~See order section below for tickets to live seminars~
- Feb 18, 2016: Treatment Resistant & Complex ADHD
- April 7, 2016: Medication Algorithms for Depression
- June 2, 2016: Medication Algorithms for Anxiety
- August 4, 2016: The Dysregulated, Disruptive, Defiant Preschooler
- October 6, 2016: The School Refusing Child or Teen
- December 1, 2016: The Moody, Snarky, Defiant Teen
- It is well documented that about 20 percent of youth in the U.S. experience behavioral health issues severe enough to merit treatment.1
- Mental health problems collectively are the most prevalent and costly of all children’s health care needs2 constituting the overt reason for up to 40% of visits to some pediatric practices.
- Most children who experience psychosocial struggles seek treatment in primary care settings, with pediatric providers writing as many as 85 percent of prescriptions for psychotropic medications used to treat youngsters.3
- Multiple reports have documented contemporary trends for increasing prevalence of pediatric behavioral health problems, including attention deficit hyperactivity disorder, conduct problems, substance use disorders, and autism spectrum disorders.4
- Paralleling the increase in mental health concerns, the prescribing of psychotropic medications for youngsters has dramatically increased.5
- At the same time, the workforce of child psychiatrists has not grown significantly and is not projected to do so. Many counties in the United States have no child psychiatrists.6
- Child psychiatrists are not evenly distributed across the country in relation to population: As of 2001 there was a high of 21.3 child psychiatrists per 100,000 children in Massachusetts and a low of 3.1 per 100,000 children in Alaska.6
- No significant increase in the workforce through the use of alternative providers— advanced-practice nurses or psychologists who have been trained and licensed to prescribe psychotropic medications—is projected to occur.6
- In 2002, the Massachusetts the Parent/Professional Advocacy League conducted a survey in 2002 of parents whose children needed behavioral health services. Among the respondents, 33 percent had waited more than a year for an appointment with a pediatric behavioral health provider, 50 percent reported that their pediatrician never asked about their child’s behavioral health and 77 percent reported that their pediatrician was not helpful in connecting them to mental health resources.7
- A number of novel programs have evolved during the past few decades, aimed at mitigating the growing chasm between demand and access to pediatric mental health specialty services. These initiatives have deployed such strategies as onsite, integrated, behavioral health services, localized to primary care and school settings, and offsite multi-level, flexible models, comprised of options including care coordination, telephonic child psychiatry consultations and expedited diagnostic evaluations. 7
- Most of these initiatives have included recurring, formal presentations & trainings. The REACH Institute through the Pediatric Pharmacotherapy Program (http://www.glad-pc.org/) has sponsored a program that brings together small groups of primary care physicians for an intensive 3-day training program, which is followed up by 6 months of regular teleconferences during which the participants discuss cases among themselves and with specialists.8
- In sum, the growing gap between the demand and availability of pediatric mental health specialty services can be narrowed via such strategies as service co-location and integration, direct and indirect consultation, collaboration, co-management and training.
- The proposal that follows describes an initiative to develop a series of high caliber trainings on challenging pediatric behavioral health concerns that commonly plague primary care offices. Additional goals of the program are to create recurring collegial exchange forums that will inherently bolster communication and collaboration between regional child psychiatrists and pediatricians.
- The training series shall be designed & implemented through the collaborative efforts of:
- Colorado Chapter of the American Academy of Pediatrics (CO AAP) (POC Steve Perry, MD, CO AAP President)
- University of Colorado School of Medicine Child & Adolescent Psychiatry Fellowship Training Program (POC Kim Kelsay, MD, Training Director)
- EMPOWER: Centers of Excellence in Family Behavioral Health (POC Mary Nord Cook, MD, Chief Executive Officer and Medical Director).
