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Recognizing and Responding to Adversity and Toxic Stress Among Native Children and Youth


Recognizing and Responding to Adversity and Toxic Stress Among Native Children and Youth Banner

  • Overview
  • Faculty
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Date & Location
Tuesday, July 22, 2025, 12:00 AM - Friday, July 21, 2028, 11:59 PM

Overview

A Continuing Medical Education activity presented by the Stanford Center for Youth Mental Health and Wellbeing. This Native American Youth Mental Health ECHO didactic session features a presentation by Steven Sust, MD and Shoshoni Gensaw-Hostler, MA, AMFT.

The information covered will discuss how social, behavioral, and economic factors shape lifelong health disparities. Explore therapeutic interventions for youth facing adversity and strategies to advocate for those experiencing toxic stress in American Indian and Alaska Native communities.


Registration

Release Date: July 22, 2025

Expiration Date: July 21, 2028

Estimated Time to Complete: 42 minutes

Registration Fee: FREE

Activity and Learning Materials
Click Begin (at the top) to launch the activity. This session is part of The Native American Youth Mental Health ECHO Project. To learn more about this project and find additional resources, please visit the NAYMH ECHO Project Website.


Credits
AMA PRA Category 1 Credits™ (0.75 hours), AAPA Category 1 CME credits (0.75 hours), ACPE Contact Hours (0.75 hours), ANCC Contact Hours (0.75 hours), APA Continuing Education credits (0.75 hours), Non-Physician Participation Credit (0.75 hours)

Target Audience
Specialties - Adolescent Medicine, Family Medicine & Community Health, Family Medicine & Community Health, Internal Medicine, Pediatrics, Psychiatry & Behavioral Sciences, Psychiatry & Behavioral Sciences
Professions - Fellow/Resident, Non-Physician, Nurse, Pharmacist, Physician, Psychologist, Registered Nurse (RN), Social Worker

Objectives
At the conclusion of this activity, learners should be able to:

  1. Describe how lifelong disparities are determined by social, behavioral and economic factors.
  2. List 3 practical therapeutic interventions working with youth presenting clinically with adverse experiences.
  3. Advocate for clients experiencing toxic stress in American Indian and Alaska Native communities.

Accreditation

In support of improving patient care, Stanford Medicine 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. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accreditation Council of Pharmacy Education (ACPE) 
Stanford Medicine designates this knowledge-based activity for a maximum of 0.75 hours. Credit will be provided to NABP CPE Monitor within 60 days after the activity completion. UAN: JA0000751-0000-25-014-H04-P.

For Pharmacists to Claim ACPE Credit: Pharmacists must submit to us their NABP e-Profile ID and Date of Birth for credit to be reported to CPE Monitor. If you wish to claim ACPE credit, please enter your NABP ePID# and Date of Birth in your CE Profile. Log in to Stanford's CME portal > My CE > Profile tile > Credentials > Select NABP ePID# from the drop down and enter your ID number. Please also enter your Date of Birth (month and day) in your profile under Basic Information.  The field will appear when you select your Profession as Pharmacist.

American Nurses Credentialing Center (ANCC) 
Stanford Medicine designates this Enduring Material for a maximum of 0.75 ANCC contact hours.  

American Academy of Physician Associates (AAPA) - Enduring Materials 
Stanford Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This enduring activity is designated for 0.75 AAPA Category 1 CME credits. Approval is valid until 06.11.28. PAs should only claim credit commensurate with the extent of their participation. 

American Psychological Association (APA) 
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. 


Additional Information

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References

Presentation 1 References:

  • I'm So Stressed Out! Fact Sheet. http://www.nimh.nih.gov/health/publications/stress/index.shtml

  • Center on the Developing Child, Harvard University. http://developingchild.harvard.edu/topics/science_of_early_childhood/toxic_stress_response

  • Sapolsky, R. Mothering style and methylation. Nat Neurosci 7, 791–792 (2004). https://doi.org/10.1038/nn0804-791

  • Washington Partner Access Lines, https://www.hca.wa.gov/billers-providers-partners/program-information-providers/partnership-access-lines-pal

Presentation 2 References:

  • Two Feather NAFS youtube channel, https://www.youtube.com/channel/UCLu2tCW21TUR9y09boe6j9A. "He Oranga Ngakau: Maori Approaches to Trauma Informed Care" with Dr. Linda Tuhiwai Smith - YouTube. "Healing the Soul Wound" with Dr. Eduardo Duran Conversation - YouTube

  • Ka’m Tem, https://kamtemindigenousknowledge.com/#:~:text=Ka%E2%80%99mt%E2%80%99em%20translates%20in%20the%20Yurok%20language%20as%20a,of%20resistance%2C%

  • Mailhot, Terese M. (2019). Heart berries: a memoir. First Counterpoint paperback edition. Counterpoint.

For Native American Youth Mental Health ECHO Project Team question, please contact
     Email: [email protected]

For CME general questions, please contact 
 
   Email: [email protected]



Mitigation of Relevant Financial Relationships


Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.

Speakers:

Steven Sust, MD - Nothing to disclose

Shoshoni Gensaw-Hostler, MA, AMFT - Nothing to disclose

Planners (see table below)



Member Information
Role in activity
Nature of Relationship(s) / Name of Ineligible Company(s)
Faculty Photos
Steven Adelsheim, MD
Clinical Professor, Psychiatry and Behavioral Sciences
Stanford University School of Medicine
Course Director
Nothing to disclose
Shoshoni Gensaw-Hostler, MA
Yurok Tribe
Faculty, Planner
Nothing to disclose
Faculty Photos
Steven Sust, MD
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
Stanford University School of Medicine
Faculty, Planner
Nothing to disclose
Andina Aste-Nieto, LPCC
Counselor
Southern CA American Indian Resource Center
Planner
Nothing to disclose
Dan J Calac, MD
CMO
Indian Health Council
Planner
Nothing to disclose
Christina Cruz, PsyD
Alamo Navajo Health Center
Planner
Nothing to disclose
Pia M Ghosh
Stanford School of Medicine
Planner
Nothing to disclose
Rachel Harvey, MPS
Public Health Specialist
Indian Health Service
Planner
Nothing to disclose
Carolyn Kraus-Koziol, MD
Stanford Health Care
Planner
Nothing to disclose
Justin Peglowski, MSSA
HSA
IHS
Planner
Nothing to disclose
Kimberly Perris, DNP
Director of Nursing
Assistant Professor
Humboldt State University
Planner
Nothing to disclose
Carolyn Pumares, PharmD, MSc
Indian Health Service
Planner
Nothing to disclose
Jeremiah D Simmons, PhD
Post-Doctoral Fellow
Stanford University Department of Psychiatry and Behavioral Sciences
Planner
Nothing to disclose
Kate Turek, MFT
EDUCATION & CAREER COUNSELOR
SCAIR INC
Planner
Nothing to disclose

Recognizing and Responding to Adversity and Toxic Stress Among Native Children and Youth

Presented by Steven Sust, MD, and Shoshoni Gensaw-Hostler, MA, AMFT

INSTRUCTIONS: Click the Launch Video button to watch the video. Next, click the Claim CE button. Then, attest to your participation, view results, and complete the Evaluation. After successful completion, your credit transcript will be available to view and download immediately in MY CE portal. 

Can’t find the evaluation? Click the MY CE button and select the Evaluation and Certificates tile. Select the Complete Evaluation button associated with the activity

View/Download Slides Presentation 1

Launch Video Claim CE

 

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