We are thrilled to announce Tennessee’s first Strengthening Tennessee Families Conference, an exciting gathering of experts, practitioners, and advocates dedicated to prevention for Tennessee families. 

The Tennessee Department of Children’s Services (DCS) and the University of Tennessee College of Social Work Office of Research and Public Service (SWORPS) are delighted to introduce “Strengthening Tennessee Families,” a dynamic conference dedicated to advancing prevention practices across the state. This event is designed to inspire, educate, and foster collaboration among professionals, building a powerful team statewide committed to better serving Tennessee’s families.

Join us as we explore innovative strategies and build stronger communities together.

There are 8,749 children in DCS custody as of March 2025.

www.tn.gov

In February of 2025, the TN Child Abuse Hotline received 6,820 calls.

www.tn.gov
For every dollar spent on prevention programs, states can save between $4 to $9 in foster care and related costs, according to the RAND Corporation.

www.rand.org

A study by Casey Family Programs found that states investing in prevention services saw a 27% reduction in foster care entries over five years.

www.casey.org

Data from the National Family Preservation Network shows that over 90% of families who receive intensive family preservation services remain intact, avoiding foster care placement.

www.nfpn.org

Why Attend?

  • Engage with leading voices in the field.

  • Share and gain insights on leading innovations in prevention practices with a focus on family-centered apporaches and protective factors. 

  • Network with peers and build lasting connections.

  • Free registration and complimentary lodging provided by the conference host. 

How to Register?

Registration is now closed. If you would like to join the waitlist, please email sworpsevents@utk.edu.

Day One – Wednesday, April 2nd, 2025

8:45am – Registration and Breakfast 

9:30am  – Opening Remarks and Keynote Address, Peter Watson 

10:45am – Break 

11:15am – Breakout Sessions/Workshops 

12:30pm – Lunch  

1:30pm – Breakout Sessions/Workshops 

2:45pm – Break 

3:00pm – Breakout Sessions/Workshops 

4:15pm – Break: Quiet work rooms available  

5:00pm – 7:00pm – Cocktails, Mocktails and Conversations with heavy hors d’oeuvres, UT Conference Center 

Day Two – Thursday, April 3rd, 2025

8:30am – Breakfast 

9:00am – Breakout Sessions/Workshops 

10:15am – Coffee Break & Networking 

10:45am – Breakout Sessions/Workshops 

12:00pm – Lunch 

1:00pm – Group Activity 

2:15pm – Breakout Sessions/Workshops 

3:30pm – Break: Quiet work rooms available, shuttles on routes to shops and sightseeing provided 

5:30pm – Dinner, UT Conference Center 

Day Three – Friday, April 4th, 2025

9:00am – Breakfast 

9:30am – Networking Event 

10:15am – A Message from the Dean, College of Social Work Dean Lori Messinger, PhD

10:30am – Closing Keynote Address, DCS Commissioner Margie Quin 

11:45am – Adjourn, boxed lunch pickup

Day 1 — 11:15 a.m. to 12:30 p.m.

Presenter(s)

Debbie Abrams-Cohen, LMSW

UT SWORPS
Debbie Abrams-Cohen, LMSW is the State Director for UT SWORPS TCSEPP. Debbie received both her BS in Psychology and MSW from the University of Utah. While in Utah, Debbie worked in various social work settings such as the Utah Department of Workforce Services, the University of Utah’s Social Research Institute, and the Children’s Justice Center. Upon moving (back) to Tennessee, she began working at SWORPS in 2007 on the TCSEPP grant which is a short term, high impact program designed to help noncustodial parents overcome barriers and become stable so they can become self sufficient.

Presentation Abstract

For over 20 years, TCSEPP has worked with noncustodial parents to help them overcome barriers and become stable so they can be involved parents. Many low income parents who are ordered to pay child support face unique parenting challenges while also struggling to be self sufficient. TCSEPP’s adherence to the 2 Gen approach to help parents build resilience and social connections means they are more likely to pay their child support and be physically and emotionally present for their children. 2 Gen programs that support children and families together result in stronger families and communities. In this presentation participants will learn more about TCSEPP and how this program provides support to parents in times of need, including DCS involved families.

Presenter(s)

Siobhan Costanzo, MPH, MEd

UT SWORPS

Casey Knotts, MSW MPh

UT SWORPS
Casey Knotts is a dedicated social work and public health professional focused on improving health and social services through data-driven insights. With a strong commitment to empowering communities, her work emphasizes program evaluation, data analysis, and implementation support to enhance service delivery and outcomes. Casey has held roles across the healthcare, nonprofit, and social services sectors, using research to inform practice and ensure meaningful, lasting impact. She holds a Master of Social Work (M.S.W.) and a Master of Public Health (M.P.H.) from the Brown School at Washington University in St. Louis. Currently, Casey serves as an Implementation Support Practitioner at the University of Tennessee College of Social Work Office of Research and Public Service, focusing on FFPSA Title IV-E Prevention efforts. Previously, she has worked in clinical research at Vanderbilt University Medical Center and evaluation consulting at Centerstone. Casey is particularly passionate about bridging the gap between research and practical application to improve service delivery.

Brian Barber, M.S.

UT SWORPS

Presentation Abstract

The Family First Prevention Services Act (FFPSA) presents a transformative opportunity to reshape child welfare systems by prioritizing prevention and family-centered support. This workshop will engage participants in reflecting on data from the prevention landscape assessment completed by UT SWORPS. The landscape assessment provides a snapshot of the strengths of and opportunities for the TN child welfare system. Participants will review and discuss key findings, critically examining how these findings reflect the community needs and their experiences, and discussing opportunities for improvement. By the end of the session, participants will gain actionable insights on the current TN prevention  landscape, opportunities to advance prevention with FFPSA, and commit to taking action to drive change. 

Presenter(s)

Julia Elizabeth Thompson, Ph.D

ETSU Center of Excellence for Children in State Custody
Dr. Thompson is a Licensed Psychologist with the Center of Excellence for Children in State Custody and Assistant Professor at ETSU Quillen College of Medicine, Department of Psychiatry and Behavioral Sciences. Clinically, she specializes in consultation and assessment of children exposed to trauma and maltreatment. She is a member of ETSU’s Strong BRAIN Institute and frequently presents to the community on the topics of child development, child traumatic stress, ACEs, childhood resilience, and trauma informed care. Dr. Thompson graduated with her Ph.D. in Clinical Psychology with a graduate minor in Disaster Science and Management from Louisiana State University.

Kendra Cook, LPC-MHSP

ETSU Center of Excellence for Children in State Custody
Ms. Cook is a Licensed Professional Counselor with Frontier Health who has extensive experience working with children and families. She holds a Master of Business Administration (MBA) from Western Governors University and a Master of Science in Clinical Psychology from Morehead State University. She is Certified as a PCIT Within Agency Trainer by PCIT International and received endorsement from AIMHiTN for Culturally Sensitive, Relationship-Focused Practice Promoting Infant and Early Childhood Mental Health. She has a strong background in evidence-based interventions and is passionate about ensuring access to high-quality mental health services to those in her community.

Kaylee Murphy, LPC-MHSP

ETSU Center of Excellence for Children in State Custody
Ms. Murphy is a licensed professional counselor in both Tennessee and Virginia, specializing in parent-child interaction therapy. With a distinguished career at Frontier Health, she has spent the last three years as the Senior Director of School-Based Services, where she has significantly contributed to the mental health support system within educational settings. Previously, Kaylee worked for Frontier Health for a little over 2 years as an outpatient therapist for children and adolescents in Hawkins County. Kaylee is now in the role of Regional Community Development Director for the Frontier Health Foundation, where she works toward enhancing community mental health initiatives.

Presentation Abstract

Child Adult Relationship Enhancement (CARE) is an evidence-based, trauma-informed model for improving relationships between adults and children and reducing mild disruptive behavior in children (Messer et al., 2018). This intervention is designed to be prevention-focused and targets adults who regularly interact with children. It has a growing evidence base across a variety of settings including primary care (Schilling, Dougherty, & Wood, 2024), community settings (Gurwitch, Fukumaru, Messer, & Kamo, 2019), and for families at risk of child maltreatment (Mann, Torres, & Warner-Metzger, 2022). This panel will introduce the audience to CARE concepts, its evidence base, its applicability across settings and populations, and discuss how CARE has been implemented by community agencies within Tennessee.

Presenter(s)

Amy Blackwell, BA, CFSS, CFPS, CTSS

Compassion Counseling
Amy Blackwell is the Executive Director of Compassion Counseling.  Amy is a certified Family Support Specialist, a Nationally Certified Family Peer Specialist, and a Trauma Support Specialist.  Her passion for peer support and empowering families is rooted in her personal experiences and dedication to mental health advocacy.

Presentation Abstract

Parenting can be challenging, especially when facing stress and adversity. Stronger Together: Peer Support in Parenting Resilience explores how peer-led support empowers families through connection and shared experiences. Rooted in the Five Protective Factors framework—parental resilience, social connections, parenting knowledge, concrete support, and children’s emotional competence—this initiative fosters stronger, healthier families.

By building networks of support, parents gain tools to navigate difficulties, enhance family well-being, and create lasting community connections. Stronger Together demonstrates how collaboration transforms parenting and strengthens families for the future.

Presenter(s)

Erin Ferry, M.Ed., IMH-E®

The McNabb Center
Erin Ferry is the current Prevention and Early Intervention Services Coordinator for the McNabb Center at the C&Y Center in Knox County. Prior to that she was a team leader for the in-office IST therapy program, which she was also promoted to from working as a therapist for several years. Erin worked as a therapist at various places for about 10 years, focusing primarily on children and adolescents. In that time, Erin was trained in TF-CBT, PCIT, PCIT-Toddler, TDI, CPP, and Sand Tray therapy. Erin is certified as a PCIT International Within Agency Trainer, endorsed as an Infant Mental Health Specialist and offers Reflective Supervision and Consultation. She has over 25 years’ experience working in mental health primarily with children/adolescents. Erin has worked in a variety of settings including the schools, homes, community, foster care, inpatient and residential facilities, and crisis services. In her free time, Erin enjoys spending her personal hours with her husband, 15-year-old son, and their animals. She enjoys crafting, reading, and being outdoors.

Melodie Johnson, B.S.

