Saturday, October 18, :30 AM to 3:30 PM

Transcription

1 Saturday, October 18, :30 AM to 3:30 PM Poster presentations allow authors to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. There will be a different selection of posters each day. Posters will be on display in the Blue Prefunction Room and presenters will attend their displays during breaks on Friday and Saturday. 1. Helping Couples Cope with Cancer: Evaluation of Hold Me Tight Submitted by Maureen Davey Each year many couples are affected by the diagnosis and treatment of cancer. Cancer is chronic, lifethreatening, and often all-consuming for patients and their partners. Yet our current healthcare system does not consistently or systematically support couples who are coping with cancer. The proposed brief presentation fills a void for providers working with couples who are coping with cancer. We adapted Hold Me Tight (HMT), Susan Johnson's (2009) Emotionally Focused Therapy (EFT) couples' group program, to help couples cope with a spouse or partner who has been diagnosed with cancer. Given the racial and socioeconomic disparities in cancer incidence and mortality, we recruited a racially and socioeconomically diverse sample to evaluate this intervention so it is more culturally sensitive. 2. The Importance of Providing Trauma Informed Care at an HIV Clinic Submitted by Lane Diflavis Brief psychotherapy is effective in reducing symptoms of depression and anxiety (Green, Frank, Butwell, and Beck, 2007). However, people who are in need of psychotherapy often face barriers to receiving treatment [(financial issues, social stigma, and self-stigma) Graham, Griffiths, Tillotson, and Rollings, 2013]. A cutting edge approach to reducing barriers to mental health is telephonic counseling. The Behavioral Health and Wellness team at Denver Health Medical Center has implemented a Telephonic Counseling program for Depress and Anxiety (TCDA). The TCDA program offers evidence-based interventions to its participants. An innovative aspect of this program is that participants choose the type of therapy they feel will be most helpful for them from among 11 different therapy modules. Participants may work on up to 3 modules during the 10 session counseling program. In this poster, we will present data on how often each therapy module is selected and pre-post outcome changes for each module. 3. Cancer pain management: Optimizing the role of behavioral health providers Submitted by Arissa Fitch-Martin Pain is a common experience among cancer patients can also be a different experience when compared to patients with chronic pain syndromes. Behavioral health providers (BHPs) play an important role in the management of cancer pain by facilitating the development of coping skills as well as helping the patient find meaning in their life with a new diagnosis. Although BHPs are often valuable members of the pain management team, adequate patient care can also depend on the knowledge and attitudes of each of the providers. Inadequate knowledge and negative attitudes about pain can inhibit a patient from receiving effective pain care rather than positively facilitating the pain management process. The purpose of this poster is to provide much needed guidance for BHPs in the area of cancer pain management. The poster will present an examination of the current literature on cancer pain management including: complex cancer pain syndromes, the Multifactorial Model of cancer pain, cancer pain assessment, psychological interventions, barriers to cancer pain management, and implications for BHPs. Engaging in proper pain assessment techniques will facilitate effective pain management treatment planning, including the appropriate selection of evidence-based psychological interventions that are well-suited for the patient. Improving the knowledge and attitudes of BHPs regarding cancer pain management will help to ensure optimal patient care.

2 4. Psychological First Aid: Creating a Common Language for Multidisciplinary Collaboration Submitted by Tai Mendenhall Psychological First Aid (PFA) is becoming more recognized across disciplines. However, communities lack a standardized definition of PFA. This poster will describe the current challenges. 5. Screeners in the Maternal Medical Home Submitted by Mary Peterson The Maternal Medical Home opens up new opportunities for integrated care practices. The use of screeners to identify behavioral and medical risk factors incorporates the Behavioral Health Consultant into the treatment regimen for pregnant women. 6. Self-care Promotion in Health Professionals: A Fresh Perspective from Nurses Submitted by James Robinson Behavioral health providers are not only expected to care for patients, but they are often called upon to address the needs of other healthcare providers. The presentation will review materials and outcomes from a didactic and experiential manualized self-care workshop for nurses and other healthcare professionals. Relevant self-care literature and resources will be presented along with recommendations for future interventions and evaluations. 7. Physical Trauma, Chaos Theory, and the Role of Medical Family Therapists Submitted by Limor Gildenblatt A physical trauma can happen in a matter of seconds but it changes the lives of patients and their families forever. Medical Family Therapists, as well as other behavioral health specialists, must understand the complexity and unpredictability that comes with navigating through these traumatic experiences. This poster highlights how Medical Family Therapists serve an important role during these difficult times through their focus on the human connection with patients and families. The author shows how working from a Chaos Theory framework is useful to Medical Family Therapists when supporting patients and families who have been through physical trauma. A case study example and a Chaos Diagram are included in the poster to support this assertion. 8. Motivating families of dialysis patients to identify live donors for kidney transplantation Submitted by Ronna White For profit dialysis has become institutionalized with secure funding from Medicare, while at the same time advances in transplantation --laporoscopic donor surgery with 24 to 48 hour hospitalizations, new immunosuppressant meds with less side effects. Many medical personnel are not aware of these advances, including community hospital nephrologists and nurses, committed volunteers providing public awareness for Donate Life and Kidney Foundation. Train dialysis center personnel to educate family members and significant others on efficacy of transplantation from live donors and assist with connection to hospital transplantation centers, including centers with capability to swap pairs for better matches. These family members and significant others can become advocates to identify possible candidates to donate to their family member. Dialysis requites 12 to 15 hours a week of scheduled treatment; this can be temporary while a viable match for transplant is identified. After a successful transplant, a person returns to a healthy independent life --with huge personal and financial cost savings. Research, statistics will be presented to show long-term cost and health benefits of transplantation vs. dialysis.

