Products and Resources Catalog

This handout distinguishes between integrated behavioral health and primary care for adults and integrated care for children and adolescents. Interested in training and technical assistance? Contact us.   Authors: Clarke, B.; Evans, J.; Roberts, H.; Valleley, R.

This handout highlights the advantages of integrating behavioral health and primary care, including improved patient access to care, better patient outcomes, cost efficiencies, and physician satisfaction. Interested in training and technical assistance? Contact us.   Authors: Clarke, B.; Evans, J.; Roberts, H.; Valleley, R.

September 14, 2021   It can be challenging to differentiate what is pathology and what is culture. In this talk clinical recommendations will be presented on how to accurately assess different symptom constellations with patients from different cultural backgrounds. Emphasis is given to specific applications of the Cultural Formulation Interview and these are illustrated with concrete examples.  

In this 90-minute webinar recording, representatives from the LA County Department of Mental Health (LACDMH), the San Bernardino Department of Behavioral Health (SBC DBH), the California Mental Health Oversight and Accountability Commission (MHSOAC), and Third Sector share insights, tips, and lessons learned from California’s journey to build more outcomes-focused outpatient mental health services. Over the last four years, seven California counties and the MHSOAC have worked with Third Sector, a nonprofit advisory firm, to develop a more client-centered approach to serving California’s most vulnerable residents living with serious mental illness through Full Service Partnership (FSP) programs. In California, these FSP programs partner with individuals of all ages through a “whatever it takes” model of care to provide support on the path to wellness and recovery. Currently, over 60,000 individuals are enrolled in FSP programs across the state. The presentation includes insights from LACDMH’s outcomes-focused contracting transformation, SBC DBH’s data-driven approach to local service improvement, and the MHSOAC’s role in building more consistent and human-centered programs statewide. Participants who view the webinar recording can learn: • Foundations of an outcomes-focused approach to mental health • Strategies to navigate outcomes-focused contracting and build stakeholder buy-in across the county political and provider community • Actionable recommendations to build more outcomes-focused outpatient mental health services locally • Opportunities for state leaders to support and scale local innovations and outcomes-focused strategies

  The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders. TRAILS (Transforming Research into Action to Improve the Lives of Students) is working to make effective mental health services accessible to all students with school-based solutions that are cost-effective and sustainable. Through training and ongoing support, TRAILS partners with schools to implement school-appropriate mental health programs grounded in cognitive behavioral and mindfulness practices -- techniques proven to promote students’ social and emotional competencies and reduce symptoms of anxiety and depression. Topics to be discussed include: ● Brief program history ● Multi-tiered approach to reach all students ● The TRAILS sustainability model: training + resources + support ● TRAILS replication and national scaling     LEARNING OBJECTIVES   Participants will learn how TRAILS programming can foster mental health awareness for all students, improve equity in mental health and healthcare access, and help schools more efficiently identify needing additional support and connect them to appropriate services.   PRESENTER   Elizabeth Koschmann, PhD, is a faculty member in the U-M Department of Psychiatry and the Director of TRAILS (Transforming Research into Action to Improve the Lives of Students) – a program that works to implement evidence-based mental health practices to K-12 schools. Elizabeth’s research is focused on identification of ways to improve community access to effective mental health care, particularly by training school professionals in best practices. Elizabeth’s area of clinical expertise is in the treatment of depression, anxiety, and PTSD in children and adolescents using cognitive behavioral therapy and mindfulness practices. She has worked extensively as a trainer and consultant for a variety of academic and community-based audiences, including providers working primarily with youth in foster care; and is a lead investigator on a number of state and federal research grants evaluating mental health implementation models.          

Health care workers — including but not limited to physicians, nurse practitioners, physician assistants, nurses, behavioral health providers, and administrators — experience exceptional levels of burnout and compassion fatigue as the result of packed schedules, emotional demand, and moral injury — and these stressors have only been amplified since the outbreak of the COVID-19 pandemic. In this webinar, speakers will describe how stress affects us psychologically and biologically and share research-backed strategies for overcoming barriers to well-being. These strategies are rooted in the Adult Resilience Curriculum, or ARC, a 10-module model for implementing well-being at both the individual and organizational level. The model is rooted in adult positive psychology and organizational well-being theories and has been adapted to apply across medical and educational settings.   Learning Objectives: Discuss the psychological and biological effects of stress related to well-being. Explain how Adult Resilience Curriculum (ARC) for Health Professionals can be implemented at the individual and institutional levels to help overcome barriers to well-being. Articulate how the Mid-America Mental Health Technology Transfer Center (MHTTC) resources can be utilized to assist with an individual’s professional well-being.   Speaker(s): Brittany Liebsack, PhD, LP, is a faculty trainer for the Mid-America MHTTC's school mental health team, developing and providing training and technical assistance at the universal, targeted and intensive levels. Passionate about the dissemination and implementation of evidence-based practices for children and their families, Dr. Liebsack helps our Center implement comprehensive mental health programming via the most accessible mental health providers for youths and teens: our schools. Throughout her undergraduate and post-baccalaureate research and clinical experiences, Dr. Liebsack became aware of and frustrated by the research-to-practice gap in the use of evidence-based practices in community settings and routine care. This led to her pursuit of graduate training and research interests in implementation, dissemination, and patient/family engagement in and barriers to treatment. Dr. Liebsack’s clinical interests include school mental health, integrated primary care, trauma/anxiety, and externalizing behavior. She earned her Ph.D. in Psychology at West Virginia State and completed her pre-doctoral internship at the University of Nebraska Medical Center's Munroe-Meyer Institute, where she is now a postdoctoral fellow. Christian Klepper, PsyD, LP, is a licensed psychologist and assistant professor in the Department of Psychology at the Munroe-Meyer Institute for Genetics and Rehabilitation at the University of Nebraska Medical Center. She received her Psy.D. in clinical psychology from Mercer University in Atlanta, Georgia, and completed her internship and post-doctoral training at the Munroe-Meyer Institute. Dr. Klepper is the project coordinator for the Pediatric Mental Health Care Access Program and serves as a faculty trainer for the Mid-America MHTTC. Her clinical time is spent providing behavioral health services at Children’s Physicians, Creighton University Medical Center, in Omaha. Her research interests include integrating behavioral health into primary care, increasing access to care, anticipatory guidance and integrating behavioral health into well child visits, screening in primary care, psychological flexibility, and education and training in integrated primary care. Coming Home to Primary Care: Pediatric Integrated Health   

