Western Psychiatric Institute and Clinic
Office of
Education and Regional Programming
Pennsylvania Department
of Public Welfare
Office of
Mental Health and Substance Abuse Services
17th Annual Case Management Conference
Bridging the Gap between Behavioral
Health
and Physical Health (MA75)
June 17-19, 2008
Seven
Champion, PA
Course
Directors
Joanne Slappo, PhD, CPRP
Program Coordinator
Office of Education & Regional
Programming
Western Psychiatric Institute and Clinic
Dennis Kerr, M. Ed.
Director, Case Management Services
Services & Research for Recovery in Serious Mental Illness (SRRSMI)
Western Psychiatric Institute and
Clinic
Susan Coyle, RN, MPH
Clinical Administrator
Ambulatory Initiatives
Western Psychiatric Institute and
Clinic
Bruce Gnesda, RN
Housing Director
Services & Research for Recovery
in Serious Mental Illness (SRRSMI)
Western Psychiatric Institute and
Clinic
KEYNOTE SPEAKER
Bruce S. Rabin, M.D., Ph.D. attended
medical and graduate school at the State University of New York at
In 1970, he joined the faculty of the
Department of Pathology and the Center for Immunology at the State University
of New York at
Dr. Rabin established a major stress
and immune system research program at the Brain, Behavior, and
The UPMCHS HLP responds to the public’s increasing demand for health
enhancing and stress coping behaviors that build upon existing knowledge and
contribute new understandings of the effectiveness and safety of innovative
approaches to wellness and disease management. Rather than only seeing patients when they
are ill, the HLP will provide a continuum of care to
help individuals healthy.
As a result of his work to promote
wellness, in 2002, Dr. Rabin was recognized by the Pittsburgh Post-Gazette as
one of twelve individuals who are making a difference in health care in western
Dr. Rabin’s research efforts have
yielded over 300 publications to the scientific literature and his research
laboratory has trained over 40 scientists.
His book, Stress, Immune Function,
and Health: The Connection was
published by John Wiley & Sons in February, 1999.
PROGRAM
DESCRIPTION
The theme of this year’s
conference is “Bridging the Gap between Mental Health and Physical Health:
Managing Life, Work and Wellness.”
Presentations will focus on promoting the
provision of behavioral health-physical health partnerships, and will explore
strategies to improve the overall wellness and quality of life of both case
managers and consumers. Keynote speaker
Bruce S. Rabin, MD, PhD, will discuss the latest research on the
mind/body connection and describe techniques for coping with stress.
Workshops will
address the integration and coordination of behavioral health and physical
health services, complementary therapies, research and program development, and
personal growth and enrichment. Topics highlighted will include stress
reduction techniques; nutrition, exercise and weight management; comorbidities
with chronic illness; holistic approaches to treatment; and creative and
expressive art therapies. Also discussed
will be special areas of interest for case managers and supervisors such as
child and adolescent issues, co-occurring disorders, older adults, homelessness
and personal and professional advancement.
Case managers, supervisors, family members, representatives from managed
care organizations, policy makers and other behavioral health/allied health
professionals will be able to interact, learn and share experiences.
EDUCATIONAL
OBJECTIVES
At
the conclusion of the program, participants should be able to:
- Examine the methods
used to coordinate and integrate mental health and physical health
services.
- Develop an
understanding of an integrative approach to the management of mental
illness and physical disorders which employs traditional as well as
complementary therapies.
- Identify innovative
approaches to enhance the practice of case management through mental
health and physical health partnerships.
- Describe the latest
developments in case management operations and outcomes research.
- Maximize opportunities
for building consumer/family and professional partnerships.
TARGET
AUDIENCE
·
Blended Case
Managers, Intensive Case Managers, Resource Coordinators, Administrative Case
Managers, Supervisors, and Program Directors
·
Administrative
and Clinical Staff from area OMHSAS offices, county
mental health programs, provider agencies and state hospitals
·
Consumers,
parents, family members and advocates
·
Personnel from
human/health services who work with individuals with serious mental illness and
emotional disturbance
Exhibitor Displays
Selected agencies and
companies will be participating in exhibitor displays offering information and
educational materials. Please feel free
to stop and explore the booths and speak with the representatives. The displays will be available in the exhibit
hall throughout the course of the conference.
CONFERENCE SCHEDULE
TUESDAY,
JUNE 17, 2008
WEDNESDAY,
JUNE 18, 2008
9:00 p.m. Workshop Sessions W1-W6
10:30 a.m. Break
10.45 a.m. Introduction of Keynote Speaker
Claudia
Roth, PhD
11:00 a.m. Keynote Address:
“Coping With Stress”
Bruce
S. Rabin, MD, PhD
12:15 p.m. Lunch (provided)
7:00 p.m. Entertainment
THURSDAY, JUNE 19, 2007
10:30 a.m. Break
Workshops
Tuesday, June 17, 2008, 10:30 am to 12:00 pm
T1
Healthy Lifestyles and Promotion of Wellness
Cynthia Donovan, BS, RD, CDE, Field Services
Operations Manager-Health Promotions, UPMC Health Plan,
“Healthy Lifestyles and Promotion of Wellness” will focus
on the importance of a comprehensive lifestyle approach to wellness. The national health goals from Healthy People 2010 will be discussed,
and strategies to achieve these goals will be presented. The benefits of exercise, proper nutrition,
and other healthy behaviors in the prevention of chronic diseases and
conditions will be described.
T2
Making Room at the Table:
Integrating Providers in Behavioral Health and Medical Settings
Mandy Fauble,
MSW, LCSW, PhD Candidate,
Director of Crisis Services, Safe Harbor Behavioral Health, Erie, PA
A
growing number of emergency room visitors are seeking mental health services,
and family doctors prescribe
more psychotropic medications than psychiatrists. This presentation reviews
benefits, challenges, and lessons learned from programs providing innovative
behavioral health services within hospitals and primary care. When physical and
behavioral health services come together, the whole client benefits: physical
health improves, mental health diagnoses are more accurate, case management is
more effective, and access to services is greater.
T3
Caring for the
Healthcare Needs of Children and Adolescents with Challenging Behaviors
Daniel Marston, PhD, Private Practice,
Defiant
behaviors can interfere significantly with children/adolescents caring for
their physical healthcare needs. Daily
needs (e.g. teeth brushing and showering) become significant challenges when
defiance interferes. These problems
become more significant when medical problems require strict dietary and/or
self-care routines (e.g. diabetes). This
presentation focuses on approaches, services and interventions to help address
these issues.
T4
Developing a
Peer Educator Network for Older African Americans with Depression
Vanessa Mayers, MSW, University of Pittsburgh, Kyaien Conner, MSW, LSW, MPH, Program Co-coordinator
University of Pittsburgh School of Social Work, and Charlotte Brown PhD,
Professor of Psychiatry and Program Principal Investigator, University of Pittsburgh School of Medicine,
Pittsburgh, PA
This
program is designed to address disparities in mental health service utilization
of depressed older African American’s (AA), by enhancing depression treatment
and engagement efforts. Research suggests that increased support and education
about depression predicts better treatment engagement and outcomes. We
developed a network of AA Peer Educators to educate and provide support to
depressed AA primary care patients. Peer education offers a mechanism for
working with vulnerable populations who are in need, but may feel alienated
from the traditional mental system.
T5
Choose the Life You Want to Lead: Keeping all the Balls in the Air
Jeffrey Sanger MFA BCM/ECM Supervisor and
Alicia Reed, BA, BCM Supervisor, DBT
Trainer SRRSMI/WPIC,
|
Life is complicated. Everyone’s goals for life are impacted by
the things they HAVE to take care of.
How can we help each other and ourselves to set and make progress
toward realistic goals? |
This
presentation will discuss effective assessment and treatment strategies in
working with individuals with co-occurring disorders and anyone with challenging
behaviors. Included will be a review of the Motivational Interviewing (MI) model and incorporating Dialectical
Behavior Therapy (DBT) principles with the recovery
model.
T6
Personal Empowerment is the Bridge to a Fulfilled Life
Mike Grier, MSA, CEO, Keystone Community
Mental Health Services,
In a world where people feel de-valued and suppressed, opportunities
arise to create meaningful lasting change.
This process starts with the need for all people to be responsible and accountable. Creating Personal Empowerment is the first
step in becoming an effective leader. We
understand that leadership is less about what you do and everything about who you are.
Strengthen your skills and enhance your influence in this interactive
session that will teach you a new way of leading “you” to lead others.
