January 27, 2021, 4:00:00 PM
LT Keelan K. O’Connell hails from Abilene, Texas. Balancing running collegiate cross country and studying abroad in Ireland while attending St. Bonaventure University in Western New York, she graduated college in 3 years with a major in Biology and a minor in Spanish and Gerontology. Between college and medical school, Dr. O’Connell served for 1 year as a medical missionary in East Timor. She attended medical school at George Washington University and is excited to serve as the first U.S. Navy 3+2 direct accession to the Child/Adolescent Psychiatry Fellowship at Walter Reed. Although she didn’t know it at the time, Keelan was always destined to become a Child Psychiatrist, playing the role of Lucy in her first grade production of a Charlie Brown Christmas. Outside of her psychiatric training, she enjoys jigsaw puzzles, scavenger hunts, running, baking and spending time with her husband and 2.5. year old daughter, Calista. Her second daughter is due in just 7 weeks, on St. Patrick’s Day.
Suicidality In Youth
Suicide is pervasive and affects us all as clinicians and as human beings. Suicide is now the 2nd leading cause of death in U.S. 10-34 year olds. This presentation will discuss the prevalence of youth suicidality, pertinent contributing risk factors and interviewing skills to feel confident in asking about suicide risk, youth cognitive understanding of death/suicide, the role different parenting styles play in influencing youth suicidality, the role of technology in predicting and preventing suicidality and will provide reliable resources on suicide help for clinicians, parents and patients.
Vance, Mary; Bumgardner, Adam
January 13, 2021, 4:00:00 PM
Dr. Vance is Assistant Professor of Psychiatry at the Uniformed Services University and a Scientist at the USU’s Center for the Study of Traumatic Stress. She completed her psychiatry residency training at the Massachusetts General Hospital/McLean Hospital Adult Psychiatry Residency Program and subsequently completed a health services research and health policy fellowship at the National Clinician Scholars Program (former RWJ Scholars Program) at the University of Michigan and VA Ann Arbor. She has been involved in the national conversation on clinician wellness for the past several years through the American Psychiatric Association: initially as a member of the Advisory Board to the Ad Hoc Committee on Wellbeing and Burnout, then as Vice-Chair of the permanent Committee on Wellbeing and Burnout, and currently as the committee’s data lead in designing, implementing, and analyzing a survey on the determinants of burnout and depression among minority and underrepresented psychiatrists. Institutionally, she also co-chairs the NCC GME Committee’s Wellness Subcommittee.
CPT Adam Bumgardner is a second year Internal Medicine and Psychiatry resident in the National Capitol Consortium. He graduated with a Bachelor of Science in Biology at the University of South Carolina and received his medical degree from the Medical University of South Carolina. He has presented at the National Capitol Region Pain Skills Training, AMSUS, and the American College of Physicians (ACP) Triservice Meeting and has an accepted workshop at the upcoming 2021 APA Annual Meeting. He currently serves as the Deputy-Co Chair for the NCR GMEC Wellness Subcommittee, recruitment chair for his residency program, and a resident representative for the ACP Army Chapter Council of Resident/Fellow Members.
Burned Out By Wellness
Clinician wellness and burnout are much-discussed topics. However, the focus of the conversation is often around individual interventions to bolster clinician resilience, rather than the unit, organizational, and systemic stressors that contribute to distress. In addition, the literature does not adequately address determinants of wellness and burnout among several populations, including underrepresented healthcare professionals and military medical personnel. In this session, Dr. Vance and Dr. Bumgardner will share evidence and perspectives on these underaddressed areas in clinician wellness and make actionable recommendations for multilevel change for the benefit of the NCC and military healthcare professionals.
January 6, 2021, 4:00:00 PM
Dr. George is a senior scientist in the NIAAA OCD. Dr. George received his Medical Degree from Bowman Gray School of Medicine of Wake Forest University. He has completed residencies in Internal Medicine at Henry Ford Hospital, Detroit, Michigan and in Psychiatry at Duke University, Durham, North Carolina. He is board certified in both internal medicine and psychiatry. His major research interests include exploring new treatments for alcoholism and understanding the biological antecedents of domestic violence and PTSD. He has published more than 100 peer reviewed articles and is the author of Untangling the Mind. Why We Behave the Way We Do. Dr. George is a Clinical Professor at George Washington University School of Medicine.
Toward a Better Understanding of the Biological Causes of Domestic Violence
Domestic Violence (DV) is a major health concern. The better we can understand the causes of DV, the better we can implement more effective treatments.
December 9, 2020, 4:00:00 PM
Mr. Kevin Ceckowski is a clinical social worker and now the Service Chief for Outpatient Medical Social Work Service at Walter Reed National Military Medical Center in Bethesda, Maryland. He arrived in 1991. He has been the Nephrology / Transplant social worker since 1997. He teaches at the Dialysis LPN School about the psychosocial dilemmas in beginning chronic dialysis. He also gives a yearly presentation to new nephrology fellows on kidney transplant assessments. For the past four years he has been involved with research on the topic of Palliative Care and issues with Advance Directives. He presented two research posters in 2015 and 2016 at the National Kidney Foundation (NKF) Spring Clinical Meetings on this topic. He has recently written a journal article on how social workers provide advance care planning support to providers. This was published in the Journal of Nephrology Social Work. Mr. Ceckowski has been on the NKF Spring Clinical Meeting’s Social Work Program Committee for the past 6 years and is currently the Program Chair. He has been a Field Instructor for graduate student interns coming through this Medical Center’s training program. He received his MSW degree in 1991 from Virginia Commonwealth University in Richmond, Virginia.
The Role of Behavioral Health in Transplant Medicine
For the past 23 years Mr Ceckowski has been interviewing living kidney donor candidates to determine what makes them want to give the gift of life by donating their kidney. Some want to help out their spouse or sibling, others are reaching out to assist a friend or colleague. They all have one thing in common, they wish to help during what they perceive is a time of crisis. Most of these candidates are truly selfless, a few are apparently coerced and still others stop the process and do not give further consent. A roller-coaster ride of emotions from work-up to post-donation.
Xenakis, Stephen; Schouten, Ronald; Suardi, Enrico
December 2, 2020, 4:00:00 PM
Stephen N. Xenakis, MD is an adult, child, and adolescent psychiatrist with many years of clinical, academic, and management experience. He retired from the U.S. Army in 1998 at the rank of Brigadier General and began an active career starting up medical technology companies and clinical practice. Dr. Xenakis has advised the Chairman of the Joint Chiefs of Staff and other senior Department of Defense officials on psychological health and the effects of blast concussion. He is actively engaged with Physicians for Human Rights and Human Rights First, and is the only retired military general and physician to speak out publicly against torture and the involvement of health care practitioners in torture.
Ronald Schouten, M.D., J.D., is the Director of the Forensic Psychiatry Fellowship Program at St. Elizabeths Hospital in Washington, DC and Director Emeritus of the Law & Psychiatry Service of the Massachusetts General Hospital (MGH). He was previously Director of the MGH/HMS Forensic Psychiatry Fellowship Program. He remains on staff at MGH and is currently an Associate Professor of Psychiatry at Harvard Medical School. Dr. Schouten is board certified in psychiatry and forensic psychiatry, and is licensed to practice medicine in Massachusetts, New York, California, and the District of Columbia.
Dr. Suardi is director of psychiatry at Saint Elizabeths Hospital, Washington DC Department of Behavioral Health. He is ABPN certified in psychiatry, child and adolescent psychiatry and forensic psychiatry. He is on faculty at Saint Elizabeths Hospital, George Washington University, and Georgetown University. He completed his M.D. and a residency in public health and preventive medicine at the University of Milan, Italy. He received an M.Sc. in public health and policy from the London School of Hygiene and Tropical Medicine and an M.A. in national security affairs from the Institute of World Politics in Washington DC.
The Role of the Psychiatrist in Counterterrorism Cases
This presentation provides an overview of the role of behavioral sciences and the psychiatrist in counterterrorism cases and threat assessment, using the Daoud case as an example.
November 18, 2020, 4:00:00 PM
Dr. Wynn is Professor of Psychiatry and Neuroscience, Assistant Chair of the Department of Psychiatry, and Senior Scientist at the Center for the Study of Traumatic Stress. He is also a Distinguished Fellow of the American Psychiatric Association and on the editorial board of the Journal of Neuroscience Research. Dr. Wynn received his education at the United States Military Academy at West Point and Uniformed Services University of the Health Sciences. He completed a dual residency in psychiatry and internal medicine at the Walter Reed Army Medical Center in Washington, D.C. During his military career Dr. Wynn has served as a Division Psychiatrist (2nd Infantry Division, Korea), Assistant Chief of Inpatient Psychiatry Services (Walter Reed), and as a Research Psychiatrist (Walter Reed Army Institute of Research) prior to transitioning to the Uniformed Services University of the Health Sciences.
Dr. Wynn has served as a frequent member of DoD level committees and working groups on the topics of trauma, PTSD, and suicide. Dr. Wynn has served as a member of various boards and committees for the US Department of Veterans Affairs and the National Institute of Mental Health as well as being US Representative and Chair for NATO Human Factors in Medicine panels on Leveraging Technology in Military Mental Health and Precision Medicine in Human Performance and Mental Health. He is a member of the Order of Military Medical Merit and recipient of the US Army Medical Department “A” Proficiency Designator, the Rundell Award, the Artiss Award, and three Meritorious Service Medals. Dr. Wynn is a Past President of the Society of Uniformed Services Psychiatrists (District Branch of the American Psychiatric Association) and has over 100 publications including three books.
Drug Drug Interactions
This presentation will provide an overview of the basics of drug drug interactions, a review of a number of psychotropic medications, and some example cases.
November 4, 2020, 4:00:00 PM
COL Jason Hawley is a Movement Disorder Neurologist and has been Residency Program Director of the NCC Neurology Residency since 2015. After graduating from USUHS in 2001, he completed Neurology Residency at Walter Reed, and was Chief of Neurology at CRDAMC in Fort Hood, Texas. He completed his Movement Disorder Fellowship at University of Maryland Medical Center in 2010, and as faculty at Walter Reed, he has focused on Clinical Movement Disorders. He has published extensively on a wide array of Movement Disorders, along with Traumatic Brain Injury, and continues to teach extensively at Walter Reed and USUHS on these topics. Today he will be discussing common disorders in Active Duty service members that he has seen in his twenty-year career as a Neurologist.
Movement Disorders in Active Duty Service Members
Movement Disorders in young people can be diagnostic challenges, confused or admixed with psychiatric conditions. During this lecture, 7 movement disorder syndromes repeatedly seen in active duty service members will be discussed. Video cases are part of the presentation.
October 28, 2020, 3:00:00 PM
Dr. Hines graduated in 1996 from Westfield State College with a BS in Biology and a minor in Chemistry. He was named Outstanding Senior Biology Student and a life Member of Phi Kappa Phi academic honor society while there. He earned his Medical Doctorate from Albany Medical College in 2000 and while there was awarded the Berkshire District Medical Society Scholarship, DAR McGregor Scholarship and James Naurison Scholarship. Dr. Hines completed internship and residency at Tripler Army Medical Center in the combined Family Medicine/Psychiatry training program and was named chief resident in 2004-2005. He is board certified by the American Board of Psychiatry and Neurology and a distinguished fellow of the APA. After graduation Dr. Hines was assigned to Eisenhower Army Medical Center and was variously the Chief of Residential Treatment, Chief of Outpatient Behavioral Health Services, Chief of Inpatient Psychiatry and the Chief of Consult-Liaison Psychiatry. Dr Hines transitioned to the Walter Reed PCLS Service in 2019. In 2006 Dr Hines was awarded the Meritorious Service Medal while deployed in support of Operation Iraqi Freedom as part of the 212th Combat Stress Detachment and 47th Combat Support Hospital. Dr. Hines is an Assistant Professor of Pychiatry at the Uniformed Services University and a Clinical Associate Professor; Dept of Psychiatry; Medical College of Georgia at Augusta University. Dr. Hines has research interests in Interventional Psychiatry/Brain stimulation, Suicide and the Microbiome. He is happily married for >30 years and has 3 adult children.
Microbes, Mood and Memory
Explanation of the holobiont (host plus all of its symbiont microbiota) as a complex community that helps to maintain dynamic metabolic ecological balance.
October 21, 2020, 3:00:00 PM
Clesson Turner, MD, PhD is a pediatrcian, clinical geneticist, and clinical-molecular geneticist at the Uniformed Services University of the Health Sciences. He is particularly interested in implementation of genomic medicine in the military health system. Prior to retiring from the Army, Dr. Turner served as the Chief of Genetics at Walter Reed National Military Medical Center and the Director of Cancer Genetics at the Murtha Cancer Center. He is currently the deputy Director of the Uniformed Services University initiative in precision medicine, PRIMER (Precision Medicine for Military Education and Research.)
