PLENARY SESSIONS

(1) Plenary: Closing the Rural Food Gap: A Pathway to Just, Healthy & Sustainable Communities
Thursday, June 18 (8:30 to 9:30 a.m.)

 Mark Winne & Pam Roy

The lack of access to healthy and affordable food is a quiet, but growing challenge to the quality of life in our nation's rural communities. According to the American Rural Sociological Society, over 800 rural U.S. counties have either "low food access" or even worse, are considered "food deserts." Mark Winne and Pam Roy will explore the causes and consequences of this problem for rural life, health, social cohesion, and economic prosperity. They will identify some of the strategies for not only bringing good food back to places that are poorly served by America's food industry, but for also bringing jobs, mental and physical health, and a renewed sense of economic vigor.

Mark currently writes, speaks, and consults extensively on community food system topics including hunger and food insecurity, local and regional agriculture, community food assessment, and food policy. He also does policy communication and food policy council work for the Community Food Security Coalition. His essays and opinion pieces have appeared in the Hartford Courant, the Boston Globe, The Nation, In These Times, Sierra Magazine, Orion Magazine, Successful Farming and numerous organizational and professional newsletters and journals across the country. His first book “Closing the Food Gap — Resetting the Table in the Land of Plenty” published by Beacon Press, will be released in January 2008. He now lives in Santa Fe, New Mexico, where he serves on the New Mexico Food and Agriculture Policy Council and the Southwest Grass-fed Livestock Alliance.

Pamela Roy is Co-Director of Farm to Table, a New Mexico based organization working on regional food, farm and ranch issues; Farm to School initiatives; farmers’ market development; and food, health, hunger and agriculture policy. She is also founder and coordinator of the NM Food and Agriculture Policy Council.  Pam has close to 20 years of organizational development, policy, farm direct marketing and farmers’ market experience and has worked internationally.  She most recently served on the Board of Directors of the national Community Food Security Coalition and is currently a regional lead for the national Good Food Network sponsored by the Wallace Center at Winrock International.

 (2) Plenary:  Wounded Spirits, Ailing Hearts: The Nature and Consequences of Trauma in Native America
Thursday, June 18 (9:30 – 10:30 a.m.)

Spero Manson, Ph.D.

Post-traumatic stress disorder (PTSD) is 2-3 times more common among American Indians than their White counterparts, and presents substantial problems for their health and well-being, as well as life in their tribal communities. This presentation reviews work by the author and his colleagues which characterizes the nature, extent, and impact of trauma and its debilitating, frequently chronic consequences in the lives of American Indians residing on or near their reservation homelands. Particular attention is given to the role of traditional healing and telepsychiatry in addressing the often neglected mental health needs of this special population. The presentation concludes by highlighting new lines of inquiry that suggest the broader implications of trauma and PTSD for the risk of pain, cardiovascular disease, diabetes, and asthma in Native people, reminding us of the intimate relationship among mind, body, and spirit.

Spero M. Manson, Ph.D., (Pembina Chippewa), a medical anthropologist and Professor of Psychiatry, heads the American Indian and Alaska Native Programs at the University of Colorado at Denver and Health Sciences Center. His programs include 9 national centers, totaling $65 million in sponsored activities which entail research, program development, and training among 102 Native communities, spanning rural, reservation, urban, and village settings.  Dr. Manson has published 160 articles on the assessment, epidemiology, treatment, and prevention of physical, alcohol, drug, as well as mental health problems in this special population.

(3) Plenary: Plenary 3:  Post Traumatic Stress Disorder & Rural Minority Women
Thursday, June 18 (1:20 to 2:20 p.m.)

