Feb 13, 2023
2023.02.13-16 Virtual Intensive Training in Prolonged Exposure Therapy for posttraumatic stress disorder for NEW and PREVIOUSLY TRAINED Staff
Main Content
Community Mental Health Association and the Michigan
Department of Health and Human Services Present:
Virtual Intensive Training in Prolonged Exposure Therapy
for posttraumatic stress disorder
for NEW and PREVIOUSLY TRAINED Staff
Must attend all 4 days:
Feb 13 – 16, 2023
9 a.m. – 5 p.m. (log in at 8:45 a.m.) EST
Presented By: Emily Malcoun, M.Div., Ph.D. and David Yusko, Psy.D.
Course Description:
This intensive workshop on how to implement Prolonged Exposure (PE) Therapy begins with instruction on the basics of all components of PE. The second half of the workshop will focus on modifications to tailor treatment procedures to the client’s response to exposure. Maintaining focus on treatment of PTSD while maintaining flexibility in adherence to the PE protocol will be emphasized. Participants will view video-taped case vignettes illustrating delivery of all PE components to individuals with chronic PTSD by experts. Participants will be given the opportunity to practice PE procedures with other attendees with feedback from faculty trainers. PE treatment manuals and supporting materials used in providing the therapy will be provided.
Who Should Attend:
This 4-day training is for both new and experienced clinicians (serving as a “refresher” training for those who have previously taken it). This training is for master’s level or above clinical staff working with Adults or Adolescents or supervising those that do.
Required Training Materials:
Detroit Wayne Integrated Health Network will provide the materials.
Registration Fee:
Detroit Wayne Integrated Health Network will assume cost.
The Michigan Department of Health and Human Services, through the Community Mental Health Association of Michigan, has provided funding for this initiative through Federal Community Mental Health Block Grant.
Course Objectives:
- Describe the diagnosis and psychopathology of PTSD
- Discuss emotional processing theory as it relates to Prolonged Exposure Therapy for PTSD
- Discuss how avoidance maintaining PTSD symptoms
- Discuss how avoidance will be addressed in Prolonged Exposure Therapy
- Discuss empirically supported, psychotherapeutic treatments for chronic PTSD
- Discuss the comparative efficacy of these treatment approaches
- Identify evidence-based tools for PTSD assessment
- Learn how to effectively administer evidence-based tools for PTSD assessment
- Describe why evidence-based self-report measures are used throughout Prolonged Exposure Therapy
- Learn inclusion and exclusion criteria for identifying an appropriate client for Prolonged Exposure Therapy
- Explain overall treatment rationale for Prolonged Exposure Therapy
- Explain in vivo exposure rationale for Prolonged Exposure Therapy
- Explain imaginal exposure rationale for Prolonged Exposure Therapy
- Explain how clients can be helped to engage their index trauma memory effectively emotionally, with the aim of reducing trauma-related symptoms and difficulties
- Explain methods for assisting clients to effectively process traumatic memories, with the aim of reducing trauma-related symptoms and difficulties
- Implement psychoeducational treatment components of Prolonged Exposure Therapy for PTSD
- Construct an in-vivo exposure hierarchy that includes a range of situations that safely and effectively promote learning while expanding the client’s world
- Implement in-vivo exposure to safe but avoided trauma reminders with patients
- Develop an understanding of the role of safety behaviors in maintaining PTSD symptoms
- Learn how to identify safety behaviors impeding habituation during exposure interventions
- Help patients choose an appropriate index trauma to focus on in Prolonged Exposure Therapy for PTSD
- Learn how to implement imaginal exposure to memories of traumatic events
- Learn strategies for assisting clients to choose hot spots with patients and implement hot spots procedures
