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ForwardEvidence Based Therapy for PTSD: Cognitive Processing Therapy Virtual Workshop January 12, 2021
Home Base will be offering a training opportunity for mental health clinicians, licensed in Massachusetts, interested in learning and implementing Cognitive Processing Therapy (CPT). CPT is an evidence-based cognitive-behavioral treatment for PTSD. The training program will include a 4-day virtual workshop and weekly group consultation for the subsequent 6 months to workshop participants. The first day of the workshop will consist of training in military culture, co-occurring substance use disorders, and assessment of PTSD. Participants are expected to do role-plays in class to practice CPT techniques, and must attend all 4 days of the virtual training.
Consultation consists of a weekly, 1 hour group call led by two Home Base CPT trained therapists to support newly trained clinicians in implementing the CPT treatment protocol in clinical practice. Research demonstrates that consultation is strongly correlated with implementation in clinical practice.
Target Audience
This program is intended for psychiatrists, psychologists, social workers, and licensed mental health counselors.
Learning Objectives
- Explain the unique aspects of military culture and how they affect veteran mental health
- Demonstrate ability to engage a veteran or service member about the impact of the deployment cycle on mental health
- Discuss recommended structured interview-based PTSD assessments to determine clients appropriate for CPT
- Discuss how to define a trauma and what constitutes a criterion A traumatic event
- Explain self-report PTSD assessment tools to monitor treatment outcomes
- Describe the inclusion and exclusion criteria for CPT
- Describe symptoms of PTSD through the lens of CPT theory.
- Explain the evidence base that supports the use of CPT in treating PTSD and its common comorbidities
- List pre-treatment barriers to engagement and strategies to overcome them
- Describe the differences between CPT and CPT+A
- Use the session-by-session CPT protocol
- Explain how to utilize Socratic Questioning to identify problematic beliefs about trauma
- Recite the definition of stuck points and name examples that are common in PTSD
- List the five themes explored in CPT
- Identify common challenges to implementing CPT and strategies for overcoming them
- Describe treatment-interfering behaviors to improve the efficacy of CPT
- Describe consultation requirements and process of participating in consultation
- Explain the necessary components to providing CPT using telehealth.
- Use Strong Star’s online portal of CPT handouts, tutorials, and resources to support delivery of CPT to patients.
Speakers for the 4 days: Louis Chow, PhD and Lauren Richards-Donegan, PhD
DAY 1 Tuesday 10am-4:00pm
10:00-10:15 Welcome and Introductions
10:15-11:00 Overview of Military Culture
11:00-11:15 Break
11:15-12:00 Review of PTSD Assessment
12:00-1:00 LUNCH
1:00-1:30 PTSD and comorbid substance use disorder
1:30-2:45 CPT Overview
Therapy Outcomes
2:45-3:00 Break (complete Surveys)
3:00-4:00 Symptoms of PTSD and Theory Underlying CPT
Pretreatment and Recommended Assessment
DAY 2 Wednesday 10am-4:00pm
10:00-11:00 Session 1
11:00-12:15 Session 1 (continued)
1) Structuring Sessions
2) Symptoms and Rationale
3) Types of Emotions (natural and manufactured)
4) Selecting Index Trauma
5) Stuck Points Handout
6) Overview of Treatment
7) Assign the Impact Statement
12:15-1:15: LUNCH
1:15-2:45 Session 2
1) Read and Process the Impact Statement
2) Introduce the ABC Worksheet
Session 3
1) Review ABC Worksheets
2) Introduction to Socratic questioning
3) Role-Play re: ABC Worksheets
4) Reassign ABC Worksheets
2:45-3:00 BREAK
3:00-4:00 Session 4
1) Review ABC Worksheets
2)Principles of Socratic Dialogue
4:00 Adjourn
DAY 3 Thursday 10:00-3:45
10:00-11:15 Principles of Socratic Dialogue Cont’d
Role play socratic dialogue
11:15-12:30 Session 4 continued
1) Assign Challenging Questions Worksheet
Session 5
1) Review Challenging Questions Worksheet (CQW)
2) Role-Play re: CQW
12:30-1:30 LUNCH
1:30-2:45 Assign Patterns of Problematic Thinking Worksheet
Session 6
1) Review Patterns of Problematic Thinking Worksheet
2) Assign Challenging Beliefs Worksheets (CBW)
2:45-3:00 BREAK
3:00-4:00 Session 7
1) Review CBW
2) Introduce Safety Module
3) Assign CBW and Safety Module
4:00 Adjourn
DAY 4 Friday 10-4:00
10:00-11:30 Final 5 Sessions
Session 8: Safety
Session 9: Trust
Session 10: Power and Control
1) New assignments to give and receive compliments and schedule pleasant events
Session 11: Esteem
Session 12
1) Intimacy
2) Final Impact Statement
3) Review and Goals
11:30-12:00 Consultation Expectations/Strong Star
12:00-1:00 LUNCH
1:00-2:00 CPTA with Written Accounts (CPT+A)
1) Overview
2) Factors that influence the choice
3) Rationale for trauma processing
4) Session differences
2:00-2:15 BREAK
2:15-4:00 Material Review
Louis Chow, PhD
Lauren Richards-Donegan, PhD
Available Credit
- 18.75 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.
McLean Hospital designates this Enduring activity for a maximum of 18.75 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 18.75 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 18.75 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 18.75 LMHC
MaMHCA, and its agent, MMCEP has been designated by the Board of Allied Mental Health and Human Service Professions to approve sponsors of continuing education for licensed mental health counselors in the Commonwealth of Massachusetts for licensure renewal, in accordance with the requirements of 262 CMR 18.75.
This program has been approved for 18.75 CE credit for Licensed Mental Health Counselors MaMHCA.
Authorization number: PENDING
- 18.75 Social Workers
The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers
This program has been approved for 18.75 Social Work Continuing Education hours for relicensure, in accordance with 258 CMR. Collaborative of NASW and the Boston College and Simmons Schools of Social Work Authorization Number D 90169-1
- 18.75 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 18.75 Psychologists CE Credit
The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.
This offering meets the criteria for 18.75 Continuing Education (CE) credits per presentation for psychologists.
Planners
David H. Rubin, MD, reviewer
Jane Pimental, MPH
Susan E. Sprich, PhD, psychologist reviewerLouis Chow, PhD
Lauren Richards-Donegan, PhD
Disclosure Information
In accord with the disclosure policy of McLean Hospital as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:
Commercial Interest
The ACCME defines a “commercial interest” as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit www.accme.org.
Financial relationships
Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.
Relevant financial relationships
ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines “’relevant’ financial relationships” as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.
Conflict of Interest
Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.
The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:
Susan Sprich, PhD
Royalties (Co-Author): Oxford University Press
Royalties (Co-Edited Book): Springer
Honoraria (Associate Editor): Association for Behavioral and Cognitive Therapies (ABCT)
All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.
Hardware/Software Specifications
This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher
Minimum Requirements
Windows PC:500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit