The Door County Summer Institute 2009
Welcome to the twenty-third annual Door County Summer Institute. Our conferences have a tradition of quality continuing education.
Our seminars are directed toward psychiatrists, psychologists, physicians, social workers, nurses, and other mental health and healthcare professionals. The Medical College of Wisconsin, in conjunction with the Department of Psychiatry and Behavioral Medicine, are pleased to again sponsor the Summer Institute.
Door County Wisconsin provides a scenic backdrop for maintaining and enhancing clinical skills and knowledge. Our extended format is conducive to learning and retention. In these difficult economic times, we have also held the line on tuition. Please consider joining us.
Carlyle H. Chan, M.D.
Institute Director
Professor of Psychiatry and Vice Chair for Continuing Medical Education
Medical College of Wisconsin Department of Psychiatry and Behavioral Medicine
The Medical College of Wisconsin is a private, independent medical school with a public mission of excellence in education, research, patient care, and community service. With more than 800 medical students, 700 residents and fellows, and 900 full-time faculty, MCW ranks in the top third of all U.S. medical schools for federal research funding.
The MCW Department of Psychiatry and Behavioral Medicine has a long history of clinical and teaching excellence, combined with a renewed focus on research. The Department ranks nationally in the top quintile of medical school psychiatry departments that receive NIH funding. The fully accredited adult and child residencies and forensic and geriatric psychiatry fellowships are part of a diverse and growing academic department under the leadership of its Chair, Laura Roberts, M.D.
General Session Information
From July 20 to August 7, 2009, 9 separate sessions will comprise this year’s Summer Institute. There will be seven 5-day sessions and two 2-day sessions. The 5-day conferences are held from 9:00 am to 12:15 daily, and the 2-day conferences are held from 8:00 am to 12:15, leaving participants and their family members the afternoons free to explore the wonders of Door County.
A continental breakfast will be served daily. A cherry pie social is planned for participants and their families. Casual dress is the standard for all sessions.
About Door County
Door County, a three-hour drive north of Milwaukee, is an area of captivating scenic beauty. From its steep limestone bluffs to the spacious sand beaches, the 250-mile shoreline is both dramatic and serene.
The rock formations are part of the Niagara escarpment that extends across the Great Lakes into Canada.
Almost every kind of outdoor activity is available, as the area has four state parks and many local parks, beaches, hiking trails, and golf courses.
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Links to Individual Sessions:
Session I: Donald Meichenbaum, PhD, 7/20-7/24, Treatment of Victimized Individuals With PTSD: New Developments
Session II: Shawn Shea, MD, 7/20-7/24, Transforming Difficult Clinical Gremlins and the Quest for Happiness: Reaching the People Beneath the Diagnosis
Session III: Linda Blust, MD & Jo Weis, PhD, Behavioral and Medical Collaboration at the End-of-Life: Better Outcomes for All
Session IV: Philip Janicak, MD, 7/27-7/31, Update on Psychopharmacotherapy and Therapeutic Neuromodulation
Session V: Fred Heide, PhD & Lee Becker, Expand Yourself, Expand Your Practice: Expressive Behaviior Skills Training to Enhance Therapist Credability and Client Satisfaction
Session VI: Grace Thrall, MD, 7/27-7/31, Learning Skills in Evidence-Based Medicine
Session VII: Bill O'Hanlon, 8/3-8/7, Positive Psychology: Practical Applications in Clinical Work
Session VIII: James Gustafson, MD, 8/3-8/7, Captivity and Deliverance: The Main Subject of Psychotherapy
Session IX: Drs. Derse, Ambuel, Brodwin, Grunert, and Steiger, 8/3-8/4, Bioethics, Supervision, Cultural Issues, and Addiction
Tuition and Refunds
Accommodations
Accreditation
Special Needs & Disclosure
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Session I
July 20-24, 2009
At the Landmark Resort
Donald Meichenbaum, PhD
Treatment of Victimized Individuals with PTSD and Complex PTSD: New Developments
Donald Meichenbaum, Ph.D. is Distinguished Professor Emeritus, University of Waterloo, Ontario, Canada and Research Director of the Melissa Institute for Violence Prevention, Miami (see www.melissainstitute.org). He is one of the founders of Cognitive Behavior Therapy, and in a survey of North American clinicians, Dr. Meichenbaum was voted “one of the ten most influential psychotherapists of the century”.