The McNabb Center
Melodie Johnson is a graduate of Bellevue University with a bachelor’s degree in child protection and juvenile justice. She’s currently working on obtaining her prevention specialist certification. Using her 5 years of child intervention field experience, she has risen to the position of Prevention and Early Intervention team leader at The Mcnabb Center. She is responsible for the facilitation of The Nurturing Parenting Program, Stewards of Children: Darkness to light, and Botvins LifeSkills Training. She is a wife and mother, and in her free time she enjoys reading and playing with her 3 dogs.

Presentation Abstract

To introduce and explore the concept of the 5 Protective Factors in child development and family dynamics. The presentation will highlight how these factors contribute to the reduction of the likelihood of child abuse and neglect. The 5 Protective Factors that will be described include Parental Resilience, Social Connections, Concrete Support in Times of Need, Knowledge of Parenting and Child Development, and Social and Emotional Competence of Children.  Participants will learn about current research that indicates how these factors provide support to parents which guarantees that children will thrive in their environments.  Participants will gain knowledge and tools to promote these Protective Factors in their work and daily life, ultimately enhancing child and family well-being.

Presenter(s)

Bridget Freisthler, Ph.D

University of Tennessee, Knoxville
Dr. Freisthler is the Cooper-Herron Endowed Professor for Mental Health in the College of Social Work at the University of Tennessee, Knoxville. Dr. Freisthler’s research focuses how environments affect parenting, including where and with whom parents drink alcohol, use cannabis, or experience higher levels of stress. The goal of this research is to design, implement, and evaluate intervention strategies that reduce substance misuse and child abuse and neglect. She has conducted work on the role of substance use, including alcohol, cannabis, and opioid, in child maltreatment for over 20 years and evaluated the effects of various interventions designed to reduce child abuse and neglect.

Presentation Abstract

Child welfare agencies are scaling up individually-based prevention efforts to reduce child abuse and neglect since the passage of the Family First Prevention Services Act. However, these interventions are almost exclusively targeted to individual families that are at-risk for future or continuing maltreatment. Implementing these interventions can be costly and may be less sustainable than community-based approaches. Yet, many communities already implement alcohol environmental interventions (those designed to reduce the supply of alcohol) that are effective at reducing many types of alcohol-related problems but enacted outside of the auspices of the child welfare system. We discuss evidence from a neighborhood-level intervention, the Sacramento Neighborhood Alcohol Prevention Project (SNAPP) implemented in two neighborhoods (North and South), on whether it had immediate or long-term effects on child maltreatment, assess which components were related to reductions in maltreatment, and determine if there were differential effects on child neglect vs. child physical abuse. SNAPP used a quasi-experimental phased intervention design to reduce alcohol-related problems among 15–29 year olds in two economically, racially, and ethnically diverse neighborhoods in Sacramento, California. Seven years post-implementation of the intervention, the North neighborhood continued to have 11.8% lower foster care entries (FCE) and 11.2% lower alcohol-related FCE. These appear to be largely driven by decreases in child neglect, where substantiations were 9% lower in both neighborhoods, and 17% lower for FCE, and 19% lower for alcohol-related FCE. Reducing alcohol to intoxicated patrons at bars and restaurants may be an especially effective way to reduce maltreatment.

Presenter(s)

Melissa L. Hoffmann, Ph.D

UTHSC Center of Excellence for Children in State Custody
Dr. Hoffmann is a child psychologist and Associate Professor in the Department of Psychiatry, Division of Child & Adolescent Psychiatry at the University of Tennessee Health Science Center. She is the Director of the UTHSC Center of Excellence for Children in State Custody, a program which provides consultation to the Department of Children’s Services and evaluation of children involved in the child welfare system, as well as the training director of the University of Tennessee Professional Psychology Internship Consortium.

Liz Paiml, Ph.D

UTHSC Center of Excellence for Children in State Custody
Dr. Paiml is a child psychologist, Assistant Professor, and the clinical director of the University of Tennessee Health Science Center Center of Excellence for Children in State Custody. She has worked with the COE since 2017. Her current work focuses on psychological assessment of children in state custody, Parent-Child Interaction Therapy (PCIT), and statewide dissemination of best practices for serving children in state custody. Dr. Paiml is a PCIT Certified Within Agency Trainer and is the director of the UTHSC COE PCIT Clinic.

Presentation Abstract

Dr. Hoffmann is a child psychologist and Associate Professor in the Department of Psychiatry, Division of Child & Adolescent Psychiatry at the University of Tennessee Health Science Center. She is the Director of the UTHSC Center of Excellence for Children in State Custody, a program which provides consultation to the Department of Children’s Services and evaluation of children involved in the child welfare system, as well as the training director of the University of Tennessee Professional Psychology Internship Consortium.

Day 1 — 1:30 p.m. to 1:45 p.m.

Presenter(s)

Julia Elizabeth Thompson, Ph.D

ETSU Center of Excellence for Children in State Custody
Dr. Thompson is a Licensed Psychologist with the Center of Excellence for Children in State Custody and Assistant Professor at ETSU Quillen College of Medicine, Department of Psychiatry and Behavioral Sciences. Clinically, she specializes in consultation and assessment of children exposed to trauma and maltreatment. She is a member of ETSU’s Strong BRAIN Institute and frequently presents to the community on the topics of child development, child traumatic stress, ACEs, childhood resilience, and trauma informed care. Dr. Thompson graduated with her Ph.D. in Clinical Psychology with a graduate minor in Disaster Science and Management from Louisiana State University.

Kendra Cook, LPC-MHSP

ETSU Center of Excellence for Children in State Custody
Ms. Cook is a Licensed Professional Counselor with Frontier Health who has extensive experience working with children and families. She holds a Master of Business Administration (MBA) from Western Governors University and a Master of Science in Clinical Psychology from Morehead State University. She is Certified as a PCIT Within Agency Trainer by PCIT International and received endorsement from AIMHiTN for Culturally Sensitive, Relationship-Focused Practice Promoting Infant and Early Childhood Mental Health. She has a strong background in evidence-based interventions and is passionate about ensuring access to high-quality mental health services to those in her community.

Kaylee Murphy, LPC-MHSP

ETSU Center of Excellence for Children in State Custody
Ms. Murphy is a licensed professional counselor in both Tennessee and Virginia, specializing in parent-child interaction therapy. With a distinguished career at Frontier Health, she has spent the last three years as the Senior Director of School-Based Services, where she has significantly contributed to the mental health support system within educational settings. Previously, Kaylee worked for Frontier Health for a little over 2 years as an outpatient therapist for children and adolescents in Hawkins County. Kaylee is now in the role of Regional Community Development Director for the Frontier Health Foundation, where she works toward enhancing community mental health initiatives.

Presentation Abstract

This workshop will provide a brief introduction of skills used in the Child Adult Relationship Enhancement (CARE) model. CARE is an evidence-based intervention for any adult who regularly interacts with children. It is derived from well-established parent training models. CARE is a universal, prevention-focused approach for improving adult-child relationships and reducing mild disruptive behaviors in children. (Messer et al., 2018). It has been implemented in a variety of settings (Schilling, Dougherty, & Wood, 2024; Gurwitch, Fukumaru, Messer, & Kamo, 2019), with growing evidence for improving interactions in families at-risk of child maltreatment (Mann, Torres, & Warner-Metzger, 2022). This workshop will introduce the audience to CARE concepts and provide a brief demonstration of skills. Although this does not provide instruction in the full CARE model, resources for further training will be provided.

Presenter(s)

Hannah Brinson, M.S.

Community Coalition Against Human Trafficking
Hannah Brinson is a seasoned nonprofit professional with more than 15 years of experience in social services in East Tennessee. As Director of Youth Services at CCAHT, she oversees youth-focused aftercare and anti-trafficking efforts across the region. Her expertise includes program development, strategic planning, partnership cultivation, and grant management.

Hayley Griffith

Community Coalition Against Human Trafficking
Hayley joined the Community Coalition Against Human Trafficking’s team in May of last year, before which she worked as the Coordinated Community Response & Outreach Director at the Knoxville Family Justice Center—a multi-agency, multi-disciplinary partnership providing domestic violence, sexual assault, stalking, child abuse, elder abuse, and human trafficking resources and services. Prior to that, Hayley worked as a paralegal and outreach coordinator for the Tennessee Senior Law Alliance at Legal Aid of East Tennessee after earning her Bachelor of Arts and paralegal certification from Carson-Newman University and The University of Tennessee, respectively. Hayley is a Knoxville-area native and currently lives in New Market, TN.

Presentation Abstract

Historically, familial trafficking has been largely characterized by a dearth of research, an absence of adapted and validated screening tools, a lack of substantiation/founding compared to non-familial trafficking cases, and, ultimately, overarching misconceptions and challenges, which have resulted in familial trafficking cases being more likely to be identified by relatives and community members than professionals. In fact, research shows a negative association between justice professional involvement and identification of these cases.

However, emerging research and recommendations are proving to be pivotal in challenging and changing this narrative. To implement effective intervention and prevention strategies, we must understand the contexts within which familial trafficking flourishes and the conditions that catalyze families into this crime.

This session will explore the typology of familial trafficking (prevalence, victim and perpetrator characteristics, motives, methods, case dynamics, outcomes, etc.) as well as the intergenerational trauma and social determinants of health that impact familial trafficking. We will then consider implications for addressing familial trafficking, focusing on useful knowledge and practical skills and tools for providers and professionals to apply in their line of work. Special considerations will include the experiences of survivors that inform their unique needs towards recovery, family bonds and family separation vs reunification in these cases, as well as two-generation/whole-family approaches.

Although emphasizing prevailing empirical, peer-reviewed research on familial trafficking, as the designated Tennessee Counter-Trafficking Alliance organization for the East Tennessee region, this session will also highlight regionally-specific data and efforts, including our program models for trafficking prevention and whole-family support.

