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COLLABORATING FOR A BRIGHT FUTURE

4 Annual Conference th

July 11-12

Embassy Suites by Hilton Nashville-South/ Cool Springs | Franklin, Tennessee

Announcing the 4th Annual Tennessee System of Care Conference On behalf of the Tennessee Department of Mental Health and Substance Abuse Services and the Tennessee Commission on Children and Youth, we welcome you to the 4th Annual System of Care conference “Collaborating for a Bright Future!” Tennessee has become a national leader in System of Care (SOC) implementation and expansion and this year Tennessee celebrates 17 years of increased collaboration and improvements of the mental health system for children and families statewide through the SOC values and principles. The SOC Conference is an opportunity for participants to further enhance their knowledge about the importance of collaboration as well as hear from other disciplines providing insight into this shared mission. Participants in this two day conference will learn more about collaboration, evidence-based tools for use in practice, and success stories presented by system partners. Children and youth ages 6 and older have a designated track providing opportunities for self-expression through the use of poetry and art. Thank you for celebrating the journey so far in Tennessee and the exciting progress still ahead. The System of Care work in Tennessee exemplifies successful collaboration of families, youth, children, agencies, volunteers, advocates and many others and the future is definitely bright!

E. Douglas Varney Commissioner, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, TN

Sejal Patel West, MA Assistant Commissioner, Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, TN

Linda O’Neal Executive Director, Tennessee Commission on Children and Youth (TCCY), Nashville, TN

Ellyn Wilbur Executive Director, Tennessee Association of Mental Health Organizations (TAMHO), Nashville, TN

Table of Contents Page

Conference Highlights ........................................................

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Agenda at a Glance ............................................................

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Registration, Hotel Reservations, General Information ...

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Session Descriptions ..........................................................

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Speaker Biographical Sketches ..........................................

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Continuing Professional Development .............................

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Resources and Upcoming Trainings ..................................

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Monday, July 11, 2016 8:30 am – 10:00 am

OPENING GENERAL SESSION

CONFERENCE HIGHLIGHTS

PRE-CONFERENCE REMARKS Ellyn Wilbur, Executive Director, Tennessee Association of Mental Health Organizations (TAMHO), Nashville, Tennessee

Keri Virgo, Systems of Care Expansion Project Director, Office of Children and Youth Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee

WELCOME

A LOOK BACK AT SOC

CREATING NURTURING ENVIRONMENTS IN SCHOOLS AS A FOUNDATION OF SYSTEMS OF CARE

Deborah Taylor Tate, Administrative Director, Office of the Courts, Tennessee State Courts, Nashville, Tennessee

WELCOME AND OPENING REMARKS Sejal Patel West, MA | Assistant Commissioner, Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee

Eric Lulow, Public Health Advisor, Substance Abuse and Mental Health Services Administration (SAMHSA), Washington, D.C.

CREATING NURTURING ENVIRONMENTS: COST-EFFECTIVE CARE SYSTEMS IN HOMES, CLASSROOMS, AND COMMUNITIES WITH REAL-TIME RESULTS Dennis D. Embry, PhD, Senior Scientist, PAXIS Institute, Tucson, Arizona

Monday, July 11, 2016 | 11:45 am – 1:15 pm

LUNCHEON CELEBRATING SOC IN TENNESSEE E. Douglas Varney | Commissioner, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee

Pat Conner, Executive Director, Office of Safe and Supportive Schools, Tennessee Department of Education, Nashville,, Tennessee

Dennis D. Embry, PhD, Senior Scientist, PAXIS Institute, Tucson, Arizona

Monday, July 11, 2016 | 3:00 am – 4:30 pm

GENERAL SESSION WELCOME REMARKS Crystal R. Parker, MA, LMSW, Director Children Programs, Tennessee Department of Finance and Administration, Bureau of TennCare, Nashville, Tennessee

COMPREHENSIVE ADOLESCENT MENTAL HEALTH CARE: IT TAKES A COMMUNITY Neerav Desai, MD, Assistant Professor of Pediatrics, Division of Adolescent and Young Adult Health, Vanderbilt University, School of Medicine, Nashville, Tennessee

Tuesday, July 12, 2016 | 11:45 am – 1:15 pm

LUNCHEON | CLOSING GENERAL SESSION WELCOME REMARKS Richard Kennedy, Associate Director, Tennessee Commission on Children and Youth (TCCY), Nashville, Tennessee

WRAP YOUR HEART AROUND IT LynnMarie Link, Grammy Nominated Artist, Storyteller, & Motivational Entertainer, Nashville, Tennessee

CLOSING REMARKS Tuesday, July 12, 2016 | 8:30 am – 10:00 am

GENERAL SESSION PRE-CONFERENCE REMARKS Ellyn Wilbur, Executive Director, Tennessee Association of Mental Health Organizations (TAMHO), Nashville, Tennessee

Keri Virgo, Systems of Care Expansion Project Director, Office of Children and Youth Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee Melissa McGee, Director, Council on Children’s Mental Health, Tennessee Commission on Children and Youth, Nashville, Tennessee

Tennessee System of Care Celebrating 17 years of successful partnerships with children and families in Tennessee.

