M. Leppert, United States of America

Kennedy Krieger Institute/Johns Hopkins School of Medicine Kennedy Krieger Institute, Department of Psychiatry
Dr. Mary Leppert received her undergraduate degree at the Catholic University of America in Washington DC, and attended the National Universities of Ireland, University College Cork, where she completed her medical school training. Dr. Leppert is a Neurodevelopmental Pediatrician at the Kennedy Krieger Institute and an Associate Professor of Pediatrics at Johns Hopkins University School of Medicine in Baltimore, Maryland where she is the Director of the Center for Development and Learning (CDL). CDL provides early diagnosis and management of a broad range of developmental, behavioral and mental health disorders including ADHD, anxiety, autism, cerebral palsy, developmental delay, disruptive behavior disorder, intellectual disability, learning disability, speech and language disorders and a host of genetic disorders. Dr. Leppert’s interests include the early identification and etiology of developmental disorders and the education of trainees and primary care clinicians on early identification of developmental disorders and associated deficits. Dr. Leppert is also the Principal investigator for a study which established the first neurodevelopmental and mental health ECHO clinic in North America, designed to teach pediatric primary care clinicians how to evaluate and manage neurodevelopmental and behavioral disorders in the primary care setting.

Moderator Of 1 Session

Mental Health Policy
Date
Mon, 12.04.2021
Session Time
10:00 - 11:30
Room
Channel 7
Session Description
The Live Q&A of this session will take place in the Live Sessions auditorium. Please refer to the interactive programme for the exact time and channel.

The shortage of child and adolescent psychiatrists is a global crisis. Much attention has been given to solutions to the unmet need for child mental health services. One of the four priorities for the next decade of child psychiatry outlined in 2019 by a workgroup of psychiatric leaders of international groups is to expand the workforce beyond the direct training of child psychiatrists to other healthcare professionals. (Skokauskas 2019). Project ECHO (Extension for Community Health Care Outcomes) has been a promising model of workforce expansion. It uses the approaches of high quality CME and integration by combining collaborative cased based consultation with didactic instruction delivered virtually. The initial success of this model has led to its global expansion.(VanCleave 2017) This workshop will demonstrate the efficacy of ECHO as a workforce multiplier by describing its use to address child psychiatry shortages in four different countries. An opportunity for general questions and discussion of developing ECHO programs will follow brief presentations. Dr. Pajer will describe Project ECHO Ontario(CYMH) which has trained 500 primary care and mental health providers. Dr. Leppert will discuss KKI-NECT(US) which addresses early childhood mental health and development. Dr. Newcomb will describe ECHOs targeting general practitioners and non-medical staff in Queensland Australia. Dr. Dharmadhikari will discuss using ECHO to train general psychiatrists in rural India. Dr. Gardner’s presentation of operational outcomes will open the discussion about developing of ECHO programs (funding, operationalization, evaluation). All of the presenters will describe adaptations to their programs to address COVID-19 related concerns.

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Pre-Recorded with Live Q&A

Presenter Of 2 Presentations

Workshop: Adaptations of the Project ECHO Model of Tele-Education to Address Child Mental Health Disparities Internationally (ID 73) No Topic Needed
Workshop: Adaptations of the Project ECHO Model of Tele-Education to Address Child Mental Health Disparities Internationally (ID 73) No Topic Needed

W0030 - KKI-NECT:Kennedy Krieger Institute's Network for Early Childhood Tele-education (US)

Session Icon
Pre-Recorded with Live Q&A
Date
Mon, 12.04.2021
Session Time
10:00 - 11:30
Room
Channel 7
Lecture Time
10:22 - 10:33

ABSTRACT

Abstract Body

Introduction: The Kennedy Krieger Institute Network for Early Childhood Tele-Education (KKI-NECT) is a federally funded ECHO project. Its hub consists of a child psychiatrist, developmental pediatricians and a behavioral psychologist. Its community partners are primary care providers(PCPs) in underserved areas. Its goal is to create local experts in early childhood behavioral, emotional and developmental disorders.
Objectives: After attendance at this session, the learner will be able to: 1. report the rates of co-occurring developmental, behavioral and emotional disorders presented by primary care participants 2. explain the efficacy of case based learning and a structured curriculum as a mechanism for expanding the workforce. The goal of this presentation is to build awareness of and interest in ECHOs specifically targeted to child behavioral, emotional and developmental issues.
Methods: Dr. Leppert will discuss KKI-NECT, particularly the process of procuring funding, setting up an ECHO, and getting institutional "buy-in". She will describe the use of case based learning and a structured curriculum in a longitudinal CME program, report the comorbidities in cases that participants present for discussion, and demonstrate the impact on participants’ practice.
Results: Data from four cohorts demonstrate that PCPs showed increased comfort levels, improved knowledge of behavioral, emotional and developmental disorders. PCPs expanded the scope issues they could address in their practice as a result of participation in KKI-NECT.
Conclusion: KKI-NECT is a viable response to the workforce shortage of child psychiatrists by confidently increasing the role of the PCP in treating childhood developmental and mental health disorders.

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