Michigan Association of CMH Boards2015 Annual Spring Conference:

“Strong Together. Growing Together. Success Together.”Pre-Conferences Institutes: Monday, May 18, 2015 from 1:00pm – 4:00pm

Full Conference: May 19 & 20, 2015

Amway Grand Plaza Hotel, 187 Monroe Avenue, NW, Grand Rapids, MI 49503

CONFERENCE AGENDA

Monday, May 18, 2015

12:30pm Registration for Pre-Conference Institutes($20 registration fee - see separate registration form)

1:00pm – 4:00pm Pre-Conference Institute #1: Secondary Trauma and its Personal and Professional Impact¦ Qualifies for 3 CE hours for Social Workers

Dr. James Henry, PhD, Director, Western Michigan University School of Social WorkThis pre-conference institute will define Secondary Trauma Syndrome (STS), identify STS symptoms, and provide strategies to address STS in the workforce. A description of the interaction between organizational stress and STS will occur. The difference between STS and burnout will be described. Participants will learn: 1. What STS is and how to identify symptoms of STS; 2. How to tell the difference between STS and burnout; and 3. Strategies to address STS and organizational stress.

1:00pm – 4:00pm Pre-Conference Institute #2: The Drama Triangle: Avoiding the Entanglement with Cluster B Personality Disorders

Continuing Education Credits:

Social Work: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 11/10/13-11/10/16. Social workers should contact their regulatory board to determine course approval. Social Workers participating in the pre-conference institutes (5/18/15) may receive a maximum of 3 clock hours. Social Workers participating in this full conference (5/19/15–5/20/15) may receive a maximum of 9 clock hours. Course Delivery Method: Conference

Substance Abuse Professionals: MACMHB is approved by Michigan Certification Board for Addiction Professionals (MCBAP). MACMHB maintains the responsibility for the program and content. Credit hours are pending.

Certificate Awarded: At the conclusion of this conference, turn in your Verification of Attendance form to the MACMHB Staff to be initialed. You will turn in the top sheet and retain the bottom sheet which serves as your certificate of participation.

Who Should Attend: This conference attracts more than 500 attendees including board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, children’s supervisors and other practitioners at all levels of practice (beginning, intermediate and/or advanced).

Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at 517-374-6848 or through our webpage at www.macmhb.org for resolution.

¦ Qualifies for 3 CE hours for Social Workers Josh Smith, MSW, LMSW, Owner, DBT Center of Michigan and DBT Center of Western Kentucky

Often times when interacting with individuals with Cluster B personality disorder/traits, (Borderline, Narcissistic, Anti-Social and Histrionic Personality Disorders) a “dance-of-power” occurs between them and others they interact with. This “dance-of-power” often leads to unnecessary tension, drama and conflict in both parties. This training is designed to help individuals understand how to quickly identify Cluster B personality traits, get a general idea behind the drama triangle and learn common drama patterns individuals with Cluster B personality disorders/traits will engage in. This understanding can help you with becoming more aware of the dysfunctional emotional tendencies they try to engage in with others and tips on how to stay out of the drama triangle. Participants will be able to: 1. Identify personality characteristics in each of the Cluster B Personality Disorders; 2. Identify the 3 drama positions in the Drama Triangle; and 3. Identify the “home” positions on the Drama Triangle for each Cluster B Personality Disorder and ways to “frustrate the drama.”

1:00pm – 4:00pm Pre-Conference Institute #3: Boardworks 2.0: Board Member Orientation & the Role of Board Members in the Rights Protection Process

Mary Anderson, Board Member, Newaygo County Mental Health Center; Chair, Mid-State Health Network

Michael K. Vizena, MBA, Executive Director, Michigan Association of CMH Boards Andrew Silver, BA, Director of Training, Office of Recipient Rights, MI Department of Health and

Human ServicesThis session is designed for new and current board members. We will start with a brief keynote address, followed by presentations on Orientation to the Governance and Leadership Program and Critical Updates. We will conclude with an opportunity to discuss board related planning and action considerations relative to the day’s learning. Orientation: New board members are provided (a) an overview of the Learning Program and (b) a brief summary overview of basic and key substantive and technical information contained in the Learning Program Conference Presentation Series of nine workshops that constitute the core curriculum. Update: Current board members are provided a comprehensive update on the most critical issues for the upcoming year. This particularly includes matters of the state and federal budgets, MDHHS’s PIHP and CMHSP contracts and critical policy issues. A portion of this workshop will cover the role of the CMHSP Board as it relates to the Rights Protection Process. Attendees will learn how the Board relates to the Recipient Rights Advisory Committee, to the selection of the Recipient Rights Director and its role in the Recipient Rights Appeals Committee. The session will review the rights of recipients as enumerated in the Mental Health Code, discuss the role of rights in the protection of consumers, training requirements for agency staff, confidentiality issues, the Recipient Rights Annual Report and how the Board can use this tool for process improvement. Participants will be able to: 1. Understand their role as Board Members in the Rights Complaint Process; 2. Identify at least 2 factors that explain the relationship of the Board to the Recipient Rights Advisory Committee; and 3. Participate in and react proactively to the review of the Annual Recipient Rights Report.

4:15pm – 5:00pm Board Chairperson Roundtable & Networking (there is no fee for this meeting)4:00pm – 6:00pm Earlybird Registration for MACMHB Spring Conference6:00pm MACMHB Members: Executive Board Meeting

Tuesday, May 19, 20157:15am – 5:00pm Conference Registration and Exhibits Open7:15am – 8:15am Breakfast Activities (full breakfast buffet will be served until 8:15am)

Regional Breakfast MeetingsProvider Alliance Breakfast MeetingNon-Member and Staff Networking Breakfast

8:15am – 8:30am Conference Welcome8:30am – 9:30am Plenary Session: Tools for Primary Care of People with Developmental Disabilities

¦ Qualifies for 1CE hour for Social Workers Tom Cheetham, MD, FAAIDD, Deputy Commissioner, Office of Health Services, Tennessee

Department of Intellectual and Developmental DisabilitiesAlthough adults with intellectual and developmental disabilities experience double the physical health problems compared to the general population and forty percent have psychiatric diagnoses or challenging behavior, many health care providers have little training and experience with this population. The result is significant health disparities. The IDD Toolkit was developed to assist practitioners implement evidence based guidelines on general issues, physical health issues and behavioral and psychiatric issues. This session will present a practical introduction to these clinically useful tools.

9:30am – 10:00am Exhibitor Refreshment BreakConcurrent Workshops:

10:00am – 11:30am 1. Tools for Primary Care of People with Developmental Disabilities¦ Qualifies for 1.5 CE hours for Social Workers Tom Cheetham, MD, FAAIDD, Deputy Commissioner, Office of Health Services, Tennessee

Department of Intellectual and Developmental DisabilitiesA more detailed look at the IDD Toolkit. Although adults with intellectual and developmental disabilities experience double the physical health problems compared to the general population and forty percent have psychiatric diagnoses or challenging behavior, many health care providers have little training and experience with this population. The result is significant health disparities. The IDD Toolkit was developed to assist practitioners implement evidence based guidelines on general issues, physical health issues and behavioral and psychiatric issues. This workshop will present a practical introduction to these clinically useful tools.

10:00am – 11:30am 2. Successes and Lessons Learned from an Early Behavioral Health Home Pilot¦ Qualifies for 1.5 CE hours for Social Workers Jessica Kross, LMSW, Manager of Quality, Pine Rest Christian Mental Health Services Beverly Ryskamp, JD, LMSW, Systems Development Supervisor, network180 Kristin Spykerman, LMSW, CAADC, Director of Health Home Services, Cherry Health (f/k/a Cherry

Street Health Services)In 2011, network180 embarked on an early behavioral health home pilot in partnership with contracted service providers in Kent County, Michigan. This behavioral health home project was independent of DHHS’s current section 2703 Medicaid Health Home pilot. The initial focus was enhancing access, continuity of care, and care coordination using the 2011 NCQA patient centered medical home standards as a roadmap. Service delivery began in April 2012 and continues currently. The model began as an enhanced behavioral health service and has increasingly focused on care coordination and client activation around physical health as well. In 2013, both pilot service agencies achieved CARF-accreditation as behavioral health homes, and were among the first in the country to achieve this status. This presentation will provide information about our successes and lessons learned regarding health home model development, services delivered under the model, payment modeling, evaluation and evaluation results, and our next steps for transitioning from pilot to standard operations. The presentation will include consumer accounts about experience of care in the health home pilot. Participants will be able to: 1. Identify the 3 core behavioral health objectives highlighted in the health home model; 2. Describe the enhanced care coordination activities performed under the model; and 3. Summarize current results regarding cost, health outcomes, and experience of care.

10:00am – 11:30am 3. Promoting Independence and Choice through a Personal Emergency Response System (PERS)¦ Qualifies for 1.5 CE hours for Social Workers Constance Conklin, LMSW, Executive Director , Livingston County Community Mental Health Mary Phillips, LMSW, ACSW, Program Director for Individuals with Developmental Disabilities &

Access, Livingston County CMH Megan Pickering, BA, Program Coordinator-PERS, Livingston County CMH

The Personal Emergency Reponses System is an audio monitor program offered 24 hours a day, 7 days a

week, 365 days a year. The audio system uses technology to provide easily accessible support and on-going monitoring that promotes independence and choice. In combination with an array of services, the Personal Emergency Reponses System offers a sustainable approach that benefits both the consumer and organizational needs. The innovative care system empowers consumers to live as independent as possible and aids in the increasing demand of personal care services. Participants will be able to: 1. Identify at least 3 reasons to use the Personal Emergency Reponses System for persons receiving services by Community Mental Health; 2.Identify consumer benefit of using the Personal Emergency Reponses System - privacy, independence, and empowerment.; 3. Identify at least 5 organizational benefits including program development, increased array of services and cost savings to meet the needs of more consumers.

10:00am – 11:30am 4. What’s Going On In Lansing – Legislative Update Alan Bolter, Associate Director, Michigan Association of CMH Boards

Hear the latest goings on in the Michigan Legislature. What impact will the FY16 budget have on the public funded mental health system and what are the legislative priorities moving through the House and Senate? This workshop will provide an update on the latest legislation impacting the CMH system as well as reviewing the FY16 DHHS budget and what to expect the rest of the year.

10:00am – 11:30am 5. Behavioral Health Partnerships: Using the Community School Approach to Expand Access to Clinical Services for Children and Families¦ Qualifies for 1.5 CE hours for Social Workers Kathy Freburg, MSW, LMSW, Planning Director, Child/Adult Division, network180 Enid Gaddis, MA, Counseling, Licensed Professional Counselor, Program Manager, Kent School

Services Network, Arbor Circle Carol Paine-McGovern, MA, Executive Director, Kent School Services Network

This presentation will provide an overview and history of the Kent School Services Network – a community school initiative in Kent County partnering with 29 schools in 9 school districts. Speakers will discuss the role a SAMSHA System of Care grant played in scaling up the community school model to include placing full-time clinicians in schools that with populations of children and youth that had historically been disproportionately served by the county mental health agency. Four years of data will be shared on the results of this partnership as well as challenges and opportunities. Participants will be able to: 1. Describe the types of behavioral health services within a community school setting; 2. Identify specific funding opportunities for clinicians in schools; and 3. Understand benefits and challenges of provided behavioral health services within a community school settings.

