Improvement, Innovation & Integration
Wednesday, September 17 - Friday, September
19, 2008
Pre-Conference Institutes: Tuesday, September
16 & Wednesday, September 17, 2008
Location: Duluth Entertainment Convention Center
Sponsored by: Minnesota Association of Community Mental Health
Programs, Inc.
Who
Should Attend?
|
- Mental health professionals
- Health & human services staff
- Psychologists & social workers
- Psychiatrists & nurses
- Marriage & family therapists
- Practitioners & psychotherapists
- Hospital-based staff
- Community support & Rule 36 staff
- Clinical directors & supervisors
|
- CEOs & board members
- Financial staff & administrators
- Teachers & special ed providers
- School psychologist & social workers
- Managed care organizations
- County social services staff
- Case managers
- Consumers & advocates
- And others
|
Conference Interest Areas
Conference tracks are like “mini-conferences” within the conference.
Conference tracks for clinical, management and administrative support staff include:
- Child & adolescent clinical skills
- Reimbursement & service development
- Best practices & program sharing
- Statewide policy & planning
- Personnel & professional development
- Community support services for people with serious & persistent mental illness
- Clinical & rehabilitation services
- Community psychiatric services
- Public policy & advocacy
Conference Schedule
|
|
Tuesday, September 16, 2008 |
|
9:00 am |
Registration for Institute |
|
9:30 am-5:00 pm |
Pre-Conference Institute |
Wednesday, September 17, 2008 |
|
8:00 am |
Registration for Institute |
|
8:30 am-11:30 am |
Pre-Conference Institute |
|
10:00 am-1:00 pm |
Registration for Conference |
|
1:00 pm |
Welcome & Opening Session |
|
2:45 pm-5:30
pm |
Concurrent Breakout Sessions |
|
5:30 pm |
Welcome Reception |
Thursday, September 18, 2008 |
|
8:30 am |
Plenary Session Speaker |
|
10:00 am-12:30 pm |
Concurrent Breakout Sessions |
|
12:30 pm-2:00 pm |
Banquet & Awards Luncheon |
|
2:00 pm-5:15 pm |
Concurrent Breakout Sessions |
|
6:00 pm |
Optional Group Dinner & Social Activity |
Friday, September 19, 2008 |
|
8:30 am-11:15 am |
Concurrent Breakout Sessions |
|
11:20 am |
Closing Session Speaker |
|
12:30 Noon |
Raffle Drawing |
Continuing Education Credits
Applications will be made for pre-approval of CEU credits for
psychologists, physicians and nurses, social workers, marriage and
family therapists and others. The conference is designed to meet
unique continuing education requirements for each profession.
Specific information regarding CEU credits will be available in
September following board action.
Opening Session
Integrating Mental Health and Primary Care
Wednesday, September 171:00 pm
Macaran Baird, MD, MS
University of Minnesota Medical School
Integrating mental health and medical care has long been an
aspiration within health delivery systems. Yet, combining
such services has
proven challenging. A more effective model is feasible by offering
several levels for bringing
mental health, medical providers, and clinicians together to improve
care. Frequently an integrated care team struggles with patients
who have overlapping
comorbidities and psychosocial barriers. Complexity describes
the factors that interfere with routine care yielding optimal
outcomes. By systematically
assessing these factors, clinicians can create a productive language
for complexity
which facilitates creation of more focused care plans. The Minnesota
Complexity Assessment Method© is a tool to identify and address these
complex realities.
Macaran (Mac) Baird is professor and head of the University of
Minnesota Department of Family Medicine and Community Health. In
addition, he is board of directors chair for UCare Minnesota. In addition
to being a physician, he is a family therapist.
Plenary Sessions (Choose One) First Choice
Mental Health & Work: Which Comes First?
Thursday, September 188:30 am
David Lynde, MSW, LICSW
Dartmouth Psychiatric Research Center
Work is part of expected adult roles in our society. Yet, we
have a confused history in our approach to people with mental illness
that counterpoises readiness for work with wellness
through work. Adults with severe mental illness could spend years
in therapy, getting prepared to cope with work. Now, evidence suggests
that competitive employment plus supports creates a context for recovery.
This session provides a framework for understanding the interaction of
employment and mental health services and describes the profound evidence
for work first employment interventions. Session will also
examine employment in the context of individual stages of change model
and provide strategies for a range of clinicians and clients.
David Lynde is the Co-Director of the Dartmouth Evidence-Based
Practices Center. David worked on all phases of the Implementing
Evidence-Based Practices Project, and the Johnson & Johnson
- Dartmouth Community MH Program.
