{"id":635,"date":"2018-08-24T10:38:25","date_gmt":"2018-08-24T14:38:25","guid":{"rendered":"https:\/\/sites.bu.edu\/shield\/?p=635"},"modified":"2019-04-10T12:15:36","modified_gmt":"2019-04-10T16:15:36","slug":"august-24-2018","status":"publish","type":"post","link":"https:\/\/sites.bu.edu\/shield\/2018\/08\/24\/august-24-2018\/","title":{"rendered":"School Health Services Update: August 24, 2018"},"content":{"rendered":"<p><strong>Dear Colleagues,<\/strong><\/p>\n<p>Welcome to the beginning of a new school year!\u00a0 Like the children and adolescents we serve, I hope you have come back refreshed, renewed and excited for the many opportunities to improve the health and safety of our students!\u00a0 There is much happening across the state\u2026.the email below is filled with important updates, new guidance, valuable resources and available continuing professional development programs for all School Health personnel!\u00a0 (There are also\u00a0 five attachments included with this email.)\u00a0 Please be sure to forward this to your colleagues in your school building, in your district and in your community!<\/p>\n<p>A reminder to mark your calendar for the <u>f<a href=\"https:\/\/www.bucme.org\/node\/1078\" target=\"_blank\" rel=\"noopener\">irst statewide meeting for all School Nurse Managers to be held on Wednesday, September 12<sup>th<\/sup>,<\/a> at our new location in Westborough.\u00a0 <a href=\"https:\/\/www.bucme.org\/node\/1088\" target=\"_blank\" rel=\"noopener\">An School Nurse Leadership orientation program<\/a> for all nurses new to their role in a leadership capacity is scheduled for Friday, September 21<sup>st<\/sup><\/u>.\u00a0 Registration for both of these programs is available soon on the <a href=\"https:\/\/www.bucme.org\/node\/1045\" target=\"_blank\" rel=\"noopener\">SHIELD website<\/a> and open to all school nurses in leadership roles.<\/p>\n<p>Our best wishes for a wonderful and productive school year!<\/p>\n<p><em>Mary Ann, Janet and Alison<\/em><br \/>\n<em>MDPH School Health Team<\/em><\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>SCHOOL NURSES IN THE NEWS:<\/u><\/em><\/strong><\/span><\/p>\n<p>Congratulations to <strong>Brenna Quinn, PhD, RN, NCSN, CNE<\/strong>,\u00a0 and her co-authors, Jean C. Solodiuk, PhD, RN, Dominick Morrill, MPH, and Sangeeta Mauskar, MD, MPH for their publication in the <a href=\"https:\/\/journals.lww.com\/ajnonline\/Fulltext\/2018\/08000\/CE___Original_Research_Pain_in_Nonverbal_Children.26.aspx\" target=\"_blank\" rel=\"noopener\">American Journal of Nursing (AJN), August 2018, on their research related to, <em>Pain in Nonverbal Children with Medical Complexity: A Two Year Retrospective Study<\/em>.<\/a>\u00a0 The findings reveal the importance of including childhood ailments as potential pain sources.\u00a0 Brenna has worked as a school nurse and is currently an assistant professor at the Solomont School of Nursing, University of Massachusetts Lowell. Jean C. Solodiuk is the clinical manager and Dominick Morrill is a project manager in the Pain Treatment Service, Department of Anesthesia, at Boston Children\u2019s Hospital. Sangeeta Mauskar is director of the Complex Care Service Inpatient Program at Boston Children\u2019s Hospital.\u00a0\u00a0 Brenna continues to work with school nurses to improve pain assessment skills of non-verbal students.\u00a0 She also serves on the National Board for the Certification of School Nurses, representing school nurses in Massachusetts!<\/p>\n<p><strong>\u00a0<\/strong><strong>Shanyn Toulouse,<\/strong> <strong>MEd, BSN, RN, NCSN,<\/strong> Northeast Regional Consultant and a Children&#8217;s Vision Massachusetts (CVMA) attended the 2018 Focus on Eye Health National Summit.\u00a0 Prevent Blindness held its 13th\u00a0annual &#8220;Eyes on Capitol Hill&#8221; program on Tuesday, July 17, 2018, in Washington, D.C.\u00a0Members of CVMA and Prevent Blindness met with congressional and senate members and their staff to relate their personal stories and experience in vision and eye health, discuss the prevalence and prevention of vision conditions, and the impact of unnecessary vision loss in Massachusetts.<\/p>\n<p><strong><em><u><img loading=\"lazy\" src=\"\/shield\/files\/2018\/08\/pic-posted-8-24-18.jpg\" alt=\"\" width=\"357\" height=\"259\" class=\"alignnone size-full wp-image-637\" \/><br \/>\n<\/u><\/em><\/strong>From right: Gayathri Srinivasan, OD,\u00a0NECO; Clifford Scott, Past President, NECO;\u00a0Paulette Tattersall, Director, Co-Chair of CVMA, and\u00a0Priscilla Kelangi, Mgr of Comm and Dev.,\u00a0Prevent Blindness NE; Stacy Lyons, OD, NECO;\u00a0Shanyn Toulouse, RN, NE School Nurse Consultant, Haverhill Public Schools;\u00a0Marcia Feist-Moore, Educator; Bruce Moore, OD, Emeritus Professor, NECO, Co-Chair of CVMA; and Jack Huang, Volunteer.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>DESE REQUIREMENTS FOR NEW SCHOOL NURSE LICENSURE:<\/u><\/em><\/strong><\/span><\/p>\n<p>The below information will be posted in ELAR and the License Requirements Tool on the DESE website with relation to the orientation requirement for licensure as a School Nurse in Massachusetts:<\/p>\n<p>If you complete the school nurse orientation program through the Boston University School Health Institute for Education and Leadership Development (SHIELD) prior to 7\/1\/18, please submit a copy of your certificate of completion for each one of the three following mandated trainings:<\/p>\n<ul>\n<li>Foundations of School Nursing Practice;<\/li>\n<li>Medication Administration in a School Setting: School Nursing Practice in Massachusetts; and<\/li>\n<li>Mandated Screening Training.<\/li>\n<\/ul>\n<p>Individuals completing the school nurse orientation program on or after 7\/1\/18 will need to submit copies of the above noted certificates of completion and a copy of your certificate of completion for the SBIRT in Schools mandated training. Information regarding the orientation program mandated trainings may be found <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__bucme.org_node_1065&amp;d=DwMFAg&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=m6qulQcvBXss_DXOq8K7DUbLEsKc5qbfKFA4hnlFq42bFmpC0Tjz61pAZwhAysl3&amp;m=4rvuaCtu50g7YD7pjRSc6Miugt_wVIAEUdO8boTfJUw&amp;s=L79FrrtYb9IdS0DlzYSRlpmfB-RJQai36lhg3eKEtuY&amp;e=\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n<ul>\n<li>Foundations of School Nursing Practice;<\/li>\n<li>Medication Administration in a School Setting: School Nursing Practice in Massachusetts; and<\/li>\n<li>Mandated Screening Training<\/li>\n<li>SBIRT in Schools mandated training<\/li>\n<\/ul>\n<p><strong>OR <\/strong><\/p>\n<p>Northeastern University no longer offers the school nurse orientation program. However, if you completed the school nurse orientation program through Northeastern University on or after 7\/1\/12, please submit a copy of your certificate of completion for each one of the following three trainings: Introduction to School Nursing in Massachusetts, or Professional School Nursing Practice in Massachusetts; Medication Administration and Delegation in MA Schools; and Mandated Screening Training for School Nurses, or Mandated Screenings Competency Check for School Nurses. If you completed the school nurse orientation program through Northeastern University prior to 7\/1\/12, please submit a copy of your certificate of completion for either Introduction to School Nursing in Massachusetts or Professional School Nursing Practice in Massachusetts verifying the completion date. Information regarding obtaining a certificate of completion from the Northeastern University School Health Institute may be found <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__www.neushi.org_howtousethissite.html&amp;d=DwMFAg&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=m6qulQcvBXss_DXOq8K7DUbLEsKc5qbfKFA4hnlFq42bFmpC0Tjz61pAZwhAysl3&amp;m=4rvuaCtu50g7YD7pjRSc6Miugt_wVIAEUdO8boTfJUw&amp;s=0a-JEXBhbfhI1w2GQqYIr4nhx51xrncNDHLx-O61Fj4&amp;e=\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n<p>Please note that documents may be uploaded into your ELAR account or mailed to the Office of Educator Licensure. Information regarding the uploading and mailing of documents may be found <a href=\"http:\/\/www.doe.mass.edu\/licensure\/elar\/upload-documents.html\" target=\"_blank\" rel=\"noopener\">here<\/a>.\u00a0 Basically, this means the following and how candidates will be transitioned:<\/p>\n<ul>\n<li>If a candidate applied prior to 7\/1\/18 and completed the BU training\/orientation prior to 7\/1\/18, have satisfied the orientation requirement.<\/li>\n<li>If they applied after July 1, 2018 but they had completed all of the BU orientation prior to the SBIRT section implemented on 7\/1\/18, they have satisfied the orientation requirement.<\/li>\n<li>If they apply on\/after 7\/1\/18 and have not completed all of the orientation by 7\/1\/18, now need to complete SBIRT section of orientation in order to satisfy the requirement.<br \/>\n<hr \/>\n<\/li>\n<\/ul>\n<p><span style=\"color: #800000;\"><strong><em><u><a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__mass.us14.list-2Dmanage.com_track_click-3Fu-3Dd8f37d1a90dacd97f207f0b4a-26id-3Dc4217ed59b-26e-3D8927f38faa&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7Tk-1nQHWXOwjhZQ3WmI8knhMS_oyy1x2oc2-vTW5vo&amp;s=Ch3anL9cw04JGL-HMpG1jKzzD5pRGe0Hn5OqOb45maw&amp;e=\" style=\"color: #800000;\" target=\"_blank\" rel=\"noopener\">AED IN SCHOOLS GUIDANCE<\/a>:<\/u><\/em><\/strong><\/span><\/p>\n<p>The Department of Elementary and Secondary Education\u00a0 (DESE) recently released <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__mass.us14.list-2Dmanage.com_track_click-3Fu-3Dd8f37d1a90dacd97f207f0b4a-26id-3Dc4217ed59b-26e-3D8927f38faa&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7Tk-1nQHWXOwjhZQ3WmI8knhMS_oyy1x2oc2-vTW5vo&amp;s=Ch3anL9cw04JGL-HMpG1jKzzD5pRGe0Hn5OqOb45maw&amp;e=\" target=\"_blank\" rel=\"noopener\">AED in Schools Guidance<\/a>, related to <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__mass.us14.list-2Dmanage.com_track_click-3Fu-3Dd8f37d1a90dacd97f207f0b4a-26id-3D99cd7cf504-26e-3D8927f38faa&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7Tk-1nQHWXOwjhZQ3WmI8knhMS_oyy1x2oc2-vTW5vo&amp;s=sglegM00hUy-rHtAfSyeauojqXoQqZPiOO-n3rLeVpw&amp;e=\">An Act Requiring Automated External Defibrillators (AEDs) in Schools<\/a>. This law takes effect <strong>July 1, 2018<\/strong> and requires that each school district, vocational district, charter school, approved private day or residential school, and collaborative school shall provide and maintain at least one AED on site at each school facility.\u00a0These guidelines can also be found on the <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__mass.us14.list-2Dmanage.com_track_click-3Fu-3Dd8f37d1a90dacd97f207f0b4a-26id-3D3ab036e402-26e-3D8927f38faa&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7Tk-1nQHWXOwjhZQ3WmI8knhMS_oyy1x2oc2-vTW5vo&amp;s=aJ4bXY4alKVekQ8QsItKf8v77qSOG2tKcD4JDvbYi0s&amp;e=\" target=\"_blank\" rel=\"noopener\">Emergency Management Planning for Schools<\/a> webpage.