Building Strong Minds☼Strong Futures

Hope Savers for Your Tool Belts

13th Annual Children’s Behavioral Health Conference

Oklahoma Department of Mental Health and Substance Abuse Services

April 26-28, 2006

Southern Hills Marriott, Tulsa, Oklahoma

LBP APPROVED PRESENTATIONS ARE HIGHLIGHTED

Featured Speakers

Robert F. Anda, M.D., graduated from RushMedicalCollege in 1979 and received his Board Certification in Internal Medicine in 1982. During 1982-1984, he completed a Fellowship in Preventive Medicine at the University of Wisconsin where he also received a Masters Degree (MS) in Epidemiology. Dr. Anda has served for the last ten years as a Co-Principal Investigator for the Adverse Childhood Experiences (ACE) Study, a collaborative study with Kaiser Permanente. He played the principal role in the design of the study, subsequent analysis of the ACE Study data, and preparation of its numerous scientific publications. He heads a team at the Centers for Disease Control and Prevention that works on the ongoing aspects of the ACE Study.

Sandra L. Bloom, M.D., is currently CEO of CommunityWorks, a systems consulting firm specializing in teaching individuals and organizations the necessary skills for creating and sustaining nonviolent lives and nonviolent systems. Dr. Bloom served as Founder and Executive Director of the Sanctuary programs from 1980-2001. The Sanctuary Programs are inpatient psychiatric programs for the treatment of trauma-related disorders. Implementation of the Sanctuary Model in a residential treatment setting for children and adolescents has been evaluated in an NIMH-funded study and, as a result, several centers associated with the National Child Traumatic Stress Network are adopting the model.

Susan Boehreris the Executive Director of the Oklahoma Federation of Families for Youth and Children’s Mental Health, a non-profit organization promoting advocacy, family support, and technical assistance for Oklahoma Systems of Care. She serves by Governor’s appointment to the Partnership for Children’s Behavioral Health and the Governor’s Transformation Advisory Board. Ms. Boehrer is Co-Chair of the Oklahoma Systems of Care State Team and serves on the Behavioral Health Development Team. She is a state-wide trainer for Oklahoma Systems of Care and trains nationally for VROON Vandenberg, LLP. Ms. Boehrer represented the state of Oklahoma as Mrs. Oklahoma in 1999 and has spoken at numerous conferences, trainings and panels. She and her husband, Terry, are the parents of two adopted children with diagnosed mental illness and behavioral problems.

Erin Gruwell, M.Ed., is the founder and President of the Erin Gruwell Education Project, a non-profit organization that is helping put her former students through college. Her tenacity and commitment to her students is chronicled in the published text Freedom Writers Diary – How a Teacher and 150 Teens Used Writing to Change Themselves and the World Around Them. She has won numerous awards including the 100 Black Men Award in Education and the National Conference of Community and Justice Human Relations Award. Most recently, she and her non-profit organization were awarded the 2004 Roger E. Joseph Prize from the Hebrew Union College-Jewish Institute of Religion for their “distinctive contribution to human kind.” Ms. Gruwell is a graduate of the University of California, Irvine. She earned her Master’s Degree and teaching credentials from CaliforniaStateUniversity, Long Beach.

Jerry Moe, M.A., MAC, CET II, is the National Director for Children’s Programs at the BettyFordCenter in Rancho Mirage, CA, and Dallas/Ft. Worth, TX. As an Advisory Board Member of the National Association for Children of Alcoholics (NACoA), he is internationally known as an author, lecturer and trainer on issues for young children from addicted families. Mr. Moe has received numerous awards for the outstanding work he has done and the difference his work has made in the lives of children and their families. His books include: Kids’ Power: Healing Games for Children of Alcoholics; Conducting Support Groups for Elementary Children; Discovery…Finding the Buried Treasure; Kids’ Power, Too: Words to Grow By; and The Children’s Place…At the Heart of Recovery.

