Ohio State MH/MR Conference

[Guest guest]

Dear Friend of ASO:

Information on the Ohio State MH/MR Conference. FYI - Please share.

Sincerely,

Barbara C. YavorcikPresidentAutism Society of Ohio701 S. Main St.Akron, OH 44311(330) 376-0211fax: (330) 376-1226email: askASO@...home: byavorcik@...web: www.autismohio.org2005 ASO Bi-Annual Conference"Reaching Beyond the Horizon - Challenging the Autism Spectrum"Friday and Saturday, October 14-15, 2005 Kingsgate Marriott in Cincinnati, Ohio Please note: This is provided for information purposes only. The ASO does not endorse or recommend any providers, methodologies or services. Providing this information should not be construed as an endorsement by the ASO, either explicit or impiled.

--------------------------------------

CONFERENCE ANNOUNCEMENT... Mark your calendar.......Ohio State MH/MR 3rd Annual Conference - Mental Health Aspects: Treatment & SupportDecember 5 & 6, 2005Columbus Marriott North Hotel - Columbus, OHCo-Sponsored by:NADDNisonger Center - Ohio State University (OSU) Ohio Department of Mental Health (ODMH) Ohio Department of MentalRetardation & Developmental Disabilities (ODMR/DD) Ohio Department ofAlcohol and Drug Addiction Services (ODADAS) State University Schoolof MedicineIn association with:Ohio Developmental Disabilities Council (ODDC) Cincinnati Children'sHospital Medical Center - Division of DDEducational Objectives:Upon Completion of the program participants will be able to: * Identify vulnerabilities specific to mental health concernsin individuals with Autism Spectrum Disorders; * Understand the need to balance rights and responsibilities; * Enumerate medication classes and options within theseclasses, in the treatment of Mood Disorders in individuals with DD; * Describe the fundamental tenets of Dialectical BehaviorTherapy; * Identify common elements of the curriculum; * Identify uses of music therapy; * Discuss the history of attitudes to sexuality of personswith intellectual disabilities; * Define the defining characteristics of BorderlinePersonality Disorder; * List the 16 basic desires; * Identify 5 basic balanced philosophies of care and support; * Describe which psychiatric disorders frequently are found inchildren and adolescents with either mental retardation or Autism SpectrumDisorders; * Identify pseudo-therapeutic approaches; * Apply observations to anxiety related behaviors in clinicalsettings; * Identify an Integrative Model of Behavioral Support; * Describe incentives for interagency cooperation; * Understand the concept of behavioral phenotype; * Describe risk factors for substance abuse particularlyapplicable to persons with MR/DD; * Identify systems and clinical expertise considered necessaryfor success; * Recite the history of utilization of typical and atypicalantipsychotic medications for persons with MR/DD; * Describe the concepts of "social drinking" vs. consumptionthat is problematic; * Identify the 9 essential components of MH recovery; and * Identify cognitive, developmental, adaptive, and behavioralcharacteristics of individuals with profound mental retardation.CONFERENCE SCHEDULE Day One - December 5, 20058:00 - 9:00 a.m. REGISTRATION9:00 - 9:15 a.m. WELCOME Fletcher, DSW, ACSW, Founder and Chief ExecutiveOfficer, NADD, Kingston, NY9:15 - 10:15 a.m. KEYNOTE ADDRESSAutism Spectrum Disorders: Mental Health Implications - Proceeding withCompassion While Awaiting the Evidence King, MD, CCFP, FRCP©, NorthBay Psychiatric Hospital, North Bay, ON, Canada Individuals with AutismSpectrum Disorders (ASD's) are at an increased risk of experiencing mentalhealth concerns. While we await research to support evidence-basedpractice, we cannot wait. We must proceed in a committed, caring manner tooffer support, and learn as we go. Proceed with safeguards in place, butproceed; with respect and offers of dignity, compassion, and comfort willfollow.10:15 - 10:45 a.m. BREAK10:45 - 11:45 a.m. KEYNOTE ADDRESSRights and Responsibilities of Persons with Intellectual Disabilities:Ethical and Legal ConsiderationsLudwik Szymanski, MD, Private Practice, Newton, MA Modern approach topersons with intellectual disability focuses on their rights based onself-determination. The right to take risks and be responsible for ownactions is often forgotten. It is difficult to determine whether a personhas an ability to exercise these rights and the caregivers face ethical,personal and legal dilemmas. These dilemmas will be the focus of thispresentation. 