WEEKLY / March, 25, 2015, VOL. 5, NO. 12   Send Feedback l View Online
Psychiatric News Update
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Theory of Mind and the Psychoanalytic Model

Elizabeth Auchincloss, M.D.When we first began teaching our course on the psychoanalytic model of the mind to Cornell residents in the 1980s, some of the brightest PGY-2 residents used to confront my co-teacher and me with the question, "Why do we need a model of the mind? Can't we help our patients without it?" At the time, we responded to these students with arguments about good clinical practice, reminders about the biopsychosocial model, and other lofty arguments about the philosophy of mind. But things have changed. Read more.

Elizabeth Auchincloss, M.D., is vice chair of graduate medical education, director of the Institute for Psychodynamic Medicine, and a professor of clinical psychiatry at Weill Cornell Medical College. She is also senior associate director of the Columbia Center for Psychoanalytic Training and Research. Auchincloss is the author of The Psychoanalytic Model of the Mind, which is available from American Psychiatric Publishing here. APA members may purchase the book at a discount.


Your Help Needed Now to Stabilize Medicare!

Capitol flagOver the past week, Congressional leaders have negotiated bipartisan legislation that would permanently repeal the flawed sustainable growth rate (SGR) formula, replacing it with positive physician payment reforms. APA is asking for your help to get this legislation over the finish line. If Congress does not act by March 31, physician Medicare payments will be cut by 21%. Stability in Medicare is long overdue. Take action now at APA's Legislative Action Center and make sure that Congress hears your voice today.

National Youth Violence Prevention Week: Time to Talk About Bullying

Bullying appThis week is National Youth Violence Prevention Week (March 23 to 27). It's a good time to talk to parents of your young patients about effective ways to prevent or reduce youth violence, including bullying, and let them know about an app available from the Substance Abuse and Mental Health Services Administration called the KnowBullying app. This is a free smartphone tool that provides information and guidance on ways to prevent bullying and build resilience in children. The app is designed to address the needs of children aged 3 to 18 and includes discussion prompts for adults working with children who are bullied, who witness bullying, or who bully others. Click here to download for Apple devices. Click here to download for Android devices.

Registration Open for Opioid Agonist Therapy Webinar

WebinarsRegistration is now open for the webinar, "Opioid Agonist Therapy: To Maintain or Not to Maintain—A Case Discussion." This webinar will examine the clinical indications and consequences of maintaining patients on medications for opioid use disorders. Mounting scientific evidence supports ongoing treatment for opioid use disorders but the precise length of time patients should remain on agonist medications is not universally agreed on. To obtain more information and to register, click here.

Applications Invited for APA 2015 Achievement Awards

TrophiesAPA's Psychiatric Services Achievement Award Committee is soliciting applications for the 2015 Achievement Awards competition. Innovative programs for people with mental illness or disability that have been in operation for two or more years, have overcome obstacles, and can serve as models for other programs are urged to apply. The deadline is May 12. Information about the awards and an online application can be accessed here. For additional information, contact Samantha Hawkins at (703) 907-8612 or shawkins@psych.org.

APA Issues Guideline Watch for Alzheimer's and Other Dementias

Ben RushAPA has released a new Guideline Watch for its 2007 Practice Guideline for the Treatment of Patients With Alzheimer's Disease and Other Dementias. This review of the latest clinical research in the field found that the recommendations made in the practice guideline remain current. However, new data have better defined the risks and adverse effects of many of the medications used in treatment and will help clinicians make better decisions for individual patients. The Guideline Watch can be found here.


APA Annual Meeting, May 16-20, Toronto
Advance registration fees now in effect.

register now!

Two Special Sessions to Headline the Meeting:

Volkow to Present Keynote Lecture

2015 APA annual meeting logoNora Volkow, M.D., director of the National Institute on Drug Abuse, will present the William C. Menninger Memorial Convocation Lecture at APA's 2015 annual meeting in Toronto. The Convocation will be held Monday, May 18, at 5:30 in Exhibit Hall A, Level 300, in the Toronto Convention Centre's North Building. Volkow has been instrumental in demonstrating that drug addiction is a disease of the human brain and making important contributions to the neurobiology of obesity, ADHD, and aging.

