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Getting to the Heart of the Problem: Targeting, Assessing and Solving Problem Behaviors

Level 2
Raleigh, NC
December 6-7, 2018
Trainer: Lorie Ritschel, PhD

Training Description

Primary Objective: Assess problems and develop effective solutions.


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.


Learning Objectives:

1.     Prioritize target behaviors for individual Stage 1 DBT sessions when clients present with multiple problems.
2.     Define problem behaviors specifically and behaviorally.
3.     Identify the critical variables influencing a problem behavior by use of chain analyses.
4.     Define and test hypotheses about problem behaviors.
5.     Explain the difference between chain and solution analyses.
6.     Conduct solution analyses.
7.     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

Lorie Ritschel, PhD

Durham, NC (United States) Dr. Ritschel received her PhD in Clinical Psychology from the University of Kansas, completed her predoctoral internship at Duke University Medical Center, and completed postdoctoral fellowships at Duke and the Emory University School of Medicine. She joined the faculty at Emory in 2008, where she founded and directed the DBT program and conducted research on depression, BPD, emotion dysregulation, Behavioral Activation, Cognitive Behavioral Therapy, and DBT. Dr. Ritschel relocated to North Carolina in 2013, where she is currently Clinical Assistant Professor of Psychiatry at the University of North Carolina at Chapel Hill. She also maintains a private practice in Durham, NC, where she directs the adolescent DBT program as well as a DBT practicum training program for graduate students. Clinically, she treats adolescents and adults and has expertise in the treatment of BPD, depression, anxiety, and PTSD. Dr. Ritschel has published numerous journal articles and book chapters, and she serves as a trainer and consultant for Behavioral Tech, LLC. She is licensed as a psychologist in the states of North Carolina and Georgia.

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Registration (Getting to the Heart of the Problem, NC)$385.00

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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.

Venue Information

Training Location:

NC State University, McKimmon Conference and Training Center
1101 Gorman Street
Raleigh, NC  27606

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 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- NC
Behavioral Tech, LLC will apply to the National Association of Social Workers, NC Chapter to receive CE Program Endorsement for this workshop. Behavioral Tech will email a letter documenting attendance to participants with 100% completion of the program. The allocated live contact hours for this activity = 12.5.