Cost-effective treatment matters!

Shulman Solutions


HOMEWhy you need our help!ConsultingTrainingBioVitaPearls To PonderFAQ'sAssociatesContact Information


Career Biography


Dr. Gerwe is a nationally and internationally recognized expert in addictions and behavioral health treatment. Her work includes the development of an influential new approach to prevention and treatment of chronic addictions, the Gerwe Orchestration Method (G-OM).  G-OM addresses pivotal developmental issues in relation to chronic addiction, post-traumatic stress disorder, and other behavioral disorder conditions and is based on her years of counseling patients in the field of substance abuse treatment within hospital, mental health, prison and military based systems.  G-OM has recently been incorporated into the criminal justice curriculum at Mercer University.  Her published book, The Orchestration of Joy and Suffering: Understanding Chronic Addiction (2001), has been widely hailed as a pioneering work in the effort to understand violence and addictive behavior; the Russian translation recently published.  From the website: “Dr. Gerwe has written a remarkable book. Her creative talent has transformed research and technical information into a highly readable and fascinating conception. The integration of psychological findings with stories and case histories is particularly well done…This work reminds me of the transitional breakthrough of B.F. Skinner's “Walden Two” and “Beyond Freedom And Dignity.” A must read for students of human behavior...and for those of us who just struggle to survive.”


Dr. Gerwe conducts clinics around the country and abroad to train professionals in her treatment methodology.  Her method and research underlying the G-OM, originally published by Elsevier Science in three consecutive articles in the Journal of Substance Abuse Treatment (2001), are currently featured at major international congresses of substance abuse professionals and in the Journal of Groups in Addiction & Recovery (2006) (Haworth Publishing).  She is centrally involved in an international collaborative effort through the National Peace Foundation to address the youth addictions/HIV crisis that is severely damaging the social fabric of the Russian Federation.  She has pressed hard for involvement of Russian youth in the planning of this project.  This project has led her to the Sverdlosk Urals mining region of Russia where she now travels regularly

 Presentation and Workshop Topic

                                    Corinne F. Gerwe, Ph.D, LCAS, ICAADC


The Gerwe Orchestration Method (G-OM): A Revolutionary Approach to Addiction Treatment and Relapse Prevention


Program Description

This is NOT your usual relapse prevention workshop

which we have all been accustomed to attending!


This presentation introduces a totally new experiential and cognitive-behavioral method of treating the underlying dynamics of persistent addiction, maladaptive behavior and relapse based on 30 years of research and clinical practice.  This method is presented using the DSM-IV five axes and ASAM six dimensions as the structure for doing an assessment of relapse risk and developing a relapse prevention plan, including incorporation of best practices. 



Time Frames


This topic can be presented in 4 timeframes ranging from a brief 90-minute overview to a two-day training workshop, which includes opportunity for development and negotiation of purchaser/provider goals, and consultation.


Sample Learning Objectives


At the conclusion of the training, participants will be able to:


  • Understand how feelings, physical symptoms, core memory details, and behavior that become intrinsically interrelated during certain highly intense developmental experiences can develop into problematic patterns that persist into adolescence/adulthood and are a major force in relapse;
  • Help clients identify and explore the nature of pivotal lifespan experiences/responses and their connection to persistent high risk/maladaptive patterns of behavior related to addiction susceptibility and relapse;
  • Use the Orchestration Method in individual and small group sessions;
  • Engage client participation and collaboration while addressing individual needs of the client using the G-OM;
  • Use G-OM case management tools in diagnosis, treatment planning, prognosis, aftercare planning/referral, integrating G-OM with ASAM dimensional criteria;
  • Integrate G-OM with the 12 Step Program and with existing treatment programs.


This presentation has relevance to professional counselors, physicians, educators, therapists, social workers & other health-care clinicians and directors to:

  • Improve assessment and diagnostic skills for early identification of physical and behavioral syndromes and risk factors for relapse;
  • Learn a step-by step approach to addressing core developmental issues in treatment.;
  • Increase group and individual therapy skills;
  • Increase client/patient engagement in treatment and client recovery potential
  • Develop a dynamic new treatment track within your system that produces documentation that reflects ASAM compatible individualized treatment.


Types of Workshops Available


  • The 1&1/2 hour version: PowerPoint overview of the G-OM theory and practice;
  • Half-day version: a more complete introduction of G-OM that includes PowerPoint presentation, information on training and clinical implementation, didactic explanation and question/discussion period;
  • Full-day version: participants learn the theory, practice with didactic explanation of the group process and tools and includes some experiential interaction, clinical application and information on training;
  • Two-day version: a comprehensive training that includes overview of theory and practice and experiential participation in an Orchestration Group Process with G-OM tools and worksheets and clinical implementation.  The G-OM treatment manual provided to each participant.  Participants will be able to begin using the method as a result of this training.


Instructional Schedule for Two-Day Training:

(16 classroom instruction hours.)


Morning Session Introduction (Day #1):

  •  Presenting the theoretical foundation and neurological research underpinnings of G-OM;
  • Describing the link between pivotal lifespan experiences and persistent patterns of behavior that create vulnerability to addiction and chronic relapse conditions;
  • Exploring the role of hereditary and environmental influences in pivotal childhood experience;
  • Defining the holistic and scientific nature of G-OM;
  • Introducing the Orchestration Group Process: an investigative, highly structured psychodynamic approach;
  • Description of Group Timeline and Rules, Group Configuration, and Group Process Rationale;
  • How to Implement G-OM within an existing program setting.

 Afternoon Session:

  • Introducing HRIPTM/OM Treatment Manual;
  • Review of Tools, Assessment Questionnaires and Worksheets;
  • Relevance of method to every phase of treatment: Assessment, diagnosis, treatment planning, medication, and referral;
  • Questions and discussion session;
  • How to Set-up for Orchestration Group Process;
  • Roles assigned and Volunteers chosen;
  • Conducting the Orchestration Group Process;
  • Group experience discussion;
  • Experiential work with Life-span Charts, Memory Episode Dynamics, Daily Self-Report Sheets, and Behavioral Alternative Exercise Worksheets;
  • Questions, reactions and discussion.


Morning Session (Day #2):

  • Experiential Facilitation of G-OM Group Process;
  • Questions and discussion. 

Afternoon Session:

  • Experiential behavioral strategy planning workshop.  Aftercare and referral;
  • Questions and discussion;
  • Overview of training and available follow-up consultation.

Contact Information


Shulman & Associates, Training & Consulting in Behavioral Health
Phone: (904) 363-0667 - Fax: (904) 363-0668 - E-mail: