CE approvals: APA, ACCME
Speakers
Anoop Karippot, MD, DFAPA
Medical Director of Snoring and Sleep Center at AKANE Institute of Allergy Asthma & Sleep Medicine
Dr. Anoop Karippot, MD is a Board-Certified Child and Adolescent Psychiatrist, General Psychiatrist and Sleep Medicine specialist. He is an author, researcher and clinician practicing in San Diego, California. He is well known nationally and internationally providing lectures and workshops in the area of Child and Adolescent Mental Health. He supervises Medical Students, Residents, Physicians, Nurse Practitioners, Physician Assistants and lectures at University of California San Diego.
Session
Session Details
A5 – Disruptive Behaviors, Hypersomnias and Complicated ADHD in Children and Adolescents
Hybrid Session
Room:
Purple Room
Speaker:
Anoop Karippot, MD, DFAPA; Alphonso Nichols, MD
Description:
The course is tailored to help clinicians evaluate and manage disruptive behaviors in children and adolescents struggling with attention, focus, and emotional issues. The course is designated to Doctoral/PhD level clinicians to help manage clinical symptoms and complicated behaviors.
Attention Deficit Hyperactivity Disorder (ADHD) and sleep disorders are common and often a comorbid disorder seen in children. The symptom profile of irritability, hyperactivity, declining academic function, inattentiveness, sleepiness in class, decrease daytime functioning, behavioral issues, and poor quality of sleep at night are common symptoms noted in this ADHD population. This presentation will address the unique symptoms that can differentiate ADHD and sleep disorders in children, which could help in better understanding of the psychopathology. This would help with better planning for the treatment and management of clinical symptoms and behaviors noted in these children.
We will review the literature update regarding attention deficit hyperactivity disorder and co-occurring sleep disorders in children like sleep apnea. The focus will be on accurate diagnosis and management. The presentation will be tailored to address the use of rating scales and other clinical evaluation tools. Multidisciplinary approach in diagnosis and clinical management will also be addressed. Discussion on the racial and ethnic differences in clinical presentation and available resources in the community to better manage attention deficit hyperactivity disorder and associated medical and psychiatric comorbidities. The presentation will discuss clinical presentation and management of ADHD, sleep disorders like sleep apnea and periodic leg movement disorders in sleep. We will also include psychotherapeutic modalities, biofeedback, psychopharmacological intervention, new developments and treatment like Software App based management and potential benefit of remote monitoring of treatment and outcomes. This presentation will provide information regarding resources available in the community for better management of this complicated disorder in children.
We will address limitations in care and also try to explain guidelines to obtain additional help and resources in the community.
Learning Objectives:
- Describe the normal patterns of behavior and abnormal / mal-adaptive behaviors with inattention, focus issues, and poor sleep at night.
- Demonstrate the difference in clinical presentation between adaptive and maladaptive behaviors noted with fragmented sleep, hypersomnia, and hyperactive behaviors exhibited by children.
- Create a management plan with behavioral intervention including biofeedback and Psychopharmacological intervention to improve quality of life and education attainment in Children and AdolescentsDifferentiate between adaptive behaviors noted with hypersomnia and hyperactive behaviors in children.
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Kelly Graling, Ph.D.
Clinical Director at Cognitive & Behavioral Consultants of Westchester and Manhattan
Kelly Graling, Ph.D. is the Clinical Director at Cognitive & Behavioral Consultants of Westchester and Manhattan, a group of internationally recognized mental health professionals who have pioneered and are experienced in delivering cutting edge treatments to the public, organizations, and professionals. As a Clinical Psychologist, Dr. Graling trains and consults to school districts, agencies, and corporations to implement CBT and DBT skills on a national and international level. Dr. Graling supervises CBC staff, leads therapy groups, as well as conducts therapy for teens, young adults, and families.
Session
Session Details
Keynote:01 – Addressing Emotional Dysregulation in a Changing Time: The Importance of DBT Across Settings.
Hybrid Session
Room:
Purple Room
Speaker:
Kelly Graling, Ph.D.
Description:
DBT is a now an established evidence-based treatment for multi-problem and self-harming adolescents on an outpatient basis. DBT’s unique focus on treating emotional dysregulation can be flexibly applied across diagnosis or presenting problem. The ability to treat a range of presenting problems in children, adolescents, and families is even more important as mental health needs have increased during the COVID-19 Pandemic. While effective in an outpatient setting, DBT has also been applied across a wide-range of settings (e.g. residential, intensive outpatient, and in schools in a primary prevention model). Dr. Graling will review the empirical evidence for DBT across settings, explain the foundational principles of the treatment (behaviorism, acceptance, dialectics, and the Bio-Social theory of the etiology of emotion dysregulation), and highlight commonality and relevant modifications across these settings. Using roleplays, clinical examples, and demonstrations, Dr. Graling will teach core DBT skills that participants can apply immediately in their own settings.
Learning Objective
- Summarize 2 empirical studies for Dialectical Behavior Therapy in Adolescents
- Describe the bio-social theory that explains the foundation of emotional dysregulation
- Name 1 of the 2 ways DBT is currently being utilized in a school setting
Disclosure
Dr. Graling trains and consults to agencies, schools, and corporations using Dialectical Behavior Therapy.
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
K Thomas, LPCC
Clinical Training Manager for North County Lifeline’s Project LIFE
K Thomas is a Licensed Professional Clinical Counselor and has been working with survivors of sexual and relationship violence since 2010. They have worked in many capacities including case management, staffing crisis and emergency response hotlines, victim advocacy, and psychotherapy services. Providing services to individuals of varied identities, they have worked with victims of domestic violence, sexual assault, sexual abuse, stalking, and human trafficking. With a background in training and research, K has facilitated numerous trainings on trauma-informed service provision to a wide range of victim populations.
As Clinical Training Manager for North County Lifeline’s Project LIFE, K has provided trauma-reprocessing, victim advocacy, emergency response, and psychotherapy to survivors of trafficking and exploitation. K provides training and development to staff, collaborative partners, community members, and service providers on a range of training topics related to human trafficking and best practice. K is also a co-founder and co-chair of the California Human Trafficking Advocates Network for Collaboration and Empowerment (CHANCE)
Session
Session Details
Keynote:02 – Roblox to Safety: Trafficking, Internet Recruitment, and Sexual Exploitation of Minors in San Diego County
Hybrid Session
Room:
Purple Room
Speaker:
K Thomas, LPCC
Description:
With an estimated 1.5 million victims of human trafficking in the U.S. each year, trafficking has recently become a focus for many service providers in varied fields. Since the beginning of the COVID-19 pandemic, services providers nationwide have seen a drastic increase in online grooming and recruitment of youth into sex trafficking and exploitation. While online recruitment is not new, the impacts of remote learning and isolation have shifted how youth engage with online platforms. In San Diego County, reports of internet crimes against minors have tripled since March 2020. As a result, it is imperative that child and adolescent providers have the necessary tools to identify potential exploitation and offer appropriate intervention for minors and their caregivers. This presentation will explore the various forms of trafficking and trends in San Diego County, population risk factors, tactics of recruitment and retention, trafficker profiles, the impact of trafficking on victim/survivors, and indicators of victimization. Additionally, the presentation will discuss the ongoing impact of increased online usage of youth and how to empower youth to create healthy boundaries, navigate online relationships, and when to seek help from a trusted adult. Participants will learn about the neurobiology of internet usage, current data on online exploitation of youth, and practical tips to empower internet agency in youth. The presenter will utilize a lecture based format to explore the above content with a time for participant questions.
Learning Objective
- Define elements of human trafficking/CSEC.
