Presentations from National Latino Mental Health Conference

2nd National Latino Mental Health Conference
Transforming Mental Health for Latinos through Policy, Research, Practice, and Leadership

April 22-24, 2012
Sheraton Miami Airport Hotel and Executive Meeting Center
Miami, Florida

Conference Presented by
National Resource Center for Hispanic Mental Health

University of Medicine and Dentistry of New Jersey –
University Behavioral HealthCare

Co-Sponsored by
American Society of Hispanic Psychiatry
Latino Behavioral Health Institute
National Association of Puerto Rican and Hispanic Social Workers
National Latino Behavioral Health Association
National Latina/o Psychological Association


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April 23, 2012 Sessions:

Keynote Presentation:
Don’t Fall through the Cracks! Implications of Health Care Reform for Latino Behavioral Health

Sergio Aguilar-Gaxiola, M.D., Ph.D.
Professor in Clinical Internal Medicine and Director
Center for Reducing Health Disparities, University of California – Davis, School of Medicine

Keynote Presentation Description:
On March 23, 2010, the Patient Protection and Affordable Care Act (PPACA; referred to as the Affordable Care Act) became law, setting into motion the most important changes to the U.S. health care system in decades. This new, landmark health care reform law makes health insurance coverage more accessible and affordable for individuals, families, and the owners of small businesses and includes many opportunities as well as challenges for health and behavioral health providers as well as consumers of these services.  Both providers and consumers must be aware of how the changes brought up by health care reform will affect them and must be ready to take full advantage of the new opportunities.  This presentation will summarize key provisions that are most relevant to behavioral health care.  Some implications of the PPACA on coverage expansions for behavioral health care and opportunities for Latino consumers and their families will be described.

Finally, anticipated changes in the delivery system that will result by the implementation of health care reform that are most likely to affect Latinos with mental and substance abuse disorders will be discussed.

Learning Objectives:
#1.  Describe three key elements of the Affordable Care Act (ACA) that promise to make behavioral health care more accessible.
#2.  Describe two components of delivery system reform that will affect behavioral health delivery.
#3.  Describe two characteristics of the coverage expansions included in health care reform.
#4.  Describe two challenges through the implementation of the ACA.
#5.  Describe two opportunities created by the ACA.

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Break-Out Sessions:

 1.  La Importacia de Prevencion de la Enfermedades de Salud Mental y Adicciones en la Comunidad Latino Americana en USA  *
The Importance of Prevention of Mental Health Problems and Addictions in the U.S. Hispanic/Latino Community

Maria G. Rodriguez, M.D., M.S., Ph.D., CAPP, CPP
Fundadora y Presidenta de la Coalicion Latino Americana para la Prevencion de la Adicciones. (CLAPA); Directora Ejecutiva y Fundadora de King David Foundation Inc.; and Coordinadora de la Ventanilla de Salud Consulado General de Mexico en Miami

Workshop Description:
This session will focus on the importance of prevention in reducing mental illness and addiction in the U.S. Hispanic/Latino community.  The session will provide an overview of the most common mental health and substance use and abuse problems facing Hispanics in the U.S.  It will also focus attention on the critical role that families play in the prevention of mental health and substance abuse in this community.

* This session was offered in Spanish.

Learning Objectives:
#1.  Identify the most common mental illness in the U.S. Hispanic/Latino community.
#2.  Recognize the risks and protective factors, to facilitate prevention interventions based on knowledge and behavior.
#3. To increase knowledge of the importance of family in the prevention and the identification of mental health problems in the Hispanic/Latino community.

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2.  Say it Loud and Clear: Delivering Your Message Effectively

Rebecca Perkins, M.A.
President and CEO
The Perkins Partnership

Workshop Description:
Eliminating disparities for Latinos in need of culturally and linguistically competent mental health service will require engaging and receiving support from multiple audiences.  Come learn how to get others to hear your call for action. Successful advocacy starts with understanding how to craft your messages, then how to connect with all of your audiences. This seminar will review your organization’s mission and help you design a strategic plan to achieve your advocacy goals.

Learning Objectives:
#1.  Craft clear, concise messages to help them achieve their goals.
#2.  Design a strategy to reach decision makers.
#3.  Mobilize their constituency to help influence key decision makers.

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3.  Cognitive Behavioral Strategies for Latinos

Ingrid Diaz, M.A., M.S.W., L.C.S.W. (Ph.D. Candidate)
Training and Consultation Specialist
University Behavioral HealthCare
Behavioral Research and Training Institute

Workshop Description:
This training will describe the history of cognitive behavioral therapy and its adaptations for working with the Latino population. It will also explain the fundamental concepts of Cognitive Behavioral Therapy (CBT) and provide cognitive behavioral strategies to address behavioral change.

Learning Objectives:
#1.  Describe how cognitive behavioral therapy evolved from a medical model and was adapted to treat a multitude of disorders.
#2.  Explain fundamental concepts of CBT, and how they assist consumers in recognizing, verifying and changing disruptive beliefs.
#3.  Describe how to utilize and modify CBT techniques to fit the cultural components of Latinos.

