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

  • October 13, 2021
    Topic Coming Soon

    Presenter:
  • September 22, 2021
    Positive Youth Development/Using a Strengths-Based Approach to Working with Youth

    This didactic includes discussion about Prep Work, Reimagining the Narrative, One-on-One: Common ADULT Behaviors, Youth Engagement, Team Meetings: Common ADULT Behaviors, Design-Implement-Monitor Youth Engagement, Youth Assessment: Common ADULT Behaviors, Tips for Leveraging Youth Voices, Youth Voice Video
    Presenter: Kim Spurzem
    View Recording   Download PDF
  • September 8, 2021
    Autism Spectrum Disorders: Comprehensive Treatment Planning and Collaboration with School/Therapy Teams

    This didactive includes discussion about Comprehensive Treatment Planning in Autism Spectrum Disorders, Impact of ASD at School, Working with IEP Teams, The IEP Cycle, How can Medical Providers Help, Free Training Resources for School Teams, IEP Resources, How Teachers and Therapists Help with Medication, Data Samples for Med Monitoring, Family Support, Community and Recreational Activities,
    Presenter: Nevada Reed, MD- Child Neurologist
    View Recording   Download PDF
  • August 25, 2021
    Family Acceptance Project -research-based, culturally grounded approach to help ethnically, racially and religiously diverse families learn to support their LGBTQ children

    Presenter: Adrienne Coopey, MD
    View Recording  
  • August 11, 2021
    Lessons about End-of-Life Care, Death, and Grief from the Family Dog

    Presenter: Mary-Ann Bowman, PhD
    View Recording  
  • July 28, 2021
    Cancelled – See you August 11th!

    Presenter:
  • July 14, 2021
    Equine Therapy

    This didactic includes discussion about Equine-Facilitated Learning (EFL) and Equine-Facilitated Psychotherapy (EFP), What is EFL and EFP, How Does it Work, Why Horses?, Horses and EFP, Benefits of EFP and EFL, Who Can Benefit, Integrating EFP/EFL with Different Modalities, EquiPower: Treating Trauma with the Power of and Sensitivity of Horses, Chinook Horses Program: Meet and Greet, The Goal Ladder, Grooming, Identifying Zones Feelings, Cognitive Triangle Activity, Painting, The Obstacle Course, Research and Data. NOTE: the recording for this didactic was cut short due to a loss in internet connectivity, https://vimeo.com/576885088 (part 2)
    Presenter: Abigail Hornik
    View Recording   Download PDF
  • June 23, 2021
    Suicide Safe Care for Patients- Part 2

    This didactic includes discussion about SAFE-T Protocol with C-SSRS, Safety Planning and Telephone Follow-up, Identify Risk Factors, Identify Protective Factors, Specific Questioning about Thoughts, Plans and Suicide Intent, Guidelines to Determine Level of Risk and Develop Interventions to LOWER Risk Level, Document Level of Risk, Rationale for Risk Assignment, Intervention and Structured Follow Up Plan,
    Presenter: Karl Rosston, LCSW, Suicide Prevention Coordinator- MT DPHHS
    View Recording   Download PDF
  • June 9, 2021
    Suicide Safe Care for Patients- Part 1

    This didactic includes discussion about Suicide in Montana, Suicide and Primary Care, Key Things to Remember in Assessing the Degree of Risk, Patient Safety and Error Reduction, Zero Suicide, ASQ Screening, Columbia Suicide Severity Rating Scale, Safety Planning Intervention, Overview of Safety Planning: 6 Steps, Lethal Means Counseling, Caring Contacts Intervention, Depression is Treatable Suicide is Preventable
    Presenter: Karl Rosston, LCSW, Suicide Prevention Coordinator- MT DPHHS
    View Recording   Download PDF
  • May 26, 2021
    Human Trafficking

    This didactic includes discussion about Human Trafficking Myths, Defining Human Trafficking, The A-M-P Model, Types of Human Trafficking in the United States, Defining a Commercial Sex Act, Human Trafficking Revenue, Humans as Commodities, Who is Trafficked, Safe Harbor, Who is Vulnerable to Becoming a Victim of Human Trafficking, Why is Montana Vulnerable to Human Trafficking, Vulnerabilities in our Communities, MMIWG, Cases, How are Victims Targeted?, Recruitment into Trafficking, How are Victims Controlled?, Why Don't Victims Leave, Mindset of Patients, Red Flags, Questions to Ask a Potential Victim, Responding to "Yes", Consider Danger, What is Reportable?, Polaris Human Trafficking Hotline, Rural Areas and Small Cities, Lack of Belief by Adults, Accessing Medical Care, Signs of Trafficking, RESCUE/CHILD, Social Media, Child Sexual Abuse Material, Statistics in Montana, Illicit Massage Businesses, Assessment Tool and Reporting Protocol, Changing the Paradigm, Male Violence, Who Are the Buyers, Task Force
    Presenter: Penny Ronning, MBA - Co-Founder/Co-Chair Yellowstone County Area Human Trafficking Task Force
    View Recording   Download PDF
  • May 12, 2021
    Autism Spectrum Disorders: Co-morbidities and Medication Treatment Strategies

