What Consumers & Families Need to Know About CCBHCs

Speaker(s)

Dorn Schuffman, MA

Missouri is interested in applying to participate in a federal demonstration project that establishes new federal standards for community behavioral health providers, to be known as “Certified Community Behavioral Health Centers” (CCBHCs) and a Prospective Payment System (PPS) to purchase services from CCBHCs. This presentation describes the goals of the demonstration project, and the new federal standards for CCBHCs in order to provide a context for soliciting input from consumers, family members and other stakeholders in Missouri’s implementation of the CCBHC standards and the demonstration program.

 

Objectives:

  • Participants will develop an understanding of the goals and general structure of the federal CCBHC PPS Demonstration Project.
  • Participants will develop an understanding of the new federal standards for Certified Community Behavioral Health Centers.
  • Participants will have an opportunity to comment on, and influence, the approach to implementing the CCBHC PPS Demonstration Project in Missouri.

 

Schuffman STI -What Consumers Families Need to Know About CCBHCs – Slides in PDF format

Increasing Safety Through Self-Management In a Forensic Psychiatric Hospital: A Case Study

Speaker(s)

Blake Schneider, MSW, LCSW

Kaelee Newton, MS

Dakota Dancy, BA

Assaults, self-injury, and hostile relationships are prevalent within inpatient psychiatric hospitals. Unfortunately, these phenomena are known to be unnecessarily maintained by common and well-intentioned treatment practices. The New Outlook Program at SLPRC sought to remove and replace these practices and adopt ones that promoted client self-management in an effort to improve treatment and safety outcomes. The New Outlook Program sought to reduce episodes of assault, self-injury, and use of restraints and to minimize the role of punishing intervention strategies.

Objectives:

  • Identify strategies to decrease episodes of assaults and restraints
  • Review and identify strategies to increase self-management
  • Review and identify rationale for and strategies to reduce the role of arbitrary and punitive external controls

 

 Schneider Spring Institute Presentation-Final Slides in PDF format

 

Advances in Schizophrenia & Glutamate Theory

Speaker(s)

Derek Brown, MD

This presentation will provide a summary of research regarding the Glutamate theory of schizophrenia. It will also provide current research regarding the direction of treatment research.

Objectives:

  • Discuss the development of the glutamate theory of schizophrenia
  • Discuss recent research regarding the glutamate theory of schizophrenia
  • Discuss therapies that target the glutamate system.

Dawny Barnhart, MD

This presentation will provide an introduction to innovative treatment for schizophrenia using cognitive skills and therapy.

Objectives:

  • Provide introduction to CET
  • Provide background, need for and success of CET
  • Increase awareness to the CET that is being utilized at Truman CBM

 

Barnhart – Slides in PDF format
Brown Derek glutamatehypo4 – Slides in PDF format

Building a Culture of Motivational Interviewing

Speaker(s)

Scott Kerby, MA, LPC

This workshop focuses on developing a workplace culture that aims to build Motivational Interviewing (MI) into the DNA of the organization. Too often, time and resources are wasted in training staff in MI in ways that produce very little lasting change in practice. This workshop aims to give a clear definition of MI as a measurable skill, provide strategies that are being successfully utilized by organizations to develop and maintain MI proficiency with their staff, and introduce participants to the wide variety of resources available to aid in the development of a lasting culture of MI.

Objectives:

  • Review a variety of therapeutic approaches to meet the behavioral health needs of their clients and their families
  • Provide a brief overview of Motivational Interviewing as an Evidence Based Practice
  • Review strategies used successfully by organizations that have developed a sustainable culture of Motivational Interviewing
  • Educate on the numerous free and cost effective resources available to support ongoing MI

 

Recent Advances in Psychiatry

Speaker(s)

Mahesh Patel, MD

Treatment resistant hallucination leads to poor quality of life and increases in economic burden. TMS has been brain Stimulation technique  has shown  promising results. The presentation goals are to familiarize the psychiatrists and mental health Professional about history of TMS, Technique and  review TMS application studies for Treatment Resistant Hallucination.

Nash Boutros, MD

The presentation will outline the current utility of the standard EEG in everyday management of psychiatric conditions. The presentation will also briefly cover the areas where future expansion of the role of EEG in managing psychopharmacology are likely to occur in the near future.

Timothy Dellenbaugh, MD
Will discuss genetic influences on psychiatric drug metabolism with specific discussion of Cytochrome P450 2D6.  Will review genetic causes and clinical implications of 2D6 phenotypes: ultra-rapid, extensive, intermediate, and poor.  Will recommend strategies for learning cytochrome-based drug interactions.