- Identity risks and red flags of online platforms and minor internet usage
- Explain the effects of internet usage on adolescent brain development
- Implement practical tools to empower minors and their families to create boundaries around internet usage
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Pamela Wright, LCSW
Clinical Director
Ms. Wright received her Bachelors in Psychology from the University of Colorado and her Masters in Social Work from Denver University. Ms. Wright is a Licensed Clinical Social Worker and worked with SBCS for 30+ years. SBCS is a diverse nonprofit organization that provides multiple services for children, youth and families, including immigrant youth. As the Clinical Director of SBCS Ms. Wright oversees the agency’s clinical services & has provided Clinical Supervision for 25+ years to students, staff and individuals working towards professional development and licensure. Ms. Wright has been a trainer for over 24 years training on many topics including Trauma and the Impact of Trauma, Trauma Informed Care and Cultural Sensitivity. Recently Ms. Wright was able to work with the project assisting unaccompanied immigrant youth and the many federal, state and county partners to support the placement & reunification of youth ages five years old to eighteen with family and/or sponsors.
Session
Session Details
A1 – Coming to America- The Stories and Experiences of Unaccompanied Minors Arriving to San Diego Convention Center
Hybrid Session
Room:
Green Room
Speaker:
Pamela Wright, LCSW; Mauricio Torre
Description:
This course describes the unprecedented blending of federal, state, and local funding that supported the oversite and treatment of unaccompanied minors to the San Diego Convention Center. The collaborative efforts, accomplished in several days, of creating a trauma informed and culturally aware environment ready to receive thousands of youth from multiple countries will be described. Clinicians and administrators who have built clinical programs in California will learn about the unique efforts required to accomplish these tasks from both an administrative and clinical perspective. As there is no manual for how to do this, the necessary intense planning and negotiation efforts will be explained. Staff testimonials will illustrate the impact of trauma on the well-being and mental health of the immigrant youth treated at the Convention Center and as well as the impact on staff who cared for, supported, and protected them.
Thousands of immigrant children came to the United States in 2019-20 with their parents and unaccompanied. The Immigration and Customs Enforcement Agency was not prepared to handle the influx of so many young people. After initial screening, more than 2000 female children were sent to San Diego for processing and efforts to reunify them with their sponsors in the US or their families from their original country. This course will describe the administrative efforts, clinical efforts, and cultural efforts undertaken to care for these children who spoke a different language, had different customs, and many of whom had suffered multiple traumas.
Learning Objectives:
- Be able to describe and explain the impact of trauma on the mental health of the immigrant children and adolescents as they enter an emergency influx shelter In San Diego
- Be able to identify the important elements necessary to engage clinically with these children from other countries in terms of their culture, their language, and the trauma they experienced
- Be able to discuss the lessons learned as it applies to their own work and programs, in terms of both administrative and clinical issues, , in providing food, shelter, clothing, clinical care, culturally sensitive responsiveness, and protection from potential abusers while caring for these children.
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Steve Carson, MD
Associate Clinical Professor, Department of Pediatrics, UCSD
Dr. Stephen Carson likes to consider himself a Pediatrician, a Pulmonologist, a Medical Educator, a Health Care Consultant and most of all a staunch advocate of patients and the front line workers who care for them. Dr. Carson grew up in Montreal where his research in the “70’s formed the basis of today’s use of steroids in pregnant mothers to prevent the death of premature infants from Respiratory Distress Syndrome.
Dr. Carson continued his work while training at Children’s Hospital in Boston before being recruited to the faculty at UCSD School of Medicine where he continues to train nurses, medical students and residents.
Since 1980, Dr. Carson has served as the medical director of Children’s Healthcare in Hillcrest with 6 pediatricians pediatric providers and one nurse practitioner serving approximately 8,000 patients. Three years ago, he started the behavioral program to be described in this presentation that is integrated into a busy primary care pediatric practice. Their pediatricians and two full time psychotherapists have now managed over 400 unique children with behavioral problems. The program works closely with doctoral psychologists and psychiatrists from Rady Children’s Hospital, UCSD School of Medicine and a wide variety of community and school based psychologists who perform evidence based psychological evaluations when clinically indicated to clarify cognitive and diagnostic assessments of patients.
Session
Session Details
A1 – Coming to America- The Stories and Experiences of Unaccompanied Minors Arriving to San Diego Convention Center
Hybrid Session
Room:
Orange Room
Speaker:
Steve Carson, MD
Description:
The presentation, based upon findings of the first 3-years of an ongoing grant funded program, will address challenges that therapists and pediatricians need to address in order to succeed at collaboratively managing mild to moderate behavioral health problems within a primary care pediatric office.
These challenges include:
Speaking a common language — examples of how pediatricians and therapists need to communicate across their different skill sets, training and clinical experiences will be given.
Pediatric offices are a foreign environment for most therapists. Guidance on how they can adapt their workflow to a patient centered medical home will be discussed.
The integrated care team needs to address the limits of what can be handled in this setting by defining which patients are considered mild-to-moderate versus moderate-to-severe cases and addressing family and parental psychosocial issues such as divorce, separation, domestic violence, and child abuse.
The integrated clinical services need to be organized to attend to the constraints and challenges with health plan reimbursement across the variety of health coverage plans (e.g., HMO, PPO, TriCare, Medi-Cal), seeking to provide relevant services across differing socioeconomic and demographic groups and identifying strategies to cover the costs of needed but non-reimbursable services. The integrated care team also needs to become cognizant and address legal, financial, operational and clinical concerns to optimize patient and family comfort and engagement.
Finally, the challenges of developing pathways/treatment tracks that define the type of patients seen, determining how long they will be seen, identifying the number of patients who can be seen and by whom, establishing protocols for addressing the needs of patients with exceptional needs and/or risk conditions, mobilizing ancillary resources (e.g., school and other child serving systems), and coordinating routine team rounds and engaging external consultants will be addressed.
Learning Objectives:
- Describe the challenges and opportunities in establishing functional behavioral health services within a primary care pediatric practice that meets the needs of youth and families with common disorders of mild and moderate severity.
- Identify the steps needed to develop and implement linkages and working relationships with relevant external professionals and child-serving agencies to complement their in office services and supports for youth and families.
- Discuss the fiscal, organizational and operational challenges in establishing a quality integrated pediatric behavioral health clinical service.
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Tom Horvath, PhD, ABPP
Founder and President of Practical Recovery Psychology Group
Dr. Horvath has specialized in addictive problems since 1985, including work with adults, teens, couples, and families. He is founder and president of Practical Recovery Psychology Group, past president of the American Psychological Association (APA)’s Society of Addiction Psychology (Division 50; the world’s largest organization of addiction psychologists), and author of Sex, Drugs, Gambling & Chocolate: A Workbook for Overcoming Addictions, recommended as a self-help book by the Association for Behavioral and Cognitive Therapies (ABCT). He was an instructor of graduate addiction courses at Alliant International University and the University of San Diego. For 20 years he was the volunteer president of SMART Recovery (established 1994), an international non-profit offering free, self-empowering, science-based mutual help groups. He continues to serve on SMART’s US board of directors and the Global Research Advisory Council of SMART Recovery International. He is a fellow of the San Diego Psychological Association, ABCT, and APA.
Session
Session Details
A3 – SMART Recovery for Young Adults, Teens, & Families
Hybrid Session
Room:
Pink Room
Speaker:
Tom Horvath, PhD, ABPP
Description:
Course will present current evidence about addiction mutual help groups, and SMART Recovery in particular, to provide a rationale for referring young adults, teens, and families to SMART. SMART was compared to AA (Alcoholics Anonymous) and two other mutual groups (LifeRing, Women for Sobriety) in a one-year longitudinal investigation. All groups were equally effective for adults. Other evidence supports this general conclusion. Although there is limited evidence about the impact of AA on young adults, teens, and families, and almost no evidence involving SMART, there is increasing evidence that the effectiveness of mutual help groups and treatment may be based on the common factors of psychotherapy, rather than specific aspects of their methods. Referral to any experience that provides common factors is defensible.
Treatment professionals who work with these populations will encounter clients who want to consider their mutual help options, who would consider mutual help but refuse to attend AA, or who might consider mutual help if they realized non-AA options were available. Knowledge of SMART Recovery will be invaluable.
Course will overview differences between AA’s powerlessness approach, and SMART’s self-empowering focus. SMART participants are encouraged to focus on making self-chosen changes in their beliefs and behaviors. As participants resolve their immediate addictive crisis, they are also encouraged to consider changes that enhance their entire well-being by developing a life that is more productive, connected, and meaningful. SMART Recovery conversations and tools (coping skills) lie at the intersection of what is self-empowering (what will I choose and how can I accomplish it?), what has a basis in the scientific literature (hence the strong CBT aspect of SMART), and what fits in a mutual help setting.
The course will conclude by reviewing how clients experience and report about the common factors of change in a mutual help meeting.
Learning Objectives:
- Recall at least two significant differences between the 12-step powerlessness approach (AA) and the SMART Recovery self-empowering focus for addressing addictive problems
- Recall that 12-step groups (AA) and SMART Recovery, and possibly addiction treatment, appear to be of equal effectiveness for addictive problems, perhaps because the underlying mechanisms of behavioral change are the same
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Johanna Olson-Kennedy, MS MD
Medical Director, The Center for Transyouth Health and Development, Division of Adolescent Medicine, Children’s Hospital Los Angeles, Los Angeles, USA
Dr. Olson-Kennedy (she/her) is an Associate Professor of Clinical Pediatrics at the Keck School of Medicine of USC and full-time physician at Children’s Hospital Los Angeles. Double board-certified in pediatrics and adolescent medicine, Dr. Olson-Kennedy has been providing clinical services for transgender and non-binary children, adolescents, and young adults for the past 16 years. Additionally, she spearheads a rigorous research program aimed at understanding the experience of gender dysphoria from early childhood through young adulthood. Dr. Olson-Kennedy has spoken around the world about timely and thoughtful care for transgender and non-binary young people and is considered a national expert about such care.
Session
Session Details
A4 – Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens -PART 1- (need to attend both parts to obtain CE`s)
Hybrid Session
Room:
Blue Room
Speaker:
Johanna Olson-Kennedy, MS MD; Jack L. Turban III, MD MHS; Blair Peters MD, FRCSC
Description:
The Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens panel sets out to provide mental health providers and those that come into contact with this population important, current, and evidence-based practices for the assessment, acute and long term treatment of transgender and gender non-conforming youth. The panel includes 3 expert physicians and advocates who will share their clinical expertise and experiences providing care for this population. Dr. Olsen-Kennedy, with her expertise as an adolescent medicine physician, will discuss different treatment approaches, including pharmacological treatments for gender-diverse children to help them assist with their social transition. Dr. Peters will provide clinical expertise on the process and obstacles that transgender young adults may face when deciding to pursue reconstructive surgery. Dr. Turban will discuss the different mental health burdens that transgender youth face both prior to and after social and medical transition, and how different interventions can help decrease the burden in these vulnerable populations. Finally, there will be a question and answer session for attendees to inquire about best practices and discuss difficult cases with our expert panel
**IN ORDER TO RECEIVE CE’s YOU NEED TO ATTEND BOTH BREAKOUTS Part 1 & Part 2**
Learning Objectives:
- Identify the different treatment approaches for prepubertal gender-diverse children and social transition
- Dispel the myths surrounding long-term puberty suppression for non-binary youth and critique the current evidence-based practices used in this population
- Explain the steps that go into the process of deciding to pursue reconstructive surgery for transgender youth and the obstacles they may face
- Explain the mental health benefits of providing gender-affirming care to transgender and non-binary youth
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Session Details
B4 – Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens -Part 2- (need to attend both parts to obtain CE`s)
Hybrid Session
Room:
Blue Room
Speaker:
Johanna Olson-Kennedy, MS MD; Mauricio Torre; Blair Peters MD, FRCSC
Description:
The Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens panel sets out to provide mental health providers and those that come into contact with this population important, current, and evidence-based practices for the assessment, acute and long term treatment of transgender and gender non-conforming youth. The panel includes 3 expert physicians and advocates who will share their clinical expertise and experiences providing care for this population. This course would be beneficial for anyone providing medical, mental health, or general support to transgender and gender non-conforming patients.
**In order to receive CE for this session you must attend both Part 1 & Part 2**
Learning Objectives:
- Identify the different treatment approaches for prepubertal gender-diverse children and social transition
- Understand and dispel the myths surrounding long-term puberty suppression for non-binary youth and how to dispel them
- Explain the steps that go into the process of deciding to pursue reconstructive surgery for transgender youth and the obstacles they may face
- Explain the mental health benefits of providing gender-affirming care to transgender and non-binary youth
Disclosure:
Dr. Turban reports receiving textbook royalties from Springer Nature. He has received research funding from The National Institute of Mental Health, The Sorensen Foundation, and a Pilot Research Award for General Psychiatry Residents from The American Academy of Child & Adolescent Psychiatry and Its Industry Sponsors (Arbor & Pfizer). He is on the scientific advisory board for The Upswing Fund, a charitable fund that supports LGBTQ and racially minoritized adolescents during the COVID19 pandemic. He has received expert witness payments from the ACLU and Lambda Legal.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Alphonso Nichols, MD
University of Louisville School of Medicine
Dr. Alphonso Nichols is a Board-Certified Child and Adolescent Psychiatrists and General Psychiatrist who is in Private Practice in Louisville, Kentucky. He is an avid speaker and clinician. He has been practicing evaluation and management of Children and Adolescents with Attention Deficit Hyperactivity Disorder in Louisville, KY. He supervises medical Students and residents and lectures at University of Louisville School of Medicine.
Session
Session Details
A5 – Disruptive Behaviors, Hypersomnias and Complicated ADHD in Children and Adolescents
Hybrid Session
Room:
Purple Room
Speaker:
Anoop Karippot, MD, DFAPA; Alphonso Nichols, MD
Description:
The course is tailored to help clinicians evaluate and manage disruptive behaviors in children and adolescents struggling with attention, focus, and emotional issues. The course is designated to Doctoral/PhD level clinicians to help manage clinical symptoms and complicated behaviors.
Attention Deficit Hyperactivity Disorder (ADHD) and sleep disorders are common and often a comorbid disorder seen in children. The symptom profile of irritability, hyperactivity, declining academic function, inattentiveness, sleepiness in class, decrease daytime functioning, behavioral issues, and poor quality of sleep at night are common symptoms noted in this ADHD population. This presentation will address the unique symptoms that can differentiate ADHD and sleep disorders in children, which could help in better understanding of the psychopathology. This would help with better planning for the treatment and management of clinical symptoms and behaviors noted in these children.
