assess these variables. The neuropsychological and<br />

neurophysiologic mechanisms implicated in the experience of “voices” will be presented. Methods of coping with<br />

this symptom (and ways to evaluate the effectiveness of coping strategies) will be presented.<br />

By the end of the session, participants will be able to: 1) Identify the nature, content and frequency of “voices”<br />

in clinical populations; 2) Describe a model of the neuropsychology of hallucinatory behavior; 3) Discuss coping<br />

skills for “voices”. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 75% DID<strong>ACT</strong>IC,<br />

35% PARTICIPATORY, AND 5% EXPERIENTIAL.<br />

Presenters: Paul Borish, MA, LPC, CAADC, Team Leader, TRHMC <strong>ACT</strong> Team; Kevin Riley, PhD, Psychologist,<br />

both of the Department of Psychiatry, The Reading Hospital and Medical Center, Reading, Pennsylvania<br />

Safety-Proof Yourself! Safety Practices for <strong>Community</strong> Visits<br />

Do you travel through unsafe neighborhoods? Visit challenging or difficult people? Is your presence unwelcome?<br />

Do you receive threats? Don’t let circumstances make you feel like a victim! These easy to use and remember<br />

assessment and prevention skills will help you stay safer when working in dangerous neighborhoods. This<br />

presentation includes five S.M.A.R.T. Principles, the Lalemand Behavior Scale, and Surviving the Dangerous<br />

Visit.<br />

By the end of the session, participants will be able to: 1) Explain five ways to stay safer in any situation; 2) define<br />

five levels of dangerous behavior; 3) Identify at least ten steps for improving personal safety before and during a<br />

potentially dangerous community visit. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS;<br />

50% DID<strong>ACT</strong>IC AND 50% PARTICIPATORY.<br />

Presenter: Mark Buck, Master Presenter, NAPPI International, Sheffield, Massachusetts<br />

Measuring Readiness for a Successful Transition<br />

The <strong>ACT</strong> Wellness Recovery Scale (WRS) and Medication Tier System (MTS) scales were designed and<br />

implemented 3 years ago with the purpose of measuring a client’s progress from initial engagement to transitionreadiness,<br />

using a recovery approach. MTS measures levels of independence of medication management, including<br />

corresponding levels of monitoring by <strong>ACT</strong>. WRS incorporates multiple aspects of recovery, including reflecting<br />

the MTS. The scales provide the team and clients with a structured system to monitor progress while promote<br />

recovery and safe transitions from <strong>ACT</strong>.<br />

By the end of the session, participants will be able to: 1) Discuss the two scales and describe reliability and validity;<br />

2) Examine the clinical outcomes since introducing the scales; 3) Identify factors that promote a successful<br />

transition. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 60% DID<strong>ACT</strong>IC AND 40%<br />

PARTICIPATORY.<br />

Presenters: David Lindy, MD, Chief Psychiatrist; MacDara O’Sullivan, LCSW, Team Leader; Caroline Williams,<br />

MD, <strong>ACT</strong> Team Psychiatrist, all of Visiting Nurse Services of New York, New York<br />

Providing Apartment Living for Transition Age Youth<br />

The presenters will share their unique experience in establishing a six-unit apartment in a city for transition age<br />

youth. Discussion will include the role of the house manager, house rules, weekly house meetings, safety issues,<br />

consumer selection, and the consumer involvement in treatment. We will also address the overwhelming need for<br />

housing for this age, the pitfalls and the achievements.<br />

By the end of the session, participants will be able to: 1) Evaluate the benefits of providing housing for transition<br />

age youth; 2) Evaluate the challenge of providing housing for transition age youth. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT THE INTERMEDIATE LEVEL; 50% DID<strong>ACT</strong>IC, 25% PARTICIPATORY, AND 25%<br />

EXPERIENTIAL.<br />

Presenters: Clarita Mason, Certified Peer Specialist; Daniel Roth, BA, <strong>ACT</strong> <strong>Community</strong> Liaison, both of Berks<br />

Counseling Center, Reading, Pennsylvania<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


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Thursday Morning • May 17, <strong>2012</strong><br />

The Art of Recovery<br />

Encouraging consumers to attend groups can be a difficult task. The F<strong>ACT</strong> team from Seattle created some new<br />

and innovative groups to help consumers engage in treatment. These groups offer a different spin on traditional<br />

treatment and new approaches to evidence based practices. Learn about these groups including: Hip-Hope, Nails<br />

not Jail, Think! Feel! Do!, and the First Annual Genius Art Show. See examples of the groups and learn how to<br />

implement them.<br />

By the end of the session, participants will be able to: 1) State three concepts for creative <strong>ACT</strong> groups; 2)<br />

Identify new group ideas specific to your own programs; 3) Describe methods for showcasing consumers’<br />

artwork. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 75% DID<strong>ACT</strong>IC AND 25%<br />

PARTICIPATORY.<br />

Presenters: Michael Buchert, MPS, ATR-BC, MHP, CDPT, F<strong>ACT</strong> Program Coordinator; Richelle Nordeen,<br />

MA, LMHC, CDPT, Department Manager, Integrated Services, both of Sound Mental Health, Seattle, Washington<br />

Empowering <strong>ACT</strong> Members Through a Mobile Communication Tool<br />

This workshop will discuss an ongoing effort in Western Pennsylvania to expand the use of Dr. Pat Deegan’s<br />

CommonGround software beyond clinic-based centers to reach high-risk <strong>ACT</strong> members who otherwise may not<br />

have access to this consumer-practitioner communication tool. Specifically, we will discuss (1) the importance of<br />

shared decision making; (2) participation of staff in training and ongoing support; (3) the role of peer support in<br />

implementation; (4) delivery and use via mobile technology.<br />

By the end of the session, participants will be able to: 1) Design a leadership, training, and support plan for<br />

implementation of best practices; 2) Describe tools and methods used to evaluate best practices; 3) Describe the<br />

extent to which use of CommonGround via mobile technology will enhance <strong>ACT</strong> member treatment and shared<br />

decision making. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 40% DID<strong>ACT</strong>IC,<br />

30% PARTICIPATORY AND 30% EXPERIENTIAL.<br />

Presenters: Shari Hutchison, MS, Manager of Special Projects; Nancy Parrotta, MA, LPC, NCC, Special<br />

Projects Manager, both of the <strong>Community</strong> Care Behavioral Health Organization; Kimberly Sonafelt, MS, LPC,<br />

CADC, Director, NHS Human Services, all of Pittsburgh, Pennsylvania<br />

Minnesota <strong>ACT</strong> Teams Get <strong>Assertive</strong> to Decrease Mortality<br />

Integrating general medical care with mental health care is an emerging hot topic and <strong>ACT</strong> teams can be leaders<br />

in this effort. We will describe interventions to improve physical health, our <strong>ACT</strong> team’s participation in the<br />

Minnesota 10 x 10 initiative, and the potential for <strong>ACT</strong> teams to be medical homes.<br />

By the end of the session, participants will be able to: 1) Identify key elements of medical homes; 2) Examine<br />

why the <strong>ACT</strong> model of care provides an ideal framework for medical homes; 3) Discuss strategies for improving<br />

enhanced integration of medical care within the <strong>ACT</strong> service delivery system. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 75% DID<strong>ACT</strong>IC AND 25% PARTICIPATORY.<br />

Presenters: Tracy Hinz, MSW, LICSW, <strong>ACT</strong> Team Leader; Walter Rush, MD, <strong>ACT</strong> Psychiatrist, both of the Central<br />

Minnesota Mental Health Center, Monticello, Minnesota; Helen Wood, MD, <strong>ACT</strong> Psychiatrist, South Metro Human<br />

Services <strong>ACT</strong> and Outpatient Clinic, St. Paul, Minnesota<br />

<strong>Community</strong> Medication Management in <strong>ACT</strong><br />

This workshop reviews a real 3 year struggle to keep the medication management program within the Ann Arbor<br />

VA MHICM clinic. This case reviews how to work through complicated DEA regulations and logistics while<br />

serving the needs of Veterans.<br />

By the end of the session, participants will be able to: 1) Identify methods for maintaining medication programs<br />

in the community; 2) Identify a safe, effective way of running a medication management program utilizing<br />

nursing and social work staff; 3) Discuss how to design and maintain community medication management<br />

programs. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS 65% DID<strong>ACT</strong>IC AND 35%<br />

PARTICIPATORY.<br />

Presenters: Walter F. Jarvis III, RN, MHICM Nurse; Kimberly Patterson, LMSW, ACSW, MHICM Program<br />

Director, both of the VA Ann Arbor Healthcare System, Ann Arbor, Michigan<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong><br />

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Thursday Afternoon • May 17, <strong>2012</strong><br />

Noon - 1:15 PM Luncheon<br />

(Prepaid Admission Only)<br />

1:30 - 5:00 PM Institutes D - F<br />

D<br />

E<br />

F<br />

Reducing Staff Turnover and Burnout: Tips for Team Leaders<br />

Staff turnover and burnout are serious problems for mental health programs across the nation, including for many<br />