11:45 a.m. - 1:00 p.m. NETWORK LUNCHEON1:00 - 2:30 p.m. CONCURRENT SESSIONS1 - Mood Disorders: Psychopharmacology - Applying Principles to Practice King, MD, CCFP, FRCP©, North Bay Psychiatric Hospital, North Bay,ON, Canada The rational prescription of medication(s) can be an importantcomponent of a multimodal support plan for individuals with developmentaldisabilities(DD) experiencing major depression and bipolar disorder. This presentationwill highlight medication options available to treat these disorders, bothacutely and over extended periods of time. Emphasis will be placed onunderstanding scientific (pharmacokinetic and pharmacodynamic) principles,which guide the safe and effacious use of these medications. The use ofobjective monitoring systems to judge the efficacy of medicationrecommendations will also be illustrated.2 - One Approach to Providing Dialectical Behavior Therapy to Adults withDevelopmental Disabilities - PART I of II Havercamp, PhD, Universityof North Carolina Center for Development and Learning, Chapel Hill, NCDialectical Behavior Therapy (DBT) targets serious destructive behaviorsthat interfere with having a life worth living. Developed to treat peoplewith Borderline Personality Disorder, DBT focuses on teaching necessarypsychosocial skills to deal with intense emotions. DBT aims to replaceineffective, destructive, or unskillful behavior with skillful responses.3 - Building Core Competencies: State Operated Inpatient and CommunitySupport Network Services. Ohio Department of Mental Health, Columbus, OH Schroeder, Ohio Department of Mental Health, Columbus, OH The OhioDepartment of Mental Health has developed a curriculum to assist staff instate operated inpatient and community settings develop the corecompetencies to work with individuals with co-occurring mental illness andmental retardation/developmental disabilities. This workshop will describethe key elements of that curriculum.4 - Music Therapy: We Can Work It OutMimi Sinclair, MM, MT-BC, Music Therapy Services, Cincinnati, OH Musictherapy offers a unique approach to addressing the emotional needs of peoplewith dual diagnoses. Powerful and non-threatening, music facilitates theengagement in relationship and therapeutic expression. This session willprovide an overview of the principles of music therapy, review of caseexamples, and an experiential component.2:30 - 2:45 p.m. BREAK2:45 - 4:15 p.m. CONCURRENT SESSIONS5 - Sexuality and Persons with Intellectual Disabilities Ludwik Szymanski,MD, Private Practice, Newton, MA Sexuality education of persons withintellectual disability is often focused on isolated specific topics:anatomy, physiology or dating. This workshop will approach sexuality as partof general personality development, and sexuality education as a facilitatorof personality growth, development of a positive self-image, and sense ofpersonal responsibility. The participants will discuss the caregivers'feelings about this issue and educational approaches to sexuality.6 - One Approach to Providing Dialectical Behavior Therapy to Adults withDevelopmental Disabilities - PART II of II Havercamp, PhD, Universityof North Carolina Center for Development and Learning, Chapel Hill, NC (SeeConcurrent Session #2 for description)7 - How Not to Impose Your Values on Others Reiss, PhD, NisongerCenter, Ohio State University, Columbus, OH The 16 basic desires make usindividuals and determine our personality.Everybody embraces all 16 basic desires, but we differ in how we value them.Through a process called self-hugging, we think our values not only are bestfor us but also are best for everyone. We have a natural inclination toimpose our values on people we care about believing it is for their owngood. Through greater self-awareness of our 16 basic desires andpersonality traits, called our Reiss Profile, we can learn not to self-hugand impose our values on others. 