Issue 117 Psychiatric Society, 40 Washington Street, Wellesley Hills, MA 02481 Phone: 781-237-8100 Fax: 781-237-7625 September 2011 EXECUTIVE COMMITTEE the DEVIL in the DETAILS……... Donald B. Condie, M.D. By the timed you read this the official summer season President will be over and Labor Day past. School will have started Alex Sabo, M.D. and beach chairs not so busy. MPS however has been PresidentElect working through the summer on a number of fronts. Marie H. Hobart, M.D. Immediate PastPresident More issues about parity and our patients in ERs are be Cornelia Cremens, M.D. ing addressed. John Palmieri, new to MPS Council but Secretary not to administrative struggles has agreed to represent Sarah Langenfeld, M.D. MPS on a DMH working group to look at why ER stays are Treasurer so long for our patients. There are several other groups working simultaneously on this issue and we will re Anthony J. Rothschild, M.D. connect with the ER docs in the fall—coming on fast—to Sr. APA Representative 20112014 make common cause with them to advocate for better APA REPRESENTATIVES procedures for our patients. Caroline Fisher, MD, PhD Donald B. Condie, MD APA Representative 20102013 A major reorganization in children’s psychiatric services Gregory M. Harris, MD, MPH in Massachusetts has been proposed as part of a larger APA Representative 20102013 plan to reorganize DYS, DCF, DPH, DMH and other ser John Palmieri, M.D. vices for children within the larger state organization of Visit the MPS Website APA Representative 20112014 Executive Office for Human Services (EOHS). Similar MPS COUNCILORS plans have been discussed as far back as the early www.psychiatrywww.mps.orgmps.org Sheldon Benjamin, M.D. 1980s in Massachusetts (as far as my memory goes) 2011—2014 and I’m sure even longer. Another part of these proposed reorganizations would reform the CHINS process for Chil Inside this issue: S. Nassir Ghaemi, MD, MPH 2009—2012 dren In Need of Services. MIT Corner Pages 3 James Harburger, M.D. 2010—2013 For those not familiar with that acronym, it refers primari Updates Page 4 ly to the juvenile court process where children whose Mark J. Hauser, M.D. behavior either through truancy (and a school referral), 20112014 APA News Page 5 minor delinquent acts (through a police referral to the Janet E. Osterman, MD, MS court), or direct referral from a parent to the court for 20092012 behaviors such as running away or breaking curfew, is MPS Classifieds Pages 611 Arthur Papas, M.D. considered to be not only problematic but possibly ame 20102013 nable to some form of therapeutic intervention can be MPS Calendar Page 12 court ordered to receive such interventions. Member In Training Representative Isis BurgosChapman, M.D. 20112013 If the above paragraph is confusing, so is the CHINS pro SOUTHEASTERN MASS. CCHAPTERHAPTER cess it attempts to summarize, hence the wish to simplify Marc A. Whaley, M.D., President and clarify that process as well as referrals for all sorts of children’s services. WESTERN MASS. CHAPTECHAPTERRRR Stephen G. Kessler, M.D., President

MPS STAFF All such reorganization efforts mean well but “the devil is Beverly Sheehan Dupuis in the details.” MPS has offered to participate in the chil

Executive Director dren’s reorganization in several ways and we now hope to participate in the Behavioral Health working group. As Mayuri Patel Executive Office and Membership usual, simply getting to the table to discuss such issues Administrator takes considerable effort and lobbying skill (thank you Julie Kealey (Continued on page 2) Continuing Medical Education Coordinator Page 2 MPS Bulletin—September 2011

(President’s Report—Continued from page 1)

Lisa Simonetti) and once at the table we must ally ourselves Marie Hobart and Alex Sabo continued to be active in their with like minded groups. roles as past and future presidents representing MPS in sev eral places where the future organization of healthcare in Peter Metz current president of NECCAP has been particu Massachusetts continues to be discussed. We continue to larly helpful regarding child issues. Although most members be in close contact with the Massachusetts Medical Society of MPS might not treat children directly, the paradigm for around their efforts since by making common cause with reorganizing services for this most vulnerable population will them we fully participate in these discussions. I will attend apply as well when the larger issues of payment reform and the MMS Interspecialty Committee meeting in September health care reform in general come back before the Legisla and update you after that. ture in the fall. The same principle of working cooperatively with as many groups as possible to magnify our advocacy for patients and the profession applies to both areas. Hope the summer went well.

