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Wednesday, May 28, 2003
1:00 4:00 p.m. At The Table pre-conference meeting with current sponsors and potential
funders of a National Center for Rural/Agricultural Behavioral
Health. Meeting Summary
Thursday, May 29, 2003
7:00 8:00 a.m. Breakfast Buffet Seville Ballroom Opportunity for groups to hold special meetings Registration and opportunity for sponsors, vendors and poster
exhibitors to set up displays.
8:00 8:30 a.m. Welcome and outline of the conference Salon EFG
Michael
Rosmann, Ph.D.,
Executive Director, AgriWellness, Inc. and Tom
Slater, B.A., President, State Public Policy Group.
Opening remarks Salon
EFG Jim Meek, M.Ed., President, Board of Directors, AgriWellness,
Inc. and Steve Wilhide, MSW,
MPH, Executive
Director, National Rural Health Association.
8:30 9:15 a.m. The Clock is Ticking for Rural America, keynote address
Salon EFG
Wayne
Myers, M.D.,
President, National Rural Health Association.
Learning Objectives Conference participants should be able to discuss ways in which
traditional farming communities are changing, and how these changes
impose increasing stress on farm owner-operators.
Handout
Discussion
& Questions
9:15 10:30 a.m. Plenary Session 1: Mental Health Issues of the Agricultural Population
Salon EFG
Fred
Lorenz, Ph.D.,
Professor, Iowa State University Sociology Department
and reactors: Roger Williams, Ph.D., Chair, Department of Professional
Development, University of Wisconsin; Larry and Linda Barber,
farmers, Anita, IA.
Learning Objectives Participants will be exposed to empirical evidence concerning
the state of mental health of the farm population in the Midwest.
Handout 1
Handout 2
Handout 3
Handout 4
Discussion
& Questions
10:30 11:00 a.m. Break and opportunity to view exhibits, posters, and visit vendors
and sponsors
Break-out Session 1
11:00 12:15 p.m. Best Practices: Mental Health with Rural and Agricultural Populations
Salon D
Discussion
& Questions The Saskatchewan Farm Stress
Line: A Model for Human Service Delivery to Farm and Rural Families by
Ken
Imhoff, M.C. Ed.,
Farm Stress Unit, Saskatchewan Department of Agriculture,
Food and Rural Revitalization, Regina, Saskatchewan, Canada
Learning Objectives Participants will gain an understanding of: A rural crisis and information line model that is situated
inside a government department, including operational details. The importance of acknowledging the Culture of Agriculture. How the service services as a resource on the Human Dimensions
of Agriculture. Contribution of the service in influencing the goals and
objectives of a government department(s). The evolution of the service with the addition of Adjunct
services.
Handout 1
Handout 2
Helping Farm Families Cope with
Stress by
Roger
Hannan, MS,
Farm Resource Center, Mound City, IL
Learning Objectives Participants will learn about the Farm Resource Centers
model for rural mental health crisis intervention. The role of
volunteers and working agreements will be discussed.
Handout
Couples Retreat: Alternative
Rural Mental Health Prevention Care by
Marcene R. Moran,
Ed.D., Catholic
Family Services, Sioux Falls, SD
Learning Objectives Participants will learn how to develop weekend retreats for farm
couples as a way of reducing stress on the farm and preventing
more serious mental health problems.
Handout
Best Practices: Social Psychological
Supports Salon EFG
Discussion
& Questions Circle of Support by
Jane
Hayes-Johnk, M.S.,
Iowa State University Extension, Red Oak, IA and
Heidi Bell, M.S., Iowa State University Extension, Mount Ayr,
IA
Learning Objectives Participants will learn about the four components of the
Circle of Support curriculum that addresses the help needed from
school, parents, community and youth to help adolescents. Participants will be able to describe the philosophy and
program components of the Circle of Support adolescent mental
health program. Participants will receive research-based information for
understanding adolescent depression. Participants will learn how to recruit and train a Circle
of Support team that integrates broad community participation.
Handout
Farm Safety Issues in a Culturally
Diverse Population Group: The Amish and Other Old Order Anabaptists by
Paul
Jones, B.A.,
Purdue University Agricultural Safety and Health
Program, West Lafayette, IN and William Field, Ed.D., Purdue
University Agricultural and Biological Engineering Department,
West Lafayette, IN
Learning Objectives Participants will be able to identify socio-religious characteristics
of Old Order Anabaptists that may contribute to increased risk
exposure in farm-work settings.
Participants will be able to
identify primary trends of Old Order Anabaptist farm fatalities
as presented from Purdues preliminary research.
Participants will be able to
identify key aspects of the current CDC/NIOSH-funded surveillance
project targeting Old Order populations that is being coordinated
by Purdue University.
Handout
Caring Men by
Wade Seibert,
DSW, Lock
Haven University of Pennsylvania , Lock Haven, PA
Learning Objectives 1) Participants will recognize the increased and changing roles
of men who are informal care givers. 2) Participants will learn strategies to assist male caregivers
with their caregiving roles and the emotional isolation, self-doubt,
and stress men may feel as they fulfill these roles. 3) Participants will be encouraged to explore their own attitudes
toward male caregivers and learn to avoid judgmental cues that
male caregivers feel they receive from agency personnel who assist
them with care giving of a family member. 4) Participants will learn how to empower men to be care givers.
Handout
Rural Behavioral Health
Issues Salon ABC Wide Open Spaces: An Overview of Rural Mental Health Care by
Stephanie
Hauge, B.A.,
University of Minnesota School of Public Health,
Minneapolis, MN and Donna McAlpine, Ph.D., Health Services Research
and Policy, University of Minnesota School of Public Health,
Minneapolis, MN
Learning Objectives Participants will understand what the most current research says
about recent trends in behavioral health, including prevalence,
access, and its impact on rural communities.
Handout 1
Handout
2
Handout
3
Agricultural Behavioral Health:
Challenges for Beliefs and Interventions by
Joan Blundall,
M.S., The
Higher Plain, Inc., Iowa City, IA
Learning Objectives 1. Participants will increase their understanding of the complexity
and challenges facing care systems which provide behavioral health
services in agricultural America.
2. Participants will identify
the key components necessary in designing a National Center for
Agricultural Behavioral Healthcare.
Handout
Using Coalitions to Improve Access
to Affordable Rural Health Care
by Kathy Schmitt, M.S., Wisconsin Department
of Agriculture, Trade & Consumer Protection, Wisconsin Farm
Center, Madison, WI and Roger Williams, Ph.D., University of
Wisconsin, Department of Professional Development and Applied
Studies, Madison, WI
Learning Objectives Participants will learn how to use coalitions and form strategic
partnerships to identify gaps and opportunities to provide access
to affordable health care in rural communities.
Handout
Focus Group: Overcoming Barriers
to Effective Behavioral Health Care Room 800-00A (8th
Floor) Consumers of mental health or addictions services, farmers, ranchers,
farm workers and other persons connected with agriculture are
encouraged to sign up for participation in a focus group. The
information will be compiled into the conference proceedings.
Obtaining recommendations from the focus groups is a primary
purpose of the conference.
12:15 1:30 p.m. Lunch, followed by video presentation Seville Ballroom
The video portrays concerns that the agricultural population
about obtaining mental health and substance abuse services. Following
the video there will be a panel discussion. Panel: David Lambert, Ph.D., President, National Association
for Rural Mental Health, Debra Phillips, M.D., Southern Illinois
University School of Medicine, Tom Slater, B.A., President, State
Public Policy Group.
Discussion
& Questions
1:30 2:45 p.m. Plenary Session 2: Substance Abuse in Rural America: A Growing
Epidemic? Salon EFG
Peter Nathan, Ph.D.,
Professor, Department
of Community and Behavioral Health, University of Iowa and reactors:
Anne Helene Skinstad, Psy.D., Director, Prairielands Addiction
Technology Transfer Center, Iowa City, IA, Art Schut, M.A., Executive
Director, Mid-Eastern Council on Chemical Abuse, Iowa City, IA,
Rick McNeese, Ph.D., Owner and Executive Director of First Step
Recovery and Wellness Center, Lincoln, NE.
Learning Objectives The participants will become acquainted with research indicating
the epidemic use of alcohol and other drugs by rural U.S. residents.
Handout
Discussion & Questions
2:45 3:15 p.m. Break and opportunity to view exhibits, posters, and visit vendors
and sponsors
Break-out Session 2 3:15
4:30 p.m. Best Practices: Addictions Services with Rural and Agricultural
Populations Salon D
Discussion
& Questions Unmet Mental Health/Substance
Use Treatment Needs Among Rural Adolescents by
Rachel L.
Anderson, Ph.D.,
University of Iowa, Department of Health Management
and Policy, College of Public Health, Iowa City, IA
Learning Objectives Participants will have an understanding of 1) the level of unmet
mental health and/or substance use treatment among adolescents
with co-occurring disorders, and 2) the factors that predict
unmet need.
Handout
Frontier Youth: Living on the
Edge by
Carol
Miller, MPH,
Frontier Education Center: The National Clearinghouse
for Frontier Communities, Santa Fe, NM
Learning Objectives Participants will be able to: 1. List three leading high-risk behaviors of youth. 2. Describe resources available for either information or programmatic
support.
Handout
Preventing and Treating Substance
Abuse in Rural America: The Implications on Health and Safety
on the Agricultural Industry
by Leslie Schmalzried, MA,
LMSW, Prevention
Concepts, Inc., Indianola, IA and Ardis Glace, B.S., Iowa Substance
Abuse Program Directors Association, West Des Moines, IA
Learning Objectives Participants will become familiar with substance misuse issues
among the rural population and their implications for the health
and safety of persons involved in agriculture.
Handout
Best Practices: Farm and Rural
Crisis Networks Salon EFG
Discussion
& Questions Making a Farm Connection Through
the Hotline by
Margaret
Van Ginkel, M.S.,
Iowa State University Extension, Iowa Concern Hotline,
Urbandale, IA; Judy DeWitz, B.S., Mental Health Association in
North Dakota, Bismarck, ND; Charlie
Griffin, M.S.,
Kansas Rural Family Helpline, School of Family
Studies and Human Services, Kansas State University, Manhattan,
KS; Marilyn Mecham, B.S., Interchurch Ministries of Nebraska,
Lincoln NE and Kathy Schmitt,
M.S., Wisconsin Farm Center, Madison, WI
Learning Objectives 1. Participants will be able to identify the ways farmers, ranchers,
and their families can access behavioral health services through
telephone hotlines. 2. Participants will be able to identify the benefits of behavioral
health services to the wellness of individuals and families.
Handout 1
Handout 2
Improving Behavioral Health Care
in Rural Areas Salon ABC Frontier Communities: Leading the Way with Innovative Approaches
to Behavioral Health
by Jane Corinne, MPH, LMSW,
Frontier
Education Center: The National Clearinghouse for Frontier Communities,
Santa Fe, NM
Learning Objectives 1. Participants will be able to identify the extent to which
behavioral health problems affect frontier residents; 2. Participants will be able to identify the primary barriers
to behavioral health care in frontier communities; 3. Participants will be able to identify behavioral health issues
that affect women in frontier communities; 4. Participants will be able to describe several innovative approaches
to delivery of behavioral health services that have been developed
to serve frontier communities; 5. Participants will be able to identify policy changes that
would positively affect behavioral health in frontier communities.
Handout
The Ranch Culture: A Barrier
to Cowboys Seeking Mental Health
by Randy R. Weigel, Ph.D.,
University
of Wyoming Cooperative Extension, Laramie, WY
Learning Objectives Participants will be able to identify the individual, familial,
and social factors that cause rural men to be reluctant to seek
mental health treatment.
Handout
Integrating Behavioral Health
Services into the Primary Practice Setting: Creating the Reality
of Accessible Primary Behavioral Health Care Services in Rural,
Western Kansas by
Chrysanne Grund,
Program Administrator for HealthCAP,
Robert Moser, M.D. and Ann Schumacher, L.S.C.S.W., Greeley County
Health Services, Sharon Springs, KS
Learning Objectives Participants will identify the processes and work plans for integrating
primary behavioral healthcare in a rural setting.
