APNA 25th Annual Conference Schedule & Session Descriptions W e d n e s d a y , O c t o b e r 1 9 Pre-Conference Morning Sessions 4.0 contact hours 7:20am – 11:30am Block 1: 7:20am – 9:20am (2.0 contact hours) 1011: The Effects of an Academic Bullying Culture on Nursing Faculty Self-Esteem & Mental Health: A Nursing Care Plan Approach Using PMHN Skills to Support New Nurse Educators (RN) 7:20am – 9:20am

Horizontal violence (or bullying) is well documented in the clinical setting and also in the academic setting. Sadly, the new nurse educator is at risk for experiencing a compounded dose of incivility and bullying which can have a negative impact on self-esteem and mental health. Without support, these new nurse educators may leave the field, thus compounding the educator shortage. This session will present a Nursing Care Plan using PMHN skills that can be used to support our new nurse educator colleagues.

Speaker: Brenda Jahnke, MSN, RN, CNS 1012: Post Traumatic Stress Disorder Mini Course on Assessment, Neurobiology, Symptoms, and Treatment: Basics, Nuances, Complexities, Evidenced based and Anecdotal (RN, APRN) 7:20am – 9:20am

Post Traumatic Stress Disorder is common due high levels of human violence in the U.S. and to the ongoing wars involving U.S. citizens and immigrants. This 2-hr course provides APRNs and RNs with basics needed to asses and treat people with sub-threshold PTSD and chronic complex PTSD. Trauma neurobiology, differential diagnoses, symptom management via counseling, psychotherapies, and psychopharmacology are included.

Speaker: Debby Phillips PhD, PMHCNS-BC 1013: The Art of Change: Implementing a Recovery Centered Culture in Your Program (RN, APRN) 7:20am – 9:20am

A Program's Culture is the environment created by staffs' behaviors and an awareness of their interactions with each other and individuals served. Program culture is created and changed by teaching staff skills in five areas of awareness. Feedback is provided by a Culture Management Tool that measures the culture's effectiveness so you can improve.

Speakers: David Heffron, NHA; Clarissa Townes, RN; Dawn Villa 1014: Evidence-Based Practice and Practice Based “How to’s” for Working with Children in the Autistic Spectrum (RN, APRN) 7:20am – 9:20am

This presentation will inform participants about the postulated causes of autism. It will review interventions to improve the lives of children with autism, both pharmacological and non-pharmacological, including feeding therapy, sensory integration, and social skills training. Upon completion participants will leave with practical (practice and research based) information which will assist them in caring for children in the spectrum.

Speaker: Jane Marie Sulzle, DNP, RN, CNS 1015: Managing Acute and Chronic Medical Illnesses: What Every Psych Nurse Needs to Know (RN, APRN) 7:20am – 9:20am

Users of mental health services experience a wide range of acute and chronic medical illnesses. It is important for psychiatric nurses to be able to recognize, assess and intervene with acute medical conditions. Exacerbations of chronic medical conditions, such as congestive heart failure, and their impact on psychiatric treatment will be discussed.

Speaker: Sara Gilbert, RN, CEN, MACP 1016: Psychopharmacology of Sleep and Chronic Pain / Depression* (RN, APRN) 7:20am – 9:20am

This session will identify the neurophysiological processes governing sleep and wakefulness, explain the prevalence of insomnia and its association with pain, and clarify the differential diagnosis of secondary insomnia related to pain and a rational approach to its evaluation in clinical settings. Attendees will receive guidance in developing a pharmacological treatment plan for the person experiencing depression, pain and sleep pattern disturbance.

Speaker: Geoffry Phillips McEnany, PhD, PMHCNS, BC *Rx contact hours = 2.0 Pre-Conference Morning Sessions (4.0 contact hours) 7:20am – 11:30am Block 2: 9:30am – 11:30am (2.0 contact hours) 1021: Evaluating Student Learning in an Online Environment (RN, APRN) 9:30am – 11:30am

This workshop will address issues related to the evaluation of student online learning and address the pros and cons of various evaluation methods used in online teaching. Strategies for creating or adapting evaluation methods to online teaching will be discussed. Presenters will work with attendees to find workable evaluation methods that correspond to his/her own course or assignment.

Speakers: Merrie Kaas, DNSc, RN, PMHCNS-BC; Linnea Carlson-Sabelli, PhD, PMHCNS-BC 1022: When Words Are Not Enough: The Use of Sensory Modulation Techniques to Replace Self-Injurious Behaviors in Patients with Borderline Personality Disorder (RN) 9:30am – 11:30am

This presentation includes a review of theories regarding the development of dysfunctional coping mechanisms in persons with Borderline Personality Disorder, followed by a survey of current neurobiological research regarding brain changes related to experience. A demonstration of evidence-based techniques for sensory modulation involving replacement of self-injurious behaviors with self-soothing mechanisms through manipulation of the seven senses will ensue.

Speaker: Lita Sabonis BS, BSN, RN, BC 1023: Evidence-Based Nursing Practice: Behavioral Treatment of Persistent Auditory Hallucinations (RN, APRN) 9:30am – 11:30am

This presentation will implement an evidence-based psychiatric nursing practice that teaches individuals how to self-manage auditory hallucinations. It will include an overview of the research that led to the development of a 10 session course; an experiential exercise about hearing voices and applying strategies used in the course; and training for teaching the course.

Speakers: Robin Buccheri, DNSc, RN, MHNP, FAAN; Martha “Marti” Buffum, DNSc, RN, PMHCNS-BC 1024: COPE for Depressed and Anxious Teens: A Cognitive-Behavioral Skills Building Intervention (APRN) 9:30am – 11:30am

This course teaches participants how to implement the 7-session COPE- Teen Cognitive-Behavioral Skills Building Program. Evidence using COPE in both clinic and school settings with individuals and groups has indicated that COPE decreases depression and anxiety as well as increases self-concept in 12–18 yr old adolescents. After this course, participants will be ready to immediately implement COPE.

Speakers: Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN; Pamela Lusk, DNP, RN, FPMHNP-BC 1025: Survival Skills for Family Practice/Primary Care Nurses: Managing the Care of the Complicated Mental Health Patient in the Primary Care Setting (APRN) 9:30am – 11:30am

Treatment of mental health issues in the primary care setting can be difficult to manage. This workshop will address psychopathology, diagnostic criteria and most importantly cognitive behavioral interventions that will help you survive. The theories of Dialectical Behavior Therapy and Self-Determination theory will pave the way for interventions that will help guide your therapeutic interventions and survival skills.

Speaker: Heather Muxworthy, DNP, PMHNP-BC 1026: Guide to Rational Prescribing: Neurophysiology and Drug Mechanisms of Action* (APRN) 9:30am – 11:30am

This session will give a guide to rational prescribing, including a brief review of neuroanatomy & neurophysiology, putative mechanisms of action of psychotropic drugs, and information on integrating symptoms, neurophysiology, and drug action. Case examples and discussion will also be included.

Speaker: Barbara J. Limandri, DNSc, APRN, BC *Rx contact hours = 2.0 Product Theater Lunch – no contact hours provided 11:30am - 1:00pm

"Living with Schizophrenia™: A Call for Hope and Recovery": Special Documentary Screening and Panel Discussion "Living with Schizophrenia" explores the lives of three people with schizophrenia, a chronic brain disorder that can be severe and disabling and often is misunderstood, feared and stigmatized. The documentary reveals their daily struggles, personal insights about the illness, and paths to the mental health recovery process. These are the stories of hope that

aren't making headlines. "Living with Schizophrenia" was funded by and produced by Janssen Pharmaceuticals, Inc. The people featured in the film present their own stories and ideas and were not compensated by Janssen to appear in the film.

Sponsoring Company: Janssen Pharmaceuticals, Inc. Pre-Conference Afternoon Sessions 4.0 contact hours 1:10pm – 5:20pm Block 1: 1:10pm – 3:10pm (2.0 contact hours) 1031: Moving Past YouTube: Engaging and Educating the Millennial Generation (RN, APRN) 1:10pm – 3:10pm

Educating the current generation of nursing students produces frustration and discontent for faculty members who have not fully embraced the challenge. This interactive workshop will focus on shifting the current paradigm of nursing education, challenging educators to encourage the use of texting, social media, blogging, wikis and other collaborative efforts during class and clinical.

Speaker: Kristen Vandenberg, DNP, FNP-BC, FPMHNP-BC 1032: Psychiatric Integrated Practice: Transitioning To a More Complete Psychiatric and Mental Health Clinical Practice for the Nurse Practitioner and Clinical Nurse Specialist (APRN) 1:10pm – 3:10pm

The Homo trancendens model, examples of medical disease states produced by mental disorders, and brain structure induced cascades will be discussed during the first hour of this class. The second section of the class will be "how to" on changing a psychiatric practice into an integrated practice. Tips, tools, tests, resources, and alliances with other practitioners will be covered in detail.

