I’m happy to be back at the Minnesota Sheriffs’ Association annual Correctional Health Division Conference. This year, I’m presenting on withdrawal management and disease-modifying medications.
Many thanks for Holly Compo and the organizing committee for including me in this event! ✸
About 20 years ago, I ran across this in an essay by C.S. Lewis:
Every age has its own outlook. It is specially good at seeing certain truths and specially liable to make certain mistakes. We all, therefore, need the books that will correct the characteristic mistakes of our own period. And that means the old books.*
Lewis argued, “I do not wish the ordinary reader to read no modern books. But if he must read only the new or only the old, I would advise him to read the old.” He also offered this suggestion: “It is a good rule, after reading a new book, never to allow yourself another new one till you have read an old one in between.”
My reading habits immediately changed. I started reading old books—in many cases, very old books.
And so it is that we will be considering Richard R. Peabody’s The Common Sense of Drinking, which was published in 1931, at an upcoming residential recovery retreat at Hazelden Betty Ford’s Dan Anderson Renewal Center. The book contains ideas and phrases that were later popularized by Alcoholics Anonymous such as “once a drunkard always a drunkard” and “halfway measures are of no avail.”†
Many thanks to Kim Albers and Peg Schroeder for inviting me back!
* C.S. Lewis. Undeceptions. London: Geoffrey Bles, 1971, p. 161–166.
† The first edition of the Big Book appeared in 1939.
It’s great to be back at the MARRCH Annual Conference & Expo after a several year hiatus. This year, I’ll be speaking on tailoring treatment using the transtheoretical model (26 October, 12:30 p.m.). You can find my PowerPoint here.
The transtheoretical model is seemingly central to addiction treatment, but do we effectively use it?
I’ll tackle these questions and much more. ✸
It was great to gather again for the Minnesota Sheriffs’ Association’s annual Correctional Health Division conference. This year, I presented on non-psychiatric (“medical”) malingering. Here’s my PowerPoint:
We could perhaps tackle psychiatric malingering next year (hint, hint). In some ways, this is easier to deal with as presentations seldom require urgent off-site transport. Standardized tests also make determinations more secure.
Many thanks to Holly Compo, Tom Wells and Randy Willis for inviting me to participate, and for onsite support. ✸
Last weekend, I lead a residential wellbeing retreat at the Dan Anderson Renewal Center on the Center City, Minn., campus of the Hazelden Betty Ford Foundation. We examined the origin and nature of suffering, and some potential solutions.
We used David Foster Wallace’s This Is Water as our core text. Here are my PowerPoints that explore some related ideas:
Many thanks to Paul Anderson for inviting me to lead the retreat. And a huge thanks to Peg Schroeder for assistance with planning and onsite support.
Based on positive evaluations, it seems likely that we will offer the retreat again to all comers (not just health professionals). ✸
No, not *that* kind of mask! I’m thinking about the airline safety announcement. It’s a great metaphor for health professionals—it’s hard to help others when we’re struggling ourselves.
Please join me for a weekend retreat at Hazelden Betty Ford Foundation’s aptly named Renewal Center, located on its beautiful Center City, Minn., campus. I’ll be bringing together a decade of work on burnout, resilience and wellbeing, with a big emphasis on acquiring new self-care skills.
Anyone working in healthcare welcome. And, yes, Hazelden Betty Foundation is known for addiction treatment—but you don’t need to have a personal history of addiction to attend the retreat. ✸
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Postscript. The retreat’s title—This Is Water—is a riff on a small but profound book by David Foster Wallace.
I’m privileged to serve as faculty for another season of Hazelden Betty Ford Foundation’s Summer Institute for Medical Students (SIMS). This page contains links to my teaching materials and some additional resources.
Many thanks to Kari Caldwell for involving me in SIMS and also the Professionals in Residence (PIR) program! ✸
PowerPoints
Screening, Brief Intervention & Referral to Treatment (v. 05/11/2022)
Motivational Interviewing Skills Session (v. 11/09/2022)
Key Readings [Mindy & Kari will provide copies]
Alcohol Use Disorder (textbook chapter)
Taboo Topics in Addiction Treatment: An Empirical Review of Clinical Folklore (J Subst Abuse Treat 1993;10(3):303-16. PMID: 8315704)
The 10 Most Important Things Known About Addiction (Addiction 2010;105(1):6-13. PMID: 19712126)
Patient Assessment
The ASAM Criteria Assessment Interview Guideline (Adult)
Tailoring Treatment (transtheoretical model)
Patient Resources
DBT Skills Training Handouts and Worksheets (see: Chain Analysis of Problem Behavior, p. 31)
Motivational Interviewing Workbook
REBT Pocket Companion for Clients
Rethinking Drinking (consumer health website)
Tips for Cutting Down on Drinking
I’ve long advised medical students and residents to acquire some psychotherapy skills, regardless of their eventual specialty. Motivational interviewing (MI) and cognitive behavioral therapy (CBT) are relatively easy to learn and have broad clinical utility.
Some MI resources include:
In terms of CBT, I highly recommend the professional trainings at the Albert Ellis Institute, starting with the primary certificate practicum. Some other resources include:
I’m looking forward to presenting at the Minnesota Sheriffs’ Association’s Correctional Health Division Conference on October 13th. I’ll be discussing the use of clinical decision rules in assessing inmates for chest pain, head injuries and other high-risk presentations. You can find my PowerPoint here.
My title is a riff on the National Early Warning Score (NEWS), which has good negative predictive for really bad stuff like cardiac arrest, ICU admissions and death. I previously wrote about it for Today’s Hospitalist (and PDF version here).
Many thanks to Heather Qunell and the other conference organizers for inviting me to participate! ✸
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Postscript [10/18/2021]. Here’s a PDF of the final program.
I recently contributed a “lunch and learn” to PreferredOne’s annual health fair. We talked about some key topics related to behavioral change, including process thinking, end-gaining, means-whereby and indirect methods. Please see my PowerPoint for more.
The health dimension is a 30-day challenge based on Tom Rath’s Eat Move Sleep (book) and companion website. I encouraged the audience to make some small choices that could lead to big changes in both their quality and quantity of life.
Many thanks to Donna Larson, Shelley Markve, Susan Bernstein and PreferredOne’s Wellbeing Committee for pulling together the event and making the book available to employees. ✸
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Postscript [10/07/2021]. Nell Hurley brought my attention to James Clear’s Atomic Habits (book). Looks like fantastic read that syncs of up with Rath’s work. BTW, Nell was recently featured in a Star Tribune article on the contemporary sober movement.
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Postscript [10/10/2021]. For those intrigued by the Alexander Technique, I suggest booking a few lessons with Brian McCullough or another qualified teacher in your area.
I’m privileged to serve as faculty for another year of Hazelden Betty Ford’s Summer Institute for Medical Students (SIMS). Here are my PowerPoints and some additional resources.
Many thanks to Kari Caldwell for involving me in SIMS and also the Professionals in Residence (PIR) program! ✸
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Postscript [07/30/2021]. I’ve long advised medical students and residents to acquire some psychotherapy skills, regardless of their eventual specialty. Motivational interviewing (MI) and cognitive behavioral therapy (CBT) are relatively easy to learn and have broad clinical utility.
Some MI resources include:
In terms of CBT, I highly recommend the professional trainings at the Albert Ellis Institute, starting with the primary certificate practicum. Some other resources include: