APRIL/MAY 2021 Psychiatrist T E R A I O N D O E F F

★ ★ The pandemic continues... T E Y X R A T S I A P S Y C H J. Clay Sawyer, M.D., DLFAPA, Chair, Texas Federation of Psychiatry

t will come as no surprise that we con- Itinue to be gripped by the Covid-19 pan- Our opposition to the first three bills stems from our continuing demic. On top of that, our entire state was paralyzed in mid-February by a severe win- ter storm which left millions of Texans concern for patient safety. Nurses and psychologists all do without power, without heat, and without water; for many, this severe situation lasted tremendous and valuable work within the fields for which they for days on end. In Waco alone, we had six J. Clay Sawyer, MD, DLFAPA inches of snow preceded by nearly an inch are trained, but none are trained to be physicians. of ice and followed by more ice, with sub- freezing temperatures (the coldest: 1 degree be gradually increasing yet again. As a below zero) for eight consecutive days. our support for SB 672 regarding collabora- If you would like to comment to the nationally-known expert recently stated, Other areas of the state experienced even tive care. legislature on this issues (please do – num- “Now is not the time to spike the ball before worse conditions. Early analysis appears to Our opposition to the first three bills bers matter!), you can use this weblink: crossing the goal line!” show that sensible preparations for winter stems from our continuing concern for texmed.org/grassroots . TMA’s home web- We cannot yet let down our guard and storms on the part of Texas’ energy industry patient safety. Nurses and psychologists all page (texmed.org) has a wealth of informa- assume that the worst is over, not with new had been advised, but never took place. do tremendous and valuable work within tion on these and other issues of great mutant forms of the virus beginning to The is presently attempt- the fields for which they are trained, but concern to the practice of medicine in Texas. appear in Texas (some of these mutants are ing to address this calamity. none are trained to be physicians. We have And, you can find even more resources on feared to be more easily transmissible and Speaking of the Legislature, the Federa - always maintained that only those fully our own webpage (txpsych.org). Please let potentially more lethal than the original tion is actively at work in our ongoing tasks trained as physicians are qualified to bear your voice be heard! form of the virus), and certainly not with the of advocating for our patients as we offer the tremendous responsibilities involved in Finally, I must address the continuing illusion that those who have been fully vac- education to legislators in the issues being a physician and in delivering the pandemic. I have spoken to more than a cinated need no longer take precautions. It involved in that advocacy effort. The foci of highest quality care to our patients – we are few people who truly believe that the pan- is our responsibility to continue to educate our concerns are as follows: our opposition responsible for their very lives, and the demic is over because of the lifting of the the general public that masking, distancing, to House Bill (HB) 2029 and Senate Bill (SB) intense training and education we undergo mask mandate in mid-March. This belief hand-washing, and avoidance of large 915, both of which would grant APRNs are truly the minimum requirements for could not be further from the truth! The crowds in general (and close proximity situ- independent practice privileges; our oppo- assuming this tremendous obligation to the “lowered numbers” regarding new cases, ations in particular) must be maintained sition to HB 1462 which would grant pre- general public and in earning the trust they hospitalizations, and fatalities leveled off until we attain true herd immunity. scribing privileges to psychologists; and, place in us. after a period of decline, but now appear to We owe our patients no less. ■

T E R A I O N D O E F F

★ ★ Make Your Voices Heard T E Y X R A T S I A Debra Atkisson, M.D., DFAPA, Vice Chair Public Policy, Texas Federation of Psychiatry P S Y C H

he 87th Legislature is meeting now. holistically using the biopsychosocial also. Prescribing medications without med- TAnd many nonphysicians are making model. ical training is a prescription for disaster. their voices heard loudly about how they The bills we MUST speak out about are Let your Representative know about the can solve the healthcare needs of Texans as HB2029 by , which will be dangers involved in letting this bill move soon as the legislature votes for them to heard in the House Public Health forward. have the privilege of independent practice. Committee this week. This bill gives Positive bills filed to help the healthcare We physicians value the work our non- Advanced Practice Nurse Practitioners the of Texans include SB 672 by Senator Dawn physician team members provide in the legislative approval to practice medicine Buckingham, which directs the Health and care of patients. Physicians know what independently – without going to medical Human Services Commission to establish a Debra Atkisson, M.D., DFAPA patients need best and we should be lead- school. Senator in the Senate Medicaid collaborative care model as well ing the team that provides that care. Business and Commerce Committee has as providing for the reimbursement for All of us attended medical school for filed a companion bill SB915 which services provided under the model. sight of the Texas Department of Insurance. four years and completed 18,000 to 20,000 approves the independent practice of Telemedicine has proven to be a modality Companion bills include: HB 522 by Rep. hours of postgraduate training. Nurse Nurse Practitioners. The coalition of Nurse that can reach healthcare needs. A number Julie Johnson; HB 988 by Rep. ; Practitioners complete 500 to 1500 hours of Practitioner supporters have made their of bills have been filed to support the ongo- and SB 228 by Sen. . training. Nurse Practitioners are valuable voices heard – loud and clear – to our legis- ing practice and reimbursement of We have a duty to Texans to speak out members of our team, but do not have the lature. telemedicine/telepsychiatry. Those bills about what can help their healthcare – and education and experience to practice medi- A bill in the House Public Health include HB 515 by Rep. what can harm them. Make your voice cine. The rigorous training and experience Committee granting psychologists the abil- which ensures payment parity between heard this week to your Representative, we receive prepares us to treat patients ity to prescribe medications independently, medical services and telemedicine/tele- Senator, and House Public Health HB 1462 by , has been filed health services for plans under the over- Committee. Texans need your voice! ■ I NSIDE Calendar ...... 8 VIRTUAL VIRTUAL

Congratulations, TSPP New Officers . . .3 TSPP/TAP TSCAP CME Program Foundation 2021 ...... 5 Spring CME Program Legislative Session Update ...... 2 Child Psychiatry

TSCAP Virtual Live CME Webinar . . . . .6 Cutting Edge at the Crossroads Focus on At Risk Populations Time for Action ...... 3 Psychiatry in the Time of COVID and Social Change TSPP President’s Message ...... 3

TSPP Spring Virtual CME ...... 4 APRIL 17, 2021 JULY 24, 2021 T E R A I O N D O E F F

★ ★

T Legislative Session Update E Y X R A T S I A P S Y C H Eric Woomer, Federation of Texas Psychiatry Public Policy Consultant

he 87th Texas Legislature was in full Advanced Practice Registered Nurses Telepsychiatry allows psychiatrists to become Tswing when it encountered an unprece- (APRNs): APRNs are telling lawmakers they a part of a patient’s care team at a distance by dented hurdle in the middle of February. need the authority to diagnose and prescribe collaborating with primary care physicians Already faced with the challenges of COVID- independent of physician supervision, but do and other providers. To protect patients from 19, the Capitol was shut down by an extraor- not have the needed medical and clinical the risks of COVID-19, Texas has in place flex- dinary winter weather event that training. Physician training is very different ibilities for telemedicine and telehealth dur- overwhelmed the entire state. The severe from that of an APRN: A primary care physi- ing the public health emergency. Gov. Abbott weather nearly collapsed the state’s energy cian completes between 12,000 and 16,000 in his State of the State address made Eric Woomer grid, and left millions of Texans without hours of competency-based, clinical training, telemedicine and telehealth flexibilities an power and water for days, causing a shift in compared with only 500 to 720 hours for emergency item, calling on the Legislature to focus at the Legislature. APRNs. make these flexibilities permanent beyond Reacting to the extreme winter conditions APRNs argue they will improve access to the pandemic. and responding to the suffering of millions of care in rural and underserved areas of the Filed Legislation: Several bills have been law prohibits states from using Medicaid to Texans has become a priority of state govern- state. However, in data from other states filed related to telemedicine and telehealth pay for care provided in inpatient private psy- ment. Due to the crisis, the Legislature lost an where APRNs practice independently, it is beyond the pandemic – most notably HB 515 chiatric hospitals known as IMDs, or “institu- entire week where normally, legislators would clear they migrate and establish practices in by Rep. Tom Oliverson, which ensures pay- tions of mental disease.” This exclusion has have conducted the public’s business. urban and suburban areas and not rural, ment parity between medical services and been part of the program since Medicaid’s Between the pandemic, this winter weather underserved locations. The experience in telemedicine/telehealth services for plans enactment in 1965, and it has resulted in event, and the budget shortfall, the ability for states like Oregon, Wyoming, and New under the oversight of the Texas Department unequal coverage of mental health care. the legislature to conduct meaningful busi- Mexico demonstrate no real improvements in of Insurance, and HB 4 by Rep. Four Price and States have recently been given the option to ness has become significantly compromised. access to care – especially in rural areas – SB 412 by Sen. , which cover short-term stays in IMDs under Securing passage of legislation is oftentimes when those states have granted independent ensure these delivery modalities are reim- Medicaid by applying for an 1115 from the difficult in the best of circumstances, and practice and prescribing authority to APRNs. bursed under Medicaid programs (including federal government. with these three major issues suspended over Filed Legislation: HB 2029 by Repre- the provision of audio-only services.) Filed Legislation: No bill has been filed; the capitol dome, we could be in for a legisla- sentative Stephanie Klick grants expanded Support Greater Access to Mental Health HHSC may be directed to pursue an IMD tive session like Texas has ever seen. authority for advanced practice registered Medications: Often onerous “prior authoriza- waiver through the state budget process. Prior to the weather event, Gov. Greg nurses. SB 915 by Senator Kelly Hancock tion” (PA) requirements designed to control Supporting the Continuance of Tax-Free Abbott gave his State of the State address out- Senate companion costs may diminish access to medications 3rd Party Medical Billing Services: The Texas lining five emergency items for legislators to Supporting the Collaborative Care Model: and deter adherence. Poorly designed or bur- Comptroller announced in 2019 that medical prioritize this session: expanding broadband The Collaborative Care Model is the integra- densome PAs may frustrate patients, and practices that use third-party medical billing access, preventing cities from “defunding” tion of behavioral health with general med- contribute to medication abandonment, self- services would be required to pay sales and police departments, changing Texas’ bail sys- ical services to improve patient outcomes, medication with lawful or illicit substances, use taxes on those services beginning January tem, ensuring elections integrity, and protect- provide for cost savings, and patient satisfac- and/or increase risk of adverse treatment out- 1, 2020. This would disproportionately ing businesses from COVID-19-related tion. Given the pandemic, Texas is seeing an comes. As a result, individuals with SMI that impact small medical practices that do not lawsuits. increased need for mental and behavioral incur access challenges face triple the likeli- perform medical billing in-house. The This address was followed a few days later health services as many individuals especially hood of adverse events, including ER visits; as Comptroller delayed action until to October by his 2022-23 budget which built on his pri- children and adolescents are experiencing such, a considerably higher number of 1, 2021, after the Legislature meets, giving orities, recommending that the Legislature the effects of the shutdown, the economic adverse events increases state expenditures. advocacy groups time to seek a permanent increase the availability of teleservices, con- recession, and social isolation. These include Filed Legislation: SB 674 by Sen. Dawn legislative fix. tinue the progress made on school finance depression, anxiety, substance use disorder Buckingham and HB 2822 by Rep. Filed Legislation: HB 1445 by Rep. Tom and property tax reform, and continue to (SUD), overdose, and suicide. improve the availability of antipsychotic pre- Oliverson keeps 3rd party medical billing attract jobs and capital investments to the Filed Legislation: SB 672 by Senator Dawn scription drugs under Medicaid managed services as tax-free state. Added to the list of these five items is Buckingham directs the Health and Human care. SB2051 by Sen. and HB As always, it is our pleasure to be your prioritizing the strengthening of the state’s Services Commission to establish a Medicaid 2504 by Rep. Jessica Gonzalez restrict health voice at the Texas state capitol. Please feel free energy infrastructure and preventing future collaborative care model as well as providing insurance plans from imposing fail first to reach out with any questions, comments or weather-related energy catastrophes. for the reimbursement for services provided requirements on mental health medications concerns that you may have. We look forward Bill referrals and hearings commenced in under the model. for patients with severe mental illness. to continuing to serve the interests of Texas the House and Senate this month and legisla- Supporting Telepsychiatry Reimburse - Supporting a Texas Waiver Related to psychiatrists and your patients for the tors are once again busy at work on the pub- ment Parity and Benefit Access: Medicaid IMD Exclusion: Currently, federal remainder of the 2021 legislative session. . ■ lic’s business. The deadline for filing bills was March 12th, meaning that most of the legislature’s work is now laid out before it. The Federation of Texas Psychiatry’s Legislative Priorities include: NO MATTER THE SIZE Opposing Psychological Prescribing: Currently five states (Idaho, Iowa, New OF YOUR PRACTICE Mexico, Illinois, Louisiana) have psychologi- cal prescribing. An estimated 50% of those WE HAVE YOU COVERED who require medication for their mental ill- ness also have other medical conditions All providers in your practice can be covered under one medical which require medication. The complex professional liability insurance policy, along with the entity itself. interactions of these drugs and their effects Simplified administration - single bill Coverage for multiple locations present a challenge even to experienced and one point of contact even if in different states physicians. While physicians’ medical Custom rating leverages the best Shared and separate limits available premium for your practice REMY PALMER, RPLU degrees are clinically focused, emphasizing SENIOR ACCOUNT MANAGER the critically important physical sciences, psychologists’ medical degrees are based on When selecting an insurance partner, consider the program the behavioral and social sciences. Allowing that puts you and your group practice first. Contact us today. psychologists to prescribe poses a danger to public health and the standard of care for (800) 245-3333 mental health patients. PRMS.com/Dedicated Filed Legislation: HB 1462 by Rep. Vikki [email protected] Goodwin provides prescriptive authority to Actual terms, coverages, conditions and exclusions may vary by state. Insurance coverage provided by Fair American Insurance and Reinsurance Company (NAIC 35157). psychologists. FAIRCO is an authorized carrier in California, ID number 3715-7. www.fairco.com. In California, d/b/a Transatlantic Professional Risk Management and Insurance Services. Opposing Independent Practice for

2 TEXAS PSYCHIATRIST APRIL/MAY 2021 Time for Action Daryl K. Knox, MD, DLFAPA, ACP, President, Texas Academy of Psychiatry

s you are all aware The 87th Texas cases. Surveys of Texas voters indicate that medical act can be safely delegated to an ALegislature is currently in session. 60% of state voters oppose allowing APRNs APRN acting under their supervision. Bills to expand the scope of practice for to practice medicine outside of physician This model of team care is integral to Advance Practice Registered Nurses supervision. The website improving access to and coordination of (APRNs) to work independently from physi- www.senate.texas.gov and quality of patient care. cian supervision and for Psychologists to www.house.texas.gov can lead you to your Other more favorable bills that will greatly obtain prescribing privileges have been senator and house members contact infor- enhance physician practice and ease of filed. It is imperative that we contact our mation. patient care includes bills to support of a state senators and house members to voice I urge you all to call or email your state Medicaid Collaborative Care model, Daryl K. Knox, MD, DLFAPA, ACP our opposition to these bills. HB 2029 and Senator and House member ASAP. indicate support continued reimbursement of SB 915 would allow APRNs to independ- that you are a physician and that you telepsychiatry reimbursement parity, ease ently prescribe medication including con- strongly oppose these scope of practice of onerous, prior authorization require- recent winter storms caught our energy trolled substances, order and interpret labs, bills. You may want to include some of the ments, a waiver related to easing the infrastructure off guard and wreaked havoc and order medical equipment without talking points bulleted below as developed Medicaid IMD exclusion which excludes on many communities across our state. physician supervision. HB 1462 supports by the TMA and TSPP, as well as any anec- reimbursements for adults in free standing Here in the Houston area many continue to extension of prescribing privileges to clini- dotal reports that support your opposition psychiatric inpatient facilities , and to deal with the aftermath of broken pipes cal psychologists. The rationale behind to these bills. maintain 3rd party medical billing services and extensive water damage to their these bills is that granting APRN’s inde- • APRN training is 500-1000 hours com- as tax free. homes. The pandemic continues with pendent practice and psychologists pre- pared to physician training of 12,000 - It is very important that we as physicians threats of a third wave due to variant scribing privileges will increase access for 16,000 hours. get to know our state legislative representa- strains. Racial injustice, polarized political patients especially in rural areas of the • There are no national standards for tives by educating them on issues impor- parties, economic concern, income dispari- state. In the few states where these scope of APRN training programs many of which tant to us and our patients. An opportune ties present further challenges to overcome. practice bills were enacted the impact on can be completed online. time for this is when they solicit your vote Despite all of these problems we must access has been negligible. • With the advance of telemedicine during ask them about their stand on issues remain hopeful and recognize that we have APRNs working under physician super- the pandemic access has already been important to physicians and also consider faced even greater challenges in the past vision has allowed physicians to increase enhanced with APRNs working under a contribution to support their candidacy. and with faith, hard work and determina- caseloads providing better access to care physician delegation. We can all agree that 2020 was a chal- tion we can learn from our struggles and but maintaining patient safety by allowing • Physician training and education lenging year and we looked forward to 2021 emerge wiser and stronger. Take care and physicians to focus on more complicated uniquely qualify them to determine if a with hopeful optimism. However, the be well. ■

Let’s Do This...We Need You! MIchael R. Arambula, MD, PharmD, DLFAPA, President, Texas Society of Psychiatry Physicians

y father once told me how enthu- Msiastic he and his brothers were to serve our country during World War II. Although my dad’s brothers never made it back, I nevertheless learned the value of service growing up. My parents also taught me the value of hard work and doing better MIchael R. Arambula, MD, PharmD, DLFAPA tomorrow, what I could accomplish today. I could go on and on. This past weekend, I spoke of our facilitate mentoring relationships with our unique, specialized training as psychiatric young colleagues; and I hope that you will physicians, and our future as an organiza- join me in our endeavor. I also want to give tion. As to the former, I certainly remember our young colleagues opportunities to pub- delivering babies when I was on call and lish and present (within our organization), wondered why they always decided to enter and to help them compete for APA our world during the wee early hours of the Fellowship awards and subspeciality morning. I also remember suturing patients Fellowship positions all over the country… in the emergency room, holding retractors Join Me in TSPP's Future Endeavors as long as they come back to Texas! during surgery, collecting bone marrow I sound like a broken record but never- aspirate, and witnessing a lot of death due collect and assimilate in our website, brief visionary aspirations that Melissa and Tim theless, I will say it again. My ancestors, my to tragic disease and accidents. The point articles about the identification and treat- spoke to me about, regarding our col- parents and my mentors carried me on being is that I and we, all have similar ment of mental illnesses, and what we do as leagues in training. Our Psychiatry their shoulders for a bit, and then they gave memories because we are first, physicians. psychiatric physicians; so that we can be a Residents and Early Career Psychiatrists are me a nudge to explore, succeed and some- Human physiology is truly amazing and our valid and reliable resource for the public. As our future. The Strategic Planning Task times fail and get back up again…and also brain, where the psyche resides, is even to the latter, I also spoke of the profound Force is currently assimilating a platform to to serve. Let’s do this… together. ■ more amazing. I love the human interac- impact which my mentors had upon my tion in Psychiatry. But haven’t you noticed career. Although I have fondly held these that most of our patients harbor patho- memories for many years, it wasn’t until I Congratulations and physiologic disease? In the coming year, I’d virtually sat down with our RFM colleagues Installation of new TSPP officers 2021-22: like for us to refresh our knowledge about - Leah, Kaylee and Juan - that our conversa- President the medical conditions which our patients tion reminded me of those moments I Michael Arambula, MD, Pharm D, DLFAPA commonly have. I already have friends / spent with my mentors. Indeed, they were President Elect colleagues in other medical specialties who my foundation upon which I had the confi- Karen Dineen Wagner, MD, PhD I will ask to submit a brief article for our dence to dream big, work hard and achieve newsletter, and hope that our stellar CME success that I never imagined I could. That Secretary-Treasurer Committee will routinely add presentations pillar of medical training - ‘See One, Do Lynda Parker, MD regarding the same. I believe this endeavor One, Teach One’ – echoes in my ears when I Immediate Past President will also facilitate networking opportunities think about them. During the coming year, Timothy Wolff, MD with our medical colleagues. I’d also like to I want to build upon the tremendous