He has published extensively including two Clinical Handbooks on Treating Adults with PTSD and another one on Treating Individuals with Anger-control Problems and Aggressive Behavior. His latest project is with the military on ways to bolster resiliency in soldiers and their family members using Internet and IPOD technology (see www.warfighterdiaries.com).
Symposium Description and Objectives
Epidemiological research indicates that 50% of psychiatric patients have a history of victimization that is often overlooked, under diagnosed, and under treated. In this workshop, Dr. Meichenbaum will highlight recent developments in the treatment of children, adolescents, and adults who have PTSD, Complex PTSD, and a variety of comorbid disorders. He will consider the assessment and treatment implications of neuroscience research from a life-span perspective and highlight ways to provide integrated treatments in a gender and culturally-sensitive fashion. A major focus will be on treating returning soldiers and their family members.
Participants will learn how to conduct trauma-focused CBT, stress inoculation training, and spiritually-oriented psychotherapy, how to treat patients with comorbid disorders such as PTSD and suicide, substance abuse, depression (guilt, shame, complicated grief), and traumatic brain injuries, and how to address treatment non-adherence.
Participants will:
(1) Be able to utilize a Case Conceptualization Model that informs assessment and treatment decision-making
(2) Implement trauma-focused cognitive-behavior therapy
(3) Address the needs of returning soldiers and their family members
(4) Learn how to integratively treat victimized individuals who evidence comorbid disorders
Monday The nature and impact of trauma; PTSD versus resilience-risk and protective factors
Tuesday Address the needs and challenges of returning soldiers and their families
Wednesday Treatment of individuals with complex PTSD and borderline personality disorders
Thursday Relapse prevention; Debriefing interventions: lessons learned and how not to make things “worse”
Friday Trauma in children and adolescents; Epidemiology, neuropsychological deficits—Implications for treatment; Ways to bolster resilience; Examples in treatment of child sexual abuse victims and treating trauma victims in schools; Putting it all together-a ‘to do’ list
Session II
July 20-24, 2009
At the Landmark Resort
Shawn Shea, MD
Transforming Difficult Clinical Gremlins and the Quest for Happiness: Reaching the People Beneath the Diagnoses
Shawn Christopher Shea, MD, is an internationally acclaimed innovator in the fields of clinical interviewing, suicide prevention, and wellness. Popular for his provocative, fast-paced presentations laced with a wicked sense of humor, he has been a frequent presenter at venues such as the Cape Cod Symposium and the Santa Fe Symposium.
Dr. Shea's recent book of philosophy, Happiness Is. has been chosen as a Brodart "Library Gem." His book The Practical Art of Suicide Assessment is viewed as a classic in the field of suicide prevention.
Both editions of Psychiatric Interviewing: The Art of Understanding were chosen by the Medical Library Association for the Brandon/Hill List as one of the 16 most important books in the field of psychiatry. Dr. Shea is the Director of the Training Institute for Suicide Assessment and Clinical Interviewing (www.suicideassessment.com) and an Adjunct Assistant Professor of Psychiatry at the Dartmouth Medical School.
Symposium Description and Objectives
This symposium illustrates a variety of innovative treatment strategies and interviewing techniques for transforming many of the most problematic clinical gremlins facing clinicians in the hectic arenas of everyday care. Traditionally daunting clinical tasks such as unstalling stalled treatment planning, sensitively exploring our client's spirituality, uncovering hidden suicidal ideation, spotting dangerous psychotic process, transforming medication nonadherence, and avoiding our own burn-out are approached in a fresh and refreshing fashion.
