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2 The New Jersey Association of Mental Health and Addiction Agencies, Inc. (NJAMHAA) is a statewide trade association representing hospital-based and freestanding organizations that provide a broad range of treatment and support services to children and adults with mental health, behavioral, emotional and substance use disorders, developmental disabilities and/or co-occurring disorders. NJAMHAA developed a dynamic and comprehensive program especially tailored to meet the needs of all within the mental health, substance use and developmental disabilities communities, such as: CEOs Peers and peer advocates Mental health counselors Drug/alcohol counselors Fiscal staff Health educators Management Mental health technicians Nurses Policymakers Psychiatrists Psychologists Registration Fees: Social workers Supervisors Developmental disability specialists The purpose of this conference is to support and enhance communication throughout the mental health, substance use and developmental disability provide community to promote the advancement of best practices and service delivery, and to foster a shared commitment to individuals with psychiatric, addiction and/or intellectual development issues. Register today at Is your organization a NJAMHAA Member? Visit njamhaa.org to view our NJAMHAA Member Directory to see if your organization is a NJAMHAA member. All employees of NJAMHAA member organizations receive the member rate to NJAMHAA events. Continuing Education Credits NJ Social Workers: An application has been submitted for consideration of CE approval. In order to receive continuing education credits, attendees must sign in and out at the conference registration table. Attendees must also sign in and out of each session attended and submit his/her complete evaluation. Certificates will be mailed to attendees to the addresses provided in their registration within thirty days. For information about CE credits, please contact jmoy@njamhaa.org. ADA Accommodations Participants who require disability accommodations, please contact Julie Moy at ext. 218 or by at jmoy@njamhaa.org at a minimum of fourteen (14) business days prior to the event.

3 Program Agenda Registration/Breakfast/Vendor Browsing 8:00 a.m. 9:00 a.m. Welcome and Introductions 9:00 a.m. 9:15 a.m. Keynote Presentation 9:15 a.m. 10:15 a.m. Succeeding with a Moving Health System Kristin M. Woodlock, RN, MPA Chief Executive Officer, Woodlock and Associates, Inc. Break/Vendor Browsing 10:15 a.m. - 10:45 a.m. Workshops A1-4 10:45 a.m. - 12:00 p.m. Lunch and Awards Ceremony 12:00 p.m. - 1:15 p.m. Workshops B5-8 1:15 p.m. - 2:30 p.m. Break/Vendor Browsing 2:30 p.m. 3:00 p.m. Peter Drucker Workshops C9-13 3:00 p.m. 4:15 p.m. Pines Manor 2085 Lincoln Highway (Route 27) Edison, NJ For more information on the presenters, please go to njamhaa.org/events, under Fall Behavioral, View Event Presenters.

4 2017 NJAMHAA FALL BEHAVIORAL HEALTHCARE MEETING Registration/Breakfast/Vendor Browsing 8:00 a.m. 9:00 a.m. Welcome and Introductions 9:00 a.m. 9:15 a.m. Debra L. Wentz, PhD President and CEO, NJAMHAA, Inc. Keynote Presentation 9:15 a.m. 10:15 a.m. Succeeding with a Moving Health System Kristin M. Woodlock, RN, MPA Chief Executive Officer Woodlock & Associates, LLC The keynote for this year s conference is all about Shaping Our Future! Kristin Woodlock, a Registered Nurse, Behavioral Health Executive and State Policymaker, will offer an engaging session on how we got to where we are today and how to be successful in an ever-changing healthcare system. Her insights and pragmatic presentation will give participants a new perspective and the tools to take the next steps. 1. Identify the stages of evolution of behavioral health providers, connecting what is learned to the participants unique agencies and their roles in moving towards value-based care. 2. Articulate the elements of the Millennial Nonprofit/ Behavioral Health Provider and Distinctiveness Wheel, with an ability to assess and develop the distinctiveness of their clinical practice and agencies performance. 3. Identify risk and protective factors including financial, mission, culture and ethics during transition in payment systems. Social Workers, Counselors, Management, Fiscal Break/Vendor Browsing 10:15 a.m. - 10:45 a.m. Workshops A1 4 10:45 a.m. - 12:00 p.m. Workshop A1 Making Youth-Serving Agencies Partners in Suicide Prevention Phyllis Alongi, MS, NCC, LPC, ACS Clinical Director, Society for the Prevention of Teen Suicide This engaging workshop addresses the crucial role of youth-serving agencies in suicide prevention while sharing current statistics; identifying warning signs, risk factors and protective factors; and discussing risk assessment and resources. The presentation will be both didactic and experiential. Participants will be provided with the opportunity to engage in discussion throughout the presentation, as well as interactive, group problem-solving activities. Participants will gain best practice resources, including handouts and websites. 1. Correct myths and misconceptions about suicide. 2. Present accurate evidence based data about suicide. 3. Outline providers roles in the suicide-prevention process. 4. Discuss ways for working effectively with at-risk youth. 5. Identify additional resources. Youth-serving Agencies, Counselors, Social Workers, Case Management Staff, etc. Beginner, intermediate CE Hours: 1.25 Clinical Audience s Beginner, Intermediate, Advanced CE Hours: 1 General Social Work

