Recognizing, Preventing and Addressing TBI in High Risk Populations

Speaker(s):

Dean Andersen, MEd and Dr. Chris Wolf, DO

Presentation: It’s no secret that TBI in making big news, especially with new increased awareness and concern surrounding concussions in sports. But did you know that 16,065 Missourians sustained a TBI requiring medical attention in 2013 and 391 of them died. The cost of TBI in the United States is estimated at approximately 76.5 million dollars. Understanding the definition, prevalence, etiology, and consequences of TBI may help identify persons you serve who could be experiencing symptoms of TBI.

Objectives:

  • Discuss why diagnosis is important after someone experiences a TBI
  • Identify common deficits created by a TBI, along with an understanding of why it is important to differentiate between deficits created by TBI and those created by mental health issues.
  • Provide resources individuals with TBI and their families, as well as steps we all can take to prevent TBI in high risk populations.

Slides:

Andersen_Wolf_Brain Injury for Vet Symposium

 

 

 

 

Trauma-Informed Care Approach to Working with the LGBTQIA Population

Speaker(s):

Jan Wrolstad, MDiv

Presentation: This workshop covers the special needs and barriers faced by persons who are lesbian, gay, bisexual, transgender, questioning/queer, intersex and asexual/agender (LGBTQIA) when they seek treatment for substance use disorders. Research showing the high rates of substance use disorders, mental health issues and suicide among persons who are LGBTQIA is examined.  Information is provided about how trauma from family and/or community rejection, bullying, and internalized shame is often at the root of many of these problems.  The difference between sexual orientation and gender identity is addressed along with the need for client identity to be addressed in the context of treatment.  The training provides practitioners and administrators knowledge about the interaction between LGBTQIA issues and substance use disorders and how to offer sensitive and affirmative treatment to LGBTQIA individuals.  A panel of persons who are part of the LGBTQIA community will be included in the presentation.

Objectives:

  • Differentiate fluidity of, and considerations for, gender identity and sexual orientation.
  • Identify specific situations where persons who are LGBTQIA can experience trauma in their lives.
  • List steps to take to work more respectfully, more effectively and thus improve clients’ outcomes with persons who are LGBTQIA.

Slides:

Wrolstad_LGBTQIA workshop slides_MO Spring Training Institute_2017

Wrolstad_LGBTQIA workshop_STI2017

 

 

 

 

What is Self-Medicating and How to Encourage Change Talk

Speaker(s):

Janice Bunch, MA, LPC

Presentation: In this program individuals will be able to learn more about why the individuals we work with self-medicate. The presentation will provide the definition of self-medicating but also encourage the group to share ideas and things they have seen within their own consumers and how they chose to address it within their particular professional setting.  It will teach individuals about change talk, how to use change talk with difficult consumers, and allow for the opportunity to practice change talk with others around them.  This presentation aims to help individuals working in any field to identify how to help resistant consumers move in the direction of positive change.

Objectives:

  • Understand self-medicating
  • Identify what change talk is
  • Practice talk strategies to promote consumer grown

Slides:

Bunch_Self medicating and how to encourage change talk STI 2017

 

 

 

 

Mental-Physical Health Integration (MPHI) Program Overview: Working with At-Risk Adolescents Who Have Experienced Trauma and Loss

Speaker(s):

Julia Peters, MSSW, LCSW

Presentation: The MPHI presentation will offer participants a chance to explore interventions to work with at-risk and vulnerable adolescent clients who are resistant to talk therapy but are interested in physical exercises (running, weight lifting, circuit training). This presentation will provide background information about neurobiology, how trauma impacts decision-making and the impact it can have during the adolescent-phase of brain development.  It will also discuss how to use this form of therapy in practice setting. MPHI incorporates high-energy exercises to discuss emotion identification, regulation and connecting with the body.  The MPHI presentation will also discuss how to use community providers, agency volunteers and other resources to provide a Life Skills component to the program to create a holistic experience for the participants to address issues around the mind and body.  By using research from yoga-based therapy, this program will explore how more intense exercise can benefit adolescents identify and connect with their mind and body. The MHPI model uses insights from Dr. Bessel Van Der Kolk, Dr. Edna Foa and Dr. Marsha Linehan.

Objectives:

  • Provide an overview of trauma and neurobiology
  • Review the impacts of chronic trauma, abuse and neglect on homeless adolescents
  • Discuss mental-physical health integration programming that focuses on emotional regulation, decision-making and choice.

Slides:

Peters_Mental-Physical Health Integration (MPHI) Published

 

 

 

 

Post Traumatic Growth – Good News for Trauma

Speaker(s):

Craig McAndrew, MA, LPC,LCAC

Presentation: Post Traumatic Growth is how people transform after adversity. This presentation will review trauma, and discuss the paths to PTG. This will be helpful for therapists who work with PTSD. Treatment for PTSD can be frustrating for therapists and clients as it takes time. By learning about growth after trauma this will help in treatment planning and give hope and direction to PTSD clients. Based on the books “What Doesn’t Kill Us” by Stephen Joseph, PhD and “Upside” by Jim Rendon.

