Conference News

A Troubling Prognosis: Disparities and Health Outcome

Monday, March 5, 2018
2:00 pm - 3:30 pm - Bayshore Ballroom

By every measure — including life expectancy, infant mortality, and rates of heart disease and cancer — minorities have worse outcomes, even after controlling for education and income. Social policies that foster segregation, discriminatory employment and housing practices, and inequities in the justice system can all have dire health consequences. Pediatric populations from minority groups have had persistently poor outcomes despite earlier state and federal policies targeted at improving access. In light of ongoing changes in health and healthcare delivery, how do we identify key programs and policies that can potentially improve these outcomes and change the course for the future of minority children?

About the Presenter

Garth Graham, MD, MPH

Garth Graham, MD, MPH, is president of the Aetna Foundation. In his role, Dr. Graham is responsible for the Foundation’s philanthropic work, including its grant-making strategies to improve the health of people from underserved communities and increase their access to high-quality health care.

Dr. Graham previously served as deputy assistant secretary in the U.S. Department of Health and Human Services, where he also led the Office of Minority Health. His numerous achievements include implementing key health equity provisions of the Affordable Care Act and guiding the development of the first federal action plan to eliminate health disparities under the Obama administration.

Immediately prior to joining the Aetna Foundation, Dr. Graham was the assistant dean for health policy and chief of health services research at the University of Florida School of Medicine in Gainesville. There he was the principal investigator on a number of grants related to improving health outcomes in underserved populations.

Dr. Graham is a widely recognized researcher, writer and editor on health disparities. He has authored articles that have been published in the Journal of the American Medical Association, Health Affairs and Circulation. He has served on the faculty of the University of Florida School of Medicine and Harvard Medical School. He has also served on a number of boards including Institute of Medicine Board on Population Health, World Health Organization Scientific Group on Equity Analysis and Research, Board of Directors of Physicians for Human Rights and he was appointed to the Federal Coordinating Council on Comparative Effectiveness Research. He was also named the Distinguished Millennium Visiting Scholar at Columbia University.

Dr. Graham holds a medical degree from Yale School of Medicine, a master’s in public health from Yale School of Public Health and a bachelor of science in biology from Florida International University in Miami. He completed clinical training at Massachusetts General Hospital and Johns Hopkins where he trained in cardiology and interventional cardiology. He holds three board certifications including internal medicine, cardiology and interventional cardiology. He also serves as an Associate Professor of Medicine at the University Of Connecticut School Of Medicine.

Plenary presentations are available on the plenary page under the Agenda section. There will be an icon listed next to the plenary title if the presenters made the presentation available.

Session presentations are also available on the "Symposia, Papers and Posters" session pages. There will also be an icon listed next to the presentation title if the presenters made the presentation available.

Please note that there are no posters nor handouts from the two poster sessions posted.

 

Note: The icon denotes this session is part of the Emerging Adult track.

Poster 101
A closer look at the misuse of benzodiazepines among adolescents
Khary Rigg, PhD, Elizabeth Blaney, University of South Florida, Tampa, FL; Jason Ford, PhD, University of Central Florida, Orlando, FL

The misuse of benzodiazepines (BZs) among adolescents is an important issue within the field of behavioral health. Though a considerable amount of research attention is paid to prescription medication misuse, a relatively small number of studies focus on adolescent BZ misuse. As a result, little is known about the epidemiology of adolescent BZ misuse and the demographic and psychosocial factors that place young people at-risk. This poster presentation will describe the extent, drivers, and consequences of BZ misuse among teenagers and young adults. Additionally, the authors estimated logistic regression models using data from the National Survey of Drug Use and Health to determine which factors were associated with an increased risk of BZ misuse. These findings help to describe the psychosocial profile of adolescent BZ misusers which should increase the ability of clinicians to identify patients who may be at greater risk for misuse. This study is particularly important within the context of psychiatry, where a clearer understanding of adolescent BZ misuse is critical for informing prevention efforts and developing best practices for prescribing BZs.

 Poster 102
  Improving health outcomes of transition age foster youth: The COACHES program
David Bolt, MSW, Earlie Rockette, RNP, MN, Candace Body, Ed.D, LPC,
Georgia Families 360°, Amerigroup Community Care, Atlanta, GA

The purpose of this poster presentation is to describe the unique partnership and program between a managed care health company and a non-profit child welfare agency in developing an innovative service approach to working with transition age youth in foster care. It will show 1) the collaboration between public and private partners, 2) an overview of the program and care coordination model, and 3) and the expected outcomes to be achieved through the program.

Poster 103
Use of the System of Care Practice Review (SOCPR) for state-wide outcomes measurement; A three-year trend analysis
Debra Mowery, PhD,
University of South Florida, Tampa, FL; Kevin Flynn, LCSW, AZDHS, Phoenix, AZ; John Mayo, MA, LMHC, Success 4 Kids & Families, Tampa, FL

This poster presentation will focus on the development of the 2012 annual report, including the three-year trend analysis. Presenters will review both qualitative and quantitative data, utilizing graphics to provide data summaries and comparisons both statewide and by service areas. Finally, presenters will offer their perspectives on the process of developing the report findings, and identify opportunities for practice improvement, program implementation, and policy development in the Arizona state System of Care.

Poster 104
Perceptions and experiences of intimate partner violence among Hispanic college students
Racquel Vera, PhD,
College of Nursing and Public Health, South University, Royal Palm Beach, FL

Intimate partner violence (IPV) is recognized as a serious, growing problem on college campuses. IPV rates among college students exceed estimates reported for the general population. Few studies have examined the impact of IPV among the Hispanic college student (HCS) population or explored how HCSs perceive and experience IPV.

Poster 105
Exploring differences in perception of adolescent mental health issues between parents & adolescents
Lesley Clack, ScD, Health Sciences,
Armstrong State University, Savannah, GA

Are parents aware of their adolescent’s mental health issues? Why do many adolescents not receive the treatment that they need? This poster presentation will detail the results of a study that explored the differences in perception between parents and adolescents and the effect it has on treatment using surveys to identify gaps in perception. The poster presentation will identify tools that professionals can use to improve engagement when working with adolescents and parents.

Poster 106
Strengthening the family unit in our changing world
Kathy Prince, MA,
Fulton District, Lithonia, GA

Strand(s) Communication and Decision Making Studies indicate that fifteen out of twenty-five percent of individuals have some social problems (Vaughn-Bos, 2009), and there are various factors that may contribute to these problems. Factors such as personal background experiences, culture differences, and language registers all appears to be contributing factors. Therefore, it is critical and necessary to strengthen communication skills among individuals to resolve social and emotional issues in our changing world.

