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Youth in foster care have often experienced neglect and abuse, which can result in challenges with attachment, trauma, mood issues and complex grief and loss. As a result, they deserve the best therapeutic approaches possible. Collectively we feel the pain and trauma of each loss and with each family left with no justice. There are pervasive systemic issues that contribute to this violence, the lack of protections for our sisters and lack of accountability across jurisdictions.

There is a direct line from this violence to the involvement of our children in the child welfare system. As social workers, as professionals in helping roles, we are responsible for being strong advocates at all levels in ensuring indigenous women and girls are protected.

Our communities are resilient because of our beautiful culture, values and traditions. This presentation will include a personal MMIW story and implications for practice, policy and research.

Korina Barry Leech Lake Ojibwe is a licensed social worker, educator, activist and community organizer. Korina previously worked as a senior social worker in child protection at Hennepin County, specializing in Indian Child Welfare. Creating Systems Change in Child Welfare: Given the current national focus on performance and continuous quality improvement in child welfare, this session will focus on strategies implemented in several states to improve services in order to help children and families achieve better outcomes.

The role of implementation science and practice in helping systems achieve and sustain change will be discussed as will the new federal Family First Act. Allison Blake has more than 30 years of experience serving children and families.

She is a senior fellow with the Annie E. Under her leadership, the department successfully implemented an integrated, strategic approach to delivering child welfare services. This approach promoted evidence informed, community-based services to support parents and youth.

She previously served as director of the Institute for Families at Rutgers University School of Social Work and vice president of accreditation operations at the Council on Accreditation. This training will focus on why home visits are conducted, the connection between home visits and successful reunifications, foster parent concerns and feelings about the visitation process.

Specific interventions on how to support the foster child in the visitation process, before and after visits, will be discussed. He began his career as a VISTA volunteer and has worked as the clinical director of a psychiatric facility, as an outpatient therapist, supervisor of outpatient therapists, as a foster care caseworker, clinical director of foster care services and as the owner of his private practice.

Charley has received specialized training in Prolonged Exposure Trauma Treatment. On a personal level, Charley is a native North Dakotan. He and his spouse and have two adult daughters and two grandsons. The increasing rates of childhood and adolescent anxiety and how to treat clinically. This session will focus on the increasing rates of childhood and adolescent anxiety. This session will go into depth around the reasons why these rates are increasing.

Effective interventions used to treat anxiety disorders will be discussed along with practical tools to use when working with anxiety disorders among children and adolescents. Case examples will be provided. She primarily works with children, adolescents and families. Her specialty is working with childhood trauma, anxiety and children with behavioral difficulties. Heather is also an adjunct professor at Minnesota State University Moorhead.

Henke, MD Session Title: The session will cover the latest data surrounding the opioid crisis in the United States and also provide information regarding the evidence based treatment of opioid use disorder. The various medications available for Medication Assisted Treatment of opioid use disorder will be discussed. In that capacity, she participants in interdisciplinary case reviews, develops and oversees patient medical protocols, reviews nursing assessments for appropriate withdrawal management and confers with the interdisciplinary team regarding patient care management.

She also provides medical oversight to the Medication-Assisted Therapy Program. In addition to her duties at Heartview, she provides psychiatric consultation through Henke Psychiatric Services.

Henke to the Recovery Reinvented Advisory Council. Children who have suffered trauma are very vulnerable when they are disciplined. Some types of discipline that are appropriate for typical children can even be harmful to traumatized children.

This presentation will provide specific strategies for parenting children who have suffered trauma. Participants will learn how to promote safety through relationships, and brain-rebuilding consequences, as well as how to set limits and boundaries while avoiding power struggles with trauma-informed parenting, parents and foster parents can help support a child's healing, promote the parent-child relationship and the family as a whole.

TBRI is a therapeutic model that trains caregivers to provide effective support for at-risk children. DeCoteau has extensive experience working with patients who suffer from complex trauma, neurodevelopmental disorders, grief, anxiety, depression, and suicidal thinking. She has worked in a variety of outpatient settings and with a diverse patient populations, including Veterans and Native Americans. She received the Indian Health Service Health Professional of the Year Award for outstanding service and the American Psychological Foundation Early Career Award for providing culturally competent practice techniques for Native Americans and for developing training programs in rural, underserved areas.

