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The Justice System, Mental Illness, and Mental Health Court

Parasol II

 

Speaker(s):

Chaffee, Thomas, MD

Description

This is a presentation covering the complex interactions between mental illness and the criminal justice system. I give an overview of our criminal justice system, focusing on our local system. Then transition into statistics about mental illness and incarceration. Will discuss the challenges of treating patients in jail. Then will discuss mental health courts – the general set up and efficacy.

Objectives

Explain the basic foundations of the United States Justice Systems
List the common steps involved in a criminal court case
Identify the challenges of having mental illness while incarcerated
Identify the challenges of treatment patients with mental illness while incarcerated
Explain the essential elements of a successful mental health court

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Sohl, Kristin, MD, FAAP

Kristin Sohl, MD, FAAP is a Professor of Clinical Child Health at the University of Missouri, Founder and Executive Director of ECHO Autism Communities. She is a pediatrician with extensive experience in medical diagnosis, evaluation, and longitudinal support of people on the autism spectrum and with other developmental/behavioral disorders. ECHO Autism Communities is viewed as the leading model in expanding equitable access to best practice screening, evaluation, diagnosis, and longitudinal support for autistic people particularly in underserved and rural populations. ECHO Autism Communities partners with children’s hospitals and autism centers in more than 50 locations in the United States and 30 international locations. These partnerships establish a large consortium of academic and community professionals defining and shaping the landscape of autism and disability services and research. Dr. Sohl is a tireless advocate for children and enjoys engaging other physicians and professionals in being a voice for children’s health. She is the Immediate Past President of the American Academy of Pediatrics, Missouri Chapter and the chair of the American Academy of Pediatrics, Autism Subcommittee within the Council on Children with Disabilities. She also serves as the Medical Director for MU Missouri Telehealth Network and the MU Office of Continuing Education for Health Professions. She completed medical school and pediatric residency at the University of Missouri.

Presentation(s):

Autism Spectrum Disorder: Developing a Deeper Understanding

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Autism Spectrum Disorder: Developing a Deeper Understanding

Nautical Wheeler

 

Speaker(s):

Sohl, Kristin, MD, FAAP

Description

Let’s talk about the Spectrum and learn to think beyond the stereotypical conceptualization of autism to a deeper understanding of how characteristics present and evolve over time and across individuals. We will discuss the DSM-5 criteria, how it is applied and common co-occurring conditions to screen and manage.

Objectives

Recall the DSM-5 diagnostic criteria as it relates to Autism Spectrum Disorder
Assess how characteristics of ASD present in early childhood and manifest across the lifespan
List common medical and psychiatric co-occurring conditions in Autism Spectrum Disorder

 

SOHL Presentation

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What is Not Psychosis – Disorders Masquerading as Psychosis

Wingate 60-61

 

Speaker(s):

Rakhshan Rouhakhtar, Pamela, PhD

Description

This talk will provide an in-depth exploration of how psychosis can be misidentified, both symptomatically and diagnostically. Broad pathways for misidentification or misattribution will be explored, including: 1) when psychosis is misperceived as the primary diagnosis; 2) when it is missed as a relevant symptom, and; 3) when it is critical to identify overlap in psychosis and other distressing experiences, such as OCD, depression, and Autism. The talk will conclude with a focus on best practices and tools to appropriately assess and diagnose psychosis (or not) and a discussion of how diagnoses related to psychosis impact individual mental health care and associated care systems.

Objectives

1. Distinguish psychosis as a syndrome from primary psychotic spectrum diagnoses
2. Identify the main pathways for misdiagnosis or misidentification of psychosis
3. Review techniques and considerations useful for appropriate and sensitive assessment and diagnosis of psychosis spectrum diagnoses
4. Discuss the implications of psychosis spectrum diagnoses on client mental health and care systems

Rouhakhtar – I can’t believe it’s not psychosis.pptx

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It’s Complicated – A Peer Taught Cannabis Prevention Program

Leeward 76-77

 

Speaker(s):

Dawsey, Nichole, MPH

Wilson, Emma, BA

Description

It’s Complicated is a PreventEd program that was designed, implemented and evaluated through the support of a local foundation. The program design relied on the power of adolescents leading lessons with their classmates. In prevention efforts, PreventEds know the messenger is often just as important as the message. By empowering young people to be leaders, they have the ability to gain a deeper understanding of the prevention information and the lesson is better received by their peers. This curriculum is implemented in a 3-lesson series that provides up-to-date facts on the changing landscape of cannabis in Missouri and across the United States. It allows the facilitators to have real conversations about cannabis and address many of the misperceptions on this substance. The final lesson includes details on how to have a conversation and “carefront” a friend when you may be concerned about their use of cannabis.

With the foundation’s support, PreventEd was also able to contract with an outside evaluation partner to determine the impact of the program. The evaluation team led PreventEd in a randomized control trial within high school for It’s Complicated. Results have recently been shared to show there are several outcomes with statistically significant results. The outcomes of the program will be discussed in the presentation, along with lessons learned and ongoing efforts to enhance the program.

Objectives

1. Gain knowledge on the benefits of implementing peer education programs among high school youth.
2. Identify ways to utilize youth in prevention work.
3. Explore evaluation techniques for primary prevention efforts.

Dawsey Presentation

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Youth Suicide: A Look at Before and After

Paradise Ballroom C

 

Speaker(s):

Scott, Shari, PhD, MA

Description

Suicide slipped into the top ten as far as causes of death in the United States (CDC, 2016). Deaths among school-aged children and teens continue to be on the rise; so much so, that suicide has statistically risen to the second leading cause of death among people aged 10-34. Suicide traumatizes those left in its path and how to navigate the grief following a suicide is both tricky and scary. This presentation reviews precipitating factors in youth who die by suicide, as well as risk factors and red flags for youth who attempt it in hopes of informing prevention efforts moving forward. How to best screen kids for suicidality, as well as how to talk to youth who express suicidal thoughts shall also be highlighted. Additionally, this presentation covers common grief reactions in those working through the death of a loved one to suicide and how to best support those individuals.

Objectives

1. Examine 10,000 pediatric suicides to determine factors, causes, and warning signs
2. Identify red flags in suicidal youth
3. Learn how to directly talk with youth who express suicidality
4. Explore steps to take following the suicide death of a student

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Understanding My Normal vs Their Normal

Leeward 74-75

 

Speaker(s):

Zwolak, Steve, MEd

Description

The is an opportunity to begin to unpack how you “”Normal”” influences how you see others.
WHY…WHY have I chosen my profession?

WHY do I do what I do?

Why do I only see what I see?

Why do I feel what I feel?

Understanding your WHY, truly inspires the WHAT and HOW.

Teaching/clinical work today must have deep roots in REFLECTIVE ENGAGEMENT within ourselves, our children/students, clients and families. It is tightly knitted braiding of education and mental health to advance Mental wellness

Today, more so than ever!

Objectives

1. Describe the deep need for reflective practices
2. Describe the long term impact of COVID on our children and families
3. Discuss high levels of resilience is necessary, particularly now!

Zwolak Presentation

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Are Consumers getting what they want? An Examination of Factors Associated with Daily Living Activities of CPR Consumers

Wingate 62-63

 

Speaker(s):

Maglio, Christopher, PhD

Tubbergen, Tjitske “Tish”, MSW, PhD, LCSW

Description

The last 60 years has seen a steady increase in the number of adults diagnosed with mental disorders that impair their ability to perform living and working tasks. Many of these individuals participate in psychiatric rehabilitation (CPR) programs that provide essential support and services to those with complex and longer-term mental health problems. These services should be evidence-based and focus on helping individuals develop skills and access resources needed to increase their capacity to be successful and satisfied in their chosen living, working, learning, and social environments. The Daily Living Activities-20 (DLA-20) is a research-supported measure of the daily living areas impacted by mental illness or disability with higher DLA-20 scores indicating stronger success in meeting daily living activities. 122 CPR consumers who had completed the DLA-20, rated demographic and study variables regarding their helpfulness in assisting them to successfully complete their daily living activities. Results of regression analyses revealed several significant micro-system, mezzo-system and macro-system variables as predictors of DLA-20 scores. The study results support the need for consumer-driven, individualized treatment planning and goal setting as well as assisting the consumer in developing strategies and acquiring necessary skills to reach and maintain stated goals and to develop necessary supports needed to maintain the stated goals. Implementing such approaches in CPR programs helps demonstrate that services provided to CPR consumers are addressing the empirically supported areas consumers report as being the most helpful in assisting them to successfully complete activities of daily living. Suggestions for modification of CPR programs with empirical input from CPR consumers are discussed. Audience participation is encouraged throughout the presentation.

Objectives

1. Describe the history of psychiatric rehabilitation programs.
2. Describe current services provided in psychiatric rehabilitation programs.
3. Identify the factors CPR consumers’ report as being the most helpful to them in successfully completing their daily living activities.
4. Describe examples of empirically supported modifications of CPR programs.

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Transforming from CSTAR to ASAM

Paradise Ballroom B

 

Speaker(s):

Johnson, Clif, CRAADC

Adams, Dan, MBA

Description

This presentation is one provider’s experience and update on how transforming from CSTAR to ASAM in a SUD program went and how after 6 months it is developing and affecting outcomes. The focus is to have some interactive discussion with those attending to share input and experiences.

Objectives

1. Explain different ways agencies have transformed to ASAM from CSTAR
2. Review agency documents being used to guide staff for LOCA
3. Discuss some ideas for their EHR development around ASAM

Adams Presentation

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Cultural Competence: Ethics and Models for Individual and Organizational Development

Paradise Ballroom A

 

Speaker(s):

Kingsbury, David, MA

Description

Though often misunderstood and misrepresented, cultural competence remains the preferred term and construct at the core of culture-related professional standards and guidelines from the APA, ACA, NASW, SAMHSA, and others. This is for good reason. When properly understood, cultural competence guides program development, professional development, and diagnosis and treatment in essential ways that relate to standards of care and boundaries of professional competence. Learn what cultural competence really means for both organizations and individual practitioners, why a correct understanding is important to quality of care, and how to pursue developing it.

Objectives

1. Explain the correct meaning of cultural competence as used in professional standards and guidelines including its relationship to subordinate constructs such as cultural humility, cultural responsiveness, and cultural intelligence.
2. Describe how professional standards limit scope of practice to one’s boundaries of cultural competence and how cultural distance can be used to assess the required degree of competence in individual encounters.
3. Identify a range of approaches that can be used to develop cultural awareness, knowledge, and skills and resources that can support such development.