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    SWPA Image Scenes from SWPA 2010
in Dallas, TX
(more pictures in the
conference photo album).

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SWPA States

SWPA 2010 will have 8 Continuing Education Sessions, all of which have been granted APA approval through the Missouri Psychological Association (MOPA).  MOPA is approved by the American Psychological Association to offer continuing education for psychologists.  MOPA maintains responsibility for the the continuing education portion of the SWPA program.

All Continuing Education (CE) Workshops will be in the Addison Room.  The schedule is given below, along with descriptions of each session.


THURSDAY – April 8

CE1


Insuring Against Insurance: Practical Steps and Simple Solutions to Keep your Billing

 (9:00 – 10:30)

Troy Brooks, Ph.D.  and Jan Spears, Ph.D.

Many psychologists have heard rumors regarding investigations and prosecutions of their fellow professionals for fraudulent billing. However, most psychologists find little information regarding such activities other than a stray newspaper or magazine article. This session will provide an overview of billing for psychologists and discuss how to respond to inquiries from auditors and investigators. As part of our discussion, we will explore publicized investigations and criminal trials. In an effort to put these in perspective, we will also explore the background behind each case. Understanding the documentation requirements for each insurance provider is the first step in ensuring that one’s billing is compliant. It is also the first and most significant step in ensuring that one’s billing can stand up to review by auditors and investigators. This session (1.5 hour) will utilize scenarios that will illustrate many of the difficulties that psychologist face in billing for each type of insurance including Medicare, Medicaid and private insurance.


CE2    


Multitheoretical Psychotherapy for Depression: Combining Effective Strategies and Working Interactively

(1:00 – 4:00)


Jeff Brooks-Harris, Ph.D.,
Melvin L. Varghese, Camille Hannah Benson, LeAnne M Shepard, Andrea Kathleen Ryan

Twelve empirically supported treatments (ESTs) for depression have been documented without guidelines for selecting an optimal approach. When multiple ESTs have been recognized for the same disorder, three possibilities exist. First, a single treatment can be chosen based on therapist competence. Second, one optimal treatment can be selected related to client characteristics. Third, “active ingredients” can be combined from more than one approach. Multitheoretical Psychotherapy (MTP; Brooks-Harris, 2008) will be presented as an integrative framework for selecting or combining ESTs. This workshop will present 25 key strategies drawn from four theoretical approaches as well as a method for planning multitheoretical treatment.

Treatment planning for depression involves four steps. First, a multidimensional survey is conducted to understand the relationship between thoughts, actions, feelings, relationships, and biological symptoms. Second, an interactive focus is established. Third, a multitheoretical conceptualization is formulated using more than one clinical hypothesis. Fourth, interventions are chosen from a catalog of key strategies drawn from ESTs representing different theoretical approaches. Workshop participants will have an opportunity to practice parts of this treatment planning protocol after its demonstration.


      
FRIDAY – April 9

CE3    


Applying Neuroscience to Psychotherapy: Conceptualization, Intuition, Intervention

(9:00 - 12:00)

Rowland Folensbee, Ph.D.

Information from neuroscience research is often so complex that the typical psychotherapist gives up trying to apply it, while the typical neuroscientist has difficulty translating findings into daily clinical application. Even when clinicians and trainees have received detailed training regarding specific aspects of brain function, the ability to apply this knowledge in clinically relevant ways remains elusive. The goal of this workshop is to provide attendees with a neuroscience framework within which neurobiology of clinically relevant brain activity can be applied to day-to-day psychotherapy and assessment. The presentation will add to clinicians’ knowledge of relevant neuroscience while simultaneously improving clinicians’ use of neuroscience information they have previously learned. Using clinical vignettes and applications, the workshop will review brain development, neural plasticity, affect systems, memory systems, and cognitive processing systems. A neuropsychologically based outline will provide an overview of how information is taken in, processed, and translated into behavior; emphasis will be on the use of discrete areas of the brain to carry out specific processes. The concept of neural networks will be used to describe how any given experience includes processes throughout the brain. The affect system will be described as a basic assessment and decision-making system that offers valuable information rather than as a source of being overwhelmed. The respective roles of implicit and explicit memory systems in psychotherapy and behavior change will be outlined. Mechanisms of anxiety operating as a warning system will be integrated into an overall understanding of how the brain analyzes and responds to experiences. The neuroscience framework will be applied to integrating various traditional schools of psychotherapy, and to selecting modes of intervention within this broad context. The workshop will demonstrate the value of neuroscience in conceptualizing clients’ issues, improving therapists’ clinical intuition, increasing empathy, developing clinical interventions, and talking with clients about issues and interventions. The workshop will offer clinical examples demonstrating the application of neuroscience integration to psychological assessment, treatment of anxiety, treatment of post traumatic stress disorder, and development of clear, specific goals and objectives during treatment. By the end of the workshop participants will be able to conceptualize their own interventions within a neuroscience framework and will be able to integrate specific neuroscience concepts into their daily psychotherapy interventions.

