UPMC Western Psychiatric Hospital Department of PsychiatryOffice of Educational Resources and Planning

Community Care Behavioral Health

2020 STAR-Center Conference“Bringing Treatment into Focus”

(MD70)

Friday, May 15, 20208:30 a.m. to 3:30 p.m.

(Registration: 7:30 to 8:30 a.m.)

William Pitt Union(University of Pittsburgh Campus)

3959 Fifth AvenuePittsburgh, PA 15260

Course DirectorsDavid A. Brent, M.D., Director, STAR-Center

Paula McCommons, Ed.D. Director, STAR-Center Outreach

Recovery and Wellness: The Journey Starts HereA Joint Effort Sponsored by Community Care Behavioral Health Organization and

UPMC Western Psychiatric Hospital of UPMC

DescriptionSTAR-Center is a suicide prevention program for teens and young children within the UPMC Western Psychiatric Hospital, Department of Psychiatry. From its inception in 1986, the program has been primarily funded through an appropriation from the Commonwealth of Pennsylvania to the University of Pittsburgh.

STAR-Center is a program that combines clinical and outreach services designed to combat the problem of child and adolescent suicide. We provide outpatient assessment and treatment for depressed and anxious children and teens. We also offer acute treatment to depressed and suicidal teens via our Intensive Outpatient Program (IOP).

Our annual conferences strive to disseminate what we have learned about best practice clinical care into practical guidelines for educational and community settings. STAR Center is devoted to providing training opportunities for students and psychiatric residents as well as contributing to the future development of research designed to study the pressing issues related to child and adolescent suicide.

Course Objectives:At the completion of this conference, participants should be able to:

1. Define Measurement-Based Care (MBC) and explain its use in practice2. Describe studies that support effectiveness of MBC for youth3. Discuss practical approaches to incorporating MBC into their practice.4. Implement the new requirements of Act 44 for trauma-informed awareness5. Describe trauma and its effects, especially in the school environment6. Identify practical strategies for classroom teachers and other staff who may not have prior background in behavioral health

Target Audience:This program is appropriate for clinical and educational personnel.

Cost: Registration Fee - $70 UPMC/University of Pittsburgh Employee Registration Fee - $35.

The registration fee includes a light breakfast (coffee/tea/juices/muffins, etc.) and continuing education credits.

PLEASE NOTE: Handouts will not be provided at the conference. To print copies of the presentations, please visit the STAR-Center Website – www.starcenter.pitt.edu Please print a copy and bring it with you if you prefer to have a hard copy the day of the conference.

For additional information regarding presenters or presentations, please go to www.starcenter.pitt.edu, or contact Jamey Covaleski @ covaleskijj@upmc.edu.

“2020 STAR-Center Conference: Bringing Treatment into Focus”

Conference Agenda

May 15, 2020The William Pitt Union (University of Pittsburgh Campus)

7:30 A.M. REGISTRATION

8:30 to 11:30 A.M. CONFERENCE OVERVIEW

KEYNOTES

Focusing Treatment using Measurement-Based CareTina R. Goldstein, PhD, Associate Professor of Psychiatry, University of Pittsburgh, School of Medicine, and Associate Director, STAR-Center (Services for Teens at Risk), UPMC Western Psychiatric Hospital

There will be a brief break between Keynotes

Trauma-Informed Awareness in Schools Mary Margaret Kerr, EdD, Professor, Psychology in Education, University of Pittsburgh.

11:30 A.M. LUNCH (On Your Own)

12:45 P.M. SKILL DEVELOPMENT WORKSHOPS (See following pages)

2:00 P.M. BREAK

2:15 P.M. SKILL DEVELOPMENT WORKSHOPS – REPEAT

3:30 P.M. ADJOURNMENT

STAR-Center is funded by an appropriation from the Pennsylvania General Assembly. The University of Pittsburgh is an affirmative action, equal opportunity institution.

KEYNOTE ADDRESSES

Keynote Address: “Focusing Treatment using Measurement-Based Care”

Tina R. Goldstein, PhD Associate Professor of Child Psychiatry, University of Pittsburgh, School of Medicine, and Associate Director, STAR-Center (Services for Teens at Risk), UPMC Western Psychiatric Hospital

This presentation will introduce measurement-based care (MBC), i.e., the systematic administration of rating scales and use of the results over time to inform decision-making. Studies will be reviewed that demonstrate the effectiveness, feasibility, and cost savings of this approach. With examples, we will explore practical ways that MBC can be incorporated into practice to improve outcomes for at-risk youth.

