When Heroic Force Fails: Trickster Stories Show the Way

Speaker(s):

David Strabala, MSW

Presentation:

Hero stories are gaining more attention in culture, through superhero movies, focus on the hero’s journey, and even Trauma-Informed-Care asking, “What happened to you?” as a healing element. All alone, such healing focus on a hero’s power can become imbalanced, however, leading to narrow vision, hyper-masculinity and estrangement from community. Who can help? None other than the misunderstood character known as the trickster. A disruptor, fool, and seemingly evil, the trickster is also a creator. The trickster ways can be especially important today as many problems don’t respond well to typical forceful means.       

Using a djembe drum, the presenter will tell stories of heroes and tricksters from many cultures. He will compare heroes and tricksters to show how they complement each other in healing. The feminine in story will also be discussed, in the form of female protagonists and helpers and in action that balances masculine energy. The audience will learn the value of stories as containers for healing in three ways: through deeper, meaningful connections to self and others; through emergent insight and creativity; and as a guide to embracing non-violent conflict resolution. Focus will be placed on populations within the presenter’s specialties, primarily troubled teens and veterans with PTS.    

Objectives:

  1. Discover how stories connect us more deeply to ourselves and the world
  2. Experience how stories yield insights and creativity
  3. Open up non-violent conflict resolutions through stories

Slides and Handouts:

STRABALA – -Trickster webinar 2021 Strabaladoc

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

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

Evans, Rhiannon, MS, BCBA, LBA

Rhiannon Evans is the Statewide Targeted Prevention Coordinator for the Missouri Department of Mental Health (DMH). Rhiannon works on developing programs, systems, assessments, and trainings to help reduce crisis situations and support a better quality of life both for people served by DMH and for the staff working with them. Her areas of expertise are in effective supervision, data analysis, performance management, and behavior analysis. Rhiannon started with DMH in 2013 at Fulton State Hospital (FSH) as a Behavior Technician also working as a Behavior Analyst practicum student. She successfully worked both on individual behavior support plans as well as whole-systems approaches to reducing crisis situations and promoting positive behavior across the entire hospital. In 2018 Rhiannon began work as the Statewide Tiered Supports Coordinator for DMH where she further developed the Tiered Supports system by leading the ATSCs and collaborating with providers across the state. In 2019 Rhiannon was promoted to her current role. Rhiannon graduated from The Chicago School of Professional Psychology with an MS in Applied Behavior Analysis. She has over 14 years of supervisory experience and her research has centered on ways to sustain implementation of programs. 

Presentation(s): 

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

 

 

Ouellette, Brian, MA, LPC


 I’ve got 17 years total counseling experience, having started my counseling journey as a Missouri DYS Youth Specialist. I currently work for the Department of Veterans Affairs at the Springfield Vet Center in Springfield Missouri. I have been working with veterans with PTSD, as well as other dual disordered veterans since January of 2007, when I started working for the Veterans Administration as an Addictions Therapist. I began working for the vet center side of the VA in August of 2012, working as a Readjustment Counseling Therapist.

I received a Masters of Arts in Professional Counseling from Lindenwood University May of 2006, and I am currently working a doctorate in Counselor Education and Supervision.  I am a Missouri Licensed Professional Counselor, a National Certified Counselor, and a Certified Clinical Mental Health Counselor. I’m in the process of becoming a Certified Clinical Trauma Professional. In addition to my work with the Department of Veterans Affairs, I also worked as an after hours crisis counselor for Community Support Services for two years. 

Presentation(s): 

Moral Injury and The Development of PTSD




 

 

Strabala, David, MSW, LCSW

David Strabala, MSW, LCSW, currently works full-time as Juvenile Office Counselor for Clay County, MO.  As a Licensed Clinical Social Worker since 1994, he has worked in mental health centers, TBI day treatment, employee assistance, mobile crisis and with military/PTS. His primary specialty has been with troubled youth. For 20 years, he has discovered how the telling of meaningful stories can feed clients’ willingness to integrate shadow aspects of life, thus building strength and insight about how gifts are near our wounds. Most stories he offers are fairy tales of heroes or tricksters that reveal coded maps of the psyche’s paths toward wholeness. He plays an African djembe drum in groups to hold the story space. His interest in personal story prompted a six-year filmmaking project, resulting in an award-winning feature documentary, “What Is Synchronicity?” which he will give to session attendees who would like a DVD copy.


Presentation(s): 

When heroic force fails: trickster stories show the way









 

 

Rodgers, Teresa, Ph.D., BCBA, LBA

Teresa, who prefers to be called Terri, graduated from the University of Florida ABA program with James Johnston and Brian Iwata as her primary professors. She has worked as a behavioral consultant in areas of child welfare, children’s mental health services, developmental disabilities, traumatic brain injury and for families with typical developing children.  She has also served as the Senior Behavior Analyst for the Agency for Persons with Disabilities in the State of Florida and is currently the Chief Behavior Analyst in Missouri for the Division of Developmental Disabilities.  Terri has served diligently on two state licensure processes, Arizona and Florida.


Presentation(s): 

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






 

 

Evans, Lucas, MA, BCBA, LBA

Lucas Evans is a behavior analyst with Missouri’s Department of Mental Health, Division of Developmental Disabilities. He has helped community and inpatient providers build and maintain supports for individuals with complex behavioral needs and mental health concerns.  Lucas is a doctoral student of behavior analysis at The Chicago School of Professional Psychology.  His research interests include professional practice, instructional design, and quantitative models of behavior.


Presentation(s): 

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

 

 

SOC-Community for Early Signs & Symptoms: Engaging the Community is Early Intervention of Psychosis

Speaker(s):

Cynthia Mueller, PhD

Jodi Woodruff, PhD

Melissa Smyser

Amy Stevens

Dani Wilson

Jill Richardson

Presentation: This presentation provides the current outcomes of a four year grant through SAMSHA that has focused on the development of services and supports for the early detection of sign and symptoms of psychosis. Modeled after successful programs in Australia and Europe, SOC-CESS aims at identifying pre-psychosis symptoms early in children and youth such that the trajectory of their life can be positively influenced. More than twenty years of research has shown that early intervention in psychosis can dramatically reduce the both the length and severity of psychosis and the long term effects of this mental illness.

Objectives:

  1. Review of research in early signs and symptoms of psychosis
  2. Identify early signs and symptoms of psychosis
  3. Introduce treatments and supports for children and youth identified as at risk for psychosis
  4. Discuss implications for the expansion of mental health services to include screening, assessment, and treatment of children and youth at high risk for psychosis

Vincenz, Felix, PhD

Dr. Felix Vincenz is the Associate Director of the Missouri Institute of Mental Health at the University of Missouri. He also serves as the Chief Operating Officer of St. Louis Psychiatric Rehabilitation Center, a state operated, long-term inpatient forensic hospital. Dr. Vincenz has worked in the Department of Mental Health for over 36 years, serving in various capacities, including Chief Executive of the State’s only Maximum-Security Hospital, the Department’s Director of Facility Operations, and as the Chief Operating Officer of the Division of Behavioral Health. In the latter two roles, he oversaw all the state operated psychiatric hospitals and habilitation centers, and was responsible for working with the department’s contracted providers for community mental health services. He is a clinical psychologist by training.

Presentation(s): 

Recruitment & Retention in State-Operated Behavioral Health Organizations