WEEKLY / October 15, 2014, VOL. 4, NO. 45   Send Feedback l View Online
Psychiatric News Update
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Medicare Reimbursement Penalties Coming

MedicareIn the proposed rule for the 2015 Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) advanced several initiatives that, in combination with already existing programs, can affect the reimbursement that physicians will receive from Medicare for their services. APA's Office of Healthcare Systems and Financing has posted detailed information on APA's website, including a chart with 2014 measures that are relevant to psychiatry.

CMS Extends Deadline for Meaningful Use Hardship Exception

CMSThe Centers for Medicare and Medicaid Services (CMS) has reopened its meaningful use hardship exception application for physicians and hospitals to avoid the 2015 penalty. The new deadline is November 30. Physicians who have been unable to fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability and those who were unable to attest by October 1 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule may apply for the exception. The CMS 2014 CEHRT Flexibility Rule allows physicians to use older certified EHR technology (Version 2011), a combination of old and new technology (Version 2011 and Version 2014), or just new technology (Version 2014) to attest for their 2014 reporting period. For more information and a link to the hardship exemption application, visit the cms website.

Sharpen Your Skills at Providing Military Care: Free Webinar

flagIn observance of Veterans Day, APA is collaborating with two major organizations to present a webinar that will help APA members provide more effective care to members of the military, veterans, and their families. The webinar, "Military Culture Counts: What Health Care Providers Need to Know in Assisting Service Members and Veterans," will be held on Monday, November 10, from noon to 1 p.m. The organizations partnering with APA are the Association of American Medical Colleges and Joining Forces, a public-private partnership created by First Lady Michelle Obama and Jill Biden, Ed.D., to improve the quality of life of members of the military, veterans, and their families.

Block out your schedule now to participate in this important educational experience to benefit those who have given selflessly to their country. Registration information will appear in a future issue.

Undecided About Attending IPS? Not Anymore!

IPS to Be Held October 30 to November 3,
San Francisco Marriott Marquis

IPSIf you still haven't made a decision about attending APA's 2014 Institute on Psychiatric Services, here's a tool that will win you over: the APA Meetings app. With this app, you can browse the many clinical and practice-related sessions on the schedule and learn about the special tracks. You can also add the sessions you want to attend to "My Schedule," view each floor of the Marriott Marquis, and browse the exhibitor list. To access the APA Meetings app, visit the App Store or Google Play and search for "APA Meetings" or click here. register today—it's not too late!

Already registered? Then download the APA Meetings app now and get a head start on planning your schedule and using the app's many features that will enhance your experience in San Francisco.

Don't Miss these sessions: APA's Division of Diversity of Health Equity is sponsoring a special track of sessions at APA's Institute on Psychiatric Services to help psychiatrists improve their skills at providing culturally competent care. Special issues pertaining to these and other populations will be discussed: American Indians, the LGBT community, African Americans, underserved communities, people in Appalachia, and refugees. Additional topics include sexual trafficking, collaboration among mental health and spiritual care professionals, and mental health care disparities. For a complete list of sessions, click here.

Expert Shares Insights on Treating Hispanic, Latino Patients

Jane DelgadoIn observance of National Hispanic Heritage Month, APA's Diversity at Work program celebrated the contributions of Hispanics and Latin Americans by inviting Jane Delgado, Ph.D., M.S., a clinical psychologist and president and CEO of the National Alliance for Hispanic Health, to discuss the importance of cultural competence when providing mental health services to Hispanic populations. Click here to watch her interview with Psychiatric News.

Free App Arms Parents With Antibullying Weapon

Young doctorYou might want to check out this free app from the Substance Abuse and Mental Health Services Administration (SAMHSA) and recommend it to parents to help their children prevent bullying or deal with it effectively. In observance of National Bullying Prevention Month, SAMHSA created KnowBullying to give parents an easy-to-use tool to learn the warning signs of bullying, start meaningful conversations with their children about bullying, and master strategies to prevent bullying. To download the app, click here.