10:00am – 11:30am 6. Look Uncover Nurture Act¦ Qualifies for 1.5 CE hours for Social Workers Helena N. Kelly, MA, MSW, LMSW, Program Manager, Easter Seals Michigan Uriel Stephens, MSW, LMSW, Director, Family Services, Easter Seals Michigan

Easter Seals Michigan (ESM) has provided specialty Assessments to traumatized youth since 2010. In November of 2014, Easter Seals Michigan was awarded a grant from the Michigan Health Endowment Fund to expand trauma services throughout the state recognizing impact trauma has emotionally, physically and developmentally to children. This model consists of an Online Screening Tool. This tool seeks to look at the symptoms, behaviors, and resiliency to assess responses to trauma or chronic stress. The next level focuses on outreach and conducting a trauma informed comprehensive assessment for those children that score positive on the web screening tool. This consists of an in-depth examination of severity/acuity of the demonstrated/endorsed trauma symptoms. Including 3-4 clinical batteries to explore areas of impact and identify specific evidence-based treatments. The third level is a neuro-developmental is very specialized and designed for those children that have developmental delays as a result of their traumatic experience. This assessment seeks to connect children with the age and treatment specific interventions. This is an interactive workshop designed to educate and instruct participants on this practice. Participants will be able to: 1. Identify the 3 tiers of trauma and chronic stress assessments as part of a model developed in partnership with CTAC and the Michigan Health Endowment Fund; 2. Identify at least 2 ways to increase collaboration with other systems of care to meet the trauma needs of clients and families; 3. Examine and discuss the impact of trauma on neurodevelopment of children; 4. Learn how to access and utilize the Online/Universal Trauma Screening Tool for future use with children, families and community partners; and 5. Become familiar with the impact exposure to trauma on health outcomes.

10:00am – 11:30am 7. Boardworks 2.0 Pilot: Substance Use Disorders and their Integration into the PIHP Structure: An Overview of the Disorder, Services and Funding Structures¦ Qualifies for 1.5 CE hours for Social Workers

Mindie Smith, MA, LLP, CAADC, Substance Use Disorder Prevention and Treatment Director, Southwest Michigan Behavioral Health

This presentation is intended to be part of the Boardworks education series for CMHSP board members but also for a broader audience seeking information about Substance Use Disorder Services. The presentation will provide basic information about addictive disorders and how the recent realignment of the PIHP and

funding system should provide more integrated and accessible care for those with this or multiple disorders. The presentation will describe what a Recovery Oriented System of Care is and how the funding mechanisms work to ensure services are available. It will describe what Prevention Services are and types of Treatment Services are available. It will describe Medication Assisted Treatment and how this often misunderstood service can work as an adjunctive therapy to many of the treatment modalities offered.Participants will be able to: 1. Understand the relationship between the PIHP, CMHSP and Substance Use Disorder Provider Agencies; 2. Have a basic understanding of the nature of the addictive disorder and how this may co-occur with a mental illness or be a single occurring disorder; 3. Differentiate between prevention, treatment and recovery directed services and how these services in partnership with community communities form a Recovery Oriented System of Care; and 4. Describe the benefits of Medication Assisted Treatment as adjunctive to any level of care or as stand alone treatment.

11:30am – 12:20pm Group Lunch12:20pm – 1:20pm Plenary Session: Secondary Trauma and its Personal and Professional Impact

¦ Qualifies for 1 CE hour for Social Workers Dr. James Henry, PhD, Director, Western Michigan University School of Social Work

This plenary will define Secondary Trauma Syndrome (STS), identify STS symptoms, and provide strategies to address STS in the workforce. A description of the interaction between organizational stress and STS will occur. The difference between STS and burnout will be described. Participants will learn: 1. What STS is and how to identify symptoms of STS; 2. How to tell the difference between STS and burnout; and 3. Strategies to address STS and organizational stress.

Concurrent Workshops:1:30pm – 3:00pm 8. Using CC360 Data to Inform the Care Bridge: The Washtenaw Community Support Treatment

Services and University of Michigan Health System Complex Care Program Experience¦ Qualifies for 1.5 CE hours for Social Workers Brandie Hagaman, MA, Program Administrator, Washtenaw County Community Support and

Treatment Services Michael Harding Jr., BA, Chief Information Officer, Washtenaw County Community Support and

Treatment Services Heather Rye, LMSW, Certified Case Manager, Complex Care Manager, University of Michigan

Hospital and Health SystemsThis is a joint project where Nurse Care Managers (NCMs) from Washtenaw County Community Support and Treatment Services (CSTS) meet quarterly with UM Complex Care Managers (CCMs) to discuss medically complex CSTS patients and determine clinical plans that both parties follow up on and provide frequent between-meeting contact (the ‘Care Bridge’) with each other. NCMs have accessed portions University of Michigan electronic medical record (EMR) since 2010. In 2014, two projects were undertaken to: a) allow UM CCMs real-time access to patients’ CSTS EMR through the use of HIE, and b) provide reports of CSTS clients’ UM ER, hospital, primary care and subspecialty care and associated charges at Care Bridge meetings. This utilization information determines the prioritization for whom to “Care Bridge” and allows for discussion between organizations on lead and secondary roles. There is also an administration component where representatives from both agencies check in bi-monthly to discuss the projects goals, outcomes, successes and barriers to this “Care Bridge” approach for the complicated shared patient. Participants will be able to: 1. Identify the necessary components of a care bridge; 2. Understand how to use CC360 and HIE to incorporate utilization information into clinical care planning and team discussion; and 3. Understand the elements of both organizations in order to coordinate care and provide this care bridge approach.

1:30pm – 3:00pm 9. Autism Anti-Bullying and Safety Training for Emergency Responders and Community Agencies¦ Qualifies for 1.5 CE hours for Social Workers

Lisa Grost, MHSA, PAPHS, Autism Administrator, MI Department of Health and Human Services

Anthony Ianni, BA, Autism Department Analyst, MI Department of Civil Rights Sgt. Scott Schuelke, BA, Autism Safety Specialist, Autism Alliance of Michigan

People with developmental disabilities, including autism, are seven times more likely to be in contact with law enforcement. Increasing recognition skills of emergency responders, educational professionals and service providers is key to having the best outcome in urgent situations. The presenters will provide an overview of on duty situations and the best way to safety and effectively manage it. Improving safety in the school and community environments are vital to preventing bullying. The session will also include community outreach strategies to increase the safety and support individuals with autism. It will include proactive ideas on how to engage emergency responders, community service partners, and families. Participants will be able to: 1. Explain the benefit of autism anti-bullying program for students and community members; 2. Describe the benefit of autism safety training to emergency responders and

community service partners; 3. Explain how to safely and effectively interact with individuals with autism and their family/care providers; and 4. Identify community outreach strategies to increase safety and support individuals with autism and their family.

