


Full Agenda
Full Agenda
Tuesday, September 24
7:30am – 8:45am
Registration & Coffee with Vendors (Breakfast is included in the host hotels or on your own)
8:45am – 9:00am
Welcome​
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Stacey Hale, Director, Bureau of Rehabilitation Services, Treatment, and Care Coordination, NYS OMH
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Additional Representatives, NYS OMH (TBA)
9:00am – 9:45am
Keynote Presentation
Culturally Responsive Care for Children and Families
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Melanie Funchess, CEO, Ubuntu Village Works, LLC
9:45am – 10:00am
Break with Vendors
10:00am – 11:15am
Concurrent Sessions
1. The Added Value of Peer Support Specialists on ACT Teams
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Regina Shoen, Director Upstate Regional Bureau OAPSS, NYS OMH Office of Advocacy & Peer Support Services
Peer Support services can add value to ACT Teams through better engagement, sustainable community integration and improved symptom management. Using empirical data, we will share information on how Peers can assist in the work of ACT teams, what the role should be and resources for hiring and implementing Peer Support Specialists.
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2. How to Work Collaboratively and Communicate Effectively with Bureaucracies and Institutions
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Derrick Manigo LCSW, Director of Act Teams, GODDARD-RIVERSIDE Community Center
Working and communicating effectively with large institutions such as hospitals, the judicial system and mental health agencies can be challenging. This presentation will share tools and strategies that will not only improve your ability to communication effectively with these institutions, but also how to partner with and find camaraderie in the work that you do with your clients.
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3. Safety in the Community
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Catherine Mammoser, MHC, Vice President of Intensive & Rehab Services, BestSelf Behavioral Health
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Emily Keem O'Hare, MHC, Program Director ACT Aspire, BestSelf Behavioral Health
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Dr. Julia Ringel, Psychiatrist over 5 ACT Teams, BestSelf Behavioral Health (invited)
Every one of us has experience working within our communities. In recent years, we've grown too comfortable, often lowering our guards. Recognizing safety concerns, we've redoubled our efforts, working diligently within our ACT teams to enhance community safety. We have a robust process in place to safeguard our staff, ensuring that each team member returns home to their family at the end of every day. This session will showcase our process and share our insights, strategies and experience with other teams.
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4. The Power, Importance and Impact of Language
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Mya Haley, Coordinator of Fidelity and Best Practices, ACT Institute at Center for Practice Innovations
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David Lowenthal, Medical Director, Center for Practice Innovations, ACT Institute at Center for Practice Innovations
Participants will join in a discussion that will focus on the impacts of using recovery and strength-based language in all parts of ACT service delivery from outreach to engagement and support to transition. Because language matters and impacts those that we work with (participants, their natural supports as well as co-workers), the aim of this discussion is to raise awareness around the power we hold as providers through our language and the ways we can either oppress or empower those whom we serve.
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Moreover, while the words we use matter, more importantly they also reflect the attitudes and beliefs we hold. Utilizing recovery-based language is a great start but as providers, embracing recovery-based practices are the true goal so that we can empower and truly center the participants, families and communities we serve through ACT work.
11:15am - 11:30am
Break
11:30am – 12:45pm
Concurrent Sessions​
1. ACT and Employment: An IPS Perspective
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Gary Scannevin, IPS Trainer, Center for Practice Innovations
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Noah Lipton, Implementation Specialist and Project Manager for Special Projects, Center for Practice Innovations
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This forum will utilize a townhall-style format to engage participants in an open discussion about employment and ACT. Participants will learn about current OMH efforts to support employment across the state. Participants will be prompted to share their experiences, hopes, concerns, and felt needs with respect to supporting participants around employment. Presenters will discuss the Individual Placement and Support (IPS) model and highlight some of the specific resources and tools available that support employment conversations and goals.
2. New York State Assisted Outpatient Treatment (AOT); A Systemic Overview and Engagement Considerations for Assertive Community Treatment (ACT)
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Tom Gottehrer, LCSW, New York State Director of AOT, NYS OMH
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Representatives, NYS OMH TBD
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Presenters will provide a systemic overview of the service system for which AOT falls under and offer some perspectives and considerations from multiple stakeholders in the community and how AOT can best be utilized within the recovery model.
3. New York State ACT Fidelity Scale
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Jay Shufelt, MPA, Mental Health Program Specialist II, NYS Office of Mental Health
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Mya Haley, Coordinator of Fidelity and Best Practices, ACT Institute at Center for Practice Innovations
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The New York State (NYS) Office of Mental Health (OMH) in partnership with ACT Institute are excited to announce the up-and-coming New York State Assertive Community Treatment (ACT) Fidelity (NYSAF) Scale. This new ACT fidelity scale will be used by teams across NYS to assess ACT program fidelity and improve program quality and implementation efforts. In this presentation NYS OMH and ACT Institute will review the NYSAF Pilot and validation process for the scale, highlight components that make NYSAF unique to NYS ACT providers, and hold an open discussion for providers around the anticipated rollout
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12:45pm – 1:30pm
Lunch
1:30pm – 2:45pm
Concurrent Sessions​
1. Forensic Assertive Community Treatment (Forensic ACT)
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Wendy M. Vogel, MPA, Forensic Program Administrator, NYS OMH, Division of Forensic Services
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Erica Kwan, LMHC, Senior Director, ACT Services, CASES
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Jessica Klaver PhD, Chief Program Officer, CASES
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This presentation will introduce the Forensic ACT model in New York State, an adaptation of ACT for people involved in the criminal legal system (CLS). Forensic ACT clients are ACT eligible with concomitant CLS involvement. Teams have additional specialized staffing and receive enhanced CLS training, including in risk assessment. Key partnerships are developed with CLS stakeholders, such as mental health courts, jails/prisons, and probation/parole. There is an explicit treatment focus on preventing criminal recidivism in addition to reducing psychiatric hospitalizations. This presentation will provide an overview of Forensic ACT, including risk screening, assessment, intervention, and the unique challenges and opportunities associated with clinical forensic work.
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2. Utilizing Recovery Oriented Cognitive Therapy (CTR) for ACT Teams
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Peter William Przeradzki, DSW, LCSW-R, Program Director, South Richmond ACT, South Beach Psychiatric Center
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Darren Walker MS, CAS, Treatment Team Leader, Bensonhurst ACT, South Beach Psychiatric Center
South Beach Psychiatric Center's ACT teams have been utilizing Recovery Oriented Cognitive Therapy (CT-R) with their clients for the last 3 years and it has effectively built healthy therapeutic relationships with our clientele. By focusing on this evidence based and person-centered model, clients and their ACT team members work together so clients can achieve reaching, what we call their "adaptive mode", which is a confident and self-reliant presentation that assists with transition to a less intensive service. Our ACT teams help the client see themselves as the “expert” in their own lives and root out the interests and abilities that can lie dormant within. Bensonhurst and South Richmond ACT team will give a brief overview of CT-R and provide examples of how using a CT-R modality can change the mindset of a client from system dependent to confident and self-reliant.
3. Reexamining our Approach when Working with People that are Using Drugs and Alcohol on ACT
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Noah Lipton, Implementation Specialist and Project Manager for Special Projects, Center for Practice Innovations
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Grisel Estrada, MSW, CPS-P, Harm Reduction Specialist, Community Access
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Allashia Smith-Harris, LMHC, CASAC Advanced, ACT Institute Director, Center for Practice Innovations
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​Dwayne J. Mayes, Implementation Specialist, Center for Practice Innovations
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According to the CDC, as of June 2020, 13% of Americans reported starting or increasing substance use as a way of coping with stress or emotions related to COVID-19. Overdoses have spiked since the onset of the pandemic. This trend has continued throughout 2020 and to date. These statistics also include the ACT participants we serve. How can we, as ACT providers, effectively work with individuals that are using substances, especially when some of those individuals may not want to make a change to their substance use? In this workshop we will discuss some trauma-informed approaches that may be helpful. We will also explore how our own expectations, attitudes as “helpers,” and implicit/explicit biases may play a role in how we view the work we do and those we are supporting. In addition, participants will learn 3 ways for managing personal/team wellness to sustain hope and prevent burnout.
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2:45pm – 3:00pm
Break
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3:00pm – 4:15pm
Concurrent Sessions​
1. How Are You Doing?
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Allashia Smith-Harris, LMHC, CASAC, Director, ACT Institute, ACT Institute at Center for Practice Innovations
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David Lowenthal, MD, JD, Medical Director, Center for Practice Innovations, ACT Institute at Center for Practice Innovations
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Since the inception of the model in the 1970s, a core feature of ACT is for the team to operate as the first responder to service recipients who are in distress and/or crisis. Corresponding in part with the COVID-19 pandemic and related societal consequences, mental health distress and increase demand for services is increasing, while availability of qualified staff to do community-based work is decreasing.
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As providers, it is important that we recharge and rejuvenate, leading to increased productivity, improved concentration, and better problem-solving abilities. When you prioritize your well-being, you have more energy and mental clarity to tackle daily tasks.
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This session will provide an overview of wellness (8 dimensions of wellness); review a range of contributing factors to one’s wellness and share resources and tools to assist in one’s efforts of attaining and maintaining optimal wellness.
2. Your Partners for Success - NYESS Regional Employment Liaisons
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Chris Coyle, Regional Employment Liaison, NYESS - OMH
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Jennifer Semonite, Regional Employment Liaison, NYESS - OMH
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Presenters will provide an introduction about their role and the level of support that ACT Teams can expect from them, in regard to the ACT initiative. Topics of interest include: a breakdown of the individual ACT Teams by NYESS Regional Employment Liaison, contact information, training opportunities, and ongoing support and technical assistance available.
3. Cultivate Our Workforce: Provide Input for Recruitment & Retainment Strategies for ACT Teams​
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Sam Fletcher, Ph.D., MSW, Director of Workforce Development, New York State Office of Mental Health
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This session will be facilitated by the Director of Workforce Development unit in the OMH Office of Planning. This unit is charged with addressing the public mental health workforce crisis. This crisis is well-documented and complex with multiple causes that call for a multitude of creative solutions. The first part of the session will focus on current workforce initiatives, including the creation of a paraprofessional credential, a registered apprenticeship program, paid community college internships, free trainings for public mental health staff, wellness toolkits, and programs targeting the unique challenges of rural communities. The last part of the session will be interactive with participants. The facilitator will solicit feedback on the initiatives and listen to other suggestions to ensure the interventions match the needs of the ACT teams.
Wednesday, September 25
(Breakfast is in your hotel stay if booked through the registration portal or on your own)
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8:30am – 10:00am
General Session: New York State Initiatives for Assertive Community Treatment
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Stacey Hale, LMSW, Director of the Bureau of Rehabilitation, Treatment and Care Coordination, NYS OMH
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Melissa Beall, MA, Director Care Coordination Unit, NYS OMH
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Allashia Smith-Harris, LMHC, CASAC, Director, ACT Institute at Center for Practice Innovations, NYSPI
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Join our state leaders and the ACT Institute as they share the newest initiatives for ACT, including the expansion of ACT services statewide, the creation of specialty ACT services intended to better meet the unique needs of those served by ACT teams, and key next steps for implementation. Time for questions and answers will be allotted.
10:00am – 10:15am
Break
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10:15am – 11:30am
Concurrent Sessions
1. Safety in the Community for ACT Providers: Practical Guidance and a Discussion
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David Lowenthal, Medical Director, Center for Practice Innovations, ACT Institute at the Center for Practice Innovations
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Most individuals with behavioral health care conditions do not engage in violent behavior and are much more likely to be the victims of violence. However, at times ACT providers may encounter challenging situations in the community that may be perceived as threatening and difficult to manage. Among other reasons, this may be due to conditions in a particular neighborhood or residence, as well as emotional dysregulation or agitation on the part of a participant, a support of the participant, or another individual in the community.
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When confronting potentially violent or other challenging behaviors, all ACT providers need to have the skills to maximize the likelihood that they will stay safe and ensure the safety of the individuals for whom they provide care, as well as any third parties. Of note, given the experience and backgrounds of many ACT participants, interventions by ACT staff need to be undertaken in a culturally sensitive manner that considers the significant trauma experienced by many of the individuals who are served by ACT teams. And of course, providers also need to consider their own attitudes and biases.
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This session is appropriate for all ACT team members who do much of their work in the community and in ACT participants’ homes. Practical guidance on how to stay safe will be provided with the goal of avoiding situations where the provider feels someone’s safety is imminently threatened – that could be the provider, a third party such as a family member, or the participant themself. We will also hopefully engage in an open discussion and share our experiences and thoughts regarding this very challenging and extremely important topic.