A recent letter to the editor in Annals of Internal Medicine regarding a survey conducted by Cambridge Hospital intern ists has generated many requests for interviews. The letter summarized–for those who missed its coverage in the press– Donald B. Condie, MD how difficult it was for callers to psychiatric practices to ob President tain an initial appointment within 2 weeks. A vignette was used by the callers specifying that they had been seen in a local ER and advised the services. Since the report comes in Western Mass Residents Luncheon the form of a letter, it is not clear what details were given as part of this vignette, but it is clear that very few places of fered availability to the callers (representing themselves as patients) within 2 weeks.

The that access to psychiatric services remains too difficult for patients is a major concern for MPS since it relates to the ER issues discussed above and in previous newsletter postings, and it can lead to the wellintentioned but possibly harmful proposal of “solutions” that might only succeeded in making the process more complex and cumber some.

One proposal that MPS supports both for ER patients as well as less acute outpatients, would be for insurance companies to participate more actively in finding services for the people they cover. At the present time, some insurers continue to have “Phantom panels” that appear to have many more par ticipants than are actually affiliated. In the age of electronic realtime access to banking records, utility bills, and other Welcome to Massachusetts services, faster updating of insurance company lists should be possible, perhaps with indications of available patient to allallall thethethe slots. incoming Residents!! This would of course constitute a major change in the way insurance companies and providers on their panels would do business but proactive suggestions of this type should be Membership Appreciation Night discussed as a way to recognize the problem and propose possible solutions as a starting point for discussion. October 17, 2011

If Accountable Care Organizations (ACOs) do become part of Stockyard Restaurant, Brighton, MA the Massachusetts healthcare landscape greater efficiency in accessing all psychiatric services will be one of their goals. Reception at 6:30 Dinner to follow

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email: mps@psychiatrymps.org MPS Bulletin— September 2011 Page 3 MemberMemberininininTrainingTraining Corner developed by the physician during his virile years; so that in the afternoon and evening of his life they will sustain and Isis BurgosBurgosChapman,Chapman, MD comfort him…” 2. Others such as Mohsen Bazargan PhD who Medice, Cura te Ipsum: Physician, Heal have examined the personal health and lifestyle behaviors of Thyself physicians have postulated that physicians who are able to create a healthy lifestyle are more likely to provide better It is Friday night! I have been looking care for their patients 1. forward to a respite from work all week and I am on the couch thinking, “did I For a long time I have postponed doing certain things be document all my patient encounters cause of the thought that “I am too busy but someday I will properly? I haven’t seen Ms. X in a have more time.” As a third year resident I am realizing that while, I need to call her. Did I check my there is always going to be a sense of not having enough voicemail? Note to self, remember to time. Likewise the habits that we develop now as residents read up about side effects of medication X…” After an inde will likely be the habits that we will carry on with us in the terminate amount of time second guessing and questioning future wherever our careers lead us. Having accepted that myself, my husband interrupts my train of thought to ask, we will be lifelong learners, there will always be more work to “What do you want to do tonight?” I look at him and remem do and more to learn. Knowing the time constraints that ber, oh right, I’m not at work anymore and force myself to come from this we need to ensure that we find time to care forget about work and enjoy my time off. Does this sound for ourselves and to avoid getting caught up in feeling as familiar? though our entire lives need to revolve around our being psy chiatrist. I urge each and every one of you to make time each Somehow in the midst of years of studying, medical school day to take care of yourself but also to make an effort to and residency training I have become unbalanced and have identify the individuals in your life, in my case my husband, incorporated, rather than refrain from, the bad habits my pa who remind you of the importance of living a wellbalanced tients often disclose. I rarely have a wellbalanced breakfast, life. In the long run you will feel better and ultimately as do not eat enough fruits and vegetables or drink a sufficient research has shown will be able to provide even better care amount of water (especially when on call). Sadly, I make for your patients. such little time to pursue interests or hobbies that I would be hard pressed to convincingly identify them. Instead, my down Works Cited time is occupied with thoughts about my ‘to do list’, the [1] Bazargan, M., M. Makar, S. BazarganHejazi, C. Ani, and K. E. articles that I would like to read, second guessing as to Wolf. “Preventive, Lifestyle, and Personal Health Behaviors Among whether I made the right diagnosis while on call and feeling Physicians.” Academic Psychiatry 33.4 (2009): 28995. Print. overwhelmed by how much I feel I have yet to learn about [2] Reiling, Jennifer, ed. “The Hobbies Of Physicians.” JAMA: The psychiatry. Journal of the American Medical 300.9 (2008): 1088. Print. We all have unique reasons why we chose to pursue a career in psychiatry; no matter what led us to this point it is safe to assume that most of us sought to ‘help’ people. Sadly, it MPS GOING GREEN seems that in the process of learning all that there is to learn about how to diagnose and treat various conditions many of We recognize that many members will want to continue to us forgot how to properly care for ourselves. For me, this receive their newsletter in the mail. This will continue to be trend began as an undergraduate as there always seemed to an option as long as there are members who wish to receive be a big exam to prepare for and persisted into medical their newsletter in this fashion. For those of you who would school when there certainly was no time to do anything other prefer to receive your newsletter by email, you will need to than study. Although colleagues in other specialties may be contact the MPS office by email (mps@psychiatrymps.org) . able to soundly argue that residency training in psychiatry is The newsletter is not in the public domain because it is a not as time intensive as other specialties, anyone who has member benefit, you will need to log onto the MPS Website practiced psychiatry can attest that the emotional and mental (www.psychiatrymps.org ) with your username and password drain that comes from treating the psychosocial complexities when you click on the link in the email regarding the newslet of our respective patient population is unparalleled. ter. We hope that members who have been asking us to do Given the nature of our work in psychiatry, as has been point this for several years will be pleased with this option and ed out by many before me, it is essential to try to create a others will consider this option as well. We will begin doing good work/life balance. In JAMA over 100 years ago there the eNewsletter in January 2012. was a short article titled, The Hobbies of Physicians , in which Sign up now if this is your preference. the author wrote, “hobbies, apart from medicine, should be Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email: mps@psychiatrymps.org Page 4 MPS Bulletin—September 2011