Next Twitter Chat Marks International OCD Awareness Week

TwitterIn observance of International OCD Awareness Week, APA's is holding its next #YourMH @twitter chat on obsessive-compulsive disorder. Join your APA colleagues in responding to questions and comments from the public on Friday, October 17, from noon to 1 p.m. ET. To join, use #YourMH (stands for "Your Mental Health"), @apapsychiatric, or #ocdweek. If you haven't created a Twitter account yet, click here to do so now. Here's your chance to share your knowledge and insights.

Culture and Psychiatry to Be Focus of Free Conference

Drexel UniversityPsychiatry residents and faculty members are welcome to attend the Mid-Atlantic Regional Conference of the Psychiatry Interest Group Network (PsychSIGN) on November 8 at Drexel University College of Medicine in Philadelphia. The theme of the meeting is "Culture and Psychiatry." Registration is free, and breakfast and lunch will be provided. A panel discussion led by residents will be held in the afternoon. To register, contact Ashley Sterchele at psychsignr3@gmail.com by October 25.


Research Mentoring Opportunity for Junior Investigators

MentorMentoring opportunities are available for qualified applicants to the APA 2015 Research Colloquium for Junior Investigators, to be held May 17 in Toronto. Successful applicants will receive a stipend to present their research in a one-day meeting with distinguished senior leaders in psychiatric research. Junior investigators will receive guidance, mentorship, and information on career development and grantsmanship. Apply by December 1. For details, click here.

Call for Nominations for APA Caucuses

CaucusAPA is seeking nominations for qualified candidates for the following APA caucus positions to represent these caucuses' interests in the APA Assembly: Caucus of Asian-American Psychiatrists; Caucus of Gay, Lesbian, and Bisexual Psychiatrists; and Caucus of Women Psychiatrists. Nominations should be sent to diversityatapa@psych.org by November 3 and should include the nominee's name and contact information and a brief explanation of why the individual is qualified for this leadership role. (Self-nominations are accepted.) Nominees will be contacted to ensure their willingness to serve. For more details about the responsibilities of caucus officers and other information, click here or contact Alison Bondurant at (703) 907-8639 or diversityatapa@psych.org.

MUR Members: Get Ready for Next Year's Election

Drugs In APA's 2015 election, the position of minority and underrepresented (MUR) group trustee will appear on the ballot. Only enrolled members of the MUR caucuses can vote for the MUR trustee. Psychiatrists who identify with any of APA's recognized MUR groups and are not enrolled in a caucus are urged to join by December 1 so that they will receive a ballot that permits voting for this position. To join a caucus or check your caucus status, log on to online member profile, select Section 3: Current Practice and Professional Activities; and then go to question 3Fa APA Minority and Underrepresented Group Caucus Membership. Be sure to save your updated information. There are seven MUR caucuses: American Indian/Alaska Native/Native Hawaiian, Asian American, Black, Hispanic, Lesbian/Gay/Bisexual, International Medical Graduate, and Women.

2015 Distinguished Service Award Nominations Sought

AwardsThe Distinguished Service Award honors an APA member, nonmember, and/or organization that has contributed exceptional meritorious service to the field of psychiatry. Nominations must include the nominee's full name and contact information, along with a 150-word statement and a one- to two-page curriculum vitae describing the nominee's contributions to psychiatry. Nominations should be sent to ctobita@psych.org by October 31. For more information, click here.

Applications Sought for Improved 2015 Spurlock Congressional Fellowship

Jeanne SpurlockThe APA Jeanne Spurlock Congressional Fellowship is an opportunity for residents, fellows, and early career psychiatrists to represent the profession of psychiatry on Capitol Hill and work with federal policymakers to shape public policy. There is a new timeline for this fellowship, which now better aligns with the academic year (August 2015-June 2016). The new deadline for submitting an application is December 19.

More information and details on how to apply for the fellowship are available here.


