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ISPS-US 23rd Annual Conference | November 1-3, 2024 | University of Pittsburgh & Duquesne University | Pittsburgh, PA & Hybrid Online | Preliminary Schedule
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Saturday, November 2
 

9:45am EDT

Sanctuary and Spirituality: Holistic Approaches in Community (Virtual)
Saturday November 2, 2024 9:45am - 11:15am EDT
Sanctuary and Spirituality: Holistic Approaches in Community 2 x 45 minute sessions
  • Sanctuary in the Forest: An Australian Peer-led Respite for Post-Psychosis Integration Using a Bio-Psycho-Social-Spiritual Approach - Louisa Dent Pearce, MSW (Masters of Social Work)
  • Proposed Mechanisms for Spiritual Coping in Psychosis: A Realist Review - Ola Skudlarska, Bsc, MSW (Pending)

Sanctuary in the Forest: An Australian Peer-led Respite for Post-Psychosis Integration Using a Bio-Psycho-Social-Spiritual Approach - Louisa Dent Pearce, MSW (Masters of Social Work)
The Sanctuary in the Forest is an Australian respite model for people who have experienced psychosis, mania or non-ordinary states of consciousness. The service was inspired by the presenter’s own lived experience of psychosis, her early career in peer support, and trauma-informed models of care such as Dr Sandra Bloom’s Sanctuary Model.

Australia’s mainstream treatment for psychosis focuses on stabilisation of symptoms while often minimising or denying a person’s personal meaning and spiritual aspects of the experience, hence the healing opportunity may be truncated and the person may be left with unresolved trauma, unanswered questions, unprocessed emotions and internalised stigma.

This respite offers a post-psychosis integrative experience where participants can explore worldviews of psychosis and mania, reflect on personal meaning, share stories in conscious ways, process emotions, learn grounding skills, and reduce internalised stigma.

We use an adapted bio-psycho-social-spiritual framework, along with Intentional Peer Support, the Hearing Voices Approach, Acceptance and Commitment Therapy, somatic therapy, and grief and loss theory. We also use non-psychoactive spiritual and shamanic practices, appropriate to the participants’ worldviews.

We created a healing map called The Connected Self which invites deeper connection to six domains: self/body; nature/earth; family/friends; community/society; ancestors/guides; and God/Universe. The map can be adjusted for different worldviews and language preferences.

Our design logic uses embodied participation within the therapeutic milieu of a rainforest setting, with scaffolding activities such as discussion, teaching, story-telling, ceremony, creative arts and celebration.

Participants and peer facilitators report significant improvements in motivation, insight and confidence in personal choices and values, and a reduction of negative emotions and thoughts related to their experiences of psychosis/mania. This respite may provide a learning template for other such services or research which seeks to bridge the gap between mainstream mental health and broader cultural and spiritual views of non-ordinary states of consciousness.

Proposed Mechanisms for Spiritual Coping in Psychosis: A Realist Review - Ola Skudlarska, Bsc, MSW (Pending)
A mad realist review of the literature covering spirituality and psychosis provides a set of proposed mechanisms explaining the role of spirituality in coping with psychosis. Three mechanisms are highlighted, Spiritual Meaning Making in the form of Oneness, Spirituality Guiding Narrative Insight and Spiritual Community Building. The practical clinical and community implications and applications are discussed in order to consider a spiritually inclusive engagement with people experiencing psychosis.
Speakers
avatar for Ola Skudlarska, Bsc, MSW (Pending)

Ola Skudlarska, Bsc, MSW (Pending)

York University
Ola Skudlarska is a Masters of Social Work Student at York University whose research interests include mad-positive views of spirituality and psychosis, Jewish social justice approaches to community work, and radical harm reduction housing models. They have been working directly with... Read More →
avatar for Louisa Dent Pearce, MSW

Louisa Dent Pearce, MSW

Australian Association of Social Workers
Louisa is a Social Worker, Embodied Processing Practitioner, trainer and author. She has recovered from multiple diagnoses, including schizophrenia, gaining direct insight into psycho-spiritual distress and healing.Her career includes work as a researcher, peer worker and trainer... Read More →
Saturday November 2, 2024 9:45am - 11:15am EDT
Virtual only (Zoom)