<strong>ACT</strong> teams. This workshop will describe nine principles and eighteen corresponding low-cost actions that <strong>ACT</strong><br />

team leaders and managers (and other staff taking a leadership role) can use to reduce staff turnover and burnout<br />

while also improving employee satisfaction. Participants will also develop a core set of simple skills to prevent<br />

their own personal burnout.<br />

By the end of the session, participants will be able to: 1) Describe four or more principles for reducing turnout<br />

and burnout; 2) Describe four or more actions that team leaders and managers can employ to reduce burnout and<br />

turnover; 3) Demonstrate and use three or more simple skills to manage stress and reduce burnout. CONTENT IS<br />

BEST SUITED FOR PARTICIPANTS AT THE ALL LEVELS; 35% DID<strong>ACT</strong>IC, 30% PARTICIPATORY, AND<br />

35% EXPERIENTIAL.<br />

Presenters: Gary Morse, PhD, Associate Executive Director, Places for People, St. Louis, Missouri; Angela<br />

Rollins, PhD, Research Health Scientist, Center of Excellence on Implementing Evidence Based Practices,<br />

Richard L. Roudebush VAMC, Assistant Research Professor, Indiana University-Purdue University Indianapolis<br />

Department of Psychology, Research Director, <strong>ACT</strong> Center for Indiana, Indianapolis, Indiana; Michelle Salyers,<br />

PhD, Clinical Psychology, Associate Professor, Department of Psychology Indiana University-Purdue University<br />

Indianapolis, Co-Director, <strong>ACT</strong> Center for Indiana, Indiana University-Purdue University Indianapolis, Indiana<br />

Creating Recovery-Centered Service Plans and Progress Notes<br />

Creating recovery-oriented documentation is a universal challenge for service providers who must work within a<br />

deficit-oriented reimbursement system. This workshop is designed for staff that document direct services and want<br />

to improve the quality of their documentation in support of recovery. A unique approach to documentation and<br />

language as an application of the recovery philosophy will be explored.<br />

By the end of the session, participants will be able to: 1) Describe the connection between language and recovery; 2)<br />

Identify the standards of quality of writing as they pertain to clinical documentation; 3) Integrate a documentation<br />

process based on good writing into client care services. CONTENT IS BEST SUITED FOR PARTICIPANTS AT<br />

THE INTERMDIATE LEVEL; 50% DID<strong>ACT</strong>IC, 25% PARTICIPATORY, AND 25% EXPERIENTIAL.<br />

Presenter: Annette M. Cañeda, EdD, Director of Organizational Learning, Telecare Corporation, Alameda,<br />

California<br />

Shortcut to Starting a DBT Skills Group in an <strong>ACT</strong> Program<br />

Intrigued by the potential of Dialectical Behavioral Therapy (DBT), but intimidated by the variety and unfamiliarity<br />

of the skills? This workshop provides a brief introduction to the hows and whys of starting a DBT skills group in<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment, demonstrates the expertise necessary to do so, with special emphasis on Core<br />

Mindfulness and Radical Acceptance techniques.<br />

By the end of the session participants will be able to: 1) Explain the concepts of DBT Core Mindfulness, Emotional<br />

Regulation, Distress Tolerance, and Interpersonal Effectiveness skills to <strong>ACT</strong> consumers using the DBT Skills<br />

Training Manual; 2) Structure DBT Skills Training Groups in <strong>ACT</strong> programs. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT THE INTERMEDIATE AND ADVANCED LEVELS; 20% DID<strong>ACT</strong>IC, 20%<br />

PARTICIPATORY, AND 60% EXPERIENTIAL.<br />

Presenters: Emmalee Agostini, <strong>ACT</strong> Team Mental Health Professional; Jennifer Pasternack, MD, PhD, <strong>ACT</strong><br />

Team Psychiatrist, both of Stairways Behavioral Health, Erie, Pennsylvania<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


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Thursday Afternoon • May 17, <strong>2012</strong><br />

1:30 - 3:00 PM Concurrent Workshops 38 through 45<br />

Resolving Ambivalence and Reducing Resistance<br />

Participants will learn to develop discrepancy that will lead to resolving ambivalence and also learn to enhance<br />

individuals’ motivation to change.<br />

By the end of the session, participants will be able to: 1) Demonstrate skills, strategies and techniques to resolve<br />

ambivalence and reduce resistance; 2) Identify the strength of an individual’s motivation to change. CONTENT IS<br />

BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 25% DID<strong>ACT</strong>IC, 25% PARTICIPATORY, AND 50%<br />

EXPERIENTIAL.<br />

Presenter: Frances Yokley, LMSW, CAADC, Program Manager, <strong>Community</strong> Network Services, Inc., Waterford,<br />

Michigan<br />

Verbal Threat Assessment – Is it real? How do you know?<br />

Have you ever been threatened at work? Did you wonder if it was a credible threat – and what to do about it? This<br />

interactive session gives you a framework for quickly deciphering the dangerousness of a threat, and recommends<br />

specific steps to reduce the likelihood of the threat being carried out.<br />

By the end of the session, participants will be able to: 1) List the most common profile of a serial threatener; 2)<br />

Explain how the language of a threat and the logic of the situation make it more or less serious; 3) Explain how<br />

the relationship between the threatener and the threatened alters the meaning of the threat. CONTENT IS BEST<br />

SUITED FOR PARTICIPANTS AT ALL LEVELS; 60% DID<strong>ACT</strong>IC AND 40% PARTICIPATORY.<br />

Presenters: Mark Buck, Master Trainer, NAPPI International, Sheffield, Massachusetts<br />

Training and Quality Improvement for <strong>ACT</strong> Teams: What Works?<br />

Building the capacity of <strong>ACT</strong> teams to provide evidence-based practices within the <strong>ACT</strong> framework cannot<br />

be achieved with didactic trainings alone. Collaborative quality improvement efforts to identify problems and<br />

solutions and focus on in-the-field, ongoing support, increase the adoption and impact of trainings. Goal setting<br />

and continual monitoring help sustain momentum. Allegheny County, Pennsylvania will share their approach to<br />

ongoing training in supported employment and IDDT, and preliminary effects on fidelity scores and outcomes.<br />

By the end of the session, participants will be able to: 1) Develop training initiatives and supervision strategies<br />

to improve <strong>ACT</strong>; 2) Describe plans to monitor the impact of training on service provision and outcomes.<br />

CONTENT IS BEST SUITED FOR PARTICIPANTS AT AN INTERMEDIATE LEVEL, PARTICULARLY FOR<br />

TEAM LEADERS, SUPERVISORS, MANAGERS, AND ADMINISTRATORS; 75% DID<strong>ACT</strong>IC AND 25%<br />

PARTICIPATORY.<br />

Presenters: Deborah Duch, MPH, Program Manager, <strong>Community</strong> Care Behavioral Health Organization; Kim<br />

Patterson, MSW, LSW, Manager of Clinical Consultation, Allegheny Health Choices, Inc.; Emily Heberlein, MS,<br />

Manager of Evaluation and Outcomes, Allegheny Health Choices, Inc., all of Pittsburgh, Pennsylvania<br />

A Comparison of Three <strong>ACT</strong> Teams in Maine and New Zealand<br />

This workshop will discuss the structure and function of three <strong>ACT</strong> teams: 1) a traditional team that served<br />

clients between 1997 and 2009; 2) a team in New Zealand, adapted to the needs of a multidisciplinary clinic; 3) a<br />

new team designed to meet standards for <strong>ACT</strong> as established by Maine DHHS, which emphasizes recovery and<br />

intentional peer support. Teams are compared using the Dartmouth <strong>ACT</strong> fidelity standards.<br />

By the end of the session, participants will be able to: 1) Describe the application of the Dartmouth Fidelity<br />

Standards in assessment of <strong>ACT</strong> team functioning; 2) Identify how different <strong>ACT</strong> programs can maintain fidelity;<br />

3) Examine the unique role of the peer support specialist and intentional peer support within <strong>ACT</strong>. CONTENT IS<br />

BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 40% DID<strong>ACT</strong>IC, 30% PARTICIPATORY, AND 30%<br />

EXPERIENTIAL.<br />

Presenters: Julie Keller Pease, MD, DFAPA, Psychiatrist, <strong>Assertive</strong> <strong>Community</strong> Treatment Team and Adult<br />

Outpatient Medication Management; Alexander Veguilla, AA, CIPSS (Certified Intentional Peer Support<br />

Specialist), Peer Support Specialist, <strong>ACT</strong> Team, both of Sweetser, Brunswick, Maine<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong><br />

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44<br />

45<br />

24<br />

Thursday Afternoon • May 17, <strong>2012</strong><br />

Healing From Within: The Role of Spirituality in Recovery<br />

Many practitioners are uncomfortable incorporating Spirituality in treatment, and many individuals have been<br />

discouraged from bringing it up at all. This workshop will attempt to show the place spirituality can have in<br />

treatment and recovery, and present a new curriculum to assist providers and recipients in exploring this topic<br />

further.<br />

By the end of the session, participants will be able to: 1) Explain the difference between spirituality and religion;<br />