Presenter(s)

James Lewis, MA

CPS
James Emerson Lewis is a dedicated child welfare professional and researcher with extensive experience in investigations, case management, and leadership within Child Protective Services (CPS). He currently serves as the Supervisor of the Domestic Violence CPS Specialty Team in Tennessee’s Northeast Region, overseeing efforts to enhance child safety and support for families affected by domestic violence. James began his career with the Tennessee Department of Children’s Services in 2018, spending two years as an investigator before being promoted to a supervisory role. His work integrates a collaborative model involving law enforcement, the judiciary, social services, and family justice centers to address domestic violence cases effectively. By implementing evidence-based practices such as motivational interviewing, crisis intervention, and differential response strategies, James’ team has contributed to a system-wide shift in how child protection agencies respond to intimate partner violence, emphasizing both child safety and survivor empowerment. Academically, James is a Midway Honors Scholar and a Ronald McNair Scholar, earning his Master of Arts in Sociology from East Tennessee State University (ETSU), where he completed a thesis examining the intersections of childhood abuse, religiosity, and opioid use. He holds a Bachelor of Science in Psychology (Clinical Emphasis) and Sociology, graduating Summa Cum Laude from ETSU. Currently, he is pursuing a Master of Social Work in Organizational Leadership at the University of Tennessee, Knoxville. Beyond his professional work, James has an extensive research background, contributing to studies on childhood maltreatment, substance use, and trauma. His findings have been presented at national and regional conferences, including the Appalachian Student Research Forum and the National Conference of Undergraduate Research. His passion for evidence-based practice informs his work in child welfare, ensuring that policy and intervention strategies are both effective and equitable. James remains committed to advancing child protection services through research, leadership, and advocacy, working to create systemic improvements in family safety and well-being.

Jessica Woods

CPS

Presentation Abstract

The findings reveal a significant increase in court-ordered services and a substantial reduction in incomplete cases, indicating improved follow-through and accountability. Additionally, specific case analyses identified severe substance abuse and Eli’s Law as primary drivers for child removals post-implementation. The study demonstrates that the specialized CPS domestic violence team not only improves case resolution but also enhances child safety and family stability, aligning with Tennessee’s Department of Children’s Services’ strategic goals. These results highlight the program’s effectiveness and underscore the need for additional resources to sustain and expand its impact.

Presenter(s)

Keri Virgo, MPM,

Tennessee Department of Mental Health and Substance Abuse Services
With over 25 years of extensive experience in the mental health field, Keri Virgo has shared her expertise across diverse sectors, including nonprofit organizations, behavioral health hospitals, and state government. Her career has spanned from front-line roles to administrative positions. Currently, Keri serves as the Deputy Assistant Commissioner of the Division of Children and Young Adult Mental Health Services at the Tennessee Department of Mental Health and Substance Abuse Services, where she has dedicated a decade of service. In her current role, Keri provides vital support to the Division of Children and Young Adult Mental Health Services, overseeing 20 distinct programs and two Peer Certification Programs. She holds a Master’s in Public Management from Indiana University and serves as the Children, Youth, and Families Committee Chair for the National Association of State Mental Health Program Directors (NASMHPD). Beyond her administrative duties, Keri has made significant contributions to academia as a former adjunct faculty member, teaching courses in criminal justice and research. Her research on parental attachment in juvenile justice populations has been published in the Adolescence journal, highlighting her commitment to advancing the understanding of mental health issues across diverse contexts.

Alzena Bason, Ph.D.

Tennessee Department of Mental Health and Substance Abuse Services
Alzena Bason serves as the System of Care Across Tennessee (SOCAT) Director, where she leads the SOCAT Network and SOCAT TANF grants, and supports the Family Support Specialist (FSS) Certification Program and the Training and Technical Assistance Center. With over twenty years of experience working with children, youth, and governmental programs, Alzena brings a wealth of knowledge to her role. Alzena previously worked with the Office of Criminal Justice Programs (OCJP) for the State of Tennessee as a liaison for elder and rural victims of crime. She also served as Project Director for 10 years with the Department of Labor’s Federal Youth Workforce Development and Training Youth Program, “”Job Corps,”” overseeing Tennessee and Mississippi, where she provided leadership to programs that helped young adults prepare for workforce entry and employment retention. In Georgia, she oversaw 44 counties as a Child and Adolescent Mental Health State Case Expeditor, focusing on keeping high-risk children and youth at home with their families. Passionate about developing programs for low-income families, Alzena founded and led a non-profit organization to address service gaps in underserved neighborhoods. She holds a Bachelor’s degree in Criminal Justice, two Master’s degrees in Public Administration and Education, and a Doctorate in Human Services with a specialization in leadership and organizational management.

Presentation Abstract

This session will provide attendees with a thorough understanding of High-Fidelity Wraparound (HFW) as an effective approach to supporting families and preventing out-of-home placements. Participants will gain insight into how HFW is being implemented to serve Tennessee families through intensive in-home care coordination, as well as the provision of family support services. Family Support Specialists provide family support by leveraging their lived experience, help guide families through complex systems, and connect them with essential resources. Since 2021, the System of Care Across Tennessee (SOCAT) using HFW has served 886 children, youth, and young adults across 91 counties, with an impressive 94% of them maintaining in-home placement. The holistic nature of the program has also extended support to an additional 1,171 children and youth living with the enrolled child/youth/young adult. Furthermore, the session will highlight how Medicaid funding sustains and expands the HFW model, ensuring long-term support for families in need. By providing attendees with these key insights, this session aims to equip professionals with the knowledge needed to replicate and enhance HFW efforts in their own communities.

Presenter(s)

Jon S. Ebert, PsyD

Vanderbilt University Medical Center
Dr. Ebert is a licensed clinical psychologist and Associate Professor in Clinical Psychiatry and Behavioral Health at the Vanderbilt University Medical Center & Associate Professor in Vanderbilt Department of Human & Organizational Development. He has over 25 years experience and expertise in clinical, consultation and training in the assessment and delivery of services to children and families who have experienced traumatic stress and mental health challenges. Dr. Ebert is the Director of the Vanderbilt Center of Excellence for Children in State Custody (COE) which is part of a statewide network funded under an agreement with the State of Tennessee to improve the public health by enhancing the quality of services provided to children in or at-risk of entering the Tennessee child welfare or juvenile justice systems. Dr. Ebert is the Director of the APA approved Internship in Professional Psychology (VUMC-IPP) and postdoctoral fellowship training program.

Tarah Kuhn, Ph.D

Vanderbilt University Medical Center
Dr. Kuhn is a licensed clinical psychologist and Associate Professor in Clinical Psychiatry and Behavioral Health at the Vanderbilt University Medical Center. Areas of expertise include juvenile justice, trauma and system level interventions. Dr. Kuhn is the Clinical Director of the Vanderbilt Center of Excellence for Children in State Custody (COE) providing ongoing consultation, training, dissemination of best practices and statewide quality improvement projects. In the Department of Psychiatry and Behavioral Sciences, Dr. Kuhn provides teaching and supervision for the Child and Adolescent Psychiatry fellowships & residents, as well as psychology practicum students, predoctoral Interns and postdoctoral fellows. Dr. Kuhn’s background includes clinical work with children and families with histories of complex trauma and juvenile justice involvement. An additional focus has been on multi-systemic collaboration to improve services and advocate for the clinical needs of children and families.

Presentation Abstract

Due to the complexity of needs and strengths for children and families who are interfacing with the child welfare system, there is a need for structured collaboration and communication across multiple child serving systems to effectively support safety, stability, permanency and positive outcomes for families. Yet, many child welfare systems find themselves caught in a hypervigilant and incident driven approach to managing emerging risks and needs. Child welfare professionals can become disproportionally focused on daily presenting problems, experience exhaustion, and burnout which can result in high levels of workforce turnover.

Children and families involved with child welfare are impacted by a range of systems, outside of their immediate family, that add complexity to the work and that influence interventions and outcomes. In response to this, the Vanderbilt Center of Excellence has developed a model of consultation that aims to encompass not only the needs of the individual child and caregivers but that considers systemic factors and the multidirectional impacts, both positive and negative that key stakeholders, organizational, community partners can have on outcomes for children and families. This consultation model aims to not only support the individual needs of children and families but also provide systemic support to child welfare and other child serving partners in regulation, problem-solving, communication and coordination of care. The presentation will discuss the underlying evidence base for this consultation intervention, as well as review effectiveness through satisfaction data and case-based examples.

Presenter(s)

Bonnie McKinney, LMFT

Youth Villages
Bonnie McKinney is the Clinical Services Assistant Director of Intercept at Youth Villages. She has 18 years of experience working with children and families using intensive In-Home services to establish or preserve permanency through the Intercept program. Bonnie is also a certified trainer in the Collaborative Problem Solving approach which is used extensively at Youth Villages.

Presentation Abstract

Intercept is an evidenced-based, comprehensive intensive in-home parenting skills program used to safely prevent children birth to 18 from entering out-of-home care or to reunify them with the family as quickly as possible if a period of out-of-home care is necessary. Through Intercept, parents and caregivers learn parenting, behavior management, problem-solving, family functioning and coping skills and are supported as they connect with community resources. Family Intervention Specialists support every member of the family, interact in the neighborhood and with children’s peers, and provide 24-hour, in-person crisis support to families. Key factors that contribute to the success of the Intercept model are the focus on family engagement and collaboration, safety and stability, strong community relationships, whole family care, and communication and problem-solving. The Intercept model has been proven to be effective by multiple studies showing and increase in reunification of families and a decrease in out-of-home placements due to the comprehensive and versatile nature in which it can be implemented with families.

Presenter(s)

Charles Pemberton, Ed.D

The Omni Family
Charles serves as the Clinical Program Director for Omni’s FITT program across Tennessee, Kentucky, and Ohio. With over 35 years of experience in mental health, he began his career in an intensive in-home program and has worked in various sectors, including community mental health, law enforcement, universities, and private practice. He has taught at multiple universities and colleges, in clinical counseling programs. In 2009, he was the ACA’s Chair of the DSM 5 task force. Charles is currently a member of Kentucky’s LPCC State Board and is actively involved with the Boy Scouts of America as part of the National Youth Protection Program, contributing locally as an advisory board member. He has had the honor of being the mental health source for the local i-Heart radio station, WHAS, for over 15 years. Outside of his professional commitments, Charles treasures spending time cooking for his wife and two adult sons.

Presentation Abstract

We will focus on utilizing the three pillars of Trust-Based Relational Intervention (TBRI) — Connecting, Empowering, and Correcting — in a high-intensity, in-home, 90-day program aimed at building resilience in youth from “hard places”. TBRI is an attachment-based, trauma-informed intervention designed to address the complex needs of vulnerable youth.

By engaging the entire family, our therapists and support specialists educate both caregivers and youth on expressing and meeting needs while maintaining accountability. TBRI emphasizes a connection-first model, which is crucial for youth who have experienced multiple disruptions. Caregivers often struggle to ensure safety without losing their connection to the youth. Our program has demonstrated successful outcomes, as evidenced by Ohio Scales, and has significantly reduced hospitalization rates.

