Cannabis Breakout

Room: Paradise B

Speaker(s): TBD

Presentation:

Objectives:

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When Reality Breaks After Birth: Postpartum Psychosis

Room: Nautical Wheeler

Speaker(s):

Madeline Cusimano, MD

Presentation: Postpartum psychosis is a rare but severe maternal mental health condition that can emerge rapidly after childbirth and requires coordinated intervention across healthcare and community systems. This presentation will review core clinical features, risk factors, and early warning signs, with emphasis on distinguishing postpartum psychosis from more common perinatal mood disorders. Case examples will illustrate how symptoms may present across obstetric, emergency, outpatient, and child welfare settings.

The session will focus on the maternal health continuum of care, highlighting practical strategies for early identification, safety planning, interdisciplinary collaboration, and prevention of escalation. System-level considerations – including care fragmentation, access to perinatal psychiatric services, and coordination with families and caregivers – will be discussed to support professionals working across behavioral health, medical, and community settings.

Objectives:

  • Describe the epidemiology, clinical presentation, and diagnostic framework of postpartum psychosis (PPP)
  • Differentiate PPP from postpartum OCD, severe postpartum depression, and primary psychotic disorders
  • Review evidence-based acute treatment and relapse-prevention strategies, including lithium, antipsychotics, and electroconvulsive therapy (ECT)
  • Recognize suicide and infanticide risk using a prevention-focused, evidence-based framework.
  • Apply systems-level and family-centered strategies to the care of patients at high risk for PPP.

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Missouri’s Rural Health Transformation Program (RHTP): What’s Included

Room: Paradise C

Speaker(s):

Kerri Tesreau, MBA

Presentation: This session will walk participants through Missouri’s Rural Health Transformation Program (RHTP) application. The presentation will outline Missouri’s efforts under five distinct pillars: Regional Coordination Networks; Alternative Payment Models; Digital Backbone, Rural Health Workforce Programs; and Provider Transformation.

Objectives:

  • Describe Missouri’s RHTP Application
  • Explain Missouri’s RHTP budget
  • Discuss how to get involved in RHTP

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Get Comfortable Being Uncomfortable: Conversational Approaches to Changing Alcohol Behavior

Room: Paradise A

Speaker(s):

Fred Rottnek, MD

Presentation: Changing alcohol behaviors is not easy. These conversations can be uncomfortable, but they are where real progress begins. In Get Comfortable Being Uncomfortable: Conversational Approaches to Changing Alcohol Behavior, an addiction medicine physician and a certified peer specialist will demonstrate practical, compassionate strategies for engaging individuals in meaningful discussions about alcohol use. Participants will explore evidence-based tools for supporting alcohol reduction, practice motivational interviewing and screening techniques, and learn how to collaborate across professional roles to promote healthy choices. The session will also highlight community and policy-level interventions that make lasting impact possible.

Objectives:

  • Review evidence-based and best-practice approaches to support alcohol reduction
  • Apply screening and motivational techniques effectively
  • Utilize the talents of professional team members in promoting healthy habits
  • Identify community and policy strategies that work

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DMH Forensic Mobile Team

Room: Windgate 60-61

Speaker(s):

Nicole Reitz, MSW

Bethany Van Lant, MSW

Presentation: The DMH Forensic Team and the lessons we’ve learned.

Objectives:

  • Local and National Trends of Comptency Restoration
  • To Learn about the roles of the mobile team members
  • To Learn about how the mobile team intersects with courts, jails and community

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Neurocognitive Dysfunction in Schizophrenia: an Updated Review

Room: Nautical Wheeler

Speaker(s):

Mariana Edwards, MD

Presentation: Schizophrenia is a chronic illness that affects approximately 23 million people in the world. It is associated with high chronic risk of suicide and lifelong functional impairment, and it is one of the leading 15 causes of disability. People with schizophrenia are at more vulnerable to human rights violations, neglect, and homelessness and there is still stigma about the illness from society at large.

Objectives:

  • Highlight data and statistics about schizophrenia, and its cognitive symptoms
  • Present case of a patient with schizophrenia with prominent cognitive symptoms
  • Talk about cognitive symptoms and social difficulties in schizophrenia
  • Talk about the overall negative impact of cognitive symptoms in the lives of patients with schizophrenia
  • Discuss evidence-based treatments of cognitive symptoms in schizophrenia

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Understanding the Rural Health Transformation Program

Room: Paradise C

Speaker(s):

Kerri Tesreau, MBA

Presentation: This presentation will provide a comprehensive overview of the new federal Rural Health Transformation Program (RHTP) designed to evolve rural healthcare and increase sustainable access to care. This session will outline funding available to states, timelines, and how states can use the funds to strengthen rural infrastructure and improve patient access. This session is ideal for those wanting to understand the RHTP, what is allowed and what is restricted within the grant parameters.

Objectives:

  • Review RHTP grant funding awards
  • Discuss RHTP grant timelines
  • Describe RHTP grant allowable expenditures

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Department of Mental Health Housing Programs

Room: Windgate 62-63

Speaker(s):

Rosie Anderson-Harper, MA

Presentation: The Department of Mental Health houses several programs to assist Missourians with mental health and substance use disorders obtain and maintain safe, decent, and affordable housing that meets their individual and family needs. These programs, which are supported through federal and state funds, are key to helping Missourians in need and their families attain self-determination, self-sufficiency, and integration with the community.

Objectives:

  • Provide an overview of DMH housing programs
  • Highlight the Continuum of Care model for addressing homelessness in Missouri communities
  • Give an overview of the Person-Centered approach to housing

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Cannabis Use and the Developing Mind: Effects, Risks, and Mental Health Impact

Room: Paradise B

Speaker(s):

Rebecca Preston, PhD

Presentation: Due to the changing attitude towards cannabis, and the increasing decriminalization of non-medical marijuana, cannabis use is at historically high levels among adolescents and young adults – with daily or near daily use continuing to rise. At the same time, perception of risk associated with cannabis use has decreased. Exposing developing brains to cannabis disrupts brain development and behavior, primes the brain for being more susceptible to developing other forms of addiction later in life, and impacts trajectories leading to psychosis, schizophrenia, depression, anxiety, bipolar disorder, and other substance use disorders. Of the various mental health disorders, significant attention has focused on the co-occurrence of cannabis use and psychosis.

Objectives:

  • Understand the association between cannabis use during brain development and cognition, emotional functioning, and the risk of developing mental health disorders, particularly psychosis
  • Highlight the developmental, acute, and long-term effects of cannabis use
  • Raise awareness that regular THC use during brain development is not a benign activity and can impact brain, behavior, and mental health trajectories

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