3 9. Behavioral Health Prevention and Early Intervention during Well-Child Care: Integration of Pediatric Psychology within a Primary Care Clinic Submitted by Amber Landers Amber J. Landers, Ph.D, Pooja Rutberg, MD, Ken Gerweck, MD Well-child visits are physical exams designed to address developmentally appropriate growth in bio-psycho-social realms for a particular age. Because they are intended to check-in on a broad range of health and social topics, they offer a unique opportunity for collaborative care and prevention. Parents often raise mental health and behavioral health concerns during these visits, which are often addressed by referral to a specialty mental health clinic or follow-up at a next well-child visit. Integration of pediatric psychology in well-child visits can address these questions in real-time. Inclusion of pediatric psychology in well-child care can normalize psychosocial care in medical visits and in the Patient Centered Medical Home, prepare families for referrals to specialty mental health, offer psycho-education, and offer specific strategies. This may also reduce stigma and familiarize families with mental health so that it feels connected to their child s whole health. With consideration of these potential benefits for the integration of pediatric psychology in well-child visits in primary care, a pediatric psychology fellow was available during well-child visits at a community health center to respond to parent s questions about their children s behavior, psychosocial concerns, and development. The health center served a diverse ethno-cultural, language, and socioeconomic group. It included a pediatrician and several family medicine physicians. The fellow offered real-time consultation to providers during visits, including whether a mental health referral should be made. The fellow also elaborated on questions asked by families, and provided brief strategies for behavioral health issues. This integrated experience offered a learning experience for the fellow, expanded patient care, and because strategies were provided during wait times for vaccines or other services, allowed the fellow and provider to work simultaneously and in tandem for efficient use of time. Steps in implementation, challenges, and future goals for sustainability of this model of care are described. Benefits for trainees, providers, and families are further discussed. 10. Risk Stratification and Reduced Hospitalizations in an Integrated Primary Care Setting Submitted by Stephanie Murtaugh Pittsburgh Mercy Family Health Center (PMFHC), a program of Pittsburgh Mercy Health System (PMHS) is a community based, integrated, patient centered medical home imbedded within a large behavioral health center. While open to the public, PMFHC was developed to meet the special needs of its large seriously mentally ill (SMI) and homeless population. In order to best serve this population a risk stratification methodology was developed to better direct resources and provide interventions to those highest at risk. Based on core areas defined by the Case Management Society of America, individuals are assessed according to their biological, psychiatric, and social risk as well as their engagement with health services. Fully 70% of persons served fall into the highest risk categories with many complex social, emotional and health needs as well as generally poor engagement with traditional services, frequently resulting in unnecessary ER visits and hospitalizations. A risk stratification protocol and intervention process has been implemented under the direction of the centers Medical Director, J Todd Wahrenberger, MD. Highest risk patients, organized according to population, are reviewed in weekly high risk meetings attended by the entire medical team as well as other providers involved in their care and intervention strategies developed to increase engagement and reduce risk. This poster will review the risk stratification process as well as present data demonstrating reduction in hospitalizations for SMI patients at the PMFHC as compared to a like population involved in more traditional services, within our system of care.

