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Download the presentation slides here 1 in 44 school-age children have autism spectrum disorder (ASD). Autistic students are much more likely than non-autistic students to experience mental health challenges, including difficulty with emotion regulation, anxiety, and depression that may be exacerbated by experiences of bullying, victimization, and segregation within schools. There is an urgent need to support the mental and behavioral health of autistic students. In the past year, the SEMHTTC team has disseminated resources related to identifying and supporting mental health challenges in this population, with a specific emphasis on anxiety here. The purpose of this two-part series is to build on the didactic content covered in our earlier learning sessions (learning session 1, learning session 2) and provide more opportunity to cover a case example, engage in discussion, and have ample time for Q&A. In each sessions, we will provide a very brief overview of the prior content we covered (15 minutes), have an in-depth discussion of one case example (15 minutes), and ample time for questions and open conversation related to the mental health of autistic students (25 minutes). The first learning session is devoted to identifying anxiety and other mental health challenges in autistic students. By the end of the session, participants will be able to: Identify anxiety and signs of other mental health challenges in autistic students. Describe risk factors for autistic students to develop anxiety and other mental health challenges. Identify anxiety signs within one case example of an autistic student.

  To view resources from this session, click DOWNLOAD Click here to watch the recording Event Description It is estimated that one in five youth will suffer from some type of mental health disorder by age 18. Anxiety is one of the most common mental health disorders, affecting 31.9% of youth, and is often associated with other mental health concerns like depression and suicide (Merikangas, 2010). There are modular youth treatments that build youth skills to address these concerns. This training will provide resources to mental health and school professionals on identifying anxiety in youth and understanding different symptoms as they relate to typical developmental trajectory. The training will also provide strategies to address worry in youth, especially youth of color, with free resources to help in the identification and treatment of anxiety disorders. An important emphasis will focus on culturally adaptive anxiety and how to best meet youth needs.   Learning Objectives: Identify signs of anxiety in students Understand developmentally appropriate anxiety, stress, and worry symptoms Provide practical tips to assessing and addressing anxiety Distinguish clinical anxiety from worry in youth Address developmental and cultural adaptations to anxiety treatment Trainers Kelsie Okamura Kelsie Okamura (she/her) is an Implementation Researcher at the Baker Center for Children and Families, a Harvard Medical School affiliate, and a licensed psychologist. Dr. Okamura serves on the training, consultation, and distance learning development teams at PracticeWise, LLC. She received her BA in Psychology with Honors and PhD from the University of Hawai‘i at Mānoa. Dr. Okamura completed her predoctoral internship at I Ola Lāhui Rural Hawai‘i Behavioral Health and postdoc at the University of Pennsylvania Center for Mental Health. Dr. Okamura was both a NIMH Child Intervention, Prevention and Services (CHIPS) and Training in Dissemination and Implementation Research in Health (TIDIRH) fellow; and has more than 30 peer-reviewed journal articles and book chapters. She currently serves as Leader for the ABCT Dissemination and Implementation Science Special Interest Group and is a Diversity, Equity, and Inclusion Advisory Group Member to Implementation Research and Practice. Dr. Okamura is passionate about community-based public-sector service system implementation, particularly (a) knowledge formation, (b) quality improvement initiatives that bridge team-based technology, and (c) financial strategies to improve implementation. She is currently funded through the Substance Abuse and Mental Health Services Administration (Co-PI, System of Care Expansion Award), and has received funding through the National Institute for General Medical Services, Robert Wood Johnson Foundation, and American Psychological Foundation. As a fourth-generation daughter of Japanese and Okinawan immigrants to Hawaiʻi, Dr. Okamura has a deep appreciation of understanding diversity, culture, and contexts as they apply to youth mental health implementation. Growing up in a rural town in Oʻahu, Hawaiʻi has afforded her insight into the complexities of socioeconomic and cultural barriers that may impede successful implementation of youth psychosocial interventions.   Tessa Palafu Tessa Palafu (she/her) is an Implementation Research Assistant at The Baker Center for Children and Families, Implementation Research Division. Tessa grew up in Hawaiʻi and recently graduated from Hawaiʻi Pacific University with a Bachelor of Arts in Psychology and Political Science. Throughout her undergraduate career, Tessa was introduced to the world of research by wonderful mentors, like Dr. Kelsie Okamura. Her research interests include understanding Historical Trauma in Native Hawaiian and Pacific Islander (NHPI) populations and developing culturally grounded approaches to mental health services for NHPI. Tessa has worked on a variety of research projects related to examining the relationship between houselessness, historical trauma, and perceived stress in NHPI youth, understanding predictors of measurement-based care use for clinicians, and looking at barriers and facilitators to implementing a substance use prevention program within a school district. She is excited to continue her work at the Baker Center and support ongoing quality improvement initiatives.

