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David White, CAE Executive Director

Robert McPherson, PhD SUMMER 2003 VOLUME 54, ISSUE 2 Director of Professional Affairs

Lynda Keen Features Membership Manager/Bookkeeper 8 Go Boldly Forth! Making Psychology a Household Word Ronald F. Levant, EdD, ABPP Sherry Reisman Director of Conventions & Non-Dues 10 TPA and Rio Grand Valley Psychological Association Meets for TPA BOARD OF TRUSTEES International Exchange Mary Elizabeth De Ferreire, PhD Deanna Yates, PhD President 15 PSY-PAC Update C. Alan Hopewell, PhD Paul Burney, PhD President-Elect Paul Burney, PhD Departments President-Elect Designate

Walter Cubberly, PhD 2 FROM THE PRESIDENT Past-President Deanna Yates, PhD

Board Members 4 FROM TPA HEADQUARTERS: Sunset Process Ron Cohorn, PhD Patrick Ellis, PhD David White, CAE, Executive Director Richard Fulbright, PhD Charlotte Kimmel, PhD 12 Council of Representatives Joseph C. Kobos, PhD Joseph C. Kobos, PhD, ABPP Suzanne Mouton-Odum, PhD Roberta L. Nutt, PhD Dean Paret, PhD 16 Substance Abuse Elizabeth L. Richeson, PhD Norman Anderson, PhD Ollie Seay, PhD Jarvis Wright, PhD 17 Legislative Day EX-OFFICIO BOARD MEMBERS C. Alan Hopewell, PhD

Richard M. McGraw, PhD 18 LAW: The Duty to Report Sexual Abuse Federal Advocacy Coordinator by Any Mental Heath Care Provider Melba J. T. Vasquez, PhD Sam A. Houston CAPP Representative 19 Spotlight on Sherry L. Lee Jerry R. Grammer, PhD Texas Psychology Foundation President 20 A Test Drive: The Brand New HIPAA Product from the APA Practice Mary Martin Organization Student Division Director Charlie Cooper, PhD, Director of Professional Affairs, North Carolina Psychological Association, and Sally Cameron, Executive Director, North Carolina Psychological Association PUBLISHER 21 The “Must Do” Steps for HIPAA Compliance Rector Duncan & Associates P.O. Box 14667 Austin, Texas 78761 22 Interested in Practicing in Rural Underserved Communities? 512-454-5262 Nina Levitt, EdD, Director for Education Policy of APA Public Policy Office Stephanie Shaw Managing Editor 23 Membership Application Pat Huber Advertising Sales 27 New Members Julie Mangano Art Director 26 PSY-PAC Contributors The Texas Psychological Association is located at 1011 Meredith Drive, Suite 28 TPF donations 4, Austin, Texas 78748. Texas (ISSN 0749-3185) is the official publication of TPA and is 29 Inside TPA published quarterly. www.texaspsyc.org 32 Classified Advertising 32 Advertisers’ Index SUMMER 2003 Texas Psychologist 1 FROM THE PRESIDENT

Presidential Briefing

As I write this article, we are in the middle of the 78th Texas Legislative session. By the time you receive this journal, I am sure the session will be over. Whether or not the prescriptive legislation is passed remains to be seen, but what we have learned about the legislative process has been invaluable.

already knew the process. And even though the meetings is essential for our the turnout was small, our presence was organization. Establishing relationships will felt, and a great deal was accomplished. We also make the road easier in 2005 when we are learning that our visits to the capitol pay come up against Sunset. off when we already have a good One personally important happening is relationship with our legislators. Because the completion of the report to the our organization is not known in the capitol Commission on Mental Health. By the as well as many other groups, we have a lot time this article is printed, the Commission of catching up to do. We need report should have been published. Having to develop relationships with our legislators worked mainly in the private sector, my by both monetarily and physically taking a year of work on the report was very part in the work of the campaigns. We need challenging due to unfamiliarity with to be seen at fundraisers, and we need to be certain topics. However, the experience was Deanna F. Yates seen on the hill supporting issues other than very rewarding, and hopefully the report TPA President our own professional ones. will be well received. We made many This session, the Public Policy recommendations to President Bush, and ach session, we, as psychologists, Committee has been extremely active, both we are hopeful that many of them will be become more knowledgeable in the physically on the hill and also by sending put either into executive order or Elegislative arena. Yet, we are about out alerts and TPA public policy legislation. We naturally asked for parity for twenty years behind many of the other statements. We have testified for several mental health and expect that that bill will health care groups. We finally comprehend bills besides our own. We have supported become law in the very near future. I am what other groups have understood for agendas of other groups including the also hopeful that many of the issues in the years—the absolute importance and TSBEP, the Mental Health Association of report will be addressed in presentations at priority of grassroots advocacy. While TPA Texas, and the social workers. Ollie Shea our convention this year. has seen the need for lobbying and, to some has worked tirelessly on issues relating to By now, I hope everyone is up to date on extent, the importance of the PAC, actual appropriations affecting MH/MR and on HIPAA compliance. We have kept our grassroots advocacy has not developed as other issues, such as competency to stand professional affairs officer, Bob McPherson, well as it should have. trial and the death penalty for the mentally very busy this year presenting workshops I believe that in spite of Legislative Day retarded and mentally ill. Other around the state on HIPAA. By now, he falling on the day of the ice storm in Austin, psychologists have setup and attended should be one of the country’s best experts we had a more sophisticated group of meetings with their house representatives on the topic, and he is still open to doing psychologists appear on the hill this session. and our lobbyists. These meetings are more workshops for those of you who have For the first time, we felt it unnecessary to important in getting our issues on the table. been in denial. He is also available for do the usual training before going to the Furthermore, having a constituent arrange phone consultations that can be arranged capitol, because the group that showed up these visits and actually travel to Austin for through the TPA central office. TPA is also

2 Texas Psychologist SUMMER 2003 making continuing education programs on Getaway. This year, we will be traveling to disorder. You can earn six hours of CE various topics available over the Internet. Cancun, a favorite site for past getaways. credit, bring your family on a very They can be found and downloaded at the The trip is planned for July 19th-23rd. reasonably priced vacation, and have a tax TPA web site, so you can complete them on Suzanne Mouton has agreed to do the write-off—all at the same time. So, I hope your own time schedule. workshop, which will be on to see you there for some fun in the sun. ✯ A major activity coming up before Trichotillomania (compulsive hair pulling). convention is TPA’s Annual Family Suzanne is a nationally known expert in this

New home study articles now 2003 available from TPA nnual a convention November 6-8, 2003 Westin Galleria Dallas, Texas

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SUMMER 2003 Texas Psychologist 3 FROM TPA HEADQUARTERS

Sunset Process

David White, CAE Executive Director

As I go into my 12th year of serving psychologists in this state, I am constantly amazed at the dedication and commitment of our members. We have asked members to serve on committees and task forces, to take personal time to serve as TPA leaders, to come to Austin to testify at legislative hearings, and to represent TPA and the profession at different political and organizational events.

he volunteerism of our members is the Texas Legislature the information needed committed three years of their time and so appreciated. However, one group to draw conclusions about the program’s energy to position the profession for the Tthat has gone beyond the call of necessity and workability. The chart on page future in this competitive health care arena. duty is TPA’s Sunrise Task Force. TPA’s 2002 6 outlines the steps that are involved in the The members of the committee are: president, Walt Cubberly, PhD, had the sunset process. foresight to create this task force in As you can see by reviewing the chart, Melba Vasquez, PhD (co-chair) (Austin) preparation of the Sunset Review of the early on in the process there is an David Rudd, PhD (co-chair) (Waco) Texas State Board of Examiners of opportunity for interested groups to meet Charles McDonald, PhD (Austin) Psychologists that will take place in 2005. In with the Sunset Commission staff to share Dee Yates, PhD (San Antonio) short, the Sunset Review Process is the with them their perspective of the agency. Tom Lowry, PhD (Austin) assessment by the state of the continuing This is a formal process, in which “the Jerry Grammer, PhD (Austin) need for a state agency to exist. The Sunset profession” (TPA) actually submits a formal Suzanne Mouton-Odom, PhD (Houston) Commission, the state agency that researches report of what TSBEP services should Bob McPherson, PhD (Houston) and recommends to the state legislature their change, modify or even be abolished. This Walt Cubberly, PhD (Houston) findings, asks a very simple question: “Does report is taken very seriously, as the state Rick McGraw, PhD (San Angelo) an agency (TSBEP) continue to be needed?” wants to hear from the licensees. Sam Buser, PhD (Houston) That is the question that the Texas TPA has already begun developing their Paul Burney, PhD (Woodlands) Legislature will decide about the Psychology recommendations to the Sunset Brian Stagner, PhD (College Station) Board in 2005. You might assume that a Commission. Back in September 2002, Alan Hopewell, PhD (Ft. Worth) profession that has been in existence as long when TPA’s Sunset Task Force met and as psychology (created in 1969) would not began planning for this process. They have Just as this is a very important task force, have to worry about this process, but all you met on several occasions since then and have TPA has other committees and task forces have to do is look back to 1993 when the actually looked at every aspect of the board. that play an important role in the success of State Board of Dental Examiners was They will be forming their recommendation TPA. They are as follows: abolished after having been created in 1897! in the near future. One aspect of their work There are no automatic renewals in this is to get input from the members of TPA on MEMBERSHIP COMMITTEE process. Therefore, each psychologist must their perspective. This is an important task in Charlotte Kimmel, PhD, and Jarvis Wright, not assume that the TSBEP will be intact in their research, because they want to PhD (Co-Chairs) 2005. If there is no TSBEP, then there will understand what the licensees are thinking no longer be any licensed psychologists. about the future of the board. They will soon Mission have their final survey completed, and it will To develop a membership recruitment and Sunset Process be sent to only current TPA members. retention program. A 10-member body appointed by the You will be able to keep up with the state’s lieutenant governor and the speaker of Sunset Task Force by checking TPA’s Web the House of Representatives guides the site at www.texaspsyc.org. Periodic reports AWARDS COMMITTEE sunset process. This body reviews will be posted there when they are complete. Roberta Nutt, PhD (Chair) assessments of the agency’s programs, giving The folks serving on this task force have

4 Texas Psychologist SUMMER 2003 SUMMER 2003 Texas Psychologist 5 Mission THIRD PARTY RELATED ISSUES TELEHEALTH To solicit names from TPA membership and COMMITTEE Alaire Lowry, PhD (Chair) submit to TPA board of trustees Dean Paret, PhD (Chair) nominations for TPA awards. Mission Mission To research the issue of telehealth and ANNUAL CONVENTION PROGRAM To review agendas of other mental health prepare a white paper for board of trustees. COMMITTEE and consumer groups in order to determine Pat Ellis, PhD (Chair) what areas can be jointly supported by TPA.