DeCoteau was appointed by a member of the U. Congress to serve the Commission on Native Children to help address the challenges faced by Native children. Aside from clinical work, Dr. DeCoteau has given numerous lectures on how trauma impacts attachment and brain development, in-school strategies for working with traumatized children, and historical trauma.

Statistics will be shared to highlight the marginalization of transgender and gender nonconforming TGNC folks and connections will be made to discuss TGNC youth in child welfare systems.

Participants will gain practice and resources to better respond to and serve TGNC youth. He was previously a trainer and curriculum developer and is now the Supervisor of the MN Dept.

Two hours each, repeated twice with the exception of Contextual Interventions for Hoarding Food and Behavioral Wetting which will be presented once. Providing Responsive Services to Transgender and Gender Nonconforming Youth, continued-special emphasis with foster, adoption and kinship parents. Children served in child welfare often present with numerous complex behavioral and emotional challenges.

To the professionals and substitute parents serving children in child welfare, the challenges often seem severe and nonsensical. This presentation will focus on designing interventions that respond specifically to hoarding food and behavioral wetting in a respectful and thoughtful manner.

Numerous case examples will be presented. Behavioral Wetting click to view PDF. Food Hoarding click to view PDF. This session will focus on applicable caregiver techniques to support positive attachment and healing. Please allow this therapist, who is also a foster parent, share some of these tools with you. Sara Stallman, LICSW has been providing mental health and early intervention services to children and their families for the last 12 years. She grew up in a small farming community and later attended Concordia College, Moorhead.

Sara is a licensed clinical social worker in both Minnesota and North Dakota. Sara works with children on issues related to anxiety, depression, and attention and behavioral difficulties.

She recognizes that caregivers are vital to the treatment process. She is nationally certified as an adoption competent therapist, specializing in foster care and adoption issues.

Working with caregivers and children who are part of the foster care system is a true passion for her. Sara and her husband have three daughters and are licensed foster parents for children in Clay County.

Are you Only as Good as the Agency you Work for? Summary - When you work in an organization, you become part of that larger system. Every organization develops its own culture and ethical standards that influence not only the work environment, but service delivery to the clients we aim to help. This presentation will include case studies designed to develop a deeper understanding of these challenges and strategies for ethical decision making.

Jeremy is a native Minnesotan, originally from Willmar, MN. Skip to main content. People received help with immigration-related services. Problem gamblers who found help. Hours of training provided by Child Care Aware to early childhood workforce. Seniors provided with companionship in North Dakota.

Lutheran Social Services of North Dakota : Therapeutic Partners in Child Welfare

He and his spouse and have two adult daughters and two grandsons. The increasing rates of childhood and adolescent anxiety and how to treat clinically.

This session will focus on the increasing rates of childhood and adolescent anxiety. This session will go into depth around the reasons why these rates are increasing. Effective interventions used to treat anxiety disorders will be discussed along with practical tools to use when working with anxiety disorders among children and adolescents.

Case examples will be provided. She primarily works with children, adolescents and families. Her specialty is working with childhood trauma, anxiety and children with behavioral difficulties. Heather is also an adjunct professor at Minnesota State University Moorhead. Henke, MD Session Title: The session will cover the latest data surrounding the opioid crisis in the United States and also provide information regarding the evidence based treatment of opioid use disorder.

The various medications available for Medication Assisted Treatment of opioid use disorder will be discussed. In that capacity, she participants in interdisciplinary case reviews, develops and oversees patient medical protocols, reviews nursing assessments for appropriate withdrawal management and confers with the interdisciplinary team regarding patient care management.

She also provides medical oversight to the Medication-Assisted Therapy Program. In addition to her duties at Heartview, she provides psychiatric consultation through Henke Psychiatric Services. Henke to the Recovery Reinvented Advisory Council. Children who have suffered trauma are very vulnerable when they are disciplined.

