Announcing the FIRST-EVER Tennessee Crisis Conference

It can be challenging to get multiple crisis responders in one room, even for onsite staff meetings, without interrupting TABLE OF availability of services let alone getting them together in one room from all across the state which is probably one of the CONTENTS reasons that Tennessee has never attempted to host a conference specific to our crisis counselors in the past. Despite Agenda at a 4 these challenges, the benefits of providing opportunities to Glance share best practices, to network with fellow peers and instill refreshed optimism and passion for a challenging and difficult job make this conference well worth the effort. Commissioner TN Crisis 4 Varney is very elated to offer this first time event and is Supervisor Leadership hopeful that participants will find it as an exciting opportunity. Meeting

Session 5 Descriptions

E. Douglas Varney Sejal Patel West, MA Ellyn Wilbur Melissa Sparks, MSN, RN Commissioner Assistant Commissioner Executive Director Director, Office, of Crisis Tennessee Mental Health Services Tennessee Association Services and Suicide Speaker 9 Department of Tennessee Department of Mental Health Prevention, Tennessee Biographical Mental Health and of Mental Health and Organizations (TAMHO) Department of Mental Sketches Substance Abuse Substance Abuse Nashville, Tennessee Health and Substance Abuse Services Services Services, Nashville, Nashville, Tennessee Nashville, Tennessee Tennessee Continuing 12 Professional TDMHSAS OFFICE OF CRISIS Development SERVICES AND SUICIDE PREVENTION Resources 14-21 Melissa Sparks – Director | Office Phone: 615-253-4641 and Neru Gobin – Assistant Director | Office Phone: 615-741-9259 Upcoming Morenike Murphy – Grants Project Director | Office Phone: 615-253-7306 Trainings Vicki Carter – MH Program Manager | Office Phone: 615-253-4798 Left to Right Back Row: Lygia Williams, Morenike Murphy, Registration 23-24 Laura Martin – MH Program Specialist | Office Phone: 615-741-3860 Laura Martin, Maria Bush, Vicki Form and Maria Bush – MH Program Specialist | Office Phone: 615-532-0407 Carter Left to Right Front Row: Information Lygia Williams – MH Program Planner | Office Phone: 615-253-5078 Melissa Sparks, Neru Gobin AGENDA AT A GLANCE

8:00 am – 4:30 pm 1:00 pm — 2:00 pm Registration | Networking | Breakout Sessions Tennessee Crisis Team Refreshments - Best Practices for Crisis Safety Planning 9:00 am – 9:15 am - Behavioral Health Telephone LEADERSHIP MEETING Triage: Managing Psychiatric Crisis Pre-Conference Remarks and Emergencies Attendance for this three hour 9:15 am – 9:30 am session is by invitation only. Welcome and Opening 2:00 pm — 2:15 pm Remarks Networking | Refreshments 10:30 am — 2:45 pm 9:30 am – 9:45 am Special Recognitions — Crisis 2:15 pm — 3:15 pm A three (3) hour opportunity Service Outstanding Employees Breakout Sessions for strategic brainstorming 9:45 am – 10:45 am - Defusing Difficult Situations — A among senior leadership Opening General Session Review of Tennessee’s De- Cracked Not Broken Escalation Techniques regarding the successes, - Negotiating with Opposing Opinions challenges and opportunities 10:45 am – 11:00 am within Tennessee’s Crisis Networking | Refreshments 3:15 pm — 3:30 pm Response System. Networking | Refreshments 11:00 am – 12:00 Noon Breakout Sessions 3:30 pm — 4:30 pm - Developing a Coordinated Closing General Session: DIRECT INQUIRIES TO: Community Response System — Navigating Tennessee Code MELISSA SPARKS | Director, Crisis Behavioral Health and Law Annotated, Title 33 Services & Suicide Prevention Enforcement - Assessing Risk in Crisis Situations 615-253-4641 | 4:30 pm [email protected] Adjourn | Evaluation & CE 12:00 Noon – 1:00 pm Request Turn-Ins SEJAL WEST | Assistant Commissioner LUNCHEON 615-253-6748 | [email protected]

Please refer to the SESSION DESCRIPTIONS listing for session speakers and overviews.

4 OPENING GENERAL SESSION

9:00 am – 9:05 am 9:30 am – 9:45 am PRE-CONFERENCE SPECIAL RECOGNITIONS REMARKS Tennessee’s Crisis Services Outstanding Employees Ellyn Wilbur, Executive Director, Melissa Sparks, MSN, RN, Director, Office, of Crisis Tennessee Association of Mental Services and Suicide Prevention, Tennessee Department Health Organizations (TAMHO), of Mental Health and Substance Abuse Services, Nashville, Tennessee Nashville, Tennessee

The Tennessee Department of Mental Health and Substance Abuse Services is proud of the initiative inspired by the wonderful work of our state’s crisis teams. 9:05 am – 9:30 am The dedication, commitment, and compassion demonstrated by WELCOME AND OPENING professionals who are working in the crisis services system is very much REMARKS appreciated. For individuals experiencing a particularly difficult time, the interaction one has with the professional responding to them in crisis can E. Douglas Varney, Commissioner, Tennessee Department of Mental make all the difference in the world. If the interaction goes well, it can aid Health and Substance Abuse the road to recovery for that individual but if it does not go well, the Services, Nashville, Tennessee person in crisis may never be incentivized to seek mental health services again. Crisis services staff must be willing to work all hours of the day and night, travel through all types of weather, and have a mountain of patience as they attempt to negotiate care with insurance carriers and/or family members. Join us we spotlight the 2016 Tennessee Crisis Services Outstanding Employees.

9:45 am – 10:45 am “LIFE IS THE SINGLE GREATEST GIFT WE HAVE EVER BEEN KEYNOTE ADDRESS GIVEN…OR WILL EVER BE GIVEN.” — Kevin Hines Cracked Not Broken Kevin Hines has reached millions as he travels globally teaching other’s Kevin Hines, Founder & CEO, 17th the importance of prevention of suicide and mental health awareness. & Montgomery, LLC, Alpharetta, He presents on anti-bullying campaigns, wellness in the workplace, drug Georgia and alcohol prevention and more.

After his suicide attempt by jumping off of the Golden Gate Bridge, Hines

has become one of the most sought after speakers of these subjects In Special Guest the US. Kevin continues his fight for wellness and dedicated his life to Joe Williams, The Enemy Within, working for mental health equality, awareness, and education. Wagga Wagga NSW 2650, Australia Kevin sits on honorary boards of both the International Bipolar Foundation (Dedicated to healing from Bipolar Disorder) as well as the Bridge Rail Foundation (Dedicated to ending suicides at the Golden Gate Bridge. He is currently a member of the National Suicide Prevention Lifeline’s Consumer Survivors Sub Committee. Kevin was a two term

5 member of San Francisco’s Mental Health Board and has 11:00 am – 12:00 Noon spoken in congressional hearings alongside Patrick BREAKOUT SESSIONS Kennedy in support of The Mental Health Parity Bill. He Developing a Coordinated Community sat on the San Francisco Chapter of the American Response System — Behavioral Health Foundation for Suicide Prevention for one year and Agencies and Law Enforcement helped raise over $30,000 for the AFSP. Kevin was named Kandy Templeton, Senior Vice President, Crisis Services, Volunteer the 2012 Lifetime Achievement Award winner by the Behavioral Health Care System, Murfreesboro, Tennessee National Counsel for Behavioral Health and Eli Lilly. Adam Graham, Supervisor of Diversion Services, Mental Health He is in preproduction of a Documentary about his life Cooperative, Nashville, Tennessee and life’s work. Cracked Not Broken, The Kevin Hines Captain D. Michael Dobbins, Jail Administrator, Williamson County Sheriff’s Department, Franklin, Tennessee Story Officer Allen F. Hall, IV, North Precinct, Metro Nashville Police “Cracked…Not Broken: Surviving and Thriving After a Department, Nashville, Tennessee Suicide Attempt” his memoir, is out now. The ability to respond to an individual within their Kevin’s story was featured in the film “The Bridge” by the home is one of the single biggest benefits of having a great Film Director and Producer Eric Steel. Kevin has mobile crisis response system. Critical to the success of reached millions with his story through hundreds of responding within the community while also maintaining the safety of the responder, is the media revolving around the topics he covers. Thousands relationship between crisis services and law have reached out to him expressing thanks for his enforcement. Pairing these two professions to work message. toward successful collaborations for the primary Kevin believes in the power of the human spirit and in the benefit of the person in crisis requires a mutual fact that you can find the ability to live mentally well. understanding of their respective roles, responsibilities, Maybe not every day but certainly most. resources and limitations. The panelists in this session will discuss factors that promote successful Joining Kevin during the keynote address is Joe Williams relationships between crisis and law enforcement and from The Enemy Within, a raw and honest portrayal of review current practices that result in an improved Joe Williams, the boxer, former NRL player, father, and ability to conduct home based assessments. fiancé. Joe delves into the private pain, and dealings with depression that drove him to the very brink. He talks Assessing Risk in Crisis Situations adversity, dealing with struggle, resilience, improving Lori Ramsey, Director of Crisis Services, Helen Ross McNabb Center, your attitude by 1%, positive energy and how small steps Knoxville, Tennessee lead to something greater. Joe lists becoming a father to All professionals operating within the crisis services four beautiful children his greatest accomplishment. continuum would agree with the goal to avoid having Apart from being involved with professional sports for anyone fall between the proverbial “cracks”, regardless over 15 years, Joe spends his time working to inspire of the number of times a given person has been youth through motivational speaking workshops. He has assessed, or how minimal their ideation of self-harm worked with disengaged youth in primary and secondary may seem. A thorough assessment of level of risk is schools, drug and alcohol rehabilitation centers and paramount to the achievement of this goal. What are goals. Joe has also mentored both youth and adults. some of the practices used in conducting effective risk assessments? How can methods for investigation of

6 risk be improved? How does staff burnout and the client. This session will review elements of quality desensitization impact determination of risk? The safety planning, means restriction and the importance purpose of this session is to identify and describe of including the service recipient’s entire support elements and techniques used in a quality risk system in sharing this responsibility for the optimal assessment that contribute to effective decision making success of the client’s treatment plan. and sound recommendations for the benefit of those experiencing a behavioral health crisis. Behavioral Health Telephone Triage: Managing Psychiatric Crisis and Emergencies 12:00 Noon – 1:00 pm Jennifer J. Armstrong, LPC-MHSP, Director of Crisis Care Services, NETWORKING LUNCHEON Centerstone, Nashville, Tennessee Come join a relaxing Maria Bush, Program Specialist, Office of Crisis Services and Suicide networking luncheon in Prevention, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee the conference center atrium. Exchange ideas Crisis call centers and telephone triage are arguably and contact information. some of the most important functions of the entire Be sure to take time to statewide crisis services continuum. Crisis professionals review the posters on serving in this capacity are most often the very first display spotlighting the lifeline encountered by the person in crisis, and the 2016 Tennessee Crisis outcome of that encounter can be the determining Services Outstanding Employees. factor in deciding whether to activate active rescue, direct a client to an emergency room, dispatch a face-to 1:00 pm – 2:00 pm -face assessment or if the call will be resolved by phone. BREAKOUT SESSIONS It can also directly impact whether or not a client decides to reach out for help in the future. This session Best Practices for Crisis Safety Planning highlights aspects of an effective and thorough triage Dawn Puster, MSW, Program Director for Tennessee Crisis Services, phone assessment, including elements to help ensure Youth Villages, Nashville, Tennessee scene safety for both client and clinician. In addition, Raquel Shutze, Clinical Program Consultant, Youth Villages, the session will highlight features of an automated call Nashville, Tennessee distribution system that is utilized by one of the Morenike Murphy, Projector Director for TLC Connect and TARGET provider agencies in the crisis services continuum. Suicide Prevention Grants, Office of Crisis Services and Suicide Prevention, Tennessee Department of Mental Health and Substance Abuse Services, Nashville, Tennessee 2:15 pm – 3:15 pm Effective safety planning, coupled with means BREAKOUT SESSIONS restriction education can go a long way in assisting an individual, who is not an imminent danger, to remain Defusing Difficult Situations — A Review of within their natural support system while also providing Tennessee’s De-Escalation Techniques a sense of control for the individual in crisis. A solid HANDLE WITH CARE safety plan includes a prioritized list of coping strategies Jill Barnes, Senior Director of Administrative Services, Helen Ross and resources designed to immediately enhance the McNabb Center, Knoxville, Tennessee patients’ sense of control over a suicidal crisis and HELP | Human Empowerment and Leadership Principles convey a feeling that they can “survive” a suicidal crisis. Kristy Tipton, LPC-MHSP-S, Director of Crisis Services, Frontier The most effective safety plan is one that is inclusive, Health, Johnson City, Tennessee thorough, progressive and moving across systems with

7 With the increasing complexities that exist in crisis Tennessee [Family Member Perspective] episodes today, effective de-escalation is probably more Neru Gobin, Assistant Director, Tennessee Department of Mental important now than ever. This session showcases the Health and Substance Abuse Services, Nashville, Tennessee [Crisis Responder Perspective] features and benefits of two of the de-escalation To be Determined, [Emergency Department Perspective] programs currently used in Tennessee’s crisis services continuum. Audience members will have an Finalizing a care and treatment plan that is both best for opportunity to compare and contrast distinguishing the person in crisis and accepted by all persons directly features of each program, and consider content for involved can often seem to be a nearly impossible task. supplementing their existing practices. As each involved person, including the person in crisis, has very valid input and understandable reasons for the

opinion they hold, proper management of these Negotiating with Opposing Opinions interactions is extremely important for successful Officer Allen F. Hall, IV, North Precinct, Metro Nashville Police negotiation of the best plan of care. This session Department, Nashville, Tennessee [Law Enforcement Perspective] employs a group of panelists that shares the Michael Lasser, MA, LPC, Intensive Care Services Coordinator, perspectives of various entities engaged in the crisis Tennessee Mental Health Consumers’ Association (TMHCA), intervention process using a scenario model to guide the Nashville, Tennessee [Client Perspective] discussion. Jeff Fladen, MSW, Executive Director, NAMI Tennessee, Nashville,

3:30 pm – 4:30 pm CLOSING GENERAL SESSION Navigating Tennessee Code Annotated, Title 33 Closing Remarks

Melissa Sparks, MSN, RN, Director, Office of Crisis Services and Sejal Patel West, MA, Assistant Commissioner, Suicide Prevention, Tennessee Department of Mental Health and Mental Health Services, Tennessee Department Substance Abuse Services, Nashville, Tennessee of Mental Health and Substance Abuse Services, Nashville, Tennessee

The legal framework under Title 33 that guides Tennessee’s Bring your experience with the FIRST EVER emergency involuntary hospitalization process allows Tennessee Crisis Conference full circle with opportunity for misperception by the professionals and systems closing remarks by Assistant Commissioner Sejal involved in the care of individuals with mental illness. This West. Reflect on the benefits provided through presentation will review the most common misperceptions the day’s best practice discussions and associated with the emergency involuntary hospitalization opportunities gained through networking with process and will provide clarity on issues that may not be fellow peers, and, savor the refreshed optimism specifically addressed in Title 33 such as whether or not a and passion for a challenging and difficult job. Certificate of Need (CON) for emergency involuntary hospitalization expires or if it can be rescinded, among other things.

8 SPEAKER BIOGRAPHICAL SKETCHES

OPENING GENERAL SESSION | KEYNOTE ADDRESS Kevin Hines | Kevin Hines is an Suicide Prevention Lifeline’s Consumer Survivors award-winning global speaker, Committee and The Mental Health Association of San bestselling author, documentary Francisco (MHASF). Kevin has spoken and testified in filmmaker, and suicide prevention congressional hearings alongside Patrick Kennedy in and mental health advocate who support of the Mental Health Parity Bill. He has been a has reached millions with his powerful voice for the lived experience movement for over story of an unlikely survival and 15 years. his strong will to live Kevin's will to live and stay mentally well has inspired (www.kevinhinesstory.com). Two years after he was people worldwide. His compelling story has touched diagnosed with bipolar disorder, he attempted to take his diverse, global audiences within colleges and universities, life by jumping from the Golden Gate Bridge. high schools, corporations, clergy, military, clinicians, He is one of only thirty-four (less than 1%) to survive the health and medical communities, law enforcement fall and he is the only Golden Gate Bridge jump survivor organizations, and various conferences. Thousands have who is actively spreading the message of living mentally communicated to Hines that his story helped save their healthy internationally. lives. In the summer of 2013, Kevin released his bestselling His story was featured in the 2006 critically-acclaimed film memoir titled Cracked Not Broken, Surviving and Thriving “The Bridge” by the film director and producer Eric Steel. After a Suicide Attempt. He has been featured on CNN, Fox, Time Magazine, Newsweek, Vanity Fair, Good Morning America, BBC World, He was awarded a Lifetime Achievement Award by the among several other international media outlets. National Council of Behavioral Health. Kevin has also been awarded by SAMSHA as a Voice Awards Fellow and Award Kevin believes in the power of the human spirit and in the Winner, an Achievement Winner by the US Veterans Affairs fact that you can find the ability to live mentally well. His and is a recipient of several military Medals. mantra: “Life is a gift, that is why they call it the present. Cherish it always.” Kevin sits on the boards of The International Bipolar Foundation, The Bridge Rail Foundation (BRF), The National

Joe Williams | Joe Williams is a proud Wiradjuri Aboriginal man born in Cowra, raised in Wagga NSW. Joe played in the NRL for South Sydney Rabbitohs, Penrith Panthers and Canterbury Bulldogs before switching Joe to professional Boxing in 2009. Joe is a 2x WBF World Jnr Welterweight champion and recently won the WBC Asia Continental Title. Joe is currently working fulltime as the Aboriginal Education Worker at Mater Dei Catholic College. Apart from being involved with professional sport for over 15 years, Joe now spends his time working to inspire youth and individuals through motivational speaking workshops. Joe has spent time working with disengaged youth in high schools and primary schools, drug & alcohol rehabilitation centres, gaols and has mentored both youth and adults. Privately, Joe has had his own battles, struggles and setbacks, which culminated in his own suicide attempt in 2011.

9 Jennifer J. Armstrong, LPC-MHSP | Captain Dobbins Safety Officer of the Year and in each face-to-face crisis services encounter in Jennifer has over 18 years of experience 2013 Tennessee Corrections Institute named him Tennessee. In his current role as Assistant working in community mental health and Jail Administrator of the Year. Most recently The Director for the Office of Crisis Services and crisis services. She currently serves as the 21st Drug-Court, Inc. awarded Captain Dobbins Suicide Prevention, Neru contributes to providing Director of Crisis Care Services for Centerstone, the Friend of the Drug Court Exemplary oversight of the statewide crisis services one of the nation’s largest community-based Leadership Award for 2015. continuum and managing the day-to-day mental health providers. Ms. Armstrong is a operations of the Office. Jeff Fladen, MSW | Jeff Fladen, MSW, is member of the American Association of the Executive Director of NAMI, Officer Allen F. Hall, IV | Officer Hall has Suicidology, and serves on the Standards, Training Tennessee, a statewide, grassroots been a law enforcement officer since 2008 and Practices Committee for the National Suicide organization dedicated to proving and currently serves both as a field training Prevention Lifeline. She also serves on the Board education, support, and advocacy for those officer and an assistant Crime Analysis and of Directors for the National Association of Crisis suffering from mental illness and their families. Prevention Officer. Throughout his tenure, he has Organization Directors, and is the Clinical Like many in NAMI, Fladen has had personal worked closely with mobile crisis to respond and Coordinator for Tennessee’s Department of involvement with mental illness. His father, a assist with ensuring the safety of individuals Mental Health and Substance Abuse Services GLS physician, had bipolar disorder and his mother experiencing a mental health crisis. His numerous and NSSP suicide prevention grants. has been treated for depression. Fladen received collaborations with crisis responders in Davidson Jill Barnes | Biographical sketch not his BA in psychology from The Ohio State county has resulted in positive outcomes, available at press time University and began working in community including successful negotiations with clients and mental health as a case manager and a crisis clinicians, minimal use of physical force in de-

