Maine AAP Annual CME Conference - September 26th & 27th - Virtual

Shining a Light: Hidden Circumstances Affecting the Health and Wellbeing of Children and Families & Navigating School Re-Opening During a Pandemic


Conference Agenda - September 26, 2020


Welcome, Chapter Updates & Annual Awards

  • Deb Hagler, MD, FAAP Maine AAP - President
  • Laura Blaisdell, MD, MPH, FAAP Maine AAP - Vice President


What is the Data Telling Us?

  • Korey Pow, MPH, Project Coordinator Maine Integrated Youth Health Survey, Maine CDC


Promoting Child & Family Health and Wellbeing: The Critical Need for Pediatricians to Address Adverse Childhood Experiences

  • Cassie Yackley , Psy. D., PLLC Licensed Psychologist

    Dr. Cassie Yackley is a master trainer and trauma-responsive practice content expert. Dr. Yackley has spent her professional career committed to understanding and effectively addressing the impact of traumatic exposure on children, families, and systems by bringing together recent discoveries from developmental neuroscience, attachment, & implementation science to help professionals learn how reflective practice leads to better working environments and outcomes for professionals and those they serve.

    Dr. Yackley’s company (Cassie Yackley, Psy.D., PLLC) was formed in 2016 to meet the profound need for expert training and consultation in trauma responsive practices/systems in human service agencies throughout the state faced by impact of the opioid epidemic and the crisis in the children’s mental health and child protection systems. Dr. Yackley has extensive experience consulting with agencies to develop system-wide cultural shifts and to implement organizational change toward trauma-responsive policies and practices. She leads learning communities in trauma responsive care by conducting foundational training and facilitating monthly reflective supervision/consultation to professionals across disciplines and has developed assessment and implementation tools and toolkits to support trauma responsive change.

    As a trainer, Dr. Yackley provides keynote presentations at association conferences and offers an array of single event training sessions to audiences of all sizes throughout New England and nationally. Over the past four years, she has presented hundreds of times to more than 75 different agencies, associations, and/or school districts for professionals across human service sectors that include: mental health clinicians, home visitors, early childcare providers, law enforcement agents/emergency first responders, psychiatric providers, integrated health network associates, medical professionals, educators, and substance use disorder providers.

    In collaboration with the Behavioral Health Improvement Institute at Keene State College, Dr. Yackley has led (as project director/principal investigator) several statewide projects supporting the implementation of trauma responsive practices across systems by obtaining grant funding through state agencies and private endowments/foundations. Through project GROW (Generating Resilience, Outcomes, and Wellness), Dr. Yackley and the NH Department of Education Office of Student Wellness are working with six NH school districts over a four-year period to align school policies and practices with the principles of trauma-informed care. As director of the NH Child-Parent Psychotherapy (CPP) Provider Network, Yackley has built a statewide, sustainable system of CPP providers across the state by conducting endorsed CPP learning collaboratives to roster mental health clinicians, providing ongoing consultation to CPP supervisors, and by building awareness and providing advocacy for CPP at the state level.

    While with the Dartmouth Trauma Interventions Research Center, Dr. Yackley served as administrative director for an Administration for Children, Youth, and Families (ACF) grant transforming New Hampshire’s Division for Children, Youth, and Families (DCYF) into a trauma-informed system through the Partners for Change project. Over a three-year period, Dr. Yackley trained all of NH’s child protection and juvenile justice professionals and was embedded in each of the state’s district office consulting with staff implement trauma responsive practice, including instituting universal screening for trauma and mental health for all adjudicated youth.

    In addition to more than 25 years as a mental health clinician, psychological evaluator, and program manager, for nearly a decade Dr. Yackley was the Director of Training for an American Psychological Association accredited doctoral internship training program in psychology within a community mental health and integrated primary care setting. In that role, she prepared doctoral interns to serve unserved populations (primarily children with severe emotional disturbances (SED) and adults with severe and persistent mental illness (SPMI)) with a focus on trauma and autism spectrum disorders.

Given the prevalence of child trauma, and the well-documented neurobiological sequelae of such adversities, childhood maltreatment and household dysfunction are a public health problem that must be addressed with urgency. In order to identify and effectively intervene with childhood maltreatment, multigenerational forms of trauma, and the enduring impact of ACEs, it will truly take a community and pediatricians will need to play a critical role. Trauma-informed pediatricians understand the value of inquiring about adverse experiences and appreciate the need for diagnostic considerations to be viewed through the "trauma lens." They can provide children, caregivers, and other professionals psychoeducational resources to support post-traumatic growth, including referrals to available evidence-based treatments. Participants will learn about the "Trauma-Responsive Framework" methodology as an effective strategy for making-sense of traumatic experiences with patients and for understanding how work with traumatized families inherently affects pediatricians.


Break- Exhibitor and Poster Session Open

10:15AM Breakout Session

Evidence Based Suicide Risk Assessment and Management in All Healthcare Settings

  • Greg Marley, LCSW, Clinical Director NAMI Maine

Human Trafficking in Maine

  • Casey Nasan, Director, Courage Lives Program Saint Andre Home


Plenary Talk - Cannabis(marijuana) in Pregnancy & Human Milk: Myths versus the 2019 evidence on newborn outcomes

  • Maureen Gorden Shogan, MN, RNC Clinical Project Director of National Institute on Drug Abuse (NIH) - GOVERNMENT Contract NO. HHSN-271-201700021C Phase 2
  • Differentiate the cannabinoids Tetrahydrocannabinol (THC) and Cannabidiol (CBD).
  • Describe the potential methods of ingesting THC
  • Describe outcomes of prenatal cannabis ingestion on children.
  • Relate AAP, ACOG, AWHONN and Breast Feeding Medicine recommendations regarding marijuana/cannabis use in pregnancy and breastfeeding.
  • Describe neonatal withdrawal symptoms when cannabis and opioids are concomitantly used together last trimester.


Lunch Break - Exhibitor and Poster Session Open


Obesity Session

  • Valerie O'Hara, DO
  • Allen Browne, MD
  • Jennifer Curran, PhD
  • Sonali Malhotra, MBBS
  • Emily Keller, MD
  • Obesity as a Disease, Bias,Pathophysiology Overview Val O'Hara, DO & Allen Browne, MD
  • Mental Health Considerations -Obesity and Co-Occurring Diagnosis Jenn Curran, PhD
  • Genetics for Severe Obesity Sonali Malhotra, MBBS
  • Physical Literacy and Obesity Emily Keller, MD
  • Wrap Up and Treatment Intro Val O'Hara, DO & Allen Browne, MD


Break With Exhibitors


Compassionate Care for Substance Exposed Children & Families

  • Steve Meister, MD
  • Doug Waite, MD
  • Jamie Fey, MD
  • Alane O'Connor, DNP


Conference Concludes