CRISIS RESIDENTIAL ASSOCIATION
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Wednesday, October 14

Thursday, October 15th

*PLEASE NOTE - all times are listed in Pacific Time
7:00am
Virtual Help Desk Opens

8:00am
Welcome & Keynote Speaker
Dr. Margie Balfour, MD, Ph.D.
Chief of Quality & Clinical Innovation
Connections Health Solutions

9:15am
Concurrent Breakout Sessions
Session 1: Integrating Treatment for Crisis Residential Teams: Co-Occurring Models to Help Prepare Teams, Support Residents, and Navigate Barriers
Mallory Bouwman, Director of Crisis Services, Hope Network 
Abbie Sok, Director of Crisis Quality & Development, Hope Network

Crisis Residential Programs are intended to provide short-term, comprehensive services to those in a mental health crisis in a more welcoming and less restrictive setting than a hospital. People frequently experience mental health crises related to mental illness and substance use concurrently, so their treatment should be designed to identify and treat both domains simultaneously. In pursuit of this goal, in May of 2020 Hope Network began piloting "Co-Occurring Enhanced" Crisis Residential services. This workshop presents their experience creating a capable and confident team in treating people with a mental health crisis, a substance use crisis, or both. It also offers a look into the barriers encountered throughout the process and the positive outcomes to date.

Session 2: Partnerships and Treatment: Higher Education Avenues for Curriculum and Services
Dan Maccia, VP of Residential Services, Community Research Foundation
Ranya Hasan, Assistant Dean of Students, University of Illinois

The partnerships forged between Crisis Residentials and higher education institutions are endlessly fruitful. The increasing reports of higher education mental health needs for diverse student populations compounded with overloaded campus counseling/health centers provide opportunities for Crisis Residentials to help through their unique treatment model and approaches. Additionally, social work and psychology students who intern at Crisis Residentials stand to gain valuable insights and experience which adds another fruitful opportunity for collaboration. This session explores how to initiate such partnerships, assess needs, and scale to meet changing needs.

10:15am
Break

10:30am
All for One: Effective State Behavioral Health Crisis Administration Panel
Lucrece Pierre-Carr, Texas Health and Human Services
Britney Rohsner, Texas Health and Human Services
Jennifer Armstrong, Tennessee Department of Mental Health & Substance Abuse Services
Brad Munger, Division of Mental Health & Substance Abuse Services - Wisconsin Department of Health Services

While theories of effective crisis systems have been around for many years, few states have been able to develop, manage, and support a vast array of crisis services. Hear from three exceptional states that are leading the charge in crisis system administration as they share secrets to their system success that can be replicated in your state.

11:30am
Chat & Chew: Coffee or Lunch Small Group Discussions
Connect with your fellow attendees! This time will consist of small groups and a facilitator guiding attendees through a few thought-provoking questions.

12:00pm
Break

12:15pm 
Concurrent Breakout Sessions
Session 1: Dimensions of CAMS in Crisis Care: Theory, Research, and Practice
Ethan W. Graure, The Catholic University of America
David Jobes, Director, Suicide Prevention Laboratory, The Catholic University of America
Orit Paytan, Woodburn Place Crisis Care

Crisis Stabilization Centers offer high-intensity care for those experiencing psychological crises, while providing services at a lower cost and with a shorter average stay compared to traditional inpatient care. Crisis Stabilization Centers are typically staffed by multidisciplinary teams which may include social workers, psychiatrists, psychologists, medical staff, substance abuse counselors, and peer support specialists amongst others. Due to the important role of Crisis Stabilization Centers in the prevention of suicide as well as the range of providers in these settings, some treatment models may be better suited for crisis stabilization than others. One such treatment model that may be particularly well-suited for Crisis Stabilization settings is the Collaborative Assessment and Management of Suicidality (CAMS). CAMS is an evidence-based, suicide-specific, patient-oriented treatment framework supported by numerous empirical studies and five randomized controlled trials. Hallmarks of CAMS include empathy for the patient and an understanding of the nature of patient-identified “drivers” of their suicidality (problems that compel the patient to consider suicide). As a treatment framework, CAMS has been described as “non-denominational” in that it is not limited to a single treatment modality (e.g., CBT). This allows clinicians to, while weighing patients’ treatment needs, bring in the modalities with which they feel most competent and comfortable. As mentioned, the array of clinicians in Crisis Stabilization settings brings different backgrounds and clinical preferences, creating a clear window for the implementation and use of CAMS. The proposed presentation will offer an understanding of CAMS for use in Crisis Care from three perspectives: theory, research, and practice. 