NIMH Sponsored
Cathleen Willging, PhD, & Maria Yellow Horse Brave Heart, PhD

This presentation will describe a new translational intervention study in New Mexico that aims to: (1) Assess the role of mental health problems, including trauma-related issues, in community reentry among Hispanic, Native American, and White women moving to rural environments from prison; 2) Examine the role of social support in the reentry process, and determine strategies to strengthen and sustain the women’s community connections and access to formal and informal helping resources; 3) Adapt and refine a data- and theory-driven social intervention (the Critical Time Intervention) to address mental illness and community reentry needs and to decrease recidivism within this population. Formative research findings will be shared.

Cathleen E. Willging is Program Director and Research Scientist at the Behavioral Health Research Center of the Southwest, an affiliate of the Pacific Institute for Research and Evaluation in Albuquerque, New Mexico. She is a medical anthropologist, with specific experience in mental health services research, health policy, cross-cultural psychiatry, rural populations, and community-based participatory planning and evaluation. She has spearheaded a number of research projects in New Mexico that employ ethnographic methods and other qualitative data collection techniques to understand the impacts of new programs and policy reforms on diverse populations throughout the state.

Maria Yellow Horse Brave Heart, Hunkpapa, Oglala Lakota, Ph.D.is an internationally recognized leader and mentor to many clinicians and scholars  in the field of intergenerational trauma. Dr. Brave Heart developed historical trauma and historical unresolved grief theory and interventions among American Indians,  In 1992, she founded the Takini Network, a Native non-profit organization devoted to community healing from intergenerational massive group trauma among Native Peoples.  Dr. Brave Heart has served on the NARMH board of directors.  She is currently Associate Professor of Social Work at Columbia University School of Social Work.

(4) Plenary: Minding the Back Roads: Recovery, Public Service and Rural Psychiatry
Friday, June 19 (8:45 to 9:45 a.m.)

Ken Thompson, MD

This presentation will address the crisis in rural mental health care by focusing on the predicament of rural psychiatry. The challenges facing rural psychiatric practice are formidable issues of finance, recruitment, retention and quality plaque efforts to provide effective psychiatric care. This presentation will examine current attempts to improve these circumstances and consider innovative ways to go even further in improving rural psychiatric care.

Kenneth S. Thompson, MD, serves as Associate Director of Medical Affairs for Center for Mental Health Services at the Substance Abuse and Mental Health Services Administration (SAMHSA).  In his role as medical advisor to A. Kathryn Power, director of the Center for Mental Health Services (CMHS) at SAMHSA, Dr. Thompson provides comprehensive medical leadership in the diverse integrated planning, design and implementation actions that relate to CMHS programs and objectives.  In addition to providing medical consultation and assistance to CMHS programs, he monitors the application of relevant American Medical Association and American Psychiatric Association professional standards to CMHS policies and programs. 

A native of Pittsburgh, Dr. Thompson has worked for the past 15 years as a community psychiatrist in a wide variety of settings, including a primary care clinic, an HIV clinic, a state hospital, several disaster response teams, a homeless outreach team and a community mental health center.  He held an assortment of administrative, clinical and teaching positions within these settings.  Most recently he has worked with the Office of Mental Health and Substance Abuse Services in Pennsylvania, providing psychiatric consultation to the Harrisburg State Hospital closure process. 

(5) Plenary: Partnerships for Mental Health Transformation in Rural and Frontier Communities
Friday, June 19 (1:15 – 2:15 p.m.)

Larke Nahme Huang, PhD, Sandy Root-Elledge & Joseph Elledge - SAMHSA Sponsored

This plenary session will identify how partnerships with families and youth can improve the effectiveness of services.  Successful strategies to implement family-driven and youth-guided care will be discussed, with a particular focus on youth and family-provider relationships and youth and family-policymaker relationships.  The session will also provide information about the work being conducted by the Child, Adolescent and Family Branch of the Center for Mental Health Services at the Substance Abuse and Mental Health Services Administration, and will share evidence and innovative and promising practices that can improve the lives of children, youth and families in Rural America.

(6) Plenary:  Recovery and Resiliency in Rural Settings and the Cultural Implications
Saturday, June 20 (8:45 to 9:45 a.m.)