counselor. Fladen returned to OSU and received escalation attempts, and reducing the stigma Maria Bush | Maria is the Program his MSW in 1986. His experiences in mental associated with the relationship between law Specialist for The Department of Mental health following 1986 included working as an enforcement and persons living with mental Health and Substance Abuse Services, Employee Assistance Program counselor and illness. As a result, Office Hall has earned a great Office of Crisis Services and Suicide director, hospital program manager, and as a deal of respect and a very solid reputation with Prevention. Some of her primary responsibilities private practice clinician. Later, Fladen moved the crisis professionals operating in his area. He is include the aggregation, analysis, and reporting of into management of a hospital based outpatient a Nashville native, and has worked in the north crisis services data, providing Mandatory psychiatry program and at a Family Service Nashville area for the majority of his career. Very Prescreening Agent training to prospective organization. For the past ten years, Fladen has familiar with the Nashville community, Officer candidates, and involvement in the worked as an Executive Director of social service Hall is a graduate from Whites Creek High School, communication and collaboration with crisis organizations and currently serves in that role at and is working toward earning a Bachelors degree services programs providers, stakeholders, and NAMI Tennessee, a position that he accepted in in criminal justice at Bethel University in the fall of community partners. Maria previously served as June, 2013. 2016. an Emergency Psychiatric Services Crisis Neru Gobin | Mr. Gobin has 15 years of Adam Graham | Biographical sketch not available Counselor and Call Center Triage Counselor for professional experience in the behavioral at press time nine years at Mental Health Cooperative in health field, including 12 years in Nashville, Tennessee. Maria earned her Bachelor Michael Lasser, MA, LPC | Biographical Tennessee’s Crisis Services Continuum of Arts in Psychology at Fisk University and her sketch not available at press time serving as a crisis counselor at Mental Health Master of Arts in Mental Health Counseling at Cooperative, Inc., in Nashville, Tennessee. During Argosy University. In addition, Maria served as the his tenure as a crisis counselor, he conducted Primary Outpatient Program therapist at The Next countless crisis assessments of Tennesseans of all Morenike Murphy | Morenike Murphy is Door in Nashville, and for three years served as a ages experiencing a behavioral health crisis, the Project Director for two federal suicide Sexual Assault and Domestic Violence therapist in employing de-escalation techniques, motivational prevention grants awarded to the State of Murfreesboro, among other roles. interviewing, and means restriction, among other Tennessee, the Garrett Lee Smith grant and the National Suicide Strategy for Suicide Captain D. Michael Dobbins | Captain techniques, during crisis encounters while Prevention grant. Since she joined the Office of Dobbins joined the Williamson County working with families and support persons to Crisis Services and Suicide Prevention at the Sheriff’s Office as the Jail Administrator in determine the most appropriate means and level Tennessee Department of Mental Health and March 2003 in charge of a 454 of treatment and care available. He has also Substance Abuse Services, Morenike has been an bed/121,000 square foot jail facility and provided trainings on behavioral health crisis and integral part of her team with several supervising 103 employees. He is an active presentations on crisis services to various contributions, including providing suicide member of both the 21st Judicial District Drug audiences, including college faculty, local prevention training for prospective Mandatory Court Team and the Tennessee Sheriff’s community organizations and law enforcement Prescreening Agents and other professionals and Association. In 2008, Captain Dobbins developed agencies. Since joining the Tennessee providing insight to best practices in crisis the curriculum and received approval from the Department of Mental Health and Substance services, to name a few. Prior to her current Tennessee Corrections Institute (TCI) for the Abuse Services, Neru has been directly involved in position, Morenike served as a Mental Health/ Williamson County Sheriff’s Office to conduct several projects, including the development of Criminal Justice Liaison for one year and as an their own 6 week Detention Training Academy the Tennessee Standardized Crisis Assessment Emergency Psychiatric Services Crisis Counselor and 4 week Field Training. In 2005, the and the implementation of the Columbia Suicide for nine years at Mental Health Cooperative in Williamson County Bar Association named Severity Rating Scale and Risk Assessment for

