Rural Behavioral Health 2021 Conference Modules


Modules | Claim Credit #1 | Claim Credit #2 | Claim Credit #3

The 4th annual Rural Provider Support Conference is now available as three enduring modules!

Most of Nebraska is considered a shortage area for behavioral health providers of all types. Particularly hit by this are our rural areas.

Research indicates that this problem is furthered by difficulties with recruiting and retaining providers to our most isolated areas. The Rural Provider Support Network Conference is intended to develop support systems for providers in rural practice to increase our ability to retain providers in these most needed areas.

The fourth annual conference, held live online May 14th, provided information for rural mental health providers on a variety of relevant topics: play therapy as a means for addressing trauma in children; roles and responsibilities of the team when caring for those impacted by trauma; and postvention as prevention for suicide.

In the past, this conference has been offered in-person in the panhandle of Nebraska, but we have again adapted this year’s conference to accommodate social distancing and are offering it in an online format with enduring credits.


Release Date: June 14, 2021
Expiration Date: June 13, 2022                                                                            


These enduring materials are intended for behavioral health providers across Nebraska, with a focus on providers (psychologists, LMHPs, PMHNPs, registered nurses, social workers and counselors) in rural areas of the state.


The estimated time to complete each enduring material is 60 minutes.

In order to receive continuing education for each enduring material, you must complete these additional steps prior to the activity expiration date:



Suicide Postvention as Prevention
Course ID: 21CE00065

Learning Objectives

  • Describe the generational impact of suicide loss on mental health outcomes and support-seeking behavior.
  • Recognize the "postvention as prevention" model through the description of a Local Outreach to Suicide Survivors (LOSS) Team implementation.
  • Evaluate the local and national utilization rates of a LOSS Team and how to properly implement the resource.

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Presented by:
Ciara Warden, LISW


Ciara Warden is a Licensed Independent Social Worker (LISW) in the State of Iowa and a member of the American Association of Suicidology. She attained her B.A. in Psychology and Women’s Studies from Kansas State University and her Master of Social Work degree from the University of Kansas. Ciara has professional experience in mental health crisis response, inpatient psychiatric care, clinical mental health therapy, and post-secondary instruction and management. 

Currently, Ciara is employed at the University of Nebraska at Omaha in the Grace Abbott School of Social Work, co-owns a private practice, and is attaining her PhD in Gerontology. At UNO, Ciara serves as a full-time faculty member and the MSW Program Coordinator. Ciara specializes in crisis issues, primarily suicide research, education, risk assessment, outreach, and grief and loss. She enjoys spending time with her family and friends, especially her three little boys, who keep her very busy.

Ciara Warden, LISW has nothing to disclose.

How Trauma and Historical Trauma Impact Development: Strategies for Working with Patients
Course ID: 21CE00066

Learning Objectives

  • Discuss how trauma and historical trauma impacts the brain during child development
  • Identify trauma-related behaviors and how the team's roles work together to ensure care is safe, timely, efficient, effective, and equitable.
  • Describe the mechanisms involved in trauma-informed strategies and how the health care team can work at the top of their scope to improve patient outcomes. 

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Presented by:
Tami DeCoteau, PhD


Dr. DeCoteau is a Trust-Based Relational Intervention (TBRI) practitioner. TBRI is a therapeutic model that trains caregivers to provide effective support for at-risk children. She is also trained in various other trauma treatment modalities, including EMDR, somatic processing, attachment intervention, NMT (neurosequential model of therapeutics), and TF-CBT.

Dr. DeCoteau has extensive experience working with patients who suffer from complex trauma, neurodevelopmental disorders, grief, anxiety, depression, and suicidal thinking. Aside from clinical work, Dr. DeCoteau has given numerous lectures on how trauma impacts attachment and brain development, in-school strategies for working with traumatized children, and historical trauma. She is an enrolled member of the Mandan, Hidatsa, Arikara Nation and a descendant of the Tutle Mountain Band of Chippewa.

Tami DeCoteau, PhD has nothing to disclose.

Play Therapy 101: Welcome to the Play Room
Course ID: 21CE00067

Learning Objectives

  • Describe the functions of play therapy and how trauma, ADHD, anxiety, and attachment disruptions can threaten healthy play for children.
  • Identify developmentally appropriate play therapy toys and materials that can be incorporated into either a permanent or traveling playroom for the purposes of both assessment and treatment.
  • Articulate the roles and responsibilities of the team involved in basic play therapy skills, including structuring, tracking, a reflection of content and process, returning responsibility, facilitating self-advocacy, and limit setting. 


 Click to Claim Credit for this Module

Presented by
Kara Carnes-Holt, PhD


Dr. Carnes-Holt is an associate professor in the counseling program at the University of Wyoming. She is a professional counselor, a registered play therapist, and an approved play therapy supervisor (RPT-S). She is also the founder and director of the Rocky Mountain Center of Play Therapy Studies at the University of Wyoming.

Kara has special interests in utilizing humanistic play therapy, CPRT, and expressive arts interventions as they utilize the therapeutic relationship as the primary and foundational agent of change for children, adolescents, and their families. She has a personal and professional passion for supporting adoptive and foster families. Most importantly, Kara enjoys being with a perfectly imperfect family, random dance parties, and time away from ZOOM.

Kara Carnes-Holt, PhD has nothing to disclose.



jointly_accredited_provider_logo.jpgIn support of improving patient care, University of Nebraska Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


The University of Nebraska Medical Center designates each enduring material for 1.0 ANCC contact hour.  Nurses should only claim credit for the actual time spent participating in the activity.


Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. Each enduring material has been approved for 1.0 credit hour of continuing education credit.


As a Jointly Accredited Organization, University of Nebraska Medical Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Nebraska Medical Center maintains responsibility for this activity. Social workers completing each enduring material receive 1.0 continuing education credit.



As a jointly accredited provider, the University of Nebraska Medical Center (UNMC) ensures accuracy, balance, objectivity, independence, and scientific rigor in its educational activities and is committed to protecting learners from promotion, marketing, and commercial bias. Faculty (authors, presenters, speakers) are encouraged to provide a balanced view of therapeutic options by utilizing either generic names or other options available when utilizing trade names to ensure impartiality.

All faculty, planners, and others in a position to control continuing education content participating in a UNMC accredited activity are required to disclose all financial relationships with ineligible companies. As defined by the Standards for Integrity and Independence in Accredited Continuing Education, ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. The accredited provider is responsible for mitigating relevant financial relationships in accredited continuing education.  Disclosure of these commitments and/or relationships is included in these activity materials so that participants may formulate their own judgments in interpreting its content and evaluating its recommendations.

This activity may include presentations in which faculty may discuss off-label and/or investigational use of pharmaceuticals or instruments not yet FDA-approved. Participants should note that the use of products outside currently FDA-approved labeling should be considered experimental and are advised to consult current prescribing information for FDA-approved indications.

All materials are included with the permission of the faculty. The opinions expressed are those of the faculty and are not to be construed as those of UNMC.


The accredited provider has mitigated and is disclosing identified relevant financial relationships for the following faculty, planners, and others in control of content prior to assuming their roles:  


The below faculty have nothing to disclose:

Kara Carnes-Holt, PhD, LPC, RPT-S
Tami DeCoteau, PhD
Ciara Warden, LISW


The below planning committee members have nothing to disclose:

Valeta Creason-Wahl, HMCC
Julia Houfek, PhD, APRN-CNS
Catherine Jones-Hazledine, PhD
Heidi Keeler, PhD, RN
Ann Kraft, BA
Renee Paulin, MSN, RN, CWOCN
Erin Schneider, MSW
Tara Wilson, PhD, NCC, LMHP


These enduring materials are not supported by any commercial or financial interests.