The focus will be on providing an overview of TBRI principles, prioritizing safety, addressing the needs of both youth and caregivers, and holding the entire family accountable for their behaviors. While the Family Intensive Treatment Team (FITT) is a safety-first, crisis management program, we aim to establish a foundation for ongoing positive interactions, a new perspective on past experiences, and a healthy approach to correcting youth behavior without compromising the essential need for connection.

Day 1 — 3:00 p.m. to 4:15 p.m.

Presenter(s)

Jordan Shields, LMSW

University of Tennessee-Boyd Community Schools Collaboration Hub
Jordan Shields is a macro practice social worker with a practice background that includes community development, stakeholder engagement, resource coordination, program evaluation, and implementation planning. Her interest in public education, especially whole student supports, originated from her five years as a community school coordinator. Most recently she has worked with education adjacent nonprofits to evaluate whole student support programs in the areas of after-school programming, postsecondary education access, and student mental health. She currently works at the Research Data Manager for the Boyd Community Schools Collaboration Hub at the University of Tennessee.

Presentation Abstract

What if I were to tell you that for about the cost of one teaching position, we could increase the health and wellness of students and families, prioritize a whole-child approach in schools, and improve student academic outcomes? That we could build long lasting partnerships in our community that expand school resources? That schools could have cultures that honor and respect family and community voices and share leadership among stakeholders? I am speaking now to the results of the prevention-focused, evidence-based, best practices of the Community School (CS) model. Rooted in the work of Jane Addams and John Dewey, the CS model has two decades of research proving its efficacy in rural, urban, and suburban contexts. With a return on investment of $7 for every $1 invested, this is a cost-effective strategy that leverages community assets to transform public schools. Tennessee’s coalition of community schools, the Tennessee Community Schools State Network, has been hard at work using the CS model to revitalize schools into thriving community hubs addressing the challenges faced by many Tennessee students and families through holistic support and building leadership capacity within communities to better support schools. This presentation will walk participants through the transformative practices unique to the CS model. Audience members will gain an understanding of how the assets-based approach of the CS model produces Tennessee’s best kept secret for supporting families, advancing neighborhood health, and transforming K-12 education.

Presenter(s)

Melissa Gilbreath, LMSW, IMH-E​

Centerstone
Melissa Gilbreath is a dedicated Project Manager overseeing an Evidence-Based Home Visiting Program across 15 counties in Middle Tennessee. With a decade of affiliation with the Healthy Families America model, Melissa brings over 25 years of experience as a social worker, having served communities in both Pennsylvania and Tennessee. Melissa also utilizes her skills as a Bereavement Doula and Certified Grief Practitioner to support families through loss when needed.

Presentation Abstract

Centerstone’s Healthier Beginnings program is pioneering a transformative approach in home visiting services by focusing on both preventive and strength-based family support. For years, Healthier Beginnings evidence-based home visiting services has been providing services to prevent child abuse and neglect and build protect factors. This year Centerstone Healthier Beginnings became the first evidence based home visiting program to partner with DCS to expand home visiting services to families interacting with the child welfare system through the implementation of Child Welfare Protocols. Healthier Beginnings places a strong emphasis on understanding and mitigating Adverse Childhood Experiences (ACEs), recognizing the impact ACEs can have on family outcomes. As a strength-based, parent-centered model, we also know about Positive Childhood Experiences and how this framework can start a new conversation with families and communities about what is possible for parents and their young children. The HOPE framework centers on the Four Building Blocks of HOPE:

  1. Relationships – fostering healthy bonds and social connections.
  2. Environment – creating safe, stable environments.
  3. Engagement – encouraging meaningful participation in community and cultural activities.
  4. Emotional Growth – promoting emotional resilience and psychological well-being.

Through these building blocks, Centerstone’s Healthier Beginnings supports family functioning and builds protective factors, opening a new dialogue with families and communities about what is possible for parents and young children. The H.O.P.E Framework has been embedded into the work with families and the four building blocks into home visits to strengthen family functioning and build protective factors. 

Presenter(s)

Mary Lehman Held, PhD, LCSW

University of Tennessee, Knoxville
Dr. Mary Lehman Held is an Associate Professor at the University of Tennessee, Knoxville College of Social Work. Dr. Held’s research centers on promoting positive mental health among Latinx and immigrant communities. Informed by clinical practice experience in the U.S. and work with youth in Central America, she designs quantitative and qualitative studies to investigate immigration-related experiences of trauma, resilience, and integration, as well as mental health service utilization. She has specifically examined stress among Latinx and other immigrant communities related to exclusionary immigration policies in the U.S. and how that stress correlates with depression, anxiety, and posttraumatic stress disorder. Toward improved well-being, Dr. Held is invested in strengthening culturally responsive behavioral health service provision for Latinx families.

J. Douglas Coatsworth, PhD

University of Tennessee, Knoxville

Eliza Galvez, LMSW

University of Tennessee, Knoxville
Eliza Galvez, LMSW is a Ph.D. candidate at the College of Social Work at the University of Tennessee, Knoxville. She holds a B.S. in Psychology from Georgia State University and an M.S.W. from Kennesaw State University. Her scholarly pursuits are centered on the culturally-responsive trauma-informed care and culturally-relevant behavioral health prevention programs for Latino/a/x and undocumented communities in non-traditional states. Galvez’s scholarship is driven through her previous work with underrepresented communities in various non-profit agencies and health systems focused on their mental health. Additionally, Galvez actively engages in community-based presentations aimed at raising awareness of the specific healthcare needs of Latino/a/x communities in Tennessee.

Presentation Abstract

Familias Fuertes, a culturally adapted version of the Strengthening Families Program for Parents and Youth Ages 10 to 14 (SFP 10-14), is a multi-purpose intervention designed to promote effective parenting, strengthen parent-adolescent relationships, and reduce problem behaviors among youth. Designed as a universal prevention program, it aims at promoting positive communication, trust, and stronger family connections across families, regardless of risk level. Additionally, it offers a secondary prevention approach for families facing elevated risks of substance use, providing caregivers and adolescents with tools to address peer and societal pressures constructively.

While some programs supported by Title IV-E funding focus on addressing challenges after they emerge, Familias Fuertes emphasizes proactive prevention, complementing these systems by addressing family stressors early. With culturally tailored content and a focus on strengthening parent-youth bonds, Familias Fuertes addresses the unique needs of Latino/a/x families, a population often underserved by traditional prevention efforts.

In Tennessee, the program is implemented through partnerships with Centro Hispano de East Tennessee and Hola Lakeway, trusted community-based organizations with deep connections to the Latino/a/x community. These collaborations are essential for building trust, ensuring culturally responsive implementation, and addressing participation barriers.

This session will highlight Familias Fuertes’ implementation in Tennessee communities, focusing on practical insights gained from engaging bilingual, bicultural families. Presenters will share lessons learned, strategies to overcome barriers, and plans for sustainable program expansion. Participants will leave with actionable knowledge on engaging Latino/a/x families through culturally responsive, family-centered interventions that prioritize family cohesion and stability.

Presenter(s)

Karisa Smith, Ph.D

Vanderbilt University Medical Center
Karisa Johns Smith, PsyD is a licensed clinical psychologist and an assistant professor with the Center of Excellence for Children in State Custody at Vanderbilt University Medical Center. She specializes in developmental trauma and the child welfare system, with a focus on infant mental health. Dr. Smith has clinically worked with traumatized individuals and families within community mental health centers, intensive in-home services, detention centers, the Center of Excellence, Vanderbilt Medical Center, and the Tennessee Department of Children’s services. She is committed to supporting children, caregivers, and child-welfare teams through evidence-based practices.

Kathy Gracey, M.Ed.

Vanderbilt University Medical Center
Kathy Gracey received her M.Ed. in Counseling Psychology from the University of Mississippi. She has been a member of the department of psychiatry since 1992. She serves as the administrator, responsible for oversight and implementation, of multiple programs serving at risk children, youth and families. Ms. Gracey has been the key person within the Vanderbilt Center of Excellence to assist the Department of Children Services (DCS) with the implementation of a statewide assessment intervention for all children/families in DCS custody along with the implementation of a statewide assessment for non-custody families.

Alexis Fleming, Ph.D candidate

Vanderbilt University Medical Center

Presentation Abstract

This session will highlight the implementation of family-centered standardized assessments for young children and caregivers utilizing the Toddler and Infant Needs and Strengths (TINS) assessment, workforce training to support relationship-based child welfare practice, and the use of data to embed continuous quality improvements to support Tennessee’s Safe Baby Court Initiative (SBC).

In Tennessee, children aged three years or younger account for 36% of children who have experienced substantiated maltreatment. However, until recently, there was no standardized method for the assessment of the needs of children from this age group and their families that could be used to prevent custody and reduce recidivism. This session will highlight an inter-agency effort to implement standardized family-centered assessment of the needs and strengths of young children and their caregivers.

Successful implementation of this evidence-based system intervention relies upon a community and workforce that is informed by infant mental health, which is a relationship-based, ACEs/trauma-informed, and culturally responsive field that encompasses many interventions proven to reduce the negative emotional, behavioral, and developmental impacts of ACEs in infants and toddlers as well as improve caregiver-child relationships (Zeanah & Humphreys, 2018; ZERO TO THREE, 2016). This session will review strategies to equip a multidisciplinary workforce with the knowledge and tools to support these protective factors in families.

Lastly, this session will outline the role of data monitoring to identify trends that inform program enhancement on multiple levels, such as service development, areas in need of training, and potential gaps in the intervention that can be addressed to better support young children and their families.

Presenter(s)

Wendy Stewart, BA, CRS-A/D

Rural Health Association of Tennessee
Wendy Stewart is the East Region Resource Liaison for Rural Health Association of TN (RHA). In this role she supports community-based organizations in using/ understanding how Community Compass, a zip code based social care resource network and closed- looped referral system, can benefit them and fit into their day-to-day workflow, as well as help build community connections. Her career in social services has led her to serve clients in a variety of settings, from in homes with home health to community outreach and becoming an AIRS Certified Information and Assistance Specialist. Wendy has spent almost 20 years serving others in the social services arena since graduating from Lee University. She and her husband of 24 years, Adam, are proud parents to Emily, who is currently attending her graduate program at MTSU. Wendy loves to read and is crazy about animals!

Presentation Abstract

Almost 1 in 5 Americans live in rural communities, but many face barriers to accessing care. More limited access to resources and greater distances required to travel to healthcare providers can make it difficult for patients to receive care. It’s time to take action to advance health equity for rural and urban communities. Rural Health Association of Tennessee, findhelp, and TennCare are partnering together to address social drivers of health across the state of Tennessee.

