Bivona Child Advocacy Center’s
Annual Child Abuse Summit
April 24 & 25, 2019


Wednesday, April 24, 2019
(Day One)

8:00-9:00 a.m.: Registration, Breakfast

9:00-9:30 a.m.: Welcome Ceremony

9:30-10:30 a.m.: Keynote Address – Aly Raisman

10:30-11:00 a.m.: Vendor Break

11:00 a.m.-12:30 p.m.: Workshop Session I (5 offered)

12:30-1:30 p.m.: Lunch (Provided)

1:30-3:00 p.m.: Workshop Session II (5 offered)

3:00-3:30 p.m.: Vendor Break

3:30-5:00 p.m.: Workshop Session III (5 offered)

5:00-7:30 p.m.: Network Reception (includes hot appetizers and complimentary drink)

KEYNOTE ADDRESS – Fierce: My Survivor Story
Aly Raisman; Six-Time Olympic Medalist in Gymnastics, Author

A leader on and off the floor, Raisman uses her platform to promote positive body image and encourages everyone to be comfortable and confident in their own skin. In her New York Times best-selling memoir, – Fierce – she shares the highs and lows of her journey, including her survival of sexual abuse. Inspired by an army of survivors, Raisman continues her advocacy for systemic changes within the sport of gymnastics and efforts to help eradicate sexual abuse in youth sports. In this Q & A session, Raisman will shed light on her experience as a survivor of sexual abuse perpetrated by Larry Nassar, and her journey.

WORKSHOP SESSION I

ONCE A VICTIM, NOW A SURVIVOR
Sayeh Rivazfar; Investigator, New York State Police
Sayeh Rivazfar is currently the oldest of six children. In Sayeh’s early childhood, she, her sister Sara, and brother Arash became victims of mental and physical child abuse at the hands of their biological mother who lived in Pensacola, Florida. Sayeh’s mother had various men in and out of their home, along with alcohol and drug abuse. On September 21, 1988, Sayeh, then age 8 and Sara, age 6, were kidnapped from their home during the late night by a man known as Raymond Warfield Wike, one of their mother’s boyfriends. Wike had taken the girls to a nearby wooded area, raped Sayeh for hours, and then lacerated both girls’ throats leaving them for dead. Sayeh feared she would be attacked again, so she pretended to be deceased until Ray drove away and left the area. As a result of her experiences, Sayeh has become the voice for other victims. In this workshop, Sayeh will cover her personal survivor story including child abuse and sexual assault with criminal and custodial case breakdown.

THE CULTURE OF CHILDHOOD
Jodi Mullen, PhD LMHC RPT-S,Director, Integrative Counseling Services
Dr. Jodi Mullen discusses her research and experience on the culture of childhood. In order to be effective clinically with children we have to be competent cross-culturally. Luckily, the language of play is universal. Still, helping professionals must take into account the world of children is vastly different from that of adults. There exist rules, values, customs, and language that are part of a culture adults have left long behind. A culture where one is generally powerless, physical size matters, and your daily accomplishments are judged as inconsequential by the dominant culture of adulthood (drawings, homework, physical tasks like cartwheels). What’s important to children is not judged as such by the dominant culture. Children experience a childhood where their thoughts and feelings are often dismissed and minimized - little person equals little problem.

WHEN A CHILD STANDS ALONE: THE SEARCH FOR CORROBORATING EVIDENCE
Victor Vieth; Director of Education & Research, Zero Abuse Project
In this workshop, attendees receive some tips on thinking creatively in finding corroborating evidence in cases of child abuse when the primary evidence is a child's statement. Working through several case scenarios, attendees apply these concepts in developing a list of items that may be corroborative of a child's outcry.