Precision Medicine in the Military Health System
A practical overview of Precision Medicine as it applies to Psychiatry and the Military Health System.
October 14, 2020, 3:00:00 PM
Colonel Waits was born in Portland, Oregon and moved to Northern California at the age of 10. She received her bachelor’s degree from the United States Military Academy and her medical degree from the Uniformed Services University. She completed her general psychiatry residency in the National Capital Consortium and a fellowship in Child and Adolescent Psychiatry at Tripler Army Medical Center. She has held a number of academic and leadership positions throughout her career, primarily in Hawaii and the National Capital Region, as well as a division psychiatrist tour in Korea and two deployments to the Middle East. Her current position is Director for Behavioral Health, Walter Reed National Military Medical Center. In her free time, she enjoys being active and exploring local attractions. Prior to COVID, she also enjoyed traveling.
Gender Pearls for Everyday Use
Presentation will cover genetic, physiologic, behavioral, social, and phenomenological differences between males and females to help audience members understand and engage children and other adults more effectively.
September 23, 2020, 3:00:00 PM
Dr. Tim Hoyt was commissioned as an Officer in the Medical Service Corps of the United States Army in 2007, and left active duty in 2014 to become a civilian supervisor and faculty member at Madigan Army Medical Center. He has held numerous leadership positions within Military Medicine, including service as a Brigade Surgeon, Chief Psychology Resident, Embedded Behavioral Health Clinic Chief, Director of the nation’s flagship Intensive Outpatient Program for posttraumatic stress disorder, and Director of the National Center for Telehealth & Technology. He is currently the Branch Chief for Psychological Health Promotion at the Psychological Health Center of Excellence, responsible for several national programs targeting stigma reduction and connecting service members to care. As a Military Psychologist he has authored numerous empirical publications on combat-related stress and posttraumatic stress disorder. He is a recipient of the Bronze Star for his service in Afghanistan, as well as the Peter J.N. Linnerooth National Service Award from the American Psychological Association. He is a superior graduate of the U.S. Army War College and received his Ph.D. in Clinical Psychology from the University of New Mexico.
Military Suicide Prevention in Operational Contexts
This presentation will cover current trends in military suicide and apply interventions to military suicide prevention that can be leveraged in deployed and operational settings. Through command consultation and a collaborative approach, a number of modifiable risk factors, warning signs, and drivers for suicide behavior can be mitigated. A model will be presented that aligns assessed suicide risk factors with risk-reduction interventions such as safety planning and command intervention.
September 9, 2020, 3:00:00 PM
CDR Worlton completed her surgical residency at the former NNMC, completed her Bariatric fellowship at Cleveland Clinic, and returned to WRNMMC to run the bariatric program. She was Chief of the Division of MIS and Bariatric Surgery from 2011 to 2019. Her interests are more focused globally on prevention and treatment of obesity, with lectures in India, Philippines and Sri Lanka.
Bariatric Surgery and Me
CDR Worlton discusses bariatric surgery work up, treatment, and results with a specific focus on post operative mental health.
September 2, 2020, 3:00:00 PM
Ms. Altstatt been a social worker in the Washington area for 35 years, and with WR for over half of that period. Early career spent with child protective services and as a therapist with community clinics. Mid-career she conducted psychiatric evaluations in Suburban Hospital’s emergency department and assisted with the management of a longitudinal study of trauma with the National Institute of Mental Health. She was one of a team of social workers who served the thousands of combat casualties evacuated from Iraq and Afghanistan to WR. In 2008, she deployed under the State Department to Iraq for one year as the Foreign Service Social Worker, U.S. Embassy, Baghdad. Ms. Altstatt had missions throughout Iraq interviewing and assessing personnel under the Chief of Mission. She is now Service Chief, Inpatient Social Work, WR. Her yoga studies began 35 years ago, she has instructed locally as well as abroad, and maintains a varied home practice.
Pack Firearm, Carry Mat: A Yogi in Afghanistan
A civilian clinical social worker’s narrative of her one year deployment as an Advisor to the Afghan National Defense and Security Forces. With the perspective of a behavioral health professional, she describes the environment, community, and mission over the course of her tour. Despite the volatility of security, politics, threat levels, and force mobility, she managed to offer regular yoga instruction to her NATO community in Kabul.