Presenter(s)

Jillian Dodson, MA

University of Tennessee Psychological Clinic
Jillian Dodson is a 3rd year graduate student pursuing her doctorate in Clinical Psychology at the University of Tennessee at Knoxville under the supervision of Dr. Chris Elledge with the PAVES Lab. Her research broadly examines risk and resilience among children and adolescents who have experienced adversity, including peer victimization. More specifically, Jillian is interested in how these factors inform school or community-based interventions supporting at-risk youth. Clinically, Jillian enjoys working with systems-involved children and their families. Under the supervision of Dr. Caitlin Williams at the University of Tennessee Psychological Clinic, she employs various evidence-based therapies in the support of child and adolescent wellbeing, including DBT and PCIT. Further, Jillian is currently pursuing additional training in psychotherapy at Cherokee Health Systems and forensic assessment the Knox County Juvenile Courts.

Jaqueline Sullivan, MA

University of Tennessee Psychological Clinic
Jackie is a fifth year graduate student in the Clinical Psychology Ph.D. program. She earned her M.A. in Clinical Psychology from Columbia University and her B.A. in Psychology from the University of Virginia. She is broadly interested in how early child experiences may influence socio-emotional development and contribute to the development of psychopathology. Jackie is also interested in exploring factors that may be associated with the development of anxiety and depression among children of anxious parents, and the downstream effects of early onset internalizing disorders. In her free time, she enjoys running and spending time at local coffee shops.

Caitlin Williams, Ph.D

University of Tennessee Psychological Clinic
Dr. Caitlin Williams earned her Ph.D. in clinical psychology from George Mason University in 2020. She completed her internship on the child track at the University of Arkansas for Medical Sciences. Her first postdoctoral fellowship was at Cherokee Health Systems in Knoxville, TN on the traditional therapy track, and her second fellowship was at the Center of Excellence for Children in State’s Custody through the University of Tennessee Graduate School of Medicine. Dr. Williams’ theoretical orientation is grounded in behavioral and cognitive-behavioral theories and strongly influenced by developmental, family systems and multicultural perspectives. She has experience delivering individual, family, and group therapies for a range of presenting concerns across a variety of settings, primarily focused on children, adolescents, and young adults. Dr. Williams specializes in trauma-focused/informed interventions including Trauma-Focused CBT, Dialectical Behavior Therapy, Combined Parent-Child CBT, Cognitive Processing Therapy, Child Parent Psychotherapy, and Parent-Child Interaction Therapy, in which she is a Within-Agency Trainer. Her assessment experience includes child and adult assessment for psychoeducational, psychodiagnostic, and trauma-focused assessments. She is comfortable supervising children and adult assessments and group therapies, and child/adolescent individual and family-based therapies.

Presentation Abstract

Parent-Child Interaction Therapy (PCIT), an evidenced-based therapy designed to treat child externalizing behaviors (Thomas et al., 2017), improves child compliance via targeted caregiver skills training and enhanced caregiver-child attachment. Although PCIT is effective among numerous presentations (e.g., children with Autism Spectrum Disorder, trauma-exposed children; McNeil et al., 2010), research on the effectiveness of PCIT among children born with Neonatal Abstinence Syndrome (NAS) is limited. NAS is a medical condition that occurs in babies who experienced in-utero narcotics exposure. East Tennessee has NAS incidence rates more than 10 times the national average (Erwin et al., 2017). Children with NAS exhibit significantly higher emotional (e.g., dysregulation) and behavioral difficulties (e.g., aggression) at ages 2, 4.5, and 9 relative to same-age peers, and demonstrate symptom trajectories that worsen over time (Jaekel et al., 2021). Moreover, they are two times more likely to be diagnosed with attention-deficit/hyperactivity, conduct, anxiety, and adjustment disorders (Anbalagan & Mendez, 2023). Additionally, mothers of infants with NAS experience a higher incidence of mental health diagnoses and parental stress (Corr et al., 2020). Consequently, PCIT is well-suited treatment for families of children with NAS. Such considerations will be explored via a PCIT case study of “Brigid”, a 3-year-old girl with NAS, and her adoptive mother “Emily”.

Presenter(s)

Mayemona Franklin, B.S. Ed., IMH-E

Child Care Resource and Referral / Nurturing Parenting Program
Mayemona Franklin serves as the Outreach Coordinator and Lead Early Childhood Quality Coach for Child Care Resource and Referral at Methodist Le Bonheur Children’s Hospital Community Outreach. In her role as Quality Coach, she provides essential support to childcare centers, ensuring they meet the highest standards of care. She facilitates training and coaching sessions to help educators and administrators enhance the development of young children. Previously, Mayemona worked as a Nurturing Parenting Specialist for the Early Success Coalition, where she led nurturing parenting classes across Shelby County, TN, and earned national recognition as a Nurturing Parenting Program Trainer-Consultant.

A native of Memphis, Tennessee, Mayemona is a dedicated wife and mother of two sons. She holds a Bachelor of Science in Education from the University of Memphis, where she completed over 20 hours of social work courses. Her passion for family support services has been evident throughout her career, which began with positions at the Department of Human Services as an eligibility counselor and with TNCSA as a case manager. In 2012, Mayemona joined Le Bonheur’s Center for Children and Parents as a Parent Educator, delivering the Nurturing Parenting curriculum to families in their homes.

Mayemona finds immense fulfillment in her role as Quality Coach, where each training and coaching session contributes to the improvement of care for young children. In 2020, she received her AIMHiTN Endorsement for Culturally Sensitive, Relationship-Focused Practice Promoting Infant Mental Health® as an Infant Family Associate.

As a nationally recognized Nurturing Parenting Program Trainer-Consultant, Mayemona has facilitated nurturing parenting groups in diverse settings such as high schools, childcare centers, and housing communities. She has also trained trained professionals to become Nurturing Parenting facilitators. Mayemona’s extensive training includes Stewards of Children, Child and Adolescent Suicide Awareness and Prevention, Infant Mental Health, Strengthening Families Protective Factors, and ACE (Adverse Childhood Experiences) Studies. She is also an active member of the Early Success Coalition Nurturing Parenting Learning Collaborative.

Currently, Mayemona chairs the Shelby County Community Advisory Board, where she has been a member for over 11 years. The board works closely with the Tennessee Department of Children’s Services to empower families, promote community safety, and build partnerships that ensure the well-being, safety, and permanence of children.

Presentation Abstract

This presentation will explore how the principles and practices of the Nurturing Parenting Programs (NPP) offer a proactive, evidence-based approach to mitigate and prevent the negative impacts of Adverse Childhood Experiences (ACEs). and child abuse and neglect. (CAN). By fostering empathy, emotional intelligence, and healthy parent-child relationships, NPP equips families and communities with tools to break the cycle of trauma.

Presenter(s)

Scott Payne, M.Div.

Contact Care Line
I have been involved in crisis and suicide prevention work in one form or another since 2007. Just out of Divinity School, I took a position with Family and Children’s Service in Nashville as a crisis counselor. I found crisis work to be the most authentic work I have ever been involved with, and I stayed at FCS for 7 years, and I was Director of Crisis Services when I departed to move from Nashville to Knoxville. I have worked in a substance use harm reduction program, and I have also served as a hospice chaplain. I am currently employed by Contact Care Line, where I serve as Manager of Outreach and Support. I serve as a member of Tennessee Suicide Prevention Network Advisory Council (TSPN), for which I am current Chair for the East Region.

Presentation Abstract

The content in this presentation will begin with an introduction to the 988 Suicide and Crisis Lifeline (988 Lifeline). This section will cover a brief history of the development of the network, structure, and data about usage.  The next section will cover what happens when someone calls or texts 988 Lifeline, what to expect, and how we engage visitors to the Lifeline.  The third section will cover how 988 Lifeline works to help visitors engage the least invasive means to stay safe now and how to engage community resources.  We will cover the disposition of calls/texts to demonstrate how 988 Lifeline reduces stress on emergency services while supporting visitors turn to safety and engage resources to address on-going needs.  

Day 2 — 9:00 a.m. to 10:15 a.m.

Presenter(s)

Sara Kay Faith Scott, M.S.

McNabb Center
Sara Scott works as a Services Coordinator for the McNabb Center and has worked at the Center for over 14 years. She has worked as in the capacity of case manager, clinician, and supervisor. Sara enjoys learning new modalities and interventions to use with families and assist her teams in implementing. She has been trained as a clinician and a Within Agency Trainer for Parent-Child Interaction Therapy and helps train new clinicians each year. Sara is also endorsed as an Infant Mental Health Clinician and Reflective Supervisor.

Erin Ferry, M.Ed

McNabb Center

Kate Orem

McNabb Center

Presentation Abstract

Parent-Child Interaction Therapy (PCIT) is an empirically supported intervention that started over 50 years ago and continues to adapt to treat children ages 2-7 with disruptive behavior problems. It has been proven effective for a variety of emotional and behavior issues and has been shown to work across different layers of socio-economic, ethic, and culturally-diverse groups. Community mental health agencies have been disseminating the intervention in their organizations and providing this family therapy for children with challenges in daycare settings, the home, and those at risk of removal from their home. PCIT is focused on both attachment theory-based practices and behavioral models. The intervention is split into two phases that include Child-Directed Interactions (CDI) and Parent-Directed Interactions (PDI). In the Child-Directed Interactions phase, caregivers are taught which responses and behaviors they should avoid using during the therapeutic play activities. They are also taught the PRIDE skills and how to hone their listening and following of the child’s lead. One the caregivers have met a minimum level of comprehension of the skills, they are then taught a compliance sequence for helping the child to know and follow a consistent consequence. A family is able to graduate after completing their criteria check-offs and feel confident in their ability to manage the skills and behaviors. Typical results for completed cases include increased positive interactions between caregivers and children, increased communication skills for the child, and decreased aggressive and disruptive behaviors. In some cases, PCIT has prevented children from disrupting placements. 