11:30am EDT

Integrating Peer Support and Family Experience in Psychosis Care (Virtual Only)
Saturday November 2, 2024 11:30am - 12:30pm EDT
Background: Outcomes in early psychosis are greatly improved by intervening at the earliest possible point using a Coordinated Specialty Care (CSC) model that facilitates comprehensive, multi-disciplinary care for individuals who are exhibiting early signs and symptoms of psychosis. However, there is little guidance on family interventions that best compliments the care the client is receiving, and that meets the unique needs of the family, within CSC. Psychosis REACH (Recovery by Enabling Adult Carers at Home) is a Family Intervention for psychosis (FIp) that delivers psychoeducation, evidence-based Cognitive Behavioral Therapy for psychosis (CBTp)-informed skills and peer support to family caregivers in the community. This study examines family members’ qualitative experiences receiving the pREACH intervention in a CSC setting.  Method: 20 Family members, whose loved ones are receiving care in an early psychosis clinic, received training in the pREACH model, attended follow-up monthly coaching calls and peer family ambassador support for 6 months. Ten family members participated in a 45min semi-structured interview to provide feedback on the intervention. A Reflexive Thematic Analysis (RTA) was conducted using NVIVO by three team members not involved in intervention delivery.  Results: Three principal themes emerged from the RTA: (1) confidence (i.e., building internal resources), (2) connection (i.e., building external resources), (3) improvements for future cohorts. Discussion: This study is the first qualitative exploration of the integration of pREACH in an early psychosis service. Challenges and opportunities for integration will be discussed and areas for future study presented.

Oral Health Recovery: A Peer Specialist-Led Dental Education Program - Adrienne Lapidos, PhD
Introduction: The link between oral health and mental health is well established, leading advocates to declare that there is “no mental health without oral health” (Kisley, 2016). But people with psychotic disorders are subject to significant oral health disparities, driven by psychological factors; medication side-effects (chiefly xerostomia, or “dry mouth”); and social determinants of health impacting dental care utilization. This presentation will review the bidirectional relationship between mental health and oral health, and describe the results of a pilot study which implemented a Peer Specialist-led oral health education and referral program.

Methods: Community-engaged methods were utilized. Randomized parallel assignment was used to compare two arms: (1) group viewing of an oral health educational video (VC), and (2) a peer-led one-time class providing education and motivation to access dental care (Oral Health Recovery Group, OHRG). In both arms, Peer Specialists followed up with participants to facilitate scheduling dental appointments and reinforce goals. Oral health knowledge, at-home care, motivation, and appointment scheduling were ascertained. Qualitative interviews assessed barriers and facilitators.

Results: Sixty-two people participated. Participants were dentally vulnerable, with 27% reporting they had 9 teeth or less, 55% reporting their teeth caused discomfort in the past 12 months, and 48% reporting xerostomia. Pre/post-intervention survey results did not significantly improve or differ between arms. At follow-up, 25 (68%) in OHRG and 14 (56%) in VC attributed meeting a dental goal to the program. Ten (27%) in OHRG and 9 (36%) in VC attributed making a dentist appointment to the program. Participants were comfortable with Peer Specialists in this role, yet access barriers remained.

Conclusions: Surveys did not significantly improve, suggesting that more intensive interventions are needed. Nevertheless, 19 highly vulnerable people successfully scheduled dentist appointments after only a one-time class and light-touch peer navigation. Oral health integration shows promise, meriting further research.
Speakers
avatar for Katie Benitah, MSc, MA

Katie Benitah, MSc, MA

York University
Passionate about unraveling the complexities of psychology and neuroscience, I thrive in collaborative environments where teamwork and leadership drive transformative outcomes. Currently pursuing my doctoral degree, I bring a unique blend of research and clinical practice experience... Read More →
avatar for Melanie Lean

Melanie Lean

Stanford University
Melanie Lean, Clin.Psych.D. is a Californian and UK licensed clinical psychologist, Clinical Assistant Professor, and assistant director of research in the INSPIRE early psychosis clinic, Stanford University School of Medicine. She provides Cognitive Behavioral Therapy for psychosis... Read More →
avatar for Adrienne Lapidos, PhD

Adrienne Lapidos, PhD

University of Michigan
Adrienne is a licensed clinical psychologist and clinical associate professor with the University of Michigan Medical School, Department of Psychiatry. Her research focuses on innovations designed to improve access to care, especially those led by community health workers and peer... Read More →
Saturday November 2, 2024 11:30am - 12:30pm EDT
Virtual only (Zoom)

1:30pm EDT

Thinking Irremediability: Palliative Psychiatry and Mad Autonomy (Virtual Only)
Saturday November 2, 2024 1:30pm - 2:30pm EDT
Recent work within bioethics has engaged with the question of palliative care for mental illness. In particular, recent arguments for palliative psychiatry make the argument that recognition of individuals’ ability to make determinations about care can extend to giving individuals the option to choose palliative care in the face of long-standing, treatment-refractory illness.