2) Describe how spirituality can be incorporated into the Recovery process; 3) Discuss how incorporating religious<br />

experience, spirituality, and religious values into an individual’s treatment can have a positive effect. CONTENT<br />

IS BEST SUITED FOR PARTICIPANTS AT AN INTERMEDIATE LEVEL; 80% DID<strong>ACT</strong>IC AND 20%<br />

PARTICIPATORY.<br />

Presenter: Neil Harbus, MSW, LCSW, CPRP, Program Director, Peer Wellness Program, Pathways to Housing,<br />

New York, New York<br />

Mental Health Intensive Case Management: Use of Evidence Based<br />

Interventions<br />

Mental Health Intensive Case Management (MHICM) is a community-based service which addresses the concerns<br />

of veterans who have a diagnosis of severe persistent mental illness, extensive hospital use, and severe functional<br />

impairments that cannot be well addressed by standard outpatient treatment. This presentation will describe our<br />

patient population in terms of age, diagnosis, frequency of admissions, and length of stay. We will highlight our<br />

efforts to reduce recidivism through care coordination and employing EBP interventions.<br />

By the end of the session, participants will be able to: 1) Review the patient population and characteristics of those<br />

having frequent readmissions; 2) Identify at least three challenges to overcome in care coordination; 3) Evaluate<br />

the effectiveness of EBP interventions selected for use with MHICM clients. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT THE BEGINNER AND INTERMEDIATE LEVELS; 80% DID<strong>ACT</strong>IC, AND 20%<br />

PARTICIPATORY.<br />

Presenters: Tosha Ellis, MSW, LCSW, Doctor of Public Health Candidate, MHICM Program Director; Jeanne<br />

Samter, MSN, RN, PMHNP-BC, Psychiatric Nurse Practitioner, both of the MHICM Program, Atlanta VA Medical<br />

Center, Decatur, Georgia<br />

Hope – The Fuel for an Individual’s Recovery Journal<br />

Note: While workshops 8, 44, 52 & 62 can be stand-alone trainings, the presenters have designed<br />

them as a “track” of four workshops. Hope provides a bridge to the future and fuel for the recovery journey.<br />

Many individuals living in, and receiving treatment from, our power-over-people culture have lost hope and have<br />

no dreams for their future. This workshop explores using guided conversations and tools to awaken hope that<br />

inspires a person to make effective choices for their recovery.<br />

By the end of the session, participants will be able to: 1) Apply the three guided conversation tools to awaken and<br />

strengthen hope; 2) Describe the effect that having hope has on resilience, identity, connections, harm and making<br />

effective choices; 3) Identify their own hopes and dreams for the future they desire. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC, 25% PARTICIPATORY, AND 25% EXPERIENTIAL<br />

Presenters: David Heffron, BA, NHA, Vice President Operations, Telecare Corporation, Long Beach, California;<br />

Jennifer Obermeyer, LCSW, Administrator, Telecare <strong>ACT</strong> Oregon, Gresham, Oregon<br />

<strong>ACT</strong> Program Implementation and Team Start-Up<br />

This workshop will highlight the ‘essential ingredients’ of P<strong>ACT</strong> and factors that contribute to providing services<br />

that are consistent with the model. Topics will include: common difficulties experienced by start-up teams and the<br />

importance of program fidelity in provision of services.<br />

By the end of the session, participants will be able to: 1) Describe the essential ingredients for P<strong>ACT</strong> and specific<br />

strategies for improving fidelity to the model; 2) List common difficulties in program implementation, particularly<br />

upon start-up. CONTENT IS BEST SUITED FOR PARTICIPANTS AT AN INTERMEDIATE LEVEL; 75%<br />

PRESENTATION AND 25% PARTICIPATORY.<br />

Presenter: Patricia Brouwer, MA, CAGS, Consultant to the Department of Mental Health, Brouwer Consulting,<br />

Johnston, Rhode Island<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


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Thursday Afternoon • May 17, <strong>2012</strong><br />

3:00 - 3:30 PM Institute and Workshops Beverage Break<br />

3:30 - 5:00 PM Concurrent Workshops 46 through 53<br />

Stages of Change: Empower Employment Choices for <strong>ACT</strong> Clients<br />

Stages of Change Theory and Motivational Interviewing were developed as evidence-based practices for clients<br />

with Drug and Alcohol abuse and other patterns of resistance to change. This workshop applies the five stages of<br />

change to employment issues of <strong>ACT</strong> participants, particularly resistance and motivation. Practical strategies,<br />

such as “change talk” and other interventions to empower clients to move from one phase of employment<br />

change to another will be discussed.<br />

By the end of the session, participants will be able to: 1) Describe the five stages of change and how they relate to<br />

employment; 2) Implement three specific interventions that will help <strong>ACT</strong> participants move forward regarding<br />

stage of change in employment. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 80%<br />

DID<strong>ACT</strong>IC AND 20% PARTICIPATORY.<br />

Presenters: Anthony Deleon, BS, Vocational Counselor, Berks Counseling Center, Transitional Age <strong>ACT</strong> Program;<br />

Christopher Sullivan, BS, Vocational Counselor, Department of Psychiatry, The Reading Hospital <strong>ACT</strong> Program,<br />

both of Reading, Pennsylvania<br />

Development of an Integrated Health Home in an <strong>ACT</strong> Program<br />

Adults with serious mental illness are vulnerable to chronic physical health conditions and have a dramatically<br />

shorter life span. Bringing mental and physical health services together, under a behavioral-health led umbrella,<br />

is a progressive response to this problem. This session will describe an Integrated Health Home (IHH) in an <strong>ACT</strong><br />

Program. Presenters will describe the needs of the population, why integrating care is important, and the process<br />

of integrating IHH within the <strong>ACT</strong> Model.<br />

By the end of the session, participants will be able to: 1) Identify three specific health challenges of adults with<br />

serious mental illness (SMI); 2) Describe five essential components of an Integrated Health Home within an<br />

<strong>ACT</strong> Program; 3) Obtain three practical tips for engaging clients in making healthy lifestyle changes. CONTENT<br />

IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 60% DID<strong>ACT</strong>IC, 30% PARTICIPATORY, 10%<br />

EXPERIENTIAL.<br />

Presenters: Mindy Blair, MHR, CADC, <strong>ACT</strong> Team Leader; Jill Koch, LPN, Integrated Health Home Nurse,<br />

both of Heartland Family Service, Council Bluffs, Iowa; Sherry Parish, RN, BSHCS, Integrated Care Nurse<br />

Coordinator, Magellan Health Services, Des Moines, Iowa<br />

“Spark in the DARK”<br />

Dual-diagnosed people may often live in a dark and complex world. This seminar will explore the history,<br />

formation, and continuation of a successful <strong>ACT</strong>/IDDT group. We have explored the resources and options which<br />

have strengthened this group. A unique partnership with the UMD School of Pharmacology and <strong>ACT</strong>/IDDT<br />

resulted in the development of new interventions with those who have a dual diagnosis. Research questions will be<br />

reviewed about the group’s growth, interactive learning and the impact on everyday living.<br />

By the end of the session, participants will be able to: 1) Identify three unique/enjoyable learning approaches<br />

toward interactive IDDT education; 2) Explain Recovery-Oriented Treatment applied from Dartmouth Psychiatric<br />

Center (2010. CONTENT IS BEST SUITED FOR PARTICIPANTS AT THE BEGINNER AND INTERMEDIATE<br />

LEVELS; 60% DID<strong>ACT</strong>IC, 20% PARTICIPATORY AND 20% EXPERIENTIAL.<br />

Presenters: Cyrene Baskett, MS, BSN, BSW, Chemical Dependency Educator, Case Manager, Center for Alcohol<br />

and Drug Treatment; Christa Overson, MS, Case Manager, Human Development Center; Faye Beth Pingry, MSW,<br />

ADCR, <strong>ACT</strong> Case Manager, St. Louis County Public Health and Human Services; Mark Schneiderhan, PharmD,<br />

BCPP, Associate Professor, University of Minnesota College of Pharmacy-Duluth, all of Duluth, Minnesota<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 25


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Thursday Afternoon • May 17, <strong>2012</strong><br />

Integration of Treatment and Learning in Working with Adolescents<br />

In 2004, a high-school in the Hague, Netherlands was devastated by a severe shooting incident in which a teacher<br />

was killed by a pupil. The pupil was an adolescent at the school who had been diagnosed with severe mental<br />

health problems and had dropped out on several life areas. In this workshop we will discuss an integrative<br />

approach we developed for working with adolescents (age 12-18) with multiple problems and mental health<br />

issues. Utilizing an assertive multidisciplinary mental health care approach (a Flexible <strong>ACT</strong> Team – F<strong>ACT</strong>)<br />

situated in the school itself and in close cooperation with the high-school allowed for a very successful project<br />

with good outcomes.<br />

By the end of the session participants will be able to: 1) List ways to identify at risk adolescents; 2) Examine the<br />

benefits of collaborating with schools. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 70%<br />

DID<strong>ACT</strong>IC, AND 30% PARTICIPATORY.<br />

Presenters: Dorothe Ernste, Drs, Clinical Psychologist/Psychotherapist, Manager, Mental Health Care for<br />

