Description

Avoidant/Restrictive Food Intake Disorder (ARFID) was recently added to the Feeding and Eating Disorders section of DSM-5 to describe children, adolescents, and adults who cannot meet their nutritional needs, typically because of sensory sensitivity, fear of aversive consequences, and/or apparent lack of interest in eating or food.

Although there is a robust literature on pediatric feeding disorders in very young children, ARFID itself is so new that there is currently no evidence-based treatment for older children, adolescents or adults. Thus our workshop will fill an important gap for our colleagues who are already seeing such patients in clinical practice by providing specialized training in a new form of cognitive-behavioral therapy for ARFID (CBT-AR) that we have developed and refined at Massachusetts General Hospital.

Early data from our efficacy study indicate that, on average, patients who receive CBT-AR add 17 novel foods, gain 11 lbs (if underweight), and significantly reduce food neophobia after treatment completion.

Our interactive presentation will include:
  • a brief description of the rationale for and goals of CBT-AR
  • detailed case examples drawn from a heterogeneous group of patients who have benefitted from this treatment
  • critical choice points for tailoring CBT-AR to the presenting patient
  • interactive role-plays demonstrating CBT-AR techniques across the four stages of this flexible, modular treatment
Material will be drawn from our own clinical practice as well as our recently published book Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder: Children, Adolescents, and Adults (Cambridge University Press, 2019). We welcome audience members to come with questions about specific cases from their own clinical practice, and we will leave ample time for discussion at the workshop's conclusion.

Target Audience

This program is intended for:

  • Psychiatrists
  • Psychologists
  • General and Family Practice Physicians
  • Psychiatric Nurses
  • Physician Assistants
  • Nurse Practitioners
  • Social Workers
  • Speech Pathologists
  • Occupational Therapists
  • Dietitians
  • Other Mental Health Workers

Agenda

Content and faculty subject to change.

SATURDAY, MAY 11, 2019
8:15 - 9:00 amRegistration
9:00 - 10:30 amIntroduction to ARFID: Assessment, Neurobiology, and Treatment
10:30 - 10:50 amBreak
10:50 - 12:30 pmCBT-AR Stage 1-2
12:30 - 1:30 pmLunch
1:30 - 3:00 pmCBT-AR Stage 3
3:00 - 3:20 pmBreak
3:20 - 4:00 pmCBT-AR Stage 4, CBT-AR Efficacy, Questions & Answers

Learning Objectives

By the end of this program, participants will be able to:

  • Describe the type of patients with ARFID for whom cognitive-behavioral therapy is appropriate.
  • Describe the basic structure, goals, and session format of cognitive-behavioral therapy for ARFID (CBT-AR).
  • Plan Stage 1 of CBT-AR including psychoeducation and early change to volume and/or variety of food.
  • Plan Stage 2 of CBT-AR including treatment planning and selection of modules to utilize in Stage 3.
  • Design and implement Stage 3 of CBT-AR by addressing the maintaining mechanism(s) relevant to a specific patient, including sensory sensitivity, fear of aversive consequences, and/or lack of interest in eating or food.
  • Design and implement Stage 4 of CBT-AR including relapse prevention, planning for the future, and ending therapy on time as planned.
  • Discuss how to tailor CBT-AR interventions to be developmentally appropriate for children adolescents, and adults.

Pricing

Regular Registration (after April 5, 2019): $295.00

Cancellation Policy

A refund minus a $40.00 administrative fee will be issued for refund requests received by April 26, 2019. No refunds will be issued for refund requests made after April 26, 2019. Payments made may not be applied to future conferences or other educational activities. There are no exceptions to these policies.

Additional Live Conferences

We offer other live conferences on various facets of mental health in addition to the conference you are currently viewing.

View a full list of our mental health conferences

CME Information

Live Event Date: May 11, 2019


CREDIT

TYPE

ACCREDITATION STATEMENT

DESIGNATION STATEMENT

5.25

AMA PRA Category 1 CreditTM

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

McLean Hospital designates this enduring material for a maximum of 5.25AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

5.25

Psychologists CE Credit

The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

This offering meets the criteria for 5.25 continuing education credits for psychologists.

5.25

Nursing Contact Hours

Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.

This program meets the requirements of the Massachusetts Board of Registration in Nursing at (244 CMR 5.00) for 5.25 contact hours of nursing continuing education credit.Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.

Social Work CE Credit Hours

The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers.

Application for social work continuing education credits has been submitted. Please contact us at 866-644-7792 or mghcme@mgh.harvard.edu for the status of social work CE accreditation.

5.25

Dietitians CE Credit

The Commission on Dietetic Registration approves continuing education credits for registered dietitians nutritionists.

Application for continuing education credits for registered dietitians nutritionists has been submitted to the Commission on Dietetic Registration and is pending approval.

5.25

(self-claim)

Other Professions

Other Providers can claim a Participation Certificate upon successful completion of this course.

Participation Certificates will specify the title, location, type of activity, date of activity, and number ofAMA PRA Category 1 CreditsTMassociated with the activity. Providers should check with their regulatory agencies to determine ways in whichAMA PRA Category 1 CreditsTMmay or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.


Planners

Kamryn T. Eddy, PhD
Jane Pimental, MPH
David H. Rubin, MD,reviewer
Susan E. Sprich, PhD, psychologist reviewer
Jennifer J. Thomas, PhD

Disclosure Information

In accord with the disclosure policy of McLean Hospital as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:

Commercial Interest

The ACCME defines a "commercial interest" as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit www.accme.org.

Financial relationships

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Relevant financial relationships

ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines "'relevant' financial relationships" as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:

Kamryn Eddy, PhD
Royalties, book advance: Cambridge University Press (author of "Cognitive-Behavioral Therapy for ARFID")

Susan E. Sprich, PhD
Royalties:Oxford University Press (for co-authoring treatment manual and client workbook), Springer (for editing book)

Jennifer J. Thomas, PhD
Honorarium: John Wiley & Sons (Associate Editor of International Journal of Eating Disorders)
Travel reimbursement for conference attendance: Academy for Eating Disorders (membership on Board of Directors)
Honorarium and travel reimbursement for 5 presentations in Australia/New Zealand: Australia and New Zealand Academy for Eating Disorders (faculty speaker)
Royalties for book sales: Cambridge University Press (author of "Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorders: Children, Adolescents, and Adults"

All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.


Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit


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Location

Simches Auditorium, Massachusetts General Hospital - 185 Cambridge St, Boston, Massachusetts, United States