Breakout Session 1 Presenters

Panel Discussion: Part 1 – Patient Dumping Defined: Experiences, Trends, Data, and Legislation

Summary of presentation: 

Patient dumping is the practice of hospitals, and long-term-care and assisted living facilities inappropriately discharging indigent individuals to homeless shelters when they require expensive medical care with minimal or no government reimbursements or no longer have the funds to remaining in facilities. The panel will discuss what they are seeing in Utah and what can be done to solve the problem of patient dumping.

Laura Owen-Keirstead, SSW, CMHC

Laura Owen-Keirstead has earned a BS degree in Child and Family Studies and a BSW degree in Social Work from Weber State University and a Master’s degree in Mental Health Counseling from the University of Phoenix. Laura has over 25-years of experience in the social service field. She is licensed as a Social Service Worker and a Clinical Mental Health Counselor in the State of Utah.

Laura has worked at Weber Human Services in Adult Mental Health and Senior Services as well as the State of Utah Department of Workforce Services, and Office of Public Guardian and the Alzheimer’s Association. She has also worked with people with disabilities as a behavioral specialist and as a domestic violence, substance abuse and sex-offender therapist. Currently, Laura is a hospice social worker for Envision Home Care and hospice.

Daniel Musto, CMHC

Daniel has been the State of Utah Long-Term Care Ombudsman for thirteen years.

Prior to this position he worked for the State of Utah Division of Child and Family Services as a family preservation therapist as well as a mental health therapist for Provo Canyon Boys School, and running his own private practice. His previous experience includes thirteen years within long-term care.

He has worked as a certified nursing assistant, a recreational therapist, a social worker, and an Alzheimer’s unit director.

Trina Taylor, BSW, MHA

Trina is the Hope Clinic Director for Midtown Community Health Center. She has been with Midtown since July of 2015. Trina helped open Hope’s doors as a new community health center serving individuals and families who are experiencing homelessness. Trina’s passion and efforts concentrate on building capacity, rapport and trust with Hope’s patients as well as building community collaborations. She has a bachelor’s degree in social work and a master’s degree in health administration. Prior to Midtown, she spent 19 years with Prevent Child Abuse Utah as a bi-lingual child abuse prevention specialist, 10 years as associate director and her final three years as executive director.

Xia Erickson, MSW, OPG

Xia graduated with an undergraduate degree in accounting and began her career with the State of Utah at the Utah State Tax Commission. Xia went on to pursue a Master of Social Work and worked with Adult Protective Services prior to employment with Office of Public Guardian in January 2011. Xia first worked as a guardian then Program Administrator in 2015 and Director in November of 2018. Xia is certified as a National Certified Guardian by the Center for Guardianship Certification and is a Certified Social Worker.

Paul Leggett, BBS

Paul Leggett is the Division Director of Salt Lake County Aging & Adult Service. In this role Paul oversees the services provided to older adults, and the families, in Salt Lake County. Prior to this position Paul was the Executive Director of Community Action Partnership of Utah (CAP Utah) where he worked hand in hand with Utah’s Community Action network to provide solutions to poverty and effect change. Paul currently serves on the Alzheimer’s Association Utah Chapter Board, the National Association of Area Agencies on Aging Board, and is the chair of the Lt. Governor’s Commission on Service & Volunteerism and the chair of the Utah Association of Area Agencies on Aging. Paul, originally from Northampton, England, earned a bachelor’s degree in behavioral sciences from the University of Northampton and a master’s degree in management from the University of Leicester.

Summer Rohwer, BSW

Summer Rohwer graduated with her Bachelor’s Degree from Weber State University in Social Work in 2006. She started working at Lantern House (Northern Utah’s largest homeless shelter) in 2007 where she was able to work with an array of at-risk populations and programs. Over the last 12 years with Lantern House, Summer has been involved in case management, program development, grant writing, local and national initiatives and committees, and the construction of a new shelter. After 12 years, Summer remains a strong advocate for the homeless throughout Utah.

Summer Rohwer, current Deputy Director of Lantern House, Northern Utah’s Largest Homeless Shelter with over 12 years’ experience in the homeless field.

Shane Pitcher, LCSW

Shane Pitcher is a Licensed Clinical Social Worker. He is currently the Director of Social Services at the Marian Center a senior behavioral health hospital in Salt Lake City, Utah. At the Marian Center he provides daily clinical and case-management services to patients and their primary supports. Shane has experience with disposition planning for seniors in the community and referred to nearly all levels of care and a variety of unique settings throughout Utah and multiple other states. This gives him an insight into the hospital setting and how it relates to these difficult cases. He completed a practicum at Neighbor’s Helping Neighbors a geriatric focused community program supporting seniors with unique needs who wish to remain in the home environment. He graduated from the University of Utah with his Master’s in Social Work in 2008 and completed his undergraduate degree at Utah Valley University. He is bilingual and serves in his local community outside his roles at the Marian Center.


Surviving Sexual Betrayal

Summary of Presentation: 

Discovering that a significant-other has been unfaithful can be a traumatic experience. Infidelity greatly effects an individual’s emotional well-being, sense of safety and the ability to function in everyday life. Some victims of infidelity, or sexual betrayal exhibit signs that match the specific criteria for PTSD. Attendees will learn about infidelity and the effects that sexual betrayal trauma can have on the human brain and the correlation between safety in relationships, the body’s natural defense responses of fight, flight, or freeze, and what are the important steps to healing.

Holly Larson, CSW

Holly Larson is a Certified Social Worker and graduated with her master’s degree in Social Work from Utah State University. Since then she has been providing clinical services for youth in DHS and DJJS custody as a part of Quality Youth Services. Holly serves on the board of Day One, a nonprofit agency that provides quality clinical care to the underserved populations of northern Utah. Through Day One, Holly has been serving the community in the Utah County area by providing free support groups for individuals suffering from the effects of sexual betrayal. Being personally affected by this specific type of trauma, Holly is very passionate about helping heal those traumatized through sexual betrayal.


Holistic Healing for Trauma

Summary of presentation:

Research shows trauma leaves lasting and often detrimental effects on multiple parts of ones being. It can cause headaches, stomach problems, increased heart rate, and a variety of other physical and psychosomatic symptoms. Trauma can also change the thoughts and beliefs a person has changing their paradigms to one of mistrust, fear, dishonesty and chronic victimization. The effects of trauma can cause survivors to feel anxious, depressed, scared or angry. The long-lasting effects of trauma have the potential to affect a person’s view on spiritually and the ability to connect with a higher being.

Participants will be able to list the ways that trauma affects the whole person; physically, mentally, emotionally and spiritually as well as list 3 different benefits for each of the following; meditation, mindfulness and yoga.

Jenifer Gorder, LCSW

Jenifer Gorder has been working in social work for over 15 years. She has worked with children, teenagers and adults. Most of which have experienced trauma in some form. Throughout her career she began to notice a correlation and prevalence of trauma in her clients. This ignited a desire to bring her passion for yoga, trauma and social work together. She wanted to help others learn to reconnect with their bodies and restore a sense of safety to their lives. In addition to being a LCSW, she completed yoga teacher training in 2016. She is currently the admissions coordinator at Ogden Regional Medical Center, Alcohol Chemical Treatment unit. She facilitates admission to the program as well as teaches yoga to the treatment patients.

Nicole Daniels, LCSW

Nicole Daniels has been doing clinical work with clients of various backgrounds for 10 years. She has spent a significant portion of that time as a LCSW providing psychotherapy to adolescents and their parents. She currently works in admissions coordinating at Ogden Regional Medical Center’s Alcohol Chemical Treatment department (ACT). She is interested in the human condition, the factors that contribute to trauma, building resiliency in the person, and creating strength through mindfulness and mediation. Nicole leads groups on mindfulness and meditation through the week with ACT patients and has incorporated those skills in the past while working with clients. She has authored a self-help workbook for women coping with divorce and is currently writing other works incorporating evidence-based treatments.

Breakout Session 2 Presenters

Panel Discussion: Part 2 – Patient Dumping Defined: Experiences, Trends, Data, and Legislation

(Same presenters as Part 1 – Continued)


Implementation of a Pediatric Traumatic Stress Care Process Model for Suicidal Youth Presenting to the Emergency Room

Summary of presentation:

Discussion of the results, conclusions and ongoing work related to the study started in 2018 and continuing in the present at Primary Children’s Hospital. Attendees will learn about rates of exposure to traumatic stress and subsequent symptoms among youth presenting in psychiatric crisis, be able to discuss the results of efforts to apply a traumatic stress care process model for these youth, and explore the implications of the preliminary study and ongoing work, generalizing these to their own practice.

Jessica Curtis, LCSW

Jessica received her MSW from the University of Utah in 2012. She has worked at LDS Family Services as an outpatient therapist; at the University Neuropsychiatric Institute as a child/adolescent therapist doing group, individual and family work; and as a Crisis Worker with Intermountain Healthcare.

Robert Loftus, LCSW

Robert started his career in behavioral health in 1985 while still an undergraduate and has worked in settings as diverse as the Utah State Hospital; various residential, day treatment, crisis and outpatient programs at the former Valley Mental Health; for two community mental health teams in England; and as the manager of behavioral health programs with Valley and in a community mental health center in Wyoming. He has also been a psychotherapist in private practice. His current position is with Intermountain Healthcare, where he has worked in three different hospitals as a Crisis Worker. He was the founding coordinator of the current Crisis Services Team at Primary Children’s Hospital and remains in that position. Robert received his MSW from the University of Utah in 1991.


EMDR and IFS as Treatment Modalities in Trauma

Summary of presentation:

Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy used in the treatment of trauma. Internal Family Systems (IFS) is a therapy model used to treat individuals, couples, and families. Session attendees will learn the differences between Big-T trauma and Little-t traumas and the different “parts” associated with IFS and be able to discuss why IFS and EMDR us effective for trauma treatment.

Jen Van Englenhoven, LMFT

Jen has been a licensed Marriage & Family Therapist for 9 years. She has worked with a wide variety of clients over the years on everything from family dynamics and marital work to severe mental illness and trauma. Jen was trained in Internal Family Systems Theory while in graduate school and utilize it in a unique way that resonates with many clients. She has attended trainings from Bessel van der Kolk and other trauma experts over the years and in 2014 became trained in EMDR. Jen has worked with over 100 clients since then using EMDR and IFS to help them overcome various experiences of trauma. She currently works in private practice and continue to use EMDR regularly to help clients put to rest the traumas that plague them.

Lunch & Panel

Cultural Implications in Trauma: Informed Care Delivery

Kristina Groves, LCSW

I am an enrolled member of the Ute Tribe and also Hopi. I have been a therapist at the Urban Indian Center of Salt Lake (formerly the Indian Walk in Center) for 10 years. Previous to that I was a domestic violence CPS worker in the Salt Lake Valley for DCFS. In my work at the UIC, I have worked with clients who have survived serious abuse, neglect, discrimination, substance use, death, losses and other trauma. Currently, I work primarily with survivors of domestic violence and sexual assault, as well as in our substance use treatment program. Our programming for survivors allows us to offer in house services, including a community advocate, clinical case manager and therapist.

Part of my job also includes presenting about Native American issues and I have presented for the Utah Substance Abuse Conference, the Utah Domestic Violence Coalition Annual Conference, UDVC’s Core Advocate Training, the Utah Society for Social Work Leadership in Health Care Annual Conference, as well as the University Hospital, the Division of Child and Family Services and other agencies and treatment facilities in the state. In the last year, I have also been an adjunct instructor adjunct instructor for the U’s College of Social Work.

Kristina Groves, LCSW, (Ute/Hopi/Chinese) has worked at the Urban Indian Center of Salt Lake (UICSL) since 2008 as an intern, contractor and full-time staff in both the Cedar Point Wellness and the Red Mesa Counseling programs. She is currently a therapist with Red Mesa Counseling at the UICSL and an adjunct instructor at the College of Social Work at the University of Utah. “Because I did not grow up with many of the issues that my other Native family did, I always felt a sense of responsibility to work with my people. Working with Native clients has helped me see the ways that mainstream substance abuse treatment and mental health therapy do not always work for our population. I have also come to understand the significance of culture and spirituality to Native clients and the importance of a holistic approach to health and wellness.”