Dr. Shea uses his highly acclaimed model of human nature - the human matrix - to provide a humanistic framework for highlighting dozens of specific interviewing techniques and treatment interventions, many of which are demonstrated by videotapes of Dr. Shea with actual patients.
Participants will:
(1) Develop techniques to engage the person beneath the diagnosis
(2) Be able to apply the Medication Interest Model
(3) Utilize the CASE approach
Monday New Definition of Happiness/ Preventing Burn-out/ Matrix Treatment Planning and Healing/ Damaging Matrix Effects/ Healing Matrix Effects/ the Red-herring Principle
Tuesday People Beneath the Anxiety Disorders/ Spotting OCD, PTSD, Panic Disorder (videos), and the Pain of Psychosis/ Dangerous Psychotic Process/ Uncovering Command Hallucinations, Psychotic Self-mutilation (videos)
Wednesday Exploring Spirituality, God, Goddess/ Talking Collaboratively and Sensitively About Medications - Ten Specific Interviewing Techniques from the Medication Interest Model (MIM)
Thursday Psychodynamics of the Person Inside/ Practical Object Relations/ Psychology of the Self/ Axis II Personality Diagnosis Uncovered Sensitively (videos)
Friday Validity Techniques for Uncovering Incest, Antisocial Behaviors, Substance Use (videos)/ Uncovering Suicidal Ideation Using the Chronological Assessment of Suicide Events - CASE Approach (videos)
Session III
July 23-24, 2009
Special 2-Day Session
At the Landmark Resort
Linda Blust, MD & Jo Weis, PhD
Behavioral and Medical Collaboration at the End-of Life: Better Outcomes for All
Jo Weis, PhD, is a licensed psychologist and Assistant Professor in the Department of Psychiatry and Behavioral Medicine at Medical College of Wisconsin. She is also Director of Behavioral Medicine for Palliative Medicine, Division of Neoplastic Diseases and Other Related Disorders, at MCW and Froedtert Hospital. She is one of the research clinicians pioneering the use of imagery rescripting and reprocessing therapy as a treatment modality for persons with posttraumatic stress disorder.
Linda Blust, MD, is a Medical College Internist who is committed to improving physician/patient communication and end-of-life care. She is Medical Director for the adult oncology unit at Froedtert Hospital. She is a member of Medical College of Wisconsin Ethics Committee. Her areas of interest include improving patient/family/ physician and other health care providers’ education and communication skills regarding end-of-life issues. She is also part of a research team that is examining quality of life issues for end stage cancer patients.
Symposium Description and Objectives
This seminar will examine the issues surrounding the care of patients at the end of their lives. Through the use of didactic presentations woven with pertinent case discussions, the presenters will reveal how medical and psychological collaboration represents best practice for patients and families that face the challenges at the end-of-life. The seminar will explore the psychological, medical, and patient and family roadblocks to providing compassionate care and demonstrate how delivery of medical and psychological information impacts the choices at the end-of-life.
Participants will:
(1) Describe the disparity between how Americans want to die and how they actually die
(2) Appreciate the traumatic nature of prolonged illness and death and the subsequent shattering of assumptions: Psychological and medical sequelae
(3)Discuss the controversial issues surrounding the end-of-life including advanced care planning, who decides for the non-decisional: case law and Wisconsin law, treatment limitations: when to “pull the plug”, and physician assisted suicide
Thursday 8:00 am-12:15 pm
Reality of death and dying, roadblocks to care, medical and psychological collaborations
Friday 8:00 am-12:15 pm
Decisionality, legal issues, assisted suicide
Session IV
July 27-31, 2009
At the Landmark Resort
Philip Janicak, MD
Update on Psychopharmacotherapy and Therapeutic Neuromodulation
Dr. Janicak is a Professor of Psychiatry and the Medical Director of the Psychiatric Clinical Research Center at Rush University Medical Center in Chicago. He was the Associate Program Director for the NIH General Clinical Research Center at the University of Illinois Medical Center.
Dr. Janicak’s primary research interests are the assessment and treatment of mood and psychotic disorders. In this context, he has recently conducted several relevant clinical trials, including repetitive transcranial magnetic stimulation for major depression and oral and long acting injectable medication for schizophrenia. He has been an NIMH grant awardee as both a principal and co-investigator. He has authored or co-authored over 450 publications in the psychiatric literature and is first author of Principles and Practice of Psychopharmacotherapy, now in its fourth edition.
Symposium Description and Objectives
The goal of this course is to review recent clinical trial results and use this information to develop optimal treatment strategies for the major psychiatric disorders.
Participants will:
(1) Recognize the significant number of patients who are insufficiently responsive to initial therapeutic interventions
(2) Review biological treatments including the first and second generation antipsychotics, antidepressants, mood stabilizing agents, the anxiolytic/sedative hypnotics, and therapeutic neuromodulation
(3) Learn to develop treatment strategies based on the results of randomized-controlled, pragmatic, and naturalistic trials as tempered by the realities of clinical practice
(4) Review clinically relevant issues related to drug therapy, such as pharmacokinetics, pharmacodynamics, and drug interactions
Monday Introduction to psychopharmacotherapy. Diagnosis and drug therapy of psychotic disorders, Review CATIE-Schizophrenia, CUTLASS, and CAFÉ trial results and their clinical relevance
Tuesday Diagnosis and drug therapy of depressive disorders. Review STAR*D and TADS trial results and their clinical relevance
Wednesday Therapeutic neuromodulation in the management of mood disorders. Review the role of electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), bright light therapy (BLT), and deep brain stimulation (DBS)
Thursday Diagnosis and drug therapy of bipolar disorder. Review STEP-BD trial results and its clinical relevance. Diagnosis and drug therapy of dementia, including implications of CATIE-Alzheimer’s trial results
Friday Diagnosis and drug therapy of anxiety-related and sleep disorders. Review problems regarding patient adherence to treatment, as well as strategies to improve compliance. Summary and conclusion
Session V
July 27- 31, 2009
At the Landmark Resort
Fred Heide, PhD, and Lee Becker
Expand Yourself, Expand Your Practice: Expressive Behavior Skills Training To Enhance Therapist Credibility and Client Satisfaction
Frederick Heide, PhD, is Associate Professor at the California School of Professional Psychology at Alliant International University in San Francisco, where he has won both the Master Teacher and Teacher of the Year Awards. Dr. Heide is recipient of the Outstanding Research Contribution Award from the Association for Advancement of Behavior Therapy (AABT) and has published in the Journal of Consulting and Clinical Psychology, Psychophysiology, Behaviour Research and Therapy, and elsewhere. His most recent work examines parallels between drama and psychotherapy. Dr. Heide is co-founder and first board president of American Folklore Theatre, described by Money Magazine as “one of the top regional theatres in the country.” Dr. Heide studied acting and created several shows with Paul Sills, founder of Chicago’s renowned Second City Theatre.
A 20-year veteran of improvisational acting, Lee Becker has performed in New York City as well as his home state of Wisconsin. He has been a member of several national championship Comedy Sportz teams. Mr. Becker has also performed extensively with American Folklore Theatre, Door Shakespeare, Madison Rep, and Milwaukee Rep. He has taught improvisation technique at the California School of Professional Psychology, the Medical College of Wisconsin, and elsewhere. Along with Dr. Heide, he is co-author of the musicals "Packer Fans From Outer Space," "Belgians In Heaven," and the upcoming deer hunting show, “Guys & Does.”
Symposium Description and Objectives
Expressive behavior skills are fun to learn and have been empirically linked to a wide variety of positive effects. Expressive physicians have larger practices and fewer appointment cancellations. Expressive psychotherapists have been rated as more credible, expert, trustworthy, and attractive. Recent research demonstrates that these behaviors can be readily learned. The co-leaders of this workshop will guide participants through simple improvisational exercises in a safe, supportive atmosphere. Following an initial overview of empirical literature, the bulk of the week will be devoted to highly engaging exercises, which allow participants to explore their expressive range at their own pace.