Speaker: M. Joyce Sasse, DNP, PMHNP-BC, PMHCNS-BC, CARN 1033: Recovery Inspired Assault Prevention: Decreasing Aggression through the Active Application of Recovery Principles (RN) 1:10pm – 3:10pm

This presentation will include an overview of recovery principles and how these principles are specifically applicable in the area of assault prevention. Participants will actively practice application of recovery principles to a variety of scenarios and will engage in discussion related to this. At the conclusion of the session, workshop attendees will have tools to apply in practice settings.

Speaker: Sabrina Cito, RN, MSN 1034: CPS and Trauma Informed Care: How Can We Make It Work and How can We Sustain It – A Workshop for People on the Journey Looking to Problem Solve with Others on the Same Path (RN, APRN) 1:10pm – 3:10pm

This course is a discussion forum for participants who are in the process of implementing CPS and trauma informed care. It is designed for in-depth discussion; problem-solving; asking questions & voicing challenges utilizing the shared expertise of participants.

Questions & topic areas can be submitted in advance so that the presenter/group leader can structure the discussion.

Speaker: Kathleen Regan, NE, BC 1035: Therapeutic Brain Stimulation: Past, Present, Future and Critical Issues for Psychiatric-Mental Health Nurses (RN, APRN) 1:10pm – 3:10pm

This course will discuss the reclassification of ECT by the FDA and APNA's position statement regarding this. The safety and efficacy of the following brain stimulation modalities will be examined: TMS, VNS, DBS, EpCS, and tDCS. The history of brain Stimulation as part of psychiatric nursing as well as how it will help shape psychiatric nursing's future will be considered.

Speakers: Cindy Brown, BSN, RN; Berry Anderson, PhD, RN; Gerald Georgette, RN, MSN, CCRC; Mary Rosedale, PhD, PMHNP-BC, NEA-BC; Amy Rust, BSN, RN 1036: Clinical Pearls in Psychopharmacology* (APRN) 1:10pm – 3:10pm

In this course, the audience will participate in a game show format addressing psychopharmacology questions and cases. Topics will include pharmacokinetic and pharmacodynamic drug interactions, pharmacogenetics, adverse drug reactions and management, optimal choices and appropriate tapering of psychotropic medications, and recent updates in psychopharmacology.

Speaker: Mary A. Gutierrez, PharmD, BCPP *Rx contact hours = 2.0 Pre-Conference Afternoon Sessions (4.0 contact hours) 1:10pm – 5:20pm Block 2: 3:20pm – 5:20pm (2.0 contact hours) 1041: How to Create a Supportive Learning Environment for Psychiatric Nursing Students Using Simulation to Orchestrate an Immersion Experience Using Brain/Mind Learning Capacities (RN, APRN) 3:20pm – 5:20pm

A workshop that engages nurses in creating a supportive environment for nursing students using brain mind learning capacities. Participants will actively participate in creating a supportive environment using simulation and principles of brain/mind capacities.

Speaker: Ora Robinson, RN, CNE, PhD 1042: Informatics 101: Core Informatics Competencies for Psychiatric-Mental Health Nurses (RN) 3:20pm – 5:20pm

This workshop provides an opportunity to explore and develop core informatics competencies relevant to psychiatric-mental health nursing. Participants will learn basic computer and information literacy skills including how to effectively harness the power of the world-wide-web for evidence-based practice. Hands-on activities engage learners in collaborative action planning for practical application of informatics knowledge and skills in clinical and educational settings.

Speaker: Wanda Robinson, MSN

1043: Assessing and Managing the Risk of Violence and Dangerousness in the Context of Significant Mental Health Problems (RN, APRN) 3:20pm – 5:20pm

This session explores the complex area of assessing for risk of potential violence, in the context of significant mental health problems, and developing sophisticated risk management strategies. Focusing on practical skills and using a wide variety of educational materials, it will also address key educational issues that will help participants integrate a solid evidence base into their practice.

Speakers: Chris Hart, MA, RMN, RN; Tony McGranaghan, MSc (CBT), RMN, Dip MDO 1044: Emergency Room Care of the Psychiatric Patient: Selected Topics from the APNA/ENA Educational Collaborative Project (RN, APRN) 3:20pm – 5:20pm

Members from APNA and ENA have been working collaboratively for the past 5 years to produce an online educational product that focuses on the care of psychiatric patients while in the emergency room. In this session, committee members, authors and editors from the collaborative will present content from the modules on Safety Issues, Suicide Assessment and Innovative Practices regarding psychiatric patients in the emergency room.

Speakers: Marlene Nadler-Moodie, MSN, APRN, PMHCNS-BC; Jolie Gordon-Browar, MSN, RN-BC, PMH; Sara Barr Gilbert RN, CEN, MACP; Diana Haines MSN, RN, CEN 1045: The Changing Landscape of Schizophrenia Genetics: Implications for Nursing (RN, APRN) 3:20pm – 5:20pm

Knowledge of the genetic landscape of schizophrenia is still incomplete, but a model is emerging which includes both rare and common variants, epistatic interactions, multifactorial thresholds, and environmental risk factors. Content provided in this course will establish a foundation on which to build future learning about how to translate knowledge of schizophrenia genetics into clinical care of patients and families.

Speaker: Nancy Buccola, MSN, PMHCNS-BC, CNE 1046: Psychopharmacology, Recovery, and Trauma-Informed Care: Opportunities, Challenges, and Pitfalls* (RN, APRN) 3:20pm – 5:20pm

Implementing recovery principles with an eye toward trauma-informed care often causes a significant shift in thinking and approach for the clinician that can be challenging but offers great opportunities and rewards. This presentation will examine prescriptive practice in the context of recovery principles and identify pitfalls that may re-traumatize the individuals we serve.

Speaker: Mary Ann Nihart, MA, PMHNP-BC, PMHCNS-BC *Rx contact hours = 2.0 1001: Opening Program and President’s Address 6:00pm – 8:15pm

APNA 25th Anniversary Commemorative Address Special Guest: Grayce Sills, RN, PhD, FAAN

President’s Address 1.0 contact hour

APNA President: Carole Farley-Toombs, MS, RN, NEA-BC Annual Award Presentation

Psychiatric Nurse of the Year: Barbara L. Drew, PhD, APRN, BC 25th Anniversary Reception (with light buffet) 8:30pm – 10:00pm Tickets/Donation: $50 Continue the celebration after the Opening Program and Keynote Address at this American Psychiatric Nursing Foundation (APNF) event. Enjoy a light buffet dinner while networking with your colleagues and fellow APNA enthusiasts. Your $50 tax deductible donation will go toward the Foundation’s research grant program, in support of current and future researchers in psychiatric mental health nursing.

T h u r s d a y , O c t o b e r 2 0 Product Theater Breakfast – no contact hours provided 6:00am – 7:30am

Opportunities in the Treatment of Schizophrenia: Review of an Atypical Antipsychotic Agent Sponsoring Company: Sunovion Pharmaceuticals Inc.

2001: Keynote Presentation 1.0 Contact Hours 8:00am – 9:00am

Caring Science and Psychiatric Nursing: Relationship and Emergence of Human Spirit This presentation will focus on transforming self and system within the context of Watson’s Theory of Human Caring in practice and research. It will explore the relationship between Caring Science research and science of the Heart and emergence of human spirit, as relevant to psychiatric-mental health nursing practice and clinical inquiry. The Caritas Processes of the theory restore Love, Compassion, and Heart-centered spirit-to-spirit human intersubjective connections, for more meaningful and purposive practices and forms of inquiry. Experiential and intellectual experiences will be shared so participants can personally benefit. Exemplars will be offered to demonstrate how the theory is being implemented (www.watsoncaringscience.org).

Keynote Speaker: Jean Watson, PhD, RN, AHN-BC, FAAN

Annual Awards Presentation Award for Excellence in Education: M. Jane Suresky, DNP, PMHCNS-BC Award for Excellence in Practice - RN-PMH: Marcia Melby, RN-BC, PMH

Award for Excellence in Practice - APRN: Patricia Cunningham, DNSc, APN, PMHNP/CNS-BC, FNP-BC

Concurrent Sessions 2.25 Contact Hours 9:15am – 11:50am Block 1: 9:15am – 10:00am (.75 contact hours) 2011: (UNDERGRADUATE EDUCATION TRACK) Using Gardner's Multiple Intelligences Theory in Classwork to Engage Undergraduate Nursing Students (RN) 9:15am – 10:00am

Discover creative learning activities to use in an undergraduate nursing course. Nurse educators will learn fun and educational learning assignments for in and out of the psychiatric nursing classroom. Engage students with crayon work, mental health promotion posters, and media projects based on Gardner’s Multiple Intelligences Theory.

