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Concurrent Sessions

Wednesday, May 16

Concurrent Session 1
1:40 - 2:40 p.m.

1A Strengthen our Workforce:  Competency-based Skill Development

Identified Core Competencies for Direct Care Workers provide a road map for skill development of staff in a rural/isolated environment.  “Growing our Own” with a road map is a promising model.

1B Collaborative Research Addressing Health Disparities in Rural Alaska: Building on Alaska Native Cultural Strengths

This presentation discusses collaborations between Alaska Native leadership and researchers at the University of Alaska Fairbanks which build on cultural strengths to address health disparities in rural Alaska Native communities.

1C WRAP - Around the Kenai Peninsula

This session is a journey to wellness and recovery with facilitators, Gina and Crystal. M.E. Copeland's WRAP program is reaching around the world, Alaska and the rural Kenai Peninsula. Explore your options, Join Us!

1D-1 Human Resource Needs as Perceived by Mental Health and Substance Abuse Agencies in Southeast Alaska

Identification of human resource needs for mental health and substance abuse agencies is of continuing concern.  In this presentation, results of recent surveys of administrators on this issue are described.

1D-2 Sensitivity to Change in the Alaska Quality of Life Instrument

A revised self-report quality of life instrument has demonstrated the ability to show change over time.  One showed statistically greater improvement compared to others that were clinically meaningful.

1E-1 Patterns of Access and Service Delivery of Mental Health Services to Hawaii Children and Adolescents:  Urban vs. Rural

Examine differences in patterns of access and service delivery of mental health services through Child and Adolescent Mental Health Division (CAMHD) to Hawaii’s children and adolescents living in different geographic locations.

1E-2 Development of Rural ACT in VA

This workshop will present the policy background and evaluation data that led VA to implement ACT in rural settings. It will then outline the specific administrative challenges experienced in implementing the VA rural ACT (RANGE) program in rural areas. Clinical challenges and the role of supplementary clinical staff outside the ACT team and of telemental health interventions will be addressed. Finally, evaluation data on 300 RANGE clients will demonstrate successful service delivery and outcomes of RANGE.

1F Healing and Empowerment through Cultural Attunement

This session will propose a model for emerging best practices in working with Alaska Native people who have experienced trauma. This model will be based on the role of Elders in the community, cultural attunement, traditional ways of healing, and current evidence-based practices.

Concurrent Session 2
3:10 - 4:10 p.m.

2A AK-PIC: A Model Rural Psychology Internship Consortium

This workshop will present the Alaska Psychology Internship Consortium. Ways in which this program may serve as a model pre-doctoral psychology internship program for rural areas will be discussed.

2B Small and Strong: Understanding the Stability of an FASD Diagnostic Team in Rural Alaska

Alcohol-exposed pregnancies are highly concerning. The Kenai Peninsula has addressed this issue since 2000. This session highlights successes and challenges of responding to fetal alcohol spectrum disorders in rural Alaska.

2C Adult Learning and Indigenous People:  Promising Practices in Human Service Education with Rurally Based Indigenous Practitioners

This workshop will explore the field of adult learning and indigenous people within the context of human service education serving rural Alaska.  Perspectives informing cultural attunement and context will be explored.

2D Promoting Behavioral Health Equity for Children and Families Living in Rural Communities

This workshop will examine factors that contribute to disparities in behavioral health outcomes for children and families living in rural communities, and will identify strategies to promote behavioral and overall health.

2E Mission Possible:  Developing and Deploying a Mental Health Workforce in California

This panel will highlight both state and local activities that have been implemented in California since the implementation of the Mental Health Services Act Workforce Education and Training component. 