Participants will:
(1) Learn about the empirical literature on the central role of therapist effects in psychotherapy outcome
(2) Appreciate the effects of expressive behaviors on mood contagion, likability, and perceptual salience
(3) Comprehend Strong’s social influence theory and research connecting expressiveness to therapist credibility, attractiveness, trustworthiness, and expertness and identify specific therapist behaviors perceived by clients as “credible” and “expert”
(4) Identify basic expressive behaviors in the paralinguistic, facial, and kinesic realms
(5) Practice improvisational games that encourage a full range of expressiveness in multiple behavioral realms
Monday Introduction; evidence for large therapist effects in psychotherapy outcome; therapy as social influence; research linking expressiveness to physician workload, educator effectiveness, mood contagion, therapist credibility, etc.; warm-up exercises
Tuesday Overview of expressive nonverbal behavior; basic exercises; paralinguistics
Wednesday Basic exercises; kinesics; facial expressiveness
Thursday Advanced exercises
Friday Summary and conclusions; wrap-up exercises
Session VI
July 27-31, 2009
At the Landmark Resort
Grace Thrall, MD
Learning Skills in Evidence-Based Medicine
Grace Thrall, MD, is Director of Residency Education at Duke University School of Medicine and Assistant Clinical Professor of Psychiatry in the Duke University Department of Psychiatry & Behavioral Sciences. She has won teaching awards at Duke, the University of Connecticut, and New Jersey Medical School.
Passionate about Evidence-Based Medicine and the power of small group learning, Dr. Thrall has taught at McMaster’s annual Evidence-Based Clinical Practice workshop and co-leads the annual Duke Evidence-Based Medicine (EBM) Workshop. She uses a method of teaching that makes learning critical appraisal skills both manageable and fun to the novice by breaking complex ideas down into simple steps.
Symposium Description and Objectives
This session is an intensive, interactive group learning experience designed to develop the knowledge and skills required to practice evidence-based psychiatric care for those who are relatively new to Evidence-Based Medicine and may not have a research background or recent familiarity with statistics or epidemiology. Using real case material, participants will practice all phases of the EBM cycle as a group by asking clinical questions, acquiring the best evidence via Medline search, appraising a scientific article, applying their findings to the patient, and assessing their performance in the process.
Participants will practice teaching one another basic EBM concepts, such as Number-Needed-to-Treat, as a way to reinforce their new learning. No prior experience or skills in evidence-based clinical practice are required for this session. For reference, participants should bring Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice 2nd edition by Guyatt and Rennie (c2008) and an inexpensive calculator for doing very simple math.
Participants will:
(1) Identify the four components of a well-formed clinical question
(2) Know where to find pre-appraised evidence and high quality systematic reviews
(3) Demonstrate basic information searching skills in Medline
(4) Use the six “FRISBE” criteria to perform a rapid critical appraisal of a therapy article. Calculate some common measures of effect from an article’s results and state these in plain English
(5) State the “bottom line” summary or verbal study synopsis of the best evidence
(6) Understand principles of applying your conclusions to the patient
Monday How do I find the information I need for my patient? Asking well-formulated clinical questions. Searching for pre-appraised information. Searching for original studies using Medline
Tuesday How do I find the information I need for my patient? Asking well-formulated clinical questions. Searching for pre-appraised information. Searching for original studies using Medline
Wednesday How do I find the information I need for my patient? Asking well-formulated clinical questions. Searching for pre-appraised information. Searching for original studies using Medline
Thursday How precise are the results? Critically appraising the results of a study about therapy: confidence intervals. Understanding effect size for continuous outcomes
Friday Can I apply my conclusions to the patient? Constructing a verbal study synopsis. Applying critical appraisal conclusions to the patient. Assessing your EBM learning needs and setting goals
Session VII
August 3-7, 2009
At the Landmark Resort
Bill O’Hanlon
Positive Psychology: Practical Applications in Clinical Work
Bill O'Hanlon is a dynamic, inspirational professional speaker and prolific author (29 books so far) who helps motivate people and organizations to determine what they are meant to be doing and to remove the barriers to succeeding at those goals.