Dellenbaugh Cytochromes Simplified Slides in PDF Format

Cognitive Behavioral Therapies for the Treatment of Schizophrenia Symptoms

Speaker(s)

Jessica Peterson, PhD

Alicia Pardee, PhD

Jennifer Lewey, MA

This presentation will focus on reviewing and discussing a variety of evidenced-based cognitive behavioral therapies for the treatment of schizophrenia symptoms. Evidence for the efficacy of these interventions will be reviewed, and a brief demonstration of some of the interventions will be provided. Specific consideration will be given to Attention Shaping (Silverstein et. al, 2014), which has been shown to improve attention for individuals with Schizophrenia. A cognitive intervention entitled Michael’s Game (Khazaal et al., 2006) used to treat delusions will also be discussed. A pilot intervention of Michael’s Game to assist clients who are admitted to Fulton State Hospital for competency restoration who are also experiencing significant delusions will be reviewed. Lastly, a discussion concerning the implementation and application of the described interventions in a variety of settings will also be included.

Objectives:

    • The use of empirical research to examine cognitive behavioral interventions used to treat symptoms of Schizophrenia.
    • How to implement some of the discussed interventions through demonstrations.
    • How to apply these interventions in a variety of settings, such as outpatient, inpatient, and forensic settings.

 
CogBxTxForSchizophreniaPeterson Slides in PDF format
 

No Talking, No Problem: Implementing Experiential Treatment for Children with Complex Trauma

Speaker(s)

Amanda Gregory, LPC, NCC

Objectives:

  • Identify children that have experienced complex trauma
  • Learn how complex trauma impacts brain development
  • Discover how children can benefit from experiential treatment
  • Learn a variety of specific simple experiential interventions to utilize with children with complex trauma.
  • Review four case studies of children with complex trauma who received experiential treatment.

 

 

Stigma: Its Impact on the Returning Veteran

Speaker(s)

Nathaniel Whiters, MS, LCMFT

Mark Johnson, MS

Lloyd Adams

Stigma: Its Impact on the Returning Veteran will have a Veteran’s personal experience, short videos and a power point presentation.

Objectives:

  • Understand the particular strategies used in the support of military personnel, persons experiencing trauma.
  • Understand Readjustment Counseling Services and its role in reintegrating Veterans back into society.
  • Understand experiences of combat and MST Veterans and their special needs for reintegration.
  • Understand the stigma associated with Veterans returning from combat.

Whiters Stigma Its Impact on the Veteran1D – Slides in PDF format

Equifinality and Opiod Overdose: The Many Clinical Paths to Increased Risk

Speaker(s)

Rachel Winograd, MA

This presentation will review risk factors for experiencing opioid overdose events and will highlight how multiple distinct types of clinical pictures lead to increased risk. Specifically, pathways reflecting “pure” substance misuse histories, mismanagement of acute or chronic pain treatments, respiratory illnesses, and comorbid mental and physical health conditions will be reviewed, with attention paid to the unique vulnerabilities of individuals with each presentation. Guidance on how to most effectively discuss and protect against opioid overdose within various health care settings will be provided.

Objectives:

  • Review knowledge of behavioral, emotional, and physical risk factors for opioid overdose events
  • Describe established approaches and emerging trends in the services requires to support patients and families of patients with behavioral health and/or substance use management needs, specifically related to opioid use
  • Understand the unique clinical concerns of patients struggling with co-occurring chronic pain and opioid use disorder
  • Review a variety of prevention and intervention approaches to reduce patient risk of experiencing opioid overdose events

Ethics in the Clinical Relationship, Part II

Speaker(s)

Mark Sanders, LCSW

This skill-building workshop will address ethics in the clinical relationship. A partial list of topics includes: Eight Principles that Can Help with Ethical Decision Making in the Clinical Relationship; Achieving Clinical Excellence; The Impact of the Counselor’s Unfinished Business on Ethical Decisions; The Use of Countertransference as a Tool to Achieve Excellence in the Clinical Relationship and to Avoid Ethical Dilemmas; Establishing Healthy Boundaries; Addressing Multiple Relationships with Clients; Strategies for Avoiding Burnout and Compassion Fatigue to Avoid Ethical Violations in the Clinical Relationship; Six Strategies for Leading an Ethical Life and the use of the NASW code of ethics to address ethical dilemmas presented via case vignettes in an interactive manner. This promises to be a fun learning experience.

Objectives:

  • Be aware of eight principles that can help with ethical decision making.
  • Be aware of how to use countertransference as a tool to achieve clinical excellence and avoid ethical dilemmas.
  • Be aware of how to address issues around dual/multiple relationships with clients.
  • Be aware of the counselor’s unfinished business can impact ethical decisions.
  • Be aware of four strategies for achieving healthy boundaries with clients.
  • Be aware of the differences between burnout and compassion fatigue and how each can impact ethical behavior.
  • Understand how to utilize the NASW code of ethics to solve ethical dilemmas.