Register Now!

Agenda - Main Conference - September 22 & 23

The training meeting consists of two components:

IMPACT Training Conference: September 22 and 23
Optional Post-Conference Workshops on Problem-Solving Treatment (PST) and Financing IMPACT Care: September 24

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

Wednesday, September 22

8:00      Registration & Continental Breakfast
8:30      Welcome, Introductions
8:45      IMPACT: A Practical Approach to Team-Based Depression Care
             (Jürgen Unützer)

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
The value of a team approach to depression

9:45 Key Components of Depression Care Management – Part 1
(Jürgen Unützer, Rita Haverkamp, Rachel Quintanilla)

Key components of the IMPACT program as they are implemented by the care manager
Methods for identifying depression

10:30 Break
10:45 Key Components of Depression Care Management – Part 2

Initial session / patient education / treatment options and planning
Follow-up contacts / PHQ-9 / symptom tracking
Relapse prevention
Care manager role in supporting medication therapy

12:00    Lunch
12:45     Antidepressant Medications
              (Jürgen Unützer)

Key principles of antidepressant therapy and types of medications commonly used in primary care
Patient education about antidepressants
When to initiate, titrate, and switch antidepressants
Combination therapy and drug interactions

2:15      Break
2:30      Challenging Cases and Psychiatric Consultation
             (Jürgen Unützer)

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 or chronic pain, comorbid psychiatric conditions, comorbid alcohol/substance abuse
Managing patients at risk for suicide

3:30 Behavioral Activation and Brief Introduction to Problem-Solving Treatment
(Rita Haverkamp)

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?

4:30 Homework Assignment
5:00 Adjourn Day 1

Thursday, September 23

8:00      Continental Breakfast
8:30      Review of Day One, Q&A
9:15      Concurrent Sessions

A: Depression and Chronic Medical illness
(Wayne Katon)

The intersection of depression and medical illness: diabetes, congestive heart failure, coronary artery disease
The integration of services for depression, diabetes and heart disease

B: Depression and Adolescents
(Laura Richardson, Lori Higa)

Screening for adolescent depression
Interactions between mental and physical health in adolescents
Collaborative care to improve outcomes for depressed adolescents in primary care settings

10:30 Break

10:45 Concurrent Sessions

C: Depression and Chronic Pain
(Stephen Thielke, Jürgen Unützer, Lori Higa)

The interaction between depression and chronic pain
Effects of chronic pain on depression symptoms and treatment
Care management for both depression and chronic pain

D: Depression and Moms
(Nancy Grote, David Harrison)

Impact of maternal depression on child mental health and development
Psychosocial interventions for treating maternal depression
Using medications to treat depression during pregnancy and post-partum period

12:00 Lunch

12:45 IMPACT Implementations – Part 1
(Jürgen Unützer, Rachel Quintanilla, Rita Haverkamp, Virna Little, Nancy Jaeckels, Diane Powers)

Overview and goals of AIMS Center (Advancing Integrated Mental health Solutions)
Adaptations of the IMPACT model for diverse practice settings and populations (e.g. HMO setting, FQHC setting, low-income Latino population, state-wide implementation)

2:45 Break
3:00 IMPACT Implementations – Part 2

More adaptations of the IMPACT model for diverse practice settings and populations

3:30 Implementation Planning and Team Building
(Jürgen Unützer, Diane Powers)

Implementation process and timeline
Building the team
Clinical tracking systems
Action planning for implementing IMPACT in your setting

4:30 Panel Discussion with Presenters

Questions and answers on all topics addressed in the training

5:00 Adjourn Day 2