IDD-Dual Diagnosis

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Supporting Complex Needs using Tiered Supports

Room Nautical Wheeler

Speaker(s): 

Kathleen Deppeler, BA

Description: 

The Missouri Department of Mental Health uses Tiered Supports, based on a public health model created by the CDC. This model supports the health of an entire population of people by providing a continuum of supports that are layered on top of one another as a person’s needs increase. Learn more about how structuring supports by tiers relates to individuals, strategies, and organizations as a whole.

Objectives

  • Participants will understand how a tiered framework relates to people, interventions, and organizations
  • Participants will understand how a tiered framework improves outcomes community wide
  • Participants will know how to access free PBS resources from the Department of Mental Health to improve relationships, behaviors, and environments through positive practices.
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Deppeler, Kathleen, BA

Kathleen Deppeler is the Director of Positive Supports for the Missouri Department of Mental Health- Division of Developmental Disabilities. The Positive Supports team provides professional development, coaching, and consulting around the implementation of Positive Behavior Support (PBS) systems. Kathleen joined the Tiered Supports team in 2013, and has continually focused on increasing organizational capacity to support people with complex needs. She has a Bachelor’s of Arts in Human Services and minor in Sociology from Fontbonne University in St. Louis and has trained, coached, and mentored Tools of Choice implementers and facilitators since 2013. She was recognized as the 2018 Crisis Intervention Training Instructor of the Year by the Mid-America Council for her focus on ensuring training competency through role play practice and feedback.
Presentation(s):
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Hendricks, Deb, BA

Deb Hendricks is currently working in DMH’s Office of Disaster Services focusing her efforts on emergency preparedness for individuals with I/DDs and the providers who work with them. She is also the parent of a son with Down syndrome.
She has created guidebooks for individuals and providers that lead them, step by step, through the process of creating an individualized emergency preparedness plan, as well as training in how to use the guidebooks. She is also focusing on training emergency responders about the individuals with I/DDs’ reactions to disasters.
 

Presentation(s):

Emergency Planning for Individuals with I/DDs

 

 

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Assessment and Diagnosis of Dementia for Individuals with Developmental Disabilities

Room Nautical Wheeler

Speaker(s):

Kayette Glass, PsyD

Description

Individuals with IDD are living longer than they ever have before.
In the U.S., the population of people over 60 who have a developmental disability is projected to increase from an estimated 173,000 in 1995 to 332,900 by the year 2025. Until recently, a shortened life span was expected for people with ID, and services and research were geared toward serving children.
75% of Adults with DD are in the 40 to 60 year age group *9,000 individual currently – projected to grow to 30,000 in next ten years. Individuals with IDD are most likely will to be served in the community. Because of this older people with developmental disabilities comprise a relatively unstudied group. Furthermore, individuals with IDD and Dementia are also relatively unstudied.
The prevalence of Dementia is 4x higher in IDD population than the general population.
Adults with Down Syndrome are at a higher risk of dementia and show a significantly elevated prevalence with advancing age. Early onset and more rapid progression of the disease (5-7 years) with more cognitive and adaptive functioning losses are more evident with Down syndrome. Prevalence of dementia doubles every 5 years between 45-60 years and is often the reason for referral is different for the IDD population than general population (e.g. a behavior change, like “He’s hitting people,” or “He’s incontinent.”). Almost half of the individuals that meet criteria go undetected/undiagnosed.

Objectives

    • Discuss disability awareness
    • Define the dementia umbrella
    • Discuss dementia in the IDD population
    • Review assessing dementia in IDD
    • Review treatment and recommendations for IDD and dementia
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Emergency Planning for Individuals with I/DDs

Room Nautical Wheeler

Speaker(s):

Deb Hendricks, BA

Description

This session will outline the efforts of DMH’s Office of Disaster Services to promote preparedness for individuals with Intellectual and Developmental Disabilities. The new preparedness guidebooks for individuals and providers will be introduced and demonstrated, showing the easy steps that will lead to completing individualized plans.
The presenter will also discuss the differential responses of those with I/DDs to emergencies.

Objectives

    • Discover the Preparedness Guidebooks for individuals with I/DDs and Providers
    • Introduce the Guidebooks into emergency planning in all settings
    • Consider the reactions of individuals with I/DDs to emergencies
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Dysregulation in individuals with IDD: Working Towards Better Supports

Room Nautical Wheeler

Speaker(s):

Robert Cox, MA, LPC

Description

Robert is the author of “The Life Recovery Method: Autism Treatment From a Trauma Perspective” and in the last 7 years he has discovered much about regulation and IDD in general. Often both emotion and sensory input come as energy signals that we feel in the body. The inability to process these signals accurately causes confusion and drives the individual into the Limbic region of the brain. Learning to aid in the processing of these signals and using proven techniques we can support individuals with IDD in a fuller, more regulating way.

