Walden Behavioral Care: Grand Rounds

Continuing Education (CE) Requirements

Walden Behavioral Care is proud to host a series of Grand Rounds presentations appropriate for all types of health professionals including psychologists, professional counselors, social workers, nurses, physicians and dietitians. All presentations highlighted below are free of charge and will offer 1 CE for psychologists, professional counselors, social workers and nurses; dietitians will receive a certificate of attendance. Below is more detailed information regarding the continuing education credit component of these programs.

January 1, 2017

Program Title: Healing the Wounded Spirit, Walden Behavioral Care

Presenter: Paul Kline, PhD. Paul Kline, PhD, received the MSW degree from the Boston College Graduate School of Social Work in 1981. The degree has opened many opportunities to support children and families struggling to recover from encounters with violence and other threats to psychological health and happiness including children hospitalized for severe emotional disturbance, homeless infants and their mothers, and war-affected youth. Recognizing that recovery from traumatic events often requires empathic attention to the whole person, Dr. Kline’s most recent work explores the impact of violence on spiritual well-being and the integration of spiritual care with social work practice.

Program Outline: This talk will discuss the role of spirituality in mental illness and mental health treatment as well as professional uneasiness with discussing and using spirituality in treatment settings. Dr. Kline will outline the roles of concepts like aloneness and being hated as they contribute to the development and persistence of mental health issues, and the concepts of presence, love and hope as they relate to recovery and improved mental health.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Understand how “aloneness” and other concepts can contribute to the development and maintenance of mental health conditions
  2. Identify how concepts such as presence and love can lead to improved mental health
  3. Describe the role that of spirituality in mental illness treatment

March 1, 2017

Program Title: Treating Substance Use Disorder: From Detection to Recovery, Walden Behavioral Care

Presenter: John Kelly, PhD, ABPP – Dr. Kelly is the Elizabeth R. Spallin Associate Professor of Psychiatry in Addiction Medicine at Harvard Medical School-the first endowed professor in addiction medicine at Harvard. He is also the founder and Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH), the Program Director of the Addiction Recovery Management Service (ARMS) and the Associate Director of the Center for Addiction Medicine at MGH. Dr. Kelly is a former President of the American Psychological Association (APA) Society of Addiction Psychology, and is also a Fellow of the APA and a diplomate of the American Board of Professional Psychology. He has served as a consultant to U.S. federal agencies and non-Federal institutions, and foreign governments. His clinical and research work has focused on addiction treatment and the recovery process, mechanisms of behavior change, and in reducing stigma and discrimination among individuals suffering from addiction.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Describe the terminology, nature and impact of SUD
  2. Describe evidence-based methods for screening, assessment and diagnosis of SUD
  3. Name three evidence-based strategies used to address SUD in clinical settings
  4. Identify 5 novel long-term clinical and recovery support options for SUD

March 22, 2017

Program Title: The Many Faces of Athletes with Eating Disorders, Walden Behavioral Care

Presenter: Sharon Chirban, PhD, CC-AASP – Dr. Chirban has a specialization in treating clinical eating disorders (anorexia, bulimia, BED) and partners with treatment facilities to build recovery programs that allow her patients to confront self-sabotaging behaviors that impede having a good and wholesome life. Many of her patients are elite and high level athletes and dancers, who seek her out for her specific dual specialization of treating eating disorders in this very unique population. She values the role of activity in the life of an athlete and performer and ensures that her patients and athletes include activity as part of their recovery process when medical and weight stability is in place.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Identify several primary vulnerabilities for athletes to develop eating disorders
  2. Understand the needs for athlete-specific treatment for eating disorders
  3. Use case studies to recognize vulnerabilities/risk factors in clients

April 12, 2017

Program Title: Introduction to Trauma-Informed Treatment in the Clinical Environment