2F Older Workers, Older Consumers: Is Alaska Prepared for the Silver Tsunami

The State of Alaska is at a tipping point; with the highest growing senior population per capita, we are not a “young” state anymore. Compounding that is it’s not just an aging population with higher behavioral health disorders and dual diagnoses; it is also an aging behavioral health workforce that cares for them.  How will Alaskans deal with both issues to successfully ride the “silver tsunami”? Innovative solutions are being implemented today to plan for the tidal wave, but will it be enough? This session explores past lessons learned and future plans in action.

Thursday, May 17

Concurrent Session 3
9:40 -10:40 a.m.

3A When Two Worlds Collide: What do Clinicians Need to Know About Military Culture to Assist Returning Veterans?

This presentation will address barriers to the reintegration of veterans to civilian life.  We will explore facets of military culture that results in the anger and distrust that impairs therapeutic alliances and address means of reducing those impediments.

3B Clinical Supervision via Telebehavioral Health in Alaska - Emerging Best Practices

This presentation aims to provide a compilation of emerging best practices in direct service to clients and in clinical supervision via telebehavioral health that are applicable to rural Alaska. 

3C Opportunities/Programs for Rural Communities

In addition to the National Institutes of Health, many opportunities/programs supporting rural communities are available at various Federal Agencies and private organization.  An overview of opportunities/ programs at Federal Agencies will be discussed.  A summary of rural resources and contacts at various federal agencies including Substance Abuse and Mental Health Services Administration (SAMHSA), Health Resources and Services Administration (HRSA), Agency for Healthcare Research and Quality (AHRQ), US Department of Agriculture (USDA) on Rural and Community Development, US Department of Veterans Affairs (VA) and Federal Communication Commission (FCC) will be provided. 

3D-1 Early Childhood Mental Health Consultation:  A Promising Practice for Supporting Early Childhood Mental Health in Rural Communities

This session will discuss the strengths and challenges of early childhood mental health consultation as a promising practice for supporting early childhood mental health in rural communities.

3D-2 Manitoba's Rural and Northern Psychology Program: Celebrating 15 Years of Recruiting and Retaining Doctoral Level Psychologists to Rural and Northern Manitoba

This presentation will provide a brief overview of the current Canadian literature related to the recruitment and retention of health care professionals in rural and northern communities and provide an example of a Canadian program aimed at recruiting doctoral level psychologists to rural and northern Manitoba.

3E-1 AgrAbility: A Wrap-Around Program that Increases Quality of Life Levels of Farm and Ranch Families with Disabilities

The authors will present results of a study of 300+ ranch and farm family members with disabilities and of a promising approach--AgrAbility.

3E-2 Agricultural Mental Health Therapist Competencies

This presentation reports on a validation study of Agricultural mental health therapist competencies essential to effectively provide mental health services to agricultural families.  A summary of the study results, their implications for specialized agricultural mental health training, and their usage in empirical testing of which skills and therapies work best with agriculture families will be discussed. 

3F-1 Parent-Child Interaction Therapy in Rural Appalachia

This paper will describe an empirically-supported parent training program. Potential cultural modifications to this program for Appalachians will be discussed as well as clinical implications for these adaptations.

3F-2 Peer Recovery Support Services

This presentation will help attendees to understand the array of services provided by peers that help build resiliency and self-management skills. Attendees will understand how peers in a variety of settings can reduce the burden on Case Managers and Behavioral Health Technicians and allow for a higher quality of services. Attendees will understand how to develop, train and incorporate peers as a workforce development model.

Concurrent Session 4
1:00 - 2:00 p.m.

4A The Enhancement of Behavioral Health Workforce Through Cultural Attunement, Elders and the Development of Community Health Workers

This session will introduce the practice of cultural attunement and the role of Elders in rural behavioral health practice.  Also, this session will showcase RAC’s Community Health Worker Tool providing resources for the development of CHW programs.

4B Barriers and Facilitators of Drug Treatment Entry Amongst Rural and Urban African-American Cocaine Users

The workshop will describe the complexities of perceived need for treatment and identify potentially modifiable internal beliefs and external structures that may increase treatment participation amongst rural African-American cocaine users.