Presenter(s)

Mandy Royston, BS, IECMH-E

Association of Infant Mental Health in Tennessee
My name is Mandy Royston, and I am proud to be part of the AIMHiTN team as the Training and Technical Assistance Advisor, joining in March 2024. With a Bachelor of Science in Education from East Tennessee State University and an IECMH-E® endorsement, I am thrilled to bring my passion for supporting children and families together with my education and experience to advance AIMHiTN’s mission of fostering the early relational health of infants, young children, and families. Over the past 20 years, my professional journey has been shaped by a variety of roles dedicated to serving children and families. I began my career in the classroom, where I worked with elementary and middle school students, focusing on interventions for those needing additional support. In 2017, I shifted my focus to early intervention, first as a Developmental Therapist and later as a Service Coordinator with the Tennessee Early Intervention System. This experience deepened my commitment to supporting children and families across a range of developmental milestones. I am driven by a strong passion to create lasting, positive change for Tennessee’s youngest population, laying the foundation for healthier generations to come.

Presentation Abstract

As professionals in the Infant and Early Childhood Mental Health (IECMH) field, we play a crucial role in guiding children through the social and emotional challenges of everyday life. While defining Social and Emotional Development is an essential first step, it is only the beginning of our work with young children. This training explores intentional strategies to nurture infants and toddlers through modeling, creating a highly responsive environment, and fostering connection. Participants will learn a variety of hands-on techniques and gain insights into how personal experiences influence relationships, shaping long-term patterns and behaviors.

Presenter(s)

Nathan Wray

NW Community Solutions
Nate Wray is an award-winning prevention innovator, dedicated community leader, and advocate for positive change. In 2022, Nate founded a thriving food pantry that has served hundreds of families, addressing food insecurity and fostering stronger community connections. With a passion for empowering others, he has developed groundbreaking prevention strategies that have earned recognition for their impact and innovation at both local and state levels. Known for his practical wisdom and contagious energy, Nate inspires individuals to take charge of their lives and unlock their potential. Whether mentoring young leaders, collaborating with educators, or spearheading initiatives to combat substance misuse, he brings a relentless commitment to making a meaningful difference. Guided by the belief that small actions create lasting legacies, Nate continues to challenge others to rise above adversity, embrace growth, and achieve excellence in every aspect of life.

Presentation Abstract

In this inspirational and practical talk, Nate Wray shares his journey as a father raising three children with autism and one with Type 1 diabetes. With humor, authenticity, and hard-earned wisdom, Nate reveals how the principle of “Proper Preparation Prevents Poor Performance” has shaped his approach to parenting, turning overwhelming challenges into opportunities for growth and connection.

This session dives deep into the five P’s, showing how proper preparation—such as understanding individual needs, building routines, and anticipating challenges—can transform even the most daunting situations. Attendees will discover the importance of distinguishing between readiness and preparation, the power of prevention in minimizing setbacks, and the consequences of poor planning in high-stakes parenting.

Whether you’re a parent, teacher, or professional supporting children with special needs, this session provides actionable insights, tools, and encouragement to create a thriving environment. Join Nate to uncover how preparation, persistence, and perspective can empower families to move from survival to success.

Presenter(s)

Dusty J. Cantrell, MSSW

University of Tennessee Northeast Tennessee Relative Caregiver Program
Dusty Cantrell is a member of the University of Tennessee SWORPS. He is the Program Manager of the Northeast Tennessee Relative Caregiver Program. Dusty has dedicated his 35-year career to serving children and families throughout Appalachia and East Tennessee. Dusty is the creator of a new EBP model called the Competency-Based Coaching Curriculum (CBCC), which has implications for kinship caregiver programs in Tennessee and nationwide. Dusty is a grandfather of 6, and father of 3 beautiful strong women. He and his wife Stacy are Santa and Mrs. Claus during the holiday months.

Presentation Abstract

Relative families have varying needs, depending on income, number of related children in their care, support systems, and legal relationship to the children. The UT SWORPS Relative Caregiver Program connects families and relatives willing to care for these children to avoid DCS custody and Foster Care Placement when possible. Because most relative caregivers prefer not to formalize their relationship with the children in their care, they face greater obstacles to services available to them than those who are willing to formalize their arrangements. Our Family Coaches use several strengths-based assessments and curricula to enhance the likelihood of positive outcomes for Tennessee families. One such approach is the recent creation of the Competency Based Coaching Curriculum provides competency measures to ensure quality service and successful outcomes for families.

Many child welfare experts have recognized the value of kinship care as a means of preserving family ties, providing continuity of care, and reducing the trauma of separation for vulnerable children. Research indicates that relative caregivers typically provide safe and nurturing environments for children in their care, despite their limited resources. A recent change in Tennessee has also been the stipend-based program- a new way of providing financial payment to caregivers to care for the children in their care. Children in familial care reap significant benefits when compared with children placed with non-relatives. By innovating and seeking our best practices and EBP models, the University of Tennessee SWORPS Program can ensure future generations of children remain in safe, stable home environments.

Presenter(s)

Michael Cull, Ph.D

Center for the Helping Professions
Mike started his career as a paramedic and has since built a diverse body of work spanning many different helping systems. He specializes in applying the sciences of safety, quality and implementation to improve organizational reliability and effectiveness. His approach leverages tools like organizational assessment and systems analysis of critical incidents to build team culture and help systems learn and get better. Previously, Mike served as Deputy Commissioner of Child Health for Tennessee’s Department of Children’s Services and has held various administrative and academic positions at Vanderbilt University Medical Center, the University of Chicago’s Chapin Hall, and the University of Kentucky’s College of Public Health. Mike holds degrees from the University of Tennessee, Vanderbilt University and Tennessee State University’s Institute of Government.

Michael Burnette

Tennessee Department of Children's Services

Presentation Abstract

The National Partnership for Child Safety (NPCS), a learning collaborative of nearly 40 child welfare jurisdictions including Tennessee DCS, represents an innovative approach to child maltreatment prevention through the application of safety science principles. This presentation, co-delivered with Tennessee DCS leadership, showcases how sustained participation in the NPCS creates systemic changes that enhance prevention capabilities. The NPCS framework emphasizes psychological safety, systems learning, and reliable practice, providing agencies with concrete tools to build prevention capacity at both organizational and team levels. Our multi-state analysis demonstrates that sustained NPCS membership leads to progressively higher levels of mindful organizing among child welfare teams, which in turn strengthens family preservation efforts. Through Tennessee’s experience, we’ll explore how NPCS membership has enhanced the state’s prevention framework through implementation of safety science principles, peer learning opportunities, and data-driven improvement strategies. The presentation will highlight specific examples of how Tennessee DCS has leveraged NPCS resources and partnerships to strengthen their prevention infrastructure, including the integration of safety culture assessment tools, critical incident review processes, and team-based learning systems. Participants will learn practical strategies for implementing similar approaches in their jurisdictions, with a focus on building sustainable, system-wide prevention capabilities that align with the protective factors framework and support family preservation goals.

Presenter(s)

Caleb Corwin, Ph.D

UTGSM - Center of Excellence for Children in State Custody
Caleb Corwin, Ph.D. is a clinical psychologist at the UT – Graduate School of Medicine – Center of Excellence for Children in State Custody. He received his doctorate from LSU and completed postdoctoral training at the Kennedy Krieger Institute at Johns Hopkins University and Cherokee Health Systems. Dr. Corwin currently works consulting with DCS on complex cases, providing direct clinical services in an integrated primary care clinic for children in state custody, and disseminating trauma informed evidence-based treatments child welfare serving agencies.

Presentation Abstract

The Breakthrough Parenting Curriculum: Navigating Trauma Across Generations (BPC) was developed following the successful outcomes associated with the Resource Parenting Curriculum: Caring for Children That Have Experienced Trauma. The BPC is unique in that it focuses on birth parents involved with the child welfare systems. The 10 modules of the BPC are developed to be co-facilitated by a parent (person with lived experience as a parent involved with child welfare) and a non-parent (typically facilitator with clinical expertise) in a format that facilitates didactic learning while prioritizing processing with other parents with other parents. Modules focus on enhancing knowledge regarding trauma informed parenting, the importance of self-care, impacts of intergenerational trauma, and necessity of connections for healing. The virtual formatting of the groups enhances the accessibility of this resource to families and inclusion of a parent facilitator aims to elevate the voice of those with lived experiences. The current presentation aims to introduce attendees to the existence of this intervention as a possible prevention strategy targeted at providing additional support to birth parents involved with child welfare. A brief overview of the curriculum, an exhibition of one of the included activities, and update on the status of the current literature for this newly developed intervention.

Presenter(s)

Ruben Parra-Cardona, Ph.D

College of Social Work, UT - Knoxville
Rubén Parra-Cardona, Ph.D. is the inaugural Roger and Carol Nooe Endowed Chair at the College of Social Work, The University of Tennessee, Knoxville. Prior to this appointment he was the Associate Dean for Global Engagement at the Steve Hicks School of Social Work and Interim Director at the UT Austin Latino Research Institute, at the University of Texas at Austin. He has been funded by the National Institute of Mental Health and the National Institute on Drug Abuse to conduct cultural adaptations of evidence-based parenting interventions for dissemination with low-income Latinx populations. His service has included being an expert consultant for the US Department of Health and Human Services for 15+ years, vice-president of the Family Process Institute and elected member of the Board of Directors of the Society for Prevention Research. He has extensive experience on research collaborations across the U.S.-Mexico border, as well as Chile.

Presentation Abstract

The cultural adaptation of evidence-based parenting interventions constitutes an alternative to reduce health disparities experienced by ethnically diverse populations in the US. However, adaptations must be conducted by addressing key life and cultural experiences of relevance to focus populations. The purpose of this presentation is to describe three NIH-funded randomized cultural adaptation studies with Latino/a immigrant families.

The first two studies were implemented with Latino/a immigrant families residing in a metropolitan city in the Midwestern US with moderate Latino/a population density. The third study is being implemented in a metropolitan city in the US, with high Latino/a population density. Cultural adaptations were conducted to be responsive to salient contextual and cultural issues in each context. According to our hypotheses, the adapted version of GenerationPMTO in which issues of context and culture were overtly addressed in the intervention, were associated with high impact on parenting and mental health outcomes. However, post-intervention qualitative data appears to indicate that the saliency of immigration-related challenges on families have a more pronounced impact on families in context with lower Latino/a population density, as the narratives of social isolation, economic challenges, and discrimination are more salient than the narratives shared by parents in the south.

Present findings confirm the importance of importance of cultural adaptation for the delivery of evidence-based interventions to underserved Latino/a immigrant populations. Qualitative findings also confirm that contextual and cultural themes should be addressed according to the lived experiences of focus populations.  

Day 2 — 10:45 a.m. to 12:00 p.m.

