Project ECHO Archive 2022

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.

Uncommonly Common Adolescent Substance Abuse-Over the Counter Substance Abuse

Recorded August 24, 2022
Brian Schlidt, MD
This didactic includes discussion about What Types of Substances, National Survey on Drug Use and Health, Bananadine, Case Presentation, DSM-V Criteria for Abuse, DSM-V for Children and Adolescents, Acetaminophen Overdose, Delirium, Doxylamine "Unisom", Dextromethorphan, Diphenhydramine, Pseudoephedrine, Loperamide, Melatonin, Research Chemicals, Screening Tools, S2BI, BSTAD, CRAFFT, Assessment Tools, DAST-20

Adolescent Non-Suicidal Self-Injury

Recorded August 10, 2022
Brian Schlidt, MD
This didactic includes discussion about Nonsuicidal Self-Injury Disorder, DSM-V Definition, Differentiating Self-Harm, Self-Injury, and Nonsuicidal Self-Injury, Demographics of NSSI, Risk Factors, Why?, Reinforcing NSSI, Emotion Dysregulation, Four Function Model of NSSI, Opioid Homeostasis Model, Barriers/Benefits Model, Joiner's Theory of Suicide, Risk/Benefits Flow Chart, Assessment, NSSI & Suicidality, How to Discuss This, Treatment, Treatment Pathway, Psychotherapy, Pharmacotherapy, Harm Reduction

988 Suicide Prevention and Mental Health Crisis Lifeline for Montana

Recorded July 27, 2022
Emily Burns
This didactic includes discussion about Montana's 988 Suicide Prevention and Mental Health Crisis Lifeline, What is 988?, The Crisis Now Model, Accredited Lifeline Call Centers, Montana Crisis Call Centers, 988 and211 in Montana, Implementing 988 in Montana, Call Center Capacity Building, Phase 2-Focus of Effort

Postconcussion Syndrome

Recorded July 13, 2022
Dr. Elizabeth Wood
(No recording or PDF at this time)
This didactic includes discussion about Review Typical Postconcussion SyndromCourse and Recovery, Contrast to Atypical Postconcussion Recovery, Return to School and Play, Overview of Risk Factors for Prolonged Postconcussion Recovery, Therapy for Post-concussive Symptoms, Definitions, Challenges to Diagnosis, Tools to Help, Diffuse Axonal Injury, Pathophysiology, Physical Rest, Second Impact Syndrome, Cognitive Rest, PCS Clinical Presentation, Complicating Diagnostic Factors, Risk Factors for Persistent PCS, Therapy Considerations-Non-Pharmacologic, Therapy Considerations-Pharmacologic

Toxic Stress, Aces, and Insights into Culturally Sensitive Interventions for Indigenous Youth

Child Bridge

Recorded June 8, 2022
John Krise
This didactic includes discussion about Statistics of MT Children in Foster Care, What is Child Bridge, How can they help

Family Advocacy

Recorded May 25, 2022
Jeffrey Folsom
This Didactic includes discussion about Family Voice Curious, Advocacy Definitions, Types of Advocacy, Evolution of Advocacy, History of Advocacy, Separation From vs. Services for Families, Becoming Family Voice Curious, Family Engagement, Language Matters, Family Outcomes, Family Roles, Organizational Assessment, Being Family Voice Curious is being Trauma Informed

Cultural Psychiatry

Recorded May 11, 2022
Dr. Rustin Carter
This didactic includes discussion about Who Needs to Be Informed on Cultural Mental Health, Definitions of Cultural Psychiatry, Intersectionality, and Minority Stress Model, Microagression, Assimilation, Acculturation, Acculturative Stress, Cultural Competence, Cultural Humility, Race and Ethnicity, Cultural Concepts, External Influences, Developmental Stages, Family and Clinical Implications, Appliled Concepts, When to use the Cultural Formulation Interview, Principles for Using the DSM-5 Cultural Formulation Interview with Children and Youth, Goals of Incorporating Cultural Humility into Mental Health, Clinical Vignette, AdvocacyPresenter: Dr. Rustin Carter

