Nursing Outreach, University of Missouri

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22nd Annual Psychiatric-Mental Health Update

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CE participation can make a difference

These are just a few of the practice-related changes participants intended to make after attending the 2013 Psych/Mental Health Update Conference!

  • Medication information will be used to provide safer care for my patients. The more knowledge I have, the better I can care for my patients.
  • The decrease in cognitive functioning in schizophrenia, especially when trying to problem solve, was very enlightening to me- helps me to understand their response better in the inpatient environment. I will share this with my staff.
  • In this busy industry I will take extra time to learn about someone’s story before formulating a diagnosis or prescribing a medication.
  • The biggest thing I plan on taking with me and implementing is the shared patient-practitioner decision making model of respect by providing education and understanding the patient goals.


We gratefully acknowledge the cooperation of the following groups in providing speakers or CE credit for this educational program

  • Burrell Behavioral Health, Springfield
  • Missouri Substance Abuse Counselors’ Certification Board
  • MU School of Social Work


A conference syllabus will not be provided. All participants are asked to print or save their own handouts. No handouts will be provided on site. A link to the handouts will be e-mailed to each paid registrant one week prior to the conference. MU Nursing Outreach only provides the link to handouts to paid registrants of this conference. Accordingly, please do not share this link. If someone needs the link, they should call our office at 573-882-0215.

We ask all speakers to submit handouts. If there are no handouts posted, that means the speaker did not submit them by the due date. If we receive handouts after the due date, they will be posted as we get them. You may want to check for any handouts that are currently missing, prior to the conference. Some speakers bring handouts on the day of the event. Handouts will remain up at least two weeks after the event.

Group discount

If you have three or more people registering from your organization please call our office, 573-882-0215, for group discount information.

CE certificates

A certificate of completion is provided to all conference participants who are paid in full and complete the conference evaluation form. If you are not paid in full, your CE credit will be awarded upon payment in full.

Lost certificates may be replaced with a written request to the Nursing Outreach office for a fee of $10 per certificate. We will need your name (exact same name that you used for registering) and the date and title of the conference you attended.

Registration cancellation and substitution

We understand that circumstances may arise that require you to cancel or send a substitute. If you cancel your attendance five or more business days before the conference, your registration fee will be refunded, less a $25 processing fee. You may send a substitute at any time. Please notify the Nursing Outreach office of any registration changes prior to the conference to facilitate the check-in process.

Please note that upon submitting your registration, you are responsible for paying the full registration fee, whether or not you actually attend the conference, unless your registration is canceled at least five business days prior to the conference. All cancellation notices must be in writing; e-mail notification is acceptable.


If you register without paying, you are responsible for payment whether or not you attend the conference unless you cancel at least five business days before the conference.

Program changes and cancellations

Nursing Outreach reserves the right to make changes in content and speakers, or to cancel programs if enrollment criteria are not met or when conditions beyond our control prevail. Every effort will be made to contact each enrollee if a program is cancelled. In the event of cancellation, registration fees are automatically refunded in full. You will be notified one week prior to the activity date, and a full refund will be sent to you. The University of Missouri-Columbia will not be responsible for any losses incurred by registrants including, but not limited to, airline cancellation charges or hotel deposits.

Commercial support

When commercial support is received for an educational activity, the conference planning committee maintains complete control over the selection of content and speakers. Acceptance of commercial support does not imply approval or endorsement of any product.


Taping by attendees is not allowed at any educational activities sponsored by Nursing Outreach.

Tax deduction

Your expenditure for this activity may qualify you for a Lifetime Learning federal tax credit. Tax deduction information regarding continuing education expenses is available from the IRS or tax advisors (Treasury Regulation 1.162.5).


  • Participants are asked to set their cellphones on vibrate or silent and to exit the meeting room for all calls.
  • Please bring a sweater or jacket due to variations in temperature and personal preferences.
  • MU complies with the guidelines set forth in the Americans with Disabilities Act of 1990. If you have special needs as addressed by the ADA and need special assistance with this or any portion of the learning process, please notify us as soon as possible. Reasonable efforts will be made to accommodate your needs.
  • Please contact the Nursing Outreach Office at or 573-882-0215, if you need special dietary considerations.
  • See what Columbia has to offer


  • Peachtree Catering and Banquet Center
  • The conference will be held at the Peachtree Catering and Banquet Center Ballroom, 120 E. Nifong, Suite D, Columbia, MO, 65205. Should you need to be reached during the activity, the phone number is 573-875-6608.
  • Map and directions


  • Nov.7

Conference cost

Registration includes continental breakfast, hosted luncheon, two breaks, syllabus, CE credit.

  • $159
    Regular registration postmarked after Oct. 17
  • $169
    On-site registration
  • $89
    Student rate


Provide a forum for mental health professionals to increase their evidence-based knowledge and competence in caring for individuals with mental illnesses. The focus is team-based and multidisciplinary including both acute and community-based settings. The topics for this year’s Update are in response to suggestions from last year’s participants, and input from the organizing committee which represents a diverse group of mental health practitioners, educators and state agency professionals.

Target audience

  • Staff nurses
  • Clinical nurse specialists
  • Nurse practitioners
  • Nurse educators
  • Nurse managers
  • Social workers
  • Psychologists
  • Counselors
  • Nursing home administrators
  • Other interested individuals


7:30 a.m.

  • Continental breakfast

8:15 a.m.
Welcome and introductions

  • Shirley J. Farrah,
    PhD, RN-BC, Assistant Dean, Nursing Outreach and Associate Teaching Professor, MU Sinclair School of Nursing

8:30 a.m.
Personality Disorders and the DSM-5: The Changing Landscape (10 min. Rx)


  • Paul Thomas Clements, PhD, APRN-BC, CGS, DF-IAFN, associate clinical professor, Drexel University, Philadelphia, Pennsylvania; coordinator Contemporary Trends in Forensic Healthcare Certificate Program; certified gang specialist; certified danger assessment; inducted distinguished fellow, International Association of Forensic Nurses


  • During the development process of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), it was decided to move from the long-standing multiaxial system to a new assessment that removes the arbitrary boundaries between personality disorders and other mental disorders. Given that there is no fundamental difference between disorders described on DSM-IV’s Axis I and Axis II, DSM-5 has shifted to a single axis system. This system combines the first three axes outlined in past editions of DSM into one axis with all mental and other medical diagnoses. Doing so removes artificial distinctions among conditions, benefitting both clinical practice and research use.
  • Objectives
    • Describe the current assessment for diagnosing personality disorders.
    • Discuss the conversion to a single axis system for DSM-5.

9:30 a.m.
Stretch break

9:40 a.m.
Precursors to Personality Disorders: Are there Clues in Childhood?

  • Paul Clements
  • There are many potential contributing causes for development of personality disorders. Research has not narrowed down the cause to any specific combination of factors at this time; however, what is known, is that these disorders will most often manifest themselves during increased times of stress and interpersonal difficulties in one’s life. Prevention efforts should focus on assessment and enhancement of coping mechanisms and interpersonal skills throughout the developmental stages of childhood.
  • Objectives
    • Discuss the diagnostic criteria for personality disorders.
    • Examine developmentally based strategies to assess and promote adaptive communication and behaviors with children.

10:40 a.m.
Beverage break

10:50 a.m.
The Wolf in Sheep’s Clothing: Working with People with Psychopathy

  • Paul Clements
  • There are many levels of frustration when working with clients diagnosed with Anti-Social Personality Disorder. Most often these frustrations are manifest as anger or attempts at “controlling” a seemingly otherwise “out of control” client, or as anxiety and apprehension, leading to significant avoidance or confrontation. These responses often result in counter-productive outcomes. Examining the foundational underpinnings and related behaviors can target hardened clinicians who encounter clients with this diagnosis to maximize psychotherapeutic engagement.
  • Objectives
    • Discuss the diagnostic criteria for Antisocial Personality Disorder.
    • Compare proactive and reactive treatment modalities with psychotherapeutic engagement in the treatment of this population.

11:50 a.m.
Hosted luncheon

12:45 p.m.
The Implications of the Affordable Care Act for Behavioral Health

  • Joe Parks, MD, Director, Missouri HealthNet Division, Missouri Department of Social Services, Jefferson City
  • The literature indicates that people suffering from mental illnesses have received fragmented, and often inferior, health care throughout the years. The Affordable Care Act (ACA) offers the opportunity for this group of people to obtain integrated and more comprehensive care through modalities such as health homes and collaborative care models. This law prohibits companies from denying coverage for pre-existing conditions which will have far reaching implications for those with mental illnesses. The ACA also affords an opportunity for the behavioral health field to test and improve care including management of chronic disease co-morbidities, substance abuse treatment and home/community care models. Dr. Parks will provide an expert’s perspective of the impact of the ACA on mental health care in Missouri.
  • Objectives
    • Discuss the ways in which the ACA will improve healthcare for persons with mental illness.
    • Describe implications of the ACA for mental health providers in their own practice settings.

2:15 p.m.
Beverage break

2:30 p.m.
Breakout sessions (Breakout session A is approved for APA CE)

You will choose either Breakout Session A or B. Session A is for the full 90”. Session B is divided into 2 parts, each being 45”.

  • A. Old and New Antipsychotics: Things You Should Know for Treating Schizophrenia (90”, Rx)
    • Greg Deardorff, PharmD, BCPP, clinical manager, Fulton State Hospital
    • This session will include a discussion of the characteristics of 1st generation antipsychotics in comparison to newer 2nd generation antipsychotics and include strategies for the management of Extrapyramidal Symptoms (EPS). A discussion of appropriate antipsychotic selection will be included.
    • Objectives
      • Examine the pathophysiology of schizophrenia.
        • Describe pharmacological characteristics of 1st and 2nd generation antipsychotics.
        • Discuss strategies for managing EPS.
        • Discuss guidelines for selection of antipsychotics.
  • B. Part I: Assaulted Staff Action Program (ASAP) at Fulton State Hospital (45”)
    • Anna Luebbert, LCSW, Guhleman Intermediate Security Unit director and team leader of the Assaulted Staff Action Program and Marc Maddox, PhD, psychology director, forensic coordinator, and co-leader of the Assaulted Staff Action Program, Fulton State Hospital
    • ASAP is a voluntary, system-wide, peer-help, crisis intervention program to address the psychological sequelae of patient assaults on staff at Fulton State Hospital. ASAP is based on the philosophy that violence does not “come with the turf,” that staff may experience trauma as a result of assaults, that staff victims are worthy of compassionate care, that it is easier to discuss the incident with peers at the same risk, and that talking about the event may result in less human suffering and better coping in the short-term and avoid longer lasting disruptions, including PTSD. ASAP takes care of its’ own and works toward creating communities of compassion. The program was implemented at Fulton State Hospital in September of 2013.
    • Objectives
      • Examine staff trauma and acknowledge how violence in the work environment causes trauma.
      • Develop, implement, and support practices at work that address the impact of trauma on staff.
  • B. Part II: Recruitment/Retention Issues (45”)
    • There exists in the United States a critical shortage of registered nurses. Research tells us that job satisfaction is a crucial element in attracting and retaining staff. This session will look at ideas about how to recruit staff and integrate new graduate nurses into mental health staffing patterns, along with creative ways to retain staff and provide safe patient care.
    • The new graduate nurse in Mental Health Sheri Beezley, BSN, RN, senior nurse, Division of Developmental Disabilities,Missouri Department of Mental Health, St. Louis.
    • Ideas for a Positive Work Environment, Terra Buzzanga, MSN, RN, chief nurse executive, St. Louis Rehabilitation, St. Louis
    • Objectives
      • Discuss ways to recruit new graduate nurses and provide engagement in mental health nursing.
      • Describe ways to build and maintain a healthy work environment where staff thrive and patients benefit.