While arguments within bioethics have engaged with the question of autonomy here, perspectives from Mad Studies have been noticeably absent in this discourse. This presentation will interrogate the question of autonomy and palliative care from the perspective of Mad Studies, asking how framing and understanding of determinations of futile care, as well as arguments for offering palliative care as a way of respecting agency, change when lived experience perspectives are centered. In so doing, it will argue that these perspectives offer vital, and previously uninterrogated, points of consideration.
Speakers
KL

Kathleen Lowenstein

Michigan State University
Kathleen Lowenstein is a doctoral candidate at Michigan State University whose research focuses on the ethics of mental health and illness, with a specific focus on schizophrenia spectrum and other psychotic disorders. She is particularly interested in integrating critical perspectives... Read More →
Saturday November 2, 2024 1:30pm - 2:30pm EDT
Virtual only (Zoom)

3:30pm EDT

Exploring Intrasubjective Landscapes (Virtual Only)
Saturday November 2, 2024 3:30pm - 4:30pm EDT
While there is new neuroscience research that validates an approach to helping individuals manage extreme states by incorporating awareness of the embodied experience with meditation and mindfulness techniques I would like to propose combining this awareness with a curriculum that also includes engaging in creative flow experiences either in the production of visual art or movement of the body. These approaches have been on the margins of the alternative psychiatry movement for years. Sculpt.Your.Mind™ —future 501(c)(3)—has designed a way to provide alternative therapeutic interventions for those experiencing extreme states and for those wanting to learn their own mind. The value of this approach is coming into the light given neuroscience and interests psychedelics. This needs only one's own mind. The founder of Sculpt.Your.Mind™ -Samantha Dorian- lead an experiential workshop at the annual conference of NSGP at Lesley University. She aims at integrating the embodied experiences of sense perception with the awareness of the here & now, i.e. bridging the meditative technique of concentration with group psychodynamics. There is a third component to this unique curriculum and that is the embodied experience of the visual components with action and production by the participant. Therefore, three aspects of engagement are: group psychodynamic, pro-social priming, meditative concentration on the felt sense of being, and finally the creative production in a state of flow. These organically ignite the prefrontal cortex while engaging the amygdala in a pro-social group experience. Potentially allowing participants to create psychic space and learn their observe their inner landscape rather than be caught by it. This freedom of expression allows for an experience of agency as well as awareness of one’s uniqueness. Stimulating neuropathic reconstructions through imagination & visual representations is nothing new, but this specific curriculum adapts these for extreme states in order to allow the brain to bloom new possibilities for positive sublimation & integration. Neural plasticity ranges from functional to structural and the possibilities for better care for this population are endless with the tools from Sculpt.Your.Mind™
Speakers
avatar for Samantha Dorian, MDiv, PsyD Candidate

Samantha Dorian, MDiv, PsyD Candidate

Boston Granduate School of Psychoanalysis
Samantha is pursuing her clinical doctorate in psychoanalysis in order to help individuals suffering from extreme states such as psychosis and "schizophrenia".  She is a meditation practitioner in the Vipassana tradition as well and a meditation instructor. Her interests in alternative... Read More →
Saturday November 2, 2024 3:30pm - 4:30pm EDT
Virtual only (Zoom)

5:30pm EDT

The Report on Improving Mental Health Outcome (Virtual Only)
Saturday November 2, 2024 5:30pm - 6:30pm EDT
In September of 2023, James B. (Jim) Gottstein, Esq.; Peter C. Gøtzsche, MD; David Cohen, PhD; Chuck Ruby, PhD; and Faith Myers, published the Report on Mental Health Outcomes (Report).  See, https://psychrights.org/ReportOnImprovingMentalHealthOutcomes.pdf.  The Report documents that the current Mental Health System is reducing recovery rates for people who experience psychosis from a possible 80% to 5% and reducing life spans by 20-25 years.  This is primarily due to the over-reliance on drugs, but also from forcing unwanted psychiatric interventions on people which, incidentally, is a violation of International law.

The Report also documents non-coercive, humane approaches that should be used instead of the drugs and force, such as Open Dialogue, Psychotherapy, Peer-Respites, Soteria-Houses, Drug-Free Hospitals, Housing First, Employment, Warm Lines, Hearing Voices Network, Non-Police Community Response Teams, and emotional CPR (eCPR).