SMI Adolescents; Ilone Kleijberg, MBA, ie, Executive Manager, both of De Jutters Centre for Intensive Youth<br />

Psychiatry, The Hague, The Netherlands<br />

“Striving to be the Best: What is Effective <strong>ACT</strong> Leadership?”<br />

Achieving effective leadership of an <strong>ACT</strong> Team is a multidimensional process which requires continuous<br />

development of self awareness, mastery of managerial skills, and deliberate development of clinical expertise.<br />

This workshop will examine specific elements of key areas within the leadership role and provide strategies for<br />

leadership development.<br />

By the end of the session, participants will be able to: 1) Identify components of effective leadership; 2)<br />

Examine various methods of acquiring leadership skills and competencies. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 75% DID<strong>ACT</strong>IC AND 25% PARTICIPATORY.<br />

Presenters: Tracy Hinz, MSW, LICSW, <strong>ACT</strong> Team Leader, Central Minnesota Mental Health Center, Monticello,<br />

Minnesota; Lynette M. Studer, MSSW, LCSW, PhD Candidate/Teaching Assistant, University of Wisconsin-<br />

Madison, Madison, Wisconsin<br />

One Did Fly Over the Cuckoo’s Nest and Decided to Roost There<br />

“I have problems in my mind but I am comfortable with that.” This workshop will focus on the power of the<br />

personal story and the unique set of social skills that go with the story. Sharing leads to better outcomes for persons<br />

served. The peer role is evaluated in regards to the increased sense of freedom for consumers to become active<br />

participants. Included will be an IMR adaptation and analysis of Wellness Recovery Action Plans.<br />

By the end of the session, participants will be able to: 1) Describe a perspective on the participation of the present<br />

peer(s) on their <strong>ACT</strong> or Treatment Team; 2) Identify ways to advocate for the value of the lives of the people<br />

that they serve. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 66% DID<strong>ACT</strong>IC, 33%<br />

PARTICIPATORY, AND 1% EXPERIENTIAL.<br />

Presenters: Kristin Hochard, MA, CTT Certified Peer Specialist; Bill Napora, CPS, CTT Certified Peer Specialist;<br />

Matthew E. Parker, MS, CPS, CTT Certified Peer Specialist, all of Mercy Behavioral Health, Pittsburgh,<br />

Pennsylvania<br />

Supported Choice Making: Choice Not Control<br />

Note: While workshops 8, 44, 52 & 62 can be stand alone trainings, the presenters have designed<br />

them as a “track” of four workshops. We make effective choices to steer our lives toward our hopes and<br />

dreams and away from harm. Individuals living in, and receiving treatment from, our power-over-people culture<br />

have lost the opportunity and experiences to learn to make effective choices. This workshop presents a choice<br />

making process with which people can regain self-control of their lives.<br />

By the end of the session, participants will be able to: 1) Describe the provider’s Cycle of Increasing Control that<br />

results in individuals progressively loosing the ability to have self-control, and the effect it has on their hope,<br />

identity, connections, choice making and resilience; 2) Identify the four-step choice making process and how<br />

to use it; 3) Discuss the skills necessary for making more effective choices. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC, 50% PARTICIPATORY, AND 25% EXPERIENTIAL.<br />

Presenters: Marc Chinard, MS, LCSW, Administrator, Regional Administrator, Telecare Corporation, Telecare<br />

Recovery Center at Gresham, Gresham, Oregon; David Heffron, BA, NHA, Vice President Operations, Telecare<br />

Corporation, Long Beach, California; Jennifer Obermeyer, LCSW, Administrator, Telecare <strong>ACT</strong> Oregon,<br />

Gresham, Oregon<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


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Thursday Afternoon • May 17, <strong>2012</strong><br />

<strong>ACT</strong> Rocks: A Collaborative Newfoundland Perspective<br />

Learn how three <strong>ACT</strong> teams in a geographically diverse and remote province planned, implemented and started<br />

<strong>ACT</strong>. Team managers relied on collaboration, partnership and relationship building to forge new ground and<br />

develop three high fidelity <strong>ACT</strong> teams.<br />

By the end of the session, participants will be able to: 1) Describe a collaborative process between three different<br />

health authorities that led to team effectiveness and high fidelity; 2) Explain how remote <strong>ACT</strong> teams face unique<br />

challenges and how they can be overcome. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS;<br />

75% DID<strong>ACT</strong>IC AND 25% PARTICIPATORY.<br />

Presenters: Beverley Barrett, BN, RN, BBA, Program Manager, <strong>Assertive</strong> <strong>Community</strong> Treatment and Case<br />

Management Services, Mental Health and Addictions, Eastern Health, St. John’s; Pamela Parsons, BN, RN,<br />

Manager of Mental Health and Addictions, Western Health, Corner Brook; Shannon Pike, BscH, MClSc, OT R<br />

NL, Regional Manager Mental Health and Addictions, Central Health, Grand Falls-Windsor, all of Newfoundland,<br />

Canada<br />

Friday Morning • May 18, <strong>2012</strong><br />

7:45 - 8:45 AM Breakfast<br />

(Prepaid Admission Only)<br />

9:00 - 10:30 AM Concurrent Workshops 54 through 64<br />

The Role of Relatives & Caregivers in <strong>ACT</strong><br />

Historically, <strong>ACT</strong> has targeted individuals in psychiatric institutions whom may have lacked care-giving relatives<br />

and families. However, internationally, deinstitutionalization has also lead to an increase in contact with, and<br />

involvement of, relatives and informal caregivers. In the last decade, family approaches have been successfully<br />

disseminated for this group. The recent nation-wide implementation of <strong>ACT</strong> in Norway is inspiring us to examine<br />

how relatives and informal caregivers are incorporated into the <strong>ACT</strong> model.<br />

By the end of the session, participants will be able to: 1) Describe three important trends in the literature regarding<br />

the role of relatives and informal caregivers in treating with serious mental disorders; 2) Provide a rationale for why<br />

<strong>ACT</strong> should incorporate relatives and informal caregivers; 3) Explain a recovery and empowerment based model<br />

for involving relatives and informal caregivers. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL<br />

LEVELS; 70% DID<strong>ACT</strong>IC, AND 30% PARTICIPATORY.<br />

Presenters: Pravin Israel, Dr. Psychol., PhD, Senior Researcher; Bente Weimand, RN, RNP, RNT, MA, PhD<br />

Candidate, Karlstand University, Sweden, both of Akershus University Hospital, Lorenskog, Norway<br />

Client Death & Its Implication on an <strong>ACT</strong> Team<br />

This presentation will discuss the implications of <strong>ACT</strong> clients’ deaths on other clients and to the <strong>ACT</strong> team. Homeless<br />

individuals experience high rates of early mortality, and persons diagnosed with mental illness also have a reduced<br />

life expectancy dying on average 13.5 and 32.5 years earlier than the general population. The causes of death<br />

vary and can include: AIDS, cancer, hepatic disease, accidental deaths (drowning, MVA, hypothermia),suicide,<br />

homicide/death related to violence, poisoning (illicit drug & alcohol use), heart disease and complications related<br />

to chronic diseases such as diabetes. These stark statistics make death on an <strong>ACT</strong> Team an inevitable event that<br />

should be anticipated and carefully planned for.<br />

By the end of the session, participants will be able to 1) Examine mortality statistics of homeless individuals in<br />

North America; 2) Describe the impact of deaths of clients on an <strong>ACT</strong> Team; 3) List ways to address this issue<br />

at their programs in the future. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 50%<br />

DID<strong>ACT</strong>IC, AND 50% PARTICIPATORY.<br />

Presenters: Jennifer Eyford, MSc, BSc, BN, RN, Program Manager – Hospital Team; Shelly Qualtieri, MA, BA,<br />

Program Manager – Justice Team, both of The Alex, Pathways To Housing, Calgary, Alberta, Canada<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong><br />

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56<br />

57<br />

58<br />

59<br />

28<br />

Friday Morning • May 18, <strong>2012</strong><br />

Implementing Individual Placement & Support within <strong>ACT</strong><br />

This session illustrates how to identify key components of the Dartmouth Individual Placement & Support (IPS)<br />

Fidelity Scale to improve employment outcomes for vocational specialists and other team members.<br />

By the end of the session, participants will be able to: 1) Identify the principles of IPS; 2) Compare traditional<br />

Vocational Rehabilitation Models with IPS. CONTENT IS BEST SUITED FOR PARTICIPANTS AT THE<br />

BEGINNER AND INTERMEDIATE LEVELS; 50% DID<strong>ACT</strong>IC, 40% PARTICIPATORY, AND 10%<br />

EXPERIENTIAL.<br />

Presenter: Michelle Fassler, MA, Certified Benefits Planner, IPS Supervisor, Places for People, St. Louis, Missouri<br />

Getting Out of Recovery’s Way: Rural <strong>ACT</strong> in Michigan and California<br />

This workshop provides a comparison of approaches to treatment barriers in rural California and Michigan. We<br />

will discuss the blending of Evidence Based Practices, Integrated Dual Disorders Treatment, DBT and Peer Support<br />

Specialists to support recovery within <strong>ACT</strong> programs. A review of recent programmatic outcome data will take<br />

place. There will also be opportunity for discussion and brief problem solving.<br />

By the end of the session, participants will be able to: 1) Identify barriers to treatment and strategies to enhance<br />

therapeutic partnerships; 2) Implement a blending of EBPs to support the recovery of <strong>ACT</strong> consumers. CONTENT<br />

IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 85% DID<strong>ACT</strong>IC and 15% PARTICIPATORY.<br />

Presenters: Lynn T. Johnson, MA, <strong>ACT</strong> Program Supervisor, Northcare Regional Family Psychoeducation<br />

Supervisor /State Trainer, Pathways <strong>Community</strong> Mental Health, Marquette, Michigan; Carol Stanchfield, MS,<br />

MFT, Program Director A<strong>ACT</strong> & AOT, Turning Point Providence Center, Grass Valley, California<br />

Implementing <strong>ACT</strong> with IDDT: Lessons Learned<br />

This presentation provides an overview of the initiative in Franklin County, Ohio, to simultaneously implement<br />

<strong>ACT</strong> and IDDT. The content includes a description of impetus for the initiative, how both EBPs were rolled out<br />

in the local system, and lessons learned since the inception of the initiative. Facilitators will share challenges and<br />

strategies as well as outcomes data.<br />

By the end of the session, participants will be able to: 1) Identify successes, challenges and barriers with the<br />

simultaneous implementation of both IDDT and <strong>ACT</strong>; 2) Describe the core implementation structures to support<br />

simultaneous multiple EBP implementation; 3) Describe the outcomes achieved by this collaborative. CONTENT<br />

IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 70% DID<strong>ACT</strong>IC, AND 30% PARTICIPATORY.<br />

Presenters: Scott Gerhard, MA, LSW, Consultant and Trainer, Center for Evidence Based Practices, Case Western Reserve<br />

University, Cleveland, Ohio; Jon Ramos, BA, Program Coordinator, Ohio Coordinating Center for <strong>ACT</strong>, Cincinnati, Ohio<br />

Using a “Step Up” Group for Individuals with Co-Occurring Disorders<br />

Transitioning from Act<br />

Faced with maximum capacity at the <strong>ACT</strong> level, community programs have needed transition plans. Individuals<br />

with co-occurring disorders and high utilization of mental health services have posed the greatest challenges moving<br />

to less intensive case management. This workshop explores a unique “Step Up” approach using an independent<br />

living skill-based group work.<br />

By the end of the session, participants will be able to: 1) Use clinical data and LOCUS to identify members who<br />

would benefit from the “Step Up” group; 2) Explain four methods that enhance attendance and participation to group;<br />

3) Implement three clinical strategies to support individuals<br />

during the transition. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 70% DID<strong>ACT</strong>IC, 20%<br />

PARTICIPATORY, AND 10% EXPERIENTIAL.<br />

Presenters: Jorge Duque, ASW, Vocational Specialist,<br />

Group-Program Facilitator; Yelena Rybkina, BS, Personal<br />

Service Coordinator II, Group-Program Facilitator, both of<br />

STRIDES <strong>ACT</strong> Program of Alameda, Telecare Corporation,<br />

Oakland, California<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


60<br />

61<br />

62<br />

63<br />

Friday Morning • May 18, <strong>2012</strong><br />

Golden Nuggets of P<strong>ACT</strong> Wisdom: Recruiting the Right Team<br />

This workshop will provide <strong>ACT</strong> Team Leaders and Program Directors with ideas and strategies for recruiting and<br />

retaining an effective <strong>ACT</strong> team. The focus will be on approaches used to hire the right staff, as well as to supervise<br />

and evaluate team/program leadership. Anecdotes from over a decade of <strong>ACT</strong> leadership will be shared.<br />

By the end of the session, participants will be able to: 1) Identify recruitment strategies for putting together an<br />

effective <strong>ACT</strong> team; 2) Identify strategies for retaining staff; 3) Explain the complex nuances of leading an <strong>ACT</strong><br />

program. CONTENT IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 75% DID<strong>ACT</strong>IC, AND 25%<br />

PARTICIPATORY.<br />

Presenter: Brian Eig, PsyD, Program Director, Catholic Charities/Mercer-Burlington P<strong>ACT</strong>, Trenton, New Jersey<br />

Practical Safety for <strong>ACT</strong> Teams<br />

Any team that works in the community has safety concerns. The F<strong>ACT</strong> team from Seattle specializes in working<br />

with offenders and has developed safety protocols to keep their teams safe. Come and learn about common safety<br />

concerns and practical interventions and precautions to keep your teams safe. Topics will include: safety in the<br />

community, safe office set ups and safe consumer transports.<br />

By the end of the session, participants will be able to: 1) Identify common safety concerns of an <strong>ACT</strong> team; 2)<br />

Identify how to evaluate your team’s safety; 3) Take home safety protocols. CONTENT IS BEST SUITED FOR<br />

PARTICIPANTS AT ALL LEVELS; 65% DID<strong>ACT</strong>IC AND 35% PARTICIPATORY.<br />

Presenters: Richelle Nordeen, MA, LMHC, CDPT, Department Manager, Integrated Services; Kevin St. Jacques,<br />

PsyD, LMHC, Senior Department Manager, Integrated Services, both of Sound Mental Health, Seattle, Washington<br />

Creating Culture Change at Your Agency<br />

Note: While workshops 8, 44, 52 & 62 can be stand alone trainings, the presenters have designed<br />

them as a “track” of four workshops. A program culture is the environment created by staff behaviors and<br />

awareness of interactions with each other and individuals served. Its purpose is to awaken and enhance recovery by<br />

countering the stigmatizing culture in which individuals live and receive traditional treatment. Increasing awareness<br />

in five areas creates the culture: power, respect, judgment, individual uniqueness and motivation. Awareness is<br />

enhanced with training and feedback from a reliable and valid culture evaluation tool.<br />

By the end of the session, participants will be able to: 1) Identify the five awarenesses that are active in effective<br />

cultures of recovery; 2) Evaluate the effectiveness of program cultures using Recovery-Centered Measures tools<br />

provided; 3) Design a plan to transform a program culture to one that effectively awakens recovery. CONTENT IS<br />

BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 50% DID<strong>ACT</strong>IC, 25% PARTICIPATORY, AND 25%<br />

EXPERIENTIAL.<br />

Presenters: Marc Chinard, MS, LCSW, Administrator, Regional Administrator, Telecare Corporation, Gresham,<br />

Oregon; David Mullen, MA,MFT, Clinical Director of Region 6 Recovery Center, Telecare Corporation, Omaha,<br />

Nebraska<br />

An Innovative Approach to Measuring <strong>ACT</strong> Model Fidelity: Self-Report<br />

vs. Phone-Based Fidelity<br />

With the increase in evidence-based practices, agencies are challenged by the burden of assessing the faithful<br />

implementation of programs like <strong>Assertive</strong> <strong>Community</strong> Treatment (<strong>ACT</strong>). Given the resources, time, and burden<br />

associated with onsite fidelity visits, we explored alternative, more efficient methods of assessing fidelity, comparing<br />

self-report and phone-based fidelity for 16 <strong>ACT</strong> teams in Indiana. Results supporting the viability of both methods<br />

will be provided, as well as ways to improve future fidelity assessments.<br />

By the end of the session, participants will be able to: 1) Compare two methods for assessing <strong>ACT</strong> model fidelity;<br />

2) Evaluate the strengths and weaknesses of a self-report -based fidelity assessment for <strong>ACT</strong> programs and staff; 3)<br />

Evaluate the strengths and weaknesses of a phone-based fidelity assessment for <strong>ACT</strong> programs and staff. CONTENT<br />

IS BEST SUITED FOR PARTICIPANTS AT ALL LEVELS; 70% DID<strong>ACT</strong>IC AND 30% PARTICIPATORY.<br />

Presenter: Laura White, MS, Graduate Student, Indiana University Purdue University Indianapolis (IUPUI),<br />

Indianapolis, Indiana<br />

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64<br />

30<br />

Friday Morning • May 18, <strong>2012</strong><br />

E-Learning <strong>ACT</strong>: Building E-Learning and Social Media into Instructional<br />

Design<br />

To be a successful <strong>ACT</strong> Team, a complex set of competencies must be methodically employed by all team<br />

members. Extensive, and more importantly effective, training is required to equip teams to deliver <strong>ACT</strong><br />

services with fidelity to the model and meet the complex psychosocial needs of <strong>ACT</strong> members. This workshop<br />

will explore a hybridized learning solution that blends e-learning and social media with competency-based<br />

instructional design.<br />

By the end of the session, participants will be able to: 1) Explain how e-learning solutions accommodate the<br />

demanding training requirements; 2) Identify the key steps involved in developing a competency based e-learning<br />

initiative; 3) Formulate a plan of how their organization could integrate online learning communities as a method<br />

of facilitating the development and application of <strong>ACT</strong> core competencies. CONTENT IS BEST SUITED<br />

