On Demand Grand Rounds: Responding to Social Determinants of Mental Health in Child Psychiatry Practice
This presentation was originally reviewed on September 13, 2022, and broadcast live online on September 14, 2022, from 12:oo PM – 1:00 PM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
The increased focus on social determinants of health by the WHO and the CDC presented a springboard for psychiatry to emphasize the social determinants of mental health (SDOMH), which has taken on new urgency during the current national public health and child and adolescent mental health crisis. During the pandemic the impact of socially driven health disparities and inequities were more fully recognized. Individual clinicians, academic departments, and healthcare organizations are discerning strategies to dismantle health inequities while simultaneously addressing the broader mental health crisis. Knowledge on SDOMH can be employed to improve the health of the child mental health, reduce the risks for psychiatric illness and advance clinical care models to optimize treatment response and quality of life for individual patients. While prevention necessarily involves policy changes and public sector interventions, there is a pressing need to clinically address SDOMHs. Trainees and clinicians need to learn how to assess patient exposures to SDOMH and understand the influence of these determinants on clinical presentations and implications for prevention and treatments. The largest impact for addressing SDOMH in child psychiatry will be achieved by incorporating social justice and anti-racist approaches. This presentation will include helpful findings from research and implications for effectively integrating a response to SDOMH into clinical practice, including medical coding, reimbursement and other sustainability strategies, and re-conceptualization of psychosocial-cultural assessments.
This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.
At the conclusion of this activity, attendees will be able to:
- Identify at least three strategies for addressing SODMH in child and adolescent mental health services.
- Apply SODMH and culture assessment, and anti-racist approaches into treatment planning and delivery.
- Plan how to operationalize and sustain a systematic approach to addressing SODMH in clinical practice.
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About the speaker
Lisa Fortuna, MD, MPH is an adult and child, and adolescent psychiatrist, Professor and Vice Chair at University of California San Francisco, Department of Psychiatry and Behavioral Sciences and Chief of Psychiatry at Zuckerberg San Francisco General Hospital where she leads the public psychiatry teaching, clinical and research mission. She is an alum of the Harvard Pediatric Health services Research Fellowship at MGH. She has been an investigator on several National Institutes of Health and foundation-funded studies of Latino and immigrant mental health, integrated care and equity in mental health care. Her NIDA funded K23 award focused on the development and implementation of an integrated intervention for adolescents with co-occurring PTSD and substance use disorders conducted in community mental health settings. She adapted and implemented the resulting model of treatment for adult Latin American immigrants as part of a NIDA funded international (US and Spain) multisite randomized clinical trial. Her previous work includes serving as a PI of the Transforming and Expanding Access to Mental Health in Urban Pediatrics (TEAM UP for Children): a 4-year, $10 million project aimed at increasing access to mental health care for children and engage families and testing a behavioral health integration model. She was also PI on a NIMH funded R01 study examining factors for optimizing a model of family navigation for child behavioral health services. She is PI of a PCORI funded pragmatic clinical trial, Kids FACE FEARS, testing two modalities (face-to-face synchronous vs. online asynchronous) delivery of CBT for anxiety in English and Spanish for children and their families. She has authored several publications and presentations on children’s mental health services and featured in news and media on these topics. She has worked with the ACLU and other organizations in preparing Amicus Briefs and other expert testimony on immigrant child mental health and separations.
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt Health System, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Lisa Fortuna, MD, MPH, M.Div., reports that she has no relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients during the past 24 months. She will not discuss any products, services, or off-label uses in this presentation.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Todd Peters, MD, Deepak Prabhakar, MD,, Elizabeth Ryznar, MD, MSc., Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
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Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.
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- 1.00 ACEP NBCC clock hours
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 MNA Contact Hours for Nurses
- 1.00 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Grand Rounds: Responding to Social Determinants of Mental Health in Child Psychiatry Practice
Lisa R. Fortuna, MD, MPH, M.Div
Professor of Clinical Psychiatry
UCSF Department of Psychiatry and Behavioral Sciences | Weill Institute for Neurosciences
Chief of Psychiatry, Zuckerberg San Francisco General Hospital
Vice-Chair of Psychiatry, University of California San Francisco
San Francisco, CA
Originally reviewed September 13, 2022.
Originally broadcast live September 14, 2022, from 12:00 PM – 1:00 PM ET
Enduring Activity Credit Expiration Date: October 24, 2024
Activity Time: One-hour webinar lecture with a 15-minute evaluation process. Total Time: 1:15
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