The Child & Adolescent Psychiatry Practical Review

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The Child & Adolescent Psychiatry Practical Review For Primary Care Providers and Mental Health Professionals April 12, 2018 - Pre-Conference Trauma ACEs Spiritual Care Pharmacology April 13-15, 2018 - Main Conference ADHD Sleep Pharmacology Eating Disorders Psychosis Grand Superior Lodge Two Harbors, Minnesota

Target Audience: This program is designed for family physicians, pediatricians, child and adolescent psychiatrists, residents, advanced practice providers, clinic nurses, educational professionals and other mental health and health care professionals. Credits: CentraCare Health is accredited by the Minnesota Medical Association to provide continuing medical education for physicians. CentraCare Health designates this live activity for a maximum of 19.25 (5.00 - Pre- Conference, 14.25 - Main Conference) AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. This education offering has been designed to meet the Minnesota Board of Nursing continuing education requirements for 19.25 contact hours (5.00 - Pre-Conference, 14.25 - Main Conference). It is the personal responsibility of each participant to determine whether this activity meets the requirements for acceptable continuing education by the licensing organization. St. Cloud Hospital has been approved as a provider by the State of Minnesota Board of Social Work - CE Provider Approval Number CEP-77. Participants will earn 19.25 contact hours for the entire session. Acknowledgements: The St. Cloud Hospital would like to acknowledge and thank the following for planning this year s conference: John M. Schmitz, MD Elizabeth A. Reeve, MD Scott A. Palmer, PhD Joel P. Spalding, MD This year s cover picture has been provided by Katelyn Storms. The St. Cloud Hospital reserves the right to cancel or reschedule due to unforeseen circumstances. 1

Faculty: Christopher Boys, PhD Pediatric Neuropsychologist, Associate Professor of Pediatrics University of Minnesota Medical School Jennifer Harris, RDN, LD, CEDRD Clinical Dietician, CentraCare Health Plaza Women & Children s M. Kim Hellier, PhD, LP Child and Adolescent Psychologist, St. Cloud Hospital Behavioral Health Services Steve Kubas, MD Sleep Medicine, Mayo Clinic Health System Sanjiv Kumra, MD Associate Professor, Department of Psychiatry, University of Minnesota Larry Morrissey, MD Pediatrician, Central Pediatrics Scott Palmer, PhD Director, Behavioral Health Clinic, St. Cloud Hospital Behavioral Health Services Elizabeth Reeve, MD Child and Adolescent Psychiatrist, HealthPartners Medical Group Roxann Storms, MSW, LICSW, FT Psychotherapist; Grief Counselor, Granite City Counseling, LLC Marcus Westerman, MD, PhD Psychiatrist, HealthPartners Melrose Center St. Louis Park Pre-Conference: Thursday - April 12, 2018 9:00-9:45 AM REGISTRATION 9:45-10:00 AM WELCOME & OPENING REMARKS 10:00-11:00 AM THE NEUROBIOLOGY OF TRAUMA Elizabeth Reeve, MD 2

1. Understand how emotional and physical trauma impacts brain function both acutely and chronically. 2. Identify ways to decrease the biological impact of chronic stress. 3. Identify how overall physical health is impacted by chronic and acute stress. 11:00-12:30 PM THE ROLE OF PRIMARY CARE AND BEHAVIORAL HEALTH IN MITIGATING THE LIFELONG CONSEQUENCES OF ADVERSE CHILDHOOD EXPERIENCES (ACES) Scott Palmer, PhD 1. Implement screening measures for pediatric adverse childhood experiences. 2. Discuss the role of the pediatric provider in mitigating the negative impact of adverse childhood experiences on adult health. 3. Understand the role of resilience and other reasons for optimism. 12:30-1:30 PM LUNCH (For participants only) 1:30-2:15 PM UNDERSTANDING THE JOURNEY: A PERSONAL PERSPECTIVE ON THE PROCESS OF DEALING WITH LOSS AND TRAUMA Larry Morrissey, MD 1. Appreciate the unique nature of the response to loss or trauma for each person. 2. Understand the complex nature of triggers of feelings of loss and trauma. 3. Develop strategies to help patients cope with loss. 2:15-2:30 PM BREAK 2:30-3:30 PM SOUL SURVIVORS: SPIRITUALLY SUPPORTING THOSE IN TRAUMA Roxann Storms, MSW, LICSW, FT 3