Poster 107
The Children's MOSAIC Project: How a community collaborative effort transformed children's mental health care
Melissa Stalets, MA, Heather Sweet, MPH,
Mental Health Centers of Central Illinois, Springfield, IL

Long delays between the emergence of mental health disorders and initiation of treatment result in greater illness severity and comorbidity. Recognizing this problem, our community transformed children’s mental health care through early identification and increased access to treatment by integrating with schools and primary care practices. Over 12,000 screens have been completed and over 1,000 children have received services. This poster presentation describes factors critical to collaborative efforts and in integration with schools and primary care

Poster 108
The direct link between unresolved trauma and youth delinquency
John Burek, MS,
Parenting with Love and Limits (PLL), Lakeland, FL; Ellen Souder, MA, LPCC-S Parenting with Love and Limits (PLL), Mansfield, OH

Research has recognized that there are direct links between juveniles with unresolved trauma issues and extreme behavior problems. Unfortunately, the majority of treatment for this population is directed toward the individual and/or focuses on behavioral issues while missing the root causes of the problem: unhealed wounds or traumas such as abandonment, unresolved grief, or abuse and neglect. Parenting with Love and Limits is an evidence-based, family-focused program that is committed to troubled youth in a variety of contexts. Working with youth in juvenile justice, child welfare, and foster care systems across the country, PLL implements a program that not only teaches youth behavioral skills, but also strategically addresses the core issues of trauma that are inhibiting the entire family.

Poster 109
Transition to life: Preparation of teachers and other Secondary education personnel for working with students with EBD
Sloan Huckabee, PhD,
Boston University, Boston, MA; Hewitt B. “Rusty” Clark, PhD, Professor Emeritus, Michael Greeson, BA, College of Behavioral & Community Science, National Network on Youth Transition for Behavioral Health (NNYT), University of South Florida, Tampa, FL

The purpose of this Transition Module curriculum is to assist in better preparing future and current teachers, and other school personnel, to work with secondary students with EBD – improving their engagement and assisting them in planning and achieving their goals related to transition to adulthood roles. During this pilot study, graduate students were trained in selected methods from the Transition to Independence Process (TIP) Model.

Poster 110
Participants’ experiences in the Maternal, Infant and Early Childhood Home Visiting (MIECHV) program: Social support needs
Leandra Olson, BS, Pamela C. Birriel, MPH,
College of Public Health, University of South Florida, Tampa, FL

The Florida Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program Evaluation explored families’ perceptions of services and supports accessed through their home visitors, which they found most helpful and most utilized. Forty-five participants were interviewed and asked a series of questions about their home visiting experience. Findings illustrate that families who participate in the MIECHV Program need and receive substantial emotional, instrumental, informational, and appraisal support from home visiting staff.

Poster 111
Opportunities and challenges of multi-agency, multi-provider collaborations
Susan McLaren, MPH, FACHE,
Georgia Health Policy Center, Atlanta, GA; Linda Henderson-Smith, PhD, National Technical Assistance Center for Children's Mental Health, Washington, DC; Christine Doyle, Georgia Department of Juvenile Justice, Atlanta, GA; Heather Stanley, ATR-BC, LPAT Lookout Mountain Community Services, Lafayette, GA; Chad Jones, View Point Health, Lawrenceville, GA

This poster describes the opportunities and challenges of developing a multi-agency, multi-provider pilot to address the transition needs of youth with severe emotional disturbances returning to the community from secure juvenile justice facilities using a university partner to help facilitate program design, data collection and evaluation. The pilot is designed to demonstrate the effectiveness of High Fidelity Wraparound Services on youth access to community-based services/resources, juvenile justice recidivism, youth health status, and state cost-savings.

Poster 112
A pilot and feasibility study of a child and adolescent psychiatry consultation clinic for primary care providers
Elise Fallucco, MD, Carolina Bejarano, BS,
Nemours, Jacksonville, FL

This study evaluates the feasibility of a model designed to enhance access to child and adolescent psychiatrist (CAP) consultation for primary care providers (PCP). From February 2013 to October 2014, 22 PCPs from four Jacksonville community practices paired with five CAPs. CAPs provided consultation for 57 patients with depression (53%), anxiety (37%), ADHD (22%), or more than one diagnosis. The majority (95%) of patients were discharged back to the care of their PCP.

Poster 113
Father attachment in the family context: The association between childhood trauma and attachment style on intimate partner violence
Alana Whittington, Carla Stover, PhD,
University of South Florida, Tampa, FL

Intimate Partner Violence (IPV) and negative parenting are common, making them nationwide public health concerns. Results from the current study reveal that adult attachment style can play a significant role in whether childhood trauma can impact the two major roles a person can play in relationships. These results are important to intervention development efforts for men who have experienced childhood trauma and developed insecure attachment styles.

Poster 114
Measuring Wraparound fidelity in a System of Care project
Christopher Stormann, PhD, Jane Timmons-Mitchell, PhD, Laura Overman, MA, MEd, Lacey Caporale, BA, Rachel Lovell, PhD,
Case Western Reserve, Cleveland, OH

Fidelity to Wraparound was measured using the Team Observation Measure (TOM) and Wraparound Fidelity Index, Short Form (WFI-EZ) in a System of Care project. Seventeen youth were assessed using TOMs, and 75 youth were assessed using the WFI-EZ; youth were predominantly male (53%) and African American (73%), averaging 15 years of age. Agencies are implementing Wraparound with fidelity. Caregivers and Parent Advocates are aligned; differences between Parent Advocates, Care Coordinators, and caregivers are reported.

Poster 115
The Health Information Project: A local programmatic solution to inadequate health education within the Florida public school system
Megan Hartman, BS,
Behavioral Science Research Institute, Coral Gables, FL; Risa Berrin, JD, Valerie Berrin, BA, Health Information Project (HIP), Coral Gables, FL; Gladys Ibanez, PhD, Florida International University, Miami, FL

In 2008, Florida education standards eliminated the requirement of health education classes in public schools. Creators of the Health Information Project (HIP) addressed this issue by developing an innovative peer education program that seeks to combat the negative consequences of inadequate health education classes. Results have been mixed with increases in health-related knowledge and awareness about where to access healthcare, but little accompanying behavior change. Current efforts are directed towards bolstering evaluation with a randomized control trial.

Poster 116
Start on Success: An innovative employment model for youth with serious mental health disabilities
Katherine Wittig, MEd,
Center on Transition Innovations, Richmond, VA

There is a strong focus in Virginia on improving transition outcomes for youth with chronic mental health disabilities. The Virginia Departments of Education, Rehabilitative Services, and Behavioral Health and Developmental Disabilities are collaborating to improve these outcomes. As a result of this collaboration, the Virginia Department of Education (VDOE) explored national programs to improve graduation rates of students with disabilities and found that Start on Success has been successful in many school divisions across the nation since its inception in 1995. This program focuses on youth with emotional or learning disabilities and/ or with Other Health Impairment diagnoses.

Poster 117
The utility and reliability of an innovative group therapy assessment tool for children with complex behavioral disorders
David Hussey,
Mandel School of Applied Social Sciences, Case Western Reserve, Cleveland, OH

Group therapy is an important and frequently used modality in the treatment of children with complex behavioral disturbances, yet there were very few instruments that could aid in the assessment of child group therapy behavior. Researchers developed and tested an innovative group therapy assessment tool. Average Interclass Correlation (ICC) rater agreement measures across nine instrument items were .994, indicating excellent reliability. Research and practice implications are discussed.

Poster 118
Cultivating healthy schools: The feasibility of an outdoor classroom in a public elementary school
Erin Largo-Wight, PhD,
Department of Public Health, University of North Florida, Jacksonville, FL; Caroline Guardino, PhD, Department of Exceptional, Deaf, and Interpreter Education, University of North Florida, Jacksonville, FL; Katrina Hall, PhD, Department of Childhood Education, Literacy, and TESOL, University of North Florida, Jacksonville, FL; Evita Thomas, MPH, Mayo Clinic in Florida, Jacksonville, FL; Cori Ottenstein, Department of Exceptional, Deaf, and Interpreter Education, University of North Florida, Jacksonville, FL.

An outdoor classroom may be a practical solution to the growing disconnect between kids and the outdoors that fits within public education realities. Teachers completed an online feasibility survey after using the outdoor classroom for six weeks and reported that using the outdoor classroom for the daily lesson was “usually easy” and “usually practical.” Contextual variables were ranked related to practicality. Outdoor classrooms are a promising school-based intervention to improve child health and learning.

Poster 119
Service gap analysis
Michael Greeson, BA,
University of South Florida, Tampa, FL

This poster will report on a statewide child welfare service gap analysis. Data was collected at the county level and was summarized at the regional and state levels. Multiple respondent types representing service providers, regional leadership, attorneys, CPIs, and Guardian ad litems were surveyed via Qualtrics, an online survey tool. The responses were rich and varied and provided an insight into the Need, Availability, Accessibility, and Critical Unmet Needs for over 100 services.

Poster 120
Are you using carrots and sticks to try to achieve change? Shifting from a behaviorist model to a brain-based approach to mobilizing change at the individual, organizational, and systemic level
Laurie Ellington, MA, Tammy Robbins, MA,
Zero Point Leadership, Silver Spring, MD

Most approaches to changing human behavior come from the field of behaviorism that began in the 1930s, where the focus is on using incentives and threats to facilitate change. Unfortunately, despite the evidence that this model is not very effective, it is still the most predominately utilized approach for helping others change behavior. This poster session will identify the most recent breakthroughs in social cognitive and affective neuroscience that underlie effective approaches to helping people create positive change.

Poster 121
Youth advocates role in policy and practice
Nakissia Reed, Norin Dollard, PhD, Mary Armstrong, PhD,
Executive Director of the Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL

Youth advocacy is an emerging approach to empowering youth at all levels of systems from policy to direct care and across all human service systems, including behavioral health, juvenile justice, child welfare, and education. The present study used a focus group methodology to investigate the role of youth advocates in order to provide clarity of the role and to identify ways in which organizations can support and guide youth advocates.

Poster 122
Parent engagement and family peer support services in Wraparound
Geetha Gopalan, PhD,
School of Social Work, University of Maryland, Baltimore, MD; Maria Jose Horen, MS, MPH, The Institute for Innovation and Implementation, School of Social Work, Baltimore, MD

The current study explores caregiver perceptions of family peer support (FPS) offered as part of Wraparound services: (1) how caregivers were informed about FPS, (2) their expectations about FPS, (3) reasons for accepting or refusing FPS, (4) FPS services received, and (5) perceived impact of FPS on individual and family-level functioning. Results indicate the need to ensure effective referral and linkage to FPS, as well as understanding provider- and system-level barriers to maintaining FPS services.

Note: The icon denotes this session is part of the Emerging Adult track.

Poster 201
Building workforce education through an integrative and collaborative approach to meet the behavioral health needs of transitional-age youth

Rosemary Alamo, LCSW, PPS, Rick Newmyer, MSW, School of Social Work, University of Southern California, Los Angeles, CA

USC School of Social Work’s Tri-County Behavioral Health Training Consortium is focused on building the workforce for behavioral health services targeted for transitional-age youth (TAY) who are at-risk for mental illness, substance abuse, and suicide. The project spans Los Angeles, Orange, and San Diego counties. Students are matched with field placements that focus on TAY and receive additional support and evidence-based training in Motivational Interviewing, SBIRT, and CBT to meet the needs of the population.

Poster 202
Efficacy of NAMI Parents and Teachers as Allies Training for Increasing Mental Health Literacy and Perceived Self Efficacy and Decreasing Stigmatizing Attitudes in preservice teachers

Sloan Huckabee, PhD, Center for Psychiatric Rehabilitation, Boston, MA

The effects of the NAMI Parents and Teachers as Allies training on the Mental Health Literacy, Personal Beliefs, and Stigmatizing Attitudes of preservice teachers are examined in this study. Pre, post, and follow-up measures were collected for the experimental group and pre and post measures from a control group. Results of the study indicate that the training is an inexpensive training method that positively affects knowledge, personal beliefs, and attitudes of preservice teachers.

Poster 203
2014 National Parent Support Job Survey

Frances Purdy, MEd, National Family Support Association, Salem, OR

This independent national survey reports on 107 individuals involved in the parent support 2013 workforce. The data includes information about average caseload, salary and benefits, and the role of state/national certification. The survey also provides a picture of the trend from 2009-2013 in the use of job titles, type of employer, number of hours worked, and duties performed. Colored charts present the data collected.

Poster 204
Systems of Care: A comprehensive review of the literature since 1985

Michael D. Pullmann, PhD, Ricki Mudd, BS, Eric J. Bruns, PhD, Department of Psychiatry and Behavioral Sciences, Division of Public Behavioral Health & Justice Policy, University of Washington, School of Medicine, Seattle, WA

During the last 29 years, extensive research has been generated on the development and effectiveness of systems of care. This Poster presents a systematic review of 527 journal articles, book chapters, and dissertations. While empirical publications have been growing at a much faster rate than non-empirical publications since the year 2000, publications using highly rigorous methods remain a small proportion of the total. Other trends in research foci will be presented.

Poster 205
The ongoing journey of embedding trauma systems therapy into the District of Columbia Children's System of Care

Michele Rosenberg, MSW, District of Columbia Child and Family Services Agency, Washington, DC; Denise Dunbar, MSW, District of Columbia Department of Behavioral Health, Washington, DC; Melissa Affronti, PhD, Coordinated Care Services, Inc., Rochester, NY; Brian Pagkos, PhD, Community Connections of New York, Buffalo, NY

Given the growing evidence on the link between trauma experiences and overall well-being, the District of Columbia’s (DC) child-serving agencies have partnered on the implementation of Trauma Systems Therapy (TST) for the past two years. This clinical and organizational systems-wide transformation has been achieved through a collaborative approach by the DC System of Care Executive team. A process evaluation has uncovered the successes and challenges of infusing this emerging evidence-based approach into practice.