Objectives:

  • Review the latest treatment techniques for PTSD
  • Implement strategies for clients and their families to process and hope for future outcomes
  • Identify paths to post traumatic growth

Slides:

McAndrew_POST TRAUMATIC GROWTH II

 

 

 

 

 

Art of Self-Care: Vitalizing Practices of Mindfulness and Qigong to Prevent Burnout and Compassion Fatigue

Speaker(s):

Colleen Loehr, MD

Presentation: As mental health care providers, it is vital to have skills for self-care and renewal to prevent compassion fatigue and burnout. Participants in this workshop will engage in mindfulness and qigong practices to boost vitality and calm the mind. Relevant scientific studies about the effectiveness of mindfulness and qigong practices will be reviewed. Workshop participants will receive a handout of exercises to encourage ongoing practice of self-care skills. Participants will also be able to teach these valuable self-care skills to their clients.

Objectives:

  •  Practice self-care skills to reduce the risk of compassion fatigue and burnout.
  • Interpret  scientific evidence about the effectiveness of mindfulness and qigong in reducing stress.
  • Teach simple self-care skills to clients.

Slides:

Loehr_Slides for STI Workshop 2017

 

 

 

 

 

 

From the Crime to Doing the Time: What is it Like to Receive Mental Health Care in Prison

Speaker(s):

Jennifer White, MEd, LPC  and Patrick Finder, MS

Presentation: Many people, both in mental health and law enforcement, say that prisons have now become the primary place for treatment of the serious mentally ill. This presentation is meant to provide an honest exploration of mental health care in prison. Is what you see on TV reality? This is a behind the scenes glimpse into life behind bars will provide an introduction to modalities of mental health care in corrections and the most effective therapeutic approaches. Those in attendance will be offered descriptions of the work environment within the prisons, the type of mental health patients that will be encountered as well at the more effective therapeutic interventions that can be offered. Both the pros and the cons of the fascinating area of forensic mental health will be explored.

Objectives:

  • Recognize how the United States correctional environment has become the primary provider of mental health care.
  • Review therapeutic approaches use in working with this population.
  • Explain what it is like to be an individual incarcerated in a Missouri prison and the mental health problems that may have led to the incarceration as well as mental health problems that can develop due to incarceration.

Slides:

White_Christine Journey

 

 

 

 

 

 

 

The High Costs of Fatherlessness

Speaker(s):

Neal DeSha, LPC, ICMHS

Presentation: The presentation begins by looking at some Federal programs and the financial, emotional, physical, educational and social costs fatherlessness has in connection to these programs. We then take a brief look at the extent of and the two major contributors to fatherlessness. We then spend most of the time discussing the six major consequences of fatherlessness.  We end by briefly looking at the positive impact that fatherfullness has on children and society, and we close by discussing some positive suggestions and solutions we can consider.  All of the information presented is taken from the National Fatherhood Initiative and the National Center for Fathering websites.

Objectives:

  • Explain the costs fatherlessness has on society at large
  • Review the extent or epidemic of fatherlessness
  • Indicate the two major contributors of fatherlessness
  • List the six major consequences of fatherlessness

 

 

 

 

 

 

 

Sexual and Gender Diversity in a Healthcare Setting: Providing Affirmative Care

Speaker(s):

Ryan Cox, PhD

Presentation: This presentation is designed to provide working knowledge of the unique needs, and various disparities, affecting the LGBT community when seeking healthcare, both physical and mental. Transgender individuals have differing needs, and face differing barriers, than do lesbian, gay, and bisexual individuals. This is delineated within the presentation, with time spent focused on both. Some of the topics addressed include: terminology and its ever-changing landscape; specific disparities, both physical and mental, experienced by transgender and LGB individuals; the difference between being “LGBT friendly” and “LGBT affirming”, and what it means, exactly, to be affirming; how to create an affirming practice; how to broach, and talk about, the topics of sexual and gender identity, and further, why that is important; as well as challenging participants to examine and reconsider some of their own assumptions and biases, maybe even assumptions they may hold about themselves. The presentation is intended to be between 45-60 minutes, with time for discussion and Q & A afterwards.

Objectives:

  • Gain a better and working understanding of the unique needs and challenges facing the LGBT population when attempting to access healthcare of any kind.
  • Understand what being transgender means, including differentiating it from sex, gender and sexual orientation.
  • Gain tips for speaking to patients and clients about sexual orientation, gender identity, and describe why it is important to do so.

Slides:

Cox_Ryan_STI2017

 

 

 

 

 

 

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