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4.  Clinical Interventions with Culturally and Linguistically Diverse Students

Silvia C. Pastor, Ph.D.
Assistant Professor
Psychology Department
School Psychology Program
Montclair State University

Workshop Description:
It is essential for mental health providers to practice and assess based upon accurate perceptions of behavior and policies while remaining impartial and unbiased when assessing diverse students. Practitioners working with culturally diverse students who are English Language Learners (ELL) must be aware of the cultural and language barriers that may potentially poses a threat to the efficacy of assessment and intervention. This workshop will review cultural competence and assessment guidelines when determining the course of a culturally and linguistically diverse student’s assessment process.

Learning Objectives:
#1.  Participants will become familiar with a variety of best practices associated with assessing and screening culturally and linguistically diverse students.
#2.  Participants will be introduced to the role of cultural brokers and how to best incorporate them into their assessment process.
#3.  Participants will become familiar with appropriate measures for assessing English Language Learners (ELL) students.

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5.  Enhancing Organizational Cultural Competence: Parts I & II

Peter J. Guarnaccia, Ph.D.
Department of Human Ecology
and Investigator
Institute for Health, Health Care Policy and Aging Research Rutgers, The State University of New Jersey

Workshop Description:
This workshop will build on the presenter’s nearly decade of work on Organizational Cultural Competence.  The workshop is geared to mental health program administrators and supervisors. Through the workshop, participants will come to appreciate the full range of activities that are needed to create a culturally competent mental health program. They will also receive guidance and tools for moving their agency along on the cultural competence journey.

Learning Objectives:
#1.  Define culture and ethnicity.
#2.  Define cultural competence and identify cultural competence standards.
#3.  Identify the elements of a cultural competence plan.
#4.  Develop cultural competence change teams.
#5.  Understand language issues in clinical settings.
#6.  Discuss tools for cultural competence self assessment.
#7.  Identify data needed for quality improvement.

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PM Plenary Presentation:
Reforming the Problem of Disparities: New Approaches  (Power Point not authorized for public distribution)

Margarita Alegria, Ph.D.
Center for Multicultural Mental Health Research, Cambridge Health Alliance, and Harvard Medical School

Plenary Session Description:
A person’s ethnicity/race/culture may impact what clinicians ask the patient to report, and how clinicians interpret the information that the patient discloses. We describe findings from the Patient Provider Encounter Study, which has been used to investigate clinician bias during diagnostic assessments of ethnic/racial minority patients. Our findings display a series of potential mechanisms of service disparities in the clinical encounter, which we will describe in this presentation. We conclude with recommendations from patients and providers on potential interventions to address these mechanisms of disparities in the clinical encounter.

Learning Objectives:
#1.  Participants will be able to identify how collection of information by clinicians seeing patients from multicultural backgrounds impacts diagnostic assessments and decision-making.
#2.  At the end of this presentation participants will be knowledgeable about potential mechanisms of service disparities that affect the clinical encounter.
#3.  At the end of this presentation participants will be able to describe disparities in access to and quality of depression care in ethnic and racial minority groups in the US.


Tuesday, April 24, 2012

Keynote Presentation:
When Latina Teens Attempt Suicide: Findings and What More We Need to Know

Luis H. Zayas, Ph.D.
Dean and Centennial Professor in Leadership
School of Social Work
The University of Texas at Austin

Keynote Presentation Description:
Dr. Zayas will review briefly the epidemiological and research evidence of the suicide attempts of adolescent Latinas that has existed since the early 1960s.  Drawing from his research and clinical practice, Dr. Zayas will present findings from his research on over 120 teen Latinas who attempted suicide and their parents.  He will contrast these girls to 110 Latinas with no history of suicide attempts.  From research findings and clinical practice, Dr. Zayas will discuss the phenomenology of the attempts and their underlying psychological, social and familial factors.

Learning Objectives:
#1.  Appreciate the epidemiological evidence of over 20 years on Latina suicide attempts.
#2.  Understand the psychosocial factors underlying the suicide attempts.
#3.  Recognize the clinical phenomenology of the suicide attempts of young Latinas.
#4.  Apply research evidence to their clinical assessments and treatments of Latinas and their parents.

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Break-Out Sessions:

 1.  Theories, Models, and Practices for Understanding Multiple Identities in Clinical Assessment    (Power Point not authorized for public distribution)

Milton A. Fuentes, Psy.D.
Associate Professor and Deputy Chair, Psychology Department
Director, New Faculty Program
Montclair State University, and
President, National Latina/o Psychological Association

Hector Y. Adames, Psy.D.
Assistant Professor
The Chicago School of Professional Psychology

Workshop Description:
This workshop will introduce participants to clinical models for assessing the mental health concerns of Latina/o clients.  Factors related to identity, immigration, acculturation, and multiple identities will be discussed and synthesized.

Learning Objectives:
#1.  Formulate how Latina/o identity is multidimensional, fluid, and synergistic.
#2.  Recognize the influence of social context on Latina/o identity.
#3.  Be able to identify and apply three strategies for conducting a culturally congruent clinical assessment.