Originally trained as a psychotherapist, Bill became known for his collaborative respectful approach, irreverent humor, storytelling, clear and accessible presentation style, and his infectious enthusiasm for whatever he is doing. He teaches seminars, leads trainings, writes books, coaches people, and offers websites, podcasts, blogs, web-based courses, teleclasses, and audio and video programs.
Bill began his professional career as a transpersonal counselor. Earlier he ran growth groups and taught seminars at the Phoenix growth center Sentheon. He studied Neuro-Linguistic Programming and became a marriage and family therapist. In graduate school, he studied with psychiatrist Milton Erickson. Bill then moved on to develop his own method, the Solution-Oriented Approach, a brief approach to change focused on identifying and using strengths to reach goals and overcome challenges. It has been applied with individuals, couples, families, and organizations.
Symposium Description and Objectives
Positive Psychology is one of the newest and most important developments in the field. It offers an understanding of the development of human happiness and life satisfaction with research-based clinical work that results in measurable increases in individual happiness.
Participants will:
(1) Understand the empirically-based research of Positive Psychology
(2) Develop a method of doing therapy that derives from this research
(3) Learn how to apply research findings about forgiveness, gratitude, optimism, spirituality, resilience, and altruism to their clinical work
Monday Introduction to Positive Psychology - the gap between Positive Psychology research and clinical practice. The optimistic therapist. Research on optimism and being positive. Possibilities vs. positive thinking. The restoration of hope in clinical work. Resilience research: What helps people bounce back from troubles and traumas
Tuesday Happiness - what the research shows makes people happy and what doesn't. Applications of happiness research to clinical work. The distortions of memory: It's never too late to have a happy childhood
Wednesday Connections and relationships - their importance for the good life. Translating research findings into clinical work. Filtering blame and disgust. Love is a verb. Connective and continuity rituals to prevent future relationship problems. Importance of family and friends for the good life and for problem recovery. Social intelligence
Thursday Meaning and purpose in the good life. Elements of the meaningful life: Translating into clinical work. The four life energies: Finding direction and purposeful work. It's not about you: Mitzvah Therapy
Friday The 3 C’s of spirituality. Gratitude and appreciation. Forgiveness, kindness, and compassion. Mindfulness. Appreciative inquiry: Positive Psychology in your work life. Research update. Future directions for Positive Psychology and clinical work
Session VIII
August 3-7, 2009
At the Landmark Resort
James Gustafson, MD
Captivity and Deliverance: The Main Subject of Psychotherapy
James Gustafson, MD, is Professor of Psychiatry at the University of Wisconsin and Chief of the Brief Psychotherapy Clinic. He is the author of ten published books on psychotherapy, the most recent being The Great Instrument of Orientation (2008). His website http://psychiatry.wisc.edu/gustafson will allow you to have this tenth book as a PDF with one click, as well as access to his entire work over the last 40 years.
Symposium Description and Objectives
The simplest and deepest way to describe our patients is in terms of their captivity. Of course, this is Biblical language and a religious conception. Our patients have been taken captive by purposes which are not their own, and our greatest service is to show them the back door to return to themselves.
The main subject of psychotherapy is also the main subject of religion and literature, physics and biology, history and sociology, games and play and fairy tales, and, of course, dreams and music. In opening up this huge range which resonates from captivity and deliverance, it also radiates from the smallest detail of every case we see—we will study this together from clinical DVDs I made in the last two years, every morning devoting about half the time to watching consultations to three of the new cases in my Brief Psychotherapy Clinic, and half the time to discussing them.
