Episodios

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    Featured guest: Dawn Dore-Stites, Ph.D.


    Objectives

    · Understand the interplay between depression and sleep.

    · Review non-pharmacological interventions for insomnia.

    · Understand how cognitive behavioral therapy can improve sleep.

    · Review possible medications for insomnia.


    Resources

    · Effectiveness of clonidine in child and adolescent sleep disorders (Psychiatry Investigations)

    · Pharmacotherapy for insomnia in children and adolescents: a rational approach (Uptodate)

    · Time for bed: parent-set bedtimes associated with improved sleep and daytime functioning in adolescents (Sleep)


    CME Credits available: 0.5

    To enroll for CME credit, visit our episode activity website. Visit our CME course overview page for details on CME credit, or complete this survey for social work CEUs.


    Visit our podcast website for more information about this episode and the Breaking Down Mental Health podcast series.


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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    Featured guest: Daniel Maixner, M.D.


    Objectives

    · Define treatment resistant depression.

    · Define electroconvulsive therapy, and its risks, benefits, and rationale for treatment modality.

    · Define transcranial magnetic stimulation, and its risks, benefits, and rationale for treatment modality.

    · Define ketamine therapy for treatment resistant depression, and its risks, benefits, and rationale for a treatment modality.


    Resources

    · Systematic review: electroconvulsive therapy for treatment-resistant mood disorders in children and adolescents (European Child & Adolescent Psychiatry)

    · Transcranial magnetic stimulation for adolescent depression (Child & Adolescent Psychiatry Clinics)

    · Efficacy of intravenous ketamine in adolescent treatment-resistant depression: a randomized midazolam-controlled trial (American Journal of Psychiatry)

    · Annual research review: defining and treating pediatric treatment-resistant depression (Journal of Child Psychology Psychiatry)


    CME Credits available: 0.5

    To enroll for CME credit, visit our episode activity website. Visit our CME course overview page for details on CME credit, or complete this survey for social work CEUs.


    Visit our podcast website for more information about this episode and the Breaking Down Mental Health podcast series.


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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    Featured guest: Alejandra Arango, Ph.D.


    Objectives

    · Define Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT).

    · Define how CBT and/or DBT can help with depression.

    · Define when each type of therapy is indicated.


    Resources

    · Dialectical behavior therapy for nonsuicidal self-injury and depression among adolescents: preliminary meta-analytic evidence (Child and Adolescent Mental Health)

    · Combined treatment with cognitive-behavioural therapy in adolescent depression: meta-analysis (British Journal of Psychiatry)

    · Mental health strategies to the school setting (TRAILS)


    Disclosures

    Alejandra Arango, Ph.D. has disclosed a relevant financial relationship with: Vita Health - Consultant/Advisory Role, Other - Teaching, Conflict is relevant but is managed. This relationship is relevant, this company does work in the topic area. but the relationship ended on 10/31/23.


    CME Credits available: 0.5

    To enroll for CME credit, visit our episode activity website. Visit our CME course overview page for details on CME credit, or complete this survey for social work CEUs.


    Visit our podcast website for more information about this episode and the Breaking Down Mental Health podcast series.


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


    Hosted on Acast. See acast.com/privacy for more information.

  • View episode transcript


    Featured guest: Cheryl King, Ph.D.


    Objectives

    · Differentiate the importance of assessing for suicidality and depression separately.

    · Understand misconceptions about depression and suicide.

    · Apply lethal means reduction strategies.


    Resources

    · Adaptive testing technologies (The CASSY) (Adaptive Testing Technologies)

    · Risk factors, protective factors, and warning signs (American Foundation for Suicide Prevention)

    · Turning a psychiatric crisis into a chance to prevent firearm injury

    · Parents’ Guide to Home Firearm Safety (Injury Prevention Center)

    · Prospective development and validation of the computerized adaptive screen for suicidal youth (JAMA)

    · Ask Suicide-Screening Questions (ASQ) Toolkit (National Institute of Mental Health)

    · Adolescent suicide risk screening: a secondary analysis of the SHIELD randomized clinical trial (Journal of Pediatrics)


    Disclosures

    Cheryl King, Ph.D. has disclosed a relevant financial relationship with: Adaptive Testing Technologies - Intellectual Property/Royalties, Conflict is relevant but is managed. This relationship is relevant, this company does work in the topic area. This relationship was managed by peer review and is free of commercial bias. 


    CME Credits available: 0.75

    To enroll for CME credit, visit our episode activity website. Visit our CME course overview page for details on CME credit, or complete this survey for social work CEUs.


    Visit our podcast website for more information about this episode and the Breaking Down Mental Health podcast series.


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • View episode transcript


    Featured guests: Joanna Quigley, M.D. and Alejandra Arango, Ph.D.


    Objectives

    · Review the neurobiology of depression.

    · Determine appropriate screening tools for depression for the screening of children and adolescents.