2.    How Clinical Research Trials Can Benefit Latino Patients for Improved Medical Access, Diagnosis and Treatment in Mental Health

Sara Tylosky, M.B.A.
Farma Consulting International

Workshop Description:
This workshop will help define clinical research trials as well as what they mean to the Latino Provider and Patient Community.  We will discuss the benefits of clinical trials as a secondary patient management tool to increase medical access, diagnosis and treatment in mental health and explore what challenges and opportunities to recruit more Latinos to participate in research so that new medications and treatment options are including this key population group.

 Learning Objectives
#1:  Define a Clinical Research Trial and what it means to patients and the medical community.
#2:  Identify Latinos mental health clinical research trials and key components that affect the Latino community’s attitude toward clinical research.
#3:  Analyze three different communication vehicles within the Latino community to educate around clinical trial opportunities.
#4.  Explore and agree on three actionable items to improve overall Latino patient participation and recruitment into clinical research as a secondary patient management tool.

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3.  Increasing disability literacy to enhance health and financial security – Helping people get what they’ve earned in Social Security disability and retirement benefits.

Tai Venuti, M.P.H.
Manager of Strategic Alliances

Workshop Description:
Latinos have unique characteristics that result in workers, retirees, and families benefiting in essential ways from the various components of Social Security. Poverty, workplace injury, delay of treatment for illness because of lack of health-care, disability stigma and cultural issues, all contribute to higher disability rates among Latinos. This presentation will explain the intended function of the Social Security Disability and retirement programs, examine current benefit distribution, and show how increasing disability literacy can help ensure individuals who meet SSA eligibility requirements get the benefits they earned.

Learning Objectives:
#1.   Define disability literacy.
#2.   Understand the history and function of the Social Security Administration’s Supplemental Security Income (SSI),Social Security Disability Insurance (SSDI) and retirement programs.
#3.   Gain familiarity with the current distribution of Social Security benefits and how usage rates, reliance on and type of benefits differ among Latinos and other ethnic groups.
#4.  Identify factors that contribute to disparity in access to federal benefits.
#5.   Identify strategies and tactics to increase disability literacy and access to federal benefits among the Hispanic and mental health communities.

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4.    Getting Organizational Buy-in for Cultural Competence and Latino inclusion efforts

Majosé Carrasco, M.P.A.
NAMI Multicultural Action Center

Workshop Description:
Getting organizations to truly embrace cultural competence and meaningfully engage the Latino community can be challenging. This session will focus on how to lead change and gain organizational buy-in for cultural competence and Latino inclusion efforts. The session will feature NAMI’s (National Alliance on Mental Illness) experience on becoming a diverse organization. It will provide specific skills and strategies you can use to be successful in this work.

Learning Objectives:
#1.   Explore your role as a leader and agent of change.
#2.   Learn new strategies to gain buy in for your cultural competence and Latino inclusion efforts.
#3.    Practice new skills to help you move your cultural competence agenda forward.
#4.    Identify immediate next steps to move forward.

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5.  Psychopharmacotherapy for the Latino Patient

Theresa Miskimen, M.D.
Vice-President for Medical Services
University Behavioral Health Care – University of Medicine and Dentistry of New Jersey (UMNDJ);
Professor of Psychiatry, Department of Psychiatry, Robert Wood Johnson Medical School, UMDNJ; and Secretariat, American Society of Hispanic Psychiatry

Workshop Description:
This workshop will define and discuss pharmacotherapy related topics including definitions and basic mechanisms as they relate to psychiatric care of the Latino patient.  The presentation will include elucidation of biological and non-biological factors in psychiatric settings including case vignettes to illustrate examples.  This will be followed by detailed information on two major pharmacotherapy agents used commonly in psychiatric care: antidepressants and antipsychotics.

Learning Objectives:
#1:  Describe and define basic psychopharmacotherapy principles.
#2:  Explain and illustrate psychopharmacotherapy in clinical psychiatric care of Latino patients.
#3:  Recognize the interaction between cultural, ethnic, and socioeconomic factors and psycho-pharmacotherapeutic interventions.

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Plenary Presentation:
Poverty as a Factor in Social Crisis and Human Disasters  (Power Point not authorized for public distribution)

Pedro Ruiz, M.D.
Professor and Executive Vice Chair
Director of Clinical Programs
University of Miami, Miller School of Medicine, and
President, World Psychiatric Association

Plenary Session Description:
In this presentation, the most important factors related to the role of poverty insofar as mental stress and illness are concerned will be addressed and discussed.  The historic factors linking socioeconomic conditions and mental illnesses will also de discussed and documented.

In this context, potential solutions to these problems will be presented and reviewed.

Learning Objectives:
#1.  The role of poverty vis-à-vis mental illnesses.
#2.  Consider potential solutions to these dilemmas.
#3.  Address these negative factors that create these negative human outcomes.


Speaker Disclosures:
With the exception of Tai Venuti, M.P.H., no speaker disclosed any financial interest(s) with the commercial supporter of this activity, nor with any product or device related to their presentation.  Ms. Venuti is employed by Allsup, which offers Social Security Disability Insurance representation and Medicare plan selection services.  Additionally, no speaker discussed any non-FDA approved or investigational use product or device.