Edwin J. Nichols, Ph.D., is a Clinical Industrial Psychologist working in organizational development. He is the Director of Nichols and Associates, Inc., an applied behavioral science firm that effects technology transfer to organizations, based on principles of philosophy, basic and behavioral science. Dr. Nichols provides services to Fortune 500 Corporations, foreign governments, national governmental agencies, parastatals, associations, health and mental health systems. His commitment is to help organizations achieve systemic congruence through cultural competence, assuring the value added the competitive edge and increased market share. Dr. Nichols’ awards include: Fellow of the Austrian Ministry of Education; Visiting Scholar for the Rockefeller Foundation at the Bellagio Study Center, Italy; Distinguished Clinical Psychologist Award, Harvard University Foundation; and Public Service Awards from the United States General Service Administration, Department of Justice and Social Security Administration.

Carol Redding, M.A.,is a former Fellow of the Association of Teachers of Preventive Medicine, assigned to the Chronic Disease Prevention and Health Promotion branch of the Centers for Disease Control and Prevention. She is a published writer, member of the American Medical Writers’ Association and holds a Master of Arts in Organizational Management from the University of Phoenix. As a survivor of child abuse and neglect, Ms. Redding is also Vice-Chairperson of Authentic Voices International, an organization of people whose lives have been directly touched by child abuse who voice their lived experience in an effort to dispel the shame and secrecy that foster abuse and neglect; and who work toward building healthy, happy families and communities.

Donna Weston, Ph.D., received her doctorate in Developmental Psychology at the University of California, Berkeley, and completed a two year internship in infant-parent psychotherapy at the Infant Parent Program at the University of California, San Francisco. She is a licensed psychologist specializing in work with infants, toddlers and their families. Dr. Weston is a Graduate Fellow of Zero to Three, the NationalCenter for Infants, Toddlers and Families. Currently, she is a member of the DC:03 Training Task Force for Zero to Three and is a Candidate in the Child Analysis Course at the HannaPerkinsCenter.

Mark L. Wolraich, MD,is the CMRI/Shaun Walters Professor of Pediatrics and the Director of the Section of Developmental and Behavioral Pediatrics at the University of OklahomaHealthSciencesCenterChildStudyCenter. He received his M.D. from SUNYSyracuseHealthSciencesCenter. Dr. Wolraich’s residency training in pediatrics was split between the SUNYSyracuseHealthSciencesCenter and the University of Oklahoma, followed by a fellowship in the care of children with special needs at the University of Oregon. He currently serves on the Program for Maintenance of Certification in Pediatric Specialties-Advisory Committee of the Board. Dr. Wolraich was the co-editor of Advances in Developmental and Behavioral Pediatrics (1982-92). He has authored numerous journal articles and book chapters including articles in the New England Journal of Medicine, Pediatrics and the Journal of the American Medical Association. He has edited a number of books including a textbook: Disorders in Development and Learning, the DSM-PC Child and Adolescent Version and co-edited Behavioral Pediatrics.

Agenda

Wednesday, April 26, 2006: Pre-Conference Institute(lunch on your own)

7:30 – 9:00 Registration and Continental Breakfast

9:00 – 4:30*Creating Culturally Competent Systems. Edwin J. Nichols, Ph.D. In the last century, the United States of America rose to become the richest and most powerful nation in the world. We developed a vertical and hierarchical organizational structure, based on education, research and technology. It afforded us the largest and most affluent middle class of citizens in the world. Suddenly, major and historical enterprises collapsed; then, downsizing, re-engineering and outsourcing entered our vocabulary. At the dawn of the new millennium, we found that international competition; alliances and treaties had cornered much of the industrial manufacturing market. Presently, our professional and high technological employment base is being eroded in this process. This has forced us to adapt the new organizational structure to compete, which is horizontal and flat. Team membership becomes the unit of production. To successfully operationalize these new structural constraints requires systemic congruence through cultural competence.

9:00 – 4:30*Zero to Three. Donna R. Weston, Ph.D.In this lively and interactive session, participants will learn through case examples, lecture, videotape, and discussion. The session addresses how and why DC:0-3R™ was developed; it’s underlying philosophy and approach; principles of effective mental health and developmental assessment of infants and toddlers; the five axes and the major diagnostic categories in DC: 0-3R™; and use of decision trees and crosswalks to DSM-IV-TR or ICD 9/10. Suggestions for continuing the learning process, and follow up to this session will be discussed, as well.