10 Nashville. She is a Licensed Professional Counselor Department of Mental Health and Substance role, she serves on numerous committees and and holds a Master’s Degree in Mental Health Abuse Services and is responsible for the councils and has a strong commitment to the Counseling as well as a Master’s Degree in leadership, management and administration of mental health community, and the State of Criminal Justice. In her spare time, Morenike also the Tennessee’s mental health crisis and suicide Tennessee. served for five years as a conservator prevention systems. E. Douglas Varney | E. Douglas Varney was representative for individuals with mental health Kandy Templeton| Kandy is currently appointed Commissioner of the Tennessee or intellectual disabilities with Comcare, Inc. Senior Vice President of Crisis Services for Department of Mental Health and Dawn Puster, MSW | Ms. Puster’s career Volunteer Behavioral Health Care Substance Abuse Services (TDMHSAS) by working with children started with a Services, a private not for profit mental Governor Bill Haslam on January 14, 2011. residential treatment facility in 1995 while health center serving 30+ counties in middle and Commissioner Varney joined TDMHSAS after a 35 earning her BA and MS degree in southeast Tennessee. Kandy has worked in year professional career at Frontier Health, a Psychology and Educational Psychology. While in various capacities in the mental health field for Northeast Tennessee-based community mental New York City working on her MSW, she worked over 30 years. Kandy received her MSSW from health center serving families and individuals with children and adults in an outpatient clinic. the UT College of Social Work in 1986 and her affected by behavioral health, substance abuse Additionally, she worked with children and LCSW in 1988. Kandy has served on various and intellectual deficit issues. His roles at Frontier families involved in the court system by assessing committees and Boards including: the State Health included psychological examiner, and referring them to appropriate services within Mental Health Planning Council, NASW Board of counselor, therapist, President, and CEO. their community. After moving back to TN in Directors – TN Chapter, TAMHO’s Clinical Services He served as a board member and past president 2003, she has worked at Youth Villages for almost Committee and Recovery and Resiliency of the Tennessee Association of Community 13 years. Ms. Puster started out working with Committee. Kandy currently serves on the NASW Mental Health Organizations. He was also a children and families providing intensive in-home TN Chapter Continuing Education Committee, member of the faculty at the Healthy Appalachia counseling. For the past 10 years she has worked TAMHO’s Crisis Services Committee, Middle TN Institute, adjunct faculty member at East in the statewide crisis program as a crisis Mental Health Disaster Relief Committee, Region Tennessee State University, and past chairman responder and several different leadership roles V Mental Health Planning Council, UT College of and board member of Carespark, a regional within the program. During her time in the crisis Social Work, Nashville Campus Advisory Board health information exchange. He was a member program she obtained her LCSW. Areas of and co-chairs the State of Tennessee’s Mental of the Johnson City Chamber of Commerce Board expertise include crisis intervention and de- Health Disaster Relief Committee. of Directors, and has also served as a member of escalation; risk assessment; suicidal behavior and Kristy Tipton, LPC-MHSP-S | Kristy is the various other regional and statewide community interventions; cognitive behavior therapy; Director of Crisis Services at Frontier entities. systems theory. Health. She brings 15 years of experience Commissioner Varney holds a master's degree in Lori Ramsey | Lori Ramsey is currently the in the behavioral health field to her Psychology from East Tennessee State and was Director of Crisis Services at the Helen Ross current role at Frontier, including specialties in formerly licensed as a psychological examiner, McNabb Center. She provides family work, trauma informed care and crisis marriage and family counselor and professional administrative oversight and clinical intervention. She has earned both her Bachelor counselor. supervision for the Mobile Crisis Units and the of Science degree in Psychology and her Masters In his post as TDMHSAS Commissioner, he serves Crisis Stabilization Unit. Lori received her graduate degree in Marriage and Family Counseling at East as leader of the State’s public mental health and degree in social work from the University of Tennessee State University. She is a Licensed substance abuse authority, charged with planning Tennessee in 2002 and obtained her LCSW in Professional Counselor with Mental Health for and promoting an array of services from 2010. Her experience includes working with Service Provider Designation in the State of prevention to recovery for all Tennesseans. As children and youth, geriatrics, individuals with Tennessee. In addition to her role as Crisis Commissioner, he also serves on the Board of severe and persistent mental illness, and within Services Director, Kristy also serves as a school- Directors for the National Association of State the legal system. In addition to crisis services, she based and crisis therapist Mental Health Program Directors (NASMHPD) and works closely with law enforcement to provide Sejal Patel West, MA | Sejal Patel West is the National Research Institute (NRI) for mental health training and education. the Assistant Commissioner of Mental behavioral analytics. Raquel Shutze | Biographical sketch not available Health Services for the Tennessee Since becoming Commissioner, he has placed a at press time Department of Mental Health and major emphasis in the following key areas: the Substance Abuse Services in Nashville Tennessee. prescription drug epidemic, our regional mental Melissa Sparks, MSN, RN | Biographical Prior to this appointment, she served as the health institutes, and community services. He As a Master’s level registered nurse, Director of the Behavioral Health Safety Net of addressed the prescription drug epidemic facing graduating from Middle TN State Tennessee for TDMHSAS. Ms. West holds an our state by leading the Prescription for Success University in 2011, Melissa has a total of undergraduate degree in Psychology from the initiative. Secondly, he emphasized improving the 23 years of state experience in a variety of University of Virginia and a graduate degree in efficiency, effectiveness, and customer focused different roles including standards coordinator of Counseling Psychology from Trevecca Nazarene atmosphere in our state hospitals. Lastly, he has hospital services, forensic specialist and unit University. Ms. West’s experience has been made a concerted effort to improve community nurse coordinator. Since September of 2009, primarily in the community mental health field services and has championed more “low-cost, Melissa has served as the Director of Crisis ranging from direct service to administration with high-impact” programs. Services and Suicide Prevention for the Tennessee a primary focus on Crisis Services. In her current

11 A DOCUMENTATION certificate of continuing OF CONTINUING professional development, reflecting actual PROFESSIONAL contact hours earned by attending sessions DEVELOPMENT offered during this event, will be provided upon request. In order to be awarded these hours, a participant must submit a Request for Documentation of Continuing Professional Development form (located in their registration packet); and, turn in the overall conference and individual session evaluation forms for the sessions attended. There is no cost to obtain a certificate through TAMHO. Complete the request form and drop it off at the TAMHO conference registration desk or by email or facsimile to the TAMHO office (615-254-8331; [email protected]). Contact Session Hours Session Time Available