APRIL/MAY 2021 TEXAS PSYCHIATRIST 3 Texas Society of Psychiatric Physicians & Texas Academy of Psychiatry Joint Provider Scientific Program

Cutting Edge Psychiatry in the Time of COVID VIRTUAL LIVE CME WEBINAR Saturday, April 17, 2021 Five (5) AMA PRA Category 1 CreditsTM, with 2 of the Hours Designated for Medical Ethics/Professional Responsibility

Scientific Program Schedule Speakers Presented in Central Time Zone Mark Kunik, MD, M.P.H, DFAPA 9:15 am - 9:25 am Log onto Virtual Webinar (Zoom) to be admitted to Director, VA South Central Mental Illness Research, Education and the CME Program, starts promptly at 9:30 am. Clinical Center (IRECC) 9:30 am Welcome and Introductions – Open Remarks / Chief, IQuEST Behavioral Health and Implementation Program CME Accreditation Statements and Certificate of Professor Attendance Information Menninger Department of Psychiatry and Behavioral Science 9:35 am - 10:40 am “Physician Support Line – Confidential Peer-to-Peer Houston, Texas Physician Self Care and Prevention of Burnout: One Avrim B. Fishkind, MD Grassroots Solution for Stressors of COVID and Beyond” Mona Masood, DO and Smita Gautam, MD Consultant-Clinician: Emergency Psychiatry, Telepsychiatry and Psychiatric Emergency Introduction; 45 Minute Presentation; 15 Minute Q&A with Audience Services Design Empathic Soul Health, LLC Objectives: The learning objectives for this activity have been designed to address Former General Manager clinical competence. Upon conclusion of the activity, participants should be able to: SOC Telemed • Identify at risk physicians • Employ effective crisis management / problem focused techniques. Former Chief Executive and Chief Medical Officer, Owner • Recognize when to refer JSA Health Telepsychiatry 10:40 am - 11:45 am “Treatment of Depression in the Medically Ill Patient” Houston, Texas Mark E. Kunik, MD, MPH, DFAPA Smita Gautam, MD Introduction; 45 Minute Presentation; 15 Minute Q&A with Audience Co-Founder, Collaboration Coordinator and Objectives: The learning objectives for this activity have been designed to address Volunteer Coordinator of Physician Support clinical competence. Upon conclusion of the activity, participants should be able to: Line Board Certified Child and Adolescent Psychiatry • Identify pathways to depression in the medically ill • Discuss risks and benefits for stepped care treatment in the medically ill and modify The Family Institute, a Non-Profit Organization Affiliated with to reduce risk and improve treatment results Northwestern University • Discuss strategies to improve communication between primary care clinicians and Involved in Community Mental Health Education in Chicago psychiatrists in treating patients with depression and medical co-morbidities. and Northern Suburbs 11:45 am - 12:00 pm Break Chicago, Illinois 12:00 pm - 2:05 pm ETHICS: “Ethics and Telepsychiatry” Mona Masood, DO Avrim B. Fishkind, MD Founder and Chief Organizer of Physician Support Line Introduction; 1.5 Hours Presentation; 30 Minute Q&A with Audience Board Certified in General Adult Psychiatry Objectives: The learning objectives for this activity have been designed to address Outpatient Psychiatrist, Greater Philadelphia Area clinician competence. Upon conclusion of the activity, participants should be able to: Board Member of Non-Profit Community Mental Health • Discuss new legal regulations of telepsychiatry and differentiation between Organization, Muslim Wellness Foundation, which provides mental telehealth, telemedicine and telepsychiatry. health education services to the community • List telephone and video-health platforms and options Philadelphia, Pennsylvania • Categorize confidentiality issues of platforms • Analyze and differentiate computer specs and bandwith issues and how they Stephen R. Saklad, MD, Pharm.D., BCPP impact care. Director, Psychiatric Pharmacy Program • Discuss and employ HIPPA and privacy laws. Pharmacotherapy Education and Research Center • Distinguish ethical aspects of telepsychiatry and adapt and apply to patient care. UT Health Science Center • Recognize and apply effects of telepsychiatry on team-based care. , Texas 2:05 pm - 2:20 pm Break Clinical Professor Pharmacotherapy Division 2:20 pm - 3:25 pm “Novel Pharmacological Treatments for Schizophrenia” The University of Texas at Austin College of Pharmacy Stephen R. Saklad, MD, Pharm.D. BCPP Adjunct Professor Introduction; 45 Minute Presentation; 15 Minute Q&A with Audience School of Medicine Objectives: The learning objectives for this activity have been designed to address Pharmacotherapy Education and Research Center clinician competence. Upon conclusion of the activity, participants should be able to UT Health Science Center San Antonio • Identify new receptor mechanisms for new drugs. Clinical Pharmacologist • Describe and chart the timeline for release of drugs. San Antonio State Hospital • Calculate early results of trials. Texas Department of State Health Service 3:25 pm - 3:50 pm Closing Remarks