Mission To plan the program content for TPA’s 2003 Sunset Review Process Annual Convention which will be held on November 6-8, 2003, at the Westin Galleria in Dallas, Texas. Legislature sets time frame for agency’s Sunset Review

DISASTER RESPONSE NETWORK COMMITTEE • Agency submits Judith Andrews, PhD (Chair) Self-Evaluation Report (SER) Sunset Staff • Staff evaluates SER Mission Evaluates Agency, and develops a Develops Recommendations To work within the APA network and review plan and Publishes Staff • Agency educates develop a network of psychologists in Texas Report staff about its that could be contacted and mobilized in operations throughout case of a disaster. overview meetings • Staff meets with interest groups, FINANCE COMMITTEE affected agencies Paul Burney, PhD (Chair) and other interested persons

Mission Sunset Commission receives: To oversee the TPA finances and to work Commission • Staff recommendations with the executive director in preparing the conducts public • Agency responses hearing • Public testimony annual budget.

LEGISLATIVE COMMITTEE Dee Yates, PhD (Chair)

Mission Commission decides on To implement TPA’s 2003 legislative agenda recomendations to and to assure that every member of TPA the Legislature understands the importance of TPA’s legislative efforts.

ELECTIONS COMMITTEE Jerry Grammer, PhD (Chair) Pass Fail

Agency is continued with Sunset bill is filed Mission Agency is abolished and Legislative modifications with the Legislature begins one-year wind-down To identify candidates to run for TPA’s board process of trustees and to oversee TPA’s 2003 elections.

6 Texas Psychologist SUMMER 2003 PUBLIC POLICY COMMITTEE Ollie Seay, PhD, and Richard Fulbright, PhD (Co-Chairs)

Mission To make contact with organizations, state agencies and other entities to relay and to represent psychologists’ viewpoints.

LAS/DIVISION COUNCIL Alan Hopewell PhD (Chair)

Mission To chair the LAS/Division Council that meets during TPA’s annual convention.

ENTREPRENEURIAL COMMITTEE Rick McGraw, PhD (Chair)

Mission To identify programs and services that TPA could implement that would bring in non-dues revenue to the association.

BY-LAWS TASK FORCE Ron Cohorn, PhD (Chair)

Mission To prepare TPA by-laws to reflect the intent of the board and to oversee their approval by the membership. ✯

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SUMMER 2003 Texas Psychologist 7 WASHINGTON UPDATE

Go Boldly Forth! Making Psychology a Household Word Ronald F. Levant, EdD, ABPP

From my vantage point as both a dean of a graduate school of psychology and an officer of the American Psychological Association, I have unique opportunities to reflect on the applicability of psychology to everyday life. Over the past few decades, psychology has commendably gained a higher profile in our society. But, I envision a future in which psychology will become a household word, and psychologists will enjoy the status of physicians in our society.

ertain qualities of our dynamic Psychology, 110 years old, has discipline/profession have been grown and diversified beyond the Cmoving us toward greater dreams of its early pioneers and relevance to our society. There is has produced research-based tremendous creativity within psychology applications for nearly every aspect that enables us to respond to an expanding of human endeavor. From health set of human needs, developing increasing care to education, family life to areas of science, application, and service. corrections, religion to the arts, Moreover, psychologists tend to question business and industry to law, and authority and put things to the empirical sports to the military and test, which helps advance the field. Many engineering, it is hard to find an psychologists are also activists and choose area of human activity where not to wait in the ivory towers for the psychology doesn’t have relevance. public to clamor over their discoveries but, A few examples illustrate this instead, use sophisticated political skills to point: insure the public’s access to psychological • Psychology helps teachers services and public support for design instruction to meet psychological science. Psychologists are also individual student needs. tremendously responsive to people-in-need, • Psychology helps patients whether they be victims of disasters or manage chronic diseases like minorities who are chronically underserved diabetes and hypertension. and discriminated against — such as ethno- • Psychology improves safety cultural minorities, gays and lesbians, by advising the aviation industry women, the poor, and persons with on how to design cockpits and disabilities. fire departments on the color of When laypersons think of psychology, fire engines. they often think of helping people who • Psychology helps athletes suffer from emotional illness (like anxiety and executives reach their peak or depression), marital and family problems performance. psychologists: Colleen Hacker, coach of the (like domestic violence or unmanageable • Psychology advises the FBI on how U.S. women’s soccer team; Ted Strickland children), or substance abuse. While to combat terrorism. and Brian Baird, congresspersons; Judith psychology certainly deals with these • Psychology helps public health Albino, Richard Atkinson, Judith Rodin, problems, few realize how broadly officials prevent injuries and violence. and , university presidents applicable psychology is to everyday life. The broad applicability of psychology is and chancellors; John Gardner, secretary of reflected in the careers of some notable the U. S. Department of Health, Education

8 Texas Psychologist SUMMER 2003 and Welfare; Nicholas Cummings, CEO of American Biodyne, Inc.; Psychological Association. He was the Chair of the APA Committee for Joyce Brothers, media psychologist; Bill Cosby, entertainer; the Advancement of Professional Practice (CAPP) from 1993-95, a Jonathan Kellerman, novelist; Dick Suinn, mayor of Fort Collins, member-at-large of the APA Board of Directors (1995-97), and APA CO; Tom Osborne, coach of the number one rated Nebraska Recording Secretary (1998-2000). He is Dean of the Center for football team and now U.S. congressperson; William Bevan, Bel Psychological Studies at Nova Southeastern University in Fort Williams, and Ruby Takanishi, leaders of major foundations; Alan Lauderdale, FL. Leshner, director of the National Institute of Drug Abuse and now CEO of the American Academy of Science; Kathy Hawks, director 1. This column is reprinted, with permission, from the National of the U.S. Bureau of Prisons; and Beverly Malone, Deputy Surgeon Psychologist, 2003. General of the U.S. Furthermore, the scope of psychological practice is expanding References and diversifying into new areas, areas where the distinction between DeLeon, P. (2000). The critical need for licensure mobility. Monitor applied scientist and professional practitioner begins to blur, such as on Psychology, 31(4), 9. health psychology (and its related aspects such as psychology in Smith, D. (2001, May). Helping psychologists on the move: States primary care, psychoneuroimmunology, and applied and provinces make professional mobility easier for psychophysiology), neuropsychology, rehabilitation psychology, psychologists. Monitor on Psychology, 32(5), 73. forensic psychology, child and family psychology, multicultural Sullivan, M. J. (2000-2001, Winter). Directorate helps to promote psychology, geropsychology, business and industry consultation, mechanisms for mobility. Practitioner Focus, 13, 4, 16. and psychopharmacology. The future evolution of professional psychology will entail the development of roles that do not currently exist or are just emerging — roles in health care, the public sector care of those diagnosed with serious mental illnesses, the public policy arena, the courts, the correctional system, the military, schools, businesses, communities of faith, and the media — in the numbers that psychologists entered the role of outpatient therapist in the 1970s and 80s. But above and beyond the career paths of extraordinary psychologists and the evolution of new roles responsive to public need, I envision a future in which psychology becomes a household word, and psychologists enjoy the status of physicians in our society. Consider this: Most of us see our optometrist once per year, our dentist twice per year, and our internist once per year. I can imagine a day in the not too distant future when people will make appointments for annual psychological checkups. At these checkups, they will address such matters as their stress level and their psychological well-being, auditing their work/family life balance, their relationships, how they are managing children and/or aging parents, and health basics like diet, nutrition, sleep and exercise. Less than five percent of the population has a doctoral degree. Hence, we are among the most highly educated people of our time. Our chosen field, psychology, is applicable to every aspect of human life. As former APA President Patrick DeLeon has said, if we take care of society’s most pressing needs, society will take care of us. The future of psychology is as bright as we dare to imagine it to be. As always, I welcome your thoughts on this column. You can most easily contact me via email: [email protected]. ✯

Biographical Sketch Ronald F. Levant, EdD, ABPP, is a candidate for APA President. He is in his second term as Recording Secretary of the American

SUMMER 2003 Texas Psychologist 9 TPA and Rio Grande Valley Psychological Association Meets for International Exchange in Reynosa, Tamaulipas, Mexico