1:30pm – 3:00pm 10. Oakland County Youth Suicide Prevention: School, Parent & Youth Initiatives¦ Qualifies for 1.5 CE hours for Social Workers Christine Burk, BAA, FEMA PIO Certified, Suicide Prevention Task Force Member, Manager of

Communications and Community Outreach, Oakland County Community Mental Health Authority Amelia Lehto, American Red Cross First Aid/CPR/AED Trainer, OCCRO Team Member, Crisis Line

Coordinator & Suicide Prevention Specialist, Common GroundLet’s change the way we think and talk about suicide. Creating more awareness around suicide reduces the stigma associated with mental health and substance use disorder services. With the right tools, everyone can be an advocate for youth to access needed resources. The presentation will highlight initiatives targeted at school staff, parents and youth. Time will be included for interactive group discussion. Participants will be able to: 1. Describe essential components of a school suicide prevention program; 2. Identify commonly described benefits, challenges and lessons learned from working as part of a community collaborative; and 3. Implement successful preventive and post suicide strategies to support youth, parents and schools.

1:30pm – 3:00pm 11. The Drama Triangle: Avoiding the Entanglement with Cluster B Personality Disorders¦ Qualifies for 1.5 CE hours for Social Workers Josh Smith, MSW, LMSW, Owner, DBT Center of Michigan and DBT Center of Western Kentucky

Often times when interacting with individuals with Cluster B personality disorder/traits, (Borderline, Narcissistic, Anti-Social and Histrionic Personality Disorders) a “dance-of-power” occurs between them and others they interact with. This “dance-of-power” often leads to unnecessary tension, drama and conflict in both parties. This training is designed to help individuals understand how to quickly identify Cluster B personality traits, get a general idea behind the drama triangle and learn common drama patterns individuals with Cluster B personality disorders/traits will engage in. This understanding can help you with becoming more aware of the dysfunctional emotional tendencies they try to engage in with others and tips on how to stay out of the drama triangle. Participants will be able to: 1. Identify personality characteristics in each of the Cluster B Personality Disorders; 2. Identify the 3 drama positions in the Drama Triangle; and 3. Identify the “home” positions on the Drama Triangle for each Cluster B Personality Disorder and ways to “frustrate the drama.”

1:30pm – 3:00pm 12. Boardworks 2.0: Implementation - Best Practices David Schneider, MPA, Chief Executive Officer, Northern Michigan Regional Entity

In this workshop, participants will explore public policy relative to the implementation of best practice supports, services, care and treatment. Participants will be able to: 1. Examine the growth and application of best, promising and evidence-based practice in the public mental health system; 2. Understand the move toward integrated physical health and behavioral health care; and 3. Consider the policy and leadership roles relative to the implementation of best practices and integrated care.

1:30pm – 3:00pm 13. A Healthier You: What the Data Says and How we can Improve Health and Wellness for Persons with Developmental Disabilities¦ Qualifies for 1.5 CE hours for Social Workers Kathleen Kovach, MEd, Chief Operations Officer, Oakland County Community Mental Health Charlyss Ray, OTR-L, Specialist for Services and Supports for Persons with Developmental

Disabilities, Michigan Department of Health and Human ServicesIn 2011, Michigan became one of 41 states in the U.S. to participate in the National Core Indicator (NCI) Program. This workshop will focus on some of the Michigan data gleaned from the 2012 NCI survey as reported in the brief: “A Healthier You”. The presenters will discuss how the health indicators compare with the 40 participating states and some of the barriers and challenges to health and wellness. Recommendations, models of best practice, and evidence based programs designed to improve key areas of health for persons with DD will be highlighted. Participants will be able to: 1. State 2 areas of concern related to the health of individuals with developmental disabilities in Michigan as revealed by the collection of data from the National Core Indicator Survey; 2. Identify 3 methods to be used to address these health concerns; and 3. Consider cost effective potential resources for health improvement initiatives for persons with developmental disabilities.

1:30pm – 3:00pm 14. Clubhouse Best Practices: An Update on Micro, Meso and Macro Levels of Intervention¦ Qualifies for 1.5 CE hours for Social Workers Marty Alward, BA, Program Consultant, MI Department of Health and Human Services Lee Kellogg, MA, Clubhouse Director, Genesis House, Livingston County CMH Mike Leahy, Employment Coordinator, Genesis House Tara VanDyke, Clubhouse Director, Sheldon House

This presentation will inform key Clubhouse administrators and stakeholders of the growing body of

evidence for Clubhouses to become accredited through Clubhouse International. Clubhouses that follow the International model were added to the SAMSHA Best-Practices list in 2010. Each year since then, more and more Michigan Clubhouses seek and achieve accreditation through Clubhouse International. The presentation will include the growing body of evidence to support how these best-practices correlate to strong outcomes for Clubhouse members. The vision of this group is to strengthen Clubhouse programs across the state to enhance member experiences and to increase member opportunities. This is a long-term vision that strives to support all Clubhouses throughout the change process. In addition to learning about upcoming changes, participants will learn about best-practices for implementing change. This includes training and connections with broader resources from DHHS, Clubhouse Michigan and Clubhouse International. Participants will be able to: 1. Identify the 3 areas for which Clubhouses Michigan developed quantitative outcome measures; 2. Summarize 5 benefits for Clubhouse International accreditation; and 3. Employ 4 strategies to implement change within a Clubhouse community.

3:00pm – 3:20pm Exhibitor Refreshment BreakConcurrent Workshops:

3:30pm – 5:00pm 15. How to Implement Adapted Dialectical Behavior Therapy for the Intellectually Disabled and Be Successful¦ Qualifies for 1.5 CE hours for Social Workers Mark Mitchell, MSW, LMSW, QIDP, Clinical Consultant, Diversified Finance & Health Services, Inc. Kelly Shuler, MSW, LMSW, Cht, QIDP, President/Executive Director, Diversified Finance & Health

Services, Inc.This presentation will be presented for the benefit of administrators and clinicians who are interested in implementing an Adapted Dialectical Behavior Therapy program in their agency for persons with Intellectual Disabilities and other cognitive issues. It will address both the clinical and service delivery benefits of adopting such a program. We will highlight the services available from Diversified Finance & Health Services in establishing, implementing, training and providing technical assistance to develop this type of treatment within your facility. Discussion on the effectiveness and theoretical foundations of Dialectical Behavior Therapy as a treatment modality will be presented. An overview of the adaptations made to the original curriculum will also be provided. Participants will be able to: 1. Identify 5 outcomes in which an Adapted Dialectical Behavior Therapy (DBT) program can positively impact their organizations; 2. Identify 5 adaptations made to the original DBT curriculum and the reasons for the adaptations; and 3. Describe the basic process of developing and providing an Adapted DBT Informed program.

3:30pm – 5:00pm 16. Michigan Autism Program Updates¦ Qualifies for 1.5 CE hours for Social Workers Lisa Grost, MHSA, PAPHS, Autism Administrator, MI Department of Health and Human Services Morgan VanDenBerg, MA, BCBA, Autism Behavior Specialist, MI Department of Health and

Human ServicesMichigan continues to strive to be a leader in opportunities, services and supports for individuals with Autism Spectrum Disorder (ASD). This session will focus on progress made in Michigan along with crucial components needed to continue to move forward in accomplishing objectives outlined in the Michigan ASD State Plan. The presenters will emphasis the policy areas of the Medicaid/MIChild Autism Benefit to increase clarity along with updates on Behavioral Health Treatment service expansion for 2016. Participants will be able to: 1. Identify the progress on Autism Spectrum Disorder (ASD) supports and services in Michigan; 2. Describe 2 initiatives in Michigan to increase access to early intervention and ASD services; and 3. List 3 ASD resources for families and providers.

3:30pm – 5:00pm 17. Child and Adolescent Health Centers: A Model for Integrated Care¦ Qualifies for 1.5 CE hours for Social Workers Taggert J. Doll, MS, Child and Adolescent Health Center Program Coordinator, MI Department of

Health and Human Services Becky Fatzinger, MA, LLP, LMSW, Community Wellness Supervisor, Van Buren Community Mental

Health Authority Lauren Kazee, LMSW, Mental Health Consultant, MI Department of Health and Human Services

The Child and Adolescent Health Center (CAHC) Program funds 100 sites in Michigan to provide behavioral health and medical services in schools or near school property. The CAHC sites have been working toward behavioral health/medical care integration for the past several years. The purpose of this presentation will be to make the audience aware of the services happening at the CAHCs, describe the integrated care initiatives and discuss potential partnerships with local CMH offices. Participants will be able to: 1. Describe and discuss the Child and Adolescent Health Center (CAHC) program; 2. Describe integrated behavioral and medical care currently happening at the CAHCs; and 3. Identify methods to integrate behavioral and medical care in a clinic setting.

supporting CMH consumers either in state facilities or in the community. Today, almost the entire CMH system is Medicaid. This session will go through the history of the CMH system and how it has evolved through maximizing the use of Medicaid funding and how we use Medicaid funding to create enhanced opportunities for community inclusion, self-determination and recovery for the persons we serve. Medicaid funding at the federal, state and PIHP levels will be discussed, including the factors used for setting Medicaid rates in the past, present and potential future funding models. The role of the carve out for the past 16 years and implications of integrated care and dual eligibles (Medicare-Medicaid) demonstration pilots will be discussed. Participants will be able to: 1. Describe the history and evolution of Medicaid funding within the public mental health system in Michigan; 2. Explain the shift to specialty services managed care; 3. Recognize the elements involved in Medicaid rate setting - past, present and future; and 4. Identify the issues involved with the specialty services carve out, integrated care and the dual eligible pilots and the potential impact on the CMH consumers and the CMH system.

3:30pm – 5:00pm 19. Gambling Disorder: Understanding the Hidden Addiction and the Michigan Problem Gambling Treatment Program¦ Qualifies for 1.5 CE hours for Social Workers Lori A. Mello, MA, LPC, MPA, Program Manager, Gambling Treatment Program, Health

Management Systems of AmericaThis workshop will focus on the basic definition of Gambling and Gambling Disorder, the history of the addiction in the DSM, the pathway to addiction, characteristics of the individual with Gambling Disorder, how the addiction manifests itself among various populations, and the use of screening assessments. This presentation will also touch on how the disorder affects the family of the gambler, effective treatment modalities for working with the individual with Gambling Disorder and/or the family, including a brief profile of the Michigan Problem Gambling Treatment Program, and the future of gambling and gambling games.Participants will be able to: 1. Identify a working definition of Gambling Disorder which includes the four phases of the disorder and effective treatment modalities for this population; 2. Describe the characteristics of an individual with Gambling Disorder and the questions to ask; and 3. Identify resources available to help the individual with Gambling Disorder and his/her family members which includes a review of the Michigan Problem Gambling Treatment Program services.

3:30pm – 5:00pm 20. Using the Support Intensity Scale (SIS) to Enhance Self Determination¦ Qualifies for 1.5 CE hours for Social Workers Jennifer Bohne, MS, Director, Support Needs Assessment Center, MORC, Inc. Deirdre Mercer, BS Special Education, LBSW, Self Determination Coordinator, MORC, Inc. Julia Whitcher, LMSW, SIS Coordinator, MORC, Inc.

This interactive presentation is designed to support a collaborative approach to identify an individual’s support needs and use the information gained to enhance person-centered planning, self-advocacy and self direction of authorized supports. The participants will engage in case study discussion that will assist in the utilization of SIS data and how it can be used to enhance self determination and person centered planning. Participants will access tools that will make assessment less complicated for clinicians and more meaningful to the individual supported. Participants will be able to: 1. Recognize Support Intensity Scale data can be used for a variety of advocacy opportunities; 2. Apply Person-Centered principles to SIS data and translate it into self determined treatment goals; and 3. Empower advocates to identify opportunities to use the SIS as an advocacy tool to further self determination principles.

