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New Evidence for Non-Pharmacological Treatment
Recorded: Thursday, September 29, 2022 - Saturday, October 1, 2022
On-Demand Session
Overview
This 1-hour, 45-minute, on-demand session from the 2022 ASAM State of the Art Course examines research on Cognitive Behavioral Therapy for Insomnia (CBT.i), Alcoholics Anonymous (AA) and clinician-facilitated AA (Twelve-Step Facilitation, TSF), the Common Elements Treatment Approach (CETA), and Contingency Management (CM). Presentations will provide essential information for clinicians working in non-specialty settings who may wish to utilize proven strategies.
In addition to pharmacological treatment, addiction providers should have a robust toolbelt of non-pharmacological treatment approaches. Presentations in This 1-hour, 45-minute, on-demand session from the 2022 ASAM State of the Art Course examines research on Cognitive Behavioral Therapy for Insomnia (CBT.i), Alcoholics Anonymous (AA) and clinician-facilitated AA (Twelve-Step Facilitation, TSF), the Common Elements Treatment Approach (CETA), and Contingency Management (CM). Presentations will provide essential information for clinicians working in non-specialty settings
who have little knowledge of, or experience with these non-pharmacological approaches but who may wish to utilize proven strategies. Following the session, a moderated panel discussion among the presenters answers audience questions.
This session is comprised of 4 presentations that deep dive into different aspects of the overall topic.
- The Role of Sleep Treatment in Addiction Medicine
The average human adult will spend one-third of their life asleep. It is essential for human health. Yet 1 in 3 to 4 adults in the United States will experience insomnia at some point in their lives, and rates are even higher among those who drink alcohol. This session reviews multidimensional conceptualizations of sleep health, the prevalence of sleep disorders across the spectrum of Alcohol Use Disorder, and the feasibility and efficacy of insomnia treatment in reducing alcohol use outcomes. - Twelve Step Facilitation: An Update
Twelve Step Facilitation (TSF) is an evidence based treatment developed in the early 90's, which developed methods for clinicians to utilize to help patients to attend and benefit from attending 12 Step meetings ( specifically Alcoholics Anonymous (AA) - but can be used for other Anonymous programs). Just as a clinician might utilize Motivational Interviewing or CBT strategies within a session, A recent Cochrane review concluded that TSF was just as effective as these interventions, and in fact more effective in patients attaining abstinence from substances. There are over 60,000 AA groups a week in the USA. This presentation will demonstrate a few simple and brief methods for TSF which can be easily incorporated into clinicians sessions. - The CETA System of Care: An Innovative Way to Improve Behavioral/Mental Health Care
The Common Elements System of Care Approach (www.cetaglobal.org) is an innovative approach to solving some of the challenges within mental and behavioral health care, such as long wait lists, frequent referrals, long treatment time, and ineffective care. It incorporates evidence-based assessment and triage, a range of clinical services, and monitoring and evaluation. It is designed to address comorbidity (inclusive of substance use and interpersonal violence), a wide range of severities, and work across the lifespan. This presentation will present evidence for the effectiveness of the CETA system, as well as walk through why mental/behavioral health needs innovation and change to progress. - Update on Contingency Management Research and Practice
The rise of methamphetamine use across the US and the recent regulatory changes by the federal government have led to increased interest in contingency management. Further, research advances include increased evidence for contingency management as an intervention for alcohol use disorder, demonstrations that adapted versions of contingency management are effective for minorities groups, as well as initial research on the science of dissemination and implementation of the intervention in practice settings. This talk will provide an overview of contingency management, recent advancements in contingency management research, and federal policy changes that for the first time provide clear guidance on how contingency management can be used to treat substance use disorders with Medicaid and Medicare enrollees.
These sessions are intended for experienced learners and are taught an intermediate or advanced level. The target audience includes:
- Addiction medicine specialists who are interested in the latest research in the field and its translation to clinical practice
- Physicians and other healthcare professionals who treat patients with addiction and seek an advanced level of knowledge
- Scientists, researchers, public health officials and advocates dedicated to the field of addiction medicine
This conference addresses all 6 ACGME Competencies.
Learning Objectives
At the end of the course, learners should be able to:
- Discuss the important, new, scientific breakthroughs in the prevention, diagnosis, and treatment of addiction.
- Critically evaluate new science and describe how it changes the current understanding of addiction and co-occurring medical or psychiatric disorders.
- Develop practical applications for integrating new and emerging science into practice.
- Identify gaps in the field of addiction medicine that future research can address.
- Create a network of colleagues and resources to support the learner's practice or form future research collaborations.
Registration Rates
| ASAM Learner Type | Rate |
| ASAM Member | $29 |
| Non-Member | $39 |
| Associate Member | $19 |
| Resident Member* | $19 |
| Student Member* | $19 |
*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Membership Question? Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.
Refunds & Cancellations
All ASAM eLearning Center refund requests must be made in writing to Education@ASAM.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or eLearning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.
Registration Deadline: 10/1/2025
Instructions
- Click on the Contents tab to begin this activity.
- Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
- Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.
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Michael Fingerhood, MD FACP DFASAM (Moderator)
Associate Professor of Medicine and Public Health
Johns Hopkins University
Dr. Michael Fingerhood is an Associate Professor of Medicine and Public Health at the Johns Hopkins University. He is the Chief of the Division of Chemical Dependence and medical director of the Comprehensive Care Practice (CCP) at Johns Hopkins Bayview Medical Center. The CCP integrates substance use disorder treatment with primary medical care, including care for HIV and hepatitis C.
