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Npmarch-April12 THE NATIONAL Psychologist Vol. 21 No. 2 The Independent Newspaper for Practitioners March/April 2012 behavioral research and non-pharmacologi- Alzheimer’s plan emphasizes biology over behavior cal interventions, but it is still woefully inad- equate in many things such as the area of By Paula E. Hartman-Stein, Ph.D. that is open through March 30. Alzheimer’s Association barely acknowl- neuropsychological assessment, research NAPA established an advisory council edged mental health and non-pharmacologi- beyond biomarkers, the proposed public The most recent draft released Feb. 22 to develop an ambitious national plan with- cal interventions and made no mention of the education campaign addressing risk factors for a massive federal plan to address out waiting for Congress to act, and the most role of psychology in research, practice or and geriatric workforce funding.” Alzheimer’s disease is considered “woefully recent draft of the plan includes five goals diagnosing of Alzheimer’s. According to Michael Friedman, inadequate” in incorporating psychology and for preventing and effectively treating In response, APA CEO Norman B. LMSW, co-founder of the Geriatric Mental behavioral health into prevention and treat- Alzheimer’s by 2025, optimizing the quality Anderson, Ph.D., sent 13 pages of comments Health Alliance of New York, “The revised ment. The national plan stems from the and efficiency of care, expanding support for to HHS. He wrote, “It is surprising that there national plan acknowledges that mental National Alzheimer’s Project Act (NAPA) people with Alzheimer’s as well as their is no mention of the role of psychology in health problems occur in dementia, but the signed into law in January of last year. families, enhancing public awareness and the draft framework. Most notably, neu- authors of the plan don’t seem to understand NAPA makes the secretary of Health tracking progress. ropsychological evaluation, a component of how common anxiety, apathy, moodiness and Human Services (HHS) responsible for According to an HHS press release, the the original and current gold standard for AD and behavioral difficulties are.” He said the the “creation and maintenance of an inte- goals as well as the supporting strategies and diagnosis, is not mentioned.” plan is not specific about what good practice grated national plan to overcome action steps proposed in the plan reflect According to Debbie Digilio, director of is and what people should be trained to do. Alzheimer’s, provide information and coor- input from the Advisory Council on the APA Office on Aging, APA will again In a recent phone interview Peter dination of Alzheimer’s research and accel- Alzheimer’s Research, Care, and Services provide detailed comments on this new Whitehouse, M.D., Ph.D. geriatric neurolo- erate the development of treatments that and almost 100 public comments received draft. She said, “It is encouraging that at gist at Case Western Reserve University in would prevent, halt or reverse the course of on an initial draft released Jan. 9. least psychologists are now listed multiple Alzheimer’s.” The first draft from the National times and that there is a tiny bit more about Continued on Page 3 But the emphasis so far on biological approaches and the short shrift given non- pharmacological interventions has generated Technician ban divides New York psychologists a torrent of criticisms from the mental health By Richard E. Gill, Assistant Editor Accepting the policy would have elimi- use technicians. community, which is seeking wider support nated the way the vast number of neuropsy- Soon after passage of the bill, an official during the current public comment phase Neuropsychologists have split from the chologists practice. This was considered of the New York State Department of New York State Psychological Association totally unacceptable to neuropsychologists, Education issued a statement that firmly Inside this issue (NYSPA) over disagreement on the use of who concluded that NYSPA was out of step denied the use of technicians, said Joanne 10 years of RxP ... Page 5 technicians in their practices. with national practice standards and neu- Festa, Ph.D., president of the New York Staff writer Gill dies ... Page 6 The State Department of Education, ropsychologists could not have their inter- State Association of Neuropsychology APA Council wrap up ... Page 9 which regulates psychology and 47 other ests represented by a group composed of so (NYSAN), which neuropsychologists professions, ruled that no psychologists may many disparate factions that do not under- formed last year independent of NYSPA. Psychology of auto racing ... Page 10 use technicians and when the NYSPA exec- stand the intricacies of neuropsychological Festa said Kathleen M. Doyle, execu- Bullying & cyberbullying ... Page 11 utive board endorsed the ban in December, practice. tive secretary for the education department’s