Health care workers — including but not limited to physicians, nurse practitioners, physician assistants, nurses, behavioral health providers, and administrators — experience exceptional levels of burnout and compassion fatigue as the result of packed schedules, emotional demand, and moral injury — and these stressors have only been amplified since the outbreak of the COVID-19 pandemic. In this webinar, speakers will describe how stress affects us psychologically and biologically and share research-backed strategies for overcoming barriers to well-being. These strategies are rooted in the Adult Resilience Curriculum, or ARC, a 10-module model for implementing well-being at both the individual and organizational level. The model is rooted in adult positive psychology and organizational well-being theories and has been adapted to apply across medical and educational settings.   Learning Objectives: Discuss the psychological and biological effects of stress related to well-being. Explain how Adult Resilience Curriculum (ARC) for Health Professionals can be implemented at the individual and institutional levels to help overcome barriers to well-being. Articulate how the Mid-America Mental Health Technology Transfer Center (MHTTC) resources can be utilized to assist with an individual’s professional well-being.   Speaker(s): Brittany Liebsack, PhD, LP, is a faculty trainer for the Mid-America MHTTC's school mental health team, developing and providing training and technical assistance at the universal, targeted and intensive levels. Passionate about the dissemination and implementation of evidence-based practices for children and their families, Dr. Liebsack helps our Center implement comprehensive mental health programming via the most accessible mental health providers for youths and teens: our schools. Throughout her undergraduate and post-baccalaureate research and clinical experiences, Dr. Liebsack became aware of and frustrated by the research-to-practice gap in the use of evidence-based practices in community settings and routine care. This led to her pursuit of graduate training and research interests in implementation, dissemination, and patient/family engagement in and barriers to treatment. Dr. Liebsack’s clinical interests include school mental health, integrated primary care, trauma/anxiety, and externalizing behavior. She earned her Ph.D. in Psychology at West Virginia State and completed her pre-doctoral internship at the University of Nebraska Medical Center's Munroe-Meyer Institute, where she is now a postdoctoral fellow. Christian Klepper, PsyD, LP, is a licensed psychologist and assistant professor in the Department of Psychology at the Munroe-Meyer Institute for Genetics and Rehabilitation at the University of Nebraska Medical Center. She received her Psy.D. in clinical psychology from Mercer University in Atlanta, Georgia, and completed her internship and post-doctoral training at the Munroe-Meyer Institute. Dr. Klepper is the project coordinator for the Pediatric Mental Health Care Access Program and serves as a faculty trainer for the Mid-America MHTTC. Her clinical time is spent providing behavioral health services at Children’s Physicians, Creighton University Medical Center, in Omaha. Her research interests include integrating behavioral health into primary care, increasing access to care, anticipatory guidance and integrating behavioral health into well child visits, screening in primary care, psychological flexibility, and education and training in integrated primary care. Coming Home to Primary Care: Pediatric Integrated Health   