Participants will:
(1) Recognize the emergent simplicity of the dynamics of captivity, and of delivering oneself from them
(2) Appreciate the opportunities for losing oneself, or finding oneself in the smallest details (or breath, if you will)
(3) Practice the use of this instrument
Monday Our first three cases will allow us to explore the dynamics of capture. In Tim Allen’s ecology, this would be called resource-capture, which captures us
Tuesday Our next three cases will allow us to pose the back door to delivering ourselves. In Prigogine’s physics, this is the bifurcation between equilibrium, Newtonian, inertial physics, and far-from-equilibrium physics which arises on the smallest scales
Wednesday Again, three new cases this morning with emphasis on the native resonance of the patient, which comes forth when his or her particular words and images and movements are responded to. The patient departs from a constant attitude – marked by redundancy of phrases and rigidity of the body – which locks everything in place
Thursday Again, three new cases this morning with emphasis on how transiently our patients may free themselves in crucial discoveries, only to head right back into being swallowed up again in the exterior field of captivity. Being half-well like this requires an astute doctor who can consistently point to the self-sabotaging steps that surrender oneself
Friday Three new cases to emphasize the night or dreaming side of the great instrument of orientation. It is essentially a map of the field we have been running in all day long, with a remarkable clarity about the lines of force, like a contour map of weather fronts
Session IX
August 3-4, 2009
Special 2-Day Session
At the Landmark Resort
Drs. Derse, Ambuel, Brodwin, Grunert, and Steiger
Bioethics, Supervision, Cultural Issues, and Addiction
Arthur R. Derse, MD, JD, is Director of Medical and Legal Affairs, Associate Director of the Center for the Study of Bioethics, and Director of the Medical Humanities Program at the Medical College of Wisconsin, where he is Professor of Bioethics and Emergency Medicine. He is a past president of the American Society for Bioethics and Humanities. He served for seven years as a member of the Milwaukee County Mental Health Ethics Committee.
Bruce Ambuel, PhD, MS, is a clinical and community psychologist and Associate Professor of Family and Community Medicine at the Medical College of Wisconsin where he is Director of Research and Behavioral Science Education at Waukesha Family Medicine Residency. He has conducted research on treatment decision making, informed consent, and competence to consent.
Paul Brodwin, PhD, is Associate Professor of Medical Anthropology at the University of Wisconsin, Milwaukee. He has conducted research on healthcare and culture in rural Haiti, among Haitian immigrants in France, and in community psychiatry agencies in North America. His current work focuses on mental health services for marginalized groups in urban Milwaukee.
Brad Grunert, PhD, is Associate Professor in the Departments of Plastic and Reconstructive Surgery and Psychiatry and Behavioral Medicine at the Medical College of Wisconsin. He is an active researcher in the areas of traumatic hand injuries, factitious disorders, conversion disorders, and post-traumatic stress disorders.
Frederic A. Steiger, MD, is a MCW Assistant Clinical Professor in the Department of Psychiatry and Behavioral Medicine, Division of Child Psychiatry. He is also a board certified Addictionologist. He is the Medical Director of the Hurias Center at Columbia-St. Mary’s Hospital, Ozaukee, dealing with adolescent and young adult drug and alcohol disorders. He is in private practice working with children, adolescents, and adults with emotional and behavioral disorders, ADHD, and substance use disorders.
Symposium Description and Objectives
This is a special 2-day, 8-hour workshop developed to meet the continuing education needs of psychologists and other mental health professionals providing 6 hours of ethics training and the choice of 2 hours of either addiction, cultural issues, or supervision.
Participants will:
(1) Comprehend core content material of each session
(2) Apply the learning to clinical situations
Monday 8 am-12:15 pm
Drs. Ambuel and Derse will review major ethical issues in psychological practice. Focus will start with ethical principles, methods for resolution of ethical dilemmas, and will move to the special roles of the psychologist, professional limitations, and relationships with health care professionals.
Tuesday 8 am-10:00 am
Drs. Ambuel and Derse will cover additional boundary issues and duty to warn/protect cases such as Tarasoff.
10:15 am-12:15 pm Choice of One Session
The seminar on “Culture, Class, and Mental Health Services” lead by Dr. Brodwin will teach the cultural formulation of psychological distress and apply it to several in-depth case studies of Native American and Asian immigrant patients, among others. Participants will learn how to balance patients’ cultural expectations with Western diagnostic categories and how to communicate Western views about treatment in culturally appropriate ways.
