Interdisciplinary Team Training to Support Hospital-to-Home Transitions: Foundation in PMADs and PFD

April 13, 2023 2:00 pm

Presentation Summary

Infants and their caregivers transitioning from hospital-to-home have specific mental health, feeding and nutrition care needs. Teams serving these families lack interdisciplinary training grounded in caregiver mental health to meet their needs. A 3-day virtual interdisciplinary team training was developed and offered to interdisciplinary feeding teams in Washington State.

Learning Objectives

  1. Identify unique care needs for infants and caregivers when transitioning from hospital-to-home
  2. Describe novel interdisciplinary training approach for hospital-to-home transition
  3. Choose one to two connections to make to improve your team’s hospital-to-home transition process


  • Tiffany Elliott

    Tiffany Elliott MS, CCC-SLP, CNT, IBCLC

    Tiffany Elliott is a Speech-Language Pathologist (SLP), specializing in pediatric feeding and swallowing disorders with an emphasis on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also a Certified Neonatal Therapist (CNT) and an International Board-Certified Lactation Consultant (IBCLC). She was chosen to complete the ASHA Leadership Development program and awarded a Distinguished Professional Achievement Award from her undergraduate university. She currently works at the University of Washington Medical Center, where she co-founded the unit’s SLP program which offers an embedded, preventative neonatal therapy model. Without an outpatient therapy component, she noticed the care gap post NICU discharge and has partnered with professionals across Washington state to improve transitions home for these fragile infants and their families. Additionally, Tiffany has worked in two area Children’s hospitals, completing instrumental swallow evaluations as well as feeding/swallowing care for primarily infants and toddlers. She enjoys teaching and has lectured locally and nationally on pediatric feeding and swallowing disorders.

    Financial Disclosures: Receives hourly compensation from Seattle Children’s Hospital; a grant and hourly compensation from the Northwest Center; and an honorarium from the Rocky Mountain University of Health Professionals (RMUHP).

    Non-financial Disclosures: Tiffany is a steering committee member on the Pediatric Feeding Association. She has participated in ECTA Cross-State Technical Assistance workgroup on Infant & Early Childhood Mental Health (IECMH) and Early Intervention (EI, Part C).

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  • Mari Mazon

    Mari Mazon MS, RDN, CD

    Mari Mazon is a pediatric dietitian in Seattle, WA. She serves the Birth-to-3 population as part of an interdisciplinary feeding team, and children undergoing interdisciplinary evaluation for developmental challenges. Her other works include working with the state on increasing families' access to evidence-based nutrition and feeding services in WA State and serving as nutrition faculty on interdisciplinary training grants.

    Financial Disclosures: Receives a salary from University of Washington Center on Human Development & Disability (UW CHDD) and Kindering.

    Non-financial Disclosures: None.

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  • Leslie Butterfield

    Leslie Butterfield PhD

    Leslie Butterfield is a licensed clinical psychologist specializing in perinatal mental health. She provides clinical services to individuals and couples facing the transition to parenthood, perinatal mood and anxiety disorders, perinatal loss, fertility challenges, traumatic birth, NICU stays, and infants with medical complexities. Additionally, she offers therapeutic and training services to healthcare providers and organizations in the childbirth community. For the past 10 years Leslie has provided specialized trainings and presentations for Perinatal Support of Washington, PATTCh (Prevention and Treatment of Traumatic Childbirth), and Postpartum Support International. She has traveled both nationally and internationally in her capacity as a trainer/consultant, offering services to a variety of medical and mental health organizations. She presents yearly webinars for Praeclarus Press and for her private practice, Transition to Parenthood. In her capacity as an educator, she has designed and taught the counseling skills curriculum for student midwives at Seattle Midwifery School and Bastyr Naturopathic University and developed a consultation model for therapists/nurses/doulas/midwives training in perinatal mental health. Leslie is a past Chairwoman and current board member of Perinatal Support – WA; a past President and current board member of PATTCh. In Spring 2019 Perinatal Support -WA and PATTCh co-sponsored and hosted the first American Trauma and Birth conference. Leslie is additionally a state coordinator and trainer for Postpartum Support International.

    Financial Disclosures: Receives compensation for provision of psychotherapy services from Transition to Parenthood for which she is the owner and from Postpartum Support International and Perinatal Support of Washington.

    Non-financial Disclosures: Leslie Butterfield serves on the Board of Directors for Perinatal Support of Washington and also on the Board of Directors for PATTCh (Prevention and Treatment of Traumatic Childbirth).

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  • Sara Circelli

    Sara Circelli MA, IMH-E

    Sara Circelli, MA, IMH-E is a Family Resources Coordinator and Hospital-to-Home Site Supervisor at Northwest Center, an Early Support for Infants and Toddlers (ESIT) agency. At Northwest Center, she manages a grant-funded project focused on integrating perinatal mental health services within home visiting services for infants and their families. She has received extensive training in recognizing and supporting Perinatal Mood and Anxiety Disorders (PMADs) and received a Compassionate Bereavement Care Certification from the Center for Loss and Trauma. Sara is a certified Promoting First Relationships (PFR) provider, a University of Washington program designed to help caregivers best support their young child’s social emotional development. In addition to her work at Northwest Center, she facilitates caregiver support groups for Group Peer Support and Postpartum Support International.

    Financial Disclosures: Receives a salary from Northwest Center Early Supports and is an Independent contractor and facilitator for Group Peer Support.

    Non-financial Disclosures:  Sara Circelli volunteers with Postpartum Support International as a Parent Support Group facilitator. She also has her Compassionate Bereavement Care Certification from the Center for Loss and Trauma and is a certified Promoting First Relationships (PFR) provider.

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