Medical Aspects of Addiction



Friday, August 22, 2014
9:00 a.m-4:00 p.m. (Lunch on your own)
FOREST INSTITUTE – Academic Building

Medical Aspects of Addiction

Mark Carlson, MD and Thomas Pirotte, MD

Drug addiction is a brain disease. Although initial drug use might be voluntary, drugs of abuse have been shown to alter gene expres¬sion and brain circuitry, which in turn affect human behavior. Once addiction develops, these brain changes interfere with an individu¬al’s ability to make voluntary decisions, leading to compulsive drug craving, seeking and use. The impact of addiction can be far reaching. Cardiovascular disease, stroke, cancer, HIV/AIDS, hepatitis, and lung disease can all be affected by drug abuse. Some of these effects occur when drugs are used at high doses or after prolonged use, however, some may occur after just one use. This workshop will explore the organ toxicity of various drugs, including gastrointestinal effects, musculoskeletal effects, cardiovascular effects, kidney damage, liver damage, and neurological effects. Drug-related deaths have more than doubled since the early 1980s. There are more deaths, illness, and disabilities from substance abuse than from any other preventable health condition. Today, one in four deaths is attributable to alcohol, tobacco, and illicit drug use.

At the conclusion of this workshop, participants will be able to:

  • Describe the diagnostic criteria for substance use disorders;
  • Describe the organ toxicity of various drugs;
  • Identify pathways in the brain associated with addictive disease;
  • Describe effective treatment techniques for the physiological consequences of addiction/drug abuse; and
  • Articulate mortality rates for addiction disease.

This workshop is approved for 6 credit hours.


BURRELL BEHAVIORAL HEALTH and FOREST INSTITUTE are committed to an ongoing process consisting of formal learning activities that:

(1) are relevant to psychological practice, education and science,

(2) enable psychologists to keep pace with emerging issues and technologies, and

(3) allow psychologists to maintain, develop, and increase competencies in order to improve services to the public and enhance contributions to the profession.

The workshops listed are at an intermediate level of learning for psychologists.

FOREST INSTITUTE is located at 2885 W. Battlefield, Springfield, Missouri.
BURRELL BEHAVIORAL HEALTH is located at 1300 E. Bradford Parkway, Springfield, Missouri.

FOR QUESTIONS regarding educational credit please contact Johnelle Ethridge, Education Coordinator at 417.761.5025 or via email at

ACCREDITATION APPROVAL only refers to these educational activities and does not imply endorsement of any commercial products by Burrell Behavioral Health nor Forest Institute.

CONTINUING EDUCATION: Participants will receive statements of credit at the end of the program when all requirements for credit have been met. Satisfactory completion of objectives will occur through program attendance. Therefore contact hours will be given only for hours the participant attends. In order to receive a statement of credit, all participants must sign-in at the registration desk and turn in a completed evaluation form at the end of the program. Continuing education statements will be e-mailed within 30 days to participants who complete and return evaluation forms and sign in on the program roster.

If you have special needs addressed by this act, please notify us at least two weeks before this offering so that reasonable efforts will be made to accommodate your needs.

are appropriate for:
• Psychologists
• Social Workers
• School Counselors
• Courts & Corrections Staff
• Mental Health, Alcohol & Drug Counselors
• Marriage & Family Therapists

NOTE: Please bring a sweater or jacket due to variations in temperature and personal preferences. Workshops are alternated between Burrell and Forest campuses – please pay special attention to the location of the workshops you wish to attend.



Ingrid Albers, BA, CRADC

Program Director at Clarity Recovery & Wellness, Simmering Center, is a certified MARS Specialist and Clinical Supervisor. Prior to entering the substance abuse field she was a trainer/educator for a teen parenting mentor program in Columbia, Missouri and was director of a sexual assault victim advocacy and prevention program in Cape Girardeau, Missouri. Her primary interest is client and staff education, particularly in the areas of codependency, family dynamics, and the connection between spirituality and wellness.



is the Director for the Center for Addictions in Springfield, Missouri. He has worked in the field of substance abuse since 1978, serving as a counselor, coordinator, and clinical supervisor for a variety of programs throughout Missouri. He received his Bachelor of Science Degree from Missouri State University in 1977, and received his national addiction certification in 1991. He serves on the Board of Directors for the Missouri Continuing Education Consortium, is the past President of the Missouri Association of Alcohol and Drug Programs (MAADAP), and served as an Executive Board Member for the Missouri Association of Alcohol and Drug Abuse Programs. Mark has extensive background as a trainer and presenter in the addictions field.