CME PROGRAM GOAL / TARGET AUDIENCE medical co-morbidities may be under-treated peer-to-peer physician self-care and prevention ETHICS DESIGNATION STATEMENT This live activity has been designed in a lecture due to concerns about medical co-morbidities, of burn out, understand who has access, what The presentation “Ethics and Telepsychiatry” format with case examples followed by an interac- and psychiatrists and primary care clinicians can be accomplished and how to access support has been designated by the Texas Society of tive audience question and answer period to pro- may have difficulty communicating and under- in a phone help line for physicians during the Psychiatric Physicians for two (2) hours of vide its’ primary target audience of Psychiatrists, standing the risks and benefits of psychotropic pandemic and beyond. education in medical ethics and/or professional medications in these patients. The presentation as well as other specialties of medicine, with the OBJECTIVES responsibility. most up-todate, evidence-based data that can be will provide an update on best practices in treat- The learning objectives for this activity have been translated into clinical practice. The information ing patients with depression and medical co- FACULTY AND PLANNERS designed to address clinician competence and are and data presented will address the professional morbidities to increase their knowledge and DISCLOSURE POLICY listed under each presentation. In compliance with the ACCME/TMA Standards practice gaps of the learners and advance the competence. The COVID-19 pandemic has for Commercial Support of CME, to assure physician’s competence and improve their knowl- caused a rapid shift to telemedicine work. Usual ACCREDITATION STATEMENT balance, independence, objectivity and scientific edge about the complex contributing factors in laws like HIPAA have been suspended to allow This activity has been planned and implemented rigor in all of its CME activities, prior to the this patient population and introduce additional greater access to populations at risk for mental in accordance with the accreditation require- education activity being delivered to the resources and new strategies to improve out- health issues. CMS has changed billing and cod- ments and policies of the Texas Medical learners, the Texas Society of Psychiatric comes so that they may develop strategies to ing to make telemedicine and telephone visits Association (TMA) through the joint providership Physicians implemented a mechanism to apply the knowledge, skills and judgement of the equivalent to in person visits. However practi- of the Texas Society of Psychiatric Physicians and identify and resolve personal conflicts of information presented in the educational activity tioners may not be fully aware of the impact of telework on the therapeutic relationship, confi- the Texas Academy of Psychiatry. The Texas interest from everyone who was in a position into their practice. dentiality issues, the susceptibility to some apps Society of Psychiatric Physicians is accredited to control the content of the education activity. IDENTIFIED PRACTICE GAPS / and platforms to breaches in confidentiality and by TMA to provide continuing medical education TSPP will disclose to learners the existence NEEDS ASSESSMENT how this affects provision of safe and optimal for physicians. (or non-existence) of all relevant financial TSPP identified educational needs and profes- care. Psychiatrists need to be updated on the relationships that the faculty and planners sional practice gaps from members expressed development, timeline for release of new med- CREDIT STATEMENT did (or did not) have with any commercial needs and in medical literature and incorpo- ications, early results of trials / pre-market- expe- The Texas Society of Psychiatric Physicians desig- interest concerned with the content of the rated it into the CME activity to address the rele- rience with novel drugs for schizophrenia. nates this Live Activity for a maximum of five (5) educational presentation. Disclosure will vant educational needs concerning competence COVID-19 has added additional stressors to AMA PRA Category I Credits™. Physicians should occur prior to the presentation through that underlie the professional practice gaps of physicians and psychiatrists. Psychiatrists need claim only the credit commensurate with the oral communication and inclusion on the the participants. Patients with depression and to be educated about Physician Support Line, a extent of their participation in the activity. beginning slide of the program. 4 TEXAS PSYCHIATRIST APRIL/MAY 2021 Te xa s S o cie ty o f P sych ia tric P h ysicia n s & Te xa s A ca d e m y o f P sych ia try

Te xa s S o cie ty o f P sych ia tric P h ysicia n s & Te xa s A ca d e m y o f P sych ia try

n on Ari f to Ari in order to access the roram Pease refer to the oom ide for additiona information andor estions The roram i ein romty at am so REGISTRATION FORM Approximately one week prior to the CME webinar you will receive an email (at the email address you provided on your registration form) with the zoom meeting ID # and link to join the meetingn o onn A Aprilri 17. fIf you do not already have the free Zoom account loaded on your device you will need to do so prior to Ato r iApril in17 o rind eorderr to a tocc ess accesst hthee program.roram P Pleaseease r ereferfer t oto t hthee Zoomoom Guideide fforor aadditionaldditiona iinformationnformation and/orandor questions.estions TheThe programroram will i beginein promptl romtyy at a t9:30 am am so so please plan to log on Texas Society of Psychiatric Physicians between 9:15-9:30 am to allow time to address and eliminate any access difficulties you may have. Thank you for registering! & Texas Academy of Psychiatry VIRTUAL LIVE LAST NAME FIRST NAME CREDENTIALS (MD/DO, PA, NP, AHP, SPECIFY OTHER CREDENTIALS) CME WEBINAR SPECIALTY EMAIL ADDRESS

April 17, 2021 MAILING ADDRESS CITY STATE ZIP

PHONE FAX REGISTRATION FEE SCHEDULE Cutting Edge Psychiatry CME PROGRAM in the Time of COVID TSPP / ACADEMY / TSCAP Member  ______RESIDENT-FELLOW MEMBER (IN TRAINING) TSPP/ ACADEMY / TSCAP MEMBER  ______MAIL ... (pay by credit card or check) RFM MEMBER WHOSE TRAINING PROGRAM DIRECTOR HAS REGISTERED NO CHARGE ______Texas Society of Psychiatric Physicians List Training Program Director’s Name: ______401 West 15th Street, Suite 675, Austin, TX 78701  MEDICAL STUDENT MEMBER APA / AACAP ______(The following options require credit card payment) NON-MEMBER PHYSICIAN  ______E-MAIL... [email protected] NON-MEMBER RESIDENT-FELLOW MEMBER (IN TRAINING) PHYSICIAN OR MEDICAL STUDENT  ______ONLINE... http://www.txpsych.org ALLIED HEALTH PROFESSIONAL  ______FAX... 512.478.5223 PHONE.. 512.478.0605 MEETING SYLLABUS ORDER Meeting Syllabus in Color $ ______ONLINE PAYMENT... Meeting Syllabus in Black & White $ ______To remit payment online, complete this form and return to Online Meeting Syllabus FREE [email protected] via email and request an email invoice from Quickbooks Online. Total Registration Fees