    Session 1 - January 11 To view resources from this training, please click DOWNLOAD Click here to watch the recording Session 2 - January 25 To view resources from this training, please click DOWNLOAD Click here to watch the recording Series Description This 2-part webinar series addresses the current trends of mental health on college campuses and technology-based options that can effectively address them. As colleges and universities move to address the ever-growing student mental health needs on and off campus, coupled with complex hybrid learning environments as a result of the pandemic, many institutions are now offering a plethora of student support resources across multiple modalities. Despite the increases in offered services, many counseling centers continue to be stretched thin. The causes are many including, but not limited to continuously increasing student behavioral health needs (with onsets both prior to and post-enrollment), disconnected messaging of offered services; and unintentional systemic barriers that can disproportionately impact underrepresented student populations. Given these dynamics, it is essential that campus communities focus on behavioral health models that meet students on their terms, connecting them with the right level of care at the right time. In Session 1, using current data, this presentation will review and analyze macro behavioral health trends on campus over the past decade. In Session 2, we will follow up with an explanation of the benefits of implementing an integrated multi-modal stepped-care model to support and sustain student mental health and well-being. These models ensure effective use of available student support resources, decrease institutional/systemic barriers with a “no wrong door approach,” and thus increase engagement, health outcomes, and student success. This will be presented through case studies of several campuses highlighting successes, challenges, and replicable insights. Several interactive components will be utilized including live polls and interactive whiteboarding allowing participants to identify strengths, growth, edges, and ways to impart change on their campuses in real time. Learning Objectives:   Analyze macro behavioral health trends on campus over the past decade, leading to correlated changes in student help-seeking behaviors and expectations of available support services on campus. Reflect upon participants’ campus strengths and growth edges with respect to mental health and wellness offerings. Evaluate the benefits of implementing a stepped-care model to decrease stigma, increase student engagement, and maximize available mental health and well-being resources to support student health and subsequent success. Analyze the benefits, as well as challenges, of offering evidence-based, inclusive, multiple-modality student support services on campus aimed at supporting mental health and well-being. Trainer Nathaan Demers, Psy.D., Director of Strategic Partnerships, Mantra Health Nathaan is a clinical psychologist with experience in a variety of clinical settings including community mental health, therapeutic boarding schools, integrated primary care, and most notably college counseling. In addition to his clinical work, he has implemented a variety of programs at the state/regional/national level, and completed his dissertation on the construct of “maturity” with adolescent and young adult populations. For the past decade, Nathaan has been a thought leader, national speaker, and innovator in the digital behavioral health space, specifically researching and developing holistic behavioral health interventions for institutions of higher education. Currently, Nathaan is the Director of Strategic Partnerships with Mantra Health, the preeminent digital mental health provider bringing accessible, high-quality mental health and wellness solutions to colleges and universities.