5 Workshop A2 Getting Ahead of the Curve: Layering Home-Based Telehealth into Existing Outpatient Mental Health Clinics Joel Friedman, PhD Clinical Director CFG Health Network Dan Khebzou Regional Account Executive InSight Telepsychiatry The presenters will share a case study and explain the design, implementation and ongoing lessons of this innovative program. They will discuss the challenges, advantages and important buy-in elements for the providers, consumers, administrators and intake coordinators involved. The presentation will cover the selection and training process for participating providers and the intake workflows used to determine if individuals are suited for and interested in tele-behavioral health. Data on onetime and repeat consumer utilization, as well as referrals, will be reviewed. Additionally, the presenters will discuss how the program incorporated quality-assurance elements and the tracking of ongoing metrics into their workflows and program evaluation. This discussion-based case study presentation will detail the implementation and growth of this model program from the perspective of CFG s clinical director and a representative of Inpathy, a division of InSight Telepsychiatry, its tele-behavioral health partner. 1. Identify ways a behavioral health outpatient clinic could utilize direct-to-consumer telehealth. 2. Discuss the benefits and challenges of direct-to-consumer tele-behavioral health for consumers, providers and healthcare administrators. 3. Formulate strategies for implementing direct-to-consumer tele-behavioral health for their organizations. Social Workers, Counselors Workshop A3 Implementing a Shared Decision Making Model in an Outpatient Behavioral Health Setting Thomas Rosamilia, MA, LPC Vice President, Behavioral Health Services Bergen Regional Medical Center Missy Rufo, MS, MT-BC Training and Development Specialist Pat Deegan, PhD and Associates The presenters will provide an overview of Shared Decision Making in an outpatient behavioral health setting with the goals of increasing consumer participation and engagement in care; reducing missed appointments through this engagement; and fostering better outcomes including reduced emergency department visits and inpatient admissions. They will also introduce the program tool they have used, CommonGround from Pat Deegan Associates, and explain the necessary steps to overcome internal challenges and engage prescribing/clinical staff in creating a new program culture in the department. 1. Define specific activities reflective of shared decision making. 2. Identify programmatic challenges for implementing a shared decision making model in their own programs, including establishing decision support centers and integrating peer support specialists. 3. Implement the preparatory and education/training steps needed to implement a shared decision making model and make it successful. Administrative, Program/Department Managers, Psychiatrists/APN s, social workers and Clinicians Beginner, Intermediate CE Hours: 1.25 Clinical Beginner CE Hours: 1.25 Clinical

6 2017 NJAMHAA FALL BEHAVIORAL HEALTHCARE MEETING Workshop A4 Dealing with Ethical Dilemmas in Working with Older Adults Stephen Sidorsky, MSW, LCSW Director, Outpatient Services George J. Otlowski Sr., Center for Mental Healthcare This workshop will present valuable information to professionals working with older adults and their families. Participants will learn practical methods to identify and analyze ethical dilemmas arising in the care of older adults. The differences between ethics and risk management will be explored, as well as principles of ethics and ethics theory, moral issues and the important role of non-medical professionals. Other topics will include the process of ethical decision making, decision-making capacity, informed consent, the promise of comfort and care, and the perspectives of competing stakeholders. 1. Identify and classify the ethical dilemmas most common in working with the elderly. 2. Employ a step-by-step process that will enable one to achieve the resolution of an ethical dilemma. 