The Report was written specifically for policy makers and potential funders, with hyperlinks to the 12 pages of references. James B. (Jim) Gottstein, Esq., the lead author of the Report, will present its findings and invite discussion, including how to bring the Report's recommendations to fruition.


Speakers
avatar for James B. (Jim) Gottstein, Esq.

James B. (Jim) Gottstein, Esq.

Law Project for Psychiatric Rights (PsychRights)
Jim Gottstein is an Alaska-based lawyer, now living on Maui, who founded the Law Project for Psychiatric Rights (PsychRights) whose mission is to mount a strategic litigation campaign against forced psychiatric drugging and electroshock.  He won five Alaska Supreme Court appeals... Read More →
Saturday November 2, 2024 5:30pm - 6:30pm EDT
Virtual only (Zoom)
 
Sunday, November 3
 

9:45am EST

Supporting Students with Extreme Experiences (Virtual Only)
Sunday November 3, 2024 9:45am - 10:30am EST
In this presentation, mental health professionals, caregivers, friends, and nonclinical professionals will be given a practical and principled approach to supporting college students, in a college setting, with extreme experiences. It will convey best practices in the form of a framework, the SUCCESS framework, to help health professionals, friends, and caregivers to feel empathetic and skillful in the instances where folks have these extreme experiences. In addition to the SUCCESS framework, presenter will review: challenges that folks with extreme experiences face on college campuses, prevalence information, resources, ethical considerations, and treatment approaches for this population.
Speakers
avatar for Olivia Wills, LCSW

Olivia Wills, LCSW

Therapist, University of Southern California
Olivia Wills, MSW, LCSW, (she/her) received her Master of Social Work from the University of Chicago, her undergraduate degree from Princeton University. Her professional interests include supporting college students with extreme experiences, Compassion Focused Therapy for Psychosis... Read More →
Sunday November 3, 2024 9:45am - 10:30am EST
Virtual only (Zoom)

11:30am EST

Systemic Reforms for Sustainable Change in Psychosis Care: The Crucial Role of DRG 885 (Virtual Only)
Sunday November 3, 2024 11:30am - 12:30pm EST
Diagnosis-Related Group 885 (DRG 885) is significant and pivotal in the healthcare system, particularly for classifying inpatient hospital cases involving psychosis. The causation for psychosis can range from being sleep deprived, a mental health misdiagnosis to a physical injury that manifests symptoms related to mental health As a component of the Medicare Severity-Diagnosis Related Group (MS-DRG) system, DRG 885 is extensively relied upon and utilized for billing and reimbursement. This ensures hospitals are compensated. Medicare and Medicaid are major payers for hospital services in the United States of America. As one with lived experience, a psychosis diagnosis is a gateway that leads to inpatient psychiatric care, whether needed or not. DRG 885 remains a leading cause of psychiatric admissions, underscoring its importance in the prospective payment and healthcare reimbursement landscape in psychiatric care. This is problematic, as it can create systemic fraud through the overuse of psychosis, shifting patient-centered care to a medical mode conflated payer-centered model. DRG 885 is an overused classification, reflecting the high prevalence of inpatient admissions for psychosis. It plays a crucial role in clinical reporting and analysis enabling healthcare organizations to monitor the quality of care, manage resource allocation, and improve clinical outcomes. Hospitals track DRG codes to analyze trends and enhance the efficiency of psychiatric services, and used to manipulate the judicial system. Medicare & Medicaid data consistently show DRG 885 among the top four used DRGs. In 2008, DRG 885 was recodified from the longstanding psychosis DRG 430 in use since 1983. Over the past 20-years psychosis remains in the top four for hospitalizations, demonstrating excessive use and the need for system reform. In conclusion, DRG 885 is essential for funding inpatient psychiatric care, whether needed or not. The widespread excessive use of psychosis signifies the substantial need for comprehensive system reform.
Speakers
avatar for Carolyn Green, BS

Carolyn Green, BS

BS, Environmental Science, Education minor, University of Washington
Carolyn Green holds a Bachelor of Science in Environmental Science, with a minor in Education, from the University of Washington. Carolyn is a Healthcare Solutionist, author, speaker, and an inventor.
Sunday November 3, 2024 11:30am - 12:30pm EST
Virtual only (Zoom)

1:30pm EST

Integrating Psychoanalytic Theory (Virtual Only)
Sunday November 3, 2024 1:30pm - 3:00pm EST
Integrating Psychoanalytic Theory - 2 x 45 minute sessions
  • Archetypes of Home and Homelessness: Social Displacement,  Alteric Spaces, and the Trauma of the Unhoused - Claude Barbre, MDiv, PhD, LP
  • Alfred Adler's Understanding of Extreme States - Thomas Federn, MDiv, MS