Notice of Death and Memorial WestBridge Welcomes New Medical Director Service for Dr. WestBridge Community Services, a non The Cambridge Health Alliance is saddened profit organization that serves individuals by the loss of our colleague, friend and men with cooccurring mental illness and sub tor, Dr. Leston Havens, Professor Emeritus, stance use disorders in Manchester, NH, Harvard University and a member of Medford, MA – and coming in March our faculty for over 25 years. His methods of 2012: Brooksville, FL – is happy to an healing are known and practiced throughout nounce that Zev SchumanOlivier, M.D. has joined the staff as the new Medical the , parts of Europe and Asia. Director for the Bostonarea team.

Les’s family invites you to attend a memorial service Sunday, October 16, 2011 from 2244 p.m. at Memorial Church, Dr. SchumanOlivier is ABPN board certified in adult psychia Harvard University. try. A graduate of Tufts University School of Medicine with Please consider supporting Les's legacy by making a gift to AOA honors, he received psychiatry training at Harvard Medi The Teachings of Leston L. Havens, MD Fund. cal School. He completed specialty fellowship training in ad diction psychiatry at Harvard/Partners Health Care, where he The fund will facilitate Dr. Havens’ groundbreaking academ developed clinical specialty areas, including young adults ic and clinical work through scholarly and clinical activities with dual diagnosis and outpatient treatment of opioid de utilizing his books, papers, videos, and audios as source pendence. He is trained to provide evidencebased therapies materials at the Cambridge Health Alliance. This fund will be for , including motivational interviewing, cognitive overseen by Dr. Jack Burke, M.D.,M.P.H. Chairman of the behavioral therapy and dialectical behavior therapy. He was Department of Psychiatry and Susan MillerHavens, Ed.D., nationally recognized for his research on buprenorphine Les’s wife of 38 years, as well as a cofounder of the treatment for opioid dependence as the winner of the Department. American Academy of Young Investigator To make a gift in memory of Dr. Havens go to: Award. He currently has a prestigious DupontWarren research fellowship from the Depart http://www.challiance.org/howyoucangive/havens.shtml ment of Psychiatry and conducts trainings on integrating or by mail: mindfulness into addiction treatment and recovery programs. The Teachings of Leston L. Havens, MD Fund Alliance Foundation Dr. SchumanOlivier said of his decision to join the West 1493 Cambridge Street Bridge staff, “I was seeking a community mental health or Cambridge, MA 02139 ganization with a commitment to implementing evidence based practices for young adults with dual diagnosis. West

