Conference Agenda

1. IMPACT Training Conference: September 28 & 29
2. Post-Conference Workshop on Problem-Solving Treatment (PST): September 30

The two day IMPACT training conference provides:

• introduction to evidence-based team care for depression
• detailed exploration of team roles and how to build an effective integrated care team
• practical skills for all members of the integrated care team, especially the care manager
• implementation strategies from organizations that have successfully implemented IMPACT

The one day post-conference workshop on Problem-Solving Treatment (PST) provides:

• introduction to this brief and practical evidence-based psychotherapy
• detailed skills training in the technique

Conference attendees may participate in one or both of these training components, depending on their needs. A detailed agenda for each is provided below.

Monday, September 28th

8:00 Registration & Continental Breakfast

8:30 Welcome, Introductions

8:45 IMPACT: A Practical Approach to Team-Based Depression Care

• What is depression and why treat it in primary care?
• Overview of the IMPACT model of depression care.
• Summary of the evidence supporting IMPACT
• Description of the stepped-care treatment algorithm for depression

9:45 Team Care: the Intersection of Behavioral Health and Primary Care

• The value of a team approach to depression
• Benefits of collaborative care for both patients and providers
• Effective collaboration with a patient’s primary care provider
• Introducing the program to PCPs and patients
• Bridging the cultural divide between behavioral healthcare and medicine

10:30 Break

10:45 Key Components of Depression Care Management

• Identifying depression
• Initial session / patient education / treatment options and planning
• Follow-up contacts / PHQ-9 / symptom tracking
• Relapse prevention

12:30 Lunch

1:15 CONCURRENT SESSIONS

A: Supporting Medication Management (for non-prescribers)

• Key principles of antidepressant therapy and types of medications commonly used in primary care
• Patient education about antidepressants
• Care manager role in supporting medication therapy

B: Medications In-depth: What To Do When Antidepressants Fail (for prescribers)

• When to initiate, titrate, and switch antidepressants
• Combination therapy and drug interactions
• Secial considerations for antidepressant use in older adults and medically ill patients

3:00 Break

3:15 Behavioral Activation and Brief Introduction to Problem-Solving Treatment

• The role of behavioral activation in managing depression
• Ways to encourage behavioral activation
• Integrating behavioral activation into depression care management
• What is Problem-Solving Treatment and how does it fit with Behavioral Activation?

4:15 Homework Assignment

4:30 Adjourn Day 1

Tuesday, September 29th

8:00 Continental Breakfast

8:30 Review of Day One, Q&A

9:00 Depression, Chronic Medical Illnesses, and Chronic Pain

• The intersection of depression and medical illness: diabetes, congestive heart failure, coronary artery disease, chronic pain
• Integration of depression and chronic disease care management

10:30 Break

10:45 Psychiatric Consultation: Consultant Role and Challenging Cases

• The role of the consulting psychiatrist and how it differs from traditional consultation
• Difficult cases that may benefit from psychiatric consultation: persistent depression, comorbid medical conditions, comorbid psychiatric conditions
• Managing patients at risk for suicide
• Effective ways of obtaining caseload supervision and consultation in a variety of clinical settings

12:15 Lunch

1:00 Adapting IMPACT to Diverse Practice Settings and Implementing IMPACT: Translating Research to the Real World (Part I)

• Adaptations of the IMPACT model for diverse practice settings and populations
• Building the IMPACT team
• Practice and organizational changes to facilitate implementation

2:30 Break

2:45 Implementation – Part II

• Clinical tracking systems
• Financing IMPACT care in various settings
• Action planning for implementing IMPACT in your setting

4:00 Panel Discussion with Presenters

• Questions and answers on all topics addressed in the training

4:30 Adjourn Day Two

Post-Conference Workshop: Problem Solving Treatment
Wednesday, September 30th

8:00 Continental Breakfast

8:30 Problem-Solving Treatment (PST): Introduction and Initial Session, Part I

• The theoretical model and evidence base for PST
• Key steps of problem-solving treatment
• Key elements of initial PST session

10:00 Break

10:15 Problem-Solving Treatment (PST): Introduction and Initial Session, Part II

Post-Conference Individual Consultations Wednesday, September 30th Eight organizations will have the opportunity for a free 45 minute individual consultation regarding implementation with Dr. Jurgen Unutzer and colleagues. To receive an application for a consultation, email training @impact-uw.org.

• Observation of initial PST session
• Role play

12:30 Lunch

1:15 Problem-Solving Treatment (PST): Follow-up Sessions

• Key elements of successful follow-up sessions
• Observation of follow-up PST session
• Role play

2:45 Break

3:00 Problem-Solving Treatment (PST): Group PST, Certification Process

• Group PST
• Case supervision
• Certification

3:30 Discussion

4:00 Adjourn