<\/p>\n<p>Additionally, please note that updated Medical Emergency Response Plans are required to be submitted by <strong>Sept. 1, 2018 <\/strong>via the MERP DropBox. <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__mass.us14.list-2Dmanage.com_track_click-3Fu-3Dd8f37d1a90dacd97f207f0b4a-26id-3De171c60b5c-26e-3D8927f38faa&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7Tk-1nQHWXOwjhZQ3WmI8knhMS_oyy1x2oc2-vTW5vo&amp;s=vrgYoXJXUGe-ebm8f0_8o0h_9v3hgo-c4Onz3QEPgNY&amp;e=\" target=\"_blank\" rel=\"noopener\">A model plan<\/a> <em>(download)<\/em> and submission information are on the <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__mass.us14.list-2Dmanage.com_track_click-3Fu-3Dd8f37d1a90dacd97f207f0b4a-26id-3Dfb10f409b1-26e-3D8927f38faa&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7Tk-1nQHWXOwjhZQ3WmI8knhMS_oyy1x2oc2-vTW5vo&amp;s=9ZHZMDEM2TWoP6KhJPR8J2KMfQ2m-Z79mesimN3hNY0&amp;e=\" target=\"_blank\" rel=\"noopener\">Medical Emergency Response Plans<\/a> webpage.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>FROM THE BUREAU OF INFECTIOUS DISEASES &#8211; RELIGIOUS EXEMPTIONS BEST PRACTICES<\/u><\/em><\/strong>:<\/span><\/p>\n<p>We\u2019ve heard about different ways that schools districts and nurses are planning to implement the new requirement in the fall for all religious exemptions for immunizations to be renewed annually.\u00a0 While policies around enforcement of exclusion for unimmunized or partially immunized children are developed by individual schools\/school districts, we\u2019d like to share some best practices to consider when requesting annual renewal of religious exemptions.<\/p>\n<p>We do not recommend a form be used for religious exemptions, rather that parents or guardians state in writing that a vaccine or vaccines are against their sincerely religious belief.\u00a0 For obtaining annual renewal of these statements of religious exemptions, we\u2019d suggest a targeted approach of reaching out to families of students with an exemption currently on file to request an updated statement. This is generally a small number of families\u2014the state average is 1.4% of kindergarten students with an exemption.<\/p>\n<p>Please share this information with your school administrators.\u00a0 For more information on school immunizations, including our school immunization data, school requirements, and other resources, please visit our <a href=\"https:\/\/www.mass.gov\/service-details\/school-immunizations\" target=\"_blank\" rel=\"noopener\">School Immunizations website<\/a> and <a href=\"https:\/\/www.mass.gov\/service-details\/school-immunization-information-for-school-nurses\" target=\"_blank\" rel=\"noopener\">School Immunization Information for School Nurses website<\/a>.\u00a0\u00a0 If you have questions or wish to share feedback on your experience with annual exemption renewals, please contact that Immunization Program\u2019s Assessment Unit at 617-983-4330.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>A REMINDER:\u00a0 ONLINE CONCUSSION TRAINING VIDEOS:<br \/>\n<\/u><\/em><\/strong><\/span>DPH has worked with BU School of Public Health and SHIELD to develop another free online training program on concussion management and return to play and school.\u00a0 This training is 90 minutes long. Here is a direct link to the course:\u00a0 <a href=\"http:\/\/www.nephtc.org\/enrol\/index.php?id=36\" target=\"_blank\" rel=\"noopener\">http:\/\/www.nephtc.org\/enrol\/index.php?id=36<\/a><\/p>\n<p>You need to set up a one-time username and password to access the course.\u00a0 A flyer about the course is <a href=\"\/shield\/files\/2018\/08\/SHIELD-CONCUSSION-TRAINING-FLYER-060718.pdf\" target=\"_blank\" rel=\"noopener\">attached<\/a>\u00a0so feel free to distribute wide and far.<\/p>\n<p>Also just as a reminder we have another free online training on our website that we developed in partnership with Brain Injury Association and Mass. Medical Society and this can be accessed at:<\/p>\n<p><a href=\"http:\/\/www.massmed.org\/ConcussionTreatmentManagementandPrevention\/#.WxlORTQvyM8\" target=\"_blank\" rel=\"noopener\">http:\/\/www.massmed.org\/ConcussionTreatmentManagementandPrevention\/#.WxlORTQvyM8<\/a><\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>NEW MDPH STATEWIDE PUBLIC INFORMATION CAMPAIGN ON VAPING:<\/u><\/em><\/strong><\/span><\/p>\n<p>On July 11, DPH launched a statewide public information campaign to educate parents of middle and high school aged children on the dangers of vape pens and e-cigarettes. The campaign, <em>The New Look of Nicotine Addiction<\/em>, seeks to spread the word that these high-tech products are not harmless \u2013 they contain nicotine which can damage a teenager\u2019s developing brain, and lead to addiction. The campaign\u2019s online destination is <a href=\"http:\/\/www.GetOutraged.org\" target=\"_blank\" rel=\"noopener\">www.GetOutraged.org<\/a>.\u00a0 The site has general facts and information about vaping products as well as specific sections for parents and schools\/community based organizations.\u00a0 The schools\/organization section will be populated with a toolkit and additional resources in August.\u00a0 Campaign ads will be featured in online and social media channels.\u00a0 Billboards and transit ads (buses and transit stations) will follow in August.\u00a0 Collateral materials include a poster (English\/Spanish), a flyer (English\/Spanish), Frequently Asked Questions, and a tip sheet for parents on how to talk with their kids about vaping.\u00a0 These materials are available for download or ordering on the <a href=\"https:\/\/massclearinghouse.ehs.state.ma.us\/mm5\/merchant.mvc?Screen=SRCH\" target=\"_blank\" rel=\"noopener\">Massachusetts Health Promotion Clearinghouse website<\/a>.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>MDPH LOCAL PUBLIC HEALTH UPDATE:<\/u><\/em><\/strong><\/span><\/p>\n<p>Please see the <a href=\"\/shield\/files\/2018\/08\/LPH-Update-June.July-2018-1.pdf\" target=\"_blank\" rel=\"noopener\">attached<\/a>\u00a0newsletter with news and information from the Office of Local and Regional Health at the MDPH.\u00a0 Some of this information is of importance to school nurses!<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>UPDATES ON SBIRT TRAININGS (Also see <a href=\"\/shield\/files\/2018\/08\/FY-19-SBIRT-course-descriptions-8-18.pdf\" target=\"_blank\" rel=\"noopener\">attached<\/a>\u00a0information):<\/u><\/em><\/strong><\/span><\/p>\n<p><strong><em><u>Introduction to Verbal Substance Use Screening <\/u><\/em><\/strong><\/p>\n<p>This 6 hour <a href=\"https:\/\/www.bucme.org\/node\/1069\" target=\"_blank\" rel=\"noopener\">workshop<\/a> provides information on conducting verbal substance use screenings according Massachusetts law and approved practice standards. Learners will be introduced to the Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Schools program. This training is required for school nurses seeking DESE license and for all other school health personnel who will be involved in the screening process.\u00a0 This workshop is for school professionals who have not yet attended an <em>Introduction to SBIRT Workshop<\/em>. There is no \u201cTrain the Trainer\u201d model for SBIRT in Schools and all those participating in SBIRT screening should attend.<\/p>\n<p>The training includes:<\/p>\n<ul>\n<li>An administrative overview of the SBIRT mandated screening program,<\/li>\n<li>An introduction to the CRAFFT II screening tool and instructions on how to use the tool,<\/li>\n<li>Motivational Interviewing skills to use immediately by the screener while discussing verbal screening results with students.<\/li>\n<\/ul>\n<p><strong><em><u>Mastering SBIRT <\/u><\/em><\/strong><\/p>\n<p><a href=\"https:\/\/www.bucme.org\/node\/1090\" target=\"_blank\" rel=\"noopener\"><em>Mastering SBIRT Workshop<\/em><\/a> is a newly developed 3 hour long skills training to increase confidence and skills in responding to the CRAFFT-II screening results using Motivational Interviewing (MI) techniques.\u00a0 The training includes discussion and practice of the REACT model for healthy reinforcement of healthy decisions (negative CRAFFT screening) and the Brief Negotiated Interview model to be used for discussion with those students who screen positive for substance use. Discussion about referral, consent and confidentiality as well as a closer look about how to talk to teens about substances will be included.\u00a0 NOTE: this training DOES NOT replace the requirement for all school health personnel involved in SBIRT screening to attend the required SBIRT in Schools Training:\u00a0 Introduction to Verbal Substance Use Screening Using the CRAFFT-II training.<\/p>\n<p>We are looking for Districts who would like to host the Mastering SBIRT Training Workshops.\u00a0 Our goal is to offer this new workshop twice in each region throughout the school year.\u00a0 Up to 3 classroom-like spaces needed for up to 25 participants per space should be available to host training in a school or other building in your district. If you are interested, please contact Wanda Visnick, MDPH SBIRT in Schools Coordinator as soon as possible.\u00a0 <a href=\"mailto:wanda.visnick@state.ma.us\" target=\"_blank\" rel=\"noopener\">wanda.visnick@state.ma.us<\/a><\/p>\n<ul>\n<li>School Health Resources and Training opportunities, including SBIRT are available and will be posted on the SHIELD website.\u00a0 <a href=\"http:\/\/www.shield-bu.org\">www.shield-bu.org<\/a><\/li>\n<li>Links to MGL, SBIRT materials, resources and the <em>MDPH Data Collection Tool<\/em> can be found on the MASBIRT website.\u00a0\u00a0\u00a0\u00a0 <a href=\"http:\/\/www.masbirt.org\/schools\" target=\"_blank\" rel=\"noopener\">www.masbirt.org\/schools<\/a><\/li>\n<\/ul>\n<p><strong>All SBIRT materials will be updated over the Summer. \u00a0Be sure to update your resources from in the Fall!<\/strong><\/p>\n<hr \/>\n<p><strong><em><u><span style=\"color: #800000;\">UPDATES FROM THE OFFICE OF SCHOOL-BASED MEDICAID PROGRAM<\/span> <\/u><\/em><\/strong><\/p>\n<p>The Office of Medicaid is implementing changes in the Direct Service Claiming (DSC) Program and the Administrative Activity Claiming (AAC) Program effective July 1, 2019. Details regarding the program changes, including the addition of newly reimbursable services and provider types, were described in the MassHealth School-Based Medicaid Bulletin 31 in May 2018. (Found here: <a href=\"https:\/\/www.mass.gov\/files\/documents\/2018\/05\/23\/sbm_31_1.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mass.gov\/files\/documents\/2018\/05\/23\/sbm_31_1.pdf<\/a> )<\/p>\n<p>MassHealth made several changes to the contract, including the following:<\/p>\n<ul>\n<li>Adding newly covered services and newly covered provider types<\/li>\n<li>Clarifying LEAs are responsible for ensuring that direct service RMTS staff meet all qualifications for reimbursement under the program<\/li>\n<li>Clarifying interim billing requirements<\/li>\n<li>Clarifying provider reporting requirements<\/li>\n<li>Updating the privacy section and Appendix A<\/li>\n<li>Additional technical edits and corrections<\/li>\n<\/ul>\n<p>In order to allow for timely processing, lease return the original executed agreements by February 28, 2019. Additional guidance and a variety of trainings will be available for LEAs throughout the implementation process. For additional information or clarification on the contract or trainings, please email UMMS at <a href=\"mailto:SchoolBasedClaiming@umassmed.edu\" target=\"_blank\" rel=\"noopener\">SchoolBasedClaiming@umassmed.edu<\/a> or call 1-508-856-7640.\u00a0 Please see the <a href=\"\/shield\/files\/2018\/08\/School-Based-Medicaid-Program-Save-the-Dates-Sept-2018-1.pdf\" target=\"_blank\" rel=\"noopener\">attached <\/a>flier with information for upcoming training programs!!