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Getting to the Heart of the Problem: Targeting, Assessing and Solving Problem Behaviors
Level 2
Photo credit: Silver Hill Hospital
New Canaan, CT — co-sponsored by Silver Hill Hospital
November 30 – December 1, 2017
Trainer: Adam Payne, PhD
Training Description
This training is designed for experienced individual psychotherapists with solid familiarity with DBT to help them define client problems and develop effective solutions with clarity and precision.
One of the difficulties in treating complex clients is deciding how to spend session time when the client presents with multiple problem behaviors in a given week. Determining treatment priorities in the midst of unrelenting client crises can feel overwhelming and confusing even to the most experienced therapist, and can lead to diminished motivation for clinician and client alike. Dialectical Behavior Therapy (DBT) helps address this common problem by using a treatment hierarchy to prioritize behaviors to target in session. One function of targeting is to determine which behaviors need to be assessed and solved. Chain analyses set the stage for understanding behavior and intervening with increased precision and efficiency. A clear understanding of the options for solving problems, based on a well-formulated problem and clear assessment, can help clients and therapists experience success in treatment. This helps avoid the problems that many experience of inefficient use of time and feeling stuck in therapy. When done correctly, both you and your client will have a clear snapshot of the variables at work during a given behavior, highlight problematic behavioral patterns, and find new behaviors to put to work for your client.
This training is highly experiential and will include topics such as setting precise and appropriate treatment targets tailored to the patient’s clinical presentation, and conducting accurate chain and solution analyses. Instructors will utilize a combination of lecture, demonstration, and practice of DBT interventions. Participants will have multiple opportunities for hands-on practice throughout the workshop.
This training is intended for mental health professionals who have knowledge of, experience, and/or prior training in DBT, and want to advance their skills in targeting behaviors and conducting chain and solution analyses with clients with multiple problems.
Primary Objective:
As a result of this training participants will be able to assess problems and develop effective solutions.
Learning Objectives:
As a result of this training, participants will be able to:
1. Prioritize target behaviors for individual Stage 1 DBT sessions when clients present with multiple problems.
2. Identify the critical variables influencing a problem behavior by use of chain analyses.
3. Explain the difference between chain and solution analyses.
4. Define and test hypotheses about problem behaviors.
5. Conduct solution analyses.
6. Troubleshoot common problems in implementing chain analysis procedures
Schedule
Day 1
8:00 – 8:30 Registration, Sign-in
8:30 – 10:15 Importance of Targeting; DBT Primary Targets; Using Targets to Set Agenda and Determine What to Analyze
10:15 – 10:30 Break
10:30 – 12:00 Purpose of and Orientation to Chain Analysis
12:00 – 13:15 Lunch (Provided by Silver Hill Hospital)
13:15 – 14:45 Getting a Picture of the Problem Behavior
14:45 – 15:00 Break
15:00 – 16:15 Role Play; Practice
16:15 – 16:30 Q&A, Completion of Evaluation, & Sign-out
Day 2
8:00 – 8:30 Sign-in
8:30 – 10:15 Maintenance of Problem Behavior
10:15 – 10:30 Break
10:30 – 12:00 Determining Function & Testing Hypotheses
12:00 – 13:15 Lunch (Provided by Silver Hill Hospital)
13:15 – 14:45 Solution Analysis
14:45 – 15:00 Break
15:00 – 16:00 Troubleshooting
16:00 – 16:30 Q&A, Completion of Evaluation, & Sign-out
CE NOTE: Behavioral Tech calculates the continuing education credits for this training by the start time and end time. 100 percent attendance is required, as is signing IN and OUT each morning and afternoon, to receive CE credits. Partial credits cannot be issued.
Trainers
Adam Payne, PhD
New Hyde Park, NY (United States)
Adam Payne, Ph.D., is a DBT - Linehan Board of Certification, Certified DBT Clinician. Dr. Payne received his doctorate in clinical psychology from the State University of New York at Stony Brook in 1996. Dr. Payne served as the conference chairperson for the 2012 and 2013 conferences of the International Society for the Improvement and Teaching of Dialectical Behavior Therapy (ISITDBT). ISITDBT is a volunteer organization with the sole task of organizing an annual conference to bring together DBT clinicians from around the US and around the globe. Dr. Payne served ten years as a Clinical Supervisor at the University of Washington for graduate students in clinical psychology at the Behavioral Research and Therapy Clinics (BRTC). He has provided training and consultation in Dialectical Behavior Therapy internationally for Behavioral Tech, LLC since 2002. Dr. Payne is a founding member of the Center for Cognitive and Dialectical Behavior Therapy (CCDBT). Founded in 2006, the CCDBT aims to provide effective, evidence-based, psychotherapeutic treatments for children, adolescents, and adults. The main office of this center is in Lake Success, NY on Long Island. The cornerstones of the CCDBT are programs in Dialectical Behavior Therapy (DBT) for both adults and for adolescents. Prior to the formation of the CCDBT, Dr. Payne served as the Clinical Coordinator of the Adolescent DBT Program at Schneider Children’s Hospital. Beginning in 1999, the team developed a comprehensive Adolescent DBT program at Schneider Children’s Hospital, part of the North Shore – Long Island Jewish Health System. More locally, Dr. Payne has been an invited speaker to school districts and mental health settings to present information about the application of DBT to adolescent populations. Dr. Payne also previously served as the staff psychologist of the Adolescent Treatment Team of the Child and Adolescent Day Hospital at Zucker Hillside Hospital. Prior to the formation of the CCDBT, Dr. Payne also maintained a faculty practice for treatment of children, adolescents, and adults within Zucker Hillside Hospital on Long Island.