At the completion of this session, participants should be able to:1. Define Measurement-Based Care (MBC) and explain its use in practice2. Describe studies that support effectiveness of MBC for youth3. Discuss practical approaches to incorporating MBC into their practice.

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Keynote Address: Trauma-Informed Awareness in Schools

Mary Margaret Kerr, EdD, Professor, Psychology in Education, University of Pittsburgh

This session helps school-based professionals in their implementation of the new requirements of Act 44 for trauma-informed education and behavioral health awareness. Highlighted will be controversies in the field as well as practical strategies for classroom teachers and other staff who may not have prior background in behavioral health. Participants will receive resources for use in their own schools.

At the completion of this session, participants should be able to:1. Implement the new requirements of Act 44 for trauma-informed awareness2. Describe trauma and its effects, especially in the school environment3. Identify practical strategies for classroom teachers and other staff who may not have prior

background in behavioral health

SKILL DEVELOPMENT WORKSHOPS

Please note when registering that participants will select two workshops and an alternate. All workshops will repeat. If space is not available in one of your selected workshops, you will be placed in your alternate.

A. Workshop Title: Traversing the Transition to College: Assisting Students with Mental Health Concerns. (Intermediate)Kym Jordan Simmons, Ph.D., Licensed Clinical Psychologist, Carnegie Mellon University

This presentation will provide an overview of the state of mental health services on college campuses nationwide, common developmental themes for this population in the transition to college, ways to examine the mental health resources offered by a college or university, and concrete tasks to help prepare students and caregivers in the six months prior to the launch to college.

At the completion of this session, participants should be able to:1. Describe common developmental themes for students launching to college2. Discuss ways to examine mental health services offered by a college or university 3. Identify concrete steps to preparing for the transition to college

B. Workshop Title: Suicidality among Transgender Youth: An Introduction to the Health Sciences Literature and Recommendations for Validating Care (Introductory) Brian Thoma, PhD, Postdoctoral Scholar, University of Pittsburgh, UPMC Western Psychiatric Hospital

This workshop will provide clinicians with: (1) an introduction to transgender identities among teenagers, (2) an overview of the research literature describing suicidality among transgender adolescents, and (3) an in-depth discussion of how treatment providers can interact with transgender clients to foster a validating and accepting environment.

At the completion of this session, participants should be able to:1. Define what it means to have a gender minority, or transgender identity2. Describe current research evidence documenting elevated rates of suicidality among transgender

youth, including which subgroups could have the highest risk for engaging in suicidal behavior3. Demonstrate foundational knowledge of gender minority identities to provide validating care to

transgender clients

C. Workshop Title: Trauma-Focused CBT for Childhood Traumatic Grief (Introductory)Judith Cohen, MD, Professor of Psychiatry, Medical Director, AGH Center for Traumatic Stress in Children and Adolescents, Allegheny Health Network and Drexel University College of Medicine

This presentation introduces participants to Trauma-Focused Cognitive Behavioral Therapy (TF-CBT, https://tfcbt2.musc.edu), an evidence-based treatment for youth ages 3-18 years and their parents or primary caregivers, and the model’s applications for youth with traumatic grief, defined as developing trauma and maladaptive grief responses to the death of an important attachment figure.

At the completion of this session, participants should be able to:

1. Describe four core TF-CBT principles (components-and phase-based treatment; proportionality of treatment; parental inclusion; and use of gradual exposure)

2. Identify the 9 TF-CBT trauma-focused PRACTICE components for youth and parents 3. Discuss the 5 TF-CBT grief-focused components for youth and parents

D. Workshop Title: Approaching Social Anxiety: Leading an Exposure-Based Group (Intermediate) Christina Kirsch, Psy.D., STAR-Center, UPMC Western Psychiatric Hospital Kelsey Johnson, MS, Behavioral Health Therapist, STAR-Center, UPMC Western Psychiatric Hospital

This presentation will review the application of exposure-based interventions as a group treatment for social anxiety in adolescents. Special attention will be given to relevant skill development, the logistics of identifying, planning, and conducting exposures, engaging parents in exposures, and challenging patterns of family dynamics that may reinforce avoidant behaviors.