  To view resources from this training, please click DOWNLOAD Click here to watch the recording Event Description Many school-age students receive their mental health care in schools.  As a vital part of the mental health system, school districts must prepare their staff to provide high quality mental health services to students.  School districts must also partner with community organizations to provide a continuum of mental health care to our students.  This training will assist both school staff and community partners in understanding how to establish these partnerships, address barriers and collaborate in mental health workforce development. Learning Objectives 1.Participants will learn strategies for mental health workforce development 2.Participants will learn about important procedures for formalizing school-community mental health partnerships. 3.Participants will learn about strategies for joint advocacy for mental health services for children 4. Participants will learn strategies to address the barriers to school-community mental health partnerships. Trainer Andria Amador, Ed.D NCSP Andria Amador is the Senior Director of Behavioral Health Services for the Boston Public Schools (BPS).  Andria has dedicated her career to urban school psychology and began her career as a school psychologist before becoming an administrator.  Andria, along with her staff and partners, have developed the Comprehensive Behavioral Health Model (CBHM).  CBHM is a multi-tiered system of supports designed to support the behavioral health needs of students across a continuum of prevention, early-intervention and intensive services.  Implementation of CBHM requires BPS school psychologists to expand their scope of service delivery to include all NASP Domains of Practice.  Andria had the pleasure of serving as the Past President of the Massachusetts School Psychology Association.  She is the Delegate Representative for the Northeast for the National Association of School Psychologists (NASP) and is also the coordinator of the NASP Supervision Interest Group.

  To view resources from this session, click DOWNLOAD Click here to watch the recording Event Description Social determinants of health are the contexts and conditions in which people live. The scholarly literature has documented that social determinants and inequities among them contribute to disparities in health and wellness. This webinar will discuss social determinants of health as defined by the Office of Disease Prevention and Health Promotion, as well as the effects of disparities on mental health and an individual's quality of life. Trainer Dr. Cynthia Guzmán Dr. Cynthia E. Guzmán is a licensed psychologist who has devoted her career to addressing health disparities in underserved communities, primarily in Indian Country for the past 12 years. She has experience with program design, development, and implementation of programs that address co-occurring disorders as well as primary care/mental health integration. Aside from clinical work and the supervision of other trainees, Dr. Guzmán considers herself a servant leader and enjoys developing community assessments, policy and procedure writing, as well as implementing culturally safe interventions at the community level. Dr. Guzmán is a proud member of the American Psychological Association, Society for Indian Psychologists and currently serves as the 2022 National Latinx Psychological Association Past President.

Recent prevalence estimates indicate that 1 in 36 school-age children have autism. Autistic students are much more likely than non-autistic students to experience mental health challenges, including difficulty with aspects of executive function such as inhibition.  This infographic provides information about strategies that can be used by educators to help autistic students build their inhibition skills in a manner that is inclusive and neurodiversity affirming.

  To view resources from this training, click DOWNLOAD Click here to watch the recording Event Description This presentation will describe how to recognize and facilitate grief and mourning in individual psychotherapy on the basis of Worden’s (2018) model. Normal grief will be described, including the necessary tasks of mourning. Normal grief will be distinguished from complicated grief, including how to assess for more complicated grief. Principles for facilitating grief counseling in both normal and complicated grief and mourning, and common therapist barriers to addressing grief in counseling, will be discussed. Trainer Dr. Melanie Wilcox, PhD, ABPP Dr. Melanie Wilcox is an Assistant Professor in the Department of Psychological Sciences, Institute of Public and Preventive Health, and Department of Psychiatry at Augusta University. She is also a licensed psychologist and board certified in counseling psychology and works part-time in private practice providing both therapy and assessment via telehealth. Her clinical areas of expertise include culturally responsive and trauma-informed care as well as substance abuse and addiction. Her research focuses on culturally response and antiracist psychotherapy and training, racial and socioeconomic inequity in higher education, and racial and social justice more broadly. She is in her final year as a member of the American Psychological Association’s Board of Educational Affairs, which she chaired in 2020, and is currently President Elect-Elect of APA Division 17, the Society of Counseling Psychology.

