MICHIGAN MENTAL HEALTH & AGING CONFERENCE

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MICHIGAN MENTAL HEALTH & AGING CONFERENCE May 15-16, 2018 The Kellogg Center Michigan State University East Lansing, Michigan Continuing Education contact hours are available for Social Workers and

1 MICHIGAN MENTAL HEALTH & AGING CONFERENCE May 15-16, 2018 The Kellogg Center Michigan State University East Lansing, Michigan Continuing Education contact hours are available for Social Workers and Nurses Register on-line at Sponsored by the Michigan Department of Health and Human Services Coordinated by the Mental Health & Aging Project A program at Lansing Community College

2 Welcome to the 30th Annual Mental Health and Aging Conference! Community Mental Health staff responsible for PASRR evaluations are eligible for reimbursement (to their agency) for all conference-related costs using the regular PASRR billing process through the MDHHS QMP, OBRA Section. Tuesday, May 15 7:30 8:30 am Registration and Continental Breakfast 8:30 9:00 am Welcome: Richard Kline, Senior Deputy Director, Michigan Department of Health and Human Services, Aging and Adult Services Agency 9:00 10:00 am Keynote Presentation Dr. Debra Pinals 10:30 am 12:00 pm Concurrent Intensive Sessions: Part I 12:00 1:30 pm Lunch & Exhibitors 1:30 4:30 pm Intensive Sessions Resume: Part II 4:30 6:00 pm Reception Keynote Presentation Older Adults with Mental Health Challenges: Capacity, Safety and Opportunity Professionals working with older adults are frequently in a position to help ensure the fostering of independence and autonomy, while offering needed protection as vulnerabilities emerge and susceptibility to victimization may be heightened. Dr. Pinals will discuss actions aimed at achieving a balance in these areas and will describe work happening in the MDHHS system related to these issues. Debra A. Pinals, MD, Medical Director of Behavioral Health and Forensic Programs, Michigan Department of Health and Human Intensive 1: Advanced Cognitive Behavioral Therapy Skills for Treatment of Depression This skill-based intensive session will focus on assessment and cognitive behavioral therapy in the treatment of adults with depression. Participants will learn how to use behavioral activation, which has been shown to be one of the most effective interventions with severely depressed and suicidal patients. The presenter will review cases and engage in role-plays to demonstrate techniques. This session is designed for clinicians who have a baseline practice knowledge of CBT, and content reflects advanced material of current relevance for effective clinical practice. Laura M. Lokers, LMSW Intensive 2: The DICE Approach TM The behavioral and psychological symptoms of dementia (BPSD) can be difficult for caregivers to manage. There are few treatment options for BPSD, and caregivers are often left to deal with these stressful behaviors on their own. The DICE Approach provides caregivers with a distinct process to give context to, and identify possible causes of BPSD. The DICE Approach assists caregivers in using evidence-based behavioral and environmental strategies to assess and manage BPSD. Helen C. Kales, MD; Mary Blazek, MD, MEHP; Lynn Etters, DNP, GNP-BC, ANP-C, and Laura M. Struble, PhD, GNP-BC Intensive 3: Trauma-informed Behavioral Health Care for Older Adults The effects of unresolved or under-resolved post-traumatic stress are increasingly recognized as contributing to the co-incidence of mental/emotional and substance use disorders which accumulate over the course of a lifetime. For older adults, additional risk factors can further complicate effective treatment. This session will address the likelihood of the occurrence of post-traumatic stress in older adults, how trauma-informed principles are important to apply in the provision of behavioral health care services, and will describe three evidence-based trauma-resolution treatment approaches. Stephen R. Wiland, LMSW, ICADC Intensive 4: Building Understanding and Positive Supports for Adults with Autism Less than 1% of adult care providers have special training related to individuals with autism. The great number of misconceptions about autism, combined with limited provider preparation, often lead to ineffective interventions despite the dedication of well-intentioned service providers. This intensive session provides an overview of spectrum and related neurological disorders and the special needs, abilities, challenges and response patterns of adults with these diagnoses. The presenter will discuss important issues relevant to aging with autism and proven strategies for providing proactive supports to improve communication and functioning, while reducing the likelihood of anxiety attacks and challenging behaviors. Lynn A. Sweeney, MA, CCC-SLP Intensive 5: An Introduction to Acceptance & Commitment Therapy ACT is a cognitive behavioral therapy that utilizes mindfulness, acceptance, and values clarification to help individuals better connect with the present moment, accept the things they cannot change, and to focus on building a valued life through purposeful action. This intensive session will combine didactics with experiential exercises, and focus on the use of ACT techniques with older adults, their families, and for personal self-care. ACT is an excellent way to address stress and compassion fatigue, allowing practitioners to remain effective in their work. Eric F. Miller, PhD Please join us at the reception to share hors d oeuvres, network with your colleagues from across the state, and sign up for the prize drawing!

3 Wednesday Morning, May 16 7:30 7:45 am - Registration (if attending today only) & Breakfast 7:45 8:00 am - Welcome: Thomas J. Renwick, Director, Bureau of Community Based Services, MDHHS Behavioral Health and Developmental Disabilities Administration 8:00 8:30 am - Keynote - Code Blueberry - Lisa McDowell, MS, RD, CSSD, a dietitian who works with professional and Olympic athletes, will discuss how to fuel yourself for high performance in the workplace, especially in environments that are particularly taxing or stressful. She will include information on optimal hydration, nutrition, sleep, and the importance of knowing your numbers. 9:00 am 12:00 pm - Series A Workshops A-1 OBRA Coordinators Meeting Participants will have the opportunity to ask questions of the MDHHS OBRA staff and share strategies for managing the PASRR process with peers from across the state. New and updated procedures will be highlighted. This session is strongly recommended for OBRA coordinators or a representative from their OBRA program. Michelle DeRose, LMSW, ACSW; Connie Youngert, RN, BSN, & Kathy Johnson, LMSW A-2 Compassion Fatigue and Compassion Satisfaction: Less of One and More of the Other Helping professionals are impacted by many of the emotions their clients experience. This workshop will introduce the concepts of compassion fatigue and compassion satisfaction. Participants will understand these concepts and will learn methods for addressing risk and promoting resilience in the work they do with vulnerable populations. Catherine A. Macomber PhD, LMSW A-3 An Introduction to Cognitive Behavioral Therapy for Older Adults This interactive workshop is designed for clinicians as an overall introduction to CBT with specific techniques, adaptations, and case examples for the older adult population. Participants will learn the basic concepts of CBT, how this psychotherapy approach can be used to address depression and anxiety, and how it can be successfully implemented as an individual or group therapy approach for older adults. Regina Abney, LMSW A-4 Marginalized Populations - A Step Forward In Understanding Lesbian, gay, bisexual, and transgender (LGBT) older adults have unique physical and mental health needs. A history of trauma related to LGBT identity makes it more difficult for these individuals to trust health and human services providers. These experiences have often been ignored by those focusing on gerontology, as well as those involved with LGBT studies. Together we will explore the challenges and needs of this population, and learn interpersonal skills necessary to create safe and affirming relationships with LGBT older adults. Judy Lewis A-5 Demystifying End of Life Conversations Talking about death often provokes discomfort, anxiety, and fear. This workshop will provide an opportunity to explore issues surrounding death, the business of death, funerals and rituals, and end-of-life conversations. We will examine these components of death, enabling you to increase your comfort level in conversations with clients, to better advocate, and to understand how the grief trajectory may be influenced by events that do or do not happen at the time of death. Susan Sefansky, LMSW, ACSW A-6 Aphasia and Stroke Related Syndromes Aphasia is one of the most common communication disorders following from stroke, traumatic brain injury and a variety of other neurogenic or degenerative disorders, including dementia. This workshop will focus on post-stroke changes affecting speech, language, and interactive behavior skills. Characteristics of aphasia and stroke-related communication disorders will be presented in a functional intervention context. This presentation is intended for a multidisciplinary audience. Lynn A. Sweeney, MA, CCC-SLP A-7 Introduction to Psychiatric Medications This session will provide an