Some types of discipline that are appropriate for typical children can even be harmful to traumatized children. This presentation will provide specific strategies for parenting children who have suffered trauma. Participants will learn how to promote safety through relationships, and brain-rebuilding consequences, as well as how to set limits and boundaries while avoiding power struggles with trauma-informed parenting, parents and foster parents can help support a child's healing, promote the parent-child relationship and the family as a whole.

TBRI is a therapeutic model that trains caregivers to provide effective support for at-risk children. DeCoteau has extensive experience working with patients who suffer from complex trauma, neurodevelopmental disorders, grief, anxiety, depression, and suicidal thinking. She has worked in a variety of outpatient settings and with a diverse patient populations, including Veterans and Native Americans.

She received the Indian Health Service Health Professional of the Year Award for outstanding service and the American Psychological Foundation Early Career Award for providing culturally competent practice techniques for Native Americans and for developing training programs in rural, underserved areas. DeCoteau was appointed by a member of the U. Congress to serve the Commission on Native Children to help address the challenges faced by Native children.

Aside from clinical work, Dr. DeCoteau has given numerous lectures on how trauma impacts attachment and brain development, in-school strategies for working with traumatized children, and historical trauma. Statistics will be shared to highlight the marginalization of transgender and gender nonconforming TGNC folks and connections will be made to discuss TGNC youth in child welfare systems.

Participants will gain practice and resources to better respond to and serve TGNC youth. He was previously a trainer and curriculum developer and is now the Supervisor of the MN Dept. Two hours each, repeated twice with the exception of Contextual Interventions for Hoarding Food and Behavioral Wetting which will be presented once.

Providing Responsive Services to Transgender and Gender Nonconforming Youth, continued-special emphasis with foster, adoption and kinship parents. Children served in child welfare often present with numerous complex behavioral and emotional challenges. To the professionals and substitute parents serving children in child welfare, the challenges often seem severe and nonsensical. This presentation will focus on designing interventions that respond specifically to hoarding food and behavioral wetting in a respectful and thoughtful manner.

Numerous case examples will be presented. Behavioral Wetting click to view PDF. Food Hoarding click to view PDF. This session will focus on applicable caregiver techniques to support positive attachment and healing. Please allow this therapist, who is also a foster parent, share some of these tools with you.

The other patient had 2 massive bladder diverticula. Whereas parentally administered copper in the form of copper sulfate or copper-EDTA probably does not produce a substantial clinical improvement, Tumer et al. Copper-histidine appeared to be ineffective when it was given after the first few months of life. However, in 2 unrelated patients with this disorder who were born prematurely and received early copper-histidine treatment, the response was favorable see Sherwood et al.

At the time of the Tumer et al. An unresolved question concerned the severity of the disease in each case. One of the patients had a positive family history suggesting that he was liable to the severe form, but the possibility of intrafamilial clinical variation could not be excluded. To clarify these questions, Tumer et al.

Using a combination of single-strand conformation analysis and direct sequencing of amplified exons, they detected a single bp deletion in exon 4 in one patient and in exon 12 in the other. Both mutations led to a frameshift and created a premature termination codon within the same exon. RT-PCR analysis of total fibroblast RNA of both patients showed no evidence of exon skipping, indicating that the mutation resulted in severely truncated proteins. They concluded that the disorder would be expected to be severe and that the therapy had been effective.

A newspaper photograph of the 9-year-old patient indicated his appearance at the time of the report. Male relatives of 3 of the 4 had a severe clinical course compatible with classic Menkes disease.

As a consequence of early treatment, their patients had normal or near-normal intellectual development, but developed many of the more severe somatic abnormalities of the related disorder occipital horn syndrome, including severe orthostatic hypotension in 2.

In addition, 1 boy developed a previously unreported anomaly: The oldest patient was 20 years of age at the time of report. Hypotension had been a problem from the age of 14 years. A syncopal episode on standing was associated with bradycardia. Treatment with atropine resulted in a brisk increase in heart rate and rapid clinical recovery. There was no increase in blood pressure following immersion of the hand in ice-cold water, or following a mental arithmetic challenge, suggesting that his postural hypotension may have an autonomic basis.