Poster 206
Testing the “Teaching Kids to Cope” Youth Anger Intervention in a rural school-based sample

Kathryn Puskar, DrPH, University of Pittsburgh School of Nursing, Pittsburgh, PA

This Poster presentation reports on the longitudinal effects of the Teaching Kids to Cope with Anger (TKC-A) program on self-reported anger in rural youth.

Poster 207
Setting the (medical) record straight

Lisa Lambert, BA, Parent/Professional Advocacy League, Boston, MA

Parent/Professional Advocacy League surveyed 204 parents in Massachusetts whose children had behavioral health needs about the benefits and drawbacks of electronic health records (EHRs). This Poster presentation will provide an overview of the data from parents including their hope for better quality of care and their worries about data breaches. The Poster presentation will share the importance of family-driven research in order to obtain robust participation.

Poster 208
Building stress resilience in Systems of Care: Achieve better child and family outcomes with intelligent energy management

Laurie Ellington, MA, Paul McFadden, BS, Zero Point Leadership, Silver Spring, MD

Negative stress can result in burnout, depression, poor health, and even death. It hijacks the brain and keeps people stuck in the danger mode where options are limited to the fight, flight, or freeze response. Without recovery, the system of care workforce experiences decreases in their ability to make decisions and work in a way that leads to positive outcomes for people in need of support. This Poster session provides the latest scientific findings in stress resilience that help human service workers improve thinking and performance.

Poster 209
Measurement quality of the Caregiver Strain Questionnaire-Short Form 13 Items

Ana Maria Brannan, PhD, Indiana University, Bloomington, IN; Michael Pullmann, PhD, Division of Public Behavioral Health and Justice Policy, University of Washington School of Medicine, Seattle, WA

Caregiver strain refers to the challenges associated with raising children with special needs. The Caregiver Strain Questionnaire (CGSQ) has been used for 20 years to assess these difficulties among families of children with emotional and behavioral disorders. It contains 21 items that assess strain across three distinct but related dimensions. This study examined whether the CGSQ could be shortened without compromising measurement quality. A 13-item version was developed that demonstrates good validity and reliability.

Poster 210
Challenges in program implementation for parents with mental illnesses and their families

Toni Wolf, BS, Employment Options, Inc., Marlborough, MA

This Poster presentation addresses challenges in shifting an agency’s paradigm to meet the needs of families living with parental mental illnesses—one that requires the involvement of diverse stakeholders as well as targeted change within the organization and across the community. Examples will highlight program implementation challenges and solutions.

Poster 211
A targeted recruitment initiative for developing resource homes in children's mental health

Michelle Levy, AM, Ashley Palmer, LMSW, School of Social Welfare, University of Kansas, Lawrence, KS

The importance of serving children with serious mental health needs in their communities is recognized yet often challenging due to limited resources. Professional Resource Family Care (PRFC) is a unique short-term intensive community-based service with potential that is currently limited by an inadequate number of resource home providers. Surveys with current providers offer insight into their motivations and experiences. Findings have informed the creation of a targeted recruitment initiative focused on developing resource home providers.

Poster 212
Improving outcomes for older youth in Russia

Kris Sahonchik, JD, Cutler Institute for Health and Social Policy, Muskie School, University of Southern Maine, Portland, ME; Ilze Earner, PhD, Lois V. and Samuel J. Silberman School of Social Work at Hunter College, Hunter College, New York, NY

Through fellowships sponsored by the Eurasia Foundation, this group partnered with Russian colleagues to improve outcomes for older youth in Russia and the United States. From February to March 2014, governmental and nongovernmental agencies that serve children, youth, and families in St. Petersburg, Perm, and Moscow were visited. This Poster will present an overview of the Russian child welfare system; explore challenges facing older youth in Russia; identify barriers and strategies to serve older youth, and share transferable policies and practices.

Poster 213
Fidelity to Wraparound in Georgia: Demographic differences and relationships with child functioning

Ann DiGirolamo, PhD, MPH, Robyn Bussey, MBA, MHA, Rachel Culbreth, Sara Redd, MSPH, Brittney Romanson, MPH, Nicole Sherwood, MSW, Center of Excellence in Child and Adolescent Behavioral Health, Georgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA; Linda Henderson-Smith, PhD, National Technical Assistance Center for Children’s Mental Health, Georgetown University Center for Child and Human Development, Washington, DC

Studies have noted the importance of measuring fidelity to Wraparound when examining outcomes, suggesting that improved child and family outcomes are associated with higher levels of fidelity. Fidelity to principles of Wraparound in Georgia were assessed, investigating differences by demographics and relationships with child outcomes. Findings support previous studies suggesting that High-Fidelity Wraparound is associated with improved youth outcomes. Differences were noted between urban and rural settings and by age and gender of youth.

Poster 214
Child and Adolescent Needs and Strengths as an outcome measure in community mental health setting: Factor analysis and validation of the short form

Golnar Alamdari, BA, California State University Northridge, Northridge, CA; Marija Kelber, PhD, Aviva Family and Children's Services, Los Angeles, CA

The goal of this study was to develop and validate a short form Child and Adolescent Needs and Strengths (CANS) scale. The mental health items formed two subscales: internalization and externalization. The functioning items formed four subscales: family functioning and structure, social functioning and development, caregiver functioning and competence, and independent functioning and educational development. Internalization and externalizationdistinguished between clients with different diagnoses, offering evidence for construct validity. The subscales are also correlated with the relevant subscales of the YOQ, thus providing evidence for concurrent validity.

Poster 215
Families want data, too!

William Monro, MSW, Ferol Mennen, PhD, School of Social Work, University of Southern California, Los Angeles, CA

Sharing outcome measure data with families is an important part of building a data-informed system. Project ABC in Los Angeles has worked with clinicians, parent partners, and families to create an easy to use, accurate and respectful report that is used as part of treatment. This Poster will display an example of the reports as well as insight into the project’s process.

Poster 216
Screening for social & emotional well-being of young children in subsidized child care centers: Implications for system-level change

Lori Bilello, PhD, Center for Health Equity and Quality Research, University of Florida, Jacksonville, FL; Jeffrey Goldhagen, MD, Division of Community and Societal Pediatrics, University of Florida, Jacksonville, FL

Children from low-income families may have a higher risk for mental health conditions than the general population. The ASQ:SE was used to screen children and caregivers at 14 subsidized child-care centers. Approximately 6.7% had mental health symptoms needing intervention. The odds of failing the ASQ:SE screening versus passing were four times higher for children from the urban core compared to children from other parts of the county.

