Tele-Behavioral Health Consultation (TBHC) Primary Care Webinar Series

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The Tele-Behavioral Health Consultation (TBHC) webinar series seeks to provide primary care providers (PCP) with the tools they need to increase their confidence and competence in managing psychiatric and behavioral health concerns in primary care. This series will assist PCPs in general medication management in primary care, managing pediatric OCD, addressing the effects of social media on youth, and using gender-affirming practices. 




Series Archive:


Gender-Affirming Practices in Primary Care

Tuesday, June 7 | 12 p.m. to 1 p.m.

Watch the webinar | Download the slides



  • Discuss research on the mental health benefits of affirming children's gender identities. 
  • Describe what the affirmative model looks like in the psychology practice. 
  • Discuss key considerations in helping children make decisions about their ultimate gender. 


Learning objectives: 

  • Defining terms - learning gender terminology
  • Theoretical basis and tenants of gender affirmative model 
  • Medical interventions available to transitioning youth 
  • Learn about effective strategies and engagement of affirmative practice
  • Increasing the clinical and cultural competence of psychologists and allied mental health professionals who will be treating transgender and gender expansive children and youth 


Presented by: Andrea Garcia, MA, MS, PLMHP

Andrea Garcia, MA, MS, PLMHPAndrea Garcia, MA, MS, PLMHP is a predoctoral intern in the Munroe-Meyer Institute Department of Psychology at UNMC. Andrea provides services in the Sleep and Primary Care Clinic. Andrea is a doctoral graduate student from the University of Kansas, School Psychology Program. Andrea’s dissertation research is focused on the neurocognitive outcomes of children prenatally exposed to opioids. Her research has been presented in the state capital research summit and a grant from the Children’s Miracle Network. Andrea’s clinical experience has ranged from working with children with severe emotional disturbances to children with chronic sleep problems. At the end of her clinical rotation at Munroe Meyer Institute, Andrea will pursue a post-doc in pediatric psychology focused on actively promoting the health and psychological well-being of children with complex medical conditions and their families.



Impact of Social Media on Youth and How to Manage Social Media Recommendations in Primary Care

Tuesday, June 14 | 12 p.m. to 1 p.m. 

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Research has shown rates of anxiety, depression, impaired sleep, and suicidal ideations have risen significantly in children over the past decade. This has correlated with the increased use of smart phones and social media. Although there are some benefits to social media use, approximately 27% of youth report negative sequelae. This presentation will provide information on strategies to help parents and youth understand the safety precautions and reduce negative implications of social media use. 



  • Understand the positive and negative psychological sequelae of social media on a child's mental health.
  • Identify strategies to support parents and youth in limiting exposure to social media and developing coping responses to social media postings. 
  • Identify which youth are at most risk for negative sequelae of social media. 
  • Support community efforts and advocate for improved monitoring and filtering of social media while supporting healthy social development. 


Presented by: Terri Matthews, PhD, APRN-NP, BCBA-D

Terri Mathews, MSN, PhDDr. Mathews is an associate professor in the College of Nursing. Dr. Mathews received her bachelor's degree in nursing from University of Nebraska Medical Center in Omaha, NE; her master’s degree in nursing from the University of Missouri-Kansas City, and her doctoral degree in Developmental and Child Psychology from the University of Kansas. Dr. Mathews clinical specialty is child and adolescent psychiatric mental health nursing. She is a Pediatric Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner and a Licensed Psychologist. Dr. Mathews joined the faculty at the University of Nebraska Medical Center College of Nursing in 2008.



Obsessive Compulsive Disorder in Primary Care

Tuesday, June 21 | 12 p.m. to 1 p.m.

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Obsessive compulsive disorder is neurobiologically and phenomenologically unique from other anxiety disorders. It requires a more nuanced assessment, with special consideration in prescribing first-line medications and psychotherapies. 



  • Describe the key diagnostic criteria and differential diagnosis of OCD in the primary care setting.
  • Understand the basic neurobiology of OCD and how it is different than other anxiety disorders. 
  • Be able to describe the first-line psychotherapy treatment for OCD to patients and families, and how this specific type of psychotherapy may be different than other modalities. 
  • Understand the psychopharmacological treatment options for OCD and how dosing strategies are different than for other pediatric psychiatric conditions. 


Presented by: Ryan Edwards, MD

Ryan Edwards, MDDr. Ryan Edwards is a Board-Certified Child & Adolescent Psychiatrist. As a native Nebraskan, he earned his medical degree from the University of Nebraska Medical Center. He then completed both his residency and post-graduate fellowship training at the University of Michigan in Ann Arbor. His clinical interests include outpatient-based child & adolescent psychiatry, obsessive-compulsive disorder, complex anxiety disorders of childhood, and integrative and collaborative care across healthcare disciplines. He greatly enjoys teaching the next generation of medical professionals, and as a professional cyclist in a past life, he is also interested in the mental healthcare of young athletes.



Medication Management in Primary Care

Tuesday, June 28 | 12 p.m. to 1 p.m. 

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  • Discuss mental, behavioral, and developmental conditions for which medications are appropriate
  • Discuss basic best practices for treatment of common behavioral health conditions
  • Identify misconceptions about common psychotropic medications for children and adolescents
  • Describe the process for requesting expert behavioral health consultation to manage mild to moderate behavioral health concerns in primary care 


Presented by: Cynthia R. Ellis, MD

Cynthia Ellis, MDDr. Cynthia Ellis is a Professor of Pediatrics and Psychiatry at the University of Nebraska Medical Center in the Department of Developmental Medicine at the Munroe-Meyer Institute for Genetics and Rehabilitation. She is board certified in Pediatrics, Developmental/Behavioral Pediatrics and Neurodevelopmental Disabilities. Dr. Ellis received her medical degree from the University of Nebraska Medical Center and completed residency training in Pediatrics and fellowship training in Child and Adolescent Psychiatry at the Medical College of Virginia/VCU. She has been practicing in the field of Developmental/Behavioral Pediatrics for over 20 years. She has extensive clinical, research, and educational experience with children with neurodevelopmental disabilities and behavioral/emotional disorders. Her clinical expertise is in the psychopharmacological management of children with developmental disabilities and other behavioral disorders. She has also published extensively in the field. Dr. Ellis is the Director of the Munroe-Meyer Institute’s MCH-funded LEND (Leadership Education in Neurodevelopmental and Related Disabilities) and ALA (Autism Leadership Academy) Interdisciplinary Training Programs. Dr. Ellis has served as the medical director for numerous public school and interdisciplinary community-based programs and as a research consultant in the field of developmental disabilities. She also participates in a number of other leadership positions on committees and boards.





Nebraska Partnership for Mental Healthcare Access in PediatricsThe UNMC TBHC Team is supported by an award from Nebraska Department of Health and Human Services (NEDHHS). The award is made possible by the Health Resources and Services Administration’s (HRSA) Pediatric Mental Health Care Access Program, Grant No. U4CMC32322, with NEDHHS as lead state agency. The contents of the project are the responsibility of UNMC MMI and do not necessarily represent official views of, or endorsement by, HRSA or NEDHHS.