Training & Professional
Development Programs

Applying Motivational Interviewing Techniques into Mental Health Services for PWHAs

HIV/AIDS, Mental Illness, Substance Abuse: Working with the Triply Diagnosed Client

Applying Motivational Interviewing Techniques into Mental Health Services for PWHAs

Description:

Many clients who want to make changes to their behaviors have difficulty doing so.  Other clients are ambivalent about changing behaviors that may negatively impact them.  To address this, providers need an effective and well researched approach for helping clients deal with their issues. 

This 2-day training presents Motivational Interviewing (MI) as an approach to engage PWHA clients in mental health treatment.  MI is a directive, client-centered approach and offers practical strategies and techniques especially applicable for helping ambivalent clients increase their motivation for change, or for helping clients increase their commitment to make the changes they are attempting.  Fundamental to the success of MI is using client-centered strategies to engage and support the client.  Using case studies representing diverse PWHA patient populations of all ages, participants will practice integrating these key concepts and strategies into mental health counseling and treatment by listening for and evoking self-motivational statements. 

Objectives:

• Identify ways to demonstrate the core principles of MI
• Practice expressing empathy, developing discrepancy, rolling with resistance and supporting self efficacy
• Listen for self-motivational statements from clients in role plays
• Practice evoking self motivational statements including: problem recognition; concern; intent to change; and optimism for change
• Integrate MI strategies into present skills in counseling and engagement of clients
• Practice using MI to counter resistance and avoid argumentation or confrontation when assisting clients with behavior change

Approximately 4 - 6 weeks after the training program participants will participate in a follow-up conference call to discuss successes, ongoing challenges, and ways to address challenges and build on successes.

Faculty:

Perry “Rusty” Chambliss, BA
Director of Training, Cicatelli Associates Inc.
Mr. Chambliss has over 22 years experience providing training on a wide array of topics and is recognized by the Centers for Disease Control and Prevention as a national expert on training behavior change models, such as the Transtheoretical Model of Behavior Change and Motivational Interviewing.

Joseph G. Gentile, LCSW
Clinical Social Worker, Strong Memorial Hospital
Mr. Gentile is currently the Clinical Coordinator of the HIV Mental Health Clinic at Strong Memorial Hospital in Rochester. Mr. Gentile has been employed in the Hospital’s Social Work Division since 1986, and has been providing psychotherapy services to adults for over ten years.

Maria Mezzatesta, R-LCSW
Director, FEGS/Long Island Division
Ms. Mezzatesta is the Director of FEGS' Positive SPACE, a multi-service program serving Long Islander's infected and affected by HIV/AIDS and has been employed by FEGS since 1995. Ms. Mezzatesta has more than 15 years experience working as a mental health advocate and counselor.

Sheila Ryan, LCSW, MPH
Program Director, Special Needs Clinic
Ms. Ryan is the Program Director and Psychotherapist at the Special Needs Clinic at New York Presbyterian Hospital. Ms. Ryan has over 16 years of experience in providing comprehensive mental health services for HIV-affected children and families, with expertise in substance use, trauma, educational difficulties and bereavement issues.
 

HIV/AIDS, Mental Illness, Substance Abuse:  Working with the Triply Diagnosed Client

Description:

People with HIV/AIDS (PWHA) often present with a complex array of problems-including substance use, and mental illness.  The interrelationship between HIV, mental illness, and drug use is clear, and each of these has a significant impact on the patient, and on the patient’s family and loved ones and providers of treatment and care.  It is important to ensure the providers are prepared to address these dimensions in an integrated manner to best serve the client.  The demands posed by triply diagnosed clients often exceed the clinical training and experience of the providers who are working with them, and thus they may focus only on one specific presenting condition (e.g. substance use, mental health, or HIV/AIDS).  Adding to the complexities of these problems are limited referral sources, funding, and unfamiliarity with the clients cultural and ethnic background. 

The purpose of this 2-day training is to enhance provider knowledge and skills in working with the triply diagnosed client in order to help providers devise integrated treatment plans addressing these complex needs.  HIV related cognitive deficits and other neuropsychiatric manifestations will be discussed as they relate to counseling issues and treatment planning.  Various screening tools will be reviewed, and the potential impact on the provider of working with triply diagnosed clients will be considered as well.

Objectives:

• List and describe up to three approaches considered helpful in working with triply diagnosed clients
• Define and discuss the multiple needs of the triply diagnosed client
• Discuss pros and cons of using various screening tools with clients
• Discuss implications for care coordination and comprehensive service/treatment planning
• Discuss barriers to coordinated care and ways to overcome these barriers
• Practice identifying client needs and working with triply diagnosed clients in case studies and role plays

Approximately 4 - 6 weeks after the training program participants will participate in a follow-up conference call to discuss successes, ongoing challenges, and ways to address challenges and build on successes.

Faculty:

Keran Deli, PhD, LPC
Director of Curriculum and Distance Learning, Cicatelli Associates Inc.
Dr. Deli has over 17 years experience in the field of mental health, psychological assessment, counseling, and co-occurring disorders, and over 20 years experience in providing training and TA in these areas, as well as in HIV/AIDS and substance use.

Joseph G. Gentile, LCSW
Clinical Social Worker, Strong Memorial Hospital
Mr. Gentile is currently the Clinical Coordinator of the HIV Mental Health Clinic at Strong Memorial Hospital in Rochester. Mr. Gentile has been employed in the Hospital’s Social Work Division since 1986, and has been providing psychotherapy services to adults for over ten years.

Maria Mezzatesta, R-LCSW
Director, FEGS/Long Island Division
Ms. Mezzatesta is the Director of FEGS' Positive SPACE, a multi-service program serving Long Islander's infected and affected by HIV/AIDS and has been employed by FEGS since 1995. Ms. Mezzatesta has more than 15 years experience working as a mental health advocate and counselor.

Patricia M. O’Kane, MA, RN
AIDS Specialist, Brookdale Hospital Medical Center
Ms. O’Kane has been a psychiatric nurse for 30 years with both child and adult experience. In 1988, she co-developed a hospital based outpatient HIV mental health clinic in East New York-Brownsville, Brooklyn. She continues there at Brookdale Hospital Medical Center in the Dept. of Psychiatry where she treats HIV+ adults with various emotional problems and addictions.

Sheila Ryan, LCSW, MPH
Program Director, Special Needs Clinic
Ms. Ryan is the Program Director and Psychotherapist at the Special Needs Clinic at New York Presbyterian Hospital. Ms. Ryan has over 16 years of experience in providing comprehensive mental health services for HIV-affected children and families, with expertise in substance use, trauma, educational difficulties and bereavement issues.
 

Cicatelli Associates Inc., 505 Eighth Avenue, Suite 1600, New York, NY 10018
phone: (212) 594-7741 / fax: (212) 629-3321
http://www.cicatelli.org

© Copyright 2010, Cicatelli Associates Inc.