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Don Meichenbaum — Achieving Lasting Treatment Changes for Clients with Substance Abuse...  

Achieving Lasting Treatment Changes for Clients with Substance Abuse and Co-occurring Disorders, a 2019 Cape Cod Institute workshop led by Don Meichenbaum, August 5-9, 2019

Don Meichenbaum

Achieving Lasting Treatment Changes for Clients with Substance Abuse and Co-occurring Disorders   
August 5-9, 2019

The United States is in the midst of a substance abuse epidemic, with some 72,000 individuals who have died within the last 12 months from opioid abuse. It has been estimated by the Substance Abuse and Mental Health Services Administration that 119 million people in the U.S. use some form of psychotropic drugs (44% of the population). Often, the abuse of substances is complicated by the co-occurrence of psychiatric disorders such as Complex PTSD, Anxiety, and Depressive Disorders with accompanying suicidality and interpersonal violence. Of those who receive treatment, some 75% will relapse.

This workshop will consider ways to achieve "lasting changes" in treatment through various approaches including the implementation of evidence-based, phase-oriented integrative core tasks of psychotherapy. A Case Conceptualization Model of risk and protective factors that informs both assessment and treatment decision-making will be presented. The integration of spiritually oriented interventions such as 12-step programs, and active follow through family-based and community-based procedures will be highlighted, as well as ways in which patients can employ self-empowering resilience-engendering interventions.  

A comprehensive TO DO LIST will be provided, so attendees can take home interventions that they can use immediately, both professionally and personally.

Click here for a free download of Dr. Meichenbuam’s Patient Handbook titled Recovery voices: Treatment of Individuals with Addictive Disorders.

The Nature of the Challenge

  • Incidence and impact of co-occurring Substance Abuse Disorders

  • " State of the art” treatment outcome studies 

  • How to spot “HYPE” in the field

  • How to evaluate Residential Treatment Centers

  • Assessment issues and measures: A Case Conceptualization Model of risk and protective factors

Evidence- Based Treatment Alternatives

  • Sequential, parallel, and integrative treatment options

  • How to achieve " lasting changes "

  • Focus on opioid abusers

  • Medication assisted interventions

  • Addressing issues of treatment non-adherence and patient non-compliance: A Constructive Narrative Perspective


Role of Deliberate Practice: Implementing the Core Tasks of Psychotherapy

  • Critical role of the therapeutic alliance: Use of Feedback Informed Treatment

  • Ways to enhance patient engagement: Use of motivational interviewing, psycho-education, collaborative goal-setting, attending to gender and cultural differences

  • Emotional processing therapeutic procedures

  • Skills training and building in generalization guidelines

  • Patient self-empowering procedures

  • Follow-through procedures: Developing sobriety scripts

Integrative Treatment Programs for patients with Co-Occurring Disorders

  • Focus on patients with Complex PTSD (borderline personality disorders)

  • Focus on patients with anxiety and depressive disorders 

  • Focus on patients who evidence suicidal and interpersonal aggression toward self and others

  • Ways to bolster resilience

Integrating Spiritually-oriented, Family, and Community- Based Interventions

  • 12-step programs

  • Family and community-based programs

  • Innovative ways to use computer technology

  • Review of the TO DO LIST for attendees

Donald Meichenbaum

Donald Meichenbaum

Donald Meichenbaum, PhD, is Distinguished Professor Emeritus, University of Waterloo, Ontario, Canada. He is presently Research Director of the Melissa Institute for Violence Prevention in Miami ( He is one of the founders of Cognitive Behavior Therapy and in a survey of clinicians he was voted "One of the ten most influential psychotherapists of the 20th century". For the past several years, he has consulted at various residential treatment centers and in outpatient clinics that treat patients with co-occurring disorders. He will share treatment manuals, patient worksheets and his considerable clinical experience on ways to increase the likelihood of achieving "lasting changes". He has published extensively, and his latest books include Roadmap to Resilience ( and The Evolution of Cognitive Behavior Therapy: A professional and personal journey with Don Meichenbaum.

See / Hear Don Meichenbaum

What our alumni are saying:

"Dr. Meichenbaums's mastery of CBT is preeminent (no surprise). "Feeling" his passion and enthusiasm was infectious and consistently contributed to my overall enjoyment/enthusiasm with the training."

"Don Meichenbaum was outstanding- it was such a pleasure to be in his class. He seems to truly love his work. He possesses a level of passion and depth of knowledge, that is refreshing and a breath of fresh air!"

"Dr. Meichenbaum exuded wisdom, experience and humor."

NJ Social Workers:

Social workers completing this course will receive 15 Clinical Practice continuing education credits. ASWB ACE individual course approval statements can be found here.

For all other CE information:

Please visit our CE page and search by discipline.