Bridge integrates the nationally recognized dual disorders The Massachusetts Psychiatric Society recognize Leston Havens, treatment model with the understanding that working with M.D. with the 2004 Outstanding Lifetime Achievement Award. Dr. Havens was chosen for his exceptional service as a families can accelerate a young adult’s recovery. As a rapidly psychiatrist, educator and author. growing nonprofit organization, WestBridge offers the prom ise of becoming a national model for integrated dual diagno sis treatment in the community, and represents an incredible SAVE THE DATES opportunity to incorporate mindfulnessbased scientific research into clinical practice”. Saturday, October 1, 2011 22nd Annual Fall Program and Update WestBridge could not be happier; Dr. SchumanOlivier will be “Mental Health Needs of Returning Veterans” an outstanding addition to their team. To learn more about Massachusetts Medical Society, Waltham MA WestBridge residential or care management services, please call 6036344446 or visit www.westbridge.org Saturday, October 22, 2011 (Half day program) Registration is now open for the Fall EHR and E&M Update Massachusetts Medical Society, Waltham MA Program and Psychopharmacology Update: “Mental Health Needs of Returning Monday, December 5, 2011 Veterans” CBT Workshop Massachusetts Medical Society, Waltham MA Saturday, October 1, 2010 7:45 amam————3:303:30 pm

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email: mps@psychiatrymps.org MPS Bulletin— September 2011 Page 5

APA Submits Brief Regarding Use of Medication in Jared Loughner Case

ARLINGTON, Va. (Aug 4, 2011) – The American Psychiatric Association (APA) and the American Academy of Psychiatry and the Law (AAPL) have submitted an amicus curiae brief on the issue of forcibly administering antipsychotic medication in the case of the United States v. Jared Lee Loughner. The brief was submitted August 3 to the U.S. Court of Appeals for the Ninth Circuit.

Loughner has pleaded not guilty in the Tucson, Arizona shootings that killed 6 people and injured 13 others, including Rep. Gabrielle Giffords. He has been diagnosed with schizophrenia, was found incompetent to stand trial and is being held in a federal prison hospital in Springfield, Mo.

The APA/AAPL brief argues that under existing standards the government may administer involuntary medication to a pretrial detainee who is a danger to himself or others if appropriate administrative procedures are followed. It was also argued that such decisions should be made by those having custody of the defendant and should not require a judicial hearing.

“We have two interests in this case,” said Paul S. Appelbaum, M.D., chair of APA’s Committee on Judicial Action. “When the courts address issues concerning psychiatric disorders, we want them to have accurate data on the nature and consequences of those illnesses and on appropriate treatments. In addition, we believe working in correctional facilities need the flexibility to deal with dangerous persons without the delay involved in lengthy court proceedings. Those are the issues that we focus on in the brief.”

The defense in the Tucson shootings case has opposed the defendant’s being treated with antipsychotic medication, and the 9th Circuit Court of Appeals halted further treatment with antipsychotics until a hearing before that court at the end of August. Since then, the psychiatrists treating Loughner concluded he was rapidly deteriorating and represented a danger to himself, and antipsychotic medication was restarted on an emergency basis.

The brief submitted by APA and AAPL did not side with either party, but seeks to clarify issues regarding managing violent, including selfinjurious, inmates and about the use of antipsychotic medications. The brief addresses the scientific evidence of the benefits and risks associated with antipsychotic medications, likely side effects, the medical reasons for involuntary administration in certain circumstances, and the inappropriateness of using other medications (i.e., sedatives) in the place of antipsychotics.

In Loughner’s appeal the court will address whether, in a case involving a pretrial detainee, the Washington v. Harper standard may be applied in a prison administrative process or whether the greater protection of a judicial proceeding is required. Washington v. Harper holds that the government may treat a prison inmate who has a serious mental illness with antipsychotic drugs against his will if he is dangerous to himself or others and if the treatment is in his medical interest. In that case – which involved a convicted prisoner – the court also held that an administrative hearing was adequate to satisfy procedural due process. Loughner’s lawyers have raised additional substantive and procedural arguments.

The APA’s position in the brief, approved by the APA Board of Trustees, is consistent with the organization’s ongoing support of adequate mental health care for individuals in the criminal justice system. ————————————————————

The American Academy of Psychiatry and the Law (AAPL) is an organization of psychiatrists dedicated to excellence in practice, teaching, and research in . Founded in 1969, AAPL currently has approximately 1,500 members in North America and around the world.

The American Psychiatric Association is a national medical specialty society whose physician members specialize in the diagnosis, treatment, prevention and research of mental illnesses, including substance use disorders. Visit the APA at www.psych.org and www.HealthyMinds.org .