We will review the literature update regarding attention deficit hyperactivity disorder and co-occurring sleep disorders in children like sleep apnea. The focus will be on accurate diagnosis and management. The presentation will be tailored to address the use of rating scales and other clinical evaluation tools. Multidisciplinary approach in diagnosis and clinical management will also be addressed. Discussion on the racial and ethnic differences in clinical presentation and available resources in the community to better manage attention deficit hyperactivity disorder and associated medical and psychiatric comorbidities. The presentation will discuss clinical presentation and management of ADHD, sleep disorders like sleep apnea and periodic leg movement disorders in sleep. We will also include psychotherapeutic modalities, biofeedback, psychopharmacological intervention, new developments and treatment like Software App based management and potential benefit of remote monitoring of treatment and outcomes. This presentation will provide information regarding resources available in the community for better management of this complicated disorder in children.
We will address limitations in care and also try to explain guidelines to obtain additional help and resources in the community.
Learning Objectives:
- Describe the normal patterns of behavior and abnormal / mal-adaptive behaviors with inattention, focus issues, and poor sleep at night.
- Demonstrate the difference in clinical presentation between adaptive and maladaptive behaviors noted with fragmented sleep, hypersomnia, and hyperactive behaviors exhibited by children.
- Create a management plan with behavioral intervention including biofeedback and Psychopharmacological intervention to improve quality of life and education attainment in Children and AdolescentsDifferentiate between adaptive behaviors noted with hypersomnia and hyperactive behaviors in children.
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Robert D. Friedberg, Ph.D., ABPP
Head, Pediatric Behavioral Health Emphasis Area
Robert D. Friedberg is a tenured Full Professor at Palo Alto University and a licensed clinical psychologist. Friedberg is a Board Certified Diplomate in Cognitive Behavioral Therapy, a former Extra-mural Scholar at the Beck Institute for CBT, a Founding Fellow of the Academy of Cognitive Therapy, and a Fellow of the both the American Psychological Association and Association of Behavioral and Cognitive Therapy (ABCT). He is the author of 12 books including Clinical Practice of Cognitive Therapy with Children and Adolescents (with Jessica McClure), CBT-Express (with Jessica McClure, Micaela Thordarson, & Marisa Keller), Handbook of CBT for Pediatric Medical Conditions (with Jennifer Paternostro) ,Cognitive Behavior Therapy with Youth: Tradition and Innovation (with Brad Nakamura) and the forthcoming Creative CBT with Youth – Clinical Applications Using Humor, Play, Superheroes, and Improvisation (with Erica Rozmid) as well as well as journal articles, chapters, national/international presentations and continuing education workshops.
Session
Session Details
B1 – CBT for Anxiety disorders in Children and Adolescents in the time of COVID-19
Hybrid Session
Room:
Green Room
Speaker:
Robert D. Friedberg, Ph.D., ABPP
Description:
The COVID-19 pandemic continues to wreak havoc on individuals, institutions, and communities. Illness, death, economic hardships, disruptions of routines, isolation, school closures, and health disparities accompany the viral outbreak. Not surprisingly, there is consensus that rates of psychiatric illness and referrals for behavioral health care will surge in the peri- and post- pandemic period. Twenty per cent of young people globally are experiencing symptoms of anxiety (Racine et al., 2021). Forty-three per cent of Generation Z teens report increasing stress (APA, 2021). Most alarmingly, ER visits due to pediatric anxiety disorders are up by 31% (Carey, 2021). These findings have recently spurred the US Surgeon to declare a crisis in pediatric behavioral care. While the course of the pandemic and the state of the next normal are uncertain, the state-of-the-science supporting CBT for youth diagnosed with anxiety spectrum disorders is sound. The empirical literature is replete with randomized clinical trials, controlled studies, meta-analyses, systematic reviews, and clinical reports documenting CBT as a front-line treatment. Accordingly, doctoral level psychologists as well as their behavioral health colleagues will need to be well-equipped with effective interventions for anxiety-related disorders. Clinicians need to stand ready to deliver this approach to diverse populations in varied settings. This clinically focused and empirically grounded skills presentation precisely focuses on alerting attendees to the science supporting the application of these CBT techniques as well introducing innovative modifications of traditional approaches
Outcome data will be succinctly summarized and presented in a practitioner-friendly manner. Modular CBT interventions (psychoeducation, target monitoring, basic behavioral tasks, cognitive restructuring, and exposure) will be illustrated. Since the pandemic context exacerbates young patients’ intolerance of certainty and fears of lack of control, the clinical skills presented will specifically target these deleterious psychological processes. Attendees will leave the session with useful handouts and worksheets summarizing the presentation.
Learning Objectives:
- Identify the ways the COVID-19 pandemic is impacting young people’s intolerance of uncertainty and associated anxiety.
- Describe the relationship between intolerance of uncertainty and anxiety in pediatric patients
- Describe the state of the science supporting CBT interventions for youth experiencing anxiety
- List 5-7 CBT techniques to help young people mitigate their anxiety in the peri- and post-pandemic period
Disclosure:
Book Royalties: Springer, Guilford, John Wiley, Routledge, Professional Resource Press Speaking: Beck Institute for Cognitive Behavioral Therapy and Research Consulting: Kinark Child and Youth Services, Pathways Foundation,
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Kara Bagot, MD
Deputy Medical Director of Mental Health at the Mount Sinai Adolescent Health Center
Kara Bagot, MD is a child & adolescent psychiatrist, an Assistant Professor of Psychiatry and Pediatrics at the Icahn School of Medicine at Mount Sinai and the Deputy Medical Director of Mental Health at the Mount Sinai Adolescent Health Center. Her research background is in adolescent substance use disorders (SUDs) and overlapping childhood psychopathology. Dr. Bagot’s current work focuses on the effects of technology on development of SUDs and psychiatric illness in children and adolescents, and ways to use mobile and digital technologies to improve assessment, monitoring, and treatment adolescent SUDs.
Session
Session Details
B2 – Trends in Adolescent Addiction
Hybrid Session
Room:
Orange Room
Speaker:
Kara Bagot, MD
Description:
Approximately 1.3 million adolescents 12-17 years of age in the U.S. meet criteria for a substance use disorder (SUD). While rates of most substances of abuse are on the decline among adolescents, cannabis use, and vaping (nicotine and cannabis) continue to increase. Further, adolescents are increasingly engaging in screen time use, with evidence suggesting high levels of use may contribute to negative neurobiological and psychosocial outcomes like substance use disorders.
There has been a significant shift in the type of substances used and the frequency of substances used in adolescents. Lack of structure and the absence of school and some amount of supervision has impacted how teenagers view life and social norms. The use of virtual platforms to help with education has given an opportunity for other forms of addiction including media and social network which have a great influence. Covid-19 and staying at home doing classwork online has revolutionized and created a different epidemic in terms of Internet addiction and social media addiction. Addictive behaviors have impacted normal growth and normal wellbeing in children. We are gathering evidence on how to handle the growing epidemic of addiction as well as how to manage the disorder effectively.
With the Covid-19 pandemic, we have seen increasing rates of substance use and screen engagement among adolescents, with emerging evidence of significant relationships with psychopathology. While evidence-based SUD treatments (group therapy, supportive “sponsors”, sober social activities and education) have been shown to be moderately efficacious in lab settings, many young people do not receive these treatments due to availability of clinicians trained in evidenced-based care, and lack of evidence that these interventions can, and have been, effectively implemented in real-world settings (shift to videoconferencing for the delivery of services, social isolation because of COVID restriction, the irony of using “screen time” with a therapy activity to treat “screen time” addition).
Learning Objectives:
- Examine the increase in prevalence of substance and behavioral addictions among adolescents
- Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
- Describe the effects of the COVID pandemic on substance abuse.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Speaker Details
Full Name:
Kara Bagot, MD
Deputy Medical Director of Mental Health at the Mount Sinai Adolescent Health Center
Speaker Bio:
Jessica B. Smith, Esq
Senior Deputy County Counsel
Jessica Smith, Esq is the Senior Deputy County Counsel of San Diego in the Juvenile Dependency Unit. The Office we work with help to enforce rules and regulations provided in the Welfare and Institutions code, which address the rights of Individuals especially the children, minors and adolescents with mental health issues needing health care, social services and protection in the state of California.