Presenter: Chris Green, LICSW – is the Adolescent Trauma Specialist at the Institute for Health and Recovery (IHR) in Cambridge, MA. In this capacity, he provides training and technical assistance to adolescent substance use disorder treatment programs (residential, recovery high school, and stabilization units) to assist them in developing and maintaining a culture of trauma informed care. During his previous employment opportunities he was a founding member of the Boston Green Academy Charter High School staff in 2011 as a School Support Counselor. He was promoted to Senior Care Coordinator/Supervisor for the Eliot Community Human Services’ Community Services Agency (CSA) in Malden, MA. He had transitioned to the Eliot CSA on July 1st, 2009 from the Mental Health Services Program for Youth (MHSPY), a pioneering wraparound program developed at Neighborhood Health Plan, from 2004 to 2009. He has a diverse employment history, having worked as the Middle School Clinician at a therapeutic day school in Weston, MA (The Margaret Gifford School), an outpatient therapist (The Brookline Center), an individual clinician and group leader at Children’s Hospital’s Young Parents Program, a Family Based Services Coordinator for Communities For People in Boston, MA, a Case-Management Social Worker for the Department of Children and Families at the Dimock Street Area Office, a DCF-appointed Outreach Tracker at COMPASS, Inc., the Assistant Camp Director at Agassiz Village Summer Camp in Poland, Maine and as a Child Care Worker/Float Supervisor at the Italian Home for Children Residential Program. Chris attended the Simmons College Graduate School of Social Work’s Urban Leadership Program (Master’s in Social Work, Clinical), the University of Rhode Island (Bachelor of Arts) and Boston Latin School

Learning Objectives:

Following this presentation, participants will be able to:

  1. Participants will be able to describe the effects of trauma exposure
  2. Participants will be able to explain the relationship between trauma, substance use and mental illness as well as focusing on trauma’s impact on eating disorders
  3. Participants will be able to describe several kinds of trauma-sensitive interventions
  4. Participants will be able to perform strategies to prevent secondary trauma

May 10, 2017

Program Title: Motivational Interviewing in the Treatment of Eating Disorders, Walden Behavioral Care

Presenter: Ellen Glovsky, PhD, RD, LDN – is a Registered Dietitian and a member of the teaching faculty of Northeastern University in Boston, MA. Dr. Glovsky conducts workshops and consultations for a variety of organizations around the country on Motivational Interviewing. She is a member of the Motivational Interviewing Network of Trainers (MINT), the international professional group of MI practitioners and trainers. Dr. Glovsky maintains a private practice in which she offers treatment for eating disorders and chronic weight management issues.

Program Outline: MI is a collaborative, goal-oriented method of communication with particular attention to the language of change. It is designed to strengthen an individual’s motivation for and movement toward a specific goal by eliciting and exploring the person’s own arguments for change. MI is an effective approach to the treatment of eating disorders, in that we do not tell the patient what to do, but work in a collaborative fashion to guide the patient in articulating their own goals and values, and in making changes in behavior that line up with those goals. This presentation will elaborate on the MI approach, and describe how it is used in the treatment of eating disorders. Learning Objectives:

Learning Objectives:

Following this presentation, participants will be able to:

  1. Describe a collaborative working relationship with the patient
  2. Describe an effective initial consultation, using motivational interviewing spirit and skills;
  3. Describe the motivational interviewing spirit and basic skills used in an ongoing relationship with a patient.

September 26, 2017

Program Title: Obsessive Compulsive Disorder: A Common Denominator in Neuropsychiatric Disorders, Walden Behavioral Care

Presenter: Kevin McNaught, PhD

Program Outline: OCD is neuropsychiatric disorder that is characterize by persistent, repetitive and intrusive thoughts and actions that can have a profoundly negative impact on those who are affected. The condition, which affects 1-3% of the population, can occur alone or in combination with a wide range of brain conditions, including eating disorders.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Understand the historical emergence of OCD and current prevalence
  2. Identify the clinical characteristics and diagnosis of OCD
  3. Describe the co-occurrence of OCD with other brain conditions
  4. Describe the relationship between OCD and eating disorders
  5. Understand the etiology and pathophysiology of OCD
  6. Identify the treatment approaches to OCD

November 29, 2017

Program Title: Dealing with Pathological Ambivalence: How to be on Your Patient’s Side Without Taking a Side

Presenter: Linda Buchanan, Ph.D. is founder of Atlanta Center for Eating Disorders, an Intensive Outpatient and Day Treatment Center for individuals with eating disorders.  The center was founded in 1993 and has grown to provide treatment not only in its original location in Dunwoody but to two satellite offices in Alpharetta and Decatur.  Dr. Buchanan received her Master’s degree Georgia State University and a Diploma from the Psychological Studies Institute (now known as Richmont University) in Christian Counseling from which she received the Distinguished Alumnus Award for her work in founding ACE. Dr. Buchanan then went on to receive her Ph.D. from Georgia State University doing a residency at the Medical College of Georgia. She currently has a book in publication titled A Clinician’s Guide to Dealing with Pathological Ambivalence the content of which she has presented at multiple national conferences. She has published two chapters on her model of treatment of eating disorders which have been used as texts in a local doctoral program for Clinical Psychology students.  Additionally, she has published four research articles on the treatment of eating disorders including two outcome studies of the treatment provided at Atlanta Center for Eating Disorders.  She has been married for over 30 years and is the mother of two teenaged boys.