Mary Elizabeth De Ferreire, PhD

TPA President, Dr. Dee Yates, and the Rio Grande Valley Psychological Association President, Dr. Mary E. De Ferreire, and members were invited by Cristina Pena de Gomez and Alejandra Trevino de Ruiz, two private practice psychologists working at the Lancet Clinic, and Ramiro Cavazos Galvan, practicing attorney in Reynosa, Tamaulipas, Mexico, to spend a day visiting centers that provide mental health counseling and services to Mexican children and families.

his exchange was coordinated by the The Rio Grande Valley Psychological miles north of the Rio Grande River. These two groups and highlighted in the Association was represented by its President, young men said they were coming “al Norte” TMexican press before the visit. It was Mary E. De Ferreire, PhD; Treasurer, Eloy to work or to join families already here — the first ever formal, thus historical, Vela, MEd, LPC; Arthur Linsky, PhD; Mr. some as far away as Houston — or just “to interchange between the Texas Psychological Jose Equia, businessman from McAllen, Texas; start a new life.” Although the goal of this Association, the Rio Grande Psychological and German Segura, BS, who served as Dr. facility is family reunification, all of these Association, and Mexican professionals in Yates’ translator. young men said they would return to the psychology and law. The Mexican psychologists, also members United States, as their goal is to have a good Reynosa, on the Rio Grande River border, of the Rio Grande Valley Psychological life here in this country despite having already ten miles directly south of McAllen, Texas, is a Association, worked diligently to organize the undergone a grueling series of incarcerations sprawling Mexican border town known for its day-long program of visits to various locations. for illegal entry. Some paid thousands of business industry and also for being “the All sites were sponsored by the Mexican dollars to the “coyotes,” men who guided their gateway to America” for many workers. It has government’s Department for Families (DIF), illegal crossing of the Rio Bravo, as the similar problems of an American city, such as which is the USA’s counterpart of Child Mexicans call the Rio Grande River. The boys immigration, child abuse, drug abuse, Protective Services. said they raised the money “by selling anything illiteracy, and mental health needs for families. The American group met up with them at and everything to have enough money to pay A recent Mexican newspaper article noted Reynosa’s central plaza and began the first visit the coyote.” that “800,000 Mexican workers cross daily to to the “Centro De Ninos Deportados” (The Their social worker had made contact with legally work in the United States, and that the Center for Deported Children), a small stucco the boys’ families and had counseled them United States, yearly, accepts between 150,000 house with a locked door guarded on the about the need to stay united with their to 200,000 Mexicans as legal permanent inside by a male. The building houses two bare families in their own country to work and be residents representing 20 percent of the total bedrooms with bunk beds, a central room with productive citizens. Some of the boys stated accepted by the USA as legal permanent a metal table, metal chairs, and a television that their parents were already in the USA and residents per year.” hung up in a corner. There, the group met that they had an urgency to reunite with them. It is because of this “interdependence” at with six young male teens, ages 13 to 18 years, The social worker said it was rare to have a very the border, as well as the historical connections who were waiting to return to their homes in aggressive or suicidal child in that facility. between our two countries, that the Rio various cities in Mexico, from as close as Counseling them about the illegality of what Grande Valley Psychological Association has Monterrey, Nuevo Leon, to as far away as the they had done and family reunification were reached out to meet its professional coastal city of Veracruz. These young men had the goals of the social worker. The average counterparts across the river to learn, know, been caught by U.S. Border Patrol agents on length of stay is three days before they board a and share a passion for the profession of the American side. Some were caught while bus on a one-way ticket to their hometowns. helping and healing others. casually walking north along a main street in Site number two was the “La Casa Hogar Ms. Pena and Ms. Trevino arranged for a McAllen; others were caught as they attempted del Nino” (A Home for Children) which series of site visits for Dr. Yates, accompanied to pass what is considered the “real border” of provides shelter/care for an average of 90 by her husband Thomas Yates, who was born the U.S. Border Patrol check point in infants, toddlers, and latency age children in Laredo, Texas and speaks fluent Spanish. Falfurrias, Texas, which is approximately 80 whose parents have been accused of child

10 Texas Psychologist SUMMER 2003 responsibility for them at the center until their mothers can show proper documentation such as a birth certificate for family reunification. Once the children and mothers, are known to the center, they are enrolled in school classes at the level of their skills, using computers to teach them to read, spell, and learn other skills. They are also counseled, and other shelter is found for them. The psychologists noted that over 500 families are receiving services at the center. Site number four was the “El Centro de Atencion a la Juventud” (The Center for Attention to the Youth), a modern, state-run outpatient clinic recently opened by the Tamaulipas’ governor’s wife. This facility offers psychological, social, psychiatric, and drug rehabilitation services. The governor’s Coordinator for the State of Tamaulipas for Mental Health and Control of Addictions, Ms. Laura Elena Gaiten Jimenez, drove several abuse. The group visited three different rooms Menores en Circunstancias Especialmente hours from the capitol city of Victoria to make with the physician and staff on site. The first Dificiles” (A Center for Minors with Especially a special presentation to the group about the room was lined with elaborately carved Difficult Circumstances). This was a newly governor’s programs, which have documented wooden cribs and contained infants of ages inaugurated program — a combination of a positive effects for the drug treatment and one month to about 20 months. A set of one- small inpatient medical clinic, a school, a parent educational programs now in effect in month old twins, whose cribs were labeled rehabilitation center, and a counseling center the high schools throughout most large cities. Twin A and Twin B, had been taken from their staffed with a psychologist and a social worker. Ms. Jimenez invited the group to visit next mother at two days of age after she tried selling The children who were in the clinic had been year in Matamoros, the city at the mouth of them to a couple who later reported her to the gathered the night before by the Reynosa the Rio Bravo, to see the governor’s new police. The mother was incarcerated for the police and the center’s social worker, because it mental health program of a village of cottages crime. The other children were either was a very cold night and there was an 8 pm and a rehabilitation center for the seriously abandoned or also had mothers in jail. There is curfew in the town. Many of these “ninos de la mentally ill. no adoption, but there is a very small group of calle” (children of the street) were taken from After all of these very interesting foster parents who are certified to care for some their mothers by the program’s social workers interchanges of ideas and information, the of these children. and the Mexican police, because the mothers group then met at a local fine-dining Mexican The second room, also lined with cribs, was used the children to beg for money on the restaurant in Reynosa, “La Fogata” (The full of toddlers, many standing up, smiling, streets and plazas. The mothers use their Hearth), to share in a traditional meal of and reaching out to be greeted and held. The children as props to create sympathy in order guacamole, Mexican white goat cheese with third room visited was a small bedroom with to get donations from the public. The women chorizo, fajitas, ribs, goat meat, and chicken, as twin beds covered by warm Mexican blankets. are brought to this area from as far south as the well as a desert of traditional flan and Mexican The older children were in the television room, state of Oaxaca and are called “Las Marias” coffee. The group made mutual toasts to thank as it was a Saturday morning, and like (the Marys). The mothers are also known to each other for the wonderful day of learning American children, they were watching borrow children of relatives or friends to work and exchange between professionals. cartoons. This facility receives money from as beggars. They often live as a group in a small Dr. Yates announced that she would fundraisers led by the mayor’s wife, who is the apartment with the children. Many report support the establishment of the first ever traditional sponsor of this center. It was a very coming to the area due to its close proximity to “Special Interest Group in International cold day on this visit. All of the children were the border. This makes them feel that they are Issues” for TPA. Dr. Yates also announced the dressed in warm apparel and were bundled in “so very close to entering into the USA.” If the theme of the TPA convention and invited all blankets, as there was no heat in the facility. police and/or social workers find these children in attendance to participate in this year’s Site number three was the “El Centro de out past curfew, the city takes over the activities. ✯

SUMMER 2003 Texas Psychologist 11 COUNCIL OF REPRESENTATIVES

Joseph C. Kobos, PhD, ABPP American Psychological Association February 13-16, 2003

The weekend of the APA–CoR meeting in Washington, D.C., was filled with events, activities and memories that will last a lifetime. First, 9-11 continues to cast a shadow over our country. Just days before the meeting, an orange alert was announced, and people started buying duct tape. When I was a child, cellophane Scotch tape could fix anything; now, duct tape is the universal cure-all. We flew into DC looking for the increased security and anti-craft installations that had been reported on the news.

and loved ones. On several occasions, membership organization, based on the people commented that with all the conflict voluntary participation of members and tension in the world, it was unfortunate through the board and committee that this council could do little to change or structure, must be nurtured and have an impact on current world events. maintained. Committees must interact and When the formal meeting began on also have a competent central office staff. Friday at 9 a.m., we found hearts from the Norman Anderson, our new CEO of six “chocolate caucus,” a loving touch of weeks, gave his first report to the council. friendship. President Bob Sternberg began He has started a process of working with the the meeting with a report on his goals for management team to increase non-dues his presidency. He is a very bright, witty, revenue and to continue to operate in the and clever thinker and clearly outlined his most cost-efficient manner. initiatives to bring more unity to our It is important for APA members and all efforts. Look for his publications in these psychologists who benefit from the ongoing areas. work of the association to know that Two themes were prominent in the member dues are only a small fraction of deliberation and action of the council. One, our revenue stream. Publications, grants, budget and finances were interwoven in investments, and real estate all produce everything. Just as individuals, families, and much more revenue. My opinion is that companies have seen their net worth Norm Anderson and Chief Financial reduced in the past three years, so has APA Officer Jack McKay, along with directorate seen its own equity investments reduced. heads Russ Newman (Practice), Henry Fortunately, the losses at APA are not as Tomes (Public Internet), Cynthia Belear he caucus meeting on Thursday large as the average losses in the market. (Education), and Kurt Salzinger (Science) night did not have the same APA has been largely invested in value are all taking a prudent and realistic Texcitement and energy of previous stocks, so the loss has not been as deep as approach to dealing with the financial base meetings. Perhaps an agenda with little the market average. Our success with the of the association. controversy, along with preoccupation two buildings has provided us the The second theme of the meeting was about the Iraq and UN negotiations, opportunity to refinance and to fix the cash governance, and how the council can be prompted us to take comfort in our own flow problems of the recent past. We are on most effective in exercising its fiduciary camaraderie. And, of course, many talked of a sound financial footing. A major cost responsibility in overseeing and directing Valentine’s Day and being separated from savings initiated in 2002, primarily reduced the affairs of the association. Council, as loved ones. Many lamented about these meetings and committee activity, along any board of directors, has the important professional meetings conflicting with a voluntary reduction in staff must be responsibility of reviewing all that is done with more important relationships of family addressed in 2004. All are agreed that a by the association for the benefit of its

