Thursday, Session Abstracts

Session Abstracts, Thursday, September 17th – (7.0 CEUs Total)

Session: Opening Plenary 8:30 – 10:00 a.m. (1.5 CEUs)
Title: Person-Centered Care: An Integrated Approach
Speaker: Laura Galbreath, MPP – Director, SAMHSA-HRSA Center for Integrated Health Solutions, National Council for Behavioral Health, Washington, DC
Summary: Evidence-base and emerging knowledge support and strengthen the need for collaborative care and coordinated services across systems. This session will focus on the big picture regarding healthcare integration, with emphasis on improving access to care along with a person-centered approach focused on meeting the inter-related needs of the whole person – Mind, Body and Spirit. Discussion will be inclusive of the latest trends in collaborative care, health homes, and eliminating the silos that historically exist between health and behavioral healthcare. Emphasis and adoption of a more customer service based approach, along with screening and integration tools that can be incorporated into both health and behavioral health practice models will be addressed.

10:20 – 11:50 am Breakout Session 1

Session: 101 10:20 – 11:50 a.m. (1.5 CEUs)
Title: 
ETHICS – Can We Help? How Ethical Decisions Support Vulnerable Adults
Speakers: 
Angela M. Beeson, JD, Oklahoma Department of Human Services, Oklahoma City, OK
Laura Dempsey-Polan, PhD, LMFT, Morton Comprehensive Health Services, Tulsa, OK
Marguerite Chapman, JD, LLM, University of Tulsa, Tulsa, OK
Catherine Welsh, Esq., Welsh & McGough, PLLC, Tulsa, OK
Summary: 
A panel of area experts will explore 1) existing State options and best practices, 2) ethical measures connected to health and caregiving interventions, including legal options, and 2) challenging ethical questions which professionals and caregivers face with a growing vulnerable adult population, including when to pursue a power of attorney or guardianship. Guidance will be offered on ethical decision-making for professionals and caregivers, particularly on how and when to coordinate with or seek legal expertise.

Session: 102 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 Transforming Trauma: Mindfulness Techniques to Rewire Your Brain!
Speaker:
 Jennifer L. Sweeton, PsyD, MA, MS, Mind Works Consulting and Psychological Services, Oklahoma City, OK
Summary:
 Attend this experiential training and take home some of the latest evidence-informed trauma intervention tools. So often, trauma survivors ask, “Will I ever be who I was before the trauma?” Over the past decade there has been an exciting merging of trauma, mindfulness, and neuroscience research that is revolutionizing clinical practice. Neuroscience research provides profound insight into the brain changes we are capable of producing, and we are beginning to learn how to enact these changes through the practice of mindfulness techniques. After this presentation you will be able to reply, confidently, that each of us has the power to change our brains (and ourselves) to be better than ever!

Session: 103 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 The Clinical Practice of Primary Care Behavioral Health: A Lifespan Approach
Speaker:
 Traci Bartley Young, LCSW, OU Physicians, Oklahoma City, OK
Summary:
 At the heart and soul of integration is the “how to” of how behavioral health can impact our patient’s lives in an integrated healthcare setting. This workshop will be full of examples and ideas that can help with the daily clinical practice of an integrated approach/model. The presenter of this workshop works in a Family Medicine primary clinic and will share her experiences working with patients across the lifespan. It takes many clinical tools to approach integration.

Session: 104 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 What We Have in Common: Peer Specialists in Health Interventions
Speakers:
 
Kelli Adams, CPS, Pathways to Housing PA, Philadelphia, PA
Ana Stefancic, PhD, Columbia University School of Social Work, New York, NY
Leopoldo Cabassa, PhD, Columbia University School of Social Work, New York, NY
Kathleen O’Hara, MSW, Columbia University School of Social Work, New York, NY
Summary:
 
Despite the effectiveness of peer-delivered services, peer specialists are currently underutilized in health and wellness interventions for persons with psychiatric disabilities. Few studies have examined how peer specialists are integrated into these interventions, how services are adapted for delivery by peer specialists, and how unique aspects of peer specialists’ perspective and experience is enacted in practice. Workshop participants will learn how peer specialists have been utilized in health interventions for persons with psychiatric disabilities, what accounts for the effectiveness of peer specialist services, and how the concept of shared experience operates in practice.

