Project ECHO Recording & Material Archives
Each Pediatric Mental Health Project ECHO 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. Recordings do not include case presentations to ensure patients’ protected health information and privacy is protected. In addition to the recorded videos, you will also find the PDF for each didactic presentation. Please note CME is not available for the recorded sessions, only for live attendance.
Clinic Archives
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January 13, 2021
This didactic includes discussion about Cannabis Sativa, Hemp, The Endocannabinoid System, Cannabidiol, General Cannabinoid Pharmacology, CNS Pharmacology, GI Pharmacology, Liver Pharmacology, Cardiovascular System, Other Risks/Unknowns, History, Evidence for Approved Indications, Marijuana Legalization Leads to More Problematic Use, Marketing.
THC Series- Part 1
Presenter: Mariela Herrera, MD
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November 11, 2020
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,
Childhood Trauma
Presenter: Mariela Herrera MD
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October 28, 2020
Presenter: Tammy Tolleson Knee
IEP/504 Plan
View Recording -
October 14, 2020
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: Risk Factor and Support pt. 3 of 3
Presenter: Kristin Prewitt, DO and Colleen Wood, MD
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September 23, 2020
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: Referral Pathway pt. 2 of 3
Presenter: Colleen Wood, MD
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September 9, 2020
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,
Transgender 101, pt. 1 of 3
Presenter: Kristen Prewitt, DO
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August 26, 2020
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.
How Montana’s Culture Can Effect Treatment
Presenter: Ryan Tolleson Knee, PhD
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August 12, 2020
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
Substance Use Disorder: SBIRT
Presenter: Robert Sise MD, MBA, MPH
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July 22, 2020
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
The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications
Presenter: Siera Zimmerman, PharmD, BCPPS
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July 8, 2020
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
Childhood Trauma and Abuse
Presenter: Cynthia Brewer, MD
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June 24, 2020
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
Cultural Awareness: Pediatrics, Psychology & Montana Native American Tribes
Presenter: Lanette Perkins, MSN, RN
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June 10, 2020
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
ADHD and Stimulant Medication
Presenter: Michelle Reinhardt, BA, PharmD, BCPP
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May 27, 2020
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.
Impacts of Shelter in Place/COVID-19 on Family Violence
Presenter: Nikki Grossberg-Deputy Division Administrator, Doug Andersen-Program Manager of Family Services at Riverstone Health, Roxanne Roller-Child Protective Services Supervisor for Yellowstone County
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May 13, 2020
This didactic includes discussion on providing therapy via telehealth. Megan discusses location, parent involvement, and therapy aids and ideas.
Digital Play Therapy
Presenter: Megan Owen, M.Ed, LCPC-S, RPT-S, Clinical Therapist/Registered Play Therapist
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April 22, 2020
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, Healthy Communication, Increased Engagement, Consistency and Routines, Strategies to Give Adolescents
Helping Parents Connect With Their Children During COVID-19
Presenter: Sarah Potts, PhD, Clinical Psychologist
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February 26, 2020
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
Coordinating Treatment with School-Based Mental Health Providers
Presenter: Carol Ewan, MA, EdS and Ryan Tolleson Knee, PhD
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February 12, 2020
This 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
MAPP-Net (Montana Access to Pediatric Psychiatry)
Presenter: Stacy Luke, Kim Hart, Martin Blair PhD, Mary-Ann Bowman PhD, LCSW
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January 22, 2020
This didactic includes discussion on 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
ADHD vs. Anxiety
Presenter: Adrienne Coopey DO
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January 8, 2020
This didactic includes discussion on the Why, Who, When, Where and What of screening in primary care. Also includes National Comorbidity Studies and Next Steps
Screening: Integrating Screening into Primary Care
Presenter: Adrienne Coopey DO
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December 11, 2019