    This didactic includes discussion about Autism Spectrum Disorders Common Co-morbidities, Seizures, Aggression in Seizures, Eses and Landau Klefner Syndrome, Anti-Epileptic Side Effects, What Else Can Medication Treat in ASD?, The "Why" of Medication, Before Medication is Started, General Principles of Medication Use, Atypical Antipsychotics, Antipsychotics in Children with Autism, SSRI's, Stimulant Medications, Non-Stimulant Medications, Sleep Difficulties, TIC Disorders, Future Possibilities
    Presenter: Nevada Reed, MD- Child Neurologist
    View Recording   Download PDF
  • April 28, 2021
    THC Series, part 2

    Presenter: Mariela Herrera, MD
    View Recording  
  • April 14, 2021
    Behavioral Health Advocacy 101

    This didactic includes discussion about Center for Children Families and Workforce Development, Advocacy Definitions, Self, Individual, and System Advocacy, Family Voice Curious, Scarcity Versus Abundance, Being A Good Advocate, Types of Policy Changes
    Presenter: Jeffrey Folsom, LCSW, JD
    View Recording   Download PDF
  • March 24, 2021
    Screening and Managing Suicide Risk in Medical Settings: Adapting Research into Practice

    This didactic includes discussion about Epidemiology of Suicide, Medical Setting, Development and Study of a Validated Suicide Risk Screening Instrument- ASQ, How to Screen Patients with the ASQ Screening Instrument, Managing Patients that Screen Positive.
    Presenter: Lisa Horowitz, PhD, MPH, Staff Scientist/Pediatric Psychologist
    View Recording   Download PDF
  • March 10, 2021
    Prenatal Drug Exposure and the Developing Child

    This didactic includes discussion about Research and Messaging, Care Systems, Cognition, Sensory, Behavioral, Memory, Distractable, Generalizability, Prevent Behavioral Problems-Environmental Mismatch, Shifting Perceptions, Team Approach, Behaviors, Cognitive and Sensory Support and the Future.
    Presenter: Ryan Tolleson Knee, PhD
    View Recording   Download PDF
  • February 24, 2021
    COVID & Grief

    This didactic includes discussion about Pandemic Life, Change=Loss, Human Connection, Pandemic Losses, Grief, Experiences & Expressions of Grief, What is Griefworthy, Coping Resources, How to Cope, How to Help, In the Middle of Difficulty Lies Opportunity
    Presenter: Mary-Ann Bowman, PhD, LCSW
    View Recording   Download PDF
  • February 10, 2021
    Autism Spectrum Disorders: Diagnosis and Medical Evaluation

    This didactic includes discussion about ASD & DSM-V, How is it Different, Social Communication and Social Interaction Criteria, Levels of Support, How is IDEA Different, Social Communication Disorder, Components of Evaluation, ASD Diagnostic Tools, Medical Testing for Every Child with ASD, Targeted Medical Testing to Consider, Genetic Disorders Associated with ASD,
    Presenter: Nevada Reed, MD - Child Neurologist
    View Recording   Download PDF
  • January 27, 2021
    ACEs Connection- what, how, why of this social platform to expand ACEs science and resiliency work

    This didactic includes discussion and demonstration of the ACEs Connection website. Karen Clemmer, MN, RN, PHN navigates through the ACE's Connection website highlighting important and valuable resources. ACEs Connection is not just a place to find resources but rather a community coming together to share best practices based on ACEs science. Supporting communities to accelerate the use of ACEs science to solve the most intractable problems. ACEs science includes Epidemiology, Impact on the Brain, Impact on the Body, Epigenetics and Resilience.
    Presenter: Karen Clemmer, MN, RN, PHN
    View Recording   Download PDF
  • January 13, 2021
    THC Series- Part 1

    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.
    Presenter: Mariela Herrera, MD
    View Recording   Download PDF
  • November 11, 2020
    Childhood Trauma

    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,
    Presenter: Mariela Herrera MD
    View Recording   Download PDF
  • October 28, 2020
    IEP/504 Plan

    Presenter: Tammy Tolleson Knee
    View Recording  
  • October 14, 2020
    Transgender: Risk Factor and Support pt. 3 of 3

    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
    Presenter: Kristin Prewitt, DO and Colleen Wood, MD
    View Recording   Download PDF
  • September 23, 2020
    Transgender: Referral Pathway pt. 2 of 3

    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,
    Presenter: Colleen Wood, MD
    View Recording   Download PDF
  • September 9, 2020
    Transgender 101, pt. 1 of 3

    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,
    Presenter: Kristen Prewitt, DO
    View Recording   Download PDF
  • August 26, 2020
    How Montana’s Culture Can Effect Treatment

    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.
    Presenter: Ryan Tolleson Knee, PhD
    View Recording   Download PDF
  • August 12, 2020
    Substance Use Disorder: SBIRT

    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
    Presenter: Robert Sise MD, MBA, MPH
    View Recording   Download PDF
  • July 22, 2020
    The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications

    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
    Presenter: Siera Zimmerman, PharmD, BCPPS
    View Recording   Download PDF
  • July 8, 2020
    Childhood Trauma and Abuse

    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
    Presenter: Cynthia Brewer, MD
    View Recording   Download PDF
  • June 24, 2020
    Cultural Awareness: Pediatrics, Psychology & Montana Native American Tribes

    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
    Presenter: Lanette Perkins, MSN, RN
    View Recording   Download PDF
  • June 10, 2020
    ADHD and Stimulant Medication

    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
    Presenter: Michelle Reinhardt, BA, PharmD, BCPP
    View Recording   Download PDF
  • May 27, 2020
    Impacts of Shelter in Place/COVID-19 on Family Violence

    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.
    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
    View Recording   Download PDF
  • May 13, 2020
    Digital Play Therapy

    This didactic includes discussion on providing therapy via telehealth. Megan discusses location, parent involvement, and therapy aids and ideas.
    Presenter: Megan Owen, M.Ed, LCPC-S, RPT-S, Clinical Therapist/Registered Play Therapist
    View Recording  
  • April 22, 2020
    Helping Parents Connect With Their Children During COVID-19

    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
    Presenter: Sarah Potts, PhD, Clinical Psychologist
    View Recording   Download PDF
  • February 26, 2020
    Coordinating Treatment with School-Based Mental Health Providers

    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
    Presenter: Carol Ewan, MA, EdS and Ryan Tolleson Knee, PhD
    View Recording   Download PDF
  • February 12, 2020
    MAPP-Net (Montana Access to Pediatric Psychiatry)

    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
    Presenter: Stacy Luke, Kim Hart, Martin Blair PhD, Mary-Ann Bowman PhD, LCSW
    View Recording   Download PDF
  • January 22, 2020
    ADHD vs. Anxiety

    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
    Presenter: Adrienne Coopey DO
    View Recording   Download PDF
  • January 8, 2020
    Screening: Integrating Screening into Primary Care

    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
    Presenter: Adrienne Coopey DO
    View Recording   Download PDF
  • December 11, 2019
    Eating Disorders

    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
    Presenter: Adrienne Coopey DO
    View Recording   Download PDF
  • November 13, 2019
    Applied Behavioral Health

    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
    Presenter: Guest Speaker-Cheryl Young-Pelton, Ed. D., BCBA-D, LBA
    View Recording   Download PDF
  • October 23, 2019
    Self-Harm/Cutting

    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
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • October 9, 2019
    Resources for Pediatric Mental Health

    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/
    Presenter: Ryan Tolleson Knee, PhD
    View Recording  
  • September 25, 2019
    Medications for Insomnia in Children

    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
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • September 11, 2019
    Child OCD

    This didactic includes discussion on Diagnostic Criteria, Course and Prognosis, Diagnosis, Assessment and Treatment, Epidemiology, Clinical Examination, Genes and Environment, Role of the Family.
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • August 28, 2019
    Advanced ADHD Psychopharm

    This didactic includes discussion on Stimulants, MPH, Long-Acting MPH, AMP, Long-Acting AMP, Stimulants & Tics, Stimulants & Anxiety, Stimulants & Adverse Events and Atomoxetine
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • August 14, 2019
    Child Sexual Abuse

    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
    Presenter: Guest Speaker Deanne McCulloch, PhD, LCSW
    View Recording   Download PDF
  • July 10, 2019
    Children and Adolescent Grief

    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
    Presenter: Guest Speaker Mary-Ann Sontag Bowman, PhD, LCSW
    View Recording   Download PDF
  • June 26, 2019
    Gender Dysphoria

    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
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • June 12, 2019
    Substance Use Disorders

    This didactic includes discussion on Epidemiology, Risk Factors, Co-Occurring Disorders, Screening, and DSM V Diagnosis
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • May 22, 2019
    Early Onset Psychosis

    This didactic includes discussion on Psychotic Symptoms, Epidemiology, Pathogenesis, Clinical Signs, Clinical Course, Diagnostic Evaluation and Goals for Treatment
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • May 8, 2019
    Mood Disorders

    This didactic includes discussion on Unipolar vs. Bipolar, Atypical Antipsychotics & Other Medications and Symptom Checklist
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • April 24, 2019
    Learning Disorders: Dyslexia

    This didactic includes discussion on the Signs and Symptoms of Dyslexia, Diagnosing Dyslexia and Phonics and Phonemic Awareness.
    Presenter: Eric Arzubi MD
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  • April 10, 2019
    Anxiety Disorders

    This didactic includes discussion on Demographics, Prevalence, DSM-IV Disorders, and SSRI’s
    Presenter: Eric Arzubi MD
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  • March 27, 2019
    Complex Trauma

    This didactic includes discussion on three integrated strategies, the ARC Framework, Dynamic Evaluation and Formulation, Foundational Work, Attachment, Regulation and Competency
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • March 13, 2019
    Youth Suicide

    This didactic includes discussion on Epidemiology, Terminology, Risk Factors, Assessment, Treatment and a Safety Plan
    Presenter: Eric Arzubi MD
    View Recording   Download PDF