JUNE /J ULY 2016 Psychiatrist

T E R A I O N D O E F F Prescribing Authority, Super-Utilizer’s # #

T E Y Part of National Dialogue X R A T S I A P S Y C H Eric Woomer, Federation of Texas Psychiatry Public Policy Consultant

emarkably, there are less than 200 Psychologists prescribing legislation was brought into emergency care and if there Rdays before the start of the next also recently considered in Indiana and are not enough beds at the medical facility , in January of 2017. Ohio, and all indications are that it will then they re-routed to a local jail. Neither The Federation is hard at work during the soon be considered in Idaho, California, the emergency medical facility nor the jail interim on a number of issues that affect North Dakota, Kentucky, New York, New has the capacity to treat chronic mental the practice of psychiatry. Here are some Jersey, Vermont and Texas. health conditions, leading to a situation updates on a few issues that are consuming The Texas Nurses Association is where people in psychiatric stress are rou - our attention: presently working on a bill to allow tinely not getting appropriate treatment. Eric Woomer Advanced Practice Registered Nurses the The high rate of recidivism in this popu - NON-PHYSICIAN PRESCRIBING authority to prescribe independently of a lation of “super-utilizers” places a large care-coordination program that included Last month, Iowa became the fourth state physician’s delegation and supervision. financial and operational strain on medical coordinated medical care over several to give psychologists permission to write They cite a Texas economic study that sug - and criminal justice systems. Currently, months in addition to assistance with prescriptions roughly 100 psychotropic gests that the total impact of APRN full there is a severe lack of adequate, ongoing transportation and finding access to com - drugs. In order to be eligible to write pre - practice for Texas could be in excess of $16 intensive treatment and housing options munity resources. One year into the three- scriptions, a candidate must have a PhD in billion and add 97,000 new jobs to Texas. available to super-utilizers. In the absence year pilot they’ve eliminated 1,000 Psychology, a Masters in Pharmacalogy and They point to lower reimbursements for of access to appropriate treatment, these emergency visits and earned back their supervision by a psychiatrist or physician. APRNs, reduced educational expenses, and band-aid fixes are the only options avail - investment. Lawmakers and supporters of this increased access to care as positive benefits. able to this population in times of psychi - Florida: Miami-Dade county has one of expansion of a psychologist’s role argue In recent years, the Texas Board of atric crises. the nation’s largest ratio of people living that expanding access to prescription med - Nursing has received an increasing number In 2013, 40,000 super-utilizers lived in the with mental illness in an urban community, ications will help improve access to mental of complaints about APRNs in pain clinics state of Texas. 22,000 of these people lived and a recent report determined that those health care. Opponents argue that medica - prescribing medications to patients in dan - under the 200% federal poverty guideline. found guilty of a crime typically stay in jail tions used to treat mental health issues gerous combinations or in amounts that The Texas Medicaid 1115 Transformation four to eight times longer than people with - come with side effects that can affect physi - pose a greater risk of harm than help, and Quality Improvement Waiver helped out mental illness who committed the same cal health, so it is important that whoever is according to the agency’s “self evaluation” Texas expand the behavioral and mental offense. In response, the county launched prescribing is licensed in the practice of report filed with the Texas Sunset Advisory health services available under their the Criminal Mental Health Project (CMHP) medicine with the requisite training in bio - Commission in September. In fiscal years Medicaid programs. Medicaid-eligible - a program that diverts people with mental medical science so they can address any 2014 and 2015, the state nursing board’s adults now have access to crisis interven - illness away from the criminal justice sys - unforeseen side effects. legal department fielded 44 non-therapeu - tion, medical training and support, skills tem and into treatments provided in their “When does it become dangerous?” asks tic prescription complaints. This trend has training, case management and psychoso - communities. Those who choose or who Dr. Joyce Vista-Wayne, president of the Iowa significantly strained the nursing board’s cial rehabilitative services. are ordered to enter the CMHP receive a Psychiatric Society. “It becomes dangerous resources to prosecute effectively, the mental health treatment plan, temporary when you don’t know what you don’t know.” report said. OTHER STATE APPROACHES housing and other public assistance rang - Hawaii lawmakers are also looking to TO SUPER-UTILIZERS ing from Medicaid to supplemental income pass a bill that would allow psychologists to NALOXONE Washington: Many states suspend or termi - depending on their qualifications. They are prescribe medication if they undergo 400 In 2010, overdose on prescription opioids nate a person’s Medicaid benefits when also assigned a peer specialist to help guide hours of training, supervision of 100 led to more deaths than overdose on heroin they go to jail, making it difficult to get them through the program. Recidivism patients and passing an exam created by by a large margin (16,651 to 3,036). access to care once they are released. rates for CMHP participants has dropped the American Psychological Association. Naloxone can quickly reverse the symp - Washington did a study to explore whether from 75 percent to 20 percent a year in the According to the Hawaii Department of toms of an opioid or heroin overdose and enrolling people with severe mental illness county. Health, more residents die by suicide than save a person’s life. This year, Walgreens in Medicaid before their release from prison in car accidents. More Hawaii residents die announced that they will make naloxone would increase their use of community ELECTION RESULTS by suicide than in car accidents. A dearth of (known as Narcan), available over the mental health services and reduce recidi - The May 24th runoff in Texas proved rough mental health resources compounds the counter in Walgreens pharmacies in 35 vism. They found increases in use of gen - for incumbents. Two House GOP incum - problem. Advocates of the bill argue that by states and Washington, D.C. Walgreens eral medical services and community bents – Doug Miller of New Braunfels and giving psychologists prescription rights that hopes to curb the number of opioid over - mental health services, but no reduction in Wayne Smith of Baytown – lost to chal - they can fill the gap in services, especially dose related deaths by increasing access to criminal recidivism. lengers. In the , we saw Rep. in rural areas. the lifesaving drug. Georgia: Many states, including Texas, Bryan Hughes defeated his House colleague Opponents, including the American Walgreens is also installing medication are exploring alternative court systems, like David Simpson in SD1 and Abilene state Psychiatric Association and the Hawaii disposal kiosks in more than 500 drugstores drug courts and mental health courts, that Rep. Susan King was defeated by ophthal - Medical Association say the bill would put in 39 states and Washington, D.C. The dis - incorporate treatment located in the com - mologist Dr. in SD24. Hawaii residents with mental illness at seri - posal kiosks will allow anyone to freely and munity. Georgia is also focusing on re-entry The contest that drew the most attention ous risk. conveniently dispose their unwanted, and training programs for inmates to get nationwide was at the State Board of unused, or expired prescriptions, decreas - job certifications before they are released. Education. Candidate Mary Lou Bruner I NSIDE ing the risk of prescription drugs ending up These approaches have led to two charter became notorious for her allegations that in the hands of someone they were not schools being able to go into prisons to help President Obama had worked as a gay pros - Become a TSPP Fellow ...... 4 intended for. inmates get a high school diploma rather titute. After the news went viral she was Calendar ...... 8 than a GED, expanded drug courts with a handily defeated by Lufkin school board Congratulations ...... 4 SUPER-UTILIZERS goal of reducing recidivism and re-classi - president Kevin Ellis. New Officers Installed ...... 4 In Texas, law enforcement officers are typi - fied lesser offenders as “Children in Need of Please let the Federation know if you cally the first to respond to a person in a TSCAP Annual Convention Services.” have any questions, concerns or comments & Scientific Program ...... 2-3 psychiatric crisis, even in the case of a non- Maryland: Sinai Hospital flagged 318 about these or other issues facing the Texas criminal incident. Often, these people are TSPP 60th Annual Convention high utilizers, and in response, piloted a Legislature. I and Scientific Program ...... 5-7 TSCAP Annual Convention & Scientific Program “Navigating the Perils of Childhood” July 22-24, 2016 • Westin Riverwalk Hotel • San Antonio, Texas GENERAL INFORMATION