Organizational well-being has been misunderstood historically and may be conflated with personal/professional well-being and “self-care.” Therefore, it is important to reconcile professional and organizational well-being and to understand the ways in which these two concepts are complementary. Broadly, there are three main components of organizational well-being: leadership, climate, and culture. Each of these can be broken down into various subdomains. Leadership involves setting policy and distributing leadership. Climate involves the structures in place within an organization to support well-being. Culture involves the ways in which people actually behave in the organization, including efficiency and available support. Finally, we will discuss some examples of ways in which these goals have been or could be implemented within the integrated primary care setting.   Learning Objectives: Describe organizational well-being, including how it is different from and related to professional well-being. Explain the main characteristics/factors/qualities of organizational well-being. Discuss exemplar implementation strategies that could be applied to the integrated primary care setting.   Speaker(s): Brittany Liebsack, PhD, LP, is a faculty trainer for the Mid-America MHTTC's school mental health team, developing and providing training and technical assistance at the universal, targeted and intensive levels. Passionate about the dissemination and implementation of evidence-based practices for children and their families, Dr. Liebsack helps our Center implement comprehensive mental health programming via the most accessible mental health providers for youths and teens: our schools. Throughout her undergraduate and post-baccalaureate research and clinical experiences, Dr. Liebsack became aware of and frustrated by the research-to-practice gap in the use of evidence-based practices in community settings and routine care. This led to her pursuit of graduate training and research interests in implementation, dissemination, and patient/family engagement in and barriers to treatment. Dr. Liebsack’s clinical interests include school mental health, integrated primary care, trauma/anxiety, and externalizing behavior. She earned her Ph.D. in Psychology at West Virginia State and completed her pre-doctoral internship at the University of Nebraska Medical Center's Munroe-Meyer Institute, where she is now a postdoctoral fellow. Christian Klepper, PsyD, LP, is a licensed psychologist and assistant professor in the Department of Psychology at the Munroe-Meyer Institute for Genetics and Rehabilitation at the University of Nebraska Medical Center. She received her Psy.D. in clinical psychology from Mercer University in Atlanta, Georgia, and completed her internship and post-doctoral training at the Munroe-Meyer Institute. Dr. Klepper is the project coordinator for the Pediatric Mental Health Care Access Program and serves as a faculty trainer for the Mid-America MHTTC. Her clinical time is spent providing behavioral health services at Children’s Physicians, Creighton University Medical Center, in Omaha. Her research interests include integrating behavioral health into primary care, increasing access to care, anticipatory guidance and integrating behavioral health into well child visits, screening in primary care, psychological flexibility, and education and training in integrated primary care. Coming Home to Primary Care: Pediatric Integrated Health   

Organizational well-being has been misunderstood historically and may be conflated with personal/professional well-being and “self-care.” Therefore, it is important to reconcile professional and organizational well-being and to understand the ways in which these two concepts are complementary. Broadly, there are three main components of organizational well-being: leadership, climate, and culture. Each of these can be broken down into various subdomains. Leadership involves setting policy and distributing leadership. Climate involves the structures in place within an organization to support well-being. Culture involves the ways in which people actually behave in the organization, including efficiency and available support. Finally, we will discuss some examples of ways in which these goals have been or could be implemented within the integrated primary care setting.   Learning Objectives: Describe organizational well-being, including how it is different from and related to professional well-being. Explain the main characteristics/factors/qualities of organizational well-being. Discuss exemplar implementation strategies that could be applied to the integrated primary care setting.   Speaker(s): Brittany Liebsack, PhD, LP, is a faculty trainer for the Mid-America MHTTC's school mental health team, developing and providing training and technical assistance at the universal, targeted and intensive levels. Passionate about the dissemination and implementation of evidence-based practices for children and their families, Dr. Liebsack helps our Center implement comprehensive mental health programming via the most accessible mental health providers for youths and teens: our schools. Throughout her undergraduate and post-baccalaureate research and clinical experiences, Dr. Liebsack became aware of and frustrated by the research-to-practice gap in the use of evidence-based practices in community settings and routine care. This led to her pursuit of graduate training and research interests in implementation, dissemination, and patient/family engagement in and barriers to treatment. Dr. Liebsack’s clinical interests include school mental health, integrated primary care, trauma/anxiety, and externalizing behavior. She earned her Ph.D. in Psychology at West Virginia State and completed her pre-doctoral internship at the University of Nebraska Medical Center's Munroe-Meyer Institute, where she is now a postdoctoral fellow. Christian Klepper, PsyD, LP, is a licensed psychologist and assistant professor in the Department of Psychology at the Munroe-Meyer Institute for Genetics and Rehabilitation at the University of Nebraska Medical Center. She received her Psy.D. in clinical psychology from Mercer University in Atlanta, Georgia, and completed her internship and post-doctoral training at the Munroe-Meyer Institute. Dr. Klepper is the project coordinator for the Pediatric Mental Health Care Access Program and serves as a faculty trainer for the Mid-America MHTTC. Her clinical time is spent providing behavioral health services at Children’s Physicians, Creighton University Medical Center, in Omaha. Her research interests include integrating behavioral health into primary care, increasing access to care, anticipatory guidance and integrating behavioral health into well child visits, screening in primary care, psychological flexibility, and education and training in integrated primary care. Coming Home to Primary Care: Pediatric Integrated Health   

ABOUT THIS RESOURCE Staff from the Lummi Tribal Health Center describe and discuss the unique challenges to providing psychiatric care in a coordinated and collaborative way to a tribal community during the coronavirus pandemic. Learning Objectives briefly describe intergenerational trauma experienced by Native Americans understand complex components to behavioral health and medical services as a part of some tribal health systems review how Lummi Psychiatry adapted to the pandemic and how this has provided challenges and opportunities Find out more about our integrated care webinar series here. ADDITIONAL RESOURCES Our facilitators always make reference to great resources during sessions.  Presentation slides   FACILITATORS George "Bud" Vana, MD George "Bud" Vana, MD, is a Triple Boarder – having taken three board exams as a general pediatrician, adult psychiatrist and child psychiatrist – practicing at the Lummi Tribal Health Center in Bellingham, Washington.  He and his psychiatric team are integrated and collocated (before coronavirus) in the medical clinic, substance abuse program, pediatrics department, school based health clinic and behavioral health department. He finished his BA and MA at Harvard University in Near Eastern Languages and Civilization. He completed medical school at the University of Vermont and completed residency training at Brown University in Providence, Rhode Island. He completed his outpatient psychiatry training at the Providence Rhode Island Veterans Administration.  He has worked to develop a telehealth infrastructure at the Lummi Tribal Health Center as well as a child psychiatry consultation service for other tribal health clinics. His other professional interests include family-based psychiatry, acceptance and commitment therapy, treatment of co-occurring disorders, treatment of developmental disabilities and integrated medical and behavioral healthcare. Outside of work he enjoys canoeing, hiking and curling (as in the Olympic ice sport) with his family in Bellingham. Jessica McLendon, CMA Born and raised in the Pacific Northwest, Jessica first received her Bachelor of Arts in Anthropology and Global Studies at Pacific Lutheran University. After moving to Bellingham, she started working in the non-profit field for Big Brothers Big Sisters of Northwest Washington and later, at Northwest Youth Services, a housing provider for homeless youth. In 2017 she completed her certification in Medical Assisting and started working at Lummi Tribal Health Clinic in 2018. Jessica is passionate about witnessing peoples’ stories and connecting individuals to the appropriate resources to help them achieve their goals. Cedric Robertston Cedric Robertson serves as a Peer Recovery Coach at the Lummi Tribal Health Center.

Participants for this webinar will develop an understanding of mental health inequity in rural communities and reservations. This webinar will describe unique components such as challenges to financial sustainability, integration of culture, provider recruitment and retention, and overall health conditions of these communities. Strategies to overcoming these barriers will be described by current practices of clinics in a rural and reservation setting.    Learning Objectives: Discuss overall health disparities including rates of comorbidities and factors contributing to inequities in behavioral health across rural areas and reservations.  Identify strategies for decolonizing service delivery and incorporating cultural values and norms of communities served.  Identify challenges related to the sustainability of funding and the limitations on specialty providers for the community and how each member of the interdisciplinary health care team can help strategically to maintain quality service delivery in sparsely populated areas.    Describe the benefits and challenges of telehealth during a pandemic.    Speaker(s):   Dr. Anitra Warrior is the owner of Morningstar Counseling and Consultation in Lincoln, Nebraska, and is from the Ponca Tribe of Oklahoma. She earned her Ph.D. in Counseling Psychology in 2015 and has operated her clinic since 2012. Since receiving her Ph.D., Dr. Warrior has established four additional clinics that are now located throughout eastern Nebraska. Morningstar offers counseling on two college campuses, schools, communities and in integrated care with the Omaha Tribe of Nebraska. Clinic sites are based on reservations and in rural and urban settings. Dr. Warrior specializes in treating trauma in children through the utilization of evidenced based practices that have been adapted to the American Indian population. Most recently, Morningstar has become a training site for doctoral candidates with the Munroe-Meyer Institute. This track will focus on integrated care on the reservation as well as provide additional clinical training opportunities in schools, colleges, and in the tribal communities. Kay Bond, PhD, LP, is the co-founder of Tidal Integrated Health, Inc., and co-director of Behavioral Pediatrics in Primary Care at NOVA Behavioral Healthcare Corporation in Goldsboro, N.C. Dr. Bond is passionate about providing high-quality behavioral health services to young people and their families in rural, low-income, and underserved communities. She is also an experienced behavioral health supervisor. Most recently, Dr. Bond established two pediatric integrated behavioral health clinics designed to increase children’s access to behavioral health treatment and reduce the stigma involved in participating in therapy. Dr. Bond’s clinical and research interests include sleep, elimination disorders, and disruptive behavior and noncompliance. Dr. Bond is also interested in integrating behavioral health into primary care practices and clinical supervision. She earned her Ph.D. in Pediatric School Psychology at East Carolina University in 2016, and she completed her internship and fellowship in Behavioral Pediatrics/Integrated Primary Care at the Munroe-Meyer Institute at the University of Nebraska Medical Center in 2018. Coming Home to Primary Care: Pediatric Integrated Health  