3:30pm – 5:00pm 21. Boardworks 2.0: Leadership – Legal Lisa K. Morse, Director of Administrative Services, St. Clair County CMH Services

This session is designed to provide information on the legal responsibilities of a Community Mental Health Agency (CMH) as well as a Prepaid Inpatient Health Plan (PIHP). Areas that will be covered include the Mental Health Code, specifically Chapter 2 on County CMH Programs, the contractual relationship that exists between the MI Department of Health and Human Services and the CMH (for both Medicaid services and non-Medicaid services) and what those contracts require, The Open Meetings Act, and the Freedom of Information Act (FOIA). Participants will understand their role in ensuring the legal responsibilities of the CMH are met. Participants will be able to: 1. Understand your statutory obligations under the Mental Health Code; 2. Understand at least 3 of the basic contractual obligations the Boards have with MDHHS; and 3. Examine both the Open Meetings Act and Freedom of Information Act.

Wednesday, May 20, 20157:00am – 12:00pm Conference Registration and Exhibits Open7:00am – 7:30am Group Breakfast7:30am – 8:45am MACMHB Member Assembly Meeting & Election of Officers

Boardworks Certificate Presentations

9:00am – 10:00am Plenary Session “Key Issues Update from MI Department of Health and Human Services”¦ Qualifies for 1CE hour for Social Workers Lynda Zeller, MA, Deputy Director, Behavioral Health and Developmental Disabilities,

Administration, MI Department of Health and Human ServicesMs. Zeller will provide updates on key issues within the new Department of Health and Human Services and the Behavioral Health and Developmental Disabilities Administration. She will provide updates on state and federal activities including Michigan DHHS principles, visions and values of the new department, the federal Excellence in Mental Health Act, Home and Community Based Services rule implementation, MI Health Link, Healthy Michigan Plan, and other recovery oriented and integrated transformational efforts. Participants will be able to: 1. List at least two key goals DHHS BHDDA plans to achieve in the coming year; and 2. Restate two or more projects driven by federal opportunity, law or rule.

10:00am – 10:20am Exhibitor Refreshment BreakConcurrent Workshops:

10:30am – 12:00pm 22. Michigan Children’s Health Access Program: Your Role in the New Statewide Rollout¦ Qualifies for 1.5 CE hours for Social Workers Scott Dzurka, MBA, President and CEO, Michigan Association of United Ways Nancy Lindman, MA, Director, Public Policy and Partnerships, Michigan Association of United

WaysDid you know that if the hospitalization rate for children on Medicaid was the same as for those with private insurance, the estimated savings for one year in Michigan would be $300-$400 million? Learn about a new Michigan Health Endowment Fund supported initiative to integrate services and improve health outcomes for children with Medicaid. The Michigan Children’s Health Access Program (MI-CHAP) will be implemented statewide this year, find out how this population-based approach works on the family, provider and system levels. MI-CHAP needs your engagement; this session will get you started on connecting with your local MI-CHAP initiative. Participants will be able to: 1. Describe elements of CHAP the model; 2. Explain the outcomes evidenced by CHAP model to date; 3. Identify the upcoming MI-CHAP work that will be underway in their community; 4. Connect their work with MI-CHAP efforts in their community; and 5. Stay informed about MI-CHAP progress in the future.

10:30am – 12:00pm 23. Applied Behavior Analysis is Making a Difference: Parent Panel¦ Qualifies for 1.5 CE hours for Social Workers Julie Calley, Board Member, Ionia County CMH

Lisa Grost, MHSA, PAPHS, Autism Administrator, MI Department of Health and Human Services

Michigan families have benefited from the autism insurance legislation reform and addition of applied behavior analysis services to the Medicaid system. Applied behavior analysis (ABA) is being recommended to families to assist their children with autism spectrum disorder. This session will include a parent panel of families who have been receiving applied behavior analysis. They will share the behavior challenges they have experienced with their children and the benefits of ABA to their family. The panelist will discuss how they were able to build ABA into their schedule and tips for agency staff when implementing with families. Participants will be able to: 1. Explain the behavior challenges of children with autism; 2. Describe applied behavior analysis and the benefits of it for the children and families; 3. List how families have fit applied behavior analysis into their schedule; and 4. Identify strategies to effectively implement applied behavior analysis.

10:30am – 12:00pm 24. The Great Reveal: Brain Science, Technology, Determination and the Uncovering of Human Potential¦ Qualifies for 1.5 CE hours for Social Workers Tiffany Durst, High School Graduate, Trauma Survivor, Recipient of Services Lynn A. Sweeney, MA, CCC-SLP, Speech-Language Pathologist, Consultant, Private Practice

Owner, Graduate Faculty for CMU, Sweeney Communication & Consultation Services, and Central Michigan University

Current findings in neuroscience suggest potential for significant and longer term recovery from trauma and disability than once thought possible. Research suggests that a large number of individuals who have potential to functionally regain or develop cognitive, sensory/motor and communicative skills may be inappropriately diagnosed, overlooked or provided with minimal support in the rehabilitation process. This session will first review important information to consider in diagnosis and service provision for individuals with significant neurological challenge. Next, using voice output computer technology, a recipient will provide a first-hand review of her own dramatic post-traumatic head and neck injury experiences and what mattered most along the way. A clinician, recipient and parent will highlight critical areas of concern in assuring best diagnostic, intervention, and advocacy practices. Participants will be able to: 1. Describe 1 or more brain science discoveries related to human potential for recovery from traumatic or developmental neurological challenges; 2. List tests, technologies, and/or procedures that may be used to help determine awareness and competence in individuals with significant impairments; and 3. Demonstrate improved awareness of the possibility of cognitive competence in the presence of severe impairments and be able to explain the importance of providing for communication modes and advocacy in such situations.

10:30am – 12:00pm 25. From Brain to Behavior: Compassionate Care Taker - The Good, Bad and Ugly¦ Qualifies for 1.5 CE hours for Social Workers Alireza Amirsadri, MD, Psychiatrist, Chief Medical Officer and Associate Chair for Wayne State

University, Wayne State University School of MedicineThis interactive presentation will attempt to make sense of the very highly complicated chain of social and biological communication which happens during high stress situations. Certain vignettes will be shown and discussed. We will hear from a very intelligent but non worded consumer and some time will be dedicated to role plays to highlight the charged interactions of emotion, cognition and behavior and the challenges witnessed by care givers and others. Participants will be able to: 1. Understand the neurological aspect of complex of stressful interactions; 2. Recognize the significances of appropriate use of choice and partnership in patient care; and 3. Suggestions for training, education and policy changes for better compassionate care taker will be provided.