Program Summary: This workshop will focus on relabeling resistance to treatment as Pathological Ambivalence (PA).  Although therapists who treat eating disorders are all too aware of the ambivalence common to this population, it is often very difficult to know how to avoid getting in power struggles which naturally flow from the client’s ambivalence. PA is generally related to the narratives or schemas which individuals form throughout their life that result in the development of strong but conflicting needs and that when operating, can slow down, confuse or even halt the therapeutic process. The therapist will be most effective when utilizing skills that promote a sense of being on the client’s side without taking any side.   These skills empower the change to occur from within and minimize the likelihood that the therapist will become the target of the ambivalence, prematurely discount the client’s beliefs, unknowingly participate in the client’s previously formed scripts or perceive the client as resistant

Learning Objectives:

Following this presentation, participants will be able to:

  1. Describe resistance as Pathological Ambivalence (PA)
  2. Identify common expressions of PA
  3. Utilize strategies for sidestepping power struggles to empower clients to resolve ambivalence from within

January 24, 2018

Friends With Benefits: Exploring the Role of Gut Bacteria in Eating Disorders

Presenter: Dr. James M. Greenblatt is chief medical officer and vice president of medical services at Walden. He provides medical management, leadership and oversight of Walden’s eating disorder and psychiatric programs in Massachusetts and Connecticut. Working with thousands of children, adolescents and adults, Dr. Greenblatt found that each individual has a unique biochemical profile, range of behaviors and treatment needs. Dr. Greenblatt is board-certified in child and adult psychiatry. He received his medical degree and completed his adult psychiatry residency at George Washington University in Washington, D.C. He completed a fellowship in child and adolescent psychiatry at Johns Hopkins Medical School. In addition, Dr. Greenblatt is a clinical faculty member in the psychiatry department at Tufts Medical School as well as the Geisel School of Medicine at Dartmouth College in New Hampshire. He lectures extensively throughout the United States and Canada on integrative therapies for mental health. . Dr. Greenblatt is the author of six books including those on depression, eating disorders and ADHD. He is the author “The Breakthrough Depression Solution,” which outlines a personalized nine-step method for beating the physical causes of depression. His latest book, Finally Focused, describing integrative therapies for ADHD, will be available Spring 2017. For more information please visit www.finallyfocusedbook.com.

Program Summary: The goal of this session is to explore evidence-based research on how the gut-brain axis affects obesity and Anorexia Nervosa. An overview of the growing research on how the microbiome affects mood and behavior will be explored. Practical guidelines will be described incorporating this new research into eating disorder treatment.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Describe the current treatment model and medical complications associated with eating disorder treatment.
  2. Explain the importance of the microbiome in the clinical course of anorexia nervosa.
  3. Evaluate laboratory data and clinical symptoms in order to implement probiotics augmentation strategy and enhance treatment outcomes.

April 25, 2018

Avoidant/restrictive food intake disorder: Assessment, neurobiology, and treatment

Presenter: Dr. Jennifer Thomas is the Co-director of the Eating Disorders Clinical and Research Program at Massachusetts General Hospital, and an Associate Professor of Psychology in the Department of Psychiatry at Harvard Medical School. Dr. Thomas’s research focuses on atypical eating disorders, as described in her books Almost Anorexic: Is My (or My Loved One’s) Relationship with Food a Problem? and Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder: Children, Adolescents, and Adults. She is currently principal investigator on several studies investigating the neurobiology and treatment of avoidant/restrictive food intake disorder, funded by the U.S. National Institute of Mental Health and private foundations.  She is the author or co-author of more than 100 scientific publications. She is also the Director of Annual Meetings for the Academy for Eating Disorders and an Associate Editor for the International Journal of Eating Disorders.