AGES AND STAGES OF CHILDHOOD SEXUAL DEVELOPMENT AND BEHAVIOR: WHAT’S NORMAL AND WHAT’S NOT
Lisa Schuster, PhD, Pediatric Psychologist; Referral and Evaluation of At-Risk Children (REACH) Clinic at Children’s Medical Center, Dallas
A developmental perspective will guide this discussion of normative and concerning sexual behaviors during childhood. This presentation will discuss introductory information regarding sexual development and behavior. Each developmental stage (infants, toddlers and preschoolers, young children, school-age children, and adolescents) will be explored including normal sexual behaviors and those that could be red flags of abuse. Strategies for addressing sexual behaviors will also be reviewed. Finally, several case examples will be discussed and evaluated on a continuum of sexual behaviors using an interactive audience response system. Handouts will be provided for normative/concerning sexual behaviors at each developmental stage.       ` 

CHILD SEXUAL ABUSE: THE PERPETRATOR PERSPECTIVE
Dr. Graham Hill; Criminologist, KLIK Protective Services
This presentation aims to dispel some of the common myths that surround the behavior of those that sexually abuse children. It uses a conceptual model to describe how perpetrators develop and maintain their deviant sexual arousal to children. Attendees will be made aware of the importance of improving their understanding of perpetrator behavior and the impact this can have on their working practices and decision-making.

WORKSHOP SESSION II

THE FRONTLINE WORKER – CHILD ABUSE AND INJURY INVESTIGATION AND RECONSTRUCTION
Jim Holler; Retired Police Chief, Consultant, Holler Training
Injury and scene reconstruction are a must as the investigator gains "explicit knowledge” of the series of events that surround the commission of the abuse using deductive and inductive reasoning, physical evidence, and scientific methods to determine how the injury occurred. This workshop will provide investigators with a better understanding of injury and scene reconstruction and some simple, but effective, tools to use such as injury and scene photography, video, play-dough reconstruction, dolls, and other non-traditional means to help recreate and determine the possible cause of injury.

MAKING CONNECTIONS WITH PARENTS
Jodi Mullen, PhD LMHC NCC RPT-S CPT-Master; Director, Interactive Counseling Services
In this workshop, participants will explore ways to talk with parents and caregivers about their children that demonstrate caring, empathy and sensitivity.  Parents inherently believe they are at fault when their child is having difficulties or making poor choices.  The skills taught in this program are based on the premise that parents and caregivers are on the defensive when communications focus on their child.

CORPORAL PUNISHMENT, THE LAW AND THE FAITH COMMUNITY
Victor Vieth; Director of Education & Research, Zero Abuse Project
Attendees receive a case of child physical abuse involving corporal punishment in which the parent's conduct is rooted in religious beliefs. Students learn where these beliefs come from and receive helpful tips in determining religious beliefs that are extreme and may result in egregious harm as well as beliefs that are more moderate. In moderate cases, MDTs are given concrete, research-rooted strategies for working with parents using physical discipline based on their understanding of the Bible. Students will apply these strategies to a case study.

INTERVIEWING CHILDREN WHO WITNESS VIOLENCE         
Andra Chamberlin, M.A.; Child Forensic Interview Specialist/Trainer, National Children’s Advocacy Center
Persons charged with the critical task of communicating effectively with children who have witnessed homicide or other violent crimes can be hindered by the degree of trauma experienced by the child, the child’s age and development, as well as a lack of knowledge on how to conduct interviews in a forensically sound manner. This presentation will provide participants with an understanding of how grief and trauma impacts children, assist in identifying challenges investigators, interviewers, and prosecutors face when attempting to gather information pertinent to the investigation or prosecution, and explore methods to successfully gather information from traumatized children.

CHILD SEXUAL ABUSE: CONDUCTING MEANINGFUL INTERVIEWS WITH SUSPECTED PERPETRATORS
Dr. Graham Hill; Criminologist, KLIK Protective Services
Interviewing or conducting face to face meetings with those convicted or suspected of sexually abusing children is a skill that professionals need to acquire and continually practice if they want to work effectively with this client group. Attendees will be made aware of the main presentation styles perpetrators adopt during interview and informal face to face meetings with professionals and some of the effective techniques that can be used when working with this client group.