Speaker: Janet Somlyay, DNP, CPNP-AC/PC, CNE, PMHNP-BC 2012: (ADMINISTRATION TRACK) 5150 Task Force: A Community Response to a County Mental Health Crisis (RN, APRN) 9:15am – 10:00am

This presentation outlines the formation, successes and challenges faced by a multi-county, multi-stakeholder 5150 Task Force developed in response to the closure of a large county mental health crisis unit.

Speakers: Jolie Gordon-Browar, MSN, RN-BC, PMHN; Lynne Ashbeck, MS, RD 2013: (RECOVERY TRACK) The Language of Recovery: ‘Making it Real’ for Patients, Families and Colleagues (APRN) 9:15am – 10:00am

Using the principles of recovery, an interactive, educational program will be presented using the process of reflective practice to deconstruct the recovery model; looking specifically at the role language plays in understanding the recovery model in mental health care. Participants will be prompted to internally investigate, analyze and critically evaluate their current belief system and daily practice habits.

Speaker: Kris Lambert, PhD, RN 2014: (CHILD & ADOLESCENT TRACK) Cardiometabolic Side Effects of Risperidone in Children with Autism (APRN) 9:15am – 10:00am

This course will provide an overview of lipocentric cardiometabolic side effects of risperidone in children diagnosed with autism in a recent clinical trial. An interactive discussion of lipocentric pathophysiologic changes related to obesity, insulin resistance and fatty liver disease will include associated office-based screening measures. In conclusion a preliminary pediatric screening schedule to monitor risperidone treatment in the office.

Speaker: Susan Boorin, PhD(c), MSN, PMHNP-BC 2015: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) Managing Metabolic Syndrome in a Partial Hospitalization Program: A Feasibility Study (RN, APRN) 9:15am – 10:00am

This study incorporates 3 additional components into the infrastructure of a partial hospitalization program 1) a locally developed curriculum targeting Asian Americans and Pacific Islanders (SugarWatch) shown to be successful in improving risk factors for metabolic syndrome in a worksite study; 2) structured physical activity; and 3) healthy food demonstrations during group lunch.

Speakers: Renee Latimer, MS, MPH, PMHCNS-BC; Rose Clute, MS, PMHCNS-BC 2016: (MILITARY TRACK) Understanding and Preventing Suicide among Military and Veterans (RN, APRN) 9:15am – 10:00am

Description of retrospective data on suicide risk factors, assessment, methods of suicide, intervention are described. Role of nurses in detecting and preventing suicide is examined. Barriers nurses report in managing suicide risk are discussed.

Speaker: Sharon Valente, PhD, PMHCNS-BC 2017: (CAPACITY TO CARE TRACK) Nurse Capacity to Care for Mental Health Patients (RN, APRN) 9:15am – 10:00am

This original research, conducted at three Southern California hospitals, examined non-psychiatric nurses’ perceived competencies to assess and care for persons with mental health needs hospitalized on non-psychiatric units. A 31-item instrument administered through on-line delivery method yielded responses from 833 nurses; nurse-indicated strengths and weakness were identified. Results will be used as a basis for further clinical education.

Speaker: Elizabeth Winokur, RN, MSN, PhD(c), CEN Concurrent Sessions (2.25 Contact Hours) 9:15am – 11:50am Block 2: 10:10am – 10:55am (.75 contact hours) 2021: (UNDERGRADUATE EDUCATION TRACK) Using Psychiatric Practitioner Memoirs as a Teaching Strategy (RN, APRN) 10:10am – 10:55am

Reading memoirs by psychiatric practitioners is a valuable learning activity. Fourteen memoirs were reviewed for clinical accuracy, clinical relevancy, positive role-modeling, patient advocacy, and promotion of a positive image of nursing. Reactions to two of the books used has been very positive; recommendations are given for using selected memoirs as a learning activity in the university or staff development setting.

Speaker: Joan Masters, EdD, MBA, APRN, PMHNP-BC 2022: (ADMINISTRATION TRACK) Standing Up to Sitter Costs (RN, APRN) 10:10am – 10:55am

Use of sitters is sometimes viewed by nurses as a magical response to patient safety needs, absolving them of care responsibilities. Despite its routine and extensive use, there is no clear-cut evidence that continuous one-to-one observation is the only means of providing safe care. This hospital developed a multidisciplinary approach to reducing costs without compromising patient, staff, and unit safety.

Speaker: Beverly Hatch, RN-C, MS

2023: (RECOVERY TRACK) Suicide and Co-Occurring Disorders: A Personal Perspective (RN, APRN) 10:10am – 10:55am

This presentation identifies significant factors in development of and recovery from co-occurring disorders of Kleinfelter’s Syndrome, Personality Disorder, Major Depression, severe and persistent drug and alcohol abuse, and suicide intended life threatening self injury. Individual issues of chronic medical diseases, major mental disorders, personality disorders, and drug, alcohol, and inhalant chronic use can be overwhelming for client and service provider.

Speakers: Dale Knode, RN, BS, HSAD; Jeff Bayless (Survivor) 2024: (CHILD & ADOLESCENT TRACK) Predicting Treatment Response of Adolescents with Serious Emotional Disturbance (RN, APRN) 10:10am – 10:55am

Adolescents with disruptive disorders are often misdiagnosed and underserved. There is an urgent need to better understand strengths-based factors associated with treatment response in order to guide interventions to help them achieve their full potential. This 12-month longitudinal study examined whether changes in adolescent personal strengths and family functioning are associated with changes in adolescent behavioral and social functioning.

Speaker: Ukamaka Oruche, PhD(c), MSN, PMHCNS-BC 2025: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) Risk Factors of Metabolic Syndrome in Patients with Severe Mental Illness (RN, APRN) 10:10am – 10:55am

This presentation will present data from a prospective chart review study looking at the risks for metabolic syndrome in patients admitted to acute psychotic disorder units. Risk factors pertinent to this group will be reviewed and the lack of interface between psychiatry and primary care will be discussed. Recommendations will be made for future studies and interventions.

Speakers: Catherine Coakley, MS, RN-BC; Paula Bolton, MS, RN/NP 2026: (MILITARY TRACK) Loss, Grief and Military Life (RN, APRN) 10:10am – 10:55am

Grief related to loss, is an integral, often unrecognized component of military family life. Unrecognized and unmitigated grief has the propensity to amplify physical, psychological and psychosocial challenges that present in the clinical setting. Early recognition, acknowledgement and the normalizing of grief as part of the healing process will enhance the quality of care provided for the military family member.

Speaker: Martha Suarez, MS, BSN, RN 2027: (CAPACITY TO CARE TRACK) Psychiatric Nurses’ Attitudes toward Hospitalized Patients Diagnosed with Borderline Personality Disorder Experiencing Self Harm Issues and Implications in Clinical Nursing Practice (RN, APRN) 10:10am – 10:55am

This presentation will address research conducted on psychiatric nurses' attitudes toward patients diagnosed with Borderline Personality Disorder experiencing self harm issues. The findings indicated years of psychiatric nursing service and education were significant factors influencing attitudes. Implications of these findings on psychiatric nurses' clinical practices and its impact on patient outcomes and treatment will be discussed.

Speaker: Judith Hauck, DNP, RN, PMHCNS-BC, CCDP, Diplomate Concurrent Sessions (2.25 Contact Hours) 9:15am – 11:50am Block 3: 11:05am – 11:50am (.75 contact hours) 2031: (UNDERGRADUATE EDUCATION TRACK) Use of Simulation in Psychiatric Mental Health Nursing Education: Students’ Experiences of Hearing Voices that are Distressing (RN, APRN) 11:05am – 11:50am

Nursing students routinely encounter clients with major mental illnesses who experience auditory hallucinations; often these voices are distressing to the client. Since this is such a subjective experience, it is a difficult concept for students to understand. The use of a simulation experience gives students a deeper understanding of the difficulties patients who hear voices face daily.

Speakers: Evelyn J. Norton, RN, DNP, CNL, NEA-BC; Ann Filipski, RN, PsyD, PMHCNS-BC; Mary Janet Dahm, RNC, PsyD 2032: (ADMINISTRATION TRACK) A Violence Prevention Model for Acute Behavioral Health Care (RN, APRN) 11:05am – 11:50am

The presentation will outline the five year process in the development an innovative violence prevention model. The history of the initial performance improvement project, data on employee injuries and episodes of seclusion and restraint and the multifaceted model will be reviewed. The data presented will demonstrate a significant decrease in employee injuries and seclusion and restraint episodes.

