Project ECHO Archive 2020
On this Page
- Childhood Trauma
- Transgender: Risk Factors and Support, pt. 3 of 3
- Transgender: Referral Pathways, pt. 2 of 3
- Transgender 101, pt. 1 of 3
- How Montana’s Culture Can Effect Treatment
- Substance Use Disorder: SBIRT
- The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications
- Childhood Trauma and Abuse
- Cultural Awareness: Pediatrics, Psychology, & Montana Native American Tribes
- ADHD and Stimulant Medication
- Impact of Shelter in Place/COVID-19 on Family Violence
- Digital Play Therapy
- Helping Parents Connect With Their Children During COVID-19
- Coordinating Treatment with School-Based Mental Health Providers
- MAPP-Net Overview
- ADHD vs. Anxiety
- Screening: Integrating Screening into Primary Care
Archives for Pediatric Mental Health teleECHO Clinics are below. Each
clinic starts with a didactic, followed by case presentations. The didactic portion
of each clinic is recorded and uploaded to the Billings Clinic Project ECHO VIMEO Channel. Recording the didactics
allows those that were not able to attend or those that wish to review the topics
access to the presentations. In addition to the recorded videos you will also find
the PDF of each didactic presentation. Recordings do not include case presentations,
this is to ensure patient’s protected health information and privacy is
protected.
Childhood Trauma
Recorded November 11, 2020
Mariela Herrera, MD
This didactic includes discussion about Child Maltreatment, ACE Screening, Long-Term Consequences, Impact of Child Maltreatment, Brain Development, Nature and Nurture, Sequential Development, Activity Dependent, Triggers for Disruption, Human Survival Responses, Epigenetics and Toxic Stress, Clinical Expression, Impact According to Age, Complex PTSD: "Developmental Trauma Disorder", Treatment, Health Outcomes, Factors to Consider, Psychotherapeutic Interventions, Ancillary Therapies, Psychopharmacologic Treatments.
Mariela Herrera, MD
This didactic includes discussion about Child Maltreatment, ACE Screening, Long-Term Consequences, Impact of Child Maltreatment, Brain Development, Nature and Nurture, Sequential Development, Activity Dependent, Triggers for Disruption, Human Survival Responses, Epigenetics and Toxic Stress, Clinical Expression, Impact According to Age, Complex PTSD: "Developmental Trauma Disorder", Treatment, Health Outcomes, Factors to Consider, Psychotherapeutic Interventions, Ancillary Therapies, Psychopharmacologic Treatments.
Transgender: Risk Factors and Support, pt. 3 of 3
Recorded October 14, 2020
Kristin Prewitt, DO and Colleen Wood, MD
This didactic includes discussion about Endocrine Society Guidelines, Criteria of Genital Surgery (Two Referrals), Criteria for Metoidioplasty in FtM Patients and for Vagioplasty in MtF Patients, Masculinizing and Feminizing Surgeries, Surgery and Other Procedures, Gender Affirming Clinical Care, Transgender Friendly Concepts for Clinicians, Improving Mental Health-Familial and Societal Support for Children, Mental Health in Socially Transitioned Transgender Youth.
Kristin Prewitt, DO and Colleen Wood, MD
This didactic includes discussion about Endocrine Society Guidelines, Criteria of Genital Surgery (Two Referrals), Criteria for Metoidioplasty in FtM Patients and for Vagioplasty in MtF Patients, Masculinizing and Feminizing Surgeries, Surgery and Other Procedures, Gender Affirming Clinical Care, Transgender Friendly Concepts for Clinicians, Improving Mental Health-Familial and Societal Support for Children, Mental Health in Socially Transitioned Transgender Youth.
Transgender: Referral Pathways, pt. 2 of 3
Recorded September 26, 2020
Colleen Wood, MD
This didactic includes discussion about Understanding Gender, Terminology, Gender Identity, Gender Affirmatory Language, Gender Nonconformity vs. Gender Dysphoria, Medical Interventions for Transgender Youth, Guidelines/Policy Statements, GnRH Agonists, Gender-affirming hormone therapy, Endocrine Society Guidelines for GnRHa, Medical Risks Associated with Sex Hormone Therapy, Long-Term Effects, Reversible Interventions, Fertility Preservation, Masculinizing Treatment, Feminizing Treatment.