Individual 1.25 9:00 am OPENING GENERAL SESSION: Cracked not Broken participants are

responsible for Developing a Coordinated Community Response System — 1.00 assessing and Behavioral Health and Law Enforcement determining the appropriateness of 1.00 11:00 am Assessing Risk in Crisis Situations session content as relates to their Tennessee Crisis Supervisor Leadership Meeting — respective 1.00 Part 1 of 3 | Attendance for this gathering during the conference is by invitation only. certification

organization(s) or 1.00 Best Practices for Safety Planning licensing board(s) Behavioral Health Telephone Triage: Managing Psychiatric requirements. 1.00 1:00 pm Crisis and Emergency

Tennessee Crisis Supervisor Leadership Meeting — Part 2 of 1.00 Please refer to the 33 | Attendance for this gathering during the conference is by invitation only. Request for Documentation of Defusing Difficult Situations — A Review of Tennessee’s De- 1.00 Continuing Professional Escalation Techniques Development form provided in your 1.00 Negotiating with Opposing Opinions registration packet for 2:15 pm specific details related to Tennessee Crisis Team Leadership Meeting — Part 3 of 3 3 | CE Certificates and 1.00 Attendance for this gathering during the conference is by invitation only. related requirements.

CLOSING GENERAL SESSION: Navigating Tennessee Code 1.00 3:30 pm Annotated, Title 33

13

Current and former service members may face different health issues than the general public and may be at risk for mental health and substance use disorders. The Veterans Crisis Line connects Veterans in crisis and their families and friends with qualified, caring, Department of Veterans Affairs responders through a confidential toll- free hotline, online chat, or text. Vet- erans and their loved ones can call 1- 800-273-8255 and Press 1, chat online [www.veteranscrisisline.net], or send a text message to 838255 to receive confidential support 24 hours a day, 7 days a week, 365 days a year. Support for deaf and hard of hearing individu- als is available.

System of Care Conference

Infant Mental Health Conference

Coping with HIV in Today’s World | How Science is Linking Behavioral Health and HIV

42 Rutledge Street Nashville, TN 37210-2043 www.tamho.org (615) 244-2220 (800) 568-2642 toll free in TN Fax: (615) 254-8331

These projects are funded under an agreement with the State of Tennessee.

The Tennessee Association of Mental Health Organizations (TAMHO) serves as the grant

Please print legibly and keep a copy for your records. This form may be duplicated for additional registrants. Please scan and email to [email protected] or fax (615-254-8331) your registration to the TAMHO office. Online registration through Eventbrite is the preferred method of registration for this event. Please visit http://2016crisisconference.eventbrite.com or copy and paste this link into your web/internet browser to access the online registration medium.

 Name: ______Academic Credentials: ______Title: ______Affiliation: ______Address: ______City: ______State: ______Zip: ______Telephone: ______Email: ______

 Special Dietary Requirements  ADA Accommodations  I do not require dietary considerations.  I do not require accommodations for  I have a gluten allergy or sensitivity that requires special dietary considerations. participation.  I require a vegetarian dietary consideration.  I will require accommodations to be able  I require a vegan dietary consideration. to fully participate in the conference and will contact TAMHO with specific details  I have a dietary consideration not listed. (Please contact TAMHO at 615-244-2220 or toll free in at least two weeks in advance so that TN 800-568-2642 ext. 10 with details) arrangements can be made.

 Please indicate which sessions you currently plan to attend. General Session Breakout Sessions General Session  Best Practices for Crisis Safety Planning  Closing General Session: Navigating Tennessee Code Annotated, Title 33  Cracked Not Broken  Behavioral Health Telephone Triage:

Managing Psychiatric Crisis and Emergencies By Invitation Only Event Breakout Sessions  Tennessee Crisis Supervisor Leadership  Developing a Coordinated Community Breakout Sessions Meeting Response System — Behavioral Health and Law Enforcement  Defusing Difficult Situations — A Review of Tennessee’s De-Escalation Techniques  Assessing Risk in Crisis Situations  Negotiating with Opposing Opinions

THANK YOU! No registration fee required for staff of TDMHSAS and the  Please scan and email paper registrations to behavioral health crisis service(s) contract agencies. [email protected] or fax (615-254-8331) them to Pre-registration is strongly encouraged as seating is limited to 200 registrants for this event. the TAMHO office.