Participants for this webinar will develop an understanding of mental health inequity in rural communities and reservations. This webinar will describe unique components such as challenges to financial sustainability, integration of culture, provider recruitment and retention, and overall health conditions of these communities. Strategies to overcoming these barriers will be described by current practices of clinics in a rural and reservation setting.    Learning Objectives: Discuss overall health disparities including rates of comorbidities and factors contributing to inequities in behavioral health across rural areas and reservations.  Identify strategies for decolonizing service delivery and incorporating cultural values and norms of communities served.  Identify challenges related to the sustainability of funding and the limitations on specialty providers for the community and how each member of the interdisciplinary health care team can help strategically to maintain quality service delivery in sparsely populated areas.    Describe the benefits and challenges of telehealth during a pandemic.    Speaker(s):   Dr. Anitra Warrior is the owner of Morningstar Counseling and Consultation in Lincoln, Nebraska, and is from the Ponca Tribe of Oklahoma. She earned her Ph.D. in Counseling Psychology in 2015 and has operated her clinic since 2012. Since receiving her Ph.D., Dr. Warrior has established four additional clinics that are now located throughout eastern Nebraska. Morningstar offers counseling on two college campuses, schools, communities and in integrated care with the Omaha Tribe of Nebraska. Clinic sites are based on reservations and in rural and urban settings. Dr. Warrior specializes in treating trauma in children through the utilization of evidenced based practices that have been adapted to the American Indian population. Most recently, Morningstar has become a training site for doctoral candidates with the Munroe-Meyer Institute. This track will focus on integrated care on the reservation as well as provide additional clinical training opportunities in schools, colleges, and in the tribal communities. Kay Bond, PhD, LP, is the co-founder of Tidal Integrated Health, Inc., and co-director of Behavioral Pediatrics in Primary Care at NOVA Behavioral Healthcare Corporation in Goldsboro, N.C. Dr. Bond is passionate about providing high-quality behavioral health services to young people and their families in rural, low-income, and underserved communities. She is also an experienced behavioral health supervisor. Most recently, Dr. Bond established two pediatric integrated behavioral health clinics designed to increase children’s access to behavioral health treatment and reduce the stigma involved in participating in therapy. Dr. Bond’s clinical and research interests include sleep, elimination disorders, and disruptive behavior and noncompliance. Dr. Bond is also interested in integrating behavioral health into primary care practices and clinical supervision. She earned her Ph.D. in Pediatric School Psychology at East Carolina University in 2016, and she completed her internship and fellowship in Behavioral Pediatrics/Integrated Primary Care at the Munroe-Meyer Institute at the University of Nebraska Medical Center in 2018. Coming Home to Primary Care: Pediatric Integrated Health  

Recording of the Rock Recovery-led event Marginalized Voices - Understanding the Presentation and Prevalence of Eating Disorders, originally held on February 25, 2021.   Slide Presentation

As we peel back the layers of our beliefs, we may be surprised by what we see. This session gives us tools to look closely at what works and what may not be serving us now. The Northwest MHTTC is excited to collaborate with Rebekah Demirel L.Ac. MPCC to deliver a webinar and podcast series as part of our support of provider well-being. Find out more about the series here. Resources Presentation Slides Presenter Rebekah Demirel L.Ac. MPCC is the founder and director of Trauma Integration Programs, with more than a decade as an ambulance paramedic, twenty-two years as a paramedic trainer, eighteen years of mental health counseling experience, specializing in traumatic stress and she is a licensed East Asian medicine practitioner and acupuncturist. Rebekah’s unique skill set and experience are informed by her own traumatic childhood and teen years spent on the street and in the foster care system, giving her a special familiarity and empathy for trauma and loss.        Want more information? Visit the Northwest MHTTC's Resource Library and Websites by Topic  and sign up for our monthly newsletter for regular updates about events, trainings, and resources available to the Northwest region.

Rebekah Demirel continues her provider well-being series in this fourth event. This session looked at how we can retrieve our deep instincts, through observation and self-care. If we learn to pay attention, our bodies can inform us how to make wise decisions, though early trauma may have shut down some of that knowing. Download "How to Use Tapping" handout Click to download slides here   The Northwest MHTTC is excited to collaborate with Rebekah Demirel L.Ac. MPCC to deliver a webinar and podcast series as part of our Provider Well-Being activities. Series Description: "We Make The Path By Walking" is an eight-part webinar series designed to help us reckon with our turbulent world, offering support and direction for a clearer path forward and featuring an open forum. Presenter: Rebekah Demirel L.Ac.  MPCC is the founder and director of Trauma Integration Programs, with more than a decade as an ambulance paramedic, twenty-two years as a paramedic trainer, eighteen years of mental health counseling experience, specializing in traumatic stress and she is a licensed East Asian medicine practitioner and acupuncturist. Rebekah’s unique skill set and experience are informed by her own traumatic childhood and teen years spent on the street and in the foster care system, giving her a special familiarity and empathy for trauma and loss.      Want more information? Visit the Northwest MHTTC's Resource Library and Websites by Topic  and sign up for our monthly newsletter for regular updates about events, trainings, and resources available to the Northwest region.