Objectives

    • Describe the areas of the brain that drive meltdown responses to stimulus
    • Identify at least 3 methods of helping to calm the brain once escalated
    • Utilize methods of practice to begin rewiring the brain
    • Describe the benefits of bilateral stimulation in the brain
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Autism Spectrum Disorder: Developing a Deeper Understanding

Nautical Wheeler

 

Speaker(s):

Sohl, Kristin, MD, FAAP

Description

Let’s talk about the Spectrum and learn to think beyond the stereotypical conceptualization of autism to a deeper understanding of how characteristics present and evolve over time and across individuals. We will discuss the DSM-5 criteria, how it is applied and common co-occurring conditions to screen and manage.

Objectives

Recall the DSM-5 diagnostic criteria as it relates to Autism Spectrum Disorder
Assess how characteristics of ASD present in early childhood and manifest across the lifespan
List common medical and psychiatric co-occurring conditions in Autism Spectrum Disorder

 

SOHL Presentation

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Trauma-Informed Supports for Individuals with Intellectual Disabilities – the Path to Healing

Nautical Wheeler

 

Speaker(s):

Harvey, Karyn, PhD

Description

Trauma-Informed Supports for People with IDD – The Path to Healing
This session will provide an in-depth look at trauma in the lives of people with IDD and the effects of that trauma. The biological, psychological and social effects will be explored. Next, there will be a discussion of healing. Three components of healing will be reviewed: safety, connections and empowerment. The Positive Identity approach will be introduced as well. Finally the happiness assessment and daily happiness worksheet tools will be introduced.

Objectives

1. Identify sources of trauma for people with IDD
2. Identify the positive identity development approach.
3. Utilize workbooks that develop a positive sense of self.
4. Utilize the happiness assessment.

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Parent-Child Interaction Therapy: Supporting Children With Developmental Disabilities

Nautical Wheeler

 

Speaker(s):

Hobson, Trisha, LPC, MA

Description

This presentation will focus on learning about Parent-Child Interaction Therapy (PCIT) and how to tailor this effective treatment for children with developmental needs and their caregivers. PCIT is a well-supported evidence-based treatment for children that focuses on strengthening the parent-child relationship and reducing problematic emotional and behavioral concerns through positive play connections and behavioral management training for parents/caregivers. Families of children with neurodiversity, developmental, and/or medical needs often experience elevated stress that can impact the overall health of both the child and other family members, especially parents and caregivers.

Participants in this presentation will learn how PCIT can play an important role in the overall growth and development of children with intellectual and developmental disabilities. Participants will learn how the standard application of PCIT can be tailored to address the unique and individualized needs of children with developmental delays. This presentation will address how PCIT can support young children, in particular, reduce parental stress, and improve overall mental health during a very crucial time of child development. Participants will learn primarily through a didactic presentation format. Participants will have an opportunity for live observation and/or practice of skills learned.

Objectives

1. Provide an overview of standard PCIT and the research to support this effective intervention
2. Provide an overview of the benefits and outcomes of PCIT
3. Discuss how PCIT can be tailored to address the unique and individualized needs of children with developmental delays
4. Review examples of PCIT in action

Hobson Presentation

Hobson Persentation slides

By

Hobson, Trisha, LPC, MA

Trisha Hobson is a Licensed Professional Counselor who has been practicing therapy in the St. Louis, Missouri area for 15 years. Trisha provides outpatient mental health services to children, teens, and parents/caregivers and has clinical experience in the areas of child trauma, child maltreatment, children with intellectual and developmental disabilities, child Anxiety and OCD, children and teens with ADHD, and children with emotional and behavioral difficulties. Trisha also provides support to parents and caregivers as they navigate stressors related to parenting a child with developmental and/or medical needs, as well as works with parents and caregivers to help strengthen parent-child attachment and connection through supportive experiences and interactions. Trisha utilizes a variety of therapeutic interventions, such as Cognitive Behavioral Therapy, Motivational Interviewing, Sandtray Play Therapy and other Play-based therapeutic interventions. Trisha believes strongly in treatment for children and families that is supported by research and shown to be effective, and is a Parent-Child Interaction Therapy (PCIT) International Certified Therapist and Level 1 Trainer, a Missouri Rostered Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Clinician, and trained in Supportive Parenting for Anxious Childhood Emotions (SPACE).

Presentation(s):

Parent-Child Interaction Therapy: Supporting Children With Developmental Disabilities