Common to Complex: Advanced Topics in Therapy: Evidence Based Adaptations to EB Treatment (Project ECHO) Spring 2025

Tuesday, March 11, 2025, 8:30 AM - Tuesday, April 8, 2025, 9:45 AM, Online

Mental and behavioral health concerns are common in children and adolescents, with many factors impacting choice of and effectiveness of interventions strategies. Evidence-based interventions are essential and should be flexibly applied, while maintaining adherence to the science and intention of these interventions, in order to account for the complex presentation of many children and adolescents. Our Therapist ECHO Series provides an efficient and collaborative way to learn and practice evidence-based adaptations to evidence-based interventions utilizing an advanced case conceptualization model. The learning is supported by psychologists, psychiatrists, and therapists. The goal of ECHO is to improve providers’ comfort and skills with effective and efficient identification and management of common and complex mental health concerns, while also providing a network of resources to ensure patients receive the right care, in the right place, at the right time.

Planned Sessions Include:
• Flexible Fidelity: Introduction to Evidence-Based Interventions and Evidence-Based Adaptations
• Common and Minor Adaptations
• Adaptations for Neurodevelopmental Populations
• Targeting Transdiagnostic Factors
• Augmentation With Other Evidence-Based Practices

Target Audience
The target learner is a master-level professional who provides therapy for children and adolescents. 

How to Participate?
The next cohort is scheduled to begin March 11, 2025. Registration will open January.     

• Participate via video-conference
• Five 75 minute sessions, held on Tuesday mornings.
• We will use a free web-based video platform (Zoom) to conduct sessions.
• Due to registration demand, practices may be limited to one participant per cohort.
• Cohorts will be limited to approximately 30 participants.
• Participants must be able to participate in at least 75% of sessions and submit at least 1 case for discussion.
• Session dates: 3/11, 3/18, 3/25, 4/1, 4/8

*Learner participation is key: All participants in this ECHO are required to submit a clinical case related to this topic as part of this course. Case submissions are reviewed by the HUB team and learners will be notified in advance about presenting their case during a learning session.*

Why should I participate?
Learners access pediatric specialists for professional collaboration through regular teleECHO sessions, which are like an interactive grand round presentation. During a session, the specialist will present a brief didactic.  Learners present cases to the "learning network," which includes the specialist team and other participants, to receive feedback.

Benefits for Participating Clinicians:
• Participate from the convenience of your office or home
• Face-to-face networking and collaboration with colleagues
• Sessions led by sub-specialist
• Receive expert opinions on cases

Featured Faculty:
Shivali Sarawgi, PhD
Dr. Sarawgi is a licensed psychologist and assistant professor in the Division of Behavioral Medicine and Clinical Psychology (BMCP) at Cincinnati Children’s Hospital Medical Center. She provides direct clinical care as a part of BMCP’s outpatient mental health services with a focus on exposure-based intervention as well as family and group-based services through Regulating Together and the Fragile X Clinic. Dr. Sarawgi has published peer-reviewed journal articles, chapters, and practice guidelines on OCD, anxiety, ASD, and exposure-based intervention.

Alex Nyquist, PhD
Dr. Nyquist is a licensed psychologist within the Division of Behavioral Medicine and Clinical Psychology (BMCP) at Cincinnati Children’s Hospital. Dr. Nyquist provides direct clinical care as part of the Integrated Behavioral Health service line in the Adolescent Medicine Teen Health Center. Dr. Nyquist has published in peer-reviewed journals on adolescent emotion development, depression, and anxiety.

What is “Common to Complex”?
“From Common to Complex: Utilizing Telehealth to Connect Primary Care Providers to Pediatric Specialists” is a project to look at using technology and case-based learning to improve knowledge and self-efficacy and have a positive impact on care. Cincinnati Children’s will use the Project ECHO methodology to offer telehealth based learning for primary care providers over a 6-12-month period.  Project ECHO, Extension for Community Healthcare Outcomes, is a virtual learning network method that enables information sharing regarding best practices and access for specialty care in all areas, especially rural or underserved areas.

How Project ECHO Works
Project ECHO – Extension for Community Healthcare Outcomes – uses technology to bridge the gap between healthcare specialists and community-based clinicians. The Project ECHO model is based on four principles:

• Use technology to leverage scarce resources
• Share “best practices” to reduce disparities
• Apply case-based learning to master complexity
• Evaluate and monitor outcomes

During Project ECHO sessions, healthcare clinicians present cases using a case-based format using video conferencing equipment. Project ECHO specialist and other participants discuss patient cases and recommendations are made regarding a treatment plan. Specialists and community clinicians hear various case presentations, as well as follow-up and outcomes, and over time greatly increase their knowledge and experience in the evaluation and treatment of depression.  

What Clinicians and Partners say about Project ECHO:     
• “I feel more confident, and it makes providing care easier. This project allows for increased opportunities to learn, and patients to get better care.”

• “Project Echo has been a valuable learning experience for me, and I have learned and incorporated new ideas into my practice as a direct result of my participation. I find that sharing in a group setting and seeing how others approach problems to be a good way of synthesizing how I would or might approach things in my daily practice.  I highly recommend participation in Project Echo learning opportunities as they come available."

1. Screen for pediatric health concerns
2. Utilize best evidence/treatment algorithms to identify treatment options
3. Describe the referral pathway of pediatric diagnoses if not treatable in the community setting
4. Discuss roles/responsibilities for the healthcare team when treating and referring
5. Communicate with the healthcare team

In support of improving patient care, Cincinnati Children’s Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity.

Nurses: This activity is approved for a maximum 1.25 continuing nursing education (CNE) contact hours per session. *Some sessions - This CE activity is designed for the additional hours required for APRNs with prescriptive authority in Ohio.*

Clinical Counselors: Cincinnati Children’s Hospital Medical Center is an approved provider of professional counselor continuing education credits by the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, Provider #RCX111201.  This program is approved for 1.25 clock hours (per session).
Social Workers: Cincinnati Children’s Hospital Medical Center is an approved provider of social work clock hours by the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, Provider # RSX030902. This program is approved for 1.25 clock hours (per session).

Counseling (G) (1.25 hours), General Attendance (1.25 hours), IPCE (1.25 hours), Nursing CE (1.25 hours), Social Work – (OH CSWMFT) (1.25 hours)

Mitigation of Relevant Financial Relationships

Cincinnati Childrens Hospital Medical Center adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

No faculty are available for this activity at this time.