Welcome to 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 5 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 6 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 10 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 Answers to 15 Frequently TDMHSAS OFFICE OF CRISIS Asked SERVICES AND SUICIDE PREVENTION Questions Continuing 16 Melissa Sparks – Director | Office Phone: 615-253-4641 Professional Neru Gobin – Assistant Director | Office Phone: 615-741-9259 Development Morenike Murphy – Grants Project Director | Office Phone: 615-253-7306

Vicki Carter – MH Program Manager | Office Phone: 615-253-4798 Left to Right Back Row: Lygia Williams, Morenike Murphy, Resources 18 Laura Martin – MH Program Specialist | Office Phone: 615-741-3860 Laura Martin, Maria Bush, Vicki and Maria Bush – MH Program Specialist | Office Phone: 615-532-0407 Carter Left to Right Front Row: Upcoming Lygia Williams – MH Program Planner | Office Phone: 615-253-5078 Melissa Sparks, Neru Gobin Trainings AGENDA AT A GLANCE

8:00 am – 4:30 pm 1:00 pm — 2:00 pm

Registration | Networking | Refreshments ...... Foyer Breakout Sessions

9:00 am – 9:15 am - Best Practices for Crisis Safety Planning ...... Amphitheatre

Pre-Conference Remarks ...... Amphitheatre - Behavioral Health Telephone Triage: Managing Psychiatric Crisis and Emergencies ... Room 104 9:15 am – 9:30 am 2:00 pm — 2:15 pm Welcome and Opening Remarks Networking | Refreshments ...... Refreshment Center 9:30 am – 9:45 am 2:15 pm — 3:15 pm Special Recognitions — Crisis Service Outstanding Employees Breakout Sessions 9:45 am – 10:45 am - Defusing Difficult Situations — A Review Opening General Session of Tennessee’s De-Escalation Techniques .... Amphitheatre Cracked Not Broken - Negotiating with Opposing Opinions ...... Room 104 10:45 am – 11:00 am 3:15 pm — 3:30 pm Networking | Refreshments ...... Refreshment Center Networking | Refreshments ...... Refreshment Center 11:00 am – 12:00 Noon 3:30 pm — 4:30 pm Breakout Sessions Closing General Session: Navigating Tennessee - Developing a Coordinated Community Code Annotated, Title 33 ...... Amphitheatre Response System — Behavioral Health 4:30 pm and Law Enforcement ...... Amphitheatre Adjourn | Evaluation & CE Request Turn-Ins ...... Foyer - Assessing Risk in Crisis Situations ...... Room 104

12:00 Noon – 1:00 pm

LUNCHEON ...... Atrium

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

4

CONFERENCE FACILITY LAYOUT Tennessee Crisis Team LEADERSHIP MEETING

Attendance for this three hour session is by invitation only.

10:30 am — 2:45 pm Room 110

A three (3) hour opportunity for strategic brainstorming among senior leadership regarding the successes, challenges and opportunities within Tennessee’s Crisis Response System.

Room 104 Amphitheatre Room 110 Restrooms Refreshment Center All meeting rooms are on the 1st Floor. DIRECT INQUIRIES TO: MELISSA SPARKS | Director, Crisis Lunch will be on the 2nd Floor in the Atrium. Services & Suicide Prevention 615-253-4641 | [email protected]

SEJAL WEST | Assistant Commissioner 615-253-6748 | [email protected]

5 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

6 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 Leah Pastula, Crisis Coordinator, Western Tier, 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, LPC-MHSP, Supervisor of Diversion Services, He is in preproduction of a Documentary about his life Mental Health 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

7 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 J. Shutze, LPC-MHSP, Clinical Program Consultant, Youth the session will highlight features of an automated call Villages, 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

8 With the increasing complexities that exist in crisis Nashville, Tennessee [Client Perspective] episodes today, effective de-escalation is probably more Jeff Fladen, MSW, Executive Director, NAMI Tennessee, Nashville, important now than ever. This session showcases the Tennessee [Family Member Perspective] features and benefits of two of the de-escalation Neru Gobin, Assistant Director, Tennessee Department of Mental programs currently used in Tennessee’s crisis services Health and Substance Abuse Services, Nashville, Tennessee [Crisis Responder Perspective] 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 Negotiating with Opposing Opinions opinion they hold, proper management of these Jennie Mahaffey, MD, Chief of Behavioral Health, UT Erlanger interactions is extremely important for successful Behavioral Health, Chattanooga, Tennessee [Emergency negotiation of the best plan of care. This session Department Perspective] employs a group of panelists that shares the Officer Allen F. Hall, IV, North Precinct, Metro Nashville Police perspectives of various entities engaged in the crisis Department, Nashville, Tennessee [Law Enforcement Perspective] intervention process using a scenario model to guide the Michael Lasser, MA, LPC, Intensive Care Services Coordinator, Tennessee Mental Health Consumers’ Association (TMHCA), discussion.

