2020 HOPE Consortium Virtual Conference

Welcome & Announcements

Danielle Luther, MPH, CPS, Project Manager, Family Health Center of Marshfield, Marshfield, WI.
Greg Nycz, Executive Director, Family Health Center of Marshfield, Marshfield, WI.

Brief welcoming remarks on behalf of the HOPE Consortium.

Building Strong Children: Disruption of the Child Welfare to Juvenile Delinquency to Adult Prison Pipeline in the Context of Substance Use

Honorable Everett Mitchell, Dane County Circuit Court Judge, Madison, WI.

In his opening keynote address, Judge Everett Mitchell of the Dane County Circuit Court will describe the Child Welfare to Juvenile Delinquency to Adult Prison pipeline and efforts to disrupt it by working with families to address trauma. Based on the Frederick Douglas maxim, “It is far easier to build strong children than to repair broken men and women,” Judge Mitchell advocates for investment in addressing the trauma young people experience to prevent them from becoming adults who address internal pain through substance use and will describe the “micro-cuts” caused by trauma and how we can implement “micro-acts” of kindness to promote healing.

Objectives:

• Understand the Child Welfare to Juvenile Delinquency to Adult Prison pipeline and what it means for substance use disorder treatment.
• Appreciate the unique barriers faced by individuals simultaneously engaged in substance use disorder treatment and CHIPS cases.
• Recognize how micro-acts of kindness can be implemented to support the healing of micro-cuts caused by trauma.

Presentation:
Honorable Rev. Everett Mitchell presentation

1. Opioid Use Disorder: Pregnancy and the Neonate

Cresta Jones, MD, Associate Professor, Maternal – Fetal Medicine, University of Minnesota Medical School, Eden Prairie, MN.

Examine the unique issues related to opioid use disorder during pregnancy. Attendees will learn best practices for optimizing care for pregnant patients and neonates.

Objectives:

• Identify pregnancy complications associated with opioid use disorder (OUD).
• Review recommended and alternative treatments for OUD in pregnancy.
• Discuss the effects of OUD on the fetus and neonate.

Presentation:
Dr. Cresta Jones presentation

2. Drug Trends: Local Trends, Drug Identification and LE Case Management

Elisha D. Williams, Taskforce Investigator, Northcentral Drug Enforcement Group (NORDEG), Oneida County Sheriff’s Office, Rhinelander, WI.

Hear an overview of current illicit drug trends and relative abuse facing the region from the perspective of Law Enforcement. Presenters will show recently seized controlled substances and related paraphernalia to assist community leaders with identification.

Objectives:

• Identify controlled substances and related drug paraphernalia in the region.
• Understand the LE perspective on combating methamphetamine distribution and use.
• Increase communication with LE partners to assist in providing support for those with drug dependence.

3. The Wellbriety Movement: Cultural Approaches to Healing

Kateri Coyhis, Executive Director, White Bison, Inc., Colorado Springs, CO.

Hear an introduction to the concept of Wellbriety as balance and connection to the natural laws to create healing within the native community. Culturally based tools are discussed as a way for changing families. A combination of immense losses and traumatic events that were perpetrated against an entire culture need healing as natives across the nation are encouraged to seek to reinstate cultural ways, language and sacred traditions. The unfortunate consequences of trauma include not believing you have a future, difficulties within families and a distrust of the outside world. This is passed down through direct parent-child interactions and also through interactions with extended family and the community. Healing will take place through application of cultural and spiritual knowledge.

Objectives:

• Learn culturally appropriate teachings to assist parents, professionals and grassroots service providers in developing approaches for treatment, recovery and prevention for adults, youth and families.
• Learn culturally appropriate teachings that address concerns about issues that undermine the recovery process, such as intergenerational and historical trauma, dealing with shame and stigma, and solutions in dealing with these issues.
• Learn the process and steps for systemic community development.

Viniyoga

Nikki Engels, Owner, Leadership Academy, Woodruff, WI.

Practice Viniyoga. It is gentle on the body and can even be done in office attire. There will be a standing option as well as a modified option for people that would like to sit in chairs. In just a few movements, stretch out the lower back and elongate the spine. Suitable for all abilities.

4. Weathering the Storm: What Happens after the Rain Clears?

Elizabeth Goetz, MD, Pediatrician, University of Wisconsin, Madison, WI.

