22nd Annual Psychiatric-Mental Health Update
- 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
Registration includes continental breakfast, hosted luncheon, two breaks, syllabus, CE credit.
Regular registration postmarked after Oct. 17
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.
- Staff nurses
- Clinical nurse specialists
- Nurse practitioners
- Nurse educators
- Nurse managers
- Social workers
- Nursing home administrators
- Other interested individuals
Welcome and introductions
- Shirley J. Farrah,
PhD, RN-BC, Assistant Dean, Nursing Outreach and Associate Teaching Professor, MU Sinclair School of Nursing
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.
- Describe the current assessment for diagnosing personality disorders.
- Discuss the conversion to a single axis system for DSM-5.
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.
- Discuss the diagnostic criteria for personality disorders.
- Examine developmentally based strategies to assess and promote adaptive communication and behaviors with children.
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.
- Discuss the diagnostic criteria for Antisocial Personality Disorder.
- Compare proactive and reactive treatment modalities with psychotherapeutic engagement in the treatment of this population.
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.
- 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.
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.
- 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.
- 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
- 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.
S266 School of Nursing Building
Columbia, MO 65211-4120
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.
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.
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.
- 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