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email: mps@psychiatrymps.org CLASSIFIED LISTINGSLISTINGS—— SEPTEMBER 2011

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Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email : mps@psychiatrymps.org CLASSIFIED LISTINGSLISTINGS—— SEPTEMBER 2011

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Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email : mps@psychiatrymps.org CLASSIFIED LISTINGSLISTINGS—— SEPTEMBER 2011

The Department of Psychiatry at the Beth Israel DEPARTMENT OF PSYCHIATRY ––– MASSACHUSETTS GENERAL HOSPITAL ––– HARVARD MEDICAL SCHOOL ––– INPATIENT AND Deaconess Medical Center is recruiting psychiatrists ATTENDING POSITIONS for current openings in Ambulatory Psychiatry (expertise in , , or geriatrics desirable), The MGH Department of Psychiatry is recruiting for an In Inpatient Psychiatry (salaried weekday staff as well as patient Attending on our 24 bed Medical Psychiatry Unit weekend coverage), and Consultation. and an Emergency Psychiatry Attending in our Acute Psy chiatry Service. Rated the #1 psychiatry department by US Beth Israel Deaconess Medical Center in Boston, MA is a News and World Report for 15 years, the Department is 500+ bed tertiary care teaching hospital of Harvard Medi comprised of a staff of approximately 600 professional cal School. The Department of Psychiatry maintains a appointees committed to excellence in clinical care, teach diverse 25 bed inpatient unit, a robust Emergency De ing, research and community service. Candidates should partment and ConsultationLiaison Service, as well as an be: a) board certified/board eligible in Psychiatry with ex active outpatient practice. Interest and experience in pertise in the care of patients with psychiatric disorders research is desirable. The Department of Psychiatry is a often complicated by comorbid medical illness; b) dedicat major teaching site for Harvard Medical School and the ed to excellence in the teaching of psychiatry residents, Harvard Longwood Psychiatry Residency Training Pro medical students and other trainees, to scholarship in psy gram; all positions will include opportunities for teaching chiatry, and to clinical quality improvement; and c) quali medical students and residents. Underrepresented mi fied for an academic appointment at Harvard Medical norities, especially those who speak Spanish, are encour School at the rank of Instructor or above. Fellowship train aged to apply. Harvard Medical School appointment at an ing in relevant areas such as emergency or consultliaison appropriate rank is available. psychiatry as well as previous attending experience are highly desirable. Interested individuals should apply to Jon Please contact William Greenberg, MD, Chief of Psychia athan E. Alpert MD PhD, Associate Chief/Clinical Director try, by email: [email protected] including a ([email protected]). The Massachusetts General Hospi statement of interest and CV. tal is an affirmative action/equal opportunity employer. Minorities and women are strongly urged to apply.

Psychiatrist Steward Health Care System is seeking Board Certified/ Board NLCWC is seeking a BC/BE Psychiatrist to provide psycho Eligible Psychiatrists for hospital pharmacological treatment to adults and children, consult based and outpatient opportunities with families and clinical staff. Flexible Parttime. Contact: throughout our growing community Dr. Duvelson at 7818850277 or Christine Studley, HR hospital system. Successful candi Director at 7819864800. dates will be experienced in multidisciplinary treatment New Life Counseling & Wellness Center (NLCWC) is a multi settings and have crossfunctional clinical skills. Leader cultural agency dedicated to the support of children, ado ship and strong communication skills are also a must. lescents and empowerment of families throughout the Highly competitive compensation and excellent benefits South Shore and the Greater Boston area. Our Outpatient await the right candidates. Clinic is conveniently located in Randolph, MA. Headquartered in Boston, Steward Health Care System is Because we offer a broad range of services to assist peo a communitybased accountable care organization with ple of all ages, we engage with communities on many lev more than 13,000 employees, serving over one million els. We use a multicultural approach to offer: Outpatient patients annually, in 85 communities throughout Massa Clinic Services Diagnostic evaluation; Individual, couple, chusetts. Our hospital network currently includes: Saint and ; Family Stabilization and Support Ser Elizabeth’s Medical Center, Norwood Hospital, Carney Hos vices (FSS) through DCF Family Support Services through pital, Saint Anne’s Hospital, Good Samaritan Medical Cen the Parent Aide Program; Faithbased counseling; Support ter, Holy Family Hospital, Nashoba Valley Medical Center, groups; Community education and training; Community and Merrimack Valley Hospital. outreach and teambuilding; Language translation; and Please email a letter of interest and CV to Lenore Referral services to additional resources. Shannon, Vice President/Chief Physician Recruiter: Please visit our Web site at [email protected] All inquiries will remain www.newlifecounselingcenter.org for more information confidential. Please note we do not utilize physician about the work we do. recruitment agencies.