Presenter(s)

Nena Horton, M.Ed

Vanderbilt Center of Excellence
Nena Horton received a M.Ed. in Marriage and Family Counseling from East Tennessee State University. Ms. Horton has worked in child welfare for 34 years and has been with the VUMC Center of Excellence since 2009. Ms. Horton assisted the TN Department of Children Services (DCS) with the implementation of the CANS for children/families in DCS custody and the FAST for non-custody families. She also assists with the implementation and support of the Juvenile Justice CANS for TN juvenile courts and with the implementation of the Toddler Infant Needs and Strengths (TINS) assessment in TN Safe Baby Courts. Ms. Horton provides direct supervision for a team of Mental Health Consultants who are embedded in 6 DCS regions to provide academic support, training, coaching, and consultation for DCS staff around the completion and use of the CANS, FAST, and TINS. In addition to her professional experience, Ms. Horton and her husband are former DCS foster/adoptive parents and adopted their 2 sons through the Department.

Michelle Reiter

UT Graduate School of Medicine Center of Excellence

Lisa Levoir

UT Graduate School of Medicine Center of Excellence

Presentation Abstract

Transformational Collaborative Outcomes Management (TCOM) is a conceptual framework for managing systems, organizations, and programs whose mission is to support child wellbeing. In order to accomplish this objective, the TCOM approach employs strategies that identify opportunities to build resilience and positive well-being. In our non-custodial population, the Family Advocacy and Support Tool (FAST) assessment is a person-centered planning process that identifies needs and strengths to support families in their story.

In this presentation, we will describe the FAST assessment structure and implementation across the child-serving system in Tennessee. The goal is to support children and families in their communities. We’ll also describe how we have leveraged data from FAST to understand the Tennessee system story including which places would benefit most from preventative interventions and where additional resources should be deployed to serve Tennessee’s families.

Presenter(s)

John Paul Abner, Ph.D

Milligan University / PCIT International
John-Paul Abner graduated from the University of Florida with a Ph.D. in Clinical Psychology (Child and Adolescent emphasis) in 1996. A professor in psychology at Milligan College, he is one of 21 people in the world who has been designated as a Parent Child Interaction Therapy (PCIT) Global Trainer by PCIT International. He has conducted research on the application of PCIT to children with autism spectrum disorders. He is the Director of PCIT Training for the East Tennessee State University Center of Excellence for Children in State Custody where he helps coordinate a statewide PCIT dissemination effort to help children in the foster care system. He is passionate about PCIT and CARE and this often comes out at relatively high speed and volume. He favors a highly interactive style of presentation which often feature storytelling, games, unintentional physical humor, pirate yarrghs, and prizes of minimal value.

Andrew Burkley, PsyD

Milligan University / PCIT International
Dr. Andrew Burkley is a licensed Clinical Psychologist with the University of Tennessee Center of Excellence for Children in State Custody. He graduated from Chestnut Hill College in Pennsylvania with a doctorate in Clinical Psychology. Dr. Burkley is also a nationally certified Parent-Child Interaction Therapy Regional trainer and a certified CARE Trainer. As a nationally rostered Trauma-Focused CBT and Child-Parent Psychotherapy therapist, he regularly treats children of all ages who have been exposed to trauma and those with significant disruptive behaviors. His clinical focus is on young children with disruptive behaviors, trauma, and those involved in the child welfare system. Dr. Burkley excels at “Dad humor” and is always ready with a terrible pun; eye-rolls to said puns are highly encouraged.

Liz Paiml, Ph.D.

Milligan University / PCIT International
Dr. Paiml is a child psychologist, Assistant Professor, and the clinical director of the University of Tennessee Health Science Center Center of Excellence for Children in State Custody. She has worked with the COE since 2017. Her current work focuses on psychological assessment of children in state custody, Parent-Child Interaction Therapy (PCIT), and statewide dissemination of best practices for serving children in state custody. Dr. Paiml is a PCIT Certified Within Agency Trainer and is the director of the UTHSC COE PCIT Clinic.

Presentation Abstract

Parent-Child Interaction Therapy (PCIT) is an evidenced based intervention for young children with both primary and secondary disruptive behavior problems. PCIT has been shown to be highly effective with children who have experienced trauma. This presentation will introduce participants to the basic structure of PCIT and the evidence that supports the technique. Research evidence regarding PCIT as a child maltreatment prevention technique will be explored. The presentation will conclude with a description of dissemination efforts in Tennessee and information on how to appropriately refer clients into PCIT.

Presenter(s)

Naomi Asher

The Maven Consulting
Naomi Asher is a dedicated foster parent, nonprofit leader, trainer and consultant with a passion for empowering families and communities. With over a decade of experience in nonprofit leadership, has led initiatives that significantly increased funding, volunteer engagement, and community outreach. As a certified Parenting with Love and Logic and Trauma-Informed Parenting trainer, she specializes in creating resilient, supportive environments for families in crisis. Naomi is also a strong advocate for understanding poverty’s impact on family dynamics and integrates Bridges Out of Poverty principles in her work. She is a doctoral candidate at Carolina University, researching burnout. Naomi is a speaker and trainer, committed to helping professionals and parents foster resilience and well-being in their communities.

Presentation Abstract

This session will explore how each of the 5 factors factors plays a crucial role in fortifying families, particularly those involved in child welfare services. Drawing from my personal experience as a foster parent, I will share insights on how these factors can be practically applied to support families during both day-to-day challenges and complex times of hardship. Additionally, we will integrate concepts from Bridges Out of Poverty, which provides a framework for understanding economic class differences and the impact of poverty on family dynamics, communication, and parenting. This session will also discuss practical strategies for avoiding burnout and how the protective factors can help mitigate stress and support well-being for both families and workers. This session will incorporate concepts from Parenting with Love and Logic, Trauma-Informed Parenting, and Bridges Out of Poverty, demonstrating how these frameworks can be used to support the development of the Five Protective Factors in families.

Presenter(s)

Rebecca (Becky) Stephens

The HOPE Center
Rebecca (Becky) Stephens is a Child Welfare/ Domestic Violence Liaison with over 8 years of experience in providing support and advocacy for individuals affected by domestic violence, sexual assault and child abuse. Becky is committed to ensuring the safety and well-being of survivors through crisis intervention, resource connection, and education. With extensive training in trauma-informed care and Domestic Violence, Becky works closely with law enforcement, healthcare providers, and social service agencies to create comprehensive safety plans and provide holistic support. Empowering survivors to rebuild their lives, find safety and stability for their families.

Liz White

The HOPE Center
Liz has over 26 years of experience in the social services field. She joined Community Health of East Tennessee (CHET) / Family Services Center in 2017 as a Victim Educator, providing education and support to survivors of domestic violence. In her current role as Child Welfare/Domestic Violence Liaison, Liz collaborates between CHET and the Tennessee Department of Children’s Services, where she previously worked for over 8 years in various capacities. At CHET, Liz has played a crucial role in supporting survivors by providing emergency housing, court advocacy, and other essential services. She currently is using experience from DV programming and Child Welfare work to provide consultations for DCS Professionals and support to survivors with child welfare involvement.

Presentation Abstract

Innovative Prevention Strategies: This presentation explores the innovative prevention strategy for breaking generational trauma and preventing child abuse, through the collaboration of community-based domestic violence service providers and the Department of Children’s Services. It highlights the Child Welfare/ Domestic Violence Liaison Program. Discussing practical applications and case studies to demonstrate the impact of integrated care on family well-being.

Presenter(s)

Kristin Dean, Ph.D

UT Graduate School of Medicine Center of Excellence
Kristin Dean, PhD, ABPP, is a board certified specialist in clinical psychology and an Associate Professor in the Department of Family Medicine at the University of Tennessee Graduate School of Medicine. She is the director of the Center of Excellence for Children in State Custody in Knoxville and an Adjunct Researcher for the RAND Corporation. Dr. Dean is an international trainer in several trauma interventions and she is on the Executive Board of the American Psychological Association’s Division 37 Section on Child Maltreatment.

Michele Moser, Ph.D

UT Graduate School of Medicine Center of Excellence

Presentation Abstract

Childhood trauma is increasingly prevalent, particularly among families involved in the child welfare system, where children present with higher rates of exposure and traumatic stress symptoms (Kolko et al., 2010). Children and youth who have been trauma exposed are at an increased risk to experience another trauma (Turner, Finklehor, & Ormord, 2010), and the cumulative effect of multiple trauma exposures in childhood is associated with multiple, severe adverse consequences (Felliti, 1998; Turner, Ormord, & Finklehor, 2009). Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most effective and well-studied child trauma interventions in existence, with over 20 randomized clinical trials (tfbct.org/resources/research). The model includes a set of PRACTICE skills that not only reduce current symptoms of traumatic stress but also help families reduce risk of future victimization by teaching personal safety skills. However, despite being considered best practices for child trauma, adaptations are necessary to meet the unique needs of children and families (Cohen, Mannarino, & Deblinger, 2017). Seven modified implementation manuals already exist, with others in development. This presentation will review the cutting-edge modifications in TF-CBT to address the unique needs of children and youth in foster care, including those with complex trauma, problematic sexual behaviors, and who have been exposed to parental substance use. We will review the basic components of TF-CBT and the literature supporting its use to treat and reduce risk of future victimization. We will also review strategies for adapting the model to address complex issues faced by many families involved with child welfare.

Presenter(s)

Amy Jenkins, BSW, M.Ed, IECMH-E

Association of Infant Mental Health
Amy Jenkins, BSW, M.Ed, IECMH-E®, is the Director of Learning and Development for the Association of Infant Mental Health in Tennessee. Amy has been at AIMHiTN since 2022 and provides individual professional development opportunities and reflective supervision in addition to her administrative role. With over 30 years of experience working with children and their families in diverse roles, her work has spanned from providing direct services to developing training and program implementation at both local and state level. Her passion lies in ensuring that all children, families, and professionals have the support and resources they need to reach their full potential. When she’s not working, she enjoys spending time with her husband, kids and grands, or playing with her dogs.

Presentation Abstract

Every family has their own story that makes them unique and special. This session will highlight ways to engage families in using their uniqueness to create learning opportunities for their child in everyday routines and activities. Supporting families to build their capacity through the use of using coaching strategies has proven to have a positive impact on both the child’s development and the family’s daily routines. When professionals use adult learning principles that identify how caregivers learn best, they are investing in a structure that can sustain on-going family and environmental issues and give tools to families that build confidence and competence.

Day 2 — 2:15 p.m. to 3:30 p.m.

