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Ohio State MH/MR 6th Annual Conference: Mental Health Aspects:
Treatment & Support
September 3 & 4, 2008
Crowne Plaza North Hotel, Columbus, OH
Conference Schedule
Day One – September 3, 2008
8:00 - 9:00 a.m. REGISTRATION
9:00 - 9:15 a.m. WELCOME
Robert Fletcher, DSW, ACSW, Founder and Chief Executive Officer,
NADD, Kingston, NY
9:15 - 10:15 a.m. KEYNOTE ADDRESS
Back to the Futures
Sandy Stephenson, Director, Ohio Department of Mental Health,
Columbus, OH; John L. Martin, Director, Ohio Department of Mental
Retardation and Developmental Disabilities, Columbus, OH
Based on the ODMRDD Futures Report, particularly on the
“Specialized Needs” section, the two systems’ leaders
will discuss how people in each system, at various levels, can work
together to help the people they serve jointly achieve success.
10:15 - 10:45 a.m. BREAK
10:45 - 11:45 a.m. KEYNOTE ADDRESS
Chief Complaint: Aggression
Julie P. Gentile MD, Wright State University, Dayton, OH
Individuals with intellectual disabilities may present with
aggression toward self or others in a clinical setting. Presenter
will discuss clinical vignettes with the chief complaint of violence
and utilize the Bio-Psycho-Social Formulation to illustrate
diagnostic and assessment considerations to determine etiology of the aggression.
11:45 a.m. - 1:15 p.m. LUNCH (on your own)
1:15 - 2:45 p.m. CONCURRENT SESSION I
1) Attempting Systems Change: The Ohio Experience
Michael R. Schroeder, MSW, Ohio Department of Mental Health,
Columbus, OH; Glenn McCleese, Division of Community Services of the
Ohio Department of MR/DD., Columbus, OH
Ohio has been attempting to change the ways in which people with
co-occurring mental illness and developmental disabilities are
served. There are both statewide and local partnerships which have
been developed for training, service delivery, and research.
2) Medications and Psychotherapy for the Dual Diagnosis Patient:
Complicated Cases
Julie P. Gentile, MD, Wright State University, Dayton, OH; Carroll
Jackson, MSW, LISW, Montgomery County Board of MR/DD, Dayton OH
Presenters will discuss clinical vignettes of patients with
co-occurring mental illness and developmental disabilities. Various
techniques for counseling in this specialized population will be
reviewed, as well as pharmacological management of mental illnesses.
Presenters will discuss the importance of collaboration with regard
to mental health treatment of the complicated patient.
3) “Aspirations” a Social Support Group for Young Adults
with High Functioning Autism
Jeffrey Siegel MS, Thomas Fish PhD, Nisonger Center at The Ohio State
University, Columbus, OH
This session describes a social support group for young adults with
high functioning Autism. Aspirations is an eight-week social skills
support group for young adults on the autism spectrum. After
finishing the program, participants join our reunion group that meets
monthly. This session provides an overview of activities including
program rationale, format, and curriculum.
2:45 - 3:15 p.m. BREAK
3:15 - 4:45 p.m. CONCURRENT SESSION II
4) Local Systems Collaboration Ohio: Positive Outcomes for
Individuals with Dual Diagnosis
Edward A. Comer, MEd, Moderator, Wright State University, Dayton, OH;
Christine O’Connor, Montgomery County Board of MR/DD, Dayton,
OH; Theresa Schnipke, MA, Allen County Board of MR/DD, Lima, Ohio;
Susan Pahner, MD, Director of RHC Child, Youth and Family Services
RHC, Cincinnati, OH; Diana Martin, MEd, LPC, Green County Board of
MR/DD, Dayton, OH
Four Ohio Dual Diagnosis Intervention Teams present their models for
organizing systems to provide services at the local level. Models
will include examples of service delivery to children and adults in
urban and rural areas in Ohio.
