Harm Reduction Therapy is a Proven Approach for Developing a Productive Therapeutic Alliance
Counseling individuals who have co-occurring substance use disorders is often challenging and marked by apparent resistance, denial, and drop-out. Clients are often ready to address problems such as depression and anxiety, while reluctant to change their substance use. Well-intended clinicians may find themselves creating a confrontational atmosphere, rather than one that is collaborative.
This webinar will introduce harm reduction therapy (HRT) as a proven approach for developing a more stable and productive therapeutic alliance with clients who have co-occurring substance use disorders. Participants will delve into the philosophy, techniques, and ethical considerations associated with HRT. Dr. Rotgers will conclude by using current research findings to make the case that HRT is an effective model for increasing client engagement and achieving better treatment outcomes.
Course Content
A. Defining Harm Reduction and Harm Reduction Therapy (HRT)
1. Basic principles of harm reduction
a. Pragmatic
b. Client-focused and centered
c. Collaborative
d. Any positive change
2. Three versions of harm reduction
a. Policy
b. Public health
c. Clinical
3. HRT as the clinical aspect
B. Basic Philosophy of HRT
1. Therapist does not have agenda or goals to impose
2. Fully collaborate, respectful, and client-centered
3. Nonconfrontational
4. Allows for recommendations
5. Heavy emphasis on therapeutic alliance
C. Basic Techniques of HRT
1. Motivational interviewing, especially reflective listening
2. Collaborative problem-solving
3. Therapeutic humility
D. Research Supporting HRT
1. Effect of imposing substance use goals on client retention and outcomes
2. Effect of confrontation on outcomes
3. Motivational interviewing research
E. But is it Ethical? Ethical Considerations in HRT
1. Four basic principles of bioethics
a. Beneficence
b. Nonmaleficence
c. Respect for personal autonomy
d. Justice
2. HRT’s position within these four principles
3. Working with mandated clients where abstinence is mandated
This course has been approved by , as a NAADAC Approved Education Provider, for 2 continuing education hour(s). NAADAC Provider #77600, is responsible for all aspects of their programming. Content includes elements of one of the NAADAC 8 Counselor Skills Group. Full attendance is required to receive credit, variable credit for partial attendance may not be awarded based on the NAADAC guidelines.
The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 2.0 hours of continuing education credit.
is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 2 continuing education credit(s).
is a registered counselor continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 197-000144). This program is offered for two (2) contact hour(s) of continuing education for counselors. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.
This educational offering consists of 2.0 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.
Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0027. This educational offering is acceptable for 2.0 continuing education hour(s). Full attendance is required to receive credit for Mental Health Counselors; variable credit for partial attendance may not be awarded based on the State Board guidelines.
is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for two (2) clock hour(s) of continuing education for counselors only. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.
is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This program is offered for 2 continuing education hour(s).
is an approved sponsor of continuing education for licensed professional counselors through the Texas State Board of Examiners of Professional Counselors (Provider number 2709). This course is offered for 2.0 clock hour(s).
This educational offering may qualify toward your professional development requirement. The educational offering consists of 2 clock hour(s). Use this information and your board rules and regulations to calculate professional development/continuing education credit.
The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 2.0 hours of continuing education credit.
This educational offering consists of 2.0 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.
is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 2 continuing education credit(s).
is a registered marriage and family therapist continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 168-000172). This program is offered for two (2) contact hour(s) of continuing education for marriage and family therapist. Licensed marriage and family therapist in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.
Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0020. This educational offering is acceptable for 2.0 continuing education hour(s). Full attendance is required to receive credit for Marriage and Family Therapists; variable credit for partial attendance may not be awarded based on the State Board guidelines.
is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for two (2) clock hour(s) of continuing education for counselors and marriage family therapists. Licensed counselors and marriage and family therapists in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.
is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This program is offered for 2 continuing education hour(s).
is an approved sponsor of continuing education for licensed marriage and family therapists through the Texas State Board of Examiners of Marriage and Family Therapists (Provider number 195). This course is offered for 2 clock hour(s).
This educational offering qualifies for 2 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.
is approved by the American Psychological Association to sponsor continuing education for psychologists. maintains responsibility for this program and its content. This program offers 2 CE credit(s) for psychologists. Full attendance is required to receive credit for psychologist, variable credit for partial attendance may not be awarded based on the APA guidelines.
is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program (an approved provider since 1999, approved period 1/27/2018-1/27/2021). maintains responsibility for the program. Social workers will receive 2 Clinical Social Work continuing education clock hour(s) for participating in this course. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB's website at www.aswb.org for more information. This educational offering is at the Intermediate level for social workers.
The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 2.0 hours of continuing education credit.
is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 2 continuing education credit(s).
, SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed Social Workers #0043. This educational offering is acceptable for 2 continuing education hour(s). Full attendance is required to receive credit for Social Workers; variable credit for partial attendance may not be awarded based on the State Board guidelines.
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FREDERICK ROTGERS, PsyD, ABPP, is a Licensed Psychologist and Licensed Clinical Alcohol and Drug Counselor in New Jersey. He earned his doctorate in Clinical Psychology from the Rutgers Graduate School of Applied and Professional Psychology, where he is currently an adjunct faculty member. He has been on the faculty of the Rutgers Center of Alcohol Studies and has worked in both outpatient and inpatient substance use treatment settings.
Dr. Rotgers has more than 30 years of experience in addictions research and treatment. He is the author of several books and many articles; served for seven years as the American Editor-in-Chief of the journal, Addiction Research and Theory; and has presented worldwide on cognitive behavioral treatments, moderation approaches, harm reduction, Motivational Interviewing, and co-occurring disorder treatment. Dr. Rotgers is co-developer of the Differential Substance Abuse Treatment (DSAT) Program for the State of Maine, and he co-authored two MI treatment manuals and training curricula specifically aimed at personnel working with offenders. He has trained addictions treatment providers in evidence-based approaches to substance use disorders in the states of Delaware, Maine, Minnesota, and Ohio, as well as the Philippines. Dr. Rotgers is also a consultant to the Veterans Administration's (VA) Empirically Supported Treatment Project, training VA clinicians in the implementation of a manualized cognitive-behavioral treatment for substance use disorders.
Psychologists, Psychiatric Nurse Practitioners, Counselors, Educators, Social Workers, Marriage and Family Therapists, Alcoholism and Drug Abuse Counselors
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