Mark L. Carlson, MD

is certified by the American Society of Addiction Medicine and is also Board Certified in Preventive Medicine. He earned his medical degree at the University of Nebraska Medical Center in 1971 and completed a residency in Occupational Medicine at the University of California, Berkeley and Irvine, returning in 1989 to the University of Nebraska to complete a residency in Internal Medicine. Dr. Carlson’s background includes the position of Medical Officer for the US Centers for Disease Control in Morgantown, West Virginia and also served` as the Medical Director of Unocal Corporation in Los Angeles. After serving on the medical staff at the Midwest Minor Medical Clinic in Nebraska, he became part of the team of staff physicians of CoxHealth Systems, where he remains today, serving as the Medical Director for the Cox Center for Addictions, a division of the CoxHealth Systems in Springfield, MO.

Carl Dawson, MS, MAC, LPC, SAP

has been actively working and lecturing in the field of Substance Use Disorders, Treatment and Recovery for Thirty Five (35) years. He holds a Master of Science degree in Community Mental Health “Clinical” Psychology, from Pittsburg State University, Pittsburg, Kansas. He is licensed as a Professional Counselor in the State of Missouri; is certified as a National Board Certified Counselor and a National Board Certified “Master Addiction Counselor” (MAC), granted by the National Board for Certified Counselors; holds a Level II Substance Abuse Counselor Certification; and is certified as a Substance Abuse Professional “SAP” by the National Association of Alcohol and Drug Abuse Certification Board. Mr. Dawson has maintained an Independent Practice in professional mental health counseling, specializing in Substance Use Disorders, Post Traumatic Stress Disorders, Employee Assistance Programs and Marriage and Family Counseling for Twenty Five (25) years. He is currently a member of the clinical faculty at The School of Professional Psychology, at Forest Institute, Springfield, Missouri. In addition to teaching for fifteen (15) years in the Department of Psychology and the School of Social Work at Missouri State University (MSU), Springfield, Missouri, Mr. Dawson is a consultant and lecturer for the State of Missouri/Greene County Drug Court Association and the Springfield Metropolitan Bar Association, as well as an educational consultant and faculty member of the National Drug Court Institute (NDCI), Washington, D.C. Mr. Dawson is the Nationwide Substance Abuse consultant for O’Reilly Automotive Human Resources Department headquartered in Springfield, Missouri. He presently serves as an EAP clinical consultant for Blue Cross/Blue Shield “Anthem” in Denver, Colorado. Mr. Dawson is also currently a member and associate member of the American Counselors Association (ACA) and the American Psychological Association.


Peter J. Enko, JD,

is a partner with the firm Husch Blackwell. Healthcare executives and medical staff depend on Pete for his valued advice in health law, information management, privacy and security matters. He frequently counsels clients on contracting, research compliance, fraud and abuse, managed care, medical staffing, Medicare/Medicaid, patient care, operational and transactional issues. He is fully immersed in the regulatory complexities surrounding the Emergency Medical Treatment and Active Labor Act (EMTALA), the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). Before joining Husch Blackwell, Pete was an assistant attorney general counsel for the Missouri Department of Mental Health and was assistant professor of psychiatry and law at the University of Missouri – Kansas City School of Medicine.


Anne Frost, MS, LPC

is a 2008 graduate of Evangel University where she earned her degree of Masters in Counseling Psychology. She is a Licensed Professional Counselor and currently works as a therapist at Clarity Recovery & Wellness, a Division of Burrell Behavioral Health in Springfield. She currently practices addiction and mental health counseling with men and women who are on a Term of Supervised Release (probation) with the Federal government. She developed and currently implements both a Transitions and Cognitive Behavioral Therapy (CBT) education and process-oriented group for federally-mandated clients. She trains addiction professionals across the State of Missouri in a six-hour course on CBT and how it can assist those with addiction issues. Anne is also trained and recognized by Mayo Clinic
as a Provisional Certified Tobacco Treatment Specialist (TTS).


Sher Peck, MA, CRADC, LPC

is a Licensed Professional Counselor (LPC) and Certified Reciprocal Substance Abuse Counselor (CRADC) with specialty in assisting individuals, couples, families, communities, and small business work environments to resolve issues which may be blocks from experiencing a life free of mental and emotional pain and/or addictions in the area of substances or process. Sher has worked in the field of substance abuse and mental health for 25 years and is currently Director of Adult Outpatient Services with Clarity Recovery & Wellness- a division of Burrell Behavioral Health in Springfield Missouri where she provides both clinical and administrative supervision at several treatment locations. Sher was awarded the 2013 Addiction Professional’s “Outstanding Clinician’s Award” and featured in the Addiction Professional magazine.