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SUMMER 2003 Texas Psychologist 13 members and of offering a clear guidance to association. In the recent meeting, the that a big storm was around the corner. Dr. the staff about what the needs of the topics included: task force on governance; Stenberg exercised deft leadership and wise membership are and also what kinds of APA election processes; convention; decision-making. He asked us if we wanted programs should be pursued. A new caucus membership recruitment and retention; to finish up with all voting on Saturday of council, known as COUNT, has how to increase diversity in APA morning so everyone could find their way spearheaded this discussion. Council governance; and how to make and save out as soon as practical. The group response members can be inundated with lengthy money. was unanimous—let’s focus on all the items reports on topics generated years prior to These focus groups have served to that require a vote and prepare to depart. their membership to council and written by surface important issues and to generate Your representative was fortunate to get on board or committee members with whom potential solutions to thorny problems. To a Saturday afternoon flight and hit golf balls they have had no contact. The recent use of understand their usefulness, you should in San Antonio on Monday afternoon. combined board and committee meetings know that when the council is in formal Some reps were not as fortunate. Their has helped some of these problems. Some session, it functions in a formal manner planes were full, cancelled, or unavailable. council members also serve on a board of according to parliamentary procedure with The CoR e-mail list serve became their committee. However, there is limited or no designated microphones and a speaking list. contact to the outside world. Subsequently, structure in place to facilitate ongoing This format makes it difficult to have a a new caucus COSSP — the caucus of snow communication between boards/committee genuine debate on the issues. struck psychologists — was formed. It was and council. President Sternberg has Late on Friday, weather forecasts became Thursday after the meeting when the last initiated a task force or governance that will ominous. While we knew snow was on the council member left D.C. So, we went from address these issues. way, predictions were now telling us that duct tape and Valentine’s chocolate, to free- A recent change in the council meeting more than a foot of snow was coming, and form discussion and voting in the great formats includes the use of more focus the city would be snowbound. snowstorm of 2003. ✯ groups to get input from the council On Saturday morning, we all were members about critical issues in the awakened to the weather channel telling us

14 Texas Psychologist SUMMER 2003 PSY-PAC UPDATE

Paul Burney, PhD President

Financial contributions are critically important to the success of TPA’s legislative agenda. These contributions are the key to opening doors so our lobbyists have the access they need to present TPA’s legislative agenda. Political campaigns are very costly, and regardless of how we might feel about campaign financing, the reality is that politicians cannot run effective campaigns without contributions from individuals and PACs. Legislative successes require solid lobbying, effective grassroots activism, personal contact with legislators, and generous financial contributions.

sychology currently ranks at the contribute to PSY-PAC. Eight percent of bottom when compared to Health TPA members contribute the majority of PCare Professions’ political PSY-PAC funds. This eight percent who contributions (source, Government contribute the majority of the funds Relations Office APA Practice Organization contributes sixty-four percent of PSY-PAC June 2002). funds! Many contribute monthly. Monthly The following is paraphrased from an contributions are an excellent way to article Richard L. Fulbright, PhD, wrote for contribute to PSY-PAC. the Dallas Psychological Association. Dr. It is important, as we look ahead to the Fulbright is a TPA board of trustees year 2005, that we prepare now for the member and is legislative coordinator of the Sunset Review of our Psychology License Dallas Psychological Association. Thanks to and Practice Act. Political giving, grassroots Dr. Fulbright for the use of this advocacy, and personal contact with information. legislators are important to this preparation You can be a big contributor to PSY- and the foundation of political activism for PAC by making small monthly TPA. ✯ contributions on a credit card or bank draft. For example, you could contribute $500.00 per year to PSY-PAC — far more than most psychologists contribute as illustrated in the POLITICAL CONTRIBUTIONS BY HEALTH PROFESSIONS table to the right — for a monthly fee of $41.66 charged to your Profession Members PAC Disbursed Per Member/ credit card or drafted from your 99-00 year checking account. Skip Starbucks Optometrists in AOA 23,000 $ 1,029,000.00 $ 22.37 and save psychology! Only 20 Chiropractors in ACA 10,000 407,000.00 20.35 cups of Starbuck’s coffee a month Nurse Anesthetists in AANA 29,500 1,198,000.00 20.31 cost $34.60 or $415.00 per year. Podiatrists in APMA 11,000 443,000.00 20.14 A $250.00 contribution would Physicians in AMA 290,000 4,496,150.00 7.75 cost only $20.83 per month. Physical Therapists in APTA 65,000 612,000.00 4.71 Most psychologists do not even Social Workers in NASW 150,000 1,282,574.00 4.28 contribute $100.00 per year to Dietitians in ADA 65,000 514,000.00 3.95 PSY-PAC, even though it would Occupational Therapists in AOTA 46,000 330,000.00 3.59 only cost $8.33 per month! Psychologists Who Pay the Currently, only slightly over 33 Special Assessment 39,000 $197,000.00 $2.52 percent of psychologists belong to TPA and only 13 percent

SUMMER 2003 Texas Psychologist 15 Substance Abuse

Norman Anderson, PhD Chief Executive Officer of the American Psychological Association

I am writing to tell you about an important opportunity for psychologists who are interested in the treatment of substance abuse. As you know, addiction to heroin and other opioids (e.g., prescription pain relievers) is a major public health problem in our nation. For example, data from the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2001 National Household Survey on Drug Abuse indicates that 8.4 million people reported in 2001 that they had used prescription pain relievers for non-medical purposes in the past year. Such abuse contributes to an estimated $97.7 billion in total economic loss for our society when other non-medical substance abuse is considered.

urthermore, only an estimated one methadone clinics. The combination of Abuse Treatment at SAMHSA, 24 percent in four addicted individuals receives buprenorphine and the Drug Abuse of provider psychologists indicated that a Ftreatment for opioid addiction, and Treatment Act of 2000 will allow client selected from their practice at the number of available treatment slots in outpatient treatment of opioid addicts in random had a known or suspected problem traditional methadone maintenance clinics physicians’ offices. The act also requires related to substance abuse. (For complete is woefully inadequate. But, a new physicians who provide buprenorphine details, see: www.apapracticenet.net/- medication, a new law and a new way of treatment to have the ability to refer results.asp.) thinking may provide the means to meet patients to full-spectrum care for their If you currently provide substance abuse that challenge. Psychologists have a critical social and psychological needs. That’s where services, I hope you will consider becoming role to play in the provision of relevant you come in. part of the buprenorphine treatment treatment services. Now APA is working with SAMHSA by network. Whether or not you provide The new drug, buprenorphine, has been reaching out to APA members and other substance abuse services, I encourage you to under development for over a decade, and psychologists interested in learning about take advantage of some of the excellent many APA members have contributed to buprenorphine and possible opportunities continuing education offerings to enhance understanding its psychopharmacologic for patient referrals. SAMHSA has initiated your knowledge and skills in providing new properties via animal and human laboratory a 14-stop nationwide public education tour and effective psychological treatments in research. Equally important has been known as “New Paths to Recovery.” The this important area. For those of you research demonstrating the importance of tour will cross the country and return to the questioning your role in the treatment of combining behavioral and psychosocial East Coast concluding in the New York area substance abuse, I’d refer you to a helpful interventions with medications in the at the end of May. The full schedule and article, “Why Psychologists Should Know treatment of opiate dependence. In additional information about How to Treat Substance Use Disorders” by December of last year, APA Public Policy buprenorphine is available at: Arnold M. Washton, PhD, which has been Office and Practice Directorate staff, with www.samhsa.gov/news/click_bupe.html. published in several state psychological assistance from APA Division 50, organized With increasing recognition of the toll association newsletters. You can find the a review of the Substance Abuse and Mental substance abuse is taking on our society, article at: www.apa.org/ppo/issues/- Health Services Administration‘s buprenorphine offers yet another washton303.html. ✯ (SAMHSA) “Buprenorphine Clinical opportunity to demonstrate the important Treatment Guidelines,” setting the stage for contribution that psychologists can make in a critical science/practice translation partnership with our physician colleagues. activity. Collaboration is critical because without Buprenorphine was approved by the effective psychological services, the Food and Drug Administration (FDA) for potential benefit of this new medication the treatment of opiate dependence last cannot be realized. In a recent survey October. It represents an important new conducted by the APA Practice Directorate treatment option beyond traditional and funded by the Center for Substance

16 Texas Psychologist SUMMER 2003 LEGISLATIVE DAY

C. Alan Hopewell, PhD TPA President-Elect

At least two “Blue Norther” blizzards hit the 78th Texas Legislature during the last week of February. The first blizzard was a genuine “Blue Norther” ice storm that paralyzed a swath from south of Austin all the way to Oklahoma with freezing rain and ice. The second was the “blizzard” of psychologists who breezed into Austin in order to lobby for TPA Legislative Day.

espite the weather, the “blizzard” of The trip back home was equally eventful. meeting with members of the Legislature by psychologists was effective and Yours truly found several miles of scenic contacting them again and making other Dcountered to some extent the routes through the country, with hundreds of appointments to discuss our agenda. All in effects of the weather. Most of the attendees tractor-trailers in Hillsboro, Georgetown, and all, the Psychologists’ “blizzard” was an either made it to Austin just before the storm Salado, which allowed bypassing multiple equal match for nature’s hit, in time for the board meeting Monday shutdown areas of I-35; the weather was no blizzard. We would night, or were able to get in from Houston, match for someone who has lived for years in not allow our- San Antonio, or points west. Unfortunately, a Germany and New Hampshire! selves to be de- large contingent of psychologists and students Ed Eckert wound up almost spending the feated by the from the South Plains Psychological night in his car. Jim Quinn and Lane Ogden weather. ✯ Association and the Lubbock area became left Austin at 3:45 on Tuesday afternoon and stranded in Dallas. Some people, such as Dr. made it to Georgetown two-and-a-half hours Virginia Neal of Dallas, could not even make later, where they called Jim’s sister and spent it to Love Field. On Tuesday morning, a the night. They left there at 11:00 am on number of folks called in from local motels, Wednesday and got home at 8:30 pm. Carol stranded and trying to contact us in order to Grotheus had some interesting tales of her coordinate visits. truck spinning around a couple of times on Although the weather was challenging, the the way home. Dee Yates, TPA President; legislative visits went well. TPA worked with Alan Hopewell, President–Elect; and Betty legislative members in regards to two of our Richeson, board member, were all primary bills — the prescriptive authority bill interviewed on Austin television as they and the bill authorizing subpoena power for slipped and slid on ice up to the Capitol — TSBEP. Legislative Day paid handsome the theme being “determined psychologists dividends in that our prescriptive authority advocating for mental health issues despite bill was introduced as H.B. 3451 by Rep. inclement weather.” Noriega of Houston and now has been After returning home, we made up referred to the Public Health Committee. A for some of our difficulties in grassroots effort is now underway to support this bill. The subpoena power bill also made it through committee and seems assured of passage. Contact TPA Central Office to find out how you may further help with these bills. Visits also cover other mental health issues, such as the work of BOT members, Drs. Kimmel and Seay, on issues regarding forensic competency. Although many members were either late or absent, the Appropriations Committee met and persistence paid off in getting in touch with staff and legislative members eventually.

SUMMER 2003 Texas Psychologist 17 LAW

The Duty to Report Sexual Abuse by Any Mental Heath Care Provider

Sam A. Houston

In my telephone consultation service, I have been repeatedly asked whether a psychologist must report sexual abuse perpetrated by a mental health care provider who is not a licensed psychologist. This issue arises particularly if a psychiatrist or a licensed professional counselor has engaged in the conduct. The answer to the questions is—yes! Failure to report any mental health care provider subjects you to appropriate discipline by the licensing board and is also a Class C misdemeanor.

he duty to report is codified in the Civil Practice & aware of it. The report should be made to the Remedies Code §81.006. The section provides that if a following: (1) the prosecuting attorney of the Tmental health service provider has reasonable cause to county in which the alleged sexual suspect that a patient has been a victim of sexual exploitation by exploitation occurred, and (2) any another mental health care provider, then that person must report state licensing board that has the alleged conduct no later than thirty days after he or she becomes responsibility for the mental health service provider’s licensing. Before making the report, you should inform the victim of your duty to report and determine if the victim wants to remain anonymous. If the victim does want to remain anonymous, the report need only contain information to identify yourself and express suspicion that exploitation has occurred. You should not identify the victim if he or she has not consented. As long as the report is made in good faith, you are immune from any civil or criminal liability that may result from filing the report. It is presumed that a report filed pursuant to the chapter is made in good faith. Even if you have a suspicion that the report is not truthful, you must report the abuse if you have “reasonable cause” to believe it occurred. It is a good idea for you and your staff to have a good working knowledge of the statutory requirements for reporting sexual abuse, as well as child or elderly abuse. Make sure you comply with all the prerequisites, and if you have any questions about your duty to report, it would be a good idea to contact a lawyer and make sure the reporting is done properly. Please call me at 713-650-6600 if you are interested in applying for our telephone consultation program. You can also e-mail me at [email protected]. ✯

18 Texas Psychologist SUMMER 2003 SPOTLIGHT ON SHERRY L. LEE

For almost seven years, Sherry L. Lee has been executive director of the Texas State Board of Examiners of Psychologists. She was selected from a group of over 100 applicants for the position with TSBEP. What set Lee apart was her strong experience, having worked in state agencies and the legislature. She previously served as executive director of both the Executive Council of Physical Therapy and Occupational Therapy Examiners and the Texas State Board of Physical Therapists and also worked as a program specialist for the Texas Commission for the Deaf. In addition, Lee worked in several capacities for the Texas House of Representatives, one of which was press secretary for Bill Clayton, Speaker of the Texas House of Representatives.

ee reports that she enjoys the when her son enters UT. Lee predicts that looks forward to spending more time challenges of her position at TSBEP she will use her newfound spare time working out, traveling, and working on her Land the varied responsibilities reading and catching up on movies. She oil paintings. ✯ associated with being executive director. She notes that the most significant challenge facing her, particularly in the current legislative and financial climate, is learning how to do more with less. Since taking her position with TSBEP, Lee has seen some significant changes in how things are done at Board meetings. Previously, the Board met five times each year, typically for three days at a stretch. Now, the Board meets only four times each year and manages to complete their business in a day and a half. Lee reports that she and the staff of the Board have taken over many of the clerical and administrative duties previously left for Board members to complete, such as writing letters and drafting rules. A native Texan raised in Wichita Falls, Lee is a graduate of the University of Texas in Austin where she completed her Bachelor of Fine Arts in Drama in 1970 and her Bachelor of Science in Secondary English Education in 1974. Lee lives with her husband and their 17 year old son in Austin. She is currently anticipating how she will spend some extra free time this fall

SUMMER 2003 Texas Psychologist 19 A Test Drive: The Brand New HIPAA Product from the APA Practice Organization

Charlie Cooper, PhD, Director of Professional Affairs, North Carolina Psychological Association & Sally Cameron, Executive Director, North Carolina Psychological Association

We have just had the opportunity to test drive the new HIPAA for Psychologists. It is sleek, sophisticated, big, interesting, intimidating, deep, pretty, and authoritative.

located prompts, buttons, and icons to product addresses this difficulty most his “product,” as it is labeled, is assist the user in finding additional or effectively, saving us the time and expense hard to describe because it is related information including a of researching state statutes and then Tactually so many different things. comprehensive glossary of HIPAA creating forms, policies, and procedures At this writing, it has just been released by regulatory terms. Following each topical that fit North Carolina’s unique status. The the APA Practice Organization and the area is a short self-test that anticipates the eight forms include the following: APA Insurance Trust. It is, as we end-of-program online CE test. • A North Carolina-specific Notice anticipated, the best single resource for Completion of the curriculum and passage Form, which describes how psychological psychologists in solo and small group of the CE test gives the user four hours of and medical information may be used and practices, who strive to reach HIPAA APA CE credit. disclosed and how a patient can get access compliance by the fast approaching As a compliance resource, the program to this information. Distribution of a form deadline of April 14, 2003. But what provides well-written, customized, and of this type is a HIPAA requirement. exactly is the “product”? downloadable forms that are state law • A North Carolina-specific Psycho- HIPAA for Psychologists is a complete compatible. The HIPAA privacy rule therapist-Patient Agreement Form that package: a curriculum wrapped in an online establishes a floor of consumer protection, contains important information about a program that features a toolkit of but many more protective state privacy psychologist’s professional services and downloadable, customized forms and provisions preempt it. This dance between business policies as they relate to HIPAA. explanations of state and This form is not HIPAA federal regulations. mandated but As a curriculum, the recommended by APAIT. program operates online • A Request for to walk a user through a Accounting for Disclo- short orientation and sures of Health Infor- then an interactive mation Form that allows tutorial on all relevant patients to request an HIPAA concepts, terms, accounting of all and requirements. As disclosures that were made each concept is of their protected health introduced, relevant information over a specific forms and sample period of time. policies and procedures • An Accounting for are offered. In addition, Disclosures Form which for each topical area, allows psychologists to there are spicy little keep track of when and to dialogues and vignettes whom a patient’s protected introducing the area and health infor-mation has illustrating critical aspects of the issue when federal HIPAA regulations and state law been disclosed. This completed form can be applied in practice. At any juncture creates a very complex set of considerations given to a patient after they have submitted throughout the curriculum, there are easily for the practitioner. The APA/APAIT a “Request for Accounting of Disclosures of

