Approaching Eating Disorders with Cultural Humility

Tuesday, July 22, 2025, 12:00 AM - Friday, July 21, 2028, 11:59 PM

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 Rose Steele and Steve Sust, MD.

This information provided will discuss how cultural engagement and integration of cultural practitioners in tribal clinics support early intervention and resilience in youth with Eating Disorders. Learn screening methods, positive body image messaging, and collaborative strategies across clinics, families, and schools.

Release Date: July 22, 2025

Expiration Date: July 21, 2028

Estimated Time to Complete: 48 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.

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)

1. Recognize the protective nature of early engagement in culture and how the integration of cultural perspective in primary care clinics can promote resilience.
2. Acquire an understanding of how the integration of cultural practitioners into tribal clinics can assist clinicians in addressing Eating Disorders.
3. Recognize attitudes/statements that affect youth body image and positivity
4. Identify Eating Disorder screening and intervention methods in primary care settings
5. Acquire new knowledge regarding cultural and psychosocial stressors affecting Eating Disorders that requires close collaboration between clinicians, schools, parents, and children.

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 Credits^TM.  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: JA0000751-0000-25-016-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. 

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

1. Striegel-Moore, R. H., Rosselli, F., Holtzman, N., Dierker, L., Becker, A. E., & Swaney, G. (2011). Behavioral symptoms of eating disorders in Native Americans: Results from the ADD Health Survey Wave III. International Journal of Eating Disorders, 44(6), 561–566. https://doi.org/10.1002/eat.20894

2. Loth, K. A., Neumark-Sztainer, D., & Croll, J. K. (2008). Informing family approaches to eating disorder prevention: Perspectives of those who have been there. International Journal of Eating Disorders, 42(2), 146–152. https://doi.org/10.1002/eat.20586

3. Horn, Natalie, "Body Neutrality" (2021). Sociology Student Work Collection. 75. https://digitalcommons.tacoma.uw.edu/gender_studies/75

4. Golden, N. H., Schneider, M., Wood, C., Daniels, S., Abrams, S., Corkins, M., De Ferranti, S., Magge, S. N., Schwarzenberg, S., Braverman, P. K., Adelman, W., Alderman, E. M., Breuner, C. C., Levine, D. A., Marcell, A. V., O’Brien, R., Pont, S., Bolling, C., Cook, S., . . . Slusser, W. (2016). Preventing obesity and eating disorders in adolescents. PEDIATRICS, 138(3). https://doi.org/10.1542/peds.2016-1649

5. Hornberger, L. L., Lane, M. A., Hornberger, L. L., Lane, M., Breuner, C. C., Alderman, E. M., Grubb, L. K., Powers, M., Upadhya, K. K., Wallace, S. B., Hornberger, L. L., Lane, M., Frcpc, M., Loveless, M., Menon, S., Zapata, L., Hua, L., Smith, K., & Baumberger, J. (2020). Identification and management of eating disorders in children and adolescents. PEDIATRICS, 147(1). https://doi.org/10.1542/peds.2020-040279

6. Primary Care Principles For Child Mental Health [Seattle Children’s Hospital]. (2025). Eating disorder. In Chrome-extension://Efaidnbmnnnibpcajpcglclefindmkaj/https://www.seattlechildrens.org/globalassets/documents/healthcare-professionals/pal/wa/wa-eating-disorder-care-guide.pdf.

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:

Rose Steele - Nothing to disclose

Steve Sust, MD - Nothing to disclose

Planners (see table below)