overview of psychiatric mediations, including common uses, side effects, and implications for care. The role of psychotropic medications, brain physiology, and their impact on treatment outcomes will be discussed. The presenter will cover medications for mood, anxiety, and thought disorders. James Ypma, MPA 12:00 1:30 pm Lunch Wednesday Afternoon, May 16 1:30 4:30 pm Series B Workshops 4:30 pm Conference Ends B-1 OBRA 101 Newer OBRA coordinators and evaluators will receive an introduction to the OBRA and PASRR process. This workshop will focus on the fundamentals of PASRR, including the Level II evaluation, placement options, and recommendations for mental health services. Navigating the electronic data base will not be the primary focus of this workshop. Stacy O Hair, LMSW, LMT B-2 Sexuality & Intimacy in the Dementia Care Context: Best Practice Approaches Please note: class size limited to 40 registrants Assessment and management of sexual expression by people living with dementia is a complex undertaking. This presentation will include best practice procedures for person-centered, safe and respectful approaches to sexual behavior in facility-based care. Approaches will address ethical-legal-policy and human rights considerations, as well as, clinical data collection, documentation tools, data analysis, inter-professional team decision-making and family involvement. Lori Schindler Martin, RN, BScN, BA, MScN, PhD B-3 Drugs of Abuse: The Opioid Crisis Michigan is no exception in the nation s opioid epidemic, and misuse among older adults is becoming an increasing public health concern. This workshop will look at the biology of addiction, how opioids affect brain function, common opioids by class, signs and symptoms of misuse, and treatments. The presenter will discuss new guidelines for opioid use for pain, the benefits, and alternatives to reduce the risk of addiction in older adults. James Ypma, MPA B-4 New Behavioral Health Requirements for the Long-Term Care Setting This session will highlight the new Federal Requirements of Participation related to Behavioral Health Care & Psychotropic Drug Use, and the significant changes in the new long-term care survey process. Examples of common citations and strategies for compliance will be emphasized. Shelly Maffia, MSN, MBA, RN, LNHA, QCP B-5 Senior-To-Senior-Bullying Senior-to-senior bullying is recognized as a common issue in many settings, yet staff often feel helpless to intervene. This workshop will demonstrate the significant impact of senior-to-senior bullying, define bullying, and differentiate these behaviors from other interactions. The presenter will describe a staff training program that includes individual interventions and culture change activities which enhance the well-being of residents and senior consumers, while reducing the incidents of bullying. Sara (Socia) Gusler, LBSW B-6 Spirituality and Aging This interactive session will provide a framework for definitions, concepts, insights, and knowledge of the spiritual dimension. Participants will be invited to explore their own understanding and comfort with the spiritual. Spiritual distress will be defined. Therapeutic interventions and a variety of tools/instruments will be discussed. Linda Keilman, DNP, GNP-BC, FAANP B-7 Psychosis in Late Life Psychosis in older adults is a heterogeneous condition with diverse etiologies and presentations. Accurate diagnosis requires clinicians to utilize a bio-psychosocial framework for assessment. Dr. Keller will review the various causes of late life psychosis, and discuss how to accurately assess individuals displaying symptoms of psychosis. She will also review treatment options, including pharmacological, behavioral, and educational interventions for individuals with psychosis and their care providers. Suzanne Keller, PhD

