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

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

Thank you to those who attended this year's conference!


Conference Agenda - September 26, 2020


Welcome, Chapter Updates & Annual Awards



Keynote: 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

Human Trafficking in Maine

There have been many reports of the human trafficking of children and minors in the news and media. In this session, we will talk about what's happening in Maine, the warning signs and what to do if you suspect a child is at risk of being exploited or trafficked, and how you and your practice can best respond to this crime.


Plenary Talk - Cannabis (marijuana) in Pregnancy & Human Milk: Myths versus the 2019 Evidence on Newborn Outcomes

  • 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

1:00PM Obesity Treatment and Management

Obesity as a Disease, Bias, and Pathophysiology Overview

Mental Health Considerations -Obesity and Co-Occurring Diagnosis

Genetics for Severe Obesity

Physical Literacy and Obesity

  • Emily Keller, MD Western Maine Pediatrics, Maine Medical Center

    Dr. Emily Keller is a primary care pediatrician working at Western Maine Pediatrics and Maine Medical Center, where she sees patients ranging from newborns to young adults. She is board certified in General Pediatrics and in Public Health and General Preventive Medicine and works with the MMC Preventive Medicine program.

    Dr. Keller serves on the Board of Directors of the Maine Chapter of the American Academy of Pediatrics and is active on the Advocacy and Conference Committees.

    Prior to coming to Maine for pediatric and preventive medicine training, Dr. Keller completed her undergraduate and medical degrees at The University of Vermont. She is passionate about promoting healthy lifestyle habits to empower kids and families to live healthy and happy lives.


Break With Exhibitors

3:15pm Compassionate Care for Substance Exposed Children & Families

Overview - Substance Exposed Infants in Maine

A Disability by any Other Name: Why Children with Fetal Alcohol Spectrum Disorders are not being Diagnosed (and what you can do about it)

Care of the Opiate Exposed Infant

MOM Model, Safe Plans of Care and ABC Intervention


Conference Concludes

Navigating School Re-Opening During a Pandemic - Sunday, September 27, 2020


Welcome and Setting the Stage

  • Laura Blaisdell

    Dr. Blaisdell is the Vice President of the Maine Chapter of the AAP


Maine CDC - Looking Forward

  • Director Nirav Shah, MD, JD Maine Center for Disease Control and Prevention

    In June 2019, Nirav Shah, MD, JD, was appointed as the Director of the Maine Center for Disease Control and Prevention (Maine CDC). Dr. Shah comes to Maine CDC with broad experience in public health, most recently as Director of the Illinois Department of Public Health, where he implemented key initiatives to address the State's opioid crisis, reduce maternal and infant mortality, and reduce childhood lead poisoning.

    As an attorney and public health economist, Shah previously advised professionals and governments around the nation and globe on improving the delivery of health care. Earlier in his career, he worked for the Ministry of Health in Cambodia, where his work included investigating and managing disease outbreaks as an epidemiologist.

    Shah received both medical and law degrees from the University of Chicago. He also studied economics at Oxford University.


School Re-Opened: Challenges and Successes

  • Commissioner Pender Makin Maine Department of Education

    Across her more than 20-year career, Makin has devoted herself to the mission of public education. From 1997 to 2003, she served as a classroom teacher at Fred C. Wescott Junior High School in Westbrook. She went on to became principal at The REAL (Regional Education Alternative Learning) School on Mackworth Island in Falmouth, a position she held for more than a decade from 2003 to 2015. As principal at The REAL School – an alternative and service-based high school for students who have struggled in traditional school settings – Makin and her team supported high risk students from 28 sending school districts through innovative academic and experiential programming. Since 2015, Makin has served as the Assistant Superintendent of the Brunswick School Department.

    Makin has served on Maine's Juvenile Justice Advisory Group since 2014. She is also a co-founder of Collaborative for Perpetual Innovation, a professional development, technical assistance and consulting company for educators, school and district leaders and counselors. Makin has served on a number of legislative work groups and committees seeking to improve educational opportunities for Maine's students and to promote the work of Maine public schools. She also provides trainings for educators and mental health professionals and speaks at state and national conferences on topics such as restorative justice, cognitive neuroscience, dropout prevention, organizational culture and climate.

    Makin was named the 2013-2014 Maine Principal of the Year by the Maine Principal’s Association and has also received the Milken Educator Award, a national distinction bestowed upon educators for exceptional educational talent, exemplary educational accomplishments, and an engaging and inspiring presence that motivates and impacts students. Makin has also won the MTV Local Hero Award.

    Makin, now the Commissioner of the Maine Department of Education, is charged with leading the state agency that administers both state education subsidy and state and federal grant programs; coordinates the authoring of the rules for Maine State education statutes passed by the Maine State Legislature; provides professional development, information, supports and resources, as well as a system for educator credentialing; and leads many collaborative opportunities and partnerships in support of local schools and districts..



On the ground in the schools - school nurse perspectives

  • Emily Poland, RN, MPH Maine DOE Consultant

    Emily Poland is the School Nurse Consultant for the Maine Department of Education. She has twenty years of nursing experience, most of which has been in school nursing. Emily is dedicated to elevating the practice of school nurses in the State of Maine by educating state government officials, school administrators, and anyone who will listen about the varied experiences of a school nurse on a daily basis.



Symptom Evaluation and Testing Guidance for Clinicians



Improving Immunizations and Flu Testing



Update on Sports & Athletics related to COVID

  • Michele Labotz, MD Intermed

    Dr. Michele LaBotz has been caring for athletes at all levels of participation since 1997. She is certified in pediatrics and completed a sports medicine fellowship at the University of North Carolina at Chapel Hill. I subsequently served as a team physician, as well as assistant professor and associate director of the sports medicine fellowship at the University of Hawaii.

    In 2006 she began a private practice career at InterMed’s sports medicine clinic. She's a member of American Academy of Pediatrics’ (AAP) Council on Sports Medicine and Fitness, and serve on the board for the AAP’s Maine Chapter. I also serve on the Strategic Health Initiative Committee on Youth Sports and Health for the American College of Sports Medicine.



Discussion - Q & A Session