- #1. The Truth About Pot–What We Do & Don’t Know and What Parents Can Do
- Trainers: Dr. Mary Nord Cook, Anne Bliss Niess, MA, LPC-C & Krista Turner, LMFT
- #2. Moody, Defiant Preschoolers–Understanding and Managing Their Behavior
- Trainers: Kym Spring-Thompson, PsyD, IMH-E® (IV), Armann Heshmati, LMFT
#3. School Anxiety-Understanding and Managing It
- Trainers: Mariah Stuart, MSW, Jaimelyn Roets, LCSW
- 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% 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
- 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 for parents on challenging pediatric behavioral health concerns that commonly plague primary care clinics. Additional goals are to create recurring collegial forums that will inherently bolster communication & collaboration between regional child mental health clinicians, pediatricians and parents.
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)
- EMPOWER: Centers of Excellence in Family Behavioral Health (POC Mary Nord Cook, MD, Chief Executive Officer and Medical Director, EMPOWER Centers).
- Provide parents with information and skills to understand and manage behavioral health concerns that commonly afflict Colorado families.
- Provide parents an opportunity to dialogue with regional behavioral health specialists & increase their sense of empowerment and mastery in managing behavioral challenges.
- Provide a forum for linking regional child psychiatrists, therapists and pediatricians to facilitate communication, collaboration and exchange of information & resources.
- Develop and grow scholarly activity and relationships between the Colorado Chapter of the Academy Academy of Pediatrics and EMPOWER Centers.
- Ultimately, the goals of such community outreach projects are to facilitate prevention and early intervention of mental illness, along with promoting best practice behavioral health care to local youngsters.
- Mary Nord Cook, MD-Chief Executive Officer & Medical Director, EMPOWER Centers
- Kym Spring-Thompson, PsyD, IMH-E® (IV), Director, Behavior Programs, EMPOWER Centers
- Jaimelyn Roets, LCSW, Director, Anxiety Programs, EMPOWER Centers
- Armann Heshmanti, LMFT-Couples, Family & Adolescent Specialist
- Krista Turner, LMFT-Couples, Family & Adolescent Specialist, EMPOWER Centers
- Anne Bliss Niess, MA, LPC-C-Couples, Family & Adolescent Specialist, EMPOWER Centers
- Mariah Stuart, MSW-OCD, Anxiety, Tic & Habit Reversal Specialist, EMPOWER Centers
- The program will serve as a pilot project, introducing the Parent Training series in 3 regional pediatric practices the first year to include:
- Cherry Creek Pediatrics
- Pediatrics 5280
- Stapleton Pediatrics
- Parent Trainings will occur at each pediatric practice enrolled in the pilot program, once quarterly, starting April 2017. The topics will rotate sites with all 3 eventually offered at each of 3 pediatric practices.
- The workshops will be rendered by a pair of subject matter experts, detailed above.
- The workshop topics are detailed above.
- The following times, dates have been selected:
- 6-730 pm Tues 25 April 2017
- 6-730 pm Tues 11 July 2017
- 6-730 pm Tues 10 October 2017
- Light snacks and beverages will be served (provided by EMPOWER).
- The trainings will be hosted in the waiting areas or conference rooms of the Pediatric Practices involved.
- EMPOWER will collaborate with CO AAP on developing & providing marketing materials to enrolled pediatric practices and will help with online marketing.
- Each practice will be encouraged to promote the Parent Trainings to the degree possible, using the materials provided.
- An online registration & payment process will be made available through the EMPOWER Centers website (empowercenters.org).
- The online registration process will offer #25 slots or tickets to cap size of audience to enable experiential, didactic style of training, along with opportunity for audience questions, discussion, etc…
- The Parent Trainings will cost $20.00 for one parent or $30.00 for 2 parents from same family.
- The costs will cover expenses including administration, refreshments, handouts, marketing, etc…
- Each training will use a mixture of power point, case examples, demonstrations, experiential exercises, interactive discussions, digital and hard copy hand-outs, to disseminate the most current, relevant and pragmatic information.
- Each presenter will be asked to either identify or develop “quick & dirty” summary hand-outs for audiences, as well as provide information regarding community resources, etc…
- Feedback will obtained from attendees and providers at each training session and used to continuously improve the format, content, style and logistics of future presentations.
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.