Project ECHO Archive 2020

Archives for Pediatric Mental Health teleECHO Clinics are below. Each clinic starts with a didactic, followed by case presentations. The didactic portion of each clinic is recorded and uploaded to the Billings Clinic Project ECHO VIMEO Channel. Recording the didactics allows those that were not able to attend or those that wish to review the topics access to the presentations. In addition to the recorded videos you will also find the PDF of each didactic presentation. Recordings do not include case presentations, this is to ensure patient’s protected health information and privacy is protected.

Childhood Trauma

Recorded November 11, 2020
Mariela Herrera, MD
This didactic includes discussion about Child Maltreatment, ACE Screening, Long-Term Consequences, Impact of Child Maltreatment, Brain Development, Nature and Nurture, Sequential Development, Activity Dependent, Triggers for Disruption, Human Survival Responses, Epigenetics and Toxic Stress, Clinical Expression, Impact According to Age, Complex PTSD: "Developmental Trauma Disorder", Treatment, Health Outcomes, Factors to Consider, Psychotherapeutic Interventions, Ancillary Therapies, Psychopharmacologic Treatments.

Transgender: Risk Factors and Support, pt. 3 of 3

Recorded October 14, 2020
Kristin Prewitt, DO and Colleen Wood, MD
This didactic includes discussion about Endocrine Society Guidelines, Criteria of Genital Surgery (Two Referrals), Criteria for Metoidioplasty in FtM Patients and for Vagioplasty in MtF Patients, Masculinizing and Feminizing Surgeries, Surgery and Other Procedures, Gender Affirming Clinical Care, Transgender Friendly Concepts for Clinicians, Improving Mental Health-Familial and Societal Support for Children, Mental Health in Socially Transitioned Transgender Youth.

Transgender: Referral Pathways, pt. 2 of 3

Recorded September 26, 2020
Colleen Wood, MD
This didactic includes discussion about Understanding Gender, Terminology, Gender Identity, Gender Affirmatory Language, Gender Nonconformity vs. Gender Dysphoria, Medical Interventions for Transgender Youth, Guidelines/Policy Statements, GnRH Agonists, Gender-affirming hormone therapy, Endocrine Society Guidelines for GnRHa, Medical Risks Associated with Sex Hormone Therapy, Long-Term Effects, Reversible Interventions, Fertility Preservation, Masculinizing Treatment, Feminizing Treatment.

Transgender 101, pt. 1 of 3

Recorded September 9, 2020
Kristin Prewitt, DO
This didactic includes discussion about Terminology: Sex, Gender and Sexual Orientation, Transgender, Nonbinary (NB) Gender Identity, Gender nonconforming vs dysphoria, DSM 5: Gender Dysphoria (adolescent/adult), Pediatric DSM5, Paradigm Shift in Transgender Health, Binary vs Spectrum, Gender Affirmation, Transgender Health Disparities, Mental Health of Transgender Youth, Bullying Victimization, Discrimination and Stigma.

How Montana’s Culture Can Effect Treatment

Recorded August 26, 2020
Ryan Tolleson Knee, PhD
This didactic includes discussion specific to Montana Challenges, Traditional Montana Values and Reinforced Beliefs and Attitudes, Behavior Tendencies as they Relate to Values, Beliefs and Attitudes, Reframing Values-Behaviors, Strengths, and Discussion about these Dynamics as they Relate to Treating and Caring for Montanans.

Substance Use Disorder: SBIRT

Recorded August 12, 2020
Bob Sise, MD, MBA, MPH
This didactic includes discussion on Overview of SUD in United States, Opioid Use Facts, How Do We Engage With Our Patients Regarding Their Substance Use?, SBIRT Pyramid, SAMHSA, Evidence Base for SBIRT, SBIRT Process, Screening: AUDIT, AUDIT-C, DAST, CRAFT, CAGE, Pre-Screening, Brief Intervention, Brief Treatment, Referral to Treatment, Medication Assisted Treatment, Main Takeaways.

The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications

Recorded July 22, 2020
Siera Zimmerman, PharmD, BCPPS
This didactic includes discussion about What is PGx?, Major Categories of Pharmacogenomics, CYP Isoenzymes, Recommendations for Medication Changes, FDA Labeling Information for Pharmacogenomics, Guidelines for Behavioral Health Practice, Identifying Appropriate Patients, Workflow Design for Pharmacogenomic Ordering, SC Referral to Ambulatory or Pediatric Pharmacist, How to Utilize Pharmacogenomic Findings, Evaluating the Report, Sample Report, Limitations, Challenges of PGx Testing, FDA Statement and Warning, References.

Childhood Trauma and Abuse

Recorded July 8, 2020
Cynthia Brewer, DO
This didactic includes discussion about Childhood Trauma, Neglect, Physical Abuse, Sexual Abuse, Child Torture, ACE Study, Approach, CPS and Law Enforcement, Medical, Medical Exams, Mental Health, Group Discussion.

Cultural Awareness: Pediatrics, Psychology, & Montana Native American Tribes

Recorded June 24, 2020
Lanette Perkins, MSN, RN
This didactic includes discussion about Native American diversity, Papoose Rattler Memorial Native American Welcoming Center, Assessment: Cultural Considerations, Physical Assessment, Spirituality & Culture, Native American Family, Physical Violence, Trauma, Socioeconomics, Government, Health Care, Increase Success.

ADHD and Stimulant Medication

Recorded June 10, 2020
Michelle Reinhardt, BA, PharmD, BCPP
This didactic includes discussion about ADHD Pathophysiology, Treatment Guidelines for ADHD, General Differences of Stimulants, Mechanisms of Action, Stimulant Medications, Immediate and Sustained Release Formulations, Long-Acting Methylphenidate Formulations Approved in U.S. for ADHD Chart, Long-Acting Amphetamine Formulations Approved in U.S. for ADHD Chart, Managing Common and Uncommon Side Effects, Serious Adverse Events, Summary and Pearls.

Impact of Shelter in Place/COVID-19 on Family Violence

Recorded May 27, 2020
Nikki Grossberg, Deputy Division Administrator Montana Child and Family Services; Doug Andersen, Program Manager of Family Services at Riverstone Health; and Roxanne Roller, Child Protective Services Supervisor for Yellowstone County Montana Child and Family Services
This didactic includes discussion about Reporting Child Abuse and Neglect, COVID-19 Impact on Families, Practices, Services and Resources, COVID-19 Challenges, Success, Tiers of Engagement, Early Signs and Symptoms, Factors to Watch, Domestic Violence, Other Concerns During Isolation, Answers and Resources.

Digital Play Therapy

Recorded May 13, 2020
Megan Owen, M.Ed, LCPC-S, RPT-S, Clinical Therapist/Registered Play Therapist
This didactic includes discussion on providing therapy via telehealth. Megan discusses location, parent involvement, and therapy aids and ideas.

Helping Parents Connect With Their Children During COVID-19

Recorded April 22, 2020
Sarah Potts, PhD
This didactic includes discussion about Defining Stress and Anxiety, Common Reactions in Toddlers, Elementary-Age Children, and Adolescents, Trauma Informed Care, Supporting Adjustments in Primary Care, Strategies to Give Parents, HealthyCommunication, Increased Engagement, Consistency and Routines, Strategies to Give Adolescents.

Coordinating Treatment with School-Based Mental Health Providers

Recorded February 26, 2020
Carol Ewen, MA, EdS and Ryan Tolleson Knee, PhD
This didactic includes discussion about MTSS vs Traditional Model, Mental Health Skills: Academic Enablers and Social/Emotional, How to Coordinate Treatment Model, and Keys to Successful Integration.

MAPP-Net Overview

Recorded February 12, 2020
Stacy Luke; Kim Hart; and Mary-Ann Bowman, PhD
didactic includes discussion about the MAPP-Net grant. Overview of the Grant, Grant Services, Grant Events, Tour of the MAPP-Net Website, Review of the Needs Assessment.

ADHD vs. Anxiety

Recorded January 22, 2020
Adrienne Coopey, DO
This didactic includes discussion of Overlapping Symptoms, DSM-5, National Comorbidity Studies, ADHD Screening, Stimulant Medication Side Effects, Anxiety Screening, Childhood Traumatic Stress, Risks of ADHD, ACES’s and ADHD, Treating Co-Morbid ADHD & Anxiety.

Screening: Integrating Screening into Primary Care

Recorded January 8, 2020
Adrienne Coopey, DO
This didactic includes discussion of the Why, Who, When, Where and What of screening in primary care. Also includes National Comorbidity Studies and Next Steps.

Authors & Reviewers

Initial publication: July 2018; last update/revision: January 2021
Current Authors and Reviewers:
Author: MAPP-Net Grant Staff