3. Effectively communicate to professional and lay persons the importance of understanding ethical principles and values in the context of our multicultural society with its competing values and belief systems and the enormous influence of technology. Social workers, counselors, senior housing and care facilities providers and other professionals who work directly or indirectly with older adults Beginner, Intermediate, Advanced CE Hours: 1.25 Ethics Lunch and Awards Ceremony 12:00 p.m. - 1:15 p.m. Workshops B5-8 1:15 p.m. - 2:30 p.m. Workshop B5 Social Media and Screen Time: The Impact on Children s Mental Health Tara Chalakani, LPC, NCC, ACS, RN Vice President, Mental Health Services for Children and Families Preferred Behavioral Health Attendees of this workshop will be provided with current and meaningful data as it pertains to brain changes due to youths excessive screen time. In addition, current statistics regarding screen time and its influence on social and emotional development will be explored. The topics of cyberbullying, video game violence and sexting and their impact on mental health will also be discussed. Additionally, the benefits of screen time will be reviewed. Participants will access tools to employ in clinical practice, especially when working with parents. 1. Analyze current data and statistics pertaining to screen time and social media use by children and teens. 2. Recognize and identify signs and symptoms of mental health issues related to excessive amounts of screen time. 3. Explore screen time and its relationship to cyberbullying and other violent behaviors. 4. Articulate how much screen time is too much. 5. Demonstrate skills and identify resources for use in clinical practice. Topic Area Cultural Competence Social Workers, Counselors Beginner, Intermediate, Advanced CE Hours: 1.25 Clinical

7 Workshop B6 If Gay Means Happy, Why am I Always Getting High? Substance Use Disorders in the LGBTQI Communities Philip T. McCabe, CSW, CAS Health Educator Rutgers School of Public Health Providers need to understand the complexity of sexual identity and gender expression in working with individuals from the lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) communities. Social and cultural variables, mental health, trauma and substance abuse, in addition to specific risk behaviors, can create barriers to receiving services. For LGBTQI individuals, treatment must include a focus on the effects of stigma, homophobia and heterosexism in order to be beneficial to patients. 1. Distinguish between sexual orientation and gender identity/expressions. 2. Identify terminology currently used. 3. Identify and promote protective factors for sexual minorities. Social Workers, Case Managers, Addiction Professionals Intermediate, Advanced CE Hours: 1.25 Social and Cultural Competence Workshop B7 Installing a Culture of Evidence-based Practice, Safety and Compliance through Implementation Science John Monahan, LCSW President & CEO Integrated Care for Recovery The move to Medicaid fee-for-service poses new risks for providers. Increasingly, Medicaid compliance auditors require evidence-based interventions to meet the standard of medical necessity. Consumers also require such interventions to address co-occurring complex trauma, and behavioral and physical health problems, as well as culturally competent, best-practice interventions to feel safe in treatment. Although staff may attend training to address these problems, research shows that fewer than 10% actually implement what they have supposedly learned in trainings. Similarly, many providers have not yet developed supervisory and managerial systems to ensure that active safety threats, posed by 5 to 10% of consumers, are identified and effectively managed. In a fee-for-service environment, failure to identify and effectively manage such threats can result in lost productivity, reduced revenue and potentially serious financial problems over an extended period. This workshop will help providers use Implementation Science to install hand-tailored supervisory and managerial systems that can ensure on a consistent basis the use of integrated care, evidence-based practice and staff-consumer safety protocols, as well as ongoing Medicaid compliance monitoring by staff, supervisors and managers. (Those interested can also participate in an Implementation Learning Community, through which participants receive an Integrated Care Treatment Manual with instructions, protocols and reporting formats to help them implement these service improvements in an expedited manner.) 1. Identify four components of Implementation Science and specify how to implement these within organizational culture to ensure delivery of integrated care, use of evidence-based practices, adherence to staff and consumer safety protocols, and conduct Medicaid compliance reviews on a consistent basis. 2. Describe the impact of trauma on brain structure, and how three risk-based and evidence-based interventions can reduce traumatic stress and improve cognitive functioning. 3. Define the five risk-based stages of engagement in evidence-based Integrated Dual Disorder Treatment, and the four evidence-based OARS interventions of Motivational Interviewing. 4. Develop an implementation plan to build supervisory and managerial systems for integrated care, evidence-based practice, staff-consumer safety protocols, and ongoing Medicaid compliance monitoring by staff, supervisors and managers. Social Workers, Counselors, Management Beginner, Intermediate, Advanced CE Hours: 1.25 Clinical