Attend
Behavioral Tech, LLC is not responsible for any presenter’s or participant’s statements, acts, materials or omissions. The use of audio or video taping devices is not permitted at any training. We reserve the right to cancel the training or to change the speakers and content at our sole discretion.
Cancellation, Substitutions, and Refunds
Registration fees, minus a $50 service charge, will be refunded to participants who send a written cancellation via mail to Behavioral Tech or via email to info@behavioraltech.org postmarked no less than 15 days before the training. No refunds will be made thereafter. A colleague may be substituted for no extra charge if Behavioral Tech, LLC is notified at least two business days before the training. For a complete list of Behavioral Tech policies, including how to address grievances, see policies.
Seat Availability for Onsite Events
The number of seats for our open-enrollment workshops and our application-based trainings is limited by the physical training space that is reserved for the event. Please complete your registration or submit your application at your earliest convenience, as we will not guarantee a seat for you until we have received your registration or tuition payment.
Special Accommodations
If you require special accommodations due to a disability, please contact Behavioral Tech at 206.675.8588 four weeks prior to the training so that we may provide you with appropriate service.
Technical Requirements
Co-sponsored by Silver Hill Hospital
Training Location
208 Valley Road
New Canaan, CT 06840
Continuing Education
This offering meets the requirements for the following hours by discipline. Licensing and continuing education requirements vary by state. Please contact your state’s regulatory authority to verify if this course meets your licensing or continuing education requirements. Inquiries regarding CE for other disciplines not listed may be directed to Behavioral Tech at (206) 675-8589 or via email to CE@behavioraltech.org. And for general CE questions, you can review answers to continuing education FAQs or contact us.
CE NOTE: Behavioral Tech calculates the continuing education credits for this training by the start time and end time. 100 percent attendance is required, as is signing IN and OUT each morning and afternoon, to receive CE credits. Partial credits cannot be issued.
Alcohol and Drug Abuse Counselors
Behavioral Tech is approved by the NAADAC – the Association for Addiction Professionals, Provider #77431. Behavioral Tech will email you a letter documenting your attendance upon successful completion of the activity. The allotted contact hours for this activity = 12.5.
Mental Health Counselors
Behavioral Tech is approved by a NBCC-Approved Continuing Education Provider (ACEP™) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program. Behavioral Tech will email you a letter documenting your attendance upon successful completion of the activity. The allocated clock hours for this activity = 12.5.
Nurses
Behavioral Tech is approved by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Nurses should only claim credit commensurate with the extent of their participation in the activity. Continuing Medical Education is accepted by the ANCC for nursing certification renewal. The maximum AMA PRA Category 1 Credits™ designated by Behavioral Tech for this activity = 12.5. At the end of the training, each Nurse must complete and sign the provided form to record the number of credits claimed. Keep one copy & return the other copy to Behavioral Tech.
Psychiatrists
Behavioral Tech is approved by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Physicians should only claim credit commensurate with the extent of their participation in the activity. The maximum AMA PRA Category 1 Credits™ designated by Behavioral Tech for this activity = 12.5. At the end of the training, each Physician must complete and sign the provided form to record the number of credits claimed. Keep one copy & return the other copy to Behavioral Tech.
Psychologists
Behavioral Tech is approved by the American Psychological Association to offer continuing education for psychologists. Behavioral Tech maintains responsibility for the program and its content. Behavioral Tech will email you a letter documenting your attendance after successful completion of the program and homework. The number of hours Behavioral Tech has allocated within APA guidelines = 12.5.
Social Workers- WA
Behavioral Tech will apply to the NASW, Washington State Chapter, Provider Number 1975-166, to offer continuing education for Certified Social Workers. Behavioral Tech will email a certificate of attendance upon 100% completion of this activity. The hours of CE allocated for this activity = 12.5.
Social Workers – NY
Behavioral Tech is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers,#0040. Behavioral Tech will email a letter documenting attendance to participants with 100% completion of the program and homework. The hours allocated for this activity = 12.5.
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