WORKSHOP SESSION III

SOCIAL WORKERS – MAKING A CASE FOR SAFETY
Jim Holler; Retired Police Chief, Consultant, Holler Training
Each day hundreds of thousands of social workers make home visits in the United States spending countless hours behind the scenes assisting those in need, however; at times they may be forced to deal with individuals who become angry and will attempt to take their aggression out on the social worker. Sometimes, despite efforts to control the situation, it can very quickly escalate into a potentially dangerous situation.  This presentation will stress the importance of, not only recognizing a potentially dangerous situation, but also how to defuse it as quickly as possible. The presentation will help the service provider to use communication techniques that can very quickly defuse a hostile situation as well as offer life saving tips for the service provider on how to protect themselves if violence erupts from a one-on-one attack to an active shooting situation.

HOW TRAUMA IMPACTS CHILDHOOD
Jodi Mullen, PhD LMHC NCC RPT-S CPT-Master; Director, Integrative Counseling Services
As clinicians who work with children, we are well aware of the unique and complex issues that traumatized children bring to therapy sessions.  Their pain, losses, and fears are present even when they do not verbalize their experiences, feelings or thoughts.  The ability of the clinician to skillfully engage with traumatized children is enhanced through practice and experiential, authentic learning opportunities.  In this workshop, participants will have the opportunity to practice identifying the markers of trauma in children, and recognize the special issues these children present clinically.

FACEBOOK 101 FOR LAW ENFORCEMENT AND PROSECUTION
Emily Vacher; Director of Trust & Safety, Facebook
Facebook 101 training will include information for law enforcement on Facebook's on-line records request system, Facebook policies and procedures, safety initiatives and guidelines for law enforcement officers on working with Facebook.

INTERVIEWING PRESCHOOLERS
Andra Chamberlin, M.A.; Child Forensic Interview Specialist/Trainer, National Children’s Advocacy Center
Forensic interviewers find it difficult to interview preschoolers using standard protocols and recommendations for questioning. Preschool children notoriously have unique and limited language, a poor sense of time, a brief attention span, and pronounced lack of self-control or behavioral inhibition. And yet a young child does have memories of recent events, a growing ability to use language, and may be less reserved about “telling.” Knowledge of early child development shares equal importance with knowledge of the principles of good forensic interviewing practice. This presentation will review important developmental strengths and weaknesses; as well as focus on adaptations to the typical interview structure that may make the time spent with the preschooler more productive.

CHILD SEXUAL ABUSE: PERPETRATORS IN POSITIONS OF TRUST
Dr. Graham Hill; Criminologist, KLIK Protective Services
This presentation aims to explore the key characteristics of both men and women who use their position to manipulate victims and others to facilitate their sexual abuse and remain in positions of trust. Attendees will be made aware of how perpetrators foster perceptions and manipulate the environment in which they work.  It also highlights the pivotal role professional/personal curiosity has in safeguarding children.

Thursday, April 25, 2019 (Day Two)

8:00 – 9:00  a.m.: Registration & Breakfast

9:00 – 10:00 a.m.: Plenary Session – Dr. Brian Sims, MD

10:00 - 10:30 a.m.: Vendor Break

10:30 – 12:00 p.m.: Workshop Session IV (5 workshops offered)

12:00 – 1:00 p.m.: Lunch (Provided)

1:00 – 2:30 p.m.: Workshop Session V (5 workshops offered)

2:30 – 3:00 p.m.: Break

3:00 - 4:30 p.m.: Workshop Session VI (5 workshops offered)

PLENARY — The Neurobiology of Trauma
Dr. Brian R.Sims, M.D., Senior Medical Advisor, National Association of State Mental Health Program Directors

