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Adapting your DBT Program for Substance Use Disorders – DBT-SUD
Level 4
White Plains, NY — co-hosted by: Westchester Jewish Community Services (WJCS) & New York Presbyterian Hospital
October 25-26, 2018
Trainer: Randy Wolbert, LMSW, CAADC, CCS
Training Description
Level 4 – Advanced Training & Adaptations
This two-day workshop covers the modifications made when applying Dialectical Behavior Therapy (DBT) to clients with Borderline Personality Disorder (BPD) and substance use disorders. Participants specifically learn how DBT for substance use disorders (DBT-SUD), when applied to populations with comorbid disorders, differs from standard DBT for BPD clients in the way that DBT is targeted, how behavioral skills are taught in skills training group, how to engage clients in therapy at the beginning of treatment, strategies for not losing clients during treatment, and how therapists are supported when clients are in danger of dropping out of therapy. This workshop is intended for those who have knowledge of standard DBT.
Learning Objectives:
As a result of this training, participants will be able to:
- Describe the adaptations of DBT specific to substance use disorders.
- Describe the evidence for DBT-SUD
- Describe how DBT-SUD is similar to and different from other major substance use treatments.
- List the principles to consider in determining for whom DBT-SUD is appropriate.
- Explain the concept of dialectical abstinence.
- Apply specific attachment strategies to gain commitment and keep substance abusing clients in treatment
- Identify specific treatment targets for substance abusers with borderline personality disorder
- Train DBT skills specific to substance abusers with borderline personality disorder.
- Describe the principles for involving families in DBT-SUD.
Eligibility & Requirements:
This is a Level 4 training. Our Level 4 trainings allow experienced DBT therapists to advance and sustain their DBT knowledge. We define “experienced” as those who have completed our Level 3 training (or equivalent comprehensive training) and provide DBT in their clinical work.
Schedule
Day 1
| 8:30 – 9:00 | Registration, Sign-in |
| 9:00 – 10:45 | Overarching approach and evidence for DBT-SUD |
| 10:45 – 11:00 | Break |
| 11:00 – 12:30 | Structuring the treatment environment |
| 12:30 – 1:30 | Lunch |
| 1:30 – 3:00 | Individual DBT-SUD sessions |
| 3:00 – 3:15 | Break |
| 3:15 – 4:15 | Dialectical abstinence |
| 4:15 – 4:45 | Review, Q&A, Completion of Evaluation, & Sign-out |
Day 2
| 8:30 – 9:00 | Sign-in |
| 9:00 – 10:45 | The Path to Clear Mind & special DBT-SUD issues |
| 10:45 – 11:00 | Break |
| 11:00 – 12:30 | Chain analysis & task analysis in DBT-SUD |
| 12:30 – 1:30 | Lunch |
| 1:30 – 3:00 | Finding clients when they are lost: DBT Attachment Strategies and working with families in DBT-SUD |
| 3:00 – 3:15 | Break |
| 3:15 – 4:15 | Building capability: DBT-SUD Skills & the use of replacement medications |
| 4:15 – 4:45 | Review, Q&A, Completion of Evaluation, & Sign-out |
Trainers
Randy Wolbert, LMSW, Zen Rōshi
Randy Wolbert LMSW, Zen Rōshi is a DBT trainer with Behavioral Tech. Randy trains and consults widely throughout the World, directing several large-scale system implementations.
Prior to joining Behavioral Tech full-time, Randy served as Clinical Director of InterAct of Michigan, responsible for the programs of Assertive Community Treatment (ACT), DBT, Integrated Dual Disorders Treatment and outpatient substance abuse.
Randy is a long time Zen student of Marsha Linehan Randy was recognized by Willigis Jaeger as a Zen teacher in 2016 and was confirmed as a Zen teacher in 2018 by Marsha Linehan. In 2021 he received transmission as a dharma heir of Zen Master (Rōshi) Greg Mayers. He has lead mindfulness workshops and Zen mindfulness retreats in the US, Canada, Mexico, Argentina, Chile, and Germany.
Recently, he authored the chapter, “Modifying behavior therapy to meet the challenge of treating BPD: Incorporating Zen and Mindfulness.” In M. A. Swales (Ed). Oxford Handbook of Dialectical Behaviour Therapy. Oxford: Oxford University Press.
Study Resources
Read or download our whitepaper: 
DBT Helps Individuals with Substance Use Disorders
Watch this preview of our 2016 Webinar on DBT with Clients with Substance Use Disorders by Jennifer Sayrs, PhD, ABPP – just a glimpse of the content that will be covered in this training!
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-hosted by: Westchester Jewish Community Services (WJCS) & New York Presbyterian Hospital
Training Location:
New York Presbyterian Hospital
21 Bloomingdale Road
White Plains, NY 10605
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 accredited 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 accredited 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 wis approved by 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 approved by 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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