Project ECHO Archive

Archives for Pediatric Mental Health teleECHO Clinics are below. Each 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. In addition to the recorded videos you will also find the PDF of each didactic presentation. Recordings do not include case presentations, this is to ensure patient’s protected health information and privacy is protected.

Recorded November 11, 2020
Mariela Herrera, MD
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.

• Childhood Trauma Didactic Presentation Recording (MAPP-Net)
• Childhood Trauma Didactic Presentation Slides (MAPP-Net) ( 1.4 MB)

Recorded October 14, 2020
Kristin Prewitt, DO and Colleen Wood, MD
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.

• Transgender: Risk Factors and Support, pt. 3 of 3, Didactic Presentation Recording (MAPP-Net)
• Transgender: Risk Factors and Support, pt. 3 of 3, Didactic Presentation Slides (MAPP-Net) ( 1.3 MB)

Recorded September 26, 2020
Colleen Wood, MD
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.

• Transgender: Referral Pathways, pt. 2 of 3, Didactic Presentation Recording (MAPP-Net)
• Transgender: Referral Pathways, pt. 2 of 3, Didactic Presentation Slides (MAPP-Net) ( 2.2 MB)

Recorded September 9, 2020
Kristin Prewitt, DO
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.

• Transgender 101, pt. 1 of 3, Didactic Presentation Recording (MAPP-Net)
• Transgender 101, pt. 1 of 3, Didactic Presentation Slides (MAPP-Net) ( 4.6 MB)

Recorded August 26, 2020
Ryan Tolleson Knee, PhD
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.

• How Montana’s Culture Can Effect Treatment Didactic Presentation Recording (MAPP-Net)
• How Montana’s Culture Can Effect Treatment Didactic Presentation Slides (MAPP-Net) ( 1.6 MB)

Recorded August 12, 2020
Bob Sise, MD, MBA, MPH
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.

• Substance Use Disorder: SBIRT Didactic Presentation Recording (MAPP-Net)
• Substance Use Disorder: SBIRT Didactic Presentation Slides (MAPP-Net) ( 2.8 MB)

Recorded July 22, 2020
Siera Zimmerman, PharmD, BCPPS
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.

• The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications Didactic Presentation Recording (MAPP-Net)
• The Who, What, Where, When and Why of Pharmacogenomics and Clinical Implications Didactic Presentation Slides (MAPP-Net) ( 672 KB)

Recorded July 8, 2020
Cynthia Brewer, DO
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.

• Childhood Trauma and Abuse Didactic Presentation Recording (MAPP-Net)
• Childhood Trauma and Abuse Didactic Presentation Slides (MAPP-Net) ( 2.9 MB)

Recorded June 24, 2020
Lanette Perkins, MSN, RN
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.

• Cultural Awareness: Pediatrics, Psychology & Montana Native American Tribes Didactic Presentation Recording (MAPP-Net)
• Cultural Awareness: Pediatrics, Psychology & Montana Native American Tribes Didactic Presentation Slides (MAPP-Net) ( 797 KB)

Recorded June 10, 2020
Michelle Reinhardt, BA, PharmD, BCPP
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.

• ADHD and Stimulant Medication Didactic Presentation Recording (MAPP-Net)
• ADHD and Stimulant Medication Didactic Presentation Slides (MAPP-Net) ( 641 KB)

Recorded May 27, 2020
Nikki Grossberg, Deputy Division Administrator Montana Child and Family Services; Doug Andersen, Program Manager of Family Services at Riverstone Health; and Roxanne Roller, Child Protective Services Supervisor for Yellowstone County Montana Child and Family Services
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.

• Impact of Shelter in Place/COVID-19 on Family Violence Presentation Recording (MAPP-Net)
• Impact of Shelter in Place/COVID-19 on Family Violence Didactic Presentation Slides (MAPP-Net) ( 244 KB)

Recorded May 13, 2020
Megan Owen, M.Ed, LCPC-S, RPT-S, Clinical Therapist/Registered Play Therapist
This didactic includes discussion on providing therapy via telehealth. Megan discusses location, parent involvement, and therapy aids and ideas.