Program Summary: This presentation will focus on a newly developed specialization of CBT treatment for individuals struggling with ARFID (Avoidant Restrictive Food Intake Disorder). Since its inclusion in the DSM-5, ARFID has been increasingly diagnosed and treated in clinical settings, and it has become clear that a novel treatment approach was needed. The presentation will provide an overview of ARFID and the three different categories of feeding disorders, review of current research and literature, and an overview of the new CBT-AR treatment model

Learning Objectives:

Following this presentation, participants will be able to:

  1. Describe the basic structure, goals, and session format of CBT-AR for children, adolescents, and adults with ARFID.
  2. Implement the four basic stages of CBT-AR including (1) psychoeducation and regular eating; (2) renourishment and treatment planning; (3) addressing maintaining mechanisms in each ARFID domain; and (4) relapse prevention.
  3. Tailor CBT-AR to a patient’s unique ARFID presentation by implementing optional modules (e.g., food exposure for sensory sensitivity, interoceptive exposure for low appetite, situational exposure for fear of aversive consequences) as needed.

May 2, 2018

Schizophrenia Update and Novel Approaches

Presenter: Dr. Henderson has conducted research and training programs in Bosnia, Cambodia, East Timor, Ethiopia, Haiti, Liberia, New Orleans, New York City, Rwanda and Peru, South Africa, and Somaliland among other places. His work has consisted of field studies, needs assessments, mental health policy development and strategic planning, quantitative and qualitative surveys, mental health capacity building programs for specialized and primary health professionals, and skill-transfer program evaluation. Dr. Henderson has also directed a schizophrenia research training fellowship, and mentored trainees and junior faculty who have progressed to K awards and secured other independent funding. In the United States, Dr. Henderson has conducted more than 30 randomized clinical trials in severely mentally ill populations. As the Director of the Schizophrenia Clinical and Research Program, he has conducted research in the area of the impact of antipsychotic agents on metabolic anomalies, glucose metabolism, diabetes and other metabolic disturbances in schizophrenia for the past 20 years. Dr. Henderson has conducted a series of studies examining the mechanisms, incidence of occurrence and interventions of weight, glucose and lipid metabolism associated with atypical antipsychotic drugs. These studies include several pharmacological interventions in randomized control trials.

Program Summary: Dr. Henderson will discuss the history of schizophrenia as a diagnosis, the neurobiology of the disease, and the history of psychotropic medication use to treat symptoms. He will focus on use of medication over the last decades including efficacy and decision-making around choosing certain approaches. He will elaborate on new ideas in the field with regards to medication interventions and therapeutic targets and will compare data on different interventions.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Differentiate different treatments for schizophrenia and targeted symptoms
  2. Identify genetic risks and potential new therapeutic targets
  3. Compare data on novel interventions

June 6, 2018

Benefits of the Multidisciplinary Use of Internal Family Systems in Eating Disorder Treatment

Presenter: Diana Dugan Richards is a certified Internal Family System nutrition therapist and registered, licensed dietitian in private practice since 2007 in Watertown MA. IFS, motivational interviewing and yoga therapy have informed her work throughout her 20-year nutrition career. With these modalities, she guides clients with dysfunctional and disordered eating, digestive health issues, and vegan/vegetarian lifestyles as they move through the challenges of nourishing their bodies. She has developed and facilitated many versions of her Yoga for Mindful Eating series and infuses her practice with group and private yoga, mindfulness, and a non-diet, Self-compassionate approach. Passionate about IFS, she along with two colleagues is leading Intro to IFS for Dietitians workshops around the country.

Program Summary: This presentation will offer an overview of Internal Family Systems (IFS) Therapy and its applications with individuals struggling with eating disorders. Key concepts include:

  • All parts have good intentions (even suicidal parts). They’re either trying to protect us or they hold emotional wounds.
  • In addition to parts, we’re all born with an inherent capacity to heal (Self energy) that does not need to be cultivated or resourced and is not destroyed by trauma.
  • We work compassionately with those protective parts to gain access to and ultimately heal the wounded parts by restoring connections between the exiles and the client’s Self.

Learning Objectives:

Following this presentation, participants will be able to:

  1. Describe aspects of IFS that demonstrate efficacy and effectiveness for eating disorder treatment
  2. Give an example of specific ways IFS affects clients’ responses to treatment team members
  3. Differentiate key concepts of the IFS model

June 27, 2018

Suboxone Use

Presenter: Dr. Cynthia Carter is a Board Certified Psychiatrist with a specialty in Legal Psychiatry and Addictions.  She received a Bachelor of Science from Howard University in 1984 and her degree in Medicine from University of Illinois in Chicago in 1988. She trained in Psychiatry at Yale University, graduating in 1992.  Her areas of focus at Yale were Legal Psychiatry, Community Psychiatry and Addictions.  She completed a Fellowship in Forensic Psychiatry at Case Western Reserve College of Medicine in 1993.