8 - Right Way Training: A Balanced Approach to a Philosophy of Treatment,Care and Support Dan Housepian, M.OD., Northwest Ohio Development Center,Toledo, OH Right Way Training is a program developed at the Northwest OhioDevelopmental Center in 1994. Most of the general philosophy is consistentwith many principles of Gentle Teaching. Right Way Teaching, however, doesattempt to achieve a more realistic balance through service delivery andsupport that all individuals in human services should adhere to.4:15 - 4:30 p.m. OVERALL CONFERENCE EVALUATIONNote: There will be a 10-minute Q & A session at the end of each concurrentsession.CONFERENCE SCHEDULEDay Two - December 6, 20058:00 - 8:45 a.m. REGISTRATION8:45 - 9:00 a.m. WELCOME Reiss, Ph.D., Director, Nisonger Center, Ohio StateUniversity, Columbus, OH; Fletcher, DSW, ACSW, Founder and Chief ExecutiveOfficer, NADD, Kingston, NY9:00 - 10:00 a.m. KEYNOTE ADDRESSPsychiatric Disorders in Children and Adolescents with Mental Retardationand Autism Spectrum Disorders Levitas, MD, Division of the Preventionand Treatment of Developmental Disorders, UMDNJ- School of OsteopathicMedicine, Stratford, NJ There is no extant study of the epidemiology ofpsychiatric disorders in children and adolescents with either mentalretardation of Autism Spectrum Disorders. The UMDNJ/SOM Division ofPrevention and Treatment of Developmental Disorders has been following childand adolescent patients from the inception in 1993. A review of ourclinical experience reveals which disorders are frequently, rarely, andnever seen in this clinical population referred for diagnosis and treatmentof psychiatric and behavioral disorders.10:00 - 10:15 a.m. BREAK10:15 a.m. - 11:45 p.m. CONCURRENT SESSION I1- Therapeutic Interactions - PART ILeisa Abraham, MA, Psychological and Behavioral Consultants, Beachwood, OHWe expect our staff to be therapeutic in both crisis and non- crisissituations, while often giving little guidance or instruction as to whatthat means. Through this workshop, participants will be able to identifypseudo- therapeutic approaches, and develop effective replacementsstrategies to foster cooperation, positive regard, and decreased problems.2 - Ethology, Anxiety Disorders, and Developmental Disabilities L. JarrettBarnhill, MD, University of North Carolina School of Medicine, Chapel Hill,NC The differential diagnosis of Anxiety Disorders is often difficult forpeople with severe intellectual disability. Ethological approaches areapplicable to nonverbal individuals, especially those that focus onattachment behavior, mannerisms and repetitive behavior, and socialavoidance behavior. This presentation focuses on the use of ethologicalideas in the differential diagnosis and treatment.3 - Integration Not Isolation: A Holistic Approach to Behavioral SupportsRobin Nicholson, BS; Astrid Berry, BA; Ceil Kittel, B.S.; Borusiewicz,BS, RNC, CRNP, Northwestern Human Services, burg, PA This workshop isdesigned to present the listener with an alternative model of serviceprovision for individuals with challenging behavior who are duallydiagnosed. Insight will be offered into the process of person centeredplanning and how it impacts behavioral supports and strategies. 4 - Making it Work at the Local Level: How Ohio's Mental Health and MentalRetardation/Developmental Disabilities Boards are Together ImprovingServices for Persons with Dual DiagnosisModerator: Ed Comer, MEd. State University; Ohio Coordinating Centerof Excellence in Dual Diagnosis (MI/MRDD), Dayton, OH; Mike Schoenhofer,MH & RSB of , Auglaize & Hardin Co., Lima, OH; , MuskinghamCo. Board of MR/DD, Zanesville, OH; , PhD, RHC-CITE Services,Cincinnati, OH Providing effective community services to persons with dualdiagnosis requires inter-agency cooperation and coordination. This panelwill present models of interagency cooperation from urban and rural areasand from multiple county MR/DD boards sharing a single mental health board.Strategies for developing a team approach and incentives for cooperativeservice planning and delivery will be discussed. 