CE4    


The Clinical Utility of the ACS and TFLS: New Measures of Executive Functioning, Premorbid Functioning, Effort, Daily/ Functional Living Skills, and Social Cognition.

(12:30 - 2:00)


The Advanced Clinical Solutions (ACS) and the Texas Functional Living Scale (TFLS) are powerful new tools that increase the clinical utility and expand the construct coverage of the WAIS®-IV and WMS®-IV. These flexible tools provide clinicians with the opportunity to select measures and scoring procedures related to memory, effort, social cognition, premorbid functioning, and daily/ functional living skills without much additional effort on the part of the assessor or the client.  Although the ACS and TFLS can provide information on clients from a wide range of backgrounds, they are particularly useful with clients in forensic settings, older adults, individuals with traumatic brain injury, and/or individuals suspected of developmental disorders such as Autism and Asperger’s.  Alexander Quiros will begin with a discussion of the rationale for the development of the ACS and TFLS followed by a review of the essential components of both measures.   The presentation will cover the available subtests, standardization details, ecological validity, and relevant psychometric properties.  Following the overview, case studies will be used to demonstrate the scoring and interpretation of portions of the ACS, including use of the computerized scoring.  A particular emphasis will be placed on identifying which components of the ACS and TFLS may be useful to address specific intake questions.


CE5    


Fundamentals for a Successful and Ethical Psychology Practice

(2:00 - 5:00)


Brian Stagner, Ph.D.


This workshop will present a synopsis of the decisions that are fundamental to operating as an independent provider of psychological services. Each of these decisions involves pragmatic considerations dictated by the current healthcare and forensic environments and potential ethical pitfalls. There will be a brief discussion of different business arrangements (partnerships, leases, employment contracts and third party contracts) that will highlight questions that all practitioners need to address. We will review fundamentals of office procedures including forms, record keeping, electronic media, billing and the all-important office policy manual. We will discuss how and when to seek outside guidance from psychology mentors, formal supervision, and business advisors. This workshop is intended for those who are contemplating starting an independent psychology practice in the next few years, and for those who have a very small part-time practice and are interested in expanding. Objectives: 1) Review different business arrangements for establishing an ethical practice 2) Review fundamentals of office procedures (forms, billing, policy manual, records) 3) Discuss how to assemble a support system for clinical consultants, business guidance, and personal self-care.

This workshop will present a synopsis of the decisions that are fundamental to operating as an independent provider of psychological services. Each of these decisions involves pragmatic considerations dictated by the current healthcare and forensic environments and potential ethical pitfalls. There will be a brief discussion of different business arrangements (partnerships, leases, employment contracts and third party contracts) that will highlight questions that all practitioners need to address. We will review fundamentals of office procedures including forms, record keeping, electronic media, billing and the all-important office policy manual. We will discuss how and when to seek outside guidance from psychology mentors, formal supervision, and business advisors. This workshop is intended for those who are contemplating starting an independent psychology practice in the next few years, and for those who have a very small part-time practice and are interested in expanding. Objectives: 1) Review different business arrangements for establishing an ethical practice 2) Review fundamentals of office procedures (forms, billing, policy manual, records) 3) Discuss how to assemble a support system for clinical consultants, business guidance, and personal self-care. 



SATURDAY – April 10

CE6  


Autism Evaluations: Techniques for Interviewing Parents and Discussing the Diagnosis

(8:30 – 10:30)

Marilyn Monteiro, Ph.D.

The purpose of this workshop is to introduce psychologists to a systematic approach to interviewing parents of children with autism spectrum disorders and discussing the child’s diagnosis. Psychologists are increasingly faced with the need to understand the complex behavioral profiles of students with autism spectrum disorders and to learn the necessary skills to talk with parents about their child in relation to a diagnosis of an autism spectrum disorder. The approach to parents taught in this workshop promotes a positive bond between the parents and the evaluation team. Participants will learn how to discuss the diagnosis with parents by emphasizing a detailed description of the child’s behavioral profile and gaining a consensus with the parents on that description before the “autism” term is conclusively stated.

Participants will learn how to structure a parent interview that focuses on encouraging parents to tell their stories about their child in a conversational style. In addition, participants will learn how to structure a session with parents to discuss the results of the autism evaluation in a positive and accessible way.
Workshop participants will learn how to apply the following skills when interviewing parents: setting a conversational tone for the interview; structuring questions to elicit nuanced descriptions of the child’s behavioral profile; creating a collaborative dynamic between the parents and the evaluation team; gaining information about the child’s areas of interest to use when evaluating the child; and gaining an understanding of the parents expectations regarding the evaluation process.