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email : mps@psychiatrymps.org CLASSIFIED LISTINGSLISTINGS—— SEPTEMBER 2011

Adult PsychiatryPsychiatry---- Braintree, Massachuses WORCESTER, MA, MEDICAL DIRECTOR/CHILD & ADOLES CENT PSYCHIATRIST/ faculty position. UMass Medical Harvard Vanguard Medical Associates School, Department of Psychiatry, is seeking a fulltime child (http://www.harvardvanguard.org), an eminent and growing multi and adolescent psychiatrist to serve as the Medical Director specialty, ambulatory group practice has an opening for a BC/BE parttime adult psychiatrist (could be up to 40 hours as well) in our of the Department of Mental Health (DMH) Adolescent Braintree, Massachusetts practice location. Our psychiatrists Programs at Worcester State Hospital. These units are work closely with their medical colleagues (internists, pediatri committed to the delivery of clinically effective, high quality cians and gynecologists) in addition to a multidisciplinary team of behavioral health care for DMH youth and families. The behavioral health clinicians (psychiatrists, , social Child/Adolescent Psychiatrist will provide administrative workers and clinical nurse specialists) in a collaborative approach oversight of and supervision to all of the physicians and chief to psychiatric and behavioral health care. in the programs (1/2 time) and will provide Responsibilities include outpatient psychiatric evaluation, treat direct clinical care on the inpatient units (1/2 time). These ment planning and treatment, medication management services, are vibrant programs that are implementing creative and participation in a multidisciplinary team, and supervision of clini effective models of care. There are many opportunities to cal nurse specialists and trainees in our behavioral health fellow collaborate with other agency area service teams, and with ship program. Experience with Addiction Psychiatry is a plus. Our the DMH team to support the development and implementa practice features a stateoftheart electronic medical record and tion of psychiatric policy, standards and practices. Interest excellent practice supports (billing and authorization matters are and experience in: 1) working with multidisciplinary treat all taken care of for you). We are an affiliate of Harvard Medical ment teams across levels of care, 2) working with EOHHS School where teaching opportunities and an academic appoint child serving agencies, 3) working with school systems; 4) ment are available for the right candidates through the Depart teaching medical students and residents, 5) being a liaison ment of Psychiatry. We offer a very competitive compensation and with primary care, and 6) conducting research. Candidates benefits package. should be board certified in Child and Adolescent Psychiatry Please forward your CV to: Kelly Glynn, Physician Recruitment, or plan to become board certified within a few years of Harvard Vanguard Medical Associates, 275 Grove Street, employment. UMMS rank commensurate with experience, Suite 3300, Newton, MA, 024662275. Fax: 6175598255; competitive salary. Send letter of interest and C.V. to Jean A. email: [email protected], or call: 8002224606; or Frazier, MD, Vice Chair & Director, Child & Adolescent 6175598275 within Massachusetts. EOE/AA. Sorry, no J1 visas. Psychiatry, UMMS, Biotech I, Suite 100, 365 Plantation www.harvardvanguard.org. Street, Worcester, MA 01605 AA/EOE

North ShoreShoreNortheastNortheast Hospital Corp , a Child PsychiatryPsychiatryBurlington,Burlington, Massachusetts local nonprofit medical and psychiatric system Harvard Vanguard Medical Associates on Boston’s North Shore, has openings for (http://www.harvardvanguard.org), an eminent and growing mul tispecialty, ambulatory group practice has an opening for a BC/ full time and part time inpatient attending BE parttime child Psychiatrist in our Burlington, Massachusetts psychiatrists and night/weekend on call practice locations. Our psychiatrists work closely with their medi cal colleagues (internists, pediatricians and gynecologists) in psychiatrists at BayRidge Hospital and Beverly addition to a multidisciplinary team of behavioral health clinicians Hospital. The Hospitals are teaching sites for (psychiatrists, psychologists, social workers and clinical nurse Boston University School of Medicine, and for specialists) in a collaborative approach to psychiatric and behav the inpatient psychiatrist positions, there is no ioral health care. Responsibilities include outpatient psychiatric evaluation, treat required night call, a competitive salary, and a ment planning and treatment, medication management services, full benefit package including generous time participation in a multidisciplinary team, and supervision of clini off as well as reimbursement for malpractice cal nurse specialists and trainees in our behavioral health fellow ship program. Our practice features a stateoftheart electronic insurance and CME expenses. The lucrative medical record and excellent practice supports (billing and au night/weekend oncall opportunities can be thorization matters are all taken care of for you). We are an affili ate of Harvard Medical School where teaching opportunities and scheduled to fit your needs, and both onsite an academic appointment are available for the right candidates and call from home options are available. through the Department of Psychiatry. We offer a very competi Contact Barry Ginsberg, M.D., Chief and Admin tive compensation and benefits package. istrative Director, NHC Dept. of Psychiatry, Please forward your CV to: Kelly Glynn, Physician Recruitment, 60 Granite Street, Lynn MA 01904. Phone Harvard Vanguard Medical Associates, 275 Grove Street, Suite 3300, Newton, MA, 024662275. Fax: 6175598255; (781) 4776964, Fax (781) 4776967, email email: [email protected], or call: 8002224606; or bginsber@nhshealthlink.org . 6175598275 within Massachusetts. EOE/AA. Sorry, no J1 visas. www.harvardvanguard.org

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email : mps@psychiatrymps.org CLASSIFIED LISTINGSLISTINGS—— SEPTEMBER 2011

Medical Director, Vinfen Corporation Vinfen seeks a Medical Director to provide senior psychiatric and medical leadership to all Vinfen programs, including clinical outreach and teaching, the implementation and monitoring of medical, psychiatric and clinical policies and services, quality improvement and risk management. The Medical Director will work closely with the assistant medical director, a team of psychiatric providers, clinical and outreach teams, as well as an active nursing department. The Medical Director will possess clinical expertise, demonstrated leadership capability, supervisory experience, and an ability to influ ence Vinfen’s strategic and operational planning, quality oversight, and research activities. The Medical Director will represent Vinfen to external stakeholders on broad policy, regulatory and strategic issues. Preferred candidates will have experience with services to individuals with mental retardation and developmental disabilities. Requirements include

• Ten years experience in a related clinical setting, including at least five in management or administrative roles • Knowledge of Executive Office of Health and Human Services (EOHHS), Department of Public Health (DPH) and Department of Developmental Services (DDS) in Massachusetts • Board certification in Adult Psychiatry, Child Psychiatry, Forensic Psychiatry, and/or Substance Abuse • Massachusetts Medical Licensure

Vinfen Corporation, headquartered in Cambridge, MA, is a leading nonprofit human services organization providing comprehensive services to adolescents and adults with psychiatric, developmental and behavioral disabilities. Through a variety of programs, Vinfen promotes the recovery, resiliency, habilitation and selfdetermination of the people we serve. Vinfen’s programs include assertive community treatment, community living, day and vocational services, club house, and peer and family supports. With an annual oper ating budget of $110 million and 2200 employees, Vinfen supports thousands of individuals in 300 programs in locations across eastern Massachusetts and northern Connecticut. To learn more about Vinfen, visit www.vinfen.org Please forward CV in confidence by email to [email protected] or by US mail to: Jon Reuman, Vice President of Human Resources, Vinfen Corporation, 950 Cambridge St, Cambridge, MA 02141 v072811

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email : mps@psychiatrymps.org CLASSIFIED LISTINGSLISTINGS—— SEPTEMBER 2011

Cambridge Health Alliance Harvard Medical School WORCESTER, MA Child and Adolescent Psychiatrist/Faculty Position The University of Massachusetts Medical School (UMMS), Department of Psychiatry, is seeking a fulltime child psychiatrist to join the faculty and to serve as a Child Psychiatrist at the UMass Fellowship Continuing Care Adolescent Inpatient Units at Cambridge Health Alliance, Cambridge, MA Worcester State Hospital. Candidates must be Harvard Medical School BC/BE in Child and Adolescent Psychiatry. Expe rience in inpatient care of adolescents is highly 2 Positions available July 2012 desirable. Community orientation and community The Fellowship is a 1year ACGME approved program for based experience, and experience in teaching a PGY V psychiatrist providing training in the delivery of psychiatric consultation in a community general hospital and training residents and medical students are as well as to a culturally diverse array of patients in also desirable. Teaching and research opportuni primary care clinics. Specialty training in Women’s ties available and encouraged. Faculty appoint Health, Addictions and is also ment at rank commensurate with experience. available. Cambridge Health Alliance’s unique blend of Competitive salary and excellent benefits. Join a community and academic resources offers exceptional opportunities for professional growth. Responsibilities: vital and growing academic division of Child direct patient care; supervision of psychiatry and primary Psychiatry. Please send CV and letter of interest care residents and medical students; developing an to: [email protected] or fax to academic project. Contact Robert Joseph, MD, Director, 5088566426. Or, please call Andrea Glassman ConsultationLiaison Psychiatry, 6176651544, email at (508) 8561256. We are an AA/EOE employer. [email protected] , fax 6176652521.

CHILD PSYCHIATRIST (((Northampton)(Northampton) Clinical & Support Options, Inc., a leading fullservice behavioral health organization in western Massachusetts, is seeking a Child Psychiatrist to provide diagnostic evaluation and treatment including prescription services in Outpatient clinic. Located in the picturesque Pioneer Valley, we are eligible for the NHSC Federal Loan Repayment Program as part of a designated health professional shortage area. Position qualifications include board certification with child/adolescent certification and five years' experience in behavioral health treatment services. Full or parttime with competitive salary and very generous benefit package. Send cover letter and resume to [email protected] or fax (413) 7741197. EEO/AA

Psychiatrist Cambridge Center CEDC is Expanding!

