Professional Education

Youth Body Image & Disordered Eating: Tools for the Non-Specialist

The proportion of youth dealing with disordered eating has increased dramatically in recent years, yet access to eating disorder treatment teams can pose a challenge. In this webinar, we will explore practical tools that non-specialists can use to help intervene in primary care settings. This will include a discussion on the different etiologies of restriction and comorbidities in prognosis and management. You will also learn impactful, low-level interventions, as well as behavior modification techniques that parents and caregivers can help implement. We will explore medication management strategies to support appetite, meal-time anxiety, and comorbid conditions. Plus, you’ll hear about ways to stabilize and support youth who require further intervention, while minimizing the need for hospitalization.

Presenter: Nikhil Rao, MD, MSc is a child and adolescent psychiatrist with expertise in eating disorders, autism, obesity medicine, and medical- psychiatric comorbidities.

What sights, sounds, textures, and opportunities for movement are part of your clinic environment? This Oregon Pediatric Society webinar presents opportunities to better support neurodiverse patients, from waiting rooms to the exam table. Learners will:

• Examine how sensory friendly clinics promote care that is more informed by trauma, neurodiversity, and mental health.
• Identify common sensory issues and discuss how to address them.
• Examine best practices for shifting waiting rooms and clinic offices into sensory friendly spaces.
• Review and discuss learners’ favorite routines and strategies for self-regulation, and how these can positively contribute to a sensory safe space.

Presenter: OPS Member Joy Eberhardt De Master, MD, FAAP, is a developmental behavioral pediatrician in Portland, OR.

“More Than Medicine” – Creating Gender Affirming Environments for Gender Diverse Youth

This foundational webinar on gender affirming care is designed to help medical & behavioral health providers:

• Explore context of care & needs of gender diverse youth in Oregon
• Analyze data surrounding gender affirming care
• Reflect on the gender spectrum
• Identify ways to support gender diverse youth & their families in clinic settings

Speakers: Dr. Kara Connelly, MD, Pediatric Endocrinologist & Jess Guerriero, CSWA, MA, Pediatric Social Worker

Want to learn more about infection control, and/or lead an infection control training? Use new training toolkits from CDC’s Project Firstline to help your team recognize infection control risks throughout their workday, so they can take action to protect their patients, themselves, and their co-workers. This on-demand webinar from Oregon Pediatric Society will walk you through the toolkits and answer your questions!

Intended Audience: Practice Managers, Medical Directors, Primary Care Physicians and Providers, and other individuals responsible for employee orientation or safety training

Presenter: Judith Guzman-Cottrill, DO, is a pediatric infectious disease specialist at Oregon Health & Science University. Dr. Guzman-Cottrill is also a consultant for Oregon Health Authority (OHA) and is a member of OHA’s Healthcare-Associated Infections Advisory Committee.

Anxiety 201 expands knowledge related to behavioral health interventions, screen time, complementary alternative care, and medications as they relate to anxiety.

Learning Objectives:

• Introduce Behavioral Health interventions for use in primary care settings
• Increase awareness of and knowledge about both evidence-based and non-evidence based complementary alternative medicine (CAM) treatments used for pediatric anxiety
• Identify which patients might benefit from CAM treatment of their anxiety
• Evaluate the relationship between screen time and anxiety
• Review when to use prescription medications for anxiety
• Review most common medications and dosing

Trainers: OPS Members Sherri Alderman, MD, MPH, IME-E, and Ken Carlson, MD, FAAP.

See the Anxiety 201 pediatric anxiety resource list.

Anxiety 101 is designed to help learners identify upstream interventions to anxiety and recognize anxiety across the pediatric lifespan.

Learning Objectives:

• Consider the role of infant and early childhood mental health, including early relational health, as upstream
  promotion of mental health and early intervention to anxiety
• Review subtypes of anxiety
• Discuss how anxiety presents in the pediatric lifespan from prenatal to teens
• Identify appropriate anxiety screening tools

Trainers: OPS Members Sherri Alderman, MD, MPH, IME-E, FAAP, and Ken Carlson, MD, FAAP.