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.

9 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.

10 Jennifer J. Armstrong, LPC-MHSP | relations and retention. In addition, she He is an active member of both the 21st Jennifer has over 18 years of manages the Center's research and Judicial District Drug Court Team and the experience working in community evalution department. She has been Tennessee Sheriff’s Association. In 2008, mental health and crisis services. She Handle With Care certified for over 4 Captain Dobbins developed the currently serves as the Director of Crisis years and helped with the Center curriculum and received approval from Care Services for Centerstone, one of the implementation of the crisis prevention the Tennessee Corrections Institute (TCI) nation’s largest community-based mental model. for the Williamson County Sheriff’s Office health providers. Ms. Armstrong is a to conduct their own 6 week Detention member of the American Association of Maria Bush | Maria is the Program Training Academy and 4 week Field Suicidology, and serves on the Standards, Specialist for The Department of Training. In 2005, the Williamson County Training and Practices Committee for the Mental Health and Substance Abuse Bar Association named Captain Dobbins National Suicide Prevention Lifeline. She Services, Office of Crisis Services and Safety Officer of the Year and in 2013 also serves on the Board of Directors for Suicide Prevention. Some of her primary Tennessee Corrections Institute named the National Association of Crisis responsibilities include the aggregation, him Jail Administrator of the Year. Most Organization Directors, and is the Clinical analysis, and reporting of crisis services recently The 21st Drug-Court, Inc. awarded data, providing Mandatory Prescreening Coordinator for Tennessee’s Department Captain Dobbins the Friend of the Drug of Mental Health and Substance Abuse Agent training to prospective candidates, Court Exemplary Leadership Award for Services GLS and NSSP suicide prevention and involvement in the communication 2015. grants. and collaboration with crisis services programs providers, stakeholders, and Jeff Fladen, MSW | Jeff Fladen, Jill Barnes | Jill Barnes is a Licensed community partners. Maria previously MSW, is the Executive Director of Advanced Practice Social Worker served as an Emergency Psychiatric NAMI, Tennessee, a statewide, and is Professionally Certified in Services Crisis Counselor and Call Center grassroots organization dedicated to Human Resources and has been with the Triage Counselor for nine years at Mental proving education, support, and advocacy Helen Ross McNabb Center in Knoxville, Health Cooperative in Nashville, for those suffering from mental illness and TN since 2001. She started as a geriatric Tennessee. Maria earned her Bachelor of their families. Like many in NAMI, Fladen social worker but found her niche working Arts in Psychology at Fisk University and has had personal involvement with with adolescents with mental illness, her Master of Arts in Mental Health mental illness. His father, a physician, had severe behavior issues, and limited family Counseling at Argosy University. In bipolar disorder and his mother has been resources. Here she supervised addition, Maria served as the Primary treated for depression. Fladen received independent living programs, residential Outpatient Program therapist at The Next his BA in psychology from The Ohio State treatment programs, foster care, and Door in Nashville, and for three years University and began working in juvenile justice services for ten years served as a Sexual Assault and Domestic community mental health as a case before earning her Masters in Business Violence therapist in Murfreesboro, manager and a crisis counselor. Fladen Adminstration with a concentration in among other roles. returned to OSU and received his MSW in Human Resources. She currently serves as 1986. His experiences in mental health the Senior Director of Administrative Captain D. Michael Dobbins | following 1986 included working as an Services responsible for around 1000 Captain Dobbins joined the Employee Assistance Program counselor Williamson County Sheriff’s Office employees of the Helen Ross McNabb and director, hospital program manager, Center's preservice and inservice training as the Jail Administrator in March 2003 in and as a private practice clinician. Later, programs, prescriber recruitment, charge of a 454 bed/121,000 square foot Fladen moved into management of a employee retention, and employee jail facility and supervising 103 employees. hospital based outpatient psychiatry

11 program and at a Family Service Crisis Services and Suicide Prevention, area. He is a Nashville native, and has organization. For the past ten years, Neru contributes to providing oversight of worked in the north Nashville area for the Fladen has worked as an Executive the statewide crisis services continuum majority of his career. Very familiar with Director of social service organizations and managing the day-to-day operations the Nashville community, Officer Hall is a and currently serves in that role at NAMI of the Office. graduate from Whites Creek High School, Tennessee, a position that he accepted in and is working toward earning a Bachelors Adam Graham, LPC-MHSP | Adam June, 2013. degree in criminal justice at Bethel Graham, LPC-MHSP, MPA, is the University in the fall of 2016. Neru Gobin | Mr. Gobin has 15 Supervisor of Mental Health Cooperative’s Emergency years of professional experience in Michael Lasser, MA, LPC | Michael Psychiatric Diversion Services (Crisis the behavioral health field, Stabilization Unit, Intensive Intervention Lasser is currently the Coordinator including 12 years in Tennessee’s Crisis Center and Crisis Resolution Center), for Intensive Care Services at Services Continuum serving as a crisis chairs MHC’s Zero Suicide Initiative Tennessee Mental Health Consumers counselor at Mental Health Cooperative, Committee, and is a Mobile Crisis Consult Association. He provides administrative Supervisor. Adam has been with MHC for Inc., in Nashville, Tennessee. During his oversight and clinical supervision for the 9 years working as a CTT Care Manager tenure as a crisis counselor, he conducted and then Crisis Counselor before his CPRS Peer Bridger's who work in the CSU's countless crisis assessments of current position. Outside of the agency and RMHI's state wide. Michael received Tennesseans of all ages experiencing a Adam chairs the Davidson County Suicide his graduate degree in counseling behavioral health crisis, employing de- Prevention Task Force, and is part of the Trevecca Nazarene University in 2011. His TSPN Suicide Prevention Advisory Board escalation techniques, motivational experience includes working with young and Lipscomb University’s Suicide interviewing, and means restriction, Prevention Advisory Board. adults, individuals with co-occurring among other techniques, during crisis disorders, and trauma survivors. In Officer Allen F. Hall, IV | Officer Hall encounters while working with families addition to crisis services, he volunteers has been a law enforcement officer and support persons to determine the his time at Ft. Campbell providing EMDR since 2008 and currently serves both most appropriate means and level of to soldiers diagnosed with PTSD. as a field training officer and an assistant treatment and care available. He has also Crime Analysis and Prevention Officer. provided trainings on behavioral health Jennie Mahaffey, MD | Dr. Jennie Throughout his tenure, he has worked crisis and presentations on crisis services Mahaffey was born and raised in closely with mobile crisis to respond and to various audiences, including college Chattanooga, TN. She attended assist with ensuring the safety of faculty, local community organizations undergrad at UT Chattanooga and individuals experiencing a mental health and law enforcement agencies. Since received her medical degree from UT crisis. His numerous collaborations with joining the Tennessee Department of College of Medicine. She completed crisis responders in Davidson county has Mental Health and Substance Abuse psychiatry residency at University of AL at resulted in positive outcomes, including Services, Neru has been directly involved Birmingham where she was Chief Resident successful negotiations with clients and in several projects, including the and is board certified in general clinicians, minimal use of physical force in development of the Tennessee psychiatry. She is an Assistant Professor de-escalation attempts, and reducing the Standardized Crisis Assessment and the with the UT College of Medicine, teaching stigma associated with the relationship implementation of the Columbia Suicide primary care resident physicians. As the between law enforcement and persons first Chief of Behavioral Health for the Severity Rating Scale and Risk Assessment living with mental illness. As a result, for each face-to-face crisis services Erlanger Health System she is working to Office Hall has earned a great deal of encounter in Tennessee. In his current develop and grow the Behavioral Health respect and a very solid reputation with role as Assistant Director for the Office of Department in an effort to support and the crisis professionals operating in his