5) Mood Disorders in People with Intellectual Disabilities: Using
the DM-ID and the MASS Interview to Improve Assessment and Treatment Planning
Lauren Charlot, PhD, University of Massachusetts Memorial Health
Center, Worcester, MA
The recently published DM-ID, a companion guide to the DSM-IV-TR,
provides clinicians with a review of the critical literature as well
as adaptations of diagnostic criteria for people with ID. In the
current training, we will review the DM-ID Mood Disorders chapter and
diagnostic criteria for people with ID. The MASS (Mood and Anxiety
Semi Structured) Interview was developed to enhance the array of
clinical information obtained when assessing individuals with ID and
contains many of the behavioral descriptions also found in the DM-ID.
These behavioral descriptions of what people with ID might display or
say when experiencing various mood and anxiety symptoms will be
discussed in detail. Initial validation data for the MASS Interview
will also be provided. The debate over using symptom substitutes will
also be discussed, emphasizing the ways in which aggression may act
as a “final common pathway” for underlying distress in
people with ID and does not appear to be “diagnostically
specific.” Research regarding mood disorders in people with ID
will be reviewed. Although people with all levels of ID have been
described with DSM-IV-TR mood disorder symptom criteria, systematic
prospective, well controlled studies using reliable means of
assessing the presence of the full DSM-IV-TR criteria for these
disorders have not been conducted in representative samples of people
with ID. Common sources of physical and psychosocial stress that may
mimic or exacerbate mood disorders will be shared using a number of
case illustrations.
6) Neurodevelopmental Implications of Bottled versus Municipal Water
Larry Livingston PhD, University of Illinois-Springfield, IL
This presentation will describe the NADD Environmental Health
Project, outlining the relationship between environmental neurotoxic
agents and the development of MI/ID. Current research findings on the
health implications of bottled and municipal (tap) water will be
discussed, as will practical strategies for making safer water choices.
4:45 – 5:00 p.m. OVERALL CONFERENCE EVALUATION
Note: There will be a 10-minute Q&A session at the end of each
concurrent session.
Day Two – September 4, 2008
8:00 - 8:45 a.m. REGISTRATION
8:45 - 9:00 a.m. WELCOME
Robert Fletcher, DSW, ACSW, Founder and Chief Executive Officer,
NADD, Kingston, NY
9:00 - 10:00 a.m. KEYNOTE ADDRESS
Assessment of Psychiatric Disorders in People with Autism Spectrum Disorders
Lauren Charlot, PhD, University of Massachusetts Memorial Health
Center, Worcester, MA
Following an overview of the differential diagnosis of Autism
Spectrum Disorders (ASDs), some of the recent scientific literature
regarding prevalence, suspected etiologic factors, neurocognitive
features, and neurological abnormalities found in ASD will be
described briefly. Several questions will be addressed including the
following. What are the most common psychiatric comorbidities in
people with an ASD? Do people with ASDs display atypical features of
psychiatric disorders? How can psychotic symptoms be differentiated
from the unusual thought processes that form a significant part of
the core of this disorder? The ways in which an understanding of the
core features of ASDs help clinicians more accurately identify
psychiatric comorbidities will be emphasized.
10:00 - 10:15 a.m. BREAK
10:15 a.m. - 11:45 p.m. CONCURRENT SESSION I
1) Something in the Way S(he) Moves: A Fresh Look at ADHD in
Persons with ID
Stephen Ruedrich MD, MetroHealth Medical Center, Cleveland, OH;
Stephan Schwartz PhD, Ascentia, Beachwood, OH
Attention Hyperactivity Deficit Disorder (ADHD) is increasingly
recognized as a common and sometimes debilitating psychiatric
disorder. Its presence in persons with ID is controversial, and
sometimes difficult to diagnose. The presentation will review the
history of ADHD, its current criteria, how these are modified in
individuals with ID, and offer treatment guidelines.
2) Fetal Alcohol Spectrum Disorders: An Introduction
Sr. Suzette Fisher, SND, EDS, Double ARC / NOFAS, Toledo, OH
Participants will be introduced to the cause, characteristics, and
prevalence of Fetal Alcohol Spectrum Disorders. Sr. Suzette will
discuss the primary and secondary disabilities associated with FASD,
co-occurring mental health issues, and strategies and resources
appropriate for individuals with FASD and their families.