No Relevant Financial Disclosures
Mary Miller, PhD
Assistant Professor
University of Missouri
Mary Beth Miller, Ph.D. is a clinical psychologist and Assistant Professor at the University of Missouri. Her research aims to enhance understanding of the etiology of substance use disorders in order to improve the effectiveness and efficiency of treatment. She is particularly interested in the interplay of substance use and sleep disorders and the process by which personalized feedback on one’s health and behaviors may facilitate behavior change. Current research in her lab focuses on insomnia treatment as a mechanism for improvement in alcohol use disorders.
No Relevant Financial Disclosures
Richard K. Ries
MD, DFASAM
Richard K. Ries, MD, is Professor of Psychiatry, and Director of the Addictions Division in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine in Seattle, Washington and Director of the Addiction Treatment services at Harborview Medical Center in downtown Seattle. Dr. Ries received his undergraduate degree from Stanford, medical degree from Northwestern Medical School and completed his psychiatric residency at the University of Washington, Seattle, where he was Chief Resident.
Dr. Ries is board-certified in Psychiatry by the American Board of Psychiatry and Neurology with Added Qualifications in Addiction Psychiatry, and the American Board of Addiction Medicine. A Distinguished Fellow of the American Psychiatric Association and a Fellow of the American Society of Addiction Medicine, he is on the editorial board and a reviewer for several scientific journals and holds a number of research grants from the National Institute of Health.
He has published numerous articles and abstracts on topics related to treatment of persons with severe mental illness, with special emphasis on those with co-existing problems with alcohol or drugs, and was the chair and co-chair of TIPS 9 and 42 on Treatment of Persons with Co-occurring Addiction and Mental Disorders published by the national Center of Substance Abuse Treatment (CSAT). He is senior editor of the key reference text: Principles of Addiction Medicine (edition V, 2014), published by the American Society of Addiction Medicine, and a noted expert in the field of Addictions.
No Relevant Financial Disclosures
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Laura Murray, MA, PhD
Senior Scientist
Johns Hopkins Bloomberg School of Public Health
Laura Murray, MA, PhD; Senior Scientist, Clinical Psychologist; Johns Hopkins Bloomberg School of Public Health
Dr. Murray is on faculty in the Departments of Mental Health and International Health. She has extensive expertise in a wide range of evidence-based treatments for mental and behavioral problems. Her research ranges from qualitatively understanding mental/behavioral health, to full randomized trials of treatments all over the world. She is a developer of the Common Elements Treatment Approach (www.cetaglobal.org), and has completed trials on this approach in Zambia, Colombia, Ukraine, Iraq and Thailand. Dr. Murray has a passion for innovating new solutions to improve service quality and delivery in mental/behavioral health care. Dr. Murray publishes extensively in top journals, trains globally, regularly speaks at conferences and organizations, and consults with organizations to improve functioning through skills training on stress, resiliency and leadership.
Does Disclose: I am presenting as part of Johns Hopkins and the research conducted within that role. I disclose that I am the founder of CETA Global Inc. which gives me intellectual property rights to the CETA manual. This is an early stage developed in 2022 so there has been no financial benefit. The purpose of CETA Global is to be able to offer the CETA system more widely and easily outside of academia when there is not rigorous research involved.
Michael McDonell, PhD
Professor
Washington State University
Dr. Michael McDonell is a Professor in the Elson S. Floyd College of Medicine and the Director of the Promoting Research Initiatives in Substance Use and Mental Health (PRISM) Collaborative at Washington State University. He is a clinical psychologist with over 20 years of experience developing, testing, and implementing strength-based interventions for people with addiction and mental illness in community settings. He has led multiple National Institutes of Health funded studies demonstrating that contingency management can be used to reduce alcohol and drug use in individuals living with co-occurring serious mental illness. He also lead two studies demonstrating that culturally-adapted contingency management interventions are feasible and effective tools for addressing substance use disorders in American Indian and Alaska Native communities. He is currently involved in efforts to disseminate contingency management. This involved state-wide efforts to disseminate contingency management in Montana, Washington, and California, as well as similar efforts to providing training and technical support to Native communities.
No Relevant Financial Disclosures
CME, CE, CEU and Other Credit Types
ACCME Accreditation Statement
The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA Credit Designation Statement
The American Society of Addiction Medicine designates this live activity for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
NAADAC, the Association for Addiction Professionals
This activity has been approved by the American Society of Addiction Medicine, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #295, ASAM is responsible for all aspects of the programming.
California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1222
California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205
California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-1222
Continuing Education Credits (CEUs)
Non-physician participants will receive a certificate of attendance upon completion of the activity and an online evaluation confirming their participation. Participants should submit his/her certificate of attendance to their professional organization/institute.
Maintenance of Certification (MOC) / Continuing Certification Program (CCP)
The ASAM State of the Art Course meets the CME requirements for the following primary boards:
• American Board of Medical Specialties (ABMS)
• American Board of Preventive Medicine (ABPM)
• American Board of Anesthesiology (ABA)
• American Board of Pediatrics (ABP)
• American Board of Internal Medicine (ABIM)
• American Board of Surgery (ABS)
• American Board of Psychiatry and Neurology (ABPN)
• American Board of Addiction Medicine (ABAM)
• Royal College of Physicians and Surgeons of Canada (RCPSC
Disclosure Information
In accordance with disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME activities. These policies include mitigating all possible relevant financial relationships with ineligible companies for the Planning Committees and Presenters. All activity Planning Committee member and Presenters have disclosed relevant financial relationship information. The ASAM CME Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.
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