Session: 105 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 
Integrating Brain and Body to Improve Mental Health
Speakers:
 
Justin Feinstein, PhD, Laureate Institute for Brain Research, Tulsa, OK
Sahib Khalsa, MD, PhD, Laureate Institute for Brain Research, Tulsa, OK
Robin Aupperle, PhD, Laureate Institute for Brain Research, Tulsa, OK
Summary:
 
Traditionally, there has been a divide between those investigating (1) brain responses, (2) bodily responses, and (3) emotional responses, associated with mental illness. A more holistic understanding of neural, physiological and emotional aspects of mental health has the potential to inform our current clinical practice as well as the development of novel interventions. In this presentation, we will discuss (1) the role of heart-brain communications in mental health, (2) potential interventions for modulating one’s bodily awareness, and (3) potential brain mechanisms for current psychotherapeutic interventions. The focus will be on the clinical applicability of neurophysiological research.

Session: 106 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 
Emotional and Behavioral Health Among Latino Youth: Threats & Opportunities
Speakers:
 
Joe Grzywacz, PhD, OSU Center for Family Resilience, Tulsa, OK
Mike Merten, PhD, OSU Center for Family Resilience, Tulsa, OK
Summary: The goal of this presentation is to ensure the Tulsa community is equipped to meet the emotional and behavioral health needs of Latino youth, the single largest ethnic group across all school districts in the region. This presentation summarizes national and state data to highlight emotional and behavioral health needs among Latino youth, and it presents results from local research and national demonstration projects that can guide the creation of culturally competent systems of education, mental health promotion, and clinical intervention. Participants will obtain practical tips and solutions that will strengthen the mental health of this vulnerable but growing community.

Session: 107 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 
Bringing the Health Home – HOME: 180 Days of Renewed IMPACT
Speakers:
 
Erik Vanderlip, MD, MPH, FAPA, University of Oklahoma School of Community Medicine, Tulsa, OK
Stacy King, LPC, OU Impact, Tulsa, OK
Cynthia Hickl, LCSW, OU Impact, Tulsa, OK
Summary:
 
Presenters will engage the audience around a discussion of quality care coordination and the Chronic Care Model and identify the key elements of overlap between Assertive Community Treatment and the Health Home. Participants will leave with an impression of what evidence-based chronic care looks like in-vivo, and understand the challenges and successes in implementing this care locally. Participants will have an opportunity to share their experiences and compare them across systems to improve their implementations locally.

Session: 108 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 
Compassion Fatigue: The Cost of Caring Physically, Emotionally & Spiritually
Speakers:
 
Mary F. Hardy, MA, MS, LPC, LADC, LIFE Senior Services, Tulsa, OK
Deborah S. Tommey, MS, LPC/C, LIFE Senior Services, Tulsa, OK
Summary:
 
The “Cost of Caring” can result in Compassion Fatigue; i.e., physical and/or emotional exhaustion and a pronounced change in the helping professional’s spirit, ability to feel empathy for clients/patients, their loved ones and their co-worker. Presenter will review the Professional Quality of Life Scale (PRO-QOL). The PRO-QOL is the most widely used measure of positive and negative aspects of helping in the world and a proven and valid measure of compassion satisfaction and fatigue. Participants will have the opportunity to explore their personal level of Compassion Fatigue (Compassion Satisfaction, Burnout and Secondary Traumatic Stress), warning signs and interventions for self-care.

Session: 109 10:20 – 11:50 a.m. (1.5 CEUs)
Title:
 
Traumatic Brain Injury and Loss of Identity: Recovering Self
Speaker:
 
Ron Broughton, LPC, CBIST, Brookhaven Hospital, Tulsa, OK
Summary:
 
Identity loss and recovery of “self” are areas of brain injury rehabilitation that are often overlooked in the rehabilitation process. Professionals are good at putting the pieces back together and helping the individual recover basic functioning. What is lacking is a coherent approach that assists the individual in defining a new purpose in life and maximizing their recovery efforts. This presentation will assist professionals and individuals suffering from brain injury to reexamine their identity, overall efforts and strive for optimal recovery.

Session: Working Lunch Plenary/Facilitated Panel Discussion : 12:00 – 1:45 p.m. (1.25 CEUs)
Title: Silver Linings Playbook: The Affordable Care Act and Advancing Mental Health
Speaker: Susan Dentzer, Senior Policy Advisor, Robert Wood Johnson Foundation, Washington, DC
Panel: Terri L. White, MSW, Commissioner, Oklahoma Department of Mental Health and Substance Abuse Services
Additional Panel Members: TBA
Summary: Five years after enactment of the Affordable Care Act, almost all provisions of the law are fully in place – even as subsequent federal and state policy initiatives continue to shape the outcome. This session will address the impact to date on the US population, and the healthcare system, of health insurance and Medicaid expansion as well as payment and delivery system reforms. Implications for mental and behavioral health care will also be addressed, along with discussion regarding remaining opportunities and challenges for the field. A facilitated panel discussion will follow.