She has called Boston home since 1993 when she was recruited to the Massachusetts General Hospital.   She has been a staff psychiatrist at Harvard University Health Services since 2000 and joined a private practice in 2012.  Her book, “The Stress of Race Awareness:  You Can’t Tell by Looking”, is underway and she has made related presentations.  She has an interest in the ways in which racism, particularly microagressions, impact stress.

She maintains membership in multiple professional, social and civic organizations that include The Girl Friends, Inc., The Links, Inc. and Alpha Kappa Alpha Sorority, Inc.  Her membership in Jack and Jill of America, Inc. ended with her son’s graduation from high school.

She lives in Newton, Massachusetts and her son is a student at Morehouse College.

Program Summary: The opioid crisis in the US is staggering and well documented.  Suboxone and Subutex are excellent tools with proven utility in treatment of opioid addiction. This presentation will discuss risks and benefits of Suboxone use, how it is used/prescribed, the physiology of how it works, and special considerations for use.

Learning Objectives:

Participants will be able to understand:

  1. Who are good candidates for this treatment
  2. The risks and benefits of treatment
  3. The process for induction, including establishing the lowest effective dose
  4. The standard of care related to maintenance therapy
  5. The pharmacology and metabolism
  6. What medications should be used with caution, if at all, with Suboxone
  7. Safety in Pregnancy and Breast feeding
  8. How to taper off

Grievance Policy

Commonwealth Educational Seminars (CES) seeks to ensure equitable treatment of every person and to make every attempt to resolve grievances in a fair manner. Please submit a written grievance to CES, 1020 Osterville West Barnstable Rd, Marstons Mills, MA 02648. Grievances will initially be directed to the training instructor. Grievances would receive, to the best of our ability, corrective action in order to prevent further problems. If you have questions or concerns, contact Commonwealth Educational Seminars at (800) 376-3345.

Accommodations for the differently-abled

Commonwealth Educational Seminars’ training facilities are handicap accessible. Individuals needing special accommodations, please contact Walden Behavioral Care at info@waldenbehavioralcare.com.

Live and Online Seminar CE Credit Information

Commonwealth Educational Seminars is accredited by many professional organizations to offer Continuing Education credit. As state boards meet frequently and revise and/or clarify license requirements regularly, we always recommend you check with your state board for the most recent information.

Psychologists
Commonwealth Educational Seminars (CES) is approved by the American Psychological Association (APA) to sponsor continuing education for Psychologists. Commonwealth Educational Seminars maintains responsibility for these programs and their content.

Marriage and Family Therapists
Commonwealth Educational Seminars (CES) can grant continuing education credit to Marriage & Family Therapists in the following states: AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IN, IA, KS, ME, MD, MO, MT, NE, NH, NJ, NM, NC, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI AND WY.

CES maintains responsibility for these programs. In addition, CES is an approved CE provider for Florida Marriage & Family Therapists (CE Provider # 50-9633) and an approved Continuing Education Provider for Texas Marriage & Family Therapists (Provider Number 558).

Social Workers
Commonwealth Educational Seminars (CES), provider #1117 is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org through the Approval Continuing Education (ACE) Program. CES maintains responsibility for these programs. ASWB Approval period: 10/5/15-10/5/18. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Licensed Mental Health Counselors, Licensed Clinical Mental Health Counselors, Certified Professional Counselors, Licensed Professional Counselors, Associate Professional Counselors, Licensed Professional Clinical Counselors
Commonwealth Educational Seminars (CES) can grant Continuing Education credit for the above listed professions in the following states: AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, ME, MA, MO, NE, NH, NJ, NM, NC, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI and WY.

Nurses
As an APA approved provider, CES programs are accepted by the American Nurses Credentialing Center (ANCC).

These courses can be utilized by nurses to renew their certification and will be accepted by the ANCC.

Every state Board of Nursing accepts ANCC approved programs except California and Iowa, however CES is also an approved Continuing Education provider by the California Board of Registered Nursing (Provider # CEP15567) which is also accepted by the Iowa Board of Nursing.