Pregnancy, childbirth, and care for a baby experiencing withdrawal are major challenges and can be overwhelming! After surviving what can feel like a thunderstorm, what are the next steps in this journey? How do we best prepare families for sunny days ahead?

Objectives:

• Understand challenges in transitioning from medical to well-baby care.
• Understand development needs of substance exposed babies and how to meet them.
• Look ahead to the school age years to find strategies for success.

Presentation:
Dr. Elizabeth Goetz presentation

5. Medication Assisted Treatment – Low and Slow – and Other Emerging Topics in Substance Use Disorder Treatment

Paula Hensel, DNP Family Health Center of Marshfield, Inc. (FHC) – Alcohol & Drug Recovery Services, Marshfield, WI.

Medication assisted treatment (MAT) is an evidence-based approach for opioid use disorder. We have had considerable success with a strategy that flips the paradigm to TAM – treatment assisted with medication – and takes a “low and slow” approach to medication dosing. This and other emerging clinical practices relevant to substance use disorder treatment will be discussed.

Objectives:

• Understand the role of MAT for opioid use disorder.
• Recognize the value of a “low and slow” approach to MAT.
• Identify other emerging clinical practices relevant to substance use disorder treatment.

Presentation:
Dr. Paula Hensel presentation

6. Opioid Overdose Prevention and Response

Kailey Wood Prevention Specialist, Vivent Health, Wausau, WI.

In this training, participants will learn the signs and symptoms and how to respond to someone who is experiencing an opioid overdose. Participants will also learn how to administer naloxone to reverse the effects of an opioid overdose.

Objectives:

• Learn the basics of opioids and their effect on the body.
• Recognize the signs and symptoms of an opioid overdose.
• Learn how to respond to assist the individual experiencing an opioid overdose and how to administer naloxone.

Presentation:
Kailey Wood presentation

7. Birth Doulas/Culturally Safe Treatment and Care

Erin Tenney, MD, CNM, WHNP, ARNP, Frontier Nursing University; Good Birth, LLC, Ashland, WI.

Dorene Day, Cultural Consultant, Saint Paul, MN.

Presenters Dr. Erin Tenney and Doreen Day will provide an overview of the cultural safety framework and its application to practice for a variety of service providers, including birth doulas. Cultural safety will be described in the context of treatment in general as well as in the context of the unique role of the birth doula in supporting childbearing women with substance use disorders.

Objectives:

• Understand the cultural safety framework.
• Understand the role of the birth doula in supporting childbearing women with substance use disorders.
• Appreciate the importance of providing culturally safe treatment and care.

Presentation:
Dr. Erin Tenney presentation

8. Working with Resistance: The Caterpillar Challenge

Debra Dewitz, LCSW, Family Resource Consultants, Moorhead, MN.

Professionals in many fields struggle to provide services to consumers who seem unwilling or unable to accept these services. We will look at some of the issues involved in the creation and maintenance of “resistance” both on the part of the consumer, as well as on the part of professionals and institutions. Suggestions for useful interventions will be provided.

Objectives:

• Understand “resistance” from the perspective of the consumer’s experience.
• Provide a useful theoretical model for dealing with situations in which the providers and consumers are not united in a common goal.
• Use several interventions to work with consumers who have been difficult to engage.

Presentation:
Debra Dewitz presentation

9. The Cloud and a Silver Lining: Vaping and Nicotine Cessation

Jenna Flynn, MPH, Public Health Educator, Marathon County Health Department, Wausau, WI.

Tammera Neumann, BSN, RN, PS, CARN, Family Health Center of Marshfield, Inc. – Alcohol & Drug Recovery Services, Marshfield, WI.

Electronic nicotine delivery systems (ENDS) have evolved and associated health risks due to vaping have emerged. Because nicotine dependence is a root cause for ongoing use, proven strategies for tobacco cessation may be utilized to assist people to quit vaping as well.

Objectives:

• Learn about the latest trends with Electronic Nicotine Delivery Systems.
• Identify health concerns related to vaping, including e-cigarette or vaping product use-associated lung injury.
• Understand the physical, behavioral, and emotional aspects of nicotine dependence and learn strategies to assist people to quit.
• Learn about resources available.