Changing the Conversation is the official C4 Innovations podcast, where hosts and guests discuss critical and timely topics focused on equity, substance use, mental health, homelessness, and trauma. The New England MHTTC has sponsored episodes of the podcast that explore a variety of specific topics, including reaching and engaging Native youth, the importance, and benefits of fostering an authentic and inclusive environment in the workplace, and honoring lived experience. Podcast host Ashley Stewart shared behind-the-scenes discoveries and lessons learned from fascinating conversations. Ashley was joined by Ronitia Hodges, C4 Innovations Program Manager.

Our third session was a didactic and tangible one, and we encouraged participants to bring in examples from their organizations as presenter Ashley Stewart shared a resource handout that helps guide organizations through the stages of transformation. Attendees spent time in groups discussing essential questions like: What does it look like to acknowledge to engage in accountability and take action? What do we need to acknowledge? Where do we need to take accountability? And what does action look like?

To view resources from this session, click DOWNLOAD Click here to watch the recording Event Description The training will cover the following learning objectives: - Identify stigma around mental health. - Understand stigma as a barrier to early intervention among youth seeking mental health services. - Discuss causes and solutions to mental health stigma among adolescents. Trainer Bobbi Perkins Bobbi Perkins joined the Western Interstate Commission for Higher Education (WICHE) in September 2021 as a Technical Expert Lead with the Rural Communities Opioid Response Program and as the Project Director for the Mountain Plain Rural Opioid Technical Assistance Center. Prior to joining WICHE, she worked at the Montana Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division (BHDDD) since 2014. In this role, she represented MT as the Single State Authority (SSA) for substance use disorder continuum of care and was responsible for the Substance Abuse and Mental Health Block Grants and SAMHSA discretionary grants (Partnership for Success, State Opioid Response, FEMA Crisis Counseling, Pregnant and Post-Partum Women Pilot). Through this work she worked with partners and experts in the field to identify prevention, treatment and recovery support needs for individuals and families at risk for or struggling with substance, opioid, and stimulant use disorders. Collaboratively, she designed training and technical assistance to enhance access to evidence-based treatment across the behavioral health continuum. Bobbi has worked in the EMS, healthcare, and public health systems since 1995 and earned an undergraduate degree in Organizational Communication from Montana State University, a certificate in Public Health Management from the University of Washington, and is currently pursuing a master’s degree in public health and public administration through the University of Montana.

  Event Description January 8 An Integrated Approach to Primary Care Behavioral Health: Part 1 This session will discuss the Primary Care Behavioral Health (PCBH) model for addressing behavioral health concerns in a primary care setting. PCBH is an integrated care model that is team-based and focused on population health. Participants will learn about gaining agency buy-in, creating space for workflow, developing a collaborative, team-based approach to behavioral health, and the type of skills and training a behavioral health provider may need to be successful in a primary care consultation model.   To view resources from this training, please click DOWNLOAD Click here to watch the recording   January 15 An Integrated Approach to Primary Care Behavioral Health: Part Two In this continuation from session one, participants will become familiar with the clinical aspects of PCBH work. This will include screening for behavioral health concerns, learning how to conduct brief visits with targeted interventions, documentation, collaborative care work with consulting psychiatrists, the use of SBIRT, and other strategies.   To view resources from this training, please click DOWNLOAD Click here to watch the recording Trainer Robin Landwehr Robin is a Licensed Professional Clinical Counselor (LPCC) who holds a Master of Science degree in mental health counseling from Capella University, and a Doctor of Behavioral Health (DBH) degree from Arizona State University. She currently serves as the Integrated Care Director at a Federally Qualified Health Center, and has a small private practice.  During her career, Robin has been fortunate enough to be involved in numerous writing projects and trainings, practiced as part of a collaborative care team, and provided clinical supervision. Her experience as a clinical counselor includes assisting individuals struggling with trauma, depression, anxiety, health behaviors, substance abuse, and other issues. She is a certified instructor in the Question, Persuade, Refer (QPR) and Counseling on Access to Lethal Means (CALM) suicide prevention programs.  