11:45 a.m. - 1:00 p.m. LUNCH (on your own)1:00 - 2:30 p.m. CONCURRENT SESSION II5 - Therapeutic Interactions - PART IILeisa Abraham, MA, Psychological and Behavioral Consultants, Beachwood, OH(See Concurrent Session #4 for workshop description.)6 - Behavioral Phenotype of Down syndrome Levitas, MD, Division ofthe Prevention and Treatment of Developmental Disorders, UMDNJ- School ofOsteopathic Medicine, Stratford, NJ Down syndrome, first described byLangdon Down in 1858, was the first mental retardation syndrome identifiedby clinical signs, one of the first with a defined chromosomal cause, and ofthe first to be linked to a psychiatric disorder, Alzheimer-type Dementia.In fact Down syndrome has a distinct behavioral phenotype, the link toAlzheimer's Dementia is not as clear as once thought, and several of theassociated psychiatric disorders can be and too often are mistaken forAlzheimer's Dementia.7 - Substance Abuse Among Persons with Developmental Disabilities and MentalRetardation - PART I of II Dennis , EdD, SARDI; WSU School of Medicine,Kettering, OH This workshop is designed for program managers, line staff,and supervisors in developmental disabilities, mental health, and substanceabuse/chemical dependency service agencies; including advocates, concernedparents, and other system stake holders. The workshop will address theprevalence of substance abuse among persons with mental retardation.Identification of problem use, intervention strategies, how to work withsubstance abuse treatment agencies, and components of successful treatmentwill be covered.8 - Git R Dunn' for Multi-System Kids with Diverse/Complex MH/MR NeedsBernie Fabry, PhD, BCBA, RESPOND - WPIC/UPMC, Pittsburgh, PA; J.McGonigle, PhD, Western Psychiatric Institute, Pittsburgh, PA; JeanineRasky, BASW, Allegheny County Dept. of Human Services, Pittsburgh, PA Wewill describe the development and evolution of a multi-agency, multi-systemcollaboration to serve the most complex and challenging kids with dual MH/MRdiagnoses as identified in one large county. The model includes (1)providing a community-based residential placement that can safely andeffectively care for these kids while (2) an interdisciplinary mobiletreatment team provides ongoing functional assessment focusing onidentifying what's happening for the kids and providing very specificexpert-guided interventions that meet the kids' needs and builds theircapacities for success. Families sit at the head of the table duringplanning meetings and are encouraged and supported in participation. We willpresent lessons learned along the way and what has worked. Outcomes achievedafter two years will be presented. 2:30 - 2:45 p.m. BREAK2:45 - 4:15 p.m. CONCURRENT SESSIONS9 - The Use of Atypical Antipsychotic Medications in Persons with MentalRetardation/Developmental Disabilities: Review and Data based Experience ina State Developmental Center Ruedrich M.D., Metro Health MedicalCenter, Cleveland, OH; Rossvanes MS; R.N.,Youngstown Developmental Center, Mineral Ridge, OH; Swales Ph.D.With the advent of "atypical" antipsychotics in the 1990's, most personswith MRDD who require these medications have now been converted from theolder "typical" antipsychotics, to an "atypical" agent. In spite of theirwidespread use, and generally more acceptable side effect profile, with oneexception, little evidence exists to support their use in persons with MRDD.This presentation will review evidence supporting the efficacy of atypicalantipsychotics in persons with MR/DD, review their safety, and present theauthors' experience with these agents in a stable population of adultsliving in a state developmental center.10 - Substance Abuse Among Persons with Developmental Disabilities andMental Retardation - PART II of II Dennis , EdD, SARDI; WSU School ofMedicine, Kettering, OH (See Concurrent Session #7 for workshopdescription.)11 - Creative Therapies in Mental Health Recovery Sandi , BA, RRT, Quick, Twin Valley Behavioral HealthcareOrganization, Columbus, OH The primary focus of this presentation will be on the Mental HealthRecovery Process as defined by ODMH & the use of the 9 Essential Componentsfor Mental Health Recovery as the groundwork for therapeutic activities.Through the use of creatively experiential exercises, promotion of hope forrecovery will be demonstrated.12 - Correlations Between Problem Behaviors and Level of Functioning inIndividuals with Profound Mental Retardation Micheline Silva, PhD; Bass, PsyD, Columbus Children's Hospital, Columbus, OH This presentationwill