Session 2: Adjusting the Sails: Transformative Supervision in Crisis Settings and Times of Crisis
Travis Atkinson, Crisis Systems Consultant, TBD Solutions
Elan Javanfard, Director of Residential Services, Didi Hirsch Mental Health Services

While emergency behavioral health services in the United States emphasize safety and risk management, the greatest advances to these systems have come from people and communities that have valued empathy, compassion, and choice above all. From Crisis Intervention Teams to Crisis Call Centers and peer respite homes, this professional expression of love carries both risk and reward. Learn how love in the behavioral health crisis system brought us here, and how it is our best hope for the future of mental health, suicide prevention, and community wellness. 

1:00pm
Break

1:15pm
TED Talks
Getting the Story Straight about African American Suicide
Victor Armstrong, Director, 
NC Division of Mental Health, Developmental Disabilities, Substance Abuse Services at NC Department of Health and Human Services​

Hearts in Minds: Why Love Will Save the Behavioral Health Crisis System
Travis Atkinson, TBD Solutions

1:45pm

Concurrent Breakout Sessions
Session 1: What is our Worth? An Economic Evaluation
Tracy Abzug, Integral Care
Todd Olmstead, Ph.D., LBJ School of Public Affairs The University of Texas at Austin

Those who work in Crisis Residential know the value that residential care brings. We see people transform right in front of our eyes.  We also know through select data points and anecdotal evidence that residential services are of value to our larger community and system of care. However, there is limited research that empirically demonstrates the true economic impact Crisis Residential services have. This workshop will present the results of a return on investment study that analyzed cost savings to the healthcare system and to Integral Care by using a sixteen bed residential program in Austin, Texas. The economic evaluation was completed and published by Todd Olmstead, PhD, UT-Austin, LBJ School of Public Affairs, Paul Rathouz, PhD, UT-Austin, Dell Medical School, and Stephen Strakowski, MD, UT-Austin, Dell Medical School in partnership with Integral Care, the local mental health authority in Austin, Texas.  

Session 2: Crisis Management: Residential Settings
Elan Javanfard, Didi Hirsch Mental Health Services
Crisis Management is a key component of operational and functional treatment within residential settings. Participants will learn basic understanding of Crisis Theory, an overview of responding and operating behavior, and a model regarding the seven stages of crisis intervention. Participants will be challenged to provide interactive examples of crisis situations to collaborate with the participants regarding implementation.​

3:30PM
Board Meeting
This is an open board meeting for conference attendees as well as members. 
7:00am
Virtual Help Desk Opens

8:00am
Welcome & Keynote Speaker
Dr. Tia Dole
Chief Clinical Operations Officer, 
​The Trevor Project


9:15am
Breakout Session
Partnerships Between Health Plans and Crisis Providers
Johnnie Gasper, Manager, Crisis System, AZ Health Complete
A behavioral health crisis system with emphasis on telephonic, in-person, and short term stabilization often provides high levels of success addressing the immediacy of crisis events. However, on-going success and stabilization are often dependent on the services provided outside of the initial incident. This workshop will provide an opportunity for health plans, community contractors, and crisis service providers to garner information on the lessons learned and programs currently in practice in the Southern Arizona behavioral health crisis system, a nationally recognized learning site for crisis services. During this session, we will explore 24/7 programing built around stabilization in the clinically appropriate, but least restrictive, environment. We will provide insight into the success of this model and split focus between Arizona Complete Health-Complete Care Plan’s role as a crisis services contractor and as a health plan. We will begin with a review of funding in Arizona and detail the contracted services along with their successes in addressing the first 24-hours of a crisis. This will be followed by a discussion concentrated on on-going care partnerships involving health plans, outpatient service providers, and behavioral health residential facilities. 

