continuing medical education syllabus and proceedings summary for the

234 Pages·2004·7.21 MB·English

CERTIFICATE OF ATTENDANCE
This certificate provides verification of your completion of educational
activities at the 2001 Institute on Psychiatric Services.
This is to certify that
Attended the 2001 Institute on Psychiatric Services of the
American Psychiatric Association
October 10-14, 2001
Orlando, FL
and participated in hours of CME activities that have met the criteria for category 1 credit
Richard K. Harding, M.D.
APA President
Steven M. Mirin, M.D.
Medical Director
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing
Medical Education to provide continuing medical education for physicians.
The APA designates this educational activity for up to 48 hours in category 1 credit towards the AMA
Physician's Recognition Award and for the CME requirement of the APA. Each physician should claim only
those hours of credit that he/she actually spent in the educational activity.
DAILY LOG FOR ATTENDANCE AT CME FUNCTIONS AT THE
53rd INSTITUTE ON PSYCHIATRIC SERVICES
OCTOBER 10-14 • ORLANDO, FL
NOTE: APA members are responsible for maintaining their own CME records. A copy of this Certificate may
be forwarded to other organizations requiring CME verification. Reporting is on an honor basis.
MY TITLE OF SESSION OF HOURS CATEGORY
TOTAL
ii
HOW TO OBTAIN CME CREDIT
FOR THE
2001 INSTITUTE ON PSYCHIATRIC SERVICES
The American Psychiatric Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME)
to provide continuing medical education (CME) for physicians. The APA certifies that the continuing medical education ac-
tivities designated as category 1 for the 2001 Institute sessions meet the criteria for category 1 of the Physician's Recognition
Award of the American Medical Association and for the CME requirements of the APA.
The scientific program at the Institute offers a broad range of sessions designated for CME credit. The sessions that meet the
criteria for category 1 credit include CME Courses, Full-Day Sessions, Industry-Supported Symposia, Innovative Programs,
Leadership and Career Development Seminars, Lectures, Medical Updates, Multimedia Sessions, Psychiatric Services
Achievement Awards Session, Symposia and Workshops. Other sessions may be considered category 2 credit. These include
Caucuses, Clinical Consultations, Debates, Discussion Groups, Forums and Posters.
NOTE; APA members must maintain their own record of CME hours for the meeting. To calculate credit, registrants
should claim one hour of credit for each hour of participation in category 1 scientific sessions. To document that credit,
participants should record the session(s) attended on the back page of the Certificate of Attendance found on page ii, in the
front of this book. This Certificate is for your personal records and may be forwarded to other organizations requiring verifi-
cation. Documentation of all CME credit is based on the honor system.
RECORDING CME CREDIT THROUGH THE CME RECORDER
APA members can record the number of Category 1 hours they earn at the Institute on Psychiatric Services (and at the
APA Annual Meeting) by completing the Computerized Evaluation Program onsite and entering their CME hours. The
hours entered onsite through the computerized evaluation are maintained for APA members in the personal CME Re-
corder section of the APA website.
The CME Recorder (for APA members) maintains a record of CME credits earned at APA annual meetings and entered
through the Computerized Evauation, and also records CME credits earned online through the APA CME website. APA
members may view and print these records from their personal computers. Members also have the capability to enter
hours earned at other CME activities.
APA members log in though the "Members Only" section of the APA website or through http://www.psych.org/
cme/apacme. Select the CME Recorder, access your personal record and view the hours you have earned through APA
activities; see your APA CME certificate expiration date; learn about state CME requirements; and find direct links to
state relicensing boards.
CME REQUIREMENTS FOR APA MEMBERS
By referendum in 1974, the membership of the American Psychiatric Association (APA) voted that participation in continuing
medical education (CME) activities be a condition of membership. The CME requirement aims at promoting the highest qual-
ity of psychiatric care through encouraging continuing professional growth of the individual psychiatrist.
Each member must participate in 150 hours of continuing medical education activities per three-year reporting period. Of the
150 hours required, a minimum of 60 hours must be in category 1 activities. Category 1 activities are sponsored or jointly spon-
sored by organizations accredited to provide CME and meet specific standards of needs assessment, planning, professional par-
ticipation and leadership, and evaluation of learning.