What do we understand about interventions to reduce racial and ethnic disparities in access to mental health care?  View this webinar recording for a look at integrated care and policy interventions that support equity in mental health care delivery.  This presentation illustrated an historical perspective on mental health policy and race-based inequities, and how to reduce these disparities.  Clinicians will learn deeply why they need to understand why and how systemic racism influences decisions to seek care or avoid care.  Resources Click HERE to view slides   Presenter Pamela Collins, MD, MPH, is Professor of Psychiatry and Behavioral Sciences and Professor of Global Health at the University of Washington, where she is Executive Director of I-TECH and director of the UW Global Mental Health Program, a joint effort of the Department of Psychiatry & Behavioral Sciences and the Department of Global Health. She is a psychiatrist and mixed methods researcher with 25 years of experience in global public health and global mental health research, education, training and capacity-building, and science policy leadership. Prior to her current role she directed the Office for Research on Disparities & Global Mental Health and the Office of Rural Mental Health Research at the National Institute of Mental Health (NIMH) (USA). She has served the field in diverse leadership roles, most recently as a commissioner for the Lancet Commission on Global Mental Health and Sustainable Development, a leader of the Grand Challenges in Global Mental Health initiative, co-lead of the NIMH-PEPFAR initiative on mental health and HIV, a member of the World Economic Forum’s Agenda Council on Mental Health, and the director of the RISING SUN initiative on suicide prevention in Arctic Indigenous communities. Her research has focused on social stigma related to mental illness and its relationship to HIV risk among women of color with severe mental illness; the intersections of mental health with HIV prevention, care, and treatment; and the mental health needs of diverse groups in the US, Latin America and Sub-Saharan Africa. She is currently the Principal Investigator of EQUIP Nairobi: a pilot implementation of Trauma-Focused CBT in Nairobi, Kenya, part of a more comprehensive effort to meet the mental health needs of children and adolescents in Nairobi. Want more information? Visit the Northwest MHTTC's Resource Library and Websites by Topic  and sign up for our monthly newsletter for regular updates about events, trainings, and resources available to the Northwest region.

About this Resource:  The COVID-19 Pandemic has placed both mental health and public health workers on the front lines in an array of on-going stressful situations. As a result, mental health and public health agencies have had to innovate and adapt practices to support and care for their workforce and the populations they serve. This townhall event featured mental health and public health agency representatives sharing insight on ways they have addressed COVID-19 while also supporting staff, the value of Mental Health-Public Health partnerships, and the related challenges they anticipate during the first half of 2021.     About the Panelists:  Audrey Arona, MD, Chief Executive Officer / District Health Director. Dr. Audrey Arona graduated from the University of California, San Diego, with a degree in Cell Biology/Biochemistry and thereafter graduated from the University of Cincinnati College of Medicine in 1991. She completed an OB/GYN Residency at the University of Southern California in Los Angeles in 1995, began private practice thereafter in San Jose, California, and later moved to Lawrenceville, Georgia where she owned an OB/GYN private practice for 20 years. She served as a consultant to the Gwinnett-Newton-Rockdale Health Department in 2012 and in 2018 become their Medical Director. She now serves as their Chief Executive Office/District Health Director.     Jennifer Hibbard, LPC, Chief Executive Officer. Ms. Hibbard is a Licensed Professional Counselor with View Point Health for 18 years in a variety of roles including Clinician, Clinical Director, and for the past 7 years serving as CEO. In the community Ms. Hibbard serves on the Board of Directors for the Gwinnett Coalition of Health and Human Services, the Steering Committee for Leadership Gwinnett and is a past President and member of the Rotary Club of Gwinnett County. Originally from Texas, she earned her Master's Degree in Professional Counseling at Southwest Texas State University and Bachelor's Degree from the University of Texas in Austin. 

This session will cover the challenges of meeting linguistic needs in mental health services with an emphasis on integrated systems of care. It will first discuss the scope of the problem of linguistic barriers to care. It will cover the importance of improving access to linguistically and culturally appropriate services and how that may function differently in various interpretation models. It will also provide concrete recommendations for working with interpreters.   Learning Objectives: Describe barriers to care due to inequalities in linguistic abilities when providing mental health services within an integrated healthcare system. Discuss how various interpreter models and functions help to overcome the challenges of meeting linguistic and cultural needs within the pediatric mental health integrated system of care. Discuss recommendations to consider when working with interpreters to address pediatric mental health needs.   Speakers: Gloria Gonzalez-Kruger, PhD, is an associate clinical professor who is currently serving as the director of clinical services at Drexel University Couple and Family Therapy Clinic. She is a graduate of Michigan State University, where she earned her two master’s degrees, one in Family and Child Ecology and the second in Marriage and Family Therapy. Her doctoral degree is in Family and Child Ecology with a specialization in Marriage and Family Therapy. She was an assistant professor at the University of Nebraska-Lincoln in the Department of Family and Consumer Sciences and the Marriage and Family Therapy program. She is an approved “clinical” supervisor through the Association for Marriage and Family Therapy. Most recently, she was the director of behavioral health at a primary care clinic that is a Federally Qualified Health Center (FQHC), OneWorld Community Health Centers, Inc. This clinic provided integrated primary/behavioral healthcare to minority, underserved and marginalized populations. As a clinician, clinical supervisor, community advocate, educator, family scientist and researcher, her goal is to engage in activities that ultimately contribute to enhancing the quality of life of people in minority, under-served, vulnerable and marginalized communities. Her focus has been on increasing access, utilization and delivery of culturally relevant and competent educational and health-related services that serve to decrease health disparities and improve or enhance the overall well-being of individuals, couples and families across the life cycle. Kay Bond, PhD, LP, is the co-founder of Tidal Integrated Health, Inc., and co-director of Behavioral Pediatrics in Primary Care at NOVA Behavioral Healthcare Corporation in Goldsboro, N.C. Dr. Bond is passionate about providing high-quality behavioral health services to young people and their families in rural, low-income, and underserved communities. She is also an experienced behavioral health supervisor. Most recently, Dr. Bond established two pediatric integrated behavioral health clinics designed to increase children’s access to behavioral health treatment and reduce the stigma involved in participating in therapy. Dr. Bond’s clinical and research interests include sleep, elimination disorders, and disruptive behavior and noncompliance. Dr. Bond is also interested in integrating behavioral health into primary care practices and clinical supervision. She earned her Ph.D. in Pediatric School Psychology at East Carolina University in 2016, and she completed her internship and fellowship in Behavioral Pediatrics/Integrated Primary Care at the Munroe-Meyer Institute at the University of Nebraska Medical Center in 2018. Dr. Trey Andrews is an assistant professor at the University of Nebraska-Lincoln in the Clinical Psychology Ph.D. program and is joint-appointed in Psychology and Ethnic Studies. He earned his Ph.D. in Clinical Psychology in 2014 from the University of Arkansas. As a graduate student, he helped solidify an integrated care practice that was in its second year and re-establish an additional site at an FQHC. He completed his internship (2014) and NIMH-funded postdoctoral fellowship (2016) at the Medical University of South Carolina with a focus on traumatic stress. While there, he laid the groundwork for integrated primary care practices in conjunction with family practice resident training and consulted with a local FQHC that was beginning its integrated care program. He now supervises students at an FQHC in Nebraska and has previously supervised students in another primary care clinic in Nebraska. Overall, the majority of the clinical services he provided and supervised have occurred in Spanish with Latinx populations. Beyond his practical experience, he has collaborated and led the publication of multiple research articles evaluating equity in primary care. Coming Home to Primary Care: Pediatric Integrated Health  