<\/p>\n<hr \/>\n<p><strong><em><u><span style=\"color: #800000;\">FREE LECTURE ON MANAGING CONCUSSIONS IN SCHOOLS FOR HEALTHCARE PROVIDERS:<\/span><br \/>\n<\/u><\/em><\/strong>The Mass Concussion Management Coalition is sponsoring a FREE lecture for healthcare providers (RNs, MDs, PAs, NPs) at St. Luke\u2019s Hospital in New Bedford on September 13<sup>th<\/sup> from 5 -8PM.\u00a0\u00a0 Southcoast is an approved provider for nursing continuing education credits and the lecture has been approved for 2.25 &#8211; see attached <a href=\"https:\/\/www.massconcussion.org\/conferences\" target=\"_blank\" rel=\"noopener\">flyer<\/a>.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>FREE RESOURCES FOR PARENTS AND OTHERS FOR SUPPORT OF CHILDREN STRUGGLING WITH SUBSTANCE USE:<\/u><\/em><\/strong><\/span><br \/>\nBoston Medical Center\u2019s (BMC) Grayken Center for Addiction has a new collaboration with the Partnership for Drug-Free Kids that will provide critical support for parents across the state who have a child struggling with substance use. Through this new partnership, the following free resources are available to anyone in Massachusetts who is concerned about their child or young adult:<\/p>\n<ul>\n<li>A dedicated phone and text helpline \u2013 call 844-319-5999 or text HOPEMA to 55753 \u2013 answered by a trained specialist who will listen to parents\u2019 challenges and connect them to appropriate resources.<\/li>\n<li>A website portal \u2013 <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__graykenaddictionsupport.org&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=IFt1XmHjKYht8N28uOXk8NhzyFyTYcg00YtdTzATGvE&amp;s=Umn3Vbx0WhbYeygHzgJ7lPB2SZS2YMZJYOJpyX_afD4&amp;e=\" target=\"_blank\" rel=\"noopener\">https:\/\/graykenaddictionsupport.org<\/a> \u2013 with details on resources and tools for Massachusetts families.<\/li>\n<li>Access to trained parent coaches who have had personal experience dealing with a child with a substance use disorder.<br \/>\n<hr \/>\n<\/li>\n<\/ul>\n<p><span style=\"color: #800000;\"><strong><em><u>NEW ONLINE COURSE! UNDERSTANDING ADOLESCENT MARIJUANA USE:<\/u><\/em><\/strong><\/span><\/p>\n<p><strong>Find answers to your questions about adolescent marijuana use<\/strong><\/p>\n<p><strong>Who?<\/strong><br \/>\nA collaboration between IRETA and the <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__ireta.us13.list-2Dmanage.com_track_click-3Fu-3Dc1556d53cb6851e79ba7c9ed6-26id-3D9575921a89-26e-3D53987005bb&amp;d=DwMGaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=DMQGOmSvGJTCIF-YL7wPBLGTMlNVC2eYJRlavAd_pdM&amp;s=HSjDIaGRJAZurBG6Qd0IKtBzIxU5UfOUGMQ5dcC_0q4&amp;e=\" target=\"_blank\" rel=\"noopener\">National Institute\u00a0on Drug Abuse<\/a> (NIDA).<br \/>\n<strong>What?<\/strong><br \/>\nAn online course exploring why some adolescents use marijuana <em>and <\/em>how to\u00a0converse with\u00a0youth about substance use and referral to treatment.<br \/>\n<strong>Why?<\/strong><br \/>\nAn hour\u00a0of informative content for free, and you can start and stop whenever you want. PCD and NAADAC CEUs are available.<br \/>\n<strong>Where? <\/strong><br \/>\nOnline now at\u00a0<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__ireta.us13.list-2Dmanage.com_track_click-3Fu-3Dc1556d53cb6851e79ba7c9ed6-26id-3D8f85e7fdf3-26e-3D53987005bb&amp;d=DwMGaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=DMQGOmSvGJTCIF-YL7wPBLGTMlNVC2eYJRlavAd_pdM&amp;s=xwM4L5QErBz6smR5It1oVJNvdaQJXhW0j_p8q9E9-l0&amp;e=\" target=\"_blank\" rel=\"noopener\">ireta.org<\/a>.<br \/>\n<strong>How? <\/strong><br \/>\n<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__ireta.us13.list-2Dmanage.com_track_click-3Fu-3Dc1556d53cb6851e79ba7c9ed6-26id-3D7eb8507827-26e-3D53987005bb&amp;d=DwMGaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=DMQGOmSvGJTCIF-YL7wPBLGTMlNVC2eYJRlavAd_pdM&amp;s=7OzrvgNdOXFcA_vdWwxYJq8nnK8nYKZ54SuftiPi-ec&amp;e=\" target=\"_blank\" rel=\"noopener\">Click here!<\/a>\u00a0After a quick registration, you can get started immediately.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>SAVE THE DATE(S):\u00a0 FREE SUBSTANCE USE PREVENTION CURRICULUM TRAINING:<\/u><\/em><\/strong><\/span><\/p>\n<p>Tentative dates for Substance Use Prevention Curriculum training are:<br \/>\nGood Behavior (PAX) Game trainings on Tuesday, October 2nd \u2013 Friday October 5<sup>th<\/sup>; and<br \/>\nLife Skills Training (LST) on October 16-19<sup>th<\/sup><br \/>\nA link to registration will be posted as soon as the dates and locations are finalized.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>SAVE THE DATE: MIAP PEDIATRIC IMMUNIZATION CONFERENCE:<\/u><\/em><\/strong><\/span><\/p>\n<p>23rd Annual MIAP Pediatric Immunization Skills Building Conference<br \/>\nThursday, October 18, 2018<br \/>\n9:00a.m. &#8211; 4:00p.m.<br \/>\nNew Location!<br \/>\nSheraton Hotel\u00a0and Conference Center<br \/>\nFramingham, Massachusetts<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>SAVE THE DATE(S): MASSHEALTH<\/u><\/em><\/strong><\/span><\/p>\n<p>Please see the <a href=\"\/shield\/files\/2018\/08\/School-Based-Medicaid-Program-Save-the-Dates-Sept-2018-1.pdf\">attached<\/a>\u00a0flyer with dates for upcoming informational sessions from MassHealth at the UMass Medical Center Campus in Shrewsbury.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>MASSHEALTH BEHAVIORAL HEALTH SERVICES FOR CHILDREN AND YOUTH:<\/u><\/em><\/strong><\/span><\/p>\n<p>MassHealth and the Children&#8217;s Behavioral Health Initiative are pleased to announce the publication of our informative brochure <em><strong>MassHealth Services for Children and Youth<\/strong><\/em>, that describes home and community-based behavioral health services available to MassHealth enrolled children and youth under the age of 21.You can download or order the brochure on the <a href=\"https:\/\/www.mass.gov\/masshealth-childrens-behavioral-health-initiative\" target=\"_blank\" rel=\"noopener\">CBHI Brochures and Companion Guide<\/a> web page.