10:15am
Break

10:30am
National Perspectives on Crisis Services Panel
Richard McKeon, Chief, Suicide Prevention Branch, SAMHSA
Oryx Cohen, Chief Operating Officer, National Empowerment Center
Angela Kimball, National Director, NAMI

Crisis services have a storied history of responding to human suffering in thoughtful and compassionate ways. In this panel discussion, leadership from national policy and advocacy organizations share their thoughts on how far we’ve come, where we’re going, and how we make sure we don’t repeat history’s mistakes. Enjoy perspectives from the Substance Abuse and Mental Health Administration (SAMHSA), the National Empowerment Center, and the National Alliance on Mental Illness (NAMI).

11:30am
Round the Virtual Table
Join your fellow attendees in processing the conference sessions together. Facilitated by a CRA Board member, this social time will include a few guided questions informed by the previous sessions.

12:00pm
Break

12:15pm 
Breakout Session
How can we be the most helpful? Practical Strategies for Critical Engagement in Crisis Residential Services
Peter Hilen, Telecare Corporation
​Travis Atkinson, TBD Solutions

Individuals accessing crisis residential services experience a broad variation in length of stay, with some stays as brief as 3 days and others as long as 30 days or more. Regardless of time in treatment, engaging the individual in treatment is the most important challenge facing crisis residential providers. In this session, learn the critical components of client engagement, and the data connecting hope, effectiveness, and length of treatment.

1:00pm
Break

1:15pm
TED Talks
Cultivating Resilience in Troubling Times
Elan Javanfard, Didi Hirsch Mental Health Services

During a stressful few months regarding COVID-19, this is an important time to remember how to cultivate resilience. 

Heart Centered Leadership: The New Paradigm
Christina Dupuch

This TED Talk will focus on Heart Centered Leadership that creates the alignment of heart and brain. The talk will discuss the value and skills to create this alignment. By enhancing a heart-centered approach to leadership, you will learn to be more authentic and genuine by motivating others to tolerate difficult people and situations because you are respected as a real person. More importantly, participants will understand that by being heart-centered, leaders will genuinely and deeply touch the lives of others in a very different way. 

1:45pm
On the Cutting Edge: Emerging Ideas in Behavioral Health Care
Soteria Replica Program - Jason Young, Soteria Vermont
Open Dialogue - Rebecca Hatton, Open Dialogue
Zero Suicide - Becky Stoll, Centerstone
Trieste, Italy- Kerry Morrison, Heart Forward LA

Behavioral health crisis services were built upon acts of bravery and innovation. As we continue to find ways to be most helpful, we look to other innovators and thought leaders to inform our future actions. Hear from some of the most promising ideas in behavioral health services during this rapid-fire session with a Q&A with the presenters as well.
​

2:30pm
Award Convocations
Loren R. Mosher Award
Mary Ellen Copeland Award
Crisis Partners Award
Conference Wrap-Up

Download a PDF of schedule below.
attendee_schedule_view.pdf
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  • Home
  • About
    • Board of Directors
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    • Our Members
  • News
    • Crisis Blog
  • Conference
    • 2020 Virtual CrisisResCon
      • Agenda & Speakers
      • FAQs
  • Resources
    • Crisis Residential Research Summary
    • 2019 Crisis Residential Conference Resources
    • Recordings
      • CRA Member Recordings