Archetypes of Home and Homelessness: Social Displacement,  Alteric Spaces, and the Trauma of the Unhoused - Claude Barbre, MDiv, PhD, LP
Archetypes are often defined as universal, inherited ideas, patterns of thought, or images that are present in the collective unconscious of all human beings—literal, symbolic, and psychic. In essence, archetypes are the deepest paradigms of psychic functions, reflecting the perspective we have of ourselves and the world. As James Hillman notes, “all ways of speaking of archetypes are translations from one metaphor to another… and these perspectives offer the advantage of organizing into clusters of constellations a host of metaphors and events from different areas of life” (Hillman, 1989). In this presentation we will explore the archetypes of home and homelessness, and the social complexes that occur in response to these collective primordial images. The archetype of home as a container, or a place to which one can belong, also suggests a “narrative reality” (Hill, 2010) that describes how we attach to a place, a person, an object, a nation, a group, a culture or an ideal” (Bright, 2014). As Bright notes, “home is a word weighted with affect and associated with rootedness, attachment, belonging, shelter, refuge, comfort, and identity” (Bright, 2014). Conversely, a severed connection to home creates emotional and psychological implications. Homelessness symbolizes a state of disconnection, both externally and internally. As Lee says, “Homelessness ranges from temporarily unsheltered individuals between jobs or homes to chronically unhoused individuals who spend years without stable housing” (Lee, 2023) Hence, traumatic and psychological distress (e.g. Enreiss, or “tears in the psyche”) accompany conditions of homelessness, as found in the etymological meaning of the word “uncanny” that literally means “homelessness at home.” In this presentation we will explore the psychological and spiritual implications of home and homelessness, particularly the archetypal images of the Outcast, Stranger, and Scapegoat that reflect the power of personified images of alteric spaces and homelessness.

Alfred Adler's Understanding of Extreme States - Thomas Federn, MDiv, MS
Alfred Adler (1870 to1937) was one of the first four individuals to meet regularly with Sigmund Freud to discuss Freud’s ideas. These meetings began in 1902. Eventually, in 1911, because he disagreed with too many of them for comfort, he and some likeminded fellow members left what by then had become the Vienna Psychoanalytic Society and founded what became known as the second of the three psychological schools of Vienna, the Society for Individual Psychology. Like those of Freud, Adler’s ideas ended up being disseminated throughout the entire world.

Adler believed that all the emotional difficulties of a person stemmed from feelings of inferiority acquired during early childhood. In order to compensate for these at times devastating negative feelings, a person engaged in what Adler called “masculine protest,“ a socioeconomic term which refers to the unfortunately still very prevalent inferior position of women in society. Adler believed that the goal of all psychotherapy was to help the individual overcome their need to be superior to others and to replace this need with a sense of community that involved a feeling of self-worth grounded in belonging to one’s own family and community. In order to achieve this end psychotherapy needed the help of both of these to motivate the person to abandon their “masculine protest” against their feelings of inferiority. Last but certainly not least, Adler believed that the individual was not just an aggregate of individual mental and emotional actions but a unified whole. Hence the name of the school of individual psychology.

My presentation will be comprised of three parts. First a brief one, placing Adler in his historical context. Then a longer summary of his basic ideas and finally then an even longer description of how to apply these ideas when one assists persons experiencing extreme states.

Speakers
TF

Thomas Federn, MDiv, MS

I was born in 1950.  Both of my parents were Holocaust survivors.  My father spent seven years in two Nazi concentration camps, while my mother was persecuted in her native Austria because of her Jewish roots.  I was married in 1979.  My wife and I have one son, born in 1984 and... Read More →
avatar for Claude Barbre, MDiv, PhD, LP

Claude Barbre, MDiv, PhD, LP

The Chicago School and the Chicago Center for Psychoanalysis
Claude Barbre, M.S., M.Div., Ph.D., L.P., is Distinguished Full Professor, Clinical Psychology Psy.D. Department, The Chicago School of Professional Psychology. Dr. Barbre is Course Lead Coordinator of the Psychodynamic Orientation at The Chicago School, a faculty member of the Child... Read More →
Sunday November 3, 2024 1:30pm - 3:00pm EST
Virtual only (Zoom)
 
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New Beginnings: Reimagining Psychosis Services & Systems in the US
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