9:00 – 4:30*Creating Sanctuary for Children. Sandy Bloom, M.D.The Sanctuary Model ® represents a trauma-informed method for creating or changing an organizational culture in order to more effectively provide a cohesive context within which healing from psychological and social traumatic experience can be addressed. This pre-meeting institute will focus on what it means to “create Sanctuary” for traumatized children and the ways in which organizational stress can interfere with our best intentions to help traumatized children and their families to heal. The model is now being used in a number of residential and group home programs and is considered an evidence-supported intervention. A Sanctuary Leadership Development Institute has been developed to train other programs in creating trauma-informed systems. Dr. Bloom will describe the research that has provided the start of an evidence base for the model and a trauma recovery treatment framework called S.E.L.F.

9:00 – 4:30*Treatment Institute. FromRisk to Resiliency: The Healing Journey for Children from Addicted Families. Jerry Moe, M.A., MAC CET II. In the last few years many prevention and early intervention programs have made a paradigm shift moving from a damage model to a challenge model. After briefly reviewing the research on risk and resilience, the workshop leader demonstrates games and activities to help youth in the healing process. We’ll examine a model to assist children, parents and families in the recovery process. This “hands-on” workshop introduces participants to a variety of strategies and techniques to assist children and families challenged by alcoholism and other drug addiction to build their strengths and deepen their resilience. Come fill your “tool-box” with strategies that really work.

Thursday, April 27, 2006

8:00 – 8:30Registration and Continental Breakfast (Please sign in each day)

8:30 – 8:45Welcome. Terry Cline, Ph.D., Commissioner, Oklahoma Department of Mental Health and Substance Abuse Services.

Opening Blessing.George Coser, Sax and Fox. Stomp Dance. Creek Nation Youth Stomp Dance group, TulsaCreekIndianCommunity Center.

8:45 – 10:15Plenary: The Importance of Cultural Competency When Transforming Systems. Edwin J. Nichols, Ph.D. Nichols and Associates, Inc. is an applied behavioral science firm, which specializes in the development of Cultural Competence in the workplace. Human Difference comes out of multi-generational responses to the basic human need to survive and thrive. This is in the context of different geographical settings, various resources and external environmental factors. Thus, there is the development of different belief systems (theism) value sets (axiology) ways of knowing (epistemology) and ways of reasoning

(logic). Competition for resources can gain societal acceptance (Axiological Ethics) which promulgates individualistic acts (European), collaborative acts (African), and collective acts (Asian) as normative behavior. The firm’s hallmark: The Philosophical Aspects of Cultural Difference is a paradigm developed by Dr. Nichols, which employs axiology, epistemology and logic sets to explore culturally based ethnic difference. This approach enables one to examine the self and others without prejudice or stereotype. Unconscious cultural biases can be explored and the societal socializations process examined to ascertain their affect upon our behavior in the workplace.

10:15- 10:30Break

10:30 – 12:00Plenary: 90 Minutes On The Future of Children’s Mental Health: What Will Increase Access and Effectiveness of Services for Infants, Children, Youth and Their Families? Mark Chaffin, Ph.D.; Susan Boehrer; Holly Echohawk, Sandra Keenan; Linda Gilkerson, Ph.D.; and John VanDenBerg, Ph.D.

12:00 – 1:30Lunch provided. Presentation of the Ramana Award. Saxophone music.

1:30 – 3:00Concurrent Workshops. Session 1

1A.*Creating Trauma Informed Systems–Part I. Peter Tompkins-Rosenblatt, MSW.; Keith Bailey, Ph.D.; Katie Morris-Henson, MHR, LPC; Jean Carpenter-Williams, M.S.; TeRessa Kaemmerling, MSW; and Scott Carpenter, MBA.From removing level and point systems, introducing trauma informed care and making significant reductions in the use of restraint and seclusion, presenters share their struggles and successes in moving their agencies towards a new culture care.Presenters will assist in creating action plans that can be put into practice upon return to the agency.

1B.*Creating Outcomes-InformedSystems–PartI. Mark Chaffin, Ph.D.,Dean Fixsen, Ph.D. and Jim Wotring.

1C.School Based Positive Behavioral Supports within a System of Care.Sandy Keenan.This session will focus on the use of school-wide systems of positive behavioral support as a strategy for implementing system of care values and principles and meeting the mental health needs of all children and youth. This session will also present an overview of the PBIS approach, including its definition, theoretical basis, components, and application in school environments. Data illustrating effective PBIS application in states, districts and schools will be shared including increases in pro-social behavior, reductions in discipline problems and improved school capacity to effectively support students with complex emotional/behavioral needs and their families.

1D.*The Journey: A Life Skills-Character Development Treatment Approach for Neglected and Abused Children and Youth.Dow Greg McCarty, Ph.D. This workshop covers the group leader skills and content of The Journey’s life skills-character development groups. The Journey can be used for the treatment of disruptive behavior, depression or trauma-related symptoms. The Journey can be used in individual, family or group therapy. The Journey does not focus solely upon changing behavior but rather aims to change a child’s thoughts or consciousness.

1E.*Strengths-Based Culturally Competent Supervision. John VanDenBerg, Ph.D. Increasingly, human services supervisors are challenged to motivate staff to meet extensive mandates with fewer resources and through the use of rapidly changing technologies. However, we rarely train supervisors in creative supervision techniques.This presentation covers basic elements and techniques of strengths-based, culturally competent supervision.

1F.*Reflective Supervision in Early Intervention and Infant Mental Health–PartI.Linda Gilkerson,Ph.D.This session is to work collaboratively with program supervisors and managers to review their current supervisory model and to consider ways to move their practice of supervision toward a relationship-based, reflective approach supportive of professional development and program outcomes. Lessons learned from moving a statewide system toward reflective supervision will be shared, Participants will be actively involved in the session, considering the needs of their setting and their own professional growth as a supervisor.

1G.*Real Life Heroes. Richard Kagan, Ph.D.An activity-based curriculum will be presented which utilizes creative arts, life story work, and the metaphor ofheroes to engage children and caring adults to work with a therapist to strengthen or build attachments while developing essential skills for overcoming traumas.

1H.Youth Track. Youth will have an opportunity to attend a track just for them. Youth are involved in the planning of these activities at this time.

1I.Family Track. Defusing the Bombs – What To Do When Your Child...or You...Starts To Go Ballistic. Panel. Carl Haws, Facilitator.

1J. Rehabilitation, Not Punishment. Steve Grissom, Ph.D.

1K.Working with Traumatized Children–PartI.Robin Gurwitch, Ph.D. As much as we would like to protect our children, they all too often experience trauma. Recently, they have been exposed to disasters on a large scale, such as the terrorist attacks of September 11, 2001 and the aftermath of Hurricane Katrina. Other traumas can touch lives of children as well, including domestic violence and substance abuse in the home. These workshops will discuss common reactions of children after trauma, particularly large-scale disasters. The workshops will examine ideas to help children after trauma, important therapeutic principles for intervention, and provide examples of specific techniques that can be used. Finally, as working with children after a disaster or trauma can take a toll on the providers, we will discuss the importance of self-care.

1L.Implementation Plan for Transformation of Children’s Behavioral Health System. Behavioral Health Development Team members: Terry Smith, Karen Frensley, Deborah Anderson, Debbie Spaeth, and Susan Boehrer. For the past five years Oklahoma has been working to transform the children’s behavioral health system to develop an accountable and efficient behavioral health system that provides individualized services based on the strengths, needs, and culture of the child and family that result in the better outcomes for children and families. Last year a concept paper that described a vision of what this would be was developed and received significant public input. This concept was refined based on this feedback into a more concrete implementation plan. This workshop will describe progress to date on this transformation and seek public input on the planned next steps.

3:00 – 3:15Break

3:15 – 4:45Concurrent Workshops. Session 2

2A.*CreatingTrauma Informed Systems–Part II. Peter Tompkins Rosenblatt, MSW; Keith Bailey, Ph.D.; Katie Morris-Henson, MHR, LPC; Jean Carpenter-Williams, M.S.; TeRessa Kaemmerling, MSW; and Scott Carpenter, MBA.

2B.*Creating Outcomes Informed Systems–Part II. Mark Chaffin, Ph.D. and Panel, Dean Fixsen, Ph.D. and Jim Wotring.

2C.*School Based Positive Behavioral Supports within a System of Care. (Repeat) Sandy Keenan

2D.*Life Skills-Character Development: Group Training from the Journey. (Repeat)Dow Greg McCarty, Ph.D.

2E*.Strength-Based Culturally Competent Supervision. (Repeat)John VanDenBerg, Ph.D.