4C Integrated Care through Education (ICE): Diabetes Education for Caregivers of Persons with Mental Health and/or Intellectual Disabilities

This workshop showcases one approach to the integration of primary care for multiple conditions: diabetes, mental illness, and intellectual disability, along with outcome data and an analysis of model applicability.

4D-1 Exploring the Long-Term Care Needs of Alaska Native Elders in Two Regions of Rural Alaska

This presentation will explore the long-term care needs of Alaska Native elders in two regions of Alaska and highlight the challenges and benefits of providing long-term care services with this growing population.  Using both data and the elders' words, this session will provide an overview of the long-term care needs of elders and health care providers to promote aging in place and healthy communities.

4D-2 Mental Health Treatment Preferences of Alaska Natives

This session is a report of an empirical study investigating the mental health treatment preferences (type of treatment, type of provider, provider characteristics, and counseling behaviors) of a sample of Alaska Native university students.

4E Domestic Violence and Sexual Assault: Addressing Multiple Forms of Abuse and Promoting Relationship Wellness in Rural and Remote Alaska

This presentation provides participants with increased understanding of the continuum of ways to work to end violence in rural communities.  The workshop will begin by exploring issues facing rural women and families impacted by multiple forms of abuse including domestic violence/sexual assault, sexual abuse, substance use issues, trauma and other mental health issues. Practical tips learned from Alaskan Projects are offered to enhance ability to assess multiple forms of abuse as a barrier to sobriety and wellness and substance abuse, trauma and mental health as a barrier to safety for families. Participants will be provided with strategies to improve their comfort level and capacity to address safety, recovery planning for individuals in remote and rural communities impacted by multi-abuse trauma. The workshop will also explore community level norm change and promising domestic and sexual violence prevention programs for rural communities in Alaska. The prevention content will place a specific emphasis on lessons learned in rural areas and core principles for effective prevention.

4F Recruiting, Training, and Sustaining Rural Mental Health Therapists

The session will be a PowerPoint presentation with handouts. Results of my research will be presented, with time for discussion.

Concurrent Session 5
2:10 – 3:10 p.m.

5A Awakening Spiritual Unity

The mission is to help re-establish wellness, wholeness, and dignity in accordance with our traditional ancestor's teachings to all our relations who are suffering in mind, body or spirit.  We are all related, the healing of one promotes the healing of all.

5B Farm Family Relationships & What Do You Tell the Kids?

This workshop will define relationship issues somewhat unique to farm family relationships; assist parents and mental health providers to assist children during times of farm financial stress; and provide ideas of personal self-help for stressful situations.

5C Identifying Problem, Compulsive, Pathological Gamblers in Your Existing Caseload

The purpose of this workshop is to increase awareness of the need to assess participation in gaming in the client's history and the need to educate how participation in this activity may influence the client's recovery process.

5D Ensuring Well Being in Times of Environmental Change:  A Case Study of Strategies Employed by Yup’ik Women During the Salmon Decline of 2000

Session explores strategies employed by several Yup’ik women from Western Alaska to ensure their households had sufficient food security in a time of environmental change. Implications for rural behavioral health practices will be offered.

5E Assessment Based Intervention: Senior Center without Walls

This workshop will discuss the use of grounded theory research in assessing a rural senior population and the use of a senior center without walls concept for breaking senior isolation.

5F-1 Expanding Access for Rural and Indigenous Students To The Behavioral Health Workforce in Alaska Through Distance Education

This session will describe and critique approaches to distance education in Alaska. The numbers of Indigenous students in the behavioral health professions remains very low. The ways faculty can make urban-based professional-degree programs more accessible for Indigenous students will be presented.

5F-2 Criminalizing Mental Illness

This presentation will describe the history and practices involved with criminalizing people with mental illnesses. Innovative policies and diversion programs will be discussed.

Poster Session 6
3:20 - 4:20 p.m.

