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Co-occurring Disorders and Evidence Based Treatment

Speaker(s):

Mark Sanders, LCSW, CADC

Presentation:

The great majority of clients with substance use disorders have a concurrent mental Illness. In this skill building presentation you will learn 10 evidence based approaches to co-occurring disorders recovery, including: integrated co-occurring disorders treatment, feedback informed treatment, motivational interviewing, the use of motivational incentives; 12 step facilitation; medication assisted treatment; supportive employment; supportive housing and intensive family case management. Emphasis will also be placed upon the person centered recovery movement, how to build recovery capital; trauma informed care and the use of peers to help support recovery.

Objectives:

  1. Define 10 Evidence Based Approaches to Co-occurring Disorders Treatment.
  2. Discuss the Person Centered Recovery Movement.
  3. Identify how peers can help support recovery.

Slides and Handouts:

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Preventing Youth Suicide in Missouri: Effectiveness of a Hospital, School and Community Mental Health Center Collaboration in Kansas City

Speaker(s):

Kirsti Millar, M.S.

Michelle Alvarado, BSW

Bryan Gourley, BS

Rachel Morelan, BA, MPA

Heather White, BS

Presentation:

The Missouri Department of Mental Health was awarded a five-year SAMHSA youth suicide prevention grant in 2016. The Show Me Zero Youth Suicide Initiative aims to expand intervention services and prevent suicide in youth aged 10-24 in the greater Kansas City area. This initiative is being implemented by two local Community Mental Health Centers. The program diverts youth who are admitted to hospital emergency department and in-patient psychiatric departments to mental health services at these two centers. Program staff also work with Kansas City area schools to identify and refer youth at risk of suicide. This presentation will describe the key interventions, provide data on the ongoing program effectiveness and discussing ways for ongoing sustainability.

Objectives:

  1. Describe the Kansas City youth suicide prevention initiative and its effectiveness in reducing suicide and suicidal ideation
  2. Offer “Lessons Learned” from implementation of this youth suicide prevention initiative
  3. Discuss potential for replication in other locations and sustainability
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Moral Injury and The Development of PTSD

Speaker(s):

Brian Ouellette, MA, LPC

Presentation:

This presentation looks at Moral Injury and how it contributes to the development of PTSD. Part of this presentation will look at the overlapping symptoms of PTSD and Moral Injury.  This presentation will look at the development of a person’s moral code, how combat trauma has the potential to create cognitive dissonance with someone’s moral code.

The presentation will also cite examples of quotes by various veterans from books such as, “What Have We Done”, and “Soul Repair”, as well as having a collaborative discussion with the participants.

Objectives:

  1. Review how we develop morals.
  2. Discuss cognitive dissonance as it relates to war and morals

Slides and Handouts:

OUELETTE_Moral injury and the Development of PTSD

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Missouri’s Firearm Laws and Suicide and Homicide by Firearms in Missouri

Speaker(s):

Apurva Bhatt, MD

Presentation:

In 2017, Missouri ranked 4th in the nation in death by firearm (CDC). In 2017, firearm related deaths were the second leading cause of death in Missouri children ages 1-17 (CDC). According to the Gifford Law Center in 2020, Missouri received a scorecard grade F in terms of its current firearm laws. In 2017, Missouri saw a near doubling of the rates of suicide by firearms in 15-24-year-olds (the highest rate reported since data collection began in 1999). In 2015, Missouri experienced the highest firearm homicide rate in 15-24 year olds since 1999. This presentation will zoom in on changes in Missouri firearm law which occurred from 1999-2018, discuss the existing scientific literature on the effects of changes in Missouri’s firearm laws on suicide/homicide by firearms, and will elaborate on Dr. Bhatt’s work in this area.

Objectives:

  1. Recall the timeline of changes in Missouri firearm policy
  2. Describe the current state of affairs regarding Missouri firearm law
  3. Review the scientific literature on the effects of Missouri’s firearm laws on suicide and homicide by firearms in the state
  4. Learn how firearm status impacts suicide by firearms/suicide risk
  5. Describe future preventive strategies to mitigate adolescent and young adult suicide by firearms in the state

Slides and Handouts:

BHATT_Spring Training Institute Bhatt slides

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Lessons Learned: Effective Interventions and Support for Young Children with Trauma

Speaker(s):

Rachel Hanks, MSW, LCSW, RPT

Presentation:

In 2016, the National Survey of Children’s Health reported that 46% of children under the age of 17 have experienced at least one traumatic event. A single traumatic event is understood to be inherently complex in the most stable of children. However, chronic stress and trauma during those crucial early years of brain development may adversely impact a child’s ability to function and self-regulate. Presenting behaviors of developmental trauma may include aggression, intolerable feelings of distress, attachment issues, developmental delays, dissociation, depression, and sensory processing issues. These issues increase a child’s risk factors for mental illness, poor health outcomes, lowered educational attainment, involvement in the criminal justice system, and can even lower their life expectancy.       