FOR PARTICIPANTS AT AN INTERMEDIATE LEVEL; 15% DID<strong>ACT</strong>IC, 15% PARTICIPATORY, AND 70%<br />

EXPERIENTIAL.<br />

Presenters: Kevin Mehnert, MBA, BS, Professional Development and Education Business Partner, Adult<br />

Behavioral Health Services, NHS Human Services, Mt. Pocono, Pennsylvania; Lorraine Pauley, BS, Regional<br />

Adult Behavioral Health Specialist, NHS Human Services, Pottsville, Pennsylvania<br />

11:00 AM - NOON Closing Plenary<br />

<strong>ACT</strong> Then & Now:<br />

An Interview with Len Stein Reflecting on the<br />

Genesis & Development of <strong>ACT</strong> Teams<br />

Sam Tsemberis, PhD<br />

The 28 th Annual <strong>ACT</strong> <strong>Conference</strong> will officially close with a plenary address by Dr.<br />

Sam Tsemberis. Dr. Tsemberis serves as CEO of Pathways to Housing, an organization<br />

he founded in 1992 based on the belief that housing is a basic human right. Pathways<br />

developed the consumer driven evidence based Housing First program that provides<br />

immediate access to permanent supportive housing and <strong>ACT</strong> services to individuals who<br />

are homeless and who have mental health and addiction problems. In addition to his work<br />

at Pathways to Housing, Dr. Tsemberis is on the faculty of the Department of Psychiatry<br />

at Columbia University Medical Center. He is currently participating in national studies<br />

of homelessness, mental illness, and addiction in the US, Canada and Europe and has<br />

published numerous articles and book chapters on these topics. His Housing First manual<br />

was recently published (Nov. 2010) by Hazelden Press.<br />

In providing trainings for <strong>ACT</strong> Teams, Dr. Tsemberis found that a great deal of attention was being paid to operational<br />

and staffing issues but that team members lacked a broader picture of the mission and vision of <strong>ACT</strong>. About four<br />

years ago he had the opportunity to interview Dr. Len Stein, on of the founders of the <strong>ACT</strong> Model, and hear him<br />

reflect on the history and current practice of <strong>ACT</strong>. This two hour plus conversation was skillfully edited by Sue<br />

Peehl, an Academy Award winning Editor, into a 20 minute DVD. In the words of Dr. Sam Tsemberis, “Len is<br />

engaging, brilliant and wise!” He talks about the genesis of <strong>ACT</strong>, program fidelity, consumer choice and recovery.<br />

Dr. Tsemberis is excited for the opportunity to show this interview at the <strong>2012</strong> <strong>ACT</strong> <strong>Conference</strong> and afterwards will<br />

present a talk on the themes of <strong>ACT</strong> and recovery. We are confident this plenary address will remind us all of the<br />

innovation, bravery and compassion that embodies the <strong>ACT</strong> Model and encourage us to continue helping those<br />

diagnosed with serious and persistent mental illness.<br />

NOON - 12:30 PM Closing Comments and Sweepstakes<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


Travel Information<br />

Boston, Massachusetts<br />

Famous for its hospitality and friendly spirit, Boston is one of the premiere meeting destinations in the<br />

United States. The Greater Boston area is home to 3.7 million people, and nearly 18 million visitors explore<br />

the city annually. Founded in 1630—only ten years after the Pilgrims landed in Plymouth—Boston grew as a<br />

harbor town. The city is almost completely surrounded by water, with the Atlantic Ocean on two sides and<br />

the Charles River running around its back.<br />

Boston is a wonderful blend of stylish sophistication and<br />

historic New England charm. You can easily uncover the<br />

city’s past while enjoying its distinctively modern edge.<br />

Year round Boston’s calendar is brimming with<br />

exceptional musical and theatrical productions and<br />

annual performances, new exhibitions and timeless<br />

favorites, walking tours or trolley tours, ethnic festivals<br />

and festivals of Food & Wine. Attend the <strong>2012</strong> <strong>ACT</strong><br />

<strong>Conference</strong> and take the opportunity to explore the<br />

beautiful city of Boston, Massachusetts.<br />

For more information on Boston,<br />

visit www.bostonusa.com<br />

Airport<br />

Logan International Airport<br />

1 Harborside Drive, Boston, Massachusetts 02128<br />

www.massport.com/logan-airport<br />

Getting to Boston / Hotel from the Airport<br />

From Logan Airport – 3 Miles:<br />

Estimated taxi fare: 30.00 USD (one way)<br />

Driving: Follow signs to Sumner Tunnel/Boston. Take the ramp onto RT-1A S/William F<br />

McClellan Hwy. Merge north onto Interstate 93 and take the Storrow Drive Exit (26).<br />

Follow Storrow Drive and exit left at Back Bay/Copley Exit. At lights, take left onto<br />

Beacon St, and then take an immediate right onto Arlington St. The hotel is the 2nd<br />

building on the left after the park.<br />

Ultimate Shuttle - $17.00 per person, one-way. Reservations are recommended by calling: 888.437.4379.<br />

Shuttles pick up automatically every 30 minutes from 6:30 a.m. to 5:30 p.m. at each Boston Airport Terminal<br />

outside of Baggage Claim, under the “Shared Van Pick-up” sign.<br />

Directions from the Subway:<br />

Approximately $2 per ride<br />

Take the Green Line to Arlington Station “T” Stop. The hotel is one block away.<br />

Take the Orange Line to Back Bay Station “T” Stop. The hotel is three blocks away.<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 31


32<br />

The Boston Park Plaza Hotel & Towers<br />

50 Park Plaza at Arlington Street | Boston, Massachusetts 02116-3912<br />

The 28 th Annual<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment <strong>Conference</strong><br />

May 16 – 18, <strong>2012</strong><br />

Preconference Institutes May 15, <strong>2012</strong><br />

Special <strong>ACT</strong> <strong>Conference</strong> Room Rates: Single or Double $189<br />

To Book Your Own <strong>Online</strong> Reservations visit:<br />

https://bostonparkplaza.reztrip.com/index.html#property=100&mode=b&pm=true&sr=11724<br />

Use Access Code: <strong>ACT</strong>CO<br />

For Phone Reservations call:<br />

1-800-225-2008 or 1-617-426-2000 and ask for the<br />

“28th Annual <strong>ACT</strong> <strong>Conference</strong> Group Rate”<br />

RESERVATION CUT OFF DATE: May 1, <strong>2012</strong> – 5 PM EDT<br />

A group block of a limited number of rooms at a discounted hotel room rate is available for conference<br />

attendees. The rate is $189 per room, per night for either a single or a double room. These rates are subject<br />

to the applicable State and Hospitality taxes of 14.45% (Tax rates subject to change). Unique to this hotel,<br />

double rooms each have two bathrooms – making these rooms ideal for sharing with colleagues and friends.<br />

To obtain the discounted rate you will need to either register online or if making telephone reservations ask<br />

for the 28th Annual <strong>ACT</strong> <strong>Conference</strong> group rate. The Boston Park Plaza Hotel & Towers offers valet parking<br />

for our guests’ convenience for additional daily fees. Please inquire regarding rates when making your<br />

reservation with the hotel.<br />

PLEASE NOTE: To receive a room at the discounted <strong>ACT</strong> <strong>Conference</strong> group rate, you must make your<br />

reservation by May 1, <strong>2012</strong>, 5:00 PM EDT. After this date, the discounted rate will be honored on a spaceand<br />

rate- available basis only. Reminder - the number of rooms at the discounted rate is limited, so make<br />

your reservations early!<br />

Arrangements for hotel accommodations are the responsibility of each individual registrant. <strong>Conference</strong><br />

registration fees DO NOT include accommodations. Please DO NOT contact <strong>ACT</strong>A to make hotel reservations<br />

– contact the Boston Park Plaza Hotel & Towers.<br />

For detailed information about the hotel, its location, maps, transportation,<br />

parking, guest services, restaurants, and area attractions, please access the website:<br />

http://www.bostonparkplaza.com<br />

ONLY A LIMITED NUMBER OF SLEEPING ROOMS ARE AVAILABLE AT THE<br />

<strong>ACT</strong> CONFERENCE REDUCED RATE. MAKE YOUR RESERVATION EARLY!<br />

Reservations after May 1, <strong>2012</strong> will be accepted only on a space- and rate-available basis.<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 33


Session Admission Policy Please Read Carefully<br />

NAME BADGES ARE REQUIRED FOR ENTRY TO ALL MEETING ROOMS and BREAKS. They are<br />

your “entry ticket” so please wear your name badge!<br />

ALL SESSION ADMITTANCE is on a FIRST COME-FIRST SERVED basis. As soon as all chairs are<br />

occupied, the facilitator will close the session. Fire codes prohibit attendees from standing in the aisles or against<br />

the walls.<br />

Please review your conference materials and select alternatives to your first choices ahead of time in case<br />

a desired session is closed. Every effort is made to assign presentations to rooms based on the anticipated<br />

attendance. During every concurrent session, there are more than enough seats to accommodate every attendee at<br />

a session and we believe all of the sessions have something valuable to offer. We appreciate your understanding<br />

and cooperation.<br />

Included with <strong>Conference</strong> Registration Fees<br />

In our efforts to maintain the lowest possible registration<br />

fees, and in line with the feedback we have received,<br />

we must limit the type and amount of refreshments<br />

we provide. Coffee/tea and bakery selections will<br />

be provided Wednesday morning. Coffee/tea will<br />

be provided at the breaks on Thursday and Friday.<br />

Refreshments served at breaks are available only to<br />

registered conference attendees; name badges are<br />

required for entry to the areas where they are served.<br />

Cell Phone Use Prohibited During All Sessions – Please No Texting or Talking!<br />

34<br />

A luncheon will be available on Thursday afternoon<br />

for an additional $25.00. Hot breakfast buffets will<br />

be available both Thursday and Friday mornings for<br />

an additional $25 per breakfast. These meal prices<br />

represent only a portion of the actual costs. The luncheon<br />

and breakfasts are PREPAID ONLY and the additional<br />

fees MUST be included with registration fees. Please<br />

note that admission to these meals cannot be purchased<br />

during the conference, nor will any refunds be given.<br />

Please turn-off/turn-to-vibrate cell phones and refrain from texting or talking during all presentations. Thanks!<br />

Session Evaluation Forms, Overall <strong>Conference</strong> Evaluation and Sweepstakes Entry<br />

Be sure to complete the evaluation forms for each<br />

session and return them to the session facilitator at the<br />

end of the session. Certificates of attendance with CE<br />

information will be provided in exchange for a completed<br />

evaluation at that time. Please note that certificates will<br />

be given ONLY at the end of the respective session and<br />

at no other time during the conference. Replacement<br />

certificates will not be given, nor will any certificates be<br />

provided at the registration desk or session facilitator’s<br />

table. Accrediting bodies (NOT the <strong>ACT</strong> Association)<br />

REQUIRE identifying information to award Continuing<br />

Education Contact Hours (CEs). That section of the<br />

evaluation MUST be completed ONLY if you want to<br />

receive CEs. If you do not need or want CEs, you may<br />

leave that section blank.<br />

General Information<br />

Overall conference evaluation forms are in your<br />

registration packet. Please complete the overall<br />

conference evaluation form and return it to the<br />

registration desk before leaving the conference. Your<br />

comments will help us plan for the 2013 <strong>Conference</strong>.<br />

The <strong>ACT</strong> Association will give each person turning in<br />

a completed evaluation a SWEEPSTAKES ENTRY<br />

form. At the end of the conference, a sweepstakes will<br />

be held with winners receiving gift cards and other<br />

small prizes; you need not be present to win these<br />

prizes. There will also be a grand prize awarded and<br />

for this prize you must be present to win. Check your<br />

conference materials for details!<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


General Information<br />

Continuing Education Information for ALL Preconference Trainings,<br />

Workshops and Institutes<br />

The <strong>ACT</strong> Association will offer continuing education credits for a variety of professional disciplines from a number<br />

of accrediting organizations. Once applications are finalized and approved this information will be posted on the<br />

<strong>ACT</strong> Association website for participants to review.<br />

Special Considerations<br />

Please address questions, grievances, comments, and requests for ADA accommodations to the <strong>ACT</strong> Association by<br />

email to acta@actassociation.org. Requests for special needs must be submitted in writing and received at the <strong>ACT</strong><br />

Association office by April 1, <strong>2012</strong>. Requests received after this deadline cannot be considered; the steps necessary<br />

to fulfill requests received beyond this posted deadline would result in a significant difficulty and/or expense to the<br />

organization. Thank you for your understanding and cooperation.<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 35


History<br />

36<br />

Since 1984, an annual conference dedicated to the promotion and development of <strong>Assertive</strong> <strong>Community</strong><br />

Treatment (<strong>ACT</strong>) has taken place. Over the years, thousands of <strong>ACT</strong> professionals have participated in this<br />

networking and educational event. The <strong>Assertive</strong> <strong>Community</strong> Treatment Association was originally established<br />

as a non-profit organization to conduct this annual conference.<br />

Mission<br />

<strong>Assertive</strong> <strong>Community</strong> Treatment is an array of services provided by community-based, mobile mental health<br />

treatment teams. The mission of the <strong>ACT</strong> Association is to promote, develop, and support high quality assertive<br />

community treatment services that help improve the lives of people diagnosed with serious and persistent<br />

mental illness.<br />

Structure of the <strong>ACT</strong> Association<br />

The <strong>ACT</strong> Association is incorporated as a non-profit organization (Federal I.D. #38-3373915), with a volunteer<br />

Board of Directors governing the implementation of the association’s mission. Association membership<br />

consists of mental health providers, clients, family members, government agency officials, advocacy groups,<br />

and others committed to the expansion of the <strong>ACT</strong> service delivery model.<br />

Membership fees, trainings, and conference registration fees fund the Association.<br />

Goals<br />

The <strong>ACT</strong> Association seeks to:<br />

• Conduct an Annual <strong>Assertive</strong> <strong>Community</strong> Treatment <strong>Conference</strong>.<br />

• Provide education and training that enhances the effectiveness of service professionals in assisting<br />

persons diagnosed with mental illness in their recovery, and aids in the well-being of families.<br />

• Advocate with policy-makers for the continued development of <strong>ACT</strong> services as one of the most effective<br />

means of treatment for persons diagnosed with serious mental illness.<br />

www.actassociation.org<br />

Join the <strong>ACT</strong> Association or renew your<br />

membership today and SAVE on<br />

<strong>Conference</strong> Registration Fees NOW!<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


ASSERTIVE COMMUNITY TREATMENT ASSOCIATION, INC.<br />

MEMBERSHIP APPLICATION – PLEASE PRINT LEGIBLY<br />

Name _____________________________________________________________________________________<br />

Title ______________________________________________________________________________________<br />

Organization ______________________________________________________________________________<br />

Street _____________________________________________________________________________________<br />

City ____________________________ State ________ Zip ____________ Country ____________________<br />

Telephone ____________________________________ Fax ________________________________________<br />

Email _____________________________________________________________________________________<br />

Annual Membership Dues<br />

q Individual Member $35.00<br />

q Non-Profit Agency $150.00<br />

q For-Profit Agency $375.00<br />

q New Member? q Renewing Membership?<br />

Memberships expire ONE YEAR from the date payment is received or renewal date.<br />

PAYMENT BY CHECK<br />

Make checks payable to: <strong>ACT</strong> Association Mail to: <strong>ACT</strong> Association<br />

P. O. Box 1624<br />

Novato, CA 94948-1624<br />

Payment by Credit Card<br />

q VISA q MASTERCARD q AMERICAN EXPRESS q DISCOVER<br />

Cardholder’s Name ______________________________________________ Billing Zip: __________________<br />

Card # _________ ________ ______ _______ Expires _______/_______ Amount $____________<br />

Month Year<br />

Fax to: 415-382-0664<br />

or<br />

Mail to: <strong>ACT</strong> Association<br />

P. O. Box 1624<br />

Novato, CA 94948-1624 <strong>ACT</strong>A Federal I.D. #38-3373915<br />

Join or renew your membership today and SAVE on <strong>Conference</strong> Registration NOW!<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong><br />

37


38<br />

Registration Instructions and Information<br />

Regular Registration Deadline: April 27, <strong>2012</strong> (No Late Fee up to This Date)<br />

Late Registration Period: April 28 - May 4, <strong>2012</strong> ($50.00 Late Fee Applies)<br />

After May 4, <strong>2012</strong> – On-Site Registration Only on a Space-Available Basis<br />

($50.00 Late Fee Applies)<br />

Please SUBMIT ONLY ONE COPY of your registration by either fax or mail; DO NOT send duplicate registrations<br />

or follow a faxed registration with a hard copy by mail. Submitting more than one copy of a registration may result<br />

in duplicate registration charges.<br />

A separate registration form must be submitted for each person registering. Copy the registration form as needed.<br />

Do not submit a registration form with more than one person listed. Please complete each registration form legibly and<br />

in its entirety. PLEASE BE SURE TO INCLUDE YOUR VALID EMAIL ADDRESS! Confirmations and receipts<br />

will be sent via email.<br />

All registrations must be accompanied by payment in U.S. funds (mailed–in registrations) or provide credit card<br />

information for immediate payment (faxed or mailed-in registrations). We DO NOT accept registrations by telephone.<br />

All registrations received after the April 27, <strong>2012</strong> deadline will be processed to include a $50.00 late registration<br />

fee. The <strong>ACT</strong> Association encourages early registration, as attendance may be limited. All registrations submitted by<br />

the deadline will be confirmed by email, and will include sales and credit card receipts. Please do not contact the <strong>ACT</strong><br />

Association to request a faxed receipt.<br />

REGISTRATION REFUND: A refund will be given upon the <strong>ACT</strong> Association’s receipt of a written cancellation notice<br />

by April 27, <strong>2012</strong>. A $50.00 per individual registration, non-refundable service fee will be charged on all cancellations.<br />

Any registrations cancelled after April 27, <strong>2012</strong> will not be refunded.<br />