This webinar will explore the concept of healthy aging for people living with serious mental health conditions. While people aging in this group may experience health challenges, supporters can encourage and empower people to take actions toward healthy aging despite challenges. Objectives: Explore healthy aging for people aging with serious mental health conditions List methods to promote healthy aging Identify strategies to empower older adults to make informed decisions about resources for care and supports  

This presentation reviewed the history of evidence-based treatments for borderline personality disorder and the components common to all effective treatments, with a specific focus on Dialectical Behavior Therapy and Good Psychiatric Management. In addition to explaining both treatments’ components, theory, and evidence base, this presentation discussed the costs and benefits of each one and the situations in which they can be most effectively used.   Presenter: Dr. Choi-Kain is currently the Director of the Gunderson Personality Disorders Institute (GPDI), an internationally recognized center of training for empirically supported treatments for borderline personality disorder (BPD) and research on outcomes as well as the social cognitive mechanisms targeted in these interventions.   View a recording of this 1/10/24 session here. 

  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The January 2024 issue features the third installment of the Counselor's Corner blog series: Integrating Spirituality and Counseling with African American Clients, information on the Opioid Response Network's 2022-2023 regional summits, and a call for applications for the upcoming HEART (Healing Ethno And Racial Trauma) Training for Behavioral Health Providers Serving Hispanic & Latinx Communities intensive training series. As always, you will also find links to all upcoming events and trainings hosted by the Great Lakes ATTC, MHTTC, and PTTC!   Make sure you're subscribed to our email contact list so you never miss a month of The Great Lakes Current newsletter, and thank you for reading!

Amanda Weber and host Joey Rodriguez discuss culturally responsive care for youth experiencing early psychosis. This podcast episode is sponsored by the New England Mental Health Technology Transfer Center Network (MHTTC).

In 2022, the MHTTC Network was asked to amplify and disseminate existing programming and resources related to school violence for the school mental health workforce (e.g., crisis intervention teaming, school violence trauma and grief response, cultural considerations for school violence), and develop responsive training and technical assistance to address additional needs identified. Through the MHTTC School Mental Health Initiative, we conducted an environmental scan and gap analysis, through which we aimed to 1) compile existing programming/resources on school violence, especially those developed by the MHTTCs and other SAMHSA-funded organizations; 2) identify the gaps that exist in school violence-related programming/resources available in the field; and 3) consider the development of new training, technical assistance activities, and/or resource(s) with a focus on addressing the gaps identified via the environmental scan and gap analysis. This summary highlights the findings from that work, including the free resources and resources lists, as well as organizations of interest that provide free resources, that were compiled through the environmental scan.

This event discussed the New England MHTTC's work assisting organizations with racial equity and efforts to make web-based content reflective of the mission & values of the organization. With intersectionality in mind, Ashley Stewart, Director of the Center for Health Equity informed attendees about the methods used to ensure inclusivity, cultural awareness, and attunement via a web auditing process.   The second part of the webinar series on December 12, 2023 covered: Assessment of the general tone and essence of a website related to engagement around equity, inclusion, and diversity. In addition to the use of intentional terminology, there is the need to assess how the terms are used, the stories they tell, the messages they imply, the depth or superficiality of the use of narrative or terms, and the broader impact on community engagement.