1. Identify ways trauma affects the spiritual dimension. 2. Understand the range of spiritual responses following a trauma. 3. Incorporate helpful responses that support the spiritual well-being of those experiencing a trauma. 3:30-4:15 PM PSYCHIATRIC INTERVENTIONS FOR PTSD Elizabeth Reeve, MD 1. Identify medications that have evidence for helping acute PTSD. 2. Identify medications which may be helpful with long term symptoms of PTSD. 3. Understand when to use pharmacologic interventions for PTSD and when therapy might be the better choice. Main Conference Thursday - April 12, 2018 6:00-8:00 PM REGISTRATION/SOUP & SANDWICH RECEPTION (for main conference participants and families) Friday - April 13, 2018 7:00-8:00 AM REGISTRATION/BREAKFAST (until 8:45 am for families) 8:00-8:30 AM WELCOME & OPENING REMARKS 8:30-11:45 AM ADHD: NEW UPDATES AND PRACTICAL SUGGESTIONS Elizabeth Reeve, MD and Christopher Boys, PhD 4

1. Understand the primary pharmacological options to treat ADHD. 2. Know which nonpharmacological treatment will have efficacy for ADHD symptoms. 3. Understand the neurobiology of ADHD and the role of testing in making the diagnosis. 11:45-12:45 PM LUNCH (begins at 11:30 am for families) 12:45-2:45 PM A PRACTICAL GUIDE FOR UNDERSTANDING PEDIATRIC SLEEP DISORDERS (AND GOOD BONUS INFORMATION FOR THE ADULT SLEEPER, TOO) Steve Kubas, MD 1. Understand unique aspects of sleep in the pediatric population and normal age associated sleep changes. 2. Understand sleep and sleep architectural changes associated with different age groups. 3. Understand common clinical presentation of the more common pediatric sleep disorders. 2:45-3:00 PM BREAK 3:00-4:00 PM MEDICAL MANAGEMENT OF DEPRESSION AND ANXIETY IN CHILDREN AND ADOLESCENTS Elizabeth Reeve, MD 1. Identify when to use medications for anxiety and depression, and when to use therapy. 2. Be comfortable with at least 3 different medication options for depression and anxiety. 5:30-6:00 PM RECEPTION 5

6:00-7:00 PM DINNER Saturday - April 14, 2018 7:00-8:00 AM BREAKFAST (until 8:45 am for families) 8:00-8:10 AM ANNOUNCEMENTS 8:10-10:10 AM EATING DISORDERS IN CHILDREN AND ADOLESCENTS Marcus Westerman, MD, PhD 1. Recognize early warning signs of eating disorders in kids and adolescents. 2. Understand evidence-based treatment of ED in childhood and adolescence. 3. Identify medications used in the treatment of eating disorders (adults/kids). 10:10-10:30 AM BREAK 10:30-11:30 AM CHILD AND ADOLESCENT EATING DISORDERS: AN OVERVIEW M. Kim Hellier, PhD, LP 1. Recognize eating disorder behaviors including early warning signs, and make an accurate diagnosis. 2. Understand etiology of disordered eating and feeding problems in children secondary to mental health difficulties (e.g. selective eating, vomiting/choking phobias, anxiety, sensory issues). 3. Understand treatment approaches and the importance of collaboration between primary care and mental health providers. 11:30-12:30 PM MORE THAN A MEAL PLAN: THE ROLE OF A REGISTERED DIETITIAN IN THE OUTPATIENT SETTING Jennifer Harris, RN, LD, CEDRD 6

1. Understand typical nutritional interventions for the 3 major eating disorders. 2. Identify faltering and divergence on a growth chart. 3. Identify the difference between feeding and eating as it relates to prevention and treatment of eating disorders in children. 12:30-1:30 PM LUNCH (begins at 12:15 pm for families) Sunday - April 15, 2018 7:00-8:00 AM BREAKFAST (until 8:45 am for families) 8:00-8:05 AM ANNOUNCEMENTS 8:05-10:05 AM EIGHT CORE PRINCIPLES FOR TREATING PSYCHOSIS IN ADOLESCENTS Sanjiv Kumra, MD 1. Appreciate how to take a developmental informed approach to treatment. 2. Recognize importance of involving family in the treatment plan. 3. Understand current evidence-based interventions to treat psychosis in youth. 10:05-10:30 AM BREAK/CHECK-OUT 10:30-12:30 PM PHARMACOLOGY UPDATE: USING ANTIPSYCHOTICS IN CHILDREN AND ADOLESCENTS Elizabeth Reeve, MD 1. Understand the primary side effects of antipsychotics in children and adolescents. 2. Understand the lab testing monitoring needed when prescribing antipsychotics. 3. Identify diagnosis that may/may not warrant the use of an antipsychotic. 7