Tuesday, June 17, 2008, 1:15 pm to 2:45 pm
T7
Pennsylvania Families
Inc.: The Power of Parents
Dianna Brocious, Project Director,
Pennsylvania Families Inc.,
Pennsylvania Families Inc. (PFI)
is a state wide family network funded through SAMHSA. PFI is an
information center and referral source for families involved with any system of
care, such as mental health, drug and
alcohol, children and youth, foster care, juvenile justice, education, and so
many more. Parents and families are developing a voice in the planning and delivery
of services. This program will examine
how to bring these services together to support the entire family.
T8
Woof for Wellness: Benefits of Animal Assisted Interventions
Yvonne Eaton-Stull, LCSW, Director of the Counseling Center, Allegheny College,
Meadville, PA and Maggie, Registered
Therapy Dog and Crisis Response Dog
Research
shows that interactions with animals lead people to live healthier, happier
lives. Animal assisted interventions are
techniques where animals are integrated into the care and treatment of
individuals. This program will highlight
the various animal assisted interventions, the many benefits, and how to
develop and/or find these services.
T9
Psychosocial Issues, HIV
Testing and HIV Infection: Implications
for MH and Primary Care
Linda Frank, PhD, MSN, ACRN, Principal
Investigator, Pennsylvania/MidAtlantic AETC, Assistant Professor, GSPH,
University of Pittsburgh, Pittsburgh, PA
More individuals
with mental health and substance use issues are at risk for HIV infection. HIV testing must now be integrated into
primary and mental health care for early identification and entry into HIV
care. This workshop will identify and examine the skills providers
need to appropriately assess and intervene with patients.
T10
Body-Mind-Spirit: The Vital Connection
David Fetterman, BA, MDiv,
MEd, Director of Education & Community Outreach
Coordinator, Center for Healthy Aging/University of
We humans are a combination of
components of body, mind, and spirit. Of these, spirituality is often
misunderstood and neglected. This session will focus on the interaction among
these components and give special attention to spirituality and its role in
human wellness. This interactive session will draw on experts on spirituality,
the presenter’s experiences as a spiritual counselor in both long term care and
hospice settings, and the experiences and questions of participants.
T11
Integration of Behavioral and Physical Health Services in Health Choices
and Wellness Initiatives
Ray Klabe, BA Psych, Director, Division of
Policy and Managed Care; Bill Boyer, BA, Section Chief, Program Development and
Benny Varghese, MS, Section Chief, Planning, DPW/OMHSAS,
Harrisburg, PA
Representatives from the Office of Mental Health and
Substance Abuse Services will present information and discuss the integration
of behavioral and physical health services in the Medicaid program. Assertive Community Treatment (ACT) services,
Employment Transformation Project, Psychiatric Rehabilitation Services, Fairweather Lodge, Peer Support Service Implementation,
Transformation Transfer Initiative Grant, Supported
Education Project and the New Freedom Initiative will all be reviewed and
discussed.
T12
Let’s address the physical health issues
Fran McDermid, MEd, CRC, CPRP, Coordinator, Fairweather
Lodge, Strawberry Fields, Inc.
This
presentation will
detail the serious physical health risks and problems often associated with
mental illness, including obesity, diabetes, and heart disease. It will demonstrate how addressing these
health problems can improve people’s mental health symptoms; and provide
strategies that professionals and families can use to address physical health
issues for people with mental illness.
Tuesday, June 17, 2008, 3:00 pm to 4:30 pm
T13
Creative Body-based Techniques to Promote Stress
Reduction and Affective Regulation
Christine Hopkins, MA, ADTR,
CGP, Creative & Expressive Arts Therapist II,
This
goal of this program is to customize and utilize body-based techniques of
stress reduction and calming for your own wellbeing and burnout
prevention. Participants will also learn
how to team with clients to design containment and mood stabilizing body-based
routines for them. Making a habit of
including these in your ongoing helping relationships with clients helps
improve symptom management, mood stabilization and behavioral controls.
T14
Peer Support in PA – Partners in Progress
Kim Maldonado, BS, Director,
Alyssa Provenzano, BS, Coordinator, Peer Support Unit, and Tom Newman Certified Peer Specialist, Philhaven/The Dauphin Clubhouse, Harrisburg, PA
This
workshop will discuss the Dauphin Clubhouse, a place where individuals with mental
illness come to rebuild their lives. Work in the Clubhouse, whether it is clerical,
data input, meal preparation or reaching out to their fellow members, provides
the core healing process. Members also
receive help in securing housing, advancing their education, obtaining good
psychiatric and medical care and maintaining government benefits.