AGENDA AT A GLANCE DAY 2 | Tuesday July 12, 2016

DAY 1 | Monday July 11, 2016 8:30 am – 5:00 pm Registration | Networking | Refreshments 8:30 am – 10:00 am WELCOME AND OPENING REMARKS OPENING GENERAL SESSION: CREATING NURTURING ENVIRONMENTS: COST-EFFECTIVE CARE SYSTEMS IN HOMES, CLASSROOMS, AND COMMUNITIES WITH REAL TIME RESULTS 10:00 am – 10:15 am Networking | Refreshments 10:15 am – 11:45 am Breakout Sessions

- Early Brain Development - Lessons in TIME -

YOUTH TRACK | Words and Poetry for Your Story

(Part 1 of 2) 11:45 am – 1:15 pm LUNCHEON | CELEBRATING SOC IN TENNESSEE 1:15 pm — 2:45 pm Breakout Sessions

- Question, Persuade, Refer (QPR) - Lessons Learned — A Five Year Journey Into the Use of Mental Health Screenings in Juvenile Court

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8:30 am – 1:15 pm Registration | Networking | Refreshments 8:30 am – 10:00 am

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YOUTH TRACK | Your Heart on Art (Part 1 of 2)

8:30 am – 10:00 am OPENING REMARKS GENERAL SESSION: CREATING NURTURING ENVIRONMENTS IN SCHOOLS AS A FOUNDATION OF SYSTEMS OF CARE 10:00 am – 10:15 am Networking | Refreshments 10:15 am – 11:45 am Breakout Sessions

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YOUTH TRACK | Your Heart on Art (Part 2 of 2)

- Love the Kids, It’s the Parents: How Our Biases Can Affect Quality of Care to Children and Families

- Using Systems of Care to Promote Shameless Environments for Families 11:45 am – 1:15 pm LUNCHEON & CLOSING GENERAL SESSION | WRAP YOUR HEART AROUND IT 1:15 pm — 2:45 pm DAY 2 | Evaluation & CE Request Turn-Ins

YOUTH TRACK | Words and Poetry for Your Story

(Part 2 of 2) 2:45 pm — 3:00 pm Networking | Refreshments 3:00 pm — 4:30 pm Opening Remarks GENERAL SESSION: COMPREHENSIVE ADOLESCENT MENTAL HEALTH CARE: IT TAKES A COMMUNITY 4:30 pm — 5:00 pm DAY 1 | Evaluation & CE Request Turn-Ins

Please refer to the SESSION DESCRIPTIONS listing for session speakers, overviews and learning objectives.

CONFERENCE REGISTRATION Seating is limited to 250 registrants. There is no fee to attend the SOC Conference.

EVENTBRITE IS THE OFFICIAL REGISTRATION SITE FOR THE SOC CONFERENCE http://2016socconference.eventbrite.com Pre-registration is required to guarantee your place at this Conference and to assist in adequately planning ample meals, refreshments, and seating. Registration includes access to all educational segments, refreshments and networking opportunities, lunch, and a certificate of continuing development reflecting contact hours earned.

Embassy Suites by Hilton – Nashville-South Cool Springs 820 Crescent Centre Drive

Pre-registration is strongly encouraged as walk-in registrants will be accommodated on a “space available” basis and cannot be guaranteed access to any portion of the Conference and, thus, may be required to “stand by” until all pre-registered participants are accommodated before

Franklin, Tennessee

being allowed entry to the Conference if seating is available.

615-515-5151

Substitutions are welcomed. Please contact TAMHO at your earliest convenience with notice of cancellations or substitutions.

OVERNIGHT ACCOMMODATIONS A limited block of rooms has been reserved at the

Online registration is available through Eventbrite. Please visit http://2016socconference.eventbrite.com or copy and paste this link into your web/internet browser to access the online registration medium.

Embassy Suites by Hilton Nashville-South Cool Springs for the nights of July 10th and 11th at $159 single/double

ADA ACCOMMODATIONS

per night plus applicable taxes. Reservations must be

If you require ADA accommodations, please contact TAMHO at least two weeks before the conference date so that arrangements can be made.

booked by Friday. June 17th. All reservations must be guaranteed with a major credit card.

Special dietary requirements can be accommodated with advanced notice. Please indicate your needs by marking your requirements on your registration form. Special meal requests cannot be guaranteed without advance notice.

DIRECTIONS From I-65 North - Take the Cool Springs Blvd. Exit (Exit 68 A East). Turn right onto Carothers Pkwy. Turn right on Crescent Centre Dr. Hotel is on

PHOTO/VIDEO RELEASE

the right.

From time to time, TAMHO uses photographs or video capture(s) during

From Nashville International Airport - Take I-40 west towards Memphis to I-440 West towards Memphis to I-65 South towards Huntsville. Exit

events to be used in, but not limited to, publications such as print and electronic newsletters and future event materials.

Cool Springs Blvd. (exit 68). Go east on Cool Springs Blvd. Turn right on

Unless permission is revoked in writing to TAMHO, by virtue of attendance,

Carothers Parkway. Turn right on Crescent Centre Drive.

all conference attendees agree to the use of their likeness in such materials.

HAVE A QUESTION OR NEED ASSISTANCE?

CANCELLATIONS Registrant substitutions are welcome. Please contact TAMHO at your

Contact TAMHO:

earliest convenience with notice of substitutions or cancellations so that

Monday-Friday 8:30am – 5:00pm (Central) 615-244-2220 ext. 14 or toll free in Tennessee at 800-5682642 ext. 14 Email inquiries to [email protected].

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available seats may be reallocated to individuals on the stand-by list.

4TH ANNUAL SYSTEM OF CARE CONFERENCE

SESSION DESCRIPTIONS DAY 1 Monday, July 11th 8:30 am – 10:00 am

OPENING GENERAL SESSION PRE-CONFERENCE REMARKS Ellyn Wilbur, Executive Director, Tennessee Association of Mental Health Organizations (TAMHO), Nashville, Tennessee

WELCOME AND OPENING REMARKS Sejal Patel West, MA | Assistant Commissioner, Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee Eric Lulow, Public Health Advisor, Substance Abuse and Mental Health Services Administration (SAMHSA), Washington, D.C.

