Pre-Conference & Medical Track

Monday, 9/25 - Medical Pre-Conference

  • 8:00a-8:30a: Registration & Welcome
    • Deb Flowers, MSN, CPNP-PC, SANE-A, SANE-P; Medical Services Coordinator, Children’s Advocacy Centers of North Carolina; medical provider, Southmountain Children and Family Services
    • Dana Hagele, MD, MPH, Clinical Director, Children’s Advocacy Centers of North Carolina; medical provider, CrossRoads Child Advocacy Center
  • 8:30a-10:00a: Annual Update from the NC Child Evaluation Program

    Annual Update from the NC Child Evaluation Program

    This session will provide updates regarding statewide trends in child maltreatment evaluations, CMEP program participation requirements, the Regional Abuse and Medical Specialists (RAMS) program, and the Clinical Assessment of Protective Parenting (CAPP) program. Participants will have an opportunity to discuss strategies and challenges associated with conducting child medical evaluations in a CAC setting.

    • Cindy H. Brown, MD; child abuse pediatrician; NC CMEP Consultant; Adjunct Assistant Professor, Department of Pediatrics, UNC-CH School of Medicine
    • Jessica Guice-Albritton, MSW; Program Manager, North Carolina Child Medical Evaluation Program, Department of Pediatrics, University of North Carolina at Chapel Hill
  • 10:15a-11:45a: Child Maltreatment Clinical Case Presentations

    Child Maltreatment Clinical Case Presentations

    This session will offer moderated, clinical review of suspected and confirmed child maltreatment cases, including discussion of case history and medical images. Participants will have an opportunity to discuss strategies and challenges associated with child maltreatment diagnosis.

    • Beth Browning MSN, FNP-C SANE-A, SANE-P; family nurse practitioner, adolescent and pediatric sexual assault nurse examiner, Southmountain Children and Family Services.
    • Corrie R. Jolly, MSN, CPNP-PC, SANE-A, SANE-P; nurse practitioner; Southmountain Children & Family Services
  • 1:00p - 2:30p – Integrating the Forensic Interview and the Child Medical Interview in a CAC Setting (This is a repeat session from Kitty Hawk 2023)

    Integrating the Forensic Interview and the Child Medical Interview in a CAC Setting

    This session will provide an overview of both the forensic interview and the child medical interview, comparing objectives, standards, and processes/protocols. The session will also explore strategies and challenges associated with integration of the forensic and child medical interviews within a CAC protocol. Participants will have an opportunity to discuss their own experiences with interview integration in the medical evaluation process.

    • Dana Hagele, MD, MPH, Clinical Director, Children’s Advocacy Centers of North Carolina; medical provider, CrossRoads Child Advocacy Center
    • Scott Snider, LCSW; Forensic Interviewer, Duke University Child Abuse and Neglect Medical Evaluation Clinic
  • 2:45p – 4:15p – Clinical Impressions and Recommendations: Formulation and Documentation (This is a repeat session from Kitty Hawk 2023)

    Clinical Impressions and Recommendations: Formulation and Documentation

    This session will explore the use of the CMEP report template to guide formulation of clinical impressions and recommendations in the context of a child maltreatment evaluation. The session will also explore strategies to strengthen written communication (documentation) about clinical findings, concerns, and recommendations. Participants will have the opportunity to discuss strategies and challenges associated with the formulation and documentation of integrated clinical impressions and documentation.

    • Cindy H. Brown, MD; child abuse pediatrician; NC CMEP Consultant; Adjunct Assistant Professor, Department of Pediatrics, UNC-CH School of Medicine
    • Jessica Guice-Albritton, MSW; Program Manager, North Carolina Child Medical Evaluation Program, Department of Pediatrics, University of North Carolina at Chapel Hill
  • 4:15p – 4:45p - Discussion and Session Wrap-Up

    Discussion and Session Wrap-Up

    • Deb Flowers, MSN, CPNP-PC, SANE-A, SANE-P; Medical Services Coordinator, Children’s Advocacy Centers of North Carolina; medical provider, Southmountain Children and Family Services
    • Dana Hagele, MD, MPH, Clinical Director, Children’s Advocacy Centers of North Carolina; medical provider, CrossRoads Child Advocacy Center

Tuesday, 9/26 -MEDICAL Track

  • 8:30a-8:45a: Symposium Welcome & Opening Remarks

    Deana Joy, BA, Executive Director, CACNC

  • 8:45a-10:15a: The Power of One!

    IAN HUMPHREY, CEO, BE IAN-SPIRED, LLC

    The Power of One!

    It only takes one voice, one positive interaction, one person to make a difference in a person's life. In Ian's keynote, he will discuss his story about the ONE person that influenced him to believe in himself and was responsible for turning his life around by helping him believe that his life was worth living and how each one of us working with traumatized children can be that person!

    Biography: Success has not always come easy for Ian Humphrey. Born prematurely under very violent circumstances, he began to navigate life and the unfortunate events thrown at him as a youth. This included a near-death experience, foster homes, abuse, loss of both parents and his eventual incarceration. The turning point came while incarcerated when Ian met an educator that recognized his potential, pushed him, believed in him, and refused to give up on him. It was then that Ian became determined to get out of prison and lead a successful life. Today, Ian uses the lessons he learned during the darkest moments of his life to help others to transform their own lives. Ian delivers keynotes and workshops to educators, parents, businesses, youth organizations and communities. Ian resides in Aurora, Colorado with his wife, three daughters, and son. He is an author, the General Manager of a successful multi-million-dollar metal fabrication company and the CEO of Be Ian-Spired, LLC, a company focused on helping others realize and live up to their full potential.

  • 10:30a-12:00p: No One Discipline Can Protect Children Alone: Lessons Learned from 40 years of Multidisciplinary Teaming

    DONNA PENCE, BS

    No One Discipline Can Protect Children Alone: Lessons Learned from 40 years of Multidisciplinary Teaming

    Before the 1980’s, the disciplines involved in responding to child maltreatment allegations functioned largely in an independent, indeed, isolated manner. Every discipline felt their ways of handling these situations were the best. Unfortunately, many of the cases were not adequately investigated due to gaps in knowledge on the part of the systems involved, inability to address the various facets of intervention, investigation, and safety and, as a result, untold numbers of children remained at risk and perpetrators were free to continue their abusive behavior. Given the unique investigative complexities of successfully investigating child maltreatment allegations, it is little wonder that the disciplines involved in the abuse intervention system have increasingly come to realize that they can maximize their resources by coordinating their efforts. Together, the involved disciplines have far more power to determine what did or did not happen, effectively intervene, and reduce the risk to children than the individual entities have in acting independently. No one discipline can do it all.

    Biography:

    Donna M. Pence was appointed as a Special Agent with the Tennessee Bureau of Investigation in 1976 after two years with the Metropolitan Nashville Park Police. In her 25 years with the Bureau, she worked undercover, special crimes, and field investigations. She was designated as the Bureau’s child abuse investigation specialist in 1986 and helped develop the first MDIT protocols and train the first multidisciplinary child abuse investigation teams in Tennessee. She was one of the first law enforcement investigators to join the American Society on the Abuse of Children in 1987. She was elected to the Board of Directors of APSAC from 1993-1997. She was a founding member of the Tennessee Professional Society on the Abuse of Children (1992-1997) and a member of the California Professional Society on the Abuse of Children (2003-2011) and elected to the CAPSAC Board in 2009. In retirement, she joined the Academy of Professional Excellence, San Diego State University, as a master trainer and curriculum specialist. Donna has authored or co-authored numerous articles and book chapters including, Team Investigation of Child Sexual Abuse: The Uneasy Alliance with Charles A. Wilson, “Child Abuse and Neglect Investigation”, (3rd ed. of The APSAC Child Maltreatment Handbook), "Trauma-Informed Forensic Child Maltreatment Investigations" in Child Welfare, co-authored “Trauma-Informed Care” for the International Encyclopedia of Social Work and “Multidisciplinary Teaming” with Charles Wilson (4th Ed. Of The APSAC Child Maltreatment Handbook). She has trained professionals in 38 states and 8 countries on MDI team development and maintenance, cultural issues for professionals, adult and child trauma-informed interviewing, trauma-informed investigative practices, Secondary Traumatic Stress, critical thinking and decision-making, interviewing and investigative issues in child maltreatment and fatalities.

  • 1:30p – 3:00pm – (A4 MDT) Legal Updates for Medical and MDTs

    (A4 MDT) Legal Updates for Medical and MDTs

    This presentation will focus on new case law, new statutes and other legal “hot topics” in the world of child maltreatment.

    • Whitney Belich, JD, Child Abuse Resource Prosecutor, NC Conference of District Attorneys, Raleigh, NC
  • 3:15p – 4:45pm – (B-MED) Skeletal Manifestations of Physical Maltreatment

    (B-MED) Skeletal Manifestations of Physical Maltreatment

    This discussion will address general biomechanical principles, risk, clinical presentation, evaluation recommendations, and the differential diagnosis in the context of suspected physical maltreatment. This clinical discussion follows an in-depth discussion about radiological imagining and suspected skeletal injury offered through the CACNC Medical Lunch and Learn Series (8.25.2023).