examine correlations between frequency/severity of problem behaviors(as measured by Problem Behavior Inventory and Aberrant Behavior Checklist)and levels of cognitive and adaptive functioning (as measured by BayleyScales of Infant Development and Vineland Adaptive Behavior Composite) inresidents with profound mental retardation residing in an ICF-MR facility.4:15 - 4:30 p.m. OVERALL CONFERENCE EVALUATIONNote: There will be a 10-minute Q & A session at the end of each concurrentsession.Keynote Speaker Bios King, MD, has provided psychiatric care, as a member of multiple,community- based interdisciplinary teams, to individuals with developmentaldisabilities and autism spectrum disorders. Dr. King currently is theconsulting psychiatrist to several assertive community treatment teams,including one based in Brockville Ontario Canada, which exclusively supportsindividuals with developmental disabilities and severe and persistent mentalillness. He is particularly interested in building system capacity tosupport individuals not previously well served by existing resources. Afaculty member if the Departments of Psychiatry of The University of Ottawa,the University of Western Ontario and the Northern Ontario School ofMedicine, Dr. King has lectured extensively throughout North America.Ludwik S. Szymanski, MD, is an Associate Professor of Clinical Psychiatry,Harvard Medical School, and Director Emeritus of Psychiatry, Institute forCommunity Inclusion, Children's Hospital, Boston. Dr. Szymanski has been acentral figure in the diagnosis and treatment of children with emotional orbehavioral issues for over 35 years. He influenced the psychiatricprofession's commitment to serve young people with dual diagnosis. Dr. Szymanski was co-author of one of the first books in the field and haswritten many articles and book chapters. He was a member of the ExpertConsensus Guidelines on treatment of dual diagnosis and co-author ofpractice parameters for the American Academy of Child and AdolescentPsychiatry. Dr. Szymanski has consulted nationally and internationally onservices for children. Levitas, MD, is an Associate Professor of Psychiatry and MedicalDirector of the Division of Prevention and Treatment of DevelopmentalDisorders of the Department of Psychiatry, UMDNJ/SOM. Dr. Levitas is BoardCertified in both Psychiatry and Child Psychiatry. He is the 1999 recipientof the D. Sovner Award for psychiatric services to persons withdevelopmental disabilities. Dr. Levitas is a member of the ScientificAdvisory Committee of the Fragile-X Foundation, the Advisory Board of theFragile-X Advocate, and Associate Editor of Mental Health Aspects ofDevelopmental Disabilities. He maintains a research interest in AutisticDisorder especially as it relates to Fragile-X and other mental retardationsyndromes, as well as other psychiatric phenotypes.Continuing Education CreditThe following are being applied for: * Psychiatrists through WSU * RN/LPN through ODMH * Social Work through ODMH * Counselor through ODMH * Psychology through ODMH Continuing Education Credits and/or Continuing Professional DevelopmentHours The following are being applied for: * Adult Services * Case Management * Early Intervention * Investigative Agent * County Board Members * Supt/Asst Supt (Services/Programs/Supports Streams) Recognized Clock Hours (RCH) * Classifications not determined at this point in time Who Should Attend?Administrators, Psychologists, Psychiatrists, Direct Care Providers,Physicians, Educators, Residential Providers, Family Members, SocialWorkers, Nurses, Students, Persons with Disabilities, Vocational Staff.Disabilities StatementAs an organization accredited for continuing medical education (CME), State University School of Medicine fully complies with the legalrequirements of the Americans with Disabilities Act rules and regulations.If any participant is in need of accommodations, written requests should besubmitted at least one month in advance to NADD.THE CONFERENCE BROCHURE WILL BE AVAILABLE BY THE FIRST WEEK OF OCTOBER ONTHE NADD WEB SITE OF WWW.THENADD.ORG <http://WWW.THENADD.ORG>. TO REQUEST ABROCHURE WHEN AVAILABLE, E-MAIL INFO@... <mailto:INFO@...>WITH YOUR NAME AND ADDRESS, OR CALL THE NADD OFFICE AT (800) 331-5362.