Training and Education Course Catalog Volume 2018, No. 1

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nebraskatotalcare.com Table of Contents Welcome ...... 4 About This Catalog ...... 4 How To Access Our Programs ...... 5 Relias E-Learning ...... 5 Continuing Education Information ...... 6

Course Information Poverty Competency ...... 10 Providing Independence for Clients: A Provider’s Behavioral Health 101 ...... 7 Guide to Successful Client Outcomes and Behavioral Health 101: Anxiety ...... 7 Titrating Services ...... 10 Behavioral Health 101: Bipolar Disorder...... 7 Psychotropic Medications ...... 10 Behavioral Health 101: Depression ...... 7 Recovery Principles ...... 11 Behavioral Health 101: Posttraumatic Screening Brief Intervention and Referral to Stress Disorder (PTSD) ...... 7 Treatment (SBIRT) ...... 11 Behavioral Health 101: Schizophrenia ...... 8 SMART Goals ...... 11 Behavioral Health 101: Substance Use Disorder ...... 8 Social Determinants of Health and Mental Health ...... 11 De-escalation Techniques ...... 8 Stages of Change ...... 12 Ethics for Mental Health Providers ...... 8 Strengths-Based Treatment ...... 12 ICD-10 Overview for Mental Health Providers: Module 1 ...... 8 Stress Alleviation for ...... 12 Integrated Healthcare ...... 9 Substance-Related and Addictive Disorders Module 1: DSM-5 Criteria and Diagnostic Motivational Interviewing (MI): Level 1 ...... 9 Information Overview ...... 12 Outpatient Treatment Request (OTR) Authorization ...... 9 Substance-Related and Addictive Disorders Overview of Changes to the Diagnostic and Module 11: Non-Substance-Related Disorders ...... 12 Statistical Manual of Mental Disorders ...... 9 Suicide Risk - A Clinical Perspective Module 1: Positive Psychology: Clinical Tools for Suicide Risk Overview ...... 13 Behavioral Health Providers ...... 10 Trauma Informed Care: The Impact of Trauma ...... 13

2 Volume 2018, No. 1 MKT-CTLG-010 December 2018 Volume 2018, No. 1 MKT-CTLG-010 December 2018 3 Our trainers have extensive knowledge in a variety of health topics, including behavioral health; speech, respiratory, occupational and physical therapy; ; exercise physiology; nutrition; diabetes; smoking Welcome cessation; case and utilization management; care coordination; data systems; organizational development; long-term services and supports; and child welfare. Welcome to Nebraska Total Care, and thank you for being part of our network of physicians, and other healthcare professionals. We look forward to working with We are here to help you with information regarding our education and training workshops, all designed to support you to improve the health of our state, one person at a time. the treatment you provide our members and improve member outcomes. About Nebraska Total Care How to access our programs While we believe the best training is conducted face to face using experiential-oriented approaches, we Established to deliver quality healthcare in the state of Nebraska through local, regional and community-based know this isn't always possible. That's why the training team is equipped to deliver training sessions in a resources, Nebraska Total Care is a Managed Care Organization and subsidiary of Centene Corporation (Centene). variety of modalities, including in-person, online, interactive sessions; recorded webinars; and self-paced Nebraska Total Care exists to improve the health of its benefciaries through focused, compassionate and e-learning modules. We ofer several convenient ways to register for existing programs and to request coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally. additional training sessions. About this catalog Please visit our website where you can view program information and register for available sessions. The Training and Education Course Catalog contains information about our comprehensive clinical training program, designed to enhance the knowledge, skills and performance of healthcare professionals who empower https://www.nebraskatotalcare.com/providers/resources/provider-training.html our members to make positive health behavior changes.

We ofer many courses to support continuing education for providers, enhance integrated care, and expand use If you have further questions, please contact us at [email protected]. of best practices. Participants can receive continuing education, for some classes, and receive certifcates of attendance related to certain licensing requirements. Who can attend our courses?

Course participants come from all aspects of healthcare. They include behavioral healthcare providers, physicians, long-term services and supports providers, specialty therapy and rehabilitative service providers, and providers/stakeholders involved in the child welfare system. Their reasons for attending our workshops are as varied as the topics and range from the practical — such as “authorizations” — to the profound — such as “culture of poverty” or “childhood traumatic grief.”

What are the course topics?

Multiple training topics explore ways for physical and behavioral health providers to coordinate services, such as integrated care, cultural competency, common psychotropic medications, positive psychology, strengths- based treatment model and motivational interviewing. In addition, we ofer a workshop to explain the use of psychotropic medications in treating mental health and substance use disorders.

4 Volume 2018, No. 1 MKT-CTLG-010 December 2018 Volume 2018, No. 1 MKT-CTLG-010 December 2018 5 Behavioral Health 101 Duration: Prerequisites: 1 hour Up to 1 hour of continuing education available* Continuing Education Information None Course Objectives: Description: Our clinical trainings ofer FREE continuing education (CE) hours for certain behavioral health and nursing • Recognize symptoms of bipolar disorder To provide guidance in referring with undiagnosed licenses. Actual course oferings will list CE hrs. available. Credentialing board requirements vary and are subject • List at least two treatment options for individuals who could to change. *Please defer to your licensing board to ensure courses taken meet your licensure requirements. behavioral health disorders, providers learn descriptions, have bipolar disorder symptoms and treatments for anxiety, bipolar disorder, depression, PTSD, schizophrenia and substance abuse. • Identify two medications recommended for bipolar disorder

Duration: Behavioral Health 101: Depression Up to 7 hours Prerequisites: Up to 7 hours of continuing education for certain disciplines may be available* None

Course Objectives: Description: • Recognize symptoms of these six conditions Attendees review common symptoms, challenges, and evidence based treatment options for depression. This training is one of • Identify screening options for each condition six modules in the Behavioral Health 101 series. This module can • List two treatment options for these six conditions be ofered with or without screening tools. Behavioral Health 101: Anxiety Duration: Prerequisites: 1 hour Up to 1 hour of continuing education available* None Course Objectives: Description: • Recognize symptoms of depression Attendees review common symptoms, challenges, and • List at least two treatment options for individuals who could evidence based treatment options for anxiety. This training have depression is one of six modules in the Behavioral Health 101 series. This module can be ofered with or without screening tools. • Identify two medications recommended for depression Duration: Behavioral Health 101: Posttraumatic 1 hour Stress Disorder (PTSD) Up to 1 hour of continuing education available* Prerequisites: Course Objectives: None • Recognize symptoms of common mental illnesses Description: • List at least two treatment options for individuals who could have a mental illness Attendees review common symptoms, challenges, and evidence based treatment options for PTSD. This training is one of six • Identify two medications recommended for each specifc diagnosis modules in the Behavioral Health 101 series and can be ofered with or without screening tools. Behavioral Health 101: Bipolar Disorder Duration: Prerequisites: 1 hour None Up to 1 hour of continuing education available*

Description: Course Objectives: Attendees review common symptoms, challenges, and • Recognize symptoms of PTSD evidence based treatment options for bipolar disorder. • List at least two treatment options for individuals who could This training is one of six modules in the Behavioral Health have PTSD 101 series. This module can be ofered with or without • Identify two medications recommended for PTSD screening tools.

6 Volume 2018, No. 1 MKT-CTLG-010 December 2018 Volume 2018, No. 1 MKT-CTLG-010 December 2018 7 Behavioral Health 101: Schizophrenia Duration: Course Objectives: Outpatient Treatment Request (OTR) Prerequisites: 1 hour • List at least three important terms and defnitions related Authorization Up to 1 hour of continuing education available* to ICD Prerequisites: None • Explain ways in which the ICD-10 and DSM-5 are related Course Objectives: Description: • Locate the ICD-10 online and navigate to the specifc None • Defne de-escalation section on behavioral health Attendees review common symptoms, challenges, and Description: • Defne agitation and aggression evidence based treatment options for schizophrenia. Integrated Healthcare To ensure consumers receive the most appropriate level of • Identify at least three risk factors for aggression This training is one of six modules in the Behavioral Health care, providers should utilize MNC when seeking payment Prerequisites: 101 series. This module can be ofered with or without • Identify at least fve interventions for agitation authorization for outpatient treatment services. Attendees and aggression screening tools. None receive an explanation of the OTR process and application of MNC. Duration: Ethics for Mental Health Providers Description: Duration: 1 hour Prerequisites: Behavioral health, substance abuse and physical health Up to 1 hour of continuing education available* providers are introduced to the concept of integrated care, None 1.5 hours Course Objectives: which is designed to increase positive treatment outcomes no CEs available Description: through a holistic model of care and comprehensive and • Recognize symptoms of schizophrenia collaborative supports. Objectives: Using the American Counseling Association’s ethical • List at least two treatment options for individuals who • Enhance communication, the working relationship, and decision-making model, mental health providers explore Duration: could have schizophrenia partnership between the provider and the MCO situations that might challenge ethical guidelines. The course • Identify two medications recommended for schizophrenia 1.5 hours also reviews topics in mental health care in six areas of • Articulate four MNC criteria of each code/service included Up to 1.5 hours of continuing education available* in the training Behavioral Health 101: Substance Use Disorder professional functioning. Course Objectives: • Complete an OTR Prerequisites: Duration: • List types of health care providers and models of care Overview of Changes to the Diagnostic and None 2 hours involved in integrated health Up to 2 hours of continuing education available* Statistical Manual of Mental Disorders • Review eforts toward integration and location of resources Description: Prerequisites: Course Objectives: • Identify physical symptoms that may have behavioral or Attendees review common symptoms, challenges, and • List the seven ethical areas behavioral health providers substance use origins None evidence based treatment options for substance use must know about disorder (SUD). This training is one of six modules in the Motivational Interviewing (MI): Level 1 Description: Behavioral Health 101 series. This module can be ofered with • Defne the “ethics and law” dilemma Providers receive an overview of changes in the diagnostic or without screening tools. • Complete one scenario using the American Counseling Prerequisites: standards and coding from the DSM-IV-TR to the DSM- Association’s ethical decision-making model None Duration: 5 (ICD9/ICD10). The presentation includes examples of diagnostic organization, specifers and cultural context. 1 hour ICD-10 Overview for Mental Health Providers: Description: Up to 1 hour of continuing education available* Module 1 The purpose of the training is an introduction to the basics Duration: of Motivational Interviewing (MI). Attendees will be exposed Course Objectives: Prerequisites: 1 hour to and begin to learn key concepts and skills. This training is Up to 1 hour of continuing education available* • Recognize symptoms of SUD None considered a Level 1 MI training. • List at least two treatment options for individuals who Course Objectives: Description: Duration: could have SUD • Describe the role subtypes, specifers and severities have Behavioral health providers are introduced to ICD-10 and • Identify two medications recommended for SUD 4 hours made in making diagnoses more comprehensive its relationship to DSM-5. They also learn to use ICD-10 Up to 4 hours of continuing education available* De-escalation Techniques to bridge the communications gap with physical health • List examples of cultural considerations in the new edition providers. Course Objectives: • Complete scenarios to practice using DSM-5 diagnostic- Prerequisites: • List the 4 processes of MI specifc rules Duration: None • Name the benefts of engagement 1 hour Description: Up to 1 hour of continuing education available* • Describe a purpose of focusing • Discuss diferences between change and sustain talk Behavioral health providers learn the triggers typically associated with violent behavior, ways to assess for agitation • List components of planning and aggression, and de-escalation strategies. Self-protection techniques also are discussed.

8 Volume 2018, No. 1 MKT-CTLG-010 December 2018 Volume 2018, No. 1 MKT-CTLG-010 December 2018 9 Positive Psychology: Clinical Tools for Behavioral Providing Independence for Clients: A Provider’s Recovery Principles SMART Goals Health Providers Guide to Successful Client Outcomes and Prerequisites: Prerequisites: Titrating Services Prerequisites: None None None Prerequisites: Description: Description: None Description: Providers learn how to help members in recovery from Providers learn ways to assist members by using SMART Providers receive a strong understanding of positive Description: substance use and also to identify characteristics in goals – which are specifc, measurable, achievable, realistic members that may be barriers or supports to recovery. Also psychology, which focuses on personal growth rather than Providers gain a better understanding of the benefts and timely – as part of members’ eforts to change their covered is the new working defnition of recovery. pathology such as mental illness. Providers also learn useful and best practices of titrating services. The training also behaviors. Goals are tracked to assess members’ progress and compliance. clinical tools and how to fnd positive psychology resources reviews skills helpful in graduating clients such as focusing Duration: for patients. on recovery, integrated care, and being aware of potential Duration: barriers. 1 hour Duration: Up to 1 hour of continuing education available* 1.5 hour Duration: 1.5 hours Course Objectives: Up to 1.5 hour of continuing education available* Up to 1.5 hours of continuing education available* 1 hour • Understand diferences between people “in recovery” and Course Objectives: Up to 1 hour of continuing education available* Course Objectives: “not in recovery” • Defne SMART goals and apply them to case examples Course Objectives: • Understand risk and protective factors, resiliency and the • State at least two defnitions of positive psychology • Practice using SMART goals format in developing care guiding principles of recovery • Identify at least three clinical tools to use with members • Explain the barriers and benefts of titrating services plans and progress notes • Discuss ways providers can help a in recovery • Locate positive psychology resources • Defne best practices for treatment and graduating clients • Review pitfalls to avoid when developing care plans • Identify resources for providers and clients • Discuss how to guide patients to focus on areas of their Screening Brief Intervention and Referral to Social Determinants of Health and lives within their control Treatment (SBIRT) Psychotropic Medications Mental Health Prerequisites: Poverty Competency Prerequisites: Prerequisites: None Prerequisites: None None None Description: Description: Description: Providers discuss the conceptual framework of SBIRT as Description: Behavioral health providers learn about the role psychotropic a public health model and its impact as a system change Attendees will gain clinical knowledge on social Providers learn how patients’ economic status afects their medications play in the treatment of mental health and initiative. Practice for applying concepts to provide determinants of health and the impact these determinants mental and physical health, with emphasis on the adverse substance use disorders. The course explains the drugs’ screenings, brief interventions, and referrals to treatment have on health disparities and inequity. classifcations and side efects. efects of poverty on health and wellness. Providers also will be included. Duration: learn where to fnd resources to help patients experiencing Duration: poverty. Duration: 1 hour 1 hour 3 hours 1 continuing education credits available* Duration: Up to 1 hour of continuing education available* Up to 3 hours of continuing education available* Course Objectives: 1.5 hours Course Objectives: Course Objectives: Up to 1.5 hours of continuing education available* • Identify 3 reasons why awareness of social determinants • Verbalize the defnition of psychotropic medications and • Identify the main components of SBIRT of health is important. Course Objectives: what they treat • Practice using substance use screening tools and brief • Be able to identify 4 examples of social determinants • Defne poverty • Understand the classifcations and common side efects intervention skills of health • Become familiar with statistics about poverty • Review special considerations for seniors • Apply motivational interviewing skills to brief interventions • Defne risk and protective factors • Increase awareness of how poverty afects patients • Discuss referrals to treatment • Discuss 3 ways social determinants of health impact our members • Discuss the correlation between mental illness and poverty