Participants will identify the
benefits to a family physician when behavioral health services
are available on-site.
Participants will benefit from
experiences of a growing program.
Handout
Focus Group: Overcoming Barriers
to Effective Behavioral Health Care Room 800-00A (8th
Floor) Consumers of mental health or addictions services, farmers, ranchers,
farm workers and other persons connected with agriculture are
encouraged to sign up for participation in a focus group. The
information will be compiled into the conference proceedings.
Obtaining recommendations from the focus groups is a primary
purpose of the conference.
4:30 5:30 p.m. Reception with cash bar.
Hors doeuvres and soft drinks available at no charge
Seville Ballroom
Dinner and evening activities
on your own Project directors from the Sowing the Seeds of Hope will hold
a face-to-face meeting, commencing at 6:00 p.m., devoted to networking.
Dinner will be served for all project leaders and invited guests
in the Executive Boardroom.
Blanca
Fuertes, MPA, Office of Rural
Health Policy will provide technical assistance on networking.
Friday May 30, 2003
7:00 8:00 a.m. Breakfast Buffet Seville Ballroom
8:00 9:15 a.m. Plenary Session 3: Preserving Behavioral Safety and Health: Best
Practices Responding to Terrorist Risks in Rural America
Salon EFG
Beth
Hudnall Stamm, Ph.D.,
Idaho State University, Pocatello, ID and reactors,
Dennis Berens, M.Ed., Director, Nebraska Office of Rural Health,
Lincoln, NE; Brian Zimmerman, B.S. and Tammy Zimmerman, B.S.,
farmers, Beatrice, NE.
Learning Objectives Participants will learn what are the greatest terrorist threats
to rural areas of the country.
Handout 1
Handout
2 Discussion
& Questions
Break-out Session 3 9:15
10:30 a.m. Best Practices: Agricultural Behavioral Safety and Health
Salon D No discussion or questions at this session Give Them a Hand and Watch Them Learn!
by
Deborah B. Reed,
RNC, Ph.D., University
of Kentucky College of Nursing, Lexington, KY
Learning Objectives Participants will be able to access and use a new safety curriculum
to influence safe work behaviors for agriculture.
Handout
Identifying Family and Community
Impacts of Farm Work Injuries and Fatalities by
S.M.
Robertson,
Agriculture and Biological Engineering, Penn State
University, University Park, PA, Dennis Murphy, Ph.D., Agriculture
and Biological Engineering, Penn State University, University
Park, PA and Lisa Davis, M.H.A., Pennsylvania Center for Rural
Health, Penn State University, University Park, PA
Learning Objectives Participants will be able to understand the social impacts, and
their importance, of farm work injuries.
Handout
The Caregiving in the Heartland
Workshop Series by
Paul Jones, B.A.,
Breaking New Ground, Purdue University,
West Lafayette, IN
Learning Objectives
Participants will be able to identify basic needs of farm and
rural families in regard to caregiving issues.
Participants will be able to
identify key steps in the development of the Caregiving in the
Heartland workshop series.
Participants will be able to
identify major outcomes of the Caregiving in the Heartland workshop
series.
Handout
Best Practices: Supports for
Farm Families Salon EFG
Discussion
& Questions Farm Couple Getaways - - The
Iowa Experience by
Larry Tranel, M.S.,
Iowa State University
Extension, Dubuque, IA
Learning Objectives Participants will learn methods of understanding personality,
communication tools, facilitation activities, decision-making
and a getaway evaluation tool of what was liked and
how they were impacted from the getawayexperience.
Handout 1
Handout 2
Handout 3
Weathering Tough Times: Responding
to Drought Related Needs of Farm and Ranch Families by
Charlie
Griffin, M.S., Kansas Rural Family Helpline, School of Family
Studies and Human Services, Kansas State University, Manhattan,
KS and Kathy Bosch, Ph.D., University of Nebraska, Scottsbluff,
NE
Learning Objectives Participants will be able to identify farm and ranch stressors
specific to drought impact.
Participants will gain knowledge
of specific assistance needs of families coping with drought.
Participants will gain knowledge
of specific resources and assistance programs which provide assistance
to drought impacted farm and ranch families.
Handout
Certified Financial Counseling
Training: Linking the University and Rural Families by
Mark
Oleson, Ph.D.,
Iowa State University, Ames, IA; Pat Thies, B.A.,
Iowa State University Extension, Oelwin, IA and Karen Franks,
B.A., Iowa State University Extension, Dubuque, IA
Learning Objectives Participants will grasp the need for training for financial counselors
and educators and will begin to brainstorm ways to accomplish
the training in their home locales.
Handout
Southeast Iowa Quality of Life
Team by
Larry
K. McMullen, M.S.,
Iowa State University Extension, Anamosa, IA
Learning Objectives Participants will learn about an Iowa State University Extension
project designed to work with farm families striving to make
changes in their farming operation to improve their quality of
life standards.
Handout 1
Handout 2
The Church as a Rural Support
System Salon ABC Social Implications of Creating a Prayer Support System for Farm
Families by
Karl
Goodfellow, D.Min,
Pastor and Founder, Safety Net Prayer
Ministries, Miles, IA
Learning Objectives Participants will be able to understand that prayer can cause
sociologic change, and that prayer programs can be used in assisting
in social change.
Handout
Focus Group: Overcoming Barriers
to Effective Behavioral Health Care Room 800-00A (8th
Floor) Consumers of mental health or addictions services, farmers, ranchers,
farm workers and other persons connected with agriculture are
encouraged to sign up for participation in a focus group. The
information will be compiled into the conference proceedings.
Obtaining recommendations from the focus groups is a primary
purpose of the conference.
10:30 11:00 a.m. Break and opportunity to view exhibits, posters, and visit vendors
and sponsors Opportunity to check out of hotel, if necessary
11:00 12:00 p.m. Plenary Session 4: Sowing the Seeds of Hope: An Evaluators
Perspective Salon EFG
Michelle
Kobayashi, MSPH,
Sarah Thurston, MA, Deanna Hall LaFlamme, MA and
Thomas I. Miller, Ph.D National Research Center, Inc., Boulder,
Colorado.
Learning Objectives Participants will learn the results of the Sowing the Seeds of
Hope Project process evaluation. Findings presented will include
information on the study methods, most promising practices as
well as the lessons learned in delivering mental health services
to the agricultural population.
Handout
Discussion & Questions
12:00 12:20 p.m.
Break and opportunity to view exhibits, posters, and visit vendors
and sponsors Opportunity to check out of hotel, if necessary
12:20 1:30 p.m. Lunch Seville Ballroom Followed by special recognition of the Wisconsin Primary Health
Care Association (Fred Moskol, Sarah Lewis) and other individuals
and organizations that have been instrumental in improving mental
health and addictions services for the agricultural population.
The Clock is Ticking for Rural
Areas Everywhere, plenary address Seville Ballroom
Alana
Johnson, Foundation
for Australian Agricultural Women, Melbourne, Victoria, Australia.
Learning Objectives Participants will learn steps that are being taken in Australia
to improve the emotional and behavioral well being of Australian
farm families and how these steps may be applied in the U.S.
Handout
1:30 2:30 p.m. Plenary Session: Where do we go from here? Panel discussion
Salon EFG Panel:
Stephen Wilhide, M.P.H.,
M.S.W., Executive Director, National Rural Health Association;
David Lambert, Ph.D., President, National Association for Rural
Mental Health; Jim Meek, M.Ed., Program Director, Iowa State
University Extension;
Blanca
Fuertes, MPA, Public Health Analyst, Office of Rural Health
Policy; Michael Rosmann, Ph.D.,
Executive Director, AgriWellness, Inc.; Anne Helene Skinstad,
Psy.D., Director, Prairielands Addiction Technology Transfer
Center.
Learning Objective Participants will learn about, and may share in the discussion
of, important next steps that need to taken to improve behavioral
health service delivery for rural and agricultural populations.
Discussion & Questions
2:30 3:00 p.m. Concluding remarks and adjourn Salon EFG
Michael
Rosmann, Tom Slater
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