Carol Shifflett, MA

Founder and Executive Director, Masters of Arts, Community Leadership with a Focus on the oppression of African American/Black women victimized by sexual and domestic violence.

Organization: The Sojourner Group

Ms. Shifflett’s research found that Utah is unique in that there are no culturally specific services to African American/Black victim/survivors of sexual and domestic violence. She attended several Women of Color Conferences with a focus on sexual assault and domestic only to learn that such organizations are actively involved across the United States. While sitting with social workers and advocates from Native, African American/Black, Asian, and Mexican populations, the first speaker, an Asian woman, spoke about elders in her culture telling her to stay away from this type of work. Their philosophy: this work is white women’s work. Mainstream organizations and providers attempt to speak to cultural experiences the understanding of cultural norms, is often taken lightly or misunderstood. A silenced victim/survivor stands unprepared, yet likely, to experience a lifetime of poor mental health.

Ms. Shifflett is founder and CEO of The Sojourner Group. Earning a BA in Cultural Anthropology and a Masters in Community Leadership led her to pursue a career focusing on the well-being of women and children. Personal conversations with marginalized Black/African American and multi-racial women, who shared experiences with mainstream social service providers, revealed their lack of ability to comprehend or fully relate to the experiences of these women, leaving survivors suffering in silence. Carol is committed to ensure that Black /African American and multi-racial survivors find healthy spaces to convey their stories.

An active community leader, Carol believes leadership involves collective groups of people and personalities with the common goal of working toward best practices for women of color. Her principles are respect, integrity, communication, and commitment, which will be beneficial in improving the quality of life for marginalized groups seeking common ground of understanding on the journey of healing.

Yehemy Zavala Orozco

Yehemy Zavala Orozco has worked for Comunidades Unidas (CU) since 2011, she studied Visual Arts at the Universidad Nacional Autónoma de México (UNAM), she has an Associate’s Degree in General Studies from Salt Lake Community College. She has focused her work on reducing ethnic and immigrant health disparities related to nutrition, mental health, reproductive justice, access to clinical care, immigrant rights and women empowerment.

During her time at Comunidades Unidas, Yehemy served as Promotora helping at the Ventanilla de Salud. In 2013, she coordinated the Prenatal Program and became a Doula. In 2014 she became a SNAP Enrollment Specialist/ Nutrition Coordinator. In 2016 she became the Promotora Coordinator and helped the State of Utah develop the Community Health Workers (CHW) curriculum to standardize the CHW practices through the state. She was one of the first co-chair for the Community Health Workers Section through Utah Public Health Association (UPHA) and is one of the few Latina National Trainers for NAMI (National Alliance on Mental Illness) in the United States since 2015. Yehemy is passionate about helping immigrants in Salt Lake County live healthy lives, and believes in promoting equitable health outcomes for all members of society. Her unique qualifications and personal drive enable her to access difficult to reach populations, especially Latinxs.

From 2017-2019 she managed all CU Preventive Health Programs. She coordinates CU’s writing team Leadership training using Popular Education as the base of the curriculum since 2016. Yehemy now proudly serves as CU’s Community Education Director

Xander Gordon, LCSW

Xander graduated from the University of Utah with a Bachelor of Science in Psychology and a Master of Science in Clinical Social Work. He is a Licensed Clinical Social Worker with experience working in many diverse settings, providing services to disadvantaged and under-served populations, and leading in community advocacy. He has served on multiple local nonprofit boards and has a passion for outreach and individual empowerment. Xander has worked in government, private, medical and nonprofit systems and brings to UHHR a wide variety of skill sets to benefit our agency organizationally and clinically. As the Clinical Director of Utah Health & Human Rights, Xander  provides the mental health leadership to UHHR engages in community partnership with the many providers invested in this community.