Workshop participants will learn how to apply the following skills when discussing the diagnosis with parents: use a visual framework to explain the child’s behavioral profile in an accessible and intuitively understandable way; recognize and respect the non-finite grief process this conversation evokes in parents; use non-technical but specific language when describing the child’s individual pattern of developmental differences; emphasize positive attributes along with areas of challenge; and link the diagnosis to educational strategies. Cultural differences and how parents from differing cultures accept an autism diagnosis will be discussed as well.

Participants will be guided through sample parent interview and diagnostic feedback sessions. Sample interview questions from the Monteiro Interview Guidelines for Diagnosing Asperger’s Syndrome (MIGDAS) will be provided. When and how to include teachers in this process will also be discussed. Handouts will include practical suggestions for participants to enhance their parent interview and diagnostic feedback skills. By the end of the workshop, psychologists will be equipped with improved knowledge and skills to assist in their work with parents when diagnosing children suspected of having autism spectrum disorders.
 


CE7   


Differential Diagnosis of Mental Disorders

 (11:00 – 12:30)


Lawrence Dilks, Ph.D. and Ashley Carroll


The overlap of diagnosis in the Diagnostic and Statistical Manuel of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is significant, leading to confusion for both graduate students and professionals. This workshop will review a diagnostic strategy to help reduce confusion and incorrect diagnosis. A number of diagnostic areas having a history of confusion will be addressed and the procedures to differentiate overlapping and perplexing signs and symptoms explored and discussed. Three specific areas to be covered include:

1) The differentiation of Bipolar disorder I, II and Mixed from one another along with Adolescent ADHD and Adolescent Bipolar Disorder.

2) Major Depression (both recurrent and single episode) from Dysthymic Disorder, and Adjustment Disorder with Depressed Mood.

3) Factitious Disorder from Malingering and Munchausen By Proxy.

If time permits the workshop will conclude with a differential diagnostic review of the psycho physiological disorders to include Somatization Disorder, Undifferentiated Somatoform Disorder, Hypochondriasis and Conversion Disorder with special emphasis on diagnosis of pseudoseizures.



CE8   


Lessons Learned in Helping Soldiers Transition from Injury to New Possibilities

 (1:30 – 3:30)


Todd Ryska, Ph.D.


A Performance Education Approach to Healing

The U.S. Army Medical Corps faces the challenge of ensuring that injured Soldiers deal effectively with their injuries by either returning to duty or transitioning to a productive and meaningful life beyond their Army careers. To further this end, the Army Center for Enhanced Performance (ACEP) provides mental skills training to Warrior-in-Transition Units (WTUs) as a member of the Army Comprehensive Transition Care team. This team consists of a variety of health-care professionals including psychiatrists, psychologists, social workers, occupational and physical therapists, nurse case managers, and Army personnel. As part of this team, ACEP specialists take an educational approach to mental skills training which teaches injured Soldiers to effectively manage the challenges of the rehabilitation process, develop powerful self-identities, and consider new possibilities of an active and meaningful life following their military careers.

The Mental Skills of Effective Transition

Based on cutting-edge performance psychology research, the ACEP Performance Education Model is comprised of integrated skills which together provide Soldiers the mental preparation and strength to achieve excellence in life. ACEP training provides injured Soldiers the opportunity to learn, practice, and master the mental and emotional skills required for successful transition from injury to military duty or civilian life.

Five mental skills provide the foundation of the ACEP Model. Building Confidence teaches Soldiers to think and react in deliberate ways in order to create the energy and optimism required to trust themselves throughout their rehabilitation. Goal Setting helps Soldiers develop and implement a systematic approach to plan, advance, and persevere through the physical and mental challenges of transition. Attention Control trains Soldiers to determine relevant task cues and develop and maintain a proper focus despite distractions. Energy Management helps Soldiers develop the skills to efficiently mobilize and restore energy required for the transition process. Integrating Imagery teaches Soldiers to implement multi-sensory mental rehearsal in order to program the mind and body to perform automatically and successfully during rehabilitation. Each of these five ACEP lessons work together to help Soldiers achieve the mental strength required to make an optimal transition from injury to a meaningful and productive life.

Presentation Purpose

The purpose of the presentation is to 1) describe the performance-related obstacles which confront injured Soldiers as they navigate the transition process, 2) highlight the challenges in developing improved mental skills among this population, 3) provide examples of how Soldiers have utilized these mental skills within varied aspects of their personal and professional lives, 4) relate 'lessons learned' from follow-on individual work with Soldiers, and 5) provide participants an opportunity to experience selected ACEP learning tools.


   





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