12 advocate on behalf of the patients with since 1999. She is a certified CPI, QPR and Lori Ramsey | Lori Ramsey is psychiatric needs, including addiction. ASIST instructor and a certified Mandatory currently the Director of Crisis Prescreening Agent (MPA) for the State of Services at the Helen Ross McNabb Morenike Murphy | Morenike Tennessee. Leah attended the University Center. She provides administrative Murphy is the Project Director for of TN where she received a Bachelor’s oversight and clinical supervision for the two federal suicide prevention grants degree in Psychology and Sociology. She Mobile Crisis Units and the Crisis awarded to the State of Tennessee, the received a Master’s degree in Clinical Stabilization Unit. Lori received her Garrett Lee Smith grant and the National Psychology and a Master’s degree in graduate degree in social work from the Suicide Strategy for Suicide Prevention Social Work from MTSU and is a Licensed University of Tennessee in 2002 and grant. Since she joined the Office of Crisis Master Social Worker. obtained her LCSW in 2010. Her Services and Suicide Prevention at the experience includes working with children Tennessee Department of Mental Health Dawn Puster, MSW | Ms. Puster’s and youth, geriatrics, individuals with and Substance Abuse Services, Morenike career working with children started severe and persistent mental illness, and has been an integral part of her team with with a residential treatment facility within the legal system. In addition to several contributions, including providing in 1995 while earning her BA and MS crisis services, she works closely with law suicide prevention training for prospective degree in Psychology and Educational enforcement to provide mental health Mandatory Prescreening Agents and other Psychology. While in New York City training and education. professionals and providing insight to best working on her MSW, she worked with practices in crisis services, to name a few. children and adults in an outpatient clinic. Raquel J. Shutze, LPC-MHSP | Raquel Prior to her current position, Morenike Additionally, she worked with children Shutze currently serves as the served as a Mental Health/Criminal Justice and families involved in the court system Statewide Clinical Program Liaison for one year and as an Emergency by assessing and referring them to Supervisor for Youth Villages’ Specialized Psychiatric Services Crisis Counselor for appropriate services within their Crisis Program and has worked with nine years at Mental Health Cooperative community. After moving back to TN in Specialized Crisis for the past 8 years. She in Nashville. She is a Licensed Professional 2003, she has worked at Youth Villages for received her Master’s Degree in Counselor and holds a Master’s Degree in almost 13 years. Ms. Puster started out Counseling Psychology from the Mental Health Counseling as well as a working with children and families University of Southern Mississippi. She is Master’s Degree in Criminal Justice. In her providing intensive in-home counseling. a Licensed Professional Counselor-Mental spare time, Morenike also served for five For the past 10 years she has worked in Health Service Provider in the state of years as a conservator representative for the statewide crisis program as a crisis Tennessee. individuals with mental health or responder and several different intellectual disabilities with Comcare, Inc. leadership roles within the program. Melissa Sparks, MSN, RN | During her time in the crisis program she Biographical As a Master’s level Leah Pastula, LMSW | Leah Pastula obtained her LCSW. Areas of expertise registered nurse, graduating from has worked in Crisis Services for include crisis intervention and de- Middle TN State University in 2011, Volunteer Behavioral Health since escalation; risk assessment; suicidal Melissa has a total of 23 years of state 2002. She has been Coordinator for Crisis behavior and interventions; cognitive experience in a variety of different roles Response Services since 2014 with behavior therapy; systems theory. including standards coordinator of responsibility for crisis services in eight hospital services, forensic specialist and Middle Tennessee counties. She has been unit nurse coordinator. Since September trained in Critical Incident Stress of 2009, Melissa has served as the Management and has provided critical Director of Crisis Services and Suicide incident debriefings to the community Prevention for the Tennessee Department

13 of Mental Health and Substance Abuse committees and councils and has a strong counselor. Services and is responsible for the commitment to the mental health leadership, management and community, and the State of Tennessee. In his post as TDMHSAS Commissioner, he administration of the Tennessee’s mental serves as leader of the State’s public health crisis and suicide prevention E. Douglas Varney | E. Douglas mental health and substance abuse systems. Varney was appointed authority, charged with planning for and Commissioner of the Tennessee promoting an array of services from Kristy Tipton, LPC-MHSP-S | Kristy Department of Mental Health and prevention to recovery for all is the Director of Crisis Services at Substance Abuse Services (TDMHSAS) by Tennesseans. As Commissioner, he also Frontier Health. She brings 15 Governor Bill Haslam on January 14, serves on the Board of Directors for the years of experience in the behavioral 2011. National Association of State Mental health field to her current role at Frontier, Health Program Directors (NASMHPD) and including specialties in family work, Commissioner Varney joined TDMHSAS the National Research Institute (NRI) for trauma informed care and crisis after a 35 year professional career at behavioral analytics. intervention. She has earned both her Frontier Health, a Northeast Tennessee- Bachelor of Science degree in Psychology based community mental health center Since becoming Commissioner, he has and her Masters degree in Marriage and serving families and individuals affected placed a major emphasis in the following Family Counseling at East Tennessee State by behavioral health, substance abuse and key areas: the prescription drug epidemic, University. She is a Licensed Professional intellectual deficit issues. His roles at our regional mental health institutes, and Counselor with Mental Health Service Frontier Health included psychological community services. He addressed the Provider Designation in the State of examiner, counselor, therapist, President, prescription drug epidemic facing our Tennessee. In addition to her role as Crisis and CEO. state by leading the Prescription for Success initiative. Secondly, he Services Director, Kristy also serves as a He served as a board member and past school-based and crisis therapist emphasized improving the efficiency, president of the Tennessee Association of effectiveness, and customer focused Sejal Patel West, MA | Sejal Patel Community Mental Health atmosphere in our state hospitals. Lastly, West is the Assistant Commissioner Organizations. He was also a member of he has made a concerted effort to of Mental Health Services for the the faculty at the Healthy Appalachia improve community services and has Tennessee Department of Mental Health Institute, adjunct faculty member at East championed more “low-cost, high-impact” and Substance Abuse Services in Nashville Tennessee State University, and past programs. Tennessee. Prior to this appointment, she chairman and board member of served as the Director of the Behavioral Carespark, a regional health information Health Safety Net of Tennessee for exchange. He was a member of the TDMHSAS. Ms. West holds an Johnson City Chamber of Commerce undergraduate degree in Psychology from Board of Directors, and has also served as the University of Virginia and a graduate a member of various other regional and degree in Counseling Psychology from statewide community entities. Trevecca Nazarene University. Ms. West’s Commissioner Varney holds a master's experience has been primarily in the degree in Psychology from East Tennessee community mental health field ranging State and was formerly licensed as a from direct service to administration with psychological examiner, marriage and a primary focus on Crisis Services. In her family counselor and professional current role, she serves on numerous