Plenary Sessions (Choose One) Second Choice
Attachment,
Regulation & Social Engagement: What
Happens for Children who Stay Insecure?
Thursday, September 188:30 am
Anne Gearity, PhD, LICSW
U of M & Washburn Child Guidance Center
Attachment research illuminates how children learn to regulate
in the face of inevitable stimulation, and how complex social
learning emerges from early interactive engagement. Children
struggle without attachment
partnerships that assure security. Yet, many interventions
overlook these deficits and use treatment protocols that
presume capacities that are
lackingand then these children fail. For our efforts to be successful,
it is necessary to remediate the developmental results of
attachment difficulties. This session will examine salient
attachment outcomes,
especially self
regulation and its relationship to positive social engagement
and social learning within the family and community.
Anne Gearity has been a mental health clinician for over
30 years. She is a senior fellow at the School of Social
Work, U of M.
In addition
to independent practice, she is the principal consultant
to Washburn Centers
innovative day treatment program.
Concurrent Breakout Sessions
Full conference features a total of 75+ sessions organized around tracks/interest
areas - like “mini-conferences." Sessions designed for experienced
as well as newer staff
Integrating Mental Health & Primary Care
Integrated care researched clinical models
Integrated care business models & financing
Meeting client needs on a mind, body & spirit level
Diabetes & mental illness: recognizing the risk
Obesity reduction & prevention strategies
Fat to fit: metabolic crisis in the mentally ill
Nutrition & psychiatry: prevention & treatment
Improving adult depression care
Differential diagnosis & screening of comorbidity
Physical health screening in a mental health setting
Common problems with psychiatric diagnosis & Tx
Improving Cultural Competence & Access
What works in MH Tx of refugees & immigrants
Working effectively with Latino clients
Working with the Southeast Asian population
Using telehealth to improve access & reduce geographic & cultural
disparities
Building cultural competence in school MH
Cultural & evidence-based practices in child MH
Pathways to Recovery
Organizational recovery: creating a recovery culture
Recovery pathways: hope, empowerment, spirituality
Peer support as a tool for transformation in MN
No force first crisis alternatives
Wellness & recovery through peer support
Innovations in Adult Clinical Rehabilitation
Thirty years later, speed still kills - meth
MH crisis assessment in the emergency room
Working effectively with challenging clients
Co-occurring MH disorders & substance abuse
Wellness through work in Minnesota
Rapid access psychiatric clinic model
Veterans readjustment: a community collaboration
Prevention & recovery with young adults
Safety-proof yourself during community visits
Providing assertive case mgmt to families in poverty
Making connection to mentally ill homeless adults
Positive mental health: more health, less symptoms
Psychiatric rehabilitation: principles in practice
Improving Child/Adolescent Clinical Skills
Developmental repair model of intervention
Working with families in crisis: PIE approach
Helping youth who are homeless
Military children: impact & issues
Hearing the parent/youth voice in treatment
Fetal Alcohol Spectrum Disorder brain behaviors
Evidence Based Practices: what families need to know
Epidemic of Autism Spectrum Disorder
Childrens mental health outcome measures pilot
Mental health screening in juvenile justice
Building & sustaining school MH programs
Residential placement & custody relinquishment
Treatment of child & adolescent depression
Substance abuse prevention strategies for families
Transition from child to adult MH services
Improving Clinical Management & Practices
Using Don Miguel Ruizs 4 agreements in leadership
Employee discipline & termination
Implementing electronic health records/billing
Resiliency & leadership skills
Clinical vs administrative supervision
The eLearning culture
Healthcare workforce crisis: an urgent call to action
MNs requirements for standard electronic health care transactions
Remote leadership across geographic distances
Organizational crisis management in MH services
Ethics & effectiveness - fills ethics requirement
Growing your fundraising
Legal duties & responsibilities of board members
Profound pearls from prestigious publications
Statewide Policy & Community Planning
Building community-based infrastructure to support recovery & resiliency
MN's mental health: Council of Health Plans report
SOS adult MH & centralized preadmission
MH courts improve public safety & quality of life
Legislative & public policy forum
Mission & vision of adult mental health services
Disaster MH recovery: respond to a local disaster
Closing Session
Hopes Beautiful Daughters
Friday, September 1911:20 am
Pete Feigal
National Speaker & Consumer Advocate
Hope has two beautiful daughters. Their names are anger and courage;
anger at the way things are, and courage to see that they do not
remain the way they are." - St. Augustine of Hippo
No illness can cause as much despair as mental illness. The sense
of being broken is one that locks consumers in places of pain
and emptiness. Families find themselves trapped in endless cycles
of
despair. With so much vicarious trauma, professionals experience
burnout and feelings that their work is unsuccessful. Learn to
break these cycles with concrete ideas and strategies for keeping
hope alive on a daily basis. Issues such as staff turnover, improving
staff/ client communications and focusing our lives on what we
love will be discussed.