PARTICIPATION POLICY – The Texas Society of Psychiatric Physicians'/Texas METHOD OF PAYMENT: Academy of Psychiatry's policy is to promote an environment of mutual respect, well-being, and collegiality at its meetings. TSPP/TAP values and benefits from Check in the Amount of $______Make Checks Payable to Texas Society of Psychiatric Physicians the diverse opinions its members hold on the issues with which the Society and Please Charge $______To My: the psychiatric profession are confronted. All individuals participating in the (live VISA MasterCard American Express or virtual) meetings agree to conduct themselves in a manner appropriate for health care professionals. This includes respect for the intellectual property of oth- Credit Card #______Expiration Date: ______ers, proper display and use of meeting badges, and the avoidance of aggressive or inappropriate behavior towards others. Individuals participating in TSPP/TAP 3 or 4 Digit Security Code______sponsored meetings agree to listen respectfully to all views presented, be courte- ous to others regardless of whether you agree or disagree with the views pre- Name of Cardholder (as it appears on card) ______sented, and to exhibit the professionalism and collegiality expected of psychiatrists. If an individual believes that these rules have been violated or Signature ______acceptable social decorum has otherwise been breached, he or she shall contact TSPP/TAP staff to help with the situation. TSPP reserves the right to remove meet- ADDRESS WHERE YOU RECEIVE YOUR CREDIT CARD STATEMENT (include address, city, state, zip):______ing access rights of any individual violating this policy and will not provide a ______refund. By registering for this meeting, you agree to abide by the Participation Policy as described above. Cancellation Policy: No REFUNDS given afteS"QSJM

Foundation 2021 Annual Fundraising Campaign J. Clay Sawyer, M.D., Chair, DLFAPA, Texas Foundation for Psychiatric Education and Research

ost of the physicians who will be grams are of high quality and have been have the opposite effect) is a vital role for Mreading this article are already historically well-received, and are vital to organized psychiatry in Texas. Whether familiar with the purposes and the goals of our mission of helping our physicians to scope of practice issues, admitting privi- the Texas Foundation for Psychiatric continuously attain the highest possible leges, prescription pre-authorization, and Education and Research (TFPER), so I won’t standard of care through taking advantage many others, the involvement of all psychi- reiterate them here. What I will reiterate are of mastering the latest developments in atrists in Texas is essential for the success of the facts that all monies raised go to help our field. these goals. If one cannot help in this J. Clay Sawyer, MD, DLFAPA support organized psychiatry in Texas (the Finally, we are now in the midst of a new endeavor in person, then a generous con- Texas Society of Psychiatric Physicians, the Texas legislative session with many new tribution to the Foundation can be highly Texas Academy of Psychiatry, and the Texas members of that body. Continuing to help effective, too. give, and give generously, to the Society for Child and Adolescent educate elected officials about what consti- So, don’t let Covid-induced changes Foundation as quickly as possible so that all Psychiatry), that the vast majority of dona- tutes a high standard of medical care (as interfere with the work which must be done Texas psychiatrists will have the resources tions come from the members of these well as correcting approaches that would and in which we must all participate. Please we need to get these jobs done. ■ three organizations, and that donations dropped significantly last year. The neces- TEXAS FOUNDATION FOR PSYCHIATRIC EDUCATION AND RESEARCH sary lack of in-person professional meet- ings due to the COVID pandemic To Request an Electronic Invoice to Remit Your Foundation Donation, Email and specify the amount you wish to donate and an electronic invoice will be emailed to you. undoubtedly played a large role in this pre- cipitous drop in donations. I am pleased to support the Foundation with a contribution of: DONOR INFORMATION The resources of the Foundation help to ■ $50 ■ $100 ■ $250 ■ $500 ■ $1000 Name ______provide education for the general public ■ $______and for legislators at all levels of govern- Address ______ment—the more information provided, the ■ I am pleased to commit a pledge of $ ______less the chance that our patients will be payable on (date)______taken advantage of by those who would ■ Check in the Amount of $______wish to act as physicians without undergo- Make Checks Payable to “Texas Foundation for Psychiatric Education and Research” ______Please Charge $______To My: VISA MasterCard ing, and successfully completing, the train- Telephone ( )______ing which all physicians receive (medical Credit Card #______Exp. Date:______school, residency, and beyond) before we 3 Digit Code on Back of Card on Right of Signature Panel ______are deemed ready to take on the serious Contact me about a responsibilities of caring for patients in the Name of Cardholder (as it appears on card PLANNED GIFT. highest professional manner. ______■ A Bequest The Foundation’s educational objective ■ A Gift of Insurance doesn’t stop there. Our resources can also Signature______be used to help TSPP, for example, to pro- Zip Code where you receive your credit card statement ______■ A Charitable Trust vide CME programs in order to help all of Texas Foundation for Psychiatric Education and Research • 401 West 15th Street, Suite 675, Austin, Texas 78701. us maintain our licensure. These CME pro- Your contribution is tax deductible to the full extent of the law. Thank you for your support!

APRIL/MAY 2021 TEXAS PSYCHIATRIST 5 Texas Society of Child and Adolescent Psychiatry Child Psychiatry at the Crossroads: Focus on At Risk Populations and Social Change VIRTUAL LIVE CME WEBINAR Saturday, July 24, 2021 Six (6) AMA PRA Category 1 CreditsTM, with 2 of the Hours Designated for Medical Ethics/Professional Responsibility

Pierre W. Banks, EdD Lisa Falls, MD Mohsin Khan, MD Claudia G Mercado, MD Senior Director of Associate Professor Assistant Professor Family Medicine Admissions and Department of Psychiatry of Psychiatry Specialist Recruitment University of Texas UT Southwestern Border Clinic PLLC Clinical Assistant Professor- Medical Branch Medical Center Laredo, Texas Psychiatry and Galveston, Texas Rees Jones Center for Behavorial Sciences Foster Care Excellence Sr. Specialist, Learning and , Texas Career Counseling University of Texas Medical Branch Galveston, Texas

Joseph V. Penn, MD, Steven R. Pliszka, MD Kimberly E. Stone, MD, CCHP, FAPA Dielmann MPH, FAAP Director, Mental Health Services Distinguished Assistant Professor of UTMB Correctional Managed Care Professor and Chair Pediatrics Department of Psychiatry Rees-Jones Foster Care Clinical Professor and Behavioral Sciences Center for Excellence UTMB Department of Psychiatry Joe R and Theresa Long Children's Health System Galveston, Texas Lozano School of Medicine Dallas, Texas UT Health San Antonio San Antonio, Texas SCIENTIFIC SCHEDULE Saturday, July 24 Six (6) AMA PRA Category 1 CreditsTM, with 2 of the Hours Designated for Medical Ethics / Professional Responsibility. 8:45 am – 8:55 am Log onto Virtual Webinar (Zoom) to be admitted to the CME Program, starts promptly at 9:00 am 9:00 am-9:30 am Opening Remarks and Welcome 9:30 am-10:35 am ETHICS: Implicit Bias – Pierre W. Banks, EdD Objectives: The learning objectives for this activity has been designed to address clinician competence. Upon conclusion of the activity participants should be able to: • Define implicit bias and related concepts • Explain implicit bias an how it impacts the medical profession. • Discuss strategies for evaluating and confronting personal implicit bias. 10:35 am-11:40 am Racism: Making the Case for PTSD – Lisa Falls, MD Objectives: The learning objectives for this activity has been designed to address clinician competence. Upon conclusion of the activity participants should be able to: • Describe ways that racism qualifies as a trauma that can lead to Posttraumatic Stress Disorder • Identify behaviors in child and teen victims of racism that meet criteria for Posttraumatic Stress Disorder • Incorporate a method of routine screening for micro/macroaggressions in marginalized patient populations 11:40 am-11:55 am Break 11:55 am-1:00 pm Special Clinical Considerations in Treating Persons with Intellectual and Developmental Disabilities (IDD) with Comorbid Psychiatric Disorders in Residential Treatment Center Settings – Steven R. Pliszka, MD Objectives: The learning objectives for this activity has been designed to address clinician competence. Upon conclusion of the activity participants should be able to: • Discuss pharmacological treatments of different target symptoms • Identify differences in dosing and medication choices for persons with IDD • Identify specific clinical challenges in residential treatment center settings. 1:00 pm-2:05 pm ETHICS: Seclusion and Restraint in Correctional Setting – Joseph V. Penn, MD, CCHP, FAPA Objectives: The learning objectives for this activity has been designed to address clinician competence. Upon conclusion of the activity participants should be able to: • Identify the clinical, legal and ethical issues related to Seclusion and Restraint. 2:05 pm-2:20 pm Break 2:20 pm-3:25 pm Changes and Challenges in the Foster Care System: Implications for Treatment Mohsin Khan, MD and Kimberly E. Stone, MD, MPH, FAAP Objective: The learning objectives for this activity has been designed to address clinician competence. Upon conclusion of the activity participants should be able to: • Update on legislative issues that impact children in foster care • Describe the mult-disciplinary approach • Identify challenges in working with the population 3:25 pm-4:30 pm Border Crisis: Barriers and Barometers of Care – Claudia G. Mercado, MD Objective: The learning objective for this activity has been designed to address clinician competence. Upon conclusion of the activity participants should be able to: • Identify cultural impact on care • Update on policy change • Describe longitudinal effects for patients and providers 4:30 pm-4:45 pm Closing Remarks

6 TEXAS PSYCHIATRIST APRIL/MAY 2021 Texas Society of Child and Adolescent Psychiatry Child Psychiatry at the Crossroads: Focus on At Risk Populations and Social Change VIRTUAL LIVE CME WEBINAR • Saturday, July 24, 2021

ACCREDITATION STATEMENT ETHICS DESIGNATION STATEMENT Psychiatrists, Adult Psychiatrists, Standards for Commercial Support of CME, This activity has been planned and imple- The Ethics Presentation: “Racism, Making Pediatricians and Primary Care Physicians to assure balance, independence, objectiv- mented in accordance with the accredita- the Case for PTSD” and "Seclusion and with clinically relevant information to ity and scientific rigor in all of its CME tion requirements and policies of the Texas Restraint in Correctional Setting" have advance the physicians’ competence and activities, prior to the education activity Medical Association (TMA) through the been designated by the Texas Society of provide them with effective use of targeted being delivered to the learners, the Texas joint providership of the Texas Society of Psychiatric Physicians for a total of two (2) skills so that they may develop strategies to Society of Psychiatric Physicians imple- Psychiatric Physicians and the Texas credits of education in medical ethics apply the knowledge, skills and judgement mented a mechanism to identify and Society of Child and Adolescent Psychiatry. and/or professional responsibility. of the information presented in the educa- resolve personal conflicts of interest from The Texas Society of Psychiatric Physicians tional activity into their practice. everyone who was in a position to control is accredited by TMA to provide continuing TARGET AUDIENCE/ the content of the education activity. TSPP PROGRAM OBJECTIVES education for physicians. NEEDS ASSESSMENT will disclose to learners the existence (or This virtual activity has been designed with TSCAP has incorporated into this CME non-existence) of all relevant financial rela- CREDIT STATEMENT didactic lectures supplemented with panel activity the relevant educational needs con- tionship(s) that the faculty and planners The Texas Society of Psychiatric Physicians discussion; clinical vignettes; audiovisual cerning competence that underlie the pro- did (or did not) have with any commercial designates this Virtual Live Activity for a presentations and question and answer dis- fessional practice gaps of the participants. interest concerned with the content of the maximum of six (6) AMA PRA Category I cussion in multiple educational sessions. educational presentation. Disclosure will CreditsTM Physicians should claim only the FACULTY AND PLANNERS occur at the beginning of the Virtual CME DISCLOSURE POLICY credit commensurate with the extent of The program is designed to provide its’ Activity through verbal and written slide their participation in the activity. target audience of Child and Adolescent In compliance with the ACCME/TMA display.

SPEAKERS Texas Society of Child and Adolescent Psychiatry Pierre W. Banks, EdD Senior Director of VIRTUAL LIVE CME WEBINAR Admissions and Recruitment Saturday, July  Clinical Assistant Professor- (The following options require credit card payment) Psychiatry and Behavorial Sciences MAIL... (pay by credit card or check) To remit payment online, complete this form and Texas Society of Child and Adolescent Physicians E-MAIL... [email protected] FAX... 512.478.5223 Sr. Specialist, ONLINE PHONE return to [email protected] via email and request an Learning and Career Counseling 401 West 15th Street, Suite 675, Austin, TX 78701 ... http://www.txpsych.org .. 512.478.0605 email invoice from Quickbooks Onlline. University of Texas Medical Branch Galveston, Texas REGISTRATION FORM When your registration payment has been processed, about one week prior to the meeting, you will receive an email invite at the email address Lisa Falls, MD provided on your registration form with a link to join the meeting, the unique Meeting ID # and information for joining the meeting on Saturday, July 24. It is IMPORTANT that the email address you list on the Registration Form is the email you will use to participate on the Zoom Meeting or Zoom Associate Professor will not recognize and allow you to log into the meeting. If you do not already have Zoom loaded on your device with the email address you provide on Department of Psychiatry your Registration Form, you will not be able to access the program. Please refer to the Zoom Guide attachment for instructions to access the meeting. University of Texas The program will begin promptly at 9:00 am so please log on about 5-10 minutes prior to 9:00 am. Thank you for registering!