8 2017 NJAMHAA FALL BEHAVIORAL HEALTHCARE MEETING Workshop B8 Achieving Engagement: A Key to Success Joyce B. Wale, LCSW Vice President, Institute Behavioral Healthcare Improvement Executive Director, Behavioral Health, United Healthcare Community Plan It is widely recognized that engaging clients in their treatment is essential to good outcomes. This workshop will explain how to transform practice through recognizing barriers to good engagement and using best emerging practices to engage people. It also will show ways to change practice and organizational culture to one of engagement. Shared decision making will be highlighted, with actual practice opportunities. 1. Define the variables affecting good clinical engagement in care. 2. Analyze emerging best practices in treatment engagement. 3. Describe practice interventions that yield high rates of engagement in care. 4. Define and apply principles of shared decision making. Management, Social Workers, Counselors Intermediate, Advanced CE Hours: 1.25 Clinical Break/Vendor Browsing 2:30 p.m. 3:00 p.m. Workshops C9 13 3:00 p.m. 4:15 p.m. Workshop C9 Enhancing Quality of Services and Improving Outcomes for Latinos Ivette Guillermo-McGahee, LPC, ACS Founder & CEO Allies In Caring, Inc. As Latinos become a larger proportion of the U.S. population, there is a greater need for culturally sensitive training. This is especially important when one considers that Latinos are at risk for various psychosocial maladies, including poverty, low educational attainment, mental health concerns, substance abuse, poor health and exposure to violence. Consequently, the confluence of these factors, along with racism and systemic barriers for people of color, creates limited life opportunities for some Latinos. Culturally competent practice with Latinos is crucial for ensuring effective access to and delivery of treatment for this population. This workshop will explore key areas of knowledge related to working with Latinos, such as immigration and migration concerns; discuss how to assess for levels of acculturation; examine cultural values; and highlight salient work issues and health disparities that Latinos experience. 1. Describe similarities and differences among Latino ethnicities. 2. Demonstrate awareness of risk factors that affect the health and well-being of Latinos. 3. Explain protective factors that mitigate adverse childhood experiences and trauma, and build resiliency. 4. Describe innovative practices and identify examples in the delivery of care that have reduced barriers and improved health and wellbeing outcomes for Latinos. 5. Explain specific worker-client relationship issues and strategies to improve engagement, treatment outcomes and follow-up. Social Workers, Counselors, Direct Providers of Human Services Intermediate CE Hours: 1.25 Cultural Competence

9 Workshop C10 Creating an Organizational Culture of Trauma-Informed Care Larry Gevirtz, LCSW Vice President, Acute Care Services Oaks Integrated Care Lisa Lipka, MA Director, Family Based Programs Oaks Integrated Care Thomas Tracy, LCSW Chief Administrative Officer Oaks Integrated Care According to the National Council, 51% of the general public has experienced trauma in childhood and 98% of all individuals served by behavioral health organizations have experienced trauma. Recognizing the impact that trauma has on the experience of recovery, funders and consumers alike are expecting organizations to be competent providers of trauma-informed care. Becoming a trauma-informed organization is not a destination, but a continuous journey. This workshop will provide an overview of steps organizations can take on their journeys to becoming trauma informed. Whether an organization is already in the midst of a journey or at the very beginning, this workshop will provide attendees with strategies to assess their organizations readiness and progress, understanding of and integration of traumainformed care, as well as action steps to support their efforts. 1. Identify ways their organizations can assess their trauma-informed care readiness/progress. 2. Identify actions steps that can strengthen their organizations trauma-informed culture. 