CREATING NURTURING ENVIRONMENTS: COSTEFFECTIVE CARE SYSTEMS IN HOMES, CLASSROOMS, AND COMMUNITIES WITH REAL TIME RESULTS Dennis D. Embry, PhD, Senior Scientist, PAXIS Institute, Tucson, Arizona

America has an epidemic of psychiatric, developmental, and behavioral disorders—well documented in the 2009 Institute of Medicine Report on the Prevention of Mental, Emotional, and Behavioral Disorders Among Young People. This epidemic dwarfs the polio epidemic of the 1950s. We cannot treat our way out of the current epidemic with IEP’s, 504 plans, medications, counselors, psychologists, hospitalizations, home visits, assisted outpatient treatment, or incarceration. How bad are the numbers? You be the judge:  40.4 million children out-of-75 million children (0-18) received at least one prescription for psychotropic drugs in 2009.[1]

 The largest single expense for Medicaid for children is for mental health, and it’s rising $1 billion a year.[2, 3]

 Special education costs for school districts and communities were $79 billion and rising in 2012.[4]

We can prevent the epidemic and bend its increasing prevalence rates rapidly using powerful low cost strategies—which are actually in the 2009 IOM report, yet few people know about them. Here are a few examples to be covered in Dr. Embry’s Keynote:  Severe Mental Illness. For example, it’s possible to prevent a significant number of first-episode psychoses for as long as 7 years for approximately $12, and it’s even a consensus recommendation of the American Psychiatric Association; but, chances are providers and advocates don’t know what that is.

 Serious Addictions. Another example involves treating substance abuse that is also epidemic and co-morbid with other psychiatric disorders. That strategy from NIDA is miles better than any community treatment, yet only costs a few hundred dollars, and it something almost any community can deliver.

 Schools/Classrooms: A widely proven, simple environmental exists for teachers and schools that prevents psychiatric disorders, need for special education, criminal justice involvement, addictions, and increases all measures academic success.

 Families: Simple Evidence-Based Kernels (the smallest unit of scientifically proven behavioral influence) can be taught by families-tofamilies with powerful protective benefits. Other community support people can share these tools, as well.

10:15 am – 11:45 am

BREAKOUT SESSIONS Early Brain Development Terri Combs-Orme, MSSW, PhD, Endowed Professor of Neuroscience, College of Social Work, University of Tennessee, Knoxville, Tennessee

Session description not available at press time.

Lessons in TIME Eric Lulow, Public Health Advisor, Substance Abuse and Mental Health Services Administration (SAMHSA), Washington, D.C.

During this session participants will have the opportunity to learn about: 1) the positive and negative impacts of youth engagement in social reform efforts. As youth and young adults engage in in the field of advocacy they can have a dramatic impact on improving policies and ensuring higher quality services. However, they are often also exposed to stimuli that can have a negative impact on their social and emotional wellbeing. This presentation will discuss

Collaborating for a Bright Future

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these issues and their implications on the field. 2) The trauma informed strategies that supportive adults can incorporate to help ensure safe and effective engagement. This section of the presentation will focus on the 4 steps that supportive adult allies can take to be more trauma informed in their engagement processes. The objective is that participants will leave with the tools they will need in order to better engage youth and young adults in systems reform efforts. 3) How an effective engagement process can lead to increased selfefficacy and improved outcomes. Finally the presentation will conclude with the secondary benefits that the model has on the personal growth and development of those advocates engaged through the model. Session Learning Objectives 1.

The positive and negative impacts of your engagement in social reform efforts.

2.

The trauma infored strategies that supportive adults can incorporate to help ensure sage and effective engagement.

3.

How an effective engagement process can lead to increased self-efficacy and improved outcomes.

YOUTH TRACK

Words and Poetry for Your Story (Part 1 of 2) Southern Word, Nashville, Tennessee

A Southern Word poet mentor will lead youth in a workshop that will allow them to re-imagine how they tell their story and give new language and perspective on personal stories which are difficult to share. Session Learning Objectives 1. 2. 3.

Give participants new language to identify and process thoughts, ideas, and feelings. Provide participants with additional confidence and inspiration to represent themselves effectively and tell their story Realize commonalities in a diverse community through creative writing and story telling

A LOOK BACK AT SOC Deborah Taylor Tate, Administrative Director, Office of the Courts, Tennessee State Courts, Nashville, Tennessee 1:15 pm – 2:45 pm

BREAKOUT SESSIONS Question, Persuade, and Refer (QPR) Morenike Murphy, Projector Director for TLC Connect and TARGET Suicide Prevention Grants, Office of Crisis Services and Suicide Prevention, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee

In our society, the stigmatized topic of suicide continues to maintain its status as a taboo subject. This is one of the major reasons why suicide is the second leading cause of death for ages 10-24. In spite of this, it is also one of the most preventable causes of death. The Question, Persuade, and Refer (QPR) curriculum is recognized by Suicide Prevention Research Center (SPRC) as an evidence based practice. In this one hour training you will learn the signs of suicide and three basic principles for helping to save a life from suicide. The training is an interactive presentation incorporating the basic QPR core curriculum, interactive case study, and opportunity for questions and discussion. Informational handouts will be provided to participants for use in both their professional and personal lives. Session Learning Objectives 1.

How to Question, Persuade and Refer someone who may be suicidal

2.

The common causes of suicidal behavior

3.

The warning signs of suicide

4.

How to get help for someone in crisis

Lessons Learned — A Five Year Journey Into the Use of Mental Health Screenings in Juvenile Court

11:45 am – 1:15 pm

LUNCHEON CELEBRATING SOC IN TENNESSEE E. Douglas Varney | Commissioner, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee

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Keri Virgo, Systems of Care Expansion Project Director, Office of Children and Youth Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee

Amy S. Jones, MS, Director of Juvenile Court Services, Madison County Juvenile Court, Jackson, Tennessee

Over the last five years, Madison County Juvenile Court has implemented the CANS (Child and Adolescent Needs and Strengths) instrument and the YASI (Youth

4TH ANNUAL SYSTEM OF CARE CONFERENCE

Assessment and Screening Instrument) into the processing of delinquency cases, both pre and post adjudication. In this session, Mrs. Jones shares with the group the ups and downs of this transformation. Participants will walk away with a realistic picture of the commitment and resources required to successfully make this transition. Session Learning Objectives 1. be able to articulate some of the reasons juvenile courts

2.