2. Implementing Harm Reduction and Overdose Prevention Practices
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Jessica Sorbello, LCSW, Project Director for Project COPE, Community Overdose Prevention Education (Project COPE) / NYS OASAS
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Overdose prevention is achieved through harm reduction practices, and Project COPE recognizes that harm reduction is far more than naloxone and needle exchange. Project COPE addresses the intersection between overdose risk and several key populations, which include members of the LGBTQ+ community and survivors of domestic/intimate partner violence, and pregnant, parenting, and post- partum persons. As part of the overdose prevention efforts, we provide safe sex supplies, hygiene supplies, and wound care kits.
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Project COPE’s approach to overdose prevention is unique in that we focus on educating providers who do not normally see themselves as harm reductionists. We provide them with the tools to discuss sensitive, challenging topics with high-risk, vulnerable populations who may not otherwise receive the information elsewhere. We challenge stigma and help people rethink these conversations and how they work with these populations.
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Participants will significantly more greatly understand the science behind substance use, overdose prevention, and how to incorporate harm reduction efforts in daily practice. They will also learn about increased engagement from individuals in the community, as providing hygiene and harm reduction supplies challenges the stigma experienced when asking for resources.
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11:30am – 11:45am
Break
11:45am – 1:00pm
Concurrent Sessions
1. Expansion With a Purpose: Starting a New Team
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Richard Staab, Vice President of Community-Based Services, South Shore Association for Independent Living, Inc.
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Ashley Hinds, Team Leader, SAIL Suffolk ACT, South Shore Association for Independent Living, Inc.
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SAIL has recently branched out and started a new ACT Team. This presentation will discuss the overall logistics of starting a new team in a new area and the unique challenges that have come along with such. Team members will present both a holistic and ground level view of their experiences in developing a new ACT Team. This presentation will look to be a sounding board for those interested in starting a new team as well as for new and developing teams to learn about what works, what doesn't, and how we can all work together to achieve positive outcomes for the people that we serve.
2. Assertive Community Treatment (ACT) State Process & Funding Model
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Tony Walsh, Team Lead, Children & Adult Non-Res Services, NYS Office of Mental Health
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James Lauro, Associate Budgeting Analyst, NYS Office of Mental Health
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Emmanuelle Paluch, Behavioral Health Fiscal Analyst 1, Office of Mental Health
This presentation will focus on the ACT Budget Model, process for getting a Medicaid SPA approved and Service Dollar Guidance. Time for Q&A will be allotted.
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3. The Impact of Culture on Community-Based Treatment
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Eliza Hancock, M.S in Applied Sociology, Wellness Specialist, Greater Mental Health of New York
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Culture, including beliefs, values, norms, and behaviors, affect how we experience and interpret the world around us. This includes the meaning we impart to mental illness, the diagnoses we receive, and how partial or impartial we are to treatment. In a clinical setting, cultural interpretations of mental illness can account for if and how a patient will engage with clinicians, their ability to achieve and maintain their treatment goals, and how likely they are to form imperative relationships with their healthcare providers.
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This presentation will cover the definition of cultural sensitivity, the impact of culture regarding clients with mental health concerns, negative health outcomes when culture is not considered, case examples of culturally specific mental health concerns notated as cultural syndromes, and how ACT Teams can better address culture while engaging with clients in the community. Specific focus will be on the effect that culture has on a client, including how they seek or avoid treatment, how they perceive or express symptoms, how they cope with stress, and the stigma they might attach to mental health. Utilizing this as the framework, The ACT Team Model will be presented and how it works to address culture with our clients, and how to best serve a culturally diverse population.
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1:00pm
Adjournment​​
ACT Symposium Goals
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Participants will recognize what is new for ACT – where we are in the moment.
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Participants will apply skills in the areas of outreach, engagement, motivation, and transition.
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Participants will recognize fidelity to the model and apply the NYS ACT Fidelity Tool
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Participants will review trauma-informed care practices and multicultural awareness.
Hotel Reservations
Conference Venue:
The Conference Center at Lake Placid
2634 Main St, Lake Placid, NY 12946
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A block of rooms have been set aside at a discounted rate for conference participants at the following hotel near the conference venue:
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Crowne Plaza
101 Olympic Dr, Lake Placid, NY 12946​
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To make a reservation, call the Crowne Plaza at 518-523-2556 and identify yourself as making a reservation for the NYS Mental Health/ACT Conference. If rooms are still available, you will receive the discounted rate.