Colleen Wood, MD
This didactic includes discussion about Understanding Gender, Terminology, Gender Identity, Gender Affirmatory Language, Gender Nonconformity vs. Gender Dysphoria, Medical Interventions for Transgender Youth, Guidelines/Policy Statements, GnRH Agonists, Gender-affirming hormone therapy, Endocrine Society Guidelines for GnRHa, Medical Risks Associated with Sex Hormone Therapy, Long-Term Effects, Reversible Interventions, Fertility Preservation, Masculinizing Treatment, Feminizing Treatment.
Transgender 101, pt. 1 of 3
Recorded September 9, 2020
Kristin Prewitt, DO
This didactic includes discussion about Terminology: Sex, Gender and Sexual Orientation, Transgender, Nonbinary (NB) Gender Identity, Gender nonconforming vs dysphoria, DSM 5: Gender Dysphoria (adolescent/adult), Pediatric DSM5, Paradigm Shift in Transgender Health, Binary vs Spectrum, Gender Affirmation, Transgender Health Disparities, Mental Health of Transgender Youth, Bullying Victimization, Discrimination and Stigma.
Kristin Prewitt, DO
This didactic includes discussion about Terminology: Sex, Gender and Sexual Orientation, Transgender, Nonbinary (NB) Gender Identity, Gender nonconforming vs dysphoria, DSM 5: Gender Dysphoria (adolescent/adult), Pediatric DSM5, Paradigm Shift in Transgender Health, Binary vs Spectrum, Gender Affirmation, Transgender Health Disparities, Mental Health of Transgender Youth, Bullying Victimization, Discrimination and Stigma.
How Montana’s Culture Can Effect Treatment
Recorded August 26, 2020
Ryan Tolleson Knee, PhD
This didactic includes discussion specific to Montana Challenges, Traditional Montana Values and Reinforced Beliefs and Attitudes, Behavior Tendencies as they Relate to Values, Beliefs and Attitudes, Reframing Values-Behaviors, Strengths, and Discussion about these Dynamics as they Relate to Treating and Caring for Montanans.
Ryan Tolleson Knee, PhD
This didactic includes discussion specific to Montana Challenges, Traditional Montana Values and Reinforced Beliefs and Attitudes, Behavior Tendencies as they Relate to Values, Beliefs and Attitudes, Reframing Values-Behaviors, Strengths, and Discussion about these Dynamics as they Relate to Treating and Caring for Montanans.
Substance Use Disorder: SBIRT
Recorded August 12, 2020
Bob Sise, MD, MBA, MPH
This didactic includes discussion on Overview of SUD in United States, Opioid Use Facts, How Do We Engage With Our Patients Regarding Their Substance Use?, SBIRT Pyramid, SAMHSA, Evidence Base for SBIRT, SBIRT Process, Screening: AUDIT, AUDIT-C, DAST, CRAFT, CAGE, Pre-Screening, Brief Intervention, Brief Treatment, Referral to Treatment, Medication Assisted Treatment, Main Takeaways.
Bob Sise, MD, MBA, MPH
This didactic includes discussion on Overview of SUD in United States, Opioid Use Facts, How Do We Engage With Our Patients Regarding Their Substance Use?, SBIRT Pyramid, SAMHSA, Evidence Base for SBIRT, SBIRT Process, Screening: AUDIT, AUDIT-C, DAST, CRAFT, CAGE, Pre-Screening, Brief Intervention, Brief Treatment, Referral to Treatment, Medication Assisted Treatment, Main Takeaways.
