Solution Focused Brief Therapy

Speaker(s):

Stephen Finzo, Psy.D

Presentation:

This training will provide an overview of the establishment and development of SFBT, its uses for appropriate populations, and skills and nuances for application. We will explore the tenets of the treatment as related to addressing the client’s need in the present and with the focus on the future. We will explore the Needs and Change model addressing motivation, respectful curiosity, and the preferred future. We will determine and define interventions and skills readily available to the participant.

Objectives:

  1. Review the development of SFBT
  2. Gain a practical knowledge of the interventions of SFBT
  3. Learn a viable tool for intervention with clients

Slides and Handouts:

FINZO – SFBT PPT MIMH 5-2021-final

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

Opioid Use Disorder ECHO

Speaker(s):

Doug Burgess, MD

Evan Schwarz, MD

Dayana Arteaga, DO

Percy Menzies, M. Pharm.

Drew Shoemaker, MD

Angeline Stanislaus, MD

Presentation:

The ECHO model has been recognized as an effective method for distributing and supporting the implementation of evidence based practices to rural areas. This model utilizes teleconferencing technology to link experts in the treatment of opioid use disorder with clinicians interested in learning and implementing evidence based practices in the treatment of a particular condition. This presentation will consist of a live session of the Opioid Use Disorder ECHO. There will be a 20 min didactic on a topic pertaining to the treatment of individuals with opioid use disorder followed by a case presentation and discussion. The didactic covered during this presentation will be management of acute pain in patients being treated for opioid use disorder.

Objectives:

  1. Utilize the ECHO model as a tool to help implement evidence based treatment of Opioid Use Disorder
  2. Describe 1 strategy for addressing acute pain management in patients treated with methadone, buprenorphine and naltrexone
  3. Understand the potential for synergistic pain control when combining buprenorphine with full agonist opioids

Slides and Handouts:

BURGESS_Management of Acute Pain in Patients with Opioid Use Disorder STI

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

Lessons Learned: The Road to Sexual Offending

Speaker(s):

Rachel Colwick, M.A., LPC

Mark Moore, M.A., LPC

Presentation:

This presentation will consist of an overview of the empirically supported treatment models and theories associated with persons who have committed sexual abusive acts such as Good Lives Model, Risk Needs Responsivity Model, Relapse Prevention, Self-Regulation Model-Revised, Motivation-Facilitation Model of Sexual Offending, Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy. The presenters will explain the dynamic risk factors related to this population as well as the protective factors, or features that have been shown to help lower rate of recidivism. Further, characteristics of patterns regarding the sexual offense progression will be depicted within this presentation. Additionally, case examples will be illustrated to increase conceptualization of the offense motivations, goals, and behaviors. Finally, an emphasis of evidence based treatment strategies or tools will be exemplified to audience members.

Objectives:

  1. Discuss the empirical based models associated with sexual offending
  2. Explain the dynamic risk factors associated with sexual offending including the protective factors (or features shown to help lower recidivism rates)
  3. Describe the primary characteristics or patterns (offense goals, motivations, and behavior) related to the offense progression
  4. Identify treatment targets and interventions or strategies

Slides and Handouts:

COLWICK AND MOORE_STI2021FinalDraft

How to Increase Sustainability Without Magic in Psychiatric Facilities & Community Settings

Speaker(s):

Rhiannon Evans, M.S., BCBA, LBA

Lucas Evans, M.A., BCBA, LBA

Teresa Rodgers, PhD, BCBA, LBA

Presentation:

Staff working in high-stress environments are often faced with poor staffing ratios, competing job tasks and burnout. This creates a barrier to providing quality social opportunities and leads to environments where only challenging behavior results in meaningful social interactions. There is no magic fix to overcome these barriers; however, a whole-systems approach with active supervision can help sustain implementation of programs. The Missouri Department of Mental Health (DMH), Division of Developmental Disabilities calls this approach Tiered Supports.

Presenters will discuss how to use this approach and the results which have demonstrated significant reduction in severe problem behavior and increased quality of life in five separate applied settings in a forensic psychiatric facility serving individuals between the ages of 17-100. Similar results were found when applied to multiple community settings where residential services are provided and similar barriers exist. Furthermore, staff participating in the approach reported increased job satisfaction, including a better relationship with their supervisor, team, and the people they serve. Presenters will share applied examples from each setting.


Objectives:

  1. Discuss common implementation barriers both in institutions and in community settings
  2. Review a universal approach, in Missouri’s Department of Mental Health – Division of Developmental Disabilities, which focuses on active supervision and regular feedback
  3. Examine data regarding the supervisors, DSPs, and people participating in the program across multiple applied settings within DMH
  4. Learn how to implement a whole-systems, Tiered Supports, approach to increase sustainability of programs

Slides and Handouts:

EVANS_RHI_Spring Institute RE.LE.TR. 2021

Understanding Cop Culture

Speaker(s):

Ken McManus, M.Ed., LPC

Jason Klaus, B.S.

Presentation: 

In 2018, for the third year in a row, the national total of police officer deaths by suicide exceeded the number of officer deaths in the line of duty. While every such tragedy has its own story, there are patterns of toxicity unique in law enforcement careers that significantly contribute to the risks for relationship implosion, isolation, depression and suicide. Some law enforcement agencies are responding to these trends by providing officer wellness initiatives and supports; others are not. By either path, clinicians may find themselves confronted with law enforcement personnel, or their family members, seeking effective intervention in what may be the later stages of a mental health crisis. And, these individuals can be “treatment reluctant” as a function of their culture. This presentation will provide research-based insights into individual and organizational police culture and specific strategies clinicians can incorporate to increase the efficacy of their treatment efforts.

Objectives:

  1. Identify specific dynamics within police culture that increase risks for crisis
  2. Identify specific dynamics within police officer experience that enable despair and isolation
  3. Describe the neurology that underlies the intensity of officer experience, e.g. the hypervigilance rollercoaster, and increased risk for harm
  4. Identify strategies to enhance clinician effectiveness with this unique population

Slides and Handouts:

MCMANUS – Understanding Cop Culture May3rd

 

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.

Evidence-based Psychotherapies in Competency Restoration Treatment

Speaker(s):

Shawn Anderson, PhD

Aishah Augusta-Parham, MA

Alexis Humenik, MA, MSCP

Kristin Neville, MA

Presentation:

Expanding the role of evidence-based psychotherapy is critical to effective and efficient competency restoration treatment. Although pharmacological treatment is widely accepted as the primary intervention for competency attainment, for some patients, medications alone are not sufficient to achieve this goal. Certain psychotherapeutic treatments have been empirically established to successfully address particular psychiatric symptoms, which underlie the legal deficits and/or contribute to the psycho-legal deficits of many incompetent defendants.  This presentation will: review different manualized psychotherapeutic approaches that can be used to address specific competency deficits; describe the process for identifying patients whose competency deficits would benefit from psychotherapeutic treatments; and provide case examples using Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Dialectical Behavior Therapy.


Objectives:

  1. Learn how psychotherapy fits into a competency restoration program.
  2. Learn to identify patients with competency-related deficits appropriate for psychotherapy treatment.
  3. Learn how three evidence-based therapies can be applied in competency restoration treatment by addressing specific interfering symptoms and building psycho-legal skills.

Slides and Handouts:

ANDERSON_SHAWN_Spring Training Institute_2021

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.