When working with young children, it is important to understand the pervasiveness and complexities of these presenting issues in a variety of settings. The principles of play therapy, attachment, and brain development can help a child’s team and family better understand a child’s behavior. From the case management team to home to school, developmentally-appropriate interventions and support can help increase a young child’s ability to self-regulate, attach, heal, and even thrive.


Objectives:

  1. Identify the effects of chronic trauma and maltreatment on a young child’s development.
  2. Understand the role attachment plays in self-regulation and development.
  3. Identify appropriate interventions for young children with high levels of dysregulation.

Slides and Handouts:

HANKS_RACHEL_2021_Lessons Learned_participant copy_Hanks

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Finding Hope in Crisis: helping children and adolescents find their smile during grief and loss

Speaker(s):

Steven Sewell, BACEED, CPS

Presentation:

Fears, misconceptions, doubts, and other barriers to healthy communication play a large part of what we do as end of life professionals. Working with children and teenagers who are grieving through the loss of their loved one or as a patient can be even more challenging. In this seminar, Steve will provide encouraging hope to you, in whatever discipline you serve in, to support, provide empathy, and create a high, open relationship with these precious young people. If you have direct contact with family members (especially kids), this session is for you.


Objectives:

  1. Reflect on what we know about grief and loss with children and adolescents
  2. Differentiate age level appropriate grief support for a variety of end of life clinicians
  3. Observe general tips for caregivers who offer care to kids and teens as it relates to grief and loss.
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Gourley, Bryan, B.S.

Bryan previously graduated from Rockhurst with a BS in psychology. He has worked in social services with homeless youth in both Kansas City and Colorado providing outreach counseling to at-risk and homeless youth living on the streets. Currently Bryan serves as a member of the Zero Youth Suicide Prevention team providing outreach to youth and young adults. He has held multiple leadership roles during his professional working career. Bryan is currently working towards earning his MBA from Rockhurst in hopes of assisting small non profits as well as social enterprise companies that provide social services and that help communities in powerful ways.
 

 

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Millar, Kirsti, M.S.


Kirsti Millar is the Suicide Prevention Liaison at ReDiscover where she coordinates the Show Me Zero Youth Suicide Grant which serves clients ages 10-24. She has dynamic experience in crisis work and has utilized her creativity in program expansion and client engagement at ReDiscover for three years. She has five years in the field working with both adults and youth alike in therapeutic, case management and crisis like settings. She completed her master’s degree in counseling from Missouri State University with an emphasis in Play Therapy. Kirsti enjoys working with youth and has a passion for community engagement. Kirsti has extensive training across multiple modalities including: motivational interviewing, positive youth development, harm reduction, assessing and managing suicide risk, trauma informed care, vicarious trauma, EMDR and play therapy.


Presentation(s): 

Preventing Youth Suicide in Missouri: Effectiveness of a Hospital, School and Community Mental Health Center Collaboration in Kansas City




 

 

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Smith, Ron, Ph.D., J.D.

A.B. – Biology/Philosophy, Drury College 1976 
M.S. – Guidance and Counseling, Southwest Missouri State University 1981 
Ph.D. – Counseling, Kansas State University 1989 
J.D. – University of Missouri School of Law 2001 

Employed as clinician at the Southwest Missouri State University counseling and testing center, and taught developmental and educational psychology courses after completing Ph.D. until entering law school in 1998. Upon graduation from law school, employed as an assistant attorney general for the State of Missouri until retirement in March 2020. Provided general counsel and litigation services to Missouri Department of Mental Health, Missouri Board of Pharmacy, State Committee of Psychologists, State Committee for Social Workers and State Committee for Professional Counselors. From 2006 until retirement, served as manager of Governmental Affairs Division mental health unit.

Presentation(s): 

When Your Consumer Needs A Guardian: Practical, Ethical, and Legal Aspects of Seeking Guardianship









 

 

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Bhatt, Apurva, MD

Dr. Bhatt graduated from the University of Missouri Kansas City’s prestigious 6-year combined BA/MD program in 2017. During medical school she served as clinic manager and Executive Director of the Sojourner Health Clinic, UMKC’s student-run free health clinic. During medical school she received awards for her exceptional commitment to the Sojourner Health Clinic and honors for her research on developing innovative programs in the clinic, which now serve as a national model.

 

Dr. Bhatt is currently a third year psychiatry resident at the UMKC/CBM Psychiatry Residency Program. Her clinical interests include working with individuals with severe mental illness. During her residency training, she has received numerous awards, including the Resident of the Year award, induction into the Gold Humanism Honor Society, and earned a national American Psychiatric Association Award for Best Poster in Patient Oriented Care for her research on suicide rates following changes in Missouri’s firearm laws.

 

Dr. Bhatt currently serves as a member of the American Academy of Child and Adolescent Psychiatry Adolescent Committee and is co-chair of the Early Psychosis Committee. She is also a peer reviewer for the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP). She will be completing child and adolescent psychiatry fellowship at the University of California Davis beginning in July 2021. In her free time, she enjoys meditation, yoga, painting, playing tennis, and hiking with her dogs.


Presentation(s): 

Missouri’s Firearm Laws and Suicide and Homicide by Firearms in Missouri