MEETING LOCATION TSCAP’s Annual Convention and Scientific Program PROGRAM AT A GLANCE will be held at the Westin Riverwalk Hotel, recently Friday, July 22 honored as one of the World's Best Places to Stay 12:00 pm - 8:30 pm Registration ...... (Friday Only) Hotel Lobby by Conde Nast Traveler's acclaimed Gold List. Located at 420 W. Market Street, on the banks of 1:00 pm - 5:30 pm Exhibit Set-Up ...... Navarro B, Ballroom Level the historic Riverwalk the Westin Riverwalk, San 4:00 pm - 5:30 pm TSCAP Executive Committee Meeting ...... Zapata - Ballroom Level Antonio Hotel features an on-site restaurant, bar, 6:30 pm - 8:30 pm Fiesta Welcome Reception with Exhibitors ...... Navarro B, Ballroom Level coffee shop, Woodhouse Day Spa services, Westin WORKOUT® fitness center, and a full-service business Saturday, July 23 center, and Westin’s Heavenly Bed® and Heavenly 7:00 am - 4:30 pm Registration ...... (New Location) Navarro Pre-Function Bath® amenities in all of the luxurious guest rooms. 7:30 am - 8:00 am Continental Breakfast with Exhibitors ...... Navarro B, Ballroom Level The Westin Riverwalk offers guests direct access to one of the most charming and beloved Texas 8:00 am - 2:45 pm Scientific Program ...... Navarro A, Ballroom Level destinations, the San Antonio Riverwalk. Whether 10:30 am - 10:50 am Refreshment Break and Door Prize Drawings ...... Navarro B, Ballroom Level you set out on foot or, by the water taxi that picks 11:50 am - 12:10 pm Refreshment Break and Door Prize Drawings ...... Navarro B, Ballroom Level up outside of the hotel on the banks of the River, 1:10 pm - 1:30 pm Refreshment Break and Door Prize Drawings ...... Navarro B, Ballroom Level the hotel's location overlooking the River Walk invites you to explore the myriad restaurants, shops 3:00 pm - 4:00 pm Exhibits Teardown / Depart ...... Navarro B, Ballroom Level and entertainment venues that line the banks of the Sunday, July 24 San Antonio River as it winds through downtown. 7:00 am - 1:00 pm Registration ...... Navarro Pre-Function Wander a bit further and you'll discover rich sites of culture and the arts. Breathe in some Texas history at 7:45 am - 8:45 am TSCAP Annual Business Meeting and Breakfast The Alamo and the Spanish Governor’s Palace, stroll Open to All Attendees ...... Navarro B, Ballroom Level through Market Square and La Villita, San Antonio’s 8:45 am - 12:30 pm Scientific Program ...... Navarro A, Ballroom Level historic arts village, or sip a cold microbrew at the 10:15 am - 10:30 am Refreshment Break ...... Navarro Pre-Function Historic Pearl Brewery. The hotel is also within easy reach of the cutting-edge Blue Star Arts Complex. Great family attractions, including the San Antonio Zoo and Six Flags Fiesta Texas, are just short trips from the hotel. TSCAP Annual Convention MAIL... (pay by credit card or check) HOTEL RESERVATIONS Texas Society of Child and Adolescent Psychiatrists Special TSCAP discounted room rates are available & Scientific Program 401 West 15th Street, Suite 675, Austin, TX 78701 to program registrants BEFORE JUNE 14 or upon “Navigating the Perils of Childhood” (The following options require credit card payment) sell-out, whichever occurs first. Make your hotel E-MAIL... [email protected] reservation today by calling Central Reservations at July 22-24, 2016 ONLINE... http://www.txpsych.org 1-888-627-8396 or visit www.txpsych.org and click on Westin Riverwalk Hotel • San Antonio, Texas the following link in the TSCAP Program Information: https://www.starwoodmeeting.com/StarGroups Web/res?id=1601145389&key=DA495CE REGISTRATION TSCAP discounted room rates: NAME DEGREE $185 Traditional King City Side / $199 Traditional Double-Doubles City Side MAILING ADDRESS CITY STATE ZIP $210 King Deluxe Riverside / $224 Deluxe Double-Doubles Riverside Discounted valet parking available for TSCAP TELEPHONE NUMBER FAX NUMBER E-MAIL meeting registrants and guests July 20-24 at the rate of $25.00, or a self-parking pay lot is available Name(s) of Guest(s) Attending ______across from the hotel. (Includes Scientific Program, B/W Syllabus, Saturday Lunch During Resident Case Presentation, OPENING WELCOME RECEPTION SCIENTIFIC PROGRAM REGISTRATION Saturday & Sunday Refreshment Breaks). WITH EXHIBITORS Before June 14 After June 14 Make plans to attend the complimentary festive TSCAP Member Physician $195 $215 ______Fiesta Welcome Reception with Exhibitors on Non-Member Physician $250 $270 ______Friday evening, 6:30 pm - 8:30 pm, Navarro B Room, Ballroom Level. Visit throughout the Spouse / Guest Claiming CME Credit $195 $215 ______evening with your friends, colleagues and Allied Health Professional / Spouse / Guest $180 $200 ______exhibitors in a fun-filled, relaxing atmosphere TSCAP Member Trainee $15 $30 ______and complete your entry for the special door prize drawings to be awarded on Saturday! Non-Member Trainee $25 $50 ______Medical Student $0 $15 ______EXHIBITS TSCAP’s Welcome Reception, Continental SOCIAL EVENTS Breakfasts and Refreshment Breaks, will be held I Friday Welcome Reception in the Navarro B Room, Ballroom Level of the Westin Riverwalk Hotel. Exhibits will be open Name(s) Attending Reception: ______throughout the evening, Friday, and all day I Sunday Membership Business Breakfast Saturday and provide you with information TSCAP Member $15 $20 ______designed to enhance your practice and help improve the optimal delivery of medical care to Non-Members/Guests/Spouse/Child $20 $25 ______your patients. In addition, there will be ‘job fair’ Name(s) Attending Breakfast: ______exhibitors who have employment opportunities for Psychiatrists in the State of Texas. MEETING SYLLABUS ORDER Welcome Reception – Friday - 6:30 - 8:30 pm I Color Printed Copy $75 $100 ______Continental Breakfast – Saturday - 7:30 am - 8:00 am I Black & White Copy FREE FREE Refreshment Break and Door Prize Drawings Saturday - 10:30 am - 10:50 am I Vegetarian Plate Requested. No additional fee if requested priorto June 15, otherwise there will be an additional fee of $15.00. Refreshment Break and Door Prize Drawings Saturday - 11:50 am - 12:10 pm If you require any special assistance to fully participate in this conference, TOTAL REGISTRATION please contact TSCAP via e-mail [email protected] or 512/478-0605. Refreshment Break with Exhibitors and Door Prize Drawings – Saturday - 1:10 pm - 1:30 pm Exhibitors Tear Down and Depart PAYMENT INFORMATION Saturday - 3:00 pm - 4:00 pm Check in the Amount of $______Make Checks Payable to Texas Society of Child and Adolescent Psychiatry Please Charge $______To My: I VISA I MasterCard I American Express EXHIBITORS American Professional Agency, Inc. Credit Card #______Expiration Date: ______Jackson County Health & Human Services 3 Digit Code on Back of Card on Right of Signature Panel ______Meridell Achievement Center Name of Cardholder (as it appears on card) ______Professional Risk Management Services, Inc. San Marcos Treatment Center Signature ______Texas Medicaid Wellness Program UTMB CMC ADDRESS WHERE YOU RECEIVEYOUR CREDIT CARD STATEMENT (include address, city, state, zip):______ANNUAL MEETING BREAKFAST CANCELLATIONS – Deadline for cancellation is June 14, 2016. In the event of cancellation, a full refund will be made if written notice is received in the TSCAP office by June 14, 2016, less a 25% handling charge. The Annual TSCAP Business Meeting and NO REFUNDS WILL BE GIVEN AFTER June 14, 2016. Breakfast will be held Sunday, 7:45 am - 8:45 am in the Navarro B Room, Ballroom Level.