Poster 1 Meditation: Benefits and Application in Diverse Populations

Meditative practices benefit a number of psychiatric and medical conditions and the basic principles can easily be learned and applied to a variety of populations and cultural contexts.

Poster 2 Collaborations Between Primary Care and Behavioral Pediatric Health Clinics

Research presented described trends between primary care and behavioral pediatric health clinics in urban and rural Nebraska.  The timeliness of the research highlighted the relevance of integrated care.

Poster 3 Disseminating Evidence-Based Therapy for Traumatized Children in Rural Settings

Dissemination of an evidence-based treatment for traumatized children can be successfully accomplished in rural and urban communities statewide through the use of targeted outreach; teleconferencing; and remote, internet-based data entry.

Poster 4 Factors Influencing Intentions to Seek Counseling

This poster will discuss the factors that influence individuals from rural areas to seek, or not seek, mental or behavioral health services.

Poster 5 Quality of Life Indicators for Northern Plains Indians

The poster will show the quality of life indicators for Northern Plains Indians.

Poster 6 Physician Satisfaction with Integrated Mental Health Service Delivery Models in Rural and Urban Pediatric Primary Care

The poster aims to increase understanding of the qualities and factors that physicians view as assets in rural and urban primary care settings. Also, the dynamics relevant to successful integrated service delivery models in rural and urban health care settings will be discussed.

Poster 7 Transcending the Barriers to Rural Mental Health in a Shifting Economy Reaching Out to Rural Families

This mixed methods study on the use of teletherapy as a feasible intervention strategy relevant to reaching out to rural residents.

Poster 8 Social Class and Social Dominance Attitudes in Rural Health Care Workers

This project will investigate the social class and social dominance beliefs of health care workers in rural and urban health care settings.

Poster 9 Teaching Kids to Cope in Rural Areas

Teaching Kids To Cope (TKC) is a behavioral intervention included in SAMHSA National Registry of Evidenced Based Practice and Programs (NREPP). TKC teaches youth to cope with stress.

Poster 10 Preparing to Make a Difference in Alaska

This qualitative study about experiences of Pre-Doctoral Psychology Interns trained to meet unique challenges of practicing psychology in both rural and urban settings which supports and respects all cultural groups.

Poster 11 Dismantling CDI: Could Labeled Praise Alone be enough to Decrease Attrition and Maintain Positive Treatment Outcomes for Rural Parents with Significant Treatment Barriers?

The CDI phase of PCIT can decrease strain on parent-child relationships. Reducing the number of CDI sessions may make PCIT more accessible for rural parents experiencing treatment barriers.

Poster 12 Ethical Code Comparisons Across Professional Fields

Highlighting similarities and differences between ethical codes across professional health fields, this information serves as a guide for working with interdisciplinary professionals in a rural setting.

Poster 13 Early Termination from Empirically Supported Interventions: Strategies for Improving Retention in and Dissemination of Parent Training Programs

This poster reviews factors that influence attrition in parent training interventions for children with difficult behaviors and suggests strategies that target those factors, with a focus on rural communities. 

Poster 14 Addictions Screening in Rural Mental Health Care

Over 23 million individuals in the U.S. are identified as needing treatment for alcohol and/or other drug problems, however only about 1 in 5 receive treatment. Rural areas may be exposed to poverty, lack of specialists and lack of access to services. Purpose is to discuss results of evidence based screening, brief intervention, and referral to treatment for alcohol and drug use in rural health care settings.

Friday, May 18

Concurrent Session 7
9:50 -10:50 a.m.

7A Walking the Talk about Talking Circles

This session is designed as an active adult learning experience for participants to gain an understanding on how to design and facilitate Talking Circles/Circles-of-Talk in culturally diverse settings.

7B-1 Real Heroes Share Their Emotions: The Origins and Consequences of Machismo

Where do macho and machismo come from? Who first said, “Cowboy Up and Bear Down?”A multimedia showcase investigates and demonstrates the origins and outcomes of “Machismo” in America.