14 ANSWERS TO FREQUENTLY ASKED QUESTIONS

SESSION HANDOUTS EVALUATIONS Printed versions of session handouts will not be provided at Your opinion is valuable to us. The feedback received from this event. They are available electronically for download each event is evaluated for quality, improvement, grant, and from the TAMHO website (www.tamho.org/conference- research purposes. Please locate, in your registration packet, resources). the evaluation form for the overall conference and each session. Complete the overall conference form and the form

for each session you attend and return them to the TAMHO SPECIAL MEAL REQUESTS conference registration desk. Pre-registrants who advised TAMHO of special dietary needs If you are applying for documentation of your contact hours in advance of the conference were provided a “special meal earned during this conference, please be sure to turn your request” card during registration. Please present this card to evaluation forms in with your Request for Documentation of wait staff at the luncheon to secure your special dietary Continuing Professional Development. request that has been reserved specifically with your needs in mind. A variety of snack options will be available for the networking breaks . Please connect with TAMHO staff at the FOR YOUR COMFORT TAMHO registration desk if we may be of further assistance. Due to varying preferences in room temperature, a sweater or jacket is encouraged to ensure your comfort during the conference. TAMHO is unable to adjust temperature controls REFRESHMENTS AND NETWORKING in the conference facility. Don’t miss out on opportunities to network while enjoying a beverage, refreshments, or lunch. Refreshments are located in the Refreshment Center and Lunch will be in the CONSENT TO USE PHOTOS Conference Center Atrium. Registration and attendance at, or participation in, 8:00 am ...... Coffee, Bottled Water, Snacks TDMHSAS/TAMHO meetings and other activities constitutes 10:45 am ...... Coffee, Bottled Water, Snacks an agreement by the registrant to the use and distribution of the registrant or attendee’s image or voice in photographs, 12:00 Noon...... Networking Luncheon videotapes, electronic reproductions, and audiotapes of such 3:15 pm ...... Coffee, Bottled Water, Snacks events and activities by TDMHSAS/TAMHO and other third parties, including but not limited to exhibitors, sponsors, and advertisers, additional event partners, and the conference DOCUMENTATION OF CONTINUING venue. PROFESSIONAL DEVELOPMENT A certificate of continuing professional development, reflecting actual contact hours earned by attending sessions TENNESSEE CRISIS SERVICES OUTSTANDING offered during this event, will be provided upon request. EMPLOYEE DISPLAY AREA A request form for documentation of hours is available in Be inspired by the 2016 Tennessee Crisis Services participant registration packets. Outstanding Employees as you visit the poster displays in the Conference Facility Foyer. The Tennessee Department of Complete this form and drop it off at the TAMHO conference Mental Health and Substance Abuse Services is proud of the registration desk or by email or facsimile to the TAMHO initiative inspired by the wonderful work of our state’s crisis office (615-254-8331; [email protected]). teams.

15 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

17

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.

Collaborating for a Bright Future—4thth Annual Tennessee System of Care Conference

Building Blocks for Infant Mental Health

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

www.tamho.org 42 Rutledge Street

Nashville, TN 37210-2043

(615) 244-2220

These projects are funded under an agreement with the State of Tennessee. | The Tennessee Association of Mental Health Organizations