Session
Session Details
B3 – Legal Tangles in Managing Complex Cases with Children and Adolescents – Legal Holds, Foster Care and Regulations to Watch.
Hybrid Session
Room:
Pink Room
Speaker:
Jessica B. Smith, Esq; Mike Phillips, Esq
Description:
Children and adolescents are a vulnerable group of the population who may need protection from themselves as well as people around them. Abuse and neglect often go unnoticed and often are very complicated in the presentation. Commonly, a stable family may be able to handle complicated situations with psychiatric comorbidities and behavioral issues and provide support and help to the child. In some cases, legal help may be required to help protect the child as well as the environment in which the child is living. The state of California has several rules and regulations including the Welfare and Institution code which helps the clinician to protect and care for children who are in need. An example would be detention of children who are a danger to self, or a danger to others, and or are gravely disabled as they are unable to use the resources available to care for themselves. Complicated living situations and environment often demand the need of emergency foster care placement, involuntary hospitalizations, and other protective interventions. The laws pertaining to the care of children can be confusing.
The course is tailored to help clinicians evaluate, understand and manage legal issues and forensic challenges clinicians face in outpatient and In-Patient settings in the management of children and adolescents struggling with behavioral and emotional issues. The course is designated to Doctoral level / PhD level clinicians to help manage clinical symptoms and complicated behaviors. The session can help clinicians understand the rights of children, the rights of families and potential legal implications of parents and children struggling with behavioral and emotional issues. Clinical vignettes are designed to illustrate legal challenges faced during the day-to-day practice in the care of children and families to help improve clinical care with this unfortunate population in custodial and foster care.
Learning Objectives:
- Describe the rules and regulations and patient rights in the state of California as per the welfare and Institution code
- Identify and summarize the rules and regulations to include patient and family rights especially for children and adolescent/minors in the state of California and those involved in the Dependency system.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Mark Chenven, M.D.
SC-BHCS and UCSD Dept of Psychiatry
Dr. Chenven is a board certified child & adolescent psychiatrist who is a Clinical Professor in the Department of Psychiatry at UCSD. He is Executive Medical Director at Vista Hill Foundation and is lead psychiatrist for the SmartCare Behavioral Health Consultation Program and innovative established integrated care program that has been operational for over 10 years. Dr. Chenven was formerly the chair of the American Academy of Child 7 Adolescent Psychiatry’s Work Group in Systems of Care and has been active in advocacy locally, statewide and nationally
Session
Session Details
B5 – Resiliency Consultation for Families with Adverse Childhood Experience in Primary Care
Hybrid Session
Room:
Purple Room
Speaker:
Mark Chenven, M.D.; Alyssa Label, MFT; Hilary Bowers, MD
Description:
This one-hour course will review the clinical relevance of ACEs screening in the pediatric primary care settings, explore the logistics of identification and subsequent referral of children found to be at high risk, describe the psycho-educational and clinical interventions that can be made on their behalf, and report on the outcomes achieved during the first year of implementation of the SmartCare Resiliency project.
Presentations with PowerPoint slides will discuss the rationale, collaborative planning processes, interventions provided, and outcomes achieved in the San Diego based SmartCare Resiliency project implemented between the SC-BHCS and Rady’s CPCMG clinics, San Diego’s largest pediatric primary care provider, whose goal has been to support children and families who have reported significant trauma exposure or Adverse Childhood Experiences (ACEs).
The presenters will review the research and clinical findings that demonstrate that ACEs are a major causative factor in the development of depression, anxiety and other behavioral health disorders in children (Shonkoff et al., 2012) as well as precipitants for numerous physical health conditions arising in adult life (Felitti et al., 1998)—findings that substantiated the need for early identification and intervention.
They will further describe SC-BHCS, a SD County Behavioral Health Services funded program, modeled after the Massachusetts Child Psychiatry Access Program (Strauss & Sarvet, 2014) that provides consultation to primary care pediatricians and also offers supportive psycho-education and care management services for referred parents/caretakers on behave of their children’s welfare.
CPCMG’s partnership with SC-BHCS to enhance their capacity to respond to behavioral health challenges of children and their families will be described, with specific focus on their ACEs screenings activities for their patient population pursuant to the State of California’s initiative to address children’s trauma exposure experiences. (https://www.acesaware.org/implement-screening/).
The benefits integrated behavioral health and primary care offers to improve outcomes will be a focus of closing Q&A dialogue with attendees.
Learning Objectives:
- Enumerate the ten (10) ACE criteria and characterize their impact on behavioral and physical health outcomes in childhood and into adult life
- Identify five forms of resiliency activities that can evaluated in outcome research.
- Describe the benefits for pediatricians and families in having access to psycho-education and care management services addressing individual and socio-cultural adversity in childhood.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Shawn Singh Sidhu, M.D.
University of California San Diego, Rady Children’s Hospital, Vista Hill Foundation, Southern Indian Health Council
Shawn Singh Sidhu, M.D. is an Associate Professor of Psychiatry at the University of California San Diego where he serves as Training Director for the Child and Adolescent Psychiatry Fellowship Program. He also serves as a Councilor-At-Large for the American Academy of Child and Adolescent Psychiatry, and on the American Psychiatric Association Council on Children, Adolescents, and Their Families. His primary clinical interests are Community Based Systems of Care, Immigrant Mental Health, and Native American Mental Health. He thanks his family, friends, mentors, and community without whose support none if his work would have been possible. Dr. Sidhu has published 5 papers on the topic of media, and has given 6 national presentations on this topic
Session
Session Details
Keynote:03 – How Much Is Too Much? The Impact of Extended Screen Time on Youth
Hybrid Session
Room:
Purple Room
Speaker:
Shawn Singh Sidhu, M.D.
Description:
This course reviews the impact of extended screen time on the cognitive, physiological, social, and emotional development of youth. It then reviews current guidelines from the American Academy of Child and Adolescent Psychiatry and the American Academy of Pediatrics to set appropriate media limits with children. Lastly, it utilizes the latest tools, such as the AACAP Facts for Families Page, the American Academy of Pediatrics Family Media Plan, and resources for parents in the community such as Common Sense Media. A limitation of the neuroscience data presented in this article is that it focuses on a specific sample of adolescents with Internet Addiction Disorder, and the vast majority of data presented today will show an association rather than causation.
Learning Objectives:
- Identify cognitive, physiological, social, emotional and other impairments associated with excessive screen time
- Use current guidelines from AACAP and the American Academy of Pediatrics (AAP) to set appropriate media limits with children and their families
- Utilize the latest tools, such as the AACAP Facts for Families Page, AAP Family Media Plan, and public websites such as Common Sense Media
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Rafael Pelayo, MD
Clinical Professor Department of Psychiatry and Behavioral Science Stanford University School of Medicine Stanford Sleep Disorder Clinic
Rafael Pelayo, MD is the author of How to Sleep and a clinical professor at Stanford University in the division of Sleep Medicine. Since 1993 he has worked at the Stanford Sleep Disorders Clinic. He teaches the popular Dement’s Sleep and Dreams undergraduate course and co-authored the textbook with Dr. William Dement. He is the president of the California Sleep Society. He is the chair of the American Academy of Sleep Medicine’s Political Action Committee. He serves on advisory boards of the National Sleep Foundation and Start School Later. He has lectured throughout the country and internationally. He helped lead the effort to delay school start times in California. His clinical focus is the treatment of sleep disorders in children and adults.