20 Texas Psychologist SUMMER 2003 Health Information.” •A Request for Confidential The “Must Do” Steps for HIPAA Compliance Handling of Information Form to be used by a patient in requesting the confidential Note: This information was developed by the North Carolina handling of correspondence regarding Healthcare Information and Communications Alliance, of which protected health information. • The Authorization Form NCPA is a member. psychologists can give patients to have them authorize the disclosure of protected Designate a Privacy official. Develop policies regarding information from clinical records. You must designate an individual to be “minimum necessary” uses •A Privacy Policies and Procedures responsible for the development and Document that provides psychologists with and disclosures of PHI. implementation of the HIPAA compliance model policy language and implementation Disclosure must be limited to the policies and procedures. requirements of the HIPAA Privacy Rule. minimum amount of information This document should be modified as necessary to carry out the intended appropriate to fit the size and scope of one’s Develop a Notice of Privacy purpose of the request. own practice and state laws. Practices. •A Model Business Associates This notice is a public statement that Develop a training Contract for psychologists to use in their documents your privacy policies and program. dealings with entities like accountants, procedures. (There is a sample in the APA A practice must train its employees lawyers, billing services, and collection product.) about its own compliance policies and agencies who use patients’ health procedures. (The APA product provides an information to carry out services on behalf Develop an authorization information base for training.) of a psychologist. Finally, as an updateable archive of form. HIPAA regulations, translated especially for Authorizations are required for all Deal appropriately with psychologists (with our special needs to disclosures of Protected Health privacy infractions. have higher levels of protection for Information (PHI) for purposes other than You must have and apply appropriate psychotherapy notes), the program will what HIPAA defines as treatment, sanctions against employees who fail to serve as an authoritative information source payment, and health care operations. comply with privacy policies and for persons in the HIPAA-mandated role of (There is a sample in the APA product.) procedures. privacy officers when detailed questions arise regarding maintenance, use, and Develop a business Develop appropriate security disclosure of records. associate contract. In sum, HIPAA for Psychologists is a safeguards. Identify all business partners for whom beautiful piece of work. It is both a rich This is to protect the privacy of PHI a new contract may be needed. Business HIPAA online curriculum and a virtual from any intentional or accidental use or associates to whom you may disclose PHI library of resources we can cut and paste disclosure or violation of Privacy Rule must agree to respect the HIPAA privacy right into our practices. For those who requirements. rules regarding PHI. (There is a sample enjoy using online tools, it will be an contract in the APA product.) adventure to use. For those who are less Keep records of HIPAA familiar with computer-based products, it compliance. could initially appear somewhat Develop policies and Document your privacy practices. intimidating. But a little experience using it procedures to handle (Sample accounting for disclosures form in goes a long way to ease one into confidence patient requests for PHI. APA product.) ✯ that—at last—we have everything needed A provider must permit individuals to to comply with the HIPAA privacy rule. request and must accommodate reasonable APA has done a truly magnificent job at requests to inspect, copy, and amend their taming the HIPAA beast. ✯ PHI, with some exceptions. (There is a sample in the APA product.)

SUMMER 2003 Texas Psychologist 21 Interested in Practicing in Rural Underserved Communities? Nina Levitt, EdD, Director for Education Policy of APA Public Policy Office

Psychologists now have a greater opportunity to participate in the National Health Service Corps Loan Repayment and Scholarship Programs as a result of the passage of the Safety Net legislation in 2002. APA Education Public Policy staff successfully advocated increasing the role of psychologists in the National Health Service Corps and expanding the provision of mental and behavioral health services through the National Community Health Centers Program in this important legislation.

The National Health Service Corps (NHSC) provides financial assistance to psychologists and other health professionals in exchange for providing health care services in designated underserved areas known has Health Professional Shortage Areas (HPSAs). There are three categories of health professional shortage areas: medical, dental, and mental health. Psychologists are listed in the mental health category. Federally funded Community Health Centers that are in underserved areas have HPSA designations. President Bush has fulfilled his pledge to significantly increase funding for the NHSC and to double the Community Health Center Designation. [Note: The Bureau of Primary available to provide technical assistance (1- Program funding for which many NHSC Health Care administers the Community 800-400-2742 or [email protected]). Along participants work. Both of these federal Health Center Program. Both of the above- with the Office of Shortage Designation, programs hold promising employment mentioned bureaus are in the U.S. your state’s Primary Care Office (PCO) can prospects for psychologists willing to work Department of Health and Human also assist with the data collection. The in our nation’s underserved communities, Services’ Health Resources and Services purpose of a state PCO is to increase access particularly in rural areas. Administration. to primary and preventative health care and to improve the health status of underserved Getting Started Another Option and vulnerable populations. Contact In order to participate in the NHSC Besides finding a facility or site information of your state’s PCO can be programs, psychologists and other health designated as a mental health HPSA, a found at bphc.hrsa.gov/OSNP/- professionals must find a facility or site that psychologist who wants to participate in the PCODirectory.htm. The types of data is: 1) designated as a health professional NHSC Loan Repayment program may seek required include: provider to population shortage area and 2) willing to hire them. out a public facility or site in an ratio, access to primary health care (distance The NHSC (and over thirty other federal underserved area that is willing to become and time), and poverty levels. agencies) uses a list compiled by the Office designated as a Mental Health HPSA. The Further information about mental of Shortage Designation to determine facility may apply for the designation, health HPSA designations is available on- health professional shortage areas. This list which is a simple process, and then hire the line at bhpr.hrsa.gov/shortage/hpsapply.htm can be found at bphc.hrsa.gov/databases/ psychologist. Filling out the application and on the NHSC website at newhpsa/newhpsa.cfm. Like the NHSC, only requires some time and effort to gather http://nhsc.bhpr.hrsa.gov/. ✯ the Bureau of Health Professions the appropriate information. Furthermore, administers the Office of Shortage the Office of Shortage Designation is

22 Texas Psychologist SUMMER 2003 MEMBERSHIP APPLICATION

If you are not already a TPA member, please Send to: Texas Psychological Association complete this form and return it immediately! 1011 Meredith Dr. Ste 4 Austin, TX 78748 Fax # 512-280-4334

TPA Membership (Select one) ❏ Member $275.00 ❏ New Member within 2yrs. of Doctorate $137.50 ❏ Associate $125.00 ❏ New Associate within 2yrs. of Masters $ 62.50

Texas Psychological Foundation - Tax Deductible (Optional) ❏ Centennial Member $1000.00 ❏ Contributor $100.00 ❏ Member $ 500.00 ❏ Contributor $ 50.00

Texas Psychological Association Political Action Committee (Optional) ❏ Platinum Member $1000.00 ❏ Silver Member $250.00 ❏ Other $100.00 ❏ Gold Member $ 500.00 ❏ Member $100.00

Special Interest Groups (Check all that apply) NO ADDITIONAL CHARGE ❏ Psychopharmacology ❏ Psychology of Diversity ❏ Psychologist in Schools ❏ Psychology of Women ❏ Special Interest Groups on Aging ❏ Forensic Practice ❏ Child/Adolescent Issues ❏ Mental Retardation/Developmental Disabilities

Total Dues $______Method of Payment: ❏ Check ❏ M/C ❏ Visa ❏ American Express ❏ Discover

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Signature

Answers to the following questions are required for membership. Please attach a detailed explanation for any affirmative answers.

Has your license/certification been suspended, revoked, or limited in the last 12 months by a state licensing board? ❏ Yes ❏ No Have you been convicted of a felony during the past year? ❏ Yes ❏ No Have you been found guilty of unethical or unprofessional conduct by a local, state or national ethics committee, professional organization or licensing board during the past year? ❏ Yes ❏ No Have you been found guilty of malpractice during the past year? ❏ Yes ❏ No

Home Address, City, State, Zip Phone#

Business Address, City, State, Zip Phone#

Fax E-mail Address

Ethnicity Primary Employment Setting Primary Position ❏ American Indian or Alaskan Native ❏ Public School (K-12) ❏ School Psychologist – LSSP (Doctoral) ❏ Asian- American or Pacific Islander ❏ Private School (K-12) ❏ School Psychologist – LSSP (Masters) ❏ African American ❏ Medical/Surgical Hospital ❏ Psychological Associate ❏ Latino/Mexican American ❏ Psychiatric Hospital ❏ Clinical Associate ❏ Puerto Rican ❏ Private Practice ❏ College/University Trainer ❏ White/Caucasian* ❏ State Funded Institution ❏ Consultant ❏ Other (Specify) ❏ Federally Funded Institution ❏ Counseling Psychologist (*not Hispanic/Latino in Origin) ❏ College/University ❏ Sports Psychologist ❏ Other______❏ Other______

Primary Areas of Interest Gender ❏ Private Practice ❏ Male ❏ Female ❏ School ❏ I/O ❏ Academia/Research ❏ Public Service ❏ Families ❏ Prevention ❏ Neuropsychology

SUMMER 2003 Texas Psychologist 23 TPA MEMBER BENEFITS Membership www.texaspsyc.org Calendar of Events Continuing Education • Are you in the market for member questions and requests professional liability insurance? for information concerning Member Mall Call TPA’s preferred vendor, professional affairs, including (but American Professional Agency, not limited to) ethics, insurance 800-421-6694. /managed care, and practice management. • Discounted Legal Consultation Service: Sam A. Houston 713-650- • Subscription to the Texas 6600. Psychologist. Your quarterly journal is designed to provide you • List serve subscription for timely with the most current information updates. about professional news and practice changes in the state. • Legislative Support: We are your voice before the Texas State • Continuing Education: We offer Legislature, Governor, Texas State both live and home study at Board of Examiners of substantially discounted TOOLS FOR Psychologists, and Congress. member rates. YOUR BUSINESS…

• Professional Counsel: Executive • Fee Collection Service: I.C. www.TexasPsyc.org Director on staff to answer System 800-325-6884.