T15
Emotions and Health: The Dean Ornish Program to Reverse Heart Disease
David Hunter
The
Dean Ornish Program to Reverse Heart Disease is a
preventative health program with sites in hospitals across the nations. The program is for those with risk factors
for heart disease. The presentation will discuss the group
support component of the program. It
will focus on the links between heart disease and other kinds of diseases to
social isolation; as well as the links between physical health and social
connections. The program will address
the health benefits of maintaining social networks in which elements of trust,
mutual respect, and empathy are present.
T16
Acute Case Management: Working with Co-existing
Conditions
Sally Crompton, CAC,
LPC, Care Manager, Community Care Behavioral Health
Organization, Mary
Zimmer, RN, Clinical Coordinator, UPMC for You, and Jeff DeSantis, MMus, Supervisor, Acute Case Management, Mercy Behavioral
Health, Pittsburgh, PA
This presentation will discuss the Acute
Case Management (ACM) model developed by Community Care Behavioral Health
Organization and Allegheny County Case Management providers. The
presentation will address the ACM services and the integration of services in
relation to co-existing conditions.
T17
PATH (Projects for
Assistance in Transition from Homelessness) PLUS
Karol Hill BS, PATH Liaison, and Thomas Dalton, MED, PATH Liaison,
Cameron Elk Mental Health Mental Retardation,
The
PATH program serves 18 to 25 year old youth with a mental illness that are homeless
or at risk of homelessness. PATH Plus is designed to address the service needs
and employment opportunities for these young adults. This program will describe
the “
T18
Managing Staff Productivity: A Supervisor’s Perspective
Rhonda Sullivan M.Ed., Program Director, and Jeffrey Rader, BSW, M CMH, Program
Supervisor, Pressley Ridge, Pittsburgh,
PA
This
session will focus on the wellness of frontline staff as related to unit
production and time management. By
demonstrating concrete work tools, this training will provide supervisors the
opportunity to integrate Microsoft Excel, Outlook Calendar and time management
components into their daily business practices to increase efficiency leading
to a reduction in stress.
Wednesday, June 18, 2008, 9:00 am to 10:30 am
W1
Psychopharmacology Update
Kim Castelnovo, RPh, Behavioral Health Pharmacy Specialist,
Community Care Behavioral Health,
This
program provides an update on commonly prescribed psychotropic medications for
adults with mental illness. The program
will review the indications, adverse drug reactions, important drug
interactions, dosing and administration of these agents. In addition, family and consumer counseling
regarding medication will be discussed.
W2
Taking Care of You: Tips from the
Leslie Bonci, MPH, RD, LDN, CSSD,
Director of Sports Nutrition, UPMC Center for Sports Medicine, Pittsburgh, PA
The workshop is designed to help the
participant identify his/her eating habits, food choices, activity, and stress
habits. Techniques to create a healthier lifestyle by simple, actionable
strategies will be presented.
W3
Becoming Your
Own Guru: The Benefits of Mindfulness
Alicia M. Reed, BA, SRRSMI/WPIC
BCM Supervisor, DBT Trainer, and Diane Johnson, RN, BS,
Neighborhood Living Project, SRRSMI/WPIC,
Stress
impacts our health, productivity on the job and our ability to achieve the
goals we set. Mindfulness has been
proven to help in managing our stress responses and thus decrease the
occurrence of physical illness as well as the reoccurrence of depression. Mindfulness is not a new practice but has
many uses in modern-day living. Today we
come together to begin to learn and practice the art of mindful living.
W4
Overview of the
Laurie Jones, VP Business Development, and Ken Nash,
MD, Chief, Clinical Services, WPIC,
High Fidelity Wraparound is a team-based, collaborative
process for developing and implementing individualized care plans for children
ages 0-26 with behavioral health challenges and their families. This
workshop will provide an overview of high fidelity wraparound and highlight how
W5
Balancing the
Roles of Advocate, Neighbor, and Citizen
Amy Peters, MA, NCC, Senior Program Manager,
Glade Run Lutheran Services,
Many
case managers experience difficulty in negotiating the various roles they
inhabit within a given community. This
presentation will focus on the roles of advocate, neighbor, and citizen. Boundary awareness, interpersonal
effectiveness skills, and stress management are three strategies which will be
examined. The remainder of the
presentation will focus on recognizing what is already working and new
techniques to be utilized.