4 Presentor Directory Regina Abney, LMSW, Associate Director, Social Work and Community Programs, Geriatrics Center, Michigan Medicine, Ann Arbor Mary Blazek, MD, MEHP, Clinical Associate Professor of Psychiatry; Director, Geriatric Psychiatry Clinic; Director, Medical Humanities Path of Excellence, University of Michigan Medical School, Ann Arbor Michelle DeRose, LMSW, ACSW, Appeals Coordinator, Office of Specialized Nursing Homes/OBRA Programs, MI Department of Health and Human Lynn Etters DNP, GNP-BC, ANP-C, Gerontological Nurse Practitioner, Program for Positive Aging, Department of Geriatric Psychiatry, University of Michigan, Ann Arbor Sara (Socia) Gusler, LBSW, Long Term Care Ombudsman, Region 9 Area Agency on Aging, Alpena Kathy Johnson, LMSW, PASRR Reviewer, Office of Specialized Nursing Homes/OBRA Programs, MI Department of Health and Human Helen C. Kales, MD, Professor of Psychiatry; Director, The Program for Positive Aging; Associate Director for Mental Health and Aging Research, The Geriatrics Center, University of Michigan, Ann Arbor Linda J. Keilman, DNP, GNP-BC FAANP, Associate Professor, Director of Adult Gerontology, Primary Care Nurse Practitioner Program, Michigan State University College of Nursing, East Lansing Suzanne Keller, PhD, Licensed Geropsychologist, Retired Assistant Professor, Wayne State University School of Medicine, Department of Psychiatry and Behavioral Neurosciences, Detroit Judy Lewis, Training and Education Manager, SAGE, Metro Detroit Laura M. Lokers, LMSW, Clinical Social Worker, cofounder of the Anxiety and OCD Treatment Center of Ann Arbor, and Adjunct Professor, University of Michigan School of Social Work, Ann Arbor Catherine A. Macomber, PhD, LMSW, Chair, BSW Program Director, and Assistant Professor in the Social Work Department of Saginaw Valley State University, Saginaw Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Director of Regulatory Services for Proactive Medical Review & Consulting, Evansville, Indiana Lori Schindel Martin, RN, BScN, BA, MScN, PhD, Associate Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario Lisa McDowell, MS, RD, CSSD, Director, Clinical Nutrition and Wellness for St. Joseph Mercy Health System; Detroit Red Wings, Team Performance Dietitian; Member of the United States Olympic Committee Sports Dietitian Registry, Ann Arbor Eric F. Miller, PhD, Clinical Psychologist, Mental Health Team Coordinator at the John D. Dingell Veterans Affairs Medical Center, Detroit Stacy O Hair, LMSW, LMT, Owner, Healing Dimensions; former PASARR Reviewer, Office of Specialized Nursing Homes/OBRA Programs, MI Department of Health and Human Debra A. Pinals, MD, Medical Director of Behavioral Health and Forensic Programs, Michigan Department of Health and Human Susan Sefansky, LMSW, ACSW, Clinical Social Worker. Retired UMHS Social Work Program Manager, Wayne County Medical Examiner s Office, Detroit Laura M. Struble PhD, GNP-BC, Clinical Associate Professor, University of Michigan School of Nursing, Ann Arbor Lynn A. Sweeney, MA, CCC-SLP, Speech-Language Pathologist and Owner, Sweeney Communication & Consultation, and Graduate Faculty Member, Central Michigan University, Mt. Pleasant Stephen R. Wiland, LMSW, ICADC, Director of Outpatient Services, Foundations Recovery Network, Detroit Connie Youngert, RN, BSN, PASRR Reviewer, Office of Specialized Nursing Homes/OBRA Programs, Department of Health and Human James Ypma, MPA, Training Specialist, Community Mental Health, Kent County Registration deadline is May 4 Payment is due May 8 Register on-line at Continuing Education Nurses can receive up to 5.5 continuing nursing education contact hours for May 15, and 6.5 continuing nursing education contact hours for May 16. Nursing continuing education contact hours are provided by Lansing Community College Nursing Program as an approved provider by the Michigan Board of Nursing R G. For grievances, contact Kathleen Kessler at Social Workers can receive up to 5.5 social work continuing education contact hours for May 15, and 6.5 social work continuing education contact hours for May 16. Social work continuing education hours are provided by Lansing Community College s Mental Health & Aging Project, which is an approved provider with the Michigan Social Work Continuing Education Collaborative. Approved Provider number: MIEC For grievances, contact Robin Simpson at ADA Accommodations: If you require accommodations to permit your attendance or participation, please provide a written request to Matt Beha at beham@lcc.edu by April 12. Overnight Accommodations Please make your own hotel reservations. Refer to Group Code 1805MHAC30. Kellogg Center has blocked rooms for the conference until April 14. Kellogg Center: Parking is included in the room rate. Standard: $115; Regular Deluxe: $130; Corner deluxe: $150; Luxury: $150. Rates do not include taxes.