• Digital Play Therapy Presentation Recording (MAPP-Net)

Recorded April 22, 2020
Sarah Potts, PhD
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, HealthyCommunication, Increased Engagement, Consistency and Routines, Strategies to Give Adolescents.

• Helping Parents Connect with Children During COVID-19 Presentation Recording (MAPP-Net)
• Helping Parents Connect with Children During COVID-19 Didactic Presentation Slides (MAPP-Net) ( 1.5 MB)

Recorded February 26, 2020
Carol Ewen, MA, EdS and Ryan Tolleson Knee, PhD
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.

• Coordinating Treatment with School-Based Mental Health Providers Didactic Presentation Recording (MAPP-Net)
• Coordinating Treatment with School-Based Mental Health Providers Didactic Presentation Slides (MAPP-Net) ( 133 KB)

Recorded February 12, 2020
Stacy Luke; Kim Hart; and Mary-Ann Bowman, PhD
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.

• MAPP-Net Overview Presentation Recording (MAPP-Net)
• MAPP-Net Overview Presentation Slides (MAPP-Net) ( 1.5 MB)

Recorded January 22, 2020
Adrienne Coopey, DO
This didactic includes discussion of 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.

• ADHD vs. Anxiety Didactic Presentation Recording (MAPP-Net)
• ADHD vs. Anxiety Didactic Presentation Slides (MAPP-Net) ( 217 KB)

Recorded January 8, 2020
Adrienne Coopey, DO
This didactic includes discussion of the Why, Who, When, Where and What of screening in primary care. Also includes National Comorbidity Studies and Next Steps.

• Screening: Integrating Screening into Primary Care Didactic Presentation Recording (MAPP-Net)
• Screening: Integrating Screening into Primary Care Didactic Presentation Slides (MAPP-Net) ( 1.1 MB)

Recorded December 11, 2019
Adrienne Coopey, DO
This didactic includes discussion of Medical Evaluation, Signs, Binge Eating/Purging Signs, Physical Findings, Laboratory Abnormalities, Admission Criteria (SAHM), Refeeding Syndrome, Goal Weight, Outpatient Medical Care.

• Disordered Eating Didactic Presentation Recording (MAPP-Net)
• Disordered Eating Didactic Presentation Slides (MAPP-Net) ( 280 KB)

Recorded November 13, 2019
Cheryl A Young-Pelton, EdD, BCBA-D, LBA
This didactic includes discussion of the Effectiveness of ABA, Definition of ABA, Current Dimensions, Applications, Why is ABA different?, Data Display, Case Conceptualization, Case Studies and Summary.

• Applied Behavioral Health Didactic Presentation Recording (MAPP-Net)
• Applied Behavioral Health Didactic Presentation Slides (MAPP-Net) ( 2.6 MB)

Recorded October 23, 2019
Eric Arzubi, MD
This didactic includes discussion of 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.

• Self-Harm/Cutting Presentation Recording (MAPP-Net)
• Self-Harm/Cutting Didactic Presentation Slides (MAPP-Net) ( 209 KB)

Recorded October 9, 2019
Ryan Tolleson Knee, PhD
This didactic includes discussion about the Center for Children, Families and Workforce Development. Includes a tour of the site, highlighting the Training Modules, Montana Data Dashboard and Resource Library.

• Resources for Pediatric Mental Health Presentation Recording (MAPP-Net)

Recorded September 25, 2019
Eric Arzubi, MD
This didactic includes discussion of Sleep-Related Behaviors, Associated Variables, National Data, Sedation vs. Sleep, Paradoxical Reactions, Dosing, Diphenhydramine, Melatonin, Rameteon & Clonidine, Non-Benzo Hypnotics.

• Medications for Insomnia in Children Didactic Presentation Recording (MAPP-Net)
• Medications for Insomnia in Children Didactic Presentation Slides (MAPP-Net) ( 394 KB)

Recorded September 11, 2019
Eric Arzubi, MD
This didactic includes discussion on Diagnostic Criteria, Course and Prognosis, Diagnosis, Assessment and Treatment, Epidemiology, Clinical Examination, Genes and Environment, Role of the Family.