The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications
Recorded July 22, 2020
Siera Zimmerman, PharmD, BCPPS
This didactic includes discussion about What is PGx?, Major Categories of Pharmacogenomics, CYP Isoenzymes, Recommendations for Medication Changes, FDA Labeling Information for Pharmacogenomics, Guidelines for Behavioral Health Practice, Identifying Appropriate Patients, Workflow Design for Pharmacogenomic Ordering, SC Referral to Ambulatory or Pediatric Pharmacist, How to Utilize Pharmacogenomic Findings, Evaluating the Report, Sample Report, Limitations, Challenges of PGx Testing, FDA Statement and Warning, References.
Siera Zimmerman, PharmD, BCPPS
This didactic includes discussion about What is PGx?, Major Categories of Pharmacogenomics, CYP Isoenzymes, Recommendations for Medication Changes, FDA Labeling Information for Pharmacogenomics, Guidelines for Behavioral Health Practice, Identifying Appropriate Patients, Workflow Design for Pharmacogenomic Ordering, SC Referral to Ambulatory or Pediatric Pharmacist, How to Utilize Pharmacogenomic Findings, Evaluating the Report, Sample Report, Limitations, Challenges of PGx Testing, FDA Statement and Warning, References.
Childhood Trauma and Abuse
Recorded July 8, 2020
Cynthia Brewer, DO
This didactic includes discussion about Childhood Trauma, Neglect, Physical Abuse, Sexual Abuse, Child Torture, ACE Study, Approach, CPS and Law Enforcement, Medical, Medical Exams, Mental Health, Group Discussion.
Cynthia Brewer, DO
This didactic includes discussion about Childhood Trauma, Neglect, Physical Abuse, Sexual Abuse, Child Torture, ACE Study, Approach, CPS and Law Enforcement, Medical, Medical Exams, Mental Health, Group Discussion.
Cultural Awareness: Pediatrics, Psychology, & Montana Native American Tribes
Recorded June 24, 2020
Lanette Perkins, MSN, RN
This didactic includes discussion about Native American diversity, Papoose Rattler Memorial Native American Welcoming Center, Assessment: Cultural Considerations, Physical Assessment, Spirituality & Culture, Native American Family, Physical Violence, Trauma, Socioeconomics, Government, Health Care, Increase Success.
Lanette Perkins, MSN, RN
This didactic includes discussion about Native American diversity, Papoose Rattler Memorial Native American Welcoming Center, Assessment: Cultural Considerations, Physical Assessment, Spirituality & Culture, Native American Family, Physical Violence, Trauma, Socioeconomics, Government, Health Care, Increase Success.
ADHD and Stimulant Medication
Recorded June 10, 2020
Michelle Reinhardt, BA, PharmD, BCPP
This didactic includes discussion about ADHD Pathophysiology, Treatment Guidelines for ADHD, General Differences of Stimulants, Mechanisms of Action, Stimulant Medications, Immediate and Sustained Release Formulations, Long-Acting Methylphenidate Formulations Approved in U.S. for ADHD Chart, Long-Acting Amphetamine Formulations Approved in U.S. for ADHD Chart, Managing Common and Uncommon Side Effects, Serious Adverse Events, Summary and Pearls.
Michelle Reinhardt, BA, PharmD, BCPP
This didactic includes discussion about ADHD Pathophysiology, Treatment Guidelines for ADHD, General Differences of Stimulants, Mechanisms of Action, Stimulant Medications, Immediate and Sustained Release Formulations, Long-Acting Methylphenidate Formulations Approved in U.S. for ADHD Chart, Long-Acting Amphetamine Formulations Approved in U.S. for ADHD Chart, Managing Common and Uncommon Side Effects, Serious Adverse Events, Summary and Pearls.
Impact of Shelter in Place/COVID-19 on Family Violence
Recorded May 27, 2020
Nikki Grossberg, Deputy Division Administrator Montana Child and Family Services; Doug Andersen, Program Manager of Family Services at Riverstone Health; and Roxanne Roller, Child Protective Services Supervisor for Yellowstone County Montana Child and Family Services
This didactic includes discussion about Reporting Child Abuse and Neglect, COVID-19 Impact on Families, Practices, Services and Resources, COVID-19 Challenges, Success, Tiers of Engagement, Early Signs and Symptoms, Factors to Watch, Domestic Violence, Other Concerns During Isolation, Answers and Resources.
