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.

Clinic Archives

  • September 23, 2020
    Transgender: Referral Pathway pt. 2 of 3

    Presenter: Dr Wood
  • 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
    View Recording   Download PDF
  • April 10, 2019
    Anxiety Disorders

    This didactic includes discussion on Demographics, Prevalence, DSM-IV Disorders, and SSRI’s
    Presenter: Eric Arzubi MD
    View Recording   Download PDF
  • 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