10:30am – 12:00pm 26. Family Focused Crisis Intervention¦ Qualifies for 1.5 CE hours for Social Workers Crystal Coleman, MA, TLLP, Clinical Director, The Children’s Center Carlynn Nichols, MA, LMSW, Chief Clinical Officer, The Children’s Center

The Children’s Center has been providing crisis intervention services for Wayne County system of care since 2012. We proudly maintained a diversion rate from inpatient admissions of 74% during FY 2013-2014. Attendees will be able to identity key components of a crisis care center for children and families. Discussion will be based on The Children’s Center’s experiences of providing family focused interventions with the goal of maintaining the family unit and diverting a child in crisis from an inpatient admission. Focus will also be given to some of the challenges to funding a crisis center based on encounter rates and unpredictable consumer presentation. Participants will be able to: 1. Identify components of a crisis care center for children and families; 2. Apply family focused assessment and interventions in psychiatric crisis; 3. Discuss cost saving benefits of stabilizing psychiatric crisis situations; and 4. Examine barriers to funding and sustainability for crisis intervention centers.

10:30am – 12:00pm 27. Project SEARCH: A Practical Model for School to Work Transition¦ Qualifies for 1.5 CE hours for Social Workers Nickco Dixon, MA, LPC, NCC, Vocational Rehabilitation Counselor, Michigan

Rehabilitation Services David Pankotai, MA, LPC, Executive Director, ConsumerLink Network, Inc.

The Detroit-Wayne Project SEARCH Collaborative started seven years ago. In partnership with the Detroit Public Schools, we are in our fifth school year at Blue Cross Blue Shield of Michigan and our first school year at DTE Energy. We have recently added the Dearborn Public Schools and Henry Ford Village to our collaborative along with the Livonia Public Schools. Participants will get practical information from the perspective of the schools, the employer sites, the community mental health providers and the important role Michigan Rehabilitation Services plays in the collaborative. Participants will be able to: 1 List and recount the philosophy and goals of the Project SEARCH model of high school transition; 2. Identify and apply the steps necessary to begin implementing and/or expanding the Project SEARCH best-practice model in their region; 3. Compare Project SEARCH to existing Supported Integrated Employment services and examine the benefits of the Project SEARCH model; and 4. Express how Project SEARCH benefits

students/parents; schools, businesses, MRS/Michigan Bureau of Services for Blind Persons, and community mental health outcomes.

10:30am – 12:00pm 28. Boardworks 2.0: Management – Systems Christopher Pinter, MSW, Chief Executive Officer, Bay-Arenac Behavioral Health Authority

In this workshop you will focus on the public policy oriented and defined management and organizational structures. Participants will be able to: 1. Identify 2 management functions of public policy systems; 2. Explore 2 structural foundations of organizations as related to both managers and implementers of public policy; 3. Examine organizational infrastructure as related to both managers and implementers of public policy; 4. Learn 3 qualities of provider and manager types of public organizations, including “mixed” organizations and the cost and benefits of such an arrangement; and 5. Explore community systems as an ultimate unified community system.

12:00pm – 1:00pm Group Lunch1:00pm – 2:00pm Plenary Session: Pathways to Recovery

Ross Szabo, CEO Human Power ProjectRoss Szabo credits his recovery with bipolar disorder to changing his coping mechanisms. He was diagnosed with bipolar disorder with anger control problems and psychotic features at age 16. He was hospitalized for attempting to take his own life at age 17 and had a tumultuous 5 years after that hospitalization filled with alcohol abuse and changes in treatment. He began to focus on cognitive behavioral therapy at age 22 and leads a truly balanced life now. He'll share his experiences with what led to his health and how he maintains it.

2:00pm Conference Adjourns

Conference Objectives: ¦ To identify ways to use data and data analytics to improve outcomes and care.¦ To identify new strategies in using value-based (outcome) payment systems.¦ To spotlight programs highlighted in the MH and Wellness Commission Report (any with partnerships with local CMHs) such as: Community Ventures; Project Search; Project Unify; Pathways to Potential – DHS in neighborhood school settings – include opportunities for young people with disabilities; Smart 911 – individuals/families provide voluntary information regarding home and family circumstances in case of an emergency or crisis situation developing; and Training program for local CMHs/jails/courts regarding Assisted Outpatient Treatment¦ To address the impact of current local, state and federal policy and planning issues related to healthcare reform. Including a focus on local initiatives being used to assist people with enrollment in the Healthcare Exchange and Healthy Michigan programs.¦ To provide examples of local pathways to implementing improved healthcare outcomes through such as: local initiatives/arrangements between CMHs, PIHPs, provider organizations and physical healthcare providers such as FQHCs/Rural Health Centers/Hospitals/Medicaid health plans/Primary care physicians. ¦ To identify strategies for overcoming barriers, offering solutions and focusing on the role of supervision for successfully sustaining evidence-based, best and promising practices with new populations in local communities.¦ To show how communities have embedded existing evidence-based, best and promising practices into their system for sustainability.¦ To have increased understanding of the ways in which continuous quality improvement in evidence-based, best and promising practices can improve outcomes and performance measures.¦ To increase participants’ awareness, knowledge, and skills, related to mental illness, developmental disability and substance use disorders.¦ To focus on trauma informed care for all populations.

MACMHB SPRING PRE-CONFERENCE INSTITUTESMonday, May 18, 201512:30pm Registration

1:00pm – 4:00pm TrainingAmway Grand Plaza Hotel, 187 Monroe Avenue, NW, Grand Rapids, MI 49503

$20 Registration Fee (per participant)Fee includes materials and breaks.

Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. All cancellations will be assessed a $15administrative fee. Cancellations received less than 10 business days prior to the conference will be charged the full conference rate and no refunds will be given.