• Obsessive Compulsive Disorders Didactic Presentation Recording (MAPP-Net)
• Obsessive Compulsive Disorders Didactic Presentation Handout (MAPP-Net) ( 160 KB)

Recorded August 28, 2019
Eric Arzubi, MD
This didactic includes discussion of Stimulants, MPH, Long-Acting MPH, AMP, Long-Acting AMP, Stimulants & Tics, Stimulants & Anxiety, Stimulants & Adverse Events and Atomoxetine.

• Advanced ADHD Psychopharm Didactic Presentation Recording (MAPP-Net)
• Advanced ADHD Psychopharm Didactic Presentation Slides (MAPP-Net) ( 372 KB)

Recorded August 14, 2019
Deanne McCulloch, PhD, LCSW
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.

• Child Sexual Abuse Didactic Presentation Recording (MAPP-Net)
• Child Sexual Abuse Didactic Presentation Slides (MAPP-Net) ( 182 KB)

Recorded July 10, 2019
Presenter: Mary-Ann Sontag Bowman, PhD, LCSW
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.

• Loss and Grief in Children and Adolescents Didactic Presentation Recording (MAPP-Net)
• Loss and Grief in Children and Adolescents Didactic Presentation Slides (MAPP-Net) ( 612 KB)

Recorded June 26, 2019
Presenter: Eric Arzubi, MD
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.

• Gender Dysphoria Didactic Presentation Recording (MAPP-Net)
• Gender Dysphoria Didactic Presentation Slides (MAPP-Net) ( 476 KB)

Recorded June 12, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on Epidemiology, Risk Factors, Co-Occurring Disorders, Screening, and DSM V Diagnosis.

• Substance Use Disorders Didactic Presentation Recording (MAPP-Net)
• Substance Use Disorders Didactic Presentation Slides (MAPP-Net) ( 93 KB)

Recorded May 22, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on Psychotic Symptoms, Epidemiology, Pathogenesis, Clinical Signs, Clinical Course, Diagnostic Evaluation and Goals for Treatment.

• Early Onset Psychosis Didactic Presentation Recording (MAPP-Net)
• Early Onset Psychosis Didactic Presentation Slides (MAPP-Net) ( 167 KB)

Recorded May 8, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on Unipolar vs. Bipolar, Atypical Antipsychotics & Other Medications and Symptom Checklist.

• Mood Disorders Didactic Presentation Recording (MAPP-Net)
• Mood Disorders Didactic Presentation Slides (MAPP-Net) ( 1.1 MB)

Recorded April 24, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on the Signs and Symptoms of Dyslexia, Diagnosing Dyslexia and Phonics and Phonemic Awareness.

• Learning Disorders: Dyslexia Didactic Presentation Recording (MAPP-Net)
• Learning Disorders: Dyslexia Didactic Presentation Slides (MAPP-Net) ( 239 KB)

Recorded April 10, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on Demographics, Prevalence, DSM-IV Disorders, and SSRI’s.

• Anxiety Disorders Didactic Presentation Recording (MAPP-Net)
• Anxiety Disorders Didactic Presentation Slides (MAPP-Net) ( 782 KB)

Recorded March 27, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on three integrated strategies, the ARC Framework, Dynamic Evaluation and Formulation, Foundational Work, Attachment, Regulation and Competency.

• Complex Trauma Didactic Presentation Recording (MAPP-Net)
• Complex Trauma Didactic Presentation Slides (MAPP-Net) ( 491 KB)

Recorded March 13, 2019
Presenter: Eric Arzubi, MD
This didactic includes discussion on Epidemiology, Terminology, Risk Factors, Assessment, Treatment and a Safety Plan.

• Youth Suicide Didactic Presentation Recording (MAPP-Net)
• Youth Suicide Didactic Presentation Slides (MAPP-Net) ( 347 KB)