Contact the <strong>ACT</strong> Association for inquiries regarding registration. The best way to contact us is by email at conference@<br />

actassociation.org. You may also leave a message at (810) 227-1859 for a return call.<br />

Registration Frequently Asked Questions and Answers – FAQ<br />

Q: Should I register at the Member or Non- Member<br />

rate?<br />

A: Individuals who have paid a $35, and organizations<br />

that have paid either a $150 (non-profit) or a $375 (forprofit),<br />

Annual Membership Fee to the <strong>ACT</strong> Association<br />

are members. If you are a paid member, or work for<br />

an organization with a paid membership, you may<br />

register at the Member Rate. Contact <strong>ACT</strong>A by email<br />

to confirm your membership. To be a “Member” you<br />

or your organization will have paid dues to <strong>ACT</strong>A!<br />

Q: I am presenting at the conference, should I<br />

register?<br />

A: Yes. Everyone needs to register and pay to attend<br />

the conference unless otherwise arranged. A 15%<br />

discount on registration fees is offered to presenters.<br />

If you have any questions please contact us by email.<br />

Q: Are there separate fees for the Preconference<br />

Institutes and the <strong>Conference</strong>?<br />

A: Yes. Attendees may elect to register and pay for one<br />

preconference institute in addition to the conference.<br />

Only one preconference institute can be selected;<br />

attendees may not move between the preconference<br />

institutes. A continental breakfast, a luncheon (no<br />

additional fee required for preconferences luncheon),<br />

and morning and afternoon beverages are included<br />

in the preconference institute registration fee and<br />

are available to those who have registered for a<br />

preconference institute; these events are not open to<br />

general conference attendees.<br />

Q: Are breaks and meals included in the <strong>Conference</strong><br />

Registration Fee?<br />

A: Breaks are included. Coffee/tea and bakery selections<br />

will be provided Wednesday morning. Coffee/tea will<br />

be provided at the breaks on Thursday and Friday.<br />

Refreshments served at the breaks are available only<br />

to registered conference attendees; name badges are<br />

required for entry to the areas where they are served.<br />

Meals are available for additional fees. Breakfast on<br />

Thursday and Friday and a Luncheon on Thursday<br />

afternoon will be available for an additional $25.00<br />

per meal, per person, which is substantially less than<br />

the actual cost. The meals are PREPAID ONLY (as meal<br />

counts must be submitted to the hotel in advance) and<br />

the additional fees MUST be included with registration<br />

fees. Please note that admission to meals cannot be<br />

purchased during the conference, nor will any refunds<br />

be given for any meals under any circumstances.<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


<strong>ACT</strong>A Federal I.D. #38-3373915<br />

<strong>2012</strong> <strong>ACT</strong> <strong>Conference</strong><br />

Registration Form<br />

Registration Deadline: April 27, <strong>2012</strong> (No Late Fee up to this Date)<br />

Late Registration Period: April 28-May 4, <strong>2012</strong> ($50.00 Late Fee Applies)<br />

After May 4, <strong>2012</strong> – On-Site Registration Only on a Space-Available Basis<br />

($50.00 Late Fee Applies)<br />

PLEASE PRINT LEGIBLY AND FILL OUT THE REGISTRATION FORM COMPLETELY – THANK YOU!<br />

Name _________________________________________________________________________________________<br />

Title __________________________________________________________________________________________<br />

Organization __________________________________________________________________________________<br />

Street/Suite/P.O. Box ____________________________________________________________________________<br />

City _________________________________ State _____ Zip____________ Country _______________________<br />

Telephone ______________________________________ Fax __________________________________________<br />

Email (required for confirmation) _______________________________________________________<br />

A list of conference attendees is made available to <strong>Conference</strong> Exhibitors. To opt out of this list, please check here q<br />

Preconference Institutes – Tuesday, May 15, <strong>2012</strong><br />

Attending Institute ONLY (Please choose ONLY ONE of the Three)<br />

q Relationships OR<br />

q Motivational Interviewing OR q $295 Non-Member<br />

q Trauma q $250 <strong>ACT</strong>A Member<br />

Attending Institute in ADDITION to the <strong>Conference</strong><br />

(Please choose ONLY ONE of the Three)<br />

q Relationships OR<br />

q Motivational Interviewing OR q $260 Non-Member<br />

q Trauma q $215 <strong>ACT</strong>A Member<br />

<strong>Conference</strong> May 16-18, <strong>2012</strong><br />

Please Indicate Which Days You Are Registering For:<br />

Entire <strong>Conference</strong>: q $445 Non Member<br />

q Wednesday, Thursday and Friday q $400 <strong>ACT</strong>A Member<br />

One and 1/2 Days<br />

q Wednesday and Thursday OR q $395 Non Member<br />

q Thursday and Friday q $350 <strong>ACT</strong>A Member<br />

One Day<br />

q Thursday q $295 Non Member<br />

q $250 <strong>ACT</strong>A Member<br />

Half Day<br />

q Wednesday q $225 Non Member<br />

q Friday q $180 <strong>ACT</strong>A Member<br />

Check here to purchase Meals: Thursday Hot Breakfast: $25.00<br />

Thursday Luncheon: $25.00<br />

For the Luncheon, Indicate Here if ordering Vegetarian:<br />

Friday Hot Breakfast: $25.00<br />

PLEASE NOTE: You must prepay for selected meals by enclosing the additional fees with your<br />

registration fees: Meal admissions will NOT be available for purchase at the <strong>Conference</strong>.<br />

Reminder: A late registration fee of $50.00 will be applied for registrations received after<br />

April 27, <strong>2012</strong>. Any registrations cancelled after April 27, <strong>2012</strong> will not be refunded.<br />

Payment Method<br />

q Check or Money Order<br />

in U.S. Funds payable to:<br />

<strong>ACT</strong> Association<br />

<strong>ACT</strong>A also accepts Purchase Orders<br />

q MasterCard q Visa<br />

q American Express q Discover<br />

Credit Card #:<br />

_______ _______ _______ _______<br />

Billing Zip Code: Expires:<br />

_______________ ______ / _____<br />

Month Year<br />

Cardholder’s Name:<br />

_____________________________<br />

FAX completed registration form<br />

(Credit card registrations ONLY)<br />

by April 27, <strong>2012</strong> to:<br />

(415) 382-0664<br />

or MAIL with payment<br />

Must be received by April 27, <strong>2012</strong><br />

<strong>Assertive</strong> <strong>Community</strong> Treatment<br />

Association, Inc.<br />

P.O. Box 1624<br />

Novato, CA 94948-1624<br />

Add together for Total Amount Due:<br />

Preconference Fee $ ___________<br />

<strong>Conference</strong> Fee $ ___________<br />

$50 Late Fee $ ___________<br />

Meals ($25 or $50 or $75)+ $ ___________<br />

Total Amount Paid $ ___________<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong> 39


NOTES<br />

Promoting Quality <strong>Assertive</strong> <strong>Community</strong> Treatment Services & Integrated Systems-of-Care Models <strong>ACT</strong> <strong>Conference</strong> <strong>2012</strong>


<strong>2012</strong> <strong>ACT</strong> <strong>Conference</strong> Staff, Board and Planning<br />

Committee Members<br />

Cheri M. Sixbey, MA, LMSW, LPC, CMP<br />

<strong>Conference</strong> Chair<br />

Telecare Corporation<br />

Alameda, California<br />

Alexandra M. Sixbey-Spring, BA<br />

<strong>ACT</strong>A Program & Services Coordinator<br />

<strong>ACT</strong> Association, Inc.<br />

Brighton, Michigan & Novato, California<br />

Susan Rein Kennedy, MS, APRN, BC<br />

<strong>Community</strong> Network Services<br />

Waterford, Michigan<br />

Anne Agar Krill, MN, RN<br />

Grand Rapids, Michigan<br />

Steven Harrington, MPA, JD<br />

<strong>ACT</strong>A Board President<br />

National Association of Peer Specialists<br />

Recover Resources<br />

Boston University Center for<br />

Psychiatric Rehabilitaton<br />

Revere, Massachusetts<br />

John Fallon, BS<br />

<strong>ACT</strong>A Board Vice-President<br />

Corporation for Supportive Housing<br />

Chicago, Illinois<br />

Darryl Mordell, BS<br />

<strong>ACT</strong>A Board Secretary/Treasurer<br />

Allegan County <strong>Community</strong> Mental Health<br />

Allegan, Michigan<br />

Leslie Hall, MSW, LMSW<br />

<strong>ACT</strong>A Board Member<br />

CMH Services of Livingston County<br />

Howell, Michigan<br />

Antonio Lambert<br />

<strong>ACT</strong>A Board Member<br />

Recover Resources<br />

Smyrna, Delaware<br />

Larry Mack, MA<br />

<strong>ACT</strong>A Board Member<br />

Telecare Mental Health Services<br />

San Antonio, Texas<br />

<strong>Brochure</strong> Design by: Alexandra Sixbey-Spring<br />

P.O. Box 2428<br />

Brighton, MI 48116<br />

Boston, Massachusetts photographs courtesy of<br />

Boston Park Plaza Hotel & Towers and the Greater Boston Convention & Visitors Bureau

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