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September 27-28, 2018 WISCONSIN DELLS Wilderness Resort Glacier Canyon Lodge ADOPTION Changing the Face of Topics include Trauma-Informed Care, Trust-Based Relationships, Ethics and Boundaries, and much more! Conference

Changing the Face of ADOPTION - WCWPDS · Navigating the Teenage Years (Dr. Samantha Wilson) Neurosequential Model of Therapeutics: ... It provides an easy to understand “brain

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Page 1: Changing the Face of ADOPTION - WCWPDS · Navigating the Teenage Years (Dr. Samantha Wilson) Neurosequential Model of Therapeutics: ... It provides an easy to understand “brain

September 27-28, 2018

WISCONSIN DELLSWilderness Resort

Glacier Canyon Lodge

ADOPTIONChanging the Face of

Topics include Trauma-Informed Care, Trust-Based Relationships, Ethics and Boundaries, and much more!

Conference

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REGISTRATION

LODGING

Registration Fee: $50 for 1st day $80 for both days

Register by September 14th using this link:https://go.wisc.edu/a1a35j

If you experience any difficulties registering, please contact the Pyle Center Registrations at 608-262-2451.

Wilderness Resort45 Hillman Rd. Wisconsin Dells, WI 53965

608-254-1020

https://www.wildernessresort.com/glacier-canyon-lodge/

Please make all reservations by August 26, 2018.Room block is under Changing the Face of Adoption Conference.

DAILY MENU

27TH 28THBreakfastAssortment of pastries, bagels, yogurt, coffee, and tea

BreakfastDeluxe Continental breakfast, coffee, tea, and juice

LunchPasta Buffet, salad, coffee, iced tea, and milk

LunchBoxed lunch including deli sandwich, chips, and pickle

PM BreakCookie break, assorted sodas, and water

OVERVIEWThis conference is held annually for professionals that work on adoption related programs and issues. This year’s conference will focus on Trauma-Informed Care, Trust-Based Relationships, and Protective Factors. Day 2 will consist of 4 hours of Ethics and Boundaries training presented by Dr. David Mays. All participants who complete the entire 4 hours will receive a signed certificate of completion.

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AG

END

A SEPTEMBER 27th8:00 – 9:00AM Registration

9:00 – 9:15AM Opening Remarks

9:15 – 10:30AM Keynote Address Transforming Trauma: How to Do This Work and Sustain (Laura van Dernoot Lipsky)

10:30 – 10:45AM Break

10:45 – 12:00PM Workshop Session #1 Infant Mental Health: Practical Tools for Families and Professionals (Jennifer Robers Miller) Neurosequential Model of Therapeutics: “Brain Mapping” as Clinical Problem-Solving (Ted Stein) Training for Adoption Competency: The Wisconsin Experience (Jeanne Wagner and Susan Rose) Transforming Trauma: Continuing the Conversation (Laura van Dernoot Lipsky) Trust-Based Relational Intervention: An Overview (Kimberly A. Johnson)

12:00 – 1:00PM Lunch & Networking

1:00 – 2:15PM Workshop Session #2 Did You Know? Now You Know! (Brigit Frank and Lynn Renner) Legislation and Data (Danielle Karnopp) Navigating the Teenage Years (Dr. Samantha Wilson) Neurosequential Model of Therapeutics: “Brain Mapping” as Clinical Problem-Solving (Ted Stein) Bringing the Protective Factors Framework to Life in Your Work Part 1 (Mandi Dornfeld, Tracy Hengst, Kay Hietpas, and Lynn McLaughlin)

2:15 – 2:30PM Break

2:30 – 3:45PM Workshop Session #3 Adoption Records Search and Reunion (Jacy Boldebuck) AGES (Adoption and Guardianship Enhanced Support) (Lisa Anderson, Frances Bass, and Lisa Tuozzo) Birthmother Grief and Loss (Patricia Dischler) Bringing the Protective Factors Framework to Life in Your Work Part 2 (Mandi Dornfeld, Tracy Hengst, Kay Hietpas, and Lynn McLaughlin) When Difficult Behaviors Arise Post-Adoption (Dr. Samantha Wilson)

3:45 – 4:00PM Break

4:00 – 5:30PM Keynote Address Because I Loved You (Patricia Dischler)