3. Identify the various domains that must be considered when embarking on the journey to becoming a trauma-informed agency. Organizational Leaders, Social Workers, Management Beginner, Intermediate, Advanced Workshop C11 From Social Video Gaming to Internet Gambling: Identifying the Connection and Addressing the Issues Daniel J. Trolaro, MS Assistant Executive Director Council on Compulsive Gambling of New Jersey Consistently, there are more creative and fast-paced forms of entertainment to help people escape, cope or adjust to the stressors of life. From a technology perspective, one area that has seen explosive growth exists in the world of skill-based, social and internet gaming. With that in mind, studies have started to show a connection between gaming and gambling, which can become a problem for some. Problem gambling is linked to many individual, public health and social problems, including: depression, suicide, significant debt, bankruptcy, family conflict, domestic violence, neglect and maltreatment of children and criminal offenses. This workshop will provide an overview and analysis of gaming and gambling; the behavioral, emotional and psychological warning signs; and considerations for recovery, including key principles and barriers. 1. Analyze the connection and risk of progression from social gaming to internet gambling. 2. Identify the issues surrounding the behavioral and psychological aspects of social gaming and disordered gambling. 3. Implement varying principles for meaningful recovery. Social Workers, Counselors Intermediate CE Hours: 1.25 General Social Work CE Hours: 1.25 General Social Work

10 2017 NJAMHAA FALL BEHAVIORAL HEALTHCARE MEETING Workshop C12 No More Sleepless Nights: 8 Tips to Support Fee for Service David Bucciferro Senior Advisor Foothold Technology, Carmine Deo, LCSW, DRCC Chief Operating Officer, VP of Clinical Services Community Hope Inc. Is the idea of switching to fee-for-service keeping you up at night? Are you worried about how the new requirements will affect your operations? Preparing for an agency-wide change like this can be stressful, especially when the process involves the way you ve been tracking services and billing. But, never fear! You can reduce your anxiety by hearing from providers who have taken the leap. Learn from colleagues who are successfully billing for services. Hear tips on what your method of documentation should look like, and how to get there. Join national expert David Bucciferro and providers who are having success share best practices. You ll leave this workshop with eight things your agency can do to meet the new requirements in a way that will support your staff, your clients and your ability to provide services. This is not a software demonstration. Rather, it is a tactical discussion on the ways good data and good reporting can provide your agency with the stability and efficiency it needs. 1. Evaluate data from their own programs and outcomes for the purpose of strategic planning and governance. 2. Gauge their agencies technical readiness to generate reports that can inform all aspects of their agencies operations and service provision in a feefor-service environment. 3. Leverage their data in order to develop strategic partnerships and gain additional revenue streams. Direct Care Staff, Program Directors, Strategic Planners And Agency Management Intermediate, Advanced CE Hours: 1.25 General Social Work Workshop C13 Physical Therapy as a Viable Option in Pain Management Paul G. Vidal, PT, DPT, MHSc, OCS, FAAOMPT President, American Physical Therapy Association of New Jersey Manuel Guantez, PsyD, LCADC Rutgers, University Behavioral HealthCare Physical therapy is becoming an increasingly popular alternative to opioids as a non-narcotic form of pain management in New Jersey. Earlier this year, law was enacted that requires health insurance coverage for treatment of substance use disorders; places restrictions on the prescription of opioid and certain other drugs; and requires continuing education for healthcare providers. Physical therapy was specifically named as a mode of treatment where a physician must document prior to prescribing opioids. This workshop will examine how access to licensed physical therapists can assist in the treatment of opioid dependence and addiction by incorporating physical activity into treatment plans. The presenters will provide introductory information on ways to develop credible partnerships between substance abuse treatment facilities and physical therapy providers and clinics, as well as payment methods for such services. 1. Demonstrate understanding of how physical therapy patients often present with concurrent opiate addiction. 2. Identify opportunities for collaborating with physical therapists. 3. Analyze ways to incorporate physical therapy into treatment plans. 4. Develop collaborative partnerships with physical therapists and clinics. 5. Explain payment options available through adding physical therapy. Facility Owners, Counselors, Nurses, Social Workers, Psychologists, Psychiatrists, Mental Health and Addictions Professionals Beginner CE Hours: 1.25 General Social Work