Nikki Grossberg, Deputy Division Administrator Montana Child and Family Services; Doug Andersen, Program Manager of Family Services at Riverstone Health; and Roxanne Roller, Child Protective Services Supervisor for Yellowstone County Montana Child and Family Services
This didactic includes discussion about Reporting Child Abuse and Neglect, COVID-19 Impact on Families, Practices, Services and Resources, COVID-19 Challenges, Success, Tiers of Engagement, Early Signs and Symptoms, Factors to Watch, Domestic Violence, Other Concerns During Isolation, Answers and Resources.
Digital Play Therapy
Recorded May 13, 2020
Megan Owen, M.Ed, LCPC-S, RPT-S, Clinical Therapist/Registered Play Therapist
This didactic includes discussion on providing therapy via telehealth. Megan discusses location, parent involvement, and therapy aids and ideas.
Megan Owen, M.Ed, LCPC-S, RPT-S, Clinical Therapist/Registered Play Therapist
This didactic includes discussion on providing therapy via telehealth. Megan discusses location, parent involvement, and therapy aids and ideas.
Helping Parents Connect With Their Children During COVID-19
Recorded April 22, 2020
Sarah Potts, PhD
This didactic includes discussion about Defining Stress and Anxiety, Common Reactions in Toddlers, Elementary-Age Children, and Adolescents, Trauma Informed Care, Supporting Adjustments in Primary Care, Strategies to Give Parents, HealthyCommunication, Increased Engagement, Consistency and Routines, Strategies to Give Adolescents.
Sarah Potts, PhD
This didactic includes discussion about Defining Stress and Anxiety, Common Reactions in Toddlers, Elementary-Age Children, and Adolescents, Trauma Informed Care, Supporting Adjustments in Primary Care, Strategies to Give Parents, HealthyCommunication, Increased Engagement, Consistency and Routines, Strategies to Give Adolescents.
Coordinating Treatment with School-Based Mental Health Providers
Recorded February 26, 2020
Carol Ewen, MA, EdS and Ryan Tolleson Knee, PhD
This didactic includes discussion about MTSS vs Traditional Model, Mental Health Skills: Academic Enablers and Social/Emotional, How to Coordinate Treatment Model, and Keys to Successful Integration.
Carol Ewen, MA, EdS and Ryan Tolleson Knee, PhD
This didactic includes discussion about MTSS vs Traditional Model, Mental Health Skills: Academic Enablers and Social/Emotional, How to Coordinate Treatment Model, and Keys to Successful Integration.
MAPP-Net Overview
Recorded February 12, 2020
Stacy Luke; Kim Hart; and Mary-Ann Bowman, PhD
didactic includes discussion about the MAPP-Net grant. Overview of the Grant, Grant Services, Grant Events, Tour of the MAPP-Net Website, Review of the Needs Assessment.
Stacy Luke; Kim Hart; and Mary-Ann Bowman, PhD
didactic includes discussion about the MAPP-Net grant. Overview of the Grant, Grant Services, Grant Events, Tour of the MAPP-Net Website, Review of the Needs Assessment.
ADHD vs. Anxiety
Recorded January 22, 2020
Adrienne Coopey, DO
This didactic includes discussion of Overlapping Symptoms, DSM-5, National Comorbidity Studies, ADHD Screening, Stimulant Medication Side Effects, Anxiety Screening, Childhood Traumatic Stress, Risks of ADHD, ACES’s and ADHD, Treating Co-Morbid ADHD & Anxiety.
Adrienne Coopey, DO
This didactic includes discussion of Overlapping Symptoms, DSM-5, National Comorbidity Studies, ADHD Screening, Stimulant Medication Side Effects, Anxiety Screening, Childhood Traumatic Stress, Risks of ADHD, ACES’s and ADHD, Treating Co-Morbid ADHD & Anxiety.