We are seeking licensed Psychiatrists for fullfullfullfull time,time, partparttimetime and feefee forforforfor serviceservice positionspositions. CEDC offers Residential, Partial, and Intensive Outpatient and Outpatient programs for individuals struggling with eating disorders.

Apply Today! Send resume with cover letter to: Cambridge Eating Disorder Center, 3 Bow Street, Cambridge, MA 02138 Or Email: [email protected] Positions have flexible hours, great salary and excellent benefits.

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 Phone: (781) 2378100 ♦ Fax: (781) 2377625 ♦ Email : mps@psychiatrymps.org

PAID PAID PAID PAID NonProfit NonProfit Permit #88 Permit #88 Ashland, MA MA Ashland, Organization Organization U. S. Postage U. Postage S.

MassachusettsMassachusetts Psychiatric Society Psychiatric Society Address ServiceAddress Requested Service Requested 40 WashingtonStreet,40 Washington Suite Street,201 Suite 201 Wellesley Hills, MAWellesley 02481 Hills, MA 02481

MassachusettsMassachusetts Psychiatric Society Psychiatric Society Address ServiceAddress Requested Service Requested 40 WashingtonStreet,40 Washington Suite Street,201 Suite 201 Wellesley Hills, MAWellesley 02481 Hills, MA 02481

BROCKTON, MAMA. 40hr position for BC/BE* psychiatrist in Joint Commis Tewksbury Hospital is looking for full time inpatient sion accred. CMHC with comprehensive outpatient, PACT, case manage psychiatrist s. The positions are on DMH intermediate care units ment, CBFS, and 24hour onsite emergency services. CMHC is part of working with a wide variety of patients with severe and persistent MA DMH Southeastern Area. Active medical staff and Harvardaffiliated mental illness. No managed care or afterhours oncall. Median LOS psychiatry residency training program. Responsibilities include outpatient about 200 days. Competitive compensation. Work with an excellent psychiatric evaluations, psychopharm. mgmt., treatment planning, consul and personable group of psychiatrists. For information contact Anthony Vagnucci, MD, Chief of Psychiatry, Tewksbury Hospital, 9788517321 tation to treatment teams. Compet. salary, benefits, daytime, flex sched x2863, [email protected] . ule, no nightcall. Available 3/10. Board certification required (*can ac cept BE only if plan in place for board cert exams). Transitional age youth or forensic experience, and/or Spanish speaking desirable. Send CVs to THE DEADLINE FOR THE OCTOBER 2011 MPS NEWSLETTER IS SEPTEMBER 15, Terri Harpold, MD, Brockton MultiService Center, 165 Quincy St., Brock 2011. FOR ADDITIONAL ADVERTISING INFORMATION, PLEASE CONTACT THE ton, MA 02302 or email to [email protected] MPS OFFICE AT: (781) 23723781008100 OR MPS@PSYCHIATRYMPS@PSYCHIATRYMPS.ORGMPS.ORG MPS Calendar of Events

Media Communication—Conference Call September 12 at 7PM bdupuis@psychiatrymps.org

Council September 13 at 7PM at MPS bdupuis@psychiatrymps.org

Membership Committee September 14 at 7PM at MPS bdupuis@psychiatrymps.org Nominating Committee September 15 at 7PM at MPS bdupuis@psychiatrymps.org Managed Care Committee September 20 at 7PM at MPS bdupuis@psychiatrymps.org

Geriatric Committee September 21 at 8PM at MPS mpatel@psychiatrymps.org

Public Sector September 22 at 6:30PM at 26 Queen Street, 5th Floor, Worcester bdupuis@psychiatrymps.org

Women’s Committee September 23 from Noon to 2PM at MPS mpatel@psychiatrymps.org

Executive Committee September 27 at 7PM at MPS bdupuis@psychiatrymps.org

22nd Annual Fall Program and October 1 at Mass. Medical Society, Waltham MA mpatel@psychiatrymps.org Psychopharmacology Update Council October 11 at 7PM at MPS bdupuis@psychiatrymps.org Member Appreciation October 17 at 7PM at MPS mpatel@psychiatrymps.org

Managed Care Committee October 18 at 7PM at MPS bdupuis@psychiatrymps.org

EHR and E&M October 22 at Mass. Medical Society, Waltham, MA mpatel@psychiatrymps.org