Poster 217
CBPR lessons learned in a public elementary school: Academic-community partnership

Erin Largo-Wight, PhD, Department of Public Health, University of North Florida, Jacksonville, FL; Caroline Guardino, PhD, Department of Exceptional, Deaf, and Interpreter Education, University of North Florida, Jacksonville, FL; Katrina Hall, PhD, Department of Childhood Education, Literacy, and TESOL, University of North Florida, Jacksonville, FL; Melissa Howard, PhD, Robert Stemple College of Public Health & Social Work, Florida International University, Miami, FL; Evita Thomas, MPH, Mayo Clinic in Florida, Jacksonville, FL; Cori Ottenstein, Department of Exceptional, Deaf, and Interpreter Education, University of North Florida, Jacksonville, FL.

This community-based participatory research project involved academic-community partners designing, building, and implementing an outdoor classroom at an elementary school to foster child health and learning. A pilot test took place prior to implementation, and formative research revealed school partners had initial concerns with the outdoor classroom and procedures. Modifications were made together to foster mutual benefit. Ultimately, community partners reported high engagement. Partnership resulted in the translation of science to practice in a public-school setting.

Poster 218
Promoting a strengths-based approach to caring for children with serious mental health conditions

Mary Spooner, PhD, Russell Carleton, PhD, ICF International, Atlanta, GA; Sandra Spencer, National Federation of Families for Children's Mental Health, Rockville, MD

Research has shown that children and youth who receive the individualized care provided by systems of care experience reductions in mental health symptoms, as well as gains in personal strengths. The presentation highlights the gains in personal strengths that are made by children and youth from intake to 6 months. Because children and youth depend on their caregivers and communities to build strengths, this presentation also discusses how families can advocate for strengths-based care for children and youth.

Poster 219
Care coordination and youth in foster care: The Georgia Families 360° Model

David Bolt, MSW, Earlie Rockette, RNP, MN, Candace Body, Ed.D, LPC, Georgia Families 360°, Amerigroup Community Care, Atlanta, GA

The Georgia Families 360° program is an innovative new programmatic approach to provide care coordination to youth with complex needs. The objectives of this Poster presentation are: 1) how the program stratifies youth into different levels of need and the corresponding intervention level, 2) outcomes associated with care coordination from the program, and 3) a brief description of the partnership between Amerigroup and community providers to develop a specialized program for the highest need youth.

Poster 220
Using a Wraparound practice-model aligned behavioral health record to drive decision making and change within a SOC behavioral health organization

Kelly Hyde, PhD, Social TecKnowledgy, LLC, Santa Fe, NM

This Poster presentation will provide an overview of how the System of Care (SOC) Grantee-ACCESS Initiative of Champaign County, Illinois, uses the TMS Behavioral Health Record online tracking system, a health record system specifically designed to align with the practice model of care coordination/wraparound. Information will be presented on use of the TMS system by clinical and administrative staff at the ACCESS Initiative SOC for the purposes of data-driven decision making and change at the clinical, programmatic, and administrative levels within the organization. Aggregate data summaries analyzing clinical data change across 200 plus Child and Family Plans of Cares will also be presented. The Poster session will also include information on the TMS system and applicable use with other provider groups.

Poster 221
Training clinicians to serve at-risk youth in vulnerable, underserved populations

Jacqueline Smith, PhD, School of Social Work, Howard University, Washington, DC

This Poster session describes an educational program that trains social workers committed to providing culturally competent clinical services to at-risk children, adolescents and youth in transition to adulthood in medically underserved communities. The training integrates interprofessional learning experiences in field settings with classroom learning experiences focused on the development of clinical competencies in integrated behavioral health care settings. Curriculum components include a focus on trauma, behavioral health risk assessment, coordinated case plans and increased awareness of health disparities for minority populations. An Advisory Curriculum Committee of faculty and a clinical coordinator manages curriculum development.

Note: The icon denotes this session is part of the Emerging Adult track.

Session 1

10:00 am - 11:00 am
Regency V ~ 60 Minute Paper
Medicaid Financing for Family and Youth Peer Support: An Outgrowth of Systems of Care - Scan of State Programs
Chair: Dayana Simons, MEd, LMHC, Center for Health Care Strategies, Inc, Hamilton, NJ; Discussants: Dana McCrary, Parent & Youth Peer Specialist, Georgia Department of Behavioral Health & Developmental Disabilities, Atlanta, GA; Jane Walker, LCSW, Executive Director, Maryland Coalition of Families for Children's Mental Health, Columbia, MD

Family and youth voice is a key principle of systems of care, which has been operationalized in many ways in states and localities over time.  Increasingly, family and youth peer support is being utilized as a key feature of re-designed delivery systems serving children with behavioral health challenges and their families. The symposium will describe the growth and evolution of the role of family and youth peer support,  providing a detailed look at States that cover family and youth peer support (FYPS) under Medicaid, and will discuss the importance of family and youth peer support in the context of health reform, particularly with respect to a customized care management arrangement for children with serious behavioral health challenges that incorporates intensive care coordination within a high quality wraparound approach.

11:00 am - 11:30 am
Regency V ~ 30 Minute Paper
Developing and Sustaining a Rural System of Care: Critical Community Stakeholder Perceptions
Allison Howland, PhD, Indiana University Bloomington, IN; Deborah Cohen, MSW, One Community One Family, Batesville, IN; Jeffrey Anderson, PhD, Indiana University, Bloomington, IN

This presentation provides an in-depth exploration of the development of One Community One Family, a system of care in rural Southeastern Indiana. In 2010, a broad survey of stakeholders in children’s social services in the OCOF service area was administered gather perceptions of progress toward OCOF development and progress toward target objectives. These findings are highlighted in Change in Provider Perspectives over Time in a Rural System of Care, and pointed toward a greater need to operationalize system of care principles throughout all participating agencies, particularly related to valuing family and youth engagement and increasing the role of schools in prevention and service provision, as well as a greater awareness of research informed practices for infants and toddlers.

Session 2

10:00 am - 11:30 am
Regency VI ~ 90 Minute Symposium
Family Involvement in Florida’s Medicaid-funded Residential Mental Health Treatment Programs
Chair: Norin Dollard, University of South Florida, Tampa, FL; Discussant: Anne Kuppinger, Director of Training and Credentialing, Families Together in New York State, Albany, NY

Family involvement is essential for children and youth in residential mental health treatment.  This symposium presents a mixed methods approach to understanding the factors that hinder or facilitate family involvement.  Interviews of parents of children in residential treatment were conducted as were surveys of provider staff.  Geographic Information Systems was used to understand how distance affects family involvement.  Generalized estimating equations were used to investigate the relationship of family involvement to child outcomes.

Family Involvement in Youth Residential Treatment: Post-Discharge Placement and Continuity of Care
John Robst, PhD, Catherine Batsche, PhD, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL; Stephen Reader, PhD, CAS University of South Florida, Tampa, FL

Family involvement is considered essential for youth receiving out-of-home mental health treatment.  This study examined whether family involvement is associated with placement after residential treatment and the likelihood of receiving follow-up outpatient care.  The study included youth with severe emotional disturbance treated in a residential Medicaid-funded program in Florida.  Family involvement in treatment was associated with discharge to a family-like setting, and among youth discharged to a family-like setting, with receiving follow-up outpatient care.

Temporal Trends in Family Involvement During the Treatment of Youth in Florida’s Residential Mental Health Treatment facilities
Lodi Rohrer, MSPH, Mary Armstrong, PhD, Department of Child and Family Studies, University of South Florida, Tampa, FL

This paper examines changes in patterns of family involvement during treatment episodes for youth in residential mental health facilities.  We examine the rate of contacts with family members during treatment, including visits to the facility and therapeutic home passes for youth.  We also determine whether contact with specific family members and reasons for contact change over time and whether these changes vary by youth characteristics.

Examining Facilitators and Barriers to Family Involvement in Residential Mental Health Treatment
Patty Sharrock, MSW, Norin Dollard, PhD, Department of Child and Family Studies, University of South Florida, Tampa, FL

An examination of factors that enhance or impede a family’s ability to be was informed by 19 parent interviews and surveys of RTC providers that examined expectations for family involvement, facilitators/hindrances to family involvement, and ways to promote/ensure family involvement.  Facilitators included flexibility in methods and times of contact with the staff and their child for treatment as well as personal time. Barriers included limited parent motivation and transportation.

Session 3

10:00 am - 11:30 am
Regency VII ~ 90 Minute Symposium
Findings & Lessons Learned from the Conceptualization, Implementation, and Evaluation of Developmentally Appropriate Vocational Services for Transition Age Youth with Serious Mental Health Conditions
Chair: Marc Fagan, PsyD, Thresholds Psychiatric Rehabilitation Center, Chicago, IL; Discussant: Hewitt Clark, PhD, Department of Child & Family Studies
College of Behavioral & Community Sciences, University of South Florida, Tampa, FL

Principles & Key Components of the Adapted IPS Model
Marc Fagan, PsyD, Thresholds Psychiatric Rehabilitation Center, Chicago, IL; Susan Kaiser, MPH, Thresholds Dartmouth Research Center, Chicago, IL

The IPS-SE model was adapted to meet the unique developmental needs of transition age youth with serious mental health conditions (ages 16 to 21) through consultation and collaboration with experts in the field, focus groups, and extensive literature reviews of supported employment, supported education, and peer mentoring models. A scale was developed and utilized to assess the adapted model’s fidelity each year, allowing for examination of the intervention fit for both the program and the population it aims to serve.

The Nuts, Bolts, and Lessons Learned from Implementation
Vanessa Vorhies-Klodnick, MSSW, Susan Kaiser, MPH, Thresholds Dartmouth Research Center, Chicago, IL

Implementation of the adapted IPS model for transition age youth with serious mental health needs has been a dynamic and informative process. Lessons learned from implementation, including struggles with staff retention and integrating peer mentors into the vocational team, are important for providers and researchers to consider when implementing and studying developmentally tailored vocational services.

Evaluation of the Adapted Model
Marsha Ellison, PhD, Center for Learning and Working During the Transition to Adulthood, University of Massachusetts Medical School, Worcester, MA; Susan M. Kaiser, MPH, Izabela Krzos, BA, Thresholds Dartmouth Research Center, Chicago, IL

Little research exists regarding vocational programs for transition age youth (TAY).   Such research is timely and important, especially in light of poor vocational outcomes experienced by TAY with serious mental health conditions. This presentation describes methods and preliminary findings of feasibility study of adapted IPS supported employment conducted at Thresholds Young Adult Program as part of a larger NIDRR RTC grant. Presenters will describe characteristics of the study sample and share preliminary findings.

Session 4

10:00 am - 10:30 am
Esplanade I ~ 30 Minute Paper
Expanding the Population Served by Systems of Care
Vicki Sprague Effland, PhD, Shannon Van Deman, MBA, Choices, Inc., Indianapolis, IN

The definition of a system of care currently limits the service population to youth with serious emotional disturbances and their families.  The results of a pilot project in Marion County, Indiana, however, suggest that systems of care and wraparound can be beneficial to a broader population of youth and families.  Specifically, over 70% of families referred to Choices, Inc. prior to formal adjudication by the child welfare system successfully avoided further system involvement.

10:30 am - 11:30 am
Esplanade I ~ 60 minute Paper
Innovative Approach to Evaluation in an Early Childhood Focused System of Care: Using Empowerment Evaluation (Putting it into Practice in a Complex Setting) and
Sonia Jain, PhD, Mansi Master, MPA, WestEd, Oakland, CA; Stacy Johnson, MSW, ICF International, Portland, OR; Liz Grossman, MPH, ICF International, Atlanta, GA

Evaluators and providers are critical partners in building system of care communities to ensure continuous quality improvement, accountability and sustainability of effective program strategies. Empowerment Evaluation (EE) is one framework system of care communities can utilize, however there is variation in the application of its principles. This presentation will focus on key barriers and lessons learned in applying EE in one system of care community that can be applied in complex settings.

Session 5

10:00 am - 10:30 am
Esplanade II ~ 30 Minute Paper
Placement and Clinical Outcomes for Urban Youth in Systems of Care
Annette Grape, LCSW, University of Rochester, Rochester, NY

In this study the relationship between child and service use factors associated with placement and clinical outcomes for urban children diagnosed with serious emotional disturbance receiving System of Care (SOC) services was examined.  Preliminary analyses revealed that younger children, white race, problem severity and dosage of outpatient service were positively associated with placement, placement rate, problem severity and fewer strengths. Findings suggest that children with greatest need received more services and white urban children are a risk group.

10:30 am - 11:00 am
Esplanade II ~ 30 Minute Paper

The Impact of the Home and Community-based Services Waiver on Psychiatric Hospitalization for Youth
Marleen Radigan, DrPH, Rui Wang, MS,
Office of Mental Health, Albany, NY

This retrospective study included children (N=4994) with Home & Community-Based Services Waiver completed between 4/1/2007 and 3/31/2012.  Associations between subsequent psychiatric hospitalization and services received during Waiver episodes were examined with log-rank test and multivariable Cox survival regression. Higher doses of skill building services (HR: 0.72) and skill building services (HR: 0.87) were associated with a decreased risk of hospitalization. However, crisis response (HR: 1.44) and respite services (HR: 1.23) were associated with an increased risk of hospitalization.

11:00 am - 11:30 am
Esplanade II ~ 30 Minute Paper
Community Based Alternatives to Psychiatric Residential Treatment Facilities (CBA to PRTF) Waiver Demonstration and the Use of Trauma Informed Evidence-Based and Promising Practices: Two Video Projects that Document Nine States’ Journeys to Improve Outcomes for Children and Youth with Emotional Disturbances
Sherry Peters, MSW, Georgetown University Center for Child and Human Development, Washington, DC; Eileen Elias, MEd, JBS International, Inc., North Bethesda, MD

Two video projects, one complete and one longitudinal between 2012 and 2014, captures what nine states have done to implement alternatives to psychiatric residential treatment facility services to serve children and families in community-based settings.  The newest project is focused on documenting through the use of videography, in the words of youth, young adults, families, providers and administrators, how these states are creating or strengthening trauma-informed systems and building capacity for evidenced-based practices.

Session 6

10:00 am - 10:30 am
Esplanade III ~ 30 Minute Paper
Refining a Function Based Assessment and Intervention Model to Decrease Runaway Behavior of Youth in Foster Care
Kimberly Crosland, PhD, Sharon Hodges, PhD, Ruby Joseph, MPA, Kathleen Ferreira, PhD, University of South Florida, Tampa, FL

Children in foster care are twice as likely to exhibit runaway behavior as children of the same age in the general population, are at greater risk for school failure and are vulnerable to innumerable influences and potential victimization. During this presentation, findings will be presented that focus on ways to assess and intervene with youth in foster care who run from placements.  These findings should assist child welfare personnel in implementing best practice strategies.

10:30 am - 11:30 am
Esplanade III ~ 60 Minute Paper
Therapeutic Alliance: A Mechanism Through Which Motivation to Change Impacts Behavioral Outcomes of Youth in Residential Group Care
Matthew Lambert, PhD, Kristin Duppong Hurley, PhD, University of Nebraska-Lincoln, Lincoln, NE; Robert Pick, Ronald Thompson, PhD, Boys Town National Research Institute for Child and Family Studies, NE

There is a body of evidence in the field of mental health which suggests common therapeutic process factors (CTPF) affect youth outcomes. Two linked CTPFs are motivation to change and therapeutic alliance. It is thought that motivation to change sets the stage for the development of therapeutic alliance. The purpose of this presentation is to present a mediation model where the effect of motivation to change on behavioral outcomes is mediated by early therapeutic alliance.

Session 7

10:00 am - 10:30 am
Buccaneer B ~ 30 Minute Paper
A Field-Study Evaluation of the "Voices" Literature and Character Education Program
Jerry Jordan, PhD, University of Cincinnati, Cincinnati, OH

This paper presents preliminary data on an evaluation of an elementary school program designed to facilitate social-emotional learning (SEL) in young children.  The “Voices” program is based on the notion that SEL is best accomplished when character education is integrated into literacy education.  This quasi-experimental evaluation study reports preliminary data on students’ literacy scores and social-emotional abilities.  Emphasis is placed on effective evaluation design and also on teachers’ perceptions of the program.

10:30 am - 11:00 am
Buccaneer B ~ 30 Minute Paper
The Importance of Positive Mental Health in Early Adolescence
Susan Antaramian, PhD, Christopher Newport University, Newport News, VA

Traditionally, the mental health field focuses on psychopathology, and mental health is viewed as the absence of illness.  Alternatively, a dual-factor mental health model incorporates both positive well-being and psychopathology to comprehensively determine overall adjustment.  This paper used such a model to measure mental health in adolescents.  Results indicated the existence of four unique groups with differing mental health, personal resources, and educational functioning.  These findings highlight the importance of positive well-being for overall adjustment.

11:00 am - 11:30 am
Buccaneer B ~ 30 Minute Paper
Accreditation Status and Quality Indicators: A National Perspective on Children’s Mental Healthcare
Madeline Lee, PhD, Alicia McCraw, BA,
Tulane University, New Orleans, LA

Although accreditation is widely used, the evidence-base about its impact on quality of care is lacking. Utilizing the best available national-level data from SAMHSA, and focusing on the largest accreditors of children’s mental healthcare, the study examines relationships between accreditation status and quality indicators. Findings indicate that accreditation could potentially influence quality indicators, such as increased report of implementing QA practices and safety initiatives. These findings set the foundation for research on the accreditation’s impact.

Session 8

10:00 am - 10:30 am
Buccaneer C ~ 30 Minute Paper
Practice, Practice, Practice: Preliminary Findings From an Evidence-Based Practice Funding Initiative at The Peter and Elizabeth C. Tower Foundation
Nicholas Randell, MA/MBA, The Peter and Elizabeth C. Tower Foundation, Getzville, NY

Over five years beginning in 2004, the Tower Foundation awarded 25 multi-year grants for implementation of evidence-based practices, primarily to support counseling programs for troubled youth and their families. Recognizing that evidence-based practice implementations challenge entrenched organizational culture, Tower began, in 2009, an assessment process to measure grantee success in developing capacity to sustain these programs. This paper discusses the Foundation’s overall initiative, details the evaluation process for assessing program sustainability, and shares preliminary findings.

10:30 am - 11:00 am
Buccaneer C ~ 30 Minute Paper
Testing the NIRN Implementation Model and the CFIR Implementation Constructs: Lessons Learned from a Multi-Site Implementation of Motivational Interviewing
Melanie Barwick, PhD, Raluca Barac, PhD, Melissa Kimber, PhD(c), Sabine Johnson, MSc, MA, Hospital for Sick Children, Toronto, Ontario

Implementation of evidence-based practices in mental health care is essential for improving health outcomes. Together, the NIRN model and CFIR constructs provide a comprehensive approach to guide the implementation process, but both frameworks require further empirical investigation.  To this end, we implemented Motivational Interviewing in four child mental health organizations in Canada, using NIRN as a guide and measuring key CFIR constructs. These findings have significant implications for implementation, theory, research and practice.

11:00 am - 11:30 am
Buccaneer C ~ 30 Minute Paper
Are there Disparities in the Implementation of Evidence-Based Practices in Public Youth-Serving Systems?
Antonio Garcia, PhD, University of Pennsylvania, Philadelphia, PA; Lawrence Palinkas, PhD, University of Southern California, Los Angeles, CA; Lonnie Snowden, PhD, University of California-Berkeley, Oakland, CA; Lisa Saidana, PhD, Center for Research to Practice, Eugene, OR

This presentation will discuss the influence of relying on Community Development Teams versus standard implementation strategies to implement Multidimensional Treatment Foster Care. While findings point to no differences in the number of implementation activities completed between high and low minority concentrated areas, multi-group path analyses revealed there are salient differences in which socio-ecological and organizational contextual factors predict completion of activities. Implications for practice innovation and research to improve implementation outcomes will be discussed.

Session 9

10:00 am - 11:30 am
Garrison Suite ~ 90 Minute Symposium
Selected Research Examples of Child and Adolescent Behavioral Health

Improving the Quality of Care for Adolescents in Substance Abuse Treatment
Jennifer Pelt Wisdom, PhD, George Washington University, Washington, D.C.

Adolescent substance abuse is a critical problem, and treatment programs and systems have an opportunity to improve the efficiency and effectiveness of services they deliver. This presentation will (1) identify factors related to the treatment quality for adolescent alcohol and substance abuse disorders;  (2) describe recent research on consumer perspectives about quality of care; and (3) identify methods to address and improve quality of care for adolescents.