The Supervision Seminar led by Dr. Grunert will examine several models of supervision. These will include a co-therapy model, case notes, audio taping, and videotaping. The strengths and weaknesses of each will be reviewed. Various topics related to self-disclosure in supervision, developing a treatment plan in supervision, and implementing a treatment plan in supervision will be discussed.
The addiction session with Dr. Steiger will focus briefly on the diagnosis and dynamics of major substance use disorders but will spend more time on recurrent treatment strategies and interventions for the disorders, with special attention to children and adolescents. Discussion will be encouraged.
Tuition and Refunds
The tuition fee is $585.00 for one full week and $535.00 for each additional full week. Tuition for full-time graduate students and resident physicians is $510.00 per week with a letter from the program training director.
The first symposium tuition fee will be reduced to $535.00 if postmarked by May 15, 2009. Groups of 3 or more may deduct an additional $35.00 from each registration if all registrations are submitted at the same time with payment. Two-Day sessions are $275 before May 15 and $295 after May 15, 2009.
Refunds, minus $50.00 administration fee, may be obtained if requested in writing and postmarked no later than 15 days prior to the beginning of each session. There will be no refunds thereafter.
Enrollment is limited
Accommodations
Door County offers a wide variety of accommodations including wilderness campgrounds, inns, cottages, motels, and condominium hotels and resorts.
Lodging in July and August is in great demand; it is absolutely crucial that you make reservations early. A block of suites has been set aside for conference participants at the headquarters resort, the Landmark Resort. These suites will be held until June 8, 2009 or until they are filled, whichever occurs first. After that, the rooms are on a space available basis.
From its site on the bluff, the Landmark offers outstanding views of the waters of Green Bay with 294 units comprised of 1, 2, and 3 bedroom condominium suites. Facilities include: restaurant and lounge, 11 meeting and function rooms, indoor and outdoor pools, 5 tennis courts, and fitness and game rooms. The Landmark Resort is Door County’s largest and best full service facility. All rooms at the Landmark are non-smoking.
The Landmark Resort
7643 Hillside Road
Egg Harbor, Wisconsin 54209
(920) 868-3205, FAX (920) 868-2569
Reservations (800) 273-7877
E-mail: stay@thelandmarkresort.com
http//:www.thelandmarkresort.com
Please be sure to indicate that you are attending the Summer Institute.
Information on other places to stay can be obtained by visiting www.door county.com.
When available, private accommodations may be secured through Jim Spolarich at Century 21 Door Properties at (920) 868-2002, and with JR Vacation Rentals at (888) 481-1935.
Accreditation
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation of Credit
The Medical College of Wisconsin designates each full session of this educational activity for a maximum of 15 AMA PRA Category 1 Creditstm. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The Medical College of Wisconsin designates each full session for up to 15 contact hours of continuing education for allied health professionals.
The Medical College of Wisconsin is approved by the American Psychological Association to sponsor continuing education for psychologists. MCW maintains responsibility for this program and its content.
The Medical College of Wisconsin is approved by the Illinois Department of Financial and Professional Regulation to offer 15 continuing education credits per session for social workers in Illinois. Sponsor license number is 159-000664.
Application has been made for pre approval of EACC Professional Development Hours (PDHs).
Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
Special Needs
Participants needing special accommodations, please contact our office at (414) 955-7250 at least two weeks in advance of any session.
Disclosure
Consistent with ACCME policy, faculty for all MCW continuing education programs is required to disclose to its audience all relevant financial relationships with commercial organizations. MCW has a mechanism in place to identify and resolve any conflicts of interest in advance of the DCSI.
For more information, please contact:
Carlyle H. Chan, M.D.
MCW Department of Psychiatry
8701 Watertown Plank Road, Milwaukee, WI 53226
414-955-7250 FAX: 414-955-6299
www.mcw.edu/psychiatry/doorcounty2009.htm
e-mail: summerinstitute@mcw.edu