<\/p>\n<p>Resources for schools can be found here:\u00a0 <a href=\"https:\/\/www.mass.gov\/service-details\/cbhi-for-educators\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mass.gov\/service-details\/cbhi-for-educators<\/a>\u00a0\u00a0 You can also call MassHealth Customer Service at (800) 841-2900 and request a brochure.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>FDA TAKES ADDITIONAL ACTION TO MITIGATE SHORTAGES OF EPIPEN BY EXTENDING EXPIRATION DATE FOR SPECIFIC LOTS OF MEDICATION<\/u><\/em><\/strong><\/span><\/p>\n<p><a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__www.fda.gov_NewsEvents_Newsroom_FDAInBrief_ucm617724.htm&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=LrGlLAfl_UV-3RIpwCgdgL7eAG5aHDDOsEFzbIZZjM8&amp;s=ZIaufT7wIdC5PAj1frlY2sENXXbHSHk_puuQ4Rm3JmM&amp;e=\" target=\"_blank\" rel=\"noopener\">https:\/\/www.fda.gov\/NewsEvents\/Newsroom\/FDAInBrief\/ucm617724.htm<\/a><\/p>\n<p>The U.S. Food and Drug Administration today took additional action to mitigate shortages of EpiPen (epinephrine) auto-injector by extending the expiration date of <a href=\"\/Drugs\/DrugSafety\/DrugShortages\/ucm563360.htm\">specific lots<\/a> of 0.3 milligram products marketed by Mylan by four months beyond the labeled expiration date. This change beyond the approved 20-month shelf life is based on stability data provided by Mylan and reviewed by the FDA. To help ensure patient safety, these products, which already have been dispensed to patients, should have been \u2014 and should continue to be \u2014 stored as labeled.<\/p>\n<p>While product is currently available, multiple factors, including regional supply disruptions and manufacturer issues, have contributed to EpiPen\u2019s limited availability in certain areas in the U.S. The FDA continues to work closely with Mylan on EpiPen production and supply, and also has been in contact with the other manufacturers of epinephrine auto-injectors, including Adrenaclick and Auvi-Q, regarding their supply as the school year begins since this is historically accompanied by increased product demand. The agency also <a href=\"\/NewsEvents\/Newsroom\/PressAnnouncements\/ucm617173.htm\" target=\"_blank\" rel=\"noopener\">recently approved<\/a> the first generic version of EpiPen.\u00a0 Mylan also has established a customer service number, which we have <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__www.accessdata.fda.gov_scripts_drugshortages_dsp-5FActiveIngredientDetails.cfm-3FAI-3DEpinephrine-2520Injection-2C-2520Auto-2DInjector-26st-3Dc-26tab-3Dtabs-2D1&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=LrGlLAfl_UV-3RIpwCgdgL7eAG5aHDDOsEFzbIZZjM8&amp;s=S9HOc6YHpGmkjlYUi1mFwtBMliDC5xZxeAcvS0Qd_IA&amp;e=\" target=\"_blank\" rel=\"noopener\">posted on the FDA&#8217;s website<\/a>, to help pharmacies and patients locate EpiPens if necessary. Information on supply information of other <a href=\"\/downloads\/Drugs\/InformationOnDrugs\/UCM520800.pdf\" target=\"_blank\" rel=\"noopener\">approved epinephrine autoinjector products<\/a> can also be found on the agency\u2019s website.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>FDA APPROVES FIRST DIRECT GENERIC COMPETITOR TO EPIPEN:<\/u><\/em><\/strong><\/span><br \/>\n<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__www.advisory.com_daily-2Dbriefing_2018_08_17_generic-2Depipen-3Fwt.mc-5Fid-3Demail-257cdailybriefing-2Bheadline-257cdba-257cdb-257c2018aug17-257catestdb2018aug17-257c-257c-257c-257c&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7v4mWCGQ_3TfZ3YCcfEGXsPh3qYySt-qN8A6sxqW9ds&amp;s=U-kHc-IGtqoGdF6rwIPzmpg2BHNU0LRiCO9aeh3NvhY&amp;e=\" target=\"_blank\" rel=\"noopener\">https:\/\/www.advisory.com\/daily-briefing\/2018\/08\/17\/generic-epipen?wt.mc_id=email%7cdailybriefing+headline%7cdba%7cdb%7c2018aug17%7catestdb2018aug17%7c%7c%7c%7c<\/a><\/p>\n<p>The <strong>FDA<\/strong> on Thursday <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__www.fda.gov_NewsEvents_Newsroom_PressAnnouncements_ucm617173.htm&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=7v4mWCGQ_3TfZ3YCcfEGXsPh3qYySt-qN8A6sxqW9ds&amp;s=gnStHsYdKk2Z-StQU886IhjNuWYUtPNpXYfT9o8IvWk&amp;e=\" target=\"_blank\" rel=\"noopener\">approved<\/a> a generic version of EpiPen and EpiPen Jr that is not manufactured by <strong>Mylan<\/strong>\u2014two years after Mylan came under fire for raising the devices&#8217; prices. According to the <em>Washington Post<\/em>&#8216;s &#8220;To Your Health,&#8221; the new device &#8220;is the first to be deemed a therapeutic equivalent of the EpiPen, which means that it can be automatically substituted at the pharmacy counter for prescriptions for EpiPen or EpiPen Jr.\u00a0 The FDA said it approved a generic version of EpiPen and EpiPen Jr made by Teva Pharmaceuticals for adults and children who weigh more than 33 pounds. FDA said the generic epinephrine auto-injector &#8220;is intended for immediate administration to patients&#8221; in the same manner as branded EpiPens.<\/p>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>FROM MENTAL HEALTH FIRST AID:\u00a0 I NEED HELP: SAID NO TEEN EVER<\/u><\/em><\/strong><\/span><\/p>\n<p>Many of you are familiar with the statistic that one in five young people in the U.S. lives with a mental health or substance use challenge, yet few reach out for support.\u00a0That\u2019s why it\u2019s so important that everyone knows how to recognize and respond when a young person may be in need.