{"id":4773,"date":"2016-05-25T00:00:00","date_gmt":"2016-05-25T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/05\/25\/new-tools-for-addiction-treatment-land-a-nightingale\/"},"modified":"2021-07-08T11:46:07","modified_gmt":"2021-07-08T17:46:07","slug":"new-tools-for-addiction-treatment-land-a-nightingale","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/new-tools-for-addiction-treatment-land-a-nightingale\/","title":{"rendered":"New tools for addiction treatment land a Nightingale"},"content":{"rendered":"
<\/div>

The first thing a person meeting Bari Platter may note is her sense of humor. If, for example, you happen to be moving a statuette in University of Colorado Hospital\u2019s Center for Dependency Addiction and Rehabilitation (CeDAR) lobby to a spot with better light, and you say something like, \u201cI\u2019ll be careful not to drop this,\u201d she responds with, \u201cNo, you wouldn\u2019t want to dent the floor.\u201d<\/p>\n

She said this 11 days after she had received the statuette at the Colorado Nurses Foundation 2016 Nightingale Luminary Awards Gala on May 7. She won it for Innovation in Administrator, Educator, Researcher, or Non-Traditional Roles: an outstanding nurse who demonstrated creativity that addresses today\u2019s challenges or opportunities.<\/em> Rather than take the statuette home or keep it in her office \u2013 places with far lower potential for floor-denting mishaps \u2013 she decided to leave it in the CeDAR lobby because, she said, \u201cI\u2019m part of a team.\u201d<\/p>\n

Bari Platter on the CeDAR grounds.<\/figcaption><\/figure>\n

Despite the sense of humor and team spirit, Platter, RN, MSN, PMHCNS-BC (that last bit stands for board-certified psychiatric mental health clinical nurse specialist), didn\u2019t win Colorado nursing\u2019s highest honor solely on the strength of a winning personality. Platter has an encyclopedic knowledge of a field of expertise she herself played a big role in developing.<\/p>\n

Platter reconciled and then melded two proven behavioral health intervention techniques \u2013 the Alcoholics Anonymous 12-step program and dialectical behavior therapy, or DBT \u2013 into a substance use disorder treatment program now being used in addiction recovery and other programs across the country.<\/p>\n

The toolbox<\/strong><\/p>\n

Platter has worked in psychiatric mental health at University of Colorado Hospital since graduating with her bachelor\u2019s degree from the University of Colorado College of Nursing in 1985. She was certified in DBT in 2007 to train the hospital\u2019s inpatient psychiatric unit staff. She also did DBT with patients at CeDAR until moving to the addiction recovery center full-time in 2012.<\/p>\n

As Platter delved deeper into addiction recovery, she realized that many of the concepts in AA\u2019s Big Book<\/a> and the Narcotics Anonymous basic text jibed with those in DBT, which addresses emotional dysregulation \u2013 when emotions, positive or negative, are out of whack with objective truth \u2013 using behavioral therapy and mindfulness practice. The differences were often a matter of language, she realized. So she set out to reconcile that language, and she ultimately created a unique program that unified all three.<\/p>\n

\u201cThe result was that 12-step strengthened DBT and coping skills, and DBT strengthened 12-step recovery for the patients that are here,\u201d Platter said.<\/p>\n

The Nightingale statuette having been replaced to its original spot in the CeDAR lobby, Platter fielded questions at a table out in the courtyard. She offered an example of the overlap.<\/p>\n

\u201cOne of the skills taught in DBT is called \u2018radical acceptance,\u2019\u201d she said. \u201cOn page 417 of the Big Book, there\u2019s a quote that says, \u2018and acceptance is the answer to all my problems today. When I am disturbed, it is because I find some person, place, thing, or situation \u2014 some fact of my life \u2014 unacceptable to me, and I can find no serenity until I accept that person, place, thing, or situation as being exactly the way it is supposed to be at this moment.\u2019\u201d<\/p>\n

The Big Book was not open to page 417 on the table in front of her. She had cited this from memory as if it were the Pledge of Allegiance or her home address. It\u2019s not the only passage, lesson, or technique she can recall with such speed and precision. In the nomination letters for the Nightingale award, her exceptional command over her subject matter was as common a theme as her uncanny ability to connect with patients. She has assembled what amounts to an enormous intellectual toolbox, from which, like some master mechanic of addicted minds, she can quickly produce the precisely correct implement.<\/p>\n

The curriculum<\/strong><\/p>\n

She applies her many tools in CeDAR group sessions as well as one-on-one. Michael Lyons, a CeDAR behavioral health counselor, said he went through Platter\u2019s training and now uses it every day during sessions with his own patients. He described Platter as a combination of guru and mentor.<\/p>\n

\"NightingaleStatue\"
Platter\u2019s Nightingale Award statue has taken up residence in the CeDAR lobby. She\u2019s part of a team, Platter explained.<\/figcaption><\/figure>\n

\u201cShe\u2019s an expert in all things DBT \u2013 coping skills, de-escalation strategies, distress tolerance and mindfulness,\u201d Lyons said. \u201cShe\u2019s the go-to when we\u2019ve got a behavioral crisis.\u201d<\/p>\n

In the award submission itself, a former patient described Platter\u2019s \u201cprofound understanding of the program,\u201d but then added that her ability to develop \u201ccompassionate and understanding relationships with her patients, thus helping to reduce the stigma addiction often carries with it\u201d was more vital yet.<\/p>\n

\u201cI will never forget our last session together, when she told me, \u2018You are a beautiful person with a terrible disease,\u2019\u201d the former patient wrote. \u201cThese uplifting words gave me a sense of peace for the first time in 25 years of contending with addiction.\u201d<\/p>\n

Platter developed the program curriculum with co-author Osvaldo Cabral, formerly of CeDAR and now with the Awakenings Recovery Program at The Raleigh House of Hope in Denver. The work came together in about six months, and was published<\/a> by Hazelden in 2012.<\/p>\n

\u201cIntegrating Dialectical Behavior Therapy with The Twelve Steps: A program for treating substance use disorders\u201d comes in a three-ring binder and includes a facilitator\u2019s guide with four modules, one for each pillar of DBT: mindfulness, distress tolerance, interpersonal effectiveness and emotional regulation. Those modules are then broken into 21 sessions that focus on skills that, Platter says, \u201care really essential for healthy recovery.\u201d There are also 79 worksheets, and a CD with files that can be reproduced without freckles from the glare of relentless photocopying.<\/p>\n

The curriculum is being used across the country in addiction treatment centers, community mental health centers, hospitals, child and adolescent programs and drug courts, Platter says. She has traveled to many of them to help implement the program she designed.<\/p>\n

Lessons beyond addiction<\/strong><\/p>\n

You don\u2019t have to plow through 21 sessions to gain from the intersection of DBT and the 12 steps, though, Platter notes. She\u2019s hoping the Nightingale award helps shed light on the disease of addiction and how nurses can more effectively work with patients in their clinical practices, \u201cbecause nurses encounter people with addiction in all clinical areas, and we get so little training in how to clinically work with them.\u201d<\/p>\n

Mindfulness and distress tolerance skills are two examples. Bedside nurses in any setting can use mindfulness techniques to help patients quiet the mind and focus, become grounded and centered, and participate effectively in their treatment. Distress tolerance helps patients learn to deal with distress and discomfort without making things worse through techniques that include self-soothing, relaxation, and what Platter called \u201copposite emotions.\u201d The latter involves identifying the emotion you\u2019re experiencing and its opposite, then doing or thinking about something that creates that opposite emotion.<\/p>\n

\u201cSo if I\u2019m a patient on a med-surg unit and I\u2019m feeling scared, the opposite of that is feeling safe, and one way I feel safe is by talking to other people,\u201d Platter said. \u201cSo maybe I learn to ask for a volunteer to come and talk to me and keep me company \u2013 rather than sitting in fear or pushing the call button over and over again for a nurse.\u201d
\nPlatter\u2019s curriculum, which melds dialectical behavior therapy and the Alcoholics Anonymous 12-step program, is now used across the country.
\nSteve Millette, CeDAR\u2019s executive director, described Platter\u2019s contributions to CeDAR as \u201cinvaluable.\u201d That patients seek her out is proof of the personal connections she forges, he said, and her work is important to CeDAR\u2019s educational mission to train nurses, residents, psychologists, counselors and other disciplines in addiction medicine and nursing.<\/p>\n

\u201cHer innovative approach stems from her willingness to think outside of the box about how best to reach patients at the most vulnerable and frightening time of their lives,\u201d Millette said. \u201cHer curriculum helps bridge a path from addictive disease to recovery in a way they may never have known without her approach.\u201d<\/p>\n

Or, as Tim Rumsey, a CeDAR behavioral health counselor, said as he happened to walk by, \u201cShe\u2019s the best.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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If, for example, you happen to be moving a statuette in University of Colorado Hospital\u2019s Center for Dependency Addiction and Rehabilitation (CeDAR) lobby to a spot with better light, and you say something like, \u201cI\u2019ll be careful not to drop […]<\/p>\n","protected":false},"author":23,"featured_media":2669,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[159,17,207,263],"class_list":["post-4773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-addiction-and-rehabilitation","tag-addiction-treatment","tag-cedar","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"\nNew tools for addiction treatment land a Nightingale - UCHealth Today<\/title>\n<meta name=\"description\" content=\"The first thing a person meeting Bari Platter may note is her sense of humor. 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If, for example, you happen to be moving a statuette in University of Colorado Hospital\u2019s Center for Dependency Addiction and Rehabilitation (CeDAR) lobby to a spot with better light, and you say something like, \u201cI\u2019ll be careful not to drop […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/new-tools-for-addiction-treatment-land-a-nightingale\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-05-25T06:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-07-08T17:46:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144831\/EXT_052516-BariPlatter-scaled.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Todd Neff, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Todd Neff, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/new-tools-for-addiction-treatment-land-a-nightingale\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/new-tools-for-addiction-treatment-land-a-nightingale\\\/\"},\"author\":{\"name\":\"Todd Neff, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/da7733ff5562e48e55c027d111ee5911\"},\"headline\":\"New tools for addiction treatment land a Nightingale\",\"datePublished\":\"2016-05-25T06:00:00+00:00\",\"dateModified\":\"2021-07-08T17:46:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/new-tools-for-addiction-treatment-land-a-nightingale\\\/\"},\"wordCount\":1401,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/new-tools-for-addiction-treatment-land-a-nightingale\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/1970\\\/01\\\/28144831\\\/EXT_052516-BariPlatter-scaled.webp\",\"keywords\":[\"Addiction and Rehabilitation\",\"Addiction treatment\",\"CeDAR\",\"University of Colorado Hospital\"],\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/new-tools-for-addiction-treatment-land-a-nightingale\\\/\",\"url\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/new-tools-for-addiction-treatment-land-a-nightingale\\\/\",\"name\":\"New tools for addiction treatment land a Nightingale - 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