August 26, 2020, 3:00:00 PM
MA, ATR-BC, LPAT, LCPAT, ATCS
Lacy is an art therapist who has been practicing in the Washington, DC area since 1999, working in various sites, including home-based counseling, school, private practice, partial hospitalization program, and inpatient hospitalization settings. She has worked for the Department of Defense since 2002, first working with military dependents at Fort Belvoir and currently working with active duty service members at Walter Reed. Lacy obtained her Master's Degree in Art Therapy from The George Washington University and holds a Bachelor's Degree in Psychology with a Studio Art Minor from Oklahoma State University. A nationally Registered and Board Certified Art Therapist, she is a Licensed Clinical Professional Art Therapist and Approved Art Therapy Supervisor in Maryland, and is a Licensed Professional Art Therapist in Kentucky. Lacy is also an Art Therapy Certified Supervisor, and has supervised graduate art therapy students as well as ATR and licensure candidates since 2006.
In addition to her passion and devotion to providing art therapy, Lacy is a New York Times bestselling author and National Bestseller with her coloring book series for adults (Color Me Calm, Color Me Happy, Color Me Stress-Free, Color Me Fearless, Color Me to Sleep, and Color Me Grateful) and has also authored an art journal for mothers and their children to communicate through art in response to prompts in Mom and Me: An Art Journal to Share, Connect, and Create Side-by-Side. She has also released a relaxation double album with original music and guided imagery called “Lavender Dreams,” with a second album currently in the works, to help people reduce stress and practice mindfulness.
Featured on “CBS Sunday Morning,” Lacy was also a presenter with the Smithsonian Resident Associate Program and was the Keynote Speaker for the First Born Girls Social Club's 10th anniversary program on the phenomenon of adult coloring and how it can be helpful for people on a psychological and neurological level. She has interviewed with magazines, newspapers, and podcasts around the world and was featured locally in The Washington Post Express. She has presented art therapy in-services for colleagues and trainees as well as to mental health providers in the community since 1999, and will be a presenter at the American Art Therapy Association National Conference in 2020. She looks forward to more opportunities such as this to make art therapy better known and understood within the behavioral health community.
Introduction to Art Therapy
What is art therapy? Many people have not heard of the field of art therapy and would respond to that question in a variety of different ways. So what is it, really? This introduction to art therapy will cover what art therapy is and what it is not, its history, how one becomes an art therapist, who art therapy serves and where it is practiced, the benefits of art therapy, art therapy assessments, common art therapy directives, and examples of artwork from art therapy.
Ritchie, Elspeth & Preston, Samuel
August 19, 2020, 3:00:00 PM
M.D., M.P.H., Colonel (retired), & D.O., Lieutenant Colonel (promotable)
Dr. Ritchie is a forensic psychiatrist with especial expertise in military and veteran’s issues. She is currently Chief of Psychiatry at Washington Hospital Center. Recent jobs have included Chief of Mental Health for the Community Based Outpatient Clinics at the Washington DC VA and Chief Clinical Officer, Department of Behavioral Health, for the District of Columbia. She retired from the Army in 2010, after holding numerous leadership positions within Army Medicine, to include the Psychiatry Consultant. She trained at Harvard, George Washington, Walter Reed, and the Uniformed Services University of the Health Sciences, and has completed fellowships in both forensic and preventive and disaster psychiatry. She is a Professor of Psychiatry at the Uniformed Services University of the Health Sciences, Georgetown University and George Washington University School of Medicine. An internationally recognized expert, she brings a unique public health approach to the management of disaster and combat mental health issues. Her assignments and other missions have taken her to Korea, Somalia, Iraq, and Cuba. She has over 250 publications, mainly in the areas of forensic, disaster, suicide, ethics, military combat psychiatry, and women’s health issues. Recent volumes include: “Forensic and Ethical Issues in Military Behavioral Health”, “Women at War”, “Post-Traumatic Stress Disorder and Related Diseases in Combat Veterans”, “Intimacy After Injury: Restoring Sexual Health on Return from Combat”; “Psychiatrists in Combat, Clinicians Experience in the War Zone”, “Gay Mental Healthcare Providers and Patients in the Military: Personal Experiences and Clinical Care”, and “Veteran Psychiatry in the US”.
Military Behavioral Health: Focus on Accession Standards
This presentation will give a personal history of COL (Ret) Ritchie's military experience and will emphasize the importance to behavioral health providers of accession standards while assessing military service members.