2 TEXAS PSYCHIATRIST JUNE /J ULY 2016 TSCAP Annual Convention & Scientific Program “Navigating the Perils of Childhood” July 22-24, 2016 • Westin Riverwalk Hotel • San Antonio, Texas

SCIENTIFIC PROGRAM SCHEDULE ACCREDITATION STATEMENT This activity has been planned and Saturday, July 23 (5 Hours Category I CME Credit Hours) Sunday, July 24 (3 Hours Category I CME Credit Hours) implemented in accordance with the accreditation requirements and policies of the 8:00 - 8:30 am Welcome & Opening Remarks 8:45 - 9:15 am Welcome & Opening Remarks Texas Medical Association (TMA) through the 8:30 - 9:30 am KEYNOTE: Sexting, Cyberbullying 9:15 - 10:15 am ETHICS: Overcoming Barriers joint providership of the Texas Society of and Adolescent Health to Implementation in Telepsychiatry Psychiatric Physicians and the Texas Society of Jeff R. Temple, Ph.D Moira Wertheimer, Esq., RN, CPHRM Child and Adolescent Psychiatry. The Texas Objective: The learning objective for this activity has been designed to address cli - Objective: The learning objective for this activity has been designed to Society of Psychiatric Physicians is accredited nician competence. Upon conclusion of the activity participants should be able to: address clinician competence. Upon conclusion of the activity participants by TMA to provide continuing education for • Identify internet risks for children and adolescents. should be able to: • Recognize ethical, policy and legal considerations when using physicians. 9:30 - 10:30 am Psychopharmacology’s Role telepsychiatry with patients. CREDIT STATEMENT in the Management of Autism • Understand professional, boundary and safety and security considerations Melissa S. DeFilippis, M.D. as well as general standard of care issues when using telepsychiatry. The Texas Society of Psychiatric Physicians Objective: The learning objective for this activity has been designed to address cli - • Explore risk management and liability exposures when using designates this Live Activity for a maximum nician competence. Upon conclusion of the activity participants should be able to: telepsychiatry and identify risk mitigation strategies. of eight (8) AMA PRA Category I Credits TM . • Describe current practice pharmacologic recommendations for child and Physicians should claim only the credit adolescents with autism. 10:15 - 10:30 am Refreshment Break commensurate with the extent of their 10:30 - 11:30 am ETHICS: Providing Quality of Care to Children: 10:30 - 10:50 am Refreshment Break participation in the activity. Meeting Your Professional Responsibilities in 10:50 - 11:50 am Substance Abuse in Children and Adolescents - the Face of Pre-Authorizations and Formulary ETHICS DESIGNATION STATEMENT Electronic Cigarettes, Synthetics, Spice, Changes The presentation “ETHICS: Overcoming Barriers Hookah Pipes, Etc. Emilie Attwell Becker, M.D. to Implementation in Telepsychiatry” and the David L. Atkinson, M.D. Objective: The learning objective for this activity has been designed to Objective: The learning objective for this activity has been designed to address cli - address clinician competence. Upon conclusion of the activity participants pre sen tation “ETHICS: Providing Quality of nician competence. Upon conclusion of the activity participants should be able to: should be able to: Care to Children: Meeting Your Professional • Evaluate potential impact of newer agents of potential abuse on Children and vMeet their professional responsibilities in the face of pre-authorization and Responsibili ties in the Face of Pre- Adolescents. formulary changes and establish ways to provide the best care for their Authorizations and Formulary Changes have patients despite insurance limitations. 11:50 - 12:10 pm Refreshment Break been designated by the Texas Society of 11:30 - 12:30 pm Making Add-On Psychotherapy Psychiatric Physicians for a total of two (2) 12:10 - 1:10 pm Resident Case Presentation and Faculty Discussant: Really Mean Something Co-therapy with a Complex Adoptive Family credits of education in medical ethics and/or Joseph Blader, Ph.D professional responsibility. Adina Campbell, MD Meadows Foundation & William Lee, MD Semp Russ Professor of Child Psychiatry TARGET AUDIENCE/ Faculty: Brigitte Bailey, MD Departments of Psychiatry and Pediatrics PROGRAM OBJECTIVES 1:10 - 1:30 pm Refreshment Break University of Texas Health Science Center at San Antonio This live activity has been designed with 1:30 - 2:30 pm Sex-Trafficking of Domestic Minors San Antonio, Texas didactic lectures supplemented with clinical Brigitte Bailey, M.D. Objective: The learning objective for this activity has been designed to vignettes, audiovisual presentations, direct Connie Zajicek, M.D. address clinician competence. Upon conclusion of the activity participants discussion and case presentation and discus - Objective: The learning objective for this activity has been designed to address cli - should be able to: sion in multiple educational sessions. nician competence. Upon conclusion of the activity participants should be able to: • Identify ways to utilize psychotherapy during medication appointments • Assess the impact and need for treatment of minors exposed to sex-trafficking. The program is designed to provide its’ target 2:30 - 2:45 pm Closing Remarks audience of Child and Adolescent Psychiatrists, Adult Psychiatrists, Pediatricians ABOUT THE SPEAKERS and Primary Care Physicians with clinically rel - evant information to advance the physicians’ David L. Atkinson, M.D. Melissa S. DeFilippis, M.D. competence and provide them with effective Assistant Professor Assistant Professor use of targeted skills so that they may Department of Psychiatry Department of Psychiatry develop strategies to apply the knowledge, skills and judgement of the information pre - UT Southwestern Medical Center Director, Child and Adolescent Division Dallas, Texas sented in the educational activity into their UTMB Health – Galveston, Texas practice. Brigitte Bailey, M.D. William Lee, MD NEEDS ASSESSMENT Program Director Child and Adolescent Psychiatry Child and Adolescent Psychiatry Resident - 2nd Year TSCAP has incorporated into this CME activ - Associate Professor UTHSCSA ity the relevant educational needs concern - UTHSCSA Department of Psychiatry San Antonio, Texas ing competence that underlie the Child and Adolescent Division professional practice gaps of the participants. Medical Director, Jeff R. Temple, Ph.D KCI Childrens Shelter Residential Treatment Center, SAT Associate Professor and Psychologist FACULTY AND PLANNERS Co-Director of Psychiatric Services, Texas Youth Commission, SAT Director, Behavioral Health and Research DISCLOSURE POLICY Medical Staff, The University Hospital Systems Department of OB/Gyn In compliance with the ACCME/TMA Standards UTMB Health – Galveston, Texas Faculty Physician, The Child Guidance Center for Commercial Support of CME, to assure bal - ance, independence, objectivity and scientific San Antonio, Texas Moira Wertheimer, Esq., RN, CPHRM rigor in all of its CME activities, prior to the edu - Assistant Vice President Emilie Attwell Becker, M.D. cation activity being delivered ot the learners, Psychiatric Risk Management Group the Texas Society of Psychiatric Physicians Mental Health Medical Director AWAC Services Company implemented a mechanism to identify and Texas Medicaid and CHIP Program Member Company of Allied World resolve personal conflicts of interest from Austin, Texas President everyone who was in a position to control the Connecticut Society of Healthcare Risk Management content of the education activity. Joseph Blader, Ph.D Farmington, Connecticut Meadows Foundation & Semp Russ Professor of Child Psychiatry TSPP will disclosure to learners the existence Departments of Psychiatry and Pediatrics Connie Zajicek, M.D. (or non-existence) of all relevant financial rela - tionship(s) that the faculty and planners did (or University of Texas Health Science Center at San Antonio Assistant Professor of Psychiatry did not) have with any commercial interest San Antonio, Texas Department of Psychiatry and Behavioral Sciences UT Health concerned with the content of the educational Adina Campbell, MD Child and Adolescent Division presentation. Child and Adolescent Psychiatry Resident - 2nd Year Medical Staff, Harris County Psychiatric Center Disclosure will occur prior to the presentation UTHSCSA Houston, Texas through written communication in the syl - San Antonio, Texas labus / handout materials.

JUNE /J ULY 2016 TEXAS PSYCHIATRIST 3 Congratulations!

New TSPP President Daryl K. Knox, MD (left) receives the President’s gavel from outgoing President, Daniel Pearson, III, MD

Stephen V. Marcoux, MD, Captain, USAF, MC, TSPP Resident Fellow Member Section Chairman, was elected APA Area 5 RFM Deputy Representative

Outgoing President Daniel Become a Fellow of the APA/TSPP Pearson, III, MD (right) Earn the FAPA Designation - Eligibility Requirements: receives plaque in honor of • Must be current APA/TSPP General Member or Life Member in Good Standing his service as President from • Certification by the ABPN, the Royal College of Physicians and Surgeons of Canada, incoming President Daryl K. or the American Osteopathic Association. Knox, MD • 30 day review period for TSPP to offer comments about the Fellowship Candidate • Approval by the APA Membership Committee in October • Approval by the APA Board of Trustees in December • Apply before September 1 For an application visit https://www.psychiatry.org/join-apa/become-a-fellow

Newly Installed Officers for 2016-17, President Not A Member Of Your State Daryl K. Knox, MD (left); Medical Specialty Professional Society? President-Elect Terry McMahon, MD (center) For membership in the and Immediate Past Texas Society of Psychiatric Physicians President Daniel Parson, and American Psychiatric Association III, MD (right). Visit www.psych.org to download a dual membership application or contact: [email protected] Texas Academy of Psychiatry Visit www.txpsych.org to download a New Officers Installed membership application or contact [email protected] At the conclusion of the May 6-8 TSPP/TAP Secretary - Arturo Rios, MD, Houston Spring Meeting at the Renaissance Austin Immediate Past Chairman - For membership in the Hotel in Austin, four organizations of the Linda J. Rhodes, MD, San Antonio Texas Society of Child and Adolescent Psychiatry and Federation installed new officers for fiscal year 2016-17. Congratulations! The Texas Society of Child and Adolescent American Academy of Child and Adolescent Psychiatry Psychiatry will install their new Officers Visit www.aacap.org Federation of Texas Psychiatry during the TSCAP Annual Convention, to download a dual membership application or Chairman - Debra Atkisson, MD, Fort Worth July 22-24, at the Westin Riverwalk Hotel Contact: [email protected] Vice Chairman for Education - in San Antonio. Brigitte Y. Bailey, MD, San Antonio Vice Chairman for Public Policy - J. Clay Sawyer, MD, Waco Secretary-Treasurer - Lynda Parker, MD, Georgetown PSYCHIATRY SPECIFIC COVERAGE Texas Society of Psychiatric PRMS’® psychiatry-specific medical professional liability insurance program protects you Physicians with an unrivaled network of services and a team of experts who understand your practice. President - Daryl K. Knox, MD, Houston President-Elect- Terry C. McMahon, MD, Lubbock Secretary-Treasurer - Benigno J. Fernandez, MD, San Antonio Immediate Past President - Daniel Pearson, III, MD, Dallas PROTECTION SUPPORT DEFENSE Rates and enhanced policy features Unparalleled risk management Expert litigation management by Texas Academy of Psychiatry designed for psychiatric risks. services and advice tailored to a defense panel with a proven President - psychiatric issues and activities. track record in psychiatric litigation. Lynda M. Parker, MD, Georgetown President-Elect - Stuart D. Crane, MD, Alpine When selecting a partner to protect you and your practice, consider the Secretary-Treasurer - Debra Atkisson, MD, Fort Worth program that puts psychiatrists first. Contact us today. Immediate Past President - Gary L. Etter, MD, Fort Worth More than an insurance policy Texas Foundation for Psychiatric Education and Research (800) 245-3333 PsychProgram.com/Dedicated [email protected] Chairman - J. Clay Sawyer, MD, Waco

Vice Chairman - Actual terms, coverages, conditions and exclusions may vary by state. Insurance coverage provided by Fair American Insurance and Reinsurance Company (NAIC 35157). In California, d/b/a Transatlantic Professional Richard L. Noel, MD, Houston Unlimited consent to settle does not extend to sexual misconduct. FAIRCO is an authorized carrier in California, ID number 3175-7. www.fairco.com Risk Management and Insurance Services. Treasurer - Gary L. Etter, MD, Fort Worth

4 TEXAS PSYCHIATRIST JUNE /J ULY 2016 TEXAS SOCIETY OF PSYCHIATRIC PHYSICIANS

2016 60 TH ANNUAL CONVENTION AND SCIENTIFIC PROGRAM November 11-13, 2016 • Marriott Quorum by the Galleria Hotel • Dallas-Addison, Texas

members on Friday. TAP Members, to GENERAL register for this complimentary program and reserve your seat, to be held on Friday, INFORMATION 2:00-3:30 pm, please complete the THE EVOLUTION registration form. The program is open to all TSPP and of PSYCHIATRY TSCAP members and you may register for a nominal registration fee - see Past Accomplishments and registration form. Or, if you are not a member of TAP, but are a member of TSPP Future Endeavors or TSCAP, and would like to attend the program for free, you may join TAP as an Affiliate Member for $25.00 and attend the CME Category I Credit Hours! And, if you SPECIAL EVENTS program Free! For more information MEETING LOCATION / register early there are two dates for dis - THURSDAY – contact [email protected] or visit the HOTEL RESERVATIONS counted registration rates available! GOLF OUTING: Federation’s website at www.txpsych.org Register using the Early Bird Registration The TSPP 60th Anniversary Annual For convention FRIDAY – SPECIAL PROGRAMS FOR Convention & Scientific Program will be held Rate / Date, BEFORE August 1 and receive attendees, guests RESIDENTS – RESIDENT FELLOW SECTION at the newly renovated Addison Marriott the greatest savings! and golf PROGRAM AND ACADEMIC PSYCHIATRY Quorum hotel near the Dallas Galleria Or, register BEFORE October 1 and receive enthusiasts PROGRAM FOR RESIDENTS ON Shopping Center. The hotel is centrally a discount off of the regular registration fee, arriving early, “RESIDENT WELLNESS”: The TSPP located in the heart of Addison near premier your choice of savings! TSPP members Resident-Fellow Member Section has are arranging a restaurants, entertainment, & shopping. The planned a special program for all tee time for a group play. If you are hotel offers a complimentary shuttle to the RESIDENT / TRAINEES TSPP/TAP/ TSCAP Medical Students and POSTER SESSION interested in playing, please be sure to check Resident Members on Consultation/ Galleria every hour. A north Dallas landmark, the Golf Section box on the TSPP the Addison, Texas hotel is close to the Village In order to familiarize Texas psychiatrists with Liaison Psychiatry, Psychosomatic Registration Form and additional Medicine and Update on Mental Health on the Parkway, Addison Circle Park, and the research efforts and achievements of their colleagues, the TSPP Continuing Medical information will be emailed to you. Policy” from 1:30 pm –2:30 pm to be Vitruvian Park. Designed to exceed your Education Committee is soliciting scientific THURSDAY – NETWORKING / SOCIAL followed by a program by the Academic expectations, the hotel provides an array of posters from TSPP and TSCAP Residents and MIXER FOR TSPP RESIDENT-FELLOW Psychiatry Committee on “Resident amenities, world-class service and a fitness Trainee Members. MEMBERS: The TSPP Resident-Fellow Wellness” from 2:40 pm – 3:30 pm. Register center. Relax and rejuvenate in the hotel’s The posters need not be especially made for Members Section has arranged a special early and reserve your seat t o attend these resort style outdoor pool and enjoy delicious this meeting. Posters presented at the APA or networking event for all TSPP, TSCAP and special programs. dining in the on-site restaurant. at other scientific meetings within the last TAP medical students, residents and UTMB DEPT OF PSYCHIATRY ALUMNI In addition to a significant reduction in the year would be appropriate. TSPP’s goal is to fellows in training on Thursday, 7:30-9:30 MEETING: The UTMB Department of special guest room rate for TSPP Registrants, support collaborative interaction among the pm. To register for the Mixer, please Psychiatry Alumni (formerly known as the Attendees will receive: Texas researchers and also to familiarize the complete the attached registration form. Titus Harris Society) has scheduled a • Complimentary internet in all meeting general membership about new advances FRIDAY – “CAREER LIFESTYLE: LOCUM dinner on Friday 8:30 pm - 10:00 pm made in the state. The deadline for poster space TENENS” PROGRAM – TEXAS ACADEMY following the TSPP Welcome Reception. applications is October 15, 2017 . For a copy OF PSYCHIATRY: Exploring alternatives to • Complimentary self-parking ($15 per car, For additional information and to register of the Poster Application Form, please visit practice, the Texas Academy of Psychiatry per night) www.txpsych.org or contact for the dinner, contact Maria Villarreal at will conduct a complimen tary program on 409-771-4713 . • Complimentary high speed internet [email protected]. “Career Lifestyle: Locum Tenens” for TAP access in all guestrooms ($12.95 per room, per night) AILY CHEDULE A special TSPP discounted room rate of D S $119.00 is available to program registrants THURSDAY, NOVEMBER 10, 2016 SATURDAY, NOVEMBER 12, 2016 for reservations placed before October 26 , 12:00 Noon Golf Outing at Dallas Golf Course 7:45 am - 8:15 am Complimentary Continental Breakfast or upon sell-out , whichever occurs first. 2:00 pm - 8:00 pm Registration Open in Exhibit Hall for Meeting Registrants Make your hotel reservation today by call - 7:30 pm - 9:30 pm TSPP Resident Fellow Member Networking/Social Mixer 7:30 am - 8:30 pm Registration Open ing 1-800-228-9290 or 972-661-2800 and 7:30 am - 5:00 pm Exhibits Open AND Poster Session request the ‘Texas Society of Psychiatric FRIDAY, NOVEMBER 11, 2016 Physicians’ Annual Convention rate. 7:30 am - 8:30 pm Registration Open 8:15 am - 5:00 pm Scientific Program “EVOLUTION OF PSYCHIATRY – PAST 8:00 am - 9:00 am Foundation Board of Directors Breakfast Meeting ACCOMPLISHMENTS AND FUTURE ENDEAVORS” MORE WAYS TO SAVE 9:00 am - 5:00 pm Committee / Council Meetings 10:30 am - 10:50 am Refreshment Break with Exhibitors ON YOUR REGISTRATION FEES! 9:00 am - 10:30 am Council on Leadership AND Poster Session Ethics, Distinguished Fellowship, Finance This year’s CME program offers even more Door Prize Drawings 10:45 am -12:15 pm Council on Service Academic Psychiatry, Children & Adolescents, 11:50 am - 12:10 pm Break SPECIAL ‘FREE’ CME SCIENTIFIC Forensic Psychiatry, Public Mental Health Services 12:10 pm - 1:30 pm Lunch PROGRAM REGISTRATION OFFER FOR 12:00 pm - 5:00 pm Exhibit AND Poster Session Set-Up TSPP MEDICAL STUDENTS, RESIDENT- 2:30 pm - 2:50 pm Refreshment Break with Exhibitors FELLOW (TRAINEE) MEMBERS AND 12:15 pm - 1:30 pm Luncheon / Program AND Poster Session TSCAP MEDICAL STUDENTS AND 1:30 pm - 2:00 pm Texas Academy of Psychiatry Board of Trustees Door Prize Drawings TRAINEE MEMBERS 1:30 pm - 3:30 pm TSPP Resident-Fellow Member (RFM) Section 6:30 pm - 7:00 pm Reception for Awards Banquet Attendees TSPP is pleased to again offer the waiver of the Program “CONSULTATION/LIAISON PSYCHIATRY, 7:00 pm - 9:00 pm Awards Banquet PSYCHOSOMATIC MEDICINE” and Academic Resident’s CME Scientific Program registration Psychiatry Program for Residents “RESIDENT WELLNESS” fee IF the resident member’s Training 2:00 pm - 3:30 pm “CAREER LIFESTYLE / LOCUM TENENS” Program SUNDAY, NOVEMBER 13, 2016 Director, Associate or Assistant Program Texas Academy of Psychiatry Members Complimentary, 8:00 am Complimentary Continental Breakfast Director registers for the Scientific Program . All Other Attendees $25.00 for Meeting Registrants So all Trainees encourage your Training 2:00 pm - 3:30 pm Council on Education in Scientific Program Meeting Room Director, Associate or Assistant Program Continuing Medical Education, 8:15 am - 1:00 pm Scientific Program Director to send in their registration form and Professional Practice Management “EVOLUTION OF PSYCHIATRY - PAST then send in yours, with the name of your 3:45 pm - 5:00 pm Council on Advocacy ACCOMPLISHMENTS AND FUTURE ENDEAVORS” Training Director, Associate or Assistant Government Affairs 10:30 am - 10:45 am Refreshment Break Program Director noted, and then plan on 5:30 pm - 6:30 pm Executive Council Meeting 1:15 pm - 2:45 pm Federation Delegate Assembly Meeting attending the CME Scientific Program FREE! 6:30 pm - 8:30 pm Welcome Reception with Exhibitors AND Poster Session

JUNE /J ULY 2016 TEXAS PSYCHIATRIST 5 SCIENTIFIC PROGRAM “Evolution Of Psychiatry – Past Accomplishments And Future Endeavors” SCIENTIFIC PROGRAM SCHEDULE

SATURDAY, NOVEMBER 12 SUNDAY, NOVEMBER 13

8:15 am-8:30 am Opening Remarks 12:10 pm -1:30 pm Lunch 8:15 am-8:30 am Opening Remarks 8:30 am- 9:30 am BOTOX TREATMENT OF DEPRESSION 8:30 am-10:30 am EVOLUTION AND FUTURE DIRECTIONS 1:30 pm - 2:30 pm TEXAS RECOVERY TO PRACTICE IN Michelle Magid, MD IN PSYCHOPHARMACOLOGY AND PSYCHIATRY PROGRAM Professional practice gap: Many of the traditional treatment approaches for TREATMENT OF ANXIETY DISORDERS Juan M. Zavala, MD depression are either ineffective or unacceptable for some patients. There Speaker TBD Professional practice gap: Psychiatric rehabilitation in the form of have been a small number of studies indicating the use of botulinum toxin Recovery was developed as a means to address deficits in mental health may be an alternative means of treatment for some depressed patients. Professional practice gap: Psychopharmacology approaches to the Though larger studies are needed, the use of botulinum toxin is emerging as services that focus mainly on pharmacological intervention. Recovery treatment of anxiety disorders are rapidly evolving. The speaker will a potential treatment modality for patients with major depressive disorder. discuss current psychopharmacology treatment of anxiety disorders. fosters independence by helping to develop skills for daily living, interpersonal interactions, education and employment in order to The activity is designed to educate participants regarding the current The activity is designed to improve knowledge of evolving treatment enhance a person’s ability to live in the community successfully and to literature on the use of botulinum toxin for the treatment of depression. approaches for anxiety disorders which are cost-effective and efficacious. reach their full potential. Objectives: 1. Describe the somatic feedback loop hypothesized in the use of Objectives: Objectives: botulinum toxin for the treatment of depression. 1. Describe the role of psychopharmacology in the treatment of anxiety 1. Describe the basic principles of Recovery. 2. Identify the current status of the use of botulinum toxin for the disorders. 2. Distinguish between a Recovery-oriented approach and a traditional treatment of depression. 2. Discuss DSM-5 differential diagnostic criteria for diagnosing anxiety approach to behavioral health care. disorders. 9:30 am-10:30 am EVOLUTION AND FUTURE DIRECTIONS 3. Recognize that Recovery principles can be used to deliver integrated IN THE PSYCHOPHARMACOLOGICAL treatment for multiple issues in a variety of settings and TREATMENT OF PREGNANCY AND circumstances. POSTPARTUM 10:30 am-10:50 am Refreshment Break Lucy J. Puryear, MD Professional practice gap: This session addresses the risks and benefits of 2:30 pm -2:50 pm Refreshment Break prescribing psychotropic medications during pregnancy. Recent literature has been conflicting at times regarding the relative safety of antidepressants 10:50 am-11:50 am EVOLUTION AND FUTURE DIRECTIONS during pregnancy and the potential outcomes for teratogenic effects and IN THE TREATMENT OF NEUROIN 2:50 pm -4:50 pm EVOLUTION AND FUTURE DIRECTIONS development. Other medications such as antipsychotics and mood stabilizers FLAMMATION – AN UNDERLYING have differing levels of teratogenic effects and are often considered in the OF PSYCHOPHARMACOLOGY & context of poorly controlled schizophrenia or bipolar illness in pregnancy. MECHANISM OF DEPRESSION NEWER MEDICAL MEDICATIONS/ The activity is designed to enhance the knowledge of participants in the relative Marisa S. Toups, MD DRUG INTERACTIONS risks and benefits of psychotropic medication use in pregnancy, treatment Professional practice gap: Neuroinflammation is known to be an Speaker TBD alternatives, and the risk of uncontrolled psychosis and mood disorders. underlying mechaism of depression. According to the WHO depression is Objectives: one of the most prevalent serious brain disorders and the primary cause Professional practice gap: The professional practice gap being addressed 1. Describe the relative risks and benefits of psychotropic medications of disability in the world. There is a gap in knowledge of the mechanisms is knowledge regarding potential drug-drug interactions between newly in the first, second, and third trimesters of pregnancy. involved in neuroinflammation and depression and the specific triggers released psychotropic medications and commonly used medications in 2. Discuss alternative treatments of psychiatric disorders during pregnancy. primary care settings. Polypharmacy may lead to adverse outcomes involved to avoid in neuroinflammation. Cell mediated immune 10:30 am -10:45 am Refreshment Break response, inflammatory and oxidative stress pathways and their sequlae including increased morbidity and mortality, hospitalization, and play a role in the pathophysicology of depression. decreased quality of life. 10:45 am-12:45 pm MENTAL HEALTH LITERACY AND WHY IT MATTERS The activity is designed to change competence by educating participants The activity is designed to educate participants regarding common and on the mechanisms involved in neuroinflammation and depression and potentially harmful medication interactions. John Z. Sadler the specific triggers involved to avoid in neuroinflammation. Objectives: Professional practice gap: Ethical practice and research in psychiatry continues to be challenging with emerging biotechnologies, funding 1. Identify common drug-drug interactions between recently released Objectives: challenges, and conflicting ethical principles. This presentation will discuss psychotropic medications and commonly used medications in 1. Describe the role and mechanism of inflammation and the commonly encountered ethical challenges, prioritizing ethical principles, relationship to depression. primary care. and how and when to seek ethics consultation in practice and research. 2. Discuss the application of the knowledge of inflammation in the 2. Describe presenting symptoms patient’s experience with commonly The activity is designed to improve the knowledge of participants treatment seen psychotropic medication interactions. regarding commonly encountered conflicting ethical principles and how of depression and the inflammatory triggers to avoid in the treatment to seek ethical consultation when needed. of depression. Objectives: 4:50 pm -5:00 pm Closing Remarks 1. Describe the common ethical principles encountered in research and practice and how these principles may be in conflict with one another. 11:50 am-12:10 pm Refreshment Break 2. Identify sources of ethical consultation and when to seek consultation. 12:45 pm -1:00 pm Closing Remarks

ACCREDITATION The Texas Society of Psychiatric Physicians designates this Live Activity for ABOUT THE SPEAKERS a maximum of ten (10) AMA PRA Category I Credit TM . Physicians should claim only the credit commensurate with the extent of their participation MICHELLE MAGID, MD JOHN Z. SADLER, MD in the activity. Volunteer Faculty, Psychiatry Residency Daniel W. Foster, MD Professorship in The presentation entitled “Mental Health Literacy and Why It Matters” has been designated by the Texas Society of Psychiatric Physicians for two (2) Program Medical Ethics hours of education in medical ethics and/or professional responsibility. Clinical Associate Professor Department of Psychiatry, Department of UT Texas A&M Health Science Center Clinical Science SCIENTIFIC PROGRAM GOALS / TARGET AUDIENCE / LEARNING OBJECTIVES Adult Psychiatry & Psychotherapy UT Southwestern Medical Center This live activity has been designed in a format consisting of case study Austin, TX Dallas, TX presentations, lectures and direct discussion to provide its primary target audience of Psychiatrists, as well as other specialties of medicine, with the most up-to-date, evidence-based data that can be translated into clinical practice. LUCY J. PURYEAR, MD MARISA S. TOUPS, MD Information and data will address, new developments in treatments and Medical Director Assistant Professor new directions in research to address the professional practice gaps of the learners and advance the physicians’ competence and effective use of The Womens Place – Center for UT Southwestern Medical Center targeted skills so that they may develop strategies to apply the knowledge, Reproductive Psychiatry Dallas, TX skills and judgement of the information presented in the educational Co-Director, The Menopause Center at activity into their practice. Texas Children’s Pavilion for Women The learning objectives for this activity have been designed to address clinician competence. Maureen Hackett Endowed Chair for Reproductive Psychiatry JUAN M. ZAVALA, MD Assistant Professor NEEDS ASSESSMENT Associate Professor of Obstetrics and Texas Tech University Health Sciences TSPP has incorporated into this CME activity the relevant educational Gyncecology needs concerning competence that underlie the professional practice Center at El Paso Baylor College of Medicine gaps of our participants. Psychiatrist, San Antonio, TX Associate Professor of Psychiatry, FACULTY AND STAFF DISCLOSURE POLICY Menninger Department of Psychiatry The Texas Society of Psychiatric Physicians will disclose to participants the existence of any relevant financial relationships between faculty Baylor College of Medicine members, TSPP staff and members, who planned, authored, contributed Houston, TX to, and/or reviewed the content of this activity, and any commercial inter - est discussed in this educational activity. Disclosure will occur through written communication in the syllabus / handout material.

6 TEXAS PSYCHIATRIST JUNE /J ULY 2016 TEXAS SOCIETY OF PSYCHIATRIC PHYSICIANS

2016 60 TH ANNUAL CONVENTION AND SCIENTIFIC PROGRAM November 11-13, 2016 • Marriott Quorum by the Galleria Hotel • Dallas-Addison, Texas A WARDS

AWARDS RECEPTION / BANQUET DR. SPENCER BAYLES Saturday evening’s festivities begin with a complimentary wine and cheese reception for OUTSTANDING TSPP MEMBER AWARD registrants attending the Awards Banquet honoring the 2016 TSPP Award Recipients for This award named in memory of Dr. Spencer Bayles was established in 2010 to recognize their outstanding contribution to Psychiatry. Register early to reserve a table for your members for outstanding and consistent participation in TSPP activities. The award will be friends at this memorable evening! This year’s honorees are: presented during TSPP’s Annual Business Luncheon on Saturday, November 12 so please plan to attend and thank your fellow colleague for his outstanding volunteer service. This DISTINGUISHED SERVICE year’s recipients are: Patrick Holden, MD (Posthumously) San Antonio Katherine A. Cowan, MD Jordan Yee, MD Houston Fort Worth PSYCHIATRIC EXCELLENCE Carol S. North, MD DAVID PHARIS AWARD Dallas The David Pharis Award will be presented by the Department of State Health Services and TSPP to recognize significant contributions to safety and quality inpatient care and SPECIAL SERVICE outcomes in State Hospitals. The Honorable Charles Schwertner, MD This year’s award will be presented during TSPP’s Annual Business Luncheon on Saturday, Georgetown November 12. Please attend and express your appreciation to the organization selected for this degree of excellence.

T EXAS S OCIETY OF P SYCHIATRIC P HYSICIANS 60TH ANNUAL CONVENTION & SCIENTIFIC PROGRAM November 11-13, 2016 • Marriott Quorum by the Galleria Hotel, Dallas-Addison, Texas Please complete this form and return it with your check, money order or credit card information for your registration and event fees to the Texas Society of Psychiatric Physicians, 401 West 15th Street, Suite 675, Austin, Texas 78701 by October 1 to receive the discounted registration fee. Registration forms and payments by credit card may be faxed to TSPP at 512/478-5223.