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24 Texas Psychologist SUMMER 2003 The Texas Psychological Foundation Texas The mission of the Texas Psychological Foundation is to fund initiatives that advance the Psychological field of psychology and research to the benefit of all Texans. An example of recent Foundation Foundation activity was the Town Hall on School Violence at the TPA Annual Convention in October, 2001. The Town Hall brought a diverse group of professionals including judges Donations and school leaders along with teens and parents from the community to establish a framework to deal with violence in the school setting. 1/1/03 – 3/31/03 The Foundation accepts gifts, memorials that honor colleagues, family members and friends, and bequests from estates. Gifts or bequests may include cash, securities or insurance proceeds. The Foundation is available to assist individuals in establishing memorials or bequests from an estate. All contributions to the Foundation are tax $51 - $100 deductible. Cox, Jim The Foundation accepts both general and earmarked contributions. Dalton, Caryl Gordon, Robert Earmarked donations can be made to the following designated funds: Grammer, Jerry ❑ Schoenfeld-McCann-Schmidt-Ehrisman Fund for Ethics Education: Provides education Lazar, George in ethics in the field of psychology in the state of Texas. Matthews, Catherine ❑ Rose Costello Education Fund: Provides awards for furthering education in psychology. McLaughlin, Robert ❑ Roy Scrivner Gay, Lesbian and Bisexual Issues Award: Provides an annual award for the Ramirez, Oscar best student paper on gay & lesbian research issues. Robinson, Laurie ❑ Bo and Sally Family Psychology Research Award: Provides awards for research projects Sharp, Robbie related to family psychology. ❑ TPA/TPF-Student Merit Research Awards: Given to one graduate student and one $50 and under undergraduate student to defray costs of meritorious research projects. Abrams, Barbara ❑ Alexander Award: Provides an award for the best paper submitted by a graduate student Benfield, Connie in psychobiology, psychophysiology and related areas. Broun, Stacy ❑ Manuel Ramirez III Dissertation Award for Ethnic Minority Research: Provides awards Buser, Sam for research projects related to Minority Psychology. Coburn, Dennis Edens, Annette Please complete the following to make a contribution or Erwin, William request further information: Gleaves, Deborah Whitehead Hall, Barbara Hawkins, JoBeth Hensley, David NAME Hirsch, Victor ADDRESS Kittay, Burton

Kornfeld, Amelia CITY Ladogana, Angela

Lanier, Betty ZIP Maas, Marilyn Neuman, Karl IN HONOR OF Probber, Shelley Quick, James Campbell AMT. OF DONATION Wachtel, David CONTACT ME TO DISCUSS A DONATION Walter, Colleen Willis, Shirley Yates, Deanna Make check payable to Texas Psychological Foundation and mail Yeager, Martin to 1011 Meredith Dr., Ste. 4, Austin, TX 78748.

SUMMER 2003 Texas Psychologist 25 2003 PSY-PAC Contributors January 2003 – March 2003

$2000 Raymond Finn, PhD Richard D. Wheatley, Sr., PhD Edward Davidson, PhD Alan T. Fisher, PhD Caroline Williams, BA Joseph E. Fogle, PhD M. Wright Williams, PhD $1000 Susan D. Gifford, PhD Shirley Willis, PhD Paul Burney, PhD Josue R. Gonzalez, PhD Connie S. Wilson, PhD Walter Bordages, PhD Michael C. Gottlieb, PhD James R. Womack, PhD Tim Branaman, PhD Jerry R. Grammer, PhD Eirene Wong-Liang, PhD C. Alan Hopewell, PhD Steven G. Gray, PhD Deanna Yates, PhD David Hopkinson, PhD Under $100 Robert R. Hughes, PhD Carol A. Grothues, PhD $500-$999 Sheila Jenkins, PhD Jana Swart, PhD Mimi Wright, PhD Burton A. Kittay, PhD Bruce Allen, PhD Cheryl L. Hall, PhD Harry F. Klinefelter,III, PhD Karen S. Berkowitz, PhD Ethel W. Hetrick, PhD Angela Ladogana, PhD M. Lee Berryman-Tedman, PhD Lane Ogden, PhD Nancy A. Leslie, PhD Bonnie Brookshire, PhD Frankie Clark, PhD Alaire Lowry, PhD Stacy Broun, PhD Thomas W. Lowry, PhD Timothy Brown, PhD $100-$499 Janna E. Magee, PhD King Buchanan, PhD Richard Fulbright, PhD Patricia R. Martinez, EdD L. Carol Butler, PhD Joan Berger, PhD Xavier Martinez, PhD C. Munro Cullum, PhD Patricia Driskill, PhD Donald C. McCann, PhD Kenneth Cyr, PhD Joseph McCoy, PhD Glen McClure, PhD Sharon P. Davis, PhD Laurie Robinson, PsyD Jerry C. McGill, PhD William M. Erwin, PhD Jev Sikes, PhD Richard M. McGraw, PhD Alan B. Frol, PhD Michael D. Whitley, PhD Robert W. McKenzie, PhD Adrienne (Ann) Gardner, PhD Jo Ann Murphy, PhD Robert J. McLaughlin, PhD Jayne Gordon, PhD John W. Worsham, Jr., PhD Robert F. Mehl, III, PhD JoBeth Hawkins, PhD Dean Paret, PhD James M. Meredith, PhD Annette Helmcamp, PhD Kevin G. Smith, PhD Brad Michael, PhD David B. Hensley, PhD T. Walter Harrell, PhD Charles B. Middleton, PhD Victor Hirsch, PhD Jarvis A. Wright, Jr., PhD Leon Morris, EdD Carola Hundrich-Souris, PhD Barbara Abrams, EdD Lee L. Morrison, PhD Adele H. Hurst, PhD Elizabeth Barry, PhD Suzanne Mouton-Odum, PhD Sarah Kramer, PhD Barbara Beckham, PhD Frank D. Ohler, PhD Richard P. Krummel, PhD Connie Benfield, PhD, ABPP Michael C. Pelfrey, PhD Betty Lanier, EdD Malcolm Bonnheim, PhD Laurence Perotti, PhD Rebecca LeBlanc, PhD Erica Burden, PhD Walter Y. Quijano, PhD Rochelle Levit, PhD Robin Burks, PhD Lynn Rehm, PhD Marilyn L. Maas, PhD Paul K. Chafetz, PhD John K. Reid, PhD Patricia P. Mahlstedt, EdD Gloria Chriss, PhD Leigh S. Scott, PhD Dwayne D. Marrott, PhD Ron Cohorn, PhD Robbie N. Sharp, PhD Charles McDonald, PhD Jim Cox, PhD Alan Stephenson, PhD Lynn Aikin Price, PhD Ray Coxe, PhD Thomas A. Van Hoose, PhD Aurelio Prifitera, PhD Robert Cross, PhD Mark N. Voeller, PhD Norman M. Shulman, EdD Walter Cubberly, PhD David S. Wachtel, PhD Nanette Stephens, PhD Anette T. Edens, PhD David J. Welsh, PhD Thomas J. Tully, EdD Wayne Ehrisman, PhD Joan Weltzien, EdD William C. Whitehead, PhD

26 Texas Psychologist SUMMER 2003 Sylvia Gearing, PhD Elizabeth Abbott, PhD Ralph Casazza, PhD New Members Dana Davies, PhD John Deines, PhD Alfred R. Dooley, EdD S. Jean Ehrenberg, PhD The following individuals joined TPA Wanda Kuehr, PsyD between January 29, 2003 and March 31, 2003. Muriel Meicler, PhD Kathryn Wortz, PhD Patricia D. Weger, PhD Doctoral Members Associate Members Barbara-Ann P. Hall, MA Paul Cinciripini, PhD James Wigley, MEd Dorothy C. Pettigrew, PsyD Beth Colaluca, PhD Alison Wilson, PhD David Egerton, PhD Student Members Phyllis Jones, PhD Kelly Arnemann, PhD Mary McCarthy, PhD Kathryn Kaiser, BS Stephen McCauley, PhD Kevin Metcalf Neil Ravella, PhD Amy O’Neill Christina Ryser, PhD Stacey Tomanik, MA Marci Stickney, PhD Adria Villarreal, MA Margaret Tripp, PhD Jennifer Yeaw, MA Joseph White, PhD Dawn Wiatrek, PhD

SUMMER 2003 Texas Psychologist 27 Dear Psychologist:

The longstanding and honorable profession of Psychology is in danger of losing its licensure! As you are already probably aware, the profession of Psychology will be undergoing the critical Sunset Review in June 2003. It is imperative that all psychologists unite to protect their licenses, their profession and their livelihood. Also at stake are your patients who would not benefit if you lose your license. Imagine if anyone who wanted to practice Psychology with minimum education, experience, and qualifications were able to practice Psychology on the same level as one who has worked as hard and as diligently as you. Your profession would no longer be held in the high esteem that it is now and your patients would suffer the ramfications as well as pychologists. The Texas Psychological Association is working diligently to prevent this from happening. Join the psychological association in taking a proactive role in saving your license. You must consider taking part in this extremely important mission a privilege as well as an obligation. The first step is to become a member of the Texas Psychological Association and therefore prove to the Sunset Committee that psychologists are committed to their profession and to their patients and are united to protect their profession and their patients. The second step is to commit to donating $100 to the Sunrise Fund TPA has set up to fight for your profession. TPA cannot do it alone; you must do your part to save your license and the profession of Psychology to the Sunset Committee. I am confident that you would agree that this is a small price to pay for your future in Psychology. Please call the Texas Psychological Association today, complete the application on page 23, or register online at www.texaspsyc.org to become a member of the association which is working to protect you and your patients. Your participation is essential to your profession and cannot be left to only a few committed psychologists to bear the responsibility. Sincerely, Deanna F. Yates, PhD, President Fast CE Credits

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28 Texas Psychologist SUMMER 2003 INSIDE TPA

For the past few years, Sheila Garos, PhD, (assistant this mentoring program more than five years ago — a program

professor, Department of Psychology, Texas Tech University) has which provides an effective link between students’ training and

coordinated a mentoring program associated with the South the real world application of professional psychology.