Positive Youth Development and Adolescent Behavioral Health
Rita Debate, PhD, Community and Family Health, College of Public Health, University of South Florida, Tampa, FL

Positive youth development (PYD) programs seek to prevent the engagement in health-risk behaviors among youth in addition to increasing confidence in themselves, their future, and their character by building abilities and competencies to thrive in diverse settings. Despite PYD program popularity, limited empirical evidence demonstrating effectiveness of healthy adolescent development exists. This presentation will a) describe the PYD conceptual framework; and, b) present evaluation findings of a sport-based PYD program for 3rd-5th grade girls.

Implementing Evidence-based Practices in Louisiana’s 4th JDC Juvenile Drug Court
Holly Hills, PhD,Department of Mental Health Law and Policy, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL

This presentation will describe the development and implementation of an evidence-based model of care in a Juvenile Drug Court in Monroe, LA. The collaborative process between the community / university, and the court system will be described. The selection of the interventions to be delivered and the outcome variable selection process and data collection methodology will be discussed.

Wednesday Morning Plenary

Presenter: Larke Nahme Huang, PhD, Director, Office of Behavioral Health Equity, Substance Abuse and Mental Health Services Administration, Rockville, MD

Dr. Huang will discuss the impact of a changing health care environment on behavioral health evaluators, researchers, policy-makers and practitioners. With the increasingly difficult economic climate facing our nation, it is imperative that research and policy leaders examine effective approaches to serving children with behavioral health challenges and their families. Now, more than ever, it is critical that we begin a national discussion on funding strategies that support an evidence-based approach to meeting the behavioral health needs of children and families.

About the Presenter

Larke Nahme Huang, PhD, a licensed clinical-community psychologist, is a Senior Advisor in the Administrator’s Office of Policy Planning and Innovation at the Substance Abuse and Mental Health Services Administration (SAMHSA) in the U.S. Department of Health and Human Services. In this position she provides leadership on national policy for mental health and substance use issues for children, adolescents and families and leads the Administrator’s strategic initiative on Trauma and Justice. She is also the Director of SAMHSA’s Office of Behavioral Health Equity which was legislated by the 2010 health reform legislation. In 2009, she did a six months leadership exchange at the Centers for Disease Control and Prevention (CDC) where she was the Senior Advisor on Mental Health.

For the past 26 years, Dr. Huang has worked at the interface of practice, research and policy. She has assumed multiple leadership roles dedicated to improving the lives of children, families and communities. She has been a community mental health practitioner, a faculty member at the University of California, Berkeley and Georgetown University, and a research director at the American Institutes for Research. She has worked with states and communities to build systems of care for children with serious emotional and behavioral disorders. She has developed programs for underserved, culturally and linguistically diverse populations, evaluated community-based programs, and authored books and articles. In 2003, Huang served as an appointed Commissioner on the President’s New Freedom Commission on Mental Health.

Recent publications include: Children of Color: Psychological Interventions with Culturally Diverse Youth; Transforming Mental Health Care for Children and Their Families; The Influence of Race and Ethnicity on Psychiatric Diagnoses and Clinical Characteristics of Children and Adolescents in Children’s Service; and Co-Occurring Disorders of Adolescents in Primary Care: Closing the Gaps.

A Vision for Moving Health Care in the United States Toward a 'Prevention-Based Society' 

Monday, March 5, 2018
8:00 am - 9:45 am - Bayshore Ballroom

Vivek Murthy, MD

Dr. Vivek Murthy served as the 19th Surgeon General of the United States (from December 2014 to April 2017). As The Nation’s Doctor, he brought both passion and innovation to the challenges of leading America’s national healthcare initiatives. Throughout his career, Dr. Murthy has led the way in medical education, social action, and healthcare dialogue. He has co-founded several healthcare community organizations and grassroots citizen movements, including Visions, a peer-to-peer HIV/AIDS education program in India and the United States that reached tens of thousands of students and Swasthya, a community health partnership that trained women in small villages in India to become healthcare providers and educators. He also co-founded TrialNetworks, a software company that developed collaborative technology for accelerating clinical trials, and a nonprofit organization, Doctors for America, that organized physicians in all 50 states to advocate for high quality, affordable health care for all.

  As the Surgeon General, he issued the first Surgeon General’s Report on Substance Use and Addiction, calling the nation to action to address this deadly disease. He launched the national TurnTheTide campaign to address the opioid crisis, and he was the first Surgeon General to issue a letter to health professionals across America calling them to action to reduce opioid addiction and overdose deaths. His final Surgeon General’s Report was on E-cigarettes and Youth and was the first federal report on the topic. As Vice Admiral of the Public Health Commissioned Corps, Dr. Murthy was the youngest active duty flag officer in federal uniformed service.

  Dr. Murthy brings a unique, nonpartisan perspective and deep experience to the debate about healthcare reform. He understands the concerns of all the stakeholders and how the system works — and how it could work better. Dr. Murthy emphasizes emotional wellbeing as the unexpected key to a healthier and stronger America. He talks about the science behind emotional well-being and it’s implications for the addiction crisis in America, chronic disease, community violence, education, creativity, workplace productivity, and educational outcomes.

  Before serving as Surgeon General, Dr. Murthy practiced and taught internal medicine at Brigham and Women’s Hospital and Harvard Medical School. He also has an MBA from Yale.

Equity in Practice, One Child at a Time: Emotional Support in The Lives of Marginalized Young People

Tuesday, March 6, 2018
8:00 am - 9:45 am - Bayshore Ballroom

Dr. Victor Rios

Dr. Victor Rios is a Professor in the Department of Sociology at the University of California, Santa Barbara. His book, Punished: Policing the Lives of Black and Latino Boys (NYU Press 2011), analyzes how juvenile crime policies, punitive policing, and criminalization affect the everyday lives of urban male youth. Professor Rios conducts research on inner-city youth experiences with policing, education, and adversity. His forthcoming book Human Targets: Schools, Police, and The Culture of Control (forthcoming with University of Chicago Press) examines the quality of interactions between gang associated youths and authority figures across institutional settings. He received his Ph.D. at the University of California Berkeley in 2005. Professor Rios has worked with local school districts to develop programs and curricula aimed at improving the quality of interactions between authority figures and youths. Using his personal experience of living on the streets, dropping out of school, and being incarcerated as a juvenile—along with his research findings—he has developed interventions for marginalized youths aimed at promoting personal transformation and civic engagement. These programs have been implemented in Los Angeles, California (Watts); juvenile detention facilities; and alternative high schools. He is also the author of Project GRIT: Generating Resilience to Inspire Transformation (2016); Street Life: Poverty, Gangs, and a Ph.D. (2011); and Buscando Vida, Encontrando Éxito: La Fuerza de La Cultura Latina en la Educación (2016).

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