Interpersonal PsychotherapyAdapting to the “New Reality”

Scott Stuart Director, IPT InstituteOlga Belik IPT FellowKirsten Ramirez IPT Institute

www.iptinstitute.com

Adaptations of IPT for telepsych Current and Future IPT Training Certification process Adjusting to the new reality

Practical tips Tools Family and children

What’s New with IPT

Therapist support

IPT Training and Certification: Goals Help clinicians to be virtuoso therapists

Disseminate IPT as far as possible Encourage all levels of training

Delivery of High Quality and Fidelity IPTCommunity-Based IPT Training & Certification

Maximum Benefit to Clients

Upcoming Training in IPT IPT Level A June 16-24 (DMH) IPT Booster June 16-17 (DMH) IPT Perinatal July 9-30 (Open) IPT Level A July 14-22 (Open) IPT for Groups Aug 2020 (Open) IPT for Adolescents Aug 2020 (Open) IPT Level A Aug-Sept 2020 (DMH) IPT Booster Sept 2020 (DMH)

Upcoming Training in IPT On-Line using Zoom IPT Level A (16 hours)

Four 4-hour days over 2 weeks IPT Booster (8 hours)

Two 4-hour days over one week IPT for Groups (16 hours)

Eight 2-hour classes once per week

APA CE credit is available for ALL courses

New Developments in IPT Training Integration of Learning Management System

Consultation calls Portfolios Real-time tracking of cases

Advanced Training and Mentoring

Group Training/therapist support

Supervisor Training and Mentoring

Community-Based IPT Certification

Completion of two day Level A course

Completion of at least 10 of 12 biweekly hour-long IPT group consultation calls

Community-Based IPT Certification Completion of TWO IPT portfolios:

Case report of the completed IPT case Self-evaluation form Interpersonal Inventory Interpersonal Summary and Formulation Patient Outcomes- PHQ-9 and GAD-7 every 4 weeks Audio or video tape of one session from each case

Completion of a one day Booster IPT course Recommend IPT Advanced training every 3 years

Community-Based IPT Certification

Time Frame for Completion 6-7 months by design LAC-DMH has allowed “provisional billing” for IPT for

12 months from the date of Level A training Certification is durable

Exceptions Training workshop schedule Personal needs

Continuing IPT Training

Case Identification and Assignment

Consultation Calls

Portfolio Development and Submission

IPT Training and Certification: Goals Help clinicians to be virtuoso therapists

Disseminate IPT as far as possible Encourage all levels of training

Delivery of High Quality and Fidelity IPTCommunity-Based IPT Training & Certification

Maximum Benefit to Clients

Continuing IPT Training Consultation Calls

New Groups are forming Opportunities for “make-up” calls CONTACT:

Scott Stuart at iptinstitute@outlook.com

Portfolio Development and Submission CONTACT:

Kirsten Ramirez at assistantiptinstitute@outlook.com

Telemedicine: Practical Tips

IPT Tools

General Tips

Additional Information

Overview of Interpersonal Psychotherapy

Interpersonally Based Interpersonal DisputesRole TransitionsGrief and Loss

Time- Limited Family Practice Model

Attachment TheoryRelationships matter

Attachment is a biological drive

Attachment support is sought in crisis

Attachment Theory Those with less secure attachments are

more vulnerable to crisesPoor social supportDifficulty asking for help graciously

Biopsychosocial/Cultural/Spiritual Model

Interpersonal Triad

Acute Interpersonal Crisis

Inadequate Social Support

Attachment and Biopsychosocial/Cultural/Spiritual Vulnerabilities

and Strengths

DISTRESS

IPT Overview

Distress results from: An acute crisis Biopsychosocial, cultural and spiritual factors Inadequate social support

IPT focuses on: Symptom relief Resolving the acute interpersonal crisis Increasing social support

Social FactorsIntimate RelationshipsSocial SupportEmploymentEducationHealth Care SystemMeans of Communication

Biological FactorsAgeGeneticsGenderSubstance UseMedical IllnessesMedical TreatmentsDiet, Exercise

Psychological FactorsAttachmentPersonalityTemperamentDefense MechanismsTrauma HistoryStigma

Unique Individual

Acute Interpersonal CrisisInterpersonal Dispute

Role TransitionGrief and Loss

IPT Formulation

Cultural FactorsTraditionFamily

Spiritual FactorsTraditionSocial Support

Reason for distress #1

SpecificSTRENGTHS

Reason for distress #3

Reason for distress #4

Reason for distress #2

IPT Summary

Goals:1) 2) 3)

Tired, no sleep, breastfeeding

STRENGTHSProblem Solver

HumorComing to treatment

Love my children

NO HELP from partner

I’m bored and stuck

Change in friends, feel alone

Goals:1) Get help from partner2) Feel less isolated

IPT Summary

IPT Tools: Telemedicine Collaborative Process!

Screen share Camera share Text or email pictures of documents Use of Word and Powerpoint

Documents and drawing Communication between sessions Prepare ahead of time!

Recording of sessions

Telemedicine: General Technology

Back-up plans and contacts Reminders of appointments and connections Phone capable

Presentation and Engagement Lighting and camera Show hands on screen Focus on patient Be directive with client about distractions, attention, and camera Theater vs. Movie

Telemedicine: General Psychotherapy Safety

Confidentiality

“Other participants” Be Directive!

Engaging Children and Adolescents Time frame and focus

Supporting therapists

Covid Work stress Family Balance Loss of Community Death and dying

Upcoming Training in IPT IPT Level A June 16-24 (DMH) IPT Booster June 16-17 (DMH) IPT Perinatal July 9-30 (Open) IPT Level A July 14-22 (Open) IPT for Groups Aug 2020 (Open) IPT for Adolescents Aug 2020 (Open) IPT Level A Aug-Sept 2020 (DMH) IPT Booster Sept 2020 (DMH)

Interpersonal Psychotherapywww.iptinstitute.com

Scott Stuart Director, IPT Instituteiptinstitute@outlook.com

Kirsten Ramirez IPT Instituteassistantiptinstitute@outlook.com