The learner should understand the multidisciplinary nature of Adolescent mental health care.

3.

The learner should appreciate the value of communication amongst mental health providers and translate this into patient centered care.

DAY 2 Tuesday, July 12th

may want to explore the use of mental health screenings 2. 3.

be informed of the process of implementation in Madison

8:30 am – 10:00 am

County over the last five years

YOUTH TRACK

understand some of the obstacles to the implementation of

Your Heart on Art (Part 1 of 2)

mental health screenings in Juvenile Court 4.

be able to articulate some of the outcomes of implementation

YOUTH TRACK

Words and Poetry for Your Story (Part 2 of 2) Southern Word, Nashville, Tennessee

Continuation of morning session. 3:00 pm – 4:30 pm

GENERAL SESSION WELCOME Crystal R. Parker, MA< LMSW, Director of Child Programs, Tennessee Department of Finance and Administration, Bureau of TennCare, Nashville, Tennessee

COMPREHENSIVE ADOLESCENT MENTAL HEALTH CARE: IT TAKES A COMMUNITY Neerav Desai, MD, Assistant Professor of Pediatrics, Division of Adolescent and Young Adult Health, Vanderbilt University, School of Medicine, Nashville, Tennessee

This case based learning session will review the components of the Adolescent psychosocial history and how to obtain this information by engendering trust. We will also review the various access points of mental health care for youth and families and spend time emphasizing proper communication for seamless care. This presentation is designed to promote an integrative and holistic model of adolescent mental health care. Session Learning Objectives 1.

The learner should appreciate the components of the adolescent psychosocial review.

Eileen Wallach, LCSW, CGC, Founder/CEO, Your Heart on Art, Nashville, Tennessee If a painting’s worth a thousand words imagine what just a few abstract brushstrokes might say.

What a treat participants will have in store during this session. Through a series of colorful exercises, participants reach deep within their souls to access their creative talents. Colors can convey what we can’t say. The colors we choose to represent our feelings, emotions and memories are as unique as each one of us. Participants create a series of abstract paintings that bring to the surface his or her own story. Each painting reflects its creators unique personal journey.. Session Learning Objectives 1.

Understand how using full spectrum color as a language of expressing feelings works

2.

Understand and articulate how a structured curriculum differs from a free expression art curriculum

3.

Understand how artistic expression is good for our communities and how to utilize them.

4.

Understand the utilization of the creative process through painting can be healing and therapeutic

8:30 am – 10:00 am

GENERAL SESSION PRE-CONFERENCE REMARKS Ellyn Wilbur, Executive Director, Tennessee Association of Mental Health Organizations (TAMHO), Nashville, Tennessee

WELCOME Pat Conner, Executive Director, Office of Safe & Supportive Schools, Tennessee Department of Education, Nashville, Tennessee

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CREATING NURTURING ENVIRONMENTS IN SCHOOLS AS A FOUNDATION OF SYSTEMS OF CARE Dennis D. Embry, PhD, Senior Scientist, PAXIS Institute, Tucson, Arizona

More and more IEPS, 504 plans, and staff meetings cannot turn the curve around for $79 billon dollar expenditure for all the children who need systems of care, nor likely result prevent terrible burden of mental, emotional, and behavioral disorders affecting so many children in America. We can, however, use simple, low-cost evidence-based kernels [5-7] and “behavioral vaccines” [5, 7-9] that create Nurturing Environments [10] that protect children from educational failure, psychiatric disorders, criminality, addictions, disability, and other social ills. Evidence-based kernels and behavioral vaccines are not curricula. Rather, they are simple practices embedded in routines that evoke self-regulation, co-regulation, cooperation, and many indicators of healthy or protective outcomes. These strategies also improve adult wellbeing of the teachers and caregivers. This session reviews several key strategies with multiplelong term evidence that Tennessee teachers and schools can undertake, and have been proven to have powerful measurable benefits with weeks and months such as the PAX Good Behavior Game [11-16], class-wide-peer tutoring , meaningful roles [17], etc.. How and why these low-cost strategies work and how they might be implemented will be discussed. 1. Mathews, A.W., So Young and So Many Pills: More than 25% of Kids and Teens in the U.S. Take Prescriptions on a Regular Basis, in Wall Street Journal. 2010, The News Corporation: New York. 2. Soni, A., The Five Most Costly Children's Conditions, 2006: Esitmates for the U.S. Civilian Non-nsitutionalized Children, Ages 0-17., A. Center for Financing, and Cost Trends, Editor. 2009, Agency for HealthCare Research and Quality: Rockville, MD. 20850. p. 5. 3. Soni, A., The Five Most Costly Children's Conditions, 2011: Estimates for U.S. Civilian Noninstitutionalized Children, Ages 0-17, A.f.H.R.a. Quality, Editor. 2014, Agency for Healthcare Research and Quality: Washington, DC. 4. Aron, L. and P. Loprest, Disability and the Education System Children with Disabilities, 2012. 22(1): p. 97-122. 5. Embry, D.D., Behavioral Vaccines and Evidence-Based Kernels: Nonpharmaceutical Approaches for the Prevention of Mental, Emotional, and Behavioral Disorders. Psychiatric Clinics of North America, 2011. 34(March): p. 134. 6. Embry, D.D. and A. Biglan, Evidence-Based Kernels: Fundamental Units of Behavioral Influence. Clinical Child & Family Psychology Review, 2008. 11(3): p. 75-113. 7. Embry, D.D., Community-Based Prevention Using Simple, Low-Cost, EvidenceBased Kernels and Behavior Vaccines. Journal of Community Psychology, 2004. 32(5): p. 575.

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8. Embry, D.D., The Good Behavior Game: A Best Practice Candidate as a Universal Behavioral Vaccine. Clinical Child & Family Psychology Review, 2002. 5(4): p. 273297. 9. Flannery, D.J., et al., Initial behavior outcomes for the PeaceBuilders universal school-based violence prevention program. Developmental Psychology, 2003. 39 (2): p. 292-308. 10. Biglan, A., et al., The critical role of nurturing environments for promoting human well-being. American Psychologist, 2012. 67(4): p. 257-271. 11. Aos, S., et al. Good Behavior Game, Return on Investment: Evidence-Based Options to Improve Statewide Outcomes. 2013. 8. 12. Weis, R., K.J. Osborne, and E.L. Dean, Effectiveness of a universal, interdependent group contingency program on children's academic achievement: A countywide evaluation. Journal of Applied School Psychology, 2015. 31(3): p. 199-218. 13. Shoemaker, E.Z., et al., The Next Big Thing in Child and Adolescent Psychiatry: Interventions to Prevent and Intervene Early in Psychiatric Illnesses. Psychiatr Clin North Am, 2015. 38(3): p. 475-94. 14. Domitrovich, C.E., et al., Individual and School Organizational Factors that Influence Implementation of the PAX Good Behavior Game Intervention. Prev Sci, 2015. 15. Musci, R.J., et al., Reducing aggression and impulsivity through school-based prevention programs: a gene by intervention interaction. Prev Sci, 2014. 15(6): p. 831-40. 16. Kellam, S.G., et al., The impact of the good behavior game, a universal classroom -based preventive intervention in first and second grades, on high-risk sexual behaviors and drug abuse and dependence disorders into young adulthood. Prevention Science, 2014. 15(Suppl 1): p. S6-S18. 17. Ellis, B.J., et al., The Meaningful Roles Intervention: An Evolutionary Approach to Reducing Bullying and Increasing Prosocial Behavior. Journal of Research on Adolescence, 2015: p. n/a-n/a.

10:15 pm – 11:45 pm

BREAKOUT SESSIONS YOUTH TRACK

Your Heart on Art (Part 2 of 2) Eileen Wallach, LCSW, CGC, Founder/CEO, Your Heart on Art, Nashville, Tennessee

Continuation of morning session.

I Love the Kids, It’s the Parents: How Our Biases Can Affect Quality of Care to Children and Families Nancy Nolan, MEd, NCC, Adjunct Instructor, Counseling and Psychology, Educational Consultant, Vanderbilt University, Nashville, Tennessee

This session will be an exploration of the origins, trends and potential negative effects our hidden biases with emphasis on how those biases can negatively affect our work. Session Learning Objectives 1.

Understand the nature of bias.

2.

Learn strategies for identifying our personal biases.

3.

Learn techniques for checking that our biases are not negatively affecting our work with children and families

4TH ANNUAL SYSTEM OF CARE CONFERENCE

Using Systems of Care to Promote Shameless Environments for Families

11:45 am – 1:15 pm

Conni Wells,PhD, Project Director, Tennessee Statewide Family Network—TN SFN, Roane Mountain, Tennessee Naomi Wells, Family Support Coordinator, Mental Health Transformation Alliance (MHTA), Roane Mountain, Tennessee Monica Causey, State Liaison, Tennessee Statewide Family Network—TN SFN, Nashville, Tennessee

WELCOME

This workshop is a step beyond cultural and linguistic competency; exploring shameless environments as an adaptable approach to support and serve families and their children and youth within the context of their community, cultures, customs, and traditions. As we struggle to facilitate family involvement, this session will provide the background of shameless environments from pre-encounter through exit or transition and how to establish an environment that responds to families and their children and youth, not an environment that requires a response from the families it serves. Utilizing interactive learning, discussion, and networking, participants will explore their own system and develop approaches to improve their competency in establishing an environment that is built upon response to diversity and sound communication principles; shameless for families and their providers and fluid enough to respond to the reality of the unique differences across the state. Session Learning Objectives 1.

Participants will understand the meaning of “shameless environments”

2.

Participants will learn 5 ways to facilitate shameless environments across systems of care

3.

Participants will know how to use a family driven tool to measure and monitor provider and system environments

4.

Participants will recognize the roles of culture, customs, and traditions in shameless environments

LUNCHEON | CLOSING GENERAL SESSION Richard Kennedy, Associate Director, Tennessee Commission on Children and Youth (TCCY), Nashville, Tennessee

WRAP YOUR HEART AROUND IT LynnMarie Link, Grammy Nominated Artist, Storyteller, & Motivational Entertainer, Nashville, Tennessee

LynnMarie will share her personal journey of dealing with dysfunction, depression and Down syndrome to finally arrive at joy and peace. Her energetic spirit and unique delivery will both encourage you and entertain you. Through stories and songs, LynnMarie bravely and honestly reveals her beliefs that; acceptance is the key, there is always hope and if we stay vulnerable and honest together we can collaborate to accomplish amazing things! Session Learning Objectives 1.

Acceptance

2.

Hope

3.

Vulnerability

4.

CLOSING REMARKS Keri Virgo, Systems of Care Expansion Project Director, Office of Children and Youth Mental Health Services, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee Melissa McGee, Director, Council on Children’s Mental Health, Tennessee Commission on Children and Youth, Nashville, Tennessee

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SPEAKER BIOGRAPHICAL SKETCHES Monica Causey | Biographical sketch — not available at press time Pat Conner | Pat Conner is the Executive Director of the Office of Safe & Supportive Schools, Tennessee Department of Education. In her capacity as Executive Director, Pat provides program oversight to Family Resource Centers, Alternative Education, School Climate Initiatives, Safe Schools, and the new school based mental health SAMHSA grant, Project AWARE. Before coming to the Tennessee Department of Education, Ms. Conner was the Director of Safe Schools, Healthy Students for Sumner County Schools for 27 years. Terri Combs-Orme, PhD | Terri Combs-Orme is The Urban Child Institute Endowed Professor of Neuroscience in the College of Social Work, University of Tennessee. She earned her MSSW at the University of Texas at Arlington and her PhD at Washington University in St. Louis. Before joining the University of Tennessee faculty she taught at Louisiana State University, the University of Maryland, and The Johns Hopkins University. She teaches courses in lifespan development and writing critical literature reviews at the BSW, MSSW, and PhD levels. Dr. Combs-Orme’s interests include infant brain development and parenting, and she is a Fellow at The Urban Child Institute in Memphis, TN. She has published numerous articles in social work, public health, and medical journals. Her most recent book, coauthored with John Orme, is Multiple Regression with Discrete Dependent Variables.

Neerav Desai, MD | Dr Neerav (Nick) Desai is an Assistant Professor of Adolescent Medicine at Vanderbilt University in Nashville, TN since 2006. He is board certified in Internal Medicine and Pediatrics and specializes in primary care of adolescents including mental health, sports, eating disorders, and obesity. Dr Desai teaches several courses at Vanderbilt Medical School in the areas of case based learning, Interprofessional collaboration, adolescent health, and global health. Dennis D. Embry, PhD | Dennis D. Embry, Ph.D. is senior scientist at PAXIS Institute in Tucson and a co-investigator at Johns Hopkins Center for Prevention as well as co-investigator with the Promise Neighborhood Research Consortium, the University of Manitoba, University of South Carolina—overseeing 50 major prevention projects in the US and Canada. He is a member of the SAMHSA/CSAP experts group, and a nominee for the President’s Advisory Council on Prevention for Health Care Reform. Current publications emphasize achieving sustainable, costefficient population-wide prevention effects across physical, mental, emotional, and behavioral disorders. He is an emeritus National Research Advisory Council Senior fellow of New Zealand. He has personally created multiple interventions using both cultural wisdom and leading edge science to prevent multiple problems including ATOD. He is one of the few scientists to demonstrate such prevention scientifically across whole states, communities or countries. Dr. Embry has engaged in work with

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First Peoples in New Zealand, the United States and Canada. He uses cultural wisdom and anthropology to inform choices of scientific strategies to better the lives of children, adolescents, families and groups. Many of his projects focus on simple strategies for families. Dr. Embry marries that cultural wisdom with findings from evolutionary sciences, from his association with the National Science Foundation initiative called the EVOS Institute. Growing up in considerable adversity and evaluated as educably mentally retarded, he uses his experiences to inform his work and tell the story of possibility for prevention for all. Amy S. Jones, MS | Biographical sketch — not available at press time Richard Kennedy | Biographical sketch — not available at press time Lynn Marie Link | The definition of talent is, “A natural ability to do something well”, which perfectly describes LynnMarie Rink. However, it seems as if she is one of the lucky ones, born with the natural ability to do many things well. LynnMarie is a five-time Grammy nominated performing artist. Her style of music, played on a unique instrument called a diatonic button accordion, has garnered her worldwide attention, as well as an appearance on The Tonight Show with Jay Leno. She has performed all over the world and collaborated with some of music industry’s most respected artists like Chet Atkins, Dobie Gray and Vince Gill. When she is not performing on stage in front of the cameras, she is working behind the scenes as a television associate director and producer. “I

4TH ANNUAL SYSTEM OF CARE CONFERENCE

work in television to support my music habit,” laughs LynnMarie, but she has made quite a name for herself. Producing and assistant directing such high profile shows as The Academy of Country Music Awards Red Carpet for GAC, live music shows from the Super Bowl for CMT, and a variety of shows for dick clark productions, her day job provides just as much excitement and intrigue as her music career. That leaves her spare time, which she recently spent by writing and starring in her own off-Broadway production of her life story, Wrap Your Heart Around It, produced by Emmy-winning director Paul Miller. She performed the musical dramity, which chronicals her journey to acceptance of her special needs son, in front of sold-out audiences in New York City. United Solo Theatre Festival awarded her “Best New Production” out of onehundred new shows. She followed up that success with a six-week run at the Falcon Theatre in Burbank, about which the LA Times said, “Rink’s unforced warmth and affecting candor amounts to a one-woman love bomb. Perhaps not since Mona Golabek’s The Pianist of Willesden Lane has Los Angeles witnessed so genuinely inspirational a personal memoir. I dare you not to wrap your heart around it.” Her memoir, Wrap Your Heart Around It, was released in March of 2016 on Post Hill Press and is available wherever books are sold. She also blogs weekly about her life with her son and recently one of her stories went viral, reaching 4.4 million people! Currently, LynnMarie can be found sharing her story of hope and encouragement and music as a motivation entertainer and public speaker. LynnMarie lives in Nashville, Tennessee, with her son James who has special needs.

Eric Lulow | Eric Lulow is a foster care alumnus from the states of Michigan and Tennessee who holds a Bachelor’s degree in Social Work from Middle Tennessee State University. Eric began his career as the Youth Leader of the Tennessee Youth Advisory Council and has worked in several youth advocacy positions, including the Youth Engagement Specialist with the National Federation of Families for Children’s Mental Health. He now works as a Public Health Advisor for the Substance Abuse and Mental Health Services, where he serves as a Federal Project Officer for System of Care and Healthy Transitions grants and contracts and provides leadership regarding mental health issues across the country. Eric Is currently enrolled at the University of Baltimore in the college of Public Affairs and is working towards a Master’s in Public Administration. Melissa McGee | Melissa McGee is the Director of the Council on Children’s Mental Health with the Tennessee Commission on Children and Youth. Melissa completed undergraduate and graduate studies in nutrition at The University of Mississippi and The University of Memphis and began her professional career as a Registered Dietitian, however her volunteer work with adolescents created a passion for working with children and youth on a full time basis. After receiving her Master of Arts in Marriage and Family Counseling from New Orleans Baptist Theological Seminary, Melissa has worked with high school students and their families as a therapist and case manager in both a traditional setting and an alternative learning setting for youth with mental health concerns. Melissa's most recent clinical experience was as a therapist in an adolescent residential setting for