DAY 1

DAY 2SEPTEMBER 28th8:00 – 9:00AM Breakfast

9:00 – 10:45AM Ethics and Boundaries: Biological Roots and Challenges of the New Genetics (Dr. David Mays)

10:45 – 11:00AM Break

11:00 – 12:00PM Ethics and Boundaries, continued

12:00 – 12:15PM Break

12:15 – 1:00PM Ethics and Boundaries, continued

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Ethics and Boundaries: Biological Roots and Challenges of the New GeneticsStudying ethical behavior in the research setting leads to some surprising insights; notably, we humans are remarkably similar in the way we construct our moral codes, and remarkably inconsistent in how we apply them. Research in economics, social science, and biology tells us that our ethical behavior is complex, and our deepest motivations are not easily understood. Human history, however, provides ample evidence that by learning more about what we believe and why, we can gain more control over our moral behavior, allowing us to become better, more ethical people. New discoveries in genetics have suddenly presented us with a startling question: how much should we know about creating human beings, and how far should we go in changing them? The future of genetic manipulation is already here. This presentation will be about the biological origins of “ethical” behavior. The purpose of the day is to help each participant understand the roots of why we believe some acts are moral and some are not, and how our brains complicate efforts to solve moral dilemmas. We will also look at how 21st century human beings are on the threshold of changing everything, including themselves.

Outline• “Trolleyology,” the doctrine of double effect, and

self-driving cars• Making ethical decisions, the right tempero-parietal

junction, Jonathan Haidt• Empathy and fairness• In-group/Out-group• Honesty and our “fudge” factor• Moral disengagement, money, and privilege• Dealing with our cognitive biases• Dealing with our biology• Genetics – what’s different• Ethical challenges

ObjectivesAt the end of this workshop, participants will: • Be familiar with how scientists study morality• Recognize the unconscious yet persuasive nature of

making moral choices• Be introduced to the 5 components of the moral mind• Understand how individuals disengage from their

ethical standards• Learn about ways in which the new genetics can

challenge what it means to be human

DR. DAVID MAYS

Dr. David Mays, M.D., Ph.D., is a licensed physician in the state of Wisconsin. He is Board Certified by the American Board of Psychiatry and Neurology. He has a dual appointment as a clinical adjunct assistant professor in the University of Wisc. Dept. of Psychiatry and Department of Professional Development and Applied Studies. He is a Distinguished Life Fellow of the American Psychiatric Association, member of the Wisconsin Psychiatric Association, and a member of the American Academy of Psychiatry and the Law. Over the last 23 years, Dr, Mays has practiced psychiatry in a variety of settings, including an HMO, an assertive community treatment program, private clinical and forensic practice, and as the clinical director of the forensic program at the Mendota Mental Health Institute. This forensic program is a 180-bed program with the only maximum-security forensic unit in the state of Wisconsin. Dr. Mays was the treating psychiatrist on the most restrictive unit in maximum security, housing some of the most dangerous psychiatric patients in the state. Dr. Mays has received numerous awards for his teaching and clinical work, including the Distinguished Service Award from the Alliance on Mental Illness in Dane County, the Exemplary Psychiatrist Award from the National Alliance on Mental Illness, the Exceptional Performance Award from the Wisconsin Health and Family Services, the 2006 Outstanding Professional Award from the Wisconsin Association on Alcohol and Other Drug Abuse, and the 2010 Outstanding Mental Health Professional Award from the Wisconsin National Alliance on Mental Illness. He is a highly sought after presenter on numerous topics in mental health, including psychiatric diagnosis and treatment, personality disorders, suicide and aggression risk management, mainstream and alternative treatments in psychiatry, and the biology of ethics.

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SESSIONSDAY 1 SEPTEMBER 27

Transforming Trauma: How to Do This Work and SustainLaura van Dernoot LipskyLaura van Dernoot Lipsky’s talks offer a compelling mix of personal insight and cutting-edge research. Filled with stories, quotes, and countless New Yorker cartoons, they have been widely praised as both engaging and effective at conveying the cumulative impact of ongoing exposure to suffering or trauma. This event will provide information about vicarious/secondary trauma and provide for discussion what individuals and workplaces can do to help create a way to do your work sustainably.

Because I Loved YouPatricia DischlerThrough Patricia’s personal story as a birthmother, we’ll explore the life-long impact of adoption on everyone involved. Learn the key to helping women make a choice without regrets, how everyone’s role affects the outcome, and how to help everyone take those first steps towards building a trusting, loving relationship.

Infant Mental Health: Practical Tools for Families and ProfessionalsJennifer Robers MillerMental health starts earlier than most folks think: there is evidence it starts in utero! The earlier we start fostering healthy attachments and mental health, the better the outcomes! We will explore what to expect, risk factors, warning signs, and lots of interventions to help little ones grow up healthy and happy!

Neurosequential Model of Therapeutics: “Brain Mapping” as Clinical Problem-Solving Ted Stein The Neurosequential Model of Therapeutics (NMT) is a developmentally sensitive, neurobiology-informed approach to clinical problem-solving. Developed by Dr. Bruce Perry, it integrates core principles of neurodevelopment and traumatology to inform work with children, families and the communities in which they live. It provides an easy to understand “brain map” and helps guide the selection and sequencing of developmentally-sensitive interventions replicating normal sequence of brain development.

Transforming Trauma: Continuing the Conversation Laura van Dernoot Lipsky Laura van Dernoot Lipsky’s talks offer a compelling mix of personal insight and cutting-edge research. Filled with stories, quotes, and countless New Yorker cartoons, they have been widely praised as both engaging and effective at conveying the cumulative impact of ongoing exposure to suffering or trauma. This event will provide information about vicarious/secondary trauma and provide for discussion of what individuals and workplaces can do to help create a way to do your work sustainably.

Trust-Based Relational Intervention: An OverviewKimberly A. JohnsonTrust-Based Relational Intervention (TBRI) is an evidence-based intervention that addresses behavior issues in children and adolescents from hard places. This presentation will address the research and theories behind the intervention as well as the three guiding principles of TBRI, including the Connecting, Empowering, and Correcting principles.

Training for Adoption Competency: The Wisconsin Experience Jeanne Wagner and Susan RoseThis presentation will describe the challenges of bringing a manualized training for adoption-competent practice to Wisconsin clinicians. Presenters will describe all aspects of the training including purpose, recruitment, curriculum, evaluation, and ongoing consultation. Both fidelity and outcome evaluation data will be presented for the over 70 clinicians trained to date.

KEYNOTE

WORKSHOP #1

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SESSIONSDAY 1 SEPTEMBER 27

Navigating the Teenage YearsDr. Samantha WilsonThe challenge of building an identity while struggling with uncertainty (and often trauma) is complex. This presentation will highlight unique aspects of adolescent development, including concerns that are commonly seen during adolescence: self-harm, precocious sexuality, anxiety, and depression. Case examples and resources will be provided to support families to navigate the murky waters of adolescence.

Neurosequential Model of Therapeutics: “Brain Mapping” as Clinical Problem-Solving Ted Stein The Neurosequential Model of Therapeutics (NMT) is a developmentally sensitive, neurobiology-informed approach to clinical problem solving. Developed by Dr. Bruce Perry, it integrates core principles of neurodevelopment and traumatology to inform work with children, families and the communities in which they live. It provides an easy to understand “brain map” and helps guide the selection and sequencing of developmentally sensitive interventions replicating normal sequence of brain development.

Bringing the Protective Factors Framework to Life in Your Work Part 1 Mandi Dornfeld, Tracy Hengst, Kay Hietpas, and Lynn McLaughlinAttend this engaging and interactive workshop to learn about the five protective factors and how you can integrate them into your life and work. We will introduce you to the five protective factors, discuss why they are important, and provide you with the opportunity to identify small but significant changes you can make right away. This workshop will also introduce you to parents who have benefited from these protective factors in their lives. You must attend both Part 1 and Part 2.

AGES (Adoption and Guardianship Enhanced Support) Lisa Anderson, Frances Bass, and Lisa TuozzoAGES is a voluntary program for adoptive or guardianship families who live in the northeastern region of the state and need help in reducing the familial stress. The goal is to reduce discontinuity within families. The presentation will provide information regarding the QIC-AG grant, program development, what AGES has to offer, what families can expect when participating, who the AGES workers are, the eligibility, entry points, program data, and lessons learned.

Adoption Records Search and Reunion Jacy BoldebuckThis session will discuss the nuts and bolts of adoption reunion in Wisconsin. We will also discuss recent changes and challenges posed by the current digital age.