Thomas P. Pirotte, MD

is a graduate of the University of Kansas Medical School. He completed both an internship in general surgery and a residency in family practice at Creighton University and, in 1979 earned certification by the American Board of Family Medicine. Dr. Pirotte has practiced in several inpatient and private practice venues in the Kansas area and also in Sarcoxie, MO. In 2001, Dr. Pirotte became a staff physician with the CoxHealth Network in Springfield, MO and in 2004 he pursued an opportunity to practice within the Occupational Medicine Department at CoxHealth’s Walnut Lawn Urgent Care Center. Currently, Dr. Pirotte practices within CoxHealth’s Center for Addictions in Springfield, MO.


Arturo C. Taca, Jr., MD.

After earning his Medical Degree at St. Louis University School of Medicine, Dr. Arturo Taca, Jr. continued at the University to complete both his medical internship and an adult psychiatric residency. During his residency, Dr. Taca was appointed Chief Resident of the Department of Psychiatry. Dr. Taca is a diplomate of both the American Board of Psychiatry and Neurology and also the American Board of Addiction Medicine and has special research interest in addiction medicine, sleep medicine and psychopharmacology relating to severe mental illness, Bipolar Disorder, and ADHD. Between 2005 and 2010, Dr. Taca chaired the Executive Committee of Community Education for the Eastern Missouri Psychiatric Society, while also serving as the Medical Director of the Assisted Recovery Center of America. Dr. Taca founded Integrated Neuro-Science, serving as Medical Director of that organization and also served as the Alternate Regional Director of Region VII of the American Society of Addiction Medicine; he currently serves as President of the Midwest Chapter of the ASAM. In 2011 Dr. Taca founded INSynergy Alcohol and Drug Treatment Program and today he serves as the Medical Director of that organization. In addition to his continuance of research, Dr. Taca provides both clinical supervision and psychiatry/addiction medicine at several inpatient facilities within Missouri. Dr. Taca is a five-time winner of the vote for “Best Doctors of America – Psychiatry” since 2009.


Wakaba Y. Tessier, JD

is an associate at the firm of Husch Blackwell. Wakaba has focused her legal career on healthcare law. She advises hospitals on various operational issues, including medical staff matters, bylaws, rules and regulations, policies and procedures, accreditation matters, peer review, credentialing, physician disciplinary issues, and federal and state regulatory compliance. In addition, Wakaba has extensive experience counseling clients on human-subjects research and institutional review board regulatory compliance. She has negotiated and drafted agreements pertaining to physician and medical director employment, managed care, peer review services, asset purchase and confidentiality. She also counsels clients on federal fraud and abuse issues related to the Stark Law, the False Claims Act and the anti-kickback statute.


Paul Thomlinson, PhD

is a licensed psychologist with specialties in organizational, clinical, and experimental psychology, and serves as a Vice President for Burrell Behavioral Health. He obtained bachelor’s degrees in psychology and sociology from Southwest Baptist University, and went on to earn the M.A. degree in General/Experimental Psychology, and the Ph.D. in Industrial/Organizational Psychology, both from the University of Southern Mississippi. Subsequently, Dr. Thomlinson completed a post-doctoral respecialization in Clinical Psychology and holds the license to practice as a psychologist in the state of Missouri. He has been on the faculties of several universities and graduate schools, including Union University, Webster University, SBU, Forest Institute of Professional Psychology, the University of Phoenix, and Central Michigan University, and is a regular contributor to the professional psychological literature and to national and international conferences. He has been the architect and chief grant writer responsible for nearly $60 million in funding for the Springfield area, with a special focus on children’s mental health services. Dr. Thomlinson has been a passionate supporter of community mobilization around issues of homelessness, having written $2 million in grants to support services for homeless individuals and families especially impacted by co-occurring mental illness and substance abuse. Other community service interests include advocacy for the economically disadvantaged and victims of violent crimes through his long-term service on the board of directors of Community Partnership and The Victim Center. Some of his other interests include playing guitar, singing, songwriting, recording, traveling almost anywhere, mountain hiking, reading, and watching great movies. He is married to Melodie Thomlinson, and has three beautiful children, Sarah, Aidan, and