Medical Branch LAST NAME FIRST NAME CREDENTIALS (MD/DO, PA, NP, AHP, SPECIFY OTHER CREDENTIALS) Galveston, Texas

SPECIALTY EMAIL ADDRESS Mohsin Khan, MD Assistant Professor of Psychiatry MAILING ADDRESS CITY STATE ZIP UT Southwestern Medical Center Rees Jones Center for PARTICIPATIONPHONE POLICY – The Texas Society of Child and Adolescent Psychiatry's policy is to promote an environmentFAX of mutual respect, well-being, and collegiality at its meetings. TSCAP values and benefits from the diverse opinions its members hold on the issues with which the Society and the psychiatric profession are confronted. All individuals participating in the (live or virtual) meetings Foster Care Excellence PARTICIPATIONagree to conduct POLICY themselves – The in Texas a manner Society ofappropriate Psychiatric Physicians'for health policycare professionals. is to promote an This environment includes ofrespect mutual for respect, the intellectual well-being, p androperty collegia of lityothers, at its propermeetings. display TSPP valuesand use and of benefits meeting from badges, the diverse and theopinions itsavoidance members of hold aggressive on the issues or inappropriate with which the behavior Society and towards the psychiatric others. Individuals profession are participating confronted. Allin TSCAPindividuals sponsored participat meetingsing in the agree (live orto virtual)listen respectfully meetings agree to all to conductviews presented, themselves be in courteous a manner appropriateto others for Dallas, Texas regardless of whether you agree or disagree with the views presented, and to exhibit the professionalism and collegiality expected of psychiatrists. If an individual believes that these rules have been health care professionals. This includes respect for the intellectual property of others, proper display and use of meeting badges, and the avoidance of aggressive or inappropriate behavior towards others. Individuals violated or acceptable social decorum has otherwise been breached, he or she shall contact TSCAP staff to help with the situation. TSCAP reserves the right to remove meeting access rights of any participatingindividual violating in TSPP sponsored this policy meetings and will agree not provideto listen respectfullya refund. By to registeringall views presented, for this bemeeting, courteous you to agreeothers toregardless abide by of thewhether Participation you agree Policy or disagree as described with the viewsabove. presented, and to exhibit the professionalism Claudia G Mercado, MD and collegiality expected of psychiatrists. If an individual believes that these rules have been violated or acceptable social decorum has otherwise been breached, he or she shall contact TSPP staff to help with the situation. TSPP reserves the right to remove meeting access rights of any individual violating this policy and will not provide a refund. By registering for this meeting, you agree to abide by the Participation Policy as described above. Family Medicine Specialist Border Clinic PLLC REGISTRATION FEE SCHEDULE Laredo, Texas TSCAP / TSPP / Academy Member $110 ______

Non-Member Physician $140 ______Joseph V. Penn, MD, CCHP, FAPA Allied Health Professional $90 ______Director, Mental Health Services Trainee Member / Medical Student Member $10 ______UTMB Correctional Non-Member Trainee / Medical Student $20 ______Managed Care MEETING SYLLABUS ORDER Clinical Professor UTMB Department of Psychiatry Online Meeting Syllabus Free Galveston, Texas Color Printed Copy $155 ______Black & White Copy $125 ______Steven R. Pliszka MD Dielmann Distinguished TOTAL REGISTRATION Professor and Chair Department of Psychiatry and Behavioral Sciences PAYMENT INFORMATION Joe R and Theresa Long Lozano Check in the Amount of $______Make Checks Payable to Texas Society of Child and Adolescent Psychiatry School of Medicine Please Charge $______To My: VISA MasterCard American Express UT Health San Antonio Credit Card #______Expiration Date: ______San Antonio, Texas 3 or 4 Digit Security Code on Back of Card on Right of Signature Panel ______Name of Cardholder (as it appears on card) ______Kimberly E. Stone, MD, MPH, FAAP Signature ______Assistant Professor of Pediatrics Rees-Jones Foster Care ADDRESS WHERE YOU RECEIVE YOUR CREDIT CARD STATEMENT (include address, city, state, zip):______Center for Excellence ______Children’s Health System Cancellation Policy: No REFUNDS given after July 1 Dallas, Texas APRIL/MAY 2021 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:

• Risk Management Hotline • Many discounts, including 24/7 should an emergency arise Claims-Free, New Business & No Surcharge for Claims • Insuring Company rated (subject to state approval) “A” (Excellent) by A.M. Best • Interest-free quarterly • Telepsychiatry, ECT Coverage payments/credit cards accepted & Forensic Psychiatric Services are included

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The TEXAS PSYCHIATRIST is published CALENDAR OF MEETINGS PAID 5 times a year in February, April, June, PRSRT STD PRSRT AUSTIN, TX U.S. Postage August, and October. Members of Permit No. 1323 Federation member organizations are APRIL encouraged to submit articles for pos- 17 Texas Society of Psychiatric Physicians and sible publication. Deadline for submit- Texas Academy of Psychiatry ting copy to the Federation Executive Virtual CME Program Office is the first day of the publication month. Copy must be edited, accept- “Cutting Edge Psychiatry in the Time of COVID” able for publication.

Display advertising is available and JULY publication is determined on a case by 24 Texas Society of Child and Adolescent Psychiatry case basis by the Editorial Board. The Virtual CME Program Editorial Board reserves the sole right to accept or reject any submitted “Child Psychiatry at the Crossroads:

advertising copy. Focus on At Risk Populations and Social Change”

EDITORIAL BOARD Federation Executive Committee

NOVEMBER 6 Texas Society of Psychiatric Physicians MANAGING EDITOR Debbie Giarratano Virtual CME Program

Federation of Texas Psychiatry 401 West 15th Street, Suite 675 Austin, Texas 78701 (512) 478-0605/(512) 478-5223 (FAX) [email protected] (E-mail) 401 West 15th Street, Suite 675 Suite 15th Street, West 401 78701 Texas Austin, Federation of Texas Psychiatry Federation of Texas http://www.txpsych.org (website)

TSPP, TSCAP and TAP MEMBER SURVEY JOB BANK See Link Below Whether you are looking for career opportunities We Need Your Response or you are recruiting to fill a position in your organization, Please Complete Today you will want to check out the Federation’s JOB BANK http://survey.constantcontact.com/ on its website at www.txpsych.org. The Federation’s JOB BANK survey/a07ehipppbdkjvyeuaf/start could be just what you have been looking for.

8 TEXAS PSYCHIATRIST APRIL/MAY 2021