Speaker: Ann Taylor-Trujillo, EdD, RN 2033: (RECOVERY TRACK) Road to Behavioral Health Recovery: A National Action Plan for Wellness (RN, APRN) 11:05am – 11:50am

People with mental illnesses die up to 25 years earlier than the general population. They have rates two or three times higher for many chronic conditions. This presentation explains SAMHSA’s 10x10 Wellness Campaign, which addresses these health disparities and aims to increase life expectancy by 10 years in 10 years through comprehensive, holistic approaches to physical and behavioral health care.

Speakers: Wilma Townsend, MSW; Beverly Gallauresi, MPH, RN 2034: (CHILD & ADOLESCENT TRACK) Pediatric Psychiatric/Behavioral Emergencies in the Emergency Department: Urgency, Safety, Service and the Need for Advanced Practice Psychiatric Nurses (APRN) 11:05am – 11:50am

Emergency Departments (ED) have seen a significant increase in children presenting psychiatric/behavioral problems like: child abuse/neglect, family violence, aggression, suicide, self-mutilating/self-injury, substance abuse, and mood disorders. Psych APRNs can partnership with ED nurses to provide the support and expertise necessary to assess safety, suicide, and aggression risk; evaluate psychiatric symptoms, apply behavioral management strategies in the ED setting, and referral.

Speakers: Ronda Franke, MSN, CPNP; Vanessa Genung, PhD, RN, PMHNP-BC, LCSW-ACP, LMFT, LCDC, Sue M. Odegarden, MA, MS, BSN, RN 2035: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) What’s going on in There? The Truth about Drug-drug Interactions (RN, APRN) 11:05am – 11:50am

Polypharmacy in psychiatric care is common in today’s healthcare arena. Along with polypharmacy comes a higher incidence for drug-drug interactions and decreased medication effectiveness. Strategies to avoid such interactions and provide optimal care will be discussed.

Speaker: Stephanie Plummer, DNP, APRN, PMHNP-BC, FNP 2036: (MILITARY TRACK) Understanding the Impact the Perpetrator/Victim Relationship Has on Unwanted Sexual Experiences (RN, APRN) 11:05am – 11:50am

The in progress study examines the perpetrator/victim relationship (e.g. intimate partner, non intimate known, stranger) and the sequelae (e.g. depression, anxiety, PTSD) known as rape trauma. The perpetrator/victim relationship, and coping are important to consider when assessing victims; information leading to more effective treatment outcomes may be realized.

Speaker: Carrie Carretta, PhD(c), APN, AHN-BC, FPMHNP-BC 2037: (CAPACITY TO CARE TRACK) Implementation of an Evidenced Based Self Injury Prevention Protocol: Lessons Learned (RN) 11:05am – 11:50am

The Challenge for psychiatric nurses dealing with patients who self injure is to assist them therapeutically to manage their self injurious behaviors. It is important to do so in an evidenced based, quality focused and cost effective way. This presentation will present one behavioral health hospital's innovative evidenced based Self Injury Prevention Protocol and the Lessons Learned by nursing staff throughout the implementation.

Speakers: MaryJo Sobotka, BSN, BC; Pauline Portell, RN 2002: Symposium Luncheon 1.5 Contact Hours 12:00pm – 1:30pm

Strategies for Achieving Remission of Major Depressive Disorder This luncheon symposium will actively engage participants in evaluating their current clinical practices, identifying areas for improvement in the management of major depressive disorder (MDD), and planning to make positive changes in order to improve patient outcomes. The faculty will consist of 3 experts in MDD who will address real-life scenarios encountered in the clinical setting. The session will discuss: The Undertreatment of MDD – Why It Happens and What It Causes, Putting the New APA Guidelines into Practice: Acute Phase Treatment, and Achieving Remission in Difficult-to-Treat Patients. Didactic presentations, case studies, panel discussions, and peer-to-peer activities will be interwoven throughout to create an engaging and compelling session.

Chair: Barbara Jones Warren, PhD, RN, CNS-BC, PMH Faculty: Denise Vanacore, PhD, CRNP, ANP, PsyNP, APRN, BC; Madhukar Trivedi, MD

Sponsor: This educational activity is provided by the Boston University School of Medicine and co-provided by In 2 MedEd, LLC.

Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Supporter: This activity is supported by an unrestricted educational grant from Otsuka America Pharmaceutical, Inc.

Exhibit Hall Open 1:30pm – 5:00pm Poster Presentations 3.0 Contact Hours** 1:30pm – 4:30pm ** The total number of contact hours that will be awarded for poster presentations is 3 contact hours. Time spent on Thursday afternoon and Friday morning can be combined to achieve the full amount. Interactive Panels 1.5 Contact Hours 4:30pm – 6:00pm 2041: APRN Interactive Session 2011: APRNs in the Midst of Change (APRN) 4:30pm – 6:00pm

APRN Licensure, Accreditation, Certification and Education (LACE) are in the midst of change. This interactive session will provide a presentation and interactive discussion of educational options and opportunities for PMHAPRNs as we move forward. There will be opportunities for members to share the latest information about any changes in their state legislation. Come prepared to contribute to an informative session!

Speakers: Leslie Oleck, MSN, RN, PMHCNS-BC, LMFT; Angela Retano, MA, RN, MSN, PMHNP- BC 2042: RN-PMH Council Interactive Session (RN) 4:30pm – 6:00pm

Are you a Bachelors, Associates or Diploma prepared nurse? The RN-PMH Council is your chance to network with professional colleagues from around the country who share common goals, concerns and practice settings. Come join us to discuss the issues…staffing, education, scope and standards of practice, with RN-PMH nurses who understand.

Speakers: Jolie Gordon-Browar, MSN, RN-BC, PMHN; Jim Shearer, APRN, PMHCN-BC 2043: Recovery-oriented Nursing Practice: An Update on the Recovery to Practice Project (RN, APRN) 4:30pm – 6:00pm

The Recovery to Practice panel will highlight the work of the task force during the last year. The situational analysis process and its discoveries will be discussed within an interactive format. The proposed plan for curriculum development will be unveiled.

Speakers: Mary Ann Boyd, PhD, DNS, PMHCNS-BC; Georgia Stevens, PhD, PMHCNS-BC 2044: Child and Adolescent Council Interactive Panel (RN, APRN) 4:30pm – 6:00pm

Review the development, goals, and activities of the APNA newly formed Child and Adolescent Council.

Speaker: Vanessa Genung, PhD, RN, PMH-NP, LCSW-ACP, LMFT, LCDC 2045: Creating a Research Support Hub for APNA (Research Council Interactive Panel) (RN, APRN) 4:30pm – 6:00pm

The Co-Chairs of the Research Council will provide an overview of the essential elements of grant preparation. The APNF grant criteria will provide the framework for this session. Didactic presentation and small and large group discussions will support an interactive format. The facilitators will engage the audience in applying the APNF criteria to proposals for critique and refinement.

Speakers: Linda Beeber, PhD, APRN, BC, FAAN; Danny Willis, DNS, APRN, CNS-BC; Jane S. Mahoney, PhD, RN, PMHCNS-BC; Daryl Sharp, PhD, APRN, BC, FNAP Product Theater Dinner – No contact hours provided 7:00pm – 8:30pm

Long-Acting Injectable Therapies in Schizophrenia: A Conversation with Your Patients about Therapeutic Options

This interactive educational program will feature two leaders in the field of schizophrenia demonstrating through role-play and audience participation effective techniques for offering long-acting injectable therapy (LAT). The potential benefits of introducing LATs earlier in the course of schizophrenia treatment for appropriate patients, as well as the risks associated with LAT, will be discussed. The approaches and barriers to offer and acceptance of LATs will be demonstrated and practiced through specific patient scenarios.

Sponsoring Company: Janssen, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc.

F r i d a y , O c t o b e r 2 1 3001: Keynote Presentation 1.0 Contact Hours 8:00am – 9:00am

Shaping the Future of Behavioral Health Keynote Speaker: Administrator Pamela S. Hyde, JD

Annual Award Presentation

Award for Distinguished Service: Shirley A. Smoyak PhD, RN, FAAN Exhibit Hall Open 8:30am – 11:15am Poster Presentations 3.0 Contact Hours** 8:30am – 11:15am ** The total number of contact hours that will be awarded for poster presentations is 3 contact hours. Time spent on Thursday afternoon and Friday morning can be combined to achieve the full amount.