Session
Session Details
Keynote:04 – Sleep Disorders in Children and Adolescents
Hybrid Session
Room:
Purple Room
Speaker:
Rafael Pelayo, MD
Description:
Sleep is a very important factor for development and growth of children and adults. The growing brain needs sleep for development, understanding of the world around, consolidation of dreams, and memory of things learned during the wakefulness part of life. The normal pattern of sleep is essential for optimal functioning throughout life.
Disruption of normal pattern of sleep and wake schedules have a significant impact in the quality of life. This results in maladaptive behaviors and influence growth and optimal functioning. The release of growth hormones, anabolic neurotransmitters and other hormonal release are extremely important for growth. These are usually associated with deep phases of sleep and the pattern of hormonal release.
This is very important in children who are studying in schools, where attention, focus and concentration are extremely important. Disrupted sleep can have a huge impact in decreasing the alertness, their ability to adapt to things and education. This may also impact psychological development and influence suicidal thoughts in many of these children especially with declining quality of life associated with poor sleep.
The advent of Covid–19 has been a challenge to everyone including children and adolescents. This is resulted in disrupted sleep with lack of structure especially with school being online and no one available to supervise. This is resulted in irregular sleep–wake pattern and poor boundaries that impacts quality of life in these children. We will also address the Late start school program to be initiated in California.
The lecture is focused on early identification and intervention which would help with better management and improved quality of life. Behavioral sleep medicine techniques in addition to effective sleep hygiene practices will be addressed. The sophisticated but easy to use techniques are instructed to the attendees to train children and their parents to improve sleep.
Learning Objectives:
- – Describe the normal sleep patterns in children and evidence of sleep disorders in children with focus on various disorders of sleep that may impact children and youth and know the preferred treatment interventions to address these problems with a multidisciplinary collaborative.
- – Identify the evidence of disturbed sleep and coping strategies in the era of COVID-19 Pandemic with focus on resilience and structure to improve sleep and health.
Disclosure:
Idorsia Pharmaceuticals – Advisory board; Sleep Quest- Medical Advisor; Sleep Score Lab – Medical Advisor; Adaptive Sound Technologies – Scientific Advisor; and Somne – Medical Advisor
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Mauricio Torre
Vice President of Program Operations
Mauricio Torre is the VP of Business Operations at SBCS. Mauricio has worked with SBCS for 25 years. He is a first-generation Mexican American who has lived on both sides of the boarder for most of his life, and understands the plight of many of the children in the area. Mauricio has served as the principal administrator of over 30+ successful start-up programs at SBCS. Many of these programs serving local & immigrant youth and families in the South Bay area. Mauricio has worked with federal, state and local representatives to create, implement and manage services supporting needs of all community members, including those that have experienced difficult journeys and healing from trauma. Recently Mauricio was a key leader of the San Diego Emergency Influx Shelter, where 2400+ unaccompanied immigrant youth were placed and assisted in their reunification with family and/or sponsors
Session
Session Details
A1 – Coming to America- The Stories and Experiences of Unaccompanied Minors Arriving to San Diego Convention Center
Hybrid Session
Room:
Green Room
Speaker:
Pamela Wright, LCSW; Mauricio Torre
Description:
This course describes the unprecedented blending of federal, state, and local funding that supported the oversite and treatment of unaccompanied minors to the San Diego Convention Center. The collaborative efforts, accomplished in several days, of creating a trauma informed and culturally aware environment ready to receive thousands of youth from multiple countries will be described. Clinicians and administrators who have built clinical programs in California will learn about the unique efforts required to accomplish these tasks from both an administrative and clinical perspective. As there is no manual for how to do this, the necessary intense planning and negotiation efforts will be explained. Staff testimonials will illustrate the impact of trauma on the well-being and mental health of the immigrant youth treated at the Convention Center and as well as the impact on staff who cared for, supported, and protected them.
Thousands of immigrant children came to the United States in 2019-20 with their parents and unaccompanied. The Immigration and Customs Enforcement Agency was not prepared to handle the influx of so many young people. After initial screening, more than 2000 female children were sent to San Diego for processing and efforts to reunify them with their sponsors in the US or their families from their original country. This course will describe the administrative efforts, clinical efforts, and cultural efforts undertaken to care for these children who spoke a different language, had different customs, and many of whom had suffered multiple traumas.
Learning Objectives:
- Be able to describe and explain the impact of trauma on the mental health of the immigrant children and adolescents as they enter an emergency influx shelter In San Diego
- Be able to identify the important elements necessary to engage clinically with these children from other countries in terms of their culture, their language, and the trauma they experienced
- Be able to discuss the lessons learned as it applies to their own work and programs, in terms of both administrative and clinical issues, , in providing food, shelter, clothing, clinical care, culturally sensitive responsiveness, and protection from potential abusers while caring for these children.
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Session Details
B4 – Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens -Part 2- (need to attend both parts to obtain CE`s)
Hybrid Session
Room:
Blue Room
Speaker:
Johanna Olson-Kennedy, MS MD; Mauricio Torre; Blair Peters MD, FRCSC
Description:
The Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens panel sets out to provide mental health providers and those that come into contact with this population important, current, and evidence-based practices for the assessment, acute and long term treatment of transgender and gender non-conforming youth. The panel includes 3 expert physicians and advocates who will share their clinical expertise and experiences providing care for this population. This course would be beneficial for anyone providing medical, mental health, or general support to transgender and gender non-conforming patients.
**In order to receive CE for this session you must attend both Part 1 & Part 2**
Learning Objectives:
- Identify the different treatment approaches for prepubertal gender-diverse children and social transition
- Understand and dispel the myths surrounding long-term puberty suppression for non-binary youth and how to dispel them
- Explain the steps that go into the process of deciding to pursue reconstructive surgery for transgender youth and the obstacles they may face
- Explain the mental health benefits of providing gender-affirming care to transgender and non-binary youth
Disclosure:
Dr. Turban reports receiving textbook royalties from Springer Nature. He has received research funding from The National Institute of Mental Health, The Sorensen Foundation, and a Pilot Research Award for General Psychiatry Residents from The American Academy of Child & Adolescent Psychiatry and Its Industry Sponsors (Arbor & Pfizer). He is on the scientific advisory board for The Upswing Fund, a charitable fund that supports LGBTQ and racially minoritized adolescents during the COVID19 pandemic. He has received expert witness payments from the ACLU and Lambda Legal.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Jack L. Turban III, MD MHS
Founder, Stanford Pediatric Gender Journal Club and Member of Stanford Medicine Diversity Cabinet LGBTQ+ / Sexual and Gender Minority Subcommittee
Dr. Turban (he/him) is a Chief Fellow in Child & Adolescent Psychiatry at Stanford University School of Medicine. He attended medical school at Yale School of Medicine and completed his adult psychiatry training in the MGH/McLean Residency Training Program (Harvard Medical School). His research focuses on the determinants of mental health among transgender and gender diverse youth and has been cited in the United Nations’ Independent Expert Report on Conversion Therapy, major civil rights cases throughout the U.S., and in news outlets including The New York Times, CNN, and The Washington Post. He is also a frequent op-ed writer on topics related to gender and sexuality with pieces in outlets including The New York Times, The Los Angeles Times, and The Washington Post. He is co-editor of the textbook Pediatric Gender Identity: Gender-affirming Care for Transgender and Gender Diverse Youth.