APA President to Lead Dialogue With Helen S. Mayberg, M.D., and Patrick Kennedy

2015 APA annual meeting logoAPA President Paul Summergrad, M.D., will be joined in a special conversation following the Opening Session with the Hon. Patrick Kennedy and Helen S. Mayberg, M.D., on neuroscience opportunities in psychiatry, the role of advocacy, and the challenges of talking about complex neuropsychiatric illness and mental health more broadly.

Review the meeting's preliminary program.

Taking You to New Heights: May 16 Foundation Benefit Event to be Held at CN Tower

CN TowerThe american psychiatric foundation's annual benefit will be held Saturday, May 16, in the CN tower. Come enjoy the views and fabulous food and beverages, congratulate the winners of the 2015 Awards for Advancing Minority Mental Health, and spend some downtime with friends. Tickets are now available for purchase online or mail payment to APF Development, 1000 Wilson Boulevard, Suite 1825, Arlington VA 22209.

2015 Annual Meeting Self-Assessment in Psychiatry

CMEAPA has developed an educational activity—the 2015 Annual Meeting Self-Assessment in Psychiatry—to help meeting registrants create an individualized schedule of sessions to attend at APA's upcoming annual meeting in Toronto. The self-assessment is a 100-question examination that tests areas of psychiatric practice covered in the ABPN content outline for the recertification exam and includes material related to APA practice guidelines and the core competencies of medical knowledge, patient care, interpersonal communication skills, systems-based practice, and professionalism. Participants can earn up to 8 hours of AMA/PRA Category 1 credit™ and fulfill a self-assessment component of the Maintenance of Certification process. Meeting registrants will be auto-enrolled and told how to access the self-assessment by e-mail. Can't attend the Annual Meeting? The Self-Assessment will be available in the Course Catalog at www.apaeducation.org until May 31, at a cost of $100 for APA members and $200 for non-members.


Earn the FAPA or IFAPA Designation

FAPATake your psychiatric career to a new level and become a fellow or international fellow of the APA. Fellow status is an honor that reflects your dedication to the work of APA and signifies your allegiance to the psychiatric profession. It's easy to apply. Download and complete the application for general fellowship or international fellowship and be recognized by your colleagues as a member of this select group.


Family-Based Collaborative Care Benefits Treatment of ADHD

ChildCollaborative care appears to benefit children with ADHD, according to Pediatrics (March 23). Researchers compared two types of "collaborative care" in which special care managers act as intermediaries between a family and their child's doctors. One approach was standard collaborative care while the other was "enhanced," which meant the care managers had received several days of training to teach parents healthy parenting skills and interact with families in an open-minded, nonjudgmental, empathetic way. After one year, the children in the "enhanced" approach showed improvements in hyperactivity, impulsivity, inattention, and social skills. Moreover, the care managers did not have advanced degrees or formal mental health education and licensing. Read more.

Maine Hospitals Form Rural Collaboration

Bangor Daily NewsFive hospitals in Maine have formed the Maine Rural Health Collaborative with a goal of preserving and enhancing health care within the communities they serve, according the Bangor Daily News. The hospitals are Northern Maine Medical Center in Fort Kent, Cary Medical Center in Caribou, Houlton Regional Hospital, St. Joseph Hospital in Bangor, and Mount Desert Island Hospital in Bar Harbor.

"By working together in a collaborative fashion," said Tom Moakler, CEO of Houlton Regional Hospital,. "we can all benefit from each other's experience, standardize best practices, and protect quality and accessible care." Read more.

New Jersey Health Center to Integrate Behavioral, General Medical Care

NJSpotlightHenry J. Austin Health Center in Trenton, N.J., and researchers at Rutgers University are pointing to the potential benefits of integrating behavioral and general medical care, according to the NJSpotlight. One program, Project ACCESS, provides integrated care to patients with HIV/AIDS through the federal Ryan White Program. Kemi Alli, M.D., Henry J. Austin's chief medical officer, noted that some clinics have been denied licenses to provide behavioral health services because they don't have separate entrances or waiting areas for behavioral health and medical patients. "You can never separate the mental health and primary care illnesses of an individual," Alli said. A bill, S-2375/A-3700, proposed in the state legislature would eliminate this issue by letting qualified health centers get a single license to provide both medical and behavioral health care. Read more.

Publications From American Psychiatric Publishing

Psychiatric News
APA's Education Council Issues Report on Need for Integrated Care Training

Puzzle pieceIntegrated, or collaborative, care is the future of health care delivery, and physicians and physicians-to-be need to be trained in emerging models of collaboration with primary care and other specialties.

That's the conclusion of a comprehensive report by APA's Council on Medical Education and Lifelong Learning, which gave specific recommendations for undergraduate, graduate, and continuing medical education. The report, "Training Psychiatrists for Integrated Behavioral Healthcare," also offers perspectives on future directions for interprofessional and interspecialty training. Read more.

Psychiatric Services
Barriers to Depression Treatment in HIV Clinical Care Need to Be Addressed

Psychiatric ServicesDepression is common among patients in HIV care and is associated with worse HIV-related health behaviors and outcomes. Effective depression treatment is available, yet depression remains widely underdiagnosed and undertreated in HIV care. Over 33 months as part of a multisite, randomized trial of depression treatment in HIV clinical care, patients completed 9,765 depression screens; 19% were positive for depression, and of these 88% were assessed for study eligibility. Of assessed positive screens, only 11% resulted in study enrollment. Nonenrollment after a positive screen was often related to potentially modifiable provider- or patient-level barriers. Addressing these barriers is critical to maximize the reach of depression treatment services for HIV patients. Read more.


Registration Open for Chief Residents' Leadership Conference

TorontoChief residents can get the formal training in organizational, teaching, and leadership issues that they need to carry out their duties successfully at an all-day session planned for them at APA's 2015 annual meeting in Toronto. The session will be held Monday, May 18, from 7 a.m. to 5 p.m. in the Ontario Room of the Fairmont Royal York Hotel. APA members should use the promo code CRLCM to register.

Get involved in AJP Residents' Journal

Residents JournalResidents, fellows, and medical students are invited to attend the American Journal of Psychiatry Residents' Journal workshop at APA's 2015 annual meeting in Toronto. This year's workshop is titled "The American Journal of Psychiatry Residents' Journal: How to Participate." Bring your thoughts and ideas about the Residents' Journal, hear a brief presentation about the journal's new developments, and meet with Residents' Journal editors and editorial staff as well as American Journal of Psychiatry Editor-in-Chief Robert Freedman, M.D. The workshop will be held Sunday, May 17, from 12:30 p.m. to 2 p.m. in Room 202 C-D, Level 200, North Building, Toronto Convention Centre. For further information, send an e-mail to ajp@psych.org. Register now for the meeting.


• From the Experts

• General News

• Annual Meeting News

• Membership Benefits You!

• Integrated Care: What It Means to

• For Residents and Fellows





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American Psychiatric Publishing
Book of the Week

Book of the Week

Helping Parents and Teachers Understand Medications for Behavioral and Emotional Problems: A Resource Book of Medication Information Handouts, Fourth Edition

Edited by Mina K. Dulcan, M.D., and Rachel R. Ballard, 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.

Psychiatric Services

Psychiatric Services

PS>>Lacking National Treatment Standards, States Fashion Their Own
Many state Medicaid programs are cobbling together standards for assessing mental health care and substance abuse treatment, as mandated by the ACA, but their efforts may fall short without national benchmarks to measure the quality of services.

PS>>Broad-based Training Initiative Emphasizes Recovery
Workforce training guidelines developed by a broad-based partnership of government, consumers and family members, and provider organizations firmly establish recovery as a "central guiding principle" in the treatment of mental disorders.

PS>>A First-Episode Psychosis Model for the "Real World"
By adapting elements from programs in other countries, the National Institute of Mental Health has created a specialty care program for first-episode psychosis that responds to the "real world" demands of the U.S. health care system.




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