WEEKLY / September 24, 2014, VOL. 4, NO. 42   Send Feedback l View Online
Psychiatric News Update
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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.

APA has a number of resources available to members who are potentially interested in applying for the fellowship, including a video of Ellyn Johnson, M.D., the 2014 Spurlock Congressional fellow, describing the fellowship and her experiences. In addition, there is a Google group dedicated to fellowship discussion. Contact Marilyn King to be invited.

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

FDA Approves Psychiatric Drug Combo for Weight Loss

FDAThe Food and Drug Administration has approved Contrave—a combination drug consisting of naltrexone and bupropion extended-release—as a new treatment option for weight loss in people who have a body mass index (BMI) of 30 or greater (obesity) or a BMI of 27 or greater (overweight) with one weight-related condition such as hypertension or type 2 diabetes. For more information, click here.

Join APA's Twitter Conversation on Traumatic Brain Injury

TwitterAPA's #YourMH Twitter chat series provides an opportunity for psychiatrists to join in conversations on current mental health issues and be engaged with key influencers, allied groups, and the public/patient community. The topic for this Friday's #YourMH @twitter chat is traumatic brain injury (#TBI), a subject increasingly in the news because of the growing awareness of its long-term impact on athletes and its frequency among members of the military and veterans. To join this week's chat, use #YourMH (stands for "Your Mental Health"), @apapsychiatric, or #TBI.

#YourMH chat takes place every Friday from noon to 1 p.m. ET. Click here for a video introduction to the series. For more information, contact Jennifer Dart at jdart@psych.org.

APA Offers Online Course Focusing on Recovery

Ben RushSeptember is National Recovery Month, and in observance, APA recently released its free Recovery to Practice course, which is designed to help psychiatrists and mental health professionals foster a deeper relationship with patients centered on recovery-oriented care. The course, co-developed by APA and the American Association of Community Psychiatrists, consists of nine modules, each ranging from 20 to 40 minutes, that address specific aspects of recovery-oriented practice via narrated slides, video clips from experts, and case vignettes. APA has designated a maximum of 1 AMA PRA Category 1 credit per module. To access the course, click here and scroll down to "Recovery-Oriented Care in Psychiatry Series."

IPS to Feature Conversations Event with Keris Myrick, Former NAMI President

Keris MyrickIPS to Be Held October 30 to November 3 in San Francisco

If you haven't registered for APA's 2013 Institute on Psychiatric Services, delay no longer. One of the meeting's highlights is the "Conversations" event with Keris Myrick, a national mental health leader and former president of the National Alliance on Mental Illness, and APA President Paul Summergrad, M.D., on Saturday, November 1, from 5:30-6:30 p.m. To register for the IPS, click here. Reduced advance registration rates end October 8.

Medicare Administrative Contractor for New England, New York Behind on Claims Appeals

Doctor with moneyAPA's Office of Healthcare Systems and Financing has a message for APA members in Medicare Jurisdiction K, which includes New York and all the New England States: National Government Services (NGS), the Medicare administrative contractor for that area, has posted notice that due to an unusually high volume of written appeal requests, it is behind in processing appeals.

"Our Appeals Department is working diligently to remain within the specified timeframe to process your appeal," the company has stated in a notice to providers. "If you have submitted an appeal within the last 60 days and have not received any correspondence, please be patient. We request that you not resubmit your claims as this may cause further delays in processing your appeal request."

The majority of the claims backlog was received between May 23 and July 8. Providers who are seeking information on one or more of these older requests are advised to visit the NGS website.

DEA's Ninth and Final 'Prescription Drug Take-Back Day' Scheduled for Saturday, September 27

Drugs You may want to let your patients know that the Drug Enforcement Administration (DEA) and almost 4,000 of its national, tribal, and community law enforcement partners will hold the ninth National Prescription Drug Take-Back Day. Individuals with expired, unneeded, or unwanted prescription drugs can take them to one of over 5,200 collection sites across the country between 10 a.m. and 2 p.m. local time. The service is free and anonymous. Collection sites can be found by clicking here or calling (800) 882-9539.

As a result of enactment of the Secure and Responsible Drug Disposal Act of 2010, the DEA has developed new disposal regulations. They were published in the Federal Register on September 9 and can be viewed here. DEA's goal in implementing the law is to expand the options available to safely and securely dispose of potentially dangerous prescription medications on a routine basis.

Join Your Colleagues in APA's 'Engage 2014' and Make a Difference

2014 Since the launch of APA's Engage 2014 initiative this summer, more than 100 APA members have signed up to participate. Getting involved in the legislative and political process has never been easier: you can send an electronic message to your member of Congress; APA's Department of Government Relations (DGR) will help you schedule a meeting in your district with your representative; and DGR can provide you with talking points and tips for your activities. To obtain more information on Engage 2014 and to learn how you can get involved between now and Election Day, click here.


Applicants Sought for Collaborative Care Psychiatry Fellowship

Puzzle pieceLoyola University Medical Center, in conjunction with Edward Hines Jr. VA Hospital, has an opening in its 2015-2016 Collaborative Care Psychiatry Fellowship. The deadline for applications is February 15, 2015. The fellow will work in three VA outpatient primary care teams: general adult outpatient, home-based primary care, and the Women's Health Clinic. The fellow will engage in collaborative care practices, including e-consults, psychiatric consultation to telephone care management programs, and telepsychiatry. Special populations include rural, women, and geriatric patients. For more information, email Wendy Yim, M.D., at wendy.yim@va.gov.

Publications From American Psychiatric Publishing

Psychiatric News
Psychiatrist and State Medicaid Director Discusses Population Health

Joseph Parks, M.D.Joseph Parks, M.D., a leader in the development of integrated care models and director of the Medicaid program in Missouri, told Psychiatric News that a shortfall of psychiatrists means that traditional models of care will never be able to meet the demand for behavioral health services. But he said the practice of population health, using registries to monitor health indicators or an entire population, can extend the clinical reach of clinicians. Parks will be speaking about population health during the Institute on Psychiatric Services in San Francisco. To listen to an interview of Parks by Psychiatric News, click here. Read more.

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


September Residents' Journal Now Available

Residents' JournalThis issue focuses on the topic of addiction psychiatry, including one article on the diagnosis and treatment of prescription opioid abuse in patients with chronic noncancer pain and another article on the rise in opioid overdoses. Evolving approaches to the pharmacologic treatment of alcohol withdrawal are also discussed. In a case report, complicated intoxication and withdrawal in a patient using synthetic cannabis is presented, emphasizing the psychiatrist's role in integrative medical teams. A comprehensive review on the use of an illicit street drug called "krokodil," including data on epidemiology, pharmacology, diagnosis, and treatment, is provided, as well as a commentary on a model for the use of telemental health services in addiction psychiatry.

Valuable Resources Available for You on APA's Website

Resident and Fellow Member HandbookAPA has recently revamped the Residents and Fellows Section of its website. The section contains resources and tools, as well as information on meetings and useful contacts at APA. A key resource is the resident and fellow member handbook. This handbook contains information about leadership and fellowship opportunities, awards and competitions, the structure of APA, and how to create APA policy. The Residents and Fellows Section can be accessed here.

Resident and Student Poster Competition—Call for Abstracts

PosterResidents and fellows are invited to submit their research projects and practice experiences for a poster competition held in conjunction with APA's 2015 annual meeting. Research projects are accepted for the following categories: Patient-Oriented and Epidemiology Projects, Curriculum Development and Educational Projects, Community Development and Service Projects, Psychosocial and Biomedical Research, and Clinical Case Studies. All posters will undergo expert review from editors of Academic Psychiatry. The deadline for poster submissions is midnight on September 30. Competition guidelines are available here. Please visit the APA submission website to start your submission today!

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!

Interested in Serving on APA's Board of Trustees?

CheckboxAPA is seeking nominations for the position of resident-fellow member (RFM) trustee-elect in APA's 2015 election. The RFM who holds this position on the Board of Trustees serves one year as the RFM trustee-elect and advances the next year to RFM trustee. The only requirements are that you are an APA member and that you will be in training (residency or fellowship) for the duration of the term. The deadline for nominations is Wednesday, October 1. As RFM trustee, you will have the privilege of serving as the voice for residents and fellows across the country. For more information, visit apa national elections or apa residents' leadership opportunities. Inquiries and nomination materials can be sent to election@psych.org. If you have any questions about the experience of being the RFM trustee, please email Lara Cox, M.D., at larajcox.apa@gmail.com.


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.

>>Behavioral and Psychiatric Symptoms in Prion Disease
Andrew Thompson, B.Sc., et al. (March 2014)

This article reviews the psychiatric manifestations of prion disease and the suggested approach to their treatment.

Discussion Questions:

1. In patients with sporadic Creutzfeldt-Jakob disease, what feature was significantly associated with behavioral or psychiatric symptoms at the onset of the illness?
2. Around what percentage of patients saw improvement of depressive symptoms in the study?
3. Around what percentage of patients saw improvement of psychotic symptoms with antipsychotic medications in the study?


• General News

• Integrated Care: What It Means to

• For Residents and Fellows

AJP Journal Club





>>ICD Codes for Some DSM-5 Diagnoses Updated

>>Siblings of Bipolar Patients May Have 'Reproductive Advantages'

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

>>Passing ABPN Exam to Be Based on Total Test Score

>>FDA Approves New Sleep Medication


>>New Rapidly Acting Technique Could Be Substantial Advance in Depression Treatment

>>Children With ADHD Benefit From Sleep-Focused Treatment

>>Addiction, Global Mental Health Are Passions of Young Psychiatrist From Nepal

>>Philadelphia's Long—but Steady—Road to System Change

>>SAMHSA Strategic Plan Falls Short on Serious Mental Illness




Learn the Latest on the Sleep-Wake System and Earn Free CME Credit!

Neuroscience CMEParticipants in this neuroscience CME Clinical Navigator, prepared by CME Outfitters, will learn about the neurobiology of the sleep-wake system, including the role of neurotransmitters and the nature of the hyperarousal state. The activity consists of reading the article, "new insights into the sleep-wake system: the neurobiology and pathophysiology of insomnia" and completing a post-test, credit request form, and activity evaluation. The article is the first of two that will explore new insights into the sleep-wake system, encompassing revisions in the nosology and nomenclature of insomnia, advances in the understanding that insomnia may be a result of hyperarousal, and how sleep and wake are regulated by classical neurotransmitters and the neuropeptides orexin-A and –B.


American Psychiatric Publishing
Book of the Week

Book of the Week

Fatal Pauses: Getting Unstuck Through the Power of No and the Power of Go

By Stuart C. Yudofsky, 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>>Veterans' Preferences for Shared Decision Making
Step 3 of shared decision making—assuming ownership of treatment choices—is a bridge too far for most veterans with a serious mental illness. But an overwhelming majority of those surveyed welcomed learning about their illness and treatment options.

PS>>Shared Decision Making May End in Disagreement
Patients and clinicians with a closer bond were less likely to agree about treatment decisions, according to audio recordings of medication management visits. But they were more likely to achieve at least a minimum level of shared decision making.

>>In Rural California, Peer Support for PTSD
In 2012, the Palo Alto VA began providing peer support services for veterans with PTSD at its Sonora clinic in rural California. In this Frontline Report, the authors describe the program's first two years, starting with recruitment of a veteran with lived experience of PTSD to run the program.


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