Economics of practice ... Page 13 neuropsychologists walked out. With the mass resignations from Board for Psychology, also wrote an inter- NYSPA, the association’s Neuropsychology pretation that disallowed the use of techni- Division ceased to exist. The division for- cians. “So this is what we have been fighting merly had about 200 members, including all these years. When the scope of practice about 30 student members. bill was put through the people who were “This has been such a contentious and working on it in NYSPA never intended for bloody issue that it has divided our organi- technicians to be banned,” Festa said. zation,” said Peter Kanaris, Ph.D., member But when the interpretation of the bill Address service requested service Address at large of the NYSPA executive committee. was issued, some divisions of NYSPA “The issue of technicians has been discussed approved of it as a way to protect them- and argued for about eight years.” selves. “They feared for their jobs,” Festa Gahanna, Ohio 43230 Ohio Gahanna, Permit # 40 # Permit Following the passage of a state scope said. 620-A Taylor Station Rd. Station Taylor 620-A Madelia, MN Madelia, of practice bill in 2003, an interpretation by Kanaris admitted that the letter inter- PAID The National Psychologist National The U.S. Postage U.S. the state education department led to the preting the use of technicians was unintend- PRSRT STD PRSRT elimination of the ability of psychologists to Continued on Page 3 Page 2 March/April 2012 T H E N A T I O N A L P S Y C H O L O G I S T Page 3 T H E N A T I O N A L P S Y C H O L O G I S T March/April 2012 or treatment focuses on behavioral strate- program, “Maintain Your Brain,” that Therapy slighted in Alzheimer’s plan gies. They are not slam dunk, but in this day emphasized behavioral lifestyle factors for and age, the best we have is behavior.” cognitive health. When asked why, Erin Continued from Page 1 vented through a serum similar to the cure for polio virus.” Hector Gonzalez, Ph.D., an associate Heintz, senior associate director of public Cleveland, Ohio, said, “The national plan is “Whether the etiology of Alzheimer’s is professor at Wayne State University’s relations for the association said, “There is dominated by the old thinking that with tau or amyloid (marker deposits in the brain) Institute of Gerontology in Detroit, Mich., is no definitive way to prevent Alzheimer’s.” enough research Alzheimer’s can be eradi- or a combination, it will still take 10 to 20 a member of the APA Task Force to update cated, tending to make people think a cure is years before anything comes of this develop- the Guidelines for the Evaluation of New funding allocated close. There is no honesty that this is com- ment into biopharmaceutical research. There Dementia and Age-Related Cognitive On Feb. 7 the Obama administration plicated and multifactorial.” are at least 7 million people today with some Decline published in the January issue of announced allocation of $50 million for Whitehouse added that the Cochrane degree of dementia and in 10 to 15 years The American Psychologist. research on Alzheimer’s. The press release Collaboration recently published a 77-page there will be 20 million with dementia. In an email interview, Gonzalez said, from HHS said its 2013 budget will provide review on the positive impact of cognitive Those people need a life worth living. The “Of all the 6,713 studies of risks and protec- an additional $80 million, including an addi- stimulation on cognitive functioning in peo- only way we can do this is to emphasize the tive factors for cognitive decline examined tional $26 million in caregiver support and ple with dementia. role of behavioral science.” in a task force charged by the National provider education. In another phone interview, John Zeisel, Adam Brickman, Ph.D., a neuropsy- Institutes of Health, only cognitive training The priorities of the funding are contro- Ph.D., founder of Hearthstone in New York chologist at Columbia University, also was and behavioral factors were associated with versial. According to Whitehouse, $50 mil- City, voiced a similar perspective. Zeisel reached by phone. “The best interventions sizable risk reduction.” lion is being shuffled from money allocated said, “The emphasis on biology in the that we have to help diminish or slow down for general genetic research with some of it national plan is short-sighted because it the progression are all behavioral, Brickman Plan calls for worldwide coordination likely to fund a trial for intra-nasal insulin. treats dementia as if it could be cured or pre- said. “Everything we know about prevention The national plan announced that in Zeisel said, “Some of the new money May 2012 an Alzheimer’s Research Summit should be going to study meditation and will take place that will include national and other innovative behavioral strategies.” Scope of practice divides NYSPA international experts.
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