The Embracing Authenticity: A Guide to Authenticity and Cultural Awareness at Work webinar series provided guidance and support for the use and implementation of the accompanying workbook, which is intended to be used as a guide for deeper levels of processing and to support healthier conversations in the workplace around identity and wellness. This resource can be used as a tool to address the unique experiences of work-related stress compounded with being a person of color and also as a resource for folks seeking to be more accountable for reducing harm and creating a more equitable work environment. This comprehensive guide is designed to support you in cultivating authenticity, promoting inclusion, and prioritizing wellness in the workplace. Whether you're an organizational leader, a colleague, or an individual who has experienced marginalization, this workbook provides practical insights, exercises, and resources to make meaningful progress. Presenters: Ashley Stewart, PhD, MSSW, LSW, Director of the Center for Health Equity, C4 Innovations Ronitia Hodges, Senior Project Manager, C4 Innovations

A major concern in school communities across the country is school violence. This symposium provides an overview of the MHTTC Network's School Mental Health Initiative, and highlights training and technical assistance (TA) that the MHTTC Network is leading on addressing school violence and school mental health. NOTE: This was originally presented at the 2023 Advancing School Mental Health Conference, hosted by the National Center for School Mental Health in New Orleans, LA.

This event discussed the New England MHTTC's work assisting organizations with racial equity and efforts to make web-based content reflective of the mission & values of the organization. With intersectionality in mind, Ashley Stewart, Director of the Center for Health Equity informed attendees about the methods used to ensure inclusivity, cultural awareness, and attunement via a web auditing process. The first part of the webinar series on December 5, 2023 covered: The inclusion of language addressing, responding to, and advocating around equity-related topics. C4 equity audits also assess for all forms of identity-based oppression, including, but not limited to, sexism, ageism, ableism, heterosexism, and linguistic and religious-based oppression.  

The Embracing Authenticity: A Guide to Authenticity and Cultural Awareness at Work webinar series provided guidance and support for the use and implementation of the accompanying workbook, which is intended to be used as a guide for deeper levels of processing and to support healthier conversations in the workplace around identity and wellness. This resource can be used as a tool to address the unique experiences of work-related stress compounded with being a person of color and also as a resource for folks seeking to be more accountable for reducing harm and creating a more equitable work environment. This comprehensive guide is designed to support you in cultivating authenticity, promoting inclusion, and prioritizing wellness in the workplace. Whether you're an organizational leader, a colleague, or an individual who has experienced marginalization, this workbook provides practical insights, exercises, and resources to make meaningful progress. Presenters: Ashley Stewart, PhD, MSSW, LSW, Director of the Center for Health Equity, C4 Innovations Ronitia Hodges, Senior Project Manager, C4 Innovations

This event discussed the New England MHTTC's work assisting organizations with racial equity and efforts to make web-based content reflective of the mission & values of the organization. With intersectionality in mind, Ashley Stewart, Director of the Center for Health Equity informed attendees about the methods used to ensure inclusivity, cultural awareness, and attunement via a web auditing process. The first part of the webinar series on December 5, 2023 covered: The inclusion of language addressing, responding to, and advocating around equity-related topics. C4 equity audits also assess for all forms of identity-based oppression, including, but not limited to, sexism, ageism, ableism, heterosexism, and linguistic and religious-based oppression.

  The Great Lakes Current is the e-newsletter of the Great Lakes ATTC, MHTTC, and PTTC.   The December 2023 issue shares recorded content on wound care and xylazine, social media basics for preventionists, an infographic on providing behavioral healthcare to people living with HIV, and SAMHSA's tips for supporting your mental health through the holidays. As always, you will also find links to all upcoming events and trainings hosted by the Great Lakes ATTC, MHTTC, and PTTC!   Make sure you're subscribed to our email contact list, so you never miss a month of The Great Lakes Current newsletter and thank you for reading!

Behavioral threat assessment was developed to prevent targeted attacks, such as school shootings. However, there are concerns about the use of threat assessment in schools, including as it relates to student mental health. This symposium by the MHTTC Network Coordinating Office and National Center for School Mental Health details results of a key informant roundtable, scoping review, and white paper that examine considerations for behavioral threat assessment, research outcomes, and recommendations for the future of behavioral threat assessment in schools. NOTE: This was originally presented at the 2023 Advancing School Mental Health Conference, hosted by the National Center for School Mental Health in New Orleans, LA.