No Project ECHO April 27, 2022

No Project ECHO-3rd Annual Pediatric Mental Health Symposium

Indian Child Welfare Act

Recorded April 13, 2022
Ashley Trautman
This didactic includes discussion about Tribes and Tribal Sovereignty, What is Historical Trauma, Invasion of America, Historical Events Leading to the Indian Child Welfare Act (ICWA), Historical Events Leading to the ICWA, Congressional Findings, The Heart of ICWA, ICWA, Discussion, Contemporary Issues, Where We Are Today, Historical Loss, Impact of Removal and Historical Loss, Why ICWA is Still Important Today, New BIA Regulations: Active Efforts, Boarding School Healing Project, Cultural Connectedness, Key Principles and Cultural Values, Working Across Difference

Case Presentation: Treating ADHD and Depression

Recorded March 23, 2022
Dr Adrienne Coopey
This didactic includes discussion on Clinically Significant CYP2D6 Drug-Drug Interactions, CYP450and 3 case presentations.

Montana PAX: Prevention in Big Sky Country

Recorded March 9, 2022
Carol Ewen
This didactic includes discussion about Suicide Death Per Capita, Montana Risk Factors, What is PAX, PAX Creates a Shared Approach Across Systems, Integrates with and Operationalizes Common Initiatives, PAX GBG, PAX Tools, Who Can Use PAX Tools Strategies,PAX Funding, Prevention Science, Protective Factors Impacted by PAX GBG, PAX Research, PAX GBG: A Well Studied Intervention, John Hopkins Center for Prevention and Early Intervention, Positive Nurturing Classroom Culture, Substance Use and Risky Behavior,Suicide Ideations and Attempts, Improved Life Outcomes, How PAX Works, ACES, How Common is Trauma, Threat Appraisal and Detection in Traumatized Children, Creating Nurturing Classrooms, Teaching Psychological Flexibility

Obsessive-Compulsive Disorder in Children and Adolescence

Recorded February 23, 2022
Kimiko (Koko) Urata, MD
This didactic includes discussion about Obsessive-Compulsive Disorder DSM5 Diagnostic Criteria, Epidemiology and Risk Factors, Differential Diagnosis, Obsessive Compulsive Personality Disorder (OCPD) versus Obsessive Compulsive Disorder (OCD), Making Diagnosis, OCD in Children/Adolescence Challenges & Benefits, Further Assessment CY-BOC, Neurobiology: Corticostriatalthalamic circuits (CSTS), Treatment, Medications, Therapy: CBT and Exposure and Response Prevention (ERP), Neuromodulation, Effect on Quality of Life

Pediatric Mental Health Pharmacotherapy Part 2

Recorded January 26, 2022
Russell Ollerton, MD
This didactic includes discussion about Reviewing Antidepressants, Mood Stabilizers, Lithium, Lithium Side Effects, Signs of Lithium Toxicity, Lithium Monitoring, Lithium is Special: Anti-Suicide Effects, Valproate, VPA Side Effects, VPA Monitoring, Attention Deficit Hyperactivity Disorder (ADHD), Methylphenidate, Methylphenidate Formulations, Amphetamine, Amphetamine Formulations, Stimulant Adverse Effects, Stimulant Monitoring, Non-Stimulants for ADHD, Clonidine, Clonidine and Guanfacine Side Effects, Non-Stimulant Atomoxetine, Atomoxetine Side Effects and Monitoring, A Brief Review of Catatonia, Catatonia: Treatment, Summary of Treatment Options

Working with Adolescents: Dialectical Behavioral Therapy Tools You Need

Recorded January 12, 2022
Sarah Potts, PhD
This didactic includes discussion about Dialectical Behavioral Therapy (DBT), Teen Emotion Dysregulation and Suicidality, DBT Empirical Support, Borderline Personality Disorders and DBT, Where Does Emotion Dysregulation Start, What is DBT?, What does Dialectical Mean?, DBT Framework, Case Example, DBT is Helpful When You Can't Solve Crisis, Crisis First Aid Kit, Distress Tolerance Skills, STOP, TIPP Skills, Self-Soothe with 5 Senses, Distracting with Activities, Contributing, Comparisons, Emotions, Pushing Away, Thoughts, Sensations, PROS and CONS, Tips, What is Comprehensive DBT?

Authors & Reviewers

Initial publication: April 2022; last update/revision: March 2021
Current Authors and Reviewers:
Author: MAPP-Net Grant Staff
Authoring history
2021: update: MAPP-Net Grant StaffA
2021: update: MAPP-Net Grant StaffA
2019: first version: MAPP-Net Grant StaffA
AAuthor; CAContributing Author; SASenior Author; RReviewer