About the Conference
Nationally and in Vermont, there are concerns about increasing eating problems and disorders among youth & young adults. The target audience for this training is primary care providers and related healthcare professionals (e.g. nurses, PAs), dietitians, mental health providers, and school health and mental health staff. The focus will be on using a multidisciplinary approach to caring for adolescents/young adults with disordered eating. Sessions will discuss effective practices of a multidisciplinary team; case conceptualization, assessment, and a brief overview of treatment approaches; exploring the power of language in prevention and recovery; and considering when and how to engage family in treatment. We will hear the stories of Vermont patients and families. Attendees will have an opportunity to engage with a panel of providers of multidisciplinary care and to connect with other professionals on this important topic. Presenters include the University of Vermont, UVM Medical Center’s Eating Disorder Consult Clinic & The Adams Center.
Registration & Agenda
Preregistration is required HERE.
Download the full agenda from DMH.
Learning Objectives
By the end of this conference, participants will have:
Learned how to apply a multi-disciplinary approach to caring for adolescents and young adults with disordered eating
Distinguished terms and phrasing to use/avoid
Identified best practices for case conceptualization, assessment, and intervention to apply in their work
Gained strategies for effective family engagement
Connected with professionals from their own and other disciplines about disordered eating
Resources
- VCHIP website page on eating disorders: http://www.med.uvm.edu/vchip/projects/eating_disorders
- NEDA Parent Toolkit
- NEDA Educator Toolkit
- NEDA Coach & Trainer Toolkit
- NEDA Workplace Toolkit
- AED Clinical Measures Toolkit
- Eating Attitudes Test (EAT-26)
- ED Questionnaire
- Conference Resource List (websites, research, etc.)
- “Eating Disorders in Children and Adolescents: State of the Art Review” by Campbell & Peebles
- Quotes from patients & families
Schedule & Slides/Handouts
8:50-9:00am
Log on (your registration confirmation email contains information about joining the meeting)
9:00-9:15am
- Welcome & logistics: Laurel Omland, MS
- Importance of this topic now: Lewis First, MD
9:15am-12pm (includes break)
- Using a Multidisciplinary Approach to Care: Erica Gibson (Slides)
- Case Conceptualization, Assessment, Brief Overview of Best Practice Treatment Approaches, and Lived Experiences of Patients and Families: Aubrey Carpenter and Sue Adams (Slides SA / Slides AC)
- The Weight of our Words: Reduce Stigma, Reduce Shame: Anne Valentine and Amy Sercel (Slides)
- Engaging Family in Treatment: Aubrey Carpenter, Danielle Jatlow, Sue Adams (Slides AC / Slides DJ / Slides SA)
12:00-12:55pm
Lunch Break (Please log in before 1:00 so we can begin on time)
1:00-1:15pm
Embodied Contemplative Practice (Laura Biron)
1:15-2:20pm
Panel discussion of multidisciplinary care (Moderated by Drs. Gibson & Carpenter)
- Laura Dattilio, RN, BSN, CPN, UVMMC Pediatric Assistant Nurse Manager
- Courtney Fleisher, PhD, ABPP, Licensed Clinical Psychologist, Doctorate, UVMMC
- Alicia Veit, MD, Timberlane Pediatrics
- Marcia Herrin, EdD, MPH, RD, LD, FAED, nutrition counseling, private practice; founder of the Dartmouth College Eating Disorders Prevention, Education and Treatment Program
- Karen Kurlee, M.A. Licensed Psychologist, Intensive Care Services Director, Washington County Mental Health
- Andy Rosenfeld, MD, Psychiatrist at UVMMC; Vermont Center for Children, Youth and Families
- Michael Sherwin, behavior support coach, East Montpelier Elementary School (U32)
2:20-2:35pm
Looking Ahead (Laurel Omland, MS)
2:35-2:45pm
Complete Evaluation & Break
2:45-4:00pm
Breakout Discussions: Applying these standards of care from your role (anyone can attend any of these groups, which will be held in separate Zoom meeting spaces)
- Medical providers: facilitated by Erica Gibson & Kathy Mariani (Zoom link: https://vsc.zoom.us/s/85765823662)
- Mental Health providers: facilitated by Aubrey Carpenter, Courtney Fleisher, and Amy Kiviranna (Zoom link: https://vsc.zoom.us/s/85336671063)
- Nursing: facilitated by Laura Dattilio (Zoom link: https://vsc.zoom.us/s/83914842326)
- Dietitians: facilitated by Britt Richardson & Marcia Herrin (Zoom link: https://vsc.zoom.us/s/89845628649) Shifted to Teams Meeting
Additional Information
Sponsored in part by the Children’s Health Integration Linkage and Detection (CHILD) project with funding from the Substance Abuse and Mental Health Services Administration (SAMHSA grant # 6H79SM080234); the Pediatric Mental Health Access Program (PMHCA) with funding from the Health Resources and Services Administration (HRSA grant # 6 U4AMC44254‐01); the HRSA Title V Maternal and Child Health Services Block Grant; and the Children’s Miracle Network. Hosted by the Vermont Cooperative for Practice Improvement & Innovation at Northern Vermont University.
The PMHCA will work with the UVM Vermont Child Health Improvement Program (VCHIP) to plan continued educational opportunities for integrated care providers on child and youth mental health topics that are relevant to the challenges faced across Vermont.
Continuing Education Credits Information
This live online activity was approved by the VT Office of Professional Regulation for 5.75 hrs of continuing education credit for Social Work (Course ID CA-115765), Allied Mental Health (Course ID CA-115765), Alcohol/Drug Counselor (Course ID CA-115766), and Psychological Examiners (Course ID CA-115769).
6 hours of Continuing Professional Education (CPE) units were approved for Registered Dietitians by the Commission on Dietetic Registration (Activity Number 170143).
CMIE Information (see agenda for full details)
In support of improving patient care, this activity has been planned and implemented by The Robert Larner College of Medicine at the University of Vermont and Vermont Department of Health. The University of Vermont is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The University of Vermont designates this live online activity for a maximum of 5.75 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Robert Larner College of Medicine at the University of Vermont has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 5.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. This program has been reviewed and is acceptable for up to 5.75 Nursing Contact Hours. This activity was planned by and for the healthcare team, and learners will receive 5.75 Interprofessional Continuing Education (IPCE) credit for learning and change.
Session Descriptions
Using a Multidisciplinary Approach to Care
Erica Gibson will briefly address the benefits and importance of a multidisciplinary approach to care in the community-based outpatient care setting.
Case Conceptualization, Assessment, Brief Overview of Best Practice Treatment Approaches, and Lived Experiences of Patients and Families
This discussion will start with a presentation from Sue Adams speaking to the multidisciplinary assessment approach taken at the Adams Center, including discussion of recommended measures, interviews, and approaches to providing feedback and recommendations. Aubrey Carpenter will then speak to ways community-based providers might approximate this assessment approach in settings that lack resources to conduct comprehensive multidisciplinary assessments ‘in-house’, and how to optimize efficiency in settings where non-billable collateral collaboration may be challenging to find time for. This session will also feature shared stories and anecdotes of patients and families who have had experience pursuing treatment for eating disorders in the state of Vermont.
The Weight of our Words: Reduce stigma, Reduce Shame
This discussion-based workshop with Annie Valentine & Amy Sercel will explore the power of language in eating disorder prevention and recovery. We will discuss specific terminology that supports the creation of a collaborative, prevention based and recovery-supportive atmosphere, and explain why other terminology may be more harmful than helpful to the process. Throughout this workshop you will learn practical strategies to implement with any patient, not just those with diagnosed eating disorders, in order to reduce shame and stigma around health, weight, and eating disorder prevention, recovery and healing.
Engaging Family in Treatment
This presentation will discuss the nuanced approach to if and when to involve parents and family members in treatment for eating disorders. Aubrey Carpenter, Danielle Jatlow, and Sue Adams will address themes related to development, individuation, enmeshment, family history of eating disorders in other caregivers, and related family systems. Speakers will also spend time discussing ways that family can help build resilience in the individual and the family system to optimally support the individual presenting for treatment.
Embodied Contemplative Practice
Laura Biron will lead a short embodied contemplative practice to create kind presence for yourself and to share with your patients/clients.
Speaker Biographies
Sue Adams, Licensed Psychologist Master
Suzanne Adams is a licensed psychologist-master and is the founder of The Adams Center for Mind and Body. Her extensive background is focused on work with eating disorders and co-occurring issues such as OCD and PTSD. She is also trained in EMDR and the ego state therapy, DNMS. Her history also includes Behavioral Medicine at Copley Hospital, as a clinician at The Alternative Hospital Program at Family Therapy Associates and for ten years in private practice in Williston Vermont specializing in eating disorders. In 2004 Suzanne founded the group practice at The Adams Center, which is today composed of 14 varied providers including dieticians, therapists and body – workers. The practice is best known for its work with eating disorders providing clients with personalized multidisciplinary teams. At the center there is a strong belief in the collective approach to treatment.
Laura Biron, MBA, RDN, CD, CEDS-S, RYT 800
Laura Biron (she/her)is a Registered Dietitian Nutritionist, Certified Eating Disorder Specialist and Supervisor, Advanced Teacher of Therapeutic Yoga and Mindfulness Based Eating Awareness Training (MB-EAT) instructor. She has served as Reimbursement Representative and Consumer Protection Coordinator on the on the board of the Vermont Academy of Nutrition and Dietetics where she successfully advocated for the expansion of insurance coverage for nutrition services for Vermonters struggling with eating disorders. For more than two decades, Laura has studied and incorporated embodied contemplative practices to compliment and enhance nutrition therapy for patients. She provides professional supervision to dietitians seeking to gain expertise in treating patients with eating disorders, consultation services to individuals and families seeking higher levels of treatment for themselves or loved ones and teaches trauma informed therapeutic yoga classes for groups and individuals.
Aubrey Carpenter, PhD, Licensed Clinical Psychologist, Doctorate
Aubrey Carpenter (she/her) is a clinical psychologist at the University of Vermont Medical Center. She provides assessment, outpatient individual and group psychotherapy, and consultation to adolescents with eating disorders and their families in her role as staff psychologist in the outpatient multidisciplinary Eating Disorders Consultation Clinic (EDCC). Dr. Carpenter is trained in various approaches to adolescent eating disorders and frequently co-occurring conditions, including cognitive behavioral therapy, dialectical behavior therapy, radically open dialectical behavior therapy, and family-based treatment. Dr. Carpenter really enjoys working alongside and consulting with multidisciplinary and community-based teams to better help meet the needs of Vermonters in need of specialized care during the current mental health crisis.
Lewis First, MD
Dr. Lewis First received his B.A., M.D., and M.S. in Epidemiology from Harvard University. He did his residency at Boston Children’s Hospital followed by a fellowship in Ambulatory Pediatrics. In 1994 Dr. First, a general academic pediatrician with a strong interest in medical education, left Boston to become Professor and Chairman of the Department of Pediatrics at the University of Vermont College of Medicine and Chief of Pediatrics at the University of Vermont Children’s Hospital, a position he currently continues to hold. From 2003-2008, Dr. First also served as Senior Associate Dean for Medical Education and helped develop and implement the Vermont Integrated Curriculum, which continues in use today. In 2009 Dr. First also became Editor-in-Chief of the American Academy of Pediatrics (AAP) peer-reviewed journal Pediatrics, a position he also continues to hold today. On a local and national level, Dr. First has won numerous teaching awards including the AAMC’s Robert J. Glazier Distinguished Teacher Award (2002), AAP's National Medical Education Award (2007), and the Miller-Sarkin Mentoring Award from the Academic Pediatric Association (2007). In 2014 he was the recipient of the Joseph W. St. Geme Jr. Leadership Award from the Federation of Pediatric Organizations, and in 2017 Dr. First was the recipient of the George V. Kidder Outstanding Faculty Award from the University of Vermont Alumni Association—awarded for excellence in teaching and advising and for the ability to inspire students and have a lasting influence on their lives, the first medical school faculty member to earn this university-wide honor. In 2019 Dr. First was named Chair Emeritus and Honorary Member for Life of the National Board of Medical Examiners, and in 2020 he was selected into the initial cohort of 16 for the National Academy of Distinguished Educators in Pediatrics. Dr. First has authored several dozen peer reviewed publications and co- edited five textbooks. In addition, Dr. First offers medical advice to parents entitled, “First with Kids,” on weekly radio and television news segments, as well as in multiple community newspapers throughout Vermont. His advocacy on behalf of addressing disparities in health care and achieving equity for all children locally, regionally, nationally, and internationally is omnipresent in everything he does, earning him the 2021 Lifetime Achievement Award from the KidSafe Collaborative, a group representing more than 30 organizations dedicated to improving the health of children at risk and their families living in Vermont.
Erica Gibson, MD, UVMMC Eating Disorder Consultation Clinic (EDCC)
Dr. Gibson is an Associate Clinical Professor of Pediatrics at the University of Vermont College of Medicine and a faculty member of the Vermont Child Health Improvement Program. She is currently the Division Chief of Adolescent Medicine within the Department of Pediatrics at the University of Vermont Children’s Hospital. Dr. Gibson focuses on clinical work in the area of adolescent sexual and reproductive health care, disordered eating and transgender youth care. Her grant work currently focuses on sex education, eating disorder care and prevention, positive youth development, and pediatric to adult care transition. Dr. Gibson currently serves on the Executive Committee of the American Academy of Pediatrics Council on School Health. She has been an active member of the Society for Adolescent Health and Medicine, the American Academy of Pediatrics, the North American Society for Pediatric and Adolescent Gynecology, and the Adolescent Reproductive and Sexual Health Education Project established by Physicians for Reproductive Health. She is also a former member of the board of directors for Advocates for Youth in Washington D.C. and worked as a high school teacher and educational consultant prior to her medical training.
Danielle Jatlow, LICSW, LADC
Danielle Jatlow, MSW, LICSW, LADC, has 17 years of clinical practice experience working with adolescents, young adults and their families—first, in New York City and now, in Burlington, Vermont. Danielle is a principal in Centerpoint's consultation, training, and coaching services and is a founding partner in the Vermont Treatment Enhancement Program. Jatlow has provided clinical and operational leadership to Centerpoint's outpatient and school and community-based services for youth and families impacted by a broad range of social, emotional, mental health, trauma, and substance use issues. Prior to settling in Vermont, Danielle worked with families impacted by highly stigmatized medical health issues and with families returning to their communities following incarceration. While in New York, Danielle attended post-Master's training at the Ackerman Institute for the Family. Danielle is a Lecturer in the Department of Social Work at the University of Vermont (UVM).
Amy Sercel (she/her) MS, RD, CD, Registered Dietitian, Center for Health and Wellbeing, University of Vermont
Amy Sercel (she/her) is a Registered Dietitian and Certified Intuitive Eating Counselor. Amy works individually with students at the University of Vermont, supporting clients to create health-supportive eating patterns that they can maintain for the long-term. Amy primarily works with students who are recovering from eating disorders or disordered eating, while also addressing general nutrition concerns, nutritional adequacy in plant-based diets, digestive problems, and sports nutrition. Through her work with students, Amy has come to realize that all of the above concerns often overlap. Amy incorporates elements of Intuitive Eating throughout all of her work and aims to help each student create a more positive relationship with food and with their body.
Annie Valentine (she/her) M.Ed., Education and Trainings Manager, Center for Health and Wellbeing, University of Vermont
Annie Valentine, M.Ed. (she/her), leads education and training initiatives in the Center for Health and Wellbeing at UVM. Annie’s work largely focuses on eating disorders education, suicide prevention and mental health literacy training. She has served as an adviser, facilitator and committee member on a number of campus and statewide initiatives such as the Vermont Suicide Prevention Center, formerly the Vermont Youth Suicide Prevention committee, the American Foundation for Suicide Prevention and Active Minds at UVM. She is a certified Adult Mental Health First Aid trainer and Campus Connect Suicide Prevention Gatekeeper trainer. She also leads campus efforts on bystander interventions strategies, specifically in relation to bias, prejudice and discrimination. Annie was also a participant in Bess O’Brien’s Kingdom County Productions, All of Me: A Documentary Film on Eating Disorders.
FACILITATORS
Aubrey Carpenter, PhD, psychologist, UVMMC
Laura Dattilio, RN, BSN, CPN, UVMMC Assistant Nurse Manager
Courtney Fleisher, PhD, psychologist, UVMMC
Erica Gibson, MD, Medicine Specialist, UVMMC
Amy Kiviranna, LICSW, social worker, EDCC
Kathy Mariani, MD, family medicine, Office of Primary Care/AHEC, UVM
Britt Richardson, RD, dietitian, EDCC, UVMMC
HOST
Laurel Omland, MS, NCC, Vermont Department of Mental Health
Questions & Support
Contact joanne.crawford@vermont.gov with any questions or accommodations requests.
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