Session
Session Details
A4 – Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens -PART 1- (need to attend both parts to obtain CE`s)
Hybrid Session
Room:
Blue Room
Speaker:
Johanna Olson-Kennedy, MS MD; Jack L. Turban III, MD MHS; Blair Peters MD, FRCSC
Description:
The Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens panel sets out to provide mental health providers and those that come into contact with this population important, current, and evidence-based practices for the assessment, acute and long term treatment of transgender and gender non-conforming youth. The panel includes 3 expert physicians and advocates who will share their clinical expertise and experiences providing care for this population. Dr. Olsen-Kennedy, with her expertise as an adolescent medicine physician, will discuss different treatment approaches, including pharmacological treatments for gender-diverse children to help them assist with their social transition. Dr. Peters will provide clinical expertise on the process and obstacles that transgender young adults may face when deciding to pursue reconstructive surgery. Dr. Turban will discuss the different mental health burdens that transgender youth face both prior to and after social and medical transition, and how different interventions can help decrease the burden in these vulnerable populations. Finally, there will be a question and answer session for attendees to inquire about best practices and discuss difficult cases with our expert panel
**IN ORDER TO RECEIVE CE’s YOU NEED TO ATTEND BOTH BREAKOUTS Part 1 & Part 2**
Learning Objectives:
- Identify the different treatment approaches for prepubertal gender-diverse children and social transition
- Dispel the myths surrounding long-term puberty suppression for non-binary youth and critique the current evidence-based practices used in this population
- Explain the steps that go into the process of deciding to pursue reconstructive surgery for transgender youth and the obstacles they may face
- Explain the mental health benefits of providing gender-affirming care to transgender and non-binary youth
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Mike Phillips, Esq
Senior Director of Patient Advocacy and Housing Services
Mike Phillips, Esq is the Senior Director of Patient Advocacy and Housing Services at Jewish Family Service of San Diego. He received his law degree from the University of San Diego School of Law. He is a member of the VIP Mentors (Volunteers in Parole) program, which awarded him their 2009 Attorney of the Year award for his work with mentoring recently incarcerated individuals. He is a member of the board and past president of the San Diego Psych-Law Society and is on the Patients’ Rights Committee of the California Behavioral Health Planning Council. In his role as Senior Director at JFS, he provides instruction and training for the mental health community, including providing information on due process rights for psychiatric patients throughout the County of San Diego. He also manages permanent supportive housing programs throughout the Coachella Valley. He is currently consulting at the state level on behavioral health reform, including participation in the statewide Behavioral Health Action Coalition, and provides both local and statewide law enforcement training on behavioral health issues. He received the Patients’ Rights Advocate of the Year award from the California Association of Mental Health Patient’s Rights Advocates in 2009 and again in 2015. He received the Henrietta Rubenstein Staff Development Award (Employee of the Year) from Jewish Family Service in 2014. He was awarded the 2016 Šimanek Distinguished Service Award by the California Hospital Association, and he presents regularly at their statewide annual Behavioral Health Care Symposium. He is the San Diego Province President and is currently a member of the governing Council of the Phi Delta Phi International Legal Honor Society, an organization that promotes ethics and professionalism among attorneys. He has also trained thousands of notaries public, was named the 2015 Notary of the Year Special Honoree by the National Notary Association, and is a regular presenter at NNA’s annual national conference
Session
Session Details
B3 – Legal Tangles in Managing Complex Cases with Children and Adolescents – Legal Holds, Foster Care and Regulations to Watch.
Hybrid Session
Room:
Pink Room
Speaker:
Jessica B. Smith, Esq; Mike Phillips, Esq
Description:
Children and adolescents are a vulnerable group of the population who may need protection from themselves as well as people around them. Abuse and neglect often go unnoticed and often are very complicated in the presentation. Commonly, a stable family may be able to handle complicated situations with psychiatric comorbidities and behavioral issues and provide support and help to the child. In some cases, legal help may be required to help protect the child as well as the environment in which the child is living. The state of California has several rules and regulations including the Welfare and Institution code which helps the clinician to protect and care for children who are in need. An example would be detention of children who are a danger to self, or a danger to others, and or are gravely disabled as they are unable to use the resources available to care for themselves. Complicated living situations and environment often demand the need of emergency foster care placement, involuntary hospitalizations, and other protective interventions. The laws pertaining to the care of children can be confusing.
The course is tailored to help clinicians evaluate, understand and manage legal issues and forensic challenges clinicians face in outpatient and In-Patient settings in the management of children and adolescents struggling with behavioral and emotional issues. The course is designated to Doctoral level / PhD level clinicians to help manage clinical symptoms and complicated behaviors. The session can help clinicians understand the rights of children, the rights of families and potential legal implications of parents and children struggling with behavioral and emotional issues. Clinical vignettes are designed to illustrate legal challenges faced during the day-to-day practice in the care of children and families to help improve clinical care with this unfortunate population in custodial and foster care.
Learning Objectives:
- Describe the rules and regulations and patient rights in the state of California as per the welfare and Institution code
- Identify and summarize the rules and regulations to include patient and family rights especially for children and adolescent/minors in the state of California and those involved in the Dependency system.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Alyssa Label, MFT
Program Manager, Vista Hill SmartCare Behavioral Healthcare Consultation Services (SC-BHCS)
Ms. Label is a licensed clinician who is the program manager of the SC-BHCS program. She coordinated implementation of the SmartCare Resiliency project with our pediatric partners at CPCMG clinics. Ms. Label supervises SC-BHCS clinical staff who offer psycho-educational interventions to parents whose children screen positive for exposure to adverse experiences, with the aim of enhancing resiliency building activities at home
Session
Session Details
B5 – Resiliency Consultation for Families with Adverse Childhood Experience in Primary Care
Hybrid Session
Room:
Purple Room
Speaker:
Mark Chenven, M.D.; Alyssa Label, MFT; Hilary Bowers, MD
Description:
This one-hour course will review the clinical relevance of ACEs screening in the pediatric primary care settings, explore the logistics of identification and subsequent referral of children found to be at high risk, describe the psycho-educational and clinical interventions that can be made on their behalf, and report on the outcomes achieved during the first year of implementation of the SmartCare Resiliency project.
Presentations with PowerPoint slides will discuss the rationale, collaborative planning processes, interventions provided, and outcomes achieved in the San Diego based SmartCare Resiliency project implemented between the SC-BHCS and Rady’s CPCMG clinics, San Diego’s largest pediatric primary care provider, whose goal has been to support children and families who have reported significant trauma exposure or Adverse Childhood Experiences (ACEs).
The presenters will review the research and clinical findings that demonstrate that ACEs are a major causative factor in the development of depression, anxiety and other behavioral health disorders in children (Shonkoff et al., 2012) as well as precipitants for numerous physical health conditions arising in adult life (Felitti et al., 1998)—findings that substantiated the need for early identification and intervention.
They will further describe SC-BHCS, a SD County Behavioral Health Services funded program, modeled after the Massachusetts Child Psychiatry Access Program (Strauss & Sarvet, 2014) that provides consultation to primary care pediatricians and also offers supportive psycho-education and care management services for referred parents/caretakers on behave of their children’s welfare.
CPCMG’s partnership with SC-BHCS to enhance their capacity to respond to behavioral health challenges of children and their families will be described, with specific focus on their ACEs screenings activities for their patient population pursuant to the State of California’s initiative to address children’s trauma exposure experiences. (https://www.acesaware.org/implement-screening/).
The benefits integrated behavioral health and primary care offers to improve outcomes will be a focus of closing Q&A dialogue with attendees.