Birthmother Grief and Loss Patricia DischlerEveryone experiences grief and loss in different ways. Patricia will facilitate a conversation among participants about expectations for grief and loss in adoption, and how to support those experiencing these emotions.

Legislation and DataDanielle KarnoppThis session will provide an overview of the changes to Chapter 50 and 51 Administrative Rules, the recent state legislation, the impact of the Family First Prevention Services Act on agencies and families post-adoption, and the recent Wisconsin adoption data.

WORKSHOP #3

Did You Know? Now You Know! A Parent’s Perspective on Navigating Supports and Services for a Child with a DisabilityBrigit Frank and Lynn RennerDid You Know? Now You Know! training explains resources and services for children with disabilities and special health care needs from birth through young adulthood. Learn about health insurance and how to best use your benefits, Medicaid, long-term supports, prior authorizations, community resources and more.

WORKSHOP #2

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DAY 1 SEPTEMBER 27

SESSIONS

When Difficult Behaviors Arise Post-Adoption Dr. Samantha WilsonChildren enter foster/adoptive families with many needs. Some are evident early, others surface in the course of later development. A trauma-informed perspective will be presented to understand behavioral concerns that commonly arise in the school-age years. Content will include exploring the impact of early adversity on brain/behavior, expressions of grief/loss within adoption, and ways for families to promote healing relationships. Resources will be provided to support families in understanding common behavioral concerns from a different perspective and respond in a trauma-informed manner.

Bringing the Protective Factors Framework to Life in Your Work Part 2 Mandi Dornfeld, Tracy Hengst, Kay Hietpas, and Lynn McLaughlinAttend this engaging and interactive workshop to learn about the five protective factors and how you can integrate them into your life and work. We will introduce you to the five protective factors, discuss why they are important, and provide you with the opportunity to identify small but significant changes you can make right away. This workshop will also introduce you to parents who have benefited from these protective factors in their lives. You must attend both Part 1 and Part 2.

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WO

RKSH

OP#1

Post Training Action Plan:

Record three important concepts, ideas, or skills which you plan to take from the training and implement in your work:

1.

2.

3.

Identify:Plan to implement these concepts upon your return to your agency:

Resources that will help you implement this plan:

Barriers to the implementation of this plan:

Workshop #1 Name:

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WO

RKSH

OP

#2Post Training Action Plan:

Record three important concepts, ideas, or skills which you plan to take from the training and implement in your work:

1.

2.

3.

Identify:Plan to implement these concepts upon your return to your agency:

Resources that will help you implement this plan:

Barriers to the implementation of this plan:

Workshop #2 Name:

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WO

RKSH

OP

#3Post Training Action Plan:

Record three important concepts, ideas, or skills which you plan to take from the training and implement in your work:

1.

2.

3.

Identify:Plan to implement these concepts upon your return to your agency:

Resources that will help you implement this plan:

Barriers to the implementation of this plan:

Workshop #3 Name:

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ETHICS &

BOU

ND

ARIES

Post Training Action Plan:

Record three important concepts, ideas, or skills which you plan to take from the training and implement in your work:

1.

2.

3.

Identify:Plan to implement these concepts upon your return to your agency:

Resources that will help you implement this plan:

Barriers to the implementation of this plan:

Ethics and Boundaries: Biological Roots and Challenges of the New Genetics Dr. David Mays

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SPEAKERS

Patricia DischlerPatricia Dischler, author of Because I Loved You, is a birthmother, early childhood professional, and nationally recognized professional speaker. Through her books and lectures, Patricia provides information to the adults who make a difference in a child’s life, guiding them in this quest.

Laura van Dernoot LipskyLaura van Dernoot Lipsky, founder and director of The Trauma Stewardship Institute, and author of Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others, has worked directly with trauma survivors for more than three decades.

Lisa AndersonLisa Anderson is a licensed social worker who received her Bachelor’s Degree from UW-Green Bay. She started her career helping to reduce the homeless population in Brown County by working to help families’ secure stable housing. For the past 5 years, Lisa has worked in the child welfare field in Marinette County as an initial assessment social worker. In November 2017, she continued her career in helping families by joining the Adoption and Guardianship Support program (AGES). In this role, Lisa supports adoption and guardianship families in reducing family stress and increasing family’s skills to manage challenging behaviors.

KEYNOTES

WORKSHOPS

Frances has been privileged enough to be a part of rolling out Permanency Round Tables as well as training and supporting the Family Find and Engagement model throughout the state. Most recently, she has been a part of developing and supervising the AGES (Adoption and Guardianship Enhanced Support) program.

Jacy Boldebuck Jacy Boldebuck has been the Program Coordinator and Adoption Search Specialist at the Wisconsin Department of Children and Families since 1994. She also works as a psychotherapist at the Madison Veteran Affairs Hospital. She enjoys the pace and human complexities of post-adoption social work and has facilitated thousands of reunions in her career. Every story and reunion still challenges and teaches her. Jacy is honored to play a role in the reunion journey of Wisconsin adoptees. She is a UW Stevens Point Graduate with a Bachelor’s Degree in Communication. She graduated with a MSW in Clinical Social Work in 2007.

Mandi Dornfeld Mandi Dornfeld, Human Development and Family Relationship Educator works for the UW-Extension, and is based in Winnebago County, WI. She has spent the last 20 years of her career working in community-based education, mentoring and empowering families using a strengths-based approach to education and program planning. Mandi believes that every family has strengths to be nurtured and by doing so they will live their best lives. Everyone needs support at some time in their lives and it’s important to model help seeking behavior to build thriving communities. Mandi has a MS from the University of Wisconsin-Oshkosh in Educational Leadership and Policy. She currently lives in the Fox Valley area with her husband and two children.

Frances BassFrances Bass, Advance Practice Certified Social Worker (APMSW), has over 20 years of child welfare experience in Wisconsin. Frances has worked primarily in Milwaukee and Brown Counties. She has spent the last seven years working for the State of Wisconsin Department of Children and Families supervising staff assigned to counties addressing permanency related issues.

Brigit Frank Brigit Frank is the adoptive mom of two beautiful children, Samantha and John. Her son has special health care needs and is the main reason for Brigit’s wish to help other families like hers. Prior to joining Family Voices of Wisconsin Brigit completed LEND, a national, interdisciplinary program developed to improve the health of children with disabilities. Brigit has worked as a marketing manager and a media analyst before making the jump to writing and editing.

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SPEAKERS

Danielle KarnoppDanielle Karnopp graduated with an MSW from UW Madison in 2014 and has since been a program and policy analyst in the Bureau of Permanence and Out of Home Care for the Department of Children and Families. In her role she has worked on initiatives and programs such as Level 5 Exceptional Treatment Foster Homes, Care4Kids, Reasonable and Prudent Parenting, the Interstate Compact on the Placement of Children, Adoption and Guardianship Enhanced Support, and other adoption related issues.

Tracy HengstTracy Hengst is a married, full-time working parent to teen and tween daughters. She has a huge extended family that has given her insight into parenting and how to overcome boundaries when resources are scarce. She’s always excited to share parenting tips and believes that a child’s ability to have a healthy, stable, and productive lifestyle begins in the home.

Kay HietpasKay Hiepas is a mother of five - three boys, ages 24, 22 and 21, and twin daughters who are 18. All five are very unique individuals who require different parenting strategies. Kay holds a Master’s Degree in Counseling, and recently worked as a school counselor at a small private school.

Lynn McLaughlinLynn McLaughlin is the single mom of a daughter, Emma, who was adopted from China. Emma is 18 years old and will be attending her first year of college this fall. Lynn’s biggest revelation as a parent has been in recognizing that it’s ok to say, “I don’t know” and asking for help.

Lynn RennerLynn Renner is a parent of two children, including an adopted daughter and a son with profound disabilities. She has worked with Family Voices for over 9 years and is the newsletter editor and developer of the Family Voices fact sheets for families.

Jennifer Robers Miller Jennifer Robers Miller, M.S. LPC is a licensed professional counselor specializing in infant and toddler mental health, trauma-informed care, and attachment issues. She has been working with children for over twenty years: for Baltimore City Head Start, Birth to 3, a national professional training company, pediatric residential treatment, lecturing at UW Madison, and now works at Northshore Clinic in Sheboygan. She and her husband also have two beautiful adopted sons, and two rescue cats with insecure attachments.

