WEDNESDAY, DECEMBER 11, 2013 9:00AM - 4:30PM

JW MARRIOTT SAN ANTONIO HILL COUNTRYSAN ANTONIO, TEXAS

CME PROGRAM

Presented in conjunction with ZERO TO THREE’s 28th National Training Institute

Today’s Science, Policy, And Practice For Early Childhood Professionals

WWW.ZTTNTICONFERENCE.ORG

FIND your network • ADVANCE your practice • ENRICH yourself

Sponsored by Phoenix Children’s HospitalEndorsed by the American Academy of Pediatrics

Integrating Infant Mental Health and Family Well-Being into Primary Care

For complete program descriptions and registration information, visit: zttnticonference.org

Integrating Infant Mental Health and Family Well-Being into Primary Care

11:15-12:30: Creative and Effective Strategies for Addressing Parent-Child Challenges in the Exam Room

Melissa Buchholz, PsyD & Dena Dunn, PsyD

Stress, distress, and family circumstances: Partnering with parents to identify and address psychosocial issues

Children and families present to their pediatric providers with concerns and inquiries about far more than just medical topics; but these issues are not always easy to detect, assess or treat. This presentation will address strategies for evaluating and managing the myriad of psychosocial stressors that arise in an integrated health pediatric primary care model. Tools and skills for addressing topics such as infant fussiness/colic, sibling challenges, parental mental health, family violence or abuse, and other psychosocial stressors will be discussed.

Questions, worries, and fears: partnering with parents to address behavioral, developmental, and relationship concerns

Margot Kaplan Sanoff, EdD Some parents worry about their young child’s behavior or development but never raise their concerns with their pediatric primary care providers. Others bring in a long list of worries

9:00-10:00: The Key to Long Term Healthy Development: Promoting Healthy Attachment Between Parents and Children through Primary Care and the Medical Home

Mary Margaret Gleason, MD, FAAP

A secure attachment relationship with at least one caregiver provides a foundation on which future relationships and emotional regulation can be built. Healthy attachment relationships are also associated with physiological regulation. This presentation will present the fundamentals of attachment relationships and describe how primary care providers can provide anticipatory guidance and support to promote caregiving that is conducive to a healthy attachment relationship.

10:00-11:00: A New, Functional Approach to Developmental Surveillance and Anticipatory Guidance: Using Observation of Parent-Child Interaction as the Key Assessment Tool

Michael Regalado, MD,FAAP

Pediatric approaches to child development have emphasized the early identification of developmental problems and the delivery of health information to parents. This philosophy has presented many technical and logistical challenges and has little evidence to support its effectiveness. Furthermore, its problem oriented focus raises questions about its relevance to parents and to optimization of health over the life course. This presentation describes an approach to developmental assessment during primary care health visits using a parent-child adaptive issues framework in place of the traditional child focused approach of the medical model. A description of the approach and its training model will be presented.

11:00-11:15: Break

Agenda

Questions? Email us at ntiinfo@zerotothree.org or call toll free at (855) 868 1192

Sponsored by Phoenix Children’s HospitalEndorsed by the American Academy of Pediatrics

and questions to each well child visit. This presentation will describe and illustrate strategies such as the use of trigger questions and teachable moments that help providers address these concerns in partnership with parents.

12:30- 1:45: Lunch Speaker: Communicating with Vaccine-Hesitant Parents of Young Children: Understanding and Addressing Parent Concerns in Primary Care

Lynne Sturm, PhD

Vaccination against childhood infectious disease represents this century’s premiere public health achievement, yet many parents of young children voice concerns about having their infants and toddlers vaccinated. At the same time, outbreaks of measles and whooping cough are increasingly reported in areas with high rates of exemptions. This presentation will help health care providers understand parents’ concerns about vaccination, drawing on recent research on parental attitudes and beliefs. Practical strategies for conversing with hesitant parents in pediatric clinic settings will be presented, along with suggestions for public health initiatives that capitalize on social media and the Web.

