Apr 6, 2025

CASCHEW 2025 FOSTERS CONNECTIONS ACROSS INDUSTRIES

Held on March 28-30 in Colorado Springs, CASCHEW 2025 welcomed over 100 attendees to focus on engaging Colorado communities to advance health by moving from dialogue

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Held on March 28-30 in Colorado Springs, CASCHEW 2025 welcomed over 100 attendees to focus on engaging Colorado communities to advance health by moving from dialogue to action. Attendees included project participants, community partners, public health departments/organizations, clinic staff, primary care clinicians and medical and academic partners. The overall goal of the conference was to celebrate achievements, foster meaningful connections, and increase and support attendees’ capacity to create change in their personal and professional lives with actionable strategies. This year’s conference was sponsored by the Colorado Community Engagement Alliance (CO-CEAL), the Alliance (State Network of Colorado Ambulatory Practices and Partners and the Practice Innovation Program), and the Peer Mentored Care Collaborative (PMCC).

The conference opened with a welcome reception and poster session where attendees could network and learn about research going on across the state focusing on patient and community engagement, practice-specific research and medical topics. For the keynote session attendees welcomed Al Richmond, MSW, Executive Director of Community-Campus Partnerships for Health. Al provided insights into the importance of community engagement in research and shared a model to build a national movement for improving health in all communities.

“Al Richmond was an excellent keynote speaker and then ‘weaver’ of conference experiences; he was approachable and engaging and very experienced with Community-Campus Partnerships,” said attendee and PMCC partner Sandy Fritsch, M.D., MSEd, DFAACAP, Medical Director, Pediatric Mental Health Institute, Children’s Hospital Colorado and Professor, Department of Psychiatry, University of Colorado School of Medicine. “For me it was great to hear from the communities and their voices—this is powerful for folks who are more academically focused.”

Twelve sessions were held throughout the weekend that highlighted the work being done by groups that can benefit from greater collaboration and dissemination across sectors. Session titles included Behavioral Health and Health Related Social Needs: Health in Colorado Primary Care Practices, Bridging Gaps in Newcomer Health: Policy and Program Strategies to Improve Health, and Leveraging eConsults and ECHO to Strengthen Community-Academic Partnerships.

“CASCHEW offered a treasure trove of insights, invaluable resources and networking opportunities with key players dedicated to advancing health and wellness across Colorado,” said attendee Nate Koller, eConsults Manager, PMCC. “Despite the backdrop of uncertainty facing many of the organizations and programs represented, the conference radiated hope, reminding participants that progress can continue, even if it takes on a new form for a while.”

“This was my second time attending the CASCHEW conference, and it was even more insightful than my first experience,” said attendee and PMCC partner Jessie Henderson, CPFS, Peer Support Specialist, University of Colorado WORTH Program. “What makes this conference particularly valuable is the diverse cross-section of attendees—providers, legislators, workforce members and the very communities we’re trying to reach. These cross-sector relationships are especially crucial right now in healthcare. The thoughtfully curated content created space for different perspectives to be heard and appreciated. I’m grateful to everyone who organized this important event that continues to foster connections across our industry.”

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Mar 4, 2025

CoPPCAP Partners with ECHO to Address Colorado’s Youth Mental Health Crisis

Colorado is currently experiencing a significant youth mental health crisis. Suicide is the leading cause of death for young people in the state, and Children’s Hospital

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Colorado is currently experiencing a significant youth mental health crisis. Suicide is the leading cause of death for young people in the state, and Children’s Hospital Colorado has reported that rates of anxiety and depression among Colorado kids doubled during the pandemic, with 44 percent of teens feeling persistently sad or hopeless. Pediatric primary care is most often the first stop for assessment and treatment of pediatric behavioral concerns, yet the education and training to assess and treat mild to moderate behavioral health conditions may be lacking for many providers.

To help address this crisis, in March 2020, the Colorado Pediatric Psychiatry Consultation & Access Program (CoPPCAP) partnered with ECHO Colorado to offer Pediatric Psychiatry in Primary Care: Core Essentials, a seven-week ECHO series designed to equip participants with the knowledge to diagnose and treat mild to moderate pediatric behavioral health conditions. The program has evolved to meet provider needs and CoPPCAP has developed two additional series (Beyond Core Essentials and Above and Beyond Core Essentials) as part of the program. In all, CoPPCAP has offered 29 ECHO cohorts on pediatric psychiatry, serving 423 providers.

Learning based on ECHO’s “all teach all learn” model has been shown to lead providers to positively change their screening and treatment practices. ECHO sessions include input from parent panelists, pediatric psychiatric pharmacists, pediatricians and child psychologists, and case-based discussions. The series align with the recommended Mental Health Competencies as defined by the American Academy of Pediatrics.

“With earlier treatment in childhood, it is hoped that some of the comorbidities seen in the teen years will be lessened,” said Sandra Fritsch, M.D., MSEd, DFAACAP, Medical Director, Pediatric Mental Health Institute, Children’s Hospital Colorado. “We also are acutely aware of the many professional challenges facing our pediatric primary care providers and blend self-care principles into the series.”

Cohort 16 of Pediatric Psychiatry in Primary Care: Core Essentials runs March 20 to May 1. Topics include assessment and screening, “What is Therapy,” assessing and treating anxiety, ADHD and depression, trauma and assessing suicidality. Each session includes a didactic presentation by an expert followed by case discussion and Q&A with the experts. Click here for more information and to register.

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Feb 4, 2025

Partner Spotlight: Partners for Children’s Mental Health

We asked Partners for Children’s Mental Health (PCMH) a few questions about why they sought to partner with ECHO to disseminate knowledge about pediatric suicide prevention

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We asked Partners for Children’s Mental Health (PCMH) a few questions about why they sought to partner with ECHO to disseminate knowledge about pediatric suicide prevention in primary care. Here’s what they had to say.

Q. What lead you to choose ECHO to educate the healthcare community about pediatric suicide prevention?
A. PCMH launched our program, Pathway to Suicide Prevention, in 2020 when the timing wasn’t appropriate for in-person trainings. Despite the pandemic, we were still passionate about improving patient care so we asked colleagues and researched the best way to spread this information. ECHO Colorado kept coming up as a valuable way to educate healthcare professionals, so we sought out a partnership. What we found is an amazing education platform that informs the primary care population on improving health outcomes.

Today, post pandemic, we offer in-person education, but the value of ECHO is how it enables us to reach providers throughout Colorado. ECHO serves as our communication platform for helping more primary care providers improve their adolescent suicide screening rates. We are so grateful to be able to work with ECHO and the wonderful community that they have built to help improve patient care in Colorado.

Q. Has the collaboration been successful? How?
A. Yes. Since 2022 we have trained over 400 providers on the Pathway to Suicide Prevention. We have developed two ECHO series that have been helpful in expanding our reach across the state and the nation! The ECHO team is organized and easy to work with, from planning a series to coordinating new cohorts. They are always on top of deadlines and eager to help meet our needs. We love working with our project coordinator, Ashley Clark, as her insight and experience have been so valuable to our team. With ECHO we can share our information quickly and reach an amazing community of healthcare professionals.

Q. Is there anything you want providers to know about the upcoming cohort?
A. Our second ECHO series, Navigating Complexities in Youth Experiencing Suicidality in Primary Care, builds on the original series, Pediatric Suicide Prevention: A Practical Care Pathway for Primary Care. We heard from providers who, after completing the first series, said they felt confident and ready to take on more complex mental health presentations. They explained to us through surveys that there were common barriers they wanted to address and questions on next steps in supporting families. From navigating family systems to supporting families with mental health resources, providers can learn about complex mental health cases in the primary care clinic.

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Jan 30, 2025

ECHO and Children’s Hospital Colorado: Advancing Equity and Access for Children with Autism in Rural Colorado

The Autism ECHO program at the University of Colorado/Children’s Hospital Colorado (CHCO) began in January 2019 to address the need for more timely access to services

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The Autism ECHO program at the University of Colorado/Children’s Hospital Colorado (CHCO) began in January 2019 to address the need for more timely access to services for children with autism and other developmental needs, as early diagnosis and intervention lead to improvement in adaptive outcomes. However, there are long waiting lists for these services due to multiple factors including the increase in the prevalence of autism (now 1 in 36 children), the shortage of workforce professionals who specialize in diagnosis and management (less than 800 in the US), and the challenges of accessing care for patients in rural and underserved areas.

Since 2019, the Autism ECHO program has expanded and adapted to enable continued dissemination of need-to-know knowledge around autism to pediatricians – and the audience has expanded over the years.

  • Family Engagement Strategies for Early Autism Intervention is a new autism ECHO that started this year and is currently registering for its fourth cohort. The series supports early intervention providers, including speech/language, occupational and physical therapists, with strategies for family-based behavioral interventions.
    Autism: Core Concepts for Primary Care Parts 1 and 2 continue to educate about screening, diagnosis and management strategies for primary care.
  • Autism Case Conference has been running monthly since August 2019 and offers support for ECHO participants through this opportunity for case consultation with multidisciplinary experts.
  • The Autism ECHO program has also offered advanced series, including Advanced Case Consultation and Pediatric Care Network Advanced Autism for providers who have attended previous autism ECHOs. Further expanding the autism portfolio is Navigate the Wait: Resources for Caregivers Awaiting a Child’s Autism Evaluation for families on CHCO Developmental Pediatric’s waitlist for an initial evaluation.

All told, ECHO and CHCO have offered 34 cohorts on the topic of autism, for a total of 187 sessions serving 478 Colorado participants. Twenty percent of ECHO Colorado participants are from rural or frontier counties, and 73 percent are Medicaid providers.

The Autism ECHO program serves as the foundation for Project ACCESS, a Medicaid-funded effort at CHCO that addresses access to care for autistic children. Project ACCESS implements strategies to improve efficiency of care in CHCO clinics while training, mentoring and empowering primary care providers to identify and care for children with autism. CHCO conducts outreach to rural clinics where PCPs who have completed autism ECHOs are invited to participate in the evaluation of their patients with CHCO Developmental Pediatrics. Additionally, Project ACCESS has developed Champions in several rural and underserved communities who have completed dozens of autism screenings.

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