W6
Single Point of Accountability: Systemic Change in
the Delivery of Case Management Services Promoting
Recovery and Wellness
Stephen Christian-Michaels, MA, Consultant,
The
Single Point of Accountability model grants to various types of case management
a responsibility to assure that the consumer is driving services, that those
services are coordinated and holistic.
The role of the case manager changes in this model as they take on
systemic roles: the convener, the
advocate, the feedback loop, etc.
Implications include changes to training/education, service planning,
reimbursement, and treatment teams.
First year experiences of implementation will be shared.
Wednesday, June 18, 2008, 1:30 pm to 3:00 pm
W7* (three hour workshop)
Trauma Informed Care and Youth Violence
Gordon Hodas MD, Statewide Child Psychiatrist,
PA Office of Mental Health and Substance Abuse Services,
The
provision of trauma informed care reduces the likelihood of youth
violence. There is compelling evidence
that youth victimization – in particular, childhood maltreatment and community
violence – can be followed by youth violence at a later time. The concept of trauma informed care, which is
applicable to youth in all treatment settings and in the community, has emerged
from the field of traumatology and offers both
youth-specific interventions and a public health approach to support the
healthy development of youth who have been subjected to significant
trauma. This presentation reviews the association
between childhood trauma and youth violence and describes trauma informed care
as an organizing principle of care as well its application to normative
community settings.
W8* (three hour workshop)
Healthy
Decision Making Rights & Responsibilities: Growing Older
Susan
Bartholomew-Palmer, OMHSAS,
Any one of us at any time or at any age could be stricken with an acute
or chronic cognitive impairment that would require us to depend upon someone
else to make decisions about our lives (i.e., TBI,
dementia, substance abuse disorders, etc). Do we really possess the right to
make and enforce our own decisions? The useful and invaluable exchange in this
interactive workshop will provide an analysis of the cognitive and physical
health relative to aging throughout the human lifespan, purview the interest in
ethical practices toward healthy aging and human development while examining
critical issues relative to informed consent, legal and health issues.
W9
Introduction
to Yoga Tools for Mental Health Professionals
Joanne Spence,
Yoga Therapist, WPIC,
The
accumulated evidence of mind-body research suggests that the practice of yoga
serves as an effective technology for eliciting one’s energy, affect,
attention, receptivity and patience, which are essential to healing. Yoga has
been proven to reduce stress as well as develop self-awareness, self-control,
focus, concentration, emotional balance, self-esteem, peacefulness and memory. We
will describe 4 different kinds of yoga-based activities, requiring no extra
space or equipment, to effectively enhance focus, well-being and responsible
behavior. “Yoga Tools for Clinicians”
provides proven, practical strategies that integrate mind and body for reduced
stress and increased energy, fun, health, community spirit and
achievement. No experience required!
W10
AIM-HIGH: Allegheny Initiative for MH
InteGration for the Homeless
Christopher Laemmle, RN, C, Outreach
Supervisor, and Diane Johnson, RN, BSN, HUD~BCM
Supervisor, WPIC,
Homeless
persons often face barriers to accessing health care for a variety of reasons
including lack of insurance, inaccessible locations of health providers,
inability to schedule appointments, fear of stigma of behavioral health
services and even fear of not “fitting in” at traditional health care settings.
To combat these barriers, Allegheny County’s Health Care for the Homeless
established medical clinics at locations where people that are homeless
congregate, such as shelters, drop–in centers and soup kitchens providing
health care services free of charge to anyone that is homeless. Today’s discussion will focus on this
integration of services in
W11
Case Management and
Consumers - Partners in Care
Charlene Saner, Peer Counselor, Bernice Hayes, Peer Counselor, WPIC
Individuals
with mental illness die approximately twenty five years earlier than the
general population. Metabolic research has shown increasing correlation between
mental health disorders and serious physical conditions. Presented from the consumer perspective, this
informative presentation, which includes a panel discussion, is designed to
identify the contributors, challenges and barriers, and offers insight,
information and recommendations for solutions to this serious public health issue
for case managers.
W12
Case
Management is Crisis Prevention
David
Wilkinson, BA, Director, Case Management, Central Montgomery MH/MR Center,