10 Volume 2018, No. 1 MKT-CTLG-010 December 2018 Volume 2018, No. 1 MKT-CTLG-010 December 2018 11 Stages of Change Duration: Course Objectives: Prerequisites: 1 hour • State the 11 criteria of gambling use disorder • Recognize the current difculties with treatment of Course Objectives: None gambling use disorder Description: • Identify stress management, thought modifcation, and • Verbalize treatment options for gambling use disorder self-calming techniques Those who work with individuals who need to change their • Develop assertive communication skills Suicide Risk - A Clinical Perspective Module 1: behaviors learn about the fve stages of readiness for change Suicide Risk Overview advanced by James O. Prochaska and Carlo Di Clemente, • Review self-care tips who believe change is a process involving progress through a Substance-Related and Addictive Disorders Prerequisites: series of stages. Module 1: DSM-5 Criteria and Diagnostic None Duration: Information Overview Description: 1 hour Prerequisites: Clinicians learn to identify warning signs and risks of suicide. Up to 1 hour of continuing education available* None They also learn about protective factors, which ensure Course Objectives: vulnerable people are supported and connected with others Description: during difcult times, thus making suicidal behaviors less • Recognize client stages of change likely. • Understand help steps for change Attendees receive an overview of DSM-5 criteria and diagnostic information specifc to substance use disorders. Duration: Strengths-Based Treatment In addition, the course teaches the alterations that substance use may make to important brain areas needed 1.5 hours Prerequisites: for life-sustaining functions. Up to 1.5 hours of continuing education available* None Duration: Course Objectives: Description: 1 hour • Identify risk and protective factors related to suicide attempts and suicidal behavior Traditionally, helping professions focused on defcits and not Up to 1 hour of continuing education available* on interventions that promote positive aspects of self. In this • Understand the diference between risk factors and strengths-based treatment course, providers learn about Objectives: warning signs SBT approaches, tools and interventions to promote a path • State efects of substance use on the brain reward • List three ways to increase integrated and continuous care to recovery. pathway to help in suicide prevention • Discuss severity levels of substance use disorders Duration: Trauma Informed Care: The Impact of Trauma • List examples of a substance-induced disorder 1 hour Prerequisites: Up to 1 hour of continuing education available* • Identify location of the 10 separate classes of substances chart in the DSM-5 None Course Objectives: Substance-Related and Addictive Disorders Description: • Increase knowledge and defne core concepts of Module 11: Non-Substance-Related Disorders strengths-based approaches Theories and practices within the used to • Describe the importance of encouragement Prerequisites: design and implement trauma responsive services that promote health and reduce re-traumatization through • Practice strengths-based tools and interventions Participants should attend Substance-Related and service delivery. Addictive Disorders Module 1: DSM-5 Criteria and Diagnostic Stress Alleviation for Caregivers Information Overview prior to this training. Duration: Prerequisites: Description: 1.5 hours Up to 1.5 hours of continuing education available* None Attendees receive an overview of DSM-5 criteria and Description: diagnostic information specifc to Non-Substance-Related Course Objectives: Disorders. The course also reviews alterations that • Defne trauma and identify types Caregivers learn to recognize warning signs of frustration addictions may make to important brain areas needed for and stress in long-term care environments. Attendees life-sustaining functions. • Understand the impact of trauma on individuals review self-calming techniques, identifying assisting with and services negative thought patterns, communicating assertively, Duration: • Identify characteristics of trauma informed systems and self-care tips. 1 hour • Understand the impact of trauma on care providers Up to 1 hour of continuing education available*

12 Volume 2018, No. 1 MKT-CTLG-010 December 2018 Volume 2018, No. 1 MKT-CTLG-010 December 2018 13 Notes Notes

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