several years, counseling primarily high school students with a history of adverse childhood experiences. She is currently working on her Licensed Professional Counselor designation. Morenike Murphy | Morenike Murphy is the Project Director for two federal suicide prevention grants awarded to the State of Tennessee, the Garrett Lee Smith grant and the National Suicide Strategy for Suicide Prevention grant. Since she joined the Office of Crisis Services and Suicide Prevention at the Tennessee Department of Mental Health and Substance Abuse Services, Morenike has been an integral part of her team with several contributions, including providing suicide prevention training for prospective Mandatory Prescreening Agents and other professionals and providing insight to best practices in crisis services, to name a few. Prior to her current position, Morenike served as a Mental Health/ Criminal Justice Liaison for one year and as an Emergency Psychiatric Services Crisis Counselor for nine years at Mental Health Cooperative in Nashville. She is a Licensed Professional Counselor and holds a Master’s Degree in Mental Health Counseling as well as a Master’s Degree in Criminal Justice. In her spare time, Morenike also served for five years as a conservator representative for individuals with mental health or intellectual disabilities with Comcare, Inc. Nancy Nolan, MEd, NCC | In 1984 I came to Nashville (by way of Pittsburgh and Detroit) to complete a masters in counseling at Vanderbilt. Since then I have worked as a counselor, disability services coordinator and educational consultant in Nashville, bought a house, attended 5 churches representing 4 denominations, acquired a husband son and two dogs, completed another masters degree in special education at

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Vanderbilt, learned to ice skate and operate a lawn mower and baked approximately 12,000 cookies. My family and I have been fortunate to meet some wonderful people and have some awesome adventures along the way. Crystal R. Parker, MA, LMSW | Ms. Parker is currently the Director of Child Programs for the Tennessee Department of Health Care Finance & Administration, in the Bureau of TennCare. She worked the previous eleven years with the Department of Children’s Services and has worked in the social service field helping children and families for 17 years. She has vast experience in child welfare administration and served as an Adjunct Professor at Middle Tennessee State University for four years. Crystal graduated from Middle Tennessee State University (MTSU) in 2000 with a Bachelor’s of Arts degree in the double majors of Sociology and English. In 2002, Crystal received her Master’s of Arts in Sociology from MTSU and returned to college at the University of Tennessee Knoxville to earn a Master’s of Science in Social Work in 2014 (with a focus on trauma-informed care). Crystal lives in Nashville and participates in numerous state level steering committees and workgroups focused on improving Tennessee’s child welfare practice. Deborah Taylor Tate | Deborah Taylor Tate is the Administrative Director of the Administrative Office of the Courts. Tate was appointed by the Tennessee Supreme Court in January 2015 to oversee the administrative functions of the state court system. The Administrative Office of the Courts (AOC) is an office of approximately 75 people who provide training, legal education, technical, finance and other support to the trial and appellate judges and courts across the state.

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A former FCC Commissioner, Tate, who was twice nominated by President George W. Bush and unanimously approved by the U.S. Senate to the FCC, began her professional career in Tennessee state government. She served as assistant legal counsel and senior policy advisor to two former Tennessee governors: Don Sundquist and Sen. Lamar Alexander. Tate also served as both Chairman and director of the Tennessee Regulatory Authority, led the health facilities commission and was a director at Vanderbilt University Institute of Public Policy. Tate has remained active at the international level in her role as the first Special Envoy to the International Telecommunications Union and was recognized as a Laureate for her work with child online issues. Nationally, she serves as a director of Healthstream, Inc. (Nasdaq: HSTM); as a distinguished adjunct senior fellow at the Free State Foundation; as well as vice-chairman of the Minority Media Telecommunications Council, a group committed to a more diverse media ecosystem. Tate, a licensed attorney, is a Tennessee Supreme Court Rule 31 Listed Mediator, Nashville Bar Foundation Fellow, and served in private practice representing families and juveniles in juvenile court as a guardian ad litem. She was also president of the Court Appointed Special Advocates (CASA) board. Previously, she coordinated both the Juvenile Justice Commission and the Title 33 Commission, which rewrote the entire mental health law for the state of Tennessee. In 2009, she was introduced before the U.S. Supreme Court in Washington, D.C. Tate has received numerous awards, including an award for Outstanding Public Service from Common Sense Media, the Good Scout Award from

the Boy Scouts of America, the Carol Reilly Award from the New York State Broadcasters Association, the D.C. Policy Leader award from the National Cable and Telecommunications Association, the YW Award from the Academy for Women of Achievement, and the Jerry Duvall Public Service Award from the Phoenix Center for Advanced Public Policy Studies. She received the prestigious Mary Harriman award from the Association of Junior Leagues International (both Martha Ingram and Justice Sandra Day O’Conner are recipients). Tate received both her B.A. and J.D. from the University of TennesseeKnoxville and also studied at Vanderbilt University Law School while working as a law clerk to Governor Alexander. A fifth-generation Tennessee native, Tate is a committed volunteer, giving generously of her time and talent to many, including Common Sense Media, Centerstone of Tennessee, Centerstone Research Institute, The Community Foundation of Middle Tennessee, and Renewal House, an organization she helped found. She serves as an elder at Westminster Presbyterian Church and lives in Nashville with her husband, William H. Tate, who is a partner in the law firm of Howard, Tate, Sowell, Wilson, Leathers & Johnson. They have three adult children. Keri Virgo | Keri Virgo has been in the mental health field for 17 years. She has worked in the nonprofit world and is currently working in state government. Keri has experience ranging from a behavioral health technician to case manager to program manager to administrator. She is currently the System of Care Expansion Project Director for the Office of Children and Youth Mental Health Services at the Department of Mental Health and Substance Abuse Services. She oversees five local sites throughout the state that serve

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children, youth, and their families as well as a statewide infrastructure promoting the System of Care values and principles. In addition, she was a former adjunct faculty teaching courses in criminal justice and research. Keri has a Master's in Public Management with a concentration in Criminal Justice Administration and is currently in the dissertation phase of a PsyD in Organizational Psychology. She has published research in Adolescence journal and was awarded the All American Scholar Award. Eileen Wallach, LCSW, CGC | Eileen Wallach holds a master's degree in clinical social work from the University of Tennessee, Knoxville, and is a licensed social worker and certified grief counselor in Tennessee and Florida . Eileen is a member of the National Association of Social Workers, the American Association of Suicidology, is trained in Trauma Informed Therapy and is a certified facilitator of the Art4Healing® method. Recently, Eileen has earned the honors of:

 Recipient: Collaborative Nonprofit of     

the Year 2016 Governor Appointed TN Suicide Prevention Advisory Council 2016 TN Suicide Prevention Advisory Council Mid-Cumberland Regional Committee Chairperson 2016 TN Suicide Prevention Network Award Recipient 2015 State of Tennessee, Governors Recognition - Suicide Awareness Advocacy, 2015 Metropolitan Government, Nashville, TN, Excellence in Volunteer Engagement 2014-2017

a domestic abuse and violent crime survivor offers others a glimpse into her heart—before and after it began to heal. Empathy and firsthand insight enable her to reach others, engage them in the joy (and rewards!) of art, and help them move past trauma, addiction, loss, illness or pain. Conni Wells, PhD | Biographical sketch — not available at press time Naomi Wells | Biographical sketch — not available at press time Sejal Patel West, MA | Sejal Patel West is the Assistant Commissioner of Mental Health Services for the Tennessee Department of Mental Health and Substance Abuse Services in Nashville Tennessee. Prior to this appointment, she served as the Director of the Behavioral Health Safety Net of Tennessee for TDMHSAS. Ms. West holds an undergraduate degree in Psychology from the University of Virginia and a graduate degree in Counseling Psychology from Trevecca Nazarene University. Ms. West’s experience has been primarily in the community mental health field ranging from direct service to administration with a primary focus on Crisis Services. In her current role, she serves on numerous committees and councils and has a strong commitment to the mental health community, and the State of Tennessee.

With more than 30 years of dedication to the human services field, Eileen Wallach has provided motivation and encouragement to countless people and audiences. Besides her vast education and knowledge in her area of specialty, Eileen’s life experience as

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N O T E S

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Session Time

Session DAY 1 | Monday, July 11th

1.5

8:30 am— 10:00 am

Opening General Session: CREATING NURTURING ENVIRONMENTS: COST-EFFECTIVE CARE SYSTEMS IN HOMES, CLASSROOMS, AND COMMUNITIES WITH REAL-TIME RESULTS Early Brain Development

1.5 each

Breakout Sessions 10:15 am — 11:45 am

Lessons in TIME YOUTH TRACK Words and Poetry for Your Story (Part 1 of 2)

1.0

LUNCHEON—CELEBRATING SOC IN TENNESSEE 11:45 am — 1:15 pm

A LOOK BACK AT SOC Lessons Learned — A Five Year Journey Into the Use of Mental Health Screenings in Juvenile Court

1.5 each

Breakout Sessions 1:15 pm — 2:45 pm

Question, Persuade, and Refer (QPR) YOUTH TRACK Words and Poetry for Your Story (Part 2 of 2)

1.5

3:00 pm — 4:30 pm

General Session — Comprehensive Adolescent Mental Health Care: It Takes a Community

DAY 2 | Tuesday, July 12th 1.5

1.5 each

1.5

8:30am — 10:00 am

Breakout Sessions 10:15 am — 11:45 am

11:45 am — 1:15 pm

General Session : CREATING NURTURING ENVIRONMENTS IN SCHOOLS AS A FOUNDATION OF SYSTEMS OF CARE I Love the Kids, It’s the Parents: How Our Biases Can Affect Quality of Care to Children and Families Using Systems of Care to Promote Shameless Environments for Families YOUTH TRACK Your Heart on Art LUNCHEON | CLOSING GENERAL SESSION — WRAP YOUR HEART AROUND IT

Individual participants are responsible for assessing and determining the appropriateness of session content as relates to their respective certification organizational or licensing board requirements. | Please refer to the Request for Documentation of Continuing Professional Development form provided in your registration packet. A certificate of continuing professional development, reflecting actual contact hours earned by attending sessions offered during this event, will be provided upon request. In order to be awarded these hours, a participant must submit a Request for Documentation of Continuing Professional Development form (located in their registration packet); and, turn in the overall conference and individual session evaluation forms for the sessions attended. There is no cost to obtain a certificate through TAMHO. Complete the request form and drop it off at the TAMHO conference registration desk or by email or facsimile to the TAMHO office (615-254-8331; [email protected]).

DOCUMENTATION OF CONTINUING PROFESSIONAL DEVELOPMENT

Contact Hours Available

Current and former service members may face different health issues than the general public and may be at risk for mental health and substance use disorders. The Veterans Crisis Line connects Veterans in crisis and their families and friends with qualified, caring, Department of Veterans Affairs responders through a confidential tollfree hotline, online chat, or text. Veterans and their loved ones can call 1800-273-8255 and Press 1, chat online [www.veteranscrisisline.net], or send a text message to 838255 to receive

Building Blocks for Infant Mental Health Coping with HIV in Today’s World | How Science is Linking Behavioral Health and HIV

www.tamho.org

42 Rutledge Street Nashville, TN 37210-2043 (615) 244-2220 (800) 568-2642 toll free in TN Fax: (615) 254-8331

These projects are funded under an agreement with the State of Tennessee. | The Tennessee Association of Mental Health Organizations

This project is funded under an agreement with the State of Tennessee. The Tennessee Association of Mental Health Organizations (TAMHO) serves as the grant administrator for this project. Funding for this conference was made possible by the System of Care Expansion Initiative Implementation Grant SM061247 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.