\u00a0 Please share the newest PSA \u201c<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__messaging.thenationalcouncil.org_c_1gaoeSWz8Oe49eTg1x0Wu39QSG&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=8FFpjZ8XqNzu5nWXFxJenLoLn7s_ferX_fuGh237iTE&amp;s=dFMe_i1WSxcxxr9sCyexRoaIbd_drsiAHtQbAzCJUU4&amp;e=\" target=\"_blank\" rel=\"noopener\">Said No Teen Ever<\/a>,\u201d because we know there are signs that tell us when a young person might be suffering, but it\u2019s up to us to know what to say and how to help. Youth Mental Health First Aid teaches adults how to reach out to a young person in need to get them the care they need.\u00a0\u00a0 You can also share these four PSAs to highlight mental health challenges that young people experience every day like\u00a0<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__messaging.thenationalcouncil.org_c_1gaofAPlWygSDSFs82igl1UBSf&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=8FFpjZ8XqNzu5nWXFxJenLoLn7s_ferX_fuGh237iTE&amp;s=L9V-YzibrJEUvJ8yfL-1EVlYl4t6QfGcVgkPJib8wW0&amp;e=\" target=\"_blank\" rel=\"noopener\">anxiety<\/a>, <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__messaging.thenationalcouncil.org_c_1gaogiI8KijH8wrEexzAc0FmRO&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=8FFpjZ8XqNzu5nWXFxJenLoLn7s_ferX_fuGh237iTE&amp;s=Je59T9H-trSU8rguxrdCTLGrnzSPPlk4AcykF7ubEW0&amp;e=\" target=\"_blank\" rel=\"noopener\">depression<\/a>, <a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__messaging.thenationalcouncil.org_c_1gaoh0AVy2mvDadQl2QU2Zq7Rn&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=8FFpjZ8XqNzu5nWXFxJenLoLn7s_ferX_fuGh237iTE&amp;s=KcRBPNNj9ozoyytff_aATyH4aAE1hksHcZUWQP2oTJU&amp;e=\" target=\"_blank\" rel=\"noopener\">eating disorders<\/a> and<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__messaging.thenationalcouncil.org_c_1gaohItIlMpk7O02ry8dTYaSQW&amp;d=DwMFaQ&amp;c=lDF7oMaPKXpkYvev9V-fVahWL0QWnGCCAfCDz1Bns_w&amp;r=L0Fj2F0ZiIJ07XOTB-BIHU_bB7jdbmEhlru41LAzhaY&amp;m=8FFpjZ8XqNzu5nWXFxJenLoLn7s_ferX_fuGh237iTE&amp;s=cG_UlK9gHw_VXf7yRP4y7uhX86djbMu7_SBQ9BHJPas&amp;e=\" target=\"_blank\" rel=\"noopener\"> self-harm<\/a>.<\/p>\n<hr \/>\n<table width=\"0\">\n<tbody>\n<tr>\n<td><span style=\"color: #800000;\"><strong><em><u>ADVANCING EXCELLENCE IN TRANSGENDER HEALTH:\u00a0A CORE COURSE FOR THE WHOLE CARE TEAM:<\/u><\/em><\/strong><\/span><\/p>\n<p>Friday &#8211; Sunday<br \/>\nSeptember 21 &#8211; 23, 2018<br \/>\n<u><a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__r20.rs6.net_tn.jsp-3Ft-3Drsgblf6ab.0.z8jbfy7ab.d8khvajab.1893729142-26r-3D3-26p-3Dhttp-253A-252F-252Fwww.westinbostonwaterfront.com-252F&amp;d=DwMFaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=iToMRYdGcaZbUDgulUyt51ISvAwlw5hE_vSbw5W2bUM&amp;m=_b2MH6_RALys18mTgJXldM5DUGdJbkgoBOm9XhL_aeY&amp;s=v8gEZ3hE9a0_ax4pIZT2eXnW5Vei1m0BDXHp5ZoEBCg&amp;e=\" target=\"_blank\" rel=\"noopener\">Westin Boston Waterfront<\/a><\/u><br \/>\nBoston, Massachusetts<\/p>\n<p><strong><a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__r20.rs6.net_tn.jsp-3Ft-3Drsgblf6ab.0.98jbfy7ab.d8khvajab.1893729142-26r-3D3-26p-3Dhttps-253A-252F-252Fcmeregistration.hms.harvard.edu-252Fevents-252Fadvancing-2Dexcellence-2Din-2Dtransgender-2Dhealth-2Da-2Dcore-2Dcourse-2Dfor-2Dthe-2Dwhole-2Dcare-2Dteam-252Fregistration-2Dcf66895b0acd409dbbb3a7487f4fc0dc.aspx-253FRefID-253Dcmecatalog-2526fqp-253Dtrue&amp;d=DwMFaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=iToMRYdGcaZbUDgulUyt51ISvAwlw5hE_vSbw5W2bUM&amp;m=_b2MH6_RALys18mTgJXldM5DUGdJbkgoBOm9XhL_aeY&amp;s=Mw7le5577002aPaoF15e5h0N96sPGWheQ0Uft9zzGQk&amp;e=\" target=\"_blank\" rel=\"noopener\">Registration Now Open!<\/a><\/strong><\/p>\n<p>This course sold out last year.<br \/>\nTo ensure your spot in the 2018 program, we strongly recommend early registration.<\/p>\n<p>Advancing Excellence in Transgender Health was developed in response to the high volume of queries from clinicians and health care staff seeking to learn about providing high-quality care for adults, adolescents, and children who are questioning their gender identity or who identify as transgender or gender non-binary.<\/p>\n<p>This conference is designed to train the whole health care team in providing competent and confident gender-affirmative health care, grounded in research evidence and best clinical practices. Sessions are led by expert faculty specialized in transgender-focused research and patient care. The conference is appropriate for all members of health care teams, including physicians, behavioral health care providers, physician assistants, nurses, and other staff.<\/p>\n<p>Conference topics will include:<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gender-Affirmative Health Care: Terminology, Demographics, and Epidemiology<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gender Identity Development in Children and Adolescents<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Transgender Adults Community Panel<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Family Systems of Transgender Children<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Diagnosis, Treatment, and Prevention of Sexually Transmitted Infections for Transgender People<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Behavioral Health Assessment and Referrals for Gender-Affirming Surgery<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Primary Medical and Preventative Care Needs of Transgender Clients<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Reproductive Options for Transgender Persons<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gender-Affirming Hormone Therapy<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Behavioral Health Care for Gender Diverse Children and Adolescents<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Transgender Youth Community Panel<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Transgender People and HIV<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PrEP and Transgender Communities: Evidence-Informed Practices<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gender-Affirming