Pete Feigal will share insights gained from his own 35 year experience
with mental illness and the wisdom hes learned from others
to find new meaning, purpose and hope.
Tuesday Pre-Conference Institute
Earlier Intervention in Psychosis: Opportunity for Recovery & Prevention
Tuesday, September 169:30 am-5:00 pm
Steve Olson, MD
U of MN Department of Psychiatry
Daniel Hanson, MD, PhD
U of MN Department of Psychiatry & Psychology
Converging scientific evidence indicates that the onset of psychosis
occurs when genetically and developmentally determined vulnerability
interacts with biopsychosocial risk factors. Recognition of at-risk
conditions and appropriate therapeutic intervention can decrease
deterioration, facilitate functional recovery or even prevent
schizophrenia.
This institute describes the necessary clinical services and
public education to address this radical change in how the system
deals with severe mental illness. Topics include phenomenology
of the prodrome, identification of at-risk states, biological
markers of developmental and degenerative brain structure and
function, resource needs, effects of pharmacotherapy and psychotherapy
on the course of illness. Learning objectives include:
Define the relevance of early stages of psychosis to prodrome,
at-risk mental state, BLIPS, duration of untreated psychosis,
endophenotype, recovery, and remission.
Describe characteristics of those vulnerable to psychosis, how symptoms evolve,
and the variability of outcomes possible.
Recognize brain structural and physiologic markers of persons at risk and how
these measures change over early stages of
illness.
Recall the mechanisms of genetic and developmental vulnerability and their
interaction
with risk factors which may or may
not culminate in schizophrenia-related illness.
Realize the range of interventions which may alter the course of a developing
schizophrenia: pharmacologic, psychotherapeutic,
educational, and social.
Steve Olson is Director of the U of MN Schizophrenia
Program which conducted the CATIE study comparing antipsychotics
and the CAFÉ study of first episode
psychosis. His research interests include brain structure and function in psychosis
and treatment of cognitive dysfunction in schizophrenia.
Daniel Hanson is Director of the FIRST program for early psychosis and has studied
the origins of psychotic behavior throughout his career. His work has involved
studies of children at high risk for schizophrenia and biological mechanisms
by which genetic risks combine with environmental factors to set the stage for
psychoses.
Wednesday Pre-Conference Institute
Behavioral Health and Primary Care Integration: Using the
Four Quadrant Model to Look at Issues, Interventions & Opportunities
for the Future
Wednesday, September 178:30 am-11:30 am
Barbara Mauer, MSW, CMC
MCPP Healthcare Consulting, Seattle, WA
There are multiple aspects to integrating behavioral health and
primary care. It is challenging for both organizations to change
their clinical processes and practices. This is especially true
when they must collaborate to achieve shared goals for a population,
such as:
Increasing capacity of primary care clinics to screen for depression,
bipolar, substance use, anxiety, and other conditions;
Increasing capacity of primary care clinics to provide proactive follow-up and
management of patients that can be appropriately
served in primary care;
Growing community mental healths provision of training and clinical support
for primary care, to support a comprehensive
stepped care model;
Establishing methods for medical management of patients at risk for metabolic
syndrome who are treated in community mental health settings.
Despite research that shows us effective models for behavioral health intervention
in primary care and promising practices for healthcare interventions in mental
health, we have yet to systematize those clinical interventions in practice.
Participants will be able to:
Apply the Four Quadrant Model to issues and gaps in services;
Describe clinical models to be applied to improve integrated services in primary
care and behavioral health settings;
Discuss the implications of clinical models for business and financial structures;
Consider a future healthcare system built around medical homes and how integration
fits into that future.
Barbara Mauer has twenty years of experience focused on strategic planning, program
design, and quality management processes. She is a co-author of How to Thrive
in Managed Behavioral Healthcare and The Primary Care Performance Management
System. She is the project manager for the National Councils Primary Care-Mental
Health Learning Collaborative, which has had 12 site teams, each comprised of
a mental health center and a federally qualified health center