It was subsequently treated with a peripheral alpha-adrenergic agonist, midodrine, in combination with fludrocortisone. He suffered from persistent chronic diarrhea since early infancy.

Three children with Menkes disease and significant osteoporosis with or without pathologic fractures all received pamidronate treatment for 1 year. There were no further fractures in 2 of the 3 children treated. No adverse effects of pamidronate treatment were noted. Although treatment did not prevent severe growth and mental retardation, it normalized plasma levels of copper and ceruloplasmin, improved his muscular tone, motor activity, and irritability, and most importantly, he never developed seizures.

The patient had a missense mutation in the ATP7A gene, which the authors hypothesized may have resulted in better response to therapy than a more deleterious mutation. They estimated the mutation rate for Menkes disease to be 1. The mottled series of mutations in the mouse may be homologous to Menkes syndrome Hunt, The 'mottled' mutation in the hamster is also probably homologous Yoon, Most aneurysms occurred in the ascending aorta, with some also present in the descending thoracic and abdominal segments.

Some animals had multiple aneurysms. Male mice with the Mottled-Brindled allele accumulate copper in the intestine, fail to export copper to peripheral organs, and die a few weeks after birth. Much of the intestinal copper found in Mottled-Brindled mice is bound by metallothionein MT ; see To determine the function of MT in the presence of Atp7a deficiency, Kelly and Palmiter crossed Mottled-Brindled females with males that bear a targeted disruption of the Mt1 and Mt2 genes.

On the metallothionein-deficient background most Mottled males as well as heterozygous Mottled females died before embryonic day The authors explained the lethality in females by preferential inactivation of the paternal X chromosome in extra embryonic tissues and resultant copper toxicity in the absence of MT.

In support of this hypothesis, Kelly and Palmiter found that cell lines derived from metallothionein deficient, Mottled embryos were very sensitive to copper toxicity. They concluded that MT is essential to protect against copper toxicity in embryonic placenta, providing a second line of defense when copper effluxers are defective.

They also stated that MT probably protects against hepatic copper toxicity in Wilson disease and the LEC rat model in which a similar copper effluxer, ATP7B , is defective, because MT accumulates to high levels in the liver in those diseases. The nature of the mutation in the brindled mouse is of importance in understanding the normal role of the protein encoded by ATP7A and for devising treatment strategies for Menkes disease.

They also presented Western blot data for the normal gene product in tissues. In the kidney, immunohistochemistry demonstrated the protein in proximal and distal tubules, with a distribution identical in mutant and normal mice. This distribution was considered consistent with the protein being involved in copper resorption from the urine.

Both groups of mutants were separable from controls on both copper uptake and copper retention assays. Values obtained were the same as those previously reported for human fibroblasts established from patients with Menkes disease, but no significant differences were found between the alleles associated with survival and those associated with prenatal death.

Clinical expression of Menkes disease in a girl with X;13 translocation. Neuropathology of Menkes' disease. Sex-linked neurodegenerative disease associated with monilethrix. Age of onset, pattern of distribution, and histology of aneurysm development in a genetically predisposed mouse model.

Altered copper metabolism in cultured cells from human Menkes' syndrome and mottled mouse mutants. Cell culture studies of Menkes kinky hair disease.

Isolation of a candidate gene for Menkes disease that encodes a potential heavy metal binding protein. Early treatment of Menkes disease with parenteral cooper sic -histidine: Hair in Menkes disease: Hair, Trace Elements, and Human Illness. Pili torti as marker for carriers of Menkes disease.

Fine mapping and cloning of the breakpoint associated with Menkes syndrome in a female patient. The mild form of Menkes disease: Menkes' kinky hair syndrome: Menkes' kinky hair disease: Is Menkes' syndrome a heritable disorder of connective tissue? Molecular pathogenesis of Wilson and Menkes disease: Vitamin C treatment in Menkes' disease: A Golgi localization signal identified in the Menkes recombinant protein. Studies of the biochemical basis of kinky hair disease. Close linkage of the gene for Menkes disease to the centromere region of the human X-chromosome.