Registration: PRE-CONFERENCE - April 12, 2018 The Pre-Conference includes: Pre-Conference course materials, CME credit, lunch, and afternoon break. Registration... All - $175.00 MAIN CONFERENCE - April 13-15, 2018 The Main Conference includes: Main Conference course materials, CME credit, soup and sandwich reception Thursday (all family members welcome), all breaks and meal plan. Early Bird (on/prior to February 15, 2018) Registration (includes meal plan)... Physicians - $600.00 Non-Physicians & Residents - $450.00 Regular (after February 15, 2018) Registration (includes meal plan)... Physicians - $675.00 Non-Physicians & Residents - $525.00 REGISTRATION DEADLINE April 1, 2018 CANCELLATIONS Refunds will be issued prior to April 1st less a $50.00 processing fee. Special Accommodations: Please contact the Medical Staff Development Office if you have special mobility, dietary, vision, hearing, or other needs. Office: 320-255-5836 Email: stcloudhospitalcme@centracare.com 8

Lodging: Grand Superior Lodge offers a variety of accommodations overlooking Lake Superior. Please plan to stay on-site to take full advantage of networking opportunities with other conference participants and family members. Conference rates are available by calling Grand Superior Lodge at 1-800-627-9565 to make reservations. Identify yourself as a conference participant. Conference rates are not available online. Deadline for guaranteed conference rate is April 1, 2018. For more information visit the Grand Superior Lodge website at www.grandsuperior.com GRAND SUPERIOR LODGE EARLY BOOKING INCENTIVE Book lodging for Thursday, Friday, and Saturday nights prior to February 15, 2018 and receive one night complimentary extended stay for Sunday, April 15, 2018. Mention the Early Booking Incentive when making your reservation to redeem! Family Meal Plan: A meal plan is available for family members and guests. Friday... Breakfast, Lunch, and Dinner Saturday... Breakfast and Lunch Sunday... Breakfast FEES: Adults (Ages 13+)... $145.00 Children (Ages 4-12)... $75.00 Children (Ages 0-3)... FREE Participant meal plan is included in the registration fee. We are unable to charge prorated fees for individual meals. Fees for family meal plans must be included with the registration fee. Please communicate any food allergies or other dietary needs prior to arrival by contacting Grand Superior Lodge at 1-800-627-9565. To ensure optimal customer service, the restaurant will only be open to participants and family members/guests participating on the meal plan during designated meal times. Individuals not participating in the meal plan can order off the menu during non-designated meal times. 9

Registration Form: CHILD & ADOLESCENT PSYCHIATRY PRACTICAL REVIEW PARTICIPANT INFORMATION: (PLEASE PRINT) Participant Name: Title: MD DO PA NP Other: Name Badge (First, Last, Title): Specialty: Office Name: Office Address: City, State, Zip: Phone: ( ) Work Cell Email Address: A complimentary Soup & Sandwich Reception is provided for all main conference participants and family members on Thursday from 6:00-8:00 p.m. Will you be participating? Yes No Will you be staying at Grand Superior Lodge? Yes No FAMILY/GUEST INFORMATION: Spouse/Guest Attending? Yes No If yes, first & last name: Will your spouse/guest be participating in the Meal Plan? Yes No Children/Young Adults Attending? Yes No Meal Plan? Name Age ( If Yes) OVER

PRE-CONFERENCE - April 12, 2018 All Participants ($175)... $ CHILD & ADOLESCENT PSYCHIATRY PRACTICAL REVIEW - April 13-15, 2018 EARLY BIRD (ON/PRIOR TO FEBRUARY 15, 2018) Physicians ($600)... $ Non-Physicians & Residents ($450)... $ REGULAR (AFTER FEBRUARY 15, 2018) Physicians ($675)... $ Non-Physicians & Residents ($525)... $ TOTAL REGISTRATION... $ FAMILY MEAL PLAN Spouse/Guest/Children 13+ ($145 each)... # $ Children Ages 4-12 ($75 each)... # $ Children Ages 0-3 (FREE)... # $ FREE TOTAL AMOUNT ENCLOSED... $ REGISTRATION DEADLINE - APRIL 1, 2018 REFUNDS WILL NOT BE ISSUED AFTER THIS DATE PAYMENT OPTIONS: Check (Payable to St. Cloud Hospital CME) Credit Card Visa MasterCard Discover American Express Card Number: Expiration Date: / CVV Code Amount to Charge: Cardholder s Name: Billing Address (as appears on statement): Mail To: Medical Staff Development Fax To: 320-255-5923 St. Cloud Hospital Email To: 1406 6th Ave. N. stcloudhospitalcme@centracare.com St. Cloud, MN 56303 QUESTIONS: 320-255-5836 or stcloudhospitalcme@centracare.com

Medical Staff Development St. Cloud Hospital 1406 Sixth Avenue North St. Cloud, MN 56303-1901