Kimberly A. JohnsonKimberly A. Johnson, LPC practices as a therapist specializing in attachment and adoption issues with Prevea Health in Brown County, WI. She has been working with children and families for the past 20 years in a variety of settings. Kimberly studied Trust-Based Relational Intervention (TBRI) under Drs. Karyn Purvis and David Cross at Texas Christian University in 2011 to become a TBRI Practitioner. Her favorite role in life is being a wife and a mother to four curious, bright, and adventurous children.

Susan RoseDr. Susan Rose joined the University of Wisconsin-Milwaukee faculty in 1992. Her teaching responsibilities are in the areas of mental health and advanced practice. Dr. Rose received her doctorate from the University of Illinois at Chicago, and has extensive clinical experience in community mental health and family-based service-delivery systems in child welfare. Her current research concerns developing effective interventions for incarcerated mothers as they re-enter the community and reconnect with their children. Dr. Rose co-directs the Title IV-E Child Welfare Training Program, providing Master’s and Bachelor’s level education to students interested in careers in public child welfare practice. She is also the director of the Training for Adoption Competency program, offering an in-depth training program (developed by the Center for Adoption Support & Education; C.A.S.E.) for clinicians seeking to enhance their skills in working with all partners in the adoption process.

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SPEAKERS Jeanne Wagner Jeanne Wagner joined the staff at the Helen Bader School of Social Welfare in May 2005 as the Director of Social Work Field Education Programs. She received her MSW from Jane Addams College of Social Work, Chicago, IL. She is a Licensed Clinical Social Worker with extensive clinical, management, and administrative experience. She has worked in a variety of social service settings prior to her appointment with UWM, which include child welfare, adoption (domestic and international), mental health, intellectual disabilities, geriatrics, and private practice. She currently teaches courses in social work, develops and presents continuing education programs covering social work, ethics and boundaries, leadership and supervision, case management, documentation, confidentiality, adoption competency, and safety in the field. She is a trainer for the Training for Adoption Competency (TAC) curriculum through the Center for Adoption Support and Education (CASE) and UWM’s co-director for TAC. She has served in the role of Ombuds for UWM since 2007 and has 10 years of experience in Quality Assurance.

Ted SteinTed Stein is a licensed professional counselor with 23 years of experience. He has extensive and advanced training in attachment and trauma including: Ainsworth Attachment Classification System, Disorganized Attachment, MacArthur & Preschool Assessment of Attachment, Circle of Security Attachment Assessment, Circle of Security Registered Parent Educator, Adult Attachment Interview, Attachment Story-Telling Completion Task, Caregiving Interview, This is My Baby Interview, Trauma-Focused Cognitive Behavioral Therapy, and has been mentored by Dr. Bruce Perry for the past two years in the Neurosequential Model of Therapeutics (NMT). He is currently in Train the Trainer for NMT.

Lisa TuozzoLisa Tuozzo is a licensed social worker who has spent the last 21 years of her career dedicated to working with children and families. She began her career in 1997 focusing on reducing juvenile delinquency recidivism rates through the First Time Juvenile Offenders Program of Milwaukee County. In the year 2000 she began working in Broward County, Florida as an ongoing child protection case manager until she chose to return to Wisconsin in 2001. She continued her passion for working in the child welfare system where she spent 10 years working in Brown County, WI and 5 years in Marinette County, WI as an ongoing child protection case manager. In March 2018 she began working as an AGES social worker where she enjoys assisting adoptive families in receiving guidance and supportive services to maintain the continuity of their family.

Dr. Samantha WilsonSamantha L. Wilson, Ph.D., IMH-E® IV, is Associate Professor of Pediatrics in the division of Child Development at the Medical College of Wisconsin. She is the staff psychologist within the International Adoption Clinic at Children’s Hospital of Wisconsin and provides immediate post-adoption support as well as psychoeducational assessment and therapeutic intervention for internationally adopted children/adolescents and their families. She has authored/co-authored numerous peer-reviewed articles in the areas of early child development and/or adoption, and is a contributing author to two books on the post-adoption development of children adopted internationally. She is an adjunct staff for the Wisconsin-based TIES Adoptive Family Travel program, a heritage travel experience for children and families. Dr. Wilson is currently credentialed within Wisconsin as an Infant Mental Health Mentor (Level IV – Clinical). Along with direct service to children and families, she provides reflective supervision to Early Head Start home visitors within Waukesha and West Bend, WI.