3) Doing It by the Numbers; Data, Disorders, and Data Driven Treatment
Leisa Abraham, MA, Psychological and Behavioral Consultants Inc.,
Lyndhurst, OH
The amount of data that is collected for those within the ID/DD
system is unmatched. Much information is generated, but not always
relevant or effectively used. Participants will develop their own
underlying treatment algorithm, review how different disorders can
look in data, and develop long term perspectives in treatment needs.
11:45 a.m. - 1:15 p.m. LUNCH (on your own)
1:15 - 2:45 p.m. CONCURRENT SESSION II
4) Treatment of Behavioral Health Problems Experienced by
Individuals with Autism Spectrum Disorders
Lauren Charlot, PhD, University of Massachusetts Memorial Health
Center, Worcester, MA
A comprehensive functional assessment can be used to develop a
comprehensive treatment approach when treating individuals with
Autism Spectrum Disorders (ASDs). Elements of a Behavior Support Plan
that incorporate an understanding of neurocognitive, social, and
behavioral impairments that commonly occur in persons diagnosed with
an ASD will be discussed in some detail, with an emphasis on
detection and prevention of typical “setting events” or
remote antecedent conditions. Case examples will be used to
demonstrate key concepts. Discussion will be encouraged.
5) An Inspiring Loss: Behavioral Interventions to Promote Wellness
Kate Borokhovich, BA, OSU-Nisonger Center, Columbus, OH; Rene Short,
Goodwill Supported Living, Columbus, OH; Rosemary Anthony, MSW, LISW,
Goodwill Supported Living, Columbus, OH; Diane Fields, LPN, Access
Ohio, Columbus, OH; Patricia Furney; Richard Furney
This presentation shares the inspiring story of a young man who is
succeeding in his battle to reclaim his physical and mental health.
With the support of his treatment team and behavior plan he has lost
over 230 pounds in less than three years and has grown stronger in
every way.
2:45 - 3:15 p.m. BREAK
3:15 - 4:45 p.m. CONCURRENT SESSIONS III
6) Assessment, Treatment and Prevention Approaches for Mental
Health Crisis: An Overview of the Specialized Program for Persons
with a Dual Diagnosis at University Hospital, Cincinnati.
Krystn Shopp, MSW, LSW; David Delgado, MSW, LSW; Keith Holland,
MHP/A, LSW, Behavior Management Specialist Team, University Hospital,
Cincinnati, OH
The BMS department at University Hospital provides specialized
psychiatric services for intellectually disabled patients. The
presentation will focus on an overview of intervention approaches
including psychiatric assessments in the psychiatric emergency room,
preventative crisis plans for the community, and treatment planning
for the inpatient unit.
7) Improving Supports for Deaf-Blind Individuals
Melissa Brundage, LISW, Nisonger Behavior Support Services-OSU,
Columbus, OH; Richard Tawney, Colony Housing, Westerville, OH
Richard, who is a deaf-blind individul, grew up deaf and lost his
vision due to Usher’s Syndrome. He attended the Helen Keller
National Center and now lives in his own apartment with minimal
support. He receives services through the mental health system as
well as the MR/DD system. This presentation will deepen the Support
Provider’s understanding of what it means to be deaf-blind in
our highly audio/visual world. Additionally, it seeks to identify
supports and available resources to address the primary issues of
communication and mobility for the individual who is deaf-blind.
4:45 – 5:00 p.m. OVERALL CONFERENCE EVALUATION
Note: There will be a 10-minute Q&A session at the end of each
concurrent session.
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Diagnostic Manual – Intellectual Disability (DM-ID)
The National Association for the Dually Diagnosed (NADD), in
association with the American Psychiatric Association (APA),
developed a Manual that is designed to be an adaptation of the
Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition—Text Revision (DSM-IV-TR).
Visit DMID website |
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 Practical
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& Communication Development in Autism Spectrum Disorders:
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Edited by Tony Charman, Ph.D. and Wendy Stone, Ph.D.
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Edited by Ami Klin,Ph.D., Fred R. Volkmar, M.D., Sara S.
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