Visit the New APA Marketplace for Valuable Benefits, Discounts

marketplaceThe APA Marketplace is an exclusive group of programs that deliver real savings to APA members on everyday products and services, such as insurance for you and your pet, car rentals, hotel stays, office supplies, prescription drugs, and more. Members can take advantage of discounted or group rates, as well as many exclusive specials and deals. Visit the APA Marketplace at www.apabenefits.org.

Legal Information and Consultation Available to APA Members

Enroll Early! Members who enroll by January 1, 2015, may deduct $25 from their fee.

LegalAs one of your member benefits, APA has an agreement with Anne Marie "Nancy" Wheeler, J.D., to offer confidential triage consultation on practice-related issues to APA members at a preferred rate. She will also provide names of local counsel when your issue requires representation or an opinion based on your state's law. All plan options include a quarterly e-newsletter that covers legal issues related to the practice of psychiatry and includes an FAQ section. (This plan is not available to members residing in North Carolina.) For more information, click here.


RAND Report Provides Guidance on Developing Integrated Care Approaches

Rand report chartA RAND Corporation report, funded by the New York State Health Foundation, examines several approaches that New York state community mental health centers have taken to improve the integration of behavioral health and primary care services for adults with serious mental illness. In addition to comparing three programs in depth, the report examines the policies and strategies that facilitate or impede each program type and integrated care overall. Read more.

Publications From American Psychiatric Publishing

Comprehensive Resource on Integrated Care and Psychiatry Now Available

Lori Raney, M.D.Integrated Care: Working at the Interface of Primary Care and Behavioral Health, a new book by American Psychiatric Publishing, brings together the two sides of the interface—with hands-on, how-to advice for mental health clinicians working as consultants to primary care and for primary care clinicians working as consultants in community mental health centers. "The first half of the book is about bringing evidence-based mental health care into the primary care setting," editor Lori Raney, M.D., told Psychiatric News. "The second half is about closing the mortality gap [in which people with serious mental illness die significantly earlier than the general population] by bringing good medical care into the mental health setting."

Watch for more about the book in Psychiatric News. For purchasing information, click here. APA members can purchase the book at discount.

Psychiatric News
Integrated Care: Not One Size Fits All

Jürgen UnützerIn this article, Jürgen Unützer, M.D., describes different models of integrated care. Among them are collaborative care (CC) and the behavioral health consultant (BHC). Research has demonstrated that CC is effective for a broad range of mental health problems, including depression, mood and anxiety disorders, PTSD, ADHD, substance abuse, and chronic pain. The BHC model emphasizes a generalist behavioral health provider embedded in a primary care clinic who provides rapid access to behavioral health intervention. Read more about these two models and how they meet the "Triple Aim" of high-quality care.

For other Psychiatric News articles on integrated care, click here.

Psychiatric Services
Primary Care Rarely Sole Source of PTSD Treatment

PTSDAiming to promote more use of mental health care among veterans, the VA has long offered mental health care in primary care settings. Researchers in the Connecticut VA system wondered where vets with PTSD were getting their PTSD treatment and were surprised by their findings: defying fears of stigma, veterans receiving treatment for PTSD at the Connecticut VA were highly likely to receive care at specialty mental health clinics, despite concerted efforts by the VA to provide mental health services in primary care. Only 13% of veterans received PTSD treatment exclusively in primary care. Read more.


Updated Resources Now Available for You

Ben RushAPA has recently revamped the Residents and Fellows Section of its website. The section contains resources, tools, meetings, and key contacts. One of the resources is building a career in psychiatry. This two-part guide is aimed at helping residents, fellows, and early career physicians successfully prepare for the transition points in their careers. The Residents and Fellows Section can be accessed here.

Share Your Opinion

From Lara Cox, M.D., APA's resident-fellow member (RFM) trustee:

Lara Cox, M.D., M.S.As your RFM trustee, I oversee the Residents' Forum in Psychiatric News and would like to invite you to participate in this column. Columns reflect the perspective or opinions of RFMs on matters that are important to us as trainees and beginning clinicians and give you an opportunity to get published early in your career. The length of the column should be 500-600 words.

