Publications and Presentations
The DAETA Team shares the work we do through presentations and publications. We present our work locally and nationally at a variety of conferences, workgroups, committees and training exercises.
Project Reports
Publications
Ribbers, A., Laurie Lin, A., Sheridan, D., Marshall, R. (2021). Clinical and behavioral indicators associated with trauma history in children and adolescents enrolled in an emergency department diversion program. Emergency Psychiatry, 2021(1), 12-19.
Key Takeaways
- For youth enrolled in CATS, there are a few behavioral and clinical indicators (at intake) that correlate with past trauma exposure, including: a previous suicide attempt, recent or acute sexual aggression, moderate or severe problems in living situation, self-reported fair or poor health, and inability to pay attention.
- Youth with moderate or severe living situation concerns and recent or acute social behavior issues had the highest likelihood of having a trauma history.
- This information may be used to help with identification, treatment, and discharge planning for vulnerable youth.
Ribbers, A., Sheridan, D., Jetmalani, A., Magers, J., Laurie Lin, A., Marshall, R. (2020). The Crisis and Transition Services (CATS) model: A program to divert youths in mental health crisis from the emergency department. Psychiatric Services, 71(11), 1203-1206.
Key Takeaways
- The Crisis and Transition Services (CATS) program is an innovative partnership between the Oregon Health Authority, Oregon Health & Science University, county mental health programs, and community-based clinical and peer organizations
- CATS provides short-term intensive transitional outpatient care for youths and families after a youth in mental health crisis has presented to an emergency department.
- Strong collaboration among stakeholders has helped to expand the program’s funding and availability.
Magers, J., Ribbers, A., Nguyen, S., Marshall, R. (2020). Youth crisis and transition services (CATS): Incorporating family peer support specialists to assist families during crisis. Journal of Family Strengths, 20(2), 1-14.
Key Takeaways
- Providing family with a clear description of what family peer support offers may increase meaningful family engagement with this service
- Improved training specific to engaging families in a high-acuity crisis program may have a positive impact on youth and family outcomes, as well as strengthening the family peer workforce
- A deeper understanding of the positive characteristics of a highly effective family peer support specialist can inform recruitment, training, and supervision of the family peer workforce
- Family engagement with family peer support is higher when the peer support role is introduced early in the service period
Presentations
Marshall, R. (2024, October). Oregon Crisis Care: From Pilot to Statewide Model. Symposium Chair for Beyond the ED: Innovative Models for Pediatric Crisis Care. Presented at the American Academy of Child and Adolescent Psychiatry Symposium, Seattle, Washington.
Weseman D. Marx L, Sheridan D, Marshall R. (2024, October). Trends in Aggression among Youth Presenting to the Emergency Department between January 2018 and April 2023 at a Tertiary Care Children’s Hospital. Poster session presented at the American Academy of Child and Adolescent Psychiatry Symposium, Seattle, Washington.
Marshall R. (2024, May). Community-based Crisis Intervention and Diversionary Strategies. Presenter for a national webinar titled Critical Conversations on Pediatric Psychiatric Emergencies cosponsored by the American Association for Emergency Psychiatry, American Academy of Child and Adolescent Psychiatry and American Academy of Pediatrics.
Marshall R. (2020, October). Crisis and Transition Services: An innovative response to the boarding conference in Oregon. Panelist for Simon Wile Symposium: The Boarder Crisis: Innovative Bridges Breaking Down Walled-Off Care in Pediatric Boarding. Presented at the American Academy of Child and Adolescent Psychiatry Symposium.
Marshall, R., Ribbers, A., Magers, J., Jetmalani, A., Laurie Lin, A., Sheridan, D. (2019, October). Addressing Psychiatric Boarding in the Emergency Department: A novel program to support youth and families after ED discharge. Poster session presented at the Annual Meeting of the American Academy of Child and Adolescent Psychiatry, Chicago, Illinois.
Ribbers, A., Freeman, I., Nguyen, S., Magers, J., Marshall, R. (2023, April). The Evolution of the Children’s Mental Health Crisis System in Oregon. Poster session presented at the Annual American Association of Suicidology Conference, Portland, Oregon.
Holliman, B., Marshall, R., Ribbers, A. (2021, April). Crisis and Transition Services: Update on Investment. Presentation at the Governor’s System of Care Advisory Council, Salem, Oregon.
https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/SOCAC.aspx
Ribbers, A. (2022, October). Boarding of People with Behavioral Health Conditions in Emergency Departments, With a Special Focus on Children and Adolescents. Panelist at the Semi-Annual Meeting of the Medicaid Evidence-Based Decisions Collaborative, Portland, Oregon.
Marshall, R., Magers, J., Nguyen, S., Ribbers, A. (2022, February). The OHSU DAETA Team: A data-driven approach to improving Oregon’s mental health system of care for children. Grand Rounds presentation at Oregon Health & Science University, Portland, Oregon.
https://echo360.org/media/2b071a42-43e8-4be7-bf9e-6086ba3f6ace/public
Marshall, R., Magers, J., Ribbers, A. (2019, June). Crisis and Transition Services: Essential Elements of an Emerging Statewide Model. Presentation at the Oregon Alliance to Prevent Suicide, Salem, Oregon.
Marshall, R. (2023, April). Innovations in the Emergency Department and CATS—MRSS System of Care. Panel presentation at Oregon Council of Child and Adolescent Psychiatry Annual Conference, Salem, Oregon.
Ribbers, A., Marshall, R., Magers, J., Thoma, D. (2019, March). Crisis and Transition Services (CATS): The evolution of a program for suicidal youth in EDs from a pilot to a statewide standard. Presentation at the Oregon Suicide Prevention Conference, Sunriver, Oregon.
Magers, J. (2021, April). Crisis and Transition Services (CATS): A collaborative response to psychiatric crisis care needs of youth and families. Presentation at the Virtual Spring Forum of the Portland Association of Health Underwriters.
Purdy, F., Ribbers, A., Magers, J., Marshall, R. (2018, March). Emergency Department Youth Crisis and Transition Services: Model, outcomes, and the role of family engagement. Presentation at the Annual Research & Policy Conference on Child, Adolescent, and Young Adult Behavioral Health, Tampa, Florida.
Magers, J., Ribbers, A. (2022, November). The OHSU DAETA Team: Crisis and Transition Services. Presentation at the Annual We Can Do Better Conference, Portland, Oregon.