At the completion of this session, participants should be able to:1. Describe a distress tolerance coping model to reduce patterns of behavioral avoidance in socially

anxious teenagers2. Identify, construct, and execute exposures for socially anxious teenagers3. Coach parents in implementing community-based exposures to promote generalization of skills and

reduce the reinforcement of avoidant behaviors

E. Workshop Title: Borderline Personality Disorder in Teens (Introductory) Stephanie D. Stepp, Ph.D., Associate Professor of Psychiatry and Psychology, University of Pittsburgh

School of Medicine Amy Byrd, Ph.D., Assistant Professor, Department of Psychiatry, University of Pittsburgh School of

Medicine

Early identification and treatment of borderline personality disorder during adolescence can mitigate long-term negative consequences of this illness, yet clinicians face many barriers when working with this population. We will dispel common myths about borderline personality disorder in teens and review best practices in assessment, diagnosis, and general treatment strategies.

At the completion of this session, participants should be able to:1. Discuss evidence supporting the positive benefits associated with the early identification and

treatment of borderline personality disorder in teens2. Identify one assessment tool appropriate for making a diagnosis of borderline personality disorder in

teens 3. Explain one general treatment strategy to help mitigate symptoms of borderline personality disorder in

teens

F. Workshop Title: Identifying and Responding to Cybervictimization among Adolescents (Introductory)

Candice Biernesser, Ph.D., LCSW, Postdoctoral Scholar, University of Pittsburgh, UPMC Western Psychiatric Hospital

Karla Joyce-Good, LSW, MSW, UPMC Western Psychiatric Hospital

Cybervictimization is a growing concern among young people with reports of cyberbullying doubling over the past decade. Youth who are cybervictimized are approximately twice as likely to exhibit suicidal thoughts and behaviors. This presentation will offer practical guidance for understanding and responding to cybervictimization among adolescents.

At the completion of this session, participants should be able to:1. Discuss current research focused on youth cybervictimization and its association with suicidal risk2. Explain how to respond to reports of cybervictimization among youth 3. Identify practical resources relating to youth cybervictimization for mental health clinicians and

educators

G. Beyond “Sticks and Stones”: The Enduring Impact of Name-Calling and Other Forms of Emotional Abuse on Adolescent Depression and Suicidality (Introductory)Michael P. Marshal, Ph.D., Clinical Psychologist

This workshop will provide clinicians with: (1) An overview of the childhood emotional abuse literature, including how it is most commonly defined and described; (2) A description of risk factors for childhood emotional abuse, including adolescent subgroups who might be at particularly high risk; (3) A review of the association between childhood emotional abuse and adolescent mental health outcomes, specifically depressive symptoms and suicidality; and (4) How to understand childhood emotional abuse in the context of the Cognitive Behavioral Therapy Framework. Finally, we will discuss how to use CBT to help clients identify and dismantle negative and distorted core beliefs associated with early emotional abuse experiences.

At the completion of this session, participants should be able to:1. Explain how childhood emotional abuse is defined and described in the health sciences literature2. Identify adolescents who might be at high risk for suicidality due to childhood emotional abuse

experiences3. Discuss the mechanisms by which childhood emotional abuse impacts adolescent mental health using

the cognitive behavioral therapy framework

H. Workshop Title: Media and Youth Suicide: Through the Lens Thirteen Reasons Why (Introductory) Sansea L. Jacobson, MD, Associate Professor of Psychiatry, Child and Adolescent Psychiatrist, STAR-

Center, Western Psychiatric Hospital, University of Pittsburgh Medical Center Beth Hoffman, MPH, PHD Student, Graduate Research Assistant, Center for Research on Media,

Technology, and Health (MTH), Graduate School of Public Health

In the month following the release of the controversial Netflix series, 13 Reasons Why, there was a 28.9% increase in youth suicide in our nation. This session will guide the audience to a better understanding of suicide contagion and related concepts as they pertain to media and adolescent mental health.

At the completion of this session, participants should be able to:

1. Identify the key components of national guidelines for safe and effective media relevant to protecting individuals at risk for suicide contagion

2. Access high-quality, on-line resources that raise awareness and promote open dialogues on sensitive topics without inadvertently placing youth at risk

3. Explore options for advocacy that would reimagine the use of media as a method to enhance mental health awareness and decrease stigma for our nation’s youth

I. Workshop Title: “Why is this happening?” Using a Chain Analysis to Understand Problem Behaviors. (Intermediate)Kimberly Poling, LCSW, Clinical Program Manager, STAR-Center, UPMC Western Psychiatric Hospital

This workshop will present the chain analysis as a clinical tool to help clinicians and teens explore and better understand the factors that lead to problematic behavior. We will explore and better understand the factors that lead to problematic behavior. We will illustrate how and when to conduct the chain analysis and illustrate strategies for collaboratively developing treatment targets, as well as highlight some helpful interventions for common treatment targets. The workshop will emphasize the importance of maintaining a validating approach to enhance motivation for change.

At the completion of this session, participants should be able to:1. Implement the chain analysis as a tool for identifying factors that may lead to problematic behaviors2. Use the information yielded from the chain analysis to collaboratively develop and prioritize treatment

targets3. Identify important clinician characteristics that help engage youth to effectively work on changing

behaviors

J. Workshop Title: Ethical Considerations for the Assessment and Management of Suicidality in Teens. (Introductory)Jamie Zelazny, Ph.D., MPH, RN, Assistant Professor of Nursing and Psychiatry, University of Pittsburgh

Mental health clinicians working with suicidal youth may feel uneasy about the assessment and management of suicidality and the corresponding ethical dilemmas inherent to these cases. This program will review ethical approaches to assessing and managing suicidal teens using principles of medical ethics and case studies.

At the completion of this session, participants should be able to:1. Discuss one medical ethical principle essential during suicide risk assessment2. Discuss one medical ethical principle essential when managing suicidality3. Discuss case study and identify ethical decision points and possible solutions

K. Workshop Title: Autism Spectrum Disorders in Children and Adolescents: Assessment and Treatment Considerations for the School Setting. (Introductory)

Benjamin L. Handen, Ph.D., BCBA-D, Professor of Psychiatry and Pediatrics, University of Pittsburgh School of Medicine

Children and adolescents with autism spectrum disorder have social and communication deficits along with stereotyped interests and behaviors. Many have co-morbid disorders such as ADHD and anxiety. This session provides an overview of autism and comorbid disorders, followed by discussion of specific tools and strategies for working with this population.

At the completion of this session, participants should be able to:1. Identify the characteristics of autism spectrum disorder (ASD) and common comorbid disorders2. Discuss interventions and accommodations for children and adolescents with ASD and comorbid

externalizing disorders (e.g., ADHD, ODD)3. Explain interventions and accommodations for children and adolescents with ASD and comorbid

internalizing disorders (e.g., anxiety, depression)

All individuals in a position to control the content of this education activity are required to disclose all relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services,

used on, or consumed by, patients.

The University of Pittsburgh is an affirmative action, equal opportunity institution

For additional information regarding presenters or presentations, please go to www.starcenter.pitt.edu, or contact Jamey Covaleski @ covaleskijj@upmc.edu.

Continuing Education Credits: Psychologists:

UPMC Western Psychiatric Hospital is approved by the American Psychological Association to offer continuing education for psychologists. UPMC Western Psychiatric Hospital maintains responsibility for this program and its content. This program is being offered for 5.5 Continuing Education Credits.

Counselors:

UPMC Western Psychiatric Hospital has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5059. Programs that do not qualify for NBCC credit are clearly identified. UPMC Western Psychiatric Hospital is solely responsible for all aspects of this

program. This program is being offered for 5.5 continuing education hours.

Licensed/Clinical Social Workers, Licensed Professional Counselors, Licensed Marriage and Family Therapists: LSW/LCSW/LPC/LMFT:

This program is offered for 5.5 hours of social work continuing education through co-sponsorship of the University of Pittsburgh School of Social Work, a Council on Social Work Education-accredited school and, therefore, a PA pre-approved provider of social work continuing education. These credit hours satisfy requirements for LSW/LCSW, LPC, and LMFT biennial license renewal. For information on social work continuing education, call 412-624-3711.

PA Educators (Act 48):

UPMC Western Psychiatric Hospital is recognized by the Pennsylvania Department of Education to offer Continuing Education Credits under the Act 48 guidelines. UPMC Western Psychiatric Hospital adheres to the Act 48 Continuing Education Guidelines. PA educators will receive 5.5 hours of Act 48 credit for completing this program.

Other Professionals:

Nurses and other professionals are awarded 0.55 Continuing Education Credits. One Continuing Education Credit is equal to 10 contact hours. Nurses: For attending this program, you will receive a Certificate of Attendance confirming 5.5 hours of continuing education. These hours may be considered eligible for completing the 30 hours of continuing education required for biannual nursing re-licensure in Pennsylvania. Peer Specialist: This program fulfills requirements for Certified Peer Specialist continuing education.

We request that all participants complete the online survey. Everyone must complete the Attendance Verification Form and leave it at the registration desk on your way out. Certificates will be sent via e-mail to participants four to six weeks post-conference, and once the online survey is completed. Please keep your certificate in a safe place once you receive it.