4 11. ACTing on Chronic Pain Submitted by Sharline Shah ACTing on Chronic Pain Sharline H. Shah, MA, Stacy A. Ogbeide, PsyD, MS, & Renae Courtney, PsyD Millions of Americans are affected by the debilitating source of pain. Additionally, chronic pain can arise from varying medical ailments to persistent psychological disorders and is virtually comorbid with most diagnoses. Therefore, behavioral health professionals need to gain more knowledge on how to effectively treat chronic pain. Research demonstrates acceptance and mindfulness-based therapies to be successful interventions for individuals. Patients aim to focus on their values, rather than specific pain symptoms, to regain a sense of life purpose. With the use of ACT, individuals have reported lower levels of anxiety, depression, pain, and selfjudgment. Furthermore, patients have described higher abilities to cope with life experiences and better psychological and physical functioning. ACT is a beneficial form of therapy and has proven successful with individuals from varying cultural backgrounds, ages, and diagnoses. The purpose of this poster is to highlight the successful interventions of ACT, specifically for behavioral health professionals in primary care. Due to a large influx of patients with a host of medical and behavioral issues, professionals are limited on time to spend with each patient. Therefore, it is important to incorporate ACT interventions to inform patients on realistic alternatives to cope with their chronic pain. 12. Effects of yoga exercise on psychological and physical condition in mothers with infants Submitted by Kaori Yamanishi In Japan, there exists a social background for mothers who are rearing their infants; that is, they are likely to suffer anxieties and stresses by child-rearing. Worse still, women of their 20s and 30s, compared to other age groups or men are said to have less exercises in their daily lives. Previous studies have shown that yoga which is popular in women has several positive effects, such as relaxing and calming down their mind and bodies. However, the number of yoga classes open for mothers in child-rearing is extremely small. In this study, as a part of the child-rearing support activities of Child and family support centerin the university, we offered a series of yoga lessons to mothers with infants, and verified the effects of yoga exercise on the psychological and physical condition in mothers. Methods: We recruited healthy women in child-rearing who can exercise, and analyzed data of 17 participants in yoga classes. From October 2013 to January 2014, we held yoga classes roughly once a week and participants practiced hatha yoga for 60 minutes in each class. We used the Profile of Mood States (POMS) shorter version as a scale of their psychological conditions. For physical conditions, we took up five entries from womens indefinite complaints and measured them using the Visual Analogue Scale (VAS). Two questionnaires were assessed before and after the yoga lessons. For each scale, we used a paired T-test in order to compare the mean values before and after the yoga exercise. Results: The average age of the 17 participants was 36.8 ± 6.6 (19-46). In their first participation, the POMS showed that the subscale of negative mood (tension-anxiety, depression, anger-hostility, fatigue, and confusion) after yoga was decreased significantly compared to before yoga, and positive mood subscales (vigor) was significantly increased. The degree of participantsself-consciousness for their physical condition (fatigue, stiff neck, lower backache, headache, and languor of the body), on the other hand, was significantly reduced compared to prior to practicing yoga. Similar results were obtained in the participants for the second and subsequent lessons. Conclusions: By yoga exercise, we have confirmed that negative mood of the POMS and physical complaints decreased, and positive mood of the POMS increased. These findings suggest that there is a possibility to improve psychological and physical state of mothers with infants by yoga exercise.

5 13. Chronic Family Caregiving: What Contributes to Burden? Submitted by Laura DeLustro Considering the increasing percentage of the US population over the age of 65 and the growing diagnoses of chronic mental health conditions such as ADHD and Autism Spectrum Disorder (ASD), it is important to identify the impact of these conditions on family caregivers who are dealing with quickly changing expectations and responsibilities. Previous research has shown that some risk factors for caregiver strain and negative health related outcomes (for both caregiver and care recipient) include low social support, increased externalizing behaviors by the care recipient, and care recipients with comorbid conditions. However, if findings about caregiver strain and resiliency are over-generalized across types of caregiving, evidence-based caregiver interventions will be rendered less effective. Participants include family caregivers for individuals with chronic diseases or disorders. Included in this study are the following questionnaires: WHOQOL-BREF, Zarit Caregiver burden, Brief COPE, and the Positive Aspects of Caregiving. This study aims to identify barriers and facilitators for utilization of mental health services (particularly support groups and psychotherapy). Additionally, psychological, sociodemographic, and health factors are examined as potential predictors of emotional well-being and quality of life of caregivers. Results of this study will be used to inform development of a group intervention for family caregivers. Due to limited financial resources within the public health domain, caregiver intervention strategies should be designed for easy implementation in an integrated, primary-care setting in which the needs of both caregivers and care recipients can be addressed. Results pending until data collection is completed. Authors: Laura DeLustro, M.A., Peggy Cantrell, Ph.D., & Sarah Hill, M.A. 14. Secondary Traumatic Stress and its Impact on Recruitment and Retention in Community Based Mental Healthcare Submitted by Brittani Strozier This presentation will explore factors of secondary traumatic stress in the high turnover rate in community based mental healthcare professionals. Secondary Traumatic Stress (STS) is a psychological consequence of internalizing the stories of trauma experienced by others, typically clients. The research on STS and its impact on mental health professionals is limited. The effects of STS burdens not only the clinician, but the clients, agency, and overall mental healthcare system. The implications of STS in community based mental health includes: policy reform, incentives for workers, and restructuring of professional support available to these workers. Authors: Brittani Strozier,MFT & Katrina Henry, MFT