In this plenary session, the emphasis will be on understanding the mind-body connection of trauma and how trauma affects us neurobiologically.  The purpose of this session is to show the distinct and important correlations of trauma on our brains and how they may display in our thoughts and behaviors.  In this manner, it helps us to better understand the WHY’s of behavior, strengthening the points made in the first session of “All behavior has meaning.”  The discussion will contain material from Dr. Bruce Perry on child brain development, presented in a fashion fit for all audiences, to enhance the understanding that behaviors and experiences seen in childhood can have profound organizational changes in the brains of children, resulting in established behavioral patterns often seen later in life.  The goal for this session is to add tools to improve connection, as well as understand the need to connect past behaviors and events which have occurred in the lives of those we serve to the continuum of care of traumatized individuals, to promote not only recovery and healing, but encourage hope through supportive care.

WORKSHOP SESSION IV

TRAUMA INFORMED CARE – OVERVIEW AND SYSTEM CHANGING STRATEGIES
Dr. Brian R. Sims, M.D., Senior Medical Advisor; National Association of State Mental Health Program Directors
The workshop session will present an overview of the principles of trauma informed care, emphasizing that it is not “what’s wrong with you,” but “what happened to you,” and its applicability to interactions between those who work in any delivery system of care and those who suffer from various forms of trauma.  A review of the ACE Study (Adverse Childhood Experiences) will clarify the connections between experiences occurring early in childhood, (often before the development of language), and subsequent behaviors that may be seen later in life.  The intent of this overview is to empower those who work with anyone with histories of trauma, by arming them personally with more tools for their toolbox, recognizing that one does not have to be a therapist to be therapeutic, and how establishing connections can effectively change the trajectories of the people we serve to more positive outcomes. In this manner, it is hoped that those in attendance would complete the session ready to immediately add the tools provided in their present and future interactions with those with trauma enhancing the ability to avoid re-traumatization and strengthen connections.   Many examples will be provided of systems that have created significantly safer environments through the implementation of trauma informed practices.

THE JUXTAPOSITION OF SILENCE, SEXUAL VIOLENCE AND YOUTH OF COLOR
Dr. Tanisha Knighton, Ph.D, National Trainer and Consultant; Knighton Consulting Group, LLC
The field of sexual violence historically has failed to recognize the impact intersectionality has on experiences and response to sexual violence.  For some, there is limited appreciation for the fact that human trafficking survivors are also survivors of sexual violence.  This presentation will address the historical and ongoing failure of the sexual violence intervention movements to meet the needs of Youth Survivors of Color, the social injustice that often results in the sexual abuse to prison pipeline for these youth, and ways to engage in culturally-competent interventions to meet the needs of Communities of Color.

“AM I THE ONLY ONE MESSED UP?” VICARIOUS TRAUMA: THE SILENT KILLER FOR CHILD ABUSE INVESTIGATORS
Jim Holler; Retired Police Chief, Consultant, Holler Training 
We are ALL messed up!! Vicarious traumatization is unique to police officers, social workers and other crisis workers because of their frequent contact with human suffering, especially when dealing with children. Multidisciplinary child abuse team members routinely must respond to situations where they are exposed to the worst of people and the worst of what people do to each other. The psychological impact of such incidents is referred to as vicarious traumatization. This training will address ways police officers and social workers can deal with the two types of trauma they may have experienced: secondary traumatic stress disorder and vicarious traumatization.

THE INVESTIGATION AND PROSECUTION OF HUMAN TRAFFICKING
Robin Sax, JD, MSW; Lawyer, Mediator and Clinical Therapist, Law Offices of Robin Sax
There are many laws on the books about human trafficking which are designed to assist and ensure traffickers are prosecuted.  Yet, despite the number of laws many people do not know how to use them.  This workshop will break down human trafficking in order to explain the law, to understand the victims, and provide resources in prosecuting perpetrators and protecting victims.  As an expert in sexual assault, domestic violence, and child abuse, the presenter’s niche is in cases where criminal law meets family law and may or may not include dependency court. Note: Approved for 1.5 CLE Credit Hours.  Sponsored by the Monroe County DA’s Office.