- Identify and address various forms of avoidance presenting during PE sessions
- Learn strategies for addressing treatment resistance and homework non-compliance in Prolonged Exposure Therapy
- Identify and address over- and under-engagement in imaginal exposure
- Describe components of a final session of Prolonged Exposure therapy, including how to address relapse prevention
Training Agenda:
Feb. 13, 2023
8:45 a.m. Log into Zoom
9 a.m. - Noon Prolonged Exposure Therapy for PTSD
- Diagnosis of PTSD
- Emotional Processing Theory
Noon - 1 p.m. Lunch
1 - 3 p.m. Overview of PE Therapy
- Description of PE / Overview of Sessions 1-10
- Preparation for PE Therapy
- Assessment of Trauma-related Symptoms Prior to and During Treatment
3 - 3:15 p.m. Break
3:15 - 5 p.m. Prolonged Exposure Therapy Program
- Session 1: How to Present the PE Program to Clients
- Establishing Therapeutic Alliance
Feb. 14, 2023
8:45 a.m. Log into Zoom
9 - 10:15 a.m. Break into pairs to practice delivery of treatment overview/rationale
10:15 - 10:30 a.m. Break
10:30 - 11:15 a.m. Session 1: Trauma Interview and Breathing Retraining
Session 2: Psychoeducation
11:15 a.m. - Noon Session 2: In Vivo Exposure
- Rationale in Vivo Exposure
- Use of Subjective Units of Distress (SUDs) scale
- Construction of in Vivo hierarchy
Noon - 1 p.m. Lunch
1 - 1:45 p.m. Session 2: In Vivo Exposure
- Safety Guidelines for in Vivo exposure
- Assignment of in Vivo Homework
1:45 - 2:45 p.m. Break into pairs to practice rationale and procedure for in vivo exposure and hierarchy construction
2:45 - 3 p.m. Break
3 - 5 p.m. Session 3: Imaginal Exposure
- Rationale for imaginal exposure
- Procedure for imaginal exposure
Feb. 15, 2023
8:45 a.m. Log into Zoom
9 - 10 a.m. Imaginal Exposure Processing Anger, Guilt, and Shame
10 - 11 a.m. Break into pairs to practice delivery of imaginal exposure rationale and procedure
11 - 11:15 a.m. Break
11:15 a.m. - Noon Session 4 and 5, Therapist Self Care
Noon - 1:00 p.m. Lunch
1 – 2:15 p.m. Session 6-9: Hot Spots Procedure for Imaginal Exposure
2:15 p.m. - 2:30 p.m. Break
2:30 – 3 p.m. Session 10: Reassessing SUDs, Relapse Prevention, Post-treatment Planning
3 - 5 p.m. Factors that Impair Effective Emotional Engagement in Exposure: Avoidance
- Reluctance to do exposure, avoidance of homework, missing therapy sessions
Feb. 16, 2023
8:45 a.m. Log into Zoom
9 -10:30 a.m. Factors that Impair Effective Emotional Engagement in Exposure: Under-engagement
10:30 - 10:45 a.m. Break
10:45 a.m. - 12:30 p.m. Factors that Impair Effective Emotional Engagement in Exposure: Over-engagement
12:30 - 1:30 p.m. Lunch
1:30 - 2:15 p.m. Special Issues: Maintaining Focus on PTSD, Homework Compliance
2:15 - 2:30 p.m. Break
2:30 - 3:15 p.m. Review of Treatment/Forms
3:15 - 5 p.m. Discussion Period: Q & A
Continuing Education Requirements:
- Social Workers: This course qualifies for a maximum of 26 continuing education hours. The Community Mental Health Association is an approved provider with the Michigan Social Work Continuing Education Collaborative. Approved Provider Number: MICEC 060818.
- Staff must attend all 4 days to receive CEs and follow the virtual participation guidelines outlined on this flyer.
- Staff must arrive within five minutes of the start of the training and remain visible during the entire training.
- Staff must have their video on during the training to receive CEs.
- Certificates will be emailed to participants following the training and completion of the training evaluation.
Registration / Walk-In Policy
Registration is required. Walk-ins WILL NOT be permitted. Register to ensure your attendance.
Photo Consent
By joining us at this event, attendees consent to Detroit Wayne Integrated Health Network's Detroit Wayne Connect photographing, videotaping and using your image and likeness.
ADA Accomodations
If you have individual requirements or need special services to participate in this training, please notify Tinetra Burns at (313) 344-9099 or tburns@dwihn.org. Please make arrangements at least two weeks before the event date.