This session will cover the challenges of meeting linguistic needs in mental health services with an emphasis on integrated systems of care. It will first discuss the scope of the problem of linguistic barriers to care. It will cover the importance of improving access to linguistically and culturally appropriate services and how that may function differently in various interpretation models. It will also provide concrete recommendations for working with interpreters.   Learning Objectives: Describe barriers to care due to inequalities in linguistic abilities when providing mental health services within an integrated healthcare system. Discuss how various interpreter models and functions help to overcome the challenges of meeting linguistic and cultural needs within the pediatric mental health integrated system of care. Discuss recommendations to consider when working with interpreters to address pediatric mental health needs.   Speakers: Gloria Gonzalez-Kruger, PhD, is an associate clinical professor who is currently serving as the director of clinical services at Drexel University Couple and Family Therapy Clinic. She is a graduate of Michigan State University, where she earned her two master’s degrees, one in Family and Child Ecology and the second in Marriage and Family Therapy. Her doctoral degree is in Family and Child Ecology with a specialization in Marriage and Family Therapy. She was an assistant professor at the University of Nebraska-Lincoln in the Department of Family and Consumer Sciences and the Marriage and Family Therapy program. She is an approved “clinical” supervisor through the Association for Marriage and Family Therapy. Most recently, she was the director of behavioral health at a primary care clinic that is a Federally Qualified Health Center (FQHC), OneWorld Community Health Centers, Inc. This clinic provided integrated primary/behavioral healthcare to minority, underserved and marginalized populations. As a clinician, clinical supervisor, community advocate, educator, family scientist and researcher, her goal is to engage in activities that ultimately contribute to enhancing the quality of life of people in minority, under-served, vulnerable and marginalized communities. Her focus has been on increasing access, utilization and delivery of culturally relevant and competent educational and health-related services that serve to decrease health disparities and improve or enhance the overall well-being of individuals, couples and families across the life cycle. Kay Bond, PhD, LP, is the co-founder of Tidal Integrated Health, Inc., and co-director of Behavioral Pediatrics in Primary Care at NOVA Behavioral Healthcare Corporation in Goldsboro, N.C. Dr. Bond is passionate about providing high-quality behavioral health services to young people and their families in rural, low-income, and underserved communities. She is also an experienced behavioral health supervisor. Most recently, Dr. Bond established two pediatric integrated behavioral health clinics designed to increase children’s access to behavioral health treatment and reduce the stigma involved in participating in therapy. Dr. Bond’s clinical and research interests include sleep, elimination disorders, and disruptive behavior and noncompliance. Dr. Bond is also interested in integrating behavioral health into primary care practices and clinical supervision. She earned her Ph.D. in Pediatric School Psychology at East Carolina University in 2016, and she completed her internship and fellowship in Behavioral Pediatrics/Integrated Primary Care at the Munroe-Meyer Institute at the University of Nebraska Medical Center in 2018. Dr. Trey Andrews is an assistant professor at the University of Nebraska-Lincoln in the Clinical Psychology Ph.D. program and is joint-appointed in Psychology and Ethnic Studies. He earned his Ph.D. in Clinical Psychology in 2014 from the University of Arkansas. As a graduate student, he helped solidify an integrated care practice that was in its second year and re-establish an additional site at an FQHC. He completed his internship (2014) and NIMH-funded postdoctoral fellowship (2016) at the Medical University of South Carolina with a focus on traumatic stress. While there, he laid the groundwork for integrated primary care practices in conjunction with family practice resident training and consulted with a local FQHC that was beginning its integrated care program. He now supervises students at an FQHC in Nebraska and has previously supervised students in another primary care clinic in Nebraska. Overall, the majority of the clinical services he provided and supervised have occurred in Spanish with Latinx populations. Beyond his practical experience, he has collaborated and led the publication of multiple research articles evaluating equity in primary care.   Target Audience: Behavioral Health Providers Primary Care Providers Nurses   Learn more: https://bit.ly/ComingHometoIC