THE FALL OF AN ICON:  THE ARREST AND CONVICTION OF JARED FOGLE (PART ONE)
Christopher Cecil, Sergeant Detective, Indiana State Police; Kevin Getz, Detective, Indiana State Police
This case study will explore the investigative steps and forensic analysis, which cumulatively led to the arrests and convictions of former Subway spokesman Jared Fogle and former Jared Foundation Executive Director Russell Taylor.Specifically, it will discuss how the case was handled, what steps were taken to uncover additional crimes of the offenders, and the lessons learned.The case study will illustrate how great teamwork between city, state, and federal investigators led to the rescue and identification of 14 children.

WORKSHOP SESSION V

USING WHAT WE KNOW: HELPING TEACHERS, FAMILIES AND COMMUNITIES RESPOND SYSTEMATICALLY TO CHILDREN AFFECTED BY FAMILIAL SUBSTANCE USE DISORDER
Marianna Footo Linz, Ph.D., Professor, Psychology; Psychology Department Chair, Marshall University
This workshop will focus on providing an overview of how the current substance use crises have unfolded in a variety of areas of the country and what the impact has been on families and children, particularly in the area of child development.  Using a biopsychosocial model, the workshop will explore the lessons we have learned from past epidemics and interventions that have been useful in responding to the biopsychosocial behavioral health needs of children and families.  Discussion will center on the need to harness prior knowledge in meeting the current challenges.

ETHICS PLEASE! OR ETHICS, PLEASE?: DEMYSTIFYING BOUNDARIES AND DUAL RELATIONSHIPS
Dr. Tanisha Knighton, Ph.D, National Trainer and Consultant; Knighton Consulting Group, LLC
As mental health professionals we have all been faced with situations where it was unclear if a boundary has been crossed or an unethical dual relationship exists.  In these situations we must rely on internal cues and personal characteristics to assist us in our decision making process. This interactive presentation is designed to help professionals navigate ethical decisions regarding boundary violations, boundary crossings, and dual relationships.  By reviewing various ethical codes and case studies, an understanding of the main arguments for and against dual relationships, judicious boundary crossings and non-sexual dual relationships can be gained.

 SENTINEL INJURIES IN CHILD PHYSICAL ABUSE
Kristin Garton Crichton, DO, MPH; Child Abuse Pediatrician, Nationwide Children’s Hospital, Columbus, OH
This case-based workshop will discuss sentinel injuries, subtle exam findings in young children that are concerning for physical abuse. We will address the increasing morbidity and mortality associated with recurrent physical abuse, how to evaluate a child once these injuries are identified, and how to approach these cases as objectively as possible.

HOW TO TURN CASE WEAKNESSES INTO CASE STRENGTHS
Robin Sax, JD, MSW; Lawyer, Mediator and Clinical Therapist, Law Offices of Robin Sax
Bad victim, seemingly no corroboration, delay in reporting.  Yes, these are the holes for criminal defense attorneys defending sex crimes.  The presenter will help show you how to turn these holes into opportunities.  This workshop will help look for strengths in what may appear to be case weaknesses. Note: Approved for 1.5 CLE Credit Hours.  Sponsored by the Monroe County DA’s Office.

THE FALL OF AN ICON: THE ARREST AND CONVICTION OF JARED FOGLE (PART TWO)
Christopher Cecil, Sergeant Detective, Indiana State Police; Kevin Getz, Detective, Indiana State Police
This case study will explore the investigative steps and forensic analysis, which cumulatively led to the arrests and convictions of former Subway spokesman Jared Fogle and former Jared Foundation Executive Director Russell Taylor.  Specifically, it will discuss how the case was handled, what steps were taken to uncover additional crimes of the offenders, and the lessons learned.  The case study will illustrate how great teamwork between city, state, and federal investigators led to the rescue and identification of 14 children.

