IDD-Dual Diagnosis

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Supporting Complex Needs using Tiered Supports

Room Nautical Wheeler

Speaker(s): 

Kathleen Deppeler, BA

Description: 

The Missouri Department of Mental Health uses Tiered Supports, based on a public health model created by the CDC. This model supports the health of an entire population of people by providing a continuum of supports that are layered on top of one another as a person’s needs increase. Learn more about how structuring supports by tiers relates to individuals, strategies, and organizations as a whole.

Objectives

  • Participants will understand how a tiered framework relates to people, interventions, and organizations
  • Participants will understand how a tiered framework improves outcomes community wide
  • Participants will know how to access free PBS resources from the Department of Mental Health to improve relationships, behaviors, and environments through positive practices.
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Deppeler, Kathleen, BA

Kathleen Deppeler is the Director of Positive Supports for the Missouri Department of Mental Health- Division of Developmental Disabilities. The Positive Supports team provides professional development, coaching, and consulting around the implementation of Positive Behavior Support (PBS) systems. Kathleen joined the Tiered Supports team in 2013, and has continually focused on increasing organizational capacity to support people with complex needs. She has a Bachelor’s of Arts in Human Services and minor in Sociology from Fontbonne University in St. Louis and has trained, coached, and mentored Tools of Choice implementers and facilitators since 2013. She was recognized as the 2018 Crisis Intervention Training Instructor of the Year by the Mid-America Council for her focus on ensuring training competency through role play practice and feedback.

Presentation(s):

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Hendricks, Deb, BA

Deb Hendricks is currently working in DMH’s Office of Disaster Services focusing her efforts on emergency preparedness for individuals with I/DDs and the providers who work with them. She is also the parent of a son with Down syndrome.
She has created guidebooks for individuals and providers that lead them, step by step, through the process of creating an individualized emergency preparedness plan, as well as training in how to use the guidebooks. She is also focusing on training emergency responders about the individuals with I/DDs’ reactions to disasters.
 

Presentation(s):

Emergency Planning for Individuals with I/DDs

 

 

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Care at the Crossroads: Strategies for Clients with Concurrent First Episode Psychosis and Intellectual/Developmental Disabilities

Room Nautical Wheeler

Speaker(s)

Jodi Woodruff, PhD

Description

This presentation delves into the realms of First Episode Psychosis (FEP) and Intellectual and Developmental Disabilities (IDD). Attendees will gain a clear understanding of both conditions. We will cover prevalence statistics, explore recent research findings, and introduce models of care tailored to individuals with co-occurring FEP and IDD. Practical strategies to integrate into patient care will be highlighted, equipping healthcare professionals with valuable insights to enhance support for this unique population.

Objectives

  • Define First Episode Psychosis
  • Understand the wide spectrum of Intellectual and Developmental Disabilities
  • Implement compassionate and adaptive strategies in care for individuals with concurrent FEP and IDD
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Assessment and Diagnosis of Dementia for Individuals with Developmental Disabilities

Room Nautical Wheeler

Speaker(s):

Kayette Glass, PsyD

Description

Individuals with IDD are living longer than they ever have before.
In the U.S., the population of people over 60 who have a developmental disability is projected to increase from an estimated 173,000 in 1995 to 332,900 by the year 2025. Until recently, a shortened life span was expected for people with ID, and services and research were geared toward serving children.
75% of Adults with DD are in the 40 to 60 year age group *9,000 individual currently – projected to grow to 30,000 in next ten years. Individuals with IDD are most likely will to be served in the community. Because of this older people with developmental disabilities comprise a relatively unstudied group. Furthermore, individuals with IDD and Dementia are also relatively unstudied.
The prevalence of Dementia is 4x higher in IDD population than the general population.
Adults with Down Syndrome are at a higher risk of dementia and show a significantly elevated prevalence with advancing age. Early onset and more rapid progression of the disease (5-7 years) with more cognitive and adaptive functioning losses are more evident with Down syndrome. Prevalence of dementia doubles every 5 years between 45-60 years and is often the reason for referral is different for the IDD population than general population (e.g. a behavior change, like “He’s hitting people,” or “He’s incontinent.”). Almost half of the individuals that meet criteria go undetected/undiagnosed.