Attention: LisaSelect the Pre-Conference you plan to attend:

o Pre-Conference #1: Secondary Trauma and its Personal and Professional Impact

o Pre-Conference #2: The Drama Triangle: Avoiding the Entanglement with Cluster B Personality Disorders

o Pre-Conference #3: Boardworks 2.0: Board Member Orientation & the Role of Board Members in the Rights Protection Process

I am requesting CEUs for social workers. Permanent Licensure # (required)

Name as Printed on Badge: Title: Agency/Company: Address: City, St, Zip: Phone: Fax: Email Address:

Special Needs: If You Have Special Dietary Or Physical Needs, Please Specify: Arrangements for special needs will be honored for those written requests received 10 business days prior to the conference. Please inform us before February 1 if you require Braille or Large Print. Clearly state your specific needs for mobility assistance, interpreters, etc. Attempts for on-site requests will be made.In Case Of Emergency During Conference, Please Contact: Daytime Phone: Evening Phone: Billing Address if Different Than Above (Contact): Address: City, St, Zip: Evaluation: There will be an opportunity for each participant to complete an evaluation of the conference and the instructor. If you have any issues with the way in which this conference was conducted or other problems, you may note that on your evaluation of the conference or you may contact MACMHB at 517-374-6848 or through our website at www.macmhb.org for resolution.

$20 PAYMENT METHOD: Questions? Call MACMHB (517) 374-6848Payment DOES NOT need to accompany registration form. However, payment or purchase order must be received by the day of the training. Credit cards are no longer accepted for onsite payment. You must pay with check, money order or cash onsite.o Check Enclosed (payable to MACMHB)o Purchase Order (attached)o MACMHB uses PayPal to process all credit card payments. If you are paying by credit card you must pay through PayPal. A PayPal account is not required. Go to www.macmhb.org; click on “Services,” click on “Make a Payment,” then follow the prompts to complete the process. No on-site credit card payments will be accepted.

REGISTRATION FEE (per person)Full conference registration fee provides you with a program packet, admission to all plenary sessions,

all workshops, 2 breakfasts, 2 lunches and all breaks.Member Early Bird Member After 5/4 Non-Member Early Bird Non-Member After 5/4

3 EASY WAYS TO REGISTERON LINE:www.macmhb.org

BY FAX:(517) 374-1053

BY MAIL:MACMHB, 426 S. Walnut St., Lansing, MI 48933

Michigan Association of CMH Boards Spring Conference Registration FormMay 19 & 20, 2015 Amway Grand Plaza Hotel, Grand Rapids, Michigan

Full Conference $366 $406 $446 $486One Day $271 $311 $351 $391

SCHOLARSHIPS AVAILABLEA limited number of scholarships are available to individuals who receive services and their families. Scholarships will cover conference registration fees only. Consumers who serve as CMH board members are not eligible. Deadline to request scholarship: May 1, 2015. To request a scholarship form, contact Chris Ward at cward@macmhb.org or 517-374-6848.

3 EASY WAYS TO REGISTERON LINE: www.macmhb.org FAX: 517-374-1053 (Attn: Lisa) MAIL: MACMHB, 426 S. Walnut St., Lansing, MI 48933

EARLY BIRD DEADLINE: MAY 4, 2015* Cancellation Policy: Substitutions are permitted at any time. No-shows will be billed at the full training rate. Cancellations must be received in writing at least 10 business days prior to the conference for a full refund less a $25 administrative fee. If cancellation is received less than 10 business days prior to

the training, no refund will be given.

Use Separate Registration Form for Pre-Conference Institute on Monday, May 18, 2015.

Please Check Conference Attendance: Full Conference One Day-Tuesday One Day-Wednesday

Please Check the Meals You Plan to Attend: (Meals are Included in the Cost of the Conference Registration): Tuesday Breakfast Tuesday Lunch Wednesday Breakfast Wednesday Lunch

Is This Your First MACMHB Conference? Yes No

I am requesting CEUs for social workers. Permanent Licensure # (required) I am requesting Contact Hours for substance abuse professionals.

Name as Printed on Badge: Title: Agency: Address, City, St, Zip: Phone: Fax: Email Address:

Dietary Needs: Vegetarian Vegan Gluten-free Allergic: Other: Physical Needs: . Arrangements for special needs will be honored for those written requests received 10 business days prior to the conference. Clearly state your specific needs for mobility assistance, interpreters, etc. Attempts for on-site requests will be made.In Case Of Emergency During Conference, Contact: Cell Phone: Billing Address if Different Than Above (Contact): Address: City, St, Zip:

PAYMENT METHODPayment DOES NOT need to accompany registration form. However, payment or purchase order must be received by the day of the conference. Credit cards are no longer accepted for onsite payment. You must pay with check, money order or cash onsite.o Check Enclosed (payable to MACMHB)o Purchase Order (attached)o MACMHB uses PayPal to process all credit card payments. If you are paying by credit card you must pay through PayPal. A PayPal account is not required. Go to www.macmhb.org; click on “Services,” click on “Make a Payment,” then follow the prompts to complete the process. No on-site credit card payments will be accepted.

QUESTIONS? CALL MACMHB (517) 374-6848Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this conference was conducted or other problems, you may note that on your evaluation of the conference or you may contact MACMHB at 517-374-6848 or through our website at www.macmhb.org for resolution.

Amway Grand Plaza Hotel Details & Reservations

Amway Grand Plaza Hotel187 Monroe Avenue, NW, Grand Rapids, MI 49503www.amwaygrand.com2015 Room Rates: $124 plus taxes (Single/Double)

Deadline for special room rate: Friday, April 17, 2015

To make online reservations: Go to: https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=12321721

To make reservations via phone: Call 800-253-3590 and reference “Michigan Association of Community Mental Health Boards” to receive the rate.

Parking: Overnight guests at the Amway will receive complimentary self-parking at the attached Amway Parking Garage across the road from the hotel. There is a $25 charge for valet parking.

Overflow Hotel Details & Reservations

Holiday Inn Grand Rapids Downtown310 Pearl Street, NW, Grand Rapids, MI 49504www.higrdt.com

*The Holiday Inn is about 2 blocks from the Amway, just across the river.

Room Rates: $124 plus taxes

To make reservations via phone: Call 616-235-7611 and reference “MACMHB” to receive the rate.

Parking: There is complimentary parking at the Holiday Inn. If you are staying at the Holiday Inn and wish to drive to the Amway for the conference, park in the Amway’s Parking Ramp. Then see MACMHB staff for a complimentary parking pass (must show your HI key to MACMHB staff).