NAME E-MAIL Please check if you are a: APA Fellow APA Distinguished Fellow APA Life Fellow APA Distinguished Life Fellow

ADDRESS CITY STATE ZIP PHONE

NAME(S) GUEST(S) ATTENDING (for name badges) REGISTRATION FEES Indicate the NUMBER of individuals who are registered for each event in the appropriate enrollment category listed below. Please note the enrollment fees are PER PERSON and your payment should reflect the proper fee for the number of individuals registered per event. SPONSOR EARLY BIRD ADVANCE AFTER EARLY BIRD ADVANCE AFTER NUMBER ATTENDING EVENT BEFORE 8/1 BEFORE 10/1 10/1 NUMBER ATTENDING EVENT BEFORE 8/1 BEFORE 10/1 10/1 Texas Foundation Golf Outing - Thursday SCIENTIFIC PROGRAM - Saturday and Sunday # Please Send Me Additional Information. # TSPP / ACADEMY / TSCAP Member $215 $245 $275 Medical Student/Resident Mixer - Thursday # Non-Member Physician $265 $295 $325 for Psychiatric # TSPP / ACADEMY / TSCAP Trainee Member $25 $35 $35 # No Charge **If your Training Director, Associate or Assistant Program Director’s registers for the Scientific Program, your Scientific Education and Research Lunch - Friday Program Fee is $0.00. Enter your Director’s name below if they have registered for the Scientific Program: # Lunch $20 $20 $25 # Non-Member RFM (Trainee) $35 $50 $50 Resident Section Program / # Medical Students $0 $15 $15 Academic Psychiatry Program for Residents - Friday Medical Students and Resident Members: If you present a poster, EXHIBITORS # Consultation/Liaison Psychiatry, Psychosomatic your registration fee for the Scientific Program AND Saturday Lunch is waived. Medicine and Update on Mental Health Policy No Chg No Chg No Chg # Allied Health Professional $105 $130 $155 # Resident Wellness No Chg No Chg No Chg # Spouse / Guest (No CME Credit) $95 $120 $145 American Professional Texas Academy of Psychiaty Program - Friday CME Meeting Syllabus Order # Career Lefestyle: Locum Tenens TAP Member No Chg No Chg No Chg # CME Meeting Syllabus In Black/White $25 $35 $45 Agency, Inc. Non TAP Member $25 $25 $25 # CME Meeting Syllabus In Color $70 $95 $125 Reception w/ Exhibitors - Friday NOTE: All CME program registrants will receive at No Additional Charge a black and white printed copy of the speakers’ HCA (Hospital Corporation # presentation. Due to the higher cost of color copying, IF you wish to receive the syllabus in color you may purchase a NOT Registered or Scientific Program $40 $40 $50 color copy of the speakers’ syllabus by checking the box and including the additional charge. The color copy will be pro- of America), Inc. # Registered for Scientific Program No Chg No Chg No Chg vided to you upon check-in the day of the program. Lunch - Saturday Vegetarian Plate Requested. No addtional fee if requested prior to 10/1, # TSPP / ACADEMY / TSCAP Member $25 $25 $35 otherwise there will be an additonal fee of $15.00 Professional Risk # TSPP / ACADEMY / TSCAP Trainee Member $15 $15 $20 # TSPP / ACADEMY / TSCAP Non-Member $35 $35 $45 If you require any special assistance to fully participate in this conference, please contact TSPP at (512) 478-0605. Management Services, Inc. # TSPP / ACADEMY / TSCAP Trainee Non-Member $25 $25 $35 # Guest $25 $25 $35 TOTAL REGISTRATION FEE $ Staff Care Awards Banquet and Gala - Saturday # Awards Banquet $45 $45 $65 To register by telephone there will be a $7.50 convenience fee charged. To avoid this charge, # Reserved Table for 10* $400 $400 $600 you may fax (512-478-5223), scan and email ([email protected] or mail to: TSPP, 401 West UTMB Correctional * Name(s) for Reserved Table:______15th Street, Suite #675, Austin, TX 78701 your registration form and payment. Managed Care METHOD OF PAYMENT: Check in the Amount of $______Make Checks Payable to Texas Society of Psychiatric Physicians Please Charge $______To My: I VISA I MasterCard I American Express Credit Card #______Expiration Date: ______3 Digit Code on Back of Card on Right of Signature Panel ______Name of Cardholder (as it appears on card) ______Signature ______ADDRESS WHERE YOU RECEIVEYOUR CREDIT CARD STATEMENT (include address, city, state, zip):______CANCELLATION POLICY: In the event of cancellation, a full refund will be made if written notice is received in the TSPP office by April 18, 2016, less a 25% processing charge. NO REFUNDS will be given after April 18, 2016

JUNE /J ULY 2016 TEXAS PSYCHIATRIST 7 We’ve got you covered. For over 40 years, we have provided psychiatrists with exceptional protection and personalized service. We offer comprehensive insurance coverage and superior risk management support through an “A” rated carrier. In addition to superior protection, our clients receive individual attention, underwriting expertise, and, where approved by states, premium discounts. Endorsed by the American Psychiatric Association, our Professional Liability Program Provides:

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L EADERS IN PSYCHIATRIC MEDICAL LIABILITY INSURANCE

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t S . D s

I N o The TEXAS PSYCHIATRIST is published o I T P T A R N

CALENDAR OF MEETINGS S P . S t

i 5 times a year in February, April, June, S R U . m P A r U

e August, and October. Members of P Federation member organizations are encouraged to submit articles for pos - sible publication. Deadline for submit - ting copy to the Federation Executive Office is the first day of the publication month. Copy must be edited, accept - able for publication. Display advertising is available and publication is determined on a case by case basis by the Editorial Board. The Editorial Board reserves the sole right to accept or reject any submitted advertising copy.

EDITORIAL BOARD y r t Federation Executive Committee a i h c MANAGING EDITORS y 5 7 s 6 P John R. Bush JULY e t s i

a Debbie Sundberg u S x 22-24 Texas Society of Child and Adolescent Psychiatry , t e 1 e T

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n Room Rate: $185 Traditional King City Side / e i W t d s [email protected] (E-mail) 1 u e 0 $199 Traditional Double Double City Side 4 A F http://www.txpsych.org (website) $270 King Deluxe Riverside / $224 Deluxe Double Double Riverside For Additional Information: www.txpsych.org or email [email protected]

NOVEMBER JOB BANK 11-13 Texas Society of Psychiatric Physicians Whether you are looking for career opportunities 60th Annual Convention and CME Program Dallas/Addison Marriott Quorum by the Galleria Hotel, or you are recruiting to fill a position in your organization, 14901 Dallas Parkway, Dallas you will want to check out the Federation’s JOB BANK Reservations: 800-228-9290 or 972-661-2800 Prior to October 26 Room Rate $119 on its website at www.txpsych.org. The Federation’s JOB BANK For Additional Information: www.txpsych.org could be just what you have been looking for. or email [email protected]

8 TEXAS PSYCHIATRIST JUNE /J ULY 2016