Surgeries<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Collecting Sexual Orientation &amp; Gender Identity Data in EHRs<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Transgender and Gender Non-binary People of Color<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Creating a Trans Youth Clinic<br \/>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What Health Care Providers Need to Know about Transgender Legal Issues<\/p>\n<p>In addition to didactic presentations, attendees will learn from panels of transgender community members and have the opportunity to engage in interactive case discussions that highlight medical and behavioral health approaches to gender-affirmative care, led by experienced clinicians specialized in transgender health. \u00a0<u><a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=http-3A__r20.rs6.net_tn.jsp-3Ft-3Drsgblf6ab.0.88jbfy7ab.d8khvajab.1893729142-26r-3D3-26p-3Dhttp-253A-252F-252Fcmeregistration.hms.harvard.edu-252Fevents-252Fadvancing-2Dexcellence-2Din-2Dtransgender-2Dhealth-2Da-2Dcore-2Dcourse-2Dfor-2Dthe-2Dwhole-2Dcare-2Dteam-252Ffees-2Dcf66895b0acd409dbbb3a7487f4fc0dc.aspx-253FRefID-253Dcmecatalog&amp;d=DwMFaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=iToMRYdGcaZbUDgulUyt51ISvAwlw5hE_vSbw5W2bUM&amp;m=_b2MH6_RALys18mTgJXldM5DUGdJbkgoBOm9XhL_aeY&amp;s=4t7CSLbKlna_v5rk1hu_v5BfCtq28jR-tIj4oDuEzAo&amp;e=\" target=\"_blank\" rel=\"noopener\"><strong>Scholarship information is available here<\/strong><\/a><\/u><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong><em><u>REGIONAL CONSULTANT CONTACT INFORMATION (SUMMER HOURS VARY):<\/u><\/em><\/strong><\/span><\/p>\n<table width=\"0\">\n<tbody>\n<tr>\n<td width=\"128\"><strong>EOHHS Region<\/strong><\/td>\n<td width=\"143\"><strong>Name <\/strong><\/td>\n<td width=\"159\"><strong>Office Phone<\/strong><\/td>\n<td width=\"105\"><strong>Cell Phone<\/strong><\/td>\n<td width=\"339\"><strong>Email<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"128\">Central<\/td>\n<td width=\"143\">Kate Maher<\/td>\n<td width=\"159\">978-567-6190, ext. 21122<\/td>\n<td width=\"105\"><\/td>\n<td width=\"339\"><u><a href=\"mailto:kcmaher@hudson.k12.ma.us\">kcmaher@hudson.k12.ma.us<\/a><\/u><\/td>\n<\/tr>\n<tr>\n<td width=\"128\">Metrowest<\/td>\n<td width=\"143\">Jean Afzali<\/td>\n<td width=\"159\">781-848-4000, ext. 7841<\/td>\n<td width=\"105\">781-724-4018<\/td>\n<td width=\"339\"><u><a href=\"mailto:jafzali@braintreema.gov\">jafzali@braintreema.gov<\/a><\/u><\/td>\n<\/tr>\n<tr>\n<td width=\"128\">Northeast<\/td>\n<td width=\"143\">Shanyn Toulouse<\/td>\n<td width=\"159\">978-420-1919<\/td>\n<td width=\"105\">978-761-2307<\/td>\n<td width=\"339\"><u><a href=\"mailto:shanyn.toulouse@haverhill-ps.org\">shanyn.toulouse@haverhill-ps.org<\/a><\/u><\/td>\n<\/tr>\n<tr>\n<td width=\"128\">Southeast<\/td>\n<td width=\"143\">Ann Klaver<\/td>\n<td width=\"159\">508-580-7363<\/td>\n<td width=\"105\"><\/td>\n<td width=\"339\"><u><a href=\"mailto:annmarieklaver@bpsma.org\">annmarieklaver@bpsma.org<\/a><\/u><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"128\">West<\/td>\n<td width=\"143\">Diane Colucci<\/td>\n<td width=\"159\">413-750-2511<\/td>\n<td width=\"105\"><\/td>\n<td width=\"339\"><u><a href=\"mailto:colucci-hechtd@springfieldpublicschools.com\">colucci-hechtd@springfieldpublicschools.com<\/a><\/u><\/td>\n<\/tr>\n<tr>\n<td width=\"143\">Therese Blain<\/td>\n<td width=\"159\">413-750-2007<\/td>\n<td width=\"105\"><\/td>\n<td width=\"339\"><u><a href=\"mailto:blaint@springfieldpublicschools.com\">blaint@springfieldpublicschools.com<\/a><\/u><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Mary Ann Gapinski, MSN, RN, NCSN<\/em><br \/>\n<em>Director of School Health Services\/ School SBIRT Coordinator<\/em><br \/>\n<em>MA Department of Public Health<\/em><br \/>\n<em>250 Washington Street \u2013 5<sup>th<\/sup> Floor<\/em><br \/>\n<em>Boston, MA\u00a0 02108<\/em><br \/>\n<a href=\"mailto:mary.gapinski@state.ma.us\">mary.gapinski@state.ma.us<\/a><br \/>\n<em>Website: <\/em><a href=\"http:\/\/www.mass.gov\/eohhs\/gov\/departments\/dph\/programs\/community-health\/primarycare-healthaccess\/school-health\/\">http:\/\/www.mass.gov\/eohhs\/gov\/departments\/dph\/programs\/community-health\/primarycare-healthaccess\/school-health\/<\/a><\/p>\n<p><em>SBIRT information:<\/em><strong>\u00a0 <\/strong><a href=\"http:\/\/www.masbirt.org\/schools\">www.masbirt.org\/schools<\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dear Colleagues, Welcome to the beginning of a new school year!\u00a0 Like the children and adolescents we serve, I hope you have come back refreshed, renewed and excited for the many opportunities to improve the health and safety of our students!\u00a0 There is much happening across the state\u2026.the email below is filled with important updates, [&hellip;]<\/p>\n","protected":false},"author":13168,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[69],"tags":[22,7,202,216,62,217,21,67,127,132,5,55,64,215],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/posts\/635"}],"collection":[{"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/users\/13168"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/comments?post=635"}],"version-history":[{"count":5,"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/posts\/635\/revisions"}],"predecessor-version":[{"id":1440,"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/posts\/635\/revisions\/1440"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/media?parent=635"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/categories?post=635"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.bu.edu\/shield\/wp-json\/wp\/v2\/tags?post=635"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}