Concurrent Sessions 1.5 Contact Hours 11:15am – 12:55pm Block 1: 11:15am – 12:00pm (.75 contact hours) 3011: (PRACTICE & RESEARCH TRACK) Social Networking for Psychiatric and Mental Health Nurses (RN, APRN) 11:15am – 12:00pm

Social networking has the ability to provide education, foster advocacy, and influence mental health policy. Developing guidelines that comply with practice acts, promote professionalism, and maintain privacy are imperative for psychiatric mental health nurses. This session presents an overview of social media outlets and impact, reviews published position statements from other disciplines, and recommends best practices for professional use.

Speakers: Jaclyn Engelsher, RN-BC, APRN, FNP-BC, DOM; Tanitha Moncier, FNP 3012: (GRADUATE EDUCATION TRACK) Developing Video Cases for Interdisciplinary Depression Training (RN, APRN) 11:15am – 12:00pm

Session will describe an innovative interdisciplinary collaboration to develop video case-based training materials designed to improve assessment and treatment of depression. Presenters will describe competencies targeted by these training materials and discuss cultural and lifespan issues illustrated in the cases. Excerpts from case videos will be presented as examples of how assessment and treatment issues are addressed.

Speakers: Bethany Phoenix, PhD, RN, CNS; Sandra Weiss, PhD, DNSc 3013: (RECOVERY TRACK) Walking the Talk of Recovery: Staff Language as an Indicator (RN, APRN) 11:15am – 12:00pm

The recovery process requires forming connections and is often less about the treatment individuals receive and more about the way they are treated. The language staff uses can reflect a collaborative relationship or a “them vs. us” relationship that implies a culture of power and control and hinders the creation of a positive healing culture.

Speakers: Amy Rushton, RN, MSN, PMHCNS-BC; Sally Garrett, MSN, RN-BC 3014: (OLDER ADULTS TRACK) Clinical Decision Making to Manage Disruptive Behavior in Older Adults: What Psychiatric Nurses Say They Do vs. What They Document (RN) 11:15am – 12:00pm

This study examined the clinical decision making used by psychiatric nurses’ to manage behavioral symptoms in older adults on two geropsychiatric units in the Midwest. Although nurses reported that the use of PRN medications was a "last resort" and the use of nonpharmacologic interventions was common, a chart audit revealed contrary results. Implications for psychiatric nursing will be discussed.

Speaker: Pam Lindsey, DNSc, RN 3015: (WOMEN’S HEALTH TRACK) Developing a Doula Intervention for Postpartum Depressive Symptoms (RN, APRN) 11:15am – 12:00pm

Doulas provide birth and postpartum support; and may help decrease postpartum depressive symptoms (PPD) by helping women identify signs of PPD, get treatment, and respond sensitively to their infants. Use of focus groups of doula trainers, doulas, and mothers to develop accurate, culturally sensitive educational materials for new mothers about PPD will be described. Sample materials developed will be presented.

Speakers: Judith Fry McComish, PhD, RN; Carla Groh, PhD, PMHNP-BC; Judith Moldenhauer, MFA 3016: (INPATIENT TRACK) The Effect of Weighted Quilts on Sleep in Patients with Depression, Anxiety or Bi-polar Disorder. A Pilot Study. (RN, APRN) 11:15am – 12:00pm

Deep touch pressure of the weighted quilt may provide a non-pharmacological intervention to promote sleep. A within-person control design was used to examine 13 subjects whose primary diagnosis was depression, anxiety or bi-polar disorder, and the effect of a weighted quilt on objective (ActiWatch®) and subjective (questionnaire) measures of sleep. Summary results of the study will be shared.

Speakers: Jolene Laurence, RN-C, MS; Marjie Gruenberg, RN, BSN, MS 3017: (MUSIC INTERVENTIONS TRACK) Gaga or Gershwin? What Every Psychiatric Nurse Needs to Know about Influence of Music on Emotion, Cognition, and Behavior (RN, APRN) 11:15am – 12:00pm

The psychotherapeutic properties of music are well-known, but is all music the same? For example, should we restrict certain styles of pop music for young people who exhibit self-destructive behaviors, or promote the use of "new age" music for depressed adults? In this multimedia presentation, the neuroprocessing of musical forms will be explained with clinical recommendations for the psychiatric nurse.

Speaker: David Horvath, PhD, PMHNP-BC Concurrent Sessions (1.5 Contact Hours) 11:15am – 12:55pm Block 2: 12:10pm – 12:55pm (.75 contact hours) 3021: (PRACTICE & RESEARCH TRACK) Research Panel Presentations (RN, APRN) 11:25am – 12:10pm

This session will involve two 15-minute presentations by two separate presenters. Following these presentations, there will be 15 minutes for discussion and/or questions.

Effect of the Practice Environment and Psychiatric Nurse Staffing levels on Patient Outcomes

The study of psychiatric nurse staffing issues is a critical step toward understanding psychiatric inpatient quality of care concerns. The study reported in this paper is the first U.S. study to examine the association between the quality of the work environment, psychiatric nurse staffing and patient outcomes.

Speaker: Nancy Hanrahan, RN, PhD, FAAN Mental Health Workforce Reinvestment Program: Innovations in Human Capital Building and Staff Development

This presentation will address one public hospital’s experience during the healthcare economic crisis that resulted in mental health workforce reduction in a major inner city hospital. Using a combination of a two-pronged evidence-based scholarly approach to staff development, the hospital’s psychiatric nurse leaders turned a workforce crisis into an opportunity for continued learning, professional growth, and staff retention.

Speaker: R. John Repique, MS, RN, NEA-BC 3022: (GRADUATE EDUCATION TRACK) Educating PMH BS-DNP Students: Putting Back the Patient’s Story into our Practice (APRN) 12:10pm – 12:55pm

This presentation will review the opportunities and challenges faced by faculty who are developing PMH BS-DNP clinical courses. The innovative development of this first clinical course with a focus on clinical interviewing, storytelling theory, the patient’s narrative and reflective practice will be discussed. The presenters will discuss the successes and challenges of this clinical course.

Speakers: Dawn Vanderhoef, PhD(c), DNP, RN, PMHCS/NP-BC; Merrie Kaas DNSc, RN, CS 3023: (RECOVERY TRACK) Meaningful Connections: Therapeutic Relationships Transform the Patient Experience (RN) 12:10pm – 12:55pm

Through the integration of the nursing scope and standards of practice, specifically the importance of therapeutic relationships, an innovative process called Meaningful Connections was implemented. This resulted in exceptional outcomes in patient satisfaction and patient safety. In this presentation you will learn how to implement Meaningful Connections and how to improve your patient outcomes an experience through this practice.

Speakers: Cheryl Odell, MSN, RN NEA-BC; Cindy Murphy, MPH; Loralie Woods, MSN, RN; Debra J. Williams, RN 3024: (OLDER ADULTS TRACK) Resourcefulness Training for Grandmothers: Establishing Fidelity (RN, APRN) 12:10pm – 12:55pm

Although grandmothers raising grandchildren can benefit from effective interventions, such as resourcefulness training (RT), to minimize stress that may adversely affect their mental health, it is first necessary to establish intervention fidelity. This pilot study examined fidelity of two RT methods: journaling and digital recording. The results suggest the implementation fidelity of RT using either method support examining its effectiveness.

Speaker: Jaclene A. Zauszniewski, PhD, RN-BC, FAAN 3025: (WOMEN’S HEALTH TRACK) Reproductive Psychiatry: A Lifespan Approach to the Treatment of Women’s Mental Illness (APRN) 12:10pm – 12:55pm

This presentation will explore gender-based differences in mental illness, and discuss neurobiologically-based etiology, reproductive physiology, and evaluation and treatment approaches to women's psychiatric treatment across the lifespan.

Speaker: Bobbie Posmontier, PhD, CNM, PMHNP-BC 3026: (INPATIENT TRACK) Sensory Room: Reducing Violent Behavior and a Viable Alternative to Seclusion and Restraints? (RN, APRN) 12:10pm – 12:55pm

Emerging evidence shows that sensory modalities can reduce restraint use. We developed a Sensory Room as a QI project to determine if this would significantly impact aggressive behaviors and the need for seclusion and restraint in our acutely ill population. We will present the data from this project and review our ongoing efforts to find creative alternatives to restraints.

Speaker: Janice Adam, RN-BC; Timothy Meeks, RN-BC, BSN 3027: (MUSIC INTERVENTIONS TRACK) An Exploration of Possible Applications of Recreation Music-making Using the HealthRHYTHMS Protocol in Mental Health Nursing Practice (RN, APRN) 12:10pm – 12:55pm

Recreational music-making using the 10-step HealthRHYTHMS protocol shares many therapeutic factors with psychiatric nursing practice. Common therapeutic factors include stress-reduction, support, spirituality and self-expression. This presentation will explore these commonalities as well as the unique features of this group intervention and the potential applicability of this protocol to a wide variety of psychiatric nursing practice settings.

Speaker: Kirk Bergmark, APN, PMHCNS-BC Lunch on your own 1:00pm – 2:15pm Concurrent Sessions 1.5 Contact Hours 2:15pm – 3:55pm Block 1: 2:15pm – 3:00pm (.75 contact hours) 3031: (UNDERGRADUATE EDUCATION TRACK) A Community Partnership Approach to Enhancing Psychiatric Nursing Education: Results of a Demonstration Project (RN, APRN) 2:15pm – 3:00pm

Nursing schools, psychiatric facilities, and community mental health providers in Houston have collaborated to create an enhanced psychiatric nursing clinical rotation model that is based on the client’s “journey.” Implemented to date at two schools of nursing, this session will provide a description of the collaborative process, an overview of the model, and findings from both student and staff evaluations.

Speakers: Charlzetta McMurray-Horton, RN-BC, BSN, MS; Shana Westerfield, RN, PhD, MBA, MS, MEd, PMHNP-BC 3032: (GRADUATE EDUCATION TRACK) Got Faculty? Transitioning Advance Practice Nurses into Faculty Roles (APRN) 2:15pm – 3:00pm

Due to the critical nursing faculty shortage nursing schools are forced to turn away qualified applicants (AACN, 2010). Partnering academia with APN’s from PMH practice fills the critical nursing faculty shortage, is a natural extension of a practice role and addresses the recent IOM report (2010) that emphasizes nurses practicing to the full extent of their education and training. This presentation will discuss strategies designed to promote and ease the transition of APN’s to PMH faculty roles.

Speakers: Grace Wlasowicz, PhD, RN; Debra Kloesz MS, RN, CNE-BC

3033: (RECOVERY TRACK) Internet-Based Partnerships in Recovery: The Time Has Come! (RN, APRN) 2:15pm – 3:00pm

eCare is an Internet-based care management and self management program for patients with recurrent or chronic depression integrated with usual specialty mental health care. It partners nurses with patients and families and the treatment team to manage depression. We will describe the program and report the findings of the randomized clinical trial.

Speakers: Yvonne Porterfield, MSN, PMHCNS-BC; Anne Klevay MSN, PMHCNS-BC 3034: (OLDER ADULTS TRACK) Cultural Comparison of Individual Characteristics and Relocation Factors Affecting Adjustment in American and Egyptian Older Adults (RN) 2:15pm – 3:00pm

Relocation can be a positive or a negative experience depending on many factors. The study compared factors affecting adjustment in relocated American and Egyptian older adults and explored the relationships among these factors and elders’ adjustment. The study will inform the potential development of interventions that that help American and Egyptian elders to adjust to relocation.

Speaker: Abir Bekhet, PhD, RN, H.S.M.I. 3035: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) Improving Physical Health Care in Community Mental Health Centers: YOU WANT ME TO DO WHAT?? (APRN) 2:15pm – 3:00pm

Collaborative project that demonstrates the development, implementation and sustainability efforts to provide integrated care for persons with co morbid physical and mental illness in Community Behavioral Health Centers. A PMHCNS-BC and two psychiatric NP graduate students provided onsite training, consultation and technical assistance for 3 common disorders. The project was sponsored by NAMI-Ohio and the State Department of Mental Health.

Speakers: Jeanne Clement, EdD, PMHCNS-BC, FAAN 3036: (INPATIENT TRACK) Managing Violence and Abuse at the Bedside: The Role of the Psychiatric Liaison Nurse (RN, APRN) 2:15pm – 3:00pm

How psychiatric liaison nurses successfully advocated for a hospital-wide interdisciplinary Behavioral Action Response Team that nurses could contact to initiate a mandatory unit-based clinical care conference intervention. This process can control or prevent dangerous, disruptive or demeaning behaviors by patients and visitors toward direct care nurses. Necessary details and possible obstacles to such plans will be provided.

Speakers: Michael Presser, PMHCNS-BC; Carol Rogers, PMHCNS-BC, PhD 3037: (PRACTICE TRACK) Evaluation of the Interactive Screening Program at an Urban Health Services University (APRN) 2:15pm – 3:00pm

There is increased attention in academic, healthcare and mainstream literature regarding college students who present with mental illness. The Interactive Screening Program, developed by The American Foundation of Suicide Prevention is a web-based screening method used to identify college students at risk for depression and suicide. Implementation and outcome results of this program at one university setting is described.

Speaker: Katherine Lucatorto, MSN, RN

Concurrent Sessions (1.5 Contact Hours) 2:15pm – 3:55pm Block 2: 3:10pm – 3:55pm (.75 contact hours) 3041: (UNDERGRADUATE EDUCATION TRACK) Interprofessional Education as a Framework for Teaching Interpersonal Communication Skills (APRN) 3:10pm – 3:55pm

Presentation will provide benefits of an interprofessional education learning environment for undergraduate nursing students. Peplau’s interlocking operations observation, communication, and recording relevant to the nursing process will be discussed. Teaching strategies will be described pertinent to an interprofessional education learning environment and grounded in Peplau’s theory of interpersonal communication.

Speakers: Marian Farrell, PhD, PMHNP-BC, PMHCNS, BC; Gerianne Barber, NCC, LPC, CRC; Barbara Buxton, PhD, MS, BS 3042: (GRADUATE EDUCATION TRACK) Psychiatric Nurse Practitioner Graduate Training (APRN) 3:10pm – 3:55pm

This session will review a proposed Psychiatric NP training program. Evidence based rationale for the proposed training program will be presented. This session is meant to initiate discussion and serve as a baseline for future program development.

Speaker: Mary Meiselman, MS, MSN, PMHCNS-BC, PMHNP-BC 3043: (RECOVERY TRACK) Mindfulness and Music in the Crisis Stabilization Setting (RN, APRN) 3:10pm – 3:55pm

This presentation will provide background information on mindfulness practice, and discuss specific mindfulness techniques that are useful in the crisis stabilization environment. The unique resource of having peers in recovery attend the group to play their music will be discussed. A brief demonstration of mindfulness technique itself will be provided with a peer from the Tunefoolery program.

Speaker: Michael O'Connor, PMHCNS-BC 3044: (OLDER ADULTS TRACK) Nursing Educational Needs for Caring for People with Serious Mental Illness (SMI) at End of Life (RN, APRN) 3:10pm – 3:55pm

A phenomenological study was conducted to explore and identify nursing educational needs for caring for people with serious mental illness (SMI) at end-of-life. Themes about educational needs, attitudes, and difficulties in providing care to this population were identified from the transcripts of the interviews. Implications for nursing practice, education and policy will be presented.

Speakers: Betty Morgan, PhD, PMHCNS, BC; Ruth Remington PhD, GNP 3045: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) Behavioral and Physical Health Integration in the Community Mental Health Center: A Truly Integrated Approach (RN, APRN) 3:10pm – 3:55pm

Individuals with SMI are expected to live 25 years less than individuals without SMI due (in part) to the complications of co-morbid physical health conditions. This is concerning with the already undeserved Medicaid population. This presentation will discuss a community mental health center’s efforts to integrate physical and behavioral health and select outcomes (including improved quality of care/some decrease in costs).

Speaker: Joseph Schatz, BSN, RN 3046: (INPATIENT TRACK) Inpatient Panel Presentations (RN, APRN) 3:10pm – 3:55pm

This session will involve three 10-minute presentations by three separate presenters. Following these presentations, there will be 15 minutes for discussion and/or questions. Development of Combined Assessment of Residential Environments (CARE) profiles – Psychiatric Inpatient Version

This presentation focuses on the development of an instrument which gauges the extent inpatient nursing staff has created a recovery-oriented environment; a culture that imbues hope, self-direction, and empowerment. Detailed will be how an item pool and preliminary form of the tool was derived from the literature and patient/staff interviews.

Speakers: Kathleen Delaney PhD, PMH-NP, FAAN; Mary Johnson, PhD, PMHCNS-BC Relationship-centered care: An overused term?

Relationship-centered care is at the heart of psychiatric nursing practice. This paper will present an historical overview of relationship-centered care and the context within which relationship-centered care emerged. An analysis of how the concept has changed over time, the impact of relationship-centered care on outcomes, and future directions for relationship centered care will also be discussed.

Speaker: Mary Johnson, PhD, PMHCNS-BC Measuring, Monitoring, and Managing Patient Safety Performance in Mental Health Settings using a Patient Safety Performance Dashboard

Patients receiving mental health treatment are at risk of patient safety incidents that are uniquely or strongly associated with mental health settings as well as adverse events that occur in general medical settings. This presentation will describe the development and use of a Patient Safety Performance Dashboard to measure, monitor and manage patient safety in mental health contexts.

Speaker: Nicole Kirwan, RN, BSCN, MN, CPMHN(C) 3047: (PRACTICE TRACK) Theoretical Concepts to Treat Individuals with Eating Disorders: An Integrative Approach (RN, APRN) 3:10pm – 3:55pm

Research indicates that eating disorders are one of the least likely psychological disorders to receive adequate treatment. It is imperative for the advanced practice psychiatric nurse to be aware of recent literature related to current and new therapy techniques. This presentation will discuss evidence based integration of the most commonly used therapy modalities for eating disorders.

Speaker: Kristen Vandenberg, DNP, FNP-BC, FPMHNP-BC Interactive Panels 1.5 Contact Hours

4:15pm – 5:45pm 3051: Forensic Psychiatric Nurses Council Interactive Panel (RN, APRN) 4:15pm – 5:45pm

Violence and crime are major issues. Psychiatric nurses are poised to meet forensic/medico-legal challenges by interfacing psychiatric nursing and the criminal justice system. The purpose of the Interactive panel is to focus on three key issues of great relevance to practicing forensic psychiatric nursing, forensic interviewing, evaluation, and documentation; court testimony and appearing as an expert witness; and forensic consultation.

Speakers: Angela Amar, PhD, RN; Paul T. Clements, PhD, APRN-BC, CGS, DF-IAFN 3052: Educational Strategies for Addressing PMH Nursing Workforce Issues (Education Council Interactive Panel) (RN, APRN) 4:15pm – 5:45pm

This interactive panel will present actions taken by the Council over the year to address strategic plans developed by each of the subcommittees. Education Council Steering Committee members will engage the audience in discussion about current and future educational opportunities to address the PMH workforce and practice issues.

Speakers: Merrie J. Kaas, DNSc, RN, PMHCNS-BC 3053: Institute for Mental Health Advocacy 3rd Annual Interactive Panel (RN, APRN) 4:15pm – 5:45pm

The profession of psychiatric nursing in the United States is making its presence known in a formal and collective way through APNA’s Institute for Mental Health Advocacy (IMHA). This session will begin with a report by the chairs, followed by a panel presentation exploring the Institute’s mission and prioritized activities for 2012, and input will be sought from the audience.

Speakers: Margaret Halter, PhD, PMHCNS; Christine Tebaldi, MSN, PMHNP-BC 3054: Administrative Council Interactive Panel (RN, APRN) 4:15pm – 5:45pm

The administrative council panel will discuss with the participants the work on the staffing position paper and the mentor program.

Speakers: Avni Cirpili, RN, MSN, NEA-BC; Anne Kelly, RN 3055: Tobacco Dependence Council: Update and Future Directions (RN, APRN) 4:15pm – 5:45pm

In this interactive panel, we will present the results and implications of the recent APNA member survey in which we reassess nurses’ knowledge, attitudes, and clinical behaviors with respect to tobacco dependence interventions. Comparison of these findings with those of a 2007 baseline survey will be discussed. Future directions of the council’s work will be examined.

Speakers: Daryl Sharp, PhD, PMHCNS-BC, NPP; Susan Blaakman, MS, RN, NPP-BC California Dreamin’ – A Reception on Adventure Lawn 6:15pm – 10:00pm

Come and enjoy an evening reception under the stars on the Disneyland® Adventure Lawn, with entertainment provided by the band “Open Wide”. Composed of dental professionals from Orange County, CA, “Open Wide” performs a wide variety of music spanning five decades. A reception buffet will include selections of both hot and cold sumptuous delights. So polish up your dancing shoes for an evening of fun, networking, and celebrating 25 years of APNA!

S a t u r d a y , O c t o b e r 2 2 4000: General Session 1.0 Contact Hours

State of the Science of Schizophrenia – What We Know and What We Don’t 7:00am – 8:00am

Much has been learned about this multi-faceted neurobiological disorder-however, there is much that is yet to be discovered. This presentation will include the 22 known facts that surround etiology, pharmacology, pathology, and behavior. Discussion will also include agreements and disagreements related to theoretical perspectives surrounding treatment.

Speaker: Mary D. Moller, DNP, APRN, PMHCNS-BC, CPRP, FAAN 4001: Keynote Presentation 1.0 Contact Hours 8:15am – 9:15am

The Future of Nursing: Are The Stars Aligning? Momentous changes for nursing are in the works. From the Institute of Medicine report to the Patient Protection and Affordable Care Act to the APRN Consensus Model, nursing is at the Center of what promises to be exciting times. Join Catherine Dower as she explores what these changes—overlaid on developments in clinical practices, delivery models, demography and technology—might mean for nurses generally and for psychiatric mental health nurses in particular.

Keynote Speaker: Catherine Dower, JD

Annual Awards Presentation Award for Excellence in Leadership - Advanced: Lisabeth Johnston, PhD, APRN, CS Award for Innovation - Individual: Michael Terry, DNP, FNP, PMHNP

Concurrent Sessions 2.25 Contact Hours 9:30am – 12:05pm Block 1: 9:30am – 10:15am (.75 contact hours) 4011: (FORENSIC TRACK) Complex Trauma and Complex PTSD in Female Veterans (RN, APRN) 9:30am – 10:15am

This presentation will describe the lifetime trauma exposures experienced by female Veterans who experienced military sexual trauma (MST). A profile of the mental and physical health status of this sample will be provided and the relationships between lifetime trauma exposure and PTSD, depression symptoms, physical health and social functioning will be presented. Implications for psychiatric/mental health nursing will be discussed.

Speaker: Ursula Kelly, PhD, ANP-BC, PMHNP-BC 4012: (EMERGENCY DEPARTMENTS TRACK) Psychiatric Advanced Practice Registered Nurse Role in Alcohol and Substance Abuse Evaluation in the Emergency Department: DAWN-ing of a New Day (RN, APRN) 9:30am – 10:15am

A psychiatric advanced practice registered nurse (APRN) in the ED is prepared to provide a rapid and comprehensive assessment of persons in need of substance abuse evaluation. A plan for rapid evaluation is presented. Clinical features of acute intoxication and withdrawal; CAGE, MAST, TWEAK, dual diagnosis, and laboratory tests are reviewed; and treatment and referral recommendations are provided.

Speakers: Vanessa Genung PhD, RN, PMHNP-BC, LCSW-ACP, LMFT, LCDC; Gina White MSN, RN; Vicki Moceo MSN, RN-BC 4013: (RECOVERY TRACK) Sensory Interventions: Integrating Recovery Principles in Acute Care Psychiatric Settings (RN, APRN) 9:30am – 10:15am

Exploring the neurobiology of psychiatric disorders provides the basis for effective use of sensory interventions. This presentation will examine the frequency of sensory deficits, utilization of sensory modalities and the potential for reduction of anxiety and agitation. Nurses in acute psychiatric settings can make use of these interventions as a basis for developing recovery-based practice.

Speakers: Mary Ann Nihart, MA, PMHNP-BC, PMHCNS-BC; Lincoln Warner, BSN 4014: (CHILD & ADOLESCENT TRACK) Exposure to Violence as a Determinant of Health Risk Behaviors in Adolescence (APRN) 9:30am – 10:15am

The presentation will examine adolescent health risk behavior and social factors influencing the development of health risk behavior. Focus on exposure to violence in a rural adolescent population and the impact on health risk behaviors. The need of further research in health risk behavior development is discussed.

Speaker: Kimberly Hemphill, PhD, RN, PMHCNS-BC 4015: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) Depression, Cancer Therapy-Related Symptoms, and Self-Care Among Mexican American Adults (RN) 9:30am – 10:15am

This presentation underscores the importance of integrated mental health-oncology care in meeting the needs of Hispanic adults undergoing cancer treatment. Pilot study findings on associations among depression symptoms, other cancer therapy-related symptoms, and self-care strategies utilized by patients are described. Emphasizes Nursing's contributions to addressing Hispanic health disparities especially related to the health burden associated with co-existing depression and cancer.

Speaker: Leticia Lantican, PhD, RN 4016: (MILITARY TRACK) PTSD Related Sleep Disturbances: Non-pharmacologic and Pharmacologic Interventions (RN, APRN) 9:30am – 10:15am

Difficulty falling or staying asleep and/or recurrent distressing dreams of the traumatic event are core symptoms of Posttraumatic Stress Disorder (PTSD) and Insomnia Related to PTSD.

This presentation will provide a brief general review of the neurophysiology of sleep disturbances, nightmares, sleep avoidance, and PTSD. An evolving case study will describe sleep disturbance symptoms/behaviors, non-pharmacologic and pharmacologic interventions and outcomes

Speakers: Laura Rodgers, PhD, PMHNP; Barbara Limandri DNSc, APRN 4017: (RESEARCH TRACK) Nurse Interaction with Individuals with Schizophrenia: The Acute Phase Experience (RN, APRN) 9:30am – 10:15am

Clients with schizophrenia have difficulty with social relationships, including connection with psychiatric nurses. This presentation will report on a qualitative study which focused on the verbal and nonverbal communication between nurses and clients in the acute phase of their illness. Review of the narratives and themes which emerged from the data can have implications for nursing practice, policy, and education.

Speaker: Karen Pounds, PhD, APRN, BC Concurrent Sessions (2.25 Contact Hours) 9:30am – 12:05pm Block 2: 10:25am – 11:10am (.75 contact hours) 4021: (FORENSIC TRACK) Mental Illness and Problematic Sexual Behaviors: A Challenge We Must Face (RN, APRN) 10:25am – 11:10am

This presentation will provide background information and clarifications about the Mentally Ill with Problematic Sexual Behavior (MI/PSB) as a sub-group of sex offenders. Information will be shared about the most recent research on the topic as well as the recent development of a residential program for MI/PSB individuals. Areas in which more research is needed will also be identified.

Speaker: Marco Belluardo-Crosby, PMHNP-BC, PMHCNS-BC 4022: (EMERGENCY DEPARTMENTS TRACK) Programming Model for the Emergency Department (RN) 10:25am – 11:10am

The purpose of this presentation is to introduce brief programming modules that can be implemented in the Emergency Department for patients who are awaiting placement for psychiatric care. The presentation will address the lack of resources for nursing staff treating users of mental health services in the ED. Outcome goals are to reduce patient frustration and agitation while increasing patient satisfaction, safety and care.

Speakers: Tammi Plantan, MA, RN; Virginia Fox PMHCNS-BC 4023: (RECOVERY TRACK) Optimizing Safety and Quality Outcomes Through Patient-Centered Recovery Model Care Interventions in the Acute Psychiatric Milieu (RN, APRN) 10:25am – 11:10am

The need for transformation to a patient-centered philosophy grounded within the recovery model will be demonstrated via review of patient-centered theory and its application to the inpatient milieu. The relationship between adoption of a patient-centered recovery model and subsequent increases in patient satisfaction, reduction in length-of-stay, and reduced restraint use will be reinforced through the use of charts and graphs.

Speaker: David Karcher, BA, RN-BC 4024: (CHILD & ADOLESCENT TRACK) Kids in Chaos: Navigating Traumatic Grief and Bereavement with Children Following the Violent Death of a Family Member (RN, APRN) 10:25am – 11:10am

Violent death of a family member, which is typically sudden and unexpected, can create significant emotional and behavioral deviations for children in the chaotic wake of the loss. Homicide, suicide, death from intimate partner violence and child abuse are examples of violent deaths that may confront children.

Speaker: Theresa Fay-Hillier, MSN, PMHCNS-BC 4025: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) Primary Care Behavioral Health Consultation Services - What it is and How to Make it Happen in Your Organization (APRN) 10:25am – 11:10am

The need for APRN-PMH providers in primary care settings has never been greater. This presentation examines how Primary Care Behavioral Health Consultation Services would be provided by the APRN-PMH, including assessing site readiness, services offered, and the formative/summative evaluations needed. Finally, its role development and educational preparation as a new LACE-criteria specialty in primary care will be discussed.

Speaker: Michael Terry, DNP, APRN-PMH/FNP 4026: (MILITARY TRACK) Spiritual Distress as a Component of PTSD (RN, APRN) 10:25am – 11:10am

The return from battle is a slow ascent from hell. Many returning veterans are suffering spiritual distress as a component of PTSD. There is a need to expand the understanding of the PTSD by developing language and specific concepts to address the deeper impact of combat experience on the entire person, including the spirit.

Speaker: Mary Paquette, PhD, APRN-BC 4027: (RESEARCH TRACK) The Seriously Mentally Ill Older Adult: Perceptions of the Patient-Provider Relationship (RN, APRN) 10:25am – 11:10am

This phenomenological study was conducted with older adults who suffer with serious mental illness. It was an effort to gain appreciation and understanding of their perceptions about the relationships they have with their health care providers. By listening and engaging with this group, health care providers may be able to target intervention and prevention efforts to decrease morbidity and mortality.

Speaker: Rebecca Schroeder, DNP, PMHNP-BC Concurrent Sessions (2.25 Contact Hours) 9:30am – 12:05pm Block 3: 11:20am – 12:05pm (.75 contact hours) 4031: (FORENSIC TRACK) The Advanced Practice Registered Nurse Project in the Honolulu Police Department, Central Receiving Division Cellblock (APRN) 11:20am – 12:05pm

A collaborative effort between Hawaii’s Adult Mental Health Division, the Honolulu Police Department and local community hospitals lead to a project to put psychiatric nursing services in cellblocks. Interventions included mental health screening, medication management, and linkage with community services. Data collected supports the continuation of the project, and expansion to include linkage with Court-based clinical services, on-site pharmacy services.

Speaker: Stacy Kracher, MSN, CNS, APRN, CSAC 4032: (EMERGENCY DEPARTMENTS TRACK) Effective Reduction of Restraint and Seclusion in the Psychiatric Emergency Department while Maintaining a Safe Milieu (RN) 11:20am – 12:05pm

Efforts to reduce restraint and seclusion use in the Psychiatric Emergency Department were initiated in 2009. Reduction in restraint and seclusion was achieved using nursing initiated increased assessment, intervention and partnership with patients. Total restraint and seclusion data demonstrated a reduction in total use from 392 to 159 hours in a 12- month time frame.

Speakers: Katherine Pontone MSN, BSN, RN; Lisa C Gilley 4033: (RECOVERY TRACK) Implementing a Consumer Participation Program in an Inpatient Psychiatric Unit: Lessons Learned (RN, APRN) 11:20am – 12:05pm

An inpatient psychiatric unit implemented an innovative program using recovery concepts and consumers-as-staff-members. While the goals and objectives were laudable, the outcomes were disappointing. Implementation would have been more successful if the planners had used Rogers’ Diffusion of Innovations Theory. Recommendations from lessons learned will be discussed.

Speaker: Carol Rogers, PMHCNS-BC, PhD 4034: (CHILD & ADOLESCENT TRACK) ENCOMPASS - An Evidence Based Integrated Treatment: Preliminary Data from the First Community Implementation Under the Direction of a Psychiatric Nurse Practitioner (RN, APRN) 11:20am – 12:05pm

This presentation provides preliminary outcome data for the first cohort of participants in the Therapeutic Health Services ENCOMPASS Program. ENCOMPASS is a new evidence based integrated treatment model for youth with co-occurring mental health and substance use disorders. Use of CBT, MET, Contingency Management, and standardized measures as well as the challenges in bringing research to practice will be addressed.

Speaker: Susan Caverly, PhD, ARNP, PMHCNS-BC 4035: (INTEGRATED PHYSICAL & MENTAL HEALTH CARE TRACK) The Integration of Mental Health Care into Primary and Specialty Health Care -- (Wanted! Psych Nurses!) (APRN) 11:20am – 12:05pm

Integration has arrived! The integration of mental health care into primary and specialty healthcare must have Psychiatric Nurses! Learn about these new models of care and the exciting opportunities psychiatric nurses can have leading and working in Integrated Health Care practice settings.

Speaker: Gail Stern, MSN, PMHCNS-BC 4036: (MILITARY TRACK) PTSD Case Presentation of an Integrative Model (RN, APRN) 11:20am – 12:05pm

Treatment of PTSD has matured over the years to include many modalities. This case presentation offers an integrative model including traditional psychoanalytic theory, psychopharmacology treatment, CBT, EMDR, energy therapy, journaling, and mindfulness. Several sessions will be described via Power Point with ample time for discussion.

Speaker: Catherine Lavoie, MSN, PMHCNS-BC, APRN 4037: (RESEARCH TRACK) The Structure of the Lived Experience of the Expert Electroconvulsive Therapy (ECT) Nurse and Their Meaning of Expertise (RN, APRN) 11:20am – 12:05pm

For over 7 decades, psychiatric mental health nurses have provided specialized care for patients receiving electroconvulsive therapy (ECT). Their role as brain stimulation experts has not been described until now. We report national and international perspectives on nursing expertise and practice patterns and identify how research findings fit within the current scientific and political environment (i.e., FDA reclassification of ECT).

Speakers: Mary Rosedale, PhD, PMHNP-BC, NEA-BC; Gerald Georgette RN, MSN, CCRC Annual Meeting & Town Hall 12:15pm – 1:30pm