Replacement certificates cost $30.

Registration Information

Online registration at https://upmc.asapconnected.com/CourseDetail.aspx?CourseId=216481 or use the form below to pay by check or departmental journal transfer.

Cost: Registration Fee - $70 UPMC/University of Pittsburgh Employee Registration Fee - $35. Use code star2020.upmc-pitt if

registering online at https://upmc.asapconnected.com/CourseDetail.aspx?CourseId=216481 and paying with a credit card. Please use your UPMC or University of Pittsburgh e-mail address.

One name per registration, please.

The registration fee includes a light breakfast (coffee/tea/juices/muffins, etc.) and continuing education credits.

PLEASE NOTE: Participants will receive e-mail prior to the conference when handouts are available. We do not provide hard copies of keynote or workshop handouts the day of the conference. Please print a copy and bring it with you if you prefer a hard copy the day of the conference.

Full tuition must accompany registration. A $10 administration fee will be deducted from all refunds for cancellations. All refund requests must be in writing and received in the office no later than Thursday, May 7, 2020. There will be no refunds if a cancellation occurs on the date of the event.

Instructions for applying online: https://upmc.asapconnected.com/CourseDetail.aspx?CourseId=2164811. Click on ‘Register Now’ (small box at bottom of page)2. If “STAR-Center Conference” appears under ‘Shopping Cart’, click on ‘Checkout’ (think of this as

‘continue’).3. Register as a new registrant or sign in if you already have an account (username is your e-mail). You do

not have to add in information about your insurance.4. When the conference name appears again, click on ‘Checkout’ (again, think of this as ‘continue’)5. Continuing Education Credit – Please use dropdown list for credential or choose Not Applicable/NA

(you must complete this). Click on ‘continue’.6. Please answer all questions regarding workshop choices.7. Enter your promotional code if applicable (please see above). Click on ‘Apply to Total’!8. Add credit card information and click on ‘Process Payment’. 9. Complete Transaction and print your receipt.

We encourage participation by all individuals. If you have a disability or require special accommodations, advance notification of any special needs will help us better serve you. Please notify us of your needs at least two weeks in advance of the program by calling Nancy Mundy at 412-204-9090.

If you have not done so already, please click on this link to return to the online registration page: https://upmc.asapconnected.com/CourseDetail.aspx?CourseId=216481

Registration FormSTAR-Center Conference (MD70)May 15, 2020 - Pittsburgh, PA Registration Deadline: May 8, 2020

Please print or type legibly. If we cannot read your form, you may not receive your confirmation.Birthdate (00/00/0000) Name:Institutional Affiliation:Address1:Address2:City: State: Zip Code:County:Day Telephone: (______)Degree(s) for name badge (i.e. MSW, PhD):E-mail Address:Are you an employee of UPMC Western Psychiatric Hospital? [ ] yes [ ] no

For Continuing Education, please check if you are:[ ] Educator (Act 48) [ ] NCC Counselor [ ] Nurse [ ] Psychologist [ ] Social Worker (LSW/LCSW/LPC/LMFT)

Workshop Preferences: Circle two workshops and an alternate. Workshop #1: A B C D E F G H I J K

Workshop #2: A B C D E F G H I J K

Alternate: A B C D E F G H I J K Tuition amount $______________ □ Check (Payable to OERP/WPH) Check#_______________ □ UPMC Account Transfer Business Unit ________________ Dept. ID _________________Administrator Name ____________________________________________________________Administrator Signature _________________________________________________________

Credit card payments are only accepted when registering online at: https://upmc.asapconnected.com/CourseDetail.aspx?CourseId=216481. Registration Fee - $70

UPMC/University of Pittsburgh Employee Registration Fee - $35. Use code star2020.upmc-pitt if registering online at https://upmc.asapconnected.com/CourseDetail.aspx?CourseId=216481 and paying with a credit card. Please use your UPMC or University of Pittsburgh e-mail address.

One name per registration, please.Send this form along with check or departmental transfer payment to: Nancy MundyOERP/WPH3811 O’Hara StreetChampion Commons Building, 3rd Floor

mundnl@upmc.edu Fax – 412.204.9110

Pittsburgh, PA 15213

Registration will not be accepted without payment. Telephone registrations CANNOT be accepted. Please contact Nancy Mundy at mundnl@upmc.edu or 412.204.9090 with any questions about registration.