    · Differentiate between depression presentation in children versus adults.


    Resources

    · Mental Health Surveillance Among Children (CDC)

    · Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management (AAP)


    Disclosures

    Alejandra Arango, Ph.D. has disclosed a relevant financial relationship with: Vita Health - Consultant/Advisory Role, Other - Teaching, Conflict is relevant but is managed. This relationship is relevant, this company does work in the topic area. but the relationship ended on 10/31/23.


    CME Credits available: 0.5

    To enroll for CME credit, visit our episode activity website. Visit our CME course overview page for details on CME credit, or complete this survey for social work CEUs.


    Visit our podcast website for more information about this episode and the Breaking Down Mental Health podcast series.


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


    Hosted on Acast. See acast.com/privacy for more information.

  • View episode transcript


    Featured guest: Amy VandenBerg, PharmD, BCPP


    Objectives

    · Identify appropriate selective serotonin reuptake inhibitors for the management of depression in pediatric patients and how they work.

    · Identify appropriate serotonin-norepinephrine reuptake inhibitors for the management of depression in pediatric patients and how they work.

    · Discuss the black-box warning associated with these medications.

    · Identify symptoms of serotonin syndrome.

    · Identify symptoms of discontinuation syndrome.


    Resources

    · Selective serotonin reuptake inhibitors (StatPearls)

    · Demystifying serotonin syndrome (or serotonin toxicity) (Canadian Family Physician)

    · Antidepressant discontinuation syndrome (Canadian Medical Association Journal)

    · Antidepressants and the FDA’s black-box warning: determining a rational public policy in the absence of sufficient evidence (AMA Journal of Ethics)

    · Serotonin norepinephrine reuptake inhibitors: a pharmacological comparison (Innovations in Clinical Neuroscience)


    CME Credits available: 0.5

    To enroll for CME credit, visit our episode activity website. Visit our CME course overview page for details on CME credit, or complete this survey for social work CEUs.


    Visit our podcast website for more information about this episode and the Breaking Down Mental Health podcast series.


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


    Hosted on Acast. See acast.com/privacy for more information.

  • Featured guests: Breana Lewis, LMSW, and Martha Kerr, LMSW, Child Protection Team


    Objectives:

    Define child protective servicesIdentify who a mandated reporter isComplete a 3200Identify different ways in which child protective services can support a child and family

    Resources:

    Reporting process (michigan.gov) Report of actual or suspected child abuse or neglect (MDHS)

    Credits available: 0.75


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73300.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU


    View episode transcript


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  • This activity qualifies towards Michigan State Licensure requirements for Human Trafficking.


    Featured guests: Bridgette Carr, J.D., Human Trafficking Clinic at Michigan Law, and Michelle Munro-Kramer, Ph.D., CNM, FNP-BC, School of Nursing


    Objective: Identify potential resources to support an individual that is or has been trafficked


    Resources:

    Find Shelter tool (HUD)Helping human trafficking victims (Center for Prevention of Abuse) Services available to survivors of trafficking (HHS)

    Credits available: 0.75


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73299.


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    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • This activity qualifies towards Michigan State Licensure requirements for Human Trafficking.


    Featured guests: Andy Duncan, NP, and Bethany Mohr, M.D., Child Protection Team


    Disclosure: Andrea Duncan was an employee of Phillips Healthcare up until 7/6/21.


    Objectives:

    Identify some red flags for human traffickingIdentify potential assessment tools Develop pediatric specific assessment skills for the assessment of human trafficking

    Resources:

    A short screening tool to identify victims of child sex trafficking in the health care setting (Pediatric Emergency Care)

    Credits available: 0.50


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73298.


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    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • This activity qualifies towards Michigan State Licensure requirements for Human Trafficking.


    Featured guests: Bridgette Carr, J.D., Human Trafficking Clinic at Michigan Law, and Michelle Munro-Kramer, Ph.D., CNM, FNP-BC, School of Nursing


    Objectives:

    Define what the different types of human traffickingIdentify those at risk of being trafficked

    Resources:

    University of Michigan Human Trafficking Collaborative

    Credits available: 0.75


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73296.


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    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Ben Biermann, M.D., Ph.D., Department of Psychiatry


    Objectives:

    Define what is a capacity assessmentDetermine what clinical situations a capacity assessment is appropriate?

    Resources:

    Assessment of patients’ competence to consent and treatment (NEJM)

    Credits available: 1.0


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73294.