Learning Objectives:
- Enumerate the ten (10) ACE criteria and characterize their impact on behavioral and physical health outcomes in childhood and into adult life
- Identify five forms of resiliency activities that can evaluated in outcome research.
- Describe the benefits for pediatricians and families in having access to psycho-education and care management services addressing individual and socio-cultural adversity in childhood.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Blair Peters MD, FRCSC
Incoming Assistant Professor Department of Surgery, Division of Plastic and Reconstructive Surgery Department of Urology Transgender Health Program Oregon Health & Science University (OHSU)
Dr. Blair Peters (He/They) is an Assistant Professor in both the Division of Plastic and Reconstructive Surgery and Department of Urology at Oregon Health & Science University (OHSU). He attended medical school and completed his residency training in Plastic and Reconstructive Surgery at the University of Manitoba. He then completed two fellowships. The first in peripheral nerve, hand, and microsurgery at the Washington University in St Louis. He is one of the first surgeons in North America to complete fellowship in comprehensive Gender-Affirming Surgery at OHSU. His clinical practice is full breadth gender-affirming surgery, including the care of adolescents. Research interests are focused on sensory and erogenous outcomes following genital gender-affirming surgery. Outside of clinical practice, he is both a member and a strong advocate for the LGBTQIA+ community. He strives to continue to be a strong queer voice in medicine and surgery.
Session
Session Details
A4 – Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens -PART 1- (need to attend both parts to obtain CE`s)
Hybrid Session
Room:
Blue Room
Speaker:
Johanna Olson-Kennedy, MS MD; Jack L. Turban III, MD MHS; Blair Peters MD, FRCSC
Description:
The Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens panel sets out to provide mental health providers and those that come into contact with this population important, current, and evidence-based practices for the assessment, acute and long term treatment of transgender and gender non-conforming youth. The panel includes 3 expert physicians and advocates who will share their clinical expertise and experiences providing care for this population. Dr. Olsen-Kennedy, with her expertise as an adolescent medicine physician, will discuss different treatment approaches, including pharmacological treatments for gender-diverse children to help them assist with their social transition. Dr. Peters will provide clinical expertise on the process and obstacles that transgender young adults may face when deciding to pursue reconstructive surgery. Dr. Turban will discuss the different mental health burdens that transgender youth face both prior to and after social and medical transition, and how different interventions can help decrease the burden in these vulnerable populations. Finally, there will be a question and answer session for attendees to inquire about best practices and discuss difficult cases with our expert panel
**IN ORDER TO RECEIVE CE’s YOU NEED TO ATTEND BOTH BREAKOUTS Part 1 & Part 2**
Learning Objectives:
- Identify the different treatment approaches for prepubertal gender-diverse children and social transition
- Dispel the myths surrounding long-term puberty suppression for non-binary youth and critique the current evidence-based practices used in this population
- Explain the steps that go into the process of deciding to pursue reconstructive surgery for transgender youth and the obstacles they may face
- Explain the mental health benefits of providing gender-affirming care to transgender and non-binary youth
In-Person Approvals:
CE approvals: APA, ACCME
Virtual Approvals:
Session Details
B4 – Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens -Part 2- (need to attend both parts to obtain CE`s)
Hybrid Session
Room:
Blue Room
Speaker:
Johanna Olson-Kennedy, MS MD; Mauricio Torre; Blair Peters MD, FRCSC
Description:
The Gender-Affirming Care: Through a Medical, Surgical, and Mental Health Lens panel sets out to provide mental health providers and those that come into contact with this population important, current, and evidence-based practices for the assessment, acute and long term treatment of transgender and gender non-conforming youth. The panel includes 3 expert physicians and advocates who will share their clinical expertise and experiences providing care for this population. This course would be beneficial for anyone providing medical, mental health, or general support to transgender and gender non-conforming patients.
**In order to receive CE for this session you must attend both Part 1 & Part 2**
Learning Objectives:
- Identify the different treatment approaches for prepubertal gender-diverse children and social transition
- Understand and dispel the myths surrounding long-term puberty suppression for non-binary youth and how to dispel them
- Explain the steps that go into the process of deciding to pursue reconstructive surgery for transgender youth and the obstacles they may face
- Explain the mental health benefits of providing gender-affirming care to transgender and non-binary youth
Disclosure:
Dr. Turban reports receiving textbook royalties from Springer Nature. He has received research funding from The National Institute of Mental Health, The Sorensen Foundation, and a Pilot Research Award for General Psychiatry Residents from The American Academy of Child & Adolescent Psychiatry and Its Industry Sponsors (Arbor & Pfizer). He is on the scientific advisory board for The Upswing Fund, a charitable fund that supports LGBTQ and racially minoritized adolescents during the COVID19 pandemic. He has received expert witness payments from the ACLU and Lambda Legal.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals:
Hilary Bowers, MD
Lead Pediatrician, Rady Children’s Hospital
Dr. Bowers is the lead pediatrician at Rady’s CPCMG’s integrated care initiative to advance pediatric competency in behavioral health interventions and care. She has been active in implementation of ACEs screening activities at CPCMG clinics and is liaison from the pediatric group to the Resiliency project.
Session
Session Details
B5 – Resiliency Consultation for Families with Adverse Childhood Experience in Primary Care
Hybrid Session
Room:
Purple Room
Speaker:
Mark Chenven, M.D.; Alyssa Label, MFT; Hilary Bowers, MD
Description:
This one-hour course will review the clinical relevance of ACEs screening in the pediatric primary care settings, explore the logistics of identification and subsequent referral of children found to be at high risk, describe the psycho-educational and clinical interventions that can be made on their behalf, and report on the outcomes achieved during the first year of implementation of the SmartCare Resiliency project.
Presentations with PowerPoint slides will discuss the rationale, collaborative planning processes, interventions provided, and outcomes achieved in the San Diego based SmartCare Resiliency project implemented between the SC-BHCS and Rady’s CPCMG clinics, San Diego’s largest pediatric primary care provider, whose goal has been to support children and families who have reported significant trauma exposure or Adverse Childhood Experiences (ACEs).
The presenters will review the research and clinical findings that demonstrate that ACEs are a major causative factor in the development of depression, anxiety and other behavioral health disorders in children (Shonkoff et al., 2012) as well as precipitants for numerous physical health conditions arising in adult life (Felitti et al., 1998)—findings that substantiated the need for early identification and intervention.
They will further describe SC-BHCS, a SD County Behavioral Health Services funded program, modeled after the Massachusetts Child Psychiatry Access Program (Strauss & Sarvet, 2014) that provides consultation to primary care pediatricians and also offers supportive psycho-education and care management services for referred parents/caretakers on behave of their children’s welfare.
CPCMG’s partnership with SC-BHCS to enhance their capacity to respond to behavioral health challenges of children and their families will be described, with specific focus on their ACEs screenings activities for their patient population pursuant to the State of California’s initiative to address children’s trauma exposure experiences. (https://www.acesaware.org/implement-screening/).
The benefits integrated behavioral health and primary care offers to improve outcomes will be a focus of closing Q&A dialogue with attendees.
Learning Objectives:
- Enumerate the ten (10) ACE criteria and characterize their impact on behavioral and physical health outcomes in childhood and into adult life
- Identify five forms of resiliency activities that can evaluated in outcome research.
- Describe the benefits for pediatricians and families in having access to psycho-education and care management services addressing individual and socio-cultural adversity in childhood.
In-Person Approvals:
CE approvals: APA, ACCMEExamine the increase in prevalence of substance and behavioral addictions among adolescents
Identify the associated psychiatric comorbidity and interactions with primary psychiatric disorders.
Describe the effects of the COVID pandemic on substance abuse.
Virtual Approvals: