conference notes

We are pleased to announce the Conference Notes are now available here on the Agriwellness web site!  The Agenda is shown below.  Click on any link (blue underlined text) below to go directly to that document.

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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

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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.

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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.

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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.

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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

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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

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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

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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 Center’s model for rural mental health crisis intervention. The role of volunteers and working agreements will be discussed.

Handout

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Couple’s 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

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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

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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 Purdue’s 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

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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

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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

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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

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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

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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.

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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

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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

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2:45 – 3:15 p.m.
Break and opportunity to view exhibits, posters, and visit vendors and sponsors

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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

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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

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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

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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

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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

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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

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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

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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.

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4:30 – 5:30 p.m.
Reception
with cash bar. Hors d’oeuvres 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.


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Friday May 30, 2003
7:00 – 8:00 a.m.
Breakfast Buffet • Seville Ballroom

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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

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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

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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

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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

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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 “getaway”experience.

Handout 1
Handout 2
Handout 3

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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

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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

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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

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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

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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.

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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

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11:00 – 12:00 p.m.
Plenary Session 4: Sowing the Seeds of Hope: An Evaluator’s 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

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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

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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.

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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

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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

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2:30 – 3:00 p.m.
Concluding remarks and adjourn • Salon EFG
Michael Rosmann, Tom Slater

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