Presentation:
Jenna Flynn & Tammera Neumann presentation

10. Partnering through Parenting

Sandy Stetzer, Prevention Manager, Children’s Wisconsin, Rhinelander, WI.

Raising children can be a challenge regardless of the circumstances. This presentation examines community services and techniques that focus on increasing the confidence and skills of all parents including those that are facing AODA issues.

Objectives:

• Impact trauma informed practice has on parenting.
• The importance of building protective factors in parents.
• Successful parent programming to support parents with AODA issues.

Presentation:
Sandy Stetzer presentation

11. Reflective Supervision

Shawn Smith, Founder, Share Training, Franklin, WI.

Establishing a trauma-informed service environment requires the ability of leaders to hold space for their team members. Learn how to: “Do unto others as you would have them do unto others,” to address compassion fatigue, reduce burn-out, and increase team retention.

Objectives:

• How to apply Share Training’s Reflective Supervision structure when staffing a case.
• How to onboard team members to this style of supervision.
• Learn alignments with other healing-focused approaches.

Presentation:
Shawn Smith presentation

12. Empowering the Body and Mind: A Scaffolded Approach

Tony Iniguez, Trauma Education Specialist, Marshfield Child Advocacy Center, Marshfield, WI.

Resilience and recovery begins with our ability to empower our bodies and minds by meeting our needs in a predictable and healthy way. We are more aware of the impact of trauma in the lives of the people we serve. At the same time, we hear about resilience, and the ability to adapt and grow. How do we incorporate these concepts into substance use disorder (SUD) treatment? This presentation will also review the rationale for addressing the physiological, sensory, and ecological needs of ourselves and those we serve and learn practical strategies to address such needs in a variety of settings.

Objectives:

• Identify how resilience fits into SUD treatment.
• Recognize those elements of current SUD treatment approaches that support the development of resilience.
• Appreciate the connection between resilience, recovery and three forms of regulation.
• Understand the importance of ensuring that physiological, sensory, and ecological needs are met.
• Implement practical strategies for addressing physiological, sensory, and ecological needs in personal and professional environments.

Presentation:
Tony Iniguez presentation

Welcome & Announcements

Rachel Stankowski, PhD, Project Manager, Family Health Center of Marshfield, Marshfield, WI.

Brief welcoming remarks and introduction of state panel.

State Panel

Paul Krupski, Director of Opioid Initiatives, Wisconsin Department of Health Services, Madison, WI.

Andrea Jacobson, Section Chief, Substance Abuse Services, Bureau of Prevention, Treatment and Recovery, Division of Care and Treatment Services, Wisconsin Department of Health Services, Madison, WI.

Representatives from state leadership positions will talk about Wisconsin’s response to opioid and methamphetamine use including data trends and program development to support communities.

13. How Eat, Sleep, Console is Changing the Care of Infants and Family

Staci Bohling, BSN, RN, Prenatal Education Coordinator, Froedtert West Bend Hospital, West Bend, WI.

Betty Matthies, BSN, RNC-OB, Professional Development Coordinator, Froedtert West Bend Hospital, West Bend, WI.

Tammy Boelk, BSN, RN, Staff RN, Froedtert West Bend Hospital, West Bend, WI.

Learn how to provide the best care for our neonatal opioid withdrawal syndrome (NOWS) families. We will be discussing the screening done, consultations, supportive care, standard approach to observation and treatment using the Eat, Sleep, and Console method.

Objectives:

• Verbalize what Eat, Sleep, and Console is and the difference between Eat, Sleep, and Console and Finnegan.
• Verbalize how a standardized approach to caring for the NOWS babies and families improves outcomes.
• Understand and discuss three Eat, Sleep, and Console scenarios and the lessons that were learned.

Presentation:
Eat, Sleep, & Console presentation

14. Stigmas and Substance Use Disorders

Tekia Longstreet, CSAC, ICS, Independent Contract, Rhinelander, WI.

Discuss various stigmas surrounding addiction treatment and learn the impact these stigmas have on the profession as well as those seeking services.

Objectives:

• Identify the impact stigma has on clients seeking services.
• Identify the impact stigmas have on the field of substance use disorders.
• Differentiate against personal biases and stigmas.

Presentation:
Tekia Longstreet presentation

15. Naloxone Policies and Practice

Christy Niemuth, MA, Overdose Prevention Coordinator, Wisconsin Department of Health Services, Madison, WI.

Dennis Radloff, Human Services Program Coordinator, Mat Expansion Coordinator, Wisconsin Department of Health Services, Madison, WI.

Fatal opioid-related overdoses are devastating communities and families. One way to reduce harms related to opioid use is to ensure that naloxone, the opioid antagonist used to reverse an overdose, is widely available to those most at risk. In this session, you will learn how your agency can establish a naloxone distribution policy to provide naloxone to those most at risk. Example policies will be provided as well as best practices for agencies looking to establish a naloxone program. Trainers will also cover the signs and symptoms of an overdose and how to respond to an overdose using naloxone.

Objectives:

• Understand how to establish a naloxone distribution plan and organizational policies.
• Identify the signs and symptoms of an opioid-related overdose.
• Understand how to administer naloxone in an overdose situation.

Presentation:
Christy Niemuth & Dennis Radloff presentation

16. Psychology of Weight Management: How We Access Our Fat, Intermittent Fasting, and How to Manage Your Lizard Brain

Michael E. M. Larson, PhD, Clinical Psychologist, Marshfield Clinic – Minocqua Center, Minocqua, WI.

Will provide an overview of how we ultimately lose weight by accessing our fat. Will discuss various ways to manage our weight and never have to lose the same weight again. Will discuss issues related to intermittent fasting, how to change habits, how to change our relationship with food, and how to manage our lizard brain.

Objectives:

• Clearly state what has to occur to access our fat and lose weight.
• Clearly state basic principles of intermittent fasting and how it leads to weight loss and how it can lead to improved health.
• Clearly state the basic cognitive behavioral principles that are required to be successful at losing weight and never having to lose that weight again.

Presentation:
Dr. Michael Larson presentation

17. Treatment Services for Department of Community Corrections: Bridging the Gaps

Mary Zenk, Program and Policy Analyst, Wisconsin Department of Community Corrections, Merrill, WI.

Many correctional clients do not have hope for their situation or believe that it can change. Offering accessible treatment services to help with behavioral change brings hope for their future.

Objectives:

• Understand criminogenic needs of correctional clients on supervision with Department of Community Corrections (DCC).
• Identify challenges of obtaining evidence-based treatment services for the criminal justice population and the introduction of Telehealth Services.
• Recognize how to become a community partner for DCC treatment services.

Presentation:
Mary Zenk presentation

18. What is that CBT the Staff are Talking About?

Barry Wolfgram, Program Manager, Family Health Center of Marshfield, Inc. – Alcohol and Drug Recovery Services, Marshfield, WI.

Hear a general overview of Cognitive Behavioral Therapy (CBT) for people that do not practice counseling. It will offer the basics needed to engage with a better understanding of CBT and how your role may support the counseling of shared clients.

Objectives:

• Describe what Cognitive Behavior Therapy (CBT) is.
• Describe the evidence behind CBT.
• Apply understanding of CBT to support those providing counseling to shared clients.

Presentation:
Barry Wolfgram presentation

Remarks

Josh Kaul, Wisconsin Attorney General, Madison, WI.

Hear a brief overview of Wisconsin Department of Justice Initiatives related to opioid abuse and methamphetamine use.

Overview of Methamphetamine Use Disorder

David Galbis-Reig, MD, DFASAM, GR Consulting, LTD., Kenosha, WI.

Methamphetamine use has significantly increased in the midst of the opioid epidemic and mortality associated with methamphetamine has also increased proportionately. As its use spreads, it is important to understand the pharmacology and clinical presentation of patients with methamphetamine use disorder and be able to discuss available treatment options.

Objectives:

• Gain a basic awareness of the pharmacology of methamphetamine and the clinical features associated with acute methamphetamine intoxication and its management.
• Be able to describe acute and chronic physical and psychological effects of methamphetamine use.
• Be able to describe the pharmacological and non-pharmacological treatment options available for methamphetamine use disorders.

Presentation:
Dr. David Galbis-Reig presentation

Closing

Danielle Luther, MPH, CPS, Project Manager, Senior, Family Health Center of Marshfield, Marshfield, WI.

Brief Closing Remarks.