COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Executive Functioning in FAS/ADHD Compared to ADHD The BRIEF inhibit Shift Emotional Control Initiate Working Memory Plan/Organize Organ materials Monitor Bri MI GEC 0 20 40 60 80 control-36 ADHD-20 ARND-16 FAS-10 Research demonstrates that there is no safe amount of alcohol to consume during pregnancy Lockhart, Mahone, Mostofsky (unpublished data) CNS Effects •Depends upon developmental period the exposure occurs •Depends upon the sensitivity of the region to alcohol’s toxic effects •Cell types throughout the CNS and within the same structure are differentially sensitive to the toxic effects during certain times in gestation Brain Behavior Principles • The extent of damage is in a “dose-response” relationship although this is modulated by genetic variability (Binge drinking is worse) • There appears to be a synergistic effect of certain added compounds like cocaine on the developing CNS • Parts of the brain are affected differentially by alcohol • Certain regions of the brain are damaged and other regions are spared • Certain cell types are damaged whereas certain cell types are spared • Most neurotransmitters systems appear to be affected • The absence of dysmorphology does not indicate that the individual is spared Other Mechanisms of Alcohol Induced Neurotoxicity • Acetaldehyde formation is teratogenic and is a primary byproduct of alcohol metabolism • Increased apoptosis can occur from increased free radical formation and reactive oxygen intermediates such as superoxide and hydrogen peroxide. • These molecules can damage proteins and lipids in cells leading to apoptosis • fetal tissues have less capacity to block the deleterious effects of free radical damage because of the lower level of radical scavengers such as superoxide dismutase, peroxidase and other protecting substances Alcohol Induced Cell Death • The MNDA antagonist and GABA mimetic properties of alcohol can lead to massive apoptotic neurodegeneration in the developing brain • Action on these receptors may be responsible for the lost of millions of neurons during the period of synaptogenesis or period of rapid brain growth • May be responsible for decrease in brain size Ikonomidou, 2000 6
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Suspected Mechanisms Implicated in CNS Damage • Cell death modes(necrosis and apoptosis) • Free radical damage • Interference with growth factor functions • Adverse effects on astrocyte formation • Abnormal development of neurotransmitter system • Altered glucose transport and uptake • Abnormal cell adhesion molecules • Altered regulation of gene expression Cerebrum Corpus Callosum Change in brain size Cerebellum 100 95 90 85 80 75 Cerebrum p < 0.010 PEA Cerebellum *** ** FAS p < 0.001 Mattson et al., 1994 Cerebral Cortex Migration Problems • cerebral architecture is affected • changes in myelination. • neurons do not make their way to their proper location. • frontal lobes and parietal lobes can be heavily affected During embryonic development cells fail to migrate to their proper location Miller, 1986 Blood vessel Neuron Cortical layer I II III IV V Neuronal Effects • neurogenesis • neuronal differentiation • neuronal migration • arborization • synaptogenesis VI Miller, 1986 7
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Program Description: The Commonweal
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Conference Information: The Pennsyl
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MONDAY May 15 th , 2006
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Monday Morning Plenary Session “S
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COSIG Co-Occurring Disorders Confer
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M01: The Addiction Psychiatry Couns
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5. Criminal Logic: This is a 3- to
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12 Roadblocks of Communication 1 Or
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3 G.R.A.C.E. G- For Gap. Often our
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5 _________________________________
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7 Overall, what do you gain by drug
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9 2. What time of day would be best
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11 10. What good things would happe
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13 Decisional Balance for Drug Use
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15 ________________________________
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17 Drug use: Antecedents, Consequen
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Certificate of Achievement Temple U
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M06: An Overview: Co-Occurring Diso
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Requirements for CCDP Employment CC
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ecertification cycle (PCB approved
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Work Experience Verification Applic
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Code of Ethical Conduct UNLAWFUL CO
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psychoactive substance impairs the
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Easy Pass for PCB credentialed prof
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CCDP Checklist for applicants with
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TABLE OF CONTENTS Purpose of the Ca
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confidentiality in substance abuse
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Task 4 - Recognize signs and sympto
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individual’s needs and circumstan
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and community resources and service
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3. Social supports and networks for
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COUNSELING Task 1 - Provide a safe,
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CASE MANAGEMENT information. Task 1
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ensure continuity of care whenever
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disciplinary codes of ethics and st
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2. Effective public relations techn
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2. Eliciting accurate evaluation da
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2. There are seven elements in the
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elationship is established with the
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In taking the test, you may find it
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REFERENCES The following resources
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Other Drug Abuse Counselors. Columb
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Stern, T., Herman, J., & Slavin, P.
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2004 PA Certification Board (PCB).
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Prochaska, J.O. & DiClemente, C.C.,
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M12: An Overview of Adolescents and
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G. Benson, 2004 G. Benson 2004 COSI
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M13: Tri-Recovery Process: Improvin
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M15: TIP 42 Treatment for Persons w
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M16: Housing Implications for the O
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DRAFT - Community Based and Recover
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are perceived as necessary for stat
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esponsibility shared with consumers
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or provided at other rehab programs
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Supportive housing is a successful,
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Living on the Edge: Substance Use a
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M26: Dual Recovery: 12-Step Program
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Using Dialectical Behavior Therapy
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Using Dialectical Behavior Therapy
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TUESDAY May 16 th , 2006
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Article by Kenneth Minkoff, MD and
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RESOURCE BIBLIOGRAPHY (2005) 1. Ame
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38. Foundation Associates, Making M
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71. Minkoff K & Cline C, Developing
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co-occurring psychiatric and substa
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T31: Implementing Evidence-Based Pr
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T32: Berks County Adolescent Pilot
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T35: CCISC Implementation in Pennsy
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Volume 1, Issue 5 The Trainers meet
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Volume 1, Issue 1 BLAIR COUNTY’S
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Volume 1, Issue 1 Vision/Mission CO
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Volume 1, Issue 1 3. The population
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Volume 1, Issue 1 Complete
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Volume 1, Issue 1 The forgoing Cons
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Volume 1, Issue 1 Language for Inte
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Volume 1, Issue 1 Language for Inte
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T36: The Co-Occurring Distinction:
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Integration or Occupation? •QUEST
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Coming to a Balance “Rather shall
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Page 443 and 444: COSIG Co-Occurring Disorders Confer
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Page 458 and 459: Motivational Incentives for Enhance
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Page 501 and 502: Fetal alcohol spectrum disorders fo
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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T67: Antisocial Personality Disorde
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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W72: Use of Animal Assisted Therapy
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W74: Therapy for Women Facing Traum
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HIEN, COHEN, MIELE, ET AL. for the
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HIEN, COHEN, MIELE, ET AL. TABLE 2.
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HIEN, COHEN, MIELE, ET AL. TABLE 4.
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W75: The MISA/COD Pilot Projects: L
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THE BEAVER COUNTY MODEL • Targets
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Additional Information Contact: Nan
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W81: The Pennsylvania COSIG Evaluat
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W83: Beaver County Forensic COD Ini
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W84: Improving Assessment and Treat
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Improving Assessment and Treatment
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W86: Fairweather Lodge - An Evidenc
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Housing, Employment, Social and Aut
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Principle VI. Successful Lodges res
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Fidelity to Autonomy Principles 1.
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W87: Physical Disorders and Persons
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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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