Objectives

    • Discuss disability awareness
    • Define the dementia umbrella
    • Discuss dementia in the IDD population
    • Review assessing dementia in IDD
    • Review treatment and recommendations for IDD and dementia
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Emergency Planning for Individuals with I/DDs

Room Nautical Wheeler

Speaker(s):

Deb Hendricks, BA

Description

This session will outline the efforts of DMH’s Office of Disaster Services to promote preparedness for individuals with Intellectual and Developmental Disabilities. The new preparedness guidebooks for individuals and providers will be introduced and demonstrated, showing the easy steps that will lead to completing individualized plans.
The presenter will also discuss the differential responses of those with I/DDs to emergencies.

Objectives

    • Discover the Preparedness Guidebooks for individuals with I/DDs and Providers
    • Introduce the Guidebooks into emergency planning in all settings
    • Consider the reactions of individuals with I/DDs to emergencies
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Dysregulation in individuals with IDD: Working Towards Better Supports

Room Nautical Wheeler

Speaker(s):

Robert Cox, MA, LPC

Description

Robert is the author of “The Life Recovery Method: Autism Treatment From a Trauma Perspective” and in the last 7 years he has discovered much about regulation and IDD in general. Often both emotion and sensory input come as energy signals that we feel in the body. The inability to process these signals accurately causes confusion and drives the individual into the Limbic region of the brain. Learning to aid in the processing of these signals and using proven techniques we can support individuals with IDD in a fuller, more regulating way.

Objectives

    • Describe the areas of the brain that drive meltdown responses to stimulus
    • Identify at least 3 methods of helping to calm the brain once escalated
    • Utilize methods of practice to begin rewiring the brain
    • Describe the benefits of bilateral stimulation in the brain
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Hicks, Dawn, MA, BCBA

Dawn Hicks (she/her) graduated from Arizona State University in 2022 with an MA in Special Education and an emphasis in Applied Behavior Analysis. Completed her practicum under Nicholas Maio-Aether at Empowered: A Center for Sexuality, and became a Board Certified Behavior Analyst (BCBA) in 2023. Prior to that, she worked in ISL homes in various positions ranging from a DSP to a QDDP.

Presentation(s):

Best Practices: Sexuality When Working with ID/DD Youth

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Best Practices: Sexuality When Working with ID/DD Youth

Nautical Wheeler

Speaker(s):

Hicks, Dawn, MA, BCBA

Description

This presentation will address best practices regarding sexuality when working with ID/DD youth. We will discuss agency and practitioner responsibilities and how to navigate resources for sexuality and ID or ASD. Abuses committed in the name of ABA will be reviewed along with the direction ABA is going and how to remain ethical when practicing. We will determine who dictates acceptable behavior and how that may vary by person, setting and context. Lastly, we will describe behavioral techniques to reduce problem behavior and increase desired behaviors.

Objectives

Attendees will be able to identify which person/level/organization to contact when seeking specialized services
Attendees will be able to list a minimum of three different ways ABA can be abusive
Attendees will be able to list a minimum of three examples of ethical ABA
Attendees will be able to describe a minimum of three ways to reduce problem behavior and/or increase desired behavior

Benson Presentation

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Glass, Kayette, LPC, PsyD

Dr. Kayette Glass is a Licensed Clinical Psychologist and Health Service Provider. She has worked in the mental health field since 1998 in different capacities, e.g., Community Support Worker, Psychosocial Rehabilitation Coordinator, Qualified Developmental Disability Professional, Licensed Psychologist, Director, Military Psychologist, and now Vice President of Clinical Services with The Arc of the Ozarks. The Vice-President of Clinical Services is responsible for planning, initiating, directing, coordinating, and implementing all care and treatment activities for individuals served by The Arc of the Ozarks and individuals served in the community. Currently, she supervises several teams, e.g., Psychological, Behavioral Analysts, Registered Behavior Techs, Behavior Consultants, and students. The design of the clinic is to provide wraparound services to individuals seeking assistance. She provides clinical services, crisis interventions, and has begun her training as a Suicide Prevention Trainer. She continues to provide community trainings and presentations to assist with educating others the importance of seeking mental health services and/or working with those who suffer from mental illness and a co-occurring IDD. Dr. Glass is also specially trained in the Autism Diagnostic Observation Schedule, Second Edition and is a Certified Mandt Instructor. Dr. Glass assists with in-home services for individuals with IDD and dementia.
Presentation(s):