1. Department of health and human services. Report of the surgeon general’s conference on children’s mental health: a national action agenda. Washington (DC): HHS; 2000. 2. Roemer M. Health care expenditures for the five most common children’s conditions, 2008: Estimates for U.S. civilian non-institutionalized children, ages 0-17. Statistical brief #349. Rockville, MD: Agency for healthcare research and quality; 2011. 3. Sinclair L. Pediatricians get help managing psychotropic drugs in children American Psychiatric Association Psychiatric News. 2012; 47(19):22-22 4. Kelleher KJ, McInerny TK, Gardner WP, Childs GE, Wasserman RC. Increasing identification of psychosocial problems: 1979–1996. Pediatrics. 2000;105(6):1313–21. 5. Olfson M, Marcus SC, Weissman MM, Jensen PS. National trends in the use of psychotropic medications in children. J Am Acad Child Adolesc Psychiatry. 2002;41(5):514–21. 6. Thomas CR, Holzer CE 3rd. The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry. 2006; 45(9):1023–31. 7. Frank A, Greenberg J, Lambert L. Speak out for access: the experiences of Massachusetts families in obtaining mental health care for their children [Internet]. Boston (MA): Health Care For All, Parent/Professional Advocacy League; 2002 Oct [cited 2014 Oct 20]. Available from: http://ppal.net/wp-content/uploads/ 2011/01/Speak-out-for-Access.pdf. 8. Zuckerbrot RA, Cheung AH, Jensen PS, Stein REK, Laraque D. Guidelines for adolescent depression in primary care (glad-pc): i. identification, assessment, and initial management. Pediatrics. 2007; 120(5): e1299-1312.
- Arm pediatricians with cutting edge evidence-base and updates on literature and FDA findings, along with newly released formulations of psychotropic medications
- Arm pediatricians with best practice algorithms for assessing and treating the most common and challenging child mental health concerns presenting to primary care
- Create forums for formal and informal consultation and collaboration between Colorado pediatricians and child psychiatrists
- Bolster communication, collegiality between Colorado pediatricians & child psychiatrists
- Develop and grow scholarly activity and relationships between the Colorado Chapter of the Academy Academy of Pediatrics, the University of Colorado School of Medicine Child Psychiatry Fellowship Program and EMPOWER Centers.
Chief Executive Officer & Medical Director
UCSOM Chief Child & Adolescent Psychiatry Fellows (PGY-V/VIs) Also Presenting
(w/close mentorship by Dr. Mary Nord Cook and Training Director Dr. Kim Kelsay)
2015-16 Chief Child & Adolescent Psychiatry Fellows:
- Elizabeth Erickson, MD
- Kristin Homburg, MD
- Ryan Moroze, MD
- Kimberly Kelsay, MD (UCSOM Training Director for Child Psychiatry Fellowship)
- Steve Perry, MD (President Colorado Chapter American Academy of Pediatrics, Founder & Senior Partner Cherry Creek Pediatrics)
- Matthew Dorighi, MD (Senior Partner Cherry Creek Pediatrics)
- Kym Spring-Thompson, PsyD (Director, Behavior Programs at EMPOWER Centers)
- Betsey Bucca, LCSW (Director, Mood Programs at EMPOWER Centers)
- Jaimelyn Roets, LCSW (Director, Anxiety Programs at EMPOWER Centers)
- Trainings will occur every other month, starting Feb 2016.
- The trainings will alternate, occurring either the first Thursday morning of the month, 7-830 am or the first Thursday evening of the month, 6-730 pm (except Feb training on 3rd Thurs, 18 Feb).
- Details AM Trainings:
- 7-830 am February 18, June 2, October 6, 2016 (Note: 1st training only 3rd Thurs)
- The am trainings will be hosted at EMPOWER Centers, 6530 S. Yosemite St., Suite #210, Greenwood Village, CO 80111
- Fresh gourmet bagels, flavored smears, hot coffee and tea will be served.
- Details PM Trainings:
- 6-730 pm April 7, August 4, December 1, 2016
- The pm trainings will be hosted at EMPOWER Centers, 6530 S. Yosemite St., Suite #210, Greenwood Village, CO 80111
- Gourmet hot tapas and wine selection will be served.
- Topics, clinical questions and complex case examples will be determined a priori through discussion and surveys of pediatricians.
- Each training will use a mixture of power point, case examples, interactive discussions, and digital and hard copy written hand-outs, to disseminate the most current, relevant and clinically applicable information.
- Each presenter will be asked to either identify or develop “quick & dirty” summary tables and/or algorithms that will assist pediatricians delivering care within busy practices
- Topics will rotate, as informed by preference and consensus among pediatricians surveyed.
This Wine, Smear & Learn Series is Jointly Sponsored by:
- Colorado Chapter of American Academy of Pediatrics (CO AAP)
- EMPOWER: Centers of Excellence in Family Behavioral Health (EMPOWER)
- The University of Colorado School of Medicine (UCSOM)
Morning & Evening Session Info:
- Morning trainings will cost $5.00 per person to cover cost of continental breakfast, handouts (Fresh Gourmet Bagels, Flavored Smears, Hot Coffee & Tea).
- Evening trainings will cost $25.00 per person to cover the cost of catering, wine, handouts (Gourmet Hot Tapas, Wine Selection).