See the Anxiety 101 pediatric anxiety resource list.

• Revising the financing versus the delivery system of care
• Private provider care in single-insurance systems
• The Primary Care Trust model
• Employer responsibilities and concerns regarding healthcare for employees

COVID-20: A Psychological Crisis

The spread of COVID-19 has disrupted ecological systems in which children develop, exacerbating threats to their safety and increasing their vulnerability to future psychopathology. This webinar will cover the impact of the pandemic on the psyche of our youth and their families, as well as ways to help them heal in a family context. Medical providers will also learn to apply self-care tools for the sake of their own wellness during the pandemic.

Target audience: Primary care providers who see pediatric patients , clinic supervisors, nurses, social workers, health educators, counselors, psychologists, behavioralists, and staff.

Objectives:

Upon completion of this webinar, learners will be able to:

1. Describe the psycho-social impact of the COVID-19 pandemic on children and their caregivers.
2. Employ a model of care designed to help traumatized families.
3. Apply tools for self-care while caring for others during the pandemic.

Presenter: Omar Reda, MD, is a board-certified psychiatrist and Harvard-trained trauma expert. He is the founder of Untangled, a model of care for trauma survivors. Dr. Reda is heavily involved in trauma-informed care and the use of dialogue to combat hate, and he frequents refugee camps to give vulnerable populations a voice and platform for hope and healing.

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SBIRT in Telemedicine with Adolescent Patients

SBIRT (Screening, Brief Intervention, Referral to Treatment) represents an innovative, evidence-based approach to addressing substance use with adolescent medical patients. Its core components include:

• Regular and universal screening in the medical setting, regardless of medical complaint.
• Universal and routine use of validated screening tools.
• Consideration of substance use as a continuum rather than a dichotomous “addicted versus not addicted” judgment.
• Use of patient-centered change talk versus directive, prescriptive talk.
• Facilitating smooth, bidirectional transitions between primary care and specialty addiction treatment.

In response to the COVID-19 pandemic, providers have dramatically increased their use of telemedicine to care for patients. The SBIRT model, meanwhile, has been traditionally implemented in pediatric settings as an in-person workflow that relies on paper-based screening tools. This presentation will explore how clinicians can screen adolescent patients for substance use, receive reimbursement, and perform brief interventions via video conferencing.

Learning Objectives:

• Recognize the importance of screening adolescents for substance use
• Screen patients for substance use via telemedicine
• Perform brief interventions with patients via telemedicine

Target Audience: Pediatricians, child health providers, clinic supervisors, nurses, social workers, behavioral health workers, and clinic staff

Presenter: Jim Winkle, MPH, has trained hundreds of physicians and clinic team members how to sustainably implement SBIRT workflows into primary care and emergency room settings. As the creator behind the sbirtoregon.org website, Jim has designed clinic tools, screening forms, and video demonstrations that have been widely adopted by health professionals around the country.

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Youth Suicide Prevention in Telemedicine

On-Demand

With added stress on families during COVID-19, behavioral health for youth is a pressing concern. Oregon Pediatric Society presents a webinar geared toward empowering primary care providers to manage potentially suicidal patients through telemedicine and warm handoffs.

Presenters will discuss the use of the Ask Suicide Questions (asQ) screening tool and appropriate responses for positive screenings. Participants will be provided with interventions, tools for warm handoffs to behavioral health providers, and information about appropriate referrals to emergency departments during the COVID-19 pandemic.

Target audience: Primary care providers who see pediatric patients , clinic supervisors, nurses, social workers, health educators, counselors, psychologists, behavioralists, and staff.

Objectives:

1. Define youth suicide risk factors

2. Perform a suicide risk screen in a telehealth context

3. Indentify three possible responses to positive suicide risk screens

4. Develop steps for warm handoffs to appropriate care

Presenters: This live stream event will feature child psychiatrists Kyle Johnson, MD, and Rebecca Marshall, MD, as well as Morgan Leets with Lines for Life.

