00:05:34 Kelly Massenelli: Hello! I'm Kelly Massenelli, a BHC at Pediatric Associates in Columbus, OH. 00:05:54 Sarah Aleman (she/her): Hi all! Sarah Aleman, Director of BH at Zufall Health in NJ. 00:06:06 Virna Little: virna little, concert health 00:06:12 Caroline Krehbiel, PhD (she/her) - FRA Behavioral Medicine: Hi there! Caroline Krehbiel, BHC at Reliant Medical Group in Framingham, MA 00:06:29 Shanda Wells, PsyD (she/her): Shanda Wells,. Manager of BH in Primary Care University of Wisconsin Health Madison, WI 00:06:36 Jess Sevecke-Hanrahan (she/hers): Welcome all! Love all the new folks on the call today! 00:06:41 Sadler - Rick Gross: Rick Gross, BHS at Sadler Health Center in Carlisle, PA. Camera is off only because I'm eating! 00:06:56 Caitlyn Johnson: Caitlyn Johnson, LCSW with Arkansas Behavioral Health Integration Network; COVID has finally found me so my camera will be off today! 00:06:56 Ben Hillyard: Ben Hillyard Aloft Integrated Wellness Exeter New Hampshire 00:07:02 JAS55: Hi, I'm Jenni Scott, Clinical Manager with Children's Wisconsin. We have 20 BHCs right now and are in nearly all of our 21 primary care clinics, using PCBH model. 00:07:02 Liz Carr, LPC: Hi all - Elizabeth Carr with Concert Health. I am the Director of Pediatric Services. I'm coming to you from Detroit, Michigan. But Concert is available in 16 states and growing. 00:07:02 Michelle Swanger-Gagne (she/her): Hello everyone! It is great to see so many here! 00:07:24 Karen Poindexter: Hi! I'm Karen Poindexter. I'm the Associate Practice Administrator for Behavioral Health Services at TriHealth in Cincinnati, OH. I am responsible for our integrated behavioral health services in our TriHealth primary care and pediatric practices. 00:07:27 Janine Fonfara (she/hers): Hi, I'm Janine Fonfara - I have a Doctor of Behavioral Health through Cummings, and I've been an LCSW for a long time. I work in Connecticut, formerly as the Director of BH Integration at Hartford Healthcare. In July, I came over to Middlesex Health and I will be starting as their Coordinator for Integrated Healthcare here in Middletown, CT. We are moving into peds practices - and in CT, the state will pay peds practices 50% of salaries to get them started. Would like to know how this is working for others in their practices. 00:07:45 Susan Pfau: I am working on my Ph. D in Medical FT. I am doing a behavioral health internship through U of MN Family medical school. in a clinic and have a private practice. I am a LMFT. 00:07:48 Clare McNutt: Hi there, Clare McNutt PA-C, Senior Clinical Director, Primary Care Innovation, Meadows Mental Health Policy Institute - excited to be here! 00:08:19 Colby Butzon: Hello! I'm Colby Butzon, psychologist, BHC, and Supervisor of Behavioral Health at Le Bonheur Pediatrics in Memphis, TN. Our Senior Director of Behavioral Health for Methodist Le Bonheur Healthcare, Laura Shultz, is also with me in the office today. 00:10:59 davidhaddick: Dave Haddick, CEO PSYCHeANALYTICS, member of PCBH SIG’s Outcomes committee. 00:12:17 Northeast Pediatrics & Adolescent Medicine: Hello! I'm Jessica Conner, Director of Behavioral Health at Northeast Pediatrics in Ithaca NY. Psychologist by training 00:19:43 Matthew Tolliver: tolliverr@etsu.edu. Please e-mail me for interest in the secretary, membership and engagement, research lead, or student representative positions. If you can let me know by the end of the week, that would be helpful. If you have a skillset that isn't represented in those positions and you are interested in being on the leadership team, please don't hesitate to reach out as well! Being a part of the leadership team can be a great way to network and build professional relationships. 00:20:46 davidhaddick: Are there any adequate screeners for under 11? ASQ? There won’t be evidence without a screener. 00:21:41 Jessica Conner (she/they): CSSRS seems to be for "all ages" on their website but I definitely wonder about the lower limits to this. 00:21:48 Virna Little: most primary care uses the pediatric symptom checklist 00:22:10 Shanda Wells, PsyD (she/her): We are using the PROMIS but it doesn't directly address SI 00:22:49 Virna Little: The ASQ is used the most for the kids for suicide risk, I like it as it has the information sheets for guardians, nursing etc. 00:23:03 davidhaddick: C-SSRS was validated from 11 y.o. and up. Frankly the wording of its questions is almost impenetrable for adults lt alone under 11. 00:24:49 Virna Little: Many of the recommendations were also around follow up and support of including counseling or care as a follow up 00:24:55 Gina Apgar (she/her): There is a Full C-SSRS Lifetime/Recent Scale for Very Young Children and Cognitively Impaired (age 4-5) available 00:26:25 Jessica Conner (she/they): Gina, do you have the link to that? I haven't found it. 00:26:32 Gina Apgar (she/her): https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/cssrs-for-communities-and-healthcare/#filter=.schools.english 00:26:56 Gina Apgar (she/her): It's on that page 00:28:41 Gina Apgar (she/her): My apologies it doesn't link directly. I used the drop down menu for setting to search under "general" and found it under that tab. 00:29:27 Gina Apgar (she/her): https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials 00:29:38 Gina Apgar (she/her): There's also the ASQ as a tool for kids 8+ 00:30:02 davidhaddick: Verna,do you mean patient responsibility for payment? 00:30:19 Virna Little: yes 00:32:52 Janine Fonfara (she/hers): Are organizations allowed to use ASQ without paying an annual fee for use? 00:33:14 Virna Little: yes they are 00:33:24 Virna Little: It is on the NIMH website and can also be used in the EMRS 00:33:40 Jonas Bromberg: ASQ is in the public domain 00:34:15 Jenni Scott: to level-set, the recommendation is for depression screening, not just suicide screening for 12 and up, right? 00:35:06 Virna Little: On the zero suicide implementations we talk about screening 10 and up for suicide and depression 00:35:15 Rachel Petts: Hi Jenni. Yes, the recommendation is for MDD 12 +. No recommendation for suicide screening specifically 00:35:15 Jessica Conner (she/they): Isn't it also to do anxiety screening? 00:35:43 Jonas Bromberg: https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials 00:37:21 Rachel Petts: Hi Jessica. They do have recommendations for anxiety screening. Ages 8 to 18 years (not for 7 and below) 00:37:31 Rachel Petts: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents 00:38:04 Liz Carr, LPC: ASIST Model seems similar to ASQ, where anyone can be trained, it includes specific and basic tools for asking about suicide and risk 00:39:12 Shanda Wells, PsyD (she/her): Same as Jessica 00:39:17 Jenni Scott: we do universal screening in all of our primary care clinics for kids 12+ using the PHQ-9A. If the pt scores 10+, the pt sees the BHC right away in the clinic. We recommend it for scores 5+ for prevention too. 00:39:34 Shanda Wells, PsyD (she/her): those are great! 00:40:06 Jenni Scott: We use the PSC for kids 4-11. 00:40:11 Sadler - Rick Gross: Jessica, where did you get those Stanley-Brown notebooks? 00:40:32 Jenni Scott: Question- does the PSC-17 count as a Depression Screener? 00:40:46 Jessica Conner (she/they): https://store.samhsa.gov/ They have a bunch of free resources 00:41:44 Jessica Conner (she/they): https://store.samhsa.gov/product/988-suicide-crisis-lifeline-safety-plan-pads?referer=from_search_result 00:43:42 Rachael Pennell (she, her): Wow! That's amazing 00:45:10 Shanda Wells, PsyD (she/her): I have to jump off a little early. Have a good Monday! 00:47:40 Rachel Petts: Jenni, the USPS notes the PHQ-9 and CESD but they don’t offer other specifics..would be interesting to dig into the literature to see what else was identified as MDD screeners 00:48:28 Jenni Scott: Thank you for looking, Rachel! 00:50:52 Rachel Petts: Welcome! 00:52:11 Rachael Pennell (she, her): Too long for us to use SCARED universally 00:52:11 Caroline Krehbiel, PhD (she/her) - FRA Behavioral Medicine: Thank you for the conversation and lots of resources today! Looking forward to the next meeting. Happy Monday. 00:52:36 Jenni Scott: We only use SCARED for more detailed anxiety assessment. 00:53:07 Matthew Tolliver: Same SCARED for 2nd tier (not universal) screening. There is a 5 item SCARED which is interesting 00:56:29 Jessica Conner (she/they): The 5-item is much more doable than the full one. The only anxiety question in psc-17 is "worries a lot", although other questions for depression 00:57:38 Jessica Conner (she/they): I won't be able to attend 12/26 00:57:46 Sarah Aleman (she/her): we are closed the 26th 00:57:49 Daniel Robb: I would not be able to attend 00:57:49 Karen Poindexter: I would not be able to attend on 12/26 00:57:53 Susan Pfau: I will not be at Dec.call 00:57:55 Sadler - Rick Gross: IF I'm at work I will attend, but it is unlikely I'll be at work. 00:57:57 Rachael Pennell (she, her): out of office 00:58:35 Sarah Aleman (she/her): thank you! 00:58:39 Liz Carr, LPC: thanks all 00:58:48 Jess Sevecke-Hanrahan (she/hers): Thank you for joining us all! Great to see/hear you! 00:58:51 Jonathan Larson: Thank you all, learned a lot! 00:58:59 Sadler - Rick Gross: thanks, this was my first meeting!