WORKSHOP SESSION VI

EXPLORATORY ANALYSIS OF CHILD PORNOGRAPHY POSSESSORS
Tony R. Smith, PhD; Associate Professor, Criminal Justice Department, Rochester Institute of Technology
The results of a study that examined 260 offenders supervised by federal probation in the Western District of New York will be presented. The prevalence of clients who self-reported sexual contact with minors and characteristics associated with supervision outcomes will be discussed.

PUT YOUR OXYGEN MASK ON FIRST: PRACTICING SELF-CARE WHEN FACED WITH COMPASSION FATIGUE
Dr. Tanisha Knighton, Ph.D, National Trainer and Consultant; Knighton Consulting Group, LLC
For those working in the helping professions, compassion fatigue is as common as “turbulence” during a windy flight.  In order to address this turbulence one must develop self-care strategies and warning systems to let them know they are moving into the caution zone and the oxygen masks will soon deploy.  Prevention and self-care can best happen when professionals are able to distinguish between and identify personal and professional vulnerabilities.  This interactive workshop will help professionals renew their passion and commitment to the field and their work.

FINDINGS AND MIMICS OF CHILD SEXUAL ABUSE
Kristin Garton Crichton, DO, MPH; Child Abuse Pediatrician, Nationwide Children’s Hospital, Columbus, OH
This case-based, interactive workshop will explore the epidemiology of sexually transmitted infections (STIs) in child sexual abuse, including when and how to evaluate for STIs and the significance of a positive test for an STI in children and adolescents. We will then discuss challenging cases in child sexual abuse in terms of unique physical exam findings and common mimics of child sexual abuse. 

ONCE A VICTIM, NOW A SURVIVOR (REPEAT)
Sayeh Rivazfar; Investigator, New York State Police
Sayeh Rivazfar is currently the oldest of six children.  In Sayeh’s early childhood, she, her sister Sara, and brother Arash became victims of mental and physical child abuse at the hands of their biological mother who lived in Pensacola, Florida.  Sayeh’s mother had various men in and out of their home, along with alcohol and drug abuse.  On September 21, 1988, Sayeh, then age 8 and Sara, age 6, were kidnapped from their home during the late night by a man known as Raymond Warfield Wike, one of their mother’s boyfriends.  Wike had taken the girls to a nearby wooded area, raped Sayeh for hours, and then lacerated both girls’ throats leaving them for dead.  Sayeh feared she would be attacked again, so she pretended to be deceased until Ray drove away and left the area.  As a result of her experiences, Sayeh has become the voice for other victims. In this workshop, Sayeh will cover her personal survivor story including child abuse and sexual assault with criminal and custodial case breakdown.

THE MIND/BODY CONNECTION APPROACH TO HEALING TRAUMA
Lisa D. Maynard, LMSW, TCTSY-F; Private Practitioner, Tree of Hope Counseling & Dena Rain Adler, M.A. ATR CMBM                                         New scientific research indicates our sense of selves is deeply anchored in a vital connection with our bodies. This tells us the wounds of trauma are held deep within the human body, and therefore to fully heal, treatment must include somatic elements. The intrinsic mind/body connection of yoga provides the practitioner with the vital link between wounds stuck inside the body and the deep healing needed.

The focus on mindfulness techniques supports each participant to have a clearer understanding of what’s going on inside to respond to stress more effectively and to improve health and well-being. Living in a more mindful way strengthens our connection to ourselves and others. Yoga and Mind-Body techniques include breathing & movement, meditations, guided imagery, biofeedback, autogenic training, healthy mindful eating and the use of drawings and journals. This workshop will cover the theoretic underpinnings and key aspects of the Trauma Center Trauma Sensitive Yoga and Mind-Body Skills.

*Yoga mats will be available but are not necessary to participate in this workshop. Facilitators will lead a brief practice to accommodate everyone.