This session examines the body/mind science of psychoneuroimmunology, discovering how our thoughts are the first and maybe the most important thing impacting our health and well-being. The Northwest MHTTC is excited to collaborate with Rebekah Demirel L.Ac. MPCC to deliver a webinar and podcast series as part of our support of provider well-being. Find out more about the series here. Resources Presentation Slides Presenter Rebekah Demirel L.Ac. MPCC is the founder and director of Trauma Integration Programs, with more than a decade as an ambulance paramedic, twenty-two years as a paramedic trainer, eighteen years of mental health counseling experience, specializing in traumatic stress and she is a licensed East Asian medicine practitioner and acupuncturist. Rebekah’s unique skill set and experience are informed by her own traumatic childhood and teen years spent on the street and in the foster care system, giving her a special familiarity and empathy for trauma and loss.        Want more information? Visit the Northwest MHTTC's Resource Library and Websites by Topic  and sign up for our monthly newsletter for regular updates about events, trainings, and resources available to the Northwest region.

This session will describe the two-fold workforce development needs for creating mental health equity in integrated primary care: creating an equitable workforce and training for creating equitable clinical structures. Speakers will discuss the unique approaches that have been successful in recruiting and retaining individuals from the communities in which they serve as well as ways to engage community support.   Learning Objectives: Identify innovative approaches for recruitment and retention of your workforce team with the intent to create mental health equity within an integrated primary care system.  Discuss how to generate a more representative workforce along with more equitable outcomes as identified from research efforts involving the pediatric population. Describe the importance of obtaining support from the community including identification of resources and community agencies in order to foster growth for the future workforce.    Target Audience: Behavioral Health Providers Primary Care Providers Nurses   Learn more: https://bit.ly/ComingHometoIC

This session will describe the two-fold workforce development needs for creating mental health equity in integrated primary care: creating an equitable workforce and training for creating equitable clinical structures. Speakers will discuss the unique approaches that have been successful in recruiting and retaining individuals from the communities in which they serve as well as ways to engage community support.   Learning Objectives: Identify innovative approaches for recruitment and retention of your workforce team with the intent to create mental health equity within an integrated primary care system.  Discuss how to generate a more representative workforce along with more equitable outcomes as identified from research efforts involving the pediatric population. Describe the importance of obtaining support from the community including identification of resources and community agencies in order to foster growth for the future workforce.    Target Audience: Behavioral Health Providers Primary Care Providers Nurses   Learn more: https://bit.ly/ComingHometoIC

Dr. Rhonda Nese: "Developing an Instructional Alternative to Exclusionary Discipline Practices" with Q&A December 2nd, 2020  8:30 - 9:45 AM (Pacific Standard Time) In this session, the presenter will discuss the negative impact of exclusionary discipline practices on students’ social, emotional, and academic outcomes, as well as alternative strategies to use in lieu of punitive responses.  The presenter will also introduce a preventative model for responding to student behaviors that holds promise for improving student-teacher relationships and skills, and reducing subsequent removals from instruction.   Objectives: Participants will learn about the negative impact of exclusionary discipline practices Participants will learn about preventative approaches and alternatives to exclusionary discipline practices PRESENTATION MATERIALS: Presentation PDF This recording is part of the UW SMART Center's 2021 Virtual Speaker Series. Learn more and register for upcoming events in the series here.  About The Speaker: Dr. Rhonda Nese, Ph.D.,  is an Assistant Professor in the Department of Special Education and Clinical Sciences at the University of Oregon. Dr. Nese currently serves as the Principal Investigator of an IES grant to refine and test an intervention to reduce exclusionary discipline practices, improve student behavior and student-teacher relationships, and increase instructional me for students in secondary settings, and Co-Principal Investigator on three additional IES grants to identify factors that predict implementation and sustainability of evidence-based practices, to develop technology to improve online learning for educators, and to develop and validate an automated scoring system for oral reading fluency. Dr. Nese also provides technical assistance to state, district, and school-level teams across the nation on preventative practices, including addressing implicit bias in school discipline, effective classroom behavior management strategies, bullying prevention, and alternatives to exclusionary discipline practices through the OSEP-funded National TA-Center on PBIS. Dr. Nese’s research involves intervention delivery within a multi-tiered behavior support framework focused on preventative strategies for improving student outcomes. Want more information and school mental health resources? Visit the Northwest MHTTC's School Mental Health page and sign up for our monthly newsletter for regular updates about events, trainings, and resources available to the Northwest region.

Anitra Warrior, PhD, of Morningstar Counseling in Lincoln, Nebraska, draws from years of experience serving Native populations in urban, rural and reservation settings to share strategies for ensuring integrated behavioral health and primary care clinics are prepared to provide culturally appropriate care. This presentation supplements our Oct. 30 webinar from our webinar series Coming Home to Primary Care: Pediatric Integrated Health.