Staying Resilient in the Face of Prolonged Adversity

Using research from the field of interpersonal neurobiology, this short webinar provides concrete knowledge and tools to promote health during periods of overwhelm and toxic stress related to the COVID19 pandemic. How does exposure to toxic stress affect our bodies, minds, and spirit? How does it impact the quality of our decision-making? What knowledge and skills do we need to sustain our energy, focus, and compassion in order to deliver quality care? The webinar emphasizes increasing self-awareness and use of science-based mindfulness practices.

Objectives:

• Describe the way the autonomic nervous system works and ways learners can influence it to facilitate balance and health in the face of the pandemic’s prolonged adversity.

• Understand the ways toxic stress affects our bodies, minds, and spirits and thus the quality of the care we provide to clients.

• Identify and interrupt the self-protective defenses that interfere with harmonious team and family relationships.

• Integrate mindful habits into daily work to bolster health and resilience in the face of toxic stress.

Target Audience: Pediatricians, child health providers, clinic supervisors, nurses, social workers, behavioral health workers, and clinic staff

Presenter: For over thirty years, Wayne Scott, MA, LCSW, has worked as a family therapist, teacher, clinical supervisor, and mental health and addictions program manager in outpatient, residential, and hospital settings in Chicago, Washington, D.C., and Portland. Currently, he teaches in the School of Social Work at Portland State University and maintains a private practice in Portland, OR. He has provided direct practice to high-risk clients as well as clinical supervision to practitioners in non-profit and healthcare settings.

Please join Oregon Pediatric Society for this free, on-demand webinar to hear the latest research regarding brain development related to screen time, as well as guidance for integrating this information into clinical practice. Upon completion of this activity, participants should be better able to:

Target Audience: Pediatricians, child health providers, clinic supervisors, nurses, social workers, health educators, counselors, psychologists, behavioral health workers, and clinic staff

Presenter: Rebecca Hicks, MD, FAAP, IBCLC. Dr. Hicks completed her medical internship and residency training at Stanford University. She practiced pediatrics in the San Francisco Bay area for nine years prior to moving to Central Oregon with her husband and three young children. Dr. Hicks works as a pediatrician at Mosaic Medical in Bend. “Living and working in Silicon Valley fueled my passion for informing parents of the risks of excessive screen time for children. I strive to help children have balance, allowing them to benefit and learn from
technology without letting it take over their lives.”

This one-hour session is led by Susan Keys, PhD, and Laura Pennavaria, MD. The content is meant to:

• Educate providers on rural firearm culture
• Teach providers how to communicate with patients at risk of suicide and with family members about firearm safety and safety planning
• Build provider awareness of community resources

Due to strained resources and time, there is a gap in pediatric and adolescent patients being seen by behavior health specialists, including child psychiatrists. The goal of this webinar is to better train pediatric and adolescent primary care providers to recognize the signs of early psychosis and provide early intervention and referral.

This one-hour webinar, led by Craigan Usher, MD, aims to give viewers:

• A better overall understanding of psychosis
• The ability to recognize the risk factors for developing psychosis/schizophrenia
• Stronger knowledge of the different phases of psychosis and how people’s needs are best addressed during each phase
• Increased awareness of resources for patients experiencing psychosis

Ken Carlson, MD, leads this one-hour webinar. As a result of participating in this activity:

• Learners will better understand some best practices and challenges that clinics, hospitals, school-based health centers, and community resources have in addressing gender variant patients
• Learners will have strategies for developing or building communicating skills when interacting with gender variant patients
• Learners will have relevant resources for working with gender variant patients.

The webinar, led by R.J. Gillespie, MD, MHPE, is designed to:

• Emphasize the importance of screening
• Enhance provider understanding, utilization, and implementation of standardized screening tools
• Educate providers on proper documentation, coding, and billing of screening tools
• Build provider awareness of local community resources for evaluation and intervention