23 Pre-registration is strongly encouraged as walk-in DIRECTIONS registrants will be accommodated on a “space Upon Arrival: After turning onto McGavock Pike, go to available” basis and cannot be guaranteed access to the light and turn right onto Century Blvd. Turn right any portion of the Conference and, thus, may be into One Century Place. Turn left and follow the signs required to “stand by” until all pre-registered which lead to Conference Center Parking. participants are accommodated before being allowed entry to the Conference if seating is available. From the parking lot, follow the sidewalks that lead to the building's main entrance. Go down the stairs Substitutions are welcomed. Please contact TAMHO located on either side of the lobby reception desk. The at your earliest convenience with notice of Conference Center is located across the atrium through cancellations or substitutions. the double doors. One Century Place Online registration through Eventbrite is the Please do not park in the Visitor Parking area. Ample preferred method of registration for the conference. parking is available in the Conference Center parking Conference Center Please visit lot. (formerly known as Willis Conference Center) http://2016crisisconference.eventbrite.com or copy Driving From Downtown and West: Take I-40 East 26 Century Boulevard and paste this link into your web/internet browser to (toward Knoxville) to Briley Parkway North / Opryland access the online registration medium. Exit 215B. Go 1/2 mile to Elm Hill Pike Exit 7, turning Nashville, Tennessee 37214 For those preferring an alternate or more traditional right on Elm Hill. At the 2nd signal light, turn right onto medium for registration, please feel free to use the McGavock Pike. Turn right at the next light onto enclosed registration form and scan and email Century Blvd. Turn right into One Century Place. Turn left into the Conference Center parking lot. OVERNIGHT ([email protected]) or fax (615-254-8331) your registration. From Nashville Airport: Turn left onto Donelson Pike ACCOMMODATIONS (North). Go 1 mile to Elm Hill Pike, turning left onto Elm Deadline The conference center does June 6, 2016 Hill. At the 2nd light, turn left onto McGavock Pike. not have overnight ADA ACCOMMODATIONS Turn right at the next light onto Century Blvd. Turn right accommodations. into One Century Place. Turn left into the Conference If you require ADA accommodations, please contact Center parking lot. There are a few hotels in the TAMHO at least two weeks before the conference From the South, Birmingham: I-65 North to I-440 to I- vicinity of the conference date so that arrangements can be made. 40 East (Knoxville) to Briley Parkway North/Opryland center but the Embassy Suites Special dietary requirements can be accommodated Exit 215B. Go 1/2 mile to Elm Hill Pike Exit 7 and turn by Hilton — Nashville Airport with advanced notice. Please indicate your needs by right. At the 2nd light (McGavock Pike), turn right. Turn is offering conference marking your requirements on your registration form. right at the next light onto Century Blvd. Turn right into participants a special group Special meal requests cannot be guaranteed without One Century Place. Turn left into the Conference Center rate of $154.00 USD plus applicable taxes per night advance notice. parking lot. using group room block code “TAM”. From the East, from Knoxville: I-40 West (toward Please CLICK HERE to utilize the personalized link to Memphis) to Briley Parkway North /Opryland Exit 215. access the reservation webpage to make your PHOTO/VIDEO RELEASE Go 1/2 mile to Elm Hill Pike Exit 7. Turn right on Elm reservation or copy and paste the following URL into From time to time, TAMHO uses photographs or Hill. Go to the 2nd light and turn right onto McGavock your web/internet browser: video capture(s) during events to be used in, but not Pike. Turn right at the next light onto Century Blvd. Turn right into One Century Place. Turn left into the http://embassysuites.hilton.com/en/es/groups/ limited to, publications such as newsletters and Conference Center parking lot. personalized/B/BNANAES-TAM-20160627/ future event materials. From Northwest, I-24 East, and St. Louis: I-24 East to I- index.jhtml?WT.mc_id=POG Unless permission is revoked in writing to TAMHO, by 65 South to I-40 East (Knoxville). Take Briley Parkway virtue of attendance, all conference attendees agree Guests may also call 1-800-EMBASSY anytime using North/Opryland Exit 215B. Go 1/2 mile to Elm Hill Pike to the use of their likeness in such materials. the group code TAM. Be sure to reference the Exit 7, turning right onto Elm Hill. At the 2nd light, turn conference name and the special code “TAM” to right onto McGavock Pike. Turn right at the next light secure this special rate available through midnight onto Century Blvd. Turn right into One Century Place. June 6, 2016. CANCELLATIONS Turn left into the Conference Center parking lot. Registrant substitutions are welcome. Please contact From the North, I-65 South, Louisville: I-65 South - Take TAMHO at your earliest convenience with notice of Briley Parkway/Opryland Exit 90B. South on Briley CONFERENCE substitutions or cancellations so that available seats Parkway past Opryland to Elm Hill Pike Exit 7. Turn left REGISTRATION Deadline may be reallocated to individuals on the stand-by list. on Elm Hill. At the 3rd signal light, turn right onto June 22, There is no fee to attend this McGavock Pike. Turn right at the next light onto 2016 event. Century Blvd. Turn right into One Century Place. Turn HAVE A QUESTION OR NEED ASSISTANCE? left into the Conference Center parking lot. As seating is limited to 200 guests, pre- From Southeast, I-24 West, from Chattanooga: Take registration is required to guarantee your place at Monday-Friday 8:30am – 5:00pm (Central) Briley Parkway / Opryland Exit 54. Stay to the right and this Conference and to assist in adequately planning 615-244-2220 ext. 14, or, toll free in Tennessee at 800-568-2642 ext. 14 merge onto Briley Parkway. Stay on Briley Parkway until ample meals, refreshments, and seating. Registration you cross over I-40. Go 1/2 mile to Elm Hill Pike Exit 7. includes access to all educational segments, Email inquiries to [email protected]. Turn right on Elm Hill. At the 2nd signal light, turn right refreshments and networking opportunities, lunch, onto McGavock Pk. Turn right at the next light onto and a certificate of continuing development Century Blvd. Turn right into One Century Place. Turn reflecting contact hours earned. left into the Conference Center parking lot.

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