7B-2 Dual Relationship Decision Making in Rural and Remote Settings: What Can We Learn from the Locals?

This session will examine the professional experiences of forty four rural/remote social workers and social service workers from northern Canada who manage dual relationships as part of their day-to-day practice.

7C Developing the Consumer Workforce: Indiana's Certified Recovery Specialist Program

This workshop introduces Indiana's model of peer training and certification for individuals with a mental health and/or addiction diagnosis. Data regarding the effects of training and employment on the peers is presented.

7D-1 Perceptions of Suicide and Suicide Prevention in Rural Alaska

Qualitative interview study conducted to understand the perceptions of rural and indigenous students concerning the problem of suicide, as well as opinions surrounding the topic of suicide prevention.

7D-2 Talking About Suicide Among Alaska Native College Students: Implications for Mental Health

Alaska Native college students from rural villages were interviewed about their experiences with suicide. Self-report data suggest that talking about suicide may have mental health benefits.

7E-1 What is a Certified Parent Support Provider and How is this Applicable to Rural/Frontier Children's Services?

This presentation will engage participants in reviewing the national task and skills analysis of Parent Support Providers crucial to a competent workforce in children's health and behavioral health services.

7E-2 Social Work in a Very Rural Place: A Study of Practitioners in the Upper Peninsula of Michigan

This study focuses on characteristics of social workers practicing in an extremely rural region of the United States, the Upper Peninsula (UP) of Michigan. Using a mixed-methods design, social workers were surveyed and interviewed with a variety of questions, including why they work in the UP, challenges and joys of such rural practice, and how they describe living in such a remote place.

7F The Right Care, in the Right Place, at the Right Time -- Using Innovative Technologies and Communication to Support Rural Veterans

This workshop will demonstrate how Three Wire Systems, LLC’s VetAdvisor® Services is utilizing technology to connect with veterans living in rural areas.

Concurrent Session 8
11:00  a.m.– 12:00 p.m.

8A Components of Integrated Model

Integrated wellness delivered by Peers in a clinical or recovery setting addresses the whole health needs of clients.  This Model uses Wellness Recovery Plan, Peer Whole Health, SMART Recovery and Happiness Health to address recovery, create significant outcomes in behavioral, physical health and builds resiliency.

8B Primary Health Care Integration with Behavioral Health Care in Rural Settings: The Verde Valley Guidance Clinic Primary Care Integration Initiative

The focus of this workshop will demonstrate the importance of integrating primary health care with behavioral health care for severely mentally ill patients residing in rural areas.

8C Cultural Attunement in Health Professions Education and Practice

Is it possible for any human being to be “culturally competent”? The presentation will present evidence that competence is a lifelong quest toward achieving positive outcomes for health providers, not necessary a certificate that is framed and put on an office wall. The term “attunement is much more productive and suggests a dynamic continuous evolving environment.

8D-1 Understanding and Addressing the Alaska Native Cancer Survivorship Experience

We will describe the 'Understanding the Alaska Native Cancer Experience Project'; a community-academic partnership, and will share how Alaska Native survivors describe their ability to cope during their cancer journey.

8D-2 Primary and Behavioral Health Care Integration: A Residency within a Residency - a Win-Win Option

This presentation and discussion will review the evolution and creation of a multifaceted integrated behavioral medicine program within the Alaska Family Medicine Clinic as it evolves with the Medical Family Home.

8E Chronic Pain and Native America Journeying

This is an interactive training designed to help the participant learn to use native journeying as a tool to treat chronic pain and comorbid mental health disorders.

8F Dementia and Developmental Disabilities: How Can You Tell What is Going On?

This interactive session will examine the complexities of assessment, diagnosis and treatment of dementia in individuals with cognitive impairment/developmental delays through a series of case-based examples and group discussion by session participants.