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    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guests: Renee Cassidy, RN, and Susan Burgess, MSN, APRN, AGCNS-BC


    Objectives:

    Appraise coping strategies to utilize with youth experiencing a psychiatric crisisDescribe the differences in good coping and poor coping

    Resources:

    CBT and mindfulness manuals (Free account required - Trails to Wellness) Smiling Mind Insight Timer app

    Credits available: 0.50


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73293.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Nasuh Malas, M.D., Department of Psychiatry


    Objectives:

    Identify medications to utilize when a patient is agitatedReflect on situations when medication is indicated to address agitation

    Resources:

    Best practices for evaluation and treatment of agitated children and adolescents (BETA) in the emergency department: Consensus statement of the American Association for Emergency Psychiatry

    Credits available: 0.75


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73292.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Nasuh Malas, M.D., Department of Psychiatry


    Objectives:

    List non-pharmacological interventions to use to address agitationIdentify triggers for agitation

    Resources:

    Best practices for evaluation and treatment of agitated children and adolescents (BETA) in the emergency department: Consensus statement of the American Association for Emergency Psychiatry

    Credits available: 0.75


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73291.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Nicole Figueroa, RN, MSN


    This episode will focus on stigma in mental health including access to care, bias, and a focus on vulnerable populations. Discussion will focus on strategies to normalize engagement in mental health and reducing stigma.


    Objectives:

    Define the impact of stigma on mental health treatmentIdentify how bias toward individuals with mental illness impacts medical treatmentDemonstrate strategies to reduce mental health stigma in medical settings

    Resources:

    What is stigma? Why is it a problem? (NAMI)Mental wellness in the black community (NAMI)Mental Wellness in the Latinx Community (NAMI)Stigma, prejudice and discrimination against people with mental illness (American Psychiatric Association)

    Credits available: 0.50


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73290.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Kris Kullgren, Ph.D., Division of Pediatric Psychology 


    Objectives:

    Define what is trauma informed careApply principals of trauma informed care in medical and emergency department settingsUtilize understanding of medical trauma to improve patient care

    Resources:

    What is trauma informed care? (Center for Health Care Strategies) Key ingredients for successful trauma-informed care implementation (SAMHSA)

    Credits available: 0.50


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73288.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guests: Thomas Zimmer, M.D., and Lynetta Smith, Associate Director of Security at Michigan Medicine


    Objectives:

    Define a threat assessmentIdentify who should be involved in a threat assessmentApply skills to discussing safety with the pediatric population

    Resources:

    The concept of leakage in threat assessment (Behavioral Sciences and the Law)Enhancing school safety using a threat assessment model (U.S. Dept of Homeland Security)Protecting America’s Schools (U.S. Secret Service)The need to see and respond: The role of the child and adolescent psychiatrist in school threat assessment (Journal of the American Academy of Child & Adolescent Psychiatry) 

    Credits available: 0.75


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73287.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Jessica Pierce, M.D., Department of Psychiatry, Syma Khan, MSW


    Objectives:

    Define important aspects of a safety planDescribe lethal means restrictions

    Resources:

    Stanley-Brown safety planSafety planning guide: A quick guide for clinicians (SPRC)SAFE-T: Suicide assessment five-step evaluation and triage (SAMHSA)My3 AppWhat to do if you think a person is having suicidal thoughts (988 Lifeline)Suicide and crisis lifeline (988 Lifeline)

    Credits available: 1.0


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73286.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Jessica Pierce, M.D., Department of Psychiatry


    Objectives:

    Describe the difference between active and passive suicidal ideationIdentify strategies to respond to someone who is reporting suicidal ideation in a medical settingExplain causes and triggers for suicidal ideation

    Resources:

    National Alliance on Mental IllnessNAMI Washtenaw CountyUniversity of Michigan Depression CenterUniversity of Michigan Depression Center ToolkitCOVID-19 Mental Health Toolkit - Provider Resources

    Credits available: 0.50


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73285.


    To claim social work CEUs, visit https://umich.qualtrics.com/jfe/form/SV_73uW5rECA65wEVU.


    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


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  • Featured guest: Victor Hong, M.D., Department of Psychiatry


    This episode will center on the distinction of mental health care for adults vs. children. An overview of admissions and legal process for adults and children will be discussed, along with an explanation of how guardianship is utilized in the mental health system.


    Objectives:

    Describe the commitment process for adultsDifferentiate between admission for a child vs. adultExplain how guardianship applies in mental health settings

    Resources:

    What types of mental health services are available? (Michigan.gov)Adult involuntary formsPetition for mental health treatment Clinical certificateProtected personal identifying information Pediatric admission resourcesHaving a child in emergency inpatient treatment (Child Mind Institute) What to expect during an inpatient stay (NAMI)

    Credits available: 0.50


    Visit our website for more information about this episode and the Breaking Down Mental Health podcast series.


    For CME credit details, including educational planning, financial relationship disclosures, and credit claiming instructions, visit https://ww2.highmarksce.com/micme/index.cfm?do=ev.viewEvent&style=1&eventID=73282.


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    View episode transcript


    Breaking Down Mental Health is a part of the Michigan Medicine Podcast Network. You can subscribe to Breaking Down Mental Health podcast wherever you listen to podcasts.


    Hosted on Acast. See acast.com/privacy for more information.