    • Deana Lashley, DO; Child Abuse Pediatrician; Medical Director Child Safety Team, Mission Children’s Hospital, Asheville, NC

Wednesday, 9/27 - MEDICAL Track

  • 8:30a – 10:00a – (C-MED) Sexually Transmitted Infections (STI) in the Context of Sexual Maltreatment

    (C-MED) Sexually Transmitted Infections (STI) in the Context of Sexual Maltreatment

    This discussion will address STI transmission, risk, clinical presentation, identification, and screening recommendations among prepubertal and pubertal children in the context of sexual maltreatment. This talk will be followed by an in-depth discussion about laboratory testing for sexually transmitted infections, to be offered through the CACNC Medical Lunch and Learn Series (10.27.2023).

    • Cindy H. Brown, MD; child abuse pediatrician; NC CMEP Consultant; Adjunct Assistant Professor, Department of Pediatrics, UNC-CH School of Medicine
  • 10:15a – 11:45a – (D-MED) Mental Health Screening and Assessment for the Clinical Professional

    (D-MED) Mental Health Screening and Assessment for the Clinical Professional

    This presentation provides an overview of general principles of mental health evaluation (screening and assessment), including evaluation objectives and strategies; overview of clinical assessment measure administration, scoring, and interpretation; assessment-driven treatment planning, overview of screening and assessment, thoughts about administering/scoring/interpreting screening and assessment measures, providing feedback to families; developing an assessment-driven treatment plan; and outcomes monitoring. Participants will be exposed to common trauma assessment measures and explore the assessment-driven referral process.

    • Nichole Appleby, MSW, LCSW; Therapist, Live-N-Joy Counseling Services
    • Elizabeth Stephens, MSW, LCSW; Therapist, Live-N-Joy Counseling Services
  • 1:15p – 2:45p – (E-MED) Child Neglect

    (E-MED) Child Neglect

    This session will provide an overview of child neglect, with a focus on risk factors, identification, clinical presentation, diagnosis, and treatment planning in a CAC setting.

    • Kendra Ham, MD, FAAP, child abuse pediatrician, Site Based Medical Director for Child Protection Team, Atrium Health’s Levine Children’s Hospital
    • Valencia H Jeffcoat, DNP, FNP-BC; family nurse practitioner, Atrium Health’s Levine Children’s Hospital
  • 3:00p – 4:30p – (F-MED) LGBTQ+ Youth and Culturally Informed Medical Practice in Child Maltreatment 

    (F-MED) LGBTQ+ Youth and Culturally Informed Medical Practice in Child Maltreatment

    Youth who identify as LGBTQ+ have unique needs when it comes to services, especially health and medical care. Further, when these youth have experienced adversity and trauma, including child abuse, it is especially important for medical professionals to provide services in a way that promotes youth engagement and healthy outcomes. This presentation will include information on LGBTQ+ youth, adversity they are at risk for experiencing, and strategies medical professionals can use to enhance delivery of services.

    • Jimmy Widdifield, Jr., MA, LPC, Project Director at Child Abuse Professionals at the National Children’s Advocacy Center

Thursday, 9/28 - MEDICAL Track

  • 8:30a – 10:00 – (G3-MDT) The Rainbow Response: Lived Experience Panel on Respectful Strategies for Helping LGBTQ+ Children and Their Families

    (G3-MDT) The Rainbow Response: Lived Experience Panel on Respectful Strategies for Helping LGBTQ+ Children and Their Families

    Children and adolescents who are LGBTQ+ and/or gender expansive account for a significant number of the child population in the United States and that number is steadily increasing. Compared to their sexual majority peers, these children experience more adversity and trauma which can be unintentionally perpetuated by professionals who do not know or understand best practices with this population. Through a moderated panel discussion with people with lived experience, participants will learn about common misconceptions and accurate information about LGBTQ+ youth and families, strategies for enhancing engagement and working with these families, and be able to identify reputable resources for helping LGBTQ+ youth and families.

    • Jimmy Widdifield, Jr., MA, LPC, Project Director at Child Abuse Professionals at the National Children’s Advocacy Center
  • 10:15a – 11:45a – Closing Plenary: KETCHUP: Shared Humanity and Elevating the Professional Response to Child Maltreatment

    KETCHUP: Shared Humanity and Elevating the Professional Response to Child Maltreatment

    KETCHUP is, indeed, universal in our society. As a condiment, some people enjoy it on a few foods or none, while others slather it on everything. We include it on the table along with a range of other condiments and food items. When everyone arrives at the table, they are comforted when they recognize what is familiar to them and have what they need and want and know they are welcome at the table. Similarly, we as child abuse professionals and the children and families we serve each bring to the table our own condiments, that is, our shared humanity of commonalities and differences. When we recognize our shared humanity, we are better at helping all children and families impacted by maltreatment have the best outcomes possible. Together during this plenary, we’ll learn how to keep every traumatized child uplifted and positive by finding our shared humanity and identifying ideas for how to use that humanity to elevate our response to child maltreatment.

    • Jimmy Widdifield, Jr., MA, LPC, Project Director at Child Abuse Professionals at the National Children’s Advocacy Center

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