This didactic includes discussion on Medical Evaluation, Signs, Binge Eating/Purging Signs, Physical Findings, Laboratory Abnormalities, Admission Criteria (SAHM), Refeeding Syndrome, Goal Weight, Outpatient Medical Care
Eating Disorders
Presenter: Adrienne Coopey DO
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November 13, 2019
This didactic includes discussion on The Effectiveness of ABA, Definition of ABA, Current Dimensions, Applications, Why is ABA different?, Data Display, Case Conceptualization, Case Studies and Summary
Applied Behavioral Health
Presenter: Guest Speaker-Cheryl Young-Pelton, Ed. D., BCBA-D, LBA
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October 23, 2019
This didactic includes discussion on the Most Common Mental Health Diagnosis in Youth, Self-Harm is a Public Health Problem, Suicide Attempt vs. Non-Suicidal Self Harm, NSSI & the DSM5, What Drives NSSI, Consequences, NSSI Correlates & Risk, Abuse Neglect & Self-Criticism, ACES’s, and Therapeutic Approaches
Self-Harm/Cutting
Presenter: Eric Arzubi MD
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October 9, 2019
This didactic includes discussion about the Center for Children, Families and Workforce Development. Ryan provides a tour of the site, highlighting the Training Modules, Montana Data Dashboard and Resource Library. The site: http://health.umt.edu/ccfwd/
Resources for Pediatric Mental Health
Presenter: Ryan Tolleson Knee, PhD
View Recording -
September 25, 2019
This didactic includes discussion on Sleep-Related Behaviors, Associated Variables, National Data, Sedation vs. Sleep, Paradoxical Reactions, Dosing, Diphenhydramine, Melatonin, Rameteon & Clonidine, Non-Benzo Hypnotics
Medications for Insomnia in Children
Presenter: Eric Arzubi MD
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September 11, 2019
This didactic includes discussion on Diagnostic Criteria, Course and Prognosis, Diagnosis, Assessment and Treatment, Epidemiology, Clinical Examination, Genes and Environment, Role of the Family.
Child OCD
Presenter: Eric Arzubi MD
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August 28, 2019
This didactic includes discussion on Stimulants, MPH, Long-Acting MPH, AMP, Long-Acting AMP, Stimulants & Tics, Stimulants & Anxiety, Stimulants & Adverse Events and Atomoxetine
Advanced ADHD Psychopharm
Presenter: Eric Arzubi MD
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August 14, 2019
This didactic includes discussion of Phenomenology & Classification, Family Dynamics, Characteristics of Offenders, Disclosures, Treatment, Assessment of Trauma, Treatment of the Victim, TF-CBT, Trauma Narrative, Clarifications
Child Sexual Abuse
Presenter: Guest Speaker Deanne McCulloch, PhD, LCSW
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July 10, 2019
This didactic includes discussion on an Overview of Grief, Transformative Grief, Children’s Grief, Education and Assessment Tool, Effects of Adult Grief on Children, Grief in Adolescents/Teens, Strategies
Children and Adolescent Grief
Presenter: Guest Speaker Mary-Ann Sontag Bowman, PhD, LCSW
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June 26, 2019
This didactic includes discussion on Key Concepts, DSM V, Epidemiology, Mental Health Vulnerabilities, Overview of Gender and Sexuality Development, Assessment, Four Issues to Consider, Treatment, Social Gender Transition, Pubertal Suppression Therapy, Cross-Sex Hormone Therapy and Surgical Interventions
Gender Dysphoria
Presenter: Eric Arzubi MD
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June 12, 2019
This didactic includes discussion on Epidemiology, Risk Factors, Co-Occurring Disorders, Screening, and DSM V Diagnosis
Substance Use Disorders
Presenter: Eric Arzubi MD
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May 22, 2019
This didactic includes discussion on Psychotic Symptoms, Epidemiology, Pathogenesis, Clinical Signs, Clinical Course, Diagnostic Evaluation and Goals for Treatment
Early Onset Psychosis
Presenter: Eric Arzubi MD
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May 8, 2019
This didactic includes discussion on Unipolar vs. Bipolar, Atypical Antipsychotics & Other Medications and Symptom Checklist
Mood Disorders
Presenter: Eric Arzubi MD
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April 24, 2019
This didactic includes discussion on the Signs and Symptoms of Dyslexia, Diagnosing Dyslexia and Phonics and Phonemic Awareness.
Learning Disorders: Dyslexia
Presenter: Eric Arzubi MD
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April 10, 2019
This didactic includes discussion on Demographics, Prevalence, DSM-IV Disorders, and SSRI’s
Anxiety Disorders
Presenter: Eric Arzubi MD
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March 27, 2019
This didactic includes discussion on three integrated strategies, the ARC Framework, Dynamic Evaluation and Formulation, Foundational Work, Attachment, Regulation and Competency
Complex Trauma
Presenter: Eric Arzubi MD
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March 13, 2019
This didactic includes discussion on Epidemiology, Terminology, Risk Factors, Assessment, Treatment and a Safety Plan
Youth Suicide
Presenter: Eric Arzubi MD
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