5 Register on-line at Register on-line and pay with credit card OR Complete and fax registration form to: Matt Beha at Registration Form Due May 4, 2018 Please print or type your name as you would like it on your name tag: Name Job Title Organization Address City State ZIP Code Phone ( ) Fax ( ) address $225 Two Day $150 Tuesday $150 Wednesday $ TOTAL DUE Check will be mailed on (date): q I require a vegetarian meal q I will attend the reception on May 15th q I am willing to help with sign in at a session I m attending. Payment Information Payment is due in our office by May 8. Make checks payable to Lansing Community College and mail to: LANSING COMMUNITY COLLEGE Mental Health & Aging Project 515 N Washington Sq, STE 010 (suite # must be included) LANSING MI Federal I.D. number: Note: You can register NOW to reserve your place at the conference, and your agency can send the payment later. Complete the registration form at or fax it to , attn Matt. Community Mental Health staff responsible for PASRR evaluations are eligible for reimbursement (to their agency) for all conference-related costs using the regular PASRR billing process through the MDHHS QMP, OBRA Section. Cancellation Policy The registration fee, minus a $50 administrative charge, will be refunded if a registration is cancelled by May 4. No refunds will be made after this date. Any individual who does not attend, but has registered without paying, will be billed $75 per day to help defray conference costs incurred by their registration. Please write 1 in the box by your 1st choice and 2 for your second choice. Tuesday All-Day Intensive q#1: Advanced CBT q#2: DICE Approach TM q#3: Trauma-informed q#4: Autism Spectrum q#5: Acceptance & Commitment Therapy Wednesday Morning Workshop qa-1 OBRA Coordinators Meeting qa-2 Compassion Fatigue qa-3 Intro to CBT qa-4 LGBT qa-5 End of Life Conversations qa-6 Aphasia qa-7 Psychiatric Medications Wednesday Afternoon Workshop qb-1 OBRA 101 qb-2 Sexuality & Intimacy qb-3 Opioid Crisis qb-4 Behavioral Health LTC qb-5 Senior-To-Senior Bullying qb-6 Spirituality & Aging qb-7 Psychosis in Late Life Questions? Contact Matt Beha at BEHAM@LCC.EDU or Interested in being an exhibitor at the conference? Contact Alicia Hostetler at HOSTETA3@STAR.LCC.EDU or

30th Annual Michigan Mental Health & Aging Conference May 15-16, 2018 The Kellogg Center Michigan State University East Lansing, Michigan LANSING COMMUNITY COLLEGE Mental Health & Aging Project

6 30th Annual Michigan Mental Health & Aging Conference May 15-16, 2018 The Kellogg Center Michigan State University East Lansing, Michigan LANSING COMMUNITY COLLEGE Mental Health & Aging Project 515 N Washington Sq, STE 010 LANSING MI Michigan Mental Health & Aging Conference Formerly the OBRA Conference NONPROFIT ORG US POSTAGE PAID LANSING, MI PERMIT NO. 587 Return Service Requested

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