11 Terms and Conditions Please follow the guidelines listed below to ensure that your registration is promptly and accurately processed. Registration Rates We are pleased to offer discounted rates for our members. We request that you confirm your organization s membership status to ensure that you benefit from the discount if you are a member. Please visit org and click on the NJAMHAA Members button on the left column to view our membership list to see if your organization is included. If the discounted rate is paid by a nonmember, the nonmember will be invoiced for the difference. We would be happy to discuss membership with you if you are interested. Online Registration To ensure efficiency and accuracy, we need to process all registrations online. s and faxes do not constitute registrations. After completing your online registration, if you are paying by check, please print the confirmation and send a copy of it along with your payment, made payable to NJAMHAA and mail to Accounts Payable, at NJAMHAA (see address below). If you have any difficulties with online registration, please contact Julie Moy at , ext Pursuant to the American with Disabilities Act, please indicate if you require specific aids or services when you register online. For questions about accessibility, please contact Julie Moy at , ext Two weeks advance notice will allow us to provide seamless access. Media Release By completing the online registration, you acknowledge that photos and videos may be taken throughout each training/ conference and may be used in any and all NJAMHAA online and paper publications, website and media and NJAMHAA will be held harmless regarding their use. This pertains to individuals who register themselves, as well as individuals who are registered by others. Cancellation, Substitution and Refund Policy Attendee registrants (not sponsors or exhibitors), must cancel registrations IN WRITING ONLY to Julie Moy via fax at or at jmoy@njamhaa.org, by 4:00 p.m., seven calendar days prior to the conference start date in order to receive a 100 percent refund. Substitute registrations can be made after that date. No-show registrants will still be responsible for payment of their registration fees IN FULL and will be invoiced accordingly. Phone calls and voic s will not be accepted as a means of cancellation. Sponsors and exhibitor registrants must cancel registrations IN WRITING ONLY by 4:00 p.m., 30 calendar days prior to the conference in order to receive a 100 percent refund of the registration fee. If you cancel your registration between 15 and 29 days prior to the conference start date, you will receive only a 50 percent refund of the registration fee. No refunds will be made within 15 or fewer days of the start date. Phone calls and voic s will not be accepted as a means of cancellation. Grievance Policy Should any registrant be dissatisfied with the quality of their continuing education program or exhibiting experience during this event, a request in writing, explaining why you were dissatisfied, must be submitted to NJAMHAA within five business days of the conclusion of the conference/ training in order to receive a full refund of registration fees. The claim must be a valid claim and supported by specific documentation. *Your request can be sent to Julie Moy via at jmoy@njamhaa.org or fax to Payment Information and Insufficient Funds Online payments may be made in the form of a Visa or MasterCard. Checks are also accepted, made payable to Accounts Payable and mailed to NJAMHAA, 3635 Quakerbridge Road, Suite 35, Mercerville, NJ If a credit card is declined for any reason, a $15 fee will be applied to your invoice and be required as payment. If a check is returned by the bank due to insufficient funds, a $35 fee will be applied to your invoice and required as payment. Individuals holding outstanding balances will be ineligible to attend future NJAMHAA conferences or trainings until the outstanding balances are paid in full. Each individual with an outstanding balance that has been carried for more than 30 days will incur a $25 late fee, which will be applied to the invoice and required as payment. New Jersey Association of Mental Health and Addiction Agencies, Inc Quakerbridge Road, Suite 35, Mercerville, NJ Phone: Fax: *You can also download a full copy of our grievance policy by scrolling down to the bottom of the events page on our website.

12 Follow NJAMHAA on social media! #NJAMHAAFALL17 We keep you informed of current affairs in mental health care and addiction treatment. We provide updates on trainings, events and resources available. facebook.com/njamhaa twitter.com/njamhaa linkedin.com/company/njamhaa New Jersey Association of Mental Health and Addiction Agencies, Inc Quakerbridge Road, Suite 35, Mercerville, NJ