1:45- 3:00: Making the Case for Integrating Early Child Mental Health Services in to the Medical Home: Travelling the Road from Policy Recommendations to Implementation

Trifecta for the breastfeeding dyad

Maya Bunik, MD, MSPH, FABM, FAAP & Dena Dunn, PsyD

The breastfeeding relationship is often complicated by a constellation of challenges that are difficult for pediatricians to treat alone. This presentation describes a multidisciplinary team model-- Trifecta for the Breastfeeding Dyad (pediatrician, lactation consultant, and psychologist)-- and by using cases, show how this team meets families’ needs by addressing the infant’s medical care, functional

breastfeeding challenges, and the developing mother-infant relationship. Screening of concurrent pregnancy-related mood disorders will also be addressed. How do you get “there” from “here”? Accessing resources and partnering with the community

Ayelet Talmi, PhD, Melissa Buchholz, PsyD, & Margot Kaplan Sanoff, EdD

Bright Futures introduced pediatric clinicians to the idea of addressing not only the physical health of the child, but also the social-emotional development of the child and family. Current requirements for patient centered medical homes highlight the importance of partnering with community resources to address families’ concrete resource needs such as housing, food, and legal issues and risk factors such as parental mental illness, family violence, and neighborhood safety that impact family well-being and child development. This session will provide examples of pediatric primary care services and community connections that are designed to assist families with these kinds of resource needs.

For complete program descriptions and registration information, visit: zttnticonference.org

Integrating Infant Mental Health and Family Well-Being into Primary Care

3:00-4:15: Being the Providers We Want to Be: Building Workforce Capacity and Enhancing Medical Homes Through Training and Practice change

Margot Kaplan Sanoff, EdD, Maya Bunik, MD, MSPH, FABM, FAAP, & Mary Margaret Gleason, MD

Integration of mental health providers-- including psychologists, psychiatrists, and therapists-- into pediatric primary care settings allows consultation and evaluation at a time of heightened engagement and crisis, when parents are most receptive to considering further assessment and interventions. This presentation will illustrate how collaboration with early childhood mental health professionals, in the context of a medical home, can transform practice and relationships with pediatric patients and their families. Presenters will share strategies and vignettes that illustrate how mental health services can be integrated into a range of service settings.

In Their Own Words: Providers’ Perspectives on Integrated Care and Practice

Ayelet Talmi, PhD & Maya Bunik, MD, MSPH, FABM, FAAP

This session presents video testimonials from pediatric primary care professionals to illustrate the impact of integrating mental health services into pediatric primary care settings. Pediatric primary care professionals will address training issues, practice change, and systems-level implications of collaboration with mental health professionals in their settings. Presenters will also share the experiences of families served in the context of a medical home that successfully addressed their mental and physical health needs.

4:15: Evaluation and Adjourn

Questions? Email us at ntiinfo@zerotothree.org or call toll free at (855) 868 1192

Sponsored by Phoenix Children’s HospitalEndorsed by the American Academy of Pediatrics

MELISSA BUCHHOLZ, PsyDAssistant ProfessorDepartment of PsychiatryUniversity of Colorado School of MedicineAurora, CO

MAYA BUNIK, MD, MSPH, FABM, FAAP Associate ProfessorDepartment of Pediatrics at Children’s Hospital Colorado, University of Colorado School of MedicineAurora, CO

DENA DUNN, PsyD, Children’s Hospital Colorado Child Health ClinicAurora, CO

MARY MARGARET GLEASON, MD, FAAPAssistant ProfessorDepartment of Psychiatry and Behavioral SciencesDepartment of PediatricsTulane University School of Medicine

MARGOT KAPLAN SANOFF, EdD Associate Professor of PediatricsNational Director, Healthy Steps Boston University School of MedicineBoston, MA

MICHAEL REGALADO, MD,FAAPAssociate Professor of Clinical Pediatrics Keck School of Medicine of USC Director, Developmental Behavioral PediatricsLAC+USC Healthcare Network

LYNNE STURM, PhD Riley Child Development Center/LEND Program & Division of General & Community Pediatrics Department of PediatricsIndiana University School of MedicineIndianapolis, IN

AYELET TALMI, PhD

Associate ProfessorDepartments of Psychiatry and PediatricsUniversity of Colorado School of MedicineAurora, CO

Faculty

REGISTRATION FEE $150.00 includes CME credits*

For more information, contact:Claire Lerner

(202) 638-1144 | clerner@zerotothree.org

*Phoenix Children’s Hospital is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians.

Phoenix Children’s Hospital designates this live activity for a maximum of 7.5 AMA PRA Category 1 Credits.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity.