“Gratitude makes sense of our past, brings peace for today,
and creates vision for tomorrow.”
~ Melody Beattie

Save The Date

 Putting the "I" in Team

An Integrative Approach to Mental Health Treatment

Friday, April 12, 2019

Andaz 5th Ave. NY, NY

Schedule:
8:00 a.m. – 8:30 a.m.  Registration
8:30 a.m. – 1:30 p.m.  Presentations and Lunch

Dear Colleague,

On behalf of Sierra Tucson, a pioneer in integrative behavioral and mental health for more than 35 years, I would like to personally invite you to attend our 13th Annual New York Symposium – Putting the “I” in Team, an Integrative Approach to Mental Health Treatment.

Our expert team of integrative mental health professionals, who will be exploring various aspects of Integrative Treatment from both the psychological and physiological perspective, include:

*Jasleen Chhatwal, MD, Director of  Mood Program
*James Seymour, MD, Director, of Trauma Recovery Program
*Maureen Schwehr, NMD, Director, of Integrative Services Program

We will also be reporting the exciting results of our Integrative Treatment approach, with a presentation by Antoinette Giedzinska-Simons, PhD, our Director of Applied Neuroscience and Outcomes.  As we know that team collaboration is essential to any integrative model of care, we are delighted to welcome our featured speaker, Dr. Jonathan Fader  who will be presenting on Productive Mental Health: Lessons from the Frontier of Performance Psychology.

Over the past few years, I have had the privilege of meeting many influential clinicians in the New York metropolitan area. We are grateful that you are a part of the Sierra Tucson extended team. I sincerely hope that you will be able to join us for this exciting event, and we look forward to seeing you at the Thirteenth Annual New York Symposium.

Jaime Vinck, MC, LPC, NCC
Chief Executive Officer

3.0 Continuing Credits Offered

Our Presenters:

It is our pleasure to welcome Dr. Johnathan Fader as our guest speaker presenting on:

Productive Mental Health: Lessons from the Frontier of Performance Psychology

Jasleen Chhatwal, MD, Associate Medical Director; Director of Mood Recovery
The Tiramisu Approach to Treatment Resistant Depression: Integrating Psychotherapy, Pharmacology, CAM and Neurotherapeutics

Approximately a third of patients with major depressive disorder do not respond to treatment, with only half achieving remission. This results in high morbidity and makes MDD one of the leading causes of disability in the world per the World Health Organization. Early intervention, intensive and multimodal treatment are key to improving outcomes in this patient population. Challenges inherent to treatment include polymorphism in the presentation, multifactorial etiology and complex pathophysiology. In this presentation, we will review current evidence for approaching patients with difficult to treat presentations using psychotherapy, psychopharmacology, neurotherapeutics and complementary-alternative medicine. In addition, we will discuss the latest developments in conceptualizing treatment resistance and novel, experimental treatments that are under investigation.

Objectives:
*Define depression and treatment resistant depression (TRD).
*Cite the current evidence-based and consensus-based treatments for TRD.
*Explain the challenges inherent to treatment of TRD.
*Identify novel and experimental approaches to difficult to treat depression.

Jasleen Chhatwal, MD, joined the medical staff at Sierra Tucson in September 2018. Dr. Chhatwal comes to Sierra Tucson by way of the University of Arizona Department of Psychiatry where she continues to serve as an Assistant Professor. Her extensive experience in treating complex mood disorders in a multi-disciplinary setting and training in integrative medicine makes her a great fit for leading the mood recovery program. She believes each individual has a unique, authentic story, and is grateful to all those who have trusted her with their stories. Dr. Chhatwal completed her residency training in psychiatry at the University of Arizona College of Medicine – Tucson, also serving as Chief Resident. Here she trained in psychodynamics, cognitive behavior therapy, psychopharmacology, neuromodulation, and various other emerging modalities. She further completed fellowship training in Integrative Medicine from the renowned Arizona Center for Integrative Medicine. Post residency, Dr. Chhatwal stayed on at her alma mater working in a combined community and academic setting. Here she provided inpatient and outpatient services, while also serving as associate and then interim medical director of inpatient psychiatry services at Banner University Medical Center – South Campus. Dr. Chhatwal has been active in medical student & resident physician education, aiming to enhance understanding of psychiatric disorders for varied medical personnel. She is also active in the mental health community, advocating for her patients’, colleagues, and profession through the Arizona Psychiatric Society. This year, she serves the society in the role of Vice-President and was recently awarded the presidential award for leadership. She concurrently is also serving as the Early Career Psychiatrist representative for western US and Canada (Area7) to the American Psychiatric Association Assembly. Echoing naturalistic healing disciplines, Dr. Chhatwal believes that the human body has the inherent capacity to heal itself when provided with a nurturing environment for the mind, body, and spirit. In her practice, in collaboration with colleagues from various disciplines, she aims to recreate that nurturing environment so residents can start their journey towards a healthier, more wholesome life. Dr. Chhatwal’s treatment philosophy includes intervening early, providing holistic, culturally competent, gender-affirming and evidence-based care. She envisions the mood recovery program as a place where intensive biological and psychological therapies help restore the vital essence of each person’s unique and authentic story.

Maureen Schwehr, NMD, Director of Integrative Services
Are Your Hormones Controlling You?  Likely not but they have a big impact

Assessing and treating hormonal imbalances can be a powerful tool in an integrative, whole body approach to mental health care.   Stress, addictions, nutritional deficiencies, menopause, medications and many other factors can impact hormone levels.  Additionally, hormone levels directly and indirectly affect mood, energy levels, sleep and overall resiliency. In this presentation we will be exploring the specific ways in which hormones can play an important role in mental health treatment.

Objectives:
*Identify clinical relationships between hormones and mental health concerns including anxiety, depression, pain, insomnia and fatigue.
*Explain the complex relationships between hormones including cortisol, thyroid hormones, estrogen, progesterone and testosterone.
*Identify strategies to improve patient outcomes by addressing hormonal imbalances.

Maureen Schwehr, NMD, serves as Sierra Tucson’s director of integrative services. Her department provides a unique combination of physical and mental health support for residents. Dr. Schwehr oversees a team of experienced and talented staff whose services include naturopathic medical consults, acupuncture, physical therapy, chiropractic services, massage therapy, shiatsu, zero balancing, somato-emotional release, and craniosacral therapy. In addition to supervising staff, she works one-on-one with residents to help them determine the root cause of their problems. Focus is given to nutritional status and hormonal balance, supporting biochemical pathways that help the body function more effectively. Dr. Schwehr holds a doctorate in Naturopathic Medicine from Bastyr University in Seattle, WA. Past experience includes a position as the medical director at Mirasol, a residential eating disorder facility. As part of the Sierra Tucson staff, she has the opportunity to be part of a truly integrative team that provides a unique, empowering perspective for residents.

James Seymour, MD, Director of the Trauma Recovery Program
What do I do now? Trauma Treatment Techniques & Modalities: A New Perspective

This session will include some new perspectives in trauma recovery, a brief overview of the polyvagal theory and it’s clinical implications. It will review some tips in helping people recovery from psychological trauma, and be followed by a guided interactive discussion of tips that other clinicians have learned as well. It is based upon the work of Alllan Schore,  Stephen Porges, Kathy Steele, Peter Levine, Pat Ogden, Babbette Rosthschild, Diana Fosha, Habib Davanloo, and Christine Courtois. It is important for all who work in the field of psychological trauma recovery to have a broad range of knowledge as well as a breadth of techniques and recovery modalities. It is particularly relevant as we are seeing more and more people in our practices who have been traumatized by violence and the disintegration of families, strong communities, and civil discourse.

Objectives:
*List two limitations of the psychopathology model of mental health treatment.
*Describe the clinical significance of the polyvagal theory and what that means for our practices.
*Describe at least five types of somatically oriented recovery modalities

James Seymour, MD, joined Sierra Tucson in 2010. Upon receiving his medical degree from the University of Tennessee and completing his psychiatric residency at the University of Virginia in 1987, Dr. Seymour trained for several years in Intensive Short-Term Dynamic Psychotherapy (ISTDP). Dr. Seymour was an officer with the United States Public Health Service, where he served as mental health director of the Tucson Area Indian Health Service (IHS). For 10 years, he served as the assistant medical director of a residential behavioral health and substance abuse program focused on the healing of mind, body, and spirit. Dr. Seymour is board certified by both the American Board of Psychiatry and Neurology and the American Board of Addiction Medicine. Additionally, he is a Somatic Experiencing® practitioner. Dr. Seymour’s areas of expertise include trauma recovery, addictions, cognitive behavioral therapy (CBT), and somatic mind-body therapies. Dr. Seymour believes strongly in the resilience of the human spirit and views the role of the psychiatrist as assisting the person in removing obstacles to the natural healing and recovery process. Dr. Seymour approaches post trauma symptoms as the natural nervous system’s response to trauma, rather than a disease or disorder, with a primary focus on increasing the capacity for better nervous system regulation, improvement in navigating interpersonal relationships, and mindfulness to support and encourage positive results in each individual.

Antoinette Giedzinska, PhD, Director of Applied Neuroscience & Outcomes
Applying Measurement Based Care & Outcomes in the Integrative Medical Setting; The How, the What, & the Why-Bother

Measurement-based care has become a high-profile issue in the behavioral health care field which necessitates clinics to use objective data to track the impact of care, treatment, or services.  Progress and outcome data derived through standardized instruments can help to inform goals and objectives, monitor individual progress, and inform decisions related to individual plans for care. Such data can also be used innovatively to add personalized meaning to patient insight, improvement, and strengthen therapeutic alliance. From an organizational level, the aggregation of data can yield a repository of the correlates associated with bio-psycho-social outcomes after receiving treatment from multifactorial integrative mental health approaches. Recent Sierra Tucson outcomes will be discussed in this presentation to illustrate measurement-based care from the theoretical, individual, and systemic perspective.

Objectives:
*Explain the rationale for the importance of measurement-based care into clinical practice.
*Describe several theoretic models related to measurement-based care.
*Identify appropriate analytical methods to disseminate, share, and use outcome data from the individual recipient to aggregate reporting.

Antoinette Giedzinska-Simons, PhD, also known as Dr. Antoinette, began working at Sierra Tucson in 2008 providing psychometric assessment and interpretation, in addition to developing psycho-educational curricula for Sierra Tucson’s Pain Recovery Program. During 2009, she created and implemented the bio/neurofeedback program into the Sierra Tucson treatment process, utilizing integrative psychoneurophysiological therapeutics delivered by a talented team of Biofeedback Certification International Alliance (BCIA) professionals. Beginning in 2013, Dr. Antoinette spearheaded Sierra Tucson’s outcomes research platform with the aim of assessing patient progress in the short and long term, post-discharge. She currently oversees the psychology department as well, providing direction to further integrate psychological consultation and psychometric evaluation to support Sierra Tucson’s treatment teams in their efforts to provide excellent patient care. Dr. Antoinette received her Doctor of Philosophy in Clinical Psychology from the University of Southern California, where her training emphasized behavioral medicine, clinical research, and neuropsychology. She has authored several scientific publications addressing psychological correlates of cancer quality of life, program development, and patient treatment decision-making. Her enthusiasm as a scientist/practitioner is not only to support and educate patients toward resiliency, quality of life enhancement, and stress reduction and management, but also to continue one of her passions in life: to be part of multidisciplinary teams that collaborate on integrating cutting-edge modalities aimed to enhance the mind-body connection.

RSVP by April 4, 2019, seating is limited.

Continuing Education

This program is co-sponsored by the Sierra Tucson and The Institute for Continuing Education.   Continuing education credit is offered as listed below.  The program offers a total of  3.00 contact hours, with full attendance required.  Partial credit is not offered.    Application forms  will be available on site.      If you have   questions regarding continuing education,  the program, grievance issues, learning objectives,  contact The Institute at: 251-990-5030; instconted@aol.com

To receive continuing education credit, attendees must attend the events that offer CE credit in its entirety, complete CE documents, sign in/out, and submit and evaluation of the workshops attended.  It is the responsibility of attendees to determine if the continuing education credit offered will  meet their licensing/certification boards' regulations

CE Credit is Offered for the following presentations

The Tiramisu Approach to Treatment resistant Depression: Integrating psychotherapy, Phamacology, CAM and Neurotherapeutics

– Jasleen Chhatwal, M.D. - 1.00 CE Contact hrs.

Are Your Hormones Controlling You? Likely Not Bu They Have a Big Impact

– Maureen Schwehr, NMD   -   1.00 CE Contact Hrs.

What Do I Do Now? Trauma Treatment Techniques and Modalities: A New Perspective

- James Seymour, M.D. -  1.00 CE Contact Hrs.

CE Credit Offered for:

Psychology: The Institute for Continuing Education is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists.  The Institute for Continuing Education maintains responsibility for this program and its content.

Counseling:    The Institute for Continuing Education is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors.   Provider MHC-0016.   NOTE:  NBCC credit is not offered.

Social Work:  The Institute for Continuing Education, Provider 1007, is approved to offer social work continuing education by the Association of social work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers.  State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.  The Institute for Continuing Education maintains responsibility for this course.  ACE provider approval period: 4-13-2018 – 4-13-2021.

New York:   The Institute for Continuing Education is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers.  Provider No. SW-0025.

Marriage-Family Therapy: The Institute for Continuing Education is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists.   Provider MFT-0012.

 Skill Level:   Beginning, Intermediate, Advanced

Instruction Methodology:   May include didactic, audio-visuals, demonstrations, experiential exercises, case examples, small and large group discussions.