Department of Energy/Sandia National Laboratories
CE Presentation
“EAP: Remaining Relevant in a Rapidly Changing Workplace””
DOE EAP 7th Annual Training
DOE National Training Center
Albuquerque, New Mexico
May 16-17, 2018
CE Speakers:
CC Nuckols, Ph.D.
Tamara Cagney, Ed.D., CEAP
Katie Vernoy, MA, MFT
Joe Monahan, MSW, JD
Susan Vann, Ph.D.
Daniel Weinrich, Ph.D.
Description: This is an annual two-day meeting for psychologists and other mental health professionals who provide services through Employee Assistance Programs within the National Laboratories. The overall focus of the meeting is the role of the EAP clinician in enhancing workplace psychological health with specific topical areas of the current opioid epidemic and changing cannabis laws and the workplace, compassion fatigue, key ethical challenges for EAPs, intimate partner violence, and EA program updates as related to best practices care. A total of 12.0 total hours of continuing education credit is being requested for the presentation of which 3.0 hours is requested for ethics.
Learning Objectives: Following successful completion of the program the attendee with be able to:
Describe updated information and data on the current opioid epidemic with an emphasis on best practices intervention especially as related to the workplace and role of the EAP.
Behavioral Objectives:
Explain how partial agonists differ from full agonists used in opioid addiction treatment
In addition to buprenorphine, name three pharmacologic agents used in current opioid treatment and mechanisms of action
Name the three aspects of the Stages of Change Model for opioid recovery including the importance of the motivational interview, precontemplation and contemplation and the presence of a “recovery-oriented environment”
Bibliography:
Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371.
Kalivas, P. W., & Volkow, N. D. (2005). The neural basis of addiction: A pathology of motivation and choice. The American Journal of Psychiatry, 162(8), 1403-1413.
Najavits, L. M., Hyman, S. M., Ruglass, L. M., Hien, D. A., & Read, J. P. (In press). Substance use disorder and trauma. In S. Gold, J. Cook, & C. Dalenberg (Eds.), Handbook of trauma psychology. Washington, DC: American Psychological Association.
Burke CK, Peirce JM, Kidorf MS, Neubauer D, Punjabi NM, Stoller KB, et al. Sleep problems reported by patients entering opioid agonist treatment. Substance Abuse Treatment. 2008;35(3):328–33.
Describe current applicable and changing state laws associated with cannabis, including Colorado, Washington and recent developments in California along with implications for EAP response and clinical best practices especially as related to EAP work in Federal facilities.
Behavioral Objectives:
List the six components of the California task force related to employer policies for medical marijuana (e.g., employee rights, safety and compliance)
List the five main health effects of underage retail cannabis use (e.g., learning and memory, judgment, addiction potential)
List the five aspects of the policy development cycle for monitoring and management of medical marijuana
Bibliography
Houser, K. & Roscacker, R.E. (2014). High Times: A History of Marijuana Laws in the United States. International Journal of Business & Policy Administration, 11(2), 131 – 141.
Grotenhermen, F. & Russo, E. B. (Eds.). (2002). Cannabis and Cannabinoids:Pharmacology, Toxicology, and Therapeutic Potential. New York: The Haworth Press, Inc.
Goldsmith, R. S., Targino, M. C., Fanciullo, G. J., Martin, D. W., Hartenbaum, N. P., White, J. M., & et al. (2015). Medical Marijuana in the Workplace: Challenges and Management Options for Occupational Physicians. Journal of Occupational and Environmental Medicine, 57(5), 518–525. http://doi.org/10.1097/JOM.0000000000000454.
Ashton, C. H. (2001). Pharmacology and effects of cannabis: A brief view. The Journal of Psychiatry, 178 (2), 101-106.
Describe the primary features of the Sacrificial Helping Syndrome (compassion fatigue) with those in the helping professions and data associated with measurable prevention strategies.
Behavioral Objectives:
List and explain the 10 common signs of compassion fatigue with individual helpers and organizational analogue signs.
Explain the value of screening instruments, such as the ProQoL and Empath test, for use in clinical practice.
List the common personality features of helpers as identified by instruments such as the Myers-Briggs and the Big Five (e.g., intuitive, feeling, openness to experience)
Bibliography:
Barnett, M. (2007). What brings you here? An exploration of the unconscious motivations of those who choose to train and work as psychotherapists and counsellors. Psychodynamic Practice, 13(3), 257-274.
Nikcevic, A. V., Kramolisova-Advani, J., & Spada, M. M. (2007). Early Childhood Experiences and Current Emotional Distress: What Do They Tell Us About Aspiring Psychologists?. Journal of Psychology, 141(1), 25-34.
Personality Type Preferences of Social Work Students: Enhancing the Educational Process through Self-Awareness and Understanding of Personality Variables. (2006). Journal of Baccalaureate Social Work, 11(2), 1-23.
Explain core ethical dilemmas associated with EAP work including management consultations, dual relationships and fitness for duty evaluations and effective approaches for best practices interventions.
Behavioral Objectives:
Based on the case studies presented, demonstrate ethical best practices decision making utilizing the EAP core technology (especially 1,3,4 & 7) and applicable state and federal statutes.