Wilma Townsend, MSW

The presentation will discuss the challenges and opportunities involved in providing and receiving recovery services in rural communities.  It will discuss the creativity and resiliency of both the individual and providers striving to understand and achieve recovery with limited resources and access.  The presentation will also talk about the interchange and impact of both the rural and ethnic cultural on the recovery process in rural communities.

Wilma Townsend, MSW.   Wilma Townsend is President of WLT Consulting, a consulting firm that specialized in Mental Health Recovery, Consumer Involvement and Cultural Competence. Ms. Townsend is a board member of the National Leadership Council for African American Behavioral Health, a past board member of the American College of Mental Health Administration, and Founding member of the Multiethnic Advocates for Cultural Competence in Ohio.  Ms. Townsend is a recognized national consumer leader in the recovery movement.  She has written two books in this area, “Emerging Best Practices in Mental Health Recovery” edition 1 and 2.  Her most written book (2006) entitled “Consumers in the Mental Health Workforce: A Handbook for Community Providers.”   She also has written numerous articles on the subject as well has written the prologue and epilogue for the book “Treatment Planning for Person-Centered Care, The Road to Mental Health and Addiction Recovery.”  Ms. Townsend also has been a member of SAMHSA workgroups that developed National Standards on Cultural Competence and the National paper on Mental Health Recovery.

AWARDS AND SOCIAL HIGHLIGHTS

(1) Awards Luncheon – Howery Award and Going to Bat Award
Thursday, June 18 (12:00 to 1:20 p.m.)

The Victor I. Howery Memorial Award is given each year to an individual who has made significant contributions to the rural mental health field.  This year’s recipient is Dr. David Lambert.  Dr. Lambert is an Associate Professor at the Muskie School of Public Service, University of Southern Maine.  Dr. Lambert directs the Mental Health Program Area within the Institute for Health Policy and has over 15 years of experience in conducting mental health research with a focus on projects that improve access to, quality and effectiveness of mental health care to vulnerable populations. He is a nationally recognized rural mental health services researcher and is widely published in this area. His research has focused on access to mental health services in rural areas, particularly coordination of primary care and mental health, recovery models, and evidence-based practice. Dr. Lambert has a long history of service to the rural mental health community including service on the NARMH Board of Directors.

The “Going to Bat” Award is given to an individual who has been a strong voice and advocate for rural mental health.  This year, the “Going to Bat” Award will be given to Diane Denish, Lieutenant Governor of  New Mexico.  Lt. Gov. Denish has long been an advocate for children's educational, health, and mental health services around the state.  She is from rural New Mexico and understands the mental health needs of rural communities.  She is well known for her "taking the Roundhouse on the Road" tours, where she has visited small communities and listened and responded to their needs.

(2) Social Event: “Experience the Cultures of New Mexico”
Appetizers & Music in Old Town
Thursday, June 18 (6:00 to 8:30 p.m.)

Enjoy the cultures of New Mexico as we go to Old Town Albuquerque Thursday evening, for appetizers, traditional New Mexican music, conversation, exploring and fun!

(3) NARMH Membership Meeting Luncheon and Rural Arts Award, Sponsorsed by UNM-HSC Family and Community Medicine-TEASC Project
Friday, June 19 (12:30 to 1:15 p.m.)

Non-members as well as members are encouraged to join us for our annual membership meeting luncheon on June 19 from 12:30 to 1:15 p.m.  This year, our membership meeting will highlight some of NARMH’s advocacy work as well as a few of the projects.  The Rural Arts Award will also be presented during the luncheon.

(4) Closing Session and Door Prizes
Saturday, June 20 (11:15 a.m. to 12:00 p.m.)

We will ask our conference participants to review the high points of the meeting, identify the areas of strongest interest and importance, and take these suggestions to lay the path for NARMH's 36th annual meeting.