2:05 – 3:35 pm Breakout Session 2

Session: 201 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 ETHICS: Ethical and Integrated Treatment of Transgender Persons and their Families
Speakers:
 Al Carlozzi, EdD, LMFT, Licensed Psychologist, OSU – Tulsa Counseling Center, Tulsa, OK
Taylor Burns, LCSW, Private Practice, Tulsa, OK
Laura Arrowsmith, DO, Diagnostic Imaging Associates, Tulsa, OK
Summary:
 Forty-one percent of the transgender community report having attempted suicide. They continue to be marginalized within the legal system, the mental health system, their church homes, society at large, and within their own families. The mental health system should be aware of latest changes to the WPATH (World Professional Association for Transgender Health) standards of Care, and of the legal changes happening to create safeguards for the transgender community. Agencies need to change policies to protect transgender clients and employees. Ethical complications abound as we assist transgender persons with the ultimate mind, body, spiritual integration of their lives.

Session:  202 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 Integrated Care and the Value of Inter-professional Education
Speakers:
 Amie Torres, MHS, PA-C, University of Oklahoma College of Medicine, Department of Family and Preventive Medicine, Oklahoma City, OK
Terrie Fritz, LCSW, Anne and Henry Zarrow School of Social Work, Oklahoma City, OK
Mark L. Britton, PharmD, CDE, BC-ADM, University of Oklahoma, College of Pharmacy, Oklahoma City, OK
Summary: Integration of mental health and primary care can only be achieved when professionals have the knowlege and skills needed to work together effectively to care for patients. Historically, health professionals have been trained solely within their own progammatic silos. This workshop will review national trends and projects on the OUHSC already underway to prepare future professionals for interprofessional practice. An interdisciplinary faculty team from OU will present information on the Empowering Patients through Interdisciplinary Practice project, the Diabetes IPE and using interdisciplinary simulation to further inter-professional practice competency.

Session:  203 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 OSIM: Healthcare Transformation in Oklahoma
Speakers:
 Rebecca Pasternik-Ikard, JD, MS, Oklahoma Health Care Authority, Oklahoma City, OK
Valorie Owens, MSW, Oklahoma State Department of Health, Oklahoma City, OK
C. Alex Miley, MPH, Oklahoma State Department of Health, Oklahoma City, OK
Summary:
 With the goal of improving health, increasing quality, and reduce the growth in health care expenditures, OSIM is looking at all aspects of health and health care within Oklahoma to attack these goals. This presentation will describe the State Innovation Model grant, the findings that have already begun to come together to form the State Health System Innovation Plan, and how behavioral health is a part of health transformation in Oklahoma. Participants will take home knowledge of where their discipline fits in to health care transformation, and how to get involved in the process.

Session:  204 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 Spiritual Wellness: The Path to Holistic Recovery
Speaker:
 Derek Talkington, MFT, Second Story Ranch Recovery Community, Oklahoma City, OK
Summary:
 Spirituality and wellness is often ignored by therapeutic professionals. Spiritual Wellness: A Path to Holistic Recovery will challenge professionals to shift their thinking related to how we engage clients and challenge spiritual growth. The lecture will deal with common fears in addressing clients’ spiritual needs and take a deep look at defining spiritual wellness, the impact of spiritual issues on addictive processes and review tangible strategies for integrating spiritual wellness work into therapy. Participants will leave with a greater understanding of how work in spiritual wellness can lead to better results in improving relationship intimacy and views of self.

Session:  205 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 Behavioral Health Integration in Action: Lessons from an FQHC
Speakers:
 Frannie Pryor, LCSW, LADC, CM, Community Health Centers, Inc., Oklahoma City, OK
Robert B. Macnack, MD, Community Health Centers, Inc., Oklahoma City, OK
Rosalyn G. Johnson, MBA, CPM, Community Health Centers, Inc., Oklahoma City, OK
Summary:
 In December of 2013, Mary Mahoney Memorial Health Center hired a Behavioral Health Consultant as the first step to move from co-located behavioral health services to full integration. Presented from the perspectives of the Chief Executive Officer, Behavioral Health Consultant, and Family Medicine Doctor, this workshop will discuss the unique opportunities and challenges of behavioral health integration in the FQHC setting. Covered topics include the rationale for implementation; sustainability, funding and billing; electronic medical record integration; screening and assessment protocols; patient flow; case examples; and integration within the context of a Patient Centered Medical Home.