Plains Association of Psychologists (SPAP). Approximately 10-15 Donna Davenport, PhD, an expert on grief, was faced with

students in the Counseling Psychology and the slow decline of her beloved mother. In Singing Mother Home,

PhD programs have been paired with psychologists in the area she imparts to the reader lessons learned, both personal and

who are engaged in full-time professional practice. professional, in anticipating grief and the loss of a loved one. Her

Through ongoing contact with these mentors, students can book is aimed more at helping people cope with the expected loss

gain an additional and distinctive understanding of what this of a loved one, rather than counseling someone who has already

possible career path for psychologist involves. Dr. Catherine suffered bereavement. It is an excellent resource for caregivers of

Matthews, current president of SPAP, and Dr. Cheryl Hall began those with Alzheimer’s or otherwise in hospice care. ✯

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SUMMER 2003 Texas Psychologist 29 TPA has published a NEW edition of the Texas Law and the Practice of Psychology!

The new edition, Texas Mental Health Law: A Sourcebook for Mental Health Practitioners, is the most comprehensive book for mental health practitioners ever published. Get the latest information on supervising, ethics, subpoenas, confidentiality, and more. If you have never purchased a reference book on the laws that pertain to your practice...the time to do so is NOW!

The book costs $35.00. Order your copy today! Please e-mail [email protected] or call 800-340-2034 to order your copy!

E-mail Updates

Does TPA have your e-mail address?

If not, you could be missing out on important announcements about upcoming CE opportunities and numerous other important updates. If you have not been receiving announcements from us via e-mail, then@ we don’t have your current address. To have your e-mail address added, send your updated address to [email protected].

30 Texas Psychologist SUMMER 2003 CLASSIFIEDS

MY FIRST THERAPY GAME introduces children to psychotherapy THRIVING RIO GRANDE VALLEY general psychology practice for in a fun, kid approved board game. Available only at sale serving children, adolescents, adults, couples and families. www.childtherapytoys.com or call toll free 866-324-PLAY. Combined private pay, managed care, EAP and Medicaid. Contact Karen T. Snodgrass, Ph.D. at (956) 428-8582 or email GERIATRIC FELLOWSHIP FOR CLINICAL PSYCHOLOGISTS Join to [email protected]. us for an exciting opportunity to train in Geriatric Medicine at the University of North Texas Health Science Center at Fort Worth. CLINICAL PSYCHOLOGIST NEEDED for Senior Executive We offer a one-year clinical fellowship and a two-year faculty position. Colorado West Mental Health Center located in beautiful training fellowship to psychologists with a completed doctoral Western Colorado is searching for a licensed, experienced Ph.D. degree. Training across the continuum of care includes clinical psychologist for the Children and Family Program. This ambulatory, acute care, house calls, long term care, and management position is responsible for multiple programs, Alzheimerís Special Care Units. Neurocognitive evaluation, including work with juvenile sex offenders. Works closely in psychological assessment and psychotherapy with older adults collaborative community partnerships and provides staff are emphasized. Opportunities for significant research are supervision along with budgetary duties. Beautiful Grand available. Applicants must be U.S. Citizens or hold permanent Junction, population 130,000 provides a mild climate and offers residency status and must have a complete doctoral training in a the best of beautiful mountains and scenic desert regions. U.S. accredited institution. Contact Dalila Burgos, MS at 817-735- Fresh air and outdoor activities abound. Traffic jams and long 2403 Or by e-mail at [email protected] commutes do not exist in this area. Salary is negotiable and includes a generous benefit package. Send cover letter and STAFF PSYCHOLOGIST NEEDED. The Callier Center for resume to Dr. Thomas F. Updike, Colorado West Mental Health Communication Disorders is a nationally recognized research, Center, 858 Grand Avenue, Grand Junction, CO 81503. See diagnostic and treatment facility that has been part of the employment page at www.cwrmhc.org University of Texas at Dallas since 1975. We seek a full-time PHD level clinical psychologist to join the multidisciplinary clinical staff serving individuals with communication impairments. The ADVERTISERS INDEX psychologist will work with speech-language pathologists, audiologists and educators serving individuals with mental health American Professional Services inside front cover concerns and co-existing communication disorders related to developmental delay, hearing impairment, language disorder, AATBS back cover autistic spectrum disorder and/or brain injury. Patients range in BYOT 28 age from 6 months - elderly. Minimum Professional Qualifications include a PhD or PsyD in CE-credit.com 18 Clinical Psychology from an APA approved training program and a Center for Anger Resolution 7 Texas Psychology License. Necessary experience includes administration of nonverbal IQ tests, diagnosis of PDD, Hazeldon 14 mood/anxiety disorders, etc in early childhood, skill in use of Marriage & Family Health 24 parent guidance and coaching, crisis management with suicide and child abuse. Prefer ABPP in Neuropsychology, Texas LSSP, Nova Southeastern University 9 Fluency in Spanish and/or Sign Language may be eligible for a one-time hiring bonus. Contact Dr. Teresa Nezworski, Search Professional EDU 30 Committee Chair at 214-905-3040 or [email protected]. ProfessionalCharges.com 19

PSYCHOLOGISTS needed P/T (weekdays – at least 6-8 hours per Remuda Ranch 29 week) to do assessment and treatment in nursing homes. We Rockport Insurance Associates 5 have 400 contracted facilities in Texas we serve, throughout the state. Visit our web site: www.vericare.com. Please send your Senior Connections, Inc. 13 C.V./resume to Vericare (Formerly Senior Psych Services): E-Mail: Stens Corporation 27 [email protected], FAX: (800) 503-3842, PHONE: (800) 508-5151. Therapist Helper 28

University of North Texas Press 28

SUMMER 2003 Texas Psychologist 31 Texas Psychological Association 8th Family Getaway

July 19-23, 2003 • Cancun, Mexico • Marriott Casa Magna

ancun is paradise found. White sand beaches stretch for miles along the clear turquoise blue waters of the Caribbean sea. Sunny skies. Ancient Mayan ruins. Exotic jungles. International shopping. Spicy foods. Sizzling nightlife. All yours for the C taking! Experience world-class snorkeling and scuba diving. Cancun's coral reefs support more than 500 species of tropical fish! Try water-skiing, jet skiing, or sailing. Work out in our state-of-the-art health club. Head out to a nearby golf course, or to one of our lighted tennis courts. Near Cancun you can explore the famous ruins of pre-Colombian civilizations -- at Tulum and Chichen Itza. Visit area wildlife parks, and learn more about the natural habitat of the Yucatan peninsula. Attend a folkloric ballet or a traditional bullfight. Or, shop the open-air markets or the duty-free stores for that perfect take-home gift. Feast your eyes on the cool blue of the Caribbean, while sinking your toes into talcum-white sand at the CasaMagna Marriott Cancun Resort. Located on the tip of Mexico's Yucatan Peninsula, this spectacular resort meets your vacation and meeting needs with a sun-filled slice of heaven. Oh, and pick up a few continuing education credits while you’re at it. There isn’t a better way to combine your continuing education with a family vacation. Make sure we reserve a room for you by completing the enrollment form today and returning it ASAP.

Family Getaway Enrollment Form

Guest 1 Name______Degree______❑ 4 Nights Double Occupancy: Guest 2 Name______Degree______$385/person ❑ Guest 3 Name______Degree______Additional room guests above and beyond double occupancy: Guest 4 Name______Degree______$150/person Address ______❑ 4 Nights Single Occupancy: City/State/Zip______$699 Phone ______Fax______❑ Additional room nights: Email ______$75/person* ❑ ❑ Payment: Check Visa/MC/Amex/Disc * This rate is valid 3 days prior Acct. #______Exp. Date ______to conference and 3 days post- conference and is based on Amount to Charge: ______double occupancy. In order to arrange your airport transfers to/from the Cancun airport, we need to Mail payments to: know the following: TPA, 1011 Meredith Drive, Flight TO Cancun: Ste. 4, Austin, TX 78748 Airline: Flight number OR Fax credit card registrations to Departure time/date/city Arrival time (512) 280-4334 Flight FROM Cancun: OR Airline: Flight number Phone in credit card registrations to Departure time/date/city Arrival time (512) 280-4099 or (888) 872-3435.

32 Texas Psychologist SUMMER 2003 TPA’s 8th Family Getaway

July 19-23, 2003 Marriott Casa Magna Bring your family and prepare Cancun, Mexico yourself for a great getaway!

Four nights at the four-star Marriott Casa Magna July 19 Arrive, airport transfer provided Six hours of continuing education credit Evening reception in the Presidential Suite Also included: July 20 Airport Transfers Continental Breakfast/Workshop Evening Reception in the Presidential Suite July 21 Continental Breakfasts/Workshops Continental Breakfast/Workshop TPA optional add-on excursion Four nights double occupancy: $385/person July 22 Additional room guests: $150/person On your own! Four nights single occupancy: $699

July 23 * These rates are valid three days prior to the conference and three days immediately following the conference Depart – airport transfers provided and are based on double occupancy Since these group rates have been negotiated, reservations MUST be made through the TPA central office. Make your reservations today! There is no CE only package. Call 888/872-3435