If you have any questions or would like to send a submission, please contact me at larajcox.apa@gmail.com. Also, I look forward to hearing from you about any RFM issues in general. Thank you!


Participate in AJP's Journal Club

AJP CoverThe goal of the Journal Club is to facilitate the study of a major article in an APA scholarly journal and discuss it with other psychiatrists. A series of questions following a description of the article will help readers focus on its main points.

>>Adult Diagnostic and Functional Outcomes of DSM-5 Disruptive Mood Dysregulation Disorder
William E. Copeland, Ph.D., et al. (June 2014)

Discussion Questions:

1. What is the comorbidity profile of disruptive mood dysregulation disorder (DMDD) in childhood?
2. What long-term psychiatric outcomes have been found in adults with childhood DMDD?
3. What adult social functioning features are more likely to be seen in individuals with a history of DMDD?


• General News

• Nominations Invited

• Membership Gives You More

• Integrated Care: What It Means to

• For Residents and Fellows

AJP Journal Club





>>ICD Codes for Some DSM-5 Diagnoses Updated

>>DSM-5 Updates Depressive, Anxiety, and OCD Criteria

>>Several Therapies Show Success in Treatment of Personality Disorders

>>Genetic Variants Linked to Rare but Serious Clozapine Side Effect

>>New Gender Dysphoria Criteria Replace GID


>>Response to Ebola Crisis Will Require Attention to Mental Health Needs

>>WHO Report Emphasizes Need to Make Suicide Prevention a Global Priority

>>Two APA Toolkits Guide State Advocacy for Medicaid MH Services

>>Hiding in Plain Sight: The Public Health Crisis of Suicide

>>Journal Digest




American Psychiatric Publishing
Book of the Week

Book of the Week

Integrated Care: Working at the Interface of Primary Care and Behavioral Health

Edited by Lori Raney, M.D.

>>description, contents, and reviews

>>order the book


Job Hunting Made Easy: Here’s Help

Job CentralFor current job opportunities from the job board at APA Job Central, click here. In addition to searching the site for available positions, APA members may post their resume, set up email job alerts, and access a "job seeker" account.


Check out the latest issues of
APA’s major periodicals.

American Journal of Psychiatry

American Journal of Psychiatry

AJP>>Pleiotropic Locus for Emotion Recognition and Amygdala Volume Identified
This family-based study found that a region on chromosome 4 was related to variations in both face-emotion labeling and amygdala volume. Further research on this genetic region, which influences two distinct but related traits, may provide insights on pathophysiology and novel treatments.

AJP>>COMT Haplotypes Modulate Associations of Antenatal Maternal Anxiety and Neonatal Cortical Morphology
Combining data on genetics and brain morphology in infants with data on antenatal anxiety in the mothers of these infants revealed that particular variants of the COMT gene modulated the association between brain volume and antenatal anxiety, providing new clues on the way in which risk factors interact during early development to determine the level of risk faced by a child.

AJP>>Paraprofessional-Delivered Home-Visiting Intervention for American-Indian Teen Mothers and Children
Recent changes in health care may increase access to home visits designed to teach pregnant women child-care techniques that promote healthy development. At-risk mothers with extensive use of home visits demonstrated fewer signs of psychopathology, and their infants also showed lower rates of psychopathology than mothers and their infants in the control condition.

Psychiatric Services

Psychiatric Services

PS>>Psychiatrists' Help Is Hard to Find
Researchers posing as patients called 360 psychiatrists for an appointment at least twice, but only 26% of the psychiatrists had room in their schedule, and many did not return the call at all.

PS>>Do Service Dogs Belong on Psychiatric Wards?
As psychiatric inpatient facilities contemplate allowing patients to bring service dogs on the ward, they must consider the health and safety of other patients, such as immunocompromised individuals.

PS>>Patient Decision Aid Helps Veterans Choose Treatment
Veterans who read a 26-page illustrated patient decision aid for PTSD before being evaluated were more likely to express a treatment preference compared with veterans who received usual treatment.


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