(continued on next page)
111
CME REQUIREMENTS FOR APA MEMBERS
(Cont'd.)
In December 1983 the Board of Trustees ratified the current method of reporting CME activities. Although the basic requirement
of 150 hours every three years (with at least 60 hours in category 1) remains the same, members no longer need to report these spe-
cific activities, but need only sign a compliance statement to the effect that the requirement has been met.
Individual members are responsible for maintaining their own CME records and submitting a statement of their compliance
with the requirement after completing the necessary 150 hours of participation. APA certificates are issued only upon receipt
of a complete report of CME activities. To receive an APA certificate, you can submit a completed APA report form or use
one of the alternate methods detailed below.
HOW TO EARN A CERTIFICATE FOR CME COMPLIANCE
As an APA member, you can obtain an APA CME certificate by using one of the following methods:
If you are licensed in Arkansas, California, Delaware, Florida, Georgia, Hawaii, Illinois, Iowa, Kansas, Maine, Maryland, Massa-
chusetts, Michigan, Minnesota, Mississippi, Nevada, New Hampshire, New Mexico, North Dakota, Ohio, Oklahoma, Rhode Is-
land, South Carolina, Utah, or West Virginia, you may demonstrate that you have fulfilled your APA CME requirements by
sending the APA a copy of your re-registration of medical license. These states have CME requirements for licensure compa-
rable to those of the APA. Your APA Certificate will be valid for the same length of time as the re-registration.
HOW TO FULFILL THE CME REQUIREMENTS OF THE APA
If you hold a current CME certificate from a state medical society having CME requirements comparable with those of the
APA, you may receive an APA CME certificate by sending the APA a copy of your state medical society CME cer-
tificate. The APA will issue a CME certificate valid for the same period of time. The state medical societies currently
having CME requirements comparable to those of the APA are Kansas, New Jersey, Pennsylvania and Vermont.
If you have a current AMA Physician's Recognition Award (PRA), forward a copy of your PRA to the APA and you
will receive an APA CME certificate with the same expiration date.
You may also report your CME activities directly to the APA, using the official APA report form. This form may be
obtained from the APA Office of Education, 1400 K Street. N.W.. Washington. DC 20015, or call [phone] or
filed electronically via the APA Home Page at http:/'[email protected].
EXEMPTIONS
All APA Life Fellows and Life Members who were elevated to that membership category on or before May 1976 are ex-
empt from the CME requirement, but are urged to participate in CME activities. Members who became Life Members or
Fellows after that date are not exempt.
Any member who is inactive, retired, ill or disabled may request an exemption from the CME requirement by applying to
his or her District Branch Membership Committee. After determination that partial or total exemption from CME activi-
ties is warranted, the District Branch Membership Committee will forward its recommendation to the APA Office of Edu-
cation.
APA members residing outside of the United States are required to participate in 150 hours of CME activities during the
three-year reporting period, but are exempt from the categorical requirements.
iv
CONTINUING MEDICALE DUCATION
SYLLABUS AND PROCEEDINGS SUMMARY
FOR THE
53rd
INSTITUTE ON PSYCHIATRIC SERVICES
October 10-14,2001
Orlando, FL
The American Psychiatric Association
Institute on Psychiatric Services
1400 K Street, N.W.
Washington, DC 20005
1-888-357-7924
AMERICAN PSYCHIATRIC ASSOCIATION
Michael J. Silverberg, J.D.
2001 SCIENTIFIC PROGRAM COMMITTEE Advocacy Consultant, and Attorney,
Phillips Nizer Benjamin Krim & Ballon
New York, NY
Harvey Bluestone, M.D.
Chair, Scientific Program Committee, and
Michelle B. Riba, M.D., M.S.
Professor Emeritus Former Chair, and
Albert Einstein College of Medicine Associate Chair for Education and Academic Affairs
Bronx, NY
Department of Psychiatry
University of Michigan Medical Center
Paula G. Panzer, M.D. Ann Arbor, MI
Vice-Chair, Scientific Program Committee, and
Associate Chief Psychiatrist for Adult Trauma Services Andrew J. Cutler, M.D.
Jewish Board of Family and Children Services Local Arrangements Consultant, and
New York, NY
Medical Director
Coordinated Research of Florida
Richard Balon, M.D.
Winter Park, FL
Professor, Department of Psychiatry and Behavioral Sciences
University Psychiatric Center
Wayne State University
Detroit, MI
LIAISONS
Gloria Pitts, D.O.
Medical Director, Metro Emergency Services, and
Associate Professor, Department of Psychiatry Stephen M. Goldfinger, M.D.
Wayne State University Liaison, Committee on Commercial Support, and
Detroit, MI Vice-Chair, Department of Psychiatry
State University of New York
Elizabeth Galton, M.D. Downstate Medical Center
Department of Psychiatry, UCLA Brooklyn, NY
Los Angeles, CA
Daralynn Deardorff, D.O.
Charles W. Huffine, Jr., M.D. 2000-2002 APA/Bristol-Myers Squibb Fellow, and
Assistant Medical Director Resident in Psychiatry
King County Mental Health University of Texas Southwestern Medical School
Seattle, WA Fort Worth, TX
Altha J. Stewart, M.D.
Chair, Council on Psychiatric Services, and
CONSULTANTS Detroit-Wayne County Community Mental Health Administration
Detroit, MI
Ian E. Alger, M.D. John A. Talbott, M.D.
Multimedia Consultant, and Psychiatric Services Editorial Board, and
Department of Psychiatry Professor of Psychiatry
New York Presbyterian Hospital-Cornell Medical College University of Maryland School of Medicine
Bronx, NY Baltimore, MD
2001-2002 APA OFFICERS AND STAFF
Telephone: 202-682-(see extensions listed below)
E-mail for staff: First initial of first name, last name, and @psych.org
2001-2002 APA OFFICERS ANNUAL MEETINGS DEPARTMENT (Cont'd.)
Richard K. Harding, M.D., President Kevin J. Klipsch, Eshibits Manager, (314) 994-9640, kklipsch@expo
Paul S. Appelbaum, M.D., President-Elect manage.net
Marcia Kraft Goin, M.D., Vice-President Enid D. Morales, Administrative Assistant, x6396
Michelle B. Riba, M.D., M.S., Vice-President Dianne Wesley-Butler, Administrative Assistant, x6077
Pedro Ruiz, M.D., Secretary
Carol A. Bernstein, M.D., Treasurer DIVISION OF EDUCATION, MINORITY AND NATIONAL
PROGRAMS
MEDICAL DIRECTOR'S OFFICE James W. Thompson, M.D., M.P.H., Deputy Medical Director, and
Steven M. Minn, M.D., Medical Director Director, Division of Education, Minority and National Programs,
Kathleen Dempsey, Chief Operating Officer, x6067 x6130
Kathleen Debenham, M.A., Director, Department of CME, x6220
ANNUAL MEETINGS DEPARTMENT Lara Slattery, Commercially-Supported CME Activities, x6834
Cathy L. Nash, Director, x6237
Jill L. Gruber, Associate Director, Institute on Psychiatric DIVISION OF COMMUNICATION AND MARKETING
Services, x6314 John Blamphin, Director, Public Affairs, x6138
Hope Ball-Mann, Registrar, x6082 Cecilia Arradaza, Coordinator, Media Monitoring and Analysis, x6122
Frank Berry, Administrator, Commercially-Supported Activities, x6172
Vernetta V. Copeland, CME Course Coordinator, x6836 ADVERTISING SALES
Jamal Hageb, Office Assistant, x6078 Ray Purkis, Director, [phone]
TABLE OF CONTENTS
2001 Certificate of Attendance i
Daily Log for Attendance at CME Functions ii
How to Obtain CME Credit iii-iv
CME Courses 1-8
Debates 9
Full-Day Sessions 10-11
Industry-Supported Symposia 12-30
Innovative Programs 31-44
Leadership and Career Development Seminars 45-46
Lectures 47-58
Medical Updates 59
Multimedia Sessions 60-67
Posters 68-162
Psychiatric Services Achievement Awards Session 163-165
Symposia 166-188
Workshops 189-219
Multidisciplinar y Roles
in the 21st C enturv
53rd Institute on
Psychiatric Services
American Psychiatric Association
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Course 1 Wednesday, October 10 2. Mammen OK, Shear MK, Pilkonis PA, Kolkodj,
9:00 a.m.-4:00 p.m. Thase ME, Greeno CG: Anger attacks: correlates in
significance of an unrecognized symptom. Journal of
MANAGEMENT AND TREATMENT OF Clinical Psychiatry 1999; 60(9):633-642.
THE VIOLENT PATIENT
Gary J. Maier, M.D., 301 Troy Drive, Madison, WI
Course 2 Wednesday, October 10
53704-1521
1:00 p.m.-5:00 p.m.
EDUCATIONAL OBJECTIVES:
LIMIT SETTING WITH PSYCHIATRIC
At the conclusion of this course, the participant should PATIENTS
be able to: 1) describe a comprehensive model for man-
aging and treating the violent patient; 2) describe tech- Donald A. Misch, M.D., Associate Professor of Psychia-
niques for controlling the acutely violent patient using try, Medical College of Georgia, 1515 Pope Avenue,
verbal, physical, and pharmacologic techniques; 3) de- Augusta, GA 30912; Lydia E. Weisser, D.O.
scribe state-of-the-art psychopharmacologic approaches
to the violent inpatient/outpatient; 4) describe the legal EDUCATIONAL OBJECTIVES:
issues specific to the commitment, release, and prosecut- At the conclusion of this course, the participant should
ion of violent inpatients in light of the HCFA regulations; be able to: 1) identify rationales for setting limits; 2)
and 5) describe methods of identifying and working recognize the utility of the parent-child analogy in setting
through the countertransference feelings of fear, anger, limits; 3) summarize and employ proper rules and tech-
and helplessness that frequently arise when working with niques for limit setting; and 4) understand and take into
violent patients. account the factors that interfere with effective limit
setting.
SUMMARY:
This course will present a comprehensive model for SUMMARY:
the management and treatment of the acute and chronic Limit setting is a necessary and frequent element of
violent patient in both inpatient and outpatient settings. every psychiatrist's clinical work, but it is a subject in
The need for clinicians to provide safe working condi- which most psychiatrists receive little formal training.
tions will be outlined. Architectural issues that need to This course will review the fundamental knowledge base
be considered when working in a setting with a high and the specific techniques necessary to set limits suc-
incidence of violent patients will be reviewed. Manage- cessfully in clinical psychiatry. Topics that will be cov-
ment of the prodromal syndrome that precedes physical ered include the rationales for psychiatric limit setting,
violence will be described, including talking-down tech- the value of the parent-child analogy, key strategies and
niques for de-escalating a potentially violent patient. techniques, and the factors that interfere with appropriate
Alternatives to the use of seclusion and restraint will limit setting. Both theoretical and practical aspects of
be described. Medical/psychiatric diagnostic procedures these subjects will be addressed, giving participants rele-
leading to medical and psychopharmacological treat- vant and immediately useful information that can be
ment approaches will be presented in detail. The legal applied in their clinical work. In addition to didactic
issues involved in the civil commitment process, the presentations, the course will consist of faculty-facili-
right to refuse treatment, and release issues, such as the tated large- and small-group exercises involving limit
Tarasoff decision, will be described. Building a case setting with particular patients in specific situations. Par-
that will result in successful prosecution of a willfully ticipants will be introduced to a structured worksheet
violent patient will be presented. The pattern of "aggres- designed to foster effective limit setting. Course partici-
sion cycles" that results from repetitive violence will pants are also encouraged to present their own clinical
be presented from the perspective of both the staff and vignettes. The course is designed primarily for beginning
the violent patient. Finally, but most important, counter- and intermediate level clinicians.
transference reactions will be identified. The forums in
which clinicians' feelings should be resolved and the REFERENCES:
process of resolution will also be identified.
1. Pam A: Limit setting: theory, techniques, and risks.
American Journal of Psychotherapy 1994;
REFERENCES:
48(3):432-440.
1. Flannery RB, Fischer W, Walker A, Kolodziej K, 2. Welch HG, Bernat JL, Mogielnicki RP: Who's in
Splain MJ: Assaults on staff by psychiatric patients charge here? Maximizing patient benefits and profes-
and community residents. Psychiatric Services 2000; sional authority by physician limit setting. J Gen
51(1):111-113. Intern Med 1994; 9(8):450-454.
1