Menkes kinky hair syndrome: Analysis of Mnk, the murine homologue of the locus for Menkes disease, in normal and mottled mice. Early development of occipital horns in a classical Menkes patient. Clinical expression of Menkes syndrome in females. An unusual neurological disorder of copper metabolism clinically resembling Wilson's disease but biochemically a distinct entity. Molecular basis of the brindled mouse mutant Mo-br: Copper infusion therapy in trichopoliodystrophy. An X-linked disease of the nervous system with disordered copper metabolism and features differing from Menkes disease.

Bladder diverticula and Menkes' syndrome. Brain tissue accumulates 64 copper by two ligand-dependent saturable processes. Copper incorporation studies on cultured cells for prenatal diagnosis of Menkes' disease. Is Menkes syndrome a copper storage disorder? Menkes X linked disease: Linkage studies in Menkes disease: Primary defect in copper transport underlies mottled mutants in the mouse. Degeneration of the cerebellar system in X-chromosome-linked malabsorption.

Lethal neonatal Menkes' disease with severe vasculopathy and fractures. Occipital horn syndrome and a mild Menkes phenotype associated with splice site mutations at the MNK locus. Pamidronate treatment improves bone mineral density in children with Menkes disease. Menkes syndrome in a girl with X-autosome translocation.

A murine model of Menkes disease reveals a physiological function of metallothionein. The trans-Golgi network can be dissected structurally and functionally from the cisternae of the Golgi complex by brefeldin A.

Abnormalities of copper accumulation in cell lines established from nine different alleles of mottled are the same as those found in Menkes disease. Heritable Disorders of Connective Tissue. A sex-linked recessive disorder with retardation of growth, peculiar hair and focal cerebral and cerebellar degeneration. Isolation of a partial candidate gene for Menkes disease by positional cloning. Identification and analysis of 21 novel disease-causing amino acid substitutions in the conserved part of ATP7A.

Ectodermal manifestations in Menkes disease. Late-onset treatment in Menkes disease: Congenital hypocupraemia syndrome with and without steely hair: Alterations in copper and collagen metabolism in the Menkes syndrome and a new subtype of the Ehlers-Danlos syndrome. Ligand-regulated transport of the Menkes copper P-type ATPase efflux pump from the Golgi apparatus to the plasma membrane: A mild form of Menkes steely hair syndrome. Copper deficiency suppresses the immune response of mice.

Distinctive Menkes disease variant with occipital horns: On the genetic length of the short arm of the human X chromosome. A sex-linked defect in the cross-linking of collagen and elastin associated with the mottled locus in mice. Reduced lysyl oxidase activity in skin fibroblasts from patients with Menkes' syndrome.

Life-span and Menkes kinky hair syndrome: Copper-histidine therapy for Menkes disease. Copper histidinate therapy in Menkes' disease: Menkes disease in affected females: Translocation t X;21 q High 64 Cu uptake and retention values in two clinically atypical Menkes patients.

Localization of the Menkes gene to the long arm of the X-chromosome. Measurement of copper in chorionic villi for first-trimester diagnosis of Menkes' disease. Incidence of Menkes disease. Multipoint linkage analysis in Menkes disease. Early copper-histidine treatment for Menkes disease. Screening of unrelated patients affected with Menkes disease and finding of 57 gross deletions in ATP7A. Mapping of the Menkes locus to Xq First trimester prenatal diagnosis of Menkes disease by DNA analysis.

Localization of the translocation breakpoint in a female with Menkes syndrome to Xq Isolation of a candidate gene for Menkes disease and evidence that it encodes a copper-transporting ATPase. Central nervous system involvement and generalized muscular atrophy in occipital horn syndrome: Ehlers-Danlos type IX--a first Japanese case. Radiological findings in the kinky-hair syndrome.

Atypical Menkes steely hair disease. Menkes kinky hair disease: Evidence that the Menkes locus maps on proximal Xp. Menkes kinky hair syndrome--studies of copper metabolism and long term copper therapy. The cellular pathology of Menkes' steely hair syndrome.

Recent advances in Syrian hamster genetics. A sex-linked disorder with mental and physical retardation characterized by cerebrocortical atrophy and increase of glutamic acid in the cerebrospinal fluid.

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