Presenter(s)

Stephanie Etheridge

AOC
Stephanie Etheridge is the Juvenile Court Manager and Statewide Judicial Safe Baby Court Coordinator with the Tennessee Administrative Office of the Courts.

Sammi Maifair

DCS
Sammi Maifair is the Deputy General Counsel and Statewide DCS Safe Baby Court Coordinator with the Tennessee Department of Children’s Services.

Elizabeth Setty Reeve

DMHSAS
Elizabeth Setty Reeve is the Director of Juvenile Justice Programs and Statewide DMHSAS Safe Baby Court Coordinator with the Tennessee Department of Mental Health and Substance Abuse Services.

Presentation Abstract

Tennessee’s Safe Baby Court (SBC) program began in 2017 pursuant to legislation passed by the Tennessee General Assembly in 2016. See Tenn. Code Ann. § 37-1-901 et seq. The legislation’s intent was to address critical needs for Tennessee’s youngest and most vulnerable children and their families. The result was an innovative, problem-solving response to Tennessee’s critical needs for child and family programs. Tennessee SBCs seek to reduce the incidence of child abuse, neglect, and endangerment; to minimize the effects of childhood trauma on our youngest children; and to provide stability and a pathway to permanency to parents and families. Tennessee SBCs use a collaborative, multi-disciplinary approach to dependency and neglect cases with the needs of the youngest children (ages zero through three and their siblings) as the touchstone for decisions in the case. Anchored by the juvenile court judge or magistrate, each jurisdiction has a coordinator whose responsibility is to integrate and coordinate system responses to each participating family. The team addresses barriers to permanency, along with any other needs a child and a caregiver might have. Special focus is placed on the mental health of a child who has either been placed in DCS custody or is at risk of being placed into DCS custody.

Presenter(s)

Tori Hardin, LMSW, IMH-E

McNabb Center
Tori Hardin, LMSW, IMH-E serves as the Family Treatment Services Coordinator at the McNabb Center. As an endorsed Infant Mental Health clinician and supervisor, Tori’s work involves treating two generations co-currently with didactic treatment interventions that serve both a mom and her baby. The focus on Infant Mental Health in a Family Treatment setting helps Tori ensure that the smallest humans are kept in mind while the hands caring for them grow bigger, stronger, wiser and kind.

Sarah Bunn, MS, LPC-MHSP

McNabb Center
Sarah Bunn, MS, LPC/MHSP is currently a team lead with McNabb’s Outpatient Family Treatment program. Her passion is serving young children and families as they heal together. When working directly with families, Sarah seeks to strengthen the bond between the child and caregiver as the caregiver grows in their capacity to support the emotional, social, and mental wellbeing of their child. Her work strives to support families grow stronger together as they navigate their unique needs.

Presentation Abstract

Family Centered Treatment in Infant Mental Health: An Integrated Approach presentation explores a comprehensive and multi-faceted approach to supporting families affected by parental substance use through coordinated care and services. It emphasizes a structural and systematic framework that includes on-site childcare, accessible playgrounds, and a “one-stop-shop” model for providers and services. Key treatment modalities, services, and assessments are detailed, focusing on evidence-based practices for the whole family. Integral partnerships with community organizations are outlined as crucial for ensuring collaboration, transparency, and continuous support for families. Through these coordinated efforts, the goal is to provide holistic care that empowers families to heal, thrive, and maintain long-term stability.

Presenter(s)

Richard Epstein, Ph.D, MPH

Northwestern University: Feinburg School of Medicine
Richard is a licensed clinical psychologist and applied health services researcher whose work focuses on improving care for children and families of children who have experienced adversity, have special healthcare needs, or are involved with publicly-funded child welfare and mental health services. Richard holds degrees from Bates College, The University of Chicago and Vanderbilt University.

Michael Cull, Ph.D.

Center for the Helping Professions
Mike started his career as a paramedic and has since built a diverse body of work spanning many different helping systems. He specializes in applying the sciences of safety, quality and implementation to improve organizational reliability and effectiveness. His approach leverages tools like organizational assessment and systems analysis of critical incidents to build team culture and help systems learn and get better. Previously, Mike served as Deputy Commissioner of Child Health for Tennessee’s Department of Children’s Services and has held various administrative and academic positions at Vanderbilt University Medical Center, the University of Chicago’s Chapin Hall, and the University of Kentucky’s College of Public Health. Mike holds degrees from the University of Tennessee, Vanderbilt University and Tennessee State University’s Institute of Government.

Presentation Abstract

Child welfare organizations traditionally approach maltreatment prevention through individual-level interventions targeting caregivers and youth. However, emerging evidence suggests that organizational factors, particularly mindful organizing practices, play a crucial role in preventing adverse outcomes. Mindful organizing—defined as a team’s collective capability to detect, communicate about, and respond to potential safety threats—creates the conditions for reliable performance in high-risk settings. Drawing from rigorous research, we demonstrate significant associations between increased mindful organizing on teams and decreased maltreatment events and placement disruptions, while as well as connections between increased mindful organizing  and increased parent-child visits. These findings suggest that building reliable, mindful teams creates protective organizational conditions that help prevent maltreatment and preserve family connections. We will explore practical strategies for implementing mindful organizing practices at the team level, demonstrating how this approach aligns with and reinforces the protective factors framework—particularly concrete support in times of need and social connections. Participants will learn specific techniques for creating reliable systems that anticipate and prevent potential safety challenges before they occur, with a focus on practical applications for strengthening family preservation efforts. This session will provide concrete tools for building team reliability, including strategies for enhancing collective awareness, supporting psychological safety, and developing team-based prevention capabilities.

Presenter(s)

John Paul Abner, Ph.D

Milligan University / PCIT International
John-Paul Abner graduated from the University of Florida with a Ph.D. in Clinical Psychology (Child and Adolescent emphasis) in 1996. A professor in psychology at Milligan College, he is one of 21 people in the world who has been designated as a Parent Child Interaction Therapy (PCIT) Global Trainer by PCIT International. He has conducted research on the application of PCIT to children with autism spectrum disorders. He is the Director of PCIT Training for the East Tennessee State University Center of Excellence for Children in State Custody where he helps coordinate a statewide PCIT dissemination effort to help children in the foster care system. He is passionate about PCIT and CARE and this often comes out at relatively high speed and volume. He favors a highly interactive style of presentation which often feature storytelling, games, unintentional physical humor, pirate yarrghs, and prizes of minimal value.

Presentation Abstract

Research has shown that children and adolescents are experiencing despair and hopelessness at an unprecedented rate. Rates of children and adolescent depression and anxiety have significantly increased over the last two decades. This playful and active workshop seeks to help professionals who work with children to access the well-researched power of play to increase both cognitive and emotional health of children and adolescents. The use of play to increase attachment and reduce risk for child maltreatment will be discussed.

Presenter(s)

Kristin Dean, Ph.D

UT Graduate School of Medicine Center of Excellence
Kristin Dean, PhD, ABPP, is a board certified specialist in clinical psychology and an Associate Professor in the Department of Family Medicine at the University of Tennessee Graduate School of Medicine. She is the director of the Center of Excellence for Children in State Custody in Knoxville and an Adjunct Researcher for the RAND Corporation. Dr. Dean is an international trainer in several trauma interventions and she is on the Executive Board of the American Psychological Association’s Division 37 Section on Child Maltreatment.

Michele Moser, Ph.D

UT Graduate School of Medicine Center of Excellence

Presentation Abstract

Child physical abuse is one of the most common reasons children are removed from their families, yet few interventions work directly with parents to change their behavior. The focus of this session is to increase participant understanding and skills in enhancing parental empathy to prevent child physical abuse and coercive parenting practices. We will review the Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT) model that utilizes, among other strategies, caregiver engagement and empathy to enhance motivation to improve parenting skills and reduce the risk of violence against their children. We will review the literature on the importance of child and caregiver involvement in treatment, including in instances where the caregiver engages in physical abuse, and the relationship between empathy and the perpetration of violence and aggression. Participants will see role play examples of interview strategies to help caregivers see the connection between their actions and their child’s feelings, in part through validating the parent ‘s emotional experience and exploring their own history. Following a discussion of techniques, attendees will practice engagement strategies and participate in a discussion of the challenges and successes. Finally, we will discuss how the ability to engage caregivers and build empathy is an important skill when working with all families, particularly those who feel overwhelmed or have experienced their own trauma. The session is relevant to clinicians working with families, is based on evidence-based practice, and will enhance therapeutic intervention skills for families that face significant challenges.

Presenter(s)

Kendra Cook, LPC/MHSP

Frontier Health
Kendra Cook is a Licensed Professional Counselor with Frontier Health who has extensive experience working with children and families. She holds a Master of Business Administration (MBA) from Western Governors University and a Master of Science in Clinical Psychology from Morehead State University. She is Certified as a PCIT Within Agency Trainer by PCIT International and received endorsement from AIMHiTN for Culturally Sensitive, Relationship-Focused Practice Promoting Infant and Early Childhood Mental Health. She has a strong background in evidence-based interventions and is passionate about ensuring access to high-quality mental health services to those in her community.

Presentation Abstract

Child maltreatment remains a pressing issue with far-reaching consequences. Recognizing both risk and protective factors is essential for effective prevention. This presentation will delve into a comprehensive approach to child abuse prevention, focusing on evidence-based practices that engage parents in the Five Protective Factors. We will discuss how Nurturing Parenting, wraparound services, respite services and other services can be integrated to address risk factors and foster resilient families. By sharing our agency’s experiences, challenges, and successes, we will emphasize the importance of a collaborative approach that prioritizes mental health support within a comprehensive system of care.

Presenter(s)

Tracy Cochrum, MS

UT SWORPS
Tracy Cochrum is the FFPSA Statewide Prevention Director with UT SWORPS. Ms. Cochrum has 25 years of experience in the field of child welfare, She began her career as a direct service professional and continued in various areas to include supervision and continuous quality improvement which included work in accreditation, Child and Family Service Reviews and coaching direct service professionals on principles of best practice.

Kristina Casterline, MS, IMH-E

UT SWORPS

Kristen Bohannon, MSW

UT SWORPS

Edna Black, LMSW, IMH-E

UT SWORPS

Caitlin Bowers, MSSW

UT SWORPS

Jill Murphy, M.Ed

UT SWORPS

Presentation Abstract

When families touch the child welfare system, how do we support them in developing strengths and building resilience?  In this presentation, we will discuss strategies being utilized to redefine prevention by combining innovation and expertise to strengthen families and prevent unnecessary foster care placement.