4 p.m.


  • Online
    Register online
  • Mail
    Nursing Outreach
    S266 School of Nursing Building
    Columbia, MO 65211-4120
  • Fax


Stoney Creek Inn
A block of rooms at the special rate of $93 has been reserved for the evening of Nov. 6 until Oct. 24 at the Stoney Creek Inn, located at 2601 S. Providence Road, Columbia, Mo., 65203. After this date, rooms will be on a space available basis only. To make reservations, please call 573-442-6400. The hotel is located just off Providence Road, 1.5 miles north of the Peachtree Banquet Center where the conference will be held. Be sure to ask for the MU NURSING CONFERENCE room block. Participants are responsible for making their own reservations and guaranteeing reservations with a credit card.


  • Nursing
    The University of Missouri Sinclair School of Nursing is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center‘s Commission on Accreditation. Up to 6.0 contact hours will be awarded to all individuals who attend, complete the evaluation form, and are paid in full. MONA Provider Approval Number 716-VII. This approval is reciprocal in all states and for all specialty organizations that recognize the ANCC approval process. 1.66 Rx hours provided.
  • Social work
    0.60 CEUs (6.25 contact hours) has been applied for from the University of Missouri-Columbia, School of Social Work.
  • Psychologists
    6.0 CE Units (6.0 clock hours) The program is co-sponsored by Burrell Behavioral Health and the MU Sinclair School of Nursing. Burrell is approved by the American Psychological Association to offer continuing education for psychologists. Burrell maintains responsibility for the program and its contents. Additional $5 fee will be assessed for your CE certificate. This program has been approved for up to 6.0 credits. (Breakout session A is approved for APA CE)
  • Nursing home administrators
    Clock hours have been applied for from the Missouri Board of Nursing Home Administrators. TA-073-915.

Planning committee

  • Andrew Atkinson, MHA, MHS-HIA, BSN, RN, hospital operations specialist, Division of Comprehensive Psychiatric Services, Missouri Department of Mental Health, Jefferson City
  • Sheri Beezley, BSN, RN, senior nurse, Division of Developmental Disabilities, Missouri Department of Mental Health; former forensic psychiatric medical clinic charge nurse, St. Louis
  • Shirley J. Farrah, PhD, RN-BC, assistant dean, Nursing Outreach; associate teaching professor, Sinclair School of Nursing, University of Missouri, Columbia
  • Annette McDonald, MS(N), MHCNS, clinical nurse specialist, Department of Psychiatry, School of Medicine, University of Missouri, Columbia
  • Denise Mills, director of corporate services, Burrell Behavioral Health, Springfield
  • Kathleen O’Neill, MSW, Missouri Psychiatric Center, Columbia
  • Veneta Raboin, MS(N), RN, PMHCNS, clinical nurse specialist, Behavior Health, Harry S Truman Memorial Veterans Hospital, Columbia
  • Martha Sanderford-Smith, MA in counseling, MSN, RN, adjunct faculty, University of Central Missouri, Warrensburg
  • Kellie L. Shuck, MSN, PMHNP-CNS, BC, health care home director, ReDiscover, Lee’s Summit
  • Marla Smith, MS, RN, director clinical operations/director of nursing, Missouri Psychiatric Center, Columbia
  • Cynthia Stephens, MSN, RN, clinical instructor, Nursing Outreach, MU Sinclair School of Nursing, Columbia
  • Kim Stock, BSN, RN, CDDN, director of quality enhancement, Division of Developmental Disabilities, Missouri Department of Mental Health, Jefferson City
  • Paul Thomlinson, PhD, vice president research and quality assurance, Burrell Behavioral Health, Springfield
  • Margaret Yoest, MS(N), PMH, CNS-BC, adult psychiatric-mental health clinical nurse specialist, Green Meadows Clinic, MU Health Care, Columbia