Session:  206 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 Lessons Learned: Integrating Behavioral Health into Care Management
Speakers:
 Erik Vanderlip, MD, MPH, FAPA, University of Oklahoma School of Community Medicine, Tulsa, OK
Glenda Armstrong, RN, University of Oklahoma School of Community Medicine, Tulsa, OK
Jeffrey Alderman, MD, MS, FACP, University of Oklahoma School of Community Medicine, Tulsa, OK
Summary:
 In this session you will learn how the Sooner Health Access Model has begun to combine traditional care management models with the “Team Care” model to integrate behavioral health. Historically, care management in primary care has focused on medical management of chronic illnesses. Evidence however, has identified that mental health is a leading determinant of overall health. Studies have also shown that when treated in harmony with mental health, quality of life and chronic conditions improve significantly. You will hear about the challenges and successes of integration and the incremental steps you can follow to achieve the integration within your practice.

Session:  207 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 The Physiology of Hope
Speaker:
 Christina Conrad, LPC, SEP, The Path Body-Centered Psychotherapy, Tulsa, OK
Debra Rupp, LPC, LADC, Private Practice, Tulsa, OK
Summary:
 The feeling of hopelessness is a far too familiar one. How can we heal from trauma by orienting towards hope? How does the body hold hope? What keeps the body, mind, spirit from accessing hope and how does this show up in diagnosis? These are some questions that will be answered through this workshop. Participants will gain an understanding of how the Central Nervous System holds – implicitly and explicitly – the effects of trauma and how orienting towards hope creates a shift from management of symptoms to greater capacity to self-regulate and find joy in life.

Session:  208 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 Perinatal and Postpartum Mood Disorders: Implications for Clinical Practice
Speaker:
 Angela W. Dickson, MSW, LCSW, ACSW, Oklahoma State Health Department, Oklahoma City, OK
Summary: Assessment and/or Screening tools are crucial in identifying PPMD and should be completed prior to pregnancy tests or as soon as possible following a confirmed positive result. Those individuals with prior history of mental health disorders or substance abuse disorders are at increased risk for developing Perinatal and Postpartum mood disorders. The different kinds of assessments will be discussed as well as best treatment modalities. Evidence based and best practice guidelines include the use of CBT, DBT and other complementary services (family therapy, art therapy, creative journaling) will be discussed and analyzed.

Session:  209 2:05 – 3:35 p.m. (1.5 CEUs)
Title:
 Digital Healthcare: Utilizing & Engaging Technology to Improve Access and Aid
Speakers:
 Vincel Ray Cordry, Jr. DO, INTEGRIS Mental Health, Hennessey, OK
Pamela G. Forducey, PhD, ABPP, INTEGRIS Mental Health, Oklahoma City, OK
Sara Barry, MEd, LBP, INTEGRIS Mental Health, Oklahoma City, OK
Summary:
 Technology is changing rapidly and digital healthcare is upon us. These technological advances have revolutionized the way that medical care is accessed and provided. This presentation will include information on some of these changing and emerging technologies and how they can be used to improve access to services and to aid patients in their recovery. This breakout will include 3 presentations: the benefits and limitations of telepsychiatry as a way to improve access to psychiatric care; Virtual Visits, a new and modern access point for patients to receive minor medical services that are convenient, affordable and accessible; and, utilizing mobile devices and “apps” as clinical tools to aid patients in recovery (this will include discussion and demonstrations).

Session: Afternoon Plenary/Facilitated Panel Discussion : 3:50 – 5:05 p.m. (1.25 CEUs)
Title:
Integration Models: Innovation, Collaboration, Implementation
Speaker/Facilitator: Andrew Bertagnolli, PhD, Senior Manager for Behavioral Health, Kaiser Permanente Care Management Institute, Oakland, CA
Panel: Kent A. Corso, PsyD, BCBA-D, President, NCR Behavioral Health, LLC, Springfield, VA
Summary: Mental health integration offers promising results for improving the quality and cost of effective treatment for chronic disease. Likewise, increased access to appropriate high-quality prevention, intervention, treatment, recovery, and wellness services and supports has been shown to have a positive impact on improving the overall health concerns of those living with serious mental illness or a substance use disorder. This session will explore the implementation of integrative healthcare. Discussion will focus on various integration models, including the successful and innovative practices from 3 large integrated healthcare delivery systems – Kaiser Permanente, Intermountain Healthcare, and the Department of Defense. Lessons learned, along with challenges in integrative care going forward will also be discussed.