Emmie Gardner, CEO

Emmie Gardner is CEO for Holy Cross Ministries (HCM), a non-profit social service organization in Salt Lake City Utah that responds to the underserved community’s need for health and well-being. HCM’s programs include early childhood education, health outreach, counseling, and legal immigration services. Emmie is a passionate leader with a demonstrated 35-year history of working in the non-profit health and mental health care as well as social service settings. She is a clinical social worker by training who also hold a graduate certificate in mediation and conflict resolution, both from the University of Utah.

Emmie is a proud mother of 2 amazing adult daughters who now live in the Northwest and she and her husband Arnie spend as much time as they can going up to visit them.

Breakout Session 3

Suicide Prevention in the Older Adult: Contributing Factors and Preventative Strategies

Summary of Presentation:

Older adults have the second highest rate of suicide in the nation at approximately 20.2 per 100,000 population. Utah is ranked as the 6thhighest in suicides per capita for all ages at 22.3 per 100,000. Our presentation will focus on identifying factors that increase risk for suicide in the elderly, communication strategies for patients and loved ones involving suicidal ideation and options for improving support in residential facilities and the community.

Nina Farrell, MA

Nina has a Master’s Degree in Psychometrics and Counseling from the University of Colorado at Denver and many years of healthcare administration, business development and clinical experience in a wide variety of settings. Her areas of experience include post-acute neurorehabilitation, vocational rehabilitation, acute medical rehabilitation, geriatric psychiatry and crisis intervention. For the past 15 years her specialty has been developing acute geriatric and inpatient acute behavioral health hospitals. Nina frequently lectures on geriatric and other behavioral health topics in Utah and surrounding states.

Anna Lieber, CMHC

Anna has over 20 years of experience in Behavioral Health and is the current Director of Clinical Services at Salt Lake Behavioral Health. Anna is a National Certified Counselor and has practiced both in Utah and Florida and has an extensive history working with crisis intervention, group and individual psychotherapy, family/couples counseling, and case management. Anna’s clinical interests are in adolescent/childhood mental health, attachment/Personality Disorders, trauma/PTSD, Obsessive Compulsive Disorders, and chemical dependency. Anna’s favorite part of her job currently is clinical supervision and program development.

Mind Shield for Brain Burn

Summary of presentation:

We spend $1000s per fire fighter, trauma nurses, social workers etc, to train them to treat trauma. We spend $0.00 on training them how to protect their minds from trauma and in traumatic events. Trauma responders need a different approach than what we traditionally provide to those who are “traumatized” We need training not treatment. My presentation teaches clinicians about “Mind Shield” and what training trauma professionals need to protect their minds.

Rich Landward, LCSW, MPA, MBB, LDI

Rich specializes in using Mind Body Bridging and Mind Shield to treat post-traumatic stress, anxiety and substance use in children, adolescents, and adults. Rich has trained over 600 fire fighters and over 100 partner/spouses on Mind Shield which is an evidenced based integrated model that uses psycho education, mind body bridging, Gottman communication skills sets and Motivational Interviewing to quiet the burn that trauma responders experience.

Human Trafficking: Practice Implications for Health Professionals

Summary of Presentation:

Thousands of men, women and children are trafficked into the United States including Utah. Traffickers use force, fraud or coercion to lure their victims and force then into labor or commercial sexual exploitation. This presentation will define human trafficking offering an understanding of the experience, explore trauma and the potential effects of human trafficking on mental health, and learn to identity, access, and respond to human trafficking survivors in a mental health setting.

Noora Chingaliyeva, BSW, MSW, FA

Noora is currently the Victim Advocate with the city of West Jordan in Utah. Noora is from Kazakhstan and has been living in the United Stated for 8 years. She began to set her sights on working with victims of human trafficking abducted from neighboring countries of Tajikistan, Uzbekistan and Kirgizstan and smuggled into Kazakhstan for slavery and sex exploitation. While pursuing a Master’s Degree on Social Work at the University of Utah, she worked as a case manager for survivors of trafficking at the Refugee and Immigrant Center – Asian Association of Utah. She provided services to foreign nationals and US-born victims of human trafficking throughout the state of Utah. Her passion for working with victims of human trafficking is based on her belief that these seem to be “the forgotten ones”. She believes that it is never too late for an individual to have a healthy, and more productive life.