Describe and explain the Federal Statue (42 CFR Part 2) associated with confidentiality and specific applicability to Employee Assistance settings
List the key components of the following landmark EAP cases – Oleszko v. State Comp Insurance Fund and Powell v. DeMasters v. Carilion Clinic. Be sure to include confidentiality, risk and duty to warn in the EAP setting
Bibliography:
Richmond, M. K., Pampel, F. C., Wood, R. C., & Nunes, A. P. (2017). The impact of employee assistance services on workplace outcomes: Results of a prospective, quasi-experimental study. Journal of Occupational Health Psychology, 22(2), 170-179.
Oleszko v. State Compensation Ins. Fund
243 F. 3d 1154 - Court of Appeals, 9th Circuit, 200
DeMasters v. Carilion Clinic, 796 F.3d 409, 412-13 (4th Cir. 2015)
Describe and explain the primary features of intimate partner violence and clinical presentation including demographics, consequences and special populations. Describe the societal impact and prevention and treatment strategies especially as applied to the workplace and EAP role.
Behavioral Objectives:
Describe the eight primary psychological effects of physical abuse associated with intimate partner violence
Describe five primary characteristics of abusers and of victims
List the eight common barriers to leaving
List four key therapeutic goals associated with counseling of victims of intimate partner violence
Bibliography:
Spitzberg, Brian H. 2002 . The tactical topography of stalking victimization and management. Trauma, Violence and Abuse, Vol. 3, No. 4.
National Institute of Justice and the Centers of Disease Control and Prevention, “Extent, Nature and Consequences of Intimate Partner Violence: Findings from the National Violence Against Women Survey,” (2000).
Sluka, E. 2014. Love Should Not Hurt; Letting Go of the Pain to Live in Freedom.
Crinn State. Self-copyright. Smash Word Edition.
Describe best practices EAP services as related to a fully integrated approach for optimal delivery of direct clinical care, crisis response and leadership development.
Behavioral Objectives:
Describe the five main conflict areas associated with risk assessment in EAP work (e.g., fitness for duty, psychological return to work)
Name the five primary points of collaboration (stakeholders), including human resources, legal and management and the role of the EAP with each area
List the four assessment components associated with high security EAP psychological evaluations (e.g. MMPI-2-RF, SASSI) and how used in this context
Bibliography:
Attridge, M. (2009). Employee assistance programs: A research-based primer. In J. C. Quick, C. Cooper, & M. Schbracq (Eds.), The Handbook of Work and Health Psychology (3rd ed., pp. 383–407). New York, NY: Wiley.
10 CFR Part 712: Human Reliability Program (HRP)
Richard, M.A. (2014). Employee Assistance Programs: Wellness Enhancement Programming (4th Ed.), Charles C. Thomas
The following core learning areas with be covered during the program:
Opioid Addiction: The Current Epidemic/Treatment Options/Workplace Impact
Impact of Cannabis laws on EAP practice in Federal facilities
Compassion Fatigue & the EAP Professional
Ethical Challenges: EAP, Fitness For Duty Evaluations, Security/EEO interface, Dual Relationships
Intimate Partner Violence – Workplace Impact
EAP Program Updates – best practices, crisis response and optimal services delivery – best practices, crisis response and optimal services delivery
Method and Length: The presentations will be given live via power-point at the DOE National Training Center in Albuquerque, New Mexico and will include a combination of lecture, demonstrations and small group discussion. Allowing for breaks, the requested number of CE contact hours for psychologists is 12.0 (3.0 hours ethics).
Confidentiality: Confidentiality of the material in the training will be strictly maintained. All cases reviewed will be appropriately masked and prior consent as appropriate will be obtained.
Relevance to Psychologists: This program is directly relevant to psychologists especially based on the following standards (Ethical Principles of Psychologists, 2002 with 2010 Amendments): Principle A: Beneficence & Non-maleficence; 2.01 Boundaries of Competence; 2.03 Maintaining Competence; 2.04 Bases for Scientific & Professional Judgments; Standard 1: Resolving Ethical Issues; Standard 4: Privacy & Confidentiality
SIAP is approved by the American Psychological Association to sponsor continuing education for psychologists. SIAP maintains responsibility for the program and its content.
Seventh Annual DOE EAP Training
Theme: “EAP: Remaining Relevant in a Rapidly Changing Workplace”
Wednesday May 16, 2018
8:00-9:00 – DOE Keynote and Intros - Maritza Skelton, LICSW, CEAP – DOE
9:00-10:30 – Opioid Epidemic and Using Science to Aid Recovery - CC Nuckols, PhD
10:30-10:45 - Break
10:45 – 12:30 - Opioid Epidemic and Using Science to Aid Recovery (Cont.)
12:30 – 1:15 – Lunch
1:15-1:45 – “DOE TED Talk” - Rapidly Changing Reality of Cannabis – Tamara Cagney, EdD, CEAP
1:45 – Compassion Fatigue – Sacrificial Helping Syndrome - Katie Vernoy, MA, MFT
3:00 – 3:15 Break (5-minute stretch exercise)
3:15 – 4:30 - Compassion Fatigue – Sacrificial Helping Syndrome (Cont)
Thursday May 17, 2018
8:30 – 10:00 - Ethics – Day to Day EAP Ethical Challenges - Joe Monahan JD
10:00-10:15 – Break
10:15 – Noon - Ethics – Confidentiality and Consent (Cont)
Noon – 1:00 – Lunch
1:00 – 1:45– Lab Spotlight – Idaho National Lab – Dan and/or Allison
1:45 – 2:30 Lab Roundtable – Challenges and Focus at Your Lab –
2:30 – 2:45- Break (5 minute stretch exercise)
2:45 – 4:00 – Intimate Partner Violence – Susan Vann PhD